HSCRC Annual Filing Data Documentation

Table of Contents

Annual Filing

  1. Schedule ACS - Annual Cost Survey
  2. Schedule C - General Service Centers
  3. Schedule D - Patient Care Centers
  4. Schedule E - Auxiliary Enterprises
  5. Schedule EFUR - EFUR Input
  6. Schedule EXP - Expense Build Up
  7. Schedule F - Other Institutional Programs
  8. Schedule H2 - Departmental Equipment Allowance
  9. Schedule H2I - Schedule H2 Input
  10. Schedule H3 - Distribution Of Capital Facilities Allowance
  11. Schedule J - Overhead Expense Apportionment
  12. Schedule JS - Overhead Statistical Apportionment
  13. Schedule JSI - Schedule JS Input
  14. Schedule M - Revenue Center Rates Summary
  15. Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals
  16. Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing)
  17. Schedule OES - Overhead Expense Summary
  18. Schedule P1 - Hospital Based Physicians Allocation
  19. Schedule P1I - P1 Input
  20. Schedule P2 - Physician Part B Services
  21. Schedule P2I - Physician Part B Overhead Allocations
  22. Schedule P3 - Physician Support Services
  23. Schedule P3I - Physician Support Expense Input
  24. Schedule P4 - Residents Services
  25. Schedule P4I - Residents, Interns, & Fellows Services Input
  26. Schedule P5 - Interns Services
  27. Schedule P5I - Interns Services Input
  28. Schedule P6 - Fellows Services
  29. Schedule P6I - Fellows Services Input
  30. Schedule PDA - Payer Differential
  31. Schedule PDI - Payor Differential Input
  32. Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE
  33. Schedule RE - Statement Of Revenue And Expenses
  34. Schedule REI - Schedule RE Input
  35. Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE
  36. Schedule SB - Supplemental Births
  37. Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee)
  38. Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)
  39. Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)
  40. Schedule SS3 - Supplemental Schedule - Reconciliation Of Depreciation And Lease/Rentals (UA)
  41. Schedule SS4 - Supplemental Schedule - Detail Of MCO Regulated Revenue (PDA)
  42. Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC
  43. Schedule STI - Statistics Input
  44. Schedule TRE - Transactions with Related Entities
  45. Schedule UA - Unassigned Expenses
  46. Schedule UR - Unregulated Activities
  47. Schedule UR6A - Physician Part B Services Detail
  48. Schedule URS - Unregulated Services Summary
  49. Schedule V1 - Routine Service Volumes: Inpatients and Patient Days
  50. Schedule V2 - Outpatient Visits (Ambulatory Units)
  51. Schedule V3 - Ancillary Service Units
  52. Schedule V5 - Equivalent Inpatient Days and Admissions

Schedule ACS - Annual Cost Survey

Schedule ACS requires each hospital to report the breakdown of their HSCRC regulated costs. The schedule calculates the percentage of each cost category to the hospital's total costs. Schedule ACS must be reported by all hospitals.

Sections:

  1. Schedule ACS: Annual Cost
  2. Schedule ACS: Annual Cost Percent
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Schedule C - General Service Centers

Schedule C details each hospital's expenses and FTEs by applicable general service center. Refer to Section 500 of the Accounting and Budget Manual for a list of general service centers. Each applicable general service center line must be completed by the hospital according to the functional descriptions contained in Section 200.

Sections:

  1. Schedule C: Indirect Cost Centers
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Schedule D - Patient Care Centers

Schedule D details each hospital's expenses and FTEs by applicable patient care centers. Refer to Section 500 of the Accounting and Budget Manual for a list of patient care centers. Each applicable general service center line must be completed by the hospital according to the functional descriptions contained in Section 200.

Sections:

  1. Schedule D: Direct Patient Cost Centers
  2. Schedule D: Total
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Schedule E - Auxiliary Enterprises

Schedule E details each hospital's expenses, revenue, and FTEs by applicable auxiliary enterprise center. Refer to Section 500 of the Accounting and Budget Manual for a list of auxiliary enterprise centers.

Sections:

  1. Schedule E: E01-Volume Data
  2. Schedule E: E01-Fiscal Year Expenses
  3. Schedule E: E01-Allocation from Cafeteria, Parking, Etc.
  4. Schedule E: E01-C Schedule: Indirect Cost Centers
  5. Schedule E: E01-UA Schedule: Unassigned Expenses Cost Centers
  6. Schedule E: E01-Capital Facilities Allowance
  7. Schedule E: E01-Donated Services & Commodities
  8. Schedule E: E01-Fiscal Year Adjusted Expenses
  9. Schedule E: E01-Fiscal Year Revenue
  10. Schedule E: E01-Fiscal Year Profit (Loss)
  11. Schedule E: E01-Amount Treated as Fringe
  12. Schedule E: E01-Amount Treated as Ofc
  13. Schedule E: E01-Adjusted FTEs
  14. Schedule E: E02-Volume Data
  15. Schedule E: E02-Fiscal Year Expenses
  16. Schedule E: E02-Allocation from Cafeteria, Parking, Etc.
  17. Schedule E: E02-C Schedule: Indirect Cost Centers
  18. Schedule E: E02-UA Schedule: Unassigned Expenses Cost Centers
  19. Schedule E: E02-Capital Facilities Allowance
  20. Schedule E: E02-Donated Services & Commodities
  21. Schedule E: E02-Fiscal Year Adjusted Expenses
  22. Schedule E: E02-Fiscal Year Revenue
  23. Schedule E: E02-Fiscal Year Profit (Loss)
  24. Schedule E: E02-Amount Treated as Fringe
  25. Schedule E: E02-Amount Treated as Ofc
  26. Schedule E: E02-Adjusted FTEs
  27. Schedule E: E03-Volume Data
  28. Schedule E: E03-Fiscal Year Expenses
  29. Schedule E: E03-Allocation from Cafeteria, Parking, Etc.
  30. Schedule E: E03-C Schedule: Indirect Cost Centers
  31. Schedule E: E03-UA Schedule: Unassigned Expenses Cost Centers
  32. Schedule E: E03-Capital Facilities Allowance
  33. Schedule E: E03-Donated Services & Commodities
  34. Schedule E: E03-Fiscal Year Adjusted Expenses
  35. Schedule E: E03-Fiscal Year Revenue
  36. Schedule E: E03-Fiscal Year Profit (Loss)
  37. Schedule E: E03-Amount Treated as Fringe
  38. Schedule E: E03-Amount Treated as Ofc
  39. Schedule E: E03-Adjusted FTEs
  40. Schedule E: E04-Volume Data
  41. Schedule E: E04-Fiscal Year Expenses
  42. Schedule E: E04-Allocation from Cafeteria, Parking, Etc.
  43. Schedule E: E04-C Schedule: Indirect Cost Centers
  44. Schedule E: E04-UA Schedule: Unassigned Expenses Cost Centers
  45. Schedule E: E04-Capital Facilities Allowance
  46. Schedule E: E04-Donated Services & Commodities
  47. Schedule E: E04-Fiscal Year Adjusted Expenses
  48. Schedule E: E04-Fiscal Year Revenue
  49. Schedule E: E04-Fiscal Year Profit (Loss)
  50. Schedule E: E04-Amount Treated as Fringe
  51. Schedule E: E04-Amount Treated as Ofc
  52. Schedule E: E04-Adjusted FTEs
  53. Schedule E: E05-Volume Data
  54. Schedule E: E05-Fiscal Year Expenses
  55. Schedule E: E05-Allocation from Cafeteria, Parking, Etc.
  56. Schedule E: E05-C Schedule: Indirect Cost Centers
  57. Schedule E: E05-UA Schedule: Unassigned Expenses Cost Centers
  58. Schedule E: E05-Capital Facilities Allowance
  59. Schedule E: E05-Donated Services & Commodities
  60. Schedule E: E05-Fiscal Year Adjusted Expenses
  61. Schedule E: E05-Fiscal Year Revenue
  62. Schedule E: E05-Fiscal Year Profit (Loss)
  63. Schedule E: E05-Amount Treated as Fringe
  64. Schedule E: E05-Amount Treated as Ofc
  65. Schedule E: E05-Adjusted FTEs
  66. Schedule E: E06-Volume Data
  67. Schedule E: E06-Fiscal Year Expenses
  68. Schedule E: E06-Allocation from Cafeteria, Parking, Etc.
  69. Schedule E: E06-C Schedule: Indirect Cost Centers
  70. Schedule E: E06-UA Schedule: Unassigned Expenses Cost Centers
  71. Schedule E: E06-Capital Facilities Allowance
  72. Schedule E: E06-Donated Services & Commodities
  73. Schedule E: E06-Fiscal Year Adjusted Expenses
  74. Schedule E: E06-Fiscal Year Revenue
  75. Schedule E: E06-Fiscal Year Profit (Loss)
  76. Schedule E: E06-Amount Treated as Fringe
  77. Schedule E: E06-Amount Treated as Ofc
  78. Schedule E: E06-Adjusted FTEs
  79. Schedule E: E07-Volume Data
  80. Schedule E: E07-Fiscal Year Expenses
  81. Schedule E: E07-Allocation from Cafeteria, Parking, Etc.
  82. Schedule E: E07-C Schedule: Indirect Cost Centers
  83. Schedule E: E07-UA Schedule: Unassigned Expenses Cost Centers
  84. Schedule E: E07-Capital Facilities Allowance
  85. Schedule E: E07-Donated Services & Commodities
  86. Schedule E: E07-Fiscal Year Adjusted Expenses
  87. Schedule E: E07-Fiscal Year Revenue
  88. Schedule E: E07-Fiscal Year Profit (Loss)
  89. Schedule E: E07-Amount Treated as Fringe
  90. Schedule E: E07-Amount Treated as Ofc
  91. Schedule E: E07-Adjusted FTEs
  92. Schedule E: E08-Volume Data
  93. Schedule E: E08-Fiscal Year Expenses
  94. Schedule E: E08-Allocation from Cafeteria, Parking, Etc.
  95. Schedule E: E08-C Schedule: Indirect Cost Centers
  96. Schedule E: E08-UA Schedule: Unassigned Expenses Cost Centers
  97. Schedule E: E08-Capital Facilities Allowance
  98. Schedule E: E08-Donated Services & Commodities
  99. Schedule E: E08-Fiscal Year Adjusted Expenses
  100. Schedule E: E08-Fiscal Year Revenue
  101. Schedule E: E08-Fiscal Year Profit (Loss)
  102. Schedule E: E08-Amount Treated as Fringe
  103. Schedule E: E08-Amount Treated as Ofc
  104. Schedule E: E08-Adjusted FTEs
  105. Schedule E: E09-Volume Data
  106. Schedule E: E09-Fiscal Year Expenses
  107. Schedule E: E09-Allocation from Cafeteria, Parking, Etc.
  108. Schedule E: E09-C Schedule: Indirect Cost Centers
  109. Schedule E: E09-UA Schedule: Unassigned Expenses Cost Centers
  110. Schedule E: E09-Capital Facilities Allowance
  111. Schedule E: E09-Donated Services & Commodities
  112. Schedule E: E09-Fiscal Year Adjusted Expenses
  113. Schedule E: E09-Fiscal Year Revenue
  114. Schedule E: E09-Fiscal Year Profit (Loss)
  115. Schedule E: E09-Amount Treated as Fringe
  116. Schedule E: E09-Amount Treated as Ofc
  117. Schedule E: E09-Adjusted FTEs
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Schedule EFUR - EFUR Input

Schedule EFUR requires hospitals to report the costs from C and UA cost centers as allocated to each E, F, and UR schedule.

Sections:

  1. Schedule EFUR: C Schedule: Indirect Cost Centers
  2. Schedule EFUR: C Schedule: Subtotal
  3. Schedule EFUR: UA Schedule: Unassigned Expenses Cost Centers
  4. Schedule EFUR: UA Schedule: Subtotal
  5. Schedule EFUR: Total
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Schedule EXP - Expense Build Up

Schedule EXP requires hospitals to report reclassed trial balance expenses (in thousands). The schedule then details the allocation of overhead costs culminating in the final reclassed trial balance.

Sections:

  1. Schedule EXP: C Schedule: Indirect Cost Centers
  2. Schedule EXP: D Schedule: Direct Patient Cost Centers
  3. Schedule EXP: Data Processing
  4. Schedule EXP: E Schedule: Auxiliary Enterprise Centers
  5. Schedule EXP: F Schedule: Other Institutional Programs
  6. Schedule EXP: P1 Schedule
  7. Schedule EXP: P2 Schedule
  8. Schedule EXP: P3 Schedule
  9. Schedule EXP: P4 Schedule
  10. Schedule EXP: P5 Schedule
  11. Schedule EXP: P6 Schedule
  12. Schedule EXP: UA Schedule: Unassigned Expenses Cost Centers
  13. Schedule EXP: URS Schedule: Unregulated Activities
  14. Schedule EXP: Total
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Schedule F - Other Institutional Programs

Schedule F details each hospital's expenses, revenue, and FTEs by applicable other institutional program centers. Refer to Section 500 of the Accounting and Budget Manual for a list of other institutional program centers.

Sections:

  1. Schedule F: F01-Volume Data
  2. Schedule F: F01-Fiscal Year Expense
  3. Schedule F: F01-Allocation from Cafeteria, Parking, Etc.
  4. Schedule F: F01-C Schedule: Indirect Cost Centers
  5. Schedule F: F01-UA Schedule: Unassigned Expenses Cost Centers
  6. Schedule F: F01-Capital Facilities Allowance
  7. Schedule F: F01-Fiscal Year Adjusted Expenses
  8. Schedule F: F01-Fiscal Year Revenue
  9. Schedule F: F01-Fiscal Year Profit (Loss)
  10. Schedule F: F01-Adjusted FTEs
  11. Schedule F: F02-Volume Data
  12. Schedule F: F02-Fiscal Year Expense
  13. Schedule F: F02-Allocation from Cafeteria, Parking, Etc.
  14. Schedule F: F02-C Schedule: Indirect Cost Centers
  15. Schedule F: F02-UA Schedule: Unassigned Expenses Cost Centers
  16. Schedule F: F02-Capital Facilities Allowance
  17. Schedule F: F02-Fiscal Year Adjusted Expenses
  18. Schedule F: F02-Fiscal Year Revenue
  19. Schedule F: F02-Fiscal Year Profit (Loss)
  20. Schedule F: F02-Adjusted FTEs
  21. Schedule F: F03-Volume Data
  22. Schedule F: F03-Fiscal Year Expense
  23. Schedule F: F03-Allocation from Cafeteria, Parking, Etc.
  24. Schedule F: F03-C Schedule: Indirect Cost Centers
  25. Schedule F: F03-UA Schedule: Unassigned Expenses Cost Centers
  26. Schedule F: F03-Capital Facilities Allowance
  27. Schedule F: F03-Fiscal Year Adjusted Expenses
  28. Schedule F: F03-Fiscal Year Revenue
  29. Schedule F: F03-Fiscal Year Profit (Loss)
  30. Schedule F: F03-Adjusted FTEs
  31. Schedule F: F04-Volume Data
  32. Schedule F: F04-Fiscal Year Expense
  33. Schedule F: F04-Allocation from Cafeteria, Parking, Etc.
  34. Schedule F: F04-C Schedule: Indirect Cost Centers
  35. Schedule F: F04-UA Schedule: Unassigned Expenses Cost Centers
  36. Schedule F: F04-Capital Facilities Allowance
  37. Schedule F: F04-Fiscal Year Adjusted Expenses
  38. Schedule F: F04-Fiscal Year Revenue
  39. Schedule F: F04-Fiscal Year Profit (Loss)
  40. Schedule F: F04-Adjusted FTEs
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Schedule H2 - Departmental Equipment Allowance

Schedule H2 details the computation of an equipment allowance for applicable capital-intensive cost centers. Refer to Section 500 of the Accounting and Budget Manual for a list of capital intensive cost centers.

Sections:

  1. Schedule H2: Capital Intensive Cost Centers
  2. Schedule H2: Direct Patient Cost Centers
  3. Schedule H2: Total
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Schedule H2I - Schedule H2 Input

Schedule H2I requires hospitals to report purchased and leased equipment expenses for current and historical periods across applicable capital-intensive cost centers.

Sections:

  1. Schedule H2I: Equipment Purchases - Capital Intensive Cost Centers
  2. Schedule H2I: Equipment Purchases - Direct Patient Cost Centers
  3. Schedule H2I: Total Equipment Purchases
  4. Schedule H2I: Equipment Leases - Capital Intensive Cost Centers
  5. Schedule H2I: Equipment Leases - Direct Patient Cost Centers
  6. Schedule H2I: Total Equipment Leases
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Schedule H3 - Distribution Of Capital Facilities Allowance

Schedule H3 distributes the general equipment depreciation, the building depreciation and the department equipment depreciation calculated on Schedule H2 to the patient care centers, auxiliary enterprise centers, other institutional program centers and unregulated services.

Sections:

  1. Schedule H3: Interest
  2. Schedule H3: Total Depreciation
  3. Schedule H3: Capital Intensive Equipment Depreciation
  4. Schedule H3: Building & General Equipment Depreciation
  5. Schedule H3: Building & General Equipment Depreciation & Interest
  6. Schedule H3: Standard Units
  7. Schedule H3: Allowance Per Unit
  8. Schedule H3: D Schedule: Direct Patient Cost Centers
  9. Schedule H3: E Schedule: Auxiliary Enterprise Centers
  10. Schedule H3: F Schedule: Other Institutional Programs
  11. Schedule H3: UR Schedule: Unregulated Activities
  12. Schedule H3: Total
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Schedule J - Overhead Expense Apportionment

Schedule J allocates applicable overhead expense centers to the patient care revenue producing centers. Refer to Section 500 of the Accounting and Budget Manual for a list of overhead expense centers.

Sections:

  1. Schedule J: Allocated Centers-Overhead Expenses
  2. Schedule J: Revenue Centers-Direct Patient Cost Centers
  3. Schedule J: Total Allocated Expenses
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Schedule JS - Overhead Statistical Apportionment

Schedule JS records the statistical units required in allocating the overhead expenses to the patient care revenue producing centers (on Schedule J). Refer to Section 500 of the Accounting and Budget Manual for a list of overhead expense centers.

Sections:

  1. Schedule JS: Overhead Expenses
  2. Schedule JS: Units
  3. Schedule JS: Cost Per Unit
  4. Schedule JS: Statistical Appointment-Direct Patient Cost Centers
  5. Schedule JS: Total
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Schedule JSI - Schedule JS Input

JSI requires hospitals to allocate indirect costs to each direct cost center for drugs, supplies , organ acquisition, and admissions. Social Services, Organ Acquisition Overhead, and Central Services and Supply expenses should be fully allocated to their applicable direct cost centers while Pharmacy expenses should be proportionally allocated across the applicable drug cost centers. If a hospital only has the CDS cost center, Pharmacy expenses should be fully allocated to CDS.

Sections:

  1. Schedule JSI: Admission
  2. Schedule JSI: Organ Acquisition
  3. Schedule JSI: 340b Drugs
  4. Schedule JSI: Oncology/Infusion Drugs
  5. Schedule JSI: Medical Supplies Sold
  6. Schedule JSI: Drugs Sold
  7. Schedule JSI: Total
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Schedule M - Revenue Center Rates Summary

Schedule M provides a detailed cost build up for each direct cost center.

Sections:

  1. Schedule M: Direct Patient Cost Centers
  2. Schedule M: Total
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals

Schedule MTC requires hospitals with designated trauma centers to report the incremental trauma costs incurred to meet the Maryland Institute for Emergency Medical Services Systems (MIEMMS) regulatory requirements. Such incremental costs are the costs associated with operating a hospital with a designated trauma center that are over and above the costs normally associated with hospitals that do not have a designated trauma center.

Sections:

  1. Schedule MTC: Total Incremental Cost - Trauma Director Summary
  2. Schedule MTC: Total Incremental Cost - Trauma Department Summary
  3. Schedule MTC: Total Incremental Cost - Trauma Protocol Summary
  4. Schedule MTC: Total Incremental Cost - Specialized Trauma Staff Summary
  5. Schedule MTC: Total Incremental Cost - Education and Training Costs Summary
  6. Schedule MTC: Total Incremental Cost - Specialized Equipment Summary
  7. Schedule MTC: Total Incremental Cost - Total
  8. Schedule MTC: Trauma Director - Hospital Input 1
  9. Schedule MTC: Trauma Director - Hospital Input 2
  10. Schedule MTC: Trauma Director - Hospital Input 3
  11. Schedule MTC: Trauma Director - Hospital Input 4
  12. Schedule MTC: Trauma Director - Hospital Input 5
  13. Schedule MTC: Trauma Director - Hospital Input 6
  14. Schedule MTC: Trauma Director - Total
  15. Schedule MTC: Trauma Department - Trauma Coordinator
  16. Schedule MTC: Trauma Department - Trauma Assistant
  17. Schedule MTC: Trauma Department - Trauma Registrar(s)
  18. Schedule MTC: Trauma Department - Technical and Professional Fees
  19. Schedule MTC: Trauma Department - Dues And Licenses
  20. Schedule MTC: Trauma Department - Travel, Courses, and Seminars
  21. Schedule MTC: Trauma Department - Miscellaneous
  22. Schedule MTC: Trauma Department - Total
  23. Schedule MTC: Trauma Protocol - Hospital Input: Costs by Job Category 1
  24. Schedule MTC: Trauma Protocol - Hospital Input: Costs by Job Category 2
  25. Schedule MTC: Trauma Protocol - Hospital Input: Costs by Job Category 3
  26. Schedule MTC: Trauma Protocol - Hospital Input: Costs by Job Category 4
  27. Schedule MTC: Trauma Protocol - Hospital Input: Costs by Job Category 5
  28. Schedule MTC: Trauma Protocol - Hospital Input: Costs by Job Category 6
  29. Schedule MTC: Trauma Protocol - Hospital Input: Costs by Job Category 7
  30. Schedule MTC: Trauma Protocol - Hospital Input: Costs by Job Category 8
  31. Schedule MTC: Trauma Protocol - Hospital Input: Costs by Job Category 9
  32. Schedule MTC: Trauma Protocol - Total
  33. Schedule MTC: Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 1
  34. Schedule MTC: Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 2
  35. Schedule MTC: Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 3
  36. Schedule MTC: Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 4
  37. Schedule MTC: Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 5
  38. Schedule MTC: Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 6
  39. Schedule MTC: Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 7
  40. Schedule MTC: Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 8
  41. Schedule MTC: Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 9
  42. Schedule MTC: Specialized Trauma Staff - Total
  43. Schedule MTC: Education and Training Costs - Hospital Input: Education and Training Cost 1
  44. Schedule MTC: Education and Training Costs - Hospital Input: Education and Training Cost 2
  45. Schedule MTC: Education and Training Costs - Hospital Input: Education and Training Cost 3
  46. Schedule MTC: Education and Training Costs - Hospital Input: Education and Training Cost 4
  47. Schedule MTC: Education and Training Costs - Hospital Input: Education and Training Cost 5
  48. Schedule MTC: Education and Training Costs - Total
  49. Schedule MTC: Specialized Equipment - Hospital Input: Specialized Equipment Cost 1
  50. Schedule MTC: Specialized Equipment - Hospital Input: Specialized Equipment Cost 2
  51. Schedule MTC: Specialized Equipment - Hospital Input: Specialized Equipment Cost 3
  52. Schedule MTC: Specialized Equipment - Hospital Input: Specialized Equipment Cost 4
  53. Schedule MTC: Specialized Equipment - Hospital Input: Specialized Equipment Cost 5
  54. Schedule MTC: Specialized Equipment - Hospital Input: Specialized Equipment Cost 6
  55. Schedule MTC: Specialized Equipment - Total
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing)

Schedule OADP distributes data processing expenses, full time equivalent (FTE) and non-payroll related employee benefits, such as cafeteria, parking, housing and day care centers to benefitting cost centers. Data processing is allocated based on FTEs.

Sections:

  1. Schedule OADP: Loss Per FTE - Gain (Loss) to be Allocated as Fringe Benefit
  2. Schedule OADP: Loss Per FTE - Number of FTEs
  3. Schedule OADP: Loss Per FTE - Loss Per FTE
  4. Schedule OADP: Allocation of Data Processing - Fiscal Year Expenses
  5. Schedule OADP: Allocation of Data Processing - Donated Services & Commodities
  6. Schedule OADP: Allocation of Data Processing - Fiscal Year Adjusted Expenses
  7. Schedule OADP: Distribution of Gain/Loss Per FTE - C Schedule
  8. Schedule OADP: Distribution of Gain/Loss Per FTE - D Schedule
  9. Schedule OADP: Distribution of Gain/Loss Per FTE - E01: Ambulance Services
  10. Schedule OADP: Distribution of Gain/Loss Per FTE - E02: Parking
  11. Schedule OADP: Distribution of Gain/Loss Per FTE - E03: Doctor's Private Office Rental
  12. Schedule OADP: Distribution of Gain/Loss Per FTE - E04: Office And Other Rentals
  13. Schedule OADP: Distribution of Gain/Loss Per FTE - E05: Retail Operations
  14. Schedule OADP: Distribution of Gain/Loss Per FTE - E06: Patient Telephones
  15. Schedule OADP: Distribution of Gain/Loss Per FTE - E07: Cafeteria
  16. Schedule OADP: Distribution of Gain/Loss Per FTE - E08: Day Care Center, Rec Areas, Etc..
  17. Schedule OADP: Distribution of Gain/Loss Per FTE - E09: Housing
  18. Schedule OADP: Distribution of Gain/Loss Per FTE - F Schedule
  19. Schedule OADP: Distribution of Gain/Loss Per FTE - P2 Schedule
  20. Schedule OADP: Distribution of Gain/Loss Per FTE - P3 Schedule
  21. Schedule OADP: Distribution of Gain/Loss Per FTE - P4 Schedule
  22. Schedule OADP: Distribution of Gain/Loss Per FTE - P5 Schedule
  23. Schedule OADP: Distribution of Gain/Loss Per FTE - P6 Schedule
  24. Schedule OADP: Distribution of Gain/Loss Per FTE - UR Schedule
  25. Schedule OADP: Distribution of Gain/Loss Per FTE - Total
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Schedule OES - Overhead Expense Summary

Schedule OES requires each hospital to distribute overhead expenses to benefiting cost centers. Schedule OES must be completed by hospitals with approved Part B rates.

Sections:

  1. Schedule OES: Indirect Cost Centers
  2. Schedule OES: Data Processing
  3. Schedule OES: Total
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Schedule P1 - Hospital Based Physicians Allocation

Schedule P1 is provided to detail the distribution of hospital-based physicians compensation to benefiting cost centers. Schedule P1 must be completed by each hospital that compensates hospital-based physicians.

Sections:

  1. Schedule P1: MSA Cost Center
  2. Schedule P1: Direct Patient Cost Centers
  3. Schedule P1: Total
  4. Schedule P1: Reporting Schedule
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Schedule P1I - P1 Input

Schedule P1I requires hospitals to distribute hospital-based physicians compensation to benefiting cost centers, which will be transferred to schedule P1.

Sections:

  1. Schedule P1I: MSA Cost Center
  2. Schedule P1I: Direct Patient Cost Centers
  3. Schedule P1I: Total
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Schedule P2 - Physician Part B Services

Schedule P2 is provided to detail the compensation and fringe benefit expense for hospital-based physicians engaged in providing diagnosis or treatment of identifiable non-Medicare patients for all functional cost centers (Physician Part B Services) at the hospital. Refer to Section 500 of the Accounting and Budget Manual for a list of functional cost centers.

Sections:

  1. Schedule P2: Direct Patient Cost Centers
  2. Schedule P2: Total
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Schedule P2I - Physician Part B Overhead Allocations

Schedule P2I requires hospitals to report compensation and fringe benefit expense for hospital-based physicians engaged in providing diagnosis or treatment of identifiable non-Medicare patients for all functional cost centers (Physician Part B Services) at the hospital, which will be transferred to schedule P2.

Sections:

  1. Schedule P2I: Direct Patient Cost Centers
  2. Schedule P2I: Total
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Schedule P3 - Physician Support Services

Schedule P3 is provided to detail the wages, salaries and fringe benefits for physician support administration and supervision support services, excluding Certified Nurse Anesthetists, for applicable functional cost centers. Refer to Section 500 of the Accounting and Budget Manual for a list of functional cost centers.

Sections:

  1. Schedule P3: Direct Patient Cost Centers
  2. Schedule P3: Total
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Schedule P3I - Physician Support Expense Input

Schedule P3I requires hospitals to report wages, salaries and fringe benefits, and donation services for physician support administration and supervision support services, excluding Certified Nurse Anesthetists, for applicable functional cost centers. Refer to Section 500 of the Accounting and Budget Manual for a list of functional cost centers.

Sections:

  1. Schedule P3I: Direct Patient Cost Centers
  2. Schedule P3I: Total
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Schedule P4 - Residents Services

Schedule P4 is provided to detail the total costs including compensation and fringe benefits for residents and physician supervision of residents services engaged in an organized program of post-graduate medical clinical education for applicable cost centers. Refer to Section 500 of the Accounting and Budget Manual for a list of applicable cost centers.

Sections:

  1. Schedule P4: Direct Patient Cost Centers
  2. Schedule P4: Total
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Schedule P4I - Residents, Interns, & Fellows Services Input

Schedule P4I requires hospitals to report salaries and benefits, and other expenses for residents and physician supervision services of residents engaged in an organized program of post-graduate medical clinical education for applicable cost centers.

Sections:

  1. Schedule P4I: Direct Patient Cost Centers
  2. Schedule P4I: Total
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Schedule P5 - Interns Services

Schedule P5 is provided to detail the total costs including compensation and fringe benefits for interns and physician supervision of intern services engaged in an organized program of post-graduate medical clinical education for applicable cost centers. Refer to Section 500 of the Accounting and Budget Manual for a list of applicable cost centers.

Sections:

  1. Schedule P5: Direct Patient Cost Centers
  2. Schedule P5: Total
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Schedule P5I - Interns Services Input

Schedule P5I requires hospitals to report salaries and benefits, and other expenses for interns and physician supervision services of intern engaged in an organized program of post-graduate medical clinical education for applicable cost centers.

Sections:

  1. Schedule P5I: Direct Patient Cost Centers
  2. Schedule P5I: Total
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Schedule P6 - Fellows Services

Schedule P6 is provided to detail the total costs including compensation and fringe benefits for fellows and physician supervision of fellow services engaged in an organized program of post-graduate medical clinical education for applicable cost centers. Refer to Section 500 of the Accounting and Budget Manual for a list of applicable cost centers.

Sections:

  1. Schedule P6: Direct Patient Cost Centers
  2. Schedule P6: Total
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Schedule P6I - Fellows Services Input

Schedule P6I requires hospitals to report salaries and benefits, and other expenses for fellows and physician supervision services of fellows engaged in an organized program of post-graduate medical clinical education for applicable cost centers.

Sections:

  1. Schedule P6I: Direct Patient Cost Centers
  2. Schedule P6I: Total
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Schedule PDA - Payer Differential

Schedule PDA is provided to develop HSCRC regulated gross revenue after allowing purchaser differentials, working capital (prompt payment) differentials and a provision for charity and bad debts. Regulated gross patient revenue, by payer category, should be adjusted for uncompensated care cases and for cases where the expected payer changes after admission.

Sections:

  1. Schedule PDA: Inpatient
  2. Schedule PDA: Outpatient
  3. Schedule PDA: Total
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Schedule PDI - Payor Differential Input

Schedule PDI requires hospital to report inpatient and outpatient revenue by payer that will be transferred into Schedule PDA.

Sections:

  1. Schedule PDI: Patient Revenue - Medicare
  2. Schedule PDI: Patient Revenue - Medicaid
  3. Schedule PDI: Patient Revenue - Blue Cross
  4. Schedule PDI: Patient Revenue - Medicare Advantage
  5. Schedule PDI: Patient Revenue - Medicaid MCO
  6. Schedule PDI: Patient Revenue - Other Revenue
  7. Schedule PDI: Total Net Patient Revenue
  8. Schedule PDI: Provision for Bad Debts
  9. Schedule PDI: Total Gross Patient Revenue
  10. Schedule PDI: Medicare Deductibles - Medicare Deductibles paid by Medicaid or Medicaid MCO
  11. Schedule PDI: Uncompensated Care - Provision for Bad Debts
  12. Schedule PDI: Uncompensated Care - Charity/Uncompensated Care
  13. Schedule PDI: Total Uncompensated Care
  14. Schedule PDI: Grant Revenue
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE

Schedule RC requires each hospital to reconcile the base year expenses submitted in Schedules UA, C, D, E, F, P2, P3, P4, and UR to Schedule RE, Statement of Revenue and Expenses.

Sections:

  1. Schedule RC: Unassigned Expense
  2. Schedule RC: Physicians Part B Services
  3. Schedule RC: Physician Support Services
  4. Schedule RC: Resident, Intern Services
  5. Schedule RC: Overhead Expense Survey
  6. Schedule RC: Patient Care Centers
  7. Schedule RC: Auxiliary Enterprises
  8. Schedule RC: Other Institution Programs
  9. Schedule RC: Unregulated Services
  10. Schedule RC: Total Operating Expenses
  11. Schedule RC: Non-Operating Expenses
  12. Schedule RC: Total Expenses
  13. Schedule RC: Total Operating Expenses - RE Schedule
  14. Schedule RC: Non-Operating Expenses - RE Schedule
  15. Schedule RC: Total Expenses - RE schedule
  16. Schedule RC: Reconciliation Amount
  17. Schedule RC: Nomenclature 1
  18. Schedule RC: Nomenclature 2
  19. Schedule RC: Nomenclature 3
  20. Schedule RC: Nomenclature 4
  21. Schedule RC: Nomenclature 5
  22. Schedule RC: Nomenclature 6
  23. Schedule RC: Nomenclature 7
  24. Schedule RC: Nomenclature 8
  25. Schedule RC: Nomenclature 9
  26. Schedule RC: Nomenclature 10
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Schedule RE - Statement Of Revenue And Expenses

Schedule RE provides a statement of revenues and expenses in a uniform format.

Sections:

  1. Schedule RE: Gross Revenues from Daily Hospital Services
  2. Schedule RE: Gross Revenues from Ambulatory Services
  3. Schedule RE: Gross Revenues from Inpatient Ancillary Services
  4. Schedule RE: Gross Revenues from Outpatient Ancillary Services
  5. Schedule RE: Gross Patient Revenues
  6. Schedule RE: Provision for Bad Debts
  7. Schedule RE: Charity/Uncompensated Care
  8. Schedule RE: Contractual Adjustments
  9. Schedule RE: Uncompensated Care Fund Payments
  10. Schedule RE: Denials
  11. Schedule RE: Other Deductions from Revenue
  12. Schedule RE: Total Deductions from Revenue
  13. Schedule RE: Uncompensated Care Fund Receipts
  14. Schedule RE: Net Patient Revenues
  15. Schedule RE: Other Operating Revenues
  16. Schedule RE: Net Operating Revenues
  17. Schedule RE: Salaries, Wages, and Employee Benefits
  18. Schedule RE: Professional Fees
  19. Schedule RE: Supplies
  20. Schedule RE: Depreciation/Amortization, Leases/Rentals
  21. Schedule RE: Other Expenses
  22. Schedule RE: Total Operating Expenses
  23. Schedule RE: Oper Margin, Excess (Deficit) Operating Revenues Over Operating Expenses
  24. Schedule RE: Non-Operating Revenues
  25. Schedule RE: Non-Operating Expenses
  26. Schedule RE: Total Margin, Excess (Deficit) Revenues Over Expenses
  27. Schedule RE: Regulated Operating Expenses per EIPD
  28. Schedule RE: Regulated Operating Expenses per EIPA
  29. Schedule RE: Working Capital Ratio
  30. Schedule RE: Admissions
  31. Schedule RE: EIPAs
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Schedule REI - Schedule RE Input

Schedule REI requires hospitals to report revenues and expenses from audited financial statements, miscellaneous adjustments, auxiliary enterprises, other institutional programs, and unregulated activities that transfer to schedules RE and RE-R.

Sections:

  1. Schedule REI: Gross Patient Revenue - Gross Revenues from Daily Hospital Services
  2. Schedule REI: Gross Patient Revenue - Gross Revenues from Ambulatory Services
  3. Schedule REI: Gross Patient Revenue - Gross Revenues from Inpatient Ancillary Services
  4. Schedule REI: Gross Patient Revenue - Gross Revenues from Outpatient Ancillary Services
  5. Schedule REI: Total Gross Patient Revenue
  6. Schedule REI: Deductions from Patient Revenue - Provision for Bad Debt
  7. Schedule REI: Deductions from Patient Revenue - Charity Care / UCC
  8. Schedule REI: Deductions from Patient Revenue - Contractual Adjustments
  9. Schedule REI: Deductions from Patient Revenue - UCC Fund Payments
  10. Schedule REI: Deductions from Patient Revenue - Denials
  11. Schedule REI: Deductions from Patient Revenue - Other Deductions from Revenue
  12. Schedule REI: Total Deductions
  13. Schedule REI: UCC Fund Receipts
  14. Schedule REI: Net Patient Revenue
  15. Schedule REI: Other Operating Revenue
  16. Schedule REI: Total Operating Revenue
  17. Schedule REI: Expenses - Salaries, Wages, and Fringe Benefits
  18. Schedule REI: Expenses - Professional Fees
  19. Schedule REI: Expenses - Supplies
  20. Schedule REI: Expenses - Depreciation & Amortization
  21. Schedule REI: Expenses - Leases/Rentals
  22. Schedule REI: Expenses - Interest
  23. Schedule REI: Expenses - Purchased Services/Other
  24. Schedule REI: Expenses - Total Operating Expenses
  25. Schedule REI: Operating Profit - Income from Operations
  26. Schedule REI: Non-Operating Gains (Losses) - Non-Operating Income
  27. Schedule REI: Non-Operating Gains (Losses) - Non-Operating Expenses
  28. Schedule REI: Non-Operating Gains (Losses) - Non-Operating Gains, Net
  29. Schedule REI: Total Margin
  30. Schedule REI: Current Assets
  31. Schedule REI: Current Liabilities
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Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE-R reconciles hospitals' audited financial statements with Schedule RE in a uniform format.

Sections:

  1. Schedule RE_R: Gross Patient Revenues
  2. Schedule RE_R: Provision for Bad Debts
  3. Schedule RE_R: Charity/Uncompensated Care
  4. Schedule RE_R: Contractual Adjustments
  5. Schedule RE_R: Uncompensated Care Fund Payments
  6. Schedule RE_R: Denials
  7. Schedule RE_R: Other Deductions from Revenue
  8. Schedule RE_R: Total Deductions from Revenues
  9. Schedule RE_R: Uncompensated Care Fund Receipts
  10. Schedule RE_R: Net Patient Revenues
  11. Schedule RE_R: Other Operating Revenues
  12. Schedule RE_R: Net Operating Revenues
  13. Schedule RE_R: Salaries, Wages, and Employee Benefits
  14. Schedule RE_R: Professional Fees
  15. Schedule RE_R: Supplies
  16. Schedule RE_R: Depreciation/Amortization
  17. Schedule RE_R: Leases/Rentals
  18. Schedule RE_R: Interest
  19. Schedule RE_R: Other Expenses
  20. Schedule RE_R: Total Operating Expenses
  21. Schedule RE_R: Operating Margin, Excess (Deficit) Operating Revenues Over Operating Expenses
  22. Schedule RE_R: Non-Operating Revenues
  23. Schedule RE_R: Non-Operating Expenses
  24. Schedule RE_R: Total Margin, Excess (Deficit) Revenues Over Expenses
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Schedule SB - Supplemental Births

Schedule SB requires hospitals with Neo-Natal (NEO) units to report additional information on births and infants admitted to their NEO unit.

Sections:

  1. Schedule SB: Neonates not charged an admission charge
  2. Schedule SB: Admissions from the ADM Center on Monthly Report
  3. Schedule SB: Total
  4. Schedule SB: Neonates not charged an admission charge
  5. Schedule SB: Births, including infants transferred to Neo-Natal unit from Newborn Nursery
  6. Schedule SB: Subtotal
  7. Schedule SB: Admissions from the ADM Center on Monthly Report
  8. Schedule SB: Total
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee)

Schedule SBC requires hospitals with designated trauma centers to report the standby costs of trauma physicians.

Sections:

  1. Schedule SBC: SBC I - Hourly or Salary Based - Trauma Surgeon 1
  2. Schedule SBC: SBC I - Hourly or Salary Based - Trauma Surgeon 2
  3. Schedule SBC: SBC I - Hourly or Salary Based - Orthopedic Surgeon 1
  4. Schedule SBC: SBC I - Hourly or Salary Based - Orthopedic Surgeon 2
  5. Schedule SBC: SBC I - Hourly or Salary Based - Neurosurgeon 1
  6. Schedule SBC: SBC I - Hourly or Salary Based - Neurosurgeon 2
  7. Schedule SBC: SBC I - Hourly or Salary Based - Anesthesiologist 1
  8. Schedule SBC: SBC I - Hourly or Salary Based - Anesthesiologist 2
  9. Schedule SBC: SBC I - Hourly or Salary Based - Reserve for Additional Specialty 1
  10. Schedule SBC: SBC I - Hourly or Salary Based - Reserve for Additional Specialty 2
  11. Schedule SBC: SBC II - Contract or Minimum Guaranteed Based - Trauma Surgeon
  12. Schedule SBC: SBC II - Contract or Minimum Guaranteed Based - Trauma Surgeon
  13. Schedule SBC: SBC II - Contract or Minimum Guaranteed Based - Orthopedic Surgeon
  14. Schedule SBC: SBC II - Contract or Minimum Guaranteed Based - Orthopedic Surgeon
  15. Schedule SBC: SBC II - Contract or Minimum Guaranteed Based - Neurosurgeon
  16. Schedule SBC: SBC II - Contract or Minimum Guaranteed Based - Neurosurgeon
  17. Schedule SBC: SBC II - Contract or Minimum Guaranteed Based - Anesthesiologist
  18. Schedule SBC: SBC II - Contract or Minimum Guaranteed Based - Anesthesiologist
  19. Schedule SBC: SBC II - Contract or Minimum Guaranteed Based - Reserve for Additional Specialty
  20. Schedule SBC: SBC II - Contract or Minimum Guaranteed Based - Reserve for Additional Specialty
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Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 is provided as a supplement to the Statement of Revenues and Expenses (Schedule RE) and Financial Statement Summary. It provides a detailed breakout of various non-operating revenue and expense items. This supplemental schedule is designed to tie directly to the corresponding lines in Schedule RE.

Sections:

  1. Schedule SS1: Statement of Revenues and Expenses - Oper Margin, Excess (Deficit) Operating Revenues Over Operating Expenses
  2. Schedule SS1: Statement of Revenues and Expenses - Contribution (Unrestricted)
  3. Schedule SS1: Statement of Revenues and Expenses - Interested and Investment Income
  4. Schedule SS1: Statement of Revenues and Expenses - Investment Gains/Losses Realized
  5. Schedule SS1: Statement of Revenues and Expenses - Investment Gains/Losses Unrealized
  6. Schedule SS1: Statement of Revenues and Expenses - Swap Agreements Gains/Losses Realized
  7. Schedule SS1: Statement of Revenues and Expenses - Other Total
  8. Schedule SS1: Statement of Revenues and Expenses - Other: Hospital Specific 1
  9. Schedule SS1: Statement of Revenues and Expenses - Other: Hospital Specific 2
  10. Schedule SS1: Statement of Revenues and Expenses - Other: Hospital Specific 3
  11. Schedule SS1: Statement of Revenues and Expenses - Other: Hospital Specific 4
  12. Schedule SS1: Statement of Revenues and Expenses - Other: Hospital Specific 5
  13. Schedule SS1: Statement of Revenues and Expenses - Total
  14. Schedule SS1: Other Significant Financial Information - Swap Agreements Gains / (Losses) Unrealized
  15. Schedule SS1: Other Significant Financial Information - Collateral Received / (Posted) - Swap Agreements
  16. Schedule SS1: Other Significant Financial Information - Retirement of Debt - Gains / (Losses)
  17. Schedule SS1: Other Significant Financial Information - Pension Adjustments - Defined Benefit Plans
  18. Schedule SS1: Other Significant Financial Information - Other Total
  19. Schedule SS1: Other Significant Financial Information - Other: Hospital Specific 1
  20. Schedule SS1: Other Significant Financial Information - Other: Hospital Specific 2
  21. Schedule SS1: Other Significant Financial Information - Other: Hospital Specific 3
  22. Schedule SS1: Other Significant Financial Information - Other: Hospital Specific 4
  23. Schedule SS1: Other Significant Financial Information - Other: Hospital Specific 5
  24. Schedule SS1: Other Significant Financial Information - Total
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 is provided as a supplement to Schedules E, F, UR, and RE to enhance transparency and ensure consistency across related financial reporting schedules. It provides a detailed breakout of 'Other Operating Revenue' as reported on Schedule RE and a summary of the Non-Operating and Net Unregulated Revenues and Expenses across schedules. This schedule is designed to tie back to the corresponding schedules.

Sections:

  1. Schedule SS2: Other Operating Revenue 1
  2. Schedule SS2: Other Operating Revenue 2
  3. Schedule SS2: Other Operating Revenue 3
  4. Schedule SS2: Other Operating Revenue 4
  5. Schedule SS2: Other Operating Revenue 5
  6. Schedule SS2: Other Operating Revenue 6
  7. Schedule SS2: Other Operating Revenue 7
  8. Schedule SS2: Other Operating Revenue 8
  9. Schedule SS2: Other Operating Revenue 9
  10. Schedule SS2: Other Operating Revenue 10
  11. Schedule SS2: Other Operating Revenue 11
  12. Schedule SS2: Other Operating Revenue 12
  13. Schedule SS2: Other Operating Revenue 13
  14. Schedule SS2: Other Operating Revenue 14
  15. Schedule SS2: Other Operating Revenue 15
  16. Schedule SS2: Other Operating Revenue 16
  17. Schedule SS2: Other Operating Revenue 17
  18. Schedule SS2: Other Operating Revenue 18
  19. Schedule SS2: Other Operating Revenue 19
  20. Schedule SS2: Other Operating Revenue 20
  21. Schedule SS2: Other Operating Revenue 21
  22. Schedule SS2: Other Operating Revenue 22
  23. Schedule SS2: Other Operating Revenue 23
  24. Schedule SS2: Other Operating Revenue 24
  25. Schedule SS2: Other Operating Revenue 25
  26. Schedule SS2: Other Operating Revenue 26
  27. Schedule SS2: Other Operating Revenue 27
  28. Schedule SS2: Other Operating Revenue 28
  29. Schedule SS2: Other Operating Revenue 29
  30. Schedule SS2: Other Operating Revenue 30
  31. Schedule SS2: Other Operating Revenue Total
  32. Schedule SS2: Other Operating Revenue Total - Schedule RE Line O
  33. Schedule SS2: Other Operating Revenue - Difference
  34. Schedule SS2: Non-Operating and Net Unregulated Revenue - Ambulance Services
  35. Schedule SS2: Non-Operating and Net Unregulated Revenue - Parking
  36. Schedule SS2: Non-Operating and Net Unregulated Revenue - Doctor's Private Office Rent
  37. Schedule SS2: Non-Operating and Net Unregulated Revenue - Office and Other Rentals
  38. Schedule SS2: Non-Operating and Net Unregulated Revenue - Retail Operations
  39. Schedule SS2: Non-Operating and Net Unregulated Revenue - Patient Telephones
  40. Schedule SS2: Non-Operating and Net Unregulated Revenue - Cafeteria
  41. Schedule SS2: Non-Operating and Net Unregulated Revenue - Day Care Center, Rec Areas, Etc.
  42. Schedule SS2: Non-Operating and Net Unregulated Revenue - Housing
  43. Schedule SS2: Non-Operating and Net Unregulated Revenue - Research
  44. Schedule SS2: Non-Operating and Net Unregulated Revenue - Nursing Education
  45. Schedule SS2: Non-Operating and Net Unregulated Revenue - Other Health Professional Education
  46. Schedule SS2: Non-Operating and Net Unregulated Revenue - Community Health Education
  47. Schedule SS2: Non-Operating and Net Unregulated Revenue - Free Standing Clinic Services
  48. Schedule SS2: Non-Operating and Net Unregulated Revenue - Home Health Services
  49. Schedule SS2: Non-Operating and Net Unregulated Revenue - Outpatient Renal Dialysis
  50. Schedule SS2: Non-Operating and Net Unregulated Revenue - Skilled Nursing Care
  51. Schedule SS2: Non-Operating and Net Unregulated Revenue - Laboratory - Non Patient
  52. Schedule SS2: Non-Operating and Net Unregulated Revenue - Physicians Part B Services
  53. Schedule SS2: Non-Operating and Net Unregulated Revenue - Certified Nurse Anesthetist
  54. Schedule SS2: Non-Operating and Net Unregulated Revenue - Physician Support Services - Part B Services
  55. Schedule SS2: Non-Operating and Net Unregulated Revenue - Adult Day Care
  56. Schedule SS2: Non-Operating and Net Unregulated Revenue - Cancer Center
  57. Schedule SS2: Non-Operating and Net Unregulated Revenue - Cardiac
  58. Schedule SS2: Non-Operating and Net Unregulated Revenue - Community Services
  59. Schedule SS2: Non-Operating and Net Unregulated Revenue - Consolidating/Eliminations
  60. Schedule SS2: Non-Operating and Net Unregulated Revenue - Foundation
  61. Schedule SS2: Non-Operating and Net Unregulated Revenue - Hospice
  62. Schedule SS2: Non-Operating and Net Unregulated Revenue - Imaging
  63. Schedule SS2: Non-Operating and Net Unregulated Revenue - Outpatient Medical Center
  64. Schedule SS2: Non-Operating and Net Unregulated Revenue - Other Unregulated
  65. Schedule SS2: Non-Operating and Net Unregulated Revenue - Rehabilitation
  66. Schedule SS2: Non-Operating and Net Unregulated Revenue - UR20
  67. Schedule SS2: Non-Operating and Net Unregulated Revenue - UR21
  68. Schedule SS2: Non-Operating and Net Unregulated Revenue - UR22
  69. Schedule SS2: Non-Operating and Net Unregulated Revenue - UR23
  70. Schedule SS2: Non-Operating and Net Unregulated Revenue - UR24
  71. Schedule SS2: Non-Operating and Net Unregulated Revenue - UR25
  72. Schedule SS2: Non-Operating and Net Unregulated Revenue - Investment Income
  73. Schedule SS2: Non-Operating and Net Unregulated Revenue - Other
  74. Schedule SS2: Non-Operating and Net Unregulated Revenue - Total
  75. Schedule SS2: Non-Operating and Net Unregulated Revenue - Total - RE , Line P + Line X
  76. Schedule SS2: Non-Operating and Net Unregulated Revenue - Difference
  77. Schedule SS2: Non-Operating and Net Unregulated Expense - Ambulance Services
  78. Schedule SS2: Non-Operating and Net Unregulated Expense - Parking
  79. Schedule SS2: Non-Operating and Net Unregulated Expense - Doctor's Private Office Rent
  80. Schedule SS2: Non-Operating and Net Unregulated Expense - Office and Other Rentals
  81. Schedule SS2: Non-Operating and Net Unregulated Expense - Retail Operations
  82. Schedule SS2: Non-Operating and Net Unregulated Expense - Patient Telephones
  83. Schedule SS2: Non-Operating and Net Unregulated Expense - Cafeteria
  84. Schedule SS2: Non-Operating and Net Unregulated Expense - Day Care Center, Rec Areas, Etc.
  85. Schedule SS2: Non-Operating and Net Unregulated Expense - Housing
  86. Schedule SS2: Non-Operating and Net Unregulated Expense - Research
  87. Schedule SS2: Non-Operating and Net Unregulated Expense - Nursing Education
  88. Schedule SS2: Non-Operating and Net Unregulated Expense - Other Health Professional Education
  89. Schedule SS2: Non-Operating and Net Unregulated Expense - Community Health Education
  90. Schedule SS2: Non-Operating and Net Unregulated Expense - Free Standing Clinic Services
  91. Schedule SS2: Non-Operating and Net Unregulated Expense - Home Health Services
  92. Schedule SS2: Non-Operating and Net Unregulated Expense - Outpatient Renal Dialysis
  93. Schedule SS2: Non-Operating and Net Unregulated Expense - Skilled Nursing Care
  94. Schedule SS2: Non-Operating and Net Unregulated Expense - Laboratory - Non Patient
  95. Schedule SS2: Non-Operating and Net Unregulated Expense - Physicians Part B Services
  96. Schedule SS2: Non-Operating and Net Unregulated Expense - Certified Nurse Anesthetist
  97. Schedule SS2: Non-Operating and Net Unregulated Expense - Physician Support Services - Part B Services
  98. Schedule SS2: Non-Operating and Net Unregulated Expense - Adult Day Care
  99. Schedule SS2: Non-Operating and Net Unregulated Expense - Cancer Center
  100. Schedule SS2: Non-Operating and Net Unregulated Expense - Cardiac
  101. Schedule SS2: Non-Operating and Net Unregulated Expense - Community Services
  102. Schedule SS2: Non-Operating and Net Unregulated Expense - Consolidating/Eliminations
  103. Schedule SS2: Non-Operating and Net Unregulated Expense - Foundation
  104. Schedule SS2: Non-Operating and Net Unregulated Expense - Hospice
  105. Schedule SS2: Non-Operating and Net Unregulated Expense - Imaging
  106. Schedule SS2: Non-Operating and Net Unregulated Expense - Outpatient Medical Center
  107. Schedule SS2: Non-Operating and Net Unregulated Expense - Other Unregulated
  108. Schedule SS2: Non-Operating and Net Unregulated Expense - Rehabilitation
  109. Schedule SS2: Non-Operating and Net Unregulated Expense -  UR20
  110. Schedule SS2: Non-Operating and Net Unregulated Expense -  UR21
  111. Schedule SS2: Non-Operating and Net Unregulated Expense -  UR22
  112. Schedule SS2: Non-Operating and Net Unregulated Expense -  UR23
  113. Schedule SS2: Non-Operating and Net Unregulated Expense -  UR24
  114. Schedule SS2: Non-Operating and Net Unregulated Expense -  UR25
  115. Schedule SS2: Non-Operating and Net Unregulated Expense - Total - RE, Non-Operating Expenses
  116. Schedule SS2: Non-Operating and Net Unregulated Expense - Total
  117. Schedule SS2: Non-Operating and Net Unregulated Expense - Total - RE, Unregulated Total Operating Expenses + Non-Operating Expenses
  118. Schedule SS2: Non-Operating and Net Unregulated Expense - Difference
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Schedule SS3 - Supplemental Schedule - Reconciliation Of Depreciation And Lease/Rentals (UA)

Schedule SS3 is provided to reconcile the reported depreciation and lease/rental expenses from Schedule UA to the reported amounts distributed across Schedules E, F, and UR while also ensuring alignment with the totals reported on Schedule RE.

Sections:

  1. Schedule SS3: Schedule UA
  2. Schedule SS3: Schedule E
  3. Schedule SS3: Schedule F
  4. Schedule SS3: Schedule UR
  5. Schedule SS3: Total
  6. Schedule SS3: Schedule RE
  7. Schedule SS3: Difference
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Schedule SS4 - Supplemental Schedule - Detail Of MCO Regulated Revenue (PDA)

Schedule SS4 is provided as a supplement to Schedule PDA by providing detailed inpatient and outpatient revenue by Managed Care Organization (MCO) for both Medicare and Medicaid. This supplemental schedule is designed to tie directly to the corresponding totals on Schedule PDA

Sections:

  1. Schedule SS4: MCO Name Detail
  2. Schedule SS4: Total
  3. Schedule SS4: Total from PDA Schedule
  4. Schedule SS4: Difference
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC

Schedule SS5 is provided to reconcile Uncompensated Care (UCC) as reported in the Audited Financial Statements, Trial Balance, and Annual Filing across the respective uncompensated care breakouts. 

Sections:

  1. Schedule SS5: Audited Financial Statement - Bad debts
  2. Schedule SS5: Audited Financial Statement - Charity Care
  3. Schedule SS5: Audited Financial Statement - Uncompensated Care per Statement
  4. Schedule SS5: Trial Balance - Bad Debt Write-offs
  5. Schedule SS5: Trial Balance - Charity Write-offs
  6. Schedule SS5: Trial Balance - Change in Balance Sheet Reserve
  7. Schedule SS5: Trial Balance - Bad Debt Recoveries
  8. Schedule SS5: Trial Balance - Other
  9. Schedule SS5: Trial Balance - Uncompensated Care per Trial Balance
  10. Schedule SS5: Annual Report of Revenues, Expenses, and Volumes - Uncompensated Care-Schedule PDA
  11. Schedule SS5: Annual Report of Revenues, Expenses, and Volumes - Unregulated Charity & Bad Debts
  12. Schedule SS5: Annual Report of Revenues, Expenses, and Volumes - Medicaid Day Limit UCC included in contractuals on F/S
  13. Schedule SS5: Annual Report of Revenues, Expenses, and Volumes - Uncompensated Care per Report
  14. Schedule SS5: Annual Report of Revenues, Expenses, and Volumes - Uncompensated Care - Difference
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Schedule STI - Statistics Input

Schedule STI requires hospitals to report various statistical information which is applied throughout the filing to support various calculations and allocations.

Sections:

  1. Schedule STI: D Schedule Volume Statistics
  2. Schedule STI: D Schedule Volume Statistics Total
  3. Schedule STI: C Schedule Volume Statistics - Dietary Services
  4. Schedule STI: C Schedule Volume Statistics - Laundry and Linen
  5. Schedule STI: C Schedule Volume Statistics - Social Services
  6. Schedule STI: C Schedule Volume Statistics - Purchasing and Stores
  7. Schedule STI: C Schedule Volume Statistics - Plant Operations
  8. Schedule STI: C Schedule Volume Statistics - Housekeeping
  9. Schedule STI: C Schedule Volume Statistics - Central Services and Supply
  10. Schedule STI: C Schedule Volume Statistics - Pharmacy
  11. Schedule STI: C Schedule Volume Statistics - General Accounting
  12. Schedule STI: C Schedule Volume Statistics - Patient Accounts
  13. Schedule STI: C Schedule Volume Statistics - Hospital Administration
  14. Schedule STI: C Schedule Volume Statistics - Medical Records
  15. Schedule STI: C Schedule Volume Statistics - Medical Staff Administration
  16. Schedule STI: C Schedule Volume Statistics - Nursing Administration
  17. Schedule STI: C Schedule Volume Statistics - Organ Acquisition Overhead
  18. Schedule STI: E Schedule Volume Statistics
  19. Schedule STI: F Schedule Volume Statistics
  20. Schedule STI: UA Schedule Volume Statistics
  21. Schedule STI: UR Schedule Volume Statistics
  22. Schedule STI: Grand Totals
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Schedule TRE - Transactions with Related Entities

Schedule TRE requires each hospital to report significant transactions between the hospital and related entities for the current fiscal year.

