PROVIDER_NUMBER,FYB,FYE,STATUS,HOSPITAL_Name,Street_Addr,Po_BOx,City,State,Zip_Code,County,IME1,IME2,IME3,DSH1,DSH2,DSH3,DSH_SHARE_PERCENTAGE,GME_PART_A,GME_PART_B,TOTAL_HOSPITAL_BEDS,TOTAL_HOSPITAL_BED_DAYS_AVAILABLE,TOTAL_HOSPITAL_MEDICARE_DAYS,TOTAL_HOSPITAL_MEDICAID_DAYS,TOTAL_HOSPITAL_DAYS,INTERNS_AND_RESIDENTS,TOTAL_HOSPITAL_EMPLOYEES_ON_PAYROL,TOTAL_HOSPITAL_NON_PAID_WORKERS,TOTAL_HOSPITAL_MEDICARE_DISCHARGES,TOTAL_HOSPITAL_MEDICAID_DISCHARGES,TOTAL_HOSPITAL_DISCHARGES,MEDICAID_HMO_DISCHARGES,MEDICAID_HMO_IPF_SUBPROVIDER,MEDICAID_HMO_IRF_SUBPROVIDER,MEDICAID_IPF_SUBPROVIDER,MEDICAID_IRF_SUBPROVIDER,TOTAL_DISCHARGES_SUBPROVIDER_IPF,TOTAL_DISCHARGES_SUBPROVIDER_IRF 010001,01-OCT-14,30-SEP-15,Amended,SOUTHEAST ALABAMA MEDICAL CENTER ,1108 ROSS CLARK CIRCLE ,6987 ,DOTHAN ,AL ,36301 ,HOUSTON ,,,,1724846,223358,,.1234,,,400,146000,43678,9014,89693,,2379.5,,8329,2849,18484,,,,,,, 010005,01-OCT-14,30-SEP-15,Amended,MARSHALL MEDICAL CENTER - SOUTH ,2505 U.S. HIGHWAY 431 ,,BOAZ ,AL ,35957- ,MARSHALL ,,,,759266,,,.1272,,,204,74460,18262,6598,38465,,1068.4,,3739,1383,9368,254,,,,,, 010006,01-JUL-15,30-JUN-16,Amended,ELIZA COFFEE MEMORIAL HOSPITAL ,205 MARENGO STREET ,818 ,FLORENCE ,AL ,35630 ,LAUDERDALE ,,,,1072119,,,.0968,,,358,131028,31348,9264,60737,,971.12,,5992,2055,12713,44,,,,,, 010007,01-OCT-14,30-SEP-15,As Submitted,MIZELL MEMORIAL HOSPITAL ,702 MAIN STREET ,429 ,OPP ,AL ,36462- ,COVINGTON ,,,,27272,,,.0301,,,45,16425,3448,517,5108,,135.31,,813,198,1379,,,,20,,305, 010008,01-JAN-15,31-DEC-15,Amended,CRENSHAW COMMUNITY HOSPITAL ,CRENSHAW COMMUNITY HOSPITAL ,101 HOSPITAL CIRCLE ,LUVERNE ,AL ,36049 ,CRENSHAW ,,,,27920,,,.1277,,,29,10585,939,192,1836,,82.71,,218,77,352,,,,160,,568, 010011,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENTS EAST ,50 MEDICAL PARK DRIVE EAST ,,BIRMINGHAM ,AL ,35235- ,JEFFERSON ,843676,,,826827,,,.1054,694969,222913,313,114558,24225,12303,86386,13.73,1133.02,,3949,2026,15226,,,,23,11,385,323 010012,01-APR-15,31-MAR-16,As Submitted,DEKALB REGIONAL MEDICAL CENTER ,200 MEDICAL CENTER DRIVE ,,FORT PAYNE ,AL ,35967 ,DEKALB ,,,,171851,,,.12,,,97,35502,4129,3294,11323,,359.47,,1022,846,3161,,,,,,280, 010016,01-JAN-15,02-OCT-15,As Submitted,SHELBY BAPTIST MEDICAL CENTER ,1000 FIRST STREET NORTH ,,ALABASTER ,AL ,35007 ,SHELBY ,,,,325695,,,.0668,,,212,58300,13011,5998,40503,1.56,852.8,,2441,1620,9401,,,,,,925, 010018,01-OCT-14,30-SEP-15,As Submitted,CALLAHAN EYE FOUNDATION HOSP ,1720 UNIVERSITY BOULEVARD ,,BIRMINGHAM ,AL ,35233- ,JEFFERSON ,39878,,,,,,,15904,315762,12,4380,89,15,196,7.93,182.93,,27,5,63,,,,,,, 010019,01-OCT-14,31-DEC-14,As Submitted,HELEN KELLER HOSPITAL ,1300 SOUTH MONTGOMERY AVENUE ,610 ,SHEFFIELD ,AL ,35660- ,COLBERT ,,,,167819,,,.1583,,,185,17020,2955,1513,6455,,524.88,,663,540,1589,,,,,,, 010019,01-JAN-15,30-SEP-15,As Submitted,HELEN KELLER HOSPITAL ,1300 SOUTH MONTGOMERY AVENUE ,610 ,SHEFFIELD ,AL ,35660- ,COLBERT ,,,,541431,,,.1539,,,185,50505,10599,5053,22281,,68.1,,2359,1692,5359,,,,,,, 010021,01-OCT-14,30-SEP-15,Amended,DALE MEDICAL CENTER ,126 HOSPITAL ,,OZARK ,AL ,36360- ,DALE ,,,,119749,,,.12,,,77,28105,3332,2069,8336,,287.19,,700,410,1641,,,,29,,273, 010022,01-APR-15,31-MAR-16,Amended,CHEROKEE MEDICAL CENTER ,100 NORTHWOOD DRIVE ,,CENTRE ,AL ,35960- ,CHEROKEE ,,,,112626,,,.2963,,,45,16470,2588,747,4779,,107.42,,287,170,673,,,,,,, 010023,01-JUL-15,30-JUN-16,As Submitted,BAPTIST MEDICAL CENTER SOUTH ,2105 EAST SOUTH BOULEVARD ,11010 ,MONTGOMERY ,AL ,36116- ,MONTGOMERY ,2696665,,,2441887,,,.2232,534346,530755,329,120414,25640,26360,86443,44.8,1704.15,,5047,4797,16403,,,,499,,2018, 010024,01-JAN-15,31-DEC-15,Amended,JACKSON HOSPITAL AND CLINIC INC ,1725 PINE STREET ,,MONTGOMERY ,AL ,36106-1109 ,MONTGOMERY ,,,,1117233,,,.1167,,,255,93075,26110,11281,66658,,1202.68,,4868,2179,13536,,,,,,, 010029,01-OCT-14,30-SEP-15,Amended,EAST ALABAMA MEDICAL CENTER ,2000 PEPPERELL PKWY ,,OPELIKA ,AL ,36802- ,LEE ,,,,1598352,,,.1331,,,332,121180,40918,14973,79137,,2254.61,,6163,3133,15846,,,,,,, 010032,01-OCT-14,30-SEP-15,As Submitted,WEDOWEE HOSPITAL ,301 NORTH MAIN STREET ,,WEDOWEE ,AL ,36278 ,RANDOLPH ,,,,8699,,,.0474,,,34,12410,841,114,1535,,72.21,,188,39,381,,,,,,, 010033,01-OCT-14,30-SEP-15,Amended,UNIVERSITY OF ALABAMA HOSPITAL ,619 SOUTH 19TH STREET ,,BIRMINGHAM ,AL ,35233 ,JEFFERSON ,21143882,,,6752134,,,.199,7638546,2917895,1017,371554,79361,83338,304948,546.72,7836,,12386,12100,43121,,,,,173,2641,1121 010034,01-OCT-14,30-SEP-15,As Submitted,COMMUNITY HOSPITAL INC. ,805 FRIENDSHIP DRIVE ,,TALLASSEE ,AL ,36078 ,ELMORE ,,,,56371,,,.089,,,37,13505,2305,578,5111,,160.03,,492,153,1154,,,,6,,146, 010035,01-JUL-15,30-JUN-16,As Submitted,CULLMAN REGIONAL ,1912 ALABAMA HIGHWAY 157 ,,CULLMAN ,AL ,35056 ,CULLMAN ,,,,432219,,,.0805,,,115,42090,14138,3666,27014,,816.34,,3295,1510,7495,,,,,,, 010036,01-APR-15,31-MAR-16,Amended,ANDALUSIA REGIONAL HOSPITAL ,849 THREE NOTCH STREET ,,ANDALUSIA ,AL ,36420 ,COVINGTON ,,,,370953,,,.2152,,,88,32208,5199,2647,10310,,237.78,,1325,636,2936,,,,,,, 010038,01-JUL-15,30-JUN-16,Amended,STRINGFELLOW MEMORIAL HOSPITAL ,301 EAST 18TH STREET ,38 ,ANNISTON ,AL ,36207 ,CALHOUN ,,,,165021,,,.0823,,,125,45750,5601,1329,10826,,254.2,,1432,450,3021,,,,,,, 010039,01-JUL-15,30-JUN-16,As Submitted,HUNTSVILLE HOSPITAL ,101 SIVLEY ROAD ,,HUNTSVILLE ,AL ,35801- ,MADISON ,4904650,,,3860776,,,.1081,1523234,672342,866,316956,86617,45772,234439,57.75,5846.09,,15923,6858,44554,,,,233,,1614, 010040,01-OCT-14,30-SEP-15,Amended,GADSDEN REGIONAL MEDICAL CENTER ,1007 GOODYEAR AVENUE ,,GADSDEN ,AL ,35999 ,ETOWAH ,,,,1224402,,,.1222,,,231,84159,30430,12184,70327,,1079.92,,5271,2356,14151,,,,9,,335, 010044,01-OCT-14,30-SEP-15,Amended,MARION REGIONAL MEDICAL CENTER ,1256 MILITARY ST SOUTH ,,HAMILTON ,AL ,35570- ,MARION ,,,,5773,,,.0236,,,35,12652,2937,43,3363,,105.68,,222,18,300,,,,,,, 010045,01-OCT-14,30-SEP-15,As Submitted,FAYETTE MEDICAL CENTER ,1653 TEMPLE AVENUE NORTH ,,FAYETTE ,AL ,35555- ,FAYETTE ,,,,60533,,,.0796,,,42,15330,4509,287,5641,,180.69,,576,,1024,,,,,,, 010046,01-MAR-15,31-DEC-15,As Submitted,RIVERVIEW REGIONAL MEDICAL CENTER ,600 S 3RD STREET ,,GADSDEN ,AL ,35901 ,ETOWAH ,,,,420230,,,.0859,,,256,78336,14139,3430,28149,,518.63,,2712,809,6256,,,,8,,139, 010047,01-JAN-15,31-DEC-15,As Submitted,GEORGIANA HOSPITAL ,515 MIRANDA STREET ,,GEORGIANA ,AL ,36033 ,BUTLER ,,,,27998,,,.0883,,,22,8030,1108,197,1515,,44.9,,350,62,529,,,,,,, 010049,01-JAN-15,31-DEC-15,Amended,MEDICAL CENTER ENTERPRISE ,400 NORTH EDWARDS STREET ,,ENTERPRISE ,AL ,36330- ,COFFEE ,,,,158502,,,.12,,,117,42705,3009,3564,10148,,331.54,,967,941,3343,,,,,,, 010051,01-OCT-14,30-SEP-15,As Submitted,GREENE COUNTY HOSPITAL ,509 WILSON AVENUE ,,EUTAW ,AL ,35462 ,GREENE ,,,,25151,,,.12,,,20,7300,591,208,981,,107.03,,161,73,288,,,,,,, 010052,01-JAN-15,31-DEC-15,As Submitted,LAKE MARTIN COMMUNITY HOSPITAL ,1231 SOUTH STREET ,,DADEVILLE ,AL ,36853 ,TALLAPOOSA ,,,,30883,,,.0793,,,46,16790,1102,200,1703,,67.98,,355,76,624,,,,,,, 010055,01-OCT-14,30-SEP-15,Amended,FLOWERS HOSPITAL ,4370 WEST MAIN STREET ,6907 ,DOTHAN ,AL ,36302- ,HOUSTON ,,,,594000,,,.0641,,,235,85775,23945,5557,48513,,1116.17,,4737,1159,10544,,,,,,, 010056,01-JUL-15,30-JUN-16,As Submitted,ST VINCENTS BIRMINGHAM ,810 ST VINCENTS DRIVE ,,BIRMINGHAM ,AL ,35205- ,JEFFERSON ,106176,,,515508,,,.0389,49948,22492,442,161772,33404,7519,110741,,,,6019,1296,20170,,,,,,, 010058,01-OCT-14,30-SEP-15,As Submitted,BIBB MEDICAL CENTER ,165 PIERSON AVENUE ,,CENTREVILLE ,AL ,35042 ,BIBB ,,,,6330,,,.0283,,,25,9125,2545,309,3757,,11.61,,203,38,385,,,,,,, 010059,01-OCT-14,30-SEP-15,As Submitted,LAWRENCE MEDICAL CENTER ,202 HOSPITAL STREET ,,MOULTON ,AL ,35650- ,LAWRENCE ,,,,42453,,,.0816,,,43,15695,2212,210,3013,,152.93,,402,60,685,,,,,,, 010061,01-OCT-14,30-SEP-15,As Submitted,HIGHLANDS MEDICAL CENTER ,380 WOOD COVE ROAD ,1050 ,SCOTTSBORO ,AL ,35768 ,JACKSON ,,,,247234,,,.12,,,170,62050,6867,2694,14830,,407.19,,1063,1013,3498,,,,,,, 010062,01-OCT-14,30-SEP-15,As Submitted,WIREGRASS MEDICAL CENTER ,1200 WEST MAPLE STREET ,,GENEVA ,AL ,36340 ,GENEVA ,,,,52983,,,.0749,,,73,26645,2869,410,4520,,155.42,,598,126,1078,21,,,,,327, 010065,01-JAN-15,31-DEC-15,As Submitted,RUSSELL MEDICAL CENTER ,C ,939 ,ALEXANDER CITY ,AL ,35010 ,TALLAPOOSA ,,,,388257,,,.1474,,,75,27375,5660,2823,11337,,450.24,,1649,666,3139,,,,,,, 010069,01-OCT-14,30-SEP-15,As Submitted,SEAR ,820 WEST WASHINGTON STREET ,,EUFAULA ,AL ,36027 ,BARBOUR ,,,,73238,,,.1168,,,30,10950,3922,376,5648,,152.54,,581,86,1076,,,,,,244, 010073,01-OCT-14,30-SEP-15,As Submitted,CLAY COUNTY HOSPITAL ,544 EAST AVENUE ,,ASHLAND ,AL ,36251 ,CLAY ,,,,194707,,,.2596,,,46,16790,3616,1417,6067,,132.22,,667,280,1224,,,,,,, 010078,01-JUL-15,30-JUN-16,As Submitted,NORTHEAST ALABAMA REGIONAL MED CTR ,400 EAST TENTH STREET ,2208 ,ANNISTON ,AL ,36202- ,CALHOUN ,,,,1205225,,,.1392,,,217,79422,27685,13066,58526,,1336.84,,4903,2772,12415,,,,,,898, 010079,01-JUL-15,31-DEC-15,As Submitted,ATHENS LIMESTONE ,ATHENS LIMESTONE HOSPITAL ,999 ,ATHENS ,AL ,35611- ,LIMESTONE ,,,,181318,,,.12,,,70,12880,3485,1481,7522,,496.17,,920,517,2277,,,,,,, 010083,01-OCT-14,30-SEP-15,Amended,SOUTH BALDWIN REGIONAL MEDICAL CENTE ,1613 NORTH MCKENZIE ,,FOLEY ,AL ,36535- ,BALDWIN ,,,,248808,,,.0699,,,112,40880,9828,2760,26234,,603.73,,2185,874,6410,,,,,,, 010085,01-APR-15,31-MAR-16,Amended,DECATUR MORGAN - DECATUR CAMPUS ,7TH STREET S.E. ,2239 ,DECATUR ,AL ,35609- ,MORGAN ,,,,808659,,,.1188,,,190,69540,22100,7345,42767,,1058.33,,4282,2325,9885,,,,,,1571, 010086,01-JAN-15,31-DEC-15,As Submitted,NORTHWEST MEDICAL CENTER ,HIGHWAY 78 WEST ,130 ,WINFIELD ,AL ,35594 ,MARION ,,,,66549,,,.0742,,,61,22265,3827,438,5559,,183.74,,802,108,1373,14,,,16,,202, 010087,01-OCT-14,30-SEP-15,Amended,UNIV OF SOUTH ALABAMA MEDICAL CENTER ,2451 FILLINGIM STREET ,,MOBILE ,AL ,36617 ,MOBILE ,5190781,,,814815,,,.2814,2254697,1722381,138,50370,7830,12132,41382,135.59,1461.16,,1202,1902,6950,,,,,,, 010089,01-JAN-15,02-OCT-15,Amended,WALKER BAPTIST MEDICAL CENTER ,3400 HIGHWAY 78 EAST ,3547 ,JASPER ,AL ,35502 ,WALKER ,,,,480176,,,.1644,,,145,39875,8011,4504,20003,1.84,524.33,,1724,1504,4631,,,,292,,1088, 010090,01-JUL-15,30-JUN-16,As Submitted,PROVIDENCE HOSPITAL ,6801 AIRPORT BLVD ,,MOBILE ,AL ,36608 ,MOBILE ,52150,,,690397,,,.069,9406,3562,349,127734,27738,10589,80837,.52,1376.77,,4862,1667,15322,252,,,,,, 010091,01-JUL-15,30-JUN-16,As Submitted,GROVE HILL MEMORIAL HOSPITAL ,295 SOUTH JACKSON STREET ,935 ,GROVE HILL ,AL ,36451- ,CLARKE ,,,,30703,,,.12,,,22,8052,890,1039,3084,,107.28,,266,543,933,,,,8,,156, 010092,01-OCT-14,30-SEP-15,Amended,DCH REGIONAL MEDICAL CENTER ,809 UNIVERSITY BLVD EAST ,,TUSCALOOSA ,AL ,35401- ,TUSCALOOSA ,4123893,,,4025810,,,.165,1410399,458197,547,199655,72299,37511,159243,44.87,3593.08,,12306,8685,33286,,,,,40,2003,780 010095,01-OCT-14,30-SEP-15,As Submitted,HALE COUNTY HOSPITAL ,508 GREENE STREET ,,GREENSBORO ,AL ,36744 ,HALE ,,,,29751,,,.12,,,28,10220,1978,216,2751,,77.57,,221,89,448,,,,,,, 010097,01-JAN-15,31-DEC-15,As Submitted,ELMORE COMMUNITY HOSPITAL ,500 HOSPITAL DRIVE ,,WETUMPKA ,AL ,36092 ,ELMORE ,,,,51311,,,.12,,,33,12045,1585,475,3581,,127.12,,363,94,837,,,,,,, 010099,01-OCT-14,30-SEP-15,As Submitted,D W MCMILLAN MEMORIAL HOSPITAL ,1301 BELLEVILLE AVENUE ,908 ,BREWTON ,AL ,36427 ,ESCAMBIA ,,,,94152,,,.12,,,49,17885,3223,2080,6981,,179.5,,732,395,1726,,,,,,, 010100,01-APR-15,31-MAR-16,As Submitted,THOMAS HOSPITAL ,750 MORPHY AVE ,929 ,FAIRHOPE ,AL ,36532- ,BALDWIN ,,,,213377,,,.033,,,129,47214,14280,3840,37432,,755.63,,3177,1594,8697,,,,,,, 010101,01-JAN-15,02-OCT-15,As Submitted,CITIZENS BAPTIST MEDICAL CENTER ,604 STONE AVENUE ,,TALLADEGA ,AL ,35161 ,TALLADEGA ,,,,205029,,,.2512,,,81,22275,2127,1682,5919,,228.06,,605,682,1826,,,,15,,219, 010102,01-OCT-14,30-SEP-15,As Submitted,JOHN PAUL JONES HOSPITAL ,317 MCWILLIAMS AVENUE ,B ,CAMDEN ,AL ,36726-1610 ,WILCOX ,,,,11392,,,.12,,,21,7665,343,70,532,,38.16,,104,26,177,,,,,,, 010103,01-JAN-15,02-OCT-15,As Submitted,PRINCETON BAPTIST MEDICAL CENTER ,701 PRINCETON AVE SW ,,BIRMINGHAM ,AL ,35211 ,JEFFERSON ,3022830,,,808583,,,.102,2296426,648435,273,75075,18816,8984,55549,65.94,1190.8,,3265,3056,10340,,,,,,488, 010104,01-JUL-15,30-JUN-16,Amended,TRINITY MEDICAL CENTER ,800 MONTCLAIR ROAD ,,BIRMINGHAM ,AL ,35213 ,JEFFERSON ,1961217,,,913023,,,.1034,1813813,578386,343,125235,24576,10483,70577,38.99,1249.49,,4004,1468,13777,,,,,,247,312 010108,01-JUL-15,30-JUN-16,As Submitted,PRATTVILLE BAPTIST HOSPITAL ,124 SOUTH MEMORIAL DRIVE ,,PRATTVILLE ,AL ,36067- ,AUTAUGA ,,,,72942,,,.045,,,50,18300,5352,1326,12721,,285.55,,1245,415,3199,,,,,,, 010109,01-OCT-14,30-SEP-15,As Submitted,PICKENS COUNTY MEDICAL CENTER ,R.K. WILSON DRIVE ,,CARROLLTON ,AL ,35477 ,PICKENS ,,,,32192,,,.12,,,40,14600,1135,145,1833,,97.28,,260,63,494,,,,7,,101, 010110,01-JAN-15,31-DEC-15,As Submitted,BULLOCK COUNTY HOSPITAL ,BULLOCK COUNTY HOSPITAL ,102 CONECUH AVENUE ,UNION SPRINGS ,AL ,36089 ,BULLOCK ,,,,37253,,,.12,,,30,10950,1483,865,3194,,95.31,,306,250,707,,,,71,,633, 010112,01-OCT-14,30-SEP-15,As Submitted,BRYAN W WHITFIELD MEMORIAL HOSPITAL ,105 HIGHWAY 80 EAST ,,DEMOPOLIS ,AL ,36732 ,MARENGO ,,,,125408,,,.12,,,89,32485,5890,2720,10165,,222.04,,1039,738,2203,,,,15,,156, 010113,01-APR-15,31-MAR-16,As Submitted,MOBILE INFIRMARY MEDICAL CENTER ,FIVE MOBILE INFIRMARY CIRCLE ,2144 ,MOBILE ,AL ,36652- ,MOBILE ,342152,,,1710758,,,.1027,155677,31498,615,225090,55173,18966,141191,5.57,1927.38,,8404,3819,25340,,,,,,1385,600 010114,01-JAN-15,31-DEC-15,As Submitted,UAB MEDICAL WEST ,995 NINTH AVENUE SOUTHWEST ,847 ,BESSEMER ,AL ,35023 ,JEFFERSON ,,,,387773,,,.1283,,,187,68255,9661,6569,33407,,834.81,,1664,1755,6267,,,,,43,465,304 010118,01-JUL-15,30-JUN-16,Amended,VAUGHAN REGIONAL MEDICAL CENTER ,1015 MEDICAL CENTER PARKWAY ,,SELMA ,AL ,36701 ,DALLAS ,450321,,,1122949,,,.3938,319960,174958,163,59658,7197,7445,19372,14.9,450.99,,1885,2019,5505,69,,,,,, 010120,01-OCT-14,30-SEP-15,As Submitted,MONROE COUNTY HOSPITAL ,HIGHWAY 21 ,,MONROEVILLE ,AL ,36461 ,MONROE ,,,,64908,,,.12,,,49,17885,1807,1095,4185,,167.62,,539,290,1251,,,,,,, 010125,01-JAN-15,31-DEC-15,As Submitted,LAKELAND COMMUNITY HOSPITAL ,HIIGHWAY 195 EAST ,780 ,HALEYVILLE ,AL ,35565 ,WINSTON ,,,,84623,,,.092,,,50,18250,4316,581,5734,,120.33,,862,155,1372,,,,16,,107, 010126,01-JAN-15,31-DEC-15,As Submitted,TROY REGIONAL MEDICAL CENTER ,130 HIGHWAY 231 ,,TROY ,AL ,36081 ,PIKE ,,,,111825,,,.12,,,97,35405,3378,1610,7535,,251.34,,736,416,1867,,,,,,, 010128,01-JAN-15,31-DEC-15,As Submitted,JACKSON MEDICAL CENTER ,220 HOSPITAL DRIVE ,,JACKSON ,AL ,36545 ,CLARKE ,,,,36479,,,.12,,,35,12775,1801,894,3741,,95.55,,297,231,753,,,,,,, 010129,01-APR-15,31-MAR-16,As Submitted,NORTH BALDWIN INFIRMARY ,1815 HAND AVENUE ,1409 ,BAY MINETTE ,AL ,36507 ,BALDWIN ,,,,68129,,,.12,,,55,20130,1598,1267,5622,,171.07,,417,604,1694,,,,,,307, 010130,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENTS ST. CLAIR ,7063 VETERANS PARKWAY ,,PELL CITY ,AL ,35125 ,ST. CLAIR ,,,,,,,,,,40,14640,2628,328,6583,,173.66,,672,105,1786,,,,,,, 010131,01-JUL-15,30-JUN-16,As Submitted,CRESTWOOD MEDICAL CENTER ,ONE HOSPITAL DRIVE ,,HUNTSVILLE ,AL ,35801- ,MADISON ,,,,245801,,,.0271,,,151,55266,19195,4171,42308,,962.77,,4209,922,10943,,,,,,, 010138,01-JAN-15,31-DEC-15,As Submitted,HILL HOSPITAL OF SUMTER COUNTY ,751 DERBY DRIVE ,,YORK ,AL ,36925 ,SUMTER ,,,,21623,,,.12,,,33,12045,1309,764,2500,,49.08,,213,116,525,,,,,,, 010139,01-JAN-15,02-OCT-15,Amended,BROOKWOOD MEDICAL CENTER ,2010 BROOKWOOD MEDICAL CENTER DRIVE ,,BIRMINGHAM ,AL ,35209 ,JEFFERSON ,,,,469203,,,.0577,,,401,110275,18549,10591,69506,,1347.43,,4123,1128,15052,8,2,,714,1,3750,538 010144,01-JAN-15,31-DEC-15,As Submitted,SPRINGHILL MEMORIAL HOSPITAL ,3719 DAUPHIN STREET ,,MOBILE ,AL ,36608 ,MOBILE ,,,,312551,,,.0468,,,195,67556,19633,4645,55188,,988.08,,3312,896,10169,,,,,,, 010148,01-JAN-15,31-DEC-15,As Submitted,EVERGREEN MEDICAL CENTER ,101 CRESTVIEW AVENUE ,,EVERGREEN ,AL ,36401- ,CONECUH ,,,,18427,92781,,.1194,,,44,16060,3096,634,4783,,101.57,,880,249,1513,,,,,,, 010149,01-JUL-15,30-JUN-16,As Submitted,BAPTIST MEDICAL CENTER EAST ,400 TAYLOR ROAD ,,MONTGOMERY ,AL ,36117- ,MONTGOMERY ,,,,788151,,,.2278,,,167,61014,10891,17642,53538,,800.2,,2154,4732,10377,,,,,,, 010150,01-FEB-15,31-JAN-16,As Submitted,LV STABLER MEMORIAL HOSPITAL ,29 LV STABLER DRIVE ,,GREENVILLE ,AL ,36037 ,BUTLER ,,,,77225,,,.1156,,,44,16060,2014,401,3195,,131.12,,527,137,932,,,,,,214, 010157,01-APR-15,31-MAR-16,Amended,SHOALS HOSPITAL ,201 W AVALON AVE. ,3359 ,MUSCLE SHOALS ,AL ,35661 ,COLBERT ,,,,63924,,,.0533,,,122,44652,3768,605,6609,,200.92,,837,160,1562,,,,,4,393,761 010158,01-JAN-15,31-DEC-15,As Submitted,RUSSELLVILLE HOSPITAL ,P O BOX 1089 ,,RUSSELLVILLE ,AL ,35653 ,FRANKLIN ,,,,170871,,,.1429,,,92,33580,4664,898,7163,,182.77,,1002,272,1906,,,,,,, 010164,01-AUG-15,31-JUL-16,As Submitted,COOSA VALLEY MEDICAL CENTER ,315 WEST HICKORY STREET ,,SYLACAUGA ,AL ,35150- ,TALLADEGA ,,,,321802,,,.2103,,,122,44652,5210,2784,13645,,382.34,,1135,966,3289,,,,14,,280, 010168,01-JAN-15,31-DEC-15,As Submitted,JACK HUGHSTON MEMORIAL HOSPITAL ,4401 RIVER CHASE DRIVE ,,PHENIX CITY ,AL ,36867 ,RUSSELL ,311435,,,,,,,,,47,17155,3484,151,7500,2.15,245.63,,1154,39,2579,14,,,,,, 010169,01-OCT-14,30-SEP-15,As Submitted,ATMORE COMMUNITY HOSPITAL ,401 MEDICAL PARK DRIVE ,,ATMORE ,AL ,36502 ,ESCAMBIA ,,,,48761,,,.062,,,49,17885,3009,462,5207,,139.41,,683,105,1363,,,,,,, 010172,26-SEP-15,30-APR-16,As Submitted,NORTH ALABAMA SPECIALTY HOSPITAL ,700 WEST MARKET STREET 2ND FLOOR ,,ATHENS ,AL ,35611 ,LIMESTONE COUNTY ,,,,,,,,,,31,6758,541,,586,,14.63,,20,,21,,,,,,, 011300,01-OCT-14,30-SEP-15,As Submitted,WASHINGTON COUNTY HOSPITAL ,ST. STEPHENS AVENUE ,1299 ,CHATOM ,AL ,36518- ,WASHINGTON ,,,,,,,,,,15,5475,2055,65,2436,,90,,121,22,188,,,,,,, 011302,01-OCT-14,31-DEC-14,As Submitted,RED BAY HOSPITAL ,211 HOSPITAL ROAD ,490 ,RED BAY ,AL ,35582- ,FRANKLIN ,,,,,,,,,,25,2300,549,41,730,,72.05,,69,9,89,,,,,,, 011302,01-JAN-15,30-SEP-15,As Submitted,RED BAY HOSPITAL ,211 HOSPITAL ROAD ,490 ,RED BAY ,AL ,35582- ,FRANKLIN ,,,,,,,,,,25,6825,1909,101,2213,,73.14,,238,19,293,,,,,,, 011304,01-JAN-15,31-DEC-15,As Submitted,CHOCTAW GENERAL HOSPITAL ,401 VANITY FAIR LANE ,618 ,BUTLER ,AL ,36904 ,BUTLER ,,,,,,,,,,25,9125,2023,26,2288,,75.21,,55,10,86,,,,,,, 011305,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENTS BLOUNT ,150 GILBREATH DRIVE ,1000 ,ONEONTA ,AL ,35121- ,BLOUNT ,,,,,,,,,,25,9150,2738,277,5671,,129.75,,327,99,894,,,,,,, 012006,01-APR-15,31-MAR-16,As Submitted,INFIRMARY LTAC HOSPITAL ,5644 GIRBY ROAD ,,MOBILE ,AL ,36693- ,MOBILE ,,,,,,,,,,22,8052,3920,,6085,,49.3,,158,,227,,,,,,, 012007,01-APR-15,31-AUG-15,Settled,NOLAND HOSPITAL MONTGOMERY II ,1725 PINE STREET 5TH FLOOR ,,MONTGOMERY ,AL ,36106 ,MONTGOMERY ,,,,,,,,,,65,9945,2591,,3168,,52.7,,93,,124,,,,,,, 012007,01-SEP-15,31-AUG-16,As Submitted,NOLAND HOSPITAL MONTGOMERY II ,1725 PINE STREET 5TH FLOOR ,,MONTGOMERY ,AL ,36106 ,MONTGOMERY ,,,,,,,,,,65,23790,5250,,7052,,51.3,,191,,261,,,,,,, 012008,01-SEP-15,31-AUG-16,As Submitted,SSH - BIRMINGHAM ,2010 BROOKWOOD MEDICAL CENTER DRIVE ,3RD FLOOR ,BIRMINGHAM ,AL ,35213 ,JEFFERSON ,,,,,,,,,,38,13908,6429,,11683,,108.28,,188,,307,,,,,,, 012009,01-APR-15,31-AUG-15,Settled,NOLAND HOSPITAL BIRMINGHAM II ,50 MEDICAL PARK EAST 8TH FLOOR ,,BIRMINGHAM ,AL ,35235 ,JEFFERSON ,,,,,,,,,,45,6885,3061,,4242,,54.3,,106,,150,,,,,,, 012009,01-SEP-15,31-AUG-16,As Submitted,NOLAND HOSPITAL BIRMINGHAM II ,50 MEDICAL PARK EAST 8TH FLOOR ,,BIRMINGHAM ,AL ,35235 ,JEFFERSON ,,,,,,,,,,45,16470,6279,,9859,,58.1,,222,,326,,,,,,, 012010,01-OCT-14,31-DEC-14,Settled,NOLAND HOSPITAL DOTHAN ,1180 ROSS CLARK CIRCLE 4TH FLOOR ,,DOTHAN ,AL ,36301 ,HOUSTON ,,,,,,,,,,38,3496,1979,,2103,,65.6,,78,,89,,,,,,, 012010,01-JAN-15,31-AUG-15,Settled,NOLAND HOSPITAL DOTHAN II ,1180 ROSS CLARK CIRCLE 4TH FLOOR ,,DOTHAN ,AL ,36301 ,HOUSTON ,,,,,,,,,,38,9234,5570,,6348,,62.8,,212,,242,,,,,,, 012010,01-SEP-15,31-AUG-16,As Submitted,NOLAND HOSPITAL DOTHAN II ,1180 ROSS CLARK CIRCLE 4TH FLOOR ,,DOTHAN ,AL ,36301 ,HOUSTON ,,,,,,,,,,38,13908,7639,,9015,,61.7,,289,,340,,,,,,, 012011,01-FEB-15,31-AUG-15,Settled,NOLAND HOSPITAL ANNISTON II ,400 E. 10TH STREET 4TH FLOOR ,,ANNISTON ,AL ,36207-4716 ,CALHOUN ,,,,,,,,,,38,8056,3843,,4352,,46.9,,148,,166,,,,,,, 012011,01-SEP-15,31-AUG-16,As Submitted,NOLAND HOSPITAL ANNISTON II ,400 E. 10TH STREET 4TH FLOOR ,,ANNISTON ,AL ,36207-4716 ,CALHOUN ,,,,,,,,,,38,13908,6730,,7791,,47.8,,259,,303,,,,,,, 012012,01-FEB-15,31-AUG-15,Settled,NOLAND HOSPITAL TUSCALOOSA II ,809 UNIVERSITY BLVD E. 4TH FLOOR ,,TUSCALOOSA ,AL ,35402-0284 ,TUSCALOOSA ,,,,,,,,,,32,6784,4100,,4928,,53.3,,156,,179,,,,,,, 012012,01-SEP-15,31-AUG-16,As Submitted,NOLAND HOSPITAL TUSCALOOSA II ,809 UNIVERSITY BLVD E. 4TH FLOOR ,,TUSCALOOSA ,AL ,35402-0284 ,TUSCALOOSA ,,,,,,,,,,32,11712,7156,,8290,,51.5,,288,,333,,,,,,, 012013,01-FEB-15,31-AUG-15,Settled,NOLAND HOSPITAL SHELBY II ,1000 FIRST ST NORTH 3RD FLOOR ,,ALABASTER ,AL ,35007 ,SHELBY ,,,,,,,,,,52,11024,1377,,1928,,27,,54,,74,,,,,,, 012013,01-SEP-15,31-AUG-16,As Submitted,NOLAND HOSPITAL SHELBY II ,1000 FIRST ST NORTH 3RD FLOOR ,,ALABASTER ,AL ,35007 ,SHELBY ,,,,,,,,,,52,19032,2730,,4033,,28.1,,95,,137,,,,,,, 013025,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH LAKESHORE REHABILITATION ,N ,,BIRMINGHAM ,AL ,35209 ,JEFFERSON ,,,,,,,,,,100,36500,21688,1768,33242,,302.63,,1749,117,2711,8,,,,,, 013028,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,4465 NARROW LANE ROAD ,,MONTGOMERY ,AL ,36116- ,MONTGOMERY ,,,,,,,,,,70,25550,14640,,22675,,197.56,,1151,,1769,20,,,,,, 013029,01-JUN-15,31-MAY-16,Amended,HEALTHSOUTH REHAB HOSPITAL OF NORTH ,107 GOVERNORS DRIVE SW ,,HUNTSVILLE ,AL ,35801 ,MADISON ,,,,,,,,,,70,25620,14613,,24203,,189.03,,1126,,1859,15,,,,,, 013030,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,6 EAST MAIN STREET ,,DOTHAN ,AL ,36301 ,HOUSTON ,,,,,,,,,,51,18615,14911,,18195,,152.68,,1130,,1405,10,,,,,, 013032,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,801 GOODYEAR AVENUE ,,GADSDEN ,AL ,35903 ,ETOWAH ,,,,,,,,,,44,16060,9994,,14362,,136.32,,722,,1082,10,,,,,, 013033,01-JUN-15,31-MAY-16,As Submitted,REGIONAL REHABILITATION HOSPITAL ,3715 HIGHWAY 280/431 NORTH ,,PHENIX CITY ,AL ,36867 ,RUSSELL ,,,,,,,,,,48,17568,12958,,16440,,144.33,,993,,1278,15,,,,,, 013300,01-JAN-15,31-DEC-15,As Submitted,THE CHILDRENS HOSPITAL OF ALABAMA ,1600 7TH AVENUE SOUTH ,,BIRMINGHAM ,AL ,35233 ,JEFFERSON ,,,,,,,,,2686,345,125901,526,59132,89734,123.9,3996,21.9,88,10195,15462,,,,,,, 013301,01-OCT-14,30-SEP-15,Settled,USA CHILDRENS AND WOMENS HOSPITAL ,1700 CENTER STREET ,,MOBILE ,AL ,36604 ,MOBILE ,,,,,,,,,21161,271,98915,266,52881,64198,65.59,996.16,,71,7504,9783,,,,,,, 014000,01-JUL-15,30-JUN-16,As Submitted,HILL CREST HOSPITAL ,6869 FIFTH AVENNUE SOUTH ,,BIRMINGHAM ,AL ,35212 ,JEFFERSON ,,,,,,,,,,80,29280,1000,,25051,,99.02,,57,,989,,,,,,, 014006,01-JAN-15,31-DEC-15,As Submitted,MOUNTAIN VIEW HOSPITAL ,3001 SCENIC HIGHWAY ,,GADSDEN ,AL ,35901 ,ETOWAH ,,,,,,,,,,68,24820,910,5784,10461,,194.57,,111,401,1054,,,,,,, 014007,01-JUL-15,30-JUN-16,As Submitted,BRYCE HOSPITAL ,1651 RUBY TYLER PARKWAY ,,TUSCALOOSA ,AL ,35404-2990 ,TUSCALOOSA ,,,,,,,,,,98,35868,1068,,34905,,602.38,,22,,160,,,,,,, 014009,01-OCT-14,30-JUN-15,Settled,NORTH ALABAMA REGIONAL HOSPITAL ,HIGHWAY 31 ,2221 ,DECATUR ,AL ,35609- ,MORGAN ,,,,,,,,,,79,21567,175,,9229,,154.44,,9,,332,,,,,,, 014012,01-OCT-14,30-SEP-15,Settled,MARY S HARPER GERIATRIC PSYCH CEN ,201 UNIVERSITY BOULEVARD ,21231 ,TUSCALOOSA ,AL ,35402- ,TUSCALOOSA ,,,,,,,,,,126,45990,7631,14158,37290,,300.98,,207,101,308,,,,,,, 014013,01-JUL-15,30-JUN-16,Settled,PREMIER BEHAVIORAL SOLUTIONS OF ALAB ,700 EAST COTTONWOOD ROAD ,,DOTHAN ,AL ,36301-3644 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 014014,01-OCT-14,30-SEP-15,Settled,BAYPOINTE BEHAVIORAL HEALTH ,5800 SOUTHLAND DRIVE ,,MOBILE ,AL ,36693 ,MOBILE ,,,,,,,,,,44,16060,14,7531,11997,,113,,2,7531,8998,,,,,,, 014015,01-JAN-15,31-DEC-15,Settled,PROFESSIONAL RESOURCES MANAGEMENT PS ,150 HOSPITAL DRIVE ,,LUVERNE ,AL ,36049-7329 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 014016,01-JUL-15,30-JUN-16,Settled,USA HEALTHCARE PSYCH SERVICES LLC ,1910 CHEROKEE AVE ,,CULLMAN ,AL ,35056 ,CULLMAN ,,,,,,,,,,40,14640,5696,,8155,,41.97,,356,,566,,,,,,, 014017,01-OCT-14,30-SEP-15,Settled,EASTPOINTE HOSPITAL ,7400 ROPER LANE ,,DAPHNE ,AL ,36526 ,BALDWIN ,,,,,,,,,,66,24090,2557,,17280,,176,,240,,1479,,,,,,, 014018,01-JAN-15,31-DEC-15,As Submitted,BEHAVIORAL HEALTH CENTERS ,5315 MILLENNIUM DRIVE NORTWEST ,,HUBTSVILLE ,AL ,35806 ,MADISON ,,,,,,,,,,20,7300,3267,,3365,,36.2,,217,,217,,,,,,, 020001,01-JAN-15,31-DEC-15,Amended,PROVIDENCE ALASKA MEDICAL CENTER ,3200 PROVIDENCE DRIVE ,196604 ,ANCHORAGE ,AK ,99519-6604 ,ANCHORAGE ,1855508,,,3756914,,,.2436,485387,165734,391,141914,27710,30487,104768,30.82,2395.8,,4212,3845,16129,9,,,,26,,211 020006,01-JAN-15,31-DEC-15,As Submitted,MAT-SU REGIONAL MED CTR ,2500 S. WOODWORTH LOOP ,1687 ,PALMER ,AK ,99645- ,MATANUSKA-SUSITNA ,,,,385635,,,.1057,,,74,27010,8020,3541,18954,,515.04,,1470,893,4404,,,,,,, 020008,01-JUL-15,30-JUN-16,Amended,BARTLETT REGIONAL HOSPITAL ,3260 HOSPITAL DRIVE ,,JUNEAU ,AK ,99801- ,JUNEAU BOROUGH ,,,,136775,,,.12,,,45,16470,2481,1605,6325,,422.65,,537,419,1710,,,,232,,506, 020012,01-JAN-15,31-DEC-15,As Submitted,FAIRBANKS MEMORIAL ,1650 COWLES ST ,,FAIRBANKS ,AK ,99701 ,NORTH STAR BOROUGH ,,,,616937,,,.207,,,122,44530,5548,4571,20611,,1011.96,,1125,866,4545,,,,,,, 020017,01-JAN-15,31-DEC-15,Amended,ALASKA REGIONAL HOSPITAL ,2801 DEBAR ROAD ,,ANCHORAGE ,AK ,99508 ,MUNICIPALITY OF ANCHORAGE ,,,,594293,,,.0821,,,132,47783,9623,3379,25027,,604.61,,1826,686,5376,,,,,,,190 020018,01-OCT-14,30-SEP-15,As Submitted,YK DELTA REGIONAL HOSPITAL ,SUTE 3000 ,287 ,BETHEL ,AK ,99559 ,BETHEL ,,,,56218,,,.12,,,34,12410,782,2977,4966,,1121,,218,1150,1805,,,,,,, 020024,01-JUL-15,30-JUN-16,Amended,CENTRAL PENINSULA GENERAL HOSPITAL ,250 HOSPITAL PLACE ,,SOLDOTNA ,AK ,99969- ,KENAI PENINSULA BOROUGH ,,,,843766,,,.35,,,46,16836,5042,1496,11694,,604,,934,495,2575,,,,,,, 020026,01-OCT-14,30-SEP-15,As Submitted,ALASKA NATIVE MEDICAL CENTER ,4315 DIPLOMACY DRIVE ,,ANCHORAGE ,AK ,99508 ,ANCHORAGE ,,,,1912766,,,.3198,,,152,55480,8354,15101,34424,,2166,,1414,3540,7422,,,,,,, 020027,01-OCT-14,30-SEP-15,Settled,MT EDGECUMBE HOSPITAL ,222 TONGASS DRIVE ,,SITKA ,AK ,99835 ,SITKA ,,,,,,,,,,25,9125,1653,1093,2883,,1200,,176,162,429,,,,,,, 021301,01-JAN-15,31-DEC-15,Settled,PROVIDENCE VALDEZ MEDICAL CENTER ,911 MEALS AVENUE ,,VALDEZ ,AK ,99686- ,VALDEZ CORDOVA ,,,,,,,,,,11,4015,401,92,740,,67.91,,37,30,180,,,,,,, 021302,01-JAN-15,31-DEC-15,Settled,PROVIDENCE SEWARD MEDICAL & CARE CEN ,417 1ST AVENUE ,365 ,SEWARD ,AK ,99664-0365 ,KENAI PENINSULA COUNTY ,,,,,,,,,,6,2190,301,53,458,,65.07,,45,9,85,,,,,,, 021303,01-JUL-15,30-JUN-16,Settled w/Audit,SITKA COMMUNITY HOSPITAL ,209 MOLLER AVENUE ,,SITKA ,AK ,99835- ,SITKA BOROUGH ,,,,,,,,,,11,4026,897,65,1321,,141.46,,76,19,198,,,,,,, 021304,01-JUL-15,30-JUN-16,As Submitted,PETERSBURG MEDICAL CENTER ,103 FRAM STREET ,589 ,PETERSBURG ,AK ,99833- ,WRANGELL-PETERSBURG ,,,,,,,,,,12,4392,740,31,1527,,90.19,,43,18,73,,,,,,, 021305,01-JUL-15,30-JUN-16,As Submitted,WRANGELL MEDICAL CENTER ,310 BENNETT STREET ,1081 ,WRANGELL ,AK ,99929- ,WRANGELL ,,,,,,,,,,8,2928,498,32,869,,57.12,,32,13,84,,,,,,, 021306,01-JAN-15,31-DEC-15,Settled,PROV. KODIAK ISLAND MEDICAL CENTER ,1915 E REZANOF DRIVE ,1187 ,KODIAK ,AK ,99615 ,NONE ,,,,,,,,,,25,9125,1079,514,2805,,178.93,,118,142,662,,,,,,, 021307,01-JAN-15,31-DEC-15,Settled,CORDOVA COMMUNITY MEDICAL CENTER ,602 CHASE STREET ,160 ,CORDOVA ,AK ,99574- ,CORDOVA ,,,,,,,,,,13,4745,340,8,453,,47.06,,19,6,39,,,,,,, 021308,01-OCT-14,30-SEP-15,Settled w/Audit,NORTON SOUND REGIONAL HOSPITAL ,5TH & BERING ,966 ,NOME ,AK ,99762- ,NOME BOROUGH ,,,,,,,,,,18,6570,554,278,1299,,637.4,,105,104,365,,,,,,, 021309,01-OCT-14,30-SEP-15,Settled,KANAKANAK HOSPITAL ,6000 KANAKANAK ROAD ,,DILLINGHAM ,AK ,99576 ,DILLINGHAM ,,,,,,,,,,16,5840,347,,962,,400,,71,,268,,,,,,, 021310,01-OCT-14,30-SEP-15,Settled,MANILAQ HEALTH CENTER ,436 5TH AVENUE ,43 ,KOTZEBUE ,AK ,99752 ,,,,,,,,,,,17,6205,595,565,1565,,220,,160,245,586,,,,,,, 021311,01-JUL-15,30-JUN-16,As Submitted,KETCHIKAN MEDICAL CENTER ,3100 TONGASS AVENUE ,,KETCHIKAN ,AK ,99901-5746 ,GATEWAY BURROUGH ,,,,,,,,,,20,7320,1380,1116,3799,,276.47,,342,443,892,8,,,,,, 021312,01-OCT-14,30-SEP-15,Settled,SAMUEL SIMMONDS MEMORIAL HOSPITAL ,1296 AGVIK STREET ,29 ,BARROW ,AK ,99723 ,NORTH SLOPE BOROUGH ,,,,,,,,,,20,7300,242,,559,,400,,54,,196,,,,,,, 021313,01-JUL-15,30-JUN-16,Settled w/Audit,SOUTH PENINSULA HOSPITAL ,4300 BARTLETT ST. ,,HOMER ,AK ,99603- ,KENAI PENINSULA ,,,,,,,,,,21,7686,2358,625,3873,,281.06,,286,191,728,,,,,,, 022001,01-JAN-15,31-DEC-15,Settled,ALASKA SPECIALTY HOSPITAL LLC ,4800 CORDOVA STREET ,,ANCHORAGE ,AK ,99503 ,ANCHORAGE ,,,,,,,,,,59,21535,5968,2307,11734,,233.92,,161,42,305,,,,,,, 024002,01-JUL-15,30-JUN-16,As Submitted,ALASKA PSYCHIATRIC INSTITUTE ,3700 PIPER ST ,,ANCHORAGE ,AK ,99508-4677 ,ANCHORAGE ,,,,,,,,,,80,29280,2351,3421,23461,,260,,222,142,1430,,,,,,, 030001,01-JAN-15,31-DEC-15,As Submitted,MARYVALE HOSPITAL MEDICAL CENTER ,5102 WEST CAMPBELL AVE ,,PHOENIX ,AZ ,85031-1703 ,MARICOPA ,,,,393712,,,.4499,,,232,84680,2152,5546,16387,,378.95,,457,2130,3975,,,,,,, 030002,01-JAN-15,31-DEC-15,As Submitted,BANNER UNIVERSITY MEDICAL CENTER PHX ,1111 EAST MCDOWELL ROAD ,,PHOENIX ,AZ ,85006 ,MARICOPA ,7833662,,,5598833,,,.3,4086210,1242216,643,234695,32391,67550,164949,152.5,3606.8,,5764,11598,32484,,,,342,146,658,557 030006,01-JAN-15,31-DEC-15,As Submitted,TUCSON MEDICAL CENTER ,5301 E GRANT ROAD ,,TUCSON ,AZ ,85712 ,PIMA ,3105641,,,3513792,,,.2217,1191454,387288,497,181650,31152,45972,136154,50.09,2895.41,,6625,9668,30145,,,,,,, 030007,01-JUL-15,30-JUN-16,Amended,VERDE VALLEY MEDICAL CENTER ,269 SOUTH CANDY LANE ,,COTTONWOOD ,AZ ,86326 ,YAVAPAI ,1061303,,,461570,,,.12,359817,272424,99,34258,7590,3998,16842,11.71,654.65,,1691,904,3940,,,,79,,180, 030010,01-JUL-15,31-AUG-15,Settled,CARONDELET ST. MARYS HOSPITAL ,1601 W. ST. MARYS ROAD ,,TUCSON ,AZ ,85745- ,PIMA ,,,,79923,,,.0982,,,349,21638,1775,1402,8127,,1278.58,,348,286,10887,,,,17,4,93,80 030010,01-SEP-15,30-SEP-16,Amended,CARONDELET ST. MARYS HOSPITAL ,1601 W. ST. MARYS ROAD ,,TUCSON ,AZ ,85745- ,PIMA ,,,,1145178,,,.1911,,,349,138204,12508,1616,54326,,959.73,,2576,25,11152,2611,135,,,1,572,556 030011,01-JUL-15,31-AUG-15,As Submitted,CARONDELET ST. JOSEPH HOSPITAL ,350 NORTH WILMOT ROAD ,,TUCSON ,AZ ,85732- ,PIMA ,,,,107618,,,.0836,,,421,26102,2856,2252,11987,,1338.23,,579,624,2362,,,,70,3,129,63 030011,01-SEP-15,30-SEP-16,Amended,CARONDELET ST. JOSEPH HOSPITAL ,350 NORTH WILMOT ROAD ,,TUCSON ,AZ ,85732- ,PIMA ,,,,1160335,,,.1284,,,451,178596,18565,1773,72160,,1122.83,,4076,20,15740,2896,481,,1,,806,393 030012,01-JAN-15,31-DEC-15,Amended,YAVAPAI REGIONAL MEDICAL CENTER ,1003 WILLOW CREEK ROAD ,,PRESCOTT ,AZ ,86301 ,YAVAPAI ,,,,,,,,,,134,48910,12129,2388,23107,,925.31,,3275,615,6134,,,,,,, 030013,01-OCT-14,30-SEP-15,As Submitted,YUMA REGIONAL MEDICAL CENTER ,2400 AVENUE A ,,YUMA ,AZ ,85364 ,YUMA ,1062994,,,1695366,,,.12,366542,207391,406,148190,30464,21088,75786,12.71,1879.95,,6089,3618,16030,,,,,,, 030014,01-JAN-15,31-DEC-15,Amended,JOHN C. LINCOLN MEDICAL CENTER ,250 WEST DUNLAP AVENUE ,,PHOENIX ,AZ ,85020 ,MARICOPA ,172998,,,1854508,,,.1927,71618,15613,262,83698,17531,19430,61875,3.28,1419.83,,3967,3581,13625,,,,,,, 030016,01-JAN-15,31-DEC-15,As Submitted,BANNER CASA GRANDE MEDICAL CENTER ,1800 EAST FLORENCE BLVD ,,CASA GRANDE ,AZ ,85122 ,PINAL ,,,,788976,,,.2103,,,164,59860,7558,6986,22840,,616.2,,1762,2548,5739,,,,,,, 030022,01-JUL-15,30-JUN-16,Amended,MARICOPA MEDICAL CENTER ,2601 EAST ROOSEVELT STREET ,,PHOENIX ,AZ ,85010 ,MARICOPA ,2363305,,,1230010,,,.6187,3800439,1226238,290,106014,4633,18248,63469,200.88,2927.65,,650,3813,12871,5512,,,2361,,3190, 030023,01-JUL-15,30-JUN-16,Amended,FLAGSTAFF MEDICAL CENTER ,1200 NORTH BEAVER ,,FLAGSTAFF ,AZ ,86001 ,COCONINO ,,,,3817747,,,.2793,,,245,79954,19171,20793,56135,,1748.37,,4067,4218,12530,,,,326,,745, 030024,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPHS HOSPITAL & MEDICAL CTR ,350 WEST THOMAS ROAD ,,PHOENIX ,AZ ,85013 ,MARICOPA ,8574080,,,4760581,,,.2799,3045658,915534,543,198419,26775,13737,147317,,1717.24,,4794,2504,30041,8683,,,,126,,766 030030,01-APR-15,31-MAR-16,Amended,ABRAZO CENTRAL CAMPUS ,2000 WEST BETHANY HOME ROAD ,,PHOENIX ,AZ ,85015- ,MARICOPA ,536515,,,1420851,,,.3527,702298,210196,168,61488,6277,3214,36584,,892.44,,1541,606,9475,3514,,,,1,,197 030033,01-AUG-15,31-DEC-15,As Submitted,BANNER PAYSON MEDICAL CENTER ,807 S. PONDEROSA ,,PAYSON ,AZ ,85541 ,GILA ,,,,47998,,,.096,,,39,5967,897,421,1884,,562.39,,304,87,669,,,,,,, 030036,01-JUL-15,30-JUN-16,As Submitted,CHANDLER REGIONAL MEDICAL CENTER ,475 SOUTH DOBSON ROAD ,,CHANDLER ,AZ ,85224 ,MARICOPA ,,,,1922324,,,.1312,,,338,123708,25715,6629,109692,,1991.99,,5668,1746,24418,3243,,,,,, 030037,01-JUN-15,31-MAY-16,Amended,ST. LUKES MEDICAL CENTER ,1800 EAST VAN BUREN ,,PHOENIX ,AZ ,85006 ,MARICOPA ,,,,1283676,,,.2979,,,185,67710,5400,1,26556,,748.25,,1452,1,8941,2567,141,,,,786,268 030038,01-JAN-15,31-DEC-15,Amended,SCOTTSDALE OSBORN MEDICAL CENTER ,7400 EAST OSBORN ROAD ,,SCOTTSDALE ,AZ ,85251 ,MARICOPA ,1452592,,,1072536,,,.1027,1336797,395277,326,141966,21466,13816,64046,23.76,1806.62,,4363,3493,15215,,,,,23,,319 030043,01-MAY-15,30-APR-16,As Submitted,CANYON VISTA MEDICAL CENTER ,5700 E. HIGHWAY 90 ,,SIERRA VISTA ,AZ ,85635 ,COCHISE ,1315621,,,334102,,,.1174,527080,266567,75,27450,6230,3930,16970,18.07,543.35,,1671,1119,4783,,,,287,,648, 030055,01-JUL-15,30-JUN-16,As Submitted,KINGMAN REGIONAL MEDICAL CENTER ,3269 STOCKTON HILL ROAD ,,KINGMAN ,AZ ,86401 ,MOHAVE ,1632034,,,911930,,,.1167,696618,375062,224,72267,15872,8741,41545,23.37,1548.99,,3007,2510,8344,32,,,,21,,225 030061,01-JAN-15,31-DEC-15,Amended,BANNER BOSWELL MEDICAL CENTER ,10401 THUNDERBIRD BLVD. ,,SUN CITY ,AZ ,85351- ,MARICOPA ,154168,,,,,,,230102,96761,386,140890,25143,5756,62431,3.74,1532.5,,5688,1149,14628,,,,,28,,443 030062,01-JAN-15,31-DEC-15,As Submitted,SUMMIT HEALTHCARE ,2200 SHOW LOW LAKE RD. ,,SHOW LOW ,AZ ,85901 ,NAVAJO ,,,,333064,,,.12,,,89,32485,4867,4681,14841,,892.68,,1389,1281,4306,,,,,,, 030064,28-FEB-15,31-DEC-15,Settled w/Audit,BANNER UNIVERSITY MED CENTER TUCSON ,1501 NORTH CAMPBELL AVE ,,TUCSON ,AZ ,85721-0001 ,PIMA ,8191884,3974310,,2117273,1027200,,.3053,3700799,2824825,479,147053,22906,43974,101912,426.12,3226.12,,3662,7891,18925,,,,,,, 030065,01-JAN-15,31-DEC-15,Amended,BANNER DESERT MEDICAL CENTER ,1400 SOUTH DOBSON ROAD ,,MESA ,AZ ,85202 ,MARICOPA ,,,,3317287,,,.2776,,,644,235060,23418,59543,145536,,3137.17,,4889,12933,35958,,,,,,, 030068,01-JAN-15,31-DEC-15,As Submitted,MT. GRAHAM REGIONAL MEDICAL CENTER ,1600 TWENTIETH AVENUE ,,SAFFORD ,AZ ,85548- ,GRAHAM ,,,,60601,,,.12,,,49,17885,1025,1842,5163,,402.2,,272,829,2119,,,,,,, 030069,01-SEP-15,31-AUG-16,As Submitted,HAVASU REGIONAL MEDICAL CENTER ,101 CIVIC CENTER LANE ,,LAKE HAVASU CITY ,AZ ,86403- ,MOHAVE ,,,,488169,,,.056,,,154,56364,14437,1319,26641,,585.04,,3192,1193,6621,,,,,,, 030071,01-OCT-14,30-SEP-15,As Submitted,FORT DEFIANCE INDIAN HOSPITAL ,CORNER OF N12 AND N7 ,649 ,FORT DEFIANCE ,AZ ,86504 ,APACHE ,,,,94138,,,.12,,,50,18250,1655,6650,8768,,1057,,432,1474,1989,,,,,,, 030073,01-OCT-14,30-SEP-15,As Submitted,TUBA CITY REG HEALTH CARE CORP ,HIGHWAY 264 ,600 ,TUBA CITY ,AZ ,86045 ,COCONINO ,,,,155930,,,.12,,,73,26645,3278,5953,9886,,1259,,477,1570,2062,,,,,,, 030074,01-OCT-14,30-SEP-15,As Submitted,SELLS PUBLIC HEALTH INDIAN HOSPITAL ,HWY 86 & TOPAWA RD ,548 ,SELLS ,AZ ,85634-0548 ,PIMA ,,,,9089,,,.12,,,14,5110,180,772,1407,,518,,54,247,427,,,,,,, 030077,01-OCT-14,11-JUL-15,As Submitted,SAN CARLOS INDIAN HOSPITAL ,223 CIBECUE CIRCLE ROAD ,,SAN CARLOS ,AZ ,85550 ,GILA ,,,,,,,,,,8,2272,,,3,,233,,,,1,,,,,,, 030077,12-JUL-15,30-SEP-15,As Submitted,SAN CARLOS HOSPITAL ,103 MEDICINE WAY ROAD ,,PERIDOT ,AZ ,85542 ,GILA ,,,,936,,,.12,,,8,648,21,53,186,,258,,6,12,57,,,,,,, 030078,01-OCT-14,30-SEP-15,As Submitted,PHOENIX INDIAN MEDICAL CENTER ,4121 N. 16TH STREET ,,PHOENIX ,AZ ,85016 ,MARICOPA ,,,,157481,,,.4775,,,115,41975,624,5492,7987,,1700,,137,1751,2329,,,,,,, 030083,01-OCT-14,30-SEP-15,Amended,ABRAZO SCOTTSDALE CAMPUS ,3929 EAST BELL ROAD ,,PHOENIX ,AZ ,85032 ,MARICOPA ,,,,315470,,,.1749,,,127,46355,3636,1283,18967,,427,,935,243,5226,1245,,,,,, 030084,01-OCT-14,30-SEP-15,As Submitted,CHINLE COMPREHENSIVE CARE FACILITY ,1 MILE N OF HWY 191 ,DRAWER PH ,CHINLE ,AZ ,86503 ,NAVAJO ,,,,70338,,,.12,,,60,21900,1367,3668,5047,,1165,,333,1396,1730,,,,,,, 030085,01-OCT-14,30-SEP-15,Amended,NORTHWEST MEDICAL CENTER ,6200 NORTH LA CHOLLA ,,TUCSON ,AZ ,85741- ,PIMA ,,,,1104979,,,.1104,,,281,102565,17278,2697,61722,,1348.84,,4339,3057,15754,,,,,1,,205 030087,01-JAN-15,31-DEC-15,Amended,SCOTTSDALE SHEA MEDICAL CENTER ,10450 N. 92ND STREET ,,SCOTTSDALE ,AZ ,85258 ,MARICOPA ,241763,,,,,,,189794,76293,421,148948,28848,9537,88830,5.92,1996.74,,5808,2408,24163,,,,,,, 030088,01-JAN-15,31-DEC-15,As Submitted,BANNER BAYWOOD MEDICAL CENTER ,6644 BAYWOOD AVENUE ,6239 ,MESA ,AZ ,85206- ,MARICOPA ,,,,865398,,,.0624,,,318,116070,30341,14352,79170,,1564.71,,6494,3568,17328,,,,,62,,465 030089,01-JAN-15,31-DEC-15,Amended,BANNER THUNDERBIRD MEDICAL CENTER ,5555 WEST THUNDERBIRD ROAD ,,GLENDALE ,AZ ,85308 ,MARICOPA ,,,,2575337,,,.2416,,,499,182135,21544,42481,116440,,2471.7,2.62,4099,10942,29930,,,,,,1826, 030092,01-JAN-15,31-DEC-15,Amended,DEER VALLEY MEDICAL CENTER ,19829 N 27TH AVENUE ,,PHOENIX ,AZ ,85027 ,MARICOPA ,,,,873529,,,.1132,,,204,67308,13689,10605,46918,,1144.79,,3145,2580,11949,,,,,,, 030093,01-JAN-15,31-DEC-15,Amended,BANNER DEL E WEBB MEDICAL CENTER ,14502 WEST MEEKER BOULEVARD ,,SUN CITY WEST ,AZ ,85375- ,MARICOPA ,,,,643752,,,.0559,22799,8744,286,104390,20679,9464,55122,1.01,1313.41,,5035,2079,14357,,,,154,13,919,411 030094,01-APR-15,31-MAR-16,Amended,ABRAZO ARROWHEAD CAMPUS ,18701 NORTH 67TH AVENUE ,,GLENDALE ,AZ ,85308-7100 ,MARICOPA ,,,,1511990,,,.187,,,232,84912,12096,2162,53556,,1102.6,,2983,189,13097,3264,,,,,, 030101,01-SEP-15,31-AUG-16,Amended,WESTERN ARIZONA REGIONAL MEDICAL CEN ,2735 SILVER CREEK ROAD ,,BULLHEAD CITY ,AZ ,86442- ,MOHAVE ,,,,355644,,,.0748,,,139,50874,10112,444,22232,,500.97,,2108,957,5171,,,,,,, 030103,01-JAN-15,31-DEC-15,As Submitted,MAYO CLINIC HOSPITAL ,5777 EAST MAYO BLVD ,,PHOENIX ,AZ ,85054 ,MARICOPA ,8459000,,,,,,,2707732,1068221,261,95265,31141,2501,64438,105.68,4652.15,,6771,369,13197,,,,,1,,150 030105,01-JAN-15,31-DEC-15,As Submitted,BANNER HEART HOSPITAL ,6750 EAST BAYWOOD AVENUE ,,MESA ,AZ ,85206 ,MARICOPA ,,,,,,,,,,111,40515,8770,1837,20728,,410.83,,1932,417,4754,,,,,,, 030107,01-JAN-15,31-DEC-15,Settled,AZ SPINE & JOINT HOSPITAL ,4620 EAST BASELINE ROAD ,,MESA ,AZ ,85206 ,MARICOPA ,,,,,,,,,,23,8395,773,7,1700,,87.28,,416,6,964,,,,,,, 030108,01-JUN-15,31-DEC-15,As Submitted,THE CORE INSTITUTE SPECIALTY HOSPITA ,6501 N 19TH AVE ,,PHOENIX ,AZ ,85015 ,MARICOPA ,,,,,,,,,,33,7062,273,,789,,93.2,,196,,572,,,,,,, 030110,01-MAY-15,30-APR-16,Amended,ABRAZO WEST CAMPUS ,13677 WEST MCDOWELL ROAD ,,GOODYEAR ,AZ ,85395 ,MARICOPA ,,,,1115549,,,.2347,,,179,65514,9050,2860,42909,,807.9,,2122,398,10949,3040,,,,,, 030111,28-FEB-15,31-DEC-15,As Submitted,BANNER UNIVERSITY MED CENTER SOUTH ,2800 EAST AJO WAY ,,TUCSON ,AZ ,85713 ,PIMA ,2102975,,,796611,,,.4415,1103292,1252226,227,45743,5196,13601,27490,126.32,855.45,,1006,2884,5982,,,,59,,323, 030112,01-JAN-15,31-DEC-15,As Submitted,ARIZONA ORTHOPEDIC SURGICAL HOSPITAL ,2905 WEST WARNER ROAD ,,CHANDLER ,AZ ,85225 ,MARICOPA ,,,,,,,,,,24,8760,634,,1835,,79.26,,263,,889,,,,,,, 030113,01-OCT-14,30-SEP-15,As Submitted,USPHS HOSPITAL-WHITERIVER ,200 W HOSPITAL DRIVE ,,WHITERIVER ,AZ ,85941 ,NAVAJO ,,,,33140,,,.12,,,40,14600,789,2187,3119,,675,,146,653,803,,,,,,, 030114,01-OCT-14,30-SEP-15,Amended,NORTHWEST MEDICAL CENTER ORO VALLEY ,1551 E TANGERINE ROAD ,,ORO VALLEY ,AZ ,85755- ,PIMA ,,,,,,,,,,111,40515,7870,1205,16983,,407.09,,2237,354,4964,,,,17,1,198,213 030115,01-JAN-15,31-DEC-15,As Submitted,BANNER ESTRELLA MEDICAL CENTER ,9201 WEST THOMAS ROAD ,,PHOENIX ,AZ ,85037 ,MARICOPA ,,,,1680051,,,.3138,,,305,111325,10015,27103,63048,,1374.7,,2239,5793,16316,,,,,,, 030117,01-DEC-14,30-NOV-15,As Submitted,VALLEY VIEW MEDICAL CENTER ,5330 ARIZONA 95 ,,FORT MOHAVE ,AZ ,86426- ,MOHAVE ,,,,177807,,,.12,,,72,26280,3642,2323,8865,,290.5,,899,690,2484,5,,,,3,,83 030118,01-JAN-15,31-DEC-15,Amended,YAVAPAI REGIONAL MEDICAL CENTER-EAST ,7700 EAST FLORENTINE ROAD ,,PRESCOTT VALLEY ,AZ ,86314 ,YAVAPAI ,,,,255619,,,.12,,,56,20440,3022,3250,10392,,581.67,,1073,1200,3830,,,,,,, 030119,01-JUL-15,30-JUN-16,As Submitted,MERCY GILBERT MEDICAL CENTER ,3555 S. VAL VISTA DRIVE ,,GILBERT ,AZ ,85296 ,MARICOPA ,,,,914720,,,.1116,,,198,72468,14428,4102,59990,,1127.81,,3381,1111,15211,1283,,,,,, 030120,01-JAN-15,31-DEC-15,As Submitted,GILBERT HOSPITAL ,5656 S. POWER RD ,,GILBERT ,AZ ,85295 ,MARICOPA ,,,,43583,,,.12,,,19,6935,724,,2725,,152.49,,183,,740,226,,,,,, 030121,01-JUL-15,30-JUN-16,As Submitted,MOUNTAIN VISTA MEDICAL CENTER ,1301 SOUTH CRIMSON ROAD ,,MESA ,AZ ,85209 ,MARICOPA ,2504135,,,1173912,,,.1873,1416186,453625,142,51972,9716,1,30462,28.27,683.06,,2175,,7417,2129,,,45,,407, 030122,01-JAN-15,31-DEC-15,As Submitted,BANNER GATEWAY MEDICAL CENTER ,1900 NORTH HIGHLEY ROAD ,,GILBERT ,AZ ,85234 ,MARICOPA ,,,,617240,,,.1239,,,165,60225,9848,12296,49350,,1417.44,,2340,4524,12602,,,,,,, 030123,01-JAN-15,31-DEC-15,Reopened,SCOTTSDALE THOMPSON PEAK MED CTR ,7400 EAST THOMPSON PEAK PKWY ,,SCOTTSDALE ,AZ ,85255 ,MARICOPA ,,,,,,,,,,92,33561,7933,954,16882,,486.05,,2333,255,5237,,,,,,, 030130,01-JAN-15,31-DEC-15,As Submitted,BANNER IRONWOOD MEDICAL CENTER ,37000 NORTH GANTZEL ROAD ,,SAN TAN VALLEY ,AZ ,85140 ,PINAL ,,,,98176,,,.12,,,53,19345,1640,3408,8901,,214.8,,454,646,2514,,,,,,, 030131,01-JAN-15,31-DEC-15,As Submitted,OASIS HOSPITAL ,750 NORTH 40TH STREET ,,PHOENIX ,AZ ,85008 ,MARICOPA ,,,,,,,,,,64,23360,3449,,7977,,190.75,,1412,,3145,,,,,,, 030132,01-JAN-15,31-DEC-15,As Submitted,FLORENCE HOSPITAL AT ANTHEM ,4545 N HUNT HWY ,,FLORENCE ,AZ ,85132 ,PINAL ,,,,31687,,,.12,,,36,13140,527,,1827,,106.54,,156,,546,199,,,,,, 030134,01-JAN-15,31-DEC-15,As Submitted,BANNER GOLDFIELD MEDICAL CENTER ,2050 W. SOUTHERN AVE. ,,APACHE JUNCTION ,AZ ,85120 ,PINAL ,,,,18127,,,.039,,,30,10950,924,416,2409,,121.09,,283,120,764,,,,,,, 030135,01-JAN-15,30-APR-15,Settled,FREEDOM PAIN HOSPITAL ,17500 N PERIMETER DR. ,,SCOTTSDALE ,AZ ,85255-7808 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 030136,30-JAN-15,31-DEC-15,Settled,ARIZONA GENERAL HOSPITAL ,7171 S 51ST AVENUE ,,LAVEEN ,AZ ,85339 ,MARICOPA ,,,,5525,,,.12,,,16,5376,85,195,680,,135.92,,32,90,303,,,,,,, 030137,02-JUL-15,31-DEC-15,Settled w/Audit,GREEN VALLEY HOSPITAL ,4455 I-19 FRONTAGE ROAD ,,GREEN VALLEY ,AZ ,85614 ,PIMA ,,,,,,,,,,49,8967,1153,152,2361,,134.42,,343,49,771,,,,,,, 031300,01-JAN-15,31-DEC-15,Settled,WICKENBURG COMMUNITY HOSPITAL ,520 ROSE LANE ,,WICKENBURG ,AZ ,85390- ,MARICOPA ,,,,,,,,,,19,6935,1463,70,2605,,159.27,,157,28,329,,,,,,, 031301,01-JUL-15,30-JUN-16,Settled,BENSON HOSPITAL ,475 S. OCOTILLO ,,BENSON ,AZ ,85602-2990 ,COCHISE ,,,,,,,,,,22,8052,968,108,1834,,124.33,,133,41,395,,,,,,, 031302,01-JUL-15,30-JUN-16,Settled,N. COCHISE COMM. HOSPITAL ,901 W REX ALLEN DRIVE ,DRAWER D ,WILLCOX ,AZ ,85644- ,COCHISE ,,,,,,,,,,24,8760,1162,204,1955,,120.78,,173,72,395,,,,,,, 031304,01-JAN-15,31-DEC-15,Settled,PAGE HOSPITAL ,501 NORTH NAVAJO ,1447 ,PAGE ,AZ ,86040 ,COCONINO ,,,,,,,,,,25,9125,175,623,1158,,86.97,,77,226,457,,,,,,, 031305,01-OCT-14,30-SEP-15,Settled,HOPI HEALTH CENTER ,HIGHWAY 264 ,400 ,POLACCA ,AZ ,86042 ,NAJAVO ,,,,,,,,,,6,2190,202,,507,,288,,108,,292,,,,,,, 031307,01-OCT-14,30-SEP-15,Settled,PARKER INDIAN HEALTH CENTER ,12033 AGENCY ROAD ,,PARKER ,AZ ,85344 ,LA PAZ ,,,,,,,,,,20,7300,305,,1287,,294,,25,,70,,,,,,, 031308,01-OCT-14,30-SEP-15,Settled,HU HU KAM MEMORIAL HOSPITAL ,SEED FARM ROAD ,38 ,SACATON ,AZ ,85247 ,PINAL ,,,,,,,,,,12,4380,14,,139,,1073,,5,,58,,,,,,, 031309,01-OCT-14,30-SEP-15,Settled,SAGE MEMORIAL HOSPITAL ,HIGHWAY 264 ,,GANADO ,AZ ,86505 ,APACHE ,,,,,,,,,,25,9125,1213,428,2511,,159.08,,151,58,277,,,,,,, 031311,01-OCT-14,30-SEP-15,Settled,WINSLOW MEMORIAL HOSPITAL ,1501 N WILLIAMSON AVE ,,WINSLOW ,AZ ,86047- ,NAVAJO ,,,,,,,,,,25,9125,981,1792,4082,,227.7,,248,651,1335,,,,,,, 031312,01-JUL-15,30-JUN-16,Settled,COPPER QUEEN COMM. HOSP. ,101 COLE AVE. ,,BISBEE ,AZ ,85603- ,COCHISE ,,,,,,,,,,14,5124,972,10,1591,,148.49,,128,,268,66,,,,,, 031313,01-JUL-15,31-AUG-15,Settled,CARONDELET HOLY CROSS HOSPITAL ,1230 TARGET RANGE ROAD ,,NOGALES ,AZ ,85621- ,SANTA CRUZ ,,,,,,,,,,25,1550,11,241,519,,145.53,,3,77,160,,,,,,, 031313,01-SEP-15,30-SEP-16,As Submitted,CARONDELET HOLY CROSS HOSPITAL ,1171 W TARGET RANGE ROAD ,,NOGALES ,AZ ,85621- ,SANTA CRUZ ,,,,,,,,,,25,9900,120,20,3698,,134.3,,40,10,1160,863,,,,,, 031314,01-JAN-15,31-DEC-15,Settled,COBRE VALLEY REG. MED. CTR. ,5880 S HOSPITAL DRIVE ,,GLOBE ,AZ ,85501- ,GILA ,,,,,,,,,,25,9125,2581,2028,5945,,296.53,,643,553,1919,,,,,,, 031315,01-JAN-15,31-DEC-15,Settled,WHITE MOUNTAIN REGIONAL HOSPITAL ,118 SOUTH MOUNTAIN RD. ,,SPRINGERVILLE ,AZ ,85938 ,APACHE ,,,,,,,,,,20,7300,1344,67,1839,,128.62,,88,24,195,,,,,,, 031317,01-OCT-14,30-SEP-15,Settled,LA PAZ REGIONAL HOSPITAL ,1200 MOJAVE RD. ,,PARKER ,AZ ,85344- ,LA PAZ ,,,,,,,,,,25,9150,2331,472,3701,,193.75,,497,135,915,,,,,,, 032000,01-SEP-15,30-SEP-16,As Submitted,KINDRED HOSPITAL PHOENIX ,40 EAST INDIANOLA AVENUE ,,PHOENIX ,AZ ,85012 ,MARICOPA ,,,,,,,,,,116,45936,11306,,20086,,185.8,,374,,644,49,,,,,, 032001,01-DEC-14,30-NOV-15,Settled,SSH - PHOENIX ,350 WEST THOMAS RD 3RD FLOOR ,,PHOENIX ,AZ ,85013 ,MARICOPA ,,,,,,,,,,48,17520,4138,,13416,,145.66,,158,,500,119,,,,,, 032002,01-SEP-15,30-SEP-16,As Submitted,KINDRED HOSPITAL TUCSON ,355 NORTH WILMOT ROAD ,,TUCSON ,AZ ,85711 ,PIMA ,,,,,,,,,,51,20196,5415,,12277,,117.6,,213,,468,43,,,,,, 032004,01-JAN-15,14-FEB-15,Settled,CORNERSTONE HOSP OF SE ARIZONA ,7220 EAST ROSEWOOD DRIVE ,,TUCSON ,AZ ,85710 ,PIMA ,,,,,,,,,,32,1440,652,38,1152,,80.95,,24,2,40,,,,,,, 032004,15-FEB-15,31-AUG-15,Settled,CORNERSTONE HOSP OF SE ARIZONA ,7220 EAST ROSEWOOD DRIVE ,,TUCSON ,AZ ,85710 ,PIMA ,,,,,,,,,,32,6336,2406,196,4071,,94.74,,93,7,159,,,,,,, 032004,01-SEP-15,31-AUG-16,As Submitted,CORNERSTONE HOSP OF SE ARIZONA ,7220 EAST ROSEWOOD DRIVE ,,TUCSON ,AZ ,85710 ,PIMA ,,,,,,,,,,32,11712,4514,779,7988,,98.56,,185,28,321,,,,,,, 032005,01-JUN-15,31-MAY-16,As Submitted,SSH - ARIZONA INC. ,7400 E. OSBORNE RD 3RD FLOOR ,,SCOTTSDALE ,AZ ,85251 ,MARICOPA ,,,,,,,,,,62,22692,5850,,14824,,151.65,,218,,561,78,,,,,, 032006,01-JUN-15,31-MAY-16,Settled,PROMISE HOSPITAL OF PHOENIX INC. ,433 E 6TH ST ,,MESA ,AZ ,85203 ,MARICOPA ,,,,,,,,,,48,17568,10438,179,14079,,297.19,,413,7,571,46,,,,,, 032007,01-JUN-15,30-SEP-15,Settled,ACUITY SPECIALTY HOSPITAL - MESA ,215 SOUTH POWER ROAD ,,MESA ,AZ ,85206 ,MARICOPA ,,,,,,,,,,69,8418,1323,,1988,,27.47,,59,,116,,,,,,, 032008,01-JUN-15,30-SEP-15,Settled,ACUITY SPECIALTY HOSPITAL - SUN CITY ,13818 NORTH THUNDERBIRD BLVD ,,SUN CITY ,AZ ,85351 ,MARICOPA ,,,,,,,,,,49,5978,887,,1036,,26.28,,33,,44,,,,,,, 033025,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH SCOTTSDALE REHABILITATIO ,9630 E. SHEA BLVD ,,SCOTTSDALE ,AZ ,85260 ,MARICOPA ,,,,,,,,,,60,21900,8980,128,12843,,121.58,,713,7,989,41,,,,,, 033028,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION INSTITUTE ,2650 NORTH WYATT DRIVE ,,TUCSON ,AZ ,85712 ,PIMA ,,,,,,,,,,80,29200,13126,108,19484,,190.02,,1030,6,1460,94,,,,,, 033029,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,1921 WEST HOSPITAL DRIVE ,,TUCSON ,AZ ,85704 ,PIMA ,,,,,,,,,,60,21900,9752,66,12928,,127.24,,856,6,1090,60,,,,,, 033032,01-JUN-15,31-MAY-16,As Submitted,HEALTHSOUTH VALLEY OF THE SUN REHABI ,13460 NORTH 67TH AVE ,,GLENDALE ,AZ ,85304 ,MARICOPA ,,,,,,,,,,75,27450,7899,155,15523,,136,,602,8,1096,82,,,,,, 033034,01-JAN-15,31-DEC-15,Amended,YUMA REHABILITATION HOSPITAL A PART ,901 W. 24TH STREET ,,YUMA ,AZ ,85365 ,YUMA ,,,,,,,,,,41,14965,11407,,13717,,126.13,,906,,1107,33,,,,,, 033036,01-JAN-15,31-DEC-15,Settled,MOUNTAIN VALLEY REGIONAL REHABILITAT ,3700 N WINDSONG DRIVE ,,PRESCOTT VALLEY ,AZ ,86314 ,YAVAPAI ,,,,,,,,,,40,14600,9511,972,12472,,134.31,,711,68,910,,,,,,, 033037,01-JUN-15,31-MAY-16,Settled,HEALTHSOUTH EAST VALLEY REHABILITATI ,5652 E.BASELINE ROAD ,,MESA ,AZ ,85206 ,MARICOPA ,,,,,,,,,,60,21960,13263,,20701,,176.91,,993,,1541,82,,,,,, 033038,01-JAN-15,31-DEC-15,Settled,SCOTTSDALE HRH ,8850 EAST PIMA CENTER PARKWAY ,,SCOTTSDALE ,AZ ,85258-4619 ,MARICOPA ,,,,,,,,,,50,18250,10642,17,14556,,154.55,,894,2,1187,,,,,,, 033301,01-JUL-15,30-JUN-16,Settled,HACIENDA DE LOS NINOS ,2303 EAST THOMAS ,,PHOENIX ,AZ ,85016 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 033302,01-JAN-15,31-DEC-15,As Submitted,PHOENIX CHILDRENS HOSPITAL ,1919 E. THOMAS ROAD ,,PHOENIX ,AZ ,85016- ,MARICOPA ,,,,,,,,,4465,389,141985,337,45493,73788,123.58,3470.73,,61,7406,12521,,,,,,, 034004,01-JAN-15,31-DEC-15,Settled,BANNER BEHAVIORAL HEALTH HOSPITAL ,7575 EAST EARLL DRIVE ,,SCOTTSDALE ,AZ ,85251 ,MARICOPA ,,,,,,,,,,96,35040,1662,13905,28957,,283.91,,184,1722,3953,,,,,,, 034013,01-JUN-15,31-MAY-16,Settled,ST. LUKES BEHAVIORAL HEALTH ,1800 EAST VAN BUREN ,,PHOENIX ,AZ ,85006 ,MARICOPA ,,,,,,,,,,125,45750,4611,,45543,,342.26,,400,,4530,2801,,,,,, 034020,01-JUL-15,30-JUN-16,Settled,HAVEN SENIOR HORIZONS ,1201 S. 7TH AVENUE SUITE 200 ,,PHOENIX ,AZ ,85007-3913 ,MARICOPA ,,,,,,,,,,33,12078,5690,,11478,,69,,397,,827,70,,,,,, 034021,01-JUL-15,30-JUN-16,As Submitted,ARIZONA STATE HOSPITAL ,2500 E VAN BUREN STREET ,,PHOENIX ,AZ ,85008 ,MARICOPA ,,,,,,,,,,116,42456,,14878,37461,,202,,,9,27,,,,,,, 034022,01-JAN-15,31-DEC-15,Settled,ACADIA SONORA BEHAVIORAL HOSPITAL ,6050 CORONA ROAD ,,TUSCON ,AZ ,85704 ,PIMA ,,,,,,,,,,72,26280,1681,421,22500,,139.14,,214,37,2974,,,,,,, 034023,01-OCT-14,30-SEP-15,Settled,THE GUIDANCE CENTER INC. ,2187 NORTH VICKEY STREET ,,FLAGSTAFF ,AZ ,86004 ,COCONINO ,,,,,,,,,,16,5840,552,,3523,,31,,68,,535,,,,,,, 034024,01-JAN-15,31-DEC-15,Settled,AURORA BHS OF ARIZONA ,6015 WEST PERIOA AVENUE ,,GLENDALE ,AZ ,85302-1213 ,MARICOPA ,,,,,,,,,,100,36500,3033,394,33322,,205.92,,262,40,3578,,,,,,, 034025,01-JUL-15,30-JUN-16,Settled,WINDHAVEN PSYCHIATRIC HOSPITAL ,3347 N. WINDSONG DR. ,,PRESCOTT VALLEY ,AZ ,86314 ,YAVAPAI ,,,,,,,,,,16,5856,791,,4925,,32,,97,,697,,,,,,, 034026,01-JAN-15,31-DEC-15,Settled,UBH OF PHOENIX LLC DBA VALLEY HSP ,3550 E. PINCHOT AVE ,,PHOENIX ,AZ ,85018 ,MARICOPA ,,,,,,,,,,122,44530,8244,,40034,,232.2,,568,,3359,,,,,,, 034027,01-JUL-15,30-SEP-16,As Submitted,CHANGEPOINT PSYCHIARIC HOSPITAL ,1920 W COMMERCE DR. ,,LAKESIDE ,AZ ,85929 ,NAVAJO ,,,,,,,,,,16,7328,683,4961,5644,,62,,102,679,781,,,,,,, 034028,01-JAN-15,31-DEC-15,Settled w/Audit,AURORA BEHAVIORAL HEALTHCARE-TEMPE ,6350 SOUTH MAPLE AVENUE ,,TEMPE ,AZ ,85283 ,MARICOPA ,,,,,,,,,,75,27375,1013,366,24855,,179.73,,97,38,2793,,,,,,, 034029,01-JAN-15,31-DEC-15,Settled,OASIS BEHAVIORAL HEALTH ,2190 N. GRACE BLVD ,,CHANDLER ,AZ ,85225 ,MARICOPA ,,,,,,,,,,84,30660,674,953,29775,,154.9,,69,44,1787,937,,,,,, 034030,01-SEP-15,31-AUG-16,As Submitted,PALO VERDE BEHAVIORAL HEALTH ,2695 NORTH CRAYCROFT ROAD ,,TUSCON ,AZ ,85712 ,PIMA ,,,,,,,,,,84,30744,1825,,19038,,,,206,,1762,,,,,,, 034031,04-FEB-15,31-MAY-15,Settled,QUAIL RUN BEHAVIORAL HEALTH ,2545 WEST QUAIL AVENUE ,,PHOENIX ,AZ ,85027 ,MARICOPA ,,,,,,,,,,102,11832,224,,3612,,,,24,,487,,,,,,, 034031,01-JUN-15,31-MAY-16,Settled,QUAIL RUN BEHAVIORAL HEALTH ,2545 WEST QUAIL AVENUE ,,PHOENIX ,AZ ,85027 ,MARICOPA ,,,,,,,,,,102,37332,3097,,22133,,,,340,,2722,,,,,,, 040001,01-APR-15,31-MAR-16,As Submitted,SILOAM SPRINGS MEMORIAL HOSPITAL ,205 EAST JEFFERSON ,,SILOAM SPRINGS ,AR ,72761 ,BENTON ,,,,68959,,,.12,,,44,16104,1471,578,5184,,189.19,,428,279,1699,,,,,,, 040002,01-JAN-15,31-DEC-15,As Submitted,JOHNSON REGIONAL MEDICAL CENTER ,1100 POPLAR ,,CLARKSVILLE ,AR ,72830- ,JOHNSON ,,,,202441,,,.1921,,,58,21170,2869,703,6424,,276.47,,745,294,1801,,,,,,280,123 040004,01-JAN-15,31-DEC-15,Amended,WASHINGTON REGIONAL MEDICAL CENTER ,3215 N. NORTH HILLS BLVD ,,FAYETTEVILLE ,AR ,72703- ,WASHINGTON ,1505479,,,1213083,,,.1005,497366,165423,271,99005,25069,4807,63281,23.27,1296.59,,5478,1380,14223,,,,,,, 040007,01-JUL-15,30-JUN-16,As Submitted,ST VINCENT INFIRMARY MEDICAL CENTER ,TWO ST VINCENT CIRCLE ,,LITTLE ROCK ,AR ,72205 ,PULASKI ,499818,,,4778629,,,.2207,132371,55070,436,159576,46785,15644,109247,4.67,1735,,8460,2685,21699,,,,,,, 040010,01-JUL-15,30-JUN-16,As Submitted,MERCY MEDICAL CENTER ,2710 RIFE MEDICAL LANE ,,ROGERS ,AR ,72758 ,BENTON ,,,,582446,,,.0765,,,179,65433,14252,3632,42395,,1073.59,,3535,1205,12389,,,,,,135, 040011,01-JUL-15,30-JUN-16,As Submitted,CHAMBERS MEMORIAL HOSPITAL ,719 DETROIT STREET ,,DANVILLE ,AR ,72833 ,YELL ,,,,126982,,,.12,,,40,14640,3717,617,5937,,180.51,,951,231,1778,,,,,,, 040014,01-OCT-14,30-SEP-15,As Submitted,WHITE COUNTY MEDICAL CENTER ,3214 EAST RACE ,809 ,SEARCY ,AR ,72143- ,WHITE ,239151,,,1599827,,,.1982,,,286,82734,22375,6447,49311,3.73,1326.41,,4830,1702,12448,,,,,,386,476 040015,01-JAN-15,31-DEC-15,As Submitted,MENA MEDICAL CENTER ,311 NORTH MORROW ,,MENA ,AR ,71953 ,POLK ,,,,65949,,,.12,,,41,14965,1701,527,3911,,229.97,,484,253,1160,,,,,,191,148 040016,01-JUL-15,30-JUN-16,Amended,UAMS MEDICAL CENTER ,4301 WEST MARKHAM ,,LITTLE ROCK ,AR ,72205 ,PULASKI ,13716250,,,5411799,,,.3358,5157933,3674658,516,187404,41595,24987,158759,287.4,3996.8,,6749,5216,27897,,,,,,, 040017,01-APR-15,31-MAR-16,Amended,NORTH ARKANSAS REGIONAL MEDICAL CTR ,620 NORTH MAIN ,,HARRISON ,AR ,72601- ,BOONE ,,,,508241,,,.2052,,,120,43920,4883,1103,10249,,609.41,,1421,557,3302,,,,,,219, 040018,01-JAN-15,31-DEC-15,As Submitted,SUMMIT MEDICAL CENTER ,EAST MAIN AND SOUTH 20TH STREETS ,P.O. BOX 409 ,VAN BUREN ,AR ,72956 ,CRAWFORD ,,,,95294,,,.3278,,,103,37595,648,433,2625,,116.33,,233,159,973,,,,,,, 040019,01-OCT-14,30-SEP-15,As Submitted,FORREST CITY MEDICAL CENTER ,1601 NEW CASTLE ROADEET ,,FORREST CITY ,AR ,72335- ,ST. FRANCIS ,,,,63003,,,.12,,,48,17520,1642,1816,7950,,173.8,,428,824,2213,,,,,,200, 040020,01-OCT-14,30-SEP-15,As Submitted,ST BERNARDS MEDICAL CENTER ,225 EAST JACKSON ,,JONESBORO ,AR ,72401-3156 ,CRAIGHEAD ,1169844,,,2823380,,,.1997,422775,257533,314,114610,33275,8713,76653,18.85,1550.73,,6781,2713,17185,,,,,,324, 040022,01-NOV-14,31-OCT-15,As Submitted,NORTHWEST MEDICAL CENTER OF WASHINGT ,609 WEST MAPLE ,,SPRINGDALE ,AR ,72764 ,WASHINGTON ,393817,,,2105605,,,.2585,212399,67976,273,99788,16434,9090,63709,8.41,1251.04,,4020,3008,15890,,,,,2,,178 040026,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT HOT SPRINGS ,300 WERNER STREET ,,HOT SPRINGS ,AR ,71913 ,GARLAND ,,,,1221099,,,.1048,,,203,74298,28724,5673,56494,,899.64,,5674,1461,12203,,,,,,316,114 040027,01-JAN-15,31-DEC-15,Amended,BAXTER REGIONAL MEDICAL CENTER ,624 HOSPITAL DRIVE ,,MOUNTAIN HOME ,AR ,72653 ,BAXTER ,,,,557874,,,.0741,,,146,53290,15237,1902,28664,,1087.39,,3772,692,7646,,,,18,5,387,395 040029,01-JAN-15,31-DEC-15,Amended,CONWAY REGIONAL MEDICAL CENTER INC ,2302 COLLEGE AVENUE ,,CONWAY ,AR ,72034- ,FAULKNER ,,,,720248,,,.1179,,,143,52195,15080,2215,33015,,977.67,,3252,818,8114,,,,,,248, 040036,01-JAN-15,31-DEC-15,As Submitted,BAPTIST HEALTH MEDICAL CENTER- NLR ,3333 SPRINGHILL DRIVE ,,NORTH LITTLE ROCK ,AR ,72117- ,PULASKI ,,,,1052776,,,.1074,,,174,63510,21807,3408,45413,,1003.68,,4998,1070,11277,,,,,,,568 040039,01-JUL-15,30-JUN-16,As Submitted,ARKANSAS METHODIST MEDICAL CENTER ,900 WEST KINGS HIGHWAY ,339 ,PARAGOULD ,AR ,72450- ,GREENE ,,,,395696,,,.1887,,,114,41724,6706,1964,14379,,540.86,,1466,790,4335,,,,,,,335 040041,01-SEP-15,31-AUG-16,As Submitted,ST. MARYS REGIONAL MEDICAL CENTER ,1808 WEST MAIN STREET ,,RUSSELLVILLE ,AR ,72801 ,POPE ,,,,1114432,,,.3391,,,137,50142,8059,8616,23377,,460.9,,1734,1932,5351,214,,,,4,,279 040047,01-JAN-15,31-DEC-15,As Submitted,FIVE RIVERS MEDICAL CENTER ,2801 MEDICAL CENTER DRIVE ,,POCAHONTAS ,AR ,72455 ,RANDOLPH ,,,,46243,,,.12,,,32,11680,1499,81,2393,,99.57,,369,25,488,,,,8,,302, 040050,01-OCT-14,30-SEP-15,Amended,OUACHITA COUNTY MEDICAL CENTER ,638 CALIFORNIA ,797 ,CAMDEN ,AR ,71701 ,OUACHITA ,,,,99143,,,.12,,,87,31755,2552,781,6470,,333.28,,581,265,1806,,,,,,, 040051,01-APR-15,31-MAR-16,As Submitted,DREW MEMORIAL HOSPITAL INC ,778 SCROGIN DRIVE ,538 ,MONTICELLO ,AR ,71655- ,DREW ,,,,128168,,,.12,,,49,17934,3476,1076,9196,,250.8,,863,459,2548,,,,,,, 040055,01-OCT-14,30-SEP-15,As Submitted,SPARKS REGIONAL MEDICAL CENTER ,1001 TOWSON AVE ,PO BOX 2406 ,FORT SMITH ,AR ,72902 ,SEBASTION ,1412198,,,2056505,,,.1702,342325,175448,249,90885,33190,6358,75750,14.43,1410.69,,6610,1865,16214,,,,9,,310, 040062,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL FORT SMITH ,7301 ROGERS AVENUE ,17000 ,FORT SMITH ,AR ,72917-7000 ,SEBASTIAN ,,,,1843373,,,.1575,,,343,125538,25733,5465,67555,,1475,,5471,1537,14917,,,,,,,518 040067,01-OCT-14,30-SEP-15,As Submitted,MAGNOLIA REGIONAL MEDICAL CENTER ,807 N JACKSON ,629 ,MAGNOLIA ,AR ,71753- ,COLUMBIA ,252628,,,106770,,,.12,217677,116382,43,15695,2950,833,5939,6.33,242.59,,747,322,1740,,,,,,, 040069,01-JAN-15,31-DEC-15,As Submitted,GREAT RIVER MEDICAL CENTER ,1520 NORTH DIVISION ST ,,BLYTHEVILLE ,AR ,72315 ,MISSISSIPPI ,,,,391721,,,.5081,,,148,54020,2038,1142,4826,,224.36,,647,499,2120,,,,,,, 040071,01-JUL-15,30-JUN-16,As Submitted,JEFFERSON REGIONAL MEDICAL CENTER ,1600 WEST 40TH AVENUE ,,PINE BLUFF ,AR ,71603- ,JEFFERSON ,1110649,,,1255601,,,.2116,976742,381223,265,96990,17172,5630,38291,27.75,1176.14,,3172,1299,7882,,,,,,444,475 040072,01-JAN-15,31-DEC-15,As Submitted,BHMC- STUTTGART ,1703 NORTH BUERKLE ,,STUTTGART ,AR ,72160 ,ARKANSAS ,,,,115462,,,.1811,,,49,17885,2274,429,4552,,160.63,,532,183,1168,,,,,,, 040074,01-JUL-15,30-JUN-16,As Submitted,NORTH METRO MEDICAL CENTER ,1400 BRADEN STREET ,159 ,JACKSONVILLE ,AR ,72076- ,PULASKI ,,,,50983,,,.0689,,,47,17202,2263,654,4666,,198.22,,567,236,1384,,,,11,,481, 040076,01-JAN-15,31-DEC-15,As Submitted,BAPTIST HEALTH MEDICAL CENTER - HSC ,1001 SCHNEDIER DRIVE ,,MALVERN ,AR ,72104- ,HOT SPRING ,,,,349019,,,.3,,,72,26280,3445,2044,8653,,193.08,,854,447,2230,,,,,,, 040078,01-SEP-15,31-AUG-16,As Submitted,NATIONAL PARK MEDICAL CENTER ,1910 MALVERN AVENUE ,,HOT SPRINGS ,AR ,71901 ,PULASKI ,,,,768879,,,.1485,,,128,46848,12126,3735,23884,,473.54,,2445,916,5212,404,,,,1,245,398 040080,01-FEB-15,17-MAR-15,As Submitted,HARRIS HOSPITAL ,1205 MCCAIN STREET ,,NEWPORT ,AR ,72112 ,JACKSON ,,,,19426,,,.3306,,,109,4905,153,73,503,,44.03,,58,33,196,,,,,,27, 040084,01-JUL-15,30-JUN-16,As Submitted,SALINE MEMORIAL HOSPITAL ,#1 MEDICAL PARK DRIVE ,,BENTON ,AR ,72015- ,SALINE ,,,,519294,,,.1333,,,117,42822,10165,2075,20041,,586.94,,2287,572,5003,,,,,,256,301 040085,01-JAN-15,31-DEC-15,As Submitted,HELENA REGIONAL MEDICAL CENTER ,1801 MARTIN LUTHER KING DRIVE ,,HELENA ,AR ,72342 ,PHILLIPS ,,,,87340,,,.12,,,127,46355,1977,846,5149,,125.14,,593,350,1718,,,,,,, 040088,01-JUL-15,30-JUN-16,Amended,MEDICAL CENTER OF ARKANSAS ,700 WEST GROVE ,,EL DORADO ,AR ,71731 ,UNION ,,,,291530,,,.1043,,,98,35868,6214,1455,13262,,397.88,,1524,509,3679,,,,,,,159 040114,01-JAN-15,31-DEC-15,As Submitted,BAPTIST HEALTH MEDICAL CENTER - LR ,9601 BAPTIST HEALTH DRIVE ,,LITTLE ROCK ,AR ,72205- ,PULASKI ,457527,,,3648243,,,.1597,185033,60811,751,274115,55272,11674,152305,7.08,2585.78,,10030,2581,28461,,,,,,433, 040118,01-OCT-14,30-SEP-15,Amended,NEA - BAPTIST MEMORIAL HEALTH ,4800 EAST JOHNSON AVENUE ,,JONESBORO ,AR ,72401 ,CRAIGHEAD ,71242,,,623013,,,.0708,17398,8866,192,67342,22053,2886,42017,2.15,867.8,,4689,897,10431,,,,,,, 040119,01-OCT-14,30-SEP-15,Amended,WHITE RIVER MEDICAL CENTER ,1710 HARRISON STREET ,2197 ,BATESVILLE ,AR ,72501- ,INDEPENDENCE ,,,,1488132,,,.2247,,,150,54750,17046,4646,33055,,1071.53,,3480,1492,7664,,,,,,399,241 040132,01-JAN-15,31-DEC-15,Settled,LEO N LEVI MEMORIAL HOSPITAL ,300 PROSPECT AVENUE ,,HOT SPRINGS ,AR ,71901 ,GARLAND ,,,,,,,,,,1,365,,,6,,,,1,,1,,,,652,,1449, 040134,01-OCT-14,30-SEP-15,As Submitted,ARKANSAS HEART HOSPITAL ,1701 S. SHACKELFORD ROAD ,,LITTLE ROCK ,AR ,72211 ,PULASKI ,,,,,,,,,,112,40880,11772,165,18296,,692.5,,2927,51,4619,,,,,,, 040137,01-JUL-15,30-JUN-16,As Submitted,ST VINCENT NORTH ,2215 WILDWOOD ,,SHERWOOD ,AR ,72120 ,PULASKI ,,,,98627,,,.0807,,,58,21228,2977,368,5792,,136.48,,788,117,1643,,,,,,, 040147,01-JAN-15,31-DEC-15,As Submitted,ARKANSAS SURGICAL HOSPITAL ,5201 NORTH SHORE DR ,,NORTH LITTLE ROCK ,AR ,72118- ,PULASKI ,,,,,,,,,,49,17885,3129,41,6492,,219.23,,1428,16,3286,,,,,,, 040152,01-JAN-15,31-DEC-15,Settled,PHYSICIANS SPECIALTY HOSPITAL ,3873 N PARKVIEW DR ,,FAYETTEVILLE ,AR ,72703 ,WASHINGTON ,,,,,,,,,,20,7300,737,22,1688,,152.8,,385,18,1131,,,,,,, 040153,01-OCT-14,30-SEP-15,As Submitted,WADLEY MEDICAL CENTER AT HOPE ,2001 SOUTH MAIN ,,HOPE ,AR ,71801 ,,,,,66062,,,.0892,,,67,24455,2505,455,3363,,99.57,,538,104,888,,,,15,,152, 041300,01-JUL-15,30-JUN-16,As Submitted,MERCY HOSPITAL PARIS ,500 EAST ACADEMY ,,PARIS ,AR ,72855- ,LOGAN ,,,,,,,,,,16,5856,330,,426,,51.41,,53,,68,,,,,,, 041302,01-JUL-15,30-JUN-16,As Submitted,DARDANELLE HOSPITAL ,300 NORTH THIRD ,,DARDANELLE ,AR ,72834 ,YELL ,,,,,,,,,,25,9150,2319,274,3082,,126.23,,308,31,473,,,,,,210, 041303,01-JUL-15,30-JUN-16,Settled,MERCY HOSPITAL OZARK ,801 WEST RIVER ,527 ,OZARK ,AR ,72949- ,FRANKLIN ,,,,,,,,,,25,9150,600,35,982,,56.37,,114,14,210,,,,,,, 041304,01-JAN-15,31-DEC-15,Settled,EUREKA SPRINGS HOSPITAL ,24 NORRIS STREET ,,EUREKA SPRINGS ,AR ,72632 ,CARROLL ,,,,,,,,,,17,6205,1395,18,2127,,67.96,,118,6,192,,,,,,, 041305,01-JUL-15,30-JUN-16,Settled,MERCY HOSPITAL WALDRON ,1341 WEST 6TH ST. ,2230 ,WALDRON ,AR ,72958-2230 ,SCOTT ,,,,,,,,,,24,8784,411,59,956,,58.01,,89,21,175,,,,,,, 041306,01-JAN-15,31-DEC-15,Reopened,COMM MEDICAL CENTER OF CALICO ROCK ,PARK ST ,438 ,CALICO ROCK ,AR ,72519 ,IZARD ,,,,,,,,,,25,9125,1030,53,1496,,70.43,,223,22,349,,,,,,, 041307,01-OCT-14,30-SEP-15,Settled,CROSSRIDGE COMMUNITY HOSPITAL ,310 SOUTH FALLS BLVD ,590 ,WYNNE ,AR ,72396- ,CROSS ,,,,,,,,,,15,5475,2680,118,3554,,116.41,,463,38,657,,,,,,, 041308,01-JUL-15,30-JUN-16,Settled,MCGEHEE HOSPITAL INC. ,GREEN MEADOW ADDITION ,351 ,MCGEHEE ,AR ,71654- ,DESHA ,,,,,,,,,,25,9150,564,52,720,,92.21,,139,24,216,,,,,,, 041309,01-JUL-15,30-JUN-16,As Submitted,LAWRENCE MEMORIAL HOSPITAL ,1309 W. HWY 25 ,839 ,WALNUT RIDGE ,AR ,72476- ,LAWRENCE ,,,,,,,,,,25,9150,3736,71,5029,,146.7,,431,25,599,,,,,,, 041310,01-OCT-14,30-SEP-15,Settled,STONE COUNTY MEDICAL CENTER ,HWY 14 EAST ,2300 ,MOUNTAIN VIEW ,AR ,72560-2300 ,STONE ,,,,,,,,,,25,9125,2229,106,2897,,133.65,,527,38,824,,,,,,, 041311,01-OCT-14,30-SEP-15,Settled,HOWARD MEMORIAL HOSPITAL ,8TH & LESLIE ,381 ,NASHVILLE ,AR ,71852- ,HOWARD ,,,,,,,,,,25,9125,1537,92,2119,,135.47,,265,28,438,,,,,,, 041312,01-JAN-15,31-DEC-15,Settled,BHMC-HEBER SPRINGS ,1800 BYPASS ROAD ,,HEBER SPRINGS ,AR ,72543- ,CLEBURNE ,,,,,,,,,,25,9125,2501,108,3499,,126.75,,592,41,874,,,,,,, 041313,01-JUL-15,30-JUN-16,As Submitted,OZARK HEALTH INC ,HIGHWAY 65 ,,CLINTON ,AR ,72031- ,VAN BUREN ,,,,,,,,,,25,9150,1490,66,2509,,185.2,,271,21,469,,,,,,, 041314,01-JAN-15,31-DEC-15,Settled,DEWITT HOSPITAL & NURSING HOME INC ,HIGHWAY 1 & MADISON ,32 ,DEWITT ,AR ,72042- ,ARKANSAS ,,,,,,,,,,25,9125,1196,110,1605,,100.17,,281,41,432,,,,,,, 041316,01-JAN-15,31-DEC-15,Settled,SMC MEDICAL CENTER ,LEE & GRANDVIEW STREETS ,,OSCEOLA ,AR ,72370 ,MISSISSIPPI ,,,,,,,,,,25,9125,1593,116,2398,,65.56,,316,58,592,,,,,,, 041317,01-JAN-15,31-DEC-15,Settled,DALLAS COUNTY MEDICAL CENTER ,201 NORTH CLIFTON ,,FORDYCE ,AR ,71742- ,DALLAS ,,,,,,,,,,22,8030,564,35,813,,72.19,,181,17,268,,,,,,, 041318,01-JUL-15,30-JUN-16,Settled,MERCY HOSPITAL BOONEVILLE ,880 WEST MAIN ,,BOONEVILLE ,AR ,72927-0290 ,LOGAN ,,,,,,,,,,24,8784,576,50,1148,,70.24,,90,14,165,,,,,,, 041319,01-OCT-14,30-SEP-15,Settled,DEQUEEN MEDICAL CENTER ,1300 HIGHWAY 70 WEST ,,DEQUEEN ,AR ,71832 ,SEVIER ,,,,,,,,,,25,9125,2063,58,2434,,113.25,,322,28,469,,,,,,,174 041320,01-JUL-15,30-JUN-16,As Submitted,LITTLE RIVER MEMORIAL ,5TH & LOCKE STREET ,577 ,ASHDOWN ,AR ,71822- ,LITTLE RIVER ,,,,,,,,,,25,9150,698,30,915,,88.59,,98,11,147,,,,,,, 041321,01-JAN-15,31-DEC-15,Settled,BAPTIST HEALTH MED CTR ARKADELPHIA ,3050 TWIN RIVERS ,,ARKADELPHIA ,AR ,71923- ,CLARK ,,,,,,,,,,25,9125,2545,592,5564,,143.13,,400,262,1229,,,,,,, 041322,01-JUL-15,30-JUN-16,Settled,FULTON COUNTY HOSPITAL ,679 N. MAIN STREET ,,SALEM ,AR ,72576 ,FULTON ,,,,,,,,,,25,9150,2527,158,3463,,127.43,,356,68,572,,,,,,, 041323,01-OCT-14,30-SEP-15,Settled,ASHLEY COUNTY MEDICAL CENTER ,1015 UNITY ROAD ,400 ,CROSSETT ,AR ,71635- ,ASHLEY ,,,,,,,,,,25,9125,2280,400,3824,,182.51,,484,157,761,,,,,,123, 041324,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT MORRILTON ,#4 HOSPITAL DRIVE ,,MORRILTON ,AR ,72110- ,CONWAY ,,,,,,,,,,25,9150,1440,142,2430,,89.64,,318,50,657,,,,,,, 041326,01-JUL-15,30-JUN-16,As Submitted,DELTA MEMORIAL HOSPITAL ,811 HWY 65 SOUTH ,126 ,DUMAS ,AR ,71639 ,DESHA ,,,,,,,,,,25,9150,1514,510,2860,,112.46,,256,159,696,,,,,,, 041327,01-OCT-14,30-SEP-15,As Submitted,BRADLEY COUNTY MEDICAL CENTER ,404 S BRADLEY ,,WARREN ,AR ,71671- ,BRADLEY ,,,,,,,,,,25,9125,1944,329,3046,,152.19,,385,164,1119,,,,,,151, 041328,01-APR-15,31-MAR-16,As Submitted,CHICOT MEMORIAL MEDICAL CENTER ,CHICOT MEMORIAL MEDICAL CENTER ,512 ,LAKE VILLAGE ,AR ,71653 ,CHICOT ,,,,,,,,,,25,9150,2834,448,4788,,148.09,,516,149,1031,,,,,,, 041329,01-JUL-15,30-JUN-16,As Submitted,MERCY HOSPITAL BERRYVILLE ,214 CARTER STREET ,,BERRYVILLE ,AR ,72616- ,CARROLL ,,,,,,,,,,25,9125,925,109,1831,,129.33,,203,41,437,,,,,,, 041330,01-JAN-15,31-DEC-15,Settled,PIGGOTT COMMUNITY HOSPITAL ,1206 HIGHWAY 62 ,,PIGGOTT ,AR ,72454 ,CLAY ,,,,,,,,,,25,9125,3643,90,4420,,151.32,,464,30,639,,,,,,, 041331,01-JAN-15,31-DEC-15,Settled,OZARKS COMMUNITY HOSPITAL OF GRAVETT ,1101 JACKSON STREET SW ,,GRAVETTE ,AR ,72736- ,BENTON ,,,,,,,,,,25,9125,3880,99,7121,,237.68,,198,30,399,,,,,,, 042004,01-SEP-15,31-AUG-16,Settled,ADVANCE CARE HOSPITAL ,300 WERNER STREET ,,HOT SPRINGS ,AR ,71913- ,GARLAND ,,,,,,,,,,26,9516,2714,,4159,,31.37,,91,,132,,,,,,, 042006,01-SEP-15,31-AUG-16,As Submitted,SSH - FORT SMITH ,1001 TOWSON AVE ,,FORT SMITH ,AR ,72901 ,SEBASTIAN ,,,,,,,,,,34,12444,8236,,11087,,89.34,,329,,438,,,,,,, 042008,01-SEP-15,31-AUG-16,Settled,ADVANCE CARE HOSPITAL ,7301 ROGERS AVE. 4TH FLOOR ,,FORT SMITH ,AR ,72917 ,SEBASTIAN ,,,,,,,,,,25,9150,3541,,5960,,41.96,,136,,217,,,,,,, 042009,01-JUN-15,31-MAY-16,Settled,RH OF NORTHWESTARKANSAS LLC ,609 WEST MAPLE AVENUE 6TH FLOOR ,,SPRINGDALE ,AR ,72764-4335 ,WASHINGTON ,,,,,,,,,,25,9150,4027,,7294,,70.75,,164,,301,,,,,,, 042010,01-NOV-14,31-JAN-15,Settled,CORNERSTONE HOSPITAL OF LITTLE ROCK ,1400 BRADEN STREEET ,,JACKSONVILLE ,AR ,72076 ,PULASKI ,,,,,,,,,,40,3680,1448,,2180,,65.95,,57,,80,,,,,,, 042010,01-FEB-15,31-AUG-15,Settled,CORNERSTONE HOSPITAL OF LITTLE ROCK ,2 ST VINCENT CIRCLE 6TH FLOOR ,,LITTLE ROCK ,AR ,72205 ,PULASKI ,,,,,,,,,,40,8480,3398,,4816,,85.38,,124,,184,,,,,,, 042010,01-SEP-15,31-AUG-16,Settled,CORNERSTONE HOSPITAL OF LITTLE ROCK ,2 ST VINCENT CIRCLE 6TH FLOOR ,,LITTLE ROCK ,AR ,72205 ,PULASKI ,,,,,,,,,,40,14640,6106,,8933,,99.47,,239,,353,,,,,,, 042011,01-OCT-14,30-SEP-15,Settled,ADVANCED CARE HOSPITAL OF WHITE CO. ,1200 SOUTH MAIN STREET ,,SEARCY ,AR ,72143 ,WHITE ,,,,,,,,,,27,9855,4360,14,5283,,51.27,,156,1,190,,,,,,, 042012,01-JAN-15,31-DEC-15,Settled,BAPTIST HEALTH EXTENDED CARE ,9601 BAPTIST HEALTH DRIVE ,,LITTLE ROCK ,AR ,72205-7299 ,PULASKI ,,,,,,,,,,55,20075,5848,54,10802,,95.82,,195,3,336,,,,,,, 043026,01-JAN-15,31-DEC-15,As Submitted,BAPTIST HEALTH REHABILITATION INSTIT ,9601 BAPTIST HEALTH DRIVE ,,LITTLE ROCK ,AR ,72205 ,PULASKI ,,,,,,,,,88,120,43800,8646,1157,17994,2.38,223.79,,755,74,1464,,,,,,, 043028,01-JUN-15,31-MAY-16,Amended,HEALTHSOUTH REHAB OF FORT SMITH ,1401 SOUTH J STREET ,,FORT SMITH ,AR ,72901 ,SEBASTIAN ,,,,,,,,,,60,21960,12671,377,16867,,142.48,,1058,44,1450,98,,,,,, 043029,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,1201 FLEMING AVE ,,JONESBORO ,AR ,72401 ,CRAIGHEAD ,,,,,,,,,,67,24455,16281,666,20236,,176.83,,1315,79,1663,58,,,,,, 043031,01-JAN-15,31-DEC-15,Amended,ST VINCENT REHABILITATION HOSPITAL ,2201 WILDWOOD AVE ,,SHERWOOD ,AR ,72120 ,PULASKI ,,,,,,,,,,80,23460,15482,464,19585,,165.75,,1272,50,1620,71,,,,,, 043032,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,153 EAST MONTE PAINTER DRIVE ,,FAYETTEVILLE ,AR ,72703 ,WASHINGTON ,,,,,,,,,,80,23800,12187,525,17931,,149.21,,997,52,1440,64,,,,,, 043033,01-JAN-15,31-DEC-15,As Submitted,CONWAY REGIONAL REHABILITATION HOSPI ,2210 ROBINSON AVE ,,CONWAY ,AR ,72034 ,FAULKNER ,,,,,,,,,,26,9490,3959,156,5683,,35.16,,314,14,446,,,,,,, 043034,01-NOV-14,31-OCT-15,As Submitted,SOUTHEAST REHAB LLC ,2918 LOUIS SESSIONS ST ,,LAKE VILLAGE ,AR ,71653-6049 ,CHICOT ,,,,,,,,,,15,5475,2214,80,2545,,39.19,,174,11,208,,,,,,, 043300,01-JUL-15,30-JUN-16,As Submitted,ARKANSAS CHILDRENS HOSPITAL ,1 CHILDRENS WAY ,,LITTLE ROCK ,AR ,72202- ,PULASKI ,,,,,,,,,14047,336,122976,573,20547,80114,158.86,3553,,76,4204,9776,,,,,,, 044004,01-JAN-15,31-DEC-15,Settled,VANTAGE POINT ,4253 CROSSOVER ROAD ,,FAYETTEVILLE ,AR ,72703 ,,,,,,,,,,,82,29930,7065,6191,20440,,353.1,,561,645,2252,,,,156,,165, 044005,01-JAN-15,31-DEC-15,Settled,BRIDGEWAY HOSPITAL ,21 BRIDGEWAY ROAD ,,LITTLE ROCK ,AR ,72113 ,PULASKI ,,,,,,,,,,117,42705,6257,5946,27866,,149.09,,736,904,4277,,,,,,, 044006,01-JAN-15,31-DEC-15,Settled,VISTA HEALTH-FORT SMITH ,7301 ROGERS AVENUE ,,FORT SMITH ,AR ,72917 ,SEBASTIANN ,,,,,,,,,,48,17462,3192,4448,14291,,238.99,,370,573,2053,,,,82,,106, 044007,01-JAN-15,31-DEC-15,Settled,RIVENDELL ARKANSAS ,100 RIVENDELL DRIVE ,,BENTON ,AR ,72015 ,BENTON ,,,,,,,,,,61,22265,3017,8643,20010,,105.83,,246,1392,2214,,,,,,, 044011,01-JUL-15,30-JUN-16,As Submitted,ARKANSAS STATE HOSPITAL ,305 SOUTH PALM ,4096 ,LITTLE ROCK ,AR ,72205-4096 ,PULASKI ,,,,,,,,,,230,84180,2290,141,74227,,538,,78,2,606,,,,,,, 044013,01-JUN-15,31-MAY-16,Settled,PINNACLE POINTE HOSPITAL ,11501 FINANCIAL CENTER PARKWAY ,,LITTLE ROCK ,AR ,72211-3715 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 044019,01-JAN-15,31-DEC-15,Settled,SPRINGWOODS BEHAVIORAL ,1955 W. TRUCKERS DRIVE ,,FAYETTEVILLE ,AR ,72704 ,WASHINGTON ,,,,,,,,,,52,18980,4012,2840,16300,,91.1,,382,341,2133,,,,,,, 044020,01-JAN-15,31-DEC-15,Settled,VISTA HEALTH TEXARKANA ,701 ARKASAS BLVD ,,TEXARKANA ,AR ,72854 ,MILLER ,,,,,,,,,,37,13505,1039,3394,7798,,142.53,,99,363,950,152,,,66,,93, 044021,13-AUG-15,31-DEC-15,Settled,WOODRIDGE OF WEST MEMPHIS LLC ,600 NORTH 7TH STREET ,,WEST MEMPHIS ,AR ,72301 ,,,,,,,,,,,52,7332,130,1191,1485,,31.1,,11,163,182,,,,,,, 050002,01-OCT-14,30-SEP-15,Amended,ST ROSE HOSPITAL ,27200 CALAROGA AVENUE ,,HAYWARD ,CA ,94545-4383 ,ALAMEDA ,,,,2663469,,,.4466,,,195,71175,10542,4909,27667,,663.85,,1979,1327,5947,2067,,,,,, 050006,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPH HOSPITAL - EUREKA ,2700 DOLBEER ,,EUREKA ,CA ,95501 ,HUMBOLDT ,,,,2072297,,,.2457,,,133,48678,15133,1388,30759,,859.17,,2837,273,6418,,,,,,,178 050007,01-JAN-15,31-DEC-15,As Submitted,MILLS PENINSULA MEDICAL CENTER ,1783 EL CAMINO REAL ,,BURLINGAME ,CA ,94010- ,SAN MATEO ,,,,820087,,,.0697,,,241,87965,16545,,50455,,1500.54,,3462,,11257,1447,,,,,1916, 050008,01-JAN-15,31-DEC-15,As Submitted,CPMC-R.K. DAVIES MEDICAL CENTER ,CASTRO & DUBOCE STREETS ,7999 ,SAN FRANCISCO ,CA ,94120- ,SAN FRANCISCO ,55491,,,787672,,,.2157,37054,4866,146,53290,6054,,17423,1.65,577.84,,1019,,3421,222,,,,,,585 050009,01-JUL-15,30-JUN-16,As Submitted,QUEEN OF THE VALLEY MEDICAL CENTER ,1000 TRANCAS STREET ,,NAPA ,CA ,94558 ,NAPA ,,,,1376672,,,.1438,,,198,72468,14358,,29715,,802.74,,2784,,6136,477,,,,,,171 050013,01-JAN-15,31-DEC-15,As Submitted,ST. HELENA HOSPITAL ,650 SANITARIUM ROAD ,250 ,DEER PARK ,CA ,94576 ,NAPA ,,,,2536165,,,.2618,,,151,55115,9605,7903,22100,,929.71,,2286,549,4258,,,,,,, 050014,01-JAN-15,31-DEC-15,As Submitted,SUTTER AMADOR HOSPITAL ,200 MISSION BLVD ,,JACKSON ,CA ,95642-2198 ,AMADOR ,,,,389715,,,.12,,,52,18980,5536,472,9539,,260.64,,1235,130,2495,412,,,,,, 050017,01-JUL-15,30-JUN-16,As Submitted,MERCY GENERAL HOSPITAL ,4001 J STREET ,,SACRAMENTO ,CA ,95819 ,SACRAMENTO ,662546,,,3873314,,,.2381,199755,72971,377,137982,18302,,62934,,1513.6,,4106,,14704,3472,,,,67,,496 050018,01-JAN-15,31-DEC-15,Amended,PACIFIC ALLIANCE MEDICAL CENTER ,531 WEST COLLEGE STREET ,,LOS ANGELES ,CA ,90012 ,LOS ANGELES ,,,,2118971,,,.887,,,135,49135,5849,9078,33781,,604.09,,1044,3051,9013,3863,,,,,, 050022,01-MAY-15,30-APR-16,Amended,RIVERSIDE COMMUNITY HOSPITAL ,4445 MAGNOLIA AVENUE ,,RIVERSIDE ,CA ,92501 ,RIVERSIDE ,,,,3331916,,,.3174,,,373,136518,23215,17228,113459,,1678.99,,3818,5152,23359,,,,,,, 050024,01-JAN-15,31-DEC-15,Amended,PARADISE VALLEY HOSPITAL ,2400 EAST 4TH STREET ,,NATIONAL CITY ,CA ,91950 ,SAN DIEGO ,,,,3011570,,,.6177,,,230,83950,12465,24750,53208,,901.55,,2155,4140,11060,,,,4,18,388,170 050025,01-JUL-15,30-JUN-16,As Submitted,UCSD MEDICAL CENTER ,200 W. ARBOR DRIVE ,,SAN DIEGO ,CA ,92103 ,SAN DIEGO ,26626140,,,9111174,,,.3964,4798307,3123364,510,186660,39321,33226,165755,404.93,6057.58,,6257,4203,27870,7459,,,140,,849, 050026,01-OCT-14,30-SEP-15,Amended,GROSSMONT HOSPITAL ,5555 GROSSMONT CENTER DRIVE ,,LA MESA ,CA ,91942- ,SAN DIEGO ,,,,6521295,,,.3265,,,458,167170,32967,18791,110166,,2720,,7661,3741,26015,,,,845,18,1468,251 050028,01-JUL-15,30-JUN-16,As Submitted,MAD RIVER COMMUNITY HOSPITAL ,3800 JANES ROAD ,,ARCATA ,CA ,95521 ,HUMBOLDT ,,,,157965,,,.12,,,78,28548,3143,3832,9416,,395.1,,504,875,2014,,,,,,, 050030,01-DEC-14,30-NOV-15,Amended,OROVILLE HOSPITAL ,2767 OLIVE HIGHWAY ,,OROVILLE ,CA ,95965- ,BUTTE ,,,,4561453,,,.3232,,,133,48545,22373,3284,42261,,1020.6,,5632,913,11873,,,,,,, 050036,01-JUL-15,30-JUN-16,Amended,MEMORIAL HOSPITAL ,420 34TH STREET ,1888 ,BAKERSFIELD ,CA ,93303 ,KERN ,,,,3832016,,,.4414,,,321,117486,15305,12941,65924,,1431.93,,3104,2030,15352,6836,,,,,, 050038,01-JUL-15,30-JUN-16,Amended,SANTA CLARA VALLEY MEDICAL CENTER ,751 SOUTH BASCOM AVE ,,SAN JOSE ,CA ,95128- ,SANTA CLARA ,5000022,,,4588339,,,.6158,1839959,903849,436,159576,13172,34356,110107,163.34,4650.65,,2019,5761,20916,9549,,,463,142,802,594 050039,01-JUL-15,30-JUN-16,As Submitted,ENLOE MEDICAL CENTER ,1531 ESPLANADE ,,CHICO ,CA ,95926 ,BUTTE ,,,,3814491,,,.1787,,,258,94428,38615,4122,70505,,2264.09,,7902,859,15668,3742,,,,76,,491 050040,01-JUL-15,30-JUN-16,As Submitted,LAC OLIVE VIEW/UCLA MEDICAL CENTER ,14445 OLIVE VIEW DR ,,SYLMAR ,CA ,91342 ,LOS ANGELES ,1390331,,,862736,,,.7187,1092244,552568,249,91134,3150,25105,53594,173.99,2452.57,,502,5477,10341,,,,277,,630, 050042,01-JUL-15,30-JUN-16,As Submitted,ST ELIZABETH COMMUNITY HOSPTIAL ,2550 SISTER MARY COLUMBIA DRIVE ,,RED BLUFF ,CA ,96080 ,TEHAMA ,,,,348058,,,.12,,,76,27816,4147,932,9644,,338.23,,1223,357,2873,761,,,,,, 050043,01-JAN-15,31-DEC-15,As Submitted,SUMMIT MEDICAL CENTER ,350 HAWTHORNE AVENUE ,,OAKLAND ,CA ,94609- ,ALAMEDA ,,,,5073831,,,.311,,,268,97820,23735,3360,54706,,1673.89,,4510,653,11522,2340,,,,,,1073 050045,01-JUL-15,30-JUN-16,As Submitted,EL CENTRO REGIONAL MEDICAL CENTER ,1415 ROSS AVENUE ,,EL CENTRO ,CA ,92243- ,IMPERIAL ,,,,1807315,,,.4194,,,161,58926,9694,2354,21492,,723.47,,1867,449,4752,1226,,,,,, 050047,01-JAN-15,31-DEC-15,As Submitted,CALIFORNIA PACIFIC MEDICAL CENTER ,BUCHANAN AND CLAY STREETS ,7999 ,SAN FRANCISCO ,CA ,94120- ,SAN FRANCISCO ,8087092,,,4069315,,,.2015,3287047,903044,464,169360,30684,149,104433,88.85,2665.99,,5259,39,19824,,,,,,735, 050054,01-JUL-15,30-JUN-16,As Submitted,SAN GORGONIO MEMORIAL ,600 NORTH HIGHLAND SPRINGS AVE ,,BANNING ,CA ,92220- ,SAN BERNARDINO ,,,,186416,,,.12,,,61,22326,3693,1557,16923,,529.55,,722,312,3798,844,,,,,, 050055,01-JAN-15,31-DEC-15,As Submitted,ST. LUKES HOSPITAL ,3555 CESAR CHAVEZ STREET ,,SAN FRANCISCO ,CA ,94110- ,SAN FRANCISCO ,72307,,,1377176,,,.4869,40688,7147,120,43800,6192,3432,18213,1.76,482.42,,937,645,3640,814,,,,,, 050056,01-JUL-15,30-JUN-16,Amended,ANTELOPE VALLEY HOSPITAL ,1600 WEST AVENUE J ,,LANCASTER ,CA ,93534 ,LOS ANGELES ,,,,3093675,,,.3413,,,393,143838,18384,15327,91956,,1884.19,,3129,2962,20058,,,,,,, 050057,01-JUL-15,30-JUN-16,As Submitted,KAWEAH DELTA MEDICAL CENTER ,400 W. MINERAL KING AVE. ,,VISALIA ,CA ,93291-6237 ,TULARE ,5361530,,,6484796,,,.3163,1989724,562343,403,147498,42754,13618,107546,,3397.78,,6941,1921,20492,,,,1427,36,2200,641 050058,01-JUL-15,30-JUN-16,As Submitted,GLENDALE MEMORIAL HOSPITAL & HLTH CT ,1420 SOUTH CENTRAL AVE ,,GLENDALE ,CA ,91204- ,LOS ANGELES ,,,,5225522,,,.6654,,,301,110166,16516,11726,53519,,823.17,,2756,1459,9853,,,,,3,,313 050060,01-SEP-15,31-AUG-16,Amended,COMMUNITY REGIONAL MEDICAL CENTER ,2823 FRESNO STREET ,1232 ,FRESNO ,CA ,93721-1324 ,FRESNO ,9764617,,,13639462,,,.5378,2974132,1051275,767,280896,49225,57889,234260,219.66,6753.16,,7506,14981,38254,9209,,,,91,,655 050063,01-JAN-15,31-DEC-15,As Submitted,HOLLYWOOD PRESBYTERIAN MEDICAL CNTR ,1300 NORTH VERMONT AVENUE ,,LOS ANGELES ,CA ,90027 ,LOS ANGELES ,,,,5781691,,,.7713,,,317,115705,16276,23837,63727,3.98,979.3,,2692,3452,12416,3653,,,,,,354 050067,01-JUL-15,30-JUN-16,As Submitted,OAK VALLEY DISTRICT HOSPITAL ,350 SOUTH OAK STREET ,,OAKDALE ,CA ,95361- ,STANISLAUS ,,,,61510,,,.12,,,35,12810,1311,91,3307,,261.41,,287,22,815,222,,,,,, 050069,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPH HOSPITAL OF ORANGE ,1100 WEST STEWART DRIVE ,5600 ,ORANGE ,CA ,92863-5600 ,UNITED STATES ,,,,2585010,,,.1973,,,426,155916,17782,7617,77118,,2263.68,,4010,1839,18931,2888,3,,105,,1888, 050070,01-JAN-15,31-DEC-15,Amended,KFH - SOUTH SAN FRANCISCO ,1200 EL CAMINO REAL ,,SOUTH SAN FRANCISCO ,CA ,94080- ,SAN MATEO ,,,,,,,,13648,1815,120,43800,971,51,20099,.42,606,,245,12,5626,40,,,,,, 050071,01-JAN-15,31-DEC-15,Amended,KFH - SANTA CLARA ,700 LAURENCE EXPRESSWAY ,,SANTA CLARA ,CA ,95051- ,SANTA CLARA ,873069,,,,,,,2041368,568930,327,119355,2435,1114,82446,88.57,1866,,404,143,18428,688,,,,,, 050072,01-JAN-15,31-DEC-15,Amended,KFH - WALNUT CREEK ,1425 SOUTH MAIN STREET ,,WALNUT CREEK ,CA ,94596- ,CONTRA COSTA ,49346,,,,,,,112623,60453,233,85045,1699,536,60403,4.08,1369,,340,57,14214,550,,,,,, 050073,01-JAN-15,31-DEC-15,Amended,KFH - VALLEJO ,975 SERRANO DRIVE ,,VALLEJO ,CA ,94589- ,SOLANO ,103794,,,,,,,150506,14906,200,73000,2824,484,38314,13.43,1090,,654,94,9214,1130,,,,,,1129 050075,01-JAN-15,31-DEC-15,Amended,KFH - OAKLAND ,275 W MACARTHUR BLVD ,,OAKLAND ,CA ,94611 ,OAKLAND ,1570019,,,,,,,2335942,617104,344,124045,4993,2584,84981,106.09,2275,,1024,387,20222,1460,,,,,, 050076,01-JAN-15,31-DEC-15,Amended,KFH - SAN FRANCISCO ,2425 GEARY BOULEVARD ,,SAN FRANCISCO ,CA ,94115- ,SAN FRANCISCO ,677232,,,,,,,1893870,568788,239,86692,1448,506,58608,77.57,1466,,270,42,11633,440,,,,,, 050077,01-OCT-14,30-SEP-15,Amended,SCRIPPS MERCY HOSPITAL ,4077 FIFTH AVENUE ,,SAN DIEGO ,CA ,92103 ,SAN DIEGO ,5116724,,,6043709,,,.3843,3123479,939181,521,190165,28896,26294,128906,95.42,3061.67,,5806,5518,30735,7471,10,,985,,1605, 050078,01-JAN-15,31-DEC-15,Amended,PROVIDENCE LTTL CO MARY MC SAN PEDRO ,1300 W SEVENTH STREET ,,SAN PEDRO ,CA ,90732- ,LOS ANGELES ,,,,637787,,,.1939,,,186,67890,8283,6455,25684,,900,,1462,2260,5999,,,,225,18,663,312 050079,01-JAN-15,21-APR-15,As Submitted,DOCTORS MEDICAL CENTER ,2000 VALE ROAD ,,SAN PABLO ,CA ,94806 ,CONTRA COSTA ,,,,194260,,,.2878,,,176,19536,945,,2150,,393.91,,204,,496,,,,,,, 050082,01-JUL-15,30-JUN-16,As Submitted,ST. JOHNS REGIONAL MEDICAL CENTER ,1600 NORTH ROSE AVENUE ,,CAMARILLO ,CA ,93030 ,VENTURA ,,,,3060058,,,.29,,,242,88572,18991,7837,50280,,742.87,,3624,1793,9237,1191,,,,28,,444 050084,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPHS MEDICAL CENTER ,1800 N. CALIFORNIA STREET ,,STOCKTON ,CA ,95204 ,SAN JOAQUIN ,,,,6694089,17207,,.3476,,,348,127368,26581,95,82445,,1769.18,,5114,8,17081,,,,,,, 050089,01-JUL-15,30-JUN-16,As Submitted,COMMUNITY HOSPITAL OF SAN BERNARDINO ,1805 MEDICAL CENTER DRIVE ,,SAN BERNARDINO ,CA ,92411 ,SAN BERNARDINO ,,,,1132203,,,.6773,,,185,67710,3929,7166,31286,,882.33,,672,1648,6882,,,,3060,,4005, 050090,01-JUL-15,30-JUN-16,As Submitted,SONOMA VALLEY HEALTH CARE DISTRICT ,347 ANDRIEUX STREET ,,SONOMA ,CA ,94576 ,SONOMA ,,,,213034,,,.12,,,48,17568,2404,450,4743,,262.23,,586,124,1168,,,,,,, 050091,01-JAN-15,31-DEC-15,Amended,COMMUNITY HOSPITAL OF HUNTINGTON PAR ,2623 E SLAUSON AVENUE ,,HUNTINGTON PARK ,CA ,90255- ,LOS ANGELES ,,,,169017,,,.12,,,81,29565,3234,4030,13710,,292.37,,660,864,3233,1142,,,,,, 050093,01-JUL-15,30-JUN-16,As Submitted,ST. AGNES MEDICAL CENTER ,1303 E. HERNDON AVENUE ,,FRESNO ,CA ,93720 ,FRESNO ,,,,6458707,,,.2717,,,436,159576,42884,5723,96963,,2144.16,,8442,1826,20845,5342,,,,,, 050096,01-JAN-15,03-APR-15,As Submitted,WEST COVINA MEDICAL CENTER ,725 SOUTH ORANGE AVENUE ,,WEST COVINA ,CA ,91790 ,LOS ANGELES ,14912,,,1815,,,.0511,21332,17429,13,1209,58,4,317,.76,23.93,,12,1,26,,,,,,, 050096,04-APR-15,31-DEC-15,Amended,WEST COVINA MEDICAL CENTER ,725 SOUTH ORANGE AVENUE ,,WEST COVINA ,CA ,91790 ,LOS ANGELES ,134321,,,60152,,,.12,148638,36970,13,3536,1329,105,1729,3,82.27,,294,17,366,25,,,,,, 050099,01-JAN-15,31-DEC-15,Amended,SAN ANTONIO REGIONAL HOSPITAL ,999 SAN BERNARDINO ROAD ,,UPLAND ,CA ,91786 ,SAN BERNARDINO ,,,,1243369,,,.1348,,,275,100375,14055,4090,59694,,1644.39,,3440,982,16001,,,,,,, 050100,01-OCT-14,30-SEP-15,Amended,SHARP MEMORIAL HOSPITAL ,7901 FROST STREET ,,SAN DIEGO ,CA ,92123- ,SAN DIEGO ,,,,3588447,,,.2305,,,832,303680,26752,29937,163095,,3469,,4842,3250,31102,4530,,,,23,,420 050101,01-JAN-15,31-DEC-15,As Submitted,SUTTER SOLANO MEDICAL CENTER ,300 HOSPITAL DRIVE ,,VALLEJO ,CA ,94589-2574 ,SOLANO ,,,,568198,,,.12,,,102,37230,8018,1415,17999,,453.06,,1575,363,4113,1214,,,,,, 050102,01-JAN-15,31-DEC-15,As Submitted,PARVIEW COMMUNITY HOSPITAL ,3865 JACKSON STREET ,,RIVERSIDE ,CA ,92503 ,RIVERSIDE ,,,,1391084,,,.3695,,,193,70445,8738,9124,45657,,975.71,,1471,1690,10059,2819,,,,,, 050103,01-JAN-15,31-DEC-15,As