ProviderKeyID NPI ProviderTypeCd ProviderTypeDesc ProviderName ProvZipCd OfficeCountyCd OfficeCountyDesc ReimbursementTypeCd ReimbursementTypeDesc CriticalAccessInd PCPInd PrimSpecCdDesc CareCoordRINS CaseMgmt_InsuranceRINS ClinicServicesRINS DentalServicesRINS EPSDTRINS ERRINS HCBSRINS HomeHealthRINS HospiceRINS ICFMRRINS InpatientCareRINS LabRadiologyRINS NursingFacilityRINS OtherServicesRINS OutPatientRINS PDDRINS PrescDRUGsRINS RehabRINS SchoolBasedRINS TherapyRINS CaseMgmt_InsuranceEvents ClinicServicesEvents DentalServicesEvents EPSDTEvents EREvents HCBSEvents HomeHealthEvents HospiceEvents ICFMREvents InpatientCareEvents LabRadiologyEvents NursingFacilityEvents OtherServicesEvents OutPatientEvents PDDEvents PrescDRUGsEvents RehabEvents SchoolBasedEvents TherapyEvents CaseMgmt_InsuranceUOS ClinicServicesUOS DentalServicesUOS EPSDTUOS ERUOS HCBSUOS HomeHealthUOS HospiceUOS ICFMRUOS InpatientCareUOS LabRadiologyUOS NursingFacilityUOS OtherServicesUOS OutPatientUOS PDDUOS PrescDRUGsUOS RehabUOS SchoolBasedUOS TherapyUOS CaseMgmt_InsuranceCost ClinicServicesCost DentalServicesCost EPSDTCost ERCost HCBSCost HomeHealthCost HospiceCost ICFMRCost InpatientCareCost LabRadiologyCost NursingFacilityCost OtherServicesCost OutPatientCost PDDCost PrescDRUGsCost RehabCost SchoolBasedCost TherapyCost TotalCost HospStaticPayment CapitationPayments HospEncounterAddOnPayment 1000022821 1558618678 30 General Hospitals FRESENIUS MEDICAL CARE ELGIN 601239219 53 Kane DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2488 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24418.34 0 0 0 0 0 24418.34 0 0 0 1000055667 30 General Hospitals 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 549.66 0 0 0 0 0 549.66 0 0 0 1000165164 1871853770 30 General Hospitals USRC OAK BROOK LLC 999999999 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000377420 1386641207 30 General Hospitals ST CLARE HOSPITAL 539131539 852 Wisconsin ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 12 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 12 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 12 0 0 0 0 3 0 0 0 2 0 0 0 0 0 0 0 0 0 1998.98 0 0 0 0 1938.33 0 0 0 298.39 0 0 0 0 0 4235.7 0 0 0 1000631716 1821363052 30 General Hospitals FRESENIUS MEDICAL CARE CHATHAM 606201332 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2797 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10101.63 0 0 0 0 0 10101.63 0 0 0 1001066903 1922177229 30 General Hospitals PRESENCE SAINT MARY NAZARETH 606228151 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 1100 0 0 7062 0 0 0 0 3352 0 0 1 4907 0 0 0 0 0 7 3509 0 0 9919 0 0 0 0 3948 0 0 1 9125 0 0 0 0 0 13 3714 0 0 9921 0 0 0 0 21439 0 0 1 9131 0 0 0 0 0 1609.17 219880.35 0 0 1811741.3 0 0 0 0 12526221.5 0 0 1779.34 1256918.74 0 0 0 0 0 15818150.4 25770478.93 0 0 1001073600 1831529023 30 General Hospitals MARENGO CITY DIALYSIS 601528200 71 McHenry DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 294 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11342.87 0 0 0 0 0 11342.87 0 0 0 1001074844 1093148363 30 General Hospitals FRESENIUS MEDICAL CARE WEST BE 606414332 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33734.36 0 0 0 0 0 33734.36 0 0 0 1001106560 1356696454 30 General Hospitals FRESENIUS MEDICAL CARE SOUTH D 606176154 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10150.33 0 0 0 0 0 10150.33 0 0 0 1001136869 1366875635 30 General Hospitals FRESENIUS MEDICAL CARE BURBANK 604591586 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5037 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57137.47 0 0 0 0 0 57137.47 0 0 0 1001163684 1184057457 30 General Hospitals FRESENIUS MEDICAL LAKEVIEW 606132111 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32939.32 0 0 0 0 0 32939.32 0 0 0 1001218895 1306190814 30 General Hospitals FRESENIUS MEDICAL CARE NORTH H 463201931 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1854 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24069.94 0 0 0 0 0 24069.94 0 0 0 1001247833 1427098169 30 General Hospitals MERCY HOSPITAL ST LOUIS 631418221 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 120 0 0 0 0 47 0 0 0 133 0 0 0 0 0 0 0 0 0 145 0 0 0 0 50 0 0 0 211 0 0 0 0 0 0 0 0 0 145 0 0 0 0 362 0 0 0 221 0 0 0 0 0 0 0 0 0 27930.49 0 0 0 0 743453.61 0 0 0 88429.06 0 0 0 0 0 859813.16 17387.04 0 0 1001251608 30 General Hospitals 820 Maine ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001254861 1619218732 30 General Hospitals TAZEWELL COUNTY DIALYSIS 615544807 98 Tazewell DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11440.66 0 0 0 0 0 11440.66 0 0 0 1001257839 1427000884 30 General Hospitals PRESENCE UNITED SAMARITANS MC 618323752 100 Vermilion DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 3616 0 0 0 0 778 0 0 1 971 0 0 0 0 0 0 0 0 0 6175 0 0 0 0 960 0 0 1 1916 0 0 0 0 0 0 0 0 0 6175 0 0 0 0 2656 0 0 1 2214 0 0 0 0 0 0 0 0 0 663310.91 0 0 0 0 874146.58 0 0 1450.95 243757.56 0 0 0 0 0 1782666 3824715.01 0 0 1001262253 30 General Hospitals 810 Florida NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 41 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26437.28 0 0 0 117.48 0 0 0 0 0 26554.76 0 0 0 1001268608 1114350485 30 General Hospitals FRESENIUS MEDICAL CARE BRIDGEP 606091511 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 741 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8824 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31619.46 0 0 0 0 0 31619.46 0 0 0 1001272672 1417298498 30 General Hospitals FRESENIUS MEDICAL NAPERBROOK 605655149 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1703 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7911.63 0 0 0 0 0 7911.63 0 0 0 1001286286 1720411093 30 General Hospitals FRESENIUS MEDICAL HAZEL CREST 604292187 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74390.75 0 0 0 0 0 74390.75 0 0 0 1001292318 1124189733 30 General Hospitals PRESENCE SAINT JOSEPH MED CTR 604358200 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 3 15 0 0 5706 0 0 0 0 2075 0 0 0 3296 0 0 0 0 0 3 64 0 0 8167 0 0 0 0 2779 0 0 0 6766 0 0 0 0 0 13 64 0 0 8167 0 0 0 0 12552 0 0 0 6976 0 0 0 0 0 0 6026.88 0 0 1241013.13 0 0 0 0 6308466.22 0 0 0 1127801.94 0 0 0 0 0 8683308.17 9418497.65 0 0 1001324477 1215379961 30 General Hospitals FRESENIUS MEDICAL NORTHCENTER 606185905 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1006 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16485.78 0 0 0 0 0 16485.78 0 0 0 1001335944 1003247750 30 General Hospitals CARPENTERSVILLE DIALYSIS 601103355 53 Kane DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 1 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 120 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 1117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8079.65 0 0 0 0 0 8079.65 0 0 0 1001347920 1962835181 30 General Hospitals FRESENIUS MEDICAL CARE SOUTH H 604733757 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25394.09 0 0 0 0 0 25394.09 0 0 0 1001353572 1447683719 30 General Hospitals FRESENIUS MEDICAL CARE MIDWAY 606385009 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1927.25 0 0 0 0 0 1927.25 0 0 0 1001363650 30 General Hospitals 46 Iroquois DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001364736 1275966541 30 General Hospitals FRESENIUS MEDICAL CARE NILES 607141303 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55535.77 0 0 0 0 0 55535.77 0 0 0 1001370225 1861733503 30 General Hospitals NORTHWESTERN MED FAC DIALYSIS 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3804 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7829.7 0 0 0 0 0 7829.7 0 0 0 1001377858 1114354826 30 General Hospitals FRESENIUS MEDICAL CARE ROSELAN 606284215 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2620 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30413.94 0 0 0 0 0 30413.94 0 0 0 1001392491 1205860335 30 General Hospitals IU HEALTH BLOOMINGTON HOSPITAL 999999999 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3455.82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3455.82 0 0 0 1001403030 1730519190 30 General Hospitals GARFIELD KIDNEY CENTER 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 425 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 3419 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90734.79 0 0 0 0 0 90734.79 0 0 0 1001414334 1558615062 30 General Hospitals FRESENIUS MEDICAL CARE OAK PAR 603024419 836 Ohio DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32173.32 0 0 0 0 0 32173.32 0 0 0 1001430373 1104268721 30 General Hospitals FRESENIUS MEDICAL CARE POLK 606074389 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4798 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54634.37 0 0 0 0 0 54634.37 0 0 0 1001438338 1902248792 30 General Hospitals FLOSSMOOR HOME DIALYSIS 604222075 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1007 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38.9 0 0 0 0 0 38.9 0 0 0 1001449911 1679659585 30 General Hospitals PRESENCE SAINT JOSEPH CHICAGO 606575640 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 1 0 0 1506 0 0 0 0 1039 0 0 0 1979 0 0 0 0 0 1 1 0 0 2042 0 0 0 0 1129 0 0 0 3910 0 0 0 0 0 1 1 0 0 2042 0 0 0 0 4582 0 0 0 3912 0 0 0 0 0 0 81.47 0 0 220604.83 0 0 0 0 2705950.07 0 0 0 401865.44 0 0 0 0 0 3328501.81 5118868.66 0 0 1001455995 1083059539 30 General Hospitals VIBRA HOSPITAL OF SPRINGFIELD 627024931 91 Sangamon ARS-LS Long-term stay hospitals paid under an ARS 0 0 LTAC Special Qualification 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 910 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105071.02 0 0 0 0 0 0 0 0 0 105071.02 0 0 0 1001470175 1710252614 30 General Hospitals AFFILIATED DIALYSIS GLEN ELLYN 601375893 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 529 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97046.43 0 0 0 0 0 97046.43 0 0 0 1001475617 1700831724 30 General Hospitals POPLAR BLUFF REGIONAL MED CNTR 639011573 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 23 0 0 0 0 7 0 0 0 1 0 0 0 0 0 0 0 0 0 24 0 0 0 0 8 0 0 0 1 0 0 0 0 0 0 0 0 0 24 0 0 0 0 22 0 0 0 1 0 0 0 0 0 0 0 0 0 3483.33 0 0 0 0 14185.83 0 0 0 16.29 0 0 0 0 0 17685.45 0 0 0 1001491169 1205923539 30 General Hospitals PRESENCE RESURRECTION MED CTR 606313707 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 2711 0 0 0 0 1053 0 0 0 1916 0 0 0 0 0 3 0 0 0 3546 0 0 0 0 1172 0 0 0 3313 0 0 0 0 0 19 0 0 0 3546 0 0 0 0 5530 0 0 0 3323 0 0 0 0 0 0 0 0 0 491623.82 0 0 0 0 2988516.34 0 0 0 392200.14 0 0 0 0 0 3872340.3 4462609.34 0 0 1001502629 1285664177 30 General Hospitals MERCY HOSPITAL WASHINGTON 630903127 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 10 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 10 0 0 0 0 6 0 0 0 1 0 0 0 0 0 0 0 0 0 1727.32 0 0 0 0 3868.86 0 0 0 167.89 0 0 0 0 0 5764.07 0 0 0 1001502797 1508859661 30 General Hospitals MERCY HOSPITAL JEFFERSON 630284100 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 18 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 20 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 20 0 0 0 0 3 0 0 0 2 0 0 0 0 0 0 0 0 0 3213.98 0 0 0 0 1934.43 0 0 0 755.68 0 0 0 0 0 5904.09 0 0 0 1001530948 1669805933 30 General Hospitals FRESENIUS MEDICAL CARE EVERGRE 608052820 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3563 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20575.63 0 0 0 0 0 20575.63 0 0 0 1001549895 1093067415 30 General Hospitals USRC VILLA PARK LLC 601811221 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 891 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001557455 30 General Hospitals 804 Arkansas ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1422.17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1422.17 0 0 0 1001558438 1891009619 30 General Hospitals KENWOOD DIALYSIS 606532929 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 584 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4784 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36193.65 0 0 0 0 0 36193.65 0 0 0 1001579344 1497004485 30 General Hospitals LAWNDALE DIALYSIS 606233371 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60304.4 0 0 0 0 0 60304.4 0 0 0 1001582863 1346586278 30 General Hospitals FRESENIUS MEDICAL CARE GALESBU 614012859 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4050 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24576.69 0 0 0 0 0 24576.69 0 0 0 1001584878 1033210166 30 General Hospitals PRESENCE SAINT FRANCIS HOSP 602023328 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 4059 0 0 0 0 1366 0 0 0 2347 0 0 0 0 0 0 0 0 0 5828 0 0 0 0 1559 0 0 0 4642 0 0 0 0 0 0 0 0 0 5828 0 0 0 0 6114 0 0 0 4659 0 0 0 0 0 0 0 0 0 815000.53 0 0 0 0 3983031.7 0 0 0 635121.35 0 0 0 0 0 5433153.58 9837262.64 0 0 1001603252 1477986743 30 General Hospitals FRESENIUS MED ROLLING MEADOWS 600081375 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 760 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12971.7 0 0 0 0 0 12971.7 0 0 0 1001623150 1821421199 30 General Hospitals FRESENIUS MEDICAL SOUTH SHORE 606495112 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2091 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21956.74 0 0 0 0 0 21956.74 0 0 0 1001627298 30 General Hospitals 834 North Carolina NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 150.53 0 0 0 0 2579.25 0 0 0 0 0 0 0 0 0 2729.78 0 0 0 1001630731 1740613017 30 General Hospitals FRESENIUS MEDICAL CARE MARQUET 606362410 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52881.68 0 0 0 0 0 52881.68 0 0 0 1001640848 1659704922 30 General Hospitals FRESENIUS MEDICAL NORRIDGE 607062905 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 856 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12714.62 0 0 0 0 0 12714.62 0 0 0 1001651821 1568538387 30 General Hospitals PRESENCE SAINT JOSEPH HOSPITAL 601234912 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 12 0 0 1939 0 0 0 0 405 0 0 0 737 0 0 0 0 0 1 87 0 0 2807 0 0 0 0 511 0 0 0 1606 0 0 0 0 0 1 87 0 0 2807 0 0 0 0 2866 0 0 0 1717 0 0 0 0 0 100.84 11064.66 0 0 314257.78 0 0 0 0 1376822.04 0 0 0 181202.67 0 0 0 0 0 1883447.99 1955890.84 0 0 1001654099 1730264128 30 General Hospitals BAPTIST HEALTH PADUCAH 420033813 818 Kentucky DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 928 0 0 0 0 257 0 0 0 655 0 0 0 0 0 0 0 0 0 1508 0 0 0 0 282 0 0 0 1080 0 0 0 0 0 0 0 0 0 1508 0 0 0 0 1204 0 0 0 1119 0 0 0 0 0 0 0 0 0 269415.21 0 0 0 0 878114.51 0 0 0 270355.34 0 0 0 0 0 1417885.06 0 0 0 1001672421 1568433480 30 General Hospitals MERCY HOSPITAL FORT SMITH 729034100 804 Arkansas NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 506.27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 506.27 0 0 0 1001679114 1871919381 30 General Hospitals OSF SAINT LUKE MEDICAL CENTER 999999999 45 Henry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 1 0 0 0 1093 0 0 0 0 63 0 0 0 569 0 0 0 0 0 1 0 0 0 1903 0 0 0 0 73 0 0 0 1121 0 0 0 0 0 1 0 0 0 1903 0 0 0 0 158 0 0 0 1121 0 0 0 0 0 131.84 0 0 0 433772.18 0 0 0 0 36708.02 0 0 0 370999.59 0 0 0 0 0 841611.63 1031852.98 0 0 1001685912 1184969628 30 General Hospitals FRESENIUS MEDICAL CARE CICERO 608043638 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1862 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1626.04 0 0 0 0 0 1626.04 0 0 0 1001689841 1851723803 30 General Hospitals FRESENIUS MEDICAL CARE NORTH K 606301725 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 462 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5479 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88944.9 0 0 0 0 0 88944.9 0 0 0 1001704439 1639186638 30 General Hospitals PRESENCE MERCY MEDICAL CENTER 605061449 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 69 0 0 3268 0 0 0 0 816 0 0 0 1428 0 0 0 0 0 2 668 0 0 4907 0 0 0 0 1018 0 0 0 2958 0 0 0 0 0 2 678 0 0 4907 0 0 0 0 4353 0 0 0 3418 0 0 0 0 0 3225.73 114121.08 0 0 1157603.54 0 0 0 0 2514438.14 0 0 0 1373696.28 0 0 0 0 0 5163084.77 10251154.73 0 0 1001713267 1457690604 30 General Hospitals FRESENIUS MEDICAL LOGAN SQUARE 60647 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1552 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13483.45 0 0 0 0 0 13483.45 0 0 0 1001729371 1982609442 30 General Hospitals KOSAIR CHILDRENS HOSPITAL 402021821 818 Kentucky ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Children Section 0 0 0 0 0 8 0 0 0 0 4 0 0 0 4 0 0 0 0 0 0 0 0 0 9 0 0 0 0 4 0 0 0 4 0 0 0 0 0 0 0 0 0 9 0 0 0 0 12 0 0 0 4 0 0 0 0 0 0 0 0 0 3575.52 0 0 0 0 14101.69 0 0 0 1915.33 0 0 0 0 0 19592.54 0 0 0 1001731635 1629411269 30 General Hospitals FRESENIUS MEDICAL DES PLAINES 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 110 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16154.75 0 0 0 0 0 16154.75 0 0 0 1001736801 30 General Hospitals 87 Randolph DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 414 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40358.48 0 0 0 0 0 40358.48 0 0 0 1001746038 1386086916 30 General Hospitals FRESENIUS MEDICAL CARE HOFFMAN 601697249 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1962 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27500.67 0 0 0 0 0 27500.67 0 0 0 1002451103 1760796387 30 General Hospitals KENWOOD HOME TRAINING 606532929 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1637 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41015.53 0 0 0 0 0 41015.53 0 0 0 1002480542 1770678260 30 General Hospitals PRESENCE ST MARYS HOSPITAL 609013661 54 Kankakee DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 49 0 0 2698 0 0 0 0 767 0 0 0 1336 0 0 0 0 0 1 374 0 0 4333 0 0 0 0 1038 0 0 0 2841 0 0 0 0 0 7 405 0 0 4333 0 0 0 0 4473 0 0 0 3170 0 0 0 0 0 289.01 37220 0 0 546578.69 0 0 0 0 1907938.12 0 0 0 505607.15 0 0 0 0 0 2997632.97 2713007.08 0 0 1002493975 1073856993 30 General Hospitals TIMBER CREEK DIALYSIS 601158250 27 Dekalb DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1071 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39822.21 0 0 0 0 0 39822.21 0 0 0 1002498057 1619240983 30 General Hospitals BARRINGTON CREEK DIALYSIS 600102324 57 Lake DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 485 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22942.1 0 0 0 0 0 22942.1 0 0 0 1002528385 1619939071 30 General Hospitals BLOUNT MEMORIAL HOSPITAL 378045015 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3717.59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3717.59 0 0 0 1002528957 1629026364 30 General Hospitals ADVOCATE SHERMAN HOSPITAL 999999999 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 1 0 0 0 3890 0 0 0 0 1466 0 0 9 2676 0 0 0 0 0 1 0 0 0 5567 0 0 0 0 1733 0 0 9 6075 0 0 0 0 0 8 0 0 0 5575 0 0 0 0 6718 0 0 9 6392 0 0 0 0 0 205.69 0 0 0 701767.29 0 0 0 0 3026243.19 0 0 17697.29 568563.53 0 0 0 0 0 4314476.99 7463475.58 0 0 1002592090 1629020086 30 General Hospitals PRESENCE COVENANT MEDICAL CTR 618012334 19 Champaign DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 2 0 0 0 2123 0 0 0 0 760 0 0 0 739 0 0 0 0 0 3 0 0 0 3315 0 0 0 0 917 0 0 0 968 0 0 0 0 0 5 0 0 0 3315 0 0 0 0 3111 0 0 0 978 0 0 0 0 0 0 0 0 0 341589.41 0 0 0 0 1257910.45 0 0 0 291848.34 0 0 0 0 0 1891348.2 2935676.99 0 0 1002630121 1194158469 30 General Hospitals FRESENIUS MEDICAL CARE SOUTH C 606174512 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 697 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60610.16 0 0 0 0 0 60610.16 0 0 0 1002677625 1790197978 31 Psychiatric Hospitals AURORA CHICAGO LAKESHORE CHILD 606405122 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 425 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 561 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9683045.56 0 0 0 0 0 0 0 0 0 9683045.56 0 0 0 1002690932 1861831315 30 General Hospitals SAH DIALYSIS CENTER 606233501 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 714 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17356.81 0 0 0 0 0 17356.81 0 0 0 1002714759 1437581725 30 General Hospitals ALEXIAN BROTHERS CHILDRENS HOS 601691099 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 1390 0 0 0 0 272 0 0 0 361 0 0 0 0 0 0 0 0 0 1834 0 0 0 0 195 0 0 0 414 0 0 0 0 0 0 0 0 0 1835 0 0 0 0 2048 0 0 0 414 0 0 0 0 0 0 0 0 0 252253.49 0 0 0 0 4315012.03 0 0 0 139231.79 0 0 0 0 0 4706497.31 0 0 3049.67 1002724610 1255763181 30 General Hospitals FRESENIUS MEDICAL OAK FOREST 604523658 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 642 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7146.35 0 0 0 0 0 7146.35 0 0 0 1002732855 1689775736 30 General Hospitals PRESENCE HOLY FAMILY MEDCL CTR 600161209 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 LTAC Special Qualification 0 0 0 0 0 0 0 0 0 0 104 0 0 0 548 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 822 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4030 0 0 0 822 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2740922.15 0 0 0 72080.97 0 0 0 0 0 2813003.12 1276773.23 0 0 1002754807 1649542960 30 General Hospitals SATELLITE DIALYSIS OF GLENVIEW 600268077 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4876.98 0 0 0 0 0 4876.98 0 0 0 1002818484 1871848895 30 General Hospitals SHILOH DIALYSIS 622213303 96 St Clair ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1716 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32335.69 0 0 0 0 0 32335.69 0 0 0 1002900750 1124441340 30 General Hospitals FRESENIUS MEDICAL CARE NORMAL 617616195 72 McLean DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2006.63 0 0 0 0 0 2006.63 0 0 0 1002922176 1013340389 30 General Hospitals FRESENIUS MEDICAL CARE MELROSE 601604156 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2548 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23843.07 0 0 0 0 0 23843.07 0 0 0 1002933240 30 General Hospitals 801 Alabama NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 201.61 0 0 0 0 1934.43 0 0 0 0 0 0 0 0 0 2136.04 0 0 0 1003043830 31 Psychiatric Hospitals 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4152.59 0 0 0 0 0 0 0 0 0 4152.59 0 0 0 1003057185 1083021877 31 Psychiatric Hospitals CHICAGO BEHAVIORAL HOSPITAL 600164729 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 75 0 0 0 0 0 0 0 352 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 380 0 0 0 0 0 0 0 0 0 0 1264 0 0 0 0 0 0 0 4919 0 0 0 0 0 0 0 0 0 0 29814.57 0 0 0 0 0 0 0 2161375.66 0 0 0 0 0 0 0 0 0 2191190.23 461610.34 0 0 1003156813 1861444333 30 General Hospitals TRINITY MUSCATINE 999999999 816 Iowa 0 0 0 0 0 0 0 22 0 0 0 0 3 0 0 0 25 0 0 0 0 0 0 0 0 0 30 0 0 0 0 3 0 0 0 34 0 0 0 0 0 0 0 0 0 30 0 0 0 0 9 0 0 0 34 0 0 0 0 0 0 0 0 0 4610.37 0 0 0 0 1289.62 0 0 0 22262.86 0 0 0 0 0 28162.85 0 0 0 1003260299 30 General Hospitals 825 Mississippi ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1518.27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1518.27 0 0 0 1003299946 1144651993 30 General Hospitals CONCERTO DIALYSIS LLC 604452154 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 1 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1329 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 13940 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 299203.2 0 0 0 0 0 299203.2 0 0 0 1003857028 1003976713 30 General Hospitals PRESENCE SAINT JOSEPH MEDICAL 999999999 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 1 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 608 0 0 0 0 0 0 0 0 0 0 134.66 0 0 0 0 0 0 0 43800.49 0 0 0 0 0 0 0 0 0 43935.15 0 0 0 1003861273 30 General Hospitals 107 Will DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18471.14 0 0 0 0 0 18471.14 0 0 0 1003863796 1205992765 30 General Hospitals ANDERSON HOSPITAL - THE REHABI 999999999 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31365.27 0 0 0 0 0 0 0 0 0 31365.27 2096979.86 0 0 1003878939 30 General Hospitals 34 Fayette DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1003899608 30 General Hospitals 818 Kentucky DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12121.44 0 0 0 0 0 0 0 0 0 12121.44 0 0 0 1003934498 1114316288 30 General Hospitals CRYSTAL SPRINGS DIALYSIS 999999999 71 McHenry DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 843 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7687.72 0 0 0 0 0 7687.72 0 0 0 1003948526 1467521146 30 General Hospitals SSM HEALTH ST JOSEPH HOSPITAL 999999999 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 38 0 0 0 0 3 0 0 0 2 0 0 0 0 0 0 0 0 0 45 0 0 0 0 3 0 0 0 3 0 0 0 0 0 0 0 0 0 48 0 0 0 0 25 0 0 0 3 0 0 0 0 0 0 0 0 0 6020.19 0 0 0 0 2177.64 0 0 0 36.24 0 0 0 0 0 8234.07 0 0 0 1003964620 1568407310 30 General Hospitals ESKENAZI HEALTH 462025187 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 14 0 0 0 0 5 0 0 0 3 0 0 0 0 0 0 0 0 0 15 0 0 0 0 5 0 0 0 8 0 0 0 0 0 0 0 0 0 15 0 0 0 0 25 0 0 0 8 0 0 0 0 0 0 0 0 0 1696.4 0 0 0 0 16120.29 0 0 0 1033.25 0 0 0 0 0 18849.94 0 0 0 1003983592 1982093837 30 General Hospitals RIVERSIDE MEDICAL CENTER 999999999 54 Kankakee 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2414.76 0 0 0 0 0 0 0 0 0 2414.76 0 0 0 1004013185 1033132220 30 General Hospitals BARNES-JEWISH HOSPITAL PSYCHIA 631123146 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 2 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 2643.85 0 0 0 0 0 0 0 20667.81 0 0 0 0 0 0 0 0 0 23311.66 0 0 0 1004014332 1154308518 30 General Hospitals MERCY HOSPITAL AND MEDICAL CEN 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 751 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142896.72 0 0 0 0 0 0 0 0 0 142896.72 20945075.5 0 0 1004022953 1871572545 30 General Hospitals LOUIS A WEISS MEMORIAL HOSPITA 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135927.58 0 0 0 0 0 0 0 0 0 135927.58 0 0 0 1004024753 1689711764 30 General Hospitals BLESSING INPATIENT REHABILITAT 623012834 10 Adams DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 205 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100759.7 0 0 0 0 0 0 0 0 0 100759.7 0 0 0 1004032452 1477572949 30 General Hospitals GLENOAKS MEDICAL CENTER INC 999999999 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 304 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1118273.59 0 0 0 0 0 0 0 0 0 1118273.59 5404777.19 0 0 1004038101 1700805660 30 General Hospitals GALESBURG COTTAGE HOSPITAL-PSY 999999999 56 Knox DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004086369 30 General Hospitals 90 Saline DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 482 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 707.34 0 0 0 0 0 707.34 0 0 0 1004103585 1023055126 30 General Hospitals TRISTAR CENTENNIAL MEDICAL CTR 372031538 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 1037.03 0 0 0 0 13541.05 0 0 0 0 0 0 0 0 0 14578.08 0 0 0 1004113331 1720032345 30 General Hospitals TRISTAR SOUTHERN HILLS MED CTR 999999999 844 Tennessee NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1183.21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1183.21 0 0 0 1004130936 1003824061 30 General Hospitals PARKLAND HEALTH CENTER- FARMIN 636401921 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 26 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 35 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 35 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 3904.72 0 0 0 0 1934.43 0 0 0 0 0 0 0 0 0 5839.15 0 0 0 1004137514 1144637224 30 General Hospitals HARVEY DIALYSIS 604266112 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1892 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45389.5 0 0 0 0 0 45389.5 0 0 0 1004168465 1295743169 30 General Hospitals MISSOURI BAPTIST SULLIVAN HOSP 630802354 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 15 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3237.05 0 0 0 0 3868.86 0 0 0 0 0 0 0 0 0 7105.91 0 0 0 1004191815 1427493246 30 General Hospitals FRANCISCAN HEALTHCARE MUNSTER 999999999 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 125 0 0 0 0 17 0 0 0 67 0 0 0 0 0 0 0 0 0 167 0 0 0 0 17 0 0 0 92 0 0 0 0 0 0 0 0 0 167 0 0 0 0 76 0 0 0 92 0 0 0 0 0 0 0 0 0 15293.93 0 0 0 0 3627.85 0 0 0 2334.7 0 0 0 0 0 21256.48 0 0 0 1004208018 1457608416 30 General Hospitals AVANTUS HOME THERAPY 999999999 19 Champaign DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1048 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1851.63 0 0 0 0 0 1851.63 0 0 0 1004216648 30 General Hospitals 835 North Dakota ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 854.84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 854.84 0 0 0 1004219309 1972824142 30 General Hospitals NORTHWESTERN MEDICINE CHICAGO 605553269 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Proton Therapy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420488.89 0 0 0 0 0 420488.89 0 0 0 1004250281 1275574931 30 General Hospitals EVANSTON HOSPITAL-REHAB 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42814.27 0 0 0 0 0 0 0 0 0 42814.27 0 0 0 1004258551 1144238908 30 General Hospitals BARNES JEWISH ST PETERS HOSP 633761659 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 3808.27 0 0 0 0 0 0 0 0 1018.19 0 0 0 0 0 4826.46 0 0 0 1004271765 1336205798 30 General Hospitals FRANCISCAN ST ANTHONY HEALTH C 999999999 815 Indiana 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1930.69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1930.69 0 0 0 1004272184 1881975662 30 General