Sections:

  1. Schedule TRE: Transactions
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Schedule UA - Unassigned Expenses

Schedule UA details each hospital's expenses which are not assigned to specific departments. Refer to Section 500 of the Accounting and Budget Manual for a list of unassigned expenses.

Sections:

  1. Schedule UA: Malpractice Insurance
  2. Schedule UA: Other Insurance
  3. Schedule UA: Medical Care Review
  4. Schedule UA: Subtotal
  5. Schedule UA: Depreciation & Amortization
  6. Schedule UA: Leases and Rentals
  7. Schedule UA: Licenses and Taxes
  8. Schedule UA: Interest - Short Term
  9. Schedule UA: Interest - Long Term
  10. Schedule UA: Total Expenses
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Schedule UR - Unregulated Activities

Schedule UR details each hospital's expenses, revenue, and FTEs for unregulated patient care activities. Refer to Section 500 of the Accounting and Budget Manual for a list of unregulated patient care activities.

Sections:

  1. Schedule UR: UR01 - Volume Data
  2. Schedule UR: UR01 - Fiscal Year Expense
  3. Schedule UR: UR01 - Allocation from Cafeteria, Parking, Etc.
  4. Schedule UR: UR01 - C Schedule: Indirect Cost Centers
  5. Schedule UR: UR01 - UA Schedule: Unassigned Expenses Cost Centers
  6. Schedule UR: UR01 - Capital Facilities Allowance
  7. Schedule UR: UR01 - Fiscal Year Adjusted Expenses
  8. Schedule UR: UR01 - Fiscal Year Revenue
  9. Schedule UR: UR01 - Fiscal Year Profit (Loss)
  10. Schedule UR: UR01 - Adjusted FTEs
  11. Schedule UR: UR02 - Volume Data
  12. Schedule UR: UR02 - Fiscal Year Expense
  13. Schedule UR: UR02 - Allocation from Cafeteria, Parking, Etc.
  14. Schedule UR: UR02 - C Schedule: Indirect Cost Centers
  15. Schedule UR: UR02 - UA Schedule: Unassigned Expenses Cost Centers
  16. Schedule UR: UR02 - Capital Facilities Allowance
  17. Schedule UR: UR02 - Fiscal Year Adjusted Expenses
  18. Schedule UR: UR02 - Fiscal Year Revenue
  19. Schedule UR: UR02 - Fiscal Year Profit (Loss)
  20. Schedule UR: UR02 - Adjusted FTEs
  21. Schedule UR: UR03 - Volume Data
  22. Schedule UR: UR03 - Fiscal Year Expense
  23. Schedule UR: UR03 - Allocation from Cafeteria, Parking, Etc.
  24. Schedule UR: UR03 - C Schedule: Indirect Cost Centers
  25. Schedule UR: UR03 - UA Schedule: Unassigned Expenses Cost Centers
  26. Schedule UR: UR03 - Capital Facilities Allowance
  27. Schedule UR: UR03 - Fiscal Year Adjusted Expenses
  28. Schedule UR: UR03 - Fiscal Year Revenue
  29. Schedule UR: UR03 - Fiscal Year Profit (Loss)
  30. Schedule UR: UR03 - Adjusted FTEs
  31. Schedule UR: UR04 - Volume Data
  32. Schedule UR: UR04 - Fiscal Year Expense
  33. Schedule UR: UR04 - Allocation from Cafeteria, Parking, Etc.
  34. Schedule UR: UR04 - C Schedule: Indirect Cost Centers
  35. Schedule UR: UR04 - UA Schedule: Unassigned Expenses Cost Centers
  36. Schedule UR: UR04 - Capital Facilities Allowance
  37. Schedule UR: UR04 - Fiscal Year Adjusted Expenses
  38. Schedule UR: UR04 - Fiscal Year Revenue
  39. Schedule UR: UR04 - Fiscal Year Profit (Loss)
  40. Schedule UR: UR04 - Adjusted FTEs
  41. Schedule UR: UR05 - Volume Data
  42. Schedule UR: UR05 - Fiscal Year Expense
  43. Schedule UR: UR05 - Allocation from Cafeteria, Parking, Etc.
  44. Schedule UR: UR05 - C Schedule: Indirect Cost Centers
  45. Schedule UR: UR05 - UA Schedule: Unassigned Expenses Cost Centers
  46. Schedule UR: UR05 - Capital Facilities Allowance
  47. Schedule UR: UR05 - Fiscal Year Adjusted Expenses
  48. Schedule UR: UR05 - Fiscal Year Revenue
  49. Schedule UR: UR05 - Fiscal Year Profit (Loss)
  50. Schedule UR: UR05 - Adjusted FTEs
  51. Schedule UR: UR06 - Volume Data
  52. Schedule UR: UR06 - Fiscal Year Expense
  53. Schedule UR: UR06 - Allocation from Cafeteria, Parking, Etc.
  54. Schedule UR: UR06 - C Schedule: Indirect Cost Centers
  55. Schedule UR: UR06 - UA Schedule: Unassigned Expenses Cost Centers
  56. Schedule UR: UR06 - Capital Facilities Allowance
  57. Schedule UR: UR06 - Fiscal Year Adjusted Expenses
  58. Schedule UR: UR06 - Fiscal Year Revenue
  59. Schedule UR: UR06 - Fiscal Year Profit (Loss)
  60. Schedule UR: UR06 - Adjusted FTEs
  61. Schedule UR: UR07 - Volume Data
  62. Schedule UR: UR07 - Fiscal Year Expense
  63. Schedule UR: UR07 - Allocation from Cafeteria, Parking, Etc.
  64. Schedule UR: UR07 - C Schedule: Indirect Cost Centers
  65. Schedule UR: UR07 - UA Schedule: Unassigned Expenses Cost Centers
  66. Schedule UR: UR07 - Capital Facilities Allowance
  67. Schedule UR: UR07 - Fiscal Year Adjusted Expenses
  68. Schedule UR: UR07 - Fiscal Year Revenue
  69. Schedule UR: UR07 - Fiscal Year Profit (Loss)
  70. Schedule UR: UR07 - Adjusted FTEs
  71. Schedule UR: UR08 - Volume Data
  72. Schedule UR: UR08 - Fiscal Year Expense
  73. Schedule UR: UR08 - Allocation from Cafeteria, Parking, Etc.
  74. Schedule UR: UR08 - C Schedule: Indirect Cost Centers
  75. Schedule UR: UR08 - UA Schedule: Unassigned Expenses Cost Centers
  76. Schedule UR: UR08 - Capital Facilities Allowance
  77. Schedule UR: UR08 - Fiscal Year Adjusted Expenses
  78. Schedule UR: UR08 - Fiscal Year Revenue
  79. Schedule UR: UR08 - Fiscal Year Profit (Loss)
  80. Schedule UR: UR08 - Adjusted FTEs
  81. Schedule UR: UR09 - Volume Data
  82. Schedule UR: UR09 - Fiscal Year Expense
  83. Schedule UR: UR09 - Allocation from Cafeteria, Parking, Etc.
  84. Schedule UR: UR09 - C Schedule: Indirect Cost Centers
  85. Schedule UR: UR09 - UA Schedule: Unassigned Expenses Cost Centers
  86. Schedule UR: UR09 - Capital Facilities Allowance
  87. Schedule UR: UR09 - Fiscal Year Adjusted Expenses
  88. Schedule UR: UR09 - Fiscal Year Revenue
  89. Schedule UR: UR09 - Fiscal Year Profit (Loss)
  90. Schedule UR: UR09 - Adjusted FTEs
  91. Schedule UR: UR10 - Volume Data
  92. Schedule UR: UR10 - Fiscal Year Expense
  93. Schedule UR: UR10 - Allocation from Cafeteria, Parking, Etc.
  94. Schedule UR: UR10 - C Schedule: Indirect Cost Centers
  95. Schedule UR: UR10 - UA Schedule: Unassigned Expenses Cost Centers
  96. Schedule UR: UR10 - Capital Facilities Allowance
  97. Schedule UR: UR10 - Fiscal Year Adjusted Expenses
  98. Schedule UR: UR10 - Fiscal Year Revenue
  99. Schedule UR: UR10 - Fiscal Year Profit (Loss)
  100. Schedule UR: UR10 - Adjusted FTEs
  101. Schedule UR: UR11 - Volume Data
  102. Schedule UR: UR11 - Fiscal Year Expense
  103. Schedule UR: UR11 - Allocation from Cafeteria, Parking, Etc.
  104. Schedule UR: UR11 - C Schedule: Indirect Cost Centers
  105. Schedule UR: UR11 - UA Schedule: Unassigned Expenses Cost Centers
  106. Schedule UR: UR11 - Capital Facilities Allowance
  107. Schedule UR: UR11 - Fiscal Year Adjusted Expenses
  108. Schedule UR: UR11 - Fiscal Year Revenue
  109. Schedule UR: UR11 - Fiscal Year Profit (Loss)
  110. Schedule UR: UR11 - Adjusted FTEs
  111. Schedule UR: UR12 - Volume Data
  112. Schedule UR: UR12 - Fiscal Year Expense
  113. Schedule UR: UR12 - Allocation from Cafeteria, Parking, Etc.
  114. Schedule UR: UR12 - C Schedule: Indirect Cost Centers
  115. Schedule UR: UR12 - UA Schedule: Unassigned Expenses Cost Centers
  116. Schedule UR: UR12 - Capital Facilities Allowance
  117. Schedule UR: UR12 - Fiscal Year Adjusted Expenses
  118. Schedule UR: UR12 - Fiscal Year Revenue
  119. Schedule UR: UR12 - Fiscal Year Profit (Loss)
  120. Schedule UR: UR12 - Adjusted FTEs
  121. Schedule UR: UR13 - Volume Data
  122. Schedule UR: UR13 - Fiscal Year Expense
  123. Schedule UR: UR13 - Allocation from Cafeteria, Parking, Etc.
  124. Schedule UR: UR13 - C Schedule: Indirect Cost Centers
  125. Schedule UR: UR13 - UA Schedule: Unassigned Expenses Cost Centers
  126. Schedule UR: UR13 - Capital Facilities Allowance
  127. Schedule UR: UR13 - Fiscal Year Adjusted Expenses
  128. Schedule UR: UR13 - Fiscal Year Revenue
  129. Schedule UR: UR13 - Fiscal Year Profit (Loss)
  130. Schedule UR: UR13 - Adjusted FTEs
  131. Schedule UR: UR14 - Volume Data
  132. Schedule UR: UR14 - Fiscal Year Expense
  133. Schedule UR: UR14 - Allocation from Cafeteria, Parking, Etc.
  134. Schedule UR: UR14 - C Schedule: Indirect Cost Centers
  135. Schedule UR: UR14 - UA Schedule: Unassigned Expenses Cost Centers
  136. Schedule UR: UR14 - Capital Facilities Allowance
  137. Schedule UR: UR14 - Fiscal Year Adjusted Expenses
  138. Schedule UR: UR14 - Fiscal Year Revenue
  139. Schedule UR: UR14 - Fiscal Year Profit (Loss)
  140. Schedule UR: UR14 - Adjusted FTEs
  141. Schedule UR: UR15 - Volume Data
  142. Schedule UR: UR15 - Fiscal Year Expense
  143. Schedule UR: UR15 - Allocation from Cafeteria, Parking, Etc.
  144. Schedule UR: UR15 - C Schedule: Indirect Cost Centers
  145. Schedule UR: UR15 - UA Schedule: Unassigned Expenses Cost Centers
  146. Schedule UR: UR15 - Capital Facilities Allowance
  147. Schedule UR: UR15 - Fiscal Year Adjusted Expenses
  148. Schedule UR: UR15 - Fiscal Year Revenue
  149. Schedule UR: UR15 - Fiscal Year Profit (Loss)
  150. Schedule UR: UR15 - Adjusted FTEs
  151. Schedule UR: UR16 - Volume Data
  152. Schedule UR: UR16 - Fiscal Year Expense
  153. Schedule UR: UR16 - Allocation from Cafeteria, Parking, Etc.
  154. Schedule UR: UR16 - C Schedule: Indirect Cost Centers
  155. Schedule UR: UR16 - UA Schedule: Unassigned Expenses Cost Centers
  156. Schedule UR: UR16 - Capital Facilities Allowance
  157. Schedule UR: UR16 - Fiscal Year Adjusted Expenses
  158. Schedule UR: UR16 - Fiscal Year Revenue
  159. Schedule UR: UR16 - Fiscal Year Profit (Loss)
  160. Schedule UR: UR16 - Adjusted FTEs
  161. Schedule UR: UR17 - Volume Data
  162. Schedule UR: UR17 - Fiscal Year Expense
  163. Schedule UR: UR17 - Allocation from Cafeteria, Parking, Etc.
  164. Schedule UR: UR17 - C Schedule: Indirect Cost Centers
  165. Schedule UR: UR17 - UA Schedule: Unassigned Expenses Cost Centers
  166. Schedule UR: UR17 - Capital Facilities Allowance
  167. Schedule UR: UR17 - Fiscal Year Adjusted Expenses
  168. Schedule UR: UR17 - Fiscal Year Revenue
  169. Schedule UR: UR17 - Fiscal Year Profit (Loss)
  170. Schedule UR: UR17 - Adjusted FTEs
  171. Schedule UR: UR18 - Volume Data
  172. Schedule UR: UR18 - Fiscal Year Expense
  173. Schedule UR: UR18 - Allocation from Cafeteria, Parking, Etc.
  174. Schedule UR: UR18 - C Schedule: Indirect Cost Centers
  175. Schedule UR: UR18 - UA Schedule: Unassigned Expenses Cost Centers
  176. Schedule UR: UR18 - Capital Facilities Allowance
  177. Schedule UR: UR18 - Fiscal Year Adjusted Expenses
  178. Schedule UR: UR18 - Fiscal Year Revenue
  179. Schedule UR: UR18 - Fiscal Year Profit (Loss)
  180. Schedule UR: UR18 - Adjusted FTEs
  181. Schedule UR: UR19 - Volume Data
  182. Schedule UR: UR19 - Fiscal Year Expense
  183. Schedule UR: UR19 - Allocation from Cafeteria, Parking, Etc.
  184. Schedule UR: UR19 - C Schedule: Indirect Cost Centers
  185. Schedule UR: UR19 - UA Schedule: Unassigned Expenses Cost Centers
  186. Schedule UR: UR19 - Capital Facilities Allowance
  187. Schedule UR: UR19 - Fiscal Year Adjusted Expenses
  188. Schedule UR: UR19 - Fiscal Year Revenue
  189. Schedule UR: UR19 - Fiscal Year Profit (Loss)
  190. Schedule UR: UR19 - Adjusted FTEs
  191. Schedule UR: UR20 - Volume Data
  192. Schedule UR: UR20 - Fiscal Year Expense
  193. Schedule UR: UR20 - Allocation from Cafeteria, Parking, Etc.
  194. Schedule UR: UR20 - C Schedule: Indirect Cost Centers
  195. Schedule UR: UR20 - UA Schedule: Unassigned Expenses Cost Centers
  196. Schedule UR: UR20 - Capital Facilities Allowance
  197. Schedule UR: UR20 - Fiscal Year Adjusted Expenses
  198. Schedule UR: UR20 - Fiscal Year Revenue
  199. Schedule UR: UR20 - Fiscal Year Profit (Loss)
  200. Schedule UR: UR20 - Adjusted FTEs
  201. Schedule UR: UR21 - Volume Data
  202. Schedule UR: UR21 - Fiscal Year Expense
  203. Schedule UR: UR21 - Allocation from Cafeteria, Parking, Etc.
  204. Schedule UR: UR21 - C Schedule: Indirect Cost Centers
  205. Schedule UR: UR21 - UA Schedule: Unassigned Expenses Cost Centers
  206. Schedule UR: UR21 - Capital Facilities Allowance
  207. Schedule UR: UR21 - Fiscal Year Adjusted Expenses
  208. Schedule UR: UR21 - Fiscal Year Revenue
  209. Schedule UR: UR21 - Fiscal Year Profit (Loss)
  210. Schedule UR: UR21 - Adjusted FTEs
  211. Schedule UR: UR22 - Volume Data
  212. Schedule UR: UR22 - Fiscal Year Expense
  213. Schedule UR: UR22 - Allocation from Cafeteria, Parking, Etc.
  214. Schedule UR: UR22 - C Schedule: Indirect Cost Centers
  215. Schedule UR: UR22 - UA Schedule: Unassigned Expenses Cost Centers
  216. Schedule UR: UR22 - Capital Facilities Allowance
  217. Schedule UR: UR22 - Fiscal Year Adjusted Expenses
  218. Schedule UR: UR22 - Fiscal Year Revenue
  219. Schedule UR: UR22 - Fiscal Year Profit (Loss)
  220. Schedule UR: UR22 - Adjusted FTEs
  221. Schedule UR: UR23 - Volume Data
  222. Schedule UR: UR23 - Fiscal Year Expense
  223. Schedule UR: UR23 - Allocation from Cafeteria, Parking, Etc.
  224. Schedule UR: UR23 - C Schedule: Indirect Cost Centers
  225. Schedule UR: UR23 - UA Schedule: Unassigned Expenses Cost Centers
  226. Schedule UR: UR23 - Capital Facilities Allowance
  227. Schedule UR: UR23 - Fiscal Year Adjusted Expenses
  228. Schedule UR: UR23 - Fiscal Year Revenue
  229. Schedule UR: UR23 - Fiscal Year Profit (Loss)
  230. Schedule UR: UR23 - Adjusted FTEs
  231. Schedule UR: UR24 - Volume Data
  232. Schedule UR: UR24 - Fiscal Year Expense
  233. Schedule UR: UR24 - Allocation from Cafeteria, Parking, Etc.
  234. Schedule UR: UR24 - C Schedule: Indirect Cost Centers
  235. Schedule UR: UR24 - UA Schedule: Unassigned Expenses Cost Centers
  236. Schedule UR: UR24 - Capital Facilities Allowance
  237. Schedule UR: UR24 - Fiscal Year Adjusted Expenses
  238. Schedule UR: UR24 - Fiscal Year Revenue
  239. Schedule UR: UR24 - Fiscal Year Profit (Loss)
  240. Schedule UR: UR24 - Adjusted FTEs
  241. Schedule UR: UR25 - Volume Data
  242. Schedule UR: UR25 - Fiscal Year Expense
  243. Schedule UR: UR25 - Allocation from Cafeteria, Parking, Etc.
  244. Schedule UR: UR25 - C Schedule: Indirect Cost Centers
  245. Schedule UR: UR25 - UA Schedule: Unassigned Expenses Cost Centers
  246. Schedule UR: UR25 - Capital Facilities Allowance
  247. Schedule UR: UR25 - Fiscal Year Adjusted Expenses
  248. Schedule UR: UR25 - Fiscal Year Revenue
  249. Schedule UR: UR25 - Fiscal Year Profit (Loss)
  250. Schedule UR: UR25 - Adjusted FTEs
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Schedule UR6A - Physician Part B Services Detail

Schedule UR6A is provided to enable hospitals to identify and report the Physicians Part B Services costs, revenue, and FTEs reported on Schedule UR by Physician Category.

Sections:

  1. Schedule UR6A: Total From UR6
  2. Schedule UR6A: Total From UR6A
  3. Schedule UR6A: Physician Category
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Schedule URS - Unregulated Services Summary

Schedule URS requires each hospital to report the name and location of each unregulated service provided by the hospital.

Sections:

  1. Schedule URS: Cost Center Data
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Schedule V1 - Routine Service Volumes: Inpatients and Patient Days

Schedule V1 is provided to capture key inpatient statistics, including admissions (discharges) and patient days, for applicable daily hospital service centers. Refer to Section 500 of the Accounting and Budget Manual for a list of daily hospital service centers.

Sections:

  1. Schedule V1: Direct Patient Cost Centers
  2. Schedule V1: Total
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Schedule V2 - Outpatient Visits (Ambulatory Units)

Schedule V2 is provided to capture units of service and visits for applicable ambulatory service centers. Refer to Section 500 of the Accounting and Budget Manual for a list of ambulatory service centers.

Sections:

  1. Schedule V2: Direct Patient Cost Centers
  2. Schedule V2: Total
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Schedule V3 - Ancillary Service Units

Schedule V3 is provided to capture units of service for applicable ancillary service centers. Refer to Section 500 of the Accounting and Budget Manual for a list of ancillary service centers.

Sections:

  1. Schedule V3: Direct Patient Cost Centers
  2. Schedule V3: Total
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Schedule V5 - Equivalent Inpatient Days and Admissions

Schedule V5 is provided to express outpatient visits and inpatient days as equivalent inpatient days (EIPD) and outpatient visits and inpatient admissions as equivalent inpatient admissions (EIPA).

Sections:

  1. Schedule V5: Inpatient Days and Admissions
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Schedule ACS - Annual Cost Survey: Section - Annual Cost

Field ID Field Name Reporting Format Field Description
Wages_Salaries Wages and Salaries Currency Input - Report in Thousands. Displayed with one decimal. The HSCRC regulated costs for salaries and wages incurred in the fiscal year.
Fringe_Benefits Fringe Benefits Currency Input - Report in Thousands. Displayed with one decimal. The HSCRC regulated costs for fringe benefits incurred in the fiscal year.
Deprctn_Amortztn Depreciation and Amortization Currency Input - Report in Thousands. Displayed with one decimal. Depreciation expense of hospital owned property and property capitalized under FASB 13 used in regulated hospital services.
Op_Leases Operating Leases Currency Input - Report in Thousands. Displayed with one decimal. Leased equipment not eligible for capitalization under FASB 13. Report temporary rentals of equipment in Annual Cost Other. Report maintenance contracts on line J Contracted Services.
Int_Exp Interest Expense Currency Input - Report in Thousands. Displayed with one decimal. The HSCRC regulated costs of interest expenses incurred in the fiscal year.
MedSurg_Supplies Medical and Surgical Supplies Currency Input - Report in Thousands. Displayed with one decimal. Surgical instruments - clamps, scissors, scalpels, stethoscopes Gloves - used for medical surgical procedures Pacemakers - permanent and temporary Other supplies - sutures, intra ocular lens, unipaks, needles, dressings, thermometers, admission kits, syringes, identifications bracelets, and other medical supplies.
IVSol_Pharm I. V. Solutions and Pharmacy Currency Input - Report in Thousands. Displayed with one decimal. I. V. Solutions - including blood substitutes, salines, sugar, plasma, albumin and others Pharmacy - all types of drugs including but not limited to: antibiotics, tranquilizers, analgesic/anti-inflammatory, TPN's/VITS/electrolytes, EENT, oncology, cardiovascular/blood, respiratory, GI, GU and steroids.
Landry_Lin_Unif Laundry, Linen, Uniforms Currency Input - Report in Thousands. Displayed with one decimal. Expenses for all purchased laundry services, including washing costs and replacement of linen, disposable linens, uniforms, drapes, curtains.
Films_Solutns Films and Solutions Currency Input - Report in Thousands. Displayed with one decimal. Expenses that include materials sensitive to light, radioactive radiation for recording emissions, X-ray film, dental packs, Polaroid film, solutions for automatic developing, hyposulfites, drying agents and replenishes.
Blood_Plasm_Alb Blood, Plasmanate, Albumen Currency Input - Report in Thousands. Displayed with one decimal. Expenses for Micro hogan, enhancement solutions, antilectin, anti=IGC, blood and blood derivatives, media.
Contrd_Serv Contracted Services Currency Input - Report in Thousands. Displayed with one decimal. Purchased lab services, trash collection, purchased security, outside collection agency expense equipment maintenance contracts.
ProFees Professional Fees Currency Input - Report in Thousands. Displayed with one decimal. Professional fees include consultant fees, legal fees, accounting fees.
AgencyNurse Agency Nurses Currency Input - Report in Thousands. Displayed with one decimal. All costs of agency nurses.
MalpracIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. The HSCRC regulated costs for malpractice insurance incurred in the fiscal year.
OtherIns All Other Insurance Currency Input - Report in Thousands. Displayed with one decimal. Insurance loss of income, property and liability coverage, crime and employee dishonesty, excess indemnity, director and officers liability, auto.
Telephone Telephone Currency Input - Report in Thousands. Displayed with one decimal. Telephone equipment cost, message unit cost, and service charges for local and long distance calls.
UtilWater Utilities and Water Currency Input - Report in Thousands. Displayed with one decimal. All utility expenses for heating and air conditioning such as electricity, gas and/or oil, expenses for water and sewerage.
Food Food Currency Input - Report in Thousands. Displayed with one decimal. Includes all food and beverage costs.
Print_Office_Copy_Pstg Printing, Office Supplies, Copying, Postage Currency Input - Report in Thousands. Displayed with one decimal. Printing - pre-printed forms, letterheads, lab request cards, doctors orders sheets, admissions forms Office supplies - envelopes, memo pads, typewriter ribbons, folders, pens, pencils Paper supplies - drink cups, paper towels, toilet tissue, napkins, paper bags, data processing supplies Books, periodicals, and publications - subscriptions to newspapers, periodicals, books, journals Computer supplies - paper supplies for computer and other automated equipment supplies Copying and postage Other Expenses - education materials, microfilming, etc.
Chem_Soltns_Lubrctns_Gas Chemicals, Solutions, Lubrications, Gases Currency Input - Report in Thousands. Displayed with one decimal. Chemicals and reagents used mostly in laboratories, gases, irrigating fluids, anesthetic agents and lubricant.
Other Other Currency Input - Report in Thousands. Displayed with one decimal. Repairs, maintenance and building supplies - building, equipment and instrument repairs, grounds care supplies, plumbing, printing, electrical, carpentry supplies, and inspections of medical equipment Equipment rental - all rental of equipment Travel and registration - travel expenditures including meals, tips, fares, lodging and entertainment, conferences and seminars both in and out of town, taxi cab fares Radiology and laboratory - supplies radiology and nuclear medicine supplies including but not limited to radioisotopes, screen hangers, x-rays accessories, lab supplies including plastics and disposables, etc. Other - includes housekeeping supplies, dietary supplies (glassware, utensils, etc.) licenses and permits.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. Total of all Annual Costs.
Validation Rule: The amount must equal the HSCRC regulated expenses for the fiscal year reported on schedule RE.
Back to Schedule ACS - Annual Cost Survey

Schedule ACS - Annual Cost Survey: Section - Annual Cost Percent

Field ID Field Name Reporting Format Field Description
Wages_Salaries Wages and Salaries Percent - Displayed with one decimal. Wages and Salaries costs as a percent of total annual costs.
Fringe_Benefits Fringe Benefits Percent - Displayed with one decimal. Fringe Benefits costs as a percent of total annual costs.
Deprctn_Amortztn Depreciation and Amortization Percent - Displayed with one decimal. Depreciation and Amortization costs as a percent of total annual costs.
Op_Leases Operating Leases Percent - Displayed with one decimal. Operating Leases cost as a percent of total annual costs.
Int_Exp Interest Expense Percent - Displayed with one decimal. Interest Expense cost as a percent of total annual costs.
MedSurg_Supplies Medical and Surgical Supplies Percent - Displayed with one decimal. Medical and Surgical Supplies costs as a percent of total annual costs.
IVSol_Pharm I. V. Solutions and Pharmacy Percent - Displayed with one decimal. I. V. Solutions and Pharmacy costs as a percent of total annual costs.
Landry_Lin_Unif Laundry, Linen, Uniforms Percent - Displayed with one decimal. Laundry, Linen, Uniforms costs as a percent of total annual costs.
Films_Solutns Films and Solutions Percent - Displayed with one decimal. Films and Solutions costs as a percent of total annual costs.
Blood_Plasm_Alb Blood, Plasmanate, Albumen Percent - Displayed with one decimal. Blood, Plasmanate, Albumen costs as a percent of total annual costs.
Contrd_Serv Contracted Services Percent - Displayed with one decimal. Contracted Services cost as a percent of total annual costs.
ProFees Professional Fees Percent - Displayed with one decimal. Professional Fees cost as a percent of total annual costs.
AgencyNurse Agency Nurses Percent - Displayed with one decimal. Agency Nurse costs percent of total annual costs.
MalpracIns Malpractice Insurance Percent - Displayed with one decimal. Malpractice Insurance costs as a percent of total annual costs.
OtherIns All Other Insurance Percent - Displayed with one decimal. All Other Insurance costs as a percent of total annual costs.
Telephone Telephone Percent - Displayed with one decimal. Telephone costs as a percent of total annual costs.
UtilWater Utilities and Water Percent - Displayed with one decimal. Utilities and Water costs as a percent of total annual costs.
Food Food Percent - Displayed with one decimal. Food costs as a percent of total annual costs.
Print_Office_Copy_Pstg Printing, Office Supplies, Copying, Postage Percent - Displayed with one decimal. Printing, Office Supplies, Copying, and postage costs as a percent of total annual costs.
Chem_Soltns_Lubrctns_Gas Chemicals, Solutions, Lubrications, Gases Percent - Displayed with one decimal. Chemicals, Solutions, Lubrications, and gases costs as a percent of total annual costs.
Other Other Percent - Displayed with one decimal. Other Costs as a percent of total annual costs.
Total Total Percent Total - Displayed with one decimal. Total percentage of all costs listed in schedule ACS, which should total to 100%.
Validation Rule: The amount shown should always equal 100%
Back to Schedule ACS - Annual Cost Survey

Schedule C - General Service Centers: Section - Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Units Units Number - Displayed as a whole number. For each cost center, the hospital’s fiscal year units. e.g. Dietary-Number of Patient meals transferred from Schedule STI.
WSF Wages, Salaries, & Benefits Currency - Reported in Thousands. Displayed with one decimal. For each cost center, the expenses of the reporting hospital incurred in the fiscal year for the following major expense categories: .10 Salaries and Wages .20 Employee Benefits Expenses which are normally reported as components of general service function for the above categories are: .01 Management and Supervision .02 Technician and Specialist .11 Environment, Hotel and Food Service Employee .12 Clerical and Other Administrative Employee .21 FICA .22 SUI and FUI (UIC) .23 Group Health Insurance .24 Group Life Insurance .25 Pension and Retirement .26 Workmen’s Compensation Insurance .27 Union Health and Welfare .28 Other Payroll Related Employee Benefits .29 Employee Benefits (Non-Payroll Related) Include only those non-payroll related employee benefits which are not allocated from Schedule OADP.
Validation Rule: For each cost center, if WSF equal zero, FTEs must also equal zero OR if WSF is greater than or less than zero, FTEs must also match as greater than or less than zero.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each cost center, the expenses of the reporting hospital incurred in the fiscal year for the following major expense categories: .30 Professional Fees .40 Medical and Surgical Supplies .50 Non-Medical and Non-Surgical Supplies .60 Utilities .70 Purchased Services .80 Other Direct Expenses Expenses which are normally reported as components of general service functions for the above categories by schedule are: .33 Consulting and Management Fees .34 Legal Fees .35 Audit Fees .49 Other Medical Care Materials & Supplies .51 Food- Meats, Fish and Poultry .52 Food- Other .53 Tableware and Kitchen Utensils .54 Linen and Bedding .55 Cleaning Supplies .56 Office and Administrative Supplies .57 Employee Wearing Apparel .58 Instruments and Minor Equipment .59 Other Non-Medical and Non-Surgical Supplies .61 Electricity .62 Fuel .63 Water .64 Disposal Service .65 Telephone/Telegraph .66 Purchased Steam .69 Utilities- Other .70 Maintenance and Repairs .74 Laundry and Linen .76 Management and Contracted Services .77 Collection Agency .78 Transcription Services .79 Other Purchased Services .84 Dues, Books and Subscription .85 Outside Training Sessions .86 Travel- Other .87 Postage .88 Printing and Duplicating .89 Other Expenses.
Tot_Exp Total Expenses Currency - Reported in Thousands. Displayed with one decimal. For each cost center, this is the sum of Wages, Salary & Fringe Benefits and Other Expenses.
EFUR Allocated to Aux Enterprises, Other Inst Programs, and Unregulated Services Currency - Reported in Thousands. Displayed with one decimal. For each cost center, the allocation of the fiscal year expenses for the Auxiliary Enterprises, Schedule E1 to E9, Other Institutional Programs, Schedules F1 to F4, and Unregulated Services. Transfer the expenses from Schedule C, to the appropriate Schedule E2 to E9, Schedule D lines, Total Expenses, Revenues and Schedules F1 to F4, Total Expenses, and Revenue .
OADP Allocated Expenses Currency - Reported in Thousands. Displayed with one decimal. Total Allocated Expense Column from Schedule OADP for the same Cost Center.
AdjTotalExp Adjusted Total Expenses Currency - Reported in Thousands. Displayed with one decimal. For each cost center, Adjusted Total Expenses is the sum of Total Expenses plus Allocation to Aux. Ent, OIP, and UR Expenses and Adjusted Expenses plus Allocated Expenses.
Validation Rule: For each cost center, the amount must equal the Total Allocated Expenses from Schedule J for the corresponding rate center column, with the exception of SSS, CSS, PHM, & OAO. The sum of the values for these four cost centers must equal the Total Allocated Expenses of the "Central Supply, Pharmacy, Social Services and OAO" column on Schedule J. Also, for FIS, PAC, MGT, MRD, and NAD, the sum of these values must equal the Total Allocated Expenses for the columns Inpatient plus Ambulatory plus Outpatient on Schedule J.
ExpPerUnit Expense Per Unit Currency - Reported in Thousands. Displayed with five decimals. For each cost center, the Expense Per Unit is calculated by dividing the Adjusted Total Expense by the number of Units.
FTEs FTEs Number - Displayed with one decimal. For each cost center, the result of dividing the Worked Hours by 2080 (work hours available in one year). e.g., 20,800/2080= 10 Worked hours are to be counted in accordance with Section 200.0371, Salaries and Wages. Include hours worked for donated services and data processing.
Validation Rule: For each cost center, if WSF equal zero, FTEs must also equal zero OR if WSF is greater than or less than zero, FTEs must also match as greater than or less than zero.
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Schedule D - Patient Care Centers: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
Units Units Number - Displayed as a whole number. The number of units based on the standard unit of measure for each applicable patient care center line, for the reporting hospital's fiscal year (e.g., The number of patient days for Medical Surgical Acute).
Validation Rule: 1. Both Units and Total Expenses must be zero or both must be greater than zero 2. See notes. May need a 2nd validation rule.
WSF Wages, Salaries, & Benefits Currency - Reported in Thousands. Displayed with one decimal. The salaries, wages, and employee benefits incurred in the fiscal year for each general service functions. Include only those non-payroll related employee benefits which are not allocated from Schedule OADP Expenses which are normally reported as components of general service function for the above categories are: .01 Management and Supervision .02 Technician and Specialist .11 Environment, Hotel and Food Service Employee .12 Clerical and Other Administrative Employee .21 FICA .22 SUI and FUI (UIC) .23 Group Health Insurance .24 Group Life Insurance .25 Pension and Retirement .26 Workmen’s Compensation Insurance .27 Union Health and Welfare .28 Other Payroll Related Employee Benefits .29 Employee Benefits (Non-Payroll Related).
Validation Rule: When WSF is greater than zero, FTEs must be greater than zero. When WSF is zero, FTEs must be zero or greater than 0
PhySuprvsn_Exp Physician Supervision Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable patient care center, the physician supervision expenses for the fiscal year. This includes fees paid to physicians who are not on the hospital payroll, for supervision of a cost centers (e.g., Emergency Services Physicians who are contracted to provide administration and supervision services for the Emergency Room).
Validation Rule: Both Physician Supervision Expenses and Physician Supervision FTEs must be zero or both must be greater than zero
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses associated with the following major expense categories: professional fees, medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses incurred in the fiscal year for each general service functions.
Tot_Exp Total Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, physician supervision expenses, and other expenses for each patient care center.
Allocated_Exp Allocated Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable patient care center, this is the total allocated expense transferred from Schedule OADP.
Tot_Adjexp Adjusted Total Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of total expenses and adjusted expenses for each patient care center.
Validation Rule: Both Units and Total Adj Expense must greater than zero, or both must be zero
ExpPerUnit Expense Per Unit Currency - Reported in Thousands. Displayed with five decimals. For each applicable patient care center, this is the adjusted total expense divided by the number of units.
Validation Rule: When Units equal zero, then Total Adjusted Expenses must be zero.
FTEs FTEs Number - Displayed with one decimal. The number of hours worked, including hours worked for donated services and data processing, divided by 2080. This amount is transferred from Schedule EXP.
PhySuprvsn_FTEs Physician Supervision FTEs Number - Displayed with one decimal. The number of hours worked by physicians who are not on the hospital payroll and supervise cost centers (e.g., Emergency Services Physicians who are contracted to provide administration and supervision services for the Emergency Room) divided by 2080. This information is transferred from Schedule P1I.
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Schedule D - Patient Care Centers: Section - Total

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, & Benefits Currency Total - Reported in Thousands. Displayed with one decimal. The total salaries, wages, and employee benefits incurred in the fiscal year for all patient care centers.
PhySup_Exp Physician Supervision Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The total physician supervision expenses incurred in the fiscal year for all patient care centers.
Oth_Exp Other Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The total of other expenses incurred in the fiscal year for all patient care centers.
Tot_Exp Total Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The sum of total expenses for wages, salaries, benefits, physician supervision expenses, and other expenses.
Allocated_Exp Allocated Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The total allocated expenses incurred in the fiscal year for all patient care centers.
Tot_Adjexp Adjusted Total Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The sum of total expenses for total expenses and allocated expenses.
FTEs FTEs Number - Displayed with one decimal. The sum of total FTEs for all patient care centers.
PhySuprvsn_FTEs Physician Supervision FTEs Number - Displayed with one decimal. The sum of total Physician Supervision FTEs for all patient care centers.
Back to Schedule D - Patient Care Centers

Schedule E - Auxiliary Enterprises: Section - E01-Volume Data

Field ID Field Name Reporting Format Field Description
Source Source None
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable auxiliary enterprise center, for the reporting hospital's fiscal year (e.g., The number of occasion of service for Ambulance Services). 
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Schedule E - Auxiliary Enterprises: Section - E01-Fiscal Year Expenses

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: Salaries and Wages, and Employee Benefits.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for E01 Ambulance Service.
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Schedule E - Auxiliary Enterprises: Section - E01-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, this is the allocation of cafeteria, parking, etc. from Schedule OADP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E01-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
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Schedule E - Auxiliary Enterprises: Section - E01-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
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Schedule E - Auxiliary Enterprises: Section - E01-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, this is the amount of capital facilities allowance transferred from schedule H3.
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Schedule E - Auxiliary Enterprises: Section - E01-Donated Services & Commodities

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated services expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Wages, Salaries, and Fringe Benefits. This value is transferred from Schedule EXP.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated commodities expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Other Expenses. This value is transferred from Schedule EXP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, fringe benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E01-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The sum of salaries, wages, and fringe benefits from lines B though G.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of other expenses from lines B though G.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule E.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
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Schedule E - Auxiliary Enterprises: Section - E01-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
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Schedule E - Auxiliary Enterprises: Section - E01-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
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Schedule E - Auxiliary Enterprises: Section - E01-Amount Treated as Fringe

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue None
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Schedule E - Auxiliary Enterprises: Section - E01-Amount Treated as Ofc

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Amount Treated as Fringe from Total Expenses.
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Schedule E - Auxiliary Enterprises: Section - E01-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The final allocated trial balance FTEs for E01: Ambulance Services.
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Schedule E - Auxiliary Enterprises: Section - E02-Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable auxiliary enterprise center, for the reporting hospital's fiscal year (e.g., The number of parking spaces for Parking). 
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Schedule E - Auxiliary Enterprises: Section - E02-Fiscal Year Expenses

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: Salaries and Wages, and Employee Benefits.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for E02 Parking.
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Schedule E - Auxiliary Enterprises: Section - E02-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal.
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Schedule E - Auxiliary Enterprises: Section - E02-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
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Schedule E - Auxiliary Enterprises: Section - E02-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
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Schedule E - Auxiliary Enterprises: Section - E02-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, this is the amount of capital facilities allowance transferred from schedule H3.
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Schedule E - Auxiliary Enterprises: Section - E02-Donated Services & Commodities

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated services expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Wages, Salaries, and Fringe Benefits. This value is transferred from Schedule EXP.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated commodities expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Other Expenses. This value is transferred from Schedule EXP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, fringe benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E02-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The sum of salaries, wages, and fringe benefits from lines B though G.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of other expenses from lines B though G.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule E.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
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Schedule E - Auxiliary Enterprises: Section - E02-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
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Schedule E - Auxiliary Enterprises: Section - E02-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
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Schedule E - Auxiliary Enterprises: Section - E02-Amount Treated as Fringe

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency Input - Report in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expenses, Revenue Column, the amount of loss that is treated as a fringe benefit.
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Schedule E - Auxiliary Enterprises: Section - E02-Amount Treated as Ofc

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Amount Treated as Fringe from Total Expenses.
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Schedule E - Auxiliary Enterprises: Section - E02-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The final allocated trial balance FTEs for E02: Parking.
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Schedule E - Auxiliary Enterprises: Section - E03-Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable auxiliary enterprise center, for the reporting hospital's fiscal year (e.g., The number of gross square feet for Doctor's Private office rental). 
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Schedule E - Auxiliary Enterprises: Section - E03-Fiscal Year Expenses

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: Salaries and Wages, and Employee Benefits.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for E03 Doctor's Private Office Rental.
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Schedule E - Auxiliary Enterprises: Section - E03-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, this is the allocation of cafeteria, parking, etc. from Schedule OADP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E03-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
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Schedule E - Auxiliary Enterprises: Section - E03-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
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Schedule E - Auxiliary Enterprises: Section - E03-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, this is the amount of capital facilities allowance transferred from schedule H3.
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Schedule E - Auxiliary Enterprises: Section - E03-Donated Services & Commodities

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated services expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Wages, Salaries, and Fringe Benefits. This value is transferred from Schedule EXP.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated commodities expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Other Expenses. This value is transferred from Schedule EXP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, fringe benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E03-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The sum of salaries, wages, and fringe benefits from lines B though G.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of other expenses from lines B though G.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule E.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
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Schedule E - Auxiliary Enterprises: Section - E03-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
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Schedule E - Auxiliary Enterprises: Section - E03-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
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Schedule E - Auxiliary Enterprises: Section - E03-Amount Treated as Fringe

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue None
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Schedule E - Auxiliary Enterprises: Section - E03-Amount Treated as Ofc

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Amount Treated as Fringe from Total Expenses.
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Schedule E - Auxiliary Enterprises: Section - E03-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The final allocated trial balance FTEs for E03: Doctor's Private Office Rental.
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Schedule E - Auxiliary Enterprises: Section - E04-Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable auxiliary enterprise center, for the reporting hospital's fiscal year (e.g., The number of gross square feet for Office and Other rental). 
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Schedule E - Auxiliary Enterprises: Section - E04-Fiscal Year Expenses

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: Salaries and Wages, and Employee Benefits.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for E04 Office and Other Rental.
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Schedule E - Auxiliary Enterprises: Section - E04-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, this is the allocation of cafeteria, parking, etc. from Schedule OADP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E04-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
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Schedule E - Auxiliary Enterprises: Section - E04-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
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Schedule E - Auxiliary Enterprises: Section - E04-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, this is the amount of capital facilities allowance transferred from schedule H3.
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Schedule E - Auxiliary Enterprises: Section - E04-Donated Services & Commodities

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated services expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Wages, Salaries, and Fringe Benefits. This value is transferred from Schedule EXP.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated commodities expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Other Expenses. This value is transferred from Schedule EXP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, fringe benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E04-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The sum of salaries, wages, and fringe benefits from lines B though G.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of other expenses from lines B though G.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule E.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
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Schedule E - Auxiliary Enterprises: Section - E04-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
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Schedule E - Auxiliary Enterprises: Section - E04-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
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Schedule E - Auxiliary Enterprises: Section - E04-Amount Treated as Fringe

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue None
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Schedule E - Auxiliary Enterprises: Section - E04-Amount Treated as Ofc

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Amount Treated as Fringe from Total Expenses.
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Schedule E - Auxiliary Enterprises: Section - E04-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The final allocated trial balance FTEs for E04: Office and Other Rental.
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Schedule E - Auxiliary Enterprises: Section - E05-Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable auxiliary enterprise center, for the reporting hospital's fiscal year (e.g., The number of gross square feet for Retail Operations). 
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Schedule E - Auxiliary Enterprises: Section - E05-Fiscal Year Expenses

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: Salaries and Wages, and Employee Benefits.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for E05 Retail Operations.
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Schedule E - Auxiliary Enterprises: Section - E05-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, this is the allocation of cafeteria, parking, etc. from Schedule OADP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E05-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
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Schedule E - Auxiliary Enterprises: Section - E05-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
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Schedule E - Auxiliary Enterprises: Section - E05-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, this is the amount of capital facilities allowance transferred from schedule H3.
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Schedule E - Auxiliary Enterprises: Section - E05-Donated Services & Commodities

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated services expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Wages, Salaries, and Fringe Benefits. This value is transferred from Schedule EXP.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated commodities expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Other Expenses. This value is transferred from Schedule EXP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, fringe benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E05-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The sum of salaries, wages, and fringe benefits from lines B though G.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of other expenses from lines B though G.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule E.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
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Schedule E - Auxiliary Enterprises: Section - E05-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
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Schedule E - Auxiliary Enterprises: Section - E05-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
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Schedule E - Auxiliary Enterprises: Section - E05-Amount Treated as Fringe

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue None
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Schedule E - Auxiliary Enterprises: Section - E05-Amount Treated as Ofc

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Amount Treated as Fringe from Total Expenses.
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Schedule E - Auxiliary Enterprises: Section - E05-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The final allocated trial balance FTEs for E05: Retail Operations.
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Schedule E - Auxiliary Enterprises: Section - E06-Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable auxiliary enterprise center, for the reporting hospital's fiscal year (e.g., The number patient telephones for Patient Telephones). 
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Schedule E - Auxiliary Enterprises: Section - E06-Fiscal Year Expenses

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: Salaries and Wages, and Employee Benefits.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for E06 Patient Telephones.
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Schedule E - Auxiliary Enterprises: Section - E06-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, this is the allocation of cafeteria, parking, etc. from Schedule OADP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E06-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
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Schedule E - Auxiliary Enterprises: Section - E06-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
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Schedule E - Auxiliary Enterprises: Section - E06-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, this is the amount of capital facilities allowance transferred from schedule H3.
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Schedule E - Auxiliary Enterprises: Section - E06-Donated Services & Commodities

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated services expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Wages, Salaries, and Fringe Benefits. This value is transferred from Schedule EXP.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated commodities expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Other Expenses. This value is transferred from Schedule EXP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, fringe benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E06-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The sum of salaries, wages, and fringe benefits from lines B though G.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of other expenses from lines B though G.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule E.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
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Schedule E - Auxiliary Enterprises: Section - E06-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
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Schedule E - Auxiliary Enterprises: Section - E06-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
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Schedule E - Auxiliary Enterprises: Section - E06-Amount Treated as Fringe

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue None
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Schedule E - Auxiliary Enterprises: Section - E06-Amount Treated as Ofc

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Amount Treated as Fringe from Total Expenses.
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Schedule E - Auxiliary Enterprises: Section - E06-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The final allocated trial balance FTEs for E06: Patient Telephones.
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Schedule E - Auxiliary Enterprises: Section - E07-Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable auxiliary enterprise center, for the reporting hospital's fiscal year (e.g., The equivalent number of meals served for Cafeteria). 
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Schedule E - Auxiliary Enterprises: Section - E07-Fiscal Year Expenses

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: Salaries and Wages, and Employee Benefits.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for E07 Cafeteria.
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Schedule E - Auxiliary Enterprises: Section - E07-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal.
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Schedule E - Auxiliary Enterprises: Section - E07-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
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Schedule E - Auxiliary Enterprises: Section - E07-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
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Schedule E - Auxiliary Enterprises: Section - E07-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, this is the amount of capital facilities allowance transferred from schedule H3.
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Schedule E - Auxiliary Enterprises: Section - E07-Donated Services & Commodities

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated services expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Wages, Salaries, and Fringe Benefits. This value is transferred from Schedule EXP.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated commodities expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Other Expenses. This value is transferred from Schedule EXP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, fringe benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E07-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The sum of salaries, wages, and fringe benefits from lines B though G.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of other expenses from lines B though G.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule E.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
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Schedule E - Auxiliary Enterprises: Section - E07-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
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Schedule E - Auxiliary Enterprises: Section - E07-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
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Schedule E - Auxiliary Enterprises: Section - E07-Amount Treated as Fringe

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency Input - Report in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expenses, Revenue Column, the amount of loss that is treated as a fringe benefit.
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Schedule E - Auxiliary Enterprises: Section - E07-Amount Treated as Ofc

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Amount Treated as Fringe from Total Expenses.
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Schedule E - Auxiliary Enterprises: Section - E07-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The final allocated trial balance FTEs for E07: Cafeteria.
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Schedule E - Auxiliary Enterprises: Section - E08-Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable auxiliary enterprise center, for the reporting hospital's fiscal year (e.g., The number of gross square feet for Day Care Center, Recreation Areas). 
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Schedule E - Auxiliary Enterprises: Section - E08-Fiscal Year Expenses

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: Salaries and Wages, and Employee Benefits.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for E08 Day Care Center, Recreation Areas.
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Schedule E - Auxiliary Enterprises: Section - E08-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal.
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Schedule E - Auxiliary Enterprises: Section - E08-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
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Schedule E - Auxiliary Enterprises: Section - E08-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
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Schedule E - Auxiliary Enterprises: Section - E08-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, this is the amount of capital facilities allowance transferred from schedule H3.
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Schedule E - Auxiliary Enterprises: Section - E08-Donated Services & Commodities

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated services expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Wages, Salaries, and Fringe Benefits. This value is transferred from Schedule EXP.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated commodities expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Other Expenses. This value is transferred from Schedule EXP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, fringe benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E08-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The sum of salaries, wages, and fringe benefits from lines B though G.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of other expenses from lines B though G.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule E.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
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Schedule E - Auxiliary Enterprises: Section - E08-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
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Schedule E - Auxiliary Enterprises: Section - E08-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
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Schedule E - Auxiliary Enterprises: Section - E08-Amount Treated as Fringe

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency Input - Report in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expenses, Revenue Column, the amount of loss that is treated as a fringe benefit.
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Schedule E - Auxiliary Enterprises: Section - E08-Amount Treated as Ofc

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Amount Treated as Fringe from Total Expenses.
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Schedule E - Auxiliary Enterprises: Section - E08-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The final allocated trial balance FTEs for E08: Day Care Center, Recreation Area, etc.
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Schedule E - Auxiliary Enterprises: Section - E09-Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. The number of units, defined as the average number of persons housed average number of persons housed for Housing, for the reporting hospital's fiscal year.
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Schedule E - Auxiliary Enterprises: Section - E09-Fiscal Year Expenses

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: Salaries and Wages, and Employee Benefits.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, the expenses incurred in the fiscal year for the following expense categories: medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for E09 Housing.
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Schedule E - Auxiliary Enterprises: Section - E09-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal.
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Schedule E - Auxiliary Enterprises: Section - E09-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
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Schedule E - Auxiliary Enterprises: Section - E09-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
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Schedule E - Auxiliary Enterprises: Section - E09-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center, this is the amount of capital facilities allowance transferred from schedule H3.
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Schedule E - Auxiliary Enterprises: Section - E09-Donated Services & Commodities

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated services expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Wages, Salaries, and Fringe Benefits. This value is transferred from Schedule EXP.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, the donated commodities expenses of the reporting hospital for the fiscal year in accordance with Section 100, Basis of Valuation, and utilizing the major natural expense categories outlined in the definition for Line B Other Expenses. This value is transferred from Schedule EXP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, fringe benefits, and other expenses.
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Schedule E - Auxiliary Enterprises: Section - E09-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The sum of salaries, wages, and fringe benefits from lines B though G.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of other expenses from lines B though G.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule E.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
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Schedule E - Auxiliary Enterprises: Section - E09-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
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Schedule E - Auxiliary Enterprises: Section - E09-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
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Schedule E - Auxiliary Enterprises: Section - E09-Amount Treated as Fringe

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency Input - Report in Thousands. Displayed with one decimal. For each applicable auxiliary enterprise center schedule, in the Total Expenses, Revenue Column, the amount of loss that is treated as a fringe benefit.
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Schedule E - Auxiliary Enterprises: Section - E09-Amount Treated as Ofc

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Amount Treated as Fringe from Total Expenses.
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Schedule E - Auxiliary Enterprises: Section - E09-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The final allocated trial balance FTEs for E09: Housing.
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Schedule EFUR - EFUR Input: Section - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
E01_Salaries E01 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for E01: Ambulance.
E01_Other E01 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for E01: Ambulance.
E01_FTEs E01 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to E01: Ambulance.
Blank100 blank100 None
E02_Salaries E02 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for E02: Parking.
E02_Other E02 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for E02: Parking.
E02_FTEs E02 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to E02: Parking.
Blank101 blank101 None
E03_Salaries E03 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for E03: Doctor's Private Office Rental.
E03_Other E03 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for E03: Doctor's Private Office Rental.
E03_FTEs E03 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to E03: Doctor's Private Office Rental.
Blank102 blank102 None
E04_Salaries E04 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for E04: Office and Other Rentals.
E04_Other E04 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for E04: Office and Other Rentals.
E04_FTEs E04 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to E04: Office and Other Rentals.
Blank103 blank103 None
E05_Salaries E05 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for E05: Retail Operations.
E05_Other E05 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for E05: Retail Operations.
E05_FTEs E05 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to E05: Retail Operations.
Blank104 blank104 None
E06_Salaries E06 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for E06: Patient Telephones.
E06_Other E06 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for E06: Patient Telephones.
E06_FTEs E06 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to E06: Patient Telephones.
Blank105 blank105 None
E07_Salaries E07 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for E07: Cafeteria.
E07_Other E07 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for E07: Cafeteria.
E07_FTEs E07 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to E07: Cafeteria.
Blank106 blank106 None
E08_Salaries E08 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for E08: Day Care Center, Rec Areas, etc.
E08_Other E08 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for E08: Day Care Center, Rec Areas, etc.
E08_FTEs E08 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to E08: Day Care Center, Rec Areas, etc.
Blank107 blank107 None
E09_Salaries E09 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for E09: Housing.
E09_Other E09 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for E09: Housing.
E09_FTEs E09 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to E09: Housing.
Blank108 blank108 None
F01_Salaries F01 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for F01: Research.
F01_Other F01 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for F01: Research.
F01_FTEs F01 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to F01: Research.
Blank109 blank109 None
F02_Salaries F02 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for F02: Nursing Education.
F02_Other F02 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for F02: Nursing Education.
F02_FTEs F02 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to F02: Nursing Education.
Blank110 blank110 None
F03_Salaries F03 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for F03: Other Health Professional Education.
F03_Other F03 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for F03: Other Health Professional Education.
F03_FTEs F03 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to F03: Other Health Professional Education.
Blank111 blank111 None
F04_Salaries F04 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for F04: Community Health Education.
F04_Other F04 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for F04: Community Health Education.
F04_FTEs F04 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to F04: Community Health Education.
Blank112 blank112 None
UR01_Salaries UR01 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR01: Free Standing Clinic Services.
UR01_Other UR01 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR01: Free Standing Clinic Services.
UR01_FTEs UR01 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR01: Free Standing Clinic Services.
Blank113 blank113 None
UR02_Salaries UR02 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR02: Home Health Services.
UR02_Other UR02 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR02: Home Health Services.
UR02_FTEs UR02 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR02: Home Health Services.
Blank114 blank114 None
UR03_Salaries UR03 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR03: Other Health Professional Education.
UR03_Other UR03 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR03: Other Health Professional Education.
UR03_FTEs UR03 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR03: Other Health Professional Education.
Blank115 blank115 None
UR04_Salaries UR04 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR04: Community Health Education.
UR04_Other UR04 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR04: Community Health Education.
UR04_FTEs UR04 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR04: Community Health Education.
Blank116 blank116 None
UR05_Salaries UR05 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR05: Laboratory - Non Patient.
UR05_Other UR05 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR05: Laboratory - Non Patient.
UR05_FTEs UR05 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR05: Laboratory - Non Patient.
Blank117 blank117 None
UR06_Salaries UR06 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR06: Physicians Part B Services.
UR06_Other UR06 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR06: Physicians Part B Services.
UR06_FTEs UR06 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR06: Physicians Part B Services.
Blank118 blank118 None
UR07_Salaries UR07 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR07: Certified Nurse Anesthetist.
UR07_Other UR07 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR07: Certified Nurse Anesthetist.
UR07_FTEs UR07 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR07: Certified Nurse Anesthetist.
Blank119 blank119 None
UR08_Salaries UR08 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR08: Physician Support Services.
UR08_Other UR08 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR08: Physician Support Services.
UR08_FTEs UR08 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR08: Physician Support Services.
Blank120 blank120 None
UR09_Salaries UR09 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR09: Adult Day Care.
UR09_Other UR09 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR09: Adult Day Care.
UR09_FTEs UR09 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR09: Adult Day Care.
Blank121 blank121 None
UR10_Salaries UR10 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR10: Cancer Center.
UR10_Other UR10 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR10: Cancer Center.
UR10_FTEs UR10 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR10: Cancer Center.
Blank122 blank122 None
UR11_Salaries UR11 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR11: Cardiac.
UR11_Other UR11 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR11: Cardiac.
UR11_FTEs UR11 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR11: Cardiac.
Blank123 blank123 None
UR12_Salaries UR12 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR12: Community Service.
UR12_Other UR12 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR12: Community Service.
UR12_FTEs UR12 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR12: Community Service.
Blank124 blank124 None
UR13_Salaries UR13 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR13: Consolidating/Eliminations.
UR13_Other UR13 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR13: Consolidating/Eliminations.
UR13_FTEs UR13 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR13: Consolidating/Eliminations.
Blank125 blank125 None
UR14_Salaries UR14 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR14: Foundation.
UR14_Other UR14 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR14: Foundation.
UR14_FTEs UR14 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR14: Foundation.
Blank126 blank126 None
UR15_Salaries UR15 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR15: Hospice.
UR15_Other UR15 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR15: Hospice.
UR15_FTEs UR15 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR15: Hospice.
Blank127 blank127 None
UR16_Salaries UR16 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR16: Imaging.
UR16_Other UR16 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR16: Imaging.
UR16_FTEs UR16 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR16: Imaging.
Blank128 blank128 None
UR17_Salaries UR17 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR17: Outpatient Medical Center.
UR17_Other UR17 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR17: Outpatient Medical Center.
UR17_FTEs UR17 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR17: Outpatient Medical Center.
Blank129 blank129 None
UR18_Salaries UR18 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR18: Other Unrelated.
UR18_Other UR18 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR18: Other Unrelated.
UR18_FTEs UR18 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR18: Other Unrelated.
Blank130 blank130 None
UR19_Salaries UR19 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR19: Rehabilitation.
UR19_Other UR19 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR19: Rehabilitation.
UR19_FTEs UR19 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR19: Rehabilitation.
Blank131 blank131 None
UR20_Salaries UR20 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR20: Hospital Specific 1.
UR20_Other UR20 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR20: Hospital Specific 1.
UR20_FTEs UR20 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR20: Hospital Specific 1.
Blank132 blank132 None
UR21_Salaries UR21 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR21: Hospital Specific 2.
UR21_Other UR21 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR21: Hospital Specific 2.
UR21_FTEs UR21 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR21: Hospital Specific 2.
Blank133 blank133 None
UR22_Salaries UR22 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR22: Hospital Specific 3.
UR22_Other UR22 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR22: Hospital Specific 3.
UR22_FTEs UR22 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR22: Hospital Specific 3.
Blank134 blank134 None
UR23_Salaries UR23 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR23: Hospital Specific 4.
UR23_Other UR23 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR23: Hospital Specific 4.
UR23_FTEs UR23 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR23: Hospital Specific 4.
Blank135 blank135 None
UR24_Salaries UR24 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR24: Hospital Specific 5.
UR24_Other UR24 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR24: Hospital Specific 5.
UR24_FTEs UR24 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR24: Hospital Specific 5.
Blank136 blank136 None
UR25_Salaries UR25 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Salaries for UR25: Hospital Specific 6.
UR25_Other UR25 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the indirect costs allocated to Other for UR25: Hospital Specific 6.
UR25_FTEs UR25 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the indirect FTEs allocated to UR25: Hospital Specific 6.
Blank137 blank137 None
Total_Salaries Total Salaries Currency Total - Reported in Thousands. Displayed with one decimal. For each cost center, the total indirect costs allocated to Salaries.
Total_Other Total Other Currency Total - Reported in Thousands. Displayed with one decimal. For each cost center, the total indirect costs allocated to Other.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. For each cost center, the total indirect costs.
Total_FTEs Total FTEs Number - Displayed with one decimal. For each cost center, the total indirect cost FTEs.
Back to Schedule EFUR - EFUR Input