Submitted,WHITE MEMORIAL MEDICAL CENTER ,1720 CESAR E. CHAVEZ AVE ,,LOS ANGELES ,CA ,90033 ,LOS ANGELES ,2685969,,,4608068,,,.6796,1649543,410946,310,113150,13243,26988,81645,57.3,1560.14,,2398,5177,18791,8802,,,,73,,272 050104,01-JUL-15,30-JUN-16,As Submitted,ST. FRANCIS MEDICAL CENTER ,3630 EAST IMPERIAL HIGHWAY ,,LYNWOOD ,CA ,90262- ,LOS ANGELES ,,,,4462850,,,.7578,,,339,124074,10888,41814,94760,,1596.73,,2254,6015,18751,505,,,,,, 050107,01-JUL-15,30-JUN-16,As Submitted,MARIAN MEDICAL CENTER ,1400 E. CHURCH STREET ,,SANTA MARIA ,CA ,93456 ,SANTA BARBARA ,598809,,,4202124,,,.3278,291865,162360,238,87108,19918,8620,59396,11,1509.91,,4805,1836,14441,1999,,,,9,,514 050108,01-JAN-15,31-DEC-15,As Submitted,SUTTER MEDICAL CENTER - SACRAMENTO ,2801 L STREET ,,SACRAMENTO ,CA ,95816- ,SACRAMENTO ,1069495,,,9050188,,,.3636,301560,93904,523,217586,34796,27505,135579,24.27,2713.65,,6245,,28982,3673,,,,,, 050110,01-JUL-15,30-JUN-16,Amended,LOMPOC VALLEY MEDICAL CENTER ,1515 EAST OCEAN AVENUE ,,LOMPOC ,CA ,93436- ,SANTA BARBARA ,,,,227863,,,.12,,,60,21960,3656,383,9544,,468.76,,944,106,2287,663,,,,,, 050112,01-JUL-15,30-JUN-16,As Submitted,SANTA MONICA UCLA MEDICAL CENTER ,1250 16TH STREET ,,SANTA MONICA ,CA ,90404 ,LOS ANGELES ,6413534,,,1702575,,,.1333,3914310,866153,265,96990,26491,7011,81566,97.47,1883.89,,4656,1406,17435,1121,,,,,, 050113,01-JUL-15,30-JUN-16,As Submitted,SAN MATEO MEDICAL CENTER ,222 WEST 39TH AVENUE ,,SAN MATEO ,CA ,94403- ,SAN MATEO ,58200,,,84328,,,.12,53516,30919,69,25254,1775,,13313,3.01,982.82,,258,,2588,,,,,,510, 050115,01-JUL-15,30-JUN-16,As Submitted,PALOMAR MEDICAL CENTER ,555 EAST VALLEY PARKWAY ,,ESCONDIDO ,CA ,92025-2762 ,SAN DIEGO ,43733,,,2188970,,,.1892,,,442,160749,18982,13300,93500,4.68,2222.63,,4037,3865,25529,4528,,,238,96,641,596 050116,01-JUL-15,30-JUN-16,As Submitted,NORTHRIDGE MEDICAL CENTER - ROSCOE ,18300 ROSCOE BLVD ,,NORTHRIDGE ,CA ,91328 ,LOS ANGELES ,818832,,,3419640,,,.3489,580825,148315,348,123948,16188,7830,51604,24.59,1336.15,,3642,3355,12191,,,,134,3,1672,238 050118,01-JUN-15,31-MAY-16,Amended,DOCTORS HOSPITAL OF MANTECA ,1205 E. NORTH ST. ,,MANTECA ,CA ,95336 ,SAN JOAQUIN ,,,,353590,,,.12,,,73,26718,6116,1399,15132,,333.6,,1383,251,3907,917,,,,,, 050121,01-JAN-15,31-DEC-15,As Submitted,ADVENTIST MEDICAL CENTER ,115 MALL DRIVE ,,HANFORD ,CA ,93230- ,KINGS ,113510,,,2508110,,,.28,67402,23196,199,72635,18461,3601,41909,1.75,1243.23,,3848,692,9623,2972,,,,,, 050122,01-JAN-15,31-DEC-15,Amended,DAMERON HOSPITAL ,525 W. ACACIA ,,STOCKTON ,CA ,95023 ,SAN JOAQUIN ,,,,1481300,,,.3211,,,202,73730,6939,4789,34157,,853,,1563,883,8600,2477,,,,,, 050124,29-MAY-15,30-JUN-16,As Submitted,VERDUGO HILLS HOSPITAL ,1812 VERDUGO BOULEVARD ,,GLENDALE ,CA ,91208 ,LOS ANGELES ,,,,859450,,,.1929,,,116,46284,9284,1479,21161,,481.13,,1822,250,5139,533,,,,,594, 050125,01-JAN-15,31-DEC-15,Amended,REGIONAL MEDICAL CENTER OF SAN JOSE ,225 NORTH JACKSON AVENUE ,,SAN JOSE ,CA ,95116 ,SANTA CLARA ,,,,7522598,,,.4884,,,241,88084,27169,8694,73510,,1162.03,,4751,1456,14153,,,,,,, 050126,01-NOV-14,31-OCT-15,As Submitted,VALLEY PRESBYTERIAN HOSPITAL ,15107 VANOWEN STREET ,,VAN NUYS ,CA ,91405 ,LOS ANGELES ,,,,5391866,,,.6936,,,333,121545,15367,21702,68699,,1391.63,,2645,6018,14561,6410,,,,5,,312 050127,01-JUL-15,30-JUN-16,As Submitted,WOODLAND HEALTHCARE ,1325 COTTONWOOD STREET ,,WOODLAND ,CA ,95695 ,YOLO ,,,,307941,,,.12,,,77,28182,2737,60,10650,,556.79,,802,,3922,1111,,,641,,1120, 050128,01-JUL-15,30-JUN-16,As Submitted,TRI-CITY MEDICAL CENTER ,4002 VISTA WAY ,,OCEANSIDE ,CA ,92056-4506 ,SAN DIEGO ,158511,,,2790388,,,.2749,45620,17145,298,109068,15515,15295,64322,2.84,1699.28,,3464,2193,14060,2906,2,,495,13,919,189 050129,01-JUL-15,30-JUN-16,As Submitted,ST. BERNARDINE MEDICAL CENTER ,2101 N. WATERMAN AVE. ,,SAN BERNARDINO ,CA ,92404 ,SAN BERNARDINO ,351616,,,2858892,,,.3906,,,322,117852,13634,9104,70896,6.96,1456.59,,2252,1801,15474,,,,,,, 050131,01-JAN-15,31-DEC-15,As Submitted,NOVATO COMMUNITY HOSPITAL ,180 ROWLAND WAY ,,NOVATO ,CA ,94945- ,MARIN ,,,,163147,,,.0601,,,47,17155,3592,264,5580,,240.75,,902,79,1621,,,,,,, 050132,01-JUL-15,30-JUN-16,As Submitted,SAN GABRIEL VALLEY MEDICAL CENTER ,438 WEST LAS TUNAS DRIVE ,,SAN GABRIEL ,CA ,91778-1507 ,LOS ANGELES ,,,,3557817,,,.5919,,,187,68442,13700,4614,41740,,740,,2383,952,9564,2664,5,,18,,817, 050133,01-JUL-15,30-JUN-16,As Submitted,RIDEOUT MEMORIAL HOSPITAL ,726 FOURTH STREET ,,MARYSVILLE ,CA ,95901- ,YUBA ,,,,1625188,,,.12,,,219,80154,27111,5394,54596,,1493.36,,4910,1056,10843,,,,,,, 050135,01-JAN-15,31-DEC-15,Amended,SO CALIF HOSPITAL AT HOLLYWOOD ,6245 DELONGPRE AVE ,,HOLLYWOOD ,CA ,90028 ,LOS ANGELES ,,,,5548248,,,.5154,,,397,144905,27357,12649,82856,,1124,,4738,3394,15282,,,,888,8,3231,453 050136,01-JUL-15,30-JUN-16,As Submitted,PETALUMA VALLEY HOSPITAL ,400 N. MCDOWELL BLVD ,,PETALUMA ,CA ,94954- ,SONOMA ,,,,351240,,,.12,,,80,29280,4741,1467,10665,,242.99,,1021,283,2452,,,,,,, 050137,01-JAN-15,31-DEC-15,Amended,KFH - PANORAMA CITY ,13652 CANTARA STREET ,,PANORAMA CITY ,CA ,91402- ,LOS ANGELES ,8431,,,,,,,38880,16295,218,79570,667,627,33402,2.82,906,,169,120,9269,803,,,,,, 050138,01-JAN-15,31-DEC-15,Amended,KFH - LOS ANGELES ,4867 SUNSET BLVD ,,LOS ANGELES ,CA ,90027 ,LOS ANGELES ,1172718,,,,,,,3925962,463265,460,167900,2814,2966,112326,206.06,2589,,484,374,22574,1677,,,,,2558, 050139,01-JAN-15,31-DEC-15,Amended,KFH - DOWNEY ,9400 ROSECRANS AVENUE ,,BELLFLOWER ,CA ,90706- ,LOS ANGELES ,37205,,,49013,,,.0433,96711,19189,352,128480,1978,2578,76944,9.72,1563,,456,330,18160,1812,,,,,, 050140,01-JAN-15,31-DEC-15,Amended,KFH - FONTANA ,9961 SIERRA AVENUE ,,FONTANA ,CA ,92335 ,SAN BERNARDINO ,243573,,,,,,,1022698,140890,626,228490,3828,4558,126185,67.82,2708,,818,778,29846,2803,,,,,, 050145,01-JAN-15,31-DEC-15,Amended,COMMUNITY HOSP. MONTEREY PENINSULA ,23625 W. R. HOLMAN HIGHWAY ,,MONTEREY ,CA ,93942-6032 ,MONTEREY ,,,,1163317,,,.0774,,,227,82855,23306,1595,46709,,1661.2,,4478,1891,10118,,,,,,813,221 050146,01-OCT-14,30-SEP-15,Settled,CITY OF HOPE NATIONAL MEDICAL CNT ,1500 E. DUARTE ROAD ,,DUARTE ,CA ,91010 ,LOS ANGELES ,,,,,,,,,23145,197,71905,16778,11373,61366,24.4,3603,,1916,1148,6034,,,,,,, 050149,01-JUL-15,30-JUN-16,As Submitted,CALIFORNIA HOSPITAL MEDICAL CENTER ,1401 SOUTH GRAND AVENUE ,,LOS ANGELES ,CA ,90015 ,LOS ANGELES ,307657,,,2423798,,,.88,247525,91667,287,105042,5413,24760,81947,31.75,1333.68,,1055,4970,17946,6227,,,,,, 050150,01-JUL-15,30-JUN-16,As Submitted,SIERRA NEVADA MEMORIAL HOSPITAL ,155 GLASSON WAY ,1029 ,GRASS VALLEY ,CA ,95945 ,NEVADA ,,,,905745,,,.1457,,,104,38064,10048,,19977,,668.14,,2419,,5332,814,,,,,, 050152,01-JUL-15,30-JUN-16,As Submitted,SAINT FRANCIS MEMORIAL HOSPITAL ,900 HYDE STREET ,,SAN FRANCISCO ,CA ,94109 ,SAN FRANCISCO ,61086,,,2627130,,,.4803,37809,9244,150,54900,7675,3340,21167,.92,753.05,,1661,35,4543,880,7,,5,1,1092,373 050153,01-JUL-15,30-JUN-16,As Submitted,OCONNOR HOSPITAL ,2105 FOREST AVENUE ,,SAN JOSE ,CA ,95128 ,SANTA CLARA ,1387660,,,2686648,,,.2985,798684,305030,324,118584,12153,4906,39617,24.07,1006.54,,2540,991,9565,1732,,,,,, 050158,01-JAN-15,31-DEC-15,As Submitted,ENCINO HOSPITAL ,16237 VENTURA BLVD ,,ENCINO ,CA ,91436 ,LOS ANGELES ,,,,588461,,,.2017,,,108,39420,4485,491,8245,,337.16,,1062,125,2035,,,,1,,611, 050159,01-JUL-15,30-JUN-16,As Submitted,VENTURA COUNTY MEDICAL CENTER ,3291 LOMA VISTA ROAD ,,VENTURA ,CA ,93003 ,VENTURA ,1213487,,,2164563,,,.572,801050,404336,259,94794,7889,,48293,40.05,2116.33,,1601,,9446,,,,,,, 050167,01-JUL-15,30-JUN-16,As Submitted,SAN JOAQUIN GENERAL HOSPITAL ,500 WEST FRENCH CAMP ROAD ,,FRENCH CAMP ,CA ,95231 ,SAN JOAQUIN ,1280474,,,1857434,,,.6893,383820,162776,181,66246,4415,2918,45658,50.66,1452.08,,1012,2200,9761,3237,,,,,, 050168,01-JUL-15,30-JUN-16,Amended,ST JUDE MEDICAL CENTER FULLERTON ,101 E. VALENCIA MESA AVE ,,FULLERTON ,CA ,92835 ,ORANGE ,,,,1665334,,,.142,,,290,114665,18666,3110,66122,,1940.41,,3940,491,14136,1371,,,,28,,697 050169,01-OCT-14,30-SEP-15,Amended,PRESBYTERIAN INTERCOMMUNITY HOSPITAL ,12401 EAST WASHINGTON BLVD ,,WHITTIER ,CA ,90602- ,LOS ANGELES ,737541,,,1516994,,,.1552,567464,195750,394,143810,17125,13436,76531,19.6,2490.65,,3787,1971,18747,,,,,19,,299 050174,01-JUL-15,30-JUN-16,As Submitted,SANTA ROSA MEMORIAL HOSPITAL ,1165 MONTGOMERY DRIVE ,,SANTA ROSA ,CA ,95405- ,SONOMA ,,,,3800140,,,.1933,,,256,93696,29222,5215,62796,,1427.04,,5245,789,11655,3166,,,,,,298 050179,01-JAN-15,31-DEC-15,Amended,EMANUEL MEDICAL CENTER ,825 DELBON AVENUE ,,TURLOCK ,CA ,95382 ,STANISLAUS ,,,,2778359,,,.3777,,,209,76285,16238,4212,40629,,784.1,,3262,1038,9104,2657,,,,,, 050180,01-JAN-15,31-DEC-15,As Submitted,JOHN MUIR MEDICAL CENTER - WC ,1601 YGNACIO VALLEY ROAD ,,WALNUT CREEK ,CA ,94598-3198 ,CONTRA COSTA ,,,,1920437,,,.0958,,,506,190162,31557,5397,91786,,1921.74,,6207,834,26731,2358,,,,,,593 050189,01-OCT-14,30-SEP-15,As Submitted,MEE MEMORIAL HOSPITAL ,300 CANAL ST. ,,KING CITY ,CA ,93930- ,MONTEREY ,,,,50216,,,.12,,,76,27740,2084,1412,16508,,309.87,,197,326,1013,900,,,,,, 050191,01-JUL-15,30-JUN-16,As Submitted,ST. MARY MEDICAL CENTER ,1050 LINDEN AVENUE ,,LONG BEACH ,CA ,90813-3393 ,LOS ANGELES ,1131038,,,2487596,,,.578,846167,202766,256,82198,9753,13191,53852,32.21,1057,,1609,2895,10706,3155,,,,12,,447 050192,01-JAN-15,31-DEC-15,As Submitted,ADVENTIST MEDICAL CENTER REEDLEY ,372 WEST CYPRESS ,,REEDLEY ,CA ,93654- ,FRESNO ,,,,49071,,,.12,,,49,17885,977,1775,6878,4.07,256.13,,250,564,2028,870,,,,,, 050194,01-AUG-15,31-JUL-16,As Submitted,WATSONVILLE COMMUNITY HOSPTIAL ,75 NIELSON STREET ,,WATSONVILLE ,CA ,95076 ,SANTA CRUZ ,,,,1503362,,,.4404,,,106,38796,5392,3698,16853,,414.71,,1186,1994,3910,,,,,,, 050195,01-JUL-15,30-JUN-16,As Submitted,WASHINGTON HOSPITAL DISTRICT ,2000 MOWRY AVENUE ,,FREMONT ,CA ,94538 ,ALAMEDA ,,,,2937487,,,.1778,,,321,117120,25200,,59368,,1339,,4826,,12350,,,,,,, 050196,01-JAN-15,30-NOV-15,Amended,CENTRAL VALLEY GENERAL HOSPITAL ,1025 N. DOUTY ,,HANFORD ,CA ,93230- ,KINGS COUNTY ,136,,,111,,,.12,,140,49,16366,2,1732,8418,.17,414.83,,1,462,2315,962,,,,,, 050197,01-JUL-15,30-JUN-16,As Submitted,SEQUOIA HOSPITAL ,170 ALAMEDA DE LAS PULGAS ,,REDWOOD CITY ,CA ,94160 ,SAN MATEO ,,,,,,,,,,208,76128,8962,348,23017,,538.94,,1982,55,6710,137,,,,,, 050204,01-JAN-15,31-DEC-15,As Submitted,PALMDALE REGIONAL MEDICAL CENTER ,38600 MEDICAL CENTER DRIVE ,,PALMDALE ,CA ,93551 ,LOS ANGELES ,,,,1893944,,,.2865,,,157,57305,14136,3270,37344,,782.37,,2561,588,8398,1743,,,,,, 050205,01-JAN-15,31-DEC-15,As Submitted,EAST VALLEY GLENDORA HOSPITAL ,150 WEST ROUTE 66 ,,GLENDORA ,CA ,91740 ,LOS ANGELES ,,,,302278,,,.2388,,,107,39055,2948,785,5264,,201.81,,672,139,1085,143,,,1,,601, 050211,01-JUL-15,30-JUN-16,As Submitted,ALAMEDA HOSPITAL ,2070 CLINTON AVE ,,ALAMEDA ,CA ,94501- ,ALAMEDA ,,,,329970,,,.12,,,46,16836,5349,744,11179,,332.71,,968,118,2141,,,,,,, 050222,01-OCT-14,30-SEP-15,Amended,SHARP CHULA VISTA MEDICAL CTR ,751 MEDICAL CENTER COURT ,,CHULA VISTA ,CA ,91911- ,SAN DIEGO ,,,,4022259,,,.3934,,,243,88695,20757,11381,71040,,1529,,3762,2252,14877,4191,,,,,, 050224,01-JUL-15,30-JUN-16,As Submitted,HOAG MEMORIAL HOSPITAL PRESBYTERIAN ,ONE HOAG DRIVE ,6100 ,NEWPORT BEACH ,CA ,92658-6100 ,ORANGE CALIFORNIA ,,,,1434086,,,.058,,,527,192882,36783,4178,122733,,3674.33,,8302,916,28697,2141,,,,,, 050225,01-JAN-15,31-DEC-15,As Submitted,FEATHER RIVER HOSPITAL ,5974 PENTZ ROAD ,,PARADISE ,CA ,95969 ,BUTTE ,,,,686839,285236,,.192,,,100,36500,10321,1246,18258,,766.43,,2408,430,4431,,,,,,, 050226,01-JUL-15,30-JUN-16,As Submitted,ANAHEIM REGIONAL MEDICAL CENTER ,1111 WEST LA PALMA AVENUE ,,ANAHEIM ,CA ,92801- ,ORANGE ,,,,2490528,,,.4079,,,223,81618,13190,6283,50775,,872.31,,2425,1312,11711,3326,,,,,, 050228,01-JUL-15,30-JUN-16,Amended,ZUCKERBERG SAN FRANCISCO GENERAL ,1001 POTRERO AVENUE ,,SAN FRANCISCO ,CA ,94110- ,SAN FRANCISCO ,9024718,,,4498942,,,.6545,2913873,1335887,268,98174,14149,,73770,242.22,2869.1,,2094,,13396,,,,,,1272, 050230,01-JAN-15,31-DEC-15,As Submitted,GARDEN GROVE MEDICAL CENTER ,12601 GARDEN GROVE BLVD ,,GARDEN GROVE ,CA ,92634 ,ORANGE ,,,,2677732,,,.6918,,,140,51100,7248,4909,24594,,493.65,,1457,1129,5925,,,,,,, 050231,01-JAN-15,31-DEC-15,As Submitted,POMONA VALLEY HOSPITAL MED CTR ,1798 NORTH GAREY AVENUE ,,POMONA ,CA ,91767- ,LOS ANGELES ,743799,,,3824877,,,.4985,419029,135388,386,140890,13990,36673,107444,18.34,2526.25,49.11,2691,5396,21427,6002,,,,,, 050232,01-JUL-15,30-JUN-16,As Submitted,FRENCH HOSPITAL MEDICAL CENTER ,1911 JOHNSON AVENUE ,,SAN LUIS OBISPO ,CA ,93401 ,SAN LUIS OBISPO ,,,,386779,,,.0596,,,111,38415,8514,529,17802,,454.43,,2064,75,4145,238,,,,,, 050234,01-OCT-14,30-SEP-15,Amended,SHARP CORONADO HOSPITAL ,250 PROSPECT PLACE ,,CORONADO ,CA ,92118- ,SAN DIEGO ,,,,190283,,,.12,,,59,21535,2040,490,5906,,292.1,,590,109,1817,226,,,,,, 050235,01-JAN-15,31-DEC-15,Amended,PROVIDENCE ST JOSEPH MEDICAL CENTER ,501 S. BUENA VISTA ST ,,BURBANK ,CA ,91505-4866 ,LOS ANGELES ,,,,4258259,,,.2698,,,342,124830,29191,9234,74131,,1629.89,,5733,1760,17140,2096,,,,5,,236 050236,01-JAN-15,31-DEC-15,As Submitted,SIMI VALLEY HOSPITAL ,2675 NORTH SYCAMORE DRIVE ,,SIMI VALLEY ,CA ,93065 ,VENTURA ,,,,594679,,,.1072,,,144,52560,12949,847,28291,,621.41,,2263,214,6367,1257,,,,,, 050238,01-JAN-15,31-DEC-15,As Submitted,METHODIST HOSPITAL OF SO CALIF ,300 WEST HUNTING DRIVE ,,ARCADIA ,CA ,91007 ,LOS ANGELES ,,,,2819985,,,.1958,,,330,120450,28274,5424,68206,,1446,,5417,1060,15057,1386,,,,1,,548 050239,01-JAN-15,31-DEC-15,As Submitted,GLENDALE ADVENTIST MEDICAL CENTER ,1509 WILSON TERRACE ,,GLENDALE ,CA ,92106 ,LOS ANGELES ,1950090,,,8173523,,,.5291,1429086,256731,350,127750,31626,7995,77480,21.23,1837.91,,5892,2173,17558,3850,,,514,2,1492,610 050242,01-JUL-15,30-JUN-16,As Submitted,DOMINICAN HOSPITAL ,1555 SOQUEL DRIVE ,,SANTA CRUZ ,CA ,95065 ,SANTA CRUZ ,,,,3087708,,,.2014,,,191,69906,20606,5186,48005,,1143.92,,4223,801,10960,1828,,,,16,,458 050243,01-JUN-15,31-MAY-16,Amended,DESERT HOSPITAL ,1150 N. INDIAN CANYON DR ,2739 ,PALM SPRINGS ,CA ,92262 ,RIVERSIDE ,1098803,,,2869562,,,.3271,443170,132017,330,120780,16838,17192,87542,19.32,1567.78,,3149,2570,18350,5095,,,,48,,207 050245,01-JUL-15,30-JUN-16,As Submitted,ARROWHEAD REGIONAL MEDICAL CENTER ,400 NORTH PEPPER AVENUE ,,COLTON ,CA ,92324- ,SAN BERNARDINO ,2736249,,,2894413,,,.6487,2171446,746125,366,133956,11743,24904,100165,153.89,2857.07,,1707,4881,20410,,,,,,4352, 050248,01-JUL-15,30-JUN-16,As Submitted,NATIVIDAD MEDICAL CENTER ,1441 CONSTITUTION BLDV ,,SALINAS ,CA ,93906- ,MONTEREY ,880221,,,2144214,,,.6569,516827,145446,152,55480,5898,11957,34848,25.67,1006.47,,1187,2145,7199,,,,,31,,533 050254,01-NOV-14,31-OCT-15,Amended,MARSHALL HOSPITAL ,1100 MARSHALL WAY ,,PLACERVILLE ,CA ,95667 ,EL DORADO ,,,,802485,,,.12,,,99,36135,11011,,21966,,1028.02,,2320,,5093,5309,,,,,, 050257,01-JAN-15,31-DEC-15,As Submitted,GOOD SAMARITAN HOSPITAL- BAKERSFIELD ,901 OLIVE DRIVE ,,BAKERSFIELD ,CA ,93308 ,KERN ,,,,904153,,,.5624,,,133,48545,5097,5213,17576,,145.45,,929,1116,3880,,,,,,53, 050261,01-JUL-15,30-JUN-16,Amended,SIERRA VIEW DISTRICT HOSPITAL ,465 W. PUTNAM AVE. ,,PORTERVILLE ,CA ,93257- ,TULARE ,,,,1678548,,,.37,,,128,46848,9716,3267,24877,,789.42,,1918,758,5692,2900,,,,,, 050262,01-JUL-15,30-JUN-16,Amended,RONALD REAGAN UCLA MEDICAL CENTER ,RONALD REAGAN UCLA MEDICAL CENTER ,,757 WESTWOOD PLAZA ,CA ,90095 ,LOS ANGELES ,51697108,,,5528275,,,.2358,10639453,5242366,445,167638,42496,30923,166818,646.09,6745.08,,5637,3113,23223,1760,,,,,,170 050272,01-OCT-14,30-SEP-15,As Submitted,REDLANDS COMMUNITY HOSPITAL ,350 TERRACINA BOULEVARD ,,REDLANDS ,CA ,92373 ,SAN BERNADINO CA ,,,,535414,,,.1359,,,195,71175,5849,4973,43260,,1226.19,,1404,1574,10457,1500,,,338,,995, 050276,01-JUL-15,30-JUN-16,As Submitted,CONTRA COSTA REGIONAL MEDICAL CENTER ,2500 ALHAMBRA AVENUE ,,MARTINEZ ,CA ,94553 ,CONTRA COSTA ,1057919,,,1440560,,,.5538,229808,234060,124,45384,6195,10988,42183,36.08,2291.35,,1025,2093,7771,,,,477,,772, 050278,01-JAN-15,31-DEC-15,Amended,PROVIDENCE HOLY CROSS MED. CENTER ,15031 RINALDI STREET ,,MISSION HILLS ,CA ,91345- ,LOS ANGELES ,,,,3663151,,,.3504,,,316,115340,20773,12739,80466,,1559,,3851,2605,17641,,,,,,,193 050279,15-JUL-15,31-MAY-16,As Submitted,HI - DESERT MEDICAL CENTER ,6601 WHITEFEATHER ROAD ,,JOSHUA TREE ,CA ,92252- ,SAN BERNADINO CA ,,,,119110,,,.12,,,59,18998,2131,492,7338,,300.01,,498,733,2154,116,,,,,, 050280,01-JUL-15,30-JUN-16,As Submitted,MERCY MEDICAL CENTER REDDING ,2175 ROSALINE AVE ,496009 ,REDDING ,CA ,96001 ,SHASTA ,2870929,,,4841981,,,.2544,627959,290876,267,97722,26679,3694,59415,18.98,1336.4,,5664,794,13038,3946,,,,,, 050281,01-JUL-15,30-JUN-16,As Submitted,ALHAMBRA HOSPITAL ,100 SOUTH RAYMOND ,,ALHAMBRA ,CA ,91801 ,LOS ANGELES ,,,,2034386,,,.6129,,,101,36966,7095,1150,21269,,411.68,,1397,226,5524,2152,,,,5,,249 050283,01-JUL-15,31-AUG-16,As Submitted,VALLEY MEMORIAL HOSPITAL ,1111 EAST STANLEY BLVD ,,LIVERMORE ,CA ,94550- ,ALAMEDA ,,,,1089875,,,.0986,,,157,67196,14141,2231,37554,,1047.54,,2947,442,8471,1394,,,,,204, 050289,01-JUL-15,30-JUN-16,As Submitted,SETON MEDICAL CENTER ,1900 SULLIVAN AVENUE ,,DALY CITY ,CA ,94015- ,SAN MATEO ,87733,,,1623679,,,.2132,64374,19445,255,93330,11966,1892,28498,1,894.36,,2127,840,5320,549,,,,,, 050290,01-JAN-15,31-DEC-15,Amended,SAINT JOHNS HOSPITAL ,1328 22ND STREET ,,SANTA MONICA ,CA ,90404 ,LOS ANGELES ,,,,430030,,,.0266,,,266,97090,25303,4105,56627,,1336.5,,5565,257,12636,337,,,,,, 050291,01-JAN-15,31-DEC-15,As Submitted,SUTTER SANTA ROSA REGIONAL HOSPITAL ,30 MARK WEST SPRING ROAD ,,SANTA ROSA ,CA ,95403 ,SONOMA ,4711462,,,762558,,,.12,1142121,516899,84,30660,8948,4405,26592,33.2,677.03,,1827,768,6206,1283,,,,,, 050292,01-JUL-15,30-JUN-16,As Submitted,RIVERSIDE UNIVERSITY HEALTH SYSTEM ,26520 CACTUS AVENUE ,,MORENO VALLEY ,CA ,92555-3911 ,RIVERSIDE ,1611731,,,1738831,,,.431,1035065,191077,439,160674,11058,23363,104274,129.28,2836,,1590,3800,19128,5479,,,,,, 050295,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL ,2215 TRUXTUN AVENUE ,,BAKERSFIELD ,CA ,93302 ,KERN ,,,,1989951,,,.3343,,,222,81252,10312,5995,48672,,1256.07,,2198,1194,12181,3671,,,,,, 050296,01-JUL-15,30-JUN-16,As Submitted,HAZEL HAWKINS MEM. HOSPITAL ,911 SUNSET DRIVE ,,HOLLISTER ,CA ,95023- ,SAN BENITO CA ,,,,231411,,,.12,,,41,15006,3126,1966,8042,,309.09,,830,696,2159,,,,,,, 050298,01-FEB-15,31-JAN-16,As Submitted,BARSTOW COMMUNITY HOSPITAL ,555 SOUTH SEVENTH STREET ,,BARSTOW ,CA ,92311 ,SAN BERNADINO ,,,,150327,,,.12,,,30,10950,2051,1442,7096,,255.37,,601,400,2211,422,,,,,, 050300,01-JUL-15,30-JUN-16,Amended,ST. MARY MEDICAL CENTER ,18300 HIGHWAY 18 ,P.O. BOX 7025 ,APPLE VALLEY ,CA ,92307 ,SAN BERNARDINO ,,,,2991140,,,.3262,,,212,77592,18735,7893,65536,,1279.93,,3240,1038,17039,,,,,,, 050301,01-JAN-15,31-DEC-15,As Submitted,UKIAH VALLEY MEDICAL CENTER ,275 HOSPITAL DRIVE ,,UKIAH ,CA ,95482- ,MENDOCINO ,,,,879348,,,.2896,,,50,18250,5375,1284,13339,,506.34,,1328,342,3595,,,,,,, 050305,01-JAN-15,31-DEC-15,As Submitted,ALTA BATES MEDICAL CENTER ,2450 ASHBY AVENUE ,,BERKELEY ,CA ,94705- ,ALAMEDA ,,,,3617101,,,.38,,,337,123005,15151,17533,74247,,1515.79,,2740,2158,14629,2172,,,,,2058, 050308,01-JUL-15,30-JUN-16,As Submitted,EL CAMINO HOSPITAL ,2500 GRANT ROAD ,7025 ,MOUNTAIN VIEW ,CA ,94039-7025 ,SANTA CLARA ,,,,1130383,,,.0562,,,388,142008,25936,3107,81995,,2432.43,,5290,1760,21566,,,,,15,798,508 050309,01-JAN-15,31-DEC-15,As Submitted,SUTTER ROSEVILLE MEDICAL CENTER ,1 MEDICAL PLAZA ,,ROSEVILLE ,CA ,95661- ,PLACER ,,,,2189240,,,.1235,,,273,99645,27552,6372,72190,,1532.53,,6165,1299,18410,2163,,,,43,,928 050313,01-JAN-15,31-DEC-15,As Submitted,SUTTER TRACY COMMUNITY HOSPITAL ,1420 TRACY BOULEVARD ,,TRACY ,CA ,95376-3497 ,SAN JOAQUIN ,,,,319022,,,.12,,,81,29565,4609,1305,13418,,455.47,,1149,,3952,,,,,,, 050315,01-JUL-15,30-JUN-16,As Submitted,KERN MEDICAL CENTER ,1700 MOUNT VERNON AVENUE ,,BAKERSFIELD ,CA ,93306 ,KERN ,1775616,,,1447142,,,.6944,842048,333828,214,78324,5460,20375,47400,109.87,1364.26,,797,7415,9689,,,,,,, 050320,01-JUL-15,30-JUN-16,Amended,ALAMEDA COUNTY MEDICAL CENTER ,1411 EAST 31ST STREET ,,OAKLAND ,CA ,94602- ,ALAMEDA ,4960891,,,3015009,,,.6372,2232504,1069714,167,61122,9039,11997,50131,123.55,1887.06,,1529,2636,11332,,,,,,3112,467 050324,01-OCT-14,30-SEP-15,Amended,SCRIPPS MEMORIAL HOSPITAL - LA JOLLA ,9888 GENESEE AVENUE ,,LA JOLLA ,CA ,92037 ,SAN DIEGO ,,,,423121,,,.0292,,,347,126655,21295,4577,76538,,1948.86,,4078,660,15899,765,,,,,, 050327,01-JAN-15,31-DEC-15,Amended,LOMA LINDA UNIVERSITY MEDICAL CENTER ,11234 ANDERSON STREET ,2000 ,LOMA LINDA ,CA ,92354 ,SAN BERNARDINO ,12335131,,,4803485,,,.3178,5542152,3014606,445,162425,28456,15197,111651,305.44,5956,,4467,2076,19063,,,,,218,,1166 050329,01-JAN-15,31-DEC-15,As Submitted,CORONA REGIONAL MEDICAL CENTER ,800 SOUTH MAIN STREET ,,CORONA ,CA ,91720 ,RIVERSIDE ,,,,1124299,,,.3177,,,160,58400,9094,4238,28572,,754.94,,1813,1060,7258,1826,5,,487,,1600, 050334,01-JUL-15,30-JUN-16,As Submitted,SALINAS VALLEY MEMORIAL HOSPITAL ,450 E. ROMIE LANE ,,SALINAS ,CA ,93901-4098 ,MONTEREY ,,,,3909541,,,.2655,,,218,79788,21771,7471,48881,,1321.6,,4099,4586,10683,,,,,,, 050335,01-JAN-15,31-DEC-15,As Submitted,SONORA REGIONAL MEDICAL CENTER ,1000 GREENLEY ROAD ,,SONORA ,CA ,95370 ,TUOLUMNE ,,,,779682,,,.12,,,84,30660,12647,1554,21579,,981.14,,2566,176,4608,739,,,,,, 050336,01-JAN-15,31-DEC-15,As Submitted,LODI MEMORIAL HOSPITAL ,975 S. FAIRMONT AVENUE ,,LODI ,CA ,92541 ,SAN JOAQUIN ,,,,1492185,,,.2026,,,182,66430,16082,2687,34274,,1085.77,,3354,707,7820,2460,,,,58,,144 050342,01-JUL-15,30-JUN-16,Amended,PIONEERS MEM. HOSPITAL ,207 W. LEGION RD. ,,BRAWLEY ,CA ,97222- ,IMPERIAL ,,,,2149901,,,.5539,,,107,39162,7164,3687,22550,,585.89,,1546,953,5334,,,,,,, 050348,01-JUL-15,30-JUN-16,Amended,UCI MEDICAL CENTER ,101 THE CITY DRIVE SOUTH ,,ORANGE ,CA ,92868 ,ORANGE ,16916461,,,5963045,,,.4517,3130312,2146529,349,127734,21315,20553,108642,270.39,4382.19,,4141,2584,19265,5046,,,795,31,1379,228 050350,01-JAN-15,31-DEC-15,Amended,BEVERLY COMMUNITY HOSPITAL ,309 WEST BEVERLY BLVD ,,MONTEBELLO ,CA ,90640 ,LOS ANGELES ,,,,2038112,,,.4285,,,214,78110,10798,5552,38687,,697.5,,1866,1210,9061,,,,,,, 050351,01-JAN-15,31-DEC-15,Amended,TORRANCE MEM. MEDICAL CENTER ,3330 WEST LOMITA BLVD. ,,TORRANCE ,CA ,90505 ,LOS ANGELES CA ,,,,1014353,,,.0642,,,609,222285,28741,7097,102315,,2333.74,,5443,1031,24096,1043,,,,,, 050352,01-JAN-15,31-DEC-15,As Submitted,BARTON MEMORIAL HOSPITAL ,2170 SOUTH AVENUE ,,SOUTH LAKE TAHOE ,CA ,96158 ,EL DORADO ,,,,206817,,,.12,,,63,22995,2575,887,7796,,480.98,,614,196,2044,595,,,,,, 050353,01-JAN-15,31-DEC-15,Amended,PROVIDENCE LTTL CO MARY MC TORRANCE ,4101 TORRANCE BLVD ,,TORRANCE ,CA ,90503- ,LOS ANGELES ,,,,2375945,,,.196,,,327,119355,20298,20385,79252,,1832,,4476,6469,20124,,,,,,, 050357,01-JAN-15,31-DEC-15,As Submitted,GOLETA VALLEY COTTAGE HOSPITAL ,351 SOUTH PATTERSON AVENUE ,,SANTA BARBARA ,CA ,93160- ,SANTA BARBARA ,,,,54630,,,.0268,,,28,16790,1859,60,3848,,252.67,,660,25,1593,124,,,,,, 050359,01-JUL-15,30-JUN-16,As Submitted,TULARE REGIONAL MEDICAL CENTER ,869 CHERRY STREET ,,TULARE ,CA ,93274 ,TULARE ,,,,941567,,,.4228,,,108,39528,5682,1802,15931,,392.8,,1037,405,3373,1236,,,,,, 050360,01-JAN-15,31-DEC-15,As Submitted,MARIN GENERAL HOSPITAL ,250 BON AIR ROAD ,,GREENBRAE ,CA ,94904 ,MARIN ,,,,1770811,,,.1475,,,218,79570,16730,4761,38085,,1232.19,,3580,1469,7797,1011,,,,,691, 050367,01-JAN-15,31-DEC-15,As Submitted,NORTHBAY HOSPITAL GROUP ,1200 B. GALE WILSON BLVD ,,FAIRFIELD ,CA ,94533 ,SOLANO ,,,,3512819,,,.3245,,,182,66430,17271,,38543,,1725.27,,3346,,8092,,,,,,, 050373,01-JUL-15,30-JUN-16,As Submitted,LAC+USC MEDICAL CENTER ,1200 N. STATE STREET ,,LOS ANGELES ,CA ,90033 ,LOS ANGELES ,5124701,,,2245456,,,.7524,2361625,1460362,594,216810,7555,77796,171487,675.33,7071.79,,956,12390,26244,,,,469,,682, 050376,01-JUL-15,30-JUN-16,As Submitted,HARBOR-UCLA MEDICAL CENTER ,1000 WEST CARSON STREET ,,TORRANCE ,CA ,90509 ,LOS ANGELES ,5095988,,,1966799,,,.6307,2875080,1671478,393,143838,7143,39632,98761,445.24,3875.26,,978,7425,16351,5250,,,314,,596, 050378,01-JAN-15,31-DEC-15,As Submitted,PACIFICA HOSPITAL OF THE VALLEY ,9449 SAN FERNANDO ROAD ,,SUN VALLEY ,CA ,91352-1421 ,LOS ANGELES ,,,,981943,,,.8398,,,133,48545,3140,14331,23288,,413.66,,639,2549,4523,896,,,,,, 050380,01-FEB-15,31-JAN-16,Amended,GOOD SAMARITAN HOSPITAL ,2425 SAMARITAN DRIVE ,,SAN JOSE ,CA ,95124 ,SANTA CLARA ,,,,1243538,,,.0732,,,342,124830,24886,3021,80422,,1410.03,,4824,457,15958,,,,,31,697,348 050382,01-JAN-15,31-DEC-15,Amended,CITRUS VALLEY MEDICAL CENTER ,210 WEST SAN BERNARDINO ROAD ,,COVINA ,CA ,91723 ,LOS ANGELES ,,,,5012308,,,.4494,,,481,175565,23311,24436,101472,,1788.7,,4354,4481,23631,,,,,4,,220 050390,01-JAN-15,31-DEC-15,As Submitted,HEMET VALLEY MEDICAL CENTER ,1117 EAST DEVONSHIRE AVENUE ,,HEMET ,CA ,92543 ,RIVERSIDE ,398260,,,1431684,,,.2631,,,304,110960,12472,15060,49322,9.91,695.36,,2304,3667,10929,,,,,,, 050393,01-OCT-14,30-SEP-15,Amended,PIH HOSPITAL - DOWNEY ,11500 BROOKSHIRE AVENUE ,7010 ,DOWNEY ,CA ,90241-7010 ,LOS ANGELES ,898940,,,1238567,,,.2908,735265,163874,192,70080,8255,5515,31618,24.46,957.69,,1741,902,8258,,,,,,, 050394,01-JAN-15,31-DEC-15,As Submitted,CMH OF SAN BUENAVENTURA ,147 N. BRENT STREET ,,VENTURA ,CA ,93003 ,VENTURA ,2635683,,,880557,,,.1059,885569,403362,201,73365,13847,3685,53776,30.74,1502,,2948,715,12240,1612,,,,,, 050396,01-JAN-15,31-DEC-15,Amended,SANTA BARBARA COTTAGE HOSPITAL ,400 WEST PUEBLO STREET ,689 ,SANTA BARBARA ,CA ,93102 ,SANTA BARBARA ,3561507,,,2478767,,,.1603,942887,338916,325,118625,26352,8105,79211,55.21,2369.31,,5401,1213,16863,,,,,24,,563 050397,01-JUL-15,30-JUN-16,As Submitted,COALINGA REGIONAL MEDICAL CENTER ,1191 PHELPS AVENUE ,,COALINGA ,CA ,93210- ,FRESNO CA ,,,,10925,,,.12,,,22,8052,251,56,523,,111.31,,61,20,153,30,,,,,, 050407,01-JAN-15,31-DEC-15,As Submitted,CHINESE HOSPITAL ,845 JACKSON STREET ,,SAN FRANCISCO ,CA ,94133- ,SAN FRANCISCO ,,,,158858,,,.12,,,54,19710,2626,106,7765,,348.68,,576,,1691,,,,,,, 050411,01-JAN-15,31-DEC-15,Amended,KFH - SOUTH BAY ,25825 S. VERMONT AVENUE ,,HARBOR CITY ,CA ,90710 ,LOS ANGELES ,22835,,,,,,,88160,18972,262,94811,1556,607,47574,3.87,1120,,338,140,12238,943,,,,,, 050414,01-JUL-15,30-JUN-16,As Submitted,MERCY HOSPITAL OF FOLSOM ,1650 CREEKSIDE DRIVE ,,FOLSOM ,CA ,93630 ,SACRAMENTO ,,,,562541,,,.0894,,,106,38796,8971,,26070,,551.45,,2195,362,6843,,,,,,, 050417,01-JAN-15,31-DEC-15,As Submitted,SUTTER COAST HOSPITAL ,800 EAST WASHINGTON ,,CRESCENT CITY ,CA ,95531-3699 ,DEL NORTE ,,,,219371,,,.12,,,49,17885,3293,208,6161,,289.95,,827,49,1880,458,,,,,, 050423,01-JUL-15,30-JUN-16,As Submitted,PALO VERDE HOSPITAL ,250 NORTH FIRST STREET DRAWER 2 ,,BLYTHE ,CA ,92225- ,RIVERSIDE ,,,,55692,,,.12,,,51,18666,1046,977,2834,,118.77,,255,395,937,26,,,,,, 050424,01-OCT-14,30-SEP-15,Amended,SCRIPPS GREEN HOSPITAL ,10666 NORTH TORREY PINES ROAD ,,LA JOLLA ,CA ,92037 ,SAN DIEGO ,4796697,,,,,,,940622,395129,173,63145,13008,860,37760,65.83,1266.22,,3157,71,9234,63,,,,,, 050425,01-JAN-15,31-DEC-15,Amended,KFH - SACRAMENTO ,2025 MORSE AVENUE ,,SACRAMENTO ,CA ,95825- ,SACRAMENTO ,342948,,,,,,,619029,216248,287,119413,2988,1470,45771,20.95,1277,,671,189,10172,,,,,,, 050426,01-JAN-15,31-DEC-15,As Submitted,WEST ANAHEIM MEDICAL CENTER ,3033 ORANGE AVENUE ,,ANAHEIM ,CA ,92804 ,ORANGE ,1001556,,,2055701,,,.3257,705702,47451,167,60955,11174,2351,26072,11.23,523.63,,2105,418,5680,1296,,,1,,337, 050434,01-APR-15,31-MAR-16,As Submitted,COLUSA REGIONAL MEDICAL CENTER ,199 EAST WEBSTER ,,COLUSA ,CA ,95932- ,COLUSA ,,,,49752,,,.12,,,42,16254,2122,763,3816,,147.47,,258,228,641,,,,,,, 050438,01-JAN-15,31-DEC-15,Amended,HUNTINGTON HOSPITAL ,100 WEST CALIFORNIA ,,PASADENA ,CA ,91109 ,LOS ANGELES ,2833761,,,3413284,,,.1901,1055684,199088,515,176702,32586,11095,114270,39.86,2734.27,,6362,2030,25600,,,,423,3,885,294 050441,01-SEP-15,31-AUG-16,Amended,STANFORD HEALTH CARE ,300 PASTEUR DRIVE ,,STANFORD ,CA ,94305 ,SANTA CLARA ,65941311,,,6210308,,,.1339,7762730,5704785,447,163602,52875,,144428,532.56,10157.98,,9273,,25075,1,,,,,688, 050444,01-JUL-15,30-JUN-16,As Submitted,MERCY MEDICAL CENTER MERCED ,333 MERCY AVENUE ,,MERCED ,CA ,95340 ,MERCED ,2137448,,,3724401,,,.3763,1085905,334195,186,68076,20917,3829,50265,22.86,992.07,,3983,1296,13747,,,,,,, 050454,01-JUL-15,30-JUN-16,As Submitted,UCSF MEDICAL CENTER ,505 PARNASSUS ,,SAN FRANCISCO ,CA ,94143-0824 ,SAN FRANCISCO ,50078417,,,12779913,,,.3147,7261348,5068738,782,275853,51120,42673,214389,568.37,7290.78,,8177,4817,35528,5525,,,,,, 050455,01-JAN-15,31-DEC-15,As Submitted,SAN JOAQUIN COMMUNITY HOSPITAL ,2615 CHESTER AVENUE ,P.O. BOX 2615 ,BAKERSFIELD ,CA ,93303-2615 ,KERN ,,,,3045886,,,.3111,,,254,92710,17224,5764,71530,,1744.13,,3493,1541,17972,7045,,,,,, 050457,01-JUL-15,30-JUN-16,As Submitted,ST. MARYS MEDICAL CENTER ,450 STANYAN STREET ,,SAN FRANCISCO ,CA ,94117 ,SAN FRANCISCO ,5373479,,,1212735,,,.1653,1779427,691135,113,41358,10312,1178,19800,40.39,781.2,,1916,171,3944,242,18,,361,1,859,359 050464,01-JUN-15,31-MAY-16,Amended,DOCTORS MEDICAL CENTER OF MODESTO ,1441 FLORIDA AVENUE ,,MODESTO ,CA ,95350 ,STANISLAUS ,1432904,,,5628065,,,.4222,657391,140529,380,139080,27603,16387,114071,29.61,1628,,4720,2446,22140,7922,7,,1585,,3056, 050468,01-JAN-15,31-DEC-15,Amended,MEMORIAL HOSPITAL OF GARDENA ,1145 W REDONDO BEACH BLVD ,,GARDENA ,CA ,90247- ,LOS ANGELES ,,,,1970511,,,.5864,,,103,37595,6400,6061,26739,,508.39,,1314,1102,6266,2451,,,,,, 050471,01-SEP-15,31-AUG-16,Amended,GOOD SAMARITAN HOSPITAL ,1225 WILSHIRE BOULEVARD ,,LOS ANGELES ,CA ,90017-2395 ,LOS ANGELES ,644697,,,5650044,,,.5116,302020,69512,313,114558,18394,18324,64284,10.4,1304.19,,3254,2712,12186,1480,,,,,, 050481,01-JAN-15,31-DEC-15,Amended,WEST HILLS HOSPITAL ,7300 MEDICAL CENTER DRIVE ,,WEST HILLS ,CA ,91307 ,LOS ANGELES ,,,,1902985,,,.1824,,,225,82125,20758,5272,45878,,771.84,,3873,,9278,,,,,,, 050485,01-JUL-15,30-JUN-16,Amended,LONG BEACH MEMORIAL MEDICAL CENTER ,2801 ATLANTIC AVENUE ,,LONG BEACH ,CA ,90806 ,LOS ANGELES ,5702006,,,4881424,,,.3179,2025230,530097,374,152256,27334,9939,97324,70.66,2514.42,,4823,1779,19922,4763,,,,22,,479 050488,01-JAN-15,31-DEC-15,As Submitted,EDEN MEDICAL CENTER ,20103 LAKE CHABOT RD ,,CASTRO VALLEY ,CA ,94546- ,ALAMEDA ,,,,2526168,,,.2692,,,130,47450,14029,5123,40010,,947.34,,2744,786,7932,1583,,,,,, 050492,01-SEP-15,31-AUG-16,As Submitted,CLOVIS COMMUNITY MEDICAL HOSPITAL ,2755 HERNDON AVENUE ,,CLOVIS ,CA ,93611 ,FRESNO ,,,,2300706,,,.2589,,,208,76128,17748,6538,63611,,1421,,3284,1630,15813,3760,,,,,, 050496,01-JAN-15,31-DEC-15,As Submitted,JOHN MUIR MEDICAL CENTER - CONCORD ,2540 EAST STREET ,4110 ,CONCORD ,CA ,94520 ,CONTRA COSTA ,,,,2192536,,,.1418,,,245,89425,21958,3722,48091,,1156.78,,4286,580,13397,1936,,,,,, 050498,01-JAN-15,31-DEC-15,As Submitted,SUTTER AUBURN FAITH HOSPITAL ,11815 EDUCATION ROAD ,,AUBURN ,CA ,95604- ,PLACER COUNTY ,,,,315947,,,.0743,,,64,23912,5605,634,11113,,405.37,,1551,186,3400,,,,,,, 050502,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT MEDICAL CENTER ,2131 WEST 3RD STREET ,57992 ,LOS ANGELES ,CA ,90057 ,LOS ANGELES ,260635,,,5412351,,,.4576,71305,14310,320,117120,19893,5275,43518,4,831.51,,3791,1219,9097,,,,,4,,453 050503,01-OCT-14,30-SEP-15,Amended,SCRIPPS MEMORIAL HOSPITAL-ENCINITAS ,354 SANTA FE DRIVE ,,ENCINITAS ,CA ,92023 ,SAN DIEGO ,,,,240382,,,.0281,,,164,59860,14032,2489,39654,,1065.98,,3201,621,10398,652,,,,20,,553 050506,01-JUN-15,31-MAY-16,Amended,SIERRA VISTA REGIONAL MED CTR ,1010 MURRAY AVENUE ,,SAN LUIS OBISPO ,CA ,93405 ,SAN LUIS OBISPO ,,,,747867,,,.1936,,,156,57096,6111,3417,25502,,486,,1420,363,5487,963,,,,,, 050510,01-JAN-15,31-DEC-15,Amended,KFH - SAN RAFAEL ,99 MONTICELLO ROAD ,,SAN RAFAEL ,CA ,94063- ,MARIN ,19171,,,,,,,64648,12491,116,42340,683,63,17407,2,496,,163,13,4357,110,,,,,, 050512,01-JAN-15,31-DEC-15,Amended,KFH - FREMONT ,39400 PASEO PADRE PKWY ,,FREMONT ,CA ,94545 ,ALAMEDA ,6622,,,,,,,59319,22677,106,38690,472,97,13178,1.38,466,,108,9,3525,91,,,,,, 050515,01-JAN-15,31-DEC-15,Amended,KFH - SAN DIEGO ,4647 ZION AVENUE ,,SAN DIEGO ,CA ,92120 ,SAN DIEGO ,122839,,,,,,,366653,51675,414,151110,3259,2274,100415,51.62,1811.26,,690,222,23030,1619,,,,,, 050516,01-JUL-15,30-JUN-16,As Submitted,MERCY SAN JUAN MEDICAL CENTER ,6501 COYLE AVENUE ,,CARMICHAEL ,CA ,95608 ,SACRAMENTO ,106915,,,6902532,,,.3649,32265,7701,370,135420,29157,220,107309,.98,1865.02,,5645,,22793,6562,,,,,, 050517,01-JAN-15,31-DEC-15,As Submitted,VICTOR VALLEY GLOBAL MEDICAL CENTER ,15248 ELEVENTH STREET ,,VICTOR VALLEY ,CA ,92392- ,SAN BERNARDINO ,,,,842016,,,.4408,,,101,36865,4520,2039,23266,,553.06,,770,901,6316,,,,,,, 050523,01-JAN-15,31-DEC-15,As Submitted,SUTTER DELTA MEDICAL CENTER ,3901 LONE TREE WAY ,,ANTIOCH ,CA ,94509- ,CONTRA COSTA ,,,,2482299,,,.3452,,,123,44895,11693,3730,32371,,663.09,,2499,908,7850,2301,,,,,, 050526,01-JAN-15,31-DEC-15,Amended,HUNTINGTON BEACH HOSPITAL ,17772 BEACH BLVD ,,HUNTINGTON BEACH ,CA ,92647 ,ORANGE ,,,,793127,,,.2851,,,106,38690,5590,710,11471,,264.58,,1107,229,2939,691,10,,1,,304, 050528,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HOSPITAL - LOS BANOS ,520 WEST I STREET ,,LOS BANOS ,CA ,93635- ,MERCED ,,,,106078,,,.12,,,44,16060,1297,913,4617,,201.84,,405,271,1568,572,,,,,, 050534,01-JUN-15,31-MAY-16,Amended,JOHN.F. KENNEDY MEMORIAL HOSP. ,47-111 MONROE ST. ,,INDIO ,CA ,92201 ,RIVERSIDE ,,,,1362195,,,.5177,,,132,48312,4699,5843,22777,,453.1,,1037,1528,6959,2370,,,,,, 050537,01-JAN-15,31-DEC-15,As Submitted,SUTTER DAVIS HOSPITAL ,2000 SUTTER PLACE ,,DAVIS ,CA ,95617- ,YOLO ,142135,,,258851,,,.12,23080,18588,48,17520,2963,1670,11819,1.25,322.93,,802,371,3491,611,,,,,, 050541,01-JAN-15,31-DEC-15,Amended,KFH - REDWOOD CITY ,1100 VETERANS BOULEVARD ,,REDWOOD CITY ,CA ,94063 ,SAN MATEO ,,,,,,,,23336,3517,145,52925,884,206,31727,2.87,788,,175,37,7848,102,,,,,, 050543,01-JAN-15,31-DEC-15,As Submitted,COLLEGE HOSPITAL COSTA MESA ,301 VICTORIA STREET ,,COSTA MESA ,CA ,92627 ,ORANGE ,,,,156904,,,.7251,,,122,44530,1553,34462,40964,,336.35,,163,2177,3421,,,,,,, 050546,01-JUL-15,30-JUN-16,As Submitted,PORTERVILLE DEVELOPMENTAL CENTER ,26501 AVENUE 140 ,,PORTERVILLE ,CA ,93258 ,TULARE COUNTY ,,,,,,,,,,44,16104,526,437,963,,4.3,,55,1,56,,,,,,, 050547,01-JUL-15,30-JUN-16,As Submitted,SONOMA DEVELOPMENTAL CENTER ,15000 ARNOLD DRIVE ,,ELDRIDGE ,CA ,95431 ,SONOMA COUNTY ,,,,,,,,,,13,4758,950,485,1435,,14.3,,103,1,104,,,,,,, 050548,01-JUL-15,30-JUN-16,As Submitted,FAIRVIEW DEVELOPMENTAL CENTER ,2501 HARBOR BLVD ,,COSTA MESA ,CA ,92626 ,ORANGE COUNTY ,,,,,,,,,,30,10980,308,101,409,,10.7,,48,1,49,,,,,,, 050549,01-JAN-15,31-DEC-15,Amended,LOS ROBLES HOSPITAL AND MEDICAL CTN. ,215 WEST JANSS ROAD ,1899 ,THOUSAND OAKS ,CA ,91360 ,VENTURA ,,,,777023,,,.0398,,,294,107310,37227,3031,72934,,1209.9,,6706,513,15184,,,,,9,,518 050551,01-JUN-15,31-MAY-16,Amended,LOS ALAMITOS MEDICAL CTR. ,3751 KATELLA AVE. ,,LOS ALAMITOS ,CA ,90720 ,ORANGE ,,,,417367,,,.0668,,,142,51972,12938,4193,39697,,712.02,,2631,430,9247,794,,,4,,372, 050552,01-JAN-15,31-DEC-15,Settled,MOTION PICTURE AND TELEVISION FUND ,23388 MULHOLLAND DRIVE ,,WOODLAND HILLS ,CA ,91364 ,LOS ANGELES ,,,,,,,,,,56,20318,591,,615,,260.33,,51,,57,,,,,,, 050557,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HOSPITAL MODESTO ,1700 COFFEE ROAD ,,MODESTO ,CA ,95355- ,STANISLAUS ,,,,3433198,,,.2169,,,423,154395,29549,6601,79880,,1858.82,,5489,1036,16572,2961,,,,,, 050561,01-JAN-15,31-DEC-15,Amended,KFH - WEST LOS ANGELES ,6041 CADILLAC AVENUE ,,LOS ANGELES ,CA ,90034- ,LOS ANGELES ,14032,,,,,,,51802,12420,274,99968,1753,471,40964,9.48,949,,436,125,11845,1052,,,,,, 050567,01-JUL-15,30-JUN-16,As Submitted,MISSION HOSPITAL REG MEDICAL CENTER ,27700 MEDICAL CENTER ROAD ,,MISSION VIEJO ,CA ,92691 ,ORANGE ,,,,1766605,,,.1197,,,465,170190,22639,4923,77926,,1902.1,,5017,1081,18178,2933,13,,6,9,796,459 050568,01-JUL-15,30-JUN-16,As Submitted,MADERA COMMUNITY HOSPITAL ,1250 EAST ALMOND AVENUE ,,MADERA ,CA ,93637 ,MADERA ,,,,849391,,,.4046,,,106,38796,4403,8011,15635,,547.76,,944,2324,3640,,,,,,, 050570,01-JAN-15,31-DEC-15,Amended,FOUNTAIN VALLEY REG MEDICAL CENTER ,17100 EUCLID AT WARNER ,,FOUNTAIN VALLEY ,CA ,92708 ,ORANGE ,165483,,,6585177,,,.6098,79449,11397,400,146000,24115,9205,92511,2.82,1207.1,,3779,1621,18571,6334,,,,,, 050573,01-JUL-15,30-JUN-16,As Submitted,EISENHOWER MEDICAL CENTER ,39000 BOB HOPE DRIVE ,,RANCHO MIRAGE ,CA ,92270-3221 ,RIVERSIDE ,7270218,,,2112359,,,.0867,1883946,1475983,370,135420,35297,3981,74832,53.44,3476,,8160,780,19116,2456,,,,,,371 050575,01-JAN-15,31-DEC-15,As Submitted,TRI-CITY REGIONAL MEDICAL CENTER ,TRI-CITY REGIONAL MEDICAL CENTER ,21530 S. PIONEER BLV ,HAWAIIAN GARDENS ,CA ,90716 ,LOS ANGELES ,,,,998815,,,.3292,,,107,39055,8175,2708,16047,,270.99,,1525,335,3067,379,,,,,, 050580,01-JAN-15,31-DEC-15,Amended,LA PALMA INTERCOMMUNITY HOSPITAL ,7901 WALKER STREET ,,LA PALMA ,CA ,90623 ,ORANGE ,,,,1356892,,,.3705,,,131,47815,7273,3333,17080,,301.14,,1383,548,3457,541,,,2,,317, 050581,01-JUN-15,31-MAY-16,Amended,LAKEWOOD REGIONAL MED. CTR. ,3700 E. SOUTH ST. ,,LAKEWOOD ,CA ,90712 ,LOS ANGELES ,177889,,,1482228,,,.2727,98889,22437,172,62952,10750,5521,39932,2.4,664,,2055,576,8373,1528,,,,,, 050586,01-JAN-15,31-DEC-15,Amended,CHINO VALLEY MEDICAL CENTER ,5451 WALNUT AVENUE ,,CHINO ,CA ,91710 ,RIVERSIDE ,556518,,,942166,,,.3695,360439,62215,126,45990,3274,2450,16409,34.71,509.33,,925,912,5834,1494,,,,,, 050588,01-JAN-15,31-DEC-15,As Submitted,SAN DIMAS COMMUNITY HOSPITAL ,1350 WEST COVINA BLVD. ,,SAN DIMAS ,CA ,91773 ,LOS ANGELES ,,,,354321,,,.12,,,64,23360,6063,1842,15919,,362.37,,1108,293,3589,428,,,,,, 050589,01-JUN-15,31-MAY-16,Amended,PLACENTIA LINDA COMMUNITY HOSPITAL ,1301 ROSE DR. ,,PLACENTIA ,CA ,92870 ,ORANGE ,,,,206465,,,.1081,,,114,41724,3405,619,11357,,322,,888,97,3389,486,,,,,, 050590,01-JUL-15,30-JUN-16,As Submitted,METHODIST HOSPITAL OF SACRAMENTO ,7500 HOSPITAL DRIVE ,,SACRAMENTO ,CA ,95823 ,SACRAMENTO ,1160968,,,3345213,,,.4928,295767,78612,158,57828,10444,7,42412,12.61,1044.37,,2391,,9854,3412,,,,,, 050597,01-JAN-15,31-DEC-15,Amended,FOOTHILL PRESBTYERIAN HOSPITAL ,250 SOUTH GRAND AVENUE ,,GLENDORA ,CA ,91740 ,LOS ANGELES ,,,,551760,,,.1862,,,105,38325,6633,1966,22876,,445.72,,1331,476,5884,,,,,,, 050599,01-JUL-15,30-JUN-16,As Submitted,UC DAVIS MEDICAL CENTER ,2315 STOCKTON BLVD ,,SACRAMENTO ,CA ,95817 ,SACRAMENTO ,43728049,,,13356821,,,.4186,6526000,4038725,564,206424,47663,35394,174804,510.1,7798.57,,7689,5984,30672,,,,,,,351 050603,01-JUL-15,30-JUN-16,Amended,SADDLEBACK MEMORIAL MEDICAL CENTER ,24451 HEALTH CENTER DRIVE ,,LAGUNA HILLS ,CA ,92653 ,ORANGE ,64456,,,303012,,,.0324,17019,5663,252,116687,13325,1794,59456,1,1468.69,,3508,267,14258,984,,,,,, 050604,01-JAN-15,31-DEC-15,Amended,KFH - SAN JOSE ,250 HOSPITAL PARKWAY ,,SAN JOSE ,CA ,95119 ,SANTA CLARA ,,,,,,,,5236,1437,247,89295,1749,499,43601,2.41,929,,367,77,10979,503,,,,,, 050608,01-JAN-15,31-DEC-15,As Submitted,DELANO REGIONAL MED. CTR. ,1401 GARCES HIGHWAY ,,DELANO ,CA ,93215 ,KERN ,,,,1019254,,,.6516,,,105,38325,2837,2102,9965,,471.64,,626,600,4025,2771,,,,,, 050609,01-JAN-15,31-DEC-15,Amended,KFH - OC-ANAHEIM ,3440 E. LA PALMA AVENUE ,,ANAHEIM ,CA ,92806-2020 ,ORANGE ,117133,,,,,,,653146,82044,435,158775,1895,1656,111069,42.75,2025,,397,305,26136,2091,,,,,, 050616,01-JUL-15,30-JUN-16,As Submitted,ST. JOHNS PLEASANT VALLEY HOSPITAL ,2309 ANTONIO AVENUE ,,CAMARILLO ,CA ,93010 ,VENTURA ,,,,,,,,,,81,29646,8675,239,14352,,355.71,,1742,39,3108,128,,,,,, 050624,01-OCT-14,30-SEP-15,As Submitted,HENRY MAYO NEWHALL MEMORIAL HOSPITAL ,23845 MCBEAN PARKWAY ,,VALENCIA ,CA ,91355- ,LOS ANGELES ,,,,1027466,,,.1273,,,196,71540,19258,5971,55245,,1213.74,,3110,1149,11321,840,4,,403,2,1104,527 050625,01-JUL-15,30-JUN-16,Amended,CEDARS-SINAI MEDICAL CENTER ,8700 BEVERLY BLVD. ,,LOS ANGELES ,CA ,90048 ,LOS ANGELES ,38882196,,,12858813,,,.1948,7492085,3044550,850,311100,104288,28796,253121,349.27,10978.5,,17977,4011,54868,2733,,,,9,,771 050633,01-JUN-15,31-MAY-16,Amended,TWIN CITIES COMMUNITY HOSPITAL ,1100 LAS TABLAS RD ,,TEMPLETON ,CA ,93465 ,SAN LUIS OBISPO ,,,,636543,,,.1552,,,122,44652,7473,2666,16294,,327,,1906,271,4259,667,,,,,, 050636,01-JUL-15,30-JUN-16,As Submitted,POMERADO HOSPITAL ,15615 POMERADO RD ,,POWAY ,CA ,92064-2405 ,SAN DIEGO ,,,,491445,,,.12,,,95,34770,7400,2049,23049,,641.18,,1654,681,6185,,,,,,198, 050641,01-JAN-15,31-DEC-15,Amended,EAST LOS ANGELES DOCTORS HOSPITAL ,4060 EAST WHITTIER BOULEVARD ,,LOS ANGELES ,CA ,90023 ,LOS ANGELES ,,,,896696,,,.7096,,,102,37230,3492,5381,17103,,297.62,,561,1019,3299,1392,,,,,, 050660,01-OCT-14,30-SEP-15,As Submitted,USC NORRIS CANCER HOSPITAL ,1441 EASTLAKE AVE ,,LOS ANGELES ,CA ,90033- ,LOS ANGELES ,,,,,,,,,130230,60,21900,3071,2679,11957,8,361.05,,440,234,1622,,,,,,, 050663,01-JAN-15,31-DEC-15,Amended,LOS ANGELES COMMUNITY HOSPITAL ,4081 OLYMPIC BLVD ,,LOS ANGELES ,CA ,90023 ,LOS ANGELES ,,,,3000161,,,.6407,,,285,104025,9438,9548,45248,,575,,1795,5575,9031,,,,,,, 050668,01-JUL-15,30-JUN-16,As Submitted,LAGUNA HONDA HOSPITAL ,375 LAGUNA HONDA BLVD ,,SAN FRANCISCO ,CA ,94116- ,SAN FRANCISCO ,,,,7818,,,.1068,,,6,2196,174,48,228,,621.78,,35,13,48,,,,,11,,40 050674,01-JAN-15,31-DEC-15,Amended,KFH - SOUTH SACRAMENTO ,6600 BRUCEVILLE ROAD ,,SACRAMENTO ,CA ,95823 ,SACRAMENTO ,506105,,,133905,,,.0567,396111,131912,217,79205,3433,1601,50950,18.79,1129,,710,357,13724,1827,,,,,, 050677,01-JAN-15,31-DEC-15,Amended,KFH - WOODLAND HILLS ,5601 DE SOTO AVE ,,WOODLAND HILLS ,CA ,91367- ,LOS ANGELES ,68216,,,,,,,685659,135280,262,95630,828,685,43994,17.31,889.15,,183,81,11059,385,,,,,, 050678,01-JUL-15,30-JUN-16,Amended,ORANGE COAST MEMORIAL MEDICAL CENTER ,9920 TALBERT AVENUE ,,FOUNTAIN VALLEY ,CA ,92708 ,ORANGE ,,,,1386616,,,.2177,,,218,79788,11282,1381,44336,,1116.41,,2190,245,11236,3370,,,,,, 050684,01-JAN-15,31-DEC-15,As Submitted,MENIFEE VALLEY MEDICAL CENTER ,28400 MC CALL BLVD ,,SUN CITY ,CA ,92381 ,RIVERSIDE ,,,,176549,,,.12,,,84,30660,3524,2533,11337,,225.15,,658,643,2947,,,,,,, 050686,01-JAN-15,31-DEC-15,Amended,KFH - RIVERSIDE ,10800 MAGNOLIA AVE ,,RIVERSIDE ,CA ,92505- ,RIVERSIDE ,153635,,,,,,,566239,49304,226,82490,1724,771,51086,33.7,1295.47,,290,107,11829,1119,,,,,, 050688,01-JUL-15,30-JUN-16,As Submitted,ST LOUISE REGIONAL HOSPITAL ,9400 NO NAME UNO ,,GILROY ,CA ,95020- ,SANTA CLARA ,,,,294202,,,.12,,,72,26352,3825,1160,10107,,323.13,,863,313,2607,500,,,,,, 050689,01-JUN-15,31-MAY-16,Amended,SAN RAMON REG. MEDICAL CENTER ,6001 NORRIS CANYON RD ,,SAN RAMON ,CA ,94583 ,CONTRA COSTA ,,,,,,,,,,123,45018,7019,411,20346,,452,,1601,74,4935,171,,,,,, 050690,01-JAN-15,31-DEC-15,Amended,KFH - SANTA ROSA ,401 BICENTENNIAL WAY ,,SANTA ROSA ,CA ,95403- ,SONOMA ,25920,,,,,,,87732,14232,173,63145,1179,209,33364,3.59,797,,253,58,8914,649,,,,,, 050696,01-OCT-14,30-SEP-15,As Submitted,KECK HOSPITAL OF USC ,1500 SAN PABLO STREET ,,LOS ANGELES ,CA ,90033- ,LOS ANGELES ,11003918,,,3250566,,,.1812,2938099,994857,336,122640,28586,6214,83541,121.97,2430.12,,4001,632,11823,,,,,16,,354 050697,01-JAN-15,31-DEC-15,As Submitted,PATIENTS HOSPITAL OF REDDING ,2900 EUREKA WAY ,,REDDING ,CA ,96001 ,SHASTA ,,,,,,,,,,10,3650,141,,486,,54.51,,65,,230,,,,,,, 050701,01-JAN-15,31-DEC-15,As Submitted,SOUTHWEST HEALTHCARE SYSTEM ,36485 INLAND VALLEY DRIVE ,,WILDOMAR ,CA ,92595- ,RIVERSIDE ,,,,1202047,,,.2246,,,242,88330,10757,7483,63976,,1326.07,,2097,2075,15448,4171,,,,,, 050704,01-JAN-15,31-DEC-15,As Submitted,MISSION COMMUNITY HOSPITAL ,14850 ROSCOE BOULEVARD ,,PANORAMA CITY ,CA ,91402 ,LOS ANGELES ,,,,3392213,,,.5649,,,145,52925,13946,16876,41344,,576.04,,2572,2975,7735,594,,,,,, 050708,01-JAN-15,31-DEC-15,Settled,FRESNO SURGICAL HOSPITAL ,6125 NORTH FRESNO STREET ,,FRESNO ,CA ,96710 ,FRESNO ,,,,,,,,,,27,9855,1458,,3368,,221.31,,793,,1993,,,,,,, 050709,01-JAN-15,31-DEC-15,As Submitted,DESERT VALLEY HOSPITAL INC. ,16850 BEAR VALLEY ROAD ,,VICTORVILLE ,CA ,92395 ,SAN BERNANDINO COUNTY CA ,,,,1915149,,,.3182,,,148,54020,9955,3583,36507,,668.12,,2298,1028,9678,2985,,,,,, 050710,01-JAN-15,31-DEC-15,Amended,KFH - FRESNO ,7300 NORTH FRESNO ,,FRESNO ,CA ,93720- ,FRESNO ,992,,,,,,,20795,3046,169,61685,1026,118,28358,1.66,722,,185,20,7512,11,,,,,, 050714,01-JAN-15,31-DEC-15,As Submitted,SUTTER MATERNITY & SURGERY CENTER ,2900 CHANTICLEER AVENUE ,,SANTA CRUZ ,CA ,95065- ,SANTA CRUZ ,,,,73614,,,.12,,,30,10950,458,,5453,,207.44,,156,,1396,399,,,,,, 050717,01-JUL-15,30-JUN-16,As Submitted,RANCHO LOS AMIGOS NATL.REHAB.CTR. ,7601 E. IMPERIAL HIGHWAY ,,DOWNEY ,CA ,90242-3496 ,LOS ANGELES ,78298,,,366994,,,.6664,73035,39847,149,54534,1776,10078,32550,15.86,1214.66,48.54,201,458,1699,,,,,605,,1251 050723,01-JAN-15,31-DEC-15,Amended,KFH - BALDWIN PARK ,1011 BALDWIN PARK BLVD ,,BALDWIN PARK ,CA ,91706- ,LOS ANGELES ,,,,,,,,606,115,257,93805,1077,714,45372,2.75,1201.35,,257,138,12637,935,,,,,, 050724,01-OCT-14,31-DEC-14,As Submitted,HEART HOSPITAL OF BAKERSFIELD ,3001 SILLECT AVENUE ,,BAKERSFIELD ,CA ,93308 ,KERN ,,,,154326,,,.12,,,47,4324,2015,334,3850,,291.32,,450,62,874,56,,,,,, 050724,01-JAN-15,31-DEC-15,As Submitted,HEART HOSPITAL OF BAKERSFIELD ,3001 SILLECT AVENUE ,,BAKERSFIELD ,CA ,93308 ,KERN ,,,,659779,,,.1167,,,47,17155,8970,356,14262,,318.97,,1957,103,3378,360,,,,,, 050726,01-JAN-15,31-DEC-15,Settled,STANISLAUS SURGICAL HOSPITAL ,1421 OAKDALE ROAD ,,MODESTO ,CA ,95355 ,STANISLAUS ,,,,,,,,,,23,8395,566,,1221,,182.87,,214,,550,,,,,,, 050727,01-JUL-15,30-JUN-16,Amended,COMMUNITY HOSPITAL LONG BEACH ,1720 TERMINO AVENUE ,,LONG BEACH ,CA ,90804 ,LOS ANGELES ,,,,588111,,,.2046,,,130,47580,6624,1004,15568,,402.57,,1237,215,3566,857,835,,1174,,2018, 050735,01-JUL-15,30-JUN-16,As Submitted,WHITTIER HOSPITAL MEDICAL CENTER ,15151 JANINE DRIVE ,,WHITTIER ,CA ,90605 ,LOS ANGELES ,,,,1355013,,,.529,,,156,57096,5364,6174,34683,,519.45,,1216,1427,8869,2373,,,,,, 050736,01-JUL-15,30-JUN-16,As Submitted,MONTEREY PARK HOSPITAL ,900 S. ATLANTIC BLVD ,,MONTEREY PARK ,CA ,91754- ,LOS ANGELES ,,,,1054951,,,.7658,,,101,36966,3217,3621,22906,,280.43,,721,875,5771,2445,,,,,, 050737,01-JUL-15,30-JUN-16,As Submitted,GARFIELD MEDICAL CENTER ,525 N GARFIELD AVE. ,,MONTEREY PARK ,CA ,91754 ,LOS ANGELES ,,,,4996160,,,.7541,,,182,66612,14811,8307,55558,,942.6,,2399,1610,11709,3527,,,,25,,476 050738,01-JUL-15,30-JUN-16,As Submitted,GREATER EL MONTE COMMUNITY HOSPITAL ,1701 SANTA ANITA AVE ,,SOUTH EL MONTE ,CA ,91733 ,LOS ANGELES ,,,,819870,,,.8049,,,104,38064,2614,3994,15853,,231.34,,504,981,3513,1375,,,,,, 050739,01-JAN-15,31-DEC-15,As Submitted,CENTINELA HOSPITAL MEDICAL CENTER ,555 EAST HARDY STREET ,,INGLEWOOD ,CA ,90301 ,LOS ANGELES ,,,,6544024,,,.4993,,,313,114245,21217,12134,66553,,1175.75,,4827,2383,16609,5807,,,,,,363 050740,01-JAN-15,31-DEC-15,As Submitted,MARINA DEL REY ,4650 LINCOLN BLVD ,,MARINA DEL REY ,CA ,90291 ,LOS ANGELES ,,,,305622,,,.0644,,,90,32850,6797,1001,15408,,487.01,,1659,179,4363,278,,,,,, 050742,01-JAN-15,31-DEC-15,As Submitted,OLYMPIA MEDICAL CENTER ,5900 WEST OLYMPIC BLVD ,,LOS ANGELES ,CA ,90036 ,LOS ANGELES ,,,,2148942,,,.3425,,,204,74460,12496,3529,28068,,733.88,,2548,633,5788,,,,,,, 050744,01-APR-15,31-MAR-16,As Submitted,WESTERN MEDICAL CENTER ANAHEIM ,1025 SOUTH ANAHEIM BOULEVARD ,,ANAHEIM ,CA ,92805-5806 ,ORANGE ,,,,406382,,,.6031,,,103,37698,797,5759,15893,,318.77,,125,863,3385,1308,,,1308,,2612, 050745,01-APR-15,31-MAR-16,As Submitted,CHAPMAN MEDICAL CENTER ,2601 EAST CHAPMAN AVENUE ,,ORANGE ,CA ,92869-3206 ,ORANGE ,,,,85673,,,.12,,,75,27450,941,365,8066,,196.62,,217,91,2439,296,,,10,,208, 050746,01-APR-15,31-MAR-16,As Submitted,WESTERN MEDICAL CENTER SANTA ANA ,1001 NORTH TUSTIN AVENUE ,,SANTA ANA ,CA ,92705-3502 ,ORANGE ,65307,,,1032676,,,.4036,61968,9576,228,83448,3059,9307,38992,.79,864.21,,553,2440,7354,2908,,,,,, 050747,01-APR-15,31-MAR-16,As Submitted,COASTAL COMMUNITIES HOSPITAL ,2710 SOUTH BRISTOL STREET ,,SANTA ANA ,CA ,82701- ,ORANGE ,,,,620770,,,.6903,,,109,39785,836,5479,13816,,283.73,,123,1615,2833,913,,,103,,393, 050748,01-JAN-15,31-DEC-15,Amended,KFH - MANTECA ,1777 WEST YOSEMITE AVENUE ,,MANTECA ,CA ,95337- ,SAN JOAQUIN ,,,,,,,,621,268,213,77745,776,302,39407,.46,1078,,226,49,10971,38,,,,,, 050751,01-JAN-15,31-DEC-15,As Submitted,MIRACLE MILE MEDICAL CENTER ,MIRACLE MILE MEDICAL CENTER ,,6000 SAN VICENTE BOULEVARD ,CA ,90036-4404 ,USA ,,,,4647,,,.0499,,,17,6205,80,,515,,44.64,,22,,226,,,,,,, 050754,01-JAN-15,31-DEC-15,As Submitted,MENLO PARK SURGICAL HOSPITAL ,570 WILLOW RD ,,MENLO PARK ,CA ,94025- ,SAN MATEO ,,,,,,,,,,16,5840,52,,305,,40.39,,36,,185,4,,,,,, 050755,01-JAN-15,31-DEC-15,Amended,SHERMAN OAKS HOSPITAL-HLTH ,4929 VAN NUYS BLVD ,,SHERMAN OAKS ,CA ,91403 ,LOS ANGELES ,,,,2456457,,,.3126,,,112,40880,11733,2547,22774,,528.27,,2605,514,5609,,,,1,,802, 050757,01-JAN-15,31-DEC-15,As Submitted,ALVARADO HOSPITAL MEDICAL CENTER ,6655 ALVARADO ROAD ,,SAN DIEGO ,CA ,92120 ,SAN DIEGO ,,,,1797823,,,.2884,,,254,92710,8737,2721,26050,,681.83,,1931,520,5753,,,,,5,,146 050758,01-JAN-15,31-DEC-15,As Submitted,MONTCLAIR HOSPITAL MEDICAL CENTER ,5000 SAN BERNARDINO ,,MONTCLAIR ,CA ,91763 ,SAN BERNARDINO ,,,,629157,,,.4635,,,102,37230,2198,2403,11501,,309.89,,485,562,3226,1002,,,,,, 050760,01-JAN-15,31-DEC-15,Amended,KFH - ANTIOCH ,4501 SAND CREEK ROAD ,,ANTIOCH ,CA ,94531 ,CONTRA COSTA ,24858,,,,,,,49919,18137,138,50370,1363,339,27938,2.15,778.46,,364,64,8187,,,,,,, 050761,01-JAN-15,31-DEC-15,Amended,PROVIDENCE TARZANA MEDICAL CENTER ,18321 CLARK STREET ,,TARZANA ,CA ,91356 ,LOS ANGELES ,,,,2728460,,,.2225,,,249,90885,24268,12784,60624,,1037.87,,4823,3765,13734,,,,,,, 050763,01-JAN-15,31-DEC-15,As Submitted,SILVER LAKE MEDICAL CENTER ,1711 WEST TEMPLE STREET ,,LOS ANGELES ,CA ,92006-5421 ,LOS ANGELES ,46025,,,2441573,,,.4785,39489,2455,211,77015,23288,18232,50560,1.02,565.87,,2761,2274,6061,242,,,,,, 050764,01-JAN-15,31-DEC-15,As Submitted,SHASTA REGIONAL MEDICAL CENTER ,1100 BUTTE STREET ,,REDDING ,CA ,96049 ,SHASTA ,,,,2277003,,,.173,,,246,89790,19097,1095,31933,,709.31,,4176,207,6802,,,,,,, 050765,01-JAN-15,31-DEC-15,Amended,KFH - MORENO VALLEY ,27300 IRIS AVENUE ,,MORENO VALLEY ,CA ,92360- ,RIVERSIDE ,,,,12746,,,.0346,,,99,36493,475,225,14459,.78,269,,160,91,4953,501,,,,,, 050766,01-JAN-15,31-DEC-15,As Submitted,SUTTER-TWIN CITIES SURG. HOSPITAL ,455 PLUMAS BLVD ,,YUBA CITY ,CA ,95991 ,SUTTER ,,,,,,,,,,14,5110,866,,1338,,60.2,,299,,525,,,,,,, 050767,01-JAN-15,31-DEC-15,Amended,KFH - VACAVILLE ,1 QUALITY DRIVE ,,VACAVILLE ,CA ,95688-9494 ,SOLANO ,18600,,,,,,,25934,4636,140,51100,1565,262,26166,1.23,598,,313,41,6461,,,,,,, 050769,01-JUL-15,30-JUN-16,As Submitted,HOAG ORTHOPEDIC INSTITUTE ,16250 SAN CANYON AVENUE ,,IRVINE ,CA ,92618 ,ORANGE ,,,,,,,,,,70,25620,4511,27,10595,,254.21,,1841,10,4662,,,,,,, 050770,01-JAN-15,31-DEC-15,Amended,LLUMC MURRIETA ,28062 BAXTER ROAD ,,MURRIETA ,CA ,92563 ,RIVERSIDE ,,,,481853,,,.0839,,,106,38690,8960,1649,33341,,763.75,,2056,370,8865,874,,,,,, 050771,01-JAN-15,31-DEC-15,Amended,COAST PLAZA HOSPITAL ,13100 STUDEBAKER ,,NORWALK ,CA ,90650- ,LOS ANGELES ,,,,1096567,,,.4756,,,117,42705,5014,2301,13910,,262.35,,884,375,3262,915,,,,,, 050772,01-JAN-15,31-DEC-15,Amended,KFH - ROSEVILLE ,1600 EUREKA ROAD ,,ROSEVILLE ,CA ,95661-3027 ,PLACER ,21456,,,,,,,,,340,122562,2122,4034,80780,8.34,1701,,555,502,19534,2389,,,,,, 050773,01-JUL-15,30-JUN-16,As Submitted,SAN LEANDRO HOSPITAL ,13855 EAST 14TH STREET ,,SAN LEANDRO ,CA ,94578 ,ALAMEDA ,,,,464955,,,.12,,,45,16470,5892,1371,12664,,333.12,,1287,292,3077,,,,,,, 050775,01-JAN-15,31-DEC-15,As Submitted,TEMECULA VALLEY HOSPITAL ,31700 TEMECULA VALLEY HOSPITAL ,,TEMECULA ,CA ,92592 ,RIVER SIDE ,,,,251793,,,.0529,,,140,51100,8755,1560,25364,,518.1,,1828,290,6324,763,,,,,, 050776,01-JAN-15,31-DEC-15,Amended,COLLEGE MEDICAL CENTER ,2776 PACIFIC AVE ,,LONG BEACH ,CA ,90801 ,LOS ANGELES ,700991,,,1584858,,,.7217,378371,116855,221,57305,5369,25082,38780,24.81,562.31,,1019,4388,7428,961,,,,,, 050777,01-JAN-15,31-DEC-15,Amended,KFH - SAN LEANDRO ,2500 MERCED STREET ,,SAN LEANDRO ,CA ,54577 ,ALAMEDA ,4907,,,,,,,20529,9998,206,70858,1381,462,42807,2.68,1071,,264,39,10254,693,,,,,, 050778,21-NOV-14,31-DEC-14,Amended,LOMA LINDA UNIVERSITY CHILDRENS HOSP ,11234 ANDERSON STREET STE 1836 ,2000 ,LOMA LINDA ,CA ,92354 ,SAN BERNARDINO ,,,,1023,,,.482,,,343,15778,4,3119,10726,13.89,181.7,,2,399,1911,,,,,,, 050778,01-JAN-15,31-DEC-15,Amended,LOMA LINDA UNIVERSITY CHILDRENS HOSP ,11234 ANDERSON STREET STE 1836 ,2000 ,LOMA LINDA ,CA ,92354 ,SAN BERNARDINO ,,,,28850,,,.6472,,,343,125195,114,47073,79917,113.46,1047,,26,3930,13994,,,,,,, 050779,30-JUN-15,30-JUN-16,As Submitted,MARTIN LUTHER KING COMMUNITY HOSP ,1680 E 120TH STREET ,,LOS ANGELES ,CA ,90059 ,LOS ANGELES ,,,,818645,,,.5625,,,133,48678,2705,3162,18432,,502.8,,669,767,4819,,,,,,, 050780,24-JUN-15,31-DEC-15,Settled,FOOTHILL REG MEDICAL CENTER ,14662 NEWPORT AVE. ,,TUSTIN ,CA ,92780 ,ORANGE ,,,,,,,,,,135,25785,192,14,1139,,99,,33,40,226,,,,,,, 051300,01-JUL-15,30-JUN-16,As Submitted,EASTERN PLUMAS HEALTH CARE ,500 FIRST AVENUE ,,PORTOLA ,CA ,96122-9406 ,PLUMAS ,,,,,,,,,,9,3294,695,10,938,,119,,96,4,147,,,,,,, 051301,01-JUL-15,30-JUN-16,As Submitted,TEHACHAPI VALLEY HOSITAL DIST. ,115 W. E ST. ,1900 ,TEHACHAPI ,CA ,93561-1900 ,KERN ,,,,,,,,,,25,9150,210,4,5706,,114.76,,35,17,115,,,,,,, 051302,01-JUL-15,30-JUN-16,Settled,SOUTHERN INYO HOSPITAL ,501 E. LOCUST STREET ,,LONE PINE ,CA ,93545- ,INYO CA ,,,,,,,,,,4,1464,3,,14,,26.64,,2,,5,,,,,,, 051303,01-JUL-15,30-JUN-16,As Submitted,SOUTHERN MONO HEALTH CARE DISTRICT ,85 SIERRA PARK ROAD ,660 ,MAMMOTH LAKES ,CA ,93546- ,MONO ,,,,,,,,,,17,6222,337,,1396,,206.75,,124,,675,,,,,,, 051304,01-JUL-15,30-JUN-16,Settled,JOHN C. FREMONT HEALTHCARE DISTRICT ,5189 HOSPITAL ROAD ,216 ,MARIPOSA ,CA ,95338- ,MARIPOSA ,,,,,,,,,,18,6588,1415,2795,4369,,117.45,,117,3,142,,,,,,, 051305,01-JUL-15,30-JUN-16,As Submitted,MAYERS MEMORIAL HOSPITAL ,43563 HIGHWAY 299 EAST ,459 ,FALL RIVER MILLS ,CA ,96028- ,SHASTA ,,,,,,,,,,22,8052,1275,21,2100,,132.49,,151,8,320,,,,,,, 051306,01-JUL-15,30-JUN-16,As Submitted,GLENN MEDICAL CENTER ,1133 WEST SYCAMORE STREET ,,WILLOWS ,CA ,95988- ,GLENN ,,,,,,,,,,15,5490,725,271,1120,,100.16,,121,36,191,,,,,,, 051307,01-JUL-15,30-JUN-16,Settled,CATALINA ISLAND MEDICAL CENTER ,100 FALLS CANYON ROAD ,,AVALON ,CA ,90704 ,LOS ANGELES ,,,,,,,,,,8,2928,222,1,836,,38.14,,11,1,12,,,,,,, 051308,01-JUL-15,30-JUN-16,Settled,SURPRISE VALLEY HEALTH CARE DISTRICT ,MAIN AND WASHINGTON ,246 ,CEDARVILLE ,CA ,96104 ,MODOC ,,,,,,,,,,4,1464,417,89,685,,25.11,,18,5,29,,,,,,, 051309,01-JUL-15,30-JUN-16,Amended,JEROLD PHELPS COMMUNITY HOSPITAL ,733 CEDAR STREET ,,GARBERVILLE ,CA ,95442- ,HUMBOLDT ,,,,,,,,,,9,3294,541,322,1036,,58.34,,8,10,19,,,,,,, 051310,01-JAN-15,31-DEC-15,Settled w/Audit,HOWARD MEMORIAL HOSPITA ,ONE MADRONE STREET ,,WILLITS ,CA ,96594 ,MENDOCINO ,,,,,,,,,,25,9125,3283,322,5536,,231.31,,652,130,1223,,,,,,, 051311,01-JUL-15,30-JUN-16,As Submitted,BIGGS-GRIDLEY MEMORIAL HOSPITAL ,240 SPRUCE STREET ,,GRIDLEY ,CA ,95948- ,BUTTE ,,,,,,,,,,24,8784,2527,115,3413,,137.77,,252,140,421,,,,,,, 051312,01-JUL-15,30-JUN-16,As Submitted,MOUNTAINS COMMUNITY HOSPITAL ,29101 HOSPITAL ROAD ,,LAKE ARROWHEAD ,CA ,92352- ,SAN BERNARDINO ,,,,,,,,,,17,6222,605,286,1599,,118.39,,88,81,332,,,,,,, 051314,01-JUL-15,30-JUN-16,As Submitted,KERN VALLEY HEALTHCARE DISTRICT ,6412 LAUREL AVENUE ,,LAKE ISABELLA ,CA ,93240- ,KERN ,,,,,,,,,,22,8052,1025,194,2527,,131.46,,202,28,532,,,,,,, 051315,01-JAN-15,31-DEC-15,Settled,TRINITY HOSPITAL ,60 EASTER AVENUE ,1229 ,WEAVERVILLE ,CA ,96093- ,TRINITY ,,,,,,,,,,25,9125,1580,,2015,,94.2,,184,,294,,,,,,, 051316,01-JAN-15,31-DEC-15,Settled w/Audit,FAIRCHILD MEDICAL CENTER ,444 BRUCE STREET ,,YREKA ,CA ,96097 ,SISKIYOU ,,,,,,,,,,25,9125,2473,1431,4904,,301.46,,679,384,1476,,,,,,, 051317,01-JAN-15,31-DEC-15,Settled w/Audit,ST. HELENA HOSPITAL CLEARLAKE ,18TH AVENUE & HI-WAY 53 ,6720 ,CLEARLAKE ,CA ,95422 ,LAKE ,,,,,,,,,,25,9125,3200,194,5850,,243.19,,700,90,1440,,,,,,, 051318,01-JUL-15,30-JUN-16,As Submitted,REDWOOD MEMORIAL HOSPITAL ,3300 RENNER DRIVE ,,FORTUNA ,CA ,95440 ,HUMBOLDT ,,,,,,,,,,25,9150,2638,356,5576,,162.89,,471,104,1359,,,,,,, 051319,01-JUL-15,30-JUN-16,As Submitted,MERCY MEDICAL CENTER MT. SHASTA ,914 PINE STREET ,P.O. BOX 238 ,MT. SHASTA ,CA ,96067 ,SISKIYOU ,,,,,,,,,,25,9150,1314,92,2890,,175.1,,427,42,961,233,,,,,, 051320,01-JAN-15,31-DEC-15,Settled,BANNER LASSEN MEDICAL CENTER ,1800 SPRING RIDGE DRVIE ,,SUSANVILLE ,CA ,96130 ,LASSEN ,,,,,,,,,,25,9125,1471,1406,4071,,166.11,,385,356,1082,,,,,,, 051321,01-JAN-15,31-DEC-15,Settled w/Audit,HEALDSBURG DISTRICT HOSPITAL ,1375 UNIVERSITY AVENUE ,,HEALDSBURG ,CA ,95448 ,SONOMA ,,,,,,,,,,25,9125,2734,42,4238,,245.74,,537,15,810,,,,,,, 051323,01-JAN-15,31-DEC-15,Settled,COLORADO RIVER MEDICAL CENTER ,1401 BAILEY AVE. ,,NEEDLES ,CA ,92363 ,SAN BERNARDINO ,,,,,,,,,,25,9125,681,,1441,,77.9,,231,,525,,,,,,, 051324,01-JUL-15,30-JUN-16,Settled,NORTHERN INYO HOSPITAL ,150 PIONEER LANE ,,BISHOP ,CA ,93514 ,INYO ,,,,,,,,,,25,9150,2026,913,4154,,329.68,,426,244,1104,,,,,,, 051325,01-JUL-15,30-JUN-16,As Submitted,MENDOCINO COAST DISTRICT HOSPITAL ,700 RIVER ROAD ,,FORT BRAGG ,CA ,95437- ,MENDOCINO COUNTY CA ,,,,,,,,,,25,9150,3091,164,4697,,203.59,,509,64,1165,,,,,,, 051326,01-JUL-15,30-JUN-16,As Submitted,PLUMAS DISTRICT HOSPITAL CAH ,1065 BUCKS LAKE RD. ,,QUINCY ,CA ,95971- ,PLUMAS ,,,,,,,,,,23,8418,978,353,1618,,107.34,,258,132,531,,,,,,, 051327,01-JUL-15,30-JUN-16,As Submitted,SENECA DISTRICT HOSPITAL ,130 BRENTWOOD DRIVE ,,CHESTER ,CA ,96020- ,PLUMAS CA ,,,,,,,,,,10,3660,629,65,890,,88.61,,133,15,173,,,,,,, 051328,01-JUL-15,30-JUN-16,As Submitted,TAHOE FOREST HOSPITAL ,10121 PINE AVENUE ,759 ,TRUCKEE ,CA ,96160- ,NEVADA ,,,,,,,,,,25,9150,1905,471,5351,,338.31,,559,112,1636,,,,,,, 051329,01-JAN-15,31-DEC-15,Settled w/Audit,SUTTER LAKESIDE HOSPITAL ,5176 HILL ROAD EAST ,,LAKEPORT ,CA ,95453- ,LAKE ,,,,,,,,,,25,9125,3642,267,6517,,247.29,,776,76,1618,,,,,,, 051330,01-JUL-15,30-JUN-16,As Submitted,MODOC MEDICAL CENTER ,228 W. MCDOWELLENTER ,,ALTURAS ,CA ,96101- ,MODOC ,,,,,,,,,,16,5856,625,6,900,,79.01,,90,2,148,,,,,,, 051331,01-JAN-15,31-DEC-15,Settled,SANTA YNEZ VALLEY COTTAGE HOSPITAL ,2050 VIBORG ROAD ,,SOLVANG ,CA ,93463- ,SANTA BARBARA ,,,,,,,,,,11,4015,560,4,783,,66.74,,170,1,243,7,,,,,, 051332,01-JUL-15,30-JUN-16,As Submitted,MARK TWAIN MEDICAL CENTER ,768 MOUNTAIN RANCH ROAD ,,SAN ANDREAS ,CA ,95249 ,CALAVERAS ,,,,,,,,,,25,9150,2389,58,3684,,218.76,,600,23,1027,,,,,,, 051333,01-JAN-15,31-DEC-15,Settled w/Audit,RIDGECREST REGIONAL HOSPITAL ,1081 N. CHINA LAKE RD. ,,RIDGECREST ,CA ,93555- ,KERN ,,,,,,,,,,25,9125,2838,1530,6807,,421.63,,697,409,1834,,,,,,, 051334,01-JAN-15,31-DEC-15,Settled,OJAI VALLEY COMMUNITY HOSPITAL ,1306 MARICOPA HIGHWAY ,,OJAI ,CA ,93023 ,VENTURA ,,,,,,,,,,25,9125,2584,263,3735,,165.85,,307,82,737,,,,,,, 051335,01-JUL-15,30-JUN-16,As Submitted,BEAR VALLEY COMMUNITY HOSPITAL ,41870 GARSTIN DR. ,,BIG BEAR ,CA ,92315 ,SAN BERNARDINO ,,,,,,,,,,9,3294,529,82,788,,98.3,,54,45,150,,,,,,, 051990,01-JAN-15,31-DEC-15,Settled,SUNLAND HOME FOUNDATION ,691 SPARTA DRIVE ,,ENCINITAS ,CA ,92024 ,SAN DIEGO COUNTY ,,,,,,,,,,9,3285,396,,585,,24.21,,18,,26,,,,,,, 051991,01-JUL-15,30-JUN-16,Settled,BROADVIEW INC. ,4570 GRIFFIN AVENUE ,,LOS ANGELES ,CA ,90031-1422 ,LOS ANGELES ,,,,,,,,,,22,8052,415,1008,2461,,17.16,,12,,24,,,,,,, 051993,01-APR-15,31-MAR-16,As Submitted,ARDEN WOOD INC. ,445 WAWONA STREET ,,SAN FRANCISCO ,CA ,94116 ,SAN FRANCISCO ,,,,,,,,,,13,4758,1338,,2196,,32.44,,36,,56,,,,,,, 051994,01-JAN-15,31-DEC-15,Settled,FERN LODGE INC. ,18457 MADISON AVE ,,CASTRO VALLEY ,CA ,94546 ,ALAMEDA ,,,,,,,,,,17,6205,375,4714,5184,,25.01,,9,17,26,,,,,,, 051995,01-JUL-15,30-JUN-16,As Submitted,OLIVE GLEN FOUNDATION ,3015 BECERRA WAY ,,SACRAMENTO ,CA ,95821 ,SACRAMENTO ,,,,,,,,,,5,1830,38,992,1532,,7.57,,2,3,6,,,,,,, 052031,01-SEP-15,31-AUG-16,As Submitted,BARLOW RESPIRATORY HOSPITAL ,2000 STADIUM WAY ,,LOS ANGELES ,CA ,90026-2696 ,LOS ANGELES ,,,,,,,,,,105,38430,16432,,24115,,315.85,,624,,860,,,,,,, 052032,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL LOS ANGELES ,5525 WEST SLAUSON AVENUE ,,LOS ANGELES ,CA ,90056 ,LOS ANGELES ,,,,,,,,,,81,29646,18021,345,28372,,292.8,,570,6,681,31,,,,,, 052033,01-SEP-15,31-AUG-16,Settled,VIBRA HOSPITAL OF SACRAMENTO ,330 MONTROSE DRIVE ,,FOLSOM ,CA ,95630 ,SACRAMENTO ,,,,,,,,,,58,21228,6545,627,15762,,163.13,,223,4,416,75,,,,,, 052034,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSP SAN FRANCISCO BAY AREA ,2800 BENEDICT DRIVE ,,SAN LEANDRO ,CA ,94577 ,ALAMEDA ,,,,,,,,,,99,36234,10629,1985,22745,,236.4,,284,13,484,86,,,,,, 052035,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL WESTMINSTER ,200 HOSPITAL CIRCLE ,,WESTMINSTER ,CA ,92683 ,ORANGE ,,,,,,,,,,109,39894,21782,277,35826,,362.1,,653,3,834,30,,,,,, 052036,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL SAN DIEGO ,1940 EL CAJON BOULEVARD ,,SAN DIEGO ,CA ,92104 ,SAN DIEGO ,,,,,,,,,,70,25620,10263,30,16582,,186.1,,415,3,663,37,,,,,, 052037,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL ONTARIO ,550 NORTH MONTEREY AVENUE ,,ONTARIO ,CA ,91764 ,SAN BERNARDINO ,,,,,,,,,,91,33306,12977,221,26858,,275.8,,477,7,834,165,,,,,, 052038,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL LA MIRADA ,14900 E. IMPERIAL HIGHWAY ,,LA MIRADA ,CA ,90638 ,LOS ANGELES ,,,,,,,,,,216,79056,42158,519,59860,,610.7,,1682,11,2063,147,,,,,, 052039,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL BREA ,875 NORTH BREA BOULEVARD ,,BREA ,CA ,92821 ,ORANGE ,,,,,,,,,,48,17568,8055,750,14720,,172.2,,333,1,444,23,,,,,, 052043,01-JUL-15,30-JUN-16,As Submitted,KENTFIELD REHABILITATION HOSPITAL ,1125 SIR FRANCIS DRAKE BLVD ,,KENTFIELD ,CA ,94904-1455 ,WAYNE ,,,,,,,,,,60,21960,7111,271,19039,,203.21,,210,5,394,86,,,,,, 052044,01-APR-15,31-MAR-16,As Submitted,SAN DIEGO REHAB HOSPITAL ,555 WASHINGTON STREET ,,SAN DIEGO ,CA ,92103 ,SHASTA ,,,,,,,,,,110,40260,10457,107,25420,,252.31,,397,5,871,72,,,,,, 052045,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL BALDWIN PARK ,14148 E. FRANCISQUITO AVENUE ,,BALDWIN PARK ,CA ,91706 ,LOS ANGELES ,,,,,,,,,,91,33306,22440,85,26254,,269.5,,880,4,995,57,,,,,, 052046,01-JUL-15,30-JUN-16,Settled,PROMISE HOSPITAL OF EAST LOS ANGELES ,16453 SOUTH COLORADO AVE ,,PARAMOUNT ,CA ,90723 ,LOS ANGELES ,,,,,,,,,,213,77958,38771,1057,52435,,693.85,,1533,14,1818,91,,,,,, 052047,01-JAN-15,31-DEC-15,Settled,NORTHERN CALIFORNIA REHAB HOSPITAL ,2801 EUREKA WAY ,,REDDING ,CA ,96001 ,SHASTA ,,,,,,,,,,56,20440,13475,,17029,,184.32,,502,,626,69,,,,,, 052049,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL RANCHO ,10841 WHITE OAK AVENUE ,,RANCHO CUCAMONGA ,CA ,91730 ,SAN BERNARDINO ,,,,,,,,,,55,20130,10115,142,18852,,221.4,,381,8,675,62,,,,,, 052050,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL SOUTH BAY ,1246 W. 155TH STREET ,,GARDENA ,CA ,90247 ,LOS ANGELES ,,,,,,,,,,84,20454,13842,32,16095,,183.9,,555,2,629,35,,,,,, 052051,01-JAN-15,31-DEC-15,Settled,PROMISE HOSPITAL OF SAN DIEGO ,5550 UNIVERSITY AVENUE ,,SAN DIEGO ,CA ,92105 ,SAN DIEGO ,,,,,,,,,,57,20805,7308,1254,12203,,212.21,,282,33,424,65,,,,,, 052052,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL RIVERSIDE ,2224 MEDICAL CENTER DRIVE ,,PERRIS ,CA ,92571 ,RIVERSIDE ,,,,,,,,,,40,14640,4931,2043,11868,,131.5,,159,57,361,50,,,,,, 052054,01-MAY-15,30-APR-16,As Submitted,MONROVIA MEMORIAL HOSPITAL ,323 SOUTH HELIOTROPE AVENUE ,,MONROVIA ,CA ,91016 ,LOS ANGELES ,,,,,,,,,,49,17934,11958,19,12696,,169.29,,456,1,759,,,,,,, 052055,01-JAN-15,31-DEC-15,As Submitted,CENTRAL VALLEY SPECIALTY HOSPITAL ,730 17TH STREET ,,MODESTO ,CA ,95354-1209 ,STANISLAUS ,,,,,,,,,,96,35040,10489,29,31241,,336.27,,431,1,905,,,,,,, 053027,01-APR-15,31-MAR-16,As Submitted,CASA COLINA HOSPITAL FOR REHAB MED ,255 E BONITA ,6001 ,POMONA ,CA ,91769-6001 ,LOS ANGELES ,,,,,,,,,,68,24888,10446,637,22122,,415.56,,755,23,1376,,,,,,, 053031,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH BAKERSFIELD REHABILITATI ,5001 COMMERCE DRIVE ,,BAKERSFIELD ,CA ,93309-0000 ,KERN ,,,,,,,,,,66,24090,12019,841,20982,,206.09,,1018,61,1781,333,,,,,, 053032,01-JAN-15,31-DEC-15,As Submitted,SAN JOAQUIN VALLEY REHAB HOSPITAL ,7173 N. SHARON AVENUE ,,FRESNO ,CA ,93720 ,FRESNO ,,,,,,,,,,62,22630,13218,183,17728,,266.42,,1237,29,1630,43,,,,,, 053034,01-JAN-15,31-DEC-15,Settled,HEALTHSOUTH TUSTIN REHABILITATION HO ,14851 YORBA STREET ,,TUSTIN ,CA ,92780 ,ORANGE ,,,,,,,,,,48,17520,9400,44,14486,,141.79,,847,3,1285,74,,,,,, 053037,01-JUL-15,30-JUN-16,Settled,SAN BERNARDINO - BALLARD REHAB HOSPI ,1760 WEST 16TH STREET ,,SAN BERNARDINO ,CA ,92411 ,SAN BERNARDINO ,,,,,,,,,,60,21960,4489,2882,15502,,171.02,,372,184,1004,230,,,,,, 053038,24-APR-15,31-DEC-15,Settled,TOTALLY KIDS REHABILITATION HOSPITAL ,1720 MOUNTAIN VIEW AVE ,,LOMA LINDA ,CA ,92354 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 053300,01-OCT-14,30-SEP-15,Settled,VALLEY CHILDRENS HOSPITAL ,9300 VALLEY CHILDRENS PLACE ,,MADERA ,CA ,93636 ,MADERA ,,,,,,,,,351,356,129940,54,42418,75956,29.3,2175.6,,15,5956,13694,,,,,,, 053301,01-JAN-15,30-JUN-15,Settled,CHILDRENS HOSP & RES CNTR OAKLAND ,747 52ND STREET ,,OAKLAND ,CA ,94609-1809 ,ALAMEDA ,,,,,,,,,10615,190,34390,41,,26470,41.35,2239.49,,14,,5531,,,,,,, 053301,01-JUL-15,30-JUN-16,As Submitted,CHILDRENS HOSP & RES CNTR OAKLAND ,747 52ND STREET ,,OAKLAND ,CA ,94609-1809 ,ALAMEDA ,,,,,,,,,22628,190,69350,147,,45768,92.67,2277.82,,27,,9271,,,,,,, 053302,01-JUL-15,30-JUN-16,Settled,CHILDRENS HOSPITAL LOS ANGELES ,4650 SUNSET BOULEVARD ,MAIL STOP #21 ,LOS ANGELES ,CA ,90027 ,UNITED STATES ,,,,,,,,,18005,357,130662,334,65211,105966,205.96,4402.04,,54,8139,16298,,,,,,, 053303,01-JUL-15,30-JUN-16,Settled,RADY CHILDRENS HOSPITAL - SAN DIEGO ,3020 CHILDRENS WAY ,,SAN DIEGO ,CA ,92123 ,SAN DIEGO ,,,,,,,,,1642,386,141276,302,40479,95108,111.34,3179,,56,6861,19180,3584,,,,,, 053304,01-JUL-15,30-JUN-16,As Submitted,CHILDRENS HOSPITAL OF ORANGE COUNT ,1201 W. LA VETA AVENUE ,,ORANGE ,CA ,92868-3874 ,ORANGE ,,,,,,,,,582,279,102114,136,33786,66021,77.05,2517.5,,16,5845,11999,,,,,,, 053305,01-SEP-15,31-AUG-16,As Submitted,LUCILE PACKARD CHILDRENS HOSPITAL ,725 WELCH ROAD ,,PALO ALTO ,CA ,94304 ,SANTA CLARA ,,,,,,,,,5619,302,110532,414,29405,92738,179.97,3138,,53,3922,13145,,,,,,, 053306,01-JUL-15,30-JUN-16,Settled,CHILDRENS HOSPITAL AT MISSION ,27700 MEDICAL CENTER DRIVE ,,MISSION VIEJO ,CA ,92691 ,ORANGE ,,,,,,,,,,54,19764,1,2317,8049,,94.3,,1,423,2144,,,,,,, 053308,01-SEP-15,31-AUG-16,Settled,HEALTHBRIDGE CHILDRENS ACUTE ,393 EAST TUSTIN STREET ,,ORANGE ,CA ,92866 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 053309,01-JUL-15,30-JUN-16,As Submitted,MILLER CHILDRENS HOSPITAL ,2801 ATLANTIC AVENUE ,,LONG BEACH ,CA ,90806 ,LOS ANGELES ,,,,,,,,,3024,355,134786,112,36906,80122,52.84,1814.82,,28,4930,15599,8326,,,,,, 053310,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITAL FOR CRIPPLED CHILD ,3160 GENEVA ST. ,,LOS ANGELES ,CA ,90020-1199 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 053311,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITAL FOR CHILDREN NORTH ,2425 STOCKTON BLVD ,,SACRAMENTO ,CA ,95817 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 054009,01-JUL-15,30-JUN-16,As Submitted,RESNICK NEUROPSYCHIATRIC HOSPITAL AT ,150 UCLA MEDICAL PLAZA ,,LOS ANGELES ,CA ,90095 ,LOS ANGELES ,,,,,,,,,88229,74,27084,6103,3896,25477,58.81,333.2,,315,217,1774,,,,,,, 054028,01-JUL-15,30-JUN-16,Settled,GATEWAYS HOSPITAL & MENTAL HEALTH ,1891 EFFIE STREET ,,LOS ANGELES ,CA ,90026 ,LOS ANGELES ,,,,,,,,,,110,40150,,,11890,,257.15,,,,759,,,,,,, 054032,01-FEB-15,31-JAN-16,Settled,ALHAMBRA ,4619 ROSEMEAD BLVD ,,ROSEMEAD ,CA ,91770 ,LOS ANGELES ,,,,,,,,,,97,35405,3414,7436,31889,,205.16,,329,1215,4974,,,,,,, 054053,01-JAN-15,31-DEC-15,Settled,DEL AMO HOSPITAL ,23700 CAMINO DEL SOL ,,TORRANCE ,CA ,90503 ,LOS ANGELES ,,,,,,,,,,166,60590,10436,6571,44883,,271.9,,775,895,6244,,,,,,, 054055,01-JAN-15,31-DEC-15,Settled,COLLEGE HOSPITAL INC ,18082 COLLEGE PLACE ,,CERRITOS ,CA ,90703 ,LOS ANGELES ,,,,,,,,,,187,68255,10837,2955,62896,,590.94,,962,539,6151,,,,,,, 054069,01-JAN-15,31-DEC-15,Settled,AURORA CHARTER OAK BHS ,1161 E COVINA BLVD ,,COVINA ,CA ,91724-1523 ,LOS ANGELES ,,,,,,,,,,134,48910,12021,5216,46410,,340.95,,1017,924,6410,,,,,,, 054074,01-JAN-15,31-DEC-15,Settled,ST. HELENA CENTER FOR BEHAVARIOL HEA ,525 OREGON STREET ,,VALLEJO ,CA ,95490 ,SOLANO ,,,,,,,,,,61,22265,6024,4309,20829,,138.24,,533,491,2452,,,,,,, 054075,05-DEC-14,31-DEC-15,Settled,ALVARADO PARKWAY INSTITUTE ,7050 PARKWAY DRIVE ,,LA MESA ,CA ,91942- ,SAN DIEGO ,,,,,,,,,,66,25806,11687,915,22020,,231,,1106,120,2564,,,,,,, 054077,01-JAN-15,31-DEC-15,Settled,AURORA VISTA DEL MAR BHS ,801 SENECA AVENUE ,,VENTURA ,CA ,93001 ,VENTURA ,,,,,,,,,,87,31755,4564,4049,23543,,184.71,,459,638,3316,,,,,,, 054078,01-JAN-15,31-DEC-15,Settled,AURORA LAS ENCINAS BHS ,2900 EAST DEL MAR BLVD ,,PASADENA ,CA ,91107 ,LOS ANGELES ,,,,,,,,,,118,43070,6809,659,28211,,239.47,,834,162,5350,,,,,,, 054083,01-JUL-15,30-JUN-16,Settled,KEDREN COMMUNITY MENTAL HEALTH ,4211 SOUTH AVALON BLVD ,,LOS ANGELES ,CA ,90011 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 054087,01-JAN-15,31-DEC-15,Settled,SIERRA VISTA ,8001 BRUCEVILLE ROAD ,,SACRAMENTO ,CA ,95823 ,SACRAMENTO ,,,,,,,,,,120,43800,5553,15114,40709,,233.63,,493,1866,4994,,,,,,, 054089,01-JUL-15,30-JUN-16,Settled,JEWISH HOME FOR THE AGED ,302 SILVER AVENUE ,,SAN FRANCISCO ,CA ,94112- ,SAN FRANCISCO ,,,,,,,,,,13,4758,3343,2,3964,,182.88,,152,1,180,,,,,,, 054093,01-JAN-15,31-DEC-15,Settled,LLU BEHAVIORAL MEDICINE CENTER ,1710 BARTON ROAD ,,REDLANDS ,CA ,92373 ,SAN BERNARDINO ,,,,,,,,,7876,89,32485,1705,9328,25552,8.47,263.08,,197,1938,4645,,,,,,, 054095,01-JAN-15,31-DEC-15,Settled,AURORA SAN DIEGO BEHAVIORAL ,11878 AVENUE OF INDUSTRY ,,SAN DIEGO ,CA ,92128-3423 ,SAN DEIGO ,,,,,,,,,,80,29200,2504,1532,25383,,187.93,,237,281,3271,,,,,,, 054096,01-JAN-15,31-DEC-15,Settled,SUTTER CENTER FOR PSYCHIATRY ,7700 FOLSOM BLVD ,,SACRAMENTO ,CA ,95826- ,SACRAMENTO ,,,,,,,,,,73,26645,4087,,20105,,168.45,,390,,2855,,,,,,, 054104,01-FEB-15,31-JAN-16,As Submitted,HERITAGE OAKS HOSPITAL ,4250 AUBURN BLVD ,,SACRAMENTO ,CA ,95841 ,SACRAMENTO ,,,,,,,,,,125,45625,10350,5919,39701,,229.6,,815,1564,4071,,,,,,, 054110,01-AUG-15,31-JUL-16,As Submitted,FREMONT HOSPITAL ,39001 SUNDALE DRIVE ,,FREMONT ,CA ,94538 ,ALAMEDA ,,,,,,,,,,148,54168,7665,5047,41199,,255.8,,679,721,5551,,,,,,, 054111,01-FEB-15,31-JAN-16,As Submitted,CANYON RIDGE HOSPITAL ,5353 G STREET ,,CHINO ,CA ,91710 ,SAN BERNARDINO ,,,,,,,,,,106,38690,3642,5026,31323,,192.45,,344,1086,5525,,,,,,, 054114,01-JUL-15,30-JUN-16,Settled,SAN DIEGO COUNTY PSYCHIATRIC HOSPITA ,3853 ROSECRANS STREET ,,SAN DIEGO ,CA ,92110 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 054122,01-JUL-15,30-JUN-16,Settled,NAPA STATE HOSPITAL ,2100 NAPA-VALLEJO HIGHWAY ,,NAPA ,CA ,94558-6293 ,NAPA COUNTY ,,,,,,,,,,151,55266,9,,8466,,209.5,,1,13,14,,,,,,, 054123,01-JUL-15,31-MAY-16,As Submitted,ST. JOSEPHS BEHAVIORAL HLTH CENTER ,2510 NORTH CALIFORNIA STREET ,,STOCKTON ,CA ,95204 ,SAN JOAQUIN ,,,,,,,,,,35,11760,4902,,11199,,101.75,,613,,1745,,,,,,, 054124,01-JUL-15,30-JUN-16,As Submitted,HUMBOLDT COUNTY - SEMPREVIRENS ,720 WOOD STREET ,,EUREKA ,CA ,99410 ,HUMBOLDT ,,,,,,,,,,16,5856,505,,4216,,238.49,,153,,650,,,,,,, 054125,01-JUL-15,30-JUN-16,As Submitted,SANTA BARBARA COUNTY MENTAL HEALTH ,300 NORTH SAN ANTONIO ROAD ,,SANTA BARBARA ,CA ,93110 ,SANTA BARBARA ,,,,,,,,,,16,5856,408,1937,5764,,45.6,,54,275,438,,,,,,, 054130,01-JAN-15,31-DEC-15,Settled,PACIFIC GROVE HOSPITAL ,5900 BROCKTON AVE ,,RIVERSIDE ,CA ,92506 ,RIVERSIDE ,,,,,,,,,,68,24820,1764,,7881,,66.31,,209,,1321,,,,,,, 054131,01-JAN-15,31-DEC-15,Settled,JOHN MUIR BEHAVIORAL HEALTH ,2740 GRANT STREET ,,CONCORD ,CA ,94520 ,CONTRA COSTA ,,,,,,,,,,73,26645,2713,,18980,,196.74,,336,,3222,,,,,,, 054133,01-JUL-15,30-JUN-16,As Submitted,METROPOLITAN STATE HOSPITAL ,11400 SO. NORWALK BLVD. ,,NORWALK ,CA ,90650 ,LOS ANGELES ,,,,,,,,,,1004,367464,,,227519,,1165.7,,1,637,639,,,,,,, 054135,01-MAY-15,30-APR-16,Settled,NEWPORT BAY HOSPITAL ,1501 E. 16TH STREET ,,NEWPORT BEACH ,CA ,92263 ,ORANGE ,,,,,,,,,,36,13176,10368,,11667,,21.3,,811,,915,,,,,,, 054144,01-JUL-15,30-JUN-16,Reopened,LANGLEY PORTER PSYCHIATRIC HOSPITAL ,405 PARNASUS ,,SAN FRANCISCO ,CA ,94143-0824 ,SAN FRANCISCO ,,,,,,,,,293481,67,24522,2504,690,6355,30.5,115.56,,180,72,576,20,,,,,, 054145,01-OCT-14,30-SEP-15,Settled,SHARP MESA VISTA HOSPITAL ,7850 VISTA HILL AVE ,,SAN DIEGO ,CA ,92123- ,SAN DIEGO ,,,,,,,,,,158,56410,8401,2719,41758,,503,,622,429,5031,2,,,,,, 054146,01-JUL-15,30-JUN-16,As Submitted,TELECARE HERITAGE PHF ,2633 EAST 27TH STREET ,,OAKLAND ,CA ,94601 ,ALAMEDA ,,,,,,,,,,26,9516,269,,8094,,65.43,,22,,1375,,,,,,, 054147,01-SEP-15,31-AUG-16,As Submitted,JOYCE EISENBERG KEEFER MEDICAL CTR ,7150 TAMPA AVENUE ,,RESEDA ,CA ,91335 ,LOS ANGELES ,,,,,,,,,,10,3660,404,,2978,,21.82,,29,,144,,,,,,, 054148,01-JAN-15,31-DEC-15,Settled,PSYCHIATRIC ,18646 OXNARD ST ,,TARZANA ,CA ,91356 ,USA ,,,,,,,,,,4,1460,861,,861,,47,,147,,147,,,,,,, 054149,01-JUL-15,30-JUN-16,Settled,WILLOW ROCK CENTER ,22050 FAIRMONT DRIVE ,,SAN LEANDRO ,CA ,94578 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 054150,01-JAN-15,31-DEC-15,Settled,KAISER PERMANENTE PSYCHIATRIC HEALTH ,3840 HOMESTEAD ROAD ,,SANTA CLARA ,CA ,95051 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 054151,01-JAN-15,31-DEC-15,Settled,AURORA SANTA ROSA BEHAVIORAL HEALTH ,1287 FULTON ROAD ,,SANTA ROSA ,CA ,95401 ,SONOMA ,,,,,,,,,,95,34675,8228,3337,18771,,166.98,,659,363,1932,,,,,,, 054152,01-JUL-15,30-JUN-16,As Submitted,TELECARE SANTA CRUZ PHF ,2250 SOQUEL AVE SUITE 150 ,,SANTA CRUZ ,CA ,95062 ,SANTA CRUZ ,,,,,,,,,,16,5856,1371,2572,4968,,35.75,,122,319,512,,,,,,, 054153,01-JAN-15,31-DEC-15,Settled,OCEAN VIEW PSYCHIATRIC FACILITY ,2600 REDONDO AVENUE ,,LONG BEACH ,CA ,90806 ,LOS ANGELES ,,,,,,,,,,20,7300,516,,5652,,32.33,,79,,870,,,,,,, 060001,01-JAN-15,31-DEC-15,As Submitted,NORTH COLORADO MEDICAL CENTER ,1801 16TH STREET ,,GREELEY ,CO ,80631 ,WELD ,1788489,,,1804956,,,.2236,992329,533857,255,93075,14904,15301,44312,29.47,1593.04,,3427,3206,10990,,,,,,, 060003,01-JAN-15,31-DEC-15,As Submitted,LONGMONT UNITED HOSPITAL ,1950 WEST MOUNTAIN VIEW AVENUE ,,LONGMONT ,CO ,80501-3129 ,BOULDER ,,,,555895,,,.1289,,,125,45625,10075,6861,27866,,1013.9,,2159,2196,6552,15,,,,,, 060004,01-JAN-15,31-DEC-15,As Submitted,PLATTE VALLEY MEDICAL CENTER ,1600 PRAIRIE CENTER PARKWAY ,,BRIGHTON ,CO ,80601 ,ADAMS ,,,,172676,,,.12,,,89,32485,2570,3526,10291,,517.61,,703,1014,2984,12,,,,,, 060006,01-JAN-15,31-DEC-15,Amended,MONTROSE MEMORIAL HOSPITAL ,800 S THIRD ,,MONTROSE ,CO ,81401 ,MONTROSE ,,,,246083,,,.12,,,50,18250,4002,542,8739,,493.95,,1142,234,2728,776,,,,2,,195 060008,01-JUL-15,30-JUN-16,Amended,SAN LUIS VALLEY REG MED CENTER ,106 BLANCA AVENUE ,,ALAMOSA ,CO ,81101- ,ALAMOSA ,,,,131105,,,.12,,,49,17934,2456,1972,6653,.68,475.45,,609,741,1973,,,,,,, 060009,01-JAN-15,31-DEC-15,As Submitted,LUTHERAN MEDICAL CENTER ,8300 WEST 38TH AVE ,,WHEAT RIDGE ,CO ,80033 ,JEFFERSON ,,,,1197849,,,.1734,,,268,97820,12103,12102,47482,,1281.88,,2937,2597,12523,,,,464,,2717, 060010,01-JUL-15,30-JUN-16,Amended,POUDRE VALLEY HOSPITAL ,1024 S. LEMAY AVENUE ,,FT. COLLINS ,CO ,80524 ,LARIMER ,1908739,,,1308879,,,.1189,356908,279258,190,69540,16610,12171,49777,18.58,1749.12,,4817,2289,12716,25,400,,90,,1616, 060011,01-JAN-15,31-DEC-15,As Submitted,DENVER HEALTH MEDICAL CENTER ,777 BANNOCK STREET ,40411 ,DENVER ,CO ,80204-4507 ,DENVER ,3177449,,,2033984,,,.556,1385613,834654,342,124830,9025,43108,96180,213.48,5144.18,,1415,12275,18770,,,,888,82,1810,124 060012,01-JUL-15,30-JUN-16,As Submitted,ST MARY CORWIN MEDICAL CENTER ,1008 MINNEQUA AVENUE ,,PUEBLO ,CO ,81004 ,PUEBLO ,1105044,,,972162,,,.2071,716355,474240,128,46848,9261,7501,24335,14.4,1044.13,,2121,1665,5836,7,,,,34,,199 060013,01-JUL-15,30-JUN-16,As Submitted,MERCY REGIONAL MEDICAL CENTER ,1010 THREE SPRINGS BLVD. ,18 ,DURANGO ,CO ,81301- ,DURANGO ,,,,506137,,,.12,,,82,30012,6089,3825,15436,,887.86,,1564,839,4228,136,,,,,, 060014,01-SEP-15,31-AUG-16,Amended,PRESBYTERIAN ST LUKES MEDICAL CTR ,1719 E 19TH AVENUE ,,DENVER ,CO ,80218 ,DENVER ,1077798,,,1742535,,,.2885,646516,169257,358,129560,11922,25264,80236,32.18,1419.08,,1908,2848,10500,241,,,,,, 060015,01-JUL-15,30-JUN-16,As Submitted,ST ANTHONY HOSPITAL ,11600 W. 2ND PLACE ,,LAKEWOOD ,CO ,80228 ,DENVER ,293869,,,1118651,,,.1267,56082,18630,200,75030,16039,8698,57353,5.09,1502.38,,3293,1365,11298,1129,,,,141,,502 060016,01-JUL-15,30-JUN-16,As Submitted,ST THOMAS MORE HOSPITAL ,1338 PHAY ,,CANON CITY ,CO ,81212 ,FREMONT ,,,,154300,,,.12,,,25,9150,2661,1586,6115,,367.31,,691,450,1712,7,,,,,, 060020,01-JUL-15,30-JUN-16,As Submitted,PARKVIEW MEDICAL CENTER ,400 W. 16TH STREET ,,PUEBLO ,CO ,81003- ,PUEBLO ,3533448,,,2509210,,,.2129,1185150,312928,272,95318,29616,18459,72831,43.06,2270.67,,5228,3656,13768,479,353,,96,46,1032,309 060022,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL HEALTH SYSTEM ,1400 EAST BOULDER STREET ,,COLORADO SPRINGS ,CO ,80909-5533 ,EL PASO ,,,,4328934,,,.279,,,592,216672,26849,39125,109108,,2824.13,,6979,7944,21252,,,,,,,545 060023,01-JAN-15,31-DEC-15,As Submitted,ST. MARYS HOSPITAL & MEDICAL CENTER ,2635 NORTH 7TH STREET ,1628 ,GRAND JUNCTION ,CO ,81502-1628 ,MESA ,1431085,,,1501664,,,.12,882849,338425,252,91980,24275,9454,59804,22.07,1615.08,,4642,1304,12240,,,,,22,,397 060024,01-JUL-15,30-JUN-16,Amended,UNIVERSITY OF CO HOSPITAL ,12606 E 16TH AVENUE ,,AURORA ,CO ,80045 ,ADAMS ,25083195,,,6040433,,,.2405,4185634,3579561,608,209404,46799,58712,175346,376.04,4904.42,,8651,8359,30799,340,,,,4,,271 060027,01-JAN-15,31-DEC-15,Amended,BOULDER COMMUNITY HOSPITAL ,4747 ARAPAHOE AVENUE ,9019 ,BOULDER ,CO ,80303 ,BOULDER ,,,,418960,,,.0607,,,139,50735,11408,5167,28789,.49,1724.01,,2855,1387,8735,,,,187,32,569,221 060028,01-JAN-15,31-DEC-15,As Submitted,SAINT JOSEPH HOSPITAL ,1375 EAST 19TH AVENUE ,,DENVER ,CO ,80218 ,DENVER ,1637596,,,487961,,,.1249,2699277,789062,356,129940,7306,17233,89000,101.57,2046.7,,1349,3265,18487,81,,,,,, 060030,01-JAN-15,31-DEC-15,As Submitted,MCKEE MEDICAL CENTER ,2000 BOISE AVENUE ,,LOVELAND ,CO ,80538 ,LARIMER ,,,,327186,,,.1558,,,115,41975,3210,4052,13171,,572.79,,1063,1258,4858,,,,,,, 060031,01-JUL-15,30-JUN-16,As Submitted,PENROSE/ST. FRANCIS HEALTHCARE ,2222 N. NEVADA ,,COLORADO SPRINGS ,CO ,80933 ,EL PASO ,416769,,,2028476,,,.1209,138995,67541,411,149719,25860,21678,89933,7.86,2669.62,,7156,3844,22669,60,,,,42,,435 060032,01-JAN-15,31-DEC-15,Amended,ROSE MEDICAL CENTER ,4567 EAST NINTH AVENUE ,,DENVER ,CO ,80220 ,DENVER ,1475220,,,921881,,,.1391,613053,237355,183,76372,10477,9299,49007,26.85,960.8,,2658,,11546,,,,,,, 060034,01-OCT-14,30-SEP-15,Amended,SWEDISH MEDICAL CENTER ,501 EAST HAMPDEN AVENUE ,,ENGLEWOOD ,CO ,80113- ,ARAPAHOE ,1451174,,,1488101,,,.1188,572133,120054,324,123422,25824,21865,94215,17.47,1796.53,,5154,4849,19745,196,,,,,,354 060036,01-APR-15,31-MAR-16,As Submitted,ARKANSAS VALLEY REGL MED CTR ,1100 CARSON AVENUE ,,LA JUNTA ,CO ,81050 ,LAS ANIMAS ,,,,114757,,,.12,,,45,16470,2018,1098,3495,,272.29,,577,487,1177,,,,,,, 060043,01-JAN-15,01-APR-15,Settled,KEEFE MEMORIAL HOSPITAL ,602 NORTH 6TH STREET WEST ,,CHEYENNE WELLS ,CO ,80810 ,CHEYENNE ,,,,,,,,,,11,1001,31,5,74,,46.29,,8,2,12,,,,,,, 060043,02-APR-15,31-DEC-15,As Submitted,KEEFE MEMORIAL HOSPITAL ,602 NORTH 6TH STREET WEST ,,CHEYENNE WELLS ,CO ,80810 ,CHEYENNE ,,,,,,,,,,11,3014,44,11,212,,38.15,,15,8,52,,,,,,, 060044,01-NOV-14,31-OCT-15,As Submitted,COLORADO PLAINS MEDICAL CENTER ,1000 LINCOLN STREET ,,FORT MORGAN ,CO ,80701 ,MORGAN ,,,,76897,,,.12,,,36,13140,1220,1305,3626,,280.25,,418,753,1355,,,,,,204, 060049,01-OCT-14,30-SEP-15,Settled,YAMPA VALLEY MEDICAL CENTER ,1024 CENTRAL PARK DRIVE ,,STEAMBOAT SPRINGS ,CO ,80487 ,ROUTT ,,,,,,,,,,39,14235,1422,977,4797,,397.22,,460,239,1449,,,,,,, 060054,01-MAY-15,30-APR-16,As Submitted,COMMUNITY HOSPITAL ,2021 NORTH 12TH STREET ,,GRAND JUNCTION ,CO ,81501 ,MESA ,,,,102952,,,.0489,,,45,15462,4026,418,7252,,604.83,,1009,81,2141,293,,,,,, 060064,01-JUL-15,30-JUN-16,Amended,PORTER ADVENTIST HOSPITAL ,2525 SOUTH DOWNING STREET ,,DENVER ,CO ,80210 ,DENVER ,,,,468318,,,.0526,,,179,65514,12206,2330,32352,,1286.43,,2919,935,8135,,,,95,40,1668,243 060065,01-JAN-15,31-DEC-15,Amended,NORTH SUBURBAN MEDICAL CENTER ,9191 GRANT ,,THORNTON ,CO ,80229 ,ADAMS ,11773,,,735943,,,.2683,6912,2249,127,46355,5899,10077,29326,.25,664.42,,1322,2408,7037,1160,,,,,, 060071,01-JAN-15,31-DEC-15,Settled,DELTA COUNTY MEMORIAL HOSPITAL ,1501 E. 3RD ST. ,,DELTA ,CO ,81416 ,DELTA ,,,,,,,,,,49,17885,2648,1096,5347,,407.98,,854,593,1763,,,,,,, 060075,01-JAN-15,31-DEC-15,Amended,VALLEY VIEW HOSPITAL ,1906 BLAKE ,,GLENWOOD SPRINGS ,CO ,81601- ,GARFIELD ,,,,248493,,,.12,,,49,17885,3448,4764,13267,,861.17,,960,803,3639,,,,,,, 060076,01-JAN-15,31-DEC-15,Amended,STERLING REGIONAL MEDCENTER ,615 FAIRHURST STREET ,,STERLING ,CO ,80751- ,LOGAN ,,,,105214,,,.12,,,25,9125,1797,928,3795,,186.67,,537,242,1228,,,,,,, 060096,01-NOV-14,31-OCT-15,As Submitted,VAIL VALLEY MEDICAL CENTER ,181 WEST MEADOW DRIVE ,,VAIL ,CO ,81657- ,EAGLE ,,,,75377,,,.082,,,56,20440,1253,1283,6293,,637.76,,351,270,1752,,,,,,, 060100,01-JAN-15,31-DEC-15,Amended,THE MEDICAL CENTER OF AURORA ,1501 SOUTH POTOMAC ST ,,AURORA ,CO ,80012- ,ARAPAHOE ,45984,,,1603470,,,.1876,60960,15163,303,110595,19486,15811,71933,3.2,1348.6,,3696,3255,14625,553,79,,,,278, 060103,01-JUL-15,30-JUN-16,As Submitted,AVISTA ADVENTIST HOSPITAL ,100 HEALTH PARK DRIVE ,,LOUISVILLE ,CO ,80027 ,BOULDER ,,,,258063,,,.1814,,,114,31476,2057,5217,17034,,528.5,,601,1178,4225,17,,,,,, 060104,01-JUL-15,30-JUN-16,As Submitted,ST ANTHONY NORTH HEALTH CAMPUS ,14300 ORCHARD PKWY ,,WESTMINSTER ,CO ,80023 ,ADAMS ,1446795,,,341636,,,.12,464969,305605,105,35870,4425,7185,20699,25.56,790.89,,1202,1926,5772,40,,,,,, 060107,01-JUL-15,30-JUN-16,As Submitted,NATIONAL JEWISH HEALTH ,1400 JACKSON ST ,,DENVER ,CO ,80206- ,DENVER ,,,,,,,,,,24,8784,,32,69,8.64,1559,,,21,37,2,,,,,, 060112,01-JUL-15,30-JUN-16,Amended,SKY RIDGE MEDICAL CENTER ,10101 RIDGEGATE PARKWAY ,,LONE TREE ,CO ,80124 ,DOUGLAS ,1683187,,,,,,,667647,187103,275,100316,11817,6379,57522,25.65,1467.63,,3056,2944,15260,,,,,,, 060113,01-JUL-15,30-JUN-16,As Submitted,LITTLETON ADVENTIST HOSPITAL ,7700 SOUTH BROADWAY ,,LITTLETON ,CO ,80122 ,ARAPAHOE ,,,,190368,,,.0326,,,184,67344,11202,5422,38497,,1021.98,,2565,973,8887,51,,,,42,,372 060114,01-JUL-15,30-JUN-16,As Submitted,PARKER ADVENTIST HOSPITAL ,9395 CROWN CREST BLVD ,,PARKER ,CO ,80138 ,DOUGLAS ,,,,342588,,,.0699,,,167,57756,8361,4136,32492,,999.11,,1932,1107,7824,,,,,,, 060116,01-JAN-15,31-DEC-15,As Submitted,GOOD SAMARITAN MEDICAL CTR ,200 EXEMPLA CIRCLE ,,LAFAYETTE ,CO ,80026- ,BOULDER ,,,,,,,,,,215,78475,5065,4636,50072,,1109.71,,1182,1199,12438,11,,,,,, 060117,01-JAN-15,31-DEC-15,As Submitted,ANIMAS SURGICAL HOSPITAL ,575 RIVERGATE ,,DURANGO ,CO ,81301- ,LA PLATA ,,,,,,,,,,12,4380,495,63,866,,99.79,,217,32,409,,,,,,, 060118,01-JUL-15,30-JUN-16,As Submitted,ST ANTHONY SUMMIT MEDICAL CENTER ,340 PEAK ONE DR ,,FRISCO ,CO ,80443 ,SUMMIT ,,,,46897,,,.12,,,34,12444,607,963,3614,,274.22,,205,279,1193,12,,,,,, 060119,01-JUL-15,30-JUN-16,Amended,MEDICAL CENTER OF THE ROCKIES ,2500 ROCKY MOUNTAIN AVENUE ,,LOVELAND ,CO ,80538 ,LARIMER ,,,,567784,,,.0464,,,156,56588,17726,7310,44685,,583,,4162,1458,11434,10,,,,11,,379 060124,01-JUL-15,30-JUN-16,As Submitted,ORTHOCOLORADO HOSPITAL ,11650 WEST 2ND PLACE ,,LAKEWOOD ,CO ,80228 ,JEFFERSON ,,,,,,,,,,48,17568,1550,,5051,,144.03,,802,,2786,,,,,,, 060125,01-JUL-15,30-JUN-16,As Submitted,CASTLE ROCK ADVENTIST HOSPITAL ,2350 MEADOWS BOULEVARD ,,CASTLE ROCK ,CO ,80109 ,DOUGLAS ,,,,80036,,,.0582,,,53,19398,2033,1573,9131,,376.88,,600,386,2598,13,,,,,, 060126,12-MAY-15,31-DEC-15,Settled w/Audit,BANNER FORT COLLINS MEDICAL CENTER ,4700 LADY MOON DRIVE ,,FORT COLLINS ,CO ,80528 ,LARIMER ,,,,13511,,,.12,,,22,5126,143,364,1168,,155.16,,56,101,407,,,,,,, 061300,01-JAN-15,31-DEC-15,Settled,WEISBROD MEMORIAL COUNTY HOSPITAL ,1208 LUTHER ,,EADS ,CO ,81036 ,KIOWA ,,,,,,,,,,25,9125,378,4080,6321,,53.16,,23,3,32,,,,,,, 061301,01-JAN-15,31-DEC-15,Settled,RIO GRANDE HOSPITAL ,310 COUNTY ROAD 14 ,,DEL NORTE ,CO ,81132 ,RIO GRANDE ,,,,,,,,,,17,6205,1578,247,2327,,106.07,,199,99,402,,,,,,, 061302,01-JAN-15,31-DEC-15,Settled,COLORADO CANYONS HOSPITAL & MED CTR ,300 W. OTTLEY AVE ,,FRUITA ,CO ,81521 ,MESA ,,,,,,,,,,16,5840,2757,68,3548,,172.51,,203,18,355,,,,,,, 061303,01-JAN-15,31-DEC-15,Settled,EAST MORGAN COUNTY HOSPITAL ,2400 W EDISON ,,BRUSH ,CO ,80723 ,MORGAN ,,,,,,,,,,25,9125,1397,165,1871,,138.7,,259,52,390,,,,,,, 061304,01-JAN-15,31-DEC-15,Settled,HAXTUN HOSPITAL DISTRICT ,235 WEST FLETCHER STREET ,,HAXTUN ,CO ,80731-2737 ,PHILLIPS ,,,,,,,,,,25,9125,471,3404,7033,,74.35,,25,22,81,,,,,,, 061305,01-JAN-15,31-DEC-15,Settled,MELISSA MEMORIAL HOSPITAL ,1001 E JOHNSON ST ,,HOLYOKE ,CO ,80734 ,PHILLIPS ,,,,,,,,,,15,5475,722,15,1015,,62.8,,78,5,119,,,,,,, 061306,01-JAN-15,31-DEC-15,Settled,LINCOLN COMMUNITY HOSPITAL ,111 6TH STREET ,,HUGO ,CO ,80821 ,LINCOLN ,,,,,,,,,,15,5475,883,19,1057,,112.86,,106,11,143,,,,,,, 061307,01-JAN-15,31-DEC-15,Settled,RANGELY DISTRICT HOSPITAL ,225 EAGLE CREST STREET ,,RANGELY ,CO ,81648 ,RIO BLANCO ,,,,,,,,,,25,9125,198,27,5297,,135.89,,23,8,40,,,,,,, 061308,01-JUL-15,30-JUN-16,Settled,CONEJOS COUNTY HOSPITAL ,19021 US HWY 285 ,,LA JARA ,CO ,81140- ,CONEJOS ,,,,,,,,,,17,6222,480,37,690,,54.15,,63,20,287,,,,,,, 061309,01-JAN-15,31-DEC-15,Settled,WRAY COMMUNITY DISTRICT HOSPITAL ,1017 WEST SEVENTH STREET ,,WRAY ,CO ,80758 ,YUMA ,,,,,,,,,,16,5840,605,261,1235,1.28,68.54,,111,86,321,1,,,,,, 061310,01-JAN-15,31-DEC-15,Settled,SEDGWICK COUNTY HEALTH CENTER ,900 CEDAR STREET ,,JULESBURG ,CO ,80737- ,SEDGWICK ,,,,,,,,,,9,3285,551,57,741,,62.75,,67,29,143,,,,,,, 061311,01-JAN-15,31-DEC-15,Settled,SOUTHEAST COLORADO HOSPITAL ,373 EAST TENTH STREET ,,SPRINGFIELD ,CO ,81073 ,\BACA ,,,,,,,,,,15,5475,1624,124,1846,,103.89,,122,21,155,,,,,,, 061312,01-JAN-15,31-DEC-15,Settled,ESTES PARK MEDICAL CENTER ,555 PROSPECT PARK AVE ,,ESTES PARK ,CO ,80517- ,LARIMER ,,,,,,,,,,25,9125,797,282,1663,,265.23,,107,83,341,,,,,,, 061313,01-JAN-15,31-DEC-15,Settled,KIT CARSON COUNTY MEMORIAL HOSPITAL ,286 16TH STREET ,,BURLINGTON ,CO ,80807 ,KIT CARSON ,,,,,,,,,,19,6935,1187,218,1819,,80.18,,123,66,259,,,,,,, 061314,01-JAN-15,31-DEC-15,Settled,THE MEMORIAL HOSPITAL ,750 HOSPITAL LOOP ,,CRAIG ,CO ,81625 ,MOFFAT ,,,,,,,,,,25,9125,1301,797,2904,,216.89,,290,331,767,,,,,,, 061315,01-JAN-15,31-DEC-15,Settled,YUMA DISTRICT HOSPITAL ,1000 WEST 8TH AVENUE ,,YUMA ,CO ,80759- ,YUMA ,,,,,,,,,,15,5475,644,42,776,,93.66,,172,27,231,,,,,,, 061316,01-JAN-15,31-DEC-15,Settled,SPANISH PEAKS REGIONAL HEALTH ,23500 US HIGHWAY 160 ,,WALSENBURG ,CO ,81089- ,HUERFANO ,,,,,,,,,,20,7300,679,56,882,,176.91,,85,20,137,,,,,,, 061317,01-JAN-15,31-DEC-15,Settled,GRAND RIVER HOSPITAL DISTRICT ,501 AIRPORT ROAD ,912 ,RIFLE ,CO ,81650 ,GARFIELD ,,,,,,,,,,13,4745,743,289,1363,,279.84,,263,120,517,,,,,,, 061318,01-JAN-15,31-DEC-15,Settled,KREMMLING MEMORIAL HOSPITAL DISTRICT ,214 S. FOURTH STREET ,,KREMMLING ,CO ,80459 ,GRAND ,,,,,,,,,,21,7665,596,906,1960,,141.7,,61,17,108,,,,,,, 061319,01-JAN-15,31-DEC-15,Settled,ST. VINCENT GENERAL HOSPITAL ,822 WEST 4TH ST. ,,LEADVILLE ,CO ,80461 ,LAKE COUNTY ,,,,,,,,,,2,730,7,3,16,,74.87,,3,2,6,,,,,,, 061320,01-JAN-15,31-DEC-15,Settled,GUNNISON VALLEY HOSPITAL ,711 NORTH TAYLOR STREET ,,GUNNISON ,CO ,81230 ,GUNNISON ,,,,,,,,,,20,7300,812,349,2043,,177.13,,191,128,555,,,,,,, 061321,01-JAN-15,31-DEC-15,Settled,MT. SAN RAFAEL HOSPITAL ,410 BENEDICTA AVE. ,,TRINIDAD ,CO ,81082 ,LAS ANIMAS ,,,,,,,,,,25,9125,2422,387,3354,,169.66,,328,103,537,,,,,,, 061322,01-JAN-15,31-DEC-15,As Submitted,HEART OF THE ROCKIES REG MED CENTER ,1000 RUSH DRIVE ,429 ,SALIDA ,CO ,81201- ,CHAFFEE ,,,,,,,,,,25,9125,2060,676,3956,,295.86,,467,204,986,,,,,,, 061323,01-JAN-15,31-DEC-15,Settled,PROWERS MEDICAL CENTER ,401 KENDALL DRIVE ,,LAMAR ,CO ,81052-3993 ,PROWERS ,,,,,,,,,,25,9125,2701,846,3938,,168.01,,346,302,785,,,,,,, 061324,01-JAN-15,31-DEC-15,As Submitted,ASPEN VALLEY HOSPITAL DISTRICT ,401 CASTLE CREEK ROAD ,,ASPEN ,CO ,81611- ,PITKIN ,,,,,,,,,,25,9125,825,408,2789,,354.02,,222,94,787,,,,,,, 061325,01-JAN-15,31-DEC-15,Settled,PIONEERS MEDICAL CENTER ,100 PIONEERS MEDICAL CENTER DRIVE ,,MEEKER ,CO ,81641 ,RIO BLANCO ,,,,,,,,,,10,4485,742,42,1017,,84.15,,88,7,149,,,,,,, 061326,01-JAN-15,31-DEC-15,Settled,PIKES PEAK REGIONAL HOSPITAL ,16420 WEST HIGHWAY 24 ,,WOODLAND PARK ,CO ,80863 ,TELLER ,,,,,,,,,,15,5475,1186,208,2270,,111.01,,161,72,463,,,,,,, 061327,01-JAN-15,31-DEC-15,As Submitted,SOUTHWEST MEMORIAL HOSPITAL ,1311 NORTH MILDRED ROAD ,,CORTEZ ,CO ,81321-2299 ,MONTEZUMA ,,,,,,,,,,25,9125,2760,,4223,,300.49,,503,,850,1,,,,,, 061328,01-JAN-15,31-DEC-15,Settled,PAGOSA SPRINGS MEDICAL CENTER ,95 SOUTH PAGOSA BOULEVARD ,,PAGOSA SPRINGS ,CO ,81147 ,ARCHULETA ,,,,,,,,,,11,4015,749,211,1285,,180.16,,268,88,523,,,,,,, 061991,01-JUL-15,30-JUN-16,As Submitted,WIDE HORIZON INC ,8900 WEST 38TH AVENUE ,,WHEAT RIDGE ,CO ,80033 ,USA ,,,,,,,,,,10,3660,551,,552,,18,,19,,20,,,,,,, 062009,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL DENVER ,1920 HIGH STREET ,,DENVER ,CO ,80218 ,DENVER ,,,,,,,,,,68,24888,4518,699,12548,,141.6,,140,17,324,1,,,,,, 062011,01-OCT-14,30-SEP-15,Settled,CRAIG HOSPITAL ,3425 S. CLARKSON ST. ,,ENGLEWOOD ,CO ,80113 ,ARAPAHOE ,,,,,,,,,557,93,33945,1706,3038,27598,1.43,671.47,,55,50,522,,,,,,, 062012,01-SEP-15,31-AUG-16,As Submitted,COLORADO ACUTE SPECIALY HOSP ,1690 N. MEADE STREET ,,DENVER ,CO ,80204- ,DENVER ,,,,,,,,,,63,23058,7750,1491,13266,,117.55,,284,45,467,,,,,,, 062013,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL AURORA ,700 POTOMAC ST. 2ND FLOOR ,,AURORA ,CO ,80011 ,ARAPAHOE ,,,,,,,,,,37,13542,1804,2818,5794,,76.8,,55,60,136,,,,,,, 062014,01-JAN-15,03-SEP-15,As Submitted,NORTH VALLEY REHAB HOSPITAL ,8451 PEARL STREET ,,THORNTON ,CO ,80229 ,ADAMS ,,,,,,,,,,54,13284,4252,505,6918,,145.52,,140,14,228,,,,,,, 062014,04-SEP-15,31-AUG-16,As Submitted,NORTH VALLEY REHAB HOSPITAL ,8451 PEARL STREET ,,THORNTON ,CO ,80229 ,ADAMS ,,,,,,,,,,54,19602,6444,591,11026,,156.47,,209,26,365,,,,,,, 062015,01-OCT-14,30-SEP-15,Settled,SSH - DENVER INC ,1719 EAST 19TH AVE ,,DENVER ,CO ,80218 ,DENVER ,,,,,,,,,,65,23725,6718,1851,11959,,118.92,,246,59,456,,,,,,, 062016,01-FEB-15,31-JAN-16,Settled,SSH - COLORADO SPRINGS ,6001 EAST WOODMAN ROAD 6TH FLOOR ,,COLORADO SPRINGS ,CO ,80923-2601 ,EL PASO ,,,,,,,,,,30,10950,4568,568,7266,,73.18,,184,13,286,,,,,,, 062017,01-MAR-15,29-FEB-16,Settled,NORTHERN COLORADO LONG TERM ACUTE HO ,4401A UNION STREET ,,JOHNSTOWN ,CO ,80534 ,LARIMER ,,,,,,,,,,20,7320,3551,240,5686,,45.23,,140,23,475,,,,,,, 063027,01-JUN-15,31-MAY-16,As Submitted,SPALDING REHAB HOSPITAL ,900 POTOMAC ,,AURORA ,CO ,80011 ,ARAPAHOE ,,,,,,,,,,57,20798,5518,909,13960,,139.89,,455,93,1004,,,,,,, 063030,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,325 PARKSIDE DRIVE ,,COLORADO SPRINGS ,CO ,80935 ,EL PASO ,,,,,,,,,,60,21900,9475,3554,14626,,119.18,,788,285,1231,16,,,,,, 063033,01-JAN-15,31-DEC-15,As Submitted,NORTHEN COLORADO REHABILITATION HOSP ,4401 UNION STREET ,,JOHNSTOWN ,CO ,80534 ,LARIMER ,,,,,,,,,,40,14600,8140,1448,12646,,150.75,,588,125,928,,,,,,, 063034,01-JUN-15,31-MAY-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1001 WEST MINERAL AVE ,,LITTLETON ,CO ,80120 ,ARAPAHOE ,,,,,,,,,,40,14640,5164,4062,10581,,93.92,,440,280,838,15,,,,,, 063301,01-JAN-15,31-DEC-15,Settled,CHILDRENS HOSPITAL COLORADO ,13123 EAST 16TH AVENUE ,,AURORA ,CO ,80045-7106 ,ADAMS ,,,,,,,,,8802,400,165844,384,48324,106293,212.64,4907.24,,48,7527,17486,717,,,,,, 064001,01-JUL-15,30-JUN-16,Settled,CO. MENTAL HEALTH INST. - PUEBLO ,1600 W 24TH STREET ,,PUEBLO ,CO ,81001-1411 ,PUEBLO ,,,,,,,,,267,449,164334,3562,10037,145932,.59,1068,,83,90,1099,,,,,,, 064003,01-JUL-15,30-JUN-16,As Submitted,COLORADO MENTAL HEALTH INST-FT LOGAN ,3520 W. OXFORD AVE ,,DENVER ,CO ,80236-3120 ,DENVER ,,,,,,,,,,94,34404,1131,59,33263,.33,240,,30,2,368,,,,,,, 064007,01-JAN-15,31-DEC-15,Settled,CENTENNIAL PEAKS HOSPITAL ,2255 SOUTH 88TH STREET ,,LOUISVILLE ,CO ,80027 ,BOULDER ,,,,,,,,,,72,26280,3527,13,22340,,155.01,,300,2,3139,210,,,,,, 064009,01-JAN-15,31-DEC-15,Settled,CEDAR SPRINGS BEHAVIORAL HOSPITAL ,2135 SOUTHGATE ROAD ,,COLORADO SPRINGS ,CO ,80906 ,EL PASO ,,,,,,,,,,72,26280,3452,,24851,,174.03,,357,,3397,1242,,,,,, 064023,01-JUL-15,30-JUN-16,As Submitted,COLORADO WEST PSYCHIATRIC HOSPITAL ,515 28 3/4 ROAD ,40 ,GRAND JUNCTION ,CO ,81501- ,MESA ,,,,,,,,,,32,11712,2051,5846,10260,,122.54,,213,818,1379,,,,,,, 064024,01-JAN-15,31-DEC-15,Settled,HIGHLANDS BEHAVIORAL HEALTH ,8565 S POPLAR WAY ,,LITTLETON ,CO ,80130 ,DOUGLAS ,,,,,,,,,,86,31390,2508,,22376,,140.23,,234,,3002,,,,,,, 064025,01-JAN-15,31-DEC-15,Settled,HAVEN BEHAVIORAL SENIOR CARE AT SMC ,1008 MINNEQUA AVENUE SUITE 6100 ,,PUEBLO ,CO ,81004 ,PUEBLO ,,,,,,,,,,30,10950,503,,5751,,41.5,,24,,221,,,,,,, 064026,01-JAN-15,31-DEC-15,Settled,PEAK VIEW BEHAVIORAL HEALTH ,7353 SISTERS GROVE ,,COLORADO SPRINGS ,CO ,80923 ,EL PASO ,,,,,,,,,,92,33580,8910,3081,27610,,186.47,,800,404,3401,,,,,,, 070002,01-OCT-14,30-SEP-15,As Submitted,SAINT FRANCIS HOSPITAL ,114 WOODLAND STREET ,,HARTFORD ,CT ,06105- ,HARTFORD ,14185819,,,3331266,,,.1327,5692745,1886556,498,183434,53476,28328,135810,163.73,3695.29,,9845,6580,29671,,,,1045,,1961, 070003,01-OCT-14,30-SEP-15,As Submitted,DAY KIMBALL HOSPITAL ,320 POMFRET STREET ,,PUTNAM ,CT ,06260 ,WINDHAM ,,,,325346,,,.12,,,98,35770,5645,3377,15209,,697.4,,1465,784,3732,106,,,,,159, 070004,01-OCT-14,30-SEP-15,As Submitted,SHARON HOSPITAL ,50 HOSPITAL HILL ROAD ,,SHARON ,CT ,06069 ,LITCHFIELD ,,,,95357,,,.054,,,66,24090,4094,630,7385,,251.99,,992,150,1891,162,5,,14,,313, 070005,01-OCT-14,30-SEP-15,Amended,WATERBURY HOSPITAL ,64 ROBBINS STREET ,,WATERBURY ,CT ,06708 ,NEW HAVEN ,3766348,,,1113231,,,.1264,1851070,624682,216,78840,20443,10818,45759,39.36,1050.34,,4032,2894,10876,,,,405,,770, 070006,01-OCT-14,30-SEP-15,Amended,THE STAMFORD HOSPITAL ,ONE HOSPITAL PLAZA ,9317 ,STAMFORD ,CT ,06904- ,FAIRFIELD ,4275734,,,1266097,,,.1179,1858734,1074189,263,95995,22492,10027,59714,65.01,2424.5,,3929,2386,13544,,,,79,7,553,400 070007,01-OCT-14,30-SEP-15,Amended,LAWRENCE & MEMORIAL HOSPITAL ,365 MONTAUK AVENUE ,,NEW LONDON ,CT ,06320- ,NEW LONDON ,110272,,,1435574,,,.1243,42860,27492,200,73000,23171,10254,51991,1,1770.51,,5723,2735,13095,,,,322,32,630,311 070008,01-OCT-14,30-SEP-15,Amended,JOHNSON MEMORIAL HOSPITAL ,201 CHESNUT HILL ROAD ,,STAFFORD SPRINGS ,CT ,06076 ,TOLLAND ,,,,49018,,,.0253,,,81,29565,5322,1383,10947,,423.04,,988,384,2419,,,,253,,637, 070010,01-OCT-14,30-SEP-15,Amended,BRIDGEPORT HOSPITAL ,267 GRANT STREET ,,BRIDGEPORT ,CT ,06610 ,FAIRFIELD ,9177390,,,2835329,,,.2024,3777305,1168462,322,117530,32752,24069,96875,108.55,2137.85,,5086,6358,19144,,,,22,50,328,343 070011,01-OCT-14,30-SEP-15,Amended,CHARLOTTE HUNGERFORD HOSPITAL ,540 LITCHFIELD STREET ,0988 ,TORRINGTON ,CT ,06790-0988 ,LITCHFIELD COUNTY ,,,,282162,,,.0495,,,91,33215,12596,3111,22708,,724.12,,2640,953,5429,,,,255,,591, 070012,01-OCT-14,30-SEP-15,Amended,ROCKVILLE GENERAL HOSPITAL INC. ,31 UNION STREET ,,VERNON ,CT ,06066- ,TOLLAND ,67781,,,70249,,,.0279,73438,21516,102,37230,5109,1289,9765,.57,385.31,,1019,266,2112,,,,,,, 070016,01-OCT-14,30-SEP-15,Settled w/Audit,ST. MARYS HOSPITAL ,56 FRANKLIN STREET ,,WATERBURY ,CT ,06706- ,NEW HAVEN ,5455044,,,1358175,,,.1454,1622847,721078,144,52560,19330,6516,42833,47.67,1364.83,,3856,3283,9692,,,,443,,637, 070017,01-OCT-14,30-SEP-15,Amended,MIDSTATE MEDICAL CENTER ,435 LEWIS AVENUE ,,MERIDEN ,CT ,06451- ,NEW HAVEN ,,,,712638,,,.0916,,,124,45260,15735,7396,35787,,876.12,,3333,739,8168,,,,67,,129, 070018,01-OCT-14,30-SEP-15,As Submitted,GREENWICH HOSPITAL ,5 PERRYRIDGE ROAD ,07-0018 ,GREENWICH ,CT ,06830 ,FAIRFIELD ,2625588,,,,,,,716125,591285,184,67160,20345,2818,51643,22.34,1475.72,,3898,706,13303,207,,,,,, 070019,01-OCT-14,30-SEP-15,As Submitted,MILFORD HOSPITAL INC ,300 SEASIDE AVENUE ,,MILFORD ,CT ,06450 ,NEW HAVEN ,,,,,,,,,,106,38690,8012,1588,12081,,700,,1325,328,3292,,,,,,, 070020,01-OCT-14,30-SEP-15,As Submitted,MIDDLESEX HOSPITAL ,28 CRESCENT STREET ,,MIDDLETOWN ,CT ,06457- ,MIDDLESEX ,2031528,,,579549,,,.0489,1298416,548289,209,76285,24702,6807,49243,24.3,1945.06,,5420,1487,11230,,,,355,,835, 070021,01-OCT-14,30-SEP-15,As Submitted,WINDHAM COMMUNITY MEMORIAL HOSPITAL ,112 MANSFIELD AVE ,,WILLIMANTIC ,CT ,06226 ,WINDHAM ,,,,288939,,,.101,,,79,28835,6533,2286,12119,,477.73,,1371,466,2564,,,,,,, 070022,01-OCT-14,30-SEP-15,Amended,YALE-NEW HAVEN HOSPITAL ,20 YORK STREET ,,NEW HAVEN ,CT ,06504 ,NEW HAVEN ,59743340,,,9985888,,,.1707,14738119,7873225,1266,462090,112711,87931,385136,790.61,10693.54,,19130,22286,69036,,,,,,3372,193 070024,01-OCT-14,30-SEP-15,As Submitted,THE WILLIAM W. BACKUS HOSPITAL ,326 WASHINGTON STREET ,,NORWICH ,CT ,06360 ,NEW LONDON ,,,,1002797,,,.1015,,,165,60225,20917,7724,43045,,1424,,4049,2233,10167,323,,,294,,636, 070025,01-OCT-14,30-SEP-15,Amended,HARTFORD HOSPITAL ,80 SEYMOUR STREET ,,HARTFORD ,CT ,06102- ,HARTFORD ,26190375,,,5084624,,,.1349,8846097,2518905,662,241630,74915,35763,202369,235.75,5406,,12908,14987,36253,,,,1457,,3251, 070027,01-OCT-14,30-SEP-15,Amended,MANCHESTER MEMORIAL HOSPITAL ,71 HAYNES STREET ,,MANCHESTER ,CT ,06040- ,HARTFORD ,1861707,,,469404,,,.0903,808831,364696,132,48180,11341,6282,29546,22.68,1081.3,,2276,1599,7493,,,,671,,1313, 070028,01-OCT-14,30-SEP-15,Amended,ST. VINCENTS MEDICAL CENTER ,2800 MAIN STREET ,,BRIDGEPORT ,CT ,06606-4201 ,FAIRFIELD ,4856587,,,1475827,,,.1097,1914995,634182,265,96725,29873,8063,75222,55.12,1555.91,,5169,2817,15438,,,,1023,18,2775,232 070029,01-OCT-14,30-SEP-15,As Submitted,BRISTOL HOSPITAL INC ,BREWSTER ROAD ,977 ,BRISTOL ,CT ,06111-0977 ,HARTFORD ,,,,378179,,,.0862,,,114,41610,9379,4345,22020,,806.62,7.92,2301,1829,7079,,,,473,,908, 070031,01-OCT-14,30-SEP-15,Amended,THE GRIFFIN HOSPITAL ,130 DIVISION STREET ,,DERBY ,CT ,06418- ,NEW HAVEN ,2485985,,,346067,,,.0795,868665,527344,101,36865,10089,5152,25786,29.15,928.07,,2148,1571,6284,,,,230,,557, 070033,01-OCT-14,30-SEP-15,Amended,DANBURY HOSPITAL ,24 HOSPITAL AVE ,,DANBURY ,CT ,06810-6099 ,FAIRFIELD ,8785101,,,1009384,,,.049,3015969,1629608,381,139065,44641,12390,92419,99.84,2653.1,,8065,3302,17537,1394,17,,222,25,628,270 070034,01-OCT-14,30-SEP-15,Amended,NORWALK HOSPITAL ,MAPLE ST ,,NORWALK ,CT ,06856- ,FAIRFIELD ,4571809,,,894603,,,.0803,2972404,1256832,272,99280,24876,8761,53134,61.33,1640.67,23.79,4652,1958,11048,,,,185,6,462,85 070035,01-OCT-14,30-SEP-15,Amended,THE HOSPITAL OF CENTRAL CONNECTICUT ,100 GRAND STREET ,,NEW BRITAIN ,CT ,06050- ,HARTFORD ,3526190,,,1471595,,,.1389,1390438,679319,276,97548,22574,12793,60354,45.58,1763.55,,4758,,14439,,,,,,791, 070036,01-JUL-15,30-JUN-16,Amended,JOHN DEMPSEY HOSPITAL ,263 FARMINGTON AVENUE ,,FARMINGTON ,CT ,06030 ,HARTFORD ,16602450,,,1133533,,,.1483,4090182,3476074,147,53802,12843,6076,29081,223.37,1278.41,,2961,2054,8224,,,,281,,837, 070038,01-OCT-14,30-SEP-15,As Submitted,THE CONNECTICUT HOSPICE INC. ,100 DOUBLE BEACH ROAD ,,BRANFORD ,CT ,06405 ,NEW HAVEN ,,,,1926,,,.12,,,8,2920,89,923,2055,,50.26,,11,48,188,,,,,,, 070039,01-OCT-14,30-SEP-15,As Submitted,MASONICARE HEALTH CENTER ,22 MASONIC AVENUE ,70 ,WALLINGFORD ,CT ,06492 ,NEW HAVEN ,,,,,,,,,,30,10950,1277,,2820,,27.24,,307,,546,,,,,,819, 070040,01-OCT-14,30-SEP-15,As Submitted,HEBREW HOME & HOSPITAL ,ONE ABRAHAMS BLVD ,,WEST HARTFORD ,CT ,06117 ,HARTFORD ,,,,,,,,,,23,8395,970,33,1463,,17.73,,192,5,263,,,,23,,321, 072003,01-OCT-14,30-SEP-15,Settled,GAYLORD HOSPITAL ,400 GAYLORD FARMS ,,WALLINGFORD ,CT ,06492 ,NEW HAVEN ,,,,,,,,,,137,50005,16511,4736,39874,,589.1,,630,150,1471,,,,,,, 072004,01-APR-15,31-MAR-16,Settled,HOSPITAL FOR SPECIAL CARE ,2150 CORBIN AVENUE ,,NEW BRITAIN ,CT ,06053 ,HARTFORD ,,,,,,,,,,228,83448,7227,58741,73621,,796.12,9.18,240,202,612,,,,,,, 072006,01-JUL-15,30-JUN-16,Settled,DEPT. OF VETERANS AFFAIRS HOSP SERV ,287 WEST STREET ,351 ,ROCKY HILL ,CT ,06067 ,HARTFORD COUNTY ,,,,,,,,,,125,45750,9,26302,42070,,276,1.92,2,26,105,,,,,,, 073025,01-OCT-14,30-SEP-15,Settled,MOUNT SINAI REHABILITATION HOSPTIAL ,490 BLUE HILLS AVENUE ,,HARTFORD ,CT ,06112- ,HARTFORD ,,,,,,,,,,60,21900,3975,1654,8839,,171.25,,307,138,706,,,,,,, 073300,01-OCT-14,30-SEP-15,Settled,CONNECTICUT CHILDRENS MEDICAL CENTER ,282 WASHINGTON STREET ,,HARTFORD ,CT ,06106 ,HARTFORD ,,,,,,,,,1462,187,68255,205,25017,45010,82.39,1448,,23,3430,3453,,,,,,, 074003,01-JUL-15,30-JUN-16,Settled,CONNECTICUT VALLEY HOSPITAL ,EASTERN DRIVE ,351 ,MIDDLETOWN ,CT ,06457 ,MIDDLESEX ,,,,,,,,,,626,229116,6024,10340,206612,,1529,,272,29,3531,,,,,,, 074008,01-OCT-14,30-SEP-15,Settled,NATCHAUG HOSPITAL ,189 STORRS ROAD ,,MANSFIELD CENTER ,CT ,06250- ,TOLLAND ,,,,,,,,,,57,20805,3320,8185,18705,,431.68,,311,780,2032,,,,,,, 074011,01-JUL-15,30-JUN-16,Settled,CONNECTICUT MENTAL HEALTH CENTER ,34 PARK STREET ,351 ,NEW HAVEN ,CT ,06519 ,NEW HAVEN ,,,,,,,,,,32,11712,538,715,9445,13.52,235,,11,11,184,,,,,,, 074012,01-JUL-15,30-JUN-16,Settled,SOUTHWEST CT MENTAL HEALTH SYSTEM ,1635 CENTRAL AVENUE ,,BRIDGEPORT ,CT ,06610 ,FAIRFIELD ,,,,,,,,,,62,22692,304,217,22007,,528,,10,17,67,,,,,,, 074014,01-MAR-15,29-FEB-16,Settled,SILVER HILL HOSPITAL ,208 VALLEY ROAD ,,NEW CANAAN ,CT ,06840 ,FAIRFIELD ,,,,,,,,,,39,14876,1656,,12228,,251.42,,161,,1516,,,,,,, 080001,01-JUL-15,30-JUN-16,As Submitted,CHRISTIANA CARE HEALTH SYSTEM ,501 W. 14TH STREET ,,WILMINGTON ,DE ,19899 ,NEW CASTLE ,25045937,,,8330910,,,.1453,7116632,3056990,1033,377710,116113,70570,270060,264.88,9296.95,,22102,12469,51634,,,,515,69,1057,674 080003,01-JUL-15,30-JUN-16,As Submitted,ST. FRANCIS HOSPITAL WILMINGTON ,7TH & CLAYTON STREETS ,,WILMINGTON ,DE ,19805 ,NEW CASTLE ,464667,,,730943,,,.2703,440193,296165,180,56829,7474,976,20043,16.54,886.14,,1355,338,4901,1803,,,,,, 080004,01-JUL-15,30-JUN-16,Settled w/Audit,KENT GENERAL HOSPITAL ,640 SOUTH STATE STREET ,,DOVER ,DE ,19901 ,KENT ,,,,1964476,,,.1414,,,281,102846,31580,17104,66432,,2066.75,,5841,2850,12952,,,,,,, 080006,01-JUL-15,30-JUN-16,As Submitted,NANTICOKE MEMORIAL HOSPITAL ,801 MIDDLEFORD ROAD ,,SEAFORD ,DE ,19973 ,SUSSEX ,,,,454464,,,.1758,,,94,34404,10308,6067,18937,,706.38,,2586,1354,5350,,,,,,, 080007,01-JUL-15,30-JUN-16,Settled w/Audit,BEEBE MEDICAL CENTER ,424 SAVANAH ROAD ,226 ,LEWES ,DE ,19958- ,SUSSEX ,,,,519994,,,.0374,,,193,70638,28508,6651,46366,,1666.72,,5799,1443,10257,168,,,,,, 080009,01-JUL-15,30-JUN-16,As Submitted,MILFORD MEMORIAL HOSPITAL ,CLARKE AVENUE ,,MILFORD ,DE ,19963 ,SUSSEX ,,,,425363,,,.1071,,,124,45384,9911,3723,17777,,732.07,,1893,766,3557,,,,,76,,984 082000,01-AUG-15,31-JUL-16,As Submitted,SSH - WILMINGTON INC ,7TH AND CLAYTON STREETS 5TH FLOOR ,,WILMINGTON ,DE ,19805 ,NEWCASTLE ,,,,,,,,,,35,12810,8783,,11736,,108.08,,288,,355,2,,,,,, 083026,13-JAN-15,30-SEP-15,Settled,HEALTHSOUTH REHABILITATION HOSPITAL ,250 EAST HAMPDEN ROAD ,,MIDDLETOWN ,DE ,19709 ,NEW CASTLE ,,,,,,,,,,34,8874,5418,11,7350,,110.14,,423,1,527,27,,,,,, 083300,01-JAN-15,31-DEC-15,Settled,ALFRED I DUPONT HOSP FOR CHILDREN ,1600 ROCKLAND ROAD ,,WILMINGTON ,DE ,19899 ,NEW CASTLE ,,,,,,,,,2650,260,94900,166,14714,46824,56.64,2674.87,,27,2609,9133,,,,,,, 084001,01-JUL-15,30-JUN-16,Settled,DELAWARE PSYCHIATRIC CENTER ,1901 N. DUPONT HIGHWAY ,,NEW CASTLE ,DE ,19720 ,USA ,,,,,,,,,,115,42090,6,,19249,,441,,1,,366,,,,,,, 084002,01-JAN-15,31-DEC-15,Settled,ROCKFORD ,100 ROCKFORD DRIVE ,,NEWARK ,DE ,19713 ,NEW CASTLE ,,,,,,,,,,118,43070,8029,,45387,,244,,597,,4388,,,,,,, 084003,01-JAN-15,31-DEC-15,Settled,MEADOW WOOD HOSPITAL ,575 SOUTH DUPONT HWY ,,NEW CASTLE ,DE ,19720-4606 ,NEW CASTLE ,,,,,,,,,,84,30660,9846,10554,29889,,168.96,,842,1831,4178,,,,,,, 084004,01-JAN-15,31-DEC-15,Settled,DOVER BEHAVIORAL HEALTH SYSTEM ,725 HORSEPOND ROAD ,,DOVER ,DE ,19901 ,KENT ,,,,,,,,,,80,29200,5032,,28654,,164.3,,394,,3244,,,,,,, 090001,01-JAN-15,31-DEC-15,Amended,GEORGE WASHINGTON UNIV HOSPITAL ,900 23RD STREET ,,WASHINGTON ,DC ,20037-2377 ,DC ,16809755,,,2988235,,,.2454,5789658,1650598,328,116449,27184,14925,97678,282.96,2014.96,,4542,2287,20687,,,,,,956,464 090003,01-JUL-15,30-JUN-16,As Submitted,HOWARD UNIVERSITY HOSPITAL ,2041 GEORGIA AVENUE NW ,,WASHINGTON ,DC ,20060 ,DC ,5310358,,,2152176,,,.533,7337526,3032686,190,69594,11493,14576,40895,400.98,1634.62,,2110,2299,8684,,,,,,, 090004,01-JUL-15,30-JUN-16,As Submitted,GEORGETOWN UNIVERSITY HOSPITAL ,3800 RESERVOIR ROAD NW ,,WASHINGTON ,DC ,20007 ,DC ,18620804,,,1964373,,,.1356,6037773,2232855,381,139446,39254,11627,114927,282.82,3157.66,,4884,981,15775,1688,63,,94,,402, 090005,01-JUL-15,30-JUN-16,As Submitted,SIBLEY MEMORIAL HOSPITAL ,5255 LOUGHBORO ROAD NW ,,WASHINGTON ,DC ,20016-2695 ,DC ,414063,,,,,,,157990,80675,169,61854,15767,953,43460,6,1556.81,,3499,158,9705,112,74,,108,,754, 090006,01-JUL-15,30-JUN-16,As Submitted,PROVIDENCE HOSPITAL ,1150 VARNUM STREET NE ,,WASHINGTON ,DC ,20017-2104 ,DC ,3239993,,,2786149,,,.3871,1653427,688541,215,78690,18827,16647,55112,51.69,1090,3.16,3354,4300,12595,2656,,,,,, 090008,01-OCT-14,30-SEP-15,As Submitted,NOT-FOR-PROFIT HOSPITAL CORPORATION ,1310 SOUTHERN AVE SE ,,WASHINGTON ,DC ,20032-4623 ,DC ,,,,1511270,,,.3969,,,196,71540,12639,9541,35831,,914.55,,1843,1597,6192,1405,31,,98,,364, 090011,01-JUL-15,30-JUN-16,As Submitted,WASHINGTON HOSPITAL CENTER ,110 IRVING STREET NW ,,WASHINGTON ,DC ,20010- ,DC ,32351979,,,7692082,,,.2027,11032424,4407754,696,254736,91397,37542,220756,321.88,5661.96,,12232,3758,31481,4535,298,,682,,1693, 092002,18-DEC-14,31-DEC-15,Settled,SPECIALTY HOSPITAL OF WASHINGTON ,700 CONSTITUTION AVENUE NE ,,WASHINGTON DC ,DC ,20002 ,DC ,,,,,,,,,,60,22740,9520,3280,16003,,75.7,,363,53,535,,,,,,, 092003,18-DEC-14,31-DEC-15,Settled,SPEC HOSPITAL WASHINGTON HADLEY ,4601 MARTIN LUTHER KING JR AVE ,,WASHINGTON DC ,DC ,20032 ,DC ,,,,,,,,,,85,32215,11110,3863,17924,,111.1,,413,61,619,,,,,,, 093025,01-JUL-15,30-JUN-16,As Submitted,NATIONAL REHABILITATION HOSPITAL ,102 IRVING STREET NW ,,WASHINGTON ,DC ,20010 ,DC ,,,,,,,,,11604,137,50142,12633,4927,36540,15.11,1027.32,,946,227,2144,159,,,,,, 093300,01-JUL-15,30-JUN-16,As Submitted,CHILDRENS HOSPITAL ,111 MICHIGAN AVE NW ,,WASHINGTON ,DC ,20010 ,DC ,,,,,,,,,6039,313,114558,262,18392,94580,279.04,3067.3,,44,1962,14893,6251,,,,,, 094001,01-OCT-14,30-SEP-15,Settled,ST. ELIZABETHS HOSPITAL ,1100 ALABAMA AVE. SOUTHEAST ,DS ,WASHINGTON ,DC ,20032 ,DC ,,,,,,,,,45548,102,37230,651,2573,29834,24.07,146.46,,30,98,142,,,,,,, 094004,01-JAN-15,31-DEC-15,Settled,PSYCH INSTITUE OF WASHINGTON ,4228 WISCONSIN AVENUE NW ,,WASHINGTON ,DC ,20016 ,DC ,,,,,,,,,,124,45260,4464,1704,32740,,237,,490,226,4265,,,,,,, 100001,01-JUL-15,30-JUN-16,As Submitted,SHANDS JACKSONVILLE MEDICAL CENTER ,655 WEST 8TH STREET ,,JACKSONVILLE ,FL ,32209- ,DUVAL ,12724760,,,4644755,,,.3678,4264628,2680839,526,192516,35603,18063,150852,300.35,3688.95,35.46,5688,2885,29008,,,,,,, 100002,01-OCT-14,30-SEP-15,As Submitted,BETHESDA HOSPITAL INC. ,2815 SOUTH SEACREST BLVD ,,BOYNTON BEACH ,FL ,33435 ,PALM BEACH ,1212171,,,2097584,,,.1554,528885,158784,401,146365,32383,9614,91184,16.02,1924.51,,6404,2650,16212,3720,,,,10,,969 100006,01-OCT-14,30-SEP-15,Amended,ORLANDO HEALTH ,1414 KUHL AVENUE ,,ORLANDO ,FL ,32806 ,ORANGE ,5269897,,,6743347,,,.2594,2414335,1018234,1405,512825,62480,34872,379284,233.76,10336.38,,11157,10777,84467,,,,,,3891,599 100007,01-JAN-15,31-DEC-15,Amended,FLORIDA HOSPITAL ,601 EAST ROLLINS STREET ,,ORLANDO ,FL ,32803 ,ORANGE ,6401617,,,10782220,,,.1363,5051851,1099880,2393,873445,205612,45124,673256,156.02,17719.45,,35581,5957,133071,17178,,,205,21,1821,718 100008,01-OCT-14,30-SEP-15,Amended,BAPTIST HOSPITAL ,8900 NORTH KENDALL DRIVE ,,MIAMI ,FL ,33176 ,MIAMI-DADE ,,,,3525889,,,.2345,,,705,257325,41814,14865,189849,,4277.92,,6409,2534,37023,5592,,,,23,,571 100009,01-JUN-15,31-MAY-16,As Submitted,UNIVERSITY OF MIAMI HOSPITAL ,1400 NW 12TH AVENUE ,,MIAMI ,FL ,33136- ,DADE ,5705750,,,4679818,,,.3019,2626668,495345,476,174216,46111,4178,126021,101.93,2144.58,,6356,526,22013,3248,,,,,, 100012,01-OCT-14,30-SEP-15,As Submitted,LEE MEMORIAL HOSPITAL ,2776 CLEVELAND AVENUE ,,FORT MYERS ,FL ,33901- ,LEE ,1430046,,,4466421,,,.1581,428285,130911,632,230680,65610,26345,193621,14.11,4510,,13151,2276,40714,6863,,,,57,,1218 100014,01-OCT-14,30-SEP-15,As Submitted,BERT FISH MEDICAL CENTER ,401 PALMETTO STREET ,,NEW SMYRNA BEACH ,FL ,32168- ,VOLUSIA ,,,,,,,,,,112,40880,7883,395,18335,,584.73,,1696,106,4255,139,,,,,, 100017,01-OCT-14,30-SEP-15,Amended,HALIFAX MEDICAL CENTER ,HALIFAX MEDICAL CENTER ,,303 N CLYDE MORRIS BLVD ,FL ,32114 ,VOLUSIA ,1271428,,,1690012,,,.1583,803645,359901,398,145270,26820,10001,107981,33.67,3108.77,,4958,3507,20152,,,,,,1694,623 100018,01-OCT-14,30-SEP-15,As Submitted,NAPLES COMMUNITY HOSPITAL ,350 7TH STREET NORTH ,,NAPLES ,FL ,34102 ,COLLIER ,,,,1889020,,,.0675,,,636,232140,64225,10651,128676,,2399.34,,13589,1726,27440,3679,,,36,18,902,970 100019,01-OCT-14,30-SEP-15,As Submitted,HOLMES REGL MEDICAL CENTER ,1350 SOUTH HICKORY STREET ,,MELBOURNE ,FL ,32901 ,BREVARD ,,,,1610527,,,.0715,,,514,187610,52645,10047,140941,,2105.18,,10147,2251,27983,3619,,,,,, 100022,01-OCT-14,30-SEP-15,Amended,JACKSON MEMORIAL ,1611 NW 12TH AVENUE ,,MIAMI ,FL ,33136 ,DADE ,14954534,,,9474658,,,.5184,9994203,1490390,1450,529250,51631,70223,355622,661.95,9685.04,,6881,10488,49177,,,,905,311,8089,573 100023,01-NOV-14,31-OCT-15,Amended,CITRUS MEMORIAL HOSPITAL ,502 HIGHLAND BLVD ,,INVERNESS ,FL ,32652 ,CITRUS ,,,,367584,,,.0368,,,198,72270,22610,1488,44023,,861.02,,5512,384,10769,944,,,,,, 100025,01-JUL-15,30-JUN-16,As Submitted,SACRED HEART HOSPITAL ,5151 NORTH 9TH AVENUE ,,PENSACOLA ,FL ,32504- ,ESCAMBIA ,1772392,,,3588289,,,.258,380797,487324,566,197274,31441,12104,126003,52.62,2926.7,,6571,2211,27725,6149,,,,,, 100026,01-JAN-15,31-DEC-15,As Submitted,BAY COUNTY HEALTH SYSTEM LLC ,615 NORTH BONITA AVENUE ,,PANAMA CITY ,FL ,32401 ,BAY ,,,,1134600,,,.0823,,,323,117895,35069,2701,73392,,1151,,6490,434,13979,,,,,,, 100028,01-OCT-14,30-SEP-15,As Submitted,PARRISH MEDICAL CENTER ,951 N. WASHINGTON AVE ,,TITUSVILLE ,FL ,32799 ,BREVARD ,,,,377012,,,.0691,,,210,76860,13672,2182,30761,,951,,3130,342,6930,1063,,,,,, 100029,01-JUN-15,31-MAY-16,Amended,NORTH SHORE MEDICAL CENTER AND FMC C ,1100 N.W. 95 ST ,,MIAMI ,FL ,33150-2098 ,DADE ,,,,3965241,,,.3553,,,780,285480,34055,15147,134668,,1615,,5602,1922,26457,6025,,,,,, 100030,01-OCT-14,30-SEP-15,Amended,HEALTH CENTRAL ,10000 W. COLONIAL DRIVE ,,OCOEE ,FL ,34761 ,ORANGE ,,,,797876,,,.1574,,,171,62415,15105,1739,51708,,1129.68,,2668,526,11652,,,,,,, 100032,01-OCT-14,30-SEP-15,As Submitted,BAYFRONT HEALTH ST. PETERSBURG ,701 SIXTH STREET SOUTH ,,ST PETERSBURG ,FL ,33701 ,PINELLAS ,1945461,,,1832598,,,.2357,1254757,187401,319,116435,18566,10442,79094,29.67,1438.37,,3652,356,17655,,,,,1,,382 100034,01-JAN-15,31-DEC-15,Amended,MT. SINAI MEDICAL CENTER ,4300 ALTON ROAD ,,MIAMI BEACH ,FL ,33140 ,DADE ,8799769,,,2432701,,,.1708,5299902,1831549,468,170805,35285,6752,109901,146.06,3863.4,,5536,1331,18947,,,,,,2119,1034 100035,01-JAN-15,31-DEC-15,Amended,MANATEE MEMORIAL HOSPITAL ,206 SECOND STREET EAST ,,BRADENTON ,FL ,34208- ,MANATEE ,2989795,,,1659706,,,.1628,1614409,463798,295,107675,26504,9248,77111,43.66,1402.47,,4665,1741,14702,,,,,,, 100038,01-MAY-15,30-APR-16,As Submitted,MEMORIAL REGIONAL HOSPITAL ,3501 JOHNSON STREET ,,HOLLYWOOD ,FL ,33021 ,BROWARD ,367723,,,3694147,,,.3058,193172,87972,909,332206,31298,19820,197714,26.52,6553.9,,5335,3015,31693,,,,,,2293,1977 100039,01-JUL-15,30-JUN-16,As Submitted,BROWARD HEALTH MEDICAL CENTER ,1600 SOUTH ANDREWS AVENUE ,,FT. LAUDERDALE ,FL ,33316- ,BROWARD ,2090933,,,3071064,,,.3342,2274145,390920,573,209718,23383,23815,142742,103.8,2867.6,,3699,4050,24452,,,,130,,2387, 100040,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENTS MEDICAL CENTER-RIVERSI ,1 SHIRCLIFF WAY ,,JACKSONVILLE ,FL ,32204 ,DUVAL ,2728452,,,1375837,,,.0647,1781897,780251,521,190686,44893,5611,120213,36.97,2382.92,,8922,737,24956,2126,,,,,, 100043,01-JAN-15,31-DEC-15,Amended,MEASE HOSPITAL AND CLINIC ,601 MAIN ST ,,DUNEDIN ,FL ,34698-5848 ,PINELLAS ,,,,274422,,,.0788,,,112,40880,11296,1780,30510,,541,,2316,261,6793,939,,,,,, 100044,01-OCT-14,30-SEP-15,As Submitted,MARTIN MEMORIAL MEDICAL CENTER ,200 HOSPITAL AVENUE ,9010 ,STUART ,FL ,34995 ,MARTIN ,,,,719492,,,.0351,,,414,151110,51057,5911,114720,,2881.17,,10337,1263,23692,,,,,,, 100045,01-JAN-15,31-DEC-15,Amended,FH DELAND ,701 WEST PLYMOUTH AVENUE ,,DELAND ,FL ,32720-0509 ,VOLUASIA ,,,,451665,,,.0882,,,146,53290,12667,1931,34431,,747.56,,2874,391,8302,,,,55,,1037, 100046,01-JAN-15,31-DEC-15,Amended,FLORIDA HOSPITAL ZEPHYRHILLS ,7050 GALL BOULEVARD ,,ZEPHYRHILLS ,FL ,33541 ,PASCO ,,,,311739,,,.0507,,,139,50735,13014,1067,34729,,778.52,,3076,359,8395,,,,,,, 100047,01-OCT-14,30-SEP-15,As Submitted,BAYFRONT HEALTH PUNTA GORDA ,809 EAST MARION AVENUE ,,PUNTA GORDA ,FL ,33950 ,CHARLOTTE ,,,,,,,,,,138,50370,9752,606,17115,,67.96,,1900,102,3625,,,,,,1206, 100048,01-OCT-14,30-SEP-15,As Submitted,JAY HOSPITAL ,14114 ALABAMA ST ,,JAY ,FL ,32565 ,SANTA ROSA ,,,,22925,,,.0657,,,21,7665,1863,82,2734,,99.63,,299,18,486,43,,,,,, 100049,01-OCT-14,30-SEP-15,As Submitted,HIGHLANDS REGIONAL MEDICAL CENTER ,3600 S. HIGHLANDS AVENUE ,2066 ,SEBRING ,FL ,33870 ,HIGHLANDS ,,,,339732,,,.1162,,,126,45990,7359,1399,14574,,298.55,,1705,658,3554,511,,,,,, 100050,01-JAN-15,31-JAN-16,Amended,PALMS SPRINGS GENERAL HOSPITAL ,1475 W 75TH STREET ,,HIALEAH ,FL ,33012 ,DADE ,,,,1591235,,,.4463,,,247,95812,13617,821,31709,,678.8,,2094,50,5668,254,,,,,, 100051,01-OCT-14,30-SEP-15,Amended,SOUTH LAKE HOSPITAL ,1900 DON WICKHAM DRIVE ,,CLERMONT ,FL ,34711 ,LAKE ,,,,247936,,,.0462,,,140,51100,14504,1120,38147,,1054.29,,3047,364,9492,,,,,,, 100052,01-JAN-15,31-DEC-15,Amended,WINTER HAVEN HOSPITAL ,200 AVE F NE ,,WINTER HAVEN ,FL ,33881- ,POLK ,,,,1241680,,,.1249,,,505,184325,28043,5368,77406,,2176,,5746,626,16836,2075,,,,17,,306 100053,01-JUN-15,31-MAY-16,Amended,HIALEAH HOSPITAL ,651 EAST 25TH STREET ,,HIALEAH ,FL ,33013 ,DADE ,,,,2307711,,,.5247,,,348,127368,12391,5296,54095,,678.2,,2616,776,12876,2732,,,,,, 100054,01-JUN-15,31-MAY-16,Amended,TWIN CITIES HOSPITAL ,2190 HIGHWAY 85 NORTH ,,NICEVILLE ,FL ,32578- ,OKALOOSA ,,,,,,,,,,65,23790,3952,180,6142,,168.39,,1123,59,1879,76,,,,,, 100055,01-JAN-15,31-DEC-15,Amended,FLORIDA HOSPITAL - NORTH PINELLAS ,1395 S. PINELLAS AVENUE ,,TARPON SPRINGS ,FL ,34689 ,PINELLAS ,,,,168676,,,.0464,,,136,52636,7769,709,18729,,488.69,,1900,103,4876,,,,,,, 100057,01-JAN-15,31-DEC-15,Amended,FLORIDA HOSPTIAL WATERMAN ,1000 WATERMAN WAY ,,TAVARES ,FL ,32778- ,LAKE ,,,,723687,,,.0529,,,269,98185,34782,3589,70164,,1653.13,,7029,559,14991,,,,,,, 100062,01-OCT-14,30-SEP-15,As Submitted,MUNROE REGIONAL HEALTH SYSTEM INC. ,1500 SW 1ST AVE ,6000 ,OCALA ,FL ,34474 ,MARION ,,,,1384938,,,.0825,,,401,146365,44193,7800,104718,,1738.89,,8503,5597,23863,,,,,,, 100063,01-JAN-15,31-DEC-15,Amended,MORTON PLANT NORTH BAY HOSPITAL ,6600 MADISON STREET ,,NEW PORT RICHEY ,FL ,34652-1971 ,PASCO ,,,,916469,,,.184,,,190,69350,14770,3827,50789,,773,,3158,546,11665,2183,,,,,,433 100067,01-JAN-15,31-DEC-15,Amended,ST. ANTHONYS HOSPITAL ,1200 7TH AVENUE NORTH ,,ST. PETERSBURG ,FL ,33705- ,PINELLAS ,,,,1167660,,,.0982,,,349,112420,38176,5520,94050,,1707,,6875,574,18621,1803,,,,,, 100068,01-JAN-15,31-DEC-15,Amended,FLORIDA HOSPITAL MEMORIAL MEDICAL CE ,301 MEMORIAL MEDICAL PARKWAY ,,DAYTONA ,FL ,32117- ,VOLUSIA ,,,,609579,,,.0516,,,294,112350,25784,1663,66538,,1582.24,,5304,314,14034,,,,,8,,802 100069,01-JAN-15,31-DEC-15,Amended,FLORIDA HOSPITAL-CARROLLWOOD ,7171 NORTH DALE MABRY HIGHWAY ,,TAMPA ,FL ,33614 ,HILLSBOROUGH ,73402,,,368474,,,.1059,35624,11341,120,43800,5378,753,18915,,585.83,,1269,144,5077,,,,,,, 100070,01-JAN-15,31-DEC-15,As Submitted,VENICE REGIONAL MEDICAL CENTER ,540 THE RIALTO ,,VENICE ,FL ,34285 ,SARASOTA ,,,,,,,,,,312,113880,24374,1295,39723,,813.54,,5614,1753,9654,,,,,,, 100071,01-OCT-14,30-SEP-15,As Submitted,BROOKSVILLE REGIONAL HOSPTAL ,17240 CORTEZ BLVD ,P.O. BOX 37 ,BROOKSVILLE ,FL ,34601 ,HERNANDO ,,,,749332,,,.1664,,,244,89060,13241,6576,47484,,637.63,,2787,678,5041,,,,,,, 100072,01-JAN-15,31-DEC-15,Amended,FLORIDA HOSPITAL FISH MEMORIAL ,1055 SAXON BLVD ,,ORANGE CITY ,FL ,32673 ,VOLUSIA ,,,,273536,,,.0462,,,139,50735,15781,1363,42131,,756.88,,3095,266,9253,,,,,,, 100073,01-JUL-15,30-JUN-16,Amended,HOLY CROSS HOSPITAL ,4725 NORTH FEDERAL HIGHWAY ,,FORT LAUDERDALE ,FL ,33308 ,BROWARD ,3118304,,,,,,,1136174,688235,310,113460,26593,2052,66939,29.85,2385.3,,6236,277,15359,,,,,,,990 100075,01-JAN-15,31-DEC-15,Amended,ST. JOSEPHS HOSPITAL ,3001 W. MARTIN LUTHER KING JR. BLVD. ,,TAMPA ,FL ,33607-4227 ,HILLSBOROUGH ,,,,6231779,,,.2781,,,1006,367190,61822,26271,270907,,5300,,11741,2150,54981,12565,,,,,, 100077,01-JAN-15,31-DEC-15,As Submitted,PEACE RIVER REGIONAL MEDICAL CENTER ,2500 HARBOR BLVD ,,PORT CHARLOTTE ,FL ,33952 ,CHARLOTTE ,,,,557880,,,.0623,,,254,92710,25145,3782,52648,,721.1,,4225,385,10195,1232,,,,,, 100079,01-JUN-15,31-MAY-16,As Submitted,UNIVERSITY OF MIAMI HOSP & CLINICS ,1475 N.W. 12TH AVENUE ,,MIAMI ,FL ,33136- ,MIAMI-DADE ,,,,,,,,,101621,40,14640,2098,463,11505,48.54,1215.05,,211,35,1244,176,,,,,, 100080,01-JUL-15,30-JUN-16,Amended,JFK MEDICAL CENTER ,5301 SOUTH CONGRESS AVENUE ,,ATLANTIS ,FL ,33462- ,PALM BEACH ,4703204,,,2061553,,,.0979,1750525,391484,483,176778,43122,9564,132607,63.71,1818.61,,9168,1036,28294,,,,146,,3130, 100081,01-OCT-14,30-SEP-15,As Submitted,HEALTHMARK REGIONAL MED CTR ,4413 HIGHWAY 331 SOUTH ,,DEFUNIAK SPRINGS ,FL ,32433 ,WALTON ,,,,62551,,,.1031,,,50,18250,2624,462,3987,,123.53,,464,112,687,,,,,,, 100084,01-JUL-15,30-JUN-16,As Submitted,LEESBURG REGIONAL MEDICAL CENTER ,600 DIXIE AVENUE ,,LEESBURG ,FL ,34748 ,LAKE ,,,,813691,,,.0541,,,308,112728,38171,3816,80151,,1187.74,,6762,310,14639,1588,,,,7,,440 100086,01-JUL-15,30-JUN-16,As Submitted,BROWARD HEALTH NORTH ,201 EAST SAMPLE ROAD ,,POMPANO BEACH ,FL ,33064 ,BROWARD ,,,,767019,,,.107,,,304,111264,16640,4313,66850,,1173.02,,3274,478,12963,,,,,47,,580 100087,01-OCT-14,30-SEP-15,Amended,SARASOTA MEMORIAL HOSPITAL ,1700 S. TAMIAMI TRAIL ,,SARASOTA ,FL ,34239-3509 ,SARASOTA ,,,,3667950,,,.1315,,,549,200271,53907,8065,123344,,3440,,11358,1349,25021,4694,346,,47,10,2168,775 100088,01-OCT-14,30-SEP-15,As Submitted,BAPTIST MEDICAL CENTER ,800 PRUDENTIAL DRIVE ,,JACKSONVILLE ,FL ,32207 ,DUVAL ,2185560,,,4223330,,,.1566,750764,233320,867,316455,73518,22973,246467,48.35,5506.89,,12952,2905,48807,5105,,,280,,2609, 100090,01-OCT-14,30-SEP-15,Amended,FLAGLER HOSPITAL ,400 HEALTH PARK BLVD ,,ST AUGUSTINE ,FL ,32086 ,ST JOHNS ,,,,839964,,,.0679,,,335,122275,30293,2709,66534,,1553.3,,6294,700,14345,2012,,,,,, 100092,01-OCT-14,30-SEP-15,As Submitted,WUESTOFF MEDICAL CENTER - ROCKLEDGE ,110 LONGWOOD AVENUE ,,ROCKLEDGE ,FL ,32955 ,BREVARD ,,,,900717,,,.1204,,,274,100010,19909,2492,48066,,855.26,,4040,1830,10349,,,,405,,1484, 100093,01-OCT-14,30-SEP-15,As Submitted,BAPTIST HOSPITAL ,1000 WEST MORENO STREET ,,PENSACOLA ,FL ,32501-2316 ,ESCAMBIA ,,,,1810439,,,.1431,,,271,98915,26358,4785,70768,,1559.82,,5672,721,16487,2418,545,,261,,3268, 100099,01-JAN-15,31-DEC-15,As Submitted,LAKE WALES MEDICAL CENTER ,410 SOUTH 11TH STREET ,,LAKE WALES ,FL ,33853 ,POLK ,,,,117054,,,.0471,,,142,51830,7959,604,19414,,384.29,,1650,458,4468,,,,5,,236, 100102,01-JUL-15,30-JUN-16,As Submitted,SHANDS LAKE SHORE ,368 NE FRANKLIN STREET ,,LAKE CITY ,FL ,32056 ,COLUMBIA ,,,,187308,,,.12,,,99,36234,5407,2069,13680,,294.69,,1045,292,3192,,,,,,, 100105,01-OCT-14,30-SEP-15,Amended,INDIAN RIVER MEMORIAL HOSPITA.L ,1000 36TH STREET ,,VERO BEACH ,FL ,32960 ,INDIAN RIVER COUNTY ,,,,780117,,,.0554,,,310,113150,30576,4087,58024,,1242.37,,6722,1143,13157,,,,38,,795, 100106,01-JUN-15,31-MAY-16,As Submitted,DOCTORS MEMORIAL ,333 BYRON BUTLER PARKWAY ,,PERRY ,FL ,32347 ,TAYLOR ,,,,40593,,,.067,,,48,17568,1490,49,2889,,164.86,,407,16,894,127,,,,,, 100107,01-JAN-15,31-DEC-15,As Submitted,LEHIGH REGIONAL ,1500 LEE BOULEVARD ,,LEHIGH ACRES ,FL ,33936 ,LEE ,,,,158344,,,.089,,,78,28464,4449,504,10118,,263.66,,1013,325,2437,,,,,,, 100109,01-JAN-15,31-DEC-15,Amended,FLORIDA HOSPITAL HEARTLAND ,4200 SUN N LAKE BLVD ,,SEBRING ,FL ,33872- ,HIGHLANDS ,,,,577144,,,.06,,,180,65700,25165,1856,47482,,1223.84,,5157,600,10210,,,,5,,464, 100110,01-JAN-15,31-DEC-15,As Submitted,OSCEOLA REGIONAL MEDICAL CENTER ,700 WEST OAK STREET ,,KISSIMMEE ,FL ,32742 ,OSCEOLA ,1506144,,,1742182,,,.1922,736053,126885,293,106945,24497,6281,97158,21.71,1332.48,,4393,1319,21329,4580,,,138,,1453, 100113,01-JUL-15,30-JUN-16,As Submitted,UF HEALTH SHANDS ,1600 ARCHER RD ,100336 ,GAINESVILLE ,FL ,32610 ,ALACHUA ,35919240,,,7510626,,,.2353,14618630,3718563,738,270238,73952,19540,253656,592.24,6759.11,,11347,2714,45102,,,,169,50,3391,1014 100117,01-OCT-14,30-SEP-15,As Submitted,BAPTIST MEDICAL CENTER-BEACHES ,1350 THIRTEENTH AVENUE SOUTH ,,JACKSONVILLE BEACH ,FL ,32250 ,DUVAL ,,,,234342,,,.0454,,,136,49640,13055,933,30302,,680.82,,2947,240,7900,,,,,,, 100118,01-JAN-15,31-DEC-15,Amended,MEMORIAL HOSPITAL FLAGLER ,60 MEMORIAL MEDICAL PARKWAY ,,PALM COAST ,FL ,32614 ,FLAGLER ,,,,,,,,,,99,36135,16348,878,34266,,686.39,,3670,197,7888,,,,,,, 100121,01-OCT-14,30-SEP-15,As Submitted,BARTOW REGIONAL MEDICAL CENTER ,2200 OSPREY BLVD ,1050 ,BARTOW ,FL ,33831 ,POLK ,,,,139010,,,.0831,,,72,26280,4372,618,13918,,302.91,,916,372,3081,,,,,,, 100122,01-APR-15,31-MAR-16,As Submitted,NORTH OKALOOSA MEDICAL CENTER ,151 REDSTONE AVENUE ,,CRESTVIW ,FL ,32536 ,OKALOOSA ,,,,353059,,,.0916,,,110,40260,9654,940,17751,,462.23,,2294,687,4711,,,,,,, 100124,01-JUN-15,31-MAY-16,As Submitted,SANTA ROSA MEDICAL CENTER ,6002 BERRYHILL ROAD ,,MILTON ,FL ,32570 ,SANTA ROSA ,,,,312491,,,.1673,,,121,44286,4797,1186,12664,,296.75,,1182,681,3383,,,,,,, 100125,01-OCT-14,30-SEP-15,Amended,HOMESTEAD HOSPITAL ,975 BAPTIST WAY ,,HOMESTEAD ,FL ,33033 ,MIAMI-DADE ,,,,1219601,,,.4698,,,142,51830,5459,7445,38563,,1165.23,,1389,1993,10393,3200,,,,,, 100126,01-OCT-14,30-SEP-15,Amended,PALMS OF PASADENA HOSPITAL ,1501 PASADENA AVE S ,,ST PETERSBURG ,FL ,33707 ,PINELLAS ,,,,,,,,,,167,60955,11246,537,24183,,432.32,,2292,81,4871,,,,,3,,344 100127,01-JAN-15,31-DEC-15,Amended,MORTON PLANT HOSPITAL ,300 PINELLAS ST ,,CLEARWATER ,FL ,33756-3804 ,PINELLAS ,1736831,,,1136063,,,.0617,830343,269616,466,170090,41452,8360,114933,24.25,2264,,8773,911,25010,2062,,,,,, 100128,01-OCT-14,30-SEP-15,Amended,TAMPA GENERAL HOSPITAL ,1 TAMPA GENERAL CIRCLE ,,TAMPA ,FL ,33606-3508 ,HILLSBOROUGH ,12352374,,,6656528,,,.2536,5159884,969453,905,330325,70881,28063,270976,282.72,6501.9,,9642,5323,42735,,,,,,,952 100130,01-OCT-14,30-SEP-15,Amended,LAKESIDE MEDICAL CENTER ,39200 HOOKER HIGHWAY ,,BELLE GLADE ,FL ,33430 ,PALM BEACH ,293351,,,92606,,,.12,300736,81983,54,19710,1991,1807,10086,11.33,277.04,,443,415,2393,1087,,,,,, 100131,01-JAN-15,31-DEC-15,Amended,AVENTURA HOSPITAL AND MED CTR ,2801 NE 209TH ST AT BISCAYNE BLVD ,,MIAMI ,FL ,33180- ,DADE ,2216125,,,1552205,,,.1206,1213977,188458,351,131195,34625,3845,100437,27.12,1253.74,,6378,777,21825,,66,,142,,2099, 100132,01-JAN-15,31-DEC-15,Amended,SOUTH FLORIDA BAPTIST HOSPITAL ,301 N. ALEXANDER STREET ,,PLANT CITY ,FL ,33564- ,HILLSBOROUGH ,,,,440688,,,.1558,,,147,53655,7099,2429,25680,,634,,1706,398,6670,816,,,,,, 100134,01-OCT-14,30-SEP-15,As Submitted,ED FRASER MEMORIAL HOSPITAL ,159 NORTH 3RD STREET ,,MACCLENNY ,FL ,32063 ,BAKER ,,,,10670,,,.033,,,25,9125,251,9,377,,193.29,,100,5,161,2,,,,,, 100135,01-OCT-14,30-SEP-15,As Submitted,TALLAHASSEE MEMORIAL HOSPITAL ,MAGNOLIA DRIVE & MICCOSUKEE ROAD ,,TALLAHASSEE ,FL ,32308- ,LEON ,2536869,,,2216059,,,.1691,1044878,360098,389,141985,28570,9508,122742,60.96,3114.52,,6446,1634,28917,,,,80,,1987, 100137,01-JUL-15,30-JUN-16,As Submitted,HEART OF FLORIDA REGIONAL MEDICAL CE ,40100 US HIGHWAY 27 ,,DAVENPORT ,FL ,33837 ,POLK ,,,,606127,,,.1229,,,193,70638,11429,3044,35738,,665.42,,2692,475,9111,1412,,,,,, 100140,01-OCT-14,30-SEP-15,As Submitted,BAPTIST MEDICAL CTR-NASSAU ,1250 SOUTH 18TH STREET ,,FERNANDINA BEACH ,FL ,32034 ,NASSAU ,,,,203644,,,.1046,,,54,19710,5760,991,13710,,409.92,,1268,258,4244,,,,,,, 100142,01-OCT-14,30-SEP-15,As Submitted,JACKSON HOSPITAL MARIANNA ,4250 HOSPITAL DRIVE ,,MARIANNA ,FL ,32466 ,JACKSON ,,,,230593,,,.12,,,66,24090,7233,842,14436,,406.49,,1386,130,2937,857,,,,,, 100150,01-OCT-14,30-SEP-15,As Submitted,LOWER KEYS MEDICAL CENTER ,5900 COLLEGE ROAD ,,KEY WEST ,FL ,33040 ,MONROE ,,,,252786,,,.1169,,,78,28470,6321,3284,16692,,345,,1334,298,3837,,,,22,,694, 100151,01-JAN-15,31-DEC-15,As Submitted,MAYO CLINIC FLORIDA ,4500 SAN PABLO ROAD ,,JACKSONVILLE ,FL ,32224 ,DUVAL ,8556114,,,,,,,2807534,949093,249,93349,27350,445,59501,132.67,1484.47,,5916,51,12602,,,,,,, 100154,01-OCT-14,30-SEP-15,Amended,SOUTH MIAMI HOSPITAL ,6200 SW 73RD STREET ,,MIAMI ,FL ,33143 ,DADE ,261194,,,1509437,,,.2371,143846,91702,364,132860,16161,7359,88144,5.24,2395.26,,2900,1340,15129,3132,,,,,, 100156,01-NOV-14,31-OCT-15,Amended,LAKE CITY MEDICAL CENTER ,1050 N. COMMERCE BLVD ,,LAKE CITY ,FL ,32055- ,COLUMBIA ,,,,133762,,,.0345,,,67,24455,11561,563,18026,,293.47,,2681,154,4392,,,,,,, 100157,01-OCT-14,30-SEP-15,As Submitted,LAKELAND REGIONAL MED CTR ,1324 LAKELAND HILLS BLVD ,,LAKELAND ,FL ,33805- ,POLK ,,,,2607526,,,.1114,,,765,279225,63951,12209,195146,,4075.21,,12632,2335,40662,6438,,,,,2538, 100161,01-JUN-15,31-MAY-16,Amended,CENTRAL FLORIDA REGIONAL HOSPITAL ,1401 W. SEMINOLE BLVD ,,SANFORD ,FL ,32771 ,SEMINOLE ,,,,620092,,,.0892,,,208,76128,16531,2628,48216,,830.23,,3514,390,11104,1007,,,,11,,305 100166,01-JAN-15,31-DEC-15,Amended,DOCTORS HOSPITAL OF SARASOTA ,5731 BEE RIDGE RD ,,SARASOTA ,FL ,34233- ,SARASOTA ,,,,,,,,,,139,50735,15751,440,30329,,459.52,,3776,102,7426,174,,,2,,530, 100167,01-SEP-15,31-AUG-16,Amended,PLANTATION GENERAL HOSPITAL ,401 NW 42ND STREET ,,PLANTATION ,FL ,33317- ,BROWARD ,250340,,,3080273,,,.4339,270073,53382,589,215574,18230,10342,116337,12.37,1670.81,,3622,1507,23588,,,,147,7,2768,300 100168,01-JUL-15,30-JUN-16,As Submitted,BOCA RATON REGIONAL HOSPITAL ,800 MEADOWS ROAD ,,BOCA RATON ,FL ,33486 ,PALM BEACH ,4677333,,,,,,,1248398,1207150,365,133627,47789,517,88839,37.97,2195.42,,9646,80,18808,65,,,,,, 100173,01-JAN-15,31-DEC-15,Amended,FLORIDA HOSPITAL TAMPA ,3100 E FLETCHER AVE ,,TAMPA ,FL ,33613- ,HILLSBOROUGH ,19129,,,1422635,,,.1178,10642,2546,463,168995,32022,4868,113706,5.49,2345.19,,5418,740,22102,,,,,8,,604 100175,01-OCT-14,30-SEP-15,As Submitted,DESOTO MEMORIAL HOSPITAL ,900 NORTH ROBERT ROAD ,,ARCADIA ,FL ,34266 ,DESOTO ,,,,96778,,,.12,,,49,17885,2151,1914,5334,,210.59,,613,225,1502,,,,,,, 100176,01-JAN-15,31-DEC-15,Reopened,PALM BEACH GARDENS ,3360 BURNS ROAD ,,PALM BEACH GARDENS ,FL ,33410 ,PALM BEACH ,,,,,,,,,,199,72635,23999,1891,50101,,656,,4609,176,10083,385,,,,,, 100177,01-OCT-14,30-SEP-15,As Submitted,CAPE CANAVERAL HOSPITAL INC ,701 WEST COCOA BEACH CAUSEWAY ,PO BOX 320069 ,COCOA BEACH ,FL ,32933 ,BREVARD ,,,,196055,,,.0415,,,150,54750,11605,2075,28795,,555.9,,2762,610,7120,762,,,,,, 100179,01-JAN-15,31-DEC-15,Amended,MEMORIAL HOSPITAL OF JACKSONVILLE ,3625 UNIVERSITY BLVD SOUTH ,16325 ,JACKSONVILLE ,FL ,32216- ,DUVAL ,78534,,,1896255,,,.1385,33630,8388,377,137605,33214,4035,96702,1.19,1420.16,,6559,895,20906,,,,29,,1504, 100180,01-MAY-15,30-APR-16,Amended,ST. PETERSBURG GENERAL ,6500 38TH AVENUE ,,SAINT PETERSBURG ,FL ,33710 ,PINELLAS ,1293162,,,349844,,,.1139,1254314,272691,177,62952,8862,1389,26789,32.84,464.42,,1683,295,5889,1310,,,,,, 100181,01-JAN-15,31-DEC-15,Amended,LARKIN COMMUNITY HOSPITAL ,7031 SW 62ND AVENUE ,,MIAMI ,FL ,33143 ,MIAMI-DADE ,12439723,,,1968912,,,.4516,7132779,4268685,128,46720,14598,693,28512,279.72,666.26,,2470,114,5309,,,,,,, 100183,01-JAN-15,31-DEC-15,Amended,CORAL GABLES HOSPITAL ,3100 DOUGLAS ROAD ,,CORAL GABLES ,FL ,33134 ,DADE ,,,,1473226,,,.3825,,,245,89425,12031,1299,32848,,481.3,,2322,259,7731,858,,,,,, 100187,01-JAN-15,31-DEC-15,Amended,PALMETTO GENERAL HOSPITAL ,2001 W. 68TH STREET ,,HIALEAH ,FL ,33016 ,DADE ,2129644,,,3090429,,,.4369,2595847,410613,360,131400,20584,8986,106421,84.72,1342,,3680,1033,21762,4755,,,,,, 100189,01-JAN-15,31-DEC-15,Amended,NORTHWEST MEDICAL CENTER ,2801 NORTH STATE ROAD 7 ,639002 ,MARGATE ,FL ,33063- ,BROWARD ,275081,,,903104,,,.1397,143163,25005,223,81395,14625,2990,62245,4.81,772.17,,3324,615,15713,,,,,,, 100191,01-JUL-15,30-JUN-16,Amended,MEDICAL CENTER OF TRINITY ,9330 SR 54 ,,TRINITY ,FL ,34655 ,PASCO ,,,,481628,,,.0583,,,242,87204,23553,2255,64794,,1002.5,,4539,635,13815,2015,,,69,,2737, 100200,01-JUL-15,30-JUN-16,As Submitted,BROWARD HEALTH IMPERIAL POINT ,6401 N FEDERAL HIGHWAY ,,FT. LAUDERDALE ,FL ,33308- ,BROWARD ,,,,152531,,,.0587,,,140,51240,6507,1107,26710,,644.97,,1426,229,6058,,,,53,,2031, 100204,01-MAR-15,29-FEB-16,Amended,NORTH FLORIDA REG MED CNTR ,6500 NEWBERRY ROAD ,,GAINESVILLE ,FL ,32605- ,ALACHUA ,843067,,,2106748,,,.0916,,,394,144204,47669,4067,100484,6.15,1491.81,,11546,747,24724,,,,60,,941, 100206,01-NOV-14,31-OCT-15,As Submitted,MEMORIAL HOSPITAL OF TAMPA ,2901 SWANN AVENUE ,,TAMPA ,FL ,33609 ,HILLSBOURGH ,,,,111458,,,.0443,,,147,53655,7967,247,17959,,349.97,,1498,58,3911,195,,,124,,1706, 100209,01-JAN-15,31-DEC-15,Amended,KENDALL REGIONAL MEDICAL CENTER ,11750 BIRD ROAD ,,MIAMI ,FL ,33175- ,DADE ,1368414,,,3074762,,,.4034,1031633,101489,394,143810,17544,10455,108504,31.13,1542.04,,3416,1339,23493,,,,202,,1531, 100211,01-OCT-14,30-SEP-15,As Submitted,PASCO REGIONAL MEDICAL CENTER ,13100 FORT KING ROAD ,,DADE CITY ,FL ,33525 ,PASCO ,,,,49448,,,.0306,,,120,43800,3423,465,9712,,251.33,,879,65,2581,,,,,,, 100212,01-SEP-15,31-AUG-16,Amended,OCALA REGIONAL MEDICAL CENTER ,1431 SW 1ST AVENUE ,,OCALA ,FL ,34474 ,MARION ,2287415,,,962304,,,.055,757917,178925,316,113906,39435,5974,97448,17.82,1269.67,,8485,554,20317,1417,,,,,, 100213,01-MAY-15,30-APR-16,Amended,BLAKE MEDICAL CENTER ,2020 59TH STREET ,,BRADENTON ,FL ,34209 ,MANATEE ,,,,,,,,,,342,125231,33672,2989,71145,,1015,,7186,633,15470,462,,,,,,607 100217,01-OCT-14,30-SEP-15,As Submitted,SEBASTIAN RIVER MEDICAL CENTER ,13695 US HIGHWAY 1 ,,SEBASTIAN ,FL ,32958 ,INDIAN RIVER ,,,,,,,,,,121,44165,12509,1303,24328,,411.78,,2442,290,5451,,,,,,, 100220,01-OCT-14,30-SEP-15,Amended,GULF COAST MEDICAL CENTER ,13681 DOCTORS WAY ,,FORT MYERS ,FL ,33912- ,LEE ,,,,1382076,,,.0675,,,349,127385,50908,7389,109999,,1700,,9836,5000,23052,,,,,,, 100223,01-JUN-15,31-MAY-16,Amended,FORT WALTON BEACH MEDICAL CENTER ,1000 MAR-WALT DRIVE ,,FORT WALTON BEACH ,FL ,32547 ,OKALOOSA ,,,,1221751,,,.1374,,,189,69174,19874,5894,48037,,670.18,,4144,1294,10567,,,,,,1925,420 100224,01-MAY-15,30-APR-16,Amended,UNIVERSITY HOSPITAL ,7201 UNIVERSITY DRIVE ,,TAMARAC ,FL ,33321- ,BROWARD ,359021,,,143995,,,.0316,557288,73945,245,89670,12457,1011,35068,10.69,500.17,,2671,238,8274,,,,141,,3785, 100226,01-JUL-15,30-JUN-16,Amended,ORANGE PARK MEDICAL CENTER ,2001 KINGSLEY AVENUE ,,ORANGE PARK ,FL ,32073- ,CLAY ,1665070,,,1840469,,,.1592,572000,142304,273,99918,27401,4026,78507,17.51,1073.88,,5796,882,17966,,,,18,,1488, 100228,01-FEB-15,31-JAN-16,Amended,WESTSIDE REGIONAL MEDICAL CENTER ,8201 WEST BROWARD BOULEVARD ,,PLANTATION ,FL ,33324- ,BROWARD ,464484,,,298633,,,.0432,283072,40816,224,81760,18285,2978,64149,5.55,749.45,,3518,341,14093,,,,,,, 100230,01-MAY-15,30-APR-16,As Submitted,MEMORIAL HOSPITAL PEMBROKE ,7800 SHERIDAN STREET ,,PEMBROKE PINES ,FL ,33024 ,BROWARD ,,,,368625,,,.155,,,301,101458,6790,1999,29068,1.21,830.8,,1237,410,6722,,,,,,, 100231,01-JUN-15,31-MAY-16,Amended,WEST FLORIDA HOSPITAL ,8232 NORTH DAVIS HWY ,,PENSACOLA ,FL ,32523- ,ESCAMBIA ,,,,543687,,,.0451,,,400,146400,29315,2394,56857,,934.76,,6538,424,13024,,,,237,80,2795,618 100232,01-MAR-15,30-APR-15,As Submitted,PUTNAM COMMUNITY MEDICAL CENTER ,HIGHWAY 20 WEST ,,PALATKA ,FL ,32177 ,PUTNAM ,,,,61164,,,.0877,,,99,6039,2052,43,3470,,445.95,,418,19,792,,,,,,, 100232,01-MAY-15,31-AUG-15,Amended,PUTNAM COMMUNITY MEDICAL CENTER ,611 ZEAGLER DRIVE ,,PALATKA ,FL ,32177 ,PUTNAM ,,,,133640,,,.0982,,,99,12177,3451,252,6643,,414.96,,832,89,1631,,,,,,, 100232,01-SEP-15,31-AUG-16,Amended,PUTNAM COMMUNITY MEDICAL CENTER ,611 ZEAGLER DRIVE ,,PALATKA ,FL ,32177 ,PUTNAM ,,,,426153,,,.1013,,,99,36234,10923,805,19699,,386.87,,2469,224,4917,,,,,,, 100234,01-JUL-15,31-MAR-16,Amended,WEST PALM HOSPITAL ,2201 45TH STREET ,,WEST PALM BEACH ,FL ,33407 ,PALM BEACH ,126232,,,359190,,,.2419,151154,44580,168,46200,3362,1139,17885,16.31,418.39,,784,208,4265,1071,,,196,,2872, 100236,01-JAN-15,31-DEC-15,Amended,FAWCETT MEMORIAL HOSPITAL ,21298 OLEAN BLVD ,,PORT CHARLOTTE ,FL ,33952 ,CHARLOTTE ,,,,,,,,,,217,79205,31547,1637,56977,,741.56,,5970,235,11201,336,,,,,,411 100238,01-OCT-14,30-SEP-15,Reopened,NORTHSIDE HOSPITAL ,6000 49TH STREET NORTH ,,ST PETERSBURG ,FL ,33709 ,PINELLAS ,2195824,,,564780,,,.0691,1176032,208783,215,77551,19825,3019,49643,35.73,728.87,,3731,312,10042,652,,,,,, 100240,01-JUN-15,31-MAY-16,As Submitted,ANNE BATES LEACH EYE HOSPITAL ,900 NW 17TH STREET ,,MIAMI ,FL ,33136- ,MIAMI-DADE ,9421,,,,,,,6824,358149,56,20496,34,,168,21.59,571.89,,11,,56,,,,,,, 100242,01-FEB-15,31-JAN-16,Amended,GULF COAST REGIONAL MEDICAL CENTER ,449 WEST 23RD STREET ,,PANAMA CITY ,FL ,32404 ,BAY ,,,,1767541,,,.2202,,,216,79364,18703,3829,55987,,751.36,,4131,677,12861,3140,,,,,, 100243,01-JAN-15,31-DEC-15,Amended,BRANDON REGIONAL HOSPITAL ,119 OAKFIELD DRIVE ,,BRANDON ,FL ,33511 ,HILLSBOROUGH ,655949,,,1608021,,,.1454,,,397,145149,27447,4388,101973,10.08,1518.9,,5439,1138,23155,3919,,,,,1504, 100244,01-OCT-14,30-SEP-15,As Submitted,CAPE CORAL HOSPITAL ,636 DEL PRADO BLVD. ,,CAPE CORAL ,FL ,33990- ,LEE ,,,,655064,,,.0546,,,291,106215,31848,5215,74758,,1507,,6842,670,17227,1530,,,,,, 100246,01-OCT-14,30-SEP-15,Amended,LAWNWOOD REGIONAL MEDICAL CENTER ,1700 SOUTH 23RD STREET ,188 ,FT. PIERCE ,FL ,34950- ,ST. LUCIE ,,,,2052178,,,.187,,,312,113880,28197,8689,88372,1.59,1035.2,,5551,1353,17972,3827,,,75,40,1149,757 100248,01-MAR-15,29-FEB-16,Amended,LARGO MEDICAL CENTER ,201 14TH STREET ,,LARGO ,FL ,33770 ,PINELLAS ,9175632,,,,,,,4581657,629207,262,95892,29877,2218,75108,111.92,1165.46,,5944,443,16252,1213,,,123,23,2727,529 100249,01-JUN-15,31-MAY-16,As Submitted,SEVEN RIVERS REGIONAL MEDICAL CENTER ,6201 N. SUNCOAST BLVD ,,CRYSTAL RIVER ,FL ,34428 ,CITRUS ,,,,234442,,,.0411,,,112,40992,12543,1045,23711,,410.24,,2993,786,5948,,,,,4,,159 100252,01-MAY-15,30-APR-16,Amended,RAULERSON HOSPITAL ,1796 HIGHWAY 441 NORTH ,,OKEECHOBEE ,FL ,34972- ,OKEECHOBEE ,,,,,,,,,,100,37332,9301,1206,20544,,333.68,,2054,303,5071,431,,,,,, 100253,01-OCT-14,30-SEP-15,As Submitted,JUPITER MEDICAL CENTER ,1210 SOUTH OLD DIXIE HWY ,,JUPITER ,FL ,33458 ,PALM BEACH ,,,,,,,,,,195,71175,20970,776,47434,,1067.54,,4198,220,11615,323,,,,,, 100254,01-MAY-15,30-APR-16,Amended,CAPITAL REGIONAL MEDICAL CENTER ,2626 CAPITAL MEDICAL BLVD ,,TALLAHASSEE ,FL ,32308 ,LEON ,,,,1084031,,,.1664,,,242,88572,17650,2788,53309,,728.71,,3911,579,12864,,,,27,,733, 100255,01-NOV-14,31-OCT-15,Amended,TAMPA COMMUNITY HOSPITAL ,6001 WEBB ROAD ,,TAMPA ,FL ,33615 ,HILLSBOROUGH ,,,,300670,,,.1529,,,166,60590,6425,730,17075,,330.88,,1137,249,3965,409,,,,,1106, 100256,01-MAR-15,29-FEB-16,Amended,REGIONAL MEDICAL CENTRE BAYONET POIN ,14000 FIVAY ROAD ,,HUDSON ,FL ,34667 ,PASCO ,1414623,,,461401,,,.0455,725657,145833,278,101748,24877,3447,69714,17.2,939.97,,5139,449,14639,1748,,,,,, 100258,01-JAN-15,31-DEC-15,Amended,DELRAY MEDICAL CENTER ,5352 LINTON BLVD. ,,DELRAY BEACH ,FL ,33484 ,PALM BEACH ,1212985,,,,,,,541764,97972,347,126655,43056,3712,79533,10.29,1114.94,,8473,332,16757,449,181,,62,9,2224,986 100259,01-SEP-15,31-AUG-16,Amended,SOUTH BAY HOSPITAL ,4016 SUN CITY CENTER BLD ,,SUN CITY CENTER ,FL ,33573- ,HILLSBOROUGH ,,,,,,,,,,112,40992,14710,426,26757,,360.9,,3356,110,6296,155,,,,,, 100260,01-OCT-14,30-SEP-15,Amended,ST. LUCIE MEDICAL CENTER ,1800 S.E. TIFFANY AVE ,,PORT ST. LUCIE ,FL ,34952- ,ST. LUCIE ,3640659,,,391679,,,.0392,1721217,174741,207,75555,25227,2188,53651,36.47,669.27,,5306,584,12408,,,,,,970, 100264,01-MAR-15,29-FEB-16,Amended,OAK HILL HOSPITAL ,11375 CORTEZ BLVD ,,SPRING HILL ,FL ,34613- ,HERNANDO ,1651614,,,,,,,894298,124052,262,95892,31977,1698,66663,16.15,953.02,,6428,310,13935,557,,,,,, 100265,01-JAN-15,31-DEC-15,Amended,MEASE HOSPITAL COUNTRYSIDE ,3231 NORTH MCMULLEN BOOTH RD ,,SAFETY HARBOR ,FL ,33761-2045 ,PINELLAS ,,,,562558,,,.0535,,,311,113515,28506,8229,79428,,1452,,6109,404,17788,1705,,,,,, 100266,01-OCT-14,30-SEP-15,As Submitted,GULF BREEZE HOSPITAL ,1100 GULF BREEZE PARKWAY ,,GULF BREEZE ,FL ,32561 ,SANTA ROSA ,,,,,,,,,,65,23725,7725,350,16268,,446.49,,1983,84,4169,104,,,,,, 100267,01-JAN-15,31-DEC-15,Amended,ENGLEWOOD COMMUNITY HOSPITAL ,700 MEDICAL BLVD ,,ENGLEWOOD ,FL ,34223 ,SARASOTA ,,,,,,,,,,100,36500,6850,352,12088,,247.13,,1939,86,3389,45,,,,,, 100268,01-JAN-15,31-DEC-15,Amended,WEST BOCA MEDICAL CENTER ,21644 STATE ROAD 7 ,,BOCA RATON ,FL ,33428 ,PALM BEACH ,,,,549470,,,.1634,,,195,71175,8746,5000,44735,,598,,2090,380,10764,1664,,,,,, 100269,01-JUN-15,31-MAY-16,Amended,PALMS WEST HOSPITAL ,13001 STATE ROAD 80 ,1150 ,LOXAHATCHEE ,FL ,33470- ,PALM BEACH ,667960,,,1062748,,,.2387,390239,44838,204,74664,12366,5758,62317,20.79,741.82,,2353,820,14125,,,,,,, 100271,01-JUL-15,30-JUN-16,As Submitted,H. LEE MOFFITT CANCER CENTER ,12902 MAGNOLIA DRIVE ,,TAMPA ,FL ,33612 ,HILLSBOROUGH ,,,,,,,,,859102,206,75190,20051,2221,58796,104.11,2793,,3160,393,9332,,,,,,, 100275,01-JAN-15,31-DEC-15,Amended,WELLINGTON REGL MEDICAL CENTER ,10101 FOREST HILL BOULEVARD ,024627 ,WEST PALM BEACH ,FL ,33414- ,PALM BEACH ,835566,,,749684,,,.1764,471287,144318,233,77101,10167,6320,52729,17.63,884.16,,2123,740,11249,,,,,,, 100276,01-JUL-15,30-JUN-16,As Submitted,BROWARD HEALTH CORAL SPRINGS ,3000 CORAL HILLS DRIVE ,,CORAL SPRINGS ,FL ,33065- ,BROWARD ,53354,,,635080,,,.2094,46051,14577,196,71736,7389,4890,48180,1.7,946.82,,1683,1365,12228,40,,,,,, 100277,01-JUL-15,30-JUN-16,As Submitted,MIAMI JEWISH HEALTH SYSTEMS INC. ,5200 N.E. 2ND AVENUE ,,MIAMI ,FL ,33137 ,MIAMI-DADE ,,,,,,,,,,32,11712,448,,2027,,348,,114,,302,,,,,,, 100281,01-MAY-15,30-APR-16,As Submitted,MEMORIAL HOSPITAL WEST ,703 N. FLAMINGO ROAD ,,PEMBROKE PINES ,FL ,33028 ,BROWARD ,,,,1472969,,,.1862,,,384,140544,22002,5001,106097,.3,2183.2,,3794,1055,20465,,,,,,, 100284,01-JAN-15,31-DEC-15,As Submitted,WESTCHESTER GENERAL HOSPITAL ,2500 SW 75 TH AVE ,,MIAMI ,FL ,33155 ,DADE ,1172375,,,1832124,,,.5154,803081,62272,125,45625,16067,827,33536,32.27,544.48,,2359,131,5757,1389,1251,,103,,3211, 100285,01-MAY-15,30-APR-16,As Submitted,MEMORIAL HOSPITAL MIRAMAR ,1901 SW 172ND AVENUE ,,MIRAMAR ,FL ,33029 ,BROWARD ,,,,569528,,,.333,,,178,65148,3966,1945,38320,.16,857.8,,976,609,8851,,,,,,, 100286,01-OCT-14,30-SEP-15,Amended,PHYSICIANS REGIONAL MEDICAL CENTER ,6101 PINE RIDGE ROAD ,,NAPLES ,FL ,34119 ,COLLIER ,,,,,,,,,,201,73365,18866,1530,35850,,885.94,,4594,613,9107,,,,,,, 100287,01-JUN-15,31-MAY-16,Amended,GOOD SAMARITAN HOSPITAL ,1309 NORTH FLAGLER DRIVE ,,WEST PALM BEACH ,FL ,33401 ,PALM BEACH ,,,,961003,,,.1372,,,333,121878,17640,4127,48446,,767,,3811,454,10932,1402,,,,,, 100288,01-JUN-15,31-MAY-16,Amended,ST MARYS MEDICAL CENTER ,901 45TH STREET ,,WEST PALM BEACH ,FL ,33407 ,PALM BEACH ,,,,1757363,,,.452,,,374,136884,9214,27233,93031,,1265,,1743,2537,16174,4300,398,,86,21,1814,538 100289,01-JAN-15,31-DEC-15,Amended,CCF HOSPITAL - WESTON ,3100 WESTON ROAD ,,WESTON ,FL ,33331- ,BROWARD ,4605196,,,,,,,1199602,410460,155,56575,14988,409,45549,76.08,1176.03,,3160,63,10503,,,,,,, 100290,01-JUL-15,30-JUN-16,As Submitted,THE VILLAGES REGIONAL HOSPITAL ,1451 EL CAMINO REAL ,,THE VILLAGES ,FL ,32159-0041 ,SUMTER ,,,,,,,,,,277,101382,39471,780,65234,,905.42,,8663,134,14423,307,,,,,, 100291,01-OCT-14,30-SEP-15,As Submitted,WUESTHOFF MEDICAL CENTER - MELBOURNE ,205 NORTH WICKHAM ROAD ,,MELBOURNE ,FL ,32940 ,BREVARD ,,,,124095,,,.0469,,,113,41245,6330,434,16847,,354,,1289,378,3670,,,,,,, 100292,01-JUL-15,30-JUN-16,As Submitted,SACRED HEART HOSPITAL ON THE EMERALD ,7800 US HIGHWAY 98 WEST ,,DESTIN ,FL ,32550- ,WALTON ,,,,347275,,,.0907,,,50,18300,5653,1879,14306,,438.13,,1827,190,6359,717,,,,,, 100296,01-OCT-14,30-SEP-15,Amended,DOCTORS HOSPITAL ,5000 UNIVERSITY DRIVE ,,CORAL GABLES ,FL ,33146 ,MIAMI-DADE ,,,,651429,,,.1803,,,46,102565,10749,1307,30579,,896.55,,1926,86,6384,393,,,,,, 100298,01-JUL-15,30-JUN-16,As Submitted,FLORIDA STATE HOSPITAL ,MAIN STREET ,1000 ,CHATTACHOOCHEE ,FL ,32324 ,GADSDEN ,,,,,,,,,,24,8784,,,1048,,52,,,,,,,,5,,10, 100299,01-JAN-15,31-DEC-15,As Submitted,LAKEWOOD RANCH MEDICAL CENTER ,8330 LAKEWOOD RANCH BOULEVARD ,,BRADENTON ,FL ,34202 ,MANATEE ,,,,,,,,,,140,51100,8251,536,19995,,431.64,,1994,120,5926,,,,,,, 100302,01-JAN-15,31-DEC-15,As Submitted,ST. CLOUD REGIONAL MEDICAL CENTER ,2906 17TH STREET ,,ST. CLOUD ,FL ,34769 ,OSCEOLA ,,,,107281,,,.0485,,,84,30660,6631,527,16644,,298.9,,1283,374,3726,,,,,,, 100307,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENTS MEDICAL CENTER SOUTHSID ,4201 BELFORT ROAD ,,JACKSONVILLE ,FL ,32216 ,DUVAL ,,,,644456,,,.089,,,275,100650,13121,2050,43285,,760.3,,3202,221,11827,1145,,,,,, 100313,01-JUL-15,30-JUN-16,As Submitted,SACRED HEART HOSPITAL ON THE GULF ,3801 EAST HIGHWAY 98 ,,PORT SAINT JOE ,FL ,32456- ,GULF ,,,,10090,,,.0455,,,19,6954,880,13,1450,,104.89,,185,7,435,36,,,,,, 100314,01-OCT-14,30-SEP-15,Amended,WEST KENDALL BAPTIST HOSPITAL ,9555 S.W. 162 AVENUE ,,MIAMI ,FL ,33196 ,MIAMI-DADE ,477330,,,871386,,,.313,301660,98516,133,48545,6923,2437,32547,8.74,1045.33,,1420,664,8415,1531,,,,,, 100315,01-OCT-14,30-SEP-15,As Submitted,VIERA HOSPITAL INC ,8745 WICKHAM ROAD ,,VIERA ,FL ,32940 ,BREVARD ,,,,,,,,,,84,30660,6929,262,14660,,351.89,,1816,97,4129,83,,,,,, 100316,01-OCT-14,30-SEP-15,As Submitted,PALM BAY HOSPITAL ,1425 MALABAR ROAD NE ,,PALM BAY ,FL ,32907 ,BREVARD ,,,,150263,,,.0366,,,152,55480,10833,867,25228,,472,,2404,326,5922,370,,,,,, 100319,01-JAN-15,31-DEC-15,Amended,FLORIDA HOSPITAL WESLEY CHAPEL ,2600 BRUCE B DOWNS BLVD ,,WESLEY CHAPEL ,FL ,33544 ,,,,,139455,,,.045,,,83,30295,6102,730,21472,,610.51,,1492,114,5666,,,,,,, 100320,01-JUL-15,30-JUN-16,Amended,POINCIANA MEDICAL CENTER ,325 CYPRESS PARKWAY ,,KISSIMMEE ,FL ,34758 ,OSCEOLA ,,,,124910,,,.12,,,76,20364,2505,506,8843,,247.53,,699,121,2730,315,,,,,, 100321,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENTS MEDICAL CENTER-CLAY ,1670 ST. VINCENTS WAY ,,MIDDLEBURG ,FL ,32068 ,DUVAL ,,,,,,,,,,64,23424,8154,529,20466,,407.9,,2237,142,5830,324,,,,,, 100322,01-SEP-15,31-AUG-16,As Submitted,REGIONAL GENERAL HOSPITAL ,125 SOUTHWEST 7TH STREET ,,WILLISTON ,FL ,32696 ,LEVY ,,,,,,,,,,20,7300,292,,767,,50.7,,88,,226,,,,,,, 100324,26-JAN-15,31-AUG-15,As Submitted,PROMISE HOSPITAL OF FORT MYERS ,3050 CHAMPION RING ROAD ,,FORT MYERS ,FL ,33905 ,LEE COUNTY ,,,,,,,,,,60,13080,822,,982,,41.27,,30,,38,,,,,,, 100325,29-APR-15,30-NOV-15,Settled,SSH - DAYTONA BEACH ,301 MEMORIAL MEDICAL PKWY 11TH FL ,,DAYTONA BEACH ,FL ,32117 ,VOLUSIA ,,,,,,,,,,34,7344,988,,2041,,31.91,,43,,71,,,,,,, 100326,11-SEP-15,31-MAR-16,As Submitted,PROMISE HOSPITAL OF MIAMI ,14001 NW 82ND AVENUE ,,MIAMI LAKES ,FL ,33016 ,MIAMI-DADE ,,,,,,,,,,60,12180,1529,,2425,,77.94,,57,,87,,,,,,, 100327,30-SEP-15,31-MAR-16,As Submitted,LANDMARK HOSPITAL OF SOUTHWEST FLORI ,1285 CREEKSIDE BLVD EAST ,,NAPLES ,FL ,34108 ,,,,,,,,,,,50,9200,497,,710,,34.3,,18,,28,,,,,,, 101300,01-JAN-15,31-DEC-15,Amended,FLA HOSPT. WAUCHULA CRITICAL ACCESS ,533 WEST CARLETON STREET ,2155 ,WAUCHULA ,FL ,33873- ,HARDEE ,,,,,,,,,,25,9125,6062,20,7558,,103.29,,173,7,282,,,,,,, 101301,01-JUL-15,30-JUN-16,As Submitted,LIVE OAK SHANDS ,1100 SW 11TH STREET ,,LIVE OAK ,FL ,32060 ,SUWANNEE ,,,,,,,,,,25,9150,2212,73,3689,,121.67,,627,29,1133,113,,,,,, 101302,01-OCT-14,30-SEP-15,Settled,CAMPBELLTON-GRACEVILLE HOSPITAL ,5429 COLLEGE DRIVE ,,GRACEVILLE ,FL ,32440- ,JACKSON ,,,,,,,,,,25,9125,1647,,1922,,73.74,,59,,78,2,,,,,, 101303,01-JAN-15,31-DEC-15,Amended,LAKE BUTLER HOSPITAL ,850 EAST MAIN STREET ,,LAKE BUTLER ,FL ,32054 ,UNION ,,,,,,,,,,25,9125,1680,,1900,,81.4,,15,,31,,,,,,, 101304,01-JAN-15,31-DEC-15,Settled,CALHOUN-LIBERTY HOSPITAL ASSN ,20370 BURNS AVENUE ,,BLOUNTSTOWN ,FL ,32424 ,CALHOUN ,,,,,,,,,,15,5475,2515,110,4096,,107.76,,229,23,474,,,,,,, 101305,01-OCT-14,30-SEP-15,Reopened,GEORGE E WEEMS MEMORIAL HOSP ,135 AVENUE G ,,APALACHICOLA ,FL ,32320 ,FRANKLIN ,,,,,,,,,,25,9125,436,70,1025,,95.17,,120,2,223,,,,,,, 101307,01-OCT-14,30-SEP-15,Settled,DOCTORS MEMORIAL HOSPITAL ,401 EAST BYRD AVENUE ,,ONIFAY ,FL ,32425- ,HOLMES ,,,,,,,,,,20,7300,2794,54,3714,,113.79,,322,21,564,,,,,,, 101308,01-JAN-15,31-DEC-15,Settled,NORTHWEST FLORIDA COMMUNITY HOSPITAL ,1360 BRICKYARD RD ,889 ,CHIPLEY ,FL ,32428-0889 ,WASHINGTON ,,,,,,,,,,25,9125,2720,268,3476,,144.78,,379,62,582,,,,,,, 101309,01-OCT-14,30-SEP-15,Settled,HENDRY REGIONAL MEDICAL CENTER ,524 SAGAMORE AVENUE ,,CLEWISTON ,FL ,33440 ,HENDRY ,,,,,,,,,,25,9125,1217,91,2444,,184.9,,332,28,809,99,,,,,, 101310,01-JUL-15,30-JUN-16,As Submitted,SHANDS STARKE ,922 CALL STREET ,,STARKE ,FL ,32091 ,BRADFORD ,,,,,,,,,,25,9150,2818,157,5229,,148.14,,743,48,1477,114,,,,,, 101311,01-OCT-14,30-SEP-15,Settled w/Audit,MADISON CTY MEMORIAL HOSPITAL ,301 N E MARION STREET ,,MADISON ,FL ,32340 ,MADISON ,,,,,,,,,,25,9125,4287,10,5487,,92.4,,250,4,443,,,,,,, 101312,01-JUL-15,30-JUN-16,As Submitted,FISHERMENS HOSPITAL ,3301 OVERSEAS HIGHWAY ,,MARATHON ,FL ,33050 ,MONROE ,,,,,,,,,,25,9150,764,30,1504,,163.75,,235,8,501,,,,,,, 101313,01-OCT-14,30-SEP-15,Settled w/Audit,MARINERS HOSPITAL ,91500 OVERSEAS HIGHWAY ,,TAVERNIER ,FL ,33070 ,MONROE ,,,,,,,,,,25,9125,1416,49,2474,,208.92,,294,10,587,14,,,,,, 101993,01-OCT-14,30-SEP-15,Settled,DAYSTAR INC ,3800 FLAMINGO ROAD ,,DAVIE ,FL ,33330 ,BROWARD ,,,,,,,,,,3,1095,510,,962,,11,,13,,18,,,,,,, 102001,01-SEP-15,31-AUG-16,Settled,SSH - MIAMI ,955 NW 3RD STREET ,,MIAMI ,FL ,33128 ,MIAMI-DADE ,,,,,,,,,,47,17202,8883,37,15181,,146.73,,356,1,505,,,,,,, 102003,01-JAN-15,31-DEC-15,Settled,SSH -ORLANDO ,2250 BEDFORD ROAD ,,ORLANDO ,FL ,32803 ,ORANGE ,,,,,,,,,,80,29200,11444,300,21444,,243.51,,391,3,709,13,,,,,, 102009,01-SEP-15,31-AUG-16,Amended,KINDRED HOSPITAL BAY AREA ,4555 SOUTH MANHATTAN AVENUE ,,TAMPA ,FL ,33611 ,HILLSBOROUGH ,,,,,,,,,,155,56730,24506,111,39651,,346.4,,799,3,1131,22,,,,,, 102010,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL SOUTH FLORIDA ,1516 EAST LAS OLAS BOULEVARD ,,FT. LAUDERDALE ,FL ,33301 ,BROWARD ,,,,,,,,,,214,82482,27701,,51497,,484.2,,977,,1617,26,,,,,, 102012,01-JAN-15,31-DEC-15,Settled,SPECIALTY HOSPITAL OF JACKSONVILLE ,4901 RICHARD STREET ,,JACKSONVILLE ,FL ,32207 ,DUVAL ,,,,,,,,,,107,39055,11600,,14825,,199,,423,,560,,,,,,, 102013,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL CENTRAL TAMPA ,4801 NORTH HOWARD AVENUE ,,TAMPA ,FL ,33603 ,HILLSBOROUGH ,,,,,,,,,,102,37332,18290,28,26229,,237.7,,719,1,938,17,,,,,, 102015,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL NORTH FLORIDA ,801 OAK STREET ,,GREEN COVE SPRINGS ,FL ,32043 ,CLAY ,,,,,,,,,,80,29280,11865,,20224,,200,,480,,721,11,,,,,, 102016,01-SEP-15,31-AUG-16,As Submitted,SISTER EMMANUEL HOSPITAL ,3663 S. MIAMI AVENUE ,,MIAMI ,FL ,33133 ,MIAMI-DADE ,,,,,,,,,,29,10614,6884,130,8908,,73.54,,242,3,276,,,,,,, 102017,01-AUG-15,31-JUL-16,As Submitted,SSH - PANAMA CITY INC ,615 NORTH BONITA AVENUE ,,PANAMA CITY ,FL ,32401 ,BAY COUNTY ,,,,,,,,,,30,10980,7945,26,10681,,95.11,,310,1,401,6,,,,,, 102018,01-JUN-15,31-MAY-16,As Submitted,COMPLEX CARE HOSPITAL AT RIDGELAKE ,6150 EDGELAKE DRIVE ,,SARASOTA ,FL ,34240 ,SARASOTA ,,,,,,,,,,40,14640,8998,106,12686,,118.42,,335,1,450,,,,,,, 102019,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL OCALA ,1500 SW 1ST AVENUE 5TH FLOOR ,,OCALA ,FL ,34474 ,MARION ,,,,,,,,,,31,11346,3802,,6360,,50.2,,161,,238,2,,,,,, 102020,01-MAR-15,29-FEB-16,Settled,SSH -TALLAHASSEE INC. ,1554 SURGEONS DRIVE ,,TALLAHASSEE ,FL ,32308 ,LEON ,,,,,,,,,,29,10614,6182,16,9542,,102.67,,224,1,367,8,,,,,, 102021,01-JAN-15,31-DEC-15,Settled,BAYCARE ALLIANT HOSPITAL ,601 MAIN STREET ,,DUNEDIN ,FL ,34698-5848 ,PINELLAS ,,,,,,,,,,48,17520,5634,182,10315,,96,,219,3,365,4,,,,,, 102022,01-AUG-15,31-JUL-16,Settled,SSH - GAINESVILLE INC ,2708 SOUTHWEST ARCHER ROAD ,,GAINESVILLE ,FL ,32608-1316 ,ALACHUA ,,,,,,,,,,44,16104,8861,54,13975,,132.36,,259,2,421,13,,,,,, 102023,01-DEC-14,30-NOV-15,Settled,SSH - PALM BEACH LLC ,3060 MELALEUCA LANE ,,LAKE WORTH ,FL ,33461 ,PALM BEACH ,,,,,,,,,,60,21900,10294,,17401,,192.49,,379,,625,5,,,,,, 102024,01-OCT-14,30-SEP-15,Settled,SSH - PENSACOLA INC ,7000 COBBLE CREEK DRIVE ,,PENSACOLA ,FL ,32504 ,ESCAMBIA ,,,,,,,,,,75,27375,18112,407,25624,,240.81,,682,7,916,7,,,,,, 102025,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL THE PALM BEACHES ,5555 W. BLUE HERON BOULEVARD ,,RIVIERA BEACH ,FL ,33418 ,PALM BEACH ,,,,,,,,,,70,25620,10427,16,17221,,161.8,,372,1,555,2,,,,,, 102026,01-JAN-15,31-DEC-15,Settled,FLORIDA HOSPITAL AT CONNERTON ,9441 HEALTH CENTER DRIVE ,,LAND O LAKES ,FL ,34637 ,PASCO ,,,,,,,,,,50,18250,8537,53,17978,,300.48,,359,2,667,9,,,,,, 102027,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL MELBOURNE ,765 WEST NASA BOULEVARD ,,MELBOURNE ,FL ,32901 ,BREVARD ,,,,,,,,,,60,21960,7713,19,12335,,121.4,,271,1,407,5,,,,,, 102028,01-JUL-15,30-JUN-16,As Submitted,PROMISE HOSPITAL OF FLORIDA AT THE V ,5050 COUNTY ROAD 472 ,,OXFORD ,FL ,34484 ,SUMTER ,,,,,,,,,,40,14640,9268,785,13265,,146.92,,353,3,468,,,,,,, 102029,01-SEP-15,31-AUG-16,Settled,PROMISE HOSPITAL OF FORT MYERS ,3050 CHAMPION RING ROAD ,,FORT MYERS ,FL ,33905 ,LEE COUNTY ,,,,,,,,,,60,21960,9377,15,11702,,107.72,,382,1,461,,,,,,, 103026,01-OCT-14,30-SEP-15,As Submitted,ST CATHERINES REHABILITATION HOSP ,1050 NE 125TH STREET ,,NORTH MIAMI ,FL ,33161 ,MIAMI-DADE ,,,,,,,,,,60,21900,9311,86,16772,,117.47,,688,8,1194,,,,,,, 103027,01-OCT-14,30-SEP-15,As Submitted,ST JOHNS REHABILITATION HOSPITAL ,3705 NW 35TH STREET ,,LAUDERDALE LAKES ,FL ,33311 ,BROWARD ,,,,,,,,,,26,9490,3051,296,6808,,46.66,,224,30,527,85,,,,,, 103028,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH SUNRISE REHABILITATION H ,4399 KNOB HILL ROAD ,,SUNRISE ,FL ,33351-5899 ,BROWARD ,,,,,,,,,,126,45990,22191,141,34387,,340.96,,1643,7,2529,53,,,,,, 103031,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,6400 EDGELAKE DRIVE ,,SARASOTA ,FL ,34240 ,SARASOTA ,,,,,,,,,,96,35040,23671,148,29374,,242.51,,1836,11,2282,19,,,,,, 103032,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH TREASURE COAST REHABILIT ,1600 37TH STREET ,,VERO BEACH ,FL ,32960 ,INDIAN RIVER ,,,,,,,,,,80,29200,16517,301,20416,,178.24,,1318,8,1629,20,,,,,, 103033,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1675 RIGGINS ROAD ,,TALLAHASSEE ,FL ,32308 ,LEON ,,,,,,,,,,76,27740,11470,180,15536,,163.27,,904,14,1223,23,,,,,, 103034,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH SEA PINES REHABILITATION ,101 EAST FLORIDA AVENUE ,,MELBOURNE ,FL ,32901 ,BREVARD ,,,,,,,,,,90,32850,15596,125,21652,,210.05,,1124,11,1553,20,,,,,, 103036,01-JAN-15,31-DEC-15,As Submitted,WEST GABLES REHABILITATION HOSPITAL ,2525 SW 75TH STREET ,,MIAMI ,FL ,33155 ,MIAMI-DADE ,,,,,,,,,,60,21900,7810,54,19733,,222.4,,650,4,1711,57,,,,,, 103037,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,901 NORTH CLEARWATER-LARGO ROAD ,,LARGO ,FL ,33770 ,PINELLAS ,,,,,,,,,,70,25550,13701,538,20155,,178.63,,1090,35,1572,19,,,,,, 103038,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,20601 OLD CUTLER ROAD ,,MIAMI ,FL ,33189 ,DADE ,,,,,,,,,,60,21900,10684,100,16673,,148.53,,981,9,1479,47,,,,,, 103039,01-JAN-15,31-DEC-15,As Submitted,BROOKS REHABILITATION ,3599 UNIVERSITY BLVD SOUTH ,,JACKSONVILLE ,FL ,32216 ,DUVAL ,,,,,,,,,,157,57305,24392,1645,47651,,548.26,,1625,94,3091,165,,,,,, 103040,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH EMERALD COAST REHABILITA ,1847 FLORIDA AVENUE ,,PANAMA CITY ,FL ,32405- ,BAY ,,,,,,,,,,75,27375,14089,127,20310,,181.17,,1098,8,1591,33,,,,,, 103042,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,12440 CORTEZ BOULEVARD ,,BROOKSVILLE ,FL ,34613 ,HERNANDO ,,,,,,,,,,80,29200,18709,10,23984,,211.35,,1289,1,1644,15,,,,,, 103043,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,2275 SW 22ND LANE ,,OCALA ,FL ,34471 ,MARION ,,,,,,,,,,50,18250,13322,130,16742,,151.78,,1072,8,1321,26,,,,,, 103044,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,5850 SE COMMUNITY DRIVE ,,STUART ,FL ,34997 ,MARTIN ,,,,,,,,,,44,13830,10463,70,13611,,126.17,,891,5,1133,16,,,,,, 103045,22-NOV-14,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,831 SOUTH STATE ROAD 434 ,,ALTAMONTE SPRINGS ,FL ,32714 ,SEMINOLE ,,,,,,,,,,50,20250,9410,34,12795,,124.17,,717,1,908,20,,,,,, 103300,01-JUL-15,30-JUN-16,Settled,JOHNS HOPKINS ALL CHILDRENS HOSPITA ,501 6TH AVENUE SOUTH 6500002500 ,,ST. PETERSBURG ,FL ,33701 ,PINELLAS ,,,,,,,,,2915,259,94794,217,8128,58761,46.05,2342.58,,25,522,6889,,,,,,, 103301,01-JAN-15,31-DEC-15,Reopened,MIAMI CHILDRENS HOSPITAL ,3100 SW 62ND AVENUE ,,MIAMI ,FL ,33155 ,MIAMI-DADE ,,,,,,,,,4946,289,105485,262,44357,63857,142.42,2719.87,,53,7094,10812,,,,,,, 103303,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITAL FOR CHILDREN TAMPA ,12505 USF PINE DRIVE ,,TAMPA ,FL ,33612 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 103304,01-JAN-15,31-DEC-15,Settled,NEMOURS CHILDRENS HOSPITAL ,13535 NEMOURS PARKWAY ,,ORLANDO ,FL ,32827 ,ORANGE ,,,,,,,,,,82,29930,54,1050,11715,.3,958.01,,17,175,2519,,,,,,, 104001,01-JUL-15,30-JUN-16,Settled,SOUTH FLORIDA STATE HOSPITAL ,800 EAST CYPRESS DRIVE ,,PEMBROKE PINES ,FL ,33025 ,DADE ,,,,,,,,,,50,18300,,4459,17597,,62.61,,,24,76,,,,,,, 104007,01-JUL-15,30-JUN-16,As Submitted,NORTHEAST FLORIDA STATE HOSPITAL ,HIGHWAY 121 SOUTH ,519 ,MACCLENNY ,FL ,32063-9777 ,BAKER ,,,,,,,,,,50,18300,,7119,16382,,68,,,19,63,,,,,,, 104008,01-OCT-14,30-SEP-15,Settled,JEROME GOLDEN CENTER FOR BEHAVIORAL ,1041 45TH STREET ,,WEST PALM BEACH ,FL ,33407-2415 ,PALM BEACH ,,,,,,,,,,44,16060,1346,,12013,,284.92,,156,,1602,163,,,,,, 104016,01-JUL-15,30-JUN-16,Settled,RIVER POINT BEHAVIORAL HEALTH ,6300 BEACH BOULEVARD ,,JACKSONVILLE ,FL ,32216 ,JACKSONVILLE ,,,,,,,,,,84,30744,1256,,12656,,109.35,,182,,2188,,,,,,, 104017,01-JUL-15,30-JUN-16,Settled,WINDMOOR HEALTHCARE ,11300 US 19 NORTH ,,CLEARWATER ,FL ,33764 ,PINELLAS ,,,,,,,,,,144,52704,19005,,35053,,214.2,,1336,,4273,,,,,,, 104018,01-JUL-15,30-JUN-16,Settled,LIFESTREAM BEHAVIORAL CENTER ,515 WEST MAIN STREET ,,LEESBURG ,FL ,34749 ,LAKE ,,,,,,,,,,62,22692,2601,,16093,,547.28,,453,,2372,,,,,,, 104024,01-JUL-15,30-JUN-16,Settled,CIRCLES OF CARE INC. ,400 EAST SHERIDAN ROAD ,,MELBOURNE ,FL ,32901 ,BREVARD ,,,,,,,,,,172,62952,5592,,37641,,436.7,,563,,1681,,,,,,, 104026,01-JAN-15,31-DEC-15,Settled,FT. LAUDERDALE HOSPITAL ,1601 EAST LAS OLAS BLVD ,,FT. LAUDERDALE ,FL ,33301 ,BROWARD ,,,,,,,,,,100,36500,11490,,33645,,200,,806,,5635,,,,,,, 104027,01-JUL-15,30-JUN-16,Settled,WEST FLORIDA COMM. CARE CENTER ,5500 STEWART ST. ,,MILTON ,FL ,32570 ,SANTA ROSA ,,,,,,,,,,100,36600,933,,25665,,77.3,,29,,119,,,,,,, 104040,01-JUL-15,30-JUN-16,Settled,CENTERSTONE OF FLORIDA INC. ,2020 26TH AVENUE EAST ,,BRADENTON ,FL ,34208 ,MANATEE ,,,,,,,,,,30,10980,4372,,9865,,86.2,,284,,1441,,,,,,, 104057,01-OCT-14,30-SEP-15,Settled,SPRINGBROOK HOSPITAL ,7007 GROVE ROAD ,,BROOKSVILLE ,FL ,34609 ,HERNANDO ,,,,,,,,,,66,24090,14855,,23849,,152.76,,918,,2386,,,,,,, 104059,01-JUL-15,30-JUN-16,As Submitted,EASTSIDE PSYCHIATRIC HOSPITAL ,2634-J CAPITAL CIRCLE NE ,,TALLAHASSEE ,FL ,32308 ,LEON ,,,,,,,,,,46,16836,2405,,5694,,70.18,,247,,956,,,,,,, 104063,01-JAN-15,31-DEC-15,Settled,THE WILLOUGH AT NAPLES ,9001 TAMIAMI TRAIL EAST ,,NAPLES ,FL ,33862 ,CHARLOTTE ,,,,,,,,,,63,22995,20483,,22110,,121.28,,956,,1220,,,,,,, 104065,01-JAN-15,31-DEC-15,Settled,ATLANTIC SHORES HOSPITAL ,4545 NORTH FEDERAL HWY ,,FT. LAUDERDALE ,FL ,33308 ,BROWARD ,,,,,,,,,,42,15330,1689,,2842,,85.31,,229,,1116,,,,,,, 104067,01-JUL-15,30-JUN-16,Settled,ASPIRE HEALTH PARTNERS INC ,ASPIRE HEALTHCARE ,1800 MERCY DRIVE ,ORLANDO ,FL ,32808 ,ORANGE ,,,,,,,,,,56,20440,5417,,18024,,1314.7,,557,,2760,,,,,,, 104068,01-JUL-15,30-JUN-16,Settled,THE CENTERS ,5664 SW 60 AVENUE ,,OCALA ,FL ,34474 ,MARION ,,,,,,,,,,15,5475,1560,,4488,,455.9,,274,,904,,,,,,, 104069,01-JUL-15,30-JUN-16,Settled,WEKIVA SPRINGS CENTER LLC ,3947 SALISBURY RD. NORTH ,,JACKSONVILLE ,FL ,32216 ,JACKSONVILLE ,,,,,,,,,,120,43920,7819,,24823,,138.35,,638,,2911,,,,,,, 104070,01-JAN-15,31-DEC-15,Settled,PORT ST LUCIE HOSPITAL ,2550 SE WALTON ROAD ,,PORT ST. LUCIE ,FL ,34952 ,ST. LUCIE ,,,,,,,,,,75,27375,18597,,25548,,138.1,,1043,,1672,,,,,,, 104071,01-JUL-15,30-JUN-16,Settled,THE VINES HOSPITAL ,3130 S. W. 27TH AVENUE ,,OCALA ,FL ,34471 ,OCALA ,,,,,,,,,,64,23424,4676,,17925,,103.25,,499,,2735,,,,,,, 104072,01-JAN-15,31-DEC-15,Settled,CENTRAL FLORIDA BEHAVIORAL HEALTH ,6601 CENTRAL FLORIDA PARKWAY ,,ORLANDO ,FL ,32821 ,ORANGE ,,,,,,,,,,126,45990,7447,,41261,,221.6,,752,,6462,,,,,,, 104073,01-NOV-14,31-OCT-15,Settled,EMERALD COAST BEHAVIORAL HOSPITAL ,1900 HARRISON AVENUE ,,PANAMA CITY ,FL ,32405 ,BAY ,,,,,,,,,,86,31390,4120,,25856,,157.8,,424,,2761,,,,,,, 104074,01-JAN-15,31-DEC-15,Settled,PARK ROYAL HOSPITAL ,9241 PARK ROYAL DRIVE ,,FORT MYERS ,FL ,33908 ,LEE ,,,,,,,,,,103,37595,15157,,28927,,188.8,,1445,,3524,,,,,,, 104075,01-JAN-15,31-DEC-15,Reopened,NORTH TAMPA BEHAVIORAL HEALTH ,29910 SR 56 ,,WESLEY CHAPEL ,FL ,33543 ,PASCO ,,,,,,,,,,75,27375,7008,,19856,,119.36,,610,,2883,,,,,,, 104076,01-JAN-15,31-DEC-15,Settled,UNIVERSITY BEHAVIORAL CENTER ,2500 DISCOVERY DRIVE ,,ORLANDO ,FL ,32826 ,ORANGE ,,,,,,,,,,73,26645,2746,,20314,,111.83,,232,,3786,,,,,,, 104078,25-NOV-14,31-OCT-15,Settled,SUNCOAST BEHAVIORAL HEALTH CENTER ,4480 51ST. STREET WEST ,,BRADENTON ,FL ,34210 ,MANATEE ,,,,,,,,,,60,20400,1367,,8600,,70,,174,,1623,,,,,,, 104079,31-JUL-15,31-DEC-15,Settled,LARKIN COMMUNITY HOSPITAL BEHAVIORAL ,1201 NORTH 37 AVENUE ,,HOLLYWOOD ,FL ,33021 ,BROWARD ,,,,,,,,,,50,7700,344,35,2566,,41.15,,46,7,243,,,,,,, 110001,01-OCT-14,30-SEP-15,As Submitted,HAMILTON MEDICAL CENTER ,1200 MEMORIAL DRIVE ,1168 ,DALTON ,GA ,30720 ,WHITFIELD ,,,,1393440,,,.2078,,,234,85410,15849,5407,42976,,1151.97,,3611,1293,9365,1948,46,,111,,558, 110002,01-JAN-15,31-DEC-15,As Submitted,UPSON REGIONAL MEDICAL CENTER ,801 WEST GORDON STREET ,1059 ,THOMASTON ,GA ,30286 ,UPSON ,,,,227467,,,.1208,,,101,36865,4554,1308,14892,,503.97,,1021,309,2962,,,,,,, 110003,01-JAN-15,31-DEC-15,As Submitted,MAYO CLINIC HEALTH SYSTEM WAYCROSS ,1900 TEBEAU STREET ,,WAYCROSS ,GA ,31501 ,WARE ,191748,,,557043,,,.1349,91721,54255,155,56575,11055,2529,26058,3.85,1044.44,,2507,537,6826,,,,,,342,50 110004,01-OCT-14,30-SEP-15,As Submitted,HUTCHESON MEDICAL CENTER INC ,101 GROSS CRESCENT CIRCLE ,,FT OGLETHORPE ,GA ,30742 ,WALKER DADE AND CATOOSA ,,,,191875,,,.1633,,,114,41610,3447,764,8930,,508.63,,738,175,2272,438,,,,,, 110005,01-OCT-14,30-SEP-15,Amended,NORTHSIDE HOSPITAL FORSYTH ,1200 MEDICAL CENTER BLVD ,,CUMMING ,GA ,30040- ,FORSYTH ,,,,492707,,,.0606,,,231,84315,23830,6098,73998,,2172.68,,4073,1232,12976,1861,,,,,, 110006,01-JUL-15,30-JUN-16,Amended,ST MARYS HEALTH CARE SYSTEM INC ,1230 BAXTER STREET ,,ATHENS ,GA ,30606-3791 ,CLARK ,840185,,,761358,,,.1188,654441,244795,165,60374,11892,2756,39828,10,943.4,,2858,526,9152,,,,,,,510 110007,01-AUG-15,31-JUL-16,Amended,PHOEBE PUTNEY MEMORIAL HOSPITAL ,417 W THIRD AVENUE ,,ALBANY ,GA ,31701- ,DOUGHERTY ,731331,,,2893121,,,.2494,726210,382994,420,153720,29224,11877,101142,15.72,2222.95,,5422,1905,17730,3763,,,289,40,1299,378 110008,01-OCT-14,30-SEP-15,Amended,NORTHSIDE HOSPITAL-CHEROKEE INC. ,201 HOSPITAL ROAD ,,CANTON ,GA ,30115- ,CHEROKEE ,,,,313445,,,.0704,,,80,29200,10677,2076,28139,,1195.51,,2051,645,5918,1217,,,,,, 110010,01-SEP-15,31-AUG-16,Amended,EMORY UNIVERSITY HOSPITAL ,1364 CLIFTON ROAD ,,ATLANTA ,GA ,30302 ,DEKALB ,27163692,,,1125721,,,.0446,8515358,1832893,514,187610,52399,16317,161617,306.57,3436.48,,8521,1375,25733,,,,,,831, 110011,01-JUL-15,30-JUN-16,As Submitted,TANNER MEDICAL CENTER ,705 DIXIE STREET ,,CARROLLTON ,GA ,30117- ,CARROLL ,,,,755239,,,.1183,,,165,60390,13409,2251,36155,,1318.35,,2968,563,8425,627,,,,7,,277 110015,01-JUL-15,30-JUN-16,As Submitted,TANNER MEDICAL CENTER-VILLA RICA ,601 DALLAS ROAD ,,VILLA RICA ,GA ,30180- ,CARROLL ,,,,148395,,,.12,,,40,14640,2395,901,8607,,413.86,,674,200,2335,823,,,1324,,3776, 110016,01-OCT-14,30-SEP-15,Amended,WEST GEORGIA MEDICAL CENTER ,1514 VERNON ROAD ,1567 ,LAGRANGE ,GA ,30240 ,TROUP ,,,,820347,,,.1838,,,276,100740,9712,2505,29093,,897.83,,2312,610,7305,,,,,,, 110018,01-JAN-15,31-DEC-15,As Submitted,NEWTON MEDICAL CENTER ,5126 HOSPITAL DRIVE ,,COVINGTON ,GA ,30209- ,NEWTON ,,,,331455,,,.12,,,87,31755,5436,1190,16569,,632.39,,1515,334,4467,788,,,,,, 110023,01-JAN-15,31-DEC-15,Amended,GORDON HOSPITAL ,1035 RED BUD ROAD ,12938 ,CALHOUN ,GA ,30703-7013 ,GORDON COUNTY ,,,,420890,,,.1482,,,69,25185,7055,1629,16856,,562.79,,1569,404,4057,,,,,,, 110024,01-JUL-15,30-JUN-16,As Submitted,CANDLER HOSPITAL INC ,5353 REYNOLDS STREET ,,SAVANNAH ,GA ,31405- ,CHATHAM ,,,,876350,,,.159,,,233,85278,18512,4068,64468,,1309.89,,2903,592,11147,2829,,,,,,360 110025,01-MAY-15,30-APR-16,As Submitted,SGHS - BRUNSWICK CAMPUS ,2415 PARKWOOD DRIVE ,,BRUNSWICK ,GA ,31520 ,GLYNN ,,,,861753,,,.1028,,,316,115656,22531,5190,57930,,1215,,4008,781,12397,1859,,,,,, 110026,01-JUL-15,30-JUN-16,As Submitted,ELBERT MEMORIAL HOSPITAL ,4 MEDICAL DRIVE ,,ELBERTON ,GA ,30635 ,ELBERT ,,,,16200,,,.0399,,,52,19032,1590,138,3321,,114,,306,45,702,29,,,,,, 110027,01-JAN-15,31-MAY-15,As Submitted,TY COBB REGIONAL MEDICAL CENTER ,367 CLEAR CREEK PARKWAY ,,LAVONIA ,GA ,30553 ,FRANKLIN ,,,,73356,,,.2125,,,56,8456,985,226,2284,,229.88,,252,70,584,151,,,,,, 110027,01-JUN-15,30-JUN-16,Amended,ST. MARYS SACRED HEART HOSPITAL ,367 CLEAR CREEK PARKWAY ,,LAVONIA ,GA ,30553 ,FRANKLIN ,,,,183663,,,.2258,,,56,22176,2194,529,6209,,205.45,,648,177,1680,151,,,,,, 110028,01-JAN-15,31-DEC-15,As Submitted,UNIVERSITY HEALTH SERVICES INC. ,1350 WALTON WAY ,,AUGUSTA ,GA ,30901-2612 ,RICHMOND ,249438,,,2373847,,,.1351,113975,50709,537,180675,39456,9943,116801,4.75,2396.26,,7505,1318,16186,3209,,,,,, 110029,01-OCT-14,30-SEP-15,As Submitted,NORTHEAST GEORGIA MEDICAL CENTER ,743 SPRING STREET NE ,,GAINESVILLE ,GA ,30501-3715 ,HALL ,,,,2623282,,,.1037,,,477,174105,52749,12122,143968,,4314.56,,10563,2582,29158,3866,330,,591,14,3173,320 110030,01-OCT-14,30-SEP-15,Amended,CARTERSVILLE MEDICAL CENTER ,960 JOE FRANK HARRIS PARKWAY ,,CARTERSVILLE ,GA ,30120 ,BARTOW ,,,,697552,,,.1412,,,112,40880,12284,3668,30488,,574.06,,2611,864,7109,1324,,,,,, 110031,01-JAN-15,31-DEC-15,Amended,SPALDING REGIONAL HOSPITAL ,601 SOUTH 8TH STREET ,,GRIFFIN ,GA ,30224 ,SPALDING ,,,,840011,,,.1707,,,160,58400,13272,5126,37195,,584,,2859,910,8568,1024,,,,,, 110032,01-OCT-14,30-SEP-15,Amended,STEPHENS COUNTY HOSPITAL ,2003 FALLS RD ,,TOCCOA ,GA ,30577- ,STEPHENS ,,,,161638,,,.11,,,87,31755,5279,575,9945,,478.02,,933,153,2168,,,,,,, 110034,01-JUL-15,30-JUN-16,As Submitted,MCG MEDICAL CENTER ,1120 15TH STREET ,,AUGUSTA ,GA ,30912 ,RICHMOND ,15303495,,,3074313,,,.2952,4900137,3243955,470,172020,25133,16889,121395,470.38,3793,,4008,2546,19946,,,,,,, 110035,01-JUL-15,30-JUN-16,As Submitted,KENNESTONE HOSPITAL ,677 CHURCH STREET ,,MARIETTA ,GA ,30060- ,COBB ,,,,2033616,,,.0787,,,552,202032,58978,12148,186301,,3944.3,,10608,2230,37540,,,,,50,,539 110036,01-JAN-15,31-DEC-15,Amended,MEMORIAL HEALTH UNIV MED CENTER ,4700 WATERS AVENUE ,PO BOX 32 ,SAVANNAH ,GA ,31403 ,CHATHAM ,6640138,,,3167737,,,.2077,3250942,902507,484,173415,34101,18545,146352,137.74,2795.72,,6043,2874,25714,,,,,,217,194 110038,01-OCT-14,30-SEP-15,As Submitted,JOHN D. ARCHBOLD MEMORIAL HOSPITAL ,GORDON AVENUE AT MIMOSA DRIVE ,1018 ,THOMASVILLE ,GA ,31792- ,THOMAS ,,,,1170740,,,.1711,,,226,82490,20465,5356,52660,,1468.97,,3467,990,10196,1492,,,94,6,394,291 110039,01-OCT-14,30-SEP-15,As Submitted,TRINITY HOSPITAL OF AUGUSTA ,2260 WRIGHTSBORO RD ,,AUGUSTA ,GA ,30910- ,RICHMOND ,,,,152659,,,.0947,,,140,51100,3533,935,14605,,404.88,,870,397,3855,,,,,,272, 110040,01-JAN-15,31-DEC-15,As Submitted,NORTHRIDGE MEDICAL CENTER ,70 MEDICAL CENTER DRIVE ,,COMMERCE ,GA ,30529 ,JACKSON ,,,,43726,,,.0675,,,60,21900,1773,291,3625,,184.13,,425,62,781,,,,41,,398, 