Hospitals GREEN COUNTRY DIALYSIS LLC 999999999 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 404 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 847.83 0 0 0 0 0 847.83 0 0 0 1004273741 1326420563 30 General Hospitals FRESENIUS MEDICAL CARE MCLEAN 617013534 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14533.39 0 0 0 0 0 14533.39 0 0 0 1004277722 30 General Hospitals 842 South Carolina NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 391.31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 391.31 0 0 0 1004308514 1760764849 30 General Hospitals SOIN MEDICAL CENTER 999999999 836 Ohio ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3048.44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3048.44 0 0 0 1004308558 1508938044 30 General Hospitals PROGRESS WEST HOSPITAL 633682208 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 21 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 25 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 27 0 0 0 0 4 0 0 0 2 0 0 0 0 0 0 0 0 0 3794.72 0 0 0 0 2594.84 0 0 0 429.33 0 0 0 0 0 6818.89 0 0 0 1004313784 1447221247 30 General Hospitals GATEWAY REGIONAL MEDICAL CENTE 620404701 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 686 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38245.7 0 0 0 0 0 0 0 0 0 38245.7 0 0 0 1004338200 1033214416 30 General Hospitals COMMUNITY FIRST MEDICAL CENTER 606344403 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 4060 0 0 0 0 936 0 0 0 1566 0 0 0 0 0 15 0 0 0 5460 0 0 0 0 1139 0 0 0 3023 0 0 0 0 0 24 0 0 0 5464 0 0 0 0 6220 0 0 0 3235 0 0 0 0 0 2237.95 0 0 0 724957.19 0 0 0 0 3022751.51 0 0 0 183433.04 0 0 0 0 0 3933379.69 3681577.85 0 0 1004339129 1528443702 30 General Hospitals SSM HEALTH ST. LOUIS UNIVERSIT 631102539 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12938.71 0 0 0 0 0 0 0 0 0 12938.71 0 0 0 1004344173 1720193584 30 General Hospitals FRESENIUS MEDICAL CARE CARBOND 629013141 47 Jackson DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 1 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 422 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 5182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124320.64 0 0 0 0 0 124320.64 0 0 0 1004389161 1275585663 30 General Hospitals PRESENCE COVENANT MEDICAL CENT 999999999 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19878.66 0 0 0 0 0 0 0 0 0 19878.66 0 0 0 1004425631 1902941628 30 General Hospitals ALEXIAN BROTHERS MEDICAL CENTE 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 398 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112107.36 0 0 0 0 0 0 0 0 0 112107.36 7578415.83 0 0 1004478811 1124457965 30 General Hospitals FRESENIUS MEDICAL CARE WEST FR 628964964 819 Louisiana DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 917 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1076.82 0 0 0 0 0 1076.82 0 0 0 1004484119 1568845576 30 General Hospitals RCG CENTRAL ILLINOIS BLOOMINGT 999999999 72 McLean DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10727.98 0 0 0 0 0 10727.98 0 0 0 1004484373 1528143088 30 General Hospitals KINDRED CHICAGO LAKESHORE 999999999 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2579 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1260710 0 0 0 0 0 0 0 0 0 1260710 0 0 0 1004489449 1710396932 30 General Hospitals OSF SAINT ANTHONYS HEALTH CNTR 620024568 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 4 37 0 0 2281 0 0 0 0 487 0 0 0 1481 0 0 0 0 0 5 68 0 0 3687 0 0 0 0 587 0 0 0 4441 0 0 0 0 0 5 68 0 0 3687 0 0 0 0 2053 0 0 0 4507 0 0 0 0 0 59.98 1535.77 0 0 361349.53 0 0 0 0 606102.55 0 0 0 581650.38 0 0 0 0 0 1550698.21 3459843.31 0 0 1004490967 1578964565 30 General Hospitals FRESENIUS MEDICAL CARE HIGHLAN 600352349 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004528098 30 General Hospitals 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25365.87 0 0 0 0 0 0 0 0 0 25365.87 0 0 0 1004534541 1811320187 30 General Hospitals FRESENIUS MEDICAL CARE MUNSTER 999999999 815 Indiana 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3886.63 0 0 0 0 0 3886.63 0 0 0 1004536904 1942685920 30 General Hospitals SSM HEALTH SAINT LOUIS UNIVERS 631102539 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 622 0 0 0 0 536 0 0 0 812 0 0 0 0 0 1 0 0 0 775 0 0 0 0 623 0 0 0 1461 0 0 0 0 0 1 0 0 0 775 0 0 0 0 3862 0 0 0 1461 0 0 0 0 0 71.59 0 0 0 85363.18 0 0 0 0 6335025.17 0 0 0 341071.11 0 0 0 0 0 6761531.05 1634233.32 0 0 1004556686 1275583155 30 General Hospitals METHODIST MEDICAL CENTER OF IL 999999999 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 299 0 0 0 0 0 0 0 411 0 0 0 0 0 0 0 0 0 0 1296 0 0 0 0 0 0 0 477 0 0 0 0 0 0 0 0 0 0 1957 0 0 0 0 0 0 0 3279 0 0 0 0 0 0 0 0 0 0 109092.98 0 0 0 0 0 0 0 721907.94 0 0 0 0 0 0 0 0 0 831000.92 0 0 0 1004570096 1376544320 30 General Hospitals UNIVERSITY OF IOWA HOSPITAL 522421009 816 Iowa DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 104 0 0 0 0 99 0 0 0 327 0 0 0 0 0 0 0 0 0 123 0 0 0 0 113 0 0 0 640 0 0 0 0 0 0 0 0 0 123 0 0 0 0 751 0 0 0 642 0 0 0 0 0 0 0 0 0 34608.78 0 0 0 0 854751.92 0 0 0 85090.19 0 0 0 0 0 974450.89 375594.24 0 0 1004599346 1023494473 30 General Hospitals MEMORIAL HOSPITAL EAST 999999999 96 St Clair DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 0 0 0 0 756 0 0 0 0 302 0 0 4 241 0 0 0 0 0 0 0 0 0 1044 0 0 0 0 316 0 0 4 312 0 0 0 0 0 0 0 0 0 1044 0 0 0 0 909 0 0 4 312 0 0 0 0 0 0 0 0 0 107976.37 0 0 0 0 293764.03 0 0 7171.7 39977.06 0 0 0 0 0 448889.16 0 0 0 1004670966 30 General Hospitals 102 Warren DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2233.46 0 0 0 0 0 2233.46 0 0 0 1004698571 1316918287 30 General Hospitals MMC PSYCHIATRIC UNIT 999999999 91 Sangamon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 15 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 105 0 0 0 0 0 0 0 0 0 0 99 0 0 0 0 0 0 0 1171 0 0 0 0 0 0 0 0 0 0 13318.6 0 0 0 0 0 0 0 151686.06 0 0 0 0 0 0 0 0 0 165004.66 0 0 0 1004719523 1538196100 30 General Hospitals ST ANTHONY'S MEDICAL CENTER HY 631282106 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 6 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 328.32 0 0 0 0 0 0 0 3229.26 0 0 0 0 0 0 0 0 0 3557.58 0 0 0 1004728787 1073581872 30 General Hospitals HARRISBURG MEDICAL CENTER INC 629462718 90 Saline DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1690 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 792917.27 0 0 0 0 0 0 0 0 0 792917.27 0 0 0 1004738040 1568439198 30 General Hospitals MMC - ESRD TREATMENT 627810001 91 Sangamon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24871.02 0 0 0 0 0 24871.02 0 0 0 1004777526 1609817220 30 General Hospitals HIGHLAND PARK HOSPITAL 600352433 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 450 0 0 0 0 388 0 0 0 953 0 0 0 0 0 0 0 0 0 614 0 0 0 0 447 0 0 0 1943 0 0 0 0 0 0 0 0 0 614 0 0 0 0 1808 0 0 0 1943 0 0 0 0 0 0 0 0 0 96971.32 0 0 0 0 786337.19 0 0 0 228817.19 0 0 0 0 0 1112125.7 0 0 0 1004812023 1962572396 30 General Hospitals SSM HEALTH ST MARYS HOSPITAL S 631171811 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 PERINATAL LEVEL III CENTER 0 0 0 0 0 31 0 0 0 0 339 0 0 0 80 0 0 0 0 0 0 0 0 0 51 0 0 0 0 105 0 0 0 101 0 0 0 0 0 0 0 0 0 51 0 0 0 0 869 0 0 0 112 0 0 0 0 0 0 0 0 0 3596.56 0 0 0 0 975370.7 0 0 0 31997.2 0 0 0 0 0 1010964.46 3905221.59 0 73522.24 1004824339 1366813404 30 General Hospitals PASSAVANT AREA HOSPITAL IPU 999999999 77 Morgan DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75953.84 0 0 0 0 0 0 0 0 0 75953.84 0 0 0 1004826923 1588713440 30 General Hospitals OSF SAINT ELIZABETH MEDICAL CE 613501604 58 La Salle ARS-PD Hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 3 0 0 0 2475 0 0 0 0 264 0 0 0 1095 0 0 0 0 0 6 0 0 0 3404 0 0 0 0 274 0 0 0 1870 0 0 0 0 0 8 0 0 0 3404 0 0 0 0 760 0 0 0 1871 0 0 0 0 0 27.36 0 0 0 534368.29 0 0 0 0 376019.25 0 0 0 383297.72 0 0 0 0 0 1293712.62 0 0 0 1004847148 1093755340 30 General Hospitals EVANSTON HOSPITAL PSYCH UNIT 602011718 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 608 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64437.04 0 0 0 0 0 0 0 0 0 64437.04 0 0 0 1004969047 1629466339 30 General Hospitals CHICAGO RIDGE DIALYSIS 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5944 0 0 0 0 0 5944 0 0 0 1004992512 1457318701 30 General Hospitals NORTHWEST COMMUNITY HOSPITAL - 600052349 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 20 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 141 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 1086 0 0 0 0 0 0 0 0 0 0 10628.2 0 0 0 0 0 0 0 298140.14 0 0 0 0 0 0 0 0 0 308768.34 0 0 0 1005069819 1598835308 30 General Hospitals SSM HEALTH DEPAUL HOSPITAL ST 999999999 826 Missouri 0 0 0 0 0 0 0 5 0 0 0 0 11 0 0 0 17 0 0 0 0 0 0 0 0 0 5 0 0 0 0 12 0 0 0 19 0 0 0 0 0 0 0 0 0 5 0 0 0 0 106 0 0 0 19 0 0 0 0 0 0 0 0 0 686.79 0 0 0 0 51604.42 0 0 0 407.26 0 0 0 0 0 52698.47 0 0 0 1005075491 1184676579 30 General Hospitals PRESENCE COVENANT MEDICAL CNTR 618012334 19 Champaign DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 459 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86983.4 0 0 0 0 0 0 0 0 0 86983.4 0 0 0 1005104984 1205222197 30 General Hospitals FRESENIUS MEDICAL CARE WAUKEGA 999999999 845 Texas DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3750 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22202.75 0 0 0 0 0 22202.75 0 0 0 1005127114 1578958435 30 General Hospitals FRESENIUS MEDICAL CARE ROUND L 999999999 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2426 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43226.48 0 0 0 0 0 43226.48 0 0 0 1005179004 30 General Hospitals 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8126.26 0 0 0 0 0 8126.26 0 0 0 1005218891 1881080596 30 General Hospitals ILLINI INPATIENT BEHAVIORAL 623631350 83 Pike DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75836.22 0 0 0 0 0 0 0 0 0 75836.22 0 0 0 1005254667 1124441340 30 General Hospitals FRESENIUS MEDICAL CARE NORMAL 617616195 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 565 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2961.74 0 0 0 0 0 2961.74 0 0 0 1005271107 30 General Hospitals 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38236.2 0 0 0 0 0 0 0 0 0 38236.2 0 0 0 1005274269 1679559553 30 General Hospitals MMC - REHAB UNIT 627810001 91 Sangamon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58474.78 0 0 0 0 0 0 0 0 0 58474.78 0 0 0 1005303156 1972999860 30 General Hospitals FRESENIUS MEDICAL CARE ANTIOCH 999999999 845 Texas DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1009 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6186.68 0 0 0 0 0 6186.68 0 0 0 1005349737 1518352467 30 General Hospitals FRESENIUS MEDICAL CARE GURNEE 999999999 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1955 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10638.03 0 0 0 0 0 10638.03 0 0 0 1005351567 1760878656 30 General Hospitals FRESENIUS MEDICAL CARE MCHENRY 999999999 71 McHenry DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 949 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2533.8 0 0 0 0 0 2533.8 0 0 0 1005420488 30 General Hospitals 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36327.85 0 0 0 0 0 0 0 0 0 36327.85 0 0 0 1005614682 1780044156 30 General Hospitals FRESENIUS MEDICAL CARE SILVIS 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1074 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1955.86 0 0 0 0 0 1955.86 0 0 0 1005637491 1043670417 30 General Hospitals FRESENIUS MEDICAL CARE ROCK IS 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1530.46 0 0 0 0 0 1530.46 0 0 0 1005775695 1508315516 30 General Hospitals ADVOCATE CHILDRENS HOSPITAL 604532600 200 Cook 0 0 General Hospital - Children Section 0 0 0 0 57 0 0 0 0 0 0 298 0 0 180 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 1174 0 0 587 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 1174 0 0 587 0 0 0 0 0 0 0 0 1539.11 0 0 0 0 0 0 6561.72 0 0 36675.45 0 0 0 0 0 44776.28 0 0 0 1005874481 1811357288 30 General Hospitals FRESENIUS MEDICAL CARE ROCK RI 999999999 60 Lee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 408 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1535.09 0 0 0 0 0 1535.09 0 0 0 1005915427 1174947204 30 General Hospitals WEST SIDE DIALYSIS 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1006186869 1821458282 30 General Hospitals FRESENIUS MEDICAL CARE MOLINE 999999999 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3470 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12173.48 0 0 0 0 0 12173.48 0 0 0 1101011787 1235234535 30 General Hospitals LURIE CHILDRENS HOSPITAL 606112991 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 PERINATAL LEVEL III CENTER 0 0 616 0 0 4837 0 0 0 0 3491 0 0 0 4385 0 0 0 0 0 0 3780 0 0 6677 0 0 0 0 2581 0 0 0 7557 0 0 0 0 0 0 3802 0 0 6677 0 0 0 0 20220 0 0 0 7557 0 0 0 0 0 0 288300.57 0 0 1630034.76 0 0 0 0 71144159.05 0 0 0 6230618.67 0 0 0 0 0 79293113.05 16699143.34 0 611374.06 1101013383 1699778951 30 General Hospitals FRANKLIN HOSPITAL 628121969 36 Franklin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 2495 0 0 0 0 80 0 0 0 742 0 0 0 0 0 1 0 0 0 3752 0 0 0 0 93 0 0 0 1762 0 0 0 0 0 1 0 0 0 3816 0 0 0 0 248 0 0 0 2259 0 0 0 0 0 59.75 0 0 0 1618260.22 0 0 0 0 81261.8 0 0 0 832041.97 0 0 0 0 0 2531623.74 560323.65 0 0 1101013948 1376521575 30 General Hospitals FOSTER G MCGAW HOSPITAL 601533328 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 2346 0 0 0 0 1897 0 0 0 6823 0 0 0 0 0 19 0 0 0 3091 0 0 0 0 2295 0 0 0 31064 0 0 0 0 0 19 0 0 0 3195 0 0 0 0 13077 0 0 0 36728 0 0 0 0 0 650.2 0 0 0 649549.14 0 0 0 0 18843522.63 0 0 0 3176446.73 0 0 0 0 0 22670168.7 14040391.81 0 0 1101014213 1528158573 30 General Hospitals HERRIN HOSPITAL 629483631 108 Williamson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 7651 0 0 0 0 1406 0 0 9 6212 0 0 0 0 0 6 0 0 0 13459 0 0 0 0 1806 0 0 9 11727 0 0 0 0 0 7 0 0 0 13508 0 0 0 0 6763 0 0 9 13011 0 0 0 0 0 71.84 0 0 0 2602940.31 0 0 0 0 4656486.01 0 0 15364.5 2175360.65 0 0 0 0 0 9450223.31 1488415.43 0 0 1101014699 1427043546 30 General Hospitals KATH SHAW BETHEA HOSP 610213116 60 Lee DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 4032 0 0 0 0 652 0 0 5 2638 0 0 0 0 0 7 0 0 0 7301 0 0 0 0 720 0 0 5 8218 0 0 0 0 0 7 0 0 0 7315 0 0 0 0 2049 0 0 5 8274 0 0 0 0 0 21.05 0 0 0 1083799.39 0 0 0 0 1573730.87 0 0 8927.32 1395731.54 0 0 0 0 0 4062210.17 1266598.68 0 0 1101019205 1427128404 30 General Hospitals ST VINCENT WILLIAMSPORT HOSP 479931049 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 662.67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 662.67 0 0 0 1101019280 30 General Hospitals 803 Arizona ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2626.6 0 0 0 0 0 0 0 0 0 2626.6 0 0 0 1101020580 30 General Hospitals 802 Alaska ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442 0 0 0 1101021178 1730139031 30 General Hospitals MEMORIAL HOSPITAL 623213551 42 Hancock DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 1282 0 0 0 0 182 0 0 5 758 0 0 0 0 0 0 0 0 0 1959 0 0 0 0 189 0 0 5 1571 0 0 0 0 0 0 0 0 0 1959 0 0 0 0 423 0 0 5 1571 0 0 0 0 0 0 0 0 0 738167.23 0 0 0 0 263138.32 0 0 21418.86 792312.83 0 0 0 0 0 1815037.24 353109.15 0 0 1101021316 30 General Hospitals 805 California NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 0 0 0 3 0 0 0 0 0 0 0 0 0 2 0 0 0 0 13 0 0 0 3 0 0 0 0 0 0 0 0 0 203.56 0 0 0 0 8382.55 0 0 0 2095.06 0 0 0 0 0 10681.17 0 0 0 1101021986 1043510217 30 General Hospitals FRESENIUS MEDICAL CARE OF IL 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6580.92 0 0 0 0 0 6580.92 0 0 0 1101022249 1881782878 30 General Hospitals ST JOSEPH MEDICAL CENTER 617014364 72 McLean DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 2249 0 0 0 0 650 0 0 0 1582 0 0 0 0 0 5 0 0 0 3373 0 0 0 0 783 0 0 0 3281 0 0 0 0 0 5 0 0 0 3373 0 0 0 0 3004 0 0 0 3281 0 0 0 0 0 0 0 0 0 394078.8 0 0 0 0 1205338.11 0 0 0 456573.89 0 0 0 0 0 2055990.8 2808081.63 0 0 1101022444 1174533343 30 General Hospitals TEXAS HEALTH ARLINGTON MEM HSP 760122504 845 Texas ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 5 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 779.88 0 0 0 0 12251.42 0 0 0 0 0 0 0 0 0 13031.3 0 0 0 1101022939 1316916513 30 General Hospitals JACKSONVILLE DIALYSIS 626501158 77 Morgan DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1597 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44353.65 0 0 0 0 0 44353.65 0 0 0 1101023383 1346251543 30 General Hospitals ST LUKES HOSPITAL WEST 630173406 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 14 0 0 0 0 13 0 0 2 82 0 0 0 0 0 0 0 0 0 26 0 0 0 0 16 0 0 2 100 0 0 0 0 0 0 0 0 0 26 0 0 0 0 95 0 0 2 100 0 0 0 0 0 0 0 0 0 1877.11 0 0 0 0 21426.96 0 0 2055.24 36545.54 0 0 0 0 0 61904.85 0 0 0 1101023533 1730179847 30 General Hospitals KIRBY MEDICAL CENTER 999999999 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 1 0 0 0 486 0 0 0 0 8 0 0 0 149 0 0 0 0 0 3 0 0 0 801 0 0 0 0 9 0 0 0 263 0 0 0 0 0 3 0 0 0 801 0 0 0 0 29 0 0 0 269 0 0 0 0 0 0 0 0 0 249875.52 0 0 0 0 1978.72 0 0 0 66385.09 0 0 0 0 0 318239.33 0 0 0 1101023884 1184900920 30 General Hospitals CRIMSON RIDGE HOME TRAINING 999999999 27 Dekalb DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 788 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101024609 1457361024 30 General Hospitals CHRISTIAN HOSPITAL NW 631393160 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 63 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 9153.12 0 0 0 0 0 0 0 0 951.89 0 0 0 0 0 10105.01 0 0 0 1101025778 1629003165 30 General Hospitals COPLEY MEMORIAL HOSPITAL 605047222 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 8335 0 0 0 0 1719 0 0 5 4205 0 0 0 0 0 8 0 0 0 13355 0 0 0 0 1835 0 0 5 8644 0 0 0 0 0 14 0 0 0 13355 0 0 0 0 7078 0 0 5 10185 0 0 0 0 0 170.18 0 0 0 2877790.74 0 0 0 0 5680708.45 0 0 11026.2 2576831.49 0 0 0 0 0 11146527.06 0 0 0 1101026454 30 General Hospitals 823 Michigan NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 3 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 331.06 0 0 0 0 26437.28 0 0 0 0 0 0 0 0 0 26768.34 0 0 0 1101027062 1487758801 30 General Hospitals GOOD SAMARITAN REG HLTH CTR 628642402 49 Jefferson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 73 0 0 0 0 0 0 3172 0 0 862 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 17267 0 0 5615 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 17267 0 0 5615 0 0 0 0 0 0 0 0 424.95 0 0 0 0 0 0 96545.26 0 0 589081.07 0 0 0 0 0 686051.28 0 0 0 1101027063 1295732725 30 General Hospitals ST MARYS HOSPITAL 613643332 58 La Salle DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4240.09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4240.09 39027 0 0 1101028199 1447216387 30 General Hospitals VINCENNES DIALYSIS 475911028 815 Indiana DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 1 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11675.64 0 0 0 0 0 11675.64 0 0 0 1101028368 1013029933 30 General Hospitals SHELBYVILLE COMMUNITY DIALYSIS 625657800 94 Shelby DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1846 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31907.51 0 0 0 0 0 31907.51 0 0 0 1101028964 1659321560 30 General Hospitals WASHINGTON COUNTY HOSP 622631534 103 Washington DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 2 0 0 0 562 0 0 0 0 6 0 0 0 217 0 0 0 0 0 9 0 0 0 808 0 0 0 0 6 0 0 0 427 0 0 0 0 0 9 0 0 0 808 0 0 0 0 16 0 0 0 427 0 0 0 0 0 1687.2 0 0 0 314756.69 0 0 0 0 4961.68 0 0 0 180296.59 0 0 0 0 0 501702.16 352549.85 0 0 1101030112 1396024162 30 General Hospitals LAWRENCE COUNTY MEMORIAL HOSP 999999999 59 Lawrence DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 0 0 0 0 1675 0 0 0 0 129 0 0 0 880 0 0 0 0 0 0 0 0 0 2810 0 0 0 0 151 0 0 0 1770 0 0 0 0 0 0 0 0 0 2820 0 0 0 0 532 0 0 0 1982 0 0 0 0 0 0 0 0 0 903934.2 0 0 0 0 276797.64 0 0 0 794139.01 0 0 0 0 0 1974870.85 457665.06 0 0 1101030177 1740291491 30 General Hospitals THE MONROE CLINIC 535661569 852 Wisconsin DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 835 0 0 0 0 296 0 0 0 1090 0 0 0 0 0 2 0 0 0 1362 0 0 0 0 305 0 0 0 3942 0 0 0 0 0 2 0 0 0 1377 0 0 0 0 729 0 0 0 3955 0 0 0 0 0 1.97 0 0 0 208520.78 0 0 0 0 587871.68 0 0 0 571302.13 0 0 0 0 0 1367696.56 0 0 0 1101030737 1427082957 30 General Hospitals ST MARYS MEDICAL CENTER 477500001 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 6 0 0 0 0 0 0 330 0 0 50 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 2139 0 0 169 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 2139 0 0 169 0 0 0 0 0 0 0 0 57.7 0 0 0 0 0 0 29122.57 0 0 11943.17 0 0 0 0 0 41123.44 0 0 0 1101031070 1013158989 30 General Hospitals FRESENIUS MEDICAL CARE VENTURE 605865045 107 Will DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2567 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26169.46 0 0 0 0 0 26169.46 0 0 0 1101033629 1518926781 30 General Hospitals SPRINGFIELD MONTVALE DIALYSIS 627045376 91 Sangamon DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 997 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21905.35 0 0 0 0 0 21905.35 0 0 0 1101035225 1295920387 30 General Hospitals WAYNE COUNTY DIALYSIS 628371203 104 Wayne DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11889.87 0 0 0 0 0 11889.87 0 0 0 1101035756 1730250234 30 General Hospitals MANTENO DIALYSIS CENTRE 609501507 54 Kankakee DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 424 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11367.3 0 0 0 0 0 11367.3 0 0 0 1101036312 1023089984 30 General Hospitals TENNOVA HEALTHCARE-REGIONAL JA 383052080 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 513.17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 513.17 0 0 0 1101036924 1427093962 30 General Hospitals MERCY MEDICAL CENTER CLINTON 527322940 816 Iowa DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 749 0 0 0 0 175 0 0 0 177 0 0 0 0 0 0 0 0 0 1244 0 0 0 0 193 0 0 0 270 0 0 0 0 0 0 0 0 0 1247 0 0 0 0 558 0 0 0 334 0 0 0 0 0 0 0 0 0 152879.38 0 0 0 0 217784.18 0 0 0 59474.98 0 0 0 0 0 430138.54 0 0 0 1101037688 1932214772 30 General Hospitals GLENVIEW DIALYSIS CENTER 600253573 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1780 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17855.93 0 0 0 0 0 17855.93 0 0 0 1101038422 30 General Hospitals 833 New York ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 92.05 0 0 0 0 5189.69 0 0 0 0 0 0 0 0 0 5281.74 0 0 0 1101038616 1013017839 31 Psychiatric Hospitals ALEXIAN BROS BEHAVIORAL HLTH 601941010 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 182 0 0 0 0 0 0 0 163 0 0 0 0 0 0 0 0 0 0 296 0 0 0 0 0 0 0 175 0 0 0 0 0 0 0 0 0 0 2427 0 0 0 0 0 0 0 2021 0 0 0 0 0 0 0 0 0 0 267658.44 0 0 0 0 0 0 0 410782.65 0 0 0 0 0 0 0 0 0 678441.09 1075342.3 0 0 1101041878 1164539730 30 General Hospitals LUTHERAN GENERAL HOSPITAL 600681143 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 4 58 0 0 2734 0 0 0 0 2322 0 0 6 2829 0 0 0 0 0 4 257 0 0 3744 0 0 0 0 2980 0 0 6 5149 0 0 0 0 0 6 271 0 0 3773 0 0 0 0 15595 0 0 14 5202 0 0 0 0 0 0 23274.05 0 0 649529.38 0 0 0 0 9044942.47 0 0 10215.87 777408.64 0 0 0 0 0 10505370.41 4517983.45 0 0 1101041999 1851390132 30 General Hospitals MEMORIAL HOSPITAL 622331116 87 Randolph ARS-PD Hospitals paid a Per Diem rate. 1 0 Government Owned 0 0 0 0 0 783 0 0 0 0 65 0 0 1 508 0 0 0 0 0 0 0 0 0 1375 0 0 0 0 72 0 0 1 1236 0 0 0 0 0 0 0 0 0 1375 0 0 0 0 280 0 0 1 1236 0 0 0 0 0 0 0 0 0 397358.83 0 0 0 0 100804.44 0 0 1721.62 508486.24 0 0 0 0 0 1008371.13 253547.52 0 0 1101042097 1548567373 30 General Hospitals FRESENIUS MEDICAL PALATINE 600742817 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2391 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23005.09 0 0 0 0 0 23005.09 0 0 0 1101042218 1629056890 30 General Hospitals WAUKESHA MEMORIAL HOSPITAL 531885099 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 4 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 4 0 0 0 0 14 0 0 0 1 0 0 0 0 0 0 0 0 0 691.57 0 0 0 0 9027.36 0 0 0 0 0 0 0 0 0 9718.93 0 0 0 1101042825 1629003470 30 General Hospitals IROQUOIS MEMORIAL HOSPITAL 609701644 46 Iroquois DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 1 0 0 0 2036 0 0 0 0 235 0 0 0 1104 0 0 0 0 0 1 0 0 0 4252 0 0 0 0 255 0 0 0 2273 0 0 0 0 0 1 0 0 0 4252 0 0 0 0 558 0 0 0 2273 0 0 0 0 0 0 0 0 0 585903.76 0 0 0 0 449756.42 0 0 0 423913.28 0 0 0 0 0 1459573.46 971722.1 0 0 1101043621 1306800602 30 General Hospitals ST ANTHONYS MEMORIAL HOSPITAL 624012006 33 Effingham DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 5240 0 0 0 0 1043 0 0 0 3992 0 0 0 0 0 2 0 0 0 10131 0 0 0 0 1173 0 0 0 8935 0 0 0 0 0 2 0 0 0 10131 0 0 0 0 3182 0 0 0 9024 0 0 0 0 0 0 0 0 0 1488799.53 0 0 0 0 1695583.04 0 0 0 2020216.79 0 0 0 0 0 5204599.36 2339672.32 0 0 1101044005 1275709727 30 General Hospitals FRESENIUS MEDICAL CARE OF IL 613641308 58 La Salle DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3674.36 0 0 0 0 0 3674.36 0 0 0 1101045754 1295794485 30 General Hospitals SYCAMORE DIALYSIS 601783113 27 Dekalb DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 887 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19918.31 0 0 0 0 0 19918.31 0 0 0 1101048088 1346230323 30 General Hospitals SPRING VALLEY HOSPITAL MED CTR 891181859 829 Nevada NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1597.87 0 0 0 0 1289.62 0 0 0 0 0 0 0 0 0 2887.49 0 0 0 1101048875 1003885229 30 General Hospitals OLNEY DIALYSIS CENTER 624502109 88 Richland DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2287.19 0 0 0 0 0 2287.19 0 0 0 1101050054 1902817844 30 General Hospitals BOONE HOSPITAL CENTER 652015844 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1212.62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1212.62 0 0 0 1101050265 1881788933 30 General Hospitals BAXTER REGIONAL MEDICAL CENTER 726532915 804 Arkansas NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 269.8 0 0 0 0 0 0 0 0 209.88 0 0 0 0 0 479.68 0 0 0 1101051192 1821057027 30 General Hospitals TAYLORVILLE DIALYSIS 625681831 20 Christian DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 688 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22344.7 0 0 0 0 0 22344.7 0 0 0 1101051709 1497714414 30 General Hospitals LITTLE VILLAGE DIALYSIS 606083811 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1953 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29314.11 0 0 0 0 0 29314.11 0 0 0 1101052067 1184844938 30 General Hospitals MORRISON COMMUNITY HOSPITAL 612703042 106 Whiteside DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 487 0 0 0 0 15 0 0 0 169 0 0 0 0 0 0 0 0 0 699 0 0 0 0 16 0 0 0 302 0 0 0 0 0 0 0 0 0 700 0 0 0 0 28 0 0 0 302 0 0 0 0 0 0 0 0 0 425897.49 0 0 0 0 25739.28 0 0 0 142139.28 0 0 0 0 0 593776.05 38541.3 0 0 1101052999 1154329753 30 General Hospitals ABRAHAM LINCOLN MEMORIAL HOSP 626562671 62 Logan ARS-PD Hospitals paid a Per Diem rate. 1 0 General Hospital - Adults Section 0 2 0 0 0 940 0 0 0 0 133 0 0 0 492 0 0 0 0 0 6 0 0 0 1910 0 0 0 0 143 0 0 0 1043 0 0 0 0 0 6 0 0 0 1910 0 0 0 0 405 0 0 0 1425 0 0 0 0 0 387.95 0 0 0 471573.32 0 0 0 0 110535.99 0 0 0 364638.26 0 0 0 0 0 947135.52 811540.26 0 0 1101054385 1427069632 30 General Hospitals EDWARD HOSPITAL 605407430 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 PERINATAL LEVEL III CENTER 0 1 0 0 0 4146 0 0 0 0 869 0 0 1 2066 0 0 0 0 0 1 0 0 0 6045 0 0 0 0 987 0 0 1 4700 0 0 0 0 0 1 0 0 0 6048 0 0 0 0 4327 0 0 1 5419 0 0 0 0 0 0 0 0 0 942394.16 0 0 0 0 3622411.23 0 0 2188.41 837167.6 0 0 0 0 0 5404161.4 4086343.19 0 0 1101055385 1861494072 30 General Hospitals ST MARGARETS HEALTH 613621512 15 Bureau DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 2226 0 0 0 0 524 1 0 0 2025 0 0 0 0 0 7 0 0 0 3738 0 0 0 0 547 1 0 0 5628 0 0 0 0 0 7 0 0 0 3739 0 0 0 0 1378 1 0 0 5639 0 0 0 0 0 17.87 0 0 0 361867.14 0 0 0 0 788489.99 0 0 0 956491.56 0 0 0 0 0 2106866.56 918166.45 0 0 1101056183 1366436123 30 General Hospitals OUR LADY OF THE LAKE RMC 708084350 819 Louisiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 3 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 82.05 0 0 0 0 2483.51 0 0 0 0 0 0 0 0 0 2565.56 0 0 0 1101056203 1245559871 30 General Hospitals VHS WESTLAKE HOSPITAL INC 601604039 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 205 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 485 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 485 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3784.32 0 0 7013.67 0 0 0 0 0 10797.99 0 0 0 1101056525 1467461947 30 General Hospitals CENTRALIA DIALYSIS 628016731 66 Marion DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3774 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22260.96 0 0 0 0 0 22260.96 0 0 0 1101057388 1275583155 30 General Hospitals METHODIST MEDICAL CNTR 616360002 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 107 0 0 5250 0 0 0 0 1845 0 0 17 2600 0 0 0 0 0 2 120 0 0 8217 0 0 0 0 2052 0 0 17 5559 0 0 0 0 0 2 191 0 0 8262 0 0 0 0 8907 0 0 17 6181 0 0 0 0 0 9.96 10273.77 0 0 1297092.34 0 0 0 0 4245156.77 0 0 37309.26 1547449.96 0 0 0 0 0 7137292.06 12384243.52 0 0 1101057986 1770557431 32 Rehabilitation Hospitals THE REHAB INSTITUTE OF ST. LOU 631101111 826 Missouri REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 