Schedule EFUR - EFUR Input: Section - C Schedule: Subtotal

Field ID Field Name Reporting Format Field Description
E01_Salaries E01 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for E01: Ambulance.
E01_Other E01 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for E01: Ambulance.
E01_FTEs E01 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E01: Ambulance.
Blank100 blank100 None
E02_Salaries E02 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for E02: Parking.
E02_Other E02 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for E02: Parking.
E02_FTEs E02 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E02: Parking.
Blank101 blank101 None
E03_Salaries E03 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for E03: Doctor's Private Office Rental.
E03_Other E03 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for E03: Doctor's Private Office Rental.
E03_FTEs E03 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E03: Doctor's Private Office Rental.
Blank102 blank102 None
E04_Salaries E04 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for E04: Office and Other Rentals.
E04_Other E04 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for E04: Office and Other Rentals.
E04_FTEs E04 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E04: Office and Other Rentals.
Blank103 blank103 None
E05_Salaries E05 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for E05: Retail Operations.
E05_Other E05 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for E05: Retail Operations.
E05_FTEs E05 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E05: Retail Operations.
Blank104 blank104 None
E06_Salaries E06 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for E06: Patient Telephones.
E06_Other E06 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for E06: Patient Telephones.
E06_FTEs E06 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E06: Patient Telephones.
Blank105 blank105 None
E07_Salaries E07 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for E07: Cafeteria.
E07_Other E07 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for E07: Cafeteria.
E07_FTEs E07 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E07: Cafeteria.
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E08_Salaries E08 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for E08: Day Care Center, Rec Areas, etc.
E08_Other E08 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for E08: Day Care Center, Rec Areas, etc.
E08_FTEs E08 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E08: Day Care Center, Rec Areas, etc.
Blank107 blank107 None
E09_Salaries E09 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for E09: Housing.
E09_Other E09 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for E09: Housing.
E09_FTEs E09 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E09: Housing.
Blank108 blank108 None
F01_Salaries F01 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for F01: Research.
F01_Other F01 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for F01: Research.
F01_FTEs F01 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to F01: Research.
Blank109 blank109 None
F02_Salaries F02 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for F02: Nursing Education.
F02_Other F02 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for F02: Nursing Education.
F02_FTEs F02 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to F02: Nursing Education.
Blank110 blank110 None
F03_Salaries F03 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for F03: Other Health Professional Education.
F03_Other F03 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for F03: Other Health Professional Education.
F03_FTEs F03 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to F03: Other Health Professional Education.
Blank111 blank111 None
F04_Salaries F04 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for F04: Community Health Education.
F04_Other F04 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for F04: Community Health Education.
F04_FTEs F04 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to F04: Community Health Education.
Blank112 blank112 None
UR01_Salaries UR01 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR01: Free Standing Clinic Services.
UR01_Other UR01 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR01: Free Standing Clinic Services.
UR01_FTEs UR01 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR01: Free Standing Clinic Services.
Blank113 blank113 None
UR02_Salaries UR02 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR02: Home Health Services.
UR02_Other UR02 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR02: Home Health Services.
UR02_FTEs UR02 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR02: Home Health Services.
Blank114 blank114 None
UR03_Salaries UR03 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR03: Other Health Professional Education.
UR03_Other UR03 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR03: Other Health Professional Education.
UR03_FTEs UR03 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR03: Other Health Professional Education.
Blank115 blank115 None
UR04_Salaries UR04 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR04: Community Health Education.
UR04_Other UR04 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR04: Community Health Education.
UR04_FTEs UR04 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR04: Community Health Education.
Blank116 blank116 None
UR05_Salaries UR05 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR05: Laboratory - Non Patient.
UR05_Other UR05 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR05: Laboratory - Non Patient.
UR05_FTEs UR05 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR05: Laboratory - Non Patient.
Blank117 blank117 None
UR06_Salaries UR06 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR06: Physicians Part B Services.
UR06_Other UR06 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR06: Physicians Part B Services.
UR06_FTEs UR06 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR06: Physicians Part B Services.
Blank118 blank118 None
UR07_Salaries UR07 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR07: Certified Nurse Anesthetist.
UR07_Other UR07 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR07: Certified Nurse Anesthetist.
UR07_FTEs UR07 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR07: Certified Nurse Anesthetist.
Blank119 blank119 None
UR08_Salaries UR08 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR08: Physician Support Services.
UR08_Other UR08 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR08: Physician Support Services.
UR08_FTEs UR08 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR08: Physician Support Services.
Blank120 blank120 None
UR09_Salaries UR09 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR09: Adult Day Care.
UR09_Other UR09 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR09: Adult Day Care.
UR09_FTEs UR09 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR09: Adult Day Care.
Blank121 blank121 None
UR10_Salaries UR10 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR10: Cancer Center.
UR10_Other UR10 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR10: Cancer Center.
UR10_FTEs UR10 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR10: Cancer Center.
Blank122 blank122 None
UR11_Salaries UR11 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR11: Cardiac.
UR11_Other UR11 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR11: Cardiac.
UR11_FTEs UR11 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR11: Cardiac.
Blank123 blank123 None
UR12_Salaries UR12 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR12: Community Service.
UR12_Other UR12 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR12: Community Service.
UR12_FTEs UR12 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR12: Community Service.
Blank124 blank124 None
UR13_Salaries UR13 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR13: Consolidating/Eliminations.
UR13_Other UR13 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR13: Consolidating/Eliminations.
UR13_FTEs UR13 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR13: Consolidating/Eliminations.
Blank125 blank125 None
UR14_Salaries UR14 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR14: Foundation.
UR14_Other UR14 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR14: Foundation.
UR14_FTEs UR14 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR14: Foundation.
Blank126 blank126 None
UR15_Salaries UR15 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR15: Hospice.
UR15_Other UR15 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR15: Hospice.
UR15_FTEs UR15 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR15: Hospice.
Blank127 blank127 None
UR16_Salaries UR16 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR16: Imaging.
UR16_Other UR16 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR16: Imaging.
UR16_FTEs UR16 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR16: Imaging.
Blank128 blank128 None
UR17_Salaries UR17 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR17: Outpatient Medical Center.
UR17_Other UR17 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR17: Outpatient Medical Center.
UR17_FTEs UR17 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR17: Outpatient Medical Center.
Blank129 blank129 None
UR18_Salaries UR18 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR18: Other Unrelated.
UR18_Other UR18 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR18: Other Unrelated.
UR18_FTEs UR18 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR18: Other Unrelated.
Blank130 blank130 None
UR19_Salaries UR19 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR19: Rehabilitation.
UR19_Other UR19 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR19: Rehabilitation.
UR19_FTEs UR19 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR19: Rehabilitation.
Blank131 blank131 None
UR20_Salaries UR20 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR20: Hospital Specific 1.
UR20_Other UR20 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR20: Hospital Specific 1.
UR20_FTEs UR20 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR20: Hospital Specific 1.
Blank132 blank132 None
UR21_Salaries UR21 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR21: Hospital Specific 2.
UR21_Other UR21 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR21: Hospital Specific 2.
UR21_FTEs UR21 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR21: Hospital Specific 2.
Blank133 blank133 None
UR22_Salaries UR22 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR22: Hospital Specific 3.
UR22_Other UR22 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR22: Hospital Specific 3.
UR22_FTEs UR22 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR22: Hospital Specific 3.
Blank134 blank134 None
UR23_Salaries UR23 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR23: Hospital Specific 4.
UR23_Other UR23 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR23: Hospital Specific 4.
UR23_FTEs UR23 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR23: Hospital Specific 4.
Blank135 blank135 None
UR24_Salaries UR24 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR24: Hospital Specific 5.
UR24_Other UR24 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR24: Hospital Specific 5.
UR24_FTEs UR24 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR24: Hospital Specific 5.
Blank136 blank136 None
UR25_Salaries UR25 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries for UR25: Hospital Specific 6.
UR25_Other UR25 - Other Currency - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other for UR25: Hospital Specific 6.
UR25_FTEs UR25 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR25: Hospital Specific 6.
Blank137 blank137 None
Total_Salaries Total Salaries Currency Total - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Salaries.
Total_Other Total Other Currency Total - Reported in Thousands. Displayed with one decimal. The total indirect costs allocated to Other.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. For each cost center, the total indirect costs.
Total_FTEs Total FTEs Number - Displayed with one decimal. The total indirect cost FTEs.
Back to Schedule EFUR - EFUR Input

Schedule EFUR - EFUR Input: Section - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
E01_Salaries E01 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for E01: Ambulance.
E01_Other E01 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for E01: Ambulance.
E01_FTEs E01 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to E01: Ambulance.
Blank100 blank100 None
E02_Salaries E02 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for E02: Parking.
E02_Other E02 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for E02: Parking.
E02_FTEs E02 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to E02: Parking.
Blank101 blank101 None
E03_Salaries E03 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for E03: Doctor's Private Office Rental.
E03_Other E03 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for E03: Doctor's Private Office Rental.
E03_FTEs E03 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to E03: Doctor's Private Office Rental.
Blank102 blank102 None
E04_Salaries E04 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for E04: Office and Other Rentals.
E04_Other E04 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for E04: Office and Other Rentals.
E04_FTEs E04 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to E04: Office and Other Rentals.
Blank103 blank103 None
E05_Salaries E05 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for E05: Retail Operations.
E05_Other E05 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for E05: Retail Operations.
E05_FTEs E05 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to E05: Retail Operations.
Blank104 blank104 None
E06_Salaries E06 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for E06: Patient Telephones.
E06_Other E06 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for E06: Patient Telephones.
E06_FTEs E06 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to E06: Patient Telephones.
Blank105 blank105 None
E07_Salaries E07 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for E07: Cafeteria.
E07_Other E07 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for E07: Cafeteria.
E07_FTEs E07 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to E07: Cafeteria.
Blank106 blank106 None
E08_Salaries E08 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for E08: Day Care Center, Rec Areas, etc.
E08_Other E08 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for E08: Day Care Center, Rec Areas, etc.
E08_FTEs E08 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to E08: Day Care Center, Rec Areas, etc.
Blank107 blank107 None
E09_Salaries E09 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for E09: Housing.
E09_Other E09 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for E09: Housing.
E09_FTEs E09 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to E09: Housing.
Blank108 blank108 None
F01_Salaries F01 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for F01: Research.
F01_Other F01 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for F01: Research.
F01_FTEs F01 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to F01: Research.
Blank109 blank109 None
F02_Salaries F02 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for F02: Nursing Education.
F02_Other F02 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for F02: Nursing Education.
F02_FTEs F02 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to F02: Nursing Education.
Blank110 blank110 None
F03_Salaries F03 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for F03: Other Health Professional Education.
F03_Other F03 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for F03: Other Health Professional Education.
F03_FTEs F03 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to F03: Other Health Professional Education.
Blank111 blank111 None
F04_Salaries F04 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for F04: Community Health Education.
F04_Other F04 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for F04: Community Health Education.
F04_FTEs F04 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to F04: Community Health Education.
Blank112 blank112 None
UR01_Salaries UR01 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR01: Free Standing Clinic Services.
UR01_Other UR01 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR01: Free Standing Clinic Services.
UR01_FTEs UR01 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR01: Free Standing Clinic Services.
Blank113 blank113 None
UR02_Salaries UR02 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR02: Home Health Services.
UR02_Other UR02 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR02: Home Health Services.
UR02_FTEs UR02 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR02: Home Health Services.
Blank114 blank114 None
UR03_Salaries UR03 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR03: Other Health Professional Education.
UR03_Other UR03 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR03: Other Health Professional Education.
UR03_FTEs UR03 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR03: Other Health Professional Education.
Blank115 blank115 None
UR04_Salaries UR04 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR04: Community Health Education.
UR04_Other UR04 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR04: Community Health Education.
UR04_FTEs UR04 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR04: Community Health Education.
Blank116 blank116 None
UR05_Salaries UR05 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR05: Laboratory - Non Patient.
UR05_Other UR05 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR05: Laboratory - Non Patient.
UR05_FTEs UR05 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR05: Laboratory - Non Patient.
Blank117 blank117 None
UR06_Salaries UR06 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR06: Physicians Part B Services.
UR06_Other UR06 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR06: Physicians Part B Services.
UR06_FTEs UR06 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR06: Physicians Part B Services.
Blank118 blank118 None
UR07_Salaries UR07 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR07: Certified Nurse Anesthetist.
UR07_Other UR07 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR07: Certified Nurse Anesthetist.
UR07_FTEs UR07 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR07: Certified Nurse Anesthetist.
Blank119 blank119 None
UR08_Salaries UR08 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR08: Physician Support Services.
UR08_Other UR08 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR08: Physician Support Services.
UR08_FTEs UR08 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR08: Physician Support Services.
Blank120 blank120 None
UR09_Salaries UR09 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR09: Adult Day Care.
UR09_Other UR09 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR09: Adult Day Care.
UR09_FTEs UR09 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR09: Adult Day Care.
Blank121 blank121 None
UR10_Salaries UR10 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR10: Cancer Center.
UR10_Other UR10 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR10: Cancer Center.
UR10_FTEs UR10 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR10: Cancer Center.
Blank122 blank122 None
UR11_Salaries UR11 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR11: Cardiac.
UR11_Other UR11 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR11: Cardiac.
UR11_FTEs UR11 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR11: Cardiac.
Blank123 blank123 None
UR12_Salaries UR12 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR12: Community Service.
UR12_Other UR12 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR12: Community Service.
UR12_FTEs UR12 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR12: Community Service.
Blank124 blank124 None
UR13_Salaries UR13 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR13: Consolidating/Eliminations.
UR13_Other UR13 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR13: Consolidating/Eliminations.
UR13_FTEs UR13 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR13: Consolidating/Eliminations.
Blank125 blank125 None
UR14_Salaries UR14 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR14: Foundation.
UR14_Other UR14 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR14: Foundation.
UR14_FTEs UR14 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR14: Foundation.
Blank126 blank126 None
UR15_Salaries UR15 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR15: Hospice.
UR15_Other UR15 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR15: Hospice.
UR15_FTEs UR15 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR15: Hospice.
Blank127 blank127 None
UR16_Salaries UR16 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR16: Imaging.
UR16_Other UR16 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR16: Imaging.
UR16_FTEs UR16 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR16: Imaging.
Blank128 blank128 None
UR17_Salaries UR17 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR17: Outpatient Medical Center.
UR17_Other UR17 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR17: Outpatient Medical Center.
UR17_FTEs UR17 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR17: Outpatient Medical Center.
Blank129 blank129 None
UR18_Salaries UR18 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR18: Other Unrelated.
UR18_Other UR18 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR18: Other Unrelated.
UR18_FTEs UR18 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR18: Other Unrelated.
Blank130 blank130 None
UR19_Salaries UR19 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR19: Rehabilitation.
UR19_Other UR19 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR19: Rehabilitation.
UR19_FTEs UR19 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR19: Rehabilitation.
Blank131 blank131 None
UR20_Salaries UR20 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR20: Hospital Specific 1.
UR20_Other UR20 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR20: Hospital Specific 1.
UR20_FTEs UR20 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR20: Hospital Specific 1.
Blank132 blank132 None
UR21_Salaries UR21 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR21: Hospital Specific 2.
UR21_Other UR21 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR21: Hospital Specific 2.
UR21_FTEs UR21 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR21: Hospital Specific 2.
Blank133 blank133 None
UR22_Salaries UR22 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR22: Hospital Specific 3.
UR22_Other UR22 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR22: Hospital Specific 3.
UR22_FTEs UR22 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR22: Hospital Specific 3.
Blank134 blank134 None
UR23_Salaries UR23 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR23: Hospital Specific 4.
UR23_Other UR23 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR23: Hospital Specific 4.
UR23_FTEs UR23 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR23: Hospital Specific 4.
Blank135 blank135 None
UR24_Salaries UR24 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR24: Hospital Specific 5.
UR24_Other UR24 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR24: Hospital Specific 5.
UR24_FTEs UR24 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR24: Hospital Specific 5.
Blank136 blank136 None
UR25_Salaries UR25 - Salaries Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Salaries for UR25: Hospital Specific 6.
UR25_Other UR25 - Other Currency Input - Report in Thousands. Displayed with one decimal. For each cost center, enter the unassigned expenses allocated to Other for UR25: Hospital Specific 6.
UR25_FTEs UR25 - FTEs Number Input - Displayed with one decimal. For each cost center, enter the unassigned expense FTEs allocated to UR25: Hospital Specific 6.
Blank137 blank137 None
Total_Salaries Total Salaries Currency Total - Reported in Thousands. Displayed with one decimal. For each cost center, the total unassigned expenses allocated to Salaries.
Total_Other Total Other Currency Total - Reported in Thousands. Displayed with one decimal. For each cost center, the total unassigned expenses allocated to Other.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. For each cost center, the total unassigned expenses.
Total_FTEs Total FTEs Number - Displayed with one decimal. For each cost center, the total unassigned expense FTEs.
Back to Schedule EFUR - EFUR Input

Schedule EFUR - EFUR Input: Section - UA Schedule: Subtotal

Field ID Field Name Reporting Format Field Description
E01_Salaries E01 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for E01: Ambulance.
E01_Other E01 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for E01: Ambulance.
E01_FTEs E01 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to E01: Ambulance.
Blank100 blank100 None
E02_Salaries E02 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for E02: Parking.
E02_Other E02 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for E02: Parking.
E02_FTEs E02 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to E02: Parking.
Blank101 blank101 None
E03_Salaries E03 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for E03: Doctor's Private Office Rental.
E03_Other E03 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for E03: Doctor's Private Office Rental.
E03_FTEs E03 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to E03: Doctor's Private Office Rental.
Blank102 blank102 None
E04_Salaries E04 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for E04: Office and Other Rentals.
E04_Other E04 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for E04: Office and Other Rentals.
E04_FTEs E04 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to E04: Office and Other Rentals.
Blank103 blank103 None
E05_Salaries E05 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for E05: Retail Operations.
E05_Other E05 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for E05: Retail Operations.
E05_FTEs E05 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to E05: Retail Operations.
Blank104 blank104 None
E06_Salaries E06 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for E06: Patient Telephones.
E06_Other E06 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for E06: Patient Telephones.
E06_FTEs E06 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to E06: Patient Telephones.
Blank105 blank105 None
E07_Salaries E07 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for E07: Cafeteria.
E07_Other E07 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for E07: Cafeteria.
E07_FTEs E07 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to E07: Cafeteria.
Blank106 blank106 None
E08_Salaries E08 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for E08: Day Care Center, Rec Areas, etc.
E08_Other E08 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for E08: Day Care Center, Rec Areas, etc.
E08_FTEs E08 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to E08: Day Care Center, Rec Areas, etc.
Blank107 blank107 None
E09_Salaries E09 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for E09: Housing.
E09_Other E09 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for E09: Housing.
E09_FTEs E09 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to E09: Housing.
Blank108 blank108 None
F01_Salaries F01 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for F01: Research.
F01_Other F01 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for F01: Research.
F01_FTEs F01 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to F01: Research.
Blank109 blank109 None
F02_Salaries F02 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for F02: Nursing Education.
F02_Other F02 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for F02: Nursing Education.
F02_FTEs F02 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to F02: Nursing Education.
Blank110 blank110 None
F03_Salaries F03 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for F03: Other Health Professional Education.
F03_Other F03 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for F03: Other Health Professional Education.
F03_FTEs F03 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to F03: Other Health Professional Education.
Blank111 blank111 None
F04_Salaries F04 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for F04: Community Health Education.
F04_Other F04 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for F04: Community Health Education.
F04_FTEs F04 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to F04: Community Health Education.
Blank112 blank112 None
UR01_Salaries UR01 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR01: Free Standing Clinic Services.
UR01_Other UR01 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR01: Free Standing Clinic Services.
UR01_FTEs UR01 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR01: Free Standing Clinic Services.
Blank113 blank113 None
UR02_Salaries UR02 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR02: Home Health Services.
UR02_Other UR02 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR02: Home Health Services.
UR02_FTEs UR02 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR02: Home Health Services.
Blank114 blank114 None
UR03_Salaries UR03 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR03: Other Health Professional Education.
UR03_Other UR03 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR03: Other Health Professional Education.
UR03_FTEs UR03 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR03: Other Health Professional Education.
Blank115 blank115 None
UR04_Salaries UR04 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR04: Community Health Education.
UR04_Other UR04 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR04: Community Health Education.
UR04_FTEs UR04 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR04: Community Health Education.
Blank116 blank116 None
UR05_Salaries UR05 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR05: Laboratory - Non Patient.
UR05_Other UR05 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR05: Laboratory - Non Patient.
UR05_FTEs UR05 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR05: Laboratory - Non Patient.
Blank117 blank117 None
UR06_Salaries UR06 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR06: Physicians Part B Services.
UR06_Other UR06 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR06: Physicians Part B Services.
UR06_FTEs UR06 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR06: Physicians Part B Services.
Blank118 blank118 None
UR07_Salaries UR07 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR07: Certified Nurse Anesthetist.
UR07_Other UR07 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR07: Certified Nurse Anesthetist.
UR07_FTEs UR07 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR07: Certified Nurse Anesthetist.
Blank119 blank119 None
UR08_Salaries UR08 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR08: Physician Support Services.
UR08_Other UR08 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR08: Physician Support Services.
UR08_FTEs UR08 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR08: Physician Support Services.
Blank120 blank120 None
UR09_Salaries UR09 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR09: Adult Day Care.
UR09_Other UR09 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR09: Adult Day Care.
UR09_FTEs UR09 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR09: Adult Day Care.
Blank121 blank121 None
UR10_Salaries UR10 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR10: Cancer Center.
UR10_Other UR10 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR10: Cancer Center.
UR10_FTEs UR10 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR10: Cancer Center.
Blank122 blank122 None
UR11_Salaries UR11 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR11: Cardiac.
UR11_Other UR11 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR11: Cardiac.
UR11_FTEs UR11 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR11: Cardiac.
Blank123 blank123 None
UR12_Salaries UR12 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR12: Community Service.
UR12_Other UR12 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR12: Community Service.
UR12_FTEs UR12 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR12: Community Service.
Blank124 blank124 None
UR13_Salaries UR13 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR13: Consolidating/Eliminations.
UR13_Other UR13 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR13: Consolidating/Eliminations.
UR13_FTEs UR13 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR13: Consolidating/Eliminations.
Blank125 blank125 None
UR14_Salaries UR14 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR14: Foundation.
UR14_Other UR14 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR14: Foundation.
UR14_FTEs UR14 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR14: Foundation.
Blank126 blank126 None
UR15_Salaries UR15 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR15: Hospice.
UR15_Other UR15 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR15: Hospice.
UR15_FTEs UR15 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR15: Hospice.
Blank127 blank127 None
UR16_Salaries UR16 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR16: Imaging.
UR16_Other UR16 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR16: Imaging.
UR16_FTEs UR16 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR16: Imaging.
Blank128 blank128 None
UR17_Salaries UR17 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR17: Outpatient Medical Center.
UR17_Other UR17 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR17: Outpatient Medical Center.
UR17_FTEs UR17 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR17: Outpatient Medical Center.
Blank129 blank129 None
UR18_Salaries UR18 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR18: Other Unrelated.
UR18_Other UR18 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR18: Other Unrelated.
UR18_FTEs UR18 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR18: Other Unrelated.
Blank130 blank130 None
UR19_Salaries UR19 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR19: Rehabilitation.
UR19_Other UR19 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR19: Rehabilitation.
UR19_FTEs UR19 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR19: Rehabilitation.
Blank131 blank131 None
UR20_Salaries UR20 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR20: Hospital Specific 1.
UR20_Other UR20 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR20: Hospital Specific 1.
UR20_FTEs UR20 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR20: Hospital Specific 1.
Blank132 blank132 None
UR21_Salaries UR21 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR21: Hospital Specific 2.
UR21_Other UR21 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR21: Hospital Specific 2.
UR21_FTEs UR21 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR21: Hospital Specific 2.
Blank133 blank133 None
UR22_Salaries UR22 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR22: Hospital Specific 3.
UR22_Other UR22 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR22: Hospital Specific 3.
UR22_FTEs UR22 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR22: Hospital Specific 3.
Blank134 blank134 None
UR23_Salaries UR23 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR23: Hospital Specific 4.
UR23_Other UR23 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR23: Hospital Specific 4.
UR23_FTEs UR23 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR23: Hospital Specific 4.
Blank135 blank135 None
UR24_Salaries UR24 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR24: Hospital Specific 5.
UR24_Other UR24 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR24: Hospital Specific 5.
UR24_FTEs UR24 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR24: Hospital Specific 5.
Blank136 blank136 None
UR25_Salaries UR25 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries for UR25: Hospital Specific 6.
UR25_Other UR25 - Other Currency - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other for UR25: Hospital Specific 6.
UR25_FTEs UR25 - FTEs Number - Displayed with one decimal. The total unassigned expense FTEs allocated to UR25: Hospital Specific 6.
Blank137 blank137 None
Total_Salaries Total Salaries Currency Total - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Salaries.
Total_Other Total Other Currency Total - Reported in Thousands. Displayed with one decimal. The total unassigned expenses allocated to Other.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. For each cost center, the total unassigned expenses.
Total_FTEs Total FTEs Number - Displayed with one decimal. The total unassigned expense FTEs.
Back to Schedule EFUR - EFUR Input

Schedule EFUR - EFUR Input: Section - Total

Field ID Field Name Reporting Format Field Description
E01_Salaries E01 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for E01: Ambulance.
E01_Other E01 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for E01: Ambulance.
E01_FTEs E01 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E01: Ambulance.
Blank100 blank100 None
E02_Salaries E02 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for E02: Parking.
E02_Other E02 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for E02: Parking.
E02_FTEs E02 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E02: Parking.
Blank101 blank101 None
E03_Salaries E03 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for E03: Doctor's Private Office Rental.
E03_Other E03 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for E03: Doctor's Private Office Rental.
E03_FTEs E03 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E03: Doctor's Private Office Rental.
Blank102 blank102 None
E04_Salaries E04 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for E04: Office and Other Rentals.
E04_Other E04 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for E04: Office and Other Rentals.
E04_FTEs E04 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E04: Office and Other Rentals.
Blank103 blank103 None
E05_Salaries E05 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for E05: Retail Operations.
E05_Other E05 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for E05: Retail Operations.
E05_FTEs E05 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E05: Retail Operations.
Blank104 blank104 None
E06_Salaries E06 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for E06: Patient Telephones.
E06_Other E06 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for E06: Patient Telephones.
E06_FTEs E06 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E06: Patient Telephones.
Blank105 blank105 None
E07_Salaries E07 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for E07: Cafeteria.
E07_Other E07 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for E07: Cafeteria.
E07_FTEs E07 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E07: Cafeteria.
Blank106 blank106 None
E08_Salaries E08 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for E08: Day Care Center, Rec Areas, etc.
E08_Other E08 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for E08: Day Care Center, Rec Areas, etc.
E08_FTEs E08 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E08: Day Care Center, Rec Areas, etc.
Blank107 blank107 None
E09_Salaries E09 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for E09: Housing.
E09_Other E09 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for E09: Housing.
E09_FTEs E09 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to E09: Housing.
Blank108 blank108 None
F01_Salaries F01 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for F01: Research.
F01_Other F01 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for F01: Research.
F01_FTEs F01 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to F01: Research.
Blank109 blank109 None
F02_Salaries F02 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for F02: Nursing Education.
F02_Other F02 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for F02: Nursing Education.
F02_FTEs F02 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to F02: Nursing Education.
Blank110 blank110 None
F03_Salaries F03 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for F03: Other Health Professional Education.
F03_Other F03 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for F03: Other Health Professional Education.
F03_FTEs F03 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to F03: Other Health Professional Education.
Blank111 blank111 None
F04_Salaries F04 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for F04: Community Health Education.
F04_Other F04 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for F04: Community Health Education.
F04_FTEs F04 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to F04: Community Health Education.
Blank112 blank112 None
UR01_Salaries UR01 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR01: Free Standing Clinic Services.
UR01_Other UR01 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR01: Free Standing Clinic Services.
UR01_FTEs UR01 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR01: Free Standing Clinic Services.
Blank113 blank113 None
UR02_Salaries UR02 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR02: Home Health Services.
UR02_Other UR02 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR02: Home Health Services.
UR02_FTEs UR02 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR02: Home Health Services.
Blank114 blank114 None
UR03_Salaries UR03 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR03: Other Health Professional Education.
UR03_Other UR03 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR03: Other Health Professional Education.
UR03_FTEs UR03 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR03: Other Health Professional Education.
Blank115 blank115 None
UR04_Salaries UR04 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR04: Community Health Education.
UR04_Other UR04 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR04: Community Health Education.
UR04_FTEs UR04 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR04: Community Health Education.
Blank116 blank116 None
UR05_Salaries UR05 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR05: Laboratory - Non Patient.
UR05_Other UR05 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR05: Laboratory - Non Patient.
UR05_FTEs UR05 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR05: Laboratory - Non Patient.
Blank117 blank117 None
UR06_Salaries UR06 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR06: Physicians Part B Services.
UR06_Other UR06 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR06: Physicians Part B Services.
UR06_FTEs UR06 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR06: Physicians Part B Services.
Blank118 blank118 None
UR07_Salaries UR07 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR07: Certified Nurse Anesthetist.
UR07_Other UR07 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR07: Certified Nurse Anesthetist.
UR07_FTEs UR07 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR07: Certified Nurse Anesthetist.
Blank119 blank119 None
UR08_Salaries UR08 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR08: Physician Support Services.
UR08_Other UR08 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR08: Physician Support Services.
UR08_FTEs UR08 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR08: Physician Support Services.
Blank120 blank120 None
UR09_Salaries UR09 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR09: Adult Day Care.
UR09_Other UR09 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR09: Adult Day Care.
UR09_FTEs UR09 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR09: Adult Day Care.
Blank121 blank121 None
UR10_Salaries UR10 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR10: Cancer Center.
UR10_Other UR10 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR10: Cancer Center.
UR10_FTEs UR10 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR10: Cancer Center.
Blank122 blank122 None
UR11_Salaries UR11 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR11: Cardiac.
UR11_Other UR11 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR11: Cardiac.
UR11_FTEs UR11 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR11: Cardiac.
Blank123 blank123 None
UR12_Salaries UR12 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR12: Community Service.
UR12_Other UR12 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR12: Community Service.
UR12_FTEs UR12 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR12: Community Service.
Blank124 blank124 None
UR13_Salaries UR13 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR13: Consolidating/Eliminations.
UR13_Other UR13 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR13: Consolidating/Eliminations.
UR13_FTEs UR13 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR13: Consolidating/Eliminations.
Blank125 blank125 None
UR14_Salaries UR14 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR14: Foundation.
UR14_Other UR14 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR14: Foundation.
UR14_FTEs UR14 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR14: Foundation.
Blank126 blank126 None
UR15_Salaries UR15 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR15: Hospice.
UR15_Other UR15 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR15: Hospice.
UR15_FTEs UR15 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR15: Hospice.
Blank127 blank127 None
UR16_Salaries UR16 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR16: Imaging.
UR16_Other UR16 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR16: Imaging.
UR16_FTEs UR16 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR16: Imaging.
Blank128 blank128 None
UR17_Salaries UR17 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR17: Outpatient Medical Center.
UR17_Other UR17 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR17: Outpatient Medical Center.
UR17_FTEs UR17 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR17: Outpatient Medical Center.
Blank129 blank129 None
UR18_Salaries UR18 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR18: Other Unrelated.
UR18_Other UR18 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR18: Other Unrelated.
UR18_FTEs UR18 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR18: Other Unrelated.
Blank130 blank130 None
UR19_Salaries UR19 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR19: Rehabilitation.
UR19_Other UR19 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR19: Rehabilitation.
UR19_FTEs UR19 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR19: Rehabilitation.
Blank131 blank131 None
UR20_Salaries UR20 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR20: Hospital Specific 1.
UR20_Other UR20 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR20: Hospital Specific 1.
UR20_FTEs UR20 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR20: Hospital Specific 1.
Blank132 blank132 None
UR21_Salaries UR21 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR21: Hospital Specific 2.
UR21_Other UR21 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR21: Hospital Specific 2.
UR21_FTEs UR21 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR21: Hospital Specific 2.
Blank133 blank133 None
UR22_Salaries UR22 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR22: Hospital Specific 3.
UR22_Other UR22 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR22: Hospital Specific 3.
UR22_FTEs UR22 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR22: Hospital Specific 3.
Blank134 blank134 None
UR23_Salaries UR23 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR23: Hospital Specific 4.
UR23_Other UR23 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR23: Hospital Specific 4.
UR23_FTEs UR23 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR23: Hospital Specific 4.
Blank135 blank135 None
UR24_Salaries UR24 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR24: Hospital Specific 5.
UR24_Other UR24 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR24: Hospital Specific 5.
UR24_FTEs UR24 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR24: Hospital Specific 5.
Blank136 blank136 None
UR25_Salaries UR25 - Salaries Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries for UR25: Hospital Specific 6.
UR25_Other UR25 - Other Currency - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other for UR25: Hospital Specific 6.
UR25_FTEs UR25 - FTEs Number - Displayed with one decimal. The total indirect FTEs allocated to UR25: Hospital Specific 6.
Blank137 blank137 None
Total_Salaries Total Salaries Currency Total - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Salaries.
Total_Other Total Other Currency Total - Reported in Thousands. Displayed with one decimal. The total expenses allocated to Other.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. Total allocated expenses on Schedule EFUR.
Total_FTEs Total FTEs Number - Displayed with one decimal. The total allocated FTEs.
Back to Schedule EFUR - EFUR Input

Schedule EXP - Expense Build Up: Section - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency Input. Displayed with one decimal. For each indirect cost center, enter the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other Currency Input. Displayed with one decimal. For each indirect cost center, enter the reclassed trial balance expense for Other Expenses.
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each indirect cost center, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number Input - Displayed with one decimal. For each indirect cost center, enter the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each indirect cost center, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each indirect cost center, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each indirect cost center, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other Currency. Displayed with one decimal. For each indirect cost center, the negative total Other Overhead allocated to Part B Physicians.
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each cost center, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each indirect cost center, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each indirect cost center, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For each indirect cost center, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each indirect cost center, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. For each indirect cost center, enter the donated service expense for Other Expenses If not applicable, leave blank.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each indirect cost center, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. For each indirect cost center, enter the FTEs for donated services If not applicable, leave blank.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. The Data Processing Wages, Salaries, and Benefits Expense allocated to the indirect cost centers.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal. The Data Processing Other Expense allocated to the indirect cost centers.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each indirect cost center, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each indirect cost center, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each indirect cost center, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each indirect cost center, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each indirect cost center, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each applicable indirect cost center, the physician cost allocation for Salaries, Wages, and Benefit Expenses.
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each indirect cost center, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each applicable indirect cost center, the Physician Cost Allocation FTEs.
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each indirect cost center, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each indirect cost center, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each indirect cost center, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each indirect cost center, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries Currency. Displayed with one decimal. For each indirect cost center, the Gain (Loss) on Calculation from Schedule OADP.
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each indirect cost center, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries Currency. Displayed with one decimal. For each indirect cost center, the negative total Salaries, Wages, and Benefits Expenses from Schedule EFUR.
EFUR_Other E,F,UR Allocation: Other Currency. Displayed with one decimal. For each indirect cost center, the negative total Other Expenses from Schedule EFUR.
EFUR_Total E,F,UR Allocation: Total Currency. Displayed with one decimal. For each indirect cost center, the total EFUR Allocation.
EFUR_FTEs E,F,UR Allocation: FTEs Number - Displayed with one decimal. For each indirect cost center, the negative total FTEs from Schedule EFUR.
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each indirect cost center, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each indirect cost center, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each indirect cost center, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each indirect cost center, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - D Schedule: Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency Input. Displayed with one decimal. For each direct cost center, enter the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other Currency Input. Displayed with one decimal. For each direct cost center, enter the reclassed trial balance expense for Other Expenses.
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each direct cost center, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number Input - Displayed with one decimal. For each direct cost center, enter the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each direct cost center, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each direct cost center, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each direct cost center, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other None
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each cost center, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each direct cost center, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each direct cost center, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For each direct cost center, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each direct cost center, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. For each direct cost center, enter the donated service expense for Other Expenses If not applicable, leave blank.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each direct cost center, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. The Data Processing Wages, Salaries, and Benefits Expense allocated to the direct cost centers.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal. The Data Processing Other Expense allocated to the direct cost centers.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each direct cost center, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each direct cost center, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each direct cost center, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each direct cost center, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each direct cost center, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each direct cost center, the physician cost allocation for Salaries, Wages, and Benefit Expenses.
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each direct cost center, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each direct cost center, the Physician Cost Allocation FTEs.
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each direct cost center, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each direct cost center, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each direct cost center, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each direct cost center, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries Currency. Displayed with one decimal. For each direct cost center, the Gain (Loss) on Calculation from Schedule OADP.
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each direct cost center, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries None
EFUR_Other E,F,UR Allocation: Other None
EFUR_Total E,F,UR Allocation: Total None
EFUR_FTEs E,F,UR Allocation: FTEs None
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each direct cost center, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each direct cost center, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each direct cost center, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each direct cost center, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - Data Processing

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency Input. Displayed with one decimal. For data processing, enter the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other Currency Input. Displayed with one decimal. For data processing, enter the reclassed trial balance expense for Other Expenses.
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For data processing, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number Input - Displayed with one decimal. For data processing, enter the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For data processing, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For data processing, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For data processing, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other Currency. Displayed with one decimal. For Data Processing, the total Other Overhead allocated to Part B Physicians.
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For data processing, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For data processing, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For data processing, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For data processing, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For data processing, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. For data processing, enter the donated service expense for Other Expenses If not applicable, leave blank.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For data processing, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. The negative of the total Fiscal Year Expenses for Salaries, Wages, and Benefits allocated to Data Processing.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal. The negative of the total Fiscal Year Expenses for Other allocated to Data Processing.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For data processing, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number - Displayed with one decimal. For data processing, the total FTEs for Data Processing.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For data processing, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For data processing, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For data processing, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries None
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For data processing, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs None
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For data processing, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For data processing, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For data processing, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For data processing, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries None
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For data processing, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries None
EFUR_Other E,F,UR Allocation: Other None
EFUR_Total E,F,UR Allocation: Total None
EFUR_FTEs E,F,UR Allocation: FTEs None
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For data processing, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For data processing, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For data processing, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For data processing, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - E Schedule: Auxiliary Enterprise Centers

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency Input. Displayed with one decimal. For each auxiliary enterprise center, enter the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other Currency Input. Displayed with one decimal. For each auxiliary enterprise center, enter the reclassed trial balance expense for Other Expenses.
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each auxiliary enterprise center, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number Input - Displayed with one decimal. For each auxiliary enterprise center, enter the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each auxiliary enterprise center, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other None
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each auxiliary enterprise center, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each auxiliary enterprise center, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. For each auxiliary enterprise center, enter the donated service expense for Other Expenses If not applicable, leave blank.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each auxiliary enterprise center, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. The Data Processing Wages, Salaries, and Benefits Expense allocated to the auxiliary enterprise centers.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal. The Data Processing Other Expense allocated to the auxiliary enterprise centers.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each auxiliary enterprise center, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each auxiliary enterprise center, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries None
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each auxiliary enterprise center, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs None
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each auxiliary enterprise center, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries Currency. Displayed with one decimal. For each auxiliary enterprise center, the Gain (Loss) on Calculation from Schedule OADP.
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each auxiliary enterprise center, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries Currency. Displayed with one decimal. For each auxiliary enterprise center, the total Salary, Wages, and Benefits Expenses on Schedule EFUR.
EFUR_Other E,F,UR Allocation: Other Currency. Displayed with one decimal. For each auxiliary enterprise center, the total Other Expenses on Schedule EFUR.
EFUR_Total E,F,UR Allocation: Total Currency. Displayed with one decimal. For each auxiliary enterprise center, the total EFUR Allocation.
EFUR_FTEs E,F,UR Allocation: FTEs Number - Displayed with one decimal. For each auxiliary enterprise center, the total FTEs on Schedule EFUR.
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each auxiliary enterprise center, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each auxiliary enterprise center, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each auxiliary enterprise center, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each auxiliary enterprise center, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - F Schedule: Other Institutional Programs

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency Input. Displayed with one decimal. For each other institutional program center, enter the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other Currency Input. Displayed with one decimal. For each other institutional program center, enter the reclassed trial balance expense for Other Expenses.
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each other institutional program center, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number Input - Displayed with one decimal. For each other institutional program center, enter the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each other institutional program center, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each other institutional program center, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each other institutional program center, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other None
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each other institutional program center, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each other institutional program center, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each other institutional program center, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For each other institutional program center, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each other institutional program center, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. For each other institutional program center, enter the donated service expense for Other Expenses If not applicable, leave blank.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each other institutional program, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. The Data Processing Wages, Salaries, and Benefits Expense allocated to the other institutional program centers.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal. The Data Processing Other Expense allocated to the other institutional program centers.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each other institutional program center, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each other institutional program center, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each other institutional program center, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each other institutional program center, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each other institutional program, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries None
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each other institutional program center, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs None
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each other institutional program center, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each other institutional program center, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each other institutional program center, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each other institutional program center, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries Currency. Displayed with one decimal. For each other institutional program center, the Gain (Loss) on Calculation from Schedule OADP.
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each other institutional program center, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries Currency. Displayed with one decimal. For each other institutional program center, the total Salary, Wages, and Benefits Expenses on Schedule EFUR.
EFUR_Other E,F,UR Allocation: Other Currency. Displayed with one decimal. For each other institutional program center, the total Other Expenses on Schedule EFUR.
EFUR_Total E,F,UR Allocation: Total Currency. Displayed with one decimal. For each other institutional program center, the total EFUR Allocation.
EFUR_FTEs E,F,UR Allocation: FTEs Number - Displayed with one decimal. For each other institutional program center, the total FTEs on Schedule EFUR.
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each other institutional program center, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each other institutional program center, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each other institutional program center, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each other institutional program center, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - P1 Schedule

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other None
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number. Displayed with one decimal. For each P schedule, the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other None
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each P schedule, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For the P Schedules, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Other Expenses If not applicable, leave blank.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each P Schedule, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. Enter the Data Processing Wages, Salaries, and Benefits Expense allocated to Schedule P1.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal. Enter the Data Processing Other Expense allocated to Schedule P1.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each P Schedule, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries None
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs None
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each P Schedule, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries None
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries None
EFUR_Other E,F,UR Allocation: Other None
EFUR_Total E,F,UR Allocation: Total None
EFUR_FTEs E,F,UR Allocation: FTEs None
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each P Schedule, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each P Schedule, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - P2 Schedule

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries None
Other_RTB Reclassed Trial Balance - Other None
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number. Displayed with one decimal. For each P schedule, the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other Currency. Displayed with one decimal. The total Other Overhead allocated to Part B Physicians, excluding UR06.
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each P schedule, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For the P Schedules, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Other Expenses If not applicable, leave blank.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each P Schedule, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. The Data Processing Wages, Salaries, and Benefits Expense allocated to the P Schedules.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal. The Data Processing Other Expense allocated to the P Schedules.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each P Schedule, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries None
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs None
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each P Schedule, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries Currency. Displayed with one decimal. For each P Schedule, the Gain (Loss) on Calculation from Schedule OADP.
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries None
EFUR_Other E,F,UR Allocation: Other None
EFUR_Total E,F,UR Allocation: Total None
EFUR_FTEs E,F,UR Allocation: FTEs None
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each P Schedule, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each P Schedule, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - P3 Schedule

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other None
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number. Displayed with one decimal. For each P schedule, the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other None
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each P schedule, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For the P Schedules, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Other Expenses If not applicable, leave blank.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each P Schedule, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. The Data Processing Wages, Salaries, and Benefits Expense allocated to the P Schedules.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal. The Data Processing Other Expense allocated to the P Schedules.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each P Schedule, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries None
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs None
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each P Schedule, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries Currency. Displayed with one decimal. For each P Schedule, the Gain (Loss) on Calculation from Schedule OADP.
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries None
EFUR_Other E,F,UR Allocation: Other None
EFUR_Total E,F,UR Allocation: Total None
EFUR_FTEs E,F,UR Allocation: FTEs None
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each P Schedule, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each P Schedule, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - P4 Schedule

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Other Expenses.
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number. Displayed with one decimal. For each P schedule, the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other None
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each P schedule, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For the P Schedules, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Other Expenses If not applicable, leave blank.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each P Schedule, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. The Data Processing Wages, Salaries, and Benefits Expense allocated to the P Schedules.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal. The Data Processing Other Expense allocated to the P Schedules.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each P Schedule, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries None
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs None
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each P Schedule, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries Currency. Displayed with one decimal. For each P Schedule, the Gain (Loss) on Calculation from Schedule OADP.
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries None
EFUR_Other E,F,UR Allocation: Other None
EFUR_Total E,F,UR Allocation: Total None
EFUR_FTEs E,F,UR Allocation: FTEs None
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each P Schedule, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each P Schedule, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - P5 Schedule

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency. Displayed with one decimal. For each physician schedule, enter the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other Currency. Displayed with one decimal. For each physician schedule, enter the reclassed trial balance expense for Other Expenses.
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number. Displayed with one decimal. For each P schedule, the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other None
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each P schedule, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For the P Schedules, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Other Expenses If not applicable, leave blank.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each P Schedule, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. The Data Processing Wages, Salaries, and Benefits Expense allocated to the P Schedules.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal. The Data Processing Other Expense allocated to the P Schedules.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each P Schedule, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries None
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs None
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each P Schedule, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries Currency. Displayed with one decimal. For each P Schedule, the Gain (Loss) on Calculation from Schedule OADP.
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries None
EFUR_Other E,F,UR Allocation: Other None
EFUR_Total E,F,UR Allocation: Total None
EFUR_FTEs E,F,UR Allocation: FTEs None
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each P Schedule, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each P Schedule, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - P6 Schedule

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency. Displayed with one decimal. For each physician schedule, enter the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other Currency. Displayed with one decimal. For each physician schedule, enter the reclassed trial balance expense for Other Expenses.
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number. Displayed with one decimal. For each P schedule, the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each physician schedule, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other None
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each P schedule, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For the P Schedules, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. For each P Schedule, enter the donated service expense for Other Expenses If not applicable, leave blank.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each P Schedule, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. The Data Processing Wages, Salaries, and Benefits Expense allocated to the P Schedules.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal. The Data Processing Other Expense allocated to the P Schedules.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each P Schedule, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries None
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs None
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each P Schedule, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries Currency. Displayed with one decimal. For each P Schedule, the Gain (Loss) on Calculation from Schedule OADP.
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each P Schedule, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries None
EFUR_Other E,F,UR Allocation: Other None
EFUR_Total E,F,UR Allocation: Total None
EFUR_FTEs E,F,UR Allocation: FTEs None
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each P Schedule, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each P Schedule, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each P Schedule, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency Input. Displayed with one decimal. For each unassigned expense cost center, enter the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other Currency Input. Displayed with one decimal. For each unassigned expense cost center, enter the reclassed trial balance expense for Other Expenses.
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each unassigned expense cost center, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number Input - Displayed with one decimal. For each unassigned expense center, enter the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each unassigned expense center, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each unassigned expense center, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each unassigned expense cost center, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other None
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each unassigned expense center, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each unassigned expense center, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each unassigned expense center, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For each unassigned expense center, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each unassigned expense center, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. TBD.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each unassigned expense center, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal.
DP_Other Data Processing Allocation: Other Currency. Displayed with one decimal.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each unassigned expense center, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each unassigned expense center, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each unassigned expense center, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each unassigned expense center, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each unassigned expense center, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries None
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each unassigned expense center, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs None
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each unassigned expense center, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each unassigned expense center, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each unassigned expense center, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each unassigned expense center, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries None
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each unassigned expense center, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries Currency. Displayed with one decimal. For each unassigned expense center, the negative total Salary, Wages, and Benefits Expenses on Schedule EFUR.
EFUR_Other E,F,UR Allocation: Other Currency. Displayed with one decimal. For each unassigned expense center, the negative total Other Expenses on Schedule EFUR.
EFUR_Total E,F,UR Allocation: Total Currency. Displayed with one decimal. For each unassigned expense center, the total EFUR Allocation.
EFUR_FTEs E,F,UR Allocation: FTEs Number - Displayed with one decimal. For each unassigned expense center, the negative total FTEs from Schedule EFUR.
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each unassigned expense center, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each unassigned expense center, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each unassigned expense center, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each unassigned expense center, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - URS Schedule: Unregulated Activities

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency Input. Displayed with one decimal. For each unregulated cost center, enter the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses.
Other_RTB Reclassed Trial Balance - Other Currency Input. Displayed with one decimal. For each unregulated cost center, enter the reclassed trial balance expense for Other Expenses.
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. For each unregulated cost center, the total reclassed trial balance expenses calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number Input - Displayed with one decimal. For each unregulated service center, enter the reclassed trial balance FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. For each unregulated cost center, the reclassed trial balance expense for Salaries, Wages, and Benefit Expenses reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. For each unassigned expense cost center, the reclassed trial balance expense for Other Expenses reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. For each unregulated cost center, the total reclassed trial balance expenses (reported in 1000s) calculated by taking the sum of Salaries, Wages, and Benefit Expenses and Other Expenses.
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries None
PartB_OH_Other Physician Part B OH Allocation: Other None
PartB_OH_Total Physician Part B OH Allocation: Total Currency. Displayed with one decimal. For each unregulated expenses center, the total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs None
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency. Displayed with one decimal. For each unregulated service center, the reclassed trial balance Salaries, Wages, and Benefit expense (reported in 1000s) for the Part B Physician overhead allocation.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency. Displayed with one decimal. For each unregulated service center, the reclassed trial balance Other expense (in 1000s) adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency. Displayed with one decimal. For each unregulated service center, the reclassed trial balance Total expense adjusted for the Part B Physician overhead allocation.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Input. Displayed with one decimal. For each unregulated service center, enter the donated service expense for Salaries, Wages, and Benefit Expenses If not applicable, leave blank.
Donated_Svcs_Other Donated Services: Other Currency Input. Displayed with one decimal. TBD.
Donated_Svcs_Total Donated Services: Total Currency. Displayed with one decimal. For each unregulated services center, the total Donated Services Expense.
Donated_Svcs_FTEs Donated Services: FTEs Number Input - Displayed with one decimal. TBD.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency. Displayed with one decimal. The Data Processing Wages, Salaries, and Benefits Expense allocated to the unregulated services centers.
DP_Other Data Processing Allocation: Other Currency Input. Displayed with one decimal. The Data Processing Other Expense allocated to the unregulated services centers.
DP_Total Data Processing Allocation: Total Currency. Displayed with one decimal. For each unregulated services center, the total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number Input - Displayed with one decimal. For each unregulated services center, enter the FTEs for Data Processing If not applicable, leave blank.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency. Displayed with one decimal. For each unregulated service center, the reclassed trial balance Salaries, Wages, and Benefits expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency. Displayed with one decimal. For each unregulated service center, the reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency. Displayed with one decimal. For each unregulated services center, the reclassed trial balance Total expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries None
PCA_Other Physician Cost Allocation: Other None
PCA_Total Physician Cost Allocation: Total Currency. Displayed with one decimal. For each unregulated services center, the total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs None
Blank8 blank8 None
AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency. Displayed with one decimal. For each unregulated services center, the reclassed trial balance Salaries, Wages, and Benefit expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency. Displayed with one decimal. For each unregulated services center, the reclassed trial balance Other expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency. Displayed with one decimal. For each unregulated services center, the reclassed trial balance Total expense adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. For each unregulated services center, the reclassed trial balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries Currency. Displayed with one decimal. For each unregulated service center, the Gain (Loss) on Calculation from Schedule OADP.
CPA_Other Cafeteria, Parking Allocation: Other None
CPA_Total Cafeteria, Parking Allocation: Total Currency. Displayed with one decimal. For each unregulated services center, the total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs None
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries Currency. Displayed with one decimal. For each unregulated services center, the total Salary, Wages, and Benefits Expenses on Schedule EFUR.
EFUR_Other E,F,UR Allocation: Other Currency. Displayed with one decimal. For each unregulated services center, the total Other Expenses on Schedule EFUR.
EFUR_Total E,F,UR Allocation: Total Currency. Displayed with one decimal. For each unregulated services center, the total EFUR Allocation.
EFUR_FTEs E,F,UR Allocation: FTEs Number - Displayed with one decimal. For each unregulated services center, the total FTEs on Schedule EFUR.
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency. Displayed with one decimal. For each unregulated services center, the final allocated trial balance for Salaries, Wages, and Benefits Expenses.
FinTB_Other Final Allocated Trial Balance: Other Currency. Displayed with one decimal. For each unregulated services center, the final allocated trial balance for Other Expenses.
FinTB_Total Final Allocated Trial Balance: Total Currency. Displayed with one decimal. For each unregulated services center, the final Total allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. For each unregulated services center, the final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule EXP - Expense Build Up: Section - Total