110041,01-JUL-15,30-JUN-16,As Submitted,HABERSHAM MEDICAL CENTER ,HIGHWAY 441 NORTH ,37 ,DEMOREST ,GA ,30535 ,HABERSHAM ,,,,156490,,,.12,,,53,19398,3992,891,9996,,418.37,,793,264,2150,,,,,,, 110042,01-JUL-15,30-JUN-16,As Submitted,PAULDING MEDICAL CENTER ,2518 JIMMY LEE SMITH PKWY ,,HIRAM ,GA ,30141 ,PAULDING ,,,,,,,,,,56,20496,6764,912,16890,,585.32,,1833,243,5091,,,,,,, 110043,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPHS HOSPITAL INC. ,11705 MERCY BLVD ,,SAVANNAH ,GA ,31419 ,CHATHAM ,,,,,,,,,,214,78324,24432,2638,53654,,1027.49,,4733,352,10552,58,,,,,,458 110044,01-AUG-15,31-JUL-16,Amended,PHOEBE SUMTER MEDICAL CENTER ,126 HWY 280 WEST ,,AMERICUS ,GA ,31719 ,SUMTER ,,,,161710,,,.12,,,54,19764,3665,1239,11302,,334,,838,312,2873,473,,,,,, 110045,01-JAN-15,31-DEC-15,As Submitted,BARROW REGIONAL MEDICAL CENTER ,316 NORTH BROAD STREET ,,WINDER ,GA ,30680 ,BARROW ,,,,99080,,,.12,,,53,19345,1931,768,5323,,167.12,,394,311,1516,,,,,,, 110046,01-OCT-14,30-SEP-15,As Submitted,CLEARVIEW REGIONAL MEDICAL CENTER ,2151 WEST SPRING STREET ,1346 ,MONROE ,GA ,30655 ,WALTON ,,,,222937,,,.12,,,77,28105,3851,1217,9944,,261.49,,1040,548,2775,,,,,,, 110050,01-OCT-14,30-APR-15,As Submitted,MURRAY MEDICAL CENTER ,707 OLDS ELLIJAY HIGHWAY ,1406 ,CHATSWORTH ,GA ,30705 ,MURRAY ,,,,,,,,,,29,6148,504,32,672,,119.82,,155,14,234,,,,,,, 110050,01-MAY-15,30-SEP-15,As Submitted,MURRAY MEDICAL CENTER ,707 OLDS ELLIJAY HIGHWAY ,1406 ,CHATSWORTH ,GA ,30705 ,MURRAY ,,,,,,,,,,29,4437,210,,313,,87.66,,75,,120,8,,,,,, 110051,01-MAY-15,30-APR-16,As Submitted,UNION GENERAL HOSPITAL ,130 HOSPITAL CIRCLE SUITE B ,,BLAIRSVILLE ,GA ,30512 ,UNION ,,,,128312,,,.1113,,,39,14274,2749,109,6105,,409.89,,822,54,1850,,,,,,, 110054,01-JUL-15,30-JUN-16,Amended,FLOYD MEDICAL CENTER ,TURNER MCCALL BLVD ,233 ,ROME ,GA ,30162 ,FLOYD ,2219778,,,2292988,,,.2542,1230629,444868,226,82716,20094,8758,62008,21.99,1890.82,,4322,1846,12637,2884,,,,24,1288,503 110064,01-JUL-15,30-JUN-16,As Submitted,MIDTOWN MEDICAL CENTER ,710 CENTER ST. ,951 ,COLUMBUS ,GA ,31902- ,MUSCOGEE ,1291327,,,2136940,,,.3405,737861,576929,313,114439,17115,8212,80529,37.35,1708.29,,2690,1401,15166,,,,,,, 110069,01-JAN-15,31-DEC-15,As Submitted,HOUSTON MEDICAL CENTER ,1601 WATSON BLVD ,PO BOX 28 ,WARNER ROBINS ,GA ,31093-3431 ,HOUSTON ,1226033,,,1360058,,,.1566,522286,173909,237,86505,26382,5852,66606,18.96,1714.66,,4823,1290,13944,22,,,,,, 110071,01-SEP-15,31-AUG-16,As Submitted,APPLING GENERAL HOSPITAL ,301 EAST TOLLISON STREET ,2070 ,BAXLEY ,GA ,31513 ,APPLING ,,,,41096,,,.12,,,34,12444,1616,1240,4102,,157.12,,267,207,670,,,,,,827, 110073,01-AUG-15,31-JUL-16,As Submitted,DORMINY MEDICAL CENTER ,200 PERRY HOUSE ROAD ,1447 ,FITZGERALD ,GA ,31750- ,BEN HILL ,,,,86779,,,.2305,,,48,17568,1462,413,3747,,201.7,,325,130,1147,229,,,,,, 110074,01-OCT-14,30-SEP-15,Amended,ATHENS REGIONAL MEDICAL CENTER ,1199 PRINCE AVENUE ,,ATHENS ,GA ,30306- ,CLARKE ,,,,2118185,,,.143,,,331,120815,32857,8775,86915,,2344.79,,7199,1837,18501,,,,,,, 110075,01-OCT-14,30-SEP-15,As Submitted,EAST GEORGIA REGIONAL MEDICAL CENTER ,1499 FAIR ROAD ,,STATESBORO ,GA ,30459 ,BULLOCH ,,,,1058249,,,.2418,,,149,54385,11527,2554,32272,,635.54,,2391,1858,7623,,,,,,, 110076,01-JUL-15,30-JUN-16,As Submitted,DEKALB MEDICAL CENTER ,2701 NORTH DECATUR ROAD ,,DECATUR ,GA ,30033- ,DEKALB ,478321,,,2303547,,,.2909,202488,84253,389,142374,18302,10205,92546,13,1898,,3892,2541,19880,,,,,,,551 110078,01-SEP-15,31-AUG-16,Amended,EMORY UNIVERSITY HOSPITAL MIDTOWN ,550 PEACHTREE STREET ,,ATLANTA ,GA ,30308 ,FULTON ,4522881,,,3881782,,,.2343,1710418,1235415,459,167994,37142,16859,135117,114.59,2700.41,,5728,2104,21752,,,,,,, 110079,01-JAN-15,31-DEC-15,As Submitted,GRADY MEMORIAL HOSPITAL ,80 JESSE HILL JR. DRIVE SE ,,ATLANTA ,GA ,30303-3050 ,FULTON ,11714896,,,4011938,,,.4157,6192646,2672113,639,233235,28221,52652,180644,418.96,5024.61,,4015,8002,29299,,,,,,1023, 110082,01-SEP-15,31-AUG-16,Amended,ST. JOSEPHS OF ATLANTA ,5665 PEACHTREE DUNWOODY ,,ATLANTA ,GA ,30542 ,DEKALB ,204334,,,,,,,135162,41364,272,99376,31805,2960,68288,8.7,1632.2,,6619,459,14502,,,,,,, 110083,01-JUL-15,30-JUN-16,Amended,PIEDMONT HOSPITAL INC. ,1968 PEACHTREE RD. NW. ,,ATLANTA ,GA ,30309-1281 ,F ,528699,,,,,,,150402,51447,503,184098,47456,7015,142307,4.1,3075.73,,7937,810,30340,388,,,,,, 110086,01-SEP-15,31-AUG-16,As Submitted,WASHINGTON CO REG MED CTR ,610 SPARTA RD ,636 ,SANDERSVILLE ,GA ,31082-0636 ,WASHINGTON ,,,,16556,,,.0556,,,56,20496,2232,118,4227,,219.83,,225,32,586,7,,,,,, 110087,01-JUL-15,30-JUN-16,As Submitted,GWINNETT HOSPITAL SYSTEM INC ,1000 MEDICAL CENTER BLVD ,1190 ,LAWRENCEVILLE ,GA ,30046-7694 ,GWINNETT ,1225811,,,2603936,,,.1527,401419,182966,463,173525,41057,15638,149400,15.16,3813.82,,7428,3731,30612,5982,,,,11,,668 110089,01-JAN-15,31-DEC-15,As Submitted,COFFEE REGIONAL MEDICAL CENTER ,1101 OCILLA ROAD ,1248 ,DOUGLAS ,GA ,31533 ,COFFEE ,,,,308640,,,.12,,,86,31390,7624,2218,19340,,664.72,,1556,508,4596,1070,,,,,, 110091,01-OCT-14,30-SEP-15,As Submitted,ROCKDALE MEDICAL CENTER ,1412 MILSTEAD AVENUE NE ,,CONYERS ,GA ,30012- ,ROCKDALE ,,,,1116302,,,.2533,,,145,52925,10441,11588,40373,,962.83,,2450,2189,9163,100,,,,,, 110092,01-OCT-14,30-SEP-15,As Submitted,DODGE COUNTY HOSPITAL ,715 GRIFFIN STREET SOUTH WEST ,706 ,EASTMAN ,GA ,31023- ,DODGE ,,,,93282,,,.12,,,45,16425,2259,736,5968,,185.73,,576,205,1546,382,,,,,77, 110095,01-OCT-14,30-SEP-15,Amended,TIFT REGIONAL MEDICAL CENTER ,901 EAST 18TH STREET ,747 ,TIFTON ,GA ,31793- ,TIFT ,,,,983999,,,.1754,,,181,66065,16380,3286,44624,,1346.03,,3095,682,9417,2506,,,,,, 110100,01-JAN-15,31-DEC-15,Amended,JEFFERSON HOSPITAL ,1067 PEACHTREE STREET ,528 ,LOUISVILLE ,GA ,30434-1558 ,JEFFERSON ,,,,30501,,,.0869,,,37,13505,1336,63,2155,,93.97,,240,15,425,4,,,,,, 110101,01-JUL-15,30-JUN-16,As Submitted,COOK MEDICAL CENTER ,706 N PARRISH AVE ,677 ,ADEL ,GA ,31620-1511 ,COOK ,,,,11151,,,.0805,,,33,12078,666,107,1548,,109.34,,131,21,330,9,,,,,202, 110104,01-JUL-15,30-JUN-16,As Submitted,CRISP REGIONAL HOSPITAL ,902 7TH STREET NORTH ,5007 ,CORDELE ,GA ,31015 ,CRISP ,,,,164317,,,.12,,,65,23790,4234,1352,12672,,520,,955,303,2900,534,,,,,, 110105,01-OCT-14,30-SEP-15,As Submitted,COLQUITT REGIONAL MEDICAL CENTER ,3131 SOUTH MAIN STREET ,40 ,MOULTRIE ,GA ,31768- ,COLQUITT ,,,,534986,,,.1968,,,100,36500,9083,2500,21416,,854.37,,1706,632,4599,,,,,,, 110107,01-OCT-14,30-SEP-15,As Submitted,MEDICAL CENTER OF CENTRAL GEORGIA ,777 HEMLOCK STREET ,,MACON ,GA ,31201- ,BIBB ,7079433,,,4294842,,,.1972,4860901,1473189,554,202210,54334,19566,175303,104.58,4110.65,,9120,3049,31803,5061,,,,,511, 110109,01-JUL-15,30-JUN-16,As Submitted,EMANUEL MEDICAL CENTER ,117 KITE ROAD ,879 ,SWAINSBORO ,GA ,30401- ,EMANUEL ,,,,61034,,,.12,,,45,16470,1952,473,4264,,183.8,,414,115,988,43,,,30,,281, 110111,01-JAN-15,31-DEC-15,As Submitted,UNIVERSITY HOSPITAL MCDUFFIE ,2460 WASHINGTON RD NE ,,THOMSON ,GA ,30824 ,MCDUFFIE ,,,,544,,,.0012,,,25,9125,917,113,2130,,118.93,,260,36,639,15,,,,,, 110113,01-JUN-15,31-MAY-16,Amended,BURKE MEDICAL CENTER ,351 LIBERTY STREET ,,WAYNESBORO ,GA ,30830 ,BURKE ,,,,4095,,,.0256,,,40,14640,595,37,1290,,98.51,,135,16,328,6,,,,,, 110115,01-JAN-15,31-DEC-15,Amended,ATLANTA MEDICAL CENTER ,303 PARKWAY DRIVE ,,ATLANTA ,GA ,30312 ,FULTON ,2545890,,,2356492,,,.3003,2438815,328211,466,170090,23536,27187,106945,78.18,1524.66,,3553,3307,17827,2172,100,,770,1,1616,209 110121,01-OCT-14,30-SEP-15,As Submitted,GRADY GENERAL HOSPITAL ,1155 5TH ST SE ,360 ,CAIRO ,GA ,39828-3142 ,GRADY ,,,,56090,,,.12,,,46,16790,2880,485,7265,,135.35,,326,178,1052,249,,,,,, 110122,01-OCT-14,30-SEP-15,Amended,SOUTH GEORGIA MEDICAL CENTER ,2501 NORTH PATTERSON STREET ,1727 ,VALDOSTA ,GA ,31603-1727 ,LOWNDES ,,,,1682143,,,.1807,,,297,108405,24314,5423,65673,,2414.89,,4649,1171,13508,,,,,,,242 110124,01-JUL-15,30-JUN-16,Amended,WAYNE MEMORIAL HOSPITAL ,865 SOUTH FIRST STREET ,408 ,JESUP ,GA ,31545 ,WAYNE ,,,,167311,,,.12,,,115,42090,4096,918,11151,,367.38,,999,231,2683,851,,,,,, 110125,01-MAY-15,30-APR-16,Amended,FAIRVIEW PARK HOSPITAL ,200 INDUSTRIAL BLVD ,,DUBLIN ,GA ,31021 ,LAURENS ,,,,826614,,,.2184,,,148,54051,9131,3066,25918,,442.74,,2035,855,6489,1963,,,,6,,208 110128,01-JUL-15,30-JUN-16,Amended,MEADOWS REGIONAL MEDICAL CENTER ,1 MEADOWS PARKWAY ,,VIDALIA ,GA ,30474- ,TOOMBS ,,,,283508,,,.12,,,65,23790,5845,1865,16887,,971.84,,1380,625,4401,,,,,,, 110129,01-JAN-15,31-DEC-15,As Submitted,ST. FRANCIS HOSPITAL INC. ,2122 MANCHESTER EXPRESSWAY ,7000 ,COLUMBUS ,GA ,31904 ,MUSCOGEE ,,,,1224309,,,.1022,,,312,113880,31940,6785,78914,,1714.27,,5853,1000,14995,1816,1,,42,,236, 110130,01-DEC-14,30-NOV-15,Amended,IRWIN COUNTY HOSPITAL ,710 NORTH IRWIN AVENUE ,,OCILLA ,GA ,31774 ,IRWIN ,,,,14052,,,.12,,,34,12410,407,636,3282,,171.89,,122,181,1352,616,,,,,, 110132,01-APR-15,31-MAR-16,As Submitted,MEMORIAL HOSPITAL ,1500 EAST SHOTWELL STREET ,,BAINBRIDGE ,GA ,39819- ,DECATUR ,,,,86570,,,.12,,,80,29280,2948,662,8158,,408.92,,581,216,1851,529,,,,,, 110135,01-APR-15,31-MAR-16,As Submitted,TAYLOR REGIONAL HOSPITAL ,222 PERRY HIGHWAY ,1297 ,HAWKINSVILLE ,GA ,31036-6748 ,PULASKI ,,,,86435,,,.12,,,55,20130,1559,309,4069,,225.73,,451,106,1246,237,,,,,, 110142,01-OCT-14,30-SEP-15,As Submitted,EVANS MEMORIAL HOSPITAL ,200 NORTH RIVER STREET ,518 ,CLAXTON ,GA ,30417- ,EVANS ,,,,22271,,,.0681,,,49,17885,842,97,1963,,124.03,,262,36,573,,,,,,, 110143,01-JUL-15,30-JUN-16,As Submitted,COBB HOSPITAL AND MEDICAL CENTER ,3950 AUSTELL ROAD ,,AUSTELL ,GA ,30106-1121 ,COBB ,,,,2073027,,,.21,,,350,128100,26139,10523,94303,,1939.34,,4816,2132,19799,,,,,32,,314 110146,01-MAY-15,30-APR-16,As Submitted,SGHS - CAMDEN CAMPUS ,2000 DAN PROCTOR DRIVE ,,ST. MARYS ,GA ,31558 ,CAMDEN ,,,,84204,,,.12,,,40,14640,1941,418,7937,,228.59,,444,121,2667,619,,,,,, 110150,01-OCT-14,30-SEP-15,As Submitted,OCONEE REGIONAL MEDICAL CENTER ,821 N. COBB STREET ,690 ,MILLEDGEVILLE ,GA ,31061- ,BALDWIN ,,,,253842,,,.1394,,,103,37595,5628,1017,14651,,445.17,,1054,263,3073,993,,,,,, 110153,01-JAN-15,31-DEC-15,As Submitted,PERRY HOSPITAL ,1120 MORNINGSIDE DRIVE ,,PERRY ,GA ,31069- ,HOUSTON ,,,,,,,,,,39,14235,5017,323,9111,,197.55,,777,65,1616,3,,,,,, 110161,01-OCT-14,30-SEP-15,Amended,NORTHSIDE HOSPITAL ,1000 JOHNSON FERRY ROAD NE ,,ATLANTA ,GA ,30342- ,FULTON ,,,,1289102,,,.1696,,,521,190165,20174,18747,203639,,6553.51,,3319,4506,34745,12435,,,,,, 110164,01-JUL-15,30-JUN-16,Amended,COLISEUM MEDICAL CENTERS ,350 HOSPITAL DRIVE ,,MACON ,GA ,31203 ,BIBB ,,,,1253792,,,.1644,,,201,75209,17672,5112,47619,,716.66,,3501,954,10627,1936,,,,46,1545,551 110165,01-JUL-15,31-JAN-16,As Submitted,SOUTHERN REGIONAL MEDICAL CENTER ,11 UPPER RIVERSIDE ROAD S.W. ,,RIVERDALE ,GA ,30274 ,CLAYTON ,,,,755893,,,.3131,,,244,52460,5999,3626,28068,,947.41,,1183,803,5758,,,,,,,127 110168,01-JUL-15,30-JUN-16,Amended,REDMOND REGIONAL MEDICAL CENTER ,501 REDMOND ROAD ,,ROME ,GA ,30161 ,FLOYD ,,,,287407,,,.0259,,,179,65514,20505,3442,41895,,960.78,,4802,544,9751,85,,,,,,315 110177,01-APR-15,31-MAR-16,Amended,DOCTORS HOSPITAL OF AUGUSTA ,3651 WHEELER ROAD ,,AUGUSTA ,GA ,30909- ,RICHMOND ,,,,1443872,,,.1647,,,258,94428,17333,7318,60249,,967.3,,3691,1732,13954,2718,,,,23,,410 110184,01-JUL-15,30-JUN-16,As Submitted,DOUGLAS HOSPITAL ,8954 HOSPITAL DRIVE ,,DOUGLASVILLE ,GA ,30134- ,DOUGLAS ,,,,377914,,,.093,,,102,37332,9069,2307,24915,,740.27,,2157,566,6818,,,,,,, 110187,01-JUL-15,30-JUN-16,As Submitted,CHESTATEE REGIONAL HOSPITAL ,1111 MOUNTAIN DRIVE ,,DAHLONEGA ,GA ,30533- ,LUMPKIN ,,,,50922,,,.1146,,,38,13908,838,341,1945,,103.44,,271,75,538,17,,,,,216, 110189,01-JAN-15,31-DEC-15,As Submitted,FANNIN REGIONAL HOSPITAL ,2855 OLD HIGHWAY 5 NORTH ,,BLUE RIDGE ,GA ,30513-6248 ,FANNIN ,,,,139342,,,.1874,,,50,18250,1802,610,4439,,186.29,,517,176,1286,65,,,,,, 110190,01-JAN-15,31-DEC-15,As Submitted,FLINT RIVER COMMUNITY HOSPITAL ,509 SUMTER STREET ,,MONTEZUMA ,GA ,31063 ,MACON ,,,,453,,,.0845,,,22,8030,36,24,260,,52.61,,6,8,53,2,,,,,1548, 110191,01-JUL-15,30-JUN-16,Amended,PIEDMONT HENRY HOSPITAL INC. ,1133 EAGLES LANDING PARKWAY ,,STOCKBRIDGE ,GA ,30281 ,HENRY ,,,,998143,,,.1333,,,188,68808,18278,4265,60910,,1348.36,,3512,684,14729,,,,,,, 110192,01-SEP-15,31-AUG-16,Amended,EASTSIDE MEDICAL CENTER ,1700 MEDICAL WAY ,,SNELLVILLE ,GA ,30278 ,GWINNETT ,,,,605123,,,.1055,,,206,73074,15967,5520,46205,,789.45,,2981,919,9007,1190,,,,28,1556,434 110194,01-JUL-15,30-JUN-16,As Submitted,DONALSONVILLE HOSPITAL ,102 HOSPITAL CIRCLE ,677 ,DONALSONVILLE ,GA ,31745 ,SEMINOLE ,,,,41312,,,.12,,,65,23790,1457,216,4154,,200,,329,86,1026,366,,,,,, 110198,01-JAN-15,31-DEC-15,Amended,NORTH FULTON REGIONAL HOSPITAL ,3000 HOSPITAL BLVD. ,,ROSWELL ,GA ,30076 ,FULTON ,,,,271480,,,.0736,,,169,61685,9181,4496,30602,,592,,2001,570,6654,446,,,,7,,425 110200,01-JUL-15,30-JUN-16,As Submitted,NORTHSIDE MEDICAL CENTER ,100 FIRST COURT ,7188 ,COLUMBUS ,GA ,31909 ,MUSCOGEE ,,,,,,,,,,71,25986,2139,59,5115,,244.28,,690,18,1817,,,,,,,650 110201,01-JUL-15,30-JUN-16,Amended,COLISEUM NORTHSIDE HOSPITAL ,400 CHARTER BLVD ,,MACON ,GA ,31210 ,BIBB ,,,,61509,,,.0256,,,85,23104,4220,723,9759,,218.63,,1059,168,2730,32,,,,,, 110205,01-JUL-15,30-JUN-16,As Submitted,NORTH GEORGIA MEDICAL CENTER ,JASPER ROAD ,346 ,ELLIJAY ,GA ,30540- ,GILMER ,,,,6693,,,.0403,,,40,14640,504,46,798,,128.51,,133,17,247,8,,,,,, 110209,01-JAN-15,31-DEC-15,As Submitted,TURNING POINT HOSPITAL ,319 EAST BYPASS ,,MOULTREE ,GA ,31768 ,COLQUITT ,,,,369272,,,.1079,,,33,12045,9755,1,10268,,125.56,,2510,,2646,,,,,,632, 110215,01-JUL-15,30-JUN-16,Amended,PIEDMONT FAYETTE HOSPITAL INC. ,1255 HIGHWAY 54 WEST ,,FAYETTEVILLE ,GA ,30214-4526 ,F ,,,,954875,,,.101,,,189,69174,20495,3638,61745,,1317.24,,4468,672,15803,,,,,,, 110225,01-JUL-15,30-JUN-16,Amended,PIEDMONT MOUNTAINSIDE HOSPITAL INC. ,1266 515 SOUTH ,,JASPER ,GA ,30143-4872 ,PICKENS ,,,,284404,,,.12,,,52,19032,5420,744,11968,,348,,1262,157,2982,,,,,,, 110226,01-JUL-15,30-JUN-16,As Submitted,DEKALB MEDICAL CENTER HILLANDALE ,2801 DEKALB MEDICAL PARKWAY ,,LITHONIA ,GA ,30058- ,DEKALB ,,,,220608,,,.12,,,90,32940,4773,2022,18104,,458.28,,1089,464,4514,,,,,,, 110229,01-JUL-15,30-JUN-16,Amended,PIEDMONT NEWNAN HOSPITAL INC. ,745 POPLAR ROAD ,,NEWNAN ,GA ,30265-1210 ,COWETA ,,,,745639,,,.1262,,,136,49776,11874,2434,35029,,803.72,,2789,537,9503,,,,,,, 110230,01-SEP-15,31-AUG-16,As Submitted,EMORY JOHNS CREEK HOSPITAL ,6325 HOSPITAL PARKWAY ,,JOHNS CREEK ,GA ,30097 ,FULTON ,,,,,,,,,,118,43188,9086,1142,29731,,614,,1810,232,6791,431,,,,,, 110233,01-JUL-15,30-JUN-16,As Submitted,SOUTHEASTERN REGIONAL MEDICAL CENTER ,600 PARKWAY NORTH ,,NEWNAN ,GA ,30265 ,COWETA ,,,,,,,,,,50,18300,1846,186,12884,,1027.65,,260,32,1912,,,,,,, 110234,01-OCT-14,30-SEP-15,As Submitted,SGMC BERRIEN CAMPUS ,1121 MCPHERSON STREET ,,NASHVILLE ,GA ,31639 ,BERRIEN ,,,,9412,,,.12,,,51,18615,338,89,1895,,60.3,,80,12,201,,,,,,205, 110235,26-NOV-14,31-DEC-14,Settled,LANDMARK HOSPITAL OF SAVANNAH ,800 E 68TH ST ,,SAVANNAH ,GA ,31405 ,CHATHAM ,,,,,,,,,,50,1800,45,,201,,17.3,,2,,8,,,,,,, 110235,01-JAN-15,31-MAY-15,As Submitted,LANDMARK HOSPITAL OF SAVANNAH ,800 E 68TH ST ,,SAVANNAH ,GA ,31405 ,CHATHAM ,,,,,,,,,,50,7550,675,,856,,31.3,,23,,25,,,,,,, 111300,01-AUG-15,31-JUL-16,As Submitted,SWGRMC ,109 RANDOLPH STREET ,,CUTHBERT ,GA ,37140 ,RANDOLPH ,,,,,,,,,,25,9150,595,59,1248,,87.15,,88,25,260,,,,,,, 111302,01-APR-15,31-MAR-16,As Submitted,BLECKLEY MEMORIAL HOSPITAL ,408 PEACOCK STREET ,536 ,COCHRAN ,GA ,31014 ,BLECKLEY ,,,,,,,,,,15,5490,2869,59,4272,,100.96,,122,22,274,16,,,,,, 111303,01-OCT-14,30-SEP-15,As Submitted,JASPER MEMORIAL HOSPITAL ,898 COLLEGE STREET ,,MONTICELLO ,GA ,31064- ,JASPER ,,,,,,,,,,12,4380,494,9,763,,67.2,,34,2,61,,,,,,, 111304,01-JUL-15,30-JUN-16,As Submitted,MORGAN MEMORIAL HOSPITAL ,1077 SOUTH MAIN STREET ,860 ,MADISON ,GA ,30650- ,MORGAN ,,,,,,,,,,25,9150,3900,7,5494,,140.57,,62,3,119,2,,,,,, 111305,01-JUL-15,30-JUN-16,As Submitted,MILLER COUNTY HOSPITAL ,209 N CUTHBERT ST ,7 ,COLQUITT ,GA ,39837 ,MILLER ,,,,,,,,,,25,9150,3490,368,7031,,193.7,,175,87,534,14,,,,,, 111306,01-JUL-15,30-JUN-16,As Submitted,EFFINGHAM HOSPITAL ,459 HIGHWAY 119 SOUTH ,386 ,SPRINGFIELD ,GA ,31329-0386 ,EFFINGHAM ,,,,,,,,,,25,9150,1224,46,3169,,256.66,,124,11,855,5,,,,,, 111308,01-JUL-15,30-JUN-16,As Submitted,CLINCH MEMORIAL HOSPITAL ,1050 VALDOSTA HIGHWAY ,516 ,HOMERVILLE ,GA ,31634 ,CLINCH ,,,,,,,,,,15,5475,499,40,849,,93.7,,105,17,204,,,,,,, 111310,01-OCT-14,30-SEP-15,As Submitted,MEDICAL CENTER OF PEACH COUNTY ,1960 HIGHWAY 247 CONNECTOR ,,BYRON ,GA ,31008 ,PEACH ,,,,,,,,,,25,9125,1976,272,6981,,139.89,,232,65,862,,,,,,, 111311,01-JAN-15,31-DEC-15,As Submitted,JENKINS COUNTY HOSPITAL ,931 EAST WINTHORPE AVENUE ,,MILLEN ,GA ,30442 ,JENKINS ,,,,,,,,,,15,5475,725,37,1119,,56.83,,97,16,177,,,,,,, 111312,01-JAN-15,31-DEC-15,As Submitted,SCREVEN COUNTY HOSPITAL ,215 MIMS ROAD ,,SYLVANIA ,GA ,30476 ,SCREVEN ,,,,,,,,,,25,9125,753,98,1265,,71.7,,99,35,221,,,,,,, 111313,01-OCT-14,30-SEP-15,Settled,PUTNAM GENERAL HOSPITAL ,101 LAKE OCONEE PARKWAY ,4330 ,EATONTON ,GA ,31024- ,PUTNAM ,,,,,,,,,,25,9125,1153,171,2627,,117.13,,268,50,601,9,,,,,, 111314,01-OCT-14,30-SEP-15,Amended,PIONEER HLTH SERV OF EARLY COUNTY ,11740 COLUMBIA STREET ,,BLAKELY ,GA ,39823 ,EARLY ,,,,,,,,,,25,9125,1961,116,3715,,157.17,,195,28,379,,,,10,,98, 111316,01-JAN-15,31-DEC-15,As Submitted,WARM SPRINGS MEDICAL CENTER ,5995 SPRING STREET ,8 ,WARM SPRINGS ,GA ,31830 ,MERIWETHER ,,,,,,,,,,25,9125,513,44,969,,88.36,,120,17,244,,,,,,, 111318,01-OCT-14,30-SEP-15,Settled,MONROE COUNTY HOSPITAL ,88 MARTIN LUTHER KING JR DRIVE ,1068 ,FORSYTH ,GA ,31029- ,MONROE ,,,,,,,,,,25,9125,1652,83,2671,,92.45,,195,19,371,3,,,,,, 111319,01-JAN-15,31-DEC-15,Settled,SYLVAN GROVE HOSPITAL ,1050 MCDONOUGH ROAD ,,JACKSON ,GA ,30233 ,BUTTS ,,,,,,,,,,10,3650,2931,82,5182,,65,,34,7,408,,,,,,, 111320,01-JUL-15,30-JUN-16,As Submitted,HIGGINS GENERAL HOSPITAL ,200 ALLEN MEMORIAL HOSPITAL ,,BREMEN ,GA ,30110 ,HARALSON ,,,,,,,,,,15,5475,3083,95,5347,,183.73,,174,37,711,,,,,,, 111323,01-JAN-15,31-DEC-15,As Submitted,TATTNALL HOSPITAL COMPANY LLC ,ROUTE 1 BOX 121 ,,REIDSVILLE ,GA ,30453 ,TATTNALL ,,,,,,,,,,25,9125,1233,89,2982,,169.47,,384,39,1200,,,,,,, 111324,01-MAY-15,30-APR-16,As Submitted,CHATUGE REGIONAL HOSPITAL ,110 N MAIN STREET ,,HIWASSEE ,GA ,30546-0509 ,TOWNS ,,,,,,,,,,25,9150,1387,28,1905,,168.51,,289,8,512,,,,,,112, 111325,01-MAY-15,30-APR-16,As Submitted,WILLS MEMORIAL HOSPITAL ,120 GORDON STREET ,370 ,WASHINGTON ,GA ,30673 ,WILKES ,,,,,,,,,,25,9150,2314,100,3863,,117.35,,229,28,578,,,,,,, 111326,01-OCT-14,30-SEP-15,As Submitted,SGMC LANIER CAMPUS ,116 W. THIGPEN AVENUE ,,LAKELAND ,GA ,31635- ,LANIER ,,,,,,,,,,25,9125,2550,53,3854,,78.81,,70,13,163,,,,,,, 111327,01-JUL-15,30-JUN-16,As Submitted,BACON COUNTY HOSPITAL ,302 SOUTH WAYNE STREET ,1987 ,ALMA ,GA ,31510- ,BACON ,,,,,,,,,,25,9150,2151,417,4891,,232.09,,394,121,1152,,,,,,, 111328,01-AUG-15,31-JUL-16,As Submitted,PHOEBE WORTH MEDICAL CENTER ,807 S ISABELLA STREET ,,SYLVESTER ,GA ,31791 ,WORTH ,,,,,,,,,,25,9150,2029,22,4667,,118.03,,37,6,115,,,,,,, 111329,01-JUL-15,30-JUN-16,As Submitted,ST MARYS GOOD SAMARITAN ,1201 SILOAM RD ,,GREENSBORO ,GA ,30642 ,GREENE ,,,,,,,,,,25,9150,2467,110,4277,,141.77,,341,31,652,,,,,,, 111330,06-NOV-14,30-JUN-15,Settled,POLK MEDICAL CENTER ,424 NORTH MAIN STREET ,,CEDARTOWN ,GA ,30125 ,POLK ,,,,,,,,,,25,5925,1753,5,2554,,120.68,,41,2,80,1,,,,,, 111330,01-JUL-15,30-JUN-16,Settled,POLK MEDICAL CENTER ,2360 ROCKMART HWY ,,CEDARTOWN ,GA ,30125 ,POLK ,,,,,,,,,,25,9150,4335,15,6936,,138.76,,42,5,112,6,,,,,, 111331,01-OCT-14,30-SEP-15,As Submitted,MITCHELL COUNTY HOSPITAL ,90 STEPHENS STREET ,360 ,CAMILLA ,GA ,31728- ,MITCHELL ,,,,,,,,,,25,9125,2286,11,4345,,88.65,,49,5,108,,,,,,, 111332,01-OCT-14,30-SEP-15,As Submitted,BROOKS COUNTY HOSPITAL ,903 N COURT ST ,5000 ,QUITMAN ,GA ,31643-1315 ,BROOKS ,,,,,,,,,,25,9125,2344,45,5241,,77.39,,112,11,224,,,,,,, 111333,01-OCT-14,30-SEP-15,Amended,JEFF DAVIS ,163 S TALLAHASSEE ST ,1690 ,HAZLEHURST ,GA ,31539- ,JEFF DAVIS ,,,,,,,,,,25,9125,1453,246,2619,,103.31,,375,68,715,27,,,,,, 111334,01-JAN-15,31-DEC-15,As Submitted,CANDLER COUNTY HOSPITAL ,400 CEDAR STREET ,597 ,METTER ,GA ,30349-0597 ,CANDLER ,,,,,,,,,,25,9125,2712,251,4806,,158.56,,256,63,570,3,,,,,, 111335,01-DEC-14,30-NOV-15,As Submitted,LIBERTY REGIONAL MEDICAL CENTER ,462 E. G. MILES PARKWAY ,919 ,HINESVILLE ,GA ,31313- ,LIBERTY ,,,,,,,,,,23,8395,1448,411,5265,,270.67,,313,101,1663,447,,,,,, 111336,01-JAN-15,31-DEC-15,As Submitted,MOUNTAIN LAKES MEDICAL CENTER ,196 RIDGECREST CIRCLE ,,CLAYTON ,GA ,30525 ,RABUN ,,,,,,,,,,25,9125,1347,27,1827,,126.68,,199,22,376,,,,,,, 112000,01-JAN-15,31-DEC-15,Settled,ROOSEVELT WARM SPRINGS LTAC HOSPITAL ,6135 ROOSEVELT HIGHWAY ,1000 ,WARM SPRINGS ,GA ,31830-0268 ,MERIWETHER ,,,,,,,,,,32,11680,3166,,4478,,59.99,,116,,170,,,,,,, 112003,01-APR-15,31-MAR-16,As Submitted,SHEPHERD CENTER ,2020 PEACHTREE RD NW ,,ATLANTA ,GA ,30309-1465 ,FULTON ,,,,,,,,,,152,55632,2315,1996,45179,,1234.08,,65,53,933,2,,,,,, 112004,01-SEP-15,27-JUN-16,Settled,KINDRED HOSPITAL ATLANTA ,705 JUNIPER STREET NE ,,ATLANTA ,GA ,30308 ,FULTON ,,,,,,,,,,70,21070,6002,2698,13459,,159.2,,232,68,436,2,,,,,, 112005,01-SEP-15,31-AUG-16,As Submitted,SSH - NORTHEAST ATLANTA ,1821 CLIFTON ROAD NE ,,ATLANTA ,GA ,30329-4021 ,DEKALB ,,,,,,,,,,18,6588,2361,97,5175,,55.53,,88,5,217,2,,,,,, 112006,01-JUL-15,30-JUN-16,As Submitted,DECATUR HOSPITAL ,450 CANDLER STREET ,,DECATUR ,GA ,30030- ,DEKALB ,,,,,,,,,,38,13908,4201,1739,10541,,135.63,,145,36,330,,,,,,, 112007,01-JUL-15,30-JUN-16,As Submitted,KENNESTONE HOSPITAL AT WINDY HILL ,2540 WINDY HILL ROAD ,,MARIETTA ,GA ,30067- ,COBB ,,,,,,,,,,55,20130,3979,373,9277,,327.18,,133,11,333,,,,,,, 112009,01-JAN-15,31-DEC-15,Settled,SSH - ATLANTA ,550 PEACHTREE ST. NE 7TH FLOOR ,,ATLANTA ,GA ,30365 ,FULTON ,,,,,,,,,,30,10950,3623,372,8141,,91.76,,131,9,271,2,,,,,, 112010,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL ROME ,304 TURNER MCCALL BLVD. ,,ROME ,GA ,30165 ,FLOYD ,,,,,,,,,,45,16470,8417,999,13426,,119.3,,340,40,522,,,,,,, 112011,01-MAY-15,30-APR-16,As Submitted,SSH - SAVANNAH INC. ,5353 REYNOLDS STREET ,,SAVANNAH ,GA ,31405 ,CHATHAM ,,,,,,,,,,40,14640,5434,,9253,,90.05,,211,,372,12,,,,,, 112012,01-JAN-15,31-DEC-15,As Submitted,COLUMBUS SPECIALTY HOSPITAL ,616 19TH STREET FOURTH FLOOR ,910 ,COLUMBUS ,GA ,31902 ,MUSCOGEE ,,,,,,,,,,50,18250,6233,,8672,,103,,222,,222,,,,,,, 112013,01-APR-15,31-MAR-16,As Submitted,SSH - AUGUSTA UH INC ,1537 WALTON WAY ,,AUGUSTA ,GA ,30904 ,RICHMOND ,,,,,,,,,,80,29280,14145,,21141,,213.64,,536,,786,8,,,,,, 112014,01-MAR-15,29-FEB-16,Settled,REGENCY HOSPITAL OF SOUTH ATLANTA ,1170 CLEVELAND AVENUE 4TH FLOOR ,,EAST POINT ,GA ,30344 ,FULTON ,,,,,,,,,,40,14640,4047,,6755,,77.24,,128,,197,3,,,,,, 112015,01-JUL-15,30-JUN-16,As Submitted,SOUTHERN CRESCENT HOSPITAL ,11 UPPER RIVERDALE RD SW 6TH FLOOR ,,RIVERDALE ,GA ,30274- ,CLAYTON ,,,,,,,,,,30,10980,4010,,5859,,51.47,,148,,206,,,,,,, 112016,01-NOV-14,31-OCT-15,Settled,REGENCY HOSPITAL OF MACON LLC ,700 SPRING STREET ,,MACON ,GA ,31201 ,BIBB ,,,,,,,,,,60,21900,11875,,19421,,183.01,,386,,579,4,,,,,, 112017,01-JAN-15,31-DEC-15,Settled,LANDMARK HOSPITAL OF ATHENS LLC ,775 SUNSET DRIVE ,,ATHENS ,GA ,30606 ,CLARKE ,,,,,,,,,,42,15330,8963,,12466,,96.75,,353,,472,,,,,,, 112018,01-JUN-15,31-AUG-15,Settled,LANDMARK HOSPITAL OF SAVANNAH ,800 E 68TH ST ,,SAVANNAH ,GA ,31405 ,CHATHAM ,,,,,,,,,,50,4600,934,,1948,,51.64,,43,,54,,,,,,, 112018,01-SEP-15,31-AUG-16,As Submitted,LANDMARK HOSPITAL OF SAVANNAH ,800 E 68TH ST ,,SAVANNAH ,GA ,31405 ,CHATHAM ,,,,,,,,,,50,18300,6984,,9600,,85.12,,268,,366,,,,,,, 113028,01-JUL-15,30-JUN-16,As Submitted,ROOSEVELT WARM SPRINGS REHAB HOSP ,6135 ROOSEVELT HIGHWAY ,1000 ,WARM SPRINGS ,GA ,31830-0268 ,MERIWETHER ,,,,,,,,,,52,19032,2244,1862,5726,,99.46,,157,115,373,,,,,,, 113029,01-OCT-14,30-SEP-15,As Submitted,CENTRAL GEORGIA REHAB HOSPITAL ,3351 NORTHSIDE DRIVE ,,MACON ,GA ,31210- ,BIBB ,,,,,,,,,,58,21170,9054,,14472,,156.34,,605,,957,,,,,,, 113030,01-APR-15,31-MAR-16,Amended,HEALTHSOUTH WALTON REHABILITATION HO ,1355 INDEPENDENCE DRIVE ,,AUGUSTA ,GA ,30901 ,RICHMOND ,,,,,,,,,,50,18980,10001,315,14583,,139.6,,804,32,1169,18,,,,,, 113031,01-SEP-15,31-AUG-16,As Submitted,EMORY REHABILITATION HOSPITAL ,1441 CLIFTON ROAD NE ,,ATLANTA ,GA ,30322 ,DEKALB ,,,,,,,,,,56,20496,4364,688,13848,,173.78,,325,,1007,,,,,,, 113032,22-DEC-14,30-SEP-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,2101 E. NEWNAN CROSSING BLVD ,,NEWNAN ,GA ,30265 ,COWETA ,,,,,,,,,,50,14150,4730,,6687,,109.15,,371,,530,4,,,,,, 113033,23-APR-15,31-MAR-16,Amended,REHABILITATION HOSPITAL OF SAVANNAH ,4700 WATERS AVENUE ,,SAVANNAH ,GA ,31404-6220 ,CHATHAM ,,,,,,,,,,50,17200,7751,163,11099,,99.11,,651,15,927,14,,,,,, 113300,01-JAN-15,31-DEC-15,As Submitted,EGLESTON CHILDRENS HOSPITAL AT EMORY ,1405 CLIFTON ROAD ,,ATLANTA ,GA ,30322-1101 ,DEKALB ,,,,,,,,,7873,278,101470,813,22307,77333,141.22,2285.08,,128,3129,11900,4193,,,,,, 113301,01-JAN-15,31-DEC-15,Amended,SCOTTISH RITE CHILDRENS MEDICAL CTR ,1001 JOHNSON FERRY RD ,,ATLANTA ,GA ,30329-2303 ,FULTON ,,,,,,,,,,273,99645,,16719,69801,20.31,2315.56,,,2729,13429,4018,,,,,, 114004,01-JAN-15,31-DEC-15,Settled,SUMMIT RIDGE HOSPITAL ,250 SCENIC HIGHWAY ,,LAWRENCEVILLE ,GA ,30045 ,GWINNETT ,,,,,,,,,,80,29200,9173,,25549,,139.5,,706,,3456,,,,,,, 114008,01-JAN-15,31-DEC-15,Settled,COASTAL HARBOR TREATMENT CTR ,1150 CORNELL AVENUE ,,SAVANNAH ,GA ,31406 ,CHATHAM ,,,,,,,,,,98,35770,3493,,22792,,91.9,,352,,1748,,,,,,, 114010,01-JAN-15,31-DEC-15,Settled,PEACHFORD HOSPITAL ,2151 PEACHFORD ROAD ,,ATLANTA ,GA ,30338 ,FULTON ,,,,,,,,,,246,89790,21954,,76525,,405.98,,1558,,10296,,,,,,, 114012,01-SEP-15,31-AUG-16,As Submitted,RIDGEVIEW INSTITUTE ,3995 SOUTH COBB DRIVE ,,SMYRNA ,GA ,30080 ,COBB ,,,,,,,,,,116,42456,5630,,30279,,409.22,,662,,5194,,,,,,, 114013,01-JUL-15,30-JUN-16,As Submitted,WEST CENTRAL GA REGIONAL HOSPITAL ,3000 SCHATULGA ROAD ,,COLUMBUS ,GA ,31905 ,MUSCOGEE ,,,,,,,,,,40,14640,82,,13591,,547,,4,,328,,,,,,, 114016,01-JAN-15,31-DEC-15,Settled,ST. SIMONS BY THE SEA ,2927 DEMERE ROAD ,,ST. SIMONS ISLAD ,GA ,31522 ,GLENN ,,,,,,,,,,101,36865,7513,,24038,,121.24,,568,,2665,,,,,,, 114019,01-JUL-15,30-JUN-16,Settled,GEORGIA REGIONAL HOSPITAL ATLANTA ,3073 PANTHERSVILLE ROAD ,,DECATUR ,GA ,30034 ,DEKALB ,,,,,,,,,,114,41724,1067,,36747,,938,,68,,1279,,,,,,, 114028,01-JUL-15,30-JUN-16,Settled,GEORGIA REGIONAL HOSPITAL@ SAVANNAH ,1915 EISENHOWER DRIVE ,,SAVANNAH ,GA ,31406 ,CHATHAM ,,,,,,,,,,112,40992,610,,33442,,539,,45,,1495,,,,,,, 114029,01-JUL-15,30-JUN-16,As Submitted,EAST CENTRAL REGIONAL HOSPITAL ,3405 MIKE PADGETT HIGHWAY ,,AUGUSTA ,GA ,30906 ,RICHMOND ,,,,,,,,,,110,40260,1083,,19898,,543,592,60,,609,,,,,,, 114032,01-JAN-15,31-DEC-15,Settled,SOUTHERN CRESCENT HOSPITAL ,255454 YORKTOWNE DRIVE ,,COLLEGE PARK ,GA ,30349 ,CLAYTON ,,,,,,,,,,172,62780,14164,,49121,,280.4,,1117,,6309,,,,,,, 114035,01-JAN-15,31-DEC-15,As Submitted,RIVERWOODS BEHAVIORAL HEALTH SYSTEM ,223 MEDICAL CENTER DRIVE ,,RIVERDALE ,GA ,30274 ,CLAYTON ,,,,,,,,,,148,54020,12225,,44552,,303.51,,1169,,6305,,,,,,, 114036,01-JAN-15,31-DEC-15,Settled,ACADIA GREENLEAF HOSPITAL ,2209 PINEVIEW DRIVE ,,VALDOSTA ,GA ,31602 ,,,,,,,,,,,73,26645,9018,,20728,,113.49,,649,,2483,,,,,,, 120001,01-JUL-15,30-JUN-16,As Submitted,THE QUEENS MEDICAL CENTER ,1301 PUNCHBOWL STREET ,861 ,HONOLULU ,HI ,96813 ,NONE ,7303612,,,4086869,,,.1878,3252563,1009466,579,211914,44692,1930,192750,107.07,3919.63,,6451,265,29535,6819,,,,,, 120002,01-JUL-15,30-JUN-16,Amended,MAUI MEMORIAL MEDICAL CENTER ,221 MAHALANI STREET ,,WAILUKU ,HI ,96793 ,MAUI ,,,,416123,,,.1349,,,219,80154,10658,10437,57436,,1319.93,,1534,3090,9288,,,,,,, 120004,01-JUL-15,30-JUN-16,As Submitted,WAHIAWA GENERAL HOSPITAL ,128 LEHUA STREET ,,WAHIAWA ,HI ,96786 ,HONOLULU ,683201,,,142396,,,.12,632371,108978,43,15738,2306,14,7535,12.86,298.06,,508,6,1649,334,,,,,68, 120005,01-JUL-15,30-JUN-16,Amended,HILO MEDICAL CENTER ,1190 WAIANUENUE AVENUE ,,HILO ,HI ,96720 ,HAWAII ,96177,,,471381,,,.12,380508,156836,142,51972,9544,4028,38924,,995.39,,1773,13,7727,2378,,,,,, 120006,01-JAN-15,31-DEC-15,As Submitted,CASTLE MEDICAL CENTER ,640 ULUKAHIKI ST ,,KAILUA ,HI ,96734 ,HONOLULU ,,,,804710,,,.1901,,,160,58400,8095,4113,35978,,780.76,6.17,1521,1082,7487,1474,,,,,, 120007,01-JUL-15,30-JUN-16,As Submitted,KUAKINI MEDICAL CENTER ,347 N. KUAKINI STREET ,,HONOLULU ,HI ,96717- ,HONOLULU ,1176186,,,216636,,,.0488,911574,292047,160,58550,9683,21,27107,18.98,859.99,,1410,6,4302,463,,,,,, 120011,01-JAN-15,31-DEC-15,Amended,KFH-HAWAII ,3288 MOANALUA ROAD ,,HONOLULU ,HI ,96819-1495 ,HONOLULU ,56003,,,,,,,169657,24960,295,104545,2978,14,65608,15.82,1668,,451,2,10738,1754,,,,,, 120014,01-JUL-15,30-JUN-16,As Submitted,WILCOX MEMORIAL HOSPTIAL ,3-3420 KUHIO HIGHWAY ,,LIHUE ,HI ,96766- ,KAUAI ,,,,231021,,,.12,,,72,26352,4266,36,16839,,452.51,,816,10,3741,1290,,,,,, 120019,01-JUL-15,30-JUN-16,Amended,KONA COMMUNITY HOSPITAL ,79-1019 HAUKAPILA STREET ,69 ,KEALAKEKUA ,HI ,96750 ,USA ,,,,144118,,,.12,,,65,23790,3211,3643,14759,,371.6,,590,1225,3165,70,,,145,,318, 120022,01-JUL-15,30-JUN-16,As Submitted,STRAUB CLINIC & HOSPITAL ,888 S. KING STREET ,,HONOLULU ,HI ,96813- ,HONOLULU ,852043,,,667624,,,.0966,225313,171155,159,58194,12000,458,41386,9.19,1751.67,,2011,52,6954,1065,,,,,, 120026,01-JUL-15,30-JUN-16,As Submitted,PALI MOMI MEDICAL CENTER ,98-1079 MOANALUA ROAD ,,AIEA ,HI ,96701- ,HONOLULU ,,,,680896,,,.1252,,,128,46598,10962,121,34246,.55,891.01,,1846,28,5907,899,,,,,, 120028,01-JUL-15,30-JUN-16,As Submitted,NORTH HAWAII COMMUNITY HOSPITAL ,67-1125 MAMALAHOA HIGHWAY ,,KAMUELAA ,HI ,96743 ,HAWAII ,,,,89167,,,.12,,,33,12078,1389,1587,6414,,336.16,,329,641,2068,82,,,,,, 121300,01-JUL-15,30-JUN-16,Amended,KAUAI VETERANS MEMORIAL HOSPITAL ,4643 WAIMEA CANYON ROAD ,337 ,WAIMEA KAUAI ,HI ,96796-0337 ,HAWAII ,,,,,,,,,,25,9150,907,740,4657,,225.26,,119,286,720,,,,,,, 121301,01-JUL-15,30-JUN-16,As Submitted,KAU HOSPITAL ,1 KAMANI STREET ,,PAHALE ,HI ,96777 ,HAWAII ,,,,,,,,,,5,1830,203,170,587,,24.4,,10,3,26,,,,,,, 121302,01-JUL-15,30-JUN-16,Settled,KOHALA HOSPITAL ,54-383 OLD HOSPITAL ROAD ,10 ,KAPAAU ,HI ,96755 ,USA ,,,,,,,,,,4,1464,343,115,614,,38.24,,2,1,7,,,,,,, 121303,01-JUL-15,30-JUN-16,As Submitted,MOLOKAI GENERAL HOSPITAL ,280 HOME OLU ,408 ,KAUNAKAKAI ,HI ,96748 ,MAUI ,,,,,,,,,,15,5490,179,,709,,65.62,,16,,93,34,,,,,, 121304,01-JUL-15,30-JUN-16,Amended,KAHUKU MEDICAL CENTER ,56-117 PUALALEA ST. ,,KAHUKU ,HI ,96731 ,HONOLULU ,,,,,,,,,,14,5184,1735,32,3902,,67.11,,14,11,47,,,,,,, 121305,01-JUL-15,30-JUN-16,Settled,LANAI COMMUNITY HOSPITAL ,628 7TH STREET ,797 ,LANAI ,HI ,96763 ,MAUI ,,,,,,,,,,4,1464,3,3,13,,26.75,,1,2,6,,,,,,, 121306,01-JUL-15,30-JUN-16,Amended,SAMUEL MAHELONA MEMORIAL HOSPITAL ,4800 KAWAIHAU ROAD ,,KAPAA KAUAI ,HI ,96746 ,HAWAII ,,,,,,,,,,5,1830,6,7,13,,76.41,,2,1,3,,,,68,,170, 121307,01-JUL-15,30-JUN-16,Settled,HALE HOOLA HAMAKUA ,45 - 547 PLUMERIA STREET ,237 ,HONOKAA ,HI ,96727 ,HAWAII ,,,,,,,,,,11,4026,1022,80,2628,,53.23,,1,1,5,,,,,,, 121308,01-JUL-15,30-JUN-16,As Submitted,KULA HOSPITAL ,100 KEOKEA PLACE ,,KULA ,HI ,96790 ,MAUI ,,,,,,,,,,9,3294,210,,649,,90.11,,1,,2,,,,,,, 122001,01-JUL-15,30-JUN-16,As Submitted,LEAHI HOSPITAL ,3675 KILAUEA AVENUE ,,HONOLULU ,HI ,96816 ,HAWAII ,,,,,,,,,,9,3294,48,,101,,104.19,,1,,3,,,,,,, 123025,01-OCT-14,30-SEP-15,As Submitted,REHABILITATION HOSPITAL OF THE PACIF ,226 N. KUAKINI STREET ,,HONOLULU ,HI ,96817-2421 ,HONOLULU ,,,,,,,,,,70,25550,7006,2925,21221,,319,3,594,136,1690,,,,,,, 123300,01-JUL-15,30-JUN-16,As Submitted,KAPIOLANI MED CTR FOR WOMEN & CHILDR ,1319 PUNAHOU STREET ,,HONOLULU ,HI ,96826- ,HONOLULU ,,,,,,,,,18255,207,75762,326,183,75742,43.96,1336.53,,65,57,11341,9668,,,,,, 123301,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITAL FOR CHILDREN ,1310 PUNAHOU STREET ,,HONOLULU ,HI ,96826 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 124001,01-JAN-15,31-DEC-15,Settled,SUTTER PACIFIC KAHI MOHALA HOSP ,91-2301 FORT WEAVER ROAD ,,EWA BEACH ,HI ,96706- ,HONOLULU ,,,,,,,,,,88,32120,,8,11894,,188.63,,,2,375,,,,,,, 130002,01-OCT-14,30-SEP-15,As Submitted,ST LUKES MAGIC VALLEY REG MED CTR ,801 POLE LINE ROAD WEST ,409 ,TWIN FALLS ,ID ,83301 ,TWIN FALLS ,,,,651762,,,.0945,,,158,57670,13757,7040,35953,,1792.58,,3377,4495,9613,,,,173,116,765,199 130003,01-JUL-15,30-JUN-16,As Submitted,ST JOSEPH REGIONAL MEDICAL CENTER ,415 SIXTH STREET ,816 ,LEWISTON ,ID ,83501 ,NEZ PERCE ,,,,367091,,,.0812,,,94,34404,8563,2212,17726,,815.15,,1978,569,4163,,,,161,,490, 130006,01-OCT-14,30-SEP-15,As Submitted,ST. LUKES REGIONAL MEDICAL CENTER ,190 EAST BANNOCK ,,BOISE ,ID ,83712- ,ADA ,474928,,,1995199,,,.1303,112275,133691,558,203670,29598,30029,123837,7.29,6258.7,,6672,6914,28481,,,,,,,299 130007,01-JUL-15,30-JUN-16,As Submitted,ST. ALPHONSUS REGIONAL MED CENTER ,1055 NORTH CURTIS ROAD ,,BOISE ,ID ,83706-1309 ,ADA ,642162,,,1377604,,,.125,321934,127360,348,127368,20837,7516,77119,25.21,3126.42,,4403,2663,17352,2000,,,,35,,270 130013,01-JUL-15,30-JUN-16,As Submitted,ST. ALPHONSUS MEDICAL CENTER - NAMP ,1512 12TH AVE ROAD ,,NAMPA ,ID ,83686 ,CANYON ,,,,490964,,,.1731,,,151,55266,5985,4921,19967,,585.82,,1359,1392,6555,1500,,,,,, 130014,01-OCT-14,30-SEP-15,Amended,WEST VALLEY MEDICAL CENTER ,1717 ARLINGTON ,,CALDWELL ,ID ,83605- ,CANYON ,165776,,,491915,,,.1941,80528,41710,99,36135,4656,3711,17207,5.38,460.14,,1239,1029,4746,1028,,,,,, 130018,01-OCT-14,30-SEP-15,Amended,EASTERN IDAHO REGIONAL MEDICAL CENTE ,3100 CHANNING WAY ,2077 ,IDAHO FALLS ,ID ,83403 ,BONNIEVILLE ,,,,1183138,,,.1524,,,235,88328,15862,11918,48796,,1000.31,,3464,2052,10365,,,,,10,622,284 130025,01-OCT-14,30-SEP-15,As Submitted,MADISON MEMORIAL HOSPITAL ,450 EAST MAIN ST ,310 ,REXBURG ,ID ,83440-0310 ,MADISON ,,,,101767,,,.12,,,69,25185,1642,3478,9311,,398.03,,487,740,2753,,,,,,, 130028,01-JAN-15,31-DEC-15,As Submitted,PORTNEUF MEDICAL CENTER ,651 MEMORIAL DRIVE ,,POCATELLO ,ID ,83201-4004 ,BANNOCK ,1629518,,,668071,,,.1117,467027,277108,137,49375,10472,6411,30347,18.47,1016.53,,2509,1495,7431,,,,145,3,689,126 130049,01-JAN-15,31-DEC-15,As Submitted,KOOTENAI HOSPITAL DISTRICT ,2003 KOOTENAI HEALTH WAY ,,COEUR DALENE ,ID ,83814- ,KOOTENAI ,308514,,,1592118,,,.1356,224294,158025,252,91615,23320,14664,65185,7.57,2353.24,,4756,2955,16965,,,,,,, 130063,01-JAN-15,31-DEC-15,As Submitted,TREASURE VALLEY HOSPITAL ,8800 WEST EMERALD STREET 100 ,,BOISE ,ID ,83704- ,ADARIS ,,,,,,,,,,10,3650,82,6,891,,106.29,,55,4,540,,,,,,, 130065,01-JAN-15,31-DEC-15,As Submitted,MOUNTAIN VIEW HOSPITAL ,2325 CORONADO STREET ,,IDAHO FALLS ,ID ,83404- ,BONNEVILLE ,,,,156485,,,.12,,,41,14965,1223,2458,8085,,579.03,,469,487,2527,,,,,,, 130066,01-JAN-15,31-DEC-15,As Submitted,NORTHWEST SPECIALTY HOSPITAL ,1593 E. POLSTON AVENUE ,,POST FALLS ,ID ,83854 ,KOOTENAI ,,,,,,,,,,34,12410,703,38,2100,,190.58,,328,22,1148,,,,,,, 130067,01-JAN-15,31-DEC-15,Settled,IDAHO DOCTORS HOSPITAL ,350 NORTH MERIDIAN STREET ,,BLACKFOOT ,ID ,93221-1625 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 131301,01-JAN-15,31-DEC-15,Settled,BOUNDARY COMMUNITY HOSPITAL ,6640 KANIKSU ,,BONNERS FERRY ,ID ,83805 ,BOUNDARY ,,,,,,,,,,20,7300,587,76,1512,,107.17,,52,7,84,,,,,,, 131302,01-OCT-14,30-SEP-15,Settled,NORTH CANYON MEDICAL CENTER ,267 NORTH CANYON DRIVE ,,GOODING ,ID ,83330- ,GOODING ,,,,,,,,,,16,5840,1833,81,2362,,110.46,,231,19,370,,,,,,, 131303,01-JUL-15,30-JUN-16,As Submitted,ONEIDA COUNTY HOSPITAL ,150 NORTH 200 WEST ,126 ,MALAD CITY ,ID ,83252-0126 ,ONEIDA ,,,,,,,,,,11,4026,911,,1066,,68.68,,55,,80,,,,,,, 131304,01-OCT-14,30-SEP-15,Settled,POWER COUNTY HOSPITAL DISTRICT ,510 ROOSEVELT ,,AMERICAN FALLS ,ID ,83211- ,POWER ,,,,,,,,,,10,3650,266,6,419,,63.23,,29,3,45,,,,,,, 131305,01-OCT-14,30-SEP-15,Settled,STEELE MEMORIAL MEDICAL CENTER ,203 S. DAISY STREET ,,SALMON ,ID ,83467- ,LEMHI ,,,,,,,,,,18,6570,687,86,1083,,121.64,,177,35,373,,,,,,, 131307,01-JUL-15,30-JUN-16,Settled,HOSPITAL ,645 E FIFTH STREET ,,WEISER ,ID ,83672 ,WASHINGTON ,,,,,,,,,,19,6954,684,113,1282,,108.02,,148,41,341,,,,,,, 131308,01-OCT-14,30-SEP-15,Settled,CASCADE MEDICAL CENTER ,402 OLD STATE HIGHWAY ,1330 ,CASCADE ,ID ,83611-0151 ,VALLEY ,,,,,,,,,,8,2920,157,,469,,30.87,,20,,27,,,,,,, 131309,01-OCT-14,30-SEP-15,Settled,CARIBOU MEMORIAL HOSPITAL ,300 SOUTH THIRD WEST ,,SODA SPRINGS ,ID ,83276- ,CARIBOU ,,,,,,,,,,19,6935,713,75,1141,,103.66,,121,35,282,,,,,,, 131310,01-OCT-14,30-SEP-15,Settled,ST. LUKES JEROME LTD ,709 N. LINCOLN AVE ,586 ,JEROME ,ID ,83338-1851 ,JEROME ,,,,,,,,,,25,9125,1446,443,3266,,130.25,,65,102,315,,,,,,, 131311,01-OCT-14,30-SEP-15,Settled,ELMORE MEDICAL CENTER ,895 N. SIXTH EAST ,,MOUNTAIN HOME ,ID ,83647- ,ELMORE ,,,,,,,,,,21,7665,1386,339,2431,,192.3,,277,118,599,,,,,,, 131312,01-OCT-14,30-SEP-15,Settled,ST. LUKES MCCALL ,1000 STATE STREET ,906 ,MCCALL ,ID ,83638- ,VALLEY ,,,,,,,,,,15,5475,503,190,1262,,201.02,,148,51,440,,,,,,, 131313,01-OCT-14,30-SEP-15,Settled,TETON VALLEY HOSPITAL ,120 EAST HOWARD ,,DRIGGS ,ID ,83422- ,TETON ,,,,,,,,,,13,4745,450,30,641,,93.26,,89,12,151,,,,,,, 131314,01-DEC-14,30-NOV-15,Settled,SHOSHONE MEDICAL CENTER ,204 OREGON STREET ,,KELLOGG ,ID ,83837 ,SHOSHONE ,,,,,,,,,,21,7665,1306,54,1873,,82.85,,134,13,206,,,,,,, 131315,01-OCT-14,30-SEP-15,Settled,SYRINGA GENERAL HOSPITAL ,607 W. MAIN STREET ,,GRANGEVILLE ,ID ,83530- ,IDAHO ,,,,,,,,,,15,5475,1242,136,1778,,99.17,,276,51,462,,,,,,, 131316,01-JAN-15,31-DEC-15,Settled,BEAR LAKE MEMORIAL HOSPITAL ,164 SOUTH 5TH ,,MONTPELIER ,ID ,83254 ,BEAR LAKE ,,,,,,,,,,21,7665,1351,138,1959,,118.06,,174,31,348,,,,,,, 131317,01-JAN-15,31-DEC-15,Settled,BENEWAH COMMUNITY HOSPITAL ,229 SEVENTH ST ,,ST MARIES ,ID ,83861 ,BENEWAH ,,,,,,,,,,19,6935,636,106,1194,,135.29,,143,38,284,,,,,,, 131318,01-OCT-14,30-SEP-15,Settled w/Audit,WALTER KNOX MEMORIAL HOSPITAL ,1202 EAST LOCUST ,,EMMETT ,ID ,83617 ,GEM ,,,,,,,,,,13,4745,341,151,811,,92.56,,53,51,198,,,,,,, 131319,01-OCT-14,30-SEP-15,Settled w/Audit,MINIDOKA MEMORIAL HOSPITAL ,1224 8TH STREET ,,RUPERT ,ID ,83350- ,MINIDOKA ,,,,,,,,,,16,5840,1147,109,1890,,124.61,,217,22,405,,,,,,, 131320,01-JUL-15,30-JUN-16,Settled,CLEARWATER VALLEY HOSPITAL ,301 CEDAR ,,OROFINO ,ID ,83544- ,CLEARWATER ,,,,,,,,,,23,8418,1632,190,2258,,160.87,,294,90,523,1,,,,,, 131321,01-JUL-15,30-JUN-16,Settled,ST. MARYS HOSPITAL ,701 LEWISTON ST. ,137 ,COTTONWOOD ,ID ,83522-0137 ,LEWIS ,,,,,,,,,,25,9150,1636,239,2277,,165.13,,258,96,502,1,,,,,, 131322,01-OCT-14,30-SEP-15,Settled w/Audit,FRANKLIN COUNTY MEDICAL CENTER ,44 NORTH FIRST EAST ,,PRESTON ,ID ,83263- ,FRANKLIN ,,,,,,,,,,20,7300,1710,281,2667,,136.6,,272,57,513,,,,,,, 131323,01-OCT-14,30-SEP-15,Settled w/Audit,ST. LUKES WOOD RIVER MEDICAL CENTER ,100 HOSPITAL DRIVE ,100 ,KETCHUM ,ID ,83340 ,BLAINE ,,,,,,,,,,25,9125,1108,391,3279,,340.86,,307,116,1014,,,,,,, 131324,01-OCT-14,30-SEP-15,Settled,LOST RIVERS HOSPITAL ,551 HIGHLAND DRIVE ,,ARCO ,ID ,83213 ,BUTTE ,,,,,,,,,,14,5110,359,,403,,38.82,,34,,45,,,,,,, 131325,01-JAN-15,31-DEC-15,Settled w/Audit,BINGHAM MEMORIAL HOSPITAL ,98 POPLAR ,,BLACKFOOT ,ID ,83221- ,BINGHAM ,,,,,,,,,,25,9125,2420,1062,6090,1.73,508.07,,669,310,2041,,,,,,, 131326,01-JAN-15,31-DEC-15,Settled w/Audit,CASSIA REGIONAL MED. CENTER ,1501 HILAND AVE. ,,BURLEY ,ID ,83318- ,CASSIA ,,,,,,,,,,25,9125,1607,1153,4251,,309.39,,407,356,1362,,,,,,, 131327,01-JAN-15,31-DEC-15,Settled,GRITMAN MEDICAL CENTER ,700 SOUTH MAIN STREET ,,MOSCOW ,ID ,83843- ,LATAH ,,,,,,,,,,25,9125,1708,515,4261,,354.4,,509,115,1297,,,,,,, 131328,01-JAN-15,31-DEC-15,Settled,BONNER GENERAL HOSPITAL ,520 N. THIRD AVENUE ,1448 ,SANDPOINT ,ID ,83864- ,BONNER ,,,,,,,,,,25,9125,1748,968,3975,,287.52,,490,412,1631,5,,,,,, 132001,01-OCT-14,30-SEP-15,Settled,NORTHERN IDAHO ADVANCED CARE HOSPITA ,600 NORTH CECIL ,,POST FALLS ,ID ,83854 ,KOOTENAI ,,,,,,,,,,40,14600,7001,960,10755,,136.86,,270,40,416,,,,,,, 132002,01-SEP-15,31-AUG-16,As Submitted,VIBRA HOSPITAL OF BOISE ,2131 S. BONITO WAY ,,MERIDIAN ,ID ,83642-1659 ,ADA ,,,,,,,,,,60,21960,6477,453,9407,,111.95,,248,12,339,4,,,,,, 132003,01-JAN-15,31-DEC-15,Settled,SOUTHWEST IDAHO ADVANCED CARE HOSPIT ,6651 W FRANKLIN ROAD ,,BOISE ,ID ,83709 ,ADA ,,,,,,,,,,40,14600,5219,317,8701,,122.8,,209,13,339,,,,,,, 133027,01-JAN-15,31-DEC-15,Settled,REHABILITATION HOSPITAL OF THE NORTH ,3372 E JENALAN AVE ,,POST FALLS ,ID ,83854 ,KOOTENAI ,,,,,,,,,,30,10950,5624,420,7556,,83.37,,433,24,563,,,,,,, 134002,01-OCT-14,30-SEP-15,Settled,INTERMOUNTAIN ,303 N ALLUMBAUGH STREET ,,BOISE ,ID ,83704 ,ADA ,,,,,,,,,,151,55266,7197,3905,30947,,,,661,456,3930,,,,,,, 134009,01-JAN-15,31-DEC-15,Settled,SAFE HAVEN HOSPITAL TREASURE VALLEY ,8050 NORTHVIEW STREET ,,BOISE ,ID ,83704 ,ADA ,,,,,,,,,,16,5840,1081,1754,5148,,37.96,,117,261,863,,,,,,, 134010,01-JUL-15,30-JUN-16,As Submitted,STATE HOSPITAL SOUTH ,700 EAST ALICE STREET ,400 ,BLACKFOOT ,ID ,83221- ,BINGHAM ,,,,,,,,,,106,38796,5151,4084,32686,,265.39,,136,122,782,,,,,,, 134011,01-JAN-15,09-APR-15,Settled,SAFE HAVEN HOSPITAL ,1200 HOSPITAL WAY ,,POCATELLO ,ID ,83201 ,BANNOCK ,,,,,,,,,,14,1386,716,162,1033,,27.54,,62,18,113,,,,,,, 140001,01-JUL-15,30-JUN-16,As Submitted,GRAHAM HOSPITAL ASSOCIATION ,210 WEST WALNUT ,,CANTON ,IL ,61520- ,FULTON ,,,,150472,,,.1062,,,43,15738,3638,1542,7859,,451.24,,920,435,2170,,,,,,, 140002,01-JAN-15,31-DEC-15,As Submitted,ALTON MEMORIAL HOSPITAL ,ONE MEMORIAL DRIVE ,,ALTON ,IL ,62002- ,MADISON ,,,,413039,,,.0809,,,132,48180,10949,2033,23919,,675.9,,2851,684,6935,,,,,,290, 140007,01-JAN-15,31-DEC-15,As Submitted,PRESENCE ST. JOSEPH MEDICAL CENTER ,333 NORTH MADISON STREET ,,JOLIET ,IL ,60435 ,CHAMPAIGN ,87340,,,1984088,,,.0995,7633,2241,432,157680,45730,6473,94069,.46,1828.81,,9202,1709,21395,2687,,,,2,,879 140008,01-JUL-15,30-JUN-16,As Submitted,GOTTLIEB MEMORIAL HOSPITAL ,8700 WEST NORTH AVENUE ,,MELROSE PARK ,IL ,60160 ,COOK ,116522,,,450495,,,.0817,61101,13570,168,65318,11828,1096,26873,4.49,734.75,,2614,1315,6432,,,,,,200, 140010,01-OCT-14,30-SEP-15,Amended,NORTHSHORE UNIVERSITY HEALTHSYSTEM ,2650 RIDGE AVENUE ,,EVANSTON ,IL ,60201 ,COOK ,17087034,,,1409433,,,.0407,5021820,5218975,733,246436,70749,23718,165354,187.89,5639,,15531,4914,35386,220,138,,139,58,1710,414 140011,01-APR-15,31-MAR-16,As Submitted,HERRIN HOSPITAL ,201 S. 14TH STREET ,,HERRIN ,IL ,62948 ,WILLIAMSON ,,,,514832,,,.0911,,,85,31110,12339,3129,20430,,714.14,,3289,1011,6061,,,,,58,,517 140012,01-JAN-15,31-DEC-15,Amended,KATHERINE SHAW BETHEA ,KATHERINE SHAW BETHEA HOSPITAL ,403 EAST ,DIXON ,IL ,61021- ,LEE ,450945,,,257968,,,.12,126817,113355,66,24090,4200,2825,8798,2.98,706.94,,1185,663,2961,,,,224,,487, 140013,01-JAN-15,31-DEC-15,As Submitted,PROCTOR HOSPITAL ,5409 N. KNOXVILLE ,,PEORIA ,IL ,61614 ,PEORIA ,,,,,,,,,,161,58765,8149,716,15057,,504.88,,1901,195,3775,,,,2,,299, 140015,01-OCT-14,30-SEP-15,Amended,BLESSING HOSPITAL ,1005 BROADWAY ,,QUINCY ,IL ,62301 ,ADAMS ,2073850,,,543703,,,.052,639458,231545,228,73970,24052,5974,41985,17.42,1674.41,,5433,1638,10323,138,87,,1005,35,1837,371 140018,01-JUL-15,30-JUN-16,As Submitted,MOUNT SINAI HOSPITAL MEDICAL CENTER ,15TH STREET & CALIFORNIA AVE ,,CHICAGO ,IL ,60608- ,COOK ,3994343,,,2650709,,,.6102,2116436,685956,263,96258,9514,14950,59965,123.68,1627.25,,1830,3156,14836,7239,737,,369,,1525, 140019,01-SEP-15,31-AUG-16,Amended,SHELBY MEMORIAL HOSPITAL ,200 SOUTH CEDAR ,,SHELBYBILLE ,IL ,62565-1899 ,SHELBY ,,,,32123,,,.12,,,30,10980,927,225,1690,,129.38,,223,93,505,,,,,,, 140026,01-JUL-15,03-JAN-16,As Submitted,ST. MARYS HOSPITAL ,111 E. SPRING ST. ,,STREATOR ,IL ,61364 ,LASALLE ,,,,,,,,,,86,16082,1178,110,1625,,126.87,,278,30,402,,,,,,, 140029,01-JUL-15,30-JUN-16,As Submitted,COPLEY MEMORIAL HOSPITAL ,2000 OGDEN AVENUE ,,AURORA ,IL ,60504 ,KANE ,1100511,,,1159655,,,.1618,275198,173872,192,70272,12645,10625,44216,12.14,1512.09,,3214,3493,11220,,,,,113,,362 140030,01-JAN-15,31-DEC-15,Amended,ADVOCATE SHERMAN HOSPITAL ,1425 NORTH RANDALL ROAD ,,ELGIN ,IL ,60123 ,KANE ,,,,836508,,,.0738,,,255,93075,24740,8401,61462,,1332.08,,5372,2854,14685,,,,,,, 140032,01-JUL-15,30-JUN-16,As Submitted,ST. ANTHONYS MEMORIAL HOSPITAL ,503 N MAPLE ,,EFFINGHAM ,IL ,62401 ,EFFINGHAM ,,,,277872,,,.0555,,,133,48678,9997,2159,17623,,622.43,,2674,656,5158,,,,,,, 140033,01-DEC-14,30-NOV-15,As Submitted,VISTA MEDICAL CENTER WEST ,1324 NORTH SHERIDAN ROAD ,,WAUKEGAN ,IL ,60085- ,LAKE ,,,,2559,,,.12,,,16,5840,119,2178,3302,,74.71,,15,305,462,,,,496,32,998,253 140034,01-JAN-15,31-DEC-15,As Submitted,SSM HEALTH ST. MARYS HOSPITAL ,400 NORTH PLEASANT AVENUE ,,CENTRALIA ,IL ,62801- ,MARION ,,,,456561,,,.1229,,,96,35116,10324,3092,16597,,582.9,,2403,1026,3980,,36,,348,,574, 140040,01-MAY-15,30-APR-16,As Submitted,GALESBURG COTTAGE HOSPITAL ,695 NORTH KELLOGG STREET ,,GALESBURG ,IL ,61401 ,KNOX ,,,,215698,,,.1268,,,96,35136,4340,875,8825,,302.75,,947,486,2230,,,,,,152, 140043,01-MAY-15,30-APR-16,As Submitted,CGH MEDICAL CENTER ,100 EAST LEFEVRE ROAD ,,STERLING ,IL ,61081-1279 ,WHITESIDE ,,,,253637,,,.0633,,,97,35502,8216,2029,15094,,1248.75,,2178,639,4648,,,,,,, 140046,01-JAN-15,31-DEC-15,As Submitted,SSM HEALTH GOOD SAMARITAN HOSPITAL ,1 GOOD SAMARITAN WAY ,,MT. VERNON ,IL ,62864 ,JEFFERSON ,,,,973332,,,.1327,,,115,42029,17017,5805,30956,,904,,3666,1626,7365,,,,,16,,255 140048,01-JAN-15,31-DEC-15,As Submitted,ADVOCATE TRINITY HOSPITAL ,2320 E. 93RD ST. ,,CHICAGO ,IL ,60617- ,COOK ,,,,1506552,,,.3018,,,191,69715,12201,13609,39788,,808,,2565,3108,9282,,,,,,, 140049,01-MAY-15,30-APR-16,Amended,WEST SUBURBAN HOSP MED CTR ,3 ERIE COURT ,,OAK PARK ,IL ,60302 ,COOK ,3235893,,,1317474,,,.324,2294009,1001527,135,49410,8619,4601,30508,56.91,828.69,,1982,1007,7665,2230,,,,,, 140052,01-NOV-14,30-SEP-15,Amended,OSF SAINT ANTHONYS HEALTH CENTER ,SAINT ANTHONYS WAY ,340 ,ALTON ,IL ,62002-0340 ,MADISON ,,,,281318,,,.1372,,,83,27722,4601,767,9768,,491.38,6.49,1084,878,2990,568,,,,13,,221 140053,01-JUL-15,30-JUN-16,Amended,ST. JOHNS HOSPITAL ,800 EAST CARPENTER ,,SPRINGFIELD ,IL ,62769 ,SANGAMON ,5212923,,,3020265,,,.2006,1535779,579917,358,131028,30004,13233,89220,89.37,2421.24,,5668,3219,17057,,,,17,,296, 140054,01-OCT-14,30-SEP-15,Amended,MACNEAL HOSPITAL ,3249 SOUTH OAK PARK AVENUE ,,BERWYN ,IL ,60402 ,COOK ,5974492,,,1437011,,,.1919,4952622,1639957,239,87235,16380,10943,58105,104.55,1388.37,,3493,1853,14135,1915,,,,,698, 140058,01-OCT-14,30-SEP-15,As Submitted,PASSAVANT AREA HOSPITAL ,1600 WEST WALNUT ,,JACKSONVILLE ,IL ,62650-1185 ,MORGAN ,,,,203257,,,.0869,,,93,33945,5499,2194,10359,,652.98,,1462,566,3023,,,,,,, 140059,01-JUL-15,30-JUN-16,Amended,JERSEY COMMUNITY HOSPITAL DIST ,400 MAPLE SUMMIT ROAD ,,JERSEYVILLE ,IL ,62052 ,JERSEY ,,,,,,,,,,46,16836,2073,264,2916,,246.06,,656,98,927,,,,,,, 140062,01-JAN-15,31-DEC-15,As Submitted,PALOS COMMUNITY HOSPITAL ,12251 S. 80TH AVENUE ,,PALOS HEIGHTS ,IL ,60463 ,COOK ,,,,,,,,,,314,114610,49833,4512,82421,,2085,,9760,1222,17384,,,,417,,1432, 140063,01-JUL-15,30-JUN-16,As Submitted,OAK PARK HOSPITAL ,520 SOUTH MAPLE ,,OAK PARK ,IL ,60603- ,COOK ,215663,,,369687,,,.0873,140007,69612,165,60390,9424,2784,17069,5.43,734.7,,2120,173,4207,,,,,2,,76 140064,01-OCT-14,30-SEP-15,As Submitted,ST. MARY MEDICAL CENTER ,3333 N SEMINARY ,,GALESBURG ,IL ,61401 ,KNOX ,,,,153315,,,.0719,,,90,32850,5057,953,11356,,450.16,,1277,539,3072,,,,,,, 140065,01-JAN-15,31-JAN-15,Amended,ADVENTIST LAGRANGE MEMORIAL HOSPITAL ,5101 S. WILLOW SPRINGS ROAD ,,LAGRANGE ,IL ,60525- ,COOK ,176656,,,,,,,114049,38079,159,4929,1744,173,2994,19.3,736.59,,349,63,670,22,,,,,,35 140065,01-FEB-15,31-DEC-15,Amended,ADVENTIST LAGRANGE MEMORIAL HOSPITAL ,5101 S. WILLOW SPRINGS ROAD ,,LAGRANGE ,IL ,60525- ,COOK ,1746673,,,,,,,1204572,392764,160,53440,15348,833,28821,19.46,781.36,,3329,250,6946,604,,,,4,,418 140067,01-OCT-14,30-SEP-15,Amended,SAINT FRANCIS MEDICAL CENTER ,530 NE GLEN OAK AVENUE ,,PEORIA ,IL ,61637 ,PEORIA ,10589354,,,4659358,,,.1936,4734982,1250514,622,227030,51468,25083,167231,181.17,5279.25,,9734,8675,33130,,,,,,,513 140068,01-APR-15,31-MAR-16,As Submitted,ROSELAND COMMUNITY HOSPITAL ,45 W. 111TH STREET ,,CHICAGO ,IL ,60628- ,COOK ,,,,676152,,,.5527,,,134,48910,4381,6601,18531,,439.6,,784,1705,3761,,,,,,, 140077,01-JAN-15,31-DEC-15,As Submitted,TOUCHETTE REGIONAL HOSPITAL ,5900 BOND STREET ,,CENTREVILLE ,IL ,62207 ,ST. CLAIR ,,,,371892,,,.6443,,,111,40515,2030,1502,9484,,454,,444,412,2434,752,,,,,, 140080,01-JAN-15,31-DEC-15,As Submitted,PRESENCE SAINT FRANCIS HOSPITAL ,355 RIDGE AVENUE ,,EVANSTON ,IL ,60202 ,COOK ,6269424,,,1369843,,,.2171,3327601,1663775,197,72016,13436,5208,34903,94.69,859.2,,2992,1100,8014,1698,,,,,, 140082,01-JUN-15,31-MAY-16,Amended,LOUIS A. WEISS MEMORIAL HOSPITAL ,4646 NORTH MARINE DRIVE ,,CHICAGO ,IL ,60640 ,COOK ,5836031,,,1192856,,,.2444,3473980,1621073,119,43554,10773,4237,26196,79.28,640.63,,2111,787,5269,869,11,,40,39,320,247 140083,01-JUL-15,30-JUN-16,As Submitted,LORETTO HOSPITAL ,645 SOUTH CENTRAL AVENUE ,,CHICAGO ,IL ,60646 ,COOK ,45834,,,830156,,,.6369,39641,9274,156,57096,5561,13572,25314,2,475.44,,807,1989,4245,,,,,,, 140084,01-DEC-14,30-NOV-15,As Submitted,VISTA MEDICAL CENTER - EAST ,1324 NORTH SHERIDAN ROAD ,,WAUKEGAN ,IL ,60085- ,LAKE ,,,,1386648,,,.201,,,190,69350,16863,6684,45694,,802.48,,3477,3864,11520,,,,,,, 140088,01-JUL-15,30-JUN-16,As Submitted,UNIVERSITY OF CHICAGO HOSPITALS ,5841 SOUTH MARYLAND AVENUE ,,CHICAGO ,IL ,60637 ,COOK ,33560188,,,6344499,,,.2785,8310898,6131661,628,228250,49958,33062,185592,593.27,7027.63,,7467,10224,29199,,,,,,, 140089,01-JUL-15,30-JUN-16,As Submitted,MCDONOUGH DISTRICT HOSPITAL ,525 E. GRANT ,,MACOMB ,IL ,61455- ,MCDONOUGH ,,,,82755,,,.0926,,,38,13908,2352,1007,5646,,504.94,,592,253,1320,1,,,,,127, 140091,01-JAN-15,31-DEC-15,As Submitted,CARLE FOUNDATION HOSPITAL ,611 W. PARK STREET ,,URBANA ,IL ,61801-2595 ,CHAMPAIGN ,2981046,,,1926147,,,.1603,1437443,968178,361,128222,27724,24663,104967,51.07,2745.6,,5145,3301,24729,1088,,,,52,,306 140093,01-JAN-15,31-DEC-15,Amended,PRESENCE UNITED SAMARITANS MEDICAL C ,812 NORTH LOGAN AVENUE ,,DANVILLE ,IL ,61821 ,VERMILION ,,,,453636,,,.1272,,,172,62780,8227,2618,19572,,452.07,,2030,544,6315,,,,,,, 140095,01-JUL-15,30-JUN-16,Amended,SAINT ANTHONY HOSPITAL ,2875 W. 19TH STREET ,,CHICAGO ,IL ,60623 ,COOK ,87893,,,584796,,,.4477,74815,39004,109,39894,3617,4080,18553,2.7,723.02,,704,1605,4488,1048,,,343,,1304, 140100,01-JUL-15,30-JUN-16,As Submitted,MIDWESTERN REGIONAL MEDICAL CENTER ,2501 EMMAUS AVENUE ,,ZION ,IL ,60099 ,LAKE ,,,,,,,,,,73,26718,850,26,11941,,1342.51,,164,10,2078,,,,,,, 140101,01-JAN-15,31-DEC-15,Amended,MORRIS HOSPITAL ,150 WEST HIGH STREET ,,MORRIS ,IL ,60450 ,GRUNDY ,,,,,,,,,,89,32485,9386,1878,15194,,899.42,,1985,665,4534,68,,,,,, 140103,01-JAN-15,31-DEC-15,As Submitted,ST. BERNARD HOSPITAL ,64TH & DAN RYAN ,,CHICAGO ,IL ,60621 ,COOK ,101574,,,1155911,,,.6056,77100,10759,158,57670,5987,6275,26221,3.36,708.93,,1157,1867,5825,1773,,,441,,1604, 140110,01-OCT-14,30-SEP-15,Amended,OTTAWA REGIONAL HOSPITAL & HEALTHCAR ,1100 EAST NORRIS DRIVE ,,OTTAWA ,IL ,61350 ,LASALLE ,,,,527210,,,.2552,,,87,31755,4086,4033,11633,,345.5,,1237,1313,3330,,,,30,,337, 140113,01-JAN-15,31-DEC-15,Amended,PRESENCE COVENANT MEDICAL CENTER ,1400 WEST PARK STREET ,,URBANA ,IL ,61801 ,CHAMPAIGN ,579229,,,567232,,,.1288,391995,137639,169,61685,8315,4045,26125,11.92,550.42,,2168,582,7489,,,,,,,425 140114,01-OCT-14,30-SEP-15,Amended,SWEDISH COVENANT HOSPITAL ,5145 NORTH CALIFORNIA AVENUE ,,CHICAGO ,IL ,60625 ,COOK ,3825856,,,2214327,,,.2552,1986252,1006718,226,82490,19911,14091,55760,63.7,1384.63,,3934,3934,12574,,,,233,42,627,353 140115,01-JUL-15,30-JUN-16,As Submitted,THOREK MEMORIAL HOSPITAL ,850 WEST IRVING PARK ROAD ,,CHICAGO ,IL ,60613 ,COOK ,,,,742319,,,.395,,,156,56940,5751,5839,20790,,346,,1117,2234,4526,,,,,,, 140116,01-JUL-15,30-JUN-16,As Submitted,NORTHERN ILLINOIS MEDICAL CENTER ,4201 MEDICAL CENTER DRIVE ,,MCHENRY ,IL ,60050- ,MCHENRY ,,,,458155,,,.0476,,,151,55266,18109,2721,38956,,1128.56,,4159,201,9325,1288,,,,2,,511 140117,01-JAN-15,31-DEC-15,As Submitted,PRESENCE RESURRECTION MEDICAL CENTER ,7435 WEST TALCOTT ,,CHICAGO ,IL ,60631 ,COOK ,9998395,,,447072,,,.0315,3641368,882981,200,71986,29696,2634,57856,74.06,1351.21,,5674,613,11801,,,,,7,,1172 140118,01-JAN-15,31-DEC-15,As Submitted,METROSOUTH MEDICAL CENTER ,12935 SOUTH GREGORY STREET ,,BLUE ISLAND ,IL ,60406 ,COOK ,,,,1174269,,,.2204,,,300,109500,11546,3445,32280,,632.05,,2557,1364,7906,1400,,,,,166, 140119,01-JUL-15,30-JUN-16,As Submitted,RUSH UNIVERSITY MEDICAL CENTER ,1653 W. CONGRESS PARKWAY ,,CHICAGO ,IL ,60612 ,COOK ,43161596,,,6306669,,,.2251,10964167,5466228,560,203190,50527,16402,156042,536.49,8146.54,,9742,1939,29540,,,,281,59,1472,1008 140120,01-MAY-15,30-APR-16,As Submitted,PEKIN MEMORIAL HOSPITAL ,600 SOUTH 13TH STREET ,,PEKIN ,IL ,61554 ,TAZWELL ,,,,143214,,,.0637,,,107,39162,6310,861,13338,,531.62,,1341,233,3198,,,,,,, 140122,01-JAN-15,31-DEC-15,Amended,ADVENTIST HINSDALE HOSPITAL ,120 NORTH OAK STREET ,,HINSDALE ,IL ,60521- ,DUPAGE ,1649434,,,304979,,,.0411,802128,405074,244,89060,15237,1755,50001,26.73,1655.48,,3440,571,11162,1152,,,65,,846, 140124,01-DEC-14,30-NOV-15,Amended,JOHN H. STROGER JR. HOSP OF COOK CTY ,1901 WEST HARRISON STREET ,,CHICAGO ,IL ,60612-3714 ,COOK ,7689936,,,2611880,,,.5826,3008464,2236948,448,161826,11936,51802,98763,473.6,4938.97,,2494,6450,21577,2219,,,,,, 140125,01-JAN-15,31-DEC-15,As Submitted,GATEWAY REGIONAL ,2100 MADISON AVE ,,GRANITE CITY ,IL ,62040 ,MADISON ,,,,1006970,,,.3905,,,301,109865,8504,4889,32003,,560.43,,1536,2976,6581,,,,129,15,554,86 140127,01-JAN-15,31-DEC-15,As Submitted,ADVOCATE BROMENN MEDICAL CENTER ,1304 VIRGINIA ,,NORMAL ,IL ,61761- ,MCLEAN ,650137,,,566974,,,.1189,406019,144208,206,75190,9990,3789,33375,12.57,912.07,,2358,822,8222,1126,9,,,8,9,258 140130,01-SEP-15,31-AUG-16,As Submitted,NORTHWESTERN LAKE FOREST HOSPITAL ,660 WESTMORELAND ROAD ,,LAKE FOREST ,IL ,60045 ,LAKE ,940799,,,,,,,192430,170014,117,42822,9305,1114,24953,9.46,1060.61,,2349,334,6887,474,,,,,, 140133,01-JUL-15,30-JUN-16,As Submitted,HOLY CROSS HOSPITAL ,2701 WEST 68TH STREET ,,CHICAGO ,IL ,60629 ,COOK ,,,,1753235,,,.3268,,,192,70272,13635,3875,37904,,843,,2716,1048,8655,2880,,,,49,,352 140135,01-OCT-14,30-SEP-15,As Submitted,DECATUR MEMORIAL HOSPITAL ,2300 N. EDWARD ST. ,,DECATUR ,IL ,62526 ,MACON ,827437,,,809963,,,.0927,422817,290499,206,75190,19562,4403,38620,13.5,1660.3,,4311,2005,10342,909,,,,,, 140137,01-JAN-15,31-DEC-15,As Submitted,GREENVILLE REGIONAL HOSPITAL ,200 HEALTHCARE DRIVE ,,GREENVILLE ,IL ,62246-1156 ,BOND ,,,,49868,,,.12,,,32,11680,1641,700,3597,,204.32,,332,250,1004,191,,,,,237, 140143,01-OCT-14,30-SEP-15,As Submitted,ST. MARGARETS HOSPITAL ,600 EAST FIRST ST ,,SPRING VALLEY ,IL ,61362 ,BUREAU ,,,,58023,,,.0332,,,63,24087,3819,986,6832,,514.26,,1025,435,1957,9,,,,,, 140145,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPHS HOSPITAL ,9515 HOLY CROSS LANE ,,BREESE ,IL ,62230 ,CLINTON ,,,,77606,,,.12,,,49,17934,1245,301,4320,,307.17,,401,47,1229,377,,,,,, 140147,01-OCT-14,30-SEP-15,Settled,RICHLAND MEMORIAL HOSPITAL ,800 EAST LOCUST ,,OLNEY ,IL ,62450-2958 ,RICHLAND ,,,,133341,,,.1213,,,47,17155,3406,1066,5544,,398.85,,771,312,1434,,,,321,,565, 140148,01-OCT-14,30-SEP-15,Amended,MEMORIAL MEDICAL CENTER ,701 NORTH FIRST STREET ,,SPRINGFIELD ,IL ,62781 ,SANGAMON ,9595225,,,1298685,,,.0663,3434493,1152684,403,146913,44035,8335,102708,156.72,3194.56,,8738,1686,22332,2076,322,,316,31,1463,449 140150,01-JUL-15,30-JUN-16,As Submitted,BOARD OF TRUSTEES OF THE UNIVERSITY ,1740 W TAYLOR ST ,,CHICAGO ,IL ,60612 ,COOK ,16965904,,,3913197,,,.42,6068933,3424648,446,163236,21425,13072,103122,461,4295.71,,3388,1679,19613,8189,320,,200,29,935,318 140155,01-JAN-15,31-DEC-15,As Submitted,PRESENCE ST. MARYS HOSPITAL ,500 WEST COURT STREET ,,KANKAKEE ,IL ,60901 ,KANKAKEE ,,,,660868,,,.1456,,,182,66430,10225,4409,23078,,596.89,,2098,1054,5871,,,,,,, 140158,01-JUL-15,30-JUN-16,As Submitted,MERCY HOSPITAL & MEDICAL CENTER ,2525 SOUTH MICHIGAN AVENUE ,,CHICAGO ,IL ,60616-2477 ,COOK ,6692594,,,2468033,,,.3441,3334850,1265426,229,83814,17409,8062,53444,70.23,1369.39,,3469,5840,12520,,,,622,35,1181,421 140160,01-JAN-15,31-DEC-15,Amended,FHN MEMORIAL HOSPITAL ,1405 WEST STEPHENSON STREET ,,FREEPORT ,IL ,64032 ,STEPHENSON ,,,,290202,,,.0943,,,100,36500,6902,3005,14942,,520.45,,1752,879,4022,,,,,,, 140161,01-OCT-14,30-SEP-15,As Submitted,SAINT JAMES HOSPITAL ,2500 WEST REYNOLDS STREET ,,PONTIAC ,IL ,61764 ,LIVINGSTON ,,,,134879,,,.1183,,,42,15330,2308,800,4628,,309.71,,632,262,1410,,,,,,, 140162,01-OCT-14,30-SEP-15,Amended,ST. JOSEPH MEDICAL CENTER ,2200 E WASHINGTON ,,BLOOMINGTON ,IL ,61701 ,MCLEAN ,,,,248017,,,.0503,,,137,50005,6617,1584,25028,,788,,2626,786,6370,406,,,,,, 140164,01-APR-15,31-MAR-16,Amended,MEMORIAL HOSPITAL OF CARBONDALE ,405 W. JACKSON STREET ,,CARBONDALE ,IL ,62901 ,JACKSON ,1023690,,,1535018,,,.1782,375199,222620,159,58194,15282,9019,38389,13.26,1127.05,,4086,2707,10877,,,,,,, 140166,01-JUL-15,30-JUN-16,As Submitted,ST MARYS HOSPITAL ,1800 EAST LAKE SHORE DRIVE ,,DECATUR ,IL ,62521 ,MACON ,46592,,,1290783,,,.25,25019,11739,196,71736,11067,9517,29645,.86,777.17,,2707,1932,7057,,,,8,23,278,362 140167,01-OCT-14,30-SEP-15,Amended,IROQUOIS MEMORIAL HOSPITAL ,200 FAIRMAN AVENUE ,,WATSEKA ,IL ,60970 ,IROQUOIS ,,,,71431,,,.0921,,,25,9125,1387,342,2279,,302.88,,454,126,798,,,,,,, 140172,01-JAN-15,31-DEC-15,As Submitted,FRANCISCAN ST. JAMES HEALTH ,20201 SOUTH CRAWFORD AVE ,,OLYMPIA FIELDS ,IL ,60461 ,COOK ,7533347,,,1613031,,,.1527,3850581,1706142,291,106215,21851,6530,48339,96.86,1237.69,,5177,1522,12474,1410,,,,20,,311 140174,01-JAN-15,31-DEC-15,Amended,PRESENCE MERCY MEDICAL CENTER ,1325 NORTH HIGHLAND AVENUE ,,AURORA ,IL ,60506 ,KANE ,,,,603513,,,.1182,,,215,78475,9692,3187,27702,,681.2,,2215,652,7265,1036,453,,464,,1725, 140176,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL MEDICAL CENTER ,3701 DOTY ROAD ,,WOODSTOCK ,IL ,60098- ,MCHENRY ,,,,93399,,,.0254,,,72,26352,7752,364,14077,,550.68,,1927,60,3807,387,434,,84,,1303, 140177,01-APR-15,31-MAR-16,As Submitted,JACKSON PARK HOSPITAL ,7531 SOUTH STONEY ISLAND AVENUE ,,CHICAGO ,IL ,60649 ,COOK ,302678,,,1410865,,,.5887,234421,33932,201,73365,6855,15773,31968,18.42,641.73,,1582,3200,8404,,,,,,, 140179,01-JUL-15,30-JUN-16,As Submitted,LITTLE COMPANY OF MARY ,2800 WEST 95TH STREET ,,EVERGREEN PARK ,IL ,60642 ,COOK ,333575,,,1047519,,,.1079,168234,78982,220,81984,22100,3846,53033,5.7,1372.4,,4564,1469,12125,803,,,,,621, 140180,01-JAN-15,31-DEC-15,As Submitted,PRESENCE SAINTS MARY & ELIZABETH MED ,2233 WEST DIVISION STREET ,,CHICAGO ,IL ,60622 ,COOK ,1934922,,,4171418,,,.5311,1425485,432853,408,148884,23589,22270,96791,49.49,1440.62,,4126,3964,18698,6442,,,,16,,276 140181,01-JAN-15,31-DEC-15,As Submitted,SOUTH SHORE HOSPITAL CORPORATION ,8012 SOUTH CRANDON AVENUE ,,CHICAGO ,IL ,60617-1175 ,COOK ,,,,875595,,,.3445,,,122,44530,10752,2362,21689,,415.58,,1360,487,3271,1174,140,,33,,358, 140182,01-JAN-15,31-DEC-15,As Submitted,ADVOCATE NORTHSIDE HEALTH SYSTEM ,836 WELLINGTON ,,CHICAGO ,IL ,60640- ,COOK ,6652022,,,1362680,,,.2543,3585135,1754575,249,90754,10074,10809,56191,177.23,1987,,2485,1789,12827,2014,338,,319,17,1336,381 140184,01-MAY-15,30-APR-16,As Submitted,MARION MEMORIAL HOSPITAL ,917 WEST MAIN ST ,,MARION ,IL ,62959 ,WILLIAMSON ,,,,295857,,,.12,,,98,35868,5171,3412,12756,,354.58,,1367,1371,3989,,,,,,, 140185,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HOSPITAL ,4500 MEMORIAL DRIVE ,,BELLEVILLE ,IL ,62226 ,SAINT CLAIR ,,,,857789,,,.0701,,,316,115340,30369,2692,68863,,1644,,6160,664,15161,,,,,,, 140186,01-JAN-15,31-DEC-15,Amended,RIVERSIDE MEDICAL CENTER ,350 NORTH WALL STREET ,,KANKAKEE ,IL ,60901 ,USA ,1078785,,,1951179,,,.2205,406156,284682,291,106215,16957,11566,49459,18.42,1746.72,,3811,2719,9342,,,,6,38,236,710 140187,01-JUL-15,30-JUN-16,As Submitted,ST. ELIZABETH HOSPITAL ,211 S 3RD STREET ,,BELLEVILLE ,IL ,62220- ,ST. CLAIR ,474530,,,1065858,,,.1912,357292,217680,200,79140,11528,1252,31210,10.76,1038.42,,2687,297,8143,2811,,,,12,,386 140189,01-JUL-15,30-JUN-16,As Submitted,SARAH BUSH LINCOLN HEALTH CENTER ,1000 HEALTH CENTER DRIVE ,372 ,MATTOON ,IL ,61920- ,COLES ,,,,339162,,,.0701,,,85,31110,11543,4047,23326,,1745.07,,2877,1338,6483,36,,,363,,704, 140191,01-OCT-14,30-SEP-15,Amended,INGALLS MEMORIAL HOSPITAL ,ONE INGALLS DRIVE ,,HARVEY ,IL ,60426 ,COOK ,,,,2298591,,,.2419,,,268,97820,21029,18573,59260,,1643.28,,4499,2211,13205,2840,27,,64,17,235,560 140197,01-OCT-14,30-SEP-15,As Submitted,METHODIST HOSPITAL OF CHICAGO ,5025 N PAULINA ST ,,CHICAGO ,IL ,60640-2772 ,COOK ,,,,879050,,,.5319,,,145,52925,6917,12756,22450,,334.03,,1133,2945,4324,,,,,,, 140200,01-JUL-15,30-JUN-16,As Submitted,ELMHURST MEMORIAL HOSPITAL ,155 E BRUSH HILL ROAD ,,ELMHURST ,IL ,60126 ,DUPAGE ,,,,,,,,,,282,103212,28823,2410,67450,,2125.97,,5984,612,16007,1380,,,,,, 140202,01-JAN-15,31-DEC-15,As Submitted,CONDELL MEDICAL CENTER ,900 GARFIELD AVE ,,LIBERTYVILLE ,IL ,60648- ,LAKE ,,,,1437376,,,.0981,,,271,98915,30491,14168,70033,,1437,,6579,1659,16698,,,,,,, 140206,01-OCT-14,30-SEP-15,As Submitted,NORWEGIAN AMERICAN HOSPITAL ,1044 N. FRANSICSO AVENUE ,,CHICAGO ,IL ,60622 ,COOK ,100139,,,1726907,,,.6311,48955,21376,173,63145,9100,12375,38651,3,679,,1537,3773,7789,,,,137,,465, 140208,01-JAN-15,31-DEC-15,As Submitted,ADVOCATE CHRIST HOSPITAL ,4440 WEST 95TH STREET ,,OAK LAWN ,IL ,60453- ,COOK ,22460205,,,4434791,,,.1566,10759833,2476587,580,211700,57079,22789,198651,239.74,4464,,10355,3632,37937,,,,134,24,1466,894 140209,01-JAN-15,31-DEC-15,Amended,METHODIST MEDICAL CTR OF ILLINOIS ,221 N E GLEN OAK ,,PEORIA ,IL ,61636 ,PEORIA ,1808580,,,1311028,,,.1683,1303264,486653,215,78475,17768,15437,51617,31.49,1724.31,,3774,5011,11476,,,,,,2238,545 140210,01-JUL-15,30-JUN-16,As Submitted,HARRISBURG MEDICAL CENTER INC. ,100 DR WARREN TUTTLE DRIVE ,,HARRISBURG ,IL ,62946 ,SALINE ,,,,92663,,,.0874,,,46,16836,2570,716,4251,,386.25,,863,323,1546,,,,794,,1462, 140211,01-SEP-15,31-AUG-16,Amended,DELNOR-COMMUNITY HOSPITAL ,300 RANDALL ROAD ,,GENEVA ,IL ,60134 ,KANE ,,,,,,,,,,144,52704,12837,1666,31313,,1004,,3126,699,7834,524,,,,,, 140213,01-OCT-14,30-SEP-15,Amended,SILVER CROSS HOSPITAL ,1900 SILVER CROSS BLVD. ,,NEW LENOX ,IL ,60451 ,WILL ,,,,645007,,,.046,,,251,91615,30247,10741,69789,,1601.88,,7484,3374,18679,42,,,381,15,907,606 140217,01-JAN-15,31-DEC-15,As Submitted,PRESENCE SAINT JOSEPH HOSPITAL ELGIN ,77 NORTH AIRLITE ST. ,,ELGIN ,IL ,60123 ,KANE ,,,,504285,,,.0854,,,144,52560,11871,1671,26717,,546.58,,2607,362,5977,741,,,,,,1267 140223,01-JAN-15,31-DEC-15,Amended,ADVOCATE LUTHERAN GENERAL HOSPITAL ,1775 W. DEMPSTER STREET ,,PARK RIDGE ,IL ,60068- ,COOK ,16059664,,,2381224,,,.1179,6475880,2067283,530,193450,41722,20084,135450,209.65,3226.3,,8661,3638,26916,2987,162,,149,45,1207,980 140224,01-JAN-15,31-DEC-15,Amended,PRESENCE SAINT JOSEPH HOSP-CHICAGO ,2900 NORTH LAKE SHORE DRIVE ,,CHICAGO ,IL ,60657 ,COOK ,5795741,,,777915,,,.1178,5056820,1343862,288,105120,16714,4095,55825,126.03,1174.33,,3267,728,10799,,,,,3,,182 140228,01-JUN-15,30-JUN-16,Amended,SWEDISHAMERICAN HOSPITAL ,1401 EAST STATE ST. ,,ROCKFORD ,IL ,61104 ,WINNEBAGO ,989692,,,2068349,,,.2071,346454,256176,293,113888,22618,19290,67742,19.82,2343.39,,4702,6466,18867,,,,573,,1035, 140231,01-JUL-15,30-JUN-16,As Submitted,EDWARD HOSPITAL ,801 SOUTH WASHINGTON STREET ,,NAPERVILLE ,IL ,60540-7499 ,,,,,,,,,,,298,109068,31841,2458,94949,,2514.09,,6810,594,22139,1249,,,,,, 140233,01-OCT-14,30-SEP-15,As Submitted,SAINT ANTHONY MEDICAL CENTER ,5666 EAST STATE STREET ,,ROCKFORD ,IL ,61108-2472 ,WINNEBAGO ,,,,382780,,,.0333,,,235,85775,23374,2885,50577,,13107,,5150,458,11569,1076,,,,,, 140234,01-JUL-15,30-JUN-16,As Submitted,ILLINOIS VALLEY COMMUNITY HOSPITAL ,925 WEST STREET ,,PERU ,IL ,61354 ,LASALLE ,,,,162198,,,.0831,,,56,20496,4071,1549,7832,,533.75,,1202,742,2412,,,,,,, 140239,01-JAN-15,30-JUN-15,As Submitted,ROCKFORD MEMORIAL HOSPITAL ,2400 N ROCKTON AVENUE ,,ROCKFORD ,IL ,61103 ,WINNEBAGO ,,,,1158414,,,.2488,,,311,56472,9909,9799,30651,,1589.08,,2153,3208,6405,630,93,,55,,282, 140239,01-JUL-15,30-JUN-16,As Submitted,ROCKFORD MEMORIAL HOSPITAL ,2400 N ROCKTON AVENUE ,,ROCKFORD ,IL ,61103 ,WINNEBAGO ,,,,2521304,,,.2806,,,313,114374,17802,13784,62742,,1601.13,,3906,1997,12447,2890,115,,194,,573, 140240,01-JUL-15,30-JUN-16,Amended,WESTLAKE COMMUNITY HOSPITAL ,1225 SUPERIOR STREET ,,MELROSE PARK ,IL ,60160 ,COOK ,11261,,,725130,,,.3678,27905,7123,121,44286,5729,6513,22654,.6,433.58,,975,734,4532,,,,23,25,411,283 140242,01-SEP-15,31-AUG-16,As Submitted,CENTRAL DUPAGE HOSPITAL ,0 NORTH 025 WINFIELD ROAD ,11092012 ,WINFIELD ,IL ,60190 ,DUPAGE ,,,,881326,,,.0574,,,347,127367,25774,7432,84789,,3094.2,,6168,2076,20149,1883,180,,298,,1422, 140250,01-JAN-15,31-DEC-15,As Submitted,SOUTH SUBURBAN HOSPITAL ,178TH STREET AND KEDZIE AVE ,,HAZELCREST ,IL ,60429- ,COOK ,,,,993877,,,.1373,,,243,88695,15748,3071,43562,,1032.76,,3407,808,10260,2575,,,,,, 140251,01-JAN-15,31-DEC-15,As Submitted,COMMUNITY FIRST MEDICAL CENTER ,5645 WEST ADDISON STREET ,,CHICAGO ,IL ,60634 ,COOK ,157682,,,1016065,,,.1721,78186,16854,213,77745,14248,4954,31381,1.84,718.25,,2845,1146,6571,,,,,,, 140252,01-OCT-14,30-SEP-15,As Submitted,NORTHWEST COMMUNITY HOSPITAL ,800 WEST CENTRAL ROAD ,,ARLINGTON HEIGHTS ,IL ,60005 ,COOK ,,,,433228,,,.0252,,,336,122640,34086,6132,79281,,2482.17,,7832,1947,18485,985,,,214,,1371, 140258,01-JUL-15,30-JUN-16,Amended,ALEXIAN BROTHERS MEDICAL CENTER ,800 BIESTERFIELD ROAD ,,ELK GROVE VILLAGE ,IL ,60007-3397 ,COOK ,,,,830578,,,.0528,,,257,94062,36075,3766,78572,,1768.08,,6570,557,16091,1875,7,,12,26,438,1606 140275,01-JUL-15,30-JUN-16,Amended,GENESIS MEDICAL CENTER - SILVIS ,801 HOSPITAL ROAD ,,SILVIS ,IL ,61282- ,ROCK ISLAND ,,,,341147,,,.1213,,,145,53070,5070,729,11957,,429.14,,1526,861,4100,,,,,,, 140276,01-JUL-15,30-JUN-16,As Submitted,LOYOLA UNIVERSITY MEDICAL CENTER ,2160 SOUTH FIRST AVENUE ,,MAYWOOD ,IL ,60153 ,COOK ,27321426,,,3273384,,,.1459,7087709,5297371,498,182268,41911,8816,129570,413.53,5832.52,,7303,4782,21951,,,,,46,,584 140280,01-JAN-15,31-DEC-15,Amended,TRINITY ROCK ISLAND ,2701 17TH STREET ,,ROCK ISLAND ,IL ,61201 ,ROCK ISLAND ,,,,1953584,,,.1704,,,298,108770,24235,10669,61981,,1397.83,,5274,1763,13907,1461,,,,,,245 140281,01-SEP-15,31-AUG-16,As Submitted,NORTHWESTERN MEMORIAL HOSPITAL ,251E HURON ,,CHICAGO ,IL ,60611 ,COOK ,26916722,,,3368515,,,.097,7027681,3000560,858,312222,64977,20050,247374,510.06,4689.77,,11145,5336,43829,4796,49,,33,,976, 140286,01-MAY-15,30-APR-16,As Submitted,KISHWAUKEE COMMUNITY HOSPITAL ,ONE KISH HOSPITAL DRIVE ,,DEKALB ,IL ,60115- ,DEKALB ,,,,164754,,,.0401,,,98,35868,9692,3092,20532,,782.27,,2090,730,5009,,,,,,, 140288,01-JAN-15,31-DEC-15,Amended,ADVOCATE GOOD SAMARITAN HOSPITAL ,3815 HIGHLAND AVENUE ,,DOWNERS GROVE ,IL ,60515- ,DUPAGE ,,,,398055,,,.0301,,,288,105120,24056,5980,60708,,1572,,5116,618,14159,,,,113,,1050, 140289,01-JAN-15,31-DEC-15,As Submitted,ANDERSON HOSPITAL ,6800 STATE ROUTE 162 ,,MARYVILLE ,IL ,62062-1000 ,MADISON ,,,,327134,,,.0838,,,134,48910,9020,1426,27995,,890.66,,2138,534,7116,,,,,17,,376 140290,01-JUL-15,30-JUN-16,Amended,ST. ALEXIUS MEDICAL CENTER ,1555 BARRINGTON ROAD ,,HOFFMAN ESTATES ,IL ,60194 ,COOK ,,,,1316221,,,.1223,,,311,113826,26475,5797,83854,,1620.12,,4982,1095,17420,2868,,,,,, 140291,01-JAN-15,31-DEC-15,As Submitted,GOOD SHEPHERD HOSPITAL ,450 W. HIGHWAY 22 ,,BARRINGTON ,IL ,60010- ,LAKE ,,,,,,,,,,160,58400,19131,1870,41689,,1021,,4180,462,9652,309,,,,,, 140292,01-JAN-15,31-DEC-15,Amended,ADVENTIST GLENOAKS HOSPITAL ,701 WINTHROP AVENUE ,,GLENDALE HEIGHTS ,IL ,60139- ,DUPAGE ,,,,825826,,,.3156,,,127,46355,7552,3876,24886,,523.81,,1362,1032,4827,1471,,,512,,2719, 140294,01-JAN-15,31-DEC-15,As Submitted,CROSSROADS COMMUNITY HOSPITAL ,8 DOCTORS PARK ROAD ,,MT VERNON ,IL ,62864 ,JEFFERSON ,,,,61328,,,.0714,,,47,17155,1827,514,3244,,187.25,,569,200,1078,,,,,,, 140300,01-DEC-14,30-NOV-15,As Submitted,PROVIDENT HOSPITAL ,500 EAST 51ST STREET ,,CHICAGO ,IL ,60615- ,COOK ,20054,,,14204,,,.12,56221,62259,25,9125,410,499,2982,4.19,376,,111,135,745,27,,,,,, 140304,01-JAN-15,31-DEC-15,Amended,ADVENTIST BOLINGBROOK HOSPITAL ,500 REMINGTON BLVD ,,BOLINGBROOK ,IL ,60440- ,WILL ,,,,546049,,,.1596,,,134,48910,7220,1587,22101,,514.83,,1762,597,6665,1333,,,,,, 141300,01-SEP-15,31-AUG-16,As Submitted,THOMAS H BOYD CRITICAL ACC HOSPITAL ,800 SCHOOL STREET ,,CARROLLTON ,IL ,62016 ,GREENE ,,,,,,,,,,25,9150,639,42,829,,103.99,,119,22,147,,,,,,, 141301,01-JUL-15,30-JUN-16,Settled,KIRBY HOSPITAL ,1000 MEDICAL CENTER DRIVE ,,MONTICELLO ,IL ,61856 ,PIATT ,,,,,,,,,,16,5856,1002,15,2052,,175.64,,99,6,170,,,,,,, 141302,01-OCT-14,30-SEP-15,Settled,MIDWEST MEDICAL CENTER ,1 MEDICAL CENTER DRIVE ,,GALENA ,IL ,61036- ,JO DAVIESS ,,,,,,,,,,25,9125,1624,11,1863,,104.67,,116,6,137,,,,,,, 141303,01-MAY-15,30-APR-16,As Submitted,WARNER HOSPITAL AND HEALTH SERVICES ,422 WEST WHITE STREET ,,CLINTON ,IL ,61727 ,DEWITT ,,,,,,,,,,17,6888,452,2,622,,104.63,,122,2,178,,,,,,, 141304,01-JUL-15,30-JUN-16,Amended,GENESIS MEDICAL CENTER - ALEDO ,409 N.W. NINTH AVENUE ,,ALEDO ,IL ,61231- ,MERCER ,,,,,,,,,,22,8052,962,12,1363,,74.06,,89,6,237,10,,,,,, 141305,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL HOSPITAL ASSOCIATION ,SOUTH ADAMS STREET ,160 ,CARTHAGE ,IL ,62321- ,HANCOCK ,,,,,,,,,,18,6588,1091,328,1957,,160.05,,210,95,461,,,,,,, 141306,01-JUL-15,30-JUN-16,Amended,COMMUNITY MEMORIAL HOSPITAL ,400 CALDWELL STREET ,,STAUNTON ,IL ,62088-1499 ,MACOUPIN ,,,,,,,,,,25,9150,721,46,1063,,106.28,,154,24,237,,,,,,, 141307,01-MAY-15,30-APR-16,As Submitted,PINCKNEYVILLE COMMUNITY HOSPITAL ,5383 STATE ROUTE 154 ,,PINCKNEYVILLE ,IL ,62274-1034 ,PERRY ,,,,,,,,,,20,7422,1881,112,2605,,155.95,,240,39,403,,,,,,, 141308,01-MAY-15,30-APR-16,As Submitted,WASHINGTON COUNTY HOSPITAL ,705 SOUTH GRAND AVENUE ,,NASHVILLE ,IL ,62263 ,WASHINGTON ,,,,,,,,,,22,8052,1646,16,1938,,103.55,,59,5,79,,,,,,, 141309,01-JAN-15,31-DEC-15,Settled,ADVOCATE EUREKA HOSPITAL ,101 SOUTH MAJOR STREET ,,EUREKA ,IL ,61530 ,WOODFORD ,,,,,,,,,,23,8395,831,22,1168,,85.99,,125,7,173,,,,,,, 141310,01-APR-15,30-SEP-15,As Submitted,MENDOTA COMMUNITY HOSPITAL ,1401 EAST 12TH ST ,,MENDOTA ,IL ,61342-9216 ,LASALLE ,,,,,,,,,,25,4575,944,47,1228,,107,,178,20,275,,,,,,, 141311,01-JUL-15,30-JUN-16,As Submitted,FAIRFIELD MEMORIAL HOSPITAL ,303 NW 11TH STREET ,,FAIRFIELD ,IL ,62837 ,WAYNE ,,,,,,,,,,25,9150,1566,263,2505,,191.36,,494,87,722,,,,,,, 141312,01-MAY-15,30-APR-16,As Submitted,ROCHELLE COMMUNITY HOSPITAL ,900 NORTH 2ND STREET ,,ROCHELLE ,IL ,61068 ,OGLE ,,,,,,,,,,16,5856,892,150,1434,,198.51,,280,64,505,,,,,,, 141313,01-OCT-14,30-SEP-15,Settled,MASON DISTRICT HOSPITAL ,615 NORTH PROMENADE STREET ,,HAVANA ,IL ,62644-0530 ,MASON ,,,,,,,,,,25,9125,791,43,1035,,160.35,,149,17,224,,,,,,, 141315,01-OCT-14,30-SEP-15,As Submitted,BCC DBA ILLINI COMMUNITY HOSPITAL ,640 WEST WASHINGTON ,,PITTSFIELD ,IL ,62363 ,PIKE ,,,,,,,,,,25,9125,959,46,1204,,147.79,,237,24,321,,,,,,, 141316,01-JAN-15,31-DEC-15,As Submitted,HOOPESTON COMMUNITY MEMORIAL HOSPITA ,701 EAST ORANGE ,,HOOPSETON ,IL ,60942 ,VERMILLION ,,,,,,,,,,22,8030,807,23,1450,,139.71,,198,8,425,,,,,,, 141317,01-OCT-14,30-SEP-15,Amended,GIBSON AREA HOSPITAL AND HEALTH SVCS ,1120 N. MELVIN ,,GIBSON CITY ,IL ,60936- ,FORD ,,,,,,,,,,25,9125,1510,329,3258,,490.63,,330,93,763,,,,,,, 141318,01-OCT-14,30-SEP-15,Settled,OSF HOLY FAMILY MED CTR ,1000 WEST HARLEM AVENUE ,,MONMOUTH ,IL ,61462 ,WARREN ,,,,,,,,,,23,8395,1153,108,1798,,105.51,,185,17,308,,,,,,, 141319,01-JUN-15,31-MAY-16,Settled,HAMMOND-HENRY HOSPITAL ,600 N. COLLEGE AVENUE ,,GENESEO ,IL ,61254-1099 ,HENRY ,,,,,,,,,,25,9150,1836,236,4229,,203.16,,497,349,1240,,,,,,, 141320,01-JAN-15,31-DEC-15,As Submitted,PARIS COMMUNITY HOSPITAL ,721 EAST COURT STREET ,,PARIS ,IL ,61944- ,EDGAR ,,,,,,,,,,25,9125,1541,184,4605,,223.73,,316,68,530,,,,,,, 141321,01-JUL-15,30-JUN-16,As Submitted,FRANKLIN HOSPITAL ,201 BAILEY LANE ,,BENTON ,IL ,62812 ,FRANKLIN ,,,,,,,,,,25,9150,803,100,1099,,121.04,,232,53,366,,,,,,, 141322,01-OCT-14,30-SEP-15,Settled,ABRAHAM LINCOLN MEMORIAL HOSPITAL ,200 STAHLHUT DRIVE ,,LINCOLN ,IL ,62656 ,LOGAN ,,,,,,,,,,25,9125,2189,258,4665,,227.73,,423,56,1003,,,,,,, 141323,01-APR-15,31-MAR-16,Amended,MASSAC MEMORIAL HOSPITAL ,28 CHICK STREET ,,METROPOLIS ,IL ,62960- ,MASSAC ,,,,,,,,,,25,9150,1981,390,2913,,196.5,,385,134,796,,,,,,, 141324,01-APR-15,31-MAR-16,As Submitted,FERRELL HOSPITAL ,1201 PINE STREET ,,EL DORADO ,IL ,62930 ,SALINE ,,,,,,,,,,25,9150,1912,335,2622,,133.99,,409,128,644,,,,,,, 141325,01-OCT-14,30-SEP-15,Settled,OSF SAINT LUKE MEDICAL CENTER ,1051 WEST SOUTH STREET ,747 ,KEWANEE ,IL ,61443 ,HENRY ,,,,,,,,,,25,9125,1205,120,1625,,163.1,,319,51,476,,,,,,, 141326,01-JUL-15,30-JUN-16,As Submitted,HAMILTON MEMORIAL HOSPITAL ,611 SOUTH MARSHALL ,,MCLEANSBORO ,IL ,62859 ,HAMILTON ,,,,,,,,,,25,9150,2374,218,3180,,110.76,,373,92,562,,,,,,, 141327,01-JAN-15,31-DEC-15,As Submitted,WABASH GENERAL HOSPITAL ,1418 COLLEGE DRIVE ,,MT. CARMEL ,IL ,62863- ,WABASH ,,,,,,,,,,25,9125,1989,269,2764,,219.83,,473,58,712,,,,,,, 141328,01-APR-15,31-MAR-16,Amended,HARDIN COUNTY GENERAL HOSPITAL ,6 FERRELL ROAD ,2467 ,ROSICLARE ,IL ,62982 ,HARDIN ,,,,,,,,,,25,9150,1607,223,2292,,104.47,,256,67,394,,,,,,, 141329,01-JUL-15,30-JUN-16,Settled,MORRISON COMMUNITY HOSPITAL ,303 JACKSON ,,MORRISON ,IL ,61270 ,WHITESIDE ,,,,,,,,,,25,9150,1821,22,2535,,105.01,,39,11,67,,,,,,, 141330,01-JUL-15,30-JUN-16,Amended,HOPEDALE MEDICAL COMPLEX ,SECOND STREET ,,HOPEDALE ,IL ,61747- ,TAZEWELL ,,,,,,,,,,25,9150,2003,4,2442,,215.91,,221,2,306,,,,,,, 141331,01-JUL-15,30-JUN-16,As Submitted,MARSHALL BROWNING HOSPITAL ,900 NORTH WASHINGTON STREET ,,DUQUOIN ,IL ,62832 ,PERRY ,,,,,,,,,,25,9150,1819,103,2323,,148.5,,221,41,478,,,,,,, 141332,01-JUL-15,30-JUN-16,As Submitted,HILLSBORO AREA HOSPITAL ,1200 E. TREMONT ,,HILLSBORO ,IL ,62049 ,MONTGOMERY ,,,,,,,,,,25,9150,1972,89,2224,,129.41,,242,34,336,,,,,,, 141333,01-MAR-15,29-FEB-16,As Submitted,SARAH D CULBERTSON ,238 SOUTH CONGRESS ,,RUSHVILLE ,IL ,62681 ,SCHUYLER ,,,,,,,,,,22,8052,905,37,1413,,122.92,,121,12,177,,,,,,, 141334,01-APR-15,31-MAR-16,As Submitted,SAINT JOSEPH MEMORIAL HOSPITAL ,2 SOUTH HOSPITAL DRIVE ,,MURPHYSBORO ,IL ,62966 ,JACKSON ,,,,,,,,,,25,9150,2951,167,4215,,223.63,,274,66,461,,,,,,, 141335,01-JUL-15,30-JUN-16,As Submitted,HARVARD MEMORIAL HOSPITAL ,901 GRANT STREET ,,HARVARD ,IL ,60033- ,MC HENRY ,,,,,,,,,,13,4758,684,23,1230,,152.77,,211,6,408,39,,,,,, 141336,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPHS HOSPITAL-HIGHLAND IL ,1515 MAIN STREET ,,HIGHLAND ,IL ,62249 ,MADISON ,,,,,,,,,,25,9150,4615,56,6476,,198.25,,598,17,1020,,,,,,, 141337,01-MAY-15,30-APR-16,As Submitted,PERRY MEMORIAL HOSPITAL ,530 PARK AVENUE EAST ,,PRINCETON ,IL ,61356 ,BUREAU ,,,,,,,,,,25,9150,1783,113,2698,,288.39,,419,55,740,,,,,,, 141338,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL HOSPITAL ,1900 STATE STREET ,,CHESTER ,IL ,62233 ,RANDOLPH ,,,,,,,,,,25,9125,1141,140,2068,,173.71,,298,37,555,,,,,,, 141339,01-OCT-14,30-SEP-15,As Submitted,TAYLORVILLE MEMORIAL HOSPITAL ,201 EAST PLEASANT STREET ,,TAYLORVILLE ,IL ,62568 ,CHRISTIAN ,,,,,,,,,,25,9125,4214,62,5894,,285.92,,701,22,1063,,,,,,, 141340,01-MAY-15,30-APR-16,Amended,VALLEY WEST COMMUNITY HOSPITAL ,1302 N. MAIN STREET ,,SANDWICH ,IL ,60548- ,DEKALB ,,,,,,,,,,25,9150,1170,430,2709,,184.5,,392,135,897,,,,,,, 141341,01-JAN-15,31-DEC-15,As Submitted,PANA COMMUNITY HOSPITAL ,101 E. 9TH STREET ,,PANA ,IL ,62557-1716 ,CHRISTIAN ,,,,,,,,,,22,8030,967,9,1123,,124.94,,212,6,283,8,,,,,, 141342,01-JAN-15,31-DEC-15,Settled,UNION COUNTY HOSPITAL DISTRICT ,517 NORTH MAIN STREET ,,ANNA ,IL ,62906 ,UNION ,,,,,,,,,,25,9125,2265,239,3490,,133.12,,332,58,530,,,,,,, 141343,01-MAY-15,30-APR-16,As Submitted,CRAWFORD MEMORIAL HOSPITAL ,1000 NORTH ALLEN STREET ,,ROBINSON ,IL ,62454 ,CRAWFORD ,,,,,,,,,,25,9150,1709,716,3652,,269.63,,469,213,850,,,,,,, 141344,01-JUL-15,30-JUN-16,Settled,LAWRENCE COUNTY MEMORIAL HOSPITAL ,2100 STATE STREET ,,LAWRENCEVILLE ,IL ,62439 ,LAWRENCE ,,,,,,,,,,25,9150,2021,304,2640,,117.07,,364,100,574,,,,,,, 141345,01-APR-15,31-MAR-16,As Submitted,SALEM TOWNSHIP HOSPITAL ,1201 RICKER DRIVE ,,SALEM ,IL ,62881 ,MARION ,,,,,,,,,,25,9150,1631,145,2179,,181.84,,305,60,534,,,,,,, 141346,01-JAN-15,31-DEC-15,Settled,FAYETTE COUNTY HOSPITAL ,SEVENTH & TAYLOR ,,VANDALIA ,IL ,62471- ,FAYETTE ,,,,,,,,,,25,9125,2043,385,2840,,159.91,,320,67,524,,,,,,, 141347,01-AUG-15,31-JUL-16,As Submitted,CARLINVILLE AREA HOSPITAL ,20733 NORTH BROAD STREET ,,CARLINVILLE ,IL ,62626- ,MACOUPIN ,,,,,,,,,,25,9150,3017,89,3621,,134.06,,363,31,492,,,,,,, 141348,01-JUL-15,30-JUN-16,As Submitted,RED BUD REGIONAL HOSPITAL ,ST. CLEMENT BLVD ,,RED BUD ,IL ,62278- ,RANDOLPH ,,,,,,,,,,25,9150,3949,92,5439,,131.29,,393,41,581,,,,,,, 141349,01-JUL-15,30-JUN-16,Amended,SPARTA COMMUNITY HOSPITAL ,818 EAST BROADWAY ,,SPARTA ,IL ,62286 ,RANDOLPH ,,,,,,,,,,25,9150,1175,68,1711,,180.93,,239,32,344,,,,,,, 141350,01-JUL-15,30-JUN-16,As Submitted,ST. FRANCIS HOSPITAL ,1215 FRANCISCAN DRIVE ,,LITCHFIELD ,IL ,62056 ,MONTGOMERY ,,,,,,,,,,25,9150,3644,851,5575,,211.07,,760,270,1375,,,,,,, 141351,01-MAR-15,29-FEB-16,Amended,CLAY COUNTY HOSPITAL ,911 STACY BURK DRIVE ,,FLORA ,IL ,62839-0280 ,CLAY ,,,,,,,,,,22,8030,3248,581,4495,,177.3,,666,172,1037,,,,,,, 142006,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL SYCAMORE ,225 EDWARD STREET ,,SYCAMORE ,IL ,60178 ,DEKALB ,,,,,,,,,,69,25254,7190,2426,14465,,137.9,,290,99,563,68,,,,,, 142008,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL CHICAGO ,365 EAST NORTH AVENUE ,,NORTHLAKE ,IL ,60164 ,COOK ,,,,,,,,,,244,89304,17935,12824,56240,,502.9,,658,599,2281,811,,,,,, 142009,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL CHICAGO CENTRAL ,4058 WEST MELROSE STREET ,,CHICAGO ,IL ,60641 ,COOK ,,,,,,,,,,187,68442,13483,6047,34277,,317.6,,509,195,1157,304,,,,,, 142010,01-JUN-15,31-MAY-16,Amended,RML HEALTH PROVIDERS L.P. ,5601 SOUTH COUNTY LINE ROAD ,,HINSDALE ,IL ,60521 ,COOK ,,,,,,,,,,168,61488,22879,13343,52906,,692.87,,689,404,1500,,,,,,, 142011,01-JAN-15,31-DEC-15,Settled,HOLY FAMILY MEDICAL CENTER ,100 NORTH RIVER ROAD SECOND FLOOR ,,DES PLAINES ,IL ,60016 ,COOK ,,,,,,,,,617,128,46720,17667,965,34145,.45,565.64,,545,29,1488,,,,,,, 142013,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL PEORIA ,500 WEST ROMEO B GARRETT AVE. ,,PEORIA ,IL ,61605 ,PEORIA ,,,,,,,,,,50,18300,4884,115,8040,,84.3,,186,2,303,22,,,,,, 142014,01-SEP-15,31-AUG-16,As Submitted,VIBRA HOSPITAL OF SPRINGFIELD ,701 NORTH WALNUT STREET ,,SPRINGFIELD ,IL ,62702 ,SANGAMON ,,,,,,,,,,50,18300,5825,,8757,,110.93,,219,,322,58,,,,,, 143025,01-JUL-15,30-JUN-16,As Submitted,SCHWAB REHAB HOSP & CARE NETWORK ,1401 S. CALIFORNIA AVE ,,CHICAGO ,IL ,60608- ,COOK ,,,,,,,,,2390,80,29280,2981,3442,16012,9.9,296.25,,228,259,1182,473,,,,,, 143026,01-SEP-15,31-AUG-16,As Submitted,THE REHAB. INSTITUTE OF CHICAGO ,345 SUPERIOR ,,CHICAGO ,IL ,60611- ,COOK ,,,,,,,,,81127,182,66612,18167,6024,59808,28.14,1786,,923,196,2503,315,,,,,, 143027,01-JUL-15,30-JUN-16,As Submitted,MARIANJOY REHAB HOSPITAL & CLINIC ,26W171 ROOSEVELT ROAD ,,WHEATON ,IL ,60187 ,DUPAGE ,,,,,,,,,412,100,36600,17730,2872,33828,12.43,605.43,,1337,106,3095,,,,,,, 143028,01-JAN-15,31-DEC-15,Amended,VAN MATRE HEALTHSOUTH REHABILITATION ,950 S MULFORD ROAD ,,ROCKFORD ,IL ,61108 ,WINNEBAGO ,,,,,,,,,,61,22265,11609,571,19050,,174.27,,961,37,1494,77,,,,,, 143300,01-SEP-15,31-AUG-16,As Submitted,ANN & ROBERT H. LURIE CHILDRENS HOS ,225 EAST CHICAGO AVENUE ,,CHICAGO ,IL ,60611-2605 ,COOK COUNTY ,,,,,,,,,17682,288,105408,322,20553,78068,247.08,3572.29,,58,2409,12422,,,,,,, 143301,01-JUL-15,30-JUN-16,As Submitted,LARABIDA CHILDRENS HOSPITAL ,6501 S. PROMONTORY DRIVE ,,CHICAGO ,IL ,60649 ,COOK ,,,,,,,,,,49,17934,,5938,8005,5.84,380.12,,,260,425,,,,,,, 143302,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITAL CHILDREN-CHICAGO ,2211 NORTH PARK AVE. ,,CHICAGO ,IL ,60707 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 144005,01-JAN-15,31-DEC-15,Settled,AURORA CHICAGO LAKESHORE ,4840 N MARINE DRIVE ,,CHICAGO ,IL ,60640-7860 ,COOK ,,,,,,,,,,141,51465,4799,11680,41265,,365.48,,485,811,4875,,,,,,, 144009,01-JAN-15,31-DEC-15,Settled,RIVEREDGE HOSPITAL ,8311 WEST ROOSEVELT RD ,,FOREST PARK ,IL ,60130 ,COOK ,,,,,,,,,,210,76650,7499,10688,39233,,214.46,,606,853,4077,,,,,,, 144010,01-JUL-15,30-JUN-16,Settled,CHICAGO REED MENTAL HEALTH CTR ,4200 N OAK PARK AVE ,,CHICAGO ,IL ,60634 ,COOK ,,,,,,,,,,24,8784,,175,7733,,313.7,,,6,286,,,,,,, 144016,01-JUL-15,30-JUN-16,Settled,ALTON MENTAL HEALTH CENTER ,4500 COLLEGE AVE ,,ALTON ,IL ,62002 ,MADISON ,,,,,,,,,,24,8784,272,412,5264,,263.47,,11,4,49,,,,,,, 144021,01-JUL-15,30-JUN-16,Settled,MCFARLAND MENTAL HEALTH CENTER ,901 SOUTHWIND RD ,,SPRINGFIELD ,IL ,62703 ,SANGAMON ,,,,,,,,,,147,53802,2020,429,49679,,263.38,,56,3,329,,,,,,, 144026,01-JAN-15,31-DEC-15,Settled,HARTGROVE HOSPITAL ,520 N. RIDGEWAY AVE ,,CHICAGO ,IL ,60624- ,COOK ,,,,,,,,,,160,58400,3127,15555,43024,,252.56,,274,913,4146,,,,,,, 144028,01-JUL-15,30-JUN-16,Settled,JOHN J MADDEN MENTAL HEALTH CENTER ,1200 S FIRST AVE ,,HINES ,IL ,60141 ,COOK ,,,,,,,,,,28,10248,221,1448,7730,,340.83,,13,91,486,,,,,,, 144029,01-JAN-15,31-DEC-15,Settled,THE PAVILION FOUNDATION ,809 WEST CHURCH STREET ,,CHAMPAIGN ,IL ,61820-3999 ,CHAMPAIGN ,,,,,,,,,,69,25185,2077,9562,21558,,196.46,,204,857,2411,,,,,,, 144031,01-JUL-15,30-JUN-16,Settled,ALEXIAN BROTHERS BEHAVIORAL HEALTH ,1650 MOON LAKE BOULEVARD ,,HOFFMAN ESTATES ,IL ,60194- ,COOK ,,,,,,,,,,141,51465,15940,1393,46566,,570.39,,1116,146,5692,373,,,,,, 144034,01-JUL-15,30-JUN-16,Settled,STREAMWOOD ,1400 EAST IRVING PARK ,,STREAMWOOD ,IL ,60107 ,COOK ,,,,,,,,,,178,65148,156,17191,38077,,257.3,,15,1302,3330,,,,,,, 144035,01-JUL-15,30-JUN-16,As Submitted,LINDEN OAKS HOSPITAL ,852 WEST STREET ,,NAPERVILLE ,IL ,60540 ,DUPAGE ,,,,,,,,,,110,40260,5855,1155,31728,,405.49,,554,154,4408,83,,,,,, 144037,01-JUL-15,30-JUN-16,Settled,ELGIN MENTAL HEALTH CENTER ,750 S STATE ST ,,ELGIN ,IL ,60123 ,KANE ,,,,,,,,,,419,153354,141,1538,145031,,775.86,,5,10,922,,,,,,, 144038,01-JUL-15,30-JUN-16,As Submitted,CHOATE MENTAL HEALTH CENTER ,1000 N MAIN ,,ANNA ,IL ,62906 ,UNION ,,,,,,,,,,113,41358,1099,259,15849,,650.69,,22,2,124,,,,,,, 144040,01-MAY-15,31-DEC-15,Settled,CHICAGO BEHAVIORAL HOSPITAL ,555 WILSON LANE ,,DES PLAINES ,IL ,60016 ,COOK ,,,,,,,,,,79,19355,3484,2429,14973,,136.61,,272,210,1488,591,,,,,, 150001,01-JAN-15,31-DEC-15,As Submitted,JOHNSON MEMORIAL HOSPITAL ,1125 WEST JEFFERSON STREET ,,FRANKLIN ,IN ,46131- ,JOHNSON ,,,,109922,,,.0882,,,86,31390,2704,176,6287,,523.88,,713,257,1792,,,,,5,,85 150002,01-JAN-15,31-DEC-15,Amended,METHODIST HOSPITALS INC ,600 GRANT STREET ,,GARY ,IN ,46402 ,LAKE ,217844,,,2961236,,,.2244,75486,22679,438,159870,39926,8491,94628,3,2045.03,,6458,1188,16026,3638,165,,17,22,258,732 150004,01-JAN-15,31-DEC-15,Amended,FRANCISCAN ST MARGARET-HAMMOND ,5454 HOMAN AVENUE ,,HAMMOND ,IN ,46320 ,LAKE ,434701,,,924933,,,.1617,147497,87886,191,69715,14229,6798,28099,5.09,859.98,,2579,1014,5063,,,,741,,1959, 150005,01-JAN-15,31-DEC-15,As Submitted,HENDRICKS REGIONAL HEALTH ,1000 EAST MAIN STREET ,,DANVILLE ,IN ,46122-1409 ,HENDRICKS ,,,,148350,,,.0377,,,127,46355,8048,489,21368,,1261.85,,1965,87,5347,632,,,,,, 150006,01-JAN-15,31-DEC-15,As Submitted,LAPORTE HOSPITAL ,STATE & MADISON STREETS ,250 ,LAPORTE ,IN ,46350- ,LAPORTE ,,,,438828,,,.0982,,,129,47085,9360,1054,18309,,926.98,,2014,227,4308,1069,,,,,, 150007,01-JAN-15,31-DEC-15,Amended,COMMUNITY HOWARD REGIONAL HEALTH ,3500 SOUTH LAFOUNTAIN ,,KOKOMO ,IN ,46902 ,HOWARD ,,,,513362,,,.142,,,111,41610,8175,1567,16911,,671.28,,1802,158,4524,709,,,,,, 150008,01-JUL-15,30-JUN-16,Amended,ST. CATHERINE HOSPITAL ,4321 FIR STREET ,,EAST CHICAGO ,IN ,46312 ,LAKE ,,,,1593445,,,.3053,,,159,58194,12341,1809,31037,,837.75,,2398,416,6360,2530,8,,9,16,235,840 150009,01-JAN-15,31-JUL-15,Amended,CLARK MEMORIAL HOSPITAL ,1220 MISSOURI AVENUE ,69 ,JEFFERSONVILLE ,IN ,47130 ,CLARK ,152849,,,575169,,,.1159,46565,18996,169,35828,11940,2448,28096,2.5,1186.22,,2464,528,6596,1051,,,,,188, 150009,01-AUG-15,31-JUL-16,Amended,CLARK MEMORIAL HOSPITAL ,1220 MISSOURI AVENUE ,69 ,JEFFERSONVILLE ,IN ,47130 ,CLARK ,229564,,,1144093,,,.1535,82551,35966,150,55022,16992,1475,41699,2.08,1230.94,,3784,2267,10239,,,,32,,345, 150010,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPH HOSPITAL & HEALTH CENTER ,1907 WEST SYCAMORE STREET ,,KOKOMO ,IN ,46901 ,HOWARD ,,,,511059,,,.1208,,,107,39162,9561,892,21950,,652.04,,2063,302,6006,1487,,,,10,,324 150011,01-JUL-15,30-JUN-16,Amended,MARION GENERAL HOSPITAL ,441 WABASH AVENUE ,,MARION ,IN ,46952- ,GRANT ,,,,602554,,,.1575,,,97,35502,8865,433,20074,,717.86,,2190,64,5198,1211,,,,,,275 150012,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPHS REG MED CENTER S. BEND ,5215 HOLY CROSS PARKWAY ,,MISHAWAKA ,IN ,46545 ,SAINT JOSEPH ,2414067,,,1262342,,,.118,1541116,446320,267,97722,23879,2180,65303,30.35,1443.29,31.13,5105,320,14987,2348,,,,18,,285 150015,01-JAN-15,31-DEC-15,Amended,FRANCISCAN ST ANTHONY-MICHIGAN CITY ,301 W. HOMER ST ,,MICHIGAN CITY ,IN ,46360 ,LAPORTE ,,,,596903,,,.111,,,149,54385,10815,4840,20624,,725.09,,2658,1440,6149,,,,205,7,478,191 150017,01-JUL-15,30-JUN-16,Amended,LUTHERAN HOSPITAL OF INDIANA ,7950 WEST JEFFERSON BLVD ,,FT WAYNE ,IN ,46804 ,ALLEN ,624712,,,1176255,,,.0807,282796,88071,383,140178,32722,2732,100180,6.07,2122.18,,5905,3292,19801,,,,,,, 150018,01-JAN-15,31-DEC-15,Amended,ELKHART GENERAL HOSPITAL ,600 EAST BLVD ,,ELKHART ,IN ,46514 ,ELKHART ,,,,878321,,,.0951,,,243,88695,18056,2501,44384,,1416.97,,4288,465,11204,1599,107,,26,3,381,186 150021,01-JAN-15,31-DEC-15,Amended,PARKVIEW HOSPITAL ,11109 PARKVIEW PLAZA DRIVE ,,FORT WAYNE ,IN ,46845 ,ALLEN ,783318,,,2424510,,,.1414,500111,174346,542,197830,41431,8689,138799,17.59,4029.31,,8057,6398,27780,,,,2236,76,5248,518 150022,01-JAN-15,31-DEC-15,As Submitted,FRANCISCAN ST. ELIZABETH HEALTH - CR ,1710 LAFAYETTE RD. ,,CRAWFORDSVILLE ,IN ,47933 ,MONTGOMERY ,,,,,,,,,,31,11315,2079,277,3582,,137.57,,630,87,1029,,,,,,151, 150023,01-JAN-15,31-DEC-15,As Submitted,UNION HOSPITAL INC. ,1606 NORTH SEVENTH ST ,,TERRE HAUTE ,IN ,47804- ,VIGO ,2127746,,,1725306,,,.1228,771752,529071,242,88330,29899,2213,63899,20.98,1413.75,,6646,418,14455,2722,,,,10,,294 150024,01-JAN-15,31-DEC-15,As Submitted,ESKENAZI HEALTH ,720 ESKENAZI AVENUE ,,INDIANAPOLIS ,IN ,46202 ,MARION ,6624969,,,3387250,,,.497,2253589,1243796,317,115705,13864,16096,69921,158.91,3731,12,2980,6174,16242,,,,220,,925, 150026,01-JAN-15,31-DEC-15,As Submitted,IU HEALTH GOSHEN HOSPITAL ,200 HIGH PARK AVENUE ,,GOSHEN ,IN ,46526 ,ELKHART ,,,,216860,,,.0616,,,123,44895,8186,2130,22871,,998.62,,1864,1471,7053,,,,,,, 150030,01-JAN-15,31-DEC-15,Amended,HENRY COUNTY MEMORIAL HOSPITAL ,1000 NORTH 16TH STREET ,,NEW CASTLE ,IN ,47392- ,HENRY ,,,,219020,,,.1081,,,48,17520,3893,191,7961,,439.43,,1040,38,2174,343,,,,,, 150034,01-JUL-15,30-JUN-16,Amended,ST. MARY MEDICAL CENTER INC. ,1500 SOUTH LAKE AVENUE ,,HOBART ,IN ,46342 ,LAKE ,,,,620363,,,.0524,,,189,69174,27176,1085,53631,,1083.62,,5186,222,10732,1726,,,,,,632 150035,01-JAN-15,31-DEC-15,Amended,PORTER MEMORIAL HOSPITAL ,85 EAST US HIGHWAY 6 ,,VALPARAISO ,IN ,46383 ,PORTER ,,,,448181,,,.0387,,,238,86870,30226,2991,60649,,1460.56,,5389,1557,12832,,,,,12,,284 150037,01-JAN-15,31-DEC-15,Amended,HANCOCK REGIONAL HOSPITAL ,.10 NORTH STATE STREET ,,GREENFIELD ,IN ,46140- ,HANCOCK ,,,,84632,,,.0385,,,61,22265,3703,177,8578,,596.11,,1183,40,2556,288,,,,,222, 150038,01-JAN-15,31-MAR-15,As Submitted,MORGAN COUNTY HOSPITAL ,2209 JOHN R WOODEN DRIVE ,,MARTINSVILLE ,IN ,46151 ,MORGAN ,,,,2315,,,.0566,,,37,3330,77,3,125,,35.34,,28,1,49,6,,,2,,41, 150042,01-JAN-15,31-DEC-15,Amended,GOOD SAMARITAN HOSPITAL ,520 SOUTH 7TH STREET ,,VINCENNES ,IN ,47591 ,KNOX ,,,,296661,,,.055,,,192,70080,13804,795,24061,,1481.63,,3126,1002,6276,,,,304,26,830,655 150044,01-JAN-15,31-DEC-15,Amended,FLOYD MEMORIAL HOSPITAL & HEALTH SVS ,1850 STATE STREET ,,NEW ALBANY ,IN ,47150-4990 ,FLOYD ,,,,787777,,,.0585,,,211,77015,29006,2185,57296,,2191.88,,6460,470,13292,1439,,,,,, 150045,01-OCT-14,30-SEP-15,As Submitted,DEKALB MEMORIAL HOSPITAL ,1316 EAST 7TH STREET ,,AUBURN ,IN ,46706- ,DEKALB ,,,,80802,,,.0953,,,37,13505,2272,316,7370,,456.56,,693,79,2379,340,,,,,, 150046,01-SEP-15,31-AUG-16,Amended,TERRE HAUTE REGIONAL HOSPITAL ,3901 HOSPITAL LANE ,,TERRE HAUTE ,IN ,47802 ,VIGO ,,,,474597,,,.0882,,,160,58560,12752,1178,23207,,577.09,,2828,329,5481,971,,,,5,953,134 150047,01-JUN-15,31-MAY-16,Amended,ST JOSEPH MEDICAL CENTER ,700 BROADWAY STREET ,,FORT WAYNE ,IN ,46802 ,ALLEN ,230127,,,711127,,,.3004,170500,66335,111,40626,6088,2268,24361,5.13,526.55,,1123,1886,4824,,,,69,,422, 150048,01-JAN-15,31-DEC-15,Amended,REID HOSPITAL & HEALTH CARE SERVICES ,1401 CHESTER BOULEVARD ,,RICHMOND ,IN ,47374 ,WAYNE ,,,,1053596,,,.0965,,,165,60225,19245,1489,36873,1.51,2210.04,,5113,527,10410,,,,,5,874,207 150051,01-JAN-15,31-DEC-15,Amended,IU HEALTH BLOOMINGTON HOSPITAL ,601 WEST SECOND STREET ,1149 ,BLOOMINGTON ,IN ,47402 ,MONROE ,,,,1321184,,,.1307,,,257,93805,21985,4282,53552,,1758.71,,4452,384,13796,2400,,,,1,,242 150056,01-JAN-15,31-DEC-15,As Submitted,INDIANA UNIVERSITY HEALTH ,340 W 10TH ST ,,INDIANAPOLIS ,IN ,46202 ,MARION ,35496017,,,11186298,,,.2846,9788030,4416543,1225,447125,85225,37831,314559,553.77,8226,,14898,3695,49592,11385,,,331,,921, 150057,01-JAN-15,31-DEC-15,Amended,ST. FRANCIS H&H-MOORESVILLE ,1201 HADLEY ROAD ,,MOORESVILLE ,IN ,46158- ,MORGAN ,25932,,,205017,,,.0592,18317,8357,84,30660,4516,287,9776,,328.84,,1499,74,3179,,,,,,, 150058,01-JAN-15,31-DEC-15,Amended,MEMORIAL HOSPITAL OF SOUTH BEND INC ,615 N MICHIGAN ST ,,SOUTH BEND ,IN ,46601 ,ST. JOSEPH ,1259802,,,2838615,,,.2468,825457,315578,392,143080,27325,8475,100166,29.66,2334.67,,5281,1098,19506,4608,77,,17,14,448,235 150059,01-JAN-15,31-DEC-15,As Submitted,RIVERVIEW HOSPITAL ,395 WESTFIELD ROAD ,,NOBLESVILLE ,IN ,46060- ,HAMILTON ,,,,125352,,,.0378,,,105,38325,6583,517,15564,,1221.75,,1523,80,3821,427,,,,7,,469 150061,01-JAN-15,31-DEC-15,Amended,DAVIESS COMMUNITY HOSPITAL ,1314 E. WALNUT STREET ,760 ,WASHINGTON ,IN ,47501 ,DAVIESS ,,,,126249,,,.12,,,42,15330,2528,220,5332,,271.55,,748,352,1743,,,,33,11,423,216 150064,01-OCT-14,30-SEP-15,As Submitted,FAYETTE REGIONAL HEALTH SYSTEM ,1941 VIRGINIA AVENUE ,,CONNERSVILLE ,IN ,47331- ,FAYETTE ,,,,88852,,,.12,,,49,17885,1702,142,3646,,419.69,,501,41,1067,245,,,46,,184,8 150065,01-JAN-15,31-DEC-15,As Submitted,SCHNECK MEDICAL CENTER ,411 WEST TIPTON STREET ,,SEYMOUR ,IN ,47274- ,JACKSON ,,,,243941,,,.1224,,,93,33945,5307,945,13721,,718.77,,1170,265,3231,,,,,,, 150069,01-JAN-15,31-DEC-15,As Submitted,KINGS DAUGHTERS HOSPITAL ,ONE KINGS DAUGHTERS DRIVE ,447 ,MADISON ,IN ,47250- ,JEFFERSON ,,,,296893,,,.0998,,,89,32485,7231,1903,13204,,773.34,,1677,484,3220,,,,,,, 150072,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HOSPITAL LOGANSPORT ,1101 MICHIGAN AVENUE ,,LOGANSPORT ,IN ,46947- ,CASS ,,,,114604,,,.1055,,,83,30295,2772,520,6793,,501.44,,757,210,1803,436,,,,,, 150074,01-JAN-15,31-DEC-15,Amended,COMMUNITY HOSPITAL OF INDIANA INC. ,1500 NORTH RITTER AVENUE ,,INDIANAPOLIS ,IN ,46219 ,MARION ,2784540,,,2952077,,,.25,538109,611085,328,117005,23052,8586,71187,40.14,2774.22,,5065,1042,16163,3314,,,,,, 150075,01-OCT-14,30-SEP-15,Amended,BLUFFTON REGIONAL MEDICAL CENTER ,303 S. MAIN STREET ,,BLUFFTON ,IN ,46714- ,WELLS ,,,,53803,,,.0554,,,62,22630,2695,760,6369,,220.85,,711,201,1638,,,,,,, 150076,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPHS REG MED CENTER PLYMOUT ,1915 LAKE AVENUE ,670 ,PLYMOUTH ,IN ,46563 ,MARSHALL ,,,,105851,,,.0973,,,45,16470,2185,42,5839,,268.27,4.5,696,18,1871,337,,,,,, 150082,01-OCT-14,30-SEP-15,Amended,DEACONESS HOSPITAL ,600 MARY STREET ,,EVANSVILLE ,IN ,47747- ,VANDERBURGH ,1818682,,,1597592,,,.0683,881461,288425,490,181332,60151,9644,128979,20.44,3780.27,,12702,1322,26962,2438,161,,72,,614, 150084,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT HOSPITAL & HCC ,2001 WEST 86TH STREET ,,INDIANAPOLIS ,IN ,46260- ,MARION ,9632132,,,4405417,,,.163,3139356,1034016,711,260226,58668,17461,191320,140.32,4688.13,,9891,5763,32139,,,,761,,2395,334 150086,01-JAN-15,31-DEC-15,As Submitted,DEARBORN COUNTY HOSPITAL ,600 WILSON CREEK ROAD ,,LAWRENCEBURG ,IN ,47025- ,DEARBORN ,,,,272039,,,.0775,,,88,32120,8532,694,17173,,544.95,,1940,135,4457,889,,,,,, 150088,01-JUL-15,30-JUN-16,As Submitted,ST VINCENT ANDERSON REGIONAL HOSPITA ,2015 JACKSON STREET ,,ANDERSON ,IN ,46016- ,MADISON ,,,,665892,,,.144,,,122,44652,13134,1585,29434,,705.4,,2386,1438,6441,,,,,25,,214 150089,01-JAN-15,31-DEC-15,As Submitted,BALL MEMORIAL HOSPITAL ,2401 UNIVERSITY AVENUE ,,MUNCIE ,IN ,47303-3428 ,DELAWARE ,5851390,,,2291944,,,.1537,2174105,909670,313,114245,36425,6174,80230,61.49,1719.01,,7041,669,17279,3032,,,,6,,325 150090,01-JAN-15,31-DEC-15,As Submitted,FRANCISCAN ST. MARGARET HEALTH- DYER ,24 JOLIET STREET ,,DYER ,IN ,46311-1799 ,LAKE ,1133360,,,297331,,,.0533,419549,159360,132,48180,11683,2983,23323,12.48,768.38,,2418,709,5430,258,,,,24,,542 150091,01-JAN-15,31-DEC-15,Amended,HUNTINGTON MEMORIAL HOSPITAL ,2001 STULTS ROAD ,,HUNTINGTON ,IN ,46750 ,HUNTINGTON ,,,,79116,,,.12,,,36,13140,1424,247,5216,,205,,470,537,1607,,,,,,, 150097,01-JAN-15,31-DEC-15,Amended,MAJOR HOSPITAL ,150 WEST WASHINGTON ST ,,SHELBYVILLE ,IN ,46176- ,IN ,,,,194829,,,.0934,,,61,22265,5005,438,10422,,603.12,,1217,108,2722,450,,,,,, 150100,01-JUL-15,30-JUN-16,As Submitted,ST. MARYS MEDICAL CENTER ,3700 WASHINGTON AVE ,,EVANSVILLE ,IN ,47750 ,VANDERBURGH ,456987,,,1861025,,,.1303,171953,79577,405,148230,28818,9827,73881,6,1933.18,,6414,766,16542,2416,82,,26,17,560,367 150101,01-JAN-15,31-DEC-15,Amended,WHITLEY MEMORIAL HOSPITAL ,1260 E STATE ROAD 205 ,,COLUMBIA CITY ,IN ,46725-9492 ,WHITLEY ,,,,57704,,,.12,,,30,10950,1098,252,4877,,204.6,,363,57,1467,483,,,,,, 150102,01-JAN-15,31-DEC-15,As Submitted,IU HEALTH STARKE MEMORIAL HOSPITAL ,102 EAST CULVER RD ,,KNOX ,IN ,46534 ,STARKE ,,,,44337,,,.1023,,,50,18250,936,289,1648,,122.14,,296,20,498,68,,,,,, 150104,01-JAN-15,31-DEC-15,As Submitted,WITHAM MEMORIAL HOSPITAL ,2605 N. LEBANON STREET ,,LEBANON ,IN ,46052- ,BOONE ,,,,167510,,,.12,,,68,24820,2838,245,7351,,609.61,,911,68,2266,460,,,,,250, 150109,01-JAN-15,31-DEC-15,As Submitted,ST. ELIZABETH EAST ,1701 SOUTH CREASY LANCE ,,LAFAYETTE ,IN ,47905- ,TIPPECANOE ,,,,1295974,,,.1332,,,169,61685,17744,5475,43401,,1262.93,,4103,1852,9857,,,,,28,,230 150112,01-JAN-15,31-DEC-15,As Submitted,COLUMBUS REGIONAL HOSPITAL ,2400 EAST 17TH STREET ,,COLUMBUS ,IN ,47201- ,BARTHOLOMEW ,,,,952495,,,.1232,,,150,54750,13635,7133,32516,,1223,,3796,1506,8612,,,,,15,,323 150113,01-JAN-15,31-DEC-15,Amended,COMMUNITY HOSPITAL ANDERSON ,1515 NORTH MADISON AVE ,,ANDERSON ,IN ,46011 ,MADISON ,,,,846946,,,.1439,4687,2038,140,51100,10363,2863,23808,.4,1014.45,,2610,1133,7165,,,,,,, 150115,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL HOSP & HEALTH CARE CTR ,800 WEST 9TH STREET ,,JASPER ,IN ,47546 ,DUBOIS ,,,,212101,,,.0464,,,111,40626,7462,339,16725,,1247.57,,2258,258,3817,,,,129,9,462,123 150125,01-JUL-15,30-JUN-16,As Submitted,COMMUNITY HOSPITAL ,901 MACARTHUR BOULEVARD ,,MUNSTER ,IN ,46321 ,LAKE ,,,,1121128,,,.0573,,,407,148962,46505,1870,92817,,2422.86,,8354,350,17289,3172,,,,2,,1624 150126,01-JAN-15,31-DEC-15,Amended,FRANCISCAN ST ANTHONY HEALTH-CR PT ,1201 SOUTH MAIN STREET ,,CROWN POINT ,IN ,46307 ,USA ,130814,,,311353,,,.0407,59516,23161,216,76664,17275,5808,35058,1.56,949.67,,3548,412,6146,,,,,6,,168 150128,01-JAN-15,31-DEC-15,Amended,COMMUNITY HOSPITAL SOUTH ,1402 EAST COUNTY LINE ROAD SOUTH ,,INDIANAPOLIS ,IN ,46227 ,MARION ,17445,,,452494,,,.0691,13693,4761,156,56940,12922,3121,38094,4.82,772.35,,3065,181,9374,1258,,,,,, 150129,01-JAN-15,30-JUN-15,As Submitted,WESTVIEW HOSPITAL ,3630 GUION ROAD ,,INDIANAPOLIS ,IN ,46222 ,MARION ,229098,,,,,,,104149,175194,22,3982,445,83,1037,4.03,226.6,,120,14,297,,,,,,, 150133,01-MAR-15,29-FEB-16,Amended,KOSCIUSKO COMMUNITY HOSPITAL ,2101 EAST DUBOIS DRIVE ,,WARSAW ,IN ,46580- ,KOSCIUSKO ,,,,104888,,,.0574,,,72,26352,4407,2020,12436,,458.97,,1223,527,3703,,,,,,, 150146,01-JAN-15,31-DEC-15,Amended,COMMUNITY HOSPT. OF NOBLE CTY INC. ,401 SAWYER ROAD ,728 ,KENDALLVILLE ,IN ,46755-0728 ,NOBLE ,,,,103258,,,.12,,,31,11315,2216,306,6249,,213,,629,481,1808,,,,,,, 150149,01-JAN-15,31-DEC-15,As Submitted,DEACONESS WOMENS HOSPITAL ,4199 GATEWAY BLVD ,,NEWBURGH ,IN ,47630- ,WARRICK ,,,,7264,,,.12,,,74,27010,99,1165,22329,,458.12,,38,113,3652,1178,,,,,, 150150,01-APR-15,31-MAR-16,As Submitted,DUPONT HOSPITAL ,2520 E. DUPONT ROAD ,,FORT WAYNE ,IN ,46825- ,ALLEN ,,,,263388,,,.1872,,,131,47946,2532,927,23444,,559.64,,744,808,5200,,,,,,, 150153,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT HEART CENTER ,10580 N. MERIDIAN ST. ,,INDIANAPOLIS ,IN ,46290 ,HAMILTON ,,,,,,,,,,107,39162,10711,74,19901,,405.4,,2324,31,4437,191,,,,,, 150157,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT CARMEL HOSPITAL ,13500 NORTH MERIDIAN STREET ,,CARMEL ,IN ,46033 ,HAMILTON ,,,,99615,,,.0307,,,153,55998,4823,220,19192,,615.31,,1284,75,6544,593,,,,,, 150158,01-JAN-15,31-DEC-15,As Submitted,IU HEALTH WEST HOSPITAL ,1111 N. RONALD REAGAN PARKWAY ,,AVON ,IN ,46123-7085 ,HENDRICKS ,,,,206834,,,.0433,,,127,46355,12427,2053,30917,,667.38,,2388,139,7871,935,,,,,, 150160,01-JAN-15,31-DEC-15,As Submitted,INDIANA ORTHOPAEDIC HOSPITAL LLC ,8450 NORTHWEST BOULEVARD ,,INDIANAPOLIS ,IN ,46278 ,MARION ,,,,,,,,,,38,13870,2237,52,5930,,286.5,,1013,26,2831,,,,,,, 150161,01-JAN-15,31-DEC-15,As Submitted,IU HEALTH NORTH HOSPITAL ,11700 NORTH MERIDIAN ST ,,CARMEL ,IN ,46032-4656 ,HAMILTON ,,,,326960,,,.0916,,,149,54385,6896,3216,32298,,739.35,,1498,175,8916,782,,,,,, 150162,01-JAN-15,31-DEC-15,Amended,ST. FRANCIS HOSPITAL & HEALTH CENTER ,8111 S. EMERSON AVENUE ,,INDIANAPOLIS ,IN ,46237 ,MARION ,1772114,,,1236308,,,.0672,701949,353397,406,148190,36128,3444,91050,21.28,2411.01,,7487,625,18120,,,,,7,,354 150165,01-JAN-15,31-DEC-15,As Submitted,FRANCISCAN HEALTH MUNSTER ,701 SUPERIOR STREET ,,MUNSTER ,IN ,46321 ,LAKE ,,,,,,,,,,55,20075,1855,168,3690,,251.76,,442,34,685,,,,,,, 150166,01-JAN-15,31-DEC-15,As Submitted,PINNACLE HOSPITAL ,9301 CONNECTICUT DRIVE ,,CROWN POINT ,IN ,46307 ,LAKE ,,,,,,,,,,18,6378,1156,13,2847,,151.6,,312,8,815,,,,,,, 150167,01-JAN-15,31-DEC-15,As Submitted,ORTHOPAEDIC HOSPT.AT PARKVIEW ,11119 PARKVIEW PLAZA DRIVE ,,FORT WAYNE ,IN ,46845-1705 ,ALLEN ,,,,,,,,,,37,13505,1769,184,5233,,183.29,,738,27,2431,,,,,,, 150168,01-JAN-15,31-DEC-15,As Submitted,LUTHERAN MUSCULOSKELETAL CENTER ,7952 W. JEFFERSON BLVD ,,FORT WAYNE ,IN ,46804 ,ALLEN ,,,,,,,,,,39,14235,1798,384,5939,,224.66,,740,142,2599,,,,,,, 150169,01-JAN-15,31-DEC-15,Amended,COMMUNITY HOSPITAL OF INDIANA INC. ,7150 CLEARVISTA DRIVE ,,INDIANAPOLIS ,IN ,46256 ,MARION ,84672,,,1516099,,,.1585,48789,11437,294,105650,19506,13462,77159,3.49,1407.97,,4300,522,16515,2336,7,,,,303, 150172,01-JAN-15,31-DEC-15,Amended,PHYSICIANS MEDICAL CENTER ,4023 REES LANE ,,NEW ALBANY ,IN ,47150 ,FLOYD ,,,,,,,,,,12,4380,153,33,519,,98.57,,74,13,252,,,,,,, 150173,01-JAN-15,31-DEC-15,As Submitted,IU HEALTH ARNETT HOSPITAL ,6165 MCCARTY LANE ,,LAFAYETTE ,IN ,47905 ,TIPPECANOE ,,,,633958,,,.0817,,,180,65700,15895,2709,39671,,1661,,3682,284,12445,1244,,,,,, 150175,01-OCT-14,30-SEP-15,As Submitted,HEART HOSPITAL AT DEACONESS GATEWAY ,4007 GATEWAY BOULEVARD ,,NEWBURGH ,IN ,47630- ,WARRICK ,,,,,,,,,,24,8760,3363,129,6377,,140.8,,898,24,1718,45,,,,,, 150176,01-JAN-15,31-DEC-15,Amended,KENTUCKIANA MEDICAL CENTER ,4601 MEDICAL PLAZA WAY ,,CLARKSVILLE ,IN ,47129 ,CLARK ,,,,153796,,,.066,,,46,16790,6262,563,10125,,236.05,,998,58,1693,117,,,,,, 150177,01-JAN-15,31-DEC-15,As Submitted,UNITY MEDICAL AND SURGICAL HOSPITAL ,4455 EDISON LAKES PKWY ,,MISHAWAKA ,IN ,46545 ,ST. JOSEPH ,,,,,,,,,,29,10585,239,26,1099,,121.58,,82,9,325,,,,,,, 150179,01-JUL-15,30-JUN-16,As Submitted,FAIRBANKS ,8102 CLEARVISTA ,,INDIANAPOLIS ,IN ,46256 ,MARION ,,,,22279,,,.0388,,,86,31476,3098,19,20581,,245.86,,400,3,3990,15,,,,,, 150181,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT FISHERS HOSPITAL ,13861 OLIO RD ,,FISHERS ,IN ,46037 ,HAMILTON ,,,,10621,,,.0269,,,46,16836,574,66,3330,,178.13,,223,18,1183,179,,,,,, 150182,01-JAN-15,31-DEC-15,As Submitted,ST FRANCIS CARMEL ,12188B N. MERIDIAN STREET ,,CARMEL ,IN ,46032 ,MARION ,,,,,,,,,,6,2190,238,4,503,,47.33,,154,3,334,,,,,,, 151300,01-MAY-15,30-APR-16,Settled,COMMUNITY HOSPITAL OF BREMEN INC. ,1020 HIGH RD ,8 ,BREMEN ,IN ,46506- ,MARSHALL ,,,,,,,,,,24,8784,589,23,1333,,128.13,,134,15,379,50,,,,,, 151301,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT RANDOLPH HOSPITAL ,473 GREENVILLE AVE. ,,WINCHESTER ,IN ,47934 ,RANDOLPH ,,,,,,,,,,25,9150,725,105,2001,,128.14,,170,25,539,136,,,,,, 151302,01-JAN-15,31-DEC-15,Settled,IU HEALTH BLACKFORD HOSPITAL ,410 PILGRIM STREET ,,HARTFORD CITY ,IN ,47348 ,BLACKFORD ,,,,,,,,,,15,5475,1746,11,2300,,96.83,,215,3,477,16,,,,,, 151303,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT JENNINGS HOSPITAL ,301 HENRY STREET ,,NORTH VERNON ,IN ,47265 ,JENNINGS ,,,,,,,,,,25,9150,796,16,1188,,89.99,,185,6,315,43,,,,,, 151304,01-JAN-15,31-DEC-15,Settled,RUSH MEMORIAL HOSPITAL ,1300 NORTH MAIN STREET ,,RUSHVILLE ,IN ,46173- ,RUSH ,,,,,,,,,,25,9125,1299,28,1853,,255.3,,286,9,467,1,,,,,, 151305,01-OCT-14,30-SEP-15,Amended,PULASKI MEMORIAL HOSPITAL ,616 EAST 13TH ,,WINAMAC ,IN ,46996- ,PULASKI ,,,,,,,,,,25,9125,1735,77,2935,,175.44,,304,28,590,132,,,,,, 151306,01-JAN-15,31-DEC-15,As Submitted,IU HEALTH PAOLI HOSPITAL ,642 WEST HOSPITAL ROAD ,,PAOLI ,IN ,47454 ,ORANGE ,,,,,,,,,,25,9125,266,367,931,,121.68,,89,180,424,,,,,,, 151307,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT WILLIAMSPORT HOSPITAL ,412 NORTH MONROE ,,WILLIAMSPORT ,IN ,47993 ,WARREN ,,,,,,,,,,16,5856,1878,29,2443,,112.78,,418,10,575,33,,,,,, 151308,01-JUL-15,30-JUN-16,Settled,ST. VINCENT MERCY HOSPITAL ,13311 SOUTH A ST. ,,ELWOOD ,IN ,46036- ,MADISON ,,,,,,,,,,25,9150,845,9,1535,,128.71,,189,56,397,5,,,,,, 151309,01-JUL-15,30-JUN-16,Settled,ST. VINCENT CLAY HOSPITAL ,1206 EAST NATIONAL AVENUE ,,BRAZIL ,IN ,47834 ,CLAY ,,,,,,,,,,25,9150,1314,40,1942,,101.47,,228,10,408,65,,,,,, 151310,01-JAN-15,31-DEC-15,Settled,PARKVIEW WABASH HOSPITAL INC. ,710 NORTH EAST STREET ,548 ,WABASH ,IN ,46992-0548 ,WABASH ,,,,,,,,,,25,9125,992,88,1904,,186.4,,287,29,615,,,,,,, 151311,01-JAN-15,31-DEC-15,Amended,IU HEALTH TIPTON HOSPITAL ,1000 SOUTH MAIN STREET ,,TIPTON ,IN ,46072 ,TIPTON ,,,,,,,,,,25,9125,2423,35,3583,,173.48,,428,9,900,10,,,,,, 151312,01-JAN-15,31-DEC-15,Settled,IU HEALTH WHITE HOSPITAL ,720 SOUTH SIXTH STREET ,,MONTICELLO ,IN ,47960 ,WHITE ,,,,,,,,,,25,9125,1781,19,2333,,132.56,,406,6,639,11,,,,,, 151313,01-JAN-15,31-DEC-15,Settled,WOODLAWN HOSPITAL ,1400 EAST 9TH STREET ,,ROCHESTER ,IN ,46975- ,FULTON ,,,,,,,,,,25,9125,1626,113,4524,,407.25,,396,40,1080,178,,,,,, 151314,01-JUL-15,30-JUN-16,Settled,ST VINCENT SALEM ,911 N. SHELBY STREET ,,SALEM ,IN ,47167 ,WASHINGTON ,,,,,,,,,,25,9150,420,20,661,,109.69,,75,2,132,11,,,,,, 151315,01-OCT-14,30-SEP-15,Settled,CAMERON MEMORIAL COMMUNITY ,416 E MAUMEE STREET ,,ANGOLA ,IN ,47803- ,STEUBEN ,,,,,,,,,,25,9125,1564,168,4599,,321.13,,451,55,1306,197,,,,,, 151316,01-JUL-15,30-JUN-16,Settled,ST. VINCENT FRANKFORT HOSPITAL ,1300 SOUTH JACKSON STREET ,,FRANKFORT ,IN ,46041 ,CLINTON ,,,,,,,,,,25,9150,1590,83,2532,,106.36,,261,15,523,118,,,,,, 151317,01-JAN-15,31-DEC-15,Settled,GREENE COUNTY GENERAL HOSPITAL ,R.R 1 ,1000 ,LINTON ,IN ,47441-9457 ,GREENE ,,,,,,,,,,25,9125,2089,149,2911,,240.97,,491,63,782,,,,,,, 151318,01-JAN-15,31-DEC-15,Settled,DUKES MEMORIAL HOSPITAL ,275 WEST 12TH STREET ,,PERU ,IN ,46970 ,MIAMI ,,,,,,,,,,25,9125,2015,109,4001,,194.54,,549,195,1127,,,,,,, 151319,01-OCT-14,30-SEP-15,Settled,GIBSON GENERAL HOSPITAL ,1800 SHERMAN DRIVE ,,PRINCETON ,IN ,47670- ,GIBSON ,,,,,,,,,,25,9125,1371,135,1920,,261.65,,274,26,433,,,,,,, 151320,01-OCT-14,30-SEP-15,Settled,JAY COUNTY HOSPITAL ,500 W. VOTAW ,,PORTLAND ,IN ,47371- ,JAY ,,,,,,,,,,25,9125,1217,38,2709,,275.27,,298,11,667,,,,,,155, 151322,01-JAN-15,31-DEC-15,Settled,PERRY COUNTY HOSPITAL ,ONE HOSPITAL ROAD ,X ,TELL CITY ,IN ,47856- ,PERRY ,,,,,,,,,,25,9125,2363,429,3553,,237.27,,442,60,783,,,,,,, 151323,01-JAN-15,31-DEC-15,Settled,COMMUNITY HOSPT. OF LAGRANGE CTY IN ,207 NORTH TOWNLINE ROAD ,,LAGRANGE ,IN ,46761-1325 ,LAGRANGE ,,,,,,,,,,25,9125,1390,312,3667,,174.8,,271,74,937,,,,,,, 151324,01-JAN-15,31-AUG-15,Settled,JASPER COUNTY HOSPITAL ,1104 EAST GRACE STREET ,,RENSSELAER ,IN ,47978- ,JASPER ,,,,,,,,,,25,6075,2078,150,2780,,186.04,,393,43,565,25,,,,,, 151324,01-SEP-15,31-DEC-15,Settled,FRANCISCAN HEALTH RENSSELAER ,1104 EAST GRACE STREET ,,RENSSELAER ,IN ,47978- ,JASPER ,,,,,,,,,,25,3050,997,11,1292,,88.77,,184,4,276,16,,,,,, 151325,01-JUL-15,30-JUN-16,Settled,ST. MARYS WARRICK HOSPITAL INC. ,1116 MILLIS AVE ,,BOONEVILLE ,IN ,47601 ,WARRICK ,,,,,,,,,,25,9150,1993,37,3279,,81.74,,116,8,174,,,,,,244, 151326,01-JAN-15,31-DEC-15,Settled,UNION HOSPITAL CLINTON ,801 SOUTH MAIN STREET ,,CLINTON ,IN ,47842- ,VERMILLION ,,,,,,,,,,25,9125,1473,313,2381,,135.09,,504,159,752,,,,,,, 151327,01-JAN-15,31-DEC-15,Settled,SULLIVAN COUNTY COMMUNITY HOSPITAL ,2200 NORTH SECTION STREET ,10 ,SULLIVAN ,IN ,47882- ,SULLIVAN ,,,,,,,,,,25,9125,1789,272,2807,,235.6,,462,25,757,,,,,,, 151328,01-JAN-15,31-DEC-15,Settled,INDIANA UNIVERSITY HEALTH BEDFORD ,2900 WEST SIXTEENTH STREET ,,BEDFORD ,IN ,47421- ,LAWRENCE ,,,,,,,,,,25,9125,2818,140,4241,,209.65,,626,36,1031,24,,,,,, 151329,01-JAN-15,31-DEC-15,Settled,MARGARET MARY COMMUNITY HOSPITAL ,321 MITCHELL ,,BATESVILLE ,IN ,47006- ,RIPLEY ,,,,,,,,,,25,9125,2176,142,5655,,448.75,,677,51,1661,257,,,,,, 151330,01-JAN-15,31-DEC-15,Settled,ADAMS MEMORIAL HOSPITAL ,1100 MERCER AVENEUE ,,DECATUR ,IN ,46733 ,ADAMS ,,,,,,,,,,25,9125,2400,213,5664,,350.04,,561,78,1590,,,,43,,400, 151331,01-JAN-15,31-DEC-15,Settled,HARRISON COUNTY HOSPITAL ,245 ATWOOD ST. ,,CORYDON ,IN ,47112- ,HARRISON ,,,,,,,,,,25,9125,2597,1506,6369,,403.24,,694,637,2029,,,,,,, 151332,01-JAN-15,31-DEC-15,Settled,DECATUR CO. MEMORIAL HOSPITAL ,702 NORTH LINCOLN STREET ,,GREENSBURG ,IN ,47240-1398 ,DECATUR ,,,,,,,,,,25,9125,2298,591,4809,,372.24,,595,98,1306,,,,,,, 151333,01-JAN-15,31-DEC-15,Settled,PUTNAM COUNTY HOSPITAL ,1542 SOUTH BLOOMINGTON ST ,,GREENCASTLE ,IN ,46135- ,PUTNAM ,,,,,,,,,,25,9125,1579,32,2499,,246.21,,351,13,673,,,,,,, 151334,01-JAN-15,31-DEC-15,Settled,SCOTT MEMORIAL HOSPITAL ,1451 NORTH GARDNER ,,SCOTTSBURG ,IN ,47170- ,SCOTT ,,,,,,,,,,25,9125,2067,965,4086,,180.34,,555,308,1240,,,,,,, 151335,01-JUL-15,30-JUN-16,As Submitted,ST VINCENT DUNN ,1616 TWENTY-THIRD STREET ,,BEDFORD ,IN ,47421 ,LAWRENCE ,,,,,,,,,,25,9150,1401,79,3030,,134.61,,284,24,686,166,,,,,, 152007,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL INDIANAPOLIS ,1700 WEST 10TH STREET ,,INDIANAPOLIS ,IN ,46222 ,MARION ,,,,,,,,,,59,21594,5630,314,9475,,91.2,,217,11,342,,,,,,, 152008,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL INDIANAPOLIS SOUTH ,607 S. GREENWOOD SPRINGS DRIVE ,,GREENWOOD ,IN ,46143 ,JOHNSON ,,,,,,,,,,60,21960,7115,51,11188,,105.7,,268,1,418,,,,,,, 152012,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL NORTHWEST INDIANA ,5454 HOHMAN AVENUE 5TH FL. ,,HAMMOND ,IN ,46320 ,LAKE ,,,,,,,,,,56,20496,11567,,14905,,126.8,,459,,571,6,,,,,, 152013,01-SEP-15,31-MAY-16,Settled,SSH -BEECH GROVE INC. ,8060 KNUE ROAD ,,INDIANAPOLIS ,IN ,46250 ,MARION ,,,,,,,,,,45,12330,4579,,8891,,98.68,,191,,345,63,,,,,, 152014,01-JAN-15,31-DEC-15,Settled,SSH - EVANSVILLE LLC. ,400 SE 4TH STREET ,,EVANSVILLE ,IN ,47713 ,VANDERBURGH ,,,,,,,,,,60,21900,10718,233,15513,,175.77,,398,7,565,35,,,,,, 152016,01-JUL-15,30-JUN-16,Settled,SSH - FORT WAYNE INC. ,700 BROADWAY 7TH FLOOR EAST ,,FORT WAYNE ,IN ,46802 ,ALLEN ,,,,,,,,,,32,11712,4084,,7079,,73.22,,157,,285,27,,,,,, 152018,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL NORTHERN INDIANA ,215 W 4TH ST STE 200 ,,MISHAWAKA ,IN ,46544 ,ST. JOSEPH ,,,,,,,,,,32,11712,5295,,8187,,87.8,,196,,320,10,,,,,, 152020,01-JUL-15,30-JUN-16,Settled,ST VINCENT SETON SPECIALITY HOSPITAL ,8050 TOWNSHIP LINE ROAD ,,INDIANAPOLIS ,IN ,46260 ,MARION ,,,,,,,,,,74,27084,11102,1403,21246,,253.64,,291,4,544,33,,,,,, 152024,01-FEB-15,31-JAN-16,Settled,RH OF NORTHWEST INDIANA LLC ,4321 FIR STREET 4TH FLOOR ,,EAST CHICAGO ,IN ,46312 ,LAKE ,,,,,,,,,,61,22265,11546,,16176,,147.53,,442,,602,22,,,,,, 152025,01-SEP-15,31-AUG-16,Settled,CENTRAL INDIANA-AMG SPECIALTY HOSPIT ,2401 W. UNIVERSITY AVE 8TH FLOOR N ,,MUNCIE ,IN ,47303 ,DELAWARE ,,,,,,,,,,32,11712,7466,,9477,,90.37,,296,,383,12,,,,,, 152027,01-NOV-14,31-OCT-15,Settled,VIBRA HOSP FORT WAYNE ,2200 RANDALLIA DRIVE ,5TH FLOOR ,FORT WAYNE ,IN ,46805-4638 ,ALLEN ,,,,,,,,,,48,17520,4462,,6783,,70.78,,183,,253,5,,,,,, 152028,01-NOV-14,31-OCT-15,Settled,VIBRA HOSPITAL OF NORTHWEST INDIANA ,9509 GEORGIA STREET ,,CROWN POINT ,IN ,46307-6518 ,LAKE ,,,,,,,,,,40,14600,10097,,12739,,118.64,,389,,511,10,,,,,, 153025,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH DEACONESS REHABILITATION ,4100 COVERT AVENUE ,,EVANSVILLE ,IN ,47714 ,VANDENBURGH ,,,,,,,,,,103,31331,16955,500,24887,,225.34,,1255,34,1849,118,,,,,, 153028,01-JAN-15,31-DEC-15,Amended,REHABILITATION HOSPITAL OF INDIANA ,4141 SHORE DRIVE ,,INDIANAPOLIS ,IN ,46254 ,MARION ,,,,,,,,,5970,91,33215,7950,1283,20262,3.29,318.68,,543,71,1325,147,,,,,, 153030,01-OCT-14,30-SEP-15,As Submitted,REHABILITATION HOSPITAL OF FT WAYNE ,7970 WEST JEFFERSON BOULEVARD ,,FORT WAYNE ,IN ,46804- ,ALLEN ,,,,,,,,,,36,13140,2353,610,5333,,82.64,,212,46,492,,,,,,, 153037,01-JAN-15,31-DEC-15,Settled,SOUTHERN INDIANA REHAB HOSPITAL ,3104 BLACKISTON BOULEVARD ,,NEW ALBANY ,IN ,47150 ,FLOYD ,,,,,,,,,,34,12410,4979,118,7281,,164.38,,409,9,594,31,,,,,, 153039,01-JAN-15,31-DEC-15,As Submitted,COMMUNITY HRH SPECIALITY HOSPITAL ,829 NORTH DIXON ROAD ,,KOKOMO ,IN ,46901 ,HOWARD ,,,,,,,,,,30,10950,4148,85,5554,,116.15,,378,6,493,,,,,,, 153042,01-JAN-15,31-DEC-15,As Submitted,LAFAYETTE REGIONAL REHABILITATION HO ,950 PARK EAST BLVD ,,LAFAYETTE ,IN ,47905 ,TIPPECANOE ,,,,,,,,,,40,14600,5068,496,7671,,87.52,,378,31,554,,,,,,, 153043,01-JAN-15,31-DEC-15,Settled,COMMUNITY HEALTH NETWORK REHAB HOSP ,7343 CLEARVISTA DRIVE ,,INDIANAPOLIS ,IN ,46256 ,MARION ,,,,,,,,,,60,21900,8000,1215,15888,,170.8,,657,82,1208,94,,,,,, 154005,01-JAN-15,31-DEC-15,Settled,RIVER BEND HOSPITAL ,2900 NORTH RIVER ROAD ,,WEST LAFAYETTE ,IN ,47906- ,TIPPECANOE ,,,,,,,,,,16,5840,715,206,2656,,36.33,,94,47,516,54,,,,,, 154008,01-JUL-15,30-JUN-16,Settled,LARUE D CARTER MEMORIAL HOSPITAL ,2601 COLD SPRING ROAD ,,INDIANAPOLIS ,IN ,46222 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 154009,01-JUL-15,30-JUN-16,Settled,HAMILTON CENTER INC. ,620 EIGHTH AVENUE ,,TERRE HAUTE ,IN ,47804 ,VIGO ,,,,,,,,,,16,5856,1919,220,5583,,456,,183,26,657,96,,,,,, 154011,01-JUL-15,30-JUN-16,Settled,COMMUNITY MENTAL HEALTH CENTER ,285 BIELBY ROAD ,,LAWRENCEBURG ,IN ,47025 ,DEARBORN ,,,,,,,,,,16,5856,487,90,2011,,223,,95,20,429,16,,,,,, 154014,01-JUL-15,30-JUN-16,Settled,THE OTIS R. BOWEN CENTER ,850 N. HARRISON ,,WARSAW ,IN ,46580- ,KOSCIUSKO ,,,,,,,,,,16,5856,564,79,2976,,852,,129,22,882,39,,,,,, 154018,01-JUL-15,30-JUN-16,Settled,RICHMOND STATE HOSPITAL ,498 N.W. 18TH ,,RICHMOND ,IN ,47374- ,WAYNE ,,,,,,,,,,213,77958,50,6609,66459,,377.91,,4,25,223,,,,,,, 154019,01-JUL-15,30-JUN-16,Settled,MADISON STATE HOSPITAL ,711 GREEN ROAD ,,MADISON ,IN ,47250- ,JEFFERSON ,,,,,,,,,,150,54750,129,6371,40764,,254.01,,8,8,17,,,,,,, 154020,01-JUL-15,30-JUN-16,Settled,REGIONAL MENTAL HEALTH CENTER ,8555 TAFT STREET ,,MERRILLVILLE ,IN ,46410 ,LAKE ,,,,,,,,,,16,5840,1117,198,4397,,380.91,,107,16,408,43,,,,,, 154021,01-JUL-15,30-JUN-16,Settled,GRANT BLACKFORD MENTAL HEALTH INC. ,505 WABASH AVENUE ,,MARION ,IN ,46952- ,GRANT ,,,,,,,,,,13,4758,740,181,2912,,140.96,,107,38,659,126,,,,,, 154024,01-AUG-15,31-JUL-16,As Submitted,VALLE VISTA ,898 EAST MAIN STREET ,,GREENWOOD ,IN ,46143 ,JOHNSON ,,,,,,,,,,86,27012,2836,1227,21226,,110.94,,340,159,3509,,,,,,, 154031,01-JUL-15,30-JUN-16,Settled,OAKLAWN PSYCHIATRIC CENTER INC. ,330 LAKEVIEW DRIVE ,809 ,GOSHEN ,IN ,46527-0809 ,ELKHART ,,,,,,,,,,16,5856,1671,419,5046,,164,,148,41,595,70,,,,,, 154035,01-JUL-15,30-JUN-16,Settled,FOUR COUNTY COUNSELING CENTER ,1015 MICHIGAN AVENUE ,,LOGANSPORT ,IN ,46947- ,CASS ,,,,,,,,,,16,5856,710,150,3371,,276,,80,22,516,67,,,,,, 154041,01-JAN-15,31-DEC-15,Settled,BHC MEADOWS HOSPITAL ,3600 NORTH PROW ROAD ,,BLOOMINGTON ,IN ,47404 ,MONROE ,,,,,,,,,,37,13505,1488,1853,11890,,106.15,,142,213,1490,431,,,,,, 154047,01-SEP-15,31-AUG-16,As Submitted,MICHIANA BEHAVIORAL HEALTH CTR ,1800 NORTH OAK ROAD ,,PLYMOUTH ,IN ,46563 ,MARSHAL ,,,,,,,,,,51,18666,451,1894,12385,,99.24,,66,225,1909,,,,,,, 154050,01-JUL-15,30-JUN-16,Settled,NORTHEASTERN CENTER ,220 S. MAIN ST. ,,KENDALLVILLE ,IN ,46755 ,NOBLE ,,,,,,,,,,16,5856,986,96,3458,,191.84,,145,19,723,65,,,,,, 154051,01-JAN-15,31-DEC-15,Settled,WELLSTONE ,2700 VISSING PARK ROAD ,,JEFFERSONVILLE ,IN ,47130 ,CLARK ,,,,,,,,,,88,32120,9433,3272,26544,,179.14,,837,278,3248,572,,,,,, 154052,01-JUL-15,30-JUN-16,Settled,PORTER-STARKE SERVICES INC ,601 WALL ST ,,VALPARAISO ,IN ,46385- ,PORTER ,,,,,,,,,,16,5856,723,38,2952,,217.28,,123,8,680,51,,,,,, 154053,01-JUL-15,30-JUN-16,Settled,MERIDIAN HEALTH SERVICES CORP. ,240 N. TILLOTSON AVE ,,MUNCIE ,IN ,47304 ,DELAWARE ,,,,,,,,,,16,5964,2345,429,3965,,815.72,,183,19,358,16,,,,,, 154054,01-JAN-15,31-DEC-15,Settled,HARSHA BEHAVIORAL CENTER ,1420 EAST CROSSING BLVD ,,TERRE HAUTE ,IN ,47802 ,VIGO ,,,,,,,,,,44,16060,3651,6738,12736,,105.15,,295,983,1617,,,,,,, 154055,01-JAN-15,31-DEC-15,Settled,BRENTWOOD MEADOWS ,4488 ROSLIN ROAD ,,NEWBURGH ,IN ,47630 ,WARRICK ,,,,,,,,,,48,17520,2663,10,11020,,86.96,,289,2,1555,11,,,,,, 154056,01-JUL-15,30-JUN-16,Settled,EVANSVILLE STATE HOSPITAL ,3400 LINCOLN AVE ,,EVANSVILLE ,IN ,47714 ,VANDERBURGH ,,,,,,,,,,168,61488,20,10194,54726,,293.37,,2,25,109,,,,,,, 154057,01-JAN-15,31-DEC-15,Settled,OPTIONS BEHAVIORAL HEALTH SYSTEM ,5602 CAITO DRIVE ,,INDIANAPOLIS ,IN ,46226 ,MARION ,,,,,,,,,,40,14600,4215,1607,12478,,141.5,,383,195,1374,186,,,,,, 154058,01-JAN-15,31-DEC-15,Settled,DOCTORS NEUROPSYCHIATRIC HOSPITAL ,417 SOUTH WHITLOCK STREET ,,BREMEN ,IN ,46506-1626 ,MARSHALL ,,,,,,,,,,37,13505,10581,12,12755,,73.35,,523,2,678,,,,,,, 154059,01-JAN-15,31-DEC-15,Settled,SYCAMORE SPRINGS ,833 PARK EAST BOULEVARD ,,LAFAYETTE ,IN ,47905 ,TIPPECANOE ,,,,,,,,,,48,17520,4283,51,13907,,112.83,,422,12,1581,13,,,,,, 154060,05-DEC-14,30-JUN-15,Settled,PARK CENTER INC. ,1909 CAREW STREET ,,FORT WAYNE ,IN ,46805 ,ALLEN ,,,,,,,,,,16,3328,172,,777,,402.23,,28,,162,,,,,,, 154060,01-JUL-15,30-JUN-16,Settled,PARK CENTER INC. ,1909 CAREW STREET ,,FORT WAYNE ,IN ,46805 ,ALLEN ,,,,,,,,,,16,5856,1094,71,2706,,428.92,,138,11,349,41,,,,,, 154061,30-JAN-15,31-DEC-15,Settled,RIVERCREST SPECIALTY HOSPITAL LLC ,1625 E. JEFFERSON BLVD ,,MISHAWAKA ,IN ,46545-7103 ,ST. JOSEPH ,,,,,,,,,,30,10080,7118,,9125,,64.51,,334,,430,,,,,,, 154062,30-APR-15,31-DEC-15,Settled,ASSURANCE HEALTH ,2725 ENTERPRISE DRIVE ,,ANDERSON ,IN ,46013 ,MADISON ,,,,,,,,,,22,5412,3932,37,4958,,47,,272,3,351,,,,,,, 154063,21-SEP-15,31-DEC-15,Settled,NEUROPSYCHIATRIC HOSPITAL OF INDIANA ,6720 PARKDALE PL ,,INDIANAPOLIS ,IN ,46254-4668 ,MARION ,,,,,,,,,,35,3570,1704,,2653,,62.24,,98,,118,,,,,,, 160001,01-NOV-14,31-OCT-15,As Submitted,CENTRAL IOWA HEALTHCARE ,3 SOUTH 4TH AVENUE ,,MARSHALLTOWN ,IA ,50158- ,MARSHALL ,,,,230131,,,.1013,,,49,26235,4409,1470,9230,,438.47,,1213,773,2733,,,,,,, 160005,01-JUL-15,30-JUN-16,Amended,ST. ANTHONY REGIONAL HOSPITAL ,311 SOUTH CLARK STREET ,,CARROLL ,IA ,51401 ,CARROLL ,,,,103218,,,.0909,,,59,21594,4697,674,8324,,410.37,,735,271,1945,30,85,,44,,383, 160008,01-OCT-14,30-SEP-15,As Submitted,KEOKUK AREA HOSPITAL ,1600 MORGAN STREET ,,KEOKUK ,IA ,52632- ,LEE ,,,,,,,,,,49,17885,2251,198,3096,,190.9,,636,85,981,,,,,,, 160013,01-JAN-15,31-DEC-15,As Submitted,UNITY HEALTH CARE ,1518 MULBERRY ,,MUSCATINE ,IA ,52761- ,MUSCATINE ,,,,80114,,,.12,,,48,17520,1443,1768,4406,,369.15,,454,356,1356,,,,,,, 160016,01-JAN-15,31-DEC-15,As Submitted,TRINITY REGIONAL MEDICAL CENTER ,802 SOUTH KENYON ROAD ,,FORT DODGE ,IA ,50501 ,WEBSTER ,175970,,,325939,,,.0881,54216,43771,105,38325,7616,2720,15185,2.06,628.06,,1892,546,3665,105,,,,,, 160024,01-JAN-15,31-DEC-15,Amended,IOWA LUTHERAN HOSPITAL ,700 EAST UNIVERSITY ,,DES MOINES ,IA ,50316 ,POLK ,671273,,,1210929,,,.2589,602550,253902,164,59860,13941,12731,35976,13.66,645.12,,2648,1144,7861,,,,,,176, 160028,01-JUL-15,30-JUN-16,As Submitted,CHI HEALTH MERCY COUNCIL BLUFFS ,800 MERCY DRIVE ,,COUNCIL BLUFFS ,IA ,51502 ,POTTAWATTAMIE ,,,,1078972,,,.2722,,,145,53070,9356,5473,26756,,508,,2060,2317,7315,,,,,,, 160029,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL IOWA CITY ,500 E MARKET ST ,,IOWA CITY ,IA ,52245 ,JOHNSON ,,,,214442,,,.0327,,,218,79788,11897,3729,26806,,873.82,,2774,497,6795,367,,,,,, 160030,01-JUL-15,30-JUN-16,Amended,MARY GREELEY MEDICAL CENTER ,1111 DUFF AVENUE ,,AMES ,IA ,50010-5745 ,STORY ,,,,209596,,,.0337,,,158,57828,14174,3480,30794,,964.12,,2927,364,6779,,60,,243,15,594,238 160032,01-JUL-15,30-JUN-16,As Submitted,SKIFF MEDICAL CENTER ,204 N 4TH AVE E ,,NEWTON ,IA ,50208 ,JASPER ,,,,,,,,,,48,17568,2788,371,4765,,210.26,,607,177,958,,,,,,, 160033,01-JUL-15,30-JUN-16,Amended,GENESIS MEDICAL CENTER - DAVENPORT ,1227 EAST RUSHOLME ,,DAVENPORT ,IA ,52803- ,SCOTT ,1680308,,,1659456,,,.1181,606074,311537,248,90768,26861,7659,61760,17.64,1330.07,,6604,4275,15950,2185,,,193,48,1237,488 160040,01-JUL-15,30-JUN-16,As Submitted,SARTORI MEMORIAL HOSPITAL ,515 COLLEGE STREET ,,CEDAR FALLS ,IA ,50613 ,BLACK HAWK ,,,,,,,,,,35,12810,1980,270,3753,,193.16,,481,76,975,,,,4,,356, 160045,01-JAN-15,31-DEC-15,Amended,ST. LUKES METHODIST HOSPITAL ,1026 A AVENUE N.E. ,3026 ,CEDAR RAPIDS ,IA ,52406-3026 ,LINN ,568459,,,1947560,,,.1875,303857,154118,266,96647,21243,21786,70278,13.88,,,4563,3182,14739,,,,,,3064,496 160047,01-JAN-15,31-DEC-15,As Submitted,JENNIE EDMUNDSON MEMORIAL ,933 EAST PIERCE STREET ,,COUNCIL BLUFFS ,IA ,51503- ,POTTAWATTAMIE ,48256,,,617385,,,.148,20361,10087,110,40024,9286,3163,21806,.87,541.57,,2193,619,5419,549,,,,,, 160057,01-JUL-15,30-JUN-16,As Submitted,GREAT RIVER MEDICAL CENTER ,1221 SOUTH GEAR AVENUE ,,WEST BURLINGTON ,IA ,52655 ,DES MOINES ,,,,609185,,,.1048,,,138,50508,12161,3015,24040,,759.92,,2687,1318,6903,,,,,12,,137 160058,01-JUL-15,30-JUN-16,Amended,UNIVERSITY OF IOWA HOSP & CLINICS ,200 HAWKINS DRIVE ,,IOWA CITY ,IA ,52242-1009 ,JOHNSON ,33483560,,,6560339,,,.2306,6875708,4218384,627,229311,58264,40565,194793,581.68,7633.84,,10070,5571,31652,4010,,,32,,1704, 160064,01-JUL-15,30-JUN-16,As Submitted,MERCY MEDICAL CENTER - MASON CITY ,1000 4TH STREET ,,MASON CITY ,IA ,50401 ,CERRO GORDO ,2682631,,,1423952,,,.12,658089,584686,176,64416,23671,8175,43668,23.58,1864.18,,5523,1472,10929,649,,,,11,,70 160067,01-JUL-15,30-JUN-16,As Submitted,COVENANT MEDICAL CENTER ,3421 W 9TH ST ,,WATERLOO ,IA ,50702 ,BLACK HAWK ,443135,,,1233000,,,.2981,237423,255099,215,78690,9868,5301,33265,11.96,1688.51,,2102,1569,8919,1347,,,,46,,250 160069,01-JUL-15,30-JUN-16,Amended,MERCY MEDICAL CENTER - DUBUQUE ,250 MERCY DRIVE ,,DUBUQUE ,IA ,52001 ,DUBUQUE ,,,,521545,,,.0625,,,184,67344,18398,4560,32904,,873.98,,4244,1427,8275,298,,,,7,,105 160079,01-JUL-15,30-JUN-16,As Submitted,MERCY MEDICAL CENTER ,701 10TH STREET SE ,,CEDAR RAPIDS ,IA ,52403- ,LINN ,287792,,,518378,,,.0672,133279,106182,194,71170,15755,1607,36759,11.51,1629.43,,3954,1414,9919,,,,654,13,1310,151 160080,01-JUL-15,30-JUN-16,As Submitted,MERCY MEDICAL CENTER-CLINTON ,1410 N. FOURTH ST ,,CLINTON ,IA ,52732 ,CLINTON ,,,,422956,,,.12,,,139,50874,9568,3006,16527,,623.07,,2138,1142,5722,246,,,,,, 160082,01-JAN-15,31-DEC-15,Amended,IOWA METHODIST MEDICAL CENTER ,1200 PLEASANT STREET ,,DES MOINES ,IA ,50309 ,POLK ,4939822,,,2577090,,,.1246,2759158,606543,456,166440,47005,31671,126305,66.18,2559.42,,9104,4418,29229,,,,,,,378 160083,01-JUL-15,30-JUN-16,Amended,MERCY MEDICAL CENTER-DES MOINES ,1111 6TH AVENUE ,,DES MOINES ,IA ,50314 ,POLK ,3964802,,,4870416,,,.1821,1516245,622329,543,198738,57246,38459,166648,43.4,5049.04,,10510,5838,36670,,1,,167,40,872,278 160089,01-MAY-15,30-APR-16,As Submitted,OTTUMWA REGIONAL HEALTH CENTER ,1001 PENNSYLVANIA ,,OTTUMWA ,IA ,52501 ,WAPELLO ,,,,394036,,,.1836,,,88,32208,4041,1224,8867,,353.14,,1196,260,2545,417,,,8,19,241,328 160101,01-JUL-15,30-JUN-16,As Submitted,BROADLAWNS MEDICAL CENTER ,1801 HICKMAN ROAD ,,DES MOINES ,IA ,50314 ,POLK ,469915,,,113689,,,.12,259863,496784,101,36966,4846,10289,19606,30.29,939.26,,579,2044,3222,,,,,,, 160104,01-JAN-15,31-DEC-15,Amended,TRINITY BETTENDORF ,4500 UTICA RIDGE ROAD ,,BETTENDORF ,IA ,52722 ,SCOTT ,423002,,,374892,,,.12,157178,82357,75,27375,5055,1204,13608,10.51,307,,1386,649,4200,361,,,,,, 160110,01-JAN-15,31-DEC-15,Amended,ALLEN MEMORIAL HOSPITAL ,1825 LOGAN AVENUE ,,WATERLOO ,IA ,50703 ,BLACK HAWK ,474090,,,1362184,,,.1538,196799,141356,187,68255,16008,8933,34837,8.12,1183.68,,4348,2355,9787,,,,,24,,314 160112,01-JUL-15,30-JUN-16,Amended,SPENCER MUNICIPAL HOSPITAL ,1200 FIRST AVENUE EAST ,,SPENCER ,IA ,51301- ,CLAY ,,,,,,,,,,54,19764,5095,683,8707,,396.53,,1035,180,1932,,,,184,,401, 160117,01-JAN-15,31-DEC-15,As Submitted,THE FINLEY HOSPITAL ,350 NORTH GRANDVIEW AVENUE ,,DUBUQUE ,IA ,52001 ,DUBUQUE ,,,,274372,,,.0652,,,98,35770,9805,3285,17650,,526.81,,2289,1022,5028,,,,6,14,149,224 160122,01-OCT-14,30-SEP-15,As Submitted,FORT MADISON COMMUNITY HOSPITAL ,HIGHWAY 61 WEST ,174 ,FORT MADISON ,IA ,52627- ,LEE ,,,,128224,,,.1241,,,50,18250,3638,1423,7427,,409.36,,653,320,1573,,,,,,, 160124,01-JUL-15,30-JUN-16,As Submitted,LAKES REGIONAL HEALTHCARE ,HIGHWAY 71 SOUTH ,AB ,SPIRIT LAKE ,IA ,51360- ,DICKINSON ,,,,25252,,,.0403,,,44,16104,1901,450,3117,,194.82,,394,98,711,,,,,,, 160146,01-JAN-15,31-DEC-15,As Submitted,ST. LUKES REGL MEDICAL CENTER ,2720 STONE PARK BLVD ,2000 ,SIOUX CITY ,IA ,51104 ,WOODBURY ,363388,,,1068528,,,.2185,277654,158472,180,59130,11078,13992,38201,10.11,984.81,,2575,3444,9041,,,,,3,,146 160147,01-JAN-15,31-DEC-15,As Submitted,GRINNELL REGIONAL MEDICAL CENTER ,210 FOURTH AVE ,780 ,GRINNELL ,IA ,50112 ,POWESHIEK ,,,,18887,15111,,.0396,,,49,17885,2085,684,4620,,313.1,,520,252,1271,,,,,,, 160153,01-JUL-15,30-JUN-16,Amended,MERCY MEDICAL CENTER - SIOUX CITY ,801 FIFTH STREET ,,SIOUX CITY ,IA ,51101 ,WOODBURY ,514257,,,536214,,,.0675,302797,90032,160,58560,18306,4813,36950,7.31,978.94,,3460,1168,7829,373,65,,347,26,874,290 161300,01-JUL-15,30-JUN-16,Settled,BAUM HARMON MERCY HOSPITAL ,235 N WELCH AVE ,,PRIMGHAR ,IA ,51245 ,OBRIEN ,,,,,,,,,,14,5124,322,7,401,,49,,70,4,98,,,,,,, 161301,01-JUL-15,30-JUN-16,Settled,IOWA SPECIALTY HOSPITAL - BELMOND ,403 FIRST STREET SE ,,BELMOND ,IA ,50421- ,WRIGHT ,,,,,,,,,,22,8052,1008,198,1740,,98.05,,141,38,476,,,,,,, 161302,01-JUL-15,30-JUN-16,Amended,IOWA SPECIALTY HOSPITAL ,1316 SOUTH MAIN ,,CLARION ,IA ,50525- ,WRIGHT ,,,,,,,,,,25,9150,1536,706,3450,,303.37,,414,200,1067,,,,,,, 161303,01-JUL-15,30-JUN-16,Settled,GRUNDY COUNTY MEM. HOSPITAL ,201 EAST J AVENUE ,,GRUNDY CENTER ,IA ,50638 ,GRUNDY ,,,,,,,,,,25,9150,983,9,1522,,103.73,,83,3,132,,,,,,, 161304,01-JUL-15,30-JUN-16,Settled,CHI HEALTH MERCY CORNING ,603 ROSARY DRIVE ,,CORNING ,IA ,50841-1414 ,ADAMS ,,,,,,,,,,22,8052,659,77,831,,77.99,,80,16,134,,,,,,, 161305,01-JUL-15,30-JUN-16,Settled,POCAHONTAS COMMUNITY HOSPITAL ,606 NW 7TH STREET ,,POCAHONTAS ,IA ,50574- ,POCAHONTAS ,,,,,,,,,,25,9150,627,15,782,,72.86,,108,6,141,,,,,,, 161306,01-JAN-15,31-DEC-15,Settled,JONES REGIONAL MEDICAL CTR ,1795 HIGHWAY 64 EAST ,,ANAMOSA ,IA ,52205 ,JONES ,,,,,,,,,,22,8030,2079,106,2727,,142.2,,258,38,423,,,,,,, 161307,01-JUL-15,30-JUN-16,Settled,HANCOCK COUNTY HEALTH SYSTEM ,531 SECOND STREET NORTHWEST ,,BRITT ,IA ,50423- ,HANCOCK ,,,,,,,,,,25,9150,2007,44,2476,,169.82,,191,13,243,,,,,,, 161308,01-JUL-15,30-JUN-16,Settled,FRANKLIN GENERAL HOSPITAL ,1720 CENTRAL AVE EAST ,,HAMPTON ,IA ,50441- ,FRANKLIN ,,,,,,,,,,25,9150,1445,16,1619,,82.32,,115,6,149,,,,,,, 161309,01-JUL-15,30-JUN-16,Settled,CHI HEALTH - MISSOURI VALLEY ,631 N 8TH STREET ,,MISSOURI VALLEY ,IA ,51555-1197 ,HARRISON ,,,,,,,,,,25,9150,1358,73,1686,,100.01,,263,15,383,,,,,,, 161310,01-JUL-15,30-JUN-16,Settled,ADAIR COUNTY MEMORIAL HOSPITAL ,609 SE KENT STREET ,,GREENFIELD ,IA ,50849- ,ADAIR ,,,,,,,,,,25,9150,420,10,545,,64.45,,44,2,67,,,,,,, 161311,01-JUL-15,30-JUN-16,Settled,HAWARDEN REGIONAL HEALTHCARE ,1111 11TH STREET ,,HAWARDEN ,IA ,51023- ,SIOUX ,,,,,,,,,,25,9150,562,34,720,,58.09,,53,11,74,,,,,,, 161312,01-JUL-15,30-JUN-16,As Submitted,GUTTENBERG MUNICIPAL HOSPITAL ,2ND AND MAIN STREETS ,,GUTTENBERG ,IA ,52052- ,CLAYTON ,,,,,,,,,,25,9150,1035,79,1548,,78.44,,156,34,246,,,,,,, 161313,01-JUL-15,30-JUN-16,As Submitted,GENESIS MEDICAL CENTER - DEWITT ,1118 ELEVENTH ST ,,DEWITT ,IA ,52742- ,CLINTON ,,,,,,,,,,13,4758,1642,27,1929,,86.96,,86,12,268,2,,,,,, 161314,01-JUL-15,30-JUN-16,Settled,GUTHRIE COUNTY HOSPITAL ,710 NORTH 12TH STREET ,,GUTHRIE CENTER ,IA ,50115 ,GUTHRIE ,,,,,,,,,,25,9150,1549,52,2023,,107.05,,241,19,359,,,,,,, 161315,01-JUL-15,30-JUN-16,Settled,KEOKUK COUNTY HEALTH CENTER ,R.R. 3 ,,SIGOURNEY ,IA ,52591- ,KEOKUK ,,,,,,,,,,25,9150,619,9,2221,,80,,57,3,93,,,,,,, 161316,01-JAN-15,31-DEC-15,Settled,PALMER LUTHERAN HEALTH CENTER ,112 JEFFERSON STREET ,,WEST UNION ,IA ,52175-1022 ,FAYETTE ,,,,,,,,,,25,9125,1370,249,2018,,140.36,,114,54,236,,,,,,, 161317,01-JUL-15,30-JUN-16,Settled,MARENGO MEMORIAL HOSPITAL ,300 WEST MAY STREET ,,MARENGO ,IA ,52301- ,IOWA ,,,,,,,,,,25,9150,1542,35,2644,,126.64,,128,9,193,,,,,,, 161318,01-JUL-15,30-JUN-16,Settled,VETERANS MEMORIAL HOSPITAL ,40 FIRST ST. S.E. ,,WAUKON ,IA ,52172- ,ALLAMAKEE ,,,,,,,,,,25,9150,1796,156,2819,,134.29,,252,50,608,,,,,,, 161319,01-JUL-15,30-JUN-16,Settled,CENTRAL COMMUNITY HOSPITAL ,901 DAVIDSON STREET NW ,,ELKADER ,IA ,52043 ,CLAYTON ,,,,,,,,,,16,5856,763,1,919,,72.01,,89,2,110,,,,,,, 161320,01-JAN-15,31-DEC-15,As Submitted,COMMUNITY MEM. HOSPT. SUMMER ,909 WEST 1ST STREET ,148 ,SUMNER ,IA ,50674-0148 ,BREMER ,,,,,,,,,,16,5840,1007,11,1173,,83.03,,87,4,127,,,,,,, 161321,01-JUL-15,30-JUN-16,Settled,SANFORD HOSPITAL ROCK RAPIDS ,801 SOUTH GREENE STREET ,,ROCK RAPIDS ,IA ,51246- ,LYON ,,,,,,,,,,14,5124,869,74,1100,,52.74,,135,20,198,,,,,,, 161322,01-JUL-15,30-JUN-16,Settled,DALLAS COUNTY HOSPITAL ,10TH STREET AND IOWA ,,PERRY ,IA ,50220- ,DALLAS ,,,,,,,,,,25,9150,589,114,913,,83.35,,106,14,178,,,,,,, 161323,01-JUL-15,30-JUN-16,Settled,MITCHELL COUNTY REGIONAL HEALTH CENT ,616 N. 8TH STREET ,,OSAGE ,IA ,50461- ,MITCHELL ,,,,,,,,,,25,9150,1152,15,1384,,112.08,,207,5,260,,,,,,, 161324,01-OCT-14,30-SEP-15,Settled,GRAPE COMMUNITY HOSPITAL - HAMBURG ,275 HWY NORTH ,,HAMBURG ,IA ,51640- ,FREMONT ,,,,,,,,,,25,9125,1349,36,2089,,80.93,,154,9,193,,,,,,, 161325,01-JUL-15,30-JUN-16,Settled,GREENE COUNTY MEDICAL CENTER ,1000 WEST LINCOLNWAY ,,JEFFERSON ,IA ,50129 ,GREENE ,,,,,,,,,,25,9150,1310,115,1948,,202.44,,183,60,323,,,,,,, 161326,01-JUL-15,30-JUN-16,Settled,MADISON COUNTY MEMORIAL HOSPITAL ,300 HUTCHINGS ,,WINTERSET ,IA ,50273 ,MADISON ,,,,,,,,,,25,9150,951,57,1326,,85.06,,188,14,288,,,,,,, 161327,01-JUL-15,30-JUN-16,Settled,DAVIS COUNTY HOSPITAL ,509 N MADISON ,,BLOOMFIELD ,IA ,52537-1271 ,DAVIS ,,,,,,,,,,25,9150,981,76,1389,,125.23,,162,28,277,,,,,,, 161328,01-JUL-15,30-JUN-16,Settled,REGIONAL HEALTH SERVICES OF HOWARD C ,235 8TH AVENUE WEST ,,CRESCO ,IA ,52136 ,HOWARD ,,,,,,,,,,23,8235,1047,98,1325,,108.54,,92,20,152,,,,,,, 161329,01-JUL-15,30-JUN-16,Settled,JACKSON COUNTY PUBLIC HOSPITAL ,700 WEST GROVE STREET ,,MAQUOKETA ,IA ,52060- ,JACKSON ,,,,,,,,,,25,9150,991,57,1215,,97.68,,80,8,103,,,,,,, 161330,01-JUL-15,30-JUN-16,Settled,AUDUBON COUNTY MEMORIAL HOSPITAL ,515 PACIFIC STREET ,,AUDUBON ,IA ,50025- ,AUDUBON ,,,,,,,,,,25,9150,549,21,708,,78.48,,75,8,104,,,,,,, 161331,01-JUL-15,30-JUN-16,Settled,MERCY MEDICAL CENTER - NEW HAMPTON ,308 NORTH MAPLE AVE ,,NEW HAMPTON ,IA ,50659- ,CHICKASAW ,,,,,,,,,,17,6222,702,102,1162,,108.91,,143,21,245,,,,,,, 161332,01-JUL-15,30-JUN-16,Settled,MANNING REGIONAL HEALTHCARE CENTER ,410 MAIN STREET ,,MANNING ,IA ,51455 ,CARROLL ,,,,,,,,,,17,6222,701,97,1062,,117.65,,85,30,180,,,,,,, 161333,01-JUL-15,30-JUN-16,Settled,STORY COUNTY HOSPITAL ,630 6TH STREET ,,NEVADA ,IA ,50201 ,STORY ,,,,,,,,,,17,6222,2073,34,2952,,159.04,,114,19,198,,,,,,, 161334,01-JUL-15,30-JUN-16,Settled,HUMBOLDT COUNTY MEMORIAL HOSPITAL ,1000 NORTH 15TH ST ,,HUMBOLDT ,IA ,50548 ,HUMBOLDT ,,,,,,,,,,17,6222,1557,11,1926,,155.68,,124,6,161,,,,,,, 161335,01-JUL-15,30-JUN-16,Settled,PEOPLES MEMORIAL HOSPITAL ,1600 FIRST STREET EAST ,,INDEPENDENCE ,IA ,50644- ,BUCHANAN ,,,,,,,,,,25,9150,1031,34,1454,,151.1,,121,10,210,,,,,,, 161336,01-JUL-15,30-JUN-16,Settled,HEGG MEMORIAL HEALTH CENTER ,1202 21ST AVENUE ,,ROCK VALLEY ,IA ,51247-1420 ,SIOUX ,,,,,,,,,,25,9150,785,147,1451,,112.86,,103,39,250,3,,,,,, 161337,01-JUL-15,30-JUN-16,Settled,VAN BUREN COUNTY HOSPITAL ,304 FRANKLIN STREET ,PO BOX 70 ,KEOSAUQUA ,IA ,52565-0070 ,VAN BUREN ,,,,,,,,,,25,9150,1188,105,1611,,121.19,,181,35,299,13,,,,,, 161338,01-JUL-15,30-JUN-16,Settled,MERCY HOSPITAL OF FRANCISCAN SISTERS ,201 EIGHTH AVENUE SE ,,OELWEIN ,IA ,50662 ,FAYETTE ,,,,,,,,,,25,9150,887,45,1329,,121.93,,90,19,173,7,,,,,, 161339,01-JUL-15,30-JUN-16,As Submitted,WAVERLY HEALTH CENTER ,312 NINTH STREET S.W. ,,WAVERLY ,IA ,50677 ,BREMER ,,,,,,,,,,21,7686,1893,353,3648,,360.5,,323,152,786,,,,,,, 161340,01-JUL-15,30-JUN-16,Settled,DECATUR COUNTY HOSPITAL ,1405 NW CHURCH ,,LEON ,IA ,50144- ,DECATUR ,,,,,,,,,,25,9150,730,82,1205,,85.16,,122,27,183,,,,,,, 161341,01-JUL-15,30-JUN-16,As Submitted,LUCAS COUNTY HEALTH CENTER ,1200 NORTH 7TH STREET ,,CHARITON ,IA ,50049- ,LUCAS ,,,,,,,,,,25,9150,956,180,1432,,159.22,,166,54,326,,,,,,, 161342,01-JUL-15,30-JUN-16,Settled,MONROE COUNTY HOSPITAL ,6580 165TH STREET ,,ALBIA ,IA ,52531 ,MONROE ,,,,,,,,,,25,9150,1458,123,2226,,112.39,,213,30,339,,,,,,, 161343,01-JUL-15,30-JUN-16,Settled,DELAWARE COUNTY MEMORIAL HOSPITAL ,709 WEST MAIN ST ,,MANCHESTER ,IA ,52057- ,DELAWARE ,,,,,,,,,,25,9150,1673,412,3320,,264.51,,348,150,761,,,,,,, 161344,01-JUL-15,30-JUN-16,Settled,WASHINGTON COUNTY HOSPITAL ,400 EAST POLK STREET ,909 ,WASHINGTON ,IA ,52353 ,WASHINGTON ,,,,,,,,,,25,9150,2046,348,3255,,190.9,,211,67,445,,,,,,, 161345,01-JUL-15,30-JUN-16,Settled,OSCEOLA COMMUNITY HOSPITAL ,9TH AVENUE NORTH ,,SIBLEY ,IA ,51249 ,OSCEOLA ,,,,,,,,,,25,9150,1289,70,1676,,,,154,19,221,,,,,,, 161346,01-JUL-15,30-JUN-16,As Submitted,SIOUX CENTER HEALTH ,605 SOUTH MAIN ,,SIOUX CENTER ,IA ,51250- ,SIOUX ,,,,,,,,,,19,6954,1143,317,2396,,273.78,,169,45,488,8,,,,,, 161347,01-JUL-15,30-JUN-16,As Submitted,FLOYD COUNTY HOSPITAL ,11 TH AND SOUTH MAIN ,,CHARLES CITY ,IA ,50616 ,FLOYD ,,,,,,,,,,25,9150,2739,359,3668,,158.5,,297,112,509,,,,,,, 161348,01-JUL-15,30-JUN-16,Settled,CLARKE COUNTY PUBLIC HOSPITAL ,800 S FILLMORE ST ,,OSCEOLA ,IA ,50213-1694 ,CLARKE ,,,,,,,,,,25,9150,963,36,3653,,136.74,,142,12,198,6,,,,,, 161349,01-JUL-15,30-JUN-16,Settled,VIRGINIA GAY HOSPITAL ,502 N. 9TH STREET ,,VINTON ,IA ,52349- ,BENTON ,,,,,,,,,,25,9150,1561,75,2049,,123,,144,26,253,,,,,,, 161350,01-JAN-15,31-DEC-15,Settled,STEWART MEMORIAL HOSPITAL ,1301 WEST MAIN STREET ,,LAKE CITY ,IA ,51449- ,CALHOUN ,,,,,,,,,,25,9125,1394,228,2334,,162.71,,237,73,489,,,,,,, 161351,01-JUL-15,30-JUN-16,Settled,AVERA HOLY FAMILY HEALTH ,826 N. 8TH STREET ,,ESTHERVILLE ,IA ,51334- ,EMMET ,,,,,,,,,,22,8052,1489,230,2463,,201.71,,330,82,559,,,,,,, 161352,01-JUL-15,30-JUN-16,Settled,CLARINDA REGIONAL HEALTH CENTER ,220 ESSIE DAVISON DRIVE ,,CLARINDA ,IA ,51632-0217 ,PAGE ,,,,,,,,,,25,9150,1171,80,1482,,236.43,,282,34,486,,,,,,, 161353,01-JUL-15,30-JUN-16,Settled,KOSSUTH REGIONAL HEALTH CENTER ,1515 SOUTH PHILLIPS STREET ,N ,ALGONA ,IA ,50511- ,KOSSUTH ,,,,,,,,,,24,8784,2829,243,3954,,146.91,,386,69,650,,,,,,, 161354,01-JAN-15,31-DEC-15,Settled,HORN MEMORIAL HOSPITAL ,700 EAST 2ND ST ,,IDA GROVE ,IA ,51445 ,IDA ,,,,,,,,,,25,9125,2243,82,2883,,130.8,,235,21,326,,,,,,, 161355,01-JUL-15,30-JUN-16,As Submitted,KNOXVILLE HOSPITAL & CLINICS ,1002 SOUTH LINCOLN ,,KNOXVILLE ,IA ,50138 ,MARION ,,,,,,,,,,25,9150,1941,66,2740,,212.23,,273,27,417,,,,,,, 161356,01-JUL-15,30-JUN-16,Settled,HENRY COUNTY HEALTH CENTER ,SAUNDERS PARK ,,MT. PLEASANT ,IA ,52641- ,HENRY ,,,,,,,,,,25,9150,1584,400,2710,,214.92,,265,98,542,,,,,,, 161357,01-JUL-15,30-JUN-16,Settled,PALO ALTO COUNTY HOSPITAL ,3201 W. 1ST ,,EMMETSBURG ,IA ,50536- ,PALO ALTO ,,,,,,,,,,24,8784,1237,225,1923,,190.31,,141,50,290,,,,,,, 161358,01-JUL-15,30-JUN-16,Settled,WAYNE COUNTY HOSPITAL ,417 SOUTH EAST STREET ,305 ,CORYDON ,IA ,50060 ,WAYNE ,,,,,,,,,,25,9150,1053,242,2211,,141.72,,193,113,647,,,,,,, 161359,01-JUL-15,30-JUN-16,Settled,BURGESS HEALTH CENTER ,1600 DIAMOND STREET ,,ONAWA ,IA ,51040- ,MONONA ,,,,,,,,,,25,9150,2303,250,3164,,169.58,,390,71,619,,,,,,, 161360,01-JUL-15,30-JUN-16,Settled,ORANGE CITY MUNICIPAL HOSPITAL ,1000 LINCOLN CIRCLE SE ,,ORANGE CITY ,IA ,51041- ,SIOUX ,,,,,,,,,,25,9150,2832,352,4836,,299,,358,1,803,,,,,,, 161361,01-JUL-15,30-JUN-16,As Submitted,VAN DIEST MEDICAL CENTER ,2350 HOSPITAL DRIVE ,,WEBSTER CITY ,IA ,50595 ,HAMILTON ,,,,,,,,,,25,9150,2679,432,4162,,166.69,,509,15,898,,,,,,, 161362,01-JAN-15,31-DEC-15,Settled,CHEROKEE REGIONAL MEDICAL CENTER ,300 SIOUX VALLEY DRIVE ,,CHEROKEE ,IA ,51012 ,CHEROKEE ,,,,,,,,,,25,9125,2068,569,3537,,195.9,,378,108,729,,,,,,, 161363,01-JUL-15,30-JUN-16,Settled,MONTGOMERY CNTY MEMORIAL HOSPITAL ,2301 EASTERN AVE. ,,RED OAK ,IA ,51566 ,MONTGOMERY ,,,,,,,,,,25,9150,3337,264,4251,,262.4,,476,93,684,,,,,,, 161364,01-JUL-15,30-JUN-16,Settled,JEFFERSON COUNTY HOSPITAL ,2000 SOUTH MAIN ST. ,,FAIRFIELD ,IA ,52556- ,JEFFERSON ,,,,,,,,,,25,9150,3272,111,4298,,231,,396,38,582,,,,,,, 161365,01-JUL-15,30-JUN-16,As Submitted,GREATER REGIONAL MEDICAL CENTER ,COTTONWOOD & TOWNLINE ,,CRESTON ,IA ,50801 ,UNION ,,,,,,,,,,25,9150,1517,479,2910,,271.33,,359,206,759,,,,,,, 161366,01-JAN-15,31-DEC-15,As Submitted,SHENANDOAH MEDICAL CENTER ,300 PERSHING AVE ,,SHENANDOAH ,IA ,51601 ,PAGE ,,,,,,,,,,25,9125,1389,283,2302,,243.74,,200,171,689,,,,,,, 161367,01-JAN-15,31-DEC-15,Amended,PELLA REGIONAL HEALTH CENTER ,404 JEFFERSON ST ,,PELLA ,IA ,50219-1299 ,MARION ,,,,,,,,,,25,9125,2553,808,5513,,477.52,,463,171,1324,,,,,,, 161368,01-JUL-15,30-JUN-16,Settled,FLOYD VALLEY HOSPITAL ,HIGHWAY 3 EAST ,10 ,LEMARS ,IA ,51031- ,PLYMOUTH ,,,,,,,,,,25,9150,1576,215,2674,,195.53,,298,95,582,,,,,,, 161369,01-JUL-15,30-JUN-16,Settled,CRAWFORD COUNTY MEMORIAL HOSPITAL ,2020 FIRST AVENUE SOUTH ,,DENISON ,IA ,51442- ,CRAWFORD ,,,,,,,,,,25,9150,1149,418,2230,,178,,253,122,541,,,,,,, 161370,01-JUL-15,30-JUN-16,Settled,LORING HOSPITAL ,HIGHLAND AVENUE ,,SAC CITY ,IA ,50583 ,SAC ,,,,,,,,,,25,9150,1080,73,1319,,92.18,,256,24,334,,,,,,, 161371,01-JUL-15,30-JUN-16,Settled,WINNESHIEK MEDICAL CENTER ,901 MONTGOMERY ,,DECORAH ,IA ,52101- ,WINNESHIEK ,,,,,,,,,,25,9150,2427,382,4275,,363.73,,419,157,891,23,,,,,, 161372,01-JUL-15,30-JUN-16,As Submitted,BOONE COUNTY HOSPITAL ,1015 UNION STREET ,,BOONE ,IA ,50036 ,BOONE ,,,,,,,,,,25,9150,3417,439,5465,,283.23,,564,163,1014,,,,,,, 161373,01-JUL-15,30-JUN-16,Settled,RINGGOLD COUNTY HOSPITAL ,211 SHELLWAY DRIVE ,,MOUNT AYR ,IA ,50854- ,RINGGOLD ,,,,,,,,,,16,5856,767,30,1029,,93,,179,12,259,,,,,,, 161374,01-JUL-15,30-JUN-16,As Submitted,MYRTUE MEDICAL CENTER ,1213 GARFIELD AVENUE ,,HARLAN ,IA ,51537 ,,,,,,,,,,,25,9150,2832,321,4115,,247.7,,452,53,768,,,,,,, 161375,01-JUL-15,30-JUN-16,Settled,BUENA VISTA REGIONAL MEDICAL CENTER ,1525 WEST 5TH STREET ,,STORM LAKE ,IA ,50588 ,BUENA VISTA ,,,,,,,,,,25,9150,1406,905,3591,,302.81,,359,152,890,,,,,,205, 161376,01-JUL-15,30-JUN-16,Settled,CASS COUNTY MEMORIAL HOSPITAL ,1501 E 10TH ST ,,ATLANTIC ,IA ,50022 ,CASS ,,,,,,,,,,25,8250,1947,417,3463,,238.05,,345,39,496,,,,,,196, 161377,01-JUL-15,30-JUN-16,Settled,MERCY MEDICAL CENTER-CENTERVILLE ,1 ST. JOSEPHS DRIVE ,,CENTERVILLE ,IA ,52544-9017 ,APPANOOSE ,,,,,,,,,,25,9150,1464,430,2759,,141.09,,279,127,576,,,,,,, 161378,01-JUL-15,30-JUN-16,Settled,MERCY MEDICAL CENTER - DYERSVILLE ,1111 THIRD STREET SW ,,DYERSVILLE ,IA ,52040 ,DUBUQUE ,,,,,,,,,,25,9150,831,2,889,,68,,22,1,29,,,,,,, 161379,01-JUL-15,30-JUN-16,As Submitted,MAHASKA HEALTH PARTNERSHIP ,1229 C AVE E ,,OSKALOOSA ,IA ,52577 ,MAHASKA ,,,,,,,,,,25,9150,2859,618,5304,,382.2,,586,153,1200,,,,,,, 161380,01-JUL-15,30-JUN-16,Settled,HANSEN FAMILY HOSPITAL ,920 SOUTH OAK STREET ,,IOWA FALLS ,IA ,50126- ,HARDIN ,,,,,,,,,,21,7686,2144,160,2919,,234.74,,239,44,407,,,,,,, 161381,01-JUL-15,30-JUN-16,Settled,SANFORD MEDICAL CENTER SHELDON ,118 NORTH SEVENTH AVENUE ,250 ,SHELDON ,IA ,51201- ,OBRIEN ,,,,,,,,,,25,9150,2594,458,3984,,127.73,,306,90,636,,,,,,, 162001,01-FEB-15,31-JAN-16,Settled,SSH - QUAD CITIES INC. ,1111 WEST KIMBERLY RD ,,DAVENPORT ,IA ,52806 ,SCOTT ,,,,,,,,,,50,18250,6958,317,9047,,107.2,,263,2,346,2,,,,,, 162002,01-MAY-15,30-APR-16,Settled,CONTINUING CARE HOSPITAL AT ST. LUKE ,1026 A AVENUE NE - 6TH FLOOR ,,CEDAR RAPIDS ,IA ,52402-5036 ,LINN ,,,,,,,,,,24,8784,3309,,4167,,56,,128,,157,,,,,,, 162003,01-JAN-15,31-DEC-15,Settled,SSH - DES MOINES ,1111 6TH AVENUE 4TH FLOOR MAIN ,,DES MOINES ,IA ,50314 ,POLK ,,,,,,,,,,30,10950,5504,,6655,,69.33,,177,,209,,,,,,, 164002,01-JUL-15,30-JUN-16,Settled,MENTAL HEALTH INSTITUTE ,1251 WEST CEDAR LOOP ,,CHEROKEE ,IA ,51012- ,CHEROKEE ,,,,,,,,,,36,13176,1438,2313,12240,,161,,31,207,477,,,,,,, 164003,01-JUL-15,30-JUN-16,Settled,MENTAL HEALTH INSTITUTE ,2277 IOWA AVE ,,INDEPENDENCE ,IA ,50644 ,BUCHANAN ,,,,,,,,,,60,21960,1536,3755,18598,,207.86,,30,110,159,,,,,,, 170006,01-APR-15,31-MAR-16,As Submitted,VIA CHRISTI HOSPITAL PITTSBURG INC. ,1 MT CARMEL WAY ,,PITTSBURG ,KS ,66762 ,CRAWFORD ,,,,193341,,,.0831,,,68,24888,6436,1992,12324,,572,,1348,443,3229,,,,,23,,231 170009,01-JAN-15,31-DEC-15,Amended,SAINT JOHN HOSPITAL ,3500 SOUTH FOURTH STREET ,,LEAVENWORTH ,KS ,66048 ,LEAVENWORTH ,,,,,,,,,,56,20440,1540,12,2580,,147.52,,564,5,1018,68,13,,3,,410, 170010,01-JUL-15,09-OCT-15,As Submitted,MERCY HOSPITAL - INDEPENDENCE ,800 WEST MYRTLE ,,INDEPENDENCE ,KS ,67301-3240 ,MONTGOMERY ,,,,,,,,,,47,4747,251,2,312,,33.36,,41,1,65,,,,,,, 170012,01-OCT-14,30-SEP-15,As Submitted,SALINA REGIONAL HEALTH CENTER ,400 S. SANTA FE ,,SALINA ,KS ,67401-5080 ,SALINE ,913009,,,210799,,,.0279,382777,135438,177,63355,19096,307,34295,10.56,1315.51,,3672,59,7163,1328,202,,15,2,991,367 170013,01-JUL-15,30-JUN-16,As Submitted,HAYS MEDICAL CENTER INC. ,2220 CANTERBURY DRIVE ,,HAYS ,KS ,67601- ,ELLIS ,,,,,,,,,,126,46116,11388,91,20345,,1085.76,,2413,27,4802,445,,,,,, 170014,01-JAN-15,31-DEC-15,As Submitted,RANSOM MEMORIAL HOSPITAL ,1301 SOUTH MAIN ,,OTTAWA ,KS ,66067-3598 ,FRANKLIN ,,,,71676,,,.0637,,,47,17155,2267,212,3967,,290.56,,633,18,1235,144,,,,,, 170016,01-JUL-15,30-JUN-16,As Submitted,ST.FRANCIS HEALTH CENTER ,1700 SOUTHWEST SEVENTH STREET ,,TOPEKA ,KS ,66606-1690 ,SHAWNEE ,64450,,,457229,,,.0668,26859,18713,217,79422,14423,1574,30683,1,1251.93,,3379,105,8048,892,,,,3,,479 170017,01-JAN-15,31-DEC-15,Amended,SUSAN B. ALLEN MEMORIAL HOSPITAL ,720 W. CENTRAL ,,EL DORADO ,KS ,67042- ,BUTLER ,,,,72256,,,.0669,,,53,19345,3062,33,5360,,340.82,,641,4,1292,192,,,,,, 170020,01-JUL-15,30-JUN-16,As Submitted,HUTCHINSON REGIONAL MEDICAL CENTER ,1701 EAST 23RD ,,HUTCHINSON ,KS ,67502 ,RENO ,,,,,,,,,,129,47214,12665,597,20880,,727.56,,2556,27,4998,562,177,,3,,642,189 170023,01-JUL-15,30-JUN-16,As Submitted,ST. CATHERINE HOSPITAL ,410 E. WALNUT ,,GARDEN CITY ,KS ,67846-5679 ,FINNEY ,,,,197524,,,.0958,,,80,29280,5789,1001,13395,,526.7,,1224,110,3464,,117,,8,,473,208 170027,01-OCT-14,30-SEP-15,As Submitted,PRATT REGIONAL MEDICAL CENTER ,200 COMMODORE ,,PRATT ,KS ,67124- ,PRATT ,,,,,,,,,,35,12775,3361,196,5762,,282.43,,812,15,1271,,,,,,, 170039,01-JAN-15,31-DEC-15,As Submitted,SUMNER REGIONAL MEDICAL CENTER ,1323 NORTH A STREET ,,WELLINGTON ,KS ,67152 ,SUMNER ,,,,15844,,,.0799,,,42,15330,519,78,1036,,106.32,,183,57,368,,,,2,,209, 170040,01-JUL-15,30-JUN-16,Amended,UNIVERSITY OF KANSAS HOSPITAL ,3901 RANIBOW BLVD ,,KANSAS CITY ,KS ,66107 ,WYANDOTTE ,16160658,,,3660956,,,.1287,4780794,3293835,692,251450,58863,4269,191021,349.69,6173,,10467,1840,35967,5436,90,,48,36,653,661 170049,01-JAN-15,31-DEC-15,As Submitted,OLATHE MEDICAL CENTER ,20333 WEST 151ST STREET ,,OLATHE ,KS ,66061 ,JOHNSON ,,,,,,,,,,235,85775,19260,353,39052,,1227.74,,4331,580,10807,751,,,,,, 170058,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL - FORT SCOTT ,1KST ,,FORT SCOTT ,KS ,66701-8797 ,BOURBON ,,,,,,,,,,46,16836,2368,409,4599,,190.36,,539,38,1266,241,,,,,, 170068,01-JAN-15,31-DEC-15,As Submitted,SOUTHWEST MEDICAL CENTER ,15TH AT PERSHING ,1340 ,LIBERAL ,KS ,67905- ,SEWARD ,,,,100474,,,.1092,,,68,24820,2438,474,7208,,347.15,,523,200,2034,532,,,,,, 170074,01-MAY-15,30-APR-16,As Submitted,GEARY COMMUNITY HOSPITAL ,1102 ST. MARYS ROAD ,,JUNCTION CITY ,KS ,66441 ,GEARY ,,,,55536,,,.0886,,,49,17934,1961,273,3490,,304.74,,395,,572,44,,,,,, 170075,01-OCT-14,30-SEP-15,As Submitted,MERCY HOSPITAL INC. ,218 E. PACK ,180 ,MOUNDRIDGE ,KS ,67107 ,MCPHERSON ,,,,,,,,,,21,7665,1100,19,1516,,35.65,,147,12,255,,,,,,, 170086,01-OCT-14,30-SEP-15,As Submitted,STORMONT-VAIL REGIONAL HEALTH CENTER ,1500 SW 10TH AVE ,,TOPEKA ,KS ,66604-1353 ,SHAWNEE ,92254,,,2304568,,,.129,25260,10719,388,142712,41386,1575,93858,.96,3813.65,,8738,356,21550,3901,,,,,463, 170094,01-JAN-15,31-DEC-15,Amended,COFFEY COUNTY HOSPITAL ,801 NORTH FOURTH ,,BURLINGTON ,KS ,66839- ,COFFEY ,,,,13480,,,.0353,,,36,13140,1614,66,2453,,173.31,,302,,585,63,,,,,, 170103,01-JUL-15,30-JUN-16,As Submitted,NEWTON MEDICAL CENTER ,600 MEDICAL CENTER DRIVE ,,NEWTON ,KS ,67114- ,HARVEY ,,,,,,,,,,74,27696,5515,329,10112,,438.17,,1198,17,2483,292,6,,1,,221,158 170104,01-JAN-15,31-DEC-15,Amended,SHAWNEE MISSION MEDICAL CENTER ,9100 WEST 74TH STREET ,,SHAWNEE MISSION ,KS ,66204-4004 ,JOHNSON ,81746,,,616073,,,.0517,18735,8799,328,119720,24586,229,85309,.97,2396.45,,5876,50,19692,,,,40,,2555, 170105,01-JUL-15,30-JUN-16,As Submitted,MCPHERSON HOSPITAL INC. ,1000 HOSPITAL DRIVE ,,MCPHERSON ,KS ,67460- ,MCPHERSON ,,,,,,,,,,37,13542,2160,270,3619,,266.9,,423,71,871,,,,,,, 170109,01-JAN-15,31-DEC-15,As Submitted,MIAMI COUNTY MEDICAL CENTER ,2100 BAPTISTE DRIVE ,,PAOLA ,KS ,66071- ,MIAMI ,,,,,,,,,,18,6570,584,15,1193,,131.9,,234,6,487,25,,,,,, 170110,01-JAN-15,31-JAN-16,As Submitted,BOB WILSON MEMORIAL GRANT COUNTY HOS ,415 NORTH MAIN STREET ,,ULYSSES ,KS ,67880-2196 ,GRANT ,,,,,,,,,,22,8712,1392,52,1741,,99.26,,172,2,317,43,,,,,, 170120,01-JAN-15,31-DEC-15,As Submitted,LABETTE COUNTY MEDICAL CENTER ,1902 S. U.S. HIGHWAY 59 ,,PARSONS ,KS ,67357 ,LABETTE ,,,,183831,,,.0859,,,45,16275,3912,299,7248,,369.17,,1113,5,2191,349,,,,,,105 170122,01-OCT-14,30-SEP-15,Amended,VIA CHRISTI HOSPITAL WICHITA ,929 N. ST. FRANCIS ,,WICHITA ,KS ,67214 ,SEDGWICK ,8535271,,,3360097,,,.1292,6090447,1417093,660,240900,61151,3020,147561,128.31,3341.02,,12076,151,30545,5711,,,36,,402, 170123,01-JAN-15,31-DEC-15,Amended,WESLEY MEDICAL CENTER ,550 NORTH HILLSIDE STREET ,,WICHITA ,KS ,67214 ,SEDGWICK ,6628101,,,3112714,,,.1747,3496179,930372,568,208569,41638,1750,137025,107.87,2306.64,,7923,447,28898,6712,,,,,, 170133,01-JAN-15,31-DEC-15,Amended,SAINT LUKES CUSHING HOSPITAL ,711 MARSHALL ,,LEAVENWORTH ,KS ,66048 ,,,,,54744,,,.12,,,23,7415,1032,89,2868,,180.02,,316,33,863,245,,,,,, 170137,01-JAN-15,31-DEC-15,As Submitted,LAWRENCE MEMORIAL HOSPITAL ,325 MAINE STREET ,,LAWRENCE ,KS ,66044- ,DOUGLAS ,,,,147547,,,.0335,,,122,44530,7763,2366,18875,,1096.23,,2679,611,6116,,,,,11,,237 170142,01-APR-15,31-MAR-16,As Submitted,MERCY REGIONAL HEALTH CENTER ,1105 SUNSET AVENUE ,,MANHATTAN ,KS ,66502 ,RILEY ,,,,261628,,,.0749,,,86,31820,6732,1693,15531,,495.8,,1887,341,4144,,,,,7,,202 170145,01-JAN-15,31-DEC-15,As Submitted,COFFEYVILLE REG MEDICAL CENTER INC. ,1400 WEST 4TH STREET ,856 ,COFFEYVILLE ,KS ,67337- ,MONTGOMERY ,,,,190227,,,.1257,,,47,17155,3228,450,5713,,270.76,,897,38,1617,375,,,,,, 170146,01-JAN-15,31-DEC-15,Amended,PROVIDENCE MEDICAL CENTER ,8929 PARALLEL PARKWAY ,,KANSAS CITY ,KS ,66112 ,WYANDOTTE ,,,,543713,,,.0693,,,158,57670,16067,2342,38823,,786.8,,3658,360,9282,1318,,,,,, 170150,01-JAN-15,31-DEC-15,As Submitted,SOUTH CENTRAL KS REGIONAL MEDICAL CT ,216 WEST BIRCH ,,ARKANSAS CITY ,KS ,67005- ,COWLEY ,,,,28824,32429,,.1098,,,37,13505,2072,173,3301,,150.09,,439,62,839,,,,,,, 170166,01-JAN-15,31-DEC-15,As Submitted,MORTON COUNTY HEALTH SYSTEM ,445 HILLTOP ,937 ,ELKHART ,KS ,67950-0937 ,MORTON ,,,,,,,,,,30,10950,963,,1237,,89.72,,144,,188,,,,,,, 170175,01-MAR-15,29-FEB-16,Amended,WESTERN PLAINS MEDICAL COMPLEX ,3001 AVENUE A ,1478 ,DODGE CITY ,KS ,67801- ,FORD ,,,,137204,,,.1184,,,60,21960,3090,629,7102,,229.59,,705,111,2086,,,,,,, 170176,01-JUN-15,31-MAY-16,Amended,OVERLAND PARK REGIONAL MEDICAL CTR ,10500 QUIVIRA ROAD ,,OVERLAND PARK ,KS ,66215 ,JOHNSON ,,,,580771,,,.1187,,,268,98088,11606,,58215,,979.75,,2596,,11370,2014,,,,,, 170180,01-JAN-15,30-JUN-15,As Submitted,MEADOWBROOK HOSPITAL ,427 W MAIN STREET ,,GARDNER ,KS ,66030-1197 ,JOHNSON ,,,,,,,,,,1,181,,,,,,,,,,,,,,49,,142 170182,01-JUN-15,31-MAY-16,As Submitted,MENORAH MEDICAL CENTER ,5721 WEST 119TH STREET ,,OVERLAND PARK ,KS ,66209-3722 ,JOHNSON ,,,,,,,,,,142,51972,11230,253,26408,,644.4,,2736,68,7132,179,,,,1,,344 170183,01-JUL-15,30-JUN-16,As Submitted,KANSAS SURGERY & RECOVERY CENTER ,2770 N WEBB ROAD ,,WICHITA ,KS ,67226- ,SEDGWICK ,,,,,,,,,,24,8784,2020,,3974,,125.37,,873,,2203,18,,,,,, 170185,01-JAN-15,31-DEC-15,As Submitted,ST. LUKES SOUTH ,12300 METCALF AVE. ,,OVERLAND PARK ,KS ,66213 ,JOHNSON ,,,,,,,,,,88,32120,7974,448,16960,,500.42,,2131,72,4658,113,,,,1,,297 170186,01-JAN-15,31-DEC-15,As Submitted,KANSAS HEART HOSPITAL ,3601 NORTH WEBB ROAD ,,WICHITA ,KS ,67226- ,SEDGWICK ,,,,,,,,,,46,16790,5452,,7981,,166.47,,1178,,1771,46,,,,,, 170187,01-JAN-15,31-DEC-15,As Submitted,SALINA SURGICAL HOSPITAL ,401 SOUTH SANTA FE ,,SALINA ,KS ,67401-2697 ,SALINE ,,,,,,,,,,15,5475,1080,,1835,,92.69,,386,,705,13,,,,,, 170188,01-JAN-15,31-DEC-15,As Submitted,KANSAS CITY ORTHOPAEDIC INSTITUTE ,3651 COLLEGE BOULEVARD ,,LEAWOOD ,KS ,66211 ,JOHNSON ,,,,,,,,,,9,3285,831,,1723,,109.71,,352,,779,,,,,,, 170190,01-JAN-15,31-DEC-15,As Submitted,MANHATTAN SURGICAL HOSPITAL ,1829 COLLEGE ,,MANHATTAN ,KS ,66502 ,RILEY ,,,,,,,,,,13,4745,315,,739,,74.38,,169,3,478,,,,,,, 170191,01-JAN-15,31-DEC-15,As Submitted,GREAT BEND REGIONAL HOSPITAL ,514 CLEVELAND ,,GREAT BEND ,KS ,67530 ,BARTON ,,,,137280,,,.1062,,,33,12045,2469,488,5618,,221.05,,693,,1572,245,,,,,, 170194,01-JAN-15,31-DEC-15,As Submitted,DOCTORS HOSPITAL ,4901 COLLEGE ,,LEAWOOD ,KS ,66211 ,JOHNSON ,,,,61084,,,.12,,,9,3285,189,39,307,,33.71,,121,28,183,,,,,,, 170196,01-JAN-15,31-DEC-15,As Submitted,KANSAS SPINE & SPECIALTY HOSPITAL ,3333 N WEBB ROAD ,,WICHITA ,KS ,67226- ,SEGWICK ,,,,,,,,,,36,13140,1859,1,4518,,112.89,,755,1,2038,106,,,,,, 170197,01-JAN-15,31-DEC-15,As Submitted,KANSAS MEDICAL CENTER ,1124 W 21ST STREET ,,ANDOVER ,KS ,67002 ,BUTLER ,,,,,,,,,,56,20440,6081,,9623,,237.31,,1485,,2346,65,,,,,, 170198,01-JAN-15,31-DEC-15,As Submitted,SUMMIT SURGICAL LLC ,1818 E. 23RD AVENUE ,,HUTCHINSON ,KS ,67502-1106 ,RENO ,,,,,,,,,,10,3650,261,,557,,45.11,,115,,285,,,,,,, 170199,01-JAN-15,31-DEC-15,As Submitted,MINIMALLY INVASIVE SURGERY HOSPITAL ,11217 LAKEVIEW AVENUE ,,LENEXA ,KS ,66219- ,JOHNSON ,,,,,,,,,,9,3294,29,,29,,22.84,,29,,29,,,,,,, 170200,01-AUG-15,31-JUL-16,As Submitted,VIA CHRISTI HOSP. WICHITA ST. TERESA ,14800 W ST TERESA ,,WICHITA ,KS ,67235 ,SEDGWICK ,,,,,,,,,,39,14274,2699,167,4609,,152.4,,778,46,1679,,,,,19,,276 170201,01-JAN-15,31-DEC-15,As Submitted,BLUE VALLEY HOSPITAL INC ,12850 METCALF AVE ,,OVERLAND PARK ,KS ,66213 ,JOHNSON ,,,,,,,,,,4,1460,158,387,642,,14,,158,386,641,,,,,,, 170203,01-JAN-15,31-DEC-15,As Submitted,PREMIER SURGICAL INSTITUTE ,1619 K 66 ,127 ,GALENA ,KS ,66739 ,CHEROKEE ,,,,,,,,,,36,13140,1817,4,2812,,87.36,,731,2,1192,,,,,,, 171300,01-JAN-15,31-DEC-15,Settled,GRISELL MEMORIAL HOSPITAL DIST #1 ,210 S VERMONT ,,RANSOM ,KS ,67572- ,NESS ,,,,,,,,,,12,4380,238,,383,,46.28,,17,,20,,,,,,, 171301,01-OCT-14,30-SEP-15,Settled,GREAT PLAINS OF ELLINWOOD INC. ,605 NORTH MAIN ,,ELLINWOOD ,KS ,67526- ,BARTON ,,,,,,,,,,23,8941,1102,,2611,,52.67,,103,,141,12,,,,,, 171302,01-OCT-14,30-SEP-15,Settled,CAH ACQUISITION COMPANY #2 LLC ,800 BARKER DRIVE ,,OSWEGO ,KS ,67356 ,LABETTE ,,,,,,,,,,12,4380,1076,,1282,,34.59,,36,,44,,,,,,, 171303,01-JAN-15,31-DEC-15,Settled,LANE COUNTY HOSPITAL ,235 W VINE ,,DIGHTON ,KS ,67839- ,LANE ,,,,,,,,,,17,6205,166,,2918,,37.83,,29,,35,1,,,,,, 171304,01-JAN-15,31-DEC-15,Settled,ASHLAND HEALTH CENTER ,709 OAK STREET ,188 ,ASHLAND ,KS ,67831 ,CLARK ,,,,,,,,,,25,9026,627,,5663,,57.29,,52,,69,1,,,,,, 171306,01-JAN-15,31-DEC-15,Settled,WICHITA COUNTY HEALTH CENTER ,211 E EARL ,,LEOTI ,KS ,67861- ,WICHITA ,,,,,,,,,,25,9125,519,861,4745,,57.36,,51,,69,6,,,,,, 171307,01-JUL-15,30-JUN-16,Settled,RAWLINS COUNTY HEALTH CENTER ,707 GRANT ,,ATWOOD ,KS ,67730 ,RAWLINS ,,,,,,,,,,14,5124,1292,,1480,,52.57,,115,,139,2,,,,,, 171308,01-JUL-15,30-JUN-16,Settled,MERCY HOSPITAL COLUMBUS ,220 NORTH PENNSYLVANIA ,,COLUMBUS ,KS ,66725 ,CHEROKEE ,,,,,,,,,,20,7320,262,,356,,38.22,,14,,18,,,,,,, 171309,01-JAN-15,31-DEC-15,Settled,JEWELL COUNTY HOSPITAL ,100 CRESTVUE ,,MANKATO ,KS ,66956 ,JEWELL ,,,,,,,,,,24,8972,348,,7318,,57.15,,27,,31,,,,,,, 171310,01-JAN-15,31-DEC-15,Reopened,GREAT PLAINS OF CHEYENNE COUNTY INC ,210 W. FIRST STREET ,,ST. FRANCIS ,KS ,67756- ,CHEYENNE ,,,,,,,,,,16,5840,899,,1119,,69.9,,120,,181,9,,,,,, 171311,01-JAN-15,31-DEC-15,Settled,ROOKS COUNTY HEALTH CENTER ,1210 N. WASHINGTON ,,PLAINVILLE ,KS ,67663 ,ROOKS ,,,,,,,,,,16,5840,1954,10,2495,,117.18,,196,,321,22,,,,,, 171312,01-JAN-15,31-DEC-15,Settled,COMANCHE COUNTY HOSPITAL ,HC 65 ,8A ,COLDWATER ,KS ,67029 ,COMANCHE ,,,,,,,,,,12,4380,511,33,678,,46.76,,51,,59,1,,,,,, 171313,01-JUL-15,30-JUN-16,Settled,KEARNY COUNTY HOSPITAL ,500 THORPE STREET ,,LAKIN ,KS ,67860 ,KEARNY ,,,,,,,,,,25,9150,1415,208,2607,,183.86,,92,108,415,,,,,,, 171314,01-JAN-15,31-DEC-15,Settled,FW HUSTON MEMORIAL HOSPITAL ,408 DELAWARE ,,WINCHESTER ,KS ,66097 ,JEFFERSON ,,,,,,,,,,25,9125,929,,968,,47.49,,6,,8,,,,,,, 171315,01-JUL-15,30-JUN-16,Settled,NEMAHA VALLEY COMMUNITY HOSPITAL ,1600 COMMUNITY DRIVE ,,SENECA ,KS ,66538- ,NEMAHA ,,,,,,,,,,24,8784,921,,1252,,89.1,,99,,200,6,,,,,, 171316,01-JAN-15,31-DEC-15,As Submitted,ANDERSON COUNTY HOSPITAL ,421 SOUTH MAPLE ,309 ,GARNETT ,KS ,66032- ,ANDERSON ,,,,,,,,,,12,4380,1609,,1711,,126,,106,,125,,,,,,, 171317,01-JAN-15,31-DEC-15,Settled,EDWARDS COUNTY HOSPITAL ,620 W 6TH ,99 ,KINSLEY ,KS ,67547- ,EDWARDS ,,,,,,,,,,12,4380,809,,1581,,52.78,,45,,58,1,,,,,215, 171318,01-OCT-14,30-SEP-15,As Submitted,SEDAN CITY HOSPITAL ,300 W NORTH STREET ,C ,SEDAN ,KS ,67361 ,CHAUTAUQUA ,,,,,,,,,,17,6205,689,15,781,,41.42,,126,1,139,3,,,,,, 171319,01-APR-15,31-MAR-16,Settled,HOLTON COMMUNITY HOSPITAL ,1110 COLUMBINE DRIVE ,,HOLTON ,KS ,66436 ,JACKSON ,,,,,,,,,,12,4392,1249,17,1606,,85.74,,120,23,197,,,,,,, 171320,01-OCT-14,30-SEP-15,Settled,CAH ACQUISITION COMPANY #3 LLC ,240 WEST 18 TH STREET ,,HORTON ,KS ,66439 ,BROWN ,,,,,,,,,,15,5475,1139,,1313,,45.26,,149,,211,,,,,,, 171321,01-JAN-15,31-DEC-15,Settled,MEADE DISTRICT HOSPITAL ,510 E. CARTHAGE ,,MEADE ,KS ,67864-0820 ,MEADE ,,,,,,,,,,20,7300,964,,1399,,88.03,,170,,277,8,,,,,, 171322,01-JAN-15,31-DEC-15,Settled,HAMILTON COUNTY HOSPITAL ,700 N HUSER ST ,948 ,SYRACUSE ,KS ,67878- ,HAMILTON ,,,,,,,,,,25,9125,339,17,429,,63.09,,42,9,71,,,,,,, 171323,01-JAN-15,31-DEC-15,Settled,STAFFORD COUNTY HOSPITAL ,502 SOUTH BUCKEYE ,,STAFFORD ,KS ,67578 ,STAFFORD ,,,,,,,,,,25,9125,587,,1757,,38.72,,41,,54,1,,,,,, 171324,01-JAN-15,31-DEC-15,Settled,SATANTA DISTRICT HOSPITAL ,401 CHEYENNE ,159 ,SATANTA ,KS ,67870- ,HASKELL ,,,,,,,,,,13,4745,706,,1000,,88.62,,67,,103,2,,,,,, 171325,01-JAN-15,31-DEC-15,Settled,GRAHAM COUNTY HOSPITAL ,304 PROUT ,339 ,HILL CITY ,KS ,67642 ,GRAHAM ,,,,,,,,,,20,7300,1254,4,1589,,63.97,,170,2,235,7,,,,,, 171326,01-JAN-15,31-DEC-15,Settled,LOGAN COUNTY HOSPITAL ,211 CHERRY ,,OAKLEY ,KS ,67748 ,LOGAN ,,,,,,,,,,25,9125,1482,,1611,,68.22,,145,,179,5,,,,,, 171327,01-JUL-15,30-JUN-16,Settled,ELLSWORTH COUNTY MEDICAL CENTER ,1604 AYLWARD ,87 ,ELLSWORTH ,KS ,67439-0087 ,ELLSWORTH ,,,,,,,,,,19,6954,2065,,2336,,117.22,,386,,479,10,,,,,, 171328,01-OCT-14,30-SEP-15,Reopened,GREAT PLAINS OF OTTAWA COUNTY INC ,215 EAST EIGHTH ,290 ,MINNEAPOLIS ,KS ,67467- ,OTTAWA ,,,,,,,,,,25,9125,1276,,2484,,61.9,,101,,105,,,,,,, 171329,01-JAN-15,31-DEC-15,Settled,SUMNER COUNTY HOSPITAL DISTRICT #1 ,601 S. OSAGE ,,CALDWELL ,KS ,67022 ,SUMNER ,,,,,,,,,,25,9125,633,6,1231,,35.02,,79,2,150,,,,,,, 171330,01-MAY-15,30-APR-16,Settled,HOSPITAL DIST NO 1 OF RICE COUNTY ,619 S CLARK ,,LYONS ,KS ,67554 ,RICE ,,,,,,,,,,25,9150,1054,41,4754,,105.17,,144,,284,31,,,,,, 171331,01-JAN-15,31-DEC-15,Settled,KIOWA DISTRICT HOSPITAL ,1002 S. 4TH STREET ,184 ,KIOWA ,KS ,67070-0184 ,BARBER ,,,,,,,,,,10,3650,565,,660,,50.85,,64,,68,,,,,,, 171332,01-JAN-15,31-DEC-15,Settled,GREAT PLAINS OF KIOWA COUNTY INC. ,721 W. KANSAS ,,GREENSBURG ,KS ,67054- ,KIOWA ,,,,,,,,,,15,5475,387,,1587,,63.14,,41,,63,6,,,,,, 171333,01-JAN-15,31-DEC-15,As Submitted,CLARA BARTON HOSPITAL ASSOCIATION ,250 WEST NINTH ,,HOISINGTON ,KS ,67544 ,BARTON ,,,,,,,,,,17,6205,3055,17,3574,,139.39,,286,4,405,17,,,,,, 171334,01-JAN-15,31-DEC-15,Settled,MEDICINE LODGE MEMORIAL HOSPITAL ,710 N WALNUT ,DRAWER D ,MEDICINE LODGE ,KS ,67104 ,BARBER ,,,,,,,,,,23,8567,1307,,4526,,106.97,,142,,177,1,,,,,, 171335,01-JAN-15,31-DEC-15,Settled,STEVENS COUNTY HOSPITAL ,1006 S JACKSON ,,HUGOTON ,KS ,67951 ,STEVENS ,,,,,,,,,,17,6205,619,1,829,,84.57,,104,1,155,10,,,,,, 171336,01-JAN-15,31-DEC-15,Settled,NESS COUNTY HOSPITAL DISTRICT #2 ,312 CUSTER ,,NESS CITY ,KS ,67560- ,NESS ,,,,,,,,,,20,7300,559,9,755,,60.53,,69,,95,7,,,,,, 171337,01-OCT-14,30-SEP-15,Settled,WAMEGO HOSPITAL ASSOCIATION ,711 GLEN DRIVE ,,WAMEGO ,KS ,66547 ,POTTAWATOMIE ,,,,,,,,,,23,8395,1182,3,1349,,73.2,,94,6,207,6,,,,,, 171338,01-JAN-15,31-DEC-15,Settled,GREAT PLAINS OF SABETHA INC. ,14TH & OREGON ,229 ,SABETHA ,KS ,66534- ,NEMAHA ,,,,,,,,,,17,6205,1936,,2426,,95.31,,138,,245,14,,,,,, 171339,01-OCT-14,30-SEP-15,Settled,GREENWOOD COUNTY HOSPITAL ,100 WEST 16TH ,,EUREKA ,KS ,67045- ,GREENWOOD ,,,,,,,,,,25,9125,2135,,2368,,91.47,,273,,351,20,,,,,, 171340,01-JUL-15,30-JUN-16,Settled,HERINGTON MUNICIPAL HOSPITAL ,100 EAST HELEN ,,HERINGTON ,KS ,67449- ,DICKINSON ,,,,,,,,,,25,9150,1308,,1450,,54.45,,160,,197,8,,,,,, 171341,01-JAN-15,31-DEC-15,Settled,HIAWATHA COMMUNITY HOSPITAL ,300 UTAH ,,HIAWATHA ,KS ,66434- ,BROWN ,,,,,,,,,,25,9125,2807,44,3717,,178.04,,435,11,689,63,,,,,, 171342,01-JAN-15,31-DEC-15,Settled,RUSH COUNTY MEMORIAL HOSPITAL ,801 LOCUST ,,LACROSSE ,KS ,67548- ,RUSH ,,,,,,,,,,16,5840,936,,1077,,47.74,,86,,104,3,,,,,, 171343,01-JAN-15,31-DEC-15,Settled,STANTON COUNTY HOSPITAL ,404 NORTH CHESTNUT STREET ,779 ,JOHNSON ,KS ,67855- ,STANTON ,,,,,,,,,,16,5840,660,6,815,,59.9,,50,13,108,,,,,,, 171344,01-JAN-15,31-DEC-15,Settled,WILSON MEDICAL CENTER ,2600 OTTAWA ROAD ,360 ,NEODESHA ,KS ,66757- ,WILSON ,,,,,,,,,,15,5475,2152,12,2376,,106.48,,133,,173,7,,,,,, 171345,01-JUL-15,30-JUN-16,As Submitted,PAWNEE VALLEY COMMUNITY HOSPITAL ,923 CARROLL ,,LARNED ,KS ,67550- ,PAWNEE ,,,,,,,,,,18,6588,1684,,1950,,99.98,,101,,157,5,,,,,, 171346,01-JAN-15,31-DEC-15,Settled,ANTHONY MEDICAL CENTER ,1101 EAST SPRING STREET ,,ANTHONY ,KS ,67003- ,HARPER ,,,,,,,,,,25,9125,778,19,2826,,72.55,,128,7,179,,,,,,, 171347,01-JAN-15,31-DEC-15,Settled,SHERIDAN COUNTY HEALTH COMPLEX ,826 18TH STREET ,,HOXIE ,KS ,67740-0167 ,SHERIDAN ,,,,,,,,,,18,6570,758,,1293,,67.61,,65,,96,5,,,,,, 171348,01-JUL-15,30-JUN-16,Settled,NORTON COUNTY HOSPITAL ,102 E. HOLME ,250 ,NORTON ,KS ,67654-0250 ,NORTON ,,,,,,,,,,25,9150,1429,145,2863,,95.21,,173,1,279,36,,,,,, 171349,01-OCT-14,30-SEP-15,Settled,CLOUD COUNTY HEALTH CENTER ,1100 HIGHLAND DRIVE ,,CONCORDIA ,KS ,66901- ,CLOUD ,,,,,,,,,,22,8030,2009,4,2242,,119.88,,280,,346,14,,,,,, 171350,01-AUG-15,31-JUL-16,Settled,RUSSELL REGIONAL HOSPITAL ,200 SOUTH MAIN ,,RUSSELL ,KS ,67665- ,RUSSELL ,,,,,,,,,,20,7314,2009,,2227,,121.3,,187,,244,6,,,,,, 171351,01-JAN-15,31-DEC-15,Settled,WASHINGTON COUNTY HOSPITAL ,304 E. 3RD STREET ,,WASHINGTON ,KS ,66968 ,WASHINGTON ,,,,,,,,,,25,9125,639,9,2295,,38.72,,81,,119,12,,,,,, 171352,01-JAN-15,31-DEC-15,Settled,DECATUR COUNTY HOSPITAL ,810 WEST COLUMBIA ,,OBERLIN ,KS ,67749 ,DECATUR ,,,,,,,,,,21,7665,1177,,1321,,62.67,,68,,76,1,,,,,, 171353,01-APR-15,31-MAR-16,Settled,PHILLIPS COUNTY HOSPITAL ,1150 STATE ST ,607 ,PHILLIPSBURG ,KS ,67661- ,PHILLIPS ,,,,,,,,,,25,9150,1818,,1997,,92.9,,164,,198,2,,,,,, 171354,01-APR-15,31-MAR-16,As Submitted,COMMUNITY HEALTHCARE SYSTEM ,120 WEST EIGHTH STREET ,,ONAGA ,KS ,66521- ,POTTAWATOMIE ,,,,,,,,,,25,9150,2516,,3233,,364.27,,291,,476,38,,,,,, 171355,01-JAN-15,31-DEC-15,Settled,TREGO COUNTY LEMKE MEMORIAL HOSPITAL ,320 13TH STREET ,,WAKEENEY ,KS ,67672- ,TREGO ,,,,,,,,,,25,9125,4991,,5353,,122.45,,312,,402,11,,,,,, 171356,01-OCT-14,30-SEP-15,Settled,ST. LUKE HOSPITAL ,535 SOUTH FREEBORN ,,MARION ,KS ,66861- ,MARION ,,,,,,,,,,10,3650,858,,897,,59.26,,65,,82,,,,,,, 171357,01-OCT-14,30-SEP-15,Settled,CAH ACQUISITION COMPANY # 5 LLC ,701 SOUTH MAIN STREET ,,HILLSBORO ,KS ,67063 ,MARION ,,,,,,,,,,15,5475,605,2,755,,31.26,,102,2,136,,,,,,, 171358,01-OCT-14,30-SEP-15,Settled,LINDSBORG COMMUNITY HOSPITAL ,605 WEST LINCOLN ,,LINDSBORG ,KS ,64756- ,MCPHERSON ,,,,,,,,,,23,8395,1818,7,2037,,78.93,,190,2,234,,,,,,, 171359,01-JAN-15,31-DEC-15,Settled,GREELEY COUNTY HEALTH SERVICES ,506 THIRD STREET ,338 ,TRIBUNE ,KS ,67879- ,GREELEY ,,,,,,,,,,18,6570,1775,,1919,,67.27,,146,,189,8,,,,,, 171360,01-APR-15,31-MAR-16,Settled,LINCOLN COUNTY HOSPITAL ,624 NORTH SECOND ,467 ,LINCOLN ,KS ,67455- ,LINCOLN ,,,,,,,,,,11,4026,1432,,1515,,55.15,,85,,102,2,,,,,, 171361,01-OCT-14,30-SEP-15,Settled,GREAT PLAINS OF REPUBLIC CO. INC ,2420 G STREET ,,BELLEVILLE ,KS ,66935- ,REPUBLIC ,,,,,,,,,,25,9125,2829,45,3607,,113.84,,365,,577,62,,,,,, 171362,01-JAN-15,31-DEC-15,Settled,CITIZENS MEDICAL CENTER ,100 E. COLLEGE DRIVE ,,COLBY ,KS ,67701 ,THOMAS ,,,,,,,,,,19,6935,2726,111,3660,,168.79,,284,,567,60,,,,,, 171363,01-JAN-15,31-DEC-15,Settled,COMMUNITY MEMORIAL HEALTHCARE INC. ,708 NORTH 18TH STREET ,,MARYSVILLE ,KS ,66508- ,MARSHALL ,,,,,,,,,,23,8395,3477,50,4151,,127.85,,420,,609,45,,,,,, 171364,01-JAN-15,31-DEC-15,Settled,OSBORNE COUNTY MEMORIAL HOSPITAL ,424 W. NEW HAMPSHIRE ,70 ,OSBORNE ,KS ,67474- ,OSBORNE ,,,,,,,,,,24,8760,1186,,2466,,56.16,,124,,166,8,,,,,, 171365,01-JAN-15,31-DEC-15,Settled,HANOVER HOSPITAL ,205 S. HANOVER ,38 ,HANOVER ,KS ,66945 ,WASHINGTON ,,,,,,,,,,25,9125,1336,1678,6328,,47.64,,91,7,121,,,,,,, 171366,01-JAN-15,31-DEC-15,Settled,HARPER DISTRICT HOSPITAL ,700 W. 13 STREET ,,HARPER ,KS ,67058- ,HARPER ,,,,,,,,,,25,9125,896,74,3897,,74.99,,117,,149,1,,,,,, 171367,01-JAN-15,31-DEC-15,Settled,GOVE COUNTY MEDICAL CENTER ,520 WEST 5TH ,,QUINTER ,KS ,67752-0129 ,GOVE ,,,,,,,,,,21,7665,2652,18,3403,,123.62,,295,,558,31,,,,,, 171368,01-JAN-15,31-DEC-15,Settled,MINNEOLA DISTRICT HOSPITAL ,212 MAIN ST ,127 ,MINNEOLA ,KS ,67865 ,FORD ,,,,,,,,,,18,6570,1311,,1528,,75.13,,156,,211,14,,,,,, 171369,01-JAN-15,31-DEC-15,Settled,HODGEMAN COUNTY HEALTH CENTER ,809 WEST BRAMLEY ,310 ,JETMORE ,KS ,67854-0310 ,HODGEMAN ,,,,,,,,,,13,4745,1092,,1407,,52.11,,109,,220,25,,,,,, 171370,01-JAN-15,31-DEC-15,Settled,GOODLAND REGIONAL MEDICAL CENTER ,220 WEST 2ND STREET ,,GOODLAND ,KS ,67735- ,SHERMAN ,,,,,,,,,,22,7928,1303,45,1870,,103.87,,233,,399,53,,,,,, 171371,01-JAN-15,31-DEC-15,Settled,CLAY COUNTY MEDICAL CENTER ,617 LIBERTY ,512 ,CLAY CENTER ,KS ,67432- ,CLAY ,,,,,,,,,,19,6935,3025,,3772,,142.54,,307,,498,47,,,,,, 171372,01-JUL-15,30-JUN-16,Settled,SCOTT COUNTY HOSPITAL INC. ,201 E. ALBERT ,,SCOTT CITY ,KS ,67871 ,SCOTT ,,,,,,,,,,25,9150,3133,38,3771,,154.18,,303,25,491,,,,,,, 171373,01-JAN-15,31-DEC-15,Settled,ALLEN COUNTY HOSPITAL ,3066 N. KENTUCKY STREET ,,IOLA ,KS ,66749- ,ALLEN ,,,,,,,,,,25,9125,3097,,4030,,114.65,,410,91,690,,,,,,, 171374,01-JAN-15,31-DEC-15,Settled,FREDONIA REGIONAL HOSPITAL ,1527 MADISON ,579 ,FREDONIA ,KS ,66736- ,WILSON ,,,,,,,,,,25,9125,1303,,1429,,113.01,,229,,281,10,,,,,227, 171375,01-APR-15,31-MAR-16,Settled,MITCHELL CO HOSP HEALTH SYSTEMS ,400 W. 8TH ,,BELOIT ,KS ,67620- ,MITCHELL ,,,,,,,,,,18,6588,5147,54,6291,,214.12,,647,41,950,,,,,,196, 171376,01-JAN-15,31-DEC-15,Settled,HOSPITAL DISTRICT #1 CRAWFORD COUNTY ,302 NORTH HOSPITAL DRIVE ,,GIRARD ,KS ,66743-2000 ,CRAWFORD ,,,,,,,,,,22,8055,1427,97,1781,,115.85,,243,24,330,,,,5,,221, 171377,01-APR-15,31-MAR-16,Settled,GREAT PLAINS OF SMITH CO. INC ,614 SOUTH MAIN STREET ,349 ,SMITH CENTER ,KS ,66967- ,SMITH ,,,,,,,,,,16,5856,1729,13,2259,,89.11,,251,,387,16,,,,,, 171378,01-MAY-15,30-APR-16,Settled,NINNESCAH VALLEY HEALTH SYSTEMS ,750 AVENUE D WEST ,376 ,KINGMAN ,KS ,67068 ,KINGMAN ,,,,,,,,,,25,9150,2600,1,2911,,108.56,,273,1,320,12,,,,,, 171379,01-JAN-15,31-DEC-15,Settled,MORRIS COUNTY HOSPITAL ,600 NORTH WASHINGTON ,,COUNCIL GROVE ,KS ,66846- ,MORRIS ,,,,,,,,,,25,9125,1005,17,1287,,78.31,,146,4,203,6,,,,,, 171380,01-JAN-15,31-DEC-15,Settled,NEOSHO MEMORIAL REGIONAL MED CTR ,629 SOUTH PLUMMER ,,CHANUTE ,KS ,66720- ,NEOSHO ,,,,,,,,,,22,8030,4933,1,7774,,320.13,,862,,1617,274,,,,,, 171381,01-JAN-15,31-DEC-15,Settled,MEMORIAL HOSPITAL - ABILENE ,511 NORTHEAST TENTH STREET ,,ABILENE ,KS ,67410-2100 ,DICKINSON ,,,,,,,,,,20,7300,2741,,3305,,151.94,,287,,433,67,,,,,134, 171382,01-OCT-14,30-SEP-15,Settled,ATCHISON HOSPITAL ASSOCIATION ,800 RAVEN HILL DRIVE ,,ATCHISON ,KS ,66002-1297 ,ATCHISON ,,,,,,,,,,25,9125,2514,10,3574,,178.64,,500,1,1133,172,,,,,, 171383,01-JAN-15,31-DEC-15,Settled,WILLIAM NEWTON MEMORIAL HOSPITAL ,1300 EAST FIFTH ,,WINFIELD ,KS ,67156 ,COWLEY ,,,,,,,,,,22,7997,2082,222,3726,,220.14,,477,1,976,153,,,,,, 171384,01-JAN-15,31-DEC-15,As Submitted,NEWMAN REGIONAL HEALTH ,1201 W. 12TH AVE ,,EMPORIA ,KS ,66801- ,LYON ,,,,,,,,,,22,8080,4127,413,7491,,392,,970,11,1913,246,,,,,,85 172003,01-JUN-15,31-MAY-16,As Submitted,LTAC HOSPITAL OF WICHITA ,8080 EAST PAWNEE ,,WICHITA ,KS ,67207 ,SEDGWICK ,,,,,,,,,,26,9490,5141,,6466,,52.85,,204,,257,9,,,,,, 172004,01-JUN-15,31-MAY-16,Amended,PROMISE HOSPITAL OF OVERLAND PARK ,6509 W 103RD STREET ,,OVERLAND PARK ,KS ,66212 ,JONHSON ,,,,,,,,,,56,20440,5878,,9904,,91.66,,244,,374,32,,,,,, 172005,01-NOV-14,31-OCT-15,Settled,SSH - KANSAS CITY ,1731 NORTH 90TH STREET ,,KANSAS CITY ,KS ,66112 ,WYANDOTTE ,,,,,,,,,,40,14600,7036,270,11975,,118.5,,250,5,386,35,,,,,, 172006,01-JAN-15,13-MAR-15,Settled,SSH - TOPEKA ,1700 SW 7TH STREET SUITE 840 ,,TOPEKA ,KS ,66606 ,SHAWNEE ,,,,,,,,,,34,2448,1125,,1284,,27.57,,45,,58,1,,,,,, 172007,01-JAN-15,31-DEC-15,Settled,SSH - WICHITA INC. ,929 N ST FRANCIS ST. 6TH FL. ,,WICHITA ,KS ,67214 ,SEDGWICK ,,,,,,,,,,48,17520,11182,,15247,,128.65,,434,,571,3,,,,,, 173025,01-JAN-15,31-DEC-15,Amended,KANSAS REHABILITATION HOSPITAL ,1504 SW 8TH STREET ,,TOPEKA ,KS ,66606 ,SHAWNEE ,,,,,,,,,,57,21413,11276,31,14562,,133.96,,965,3,1265,55,,,,,, 173026,01-JAN-15,31-DEC-15,Amended,MID AMERICA REHABILITATION HOSPITAL ,5701 WEST 110TH STREET ,,OVERLAND PARK ,KS ,66211 ,JOHNSON ,,,,,,,,,,98,35770,16417,,24556,,224.72,,1317,,1980,229,,,,,, 173027,01-JAN-15,31-DEC-15,Amended,WESLEY REHABILITATION HOSPITAL AN A ,8338 WEST 13TH STREET ,,WICHITA ,KS ,67212 ,SEDGEWICK ,,,,,,,,,,65,23725,9031,26,13873,,139.38,,684,3,1050,61,,,,,, 173028,01-OCT-14,30-SEP-15,As Submitted,VIA CHRISTI REHAB CENTER INC ,1151 N. ROCK ROAD ,,WICHITA ,KS ,67206- ,SEDGWICK ,,,,,,,,,,58,21170,5087,1591,9924,,188,,444,84,816,,,,,,, 173032,24-MAR-15,31-DEC-15,As Submitted,REHABILITATION HOSP OF OVERLAND PARK ,5100 INDIAN CREEK PARKWAY ,,OVERLAND PARK ,KS ,66207 ,JOHNSON ,,,,,,,,,,45,12735,3923,,5799,,108.31,,308,,427,11,,,,,, 173033,01-JUL-15,31-DEC-15,As Submitted,MEADOWBROOK REHABILITATION HOSPITAL ,427 W MAIN STREET ,,GARDNER ,KS ,66030-1197 ,JOHNSON ,,,,,,,,,,54,9936,444,3865,6284,,97.41,,36,38,124,,,,,,, 173300,01-JUL-15,30-JUN-16,Settled,CHILDRENS MERCY SOUTH ,5808 WEST 110TH ,,OVERLAND PARK ,KS ,66211 ,JOHNSON ,,,,,,,,,,50,18300,,365,5538,,1795,,,130,2211,816,,,,,, 174004,01-JUL-15,21-DEC-15,Settled,OSAWATOMIE STATE HOSPITAL ,500 STATE HOSPITAL DRIVE ,,OSAWATOMIE ,KS ,66064 ,MIAMI ,,,,,,,,,,146,25258,2371,769,24917,,483.1,,122,23,606,,,,,,, 174006,01-JUL-15,30-JUN-16,Settled,LARNED STATE HOSPITAL ,1301 KS HWY 264 ,,LARNED ,KS ,67550-9365 ,PAWNEE ,,,,,,,,,,99,36234,3243,1298,31446,,924.5,,172,45,822,,,,,,, 174016,01-JUL-15,30-JUN-16,Settled,PRAIRIE VIEW INC. ,1901 EAST FIRST ,467 ,NEWTON ,KS ,67114-0467 ,HARVEY ,,,,,,,,,,60,21960,1196,,4916,,322.8,,154,,841,,,,,,, 180001,01-JAN-15,31-DEC-15,Settled,ST ELIZABETH FT THOMAS ,85 NORTH GRAND AVENUE ,,FT. THOMAS ,KY ,41075-1793 ,CAMPBELL ,,,,573477,,,.1246,,,137,50005,12983,432,31843,,638.39,,2751,82,7350,1020,,,,,, 180002,01-JUL-15,30-JUN-16,As Submitted,WHITESBURG ARH ,240 HOSPITAL ROAD ,,WHITESBURG ,KY ,41858- ,LETCHER ,,,,218803,,,.12,,,90,32940,6607,375,14187,,309.27,,1376,1100,3381,,,,,,, 180004,01-OCT-14,30-JUN-15,As Submitted,MUHLENBERG COMMUNITY HOSPITAL ,440 HOPKINSVILLE STREET ,387 ,GREENVILLE ,KY ,42345- ,MUHLENBERG ,,,,90249,,,.1065,,,47,17155,3011,79,4948,,231.81,,674,14,1125,174,,,,,, 180004,01-JUL-15,31-MAY-16,As Submitted,MUHLENBERG COMMUNITY HOSPITAL ,440 HOPKINSVILLE STREET ,387 ,GREENVILLE ,KY ,42345- ,MUHLENBERG ,,,,104917,,,.12,,,47,17202,3251,511,5515,,330.35,,647,,1132,452,,,,,, 180005,01-JUL-15,30-JUN-16,Amended,HIGHLANDS REGIONAL MEDICAL CENTER ,U.S. 23 NORTH ,668 ,PRESTONSBURG ,KY ,41653- ,FLOYD ,,,,693273,,,.2624,,,127,46482,8697,318,19270,,355.86,,1779,1535,4441,,,,,,172, 180009,01-OCT-14,30-SEP-15,Settled,KINGS DAUGHTERSMEDICAL CENTER ,2201 LEXINGTON AVENUE ,151 ,ASHLAND ,KY ,41101-0151 ,BOYD ,,,,2717954,,,.2198,,,461,168265,29882,810,65530,,2490.2,,6393,512,14270,4437,,,,,, 180010,01-JUL-15,30-JUN-16,Amended,SAINT JOSEPH HOSPITAL ,ONE SAINT JOSEPH HOSPITAL DRIVE ,,LEXINGTON ,KY ,40504- ,FAYETTE ,254905,,,1313378,,,.0906,74148,26330,258,94428,30271,658,67620,2.19,1250.88,,5613,89,12654,,,,,,, 180011,01-JUL-15,30-JUN-16,Amended,ST JOSEPH HOSPITAL LONDON ,1001 SAINT JOSEPH LANE ,,LONDON ,KY ,40741- ,LAUREL ,,,,1464620,,,.3621,,,150,54900,9219,463,22308,,564.97,,1966,121,5380,1962,,,,,, 180012,01-JUL-15,30-JUN-16,As Submitted,HARDIN MEMORIAL HOSPITAL ,913 NORTH DIXIE AVENUE ,,ELIZABETHTOWN ,KY ,42701 ,HARDIN ,,,,1410730,,,.1469,,,270,98820,24809,2058,54161,,1920.9,,4912,2417,12695,,,,364,,636, 180013,01-APR-15,31-MAR-16,Amended,THE MEDICAL CENTER ,250 PARK STREET ,90010 ,BOWLING GREEN ,KY ,42102-9010 ,WARREN ,224018,,,2567936,,,.2012,,,301,110166,37101,1571,85333,2.25,1702.24,,6171,267,15894,,,,,,229, 180016,01-JUL-15,30-JUN-16,Amended,JEWISH HOSPITAL SHELBYVILLE ,727 HOSPITAL DRIVE ,,SHELBYVILLE ,KY ,40065 ,SHELBY ,,,,55765,,,.0801,,,30,10980,1529,35,3111,,132.87,,500,11,990,194,,,,,, 180017,01-OCT-14,30-SEP-15,Settled,T.J. SAMSON COMMUNITY HOSPITAL ,1301 NORTH RACE STREET ,,GLASGOW ,KY ,42141-3483 ,BARREN ,774271,,,958665,,,.2508,253592,214168,119,43433,8638,416,19988,10.89,903.96,,2238,108,5603,1488,,,,,, 180018,01-JUL-15,30-JUN-16,Amended,ST. CLAIRE MEDICAL CENTER ,222 MEDICAL CIRCLE ,,MOREHEAD ,KY ,40351- ,ROWAN ,659682,,,866489,,,.2951,205880,155770,91,33306,6905,228,16308,8.55,847.26,,1684,65,4064,,,,,,631,90 180019,01-DEC-14,30-NOV-15,Amended,MEADOWVIEW REGIONAL MEDICAL CENTER ,999 WEST HIGHWAY 10 ,,MAYSVILLE ,KY ,41056- ,MASON ,,,,231647,,,.12,,,100,36500,3642,68,8074,,331.02,,1119,18,2505,944,,,,,, 180020,01-JUL-15,30-JUN-16,As Submitted,MIDDLESBORO ARH ,3600 WEST CUMBERLAND AVE. ,340 ,MIDDLESBORO ,KY ,40965- ,BELL ,,,,147256,,,.12,,,73,26718,4812,151,9412,,283.9,,768,28,1842,635,,,,,, 180021,01-JUL-15,30-JUN-16,As Submitted,PINEVILLE COMMUNITY HOSPITAL ,850 RIVERVIEW AVENUE ,,PINEVILLE ,KY ,40977 ,BELL ,,,,125591,,,.12,,,98,38060,3724,179,6633,,245.64,,864,33,1814,385,,,,,145, 180024,01-OCT-14,30-SEP-15,Settled,SPRING VIEW HOSPITAL ,320 LORETTO ROAD ,,LEBANON ,KY ,40333 ,MARION ,,,,99930,,,.12,,,75,27375,2199,116,5324,,194.33,,539,18,1440,618,,,,,, 180025,01-JUL-15,30-JUN-16,As Submitted,ST. JOE. - FLAGET ,4305 NEW SHEPARDSVILLE RD ,,BARDSTOWN ,KY ,40004 ,NELSON ,,,,191556,,,.12,,,40,14640,3253,40,7287,,245.94,,811,13,1963,530,,,,,, 180027,01-OCT-14,30-SEP-15,Amended,MURRAY CALLOWAY COUNTY HOSPITAL ,803 POPLAR STREET ,,MURRAY ,KY ,42071 ,CALLOWAY ,,,,257191,,,.1052,,,128,46720,9247,269,19314,,781.61,,1721,1253,4083,,,,,,,78 180029,01-JUL-15,30-JUN-16,As Submitted,HAZARD ARH ,100 MEDICAL CENTER DR ,,HAZARD ,KY ,41701- ,PERRY ,521197,,,2220398,,,.2756,160167,67097,202,73932,22269,1618,44383,12.28,988.99,,4086,283,8965,3246,,,1594,73,2480,377 180035,01-JAN-15,31-DEC-15,Amended,ST ELIZABETH HEALTHCARE ,1 MEDICAL VILLAGE DRIVE ,,EDGEWOOD ,KY ,41017-3403 ,KENTON ,1931108,,,2616148,,,.1578,728147,277145,472,172280,40093,1438,122345,23.9,3390.82,,7982,289,31329,13384,,,7,,507, 180036,01-SEP-15,31-AUG-16,As Submitted,OUR LADY OF BELLEFONTE ,ST CHRISTOPHER DRIVE ,,ASHLAND ,KY ,41101 ,GREENUP ,468515,,,1063838,,,.1897,161477,84532,135,49410,13781,154,30007,6.07,816.47,,3009,169,6985,1640,,,12,,250, 180038,01-JUN-15,31-MAY-16,As Submitted,OWENSBORO HEALTH REGIONAL HOSPITAL ,1201 PLEASANT VALLEY ROAD ,20007 ,OWENSBORO ,KY ,42304 ,DAVIESS ,,,,2227845,,,.1743,,,434,158844,32979,5848,79688,,2398.28,,6669,227,16770,4603,,,,55,,426 180040,01-JUL-15,30-JUN-16,Amended,JEWISH HOSPITAL & ST MARYS HEALTH ,217 EAST CHESTNUT ,,LOUISVILLE ,KY ,40202 ,JEFFERSON ,2687881,,,7928603,,,.3194,808581,266993,708,259128,54443,3665,183536,61.6,3657.02,,10411,606,32898,11737,,,,24,,1696 180043,01-OCT-14,30-SEP-15,Amended,MANCHESTER MEMORIAL HOSPITAL ,210 MARIE LANGDON DRIVE ,,MANCHESTER ,KY ,40962- ,CLAY ,,,,626320,,,.5129,,,63,22995,3119,277,7353,,370.17,,824,82,2111,,,,,,, 180044,01-OCT-14,30-SEP-15,Settled w/Audit,PIKEVILLE MEDICAL CENTER ,911 BYPASS ROAD ,,PIKEVILLE ,KY ,41501 ,PIKE ,1623624,,,2681045,,,.2274,426857,204527,211,77015,30689,1254,66289,12.91,2347.11,,5810,186,12828,,,,,5,,519 180045,01-JAN-15,31-DEC-15,As Submitted,ST. ELIZABETH FLORENCE ,4900 HOUSTON ROAD ,,FLORENCE ,KY ,41042-4824 ,BOONE ,,,,896362,,,.1606,,,153,55845,14017,760,37771,,694.21,,3246,104,10059,1216,,,,,, 180046,01-JUN-15,31-MAY-16,Amended,BOURBON COMMUNITY HOSPITAL ,9 LINNVILLE DRIVE ,,PARIS ,KY ,40361 ,BOURBON ,,,,57270,,,.12,,,34,12444,1363,23,4148,,174.8,,338,5,1044,412,,,5,,1559, 180048,01-OCT-14,30-SEP-15,Amended,EPHRAIM MCDOWELL REG MED CTR ,217 3RD STREET ,,DANVILLE ,KY ,40422- ,BOYLE ,,,,1278667,,,.2187,,,170,62050,14925,621,31238,,882.32,,3031,121,6194,1686,,,,,188, 180049,01-SEP-15,31-AUG-16,As Submitted,BAPTIST HEALTH RICHMOND ,801 EASTERN BYPASS ,1600 ,RICHMOND ,KY ,40476-2603 ,MADISON ,,,,590725,,,.2768,,,73,26718,4688,208,12944,,731.24,,1118,41,3697,1301,,,,,, 180050,01-JUL-15,30-JUN-16,As Submitted,HARLAN ARH ,81 BALL PARK ROAD ,,HARLAN ,KY ,40831- ,HARLAN ,,,,644993,,,.2947,,,73,26718,6375,607,14256,,346.14,,1716,181,4212,1675,,,498,,728, 180051,01-JAN-15,31-DEC-15,Amended,JENNIE STUART MEDICAL CENTER ,320 WEST 18TH STREET ,,HOPKINSVILLE ,KY ,42240-6315 ,CHRISTIAN ,,,,487580,131878,,.2322,,,194,70810,8869,277,19158,,758.58,,2005,51,4819,1428,,,,,, 180053,01-AUG-15,31-JUL-16,Amended,FLEMING COUNTY HOSPITAL ,920 ELIZABETH AVE ,338 ,FLEMINGSBURG ,KY ,41041 ,FLEMING ,,,,120942,,,.2024,,,52,19032,2188,86,3965,,175.66,,474,16,1014,,,,,,, 180056,01-JUL-15,30-JUN-16,As Submitted,METHODIST HOSPITAL ,1305 NORTH ELM STREET ,,HENDERSON ,KY ,42420- ,HENDERSON ,253342,,,639079,,,.2568,172282,111745,121,44286,6964,187,18870,8.36,910.39,,1492,40,4653,,,,,,, 180064,01-JUL-15,30-JUN-16,As Submitted,SAINT JOSEPH MOUNT STERLING ,STERLING AVENUE ,,MT. STERLING ,KY ,40353 ,MONTGOMERY ,,,,151205,,,.12,,,42,15372,3266,38,7749,,212.87,,710,10,1773,453,,,,,, 180066,01-MAR-15,29-FEB-16,Amended,LOGAN MEMORIAL HOSPITAL ,1625 NASHVILLE STREET ,,RUSSELLVILLE ,KY ,42276 ,LOGAN ,,,,92060,,,.1113,,,75,27450,2818,93,4355,,160.61,,566,18,935,,,,,,, 180067,01-JUL-15,30-JUN-16,As Submitted,UNIVERSITY HOSPITAL ,800 ROSE STREET ,,LEXINGTON ,KY ,40536- ,FAYETTE ,16840169,,,8036366,,,.3361,5394429,2168876,829,303414,61952,7231,255080,484.7,6060.63,,8480,13783,37789,,,,1049,,1324, 180069,01-JUL-15,30-JUN-16,As Submitted,TUG VALLEY ARH ,260 HOSPITAL DRIVE ,,SOUTH WILLIAMSON ,KY ,41503- ,PIKE ,,,,379591,,,.2421,,,88,32208,4462,62,8459,,280.51,,1135,14,2304,774,,,,,, 180070,01-JUL-15,30-JUN-16,As Submitted,TWIN LAKES REGIONAL MEDICAL CENTER ,910 WALLACE AVENUE ,,LEITCHFIELD ,KY ,42754 ,GRAYSON ,,,,402110,,,.2722,,,75,27450,4962,32,9804,,314.6,,1012,,2544,1362,,,,,, 180078,01-OCT-14,30-SEP-15,As Submitted,PAUL B. HALL REGIONAL MEDICAL CENTER ,PAUL B. HALL REGIONAL MEDICAL CENTE ,1848 ,PAINTSVILLE ,KY ,41240 ,JOHNSON ,,,,146479,,,.12,,,72,26280,3437,508,6504,,193.02,,811,121,1850,,,,,,, 180079,01-OCT-14,30-SEP-15,Settled,HARRISON MEMORIAL HOSPITAL ,1210 KY HIGHWAY 36 E ,,CYNTHIANA ,KY ,41031 ,HARRISON ,,,,146852,,,.1796,,,61,22265,2607,105,5328,,290.71,,620,14,1138,197,,,,,, 180080,01-SEP-15,31-AUG-16,As Submitted,BAPTIST HEALTH CORBIN ,1 TRILLIUM WAY ,,CORBIN ,KY ,40701- ,WHITLEY ,,,,1797082,,,.3505,,,248,90768,16096,942,43656,,1011.96,,3125,165,9995,,,,,6,,328 180087,01-JUL-15,30-JUN-16,As Submitted,TAYLOR REGIONAL HOSPITAL ,1700 OLD LEBANON ROAD ,,CAMPBELLSVILLE ,KY ,42718- ,TAYLOR ,,,,349510,,,.1793,,,90,32940,5737,142,11008,,513.3,,1196,45,2970,898,,,,,, 180088,01-JAN-15,31-DEC-15,Amended,NORTON HOSPITALS INC ,200 E. CHESTNUT ST ,,LOUISVILLE ,KY ,40202- ,JEFFERSON ,8786193,,,10543464,,,.2657,2632563,1318288,1362,497130,97605,5801,369644,162.76,7354.02,,17508,876,68639,24250,,,,,, 180092,01-MAY-15,30-APR-16,Amended,CLARK REGIONAL MEDICAL CENTER ,1107 LEXINGTON AVENUE ,,WINCHESTER ,KY ,40392 ,CLARK ,,,,172278,,,.12,,,54,19764,3031,91,9232,,423.31,,927,25,2882,1519,,,,,, 180093,01-SEP-15,31-AUG-16,As Submitted,BAPTIST HEALTH MADISONVILLE ,900 HOSPITAL DRIVE ,,MADISONVILLE ,KY ,42431 ,HOPKINS ,1390544,,,909499,,,.1638,510928,285082,154,56364,16611,452,36758,17.15,1116.52,,2789,69,7783,2303,205,,100,1,401,201 180095,01-OCT-14,30-SEP-15,Settled,CRITTENDEN COUNTY HOSPITAL INC. ,HIGHWAY 60 ,386 ,MARION ,KY ,42064- ,CRITTENDEN ,,,,77987,,,.1159,,,48,17520,3615,40,5623,,142.09,,536,5,1002,157,,,,,, 180101,01-MAR-15,29-FEB-16,Amended,GEORGETOWN COMMUNITY HOSPITAL ,1140 LEXINGTON RD ,,GEORGETOWN ,KY ,40324 ,SCOTT ,,,,122041,,,.12,,,75,27450,2256,71,6496,,342,,614,15,1992,760,,,,,, 180102,01-JAN-15,31-DEC-15,Amended,MERCY HEALTH LOURDES HOSPITAL LLC ,1530 LONE OAK ROAD ,7100 ,PADUCAH ,KY ,42003 ,MCCRACKEN ,,,,897689,,,.1064,,,275,100375,23505,165,44766,,826.11,,4189,38,10303,,,,,,,391 180103,01-SEP-15,31-AUG-16,As Submitted,BAPTIST HEALTH LEXINGTON ,1740 NICHOLASVILLE RD ,,LEXINGTON ,KY ,40503 ,FAYETTE ,150328,,,1682967,,,.1197,18392,7980,360,131760,30492,607,93043,2.01,2162,,5900,135,21362,4076,,,,,, 180104,01-SEP-15,31-AUG-16,As Submitted,BAPTIST HEALTH PADUCAH ,2501 KENTUCKY AVENUE ,,PADUCAH ,KY ,42003- ,MCCRACKEN ,,,,1343630,,,.1373,,,271,99186,23824,318,55527,,1369.56,,4648,69,12401,2083,,,,,, 180105,01-MAR-15,29-FEB-16,As Submitted,MONROE COUNTY MEDICAL CENTER ,529 CAPP HARLAN ROAD ,,TOMPKINSVILLE ,KY ,42178 ,MONROE ,,,,198051,,,.2372,,,49,17934,4339,160,7016,,182.77,,782,32,1440,,,,,,, 180106,01-SEP-15,31-MAR-16,As Submitted,CLINTON COUNTY HOSPITAL ,723 BURKESVILLE ROAD ,,ALBANY ,KY ,42602 ,CLINTON ,,,,75002,,,.275,,,38,8094,1224,,1839,,120.05,,264,,399,120,,,,,, 180115,01-NOV-14,31-OCT-15,Amended,ROCKCASTLE HOSPT. & RESPIR CARE CTR ,145 NEWCOMB AVENUE ,,MT VERNON ,KY ,40456 ,ROCKCASTLE ,,,,91514,,,.1618,,,26,9490,2221,357,3478,,350.4,,532,21,857,107,,,,,, 180116,01-MAR-15,29-FEB-16,Amended,JACKSON PURCHASE MEDICAL CENTER ,1099 MEDICAL CENTER CIRCLE ,,MAYFIELD ,KY ,42066- ,GRAVES ,,,,442244,,,.1712,,,107,39162,9267,239,16736,,454.84,,1533,54,3384,,,,,,243, 180124,01-OCT-14,30-SEP-15,Amended,GREENVIEW REGIONAL ,1802 ASHLEY CIRCLE ,,BOWLING GREEN ,KY ,42101 ,WARREN ,,,,274677,,,.0673,,,186,67890,11820,76,22004,,417.5,,2208,14,4507,702,,,,,, 180127,01-AUG-15,31-JUL-16,Amended,FRANKFORT REGIONAL ,299 KINGS DAUGHTERS DRIVE ,,FRANKFORT ,KY ,40601 ,FRANKLIN ,,,,572416,,,.1875,,,111,40224,8210,207,24014,,487.26,,1656,18,5269,1794,,,,,255, 180128,01-APR-15,31-MAR-16,As Submitted,THREE RIVERS MEDICAL CENTER ,THREE RIVERS MEDICAL CENTER ,769 ,LOUISA ,KY ,41230- ,LAWRENCE ,,,,120726,,,.12,,,65,23790,2666,91,5709,,210.86,,766,572,1827,,,,,,737, 180130,01-SEP-15,31-AUG-16,Amended,BAPTIST HEALTH LOUISVILLE ,4000 KRESGE WAY ,,LOUISVILLE ,KY ,40207-4676 ,JEFFERSON ,,,,,,,,,,468,171288,56107,2173,129295,,2732.32,,10277,221,28120,,172,,4,2,637,323 180132,01-JAN-15,31-DEC-15,Settled,LAKE CUMBERLAND REGIONAL HOSP ,305 LANGDON ST ,,SOMERSET ,KY ,42501 ,PULASKI ,819225,,,2540410,,,.2906,361351,132275,258,94170,21063,1220,46829,10.75,1066.77,,4498,363,10404,,19,,20,3,235,249 180138,01-SEP-15,31-AUG-16,As Submitted,BAPTIST HEALTH LAGRANGE ,1025 NEW MOODY LANE ,,LAGRANGE ,KY ,40031- ,OLDHAM ,,,,109355,,,.12,,,90,32940,2347,329,7738,,359.62,,488,124,2296,818,,,,,, 180139,01-SEP-15,31-AUG-16,As Submitted,KENTUCKY RIVER MEDICAL CENTER ,400 JETT DRIVE ,,JACKSON ,KY ,41339 ,BREATHITT ,,,,118362,,,.12,,,49,17934,2301,375,5706,,188.61,,784,1157,2281,,,,,,, 180141,01-JUL-15,30-JUN-16,Amended,UNIVERSITY OF LOUISVILLE HOSPITAL ,530 SOUTH JACKSON STREET ,,LOUISVILLE ,KY ,40202 ,JEFFERSON ,11397550,,,3163189,,,.343,3020575,1771645,333,121878,22416,2159,96899,251.68,1872.09,,3919,388,17049,6838,,,,,, 180143,01-JUL-15,30-JUN-16,Amended,SAINT JOSEPH EAST ,150 N. EAGLE CREEK DRIVE ,,LEXINGTON ,KY ,40509- ,FAYETTE ,,,,1458606,,,.2914,,,164,60024,8592,429,41940,,743.23,,2277,110,9109,4771,,,,,, 180149,01-JUL-15,10-FEB-16,As Submitted,WESTLAKE REGIONAL HOSPITAL ,901 WESTLAKE DRIVE ,1269 ,COLUMBIA ,KY ,42728- ,ADAIR ,,,,18449,,,.1415,,,49,11025,749,20,1045,,80.26,,122,6,224,40,,,,,, 180152,14-SEP-15,31-JAN-16,As Submitted,CONTINUECARE HOSPITAL MADISONVILLE ,900 HOSPITAL DR ,,MADISONVILLE ,KY ,42431 ,HOPKINS COUNTY ,,,,,,,,,,35,4900,355,,417,,16.13,,13,,14,,,,,,, 180153,12-SEP-15,31-JAN-16,Settled,CONTINUECARE HOSPITAL AT BAPTIST HEA ,2501 KENTUCKY AVE ,,PADUCAH ,KY ,42003-3813 ,MCCRACKEN ,,,,,,,,,,37,5254,267,,530,,14.59,,11,,15,,,,,,, 181301,01-JAN-15,31-DEC-15,Amended,MARCUM & WALLACE MEMORIAL HOSPITAL ,60 MERCY COURT ,,IRVINE ,KY ,40336-0928 ,ESTILL ,,,,,,,,,,25,9125,3028,46,5102,,107.28,,474,20,886,,,,,,, 181302,01-OCT-14,30-SEP-15,Settled,JAMES B HAGGIN MEMORIAL HOSPITAL ,464 LINDEN AVENUE ,,HARRODSBURG ,KY ,40330 ,MERCER ,,,,,,,,,,25,9125,1928,494,2836,,186.1,,307,51,484,,,,,,, 181304,01-MAY-15,30-APR-16,Amended,TRIGG COUNTY HOSPITAL ,MAIN STREET HWY 68 ,,CADIZ ,KY ,42211- ,TRIGG ,,,,,,,,,,25,9150,1758,,2768,,133.76,,121,,182,18,,,,,, 181305,01-JUL-15,30-JUN-16,Settled,ST. JOSEPH MARTIN ,MAIN STEET RR 1428 ,910 ,MARTIN ,KY ,41649- ,FLOYD ,,,,,,,,,,25,9150,2381,3,3753,,108.56,,337,1,732,168,,,,,, 181306,01-JUL-15,30-JUN-16,Settled,METHODIST HOSPITAL UNION COUNTY ,4606 US HIGHWAY 60 EAST ,,MORGANFIELD ,KY ,42437- ,UNION ,,,,,,,,,,25,9150,2561,333,4448,,116.58,,236,1,383,37,,,,,, 181307,01-JUL-15,30-JUN-16,As Submitted,MORGAN CO. ARH ,476 LIBERTY ROAD ,579 ,WEST LIBERTY ,KY ,41472- ,MORGAN ,,,,,,,,,,25,9150,814,7,1317,,90.92,,129,2,215,27,,,,,, 181308,01-MAR-15,29-FEB-16,As Submitted,BLUEGRASS COMMUNITY HOSPITAL ,360 AMSDEN AVENUE ,,VERSAILLES ,KY ,40383- ,WOODFORD ,,,,,,,,,,25,9150,735,40,1722,,93.84,,121,82,321,,,,,,, 181309,01-JUL-15,30-JUN-16,As Submitted,CASEY COUNTY HOSPITAL ,187 WOOLFORD ,,LIBERTY ,KY ,42539- ,CASEY ,,,,,,,,,,24,8784,4618,1806,7153,,168.94,,444,20,636,65,,,,,, 181310,01-JAN-15,31-DEC-15,Settled,CARROLL COUNTY MEMORIAL HOSP ,309 ELEVENTH ST ,,CARROLLTON ,KY ,41008- ,CARROLL ,,,,,,,,,,25,9125,1284,167,2235,,113.7,,335,5,605,,,,,,, 181311,01-JAN-15,31-DEC-15,Settled,ST ELIZABETH - GRANT COUNTY ,238 BARNES ROAD ,,WILLIAMSTOWN ,KY ,41097-9482 ,GRANT ,,,,,,,,,,15,5475,293,12,740,,92.34,,112,2,275,56,,,,,, 181312,01-JAN-15,31-JAN-16,As Submitted,NEW HORIZONS HEALTH SYSTEM ,330 ROLAND AVENUE ,,OWENTON ,KY ,40359- ,OWEN ,,,,,,,,,,25,9900,414,35,620,,53.35,,60,7,96,,,,,,, 181314,01-JUL-15,31-DEC-15,As Submitted,CAVERNA MEMORIAL HOSPITAL ,1501 S. DIXIE STREET ,120 ,HORSE CAVE ,KY ,42749 ,HART ,,,,,,,,,,25,4600,426,104,682,,104.81,,93,38,178,29,,,,,, 181315,01-OCT-14,30-SEP-15,Settled,FORT LOGAN HOSPITAL ,110 METKER TRAIL ,,STANFORD ,KY ,40484- ,LINCOLN ,,,,,,,,,,25,9125,488,17,2893,,123.36,,133,4,1036,,,,,,, 181316,01-JUL-15,30-JUN-16,As Submitted,MARY BRECKINRIDGE HOSPITAL ,130 KATE IRELAND DRIVE ,447-A ,HYDEN ,KY ,41749 ,LESLIE ,,,,,,,,,,25,9150,2098,809,3576,,103.69,,127,8,236,40,,,,,, 181317,01-JUL-15,30-JUN-16,As Submitted,CUMBERLAND COUNTY HOSPITAL ,229 GLASGOW ROAD ,280 ,BURKESVILLE ,KY ,42717 ,CUMBERLAND ,,,,,,,,,,25,9150,2509,76,4209,,153.93,,390,9,707,,,,,,, 181318,01-APR-15,31-MAR-16,As Submitted,THE MEDICAL CENTER AT FRANKLIN ,1100 BROOKHAVEN ROAD ,,FRANKLIN ,KY ,42135- ,SIMPSON ,,,,,,,,,,25,9150,5219,450,7635,,134.52,,455,2,1136,102,,,,,, 181319,01-JAN-15,31-DEC-15,Settled,BRECKINRIDGE MEMORIAL HOSPITAL ,ROUTE 1 ,,HARDINSBURG ,KY ,40143- ,BRECKINRIDGE ,,,,,,,,,,25,9125,3185,227,4007,,170.27,,476,39,693,,,,,,, 181320,01-JAN-15,31-DEC-15,Settled,LIVINGSTON HOSPITAL ,131 HOSPITAL DRIVE ,,SALEM ,KY ,42078- ,LIVINGSTON ,,,,,,,,,,25,9125,2199,669,3584,,119.03,,387,141,732,,,,,,, 181321,01-NOV-14,31-OCT-15,Settled,WAYNE COUNTY HOSPITAL ,166 HOSPITAL STREET ,,MONTICELLO ,KY ,42633- ,WAYNE ,,,,,,,,,,25,9125,2171,76,3567,,129.15,,285,7,529,,,,,,, 181322,01-JUL-15,30-JUN-16,As Submitted,CALDWELL COUNTY HOSPITAL ,100 MEDICAL CENTER DRIVE ,,PRINCETON ,KY ,42445 ,CALDWELL ,,,,,,,,,,25,9150,1449,151,2094,,103.55,,262,48,415,,,,,,, 181323,01-OCT-14,30-SEP-15,Settled,OHIO COUNTY HOSPITAL ,1211 MAIN STREET ,126 ,HARTFORD ,KY ,42347-0126 ,OHIO ,,,,,,,,,,25,9125,2503,,4005,,297.49,,470,,824,122,,,,,, 181324,01-APR-15,31-MAR-16,As Submitted,THE MEDICAL CENTER AT SCOTTSVILLE ,456 BURNLEY ROAD ,,SCOTTSVILLE ,KY ,42164- ,ALLEN ,,,,,,,,,,25,9150,4294,542,6249,,124.88,,236,9,379,36,,,,,, 181325,01-JUL-15,30-JUN-16,As Submitted,JANE TODD CRAWFORD HOSPITAL ,202 MILBY STREET ,,GREENSBURG ,KY ,42743- ,GREEN ,,,,,,,,,,25,9150,4045,2743,7584,,180.86,,313,116,656,,,,,,, 181327,01-JAN-15,31-DEC-15,Settled,MARSHALL COUNTY HOSPITAL ,615 OLD SYMSONIA RD ,630 ,BENTON ,KY ,42025 ,MARSHALL ,,,,,,,,,,25,9125,1815,79,2875,,178.42,,408,6,760,104,,,,,, 181328,01-JUL-15,30-NOV-15,Settled,KNOX COUNTY HOSPITAL ,80 HOSPITAL DRIVE ,,BARBOURVILLE ,KY ,40906 ,KNOX ,,,,,,,,,,25,3825,997,35,1933,,179.25,,242,10,707,168,,,,,, 181329,01-JUL-15,30-JUN-16,As Submitted,SAINT JOSEPH BEREA ,305 ESTILL STREET ,,BEREA ,KY ,40403- ,MADISON ,,,,,,,,,,25,9150,2409,44,3947,,154.35,,512,11,952,143,,,,,, 181330,01-JUL-15,30-JUN-16,As Submitted,RUSSELL COUNTY HOSPITAL ,153 DOWELL ROAD ,,RUSSELL SPRINGS ,KY ,42642 ,RUSSELL ,,,,,,,,,,25,9150,1674,232,3623,,166.77,,267,9,592,155,,,,,, 181331,01-JUL-15,30-JUN-16,As Submitted,MCDOWELL ARH ,9879 ROUTE 122 ,247 ,MCDOWELL ,KY ,41647- ,FLOYD ,,,,,,,,,,25,9150,1389,88,2288,,117.93,,251,12,458,132,,,,,, 182001,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL LOUISVILLE ,1313 ST. ANTHONY PLACE ,,LOUISVILLE ,KY ,40204 ,JEFFERSON ,,,,,,,,,,153,55998,22005,3386,49512,,458.7,,688,73,1287,281,,,,,, 182002,01-JUL-15,30-JUN-16,As Submitted,CONTINUING CARE HOSPITAL ,150 N. EAGLE STREET ,,LEXINGTON ,KY ,40509 ,FAYETTE ,,,,,,,,,,57,20862,5723,343,13233,,95.97,,190,12,453,,,,,,, 182003,01-JUN-15,31-MAY-16,Settled,SSH - LEXINGTON INC ,310 S. LIMESTONE ST. 3RD FLOOR ,,LEXINGTON ,KY ,40508 ,FAYETTE ,,,,,,,,,,41,15006,6417,263,10980,,108.25,,222,7,353,30,,,,,, 182004,01-SEP-15,31-AUG-16,As Submitted,SSH - NORTHERN KENTUCKY LLC ,85 NORTH GRAND AVENUE ,,FORT THOMAS ,KY ,41075 ,CAMPBELL ,,,,,,,,,,33,12078,4474,150,7523,,70.53,,162,6,263,23,,,,,, 182005,01-FEB-15,31-JAN-16,Settled,COMMONWEALTH REGIONAL SPECIALTY HOSP ,250 PARK STREET ,,BOWLING GREEN ,KY ,42101- ,WARREN ,,,,,,,,,,28,10220,4283,25,6036,,55.8,,173,1,224,21,,,,,, 182006,01-MAR-15,29-FEB-16,As Submitted,CCH AT BAPTIST HEALTH CORBIN ,ONE TRILLIUM WAY LOWER LEVEL ,,CORBIN ,KY ,40701- ,WHITLEY ,,,,,,,,,,32,11712,7395,169,10227,,99.34,,268,6,355,47,,,,,, 183026,01-MAY-15,31-AUG-15,Amended,CARDINAL HILL REHABILITATION HOSPITA ,2050 VERSAILLES ROAD ,,LEXINGTON ,KY ,40504 ,FAYETTE ,,,,,,,,,101,115,14145,5250,22,11946,4.53,426.06,,387,1,817,179,,,,,, 183026,01-SEP-15,31-AUG-16,As Submitted,CARDINAL HILL REHABILITATION HOSPITA ,2050 VERSAILLES ROAD ,,LEXINGTON ,KY ,40504 ,FAYETTE ,,,,,,,,,593,115,42090,16882,401,33622,4.72,461.75,,1321,30,2578,551,,,,,, 183027,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH NORTHERN KENTUCKY REHABI ,201 MEDICAL VILLAGE DRIVE ,,EDGEWOOD ,KY ,41017 ,KENTON ,,,,,,,,,,40,14600,7976,101,14034,,132.21,,719,11,1266,121,,,,,, 183028,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH LAKEVIEW REHABILITATION ,134 HEARTLAND DRIVE ,,ELIZABETHTOWN ,KY ,42701 ,HARDIN ,,,,,,,,,,40,14600,6199,56,8507,,90.09,,520,4,727,75,,,,,, 183029,01-JAN-15,31-DEC-15,As Submitted,SOUTHERN KENTUCKY REHAB HOSPITAL ,1300 CAMPBELL LANE ,,BOWLING GREEN ,KY ,42104 ,WARREN ,,,,,,,,,,60,21900,11515,43,17670,,174.41,,927,3,1377,158,,,,,, 183030,01-JUN-15,31-JUL-15,Settled,GATEWAY REHAB AT FLORENCE ,5940 MERCHANTS STREET ,,FLORENCE ,KY ,41042- ,BOONE ,,,,,,,,,,40,2440,1532,9,2285,,103.96,,147,1,246,23,,,,,, 183030,01-AUG-15,31-DEC-15,Settled,GATEWAY REHAB AT FLORENCE ,5940 MERCHANTS STREET ,,FLORENCE ,KY ,41042- ,BOONE ,,,,,,,,,,40,6120,3840,55,5757,,120.08,,350,10,748,101,,,,,, 183300,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITAL FOR CHILDREN ,1900 RICHMOND ROAD ,,LEXINGTON ,KY ,40502 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 184002,01-JUL-15,30-JUN-16,As Submitted,WESTERN STATE HOSPITAL ,2400 RUSSELLVILLE RD ,2200 ,HOPKINSVILLE ,KY ,42241-2200 ,CHRISTIAN ,,,,,,,,,,222,81252,8727,166,46085,,231,,487,75,1993,,,,,,, 184004,01-JUL-15,30-JUN-16,As Submitted,EASTERN STATE HOSPITAL ,1350 BULL LEA ROAD ,,LEXINGTON ,KY ,40511 ,FAYETTE ,,,,,,,,,,195,71370,5767,56,42269,.97,495.28,,452,9,2614,,,,,,, 184006,01-JUL-15,30-JUN-16,Settled,NORTHKEY COMMUNITY CARE-INTENSIVE ,506 FARRELL DRIVE ,,COVINGTON ,KY ,41011 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 184007,01-JAN-15,31-DEC-15,Settled,THE BROOK - DUPONT ,1405 BROWNS LANE ,,LOUSIVILLE ,KY ,40207 ,JEFFERSON ,,,,,,,,,,68,24820,8002,86,16857,,135.66,,586,1,1947,,,,,,, 184008,01-JAN-15,31-DEC-15,Settled,TEN BROECK HOSPITAL - KMI ,8521 OLD LAGRANGE ROAD ,,LOUSIVILLE ,KY ,40242 ,JEFFERSON ,,,,,,,,,,58,21170,3723,11,14488,,146.49,,262,2,1904,,,,,,, 184009,01-JAN-15,31-DEC-15,Settled,RIDGE ,3050 RIO DOSA DRIVE ,,LEXINGTON ,KY ,40509 ,FAYETTE ,,,,,,,,,,92,33580,6766,21,19657,,158.99,,532,6,2670,,,,,,, 184012,01-MAY-15,30-APR-16,Settled,LINCOLN TRAIL BEHAVIORAL HEALTH ,3099 SOUTH WILSON ROAD ,,RADCLIFF ,KY ,40160 ,HARDIN ,,,,,,,,,,118,43070,13940,,29435,,162.93,,801,,2149,519,,,,,, 184013,01-JUL-15,30-JUN-16,Settled,GREEN RIVER VALLEY REGIONAL MENTAL H ,1000 INDUSTRIAL DRIVE ,,DAVIESS ,KY ,42301 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 184014,01-JAN-15,31-DEC-15,Settled,FIRST HOSPITAL HOPKINSVILLE ,210 WEST 17TH STREET ,,HOPKINSVILLE ,KY ,42240 ,CHRISTIAN ,,,,,,,,,,97,35405,647,32,20468,,117.3,,58,5,1623,,,,,,, 184015,01-JUL-15,30-JUN-16,As Submitted,CENTRAL STATE HOSPITAL ,10510 LAGRANGE ROAD ,,LOUISVILLE ,KY ,40223-1228 ,JEFFERSON ,,,,,,,,,,112,40992,2652,,17229,2,20.62,,141,,673,12,,,,,, 184017,01-JAN-15,31-DEC-15,Settled,RIVENDELL BEHAVIORAL HEALTH SRVCS KY ,200 RIVENDELL DRIVE ,,BOWLING GREEN ,KY ,42103 ,WARREN ,,,,,,,,,,37,13505,3741,204,10088,,126.35,,161,16,1137,,,,,,, 190002,01-OCT-14,30-SEP-15,Amended,LAFAYETTE GENERAL MEDICAL CENTER ,1214 COOLIDGE AVENUE ,,LAFAYETTE ,LA ,70570- ,LAFAYETTE ,1484171,,,2621574,,,.189,447365,169239,288,105120,34722,4978,81619,20.1,1475.88,,7139,801,17447,,,,,,1149,227 190003,01-JAN-15,31-DEC-15,As Submitted,DAUTERIVE HOSPITAL ,600 NORTH LEWIS STREET ,,NEW IBERIA ,LA ,70560- ,IBERIA ,,,,92197,,,.12,,,79,28835,1844,296,3458,,278.22,,430,42,808,197,,,,,143,156 190004,01-OCT-14,30-SEP-15,As Submitted,THIBODAUX REGIONAL MEDICAL CTR ,602 NORTH ACADIA ROAD ,1118 ,THIBODAUX ,LA ,70302- ,LAFOURCHE ,,,,424127,,,.0821,,,145,52925,12904,1478,29485,,910.96,,3005,127,7504,862,,,36,9,267,307 190005,01-JAN-15,31-DEC-15,As Submitted,UNIVERSITY MEDICAL CTR. AT NEW ORLEA ,2000 CANAL STREET ,,NEW ORLEANS ,LA ,70112-3018 ,ORLEANS ,5249333,,,1140988,,,.4699,1947994,1313458,208,73164,5694,11073,51069,302.48,1824.11,,1053,1459,9291,,,,,,1579, 190006,01-JUL-15,30-JUN-16,Amended,UNIVERSITY HOSPITAL & CLINICS ,2390 WEST CONGRESS STREET ,,LAFAYETTE ,LA ,70506 ,,503182,,,324452,,,.4903,258434,577780,116,42456,2040,1789,14249,57.61,679,,456,316,3019,,,,,,, 190007,01-JUL-15,30-JUN-16,As Submitted,NATCHITOCHES REGIONAL MEDICAL CENTER ,501 KEYSER AVENUE ,2009 ,NATCHITOCHES ,LA ,71457 ,NATCHITOCHES ,,,,166518,,,.12,,,81,29646,4358,122,10806,,429.42,,914,28,2498,725,,,,,239, 190008,01-APR-15,31-MAR-16,Amended,TERREBONNE GENERAL MEDICAL CENTER ,8166 MAIN STREET ,6037 ,HOUMA ,LA ,70360- ,TERREBONNE ,,,,1340870,,,.1692,,,188,68808,19235,5131,42262,,1314.66,,3514,85,8370,1836,,,,,,207 190011,01-OCT-14,30-SEP-15,As Submitted,UNIVERSITY HEALTH CONWAY ,4864 JACKSON STREET ,,MONROE ,LA ,71210 ,OUACHITA ,289957,,,366767,,,.5165,217606,213774,125,45625,2019,3990,18223,32.38,562.29,,484,609,5100,2310,237,,1,,722, 190013,01-JAN-15,31-DEC-15,Amended,WEST CALCASIEU-CAMERON HOSPITAL ,701 EAST CYPRESS ,2269 ,SULPHUR ,LA ,70663 ,CALCASIEU ,,,,211239,,,.0946,,,107,39055,5538,362,11273,,631.97,,1330,81,2969,,,,,,, 190014,01-JAN-15,31-DEC-15,As Submitted,TECHE REGIONAL MEDICAL CENTER ,1125 MARGUERITE STREET ,,MORGAN CITY ,LA ,70308 ,ST. MARY ,,,,171983,,,.12,,,140,51100,4135,195,8632,,226.02,,1004,34,2279,598,39,,73,3,392,164 190015,01-JUL-15,30-JUN-16,As Submitted,NORTH OAKS MEDICAL CENTER ,15790 PAUL VEGA MD DRIVE ,2668 ,HAMMOND ,LA ,70404 ,TANGIPAHOA ,,,,1643110,,,.2286,,,344,125904,20526,2159,59615,,1443.96,,3580,252,10644,2848,,,,,, 190017,01-JUL-15,30-JUN-16,As Submitted,OPELOUSAS GENERAL HOSPITAL ,539 E PRUDHOMME STREET ,,OPELOUSAS ,LA ,70570- ,ST. LANDRY ,,,,1448896,,,.3244,,,163,59658,10500,543,23769,,806.51,,2420,106,6065,,,,,16,985,267 190019,01-JUL-15,30-JUN-16,Amended,ST. FRANCES CABRINI HOSPITAL ,3330 MASONIC DRIVE ,,ALEXANDRIA ,LA ,71301- ,RAPIDES ,,,,1264009,,,.1365,,,276,101016,23567,2011,61733,,2170.13,,4393,289,11876,,,,,27,,389 190020,01-JUL-15,30-JUN-16,As Submitted,LANE REGIONAL MEDICAL CENTER ,6300 MAIN STREET ,,ZACHARY ,LA ,70791 ,EAST BATON ROUGE ,,,,348467,,,.161,,,113,41358,5636,486,18160,,575.96,,1320,82,4912,1238,,,,1,,288 190025,01-JAN-15,31-DEC-15,As Submitted,SAVOY MEDICAL MANAGEMENT GROUP INC. ,801 POINCIANA AVENUE ,,MAMOU ,LA ,70554- ,EVANGELINE ,,,,69987,,,.12,,,132,48180,2115,142,3255,,102.49,,438,32,676,61,533,,493,1,1105,111 190026,01-JAN-15,31-DEC-15,Amended,RAPIDES REGIONAL MEDICAL CENTER ,211 FOURTH STREET ,30101 ,ALEXANDRIA ,LA ,71301- ,,882993,,,3198661,,,.2826,378825,98410,357,130305,34836,3580,90476,21.28,1381.51,,5700,544,16229,5719,,,,,, 190027,01-JUL-15,30-JUN-16,As Submitted,ST. PATRICK HOSPITAL ,524 DR. MICHAEL DEBAKEY DRIVE ,,LAKE CHARLES ,LA ,70601 ,CALCASIEU ,81916,56533,,121432,83805,,.0347,112558,59421,100,36600,14202,550,25677,1,734.73,,2895,100,5519,,,,,,1102,430 190034,01-JAN-15,31-DEC-15,As Submitted,ABBEVILLE GENERAL HOSPITAL ,118 NORTH HOSPITAL DRIVE ,,ABBEVILLE ,LA ,70511-0580 ,VERMILION ,,,,215961,,,.25,,,44,16060,3296,227,6362,,313.25,,599,45,1291,,,,,,590, 190036,01-JAN-15,31-DEC-15,Amended,OCHSNER CLINIC FOUNDATION ,1516 JEFFERSON HIGHWAY ,,NEW ORLEANS ,LA ,70121 ,JEFFERSON ,12667968,,,4077096,,,.1883,9455669,5286474,844,308060,49160,5975,204725,288.92,7487.59,,8814,871,37265,,,,10,,583,392 190039,01-JAN-15,30-SEP-15,As Submitted,WEST JEFFERSON MEDICAL CENTER ,1101 MEDICAL CENTER BLVD ,,MARRERO ,LA ,70072 ,,516852,,,712326,,,.1848,522918,248919,405,96096,9024,1793,37824,20.48,1569,,1902,301,8501,1990,78,,,2,571,366 190040,01-JAN-15,31-DEC-15,As Submitted,SLIDELL MEMORIAL HOSPITAL ,1001 GAUSE BLVD ,,SLIDELL ,LA ,70458 ,ST TAMMANY ,77317,,,625843,,,.1491,33466,17982,228,83220,8634,1866,29127,1.57,1002.55,,2190,133,6979,1229,,,,,,134 190041,01-JUL-15,30-JUN-16,As Submitted,SCHUMPERT MEDICAL CENTER ,ONE ST MARY PLACE ,21976 ,SHREVEPORT ,LA ,71101 ,CADDO ,70110,,,580932,,,.0933,24056,13878,201,73566,14192,631,32487,1,798.8,,3242,109,7382,,,,,6,,370 190044,01-OCT-14,30-SEP-15,As Submitted,ACADIA GENERAL HOSPITAL ,1305 E. CROWLEY-RAYNE HWY ,,CROWLEY ,LA ,70526 ,ACADIA ,,,,185797,,,.1254,,,140,51100,5639,836,12053,,354.9,,1013,226,2487,,,,,,, 190045,01-JAN-15,31-DEC-15,As Submitted,ST. TAMMANY PARISH HOSPITAL ,1202 S. TYLER STREET ,,COVINGTON ,LA ,70433 ,ST. TAMMANY ,,,,557224,,,.0879,,,232,79205,13828,2468,47130,,,,3135,806,10442,1593,,,,,,198 190046,01-JAN-15,31-DEC-15,As Submitted,TOURO INFIRMARY ,1401 FOUCHER STREET ,,NEW ORLEANS ,LA ,70115-3515 ,ORLEANS ,1567551,,,1742300,,,.3427,1039102,486145,236,86140,14332,10552,58872,32.21,1353,,2442,5438,10522,,,,,,,558 190050,01-NOV-14,31-OCT-15,As Submitted,BEAUREGARD MEMORIAL HOSPITAL INC. ,600 S. PINE STREET ,,DERIDDER ,LA ,70634 ,BEAUREGARD ,,,,167759,,,.12,,,64,23360,4757,387,10705,,347.75,,1071,127,2531,,,,,,, 190053,01-DEC-14,30-NOV-15,As Submitted,JENNINGS AMERICAN LEGION HOSPITAL ,1634 ELTON ROAD ,,JENNINGS ,LA ,70546 ,JEFFERSON DAVIS ,,,,223449,,,.12,,,53,19345,5811,493,11428,,370.91,,1269,116,2965,,,,,,, 190054,01-OCT-14,30-SEP-15,As Submitted,IBERIA MEDICAL CENTER ,2315 W MAIN STREET ,,NEW IBERIA ,LA ,70562-3338 ,IBERIA ,,,,309647,,,.12,,,100,36164,5766,773,13161,,459.67,,1628,238,3682,,,,,,, 190060,01-JAN-15,31-DEC-15,Amended,LAKE CHARLES MEMORIAL HOSPITAL ,1701 OAK PARK BOULEVARD ,,LAKE CHARLES ,LA ,70601 ,CALCASIEU ,1047161,,,1881277,,,.2641,389886,231574,263,95995,19577,4306,58597,24,1696.64,,3696,441,11385,3598,10,,1,8,326,289 190064,01-JUL-15,30-JUN-16,As Submitted,OUR LADY OF THE LAKE RMC ,5000 HENNESSY BLVD ,,BATON ROUGE ,LA ,70808-4389 ,USA ,7621861,,,2538987,,,.1471,3055612,1602113,720,267180,39586,15305,157180,171.49,4440.95,,7708,6737,31237,,,,606,,3012,381 190065,01-OCT-14,30-SEP-15,As Submitted,BATON ROUGE GENERAL ,3600 FLORIDA BLVD. ,,BATON ROUGE ,LA ,70806 ,EAST BATON ROUGE PARISH ,4346948,,,1344811,,,.1303,1795556,775864,350,127750,22482,2423,69266,70.11,2139.25,,4548,2040,14594,,,,,,1188,139 190079,01-AUG-15,31-JUL-16,As Submitted,ST. CHARLES PARISH HOSPITAL ,1057 PAUL MALLARD ROAD ,,LULING ,LA ,70070 ,ST. CHARLES ,,,,47089,,,.1002,,,39,14274,1192,82,4373,,294.49,,269,20,999,,,,4,,682, 190081,01-JAN-15,31-DEC-15,As Submitted,WEST CARROLL HEALTH SYSTEMS LLC ,706 ROSS STREET ,,OAK GROVE ,LA ,71263 ,WEST CARROLL ,,,,53847,,,.12,,,33,12045,3781,118,5848,,110.9,,420,34,1092,,,,,,, 190086,01-OCT-14,30-SEP-15,Amended,NORTHERN LOUISIANA MEDICAL CENTER ,401 EAST VAUGHN AVENUE ,,RUSTON ,LA ,71270- ,LINCOLN ,,,,591470,,,.2074,,,146,53303,9114,1101,20975,,377.92,,1862,991,4598,,,,,,, 190088,01-JAN-15,31-DEC-15,Amended,SPRINGHILL MEDICAL CENTER - AMENDED ,2001 DOCTORS DRIVE ,,SPRINGHILL ,LA ,71075 ,WEBSTER ,,,,32634,,,.0498,,,46,16790,2126,62,3214,,144.31,,520,17,887,,,,,,142, 190090,01-JAN-15,31-DEC-15,As Submitted,WINN MEDICARE TRADITIONAL ,301 WEST BOUNDRY STREET ,152 ,WINNFIELD ,LA ,71483- ,WINN PARISH ,,,,43892,,,.0826,,,60,21900,2335,170,3942,,121.43,,503,36,924,72,,,,,, 190098,01-OCT-14,30-SEP-15,Amended,UNIVERSITY HEALTH SHREVEPORT ,1501 KINGS HIGHWAY ,,SHREVEPORT ,LA ,71130-3932 ,CADDO ,7328204,,,4063976,,,.5208,2584587,1163348,424,154760,17019,14639,95104,377.34,2152.88,,3088,2408,19109,6466,,,11,,1326, 190099,01-JAN-15,31-DEC-15,As Submitted,AVOYELLES HOSPITAL - MEDICARE TRAD ,4231 HIGHWAY 1192 ,,MARKSVILLE ,LA ,71351- ,AVOYELLES ,,,,68693,,,.0986,,,51,18615,2752,113,4063,,133.74,,614,31,1018,83,,,,,, 190102,01-JUL-15,30-JUN-16,As Submitted,OUR LADY OF LOURDES RMC ,4801 AMBASSADOR CAFFERY PRKWY ,,LAFAYETTE ,LA ,70508 ,LAFAYETTE ,,,,475610,,,.0525,,,170,62220,22854,1675,45652,,1247.29,,4414,189,9246,563,,,,3,,176 190106,01-JAN-15,31-DEC-15,As Submitted,OAKDALE COMMUNITY HOSPITAL ,130 NORTH HOSPITAL DRIVE ,629 ,OAKDALE ,LA ,71463- ,ALLEN ,,,,50104,,,.112,,,60,21900,2600,123,4161,,120.59,,347,24,631,58,,,,,, 190111,01-OCT-14,30-SEP-15,As Submitted,WILLIS-KNIGHTON HEALTH SYSTEMS ,2600 GREENWOOD ROAD ,,SHREVEPORT ,LA ,32600 ,CADDO ,1109400,,,2887855,,,.1197,410068,152739,644,217439,65279,6259,150127,23.14,3699.33,,11421,1059,27419,5513,,,249,17,1548,457 190114,01-JUL-15,30-JUN-16,As Submitted,HOMER MEMORIAL HOSPITAL ,620 EAST COLLEGE ,,HOMER ,LA ,71040 ,CLAIBORNE PARISH ,,,,85677,,,.12,,,36,13176,3790,311,5918,,128.43,,571,35,1054,132,,,1,,77, 190116,01-JUN-15,31-MAY-16,As Submitted,MOREHOUSE GENERAL HOSPITAL ,323 W. WALNUT STREET ,,BASTROP ,LA ,71121-1060 ,MOREHOUSE ,,,,50306,,,.12,,,49,17934,1560,36,4480,,204.26,,382,13,1173,634,,,,,, 190118,01-OCT-14,30-SEP-15,As Submitted,DESOTO REGIONAL HEALTH SYSTEM ,207 JEFFERSON STREET ,1636 ,MANSFIELD ,LA ,71052 ,DESOTO ,,,,59878,,,.12,,,38,13870,1601,84,2294,,136.76,,450,26,698,40,,,,,, 190125,01-JUL-15,30-JUN-16,As Submitted,ST. FRANCIS MEDICAL CENTER ,309 JACKSON ST ,,MONROE ,LA ,71201 ,OUACHITA ,,,,1824034,,,.1949,,,502,183732,24673,3420,64205,,1572.47,,4572,584,11441,2299,2,,,4,24,194 190128,01-OCT-14,30-SEP-15,As Submitted,WOMANS HOSPITAL ,100 WOMANS WAY ,,BATON ROUGE ,LA ,10817-5100 ,EAST BATON ROUGE ,,,,79860,,,.4108,,,216,78840,524,8689,65912,18.93,1599,,125,1208,11926,3490,,,,,, 190133,01-JUL-15,30-JUN-16,As Submitted,ALLEN PARISH HOSPITAL ,HWY 190 WEST ,1670 ,KINDER ,LA ,70648 ,ALLEN ,,,,14096,,,.1995,,,25,9150,637,47,1054,,75.68,,70,10,169,16,,,6,,740, 190140,01-MAY-15,30-APR-16,As Submitted,FRANKLIN MEDICAL CENTER ,2106 LOOP ROAD ,1300 ,WINNSBORO ,LA ,71295 ,FRANKLIN ,,,,72568,,,.1704,,,39,14268,1210,105,2024,,192.96,,338,35,624,37,,,,,, 190144,01-SEP-15,31-AUG-16,Amended,MINDEN MEDICAL CENTER ,ONE MEDICAL PLAZA ,,MINDEN ,LA ,71055- ,WEBSTER ,,,,597307,,,.3273,,,129,47214,4391,499,11993,,364.71,,1149,150,3207,1090,3,,4,,215,114 190145,01-OCT-14,30-SEP-15,Amended,LASALLE GENERAL HOSPITAL INC. ,HIGHWAY 84 ,2780 ,JENA ,LA ,71342 ,LASALLE ,,,,40828,,,.1189,,,49,17885,1452,50,2043,,161.24,,325,13,497,,,,,,, 190146,01-JAN-15,31-DEC-15,Amended,EAST JEFFERSON GENERAL HOSPITAL ,4200 HOUMA ,,METAIRIE ,LA ,70006 ,JEFFERSON ,1464209,,,326723,,,.0424,1023368,519685,339,123735,16853,547,60058,31.65,1922.97,,3823,1355,12723,,,,,,274,370 190151,01-OCT-14,30-SEP-15,As Submitted,RICHARDSON MEDICAL CENTER ,254 HWY 3048 ,388 ,RAYVILLE ,LA ,71239 ,RICHLAND ,,,,88149,,,.1765,,,38,13870,2387,157,3899,,156.94,,428,35,818,65,,,,,, 190160,01-MAR-15,29-FEB-16,Amended,GLENWOOD REGIONAL MEDICAL CENTER ,503 MCMILLAN ROAD ,,WEST MONROE ,LA ,71292 ,OUACHITA ,,,,1291152,,,.1413,,,205,75084,23332,1261,47947,,751.59,,4784,207,10315,1695,265,,5,4,1277,161 190164,01-AUG-15,31-JUL-16,As Submitted,BYRD REGIONAL HOSPITAL ,1020 FERTITTA BLVD. ,,LEESVILLE ,LA ,71446 ,VERNON ,,,,187416,,,.12,,,52,19032,4878,100,8859,,237.32,,1139,536,2591,,,,,,, 190167,01-OCT-14,30-SEP-15,Amended,MERCY REGIONAL MEDICAL CENTER ,800 EAST MAIN STREET ,349 ,VILLE PLATTE ,LA ,70586 ,EVANGELINE ,,,,878202,,,.336,,,99,36135,8686,947,17159,,401.34,,1756,199,3798,1089,,,,,,117 190176,01-JAN-15,31-DEC-15,Amended,TULANE UNIVERSITY HOSPITAL & CLINICS ,1415 TULANE AVENUE ,,NEW ORLEANS ,LA ,70112 ,ORLEANS PARISH ,6058426,,,2111362,,,.3447,4894540,2344051,339,123735,15701,470,73671,176.9,1485.27,,2756,79,13740,5987,,,,46,,147 190177,01-JAN-15,31-DEC-15,Amended,LAKEVIEW REGIONAL MEDICAL CENTER ,95 JUDGE TANNER BLVD ,,COVINGTON ,LA ,70433- ,ST. TAMMANY PARISH ,,,,609823,,,.1699,10285,2493,151,55115,7399,227,26233,,512.88,,1694,73,5760,,,,,,381, 190183,01-JUL-15,30-JUN-16,As Submitted,SOUTHERN REGIONAL MEDICAL CORP ,1978 INDUSTRIAL BOULEVARD ,,HOUMA ,LA ,70363 ,TERREBONNE PARISH ,268136,,,118098,,,.12,127019,223068,73,26718,2143,628,8346,42.89,600.83,,634,127,2380,,,,12,,1203, 190184,01-APR-15,31-MAR-16,As Submitted,CITIZENS MEDICAL CENTER ,HWY 165 ,1079 ,COLUMBIA ,LA ,71418 ,CALDWELL ,,,,37384,,,.1242,,,40,14640,1529,47,2291,,102.71,,263,8,448,58,,,,,, 190190,01-JAN-15,31-DEC-15,As Submitted,CALDWELL MEMORIAL HOSPITAL ,410 MAIN STREET ,899 ,COLUMBIA ,LA ,71418-0899 ,,,,,47512,,,.12,,,37,13505,1189,170,2785,,77.69,,350,55,874,132,,,,14,,130 190199,01-JUL-15,30-JUN-16,As Submitted,VILLA FELICIANA MEDICAL COMPLEX ,HIGHWAY 10 ,,JACKSON ,LA ,70748 ,EAST FELICIANA PARISH ,,,,1330,,,.12,,,37,13542,70,41,116,,91.37,,10,6,77,,,,,,, 190201,01-JUN-15,31-MAY-16,Amended,LAKE AREA MEDICAL CENTER ,4200 NELSON RD ,,LAKE CHARLES ,LA ,70605 ,CALCASIEU ,,,,256127,,,.2841,,,108,39528,1960,38,13917,,325.23,,523,17,3007,,,,,,, 190202,01-OCT-14,30-SEP-15,Amended,OCHSNER MEDICAL CENTER - BATON ROUGE ,MEDICAL CENTER DRIVE ,,BATON ROUGE ,LA ,70816 ,EAST BATON ROUGE ,,,,586369,,,.2103,,,159,58035,5618,1647,27696,,954.73,,1496,354,7215,1173,,,,,, 190204,01-APR-15,31-MAR-16,Amended,OCHSNER MEDICAL CENTER -NORTHSHORE ,100 MEDICAL CENTER DRIVE ,,SLIDELL ,LA ,70461 ,ST TAMMANY ,,,,291238,,,.1042,,,156,55818,6429,538,19628,,500.91,,1453,94,4443,,,,,,,124 190205,01-SEP-15,31-AUG-16,Amended,WOMENS AND CHILDRENS HOSPITAL ,4600 AMBASSADOR CAFFERY PKWY ,,LAFAYETTE ,LA ,70508 ,LAFAYETTE PARISH ,,,,551789,,,.6041,,,182,66780,1920,203,44000,,593.7,,389,49,6765,5047,,,,,,9 190208,01-JUN-15,31-MAY-16,As Submitted,EAST CARROLL PARISH HOSPITAL ,336 NORTH HOOD STREET ,,LAKE PROVIDENCE ,LA ,71254 ,EAST CARROLL ,,,,26114,,,.12,,,23,8418,780,56,1707,,88.14,,247,20,608,,,,,,, 190218,01-APR-15,31-MAR-16,As Submitted,SABINE MEDICAL CENTER ,240 HIGHLAND DRIVE ,,MANY ,LA ,71449 ,SABINE ,,,,32935,,,.117,,,48,17568,1069,146,1737,,104.16,,281,93,509,51,,,,,, 190236,01-OCT-14,30-SEP-15,As Submitted,WILLIS-KNIGHTON BOSSIER ,2400 HOSPITAL DRIVE ,,BOSSIER CITY ,LA ,71111 ,BOSSIER ,,,,450149,,,.0839,,,148,53814,13691,1156,32311,,778.35,,3149,367,8005,1570,,,,,, 190241,01-JAN-15,31-DEC-15,As Submitted,PHYSICIANS MEDICAL CENTER ,218 CORPORATE DRIVE ,,HOUMA ,LA ,70360 ,TERREBONNE PARISH ,,,,,,,,,,30,10950,127,,494,,113.9,,35,,200,,,,,,, 190242,01-JUL-15,30-JUN-16,As Submitted,OUR LADY OF THE LAKE ASCENSION ,1125 WEST HWY 30 ,,GONZALES ,LA ,70737 ,ASCENSION ,,,,79862,,,.0734,,,78,28548,2759,347,10552,,409.31,,630,230,2465,164,,,,,, 190245,01-JAN-15,31-DEC-15,As Submitted,MONROE SURGICAL HOSPITAL ,2408 BROADMOOR BLVD. ,,MONROE ,LA ,71201 ,OUACHITA ,,,,,,,,,,10,3650,166,,606,,92.37,,80,,284,,,,,,, 190246,01-JAN-15,31-DEC-15,Settled,P&S SURGICAL HOSPITAL ,312 GRAMMONT STREET SUITE 101 ,,MONROE ,LA ,71201 ,OUACHITA ,,,,,,,,,,22,8030,335,,828,,144.87,,128,,330,4,,,,,, 190250,01-OCT-14,31-DEC-14,As Submitted,LOUISIANA HEART HOSPITAL ,64030 HIGHWAY 434 ,,LACOMBE ,LA ,70445 ,ST TAMMANY PARISH ,,,,,,,,,,137,12604,1260,100,2998,,375.33,,334,40,760,,,,,,, 190250,01-JAN-15,31-DEC-15,As Submitted,LOUISIANA HEART HOSPITAL ,64030 HIGHWAY 434 ,,LACOMBE ,LA ,70445 ,ST TAMMANY PARISH ,,,,,,,,,,137,50005,5445,144,13280,,524.27,,1457,21,3404,57,,,,,, 190251,01-JAN-15,31-DEC-15,Settled,SURGICAL SPECIALTY CENTER OF BATON R ,8080 BLUEBONNET BLVD. ,,BATON ROUGE ,LA ,70810 ,EBR ,,,,,,,,,,16,5840,30,15,434,,147,,15,8,250,,,,,,, 190255,01-JAN-15,31-DEC-15,Settled,PARK PLACE SURGERY CENTER ,901 WILSON ST. ,,LAFAYETTE ,LA ,70503 ,LAFAYETTE ,,,,,,,,,,10,3650,150,,688,,141.21,,82,,357,,,,,,, 190256,01-JAN-15,31-DEC-15,As Submitted,DOCTORS HOSPITAL OF SLIDELL LLC ,989 ROBERT DRIVE ,,SLIDELL ,LA ,70458 ,ST. TAMMANY ,,,,,,,,,,10,3650,81,,232,,40.06,,35,,112,,,,,,, 190257,01-JAN-15,28-FEB-15,Settled,GREEN CLINIC SURGICAL HOSPITAL LLC ,1200 S. FARMERVILLE STREET ,,RUSTON ,LA ,71270-5900 ,LINCOLN ,,,,,,,,,,12,4380,52,,97,,48.04,,14,,29,1,,,,,, 190259,01-JAN-15,31-DEC-15,Settled,LAFAYETTE SURGICAL SPECIALTY HOSPITA ,1101 KALISTE SALOOM ,,LAFAYETTE ,LA ,70508 ,LAFAYETTE ,,,,,,,,,,20,7300,510,,1746,,182.81,,239,,896,,,,,,, 190261,01-MAR-15,31-OCT-15,As Submitted,OUACHITA COMMUNITY HOSPITAL ,1275 GLENWOOD DRIVE ,,WEST MONROE ,LA ,71291 ,OUACHITA PARISH ,,,,4988,,,.12,,,10,2450,32,23,165,,17.15,,11,22,80,,,,,,, 190263,01-JUL-15,30-JUN-16,As Submitted,HEART HOSPITAL OF ACADIANA ,1501 KALISTE SALOON ROAD ,,LAFAYETTE ,LA ,70508 ,LAFAYETTE ,,,,,,,,,,32,11712,3391,173,5640,,186.59,,947,31,1496,,,,,,, 190266,01-JAN-15,31-DEC-15,Settled,THE SPINE HOSPITAL OF LOUISIANA ,10105 PARK ROWE CIRCLE ,,BATON ROUGE ,LA ,70810 ,BATON ROUGE ,,,,,,,,,,23,8395,367,,2093,,110.81,,195,,1204,,,,,,, 190267,01-JAN-15,31-DEC-15,Settled,FAIRWAY MEDICAL CENTER ,67252 INDUSTRY LANE ,,COVINGTON ,LA ,70433 ,ST TAMMANY ,,,,,,,,,,21,7665,49,2,283,,99.4,,23,1,139,,,,,,, 190268,01-JAN-15,31-DEC-15,Amended,LAFAYETTE GENERAL SURGICAL HOSPITAL ,1000 WEST PINHOOK RD ,,LAFAYETTE ,LA ,70503 ,LAFAYETTE ,,,,,,,,,,10,3650,68,,152,,51.82,,33,,80,,,,,,, 190270,01-JAN-15,30-SEP-15,As Submitted,SOUTHERN SURGICAL CENTER ,1700 LINDBERG DRIVE ,,SLIDELL ,LA ,70458 ,ST. TAMMANY ,,,,,,,,,,37,10101,575,,1477,,114.01,,208,,644,,,,,,, 190274,01-MAY-15,30-APR-16,Settled,OCHSNER MEDICAL CENTER - KENNER LLC ,180 WEST ESPLANADE AVE. ,,KENNER ,LA ,70065 ,JEFFERSON ,1762791,,,617135,,,.2228,897213,582147,115,42090,5966,565,24946,38.16,673.78,,1285,93,5922,,,,,,, 190278,01-JAN-15,31-DEC-15,Settled,SPECIALISTS HOSPITAL OF SHREVEPORT ,1500 LINE AVENUE SUITE 206 ,,SHREVEPORT ,LA ,71101- ,CADDO ,,,,,,,,,,15,5475,1153,,2449,,159.35,,522,,1240,,,,,,, 190297,01-JAN-15,31-DEC-15,As Submitted,DOCTORS HOSPITAL AT DEER CREEK ,815 SOUTH 10TH STREET ,,LEESVILLE ,LA ,71446 ,VERNON ,,,,,,,,,,10,3650,1097,12,1671,,63.51,,290,4,497,,,,,,, 190298,01-JUN-15,31-MAY-16,As Submitted,CENTRAL LOUISIANA SURGICAL HOSPITAL ,651 N. BOLTON AVE ,,ALEXANDRIA ,LA ,71301 ,RAPIDES ,,,,,,,,,,24,8784,1485,2,2880,,271.82,,639,1,1246,,,,,,, 190302,01-JAN-15,31-DEC-15,Settled,OMEGA HOSPITAL LLC ,2525 SEVERN AVENUE ,,METAIRIE ,LA ,70002 ,JEFFERSON ,,,,,,,,,,16,5840,,,226,,46.36,,,,128,,,,,,, 190303,01-JAN-15,31-DEC-15,As Submitted,HAMMOND SURGICAL L.L.C. ,42570 S. AIRPORT ROAD ,,HAMMOND ,LA ,70403 ,TANGIPOHOA ,,,,,,,,,,30,10950,487,,1463,,133.26,,168,,521,,,,,,, 190307,01-JAN-15,31-DEC-15,As Submitted,SOUTH CAMERON MEMORIAL HOSPITAL ,5360 W CREOLE HWY ,,CAMERON ,LA ,70631 ,CAMERON ,,,,217,,,.12,,,25,9125,5,,6,,30.8,,2,,3,,,,16,,641, 190308,01-JAN-15,31-DEC-15,Amended,ST. BERNARD PARISH HOSPITAL ,8000 WEST JUDGE PEREZ DRIVE ,,CHALMETTE ,LA ,70043 ,ST. BERNARD ,,,,110174,,,.12,,,40,14600,2568,81,6633,,297.11,,553,20,1575,,,,,,, 190312,01-JUL-15,30-JUN-16,As Submitted,OUR LADY OF THE ANGELS HOSPITAL MC ,400 MEMPHIS STREET ,40 ,BOGALUSA ,LA ,70429-0040 ,WASHINGTON ,22809,,,104739,,,.12,11560,6169,31,11346,3099,168,7093,18.82,427,,643,74,1644,446,,,24,,604, 190313,01-JUL-15,30-JUN-16,As Submitted,NEW ORLEANS EAST HOSPITAL ,5620 READ BOULEVARD ,,NEW ORLEANS ,LA ,70127 ,ORLEANS ,,,,41172,,,.12,,,80,29280,911,752,2833,,185.87,,198,187,762,,,,,,, 191300,01-NOV-14,31-OCT-15,Settled,ST. HELENA PARISH HOSPITAL ,16874 HIGHWAY 43 ,337 ,GREENSBURG ,LA ,70441- ,ST. HELENA PARISH ,,,,,,,,,,25,9125,1273,18,2020,,114,,70,4,98,,,,,,, 191301,01-JUL-15,30-JUN-16,As Submitted,UNION GENERAL HOSPITAL INC. ,901 JAMES AVE ,398 ,FARMERVILLE ,LA ,71241- ,UNION ,,,,,,,,,,20,7360,1277,23,1801,,105.55,,167,5,256,15,,,,,, 191302,01-OCT-14,30-SEP-15,Settled,ST MARTIN HOSPITAL ,210 CHAMPAGNE BLVD ,357 ,BREAUX BRIDGE ,LA ,70157 ,ST MARTIN PARISH ,,,,,,,,,,25,9125,4358,1,4629,,127.4,,135,1,168,,,,,,, 191303,01-JUL-15,30-JUN-16,As Submitted,OUR LADY OF THE LAKE ASSUMPTION COM ,135 HIGHWAY 402 ,,NAPOLEONVILLE ,LA ,70390-2217 ,ASSUMPTION ,,,,,,,,,,15,5490,134,,169,,37.21,,41,,57,,,,,,, 191304,01-JUL-15,30-JUN-16,As Submitted,NORTH CADDO MEDICAL CENTER ,715 SOUTH PINE ,792 ,VIVIAN ,LA ,71082 ,CADDO ,,,,,,,,,,25,9150,2739,100,4675,.7,186.72,,354,23,721,100,,,,,, 191305,01-APR-15,31-MAR-16,As Submitted,ST. JAMES PARISH HOSPITAL ,1645 LUTCHER AVENUE ,,LUTCHER ,LA ,70071- ,ST. JAMES PARISH ,,,,,,,,,,25,9150,1410,23,3317,,169.75,,210,8,558,,,,,,, 191306,01-NOV-14,31-OCT-15,As Submitted,WEST FELICIANA PARISH HOSPITAL ,5266 COMMERCE STREET ,368 ,ST. FRANCISVILLE ,LA ,70775- ,WEST FELICIANA PARISH ,,,,,,,,,,22,8030,121,17,281,,125.06,,11,10,51,,,,,,, 191307,01-JAN-15,31-DEC-15,Settled,DEQUINCY MEMORIAL HOSPITAL ,110 WEST FOURTH STREET ,1166 ,DEQUINCY ,LA ,70633- ,CALCASIEU ,,,,,,,,,,19,6935,1557,43,2034,,77.33,,108,7,147,9,2,,13,,141, 191308,01-SEP-15,31-AUG-16,As Submitted,PREVOST MEMORIAL HOSPITAL ,301 MEMORIAL DRIVE ,186 ,DONALDSONVILLE ,LA ,70346 ,ASCENSION ,,,,,,,,,,25,9150,9,,94,,56.34,,4,,28,2,,,,,, 191309,01-OCT-14,30-SEP-15,Settled,HOOD MEMORIAL HOSPITAL ,301 WEST WALNUT ,,AMITE ,LA ,70422- ,TANGIPAHOE ,,,,,,,,,,30,10950,3628,12,4631,,130.67,,101,3,181,,,,,,, 191310,01-OCT-14,30-SEP-15,Settled,FRANKLIN FOUNDATION HOSPITAL ,1097 NORTHWEST BLVD ,,FRANKLIN ,LA ,70538- ,ST. MARY PARISH ,,,,,,,,,,25,9125,2191,121,3576,,174.78,,280,38,838,,,,,,, 191311,01-JUL-15,30-JUN-16,As Submitted,BUNKIE GENERAL HOSPITAL- CARE & CAID ,427 EVERGREEN HWY ,380 ,BUNKIE ,LA ,71322- ,AVOYELLES ,,,,,,,,,,25,9150,357,9,510,,79.75,,97,4,149,16,,,,,, 191312,01-JUL-15,30-JUN-16,As Submitted,CHRISTUS COUSHATTA HEALTH CARE CTR ,1635 MARVEL STREET ,589 ,COUSHATTA ,LA ,71019- ,RED RIVER ,,,,,,,,,,25,9150,3617,188,5986,,128.02,,520,25,1038,,,,,,, 191313,01-JAN-15,31-DEC-15,Settled,RIVERSIDE MEDICAL CENTER - AMENDED ,1900 SOUTH MAIN STREET ,,FRANKLINTON ,LA ,70438- ,WASHINGTON ,,,,,,,,,,25,9125,989,41,1617,,199.75,,224,11,397,,,,,,, 191314,01-JAN-15,31-DEC-15,Settled,MADISON PARISH HOSPITAL ,900 JOHNSON STREET ,1559 ,TALLULAH ,LA ,71384 ,MADISON ,,,,,,,,,,25,9125,1167,58,2050,,133.33,,184,9,380,,,,,,, 191315,01-OCT-14,30-SEP-15,As Submitted,HARDTNER MEDICAL CENTER ,1102 N. PINE ROAD ,,OLLA ,LA ,71465- ,LASALLE ,,,,,,,,,,25,9125,2598,1112,4478,,177.06,,433,235,923,,,,29,,203, 191316,01-NOV-14,31-OCT-15,Settled,POINTE COUPEE GENERAL HOSPITAL ,2202 FALSE RIVER ,578 ,NEW ROADS ,LA ,70760 ,POINTE COUPEE ,,,,,,,,,,25,9125,1285,22,2230,,173.61,,167,5,338,,,,,,, 191317,01-OCT-14,30-SEP-15,Settled,JACKSON PARISH HOSPITAL ,165 BEECH SPRINGS ROAD ,605 ,JONESBORO ,LA ,71251- ,JACKSON ,,,,,,,,,,25,9125,883,,1894,,146.5,,240,,521,,,,,,, 191318,01-OCT-14,30-SEP-15,As Submitted,RIVERLAND MEDICAL CENTER ,1700 EE WALLACE BOULEVARD NORTH ,111 ,FERRIDAY ,LA ,71334 ,CONCORDIA ,,,,,,,,,,25,9125,2992,113,4051,,152.71,,509,24,837,,,,,,, 191319,01-JUL-15,30-JUN-16,Amended,ACADIA-ST. LANDRY HOSPITAL ,810 SOUTH BROADWAY ,,CHURCH POINT ,LA ,70525 ,,,,,,,,,,,25,9150,3510,32,3561,,102.98,,39,5,50,,,,68,,333, 191320,01-JAN-15,31-DEC-15,As Submitted,BIENVILLE MEDICAL CENTER ,1175 PINE STREET SUITE 200 ,,ARCADIA ,LA ,71001 ,BIENVILLE ,,,,,,,,,,25,9125,345,5,470,,54.94,,83,1,140,,,,,,, 191321,01-JUL-15,30-JUN-16,As Submitted,LALLIE KEMP REG. MEDICAL CENTER ,5279 HIGHWAY 51 SOUTH ,,INDEPENDENCE ,LA ,70443 ,TANGIPAHOA ,,,,,,,,,,24,21963,460,150,2563,1,357.86,,133,25,787,,,,,,, 191322,01-OCT-14,31-MAY-15,As Submitted,ABROM KAPLAN MEMORIAL HOSPITAL ,1310 WEST 7TH STREET ,,KAPLAN ,LA ,70548 ,VERMILION ,,,,,,,,,,25,6075,589,,824,,77.84,,131,,185,3,,,40,,195, 191322,01-JUN-15,30-SEP-15,As Submitted,ABROM KAPLAN MEMORIAL HOSPITAL ,1310 WEST 7TH STREET ,,KAPLAN ,LA ,70548 ,VERMILION ,,,,,,,,,,25,3050,348,16,485,,71.42,,51,2,83,,,,53,,135, 191323,01-OCT-14,30-SEP-15,Settled,RICHLAND PARISH HOSPITAL NO. 1 A ,407 CINCINNATI ST ,,DELHI ,LA ,71232- ,RICHLAND ,,,,,,,,,,25,9125,2258,179,2942,,138.65,,311,49,489,,,,,,, 191324,01-JAN-15,31-DEC-15,Settled,OCHSNER BAYOU LLC ,4608 HIGHWAY 1 ,,RACELAND ,LA ,70394 ,LAFOURCHE ,,,,,,,,,,25,9125,1207,84,3870,,250.59,,329,35,1074,,,,127,,609, 191325,01-JUL-15,30-JUN-16,As Submitted,LADY OF SEA HOSPTAL CARE & CAID TRAD ,200 WEST 134TH PLACE ,,CUT OFF ,LA ,70345- ,LAFOURCHE ,,,,,,,,,,23,8418,1362,23,3017,,289.23,,271,6,682,,,,,,, 191326,01-JAN-15,31-DEC-15,Settled,REEVES MEMORIAL MEDICAL CENTER ,401 FIRST ST. ,697 ,BERNICE ,LA ,71222 ,UNION ,,,,,,,,,,15,5475,559,37,766,,61.21,,64,5,108,,,,,,, 192004,01-SEP-15,31-AUG-16,As Submitted,PROMISE HOSPITAL OF ASCENSION INC. ,5130 MANCUSO LANE ,,BATON ROUGE ,LA ,70809 ,EAST BATON ROUGE ,,,,,,,,,,54,19764,8743,261,15214,,186.48,,356,14,587,,,,,,, 192006,01-FEB-15,31-AUG-15,Settled,CORNERSTONE HOSPITAL OF BOSSIER CITY ,4900 MEDICAL DRIVE ,,BOSSIER CITY ,LA ,71112 ,BOSSIER ,,,,,,,,,,43,9116,4938,,6167,,84.82,,198,,245,,,,,,, 192006,01-SEP-15,31-AUG-16,As Submitted,CORNERSTONE HOSPITAL OF BOSSIER CITY ,4900 MEDICAL DRIVE ,,BOSSIER CITY ,LA ,71112 ,BOSSIER ,,,,,,,,,,43,15738,8372,16,10360,,100,,342,1,424,,,,,,, 192007,01-SEP-15,30-SEP-15,Settled,LOUISIANA CONTINUING CARE HOSPITAL ,1101 MEDICAL CENTER BLVD 7TH FLOOR ,,MARRERO ,LA ,70072 ,JEFFERSON ,,,,,,,,,,44,1320,311,,523,,51.89,,12,,12,,,,,,, 192008,01-JAN-15,31-DEC-15,Settled,DENHAM SPRINGS - AMG SPECIALTY HOSPI ,8375 FLORIDA BOULEVARD ,,DENHAM SPRINGS ,LA ,70726 ,EAST BATON ROUGE PARISH ,,,,,,,,,,59,21535,7393,231,8642,,45.87,,294,14,358,,,,,,, 192009,01-SEP-15,30-SEP-16,As Submitted,KINDRED HOSPITAL NEW ORLEANS ,3601 COLISEUM STREET ,,NEW ORLEANS ,LA ,70115 ,ORLEANS ,,,,,,,,,,75,29700,9972,44,16738,,144.4,,335,1,554,44,,,,,, 192010,01-JAN-15,31-DEC-15,Settled,PROMISE HOSPITAL OF LOUISIANA INC. ,1800 IRVING ,,SHREVEPORT ,LA ,71101 ,CADDO ,,,,,,,,,,196,71540,39190,463,46087,,430.65,,1527,9,1752,,,,,,, 192011,01-SEP-15,31-AUG-16,As Submitted,LIFECARE HOSPITALS LLC ,9320 LINWOOD AVENUE ,,SHREVEPORT ,LA ,71106- ,CADDO ,,,,,,,,,,119,43554,24250,,30784,,258.22,,907,,1169,,,,,,, 192012,01-JUL-15,30-JUN-16,Settled,CHRISTUS DUBUIS - ALEXANDRIA ,3330 MASONIC DRIVE ,,ALEXANDRIA ,LA ,71301- ,RAPIDES ,,,,,,,,,,25,9150,4179,68,5935,,43.73,,166,2,231,,,,,,, 192013,01-FEB-15,31-AUG-15,Settled,CORNERSTONE HOSPITAL OF SW LOUISIANA ,703 CYPRESS STREET ,,SULPHUR ,LA ,70663 ,CALCASIEU ,,,,,,,,,,28,5936,3040,,4311,,38.53,,117,,145,,,,,,, 192013,01-SEP-15,31-AUG-16,Settled,CORNERSTONE HOSPITAL OF SW LOUISIANA ,703 CYPRESS STREET ,,SULPHUR ,LA ,70663 ,CALCASIEU ,,,,,,,,,,28,10248,5636,,6307,,42.75,,221,,250,,,,,,, 192015,01-JUN-15,31-MAY-16,Settled,LA EXTENDED CARE OF KENNER ,901 HUGH WALLIS RD. S ,,LAFAYETTE ,LA ,70508 ,JEFFERSON ,,,,,,,,,,32,11712,3560,196,8268,,105.23,,135,4,291,,,,,,, 192016,01-JUN-15,31-MAY-16,Settled,SPECIALTY HOSPITAL ,901 HUGH WALLIS RD. S ,,LAFAYETTE ,LA ,70508 ,OUACHITA ,,,,,,,,,,32,11712,7123,33,9315,,94.57,,268,2,355,,,,,,, 192019,01-JAN-15,31-DEC-15,Settled,EXTENDED CARE OF SOUTHWEST LOUISIANA ,2837 ERNEST STREET BUILDING B ,,LAKE CHARLES ,LA ,70601 ,CALCASIEU ,,,,,,,,,,29,10585,4331,151,6037,,42.48,,168,6,242,21,,,,,, 192022,01-JUN-15,31-MAY-16,Settled,LIFECARE SPECIALTY HOSPITAL OF N. LA ,1401 EZELL STREET ,,RUSTON ,LA ,71270 ,LINCOLN ,,,,,,,,,,55,20130,10144,188,12093,,115.62,,388,5,459,,,,,,, 192023,01-JAN-15,31-DEC-15,Settled,SPECIALTY HOSPITAL OF NEW ORLEANS ,14500 HAYNE BLVD ,,NEW ORLEANS ,LA ,70128- ,ORLEANS ,,,,,,,,,,21,7665,1786,1021,3058,,111,,65,33,102,,,,,,, 192028,01-JAN-15,31-DEC-15,Settled,PROFESSIONAL REHAB HOSPITAL ,209 FRONT STREET ,,VIDALIA ,LA ,71373 ,CONCORDIA ,,,,,,,,,,40,14600,9597,65,11179,,112.01,,378,2,431,,,,,,, 192029,01-JAN-15,31-DEC-15,As Submitted,LTAC OF LOUISIANA LLC ,310 YOUNGSVILLE HWY ,,LAFAYETTE ,LA ,70508 ,LAFAYETTE ,,,,,,,,,,58,21170,12482,114,14205,,119.45,,496,3,573,,,,,,, 192030,01-SEP-15,31-AUG-16,Settled,ST. THERESA SPECIALTY HOSPITAL ,3601 LOYOLA DRIVE ,,KENNER ,LA ,70065 ,JEFFERSON ,,,,,,,,,,31,11346,2591,124,5969,,92.47,,86,3,186,,,,,,, 192031,01-FEB-15,31-AUG-15,Settled,CORNERSTONE HOSPITAL OF WEST MONROE ,6198 CYPRESS STREET ,,WEST MONROE ,LA ,71291 ,OUACHITA ,,,,,,,,,,47,9964,7553,13,8967,,133.91,,277,1,327,,,,,,, 192031,01-SEP-15,31-AUG-16,As Submitted,CORNERSTONE HOSPITAL OF WEST MONROE ,6198 CYPRESS STREET ,,WEST MONROE ,LA ,71291 ,OUACHITA ,,,,,,,,,,47,17202,13252,104,14989,,149,,487,7,551,,,,,,, 192032,01-SEP-15,31-AUG-16,Amended,LA EXTENDED CARE OF LAFAYETTE ,1340 SURREY STREET ,,LAFAYETTE ,LA ,70501 ,LAFAYETTE ,,,,,,,,,,76,27816,18355,402,21441,,226.13,,701,18,836,,,,,,, 192033,01-SEP-15,31-AUG-16,Settled,POST ACUTE MEDICAL LAFAYETTE ,204 ENERGY PARKWAY ,,LAFAYETTE ,LA ,70508 ,LAFAYETTE ,,,,,,,,,,50,18300,7057,,8687,,96.53,,286,,363,,,,,,, 192034,01-SEP-15,31-AUG-16,As Submitted,ST. LANDRY EXTENDED CARE ,539 PRUDHOMME ST ,,OPELOUSAS ,LA ,70570 ,ST LANDRY ,,,,,,,,,,41,15006,6888,,7150,,,,270,,294,,,,,,, 192035,01-SEP-15,31-AUG-16,As Submitted,LA EXTENDED CARE OF NATCHITOCHES ,501 KEYSER AVE 2ND FLOOR ,,NATCHITOCHES ,LA ,71457 ,NATCHITOCHES ,,,,,,,,,,21,7686,4921,75,5500,,66.13,,191,3,231,,,,,,, 192036,01-JAN-15,31-DEC-15,Settled,POST ACUTE MEDICAL OF HAMMOND ,42074 VETERNS AVENUE ,,HAMMOND ,LA ,70403 ,TANGIAHOA ,,,,,,,,,,40,14600,7898,12,9542,,95.49,,303,1,366,,,,,,, 192037,01-JUN-15,31-MAY-16,Settled,HOUMA - AMG SPECIALTY HOSPITAL ,629 DUNN STREET ,,HOUMA ,LA ,70360-4707 ,TERREBONNE ,,,,,,,,,,40,14600,10467,62,12433,,106.23,,409,6,485,5,,,,,, 192040,01-SEP-15,31-AUG-16,As Submitted,SOUTHEAST REGIONAL MEDICAL CENTER ,719 AVE G ,,KENTWOOD ,LA ,70444 ,TANGIPAHOA ,,,,,,,,,,14,5110,1562,,1562,,,,62,,62,,,,,,, 192041,01-JAN-15,31-DEC-15,Settled,ZACHARY-AMG SPECIALTY HOSPITAL ,9737 GRACE LANE ,,CLINTON ,LA ,70722 ,EAST FELICIANA ,,,,,,,,,,16,5840,1931,92,2846,,27.89,,75,4,110,,,,,,, 192043,01-JUL-15,30-JUN-16,As Submitted,RIVERSIDE HOSPITAL OF LOUISIANA ,211 4TH STREET 5TH FLOOR ,,ALEXANDRIA ,LA ,71301 ,RAPIDES ,,,,,,,,,,28,10248,6718,14,8061,,62.84,,266,1,355,1,,,,,, 192048,01-JAN-15,31-DEC-15,Settled,PAM II OF COVINGTON ,20050 CRESTWOOD BLVD ,,COVINGTON ,LA ,70433 ,ST. TAMMANY PARISH ,,,,,,,,,,58,21170,6721,53,10338,,124.88,,263,3,408,,,,,,, 192049,01-JAN-15,31-DEC-15,Settled,PROMISE HOSPITAL OF BATON ROUGE INC ,5130 MANCUSO LANE ,,BATON ROUGE ,LA ,70809 ,EAST BATON ROUGE PARISH ,,,,,,,,,,57,20805,6191,,11942,,94.87,,245,,479,,,,,,, 192051,01-NOV-14,31-OCT-15,Settled,REGENCY HOSPITAL OF COVINGTON ,195 HIGHLAND PARK ENTRANCE ,,COVINGTON ,LA ,70433 ,ST.TAMMANY ,,,,,,,,,,38,13870,4609,,5315,,75,,176,,209,,,,,,, 192052,01-APR-15,31-MAR-16,As Submitted,SPECIALTY HOSPITAL OF WINNFIELD ,915 FIRST STREET ,,WINNFIELD ,LA ,71483 ,WINN ,,,,,,,,,,20,7320,3422,113,3944,,34.95,,135,5,160,3,,,,,, 192055,01-SEP-15,31-AUG-16,As Submitted,LA EXTENDED CARE OF WEST MONROE ,420 W PINHOOK ,,LAFAYETTE ,LA ,70501 ,OUACHITA ,,,,,,,,,,21,7686,6133,,6957,,70.31,,242,,278,,,,,,, 193028,01-OCT-14,30-SEP-15,As Submitted,BATON ROUGE REHAB HOSPITAL ,8595 UNITED PLAZA BLVD. ,,BATON ROUGE ,LA ,70809 ,EAST BATON ROUGE ,,,,,,,,,,81,29565,4469,205,9419,,,,343,9,695,8,,,,,, 193031,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,104 NORTH THIRD STREET ,Y ,ALEXANDRIA ,LA ,71301 ,RAPIDES PARISH ,,,,,,,,,,47,17155,7786,561,10295,,96.22,,659,33,849,14,,,,,, 193044,01-JUL-15,30-JUN-16,As Submitted,N. OAKS REHABILITATION HOSPITAL ,1900 S. MORRISON BLVD. ,P.O. BOX 2668 ,HAMMOND ,LA ,70404 ,TANGIPAHOA ,,,,,,,,,,27,9882,3192,214,5548,,38.4,,302,15,516,37,,,,,, 193050,01-APR-15,31-MAR-16,As Submitted,TRI PARISH REHABILITATION HOSPITAL ,8088 HAWKS ROAD ,,ROSEPINE ,LA ,70659 ,VERNON ,,,,,,,,,,36,13176,5083,502,6113,,73.1,,373,30,439,,,,,,, 193058,01-JUN-15,31-MAY-16,As Submitted,SOUTH GRAND REHAB HOSPITAL ,4310 SOUTH GRAND STREET ,,MONROE ,LA ,71202 ,OUACHITA ,,,,,,,,,,12,4392,1433,8,1719,,31.49,,125,1,156,15,,,,,, 193067,01-AUG-15,31-JUL-16,As Submitted,REHAB HOSPITAL OF JENNINGS ,1 HOSPITAL DRIVE SUITE 1 ,,JENNINGS ,LA ,70546- ,ACADIA ,,,,,,,,,,27,9882,2715,,3071,,31,,189,,232,9,,,,,, 193069,01-JAN-15,31-DEC-15,As Submitted,STERLINGTON REHAB HOSPITAL ,P O BOX 627 ,,STERLINGTON ,LA ,71280 ,OUACHITA ,,,,,,,,,,10,3650,3144,41,3344,,63.36,,261,6,284,,,,,,, 193070,01-JUL-15,30-JUN-16,As Submitted,MMO REHAB AND WELLNESS CENTER ,4660 CONVENTION STREET ,,BATON ROUGE ,LA ,70802 ,EAST BATON ROUGE ,,,,,,,,,,15,5490,1365,42,1635,,30.62,,85,2,104,5,,,,,, 193074,01-JUL-15,30-JUN-16,As Submitted,UNITED MEDICAL HEALTHWEST ,3201 WALL BOULEVARD ,,GRETNA ,LA ,70056 ,JEFFERSON ,,,,,,,,,,15,5490,2327,822,3893,,35.02,,186,46,259,,,,,,, 193078,01-JAN-15,31-DEC-15,Amended,SAGE REHAB. HOSPITAL ,8000 SUMMA AVENUE ,,BATON ROUGE ,LA ,70809 ,EAST BATON ROUGE ,,,,,,,,,,27,9855,3797,18,5518,,108.77,,270,2,344,1,,,,,, 193079,01-JAN-15,31-DEC-15,As Submitted,UNITED MEDICAL REHABILITATION HOSPIT ,15717 BELLE DRIVE ,,HAMMOND ,LA ,70403 ,TANGIPAHOA ,,,,,,,,,,20,7300,4677,642,6443,,65.15,,409,46,527,,,,,,, 193080,01-JAN-15,31-DEC-15,As Submitted,SPECIALTY REHABILITATION HOSPITAL ,1110 RINGGOLD AVE ,,COUSHATTA ,LA ,71019 ,RED RIVER ,,,,,,,,,,12,4380,2853,272,3507,,38.22,,209,21,255,,,,,,, 193086,01-JAN-15,31-DEC-15,As Submitted,LEESVILLE REHABILITATION HOSPITAL ,900 SOUTH 9TH STREET ,,LEESVILLE ,LA ,71446 ,,,,,,,,,,,16,5840,3068,48,3609,,38.33,,278,6,328,,,,,,, 193090,01-JAN-15,31-DEC-15,As Submitted,THE NEUROMEDICAL CENTER ,10101 PARK ROWE AVENUE ,,BATON ROUGE ,LA ,70810 ,EAST BATON ROUGE ,,,,,,,,,,27,9855,2909,,7678,,82.67,,195,,480,3,,,,,, 193092,01-SEP-15,31-AUG-16,As Submitted,BETHESDA REHABILITATION HOSPITAL INC ,8225 BLDG B SUMMA AVENUE ,,BATON ROUGE ,LA ,70809 ,EAST BATON ROUGE ,,,,,,,,,,14,5110,1583,69,1714,,25,,98,4,105,,,,,,, 193093,01-JAN-15,31-AUG-15,As Submitted,LAFAYETTE PHYSICAL REHAB ,307 POLLY LANE ,,LAFAYETTE ,LA ,70508 ,LAFAYETTE ,,,,,,,,,,32,7776,5236,277,6814,,87.51,,367,15,460,17,,,,,, 193093,01-SEP-15,31-AUG-16,As Submitted,LAFAYETTE PHYSICAL REHAB ,307 POLLY LANE ,,LAFAYETTE ,LA ,70508 ,LAFAYETTE ,,,,,,,,,,32,11712,7722,264,10877,,99.11,,535,13,710,54,,,,,, 193094,01-JAN-15,31-DEC-15,As Submitted,PATHWAY REHABILITATION HOSPITAL LLC ,4900 MEDICAL DRIVE ,,BOSSIER CITY ,LA ,71112-4521 ,BOSSIER ,,,,,,,,,,24,8760,4806,,5333,,46.65,,406,,450,,,,,,, 193096,01-JUN-15,31-MAY-16,As Submitted,IBERIA REHABILITATION HOSPITAL ,523 JEFFERSON TERRACE STREET ,,NEW IBERIA ,LA ,70560 ,IBERIA PARISH ,,,,,,,,,,40,14640,5199,239,6877,,61.65,,385,16,512,,,,,,, 193300,01-JAN-15,31-DEC-15,Settled,CHILDRENS HOSPITAL ,200 HENRY CLAY AVENUE ,,NEW ORLEANS ,LA ,70118 ,ORLEANS ,,,,,,,,,23367,187,68255,525,30300,42227,105.66,1663.1,,86,2679,5191,,,,,,5629, 194007,01-JAN-15,31-DEC-15,As Submitted,MBH OF LA LLC DBA NORTHLAKE BEHAVIO ,23515 HWY 190 ,,MANDEVILLE ,LA ,70448 ,ST. TAMMANY ,,,,,,,,,,140,51100,789,4598,28328,,311.6,,51,719,2218,,,,,,, 194008,01-JUL-15,30-JUN-16,Settled,EAST LA STATE HOSPITAL ,4502 HIGHWAY 951 ,498 ,JACKSON ,LA ,70748 ,EAST FELICIANA ,,,,,,,,,,118,79570,274,76763,79440,,121,,14,22,796,,,,,,, 194020,01-JAN-15,31-DEC-15,Settled,BRENTWOOD BEHAVIORAL-SHREVEPORT ,1006 HIGHLAND AVENUE ,,SHREVEPORT ,LA ,71101 ,CADO ,,,,,,,,,,174,63510,7704,2358,55499,,303.4,,601,215,5844,,,,,,, 194022,01-JAN-15,31-DEC-15,Settled,LONGLEAF HOSPITAL ,44 VERSAILES BLVD ,,ALEXANDRIA ,LA ,71303 ,RAPIDS ,,,,,,,,,,76,27740,2648,,22713,,150.09,,209,,2536,,,,,,, 194025,01-JUL-15,30-JUN-16,As Submitted,CENTRAL LA. STATE HOSPITAL ,PO BOX 5031 ,5031 ,PINEVILLE ,LA ,71360 ,RAIPES ,,,,,,,,,,196,71540,1,,43593,,166,,1,,48,,,,,,, 194031,01-JAN-15,31-DEC-15,Settled,RIVER OAKS HOSPITAL ,1525 RIVER OAKS W. AVE ,,HARAHANELO ,LA ,76901 ,JEFFERSON PARISH ,,,,,,,,,,126,45990,5306,7940,27961,,152.9,,380,993,3492,,,,,,, 194044,01-DEC-14,30-NOV-15,Settled,ACADIA VERMILION HOSPITAL ,2520 UNIVERSITY AVENUE ,,LAFAYETTE ,LA ,70507 ,LAFAYETTE ,,,,,,,,,,54,19710,2919,,18002,,114.28,,264,,2004,,,,,,, 194056,01-MAY-15,30-APR-16,Settled,COMMUNITY CARE HOSPITAL ,1421 GENERAL TAYLOR ,,NEW ORLEANS ,LA ,70115 ,ORLEANS ,,,,,,,,,,38,13908,2192,825,7947,,108.9,,235,158,1181,85,,,,,, 194069,01-JAN-15,31-DEC-15,Settled,GREENBRIER BEHAVIORAL HEALTH ,201 GREENBRIER BLVD ,,COVINGTON ,LA ,70433 ,ST. TAMMANY ,,,,,,,,,,60,21900,4167,112,14124,,151.74,,369,16,1808,,,,,,, 194073,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF LAFAYE ,418 ALBERTSON PARKWAY ,,BROUSSARD ,LA ,70518 ,LAFAYETTE ,,,,,,,,,,38,13870,9439,133,12480,,95.88,,634,17,922,,,,,,, 194074,01-JAN-15,31-DEC-15,Settled,SOLUTIONS MEDICAL CONSULTING LLC ,1495 FRAZIER ROAD ,,RUSTON ,LA ,71270 ,LINCOLN ,,,,,,,,,,18,6570,2301,,5520,,40.57,,184,,675,,,,,,, 194075,01-JUL-15,30-JUN-16,Settled,WESTEND HOSPITAL ,1530 HIGHWAY 90 W ,,JENNINGS ,LA ,70546 ,JEFF DAVIS ,,,,,,,,,,20,7320,1612,235,2880,,32.46,,134,19,271,,,,,,, 194078,01-JAN-15,31-DEC-15,Settled,OPTIMA SPECIALTY HOSPITAL ,1131 RUE DE BELIER ,,LAFAYETTE ,LA ,70506 ,LAFAYETTE ,,,,,,,,,,24,8760,3125,41,6834,,43.34,,280,6,841,,,,,,, 194079,01-JUL-15,30-JUN-16,As Submitted,RED RIVER BEHAVIORAL CENTER ,2800 MELROSE AVENUE ,,BOSSIER CITY ,LA ,71111 ,BOSSIER ,,,,,,,,,,20,7320,5096,,5963,,40.76,,271,,335,,,,,,, 194080,12-APR-15,31-DEC-15,Settled,BEACON BEHAVIORAL HOSPITAL NORTHSHOR ,64026 HIGHWAY 434 SUITE 300 ,,LACOMBE ,LA ,70445 ,ST. TAMMANY PARISH ,,,,,,,,,,22,5808,2442,192,3844,,71,,191,20,342,,,,,,, 194081,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF DERIDD ,1420 BLANKENSHIP DRIVE ,,DERIDDER ,LA ,70634 ,BEAUREGARD ,,,,,,,,,,20,7300,4594,62,5618,,40.98,,276,6,368,,,,,,, 194082,01-JAN-15,31-DEC-15,Settled,JENNINGS SENIOR CARE HOSPITAL LLC ,1 HOSPITAL DRIVE ,,JENNINGS ,LA ,70546 ,JEFF DAVIS ,,,,,,,,,,16,5840,3666,96,4142,,49.86,,233,14,289,,,,,,, 194083,01-JAN-15,31-DEC-15,Settled,LIBERTY HEALTHCARE SYSTEMS ,4673 EUGENE WARE ROAD ,,BASTROP ,LA ,71220 ,MOREHOUSE ,,,,,,,,,,60,21900,,5844,8381,,85.77,,,644,958,,,,,,, 194084,01-JAN-15,31-DEC-15,Settled,BEACON BEHAVIORAL HOSPITAL N.O. INC ,9938 AIRLINE HWY STE 200 ,,BATON ROUGE ,LA ,70816 ,BATON ROUGE ,,,,,,,,,,34,12410,3649,1702,7995,,83,,253,207,793,,,,,,, 194085,01-JAN-15,31-DEC-15,Settled,COMPASS BEHAVIORAL CENTER LLC ,P.O. BOX 425 ,,CROWLEY ,LA ,70527 ,ACADIA ,,,,,,,,,,34,12410,6314,41,7581,,95.97,,474,7,689,,,,,,, 194086,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF BATON ,11135 FLORIDA BOULEVARD ,,BATON ROUGE ,LA ,70815 ,EAST BATON ROUGE ,,,,,,,,,,20,7300,5473,36,6543,,52.32,,305,5,434,,,,,,, 194087,01-JAN-15,31-DEC-15,Settled,ALLEGIANCE HEALTH CTR OF RUSTON ,1401 EZELLE STREET ,,RUSTON ,LA ,71270 ,LINCOLN ,,,,,,,,,,14,5110,3114,13,3846,,86.73,,221,2,287,,,,,,, 194088,01-JAN-15,31-DEC-15,Settled,ST. JAMES BEHAVIORAL HEALTH HOSP ,3136 SOUTH ST. LANDRY ROAD ,,GONZALES ,LA ,70737 ,ASCENSION ,,,,,,,,,,28,10220,3843,,8488,,93.33,,273,,844,,,,,,, 194089,01-JAN-15,31-DEC-15,Settled,GENESIS BEHAVIORAL HOSPITAL INC ,847 STEWART STREET ,,LAFAYETTE ,LA ,70501 ,LAFAYETTE ,,,,,,,,,,18,6570,3727,,5015,,75.5,,322,,534,,,,,,, 194090,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF LAKE C ,304 WEST MCNEESE ,,LAKE CHARLES ,LA ,70605 ,CALCASIEU ,,,,,,,,,,20,7300,4970,,5622,,41.87,,306,,361,,,,,,, 194091,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF KENTWO ,921 AVENUE G ,,KENTWOOD ,LA ,70444 ,TANGIPAHOA ,,,,,,,,,,16,5840,4648,17,5193,,33.87,,335,2,377,,,,,,, 194094,01-JAN-15,31-DEC-15,Settled,PHYSICIANS BEHAVIORAL HOSPITAL OF SH ,2025 DESOTO STREET ,,SHREVEPORT ,LA ,71103 ,SHREVEPORT ,,,,,,,,,,24,8760,5175,,5988,,53.64,,299,,371,,,,,,, 194095,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF OPELOU ,1310 HEATHER DRIVE ,,OPELOUSAS ,LA ,70570 ,ST. LANDRY ,,,,,,,,,,20,7300,4661,18,5673,,39.1,,246,1,314,,,,,,, 194096,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF ALEXAN ,2621 BOLTON AVENUE ,,ALEXANDRIA ,LA ,71303 ,RAPIDES ,,,,,,,,,,24,8760,5019,17,6405,,49.87,,310,3,425,,,,,,, 194097,01-JAN-15,31-DEC-15,Settled,PHOENIX BEHAVIORAL HOSPITAL ,3859 HWY 190 ,,EUNICE ,LA ,70535 ,ACADIA ,,,,,,,,,,16,5840,2477,984,4167,,37.54,,211,127,411,,,,,,, 194098,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF GREATE ,716 VILLAGE ROAD ,,KENNER ,LA ,70065 ,JEFFERSON ,,,,,,,,,,30,10950,7529,105,10376,,58.51,,370,9,675,,,,,,, 194100,01-JAN-15,31-DEC-15,Settled,SEASIDE BEHAVIORAL CENTER LLC ,4201 WOODLAND DRIVE ,,NEW ORLEANS ,LA ,70131 ,ORLEANS ,,,,,,,,,,47,17155,7433,,13910,,117.96,,509,,1482,383,,,,,, 194102,01-JAN-15,31-DEC-15,Settled,BEACON BEHAVIORAL HOSPITAL LUTCHER ,9938 AIRLINE HWY STE 200 ,,BATON ROUGE ,LA ,70816 ,BATON ROUGE ,,,,,,,,,,19,6935,2462,637,5391,,95,,205,154,506,,,,,,, 194103,01-OCT-14,30-SEP-15,Reopened,SEASIDE HEALTH SYSTEMS ,4363 CONVENTION ST ,,BATON ROUGE ,LA ,70806 ,,,,,,,,,,,64,23360,4402,,13276,,149.48,,393,,2085,,,,,,, 194105,01-JAN-15,31-DEC-15,Settled,APOLLO BEHAVIORAL HEALTH HOSPITAL ,7414 SUMRALL DRIVE SUITE C ,,BATON ROUGE ,LA ,70812 ,BATON ROUGE ,,,,,,,,,,18,6570,1443,,4830,,48.17,,159,,749,,,,,,, 194106,01-JAN-15,31-DEC-15,Settled,COMPASS BEHAVIORAL HEALTH CNTR ALEXA ,6410 MASONIC DRIVE ,,ALEXANDRIA ,LA ,71301 ,RAPIDES ,,,,,,,,,,20,7300,2882,20,3633,,35.6,,240,2,350,,,,,,, 194107,01-OCT-14,30-SEP-15,Settled,BATON ROUGE BEHAVIORAL HOSPITAL ,4040 NORTH BOULEVARD ,,BATON ROUGE ,LA ,70806 ,EAST BATON ROUGE PARRISH ,,,,,,,,,,47,14789,3282,,11562,,187.77,,255,,1288,,,,,,, 194109,01-JAN-15,31-DEC-15,Settled,COMPASS BEHAVIORAL HEALTH CENTER OF ,4701 WEST PARK AVENUE ,,HOUMA ,LA ,70364 ,TERREBONE ,,,,,,,,,,20,7300,2792,135,4823,,38.05,,224,14,441,,,,,,, 194111,01-JAN-15,22-JUL-15,Settled,KAILO BEHAVORAL HOSPITAL LLC ,3859 US HWY 190 ,,EUNICE ,LA ,70535 ,ST LANDRY ,,,,,,,,,,12,2436,713,,1303,,12.14,,85,,85,,,,,,, 200001,01-JAN-15,31-DEC-15,As Submitted,ST JOSEPH HOSPITAL ,360 BROADWAY ,403 ,BANGOR ,ME ,04401 ,PENOBSCOT ,,,,260724,,,.0615,,,112,40880,10487,2273,19020,,1170,,2305,301,4222,,,,,,, 200008,01-OCT-14,30-SEP-15,As Submitted,MERCY HOSPITAL ,144 STATE STREET ,,PORTLAND ,ME ,04101 ,CUMBERLAND ,,,,388780,,,.0748,,,103,45001,9109,2785,22169,,1395.5,,2266,1215,6375,,,,,,, 200009,01-OCT-14,30-SEP-15,Amended,MAINE MEDICAL CENTER ,22 BRAMHALL STREET ,,PORTLAND ,ME ,04102 ,CUMBERLAND ,15486687,,,3936509,,,.1462,5348253,2139393,611,223015,50189,26727,148159,243.88,6813.93,,9867,3736,27595,,,,,,320, 200018,27-SEP-15,24-SEP-16,As Submitted,THE AROOSTOOK MEDICAL CENTER ,140 ACADEMY STREET ,151 ,PRESQUE ISLE ,ME ,04769- ,AROOSTOOK ,,,,208513,,,.1228,,,38,13832,4654,1326,8936,,822.59,,1052,385,1937,10,,,,2,,75 200019,01-OCT-14,30-SEP-15,Amended,SOUTHERN MAINE HEALTH CARE ,1 MEDICAL CENTER DRIVE ,626 ,BIDDEFORD ,ME ,04005-0626 ,YORK ,,,,195213,,,.0328,884,849,128,48946,14009,3057,28236,,1578.03,,3327,1085,6693,,4,,124,,496, 200020,01-JAN-15,31-DEC-15,As Submitted,YORK HOSPITAL ,15 HOSPITAL DR ,,YORK ,ME ,03909- ,YORK ,,,,,,,,,,66,24090,7397,734,13066,,880.46,,1680,324,3578,,,,,,, 200021,01-OCT-14,30-SEP-15,As Submitted,MID COAST HOSPITAL ,123 MEDICAL CENTER DRIVE ,,BRUNSWICK ,ME ,04011-3218 ,CUMBERLAND ,,,,277807,,,.081,,,92,33580,9498,2939,21723,,920.5,,1959,806,4653,,,,,,, 200024,01-JUL-15,30-JUN-16,Amended,CENTRAL MAINE MEDICAL CENTER ,300 MAIN STREET ,4500 ,LEWISTON ,ME ,04240-4500 ,ANDROSCOGGIN ,1563315,,,831571,,,.0895,536674,411499,228,83448,18531,7517,44238,19.17,1865.84,,3893,1622,10563,,,,,21,,312 200031,01-JAN-15,31-DEC-15,As Submitted,CARY MEDICAL CENTER ,163 VAN BUREN ROAD STE 2 ,,CARIBOU ,ME ,04736 ,AROOSTOOK ,,,,192515,,,.1225,,,49,17885,4784,1178,8218,,361.16,,1005,418,1899,,,,,,, 200033,27-SEP-15,24-SEP-16,Amended,EASTERN MAINE MEDICAL CENTER ,489 STATE STREET ,404 ,BANGOR ,ME ,04401-0489 ,PENOBSCOT ,3537160,,,2875269,,,.1437,736507,443953,313,114245,43025,19203,99427,24.12,3369.27,,8067,1039,19875,,,,,76,,582 200034,01-JAN-15,31-DEC-15,As Submitted,ST. MARYS REGIONAL MEDICAL CENTER ,93 CAMPUS AVENUE ,7291 ,LEWISTON ,ME ,04243-0291 ,ANDROSCOGGIN ,,,,737843,,,.2392,,,140,51100,7410,7222,23451,,1058.09,,1629,1323,5039,,,,228,,786, 200037,01-OCT-14,30-SEP-15,Amended,FRANKLIN MEMORIAL HOSPITAL ,111 FRANKLIN HEALTH COMMONS ,,FARMINGTON ,ME ,04938 ,FRANKLIN ,,,,174686,,,.1177,,,48,17520,4431,1613,8650,,555.92,,1029,352,2127,38,,,,,, 200039,01-JUL-15,30-JUN-16,Amended,MAINEGENERAL MEDICAL CENTER ,35 MEDICAL CENTER PARKWAY ,,AUGUSTA ,ME ,04330 ,KENNEBEC ,2728141,,,1051472,,,.1354,1188518,1090510,172,62952,23669,10723,53978,32.89,2857,,4037,1989,11121,,,,,34,,415 200041,27-SEP-15,24-SEP-16,As Submitted,INLAND HOSPITAL ,200 KENNEDY MEMORIAL DRIVE ,,WATERVILLE ,ME ,04901- ,KENNEBEC ,,,,88982,,,.1208,,,46,16744,2190,1040,5406,,419.61,,478,227,1241,,,,,,, 200050,01-JUL-15,30-JUN-16,Amended,MAINE COAST MEMORIAL HOSPITAL ,50 UNION STREET ,,ELLSWORTH ,ME ,04650- ,HANCOCK ,,,,139355,,,.0728,,,48,17568,4407,1320,8279,,468,,1142,505,2253,,,,,,, 200052,01-OCT-14,30-SEP-15,As Submitted,NORTHERN MAINE MEDICAL CENTER ,194 EAST MAIN STREET ,,FORT KENT ,ME ,04743- ,AROOSTOOK ,,,,108412,,,.12,,,43,15695,2914,1042,5238,,257.67,,610,180,1045,,,,88,,277, 200063,01-OCT-14,30-SEP-15,As Submitted,PENOBSCOT BAY MEDICAL CENTER ,6 GLEN COVE DRIVE ,,ROCKPORT ,ME ,04856-4240 ,KNOX ,,,,317016,,,.12,,,81,29565,9614,2909,18783,,805.96,,1682,553,3619,,,,,,, 201300,27-SEP-15,24-SEP-16,As Submitted,BLUE HILL MEMORIAL HOSPITAL ,PO BOX 1029 ,,BLUE HILL ,ME ,04614-0823 ,HANCOCK ,,,,,,,,,,25,9100,2838,51,3942,,232.3,,291,16,441,,,,,,, 201301,27-SEP-15,24-SEP-16,As Submitted,CHARLES A DEAN MEMORIAL HOSPITAL ,PRITHAM AVENUE ,,GREENVILLE ,ME ,04441- ,PISCATAQUIS ,,,,,,,,,,25,9100,1401,3545,6648,,102.38,,125,10,168,,,,,,, 201302,01-OCT-14,30-SEP-15,Amended,LINCOLNHEALTH ,6 ST. ANDREWS LANE ,417 ,BOOTHBAY HARBOR ,ME ,04538- ,LINCOLN ,,,,,,,,,,25,9125,4164,544,7291,,341.04,,904,211,1681,,,,,,, 201303,01-JAN-15,31-DEC-15,As Submitted,PENOBSCOT VALLEY HOSPITAL ,TRANSALPINE ROAD ,,LINCOLN ,ME ,04457 ,PENOBSCOT ,,,,,,,,,,25,9125,3139,452,4552,,162.5,,455,89,732,,,,,,, 201304,01-MAY-15,30-APR-16,As Submitted,MOUNT DESERT ISLAND HOSPITAL ,10 WAYMAN LANE ,8 ,BAR HARBOR ,ME ,04609 ,HANCOCK ,,,,,,,,,,25,9150,2566,258,4056,,345.62,,429,67,879,,,,,,, 201305,01-JAN-15,31-DEC-15,As Submitted,CALAIS REGIONAL HOSPITAL ,24 HOSPITAL LANE ,,CALAIS ,ME ,04619- ,WASHINGTON ,,,,,,,,,,25,9125,3020,547,4922,,200.14,,542,119,886,,,,,,, 201306,01-JUL-15,30-JUN-16,As Submitted,RUMFORD HOSPITAL ,420 FRANKLIN STREET ,,RUMFORD ,ME ,04276 ,OXFORD ,,,,,,,,,,25,9150,3376,579,4997,,195.09,,422,128,810,,,,,,, 201307,01-JUL-15,30-JUN-16,As Submitted,MILLINOCKET REGIONAL HOSPITAL ,200 SOMERSET STREET ,,MILLINOCKET ,ME ,04462- ,PENOBSCOT ,,,,,,,,,,25,9150,2128,88,3095,,179.37,,399,31,618,,,,,,, 201308,01-OCT-14,30-SEP-15,As Submitted,HOULTON REGIONAL HOSPITAL ,20 HARTFORD STREET ,,HOULTON ,ME ,04730 ,AROOSTOOK ,,,,,,,,,,25,9125,4361,795,7137,,305.36,,642,171,1222,,,,,,, 201309,01-OCT-14,30-SEP-15,As Submitted,MAYO REGIONAL HOSPITAL ,897 WEST MAIN STREET ,,DOVER-FOXCROFT ,ME ,04426- ,PISCATAQUIS ,,,,,,,,,,25,9125,2576,608,4206,,331,,614,148,1170,,,,,,, 201310,01-JUL-15,30-JUN-16,As Submitted,BRIDGTON HOSPITAL ,BRIDGTON HOSPITAL ,230 ,BRIDGTON ,ME ,04009- ,CUMBERLAND ,,,,,,,,,,25,9150,2633,494,4731,,292.15,,328,98,681,,,,,,, 201311,01-JAN-15,31-DEC-15,As Submitted,DOWN EAST COMMUNITY HOSPITAL ,UPPER COURT STREET ,,MACHIAS ,ME ,04654 ,WASHINGTON ,,,,,,,,,,25,9125,2285,605,3921,,222.28,,437,136,956,,,,,,, 201312,01-OCT-14,30-SEP-15,As Submitted,WALDO COUNTY GENERAL HOSPITAL ,118 NORTHPORT AVENUE ,287 ,BELFAST ,ME ,04915 ,WALDO ,,,,,,,,,,61,12410,3225,504,5487,,508.77,,656,181,1429,,,,,,, 201313,01-OCT-14,30-SEP-15,Amended,SEBASTICOOK VALLEY HOSPITAL ,99 GROVE STREET ,,PITTSFIELD ,ME ,04967- ,SOMERSET ,,,,,,,,,,25,9125,2926,355,4227,,243.12,,392,57,807,,,,,,, 201314,01-JUL-15,30-JUN-16,As Submitted,REDINGTON-FAIRVIEW GENERAL HOSPITAL ,FAIRVIEW AVENUE ,468 ,SKOWHEGAN ,ME ,04976- ,SOMERSET ,,,,,,,,,,25,9150,3195,807,5697,,586.92,,835,381,1539,,,,,,, 201315,01-OCT-14,30-SEP-15,As Submitted,STEPHENS MEMORIAL HOSPITAL - CAH ,181 MAIN STREET ,,NORWAY ,ME ,04268 ,OXFORD ,,,,,,,,,,25,9125,2460,724,4857,,334.22,,708,192,1343,,,,,,, 203025,01-JAN-15,31-DEC-15,Amended,NEW ENGLAND REHABILITATION HOSPITAL ,335 BRIGHTON AVENUE SUITE 201 ,,PORTLAND ,ME ,04102 ,CUMBERLAND ,,,,,,,,,,90,32850,15858,1920,25779,,212.96,,1146,125,1828,23,,,,,, 204004,01-JUL-15,30-JUN-16,Settled,DOROTHEA DIX PSYCHIATRIC CENTER ,STATE STREET ,926 ,BANGOR ,ME ,04402-0926 ,PENOBSCOT ,,,,,,,,,,51,18666,1479,205,14060,,197,,40,4,136,,,,,,, 204005,01-OCT-14,30-SEP-15,Settled,SPRING HARBOR HOSPITAL ,123 ANDOVER ROAD ,,WESTBROOK ,ME ,04092- ,CUMBERLAND ,,,,,,,,,,88,32120,4323,10786,27056,,291.35,,387,552,2189,,,,,,, 204006,27-SEP-15,24-SEP-16,As Submitted,ACADIA HOSPITAL ,268 STILLWATER AVE. ,422 ,BANGOR ,ME ,04402 ,PENOBSCOT ,,,,,,,,,,68,24752,4643,7800,20654,,472.59,,312,477,1391,,,,,,, 210001,01-JUL-15,30-JUN-16,As Submitted,MERITUS MEDICAL CENTER ,11118 MEDICAL CAMPUS ROAD ,,HAGERSTOWN ,MD ,21742 ,WASHINGTON ,,,,1498471,,,.1179,,,243,88938,34326,2590,69707,,1520.52,,7295,635,18026,3559,,,,,, 210002,01-JUL-15,30-JUN-16,As Submitted,UNIVERSITY OF MARYLAND MED SYS ,22 SOUTH GREENE STREET ,,BATLIMORE ,MD ,21201 ,BALTIMORE CITY ,50125260,,,15429502,,,.2604,6068057,1694455,711,260226,68869,18605,214229,590.43,7005.56,,8508,1664,27215,7296,,,,,, 210003,01-JUL-15,30-JUN-16,As Submitted,PRINCE GEORGES HOSPITAL ,7300 VAN DUSEN RD. ,,LAUREL ,MD ,20707 ,,,,,3662060,,,.3497,,,249,90885,22572,29803,68635,46.9,1502.09,,3777,6508,14320,,,,,,, 210004,01-JUL-15,30-JUN-16,As Submitted,HOLY CROSS HOSPITAL ,1500 FOREST GLEN ROAD ,,SILVER SPRING ,MD ,20910 ,MONTGOMERY ,1958718,,,4200657,,,.1692,427328,93407,469,171654,41920,25124,144046,18.38,2617.82,,7702,2023,34309,4109,,,,,, 210005,01-JUL-15,30-JUN-16,As Submitted,FREDERICK MEMORIAL HOSPITAL ,400 WEST SEVENTH STREET ,,FREDERICK ,MD ,21701 ,FREDERICK ,,,,1911920,,,.0993,,,233,85278,31238,4055,71504,,1455.31,,6581,506,17714,2475,,,,,, 210006,01-JAN-15,30-JUN-15,Settled,HARFORD MEMORIAL HOSPITAL ,PO BOX 501 SOUTH ,,HAVRE DE GRACE ,MD ,21078 ,HARFORD ,,,,314705,,,.115,,,84,15204,5459,1148,10815,,608.74,,1060,261,2138,158,,,,,, 210006,01-JUL-15,30-JUN-16,As Submitted,HARFORD MEMORIAL HOSPITAL ,PO BOX 501 SOUTH ,,HAVRE DE GRACE ,MD ,21078 ,HARFORD ,,,,655905,,,.1106,,,85,31110,11933,2909,22842,,1296.11,,2194,629,4360,298,,,,,, 210008,01-JUL-15,30-JUN-16,As Submitted,MERCY MEDICAL CENTER ,301 ST. PAUL PLACE ,,BALTIMORE ,MD ,21202 ,BALTIMORE CITY ,4794523,,,3359318,,,.3308,894464,591266,210,76860,16564,4676,54239,51.45,2642.13,,4095,1084,16811,4761,,,,,, 210009,01-JUL-15,30-JUN-16,As Submitted,THE JOHNS HOPKINS HOSPITAL ,1800 ORLEANS ST ,,BALTIMORE ,MD ,21287 ,BALTIMORE CITY ,96194983,,,12329624,,,.1897,12442639,6426713,993,363438,94432,25187,317448,914.55,9549.53,,12261,13079,46702,10488,,,,,, 210011,01-JUL-15,30-JUN-16,As Submitted,ST. AGNES HOSPITAL ,900 CATON AVENUE ,,BALTIMORE ,MD ,21229 ,BALTIMORE CITY ,6976802,,,2920300,,,.1398,1537282,582040,275,100650,35064,3884,79086,71.54,2528.85,,6896,1097,16507,,,,,,, 210012,01-JUL-15,30-JUN-16,Settled,SINAI HOSPITAL OF BALTIMORE INC. ,2401 W. BELEVDERE AVENUE ,,BALTIMORE ,MD ,21215 ,BALTIMORE ,14861700,,,6730152,,,.2013,3047983,1419261,470,172020,52581,9071,118526,130.88,3448,,8238,1292,20394,4201,,,,,, 210013,01-SEP-15,31-AUG-16,As Submitted,BON SECOURS HOSPITAL ,2000 W BALTIMORE STREET ,,BALTIMORE ,MD ,21223 ,BALTIMORE CITY ,,,,452527,,,.12,,,72,26352,5535,3050,18035,,638.98,,1060,517,3942,1758,,,,,, 210015,01-JUL-15,30-JUN-16,As Submitted,MEDSTAR FRANKLIN SQUARE MEDICAL CTR ,9100 FRANKLIN SQUARE DR ,,BALTIMORE ,MD ,21237 ,BALTIMORE ,7015786,,,3034026,,,.1824,2301425,820535,386,141276,44302,11678,103040,66.76,2818,,8523,7521,23548,,,,,,, 210016,01-JAN-15,31-DEC-15,Settled,WASHINGTON ADVENTIST HOSPITAL ,7600 CARROLL AVENUE ,,TAKOMA PARK ,MD ,20912 ,MONTGOMERY ,,,,3860194,,,.3017,,,232,84680,23961,16550,60348,,1095.46,,3734,2898,10659,1081,,,,,, 210017,01-JUL-15,30-JUN-16,As Submitted,GARRETT COUNTY MEMORIAL HOSPITAL ,251 NORTH FOURTH ST. ,,OAKLAND ,MD ,21550 ,,,,,187196,,,.12,,,25,9150,3759,476,7588,,227.47,,930,92,1529,212,,,,,, 210018,01-JUL-15,30-JUN-16,As Submitted,MEDSTAR MONTGOMERY MEDICAL CENTER ,18101 PRINCE PHILIP DRIVE ,,OLNEY ,MD ,20832-1512 ,MONTGOMERY ,,,,,,,,,,122,44652,16283,1406,31020,,852,,3472,1591,7138,1323,,,,,, 210019,01-JUL-15,30-JUN-16,Settled,PENINSULA REGIONAL MEDICAL CENTER ,100 EAST CARROLL STREET ,,SALISBURY ,MD ,21801 ,WICOMICO ,,,,2119491,,,.12,,,364,133224,42136,5098,78863,,2500,,8750,720,17044,3463,,,,,, 210022,01-JUL-15,30-JUN-16,Amended,SUBURBAN HOSPITAL ,8600 OLD GEORGETOWN RD ,,BETHESDA ,MD ,20814-1422 ,MONTGOMERY ,1775594,,,961810,,,.0433,262829,86634,236,86376,31891,4931,58015,6.96,1428.36,,7181,784,13737,378,,,,,, 210023,01-JUL-15,30-JUN-16,As Submitted,ANNE ARUNDEL MEDICAL CENTER INC. ,2001 MEDICAL PARKWAY ,,ANNAPOLIS ,MD ,21401 ,ANNE ARUNDEL ,,,,1122101,,,.0408,,,375,137250,48933,5341,115570,,2770.16,,10376,793,26064,2346,,,,,, 210024,01-JUL-15,30-JUN-16,As Submitted,MEDSTAR UNION MEMORIAL HOSPITAL ,201 EAST UNIVERSITY PARKWAY ,,BALTIMORE ,MD ,21218- ,BALTIMORE CITY ,9164539,,,3038801,,,.2,1991307,763779,211,77226,28382,7954,55938,84.85,1902,,5509,2664,11433,1326,,,,,, 210027,01-JUL-15,30-JUN-16,As Submitted,WESTERN MARYLAND HEALTH SYSTEM ,12500 WILLOWBROOK ROAD ,,CUMBERLAND ,MD ,21502 ,ALLEGANY ,,,,2619099,,,.1067,,,195,71370,33594,11555,55397,,1565.9,,6430,3003,12919,,,,,,, 210028,01-JUL-15,30-JUN-16,As Submitted,ST. MARYS HOSPITAL ,25500 POINT LOOKOUT RD ,,LEONARDTOWN ,MD ,20650 ,ST. MARYS ,,,,722634,,,.1226,,,91,33306,14473,1037,30547,,935,,3345,2023,7682,1739,,,,,, 210029,01-JUL-15,30-JUN-16,As Submitted,JOHNS HOPKINS BAYVIEW MED. CTR. ,4940 EASTERN AVENUE ,,BALTIMORE ,MD ,21224 ,BALTIMORE CITY ,15494894,,,5023689,,,.1924,3596130,1314000,442,161772,48859,17670,116438,155.33,3026.3,,7539,5137,19792,,,,,,, 210030,01-JUL-15,30-JUN-16,As Submitted,CHESTER RIVER HOSPITAL CENTER ,100 BROWN STREET ,,CHESTERTOWN ,MD ,21620 ,KENT ,,,,122659,,,.0347,,,30,10980,5048,436,8271,,224.7,,1170,32,1599,161,,,,,, 210032,01-JUL-15,30-JUN-16,As Submitted,UNION HOSPITAL OF CECIL COUNTY ,106 BOW ST. ,,ELKTON ,MD ,21921 ,CECIL ,,,,1923076,,,.1921,,,110,40260,12832,2842,25544,,966.04,,2902,237,6367,1541,,,,,, 210033,01-JUL-15,30-JUN-16,As Submitted,CARROLL COUNTY GENERAL HOSPITAL ,200 MEMORIAL AVENUE ,,WESTMINSTER ,MD ,21157 ,CARROLL ,,,,920882,,,.056,,,140,51240,21846,2273,40355,,1349.37,,5395,267,9988,1275,,,,,, 210034,01-JUL-15,30-JUN-16,As Submitted,MEDSTAR HARBOR HOSPITAL ,3001 SOUTH HANOVER STREET ,,BALTIMORE ,MD ,21225 ,BALTIMORE CITY ,3686774,,,1771263,,,.3225,1237313,347010,113,41358,12822,2579,32467,44.57,970.84,,2573,567,6903,2892,,,,,, 210035,01-JUL-15,30-JUN-16,As Submitted,CIVISTA MEDICAL CENTER ,5 GARRET AVENUE ,,LA PLATA ,MD ,20646 ,CHARLES ,,,,766881,,,.0914,,,110,40260,13768,1519,26064,,740.5,,2886,486,6005,1035,,,,,, 210037,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL EASTON ,MEMORIAL HOSPITAL AT EASTON ,,219 SOUTH WASHINGTON STREET ,MD ,21601 ,TALBOT ,,,,1932982,,,.1145,,,179,65514,28809,3098,47739,,1166.52,,5684,825,10135,1829,,,,,, 210038,01-JUL-15,30-JUN-16,As Submitted,MARYLAND GENERAL HOSPITAL ,827 LINDEN AVENUE ,,BALTIMORE ,MD ,21201 ,BALTIMORE CITY ,4259655,,,3564653,,,.3889,1122467,467531,187,68442,12659,3741,32232,47.96,1063.92,,1787,349,4572,1784,,,,,, 210039,01-JUL-15,30-JUN-16,As Submitted,CALVERT MEMORIAL HOSPITAL ,100 HOSPITAL RD ,,PRINCE FREDERICK ,MD ,20678 ,CALVERT ,,,,450514,,,.1067,,,77,28105,10186,4441,21833,,795,,2613,1262,6312,,,,,,, 210040,01-JUL-15,30-JUN-16,As Submitted,NORTHWEST HOSPITAL CENTER ,5401 OLD COURT ROAD ,,RANDALLSTOWN ,MD ,21133 ,BALTIMORE ,,,,2490751,,,.1648,,,199,72834,28611,2705,51682,,1163.91,,5793,586,10828,1931,,,,,, 210043,01-JUL-15,30-JUN-16,As Submitted,BALTIMORE WASHINGTON MEDICAL CENTER ,301 HOSPITAL DRIVE ,,GLEN BURNIE ,MD ,21061 ,ANNE ARUNDEL ,,,,2154360,,,.0823,,,303,110898,42714,5124,78554,,2045.34,,8904,3161,17618,,,,,,, 210044,01-JUL-15,30-JUN-16,As Submitted,GREATER BALTIMORE MEDICAL CENTER ,6701 NORTH CHARLES STREET ,,BALTIMORE ,MD ,21204 ,BALTIMORE COUNTY ,4339221,,,,,,,796245,470926,273,121878,30618,6735,77041,59.8,2563,,6575,1078,16196,,,,,,, 210045,01-JUL-15,30-JUN-16,As Submitted,MCCREADY MEMORIAL HOSPITAL ,201 HALL HIGHWAY ,,CRISFIELD ,MD ,21817 ,SOMERSET ,,,,30596,,,.0658,,,4,1464,696,101,929,,121.65,,209,34,286,,,,,,, 210048,01-JUL-15,30-JUN-16,Amended,HOWARD COUNTY ,5755 CEDAR LANE ,,COLUMBIA ,MD ,21045 ,HOWARD ,,,,1217274,,,.0831,,,266,97356,31827,6408,82265,,1516.3,,6335,702,17273,1935,,,,,, 210049,01-JAN-15,30-JUN-15,Settled,UPPER CHESAPEAKE MEDICAL CENTER ,UPPER ,500 ,BEL AIR ,MD ,21014 ,HARFORD ,,,,,,,,,,183,33123,14598,321,25397,,1465.64,,3118,138,5696,536,,,,,, 210049,01-JUL-15,30-JUN-16,As Submitted,UPPER CHESAPEAKE MEDICAL CENTER ,UPPER ,500 ,BEL AIR ,MD ,21014 ,HARFORD ,,,,467356,,,.0299,,,170,62220,27121,2192,48277,,1495.48,,6267,217,11452,1066,,,,,, 210051,01-JUL-15,30-JUN-16,Settled,DOCTORS COMMUNITY HOSPITAL ,8118 GOOD LUCK ROAD ,,LANHAM ,MD ,20706 ,PRINCE GEORGES COUNTY ,,,,1301494,,,.0891,,,163,59658,27119,2901,51637,,1224.12,,4617,448,9605,1239,,,,,, 210055,01-JUL-15,30-JUN-16,As Submitted,LAUREL REGIONAL HOSPITAL ,7300 VAN DUSEN ROAD ,,LAUREL ,MD ,20707 ,PRINCE GEORGES COUNTY ,,,,1029584,,,.176,,,134,48910,11424,7579,25359,,534.4,,1555,1331,4201,,,,,,, 210056,01-JUL-15,30-JUN-16,As Submitted,GOOD SAMARITAN HOSPITAL ,5601 LOCH RAVEN BLVD ,,BALTIMORE ,MD ,21239 ,BALTIMORE ,3236747,,,1269735,,,.1132,1345748,557141,216,79056,30407,3026,52534,31.11,1502,,5786,1892,10894,1331,,,,,, 210057,01-JAN-15,31-DEC-15,Settled,SHADY GROVE ADVENTIST HOSPITAL ,9901 MEDICAL CENTER DRIVE ,,ROCKVILLE ,MD ,20850 ,MONTGOMERY ,,,,3032264,,,.1736,,,329,120085,29970,9483,85518,,1648.65,,5476,1028,17334,2468,,,,,, 210058,01-JUL-15,30-JUN-16,As Submitted,JAMES LAWRENCE KERNAN HOSPITAL ,2200 KERNAN DRIVE ,,BALTIMORE ,MD ,21207 ,BALTIMORE ,98409,,,815973,,,.1524,73419,18043,125,45750,12896,2402,32401,9.78,552.91,,1246,164,2998,483,,,,,, 210060,01-JAN-15,31-DEC-15,Settled,FORT WASHINGTON MEDICAL CENTER ,11711 LIVINGSTON ROAD ,,FORT WASHINGTON ,MD ,20744 ,PRINCE GEORGES ,,,,,,,,,,31,11315,4869,418,8607,,319.51,,1223,,2263,281,,,,,, 210061,01-JUL-15,30-JUN-16,As Submitted,ATLANTIC GENERAL HOSPITAL ,9733 HEALTHWAY DRIVE ,,BERLIN ,MD ,21811 ,WORCESTER ,,,,,,,,,,48,17568,8300,325,12084,,630.94,,2176,71,3409,285,,,,,, 210062,01-JUL-15,30-JUN-16,As Submitted,MEDSTAR SOUTHERN MARYLAND HOSPITAL C ,7503 SURRATTS ROAD ,,CLINTON ,MD ,20735 ,PRINCE GEORGES ,,,,1691197,,,.1691,,,208,76128,23926,4244,51915,,1102.36,,4769,696,11106,2537,,,,,, 210063,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPH MEDICAL CENTER ,7601 OSLER DRIVE ,,TOWSON ,MD ,21204 ,BALTIMORE ,,,,1349046,,,.0528,,,267,97722,31447,2947,69276,,1549.73,,7129,602,18559,1819,,,,,, 210064,01-JUL-15,30-JUN-16,As Submitted,LEVINDAL HEBREW