65 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 646 0 0 0 0 0 0 0 1106 0 0 0 0 0 0 0 0 0 0 7636.85 0 0 0 0 0 0 0 732583.41 0 0 0 0 0 0 0 0 0 740220.26 0 0 0 1101058141 1487760906 30 General Hospitals CAPE CORAL HOSPITAL 339902668 810 Florida NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 9 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 9 0 0 0 0 13 0 0 0 1 0 0 0 0 0 0 0 0 0 1417.19 0 0 0 0 0 0 0 0 282.62 0 0 0 0 0 1699.81 0 0 0 1101061968 1174511620 30 General Hospitals UNION COUNTY METHODIST HOSP 424376515 818 Kentucky NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 19 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 3255.82 0 0 0 0 0 0 0 0 86.86 0 0 0 0 0 3342.68 0 0 0 1101063219 1396850137 30 General Hospitals FRESENIUS MEDICAL CARE BLUE IS 604063507 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36971.57 0 0 0 0 0 36971.57 0 0 0 1101063262 1750423869 30 General Hospitals AFFILIATED HOME DIALYSIS LLC 615711756 98 Tazewell DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85818.3 0 0 0 0 0 85818.3 0 0 0 1101063496 1467560128 30 General Hospitals SOUTH SUBURBAN HOSPITAL 604292029 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 3508 0 0 0 0 1252 0 0 2 1815 0 0 0 0 0 4 0 0 0 4631 0 0 0 0 1518 0 0 2 3348 0 0 0 0 0 4 0 0 0 4637 0 0 0 0 6219 0 0 2 3399 0 0 0 0 0 36.58 0 0 0 655237.07 0 0 0 0 2164823.67 0 0 4281.01 360983.47 0 0 0 0 0 3185361.8 4238986.56 0 0 1101064205 1558666107 30 General Hospitals JERSEYVILLE DIALYSIS 620522344 50 Jersey DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1501 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69365.62 0 0 0 0 0 69365.62 0 0 0 1101064774 1518170877 30 General Hospitals ST ANTHONY HOSPITAL 606233501 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 6 0 0 3350 0 0 0 0 1202 0 0 0 2334 0 0 0 0 0 4 9 0 0 4348 0 0 0 0 1334 0 0 0 5496 0 0 0 0 0 9 102 0 0 4350 0 0 0 0 5745 0 0 0 5934 0 0 0 0 0 318.91 6343.47 0 0 862683.85 0 0 0 0 3674464.35 0 0 0 703739.83 0 0 0 0 0 5247550.41 12980897.2 0 0 1101065088 1356435341 30 General Hospitals FRANCISCAN ST ELIZABETH EAST 479054972 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 81 0 0 0 0 9 0 0 0 6 0 0 0 0 0 0 0 0 0 112 0 0 0 0 10 0 0 0 13 0 0 0 0 0 0 0 0 0 112 0 0 0 0 40 0 0 0 13 0 0 0 0 0 0 0 0 0 17250.99 0 0 0 0 19371.63 0 0 0 1022.53 0 0 0 0 0 37645.15 0 0 0 1101065334 1295789352 30 General Hospitals WINONA HEALTH SERVICES 559874868 824 Minnesota NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 1182.44 0 0 0 0 0 0 0 0 134.12 0 0 0 0 0 1316.56 0 0 0 1101065814 1578504056 30 General Hospitals ST JOHNS REGIONAL HEALTH CENT 658042203 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 1228.84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1228.84 0 0 0 1101066220 1255422416 30 General Hospitals FAIRFIELD MEM HOSPITAL 628371203 104 Wayne DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 2562 0 0 0 0 123 0 0 7 1410 0 0 0 0 0 3 0 0 0 4999 0 0 0 0 146 0 0 7 3257 0 0 0 0 0 3 0 0 0 4999 0 0 0 0 454 0 0 7 3296 0 0 0 0 0 0 0 0 0 659054.83 0 0 0 0 287337.5 0 0 10938.47 921081.3 0 0 0 0 0 1878412.1 974094.41 0 0 1101068085 1659654010 30 General Hospitals SPRINGFIELD SOUTH DIALYSIS 999999999 91 Sangamon DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1814 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26357.09 0 0 0 0 0 26357.09 0 0 0 1101069699 1902941628 30 General Hospitals ALEXIAN BROTHERS MED CTR 600073311 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 2531 0 0 0 0 1395 0 0 0 2485 0 0 0 0 0 0 0 0 0 3466 0 0 0 0 1527 0 0 0 4485 0 0 0 0 0 0 0 0 0 3468 0 0 0 0 6326 0 0 0 4559 0 0 0 0 0 0 0 0 0 473674.76 0 0 0 0 3300498.86 0 0 0 586713.63 0 0 0 0 0 4360887.25 0 0 0 1101069743 1205879095 32 Rehabilitation Hospitals SHIRLEY RYAN ABILITY LAB 606113167 200 Cook REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 0 2 1287 0 0 0 0 0 0 0 267 0 0 0 0 0 0 0 0 0 3 3911 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 3 7877 0 0 0 0 0 0 0 7221 0 0 0 0 0 0 0 0 0 53.49 123640.6 0 0 0 0 0 0 0 5888094.08 0 0 0 0 0 0 0 0 0 6011788.17 2979137.55 0 0 1101071043 1811006661 30 General Hospitals SOUTHEAST MISSOURI HOSPITAL 637015230 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 879 0 0 0 0 240 0 0 0 464 0 0 0 0 0 1 0 0 0 1464 0 0 0 0 283 0 0 0 930 0 0 0 0 0 1 0 0 0 1464 0 0 0 0 1118 0 0 0 930 0 0 0 0 0 0 0 0 0 204871.01 0 0 0 0 579855.69 0 0 0 218242.91 0 0 0 0 0 1002969.61 214961.28 0 0 1101071490 1437244027 30 General Hospitals RAI CARE CENTERS OF ILLINOIS 627042100 91 Sangamon DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4052 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28515.2 0 0 0 0 0 28515.2 0 0 0 1101072156 1821053216 30 General Hospitals ROCHELLE COMMUNITY HOSP 610681764 79 Ogle DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 2029 0 0 0 0 96 0 0 1 712 0 0 0 0 0 8 0 0 0 3619 0 0 0 0 109 0 0 1 1405 0 0 0 0 0 11 0 0 0 3619 0 0 0 0 295 0 0 1 1405 0 0 0 0 0 883.09 0 0 0 1200612.75 0 0 0 0 152487.97 0 0 1908.72 545266.3 0 0 0 0 0 1901158.83 475284.12 0 0 1101074153 1629328604 31 Psychiatric Hospitals GARFIELD PARK HOSPITAL 999999999 200 Cook 0 0 0 0 155 0 0 0 0 0 0 0 597 0 0 0 0 0 0 0 0 0 0 216 0 0 0 0 0 0 0 254 0 0 0 0 0 0 0 0 0 0 1438 0 0 0 0 0 0 0 2678 0 0 0 0 0 0 0 0 0 0 182549.79 0 0 0 0 0 0 0 3710843.44 0 0 0 0 0 0 0 0 0 3893393.23 0 0 296008.91 1101075609 1164464491 32 Rehabilitation Hospitals INST OF PHYSICAL MED AND REHAB 616142932 80 Peoria REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 791 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 791 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89654.98 0 0 0 0 0 89654.98 0 0 0 1101075616 31 Psychiatric Hospitals 845 Texas NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101076164 1740450121 30 General Hospitals HOUSTON NORTHWEST MEDICAL CTR 770903402 845 Texas ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 7 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 7 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 950.06 0 0 0 0 1934.43 0 0 0 281.25 0 0 0 0 0 3165.74 0 0 0 1101076305 1407801640 30 General Hospitals WEST ALLIS MEMORIAL HOSPITAL 532272409 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 544.13 0 0 0 0 1934.43 0 0 0 493.95 0 0 0 0 0 2972.51 0 0 0 1101076329 1346209590 30 General Hospitals LAKE VILLA DIALYSIS 600467332 57 Lake DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 552 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9363.59 0 0 0 0 0 9363.59 0 0 0 1101078707 1518911338 30 General Hospitals UNIVERSITY HOSPITAL 405360084 818 Kentucky NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 3 0 0 0 4 0 0 0 0 0 0 0 0 0 9 0 0 0 0 3 0 0 0 4 0 0 0 0 0 0 0 0 0 9 0 0 0 0 13 0 0 0 4 0 0 0 0 0 0 0 0 0 710.16 0 0 0 0 8382.54 0 0 0 280.2 0 0 0 0 0 9372.9 0 0 0 1101079465 1366407603 30 General Hospitals PARKVIEW HOSPITAL INC 468054638 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 4 0 0 0 1 0 0 0 0 0 0 0 0 0 9 0 0 0 0 4 0 0 0 1 0 0 0 0 0 0 0 0 0 9 0 0 0 0 31 0 0 0 1 0 0 0 0 0 0 0 0 0 3349.77 0 0 0 0 19989.17 0 0 0 213.21 0 0 0 0 0 23552.15 0 0 0 1101080091 1427147883 30 General Hospitals NEBRASKA METHODIST HOSPTIAL 681144108 828 Nebraska NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 578.18 0 0 0 0 0 0 0 0 633.35 0 0 0 0 0 1211.53 0 0 0 1101080760 1831132133 30 General Hospitals HACKLEY HOSPITAL 494433302 823 Michigan NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 9 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2601 0 0 0 0 1289.62 0 0 0 0 0 0 0 0 0 3890.62 0 0 0 1101082374 1184695611 30 General Hospitals RED BUD REGIONAL HOSPITAL 622781194 87 Randolph DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 1112 0 0 0 0 69 0 0 2 391 0 0 0 0 0 2 0 0 0 1863 0 0 0 0 79 0 0 2 654 0 0 0 0 0 2 0 0 0 1863 0 0 0 0 278 0 0 2 689 0 0 0 0 0 2419.84 0 0 0 555780.4 0 0 0 0 150176.73 0 0 7157.2 296665.19 0 0 0 0 0 1012199.36 241556.3 0 0 1101083140 1578522215 30 General Hospitals EMERALD DIALYSIS 606093435 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 569 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56381.56 0 0 0 0 0 56381.56 0 0 0 1101085957 1083668669 30 General Hospitals GRAND STRAND REGIONAL MED CTR 295724607 842 South Carolina NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1681.11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1681.11 0 0 0 1101086376 1538100862 30 General Hospitals FRESENIUS MEDICAL CARE CHICAGO 606081169 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4096 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26608.2 0 0 0 0 0 26608.2 0 0 0 1101086410 1851386692 30 General Hospitals PALOS COMMUNITY HOSPITAL 604631256 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 2595 0 0 0 0 699 0 0 0 765 0 0 0 0 0 1 0 0 0 3510 0 0 0 0 801 0 0 0 1415 0 0 0 0 0 4 0 0 0 3510 0 0 0 0 4000 0 0 0 1574 0 0 0 0 0 0 0 0 0 587337.57 0 0 0 0 1460472.63 0 0 0 120900.19 0 0 0 0 0 2168710.39 4099631.69 0 0 1101087797 1770531600 30 General Hospitals NORTHWEST COMMUNITY HOSPITAL 600052349 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 13 0 0 3443 0 0 0 0 1145 0 0 1 2100 0 0 0 0 0 2 37 0 0 5012 0 0 0 0 1330 0 0 1 4310 0 0 0 0 0 42 53 0 0 5012 0 0 0 0 6327 0 0 2 4351 0 0 0 0 0 630.08 4821.29 0 0 760845.19 0 0 0 0 4044190.5 0 0 1899.44 457414.95 0 0 0 0 0 5269801.45 6391545.05 0 0 1101089005 1053425124 30 General Hospitals CARLINVILLE AREA HOSPITAL 626261499 64 Macoupin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 1966 0 0 0 0 84 0 0 0 789 0 0 0 0 0 0 0 0 0 3398 0 0 0 0 102 0 0 0 1869 0 0 0 0 0 0 0 0 0 3398 0 0 0 0 291 0 0 0 1869 0 0 0 0 0 0 0 0 0 1286399.72 0 0 0 0 99048.21 0 0 0 818247.87 0 0 0 0 0 2203695.8 468978.92 0 0 1101089885 30 General Hospitals 809 District of Columbia NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101090263 1073688354 30 General Hospitals MIAMI VALLEY HOSPITAL 454092722 836 Ohio NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1145.53 0 0 0 0 0 0 0 0 91.05 0 0 0 0 0 1236.58 0 0 0 1101090628 1447221056 30 General Hospitals HUNTSVILLE HOSPITAL 358014421 801 Alabama NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 463.56 0 0 0 0 0 0 0 0 126.69 0 0 0 0 0 590.25 0 0 0 1101092839 1710092564 30 General Hospitals DIALYSIS CTRS OF AMERICA ILL 606451922 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3946 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54524.08 0 0 0 0 0 54524.08 0 0 0 1101093058 30 General Hospitals 831 New Jersey NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1297.42 0 0 0 0 0 0 0 0 0 1297.42 0 0 0 1101093155 1912014564 30 General Hospitals ADVOCATE NORTHSIDE 606575147 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 0 0 0 41 0 0 0 0 0 0 363 0 0 588 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 1119 0 0 1878 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 1119 0 0 1878 0 0 0 0 0 0 0 0 600.31 0 0 0 0 0 0 5780.85 0 0 307363.3 0 0 0 0 0 313744.46 0 0 0 1101093770 1629170824 30 General Hospitals ST CATHERINE HOSPITAL 463123049 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 198 0 0 0 0 31 0 0 0 30 0 0 0 0 0 0 0 0 0 277 0 0 0 0 33 0 0 0 48 0 0 0 0 0 0 0 0 0 277 0 0 0 0 131 0 0 0 48 0 0 0 0 0 0 0 0 0 40260.93 0 0 0 0 87812.39 0 0 0 5856.66 0 0 0 0 0 133929.98 0 0 0 1101093787 30 General Hospitals 821 Maryland NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 288.8 0 0 0 0 1297.42 0 0 0 143.9 0 0 0 0 0 1730.12 0 0 0 1101093962 1124292446 30 General Hospitals THE HEART HOSPITAL DEACONESS 476308947 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 37 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32271.75 0 0 0 121238.02 0 0 0 0 0 153509.77 0 0 0 1101096186 1760597504 30 General Hospitals AURORA DIALYSIS CENTER 605062462 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 381 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34562.4 0 0 0 0 0 34562.4 0 0 0 1101096786 1255317848 30 General Hospitals GREENE MEMORIAL HOSPITAL 453851619 836 Ohio NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2511.98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2511.98 0 0 0 1101097036 1780692087 30 General Hospitals GRAHAM HOSPITAL ASSOC 615202444 37 Fulton DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 3570 0 0 0 0 627 0 0 26 2214 0 0 0 0 0 3 0 0 0 6570 0 0 0 0 701 0 0 26 4954 0 0 0 0 0 4 0 0 0 6570 0 0 0 0 2077 0 0 26 4954 0 0 0 0 0 0 0 0 0 775972.69 0 0 0 0 1311297.42 0 0 53207.97 1098520.72 0 0 0 0 0 3238998.8 1894158.64 0 0 1101097582 1578648028 30 General Hospitals KINDRED HOSPITAL SYCAMORE 601782137 27 Dekalb ARS-LS Long-term stay hospitals paid under an ARS 0 0 LTAC Special Qualification 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3426 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3066827.11 0 0 0 0 0 0 0 0 0 3066827.11 517802.65 0 0 1101098861 30 General Hospitals 807 Connecticut NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101099799 1083696835 30 General Hospitals ST JOHNS HOSPITAL 627690002 91 Sangamon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 3 4 0 0 3993 0 0 0 0 2674 0 0 0 3378 0 0 0 0 0 3 15 0 0 7139 0 0 0 0 3082 0 0 0 6215 0 0 0 0 0 8 29 0 0 7139 0 0 0 0 16137 0 0 0 6659 0 0 0 0 0 0 0 0 0 1278251.15 0 0 0 0 11775482.42 0 0 0 2929867.24 0 0 0 0 0 15983600.81 7728834.3 0 0 1101100565 1043280936 31 Psychiatric Hospitals HARTGROVE HOSPITAL 606441467 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 1 775 0 0 0 0 0 0 0 591 0 0 0 0 0 0 0 0 0 1 3024 0 0 0 0 0 0 0 674 0 0 0 0 0 0 0 0 0 5 6521 0 0 0 0 0 0 0 10589 0 0 0 0 0 0 0 0 0 1128.24 605502.79 0 0 0 0 0 0 0 8160503.42 0 0 0 0 0 0 0 0 0 8767134.45 3256801.38 0 0 1101100943 1417043977 30 General Hospitals RUSH UNIVERSITY MEDICAL CENTER 606123839 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 16 344 0 0 5081 0 0 0 0 2773 0 0 1 7760 0 0 0 0 0 29 979 0 0 7632 0 0 0 0 3432 0 0 1 34237 0 0 0 0 0 40 1054 0 0 7667 0 0 0 0 19149 0 0 1 35751 0 0 0 0 0 2908.95 70635.34 0 0 1079879.68 0 0 0 0 14809923.96 0 0 1198.16 3198537.86 0 0 0 0 0 19163083.95 17623025.53 0 0 1101103016 1982780094 30 General Hospitals BELOIT HEALTH SYSTEM 535112230 20 Christian DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 135 0 0 0 0 5 0 0 0 19 0 0 0 0 0 0 0 0 0 174 0 0 0 0 5 0 0 0 21 0 0 0 0 0 0 0 0 0 174 0 0 0 0 14 0 0 0 21 0 0 0 0 0 0 0 0 0 31040.44 0 0 0 0 9785.26 0 0 0 3238.89 0 0 0 0 0 44064.59 0 0 0 1101103382 1922013895 30 General Hospitals FRESENIUS MEDICAL CARE OF WEST 601545635 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29762.09 0 0 0 0 0 29762.09 0 0 0 1101104920 1457319154 30 General Hospitals ST JOSEPHS HOSPITAL 622300099 23 Clinton DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 614 0 0 0 0 224 0 0 0 841 0 0 0 0 0 1 0 0 0 813 0 0 0 0 239 0 0 0 1671 0 0 0 0 0 1 0 0 0 813 0 0 0 0 668 0 0 0 1829 0 0 0 0 0 8.51 0 0 0 121073.05 0 0 0 0 239273.28 0 0 0 235270.78 0 0 0 0 0 595625.62 809953.61 0 0 1101104923 1215901970 32 Rehabilitation Hospitals VAN MATRE HEALTHSOUTH REHAB 611084274 109 Winnebago REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 22 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 0 229 0 0 0 0 0 0 0 1307 0 0 0 0 0 0 0 0 0 0 3485.28 0 0 0 0 0 0 0 957406.98 0 0 0 0 0 0 0 0 0 960892.26 217930.02 0 0 1101106325 1639120694 30 General Hospitals VISTA MEDICAL CENTER EAST 600852161 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 10 0 0 0 6688 0 0 0 0 1701 0 0 2 2623 0 0 0 0 0 13 0 0 0 9388 0 0 0 0 1954 0 0 2 4325 0 0 0 0 0 21 0 0 0 9397 0 0 0 0 7823 0 0 2 4471 0 0 0 0 0 187.05 0 0 0 1330167.85 0 0 0 0 4655994.01 0 0 3029.3 548725.25 0 0 0 0 0 6538103.46 8317663.22 0 0 1101106431 1396704508 30 General Hospitals TRC CHILDRENS DIALYSIS CENTER 606142301 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1963 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104919.04 0 0 0 0 0 104919.04 0 0 0 1101107399 30 General Hospitals 91 Sangamon ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101108920 1093740128 30 General Hospitals L E COX MEDICAL CENTER 658021917 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 14 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 16 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 16 0 0 0 0 4 0 0 0 2 0 0 0 0 0 0 0 0 0 1182.72 0 0 0 0 644.81 0 0 0 9.95 0 0 0 0 0 1837.48 0 0 0 1101109455 30 General Hospitals 813 Idaho ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 312.21 0 0 0 0 3224.06 0 0 0 0 0 0 0 0 0 3536.27 0 0 0 1101110006 1619910460 31 Psychiatric Hospitals NAPERVILLE PSYCH VENTURES 605407430 30 DuPage PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 176 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 377 0 0 0 0 0 0 0 203 0 0 0 0 0 0 0 0 0 0 2276 0 0 0 0 0 0 0 2054 0 0 0 0 0 0 0 0 0 0 198669.97 0 0 0 0 0 0 0 368320.73 0 0 0 0 0 0 0 0 0 566990.7 272234.1 0 0 1101110715 1891966065 31 Psychiatric Hospitals HARSHA BEHAVIORAL CENTER INC 478024937 815 Indiana PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1705 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1709234.39 0 0 0 0 0 0 0 0 0 1709234.39 0 0 0 1101113722 1851363154 30 General Hospitals CROSSROADS COMM HOSPITAL 628646224 49 Jefferson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 3582 0 0 0 0 188 0 0 24 1201 0 0 0 0 0 1 0 0 0 7078 0 0 0 0 212 0 0 24 2079 0 0 0 0 0 1 0 0 0 7082 0 0 0 0 587 0 0 24 2079 0 0 0 0 0 0 0 0 0 1009404.75 0 0 0 0 671417.17 0 0 46409.88 713358.86 0 0 0 0 0 2440590.66 988744.49 0 0 1101116647 1679502322 30 General Hospitals PARIS COMMUNITY HOSPITAL 619442420 31 Edgar DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 2315 0 0 0 0 122 0 0 2 1320 0 0 0 0 0 2 0 0 0 4452 0 0 0 0 153 0 0 2 3112 0 0 0 0 0 2 0 0 0 4452 0 0 0 0 387 0 0 2 3112 0 0 0 0 0 430.82 0 0 0 1324187.9 0 0 0 0 259400.22 0 0 7111.24 1952468.67 0 0 0 0 0 3543598.85 569225.55 0 0 1101116980 1285689794 30 General Hospitals GATEWAY MEDICAL CENTER 370405015 844 Tennessee NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 28 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 33 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 33 0 0 0 0 7 0 0 0 2 0 0 0 0 0 0 0 0 0 9871.27 0 0 0 0 4513.68 0 0 0 260.26 0 0 0 0 0 14645.21 0 0 0 1101117546 1215151154 30 General Hospitals PORTER REGIONAL HOSPITAL 463838947 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 58 0 0 0 0 6 0 0 0 3 0 0 0 0 0 0 0 0 0 93 0 0 0 0 7 0 0 0 18 0 0 0 0 0 0 0 0 0 93 0 0 0 0 25 0 0 0 20 0 0 0 0 0 0 0 0 0 18475.75 0 0 0 0 4513.67 0 0 0 3364 0 0 0 0 0 26353.42 0 0 0 1101117782 1568492916 30 General Hospitals IU HEALTH NORTH HOSPITAL INC 999999999 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 3 0 0 0 0 1 0 0 0 3 0 0 0 0 0 0 0 0 0 4 0 0 0 0 1 0 0 0 3 0 0 0 0 0 0 0 0 0 4 0 0 0 0 2 0 0 0 3 0 0 0 0 0 0 0 0 0 1266.49 0 0 0 0 1297.42 0 0 0 579.37 0 0 0 0 0 3143.28 0 0 0 1101117906 1730488214 30 General Hospitals GRAND CROSSING DIALYSIS 606191909 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73358.09 0 0 0 0 0 73358.09 0 0 0 1101119112 1013969112 30 General Hospitals SARAH D CULBERTSON MEM 626811410 92 Schuyler DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 4 0 0 0 1323 0 0 0 0 27 0 0 0 800 0 0 0 0 0 6 0 0 0 2143 0 0 0 0 30 0 0 0 1591 0 0 0 0 0 6 0 0 0 2143 0 0 0 0 121 0 0 0 1591 0 0 0 0 0 42.6 0 0 0 440689.8 0 0 0 0 10156 0 0 0 263794.23 0 0 0 0 0 714682.63 483598.98 0 0 1101119620 1821099441 30 General Hospitals MARSHALL BROWNING HOSPITAL 628320192 81 Perry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 1603 0 0 0 0 79 0 0 1 753 0 0 0 0 0 0 0 0 0 2826 0 0 0 0 95 0 0 1 2045 0 0 0 0 0 0 0 0 0 2832 0 0 0 0 299 0 0 1 2371 0 0 0 0 0 0 0 0 0 755421.22 0 0 0 0 150460.63 0 0 3648.16 654006.53 0 0 0 0 0 1563536.54 675955.94 0 0 1101120825 1104931948 30 General Hospitals FRESENIUS MEDICAL CARE NORTH A 601601516 803 Arizona DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 274 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5783.35 0 0 0 0 0 5783.35 0 0 0 1101122540 1265547004 30 General Hospitals BMA RANDOLPH COUNTY 622331470 87 Randolph NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1033 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101122793 1205941044 30 General Hospitals CHICAGO KIDNEY CENTER 606073026 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1985 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6617.66 0 0 0 0 0 6617.66 0 0 0 1101123332 1811984388 30 General Hospitals MIDWESTERN REGIONAL MED CTR 600992676 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 99 0 0 0 0 2 0 0 0 39 0 0 0 0 0 0 0 0 0 121 0 0 0 0 2 0 0 0 135 0 0 0 0 0 0 0 0 0 121 0 0 0 0 6 0 0 0 149 0 0 0 0 0 0 0 0 0 10987.43 0 0 0 0 825.19 0 0 0 8972.9 0 0 0 0 0 20785.52 1274035.67 0 0 1101124257 1255446001 30 General Hospitals RCGCI KEWANNE 614433685 45 Henry DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 1 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 1226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3930.1 0 0 0 0 0 3930.1 0 0 0 1101124530 1639264575 30 General Hospitals ERLANGER MEDICAL CENTER 374032112 844 Tennessee NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 4 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 4 0 0 0 0 12 0 0 0 1 0 0 0 0 0 0 0 0 0 940.25 0 0 0 0 7737.74 0 0 0 0 0 0 0 0 0 8677.99 0 0 0 1101124568 1265493720 30 General Hospitals CRAWFORD MEMORIAL HOSPITAL 624541167 25 Crawford DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 1 0 0 0 2233 0 0 0 0 297 0 0 0 1295 0 0 0 0 0 1 0 0 0 4502 0 0 0 0 328 0 0 0 2957 0 0 0 0 0 5 0 0 0 4504 0 0 0 0 748 0 0 0 3197 0 0 0 0 0 288.8 0 0 0 1049682.88 0 0 0 0 431816.78 0 0 0 1389783.33 0 0 0 0 0 2871571.79 1064102.69 0 0 1101126013 1396714663 30 General Hospitals BETHESDA HOSPITALS INC 452424402 836 Ohio ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1509.87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1509.87 0 0 0 1101127859 1134168263 30 General Hospitals GREAT RIVER MEDICAL CENTER 526551679 816 Iowa DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 362 0 0 0 0 17 0 0 0 54 0 0 0 0 0 0 0 0 0 655 0 0 0 0 20 0 0 0 107 0 0 0 0 0 0 0 0 0 655 0 0 0 0 73 0 0 0 107 0 0 0 0 0 0 0 0 0 129619.17 0 0 0 0 59306.83 0 0 0 26400.21 0 0 0 0 0 215326.21 0 0 0 1101128078 1710093646 30 General Hospitals FRESENIUS MEDICAL CARE SOUTHWE 620025067 845 Texas ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 268 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3410 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37794.83 0 0 0 0 0 37794.83 0 0 0 1101128656 1811991227 30 General Hospitals HALIFAX HOSPITAL MEDICAL CTR 321142709 810 Florida NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 3370.35 0 0 0 0 9027.36 0 0 0 0 0 0 0 0 0 12397.71 0 0 0 1101128846 1760472799 30 General Hospitals MANATEE MEMORIAL HOSPITAL 342081042 810 Florida ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 11 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 1409.8 0 0 0 0 0 0 0 0 104.2 0 0 0 0 0 1514 0 0 0 1101129386 30 General Hospitals 74 Mercer DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101129906 1528005600 30 General Hospitals TERRE HAUTE REGIONAL HOSPITAL 478025709 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 194 0 0 0 0 50 0 0 0 27 0 0 0 0 0 0 0 0 0 256 0 0 0 0 56 0 0 0 37 0 0 0 0 0 0 0 0 0 260 0 0 0 0 309 0 0 0 37 0 0 0 0 0 0 0 0 0 48786.09 0 0 0 0 112901.33 0 0 0 11331.94 0 0 0 0 0 173019.36 0 0 0 1101130560 1760761316 30 General Hospitals FRESENIUS MEDICAL CARE OF IL 999999999 57 Lake DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 676 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5317.5 0 0 0 0 0 5317.5 0 0 0 1101133062 1376529743 30 General Hospitals MORTON F PLANT HOSPITAL 337563804 810 Florida NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 720.96 0 0 0 0 7092.92 0 0 0 0 0 0 0 0 0 7813.88 0 0 0 1101134296 1609803113 30 General Hospitals OSF SAINT PAUL MEDICAL CENTER 613429216 58 La Salle DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 0 0 0 57 0 0 0 0 0 0 841 0 0 297 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 4812 0 0 1469 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 4812 0 0 1469 0 0 0 0 0 0 0 0 735.74 0 0 0 0 0 0 39361.5 0 0 172791.25 0 0 0 0 0 212888.49 0 0 0 1101134759 1558479212 30 General Hospitals TRINITY HOSPITAL 606173909 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 3585 0 0 0 0 1412 0 0 2 1811 0 0 0 0 0 1 0 0 0 4843 0 0 0 0 1708 0 0 2 2729 0 0 0 0 0 1 0 0 0 4850 0 0 0 0 6914 0 0 2 2730 0 0 0 0 0 0 0 0 0 710144.67 0 0 0 0 2934613.56 0 0 3541.62 264511.07 0 0 0 0 0 3912810.92 9358092.15 0 0 1101134830 1326289646 30 General Hospitals BIG OAKS DIALYSIS 607144019 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 451 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19540.48 0 0 0 0 0 19540.48 0 0 0 1101134858 1982719738 30 General Hospitals RCGCI DECATUR 625215005 63 Macon DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1604 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 638.15 0 0 0 0 0 638.15 0 0 0 1101135946 1528173374 30 General Hospitals RCG CENTRAL ILLINOIS-PEKIN 615549300 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5596.8 0 0 0 0 0 5596.8 0 0 0 1101136220 1518276955 30 General Hospitals STONECREST DIALYSIS 611042228 109 Winnebago DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1544 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39420.14 0 0 0 0 0 39420.14 0 0 0 1101137995 30 General Hospitals 846 Utah ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 81.47 0 0 0 0 5803.3 0 0 0 0 0 0 0 0 0 5884.77 0 0 0 1101138353 1922196138 30 General Hospitals LARABIDA CLINIC 606491003 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 1 Direct Access 0 183 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 377 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 377 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 754 0 0 0 0 0 0 0 0 0 32.37 0 0 0 0 0 0 0 0 786.37 0 0 0 1101139311 1376656538 30 General Hospitals SHRINERS HOSPITALS FOR CHILDRE 607073351 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Children's Hospital 0 0 0 0 0 0 0 0 0 0 57 0 0 0 129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 724637.57 0 0 0 108413.32 0 0 0 0 0 833050.89 645686.03 0 0 1101139371 1568431864 30 General Hospitals FREEPORT DIALYSIS 610326914 97 Stephenson DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1006 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47382.29 0 0 0 0 0 47382.29 0 0 0 1101140325 1205850690 30 General Hospitals HSHS HOLY FAMILY HOSPITAL 622461154 12 Bond DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 164 0 0 0 0 0 0 1191 0 0 332 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 7615 0 0 1448 0 0 0 0 0 0 0 0 251 0 0 0 0 0 0 7615 0 0 1448 0 0 0 0 0 0 0 0 1036.6 0 0 0 0 0 0 65596.95 0 0 129631.94 0 0 0 0 0 196265.49 843370.35 0 0 1101140613 1033397138 31 Psychiatric Hospitals LINCOLN PRAIRIE BEHAVIORAL HC 627035128 91 Sangamon PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 302 0 0 0 0 0 0 0 985 0 0 0 0 0 0 0 0 0 0 1548 0 0 0 0 0 0 0 1186 0 0 0 0 0 0 0 0 0 0 3463 0 0 0 0 0 0 0 16943 0 0 0 0 0 0 0 0 0 0 301054.3 0 0 0 0 0 0 0 21892775.73 0 0 0 0 0 0 0 0 0 22193830.03 206079.63 0 0 1101141161 1477572949 30 General Hospitals GLENOAKS HOSPITAL 601391405 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 1882 0 0 0 0 756 0 0 3 701 0 0 0 0 0 0 0 0 0 2723 0 0 0 0 853 0 0 3 1077 0 0 0 0 0 0 0 0 0 2810 0 0 0 0 3953 0 0 3 1226 0 0 0 0 0 0 0 0 0 423927.05 0 0 0 0 1783515.65 0 0 6922.89 209522.29 0 0 0 0 0 2423887.88 0 0 0 1101141635 1588779326 30 General Hospitals BOLINGBROOK DIALYSIS CENTER 604405894 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93269.88 0 0 0 0 0 93269.88 0 0 0 1101142093 1720059520 30 General Hospitals GATEWAY REGIONAL MEDICAL CTR 620404701 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 2867 0 0 0 0 1404 0 0 2 1318 0 0 0 0 0 0 0 0 0 4426 0 0 0 0 1656 0 0 2 2290 0 0 0 0 0 0 0 0 0 4428 0 0 0 0 8767 0 0 2 2581 0 0 0 0 0 0 0 0 0 705998.45 0 0 0 0 4294148.04 0 0 5414.21 288255.24 0 0 0 0 0 5293815.94 10373848.35 0 0 1101142354 1134489917 30 General Hospitals RENAL CENTER WEST JOLIET 999999999 107 Will DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2049 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35748.43 0 0 0 0 0 35748.43 0 0 0 1101143032 1295710580 30 General Hospitals MACNEAL HOSPITAL 604023429 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 46 0 0 5936 0 0 0 0 2024 0 0 4 2748 0 0 0 0 0 8 67 0 0 8357 0 0 0 0 2307 0 0 4 5467 0 0 0 0 0 15 447 0 0 8357 0 0 0 0 10101 0 0 4 5594 0 0 0 0 0 48.37 40902.15 0 0 1003343.58 0 0 0 0 5050078.81 0 0 6835.32 515514.91 0 0 0 0 0 6616723.14 2804580.71 0 0 1101143648 1114986155 30 General Hospitals TOTAL RENAL CARE INC 604432354 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2549 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59873.68 0 0 0 0 0 59873.68 0 0 0 1101144544 1255648267 30 General Hospitals METROPOLIS DIALYSIS SERVICES 629602462 69 Massac DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1631 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63621.62 0 0 0 0 0 63621.62 0 0 0 1101145737 1639320195 30 General Hospitals FRESENIUS MEDICAL CARE MACOMB 614553313 70 McDonough DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 544 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21823.92 0 0 0 0 0 21823.92 0 0 0 1101145745 1306086103 30 General Hospitals ROBINSON DIALYSIS 624541100 25 Crawford DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7026.27 0 0 0 0 0 7026.27 0 0 0 1101145874 1710070701 31 Psychiatric Hospitals