Field ID Field Name Reporting Format Field Description
Salaries_RTB Reclassed Trial Balance - Salaries Currency Total. Displayed with one decimal. The total reclassed trial balance expense for Salaries, Wages, and Benefits.
Other_RTB Reclassed Trial Balance - Other Currency Total. Displayed with one decimal. The total reclassed trial balance expense for Other Expenses.
Total_RTB Reclassed Trial Balance - Total Currency. Displayed with one decimal. The total reclassed trial balance expenses.
Total_FTEs Reclassed Trial Balance - FTEs Number - Displayed with one decimal. Total Reclassed Trial Balance - FTEs.
Blank1 blank1 None
Salaries Reclassed Trial Balance - Salaries (in 1000s) Currency. Displayed with one decimal. The total reclassed trial balance expense for Salaries, Wages, and Benefits, reported in 1000s.
Other Reclassed Trial Balance - Other (in 1000s) Currency. Displayed with one decimal. The total reclassed trial balance expense for Other Expenses, reported in 1000s.
Total Reclassed Trial Balance - Total (in 1000s) Currency. Displayed with one decimal. The total reclassed trial balance expenses (reported in 1000s).
Blank2 blank2 None
PartB_OH_Salaries Physician Part B OH Allocation: Salaries Currency Total. Displayed with one decimal. The total Physician Part B OH expense for Salaries, Wages, and Benefits.
PartB_OH_Other Physician Part B OH Allocation: Other Currency Total. Displayed with one decimal. The total Physician Part B OH expense for Other.
PartB_OH_Total Physician Part B OH Allocation: Total Currency Total. Displayed with one decimal. The total overhead expenses allocated to Part B Physicians.
PartB_OH_FTEs Physician Part B OH Allocation: FTEs Number - Displayed with one decimal. Total FTEs allocated to Part B Physicians.
Blank3 blank3 None
AdjRTB_PartB_Salaries Trial Balance Adj for Part B Allocations: Salaries Currency Total. Displayed with one decimal. The total Trial Balance Salaries adjusted for Part B Allocations.
AdjRTB_PartB_Other Trial Balance Adj for Part B Allocations: Other Currency Total. Displayed with one decimal. The total Trial Balance Other Expenses adjusted for Part B Allocations.
AdjRTB_PartB_Total Trial Balance Adj for Part B Allocations: Total Currency Total. Displayed with one decimal. The total Trial Balance Expenses adjusted for Part B Allocations.
AdjRTB_PartB_FTEs Trial Balance Adj for Part B Allocations: FTEs Number - Displayed with one decimal. The total Trial Balance FTEs adjusted for Part B Allocations.
Blank4 blank4 None
Donated_Svcs_Salaries Donated Services: Salaries Currency Total. Displayed with one decimal. The total Donated Services expense for Salaries, Wages, and Benefits.
Donated_Svcs_Other Donated Services: Other Currency Total. Displayed with one decimal. The total Donated Services expense for Other.
Donated_Svcs_Total Donated Services: Total Currency Total. Displayed with one decimal. The total Donated Services expense.
Donated_Svcs_FTEs Donated Services: FTEs Number - Displayed with one decimal. Total Donated Services FTEs.
Blank5 blank5 None
DP_Salaries Data Processing Allocation: Salaries Currency Total. Displayed with one decimal. The total Data Processing Allocation expense for Salaries, Wages, and Benefits.
DP_Other Data Processing Allocation: Other Currency Total. Displayed with one decimal. The total Data Processing Allocation expense for Other.
DP_Total Data Processing Allocation: Total Currency Total. Displayed with one decimal. The total Data Processing Allocation.
DP_FTEs Data Processing Allocation: FTEs Number - Displayed with one decimal. Total Data Processing Allocation FTEs.
Blank6 blank6 None
AdjRTB_DSDP_Salaries Trial Balance Adj for Donated Services & Data Processing: Salaries Currency Total. Displayed with one decimal. The total Trial Balance Salaries adjusted for Donated Services and Data Processing Allocations.
AdjRTB_DSDP_Other Trial Balance Adj for Donated Services & Data Processing: Other Currency Total. Displayed with one decimal. The total reclassed trial balance Other expense adjusted for Donated Services & Data Processing.
AdjRTB_DSDP_Total Trial Balance Adj for Donated Services & Data Processing: Total Currency Total. Displayed with one decimal. The total Trial Balance Expenses adjusted for Donated Services and Data Processing Allocations.
AdjRTB_DSDP_FTEs Trial Balance Adj for Donated Services & Data Processing: FTEs Number - Displayed with one decimal. Total Trial Balance FTEs adjusted for Donated Services and Data Processing.
Blank7 blank7 None
PCA_Salaries Physician Cost Allocation: Salaries Currency Total. Displayed with one decimal. The total Physician Cost Allocation for Salaries, Wages, and Benefits.
PCA_Other Physician Cost Allocation: Other Currency Total. Displayed with one decimal. The total Physician Cost Allocation for Other.
PCA_Total Physician Cost Allocation: Total Currency Total. Displayed with one decimal. The total Physician Cost Allocation.
PCA_FTEs Physician Cost Allocation: FTEs Number - Displayed with one decimal. Total Physician Cost Allocation FTEs.
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AdjRTB_PCA_Salaries Trial Balance Adj for Physician Cost Allocation: Salaries Currency Total. Displayed with one decimal. The total Trial Balance Salaries adjusted for Physician Cost Allocation.
AdjRTB_PCA_Other Trial Balance Adj for Physician Cost Allocation: Other Currency Total. Displayed with one decimal. The total Trial Balance Other adjusted for Donated Services and Data Processing Allocations.
AdjRTB_PCA_Total Trial Balance Adj for Physician Cost Allocation: Total Currency Total. Displayed with one decimal. The total Trial Balance Expenses adjusted for Physician Cost Allocation.
AdjRTB_PCA_FTEs Trial Balance Adj for Physician Cost Allocation: FTEs Number - Displayed with one decimal. Total Trial Balance FTEs adjusted for Physician Cost Allocation.
Blank9 blank9 None
CPA_Salaries Cafeteria, Parking Allocation: Salaries Currency Total. Displayed with one decimal. The total Cafeteria and Parking allocations for Salaries, Wages, and Benefits.
CPA_Other Cafeteria, Parking Allocation: Other Currency Total. Displayed with one decimal. The total Cafeteria and Parking allocations for Other.
CPA_Total Cafeteria, Parking Allocation: Total Currency Total. Displayed with one decimal. The total Cafeteria and Parking Allocations.
CPA_FTEs Cafeteria, Parking Allocation: FTEs Number - Displayed with one decimal. Total Cafeteria, Parking Allocation FTEs.
Blank10 blank10 None
EFUR_Salaries E,F,UR Allocation: Salaries Currency Total. Displayed with one decimal. The total E,F,UR allocations for Salaries, Wages, and Benefits.
EFUR_Other E,F,UR Allocation: Other Currency Total. Displayed with one decimal. The total E,F,UR allocations for Other.
EFUR_Total E,F,UR Allocation: Total Currency Total. Displayed with one decimal. The total E, F, UR allocations.
EFUR_FTEs E,F,UR Allocation: FTEs Number - Displayed with one decimal. Total E,F,UR Allocation FTEs.
Blank11 blank11 None
FinTB_Salaries Final Allocated Trial Balance: Salaries Currency Total. Displayed with one decimal. The total of the final allocated trial balance.
FinTB_Other Final Allocated Trial Balance: Other Currency Total. Displayed with one decimal. The total of the final allocated trial balance.
FinTB_Total Final Allocated Trial Balance: Total Currency Total. Displayed with one decimal. The total of the final allocated trial balance.
FinTB_FTEs Final Allocated Trial Balance: FTEs Number - Displayed with one decimal. Total final allocated trial balance FTEs.
Back to Schedule EXP - Expense Build Up

Schedule F - Other Institutional Programs: Section - F01-Volume Data

Field ID Field Name Reporting Format Field Description
Source Source None
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable other institutional program center, for the reporting hospital's fiscal year (e.g., The number of research projects for Research, the number of nursing students for Nursing Education, the number of students for Other Health Profession Education, or the number of participants for Community Health Education).
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F01-Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The salaries, wages, and employee benefits incurred in the fiscal year for applicable other institutional program functions. Expenses which are normally reported as components of other institutional programs function for salaries, wages, and employee benefits are Management and Supervision, Technician and Specialist, Physicians, Clerical and Other Administrative Employees, FICA, SUI and FUI, Group Health Insurance, Group Life Insurance, Pension and Retirement, Workmen's Compensation Insurance, Union Health and Welfare, Other Payroll Related Employee Benefits, and Non-Payroll Related Employee Benefits).
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses associated with professional fees, medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses incurred in the fiscal year for institutional program functions. Expenses which are normally reported as components of other institutional program functions for the above categories, by schedule are Medical Physicians, Other Medical Care Materials and Supplies, Office and Administrative Supplies, Employee Wearing Apparel, Electricity, Fuel, Disposal Service, Water, Telephone/Telegraph, Purchased Steam, Maintenance and Repairs, Medical School Contracts, Laundry and Linen, Data Processing, Insurance, Interest, Licenses and Taxes, Dues, Books and Subscriptions, Outside Training Sessions, Travel-Other, Postage, and Printing and Duplication.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for each applicable general service center line.
PerUnit Expense/Revenue Per Unit None
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F01-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable other institutional program center schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each other institutional program, the sum of wages, salaries, benefits, function expenses, and other expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F01-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F01-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F01-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each other institutional program center schedule, the amount of Capital Facilities Allowance transferred from schedule H3.
PerUnit Expense/Revenue Per Unit None
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F01-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The Adjusted Fiscal Year Expenses for Wages, Salaries, and Fringe Benefits, the result of adding Allocations from Cafeteria, Parking, etc., Allocations from Indirect Cost Centers, and Allocations from Unassigned Expenses to Fiscal Year Expenses.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The Adjusted Fiscal Year Expenses for Other Expenses, the result of adding Allocations from Indirect Cost Centers and Allocations from Unassigned Expenses to Fiscal Year Expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule F.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F01-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable other institutional program, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F01-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F01-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The Final Allocated Trial Balance FTEs for F01: Research from Schedule Exp.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F02-Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable other institutional program center, for the reporting hospital's fiscal year (e.g., The number of research projects for Research, the number of nursing students for Nursing Education, the number of students for Other Health Profession Education, or the number of participants for Community Health Education).
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F02-Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The salaries, wages, and employee benefits incurred in the fiscal year for applicable other institutional program functions. Expenses which are normally reported as components of other institutional programs function for salaries, wages, and employee benefits are Management and Supervision, Technician and Specialist, Physicians, Clerical and Other Administrative Employees, FICA, SUI and FUI, Group Health Insurance, Group Life Insurance, Pension and Retirement, Workmen's Compensation Insurance, Union Health and Welfare, Other Payroll Related Employee Benefits, and Non-Payroll Related Employee Benefits).
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses associated with professional fees, medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses incurred in the fiscal year for institutional program functions. Expenses which are normally reported as components of other institutional program functions for the above categories, by schedule are Medical Physicians, Other Medical Care Materials and Supplies, Office and Administrative Supplies, Employee Wearing Apparel, Electricity, Fuel, Disposal Service, Water, Telephone/Telegraph, Purchased Steam, Maintenance and Repairs, Medical School Contracts, Laundry and Linen, Data Processing, Insurance, Interest, Licenses and Taxes, Dues, Books and Subscriptions, Outside Training Sessions, Travel-Other, Postage, and Printing and Duplication.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for each applicable general service center line.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F02-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable other institutional program center schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each other institutional program, the sum of wages, salaries, benefits, function expenses, and other expenses.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F02-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F02-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F02-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each other institutional program center schedule, the amount of Capital Facilities Allowance transferred from schedule H3.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F02-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The Adjusted Fiscal Year Expenses for Wages, Salaries, and Fringe Benefits, the result of adding Allocations from Cafeteria, Parking, etc., Allocations from Indirect Cost Centers, and Allocations from Unassigned Expenses to Fiscal Year Expenses.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The Adjusted Fiscal Year Expenses for Other Expenses, the result of adding Allocations from Indirect Cost Centers and Allocations from Unassigned Expenses to Fiscal Year Expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule F.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F02-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable other institutional program, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F02-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F02-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The Final Allocated Trial Balance FTEs for F02: Nursing Education from Schedule Exp.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F03-Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable other institutional program center, for the reporting hospital's fiscal year (e.g., The number of research projects for Research, the number of nursing students for Nursing Education, the number of students for Other Health Profession Education, or the number of participants for Community Health Education).
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F03-Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The salaries, wages, and employee benefits incurred in the fiscal year for applicable other institutional program functions. Expenses which are normally reported as components of other institutional programs function for salaries, wages, and employee benefits are Management and Supervision, Technician and Specialist, Physicians, Clerical and Other Administrative Employees, FICA, SUI and FUI, Group Health Insurance, Group Life Insurance, Pension and Retirement, Workmen's Compensation Insurance, Union Health and Welfare, Other Payroll Related Employee Benefits, and Non-Payroll Related Employee Benefits).
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses associated with professional fees, medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses incurred in the fiscal year for institutional program functions. Expenses which are normally reported as components of other institutional program functions for the above categories, by schedule are Medical Physicians, Other Medical Care Materials and Supplies, Office and Administrative Supplies, Employee Wearing Apparel, Electricity, Fuel, Disposal Service, Water, Telephone/Telegraph, Purchased Steam, Maintenance and Repairs, Medical School Contracts, Laundry and Linen, Data Processing, Insurance, Interest, Licenses and Taxes, Dues, Books and Subscriptions, Outside Training Sessions, Travel-Other, Postage, and Printing and Duplication.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for each applicable general service center line.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F03-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable other institutional program center schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each other institutional program, the sum of wages, salaries, benefits, function expenses, and other expenses.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F03-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F03-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F03-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each other institutional program center schedule, the amount of Capital Facilities Allowance transferred from schedule H3.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F03-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The Adjusted Fiscal Year Expenses for Wages, Salaries, and Fringe Benefits, the result of adding Allocations from Cafeteria, Parking, etc., Allocations from Indirect Cost Centers, and Allocations from Unassigned Expenses to Fiscal Year Expenses.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The Adjusted Fiscal Year Expenses for Other Expenses, the result of adding Allocations from Indirect Cost Centers and Allocations from Unassigned Expenses to Fiscal Year Expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule F.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F03-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable other institutional program, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F03-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
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Schedule F - Other Institutional Programs: Section - F03-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The Final Allocated Trial Balance FTEs for F03: Other Health Professional Education from Schedule Exp.
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Schedule F - Other Institutional Programs: Section - F04-Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. The number of units, for each applicable other institutional program center, for the reporting hospital's fiscal year (e.g., The number of research projects for Research, the number of nursing students for Nursing Education, the number of students for Other Health Profession Education, or the number of participants for Community Health Education).
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F04-Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The salaries, wages, and employee benefits incurred in the fiscal year for applicable other institutional program functions. Expenses which are normally reported as components of other institutional programs function for salaries, wages, and employee benefits are Management and Supervision, Technician and Specialist, Physicians, Clerical and Other Administrative Employees, FICA, SUI and FUI, Group Health Insurance, Group Life Insurance, Pension and Retirement, Workmen's Compensation Insurance, Union Health and Welfare, Other Payroll Related Employee Benefits, and Non-Payroll Related Employee Benefits).
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses associated with professional fees, medical and surgical supplies, non-medical and non-surgical supplies, utilities, purchased services and other direct expenses incurred in the fiscal year for institutional program functions. Expenses which are normally reported as components of other institutional program functions for the above categories, by schedule are Medical Physicians, Other Medical Care Materials and Supplies, Office and Administrative Supplies, Employee Wearing Apparel, Electricity, Fuel, Disposal Service, Water, Telephone/Telegraph, Purchased Steam, Maintenance and Repairs, Medical School Contracts, Laundry and Linen, Data Processing, Insurance, Interest, Licenses and Taxes, Dues, Books and Subscriptions, Outside Training Sessions, Travel-Other, Postage, and Printing and Duplication.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, benefits, and other expenses for each applicable general service center line.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F04-Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable other institutional program center schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each other institutional program, the sum of wages, salaries, benefits, function expenses, and other expenses.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F04-C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F04-UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F04-Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each other institutional program center schedule, the amount of Capital Facilities Allowance transferred from schedule H3.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F04-Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The Adjusted Fiscal Year Expenses for Wages, Salaries, and Fringe Benefits, the result of adding Allocations from Cafeteria, Parking, etc., Allocations from Indirect Cost Centers, and Allocations from Unassigned Expenses to Fiscal Year Expenses.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The Adjusted Fiscal Year Expenses for Other Expenses, the result of adding Allocations from Indirect Cost Centers and Allocations from Unassigned Expenses to Fiscal Year Expenses.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule F.
PerUnit Expense/Revenue Per Unit Number - Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule F - Other Institutional Programs

Schedule F - Other Institutional Programs: Section - F04-Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable other institutional program, in the Total Expense, Revenue Column, the revenue of the reporting hospital generated for the fiscal year.
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Schedule F - Other Institutional Programs: Section - F04-Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
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Schedule F - Other Institutional Programs: Section - F04-Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. The Final Allocated Trial Balance FTEs for F04: Community Health Education from Schedule Exp.
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Schedule H2 - Departmental Equipment Allowance: Section - Capital Intensive Cost Centers

Field ID Field Name Reporting Format Field Description
Purchase_Cost Cost of Purchases - Current FY Currency - Reported in Thousands. Displayed with one decimal. For each applicable department equipment allowance line, the cost of current purchases of the reporting hospital for the fiscal year.
NumYr Number of Years Number - Displayed with one decimal. The average useful life of equipment for each department.
Cumltv_Purchases_Total Cumulative Purchases Total Currency - Reported in Thousands. Displayed with one decimal. The cumulative cost of purchases or donations of major movable equipment for the number of years listed in the Number of Years column.
Depreciation Depreciation Currency - Reported in Thousands. Displayed with one decimal. The result of dividing Cumulative Purchase Total, by Number of Years.
Leased_Equip_CurrFY Market Value - Leases Current FY Currency - Reported in Thousands. Displayed with one decimal. The market value of leased major movable equipment for the current fiscal year.
Cumltv_Leases_Total Cumulative Leases Total Currency - Reported in Thousands. Displayed with one decimal. The cumulative value of leased equipment made for the number of years listed in the Number of Years column for the associated cost center.
Lease_Amortztn Lease Amortization Currency - Reported in Thousands. Displayed with one decimal. The result of dividing the value in the Cumulative Lease Total column by the value listed in the Number of Years column for the associated cost center.
Tot_Depreciation Total Depreciation/Amortization Currency - Reported in Thousands. Displayed with one decimal. The result of adding the value in the Depreciation column and the value in the Lease Amortization column for the associated cost center.
Back to Schedule H2 - Departmental Equipment Allowance

Schedule H2 - Departmental Equipment Allowance: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
Purchase_Cost Cost of Purchases - Current FY Currency - Reported in Thousands. Displayed with one decimal. For each applicable department equipment allowance line, the cost of current purchases of the reporting hospital for the fiscal year.
NumYr Number of Years Number - Displayed with one decimal. The average useful life of equipment for each department.
Cumltv_Purchases_Total Cumulative Purchases Total Currency - Reported in Thousands. Displayed with one decimal. The cumulative cost of purchases or donations of major movable equipment for the number of years listed in the Number of Years column.
Depreciation Depreciation Currency - Reported in Thousands. Displayed with one decimal. The market value of leased major movable equipment for the current fiscal year.
Leased_Equip_CurrFY Market Value - Leases Current FY Currency - Reported in Thousands. Displayed with one decimal. The market value of leased major movable equipment for the current fiscal year.
Cumltv_Leases_Total Cumulative Leases Total Currency - Reported in Thousands. Displayed with one decimal. The cumulative value of leased equipment made for the number of years listed in the Number of Years column for the associated cost center.
Lease_Amortztn Lease Amortization Currency - Reported in Thousands. Displayed with one decimal. The result of dividing the value in the Cumulative Lease Total column by the value listed in the Number of Years column for the associated cost center.
Tot_Depreciation Total Depreciation/Amortization Currency - Reported in Thousands. Displayed with one decimal. The result of adding the value in the Depreciation column and the value in the Lease Amortization column for the associated cost center.
Back to Schedule H2 - Departmental Equipment Allowance

Schedule H2 - Departmental Equipment Allowance: Section - Total

Field ID Field Name Reporting Format Field Description
Tot_Purchases_Cost_CurrFY Cost of Purchases - Current FY Currency Total - Reported in Thousands. Displayed with one decimal. The total cost of equipment purchases in the current fiscal year for all reported cost center.
Tot_Cumltv_Purchases_Total Cumulative Purchases Total Currency Total - Reported in Thousands. Displayed with one decimal. The total cumulative cost of major movable equipment purchases or donations made for all reported cost centers.
Tot_Depreciation Depreciation Currency Total - Reported in Thousands. Displayed with one decimal. The total of depreciation for all reported cost centers.
Tot_MV_Leases Market Value - Leases Current FY Currency Total - Reported in Thousands. Displayed with one decimal. The total of all leased major equipment for the current fiscal year for all reported cost centers.
Tot_Cumltv_Leases_Total Cumulative Leases Total Currency Total - Reported in Thousands. Displayed with one decimal. The total cumulative value of leased movable equipment for all reported cost centers.
Tot_Lease_Amortztn Lease Amortization Currency Total - Reported in Thousands. Displayed with one decimal. The total of lease amortization for all reported cost centers.
Tot_Depreciation_Amortztn Total Depreciation/Amortization Currency Total - Reported in Thousands. Displayed with one decimal. The total of the Total Depreciation and Amortization column for all reported cost centers.
Back to Schedule H2 - Departmental Equipment Allowance

Schedule H2I - Schedule H2 Input: Section - Equipment Purchases - Capital Intensive Cost Centers

Field ID Field Name Reporting Format Field Description
Purchased_Equip_CurrFY Purchased Equipment Current Fiscal Year Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the current fiscal year for the associated cost center.
N_Years Number of Years Number - Displayed with one decimal. The average useful life of equipment in this cost center.
Purchased_Equip_CurrFY_M1 Purchased Equipment Current Fiscal Year Minus 1 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year one (1) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M2 Purchased Equipment Current Fiscal Year Minus 2 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year two (2) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M3 Purchased Equipment Current Fiscal Year Minus 3 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year three (3) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M4 Purchased Equipment Current Fiscal Year Minus 4 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year four (4) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M5 Purchased Equipment Current Fiscal Year Minus 5 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year five (5) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M6 Purchased Equipment Current Fiscal Year Minus 6 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year six (6) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M7 Purchased Equipment Current Fiscal Year Minus 7 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year seven (7) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M8 Purchased Equipment Current Fiscal Year Minus 8 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year eight (8) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M9 Purchased Equipment Current Fiscal Year Minus 9 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year nine (9) years preceding the base year for the associated cost center.
Total_Purchased_Equip Total Purchased Equipment Currency Total - Reported in Thousands. Displayed with one decimal. The cumulative cost of major movable equipment purchases or donations made for the number of fiscal years listed in the Number of Years column for the associated cost center.
Validation Rule: Only report values for the number of years specified in the number of years column for the associated cost center.
Back to Schedule H2I - Schedule H2 Input

Schedule H2I - Schedule H2 Input: Section - Equipment Purchases - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
Purchased_Equip_CurrFY Purchased Equipment Current Fiscal Year Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the current fiscal year for the associated cost center.
N_Years Number of Years Number - Displayed with one decimal. The average useful life of equipment in this cost center.
Purchased_Equip_CurrFY_M1 Purchased Equipment Current Fiscal Year Minus 1 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year one (1) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M2 Purchased Equipment Current Fiscal Year Minus 2 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year two (2) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M3 Purchased Equipment Current Fiscal Year Minus 3 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year three (3) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M4 Purchased Equipment Current Fiscal Year Minus 4 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year four (4) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M5 Purchased Equipment Current Fiscal Year Minus 5 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year five (5) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M6 Purchased Equipment Current Fiscal Year Minus 6 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year six (6) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M7 Purchased Equipment Current Fiscal Year Minus 7 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year seven (7) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M8 Purchased Equipment Current Fiscal Year Minus 8 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year eight (8) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M9 Purchased Equipment Current Fiscal Year Minus 9 Currency Input - Report in Thousands. Displayed with one decimal. The cost of equipment purchased in the year nine (9) years preceding the base year for the associated cost center.
Total_Purchased_Equip Total Purchased Equipment Currency - Reported in Thousands. Displayed with one decimal. The cumulative cost of major movable equipment purchases or donations made for the number of fiscal years listed in the Number of Years column for the associated cost center.
Validation Rule: Only report values for the number of years specified in the number of years column for the associated cost center.
Back to Schedule H2I - Schedule H2 Input

Schedule H2I - Schedule H2 Input: Section - Total Equipment Purchases

Field ID Field Name Reporting Format Field Description
Purchased_Equip_CurrFY Purchased Equipment Current Fiscal Year Currency Total - Reported in Thousands. Displayed with one decimal. The cost of equipment purchased in the current fiscal year for the associated cost center.
N_Years Number of Years None
Purchased_Equip_CurrFY_M1 Purchased Equipment Current Fiscal Year Minus 1 Currency Total - Reported in Thousands. Displayed with one decimal. The cost of equipment purchased in the year one (1) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M2 Purchased Equipment Current Fiscal Year Minus 2 Currency Total - Reported in Thousands. Displayed with one decimal. The cost of equipment purchased in the year two (2) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M3 Purchased Equipment Current Fiscal Year Minus 3 Currency Total - Reported in Thousands. Displayed with one decimal. The cost of equipment purchased in the year three (3) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M4 Purchased Equipment Current Fiscal Year Minus 4 Currency Total - Reported in Thousands. Displayed with one decimal. The cost of equipment purchased in the year four (4) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M5 Purchased Equipment Current Fiscal Year Minus 5 Currency Total - Reported in Thousands. Displayed with one decimal. The cost of equipment purchased in the year five (5) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M6 Purchased Equipment Current Fiscal Year Minus 6 Currency Total - Reported in Thousands. Displayed with one decimal. The cost of equipment purchased in the year six (6) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M7 Purchased Equipment Current Fiscal Year Minus 7 Currency Total - Reported in Thousands. Displayed with one decimal. The cost of equipment purchased in the year seven (7) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M8 Purchased Equipment Current Fiscal Year Minus 8 Currency Total - Reported in Thousands. Displayed with one decimal. The cost of equipment purchased in the year eight (8) years preceding the base year for the associated cost center.
Purchased_Equip_CurrFY_M9 Purchased Equipment Current Fiscal Year Minus 9 Currency Total - Reported in Thousands. Displayed with one decimal. The cost of equipment purchased in the year nine (9) years preceding the base year for the associated cost center.
Total_Purchased_Equip Total Purchased Equipment Currency Total - Reported in Thousands. Displayed with one decimal. The cumulative cost of direct and indirect major movable equipment purchases or donations made for the number of fiscal years listed in the Number of Years column.
Back to Schedule H2I - Schedule H2 Input

Schedule H2I - Schedule H2 Input: Section - Equipment Leases - Capital Intensive Cost Centers

Field ID Field Name Reporting Format Field Description
Leased_Equip_CurrFY Leased Equipment Current Fiscal Year Currency Input - Report in Thousands. Displayed with one decimal. The market value of leased major movable equipment for the current fiscal year.
Leased_Equip_CurrFY_M1 Leased Equipment Current Fiscal Year Minus 1 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year one (1) year preceding the base year for the associated cost center.
Leased_Equip_CurrFY_M2 Leased Equipment Current Fiscal Year Minus 2 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year one (2) year preceding the base year for the associated cost center.
Leased_Equip_CurrFY_M3 Leased Equipment Current Fiscal Year Minus 3 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year three (3) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M4 Leased Equipment Current Fiscal Year Minus 4 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year four (4) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M5 Leased Equipment Current Fiscal Year Minus 5 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year five (5) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M6 Leased Equipment Current Fiscal Year Minus 6 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year six (6) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M7 Leased Equipment Current Fiscal Year Minus 7 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year seven (7) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M8 Leased Equipment Current Fiscal Year Minus 8 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year eight (8) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M9 Leased Equipment Current Fiscal Year Minus 9 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year nine (9) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Total_Leased_Equip Total Leased Equipment Currency Total - Reported in Thousands. Displayed with one decimal. The cumulative value of leased movable equipment made for the number of years listed in the Number of Years column for the associated cost center.
Back to Schedule H2I - Schedule H2 Input

Schedule H2I - Schedule H2 Input: Section - Equipment Leases - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
Leased_Equip_CurrFY Leased Equipment Current Fiscal Year Currency Input - Report in Thousands. Displayed with one decimal. The market value of leased major movable equipment for the current fiscal year.
Leased_Equip_CurrFY_M1 Leased Equipment Current Fiscal Year Minus 1 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year one (1) year preceding the base year for the associated cost center.
Leased_Equip_CurrFY_M2 Leased Equipment Current Fiscal Year Minus 2 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year one (2) year preceding the base year for the associated cost center.
Leased_Equip_CurrFY_M3 Leased Equipment Current Fiscal Year Minus 3 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year three (3) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M4 Leased Equipment Current Fiscal Year Minus 4 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year four (4) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M5 Leased Equipment Current Fiscal Year Minus 5 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year five (5) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M6 Leased Equipment Current Fiscal Year Minus 6 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year six (6) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M7 Leased Equipment Current Fiscal Year Minus 7 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year seven (7) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M8 Leased Equipment Current Fiscal Year Minus 8 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year eight (8) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Leased_Equip_CurrFY_M9 Leased Equipment Current Fiscal Year Minus 9 Currency Input - Report in Thousands. Displayed with one decimal. The value of leased major movable equipment in the year nine (9) years preceding the base year for the Medical/Surgical Intensive Care cost center.
Total_Leased_Equip Total Leased Equipment Currency - Reported in Thousands. Displayed with one decimal. The cumulative value of direct leased movable equipment made for the number of years listed in the Number of Years column for the associated cost center.
Back to Schedule H2I - Schedule H2 Input

Schedule H2I - Schedule H2 Input: Section - Total Equipment Leases

Field ID Field Name Reporting Format Field Description
Leased_Equip_CurrFY Leased Equipment Current Fiscal Year Currency Total - Reported in Thousands. Displayed with one decimal. Sum of the market value of leased major movable equipment for the current fiscal year for all cost centers.
Leased_Equip_CurrFY_M1 Leased Equipment Current Fiscal Year Minus 1 Currency Total - Reported in Thousands. Displayed with one decimal. Sum of the value of leased major movable equipment in the year one (1) year preceding the base year for all cost centers.
Leased_Equip_CurrFY_M2 Leased Equipment Current Fiscal Year Minus 2 Currency Total - Reported in Thousands. Displayed with one decimal. Sum of the value of leased major movable equipment in the year two (2) year preceding the base year for all cost centers.
Leased_Equip_CurrFY_M3 Leased Equipment Current Fiscal Year Minus 3 Currency Total - Reported in Thousands. Displayed with one decimal. Sum of the value of leased major movable equipment in the year two (3) year preceding the base year for all cost centers.
Leased_Equip_CurrFY_M4 Leased Equipment Current Fiscal Year Minus 4 Currency Total - Reported in Thousands. Displayed with one decimal. Sum of the value of leased major movable equipment in the year two (4) year preceding the base year for all cost centers.
Leased_Equip_CurrFY_M5 Leased Equipment Current Fiscal Year Minus 5 Currency Total - Reported in Thousands. Displayed with one decimal. Sum of the value of leased major movable equipment in the year two (5) year preceding the base year for all cost centers.
Leased_Equip_CurrFY_M6 Leased Equipment Current Fiscal Year Minus 6 Currency Total - Reported in Thousands. Displayed with one decimal. Sum of the value of leased major movable equipment in the year two (6) year preceding the base year for all cost centers.
Leased_Equip_CurrFY_M7 Leased Equipment Current Fiscal Year Minus 7 Currency Total - Reported in Thousands. Displayed with one decimal. Sum of the value of leased major movable equipment in the year two (7) year preceding the base year for all cost centers.
Leased_Equip_CurrFY_M8 Leased Equipment Current Fiscal Year Minus 8 Currency Total - Reported in Thousands. Displayed with one decimal. Sum of the value of leased major movable equipment in the year two (8) year preceding the base year for all cost centers.
Leased_Equip_CurrFY_M9 Leased Equipment Current Fiscal Year Minus 9 Currency Total - Reported in Thousands. Displayed with one decimal. Sum of the value of leased major movable equipment in the year two (9) year preceding the base year for all cost centers.
Total_Leased_Equip Total Leased Equipment Currency - Reported in Thousands. Displayed with one decimal. Sum of the cumulative value of leased movable equipment made for all associated cost center.
Back to Schedule H2I - Schedule H2 Input

Schedule H3 - Distribution Of Capital Facilities Allowance: Section - Interest

Field ID Field Name Reporting Format Field Description
Source Source / Adj Sq Ft Basis for Distribution Fixed Text
General General Currency - Reported in Thousands. Displayed with one decimal. The total fiscal Year Interest Long Term amount from Schedule UA.
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Schedule H3 - Distribution Of Capital Facilities Allowance: Section - Total Depreciation

Field ID Field Name Reporting Format Field Description
Source Source / Adj Sq Ft Basis for Distribution Fixed Text
General General Number - Displayed with one decimal. The depreciation amount from Schedule UA.
Back to Schedule H3 - Distribution Of Capital Facilities Allowance

Schedule H3 - Distribution Of Capital Facilities Allowance: Section - Capital Intensive Equipment Depreciation

Field ID Field Name Reporting Format Field Description
Source Source / Adj Sq Ft Basis for Distribution Fixed Text
General General Number - Displayed with one decimal. Total depreciation/amortization from Schedule H2.
Dietary Dietary Number - Displayed with one decimal. Depreciation amount related to dietary care center transferred from Schedule H2.
Validation Rule: Must equal distribution total for Dietary
Laundry Laundry Number - Displayed with one decimal. Depreciation amount related to laundry and linen center transferred from Schedule H2.
Validation Rule: Must equal distribution total for Laundry
Comm Communications Number - Displayed with one decimal. Depreciation amount related to communications center transferred from Schedule H2.
Validation Rule: Must equal distribution total for Comm
DP Data Processing Number - Displayed with one decimal. For the fiscal year, the sum of Data Processing departmental equipment depreciation transferred from Schedule H2 and Patient Transportation departmental equipment depreciation, for private psychiatric hospitals (if applicable), transferred from Schedule H2.
Validation Rule: Must equal distribution total for Data Processing
Department Department Number - Displayed with one decimal. The capital-intensive department equipment depreciation which is calculated as the "General" amount for the cost center minus the amounts for Dietary, Laundry, Communications, and Data Processing.
Validation Rule: Must equal distribution total for Department
Total Total Number - Displayed with one decimal. The sum capital intensive equipment depreciation for dietary, laundry, communications, data processing and department.
Back to Schedule H3 - Distribution Of Capital Facilities Allowance

Schedule H3 - Distribution Of Capital Facilities Allowance: Section - Building & General Equipment Depreciation

Field ID Field Name Reporting Format Field Description
Source Source / Adj Sq Ft Basis for Distribution Fixed Text
General General Number - Displayed with one decimal. The result of subtracting the General Column of Capital Intensive Equipment Depreciation (Line C) from General column of Total Depreciation (Line B) within Schedule H3.
Total Total Number - Displayed with one decimal. The sum of all building and general equipment depreciation.
Back to Schedule H3 - Distribution Of Capital Facilities Allowance

Schedule H3 - Distribution Of Capital Facilities Allowance: Section - Building & General Equipment Depreciation & Interest

Field ID Field Name Reporting Format Field Description
Source Source / Adj Sq Ft Basis for Distribution Fixed Text
General General Number - Displayed with one decimal. The result of adding the amount of General Interest in Line A and Building & General Equipment Depreciation in line D from Schedule H3.
Validation Rule: Must equal distribution total for general
Total Total Number - Displayed with one decimal. The sum of all building and general equipment depreciation and interest.
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Schedule H3 - Distribution Of Capital Facilities Allowance: Section - Standard Units

Field ID Field Name Reporting Format Field Description
General General Number - Displayed with one decimal. The total net square feet for the cost centers listed. Do not include the square feet for non-patient care related buildings.
Dietary Dietary Number - Displayed with one decimal. The number of patient meals served, transferred from Schedule JS.
Laundry Laundry Number - Displayed with one decimal. The number of dry and clean pounds of laundry processed. Value is from schedule JS, Unit Cost Calculation, Units Line: Laundry and Linen Pounds .
Comm Communications Number - Displayed with one decimal. The total inpatient, outpatient , and ambulatory expenses from Schedule JS.
DP Data Processing Number - Displayed with one decimal. The total inpatient, outpatient , and ambulatory expenses from Schedule JS, the same as for Communications.
Department Department None
Total Total None
Back to Schedule H3 - Distribution Of Capital Facilities Allowance

Schedule H3 - Distribution Of Capital Facilities Allowance: Section - Allowance Per Unit

Field ID Field Name Reporting Format Field Description
Source Source / Adj Sq Ft Basis for Distribution Fixed Text
General General Number - Displayed with six decimals. The result of dividing General Column Line E, Building & General Equipment Depreciation & Interest by General Column Line F, Standard Units from schedule H3.
Dietary Dietary Number - Displayed with six decimals. The result of dividing General Column Line C, Capital Intensive Equipment Depreciation by General Column Line F, Standard Units from schedule H3.
Laundry Laundry Number - Displayed with six decimals. The result of dividing General Column Line C, Capital Intensive Equipment Depreciation by General column Line F, Standard Units from schedule H3.
Comm Communications Number - Displayed with six decimals. The result of dividing General column Line C, Capital Intensive Equipment Depreciation by General column Line F, Standard Units from schedule H3.
DP Data Processing Number - Displayed with six decimals. The result of dividing General column Line C, Capital Intensive Equipment Depreciation by General column Line F, Standard Units from schedule H3.
Back to Schedule H3 - Distribution Of Capital Facilities Allowance

Schedule H3 - Distribution Of Capital Facilities Allowance: Section - D Schedule: Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
Source Source / Adj Sq Ft Basis for Distribution Number - Displayed with one decimal. The square feet of each department located in patient care related buildings, including other institutional programs, Auxiliary Enterprises and Unregulated Services.
General General Number - Displayed with one decimal. The result of multiplying Line G, General Column, Allowance Per Unit, by Source / Adj Square Footage Basis for each cost center.
Dietary Dietary Number - Displayed with one decimal. The result of multiplying Line G, Dietary Column, Allowance Per Unit, by Number of meals served from Schedule JS.
Laundry Laundry Number - Displayed with one decimal. The result of multiplying Line G, Laundry column, Allowances Per Unit, by pounds of laundry processed from Schedule JS.
Comm Communications Number - Displayed with one decimal. The result of multiplying Line G Allowance per unit, Communications column, by Schedules JS1, JS2, total of Columns 7, 7A and 8.
DP Data Processing Number - Displayed with one decimal. The result of multiplying Line G, Data Processing, Allowance Per Unit, by the sum of Schedule JS IP, OP, and Ambulatory.
Department Department Number - Displayed with one decimal. The department equipment allowance transferred from Schedule H2.
Total Total Number - Displayed with one decimal. The sum of General, Dietary, Laundry, Communications, Data Processing and Department for each cost center.
Back to Schedule H3 - Distribution Of Capital Facilities Allowance

Schedule H3 - Distribution Of Capital Facilities Allowance: Section - E Schedule: Auxiliary Enterprise Centers

Field ID Field Name Reporting Format Field Description
Source Source / Adj Sq Ft Basis for Distribution Number - Displayed with one decimal. The square feet of each department located in patient care related buildings, including other institutional programs, Auxiliary Enterprises and Unregulated Services.
General General Number - Displayed with one decimal. The result of multiplying Line G, General Column, Allowance Per Unit, by Source / Adj Square Footage Basis for each cost center.
Total Total Number - Displayed with one decimal. The sum of General, Dietary, Laundry, Communications, Data Processing and Department for each cost center.
Back to Schedule H3 - Distribution Of Capital Facilities Allowance

Schedule H3 - Distribution Of Capital Facilities Allowance: Section - F Schedule: Other Institutional Programs

Field ID Field Name Reporting Format Field Description
Source Source / Adj Sq Ft Basis for Distribution Number - Displayed with one decimal. The square feet of each department located in patient care related buildings, including other institutional programs, Auxiliary Enterprises and Unregulated Services.
General General Number - Displayed with one decimal. The result of multiplying Line G, General Column, Allowance Per Unit, by Source / Adj Square Footage Basis for each cost center.
Total Total Number - Displayed with one decimal. The sum of General, Dietary, Laundry, Communications, Data Processing and Department for each cost center.
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Schedule H3 - Distribution Of Capital Facilities Allowance: Section - UR Schedule: Unregulated Activities

Field ID Field Name Reporting Format Field Description
Source Source / Adj Sq Ft Basis for Distribution Number - Displayed with one decimal. The square feet of each department located in patient care related buildings, including other institutional programs, Auxiliary Enterprises and Unregulated Services.
General General Number - Displayed with one decimal. The result of multiplying Line G, General Column, Allowance Per Unit, by Source / Adj Square Footage Basis for each cost center.
Total Total Number - Displayed with one decimal. The sum of General, Dietary, Laundry, Communications, Data Processing and Department for each cost center.
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Schedule H3 - Distribution Of Capital Facilities Allowance: Section - Total

Field ID Field Name Reporting Format Field Description
Source Source / Adj Sq Ft Basis for Distribution Number - Displayed with one decimal. The sum of all Adj SqFt Basis for all cost centers listed in schedule H3.
General General Number - Displayed with one decimal. The sum of all data in the General Column for schedule H3.
Dietary Dietary Number - Displayed with one decimal. The sum of all data in the Dietary column for schedule H3.
Laundry Laundry Number - Displayed with one decimal. The sum of all data in the Laundry column for Schedule H3.
Comm Communications Number - Displayed with one decimal. The sum of all data in the Comm column for Schedule H3.
DP Data Processing Number - Displayed with one decimal. The sum of all data in the Data Processing column for schedule H.
Department Department Number - Displayed with one decimal. The sum of all data in the Department column for schedule H3.
Total Total Number - Displayed with one decimal. The sum of all the data in the Total column for schedule H3.
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Schedule J - Overhead Expense Apportionment: Section - Allocated Centers-Overhead Expenses

Field ID Field Name Reporting Format Field Description
DTY Dietary Meals Currency - Reported in Thousands. Displayed with one decimal. Fiscal year overhead expenses for Dietary from schedule JS.
LL Laundry & Linen Pounds Currency - Reported in Thousands. Displayed with one decimal. Fiscal year overhead expenses for Laundry & Linen from schedule JS.
PUR Purchasing Stores Oth Exp Schd Currency - Reported in Thousands. Displayed with one decimal. Fiscal year overhead expenses for Purchasing and Stores from schedule JS.
HKP Housekeeping # of Hours Currency - Reported in Thousands. Displayed with one decimal. Fiscal year overhead expenses for Housekeeping from schedule JS.
CSS Central Supply, Pharmacy, Social Services, OAO Currency - Reported in Thousands. Displayed with one decimal. Fiscal year overhead expenses for Central Supply, Pharmacy, Social Services, OAO from schedule JS.
POP Plant Operations Net Sq Feet Currency - Reported in Thousands. Displayed with one decimal. Fiscal year overhead expenses for Plant Operations from schedule JS.
Tot_PtCareOH Total Patient Care Overhead Currency - Reported in Thousands. Displayed with one decimal. The Total Patient Care Overhead calculated by summing the overhead expenses for dietary, laundry, purchasing stores, housekeeping, and central supply, pharmacy, social services, OAO, and plant operations.
IP Inpatient: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. Fiscal year overhead expenses from schedule JS.
Amb Ambulatory: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. Fiscal year overhead expenses from schedule JS.
OP Outpatient: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. Fiscal year overhead expenses from schedule JS.
MR_MSA Medical Records and Medical Staff Administration Currency - Reported in Thousands. Displayed with one decimal. Fiscal year overhead expenses for Medical Records and Medical Staff Administration from schedule JS.
UA_Exp Unassigned Expenses Currency - Reported in Thousands. Displayed with one decimal. Fiscal year overhead expenses for Unassigned Expenses from schedule JS.
Tot_Other_OH Total Other Overhead Currency - Reported in Thousands. Displayed with one decimal. The Total Other Overhead calculated by summing the overhead for Inpatient: PAC, MRD, FIS, MGT, NAD; Ambulatory: PAC, MRD, FIS, MGT, NAD; Outpatient: PAC, MRD, FIS, MGT, NAD; Medical Records and Medical Staff Administration; and Unassigned Expenses.
Tot_Allocated_OH Total Allocated Overhead Currency - Reported in Thousands. Displayed with one decimal. The Total Allocated Overhead calculated by summing the Total Patient Care Overhead and Total Other Overhead.
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Schedule J - Overhead Expense Apportionment: Section - Revenue Centers-Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
DTY Dietary Meals Currency - Reported in Thousands. Displayed with one decimal. Cost per Unit for Dietary meals from Schedule JS multiplied by the statistical appointment for each cost center from schedule JS.
LL Laundry & Linen Pounds Currency - Reported in Thousands. Displayed with one decimal. Cost per Unit for Laundry and Linen from Schedule JS multiplied by the statistical appointment for each cost center from schedule JS.
PUR Purchasing Stores Oth Exp Schd Currency - Reported in Thousands. Displayed with one decimal. Cost per Unit for Purchasing Stores Oth Exp Schd from Schedule JS multiplied by the statistical appointment for each cost center from schedule JS.
HKP Housekeeping # of Hours Currency - Reported in Thousands. Displayed with one decimal. Cost per Unit for Housekeeping from Schedule JS multiplied by the statistical appointment for each cost center from schedule JS.
CSS Central Supply, Pharmacy, Social Services, OAO Currency - Reported in Thousands. Displayed with one decimal. Cost per Unit for Central Supply, Pharmacy, Social Services, OAO from Schedule JS multiplied by the statistical appointment for each cost center from schedule JS.
Validation Rule: Values for all cost centers except ADM, OA, CDS-340, OID-340, MSS, and CDS must be zero.
POP Plant Operations Net Sq Feet Currency - Reported in Thousands. Displayed with one decimal. Cost per Unit for Plant Operations Net Sq Feet from Schedule JS multiplied by the statistical appointment for each cost center from schedule JS.
Tot_PtCareOH Total Patient Care Overhead Currency - Reported in Thousands. Displayed with one decimal. The total overhead expense for general service functions (i.e., dietary, laundry, purchasing stores, housekeeping, and plant operations) for each cost center.
IP Inpatient: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. Cost per Unit from Inpatient: PAC, MRD, FIS, MGT, NAD Schedule JS multiplied by the statistical appointment for each cost center from schedule JS.
Amb Ambulatory: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. Cost per Unit from Ambulatory Schedule JS multiplied by the statistical appointment for each cost center from schedule JS.
OP Outpatient: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. Cost per Unit from Outpatient column Schedule JS multiplied by the statistical appointment for each cost center from schedule JS.
MR_MSA Medical Records and Medical Staff Administration Currency - Reported in Thousands. Displayed with one decimal. Cost per Unit from Medical Records column Schedule JS multiplied by the statistical appointment for each cost center from schedule JS.
UA_Exp Unassigned Expenses Currency - Reported in Thousands. Displayed with one decimal. Cost per Unit from Unassigned Expenses column Schedule JS multiplied by the statistical appointment for each cost center from schedule JS.
Tot_Other_OH Total Other Overhead Currency - Reported in Thousands. Displayed with one decimal. The total overhead for Inpatient: PAC, MRD, FIS, MGT, NAD; Ambulatory: PAC, MRD, FIS, MGT, NAD; Outpatient: PAC, MRD, FIS, MGT, NAD; Medical Records and Medical Staff Administration; and Unassigned Expenses.
Tot_Allocated_OH Total Allocated Overhead Currency - Reported in Thousands. Displayed with one decimal. The sum of the total patient care overhead and the total other overhead.
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Schedule J - Overhead Expense Apportionment: Section - Total Allocated Expenses

Field ID Field Name Reporting Format Field Description
DTY Dietary Meals Currency Total - Reported in Thousands. Displayed with one decimal. Total dietary meals overhead expenses for all the applicable service centers.
LL Laundry & Linen Pounds Currency Total - Reported in Thousands. Displayed with one decimal. Total laundry and linen overhead expenses for all the applicable service centers.
PUR Purchasing Stores Oth Exp Schd Currency Total - Reported in Thousands. Displayed with one decimal. Total Purchasing Stores Oth Exp Schd overhead expenses for all the applicable service centers.
HKP Housekeeping # of Hours Currency Total - Reported in Thousands. Displayed with one decimal. Total housekeeping overhead expenses for all the applicable service centers.
CSS Central Supply, Pharmacy, Social Services, OAO Currency Total - Reported in Thousands. Displayed with one decimal. Total central supply, pharmacy, social services, OAO overhead expenses for all the applicable service centers.
Validation Rule: Values for all cost centers except ADM, OA, CDS-340, OID-340, MSS, and CDS must be zero.
POP Plant Operations Net Sq Feet Currency Total - Reported in Thousands. Displayed with one decimal. Total Plant Operations overhead expenses for all the applicable service centers.
Tot_PtCareOH Total Patient Care Overhead Currency Total - Reported in Thousands. Displayed with one decimal. Total Patient Care overhead expenses for all the applicable service centers.
IP Inpatient: PAC, MRD, FIS, MGT, NAD Currency Total - Reported in Thousands. Displayed with one decimal. Total Inpatient PAC, MRD, FIS, MGT, NAD overhead expenses for the all applicable service centers.
Amb Ambulatory: PAC, MRD, FIS, MGT, NAD Currency Total - Reported in Thousands. Displayed with one decimal. Total Ambulatory PAC, MRD, FIS, MFT, NAD overhead expenses for all the applicable service centers.
OP Outpatient: PAC, MRD, FIS, MGT, NAD Currency Total - Reported in Thousands. Displayed with one decimal. Total Outpatient PAC, MRD, FIS, MGT, NAD overhead expenses for all the applicable service centers.
MR_MSA Medical Records and Medical Staff Administration Currency Total - Reported in Thousands. Displayed with one decimal. Total Medical Records and Medical Staff Administration overhead expenses for all the applicable service centers.
UA_Exp Unassigned Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total Unassigned overhead expenses for all the applicable service centers.
Tot_Other_OH Total Other Overhead Currency Total - Reported in Thousands. Displayed with one decimal. Total Other Overhead expenses for all the applicable service centers.
Tot_Allocated_OH Total Allocated Overhead Currency Total - Reported in Thousands. Displayed with one decimal. Total Allocated Overhead expenses for all the applicable service centers.
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Schedule JS - Overhead Statistical Apportionment: Section - Overhead Expenses

Field ID Field Name Reporting Format Field Description
DTY Dietary Meals Currency - Reported in Thousands. Displayed with one decimal. Overhead expenses related to dietary meals for the fiscal year transferred in from Schedule C.
LL Laundry & Linen Pounds Currency - Reported in Thousands. Displayed with one decimal. Overhead expenses related to laundry and linen for the fiscal year transferred in from Schedule C.
PUR Purchasing Stores Oth Exp Schd Currency - Reported in Thousands. Displayed with one decimal. Overhead expenses related to Purchasing and Stores for the fiscal year transferred in from Schedule C.
HKP Housekeeping # of Hours Currency - Reported in Thousands. Displayed with one decimal. Overhead expenses related to Housekeeping for the fiscal year transferred in from Schedule C.
CSS Central Supply, Pharmacy, Social Services, OAO Currency - Reported in Thousands. Displayed with one decimal. Overhead expenses related to Central Supply, Pharmacy, Social Services, and OAO for the fiscal year transferred in from Schedule C.
POP Plant Operations Net Sq Feet Currency - Reported in Thousands. Displayed with one decimal. Overhead expenses related to Plant Operations for the fiscal year transferred in from Schedule C.
Tot_PtCareOH Total Patient Care Overhead None
IP Inpatient: PAC, MRD, FIS, MGT, NAD Currency Input - Report in Thousands. Displayed with one decimal. Overhead expenses related to Inpatient/Patient Accounting, General Accounting, Hospital Administration, and Nursing Administration for the fiscal year..
Amb Ambulatory: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. The result of multiplying the units of Ambulatory by the cost per unit for Inpatient.
OP Outpatient: PAC, MRD, FIS, MGT, NAD Currency Input - Report in Thousands. Displayed with one decimal. Overhead expenses related to Outpatient/Patient Accounting, General Accounting, Hospital Administration, and Nursing Administration for the fiscal year..
MR_MSA Medical Records and Medical Staff Administration Currency - Reported in Thousands. Displayed with one decimal. Overhead expenses related to Medical Records and Medical Staff Administration for the fiscal year transferred in from Schedule C.
UA_Exp Unassigned Expenses Currency - Reported in Thousands. Displayed with one decimal. Fiscal year adjusted expenses transferred in from Schedule UA.
Tot_Other_OH Total Other Overhead None
Tot_OH_Adj Total Allocated Overhead None
Back to Schedule JS - Overhead Statistical Apportionment

Schedule JS - Overhead Statistical Apportionment: Section - Units

Field ID Field Name Reporting Format Field Description
DTY Dietary Meals Currency - Reported in Thousands. Displayed with one decimal. The total statistical amount for Dietary Meals across Schedule JS cost centers.
LL Laundry & Linen Pounds Currency - Reported in Thousands. Displayed with one decimal. The total statistical amount for Laundry and Linen across Schedule JS cost centers.
PUR Purchasing Stores Oth Exp Schd Currency - Reported in Thousands. Displayed with one decimal. The total statistical amount for Purchasing across Schedule JS cost centers.
HKP Housekeeping # of Hours Currency - Reported in Thousands. Displayed with one decimal. The total statistical amount for Housekeeping across Schedule JS cost centers.
CSS Central Supply, Pharmacy, Social Services, OAO Currency - Reported in Thousands. Displayed with one decimal. The total statistical amount for Central Supply, Pharmacy, Social Services, OAO across Schedule JS cost centers.
POP Plant Operations Net Sq Feet Currency - Reported in Thousands. Displayed with one decimal. The total statistical amount for Plant Operations across Schedule JS cost centers.
Tot_PtCareOH Total Patient Care Overhead None
IP Inpatient: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. The total statistical amount for Inpatient across Schedule JS cost centers.
Amb Ambulatory: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. The total statistical amount for Ambulatory across Schedule JS cost centers.
OP Outpatient: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. The total statistical amount for Outpatient across Schedule JS cost centers.
MR_MSA Medical Records and Medical Staff Administration Currency - Reported in Thousands. Displayed with one decimal. The total statistical amount for Medical Records and Medical Staff Administration across Schedule JS cost centers.
UA_Exp Unassigned Expenses Currency - Reported in Thousands. Displayed with one decimal. The total statistical amount for Unassigned Expenses across Schedule JS cost centers.
Tot_Other_OH Total Other Overhead None
Tot_OH_Adj Total Allocated Overhead None
Back to Schedule JS - Overhead Statistical Apportionment

Schedule JS - Overhead Statistical Apportionment: Section - Cost Per Unit

Field ID Field Name Reporting Format Field Description
DTY Dietary Meals Number - Displayed with six decimals. The result of dividing overhead expenses for Dietary Meals by the number of units for Dietary Meals.
LL Laundry & Linen Pounds Number - Displayed with six decimals. The result of dividing overhead expenses for Laundry and Linen by the number of units for Laundry and Linen.
PUR Purchasing Stores Oth Exp Schd Number - Displayed with six decimals. The result of dividing overhead expenses for Purchasing Stores by the number of units for Purchasing Stores.
HKP Housekeeping # of Hours Number - Displayed with six decimals. The result of dividing overhead expenses for Housekeeping by the number of units for Housekeeping.
CSS Central Supply, Pharmacy, Social Services, OAO Number - Displayed with six decimals. The result of dividing overhead expenses for Central Supply, Pharmacy, Social Services, OAO by the number of units for Central Supply, Pharmacy, Social Services, OAO.
POP Plant Operations Net Sq Feet Number - Displayed with six decimals. The result of dividing overhead expenses for Plant Operations by the number of units for Plant Operations.
Tot_PtCareOH Total Patient Care Overhead None
IP Inpatient: PAC, MRD, FIS, MGT, NAD Number - Displayed with six decimals. The result of dividing overhead expenses for Inpatient by the number of units for Inpatient.
Amb Ambulatory: PAC, MRD, FIS, MGT, NAD Number - Displayed with six decimals. Cost per Unit for IP, transferred from schedule JS.
OP Outpatient: PAC, MRD, FIS, MGT, NAD Number - Displayed with six decimals. The result of dividing overhead expenses for Outpatient by the number of units for Outpatient.
MR_MSA Medical Records and Medical Staff Administration Number - Displayed with six decimals. The result of dividing overhead expenses for Medical Records and Medical Staff Administration by the number of units for Medical Records and Medical Staff Administration.
UA_Exp Unassigned Expenses Number - Displayed with six decimals. The result of dividing overhead expenses for Unassigned expenses by the number of units for Unassigned expenses.
Tot_Other_OH Total Other Overhead None
Tot_OH_Adj Total Allocated Overhead None
Back to Schedule JS - Overhead Statistical Apportionment

Schedule JS - Overhead Statistical Apportionment: Section - Statistical Appointment-Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
DTY Dietary Meals Currency - Reported in Thousands. Displayed with one decimal. The number of patient meals provided in the fiscal year for each applicable patient care center.
LL Laundry & Linen Pounds Currency - Reported in Thousands. Displayed with one decimal. The number of pounds of laundry and linen processed in the fiscal year for each applicable patient care center.
PUR Purchasing Stores Oth Exp Schd Currency - Reported in Thousands. Displayed with one decimal. Other expenses from purchasing stores in the fiscal year for each applicable patient care center.
HKP Housekeeping # of Hours Currency - Reported in Thousands. Displayed with one decimal. The number of housekeeping hours assigned in the fiscal year for each applicable patient care center.
CSS Central Supply, Pharmacy, Social Services, OAO Currency - Reported in Thousands. Displayed with one decimal. The number of statistical basis units assigned for Central Supply, Pharmacy, Social Services, and OAO in the fiscal year for each applicable patient care center.
POP Plant Operations Net Sq Feet Number - Displayed with one decimal. The number of net square feet for plant operations assigned in the fiscal year for each applicable patient care center.
Tot_PtCareOH Total Patient Care Overhead None
IP Inpatient: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. Inpatient Direct costs for each applicable center for the fiscal year.
Amb Ambulatory: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. The direct costs for each ambulatory cost center. Ambulatory Cost Centers: CL, CL-340, ORC, OCL, SDS, EMG, TRM, OBV, PDC.
Validation Rule: This field is for ambulatory cost centers only. Ambulatory cost centers are CL, CL-340, ORC, OCL, SDS, EMG, TRM, OBV, and PDC. Values for all others must be zero.
OP Outpatient: PAC, MRD, FIS, MGT, NAD Currency - Reported in Thousands. Displayed with one decimal. Outpatient direct costs for each applicable center for the fiscal year.
Validation Rule: This field is for non-ambulatory cost centers only. Values for the ambulatory cost centers CL, CL-340, ORC, OCL, SDS, EMG, TRM, OBV, and PDC must be zero.
MR_MSA Medical Records and Medical Staff Administration Currency Input - Report in Thousands. Displayed with one decimal. The number of statistical basis units assigned for Medical Records and Medical Staff Administration (direct costs and equivalent inpatient admissions) in the fiscal year for each applicable patient care center.
UA_Exp Unassigned Expenses Currency Input - Report in Thousands. Displayed with one decimal. The number of statistical basis units assigned for Unassigned Expenses in the fiscal year for each applicable patient care center.
Tot_Other_OH Total Other Overhead None
Tot_OH_Adj Total Allocated Overhead None
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Schedule JS - Overhead Statistical Apportionment: Section - Total