RIVEREDGE HOSPITAL 601302500 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 674 0 0 0 0 0 0 0 584 0 0 0 0 0 0 0 0 0 0 2032 0 0 0 0 0 0 0 697 0 0 0 0 0 0 0 0 0 0 4474 0 0 0 0 0 0 0 9026 0 0 0 0 0 0 0 0 0 0 381323.19 0 0 0 0 0 0 0 4443862.79 0 0 0 0 0 0 0 0 0 4825185.98 3814358.3 0 0 1101146050 1033132220 30 General Hospitals BARNES JEWISH HOSPITAL 631101621 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 4 0 0 1011 0 0 0 0 1314 0 0 4 3043 0 0 0 0 0 3 5 0 0 1316 0 0 0 0 1611 0 0 4 6925 0 0 0 0 0 3 5 0 0 1316 0 0 0 0 10083 0 0 5 7017 0 0 0 0 0 25.89 0 0 0 192689.19 0 0 0 0 14270314.96 0 0 7526.21 1912925.47 0 0 0 0 0 16383481.72 0 0 0 1101146541 1588758239 30 General Hospitals RAI LINCOLN HIGHWAY 622691994 844 Tennessee DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1346.87 0 0 0 0 0 1346.87 0 0 0 1101148054 1487759858 30 General Hospitals TRINITY REGIONAL HOSPITAL 505015740 816 Iowa ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1982.06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1982.06 0 0 0 1101148585 1689646523 30 General Hospitals PINCKNEYVILLE COMMUNITY HOSP 622741034 81 Perry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 1 0 0 0 852 0 0 0 0 45 0 0 0 523 0 0 0 0 0 1 0 0 0 1327 0 0 0 0 50 0 0 0 1319 0 0 0 0 0 1 0 0 0 1327 0 0 0 0 163 0 0 0 1319 0 0 0 0 0 0 0 0 0 562884.02 0 0 0 0 50050.48 0 0 0 639209.37 0 0 0 0 0 1252143.87 168755.46 0 0 1101148841 30 General Hospitals 100 Vermilion DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101150923 1043260482 30 General Hospitals SAINT FRANCIS MEDICAL CENTER 616370001 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 11 823 0 0 4983 0 0 0 0 3642 0 0 0 6656 0 0 0 0 0 12 2359 0 0 7761 0 0 0 0 4615 0 0 0 14897 0 0 0 0 0 39 2541 0 0 7761 0 0 0 0 24048 0 0 0 15262 0 0 0 0 0 70.83 149104.32 0 0 1577401.57 0 0 0 0 22349354.43 0 0 0 4823731.62 0 0 0 0 0 28899662.77 27161815.54 0 0 1101151013 1710939533 30 General Hospitals MOUNDVIEW MEMORIAL HOSPITAL 539340040 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 722.86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 722.86 0 0 0 1101151042 1528143088 30 General Hospitals KINDRED CHICAGO CENTRAL HOSP 606414799 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 LTAC Special Qualification 0 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 183 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6475 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4836803.9 0 0 0 0 0 0 0 0 0 4836803.9 161819.58 0 0 1101151394 1538108824 30 General Hospitals GENESIS MEDICAL CENTER 528032459 816 Iowa DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 1 0 0 398 0 0 0 0 138 0 0 0 246 0 0 0 0 0 0 1 0 0 597 0 0 0 0 145 0 0 0 410 0 0 0 0 0 0 1 0 0 597 0 0 0 0 615 0 0 0 572 0 0 0 0 0 0 0 0 0 68375.17 0 0 0 0 511705.01 0 0 0 100560.94 0 0 0 0 0 680641.12 0 0 0 1101152092 1518072362 30 General Hospitals RCG CENTRAL ILLINOIS-PONTIAC 617641624 61 Livingston DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1033 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10402.61 0 0 0 0 0 10402.61 0 0 0 1101152762 1306938071 30 General Hospitals FLORIDA HOSPITAL 328031248 810 Florida ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 62 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 77 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 13774.45 0 0 0 0 4512.58 0 0 0 0 0 0 0 0 0 18287.03 0 0 0 1101152972 1487637591 30 General Hospitals ST JOHNS CHILDRENS HOSPITAL 627690002 91 Sangamon CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Perinatal Level II Center 0 0 0 0 0 1737 0 0 0 0 679 0 0 0 1489 0 0 0 0 0 0 0 0 0 2451 0 0 0 0 834 0 0 0 1981 0 0 0 0 0 0 0 0 0 2451 0 0 0 0 5916 0 0 0 1982 0 0 0 0 0 0 0 0 0 476439.95 0 0 0 0 11291016.76 0 0 0 1196479.07 0 0 0 0 0 12963935.78 6953570.37 0 0 1101153852 1063443455 30 General Hospitals IU HEALTH WEST HOSPITAL INC 999999999 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 7 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 7 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 1293.83 0 0 0 0 1289.62 0 0 0 261.2 0 0 0 0 0 2844.65 0 0 0 1101153865 1548280225 30 General Hospitals MERITER HOSPITAL INC 537151507 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 19 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 21 0 0 0 0 2 0 0 0 3 0 0 0 0 0 0 0 0 0 21 0 0 0 0 4 0 0 0 3 0 0 0 0 0 0 0 0 0 3428.21 0 0 0 0 2583.14 0 0 0 596.88 0 0 0 0 0 6608.23 0 0 0 1101154763 1154586428 30 General Hospitals EDWARDSVILLE DIALYSIS 620252108 65 Madison DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 506 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6824.49 0 0 0 0 0 6824.49 0 0 0 1101154901 1922043744 30 General Hospitals UNIVERSITY OF WISCONSIN HOSP 537920001 852 Wisconsin DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 52 0 0 0 0 190 0 0 0 477 0 0 0 0 0 0 0 0 0 65 0 0 0 0 214 0 0 0 881 0 0 0 0 0 0 0 0 0 65 0 0 0 0 1278 0 0 0 883 0 0 0 0 0 0 0 0 0 23582 0 0 0 0 2304800.05 0 0 0 460012.71 0 0 0 0 0 2788394.76 0 0 0 1101154950 1346297843 30 General Hospitals CHILDRENS HOSPITAL AND MED CTR 681144108 828 Nebraska ARS-LS Long-term stay hospitals paid under an ARS 0 0 Children's Hospital 0 0 0 0 0 6 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 788.99 0 0 0 0 0 0 0 0 703.38 0 0 0 0 0 1492.37 0 0 0 1101155060 30 General Hospitals 40 Grundy DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6774.81 0 0 0 0 0 6774.81 0 0 0 1101155331 1497861330 30 General Hospitals PASSAVANT AREA CHILDRENS HOSP 626501136 77 Morgan CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 2528 0 0 0 0 55 0 0 0 415 0 0 0 0 0 0 0 0 0 4429 0 0 0 0 58 0 0 0 477 0 0 0 0 0 0 0 0 0 4429 0 0 0 0 142 0 0 0 477 0 0 0 0 0 0 0 0 0 500327.45 0 0 0 0 145059.71 0 0 0 208923.21 0 0 0 0 0 854310.37 846131.65 0 0 1101155597 1982664124 30 General Hospitals MERCY HOSPITAL 522452633 816 Iowa NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2359.63 0 0 0 0 0 0 0 0 394.96 0 0 0 0 0 2754.59 0 0 0 1101155911 30 General Hospitals 110 Woodford DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101156557 1184709057 30 General Hospitals ORLANDO REGIONAL MEDICAL CENTE 328061110 810 Florida ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 28 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 34 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 34 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 5056.86 0 0 0 0 1289.62 0 0 0 303.92 0 0 0 0 0 6650.4 0 0 0 1101157139 1770568123 30 General Hospitals LOUIS A WEISS MEMORIAL HOSP 606405759 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 2735 0 0 0 0 1049 0 0 0 2122 0 0 0 0 0 8 0 0 0 4199 0 0 0 0 1298 0 0 0 6981 0 0 0 0 0 12 0 0 0 4199 0 0 0 0 6723 0 0 0 7009 0 0 0 0 0 100.73 0 0 0 341204.97 0 0 0 0 3452402.59 0 0 0 380561.49 0 0 0 0 0 4174269.78 5120625.71 0 0 1101158968 30 General Hospitals 851 West Virginia ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 265.12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 265.12 0 0 0 1101159627 1962425611 30 General Hospitals HOLY CROSS HOSPITAL 606291813 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 0 0 0 3733 0 0 0 0 1625 0 0 0 1156 0 0 0 0 0 9 0 0 0 5149 0 0 0 0 2189 0 0 0 1916 0 0 0 0 0 25 0 0 0 5781 0 0 0 0 10361 0 0 0 2009 0 0 0 0 0 2476.33 0 0 0 937246.34 0 0 0 0 3165009.35 0 0 0 155556.5 0 0 0 0 0 4260288.52 11407834.11 0 0 1101161718 1093801797 30 General Hospitals MEMORIAL HOSP CARBONDALE 629011462 47 Jackson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 0 0 0 8005 0 0 0 0 3901 0 0 47 6634 0 0 0 0 0 5 0 0 0 13850 0 0 0 0 4510 0 0 47 13229 0 0 0 0 0 16 0 0 0 13924 0 0 0 0 13484 0 0 47 14816 0 0 0 0 0 1576.31 0 0 0 3556138.77 0 0 0 0 11513249.13 0 0 108561.92 7353514.66 0 0 0 0 0 22533040.79 5652694.13 0 0 1101161806 1942534375 30 General Hospitals PITTSFIELD DIALYSIS 623631350 83 Pike DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 524 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 263 0 0 0 0 0 263 0 0 0 1101162125 1962424036 30 General Hospitals ADVOCATE BROMENN MEDICAL CTR 617613558 72 McLean DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Hospital childrens mental health 0 1 0 0 0 2563 0 0 0 0 988 0 0 10 1102 0 0 0 0 0 1 0 0 0 4010 0 0 0 0 1058 0 0 10 2164 0 0 0 0 0 1 0 0 0 4023 0 0 0 0 3800 0 0 10 2217 0 0 0 0 0 0 0 0 0 513128.44 0 0 0 0 1399778.16 0 0 14611.25 420041.13 0 0 0 0 0 2347558.98 4242961.79 0 0 1101163593 1558346007 30 General Hospitals GIBSON GENERAL HOSPITAL 476701043 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 196 0 0 0 0 1 0 0 0 8 0 0 0 0 0 0 0 0 0 299 0 0 0 0 1 0 0 0 8 0 0 0 0 0 0 0 0 0 299 0 0 0 0 2 0 0 0 8 0 0 0 0 0 0 0 0 0 31135.79 0 0 0 0 1289.62 0 0 0 1444.72 0 0 0 0 0 33870.13 0 0 0 1101164401 1376771972 30 General Hospitals YORKVILLE DIALYSIS CENTER LLC 605605600 55 Kendall DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1308 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60245.16 0 0 0 0 0 60245.16 0 0 0 1101165464 1770610073 30 General Hospitals RICHLAND MEMORIAL HOSPITAL 624502553 88 Richland DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 2623 0 0 0 0 776 0 0 13 2101 0 0 0 0 0 5 0 0 0 4463 0 0 0 0 847 0 0 13 4473 0 0 0 0 0 11 0 0 0 4463 0 0 0 0 2607 0 0 13 4473 0 0 0 0 0 42.07 0 0 0 599213.01 0 0 0 0 1212745.45 0 0 22373.31 828987.61 0 0 0 0 0 2663361.45 1614255.57 0 0 1101166175 1083624647 30 General Hospitals SCOTLAND COUNTY MEMORIAL 635551726 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1255.44 0 0 0 0 0 0 0 0 203.34 0 0 0 0 0 1458.78 0 0 0 1101166360 1427001445 30 General Hospitals MERCY HARVARD HOSPITAL INC 600331821 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 385 0 0 0 0 16 0 0 0 235 0 0 0 0 0 1 0 0 0 593 0 0 0 0 17 0 0 0 340 0 0 0 0 0 1 0 0 0 593 0 0 0 0 42 0 0 0 340 0 0 0 0 0 524.11 0 0 0 201009.04 0 0 0 0 14357.78 0 0 0 171631.56 0 0 0 0 0 387522.49 179239.6 0 0 1101167537 1750696290 30 General Hospitals FRESENIUS MEDICAL CARE JOLIET 999999999 107 Will DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25727.45 0 0 0 0 0 25727.45 0 0 0 1101168013 1972619815 30 General Hospitals PASSAVANT AREA HOSPITAL 626501136 77 Morgan DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 2 0 0 0 4425 0 0 0 0 1027 0 0 28 2779 0 0 0 0 0 4 0 0 0 9831 0 0 0 0 1159 0 0 28 6730 0 0 0 0 0 4 0 0 0 9831 0 0 0 0 3373 0 0 28 6730 0 0 0 0 0 16.29 0 0 0 1475763.89 0 0 0 0 1655656.46 0 0 61262.83 1427882.91 0 0 0 0 0 4620582.38 1552747.09 0 0 1101168113 1407889652 30 General Hospitals LA GRANGE MEMORIAL HOSPITAL 605252600 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 1 0 0 0 0 0 0 127 0 0 47 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 458 0 0 165 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 458 0 0 165 0 0 0 0 0 0 0 0 5.77 0 0 0 0 0 0 2334.35 0 0 12125.11 0 0 0 0 0 14465.23 0 0 0 1101168375 1306844519 30 General Hospitals UNION HOSPITAL CLINTON 478422261 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 46 0 0 0 0 1 0 0 0 6 0 0 0 0 0 0 0 0 0 56 0 0 0 0 1 0 0 0 8 0 0 0 0 0 0 0 0 0 56 0 0 0 0 5 0 0 0 8 0 0 0 0 0 0 0 0 0 8353.38 0 0 0 0 3224.06 0 0 0 1809.16 0 0 0 0 0 13386.6 0 0 0 1101169114 1750346359 30 General Hospitals HARDIN MEMORIAL HOSPITAL 427012503 818 Kentucky NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 729.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 729.66 0 0 0 1101169198 1124110820 30 General Hospitals TRINITY QC TERRACE PARK 527221626 816 Iowa NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 177 0 0 0 0 104 0 0 2 229 0 0 0 0 0 0 0 0 0 203 0 0 0 0 108 0 0 2 414 0 0 0 0 0 0 0 0 0 203 0 0 0 0 282 0 0 2 457 0 0 0 0 0 0 0 0 0 29249.01 0 0 0 0 110663.97 0 0 3491.98 63084.35 0 0 0 0 0 206489.31 0 0 0 1101170905 1518057769 30 General Hospitals MT SINAI HOSP MED CTR CHICAGO 606081704 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 9 483 0 0 3431 0 0 0 0 2837 0 0 5 4040 0 0 0 0 0 10 1160 0 0 4570 0 0 0 0 3402 0 0 5 7827 0 0 0 0 0 43 2291 0 0 4978 0 0 0 0 15403 0 0 10 8622 0 0 0 0 0 1161.48 167442.42 0 0 852225.07 0 0 0 0 16775901.74 0 0 19861.19 1368345.68 0 0 0 0 0 19184937.58 15243022.83 0 0 1101171192 1528140712 30 General Hospitals WELLBOUND OF EVANSTON LLC 600771860 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 423 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4996.41 0 0 0 0 0 4996.41 0 0 0 1101171268 1154317964 30 General Hospitals DESERT SPRINGS HOSPITAL 891195188 829 Nevada NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 2095.81 0 0 0 0 1934.43 0 0 0 0 0 0 0 0 0 4030.24 0 0 0 1101172555 1073628822 30 General Hospitals RENAL CARE GROUP NORTHWESTERN 606112645 200 Cook NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 582 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40152.88 0 0 0 0 0 40152.88 0 0 0 1101174472 1538177423 30 General Hospitals CHRISTIAN HOSPITAL NE NW 631366119 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 256 0 0 0 0 173 0 0 0 368 0 0 0 0 0 0 0 0 0 317 0 0 0 0 192 0 0 0 812 0 0 0 0 0 0 0 0 0 321 0 0 0 0 921 0 0 0 954 0 0 0 0 0 0 0 0 0 41532.49 0 0 0 0 684025.09 0 0 0 147504.66 0 0 0 0 0 873062.24 111450.48 0 0 1101174690 1922032424 30 General Hospitals SACRED HEART HOSPITAL 325048721 810 Florida ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 7 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 745.93 0 0 0 0 1297.42 0 0 0 0 0 0 0 0 0 2043.35 0 0 0 1101175358 1518072354 30 General Hospitals FMC DUQUOIN 628321611 81 Perry NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1853 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24108.3 0 0 0 0 0 24108.3 0 0 0 1101175795 1346355195 30 General Hospitals RCGCI OTTAWA 613501602 58 La Salle DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 997 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57496.38 0 0 0 0 0 57496.38 0 0 0 1101175873 1972562890 30 General Hospitals MACON COUNTY DIALYSIS 625263208 63 Macon DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2842 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56196.03 0 0 0 0 0 56196.03 0 0 0 1101176468 30 General Hospitals 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 527 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4624 0 0 0 0 0 4624 0 0 0 1101176706 30 General Hospitals 57 Lake DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2199.74 0 0 0 0 0 2199.74 0 0 0 1101177378 1316047632 30 General Hospitals TRINITY ROCK ISLAND 612015351 89 Rock Island DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 20 0 0 0 0 0 0 694 0 0 434 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 2122 0 0 1956 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 2122 0 0 1956 0 0 0 0 0 0 0 0 109.63 0 0 0 0 0 0 11322.87 0 0 302943.79 0 0 0 0 0 314376.29 9049460.31 0 0 1101178389 1093894990 30 General Hospitals COMER CHILDRENS HOSPITAL 605615314 30 DuPage CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 512 0 0 0 0 0 0 1360 0 0 949 0 0 0 0 0 0 0 0 928 0 0 0 0 0 0 8221 0 0 1994 0 0 0 0 0 0 0 0 928 0 0 0 0 0 0 8221 0 0 1994 0 0 0 0 0 0 0 0 8935.62 0 0 0 0 0 0 46792.66 0 0 58284.86 0 0 0 0 0 114013.14 0 0 0 1101178472 1255317590 30 General Hospitals MEMORIAL MEDICAL CENTER 627810001 91 Sangamon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 8 20 0 0 4582 0 0 0 0 2996 1 0 21 4844 0 0 0 0 0 15 47 0 0 8000 0 0 0 0 3801 1 0 21 10056 0 0 0 0 0 95 166 0 0 8016 0 0 0 0 20781 1 0 21 10852 0 0 0 0 0 1846.12 20870.3 0 0 1358458.71 0 0 0 0 10360014.92 22.64 0 51208.89 4168602.03 0 0 0 0 0 15961023.61 13264553.35 0 0 1101179861 1194794487 30 General Hospitals MATTOON DIALYSIS 619209467 24 Coles DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3664 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83144.53 0 0 0 0 0 83144.53 0 0 0 1101180265 1356362941 30 General Hospitals NEPHRON DIALYSIS CENTER LTD 606253645 200 Cook NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 488 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7066 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68960.44 0 0 0 0 0 68960.44 0 0 0 1101180888 1811096811 30 General Hospitals THOMAS H BOYD MEMORIAL HOSP 620161436 39 Greene DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 848 0 0 0 0 38 0 0 0 284 0 0 0 0 0 0 0 0 0 1218 0 0 0 0 39 0 0 0 483 0 0 0 0 0 0 0 0 0 1221 0 0 0 0 94 0 0 0 483 0 0 0 0 0 0 0 0 0 723063.36 0 0 0 0 38877.5 0 0 0 179402.25 0 0 0 0 0 941343.11 116395.21 0 0 1101180893 1710968276 30 General Hospitals ILL VALLEY COMMUNITY HOSP 613542757 58 La Salle DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 3311 0 0 0 0 651 0 0 28 1848 0 0 0 0 0 7 0 0 0 5754 0 0 0 0 718 0 0 28 5405 0 0 0 0 0 9 0 0 0 5754 0 0 0 0 1708 0 0 28 5405 0 0 0 0 0 64.56 0 0 0 686089.76 0 0 0 0 983874.22 0 0 44771.02 947761.88 0 0 0 0 0 2662561.44 1335022.32 0 0 1101181370 1952304826 30 General Hospitals RML HEALTH PROVIDERS LTD PTSHP 605214875 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8542392.93 0 0 0 0 0 0 0 0 0 8542392.93 4337697.68 0 0 1101182018 1255334173 30 General Hospitals FROEDTERT MEM LUTHERAN HOSP 532263596 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 13 0 0 0 0 11 0 0 0 48 0 0 0 0 0 0 0 0 0 17 0 0 0 0 12 0 0 0 121 0 0 0 0 0 0 0 0 0 17 0 0 0 0 86 0 0 0 124 0 0 0 0 0 0 0 0 0 3084.59 0 0 0 0 29661.32 0 0 0 5958.31 0 0 0 0 0 38704.22 0 0 0 1101183549 1164615670 30 General Hospitals ALTON MEMORIAL HOSPITAL 620026722 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 0 0 0 3450 0 0 0 0 926 0 0 23 1876 0 0 0 0 0 16 0 0 0 5483 0 0 0 0 1024 0 0 23 4407 0 0 0 0 0 21 0 0 0 5484 0 0 0 0 3033 0 0 23 5176 0 0 0 0 0 229.44 0 0 0 680286.3 0 0 0 0 1280016.13 0 0 55523.39 999115.91 0 0 0 0 0 3015171.17 2853582.83 0 0 1101183602 1063457380 30 General Hospitals REID HOSPITAL AND HEALTH CARE 473741157 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1026.97 0 0 0 0 2579.25 0 0 0 0 0 0 0 0 0 3606.22 0 0 0 1101183782 30 General Hospitals 50 Jersey DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101184033 1902079973 30 General Hospitals KISHWAUKEE COMM HOSP 601159602 27 Dekalb DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 131 0 0 5582 0 0 0 0 966 0 0 3 2059 0 0 0 0 0 2 1484 0 0 9915 0 0 0 0 1079 0 0 3 4482 0 0 0 0 0 2 1484 0 0 10110 0 0 0 0 3115 0 0 3 7127 0 0 0 0 0 118.6 63324.44 0 0 1334675.33 0 0 0 0 2301503.41 0 0 6344.87 1105187.1 0 0 0 0 0 4811153.75 2460528.2 0 0 1101184696 1538275466 30 General Hospitals WEST SUBURBAN DIALYSIS CENTER 603022507 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 965 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10699 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96853.82 0 0 0 0 0 96853.82 0 0 0 1101187615 30 General Hospitals 811 Georgia NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8382.55 0 0 0 0 0 0 0 0 0 8382.55 0 0 0 1101187987 1861447179 30 General Hospitals AURORA ST LUKES MEDICAL CENTER 532154330 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 34 0 0 0 0 7 0 0 0 12 0 0 0 0 0 0 0 0 0 35 0 0 0 0 8 0 0 0 15 0 0 0 0 0 0 0 0 0 35 0 0 0 0 45 0 0 0 15 0 0 0 0 0 0 0 0 0 3025.94 0 0 0 0 21278.77 0 0 0 4569.25 0 0 0 0 0 28873.96 0 0 0 1101190276 1093705428 30 General Hospitals JACKSON MADISON COUNTY GENERAL 383013923 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 14 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 18 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 18 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 4135.48 0 0 0 0 1289.62 0 0 0 142.62 0 0 0 0 0 5567.72 0 0 0 1101190495 1427111046 30 General Hospitals TOUCHETTE REGIONAL HOSPITAL 622072326 96 St Clair DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 65 0 0 1753 0 0 0 0 694 0 0 1 759 0 0 0 0 0 3 130 0 0 2431 0 0 0 0 765 0 0 1 1188 0 0 0 0 0 3 1132 0 0 2455 0 0 0 0 2880 0 0 1 1620 0 0 0 0 0 28.89 105909.06 0 0 273093.3 0 0 0 0 1817400.35 0 0 2772.74 266284.78 0 0 0 0 0 2465489.12 21428057.34 0 0 1101190681 1538208210 30 General Hospitals RIVERSIDE MED CTR 609012901 54 Kankakee DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 14 0 0 3324 0 0 0 0 1501 0 0 3 2366 0 0 0 0 0 6 17 0 0 5372 0 0 0 0 1923 0 0 3 6015 0 0 0 0 0 6 91 0 0 5372 0 0 0 0 10603 0 0 3 6143 0 0 0 0 0 3.19 5985.24 0 0 697445.66 0 0 0 0 4676171.19 0 0 3409.2 798901.97 0 0 0 0 0 6181916.45 3632235.37 0 0 1101191340 1770593808 30 General Hospitals FMC OF NAPERVILLE NORTH 605632901 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 944 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101191809 1730166224 30 General Hospitals MERCY HOSPITAL MEDICAL CENTER 606162315 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 189 0 0 4588 0 0 0 0 2722 0 0 1 4182 0 0 0 0 0 6 745 0 0 6267 0 0 0 0 3310 0 0 1 8361 0 0 0 0 0 8 749 0 0 6282 0 0 0 0 13746 0 0 2 8494 0 0 0 0 0 99.34 70312.74 0 0 862727.45 0 0 0 0 7136501.51 0 0 2284.82 927244.17 0 0 0 0 0 8999170.03 0 0 0 1101192196 1447337449 30 General Hospitals KINDRED HOSPITAL ST LOUIS 631081510 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.78 0 0 0 0 0 0 0 0 0 0.78 0 0 0 1101192254 30 General Hospitals 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1151.25 0 0 0 0 0 0 0 0 0 1151.25 0 0 0 1101192314 1861439952 30 General Hospitals SUNRISE HOSPITAL MEDICAL CTR 891092317 829 Nevada NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 17 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 3269.6 0 0 0 0 4513.67 0 0 0 0 0 0 0 0 0 7783.27 0 0 0 1101192588 1255387726 30 General Hospitals AURORA BAYCARE MEDICAL CENTER 543116519 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 401.03 0 0 0 0 7737.74 0 0 0 0 0 0 0 0 0 8138.77 0 0 0 1101193250 1568487411 30 General Hospitals HESS MEMORIAL HOSPITAL 539481931 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 833.51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 833.51 0 0 0 1101194703 1750308631 30 General Hospitals COMMUNITY MEMORIAL HOSPITAL AS 620881173 64 Macoupin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 1223 0 0 0 0 30 0 0 0 522 0 0 0 0 0 0 0 0 0 2015 0 0 0 0 32 0 0 0 1067 0 0 0 0 0 0 0 0 0 2293 0 0 0 0 83 0 0 0 1388 0 0 0 0 0 0 0 0 0 482042.01 0 0 0 0 36032.28 0 0 0 365721.59 0 0 0 0 0 883795.88 0 0 0 1101194789 1760441976 30 General Hospitals LINCOLN DIALYSIS 626569115 62 Logan DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15479.1 0 0 0 0 0 15479.1 0 0 0 1101195358 1053481630 30 General Hospitals ANDERSON HOSPITAL 620621000 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 3560 0 0 0 0 865 0 0 6 1451 0 0 0 0 0 11 0 0 0 4860 0 0 0 0 926 0 0 6 2323 0 0 0 0 0 20 0 0 0 4860 0 0 0 0 3008 0 0 6 2365 0 0 0 0 0 32.38 0 0 0 496001.09 0 0 0 0 937009.35 0 0 11032.33 348044.6 0 0 0 0 0 1792119.75 691644.48 0 0 1101197254 1215134259 30 General Hospitals MARYVILLE DIALYSIS 620625632 65 Madison DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13989.4 0 0 0 0 0 13989.4 0 0 0 1101198243 1083660658 32 Rehabilitation Hospitals MARIANJOY REHABILITATION HOSP 601876002 30 DuPage REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 0 0 119 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 97 0 0 0 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 1498 0 0 0 0 0 0 0 0 0 0 17304.62 0 0 0 0 0 0 0 1122217.24 0 0 0 0 0 0 0 0 0 1139521.86 804595.34 0 0 1101198843 30 General Hospitals 837 Oklahoma NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 3 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 583.74 0 0 0 0 5158.49 0 0 0 0 0 0 0 0 0 5742.23 0 0 0 1101199345 1245290782 30 General Hospitals EFFINGHAM DIALYSIS 624012193 33 Effingham DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1627 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39517.59 0 0 0 0 0 39517.59 0 0 0 1101201263 1164535431 30 General Hospitals HAMMOND HENRY DISTRICT HOSP 612541099 45 Henry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 1 0 0 0 455 0 0 0 0 160 0 0 0 380 0 0 0 0 0 1 0 0 0 687 0 0 0 0 170 0 0 0 698 0 0 0 0 0 1 0 0 0 687 0 0 0 0 374 0 0 0 700 0 0 0 0 0 129.97 0 0 0 106692.9 0 0 0 0 130172.37 0 0 0 188010.86 0 0 0 0 0 425006.1 491639.41 0 0 1101203337 1396882205 30 General Hospitals VANDERBILT UNIVERSITY MEDICAL 372322102 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 293.6 0 0 0 0 14209.25 0 0 0 0 0 0 0 0 0 14502.85 0 0 0 1101204450 1861461030 30 General Hospitals MONTCLARE DIALYSIS CENTER 606344533 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2681 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72438.93 0 0 0 0 0 72438.93 0 0 0 1101205435 1023017746 30 General Hospitals ST ALEXIUS HOSPITAL 631184601 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 48 0 0 0 0 47 0 0 0 24 0 0 0 0 0 0 0 0 0 62 0 0 0 0 53 0 0 0 69 0 0 0 0 0 0 0 0 0 62 0 0 0 0 581 0 0 0 69 0 0 0 0 0 0 0 0 0 4670.39 0 0 0 0 19299.89 0 0 0 803.17 0 0 0 0 0 24773.45 0 0 0 1101205482 1750380739 30 General Hospitals SELECT SPCLTY HOSP EVANSVILLE 477131206 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101206168 1336231091 30 General Hospitals ALLEN MEMORIAL HOSPITAL 507031916 816 Iowa NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 11 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 1913.64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1913.64 0 0 0 1101206814 1225020605 30 General Hospitals GOOD SAMARITAN HOSPITAL 475911038 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 3 0 0 922 0 0 0 0 136 0 0 2 586 0 0 0 0 0 0 3 0 0 1732 0 0 0 0 153 0 0 2 1180 0 0 0 0 0 0 3 0 0 1762 0 0 0 0 551 0 0 2 1237 0 0 0 0 0 0 70.22 0 0 261922.17 0 0 0 0 254702.67 0 0 3141.61 299051.89 0 0 0 0 0 818888.56 0 0 0 1101207184 1952352171 30 General Hospitals MORRIS HOSPITAL 604501463 40 Grundy DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 73 0 0 0 0 0 0 4123 0 0 1269 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 22271 0 0 3742 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 22271 0 0 3742 0 0 0 0 0 0 0 0 838.89 0 0 0 0 0 0 248230.46 0 0 255046.49 0 0 0 0 0 504115.84 0 0 0 1101207245 1659364206 31 Psychiatric Hospitals CENTERPOINTE HOSPITAL 633049101 826 Missouri PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 1 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 153513.74 0 0 0 0 0 0 0 0 0 153513.74 29618.28 0 0 1101208223 1114981768 30 General Hospitals BAPTIST MEMORIAL HOSPITAL 382615403 844 Tennessee ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1026.32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1026.32 0 0 0 1101208592 1083759633 30 General Hospitals COMMUNITY METHODIST HOSPITAL 424200048 818 Kentucky NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4560.