Field ID Field Name Reporting Format Field Description
DTY Dietary Meals Currency Total - Reported in Thousands. Displayed with one decimal. Total expenses for dietary meals for applicable patient care centers.
LL Laundry & Linen Pounds Currency Total - Reported in Thousands. Displayed with one decimal. Total expenses for laundry and linen for applicable patient care centers.
PUR Purchasing Stores Oth Exp Schd Currency Total - Reported in Thousands. Displayed with one decimal. Total expenses for purchasing stores for applicable patient care centers.
HKP Housekeeping # of Hours Currency Total - Reported in Thousands. Displayed with one decimal. Total expenses for housekeeping for applicable patient care centers.
CSS Central Supply, Pharmacy, Social Services, OAO Currency Total - Reported in Thousands. Displayed with one decimal. Total expenses for central supply, pharmacy, social services, and OAO for applicable patient care centers.
POP Plant Operations Net Sq Feet Number - Displayed with one decimal. Total expenses for plant operations for applicable patient care centers.
Tot_PtCareOH Total Patient Care Overhead None
IP Inpatient: PAC, MRD, FIS, MGT, NAD Currency Total - Reported in Thousands. Displayed with one decimal. Total expenses for Inpatient: PAC, MRD, FIS, MGT, NAD for applicable patient care centers.
Amb Ambulatory: PAC, MRD, FIS, MGT, NAD Currency Total - Reported in Thousands. Displayed with one decimal. Total expenses for Ambulatory: PAC, MRD, FIS, MGT, NAD for applicable patient care centers.
OP Outpatient: PAC, MRD, FIS, MGT, NAD Currency Total - Reported in Thousands. Displayed with one decimal. Total expenses for Outpatient: PAC, MRD, FIS, MGT, NAD for applicable patient care centers.
MR_MSA Medical Records and Medical Staff Administration Currency Total - Reported in Thousands. Displayed with one decimal. Total expenses for Medical Records and Medical Staff Administration for applicable patient care centers.
UA_Exp Unassigned Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total expenses for unassigned expenses for applicable patient care centers.
Tot_Other_OH Total Other Overhead None
Tot_OH_Adj Total Allocated Overhead None
Back to Schedule JS - Overhead Statistical Apportionment

Schedule JSI - Schedule JS Input: Section - Admission

Field ID Field Name Reporting Format Field Description
Reltd_IndirectCostCtr Related Indirect Cost Center Fixed Text The indirect cost center from which the Cost value is obtained.
Expense Expense Currency - Reported in Thousands. Displayed with one decimal. Adjusted Total Expenses for Social Services from Schedule C.
Percent Percent to Allocate Percent Input - Displayed with one decimal. Percent of Social Services Cost to allocate to the ADM cost center.
Validation Rule: Value must be 100%
CSS Central Supply, Pharmacy, Social Services, OAO Currency - Reported in Thousands. Displayed with one decimal. Amount of Social Services Cost allocated to the ADM cost center (Expense * Percent to Allocate).
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Schedule JSI - Schedule JS Input: Section - Organ Acquisition

Field ID Field Name Reporting Format Field Description
Reltd_IndirectCostCtr Related Indirect Cost Center Fixed Text The indirect cost center from which the Cost value is obtained.
Expense Expense Currency - Reported in Thousands. Displayed with one decimal. Adjusted Total Expenses for Organ Acquisition Overhead from Schedule C.
Percent Percent to Allocate Percent Input - Displayed with one decimal. Percent of Organ Acquisition Overhead Cost to allocate to the OA cost center.
Validation Rule: Value must be 100%
CSS Central Supply, Pharmacy, Social Services, OAO Currency - Reported in Thousands. Displayed with one decimal. Amount of Organ Acquisition Overhead Cost allocated to the OA cost center (Expense * Percent to Allocate).
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Schedule JSI - Schedule JS Input: Section - 340b Drugs

Field ID Field Name Reporting Format Field Description
Reltd_IndirectCostCtr Related Indirect Cost Center Fixed Text The indirect cost center from which the Cost value is obtained.
Expense Expense Currency - Reported in Thousands. Displayed with one decimal. Adjusted Total Expenses for Pharmacy from Schedule C.
Validation Rule: If expense is greater than zero, percent must greater than or equal to zero
Percent Percent to Allocate Percent Input - Displayed with one decimal. Percent of Pharmacy Cost to allocate to the CDS-340 cost center. If not applicable, enter 0 or leave blank.
Validation Rule: Value must be between 0% and 100%
CSS Central Supply, Pharmacy, Social Services, OAO Currency - Reported in Thousands. Displayed with one decimal. Amount of Pharmacy Cost allocated to the CDS-340 cost center (Expense * Percent to Allocate).
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Schedule JSI - Schedule JS Input: Section - Oncology/Infusion Drugs

Field ID Field Name Reporting Format Field Description
Reltd_IndirectCostCtr Related Indirect Cost Center Fixed Text The indirect cost center from which the Cost value is obtained.
Expense Expense Currency - Reported in Thousands. Displayed with one decimal. Adjusted Total Expenses for Pharmacy from Schedule C.
Validation Rule: If expense is greater than zero, Percent must greater than or equal to zero
Percent Percent to Allocate Percent Input - Displayed with one decimal. Percent of Pharmacy Cost to allocate to the OID-340 cost center. If not applicable, enter 0 or leave blank.
Validation Rule: Value must be between 0% and 100%
CSS Central Supply, Pharmacy, Social Services, OAO Currency - Reported in Thousands. Displayed with one decimal. Amount of Pharmacy Cost allocated to the OID-340 cost center (Expense * Percent to Allocate).
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Schedule JSI - Schedule JS Input: Section - Medical Supplies Sold

Field ID Field Name Reporting Format Field Description
Reltd_IndirectCostCtr Related Indirect Cost Center Fixed Text The indirect cost center from which the Cost value is obtained.
Expense Expense Currency - Reported in Thousands. Displayed with one decimal. Adjusted Total Expenses for Central Services and Supply from Schedule C.
Percent Percent to Allocate Percent Input - Displayed with one decimal. Percent of Central Services and Supply Cost to allocate to the MSS cost center. If not applicable, enter 0 or leave blank.
Validation Rule: Value must be 100%
CSS Central Supply, Pharmacy, Social Services, OAO Currency - Reported in Thousands. Displayed with one decimal. Amount of Pharmacy Cost allocated to the MSS cost center (Expense * Percent to Allocate).
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Schedule JSI - Schedule JS Input: Section - Drugs Sold

Field ID Field Name Reporting Format Field Description
Reltd_IndirectCostCtr Related Indirect Cost Center Fixed Text The indirect cost center from which the Cost value is obtained.
Expense Expense Currency - Reported in Thousands. Displayed with one decimal. Adjusted Total Expenses for Pharmacy from Schedule C.
Validation Rule: If expense is greater than zero, Percent must greater than or equal to zero
Percent Percent to Allocate Percent Input - Displayed with one decimal. Percent of Pharmacy Cost to allocate to the CDS cost center. If not applicable, enter 0 or leave blank.
Validation Rule: Value must be between 0% and 100%
CSS Central Supply, Pharmacy, Social Services, OAO Currency - Reported in Thousands. Displayed with one decimal. Amount of Pharmacy Cost allocated to the CDS cost center (Expense * Percent to Allocate).
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Schedule JSI - Schedule JS Input: Section - Total

Field ID Field Name Reporting Format Field Description
Percent Percent to Allocate Percent Total - Displayed with one decimal. Total Pharmacy Allocation across CDS, CDS-340, and OID-340 rate centers. Should equal 100%.
Validation Rule: The sum of the percents for CDS, CDS_340, and OID_340 must equal 100%
CSS Central Supply, Pharmacy, Social Services, OAO Currency Total - Reported in Thousands. Displayed with one decimal. Total Allocated Expenses for Central Supply, Pharmacy, Social Services, OAO.
Back to Schedule JSI - Schedule JS Input

Schedule M - Revenue Center Rates Summary: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
Volume Volume Number - Displayed as a whole number. The volume as reported in the experience data for each cost center from Schedule STI.
Direct_Exp Direct Expenses Currency - Reported in Thousands. Displayed with one decimal. The base year expenses adjusted from Schedule D for the reporting hospital for the fiscal year.
Pt_Care_OH_Exp Patient Care Overhead Expenses Currency - Reported in Thousands. Displayed with one decimal. The patient care overhead expenses from Schedule J.
Other_OH_Exp Other Overhead Expenses Currency - Reported in Thousands. Displayed with one decimal. The other overhead expenses transferred from Schedule J.
PSS Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. Adjusted fiscal year expenses from Schedule P3.
RIS Resident Intern Services Currency - Reported in Thousands. Displayed with one decimal. The resident intern service expenses for the fiscal year transferred from Schedules P4, P5, and P6.
Level1 Level 1 Currency - Reported in Thousands. Displayed with one decimal. The sum of Direct Expenses, Patient Care Overhead Expenses, Other Overhead Expenses, Physician Support Services, and Resident Intern Services.
BGA Building General Equipment Currency - Reported in Thousands. Displayed with one decimal. The sum of the General, Communications and Data Processing columns from Schedule H3.
DEA Departmental Equipment Allowance Currency - Reported in Thousands. Displayed with one decimal. The sum of the Dietary, Laundry and Department columns from Schedule H3.
Level2 Level 2 Currency - Reported in Thousands. Displayed with one decimal. The sum of Level I, Building General Equipment, and Departmental Equipment Allowance.
Direct_OFC Direct Other Financial Considerations Currency Input - Report in Thousands. Displayed with one decimal. The net other financial considerations for the fiscal year not to exceed the total positive or direct offset approved by the Commission.
Allocated_OFC Allocated Other Financial Considerations None
Level3 Level 3 Currency - Reported in Thousands. Displayed with one decimal. The sum of Level II, Direct Other Financial Considerations, and Allocated Other Financial Considerations.
Payor_Differential Payor Differential Currency - Reported in Thousands. Displayed with one decimal. The results of multiplying Level III costs by the Payer Differential from Schedule PDA for the fiscal year.
Level4 Level 4 Currency - Reported in Thousands. Displayed with one decimal. The sum of Level III and Payer Differential.
Cross_Sub Cross Subsidy Currency Input - Report in Thousands. Displayed with one decimal. Enter the amount of cross subsidy currently in rates when submitting a rate realignment or the amount of cross subsidy requested when submitting a permanent rate application.
MiscAdj Misc Adjustment Currency Input - Report in Thousands. Displayed with one decimal. Enter any miscellaneous adjustment to rates such as the retrospective adjustments for price and volume and unusual costs utilizing the IAS up to the date the requested rates are to be effective. Note: This column should not be completed for realignment of rates.
HSCRCAdj HSCRC Adjustment None
Adj_Level4 Adjusted Level 4 Currency - Reported in Thousands. Displayed with one decimal. The sum of Level IV, Cross Subsidy, Miscellaneous Adjustment, and HSCRC Adjustments.
Avg_Rates Average Rates Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Adjusted Level IV by Volume, then multiplying by 1000.
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Schedule M - Revenue Center Rates Summary: Section - Total

Field ID Field Name Reporting Format Field Description
Volume Volume None
Direct_Exp Direct Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The total of the Volume column for Schedule M.
Pt_Care_OH_Exp Patient Care Overhead Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Patient Care Overhead Expenses column for Schedule M.
Other_OH_Exp Other Overhead Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Other Overhead Expenses column for Schedule M.
PSS Physician Support Services Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Physician Support Services column for Schedule M.
RIS Resident Intern Services Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Resident Intern Services column for Schedule M.
Level1 Level 1 Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Level 1 column for Schedule M.
BGA Building General Equipment Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Building General Equipment column for Schedule M.
DEA Departmental Equipment Allowance Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Departmental Equipment Allowance column for Schedule M.
Level2 Level 2 Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Level 2 column for Schedule M.
Direct_OFC Direct Other Financial Considerations Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Direct Other Financial Considerations for Schedule M.
Allocated_OFC Allocated Other Financial Considerations None
Level3 Level 3 Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Level 3 column for Schedule M.
Payor_Differential Payor Differential Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Payor Differential column for Schedule M.
Level4 Level 4 Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Level 4 column from Schedule M.
Cross_Sub Cross Subsidy Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Cross Subsidy column for Schedule M.
MiscAdj Misc Adjustment Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Misc Adjustment column for Schedule M.
HSCRCAdj HSCRC Adjustment None
Adj_Level4 Adjusted Level 4 Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Adjusted Level 4 column for Schedule M.
Avg_Rates Average Rates None
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Total Incremental Cost - Trauma Director Summary

Field ID Field Name Reporting Format Field Description
Cost Cost Currency - Reported in Thousands. Displayed with one decimal. Total Costs associated with the trauma director for the fiscal year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Total Incremental Cost - Trauma Department Summary

Field ID Field Name Reporting Format Field Description
Cost Cost Currency - Reported in Thousands. Displayed with one decimal. Total Costs associated with the trauma department for the fiscal year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Total Incremental Cost - Trauma Protocol Summary

Field ID Field Name Reporting Format Field Description
Cost Cost Currency - Reported in Thousands. Displayed with one decimal. Total costs associated with trauma protocol for the fiscal year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Total Incremental Cost - Specialized Trauma Staff Summary

Field ID Field Name Reporting Format Field Description
Cost Cost Currency - Reported in Thousands. Displayed with one decimal. Total costs associated with specialized trauma staff for the fiscal year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Total Incremental Cost - Education and Training Costs Summary

Field ID Field Name Reporting Format Field Description
Cost Cost Currency - Reported in Thousands. Displayed with one decimal. Total costs associated with education and training costs for the fiscal year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Total Incremental Cost - Specialized Equipment Summary

Field ID Field Name Reporting Format Field Description
Cost Cost Currency - Reported in Thousands. Displayed with one decimal. Total costs associated with specialized equipment for the fiscal year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Total Incremental Cost - Total

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Total - Reported in Thousands. Displayed with one decimal. All total incremental costs for trauma hospitals for the fiscal year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Director - Hospital Input 1

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary costs incurred by the Hospital for the Trauma Director in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Director - Hospital Input 2

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Miscellaneous costs incurred by the Hospital associated with the Trauma Director.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Director - Hospital Input 3

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Miscellaneous costs incurred by the Hospital associated with the Trauma Director.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Director - Hospital Input 4

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Miscellaneous costs incurred by the Hospital associated with the Trauma Director.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Director - Hospital Input 5

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Miscellaneous costs incurred by the Hospital associated with the Trauma Director.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Director - Hospital Input 6

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Miscellaneous costs incurred by the Hospital associated with the Trauma Director.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Director - Total

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Total - Reported in Thousands. Displayed with one decimal. The sum of costs incurred by the hospital related to the Trauma Director.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Department - Trauma Coordinator

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits for the Trauma Coordinator, in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Department - Trauma Assistant

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits for the Trauma Assistant, in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Department - Trauma Registrar(s)

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits for the Trauma Registrar(s), in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Department - Technical and Professional Fees

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The costs for technical and professional fees for the Trauma Committee incurred, in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Department - Dues And Licenses

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The costs for dues and licenses incurred in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Department - Travel, Courses, and Seminars

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The costs for travel, registration for courses and seminars incurred in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Department - Miscellaneous

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The costs incurred by the Hospital for other, i.e., miscellaneous items utilized by the Trauma Department, in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Department - Total

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Total - Reported in Thousands. Displayed with one decimal. The sum of costs incurred related to the Trauma department.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Protocol - Hospital Input: Costs by Job Category 1

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Report by job category the costs incurred by the Hospital for the time of the staff, who responds to trauma cases, spent on trauma cases in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Protocol - Hospital Input: Costs by Job Category 2

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Report by job category the costs incurred by the Hospital for the time of the staff, who responds to trauma cases, spent on trauma cases in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Protocol - Hospital Input: Costs by Job Category 3

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Report by job category the costs incurred by the Hospital for the time of the staff, who responds to trauma cases, spent on trauma cases in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Protocol - Hospital Input: Costs by Job Category 4

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Report by job category the costs incurred by the Hospital for the time of the staff, who responds to trauma cases, spent on trauma cases in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Protocol - Hospital Input: Costs by Job Category 5

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Report by job category the costs incurred by the Hospital for the time of the staff, who responds to trauma cases, spent on trauma cases in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Protocol - Hospital Input: Costs by Job Category 6

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Report by job category the costs incurred by the Hospital for the time of the staff, who responds to trauma cases, spent on trauma cases in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Protocol - Hospital Input: Costs by Job Category 7

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Report by job category the costs incurred by the Hospital for the time of the staff, who responds to trauma cases, spent on trauma cases in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Protocol - Hospital Input: Costs by Job Category 8

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Report by job category the costs incurred by the Hospital for the time of the staff, who responds to trauma cases, spent on trauma cases in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Protocol - Hospital Input: Costs by Job Category 9

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. Report by job category the costs incurred by the Hospital for the time of the staff, who responds to trauma cases, spent on trauma cases in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Trauma Protocol - Total

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Total - Reported in Thousands. Displayed with one decimal. The total of costs incurred by the hospital for the time of the staff who respond to trauma cases, spent on trauma cases in the base year.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 1

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits incurred by the Hospital for additional non-physician staff in various departments.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 2

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits incurred by the Hospital for additional non-physician staff in various departments.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 3

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits incurred by the Hospital for additional non-physician staff in various departments.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 4

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits incurred by the Hospital for additional non-physician staff in various departments.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 5

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits incurred by the Hospital for additional non-physician staff in various departments.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 6

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits incurred by the Hospital for additional non-physician staff in various departments.
Back to Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals

Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 7

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits incurred by the Hospital for additional non-physician staff in various departments.
Back to Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals

Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 8

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits incurred by the Hospital for additional non-physician staff in various departments.
Back to Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals

Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Trauma Staff - Hospital Input: Costs by Non-Physician Staff 9

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The salary and fringe benefits incurred by the Hospital for additional non-physician staff in various departments.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Trauma Staff - Total

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Total - Reported in Thousands. Displayed with one decimal. The total of salary and fringe benefits incurred by the Hospital for additional non-physician staff in various departments.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Education and Training Costs - Hospital Input: Education and Training Cost 1

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The costs incurred by the Hospital associated with the orientation, education, and training specifically required for trauma personnel.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Education and Training Costs - Hospital Input: Education and Training Cost 2

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The costs incurred by the Hospital associated with the orientation, education, and training specifically required for trauma personnel.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Education and Training Costs - Hospital Input: Education and Training Cost 3

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The costs incurred by the Hospital associated with the orientation, education, and training specifically required for trauma personnel.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Education and Training Costs - Hospital Input: Education and Training Cost 4

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The costs incurred by the Hospital associated with the orientation, education, and training specifically required for trauma personnel.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Education and Training Costs - Hospital Input: Education and Training Cost 5

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The costs incurred by the Hospital associated with the orientation, education, and training specifically required for trauma personnel.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Education and Training Costs - Total

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Total - Reported in Thousands. Displayed with one decimal. The total of costs incurred by the Hospital associated with the orientation, education, and training specifically required for trauma personnel.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Equipment - Hospital Input: Specialized Equipment Cost 1

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The annual depreciation of equipment and cost of technology incurred by the Hospital.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Equipment - Hospital Input: Specialized Equipment Cost 2

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The annual depreciation of equipment and cost of technology incurred by the Hospital.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Equipment - Hospital Input: Specialized Equipment Cost 3

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The annual depreciation of equipment and cost of technology incurred by the Hospital.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Equipment - Hospital Input: Specialized Equipment Cost 4

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The annual depreciation of equipment and cost of technology incurred by the Hospital.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Equipment - Hospital Input: Specialized Equipment Cost 5

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The annual depreciation of equipment and cost of technology incurred by the Hospital.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Equipment - Hospital Input: Specialized Equipment Cost 6

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Input - Report in Thousands. Displayed with one decimal. The annual depreciation of equipment and cost of technology incurred by the Hospital.
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Schedule MTC - Incremental MIEMMS Requirements for Trauma Hospitals: Section - Specialized Equipment - Total

Field ID Field Name Reporting Format Field Description
Cost Cost Currency Total - Reported in Thousands. Displayed with one decimal. The total annual depreciation of equipment and cost of technology incurred by the Hospital.
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Loss Per FTE - Gain (Loss) to be Allocated as Fringe Benefit

Field ID Field Name Reporting Format Field Description
FTE FTE None
Gain_Loss Gain (Loss) on Calculation None
Allocation Allocation Amount None
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses Number - Displayed with one decimal. The amount of the gain (loss) to be allocated as a fringe benefit, transferred from schedule E.
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Loss Per FTE - Number of FTEs

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the reported base year, as transferred from the Total amount of FTE column, Schedule OADP.
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Loss Per FTE - Loss Per FTE

Field ID Field Name Reporting Format Field Description
Loss_Per_FTE Loss per FTE Number - Displayed with five decimals. The result of dividing the total expenses from loss to be allocated as fringe by the number of FTEs.
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Allocation of Data Processing - Fiscal Year Expenses

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The expenses of the reporting hospital incurred in the fiscal year for Salaries and Wages expense category. This is transferred from Schedule EXP.
Oth_Exp Other Expenses Number - Displayed with one decimal. The expenses of the reporting hospital incurred in the fiscal year for Professional Fees, Non Medical and Non Surgical Supplies, Purchased Services, and Other Direct Expenses expense categories. Expenses which are normally reported are office and administrative supplies, data processing, management and contracted services, dues, books, and subscription, outside training sessions, travel-other, and postage. Printing and duplicating is the be reported in Hospital Administration. However, data processing paper is reported in Office and Administrative Supplies. Leases/Rentals are not to be reported in this cost center but are to be reported in Leases and Rentals, and schedule UR.
Tot_Exp Total Expenses Number - Displayed with one decimal. The sum of wages, salaries and fringe benefits, and other expenses.
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Allocation of Data Processing - Donated Services & Commodities

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The donated services expenses utilizing the natural expense categories outlined in instructions for Line A, Column 1, of this schedule.
Oth_Exp Other Expenses Number - Displayed with one decimal. The donated commodities utilizing the natural expense categories outlined in the instructions for Line A, Column 2 of this schedule.
Tot_Exp Total Expenses Number - Displayed with one decimal. The sum of wages, salaries and fringe benefits, and other expenses.
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Allocation of Data Processing - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The sum of WSF for lines B1 and B2.
Oth_Exp Other Expenses Number - Displayed with one decimal. The sum of Other Expenses for lines B1 and B2.
Tot_Exp Total Expenses Number - Displayed with one decimal. The sum of wages, salaries and fringe benefits, and other expenses.
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - C Schedule

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each indirect center, transferred from Schedule C.
Validation Rule: For each cost center, FTEs must match to FTEs from Schedule C
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs across the C and D schedule cost centers.
Basis Basis Pct None The amount allocated to each cost center expressed as a percentage in decimal form.
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to the Schedule C Cost Centers.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to the Schedule C Cost Centers.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses should match to Allocated Expenses in Schedule C
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - D Schedule

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each indirect center, transferred from Schedule D.
Validation Rule: For each cost center, FTEs must match to FTEs from Schedule D
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs across the C and D schedule cost centers.
Basis Basis Pct None The amount allocated to each cost center expressed as a percentage in decimal form.
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to the Schedule D Cost Centers.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to the Schedule D Cost Centers.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses should match to Allocated Expenses in Schedule D
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - E01: Ambulance Services

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each indirect center, transferred from Schedule E.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to E01: Ambulance.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to E01: Ambulance.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to Allocation from Cafeteria, Parking, Etc in Schedule E
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - E02: Parking

Field ID Field Name Reporting Format Field Description
FTE FTE None
Gain_Loss Gain (Loss) on Calculation None
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to E02: Parking.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to E02: Parking.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule E
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - E03: Doctor's Private Office Rental

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each indirect center, transferred from Schedule E.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to E03: Doctor's Private Office Rental.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to E03: Doctor's Private Office Rental.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule E
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - E04: Office And Other Rentals

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each indirect center, transferred from Schedule E.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to E04: Office and Other Rentals.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to E04: Office and Other Rentals.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule E
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - E05: Retail Operations

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each indirect center, transferred from Schedule E.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to E05: Retail Operations.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to E05: Retail Operations.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule E
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - E06: Patient Telephones

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each indirect center, transferred from Schedule E.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to E06: Patient Telephones.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to E06: Patient Telephones.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule E
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - E07: Cafeteria

Field ID Field Name Reporting Format Field Description
FTE FTE None
Gain_Loss Gain (Loss) on Calculation None
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to E07: Cafeteria.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to E07: Cafeteria.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule E
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - E08: Day Care Center, Rec Areas, Etc..

Field ID Field Name Reporting Format Field Description
FTE FTE None
Gain_Loss Gain (Loss) on Calculation None
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to E08: Day Care Center, Rec Areas, etc.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to E08: Day Care Center, Rec Areas, etc.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule E
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - E09: Housing

Field ID Field Name Reporting Format Field Description
FTE FTE None
Gain_Loss Gain (Loss) on Calculation None
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to E09: Housing.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to E09: Housing.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule E
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - F Schedule

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each other institutional program, transferred from Schedule F.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to the Schedule F Cost Centers.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to the Schedule F Cost Centers.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule F
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - P2 Schedule

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each direct patient center, transferred from Schedule P2.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to the Schedule P2 Cost Centers.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to the Schedule P2 Cost Centers.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule P2
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - P3 Schedule

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each direct patient center, transferred from Schedule P3.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to the Schedule P3 Cost Centers.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to the Schedule P3 Cost Centers.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule P3
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - P4 Schedule

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each direct patient center, transferred from Schedule P4.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to the Schedule P4 Cost Centers.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to the Schedule P4 Cost Centers.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule P4
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - P5 Schedule

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each direct patient center, transferred from Schedule P5.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to the Schedule P5 Cost Centers.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to the Schedule P5 Cost Centers.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule P5
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - P6 Schedule

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each direct patient center, transferred from Schedule P6.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to the Schedule P6 Cost Centers.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to the Schedule P6 Cost Centers.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenue in Schedule P6
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - UR Schedule

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The number of FTEs for the base year for each unregulated center, transferred from Schedule UR.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The result of multiplying the gain (loss) per FTE by the number of FTEs.
Allocation Allocation Amount Number - Displayed with four decimals. The allocation amount used in the allocation of Data Processing for each cost center, based on the share of FTEs. For FY25, Data Processing is only being allocated to C and D schedule cost centers, therefore this should be 0.
Basis Basis Pct None
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The amount of Wages, Salaries, and Fringe Benefits for Data Processing allocated to the Schedule UR Cost Centers.
Oth_Exp Other Expenses Number - Displayed with one decimal. The amount of Other Expenses for Data Processing allocated to the Schedule UR Cost Centers.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The sum of wages, salaries, benefits and other expenses.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The sum of the gain (loss) calculation and data processing allocation.
Validation Rule: For each cost center, Total Allocated expenses must match to corresponding Allocation from Cafeteria, Parking, Etc. from Total Expenses/Revenues in Schedule UR
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Schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing): Section - Distribution of Gain/Loss Per FTE - Total

Field ID Field Name Reporting Format Field Description
FTE FTE Number - Displayed with one decimal. The Sum total of the FTE column for all cost centers in Schedule OADP.
Gain_Loss Gain (Loss) on Calculation Number - Displayed with one decimal. The Sum total of the Gain (Loss) on Calculation column for all cost centers in Schedule OADP.
Allocation Allocation Amount Number - Displayed with one decimal. The Sum total of the Allocation Amount column for all cost centers in Schedule OADP.
Basis Basis Pct None The sum total of the Basis Pct column of the C and D Schedules.
Validation Rule: This value should equal 1
WSF Wages, Salaries, and Fringe Benefits Number - Displayed with one decimal. The Sum total of the Wages, Salaries, and Fringe Benefits column for all cost centers in Schedule OADP.
Oth_Exp Other Expenses Number - Displayed with one decimal. The Sum total of the Other Expenses column for all cost centers in Schedule OADP.
DP_Allocation Data Processing Allocation Number - Displayed with one decimal. The Sum total of the Data Processing column for all cost centers in Schedule OADP.
Tot_Allocated_Exp Total Allocated Expenses Number - Displayed with one decimal. The Sum total of the Total Allocated Expenses column for all cost centers in Schedule OADP.
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Schedule OES - Overhead Expense Summary: Section - Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Total Total Currency - Reported in Thousands. Displayed with one decimal. This is the sum of physician part b services, data processing and general service center expenses for the base year for the indirect cost center listed in Schedule OES.
Phys_PartB_Serv Physician Part B Services Currency Input - Report in Thousands. Displayed with one decimal. For the associated Indirect Patient Cost Center, Overhead expenses associated with non-Medicare Physician Part B Services to be distributed to Physicians Part B Services, Revenue Center Rate summary, Schedule MB.
Data_Proc Data Processing None
General_Serv_Ctrs General Service Centers Currency - Reported in Thousands. Displayed with one decimal. The general services expenses not benefiting non-Medicare Physicians Part B Services.
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Schedule OES - Overhead Expense Summary: Section - Data Processing

Field ID Field Name Reporting Format Field Description
Total Total Currency - Reported in Thousands. Displayed with one decimal. This is the sum of physician part b services, data processing and general service center expenses for the base year.
Validation Rule: Must equal OADP Fiscal Year Expenses for allocation of data processing
Phys_PartB_Serv Physician Part B Services Currency Input - Report in Thousands. Displayed with one decimal. For the associated Indirect Patient Cost Center, Overhead expenses associated with non-Medicare Physician Part B Services to be distributed to Physicians Part B Services, Revenue Center Rate summary, Schedule MB.
Data_Proc Data Processing Currency - Reported in Thousands. Displayed with one decimal. Data Processing expenses not benefiting from Medicare Physicians Part B Services transferred from Schedule OADP.
General_Serv_Ctrs General Service Centers None
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Schedule OES - Overhead Expense Summary: Section - Total

Field ID Field Name Reporting Format Field Description
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. Total of all physician part b services, data processing and general service center expenses.
Phys_PartB_Serv Physician Part B Services Currency Total - Reported in Thousands. Displayed with one decimal. The sum of all physician Part b service expenses for the indirect centers listed in Schedule OES.
Data_Proc Data Processing Currency Total - Reported in Thousands. Displayed with one decimal. The sum of all Data Processing expenses for the indirect centers listed in Schedule OES.
General_Serv_Ctrs General Service Centers Currency Total - Reported in Thousands. Displayed with one decimal. The sum of all general service center expenses for the indirect centers listed in Schedule OES.
Validation Rule: Must equal Schedule C sum of all Total Expenses
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Schedule P1 - Hospital Based Physicians Allocation: Section - MSA Cost Center

Field ID Field Name Reporting Format Field Description
Research Research Currency - Reported in Thousands. Displayed with one decimal. For MSA cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in research projects.
Chief_MedStaff Chief of Medical Staff Currency - Reported in Thousands. Displayed with one decimal. For MSA cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians functioning as the Chief of the Medical Staff.
MCR Medical Care Review Currency - Reported in Thousands. Displayed with one decimal. For MSA cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in peer review, quality assurance and PSRO activities.
Admin_Supervision Admin & Supervision Currency - Reported in Thousands. Displayed with one decimal. For MSA cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in administration and supervision of departments.
PartB Part B Services Currency - Reported in Thousands. Displayed with one decimal. Compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital based physicians engaged in diagnosis or treatment of identifiable non Medicare patients.
Education Education Currency - Reported in Thousands. Displayed with one decimal. For MSA cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in education activities.
Total Total Expense Currency Total - Reported in Thousands. Displayed with one decimal. For the MSA cost center, this is the sum of compensation including payroll related fringe benefits incurred in the fiscal year for hospital based physicians. This is the sum of Research, Chief of Medical Staff, Medical Care Review, Admin and Supervision, Part B Services, and Education.
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Schedule P1 - Hospital Based Physicians Allocation: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
Research Research Currency - Reported in Thousands. Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in research projects.
Chief_MedStaff Chief of Medical Staff Currency - Reported in Thousands. Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians functioning as the Chief of the Medical Staff.
MCR Medical Care Review Currency - Reported in Thousands. Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in peer review, quality assurance and PSRO activities.
Admin_Supervision Admin & Supervision Currency - Reported in Thousands. Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in administration and supervision of departments.
Validation Rule: The cost of admin and supervision from P1 must equal physicians supervision expense from schedule D.
PartB Part B Services Currency - Reported in Thousands. Displayed with one decimal. Compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital based physicians engaged in diagnosis or treatment of identifiable non Medicare patients.
Education Education Currency - Reported in Thousands. Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in education activities.
Total Total Expense Currency Total - Reported in Thousands. Displayed with one decimal. For each applicable cost center, this is the sum of compensation including payroll related fringe benefits incurred in the fiscal year for hospital based physicians. This is the sum of Research, Chief of Medical Staff, Medical Care Review, Admin and Supervision, Part B Services, and Education.
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Schedule P1 - Hospital Based Physicians Allocation: Section - Total

Field ID Field Name Reporting Format Field Description
Research Research Currency Total - Reported in Thousands. Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in research projects for all cost centers listed on Schedule P1.
Chief_MedStaff Chief of Medical Staff Currency Total - Reported in Thousands. Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians functioning as the Chief of the Medical Staff for all cost centers listed on Schedule P1.
MCR Medical Care Review Currency Total - Reported in Thousands. Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in peer review, quality assurance and PSRO activities for all cost centers listed on Schedule P1.
Admin_Supervision Admin & Supervision Currency Total - Reported in Thousands. Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in administration and supervision of departments for all cost centers listed on Schedule P1.
PartB Part B Services Currency Total - Reported in Thousands. Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital based physicians engaged in diagnosis or treatment of identifiable non Medicare patients.
Education Education Currency Total - Reported in Thousands. Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in education activities for all cost centers listed on Schedule P1.
Total Total Expense Currency Total - Reported in Thousands. Displayed with one decimal. The sum of total expense column in Schedule P1. Verify this is equals the addition of the total columns for Research, Chief of Medical Staff, Medical Care Review, Admin and Supervision, Part B Services, and Education.
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Schedule P1 - Hospital Based Physicians Allocation: Section - Reporting Schedule

Field ID Field Name Reporting Format Field Description
Research Research Fixed Text The entry on this line refer to the cost centers to which the hospital-based physicians compensation is transferred.
Chief_MedStaff Chief of Medical Staff Fixed Text The entry on this line refer to the cost centers to which the hospital-based physicians compensation is transferred.
MCR Medical Care Review Fixed Text The entry on this line refer to the cost centers to which the hospital-based physicians compensation is transferred.
Admin_Supervision Admin & Supervision Fixed Text The entry on this line refer to the cost centers to which the hospital-based physicians compensation is transferred.
PartB Part B Services Fixed Text The entries on this line refer to the cost centers to which the hospital-based physicians compensation is transferred.
Education Education Fixed Text The entry on this line refer to the cost centers to which the hospital-based physicians compensation is transferred.
Total Total Expense None
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Schedule P1I - P1 Input: Section - MSA Cost Center

Field ID Field Name Reporting Format Field Description
Research_Exp Research Expenses Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in research projects.
Validation Rule: Value must be zero or greater than zero
Chief_MedStaff_Exp Chief of Medical Staff Expenses Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians functioning as the Chief of the Medical Staff.
Validation Rule: Value must be zero or greater than zero
MCR_Exp Medical Care Review Expenses Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in peer review, quality assurance and PSRO activities.
Validation Rule: Value must be zero or greater than zero
Admin_Supervision_Exp Administration & Supervision Expenses Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in administration and supervision of departments.
Validation Rule: Value must be zero or greater than zero
PartB_Exp Part B Services Expenses Number Input - Displayed with one decimal. Compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital based physicians engaged in diagnosis or treatment of identifiable non Medicare patients.
Validation Rule: Value must be zero or greater than zero
P4_Education_Exp Education Expenses (Residents) Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for residents and physician supervision of residents engaged in education activities.
Validation Rule: Value must be zero or greater than zero
P5_Education_Exp Education Expenses (Interns) Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for interns and physician supervision of interns engaged in education activities.
Validation Rule: Value must be zero or greater than zero
P6_Education_Exp Education Expenses (Fellows) Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for fellows and physician supervision of fellows engaged in education activities.
Validation Rule: Value must be zero or greater than zero
Total_Exp Total Expenses Number - Displayed with one decimal. For each applicable cost center, this is the sum of compensation including payroll related fringe benefits incurred in the fiscal year for hospital based physicians. This is the sum of Research, Chief of Medical Staff, Medical Care Review, Admin and Supervision, Part B Services, and Education.
Validation Rule: Value must be zero or greater than zero
Research_FTEs Research FTEs Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in research projects.
Validation Rule: Value must be zero or greater than zero
Chief_MedStaff_FTEs Chief of Medical Staff FTEs Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for hospital-based physicians functioning as the Chief of the Medical Staff.
Validation Rule: Value must be zero or greater than zero
MCR_FTEs Medical Care Review FTEs Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in peer review, quality assurance and PSRO activities.
Validation Rule: Value must be zero or greater than zero
Admin_Supervision_FTEs Administration & Supervision FTEs Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in administration and supervision of departments.
Validation Rule: Value must be zero or greater than zero
PartB_FTEs Part B Services FTEs Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in diagnosis or treatment of identifiable non Medicare patients.
Validation Rule: Value must be zero or greater than zero
P4_Education_FTEs Education FTEs (Residents) Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for residents and physician supervision of residents engaged in education activities.
Validation Rule: Value must be zero or greater than zero
P5_Education_FTEs Education FTEs (Interns) Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for interns and physician supervision of interns engaged in education activities.
Validation Rule: Value must be zero or greater than zero
P6_Education_FTEs Education FTEs (Fellows) Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for fellows and physician supervision of fellows engaged in education activities.
Validation Rule: Value must be zero or greater than zero
Total_FTEs Total FTEs Number - Displayed with one decimal. For each applicable cost center, this is the sum of FTEs for Research, Chief of Medical Staff, Medical Care Review, Admin and Supervision, Part B Services, and Education.
Validation Rule: Value must be zero or greater than zero
Back to Schedule P1I - P1 Input

Schedule P1I - P1 Input: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
Research_Exp Research Expenses Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in research projects.
Validation Rule: Value must be zero or greater than zero
Chief_MedStaff_Exp Chief of Medical Staff Expenses Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians functioning as the Chief of the Medical Staff.
Validation Rule: Value must be zero or greater than zero
MCR_Exp Medical Care Review Expenses Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in peer review, quality assurance and PSRO activities.
Validation Rule: Value must be zero or greater than zero
Admin_Supervision_Exp Administration & Supervision Expenses Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in administration and supervision of departments.
PartB_Exp Part B Services Expenses Number Input - Displayed with one decimal. Compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital based physicians engaged in diagnosis or treatment of identifiable non Medicare patients.
Validation Rule: Value must be zero or greater than zero
P4_Education_Exp Education Expenses (Residents) Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for residents and physician supervision of residents engaged in education activities.
Validation Rule: Value must be zero or greater than zero
P5_Education_Exp Education Expenses (Interns) Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for residents and physician supervision of residents engaged in education activities.
Validation Rule: Value must be zero or greater than zero
P6_Education_Exp Education Expenses (Fellows) Number Input - Displayed with one decimal. For each applicable cost center, the compensation, including payroll related fringe benefits, incurred in the fiscal year for fellows and physician supervision of fellows engaged in education activities.
Validation Rule: Value must be zero or greater than zero
Total_Exp Total Expenses Number - Displayed with one decimal. For each applicable cost center, this is the sum of compensation including payroll related fringe benefits incurred in the fiscal year for hospital based physicians. This is the sum of Research, Chief of Medical Staff, Medical Care Review, Admin and Supervision, Part B Services, and Education.
Validation Rule: Value must be zero or greater than zero
Research_FTEs Research FTEs Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in research projects.
Validation Rule: Value must be zero or greater than zero
Chief_MedStaff_FTEs Chief of Medical Staff FTEs Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for hospital-based physicians functioning as the Chief of the Medical Staff.
Validation Rule: Value must be zero or greater than zero
MCR_FTEs Medical Care Review FTEs Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in peer review, quality assurance and PSRO activities.
Validation Rule: Value must be zero or greater than zero
Admin_Supervision_FTEs Administration & Supervision FTEs Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in administration and supervision of departments.
Validation Rule: Value must be zero or greater than zero
PartB_FTEs Part B Services FTEs Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in diagnosis or treatment of identifiable non Medicare patients.
Validation Rule: Value must be zero or greater than zero
P4_Education_FTEs Education FTEs (Residents) Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for residents and physician supervision of residents engaged in education activities.
Validation Rule: Value must be zero or greater than zero
P5_Education_FTEs Education FTEs (Interns) Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for interns and physician supervision of interns engaged in education activities.
Validation Rule: Value must be zero or greater than zero
P6_Education_FTEs Education FTEs (Fellows) Number Input - Displayed with one decimal. For each applicable cost center, enter the number of FTEs, incurred in the fiscal year for fellows and physician supervision of fellows engaged in education activities.
Validation Rule: Value must be zero or greater than zero
Total_FTEs Total FTEs Number - Displayed with one decimal. For each applicable cost center, this is the sum of FTEs for Research, Chief of Medical Staff, Medical Care Review, Admin and Supervision, Part B Services, and Education.
Validation Rule: Value must be zero or greater than zero
Back to Schedule P1I - P1 Input

Schedule P1I - P1 Input: Section - Total

Field ID Field Name Reporting Format Field Description
Research_Exp Research Expenses Number - Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in research projects for all cost centers listed on Schedule P1I.
Chief_MedStaff_Exp Chief of Medical Staff Expenses Number - Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians functioning as the Chief of the Medical Staff for all cost centers listed on Schedule P1I.
MCR_Exp Medical Care Review Expenses Number - Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in peer review, quality assurance and PSRO activities for all cost centers listed on Schedule P1I.
Admin_Supervision_Exp Administration & Supervision Expenses Number - Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in administration and supervision of departments for all cost centers listed on Schedule P1I.
PartB_Exp Part B Services Expenses Number - Displayed with one decimal. Total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital based physicians engaged in diagnosis or treatment of identifiable non Medicare patients.
P4_Education_Exp Education Expenses (Residents) Number - Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in education activities of residents for all cost centers listed on Schedule P1I.
P5_Education_Exp Education Expenses (Interns) Number - Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in education activities of interns for all cost centers listed on Schedule P1I.
P6_Education_Exp Education Expenses (Fellows) Number - Displayed with one decimal. The total compensation, including payroll related fringe benefits, incurred in the fiscal year for hospital-based physicians engaged in education activities of fellows for all cost centers listed on Schedule P1I.
Total_Exp Total Expenses Number - Displayed with one decimal. The total compensation including payroll related fringe benefits incurred in the fiscal year for hospital based physicians engaging in Research, Chief of Medical Staff, Medical Care Review, Admin and Supervision, Part B Services, and Education, as defined previous for all cost centers listed on Schedule P1.
Research_FTEs Research FTEs Number - Displayed with one decimal. The total number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in research projects for all cost centers listed on Schedule P1I.
Chief_MedStaff_FTEs Chief of Medical Staff FTEs Number - Displayed with one decimal. The total number of FTEs, incurred in the fiscal year for hospital-based physicians functioning as the Chief of the Medical Staff for all cost centers listed on Schedule P1I.
MCR_FTEs Medical Care Review FTEs Number - Displayed with one decimal. The total number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in peer review, quality assurance and PSRO activities for all cost centers listed on Schedule P1I.
Admin_Supervision_FTEs Administration & Supervision FTEs Number - Displayed with one decimal. The total number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in administration and supervision of departments for all cost centers listed on Schedule P1I.
PartB_FTEs Part B Services FTEs Number - Displayed with one decimal. The total number of FTEs incurred in the fiscal year for related to diagnosis or treatment of non Medicare patients.
P4_Education_FTEs Education FTEs (Residents) Number - Displayed with one decimal. The total number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in education activities of residents.
P5_Education_FTEs Education FTEs (Interns) Number - Displayed with one decimal. The total number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in education activities of interns.
P6_Education_FTEs Education FTEs (Fellows) Number - Displayed with one decimal. The total number of FTEs, incurred in the fiscal year for hospital-based physicians engaged in education activities of fellows.
Total_FTEs Total FTEs Number - Displayed with one decimal. The total number of FTEs incurred in the fiscal year for hospital based physicians engaging in Research, Chief of Medical Staff, Medical Care Review, Admin and Supervision, Part B Services, and Education, as defined previous for all cost centers listed on Schedule P1.
Back to Schedule P1I - P1 Input

Schedule P2 - Physician Part B Services: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
FY_exp Fiscal Year Expenses Currency - Reported in Thousands. Displayed with one decimal. The amount non-Medicare professional component expenses transferred from Schedules P1.
Allocation Allocation from Cafeteria, Parking, etc. Currency - Reported in Thousands. Displayed with one decimal. The amount from the Gain(Loss) on Calculation column from Schedule OADP for the schedule P2 cost centers.
Donated_Svcs Donated Services Currency - Reported in Thousands. Displayed with one decimal. For each applicable cost center column, donated services expenses in the fiscal year in accordance with Section 100.11, Basis of Valuation.
FY_adjexp Fiscal Year Adjusted Expenses Currency - Reported in Thousands. Displayed with one decimal. For each cost center, this is the sum of fiscal year expenses, allocation of cafeteria, parking, etc., and donation services.
FTEs Fiscal Year FTEs Number - Displayed with one decimal. For each cost center, the Part B FTEs transferred from Schedule P1I.
Back to Schedule P2 - Physician Part B Services

Schedule P2 - Physician Part B Services: Section - Total

Field ID Field Name Reporting Format Field Description
FY_exp Fiscal Year Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses for the cost centers listed in this schedule.
Allocation Allocation from Cafeteria, Parking, etc. Currency Total - Reported in Thousands. Displayed with one decimal. The sum of allocations from cafeteria, parking etc. for the cost centers listed in this schedule.
Donated_Svcs Donated Services Currency Total - Reported in Thousands. Displayed with one decimal. The sum of donated services expenses in the fiscal year in accordance with Section 100.11, Basis of Valuation for the cost centers listed in this schedule.
FY_adjexp Fiscal Year Adjusted Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The sum of fiscal year adjusted expenses for the direct patient care centers in Schedule P1.
FTEs Fiscal Year FTEs Number - Displayed with one decimal. The sum of fiscal year FTEs Column for the direct patient care centers in Schedule P1.
Back to Schedule P2 - Physician Part B Services

Schedule P2I - Physician Part B Overhead Allocations: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
Donate Donation Services Number Input - Displayed with one decimal. Enter the expenses allocated to donation services for Part B Physicians.
Dietary Dietary Services Number Input - Displayed with one decimal. Enter the expenses allocated to dietary services for Part B Physicians.
Laundry Laundry & Linen Number Input - Displayed with one decimal. Enter the expenses allocated to laundry and linen for Part B Physicians.
Social_Services Social Services Number Input - Displayed with one decimal. Enter the expenses allocated to social services for Part B Physicians.
Purchases Purchases & Stores Number Input - Displayed with one decimal. Enter the expenses allocated to purchases and stores for Part B Physicians.
Plant_Ops Plant Operations Number Input - Displayed with one decimal. Enter the expenses allocated to plant operations for Part B Physicians.
HSKG Housekeeping Number Input - Displayed with one decimal. Enter the expenses allocated to housekeeping for Part B Physicians.
Supplies Central Services & Supplies Number Input - Displayed with one decimal. Enter the expenses allocated to central services and supplies for Part B Physicians.
Pharmacy Pharmacy Number Input - Displayed with one decimal. Enter the expenses allocated to pharmacy for Part B Physicians.
General_Acct General Accounting Number Input - Displayed with one decimal. Enter the expenses allocated to general accounting for Part B Physicians.
Pat_Acct Patient Accounting Number Input - Displayed with one decimal. Enter the expenses allocated to patient accounting for Part B Physicians.
Hosp_Admin Hospital Administration Number Input - Displayed with one decimal. Enter the expenses allocated to hospital administration for Part B Physicians.
Medical_Records Medical Records Number Input - Displayed with one decimal. Enter the expenses allocated to medical records for Part B Physicians.
Staff_Admin Staff Administration Number Input - Displayed with one decimal. Enter the expenses allocated to staff administration for Part B Physicians.
Nursing_Admin Nursing Administration Number Input - Displayed with one decimal. Enter the expenses allocated to nursing administration for Part B Physicians.
DP Data Processing Number Input - Displayed with one decimal. Enter the expenses allocated to data processing for Part B Physicians.
Total Total Number - Displayed with one decimal. The total expenses for Part B physicians.
Back to Schedule P2I - Physician Part B Overhead Allocations

Schedule P2I - Physician Part B Overhead Allocations: Section - Total

Field ID Field Name Reporting Format Field Description
Donate Donation Services Number - Displayed with one decimal. The sum of donation services expenses for the cost centers listed in this schedule.
Dietary Dietary Services Number - Displayed with one decimal. The sum of dietary expenses for the cost centers listed in this schedule.
Laundry Laundry & Linen Number - Displayed with one decimal. The sum of laundry and linen expenses for the cost centers listed in this schedule.
Social_Services Social Services Number - Displayed with one decimal. The sum of social services expenses for the cost centers listed in this schedule.
Purchases Purchases & Stores Number - Displayed with one decimal. The sum of purchase expenses for the cost centers listed in this schedule.
Plant_Ops Plant Operations Number - Displayed with one decimal. The sum of plant operations expenses for the cost centers listed in this schedule.
HSKG Housekeeping Number - Displayed with one decimal. The sum of housekeeping expenses for the cost centers listed in this schedule.
Supplies Central Services & Supplies Number - Displayed with one decimal. The sum of supply expenses for the cost centers listed in this schedule.
Pharmacy Pharmacy Number - Displayed with one decimal. The sum of pharmacy expenses for the cost centers listed in this schedule.
General_Acct General Accounting Number - Displayed with one decimal. The sum of general accounting expenses for the cost centers listed in this schedule.
Pat_Acct Patient Accounting Number - Displayed with one decimal. The sum of general accounting expenses for the cost centers listed in this schedule.
Hosp_Admin Hospital Administration Number - Displayed with one decimal. The sum of donation services expenses for the cost centers listed in this schedule.
Medical_Records Medical Records Number - Displayed with one decimal. The sum of dietary expenses for the cost centers listed in this schedule.
Staff_Admin Staff Administration Number - Displayed with one decimal. The sum of laundry and linen expenses for the cost centers listed in this schedule.
Nursing_Admin Nursing Administration Number - Displayed with one decimal. The sum of social services expenses for the cost centers listed in this schedule.
DP Data Processing Number - Displayed with one decimal. The sum of purchase expenses for the cost centers listed in this schedule.
Total Total Number - Displayed with one decimal. The sum of plant operations expenses for the cost centers listed in this schedule.
Back to Schedule P2I - Physician Part B Overhead Allocations

Schedule P3 - Physician Support Services: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
FY_exp Fiscal Year Expenses Currency - Reported in Thousands. Displayed with one decimal. Salaries, compensation and fringe benefits expenses incurred for the administrative and supervision portion of the hospital's non-physician medical practitioners Non physician medical practitioners include Physician Assistants, Clinical Nurse Specialist, Nurse Practitioners, Clinical Psychologist, and Other non-physician medical practitioners that can bill professionally. Please note the expenses in this column must be identical to the Medicare Part A expenses reported on W/S A-8-2 of the Medicare cost report. In addition, hospitals must maintain time studies to support the expense allocation on Schedule P3. If no time studies are developed, then the entire expense per cost center should be reported on the hospital Schedule UR Physician Support Part B Services. This is transferred from Schedule P3I.
Allocation Allocation from Cafeteria, Parking, etc. Currency - Reported in Thousands. Displayed with one decimal. For each cost center, Allocation from Cafeteria, Parking Etc., and Donation Services from schedule OADP - Allocation Expenses (Cafeteria, Parking, Data Processing) for the schedule P3 cost centers.
Donated_Svcs Donated Services Currency - Reported in Thousands. Displayed with one decimal. For each cost center, the fiscal year donated services expense in accordance with Bases of Valuation. This is transferred from Schedule P3I.
FY_adjexp Total Expenses Currency - Reported in Thousands. Displayed with one decimal. For each cost center, the Fiscal Year Expenses adjusted for Donated Services and the Allocation from Cafeteria, Parking, etc.
FTEs Fiscal Year FTEs Number - Displayed with one decimal. For each cost center, this is the result of worked hours for the fiscal year divided by 2080 for a rate. This is transferred from schedule P3I.
Back to Schedule P3 - Physician Support Services

Schedule P3 - Physician Support Services: Section - Total

Field ID Field Name Reporting Format Field Description
FY_exp Fiscal Year Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Fiscal Year Expenses for the cost centers listed in this schedule.
Allocation Allocation from Cafeteria, Parking, etc. Currency Total - Reported in Thousands. Displayed with one decimal. The sum of allocation from Cafeteria, Parking, etc. for the cost centers listed in this schedule.
Donated_Svcs Donated Services Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Donated Services for the cost centers listed in this schedule.
FY_adjexp Total Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the Fiscal Year Expenses adjusted for Donated Services and the Allocation from Cafeteria, Parking, etc. for the cost centers listed in this schedule.
FTEs Fiscal Year FTEs Number - Displayed with one decimal. The sum of Fiscal Year FTEs for the cost centers listed in this schedule.
Back to Schedule P3 - Physician Support Services

Schedule P3I - Physician Support Expense Input: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Salaries & Benefits Currency Input - Report in Thousands. Displayed with one decimal. Enter in this column for each rate center the salaries, compensation and fringe benefits expenses incurred for the administrative and supervision portion of the hospital’s non-physician medical practitioners.
FTEs FTEs Number Input - Displayed with one decimal. Enter in this column for each rate center the result of dividing the hours worked for the fiscal year by 2080. E.g. 10,912 divided by 2080 = 5.2 for physician support administration and supervision support services.
Blank1 blank1 None
Donation_Svcs Donation Services Currency Input - Report in Thousands. Displayed with one decimal. Enter in this column for each rate center, the fiscal year donated services expenses in accordance with Section 100.11, Bases of Valuation.
Back to Schedule P3I - Physician Support Expense Input

Schedule P3I - Physician Support Expense Input: Section - Total

Field ID Field Name Reporting Format Field Description
WSF Salaries & Benefits Currency Total - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries and benefits expenses for the cost centers listed in this schedule.
FTEs FTEs Number - Displayed with one decimal. The sum of FTEs for the cost centers listed in this schedule.
Donation_Svcs Donation Services Currency Total - Reported in Thousands. Displayed with one decimal. The sum of donated service expenses for the cost centers listed in this schedule.
Back to Schedule P3I - Physician Support Expense Input

Schedule P4 - Residents Services: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages and Salaries Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries, and fringe benefits expenses for residents, transferred from Schedule P4I.
Phy_Supervision Physician Supervision Expenses Currency - Reported in Thousands. Displayed with one decimal. Physician Supervision Expenses transferred from Schedule P1I.
Other_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Other expenses for residents, transferred from Schedule P4I.
Total_Exp Total Expenses Currency - Reported in Thousands. Displayed with one decimal. Total Expenses calculated by summing Wages and Salaries, Physician Supervision Expenses, and Other Expenses on Schedule P4.
Allocation Allocation from Cafeteria, Parking, Etc. Currency - Reported in Thousands. Displayed with one decimal. Allocation of Cafeteria, Parking, Etc. from Schedule OADP.
Adj_Total_Exp Adjusted Total Expenses Currency - Reported in Thousands. Displayed with one decimal. Total Expenses adjusted for Allocation of Cafeteria, Parking, Etc. from Schedule OADP.
FTE_Resident Resident FTEs Number - Displayed with one decimal. Total of the result of multiplying each resident hours, individually, by the percentage of the Fiscal Year Worked in each particular cost center. Transferred from Schedule P4I.
FTE_Phy Physician Supervision FTEs Number - Displayed with one decimal. Total of the result of dividing the fiscal year Physicians Supervision hours worked by 2080. Transferred from Schedule P1I.
Total_FTEs Total FTEs Number - Displayed with one decimal. Total FTEs for Residents Hours and Physicians Supervision Hours worked.
Back to Schedule P4 - Residents Services

Schedule P4 - Residents Services: Section - Total

Field ID Field Name Reporting Format Field Description
WSF Wages and Salaries Currency Total - Reported in Thousands. Displayed with one decimal. Total of wages, salaries, and fringe benefits expenses incurred in the fiscal year for residents for direct patient cost centers listed in Schedule P4.
Phy_Supervision Physician Supervision Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total of Physician Supervision Expenses incurred for direct patient cost centers listed in Schedule P4.
Other_Exp Other Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total of Other Expenses incurred for fiscal year for fiscal year for direct patient cost centers in Schedule P4.
Total_Exp Total Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total of Expenses from Wages and Salaries, Physician Supervision Expenses, and Other Expenses for fiscal year for direct patient centers in Schedule P4.
Allocation Allocation from Cafeteria, Parking, Etc. Currency Total - Reported in Thousands. Displayed with one decimal. Total of Allocation of Cafeteria, Parking, Etc. for direct patient cost centers in Schedule P4.
Adj_Total_Exp Adjusted Total Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total Expenses adjusted for Allocation of Cafeteria, Parking, Etc. from Schedule OADP.
FTE_Resident Resident FTEs Number - Displayed with one decimal. Total of Resident FTEs for direct patient cost centers listed in Schedule P4.
FTE_Phy Physician Supervision FTEs Number - Displayed with one decimal. Total of Physician Supervision FTEs for direct patient cost centers listed in Schedule P4.
Total_FTEs Total FTEs Number - Displayed with one decimal. Total of FTEs for Resident Hours and Physicians Supervision Hours worked for direct patient cost centers listed in Schedule P4..
Back to Schedule P4 - Residents Services

Schedule P4I - Residents, Interns, & Fellows Services Input: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Salaries & Benefits Currency Input - Report in Thousands. Displayed with one decimal. Enter the wages, salaries, and fringe benefits expenses incurred in the fiscal year for residents and physician supervision of residents.
Oth_Exp Other Expenses Currency Input - Report in Thousands. Displayed with one decimal. Enter the other expenses incurred for residents and physician supervision of residents.
FTEs FTEs Number Input - Displayed with one decimal. Enter on this line, in each cost center, the total of the result of multiplying each Resident, individually, by the percentage of the Fiscal Year Worked in that particular cost center, e.g. 8 Residents worked a full year, 7/1 - 6/30, and 1 Resident worked 3 months, 7/1 - 9/30. Therefore 8 × 100% = 8 and 1 × 25% = .25 or a total of 8.25 Resident FTE's.
Back to Schedule P4I - Residents, Interns, & Fellows Services Input