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4560.6 0 0 0 1101208875 1720130537 30 General Hospitals METHODIST HOSPITAL NORTH 464026001 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 254 0 0 0 0 39 0 0 0 24 0 0 0 0 0 0 0 0 0 326 0 0 0 0 43 0 0 0 27 0 0 0 0 0 0 0 0 0 329 0 0 0 0 164 0 0 0 28 0 0 0 0 0 0 0 0 0 50233.97 0 0 0 0 65692.28 0 0 0 5389.05 0 0 0 0 0 121315.3 0 0 0 1101209377 1982643961 30 General Hospitals THOREK MEMORIAL HOSPITAL 606133011 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 901 0 0 0 0 833 0 0 1 1272 0 0 0 0 0 5 0 0 0 1273 0 0 0 0 1234 0 0 1 5229 0 0 0 0 0 5 0 0 0 1287 0 0 0 0 5725 0 0 1 5231 0 0 0 0 0 156.14 0 0 0 183676.62 0 0 0 0 2532146.84 0 0 1233.32 494206.37 0 0 0 0 0 3211419.29 3013793.34 0 0 1101209424 1407993116 30 General Hospitals METHODIST HOSPITAL OF CHICAGO 606402717 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 52 0 0 322 0 0 0 0 704 0 0 0 979 0 0 0 0 0 0 106 0 0 410 0 0 0 0 823 0 0 0 2157 0 0 0 0 0 0 759 0 0 410 0 0 0 0 4392 0 0 0 2364 0 0 0 0 0 0 62041 0 0 34709.28 0 0 0 0 1719490.31 0 0 0 195515.37 0 0 0 0 0 2011755.96 2691582.69 0 0 1101209963 1588644975 30 General Hospitals HILLSBORO AREA HOSPITAL 620491912 76 Montgomery DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 1512 0 0 0 0 45 0 0 26 791 0 0 0 0 0 2 0 0 0 2619 0 0 0 0 48 0 0 26 1546 0 0 0 0 0 2 0 0 0 2619 0 0 0 0 134 0 0 26 1546 0 0 0 0 0 272.12 0 0 0 1030226.87 0 0 0 0 44411.34 0 0 110809.34 728534.4 0 0 0 0 0 1914254.07 283468.65 0 0 1101210962 1720047970 30 General Hospitals SPRINGFIELD CENTRAL DIALYSIS 627023721 91 Sangamon DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1976 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36840.98 0 0 0 0 0 36840.98 0 0 0 1101211678 1427163278 30 General Hospitals FRESENIUS MEDICAL CARE ELMHURS 601265662 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2771 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29798.6 0 0 0 0 0 29798.6 0 0 0 1101212903 1710983945 30 General Hospitals IU HEALTH WHITE MEMORIAL HOSP 479608182 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2108.48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2108.48 0 0 0 1101213388 1689711764 30 General Hospitals BLESSING HOSPITAL 623012834 10 Adams DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 7345 0 0 0 0 2540 0 0 35 3997 0 0 0 0 0 3 0 0 0 16606 0 0 0 0 3119 0 0 35 7797 0 0 0 0 0 8 0 0 0 16607 0 0 0 0 10529 0 0 35 8463 0 0 0 0 0 29.08 0 0 0 3791309.13 0 0 0 0 7579640.75 0 0 79207.48 3898236.97 0 0 0 0 0 15348423.41 6125356.82 0 0 1101213921 1255391611 30 General Hospitals ST MARYS HOSPITAL 628013056 66 Marion DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 625 0 0 5145 0 0 0 0 1812 0 0 3 3337 0 0 0 0 0 13 1680 0 0 10246 0 0 0 0 2190 0 0 3 6680 0 0 0 0 0 18 2449 0 0 10521 0 0 0 0 6998 0 0 3 7949 0 0 0 0 0 527.7 151177.45 0 0 1983161.02 0 0 0 0 4125375.46 0 0 9049.39 1894437.48 0 0 0 0 0 8163728.5 0 0 1346.35 1101214589 1790734127 30 General Hospitals CHILDRENS HOSPITAL OF ILLINOIS 616370001 80 Peoria CHILDRENS Hospital designated as childrens hospitals and pai 0 0 PERINATAL LEVEL III CENTER 0 0 0 0 0 2360 0 0 0 0 1525 0 0 0 2510 0 0 0 0 0 0 0 0 0 3058 0 0 0 0 1254 0 0 0 3826 0 0 0 0 0 0 0 0 0 3058 0 0 0 0 9849 0 0 0 3851 0 0 0 0 0 0 0 0 0 550926.41 0 0 0 0 20340175.42 0 0 0 2412080.48 0 0 0 0 0 23303182.31 3998826.85 0 75558.25 1101215394 1336119478 30 General Hospitals COMMUNITY HOSP OF INDIANAPOLIS 462193027 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2047.99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2047.99 0 0 0 1101215754 1124021308 30 General Hospitals PERRY MEMORIAL HOSPITAL 613563901 15 Bureau DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 0 0 0 0 1605 0 0 0 0 81 0 0 0 698 0 0 0 0 0 0 0 0 0 2940 0 0 0 0 88 0 0 0 1349 0 0 0 0 0 0 0 0 0 2973 0 0 0 0 209 0 0 0 2140 0 0 0 0 0 0 0 0 0 603775.01 0 0 0 0 179518.49 0 0 0 664289.8 0 0 0 0 0 1447583.3 706866.5 0 0 1101215791 1861431751 30 General Hospitals UNIVERSITY OF ILLINOIS HOSP 606127232 200 Cook ARS-U.I. """University of Illinois Hospital, paid under an AR" 0 0 Government Owned 0 9 580 0 0 3838 0 0 0 0 2469 0 0 9 9273 0 0 0 0 0 19 1829 0 0 5461 0 0 0 0 3091 0 0 9 39170 0 0 0 0 0 22 2512 0 0 5856 0 0 0 0 20769 0 0 17 48227 0 0 0 0 0 1175.79 317813.77 0 0 1819751.72 0 0 0 0 49916335.48 0 0 51230.8 8701628.43 0 0 0 0 0 60807935.99 0 0 0 1101215982 30 General Hospitals 853 Wyoming NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 156.79 0 0 0 0 0 0 0 0 337.07 0 0 0 0 0 493.86 0 0 0 1101216272 30 General Hospitals 824 Minnesota NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 Children's Hospital 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5872.2 0 0 0 537.61 0 0 0 0 0 6409.81 0 0 0 1101216425 1831269539 30 General Hospitals MISSOURI DELTA MEDICAL CENTER 638015044 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 57 0 0 0 0 2 0 0 0 3 0 0 0 0 0 0 0 0 0 82 0 0 0 0 3 0 0 0 3 0 0 0 0 0 0 0 0 0 82 0 0 0 0 10 0 0 0 3 0 0 0 0 0 0 0 0 0 9078.1 0 0 0 0 6467.61 0 0 0 423.09 0 0 0 0 0 15968.8 0 0 0 1101217539 1518930619 31 Psychiatric Hospitals THE PAVILION FOUNDATION 618203320 19 Champaign PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 560 0 0 0 0 0 0 0 849 0 0 0 0 0 0 0 0 0 0 650 0 0 0 0 0 0 0 1008 0 0 0 0 0 0 0 0 0 0 1344 0 0 0 0 0 0 0 10654 0 0 0 0 0 0 0 0 0 0 96836.58 0 0 0 0 0 0 0 7915199.43 0 0 0 0 0 0 0 0 0 8012036.01 1415335.66 0 0 1101219469 1831107895 30 General Hospitals BARNES JEWISH WEST COUNTY HOSP 631416337 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 38 0 0 0 0 18 0 0 0 315 0 0 0 0 0 0 0 0 0 49 0 0 0 0 19 0 0 0 436 0 0 0 0 0 0 0 0 0 49 0 0 0 0 52 0 0 0 458 0 0 0 0 0 0 0 0 0 9054.68 0 0 0 0 26448.97 0 0 0 114050.53 0 0 0 0 0 149554.18 0 0 0 1101219534 1962715284 30 General Hospitals COBBLESTONE DIALYSIS 601203068 53 Kane DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1081 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28018.72 0 0 0 0 0 28018.72 0 0 0 1101221999 1760476659 30 General Hospitals EAST TENNESSEE CHILDRENS HOSP 379162393 844 Tennessee NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 774.55 0 0 0 0 3529.32 0 0 0 0 0 0 0 0 0 4303.87 0 0 0 1101223496 30 General Hospitals 845 Texas NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 3 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 1798.85 0 0 0 0 9027.36 0 0 0 0 0 0 0 0 0 10826.21 0 0 0 1101223556 1497859649 30 General Hospitals NORTHWESTERN MEMORIAL HOSP 606112908 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 4 0 0 0 0 0 0 1693 0 0 531 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 12827 0 0 788 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 12827 0 0 788 0 0 0 0 0 0 0 0 21.73 0 0 0 0 0 0 90361.3 0 0 51688.73 0 0 0 0 0 142071.76 0 0 0 1101224140 1982607156 30 General Hospitals TRI CITIES DIALYSIS LLC 601344200 53 Kane DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 417 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1073.82 0 0 0 0 0 1073.82 0 0 0 1101224712 1992817894 30 General Hospitals RCG CAPE GIRARDEAU 637035056 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1182 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80462.34 0 0 0 0 0 80462.34 0 0 0 1101225563 1376524637 30 General Hospitals FMC ROSS DIALYSIS ENGLEWOOD 606211943 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 1 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 458 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 4659 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28403.92 0 0 0 0 0 28403.92 0 0 0 1101229472 1578526216 30 General Hospitals COMPREHENSIVE RENAL CARE - HAM 463201960 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 919 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5968.93 0 0 0 0 0 5968.93 0 0 0 1101229499 1093768962 30 General Hospitals MERCY HOSP OF JANESVILLE INC 535475003 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 36 0 0 0 0 10 0 0 0 44 0 0 0 0 0 0 0 0 0 46 0 0 0 0 11 0 0 0 71 0 0 0 0 0 0 0 0 0 46 0 0 0 0 62 0 0 0 87 0 0 0 0 0 0 0 0 0 7824.93 0 0 0 0 25151.55 0 0 0 23522.27 0 0 0 0 0 56498.75 0 0 0 1101231002 1770597445 30 General Hospitals ST MARYS HOSPITAL 537151830 852 Wisconsin ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 10 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 10 0 0 0 0 3 0 0 0 2 0 0 0 0 0 0 0 0 0 1148.74 0 0 0 0 1934.43 0 0 0 564.83 0 0 0 0 0 3648 0 0 0 1101232030 1659330694 30 General Hospitals LINCOLN PARK DIALYSIS 606573111 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101922.3 0 0 0 0 0 101922.3 0 0 0 1101232559 1124272547 30 General Hospitals ADVOCATE CONDELL MEDICAL CTR 600483204 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 4560 0 0 0 0 1811 0 0 4 2671 0 0 0 0 0 3 0 0 0 6132 0 0 0 0 2165 0 0 4 4651 0 0 0 0 0 7 0 0 0 6142 0 0 0 0 8374 0 0 4 4726 0 0 0 0 0 0 0 0 0 1213724.57 0 0 0 0 5416858.77 0 0 4940.73 912678.15 0 0 0 0 0 7548202.22 7596433 0 0 1101233101 1992019608 30 General Hospitals STONY ISLAND DIALYSIS 606172709 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 618 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6310 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78225.63 0 0 0 0 0 78225.63 0 0 0 1101233945 30 General Hospitals 56 Knox DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101236567 1114908001 30 General Hospitals ST VINCENT HOSPITAL 543073508 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 7 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 1138.34 0 0 0 0 16862.6 0 0 0 0 0 0 0 0 0 18000.94 0 0 0 1101236801 1730294588 30 General Hospitals AUSTIN COMMUNITY KIDNEY CENTER 606513223 200 Cook NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 247 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2725 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35549.69 0 0 0 0 0 35549.69 0 0 0 1101237238 1366420531 30 General Hospitals OCONOMOWOC MEMORIAL HOSPITAL 530663844 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 7 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 1524.71 0 0 0 0 0 0 0 0 112.22 0 0 0 0 0 1636.93 0 0 0 1101237610 1881654325 30 General Hospitals CHICAGO HEIGHTS DIALYSIS 604111733 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1789 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41946.57 0 0 0 0 0 41946.57 0 0 0 1101239038 1659397859 30 General Hospitals WAUKEGAN RENAL CENTER 999999999 57 Lake DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 399 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3098 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41893.06 0 0 0 0 0 41893.06 0 0 0 1101239359 1952360703 30 General Hospitals GRANITE CITY DIALYSIS CENTER 610844602 79 Ogle DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3017 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39249.02 0 0 0 0 0 39249.02 0 0 0 1101239587 1649385493 30 General Hospitals FMC DIALYSIS SERVICES OF CONGR 606243358 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 664 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6694 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102086.35 0 0 0 0 0 102086.35 0 0 0 1101240616 1699728550 30 General Hospitals MERCY WALWORTH HOS AND MED CTR 531472655 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 27 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 3953.85 0 0 0 0 0 0 0 0 5048.93 0 0 0 0 0 9002.78 0 0 0 1101240970 1598768780 30 General Hospitals LITTLE COMPANY OF MARY HOSP 608052746 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 3283 0 0 0 0 1156 0 0 0 1525 0 0 0 0 0 8 0 0 0 4200 0 0 0 0 1384 0 0 0 2853 0 0 0 0 0 13 0 0 0 4228 0 0 0 0 6534 0 0 0 2854 0 0 0 0 0 0 0 0 0 407575.4 0 0 0 0 2175486.81 0 0 0 203868.47 0 0 0 0 0 2786930.68 0 0 0 1101241926 1295882561 30 General Hospitals COPLEY MEMORIAL HOSPITAL 605047222 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 101 0 0 0 0 0 0 1581 0 0 766 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 5988 0 0 3254 0 0 0 0 0 0 0 0 198 0 0 0 0 0 0 5988 0 0 3254 0 0 0 0 0 0 0 0 960.04 0 0 0 0 0 0 33783.68 0 0 631259.61 0 0 0 0 0 666003.33 4327659.19 0 0 1101242117 1578522579 30 General Hospitals LOGAN SQUARE DIALYSIS 606187524 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 419 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3717 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117241.09 0 0 0 0 0 117241.09 0 0 0 1101242256 30 General Hospitals 58 La Salle DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15.38 0 0 0 0 0 0 0 0 15.38 0 0 0 1101243683 30 General Hospitals 59 Lawrence DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101246190 1487628616 32 Rehabilitation Hospitals HEALTHSOUTH DEACONESS REHAB 477145559 815 Indiana REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 319970.96 0 0 0 0 0 0 0 0 0 319970.96 0 0 0 1101246262 1932118403 30 General Hospitals MARION DIALYSIS 370277569 844 Tennessee DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1936 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69665.66 0 0 0 0 0 69665.66 0 0 0 1101246624 1972594877 30 General Hospitals NORWEGIAN AMERICAN HOSP 606222743 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 28 0 0 3365 0 0 0 0 1849 0 0 9 1409 0 0 0 0 0 1 68 0 0 4696 0 0 0 0 2274 0 0 9 3256 0 0 0 0 0 3 623 0 0 4705 0 0 0 0 11259 0 0 9 3332 0 0 0 0 0 0 54390.93 0 0 771011.26 0 0 0 0 5744293.4 0 0 24034.98 630472.33 0 0 0 0 0 7224202.9 15783916.64 0 0 1101247233 1730179847 30 General Hospitals KIRBY MEDICAL CENTER 618562116 82 Piatt DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 13 0 0 0 0 0 0 475 0 0 116 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 1643 0 0 220 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 1643 0 0 220 0 0 0 0 0 0 0 0 150.02 0 0 0 0 0 0 12933.27 0 0 18067.81 0 0 0 0 0 31151.1 362627.31 0 0 1101248507 1003832148 30 General Hospitals ARLINGTON HEIGHTS RENAL CENTER 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1094 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7241.16 0 0 0 0 0 7241.16 0 0 0 1101248796 30 General Hospitals 816 Iowa ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 184.94 0 0 0 0 7784.54 0 0 0 0 0 0 0 0 0 7969.48 0 0 0 1101248877 1063426823 30 General Hospitals FLORIDA HOSPITAL MEMRL MED CTR 321175167 810 Florida NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 10 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2328.15 0 0 0 0 1289.62 0 0 0 0 0 0 0 0 0 3617.77 0 0 0 1101249321 1295772093 30 General Hospitals MEMORIAL HOSP OF SOUTH BEND 466011033 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 9 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 11 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 11 0 0 0 0 20 0 0 0 1 0 0 0 0 0 0 0 0 0 2580.79 0 0 0 0 12896.24 0 0 0 0 0 0 0 0 0 15477.03 0 0 0 1101250767 1992856819 30 General Hospitals VISTA MEDICAL CENTER WEST 600854980 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 1722 0 0 0 0 40 0 0 0 17 0 0 0 0 0 0 0 0 0 2256 0 0 0 0 41 0 0 0 22 0 0 0 0 0 0 0 0 0 2256 0 0 0 0 300 0 0 0 22 0 0 0 0 0 0 0 0 0 337394.93 0 0 0 0 111548.91 0 0 0 2558.19 0 0 0 0 0 451502.03 1054133.01 0 0 1101252147 1871665380 30 General Hospitals ST JOSEPH HOSPITAL WEST 633671395 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 22 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 24 0 0 0 0 2 0 0 0 6 0 0 0 0 0 0 0 0 0 27 0 0 0 0 7 0 0 0 6 0 0 0 0 0 0 0 0 0 7788.25 0 0 0 0 2579.25 0 0 0 1614.85 0 0 0 0 0 11982.35 0 0 0 1101253294 1033116876 30 General Hospitals PROCTOR HOSPITAL 616145016 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 1554 0 0 0 0 185 0 0 1 910 0 0 0 0 0 6 0 0 0 2195 0 0 0 0 210 0 0 1 1352 0 0 0 0 0 10 0 0 0 2225 0 0 0 0 927 0 0 1 1613 0 0 0 0 0 0 0 0 0 263830.86 0 0 0 0 371164.36 0 0 2389.39 448356.03 0 0 0 0 0 1085740.64 1271079.32 0 0 1101253679 1982611281 30 General Hospitals CENTEGRA HOSPITAL - MCHENRY 600508409 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 2292 0 0 0 0 838 0 0 0 1561 0 0 0 0 0 3 0 0 0 3389 0 0 0 0 918 0 0 0 3653 0 0 0 0 0 3 0 0 0 3392 0 0 0 0 3292 0 0 0 3807 0 0 0 0 0 8.99 0 0 0 571948.63 0 0 0 0 1843459.78 0 0 0 410854.84 0 0 0 0 0 2826272.24 2076980.78 0 0 1101253765 1760492714 30 General Hospitals POUDRE VALLEY HOSPITAL 805243929 806 Colorado NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 1 0 0 0 5 0 0 0 0 0 0 0 0 0 6 0 0 0 0 5 0 0 0 5 0 0 0 0 0 0 0 0 0 1079.56 0 0 0 0 1774.53 0 0 0 1298.76 0 0 0 0 0 4152.85 0 0 0 1101254382 1619916822 31 Psychiatric Hospitals BHC STREAMWOOD HOSPITAL INC 601073201 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 657 0 0 0 0 0 0 0 1078 0 0 0 0 0 0 0 0 0 0 4617 0 0 0 0 0 0 0 1307 0 0 0 0 0 0 0 0 0 0 6206 0 0 0 0 0 0 0 14426 0 0 0 0 0 0 0 0 0 0 460184.43 0 0 0 0 0 0 0 10848435.62 0 0 0 0 0 0 0 0 0 11308620.05 4618898.93 0 0 1101255765 1174569438 30 General Hospitals HOPEDALE HOSPITAL 617470267 98 Tazewell DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 151 0 0 0 0 9 0 0 0 87 0 0 0 0 0 0 0 0 0 198 0 0 0 0 12 0 0 0 185 0 0 0 0 0 0 0 0 0 198 0 0 0 0 43 0 0 0 185 0 0 0 0 0 0 0 0 0 22206.41 0 0 0 0 14454.42 0 0 0 12081.76 0 0 0 0 0 48742.59 149806.01 0 0 1101256561 1871678334 30 General Hospitals KINDRED HOSPITAL CHICAGO 601642628 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 223 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6645 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4884177.54 0 0 0 0 0 0 0 0 0 4884177.54 5015034.83 0 0 1101258227 1275502437 30 General Hospitals ILLINI RENAL DIALYSIS 618203828 19 Champaign DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 1 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 256 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46854 0 0 0 0 0 46854 0 0 0 1101258804 1154329753 30 General Hospitals ABRAHAM LINCOLN CHILDRENS HOSP 626565066 62 Logan CHILDRENS Hospital designated as childrens hospitals and pai 1 0 General Hospital - Children Section 0 0 0 0 0 378 0 0 0 0 4 0 0 0 37 0 0 0 0 0 0 0 0 0 531 0 0 0 0 4 0 0 0 42 0 0 0 0 0 0 0 0 0 531 0 0 0 0 4 0 0 0 42 0 0 0 0 0 0 0 0 0 84236.69 0 0 0 0 4207.49 0 0 0 16467.88 0 0 0 0 0 104912.06 224079.28 0 0 1101259572 1790788578 30 General Hospitals MASSAC MEMORIAL HOSPITAL 629600858 69 Massac DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 2769 0 0 0 0 133 0 0 0 1283 0 0 0 0 0 0 0 0 0 5639 0 0 0 0 166 0 0 0 2453 0 0 0 0 0 0 0 0 0 5660 0 0 0 0 585 0 0 0 2473 0 0 0 0 0 0 0 0 0 1513610.48 0 0 0 0 279706.72 0 0 0 883120.92 0 0 0 0 0 2676438.12 544998.91 0 0 1101259864 1710077219 30 General Hospitals RCG MERRIONETTE PARK 608036302 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3425 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35421.4 0 0 0 0 0 35421.4 0 0 0 1101260592 1700968492 32 Rehabilitation Hospitals SCHWAB REHAB HOSP 606081612 200 Cook REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1912 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2847963.38 0 0 0 0 0 0 0 0 0 2847963.38 1818602.88 0 0 1101261403 1083708226 30 General Hospitals ST LUKES METHODIST HOSP 524025036 816 Iowa NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 54 0 0 0 0 3 0 0 0 7 0 0 0 0 0 0 0 0 0 71 0 0 0 0 4 0 0 0 12 0 0 0 0 0 0 0 0 0 71 0 0 0 0 6 0 0 0 15 0 0 0 0 0 0 0 0 0 9761.21 0 0 0 0 3868.86 0 0 0 1346.1 0 0 0 0 0 14976.17 0 0 0 1101261534 1477551489 30 General Hospitals ELKHART GENERAL HOSPITAL 465142499 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 12 0 0 0 0 3 0 0 0 2 0 0 0 0 0 0 0 0 0 25 0 0 0 0 3 0 0 0 2 0 0 0 0 0 0 0 0 0 25 0 0 0 0 8 0 0 0 2 0 0 0 0 0 0 0 0 0 4589.86 0 0 0 0 3231.85 0 0 0 74.7 0 0 0 0 0 7896.41 0 0 0 1101262831 1114935681 30 General Hospitals GIBSON COMMUNITY HOSPITAL ASSO 609361477 35 Ford DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 764 0 0 0 0 135 0 0 4 615 0 0 0 0 0 0 0 0 0 1068 0 0 0 0 139 0 0 4 1322 0 0 0 0 0 0 0 0 0 1068 0 0 0 0 319 0 0 4 1322 0 0 0 0 0 0 0 0 0 443014.78 0 0 0 0 146674.64 0 0 12296.35 847583.63 0 0 0 0 0 1449569.4 435106.88 0 0 1101263754 1235117532 30 General Hospitals RANKEN JORDAN A PED REHAB CTR 630433411 826 Missouri CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Children's Hospital 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2829 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4791712.67 0 0 0 0 0 0 0 0 0 4791712.67 0 0 15028.28 1101263769 1790715704 30 General Hospitals CENTRAL DUPAGE DIALYSIS CENTER 601901425 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7915.03 0 0 0 0 0 7915.03 0 0 0 1101264303 1598835308 30 General Hospitals DEPAUL HEALTH CENTER 630442512 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 113 0 0 0 0 73 0 0 0 76 0 0 0 0 0 0 0 0 0 140 0 0 0 0 81 0 0 0 176 0 0 0 0 0 0 0 0 0 147 0 0 0 0 420 0 0 0 178 0 0 0 0 0 0 0 0 0 23772.44 0 0 0 0 141713.4 0 0 0 15390.04 0 0 0 0 0 180875.88 0 0 0 1101264801 1568481984 30 General Hospitals ST ANTHONYS MEDICAL CENTER 631282106 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 13 0 0 552 0 0 0 0 148 0 0 0 127 0 0 0 0 0 0 13 0 0 749 0 0 0 0 164 0 0 0 232 0 0 0 0 0 0 13 0 0 750 0 0 0 0 593 0 0 0 261 0 0 0 0 0 0 681.35 0 0 79276.53 0 0 0 0 170518.39 0 0 0 51167.22 0 0 0 0 0 301643.49 0 0 0 1101266041 1588771919 30 General Hospitals ST JAMES HOSP AND HLTH CTRS 604611010 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 0 0 0 6012 0 0 0 0 1490 0 0 0 1941 0 0 0 0 0 5 0 0 0 8971 0 0 0 0 1700 0 0 0 3955 0 0 0 0 0 15 0 0 0 8972 0 0 0 0 6747 0 0 0 4015 0 0 0 0 0 1037.76 0 0 0 1462031.95 0 0 0 0 3559490.24 0 0 0 729841.22 0 0 0 0 0 5752401.17 0 0 0 1101266054 1427301308 30 General Hospitals GENESIS MEDICAL CENTER ALEDO 999999999 74 Mercer 0 0 0 1 0 0 0 354 0 0 0 0 20 0 0 0 173 0 0 0 0 0 1 0 0 0 531 0 0 0 0 20 0 0 0 308 0 0 0 0 0 1 0 0 0 531 0 0 0 0 60 0 0 0 342 0 0 0 0 0 28.61 0 0 0 100035.95 0 0 0 0 14032.84 0 0 0 61381.51 0 0 0 0 0 175478.91 214243.35 0 0 1101266657 1619034659 30 General Hospitals CARLE FOUNDATION HOSPITAL 618012529 19 Champaign DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 1 0 0 0 6292 0 0 0 0 2891 0 0 1 8137 0 0 0 0 0 5 0 0 0 10635 0 0 0 0 3366 0 0 1 17703 0 0 0 0 0 5 0 0 0 10641 0 0 0 0 18251 0 0 1 17781 0 0 0 0 0 809.25 0 0 0 2153010.77 0 0 0 0 19127601.39 0 0 3407.52 4318232.31 0 0 0 0 0 25603061.24 24835441 0 0 1101267676 30 General Hospitals 69 Massac DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101268873 30 General Hospitals 848 Virginia ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 452.6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 452.6 0 0 0 1101269317 1124025176 30 General Hospitals NORTHWESTERN LAKE FOREST HSPTL 600451659 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 3119 0 0 0 0 303 0 0 0 827 0 0 0 0 0 0 0 0 0 4009 0 0 0 0 327 0 0 0 1451 0 0 0 0 0 0 0 0 0 4009 0 0 0 0 1157 0 0 0 1475 0 0 0 0 0 0 0 0 0 648206.2 0 0 0 0 829914.43 0 0 0 297576.71 0 0 0 0 0 1775697.34 790341.23 0 0 1101270028 1235211301 30 General Hospitals DR JOHN WARNER HOSPITAL 617272140 28 De Witt DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 506 0 0 0 0 31 0 0 0 185 0 0 0 0 0 0 0 0 0 820 0 0 0 0 38 0 0 0 374 0 0 0 0 0 0 0 0 0 820 0 0 0 0 123 0 0 0 552 0 0 0 0 0 0 0 0 0 164954.66 0 0 0 0 8484.2 0 0 0 64507.39 0 0 0 0 0 237946.25 373116.21 0 0 1101270233 1750482022 30 General Hospitals CHILDRENS HOSP OF WISCONSIN 532011997 852 Wisconsin CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Children's Hospital 0 0 0 0 0 17 0 0 0 0 9 0 0 0 33 0 0 0 0 0 0 0 0 0 18 0 0 0 0 8 0 0 0 54 0 0 0 0 0 0 0 0 0 18 0 0 0 0 14 0 0 0 54 0 0 0 0 0 0 0 0 0 3334.31 0 0 0 0 13197.41 0 0 0 10839.54 0 0 0 0 0 27371.26 0 0 1269.69 1101270921 1801908728 30 General Hospitals RUSH CHILDRENS SERVICES 606123809 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 0 0 0 0 0 60 0 0 0 0 365 0 0 1 68 0 0 0 0 0 0 0 0 0 63 0 0 0 0 448 0 0 1 365 0 0 0 0 0 0 0 0 0 63 0 0 0 0 7555 0 0 1 401 0 0 0 0 0 0 0 0 0 17328.61 0 0 0 0 17009996.35 0 0 1093.3 103155.48 0 0 0 0 0 17131573.74 12031152.64 0 0 1101271144 1295821304 30 General Hospitals STONY CREEK DIALYSIS 604531895 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 602 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25548.65 0 0 0 0 0 25548.65 0 0 0 1101271637 30 General Hospitals 836 Ohio NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 Children's Hospital 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23528.82 0 0 0 912.95 0 0 0 0 0 24441.77 0 0 0 1101272157 1487755179 30 General Hospitals MEMORIAL HOSP OF LAFAYETTE CO 535301228 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1289.77 0 0 0 0 0 0 0 0 33.66 0 0 0 0 0 1323.43 0 0 0 1101273508 1861494072 30 General Hospitals ST MARGARETS HOSPITAL 613621512 15 Bureau DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 171 0 0 0 0 0 0 2392 0 0 800 0 0 0 0 0 0 0 0 178 0 0 0 0 0 0 14349 0 0 3078 0 0 0 0 0 0 0 0 178 0 0 0 0 0 0 14349 0 0 3078 0 0 0 0 0 0 0 0 1123.37 0 0 0 0 0 0 117389.37 0 0 232453.85 0 0 0 0 0 350966.59 0 0 0 1101274044 1114032950 30 General Hospitals DOWNERS GROVE DIALYSIS CENTER 605151560 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 362.38 0 0 0 0 0 362.38 0 0 0 1101275750 1548393184 30 General Hospitals OSF HOLY FAMILY MEDICAL CENTER 614621007 102 Warren DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 1 0 0 0 1873 0 0 0 0 41 0 0 0 787 0 0 0 0 0 1 0 0 0 3297 0 0 0 0 48 0 0 0 1322 0 0 0 0 0 1 0 0 0 3297 0 0 0 0 113 0 0 0 1327 0 0 0 0 0 271.6 0 0 0 2064790.82 0 0 0 0 75060.6 0 0 0 1155984.06 0 0 0 0 0 3296107.08 267353.53 0 0 1101276134 1104998624 30 General Hospitals COLUMBUS REGIONAL HOSPITAL 472015351 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1611.33 0 0 0 0 0 0 0 0 1650.11 0 0 0 0 0 3261.44 0 0 0 1101278287 1417947490 30 General Hospitals VALLEY HOSPITAL MEDICAL CENTER 891064119 829 Nevada NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 956.95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 956.95 0 0 0 1101279719 1992986723 30 General Hospitals FRESENIUS MEDICAL CARE UPTOWN 606405120 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40137.29 0 0 0 0 0 40137.29 0 0 0 1101280715 1710051941 30 General Hospitals FRANCISCAN ST. ANTHONY HEALTH 463604358 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 65 0 0 0 0 6 0 0 0 6 0 0 0 0 0 0 0 0 0 82 0 0 0 0 7 0 0 0 8 0 0 0 0 0 0 0 0 0 82 0 0 0 0 24 0 0 0 8 0 0 0 0 0 0 0 0 0 12218.64 0 0 0 0 644.81 0 0 0 59.26 0 0 0 0 0 12922.71 0 0 0 1101281722 1770557431 32 Rehabilitation Hospitals THE REHAB INSTITUTE 631101111 826 Missouri REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10533.57 0 0 0 0 0 10533.57 0 0 0 1101282620 1447368360 30 General Hospitals FMS OTTAWA HOME DIALYSIS 613509333 58 La Salle DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 412 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7550.03 0 0 0 0 0 7550.03 0 0 0 1101282699 1144549775 30 General Hospitals WEST SUBURBAN MEDICAL CNTR 603022519 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 4858 0 0 0 0 1460 0 0 0 1991 0 0 0 0 0 1 0 0 0 6728 0 0 0 0 1703 0 0 0 4384 0 0 0 0 0 1 0 0 0 6728 0 0 0 0 7430 0 0 0 4422 0 0 0 0 0 0 0 0 0 738014.78 0 0 0 0 3996491.26 0 0 0 371273.9 0 0 0 0 0 5105779.94 6947293.11 0 0 1101283312 1770626426 30 General Hospitals ST ROSE DOMINICAN HOSP SIENA 890523839 829 Nevada ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1616.39 0 0 0 0 0 0 0 0 160.91 0 0 0 0 0 1777.3 0 0 0 1101284566 1588758239 30 General Hospitals RAI CARE CENTERS OF ILLINOIS 622301630 23 Clinton DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101284953 1174675136 32 Rehabilitation Hospitals REHABILITATION INSTITUTE 606113015 200 Cook REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 880 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 9640 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 9640 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10.46 0 0 1050140.81 0 0 0 0 0 1050151.27 0 0 0 1101285702 1760542732 30 General Hospitals SWEDISHAMERICAN HOSPITAL 611042315 109 Winnebago DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 40 0 0 7668 0 0 0 0 2855 0 0 1 3914 0 0 0 0 0 6 290 0 0 12731 0 0 0 0 3478 0 0 1 9430 0 0 0 0 0 9 290 0 0 13609 0 0 0 0 14417 0 0 1 10754 0 0 0 0 0 294.96 46596.06 0 0 1919892.35 0 0 0 0 6308710.77 0 0 1428.66 2014197.26 0 0 0 0 0 10291120.06 16589675.85 0 0 1101286993 1942343447 30 General Hospitals SHRINERS HOSPITAL FOR CHILDREN 631313597 826 Missouri CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Children's Hospital 0 0 0 0 0 0 0 0 0 0 27 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224773.77 0 0 0 81950.85 0 0 0 0 0 306724.62 0 0 43.42 1101287221 1801901640 30 General Hospitals FRESENIUS MEDICAL CARE SALINE 629463352 90 Saline ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4433 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89655.64 0 0 0 0 0 89655.64 0 0 0 1101288387 1467412726 30 General Hospitals ST FRANCIS MEDICAL CENTER 637035049 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 1020 0 0 0 0 254 0 0 0 838 0 0 0 0 0 1 0 0 0 1627 0 0 0 0 283 0 0 0 2063 0 0 0 0 0 4 0 0 0 1627 0 0 0 0 1186 0 0 0 2067 0 0 0 0 0 0 0 0 0 253125.99 0 0 0 0 786247.18 0 0 0 401037.07 0 0 0 0 0 1440410.24 2458602 0 0 1101289325 1295739548 30 General Hospitals SALEM TOWNSHIP HOSPITAL 628814263 66 Marion DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 2292 0 0 0 0 78 0 0 2 892 0 0 0 0 0 0 0 0 0 4120 0 0 0 0 87 0 0 2 1755 0 0 0 0 0 0 0 0 0 4120 0 0 0 0 290 0 0 2 1755 0 0 0 0 0 0 0 0 0 1193876.6 0 0 0 0 145780.27 0 0 11331.65 921649.95 0 0 0 0 0 2272638.47 350879.25 0 0 1101289438 1568472819 30 General Hospitals ROSELAND COMMUNITY HOSPITAL 606284200 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 2005 0 0 0 0 400 0 0 0 216 0 0 0 0 0 0 0 0 0 2503 0 0 0 0 445 0 0 0 253 0 0 0 0 0 0 0 0 0 2518 0 0 0 0 2066 0 0 0 262 0 0 0 0 0 0 0 0 0 457534.83 0 0 0 0 1040165.75 0 0 0 49110.58 0 0 0 0 0 1546811.16 14482766.76 0 0 1101290619 1881954774 30 General Hospitals US RENAL CARE STREAMWOOD DIALY 601072950 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 569 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101291097 1700049624 30 General Hospitals FRESENIUS MEDICAL CARE WEST CH 601855900 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8748.71 0 0 0 0 0 8748.71 0 0 0 1101292884 1306921911 30 General Hospitals SAINT MARGARET MERCY NO 463201931 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 2443 0 0 0 0 733 0 0 0 295 0 0 0 0 0 1 0 0 0 3365 0 0 0 0 515 0 0 0 650 0 0 0 0 0 1 0 0 0 3365 0 0 0 0 2330 0 0 0 673 0 0 0 0 0 0 0 0 0 437459.75 0 0 0 0 1114546.42 0 0 0 66148.66 0 0 0 0 0 1618154.83 340118.76 0 73360.97 1101295275 1447284898 30 General Hospitals MERCY HOSPITAL LEBANON 655369210 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 658.67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 658.67 0 0 0 1101295428 1841387388 30 General Hospitals INGALLS CHILDRENS HOSPITAL 604263558 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 2898 0 0 0 0 106 0 0 0 122 0 0 0 0 0 0 0 0 0 3825 0 0 0 0 107 0 0 0 170 0 0 0 0 0 0 0 0 0 3825 0 0 0 0 703 0 0 0 170 0 0 0 0 0 0 0 0 0 426640.21 0 0 0 0 832127.51 0 0 0 35169.19 0 0 0 0 0 1293936.91 1682185.94 0 0 1101297898 30 General Hospitals 82 Piatt DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101297972 30 General Hospitals 850 Washington ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 827.79 0 0 0 0 10961.8 0 0 0 0 0 0 0 0 0 11789.59 0 0 0 1101300399 1407808090 30 General Hospitals ST JAMES HOSPITAL 617649774 61 Livingston DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 2712 0 0 0 0 450 0 0 0 1781 0 0 0 0 0 3 0 0 0 4781 0 0 0 0 519 0 0 0 3745 0 0 0 0 0 3 0 0 0 4781 0 0 0 0 1395 0 0 0 3745 0 0 0 0 0 88.5 0 0 0 783525.5 0 0 0 0 668223.81 0 0 0 786552.57 0 0 0 0 0 2238390.38 1217943.37 0 0 1101300943 30 General Hospitals 54 Kankakee DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101301472 30 General Hospitals 847 Vermont ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101302832 1245294826 30 General Hospitals SARASOTA MEMORIAL HOSPITAL 342393509 810 Florida NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 10 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1389.32 0 0 0 0 1289.62 0 0 0 0 0 0 0 0 0 2678.94 0 0 0 1101302943 1447221312 30 General Hospitals GALESBURG HOSPITAL CORPORATION 614012807 56 Knox DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1671 0 0 0 0 443 0 0 8 834 0 0 0 0 0 2 0 0 0 2645 0 0 0 0 492 0 0 8 1933 0 0 0 0 0 2 0 0 0 2645 0 0 0 0 1643 0 0 8 1933 0 0 0 0 0 56.98 0 0 0 306919.24 0 0 0 0 476013.52 0 0 15735.44 245393.33 0 0 0 0 0 1044118.51 4470349.85 0 0 1101302962 1427146430 30 General Hospitals "LA RABIDA CHILDRENS HOSP, CFC" 606491003 