Schedule P4I - Residents, Interns, & Fellows Services Input: Section - Total

Field ID Field Name Reporting Format Field Description
WSF Salaries & Benefits Currency Total - Reported in Thousands. Displayed with one decimal. The total wages, salaries, and fringe benefits expenses incurred in the fiscal year for residents and physician supervision of residents.
Oth_Exp Other Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The total other expenses incurred in the fiscal year for residents and physician supervision of residents.
FTEs FTEs Number - Displayed with one decimal. The total FTEs incurred in the fiscal year for residents and physician supervision of residents.
Back to Schedule P4I - Residents, Interns, & Fellows Services Input

Schedule P5 - Interns Services: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages and Salaries Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries, and fringe benefits expenses for residents, transferred from Schedule P5I.
Phy_Supervision Physician Supervision Expenses Currency - Reported in Thousands. Displayed with one decimal. Physician Supervision Expenses transferred from Schedule P1I.
Other_Exp Other Expense Currency - Reported in Thousands. Displayed with one decimal. Other Expenses incurred for fiscal year in the intern program transferred from Schedule P5I.
Total_Exp Total Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses from Wages and Salaries, Physician Supervision Expenses, and Other Expenses.
Allocation Allocation from Cafeteria, Parking, Etc. Currency - Reported in Thousands. Displayed with one decimal. Allocation of Cafeteria, Parking, Etc. from Schedule OADP.
Adj_Total_Exp Adjusted Total Expenses Currency - Reported in Thousands. Displayed with one decimal. Total Expenses adjusted for Allocation of Cafeteria, Parking, Etc. from Schedule OADP.
FTE_Intern Intern FTEs Number - Displayed with one decimal. Total of the result of multiplying each intern hours, individually, by the percentage of the Fiscal Year Worked in each particular cost center. Transferred from Schedule P5I.
FTE_Phy Physician Supervision FTEs Number - Displayed with one decimal. Total of the result of dividing the fiscal year Physicians Supervision hours worked by 2080. Transferred from Schedule P1I.
Total_FTEs Total FTEs Number - Displayed with one decimal. Total FTE for Intern Hours and Physicians Supervision Hours worked.
Back to Schedule P5 - Interns Services

Schedule P5 - Interns Services: Section - Total

Field ID Field Name Reporting Format Field Description
WSF Wages and Salaries Currency Total - Reported in Thousands. Displayed with one decimal. Total of wages, salaries, and fringe benefits expenses incurred in the fiscal year for interns for direct patient cost centers listed in Schedule P5.
Phy_Supervision Physician Supervision Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total of Physician Supervision Expenses incurred for direct patient cost centers listed in Schedule P5.
Other_Exp Other Expense Currency Total - Reported in Thousands. Displayed with one decimal. Total of Other Expenses incurred for fiscal year for direct patient cost centers in Schedule P5.
Total_Exp Total Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total of Expenses from Wages and Salaries, Physician Supervision Expenses, and Other Expenses for fiscal year for direct patient centers in Schedule P5.
Allocation Allocation from Cafeteria, Parking, Etc. Currency Total - Reported in Thousands. Displayed with one decimal. Total of Allocation of Cafeteria, Parking, Etc. for direct patient cost centers in Schedule P5.
Adj_Total_Exp Adjusted Total Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total Expenses adjusted for Allocation of Cafeteria, Parking, Etc. from Schedule OADP.
FTE_Intern Intern FTEs Number - Displayed with one decimal. Total of Intern FTEs for direct patient cost centers listed in Schedule P5.
FTE_Phy Physician Supervision FTEs Number - Displayed with one decimal. Total of Physician Supervision FTEs for direct patient cost centers listed in Schedule P5.
Total_FTEs Total FTEs Number - Displayed with one decimal. Total of Fiscal Year Total FTEs worked for direct patient cost centers listed in Schedule P5.
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Schedule P5I - Interns Services Input: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Salaries & Benefits Currency Input - Report in Thousands. Displayed with one decimal. Enter the wages, salaries, and fringe benefits expenses incurred in the fiscal year for interns and physician supervision of interns.
Oth_Exp Other Expenses Currency Input - Report in Thousands. Displayed with one decimal. Enter the other expenses incurred for interns and physician supervision of interns.
FTEs FTEs Number Input - Displayed with one decimal. Enter on this line, in each cost center, the total of the result of multiplying each Intern, individually, by the percentage of the Fiscal Year Worked in that particular cost center, e.g. 8 interns worked a full year, 7/1 - 6/30, and 1 intern worked 3 months, 7/1 - 9/30. Therefore 8 × 100% = 8 and 1 × 25% = .25 or a total of 8.25 Intern FTE's.
Back to Schedule P5I - Interns Services Input

Schedule P5I - Interns Services Input: Section - Total

Field ID Field Name Reporting Format Field Description
WSF Salaries & Benefits Currency Total - Reported in Thousands. Displayed with one decimal. The total wages, salaries, and fringe benefits expenses incurred in the fiscal year for interns and physician supervision of interns.
Oth_Exp Other Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The total other expenses incurred in the fiscal year for interns and physician supervision of interns.
FTEs FTEs Number - Displayed with one decimal. The total FTEs incurred in the fiscal year for interns and physician supervision of interns.
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Schedule P6 - Fellows Services: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Wages and Salaries Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries, and fringe benefits expenses for residents, transferred from Schedule P6I.
Phy_Supervision Physician Supervision Expenses Currency - Reported in Thousands. Displayed with one decimal. Physician Supervision Expenses transferred from Schedule P1I.
Other_Exp Other Expense Currency - Reported in Thousands. Displayed with one decimal. Other Expenses incurred for fiscal year in the intern program transferred from Schedule P6I.
Total_Exp Total Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses from Wages and Salaries, Physician Supervision Expenses, and Other Expenses.
Allocation Allocation from Cafeteria, Parking, Etc. Currency - Reported in Thousands. Displayed with one decimal. Allocation of Cafeteria, Parking, Etc. from Schedule OADP.
Adj_Total_Exp Adjusted Total Expenses Currency - Reported in Thousands. Displayed with one decimal. Total Expenses adjusted for Allocation of Cafeteria, Parking, Etc. from Schedule OADP.
FTE_Fellow Fellow FTEs Number - Displayed with one decimal. Total of the result of multiplying each fellow hours, individually, by the percentage of the Fiscal Year Worked in each particular cost center. Transferred from Schedule P6I.
FTE_Phy Physician Supervision FTEs Number - Displayed with one decimal. Total of the result of dividing the fiscal year Physicians Supervision hours worked by 2080. Transferred from Schedule P1I.
Total_FTEs Total FTEs Number - Displayed with one decimal. Total FTE for Fellows Hours and Physicians Supervision Hours worked.
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Schedule P6 - Fellows Services: Section - Total

Field ID Field Name Reporting Format Field Description
WSF Wages and Salaries Currency Total - Reported in Thousands. Displayed with one decimal. Total of wages, salaries, and fringe benefits expenses incurred in the fiscal year for fellows for direct patient cost centers listed in Schedule P6.
Phy_Supervision Physician Supervision Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total of Physician Supervision Expenses incurred for direct patient cost centers listed in Schedule P6.
Other_Exp Other Expense Currency Total - Reported in Thousands. Displayed with one decimal. Total of Other Expenses incurred for fiscal year for direct patient cost centers in Schedule P6.
Total_Exp Total Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total of Expenses from Wages and Salaries, Physician Supervision Expenses, and Other Expenses for fiscal year for direct patient centers in Schedule P6.
Allocation Allocation from Cafeteria, Parking, Etc. Currency Total - Reported in Thousands. Displayed with one decimal. Total of Allocation of Cafeteria, Parking, Etc. for direct patient cost centers in Schedule P6.
Adj_Total_Exp Adjusted Total Expenses Currency Total - Reported in Thousands. Displayed with one decimal. Total Expenses adjusted for Allocation of Cafeteria, Parking, Etc. from Schedule OADP.
FTE_Fellow Fellow FTEs Number - Displayed with one decimal. Total of Fellow FTEs for direct patient cost centers listed in Schedule P6.
FTE_Phy Physician Supervision FTEs Number - Displayed with one decimal. Total of Physician Supervision FTEs for direct patient cost centers listed in Schedule P6.
Total_FTEs Total FTEs Number - Displayed with one decimal. Total of Fiscal Year Total FTEs worked for direct patient cost centers listed in Schedule P6.
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Schedule P6I - Fellows Services Input: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
WSF Salaries & Benefits Currency Input - Report in Thousands. Displayed with one decimal. Enter the wages, salaries, and fringe benefits expenses incurred in the fiscal year for fellows and physician supervision of fellows.
Oth_Exp Other Expenses Currency Input - Report in Thousands. Displayed with one decimal. Enter the other expenses incurred for fellows and physician supervision of fellows.
FTEs FTEs Number Input - Displayed with one decimal. Enter on this line, in each cost center, the total of the result of multiplying each Fellow, individually, by the percentage of the Fiscal Year Worked in that particular cost center, e.g. 8 fellows worked a full year, 7/1 - 6/30, and 1 fellow worked 3 months, 7/1 - 9/30. Therefore 8 × 100% = 8 and 1 × 25% = .25 or a total of 8.25 Fellow FTE's.
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Schedule P6I - Fellows Services Input: Section - Total

Field ID Field Name Reporting Format Field Description
WSF Salaries & Benefits Currency Total - Reported in Thousands. Displayed with one decimal. The total wages, salaries, and fringe benefits expenses incurred in the fiscal year for fellows and physician supervision of fellows.
Oth_Exp Other Expenses Currency Total - Reported in Thousands. Displayed with one decimal. The total other expenses incurred in the fiscal year for fellows and physician supervision of fellows.
FTEs FTEs Number - Displayed with one decimal. The total FTEs incurred in the fiscal year for fellows and physician supervision of fellows.
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Schedule PDA - Payer Differential: Section - Inpatient

Field ID Field Name Reporting Format Field Description
GPR Gross Patient Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Report hospital's gross inpatient HSCRC regulated patient revenues.
MCare_Rev Medicare Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Report hospital gross inpatient HSCRC regulated charges for Medicare patients reduced by charges written off to bad debt.
Mcaid_Rev Medicaid Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Report hospital gross inpatient HSCRC regulated charges for Medicaid patients reduced by charges written off to bad debt.
HMO Blue Cross Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Report hospital gross inpatient HSCRC regulated charges for Blue Cross patients reduced by charges written off to bad debt.
MCareAdv_Rev MCO Subcontracted Medicare Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Gross HSCRC regulated Inpatient revenue from Medicare Advantage organizations for the fiscal year, including charges for HSCRC regulated revenues for managed care organizations subcontracting with Medicare.
McaidMCO_Rev MCO Subcontracted Medicaid Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Gross HSCRC regulated Inpatient revenue from Medicaid MCO organizations for the fiscal year. Note: Include the charges for HSCRC regulated revenues for managed care organizations (MCO) subcontracting with Medicaid, inmates of penal facilities operated by the State of Maryland and Maryland counties, as well as entities that contract with the state of Maryland and/or counties for hospital services provided to inmates only, and inpatients of hospitals operated by the State of Maryland. (Including but not limited to Maryland Medicare Health Choice Program) Provide a supplemental schedule detailing charges by payer.
MCare_Deduc Medicare Deductibles Paid by Medicaid - HSCRC Regulated None
UCC Uncompensated Care - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Uncompensated care associated with HSCRC regulated inpatient services for all patients. This amount is the total of charity care provided to patients who qualify for free care under existing hospital policy and the amounts of bad debts removed from Column 1.
Other Other Payors (A - B - C - D - E - G) Currency - Reported in Thousands. Displayed with one decimal. Inpatient Gross Patient Revenue minus Inpatient Amounts for HSCRC Regulated Medicare Revenue, HSCRC Regulated Medicaid Revenue, HSCRC Regulated Blue Cross Revenue, HSCRC Regulated Medicare MCO Subcontracted Medicare Revenue, HSCRC Regulated MCO Subcontracted Medicaid Revenue, and HSCRC Regulated Uncompensated Care.
Ratio_MCareCaid Ratio of HSCRC Regulated Medicare and Medicaid Charges None
Ratio_BCBS Ratio of HSCRC Regulated Blue Cross Charges Number - Displayed with four decimals. Divide the total HSCRC regulated Blue Cross Inpatient Revenue by total gross HSCRC regulated patient revenue.
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Schedule PDA - Payer Differential: Section - Outpatient

Field ID Field Name Reporting Format Field Description
GPR Gross Patient Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Report hospital's gross outpatient HSCRC regulated patient revenues.
MCare_Rev Medicare Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Report hospital gross outpatient HSCRC regulated charges for Medicare patients reduced by charges written off to bad debt.
Mcaid_Rev Medicaid Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Report hospital gross outpatient HSCRC regulated charges for Medicaid patients reduced by charges written off to bad debt.
HMO Blue Cross Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Report hospital gross outpatient HSCRC regulated charges for Blue Cross patients reduced by charges written off to bad debt.
MCareAdv_Rev MCO Subcontracted Medicare Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Gross HSCRC regulated outpatient revenue from Medicare Advantage organizations for the fiscal year, including charges for HSCRC regulated revenues for managed care organizations subcontracting with Medicare.
McaidMCO_Rev MCO Subcontracted Medicaid Revenue - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Gross HSCRC regulated outpatient revenue from Medicaid MCO organizations for the fiscal year.
UCC Uncompensated Care - HSCRC Regulated Currency - Reported in Thousands. Displayed with one decimal. Uncompensated care associated with HSCRC regulated outpatient services for all patients. This amount is the total of charity care provided to patients who qualify for free care under existing hospital policy and the amounts of bad debts removed from Column 2.
Other Other Payors (A - B - C - D - E - G) Currency - Reported in Thousands. Displayed with one decimal. Outpatient Gross Patient Revenue minus Outpatient amounts for HSCRC Regulated Medicare Revenue, HSCRC Regulated Medicaid Revenue, HSCRC Regulated Blue Cross Revenue, HSCRC Regulated Medicare MCO Subcontracted Medicare Revenue, HSCRC Regulated MCO Subcontracted Medicaid Revenue, and HSCRC Regulated Uncompensated Care.
Ratio_BCBS Ratio of HSCRC Regulated Blue Cross Charges Number - Displayed with four decimals. Divide the total HSCRC regulated Blue Cross outpatient Revenue by total gross HSCRC regulated patient revenue.
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Schedule PDA - Payer Differential: Section - Total

Field ID Field Name Reporting Format Field Description
GPR Gross Patient Revenue - HSCRC Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of HSCRC Regulated Inpatient and Outpatient Revenue.
Validation Rule: HSCRC regulated total gross patient revenues must equal the HSCRC regulated gross patient revenue on Schedule RE, Line E (Gross Patient Revenues).
MCare_Rev Medicare Revenue - HSCRC Regulated Currency Total - Reported in Thousands. Displayed with one decimal. Report hospital gross total for inpatient and outpatient Medicare Revenue-HSCRC Regulated.
Mcaid_Rev Medicaid Revenue - HSCRC Regulated Currency Total - Reported in Thousands. Displayed with one decimal. Report hospital total for inpatient and outpatient Medicaid Revenue - HSCRC Regulated.
HMO Blue Cross Revenue - HSCRC Regulated Currency Total - Reported in Thousands. Displayed with one decimal. Report inpatient and outpatient Blue Cross Revenue HSCRC Regulated.
MCareAdv_Rev MCO Subcontracted Medicare Revenue - HSCRC Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The total of Inpatient and Outpatient MCO Subcontracted Medicare Revenue - HSCRC Regulated.
McaidMCO_Rev MCO Subcontracted Medicaid Revenue - HSCRC Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The total of Inpatient and Outpatient MCO Subcontracted Medicaid Revenue - HSCRC Regulated.
MCare_Deduc Medicare Deductibles Paid by Medicaid - HSCRC Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The total of the Medicare Deductibles paid by Medicaid or Medicaid MCO for Medicare HSCRC regulated charges.
UCC Uncompensated Care - HSCRC Regulated Currency Total - Reported in Thousands. Displayed with one decimal. Total inpatient and outpatient Uncompensated Care - HSCRC Regulated.
Validation Rule: Must equal sum of Schedule RE Regulated Provision for Bad Debts, and Charity/Uncompensated Care
Other Other Payors (A - B - C - D - E - G) Currency Total - Reported in Thousands. Displayed with one decimal. Total of Inpatient and Outpatient for Other Payer Revenue.
Ratio_MCareCaid Ratio of HSCRC Regulated Medicare and Medicaid Charges Number - Displayed with four decimals. Total HSCRC regulated Medicaid revenue divided by total gross regulated patient revenue.
Ratio_MCO Ratio of HSCRC Regulated HMO Charges and MCO Medicare, Medicaid Number - Displayed with four decimals. HSCRC MCO Medicare, Medicaid revenue divided by total gross HSCRC regulated patient revenues.
Ratio_Deduc Ratio of HSCRC Regulated Deductibles Paid by Medicaid Number - Displayed with four decimals. Divide the HSCRC regulated Medicare Deductible paid by Medicaid by total Gross HSCRC regulated patient revenue.
Ratio_UCC Ratio of HSCRC Regulated Uncompensated Care Number - Displayed with four decimals. HSCRC regulated Uncompensated care divided by the total gross HSCRC regulated patient services.
Ratio_Other Ratio of Other Payors Charges Number - Displayed with four decimals. Total gross revenue for other payers divided by total gross HSCRC regulated patient revenues.
Lvl_3 Level III Costs Currency Total - Reported in Thousands. Displayed with one decimal. Total amount of Level III transferred from Schedule M .
Gross_Rev HSCRC Regulated Gross Revenue Currency Total - Reported in Thousands. Displayed with one decimal. The result of dividing Level III costs total by the difference a percentage of the ratio of HSCRC Regulated Medicare and Medicaid charges, a percentage of the ratio of HSCRC regulated Blue Cross IP charges, a percentage of the ratio of HSCRC regulated Blue Cross OP charges, a percentage of total ratio of HSCRC regulated HMO charges and MCO Medicare, Medicaid, a percentage of the total ratio of HSCRC regulated of deductibles paid by Medicaid, the total ratio of HSCRC regulated uncompensated care, and a percentage of the total ratio of other payors charges .
P_Diff Payor Differential Number - Displayed with four decimals. The result of dividing the total HSCRC Regulated Gross Revenue by Level III costs minus 1.
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Schedule PDI - Payor Differential Input: Section - Patient Revenue - Medicare

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross inpatient HSCRC regulated charges for Medicare patients reduced by inpatient Medicare regulated charges written off to bad debt.
OP Outpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross outpatient HSCRC regulated charges for Medicare patients reduced by outpatient Medicare regulated charges written off to bad debt.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total hospital gross HSCRC regulated charges for Medicare patients reduced by Medicare regulated charges written off to bad debt.
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Schedule PDI - Payor Differential Input: Section - Patient Revenue - Medicaid

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross inpatient HSCRC regulated charges for Medicaid patients reduced by inpatient Medicaid regulated charges written off to bad debt.
OP Outpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross outpatient HSCRC regulated charges for Medicaid patients reduced by outpatient Medicaid regulated charges written off to bad debt.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Medicaid Inpatient and Medicaid Outpatient patient revenue.
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Schedule PDI - Payor Differential Input: Section - Patient Revenue - Blue Cross

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross inpatient HSCRC regulated charges for Blue Cross patients reduced by inpatient Blue Cross regulated charges written off to bad debt.
OP Outpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross outpatient HSCRC regulated charges for Blue Cross patients reduced by outpatient Blue Cross regulated charges written off to bad debt.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Blue Cross Inpatient and Outpatient patient revenue.
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Schedule PDI - Payor Differential Input: Section - Patient Revenue - Medicare Advantage

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross inpatient HSCRC regulated charges for Medicare Advantage patients reduced by inpatient Medicare Advantage regulated charges written off to bad debt.
OP Outpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross outpatient HSCRC regulated charges for Medicare Advantage patients reduced by outpatient Medicare Advantage regulated charges written off to bad debt.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Medicare Advantage Inpatient and Outpatient patient revenue.
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Schedule PDI - Payor Differential Input: Section - Patient Revenue - Medicaid MCO

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross inpatient HSCRC regulated charges for Medicaid MCO patients reduced by inpatient Medicaid MCO regulated charges written off to bad debt.
OP Outpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross outpatient HSCRC regulated charges for Medicaid MCO patients reduced by outpatient Medicaid MCO regulated charges written off to bad debt.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Inpatient and Outpatient Medicaid MCO patient revenue.
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Schedule PDI - Payor Differential Input: Section - Patient Revenue - Other Revenue

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross inpatient HSCRC regulated charges for all other payers reduced by inpatient regulated charges for all other payers written off to bad debt. (This Other Payers are all payers excluding Medicare, Medicare Advantage, Medicaid, Medicaid MCO, and Blue Cross).
OP Outpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross outpatient HSCRC regulated charges for all other payers reduced by outpatient regulated charges for all other payers written off to bad debt. (This Other Payers are all payers excluding Medicare, Medicare Advantage, Medicaid, Medicaid MCO, and Blue Cross).
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Inpatient and Outpatient Other Revenue.
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Schedule PDI - Payor Differential Input: Section - Total Net Patient Revenue

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency - Reported in Thousands. Displayed with one decimal. The sum of Inpatient revenue from Medicare, Medicaid, Blue Cross, Medicare Advantage, Medicaid MCO, and Other Revenue.
OP Outpatient Currency - Reported in Thousands. Displayed with one decimal. The sum of Outpatient revenue from Medicare, Medicaid, Blue Cross, Medicare Advantage, Medicaid MCO, and Other Revenue.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Inpatient and Outpatient Net Patient Revenue.
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Schedule PDI - Payor Differential Input: Section - Provision for Bad Debts

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross inpatient HSCRC regulated charges that were written off to bad debt for all payers.
OP Outpatient Currency Input - Report in Thousands. Displayed with one decimal. Hospital gross outpatient HSCRC regulated charges that were written off to bad debt for all payers.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Inpatient and Outpatient Provisions for Bad Debt.
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Schedule PDI - Payor Differential Input: Section - Total Gross Patient Revenue

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency - Reported in Thousands. Displayed with one decimal. The sum of Inpatient Net Patient Revenue and Inpatient Provision for Bad Debt.
Validation Rule: IP gross patient revenue from PDI must equal IP revenue from schedule STI.
OP Outpatient Currency - Reported in Thousands. Displayed with one decimal. The sum of Outpatient Net Patient Revenue and Outpatient Provision for Bad Debt.
Validation Rule: OP gross patient revenue from PDI must equal OP revenue from schedule STI.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Total Net Patient Revenue and Total Provision for Bad Debt.
Validation Rule: Total gross patient revenue from schedule PDI must equal the sum of IP and OP revenues from Schedule STI.
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Schedule PDI - Payor Differential Input: Section - Medicare Deductibles - Medicare Deductibles paid by Medicaid or Medicaid MCO

Field ID Field Name Reporting Format Field Description
Total Total Currency Input - Report in Thousands. Displayed with one decimal. The total of the Medicare Deductibles paid by Medicaid or Medicaid MCO for Medicare HSCRC regulated charges.
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Schedule PDI - Payor Differential Input: Section - Uncompensated Care - Provision for Bad Debts

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency - Reported in Thousands. Displayed with one decimal. Hospital gross inpatient HSCRC regulated charges that were written off to bad debt for all payers.
OP Outpatient Currency - Reported in Thousands. Displayed with one decimal. Hospital gross outpatient HSCRC regulated charges that were written off to bad debt for all payers.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Inpatient and Outpatient Uncompensated Care: Provisions for Bad Debt.
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Schedule PDI - Payor Differential Input: Section - Uncompensated Care - Charity/Uncompensated Care

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency Input - Report in Thousands. Displayed with one decimal. Total charity care amounts provided to all patients who qualify for free care under existing hospital policy for HSCRC regulated inpatient services.
OP Outpatient Currency Input - Report in Thousands. Displayed with one decimal. Total charity care amounts provided to all patients who qualify for free care under existing hospital policy for HSCRC regulated outpatient services.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Inpatient and Outpatient Charity/Uncompensated Care.
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Schedule PDI - Payor Differential Input: Section - Total Uncompensated Care

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency - Reported in Thousands. Displayed with one decimal. The sum of Inpatient amounts for Uncompensated Care provisions for bad debt and Charity/Compensated Care.
OP Outpatient Currency - Reported in Thousands. Displayed with one decimal. The sum of Outpatient amounts for Uncompensated Care provisions for bad debt and Charity/Compensated Care.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of the Total amounts for Uncompensated Care: Provisions for Bad Debt and Charity/Uncompensated Care.
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Schedule PDI - Payor Differential Input: Section - Grant Revenue

Field ID Field Name Reporting Format Field Description
IP Inpatient Currency Input - Report in Thousands. Displayed with one decimal. The gross inpatient revenue from grants of the reporting hospital for the fiscal year. Inpatient grant revenue is received from donors such as a state or federal agency as restricted funds for the purpose of providing patient care to inpatients of a hospital. The inpatient grant revenue should be included on Schedule RE, Other Operating Revenues for Inpatients.
OP Outpatient Currency Input - Report in Thousands. Displayed with one decimal. The gross outpatient revenue from grants of the reporting hospital for the fiscal year. Outpatient grant revenue is received from donors such as a state or federal agency as restricted funds for the purpose of providing patient care to outpatients of a hospital. The outpatient grant revenue should be included on Schedule RE, Other Operating Revenues for Outpatients.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The total inpatient and outpatient revenue from grants of the reporting hospital for the fiscal year.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Unassigned Expense

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Regulated expenses transferred from Schedule UA.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The unregulated expenses transferred from Schedule UA, reversing the sign!.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated unassigned expenses from schedule UA.
Validation Rule: Unassigned expenses total must equal base year expense total expenses from schedule UA
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Physicians Part B Services

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Expenses from Schedule P2 Total Fiscal Year Expense for physician Part B services.
Validation Rule: Regulated expenses for physicians part b services must equal total of base year expenses in schedule P2
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Expenses for Physician Part B Services transferred from Schedule UR – Unregulated Activities.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated expenses for Physicians Part B Services.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Physician Support Services

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of all Fiscal Year Expenses transferred from Schedule P3 - Physician Support Services.
Validation Rule: Regulated expenses for physician support services must equal total base year expenses from Schedule P3
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Unregulated Fiscal Year Expenses transferred from Schedule UR.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated expenses for Physician Support Services.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Resident, Intern Services

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Total Fiscal Year Expense Total transferred from Schedules P4, P5, and P6..
Validation Rule: Regulated expenses for resident, intern services must equal total of total base year expenses from schedule P4
Unreg Unregulated None
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated expenses for Resident, Intern Services.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Overhead Expense Survey

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Total Overhead Expenses from Schedule OES - less Schedule RC Unregulated expense for Overhead Expense Survey.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The overhead expenses allocated to E, F and UR schedules not treated as a fringe benefit.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated expenses for Overhead expenses.
Validation Rule: Total expenses for Overhead Expense Survey must equal the total of the total in schedule OES
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Patient Care Centers

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of total Fiscal Year Expenses from Schedule D Patient Care Centers.
Unreg Unregulated None
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated expenses for Patient Care Centers.
Validation Rule: The total expenses for patient care centers must equal the total of total expenses from schedule D
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Auxiliary Enterprises

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Losses treated as a fringe benefit, transferred from Schedule E..
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The expenses transferred from Schedules E1 to E9. The difference between total E schedule expenses and the losses treated as a fringe benefit.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated expenses for Auxiliary Enterprise.
Validation Rule: Total expenses for Auxillary Enterprises must equal all total expenses revenue in Schedule E where line code equals B
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Other Institution Programs

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Unregulated Other Institution Programs Total Expense Revenue of Schedule F – Other Institute Programs for Fiscal Year Expenses.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated expenses for other institutional programs.
Validation Rule: Total expenses for other institutional programs must equal the total of the total expenses revenue in Schedule F when the line is B.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Unregulated Services

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Expenses transferred from UR Schedules (excluding the expenses reported on Lines B and C above).
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated expenses for other unregulated services from schedule UR.
Validation Rule: Total unregulated services must equal the sum of all total expenses revenue from schedule UR where line code is B, less unregulated physician part b services and unregulated physician support services from schedule RC
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Total Operating Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Total of the regulated operating expenses from lines A through I in schedule RC.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Total of the unregulated operating expenses from lines A - I in schedule RC.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of the regulated and unregulated operating expenses.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Non-Operating Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Total of Unregulated expenses from Schedule RE – Statement of Revenue and Expenses from Unregulated Non-Operating Expenses.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of the regulated and unregulated Non-Operating Expenses.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Total Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Total of operating regulated expenses as listed in schedule RC.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Total of operating and non operating unregulated expenses as listed in schedule RC.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of both regulated and unregulated total expenses.
Back to Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE

Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Total Operating Expenses - RE Schedule

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Total Regulated Operating Expenses from Schedule RE Statement of Revenue and Expenses.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Total Unregulated Operating Expenses from Schedule RE Statement of Revenue and Expenses.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of both Regulated and Unregulated operating expense transferred from Schedule RE.
Validation Rule: Total Operating expenses from this line must equal total operating expenses from Schedule RE
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Non-Operating Expenses - RE Schedule

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated None Total Regulated Non-Operating Expenses from Schedule RE Statement of Revenue and Expenses.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Total Unregulated Non-Operating Expenses from Schedule RE Statement of Revenue and Expenses.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated non operating expenses transferred from Schedule RE.
Validation Rule: Total non-operating expenses from this line must equal total of non-operating expenses from Schedule RE.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Total Expenses - RE schedule

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of regulated operating and non operating expenses from the RE schedule as entered in the lines above.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated operating and non operating expenses from the RE schedule as entered in the lines above.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of regulated unregulated operating and non operating expenses from the RE schedule as entered in the lines above.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Reconciliation Amount

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the regulated total Expenses from schedule RC from the total regulated expenses carried over from schedule RE.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the unregulated total Expenses from schedule RC from the total unregulated expenses carried over from schedule RE.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated Reconciliation Amount.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Nomenclature 1

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Schedule RC - Reconciliation of Fiscal Year Expense to Schedule RE - Regulated Reconciliation Amount subtracted by sum of Nomenclature 2 through 10.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Schedule RC - Reconciliation of Fiscal Year Expense to Schedule RE - Unregulated Reconciliation Amount subtracted by sum of Nomenclature 2 through 10.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated Nomenclature 1.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Nomenclature 2

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Regulated is the opposite value of Capital Facilities Allowance from Schedule E – Auxiliary Enterprises, Schedule F – Other Institute Programs, and Schedule UR Unregulated Activities.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The SUM of the Total Expenses/Revenue column for the Capital Facilities Allowance lines from Schedules E–Auxiliary Enterprises, F-Other Institute Programs, and UR-Unregulated Activities.
Total Total Currency - Reported in Thousands. Displayed with one decimal. Total of Regulated and Unregulated expenses associated to capital allowance.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Nomenclature 3

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The opposite value of the unregulated amount of nomenclature 3.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The Sum of Total Expenses Revenue Column on Schedule E-Auxiliary Enterprises for Parking, Cafeteria, "Day Care Center, Rec Areas, Etc.", and Housing .
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Regulated and Unregulated expenses for Nomenclature 3 where source is E Schedule.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Nomenclature 4

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The opposite value of the unregulated amount of nomenclature 4.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Gain (Loss) on Calculation in Schedule OADP where the source is Schedule E, Schedule F, and Schedule UR.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Regulated and Unregulated expenses for Nomenclature 4, where source is OADP.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Nomenclature 5

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Reserved for hospital specific entry.
Reg Regulated Currency Input - Report in Thousands. Displayed with one decimal. Regulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Unreg Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Unregulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Regulated and Unregulated expenses for Nomenclature 5.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Nomenclature 6

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Reserved for hospital specific entry.
Reg Regulated Currency Input - Report in Thousands. Displayed with one decimal. Regulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Unreg Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Unregulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Regulated and Unregulated expenses for Nomenclature 6.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Nomenclature 7

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Reserved for hospital specific entry.
Reg Regulated Currency Input - Report in Thousands. Displayed with one decimal. Regulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Unreg Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Unregulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Regulated and Unregulated expenses for Nomenclature 7.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Nomenclature 8

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Reserved for hospital specific entry.
Reg Regulated Currency Input - Report in Thousands. Displayed with one decimal. Regulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Unreg Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Unregulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Regulated and Unregulated expenses for Nomenclature 8.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Nomenclature 9

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Reserved for hospital specific entry.
Reg Regulated Currency Input - Report in Thousands. Displayed with one decimal. Regulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Unreg Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Unregulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Regulated and Unregulated expenses for Nomenclature 9.
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Schedule RC - Reconciliation of Fiscal Year Expenses to Schedule RE: Section - Nomenclature 10

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Reserved for hospital specific entry.
Reg Regulated Currency Input - Report in Thousands. Displayed with one decimal. Regulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Unreg Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Unregulated expenses corresponding to the nomenclature listed in the Nomenclature column.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Regulated and Unregulated expenses for Nomenclature 10.
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Schedule RE - Statement Of Revenue And Expenses: Section - Gross Revenues from Daily Hospital Services

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. Regulated fiscal year revenue for Daily Hospital Services and Admission Services, as reported on the monthly data submissions. (Includes Ambulatory Services associated with Fiscal inpatient admissions.).
Validation Rule: 1. Regulated Gross revenue from daily hospital services plus regulated gross revenues from IP Ancillary Services must equal Schedule V5 Gross IP Revenue 2. Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. The unregulated fiscal year revenue for Daily Hospital Services and Admission Services.
Validation Rule: Value cannot be left blank
Total Total Number - Displayed with one decimal. The total of Regulated and Unregulated fiscal year gross revenue for Daily Hospital Services and Admission Services.
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Schedule RE - Statement Of Revenue And Expenses: Section - Gross Revenues from Ambulatory Services

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. Regulated fiscal year revenue for Ambulatory Services as reported on the monthly submissions. (Excluding those Ambulatory Services associated with inpatient admissions.).
Validation Rule: 1. Regulated Gross revenue from ambulatory services plus regulated gross revenues from OP Ancillary Services must equal Schedule V5 Total OP Revenue 2. Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. Unregulated fiscal year revenue for Ambulatory Services.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of Regulated and Unregulated fiscal year gross revenue for Ambulatory Services.
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Schedule RE - Statement Of Revenue And Expenses: Section - Gross Revenues from Inpatient Ancillary Services

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. Regulated fiscal year revenues for inpatient ancillary services, as reported on the monthly submissions.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. Unregulated fiscal year revenues for inpatient ancillary services.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of Regulated and unregulated fiscal year gross revenues for inpatient ancillary services.
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Schedule RE - Statement Of Revenue And Expenses: Section - Gross Revenues from Outpatient Ancillary Services

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. Regulated fiscal year revenue for outpatient ancillary services, as reported on the monthly submissions.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. Unregulated fiscal year revenue for outpatient ancillary services.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of Regulated and unregulated fiscal year gross revenue for outpatient ancillary services. services.
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Schedule RE - Statement Of Revenue And Expenses: Section - Gross Patient Revenues

Field ID Field Name Reporting Format Field Description
Reg Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The addition of regulated fiscal year patient revenue from Gross Revenues from Daily Hospital Services, Gross Revenues from Ambulatory Services, Gross Revenues from Inpatient Ancillary Services, and Gross Revenues from Outpatient Ancillary Services.
Validation Rule: When rounded to 1 decimal place, Regulated Gross Patient Revenue must equal Schedule PDA Total Gross Patient Revenue Regulated
Unreg Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The addition of unregulated fiscal year patient revenue from Gross Revenues from Daily Hospital Services, Gross Revenues from Ambulatory Services, Gross Revenues from Inpatient Ancillary Services, and Gross Revenues from Outpatient Ancillary Services.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The total of regulated and unregulated fiscal year gross patient revenues.
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Schedule RE - Statement Of Revenue And Expenses: Section - Provision for Bad Debts

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. Provision for Bad Debts associated with fiscal year regulated patient services.
Validation Rule: 1. The sum of regulated provisions for bad debt and regulated charity/uncompensated care must equal Schedule PDA Uncompensated Care - HSCRC Regulated 2. Value cannot be left blank
Unreg Unregulated Number - Displayed with one decimal. Provision for Bad Debts associated with fiscal year unregulated patient services.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated provisions for bad debt.
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Schedule RE - Statement Of Revenue And Expenses: Section - Charity/Uncompensated Care

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. Charity/Uncompensated Care associated with the regulated fiscal year patient services.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. Charity/Uncompensated Care associated with the unregulated fiscal year patient services.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated charity/uncompensated care.
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Schedule RE - Statement Of Revenue And Expenses: Section - Contractual Adjustments

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. Contractual Adjustments associated with regulated fiscal year patient services.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. Contractual Adjustments associated with unregulated fiscal year patient services.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. Total of regulated and unregulated contractual adjustments.
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Schedule RE - Statement Of Revenue And Expenses: Section - Uncompensated Care Fund Payments

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. The payments from HSCRC Uncompensated Care Fund in the fiscal year.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. Payments made to the HSCRC Uncompensated Care Fund in the fiscal year.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated uncompensated care fund payments.
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Schedule RE - Statement Of Revenue And Expenses: Section - Denials

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. Denials written off from the hospital’s revenue, Denials are defined as the difference between the amounts billed by the hospital in conformance with HSCRC approved charges and the portion of the patient bill denied payment by third party payers for administrative or medical necessity reasons.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. Denials written off from the hospital’s revenue. Denials are defined as the difference between the amounts billed by the hospital in conformance with HSCRC approved charges and the portion of the patient bill denied payment by third party payers for administrative or medical necessity reasons,.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated denials.
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Schedule RE - Statement Of Revenue And Expenses: Section - Other Deductions from Revenue

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. The Other Deductions from Revenue associated with fiscal year regulated patient services. This line may recognize Revenue Accruals/Adjustments related to regulatory adjustments, i.e., Charge per Case Price Compliance.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. The Other Deductions from Revenue associated with unregulated fiscal year patient services.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated other deductions from revenue.
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Schedule RE - Statement Of Revenue And Expenses: Section - Total Deductions from Revenue

Field ID Field Name Reporting Format Field Description
Reg Regulated Currency Total - Reported in Thousands. Displayed with one decimal. Total of regulated Provisions for Bad Debts, Charity/Uncompensated Care, Contractual Adjustments, Uncompensated Care Fund Payments, Denials, and Other Deduction from revenue.
Unreg Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. Total of unregulated Provisions for Bad Debts, Charity/Uncompensated Care, Contractual Adjustments, Uncompensated Care Fund Payments, Denials, and Other Deduction from revenue.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The total of regulated and unregulated total deductions from revenue.
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Schedule RE - Statement Of Revenue And Expenses: Section - Uncompensated Care Fund Receipts

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. Regulated payments from the HSCRC Uncompensated Care Fund in the fiscal year.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. Unregulated payments from the HSCRC Uncompensated Care Fund in the fiscal year.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated uncompensated care fund receipts.
Validation Rule: Value cannot be blank
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Schedule RE - Statement Of Revenue And Expenses: Section - Net Patient Revenues

Field ID Field Name Reporting Format Field Description
Reg Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting regulated Total Deductions from Revenues and regulated Uncompensated Care Fund Receipts from regulated Gross Patient Revenues.
Unreg Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting unregulated Total Deductions from Revenues and unregulated Uncompensated Care Fund Receipts from unregulated Gross Patient Revenues.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The total of regulated and unregulated net patient revenues.
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Schedule RE - Statement Of Revenue And Expenses: Section - Other Operating Revenues

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. The regulated fiscal year Other Operating Revenues. Other Operating Revenue and Expenses includes services provided to patients other than health care services, as well as sales and services to non-patients (Auxiliary Enterprises - E Schedules), and Research, Education - Nursing. Other Health Profession and Community Health (Other Institutional Programs - F Schedules).
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. The unregulated fiscal year Other Operating Revenues. This line should include: the gross fiscal year revenue from Line G, Column 3 of: all Auxiliary Enterprises (E) Schedules*, and all Other Institutional Programs (F) Schedules. See Other Expenses for the treatment of Auxiliary Enterprise losses treated as employee fringe benefits.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated other operating revenues.
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Schedule RE - Statement Of Revenue And Expenses: Section - Net Operating Revenues

Field ID Field Name Reporting Format Field Description
Reg Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The total of regulated Net Patient revenues and regulated Other Operating Revenues.
Unreg Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The total of unregulated Net Patient revenues and unregulated Other Operating Revenues.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The total of regulated and unregulated net operating revenues.
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Schedule RE - Statement Of Revenue And Expenses: Section - Salaries, Wages, and Employee Benefits

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. The salaries, wages, and employee fringe benefit expenses associated with regulated fiscal year services.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. The salaries, wages, and employee fringe benefit expenses associated with unregulated fiscal year services.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated salaries, wages, and employee benefits.
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Schedule RE - Statement Of Revenue And Expenses: Section - Professional Fees

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. The professional fees associated with regulated fiscal year services.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. The professional fees associated with unregulated fiscal year services.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated professional fees.
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Schedule RE - Statement Of Revenue And Expenses: Section - Supplies

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. The supplies expenses associated with regulated fiscal year services.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. The supplies expenses associated with unregulated fiscal year services.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated supplies.
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Schedule RE - Statement Of Revenue And Expenses: Section - Depreciation/Amortization, Leases/Rentals

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. The depreciation/Amortization, Leases/Rentals - Regulated associated with regulated fiscal year services.
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. The depreciation/Amortization, Leases/Rentals - Regulated associated with unregulated fiscal year services.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated Depreciation/Amortization, Leases/Rentals.
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Schedule RE - Statement Of Revenue And Expenses: Section - Other Expenses

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. Other expenses associated with regulated fiscal year services to include losses associated with auxiliary enterprises provided as employee fringe benefits (i.e., cafeteria, parking, housing, and child care center from Schedule E).
Validation Rule: Value cannot be blank
Unreg Unregulated Number - Displayed with one decimal. Other expenses associated with unregulated fiscal year services. (Expenses from E Schedules should be reduced by the amount of the losses treated as employee fringe benefits.).
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of regulated and unregulated other expenses.
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Schedule RE - Statement Of Revenue And Expenses: Section - Total Operating Expenses

Field ID Field Name Reporting Format Field Description
Reg Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of regulated fiscal year operating expenses from salaries, wages and benefits, professional fees, supplies, depreciation/Amortization, Leases/Rentals, and other expenses.
Unreg Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of unregulated fiscal year operating expenses from salaries, wages and benefits, professional fees, supplies, depreciation/Amortization, Leases/Rentals, and other expenses.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The total of regulated and unregulated total operating expenses.
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Schedule RE - Statement Of Revenue And Expenses: Section - Oper Margin, Excess (Deficit) Operating Revenues Over Operating Expenses

Field ID Field Name Reporting Format Field Description
Reg Regulated Number - Displayed with one decimal. The result of subtracting regulated total operating expenses from regulated net operating revenues.
Unreg Unregulated Number - Displayed with one decimal. The result of subtracting unregulated total operating expenses from unregulated net operating revenues.
Total Total Number - Displayed with one decimal. The total of regulated and unregulated operating Margin, Excess (Deficit) Operating Revenue Over Operating Expenses.
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Schedule RE - Statement Of Revenue And Expenses: Section - Non-Operating Revenues

Field ID Field Name Reporting Format Field Description
Reg Regulated None
Unreg Unregulated Number - Displayed with one decimal. Enter non-operating revenues. Non-Operating Revenue includes donations, investment income, other non-operating gains, plus revenue and expenses resulting from hospital's peripheral or incidental transactions and from other events stemming from the environment that may be largely beyond the hospital management's control.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of all unregulated non-operating revenue.
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Schedule RE - Statement Of Revenue And Expenses: Section - Non-Operating Expenses

Field ID Field Name Reporting Format Field Description
Reg Regulated None
Unreg Unregulated Number - Displayed with one decimal. Enter non-operating expenses. Non-Operating Expenses includes donations, investment income, other non-operating gains, plus revenue and expenses resulting from hospital's peripheral or incidental transactions and from other events stemming from the environment that may be largely beyond the hospital management's control.
Validation Rule: Value cannot be blank
Total Total Number - Displayed with one decimal. The total of all unregulated non-operating expense.
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Schedule RE - Statement Of Revenue And Expenses: Section - Total Margin, Excess (Deficit) Revenues Over Expenses

Field ID Field Name Reporting Format Field Description
Reg Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The excess operating income over operating expenses from operating Margin, Excess (Deficit) Operating Revenue Over Operating Expenses. This is the Operating Margin plus Non-Operating Revenues minus Non-Operating Expenses.
Unreg Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of operating Margin, Excess (Deficit) plus non-operating revenues minus non-operating expenses.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The sum of total operating Margin, Excess (Deficit) Operating Revenue Over Operating Expenses plus total non-operating revenues less total non-operating expenses.
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Schedule RE - Statement Of Revenue And Expenses: Section - Regulated Operating Expenses per EIPD

Field ID Field Name Reporting Format Field Description
Reg_OpExp_EIPD Regulated Number - Displayed with five decimals. The result of dividing Total Regulated Operating Expenses by the EIPDs from Schedule V5,.
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Schedule RE - Statement Of Revenue And Expenses: Section - Regulated Operating Expenses per EIPA

Field ID Field Name Reporting Format Field Description
Reg_OpExp_EIPA Regulated Number - Displayed with five decimals. The result of dividing Total Operating Expenses by the EIPAs from Schedule V5.
Back to Schedule RE - Statement Of Revenue And Expenses

Schedule RE - Statement Of Revenue And Expenses: Section - Working Capital Ratio

Field ID Field Name Reporting Format Field Description
WorkCap_Ratio Regulated Number. Displayed with one decimal. Working Capital ratio utilizing the formula: Current Assets divided by Current Liabilities.
Back to Schedule RE - Statement Of Revenue And Expenses

Schedule RE - Statement Of Revenue And Expenses: Section - Admissions

Field ID Field Name Reporting Format Field Description
Admiss_Reg Regulated Number Input - Displayed as a whole number. Enter the number of Admissions. Total Admissions should equal the total admissions from the admissions revenue center on the monthly reports plus the Neo Natal Infants Not Charged an Admission Charge, Line H on the Supplemental Births Schedule (SB).
Validation Rule: Value cannot be blank
Admiss_Unreg Unregulated None
Admiss_Tot Total Number - Displayed with one decimal. The total of regulated and unregulated admissions.
Back to Schedule RE - Statement Of Revenue And Expenses

Schedule RE - Statement Of Revenue And Expenses: Section - EIPAs

Field ID Field Name Reporting Format Field Description
EIPA_Reg Regulated Number - Displayed with one decimal. The result of multiplying Regulated admissions by regulated gross patient revenue and dividing the result by the sum of regulated gross revenue from daily hospital services and unregulated gross revenue from inpatient ancillary services.
EIPA_Unreg Unregulated Number - Displayed with one decimal. The result of multiplying Unregulated admissions by unregulated gross patient revenue and dividing the result by the sum of unregulated gross revenue from daily hospital services and unregulated gross revenue from inpatient ancillary services.
EIPA_Tot Total Number - Displayed with one decimal. Total admissions multiplied by total gross revenue divided by the sum of total gross revenue from daily hospital services and total gross revenue from inpatient ancillary services.
Back to Schedule RE - Statement Of Revenue And Expenses

Schedule REI - Schedule RE Input: Section - Gross Patient Revenue - Gross Revenues from Daily Hospital Services

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Gross patient revenues from daily hospital services as detailed on hospital audited financial statements.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Gross patient revenue from daily hospital services that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule E auxiliary enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule E auxiliary enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule E auxiliary enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule E auxiliary enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule E auxiliary enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule E auxiliary enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule E auxiliary enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule E auxiliary enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule E auxiliary enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule F Other Institutional Programs.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule F Other Institutional Programs.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule F Other Institutional Programs.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule F Other Institutional Programs.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from daily hospital services for the applicable Schedule UR Unregulated Services.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Gross Patient Revenues from daily hospital services for the Auxiliary Enterprises (E), Other Institutional Programs (F) and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of gross patient revenue from daily hospital services from audited financial statements and miscellaneous adjustments minus unregulated gross revenues from daily hospital services.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of regulated and unregulated gross revenues from daily hospital services.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Gross Patient Revenue - Gross Revenues from Ambulatory Services

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Gross patient revenues from ambulatory services as detailed on hospital audited financial statements.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Gross patient revenue from ambulatory services that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule E auxiliary enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule E auxiliary enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule E auxiliary enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule E auxiliary enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule E auxiliary enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule E auxiliary enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule E auxiliary enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule E auxiliary enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule E auxiliary enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule F Other Institutional Programs.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule F Other Institutional Programs.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule F Other Institutional Programs.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule F Other Institutional Programs.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from ambulatory services for the applicable Schedule UR Unregulated Services.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Gross Patient Revenues from ambulatory services for the Auxiliary Enterprises (E), Other Institutional Programs (F) and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of gross patient revenue from ambulatory services from audited financial statements and miscellaneous adjustments minus unregulated gross revenues from ambulatory services.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of regulated and unregulated gross revenues from ambulatory services.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Gross Patient Revenue - Gross Revenues from Inpatient Ancillary Services

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Gross patient revenues from inpatient ancillary services as detailed on hospital audited financial statements.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Gross patient revenue from inpatient ancillary services that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule E auxiliary enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule F Other Institutional Programs.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule F Other Institutional Programs.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule F Other Institutional Programs.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule F Other Institutional Programs.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from inpatient ancillary services for the applicable Schedule UR Unregulated Services.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Gross Patient Revenues from Inpatient ancillary services for the Auxiliary Enterprises (E), Other Institutional Programs (F) and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of gross patient revenue from inpatient ancillary services from audited financial statements and miscellaneous adjustments minus unregulated gross revenues from inpatient ancillary services.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenue from Inpatient Ancillary Services that are identified as regulated and unregulated.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Gross Patient Revenue - Gross Revenues from Outpatient Ancillary Services

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Gross patient revenues from outpatient ancillary services as detailed on hospital audited financial statements.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Gross patient revenue from outpatient ancillary services that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule E auxiliary enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule E auxiliary enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule F Other Institutional Programs.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule F Other Institutional Programs.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule F Other Institutional Programs.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule F Other Institutional Programs.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Gross revenue from outpatient ancillary services for the applicable Schedule UR Unregulated Services.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Gross Patient Revenues from Outpatient ancillary services for the Auxiliary Enterprises (E), Other Institutional Programs (F) and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of gross patient revenue from outpatient ancillary services from audited financial statements and miscellaneous adjustments minus unregulated gross revenues from outpatient ancillary services.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenue from Outpatient Ancillary Services that are identified as regulated and unregulated.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Total Gross Patient Revenue

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency - Reported in Thousands. Displayed with one decimal. The sum of gross patient revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services from the Audited Statements.
Misc Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services from Miscellaneous Adjustments.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenue for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule F Other Institutional Programs.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule F Other Institutional Programs.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule F Other Institutional Programs.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable Schedule F Other Institutional Programs.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR13 UR13: Consolidating/Eliminations Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR22 UR22: Hospital Specific 3 Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. The sum of gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services for the applicable UR Unregulated Services.
Blank58 blank58 None
Unreg Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Unregulated gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services.
Reg Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Regulated gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Total gross revenues for daily hospital services, ambulatory services, Inpatient Ancillary Services, and Outpatient Ancillary Services.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Deductions from Patient Revenue - Provision for Bad Debt

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Provisions for bad debt as detailed in the audited financial statements.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts items that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of provisions for Bad Debt from Auxiliary Enterprises (E), Other Institutional Programs (F) and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Provisions for Bad Debt from Audited Financial Statements and Miscellaneous Adjustments minus Unregulated total provisions for bad debt.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Unregulated and Regulated amounts for Provisions for Bad Debts.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Deductions from Patient Revenue - Charity Care / UCC

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Charity / Uncompensated Care as detailed in the audited financial statements.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care items that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Charity Care / UCC from Auxiliary Enterprises (E), Other Institutional Programs (F) and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Charity Care / UCC from Audited Financial Statements and Miscellaneous Adjustments minus Unregulated total of Charity Care / UCC.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Unregulated and Regulated amounts for Charity Care / UCC.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Deductions from Patient Revenue - Contractual Adjustments

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Contractual adjustments as detailed in the audited financial statements.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments items that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Contractual Adjustments from Auxiliary Enterprises (E), Other Institutional Programs (F) and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Contractual Adjustments from Audited Financial Statements and Miscellaneous Adjustments minus Unregulated total of Contractual Adjustments.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Unregulated and Regulated amounts for Contractual Adjustments.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Deductions from Patient Revenue - UCC Fund Payments

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund payments as detailed in the audited financial statements.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments items that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of UCC Fund Payments from Auxiliary Enterprises (E), Other Institutional Programs (F) and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of UCC Fund Payments from Audited Financial Statements and Miscellaneous Adjustments minus Unregulated total of UCC Fund Payments.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Unregulated and Regulated amounts for UCC Fund Payments.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Deductions from Patient Revenue - Denials

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Denials as detailed in the audited financial statements.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Denials items that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Denials from Auxiliary Enterprises (E), Other Institutional Programs (F) and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Denials from Audited Financial Statements and Miscellaneous Adjustments minus Unregulated total of Denials.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Unregulated and Regulated amounts for Denials.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Deductions from Patient Revenue - Other Deductions from Revenue

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Other deductions from revenue as detailed in the audited financial statements.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue items that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Other Deductions from Revenue from Auxiliary Enterprises (E), Other Institutional Programs (F) and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Other Deductions from Revenue from Audited Financial Statements and Miscellaneous Adjustments minus Unregulated total of Other Deductions from Revenue.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Unregulated and Regulated amounts for Other Deductions from Revenue.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Total Deductions

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue as identified on the Audited Financial Statements.
Misc Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue as identified as Miscellaneous Adjustments.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR13 UR13: Consolidating/Eliminations Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR22 UR22: Hospital Specific 3 Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue for the applicable Schedule UR Unregulated Services.
Blank58 blank58 None
Unreg Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Unregulated deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue.
Reg Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Regulated deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Total deductions from patient revenue including provision for bad debt, charity care/UCC, contractual adjustments, UCC Fund Payments, denials, and other deductions from revenue.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - UCC Fund Receipts

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts items that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of UCC Fund Receipts from applicable Auxiliary Enterprises (E), Other Institutional Programs (F) and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of UCC Fund Receipts from Audited Financial Statements and Miscellaneous Adjustments, minus the unregulated amount for UCC Fund Payments.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Regulated and Unregulated UCC Fund Payments.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Net Patient Revenue

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency - Reported in Thousands. Displayed with one decimal. From the audited financial statements, the total gross patient revenues minus total deductions from patient revenue plus UCC Fund Receipts.
Misc Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. From miscellaneous adjustments, the total gross patient revenues minus total deductions from patient revenue plus UCC Fund Receipts.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR13 UR13: Consolidating/Eliminations Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR22 UR22: Hospital Specific 3 Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for the applicable Schedule UR Unregulated Services.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for Unregulated total.
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The total gross patient revenue minus total deductions from patient revenue for regulated total.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated net patient revenue.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Other Operating Revenue

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues items that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Other Operating Revenues from Auxiliary Enterprises (E), Other Institutional Programs (F), and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Other Operating Revenue from Audited Financial Statements and Miscellaneous Adjustments, minus unregulated other operating revenue.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated other operating revenues.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Total Operating Revenue

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from Audited Financial Statements.
Misc Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from Miscellaneous Adjustments.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. The sum of net patient revenue and other operating revenue from the applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Unregulated net patient revenue and Unregulated other operating revenue.
Reg Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of regulated net patient revenue and regulated other operating revenue.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated total operating revenues.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Expenses - Salaries, Wages, and Fringe Benefits

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expense as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Number - Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Number - Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Number - Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Number - Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Salaries, Wages, and Fringe Benefit expenses from Auxiliary Enterprises (E), Other Institutional Programs (F), and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Salaries, Wages, and Fringe Benefit expenses from Audited Financial Statements and Miscellaneous Adjustments, minus Salaries, Wages, and Fringe Benefit expenses from unregulated centers.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated Salaries, Wages, and Fringe Benefit expenses.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Expenses - Professional Fees

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expense as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement. 
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses that require different presentation to comply with HSCRC accounting and budget regulations. 
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Professional Fee expenses from Auxiliary Enterprises (E), Other Institutional Programs (F), and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Total Regulated Professional Fees.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated professional fees expenses.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Expenses - Supplies

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Supplies expense as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Supplies expenses from Auxiliary Enterprises (E), Other Institutional Programs (F), and Unregulated Services (UR).
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses associated with Regulated Services.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated supplies expenses.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Expenses - Depreciation & Amortization

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Depreciation/Amortization expenses as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Depreciation/Amortization expenses that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Total Unregulated Depreciation & Amortization Expenses.
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Total Regulated Depreciation & Amortization Expenses.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated depreciation and amortization expenses.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Expenses - Leases/Rentals

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Leases/Rentals expenses as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Leases/Rentals expenses that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Total Unregulated Lease Expenses.
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Total Regulated Lease Expenses.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated lease/rentals expenses.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Expenses - Interest

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Interest expenses as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Interest expenses that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Total Unregulated Interest Expenses.
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Total Regulated Interest Expenses.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated Interest expenses.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Expenses - Purchased Services/Other

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Purchased Services/Other Expenses as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Purchased Services/Other Expenses that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Number - Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Number - Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Number - Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Number - Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Number - Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Number - Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Number - Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Number - Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Number - Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Number - Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. Purchased Services/Other Expenses for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. Total Unregulated Purchased Services/Other Expenses.
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. Total Regulated Purchased Services/Other Expenses.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated Purchased Services/Other expenses.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Expenses - Total Operating Expenses