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 0 0 0 0 0 987 0 0 0 0 146 0 0 0 72 0 0 0 0 0 0 0 0 0 1356 0 0 0 0 214 0 0 0 153 0 0 0 0 0 0 0 0 0 1356 0 0 0 0 5119 0 0 0 153 0 0 0 0 0 0 0 0 0 166655.24 0 0 0 0 10654319.3 0 0 0 57656.31 0 0 0 0 0 10878630.85 16623536.5 0 0 1101303795 1780693358 30 General Hospitals FAYETTE COUNTY HOSPITAL 624711227 34 Fayette DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 2228 0 0 0 0 100 0 0 7 1038 0 0 0 0 0 0 0 0 0 4118 0 0 0 0 136 0 0 7 2770 0 0 0 0 0 0 0 0 0 4118 0 0 0 0 420 0 0 7 3186 0 0 0 0 0 0 0 0 0 1153103.96 0 0 0 0 117762.98 0 0 16201.05 987071.48 0 0 0 0 0 2274139.47 707824.16 0 0 1101304519 1063527810 30 General Hospitals RENAL CARE GROUP SKOKIE 600771074 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27618.66 0 0 0 0 0 27618.66 0 0 0 1101305276 1003918210 30 General Hospitals COMMUNITY HOSPITAL 463212901 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 772 0 0 0 0 153 0 0 0 166 0 0 0 0 0 0 0 0 0 1088 0 0 0 0 174 0 0 0 246 0 0 0 0 0 0 0 0 0 1088 0 0 0 0 1064 0 0 0 246 0 0 0 0 0 0 0 0 0 142166.25 0 0 0 0 467055.81 0 0 0 35591.76 0 0 0 0 0 644813.82 0 0 0 1101306835 1982658407 30 General Hospitals GULF COAST MEDICAL CENTER 339124300 810 Florida ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 429.06 0 0 0 0 3868.87 0 0 0 0 0 0 0 0 0 4297.93 0 0 0 1101307897 1437373545 30 General Hospitals PIKE COUNTY MEMORIAL HOSPITAL 633532559 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 76 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 139 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 14695.41 0 0 0 0 0 0 0 0 3608.49 0 0 0 0 0 18303.9 0 0 0 1101308028 1003864810 30 General Hospitals CENTRAL DUPAGE HOSPITAL 601901237 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 4 19 0 0 3782 0 0 0 0 1433 0 0 7 3403 0 0 0 0 0 7 103 0 0 5337 0 0 0 0 1711 0 0 62 7063 0 0 0 0 0 7 118 0 0 5337 0 0 0 0 7668 0 0 62 7107 0 0 0 0 0 162.32 12508.6 0 0 1078766.17 0 0 0 0 6197351.07 0 0 10254.89 1344172.51 0 0 0 0 0 8643215.56 11093686.93 0 0 1101309286 30 General Hospitals 829 Nevada NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 636.98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 636.98 0 0 0 1101309904 1194790055 30 General Hospitals MARTIN MEDICAL CENTER 349942346 810 Florida ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 9 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 11 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 1730.25 0 0 0 0 1289.62 0 0 0 411.97 0 0 0 0 0 3431.84 0 0 0 1101311756 30 General Hospitals 838 Oregon ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1456.21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1456.21 0 0 0 1101312762 1689776882 30 General Hospitals ST CATHERINE HOSPITAL INC 463123049 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 6 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69.17 0 0 165.22 0 0 0 0 0 234.39 0 0 0 1101312959 1144397134 30 General Hospitals MEMORIAL HEALTH SYSTEM 999999999 806 Colorado NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 8 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 843.81 0 0 0 0 18054.72 0 0 0 0 0 0 0 0 0 18898.53 0 0 0 1101313505 1326072638 30 General Hospitals MOUNT VERNON DIALYSIS 628646583 49 Jefferson DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3806 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44379.08 0 0 0 0 0 44379.08 0 0 0 1101314832 1831170232 30 General Hospitals GOTTLIEB MEMORIAL HOSPITAL 601601612 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 1701 0 0 0 0 759 0 0 0 1263 0 0 0 0 0 1 0 0 0 2111 0 0 0 0 843 0 0 0 2475 0 0 0 0 0 1 0 0 0 2117 0 0 0 0 3164 0 0 0 2582 0 0 0 0 0 79.98 0 0 0 335343.16 0 0 0 0 1429605.51 0 0 0 248834.89 0 0 0 0 0 2013863.54 4886135.94 0 0 1101315901 1750387858 30 General Hospitals LOURDES HOSPITAL INC 420037901 818 Kentucky DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 655 0 0 0 0 100 0 0 0 281 0 0 0 0 0 0 0 0 0 1176 0 0 0 0 117 0 0 0 800 0 0 0 0 0 0 0 0 0 1243 0 0 0 0 534 0 0 0 917 0 0 0 0 0 0 0 0 0 200345.22 0 0 0 0 335478.96 0 0 0 165429.35 0 0 0 0 0 701253.53 54237.78 0 0 1101316820 1700991551 30 General Hospitals FRESENIUS MEDICAL CARE PRAIRIE 606161219 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5013.99 0 0 0 0 0 5013.99 0 0 0 1101317335 32 Rehabilitation Hospitals 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20975.05 0 0 0 0 0 0 0 0 0 20975.05 0 0 0 1101317579 1427007384 30 General Hospitals ST JOSEPHS HOSPITAL 532101650 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 446.53 0 0 0 0 1289.62 0 0 0 60.7 0 0 0 0 0 1796.85 0 0 0 1101319350 1578670543 30 General Hospitals GOOD SAMARITAN HOSPITAL 605151500 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 1 26 0 0 1916 0 0 0 0 941 0 0 1 1010 0 0 0 0 0 1 154 0 0 2615 0 0 0 0 1162 0 0 1 1895 0 0 0 0 0 1 188 0 0 2621 0 0 0 0 6273 0 0 1 1951 0 0 0 0 0 0 24216.14 0 0 578327.58 0 0 0 0 5908702.83 0 0 2091.66 313706.11 0 0 0 0 0 6827044.32 5173580.75 0 0 1101319625 1982780094 30 General Hospitals BELOIT HEALTH SYSTEM 535112230 852 Wisconsin DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 131 0 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1875.22 0 0 4775.6 0 0 0 0 0 6650.82 0 0 0 1101320676 1023123866 30 General Hospitals ELK GROVE DIALYSIS CENTER 600073311 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2851 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29898.29 0 0 0 0 0 29898.29 0 0 0 1101321655 1568553519 30 General Hospitals SILVER CROSS HOSPITAL 604519508 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 23 0 0 4242 0 0 0 0 1568 0 0 2 1782 0 0 0 0 0 7 291 0 0 5606 0 0 0 0 1877 0 0 2 3117 0 0 0 0 0 13 291 0 0 5615 0 0 0 0 7581 0 0 2 4325 0 0 0 0 0 607.92 27292.8 0 0 771802.28 0 0 0 0 3483507.93 0 0 2083.85 583744.45 0 0 0 0 0 4869039.23 4802613.03 0 0 1101322391 30 General Hospitals 45 Henry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101322644 32 Rehabilitation Hospitals 109 Winnebago REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5838.07 0 0 0 0 0 5838.07 0 0 0 1101323083 1578623344 30 General Hospitals HOWARD YOUNG MEDICAL CTR INC 545689190 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 3112.41 0 0 0 0 7092.93 0 0 0 0 0 0 0 0 0 10205.34 0 0 0 1101323339 1922113760 30 General Hospitals SOUTHSIDE DIALYSIS CENTER 606521968 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 112 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 875 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 9224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76812.19 0 0 0 0 0 76812.19 0 0 0 1101324328 1740395581 30 General Hospitals WEST METRO DIALYSIS CENTER 606224477 803 Arizona DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 109 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 914 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 11441 0 0 0 0 0 596.51 0 0 0 0 0 0 0 0 0 0 0 0 82968.02 0 0 0 0 0 83564.53 0 0 0 1101324527 1295804375 30 General Hospitals SARAH BUSH LINCOLN H C 619389253 24 Coles DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 8582 0 0 0 0 2316 0 0 58 6677 0 0 0 0 0 14 0 0 0 16743 0 0 0 0 2961 0 0 58 15118 0 0 0 0 0 19 0 0 0 16822 0 0 0 0 9000 0 0 59 15492 0 0 0 0 0 235.61 0 0 0 2876027.28 0 0 0 0 4305503.72 0 0 94456.44 4039791.45 0 0 0 0 0 11316014.5 3808921.48 0 0 1101326159 1508991282 30 General Hospitals OTTAWA REG HOSP AND HEALTHCARE 613501604 58 La Salle ARS-PD Hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 3 1312 0 0 4581 0 0 0 0 1182 0 0 0 3226 0 0 0 0 0 5 8229 0 0 8175 0 0 0 0 1484 0 0 0 6691 0 0 0 0 0 5 8491 0 0 8175 0 0 0 0 5359 0 0 0 6765 0 0 0 0 0 5.7 335777.71 0 0 1269875.14 0 0 0 0 2796281.24 0 0 0 1570322.13 0 0 0 0 0 5972261.92 1736951.72 0 0 1101327472 1497759260 30 General Hospitals SULLIVAN CO COMM HOSPITAL 478820010 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 10 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 1390.32 0 0 0 0 0 0 0 0 493.82 0 0 0 0 0 1884.14 0 0 0 1101328820 1861557753 30 General Hospitals AURORA MEM BURLINGTON 531051828 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 11 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 1940.44 0 0 0 0 14185.85 0 0 0 0 0 0 0 0 0 16126.29 0 0 0 1101329650 1841221116 30 General Hospitals CHROMALLOY AMERICAN KIDNEY CTR 631101000 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 754 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25153.52 0 0 0 0 0 25153.52 0 0 0 1101329885 1922042704 30 General Hospitals HANNIBAL REGIONAL HOSPITAL 634010551 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 237 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 441 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 441 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 46812.98 0 0 0 0 0 0 0 0 1525.54 0 0 0 0 0 48338.52 0 0 0 1101330045 1659338168 31 Psychiatric Hospitals AURORA CHICAGO LAKESHORE HOSP 606407860 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 97 0 0 0 0 0 0 0 329 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 431 0 0 0 0 0 0 0 0 0 0 817 0 0 0 0 0 0 0 4327 0 0 0 0 0 0 0 0 0 0 62609.54 0 0 0 0 0 0 0 1256218.07 0 0 0 0 0 0 0 0 0 1318827.61 2573778.81 0 0 1101331117 30 General Hospitals 841 Rhode Island NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101333595 1235155391 30 General Hospitals LOOP RENAL CENTER 606074901 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4067 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54041.87 0 0 0 0 0 54041.87 0 0 0 1101333704 1760443980 30 General Hospitals COX MEDICAL CENTER BRASNON 656162052 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 11 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 12 0 0 0 0 1 0 0 0 5 0 0 0 0 0 0 0 0 0 12 0 0 0 0 2 0 0 0 5 0 0 0 0 0 0 0 0 0 3389.61 0 0 0 0 1289.62 0 0 0 117.67 0 0 0 0 0 4796.9 0 0 0 1101334273 1043302607 30 General Hospitals THE FINLEY HOSPITAL 520016328 816 Iowa DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 108 0 0 0 0 9 0 0 0 29 0 0 0 0 0 0 0 0 0 148 0 0 0 0 10 0 0 0 49 0 0 0 0 0 0 0 0 0 148 0 0 0 0 30 0 0 0 72 0 0 0 0 0 0 0 0 0 22434.84 0 0 0 0 8678.4 0 0 0 35819.64 0 0 0 0 0 66932.88 0 0 0 1101336565 30 General Hospitals 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36252.5 0 0 0 0 0 36252.5 0 0 0 1101336762 1053391359 30 General Hospitals SOUTH SHORE HOSPITAL CORP 606171124 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 1673 0 0 0 0 502 0 0 0 324 0 0 0 0 0 0 0 0 0 2292 0 0 0 0 648 0 0 0 477 0 0 0 0 0 0 0 0 0 2292 0 0 0 0 4371 0 0 0 485 0 0 0 0 0 0 0 0 0 297122.27 0 0 0 0 1234081.77 0 0 0 67360.14 0 0 0 0 0 1598564.18 3033682.59 0 0 1101336775 1427132604 30 General Hospitals GENESIS MEDICAL CENTER SILVIS 612821804 89 Rock Island DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 1860 0 0 0 0 428 0 0 0 827 0 0 0 0 0 0 0 0 0 2791 0 0 0 0 461 0 0 0 1473 0 0 0 0 0 0 0 0 0 2791 0 0 0 0 1284 0 0 0 1734 0 0 0 0 0 0 0 0 0 306748.07 0 0 0 0 577651.76 0 0 0 157879.44 0 0 0 0 0 1042279.27 3093587.2 0 0 1101336805 1992094718 30 General Hospitals FRESENIUS MEDICAL CARE BATAVIA 999999999 53 Kane DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 659 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18803.31 0 0 0 0 0 18803.31 0 0 0 1101338372 1720029333 30 General Hospitals MERCY MEDICAL CENTER 524031251 816 Iowa ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 11 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1102.39 0 0 0 0 2579.25 0 0 0 0 0 0 0 0 0 3681.64 0 0 0 1101339236 1235198235 30 General Hospitals ROCKFORD DIALYSIS 611032839 109 Winnebago DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 463 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3894 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51549.71 0 0 0 0 0 51549.71 0 0 0 1101339628 1902922115 30 General Hospitals ADOLESCENT FAMILY CENTER 606123227 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 23 0 0 0 0 0 0 80 0 0 94 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 126 0 0 282 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 126 0 0 282 0 0 0 0 0 0 0 0 829.29 0 0 0 0 0 0 317.17 0 0 13320.74 0 0 0 0 0 14467.2 0 0 0 1101339785 1043270424 30 General Hospitals SSM HEALTH GOOD SAMARITAN HOSP 628642402 49 Jefferson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 5955 0 0 0 0 2573 0 0 4 3760 0 0 0 0 0 10 0 0 0 10726 0 0 0 0 2940 0 0 4 7075 0 0 0 0 0 15 0 0 0 11095 0 0 0 0 8859 0 0 4 7683 0 0 0 0 0 0 0 0 0 1887905.56 0 0 0 0 6916407.74 0 0 9512.35 1954168.56 0 0 0 0 0 10767994.21 3443429.57 0 0 1101340779 1871519926 30 General Hospitals BUFFALO GROVE DIALYSIS 600894009 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 853 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10459.99 0 0 0 0 0 10459.99 0 0 0 1101342110 1851695019 30 General Hospitals KINDRED HOSPITAL NORTHWEST IN 999999999 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1440 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72817.58 0 0 0 0 0 0 0 0 0 72817.58 0 0 0 1101342182 1205196003 30 General Hospitals MORRIS DIALYSIS 604506857 40 Grundy DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56086.35 0 0 0 0 0 56086.35 0 0 0 1101345950 31 Psychiatric Hospitals 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101345961 1790739977 30 General Hospitals ST ANTHONY MEDICAL CENTER 611082425 109 Winnebago DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 3242 0 0 0 0 1373 0 0 0 3111 0 0 0 0 0 16 0 0 0 4978 0 0 0 0 1678 0 0 0 7263 0 0 0 0 0 16 0 0 0 4978 0 0 0 0 7055 0 0 0 7342 0 0 0 0 0 102.25 0 0 0 521657.65 0 0 0 0 5941640.87 0 0 0 1325404.9 0 0 0 0 0 7788805.67 8405185.87 0 0 1101348803 1285732933 30 General Hospitals ST VINCENT EVANSVILLE HOSPITAL 477140541 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 395 0 0 0 0 284 0 0 2 416 0 0 0 0 0 0 0 0 0 579 0 0 0 0 319 0 0 2 734 0 0 0 0 0 0 0 0 0 579 0 0 0 0 1849 0 0 2 734 0 0 0 0 0 0 0 0 0 94867.14 0 0 0 0 1425016.64 0 0 4697.32 230756.85 0 0 0 0 0 1755337.95 470529.72 0 0 1101349331 30 General Hospitals 60 Lee DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13706.31 0 0 0 0 0 13706.31 0 0 0 1101349595 30 General Hospitals 96 St Clair ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101349792 1144251158 30 General Hospitals SOUTH SUBURBAN DIALYSIS 604611801 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 379 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56389.76 0 0 0 0 0 56389.76 0 0 0 1101350194 1285694729 30 General Hospitals CHURCHVIEW DIALYSIS 611076413 109 Winnebago DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 456 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5081 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51657.96 0 0 0 0 0 51657.96 0 0 0 1101352095 1225156888 30 General Hospitals AURORA MED CENTER KENOSHA 531427884 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 70 0 0 0 0 4 0 0 0 18 0 0 0 0 0 0 0 0 0 84 0 0 0 0 4 0 0 0 20 0 0 0 0 0 0 0 0 0 89 0 0 0 0 20 0 0 0 20 0 0 0 0 0 0 0 0 0 13425.41 0 0 0 0 3587.26 0 0 0 2784.63 0 0 0 0 0 19797.3 0 0 0 1101352874 30 General Hospitals 19 Champaign DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101353248 1982796181 30 General Hospitals MEMORIAL HOSPITAL 622265399 96 St Clair DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 4242 0 0 0 0 1331 0 0 2 2596 0 0 0 0 0 9 0 0 0 6387 0 0 0 0 1565 0 0 2 6083 0 0 0 0 0 10 0 0 0 6387 0 0 0 0 7222 0 0 2 6083 0 0 0 0 0 1310.26 0 0 0 827979.2 0 0 0 0 2410799.83 0 0 2084.15 835242.05 0 0 0 0 0 4077415.49 6598040.09 0 0 1101354994 1164512661 30 General Hospitals FMC OF LAKE BLUFF 600441687 57 Lake DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 830 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9225.29 0 0 0 0 0 9225.29 0 0 0 1101356334 1538165600 30 General Hospitals HARDIN CO GEN HOSP 629822467 43 Hardin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 1066 0 0 0 0 93 0 0 0 573 0 0 0 0 0 0 0 0 0 2873 0 0 0 0 125 0 0 0 1253 0 0 0 0 0 0 0 0 0 2873 0 0 0 0 397 0 0 0 1253 0 0 0 0 0 0 0 0 0 258589.34 0 0 0 0 233837.37 0 0 0 163991.21 0 0 0 0 0 656417.92 625017.85 0 0 1101359788 1467478586 30 General Hospitals HAZEL CREST RENAL CENTER 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2105 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36096.19 0 0 0 0 0 36096.19 0 0 0 1101362287 1922036755 30 General Hospitals REGIONS HOSPITAL 551012502 824 Minnesota NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1112.69 0 0 0 0 1846.13 0 0 0 0 0 0 0 0 0 2958.82 0 0 0 1101362554 1376656538 30 General Hospitals SHRINERS HOSPITAL FOR CHILDREN 607073392 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Children's Hospital 0 0 0 0 0 0 0 0 0 0 0 485 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 963 0 0 833 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 963 0 0 833 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12338.27 0 0 52152.5 0 0 0 0 0 64490.77 0 0 0 1101362910 30 General Hospitals 63 Macon DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 974.79 0 0 0 0 0 974.79 0 0 0 1101363501 1376644385 30 General Hospitals ST ALEXIUS MEDICAL CENTER 601941018 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 2538 0 0 0 0 1528 0 0 0 2083 0 0 0 0 0 2 0 0 0 3595 0 0 0 0 1687 0 0 0 3478 0 0 0 0 0 2 0 0 0 3596 0 0 0 0 6158 0 0 0 3589 0 0 0 0 0 19.33 0 0 0 508877.77 0 0 0 0 3501834.42 0 0 0 470370.7 0 0 0 0 0 4481102.22 15907405.11 0 0 1101364294 1891796108 31 Psychiatric Hospitals BHC MEADOWS HOSPITAL 474041616 815 Indiana PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 287443.56 0 0 0 0 0 0 0 0 0 287443.56 4417.56 0 0 1101365225 1548375082 30 General Hospitals HOPE CHILDRENS HOSP AMB CARE 604532600 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 0 0 0 0 294 0 0 0 0 0 0 1240 0 0 599 0 0 0 0 0 0 0 0 442 0 0 0 0 0 0 4687 0 0 1554 0 0 0 0 0 0 0 0 442 0 0 0 0 0 0 4687 0 0 1554 0 0 0 0 0 0 0 0 7365.49 0 0 0 0 0 0 27983.91 0 0 62691.29 0 0 0 0 0 98040.69 0 0 0 1101365708 1245559871 30 General Hospitals WESTLAKE HOSPITAL 601604039 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 1839 0 0 0 0 770 0 0 0 983 0 0 0 0 0 2 0 0 0 2541 0 0 0 0 841 0 0 0 1548 0 0 0 0 0 2 0 0 0 2541 0 0 0 0 3601 0 0 0 1576 0 0 0 0 0 99.93 0 0 0 295017.02 0 0 0 0 1465193.15 0 0 0 143242.16 0 0 0 0 0 1903552.26 5564041.59 0 0 1101366800 1356435135 30 General Hospitals ST JOSEPH MEMORIAL HOSPITAL 629663333 47 Jackson DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 2791 0 0 0 0 111 0 0 0 3551 0 0 0 0 0 2 0 0 0 4923 0 0 0 0 119 0 0 0 7967 0 0 0 0 0 2 0 0 0 4932 0 0 0 0 339 0 0 0 8551 0 0 0 0 0 1166.86 0 0 0 1873601.83 0 0 0 0 226922.93 0 0 0 5114789.88 0 0 0 0 0 7216481.5 673519.71 0 0 1101367753 1679661342 30 General Hospitals FRESENIUS MEDICAL CARE OSWEGO 605435008 803 Arizona ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1835 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50161.09 0 0 0 0 0 50161.09 0 0 0 1101369048 1386733681 30 General Hospitals SINAI CHILDRENS HOSPITAL 606081704 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 728 0 0 0 0 211 0 0 0 405 0 0 0 0 0 0 0 0 0 848 0 0 0 0 222 0 0 0 485 0 0 0 0 0 0 0 0 0 849 0 0 0 0 2180 0 0 0 485 0 0 0 0 0 0 0 0 0 154246.36 0 0 0 0 4468144.74 0 0 0 212982.73 0 0 0 0 0 4835373.83 31514912.09 0 0 1101369406 1811074651 30 General Hospitals SSM HEALTH CARDINAL GLENNON CH 631041003 826 Missouri CHILDRENS Hospital designated as childrens hospitals and pai 0 0 0 0 0 0 0 1944 0 0 0 0 787 0 0 0 2399 0 0 0 0 0 0 0 0 0 2598 0 0 0 0 1021 0 0 0 3799 0 0 0 0 0 0 0 0 0 2645 0 0 0 0 7837 0 0 0 3953 0 0 0 0 0 0 0 0 0 318516.12 0 0 0 0 18161422.23 0 0 0 1812384.65 0 0 0 0 0 20292323 1780296.34 0 0 1101369535 1164530465 30 General Hospitals ADVENTIST BOLINGBROOK HOSPITAL 604404906 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 3090 0 0 0 0 769 0 0 1 1341 0 0 0 0 0 0 0 0 0 4328 0 0 0 0 867 0 0 1 2749 0 0 0 0 0 0 0 0 0 4357 0 0 0 0 3118 0 0 1 2972 0 0 0 0 0 0 0 0 0 613854.34 0 0 0 0 1487960.3 0 0 2299.8 408857.42 0 0 0 0 0 2512971.86 593767.2 0 0 1101371278 1194728808 30 General Hospitals WABASH GENERAL HOSPITAL 628632638 101 Wabash DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 1 0 0 0 1665 0 0 0 0 80 0 0 2 1174 0 0 0 0 0 2 0 0 0 2887 0 0 0 0 88 0 0 2 2589 0 0 0 0 0 2 0 0 0 2887 0 0 0 0 306 0 0 2 2589 0 0 0 0 0 133.7 0 0 0 891756.58 0 0 0 0 218185.51 0 0 8167.86 1205723.19 0 0 0 0 0 2323966.84 503373.09 0 0 1101371959 1174638928 30 General Hospitals RENAL CARE GROUP GARFIELD 606096349 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 499 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58123.66 0 0 0 0 0 58123.66 0 0 0 1101372392 1467567214 30 General Hospitals DIALYSIS SERVICES WILLOWBROOK 605272248 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1681 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22561.1 0 0 0 0 0 22561.1 0 0 0 1101372470 1548393127 30 General Hospitals UNIV MED CTR OF SO NEVADA 891022329 829 Nevada NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 11 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 1464.25 0 0 0 0 1942.23 0 0 0 0 0 0 0 0 0 3406.48 0 0 0 1101372736 1952627259 30 General Hospitals FRESENIUS MEDICAL CARE LOMBARD 601486419 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 987 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7380.89 0 0 0 0 0 7380.89 0 0 0 1101372973 1841361748 30 General Hospitals RONALD MCDONALDS CHILDRENS HSP 601533304 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Perinatal Level II Center 0 0 0 0 0 996 0 0 0 0 344 0 0 0 958 0 0 0 0 0 0 0 0 0 1211 0 0 0 0 427 0 0 0 1334 0 0 0 0 0 0 0 0 0 1213 0 0 0 0 4422 0 0 0 1344 0 0 0 0 0 0 0 0 0 232514.06 0 0 0 0 8832711.21 0 0 0 785150.02 0 0 0 0 0 9850375.29 3119489.58 0 0 1101373018 1912900192 30 General Hospitals FOX VALLEY DIALYSIS LTD 605045502 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 309 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3631 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69424.35 0 0 0 0 0 69424.35 0 0 0 1101373241 1780814558 30 General Hospitals WEST LAWN DIALYSIS 606295842 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 1 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 241 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 1748 0 0 0 0 0 51.6 0 0 0 0 0 0 0 0 0 0 0 0 14137.02 0 0 0 0 0 14188.62 0 0 0 1101375366 1770533994 30 General Hospitals ST VINCENT CLAY HOSPITAL 478342718 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730.24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 730.24 0 0 0 1101376698 1053348532 30 General Hospitals SHELBY MEMORIAL HOSPITAL 625651838 94 Shelby DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 1078 0 0 0 0 100 0 0 0 489 0 0 0 0 0 1 0 0 0 1755 0 0 0 0 114 0 0 0 822 0 0 0 0 0 1 0 0 0 1755 0 0 0 0 334 0 0 0 822 0 0 0 0 0 0 0 0 0 178138.64 0 0 0 0 118207.02 0 0 0 108021.53 0 0 0 0 0 404367.19 0 0 0 1101378432 1689653305 30 General Hospitals WILLIAM BEAUMONT HOSPITAL 480736769 823 Michigan NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 4 0 0 0 2 0 0 0 0 0 0 0 0 0 5 0 0 0 0 4 0 0 0 4 0 0 0 0 0 0 0 0 0 5 0 0 0 0 22 0 0 0 4 0 0 0 0 0 0 0 0 0 520.08 0 0 0 0 8490.88 0 0 0 1759.32 0 0 0 0 0 10770.28 0 0 0 1101378945 1881729036 30 General Hospitals TAYLORVILLE MEM CHILDRENS HOSP 625681562 20 Christian CHILDRENS Hospital designated as childrens hospitals and pai 1 0 General Hospital - Children Section 0 0 0 0 0 353 0 0 0 0 1 0 0 0 41 0 0 0 0 0 0 0 0 0 469 0 0 0 0 1 0 0 0 58 0 0 0 0 0 0 0 0 0 469 0 0 0 0 2 0 0 0 58 0 0 0 0 0 0 0 0 0 54111.81 0 0 0 0 2960.59 0 0 0 16683.02 0 0 0 0 0 73755.42 203638.08 0 0 1101379212 1447352323 30 General Hospitals ST JOSEPHS HOSPITAL 622492806 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 742 0 0 0 0 33 0 0 0 406 0 0 0 0 0 0 0 0 0 1153 0 0 0 0 35 0 0 0 1161 0 0 0 0 0 0 0 0 0 1153 0 0 0 0 128 0 0 0 1266 0 0 0 0 0 0 0 0 0 395048.32 0 0 0 0 87236.76 0 0 0 399055.37 0 0 0 0 0 881340.45 300011.27 0 0 1101379429 1437458734 30 General Hospitals FRESENIUS MEDICAL WEST WILLOW 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24440 0 0 0 0 0 24440 0 0 0 1101381236 1003831132 30 General Hospitals UNITED HOSPITAL SYSTEM INC 531435031 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 218 0 0 0 0 17 0 0 0 19 0 0 0 0 0 0 0 0 0 275 0 0 0 0 17 0 0 0 22 0 0 0 0 0 0 0 0 0 275 0 0 0 0 48 0 0 0 22 0 0 0 0 0 0 0 0 0 66190.92 0 0 0 0 29682.51 0 0 0 2237.1 0 0 0 0 0 98110.53 0 0 0 1101383564 1124388624 30 General Hospitals FRESENIUS MEDICAL PLAINFIELD 604322560 107 Will DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2521 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18168.72 0 0 0 0 0 18168.72 0 0 0 1101384385 1538128533 30 General Hospitals WHITESIDE DIALYSIS 610814602 106 Whiteside DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63001.05 0 0 0 0 0 63001.05 0 0 0 1101384607 1497750699 30 General Hospitals JACKSON PARK HOSP FOUNDATION 606493913 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 4 0 0 2533 0 0 0 0 1181 0 0 0 399 0 0 0 0 0 0 95 0 0 3435 0 0 0 0 1558 0 0 0 585 0 0 0 0 0 0 105 0 0 3441 0 0 0 0 6668 0 0 0 692 0 0 0 0 0 0 15160.5 0 0 501148.45 0 0 0 0 3318608.58 0 0 0 84629.19 0 0 0 0 0 3919546.72 16895932.22 0 0 1101386062 1053361642 30 General Hospitals DEACONESS HOSPITAL INC 477101658 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 654 0 0 0 0 566 0 0 0 567 0 0 0 0 0 0 0 0 0 833 0 0 0 0 653 0 0 0 909 0 0 0 0 0 0 0 0 0 833 0 0 0 0 3361 0 0 0 930 0 0 0 0 0 0 0 0 0 169344.81 0 0 0 0 3695016.71 0 0 0 312000.94 0 0 0 0 0 4176362.46 1715371.44 0 0 1101386116 1962572396 30 General Hospitals ST MARYS HEALTH CENTER 631171811 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 0 0 0 0 128 0 0 0 0 432 0 0 0 319 0 0 0 0 0 0 0 0 0 156 0 0 0 0 308 0 0 0 550 0 0 0 0 0 0 0 0 0 168 0 0 0 0 2409 0 0 0 563 0 0 0 0 0 0 0 0 0 19720.28 0 0 0 0 2700192.07 0 0 0 131596.91 0 0 0 0 0 2851509.26 0 0 38635.98 1101386804 1447565072 30 General Hospitals WOODLAWN DIALYSIS 606095328 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 585 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51127.13 0 0 0 0 0 51127.13 0 0 0 1101387257 1952471914 30 General Hospitals GOOD SAMARITAN HOSP HLTH CTR 454061813 836 Ohio NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1855.27 0 0 0 0 0 0 0 0 16.29 0 0 0 0 0 1871.56 0 0 0 1101388037 1659511988 32 Rehabilitation Hospitals SSM SELECT REHAB ST LOUIS LLC 63044 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 285172.42 0 0 0 0 0 0 0 0 0 285172.42 0 0 0 1101388171 1184726390 30 General Hospitals ST MARY MEDICAL CENTER INC 463426638 815 Indiana ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 67 0 0 0 0 13 0 0 0 8 0 0 0 0 0 0 0 0 0 80 0 0 0 0 14 0 0 0 13 0 0 0 0 0 0 0 0 0 80 0 0 0 0 41 0 0 0 13 0 0 0 0 0 0 0 0 0 18079.43 0 0 0 0 14865.75 0 0 0 1260.85 0 0 0 0 0 34206.03 0 0 0 1101388321 1568414134 30 General Hospitals TRINITY BETTENDORF 527221626 846 Utah ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 8 0 0 0 0 0 0 77 0 0 41 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 202 0 0 84 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 202 0 0 84 0 0 0 0 0 0 0 0 34.62 0 0 0 0 0 0 1103.77 0 0 1258.85 0 0 0 0 0 2397.24 0 0 0 1101388928 1144266024 30 General Hospitals INDIANA UNIVERSITY HEALTH INC 462021239 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 51 0 0 0 0 38 0 0 0 110 0 0 0 0 0 0 0 0 0 59 0 0 0 0 47 0 0 0 178 0 0 0 0 0 0 0 0 0 59 0 0 0 0 332 0 0 0 178 0 0 0 0 0 0 0 0 0 16743.63 0 0 0 0 686826.55 0 0 0 104455.93 0 0 0 0 0 808026.11 474820.68 0 0 1101389393 1528041811 30 General Hospitals SHARP GROSSMONT HOSPITAL 919423019 805 California ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 3 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 15 0 0 0 1 0 0 0 0 0 0 0 0 0 298.87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 298.87 0 0 0 1101390142 1306805551 30 General Hospitals SKYLINE HOME DIALYSIS 606344533 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 1 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 78 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 1367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8727.34 0 0 0 0 0 8727.34 0 0 0 1101390918 1043581044 30 General Hospitals METRO SOUTH MEDICAL CENTER 604062428 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 3 0 0 0 4137 0 0 0 0 1285 0 0 2 1098 0 0 0 0 0 3 0 0 0 5545 0 0 0 0 1394 0 0 2 1613 0 0 0 0 0 3 0 0 0 5548 0 0 0 0 5118 0 0 2 1622 0 0 0 0 0 0 0 0 0 653783.81 0 0 0 0 2199680.79 0 0 3797.86 136772.12 0 0 0 0 0 2994034.58 14869989.05 0 0 1101391223 32 Rehabilitation Hospitals 815 Indiana REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101392220 1669420766 30 General Hospitals MCDONOUGH DISTRICT HOSP 614553313 70 McDonough ARS-PD Hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 1 0 0 0 3223 0 0 0 0 412 0 0 3 1636 0 0 0 0 0 1 0 0 0 6931 0 0 0 0 445 0 0 3 3580 0 0 0 0 0 1 0 0 0 6931 0 0 0 0 1236 0 0 3 3596 0 0 0 0 0 0 0 0 0 837990.3 0 0 0 0 608561.92 0 0 5555.88 711412.17 0 0 0 0 0 2163520.27 1122814.39 0 0 1101393262 1699769901 30 General Hospitals UNIVERSITY OF MO HEALTH CARE 652120001 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 13 0 0 0 0 6 0 0 0 6 0 0 0 0 0 0 0 0 0 17 0 0 0 0 6 0 0 0 9 0 0 0 0 0 0 0 0 0 17 0 0 0 0 70 0 0 0 9 0 0 0 0 0 0 0 0 0 3155.98 0 0 0 0 25147.65 0 0 0 1566.04 0 0 0 0 0 29869.67 0 0 0 1101394427 1336100734 30 General Hospitals DECATUR EAST WOOD DIALYSIS 625231155 63 Macon DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3373 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48524.79 0 0 0 0 0 48524.79 0 0 0 