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services as identified on the Audited Financial Statement.
Misc Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services as identified as Miscellaneous Adjustments.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR13 UR13: Consolidating/Eliminations Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR22 UR22: Hospital Specific 3 Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. The sum of expenses including salaries, wages, and fringe benefits, professional fees, supplies, depreciation and amortization, lease and rentals, interest, and purchased services for the applicable Schedule UR Unregulated Services.
Blank58 blank58 None
Unreg Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. Total Operating expenses associated with Unregulated Services.
Reg Regulated Currency Total - Reported in Thousands. Displayed with one decimal. Total operating expenses associated with Regulated Services.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated total operating expenses.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Operating Profit - Income from Operations

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses from the Audited Financial Statement.
Misc Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses from Miscellaneous Adjustments.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. The total operating revenue minus total operating expenses for the applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The total unregulated operating revenue minus total unregulated operating expenses.
Reg Regulated Currency - Reported in Thousands. Displayed with one decimal. The total regulated operating revenue minus total regulated operating expenses.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The total unregulated and regulated operating revenue minus total unregulated and regulated operating expenses.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Non-Operating Gains (Losses) - Non-Operating Income

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of non-operating income from Audited Financial Statements and Miscellaneous Adjustments.
Reg Regulated None
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated non operating income.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Non-Operating Gains (Losses) - Non-Operating Expenses

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc Miscellaneous Adjustments Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses that require different presentation to comply with HSCRC accounting and budget regulations.
Blank55 blank55 None
E01 E01: Ambulance Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency Input - Report in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of non-operating expenses from audited financial statements and miscellaneous adjustments.
Reg Regulated None
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated non operating expenses.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Non-Operating Gains (Losses) - Non-Operating Gains, Net

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the Audited Financial Statements.
Misc Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the Miscellaneous Adjustments.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. Non operating income minus non operating expenses from the applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Non Operating Gains from Audited Financial Statements plus Non Operating Gains from Miscellaneous Adjustments.
Reg Regulated None
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of unregulated and regulated non operating gains, Net.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Total Margin

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the Audited Financial Statements.
Misc Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from Miscellaneous Adjustments.
Blank55 blank55 None
E01 E01: Ambulance Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule E Auxiliary Enterprise.
E02 E02: Parking Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule E Auxiliary Enterprise.
E03 E03: Doctor's Private Office Rental Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule E Auxiliary Enterprise.
E04 E04: Other Office Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule E Auxiliary Enterprise.
E05 E05: Retail Operations Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule E Auxiliary Enterprise.
E06 E06: Pt. Phones Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule E Auxiliary Enterprise.
E07 E07: Cafeteria Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule E Auxiliary Enterprise.
E08 E08: Day Care Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule E Auxiliary Enterprise.
E09 E09: Housing Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule E Auxiliary Enterprise.
Blank56 blank56 None
F01 F01: Research Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule F Other Institutional Program.
F02 F02: Nursing Education Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule F Other Institutional Program.
F03 F03: Other Health Education Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule F Other Institutional Program.
F04 F04: Comm. Hlth. Ed. Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule F Other Institutional Program.
Blank57 blank57 None
UR01 UR01: FSC Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR02 UR02: Home Health Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR03 UR03: OP Renal Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR04 UR04: SNF Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR05 UR05: Non-Pt Lab Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR06 UR06: Part B Physicians Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR07 UR07: Certified Nurse Anesthetists Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR08 UR08: Physician Support Services Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR09 UR09: Adult Day Care Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR10 UR10: Cancer Center Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR11 UR11: Cardiac Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR12 UR12: Community Services Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR13 UR13: Consolidating/Eliminations Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR14 UR14: Foundation Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR15 UR15: Hospice Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR16 UR16: Imaging Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR17 UR17: Outpatient Medical Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR18 UR18: Other Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR19 UR19: Rehabilitation Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR20 UR20: Hospital Specific 1 Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR21 UR21: Hospital Specific 2 Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR22 UR22: Hospital Specific 3 Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR23 UR23: Hospital Specific 4 Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR24 UR24: Hospital Specific 5 Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
UR25 UR25: Hospital Specific 6 Currency - Reported in Thousands. Displayed with one decimal. The sum of the operating profit and the non operating gains, net from the applicable Schedule UR Unregulated Service.
Blank58 blank58 None
Unreg Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the unregulated operating profit and the unregulated non operating gains, net.
Reg Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of the regulated operating profit and the regulated non operating gains, net.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The sum of total operating profit and the total non operating gains, net.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Current Assets

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Total Current Assets as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Back to Schedule REI - Schedule RE Input

Schedule REI - Schedule RE Input: Section - Current Liabilities

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statements Currency Input - Report in Thousands. Displayed with one decimal. Total Current Liabilities as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Back to Schedule REI - Schedule RE Input

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Gross Patient Revenues

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Gross patient revenue as detailed in the audited financial statements of the reporting hospital. Certain revenues and expenses may be detailed in the notes to the financial statements.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Revenue or expense items that require different presentation to comply with HSCRC accounting and budget regulations, i.e., provision for bad debts as a deduction from revenue vs. operating expense, uncompensated care fund payments, etc.
E01 E01 - Ambulance Services Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule E auxiliary enterprise.
E02 E02 - Parking Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule E auxiliary enterprise.
E03 E03 - Doctor's Private Office Rent Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule E auxiliary enterprise.
E04 E04 - Office and Other Rentals Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule E auxiliary enterprise.
E05 E05 - Retail Operations Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule E auxiliary enterprise.
E06 E06 - Patient Telephones Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule E auxiliary enterprise.
E07 E07 - Cafeteria Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule E auxiliary enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule E auxiliary enterprise.
E09 E09 - Housing Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule E auxiliary enterprise.
F01 F01 - Research Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule F Other Institutional Programs.
F02 F02 - Nursing Education Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule F Other Institutional Programs.
F03 F03 - Other Health Prof Education Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule F Other Institutional Programs.
F04 F04 - Community Health Education Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule F Other Institutional Programs.
UR01 UR01 - FSC Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR02 UR02 - HHC Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR03 UR03 - ORD Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR04 UR04 - ECF Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR05 UR05 - ULB Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR06 UR06 - UPB Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR07 UR07 - CAN Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR08 UR08 - PSS Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR09 UR09 - ADC Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR10 UR10 - CCC Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR11 UR11 - CAR Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR12 UR12 - CCS Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR13 UR13 - CS Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR14 UR14 - FDN Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR15 UR15 - HSP Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR16 UR16 - IMG Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR17 UR17 - OMC Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR18 UR18 - OUR Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR19 UR19 - REH Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR20 UR20 - URRF1 Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR21 UR21 - URRF2 Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR22 UR22 - URRF3 Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR23 UR23 - URRF4 Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR24 UR24 - URRF5 Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
UR25 UR25 - URRF6 Currency Total - Reported in Thousands. Displayed with one decimal. Gross Patient Revenues for the applicable Schedule UR Unregulated Services.
Unregulated Total Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Gross Patient Revenues for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Gross Patient Revenues from Schedule RE Gross Patient Revenues.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Gross Patient Revenues from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Unregulated Gross Patient Revenue transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Regulated Gross Patient Revenue transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Gross Patient Revenues from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Provision for Bad Debts

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts items that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Provision for Bad Debts for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Provisions for Bad Debts for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Provision for Bad Debts from Schedule RE Provisions for Bad Debts.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Provision for Bad Debts from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Provisions for Bad Debts transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Provisions for Bad Debts transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Provisions for Bad Debts from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Charity/Uncompensated Care

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care items that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Charity/Uncompensated Care for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Charity/Uncompensated Care for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Charity/Uncompensated Care from Schedule RE Charity/Uncompensated Care.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Charity/Uncompensated Care from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Charity/Uncompensated Care transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Charity/Uncompensated Care transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Charity/Uncompensated Care from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Contractual Adjustments

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments items that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Contractual Adjustments for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Contractual Adjustments for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Contractual Adjustments from Schedule RE Contractual Adjustments.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Contractual Adjustments from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Contractual Adjustments transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Contractual Adjustments transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Contractual Adjustments from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Uncompensated Care Fund Payments

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments items that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Payments for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Uncompensated Care Fund Payments for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Uncompensated Care Fund Payments from Schedule RE Uncompensated Care Fund Payments.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Uncompensated Care Fund Payments from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund payments transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Uncompensated Care Payments transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Uncompensated Care Fund Payments from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Denials

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Denials as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Denials items that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Denials for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Denials for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Denials from Schedule RE Denials.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Denials from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Denials transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Gross Denials transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Denials from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Other Deductions from Revenue

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue items that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Other Deductions from Revenue for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Other Deductions from Revenue for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Other Deductions from Revenue from Schedule RE Other Deductions from Revenue.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Other Deductions from Revenue from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Other Deductions from Revenue transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Other Deductions from Revenue transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Other Deductions from Revenues from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Total Deductions from Revenues

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
Misc_Adj Miscellaneous Adjustments Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
E01 E01 - Ambulance Services Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
E02 E02 - Parking Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
E03 E03 - Doctor's Private Office Rent Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
E04 E04 - Office and Other Rentals Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
E05 E05 - Retail Operations Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
E06 E06 - Patient Telephones Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
E07 E07 - Cafeteria Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
E09 E09 - Housing Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
F01 F01 - Research Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
F02 F02 - Nursing Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
F03 F03 - Other Health Prof Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
F04 F04 - Community Health Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR01 UR01 - FSC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR02 UR02 - HHC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR03 UR03 - ORD Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR04 UR04 - ECF Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR05 UR05 - ULB Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR06 UR06 - UPB Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR07 UR07 - CAN Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR08 UR08 - PSS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR09 UR09 - ADC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR10 UR10 - CCC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR11 UR11 - CAR Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR12 UR12 - CCS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR13 UR13 - CS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR14 UR14 - FDN Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR15 UR15 - HSP Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR16 UR16 - IMG Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR17 UR17 - OMC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR18 UR18 - OUR Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR19 UR19 - REH Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR20 UR20 - URRF1 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR21 UR21 - URRF2 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR22 UR22 - URRF3 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR23 UR23 - URRF4 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR24 UR24 - URRF5 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
UR25 UR25 - URRF6 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding lines B through G, categories of deductions from revenue.
Unregulated Total Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Total Deductions from Revenue for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Total Deductions from Revenue from Schedule RE Total Deductions from Revenue.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Total Deductions from Revenues from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Unregulated Total Deductions from Revenue transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Regulated Total Deductions from Revenue transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Total Deductions Revenues from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Uncompensated Care Fund Receipts

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts items that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Uncompensated Care Fund Receipts for each Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Uncompensated Care Fund Receipts for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Uncompensated Care Fund Receipts from Schedule RE Uncompensated Care Fund Receipts.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Uncompensated Care Fund Receipts from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Uncompensated Care Fund Receipts transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Uncompensated Care Receipts transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Uncompensated Care Fund Receipts from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Net Patient Revenues

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
Misc_Adj Miscellaneous Adjustments Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
E01 E01 - Ambulance Services Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
E02 E02 - Parking Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
E03 E03 - Doctor's Private Office Rent Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
E04 E04 - Office and Other Rentals Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
E05 E05 - Retail Operations Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
E06 E06 - Patient Telephones Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
E07 E07 - Cafeteria Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
E09 E09 - Housing Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
F01 F01 - Research Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
F02 F02 - Nursing Education Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
F03 F03 - Other Health Prof Education Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
F04 F04 - Community Health Education Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR01 UR01 - FSC Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR02 UR02 - HHC Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR03 UR03 - ORD Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR04 UR04 - ECF Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR05 UR05 - ULB Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR06 UR06 - UPB Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR07 UR07 - CAN Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR08 UR08 - PSS Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR09 UR09 - ADC Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR10 UR10 - CCC Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR11 UR11 - CAR Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR12 UR12 - CCS Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR13 UR13 - CS Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR14 UR14 - FDN Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR15 UR15 - HSP Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR16 UR16 - IMG Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR17 UR17 - OMC Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR18 UR18 - OUR Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR19 UR19 - REH Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR20 UR20 - URRF1 Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR21 UR21 - URRF2 Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR22 UR22 - URRF3 Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR23 UR23 - URRF4 Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR24 UR24 - URRF5 Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
UR25 UR25 - URRF6 Currency Total - Reported in Thousands. Displayed with one decimal. Gross patient revenue minus total deductions from revenue plus uncompensated care fund receipts.
Unregulated Total Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Net Patient Revenues for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Net Patient Revenues from Schedule RE Net Patient Revenues.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Net Patient Revenues from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Unregulated Net Patient Revenue transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Regulated Net Patient Revenue transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Other Operating Revenues

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues items that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Other Operating Revenues for each Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Other Operating Revenues for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Other Operating Revenues from Schedule RE Other Operating Revenues.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Other Operating Revenues from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Other Operating Revenue transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Other Operating Revenue transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Other Operating Revenues from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Net Operating Revenues

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
Misc_Adj Miscellaneous Adjustments Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
E01 E01 - Ambulance Services Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
E02 E02 - Parking Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
E03 E03 - Doctor's Private Office Rent Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
E04 E04 - Office and Other Rentals Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
E05 E05 - Retail Operations Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
E06 E06 - Patient Telephones Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
E07 E07 - Cafeteria Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
E09 E09 - Housing Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
F01 F01 - Research Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
F02 F02 - Nursing Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
F03 F03 - Other Health Prof Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
F04 F04 - Community Health Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR01 UR01 - FSC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR02 UR02 - HHC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR03 UR03 - ORD Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR04 UR04 - ECF Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR05 UR05 - ULB Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR06 UR06 - UPB Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR07 UR07 - CAN Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR08 UR08 - PSS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR09 UR09 - ADC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR10 UR10 - CCC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR11 UR11 - CAR Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR12 UR12 - CCS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR13 UR13 - CS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR14 UR14 - FDN Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR15 UR15 - HSP Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR16 UR16 - IMG Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR17 UR17 - OMC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR18 UR18 - OUR Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR19 UR19 - REH Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR20 UR20 - URRF1 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR21 UR21 - URRF2 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR22 UR22 - URRF3 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR23 UR23 - URRF4 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR24 UR24 - URRF5 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
UR25 UR25 - URRF6 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Patient Revenues and Other Operating Revenues.
Unregulated Total Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Net Operating Revenues for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Net Operating Revenues from Schedule RE Net Operating Revenues.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Net Operating Revenues from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Unregulated Net Operating Revenue transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Regulated Net Operating Revenue transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Net Operating Revenues from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Salaries, Wages, and Employee Benefits

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expense as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Salaries, Wages, and Employee Benefits expenses for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Salaries, Wages, and Employee Benefits for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Salaries, Wages, and Employee Benefits from Schedule RE Salaries, Wages, and Employee Benefits.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Salaries, Wages, and Employee Benefits from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Salaries, Wages, Employee Benefits expense transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Wages, Salaries, Employee Benefits transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Wages, Salaries, Employee Benefit expenses from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Professional Fees

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expense as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement. 
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses that require different presentation to comply with HSCRC accounting and budget regulations. 
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Professional Fees expenses for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Professional Fees for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Professional Fees from Schedule RE Professional Fees.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Professional Fees from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Professional Fees transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Professional Fees transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Professional Fees expense from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Supplies

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Supplies expense as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Supplies expenses for each applicable Schedule UR Unregulated service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Supplies for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Supplies from Schedule RE Supplies.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Supplies from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Supplies transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Supplies transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Supplies expense from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Depreciation/Amortization

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Depreciation/Amortization expenses for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Depreciation/Amortization for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Depreciation/Amortization from Schedule RE Depreciation/Amortization .
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Depreciation/Amortization from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Depreciation/Amortization transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Depreciation/Amortization transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Depreciation/Amortization expense from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Leases/Rentals

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Leases/Rentals expenses for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Leases/Rentals for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Leases/Rentals from Schedule RE Leases/Rentals.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Leases/Rentals from Audit Financial Statements and Miscellaneous Adjustments columns.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount None
RE_Reg Schedule RE - Regulated Amount None
RE_Total Schedule RE - Total Amount None
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Interest

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Interest expenses as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Interest expenses that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Interest expenses for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Interest for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Interest from Schedule RE Interest.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Interest from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Interest transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency - Reported in Thousands. Displayed with one decimal. Regulated Interest transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Interest expense from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Other Expenses

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Other Expenses as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Other Expenses that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Other Expenses for each applicable Schedule UR Unregulated service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Other Expenses for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Other Expenses from Schedule RE Other Expenses.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Other Expenses from Audit Financial Statements and Miscellaneous Adjustments columns.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount None
RE_Reg Schedule RE - Regulated Amount None
RE_Total Schedule RE - Total Amount None
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Total Operating Expenses

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
Misc_Adj Miscellaneous Adjustments Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
E01 E01 - Ambulance Services Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
E02 E02 - Parking Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
E03 E03 - Doctor's Private Office Rent Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
E04 E04 - Office and Other Rentals Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
E05 E05 - Retail Operations Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
E06 E06 - Patient Telephones Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
E07 E07 - Cafeteria Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
E09 E09 - Housing Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
F01 F01 - Research Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
F02 F02 - Nursing Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
F03 F03 - Other Health Prof Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
F04 F04 - Community Health Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR01 UR01 - FSC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR02 UR02 - HHC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR03 UR03 - ORD Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR04 UR04 - ECF Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR05 UR05 - ULB Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR06 UR06 - UPB Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR07 UR07 - CAN Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR08 UR08 - PSS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR09 UR09 - ADC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR10 UR10 - CCC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR11 UR11 - CAR Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR12 UR12 - CCS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR13 UR13 - CS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR14 UR14 - FDN Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR15 UR15 - HSP Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR16 UR16 - IMG Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR17 UR17 - OMC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR18 UR18 - OUR Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR19 UR19 - REH Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR20 UR20 - URRF1 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR21 UR21 - URRF2 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR22 UR22 - URRF3 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR23 UR23 - URRF4 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR24 UR24 - URRF5 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
UR25 UR25 - URRF6 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding expenses from lines M though S (Salaries, Wages, and Fringe Benefits through Other Expenses).
Unregulated Total Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Bad Debts for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Total Operating Expenses from Schedule RE Total Operating Expenses.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Total Operating Expenses from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Unregulated Total Operating Expenses transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Regulated Total Operating Expenses transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Total Operating Expenses from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Operating Margin, Excess (Deficit) Operating Revenues Over Operating Expenses

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency Total - Reported in Thousands. Displayed with one decimal. Net Operating Revenues minus Total Operating Expenses. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
E01 E01 - Ambulance Services Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
E02 E02 - Parking Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
E03 E03 - Doctor's Private Office Rent Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
E04 E04 - Office and Other Rentals Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
E05 E05 - Retail Operations Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
E06 E06 - Patient Telephones Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
E07 E07 - Cafeteria Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
E09 E09 - Housing Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
F01 F01 - Research Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
F02 F02 - Nursing Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
F03 F03 - Other Health Prof Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
F04 F04 - Community Health Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR01 UR01 - FSC Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR02 UR02 - HHC Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR03 UR03 - ORD Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR04 UR04 - ECF Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR05 UR05 - ULB Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR06 UR06 - UPB Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR07 UR07 - CAN Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR08 UR08 - PSS Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR09 UR09 - ADC Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR10 UR10 - CCC Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR11 UR11 - CAR Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR12 UR12 - CCS Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR13 UR13 - CS Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR14 UR14 - FDN Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR15 UR15 - HSP Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR16 UR16 - IMG Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR17 UR17 - OMC Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR18 UR18 - OUR Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR19 UR19 - REH Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR20 UR20 - URRF1 Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR21 UR21 - URRF2 Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR22 UR22 - URRF3 Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR23 UR23 - URRF4 Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR24 UR24 - URRF5 Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
UR25 UR25 - URRF6 Currency Total - Reported in Thousands. Displayed with one decimal. The result of Net Operating Revenues minus Total Operating Expenses.
Unregulated Total Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Operating Margin, Excess (Deficit) Operating Revenues over Operating Expenses for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated Operating Margin from Schedule RE Operating Margin.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Operating Margin from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Unregulated Operating Margin transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Regulated Operating Margin transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Non-Operating Revenues

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Revenues for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Non-Operating Revenues for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated column for Non-Operating Revenues from Schedule RE column for Non-Operating Revenues.
Validation Rule: Amount from Total Regulated column for Non-Operating Revenues must equal total from Schedule RE - Regulated amount for Non-Operating Revenues.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Non-Operating Revenues from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Non-Operating Revenues transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount None
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Non-Operating Revenues from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Non-Operating Expenses

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses as detailed in the audited financial statements of the hospital. Certain line items may be detailed in the notes to the financial statement.
Misc_Adj Miscellaneous Adjustments Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses that require different presentation to comply with HSCRC accounting and budget regulations.
E01 E01 - Ambulance Services Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E02 E02 - Parking Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E03 E03 - Doctor's Private Office Rent Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E04 E04 - Office and Other Rentals Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E05 E05 - Retail Operations Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E06 E06 - Patient Telephones Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E07 E07 - Cafeteria Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
E09 E09 - Housing Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule E Auxiliary Enterprise.
F01 F01 - Research Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule F Other Institutional Program.
F02 F02 - Nursing Education Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule F Other Institutional Program.
F03 F03 - Other Health Prof Education Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule F Other Institutional Program.
F04 F04 - Community Health Education Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule F Other Institutional Program.
UR01 UR01 - FSC Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR02 UR02 - HHC Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR03 UR03 - ORD Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR04 UR04 - ECF Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR05 UR05 - ULB Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR06 UR06 - UPB Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR07 UR07 - CAN Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR08 UR08 - PSS Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR09 UR09 - ADC Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR10 UR10 - CCC Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR11 UR11 - CAR Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR12 UR12 - CCS Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR13 UR13 - CS Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR14 UR14 - FDN Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR15 UR15 - HSP Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR16 UR16 - IMG Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR17 UR17 - OMC Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR18 UR18 - OUR Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR19 UR19 - REH Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR20 UR20 - URRF1 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR21 UR21 - URRF2 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR22 UR22 - URRF3 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR23 UR23 - URRF4 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR24 UR24 - URRF5 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
UR25 UR25 - URRF6 Currency - Reported in Thousands. Displayed with one decimal. Non-Operating Expenses for each applicable Schedule UR Unregulated Service.
Unregulated Total Unregulated Currency - Reported in Thousands. Displayed with one decimal. The sum of Non-Operating Expenses for the Auxiliary Enterprises, Other Institutional Programs and Unregulated Services.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Total Unregulated column for Non-Operating Expenses from Schedule RE column Non-Operating Expenses.
Validation Rule: Amount from Total Regulated column for Non-Operating Expenses must equal total from Schedule RE - Regulated amount or Non-Operating Expenses.
Sch_RE Schedule RE Currency - Reported in Thousands. Displayed with one decimal. The sum of Non-Operating Expenses from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency - Reported in Thousands. Displayed with one decimal. Unregulated Non-Operating Expenses transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount None
RE_Total Schedule RE - Total Amount Currency - Reported in Thousands. Displayed with one decimal. The result of adding Non-Operating Expenses from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
Back to Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE

Schedule RE_R - Reconciliation of the Audited Financials to Schedule RE: Section - Total Margin, Excess (Deficit) Revenues Over Expenses

Field ID Field Name Reporting Format Field Description
AFS Audited Financial Statement Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
Misc_Adj Miscellaneous Adjustments Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
E01 E01 - Ambulance Services Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
E02 E02 - Parking Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
E03 E03 - Doctor's Private Office Rent Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
E04 E04 - Office and Other Rentals Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
E05 E05 - Retail Operations Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
E06 E06 - Patient Telephones Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
E07 E07 - Cafeteria Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
E08 E08 - Day Care Center, Rec Areas, Etc.. Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
E09 E09 - Housing Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
F01 F01 - Research Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
F02 F02 - Nursing Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
F03 F03 - Other Health Prof Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
F04 F04 - Community Health Education Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR01 UR01 - FSC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR02 UR02 - HHC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR03 UR03 - ORD Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR04 UR04 - ECF Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR05 UR05 - ULB Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR06 UR06 - UPB Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR07 UR07 - CAN Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR08 UR08 - PSS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR09 UR09 - ADC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR10 UR10 - CCC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR11 UR11 - CAR Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR12 UR12 - CCS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR13 UR13 - CS Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR14 UR14 - FDN Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR15 UR15 - HSP Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR16 UR16 - IMG Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR17 UR17 - OMC Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR18 UR18 - OUR Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR19 UR19 - REH Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR20 UR20 - URRF1 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR21 UR21 - URRF2 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR22 UR22 - URRF3 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR23 UR23 - URRF4 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR24 UR24 - URRF5 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
UR25 UR25 - URRF6 Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Operating Margin and Non Operating Revenues then subtracting Non-Operating Expenses.
Unregulated Total Unregulated Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Total Unregulated Operating Margin plus Total Unregulated Non Operating Revenues and subtracting Total Unregulated Non-Operating Expenses.
Validation Rule: Amount from Total Unregulated must equal total from Schedule RE - Unregulated amount.
Regulated Total Regulated Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Total Regulated Operating Margin and Total Regulated Non-Operating Revenues, and subtracting Total Regulated Non-Operating Expenses.
Validation Rule: Amount from Total Regulated must equal total from Schedule RE - Regulated amount.
Sch_RE Schedule RE Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Total Margin from Audit Financial Statements and Miscellaneous Adjustments columns.
Validation Rule: Amount from Schedule RE column must equal total from Schedule RE - Total Amount column.
RE_Line Schedule RE Line Fixed Text
RE_Unreg Schedule RE - Unregulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Unregulated Total Margin transferred from Schedule RE.
RE_Reg Schedule RE - Regulated Amount Currency Total - Reported in Thousands. Displayed with one decimal. Regulated Total Margin transferred from Schedule RE.
RE_Total Schedule RE - Total Amount Currency Total - Reported in Thousands. Displayed with one decimal. The result of adding Total Margin, Revenue over Expenses from the Schedule RE-Unregulated Amount and Schedule RE-Regulated Amount columns.
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Schedule SB - Supplemental Births: Section - Neonates not charged an admission charge

Field ID Field Name Reporting Format Field Description
Total Total Number Input - Displayed with one decimal. The number of Neonates who were not charged an admission charge.
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Schedule SB - Supplemental Births: Section - Admissions from the ADM Center on Monthly Report

Field ID Field Name Reporting Format Field Description
Total Total Number - Displayed with one decimal. The number of admissions from the Admissions revenue center submitted on the monthly reports.
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Schedule SB - Supplemental Births: Section - Total

Field ID Field Name Reporting Format Field Description
Total Total Number - Displayed with one decimal. The sum of lines A and B from above.
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Schedule SB - Supplemental Births: Section - Neonates not charged an admission charge

Field ID Field Name Reporting Format Field Description
Total Total Number - Displayed with one decimal. The number of Neonates who were not charged an admission charge.
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Schedule SB - Supplemental Births: Section - Births, including infants transferred to Neo-Natal unit from Newborn Nursery

Field ID Field Name Reporting Format Field Description
Total Total Number Input - Displayed with one decimal. The number of births in your hospital including infants transferred to your hospital’s Neo-Natal unit from your hospital’s Newborn Nursery.
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Schedule SB - Supplemental Births: Section - Subtotal

Field ID Field Name Reporting Format Field Description
Total Total Number - Displayed with one decimal. The number of Neonates who were not charged an admission charge plus the number of births, including infants, transferred to the Neo-Natal unit from Newborn Nursery.
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Schedule SB - Supplemental Births: Section - Admissions from the ADM Center on Monthly Report

Field ID Field Name Reporting Format Field Description
Total Total Number - Displayed with one decimal. The number of admissions from the Admissions revenue center submitted on the monthly reports.
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Schedule SB - Supplemental Births: Section - Total

Field ID Field Name Reporting Format Field Description
Total Total Number - Displayed with one decimal. The sum of lines F and G from above.
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC I - Hourly or Salary Based - Trauma Surgeon 1

Field ID Field Name Reporting Format Field Description
TraSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount is the sum of the "availability hours" and the "supervision and administration hours".
TraSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not include hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
TraSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
TraSurg_PmtsAvail Payments for Availability Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement to provide availability services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of availability services to the trauma center.
TraSurg_MinGuarAmt Minimum Guaranteed Amount None
TraSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
TraSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which results in an inpatient stay.
TraSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which does not result in an inpatient stay.
TraSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
TraSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
TraSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
TraSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Payments for Availability, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, Malpractice Insurance.
TraSurg_ProfServBilled Prof. Services Billed (Paid) None
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC I - Hourly or Salary Based - Trauma Surgeon 2

Field ID Field Name Reporting Format Field Description
TraSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount is the sum of the "availability hours" and the "supervision and administration hours".
TraSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not include hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
TraSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
TraSurg_PmtsAvail Payments for Availability Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement to provide availability services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of availability services to the trauma center.
TraSurg_MinGuarAmt Minimum Guaranteed Amount None
TraSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
TraSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which results in an inpatient stay.
TraSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which does not result in an inpatient stay.
TraSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
TraSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
TraSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
TraSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Payments for Availability, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, Malpractice Insurance.
TraSurg_ProfServBilled Prof. Services Billed (Paid) None
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC I - Hourly or Salary Based - Orthopedic Surgeon 1

Field ID Field Name Reporting Format Field Description
OrthoSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount is the sum of the "availability hours" and the "supervision and administration hours".
OrthoSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not include hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
OrthoSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
OrthoSurg_PmtsAvail Payments for Availability Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement to provide availability services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of availability services to the trauma center.
OrthoSurg_MinGuarAmt Minimum Guaranteed Amount None
OrthoSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
OrthoSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which results in an inpatient stay.
OrthoSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which does not result in an inpatient stay.
OrthoSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
OrthoSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
OrthoSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
OrthoSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Payments for Availability, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, Malpractice Insurance.
OrthoSurg_ProfServBilled Prof. Services Billed (Paid) None
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC I - Hourly or Salary Based - Orthopedic Surgeon 2

Field ID Field Name Reporting Format Field Description
OrthoSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount is the sum of the "availability hours" and the "supervision and administration hours".
OrthoSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not include hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
OrthoSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
OrthoSurg_PmtsAvail Payments for Availability Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement to provide availability services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of availability services to the trauma center.
OrthoSurg_MinGuarAmt Minimum Guaranteed Amount None
OrthoSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
OrthoSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which results in an inpatient stay.
OrthoSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which does not result in an inpatient stay.
OrthoSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
OrthoSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
OrthoSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
OrthoSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Payments for Availability, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, Malpractice Insurance.
OrthoSurg_ProfServBilled Prof. Services Billed (Paid) None
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC I - Hourly or Salary Based - Neurosurgeon 1

Field ID Field Name Reporting Format Field Description
NeuroSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount is the sum of the "availability hours" and the "supervision and administration hours".
NeuroSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not include hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
NeuroSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
NeuroSurg_PmtsAvail Payments for Availability Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement to provide availability services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of availability services to the trauma center.
NeuroSurg_MinGuarAmt Minimum Guaranteed Amount None
NeuroSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
NeuroSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which results in an inpatient stay.
NeuroSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which does not result in an inpatient stay.
NeuroSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
NeuroSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
NeuroSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
NeuroSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Payments for Availability, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, Malpractice Insurance.
NeuroSurg_ProfServBilled Prof. Services Billed (Paid) None
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC I - Hourly or Salary Based - Neurosurgeon 2

Field ID Field Name Reporting Format Field Description
NeuroSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount is the sum of the "availability hours" and the "supervision and administration hours".
NeuroSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not include hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
NeuroSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
NeuroSurg_PmtsAvail Payments for Availability Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement to provide availability services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of availability services to the trauma center.
NeuroSurg_MinGuarAmt Minimum Guaranteed Amount None
NeuroSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
NeuroSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which results in an inpatient stay.
NeuroSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which does not result in an inpatient stay.
NeuroSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
NeuroSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
NeuroSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
NeuroSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Payments for Availability, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, Malpractice Insurance.
NeuroSurg_ProfServBilled Prof. Services Billed (Paid) None
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC I - Hourly or Salary Based - Anesthesiologist 1

Field ID Field Name Reporting Format Field Description
Anesthesiologist_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount is the sum of the "availability hours" and the "supervision and administration hours".
Anesthesiologist_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not include hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
Anesthesiologist_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
Anesthesiologist_PmtsAvail Payments for Availability Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement to provide availability services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of availability services to the trauma center.
Anesthesiologist_MinGuarAmt Minimum Guaranteed Amount None
Anesthesiologist_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
Anesthesiologist_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which results in an inpatient stay.
Anesthesiologist_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which does not result in an inpatient stay.
Anesthesiologist_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
Anesthesiologist_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
Anesthesiologist_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
Anesthesiologist_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Payments for Availability, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, Malpractice Insurance.
Anesthesiologist_ProfServBilled Prof. Services Billed (Paid) None
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC I - Hourly or Salary Based - Anesthesiologist 2

Field ID Field Name Reporting Format Field Description
Anesthesiologist_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount is the sum of the "availability hours" and the "supervision and administration hours".
Anesthesiologist_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not include hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
Anesthesiologist_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
Anesthesiologist_PmtsAvail Payments for Availability Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement to provide availability services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of availability services to the trauma center.
Anesthesiologist_MinGuarAmt Minimum Guaranteed Amount None
Anesthesiologist_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
Anesthesiologist_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which results in an inpatient stay.
Anesthesiologist_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which does not result in an inpatient stay.
Anesthesiologist_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
Anesthesiologist_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
Anesthesiologist_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
Anesthesiologist_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Payments for Availability, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, Malpractice Insurance.
Anesthesiologist_ProfServBilled Prof. Services Billed (Paid) None
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC I - Hourly or Salary Based - Reserve for Additional Specialty 1

Field ID Field Name Reporting Format Field Description
Addtl_Spec_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount is the sum of the "availability hours" and the "supervision and administration hours".
Addtl_Spec_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not include hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
Addtl_Spec_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
Addtl_Spec_PmtsAvail Payments for Availability Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement to provide availability services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of availability services to the trauma center.
Addtl_Spec_MinGuarAmt Minimum Guaranteed Amount None
Addtl_Spec_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
Addtl_Spec_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which results in an inpatient stay.
Addtl_Spec_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which does not result in an inpatient stay.
Addtl_Spec_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
Addtl_Spec_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
Addtl_Spec_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
Addtl_Spec_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Payments for Availability, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, Malpractice Insurance.
Addtl_Spec_ProfServBilled Prof. Services Billed (Paid) None
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC I - Hourly or Salary Based - Reserve for Additional Specialty 2

Field ID Field Name Reporting Format Field Description
Addtl_Spec_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount is the sum of the "availability hours" and the "supervision and administration hours".
Addtl_Spec_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not include hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
Addtl_Spec_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
Addtl_Spec_PmtsAvail Payments for Availability Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement to provide availability services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of availability services to the trauma center.
Addtl_Spec_MinGuarAmt Minimum Guaranteed Amount None
Addtl_Spec_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
Addtl_Spec_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which results in an inpatient stay.
Addtl_Spec_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which does not result in an inpatient stay.
Addtl_Spec_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
Addtl_Spec_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
Addtl_Spec_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
Addtl_Spec_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Payments for Availability, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, Malpractice Insurance.
Addtl_Spec_ProfServBilled Prof. Services Billed (Paid) None
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC II - Contract or Minimum Guaranteed Based - Trauma Surgeon

Field ID Field Name Reporting Format Field Description
TraSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount shall be the sum of the "availability hours" column #2 and the "supervision and administration hours".
TraSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not exclude hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
TraSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
TraSurg_PmtsAvail Payments for Availability None
TraSurg_MinGuarAmt Minimum Guaranteed Amount Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physicians professional services to individual patients guaranteed to the physician under the arrangement with the hospital in the fiscal year.
TraSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
TraSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which resulted in an inpatient stay in the fiscal year.
TraSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which did not result in an inpatient stay in the fiscal year.
TraSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
TraSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
TraSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
TraSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The total of columns Minimum Guaranteed Amount, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, and Malpractice Insurance.
TraSurg_ProfServBilled Prof. Services Billed (Paid) Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physician professional services to individual patients as specified in the arrangement with the hospital.
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC II - Contract or Minimum Guaranteed Based - Trauma Surgeon

Field ID Field Name Reporting Format Field Description
TraSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount shall be the sum of the "availability hours" column #2 and the "supervision and administration hours".
TraSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not exclude hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
TraSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
TraSurg_PmtsAvail Payments for Availability None
TraSurg_MinGuarAmt Minimum Guaranteed Amount Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physicians professional services to individual patients guaranteed to the physician under the arrangement with the hospital in the fiscal year.
TraSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
TraSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which resulted in an inpatient stay in the fiscal year.
TraSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which did not result in an inpatient stay in the fiscal year.
TraSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
TraSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
TraSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
TraSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The total of columns Minimum Guaranteed Amount, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, and Malpractice Insurance.
TraSurg_ProfServBilled Prof. Services Billed (Paid) Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physician professional services to individual patients as specified in the arrangement with the hospital.
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC II - Contract or Minimum Guaranteed Based - Orthopedic Surgeon

Field ID Field Name Reporting Format Field Description
OrthoSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount shall be the sum of the "availability hours" column #2 and the "supervision and administration hours".
OrthoSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not exclude hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
OrthoSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
OrthoSurg_PmtsAvail Payments for Availability None
OrthoSurg_MinGuarAmt Minimum Guaranteed Amount Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physicians professional services to individual patients guaranteed to the physician under the arrangement with the hospital in the fiscal year.
OrthoSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
OrthoSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which resulted in an inpatient stay in the fiscal year.
OrthoSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which did not result in an inpatient stay in the fiscal year.
OrthoSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
OrthoSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
OrthoSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
OrthoSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The total of columns Minimum Guaranteed Amount, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, and Malpractice Insurance.
OrthoSurg_ProfServBilled Prof. Services Billed (Paid) Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physician professional services to individual patients as specified in the arrangement with the hospital.
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC II - Contract or Minimum Guaranteed Based - Orthopedic Surgeon

Field ID Field Name Reporting Format Field Description
OrthoSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount shall be the sum of the "availability hours" column #2 and the "supervision and administration hours".
OrthoSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not exclude hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
OrthoSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
OrthoSurg_PmtsAvail Payments for Availability None
OrthoSurg_MinGuarAmt Minimum Guaranteed Amount Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physicians professional services to individual patients guaranteed to the physician under the arrangement with the hospital in the fiscal year.
OrthoSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
OrthoSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which resulted in an inpatient stay in the fiscal year.
OrthoSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which did not result in an inpatient stay in the fiscal year.
OrthoSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
OrthoSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
OrthoSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
OrthoSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The total of columns Minimum Guaranteed Amount, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, and Malpractice Insurance.
OrthoSurg_ProfServBilled Prof. Services Billed (Paid) Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physician professional services to individual patients as specified in the arrangement with the hospital.
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC II - Contract or Minimum Guaranteed Based - Neurosurgeon

Field ID Field Name Reporting Format Field Description
NeuroSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount shall be the sum of the "availability hours" column #2 and the "supervision and administration hours".
NeuroSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not exclude hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
NeuroSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
NeuroSurg_PmtsAvail Payments for Availability None
NeuroSurg_MinGuarAmt Minimum Guaranteed Amount Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physicians professional services to individual patients guaranteed to the physician under the arrangement with the hospital in the fiscal year.
NeuroSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
NeuroSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which resulted in an inpatient stay in the fiscal year.
NeuroSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which did not result in an inpatient stay in the fiscal year.
NeuroSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
NeuroSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
NeuroSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
NeuroSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The total of columns Minimum Guaranteed Amount, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, and Malpractice Insurance.
NeuroSurg_ProfServBilled Prof. Services Billed (Paid) Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physician professional services to individual patients as specified in the arrangement with the hospital.
Back to Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee)

Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC II - Contract or Minimum Guaranteed Based - Neurosurgeon

Field ID Field Name Reporting Format Field Description
NeuroSurg_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount shall be the sum of the "availability hours" column #2 and the "supervision and administration hours".
NeuroSurg_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not exclude hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
NeuroSurg_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
NeuroSurg_PmtsAvail Payments for Availability None
NeuroSurg_MinGuarAmt Minimum Guaranteed Amount Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physicians professional services to individual patients guaranteed to the physician under the arrangement with the hospital in the fiscal year.
NeuroSurg_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
NeuroSurg_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which resulted in an inpatient stay in the fiscal year.
NeuroSurg_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which did not result in an inpatient stay in the fiscal year.
NeuroSurg_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
NeuroSurg_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
NeuroSurg_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
NeuroSurg_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The total of columns Minimum Guaranteed Amount, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, and Malpractice Insurance.
NeuroSurg_ProfServBilled Prof. Services Billed (Paid) Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physician professional services to individual patients as specified in the arrangement with the hospital.
Back to Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee)

Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC II - Contract or Minimum Guaranteed Based - Anesthesiologist

Field ID Field Name Reporting Format Field Description
Anesthesiologist_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount shall be the sum of the "availability hours" column #2 and the "supervision and administration hours".
Anesthesiologist_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not exclude hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
Anesthesiologist_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
Anesthesiologist_PmtsAvail Payments for Availability None
Anesthesiologist_MinGuarAmt Minimum Guaranteed Amount Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physicians professional services to individual patients guaranteed to the physician under the arrangement with the hospital in the fiscal year.
Anesthesiologist_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
Anesthesiologist_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which resulted in an inpatient stay in the fiscal year.
Anesthesiologist_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which did not result in an inpatient stay in the fiscal year.
Anesthesiologist_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
Anesthesiologist_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
Anesthesiologist_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
Anesthesiologist_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The total of columns Minimum Guaranteed Amount, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, and Malpractice Insurance.
Anesthesiologist_ProfServBilled Prof. Services Billed (Paid) Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physician professional services to individual patients as specified in the arrangement with the hospital.
Back to Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee)

Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC II - Contract or Minimum Guaranteed Based - Anesthesiologist

Field ID Field Name Reporting Format Field Description
Anesthesiologist_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount shall be the sum of the "availability hours" column #2 and the "supervision and administration hours".
Anesthesiologist_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not exclude hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
Anesthesiologist_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
Anesthesiologist_PmtsAvail Payments for Availability None
Anesthesiologist_MinGuarAmt Minimum Guaranteed Amount Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physicians professional services to individual patients guaranteed to the physician under the arrangement with the hospital in the fiscal year.
Anesthesiologist_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
Anesthesiologist_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which resulted in an inpatient stay in the fiscal year.
Anesthesiologist_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which did not result in an inpatient stay in the fiscal year.
Anesthesiologist_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
Anesthesiologist_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
Anesthesiologist_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
Anesthesiologist_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The total of columns Minimum Guaranteed Amount, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, and Malpractice Insurance.
Anesthesiologist_ProfServBilled Prof. Services Billed (Paid) Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physician professional services to individual patients as specified in the arrangement with the hospital.
Back to Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee)

Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC II - Contract or Minimum Guaranteed Based - Reserve for Additional Specialty

Field ID Field Name Reporting Format Field Description
Addtl_Spec_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount shall be the sum of the "availability hours" column #2 and the "supervision and administration hours".
Addtl_Spec_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not exclude hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
Addtl_Spec_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
Addtl_Spec_PmtsAvail Payments for Availability None
Addtl_Spec_MinGuarAmt Minimum Guaranteed Amount Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physicians professional services to individual patients guaranteed to the physician under the arrangement with the hospital in the fiscal year.
Addtl_Spec_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
Addtl_Spec_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which resulted in an inpatient stay in the fiscal year.
Addtl_Spec_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which did not result in an inpatient stay in the fiscal year.
Addtl_Spec_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
Addtl_Spec_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
Addtl_Spec_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
Addtl_Spec_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The total of columns Minimum Guaranteed Amount, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, and Malpractice Insurance.
Addtl_Spec_ProfServBilled Prof. Services Billed (Paid) Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physician professional services to individual patients as specified in the arrangement with the hospital.
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Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee): Section - SBC II - Contract or Minimum Guaranteed Based - Reserve for Additional Specialty

Field ID Field Name Reporting Format Field Description
Addtl_Spec_TraHrs Total Trauma Hours Number - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal arrangement with the trauma center for availability, supervision and administrative services directly related to trauma in the base year. This amount shall be the sum of the "availability hours" column #2 and the "supervision and administration hours".
Addtl_Spec_AvailHrs Availability Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided under a formal agreement with the trauma center for availability services in the fiscal year. Availability services require the physical presence of the trauma physician in the hospital to render trauma services to patients when and as needed. The physician must be on the hospital premises within reasonable proximity to the trauma center. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column. Do not exclude hours that the physician spends treating patients, i.e., providing billable Part B professional services to individual patients.
Addtl_Spec_SupAdmHrs Supervision and Administrative Hours Number Input - Displayed with one decimal. Report the total number of hours each physician or physician group provided supervision and administrative services to the trauma center under a formal arrangement in the fiscal year. "On-call" hours and hours for which the physician or the hospital otherwise received reimbursement should not be reported in this column.
Addtl_Spec_PmtsAvail Payments for Availability None
Addtl_Spec_MinGuarAmt Minimum Guaranteed Amount Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physicians professional services to individual patients guaranteed to the physician under the arrangement with the hospital in the fiscal year.
Addtl_Spec_PmtsSupAdm Payments for Supervision and Administration Currency Input - Report in Thousands. Displayed with one decimal. Report the total actual payments made to each physician or physician group under a formal arrangement for supervision and administration services to the trauma center in the fiscal year. Payments for "on-call" services should not be reported in this column. Payments reported in this column shall be reduced by any reimbursement amounts the physician or hospital otherwise received for the provision of supervision and administration services to the trauma center.
Addtl_Spec_PercIP Percent Inpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which resulted in an inpatient stay in the fiscal year.
Addtl_Spec_PercOP Percent Outpatient Percent Input - Displayed with one decimal. Report the percent of all trauma cases at the trauma center reported on the State Trauma Registry which did not result in an inpatient stay in the fiscal year.
Addtl_Spec_ProfOrgMem Professional Organization Membership Currency Input - Report in Thousands. Displayed with one decimal. Report the total membership fees paid by the hospital on behalf of each physician or physician group for membership in trauma-related professional organizations in the fiscal year.
Addtl_Spec_CMECost Continuing Medical Education Costs Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount paid on behalf of each physician or physician group for required trauma-related continuing medical education in the fiscal year.
Addtl_Spec_MalpIns Malpractice Insurance Currency Input - Report in Thousands. Displayed with one decimal. Report the total premiums paid by the hospital on behalf of each physician or physician group for the provision of trauma services in the fiscal year.
Addtl_Spec_TtlStandbyCosts Total Trauma Standby Costs Currency Total - Reported in Thousands. Displayed with one decimal. The total of columns Minimum Guaranteed Amount, Payments for Supervision and Administration, Professional Organization Membership, Continuing Medical Education Costs, and Malpractice Insurance.
Addtl_Spec_ProfServBilled Prof. Services Billed (Paid) Currency Input - Report in Thousands. Displayed with one decimal. Report the total amount of charges billed (or payments received) for physician professional services to individual patients as specified in the arrangement with the hospital.
Back to Schedule SBC - Standby Costs-Trauma Physicians (Hourly/Salary and Contract/Min. Guarantee)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Oper Margin, Excess (Deficit) Operating Revenues Over Operating Expenses

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. Operating Margin, Excess (Deficit) Operating Revenues over Operating Expenses from Schedule RE.
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Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Contribution (Unrestricted)

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Contributions (Unrestricted) that are a component of amount listed in Schedule RE Non-Operating Revenues.
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Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Interested and Investment Income

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Interested and Investment Incomes that are a component of amount listed in Schedule RE Non-Operating Revenues.
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Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Investment Gains/Losses Realized

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Investment Gains/Losses Realized that is a component of the amount listed in Schedule RE Non Operating Revenues.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Investment Gains/Losses Unrealized

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Investment Gains/Losses Unrealized that is a component of the amount listed in Schedule RE Non Operating Revenues.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Swap Agreements Gains/Losses Realized

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Swap Agreements Gains/Losses Realized that are a component of the amount listed in Schedule RE Non Operating Revenues.
Validation Rule: When rounded to the nearest whole number, the sum of Amounts of Contribution, Interested and investment income, investment gains/losses realized, and unrealized, and swap agreements gains/losses realized (Lines B1-B5) must equal schedule RE Total of Non Operating Revenues
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Other Total

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The sum of any hospital specific items listed for statement of Revenues and Expenses, lines B6.1 through B6.5.
Validation Rule: The Statement of Revenues and Expenses - Other Total Amount plus schedule RE Statement of Revenues and Expenses - Non Operating Expenses Total must equal zero.
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Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Other: Hospital Specific 1

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Other hospital specific components of amount listed in Schedule RE non Operating Revenues.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Other: Hospital Specific 2

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Other hospital specific components of amount listed in Schedule RE non Operating Revenues.
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Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Other: Hospital Specific 3

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Other hospital specific components of amount listed in Schedule RE non Operating Revenues.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Other: Hospital Specific 4

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Other hospital specific components of amount listed in Schedule RE non Operating Revenues.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Other: Hospital Specific 5

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Other hospital specific components of amount listed in Schedule RE non Operating Revenues.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Statement of Revenues and Expenses - Total

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The sum of lines A through B6.
Validation Rule: When rounded to the nearest whole number, the Total Line for the Statement of Revenues and Exepnses minus Schedule RE Total Margin, Excess (Deficit) Revenues over Expenses Total must equal zero.
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Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Other Significant Financial Information - Swap Agreements Gains / (Losses) Unrealized

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Fiscal year Swap Agreements Gains / (Losses) Unrealized amounts representing other significant financial information.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Other Significant Financial Information - Collateral Received / (Posted) - Swap Agreements

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Fiscal year Collateral Received / (Posted) - Swap Agreements amounts representing other significant financial information.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Other Significant Financial Information - Retirement of Debt - Gains / (Losses)

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Fiscal year Retirement of Debt - Gaines / (Losses) amounts representing other significant financial information.
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Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Other Significant Financial Information - Pension Adjustments - Defined Benefit Plans

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Fiscal year Pension Adjustments - Defined Benefit Plans amounts representing other significant financial information.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Other Significant Financial Information - Other Total

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The sum of other specificized significant financial information as listed in lines G.1 through G.5.
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Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Other Significant Financial Information - Other: Hospital Specific 1

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amounts for any hospital specific additional other significant financial information not listed in lines C through F above.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Other Significant Financial Information - Other: Hospital Specific 2

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amounts for any hospital specific additional other significant financial information not listed in lines C through F above.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Other Significant Financial Information - Other: Hospital Specific 3

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amounts for any hospital specific additional other significant financial information not listed in lines C through F above.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Other Significant Financial Information - Other: Hospital Specific 4

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amounts for any hospital specific additional other significant financial information not listed in lines C through F above.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Other Significant Financial Information - Other: Hospital Specific 5

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amounts for any hospital specific additional other significant financial information not listed in lines C through F above.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE): Section - Other Significant Financial Information - Total

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The sum of lines C through G in the schedule.
Back to Schedule SS1 - Supplemental Schedule - Supplement To Fs And Re Schedules To Disclose Non-Op. Revenue And Expense (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 1

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 2

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 3

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 4

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 5

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 6

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 7

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 8

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 9

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 10

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 11

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 12

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 13

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 14

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 15

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 16

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 17

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 18

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 19

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 20

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 21

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 22

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 23

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 24

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 25

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 26

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 27

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 28

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 29

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue 30

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other operating revenue.
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Amount associated with other operating revenue description for this line.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue Total

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The sum of all listed other operating revenues as described and listed above.
Validation Rule: If the description field contains text, the amount field cannot be left blank.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue Total - Schedule RE Line O

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. Regulated Other Operating Revenue transferred from Schedule RE.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Other Operating Revenue - Difference

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The difference between the total Other Operating Revenue listed in Schedule SS2 and the Other Operating Revenue reported on Schedule RE.
Validation Rule: When rounded to whole number, must equal 0
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Ambulance Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. From Schedule E, the Fiscal Year Total Revenue for E01-Ambulance Services .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Parking

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. From Schedule E, the Fiscal Year Total Revenue for E02-Parking .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Doctor's Private Office Rent

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. From Schedule E, the Fiscal Year Total Revenue for E03-Doctor's Private Office Rental.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Office and Other Rentals

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. From Schedule E, the Fiscal Year Total Revenue for E04-Office and Other Rental.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Retail Operations

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. From Schedule E, the Fiscal Year Total Revenue for E05-Retail Operations.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Patient Telephones

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. From Schedule E, the Fiscal Year Total Revenue for E06- Patient Telephones.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Cafeteria

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. From Schedule E, the Fiscal Year Total Revenue for E07-Cafeteria.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Day Care Center, Rec Areas, Etc.

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. From Schedule E, the Fiscal Year Total Revenue for E08-Day Care Center, Recreation Area, etc.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Housing

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. From Schedule E, the Fiscal Year Total Revenue for E09- Housing.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Research

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule F for F01- Research.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Nursing Education

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule F for F02-Nursing Education.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Other Health Professional Education

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule F for F03-Other Health Professional Education.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Community Health Education

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule F for F04-Community Health Education.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Free Standing Clinic Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR01-Free Standing Clinic Services .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Home Health Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR02-Home Health Services.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Outpatient Renal Dialysis

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR03-Outpatient Renal Dialysis.
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Skilled Nursing Care

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR04-Skilled Nursing Care .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Laboratory - Non Patient

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR05-Laboratory - Non Patient .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Physicians Part B Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR06-Physicians Part B Services .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Certified Nurse Anesthetist

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR07-Certified Nurse Anesthetist .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Physician Support Services - Part B Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR08-Physician Support Services - Part B Services .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Adult Day Care

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR09-Adult Day Care .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Cancer Center

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR10-Cancer Center .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Cardiac

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR11-Cardiac .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Community Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR12- Community Services .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Consolidating/Eliminations

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR13-Consolidating/Eliminations .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Foundation

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR14-Foundation .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Hospice

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR15-Hospice .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Imaging

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR16-Imaging .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Outpatient Medical Center

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR17-Outpatient Medical Center .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Other Unregulated

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR18-Other Unregulated .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Rehabilitation

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR19-Rehabilitation .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - UR20

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other non operating and net unregulated revenue.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR20-Hospital Specific 1 .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - UR21

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other non operating and net unregulated revenue.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR21-Hospital Specific 2 .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - UR22

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other non operating and net unregulated revenue.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR22-Hospital Specific 3 .
Back to Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE)

Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - UR23

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other non operating and net unregulated revenue.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR23-Hospital Specific 4 .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - UR24

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other non operating and net unregulated revenue.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR24-Hospital Specific 5 .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - UR25

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing other non operating and net unregulated revenue.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Total Revenue transferred from Schedule UR for UR25-Hospital Specific 6 .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Investment Income

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Enter the amount of non operating and net unregulated revenue related to investment income.
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Other

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Enter any other non operating and net unregulated revenue reported on Schedule RE.
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Total

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Total Non Operating and Net Unregulated Revenue transferred from Schedules E, F, and UR.
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Total - RE , Line P + Line X

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Unregulated Net Operating Revenue and Unregulated Non Operating Revenue transferred from Schedule RE.
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Revenue - Difference

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The difference between Non-Operating and Net Unregulated Revenues in Schedule SS2 and Schedule RE.
Validation Rule: When rounded to whole number, must equal 0
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Ambulance Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule E for E01-Ambulance Services .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Parking

Field ID Field Name Reporting Format Field Description
desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses plus Fiscal Year Profit Total Expenses/Revenue transferred from Schedule E for E02-Parking.
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Doctor's Private Office Rent

Field ID Field Name Reporting Format Field Description
desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule E for E03-Doctor's Prive Office Rental .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Office and Other Rentals

Field ID Field Name Reporting Format Field Description
desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule E for E04-Office and Other Rental .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Retail Operations

Field ID Field Name Reporting Format Field Description
desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule E for E05-Retail Operations .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Patient Telephones

Field ID Field Name Reporting Format Field Description
desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule E for E06-Patient Telephones .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Cafeteria

Field ID Field Name Reporting Format Field Description
desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses plus Fiscal Year Profit Total Expenses/Revenue transferred from Schedule E for E07-Cafeteria.
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Day Care Center, Rec Areas, Etc.