1101394550 1629183470 30 General Hospitals RCG BERWYN (FORMERLY RIVERSIDE 604022100 803 Arizona DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 421 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5030 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116142.58 0 0 0 0 0 116142.58 0 0 0 1101397187 1134220031 30 General Hospitals LAKELAND HOSPITAL ST JOSEPH 490852112 823 Michigan ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 12 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2615.07 0 0 0 0 0 0 0 0 18.69 0 0 0 0 0 2633.76 0 0 0 1101398086 1902854623 30 General Hospitals CGH MEDICAL CENTER 610811278 106 Whiteside DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Government Owned 0 5 0 0 0 5907 0 0 0 0 1146 0 0 22 3314 0 0 0 0 0 62 0 0 0 12338 0 0 0 0 1385 0 0 22 7897 0 0 0 0 0 64 0 0 0 12338 0 0 0 0 4095 0 0 22 7897 0 0 0 0 0 2316.5 0 0 0 1690095.13 0 0 0 0 2320689.26 0 0 29703.09 2045497.18 0 0 0 0 0 6088301.16 2339962.73 0 0 1101398089 1447228788 30 General Hospitals FREEPORT MEM HOSP 610324864 97 Stephenson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 6685 0 0 0 0 1038 0 0 22 2639 0 0 0 0 0 3 0 0 0 14599 0 0 0 0 1324 0 0 22 6043 0 0 0 0 0 3 0 0 0 14599 0 0 0 0 3962 0 0 22 6043 0 0 0 0 0 2.76 0 0 0 2342987.97 0 0 0 0 2349563.68 0 0 38693.42 1703564.13 0 0 0 0 0 6434811.96 0 0 0 1101401284 1720085137 30 General Hospitals NAPLES COMMUNITY HOSPITAL 341025754 810 Florida ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 900.75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 900.75 0 0 0 1101401836 1558476309 30 General Hospitals GLENDALE HEIGHTS DIALYSIS CTR 601393119 30 DuPage DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2791 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45851.51 0 0 0 0 0 45851.51 0 0 0 1101401944 30 General Hospitals 827 Montana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101402572 1104899442 30 General Hospitals NORTHEAST REGIONAL MEDICAL CTR 635016401 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1873.15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1873.15 0 0 0 1101403302 1902810856 30 General Hospitals FT MADISON COMMUNITY HOSP 526270174 816 Iowa NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 144 0 0 0 0 2 0 0 0 7 0 0 0 0 0 0 0 0 0 259 0 0 0 0 2 0 0 0 10 0 0 0 0 0 0 0 0 0 259 0 0 0 0 4 0 0 0 10 0 0 0 0 0 0 0 0 0 30000.45 0 0 0 0 1393.33 0 0 0 1440.43 0 0 0 0 0 32834.21 0 0 0 1101404001 1821103672 30 General Hospitals FMC DIALYSIS SERVICES OF ALSIP 608032946 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20953.55 0 0 0 0 0 20953.55 0 0 0 1101404221 1285606509 30 General Hospitals UNION COUNTY HOSPITAL 629061668 99 Union DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 2742 0 0 0 0 149 0 0 0 1184 0 0 0 0 0 4 0 0 0 4784 0 0 0 0 168 0 0 0 2208 0 0 0 0 0 4 0 0 0 4786 0 0 0 0 584 0 0 0 2268 0 0 0 0 0 763.31 0 0 0 1639268.31 0 0 0 0 224824.17 0 0 0 824174.6 0 0 0 0 0 2689030.39 1273311.51 0 0 1101404710 1548357973 30 General Hospitals DECATUR MEMORIAL HOSP 625264163 63 Macon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 2968 0 0 0 0 1129 0 0 3 2975 0 0 0 0 0 4 0 0 0 4648 0 0 0 0 1358 0 0 3 8865 0 0 0 0 0 4 0 0 0 4648 0 0 0 0 5220 0 0 3 9037 0 0 0 0 0 620.97 0 0 0 755126.08 0 0 0 0 1930180.1 0 0 5175.42 1653362.52 0 0 0 0 0 4344465.09 5071509.57 0 0 1101404860 1558391706 30 General Hospitals OAK PARK HOSPITAL 603041022 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 2343 0 0 0 0 441 0 0 0 1238 0 0 0 0 0 3 0 0 0 3451 0 0 0 0 525 0 0 0 3257 0 0 0 0 0 3 0 0 0 3451 0 0 0 0 2429 0 0 0 3283 0 0 0 0 0 129.22 0 0 0 321009.99 0 0 0 0 796142.77 0 0 0 265507.83 0 0 0 0 0 1382789.81 2769121.35 0 0 1101405794 1073675138 30 General Hospitals KANKAKEE COUNTY DIALYSIS 609142439 54 Kankakee DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1980 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58074.12 0 0 0 0 0 58074.12 0 0 0 1101407161 1932158680 30 General Hospitals ST CLOUD HOSPITAL 563031900 824 Minnesota NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 8 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 8 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1366.61 0 0 0 0 648.71 0 0 0 0 0 0 0 0 0 2015.32 0 0 0 1101407532 1750308631 30 General Hospitals COMMUNITY HOSPITAL STAUNTON 620881173 64 Macoupin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 0 0 0 41 0 0 0 0 0 0 546 0 0 734 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 2980 0 0 1908 0 0 0 0 0 0 0 0 55 0 0 0 0 0 0 2980 0 0 1908 0 0 0 0 0 0 0 0 219.45 0 0 0 0 0 0 16647.41 0 0 214855.75 0 0 0 0 0 231722.61 216042.33 0 0 1101408586 1992727663 30 General Hospitals ST LOUIS CHILDRENS HOSPITAL 631101002 826 Missouri CHILDRENS Hospital designated as childrens hospitals and pai 0 0 PERINATAL LEVEL III CENTER 0 0 0 0 0 1345 0 0 0 0 968 0 0 0 1983 0 0 0 0 0 0 0 0 0 1628 0 0 0 0 978 0 0 0 3070 0 0 0 0 0 0 0 0 0 1629 0 0 0 0 8004 0 0 0 3131 0 0 0 0 0 0 0 0 0 240447.47 0 0 0 0 19264084.95 0 0 0 1397866.94 0 0 0 0 0 20902399.36 1282070.37 0 77549.08 1101411006 1912014564 30 General Hospitals ADVOCATE ILLINOIS MASONIC MEDI 606575147 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 1499 0 0 3188 0 0 0 0 2035 0 0 2 3673 0 0 0 0 0 2 10300 0 0 4238 0 0 0 0 2491 0 0 2 7538 0 0 0 0 0 3 10550 0 0 4252 0 0 0 0 13566 0 0 4 7630 0 0 0 0 0 0 621221.59 0 0 1036672.31 0 0 0 0 16057444.22 0 0 6328.2 1331786.31 0 0 0 0 0 19053452.63 19244324.46 0 0 1101411277 30 General Hospitals 822 Massachusetts NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33530.2 0 0 0 0 0 0 0 0 0 33530.2 0 0 0 1101411547 1568688109 30 General Hospitals CHAMPAIGN URBANA DIALYSIS 618012356 19 Champaign DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4699 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61218.56 0 0 0 0 0 61218.56 0 0 0 1101411705 1891800645 30 General Hospitals RCGCI CANTON 615202444 37 Fulton NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50697.81 0 0 0 0 0 50697.81 0 0 0 1101412176 1265401475 30 General Hospitals TOTAL RENAL CARE INC 600483229 57 Lake DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70428.14 0 0 0 0 0 70428.14 0 0 0 1101412224 1144213117 30 General Hospitals REGIONAL MED CENTER MEMPHIS 381032807 844 Tennessee NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 11 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 11 0 0 0 0 5 0 0 0 2 0 0 0 0 0 0 0 0 0 3220.8 0 0 0 0 3224.05 0 0 0 148.53 0 0 0 0 0 6593.38 0 0 0 1101412470 1205805488 30 General Hospitals RUSHVILLE DIALYSIS 626811293 92 Schuyler DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 811 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6145.28 0 0 0 0 0 6145.28 0 0 0 1101412538 1538343876 30 General Hospitals ADVOCATE EUREKA HOSPITAL 615301246 110 Woodford DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Hospital childrens mental health 0 1 0 0 0 639 0 0 0 0 13 0 0 0 243 0 0 0 0 0 1 0 0 0 1034 0 0 0 0 14 0 0 0 451 0 0 0 0 0 1 0 0 0 1037 0 0 0 0 37 0 0 0 499 0 0 0 0 0 0 0 0 0 320147.33 0 0 0 0 21153.67 0 0 0 118632.62 0 0 0 0 0 459933.62 365872.83 0 0 1101415296 1164539730 30 General Hospitals LUTHERAN GENERAL CHILDRENS HOS 600681174 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Perinatal Level II Center 0 0 0 0 0 2228 0 0 0 0 427 0 0 0 1193 0 0 0 0 0 0 0 0 0 2784 0 0 0 0 517 0 0 0 1463 0 0 0 0 0 0 0 0 0 2786 0 0 0 0 4592 0 0 0 1463 0 0 0 0 0 0 0 0 0 486515.56 0 0 0 0 10987897.68 0 0 0 696279.14 0 0 0 0 0 12170692.38 0 0 0 1101415731 1699752915 30 General Hospitals FAIRVIEW SOUTHDALE HOSPITAL 554352104 824 Minnesota ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1810.86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1810.86 0 0 0 1101415966 1336245828 30 General Hospitals CHILDRENS HOSPITAL COLORADO 800457106 806 Colorado ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 7 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 9 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 9 0 0 0 0 14 0 0 0 1 0 0 0 0 0 0 0 0 0 1108.15 0 0 0 0 6437.72 0 0 0 224.29 0 0 0 0 0 7770.16 0 0 0 1101416058 1912286865 30 General Hospitals PALOS PARK DIALYSIS 604621162 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 534 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12685.77 0 0 0 0 0 12685.77 0 0 0 1101416343 1477531580 30 General Hospitals UNIVERSITY HOSPITAL 800452545 806 Colorado NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 9 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 794.66 0 0 0 0 0 0 0 0 29.02 0 0 0 0 0 823.68 0 0 0 1101416458 1265618573 30 General Hospitals VANDALIA DIALYSIS 624712061 34 Fayette DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 718 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4728.34 0 0 0 0 0 4728.34 0 0 0 1101416545 1356369524 30 General Hospitals HENNEPIN COUNTY MEDICAL CENTER 554151829 824 Minnesota NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 19 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 27 0 0 0 0 1 0 0 0 3 0 0 0 0 0 0 0 0 0 27 0 0 0 0 6 0 0 0 3 0 0 0 0 0 0 0 0 0 7150.5 0 0 0 0 3868.87 0 0 0 321.88 0 0 0 0 0 11341.25 0 0 0 1101417635 1659337418 30 General Hospitals SAUGET DIALYSIS 622062822 96 St Clair DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 468 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3634 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44665.12 0 0 0 0 0 44665.12 0 0 0 1101418077 1184636516 30 General Hospitals CIRCLE MEDICAL MANAGEMENT INC 606071821 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1192 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11965 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199535.62 0 0 0 0 0 199535.62 0 0 0 1101418275 1497750244 30 General Hospitals HENRY COUNTY MEDICAL CENTER 382421030 844 Tennessee NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 775.95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 775.95 0 0 0 1101419232 1609885185 30 General Hospitals BENTON DIALYSIS 628121500 36 Franklin DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 1 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 1877 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37648.69 0 0 0 0 0 37648.69 0 0 0 1101419766 1326057076 30 General Hospitals ST FRANCIS HOSPITAL 620561778 76 Montgomery DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 3477 0 0 0 0 551 0 0 0 2512 0 0 0 0 0 4 0 0 0 6193 0 0 0 0 589 0 0 0 6042 0 0 0 0 0 12 0 0 0 6193 0 0 0 0 1347 0 0 0 6244 0 0 0 0 0 1448.09 0 0 0 1372304.61 0 0 0 0 694194.73 0 0 0 2176443.17 0 0 0 0 0 4244390.6 1939248.21 0 0 1101419870 1003875402 30 General Hospitals ROXBURY DIALYSIS CENTER 611075089 109 Winnebago DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 519 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5575 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58204.96 0 0 0 0 0 58204.96 0 0 0 1101420757 1588633812 30 General Hospitals METRO EAST DIALYSIS 622264728 96 St Clair DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 861 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6836 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58456.57 0 0 0 0 0 58456.57 0 0 0 1101421446 1912202953 30 General Hospitals FRESENIUS MEDICAL RIVER FOREST 603052003 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 350 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10225.93 0 0 0 0 0 10225.93 0 0 0 1101422696 1134164247 30 General Hospitals ARA SOUTH BARRINGTON DIALYSIS 600109115 57 Lake DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1361 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5002.1 0 0 0 0 0 5002.1 0 0 0 1101422858 30 General Hospitals 828 Nebraska ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3868.87 0 0 0 0 0 0 0 0 0 3868.87 0 0 0 1101423097 1487664561 30 General Hospitals PROVIDENT HOSPITAL OF COOK CO 606152400 200 Cook ARS-C.O.P. """JH Stroger, Oak Forest and Provident Hospitals, p" 0 0 Government Owned 0 0 0 0 0 2257 0 0 0 0 78 0 0 0 469 0 0 0 0 0 0 0 0 0 2887 0 0 0 0 80 0 0 0 541 0 0 0 0 0 0 0 0 0 2887 0 0 0 0 434 0 0 0 550 0 0 0 0 0 0 0 0 0 2221301.59 0 0 0 0 1371942.6 0 0 0 1163232.56 0 0 0 0 0 4756476.75 3041426.9 0 0 1101424099 1164475711 30 General Hospitals KOSCIUSKO COMMUNITY HOSPITAL 465803210 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2083.89 0 0 0 0 0 0 0 0 2.95 0 0 0 0 0 2086.84 0 0 0 1101424650 1669587408 30 General Hospitals GREENWOOD AVENUE DIALYSIS CTR 606197011 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4783 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53894.11 0 0 0 0 0 53894.11 0 0 0 1101424925 30 General Hospitals 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11783.51 0 0 0 0 0 11783.51 0 0 0 1101424997 1174530489 30 General Hospitals PEKIN HOSPITAL 615544936 98 Tazewell DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 2672 0 0 0 0 436 0 0 7 1559 0 0 0 0 0 2 0 0 0 4271 0 0 0 0 500 0 0 7 2843 0 0 0 0 0 2 0 0 0 4272 0 0 0 0 1742 0 0 7 2843 0 0 0 0 0 0 0 0 0 442605.99 0 0 0 0 522465.92 0 0 10727.13 323693.88 0 0 0 0 0 1299492.92 2177215.12 0 0 1101425479 1053696674 30 General Hospitals DSI SCOTTSDALE RENAL CENTER 606521779 200 Cook NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 444 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120874.87 0 0 0 0 0 120874.87 0 0 0 1101425632 1770691933 30 General Hospitals AFFILIATED DIALYSIS CENTERS 603011412 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1115 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11928 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184040.24 0 0 0 0 0 184040.24 0 0 0 1101426271 1952409765 30 General Hospitals MIDWEST MEDICAL CENTER 610368118 51 Jo Daviess DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 589 0 0 0 0 9 0 0 0 213 0 0 0 0 0 0 0 0 0 862 0 0 0 0 9 0 0 0 280 0 0 0 0 0 0 0 0 0 863 0 0 0 0 23 0 0 0 285 0 0 0 0 0 0 0 0 0 690206.1 0 0 0 0 11451.27 0 0 0 362285.89 0 0 0 0 0 1063943.26 124095.77 0 0 1101426936 30 General Hospitals 806 Colorado NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 96.67 0 0 0 0 5158.49 0 0 0 0 0 0 0 0 0 5255.16 0 0 0 1101427607 1982673166 30 General Hospitals MT GREENWOOD DIALYSIS 606553329 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2475 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51451.69 0 0 0 0 0 51451.69 0 0 0 1101428930 1720086218 30 General Hospitals ILLINI COMMUNITY HOSPITAL 623631350 83 Pike DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 1728 0 0 0 0 40 0 0 3 661 0 0 0 0 0 4 0 0 0 3125 0 0 0 0 43 0 0 3 1360 0 0 0 0 0 4 0 0 0 3125 0 0 0 0 118 0 0 3 1360 0 0 0 0 0 121.49 0 0 0 1500437.78 0 0 0 0 42051.07 0 0 17754.26 1052567.21 0 0 0 0 0 2612931.81 569708.92 0 0 1101429878 1831151257 30 General Hospitals SWEDISH COVENANT HOSPITAL 606253661 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 4 11 0 0 5631 0 0 0 0 2552 0 0 1 5192 0 0 0 0 0 5 15 0 0 7837 0 0 0 0 3340 0 0 1 11790 0 0 0 0 0 10 15 0 0 7837 0 0 0 0 15295 0 0 1 12115 0 0 0 0 0 65.18 516.79 0 0 1974884.27 0 0 0 0 9134242 0 0 2340.66 1857809.37 0 0 0 0 0 12969858.27 15804477.69 0 0 1101430149 1356433049 30 General Hospitals IOWA LUTHERAN HOSPITAL 503162392 816 Iowa NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 9 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 9 0 0 0 0 1 0 0 0 3 0 0 0 0 0 0 0 0 0 9 0 0 0 0 3 0 0 0 4 0 0 0 0 0 0 0 0 0 1385.28 0 0 0 0 1934.43 0 0 0 88.13 0 0 0 0 0 3407.84 0 0 0 1101430941 30 General Hospitals 817 Kansas NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 227.41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 227.41 0 0 0 1101432246 1164485363 30 General Hospitals ST MARY MEDICAL CENTER 614011251 56 Knox DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 1981 0 0 0 0 491 0 0 0 1430 0 0 0 0 0 3 0 0 0 3049 0 0 0 0 550 0 0 0 2645 0 0 0 0 0 6 0 0 0 3049 0 0 0 0 1783 0 0 0 2646 0 0 0 0 0 8.16 0 0 0 319930.87 0 0 0 0 708519.04 0 0 0 461243.49 0 0 0 0 0 1489701.56 3213226.02 0 0 1101435352 1245345099 30 General Hospitals RCGCI PEORIA NORTH 616151152 80 Peoria DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3911 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48443.41 0 0 0 0 0 48443.41 0 0 0 1101437001 1447280284 30 General Hospitals LORETTO HOSPITAL 606445059 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 77 0 0 1307 0 0 0 0 568 0 0 47 427 0 0 0 0 0 1 95 0 0 1716 0 0 0 0 653 0 0 169 1060 0 0 0 0 0 1 95 0 0 1779 0 0 0 0 3865 0 0 643 1529 0 0 0 0 0 39.96 268.21 0 0 262584.07 0 0 0 0 2164551.74 0 0 82311.34 82904.32 0 0 0 0 0 2592659.64 11916678.04 0 0 1101439125 1396907267 30 General Hospitals AFFILIATED HOME DIALYSIS LLC 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4815 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25598.18 0 0 0 0 0 25598.18 0 0 0 1101440208 1205850690 30 General Hospitals GREENVILLE REGIONAL HOSPITAL 622461154 12 Bond DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1494 0 0 0 0 374 0 0 3 952 0 0 0 0 0 3 0 0 0 2529 0 0 0 0 401 0 0 3 2021 0 0 0 0 0 4 0 0 0 2529 0 0 0 0 888 0 0 3 2021 0 0 0 0 0 0 0 0 0 239834.93 0 0 0 0 401177.58 0 0 5945.75 332700.28 0 0 0 0 0 979658.54 0 0 0 1101442007 1417961137 30 General Hospitals BRONSON METHODIST HOSPITAL 490075341 823 Michigan ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 489.11 0 0 0 0 0 0 0 0 2397.91 0 0 0 0 0 2887.02 0 0 0 1101442459 2100432877 30 General Hospitals DANVILLE HOME TRAINING 999999999 100 Vermilion DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 806 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101443285 1073581872 30 General Hospitals HARRISBURG MEDICAL CENTER 629460428 90 Saline DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 2 0 0 3719 0 0 0 0 990 0 0 4 2261 0 0 0 0 0 3 10 0 0 6472 0 0 0 0 1452 0 0 4 4337 0 0 0 0 0 6 10 0 0 6472 0 0 0 0 7111 0 0 4 4442 0 0 0 0 0 78.47 1342.42 0 0 1102730.66 0 0 0 0 3689789.17 0 0 3909.57 1095853.61 0 0 0 0 0 5893703.9 1037450.64 0 0 1101443838 1447368071 30 General Hospitals GOOD SHEPHERD HOSPITAL 600101919 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 1252 0 0 0 0 413 0 0 1 928 0 0 0 0 0 1 0 0 0 1787 0 0 0 0 524 0 0 1 1713 0 0 0 0 0 1 0 0 0 1793 0 0 0 0 2318 0 0 2 1761 0 0 0 0 0 0 0 0 0 337442 0 0 0 0 1310833.37 0 0 1349 303899.07 0 0 0 0 0 1953523.44 1069342.44 0 0 1101444603 1932296472 30 General Hospitals INGALLS MEMORIAL HOSPITAL 604263558 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 4 393 0 0 5618 0 0 0 0 1383 0 0 0 2105 0 0 0 0 0 16 1465 0 0 8420 0 0 0 0 1636 0 0 0 4554 0 0 0 0 0 16 1465 0 0 8425 0 0 0 0 7394 0 0 0 4556 0 0 0 0 0 254.68 105884.9 0 0 948803.31 0 0 0 0 2407490.22 0 0 0 340769.5 0 0 0 0 0 3803202.61 5574914.99 0 0 1101445396 1609803113 30 General Hospitals MENDOTA COMMUNITY HOSPITAL 613429216 58 La Salle DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 1706 0 0 0 0 75 0 0 0 596 0 0 0 0 0 5 0 0 0 2987 0 0 0 0 85 0 0 0 1406 0 0 0 0 0 5 0 0 0 2988 0 0 0 0 229 0 0 0 1406 0 0 0 0 0 29 0 0 0 965136.49 0 0 0 0 142219.12 0 0 0 483320.02 0 0 0 0 0 1590704.63 419956.1 0 0 1101446642 1336221019 30 General Hospitals SOUTH LAKE HOSPITAL 347111979 810 Florida NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 4 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 4 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 223.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 223.4 0 0 0 1101448034 1396837951 30 General Hospitals IA METHODIST MED CTR 503091406 816 Iowa NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 14 0 0 0 0 1 0 0 0 3 0 0 0 0 0 0 0 0 0 16 0 0 0 0 1 0 0 0 5 0 0 0 0 0 0 0 0 0 16 0 0 0 0 4 0 0 0 5 0 0 0 0 0 0 0 0 0 2518.37 0 0 0 0 2579.25 0 0 0 452.32 0 0 0 0 0 5549.94 0 0 0 1101448264 1811077431 30 General Hospitals SAINT MARGARET MERCY SO 463111799 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 992 0 0 0 0 188 0 0 0 139 0 0 0 0 0 0 0 0 0 1362 0 0 0 0 212 0 0 0 250 0 0 0 0 0 0 0 0 0 1362 0 0 0 0 1061 0 0 0 250 0 0 0 0 0 0 0 0 0 160835.06 0 0 0 0 551596.53 0 0 0 15302.24 0 0 0 0 0 727733.83 0 0 0 1101450726 1033112230 30 General Hospitals ST JUDE CHILDRENS RESEARCH HSP 381053678 844 Tennessee NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 Children's Hospital 0 0 0 0 0 0 0 0 0 0 6 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49410.51 0 0 0 109091.28 0 0 0 0 0 158501.79 0 0 0 1101451655 1851496152 30 General Hospitals SSM ST CLARE HEALTH CENTER 630262394 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 48 0 0 0 0 16 0 0 0 19 0 0 0 0 0 0 0 0 0 58 0 0 0 0 16 0 0 0 41 0 0 0 0 0 0 0 0 0 58 0 0 0 0 58 0 0 0 46 0 0 0 0 0 0 0 0 0 6524.65 0 0 0 0 29051.6 0 0 0 11738.13 0 0 0 0 0 47314.38 0 0 0 1101451831 1154381697 30 General Hospitals ALTON DIALYSIS 620025009 65 Madison DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31048.27 0 0 0 0 0 31048.27 0 0 0 1101453286 1689635138 30 General Hospitals SALINA REGIONAL HEALTH CENTER 674014144 817 Kansas ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 470.68 0 0 0 0 1934.43 0 0 0 0 0 0 0 0 0 2405.11 0 0 0 1101453383 30 General Hospitals 10 Adams DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 274 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15171.83 0 0 0 0 0 15171.83 0 0 0 1101453607 1396706750 30 General Hospitals DIXON KIDNEY CENTER 610211015 60 Lee ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 642 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11593.09 0 0 0 0 0 11593.09 0 0 0 1101453718 30 General Hospitals 819 Louisiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 Children's Hospital 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 410.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 410.8 0 0 0 1101453941 1467521146 30 General Hospitals ST JOSEPH HEALTH CENTER 633012893 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 938.15 0 0 0 0 0 0 0 0 691.16 0 0 0 0 0 1629.31 0 0 0 1101454622 1184660052 30 General Hospitals ARA CRYSTAL LAKE DIALYSIS LLC 600147933 71 McHenry DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 1 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 352 0 0 0 0 0 481.85 0 0 0 0 0 0 0 0 0 0 0 0 475.01 0 0 0 0 0 956.86 0 0 0 1101454961 1851344907 30 General Hospitals NORTH MEMORIAL MEDICAL CENTER 554222926 824 Minnesota NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 6 0 0 0 1 0 0 0 0 0 0 0 0 0 8 0 0 0 0 6 0 0 0 1 0 0 0 0 0 0 0 0 0 8 0 0 0 0 13 0 0 0 1 0 0 0 0 0 0 0 0 0 644.84 0 0 0 0 4513.67 0 0 0 0 0 0 0 0 0 5158.51 0 0 0 1101455476 30 General Hospitals 75 Monroe DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101455662 1598768780 30 General Hospitals LITTLE COMPANY OF MARY HOSPITA 608052701 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 735 0 0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3322 0 0 575 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3322 0 0 575 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27118.86 0 0 76933.52 0 0 0 0 0 104052.38 7302325.99 0 0 1101456958 1184655136 30 General Hospitals CLAY COUNTY HOSPITAL 628393241 22 Clay ARS-PD Hospitals paid a Per Diem rate. 1 0 Government Owned 0 0 0 0 0 2222 0 0 0 0 148 0 0 0 1069 0 0 0 0 0 0 0 0 0 4704 0 0 0 0 167 0 0 0 4120 0 0 0 0 0 0 0 0 0 4704 0 0 0 0 572 0 0 0 4120 0 0 0 0 0 0 0 0 0 1174844.18 0 0 0 0 310986.84 0 0 0 827217.8 0 0 0 0 0 2313048.82 586327.38 0 0 1101457513 30 General Hospitals 47 Jackson DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101458077 31 Psychiatric Hospitals 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68.11 0 0 0 0 0 68.11 0 0 0 1101458794 1871656082 30 General Hospitals ST MARYS HOSPITAL MILWAUKEE 532114508 852 Wisconsin ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 2125.19 0 0 0 0 1942.23 0 0 0 0 0 0 0 0 0 4067.42 0 0 0 1101459549 1548375082 30 General Hospitals CHRIST HOSPITAL 604532600 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 6 135 0 0 4591 0 0 0 0 3940 0 0 5 3108 0 0 0 0 0 6 861 0 0 6043 0 0 0 0 5091 0 0 5 6941 0 0 0 0 0 36 868 0 0 6048 0 0 0 0 27223 0 0 5 7198 0 0 0 0 0 836.04 63348.96 0 0 1534883.26 0 0 0 0 22058849.47 0 0 10273.53 1692500.93 0 0 0 0 0 25360692.19 14989558.33 0 0 1101461356 1508971359 30 General Hospitals RENAL CARE GROUP EVANSTON 602011245 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1694 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12800.86 0 0 0 0 0 12800.86 0 0 0 1101462174 1558302570 30 General Hospitals LEE MEMORIAL HOSPITAL 339015864 810 Florida ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 17 0 0 0 0 2 0 0 0 3 0 0 0 0 0 0 0 0 0 20 0 0 0 0 2 0 0 0 3 0 0 0 0 0 0 0 0 0 20 0 0 0 0 7 0 0 0 3 0 0 0 0 0 0 0 0 0 3159.7 0 0 0 0 4513.68 0 0 0 344.34 0 0 0 0 0 8017.72 0 0 0 1101466487 1710907175 30 General Hospitals HINSDALE HOSPITAL 605213829 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 1 13 0 0 980 0 0 0 0 593 0 0 1 1091 0 0 0 0 0 1 19 0 0 1321 0 0 0 0 643 0 0 1 1794 0 0 0 0 0 1 152 0 0 1372 0 0 0 0 3220 0 0 1 2010 0 0 0 0 0 0 13622.35 0 0 173896.43 0 0 0 0 2479374.44 0 0 2091.66 218802.28 0 0 0 0 0 2887787.16 2173067.59 0 0 1101466733 1083729834 30 General Hospitals RCG CENTRAL ILLINOIS-EAST PEOR 616111562 98 Tazewell DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3879 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70684.75 0 0 0 0 0 70684.75 0 0 0 1101467851 30 General Hospitals 852 Wisconsin REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35896.12 0 0 0 45.36 0 0 0 0 0 35941.48 0 0 0 1101470192 1225300056 30 General Hospitals DRIFTWOOD DIALYSIS 610326712 97 Stephenson DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2259 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58475.66 0 0 0 0 0 58475.66 0 0 0 1101470495 1114023512 30 General Hospitals THE WOMENS HOSPITAL 476308940 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 33 0 0 0 0 64 0 0 1 45 0 0 0 0 0 0 0 0 0 70 0 0 0 0 66 0 0 1 77 0 0 0 0 0 0 0 0 0 70 0 0 0 0 276 0 0 1 77 0 0 0 0 0 0 0 0 0 17034.65 0 0 0 0 173523.02 0 0 2049.17 41245.68 0 0 0 0 0 233852.52 0 0 0 1101473241 1184683138 30 General Hospitals LITCHFIELD DIALYSIS 620561775 76 Montgomery DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1934 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62448.72 0 0 0 0 0 62448.72 0 0 0 1101473445 1184705931 30 General Hospitals VALLEY WEST COMMUNITY HOSPITAL 605482587 27 Dekalb DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 1896 0 0 0 0 173 0 0 2 755 0 0 0 0 0 0 0 0 0 3202 0 0 0 0 189 0 0 2 1333 0 0 0 0 0 0 0 0 0 3248 0 0 0 0 417 0 0 3 1820 0 0 0 0 0 0 0 0 0 1621820.33 0 0 0 0 334844.87 0 0 15665.68 1239619.01 0 0 0 0 0 3211949.89 715582.59 0 0 1101473860 1588673628 30 General Hospitals MEMORIAL MEDICAL CENTER 600987509 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 8 0 0 1619 0 0 0 0 282 0 0 0 735 0 0 0 0 0 7 8 0 0 2507 0 0 0 0 311 0 0 0 1899 0 0 0 0 0 8 18 0 0 2512 0 0 0 0 1342 0 0 0 1900 0 0 0 0 0 63.45 1366.01 0 0 316031.45 0 0 0 0 455470.94 0 0 0 139948.28 0 0 0 0 0 912880.13 1890246.96 0 0 1101476624 1982611281 30 General Hospitals NORTHERN ILLINOIS MEDICAL CTR 600508409 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 11 0 0 0 0 0 0 591 0 0 308 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 2115 0 0 3147 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 2115 0 0 3147 0 0 0 0 0 0 0 0 99.38 0 0 0 0 0 0 12521.02 0 0 591302.31 0 0 0 0 0 603922.71 0 0 0 1101477770 1114935681 30 General Hospitals GIBSON COMMUNITY HOSPITAL 609361076 35 Ford DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 0 0 0 46 0 0 0 0 0 0 997 0 0 173 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 4698 0 0 467 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 4698 0 0 467 0 0 0 0 0 0 0 0 300.04 0 0 0 0 0 0 32527.8 0 0 122662.79 0 0 0 0 0 155490.63 0 0 0 1101478967 1659348506 30 General Hospitals MERCY MEDICAL CENTER DUBUQUE 520017320 816 Iowa DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 174 0 0 0 0 55 0 0 0 46 0 0 0 0 0 0 0 0 0 226 0 0 0 0 61 0 0 0 55 0 0 0 0 0 0 0 0 0 226 0 0 0 0 238 0 0 0 55 0 0 0 0 0 0 0 0 0 34404.63 0 0 0 0 120014.45 0 0 0 8667.12 0 0 0 0 0 163086.2 0 0 0 1101479093 30 General Hospitals 832 New Mexico NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489.31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489.31 0 0 0 1101479698 1023097540 30 General Hospitals ST ELIZABETH HOSPITAL 622201915 96 St Clair DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 3 0 0 4067 0 0 0 0 768 0 0 0 1673 0 0 0 0 0 1 6 0 0 6309 0 0 0 0 922 0 0 0 3515 0 0 0 0 0 4 6 0 0 6309 0 0 0 0 3394 0 0 0 3518 0 0 0 0 0 0 276.69 0 0 646626.11 0 0 0 0 1249489.4 0 0 0 612684.73 0 0 0 0 0 2509076.93 4292430.04 0 0 1101479901 1588771919 30 General Hospitals FRANCISCAN ST JAMES HEALTH 604611010 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 100 0 0 0 0 0 0 708 0 0 481 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 2937 0 0 1771 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 2937 0 0 1771 0 0 0 0 0 0 0 0 1061.68 0 0 0 0 0 0 24085.8 0 0 138115.35 0 0 0 0 0 163262.83 11171648.05 0 0 1101480189 1619975331 30 General Hospitals UNION HOSPITAL INC 478042706 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1094 0 0 0 0 476 0 0 4 930 0 0 0 0 0 2 0 0 0 1831 0 0 0 0 530 0 0 4 1688 0 0 0 0 0 14 0 0 0 1831 0 0 0 0 1967 0 0 4 1759 0 0 0 0 0 37.44 0 0 0 426820.34 0 0 0 0 1397754.7 0 0 7113.46 729612.55 0 0 0 0 0 2561338.49 0 0 0 1101481395 1841250289 30 General Hospitals SUN HEALTH INC 604356546 107 Will DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7985.18 0 0 0 0 0 7985.18 0 0 0 1101481795 30 General Hospitals 812 Hawaii ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 644.81 0 0 0 0 0 0 0 0 0 644.81 0 0 0 1101482268 1407859655 30 General Hospitals DELNOR COMMUNITY HOSPITAL 601344200 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 1798 0 0 0 0 499 0 0 3 1089 0 0 0 0 0 4 0 0 0 2725 0 0 0 0 563 0 0 3 2326 0 0 0 0 0 4 0 0 0 2725 0 0 0 0 2097 0 0 3 2348 0 0 0 0 0 45.96 0 0 0 480497.45 0 0 0 0 897269.82 0 0 4958.41 499750.22 0 0 0 0 0 1882521.86 1222660.97 0 0 1101483440 1750352746 30 General Hospitals HEARTLAND REGIONAL MEDICAL CTR 629595884 108 Williamson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 6162 0 0 0 0 1909 0 0 46 2410 0 0 0 0 0 3 0 0 0 9718 0 0 0 0 2062 0 0 46 3656 0 0 0 0 0 5 0 0 0 9725 0 0 0 0 4925 0 0 46 3887 0 0 0 0 0 50.79 0 0 0 1786879.07 0 0 0 0 3639790.36 0 0 72584.9 1296075.77 0 0 0 0 0 6795380.89 8899633.74 0 0 1101484331 30 General Hospitals 70 McDonough ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 523.85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 523.85 0 0 0 1101484476 1437325107 30 General Hospitals KEOKUK AREA HOSPITAL 526323456 816 Iowa NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 267 0 0 0 0 7 0 0 0 60 0 0 0 0 0 0 0 0 0 447 0 0 0 0 7 0 0 0 71 0 0 0 0 0 0 0 0 0 452 0 0 0 0 22 0 0 0 71 0 0 0 0 0 0 0 0 0 53046.15 0 0 0 0 12251.41 0 0 0 9169.81 0 0 0 0 0 74467.37 0 0 0 1101484608 1073532420 30 General Hospitals MARKHAM RENAL CENTER 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 353 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2792 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38736.28 0 0 0 0 0 38736.28 0 0 0 1101485744 1306898960 30 General Hospitals ST VINCENT HOSPITAL 462601902 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 8 0 0 0 0 3 0 0 0 2 0 0 0 0 0 0 0 0 0 9 0 0 0 0 3 0 0 0 4 0 0 0 0 0 0 0 0 0 9 0 0 0 0 60 0 0 0 4 0 0 0 0 0 0 0 0 0 1017.17 0 0 0 0 38817.39 0 0 0 93.31 0 0 0 0 0 39927.87 0 0 0 1101486990 1508956509 30 General Hospitals UNIVERSITY OF CHICAGO HOSPITAL 606371447 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 6 259 0 0 4740 0 0 0 0 2634 0 0 10 7376 0 0 0 0 0 27 927 0 0 7097 0 0 0 0 3319 0 0 10 37215 0 0 0 0 0 66 927 0 0 7102 0 0 0 0 19155 0 0 16 37839 0 0 0 0 0 422.32 48209.44 0 0 970128.24 0 0 0 0 16765759.77 0 0 19778.12 2674332.81 0 0 0 0 0 20478630.7 36315850.2 0 0 1101487181 1407889652 30 General Hospitals ADVENTIST LAGRANGE MEMORIAL HO 605252600 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1343 0 0 0 0 432 0 0 0 485 0 0 0 0 0 2 0 0 0 1857 0 0 0 0 483 0 0 0 875 0 0 0 0 0 2 0 0 0 1885 0 0 0 0 2068 0 0 0 992 0 0 0 0 0 0 0 0 0 229104.04 0 0 0 0 682951.6 0 0 0 79561.71 0 0 0 0 0 991617.35 2580537.59 0 0 1101487225 1033163829 30 General Hospitals TRINITY MEDICAL CENTER 612015351 89 Rock Island DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 1272 0 0 4777 0 0 0 0 1255 0 0 6 2243 0 0 0 0 0 3 3877 0 0 8443 0 0 0 0 1460 0 0 6 4982 0 0 0 0 0 3 3877 0 0 8486 0 0 0 0 5429 0 0 6 6891 0 0 0 0 0 17.49 166378.98 0 0 1262523.61 0 0 0 0 1999771.64 0 0 13342.76 1163149.8 0 0 0 0 0 4605184.28 0 0 0 1101489276 1871653972 30 General Hospitals FMC TERRE HAUTE NORTH 478042743 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 753 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5131.96 0 0 0 0 0 5131.96 0 0 0 1101489318 1942244645 30 General Hospitals THE BOARD OF TRUSTEES OF THE U 606127232 200 Cook ARS-U.I. """University of Illinois Hospital, paid under an AR" 0 0 0 0 0 0 1680 0 0 0 0 0 0 5354 0 0 1990 0 0 0 0 0 0 0 0 4567 0 0 0 0 0 0 34595 0 0 4855 0 0 0 0 0 0 0 0 4567 0 0 0 0 0 0 34595 0 0 4855 0 0 0 0 0 0 0 0 68206.58 0 0 0 0 0 0 374611.29 0 0 537328.15 0 0 0 0 0 980146.02 0 0 0 1101489395 1093894990 30 General Hospitals COMER CHILDRENS HOSPITAL 606371447 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 3103 0 0 0 0 832 0 0 0 1428 0 0 0 0 0 0 0 0 0 4117 0 0 0 0 1083 0 0 0 2318 0 0 0 0 0 0 0 0 0 4117 0 0 0 0 12648 0 0 0 2318 0 0 0 0 0 0 0 0 0 665888.48 0 0 0 0 42681558.86 0 0 0 1733947.98 0 0 0 0 0 45081395.32 7138809.36 0 0 1101489866 30 General Hospitals 808 Delaware NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75.08 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75.08 0 0 0 1101490211 1093834301 30 General Hospitals OSF HOLY FAMILY PART B 614621007 102 Warren DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 158 0 0 0 0 0 0 1600 0 0 319 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 7792 0 0 1127 0 0 0 0 0 0 0 0 310 0 0 0 0 0 0 7792 0 0 1127 0 0 0 0 0 0 0 0 1546.62 0 0 0 0 0 0 45875.88 0 0 206380.78 0 0 0 0 0 253803.28 0 0 0 1101490681 1326296211 30 General Hospitals CLARIAN ARNETT HEALTH SYSTEM 479058764 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 830.27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 830.27 0 0 0 1101490820 1801818240 30 General Hospitals SPARTA COMMUNITY HOSPITAL 622861820 87 Randolph ARS-PD Hospitals paid a Per Diem rate. 1 0 Government Owned 0 0 0 0 0 2112 0 0 0 0 61 0 0 2 1104 0 0 0 0 0 0 0 0 0 3869 0 0 0 0 74 0 0 2 2626 0 0 0 0 0 0 0 0 0 3869 0 0 0 0 170 0 0 2 2626 0 0 0 0 0 0 0 0 0 748530.62 0 0 0 0 125956.51 0 0 4709.35 779216.05 0 0 0 0 0 1658412.53 740677.73 0 0 1101491039 1689690893 30 General Hospitals EVANSTON RENAL CENTER 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72196.62 0 0 0 0 0 72196.62 0 0 0 1101492540 1588612832 30 General Hospitals J H STROGER HOSP OF COOK CTY 606123714 200 Cook ARS-C.O.P. """JH Stroger, Oak Forest and Provident Hospitals, p" 0 0 General Hospital - Adult and Child 0 1 0 0 0 8816 0 0 0 0 3267 0 0 8 4618 0 0 0 0 0 1 0 0 0 12416 0 0 0 0 3790 0 0 8 8043 0 0 0 0 0 1 0 0 0 12417 0 0 0 0 20832 0 0 19 8201 0 0 0 0 0 68.1 0 0 0 8580182.53 0 0 0 0 71679302.56 0 0 112902.1 12764408.03 0 0 0 0 0 93136863.32 121492051.5 0 0 1101493407 1841245594 30 General Hospitals SAINT JOSEPH REGIONAL MED CNTR 999999999 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 1625.76 0 0 0 0 0 0 0 0 450.35 0 0 0 0 0 2076.11 0 0 0 1101494058 1447257258 30 General Hospitals HAMILTON MEMORIAL HOSPITAL 628591213 41 Hamilton DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 1607 0 0 0 0 128 0 0 0 651 0 0 0 0 0 0 0 0 0 2758 0 0 0 0 183 0 0 0 1348 0 0 0 0 0 0 0 0 0 2760 0 0 0 0 551 0 0 0 1351 0 0 0 0 0 0 0 0 0 861641.12 0 0 0 0 165947.24 0 0 0 528560.64 0 0 0 0 0 1556149 232890.7 0 0 1101494358 1982699328 30 General Hospitals PERRY COUNTY MEMORIAL HOSPITAL 637751359 826 Missouri NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 43 0 0 0 0 5 0 0 0 7 0 0 0 0 0 0 0 0 0 63 0 0 0 0 5 0 0 0 15 0 0 0 0 0 0 0 0 0 63 0 0 0 0 13 0 0 0 15 0 0 0 0 0 0 0 0 0 9087.2 0 0 0 0 8390.34 0 0 0 419.4 0 0 0 0 0 17896.94 0 0 0 1101495828 32 Rehabilitation Hospitals 852 Wisconsin REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101496023 30 General Hospitals 830 New Hampshire NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101496684 30 General Hospitals 72 McLean DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101498376 32 Rehabilitation Hospitals 824 Minnesota NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101498823 1497015390 30 General Hospitals USRC BOLINGBROOK LLC 604404311 107 Will DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2039.99 0 0 0 0 0 2039.99 0 0 0 1101499136 1437264280 30 General Hospitals RCGCI PEORIA DOWNTOWN 616052401 80 Peoria DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4969 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15120.87 0 0 0 0 0 15120.87 0 0 0 1101499378 1013994359 30 General Hospitals UNIVERSITY MN MED CTR FAIRVIEW 554541450 824 Minnesota ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 165.4 0 0 0 0 0 0 0 0 884.39 0 0 0 0 0 1049.79 0 0 0 1101499811 1497748040 30 General Hospitals HOOPESTON COMM MEMORIAL HOSP 609421801 100 Vermilion DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 941 0 0 0 0 22 0 0 0 348 0 0 0 0 0 0 0 0 0 1794 0 0 0 0 23 0 0 0 599 0 0 0 0 0 0 0 0 0 1798 0 0 0 0 51 0 0 0 694 0 0 0 0 0 0 0 0 0 662629.92 0 0 0 0 23041.8 0 0 0 242246 0 0 0 0 0 927917.72 573017.12 0 0 1101499849 1144549775 30 General Hospitals VHS WEST SUBURBAN MEDICAL CNTR 603022519 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 1 0 0 0 0 0 0 324 0 0 200 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 821 0 0 437 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 821 0 0 437 0 0 0 0 0 0 0 0 5.77 0 0 0 0 0 0 6236.54 0 0 49248.3 0 0 0 0 0 55490.61 0 0 0 1101500639 1548212988 30 General Hospitals CINCINNATI CHILDREN'S HOSPITAL 452293026 836 Ohio ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 6 0 0 0 0 7 0 0 0 25 0 0 0 0 0 0 0 0 0 6 0 0 0 0 11 0 0 0 61 0 0 0 0 0 0 0 0 0 6 0 0 0 0 84 0 0 0 61 0 0 0 0 0 0 0 0 0 755.8 0 0 0 0 92778.94 0 0 0 28128.53 0 0 0 0 0 121663.27 0 0 0 1101501121 1922368729 30 General Hospitals RENAL CENTER NEW LENOX 604519528 107 Will DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20837.81 0 0 0 0 0 20837.81 0 0 0 1101501694 1881632818 30 General Hospitals ST JOSEPHS HOSPITAL 336076307 810 Florida ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 13 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1075.43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1075.43 0 0 0 1101502296 1205826435 30 General Hospitals DANVILLE DIALYSIS SERVICES 618324309 100 Vermilion DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9987.66 0 0 0 0 0 9987.66 0 0 0 1101504370 1508971342 30 General Hospitals FMC WILLIAMSON COUNTY DIALYSIS 629594974 108 Williamson DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1416 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54486.4 0 0 0 0 0 54486.4 0 0 0 1101504860 1487769220 30 General Hospitals JACKSON PARK DIALYSIS CENTER 606493954 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 474 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5076 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48388.17 0 0 0 0 0 48388.17 0 0 0 1101505655 1982775631 30 General Hospitals CENTER FOR RENAL REPLACEMENT 607121735 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29134.9 0 0 0 0 0 29134.9 0 0 0 1101505715 1124341672 30 General Hospitals BANNER IRONWOOD MEDICAL CENTER 851407303 803 Arizona ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1742.57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1742.57 0 0 0 1101508012 1124099098 30 General Hospitals MEMORIAL MED CTR CHILDRENS HSP 627810001 91 Sangamon CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 712 0 0 0 0 40 0 0 0 295 0 0 0 0 0 0 0 0 0 849 0 0 0 0 40 0 0 0 328 0 0 0 0 0 0 0 0 0 852 0 0 0 0 183 0 0 0 328 0 0 0 0 0 0 0 0 0 160791.05 0 0 0 0 404971.54 0 0 0 225068.48 0 0 0 0 0 790831.07 931050.88 0 0 1101509084 1881610996 30 General Hospitals SOUTH HOLLAND RENAL CENTER 999999999 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 290 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2588 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48629.32 0 0 0 0 0 48629.32 0 0 0 1101511065 1326041229 30 General Hospitals ST MARYS HOSPITAL 625213810 63 Macon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 11 0 0 3862 0 0 0 0 1011 0 0 0 1659 0 0 0 0 0 0 74 0 0 6617 0 0 0 0 1134 0 0 0 3747 0 0 0 0 0 0 110 0 0 6617 0 0 0 0 4972 0 0 0 4171 0 0 0 0 0 0 7415.69 0 0 745707.15 0 0 0 0 1705796.61 0 0 0 462344.29 0 0 0 0 0 2921263.74 3244310.4 0 0 1101511696 1013948801 30 General Hospitals DES PERES HOSPITAL 631223313 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 1 0 0 0 23 0 0 0 0 49 0 0 0 77 0 0 0 0 0 1 0 0 0 27 0 0 0 0 57 0 0 0 135 0 0 0 0 0 2 0 0 0 27 0 0 0 0 222 0 0 0 135 0 0 0 0 0 0 0 0 0 3864.82 0 0 0 0 58038.67 0 0 0 78269 0 0 0 0 0 140172.49 0 0 0 1101511781 1215023338 30 General Hospitals BEVERLY DIALYSIS 606208939 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 366 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51093.91 0 0 0 0 0 51093.91 0 0 0 1101512265 1942343447 30 General Hospitals SHRINERS HOSPITALS FOR CHILDRE 631101624 826 Missouri CHILDRENS Hospital designated as childrens hospitals and pai 0 0 0 0 0 0 0 0 0 0 0 0 0 391 0 0 495 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 677 0 0 1068 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 677 0 0 1068 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9666.87 0 0 60522.53 0 0 0 0 0 70189.4 0 0 0 1101513972 1518055524 30 General Hospitals LA RABIDA CHILDRENS HOSP 606491003 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 0 0 0 0 7 0 0 0 0 0 0 18 0 0 997 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 257 0 0 13237 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 257 0 0 13237 0 0 0 0 0 0 0 0 55.23 0 0 0 0 0 0 1786.69 0 0 1175915.41 0 0 0 0 0 1177757.33 0 0 0 1101516208 1639123284 30 General Hospitals ALL SAINTS MEDICAL CENTER INC 534051667 852 Wisconsin NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 23 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 5776.96 0 0 0 0 0 0 0 0 82.79 0 0 0 0 0 5859.75 0 0 0 1101516519 1437135811 30 General Hospitals MORTON PLANT NORTH BAY 346521971 810 Florida NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 6 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 256.72 0 0 0 0 644.81 0 0 0 0 0 0 0 0 0 901.53 0 0 0 1101516907 1457382483 30 General Hospitals PIEDMONT MEDICAL CENTER 297321158 842 South Carolina NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 9 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1666.55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1666.55 0 0 0 1101516951 1538493937 30 General Hospitals ADAMS COUNTY DIALYSIS 623014152 10 Adams DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1704 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39324.06 0 0 0 0 0 39324.06 0 0 0 1101518217 1942326970 30 General Hospitals PANA COMMUNITY HOSPITAL 625571716 20 Christian DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 1089 0 0 0 0 37 0 0 0 382 0 0 0 0 0 2 0 0 0 2119 0 0 0 0 42 0 0 0 838 0 0 0 0 0 2 0 0 0 2119 0 0 0 0 141 0 0 0 838 0 0 0 0 0 389.58 0 0 0 550848.94 0 0 0 0 22413.85 0 0 0 251747.68 0 0 0 0 0 825400.05 462685.68 0 0 1101519341 1770721508 30 General Hospitals KINDRED HOSPITAL PEORIA 616052301 80 Peoria ARS-LS Long-term stay hospitals paid under an ARS 0 0 Long Term Acute Care Hospital 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 952 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54866.74 0 0 0 0 0 0 0 0 0 54866.74 0 0 0 1101520098 2100510516 30 General Hospitals MISSOURI BAPTIST MEDICAL CNTR 631312329 826 Missouri ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 65 0 0 0 0 83 0 0 0 184 0 0 0 0 0 0 0 0 0 73 0 0 0 0 87 0 0 0 278 0 0 0 0 0 0 0 0 0 80 0 0 0 0 397 0 0 0 496 0 0 0 0 0 0 0 0 0 20976.59 0 0 0 0 94562.2 0 0 0 76455.74 0 0 0 0 0 191994.53 0 0 0 1101520884 1326002643 30 General Hospitals JACKSON COUNTY PUBLIC HOSPITAL 520602163 816 Iowa NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 924.09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 924.09 0 0 0 1101521018 1144292020 30 General Hospitals TAYLORVILLE MEMORIAL HOSPITAL 625681562 20 Christian DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adults Section 0 0 0 0 0 984 0 0 0 0 112 0 0 0 525 0 0 0 0 0 0 0 0 0 1909 0 0 0 0 152 0 0 0 1025 0 0 0 0 0 0 0 0 0 1909 0 0 0 0 582 0 0 0 2195 0 0 0 0 0 0 0 0 0 344723.75 0 0 0 0 49549.63 0 0 0 391902.97 0 0 0 0 0 786176.35 904605.53 0 0 1101521218 1437367166 30 General Hospitals ROCKFORD MEMORIAL HOSPITAL 611033655 109 Winnebago DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 7 0 0 5295 0 0 0 0 2304 0 0 4 3541 0 0 0 0 0 4 8 0 0 8239 0 0 0 0 2901 0 0 4 7314 0 0 0 0 0 4 8 0 0 8243 0 0 0 0 17122 0 0 4 7467 0 0 0 0 0 166.07 618.94 0 0 1574785.55 0 0 0 0 25562929.73 0 0 8356.05 2476973.41 0 0 0 0 0 29623829.75 16908413.07 0 0 1101521670 1508835828 30 General Hospitals GOOD SAMARITAN HOSPITAL 452061613 836 Ohio NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 3 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 3 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 3 0 0 0 0 18 0 0 0 1 0 0 0 0 0 0 0 0 0 233.61 0 0 0 0 11606.61 0 0 0 182.1 0 0 0 0 0 12022.32 0 0 0 1101521858 30 General Hospitals 89 Rock Island DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2372.79 0 0 0 0 0 2372.79 0 0 0 1101521929 1184640237 30 General Hospitals SCHAUMBURG RENAL CENTER 601934072 200 Cook DIALYSIS Outpatient dialysis centers. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1703 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32342.7 0 0 0 0 0 32342.7 0 0 0 1101522701 1902849649 30 General Hospitals MASON DISTRICT HOSPITAL 626441243 68 Mason DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 1320 0 0 0 0 36 0 0 0 466 0 0 0 0 0 0 0 0 0 2339 0 0 0 0 39 0 0 0 1067 0 0 0 0 0 0 0 0 0 2339 0 0 0 0 116 0 0 0 1122 0 0 0 0 0 0 0 0 0 980115.61 0 0 0 0 33977.42 0 0 0 495556.44 0 0 0 0 0 1509649.47 402365.29 0 0 1101523661 1063674711 30 General Hospitals FRESENIUS MEDCL CARE SANDWICH 605481394 27 Dekalb DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 855 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25843.28 0 0 0 0 0 25843.28 0 0 0 1101524914 1477690873 30 General Hospitals ST BERNARD HOSPITAL 606213114 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 3905 0 0 0 0 1355 0 0 0 743 0 0 0 0 0 5 0 0 0 5328 0 0 0 0 1604 0 0 0 1268 0 0 0 0 0 11 0 0 0 5363 0 0 0 0 6993 0 0 0 1354 0 0 0 0 0 121.85 0 0 0 826124.49 0 0 0 0 3263797.38 0 0 0 176887.75 0 0 0 0 0 4266931.47 13193023.45 0 0 1101525864 1003801150 30 General Hospitals GENESIS MEDICAL CENTER DEWITT 527421210 816 Iowa NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 15 0 0 0 0 2 0 0 0 3 0 0 0 0 0 0 0 0 0 32 0 0 0 0 2 0 0 0 3 0 0 0 0 0 0 0 0 0 32 0 0 0 0 7 0 0 0 3 0 0 0 0 0 0 0 0 0 2848.61 0 0 0 0 3224.06 0 0 0 0 0 0 0 0 0 6072.67 0 0 0 1101526471 1023060472 30 General Hospitals ST JOSEPH HOSPITAL 468021402 815 Indiana NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 7 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 8 0 0 0 0 1 0 0 0 4 0 0 0 0 0 0 0 0 0 8 0 0 0 0 3 0 0 0 4 0 0 0 0 0 0 0 0 0 1242.39 0 0 0 0 1934.43 0 0 0 696.42 0 0 0 0 0 3873.24 0 0 0 1101526854 1265548192 30 General Hospitals RCG CENTRAL ILLINOIS-SPRING VA 613629702 15 Bureau DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1744 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16153.79 0 0 0 0 0 16153.79 0 0 0 1101526961 30 General Hospitals 839 Pennsylvania NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 3 0 0 0 8 0 0 0 0 0 0 0 0 0 1 0 0 0 0 95 0 0 0 8 0 0 0 0 0 0 0 0 0 119.52 0 0 0 0 111742.41 0 0 0 2461.4 0 0 0 0 0 114323.33 0 0 0 1101528267 1003878539 30 General Hospitals UNIV OF MICHIGAN MEDICAL CTR 481090005 823 Michigan NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 4 0 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 0 4 0 0 0 0 1 0 0 0 3 0 0 0 0 0 0 0 0 0 4 0 0 0 0 3 0 0 0 3 0 0 0 0 0 0 0 0 0 500.88 0 0 0 0 1934.43 0 0 0 5077.54 0 0 0 0 0 7512.85 0 0 0 1101529872 1184630519 30 General Hospitals JERSEY COMMUNITY HOSPITAL 620522028 50 Jersey DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Government Owned 0 0 0 0 0 2434 0 0 0 0 167 0 0 0 1086 0 0 0 0 0 0 0 0 0 4383 0 0 0 0 193 0 0 0 2007 0 0 0 0 0 0 0 0 0 4383 0 0 0 0 596 0 0 0 2007 0 0 0 0 0 0 0 0 0 414084.17 0 0 0 0 281121.76 0 0 0 385631.04 0 0 0 0 0 1080836.97 968813.99 0 0 1101530514 30 General Hospitals 843 South Dakota NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 343.54 0 0 0 0 1934.43 0 0 0 0 0 0 0 0 0 2277.97 0 0 0 1101530724 1649370057 30 General Hospitals MORRIS HOSPITAL AND HEALTHCARE 604501463 40 Grundy DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 4140 0 0 0 0 786 0 0 11 2742 0 0 0 0 0 0 0 0 0 7609 0 0 0 0 877 0 0 11 6386 0 0 0 0 0 0 0 0 0 7619 0 0 0 0 2736 0 0 11 6960 0 0 0 0 0 0 0 0 0 1366541.91 0 0 0 0 1762224.36 0 0 23485.62 1351250.78 0 0 0 0 0 4503502.67 1296425.49 0 0 1101532186 1437199791 30 General Hospitals EVANSTON HOSPITAL 602011718 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 10 426 0 0 6614 0 0 0 0 2406 0 0 2 10126 0 0 0 0 0 17 1290 0 0 9329 0 0 0 0 2887 0 0 2 34499 0 0 0 0 0 17 1290 0 0 9329 0 0 0 0 14484 0 0 2 34504 0 0 0 0 0 97.45 58898.9 0 0 1387491.02 0 0 0 0 13824822.26 0 0 2133.25 3198688.35 0 0 0 0 0 18472131.23 11009077.29 0 0 1101534070 1437141181 30 General Hospitals HENRY COUNTY HEALTH CENTER 526412242 816 Iowa NON-COST """Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1366.46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1366.46 0 0 0 1101535101 1497859649 30 General Hospitals NORTHWESTERN MEMORIAL HOSPITAL 606112908 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 PERINATAL LEVEL III CENTER 0 5 200 0 0 3906 0 0 0 0 2853 0 0 1 6014 0 0 0 0 0 8 890 0 0 5934 0 0 0 0 3280 0 0 1 13902 0 0 0 0 0 8 2558 0 0 5934 0 0 0 0 20252 0 0 2 14215 0 0 0 0 0 57.73 32354.38 0 0 1058320.66 0 0 0 0 19081634.07 0 0 3938.86 2059975.91 0 0 0 0 0 22236281.61 31121768.67 0 0 1101535954 1548306343 30 General Hospitals ELMHURST MEMORIAL HOSPITAL 601265658 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 2694 0 0 0 0 927 0 0 0 2229 0 0 0 0 0 15 0 0 0 3702 0 0 0 0 1106 0 0 0 7539 0 0 0 0 0 17 0 0 0 3702 0 0 0 0 4900 0 0 0 7562 0 0 0 0 0 179.23 0 0 0 433917.95 0 0 0 0 2455716.86 0 0 0 541628.92 0 0 0 0 0 3431442.96 3656526.99 0 0 1101536231 1194713404 30 General Hospitals FERRELL HOSPITAL COMM FOUND 629301634 90 Saline DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 2392 0 0 0 0 188 0 0 1 1197 0 0 0 0 0 1 0 0 0 4081 0 0 0 0 254 0 0 1 2294 0 0 0 0 0 1 0 0 0 4081 0 0 0 0 767 0 0 1 2294 0 0 0 0 0 0 0 0 0 563794.52 0 0 0 0 247854.96 0 0 962.89 538607.08 0 0 0 0 0 1351219.45 1051583.61 0 0 1220000034 30 General Hospitals MACNEAL HOSPITAL REHAB UNIT 604023429 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7142378.21 0 0 1220000035 30 General Hospitals SKOKIE HOSPITAL 600761214 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4794470.2 0 0 1220000036 30 General Hospitals FHN MEMORIAL HOSPITAL 610324864 97 Stephenson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2602739.48 0 0 1220000037 30 General Hospitals ST LOUIS UNIVERSITY HOSPITAL 631102500 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 544744.44 0 0 1220000038 30 General Hospitals HSHS GOOD SHEPHERD HOSPITAL IN 625651838 94 Shelby 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262154.48 0 0 1222000001 30 General Hospitals CHRIST HOSPITAL 604532600 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3801801.15 0 0 1222000002 30 General Hospitals GLENOAKS MEDICAL CENTER INC 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1602872.04 0 0 1222000003 30 General Hospitals LOURDES HOSPITAL INC 420037901 818 Kentucky 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18079.26 0 0 1222000004 30 General Hospitals LUTHERAN GENERAL HOSPITAL 600681143 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2337613.63 0 0 2222000005 30 General Hospitals PRESENCE SAINT JOSEPH HOSPITAL 601234912 53 Kane 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 752357.37 0 0 1101209631 1518174150 36 Community mental health provider METROPOLITAN FAMILY SERVICES 604651933 200 Cook 0 0 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 492 0 0 805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4048 0 0 805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4048 0 0 23021.95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 369723.84 0 0 392745.79 0 0 0 1101220765 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101105469 1770510422 10 Physicians KUJAWA KATHY 600073362 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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Physicians 823 Michigan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 287.95 0 0 0 0 0 0 287.95 0 0 0 1101356554 1649252420 16 Nurse Practitioners KARNICK PAULA 600684760 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54.4 0 0 0 0 0 0 54.4 0 0 0 1005362950 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8662.85 0 0 0 0 0 0 0 0 0 0 0 0 0 8662.85 0 0 0 1101047963 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101195254 92 Waiver service provider--Disability (DHS/DRS) 70 McDonough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101524767 10 Physicians 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1005012698 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1943 0 0 0 0 0 0 0 0 0 0 0 0 0 1943 0 0 0 1004526228 23 Occupational Therapists 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101479089 10 Physicians 852 Wisconsin 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 6.4 0 0 0 0 0 0 74749.96 0 21213.03 0 0 0 0 0 0 95969.39 0 0 0 1101097393 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101189075 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1002453449 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3364.28 0 0 0 0 0 0 0 0 0 0 0 0 0 3364.28 0 0 0 1101172313 2100162731 10 Physicians SCHMELKA DANIEL 604407009 200 Cook 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 30 0 158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 299 0 0 0 0 0 0 0 0 0 0 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0 1001533834 91 Waiver service provider--Adults (DHS/DDD) 25 Crawford 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13860 0 0 0 0 0 0 0 0 0 0 0 0 0 13860 0 0 0 1101424561 1992710214 60 Pharmacies BOND DRUG COMPANY OF ILLINOIS 604512946 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 875 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 219827.32 0 0 0 219827.32 0 0 0 1003920302 94 Waiver service provider--Children's support (DHS/DDD) 60 Lee 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14066.78 0 0 0 0 0 0 0 0 0 0 0 0 0 14066.78 0 0 0 1004109845 10 Physicians 19 Champaign 0 0 Radiology Diagnosis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88.97 0 0 0 0 0 0 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(DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8864.65 0 0 0 0 0 0 0 0 0 0 0 0 0 8864.65 0 0 0 1101191277 93 Waiver service provider--HIV/AIDS (DHS/DRS) 64 Macoupin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101425356 29 ICF/MR 59 Lawrence 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101301210 10 Physicians 815 Indiana 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101125819 10 Physicians 200 Cook 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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Physicians ANDREWS LIZY 609144430 54 Kankakee 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 33 0 251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 597 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 597 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1285.61 0 61946.78 0 0 0 0 0 0 63232.39 0 0 0 1101237567 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004307157 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101232204 1669470431 10 Physicians GANCAYCO JAMIE 600147444 71 McHenry 0 1 Emergency Medicine 0 108 0 0 37 0 0 0 0 0 0 17 0 80 0 0 0 0 0 0 312 0 0 112 0 0 0 0 0 0 18 0 130 0 0 0 0 0 0 312 0 0 112 0 0 0 0 0 0 18 0 130 0 0 0 0 0 0 752 0 0 4063.88 0 0 0 0 0 0 195.12 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3901.81 0 0 0 0 0 0 0 0 0 0 0 0 0 3901.81 0 0 0 1101492892 30 General Hospitals 805 California NON-COST "Non-cost reporting hospitals, paid a Per Diem rate." 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004482567 1093074916 10 Physicians SHAH NEIL B 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5395.85 0 0 0 0 0 0 5395.85 0 0 0 1101281081 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1004849581 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 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service provider--Disability (DHS/DRS) 46 Iroquois 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101308182 1952385353 11 Dentists PUNATY MADHURI D 601393511 53 Kane 0 0 General Dentistry 0 0 0 392 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1897 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1897 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48096.94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48096.94 0 0 0 1101102407 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9659.58 0 0 0 0 0 0 0 0 0 0 0 0 0 9659.58 0 0 0 1005301833 1235686759 16 Nurse Practitioners DAVIS BROOKE L 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 234.35 0 0 0 0 0 0 234.35 0 0 0 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(DHS/DRS) 77 Morgan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101125756 92 Waiver service provider--Disability (DHS/DRS) 106 Whiteside 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2540.29 0 0 0 0 0 0 0 0 0 0 0 0 0 2540.29 0 0 0 1101298659 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001592112 10 Physicians 852 Wisconsin 0 0 General Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101483573 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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Physicians MORROW CHRISTEN A 731279742 200 Cook 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 956.45 0 0 0 0 0 0 956.45 0 0 0 1101088377 1942345616 55 Early Intervention Services HOWARD LINDA 604222009 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 971 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 971 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115004.9 0 0 0 0 0 0 115004.9 0 0 0 1101035256 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1101440362 1114943420 10 Physicians LINETTE GERALD P 631082212 826 Missouri 0 0 Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35608.04 0 0 0 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