Field ID Field Name Reporting Format Field Description
desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses plus Fiscal Year Profit Total Expenses/Revenue transferred from Schedule E for E08-Day Care Center, Recreation Area, etc.
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Housing

Field ID Field Name Reporting Format Field Description
desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses plus Fiscal Year Profit Total Expenses/Revenue transferred from Schedule E for E09-Housing.
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Research

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule F for F01-Research .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Nursing Education

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule F for F02-Nursing Education .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Other Health Professional Education

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule F for F03- Other Health Professional Education .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Community Health Education

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule F for F04-Community Health Education .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Free Standing Clinic Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR01-Free Standing Clinic Services .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Home Health Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR02-Home Health Services .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Outpatient Renal Dialysis

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR03- Outpatient Renal Dialysis .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Skilled Nursing Care

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR04-Skilled Nursing Care .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Laboratory - Non Patient

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR05-Laboratory - Non Patient .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Physicians Part B Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR06-Physician Part B Services .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Certified Nurse Anesthetist

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR07-Certified Nurse Anesthetist .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Physician Support Services - Part B Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR08- Physician Support Services-Part B Services .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Adult Day Care

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR09-Adult Day Care .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Cancer Center

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR10-Cancer Center .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Cardiac

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR11-Cardiac .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Community Services

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR12-Community Services .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Consolidating/Eliminations

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR13-Consolidating/Eliminations .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Foundation

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR14-Foundation .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Hospice

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR015-Hospice .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Imaging

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR16-Imaging .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Outpatient Medical Center

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR17-Outpatient Medical Center .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Other Unregulated

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR18-Other Unregulated .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Rehabilitation

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR19-Rehabilitation .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense -  UR20

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing hospital specific non-operating and net unregulated expenses associated with Schedule UR.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR20 Hospital Specific 1 .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense -  UR21

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing hospital specific non-operating and net unregulated expenses associated with Schedule UR.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR21 Hospital Specific 2 .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense -  UR22

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing hospital specific non-operating and net unregulated expenses associated with Schedule UR.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR22 Hospital Specific 3 .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense -  UR23

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing hospital specific non-operating and net unregulated expenses associated with Schedule UR.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR23 Hospital Specific 4 .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense -  UR24

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing hospital specific non-operating and net unregulated expenses associated with Schedule UR.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR24 Hospital Specific 5 .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense -  UR25

Field ID Field Name Reporting Format Field Description
Desc Description Input Text Hospital input data describing hospital specific non-operating and net unregulated expenses associated with Schedule UR.
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses transferred from Schedule UR for UR25 Hospital Specific 6 .
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Total - RE, Non-Operating Expenses

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. Unregulated Non Operating Expenses transferred from Schedule RE.
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Total

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Total Non Operating and Net Unregulated Expenses transferred from Schedules E, F, and UR.
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Total - RE, Unregulated Total Operating Expenses + Non-Operating Expenses

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The sum of unregulated total operating expenses and unregulated Non-Operating expenses from Schedule RE.
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Schedule SS2 - Supplemental Schedule - Summary Of Other & Non-Operating Revenue (RE): Section - Non-Operating and Net Unregulated Expense - Difference

Field ID Field Name Reporting Format Field Description
Desc Description Fixed Text
Amt Amount Currency Total - Reported in Thousands. Displayed with one decimal. The difference between total non-operating and net unregulated expenses from this schedule and total unregulated operating expenses and unregulated non-operating expenses from Schedule RE.
Validation Rule: When rounded to whole number, must equal 0
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Schedule SS3 - Supplemental Schedule - Reconciliation Of Depreciation And Lease/Rentals (UA): Section - Schedule UA

Field ID Field Name Reporting Format Field Description
Deprec Depreciation Currency - Reported in Thousands. Displayed with one decimal. Depreciation and Amortization fiscal year expenses - adjusted transferred from Schedule UA.
Lease_Rental Lease/Rental Currency - Reported in Thousands. Displayed with one decimal. Leases and rentals fiscal year expenses - adjusted transferred from Schedule UA.
Total Total Currency - Reported in Thousands. Displayed with one decimal. The sum of Depreciation and Lease/Rental columns for Line E, Data Section Schedule UA in Schedule SS3.
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Schedule SS3 - Supplemental Schedule - Reconciliation Of Depreciation And Lease/Rentals (UA): Section - Schedule E

Field ID Field Name Reporting Format Field Description
Deprec Depreciation Currency - Reported in Thousands. Displayed with one decimal. For each Auxiliary Enterprise, the Depreciation and Amortization total expense transferred from Schedule E.
Lease_Rental Lease/Rental Currency - Reported in Thousands. Displayed with one decimal. For each Auxiliary Enterprise, the Lease/Rental total expense transferred from Schedule E.
Total Total Currency - Reported in Thousands. Displayed with one decimal. For each Auxiliary Enterprise, the sum of the Depreciation and Lease/Rental columns.
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Schedule SS3 - Supplemental Schedule - Reconciliation Of Depreciation And Lease/Rentals (UA): Section - Schedule F

Field ID Field Name Reporting Format Field Description
Deprec Depreciation Currency - Reported in Thousands. Displayed with one decimal. For each Other Institutional Program, the Depreciation and Amortization total expense transferred from Schedule F.
Lease_Rental Lease/Rental Currency - Reported in Thousands. Displayed with one decimal. For each Other Institutional Program, the Lease and Rentals total expense transferred from Schedule F.
Total Total Currency - Reported in Thousands. Displayed with one decimal. For each Other Institutional Program, the sum of the Depreciation and Lease/Rental columns.
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Schedule SS3 - Supplemental Schedule - Reconciliation Of Depreciation And Lease/Rentals (UA): Section - Schedule UR

Field ID Field Name Reporting Format Field Description
Deprec Depreciation Currency - Reported in Thousands. Displayed with one decimal. For each Unregulated Service, the Depreciation and Amortization total expense transferred from Schedule UR.
Lease_Rental Lease/Rental Currency - Reported in Thousands. Displayed with one decimal. For each Unregulated Service, the Leases and Rental total expense transferred from Schedule UR.
Total Total Currency - Reported in Thousands. Displayed with one decimal. For each Unregulated Service, the sum of the Depreciation and Lease/Rental columns.
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Schedule SS3 - Supplemental Schedule - Reconciliation Of Depreciation And Lease/Rentals (UA): Section - Total

Field ID Field Name Reporting Format Field Description
Deprec Depreciation Currency Total - Reported in Thousands. Displayed with one decimal. The total depreciation expense of Schedules UA, E, F, UR as listed in Schedule SS3.
Lease_Rental Lease/Rental Currency Total - Reported in Thousands. Displayed with one decimal. The total leases and rentals expense of Schedules UA, E, F, UR as listed in Schedule SS3.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. Total expenses summed by adding the depreciation and lease columns for the Total line.
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Schedule SS3 - Supplemental Schedule - Reconciliation Of Depreciation And Lease/Rentals (UA): Section - Schedule RE

Field ID Field Name Reporting Format Field Description
Deprec Depreciation None
Lease_Rental Lease/Rental None
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. Total Depreciation/Amortization, Leases/Rentals expenses transferred from Schedule RE.
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Schedule SS3 - Supplemental Schedule - Reconciliation Of Depreciation And Lease/Rentals (UA): Section - Difference

Field ID Field Name Reporting Format Field Description
Deprec Depreciation None
Lease_Rental Lease/Rental None
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting Depreciation/Amortization and Lease/Rental expenses transferred from Schedule RE from Total Depreciation/Amortization and Lease/Rental expenses from Schedule SS3. The value when rounded should be zero.
Validation Rule: Total Difference must be zero.
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Schedule SS4 - Supplemental Schedule - Detail Of MCO Regulated Revenue (PDA): Section - MCO Name Detail

Field ID Field Name Reporting Format Field Description
MCO_Name MCO Name Input Text Input name of MCO(s) reported in Schedule PDA .
Inpat Inpatient Currency Input - Report in Thousands. Displayed with one decimal. HSCRC regulated Inpatient revenue associated with MCO listed on line.
Outpat Outpatient Currency Input - Report in Thousands. Displayed with one decimal. HSCRC regulated Outpatient regulated revenue for the MCO listed on the line.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Inpatient and Outpatient revenue for the associated MCO.
Validation Rule: When MCO Name is populated, Inpatient and/or Outpatient amount must be populated.
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Schedule SS4 - Supplemental Schedule - Detail Of MCO Regulated Revenue (PDA): Section - Total

Field ID Field Name Reporting Format Field Description
MCO_Name MCO Name Fixed Text
Inpat Inpatient Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Inpatient regulated revenue for all MCOs listed by the facility.
Outpat Outpatient Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Outpatient regulated revenue for all MCOs listed by the facility.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Inpatient and Outpatient regulated revenue for all MCOs listed by the facility.
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Schedule SS4 - Supplemental Schedule - Detail Of MCO Regulated Revenue (PDA): Section - Total from PDA Schedule

Field ID Field Name Reporting Format Field Description
MCO_Name MCO Name Fixed Text
Inpat Inpatient Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Inpatient Medicare Advantage revenue and Inpatient Medicaid MCO revenue, both transferred from Schedule PDA.
Outpat Outpatient Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Outpatient Medicare Advantage revenue and Outpatient Medicaid MCO revenue, both transferred from Schedule PDA.
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The sum of Inpatient and Outpatient revenues transferred from Schedule PDA.
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Schedule SS4 - Supplemental Schedule - Detail Of MCO Regulated Revenue (PDA): Section - Difference

Field ID Field Name Reporting Format Field Description
MCO_Name MCO Name Fixed Text
Inpat Inpatient Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting the total Inpatient revenue from schedule PDA from the total inpatient revenue from MCOs listed in Schedule SS4.
Validation Rule: When rounded to whole number, must equal 0
Outpat Outpatient Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting the total Outpatient revenue from schedule PDA from the total Outpatient revenue from MCOs listed in Schedule SS4.
Validation Rule: When rounded to whole number, must equal 0
Total Total Currency Total - Reported in Thousands. Displayed with one decimal. The result of subtracting the total Inpatient and Outpatient revenues from schedule PDA from the total Inpatient and Outpatient revenues from MCOs listed in Schedule SS4.
Validation Rule: When rounded to whole number, must equal 0
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Audited Financial Statement - Bad debts

Field ID Field Name Reporting Format Field Description
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from revenue from provisions for bad debt from audited financial statements and miscellaneous adjustments, transferred from input schedule REI.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Audited Financial Statement - Charity Care

Field ID Field Name Reporting Format Field Description
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. The sum of deductions from revenue from Charity Care/UCC from audited financial statements and miscellaneous adjustments, transferred from input schedule REI.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Audited Financial Statement - Uncompensated Care per Statement

Field ID Field Name Reporting Format Field Description
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. The sum of bad debts and charity care from Audited financial statements.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Trial Balance - Bad Debt Write-offs

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Include amount of bad debt write offs for regulated hospital services only. Amount transferred from Trial Balance.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Trial Balance - Charity Write-offs

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Include amount of charity write-offs for regulated hospital services only. Amount transferred from Trial Balance.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Trial Balance - Change in Balance Sheet Reserve

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Include amount of change in balance sheet reserve for regulated hospital services only. Amount transferred from Trial Balance.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Trial Balance - Bad Debt Recoveries

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Include amount of bad debt recoveries for regulated hospital services only. Amount transferred from Trial Balance.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Trial Balance - Other

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Include amount of other for regulated hospital services only. Amount transferred from Trial Balance. Amount transferred from Trial Balance.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Trial Balance - Uncompensated Care per Trial Balance

Field ID Field Name Reporting Format Field Description
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Sum of Trial balance of Bad Debt Write-offs, Charity Write-offs, Change in Balance Sheet Reserve, Bad Debt Recoveries, and Other.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Annual Report of Revenues, Expenses, and Volumes - Uncompensated Care-Schedule PDA

Field ID Field Name Reporting Format Field Description
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting Medicaid Day Limit UCC included in contractuals on F/S amount from uncompensated care Schedule PDA.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Annual Report of Revenues, Expenses, and Volumes - Unregulated Charity & Bad Debts

Field ID Field Name Reporting Format Field Description
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. The Total Unregulated amount of Provision for Bad Debt and Charity/Uncompensated Care transferred from input schedule REI.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Annual Report of Revenues, Expenses, and Volumes - Medicaid Day Limit UCC included in contractuals on F/S

Field ID Field Name Reporting Format Field Description
Amt Amount Currency Input - Report in Thousands. Displayed with one decimal. Include amount of Medicaid Day Limit UCC included in contractuals on F/S for regulated hospital services only from report of Annual Report of Revenues, Expenses, and Volumes.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Annual Report of Revenues, Expenses, and Volumes - Uncompensated Care per Report

Field ID Field Name Reporting Format Field Description
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Sum of Amounts from Uncompensated Care-Schedule PDA, Unregulated Charity and Bad Debts, and Medicaid Day Limit UCC.
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Schedule SS5 - Supplemental Schedule - Reconciliation Of UCC: Section - Annual Report of Revenues, Expenses, and Volumes - Uncompensated Care - Difference

Field ID Field Name Reporting Format Field Description
Amt Amount Currency - Reported in Thousands. Displayed with one decimal. Difference in the amount of Uncompensated Care per Statement, Audited Financial Statements section and Uncompensated Care per Report, Annual Report of Revenues, Expenses, and Volumes section.
Validation Rule: When rounded with no decimals, must equal 0
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Schedule STI - Statistics Input: Section - D Schedule Volume Statistics

Field ID Field Name Reporting Format Field Description
FirstHalf_IP_Vol January - June Inpatient Volume Number - Displayed as a whole number. For each center, the Inpatient Volume as reported on the monthly Experience data for January through June of a reported fiscal year. Please refer to Section 200 of the Accounting and Budget Manual for a complete list of cost centers and their unit of measure.
Validation Rule: Value must be zero or greater than zero
FirstHalf_OP_Vol January - June Outpatient Volume Number - Displayed as a whole number. For each center, the Outpatient Volume as reported on the monthly Experience data for January through June of a reported fiscal year. Please refer to Section 200 of the Accounting and Budget Manual for a complete list of cost centers and their unit of measure.
Validation Rule: Value must be zero or greater than zero
ConversionFactor Conversion Factor Number - Displayed as a whole number. For each center, the conversion factor as approved for the most recent fiscal year (if applicable). For hospitals with a June 30 year end, this value will be 1. For hospitals with a December 31 year end, this will be used to adjust the prior fiscal year's six month data (January - June) to ensure a comparable volume measurement over the entire calendar year.
SecondHalf_IP_Vol July - December Inpatient Volume Number - Displayed as a whole number. For each center, the Inpatient Volume as reported on the monthly Experience data for the July through December period in a hospital's Fiscal Year. Please refer to Section 200 of the Accounting and Budget Manual for a complete list of cost centers and their unit of measure and Appendix B of the Accounting and Budget Manual for a complete list of hospitals and their fiscal year end information.
Validation Rule: Value must be zero or greater than zero
SecondHalf_OP_Vol July - December Outpatient Volume Number - Displayed as a whole number. For each center, the Outpatient Volume as reported on the monthly Experience data for the July through December period in a hospital's Fiscal Year. Please refer to Section 200 of the Accounting and Budget Manual for a complete list of cost centers and their unit of measure and Appendix B of the Accounting and Budget Manual for a complete list of hospitals and their fiscal year end information.
Validation Rule: Value must be zero or greater than zero
Admissions Total Admissions Number - Displayed as a whole number. For each hospital, the number of Admissions as reported for the entire fiscal year.
Validation Rule: Value must be zero or greater than zero
IP_Vol Inpatient Volume Number - Displayed as a whole number. For each center, the total inpatient volume. The sum of the January - June Inpatient Volume (converted for hospitals with a December fiscal year end) and July - December Inpatient volume.
Validation Rule: Value must be zero or greater than zero
OP_Vol Outpatient Volume Number - Displayed as a whole number. For each center, the total outpatient volume. The sum of the January - June Outpatient Volume (converted for hospitals with a December fiscal year end) and July - December Outpatient volume.
Validation Rule: Value must be zero or greater than zero
Total Total Volume Number - Displayed as a whole number. For each center, the total volume for the fiscal year. The sum of the 'Total Inpatient Volume' and 'Total Outpatient Volume' columns on Schedule STI.
Validation Rule: Value must be zero or greater than zero
IP_Visits Inpatient Visits Number - Displayed as a whole number. For each applicable ambulatory service center line, the number of inpatient visits from the reported fiscal year.
Validation Rule: Value must be zero or greater than zero
OP_Visits Outpatient Visits Number - Displayed as a whole number. For each applicable ambulatory service center line, the number of outpatient visits from the reported fiscal year.
Validation Rule: Value must be zero or greater than zero
Visits Total Visits Number - Displayed as a whole number. For each applicable center, the total visits for the fiscal year. The sum of the 'Inpatient Visits' and 'Outpatient Visits' columns on Schedule STI.
Validation Rule: Value must be zero or greater than zero
Transfers Total Intra-Hospital Transfers In Number Input - Displayed as a whole number. For each applicable daily hospital service center column, the number of patients transferred into each daily hospital service center of the reporting hospital in the fiscal year.
Validation Rule: Value must be zero or greater than zero
Licensed_Beds Average Number of Licensed Beds Number - Displayed as a whole number. The number of licensed beds as reported on the monthly Experience data.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to each direct cost center.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to each direct cost center.
Validation Rule: Value must be zero or greater than zero
Dietary Dietary (Number of Meals) Number Input - Displayed as a whole number. The number of meals for each direct cost center.
Validation Rule: Value must be zero or greater than zero
Laundry Laundry & Linen (Pounds) Number Input - Displayed as a whole number. The pounds of laundry for each direct cost center.
Validation Rule: Value must be zero or greater than zero
Housekeeping Housekeeping (Hours) Number Input - Displayed as a whole number. The number of housekeeping hours for each direct cost center.
Validation Rule: Value must be zero or greater than zero
IP_Rev Inpatient Revenue Number - Displayed as a whole number. The total Inpatient Revenue as reported on the monthly Experience data for the hospital's fiscal year.
Validation Rule: Value must be zero or greater than zero
OP_Rev Outpatient Revenue Number - Displayed as a whole number. The total Outpatient Revenue as reported on the monthly Experience data for the hospital's fiscal year.
Validation Rule: Value must be zero or greater than zero
IP_Rev_Pct Percent IP Revenue Percent - Displayed with two decimals. The percent of Inpatient Revenue for each center.
Validation Rule: Value must be zero or greater than zero
OP_Rev_Pct Percent OP Revenue Percent - Displayed with two decimals. The percent of Outpatient Revenue for each center.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - D Schedule Volume Statistics Total

Field ID Field Name Reporting Format Field Description
FirstHalf_IP_Vol January - June Inpatient Volume Number - Displayed with one decimal. The sum of the January - June Inpatient Volume for all direct cost centers.
FirstHalf_OP_Vol January - June Outpatient Volume Number - Displayed with one decimal. The sum of the January - June Outpatient Volume for all direct cost centers.
SecondHalf_IP_Vol July - December Inpatient Volume Number - Displayed with one decimal. The sum of the July - December Inpatient Volume for all direct cost centers.
SecondHalf_OP_Vol July - December Outpatient Volume Number - Displayed with one decimal. The sum of the July - December Outpatient Volume for all direct cost centers.
Admissions Total Admissions Number - Displayed with one decimal. The sum of the Total Admissions for all direct cost centers.
IP_Vol Inpatient Volume Number - Displayed with one decimal. The sum of the Inpatient Volume for all direct cost centers.
OP_Vol Outpatient Volume Number - Displayed with one decimal. The sum of the Outpatient Volume for all direct cost centers.
Total Total Volume Number - Displayed with one decimal. The sum of the Total Volume for all direct cost centers.
IP_Visits Inpatient Visits Number - Displayed with one decimal. The sum of the Inpatient Visits for all direct cost centers.
OP_Visits Outpatient Visits Number - Displayed with one decimal. The sum of the Outpatient Visits for all direct cost centers.
Visits Total Visits Number - Displayed with one decimal. The sum of the Total Visits for all direct cost centers.
Transfers Total Intra-Hospital Transfers In Number - Displayed with one decimal. The sum of the Total Transfers for all direct cost centers.
Licensed_Beds Average Number of Licensed Beds Number - Displayed with one decimal. The sum of the Licensed Beds for all direct cost centers.
Dietary Dietary (Number of Meals) Number - Displayed with one decimal. The sum of the Dietary units for all direct cost centers.
Laundry Laundry & Linen (Pounds) Number - Displayed with one decimal. The sum of the Laundry & Linen units for all direct cost centers.
Housekeeping Housekeeping (Hours) Number - Displayed with one decimal. The sum of the Housekeeping units for all direct cost centers.
IP_Rev Inpatient Revenue Number - Displayed with one decimal. The sum of the Inpatient Revenue for all direct cost centers.
OP_Rev Outpatient Revenue Number - Displayed with one decimal. The sum of the Outpatient Revenue for all direct cost centers.
IP_Rev_Pct Percent IP Revenue Number - Displayed with one decimal. The percent of the Inpatient Revenue across all direct cost centers.
OP_Rev_Pct Percent OP Revenue Number - Displayed with one decimal. The percent of the Outpatient Revenue across all direct cost centers.
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Dietary Services

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for dietary services.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to dietary services.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to dietary services.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Laundry and Linen

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for laundry & linen.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to laundry and linen.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to laundry and linen.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Social Services

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for social services.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to social services.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to social services.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Purchasing and Stores

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for purchasing and stores.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to purchasing and stores.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to purchasing and stores.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Plant Operations

Field ID Field Name Reporting Format Field Description
Total Total Volume Number Input - Displayed as a whole number. The total units for plant operations.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to plant operations.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to plant operations.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Housekeeping

Field ID Field Name Reporting Format Field Description
Total Total Volume Number Input - Displayed as a whole number. The total units for housekeeping.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to housekeeping.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to housekeeping.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Central Services and Supply

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for central services and supplies.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to central services and supplies.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to central services and supplies.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Pharmacy

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for pharmacy.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to pharmacy.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to pharmacy.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - General Accounting

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for general accounting.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to general accounting.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to general accounting.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Patient Accounts

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for patient accounts.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to patient accounts.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to patient accounts.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Hospital Administration

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for hospital administration.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to hospital administration.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to hospital administration.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Medical Records

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for medical records.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to medical records.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to medical records.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Medical Staff Administration

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for medical staff administration.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to medical staff administration.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to medical staff administration.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Nursing Administration

Field ID Field Name Reporting Format Field Description
Total Total Volume Number Input - Displayed as a whole number. The total units for nursing administration.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to nursing administration.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to nursing administration.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - C Schedule Volume Statistics - Organ Acquisition Overhead

Field ID Field Name Reporting Format Field Description
Total Total Volume Number - Displayed as a whole number. The total units for organ acquisition.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. The amount of gross square footage allocated to organ acquisition.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. The amount of net square footage allocated to organ acquisition.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - E Schedule Volume Statistics

Field ID Field Name Reporting Format Field Description
Total Total Volume Number Input - Displayed as a whole number. Enter the total volume for the applicable auxiliary enterprise center.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. Enter the amount of gross square footage allocated to each auxiliary enterprise center.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. Enter the amount of net square footage allocated to each auxiliary enterprise center.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - F Schedule Volume Statistics

Field ID Field Name Reporting Format Field Description
Total Total Volume Number Input - Displayed as a whole number. Enter the total volume for the applicable other institutional program center.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. Enter the amount of gross square footage allocated to each other institutional program center.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. Enter the amount of net square footage allocated to each other institutional program center.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - UA Schedule Volume Statistics

Field ID Field Name Reporting Format Field Description
Total Total Volume Number Input - Displayed as a whole number. Enter the total volume for the applicable unassigned expense center.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. Enter the amount of gross square footage allocated to each unassigned expense center.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. Enter the amount of net square footage allocated to each unassigned expense center.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - UR Schedule Volume Statistics

Field ID Field Name Reporting Format Field Description
Total Total Volume Number Input - Displayed as a whole number. Enter the total volume for the applicable unregulated service center.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number Input - Displayed as a whole number. Enter the amount of gross square footage allocated to each unregulated service center.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number Input - Displayed as a whole number. Enter the amount of net square footage allocated to each unregulated service center.
Validation Rule: Value must be zero or greater than zero
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Schedule STI - Statistics Input: Section - Grand Totals

Field ID Field Name Reporting Format Field Description
FirstHalf_IP_Vol January - June Inpatient Volume Number - Displayed as a whole number. The total January - June Inpatient Revenue for the fiscal year.
Validation Rule: Value must be zero or greater than zero
FirstHalf_OP_Vol January - June Outpatient Volume Number - Displayed as a whole number. The total January - June Outpatient Revenue for the fiscal year.
Validation Rule: Value must be zero or greater than zero
SecondHalf_IP_Vol July - December Inpatient Volume Number - Displayed as a whole number. The total July - December Inpatient Revenue for the fiscal year.
Validation Rule: Value must be zero or greater than zero
SecondHalf_OP_Vol July - December Outpatient Volume Number - Displayed as a whole number. The total July - December Outpatient Revenue for the fiscal year.
Validation Rule: Value must be zero or greater than zero
Admissions Total Admissions Number - Displayed as a whole number. The total number of admissions for the fiscal year.
Validation Rule: Value must be zero or greater than zero
IP_Vol Inpatient Volume Number - Displayed as a whole number. The total Inpatient Volume for the fiscal year.
Validation Rule: Value must be zero or greater than zero
OP_Vol Outpatient Volume Number - Displayed as a whole number. The total Outpatient Volume for the fiscal year.
Validation Rule: Value must be zero or greater than zero
Total Total Volume Number - Displayed as a whole number. The total Volume for the fiscal year.
Validation Rule: Value must be zero or greater than zero
IP_Visits Inpatient Visits Number - Displayed as a whole number. The total Inpatient Visits for the fiscal year.
Validation Rule: Value must be zero or greater than zero
OP_Visits Outpatient Visits Number - Displayed as a whole number. The total Outpatient Visits for the fiscal year.
Validation Rule: Value must be zero or greater than zero
Visits Total Visits Number - Displayed as a whole number. The total visits for the fiscal year.
Validation Rule: Value must be zero or greater than zero
Transfers Total Intra-Hospital Transfers In Number - Displayed as a whole number. The total number of transfers for the fiscal year.
Validation Rule: Value must be zero or greater than zero
Licensed_Beds Average Number of Licensed Beds Number - Displayed as a whole number. The total licensed beds.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_gross Gross Square Footage (for H3) Number - Displayed as a whole number. The total gross square footage.
Validation Rule: Value must be zero or greater than zero
Sq_Foot_net Plant Operations (Net Sq Footage) Number - Displayed as a whole number. The total net square footage.
Validation Rule: Value must be zero or greater than zero
Dietary Dietary (Number of Meals) Number - Displayed as a whole number. The total Dietary meals for the fiscal year.
Validation Rule: Value must be zero or greater than zero
Laundry Laundry & Linen (Pounds) Number - Displayed as a whole number. The total Laundry & Linen units for the fiscal year.
Validation Rule: Value must be zero or greater than zero
Housekeeping Housekeeping (Hours) Number - Displayed as a whole number. The total Housekeeping units for the fiscal year.
Validation Rule: Value must be zero or greater than zero
IP_Rev Inpatient Revenue Number - Displayed as a whole number. The total Inpatient Revenue for the fiscal year.
Validation Rule: Value must be zero or greater than zero
OP_Rev Outpatient Revenue Number - Displayed as a whole number. The total Outpatient Revenue for the fiscal year.
Validation Rule: Value must be zero or greater than zero
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Schedule TRE - Transactions with Related Entities: Section - Transactions

Field ID Field Name Reporting Format Field Description
Trans_Number Transaction Number Input Text Enter the number assigned to each transaction between the hospital and related entity. Assign a number to each transaction between the hospital and related entity. The numbers assigned should be based upon the date of the transaction, beginning with the first transaction of the hospital’s fiscal year. (Transactions which occur on a regular basis during the period may be summarized, e.g. if the equivalent management fee is paid every month it can be reported aggregated on one line, even if the exact amounts each month are different.) Report only one transaction per line.
RE_Name Related Entity Name Input Text Enter, for each transaction between the hospital and related entity, the name of the related entity.
Source_Sched Source Schedule (C, D, UA, UR, P) Input Text Enter, for each transaction between the hospital and related entity, the schedule where the costs are reported by the hospital in this filing. If a related entity transaction includes multiple components that are reported in different cost centers, then each component should be reported in a separate line. If the hospital is billing another related entity then this column should reflect the schedule against which these receipts are offset or if revenue is recorded, this column should reflect the RE schedule.
Validation Rule: Value must be from the list.
Cost_Cntr Cost Center from Source Schedule Input Text Enter, for each transaction between the hospital and related entity, the cost center where the cost are reported by the hospital on the schedule reported in the 'Source Schedule' column. If a related entity transaction includes multiple components that are reported in different cost centers then each component should be reported on a separate line. If the hospital is billing another related entity then this column should reflect the cost center against which these receipts are offset or if revenue is recorded, the RE header in which they are reported.
Validation Rule: Value must be from the list.
Reason Reason Input Text Enter the Reason (as free text) the allocation description corresponding to the numerical value selected in the allocation code column.
Alloc_Code Allocation Code Input Text Select, for each transaction between the hospital and the related entity, the Nature of Allocation (specific nature of transferred cost).
Validation Rule: Value must be from the list.
Trans_Direction Transaction Direction Input Text Enter the direction of the transaction. Are cost or value of services provided to the hospital or by the hospital? If the hospital is paying the other entity and receiving services enter “Services Provided to Hospital” If the hospital is providing services and the receiving payment from the other entity enter “Services Provided from Hospital”).
Validation Rule: Value must be from the list.
Basis Allocation Basis (Unit of Measure) Input Text If the amount charged to or from the related entity is based on an allocation, enter the allocation basis (unit of measure, e.g., direct costs, total charges, square foot, discharges). If the amount is not allocated but reflects the actual costs enter “Actual Cost” in this column.
Validation Rule: Value must be from the list.
Amt_Paid_Recvd Amount Paid/Received Currency Input - Report in Thousands. Displayed with one decimal. Enter the dollar amount paid or received.
Validation Rule: If any field in the row is populated, then all fields in the row must be populated.
Back to Schedule TRE - Transactions with Related Entities

Schedule UA - Unassigned Expenses: Section - Malpractice Insurance

Field ID Field Name Reporting Format Field Description
MAL_FY_exp Fiscal Year Expense Currency - Reported in Thousands. Displayed with one decimal. The malpractice insurance expense incurred in the fiscal year in accordance with Section 200.
Validation Rule: If Fiscal Year Expense or Allocated to Aux Enterprises & Unregulated Services is greater than zero, then Fiscal Year Expense-Adjusted must be greater than zero.
MAL_Allocation Allocated to Aux Enterprises & Unreg Svcs Currency - Reported in Thousands. Displayed with one decimal. For Malpractice Insurance, the negative of the allocation of fiscal year expenses to Auxiliary Enterprises (schedule E) plus Unregulated Services (Schedule UR).
Validation Rule: The sum of MAL Allocation to Aux, Enterprices & Unregulated Services plus the sum of all MAL Other Expenses from Schedules E, F, and UR must equal 0.
MAL_FY_adjexp Fiscal Year Expense - Adjusted Currency - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses and expenses allocated to auxiliary enterprises and unregulated services.
Back to Schedule UA - Unassigned Expenses

Schedule UA - Unassigned Expenses: Section - Other Insurance

Field ID Field Name Reporting Format Field Description
Oth_Ins_FY_exp Fiscal Year Expense Currency - Reported in Thousands. Displayed with one decimal. The other insurance expense incurred in the fiscal year in accordance with Section 200.
Oth_Ins_allocation Allocated to Aux Enterprises & Unreg Svcs Currency - Reported in Thousands. Displayed with one decimal. For Other Insurance, the allocation of fiscal year expenses to Auxiliary Enterprises (schedule E) and Unregulated services (Schedule UR).
Validation Rule: The sum of OIN Allocation to Aux, Ent and URs plus OIN Other Expenses from Schedules E, F, and UR should equal 0.
Oth_Ins_adjexp Fiscal Year Expense - Adjusted Currency - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses and expenses allocated to auxiliary enterprises and unregulated services.
Back to Schedule UA - Unassigned Expenses

Schedule UA - Unassigned Expenses: Section - Medical Care Review

Field ID Field Name Reporting Format Field Description
MCR_FY_exp Fiscal Year Expense Currency - Reported in Thousands. Displayed with one decimal. The medical care review expenses incurred in the fiscal year in accordance with Section 200.
MCR_allocation Allocated to Aux Enterprises & Unreg Svcs Currency - Reported in Thousands. Displayed with one decimal. For Medical Care Review, the allocation of fiscal year expenses to Auxiliary Enterprises (schedule E) and Unregulated services (Schedule UR).
MCR_FY_adjexp Fiscal Year Expense - Adjusted Currency - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses and expenses allocated to auxiliary enterprises and unregulated services.
Back to Schedule UA - Unassigned Expenses

Schedule UA - Unassigned Expenses: Section - Subtotal

Field ID Field Name Reporting Format Field Description
Sub_FY_exp Fiscal Year Expense Currency Total - Reported in Thousands. Displayed with one decimal. The sum of malpractice insurance, other insurance, and medical care review expenses incurred during the fiscal year.
Sub_allocation Allocated to Aux Enterprises & Unreg Svcs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of malpractice insurance, other insurance, and medical care review expenses allocated to Aux Enterprises and Unregulated Services.
Sub_FY_adjexp Fiscal Year Expense - Adjusted Currency Total - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses and expenses allocated to auxiliary enterprises and unregulated services.
Back to Schedule UA - Unassigned Expenses

Schedule UA - Unassigned Expenses: Section - Depreciation & Amortization

Field ID Field Name Reporting Format Field Description
DA_FY_exp Fiscal Year Expense Currency - Reported in Thousands. Displayed with one decimal. The depreciation and amortization expense incurred in the fiscal year in accordance with Section 200. Include depreciation of capitalized leased equipment.
Validation Rule: DEP Fiscal year Expense plus LEA Fiscal Year Expense must equal RE schedule Line T (Depreciation/Amortization, Leases/Rentals ) Total amount.
DA_allocation Allocated to Aux Enterprises & Unreg Svcs Currency - Reported in Thousands. Displayed with one decimal. For Depreciation and Amortization, the allocation of fiscal year expenses to Auxiliary Enterprises (schedule E) and Unregulated services (Schedule UR).
DA_FY_adjexp Fiscal Year Expense - Adjusted Currency - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses and expenses allocated to auxiliary enterprises and unregulated services.
Validation Rule: DEP Fiscal year Expense Adjusted plus LEA Fiscal Year Expense Adjusted must equal RE schedule Line T (Depreciation/Amortization, Leases/Rentals ) Regulated amount.
Back to Schedule UA - Unassigned Expenses

Schedule UA - Unassigned Expenses: Section - Leases and Rentals

Field ID Field Name Reporting Format Field Description
LR_FY_exp Fiscal Year Expense Currency - Reported in Thousands. Displayed with one decimal. Leases and rentals expense incurred in the fiscal year in accordance with Section 200. Unassigned Expenses, Account 8820. Exclude costs of capitalized leased equipment.
LR_allocation Allocated to Aux Enterprises & Unreg Svcs Currency - Reported in Thousands. Displayed with one decimal. For Leases and Rentals, the allocation of fiscal year expenses to Auxiliary Enterprises (schedule E) and Unregulated services (Schedule UR).
Validation Rule: The sum of LEA Allocation to Aux, Ent and URs plus LEA Other Expenses from Schedules E, F, and UR must equal 0.
LR_FY_adjexp Fiscal Year Expense - Adjusted Currency - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses and expenses allocated to auxiliary enterprises and unregulated services.
Back to Schedule UA - Unassigned Expenses

Schedule UA - Unassigned Expenses: Section - Licenses and Taxes

Field ID Field Name Reporting Format Field Description
LT_FY_exp Fiscal Year Expense Currency - Reported in Thousands. Displayed with one decimal. The licenses and taxes expenses incurred during the fiscal year in accordance with section 200.
LT_allocation Allocated to Aux Enterprises & Unreg Svcs Currency - Reported in Thousands. Displayed with one decimal. For Licenses and Taxes, the allocation of fiscal year expenses to Auxiliary Enterprises (schedule E) and Unregulated services (Schedule UR).
Validation Rule: The sum of LIC Allocation to Aux, Ent and URs plus LIC Other Expenses from Schedules E, F, and UR should equal 0.
LT_FY_adjexp Fiscal Year Expense - Adjusted Currency - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses and expenses allocated to auxiliary enterprises and unregulated services.
Back to Schedule UA - Unassigned Expenses

Schedule UA - Unassigned Expenses: Section - Interest - Short Term

Field ID Field Name Reporting Format Field Description
IST_FY_exp Fiscal Year Expense Currency - Reported in Thousands. Displayed with one decimal. The short term interest expenses incurred during the fiscal year in accordance with section 200.
IST_allocation Allocated to Aux Enterprises & Unreg Svcs Currency - Reported in Thousands. Displayed with one decimal. For Interest - Short Term, the allocation of fiscal year expenses to Auxiliary Enterprises (schedule E) and Unregulated services (Schedule UR).
Validation Rule: The sum of IST Allocation to Aux, Ent and URs plus IST Other Expenses from Schedules E, F, and UR should equal 0.
IST_FY_adjexp Fiscal Year Expense - Adjusted Currency - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses and expenses allocated to auxiliary enterprises and unregulated services.
Back to Schedule UA - Unassigned Expenses

Schedule UA - Unassigned Expenses: Section - Interest - Long Term

Field ID Field Name Reporting Format Field Description
ILT_FY_exp Fiscal Year Expense Currency - Reported in Thousands. Displayed with one decimal. The long term interest expenses incurred during the fiscal year in accordance with section 200.
ILT_allocation Allocated to Aux Enterprises & Unreg Svcs Currency - Reported in Thousands. Displayed with one decimal. For Interest - Long Term, the allocation of fiscal year expenses to Auxiliary Enterprises (schedule E) and Unregulated services (Schedule UR).
Validation Rule: The sum of ILT Allocation to Aux, Ent and URs plus ILT Other Expenses from Schedules E, F, and UR should equal 0.
ILT_FY_adjexp Fiscal Year Expense - Adjusted Currency - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses and expenses allocated to auxiliary enterprises and unregulated services.
Back to Schedule UA - Unassigned Expenses

Schedule UA - Unassigned Expenses: Section - Total Expenses

Field ID Field Name Reporting Format Field Description
Tot_FY_exp Fiscal Year Expense Currency Total - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses as a result of adding the subtotal, depreciation and amortization, leases and rentals, licenses and taxes, short term and long term interest fiscal year expenses amounts.
Tot_allocation Allocated to Aux Enterprises & Unreg Svcs Currency Total - Reported in Thousands. Displayed with one decimal. The sum of expenses allocated to auxiliary enterprises and unregulated services. The result of adding the subtotal, depreciation and amortization, leases and rentals, licenses and taxes, short term and long term interest amounts in the allocated to aux enterprises and unregulated services column.
Tot_FY_adjexp Fiscal Year Expense - Adjusted Currency Total - Reported in Thousands. Displayed with one decimal. The sum of fiscal year expenses and expenses allocated to auxiliary enterprises and unregulated services.
Back to Schedule UA - Unassigned Expenses

Schedule UR - Unregulated Activities: Section - UR01 - Volume Data

Field ID Field Name Reporting Format Field Description
Source Source None
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR01 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR01 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR01 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR01 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR01 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR01 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR01 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR01 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR01 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR02 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR02 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR02 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR02 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR02 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR02 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR02 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR02 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR02 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR02 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR03 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR03 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR03 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR03 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR03 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR03 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR03 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR03 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR03 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR03 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR04 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR04 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR04 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR04 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR04 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR04 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR04 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR04 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR04 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR04 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR05 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR05 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR05 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR05 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR05 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR05 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR05 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR05 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR05 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR05 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR06 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR06 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR06 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR06 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR06 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR06 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR06 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR06 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR06 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR06 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR07 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR07 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR07 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR07 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR07 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR07 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR07 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR07 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR07 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR07 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR08 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR08 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For Physician Support Services – Part B, the salaries, compensation and fringe benefits expenses incurred for the direct patient care portion of the hospital’s non-physician medical practitioners. Non-Physician Medical Practitioners are: Physician Assistants Clinical Nurse Specialist Nurse Practitioners Clinical Psychologists Other non-physician medical practitioners that can bill professionally Please note the expenses in this column must be identical to the Medicare B expenses reported on W/S A-8-2 of the Medicare cost report. In addition, hospitals must maintain time studies to support the expense reported on Schedule UR8. If no time studies are developed, then the entire Physician Support Services expense per rate center should be reported on the hospital Schedule UR8.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR08 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR08 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR08 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR08 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR08 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR08 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR08 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR08 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR09 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR09 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR09 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR09 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR09 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR09 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR09 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR09 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR09 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR09 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR10 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR10 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR10 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR10 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR10 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR10 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR10 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR10 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR10 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR10 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR11 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR11 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR11 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR11 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR11 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR11 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR11 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR11 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR11 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR11 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR12 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR12 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR12 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR12 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR12 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR12 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR12 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR12 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR12 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR12 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR13 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR13 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR13 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR13 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR13 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR13 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR13 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR13 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR13 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR13 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR14 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR14 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR14 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR14 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR14 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR14 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR14 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR14 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR14 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR14 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR15 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR15 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR15 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR15 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR15 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR15 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR15 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR15 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR15 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR15 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR16 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR16 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR16 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR16 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR16 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR16 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR16 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR16 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR16 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR16 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR17 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR17 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR17 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR17 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR17 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR17 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR17 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR17 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR17 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR17 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR18 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR18 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR18 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR18 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR18 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR18 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR18 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR18 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR18 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR18 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR19 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR19 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR19 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR19 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR19 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR19 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR19 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR19 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR19 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR19 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR20 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR20 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR20 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR20 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR20 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR20 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR20 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR20 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR20 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR20 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR21 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR21 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR21 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR21 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR21 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR21 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR21 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR21 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR21 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR21 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR22 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR22 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR22 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR22 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR22 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR22 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR22 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR22 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR22 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR22 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR23 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR23 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR23 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR23 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR23 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR23 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR23 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR23 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR23 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR23 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR24 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR24 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR24 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR24 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR24 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR24 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR24 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR24 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR24 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR24 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR25 - Volume Data

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed as a whole number. Number of units for the fiscal year based on the associated Standard Unit of Measure for the applicable Unregulated Service.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR25 - Fiscal Year Expense

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Salaries and Wages Employee Benefits Include only those non-payroll related employee benefits which are not allocated from Schedule OADP. Expenses normally reported as components of unregulated services for the above categories include: Management and Supervision Technical Specialist Registered Nurses Licensed Vocational (Practical) Nurses Aides, Orderlies and Attendants Physicians Intern Resident, and Fellow Non-Physician Medical Practitioners Environment, Hotel, and Food Services Employees Clerical and Other Administrative Employees FICA SUI and FUI (UIC) Group Health Insurance Group Life Insurance Pension and Retirement Workmen’s Compensation Insurance Union Health and Welfare Other Payroll related Employee Benefits Employee Benefits (Non-Payroll Related) .
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Expenses incurred in the fiscal year for the following major natural classification of expense categories: Medical and Surgical Supplies Non-Medical and Non-Surgical Supplies Utilities Purchased Services Other Direct Expenses Expenses which are normally reported as components of unregulated service functions for the above categories are: Other Medical Care Materials and Supplies Food - Meats, Fish and Poultry Food - Other Tableware and Kitchen Utensils Cleaning Supplies Office and Administrative Supplies Employee Wearing Apparel Purchased Steam Medical Maintenance Laundry and Linen Insurance Interest Dues, Books and Subscriptions Outside Training Sessions Travel - Other Postage Printing and Duplicating.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses .
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR25 - Allocation from Cafeteria, Parking, Etc.

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the allocation of cafeteria, parking, etc. from Schedule OADP.
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries and Fringe and Other Expenses.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR25 - C Schedule: Indirect Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable general service center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable general service center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable general service center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR25 - UA Schedule: Unassigned Expenses Cost Centers

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. The wages, salaries and fringe benefits expenses from each applicable unassigned expense center.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. The other expenses from each applicable unassigned expense center.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of wages, salaries, and fringe benefits, and other expenses for the applicable unassigned expense center.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR25 - Capital Facilities Allowance

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule, this is the Capital Facilities Allowance from Schedule H3.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, Fringe Benefits and Other Expenses.
Exp_Rev_Per_Unit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR25 - Fiscal Year Adjusted Expenses

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. For each unregulated service schedule in each expense column and the Total Expenses/Revenue Column, the result of adding Fiscal Year Expenses, Allocation from Cafeteria, Parking, Etc., Allocations from General Service Centers and Capital Facilities Allowance. Verify that the addition of the fiscal year adjusted expenses in Columns 1 and 2 equal the total expenses in Column 3 for each unregulated service.
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The sum of Wages, Salaries, and Fringe Benefits plus Other Expenses from Schedule UR.
Exp_Rev_Per_Unit Expense/Revenue Per Unit Currency - Reported in Thousands. Displayed with five decimals. The result of dividing Total Fiscal Year adjusted Expenses by Volume Data, Line A.
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR25 - Fiscal Year Revenue

Field ID Field Name Reporting Format Field Description
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. For each applicable unregulated service schedule, the revenue of the reporting hospital generated in the Fiscal Year.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR25 - Fiscal Year Profit (Loss)

Field ID Field Name Reporting Format Field Description
Source Source Fixed Text Formula for the values in this row.
Vol Volume None
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue Currency - Reported in Thousands. Displayed with one decimal. The result of subtracting the Fiscal Year Total Adjusted Expenses from the Fiscal Year Total Revenue.
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR - Unregulated Activities: Section - UR25 - Adjusted FTEs

Field ID Field Name Reporting Format Field Description
Vol Volume Number - Displayed with one decimal. For each applicable unregulated service schedule, this is the result of dividing the adjusted base year hours worked by 2080. Worked hours are to be counted in accordance with Section 200, Salaries and Wages. Include hours worked for allocations from general service centers and donated services.
WSF Wages, Salaries, and Fringe Benefits None
Oth_Exp Other Expenses None
Tot_Exp Total Expenses/Revenue None
PerUnit Expense/Revenue Per Unit None
Back to Schedule UR - Unregulated Activities

Schedule UR6A - Physician Part B Services Detail: Section - Total From UR6

Field ID Field Name Reporting Format Field Description
Salary_Fringe_Benefits Salaries and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Expense for wages, salaries and fringe benefits from Schedule UR for Physicians Part B Services.
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Other Expense from Schedule UR for Physicians Part B Services.
Tot_Exp Total Expenses Currency - Reported in Thousands. Displayed with one decimal. Fiscal Year Adjusted Total Expenses from Schedule UR for Physicians Part B Services.
Revenue Revenue Currency - Reported in Thousands. Displayed with one decimal. Total Revenue from physician part b services transferred from Schedule UR.
Hosp_Based Hospital Based None
FTE FTEs Number - Displayed with one decimal. The total FTEs from Schedule UR06 Physicians Part B Services (reported as Volume on the Volume Data - Fiscal Year line).
Back to Schedule UR6A - Physician Part B Services Detail

Schedule UR6A - Physician Part B Services Detail: Section - Total From UR6A

Field ID Field Name Reporting Format Field Description
Salary_Fringe_Benefits Salaries and Fringe Benefits Currency - Reported in Thousands. Displayed with one decimal. Total Salaries, Wages, and Fringe Benefits column for all physician description types selected on Schedule UR6A.
Validation Rule: The sum of WSF must equal WSF total from UR06 reported on Line A above
Oth_Exp Other Expenses Currency - Reported in Thousands. Displayed with one decimal. Total Other Expenses column for all physician description types selected on Schedule UR6A.
Validation Rule: The sum of Other Expenses must equal Other Expense total from UR06 reported on Line A above
Tot_Exp Total Expenses Currency - Reported in Thousands. Displayed with one decimal. Sum total of Total Expenses column for all physician description types selected on Schedule UR6A.
Validation Rule: The sum of Total Expenses must equal Total Expense total from UR06 reported on Line A above
Revenue Revenue Currency - Reported in Thousands. Displayed with one decimal. Total of Revenue column for all physician description types selected on Schedule UR6A.
Validation Rule: The sum of revenue must equal Revenue total from UR06 reported on Line A above
Hosp_Based Hospital Based None
FTE FTEs Number - Displayed with one decimal. Total of FTE column for all physician description types selected on Schedule UR6A.
Validation Rule: The sum of FTEs must equal FTE total from UR06 reported on Line A above
Back to Schedule UR6A - Physician Part B Services Detail

Schedule UR6A - Physician Part B Services Detail: Section - Physician Category

Field ID Field Name Reporting Format Field Description
Salary_Fringe_Benefits Salaries and Fringe Benefits Currency Input - Report in Thousands. Displayed with one decimal. The Salaries and Fringe Benefits Expenses reported on Schedule UR6 for this category of physician.
Oth_Exp Other Expenses Currency Input - Report in Thousands. Displayed with one decimal. Enter on the appropriate lines the direct expenses other than salaries and fringe benefits reported on Schedule UR6 for this category of physician, as well as allocations of expenses from schedules OADP, Cs and UA. These expenses should be included in the expenses of each applicable physician category. If these expenses cannot be attributed to a specific physician category, they should be allocated evenly across all physician categories.
Tot_Exp Total Expenses Currency - Reported in Thousands. Displayed with one decimal. The sum of salaries, wages and fringe benefits AND other expenses.
Validation Rule: When Total Expense is not equal to zero, the Hospital Based value must be entered as Yes or No.
Revenue Revenue Currency Input - Report in Thousands. Displayed with one decimal. Revenue reported for this category of physician.
Hosp_Based Hospital Based Input Text Enter an X in this column for physicians that are Hospital Based (For the purposes of this report only House Staff, Pathologists, Radiologists, Anesthesiologists and Emergency Department physicians are considered to be “Hospital Based”). If your hospital has both Hospital Based and non-Hospital Based physicians in the same physician category, use one line for Hospital Based and a separate line for non-Hospital Based physicians.
Validation Rule: Value must be from the list.
FTE FTEs Number Input - Displayed with one decimal. Enter on the appropriate lines the FTEs reported on Schedule UR6 for this category of physician.
Back to Schedule UR6A - Physician Part B Services Detail

Schedule URS - Unregulated Services Summary: Section - Cost Center Data

Field ID Field Name Reporting Format Field Description
Entity_Name_Addr Entity Name and Address Input Text Input the entity legal name and address as well as the trade name and physical address of the reporting hospital.
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Schedule V1 - Routine Service Volumes: Inpatients and Patient Days: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
Admissions Admissions Number - Displayed as a whole number. The number of admissions for each applicable daily hospital service center line .
Validation Rule: For each center code, if admissions are zero, patient days must be zero, or if admissions are greater than or less than zero, patient days must also be greater than or less than zero.
Patient_Days Patient Days Number - Displayed as a whole number. For each applicable daily hospital service center line, the number of patient days for the fiscal year. The patient days reported in each daily hospital service center should agree with the patient days reported on Schedule M for the fiscal year. Submit appropriate explanations/reconciliations for any differences.
Validation Rule: For each center code, Patient Days from Schedule V1 must equal Units from Schedule D.
Transfers Intra Hospital Transfers In Number - Displayed as a whole number. For each applicable daily hospital service center column, the number of patients transferred into each daily hospital service center of the reporting hospital in the fiscal year.
LOS Length of Stay Number - Displayed with one decimal. For each applicable daily hospital service center line, the result of dividing Patient Days by the sum of Intra-Hospital Transfers In and Admissions.
Avg_L_Bed Average Licensed Beds Number - Displayed with one decimal. For each applicable daily hospital service cost center, the average number of licensed beds for the fiscal year. In determining the average number of licensed beds, add the number of licensed beds at the beginning or end of each month and divide the result by 12. The average number of licensed beds each month must agree with the licensed beds by month submitted on Schedule M for the fiscal year.
Validation Rule: For each center code, if Admissions, Patient Days, and Intra-hospital Transfers-In are zero, Average Licensed Beds must be zero. If Admissions, Patient Days, or Intra-hospital Transfers-In are greater than or less than zero, Average Licensed Beds must also be greater than or less than zero.
Pct_Occ % Occupancy Percent - Displayed with three decimals. For each applicable daily hospital service line, the result of dividing the Patient Days by the results of multiplying Average licensed beds by 365 days or 366 leap year.
Validation Rule: For each center code, if the sum of Admissions, Patient Days, and Intra-hospital Transfers-In is greater than zero, then % of occupancy must also be greater than zero.
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Schedule V1 - Routine Service Volumes: Inpatients and Patient Days: Section - Total

Field ID Field Name Reporting Format Field Description
Admissions Admissions Number - Displayed as a whole number. The total number of admissions across all daily hospital service centers.
Patient_Days Patient Days Number - Displayed as a whole number. The total number of patient days across all daily hospital service centers.
Transfers Intra Hospital Transfers In Number - Displayed as a whole number. The total number of intra hospital transfers across all daily hospital service centers.
LOS Length of Stay Number - Displayed with one decimal. Total Patient Days for all daily hospital service centers divided by the sum of Total Admissions and Total Transfers-In.
Avg_L_Bed Average Licensed Beds Number - Displayed as a whole number. The total number of beds across all daily hospital service centers.
Pct_Occ % Occupancy Percent Total - Displayed with three decimals. The percent occupancy rate calculated across all daily hospital service centers.
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Schedule V2 - Outpatient Visits (Ambulatory Units): Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
IP_Visit Inpatient Visits Number - Displayed as a whole number. For each applicable ambulatory service center line, the number of inpatient visits from the reported fiscal year.
OP_Visit Outpatient Visits Number - Displayed as a whole number. For each applicable ambulatory service center line, the number of outpatient visits from the reported fiscal year.
Tot_Visit Total Visits Number - Displayed as a whole number. For each applicable ambulatory service center line, the sum of IP and OP visits.
IP_RVUs Inpatient RVUs Number - Displayed as a whole number. For each applicable ambulatory service center line, the number of inpatient RVUs from the reported fiscal year.
OP_RVUs Outpatient RVUs Number - Displayed as a whole number. For each applicable ambulatory service center line, the number of outpatient RVUs from the reported fiscal year.
Tot_RVUs Total RVUs Number - Displayed as a whole number. For each applicable ambulatory service center line, the sum of IP and OP RVUs.
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Schedule V2 - Outpatient Visits (Ambulatory Units): Section - Total

Field ID Field Name Reporting Format Field Description
IP_Visit Inpatient Visits Number - Displayed as a whole number. The sum total of all inpatient visits for all listed ambulatory service center lines.
OP_Visit Outpatient Visits Number - Displayed as a whole number. The sum total of all outpatient visits for all listed ambulatory service center lines.
Tot_Visit Total Visits Number - Displayed as a whole number. The sum total of all inpatient and outpatient visits for all listed ambulatory service center lines.
IP_RVUs Inpatient RVUs Number - Displayed as a whole number. The sum total of all inpatient RVUs for all listed ambulatory service center lines.
OP_RVUs Outpatient RVUs Number - Displayed as a whole number. The sum total of all outpatient RVUs for all listed ambulatory service center lines.
Tot_RVUs Total RVUs Number - Displayed as a whole number. The sum total of all inpatient and outpatient RVUs for all listed ambulatory service center lines.
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Schedule V3 - Ancillary Service Units: Section - Direct Patient Cost Centers

Field ID Field Name Reporting Format Field Description
IP_Vol Inpatient Volume Number - Displayed as a whole number. Enter in this column, in each applicable ancillary service center line, the inpatient volume for each ancillary service. The total inpatient units reported in each ancillary service center column should agree with the inpatient units reported on Schedule P for the fiscal year. Submit appropriate explanations/reconciliations for any differences. Do not report non-billed units incurred for quality control standards, duplicates and repeats for which the patient is not charged.
OP_Vol Outpatient Volume Number - Displayed as a whole number. Enter in this column, in each applicable ancillary service center line, the outpatient volumes for each ancillary service. The outpatient units reported in each ancillary service center column should agree with the outpatient units reported on Schedules P for the base year. Submit appropriate explanations/reconciliations for any difference. Do not report non-billed units incurred for quality control standards, duplicates and repeats for which the patient is not charged.
Tot_Vol Total Volume Number - Displayed with one decimal. Total volume is the sum of Inpatient Volume and Outpatient Volume.
Validation Rule: For each center code, total volume should equal total units from Schedule D for the corresponding center code.
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Schedule V3 - Ancillary Service Units: Section - Total

Field ID Field Name Reporting Format Field Description
IP_Vol Inpatient Volume Number - Displayed as a whole number. The sum of inpatient volumes for all applicable ancillary service center lines listed.
OP_Vol Outpatient Volume Number - Displayed as a whole number. The sum of outpatient volumes for all applicable ancillary service center lines listed.
Tot_Vol Total Volume Number - Displayed as a whole number. The sum of inpatient and outpatient volumes for all applicable ancillary service center lines listed.
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Schedule V5 - Equivalent Inpatient Days and Admissions: Section - Inpatient Days and Admissions

Field ID Field Name Reporting Format Field Description
IP_GPR Gross Inpatient Revenue Number - Displayed with one decimal. The gross inpatient revenue for the reporting hospital, transferred from schedule RE.
IP_Grant_Rev Inpatient Grant Revenue Number - Displayed with one decimal. The gross inpatient revenue from grants of the reporting hospital for the base year. Inpatient grant revenue is received from donors such as a state or federal agency as restricted funds for the purpose of providing patient care to inpatients of a hospital. The inpatient grant revenue should be included on Schedule RE.
IP_Rev Total Inpatient Revenue Number - Displayed with one decimal. The result of adding Gross Inpatient Revenue and Inpatient Grant Revenue.
IPDs Total Inpatient Days (IPDs) (Excld Nursery) Number - Displayed as a whole number. The patient days from Schedule V1.
IP_Rev_Per_Day Inpatient Revenue Per Day (Excld Nursery) Number - Displayed with five decimals. The result of dividing Total Inpatient Revenue by Total Inpatient Days excluding Nursery.
OP_GPR Gross Outpatient Revenue Number - Displayed with one decimal. The gross outpatient revenue for the reporting hospital.
OP_Grant_Rev Outpatient Grant Revenue Number - Displayed with one decimal. The gross outpatient revenue from grants of the reporting hospital for the base year. Outpatient grant revenue is received from donors, such as a state or federal agency, as restricted funds for the purpose of providing patient care to outpatients of a hospital.
OP_Rev Total Outpatient Revenue Number - Displayed with one decimal. The sum of gross outpatient revenue and outpatient revenue.
OP_Visits Total Outpatient Visits Number - Displayed as a whole number. for only rate centers : EMG, CL, PDC, OBV, OCL, CL-H49, CL-H63, CL-340, TRU. The result of subtracting OP visits for SDS from Total OP visits from Schedule V2.
OP_Rev_Per_Visit Outpatient Revenue Per Visit Number - Displayed with five decimals. Total outpatient revenue divided by total outpatient visits.
IPOP_Unit_Rev_Ratio Inpatient - Outpatient Unit Revenue Ratio Number - Displayed with five decimals. Ratio of Inpatient Revenue per Day (excld Nursery) to Outpatient Revenue per Visit.
IP_OP_Visits Inpatient Equivalent of Outpatient Visits Number - Displayed as a whole number. Total outpatient visits divided by inpatient - outpatient unit revenue ratio.
EIPDs Equivalent Inpatient Days (EIPDs) Number - Displayed as a whole number. The sum of total inpatient days (excluding nursery) and inpatient equivalent of outpatient visits.
IP_Admits Total Inpatient Admissions (Excld Nursery) Number - Displayed as a whole number. for rate centers: MSG, PED, PSY, OBS, DEF, MIS, CCU, PIC, NEO, BUR, PSI, TRM, ONC, CRH., ADD, RHB, RDS, PAD, PCD, PSG, PSD, PSP. Inpatient admissions from Schedule V1,.
IP_Rev_IP_Admit Inpatient Revenue Per Inpatient Admission (Excld Nursery) Number - Displayed with five decimals. The result of dividing Total Inpatient Revenue by Total Inpatient Admissions (excluding nursery).
OP_Rev_OP_Visit Outpatient Revenue Per Outpatient Visit Number - Displayed with five decimals. Total outpatient revenue divided by total outpatient visits.
IPOP_Rev_Ratio Inpatient - Outpatient Revenue Ratio Number - Displayed with five decimals. Ratio of Inpatient Revenue per Inpatient Admissions (excld Nursery) to Outpatient Revenue per Outpatient Visit.
IPOP_Visits Inpatient Equivalent of Outpatient Visits 2 Number - Displayed as a whole number. Total outpatient visits divided by inpatient - outpatient unit revenue ratio.
EIPAs Equivalent Inpatient Admissions (EIPAs) Number - Displayed as a whole number. The sum of total inpatient admissions (excluding nursery) and inpatient equivalent of outpatient visits 2.
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