GER. CTR. & HOSPT. ,2434 W. BELVEDERE AVENUE ,,BALTIMORE ,MD ,21215 ,BALTIMORE CITY ,,,,,,,,,,120,43920,31433,956,36204,,309.13,,1286,25,1451,,,,,,, 210065,01-OCT-14,30-JUN-15,Settled,HOLY CROSS GERMANTOWN HOSPITAL ,19801 OBSERVATION DRIVE ,,GERMANTOWN ,MD ,20876 ,MONTGOMERY ,,,,318749,,,.12,,,93,25389,4779,1989,11773,,507.08,,946,400,2600,279,,,,,, 210065,01-JUL-15,30-JUN-16,As Submitted,HOLY CROSS GERMANTOWN HOSPITAL ,19801 OBSERVATION DRIVE ,,GERMANTOWN ,MD ,20876 ,MONTGOMERY ,,,,489707,,,.12,,,93,34038,6880,3557,20914,,486.16,,1565,661,6147,534,,,,,, 212002,01-JUL-15,30-JUN-16,As Submitted,WESTERN MARYLAND CENTER ,1500 PENNSYLVANIA AVENUE ,,HAGERSTOWN ,MD ,21740 ,WASHINGTON ,,,,,,,,,,60,21960,2117,2569,5910,,47,,58,32,113,,,,,,, 212003,01-JUL-15,30-JUN-16,As Submitted,DEERS HEAD CENTER ,DEERS HEAD HOSPITAL ROAD ,P. O. BOX ,SALISBURY ,MD ,21801- ,WICOMICO ,,,,,,,,,,66,24156,1161,225,2228,,22.5,,55,5,60,,,,,,, 213028,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH CHESAPEAKE REHABILITATIO ,220 TILGHMAN ROAD ,,SALISBURY ,MD ,21804 ,WICOMICO ,,,,,,,,,,54,19710,14494,231,18064,,166.3,,1059,14,1326,28,,,,,, 213029,01-JAN-15,31-DEC-15,Settled,ADVENTIST REHAB. HOSPT. OF MD ,9909 MEDICAL CENTER DRIVE ,,ROCKVILLE ,MD ,20850 ,MONTGOMERY ,,,,,,,,,,87,31755,15082,776,26483,,305.3,,1136,58,1946,68,,,,,, 213300,01-JUL-15,30-JUN-16,As Submitted,MT WASHINGTON PEDIATRICS ,1708 WEST ROGERS AVENUE ,,BALTIMORE ,MD ,21209 ,BALTIMORE CITY ,,,,,,,,,,102,37332,,3867,22482,,454.07,,,118,769,506,,,,,, 213301,01-JUL-15,30-JUN-16,As Submitted,KENNEDY KRIEGER ,707 N BROADWAY ,,BALTIMORE ,MD ,21205 ,,,,,,,,,,251,50,18300,12,3942,13955,21.92,2353,,1,102,343,,,,,,, 214000,01-JUL-15,30-JUN-16,Settled,SHEPPARD & ENOCH PRATT HOSPITAL ,6501 NORTH CHARLES STREET ,,TOWSON ,MD ,21204 ,BALTIMORE ,,,,,,,,,23944,335,122610,21091,36198,104742,19.97,2121.07,,1340,3500,9168,,,,,,, 214002,01-JUL-15,30-JUN-16,As Submitted,EASTERN SHORE HOSPITAL CENTER ,5262 WOODS ROAD ,800 ,CAMBRIDGE ,MD ,21613- ,DORCHESTER ,,,,,,,,,,60,21960,112,438,21960,,151,,2,1,59,,,,,,, 214003,01-JUL-15,30-JUN-16,As Submitted,BROOK LANE PSYCHIATRIC CENTER ,BROOK LANE PSYCHIATRIC CENTER ,1945 ,HAGERSTOWN ,MD ,21742- ,WASHINGTON ,,,,,,,,,,65,23790,2130,6255,16673,,359.44,,211,753,2033,,,,,,, 214004,01-JUL-15,30-JUN-16,As Submitted,SPRINGFIELD HOSPITAL CENTER ,6655 SYKESVILLE ,,SYKESVILLE ,MD ,21784- ,CARROLL ,,,,,,,,,,522,191052,633,2885,84600,,759,,10,5,255,,,,,,, 214012,01-JUL-15,30-JUN-16,As Submitted,THOMAS B. FINAN ,COUNTRY CLUB ROAD ,P. O. BOX ,CUMBERLAND ,MD ,21502- ,ALLEGHENY ,,,,,,,,,,88,32208,90,1827,25361,,163.5,,10,4,59,,,,,,, 214013,01-JAN-15,31-DEC-15,Settled,ADVENTIST HC BEHAVIORAL HEALTH & WEL ,14901 BROSCHART ROAD ,,ROCKVILLE ,MD ,20850 ,MONTGOMERY ,,,,,,,,,,107,39055,4719,9135,26090,1.07,288.86,,405,863,2650,3,,,19,,42, 214018,01-JUL-15,30-JUN-16,As Submitted,SPRING GROVE HOSPITAL CENTER ,WADE AVENUE ,,CATONSVILLE ,MD ,21228- ,BALTIMORE ,,,,,,,,,,569,208254,1667,5929,131971,,737.5,,20,14,360,,,,,,, 220001,01-OCT-14,30-SEP-15,Amended,HEALTH ALLIANCE ,60 HOSPITAL ROAD ,2004 ,LEOMINSTER ,MA ,01453 ,WORCESTER ,878698,,,714699,,,.1443,267759,209311,107,39055,9224,3231,28800,10.49,893.26,10.7,2077,593,6585,837,,,,,, 220002,01-OCT-14,30-SEP-15,As Submitted,MOUNT AUBURN HOSPITAL ,330 MOUNT AUBURN STREET ,,CAMBRIDGE ,MA ,02238 ,MIDDLESEX ,7242287,,,370050,,,.0388,2466207,1322705,182,66417,18768,6284,52435,69.02,1654.93,,3922,1355,10995,,,,5,,303, 220008,01-OCT-14,30-SEP-15,Amended,STURDY MEMORIAL HOSPITAL ,211 PARK STREET ,,ATTLEBORO ,MA ,02703 ,BRISTOL ,,,,538291,,,.0763,,,127,46355,16536,2142,29817,,1030.47,,3273,1074,6231,,,,,,, 220010,01-OCT-14,30-SEP-15,As Submitted,LAWRENCE GENERAL HOSPITAL ,ONE GENERAL STREET ,,LAWRENCE ,MA ,01841 ,ESSEX ,2007918,,,2722976,,,.3083,1085107,434563,189,68985,18575,9047,46533,24.83,,,4087,2088,12210,2167,,,,,, 220011,01-JUL-15,30-JUN-16,Amended,CAMBRIDGE HEALTH ALLIANCE ,350 MAIN STREET ,,MALDEN ,MA ,02148 ,MIDDLESEX ,4281006,,,1746685,,,.3948,2299239,1895794,198,72468,9414,2168,36056,101.1,3281.06,,2081,3827,7711,,,,,,1942, 220012,01-OCT-14,30-SEP-15,Amended,CAPE COD HOSPITAL ,27 PARK STREET ,,HYANNIS ,MA ,02601 ,BARNSTABLE ,600763,,,1022708,,,.0458,121113,71118,239,87235,37434,4580,64451,,1803,,8467,694,15201,1675,,,60,,859, 220015,01-OCT-14,30-SEP-15,As Submitted,COOLEY DICKINSON HOSPITAL ,30 LOCUST STREET ,,NORTHAMPTON ,MA ,01060 ,HAMPSHIRE ,,,,340787,,,.0566,,,118,43070,11343,1995,22784,,907.92,,2742,293,5642,377,80,,148,,673, 220016,01-OCT-14,30-SEP-15,As Submitted,BAYSTATE FRANKLIN MEDICAL CENTER ,164 HIGH STREET ,,GREENFIELD ,MA ,01301 ,FRANKLIN ,,,,478903,,,.12,,,90,32850,8810,1754,20492,,527.11,,2050,299,4595,,,,,,, 220017,01-JAN-15,31-DEC-15,Amended,STEWARD CARNEY HOPSITAL ,2100 DORCHESTER AVENUE ,,DORCHESTER ,MA ,02124 ,SUFFOLK ,2535682,,,1280916,,,.395,1670921,985197,110,40150,7154,3213,21369,49.13,701.69,,1341,514,4632,,,,18,,323, 220019,01-OCT-14,30-SEP-15,As Submitted,HARRINGTON MEMORIAL HOSPITAL ,100 SOUTH ,STREET ,SOUTHBRIDGE ,MA ,01550 ,WORCESTER ,,,,322674,,,.1312,,,112,40880,5370,1875,13938,,804.01,,1325,386,3446,384,,,259,,542, 220020,01-JAN-15,31-DEC-15,Amended,STEWARD ST. ANNES HOSPITAL ,795 MIDDLE STREET ,,FALL RIVER ,MA ,02721 ,BRISTOL ,579597,,,1178977,,,.1354,142934,131036,144,52560,17779,2822,35297,2.07,1028.01,,3286,598,8538,,,,5,,689, 220024,01-OCT-14,30-SEP-15,As Submitted,HOLYOKE HOSPITAL ,575 BEECH STREET ,,HOLYOKE ,MA ,01040 ,HAMPDEN ,,,,865752,,,.2132,,,165,60225,7630,4795,17579,,933.76,,1969,1231,4661,,,,284,,625, 220029,01-OCT-14,30-SEP-15,Amended,ANNA JAQUES HOSPITAL ,25 HIGHLAND AVENUE ,,NEWBURYPORT ,MA ,01950 ,ESSEX ,,,,406947,,,.0788,,,120,43800,9796,2920,24642,,692.92,,2662,731,5700,,,,379,,831, 220030,01-OCT-14,30-SEP-15,As Submitted,BAYSTATE WING HOSPITAL & MEDICAL CTR ,40 WRIGHT STREET ,,PALMER ,MA ,01069 ,,,,,67676,,,.0321,,,46,16790,4671,275,7721,,514,,1205,77,2051,140,,,45,,836, 220031,01-OCT-14,30-SEP-15,Amended,BOSTON MEDICAL CENTER ,1 BOSTON MEDICAL CENTER PLACE ,,BOSTON ,MA ,02118 ,SUFFOLK ,25078612,,,7726262,,,.5044,7337093,6393988,446,162790,29185,64238,122509,513.6,4960,,4884,10057,22543,,,,,,, 220033,01-OCT-14,30-SEP-15,As Submitted,BEVERLY HOSPITAL ,85 HERRICK ST. ,,BEVERLY ,MA ,01915-1777 ,ESSEX ,,,,2006858,,,.133,,,296,108040,30770,5804,77041,,1785.44,,6812,3129,19602,,,,618,,2087, 220035,01-OCT-14,30-SEP-15,Amended,NORTH SHORE MEDICAL CENTER ,81 HIGHLAND AVENUE ,,SALEM ,MA ,01970 ,ESSEX ,3100727,,,3221361,,,.1881,1211809,413038,344,125560,36191,12280,80350,28.25,2660.09,,7474,4429,17917,,,,392,,1151, 220036,01-JAN-15,31-DEC-15,Amended,STEWARD ST. ELIZABETHS MEDICAL CTR ,736 CAMBRIDGE STREET ,,BOSTON ,MA ,02135 ,SUFFOLK ,14571471,,,2538120,,,.2172,5464440,1669806,203,74095,18186,5464,51738,128.37,1483.53,,3842,882,11463,,,,151,,1963, 220046,01-OCT-14,30-SEP-15,As Submitted,BERKSHIRE MEDICAL CENTER ,725 NORTH STREET ,,PITTSFIELD ,MA ,01201 ,BERKSHIRE ,9485613,,,2635894,,,.1668,2631583,1857901,214,77970,30563,7873,54840,59.24,2121.26,,6594,1187,12772,1913,351,,185,7,1277,250 220049,01-OCT-14,30-SEP-15,Amended,MARLBOROUGH HOSPITAL ,57 UNION STREET ,,MARLBOROUGH ,MA ,01752 ,MIDDLESEX ,,,,355203,,,.12,,,67,24455,6649,2201,16448,,392.87,,1541,400,3877,264,,,,,, 220050,01-OCT-14,30-SEP-15,As Submitted,BAYSTATE MARY LANE HOSPITAL CORPORAT ,85 SOUTH STREET ,,WARE ,MA ,01082 ,HAMPSHIRE ,,,,24627,,,.0266,,,25,9125,1393,133,2602,,181.7,,498,49,954,,,,,,, 220052,01-OCT-14,30-SEP-15,Amended,BROCKTON HOSPITAL INC. ,680 CENTRE STREET ,,BROCKTON ,MA ,02402 ,PLYMOUTH ,1831097,,,2109237,,,.2474,784539,296358,175,63875,16749,5753,43112,15.77,1435.34,,3939,2680,10950,1615,,,362,,815, 220058,01-OCT-14,30-SEP-15,As Submitted,UMMHC~CLINTON HOSPITAL ,201 HIGHLAND STREET ,,CLINTON ,MA ,01510 ,WORCESTER ,,,,16330,,,.0368,,,21,7665,1091,138,2365,,136.36,,282,33,636,54,2,,9,,418, 220060,01-OCT-14,30-SEP-15,Amended,BETH ISRAEL DEACONESS - PLYMOUTH ,275 SANDWICH STREET ,,PLYMOUTH ,MA ,02360 ,PLYMOUTH ,,,,479861,,,.0473,,,136,49640,19221,2968,35883,,1047.9,,4158,371,7991,836,,,,,352, 220062,01-OCT-14,30-SEP-15,As Submitted,ADCARE HOSPITAL OF WORCESTER ,107 LINCOLN STREET ,,WORCESTER ,MA ,01605 ,WORCESTER ,,,,1252608,,,.3287,,,114,41610,17948,2368,37942,,337.86,,2711,1789,6090,1567,,,,,, 220063,01-OCT-14,30-SEP-15,Amended,LOWELL GENERAL HOSPITAL ,295 VARNUM AVENUE ,,LOWELL ,MA ,01854 ,MIDDLESEX ,,,,3243747,,,.1929,,,396,144540,33668,11574,87604,,2425.39,,7296,2049,19597,2856,,,,,, 220065,01-OCT-14,30-SEP-15,As Submitted,BAYSTATE NOBLE HOSPITAL ,115 WEST SILVER STREET ,1634 ,WESTFIELD ,MA ,01086 ,HAMPDEN ,,,,146656,,,.0719,,,62,22630,3785,194,7355,,342,,1071,72,2155,197,210,,15,10,559,321 220066,01-JUL-15,30-JUN-16,As Submitted,THE MERCY HOSPITAL ,271 CAREW STREET ,,SPRINGFIELD ,MA ,01102 ,HAMPDEN ,,,,2946706,,,.3276,,,263,96258,14851,3140,54940,,1333,,3882,901,12931,4692,,,,18,1698,488 220070,01-OCT-14,30-SEP-15,Amended,HALLMARK HEALTH SYSTEM ,170 GOVERNORS AVE ,,MEDFORD ,MA ,02155 ,MIDDLESEX ,122078,,,575877,,,.0574,47200,28654,194,70810,22191,3518,43539,1,1537.13,,4735,416,9521,936,,,328,,1231, 220071,01-OCT-14,30-SEP-15,Amended,MASSACHUSETTS GENERAL HOSPITAL ,FRUIT STREET ,,BOSTON ,MA ,02114 ,SUFFOLK ,64616743,,,7385045,,,.1201,18653080,11264752,975,355875,122667,42112,305075,595.51,11964,,18165,10443,50344,,,,188,,885, 220073,01-JAN-15,31-DEC-15,Amended,MORTON HOSPITAL ,88 WASHINGTON STREET ,,TAUNTON ,MA ,02780 ,BRISTOL ,,,,754861,,,.118,,,106,38690,10773,1829,19280,,652,,2849,,5454,,,,,,333, 220074,01-OCT-14,30-SEP-15,Amended,SOUTHCOAST HOSPITALS GROUP ,363 HIGHLAND STREET ,,FALL RIVER ,MA ,02721 ,BRISTOL ,,,,6546850,,,.1718,,,835,304775,73897,16671,156420,,4367.3,,15143,7766,34418,,,,236,38,1007,503 220075,01-OCT-14,30-SEP-15,Amended,MASS EYE & EAR INFIRMARY ,243 CHARLES STREET ,,BOSTON ,MA ,02114 ,SUFFOLK ,1635111,,,53562,,,.0524,206120,1250962,41,14965,1812,332,4804,34.86,1466,,338,73,1263,84,,,,,, 220077,01-OCT-14,30-SEP-15,As Submitted,BAYSTATE MEDICAL CENTER ,759 CHESTNUT STREET ,,SPRINGFIELD ,MA ,01199 ,HAMPDEN ,27579956,,,8640014,,,.2416,10378343,5694195,682,248930,69242,20861,191415,288.29,5998.46,,12637,2859,36256,,,,55,,1126, 220080,01-JAN-15,31-DEC-15,Amended,STEWARD HOLY FAMILY HOSPITAL ,70 EAST STREET ,,METHUEN ,MA ,01884-0156 ,ESSEX ,,,,2599193,,,.231,,,328,119720,25604,6778,59866,,1278.58,,5092,1165,12861,,,,37,,383, 220083,01-OCT-14,30-SEP-15,As Submitted,BETH ISRAEL DEACONESS HOSPITAL-NEEDH ,148 CHESTNUT STREET ,,NEEDHAM ,MA ,02492-2523 ,NORFOLK ,41257,,,,,,,,,58,21170,4714,252,7357,1.92,402.79,,1341,84,2205,,,,,,, 220084,01-OCT-14,30-SEP-15,As Submitted,EMERSON HOSPITAL ,133 ORNAC ,,CONCORD ,MA ,01742 ,MIDDLESEX ,,,,,,,,,,119,43435,7720,1811,24307,,1068.89,,2005,275,5686,,,,93,,1247, 220086,01-OCT-14,30-SEP-15,Amended,BETH ISRAEL DEACONESS MEDICAL CENTER ,330 BROOKLINE AVENUE ,,BOSTON ,MA ,02215 ,SUFFOLK ,52966876,,,5196695,,,.1387,15924260,9768235,614,224110,69285,40512,203475,532.96,7580.09,,11483,2468,38415,,,,113,,663, 220088,01-OCT-14,30-SEP-15,Amended,NEW ENGLAND BAPTIST HOSPITAL ,125 PARKER HILL AVENUE ,,BOSTON ,MA ,02120 ,SUFFOLK ,1669002,,,,,,,210916,62858,98,35770,10527,,24719,,1001.83,,3115,,8179,,,,,,, 220090,01-OCT-14,30-SEP-15,As Submitted,MILFORD REGIONAL MEDICAL CENTER INC ,14 PROSPECT STREET ,,MILFORD ,MA ,01757 ,WORCESTER ,1403941,,,386626,,,.0522,409950,228629,145,52925,12869,4608,29955,11.77,1244,,3349,1351,7708,,,,,,, 220095,01-OCT-14,30-SEP-15,Amended,HENRY HEYWOOD MEMORIAL HOSPITAL ,242 GREEN STREET ,,GARDNER ,MA ,01440 ,WORCESTER ,,,,501139,,,.1789,,,114,41610,6413,2046,17740,,644.04,,1422,284,4014,,,,30,,541, 220098,01-JAN-15,31-DEC-15,Amended,NASHOBA VALLEY HOSPITAL ,200 GROTON ROAD ,,AYER ,MA ,01432 ,MIDDLESEX ,,,,,,,,,,57,20805,2810,209,5302,,283.88,,822,70,1689,,,,,,309, 220100,01-OCT-14,30-SEP-15,As Submitted,SOUTH SHORE HOSPITAL ,55 FOGG RD ,,SOUTH WEYMOUTH ,MA ,02190 ,NORFOLK ,,,,1277685,,,.052,,,368,134320,50497,11047,111898,,2837,,10755,3743,23812,,,,,,, 220101,01-OCT-14,30-SEP-15,As Submitted,NEWTON WELLESLEY HOSPITAL ,2014 WASHINGTON STREET ,,NEWTON ,MA ,02467 ,MIDDLESEX ,4164219,,,,,,,1644300,718699,217,79205,19943,3000,63746,35.24,2381.83,,4881,1388,19199,,,,243,,950, 220105,01-OCT-14,30-SEP-15,As Submitted,WINCHESTER HOSPITAL ,41 HIGHLAND AVE ,,WINCHESTER ,MA ,01890 ,MIDDLESEX ,201180,,,,,,,59123,39183,205,74825,19703,1434,50442,2,1629,,4112,363,12833,,,,,,, 220108,01-OCT-14,30-SEP-15,As Submitted,BIDMC-MILTON HOSPITAL INC ,199 REEDSDALE ROAD ,,MILTON ,MA ,02186 ,NORFOLK ,,,,,,,,,,88,32128,11084,611,19142,,527.42,,2483,146,4610,234,,,,,, 220110,01-OCT-14,30-SEP-15,Amended,BRIGHAM AND WOMENS HOSPITAL ,75 FRANCIS STREET ,3714 ,BOSTON ,MA ,02115 ,SUFFOLK ,55902584,,,5330714,,,.1098,13277890,4734748,763,278006,85800,24852,253903,481.02,10038,,13193,3779,40005,,,,,,, 220111,01-JAN-15,31-DEC-15,Amended,GOOD SAMARITAN MEDICAL CENTER ,235 NORTH PEARL STREET ,,BROCKTON ,MA ,02301 ,PLYMOUTH ,549041,,,2907028,,,.2321,183088,61757,248,90520,24374,8069,66262,5.32,1231.67,,5526,1857,16854,,,,14,,422, 220116,01-OCT-14,30-SEP-15,As Submitted,TUFTS MEDICAL CENTER ,800 WASHINGTON ST ,,BOSTON ,MA ,02111 ,SUFFOLK ,24254264,,,4789574,,,.282,6452685,3296930,362,132130,25076,31018,86931,311.17,3429.99,,4696,1985,17069,3361,,,207,,503, 220119,01-OCT-14,30-SEP-15,Amended,FAULKNER HOSPITAL ,1153 CENTRE STREET ,,JAMAICA PLAIN ,MA ,02130 ,SUFFOLK ,3761271,,,921495,,,.1243,1035110,615963,114,41610,14026,2673,29175,26.7,1041.37,,3384,,7864,,,,,,604, 220126,01-JAN-15,31-DEC-15,Amended,STEWARD NORWOOD HOSPITAL ,100 WASHINGTON STREET ,,NORWOOD ,MA ,02062 ,NORFOLK ,,,,244778,,,.0275,,,167,60955,17814,1667,35565,,840.74,,4146,484,9442,,,,98,,1998, 220135,01-OCT-14,30-SEP-15,Amended,FALMOUTH HOSPITAL ,100 TER HEUN DRIVE ,,FALMOUTH ,MA ,02574 ,BARNSTABLE ,,,,356417,,,.0422,,,95,34675,15988,1595,25870,,727,,3548,1305,5884,1786,,,,,, 220162,01-OCT-14,30-SEP-15,Settled,DANA-FARBER CANCER INSTITUTE ,450 BROOKLINE AVE ,,BOSTON ,MA ,02215 ,SUFFOLK ,,,,,,,,,480725,30,10950,3040,248,10065,,3978.19,,430,29,1258,13,,,,,, 220163,01-OCT-14,30-SEP-15,Amended,UMASS MEMORIAL MEDICAL CENTER ,55 LAKE AVE. NORTH ,,WORCESTER ,MA ,01655 ,WORCESTER ,44885318,,,6628807,,,.2005,10317101,4900132,572,206347,60586,34066,195561,488.78,6018.44,40.82,11205,4119,36649,4572,,,472,,1747, 220171,01-OCT-14,30-SEP-15,As Submitted,LAHEY CLINIC HOSPITAL INC. ,41 MALL ROAD ,,BURLINGTON ,MA ,01805 ,MIDDLESEX ,21497242,,,,,,,3738992,3952002,345,125925,51474,8799,107350,151.12,4588,,10237,1631,22267,,,,,,, 220175,01-FEB-15,31-JAN-16,Amended,METROWEST MEDICAL CENTER ,67 UNION STREET ,,NATICK ,MA ,01760 ,MIDDLESEX ,3402049,,,1244074,,,.1394,1342800,671233,247,90155,15913,5628,41249,42.82,1316.09,,3994,694,9297,817,186,,371,,1779, 220176,01-FEB-15,31-JAN-16,Amended,SAINT VINCENT HOSPITAL ,123 SUMMER STREET ,,WORCESTER ,MA ,01608 ,WORCESTER ,10459718,,,1306585,,,.115,4239844,2431150,259,94535,19319,7503,73799,113.99,1756.97,,4531,1038,16750,1813,,,191,,544, 220177,01-OCT-14,30-SEP-15,As Submitted,NANTUCKET COTTAGE HOSPITAL ,57 PROSPECT STREET ,,NANTUCKET ,MA ,02554-2799 ,NANTUCKET ,,,,35144,,,.1427,,,19,6935,1151,526,2391,,175.19,,147,100,427,,,,,,, 221300,01-OCT-14,30-SEP-15,As Submitted,MARTHAS VINEYARD HOSPITAL ,ONE HOSPITAL ROAD ,,OAK BLUFFS ,MA ,02557 ,DUKES ,,,,,,,,,,25,9125,4523,238,5902,,337.96,,554,91,909,,,,,,, 221302,01-OCT-14,30-SEP-15,Settled,FAIRVIEW HOSPITAL ,29 LEWIS AVE ,,GREAT BARRINGTON ,MA ,01230 ,BERKSHIRE ,,,,,,,,,,24,8733,2151,357,3464,,221.9,,450,63,822,50,,,,,, 221303,01-OCT-14,30-SEP-15,As Submitted,ATHOL MEMORIAL HOSPITAL ,2033 MAIN STREET ,,ATHOL ,MA ,01331 ,WORCESTER ,,,,,,,,,,25,9125,2576,29,3282,,149.54,,252,14,463,,,,,,, 221990,01-JAN-15,31-DEC-15,As Submitted,CHESTNUT HILL BENEVOLENT ASSOCIATION ,910 BOYLSTON STREET ,,CHESTNUT HILL ,MA ,02467-2404 ,NORFOLK ,,,,,,,,,,20,7300,1049,,2072,,22.66,,29,,49,,,,,,, 222000,01-OCT-14,30-SEP-15,Settled,SPAULDING HOSPITAL CAMBRIDGE ,SPAULDING HOSPITAL CAMBRIDGE ,1575 CAMBRIDGE STREE ,CAMBRIDGE ,MA ,02138 ,MIDDLESEX ,,,,,,,,,,180,65700,21209,4176,46951,,540.29,,749,95,1566,,,,,,, 222002,01-SEP-15,30-SEP-16,As Submitted,KINDRED HOSPITAL NORTHEAST ,909 SUMNER STREET 1ST FLOOR ,,STOUGHTON ,MA ,02072 ,NORFOLK ,,,,,,,,,,88,34848,7555,2391,28761,,203.6,,290,37,445,19,,,,,, 222003,01-JUL-15,30-JUN-16,Settled,TEWKSBURY HOSPITAL ,365 EAST STREET ,,TEWKSBURY ,MA ,02129 ,MIDDLESEX ,,,,,,,,,,540,197640,446,94667,125147,,905.31,,17,448,725,,,,,,, 222006,01-JUL-15,30-JUN-16,Settled,LEMUEL SHATTUCK HOSPITAL ,170 MORTON STREET ,,JAMAICA PLAIN ,MA ,02130 ,SUFFOLK ,,,,,,,,,9768,260,95160,114,57446,82271,12.09,669.64,,14,756,1361,,,,,,, 222007,01-OCT-14,30-SEP-15,Settled,HEBREW REHABILITATION CENTER ,1200 CENTRE STREET ,,ROSLINDALE ,MA ,02131 ,SUFFOLK ,,,,,,,,,,667,243455,6274,186944,234945,,1259.05,,223,191,1407,,,,,,, 222023,01-JUL-15,30-JUN-16,Settled,WESTERN MASSACHUSETTS HOSPITAL ,91 EAST MOUNTAIN ROAD ,,WESTFIELD ,MA ,01085 ,HAMPDEN ,,,,,,,,,,92,33790,,27967,28642,,245.13,,,44,76,,,,,,, 222026,01-OCT-14,31-JUL-15,Settled,SHAUGHNESSY-KAPLAN REHABILITATION HO ,ONE DOVE AVENUE ,,SALEM ,MA ,01970 ,ESSEX ,,,,,,,,,,120,36480,7562,1282,14319,,235.1,,279,40,508,,,,,,, 222027,01-JAN-15,31-DEC-15,Settled,NEW ENGLAND SINAI HOSPITAL ,150 YORK STREET ,,STOUGHTON ,MA ,02072 ,NORFOLK ,,,,,,,,,,182,66430,14892,9481,33984,,383.67,,549,116,1014,,,,,,, 222043,01-JAN-15,31-DEC-15,Settled,NEW BEDFORD HOSPITAL ,4499 ACUSHNET AVENUE ,,NEW BEDFORD ,MA ,02745 ,NEW BEDFORD ,,,,,,,,,,90,32850,7907,9413,25593,,211.3,,269,105,600,70,,,,,, 222044,01-SEP-15,30-SEP-16,As Submitted,KINDRED HOSPITAL BOSTON NORTH SHORE ,15 KING STREET ,,PEABODY ,MA ,01960 ,ESSEX ,,,,,,,,,,50,19800,8144,400,13520,,122.4,,321,6,526,33,,,,,, 222045,01-SEP-15,30-SEP-16,As Submitted,KINDRED HOSPITAL BOSTON ,1515 COMMONWEALTH AVENUE ,,BOSTON ,MA ,02135 ,SUFFOLK ,,,,,,,,,,59,23364,9406,,15166,,117.8,,362,,565,50,,,,,, 222046,01-SEP-15,31-AUG-16,As Submitted,VIBRA HOSPITAL OF WESTERN MASSACHUSE ,1400 STATE STREET ,,SPRINGFIELD ,MA ,01109 ,HAMPDEN ,,,,,,,,,,174,63684,14251,15903,40283,,309.77,,534,186,1010,100,,,,,, 222047,01-OCT-14,30-SEP-15,Settled,WHITTIER HOSPITAL-BRADFORD ,145 WARD HILL AVENUE ,,BRADFORD ,MA ,01835 ,ESSEX ,,,,,,,,,,60,21900,14915,2,18069,,211.13,,573,1,744,,,,,,, 222048,01-OCT-14,30-SEP-15,Settled,WHITTIER HOSPITAL-WESTBOROUGH ,150 FLANDERS ROAD ,,WESTBOROUGH ,MA ,01581 ,WORCESTER ,,,,,,,,,,88,32120,13011,,18696,,188.87,,513,,835,,,,,,, 223026,01-JAN-15,31-DEC-15,Settled,HEALTHSOUTH NEW ENGLAND REHABILITATI ,2 REHABILIATION WAY ,,WOBURN ,MA ,01801 ,MIDDLESEX ,,,,,,,,,83,210,73030,21160,323,31144,4.66,396.55,,1836,12,2530,147,,,,,, 223027,01-JUL-15,30-JUN-16,Settled,HEALTHSOUTH BRAINTREE REHABILITATION ,250 POND STREET ,,BRAINTREE ,MA ,02184 ,NORFOLK ,,,,,,,,,,187,67749,18466,868,29804,,270.36,,1560,66,2323,208,,,,,, 223029,01-OCT-14,30-SEP-15,Settled,FAIRLAWN REHABILITATION HOSPITAL ,189 MAY STREET ,,WORCESTER ,MA ,01602-4399 ,WORCESTER ,,,,,,,,,,110,40150,22822,1074,31226,,274.42,,1864,82,2464,128,,,,,, 223030,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,222 STATE STREET ,,LUDLOW ,MA ,01056 ,HAMPDEN ,,,,,,,,,,53,19345,12776,462,17226,,159.3,,925,19,1199,57,,,,,, 223032,01-OCT-14,30-SEP-15,Amended,REHAB HOSPITAL OF CAPE & ISLANDS ,311 SERVICE ROAD ,,EAST SANDWICH ,MA ,02537 ,BARNSTABLE ,,,,,,,,,,60,21900,11025,298,15667,,297.96,,818,19,1130,,,,,,, 223034,01-OCT-14,30-SEP-15,Amended,SPAULDING REHABILITATION HOSPITAL ,300 FIRST AVENUE ,,CHARLESTOWN ,MA ,02129 ,SUFFOLK ,,,,,,,,,81650,132,48180,15302,11077,46005,11.19,893.31,,935,127,2362,,,,,,, 223300,01-OCT-14,30-SEP-15,Settled,FRANCISCAN HOSPITAL FOR CHILDREN ,30 WARREN STREET ,,BOSTON ,MA ,02114 ,ESSEX ,,,,,,,,,,112,40880,,11862,21418,8.93,508.16,,,184,793,,,,,,, 223302,01-OCT-14,30-SEP-15,As Submitted,CHILDRENS HOSPITAL CORPORATION ,300 LONGWOOD AVENUE ,,BOSTON ,MA ,02115 ,SUFFOLK ,,,,,,,,,69651,415,151475,1902,42729,113969,333.24,6699.43,,194,5332,15634,,,,,,, 223303,01-JAN-15,31-DEC-15,Settled,THE SHRINERS HOSPITAL FOR CHILDREN ,516 CAREW STREET ,,SPRINGFIELD ,MA ,01104-2330 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 223304,01-JAN-15,31-DEC-15,Settled,THE SHRINERS HOSPITAL FOR CHILDREN ,51 BLOSSOM STREET ,,BOSTON ,MA ,02114-2699 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 224001,01-JUL-15,30-JUN-16,Settled,TAUNTON STATE HOSPITAL ,60 HODGES AVENUE ,,TAUNTON ,MA ,02780 ,BRISTOL ,,,,,,,,,,45,16470,174,2529,17182,,173.53,,5,12,41,,,,,,, 224007,01-OCT-14,30-SEP-15,Settled,MCLEAN HOSPITAL ,115 MILL STREET ,,BELMONT ,MA ,02478 ,MIDDLESEX ,,,,,,,,,68180,328,119720,20946,1835,59988,23.75,1395,,1392,166,5764,,,,,,, 224013,01-JAN-15,31-DEC-15,Settled,THE ARBOUR HOSPITAL ,49 ROBINWOOD WAY ,,JAMAICA PLAINS ,MA ,02130 ,SUFFOLK ,,,,,,,,,,136,49640,8844,2062,42121,,284.7,,708,265,3567,,,,,,, 224018,01-JAN-15,31-DEC-15,Settled,HUMAN RESOURCE INSTITUTE ,227 BABCOCK STREET ,,BOSTON ,MA ,02146 ,NORFOLK ,,,,,,,,,,66,24090,5932,1553,19280,,160.2,,565,137,2061,,,,,,, 224021,01-JAN-15,31-DEC-15,Settled,FULLER MEMORIAL HOSPITAL ,200 MAY STREET ,,SOUTH ATTLEBORO ,MA ,02703 ,BRISTOL ,,,,,,,,,,103,37595,7187,1688,31014,,232.2,,374,94,2602,,,,,,, 224022,01-SEP-15,31-AUG-16,As Submitted,BOURNEWOOD HOSPITAL ,300 SOUTH STREET ,,BROOKLINE ,MA ,02167 ,NORFOLK ,,,,,,,,,,90,32940,6653,16828,31819,,244.3,,681,758,3736,1208,,,,,, 224023,01-JAN-15,31-DEC-15,Settled,WESTWOOD LODGE ,45 CLAPBOARD STREET ,,WESTWOOD ,MA ,02090 ,NORFOLK ,,,,,,,,,,250,91250,16478,4041,71348,,510,,1242,290,6319,,,,,,, 224028,01-JUL-15,30-JUN-16,Settled,CORRIGAN MENTAL HEALTH CENTER ,49 HILLSIDE STREET ,,FALL RIVER ,MA ,02720 ,BRISTOL ,,,,,,,,,,16,5856,704,3911,5636,,93.36,,35,113,182,,,,,,, 224031,01-JUL-15,30-JUN-16,Settled,CAPE COD AND ISLANS MENTAL HLTH CTR ,380 COUNTY LANE ,,POCASSET ,MA ,02559 ,BARNSTABLE ,,,,,,,,,,16,5856,1080,3857,5754,,72.74,,35,103,160,,,,,,, 224032,01-JUL-15,30-JUN-16,Settled,WORCESTER RECOVERY CENTER AND HOSP ,309 BELMONT STREET ,,WORCESTER ,MA ,01604 ,WORCESTER ,,,,,,,,,,290,106140,322,22597,101522,,719.16,,20,272,648,,,,,,, 224033,01-JAN-15,31-DEC-15,Settled,BALDPATE HOSPITAL ,BALDPATE ROAD ,,GEORGETOWN ,MA ,01833 ,ESSEX ,,,,,,,,,,35,12775,1312,126,7576,,57.41,,195,17,1447,322,,,,,, 224038,01-JAN-15,31-DEC-15,Settled,WALDEN BEHAVIORAL CARE ,51 SAWYER ROAD ,,WALTHAM ,MA ,02453 ,SUFFOLK ,,,,,,,,,,47,17155,2242,2258,16554,,211.66,,161,539,1528,,,,,,, 224039,01-OCT-14,30-SEP-15,Settled,WHITTIER PAVILION ,76 SUMMER STREET ,,HAVERHILL ,MA ,01832 ,ESSEX ,,,,,,,,,,65,23725,12023,18,18806,,162,,957,1,1864,,,,,,, 224040,01-JUL-15,30-JUN-16,Settled,DR. SOLOMON CARTER FULLER MENTAL HL ,85 E. NEWTON STREET ,,BOSTON ,MA ,02118 ,SUFFOLK ,,,,,,,,,,60,21960,1056,4844,21223,,163.62,,37,140,310,,,,,,, 230002,01-JUL-15,30-JUN-16,As Submitted,ST. MARY MERCY HOSPITAL - LIVONIA ,36475 FIVE MILE ROAD ,,LIVONIA ,MI ,48154 ,WAYNE ,12564927,,,383177,,,.0303,7086990,2441480,252,90718,30283,2936,60982,104.32,1712.89,,6979,565,15899,1347,,,240,1,849,310 230003,01-JUL-15,30-JUN-16,Amended,SPECTRUM HEALTH ZEELAND ,100 S PINE STREET ,,ZEELAND ,MI ,49464 ,OTTAWA ,,,,48866,,,.0579,,,57,20862,1613,235,7654,,320.7,,507,102,2991,308,,,,,, 230005,01-JAN-15,31-DEC-15,Amended,BIXBY MEDICAL CENTER ,818 RIVERSIDE AVENUE ,,ADRIAN ,MI ,49221- ,LENAWEE ,,,,322350,,,.12,,,88,32120,6705,1547,14852,,471.82,,1424,150,3481,543,,,,,, 230013,01-JAN-15,31-DEC-15,As Submitted,PONTIAC GENERAL HOSPITAL ,461 W. HURON ,,PONTIAC ,MI ,48341 ,OAKLAND ,85644,,,15556,,,.12,480170,171251,47,17155,413,18,1122,15.13,159.54,,109,6,300,75,432,,,,616, 230015,01-JAN-15,31-DEC-15,As Submitted,THREE RIVERS HEALTH ,701 S. HEALTH PARKWAY ,,THREE RIVERS ,MI ,49093 ,ST. JOSEPH ,,,,75787,,,.12,,,48,17520,1533,196,3577,,279,,398,52,1034,201,,,,4,,192 230017,01-JAN-15,31-DEC-15,Amended,BRONSON METHODIST HOSPITAL ,601 JOHN STREET ,BOX 26 ,KALAMAZOO ,MI ,49007- ,KALAMAZOO ,6215403,,,3906400,,,.2624,3091426,1300041,410,149650,28014,17226,106483,108.3,3130.46,,5909,1615,25289,,,,,,, 230019,01-JUL-15,30-JUN-16,As Submitted,PROVIDENCE HOSPITAL ,16001 WEST NINE MILE ROAD ,,SOUTHFIELD ,MI ,48075- ,OAKLAND ,15284973,,,2774426,,,.0996,5426888,2389569,575,210450,58347,5583,145265,175.29,3560.2,,11815,2015,32275,4721,,,,8,687,279 230020,01-JAN-15,31-DEC-15,Amended,OAKWOOD HOSPITAL - DEARBORN ,18108 OAKWOOD BLVD ,2500 ,DEARBORN ,MI ,48124 ,WAYNE ,8423530,,,5442692,,,.223,5638538,1714357,632,230680,62621,18863,163522,118.29,3786.61,,10903,1581,30260,6082,,,,,, 230021,01-OCT-14,30-SEP-15,Amended,LAKELAND MEDICAL CENTER ST. JOSEPH ,1234 NAPIER AVENUE ,,ST. JOSEPH ,MI ,49085- ,BERRIEN ,4424406,,,1910609,,,.1853,1695284,1067790,268,97820,20524,7321,52335,56.83,2099.41,,4816,1289,15623,2841,112,,,11,390,176 230022,01-JAN-15,31-DEC-15,As Submitted,COMMUNITY HEALTH CENTER BRANCH CTY ,274 EAST CHICAGO STREET ,,COLDWATER ,MI ,49036- ,BRANCH ,345781,,,305771,,,.1419,139628,149930,87,31755,5380,1032,12635,3.85,423.9,,1343,681,3346,,,,,,, 230024,01-JAN-15,31-DEC-15,Amended,SINAI-GRACE HOSPITAL ,6071 W. OUTER DRIVE ,,DETROIT ,MI ,48235 ,WAYNE ,13650331,,,5651959,,,.4219,6763477,1947954,355,129575,32233,10983,89354,190.99,1789.41,,7076,1695,20192,7042,,,,47,940,211 230029,01-JUL-15,30-JUN-16,Amended,ST. JOSEPH MERCY HOSPITAL - OAKLAND ,44405 WOODWARD AVENUE ,,PONTIAC ,MI ,48341 ,OAKLAND ,9216028,,,2150422,,,.1358,5953648,2099004,369,135054,31392,6429,78473,109.1,2317.84,,6753,874,19307,2770,,,,,1041,495 230030,01-JUL-15,30-JUN-16,As Submitted,MIDMICHIGAN MEDICAL CENTER-GRATIOT ,300 E. WARWICK DRIVE ,,ALMA ,MI ,48801 ,GRATIOT ,,,,239976,,,.1216,,,49,17934,4976,954,11208,,418.99,,1448,106,3727,794,96,,,7,409,431 230031,01-JUL-15,31-AUG-15,As Submitted,ST JOSEPH MERCY - PORT HURON ,2610 ELECTRIC AVE. ,,PORT HURON ,MI ,48060 ,ST CLAIR ,,,,47839,,,.0746,,,154,9548,1338,116,2689,,585.02,,335,21,693,88,,,,,,36 230031,01-SEP-15,31-DEC-15,As Submitted,LAKE HURON MEDICAL CENTER ,2601 ELECTRIC AVENUE ,,PORT HURON ,MI ,48060 ,ST. CLAIR ,,,,119289,,,.0815,,,154,18788,2712,196,5959,,172.89,,668,26,1403,,,,,,,59 230035,01-JUL-15,30-JUN-16,Amended,SPECTRUM HEALTH UNITED MEMORIAL ,615 SOUTH BOWER ,,GREENVILLE ,MI ,48838 ,MONTCLAIM ,,,,188853,,,.12,,,43,15738,3605,455,8909,,485.15,,967,197,3028,,,,,,, 230036,01-JUL-15,30-JUN-16,As Submitted,MIDMICHIGAN MEDICAL CENTER - ALPENA ,A ,,ALPENA ,MI ,49707- ,ALPENA ,,,,307094,,,.0906,,,96,35136,7926,504,14134,,873,,1987,111,3735,702,247,,,6,598,145 230037,01-JUL-15,30-JUN-16,Amended,HILLSDALE HOSPITAL ,168 SOUTH HOWELL STREET ,,HILLSDALE ,MI ,49242-2081 ,HILLSDALE ,229048,,,210820,,,.1485,130628,48214,44,15736,3040,289,6769,5.93,316.57,,891,53,2149,403,,,,,383, 230038,01-JUL-15,30-JUN-16,As Submitted,SPECTRUM HEALTH HOSPITALS ,100 MICHIGAN NE ,,GRAND RAPIDS ,MI ,49503- ,KENT ,13186052,,,6678627,,,.2105,5525261,1732491,1038,379792,67607,21588,296058,232.47,7901.47,,12597,4232,58767,12036,,,,23,,621 230040,01-OCT-14,30-SEP-15,Settled,PENNOCK HOSPITAL ,1009 WEST GREEN ST ,,HASTINGS ,MI ,49058- ,BARRY ,,,,64085,,,.052,,,49,17885,3458,318,9221,,503.18,,865,36,2450,183,,,,,, 230041,01-OCT-14,30-SEP-15,Amended,BAY REGIONAL MEDICAL CENTER ,1900 COLUMBUS AVENUE ,,BAY CITY ,MI ,48708 ,BAY ,792857,,,785392,,,.0505,344722,138040,297,108405,35741,1700,63581,10.52,1600.15,,6909,552,14548,1931,,,,17,944,309 230046,01-JUL-15,30-JUN-16,As Submitted,UNIV OF MI HOSPITALS & HLTH CTRS ,2301 COMMONWEALTH BLVD ,,ANN ARBOR ,MI ,48105-1500 ,WASHTENAW ,50992854,,,7034721,,,.195,13151105,11552671,914,334732,75904,14395,277748,963.32,16485.38,,11635,2097,46249,7599,,,,23,1475,613 230047,01-JAN-15,31-DEC-15,As Submitted,HENRY FORD MACOMB HOSPITAL ,215 NORTH AVENUE ,,MT. CLEMENS ,MI ,48043 ,MACOMB ,7964370,,,467326,,,.0311,5095923,2039795,321,117165,33417,5331,76322,99.86,2079.22,,6799,848,17627,2028,,,,6,2308,810 230053,01-JAN-15,31-DEC-15,Amended,HENRY FORD HOSPITAL ,ONE FORD PLACE ,,DETROIT ,MI ,48202 ,WAYNE ,38648494,,,6634701,,,.2655,17784508,15411832,679,246883,56499,14935,189213,600.34,10003.99,,9127,1573,33688,6177,,,,,, 230054,01-JUL-15,30-JUN-16,As Submitted,MARQUETTE GENERAL HOSPITAL ,420 W MAGNETIC STREET ,,MARQUETTE ,MI ,49855 ,MARQUETTE ,1172745,,,950286,,,.1118,524297,326381,210,76860,14906,2418,38917,17.64,1811.65,,3510,469,8908,,,,,7,802,397 230055,01-JAN-15,31-DEC-15,Amended,DICKINSON COUNTY HEALTHCARE SYSTEM ,1721 S. STEPHENSON AVENUE ,,IRON MOUNTAIN ,MI ,49801- ,DICKINSON ,,,,138721,,,.0622,,,96,35040,5135,288,10191,,689.31,,1270,92,3286,,,,,,, 230058,01-FEB-15,30-JUN-15,Amended,MUNSON HEALTHCARE GRAYLING HOSPITAL ,1110 MICHIGAN AVE ,,GRAYLING ,MI ,49738 ,CRAWFORD ,,,,71045,,,.0808,,,58,8700,2157,268,3947,,176.46,,584,46,1180,190,,,,,, 230058,01-JUL-15,30-JUN-16,As Submitted,MUNSON HEALTHCARE GRAYLING HOSPITAL ,1110 MICHIGAN AVE ,,GRAYLING ,MI ,49738 ,CRAWFORD ,,,,244427,,,.12,,,58,21228,4510,630,8751,,456.87,,1393,100,2785,417,,,,,, 230059,01-JUL-15,30-JUN-16,As Submitted,SAINT MARYS HEALTH CARE ,200 JEFFERSON SE ,,GRAND RAPIDS ,MI ,49503-4502 ,KENT ,5497648,,,1482794,,,.1481,1590633,1006344,255,93330,20215,4337,69023,72.39,3105.66,,4413,1331,18105,2295,,,1463,,3937, 230066,01-JUL-15,30-JUN-16,Amended,MERCY HEALTH MUSKEGON ,1700 CLINTON STREET ,3302 ,MUSKEGON ,MI ,49442-5502 ,MUSKEGON ,2728150,,,2030307,,,.1481,1225353,681321,257,94062,24170,2809,64995,37.82,3092.11,,6061,889,16388,3333,469,,,8,996,400 230069,01-JUL-15,30-JUN-16,As Submitted,SJMHS - LIVINGSTON ,620 BRYON ROAD ,,HOWELL ,MI ,48843 ,LIVINGSTON ,2166651,,,,,,,891232,1040429,55,20075,3796,312,7830,30.64,487.25,,1086,86,2535,137,,,,,, 230070,01-JUL-15,30-JUN-16,As Submitted,COVENANT MEDICAL CENTER ,1447 NORTH HARRISON ,,SAGINAW ,MI ,48602 ,SAGINAW ,3767141,,,3722669,,,.1788,2194432,804348,460,168360,53368,8001,131711,62.07,3721.81,,9773,1196,26255,,,,,24,,861 230071,01-NOV-14,31-OCT-15,As Submitted,STRAITH HOSPITAL FOR SPECIAL SURGERY ,23901 LAHSER ROAD ,,SOUTHFIELD ,MI ,48033 ,OAKLAND ,,,,,,,,,,34,12410,4434,,4923,,76.3,,536,,598,,,,,,, 230072,01-APR-15,31-MAR-16,As Submitted,HOLLAND HOSPITAL ,602 MICHIGAN AVENUE ,,HOLLAND ,MI ,49423- ,OTTAWA ,,,,477593,,,.1258,,,173,63318,7375,2059,28556,,1341.68,,1989,390,7932,1130,,,,,610, 230075,01-JAN-15,31-DEC-15,As Submitted,BRONSON BATTLE CREEK ,300 NORTH AVE ,,BATTLE CREEK ,MI ,49016 ,CALHOUN ,,,,1297297,,,.1919,,,179,65335,15063,2310,33697,,1368,,3337,325,8293,1764,,,,,635, 230077,01-JUL-15,30-JUN-16,Amended,ST. MARYS OF MICHIGAN ,800 S WASHINGTON ,,SAGINAW ,MI ,48601 ,SAGINAW ,2013205,,,1025735,,,.0935,1217267,528091,202,73993,24071,1911,49278,22.98,1525.76,,4445,361,9665,1307,,,,,, 230078,01-OCT-14,30-SEP-15,As Submitted,LAKELAND COMMUNITY HOSP WATERVLIET ,400 MEDICAL PARK DRIVE ,,WATERVLIET ,MI ,49098 ,BERRIEN ,,,,29093,,,.0868,,,26,9490,555,20,1329,,171.3,,204,9,538,55,,,,9,,192 230080,01-OCT-14,30-SEP-15,As Submitted,CENTRAL MICHIGAN COMMUNITY HOSPITAL ,1221 SOUTH DRIVE ,,MT PLEASANT ,MI ,48858 ,ISABELLA ,,,,340374,,,.1464,,,78,28470,4575,753,10817,,532.09,,1442,272,3892,595,,,,,, 230081,01-FEB-15,30-JUN-15,Amended,MUNSON HEALTHCARE CADILLAC HOSPITAL ,400 HOBART ST ,,CADILLAC ,MI ,49601 ,WEXFORD ,,,,105386,,,.1158,,,82,12300,2408,326,5153,,490.12,,630,43,1352,,,,,,, 230081,01-JUL-15,30-JUN-16,As Submitted,MUNSON HEALTHCARE CADILLAC HOSPITAL ,400 HOBART ST ,,CADILLAC ,MI ,49601 ,WEXFORD ,,,,283315,,,.12,,,82,30012,5433,911,11759,,524.64,,1525,127,3379,685,,,,,, 230085,01-JUL-15,30-JUN-16,Amended,SOUTH HAVEN COMMUNITY HOSPITAL ,955 S. BAILEY ,,SOUTH HAVEN ,MI ,49090 ,VAN BUREN ,,,,38258,,,.0825,,,29,10614,725,52,1658,,242.6,,273,19,658,88,,,,,, 230089,01-JAN-15,31-DEC-15,Amended,BEAUMONT HOSPITAL GROSSE POINTE ,468 CADIEUX ROAD ,,GROSSE POINTE ,MI ,48230 ,WAYNE ,1471731,,,1153829,,,.1232,1148115,498637,226,82490,21415,1657,47627,15.64,1099,,4987,383,11893,,,,,,, 230092,01-JUL-15,30-JUN-16,Amended,W.A. FOOTE MEMORIAL HOSPITAL ,205 N. EAST AVENUE ,,JACKSON ,MI ,49201 ,JACKSON ,6196780,,,3056034,,,.2039,2373345,1394127,325,118950,32609,6696,71419,63.22,3136.65,,6873,3757,17633,807,,,,,, 230093,01-JUL-15,30-JUN-16,Amended,SPECTRUM HEALTH BIG RAPIDS ,605 OAK STREET ,,BIG RAPIDS ,MI ,49307 ,MECOSTA ,,,,113052,,,.12,,,49,17934,1845,340,6171,,385.75,,592,154,2556,710,,,,5,,17 230095,01-APR-15,31-MAR-16,As Submitted,WEST BRANCH REGIONAL MEDICAL CENTER ,2463 S. M-30 ,,WEST BRANCH ,MI ,48661- ,OGEMAW ,,,,,,,,,,88,32208,6196,220,9875,,300.68,,1471,65,2560,212,,,,,, 230096,01-OCT-14,30-SEP-15,As Submitted,STURGIS HOSPITAL INC. ,916 MYRTLE STREET ,,STURGIS ,MI ,49091- ,ST. JOSEPH ,,,,107429,,,.12,,,49,17885,2127,607,4386,,278.24,,620,47,1182,,,,,,, 230097,01-JUL-15,30-JUN-16,As Submitted,MUNSON MEDICAL CENTER ,1105 SIXTH STREET ,,TRAVERSE CITY ,MI ,49684 ,GRAND TRAVERSE ,2045695,,,1637132,,,.082,626055,411298,365,133590,43237,5974,97292,17.66,3122.79,,8873,974,22494,2530,202,,,8,589,250 230099,01-JUL-15,31-DEC-15,Amended,MONROE REGIONAL HOSPITAL ,718 NORTH MACOMB ,,MONROE ,MI ,48162 ,MONROE ,924372,,,376731,,,.1302,517398,233593,168,30912,7234,1011,14746,30,1169.19,,1690,360,3891,669,10,,,,352, 230100,01-JUL-15,30-JUN-16,As Submitted,TAWAS ST. JOSEPH HOSPITAL ,200 HEMLOCK / M-55 ,0659 ,TAWAS CITY ,MI ,48764-0659 ,IOSCO ,,,,116032,,,.1126,,,47,17202,1709,149,3604,,267.13,,611,37,1331,251,,,,,, 230104,01-JAN-15,31-DEC-15,Amended,HARPER- HUTZEL HOSPITAL ,3990 JOHN R ,,DETROIT ,MI ,48201 ,WAYNE ,17282984,,,6135719,,,.4624,7529829,2658861,344,125560,29336,11898,100890,236.54,2342.51,,5821,1555,21361,8216,,,,,, 230105,01-OCT-14,30-SEP-15,As Submitted,NORTHERN MICHIGAN REGIONAL HOSPITAL ,416 CONNABLE AVENUE ,,PETOSKEY ,MI ,49770 ,EMMET ,,,,,,,,,,187,68255,18696,1558,37269,,1100.42,,4643,473,10489,1116,,,,4,,222 230108,01-DEC-14,30-NOV-15,As Submitted,PORTAGE HEALTH SYSTEM ,500 CAMPUS DRIVE ,,HANCOCK ,MI ,49930- ,HOUGHTON ,,,,42990,,,.0575,,,36,13140,1791,262,4952,,436.98,,467,61,1351,,,,,,, 230110,01-JUL-15,30-JUN-16,As Submitted,SPECTRUM HEALTH LUDINGTON ,ONE ATKINSON DRIVE ,,LUDINGTON ,MI ,49431 ,MASON ,,,,186738,,,.12,,,49,17934,3740,405,8360,,462.21,,943,144,2131,473,,,104,,246, 230117,01-JUL-15,30-JUN-16,As Submitted,BORGESS MEDICAL CENTER ,1521 GULL ROAD ,,KALAMAZOO ,MI ,49048 ,KALAMAZOO ,9405492,,,1393128,,,.0869,3560844,1789536,286,104676,27576,5452,69438,88.55,2059,,6322,639,15401,2494,,,,18,1316,333 230118,01-OCT-14,30-SEP-15,Amended,HURON MEMORIAL HOSPITAL ,1100 SOUTH VAN DYKE ,,BAD AXE ,MI ,48413- ,HURON ,,,,142985,,,.12,,,53,19345,2402,231,5068,,291.64,,698,56,1525,212,,,,,,23 230121,01-JAN-15,31-DEC-15,Amended,MEMORIAL HEALTHCARE ,826 WEST KING STREET ,,OWOSSO ,MI ,48867 ,SHIAWASSEE ,,,,287752,,,.1416,,,107,39055,4805,554,10930,,620.14,,1110,95,2594,429,,,4,,919, 230130,01-JAN-15,31-DEC-15,Amended,WILLIAM BEAUMONT HOSPITAL - ROYAL OA ,3601 WEST 13 MILE ROAD ,,ROYAL OAK ,MI ,48073-6769 ,OAKLAND ,31567111,,,4289891,,,.0873,12287038,3976672,979,357335,119434,12931,289125,418.66,6839.83,,21284,2166,62322,,,,,33,915,1863 230132,01-JUL-15,30-JUN-16,As Submitted,HURLEY MEDICAL CENTER ,ONE HURLEY PLAZA ,,FLINT ,MI ,48503-5993 ,GENESEE ,6024708,,,4749378,,,.4375,4412552,973069,370,135414,26724,9652,95690,113.59,2602.5,,4737,1742,18942,6672,646,,,5,1032,146 230133,01-JAN-15,31-DEC-15,As Submitted,OTSEGO MEMORIAL HOSPITAL ,825 N CENTER AVENUE ,,GAYLORD ,MI ,49735 ,OTSEGO ,,,,175824,,,.12,,,46,16790,2931,305,6753,,402.47,,867,56,2033,351,,,,,, 230141,01-OCT-14,30-SEP-15,As Submitted,MCLAREN REGIONAL MEDICAL CENTER ,401 S. BALLENGER ,,FLINT ,MI ,48532- ,GENESEE ,11592475,,,1515429,,,.0652,4508148,1694331,284,103660,43185,2287,84163,72.23,2439.02,,9090,594,19628,2571,456,,,4,938,279 230142,01-JAN-15,31-DEC-15,Amended,BEAUMONT HEALTH - WAYNE ,33155 ANNAPOLIS AVENUE ,,WAYNE ,MI ,48184 ,WAYNE ,2232666,,,1255672,,,.2192,1312613,534972,176,63709,13625,3152,30352,33.11,1056.67,,3327,491,8179,1703,,,,,, 230144,01-JAN-15,31-DEC-15,As Submitted,FOREST HEALTH MEDICAL CENTER ,135 SOUTH PROSPECT ,,YPSILANTI ,MI ,48198- ,WASHTENAW ,,,,11361,,,.0301,,,24,8760,415,6,1792,,71,,186,1,956,,,,,,, 230146,01-JAN-15,31-DEC-15,As Submitted,HENRY FORD WYANDOTTE HOSPITAL ,2333 BIDDLE ,,WYANDOTTE ,MI ,48192 ,WAYNE ,3965555,,,1007320,,,.0982,2636100,654196,261,95265,26512,3159,61461,48.32,1805.6,,5184,935,14978,1987,,,,11,1327,741 230151,01-JAN-15,31-DEC-15,Amended,BEAUMONT HOSPITAL - FARMINGTON HILLS ,28050 GRAND RIVER ,,FARMINGTON HILLS ,MI ,48336 ,OAKLAND ,11608937,,,1575215,,,.1424,6295162,2808931,256,86081,27630,5632,60426,155.94,1951.16,8.24,5561,834,13407,2045,,,,13,690,387 230156,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPH MERCY HOSPITAL - ANN ARBO ,5301 E. HURON RIVER DR. ,992 ,ANN ARBOR ,MI ,48106 ,WASHTENAW ,13744092,,,1454094,,,.057,4166090,1918814,443,162138,48961,9177,129637,138.55,3915.21,,10895,1156,29763,4221,,,,14,759,478 230165,01-JUL-15,30-JUN-16,Amended,ST JOHN HOSPITAL & MEDICAL CENTER ,22101 MOROSS ,,DETROIT ,MI ,48236 ,WAYNE ,11496055,,,5512951,,,.2802,5384089,3693942,573,209718,43333,12076,134738,248.27,3714.65,275,8084,2136,26010,,,,,19,904,510 230167,01-OCT-14,30-SEP-15,Amended,INGHAM REGIONAL MEDICAL CENTER ,401 WEST GREENLAWN AVE. ,,LANSING ,MI ,48910 ,INGHAM ,6693950,,,1554430,,,.1344,2269533,2339714,283,103295,22888,6431,50100,93.53,1840,35.34,5018,738,12453,1621,3,,,,193, 230174,01-JUL-15,30-JUN-16,As Submitted,NORTH OTTAWA COMMUNITY HOSPITAL ,1309 SHELDON ROAD ,,GRAND HAVEN ,MI ,49417 ,OTTAWA ,,,,36532,,,.0517,,,81,29646,1806,674,5285,,450.03,,436,47,1639,133,,,,,, 230176,01-JAN-15,31-DEC-15,Amended,BEAUMONT HOSPITAL - TRENTON ,5450 FORT STREET ,,TRENTON ,MI ,48183 ,WAYNE ,3479232,,,316866,,,.0453,2568462,909728,186,67890,16733,2055,36070,50.63,898.05,,3749,257,9112,900,,,,,, 230180,01-JUL-15,30-JUN-16,As Submitted,MIDMICHIGAN MEDICAL CENTER-CLARE ,703 N. MCEWAN STREET ,,CLARE ,MI ,48617 ,CLARE COUNTY ,,,,64157,,,.0758,,,49,17885,1635,94,2774,,250.03,,588,32,1051,115,,,,,, 230193,01-OCT-14,30-SEP-15,As Submitted,MCLAREN LAPEER REGION ,1375 NORTH MAIN STREET ,,LAPEER ,MI ,48436 ,LAPEER ,,,,346048,,,.0642,,,183,66795,12582,818,25479,,635.6,,2811,220,6065,761,,,,,488, 230195,01-JUL-15,30-JUN-16,As Submitted,ST. JOHN MACOMB-OAKLAND HOSPITAL ,28000 DEQUINDRE ROAD ,,WARREN ,MI ,48092 ,MACOMB ,13715346,,,2713015,,,.1349,7281448,2600465,451,165066,51854,5673,108659,171.05,2286.26,,9603,1393,22582,,,,,8,1820,558 230197,01-JUL-15,30-JUN-16,As Submitted,GENESYS REGIONAL MEDICAL CTR. ,1 GENESYS PARKWAY ,,GRAND BLANC ,MI ,48439-8065 ,GENESEE ,15512075,,,1017190,,,.05,6423350,1781787,349,126490,41160,3289,95197,140.99,2673,,7740,886,20461,2719,,,,4,,386 230207,01-OCT-14,30-SEP-15,As Submitted,MCLAREN OAKLAND ,50 N. PERRY STREET ,,PONTIAC ,MI ,48342 ,OAKLAND ,4891481,,,733489,,,.1898,2670915,2521125,119,43435,10449,1297,21735,79.67,945.6,,1956,350,4390,732,,,,10,510,196 230208,01-JAN-15,31-DEC-15,Amended,CARSON CITY HOSPITAL ,406 EAST ELM STREET ,879 ,CARSON CITY ,MI ,48811 ,MONTCALM ,8444,,,148408,,,.192,4072,6495,48,17520,1409,253,4075,.72,407,,429,126,1562,396,,,,,, 230216,01-OCT-14,30-SEP-15,Amended,MCLAREN PORT HURON ,1221 PINE GROVE AVENUE ,,PORT HURON ,MI ,48060- ,ST. CLAIR ,,,,788885,,,.0969,,,163,59495,19025,1626,37838,,1077.12,,4201,382,10570,2062,,,,,962, 230217,01-APR-15,31-MAR-16,As Submitted,OAKLAWN HOSPITAL ,200 NORTH MADISON STREET ,,MARSHALL ,MI ,49068 ,CALHOUN ,,,,321502,,,.12,,,78,28548,4208,374,13533,,749.02,,1243,198,4484,1205,,,,,, 230222,01-JUL-15,30-JUN-16,As Submitted,MIDMICHIGAN MEDICAL CTR ,4000 WELLNESS DR ,,MIDLAND ,MI ,48670 ,MIDLAND ,1555975,,,946996,,,.0796,958866,637037,328,115748,21435,2389,46809,18,1807.27,,5292,314,13245,1733,224,,,,492, 230227,01-OCT-14,30-SEP-15,Amended,MCLAREN MACOMB ,1000 HARRINGTON ,,MT. CLEMENS ,MI ,48043 ,MACOMB COUNTY ,6450273,,,1308006,,,.1051,2500294,1322219,279,101835,26651,3496,59810,99.64,1794.57,,6071,1056,14345,2072,,,,,, 230230,01-JAN-15,31-DEC-15,As Submitted,EDWARD W. SPARROW HOSPITAL ,1215 E. MICHIGAN AVE ,,LANSING ,MI ,48912-1811 ,INGHAM ,13521113,,,4053143,,,.1712,4967179,2083005,525,191625,51408,8837,149821,197.64,5064.67,,10263,2150,32561,,,,,32,1258,471 230236,01-JUL-15,30-JUN-16,Amended,METROPOLITAN HOSPITAL ,5900 BYRON CENTER AVE SW ,,WYOMING ,MI ,49519-9606 ,KENT ,3038736,,,638783,,,.1189,1269268,873763,178,65148,9265,2442,34535,76.47,1791,,2150,557,10873,,,,,,, 230239,01-JAN-15,31-DEC-15,As Submitted,CHIPPEWA COUNTY WAR MEMORIAL HOSPITA ,500 OSBORNE BOULEVARD ,,SAULT STE. MARIE ,MI ,49783- ,CHIPPEWA ,,,,185675,,,.12,,,82,29930,5010,918,10849,,691.43,,1042,162,2550,318,,,,,569, 230241,01-JUL-15,30-JUN-16,As Submitted,ST. JOHN RIVER DISTRICT HOSPITAL ,4100 RIVER ROAD ,,EAST CHINA ,MI ,48054 ,ST CLAIR ,,,,140838,,,.12,,,68,24888,2312,294,5580,.76,263.56,,683,151,1754,,,,,,, 230244,01-JAN-15,31-DEC-15,Amended,GARDEN CITY HOSPITAL OSTEOPATHIC ,6245 INKSTER ROAD ,,GARDEN CITY ,MI ,48135 ,WAYNE ,6003344,,,1265001,,,.1552,3022957,897224,141,51465,16294,4039,34706,75.93,969.36,,3710,463,9184,,,,,4,,380 230254,01-JAN-15,31-DEC-15,As Submitted,CRITTENTON HOSPITAL MEDICAL CENTER ,1101 W. UNIVERSITY DR. ,,ROCHESTER ,MI ,48307 ,OAKLAND ,5419566,,,288079,,,.0388,3281972,1162470,189,68985,15092,2059,36212,70.35,1007.12,,3420,330,9104,,,,,1,755,689 230259,01-JUL-15,30-JUN-16,As Submitted,CHELSEA COMMUNITY HOSPITAL ,775 SOUTH MAIN STREET ,P.O BOX 490 ,CHELSEA ,MI ,48118 ,WASHTENAW ,,,,,,,,,,97,35405,3282,108,10168,,,,1126,45,2916,87,,,1,1,882,64 230264,01-JAN-15,31-DEC-15,As Submitted,SOUTHEAST MICHIGAN SURGICAL HOSPITAL ,21230 DEQUINDRE ROAD ,,WARREN ,MI ,48091 ,MACOMB ,77890,,,3183,,,.0302,98574,112193,13,4745,56,,157,6.55,55.23,,24,,78,2,,,,,, 230269,01-JAN-15,31-DEC-15,Amended,WILLIAM BEAUMONT HOSPITAL-TROY ,44201 DEQUINDRE ,,TROY ,MI ,48098-1198 ,OAKLAND ,2240002,,,1188387,,,.0448,1016828,342104,433,158045,62819,5326,146510,23.38,3360.07,,13579,1196,37915,,,,,11,,689 230270,01-JAN-15,31-DEC-15,Amended,BEAUMONT HOSPITAL - TAYLOR ,24775 HAIGH ,,TAYLOR ,MI ,48180 ,WAYNE ,2161539,,,513527,,,.12,1769829,409318,99,36135,10401,1266,21107,25.01,1032.93,,2327,254,5136,761,,,,39,1027,1285 230273,01-JAN-15,31-DEC-15,Amended,DETROIT RECEIVING HOSPITAL ,4201 ST. ANTOINE ,,DETROIT ,MI ,48201 ,WAYNE ,12968427,,,4079913,,,.4928,5376810,969291,212,77380,20289,9519,63977,183.8,1302.4,,4126,1650,13536,4766,,,,,587, 230275,01-JAN-15,31-DEC-15,Amended,HEALTHSOURCE SAGINAW ,3340 HOSPITAL ROAD ,,SAGINAW ,MI ,48603 ,SAGINAW ,,,,9511,,,.12,85082,792,7,2555,280,,1357,,5.65,,98,,476,207,,,1309,7,2548,243 230277,01-NOV-14,31-OCT-15,Amended,HURON VALLEY-SINAI HOSPITAL ,1601 E. COMMERCE ROAD ,,COMMERCE TOWNSHIP ,MI ,48382 ,OAKLAND ,1368799,,,386657,,,.0705,1366948,655209,111,40515,12841,1862,34196,35.05,846,,2805,342,8566,1069,,,,,, 230279,01-JUL-15,30-JUN-16,As Submitted,ST. JOHN BRIGHTON ,12851 EAST GRAND RIVER AVENUE ,,BRIGHTON ,MI ,48116 ,LIVINGSTON ,,,,,,,,,,99,36234,466,,18552,,145.16,,42,,2606,,,,,,, 230297,01-OCT-14,30-SEP-15,As Submitted,KARMANOS CANCER HOSPITAL ,4100 JOHN R ,,DETROIT ,MI ,48201 ,WAYNE ,406876,,,465965,,,.1733,107582,226971,123,44895,6514,438,23699,46.84,804.42,,1029,72,3544,750,,,,,, 230301,01-JAN-15,31-DEC-15,As Submitted,OAKLAND REGIONAL HOSPITAL ,22401 FOSTER WINTER DRIVE ,,SOUTHFIELD ,MI ,48075 ,OAKLAND ,,,,,,,,,,30,10950,1450,,1572,,94.51,,215,,254,1,,,,,, 230302,01-JAN-15,31-DEC-15,As Submitted,HENRY FORD WEST BLOOMFIELD HOSPITAL ,1 FORD PLACE ,,DETROIT ,MI ,48202-3450 ,WAYNE ,,,,454583,,,.0581,,,191,69715,18087,1747,57642,10.14,1654.07,,3776,136,12667,,,,,,, 230303,01-JUL-15,30-JUN-16,Amended,WESTSHORE MEDICAL CENTER ,1465 E. PARKDALE AVE ,,MANISTEE ,MI ,49660 ,MANISTEE ,,,,95356,,,.0832,,,45,16470,2792,411,5495,,327.45,,721,88,1464,315,,,,,, 231300,01-JUL-15,30-JUN-16,As Submitted,PAUL OLIVER MEMORIAL HOSPITAL ,224 PARK AVENUE ,,FRANKFORT ,MI ,49635 ,BENZIE ,,,,,,,,,,8,2928,75,,85,,74,,3,,4,,,,,,, 231301,01-JUL-15,30-JUN-16,Settled,KALKASKA MEMORIAL HEALTH CENTER ,419 CORAL STREET ,,KALKASKA ,MI ,49646 ,KALKASKA ,,,,,,,,,,8,2920,101,,179,,178.62,,36,,69,,,,,,, 231303,01-JAN-15,31-DEC-15,Settled,SCHOOLCRAFT MEMORIAL HOSPITAL ,7870W US HWY 2 ,,MANISTIQUE ,MI ,49854-0000 ,SCHOOLCRAFT ,,,,,,,,,,12,4380,1195,36,1654,,162.68,,214,14,387,31,,,,,, 231304,01-JAN-15,31-DEC-15,As Submitted,HELEN NEWBERRY JOY HOSPITAL ,502 W HARRIE ,,NEWBERRY ,MI ,49868 ,LUCE ,,,,,,,,,,25,9125,1827,27,2992,,175.04,,261,10,451,36,,,,,, 231305,01-JUL-15,30-JUN-16,Settled,STANDISH COMMUNITY HOSPITAL ,805 WEST CEDAR STREET ,,STANDISH ,MI ,48658 ,ARENAC ,,,,,,,,,,25,9150,1152,48,1761,,109.97,,416,17,677,60,,,,,, 231306,01-APR-15,31-MAR-16,Settled,MACKINAC STRAITS HEALTH SYSTEM INC ,1140 NORTH STATE STREET ,,ST. IGNACE ,MI ,49781 ,MACKINAC ,,,,,,,,,,15,5490,1574,20,2418,,153.25,,143,3,259,13,,,,,, 231307,01-OCT-14,30-SEP-15,Reopened,BARAGA COUNTY MEMORIAL HOSPITAL ,18341 U.S. HIGHWAY 41 ,,LANSE ,MI ,49946 ,BARAGA ,,,,,,,,,,24,8760,1621,74,2550,,105.23,,240,24,436,36,,,,,, 231308,01-APR-15,31-MAR-16,Settled,MUNISING MEMORIAL HOSPITAL ,1500 SAND POINT ROAD ,,MUNISING ,MI ,49682 ,ALGER ,,,,,,,,,,11,4026,99,2,165,,74.87,,36,1,69,12,,,,,, 231309,01-JUL-15,30-JUN-16,Settled,ASPIRUS ONTONAGON HOSPITAL ,601 SOUTH SEVENTH STREET ,,ONTONAGON ,MI ,49953 ,ONTONAGON ,,,,,,,,,,25,9150,571,2,946,,70.78,,89,1,146,1,,,,,, 231310,01-JUL-15,30-JUN-16,As Submitted,SCHEURER HOSPITAL ,170 NORTH CASEVILLE ROAD ,,PIGEON ,MI ,48755 ,HURON ,,,,,,,,,,25,9150,2227,8,2929,,283.29,,282,4,454,10,,,,,, 231311,01-JUL-15,30-JUN-16,Settled,DECKERVILLE COMMUNITY HOSPITAL ,3559 PINE STREET ,126 ,DECKERVILLE ,MI ,48427 ,SANILAC ,,,,,,,,,,15,5490,96,,145,,68.6,,40,,63,3,,,,,, 231312,01-APR-15,31-MAR-16,Settled,SHERIDAN COMMUNITY HOSPITAL ,301 N MAIN STREET ,279 ,SHERIDAN ,MI ,48884 ,MONTCALM ,,,,,,,,,,22,8052,1034,67,1603,,136.46,,82,29,158,,,,,,, 231313,01-JAN-15,31-DEC-15,Reopened,HARBOR BEACH COMMUNITY HOSPITAL ,210 SOUTH FIRST STREET ,,HARBOR BEACH ,MI ,48441-0040 ,HURON ,,,,,,,,,,15,5475,283,,391,,86.19,,73,,104,1,,,,,, 231314,01-OCT-14,30-SEP-15,Settled,MCKENZIE MEMORIAL HOSPITAL ,120 DELAWARE STREET ,,SANDUSKY ,MI ,48471 ,SANILAC ,,,,,,,,,,25,9125,1400,8,1794,,118.99,,150,2,210,11,,,,,, 231315,01-JUL-15,30-JUN-16,Settled,BORGESS LEE MEMORIAL HOSPITAL ,420 WEST HIGH ,,DOWAGIAC ,MI ,49047 ,CASS ,,,,,,,,,,25,9150,576,62,1169,,130.74,,157,19,359,41,,,,,, 231316,01-OCT-14,30-SEP-15,Settled,HILLS & DALES GENERAL HOSPITAL ,4675 HILL STREET ,,CASS CITY ,MI ,48726- ,TUSCOLA ,,,,,,,,,,25,9125,941,18,1538,,175.56,,260,7,462,28,,,,,, 231317,01-JUL-15,30-JUN-16,As Submitted,KELSEY MEMORIAL HOSPITAL ,418 WASHINGTON AVENUE ,,LAKEVIEW ,MI ,48850- ,MONTCALM ,,,,,,,,,,16,5856,871,17,1377,,100.1,,94,8,185,,,,,,, 231318,01-JAN-15,30-JUN-15,Reopened,ASPIRUS NORTHSTAR INC. ,1400 WEST ICE LAKE ROAD ,,IRON RIVER ,MI ,49935- ,IRON ,,,,,,,,,,25,4525,1129,19,1674,,228.44,,272,10,436,25,,,,,, 231318,01-JUL-15,30-JUN-16,As Submitted,ASPIRUS NORTHSTAR INC. ,1400 WEST ICE LAKE ROAD ,,IRON RIVER ,MI ,49935- ,IRON ,,,,,,,,,,25,9150,1608,46,2685,,202.96,,425,72,776,65,,,,,, 231319,01-JUL-15,30-JUN-16,As Submitted,ASPIRUS KEWEENAW HOSPITAL ,205 OCEOLA ST ,,LAURIUM ,MI ,49913- ,HOUGHTON ,,,,,,,,,,25,9150,1806,162,3844,,258.33,,487,20,1099,133,,,,,, 231320,01-JUL-15,30-JUN-16,Settled,MH-LAKESHORE CAMPUS ,72 SOUTH STATE STREET ,,SHELBY ,MI ,49455 ,OCEANA ,,,,,,,,,,24,8784,562,43,947,,66.23,,161,13,284,21,,,,,, 231321,01-JUL-15,30-JUN-16,Settled,BELL MEMORIAL HOSPITAL ,901 LAKESHORE DRIVE ,,ISHPEMING ,MI ,49849-2151 ,MARQUETTE ,,,,,,,,,,25,9150,1378,83,3244,,274.99,,281,18,895,,,,,,, 231322,01-APR-15,31-MAR-16,Settled,CHARLEVOIX AREA HOSPITAL ,14700 LAKESHORE DRIVE ,,CHARLEVOIX ,MI ,49720 ,CHARLEVOIX ,,,,,,,,,,25,9125,1076,155,2944,,322.4,,351,35,1144,134,,,,,, 231323,01-JUL-15,30-JUN-16,As Submitted,SPECTRUM HEALTH REED CITY ,300 PATTERSON ROAD ,,REED CITY ,MI ,49677- ,OSCEOLA ,,,,,,,,,,25,9150,1765,42,2867,,270.22,,359,16,663,76,,,,,, 231324,01-JUL-15,30-JUN-16,Settled,EATON RAPIDS MEDICAL CENTER ,1500 S MAIN ST ,,EATON RAPIDS ,MI ,48827 ,EATON ,,,,,,,,,,20,7320,1290,26,2103,,155.36,,212,9,457,41,,,,,, 231325,01-JUL-15,30-JUN-16,Settled,MIDMICHIGAN MEDICAL CENTER - GLADWIN ,515 QUARTER ST. ,,GLADWIN ,MI ,48624 ,GLADWIN ,,,,,,,,,,25,9150,798,23,1298,,125.05,,336,14,559,48,,,,,, 231326,01-JAN-15,31-DEC-15,Settled,SPARROW CLINTON HOSPITAL ,805 S. OAKLAND ,,ST. JOHNS ,MI ,48879-2253 ,CLINTON ,,,,,,,,,,25,9125,1170,33,2044,,222.58,,407,11,737,54,,,,,, 231327,01-APR-15,31-MAR-16,As Submitted,HAYES GREEN BEACH MEMORIAL HOSPITAL ,321 EAST HARRIS STREET ,,CHARLOTTE ,MI ,48813 ,EATON ,,,,,,,,,,25,9150,878,52,1746,,339.65,,317,17,668,58,,,,,, 231328,01-JAN-15,31-DEC-15,Settled,ALLEGAN GENERAL HOSPITAL ,555 LINN STREET ,,ALLEGAN ,MI ,49010 ,ALLEGAN ,,,,,,,,,,25,9125,1350,44,3001,,248,,375,16,864,79,,,,,, 231329,01-JAN-15,31-DEC-15,Settled,CARO COMMUNITY HOSPITAL ,401 N HOOPER ST ,435 ,CARO ,MI ,48723 ,TUSCOLA ,,,,,,,,,,25,9125,334,6,488,,107.27,,128,2,196,11,,,,,, 231330,01-JUL-15,30-JUN-16,Settled,MARLETTE REGIONAL HOSPITAL ,2770 MAIN STREET ,307 ,MARLETTE ,MI ,48453 ,SANILAC ,,,,,,,,,,25,9150,2088,13,2923,,235.91,,291,5,470,33,,,,,, 231331,01-JAN-15,31-DEC-15,Settled,SPARROW IONIA HOSPITAL ,479 LAFAYETTE ,,IONIA ,MI ,48846 ,IONIA ,,,,,,,,,,25,9125,726,62,1621,,192.24,,265,18,591,66,,,,,, 231332,01-JAN-15,31-DEC-15,Settled,BRONSON LAKEVIEW HOSPITAL ,408 HAZEN ,209 ,PAW PAW ,MI ,49079-0209 ,VAN BUREN ,,,,,,,,,,25,9125,947,72,1938,,216.32,,316,31,737,71,,,,,198, 231333,01-JUL-15,30-JUN-16,Settled,ASPIRUS GRAND VIEW ,N10561 GRAND VIEW LANE ,,IRONWOOD ,MI ,49938 ,GOGEBIC ,,,,,,,,,,25,9150,1843,170,3813,,250.74,,369,22,934,107,,,,,, 231334,01-JAN-15,31-DEC-15,Settled,HERRICK MEDICAL CENTER ,500 E. POTTAWATAMIE STREET ,,TECUMSEH ,MI ,49286- ,LENAWEE ,,,,,,,,,,25,9125,990,60,1733,,154.92,,308,19,584,27,231,,,,454, 231337,01-OCT-14,30-SEP-15,Settled,ST. FRANCIS HOSPITAL ,3410 LUDINGTON ST. ,,ESCANABA ,MI ,49829-0787 ,DELTA ,,,,,,,,,,25,9125,2544,568,5613,,416.7,,819,298,1829,,,,,,, 231338,01-JUL-15,30-JUN-16,As Submitted,SPECTRUM HEALTH GERBER ,212 S. SULLIVAN ,,FREMONT ,MI ,49412 ,NEWAYGO ,,,,,,,,,,25,9150,1805,300,5852,,563.36,,651,181,2659,672,,,,,, 232012,01-FEB-15,31-JAN-16,Settled,SSH - FLINT INC ,401 SOUTH BALLENGER 5TH FLOOR ,,FLINT ,MI ,48532 ,GENESEE ,,,,,,,,,,26,9490,5662,,7893,,81.86,,219,,315,2,,,,,, 232019,01-JUN-15,31-MAY-16,Settled,VIBRA DETROIT ,26400 WEST OUTER DRIVE ,,DETROIT ,MI ,48146 ,WAYNE ,,,,,,,,,,260,95160,12979,26,18582,,174.69,,487,,696,9,,,,,, 232020,01-OCT-14,30-SEP-15,Settled,MCLAREN BAY SPECIAL CARE ,3250 E. MIDLAND RD ,,BAY CITY ,MI ,48706 ,BAY ,,,,,,,,,,31,11315,6315,78,7641,,68.57,,250,4,304,2,,,,,, 232021,01-JUL-15,30-JUN-16,As Submitted,GLS - MUSKEGON ,1700 CLINTON STREET 2 SOUTH ,,MUSKEGON ,MI ,49442 ,MUSKEGON ,,,,,,,,,,31,11346,4989,43,7748,,72.45,,189,1,307,11,,,,,, 232023,01-JAN-15,31-DEC-15,Settled,SSH - MACOMB COUNTY INC. ,215 NORTH AVENUE SUITE 200 ,,MOUNT CLEMENS ,MI ,48043 ,MACOMB ,,,,,,,,,,36,13140,6616,,11000,,136.5,,251,,410,3,,,,,, 232024,01-MAY-15,30-APR-16,Settled,SSH - ANN ARBOR ,5301 E. HURTON RIVER DR. 7TH FLOOR ,,YPSILANTI ,MI ,48197 ,WASHTENAW ,,,,,,,,,,36,13176,7108,,12394,,113.04,,241,,425,2,,,,,, 232026,01-JAN-15,31-DEC-15,Settled,SSH - GLSH OAK LLC ,310 LAFAYETTE SE ,SUITE 302 ,GRAND RAPIDS ,MI ,49503-4502 ,KENT ,,,,,,,,,,20,7300,3493,,5800,,58.42,,119,,207,1,,,,,, 232027,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL DETROIT ,4777 EAST OUTER DRIVE ,,DETROIT ,MI ,48234 ,WAYNE ,,,,,,,,,,77,28182,11161,,14080,,142.9,,447,,548,15,,,,,, 232029,01-JUL-15,30-JUN-16,As Submitted,KENT COMMUNITY CAMPUS ,750 FULLER NE ,,GRAND RAPIDS ,MI ,49503 ,KENT ,,,,,,,,,,51,18666,2374,,5008,,154.82,,75,,166,,,,,,, 232030,01-FEB-15,31-JAN-16,Settled,SSH - PONTIAC INC. ,44405 WOODWARD AVENUE 8TH FLOOR ,,PONTIAC ,MI ,48341 ,OAKLAND ,,,,,,,,,,30,10950,6176,,9858,,90.84,,240,,395,3,,,,,, 232031,01-MAY-15,30-APR-16,Settled,SSH - WYANDOTTE ,2333 BIDDLE AVE. 8TH FLOOR ,,WYANDOTTE ,MI ,48192-4668 ,WAYNE ,,,,,,,,,,35,12810,6315,,10366,,99.48,,238,,402,2,,,,,, 232032,01-SEP-15,31-AUG-16,As Submitted,SSH - NORTHWEST DETROIT INC. ,6071 W OUTER DR 7TH FLOOR ,,DETROIT ,MI ,48235 ,WAYNE ,,,,,,,,,,36,13176,6446,,10557,,95.8,,227,,328,3,,,,,, 232033,01-MAR-15,29-FEB-16,Settled,SSH -SAGINAW INC. ,1447 NORTH HARRISON STREET ,,SAGINAW ,MI ,48602 ,SAGINAW ,,,,,,,,,,32,11712,6819,,9663,,86.98,,267,,363,,,,,,, 232034,01-JUL-15,30-JUN-16,Settled,BORGESS-PIPP HEALTH CENTER ,411 NAOMI STREET ,,PLAINWELL ,MI ,48080-1222 ,ALLEGAN ,,,,,,,,,,43,15738,2419,,5011,,124.96,,78,,167,,,,,,, 232035,01-JUN-15,31-MAY-16,As Submitted,SSH - KALAMAZOO ,300 NORTH AVENUE ,,BATTLE CREEK ,MI ,49017 ,CALHOUN ,,,,,,,,,,25,9150,5210,,8375,,78.94,,202,,315,13,,,,,, 232036,01-MAR-15,29-FEB-16,Settled,HENRY FORD ALLEGIANCE CARELINK ,110 NORTH ELM AVENUE ,,JACKSON ,MI ,49202 ,JACKSON ,,,,,,,,,,44,16104,6988,798,11417,,101,,261,28,408,,,,,,, 232037,01-JAN-15,31-DEC-15,Settled,SPARROW SPECIALTY HOSPITAL ,1210 W. SAGINAW ,,LANSING ,MI ,48915 ,INGHAM ,,,,,,,,,,36,13140,14709,28,18903,,100.14,,171,1,313,3,,,,,, 232038,01-JAN-15,31-DEC-15,Settled,SSH - GROSSE POINTE ,17029 KERCHEVAL AVENUE ,SUITE 100 ,GROSSE POINTE ,MI ,48230 ,WAYNE ,,,,,,,,,,30,10950,5894,,9787,,87.71,,203,,355,4,,,,,, 232039,20-OCT-14,30-SEP-15,Reopened,PIONEER SPECIALTY HOSPITAL ,50 NORTH PERRY STREET ,6TH FLOOR ,PONTIAC ,MI ,48342-2217 ,OAKLAND ,,,,,,,,,,30,10380,3779,,5441,,22.06,,152,,214,,,,,,, 233026,01-APR-15,31-MAR-16,As Submitted,MARY FREE BED REHAB HOSPITAL ,235 WEALTHY ST. SE ,,GRAND RAPIDS ,MI ,49503-5299 ,KENT ,,,,,,,,,,92,33672,6046,1405,29120,,742.93,7.69,387,63,1622,307,,,,,, 233027,01-NOV-14,31-OCT-15,Amended,REHABILITATION INSTITUTE OF MICHIGAN ,261 MACK BLVD ,,DETROIT ,MI ,48201 ,WAYNE COUNTY ,,,,,,,,,5117,69,25185,5780,3357,20307,11.38,682.22,,467,101,1359,236,,,,,, 233300,01-JAN-15,31-DEC-15,As Submitted,CHILDRENS HOSPITAL OF MICHIGAN ,3901 BEAUBIEN ,,DETROIT ,MI ,48201 ,WAYNE ,,,,,,,,,50158,227,82612,445,8107,54370,219.42,1810.2,,85,1385,11654,6848,,,,,, 234006,01-JUL-15,30-JUN-16,Amended,PINE REST CHRISTIAN HOSPITAL ,300 68TH STREET SE ,165 ,GRAND RAPIDS ,MI ,49501-0165 ,KENT ,,,,,,,,,62677,84,30744,6764,,24551,15.64,1248.19,,410,,2364,,,,,,, 234011,01-JAN-15,31-DEC-15,Settled,KINGSWOOD HOSPITAL ,10300 W EIGHT MILE ROAD ,,FERNDALE ,MI ,48220 ,OAKLAND ,,,,,,,,,1,136,49640,2911,,20901,6.13,229.87,,429,,3794,1164,,,,,, 234021,01-JUL-15,30-JUN-16,As Submitted,HARBOR OAKS HOSPITAL ,35031 23 MILE ROAD ,,NEW BALTIMORE ,MI ,48087 ,MACOMB ,,,,,,,,,,89,32574,9961,8727,28884,,170.79,,732,1080,3147,,,,,,, 234023,01-JUL-15,30-JUN-16,Settled,HAVENWYCK HOSPITAL ,1525 UNIVERSITY DRIVE ,,AUBURN HILLS ,MI ,48326 ,OAKLAND ,,,,,,,,,,205,73025,10154,,58156,,,,944,,6509,,,,,,, 234025,01-OCT-14,30-SEP-15,Settled,CARO CENTER ,2000 CHAMBERS ROAD ,,CARO ,MI ,48723 ,TUSCOLA ,,,,,,,,,,204,74460,796,4138,52912,,383,,14,2,140,,,,,,, 234026,01-OCT-14,30-SEP-15,Settled,KALAMAZOO PSYCHIATRIC HOSPITAL ,1312 OAKLAND DRIVE ,,KALAMAZOO ,MI ,49008 ,KALAMAZOO ,,,,,,,,,,203,75095,1813,5944,48058,,442,,25,24,130,,,,,,, 234030,01-JAN-15,31-DEC-15,Settled,FOREST VIEW HOSPITAL ,1055 MEDICAL PARK DRIVE ,,GRAND RAPIDS ,MI ,49546-3671 ,KENT ,,,,,,,,,,82,29930,6881,,27968,,157.1,,642,,2903,,,,,,, 234035,01-OCT-14,30-SEP-15,Settled,WALTER REUTHER PSYCHIATRIC HOSPITAL ,30901 PALMER ROAD ,,WESTLAND ,MI ,48186 ,,,,,,,,,,,161,58765,560,4269,54861,,396,,7,7,246,,,,,,, 234038,01-JAN-15,31-DEC-15,Settled,STONECREST ,15000 GRATIOT AVE. ,,DETROIT ,MI ,48205 ,WAYNE ,,,,,,,,,,104,37960,9367,,34002,,221.65,,615,2156,3416,,,,,,, 234040,01-JAN-15,31-DEC-15,Settled,SAMARITAN BEHAVIORAL CENTER ,5555 CONNER AVENUE ,,DETROIT ,MI ,48213-3448 ,WAYNE ,,,,,,,,,,55,20075,6021,,16697,,98.82,,462,,1558,,,,,,, 234041,01-OCT-14,30-SEP-15,Settled,CENTER FOR FORENSIC PHYCHIATRY ,1500 MEDICAL CENTER DRIVE ,P.O. BOX 2060 ,ANN ARBOR ,MI ,48106 ,WASHTENAW ,,,,,,,,,,236,86140,1191,2745,80587,5,492,,21,12,242,,,,,,, 234042,01-JAN-15,31-DEC-15,Settled,BEHAVIORAL CENTER OF MICHIGAN ,4050 EAST 12 MILE RD. ,,WARREN ,MI ,48092 ,MACOMB ,,,,,,,,,,42,15330,8480,,14295,,110,,639,,1332,,,,,,, 240001,01-JAN-15,31-DEC-15,Amended,NORTH MEMORIAL HEALTH CARE ,3300 OAKDAVE AVENUE NORTH ,,ROBBINSDALE ,MN ,55422-2926 ,HENNEPIN ,1828470,,,2456463,,,.1641,552180,165452,371,135415,25121,7402,72520,23.89,3883.9,,5753,5922,17904,,,,,,987,256 240002,01-JUL-15,30-JUN-16,As Submitted,ST. MARYS MEDICAL CENTER ,407 EAST THIRD STREET ,,DULUTH ,MN ,55805- ,ST. LOUIS ,1531494,,,2985651,,,.1589,444546,118298,327,119682,33628,16027,79234,16.5,1836.44,,6968,1269,16951,1847,,,,,, 240004,01-JAN-15,31-DEC-15,Amended,HENNEPIN COUNTY MEDICAL CENTER ,701 PARK AVE P-1 ,,MINNEAPOLIS ,MN ,55415-1829 ,HENNEPIN ,17002540,,,4712494,,,.416,7460568,3701463,340,122150,23171,16319,86850,276.53,5343.98,,4516,2685,18672,5914,892,,490,43,2632,297 240006,01-JAN-15,31-DEC-15,As Submitted,OLMSTED MEDICAL CENTER ,1650 FOURTH STREET ,,ROCHESTER ,MN ,55904- ,OLMSTED ,,,,82733,,,.12,,,61,22265,995,2313,6569,,806.13,,344,541,1923,,,,,,, 240010,01-JAN-15,31-DEC-15,Amended,MAYO CLINIC HOSPITAL ROCHESTER ,1216 SECOND STREET SW ,,ROCHESTER ,MN ,55905 ,OLMSTED ,61191003,,,1738053,,,.0265,14035301,5024561,1079,393928,109922,33182,285002,538.87,7344.86,,19246,5525,39181,998,,,1079,61,2685,665 240014,01-JAN-15,31-DEC-15,Amended,NORTHFIELD CITY HOSPITAL ,2000 NORTH AVENUE ,,NORTHFIELD ,MN ,55057-1697 ,DAKOTA ,,,,51058,,,.0484,,,37,13505,1669,337,5212,,500.08,,615,4,1721,207,,,,,, 240018,01-JAN-15,31-DEC-15,As Submitted,MAYO CLINIC HEALTH SYSTEM - RED WING ,701 HEWITT BLVD ,95 ,RED WING ,MN ,55066-0095 ,GOODHUE ,,,,109891,,,.0727,,,50,18250,2082,953,5187,,463.38,,744,298,2107,,,,,,, 240019,01-JUL-15,30-JUN-16,As Submitted,SMDC MEDICAL CENTER ,502 EAST 2ND STREET ,,DULUTH ,MN ,55805 ,ST. LOUIS ,60021,,,743265,,,.4299,26193,52802,102,37332,6235,7914,18381,1.59,1576.47,,785,867,2598,,,,,34,,432 240020,01-JAN-15,31-DEC-15,Amended,CAMBRIDGE MEDICAL CENTER ,701 SOUTH DELLWOOD ,,CAMBRIDGE ,MN ,55008- ,ISANTI ,,,,172717,,,.12,,,59,21535,2627,881,8428,,353.14,,809,838,2448,,,,288,,680, 240022,01-JUL-15,30-JUN-16,As Submitted,SANFORD REGIONAL HOSPITAL WORTHINGTO ,1018 SIXTH STREET ,,WORTHINGTON ,MN ,56187- ,NOBLES ,,,,75178,,,.12,,,48,17568,1391,1496,4388,,280.32,,387,353,1228,,,,,,, 240030,01-JAN-15,31-DEC-15,As Submitted,DOUGLAS COUNTY HOSPITAL ,111 17TH AVENUE E ,,ALEXANDRIA ,MN ,56308-3798 ,DOUGLAS ,,,,242690,,,.0638,,,99,36135,6262,2113,13472,,710.19,,1607,543,3522,,,,,,, 240036,01-JUL-15,30-JUN-16,As Submitted,ST. CLOUD HOSPITAL ,1406 6TH AVENUE NORTH ,,ST. CLOUD ,MN ,56303 ,STEARNS ,1692278,,,3570961,,,.12,404776,186975,473,173118,48986,14813,118290,15.11,4021.58,,10515,1614,26267,3555,,,,20,,390 240038,01-JAN-15,31-DEC-15,Amended,UNITED HOSPITAL ,333 SMITH AVENUE NORTH ,,SAINT PAUL ,MN ,55102 ,RAMSEY ,1794983,,,2760173,,,.1489,660551,184879,317,115705,32133,10656,90617,17.39,2198.01,,7301,2926,22064,3011,,,,18,283,322 240040,01-JAN-15,31-DEC-15,As Submitted,RANGE REGIONAL HEALTH SERVICES ,750 EAST 34TH STREET ,,HIBBING ,MN ,55746- ,ST. LOUIS ,,,,170847,,,.12,,,60,21900,4531,2337,12265,,780.59,,933,256,2562,518,,,,,, 240043,01-JAN-15,31-DEC-15,Amended,MAYO CLNIC HLTH SYS-ALBRT LEA AUSTIN ,1000 1ST DRIVE NW ,,AUSTIN ,MN ,55912 ,MOWER ,,,,375244,,,.1217,,,142,51830,6088,3280,13277,,1249.76,,1750,1256,4767,,,,,,340, 240044,01-OCT-14,30-SEP-15,As Submitted,WINONA HEALTH SERVICES ,855 MANKATO AVE ,5600 ,WINONA ,MN ,55987-0600 ,WINONA ,,,,66869,,,.0475,,,53,19345,3246,326,7066,,872.09,,844,118,2043,,,,60,,335, 240047,01-JAN-15,31-DEC-15,Amended,ST. LUKES HOSPITAL OF DULUTH ,915 EAST FIRST STREET ,,DULUTH ,MN ,55805- ,ST. LOUIS ,750504,,,1288700,,,.118,222275,146314,238,86870,22716,4817,48057,8.57,1996.69,,4324,611,10603,1063,,,,9,,398 240050,01-JAN-15,31-DEC-15,Amended,FAIRVIEW LAKES REGIONAL MEDICAL CTR ,5200 FAIRVIEW BOULEVARD ,,WYOMING ,MN ,55092-8013 ,CHISAGO ,,,,107004,,,.0508,,,54,19710,3459,801,9761,,440.38,,1022,68,2862,393,,,,,, 240052,01-OCT-14,30-SEP-15,Amended,LAKE REGION HEALTHCARE ,712 SOUTH CASCADE STREET ,728 ,FERGUS FALLS ,MN ,56538-0728 ,OTTER TAIL ,,,,169087,,,.0875,,,80,29200,3365,1254,6813,,669.67,,1035,549,2105,,,,119,8,345,123 240053,01-JAN-15,31-DEC-15,As Submitted,PARK NICOLLET METHODIST HOSPITAL ,6500 EXCELSIOR BLVD ,650 ,ST. LOUIS PARK ,MN ,55426-4702 ,HENNEPIN ,3795224,,,866481,,,.0427,807564,384992,394,140670,34928,4319,79442,36.77,2922.12,,8623,829,21592,3305,,,,,, 240056,01-JAN-15,31-DEC-15,As Submitted,RIDGEVIEW MEDICAL CENTER ,500 SOUTH MAPLE STREET ,,WACONIA ,MN ,55387 ,CARVER ,,,,,,,,,,112,40880,6724,790,20583,,1143.71,,2024,79,6074,450,,,,,283, 240057,01-JAN-15,31-DEC-15,Amended,ABBOTT NORTHWESTERN HOSPITAL ,800 EAST 28TH STREET ,,MINNEAPOLIS ,MN ,55407 ,HENNEPIN ,5401144,,,4581869,,,.1208,1334720,425674,579,211335,59970,15470,161101,43.48,4984.56,,12199,1463,35363,6048,,,,24,,723 240059,01-JAN-15,31-DEC-15,Amended,REGINA HOSPITAL ,1175 NININGER ROAD ,,HASTINGS ,MN ,55033- ,DAKOTA ,,,,38660,,,.0346,,,20,7300,1521,211,3830,,233.54,,568,31,1495,151,,,,,322, 240063,01-SEP-15,31-AUG-16,As Submitted,HEALTHEAST ST JOSEPHS HOSPITAL ,45 WEST 10TH STREET ,,ST PAUL ,MN ,55102 ,RAMSEY ,1454054,,,2527229,,,.2282,671172,202382,218,83082,21694,7466,55839,15.8,1334.53,,4031,869,10649,1567,,,,,, 240064,01-JAN-15,31-DEC-15,As Submitted,GRAND ITASCA CLINIC AND HOSPITAL ,1601 GOLF COURSE ROAD ,,GRAND RAPIDS ,MN ,55744-3698 ,ITASCA ,,,,120195,,,.12,,,36,13140,2022,1150,5054,,547.74,,676,395,1586,,,,,,, 240066,01-JAN-15,31-DEC-15,As Submitted,LAKEVIEW MEMORIAL ,927 WEST CHURCHILL STREET ,,STILLWATER ,MN ,55082 ,WASHINGTON ,,,,,,,,,,68,24820,4919,456,11711,,429.95,,1583,182,4277,,,,,,, 240069,01-JAN-15,31-DEC-15,Amended,OWATONNA HOSPITAL ,2250 NW 26TH STREET ,,OWATONNA ,MN ,55060 ,STEELE ,,,,154473,,,.12,,,30,10950,2390,772,6838,,219.42,,701,675,2116,365,,,63,,402, 240071,01-JAN-15,31-DEC-15,Amended,DISTRICT ONE HOSPITAL ,200 STATE AVENUE ,,FARIBAULT ,MN ,55021- ,RICE ,,,,146121,,,.1379,,,26,9490,1907,693,5085,,229.79,,624,78,1684,,,,,,, 240075,01-JUL-15,30-JUN-16,Amended,ST. JOSEPHS MEDICAL CENTER ,523 NORTH THIRD STREET ,,BRAINERD ,MN ,56401- ,CROW WING ,,,,564273,,,.1209,,,140,51240,7945,1829,17353,,961.1,,2181,833,4605,,,,152,,329, 240076,01-JAN-15,31-DEC-15,Amended,BUFFALO HOSPITAL ,303 CATLIN STREET ,,BUFFALO ,MN ,55313 ,WRIGHT ,,,,133865,,,.0951,,,44,16060,2135,657,6768,,316.74,,753,158,2395,441,,,,,, 240078,01-JAN-15,31-DEC-15,As Submitted,FAIRVIEW SOUTHDALE HOSPITAL ,6401 FRANCE AVENUE ,,EDINA ,MN ,55435- ,HENNEPIN ,,,,,,,,,,319,116435,27974,2291,71857,,1746.59,,6176,314,16534,1164,211,,117,,779, 240080,01-JAN-15,31-DEC-15,Amended,UNIVERSITY OF MINNESOTA MEDICAL CTR ,2450 RIVERSIDE AVENUE ,,MINNEAPOLIS ,MN ,55426 ,HENNEPIN ,20262632,,,4593756,,,.216,4339540,2607237,620,221274,41955,15107,163774,352.74,4870.34,,6565,1673,26101,5264,1730,,799,21,5061,575 240084,01-JUL-15,30-JUN-16,As Submitted,ESSENTIA HEALTH VIRGINIA ,901 9TH STREET NORTH ,,VIRGINIA ,MN ,55792-2398 ,ST. LOUIS ,,,,142641,,,.12,,,48,17568,1895,1027,4522,,418.48,,640,52,1028,74,,,,5,,203 240088,01-JAN-15,31-DEC-15,Amended,RICE MEMORIAL HOSPITAL ,301 BECKER AVENUE SW ,,WILLMAR ,MN ,56201- ,KANDIYOHI ,,,,449036,,,.2038,,,93,33945,5221,4601,13895,,642.97,,1266,1276,3335,,,,,,, 240093,01-JAN-15,31-DEC-15,As Submitted,MAYO CLINIC HEALTH SYSTEM MANKATKO ,1025 MARSH STREET ,8673 ,MANKATO ,MN ,56002-8673 ,BLUE EARTH ,670563,,,967967,,,.1082,436649,201743,190,69350,17164,6218,39986,13.04,1471.19,,3854,1536,9567,,,,,,, 240100,01-JUL-15,30-JUN-16,As Submitted,SANFORD BEMIDJI ,1300 ANNE STREET NW ,,BEMIDJI ,MN ,56601 ,BELTRAMI ,,,,1259984,,,.2796,,,89,32574,8152,5844,17121,,1084.5,,2081,2215,6021,,,,6,18,146,223 240101,01-JUL-15,30-JUN-16,Amended,ST. MARYS REGIONAL HEALTH CENTER ,1027 WASHINGTON AVENUE ,,DETROIT LAKES ,MN ,56501- ,BECKER ,,,,164736,,,.12,,,37,13542,2418,1121,6523,,499.86,,799,763,2586,,,,,,, 240104,01-JAN-15,31-DEC-15,Amended,ST. FRANCIS REGIONAL MEDICAL CENTER ,1455 ST. FRANCIS AVENUE ,,SHAKOPEE ,MN ,55379- ,SCOTT ,,,,286274,,,.0925,,,80,29200,5373,1175,17516,,537.41,,1659,1494,5840,,,,,,, 240106,01-JAN-15,31-DEC-15,Amended,REGIONS HOSPITAL ,640 N JACKSON STREET ,,ST PAUL ,MN ,55101 ,RAMSEY ,15908946,,,6189924,,,.2719,4191163,1661542,394,143915,45963,17210,123948,138.36,3797.87,,8553,8435,24291,,,,,38,,398 240115,01-JAN-15,31-DEC-15,Amended,MERCY HOSPITAL ,4050 COON RAPIDS BLVD ,,COON RAPIDS ,MN ,55433- ,ANOKA ,387730,,,2020183,,,.1229,80147,28608,254,92710,27667,6755,74861,3.17,1608,,6676,1998,19349,2919,,,,,, 240132,01-JAN-15,31-DEC-15,Amended,UNITY HOSPITAL ,550 OSBORNE ROAD ,,FRIDLEY ,MN ,55432- ,ANOKA ,46434,,,801013,,,.1044,,,151,54933,13748,2817,38503,.55,894.21,,3551,932,11105,1689,,,,,255, 240141,01-JAN-15,31-DEC-15,Amended,FAIRVIEW NORTHLAND REG ,911 NORTHLAND DR ,,PRINCETON ,MN ,55371- ,SHERBURNE ,,,,136426,,,.1162,,,34,12410,1836,552,5614,,252.5,,531,61,1640,304,,,,,, 240166,01-JAN-15,31-DEC-15,As Submitted,MAYO CLINIC HEALTH SYSTEM-FAIRMONT ,835 JOHNSON STREET ,,FAIRMONT ,MN ,56031- ,MARTIN ,,,,,,,,,,59,21535,3124,711,6123,,329.73,,827,204,1617,,,,,,, 240187,01-JAN-15,31-DEC-15,Amended,HUTCHINSON HEALTH CARE ,1095 HIGHWAY 15 SOUTH ,,HUTCHINSON ,MN ,55350- ,MCLEOD ,,,,67453,,,.0526,,,45,16425,2358,811,4900,,454.71,,711,196,1491,,,,226,,597, 240196,01-JAN-15,31-DEC-15,Amended,PHILLIPS EYE INSTITUTE ,2215 PARK AVENUE ,,MINNEAPOLIS ,MN ,55404- ,HENNEPIN ,,,,,,,,,,8,2920,26,,45,,131.98,,9,,18,,,,,,, 240206,01-OCT-14,30-SEP-15,As Submitted,RED LAKE INDIAN HOSPITAL ,24760 HOSPITAL DRIVE ,497 ,RED LAKE ,MN ,56671 ,CLEARWATER ,,,,8550,,,.12,,,23,8395,288,602,1511,,216,,46,95,178,,,,,,, 240207,01-JAN-15,31-DEC-15,Amended,FAIRVIEW RIDGES HOSPITAL ,201 E NICOLLET BLVD ,,BURNSVILLE ,MN ,55337- ,DAKOTA ,,,,692025,,,.0888,,,173,63145,14204,3556,44600,,1026.19,,3315,402,10729,1487,,,,,, 240210,01-SEP-15,31-AUG-16,As Submitted,HEALTHEAST ST JOHNS HOSPITAL ,1575 BEAM AVENUE ,,MAPLEWOOD ,MN ,55109 ,RAMSEY ,817392,,,1251161,,,.1548,331768,204883,184,67344,13585,3342,43071,11.7,1108.33,,3504,564,11693,2150,,,,,, 240213,01-SEP-15,31-AUG-16,As Submitted,HEALTHEAST WOODWINDS HOSPITAL ,1925 WOODWINDS DR ,,WOODBURY ,MN ,55125 ,WASHINGTON ,24690,,,238524,,,.041,5170,2209,86,31476,7129,1119,23544,.15,602.91,,2328,179,7353,689,,,,,, 240214,01-JAN-15,31-DEC-15,As Submitted,MAPLE GROVE HOSPITAL ,9875 HOSPITAL DRIVE ,,MAPLE GROVE ,MN ,55369- ,HENNEPIN ,,,,357173,,,.1096,,,108,39420,4206,5188,37716,,650.93,,1423,641,8874,,,,,,, 241300,01-JAN-15,31-DEC-15,As Submitted,MAHNOMEN HEALTH CENTER ,414 JEFFERSON ,396 ,MAHNOMEN ,MN ,56557 ,MAHNOMEN ,,,,,,,,,,10,3650,552,75,692,,46.78,,36,17,59,,,,,,, 241301,01-JUL-15,30-JUN-16,As Submitted,LAKEWOOD HEALTH CENTER ,600 MAIN AVENUE S ,,BAUDETTE ,MN ,56623 ,LAKE OF THE WOODS ,,,,,,,,,,15,5490,950,6,1234,,69.49,,89,2,133,10,,,,,, 241302,01-JUL-15,30-JUN-16,As Submitted,SANFORD MEDICAL CENTER WESTBROOK ,920 BELL AVENUE ,,WESTBROOK ,MN ,56183- ,COTTONWOOD ,,,,,,,,,,8,2928,271,6,361,,34.38,,55,3,74,,,,,,, 241303,01-JUL-15,30-JUN-16,As Submitted,SANFORD HOSPITAL TRACY ,251 FIFTH STREET EAST ,,TRACY ,MN ,56175- ,LYON ,,,,,,,,,,25,9150,203,13,355,,52.93,,45,6,70,,,,,,, 241304,01-JUL-15,30-JUN-16,As Submitted,SANFORD MEDICAL CENTER WHEATON ,401 12TH STREET NORTH ,,WHEATON ,MN ,56296- ,TRAVERSE ,,,,,,,,,,15,5490,361,4,449,,38.22,,43,1,56,,,,,,, 241305,01-OCT-14,30-SEP-15,Settled,RIVERWOOD HEALTHCARE CENTER ,200 BUNKER HILL DRIVE ,,AITKIN ,MN ,56431-1697 ,AITKIN ,,,,,,,,,,25,9125,2200,149,3860,,248.23,,623,33,1183,121,,,,,, 241306,01-JAN-15,31-DEC-15,Settled,RENVILLE COUNTY HOSPITAL AND CLINICS ,100 HEALTH WAY ,,OLIVIA ,MN ,56277-1397 ,RENVILLE ,,,,,,,,,,25,9125,1244,44,1692,,120.52,,159,11,241,14,,,,,, 241308,01-JAN-15,31-DEC-15,Settled,LAKE VIEW MEMORIAL HOSPITAL ,11TH AVENUE & 4TH STREET ,,TWO HARBORS ,MN ,55616-1298 ,LAKE ,,,,,,,,,,16,5840,2037,29,2337,,92.32,,90,6,132,7,,,,,, 241309,01-JUL-15,30-JUN-16,As Submitted,PINE MEDICAL CENTER ,109 COURT AVENUE SOUTH ,140 ,SANDSTONE ,MN ,55072 ,PINE ,,,,,,,,,,25,9150,643,44,960,,143.27,,75,27,211,,,,,,, 241311,01-JAN-15,31-DEC-15,As Submitted,SIBLEY MEDICAL CENTER ,601 WEST CHANDLER ,620 ,ARLINGTON ,MN ,55307- ,SIBLEY ,,,,,,,,,,17,6205,730,9,915,,63.64,,91,4,136,5,,,,,, 241312,01-JAN-15,31-DEC-15,Settled,COOK HOSPITAL ,10 SOUTH 5TH STREET ,,COOK ,MN ,55723-9745 ,ST. LOUIS ,,,,,,,,,,14,5110,707,33,939,,79.38,,102,19,148,,,,,,, 241313,01-JUL-15,30-JUN-16,As Submitted,BRIDGES MEDICAL CENTER ,201 9TH STREET WEST ,,ADA ,MN ,56510- ,NORMAN ,,,,,,,,,,14,5124,310,,381,,45.71,,22,,59,2,,,,,, 241314,01-OCT-14,30-SEP-15,Settled,JOHNSON MEMORIAL HOSPITAL ,1282 WALNUT STREET ,1022 ,DAWSON ,MN ,56232- ,LAC QUI PARLE ,,,,,,,,,,20,7300,734,49,1037,,66.72,,66,10,116,6,,,,,, 241315,01-JUL-15,30-JUN-16,As Submitted,SANFORD MEDICAL CENTER JACKSON ,1430 NORTH HIGHWAY ,,JACKSON ,MN ,56143- ,JACKSON ,,,,,,,,,,14,5124,509,22,747,,42.73,,92,7,125,,,,,,, 241316,01-JAN-15,31-DEC-15,As Submitted,NORTHERN ITASCA HOSPITAL DISTRICT ,258 PINE TREE DRIVE ,,BIGFORK ,MN ,56628-0258 ,ITASCA ,,,,,,,,,,20,7300,784,13,1147,,125.93,,191,5,312,33,,,,,, 241317,01-JAN-15,31-DEC-15,Settled,COOK COUNTY NORTH SHORE HOSPITAL ,515 5TH AVE W ,,GRAND MARAIS ,MN ,55604-0010 ,COOK ,,,,,,,,,,16,5840,556,3,1109,,72.29,,81,1,136,,,,,,, 241318,01-OCT-14,30-SEP-15,Settled,ELY-BLOOMENSON COMMUNITY HOSPITAL ,328 WEST CONAN ,,ELY ,MN ,55731-1198 ,ST. LOUIS ,,,,,,,,,,22,8030,867,36,1314,,88.1,,161,8,279,20,,,,,, 241319,01-JAN-15,31-DEC-15,As Submitted,MURRAY COUNTY MEMORIAL HOSPITAL ,2042 JUNIPER AVE ,,SLAYTON ,MN ,56172 ,MURRAY ,,,,,,,,,,25,9125,1019,21,1337,,90.55,,167,7,228,,,,,,, 241320,01-OCT-14,30-SEP-15,As Submitted,RIVERVIEW HEALTHCARE ASSOCIATION ,123 SOUTH MINNESOTA ,,CROOKSTON ,MN ,56716- ,POLK ,,,,,,,,,,25,9125,1442,414,2865,,232.12,,410,155,878,,,,,,, 241321,01-JUL-15,30-JUN-16,As Submitted,GRACEVILLE HEALTH CENTER ,115 WEST SECOND STREET ,157 ,GRACEVILLE ,MN ,56240-0157 ,BIG STONE ,,,,,,,,,,15,5490,281,8,389,,48.23,,40,,81,4,,,,,, 241322,01-JAN-15,31-DEC-15,Amended,INTL FALLS MEMORIAL HOSPITAL ,1400 HIGHWAY 71 ,,INTERNATIONAL FALLS ,MN ,56649-3525 ,KOOCHICHING ,,,,,,,,,,12,8332,965,41,1463,,123.76,,193,10,352,51,,,,,, 241323,01-JUN-15,31-MAY-16,Settled,MADELIA COMMUNITY HOSPITAL ,121 DREW AVE SE ,,MADELIA ,MN ,56062- ,WATONWAN ,,,,,,,,,,25,9150,638,22,1048,,65.32,,76,8,124,,,,,,, 241325,01-JAN-15,31-DEC-15,As Submitted,CHIPPEWA COUNTY-MONTEVIDEO HOSPITAL ,824 NORTH 11TH STREET ,,MONTEVIDEO ,MN ,56265- ,CHIPPEWA ,,,,,,,,,,25,9125,1447,542,2797,,216.86,,311,126,657,,,,,,, 241326,01-JUL-15,30-JUN-16,As Submitted,LONG PRAIRIE MEMORIAL HOSPITAL ,20 NINTH STREET SE ,,LONG PRAIRIE ,MN ,56347 ,TODD ,,,,,,,,,,24,8784,1457,93,2427,,141.26,,194,14,404,52,,,,,, 241327,01-JAN-15,31-DEC-15,Settled,SLEEPY EYE MUNICIPAL HOSPITAL ,400 FOURTH AVENUE NORTHWEST ,,SLEEPY EYE ,MN ,56085 ,BROWN ,,,,,,,,,,16,5840,910,88,1382,,88.13,,168,31,311,,,,,,, 241328,01-JUL-15,30-JUN-16,Amended,SANFORD BAGLEY MEDICAL CENTER ,203 4TH STREET NW ,,BAGLEY ,MN ,56621 ,CLEARWATER ,,,,,,,,,,25,9150,260,28,363,,61.56,,54,15,99,,,,,,, 241329,01-JAN-15,31-DEC-15,Amended,LAKEWOOD HEALTH SYSTEM ,49725 COUNTY 83 ,,STAPLES ,MN ,56479 ,TODD ,,,,,,,,,,25,9125,1812,1168,5094,,434.37,,472,355,1438,,,,,,192, 241330,01-JUL-15,30-JUN-16,As Submitted,MELROSE AREA HOSPITAL CENTRACARE ,11 NORTH 5TH AVENUE WEST ,,MELROSE ,MN ,56352 ,STEARNS ,,,,,,,,,,25,9150,1422,108,2149,,130.92,,157,7,324,35,,,,,, 241331,01-JUL-15,31-DEC-15,As Submitted,ALBANY AREA HOSPITAL ,300 THIRD AVENUE ,,ALBANY ,MN ,56307 ,STEARNS ,,,,,,,,,,17,3128,181,,256,,31.36,,40,,57,2,,,,,, 241332,01-MAY-15,30-APR-16,As Submitted,WINDOM AREA HOSPITAL ,HIGHWAYS 60 AND 71 NORTH ,339 ,WINDOM ,MN ,56101 ,COTTONWOOD ,,,,,,,,,,18,6570,714,134,1154,,102.07,,132,63,306,,,,,,, 241333,01-JAN-15,31-DEC-15,Settled,MAYO CLINIC HEALTH SYS - ST. JAMES ,1101 MOULTON & PARSONS DRIVE ,,ST. JAMES ,MN ,56081 ,WATONWAN ,,,,,,,,,,25,9125,1047,22,1539,,73.63,,87,8,125,,,,,,, 241334,01-JAN-15,31-DEC-15,As Submitted,RIVERS EDGE HOSPITAL AND CLINIC ,1900 N SUNRISE DRIVE ,,ST. PETER ,MN ,56082- ,NICOLLET ,,,,,,,,,,17,6205,1192,25,2061,,154.84,,355,10,629,19,,,,,, 241335,01-JUL-15,30-JUN-16,Amended,ST. ELIZABETH HOSP. OF WABASHA INC. ,1200 FIFTH GRANT BLVD WEST ,,WABASHA ,MN ,55981- ,WABASHA ,,,,,,,,,,17,6222,835,7,1327,,157.52,,119,3,211,,,,,,, 241336,01-OCT-14,30-SEP-15,As Submitted,KITTSON MEMORIAL HOSPITAL ,1010 SOUTH BIRCH ,700 ,HALLOCK ,MN ,56728- ,KITTSON ,,,,,,,,,,15,5475,434,12,590,,70.5,,73,6,121,,,,,,, 241337,01-JAN-15,31-DEC-15,As Submitted,NORTH VALLEY HEALTH CENTER ,300 WEST GOOD SAMARITAN DRIVE ,,WARREN ,MN ,56762 ,MARSHALL ,,,,,,,,,,12,4380,678,18,879,,57.08,,89,8,140,,,,,,, 241338,01-JAN-15,31-DEC-15,Amended,MAYO CLNIC HEALTH SYSTEM - LAKE CITY ,500 WEST GRANT ST ,,LAKE CITY ,MN ,55041 ,GOODHUE ,,,,,,,,,,18,6570,1635,177,2913,,187.99,,102,11,385,4,,,,,, 241339,01-JUL-15,30-JUN-16,As Submitted,HENDRICKS COMMUNITY HOSPITAL ASSOC ,503 EAST LINCOLN STREET ,106 ,HENDRICKS ,MN ,56136- ,LINCOLN ,,,,,,,,,,24,8784,926,,1186,,58.83,,58,,74,,,,,,, 241340,01-JUL-15,30-JUN-16,As Submitted,NORTHERN PINES MEDICAL CENTER ,5211 HIGHWAY 110 ,,AURORA ,MN ,55705-8714 ,ST. LOUIS ,,,,,,,,,,16,5856,886,5,1182,,94.88,,60,1,101,3,,,,,, 241341,01-OCT-14,30-SEP-15,Settled,APPLETON MUNICIPAL HOSPITAL ,30 SOUTH BEHL STREET ,,APPLETON ,MN ,56208 ,SWIFT ,,,,,,,,,,15,5475,530,3,689,,61.83,,41,2,52,,,,,,, 241342,01-OCT-14,30-SEP-15,Settled,ORTONVILLE AREA HEALTH SERVICES ,450 EASTVOLD AVENUE ,,ORTONVILLE ,MN ,56278- ,BIG STONE ,,,,,,,,,,25,9125,1092,101,1809,,134.34,,195,37,385,,,,,,, 241343,01-JAN-15,31-DEC-15,Settled,GRANITE FALLS HOSPITAL ,345 TENTH AVENUE ,,GRANITE FALLS ,MN ,56241- ,YELLOW MEDICINE ,,,,,,,,,,25,9125,1391,74,2132,,131.52,,166,20,347,38,,,,,, 241344,01-OCT-14,30-SEP-15,Settled,LIFECARE MEDICAL CENTER ,715 DELMORE DRIVE ,,ROSEAU ,MN ,56751- ,ROSEAU ,,,,,,,,,,25,9125,1266,73,2817,,270.07,,185,17,570,75,,,,,, 241345,01-JAN-15,31-DEC-15,Settled,MAYO CLINIC HEALTH SYSTEM - WASECA ,100 FIFTH AVE W ,,WASECA ,MN ,56093 ,WASECA ,,,,,,,,,,15,5475,1464,17,2222,,103.06,,78,4,109,,,,,,, 241346,01-JAN-15,31-DEC-15,As Submitted,CANNON FALLS MEDICAL CENTER - MAYO ,32021 COUNTRY 24 BOULEVARD ,,CANNON FALLS ,MN ,55009 ,GOODHUE ,,,,,,,,,,15,5475,1864,29,3100,,121.92,,127,11,274,,,,,,, 241347,01-JUL-15,30-JUN-16,As Submitted,SANFORD HOSPITAL CANBY ,112 SAINT OLAF AVENUE ,,CANBY ,MN ,56220- ,YELLOW MEDICINE ,,,,,,,,,,22,7076,1761,54,2314,,95.47,,148,13,223,,,,,,, 241348,01-MAR-15,29-FEB-16,As Submitted,TYLER HEALTHCARE CENTER ,240 WILLOW STREET ,,TYLER ,MN ,56178- ,LINCOLN ,,,,,,,,,,21,7686,401,8,622,,54.47,,76,3,136,,,,,,, 241349,01-JUL-15,30-JUN-16,As Submitted,PAYNESVILLE AREA HOSPITAL ,200 FIRST STREET WEST ,,PAYNESVILLE ,MN ,56362-1496 ,STEARNS ,,,,,,,,,,25,9150,1736,60,2675,,246.37,,187,,377,54,,,,,, 241350,01-OCT-14,30-SEP-15,As Submitted,MERCY HOSPITAL & HEALTH CARE CENTER ,710 KENWOOD AVENUE SOUTH ,,MOOSE LAKE ,MN ,55767- ,CARLTON ,,,,,,,,,,25,9125,1435,201,2841,,194.5,,240,78,870,149,,,,,, 241351,01-JAN-15,31-DEC-15,As Submitted,REDWOOD AREA HOSPITAL ,100 FALLWOOD ROAD ,,REDWOOD FALLS ,MN ,56283 ,REDWOOD ,,,,,,,,,,25,9125,1062,121,1991,,133.78,,256,45,524,27,,,,,, 241352,01-JAN-15,31-DEC-15,As Submitted,MAYO CLINIC HLTH SYS - SPRINGFIELD ,765 NORTH JACKSON ,,SPRINGFIELD ,MN ,56087 ,BROWN ,,,,,,,,,,24,8760,1107,8,1490,,67.56,,129,3,169,,,,,,, 241353,01-APR-15,31-MAR-16,As Submitted,CUYUNA REGIONAL MEDICAL CENTER ,320 EAST MAIN STREET ,,CROSBY ,MN ,56441 ,CROW WING ,,,,,,,,,,25,9150,2773,941,5800,,512.03,,883,347,1979,,,,,,, 241354,01-JAN-15,31-DEC-15,As Submitted,TRI COUNTY HOSPITAL ,415 JEFFERSON STREET NORTH ,,WADENA ,MN ,56482 ,WADENA ,,,,,,,,,,25,9125,1536,294,3173,,299.91,,428,42,898,133,,,,,, 241355,01-JAN-15,31-DEC-15,As Submitted,GLENCOE REGIONAL HEALTH SERVICES ,705 EAST 18TH STREEET ,,GLENCOE ,MN ,55336- ,MCLEOD ,,,,,,,,,,25,9125,2415,359,3863,,306.43,,297,107,788,,,,,,, 241356,01-OCT-14,30-SEP-15,Settled,MILLE LACS HOSPITAL ,200 NORTH ELM ST ,,ONAMIA ,MN ,56359- ,MILLE LACS ,,,,,,,,,,25,9125,1686,112,2718,,226.99,,280,39,579,63,,,,,193, 241357,01-JUL-15,30-JUN-16,Amended,FIRST CARE MEDICAL SERVICES ,900 HILLIGOSS BOULEVARD SE ,,FOSSTON ,MN ,56542-1599 ,POLK ,,,,,,,,,,24,8784,933,204,1902,,125.84,,151,69,561,,,,,,, 241358,01-OCT-14,30-SEP-15,Settled,CASS LAKE INDIAN HOSPITAL ,425 7TH STREET NW ,211 ,CASS LAKE ,MN ,56633 ,CASS ,,,,,,,,,,13,4745,67,,313,,183,,16,,46,,,,,,, 241359,01-JUL-15,30-JUN-16,As Submitted,AVERA MARSHALL REGIONAL MEDICAL CTR ,300 SOUTH BRUCE STREET ,,MARSHALL ,MN ,56258- ,LYON ,,,,,,,,,,25,9150,1842,387,4795,,265.74,,539,238,1810,287,112,,52,,411, 241360,01-JUL-15,30-JUN-16,As Submitted,DEER RIVER HEALTHCARE CENTER ,115 10TH AVENUE NE ,,DEER RIVER ,MN ,56636-9703 ,ITASCA ,,,,,,,,,,20,7320,666,205,1410,,180.36,,145,84,398,22,,,,,, 241361,01-JAN-15,31-DEC-15,As Submitted,MAYO CLINIC HEALTH SYS - NEW PRAGUE ,301 SECOND STREET ,,NEW PRAGUE ,MN ,56071-1799 ,SCOTT ,,,,,,,,,,20,7300,2245,255,3786,,199.57,,293,105,788,,,,,,, 241362,01-JUL-15,30-JUN-16,As Submitted,CCH-MONTICELLO ,1013 HART BOULEVARD ,,MONTICELLO ,MN ,55362- ,WRIGHT ,,,,,,,,,,25,9150,1715,246,3962,,307.27,,305,42,914,132,,,,2,,87 241363,01-JAN-15,31-DEC-15,As Submitted,STEVENS COMMUNITY MEDICAL CENTER ,400 EAST 1ST STREET ,660 ,MORRIS ,MN ,56267- ,STEVENS ,,,,,,,,,,25,9125,2001,227,3147,,234.76,,500,86,850,,,,,,, 241364,01-OCT-14,30-SEP-15,Settled,COMMUNITY MEMORIAL HOSPITAL ,512 SKYLINE BOULEVARD ,,CLOQUET ,MN ,55720- ,CARLTON ,,,,,,,,,,22,8030,1770,122,3361,,293.85,,419,38,982,,,,,,, 241365,01-JAN-15,31-DEC-15,Settled,SWIFT COUNTY - BENSON ,1815 WISCONSIN AVE ,,BENSON ,MN ,56215 ,SWIFT ,,,,,,,,,,18,6570,566,10,874,,60.42,,119,2,170,4,,,,,, 241366,01-JAN-15,31-DEC-15,Amended,MEEKER COUNTY MEMORIAL HOSPITAL ,612 SIBLEY AVENUE SOUTH ,,LITCHFIELD ,MN ,55355- ,MEEKER ,,,,,,,,,,25,9125,1834,465,3248,,151.93,,355,130,746,,,,1,,141, 241367,01-JAN-15,31-DEC-15,Amended,FIRST LIGHT HEALTH SYSTEM ,301 HIGHWAY 65 SOUTH ,,MORA ,MN ,55051-1950 ,KANABEC ,,,,,,,,,,25,9125,1382,176,2800,,320.87,,500,72,1187,228,,,,,, 241368,01-JUL-15,30-JUN-16,As Submitted,CCH - SAUK CENTRE ,125 NORTH ELM STREET ,,SAUK CENTRE ,MN ,56378 ,STEARNS ,,,,,,,,,,24,8784,1044,109,1797,,126.84,,207,10,442,51,,,,,, 241369,01-JAN-15,31-DEC-15,As Submitted,UNITED HOSPITAL DISTRICT ,515 SOUTH MOORE STREET ,,BLUE EARTH ,MN ,56013 ,FARIBAULT ,,,,,,,,,,24,8760,1628,133,2389,,167.76,,194,37,378,,,,,,, 241370,01-JUL-15,30-JUN-16,As Submitted,ST. GABRIELS HOSPITAL ,815 SE 2ND STREET ,,LITTLE FALLS ,MN ,56345 ,MORRISON ,,,,,,,,,,25,9150,1853,150,3765,,281.65,,469,19,876,111,,,,,, 241371,01-JUL-15,30-JUN-16,As Submitted,SANFORD HOSPITAL LUVERNE ,1000 N. KNISS ,1019 ,LUVERNE ,MN ,56156-2519 ,ROCK ,,,,,,,,,,25,9150,1694,128,2451,,145.51,,249,43,444,,,,,,, 241372,01-OCT-14,30-SEP-15,Settled,MADISON LUTHERAN HOME ,900 SECOND AVENUE ,,MADISON ,MN ,56256- ,LAC QUI PARLE ,,,,,,,,,,12,4380,1181,21,1512,,87.73,,133,4,193,,,,,,, 241373,01-OCT-14,30-SEP-15,Amended,PERHAM MEMORIAL HOSPITAL AND HOME ,1000 CONEY STREET WEST ,,PERHAM ,MN ,56573 ,OTTERTAIL ,,,,,,,,,,25,9125,1735,402,3227,,270.49,,387,115,788,,,,,,, 241374,01-JUL-15,30-JUN-16,As Submitted,PIPESTONE COUNTY MEDICAL CENTER ,916 4TH AVENUE SW ,,PIPESTONE ,MN ,56164- ,PIPESTONE ,,,,,,,,,,25,9150,624,44,1324,,170.37,,161,25,519,84,,,,,, 241375,01-JUL-15,30-JUN-16,As Submitted,MINNESOTA VALLEY HEALTH CENTER INC. ,621 SOUTH FOURTH STREET ,,LE SUEUR ,MN ,56058- ,LE SUEUR ,,,,,,,,,,9,3294,522,,692,,77.46,,21,1,40,,,,,,, 241376,01-OCT-14,30-SEP-15,As Submitted,GLACIAL RIDGE HOSPITAL ,10 FOURTH AVENUE SE ,,GLENWOOD ,MN ,56334- ,POPE ,,,,,,,,,,19,6935,2215,15,3447,,183.83,,335,1,551,4,,,,,, 241377,01-JUL-15,30-JUN-16,As Submitted,ST. FRANCIS MEDICAL CENTER ,2400 ST. FRANCIS DRIVE ,,BRECKENRIDGE ,MN ,56520 ,WILKIN ,,,,,,,,,,25,9150,1996,236,3121,,97.07,,297,56,583,,,,,,, 241378,01-JAN-15,31-DEC-15,Amended,NEW ULM MEDICAL CENTER ,1324 FIFTH STREET NORTH ,,NEW ULM ,MN ,56073 ,BROWN ,,,,,,,,,,19,6935,2042,376,4782,,327.11,,758,267,1817,238,,,90,,529, 241379,01-JAN-15,31-DEC-15,Settled,PRAIRIE RIDGE HOSPITAL ,930 1ST STREET ,5052 ,ELBOW LAKE ,MN ,56531- ,GRANT ,,,,,,,,,,10,3650,404,,602,,105.81,,80,,116,9,,,,,, 241380,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPHS AREA HEALTH SERVICES ,600 PLEASANT DRIVE ,,PARK RAPIDS ,MN ,56470 ,HUBBARD ,,,,,,,,,,25,9150,2402,180,5087,,216.54,,631,62,1366,212,,,,,, 241381,01-JUL-15,30-JUN-16,As Submitted,SANFORD THIEF RIVER FALLS ,120 LABREE AVENUE SOUTH ,,THIEF RIVER FALLS ,MN ,56701-2819 ,PENNINGTON ,,,,,,,,,,25,9150,1236,625,3762,,414.07,,383,193,1148,,,,49,,100, 241991,01-AUG-15,31-JUL-16,As Submitted,BEACON HAVEN ,1200 LONG LAKE ROAD ,,NEW BRIGHTON ,MN ,55112-6430 ,RAMSEY ,,,,,,,,,,6,2196,125,,538,,11.05,,4,,9,,,,,,, 242004,01-SEP-15,31-AUG-16,As Submitted,HEALTHEAST BETHESDA HOSPITAL ,559 CAPITOL BOULEVARD ,,ST PAUL ,MN ,55103 ,RAMSEY ,,,,,,,,,,140,51240,16828,3712,35337,,509.93,,580,104,1301,117,,,,,, 242005,01-JUL-15,30-JUN-16,As Submitted,REGENCY HOSPITAL OF MINNEAPOLIS LLC ,1300 HIDDEN LAKE PARKWAY ,,GOLDEN VALLEY ,MN ,55422 ,HENNEPIN ,,,,,,,,,,92,33672,8777,2331,20373,,237.84,,287,53,604,98,,,,,, 243300,01-JAN-15,31-DEC-15,As Submitted,GILLETTE CHILDRENS SPECIALTY HEALTH ,200 EAST UNIVERSITY ,,ST. PAUL ,MN ,55101 ,RAMSEY ,,,,,,,,,7607,60,21900,167,5462,12142,11.37,1111.87,5.54,40,944,2445,,,,,,, 243302,01-JAN-15,31-DEC-15,Amended,CHILDRENS HEALTH CARE ,2525 CHICAGO AVENUE SOUTH ,,MINNEAPOLIS ,MN ,55404-4518 ,HENNEPIN ,,,,,,,,,578,411,137562,30,57812,101111,48.71,3690.1,,7,6576,14687,,,,,,, 243303,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITALS FOR CHILDREN ,2025 EAST RIVER PARKWAY ,,MINNEAPOLIS ,MN ,55414 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 244002,01-JUL-15,30-JUN-16,As Submitted,ANOKA-METRO REGIONAL TREATMENT CTR. ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,ANOKA ,,,,,,,,,,110,40260,3566,2327,36180,,377.14,,58,42,281,,,,,,, 244005,01-JUL-15,30-JUN-16,As Submitted,CHILD & ADOLESCENT BEH. HEALTH SRVS. ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,KANDIYOHI ,,,,,,,,,,14,5124,,449,1105,,44.52,,,14,24,,,,,,, 244010,01-JUL-15,30-JUN-16,As Submitted,CBHH- ST. PETER ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,NICOLLET ,,,,,,,,,,16,5856,942,833,3311,,36.8,,24,28,72,,,,,,, 244011,01-JUL-15,30-JUN-16,As Submitted,ANNANDALE BEHAVIORAL HEALTH HSP ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,NICOLLET ,,,,,,,,,,16,5856,543,901,3420,,37.25,,12,31,55,,,,,,, 244012,01-JUL-15,30-JUN-16,As Submitted,ALEXANDRIA BEHAVORIAL HEALTH HSP ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,NICOLLET ,,,,,,,,,,16,5856,148,1181,2920,,37.26,,4,28,56,,,,,,, 244013,01-JUL-15,30-JUN-16,As Submitted,FERGUS FALLS CBHH ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,OTTER TAIL ,,,,,,,,,,16,5856,997,1208,3382,,37.16,,25,34,73,,,,,,, 244014,01-JUL-15,30-JUN-16,As Submitted,BEMIDJI BEHAVORIAL HEALTH HSP ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,BELTRAMI ,,,,,,,,,,16,5856,245,1261,3282,,37.26,,7,43,87,,,,,,, 244015,01-JUL-15,30-JUN-16,As Submitted,BAXTER BEHAVORIAL HEALTH HSP ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,CROW WING ,,,,,,,,,,16,5856,634,1383,3533,,36.8,,19,36,72,,,,,,, 244016,01-JAN-15,31-DEC-15,Settled,PRAIRIECARE ,12915 63RD AVENUE N ,,MAPLE GROVE ,MN ,55369 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 244017,01-JUL-15,30-JUN-16,As Submitted,CBHH- ROCHESTER ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,OLMSTED ,,,,,,,,,,16,5856,593,1134,2921,,36.8,,19,29,65,,,,,,, 250001,01-JUL-15,30-JUN-16,As Submitted,UNIVERSITY OF MISSISSIPPI MEDICAL ,2500 NORTH STATE STREET ,,JACKSON ,MS ,39216 ,HINDS ,15245541,,,7044805,,,.4154,4467179,1952528,732,267974,43895,91691,203815,627.39,6691.87,,7196,12136,31648,,,,,,, 250002,01-OCT-14,30-SEP-15,Amended,TISHOMINGO HEALTH SERVICES ,1777 CURTIS DRIVE ,,IUKA ,MS ,38852 ,TISHOMINGO ,,,,20833,,,.037,,,48,17520,3714,135,4485,,141.07,,478,48,675,4,,,,,, 250004,01-OCT-14,30-SEP-15,Amended,NORTH MISSISSIPPI MEDICAL CENTER ,830 SOUTH GLOSTER STREET ,,TUPELO ,MS ,38801 ,LEE ,1619692,959297,,2373547,1405785,,.1471,786108,484957,517,188740,66526,21890,122704,24.9,3273.85,,11472,2623,21806,,,,281,83,1340,583 250006,01-OCT-14,30-SEP-15,Amended,BAPTIST MEM HOSPITAL UNION COUNTY ,HIGHWAY 30 WEST ,,NEW ALBANY ,MS ,38652 ,UNION COUNTY ,,,,183482,,,.12,,,92,33580,4955,3849,11870,,337.66,,1139,1007,3176,,,,,,, 250007,01-OCT-14,30-SEP-15,Amended,BILOXI REGIONAL MEDICAL CENTER ,150 REYNOIR STREET ,,BILOXI ,MS ,39530 ,HARRISON ,,,,841997,,,.2381,,,132,48180,11680,3861,33080,,553.28,,2106,1188,5489,,,,,,1328, 250009,01-OCT-14,30-SEP-15,Amended,MAGNOLIA HOSPITAL ,611 ALCORN DRIVE ,,CORINTH ,MS ,38834- ,ALCORN ,2310630,,,910990,,,.1276,660580,387583,151,55204,20617,5543,33249,21.95,1019.27,,4245,1938,8012,,,,126,,780, 250010,01-OCT-14,31-DEC-14,As Submitted,TIPPAH COUNTY HOSPITAL ,1005 HIGHWAY 15 N ,,RIPLEY ,MS ,38663 ,TIPPAH ,,,,6567,,,.0666,,,45,4140,619,39,685,,116.67,,87,14,114,,,,,,, 250012,01-JAN-15,31-DEC-15,As Submitted,ALLIANCE HEALTHCARE SYSTEM ,1430 HWY 4 EAST ,6000 ,HOLLY SPRINGS ,MS ,38634 ,MARSHALL ,,,,39016,,,.12,,,27,9855,1673,188,2309,,73.09,,308,58,489,4,,,,,161, 250017,01-JUL-15,30-JUN-16,As Submitted,TRACE REGIONAL HOSPITAL ,HIGHWAY 8 EAST ,,HOUSTON ,MS ,38851- ,CHICKASAW ,,,,5383,,,.0712,,,39,14274,241,15,325,,86.86,,63,2,95,2,,,,,250, 250018,01-OCT-14,30-SEP-15,As Submitted,JASPER GENERAL HOSPITAL ,,527 ,BAY SPRINGS ,MS ,39422 ,JASPER ,,,,167,,,.025,,,20,7300,2224,1,2607,,182.21,,8,1,94,,,,,,, 250019,01-OCT-14,30-SEP-15,Amended,MEMORIAL HOSPITAL AT GULFPORT ,BROAD STREET ,1810 ,GULFPORT ,MS ,39502- ,HARRISON ,,,,1972447,,,.1745,,,421,153665,33702,17967,79151,,2883.69,,5979,3170,16609,,,,,51,,642 250020,01-OCT-14,30-SEP-15,Amended,WEBSTER HEALTH SERVICES ,70 MEDICAL PLAZA ,,EUPORA ,MS ,39744- ,WEBSTER ,,,,4252,76761,,.0906,,,38,13870,5896,375,7185,,184.1,,753,113,1084,6,,,,,, 250025,01-JAN-15,31-DEC-15,Amended,GILMORE MEMORIAL REGIONAL MEDICAL CE ,1105 EARL FRYE BLVD ,P O BOX 459 ,AMORY ,MS ,38821 ,MONROE ,,,,141849,,,.12,,,95,34675,4218,3237,10439,,237.63,,936,710,2509,,,,,,, 250027,01-JAN-15,31-DEC-15,Amended,WINSTON MEDICAL CENTER ,MAIN STREET ,967 ,LOUISVILLE ,MS ,39339 ,WINSTON ,,,,9271,,,.0539,,,10,3650,842,65,1148,,72.41,,177,23,256,,,,,,106, 250031,01-JUL-15,30-JUN-16,As Submitted,MERIT HEALTH RIVER REGION ,2100 HIGHWAY 61 NORTH ,,VICKSBURG ,MS ,39183 ,WARREN ,,,,1429944,,,.2957,,,261,95526,16074,12086,39493,,641.32,,2637,2341,7502,,,,,,144, 250034,01-OCT-14,30-SEP-15,Amended,BAPTIST MEM HOSPITAL NORTH MISS ,2301 SOUTH LAMAR BOULEVARD ,,OXFORD ,MS ,38655 ,LAFAYETTE ,,,,1036623,,,.1355,,,204,74460,17846,5341,33853,,793.38,,3660,1114,7949,,,,,16,,213 250036,01-OCT-14,30-SEP-15,Amended,GEORGE COUNTY HOSPITAL ,305 WINTER STREET ,607 ,LUCEDALE ,MS ,39452-0607 ,GEORGE ,,,,67434,,,.12,,,41,14965,1837,1564,5005,,233.16,,476,523,1510,,,,,,, 250038,01-JAN-15,31-DEC-15,Amended,MADISON RIVER OAKS MEDICAL CENTER ,161 RIVER OAKS DR. ,PO BOX 1607 ,CANTON ,MS ,39046 ,MADISON ,,,,66505,,,.12,,,67,24455,1556,1069,4979,,190.26,,358,163,1329,393,,,,,, 250040,01-OCT-14,30-SEP-15,Amended,SINGING RIVER HEALTH SYSTEM ,2809 DENNY AVENUE ,,PASCAGOULA ,MS ,39581 ,JACKSON ,,,,1367097,,,.1224,,,350,127750,28159,12233,69699,,1961.42,,5811,3788,15571,,,,46,32,318,544 250042,01-JAN-15,31-DEC-15,Amended,NORTHWEST MS REG. MED. CENTER ,1970 HOSPITAL DRIVE ,P.O. BOX 1218 ,CLARKSDALE ,MS ,38614 ,COAHOMA ,,,,1106099,,,.4766,,,181,66065,6583,4717,16328,,363.11,,1392,1385,3490,,,,,,, 250043,01-OCT-14,30-SEP-15,As Submitted,NESHOBA COUNTY GENERAL HOSPITAL ,1001 HOLLAND AVENUE ,648 ,PHILADELPHIA ,MS ,39350 ,NESHOBA ,8121,,,84597,,,.12,6623,4890,38,13870,2732,1040,4962,.08,262.26,,672,380,1462,,,,,,190, 250044,01-OCT-14,30-SEP-15,Amended,BAPTIST MEM HOSPITAL BOONEVILLE ,100 HOSPITAL STREET ,,BOONEVILLE ,MS ,38829 ,PRENTISS ,,,,57721,,,.07,,,38,13870,3839,301,5053,,142.2,,632,60,893,,,,,,218, 250048,01-JAN-15,31-DEC-15,As Submitted,ST. DOMINIC-JACKSON MEMORIAL HOSP ,969 LAKELAND DRIVE ,,JACKSON ,MS ,39216 ,HINDS ,,,,2422207,,,.1226,,,535,195275,61845,19317,130041,,2892.68,,10292,3873,24015,170,,,,,, 250049,01-OCT-14,30-SEP-15,As Submitted,SOUTH PIKE HOSPITAL ASSOCIATION ,N. MYRTLE STREET ,351 ,MAGNOLIA ,MS ,39652 ,PIKE ,,,,60867,,,.1307,,,37,13505,2697,367,3828,,42.16,,378,86,617,,,,,,, 250050,01-OCT-14,30-SEP-15,As Submitted,OKTIBBEHA COUNTY HOSPITAL ,HOSPITAL ROAD ,1506 ,STARKVILLE ,MS ,39759 ,OKTIBBEHA ,,,,190182,,,.12,,,88,32126,4869,3674,10968,,581.7,,929,583,2220,,,,,,, 250057,01-OCT-14,30-SEP-15,As Submitted,KINGS DAUGHTERS MEDICAL CENTER ,427 HIGHWAY 51 NORTH ,,BROOKHAVEN ,MS ,39601- ,LINCOLN ,,,,209536,,,.12,,,99,40915,3842,2977,9707,,574.04,,1064,1190,2804,,,,,,, 250058,01-OCT-14,30-SEP-15,As Submitted,SOUTH CENTRAL REGIONAL MEDICAL CENTR ,1220 JEFFERSON STREET ,607 ,LAUREL ,MS ,39441- ,JONES ,,,,1011318,,,.1792,,,268,97820,19229,8965,38422,,1224.81,,3552,1979,8141,,,,,,, 250060,01-OCT-14,30-SEP-15,As Submitted,JEFFERSON COUNTY HOSPITAL ,809 S. MAIN ,577 ,FAYETTE ,MS ,39069-0577 ,JEFFERSON ,,,,5582,,,.12,,,12,4380,282,112,469,,86.1,,48,45,145,,,,,,417, 250061,01-OCT-14,30-SEP-15,As Submitted,YALOBUSHA GENERAL HOSPITAL ,HIGHWAY 7 SOUTH ,728 ,WATER VALLEY ,MS ,38965 ,YALOBUSHA ,,,,19798,,,.063,,,26,9490,4628,110,5480,,134.17,,327,37,491,,,,,,, 250067,01-OCT-14,30-SEP-15,Amended,CLAY COUNTY MEDICAL CORPORATION ,835 MEDICAL CENTER DRIVE ,,WEST POINT ,MS ,39773 ,CLAY ,,,,84003,,,.12,,,60,21900,3815,2472,7983,,234.32,,554,819,1564,,,,,,, 250069,01-JAN-15,31-DEC-15,As Submitted,RUSH FOUNDATION HOSPITAL ,1314 19TH AVENUE ,,MERIDIAN ,MS ,39301- ,LAUDERDALE ,287188,,,1035883,,,.2275,139486,82057,182,66430,11677,6023,29324,5.12,818.7,,2546,1634,7400,,,,,,, 250072,01-OCT-14,30-SEP-15,Amended,CENTRAL MISSISSIPPI MEDICAL CENTER ,1850 CHADWICK DRIVE ,,JACKSON ,MS ,39204 ,HINDS ,,,,1311370,,,.3215,,,345,125925,10077,9905,33267,,709.55,,1926,2437,7626,,,,467,,1334, 250077,01-OCT-14,30-SEP-15,As Submitted,WAYNE GENERAL HOSPITAL ,950 MATHEW DRIVE ,590 ,WAYNESBORO ,MS ,39367- ,WAYNE ,16879,,,109982,,,.12,1934,907,70,25550,6461,2239,11646,,270.47,,722,608,1822,85,,,,,, 250078,01-OCT-14,30-SEP-15,Amended,FORREST GENERAL HOSPITAL ,6051 U. S HIGHWAY 49 ,16389 ,HATTIESBURG ,MS ,39404 ,FORREST ,884166,,,4470289,,,.2115,198332,64999,373,136267,46149,29392,115089,7,2677.16,,9965,5005,25568,,,,,76,,445 250079,01-OCT-14,30-SEP-15,Settled,SHARKEY-ISSAQUENA COMM HOSPITAL ,108 SOUTH FOURTH STREET ,339 ,ROLLING FORK ,MS ,39159 ,SHARKEY ,,,,34189,,,.191,,,19,6935,1421,145,1775,,70.97,,189,52,305,,,,,,118, 250081,01-OCT-14,30-SEP-15,Amended,ANDERSON REGIONAL MED CTR-SOUTH CAMP ,1102 CONSTITUTION AVENUE ,1810 ,MERIDIAN ,MS ,39301 ,LAUDERDALE ,,,,,,,,,,33,12045,5687,33,6544,,127.26,,2,,407,,,,,24,203,428 250082,01-OCT-14,30-SEP-15,Amended,DELTA REGIONAL MEDICAL CENTER ,1400 EAST UNION STREET ,,GREENVILLE ,MS ,38704-5247 ,WASHINGTON ,,,,1821401,,,.3714,,,177,64605,15701,11277,34831,,722.99,,2848,2098,7078,,,,2,26,242,229 250084,01-OCT-14,30-SEP-15,Amended,NATCHEZ REGIONAL MEDICAL CENTER ,54 SOUTH SEARGENT PRENTISS ,1488 ,NATCHEZ ,MS ,39121 ,ADAMS ,,,,129182,,,.12,,,147,53655,4225,1183,8185,,244.99,,779,244,1539,,,,,14,162,163 250085,01-OCT-14,30-SEP-15,Amended,MARION GENERAL HOSPITAL ,1560 SUMRALL ,630 ,COLUMBIA ,MS ,39429 ,MARION ,,,,,,,,,,49,17885,6433,398,8736,,148.93,,532,74,744,,,,,,, 250093,01-APR-15,31-MAR-16,Amended,BOLIVAR MEDICAL CENTER ,901 EAST SUNFLOWER ROAD ,,CLEVELAND ,MS ,38732 ,BOLIVAR ,,,,246423,,,.12,,,152,55632,6182,2443,11526,,345.62,,1320,819,2788,342,,,,,253, 250094,01-APR-15,31-MAR-16,As Submitted,WESLEY MEDICAL CENTER ,5001 WEST HARDY ST ,,HATTIESBURG ,MS ,39402- ,LAMAR ,227353,,,1060382,,,.2174,133341,48784,187,68442,12350,7253,30096,3.86,680.22,,2521,1485,6540,,,,,,, 250095,01-OCT-14,30-SEP-15,As Submitted,SOUTH SUNFLOWER COUNTY HOSPITAL ,121 EAST BAKER STREET ,,INDIANOLA ,MS ,38751- ,SUNFLOWER ,,,,57197,,,.12,,,48,17520,2867,1607,5584,,152.71,,417,436,1008,,,,,,, 250096,01-JAN-15,31-DEC-15,Amended,CROSSGATES RIVER OAKS HOSPITAL ,350 CROSSGATES BLVD ,,BRANDON ,MS ,39042 ,RANKIN ,,,,147538,,,.0868,,,114,41610,4934,936,8583,,233.7,,1004,246,1906,,,,1,,349, 250097,01-OCT-14,30-SEP-15,Amended,SOUTHWEST MS REG MED CENTER ,215 MARION AVENUE ,,MCCOMB ,MS ,39648- ,PIKE ,,,,1120263,,,.2556,,,160,58400,11075,6011,24497,,815.82,,2575,2128,6091,,,,,,, 250099,01-OCT-14,30-SEP-15,As Submitted,GREENWOOD LEFLORE HOSPITAL ,1401 RIVER ROAD ,1410 ,GREENWOOD ,MS ,38935-1410 ,LEFLORE ,,,,1503545,,,.3256,,,173,63145,11954,7293,23950,,792.19,,2784,1717,5980,,,,1,73,171,372 250100,01-OCT-14,30-SEP-15,Amended,BAPTIST MEM HOSPITAL GOLDEN TRIANGLE ,2520 FIFTH STREET NORTH ,,COLUMBUS ,MS ,39701 ,LOWNDES ,,,,1289360,,,.1934,,,262,95630,12369,5488,25647,,819.16,,3017,1185,6758,,,,233,,1365, 250102,01-SEP-15,31-AUG-16,As Submitted,MS BAPTIST MEDICAL CENTER ,1225 NORTH STATE ST. ,,JACKSON ,MS ,39202 ,HINDS ,,,,1709794,,,.0891,67665,21124,594,161596,49186,15139,101415,4.5,2123.59,,9402,2633,19841,,,,,,282, 250104,01-OCT-14,30-SEP-15,Amended,JEFF ANDERSON REGIONAL MEDICAL CENTE ,2124 14TH STREET ,,MERIDIAN ,MS ,39301 ,LAUDERDALE ,60955,,,1186373,,,.1276,28748,12875,260,94900,28246,9386,51839,.76,1299.1,,5156,2724,11896,,,,,,, 250117,01-OCT-14,30-SEP-15,As Submitted,HIGHLAND COMMUNITY HOSPITAL ,130 HIGHLAND PARKWAY ,,PICAYUNE ,MS ,39466 ,PEARL RIVER ,,,,114168,,,.12,,,50,18250,2246,1846,5915,,263.47,,632,481,1745,,,,,,191, 250122,01-OCT-14,11-NOV-15,As Submitted,NATCHEZ COMMUNITY HOSPITAL ,129 JEFFERSON DAVIS BLVD. ,1203 ,NATCHEZ ,MS ,39120 ,ADAMS ,,,,206176,,,.12,,,101,41107,6215,2775,15867,,212.46,,1259,1303,3456,,,,,,, 250123,01-JAN-15,31-DEC-15,Amended,GARDEN PARK COMMUNITY HOSPITAL ,15200 COMMUNITY ROAD ,,GULFPORT ,MS ,39503- ,HARRISON ,,,,238536,,,.1149,,,118,43070,5320,2107,15058,,352.11,,1198,945,3441,66,,,,,277, 250124,01-JAN-15,31-DEC-15,Settled,MAGEE GENERAL HOSPITAL ,300 S.E. THIRD AVENUE ,,MAGEE ,MS ,39111 ,SIMPSON ,,,,68715,,,.12,,,64,23360,4696,1667,7962,,219.27,,546,332,1311,,,,,,, 250126,01-APR-15,31-MAR-16,As Submitted,NORTH OAK REGIONAL MEDICAL CENTER ,401 GETWELL DRIVE ,,SENATOBIA ,MS ,38668- ,TATE ,,,,50675,,,.12,,,29,10585,1699,304,2786,,99.34,,376,92,792,19,,,,,151, 250127,01-OCT-14,30-SEP-15,As Submitted,CHOCTAW HEALTH CENTER ,ROUTE 7 BOX R50 ,,PHILADELPHIA ,MS ,39350 ,NESHOBA ,,,,5906,,,.0936,,,24,8760,175,88,585,,479,,39,17,225,,,,,,, 250128,01-JAN-15,31-DEC-15,As Submitted,MERIT HEALTH BATESVILLE ,303 MEDICAL CENTER DRIVE ,,BATESVILLE ,MS ,38606 ,PANOLA ,,,,103948,,,.12,,,90,32850,3313,1272,11202,,205.47,,728,905,2387,,,,,,197, 250134,01-JUL-15,30-JUN-16,As Submitted,WHITFIELD MEDICAL SURGICAL CENTER ,,157A ,WHITFIELD ,MS ,39193- ,RANKIN ,,,,3044,,,.0862,,,32,11712,165,239,1484,,54.1,,27,28,175,,,,,,, 250136,01-JAN-15,31-DEC-15,Amended,WOMANS HOSPITAL ,1026 NORTH FLOWOOD DRIVE ,,FLOWOOD ,MS ,39232 ,RANKIN ,,,,2557,,,.12,,,60,21900,36,1950,7078,,159.84,,16,479,1521,,,,,,, 250138,01-OCT-14,30-SEP-15,As Submitted,RIVER OAKS HOSPITAL ,1030 RIVER OAKS DRIVE ,,FLOWOOD ,MS ,39232 ,RANKIN ,,,,550719,,,.2737,,,158,57670,3746,5533,20063,,541.16,,1030,1163,5971,,,,,,, 250141,01-OCT-14,30-SEP-15,Amended,BAPTIST MEM HOSPITAL DESOTO ,7601 SOUTHCREST ,,SOUTHAVEN ,MS ,38671 ,DESOTO ,185280,,,1756926,,,.14,24775,11352,309,112785,33304,11445,73505,2.22,1363.28,,5974,853,13299,323,,,,35,,500 250151,01-JAN-15,31-DEC-15,As Submitted,ALLIANCE HEALTH CENTER ,5000 HWY 39 NORTH ,,MERIDIAN ,MS ,39303 ,LAUDERDALE ,,,,25670,,,.12,,,9,3285,1672,1512,4567,,,,263,230,646,,,,1469,,2502, 250152,01-JUL-15,30-JUN-16,Settled,MISSISSIPPI METHODIST REHAB CENTER ,1350 E WOODROW WILSON ,,JACKSON ,MS ,39216 ,HINDS ,,,,,,,,,,31,11346,,,,,343.13,,,,,,,,,178,,1247 250162,01-OCT-14,30-SEP-15,As Submitted,HANCOCK MEDICAL CENTER ,149 DRINKWATER BLVD ,,BAY ST. LOUIS ,MS ,39520 ,HANCOCK ,,,,96337,,,.12,,,102,37230,1754,1582,5636,,283.61,,545,422,1669,,,,,,, 250163,01-JAN-15,31-DEC-15,As Submitted,PATIENTS CHOICE MED CNT-SMITH CNTY ,347 MAGNOLIA DRIVE ,,RALEIGH ,MS ,39153 ,SMITH ,,,,,,,,,,19,6935,,,,,15.54,,,,,,,,,,147, 250167,01-JAN-15,31-DEC-15,Amended,METHODIST H/C OLIVE BRANCH HOSPT ,4250 BETHEL ROAD ,,OLIVE BRANCH ,MS ,38654 ,DESOTO ,,,,186629,,,.1507,,,51,18615,2593,1471,7306,,259,,699,,1870,,,,,,, 250168,01-JUL-15,30-JUN-16,As Submitted,UMMC-GRENADA ,960 AVENT DRIVE ,38901 ,GRENADA ,MS ,38901- ,GRENADA ,,,,202139,,,.12,,,128,46848,5804,2926,10887,,387.67,,1201,742,2437,,,,,,150, 251300,01-AUG-15,31-JUL-16,As Submitted,LACKEY MEMORIAL HOSPITAL ,330 NORTH BROAD STREET ,428 ,FOREST ,MS ,39074 ,SCOTT ,,,,,,,,,,25,9150,3272,316,5355,,144.54,,273,57,674,162,13,,,,176, 251302,01-JAN-15,31-DEC-15,As Submitted,PIONEER HEALTH SERVICES OF MONROE C ,400 SOUTH CHESTNUT STREET ,,ABERDEEN ,MS ,39730 ,MONROE ,,,,,,,,,,25,9125,4436,74,5248,,151.57,,258,19,337,,,,,,159, 251303,01-JAN-15,31-DEC-15,Settled,STONE COUNTY HOSPITAL ,1434 E CENTRAL AVENUE ,,WIGGINS ,MS ,39577 ,STONE ,,,,,,,,,,25,9125,5311,99,6162,,134.78,,287,39,437,,,,,,, 251304,01-OCT-14,30-SEP-15,Settled,TALLAHATCHIE CRITICAL ACCESS HOSPITA ,CHURCH STREET ,,CHARLESTON ,MS ,38921 ,TALLAHATCHIE ,,,,,,,,,,9,3285,3914,31,4206,,312.25,,111,11,160,,,,,,, 251305,01-OCT-14,30-SEP-15,Settled,LAWRENCE COUNTY HOSPITAL ,1065 EAST BROAD STREET ,788 ,MONTICELLO ,MS ,39654 ,LAWRENCE ,,,,,,,,,,25,9125,2478,52,2685,,100.73,,350,20,421,,,,,,, 251306,01-JAN-15,31-DEC-15,Settled,PERRY COUNTY GENERAL HOSPITAL ,206 BAY AVENUE ,,RICHTON ,MS ,39476 ,PERRY ,,,,,,,,,,22,8030,1282,21,1331,,50.9,,90,9,109,,,,,,, 251307,01-OCT-14,30-SEP-15,Settled,NOXUBEE COUNTY HOSPITAL ,NOXUBEE GENERAL CRITICAL ACCESS HOS ,480 ,MACON ,MS ,39341 ,NOXUBEE ,,,,,,,,,,25,9125,4924,342,5679,,161.63,,462,106,711,,,,,,, 251308,01-OCT-14,30-SEP-15,Settled,PONTOTOC HEALTH SERVICES ,176 SOUTH MAIN ,,PONTOTOC ,MS ,38863 ,PONTOTOC ,,,,,,,,,,25,9125,4387,35,5186,,152.8,,131,11,182,,,,,,, 251309,01-OCT-14,30-SEP-15,Settled,FIELD MEMORIAL COMMUNITY HOSPITAL ,270 WEST MAIN STREET ,639 ,CENTREVILLE ,MS ,39631-0639 ,WILKINSON ,,,,,,,,,,25,9125,2723,282,3442,,93.31,,365,77,636,,,,,,, 251312,01-OCT-14,30-SEP-15,Settled,TYLER HOLMES MEMORIAL HOSPITAL ,TYLER HOLMES MEMORIAL HOSPITAL ,409 TYLER HOLMES DRI ,WINONA ,MS ,38967 ,MONTGOMERY ,,,,,,,,,,25,9125,3470,169,3892,,119.52,,348,54,455,,,,,,, 251313,01-OCT-14,31-AUG-15,As Submitted,BAPTIST MEDICAL CENTER - YAZOO ,823 GRAND AVENUE ,329 ,YAZOO CITY ,MS ,39194 ,YAZOO ,,,,,,,,,,25,8375,3154,294,4212,,169.4,,405,105,685,,,,,,, 251313,01-SEP-15,31-AUG-16,As Submitted,BAPTIST MEDICAL CENTER - YAZOO ,823 GRAND AVENUE ,329 ,YAZOO CITY ,MS ,39194 ,YAZOO ,,,,,,,,,,25,9150,3581,329,4804,,179.38,,365,110,666,,,,,,, 251314,01-JAN-15,31-DEC-15,Settled,QUITMAN COUNTY HOSPITAL LLC ,340 GETWELL DRIVE ,,MARKS ,MS ,38646 ,QUITMAN ,,,,,,,,,,25,9125,1670,198,2086,,158.65,,202,57,330,,,,,,74, 251315,01-SEP-15,31-AUG-16,As Submitted,BAPTIST MEDICAL CENTER - LEAKE INC. ,1100 HIGHWAY 16 EAST ,909 ,CARTHAGE ,MS ,39051 ,LEAKE ,,,,,,,,,,25,9150,5251,162,6635,,116.6,,386,25,578,,,,,,, 251316,01-JAN-15,31-DEC-15,As Submitted,H.C. WATKINS MEMORIAL HOSPITAL ,605 S. ARCHUSA AVENUE ,,QUITMAN ,MS ,39355- ,CLARKE ,,,,,,,,,,25,9125,3511,65,4649,,154.22,,179,24,249,,,,,,, 251317,01-JAN-15,31-DEC-15,Settled,SIMPSON GENERAL HOSPITAL ,1842 SIMPSON HIGHWAY 149 ,457 ,MENDENHALL ,MS ,39114 ,SIMPSON ,,,,,,,,,,25,9125,3033,161,3792,,133.91,,269,48,472,,,,,,172, 251318,01-OCT-14,30-SEP-15,As Submitted,NORTH SUNFLOWER COUNTY HOSPITAL ,N/A ,369 ,RULEVILLE ,MS ,38771 ,SUNFLOWER ,,,,,,,,,,25,9125,5122,170,5894,,387.42,,429,48,569,,,,,,268, 251319,01-JUL-15,30-JUN-16,Settled,UNIVERSITY HOSPITAL & CLINICS - HOLM ,239 BOWLING GREEN ROAD ,,LEXINGTON ,MS ,39095 ,HOLMES ,,,,,,,,,,25,9150,1903,129,2286,,103.41,,170,80,286,,,,,,, 251320,01-JAN-15,31-DEC-15,As Submitted,CLAIBORNE COUNTY HOSPITAL ,123 MCCOMB AVE ,1004 ,PORT GIBSON ,MS ,39150 ,CLAIBORNE ,,,,,,,,,,22,8030,2816,854,4455,,30.31,,302,250,741,,,,,,141, 251322,01-JAN-15,31-DEC-15,Settled,LAIRD HOSPITAL ,25117 HWY 15 ,,UNION ,MS ,39365- ,NEWTON ,,,,,,,,,,25,9125,2882,68,3614,,127.66,,141,21,242,,,,,,, 251323,01-JAN-15,31-DEC-15,Settled,SCOTT REGIONAL HOSPITAL ,317 HIGHWAY 13 SOUTH ,259 ,MORTON ,MS ,39117- ,SCOTT ,,,,,,,,,,25,9125,2157,93,2912,,77.55,,173,35,292,,,,,,, 251324,01-OCT-14,30-SEP-15,Settled,WALTHALL COUNTY GENERAL HOSPITAL ,100 HOSPITAL DRIVE ,,TYLERTOWN ,MS ,39667-2099 ,WALTHALL ,,,,,,,,,,25,9125,2610,197,3138,,83.03,,275,61,387,,,,,,, 251325,01-OCT-14,30-SEP-15,Amended,COVINGTON COUNTY HOSPITAL ,803 GERALD MCRANEY DRIVE ,,COLLINS ,MS ,39428 ,COVINGTON ,,,,,,,,,,25,9125,5680,74,6219,,153.3,,241,25,329,,,,,,123, 251326,01-OCT-14,30-SEP-15,Settled,PRENTISS REGIONAL HOSPITAL ,1102 ROSE STREET ,1289 ,PRENTISS ,MS ,39474- ,JEFFERSON DAVIS ,,,,,,,,,,25,9125,1590,60,1696,,64.66,,116,21,164,,,,,,127, 251327,01-JAN-15,31-DEC-15,As Submitted,HARDY WILSON MEMORIAL HOSPITAL ,223 MAGNOLIA STREET ,889 ,HAZELHURST ,MS ,39083 ,COPIAH ,,,,,,,,,,25,9125,3213,295,4616,,159,,299,117,595,,,,,,, 251329,01-OCT-14,30-SEP-15,Settled,GREENE COUNTY HOSPITAL ,1017 JACKSON AVENUE ,,LEAKESVILLE ,MS ,39451- ,GREENE ,,,,,,,,,,7,2555,1157,13,1344,,40.31,,52,4,64,,,,,,, 251330,01-MAY-15,30-APR-16,As Submitted,FRANKLIN COUNTY HOSPITAL ,HOSPITAL ROAD ,636 ,MEADVILLE ,MS ,39653 ,FRANKLIN ,,,,,,,,,,24,8784,5688,42,5827,,165.1,,115,12,148,,,,,,, 251331,01-OCT-14,30-SEP-15,Settled,CALHOUN HEALTH SERVICES ,140 BURKE-CALHOUN CITY ROAD ,,CALHOUN CITY ,MS ,38916 ,CALHOUN ,,,,,,,,,,21,7665,3113,64,3450,,224.22,,217,19,303,,,,,,, 251332,01-JAN-15,31-DEC-15,As Submitted,PIONEER COMM HOSP OF NEWTON CO ,9421 EAST SIDE DRIVE EXTENSTION ,,NEWTON ,MS ,39345 ,NEWTON ,,,,,,,,,,21,7056,2023,359,2819,,166,,166,150,404,13,,,,,132, 251333,01-OCT-14,30-SEP-15,As Submitted,PEARL RIVER COUNTY HOSPITAL ,305 WEST MOODY STREET ,392 ,POPLARVILLE ,MS ,39470 ,PEARL RIVER ,,,,,,,,,,14,5110,2875,3,3134,,105.67,,25,1,31,,,,,,, 251334,01-OCT-14,30-SEP-15,As Submitted,CHOCTAW REGIONAL MEDICAL CENTER ,CHOCTAW REGIONAL MEDICAL CENTER ,8613 MS HWY 12 ,ACKERMAN ,MS ,39735 ,CHOCTAW ,,,,,,,,,,15,5475,2334,46,2681,,167.13,,72,12,109,,,,,,, 251335,01-JAN-15,31-DEC-15,As Submitted,JOHN C. STENNIS MEMORIAL HOSPITAL ,14365 HIGHWAY 16 WEST ,,DEKALB ,MS ,39328 ,KEMPER ,,,,,,,,,,25,9125,2089,44,2866,,57.52,,92,17,141,,,,,,, 251336,01-OCT-14,31-MAY-15,Settled,MONTFORT JONES MEMORIAL HOSPITAL ,220 HIGHWAY 12 WEST ,PO BOX 677 ,KOSCIUSKO ,MS ,39090 ,ATTALA ,,,,,,,,,,25,6075,2006,124,2607,,69.68,,287,46,383,,,,,,, 251336,01-JUN-15,31-AUG-15,Settled,BAPTIST MEDICAL CENTER - ATTALA ,220 HIGHWAY 12 WEST ,PO BOX 677 ,KOSCIUSKO ,MS ,39090 ,ATTALA ,,,,,,,,,,25,2300,924,30,1143,,85.76,,114,13,171,,,,,,, 251336,01-SEP-15,31-AUG-16,As Submitted,BAPTIST MEDICAL CENTER - ATTALA ,220 HIGHWAY 12 WEST ,PO BOX 677 ,KOSCIUSKO ,MS ,39090 ,ATTALA ,,,,,,,,,,25,9150,3582,80,4290,,102.64,,362,40,515,,,,,,, 251337,01-JAN-15,30-SEP-15,Settled,TIPPAH COUNTY HOSPITAL ,1005 HIGHWAY 15 N ,,RIPLEY ,MS ,38663 ,TIPPAH ,,,,,,,,,,25,6825,2500,56,2845,,116.67,,240,23,302,,,,,,, 252003,01-SEP-15,01-AUG-16,Settled,RESTORATIVE CARE HOSPITAL - BAPTIST ,1225 NORTH STATE STREET ,,JACKSON ,MS ,39202 ,HINDS ,,,,,,,,,,25,8400,5916,,6265,,60,,179,,208,,,,,,, 252004,01-JAN-15,31-DEC-15,Settled,THE SPECIALTY HOSPITAL OF MERIDIAN ,1314 19TH STREET ,,MERIDIAN ,MS ,39301- ,LAUDERDALE ,,,,,,,,,,49,17885,15962,,16840,,132.98,,573,,606,,,,,,, 252005,01-JAN-15,31-DEC-15,Settled,SSH - GULF COAST ,1520 BROAD AVE. ,,GULFPORT ,MS ,39501 ,HARRISON ,,,,,,,,,,61,22265,9241,,11697,,129.85,,361,,456,,,,,,, 252006,01-AUG-15,31-JUL-16,Settled,REGENCY HOSPITAL OF MERIDIAN ,1102 CONSTITUTION 2ND FLOOR ,,MERIDIAN ,MS ,39301 ,LAUDERDALE ,,,,,,,,,,40,14640,9028,,10311,,97.23,,346,,391,,,,,,, 252007,01-MAR-15,29-FEB-16,Settled,SSH - JACKSON INC ,5903 RIDGEWOOD RD ,,JACKSON ,MS ,39211 ,HINDS ,,,,,,,,,,53,19398,14451,34,16984,,194.44,,570,1,672,,,,,,, 252008,01-JUL-15,30-JUN-16,Settled,PROMISE HOSPITAL OF VICKSBURG ,111 N. FRONTAGE ROAD 2ND FLOOR ,,VICKSBURG ,MS ,39180 ,WARREN ,,,,,,,,,,35,12810,7947,,10284,,93.67,,315,,385,,,,,,, 252009,01-SEP-15,31-AUG-16,As Submitted,REGENCY HOSPITAL OF HATTIESBURG ,6051 US HWY 49 5TH FLOOR ,,HATTIESBURG ,MS ,39401 ,FORREST ,,,,,,,,,,33,12078,7962,,10130,,94.56,,294,,370,,,,,,, 252010,01-SEP-15,31-AUG-16,As Submitted,LTAC HOSPITAL OF GREENWOOD LLC ,1401 RIVER ROAD 2ND FLOOR ,,GREENWOOD ,MS ,38930-4030 ,LEFLORE ,,,,,,,,,,40,14640,7546,,7821,,63.45,,297,,316,,,,,,, 252012,01-OCT-14,30-SEP-15,Settled,REGENCY HOSPITAL OF JACKSON ,971 LAKELAND DR W. TOWER SUITE 105 ,,JACKSON ,MS ,39216 ,HINDS ,,,,,,,,,,36,13140,8468,14,10910,,96.74,,311,1,398,,,,,,, 252013,01-NOV-14,31-OCT-15,Settled,ALLEGIANCE SPECIALTY HOSPITAL OF GRE ,300 SOUTH WASHINGTON AVENUE 3RD FL ,,GREENVILLE ,MS ,38701 ,WASHINGTON ,,,,,,,,,,39,14235,9367,,9927,,88.89,,350,,368,,,,,,, 254005,01-JAN-15,31-DEC-15,Settled,PARKWOOD HOSPITAL ,8135 GOODMAN ROAD ,,OLIVE BRANCH ,MS ,38654 ,DESOTO ,,,,,,,,,,108,39420,6169,7256,25656,,159.94,,518,811,2973,,,,,,, 254007,01-JAN-15,31-DEC-15,Settled,BRENTWOOD BEHAVIORAL HEALTHCARE ,3531 EAST LAKELAND DRIVE ,,JACKSON ,MS ,39208 ,RANKIN ,,,,,,,,,,105,38325,1439,18255,27208,,,,163,1789,2964,,,,,,, 254008,01-JUL-15,30-JUN-16,Settled,SOUTH MISSISSIPPI STATE HOSPITAL ,823 HWY 589 ,,PURVIS ,MS ,39475- ,LAMAR ,,,,,,,,,,50,18300,4126,,16830,,94.46,,173,,698,,,,,,, 254009,01-JUL-15,30-JUN-16,Settled,NORTH MISSISSIPPI STATE HOSPITAL ,1937 BRIAR RIDGE ROAD ,,TUPELO ,MS ,38804- ,LEE ,,,,,,,,,,50,18300,2638,,16549,,94.09,,125,,645,,,,,,, 254010,01-JUL-15,30-JUN-16,Settled,MSH- RECEIVING UNITS ,,157A ,WHITFIELD ,MS ,39193- ,RANKIN ,,,,,,,,,,183,66978,980,,45781,,320.04,,114,,932,,,,,,, 260001,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL JOPLIN ,2817 ST. JOHNS BLVD. ,,JOPLIN ,MO ,64804 ,JASPER ,,,,1384961,,,.1632,,,240,87600,20514,12418,50979,,1344,,4061,2500,10550,,,,,,, 260004,01-JAN-15,31-DEC-15,As Submitted,COOPER COUNTY MEMORIAL HOSPITAL ,17651 B HIGHWAY ,88 ,BOONVILLE ,MO ,65233- ,COOPER ,,,,,,,,,,46,16790,1520,16,2124,,97.53,,158,8,234,,,,,,, 260005,01-JAN-15,31-DEC-15,As Submitted,ST. JOSEPH HEALTH CENTER ,300 FIRST CAPITOL DRIVE ,,ST. CHARLES ,MO ,63301-2844 ,ST. CHARLES ,,,,1079031,,,.1496,,,364,132860,18368,11925,62230,,1088.01,,3593,1797,12704,930,,,99,22,770,368 260006,01-JUL-15,30-JUN-16,Amended,HEARTLAND REGIONAL MEDICAL CENTER ,5325 FARAON ,,ST. JOSEPH ,MO ,64506-3398 ,BUCHANAN ,,,,1494524,,,.1107,,,352,128832,32344,14353,67391,,3084.23,,6634,4156,15341,,,,,,, 260009,01-JUN-15,31-MAY-16,As Submitted,BOTHWELL REGIONAL HEALTH CENTER ,601 E. 14TH STREET ,1706 ,SEDALIA ,MO ,65302-1706 ,PETTIS ,,,,168098,,,.0517,,,107,39162,8296,1165,15234,,641.86,,1985,569,3844,,,,,,, 260011,01-JAN-15,31-DEC-15,As Submitted,SSM HEALTH-ST. MARYS-JEFFERSON CITY ,100 ST. MARYS MEDICAL PLAZA ,,JEFFERSON CITY ,MO ,65101- ,COLE ,,,,507992,,,.0962,,,167,60955,12415,2607,29120,,713.02,,2604,1181,6929,,,,,,, 260015,01-JAN-15,31-DEC-15,Amended,TWIN RIVERS REGIONAL MEDICAL CENTER ,1301 FIRST STREET ,,KENNETT ,MO ,63857 ,DUNKLIN ,,,,112207,,,.12,,,100,36500,2393,3506,9325,,247.22,,710,1263,3466,,,,10,15,142,93 260017,01-JAN-15,31-DEC-15,As Submitted,PHELPS COUNTY REGIONAL MEDICAL CNTR ,1000 WEST 10TH STREET ,,ROLLA ,MO ,65401 ,PHELPS ,,,,568592,,,.1467,,,172,62780,8063,3005,16422,,987.25,,2250,608,4687,315,,,392,49,1128,369 260020,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL - ST. LOUIS ,615 S. NEW BALLAS ROAD ,,ST. LOUIS ,MO ,63141- ,ST. LOUIS ,4940022,,,2329796,,,.1199,2484243,1540302,768,281088,40462,13877,202177,99.24,4580.46,,7894,1998,39163,,,,535,,2995, 260022,01-JUN-15,31-MAY-16,Amended,NORTHEAST REGIONAL MEDICAL CENTER ,315 SOUTH OSTEOPATHY ,C8502 ,KIRKSVILLE ,MO ,63501-8599 ,ADAIR ,1497695,,,237967,,,.0989,1307289,845977,93,34038,6333,1576,11303,,369.43,,1163,449,2437,,,,,,, 260023,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL JEFFERSON ,HIGHWAY 61 SOUTH ,350 ,CRYSTAL CITY ,MO ,63019 ,JEFFERSON ,,,,415829,,,.0567,,,154,56364,16933,3289,33852,,770.18,,3348,573,6278,274,,,309,30,1318,408 260024,01-JAN-15,31-DEC-15,As Submitted,TEXAS COUNTY MEMORIAL HOSPITAL ,1333 S. SAM HOUSTON BOULEVARD ,,HOUSTON ,MO ,65483 ,TEXAS ,,,,102459,,,.12,,,47,17155,4148,891,6067,,250.94,,696,301,1306,6,,,,,, 260025,01-OCT-14,30-SEP-15,As Submitted,HANNIBAL REGIONAL HOSPITAL ,HIGHWAY 36 6000 HOSPITAL DRIVE ,,HANNIBAL ,MO ,63401 ,MARION ,,,,194718,,,.0452,,,99,33245,10150,868,17051,,730.24,,2275,203,4232,,,,,,, 260027,01-JAN-15,31-DEC-15,Amended,RESEARCH MEDICAL CENTER ,2313 E MEYER BLVD ,,KANSAS CITY ,MO ,64132 ,JACKSON ,2322026,,,1493037,,,.1537,1681485,434786,329,120508,24913,11896,84844,38.3,1676.52,,4436,2014,15748,1870,,,,,3325,400 260032,01-JAN-15,31-DEC-15,As Submitted,BARNES-JEWISH HOSPITAL ,ONE BARNES-JEWISH HOSPITAL PLAZA ,,ST. LOUIS ,MO ,63110- ,ST. LOUIS CITY MO ,46989458,,,6537508,,,.134,22702415,6512163,1206,440308,109097,29796,302705,695.09,8410.67,,17238,5809,52728,6756,,,724,,2258, 260034,01-JAN-15,31-DEC-15,As Submitted,BATES COUNTY MEMORIAL HOSPITAL ,615 WEST NURSERY STREET ,370 ,BUTLER ,MO ,64730-0370 ,BATES ,,,,,,,,,,49,17885,2494,237,3817,,215.37,,506,79,846,9,,,,,, 260040,01-OCT-14,30-SEP-15,As Submitted,COXHEALTH ,1423 N JEFFERSON ,,SPRINGFIELD ,MO ,65802 ,GREENE ,1354388,,,3077801,,,.1579,539059,288716,598,218094,45473,29708,150325,25.55,5735.85,,8728,5212,30083,1991,32,,117,89,621,488 260047,01-JUL-15,30-JUN-16,As Submitted,CAPITAL REGION MEDICAL CENTER ,1125 SOUTH MADISON STREET ,1128 ,JEFFERSON CITY ,MO ,65102-1128 ,COLE ,1008519,,,187318,,,.0485,302240,282162,100,36600,8450,933,16698,12.83,1141.15,,2126,251,4390,428,,,,16,,235 260048,01-JUL-15,30-JUN-16,As Submitted,TRUMAN MED CTR HOSPITAL HILL ,2301 HOLMES STREET ,,KANSAS CITY ,MO ,64108 ,JACKSON ,4505387,,,1841022,,,.4459,1611049,1412521,238,86247,14091,26728,75611,168.06,2052.74,,2300,4709,14844,,,,,,, 260050,01-JAN-15,31-DEC-15,As Submitted,ST. FRANCIS HOSPITAL & HEALTH SVCS. ,2016 SOUTH MAIN STREET ,,MARYVILLE ,MO ,64468 ,NODAWAY ,,,,44265,,,.081,,,43,15695,1586,640,3562,,252.49,,323,145,892,,,,170,,549, 260052,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL - WASHINGTON ,901 E. 5TH STREET ,,WASHINGTON ,MO ,63090-3098 ,FRANKLIN ,,,,234022,,,.0642,,,148,54168,6136,1323,20701,,787.68,,1746,270,6792,684,,,,,, 260057,01-OCT-14,30-SEP-15,As Submitted,CAMERON REGIONAL MEDICAL CENTER ,1600 EAST EVERGREEN ,,CAMERON ,MO ,64429- ,CLINTON ,,,,60486,,,.0456,,,34,12410,5744,774,8982,,323.43,,937,256,1738,90,,,8,9,227,41 260059,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL LEBANON ,100 HOSPITAL DRIVE ,,LEBANON ,MO ,65536 ,LACLEDE ,,,,139181,,,.12,,,49,17885,2523,632,6808,,429,,816,155,1961,465,,,,,, 260061,01-JUL-15,30-JUN-16,As Submitted,NEVADA REGIONAL MEDICAL CENTER ,800 SOUTH ASH ,,NEVADA ,MO ,64772 ,VERNON ,,,,64228,2458,,.1638,,,41,15006,1102,346,3102,,245.69,,316,99,907,18,51,,340,,1165, 260062,01-JAN-15,31-DEC-15,Amended,SAINT LUKES NORTH HOSPITAL ,601 S. HIGHWAY 169 ,,SMITHVILLE ,MO ,64089 ,CLAY ,,,,207531,,,.0624,,,108,39420,7542,3433,26765,,612.27,,1877,750,6829,316,5,,58,14,361,203 260064,01-JAN-15,31-DEC-15,Amended,SSM HEALTH-ST. MARYS AUDRAIN ,620 E. MONROE ,,MEXICO ,MO ,65265- ,AUDRAIN ,,,,101268,,,.0678,,,49,17885,3297,190,6063,,300.78,,835,82,1788,60,,,,,, 260065,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL SPRINGFIELD ,1235 EAST CHEROKEE STREET ,,SPRINGFIELD ,MO ,65804 ,GREENE ,,,,3162660,,,.139,,,589,215574,48972,36642,164145,,5049,,9818,6230,33167,,,,,,, 260068,01-JAN-15,31-DEC-15,As Submitted,BOONE HOSPITAL CENTER ,1600 E BROADWAY ,,COLUMBIA ,MO ,65201 ,BOONE ,,,,,,,,,,309,112785,32703,2218,65882,,1538.16,,7349,438,15876,589,,,,7,,312 260070,01-JAN-15,31-DEC-15,As Submitted,PEMISCOT COUNTY MEMORIAL HOSPITAL ,HIGHWAY 61 AND REED ,,HAYTI ,MO ,63851 ,PEMISCOT ,,,,96203,,,.12,,,49,17885,4133,1162,7309,,203.74,,749,377,1543,16,83,,459,,1428, 260074,01-NOV-14,31-OCT-15,Amended,MOBERLY REGIONAL MEDICAL CENTER ,1515 UNION AVENUE ,3000 ,MOBERLY ,MO ,65270 ,RANDOLPH ,,,,46384,,,.0534,,,52,18980,2316,406,3501,,198.61,,594,128,1015,,,,31,,295, 260077,01-JUL-15,30-JUN-16,Amended,ST ANTHONYS MEDICAL CENTER ,10010 KENNERLY ROAD ,,SAINT LOUIS ,MO ,63128- ,SAINT LOUIS ,,,,,,,,,,548,200568,34241,4372,85333,,2766.71,,8034,947,20638,579,444,,685,39,3562,745 260078,01-JAN-15,31-DEC-15,As Submitted,OZARKS MEDICAL CENTER ,1100 KENTUCKY AVENUE ,1100 ,WEST PLAINS ,MO ,65775 ,HOWELL ,,,,831216,,,.2131,,,103,37595,9657,4710,21646,,913.1,,2309,1359,5687,339,,,,,, 260080,01-JAN-15,31-DEC-15,As Submitted,SOUTHEASTHEALTH CENTER OF RIPLEY COU ,109 PLUM STREET ,336 ,DONIPHAN ,MO ,63935 ,RIPLEY ,,,,22254,,,.1266,,,21,7665,543,130,920,,64.5,,169,53,281,,,,,,, 260081,01-JAN-15,31-DEC-15,As Submitted,ST CLARE HEALTH CENTER ,1015 BOWLES AVE ,,FENTON ,MO ,63026 ,ST LOUIS ,,,,199403,,,.0252,,,180,65700,16041,2817,42885,,865.59,,3653,580,10315,447,,,,,, 260085,13-FEB-15,31-DEC-15,Amended,ST. JOSEPH MEDICAL CENTER ,1000 CARONDELET DRIVE ,,KANSAS CITY ,MO ,64114- ,JACKSON ,,,,,,,,,,173,55845,16961,1809,34306,,888.13,,3488,314,7532,242,,,,13,,253 260091,01-JAN-15,31-DEC-15,As Submitted,ST. MARYS HEALTH CENTER ,6420 CLAYTON ROAD ,,ST. LOUIS ,MO ,63117- ,ST. LOUIS ,5496075,,,3386547,,,.3788,2889548,1802647,529,193085,21960,14565,132900,177.04,2926.5,,4093,3461,24659,9052,,,848,,2300, 260094,01-OCT-14,30-SEP-15,Amended,COX MEDICAL CENTER BRANSON ,251 SKAGGS ROAD ,650 ,BRANSON ,MO ,65615-0650 ,TANEY ,,,,381782,,,.0834,,,100,35556,11564,3289,25998,,828.78,,2433,980,6132,,,,1,13,40,226 260095,01-APR-15,31-MAR-16,Amended,CENTERPOINT MEDICAL CENTER ,19600 EAST 39TH STREET SOUTH ,,INDEPENDENCE ,MO ,64057-2301 ,JACKSON ,5513,,,523574,,,.0547,2231,582,217,79422,21904,4503,66341,.03,1118.09,,4994,1005,15966,1355,,,,,, 260096,01-JUL-15,30-JUN-16,As Submitted,NORTH KANSAS CITY HOSPITAL ,2800 CLAY EDWARDS DR ,,NORTH KANSAS CITY ,MO ,64116 ,CLAY ,,,,,,,,,,365,133590,35378,5335,89285,,2491.89,,7480,2085,21316,968,,,,53,,1350 260097,01-JAN-15,31-DEC-15,As Submitted,WESTERN MISSOURI MEDICAL CENTER ,403 BURKARTH ROAD ,,WARRENSBURG ,MO ,64093- ,JOHNSON ,,,,135359,,,.0959,,,72,26280,3500,547,9072,,441.2,,861,345,2507,234,,,,,, 260102,01-JUL-15,30-JUN-16,As Submitted,TRUMAN MEDICAL CTR LAKEWOOD ,7900 LEES SUMMIT ROAD ,,KANSAS CITY ,MO ,64139 ,JACKSON ,1089634,,,387713,,,.3395,1601813,1273690,110,39256,4686,5512,20757,58.06,806.79,,752,730,4649,1381,,,,,, 260104,01-JAN-15,31-DEC-15,As Submitted,SSM HEALTH DEPAUL HOSPITAL ,12303 DEPAUL DRIVE ,,BRIDGETON ,MO ,63044 ,ST. LOUIS ,747882,,,2228862,,,.158,358318,172204,390,142350,33398,17026,103898,11.86,1523.57,,6518,2707,21636,1917,,,534,,1590, 260105,01-JUN-15,31-AUG-15,Amended,SAINT LOUIS UNIVERSITY HOSPITAL ,3635 VISTA AT GRAND BLVD ,,ST. LOUIS ,MO ,63110 ,SAINT LOUIS ,4537609,,,614614,,,.2245,2966245,700793,287,26404,6911,4686,21282,288.59,1281,,1236,718,3880,357,37,,154,,403, 260105,01-SEP-15,31-DEC-15,Amended,SSM SAINT LOUIS UNIVERSITY HOSPITAL ,3635 VISTA AVE ,,ST. LOUIS ,MO ,63110 ,,6310375,,,771395,,,.2028,4446192,1100047,286,34892,9707,3544,29684,279.39,1389.94,,1646,815,5052,327,29,,160,,562, 260108,01-JAN-15,31-DEC-15,As Submitted,MISSOURI BAPTIST MEDICAL CENTER ,3015 N. BALLAS ROAD ,,ST. LOUIS ,MO ,63131-2329 ,ST. LOUIS ,239233,,,,,,,75158,35960,424,154760,39934,2744,96150,2.69,2235.35,,8102,513,20498,691,,,,10,,488 260110,01-JAN-15,31-DEC-15,As Submitted,SOUTHEAST MISSOURI HOSPITAL ,1701 LACEY STREET ,,CAPE GIRARDEAU ,MO ,63701 ,CAPE GIRARDEAU ,,,,864511,,,.0935,,,196,71540,18790,4585,35431,,1698.34,,4061,1018,8160,438,321,,216,12,800,185 260113,01-OCT-14,30-SEP-15,Amended,MISSOURI DELTA MEDICAL CENTER ,1008 N MAIN ,,SIKESTON ,MO ,63801 ,SCOTT ,,,,545642,,,.1843,,,121,44165,7521,3064,12880,,837.15,,1651,770,3062,,,,27,21,407,169 260116,01-MAY-15,18-JAN-16,Amended,PARKLAND HEALTH CENTER - WEBER ROAD ,1212 WEBER ROAD ,,FARMINGTON ,MO ,63640 ,ST FRANCIOS ,,,,76954,,,.3283,,,42,11046,1030,800,2740,,117.32,,194,160,620,66,,,20,,129, 260119,01-JAN-15,31-DEC-15,Amended,POPLAR BLUFF REGIONAL MEDICAL CENTER ,3100 OAK GROVE ROAD ,,POPLAR BLUFF ,MO ,63901 ,BUTLER ,,,,1797787,,,.2523,,,209,76285,19617,9252,42157,,758.07,,4065,2928,10132,,,,,25,,222 260137,01-APR-15,31-MAR-16,As Submitted,FREEMAN OAK HILL HEALTH SYSTEM ,1102 WEST 32ND STREET ,,JOPLIN ,MO ,64804 ,NEWTON ,696931,,,2187159,,,.1655,445211,321021,361,132126,31485,20451,83871,22.14,3079.61,,5974,3244,16148,269,4,,21,20,322,347 260138,01-JAN-15,31-DEC-15,Amended,SAINT LUKES HOSPITAL OF KANSAS CITY ,4401 WORNALL ROAD ,,KANSAS CITY ,MO ,64111 ,JACKSON ,11107501,,,2247752,,,.1183,2837766,1095638,387,140267,40051,15547,108540,112.32,2573.35,,6911,1757,17858,893,,,,47,,384 260141,01-JUL-15,30-JUN-16,As Submitted,UNIV OF MISSOURI HEALTH CARE ,ONE HOSPITAL DRIVE ,,COLUMBIA ,MO ,65212 ,BOONE ,17503586,,,4188505,,,.2382,5960802,3405637,496,169427,37044,19188,118529,324.89,4576.58,,7189,3500,24993,4744,,,806,,3145, 260142,01-MAY-15,30-APR-16,As Submitted,JOHN FITZGIBBON MEMORIAL HOSPITAL ,2305 SOUTH HIGHWAY 65 ,250 ,MARSHALL ,MO ,65340 ,SALINE ,,,,93736,,,.12,,,38,13908,2179,451,4552,,326.26,,604,156,1399,126,15,,55,,398, 260160,01-JAN-15,31-DEC-15,As Submitted,SOUTHEASTHEALTH CENTER OF STODDARD C ,1200 NORTH ONE MILE ROAD ,,DEXTER ,MO ,63841 ,STODDARD ,,,,13478,,,.028,,,48,17520,1614,128,2365,,119.34,,484,63,788,,,,,,, 260162,01-JAN-15,31-DEC-15,As Submitted,BARNES JEWISH WEST COUNTY HOSPITAL ,12630 OLIVE STREET ,,CREVE COEUR ,MO ,63141 ,ST. LOUIS ,621100,,,,,,,200231,302108,77,28105,2482,280,6909,18.88,414.65,,894,79,2752,13,,,,,, 260163,01-JAN-15,31-DEC-15,As Submitted,PARKLAND HEALTH CENTER - FARMINGTON ,1101 WEST LIBERTY ,,FARMINGTON ,MO ,63640 ,ST FRANCOIS ,,,,400066,,,.1901,,,86,28208,4619,1131,9772,,408.7,,1455,363,3165,575,,,27,,207, 260175,01-APR-15,31-MAR-16,As Submitted,GOLDEN VALLEY MEMORIAL HOSPITAL ,1600 NORTH SECOND ,,CLINTON ,MO ,64735-1192 ,HENRY ,,,,199599,,,.1513,,,52,19287,3559,653,7978,,524.53,,888,202,2224,548,,,,,, 260176,01-JUN-15,31-MAY-16,Amended,DES PERES MEDICAL CENTER ,2345 DOUGHERTY FERRY ,,ST. LOUIS ,MO ,63122 ,ST LOUIS ,1924354,,,,,,,1059128,353708,107,39131,7235,544,15546,37.48,375.9,,1809,158,4521,29,,,,,, 260177,01-JUL-15,30-JUN-16,As Submitted,LIBERTY HOSPITAL ,2525 GLENN HENDREN ,,LIBERTY ,MO ,64068 ,CLAY ,,,,,,,,,,207,76012,15747,1750,35381,,1198,,3569,410,8126,295,,,,,, 260179,01-JUL-15,30-JUN-16,As Submitted,ST. LUKES HOSPITAL ,232 S. WOODS MILL RD. ,,CHESTERFIELD ,MO ,63017 ,SAINT LOUIS ,3020287,,,,,,,1589722,995655,399,143189,29008,862,63334,38.11,2493.16,,5899,405,13816,,,,,,, 260180,01-JAN-15,31-DEC-15,As Submitted,CHRISTIAN HOSPITAL NORTHEAST ,11133 DUNN ROAD ,,ST. LOUIS ,MO ,63136- ,ST. LOUIS COUNTY ,74241,,,1263678,,,.1184,34754,12677,439,160235,26920,10738,61431,,1674,,4790,2038,12786,,,,,,12,277 260183,01-JUL-15,30-JUN-16,Amended,SAINT FRANCIS MEDICAL CENTER ,211 ST. FRANCIS DRIVE ,,CAPE GIRARDEAU ,MO ,63703 ,CAPE GIRARDEAU ,,,,1863782,,,.1448,,,264,96624,28035,12227,56329,,2140.05,,6084,2314,11698,,,,,34,,277 260186,01-MAY-15,30-APR-16,As Submitted,LAKE REGIONAL HEALTH SYSTEM ,54 HOSPITAL DRIVE ,,OSAGE BEACH ,MO ,65065 ,CAMDEN ,,,,341763,,,.0888,,,100,36600,8541,1384,17769,,790.63,,2125,351,4555,909,,,,,, 260190,01-OCT-14,30-SEP-15,As Submitted,LEES SUMMIT MEDICAL CENTER ,2100 SE BLUE PARKWAY ,,LEES SUMMIT ,MO ,64063 ,JACKSON ,,,,,,,,,,64,23360,5241,648,13467,,342.9,,1416,161,3873,39,,,,,, 260191,01-JAN-15,31-DEC-15,As Submitted,BARNES JEWISH ST. PETERS HOSPITAL ,10 HOSPITAL DRIVE ,,ST. PETERS ,MO ,63376 ,ST. CHARLES ,90697,,,,,,,46595,29461,120,43800,10416,494,21744,1.28,533.14,,2239,124,5020,28,,,,,, 260193,13-FEB-15,31-DEC-15,Amended,ST. MARYS MEDICAL CENTER ,201 WEST RD MIZE ROAD ,,BLUE SPRINGS ,MO ,64014- ,JACKSON ,1354671,,,,,,,529296,137545,73,23506,6461,688,14884,20.91,416.75,,1683,174,4302,53,,,,11,,166 260195,01-JUN-15,31-MAY-16,As Submitted,CITIZENS MEMORIAL HOSPITAL DISTRICT ,1500 NORTH OAKLAND ,,BOLIVAR ,MO ,65613 ,POLK ,,,,243729,,,.12,,,52,19032,3228,1026,9064,,810.43,,1089,361,2908,505,4,,46,,424, 260200,01-JAN-15,31-DEC-15,As Submitted,SSM HEALTH ST. JOSEPH HOSPITAL - LSL ,100 MEDICAL PLAZA ,,LAKE ST. LOUIS ,MO ,63367 ,ST. CHARLES ,,,,331651,,,.0543,,,115,41975,12868,2288,35521,,710.07,,3176,629,8953,571,,,,,, 260207,01-JAN-15,31-DEC-15,As Submitted,OZARKS COMMUNITY HOSPITAL - SPRINGFI ,2828 N. NATIONAL AVENUE ,,SPRINGFIELD ,MO ,65803- ,GREENE ,,,,,,,,,,5,1825,84,4,142,,259.17,,30,2,58,,,,,,, 260209,01-JAN-15,31-DEC-15,As Submitted,FULTON MEDICAL CENTER ,10 SOUTH HOSPITAL DRIVE ,,FULTON ,MO ,65251- ,CALLAWAY ,19632,,,,,,,76805,43834,16,5840,224,19,367,1.9,75.61,,77,10,134,,,,26,,286, 260210,01-JAN-15,31-DEC-15,As Submitted,ST. ALEXIUS HOSPITAL ,3933 SOUTH BROADWAY ,,ST. LOUIS ,MO ,63118-4601 ,ST. LOUIS ,15600,,,712270,,,.4069,76529,21576,133,48545,11086,11296,27047,.04,509.52,,1098,1183,3209,39,1,,72,,584, 260214,01-JAN-15,31-DEC-15,As Submitted,BELTON REGIONAL MEDICAL CENTER ,17065 S. 71 HIGHWAY ,,BELTON ,MO ,64012- ,CASS ,,,,,,,,,,71,25915,3640,463,9033,.14,232.64,,992,139,2605,45,,,,,, 260216,01-JAN-15,31-DEC-15,As Submitted,ST. LUKES EAST - LEES SUMMIT ,100 N.E. ST. LUKES BOULEVARD ,,LEES SUMMIT ,MO ,64086 ,JACKSON ,,,,,,,,,,155,56575,16289,2079,42819,,858.51,,3926,396,12074,489,,,,,, 260219,01-JAN-15,31-DEC-15,As Submitted,PROGRESS WEST HOSPITAL ,2 PROGRESS POINT PARKWAY ,,OFALLON ,MO ,63368 ,ST CHARLES ,,,,,,,,,,72,26280,3795,298,12085,,314.2,,910,63,3236,386,,,,,, 260227,01-JAN-15,31-DEC-15,As Submitted,BLACK RIVER MEDICAL CENTER ,217 PHYSICIANS PARK DRIVE ,,POPLAR BLUFF ,MO ,63901 ,BUTLER ,,,,,,,,,,3,1095,482,58,672,,98.68,,134,21,214,,,,,,, 260229,01-JAN-15,01-JUL-15,As Submitted,SOUTHEAST HEALTH CENTER OF REYNOLDS ,100 HIGHWAY 21 N ,,ELLINGTON ,MO ,63638 ,REYNOLDS ,,,,1454,,,.0354,,,8,1456,119,21,181,,37.76,,41,11,66,,,,,,, 261301,01-NOV-14,31-MAY-15,Settled,ELLETT MEMORIAL HOSPITAL ,610 NORTH OHIO AVENUE ,,APPLETON ,MO ,64724- ,ST. CLAIR ,,,,,,,,,,25,5300,702,35,905,,67.73,,86,11,127,,,,,,, 261301,01-JUN-15,31-MAY-16,Settled,ELLETT MEMORIAL HOSPITAL ,610 NORTH OHIO AVENUE ,,APPLETON ,MO ,64724- ,ST. CLAIR ,,,,,,,,,,25,9150,1104,82,1470,,63.76,,138,21,230,,,,,,, 261302,01-OCT-14,30-SEP-15,Settled,MADISON MEDICAL CENTER ,611 WEST MAIN ,431 ,FREDERICKTOWN ,MO ,63645- ,MADISON ,,,,,,,,,,25,9125,1779,75,2150,,109.25,,118,36,355,,,,,,, 261303,01-JUL-15,30-JUN-16,Settled,COMMUNITY HOSPITAL ASSOCIATION INC. ,26136 US HIGHWAY 59 ,107 ,FAIRFAX ,MO ,64446-0107 ,ATCHISON ,,,,,,,,,,16,5856,1522,83,2358,,101.83,,245,37,421,15,,,,,, 261305,01-JUL-15,30-JUN-16,Settled,PUTNAM COUNTY MEMORIAL HOSPITAL ,1926 OAK STREET ,,UNIONVILLE ,MO ,63565 ,PUTNAM ,,,,,,,,,,15,5490,1141,49,1303,,86.34,,112,15,153,,,,31,,121, 261306,01-NOV-14,31-OCT-15,Settled,SULLIVAN COUNTY MEMORIAL HOSPITAL ,630 WEST THIRD STREET ,,MILAN ,MO ,63556- ,SULLIVAN ,,,,,,,,,,14,5124,827,85,2668,,53.98,,106,31,166,,,,,,, 261307,01-JUL-15,30-JUN-16,Settled,PERSHING MEMORIAL HOSPITAL ,130 EAST LOCKLING ,,BROOKFIELD ,MO ,64623- ,LINN ,,,,,,,,,,25,9150,1899,30,2130,,117.63,,250,16,324,,,,,,, 261308,01-SEP-15,31-AUG-16,Settled,WASHINGTON COUNTY MEMORIAL HOSPITAL ,300 HEALTHWAY ,,POTOSI ,MO ,63664 ,WASHINGTON ,,,,,,,,,,25,9150,2072,241,2875,,172.3,,429,91,660,10,,,,,, 261309,01-JAN-15,31-DEC-15,Settled,WRIGHT MEMORIAL HOSPITAL ,191 IOWA BLVD ,,TRENTON ,MO ,64683 ,GRUNDY ,,,,,,,,,,21,7665,2000,758,3414,,148.85,,294,146,626,,,,,,, 261310,01-JUL-15,30-JUN-16,Settled,SCOTLAND COUNTY MEMORIAL HOSPITAL ,450 E. SIGLER AVENUE ,,MEMPHIS ,MO ,63555 ,SCOTLAND ,,,,,,,,,,25,9150,2768,323,3907,,142.1,,308,84,587,,,,,,, 261311,01-APR-15,31-MAR-16,Settled,PERRY COUNTY MEMORIAL HOSPITAL ,434 NORTH WEST STREET ,,PERRYVILLE ,MO ,63775 ,PERRY ,,,,,,,,,,25,9150,3259,96,4401,,267.42,,403,32,736,,,,,,, 261312,01-APR-15,31-MAR-16,Settled,HARRISON COUNTY COMMUNITY HOSPITAL ,2600 MILLER STREET ,428 ,BETHANY ,MO ,64424-0428 ,HARRISON ,,,,,,,,,,15,5490,1916,53,2340,,162.86,,204,14,276,,,,,,, 261313,01-JAN-15,31-DEC-15,Settled,SAMARITAN MEMORIAL HOSPITAL ,1205 N. MISSOURI STREET ,,MACON ,MO ,63552- ,MACON ,,,,,,,,,,25,9125,3746,98,4644,,161.39,,441,31,627,,,,,,, 261314,01-JAN-15,31-DEC-15,Settled,HERMANN AREA DISTRICT HOSPITAL ,509 WEST 18TH STREET ,470 ,HERMANN ,MO ,65041- ,GASCONADE ,,,,,,,,,,24,8760,2413,66,4151,,116.68,,216,26,381,4,,,,,, 261315,01-JAN-15,31-DEC-15,Settled,PARKLAND HLTH CTR - BONNE TERRE ,7245 RAIDER ROAD ,,BONNE TERRE ,MO ,63628 ,ST FRANCOIS ,,,,,,,,,,3,1095,4,,7,,45.62,,2,,4,,,,,,, 261316,01-JUL-15,30-JUN-16,Settled,MERCY HOSPITAL AURORA ,500 PORTER STREET ,,AURORA ,MO ,65605- ,LAWRENCE ,,,,,,,,,,25,9150,641,984,2529,,133,,122,268,598,,,,,,, 261317,01-JUL-15,30-JUN-16,Settled,MERCY HOSPITAL CASSVILLE ,94 MAIN ,,CASSVILLE ,MO ,65625- ,BARRY ,,,,,,,,,,18,6588,500,91,1105,,107,,110,36,253,,,,,,, 261318,01-JUL-15,30-JUN-16,Settled,SALEM MEMORIAL DISTRICT HOSPITAL ,35629 HIGHWAY 72 ,,SALEM ,MO ,65560 ,DENT ,,,,,,,,,,25,9150,2313,182,2744,,142.84,,403,55,591,,,,,,, 261319,01-JAN-15,28-FEB-15,Settled,LINCOLN COUNTY MEDICAL CENTER ,1000 EAST CHERRY STREET ,,TROY ,MO ,63379- ,LINCOLN ,,,,,,,,,,25,1475,384,38,707,,243.18,,55,7,129,,,,,,, 261319,01-MAR-15,30-JUN-15,Settled,MERCY HOSPITAL LINCOLN ,1000 EAST CHERRY STREET ,,TROY ,MO ,63379- ,LINCOLN ,,,,,,,,,,25,3050,680,107,1315,,196.46,,129,29,251,,,,,,, 261319,01-JUL-15,30-JUN-16,Settled,MERCY HOSPITAL LINCOLN ,1000 EAST CHERRY STREET ,,TROY ,MO ,63379- ,LINCOLN ,,,,,,,,,,25,9150,1728,247,3431,,204.28,,315,74,776,,,,,,, 261320,01-OCT-14,30-SEP-15,Settled,LAFAYETTE REGIONAL HEALTH CENTER ,15TH AND STATE STREETS ,,LEXINGTON ,MO ,64067 ,LAFAYETTE ,,,,,,,,,,25,9125,2363,289,4036,,158.09,,521,98,1146,11,,,,,, 261321,01-JAN-15,31-DEC-15,Amended,HEDRICK MEDICAL CENTER ,2799 N. WASHINGTON ST. ,,CHILLICOTHE ,MO ,64601 ,LIVINGSTON ,,,,,,,,,,25,9125,3717,435,5611,,237.52,,496,122,927,,,,,,, 261322,01-OCT-14,30-SEP-15,As Submitted,EXCELSIOR SPRINGS HOSPITAL ,1700 RAINBOW BLVD ,,EXCELSIOR SPRINGS ,MO ,64024- ,CLAY ,,,,,,,,,,25,9125,1290,54,2080,,175.39,,155,15,255,2,,,,,, 261323,01-FEB-15,31-JAN-16,Settled,CEDAR COUNTY MEMORIAL HOSPITAL ,1401 S. PARK ,,EL DORADO SPRINGS ,MO ,64744 ,CEDAR ,,,,,,,,,,25,9125,1330,96,2237,,107.63,,157,35,310,2,,,,,, 261324,01-JAN-15,31-DEC-15,Settled,CASS REGIONAL MEDICAL CENTER ,2800 E ROCK HAVEN ROAD ,,HARRISONVILLE ,MO ,64701 ,CASS ,,,,,,,,,,25,9125,1707,216,3597,,328.78,,542,69,1080,13,,,5,,148, 261325,01-JAN-15,31-DEC-15,Settled,BARTON COUNTY MEMORIAL HOSPITAL ,29 NORTHWEST FIRST LANE ,,LAMAR ,MO ,64759 ,BARTON ,,,,,,,,,,25,9125,2706,246,4073,,139.11,,399,82,716,6,,,,,, 261327,01-NOV-14,31-OCT-15,Settled,RAY COUNTY MEMORIAL HOSPITAL ,904 WOLLARD BOULEVARD ,,RICHMOND ,MO ,64085-0389 ,RAY ,,,,,,,,,,25,9125,2370,101,3387,,186.79,,425,47,716,8,,,,,, 261328,01-APR-15,31-MAR-16,As Submitted,NORTHWEST MEDICAL CENTER ,COLLEGE AND CLARK STREETS ,,ALBANY ,MO ,64402 ,GENTRY ,,,,,,,,,,25,9150,1682,54,2078,,124.01,,227,24,328,,,,,,, 261329,01-OCT-14,30-SEP-15,Settled,COX-MONETT HOSPITAL ,801 LINCOLN AVENUE ,,MONETT ,MO ,65708- ,BARRY ,,,,,,,,,,18,6570,987,833,2862,,199,,162,290,667,1,,,,,, 261330,01-MAY-15,30-APR-16,Settled,STE. GENEVIEVE CO. MEMORIAL HOSP ,HIGHWAY 61 & 32 ,468 ,STE. GENEVIEVE ,MO ,63670- ,STE. GENEVIEVE ,,,,,,,,,,25,9150,2388,242,3778,,241.73,,345,31,726,86,,,,,, 261331,01-APR-15,31-MAR-16,Settled,FREEMAN NEOSHO HOSPITAL ,1102 WEST 32ND STREET ,,JOPLIN ,MO ,64804 ,NEWTON ,,,,,,,,,,25,9150,2309,293,3873,,154.09,,366,73,773,,,,,,, 261332,01-JUL-15,30-JUN-16,Settled,CARROLL COUNTY HOSPITAL ,1502 NORTH JEFFERSON ,,CARROLLTON ,MO ,64633- ,CARROLL ,,,,,,,,,,21,7686,1431,33,1665,,108.99,,120,16,194,,,,,,, 261333,01-JUL-15,30-JUN-16,Settled,PIKE COUNTY MEMORIAL HOSPITAL ,2305 WEST GEORGIA STREET ,,LOUISIANA ,MO ,63353-2559 ,PIKE ,,,,,,,,,,25,9150,1800,43,2153,,115,,285,15,367,8,,,,,, 261334,01-OCT-14,30-SEP-15,Settled,CAH #6 - I70 ,105 HOSPITAL DRIVE ,,SWEET SPRINGS ,MO ,65351 ,SALINE ,,,,,,,,,,15,5475,551,24,973,,50.23,,48,8,84,1,,,,,, 261335,01-JUL-15,30-JUN-16,Settled,MERCY ST FRANCIS HOSPITAL ,US HIGHWAY 60 ,P. O. BOX ,MOUNTAIN VIEW ,MO ,65548-0082 ,HOWELL ,,,,,,,,,,25,9125,986,90,1303,,105.99,,136,18,273,28,,,,,, 261336,01-JUL-15,30-JUN-16,Settled,IRON COUNTY HOSPITAL ,301 NORTH HWY 21 ,548 ,PILOT KNOB ,MO ,63663- ,IRON COUNTY ,,,,,,,,,,15,5490,1557,34,1703,,94.32,,82,13,106,,,,,,, 261337,01-JAN-15,31-DEC-15,Settled,MISSOURI BAPTIST HOSPITAL SULLIVAN ,751 SAPPINGTON BRIDGE ROAD ,,SULLIVAN ,MO ,63080 ,CRAWFORD ,,,,,,,,,,25,9125,2249,1361,6453,,272.28,,586,404,1776,356,,,50,,364, 261338,05-FEB-15,30-JUN-15,Amended,MERCY HOSPITAL CARTHAGE ,3125 DR RUSSELL SMITH WAY ,,CARTHAGE ,MO ,64836 ,JASPER ,,,,,,,,,,25,3650,671,70,1411,,9.25,,99,21,273,1,,,,,, 261338,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL CARTHAGE ,3125 DR RUSSELL SMITH WAY ,,CARTHAGE ,MO ,64836 ,JASPER ,,,,,,,,,,25,9125,2727,133,4335,,224.55,,269,52,588,,,,,,, 261339,02-JUL-15,31-DEC-15,Settled,SOUTHEAST HEALTH CENTER OF REYNOLDS ,100 HIGHWAY 21 N ,,ELLINGTON ,MO ,63638 ,REYNOLDS ,,,,,,,,,,8,1464,58,12,129,,41.18,,25,6,57,,,,,,, 261993,01-SEP-15,31-AUG-16,As Submitted,PEACE HAVEN ASSOCIATION ,12630 ROTT ROAD ,,ST LOUIS ,MO ,63127-1214 ,ST LOUIS ,,,,,,,,,,14,5124,923,,2867,,10.72,,41,,51,,,,,,, 262010,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL ST. LOUIS ,4930 LINDELL BOULEVARD ,,ST. LOUIS ,MO ,63108 ,ST. LOUIS CITY ,,,,,,,,,,60,24872,10092,2962,17995,,169.1,,399,117,706,1,,,,,, 262011,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL KANSAS CITY ,8701 TROOST AVENUE ,,KANSAS CITY ,MO ,64131 ,JACKSON ,,,,,,,,,,130,47580,8285,2408,17214,,141,,261,56,440,5,,,,,, 262013,01-NOV-14,31-OCT-15,Settled,SSH - ST LOUIS INC. ,300 FIRST CAPITOL DRIVE 1ST FLOOR ,,ST. CHARLES ,MO ,63301 ,SAINT CHARLES ,,,,,,,,,,33,12045,5914,1311,10236,,93.72,,228,36,355,3,,,,,, 262014,01-MAR-15,29-FEB-16,Settled,SSH - WESTERN MISSOURI ,2316 EAST MEYER BOULEVARD 3-WEST ,,KANSAS CITY ,MO ,64132 ,JACKSON ,,,,,,,,,,34,12444,3776,3099,10154,,91.77,,151,128,389,9,,,,,, 262015,01-JAN-15,31-DEC-15,Settled,LANDMARK HOSPITAL OF CAPE GIRARDEAU ,355 INDEPENDENCE STREET ,,CAPE GIRARDEAU ,MO ,63701 ,CAPE GIRARDEAU ,,,,,,,,,,30,10950,6449,982,9682,,95,,246,42,356,,,,,,, 262016,01-JAN-15,31-DEC-15,Settled,LANDMARK HOSPITAL OF JOPLIN LLC ,2040 WEST 32ND STREET ,,JOPLIN ,MO ,64804 ,JASPER ,,,,,,,,,,30,10950,6511,1395,9543,,85.29,,239,45,350,,,,,,, 262017,01-NOV-14,31-OCT-15,Settled,SSH - SPRINGFIELD INC. ,1630 EAST PRIMROSE STREET ,,SPRINGFIELD ,MO ,65804 ,GREENE ,,,,,,,,,,44,16060,6531,3312,13811,,142.11,,258,120,531,1,,,,,, 262018,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL NORTHLAND ,500 NW 68TH STREET ,,KANSAS CITY ,MO ,64118 ,CLAY ,,,,,,,,,,35,12810,5310,3015,11478,,104.3,,214,96,399,1,,,,,, 262019,01-JUL-15,30-JUN-16,Settled,HEARTLAND LONG TERM ACUTE CARE HOSPI ,5325 FARAON ,,ST JOSEPH ,MO ,64506-3398 ,BUCHANAN ,,,,,,,,,,41,15006,4521,1835,7811,,50.61,,158,60,262,,,,,,, 262020,01-JAN-15,31-DEC-15,Settled,LANDMARK HOSPITAL OF COLUMBIA LLC ,604 OLD HIGHWAY 63 NORTH ,,COLUMBIA ,MO ,65201 ,BOONE ,,,,,,,,,,42,15330,6703,2219,11424,,85.85,,255,64,402,,,,,,, 262021,01-APR-15,31-AUG-15,Settled,KINDRED HOSTPIAL ST. LOUIS AT MERCY ,615 S. NEW BALLAS ROAD 7TH FLOOR ,,ST. LOUIS ,MO ,63141 ,ST LOUIS ,,,,,,,,,,54,8262,2037,545,4209,,94.7,,67,16,137,,,,,,, 262021,01-SEP-15,23-SEP-16,As Submitted,KINDRED HOSTPIAL ST. LOUIS AT MERCY ,615 S. NEW BALLAS ROAD 7TH FLOOR ,,ST. LOUIS ,MO ,63141 ,ST. LOUIS CITY ,,,,,,,,,,54,21006,6105,1588,11990,,91.3,,201,44,385,4,,,,,, 263027,01-JAN-15,31-DEC-15,Amended,RUSK REHABILITATION CENTER A JOINT ,315 BUSINESS LOOP 70 WEST ,,COLUMBIA ,MO ,65203 ,BOONE ,,,,,,,,,,60,21900,6999,3591,16689,4.14,159.94,,497,219,1139,71,,,,,, 263028,01-JUN-15,31-MAY-16,Amended,THE REHABILITATION INSTITUTE OF ST L ,4455 DUNCAN AVENUE ,,ST LOUIS ,MO ,63110 ,ST LOUIS ,,,,,,,,,,96,35136,10544,5319,28285,5.1,303.79,,801,480,1997,58,,,,,, 263029,01-JAN-15,31-DEC-15,As Submitted,MERCY REHABILITATION HOSPITAL - ST L ,14561 NORTH OUTER FORTY ,,CHESTERFIELD ,MO ,63017- ,ST LOUIS ,,,,,,,,,,90,32850,10797,1260,21752,,210.72,,786,90,1577,,,,,,, 263030,01-JAN-15,31-DEC-15,As Submitted,ST. LUKES REHAB HOSPITAL ,14709 OLIVE BLVD. ,,CHESTERFIELD ,MO ,63017 ,ST. LOUIS ,,,,,,,,,,35,12775,5644,416,7578,,74.5,,482,24,645,,,,,,, 263031,01-JUL-15,30-JUN-16,As Submitted,SSM SELECT REHAB ST LOUIS LLC ,1027 BELLEVUE AVENUE ,,RICHMOND HEIGHTS ,MO ,63117 ,ST LOUIS ,,,,,,,,,,95,34770,13731,4093,29333,,459.83,,1098,267,2107,31,,,,,, 263032,01-JAN-15,31-DEC-15,As Submitted,MERCY REHABILITATION HOSPITAL-SPGF ,5904 SOUTHWOOD ROAD ,,SPRINGFIELD ,MO ,65084 ,GREENE ,,,,,,,,,,60,21900,5228,2209,13811,,137,,427,118,1083,,,,,,, 263301,01-JAN-15,31-DEC-15,Settled,ST. LOUIS CHILDRENS HOSPITAL ,ONE CHILDRENS PLACE ,,ST. LOUIS ,MO ,63110 ,ST. LOUIS ,,,,,,,,,4909,294,107310,249,11818,75315,182.59,2841,,45,1273,10437,2324,,,,,, 263302,01-JUL-15,30-JUN-16,As Submitted,CHILDRENS MERCY HOSPITAL ,2401 GILLHAM ROAD ,,KANSAS CITY ,MO ,64108 ,JACKSON ,,,,,,,,,6927,301,110166,302,11778,80375,186.8,6102.98,,55,1251,11787,4867,,,,,, 263303,01-JUL-15,30-JUN-16,Settled,RANKEN JORDAN ,11365 DORSETT ROAD ,,MARYLAND HEIGHTS ,MO ,63043- ,SAINT LOUIS ,,,,,,,,,,34,12444,100,2819,10593,,242.11,,1,66,243,49,,,,,, 263304,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITAL FOR CHILDREN ,4400 CLAYTON AVE ,,ST LOUIS ,MO ,63110-1624 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 264004,01-JUL-15,30-JUN-16,Settled,FULTON STATE HOSPITAL ,FULTON STATE HOSPITAL ,600 ,FULTON ,MO ,65251 ,CALLAWAY ,,,,,,,,,,379,138714,84,1692,145715,.9,1307.11,,1,4,143,,,,,,, 264005,01-JUL-15,30-JUN-16,Settled,SMMHC ,1010 W. COLUMBIA ,,FARMINGTON ,MO ,63640 ,ST. FRANCOIS ,,,,,,,,,,323,118218,886,2253,110589,,911.05,,11,3,50,,,,,,, 264007,01-JUL-15,30-JUN-16,Settled,N.W. MO PSYCHIATRIC REHAB CTR ,3505 FREDERICK AVENUE ,,ST.JOSEPH ,MO ,64506 ,BUCHANAN ,,,,,,,,,,108,39528,384,1847,38787,,310.35,,5,4,72,,,,,,, 264008,01-JUL-15,30-JUN-16,Settled,CENTER FOR BEHAVIORAL MEDICINE ,1000 EAST 24TH STREET ,,KANSAS CITY ,MO ,64108 ,JACKSON ,,,,,,,,,,65,23790,1462,356,23397,2.5,359.67,,19,1,64,,,,,,, 264010,01-JUL-15,30-JUN-16,Settled,ST. LOUIS PSYCHIATRIC REHAB CTR. ,500 ARSENAL STREET ,,ST.LOUIS ,MO ,63119 ,ST.LOUIS CITY ,,,,,,,,,,180,65880,332,2829,66043,,508.71,,5,3,40,,,,,,, 264012,01-JAN-15,31-DEC-15,Settled,CENTERPOINTE HOSPITAL ,4801 WELDON SPRINGS PARKWAY ,,ST. CHARLES ,MO ,63304 ,ST. CHARLES ,,,,,,,,,,104,37960,6720,3760,30302,,386,,573,326,4418,353,,,,,, 264017,01-JAN-15,31-DEC-15,Settled,TWO RIVERS HOSPITAL ,5121 RAYTOWN ROAD ,,KANSAS CITY ,MO ,64133 ,JACKSON ,,,,,,,,,,105,38325,3909,1553,17100,,145.94,,542,233,3469,,,,,,, 264018,01-JAN-15,31-DEC-15,Settled,CRITTENTON CHILDRENS CENTER ,10918 ELM AVENUE ,,KANSAS CITY ,MO ,64134 ,JACKSON ,,,,,,,,,,46,16790,,6316,14175,,226.24,,,939,2347,717,,,,,, 264020,01-JUL-15,30-JUN-16,Settled,ROYAL OAKS HOSPITAL ,307 NORTH MAIN ,,WINDSOR ,MO ,65360 ,HENRY ,,,,,,,,,,41,15006,362,3992,9819,,137,,49,478,1333,380,,,,,, 264024,01-JAN-15,31-DEC-15,Settled,LAKELAND REGIONAL HOSPITAL ,400 SOUTH MARKET STREET ,,SPRINGFIELD ,MO ,65806 ,GREENE ,,,,,,,,,,200,73000,2447,51422,64878,,333.6,,182,1720,2444,183,,,,,, 264025,01-JUL-15,30-JUN-16,Settled,METROPOLITAN ST.LOUIS PSYCH CENTER ,5351 DELMAR BLVD. ,,ST.LOUIS ,MO ,63112 ,ST.LOUIS ,,,,,,,,,,50,18300,2471,335,17970,,187.58,,30,4,89,,,,,,, 264028,01-JUL-15,30-JUN-16,Settled,HAWTHORN CHILDRENS PSYCH. CTR. ,1901 PENNSYLVANIA AVE ,,ST LOUIS ,MO ,63133-1325 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 264029,01-JAN-15,07-APR-15,Settled,ST. LOUIS REG PSYCH STABIL CTR ,5355 DELMAR BOULEVARD ,,ST. LOUIS ,MO ,63112 ,ST. LOUIS ,,,,,,,,,,25,2450,408,568,1968,,18.97,,45,101,359,43,,,,,, 264030,01-JAN-15,31-DEC-15,Settled,SIGNATURE PSYCH HOSPITAL ,4801 WELDON SPRINGS PARKWAY ,,ST CHARLES ,MO ,63304 ,ST. CHARLES ,,,,,,,,,,24,8760,1300,166,7259,,81,,180,32,1288,,,,,,, 264031,30-JUN-15,31-DEC-15,Settled,OSAGE BEACH CENTER FOR COGNITIVE DIS ,840 PASSOVER ROAD ,,OSAGE BEACH ,MO ,65065 ,CAMDEN ,,,,,,,,,,14,2590,399,395,1224,,15.85,,37,40,119,,,,,,, 270003,01-JUN-15,31-MAY-16,As Submitted,ST. PETERS HOSPITAL ,2475 BROADWAY ,,HELENA ,MT ,59601- ,LEWIS AND CLARK ,,,,163970,,,.0439,,,101,36966,10192,3118,24179,,1033.28,,1944,668,5143,,,,82,,554, 270004,01-JUL-15,30-JUN-16,As Submitted,BILLINGS CLINIC ,2800 TENTH AVENUE NORTH ,37000 ,BILLINGS ,MT ,59107-7000 ,YELLOWSTONE ,2707506,,,2354631,,,.1693,446245,433679,279,99190,26278,18043,72559,23.79,3003.29,,5319,2770,15089,,,,,,, 270012,01-JAN-15,31-DEC-15,As Submitted,BENEFIS HOSPITALS INC. ,1101 26TH STREET SOUTH ,,GREAT FALLS ,MT ,59405- ,CASCADE ,,,,869932,,,.0922,,,309,112785,21078,9098,51554,,2655.88,,4130,1989,10861,,,,119,22,611,424 270014,01-JAN-15,31-DEC-15,Amended,ST PATRICK HOSPITAL ,500 W. BROADWAY ST ,4587 ,MISSOULA ,MT ,59802 ,MISSOULA ,2275119,,,365439,,,.0339,413817,238481,157,55602,17677,3581,35941,15.11,1090.25,,3986,736,8607,,,,454,15,978,207 270017,01-JAN-15,31-DEC-15,As Submitted,SAINT JAMES HEALTHCARE ,400 SOUTH CLARK ,,BUTTE ,MT ,59701 ,SILVER BOW ,,,,261361,,,.0866,,,67,24455,5767,1680,12006,,487.16,,1356,468,3215,1,,,,,, 270023,16-JAN-15,31-DEC-15,Amended,COMMUNITY MEDICAL CENTER ,2827 FORT MISSOULA ROAD ,,MISSOULA ,MT ,59801 ,MISSOULA ,192430,,,596756,,,.2,63302,56477,143,50050,5262,7223,22365,4.2,876.55,,1268,1149,4724,13,,,,7,,100 270032,01-JUL-15,30-JUN-16,As Submitted,NORTHERN MONTANA HOSPITAL ,30 13TH STREET ,1231 ,HAVRE ,MT ,59501- ,HILL ,,,,79690,,,.12,,,49,17934,1564,1433,4595,,360.52,,396,434,1274,,,,,,, 270049,01-JAN-15,31-DEC-15,As Submitted,ST VINCENT HEALTHCARE ,1233 N. 30TH STREET ,,BILLINGS ,MT ,59101 ,YELLOWSTONE ,915962,,,1433010,,,.1231,180516,123297,238,86870,19311,10533,51365,9.39,1680.54,,4238,1718,11245,16,,,,40,,300 270051,01-APR-15,31-MAR-16,Amended,KALISPELL REGIONAL MEDICAL CENTER ,310 SUNNYVIEW LANE ,,KALISPELL ,MT ,59901 ,FLATHEAD ,297079,,,939829,,,.1415,53806,58338,160,58560,11280,7153,34038,,1741,,2634,1249,7518,,,,,,, 270057,01-JAN-15,31-DEC-15,As Submitted,BOZEMAN DEACONESS HEALTH SERVICES ,915 HIGHLAND BLVD ,,BOZEMAN ,MT ,59715- ,GALLATIN ,,,,,,,,,,81,29565,7302,2316,20774,,1270.95,,1843,582,5484,,,,,,, 270074,01-OCT-14,30-SEP-15,As Submitted,BLACKFEET COMMUNITY HOSPITAL ,760 GOVERNMENT SQUARE ,,BROWNING ,MT ,59417 ,GLACIER ,,,,16576,,,.12,,,26,9490,389,684,1824,,292,,82,242,591,,,,,,, 270086,01-JAN-15,31-DEC-15,As Submitted,GREAT FALLS CLINIC MEDICAL CENTER ,1411 9TH STREET SOUTH ,,GREAT FALLS ,MT ,59405- ,CASCADE ,,,,,,,,,,20,7300,619,72,1441,,184.31,,224,25,538,,,,,,, 270087,01-APR-15,31-MAR-16,As Submitted,HEALTHCENTER NORTHWEST ,320 SUNNYVIEW LANE ,,KALISPELL ,MT ,59901 ,FLATHEAD ,,,,,,,,,,30,10980,402,38,1581,,216.88,,224,17,522,,,,,6,,138 271300,01-JUL-15,30-JUN-16,As Submitted,NORTHEAST MONTANA HEALTHCARE-POPLAR ,COURT AVE ,,POPLAR ,MT ,59255 ,ROOSEVELT ,,,,,,,,,,15,5490,113,832,1019,,44.48,,31,23,92,,,,,,, 271301,01-JUL-15,30-JUN-16,Settled,FALLON MEDICAL COMPLEX ,202 SOUTH 4TH STREET WEST ,820 ,BAKER ,MT ,59313-0820 ,FALLON ,,,,,,,,,,25,9150,916,234,2522,,64.22,,91,3,117,,,,,,, 271302,01-JUL-15,30-JUN-16,Settled,DAHL MEMORIAL HEALTHCARE ASSOC. ,215 SANDY STREET ,46 ,EKALAKA ,MT ,59324 ,CARTER ,,,,,,,,,,25,9150,271,,7104,,29.52,,27,,32,,,,,,, 271303,01-JUL-15,30-JUN-16,Settled,GRANITE COUNTY MEDICAL CENTER ,310 SANSOME STREET ,729 ,PHILIPSBURG ,MT ,59858- ,GRANITE ,,,,,,,,,,25,9150,165,5910,8133,,30.92,,8,1,15,,,,,,, 271304,01-JUL-15,30-JUN-16,Settled,MISSOURI RIVER MEDICAL CENTER ,1501 ST CHARLES STREET ,BOX 249 ,FORT BENTON ,MT ,59442- ,CHOTEAU ,,,,,,,,,,7,2562,301,,439,,44.86,,28,,63,,,,,,, 271305,01-JUL-15,30-JUN-16,Settled,MCCONE COUNTY HEALTH CENTER ,205 SULLIVAN AVENUE ,48 ,CIRCLE ,MT ,59215 ,MCCONE ,,,,,,,,,,25,9150,236,3641,8440,,40.94,,22,3,32,,,,,,, 271306,01-JUL-15,30-JUN-16,As Submitted,MOUNTAINVIEW MEDICAL CENTER ,16 WEST MAIN ,,WHITE SULPHER SPRINGS ,MT ,59645 ,MEAGHER ,,,,,,,,,,25,9150,880,10,6525,,49.18,,64,4,79,,,,,,, 271307,01-MAY-15,31-DEC-15,Settled,BENEFIS TETON MEDICAL CENTER ,915 FOURTH STREET NW ,,CHOTEAU ,MT ,59422 ,TETON ,,,,,,,,,,10,2450,286,13,473,,46.31,,38,3,126,,,,,,, 271308,01-MAY-15,30-APR-16,Settled,ROOSEVELT MEDICAL CENTER ,818 2ND AVENUE EAST ,419 ,CULBERTSON ,MT ,59218 ,ROOSEVELT ,,,,,,,,,,25,9150,441,4783,8040,,49.31,,12,3,15,,,,,,, 271309,01-JUL-15,30-JUN-16,Settled,PRAIRIE COMMUNITY HOSPITAL ,312 S. ADAMS AVE ,156 ,TERRY ,MT ,59349-0156 ,PRAIRIE ,,,,,,,,,,22,8052,385,,7212,,28.66,,19,,21,,,,,,, 271310,01-JUL-15,30-JUN-16,Settled,GARFIELD CO. HEALTH CENTER ,332 LEAVITT AVENUE ,389 ,JORDAN ,MT ,59337 ,GARFIELD ,,,,,,,,,,4,1464,,,8414,,10.56,,,,,,,,,,, 271311,01-JUL-15,30-JUN-16,Settled,BIG SANDY MEDICAL CENTER ,166 MONTANA AVENUE ,,BIG SANDY ,MT ,59520 ,CHOUTEAU ,,,,,,,,,,8,2928,317,,439,,27.99,,13,,14,,,,,,, 271312,01-MAY-15,30-APR-16,As Submitted,PHILLIPS COUNTY HOSPITAL ,311 SOUTH 8TH AVE EAST ,,MALTA ,MT ,59538 ,PHILLIPS ,,,,,,,,,,6,2196,568,28,731,,46.96,,116,15,221,,,,,,, 271313,01-JUL-15,30-JUN-16,As Submitted,PIONEER MEDICAL CENTER ,301 WEST 7TH ,,BIG TIMBER ,MT ,59011 ,SWEETGRASS ,,,,,,,,,,25,9150,500,9,7875,,75.39,,44,3,72,,,,,,, 271314,01-JUL-15,30-JUN-16,Amended,DEER LODGE MEDICAL CENTER ,1100 HOLLENBACK LANE ,,DEER LODGE ,MT ,59722 ,POWELL ,,,,,,,,,,16,5856,1112,71,1580,,59.47,,145,34,235,,,,,,, 271315,01-OCT-14,30-SEP-15,Settled,FORT BELKNAP HEALTH CENTER ,RR1 ,,HARLEM ,MT ,59523 ,BLAINE ,,,,,,,,,,6,2190,,,9,,167,,,,3,,,,,,, 271316,01-JUL-15,30-JUN-16,As Submitted,FRANCES MAHON DEACONESS HOSPITAL ,621 THIRD ST SOUTH ,,GLASGOW ,MT ,59230 ,VALLEY ,,,,,,,,,,25,9150,835,344,1806,,188.19,,210,153,664,,,,,,, 271317,01-JUL-15,30-JUN-16,Settled,LIVINGSTON HEALTHCARE ,504 SOUTH 13TH STREET ,,LIVINGSTON ,MT ,59047 ,PARK ,,,,,,,,,,25,9150,2323,536,4364,,236.69,,437,147,973,,,,,,, 271318,01-JUL-15,30-JUN-16,Settled,BARRETT HOSPITAL AND HEALTHCARE ,600 MT HWY 91 S ,,DILLON ,MT ,59725 ,BEAVERHEAD ,,,,,,,,,,18,6588,1144,116,2160,,209.04,,239,42,482,3,,,,,, 271319,01-NOV-14,31-OCT-15,Settled,RUBY VALLEY HOSPITAL ,2220 EAST CROFOOT ,336 ,SHERIDAN ,MT ,59749- ,MADISON ,,,,,,,,,,10,3650,682,1,859,,38.23,,81,1,122,,,,,,, 271320,01-APR-15,31-MAR-16,Settled w/Audit,CABINET PEAKS MEDICAL CENTER ,209 HEALTH PARK DRIVE ,,LIBBY ,MT ,59923-2198 ,LINCOLN ,,,,,,,,,,25,9150,1409,416,2924,,197.75,,300,165,915,,,,,,, 271321,01-JAN-15,31-DEC-15,Settled,WHEATLAND MEMORIAL HEALTHCARE ,530 3RD STREET NW ,287 ,HARLOWTON ,MT ,59036-0287 ,WHEATLAND ,,,,,,,,,,25,9125,462,5005,8307,,52.1,,32,,39,,,,,,, 271322,01-JUL-15,30-JUN-16,As Submitted,SHERIDAN MEMORIAL HOSPITAL ,440 W. LAUREL AVE. ,,PLENTYWOOD ,MT ,59254- ,SHERIDAN ,,,,,,,,,,19,6954,1059,15,1407,,88.03,,106,8,149,,,,,,, 271323,01-JAN-15,31-DEC-15,Settled,CLARK FORK VALLEY HOSPITAL ,10 KRUGER ROAD ,,PLAINS ,MT ,59859 ,SANDERS ,,,,,,,,,,16,5840,1504,142,2049,,130.99,,223,44,376,,,,,,, 271324,01-JAN-15,31-DEC-15,Settled,PONDERA MEDICAL CENTER ,805 SUNSET BLVD ,,CONRAD ,MT ,59425 ,PONDERA ,,,,,,,,,,20,7300,673,13,929,,93.65,,60,6,94,,,,,,, 271325,01-JAN-15,31-DEC-15,Settled,ST LUKE COMMUNITY HOSPITAL ,107 6TH AVENUE SOUTHWEST ,,RONAN ,MT ,59864 ,LAKE ,,,,,,,,,,25,9125,3079,609,4755,,272.24,,348,180,769,,,,,,, 271326,01-JAN-15,30-JUN-15,Settled,BEARTOOTH BILLINGS CLINIC ,2525 NORTH BROADWAY ,,RED LODGE ,MT ,59806 ,CARBON ,,,,,,,,,,10,1810,502,15,724,,79.94,,49,7,100,,,,,,, 271326,01-JUL-15,30-JUN-16,Settled,BEARTOOTH BILLINGS CLINIC ,2525 NORTH BROADWAY ,,RED LODGE ,MT ,59806 ,CARBON ,,,,,,,,,,10,3660,1173,16,1511,,99.81,,93,10,132,,,,,,, 271327,01-JUL-15,30-JUN-16,As Submitted,ROSEBUD COMMUNITY HOSPITAL ,383 N 17TH AVE ,268 ,FORSYTH ,MT ,59327- ,ROSEBUD ,,,,,,,,,,25,9150,762,15,3531,,51.18,,84,6,126,,,,,,, 271328,01-JUL-15,30-JUN-16,As Submitted,MARIAS MEDICAL CENTER ,640 PARK DRIVE ,,SHELBY ,MT ,59474- ,TOOLE ,,,,,,,,,,25,9150,646,111,884,,76.85,,85,26,134,,,,,,, 271329,01-OCT-14,30-SEP-15,Settled,MADISON VALLEY MEDICAL CENTER ,217 NORTH MAIN ,,ENNIS ,MT ,59019 ,MADISON ,,,,,,,,,,10,3650,799,34,978,,34.08,,83,10,158,,,,,,, 271330,01-JUL-15,30-JUN-16,As Submitted,STILLWATER COMMUNITY HOSPITAL ,710 N. 11TH STREET ,,COLUMBUS ,MT ,59019 ,STILLWATER ,,,,,,,,,,10,3660,609,11,711,,50.36,,61,5,83,,,,,,, 271331,01-JUL-15,30-JUN-16,Settled,MINERAL COMMUNITY HOSPITAL ,1208 6TH AVE EAST ,,SUPERIOR ,MT ,59872 ,MINERAL ,,,,,,,,,,25,9150,381,20,5348,,84.08,,38,9,76,,,,,,, 271332,01-JUL-15,30-JUN-16,As Submitted,GLENDIVE MEDICAL CENTER INC ,202 PROSPECT DRIVE ,,GLENDIVE ,MT ,59330 ,DAWSON ,,,,,,,,,,25,9150,1217,98,2033,,277.17,,227,68,489,,,,,,, 271333,01-JUL-15,30-JUN-16,As Submitted,BROADWATER HEALTH CENTER ,110 NORTH OAK ,,TOWNSEND ,MT ,59644 ,BROADWATER ,,,,,,,,,,9,3294,748,8,837,,48.07,,32,4,44,,,,,,, 271334,01-JUL-15,30-JUN-16,As Submitted,LIBERTY COUNTY HOSPITAL ,315 W MADISON AVE ,705 ,CHESTER ,MT ,59522-0705 ,LIBERTY ,,,,,,,,,,25,9150,297,2821,7449,,65.97,,21,,38,,,,,,, 271335,01-JAN-15,31-DEC-15,Settled,COMMUNITY HOSPITAL OF ANACONDA ,401 WEST PENNSYLVANIA ,,ANACONDA ,MT ,59711-1999 ,DEER LODGE ,,,,,,,,,,25,9125,3420,540,5662,,248.95,,439,132,996,,,,,,, 271336,01-JUL-15,30-JUN-16,Settled,NORTH VALLEY HOSPITAL ,1600 HOSPITAL WAY ,,WHITEFISH ,MT ,59937- ,FLATHEAD ,,,,,,,,,,25,9150,1608,1409,5735,,283.62,,468,339,1596,,,,,,, 271337,01-OCT-14,30-SEP-15,Settled,NORTHERN ROCKIES MEDICAL CENTER ,802 SECOND STREET SE ,,CUTBANK ,MT ,59427 ,GLACIER ,,,,,,,,,,20,7300,661,136,1185,,62.17,,120,71,277,,,,,,, 271338,01-JUL-15,30-JUN-16,As Submitted,BIG HORN COUNTY MEMORIAL HOSPITAL ,17 NORTH MILES AVENUE ,4308 ,HARDIN ,MT ,59034- ,BIG HORN ,,,,,,,,,,25,9150,1234,981,2996,,94.66,,117,54,217,,,,,,, 271339,01-OCT-14,30-SEP-15,Settled,CROW/NORTHERN CHEYENNE INDIAN HOSPIT ,1010 SOUTH 7650 EAST ,09 ,CROW AGENCY ,MT ,59022 ,BIG HORN ,,,,,,,,,,24,8760,231,,649,,270,,78,,240,,,,,,, 271340,01-JUL-15,30-JUN-16,As Submitted,MARCUS DALY MEMORIAL HOSPITAL ,1200 WESTWOOD DRIVE ,,HAMILTON ,MT ,59840- ,RAVALLI ,,,,,,,,,,25,9150,3282,565,5371,,368.11,,642,224,1577,,,,,,, 271341,01-JUL-15,30-JUN-16,As Submitted,NORTHEAST MONTANA HEALTH SERVICES ,315 KNAPP ,,WOLF POINT ,MT ,59201 ,ROOSEVELT ,,,,,,,,,,22,8052,333,528,1131,,144.39,,110,177,417,,,,,,, 271342,01-JUL-15,30-JUN-16,As Submitted,DANIELS MEMORIAL HOSPITAL ,105 5TH AVENUE ,,SCOBEY ,MT ,59263 ,DANIELS ,,,,,,,,,,25,9150,878,11,1747,,44.66,,50,6,96,,,,,,, 271343,01-JAN-15,31-DEC-15,Settled,ST. JOSEPH HOSPITAL ,6 13TH AVE E ,1010 ,POLSON ,MT ,59860-1010 ,LAKE ,,,,,,,,,,22,8030,881,470,2452,,157.55,,223,174,621,,,,,,, 271344,01-JUL-15,30-JUN-16,As Submitted,SIDNEY HEALTH CENTER ,216 14TH AVENUE S.W. ,,SIDNEY ,MT ,59270 ,RICHLAND ,,,,,,,,,,25,9150,2121,295,4206,,281.29,,423,76,1092,,,,,,, 271345,01-JUL-15,30-JUN-16,As Submitted,CENTRAL MONTANA MEDICAL CENTER ,408 WENDELL AVENUE ,,LEWISTOWN ,MT ,59457 ,FERGUS ,,,,,,,,,,25,9150,1534,237,2852,,213.54,,341,75,675,,,,,,, 271346,01-JUL-15,30-JUN-16,Settled,ROUNDUP MEMORIAL HEALTHCARE ,1202 3RD STREET WEST ,,ROUNDUP ,MT ,59072 ,MUSSELLSHELL ,,,,,,,,,,25,9150,568,12,7543,,62.57,,58,8,86,,,,,,, 271347,01-JAN-15,31-DEC-15,Settled,HOLY ROSARY HEALTHCARE ,2600 WILSON STREET ,,MILES CITY ,MT ,59301 ,CUSTER ,,,,,,,,,,25,9125,2953,696,5613,,174.99,,426,180,1291,,,,,,, 272001,01-SEP-15,31-AUG-16,As Submitted,ADVANCED CARE HOSPITAL OF MONTANA ,3528 GABEL ROAD ,,BILLINGS ,MT ,59102 ,YELLOWSTONE ,,,,,,,,,,40,14640,6030,1779,10897,,127.75,,228,64,393,,,,,,, 274004,01-JUN-15,31-MAY-16,Settled,SHODAIR CHILDRENS HOSPITAL ,2755 COLONIAL DRIVE ,,HELENA ,MT ,59604 ,LEWIS & CLARK ,,,,,,,,,,20,7320,,4147,6176,,144.64,,,350,568,,,,,,, 274086,01-JUL-15,30-JUN-16,As Submitted,MONTANA STATE HOSPITAL ,300 GARNET WAY ,300 ,WARM SPRINGS ,MT ,59756 ,DEER LODGE ,,,,,,,,,,174,63684,5017,,63684,,494.7,,312,,739,,,,,,, 280003,01-JAN-15,31-DEC-15,Amended,BRYAN MEDICAL CENTER ,1600 SOUTH 48 TH STREET ,,LINCOLN ,NE ,68506- ,LANCASTER ,1033552,,,1655639,,,.0765,356344,118252,470,169578,45060,6313,102432,16.26,2848,,8775,2250,20387,,,,416,37,2446,500 280009,01-JUL-15,30-JUN-16,As Submitted,CHI HEALTH GOOD SAMARITAN ,10 E 31ST STREET ,1990 ,KEARNEY ,NE ,68847-1990 ,BUFFALO ,117615,,,351841,,,.0518,70966,21730,203,74298,15052,2641,33136,2.28,772.17,,2640,1021,6575,,,,113,6,899,162 280013,01-JUL-15,30-JUN-16,As Submitted,THE NEBRASKA MEDICAL CENTER ,DEWEY AVENUE AT 42ND ,,OMAHA ,NE ,68198 ,DOUGLAS ,19874177,,,3009431,,,.1281,5012070,2331171,509,186358,49829,22294,143817,330,5772,,8289,4240,24608,,,,58,,312, 280020,01-JUL-15,30-JUN-16,As Submitted,CHI HEALTH ST. ELIZABETH ,555 SOUTH 70TH STREET ,,LINCOLN ,NE ,68510-9904 ,LANCASTER ,266913,,,782429,,,.1005,145488,61569,260,95160,15253,4385,41337,4.27,903.17,30.15,3457,485,10187,,,,,,, 280023,01-JUL-15,30-JUN-16,As Submitted,CHI HEALTH ST. FRANCIS ,2620 W FAIDLEY AVENUE ,9804 ,GRAND ISLAND ,NE ,68802-9804 ,HALL ,221782,,,404491,,,.0735,85110,66306,145,53070,12436,1925,24192,3.58,621.54,,2589,688,6450,593,,,,7,,195 280030,01-JUL-15,06-FEB-16,Amended,CHI HEALTH-CREIGHTON UNIV MED CENTER ,601 NORTH 30TH STREET ,,OMAHA ,NE ,68131 ,DOUGLAS ,3611770,,,425344,,,.1557,3210197,777338,187,41327,7126,2598,21308,134.88,698.15,,1128,328,3880,488,,,,,, 280032,01-JAN-15,31-DEC-15,As Submitted,MARY LANNING MEMORIAL HOSPITAL ASSOC ,715 NORTH ST. JOSEPH AVENUE ,,HASTINGS ,NE ,68901 ,ADAMS ,,,,36913,120002,,.0501,,,96,35040,6931,2492,15122,,821.18,,1577,527,3255,,,,185,5,755,127 280040,01-JAN-15,31-DEC-15,As Submitted,NEBRASKA METHODIST HOSPITAL ,8303 DODGE STREET ,,OMAHA ,NE ,68114- ,DOUGLAS ,940299,,,499503,,,.0389,231878,115193,348,127020,27560,7581,97363,10.64,2562.93,,5510,451,18816,989,,,,6,,349 280060,01-JUL-15,30-JUN-16,As Submitted,CHI HEALTH BERGAN MERCY ,7500 MERCY ROAD ,,OMAHA ,NE ,68124- ,DOUGLAS ,3852375,,,2001768,,,.1801,2122857,737731,380,139080,27453,23956,89277,67.96,1551.65,,4763,1394,17182,1787,,,,,, 280061,01-JAN-15,31-DEC-15,As Submitted,REGIONAL WEST MEDICAL CENTER ,4021 AVENUE B ,,SCOTTSBLUFF ,NE ,69361 ,SCOTTS BLUFF ,,,,464479,,,.0852,,,122,44530,11942,4257,23399,,1089.53,,2531,1206,5902,,,,325,19,685,246 280065,01-JAN-15,31-DEC-15,As Submitted,GREAT PLAINS HEALTH ,601 W LEOTA ST ,1167 ,NORTH PLATTE ,NE ,69101 ,LINCOLN ,,,,140848,,,.0297,,,80,29200,11183,1910,18068,,865.65,,2635,509,5018,,,,148,,696, 280077,01-JUL-15,30-JUN-16,As Submitted,FREMONT HEALTH ,450 EAST 23RD. STREET ,,FREMONT ,NE ,68025- ,DODGE ,,,,72738,,,.037,,,81,30654,4639,1273,9184,,579.68,,1179,467,2675,,,,,,, 280081,01-JUL-15,30-JUN-16,As Submitted,CHI HEALTH IMMANUEL ,6901 NORTH 72ND STREET ,,OMAHA ,NE ,68122-1799 ,DOUGLAS ,882443,,,1061314,,,.1996,348638,83216,113,41358,12100,2841,38132,8.92,759.6,,2454,867,7412,495,,,1,32,457,588 280105,01-JUL-15,30-JUN-16,As Submitted,CHI HEALTH MIDLANDS ,11111 SOUTH 84TH STREET ,,PAPILLION ,NE ,68046- ,SARPY ,,,,,,,,,,40,14640,3083,49,5527,,200.63,,776,12,1597,39,,,,,, 280111,01-MAY-15,30-APR-16,Amended,COLUMBUS COMMUNITY HOSPITAL ,4600 38TH STREET ,1800 ,COLUMBUS NEBRASKA ,NE ,68602- ,PLATTE ,,,,63463,,,.041,,,47,17202,4319,1076,8596,,468.56,,983,260,2113,,,,,,, 280125,01-JAN-15,31-DEC-15,As Submitted,FAITH REGIONAL HEALTH SERVICES ,1500 KOENIGSTEIN AVE ,,NORFOLK ,NE ,68701- ,MADISON ,,,,,,,,,,114,48910,8757,2072,20964,,801.36,,1952,489,4920,,,,,1,,125 280127,01-JAN-15,31-DEC-15,As Submitted,LINCOLN SURGICAL HOSPITAL ,1710 SOUTH 70TH STREET ,,LINCOLN ,NE ,68506 ,LANCASTER ,,,,,,,,,,21,7665,1503,14,3202,,223.47,,626,9,1460,,,,,,, 280128,01-JUL-15,30-JUN-16,As Submitted,CHI HEALTH NEBRASKA HEART ,7500 SOUTH 91ST STREET ,,LINCOLN ,NE ,68526 ,LANCASTER ,,,,,,,,,,54,19764,4844,102,7373,,428.7,,1397,37,2124,,,,,,, 280129,01-JAN-15,31-DEC-15,As Submitted,NEBRASKA ORTHOPAEDIC HOSPITAL LLC ,2808 S 143RD PLAZA ,,OMAHA ,NE ,68144 ,DOUGLAS ,,,,,,,,,,24,8760,1986,38,4184,,305.15,,851,17,1899,,,,,,, 280130,01-JUL-15,30-JUN-16,As Submitted,CHI HEALTH LAKESIDE ,16901 LAKESIDE HILLS CT ,,OMAHA ,NE ,68130-2318 ,DOUGLAS ,,,,,,,,,,108,39528,11426,783,27441,,532.36,,2629,67,8057,353,,,,,, 280131,01-JAN-15,31-DEC-15,As Submitted,MIDWEST SURGICAL HOSPITAL ,7915 FARNAM DRIVE ,,OMAHA ,NE ,68114- ,DOUGLAS ,,,,,,,,,,19,6935,776,59,2071,,77.4,,324,31,898,13,,,,,, 280132,01-APR-15,31-MAR-16,As Submitted,BELLEVUE MEDICAL CENTER ,2500 BELLEVUE MEDICAL CENTER ,,BELLEVUE ,NE ,68123- ,SARPY ,,,,,,,,,,57,20862,5861,516,13580,,329.34,,1582,398,4516,,,,,,, 280133,01-JAN-15,31-DEC-15,As Submitted,NEBRASKA SPINE HOSPITAL ,6901 N. 72ND STREET STE 20300 ,,OMAHA ,NE ,68122 ,DOUGLAS ,,,,,,,,,,34,12410,862,118,2473,,56.74,,346,56,1051,,,,,,, 280134,01-JAN-15,31-DEC-15,Amended,KEARNEY REGIONAL MEDICAL CENTER ,804 22ND AVE ,,KEARNEY ,NE ,68845-2208 ,,,,,,,,,,,30,10950,3113,16,4799,,245.33,,955,6,1480,6,,,,,, 281300,01-JAN-15,31-DEC-15,Settled,HARLAN COUNTY HEALTH SYSTEM ,717 NORTH BROWN ,836 ,ALMA ,NE ,68920- ,HARLAN ,,,,,,,,,,19,6935,795,,824,,54.69,,36,,42,,,,,,, 281301,01-JUL-15,30-JUN-16,Settled,FILLMORE COUNTY HOSPITAL ,1900 F STREET ,193 ,GENEVA ,NE ,68361- ,FILLMORE ,,,,,,,,,,20,7320,828,70,1548,,114.02,,183,12,313,,,,,,71, 281302,01-JUL-15,30-JUN-16,Settled,PAWNEE COUNTY MEMORIAL HOSPITAL ,600 I STREET ,313 ,PAWNEE CITY ,NE ,68420- ,PAWNEE ,,,,,,,,,,17,6222,594,1,644,,44.13,,36,1,50,,,,,,, 281303,01-SEP-15,31-AUG-16,Settled,NIOBRARA VALLEY HOSPITAL ,HIGHWAY 12 & FIFTH STREET ,118 ,LYNCH ,NE ,68746- ,BOYD ,,,,,,,,,,20,7320,291,2,390,,20.17,,29,1,34,,,,,,, 281304,01-JUL-15,30-JUN-16,Settled,THAYER COUNTY HEALTH SERVICES ,120 PARK AVENUE ,49 ,HEBRON ,NE ,68370 ,THAYER ,,,,,,,,,,19,6954,1281,86,1609,,100.08,,221,22,343,,,,,,, 281305,01-JUL-15,30-JUN-16,Settled,KIMBALL COUNTY HOSPITAL ,505 SOUTH BURG ,,KIMBALL ,NE ,69145 ,KIMBALL ,,,,,,,,,,15,5490,863,54,1004,,61.63,,101,4,122,,,,,,, 281306,01-JUL-15,30-JUN-16,Settled,KEARNEY COUNTY HEALTH SERVICES ,727 EAST 1ST STREET ,,MINDEN ,NE ,68959- ,KEARNEY ,,,,,,,,,,10,3660,741,2,782,,67.19,,67,,88,,,,,,, 281307,01-JUL-15,30-JUN-16,Settled,SAUNDERS COUNTY HEALTH SERVICES ,1760 CO. RD. J ,,WAHOO ,NE ,68066- ,SAUNDERS ,,,,,,,,,,16,5856,739,,910,,126.39,,101,1,127,,,,,,, 281308,01-JUL-15,30-JUN-16,Settled,HENDERSON HEALTH CARE SERVICES ,1621 FRONT STREET ,,HENDERSON ,NE ,68371 ,YORK ,,,,,,,,,,13,4758,653,21,978,,56.56,,87,6,145,,,,,,, 281309,01-JUL-15,30-JUN-16,Settled,COMMUNITY MEMORIAL HOSPITAL ,1579 MIDLAND STREET ,N ,SYRACUSE ,NE ,68446 ,OTOE ,,,,,,,,,,18,6588,498,,597,,72,,92,,114,,,,,,, 281310,01-JAN-15,31-DEC-15,Settled,REGIONAL WEST GARDEN COUNTY HOSPITAL ,1100 WEST 2ND ST ,32 ,OSHKOSH ,NE ,69154- ,GARDEN ,,,,,,,,,,10,3650,125,30,159,,50.96,,27,2,30,,,,,,, 281311,01-JUL-15,30-JUN-16,Settled,FRANKLIN COUNTY MEMORIAL HOSPITAL ,1406 Q STREET ,315 ,FRANKLIN ,NE ,68939-0315 ,FRANKLIN ,,,,,,,,,,14,5124,245,4,299,,41.03,,36,2,48,,,,,,, 281312,01-JUL-15,30-JUN-16,Settled,GENOA COMMUNITY HOSPITAL ,709 EWING AVE ,,GENOA ,NE ,68640 ,NANCE ,,,,,,,,,,17,6222,698,12,771,,43.78,,57,4,75,,,,,,, 281313,01-JUL-15,30-JUN-16,Amended,GOTHENBURG MEMORIAL HOSP ,910 20TH STREET ,469 ,GOTHENBURG ,NE ,69138- ,DAWSON ,,,,,,,,,,12,4392,777,118,1250,,116.36,,114,27,239,,,,,,, 281314,01-JUL-15,30-JUN-16,Settled,ANNIE JEFFREY MEM. CNTY HLTH. CTR. ,531 BEEBE ,428 ,OSCEOLA ,NE ,68651-0428 ,POLK ,,,,,,,,,,15,5490,467,38,642,,48.46,,72,9,121,,,,,,, 281315,01-MAY-15,30-APR-16,Settled,BRODSTONE MEMORIAL HOSPITAL ,520 EAST 10TH STREET ,187 ,SUPERIOR ,NE ,68978-0187 ,NUCKOLLS ,,,,,,,,,,25,9150,1849,110,2296,,141.46,,312,26,432,,,,,,, 281316,01-JUL-15,30-JUN-16,Settled,WEBSTER COUNTY COMMUNITY HOSPITAL ,6TH & FRANKLIN ST ,465 ,RED CLOUD ,NE ,68970-0465 ,WEBSTER ,,,,,,,,,,13,4758,819,5,942,,33.43,,80,3,94,,,,,,, 281318,01-JUL-15,30-JUN-16,Settled,MORRILL COUNTY COMMUNITY HOSPITAL ,1313 S STREET ,579 ,BRIDGEPORT ,NE ,69336- ,MORRILL ,,,,,,,,,,20,7320,406,,537,,83.09,,76,,113,,,,,,, 281319,01-OCT-14,30-SEP-15,Settled,JEFFERSON COMMUNITY HEALTH CENTER ,2200 NORTH H STREET ,277 ,FAIRBURY ,NE ,68352- ,JEFFERSON ,,,,,,,,,,17,6413,899,32,1207,,114.73,,114,27,188,,,,,,, 281320,01-OCT-14,30-SEP-15,Settled,MEMORIAL COMMUNITY HEALTH INC. ,1423 7TH STREET ,,AURORA ,NE ,68818- ,HAMILTON ,,,,,,,,,,14,5110,1135,56,1492,,185.72,,112,2,196,14,,,,,, 281321,01-JUL-15,30-JUN-16,Settled,OAKLAND MERCY ,601 EAST 2ND STREET ,,OAKLAND ,NE ,68045 ,BURT ,,,,,,,,,,16,5856,615,14,700,,76.68,,96,3,113,,,,,,, 281322,01-JAN-15,31-DEC-15,Settled,SAINT FRANCIS MEMORIAL HOSPITAL ,430 NORTH MONITOR STREET ,,WEST POINT ,NE ,68788 ,DODGE ,,,,,,,,,,25,9125,2046,60,2902,,138.74,,286,14,451,22,,,,,, 281323,01-JUL-15,30-JUN-16,Amended,CHI HEALTH SCHUYLER ,104 WEST 17TH STREET ,,SCHUYLER ,NE ,68661-1396 ,COLFAX ,,,,,,,,,,25,9150,196,1,294,,51.45,,27,1,53,,,,,,, 281324,01-MAY-15,30-APR-16,Settled,NEMAHA COUNTY HOSPITAL ,2022 13TH STREET ,,AUBURN ,NE ,68305- ,NEMAHA ,,,,,,,,,,16,5856,1063,1,1188,,81.42,,121,1,157,,,,,,, 281325,01-JUL-15,30-JUN-16,Settled,BROWN COUNTY HOSPITAL ,945 EAST ZERO ,,AINSWORTH ,NE ,69210- ,BROWN ,,,,,,,,,,23,8418,969,14,1191,,63.2,,75,4,94,,,,,,, 281326,01-JUL-15,30-JUN-16,Settled,ANTELOPE MEMORIAL HOSPITAL ,102 WEST 9TH STREET ,,NELIGH ,NE ,68756- ,ANTELOPE ,,,,,,,,,,20,7320,1601,45,1883,,101.47,,174,20,238,,,,,,, 281327,01-MAY-15,30-APR-16,Settled,COZAD COMMUNITY HOSPITAL ,300 EAST 12TH STREET ,108 ,COZAD ,NE ,69130- ,DAWSON ,,,,,,,,,,20,7320,900,293,1616,,119.36,,158,67,326,,,,,,, 281328,01-JUL-15,30-JUN-16,Settled,LITZENBERG MEMORIAL COUNTY HOSPITAL ,1715 26TH STREET ,,CENTRAL CITY ,NE ,68826- ,MERRICK ,,,,,,,,,,20,7320,1157,44,1367,,83.23,,159,11,212,,,,,,, 281329,01-JUL-15,30-JUN-16,Settled,AVERA ST. ANTHONYS HOSPITAL ,300 N 2ND STREET ,,ONEILL ,NE ,68763-1173 ,HOLT ,,,,,,,,,,25,9150,2490,110,3556,,194.97,,465,17,807,50,,,,,, 281330,01-OCT-14,30-SEP-15,Reopened,WARREN MEMORIAL HOSPITAL ,905 2ND STREET ,,FRIEND ,NE ,68359 ,SALINE ,,,,,,,,,,12,4380,493,,753,,27.58,,2,,2,,,,,,, 281331,01-JUL-15,30-JUN-16,Settled,AVERA CREIGHTON HOSPITAL ,1503 MAIN STREET ,186 ,CREIGHTON ,NE ,68729 ,KNOX ,,,,,,,,,,23,8418,844,27,1070,,75.5,,88,14,120,,,,,,, 281332,01-JUL-15,30-JUN-16,Settled,BUTLER COUNTY HEALTH CARE CENTER ,372 SOUTH 9TH STREET ,,DAVID CITY ,NE ,68632-2199 ,BUTLER ,,,,,,,,,,20,7320,1092,80,1604,,95.5,,191,26,326,,,,,,, 281333,01-JUL-15,30-JUN-16,Settled,ROCK COUNTY HOSPITAL ,102 EAST SOUTH STREET ,,BASSETT ,NE ,68714 ,ROCK ,,,,,,,,,,24,8784,489,2,853,,53.41,,76,1,89,,,,,,, 281334,01-OCT-14,30-SEP-15,Settled,BOONE COUNTY HEALTH CENTER ,723 WEST FAIRVIEW ,,ALBION ,NE ,68620- ,BOONE ,,,,,,,,,,25,9125,2291,97,3076,,174.75,,374,35,580,,,,,,, 281335,01-AUG-15,31-JUL-16,Settled,CALLAWAY DISTRICT HOSPITAL ,211 EAST KIMBALL ,100 ,CALLAWAY ,NE ,68825-0100 ,CUSTER ,,,,,,,,,,12,4392,547,1,722,,36.47,,129,1,163,,,,,,, 281336,01-OCT-14,30-SEP-15,Settled,YORK GENERAL HOSPITAL INC ,2222 LINCOLN AVENUE ,,YORK ,NE ,68467- ,YORK ,,,,,,,,,,25,9125,2319,131,3332,,234.34,,465,45,781,17,,,,,, 281338,01-JUL-15,30-JUN-16,As Submitted,HOWARD COUNTY MEDICAL CENTER ,1113 SHERMAN STREET ,406 ,SAINT PAUL ,NE ,68873-0406 ,HOWARD ,,,,,,,,,,25,9150,1103,32,1416,,100.8,,178,30,278,,,,,,, 281339,01-OCT-14,30-SEP-15,Settled,MEMORIAL HEALTH CARE SYSTEMS ,300 NORTH COLUMBIA AVENUE ,,SEWARD ,NE ,68434- ,SEWARD ,,,,,,,,,,24,8760,2557,63,3183,,157.71,,332,6,505,23,,,,,, 281340,01-MAR-15,29-FEB-16,Settled,DUNDY COUNTY HOSPITAL ,1313 NORTH CHEYENNE STREET ,,BENKELMAN ,NE ,69021-3074 ,DUNDY ,,,,,,,,,,14,5124,400,40,833,,63.91,,66,8,94,,,,,,, 281341,01-OCT-14,30-SEP-15,Settled,CHADRON COMMUNITY HOSPITAL ,825 CENTENNIAL DRIVE ,,CHADRON ,NE ,69337-9400 ,DAWES ,,,,,,,,,,25,9125,957,287,1979,,131.32,,209,76,529,,,,,,, 281342,01-JUL-15,30-JUN-16,Amended,SAINT MARYS HOSPITAL ,1301 GRUNDMAN BLVD ,,NEBRASKA CITY ,NE ,68410-3319 ,OTOE ,,,,,,,,,,18,6588,731,203,1465,,168.34,,149,53,410,,,,,,, 281343,01-JUL-15,30-JUN-16,Settled,WEST HOLT MEMORIAL HOSPITAL ,406 WEST NEELY STREET ,,ATKINSON ,NE ,68713-0200 ,HOLT ,,,,,,,,,,17,6222,773,19,839,,67.5,,104,2,123,,,,,,, 281344,01-APR-15,31-MAR-16,Settled,CHERRY COUNTY HOSPITAL ,510 NORTH GREEN STREET ,410 ,VALENTINE ,NE ,69201- ,CHERRY ,,,,,,,,,,25,9150,997,338,1777,,89.38,,192,94,430,,,,,,, 281345,01-JAN-15,31-DEC-15,Settled,PROVIDENCE MEDICAL CENTER ,1200 PROVIDENCE ROAD ,,WAYNE ,NE ,68787-1299 ,WAYNE ,,,,,,,,,,25,9125,1106,70,1743,,149.86,,182,31,335,,,,,,, 281346,01-JUL-15,30-JUN-16,Settled,CHI HEALTH PLAINVIEW ,704 N 3RD STREET ,489 ,PLAINVIEW ,NE ,68769- ,PIERCE ,,,,,,,,,,15,5490,535,,632,,40.54,,67,,92,9,,,,,, 281347,01-JUL-15,30-JUN-16,Settled,OSMOND GENERAL HOSPITAL ,402 NORTH MAPLE ,,OSMOND ,NE ,68765- ,PIERCE ,,,,,,,,,,21,7686,665,,1814,,48.39,,72,1,85,,,,,,, 281348,01-MAY-15,30-APR-16,Settled,TRI VALLEY HEALTH SYSTEM ,WEST HIGHWAY 6 AND 34 ,488 ,CAMBRIDGE ,NE ,69022- ,FURNAS ,,,,,,,,,,20,7455,2176,77,2517,,119.58,,186,22,287,,,,,,, 281349,01-JUL-15,30-JUN-16,Settled,PENDER COMMUNITY HOSPITAL DISTRICT ,100 HOSPITAL DRIVE ,100 ,PENDER ,NE ,68047 ,THURSTON ,,,,,,,,,,21,7686,2026,196,3050,,104.9,,193,37,409,,,,,,, 281350,01-JUL-15,30-JUN-16,Settled,JOHNSON COUNTY HOSPITAL ,202 HIGH STREET ,,TECUMSEH ,NE ,68450 ,JOHNSON ,,,,,,,,,,18,6588,862,6,1017,,76.57,,95,2,115,,,,,,, 281351,01-JUL-15,30-JUN-16,Settled,CHASE COUNTY COMMUNITY HOSPITAL ,600 WEST 12TH STREET ,819 ,IMPERIAL ,NE ,69033- ,CHASE ,,,,,,,,,,22,8052,448,17,570,,62.73,,63,7,91,,,,,,, 281352,01-AUG-15,31-JUL-16,Settled,COMMUNITY MEDICAL CENTER INC. ,3307 BARADA STREET ,399 ,FALLS CITY ,NE ,68355 ,RICHARDSON ,,,,,,,,,,24,8784,2226,142,2914,,140.61,,379,36,595,,,,,,, 281353,01-JUL-15,30-JUN-16,Settled,VALLEY COUNTY HEALTH SYSTEM ,2707 L STREET ,,ORD ,NE ,68862- ,VALLEY ,,,,,,,,,,16,5856,2080,13,2326,,129.25,,203,2,268,,,,,,, 281354,01-JAN-15,31-DEC-15,Settled,CRETE AREA MEDICAL CENTER ,2910 BETTEN DRIVE ,,CRETE ,NE ,68333- ,SALINE ,,,,,,,,,,24,8760,543,211,1069,,109.78,,116,54,263,,,,,,, 281355,01-JAN-15,31-DEC-15,Settled,OGALLALA COMMUNITY HOSPITAL ,2601 NORTH SPRUCE ,,OGALLALA ,NE ,69153- ,KEITH ,,,,,,,,,,18,6570,1063,152,1595,,96.86,,238,46,398,,,,,,, 281356,01-JUL-15,30-JUN-16,Settled,PERKINS COUNTY HEALTH SERVICES ,902 CENTRAL AVENUE ,,GRANT ,NE ,69140- ,PERKINS ,,,,,,,,,,20,7320,1281,130,1807,,125.79,,204,35,344,,,,,,, 281357,01-JAN-15,31-DEC-15,Settled,SIDNEY REGIONAL MEDICAL CENTER ,1000 POLE CREEK CROSSING ,,SIDNEY ,NE ,69162- ,CHEYENNE ,,,,,,,,,,19,6935,1544,144,2483,,234.24,,358,47,693,,,,,,, 281358,01-JUL-15,30-JUN-16,Settled,GORDON MEMORIAL HOSPITAL DISTRICT ,300 E 8TH STREET ,,GORDON ,NE ,69343 ,SHERIDAN ,,,,,,,,,,25,9150,546,75,884,,64.34,,96,19,176,,,,,,, 281359,01-JAN-15,31-DEC-15,Settled,MEMORIAL COMMUNITY HOSPITAL ,810 N 22ND ST ,250 ,BLAIR ,NE ,68008 ,WASHINGTON ,,,,,,,,,,21,7665,988,114,1707,,160.66,,205,47,364,,,,,,, 281360,01-JUL-15,30-JUN-16,As Submitted,BOX BUTTE GENERAL HOSPITAL ,2101 BOX BUTTE AVENUE ,810 ,ALLIANCE ,NE ,69301 ,BOX BUTTE ,,,,,,,,,,25,9150,2215,236,3228,,226.5,,423,66,759,,,,,,, 281361,01-JUL-15,30-JUN-16,Settled,LEXINGTON REGIONAL HEALTH CENTER ,1201 N ERIE STREET ,980 ,LEXINGTON ,NE ,68850 ,DAWSON ,,,,,,,,,,25,9125,1130,205,2268,,190.61,,115,31,431,104,,,,,, 281362,01-JAN-15,31-DEC-15,Settled,PHELPS MEMORIAL HEALTH CENTER ,1215 TIBBALS ,630 ,HOLDREGE ,NE ,68949- ,PHELPS ,,,,,,,,,,25,9125,3535,229,4897,,207.63,,638,57,889,,,,,,, 281363,01-JUL-15,30-JUN-16,Settled,COMMUNITY HOSPITAL ASSOCOCIATION ,1301 EAST H STREET ,1328 ,MCCOOK ,NE ,69001-1328 ,RED WILLOW ,,,,,,,,,,25,9150,2418,253,3593,,228.84,,517,105,847,,,,,,, 281364,01-OCT-14,30-SEP-15,As Submitted,BEATRICE COMMUNITY HOSPITAL ,4800 HOSPITAL PARKWAY ,,BEATRICE ,NE ,68310- ,GAGE ,,,,,,,,,,25,9125,2657,406,4477,,312.7,,499,122,942,,,,,,, 281365,01-OCT-14,30-SEP-15,Settled,JENNIE M. MELHAM MEMORIAL MED CENTER ,145 E. MEMORIAL DRIVE ,,BROKEN BOW ,NE ,68822- ,CUSTER ,,,,,,,,,,23,8395,1773,173,2450,,103.2,,362,50,573,,,,,,, 282000,01-JUL-15,30-JUN-16,Settled,MADONNA REHABILITATION LTC HOSPITAL ,5401 SOUTH STREET ,,LINCOLN ,NE ,68506-2134 ,LANCASTER ,,,,,,,,,,96,35136,7960,1175,14655,,118.37,,253,16,440,,,,,,, 282001,01-JUL-15,30-JUN-16,Settled,SSH - OMAHA INC. ,1870 SOUTH 75TH STREET ,,OMAHA ,NE ,68124 ,DOUGLAS ,,,,,,,,,,52,19032,12699,91,14536,,153.49,,513,1,588,,,,,,, 282002,01-FEB-15,31-JAN-16,Settled,SSH - LINCOLN ,2300 SOUTH 16TH STREET 7TH FLOOR ,,LINCOLN ,NE ,68506 ,LANCASTER ,,,,,,,,,,24,8760,4539,,5733,,59.6,,174,,222,,,,,,, 282003,01-MAR-15,29-FEB-16,Settled,MADONNA REHABILITATION SYSTEMS ,2500 BELLEVUE MEDICAL CENTER DR ,4TH FLOOR ,BELLEVUE ,NE ,68123-1591 ,SARPY ,,,,,,,,,,32,11712,3007,,5072,,42.76,,116,,182,,,,,,, 283025,01-JUL-15,30-JUN-16,Amended,MADONNA REHABILITATION HOSPITAL ,5401 SOUTH STREET ,,LINCOLN ,NE ,68506-2134 ,LANCASTER ,,,,,,,,,,96,35136,3690,264,21301,,163.19,,194,9,677,139,,,,,, 283300,01-JAN-15,31-DEC-15,Settled,BOYS TOWN NATIONAL RESEARCH HOSPITAL ,555 NORTH 30TH STREET ,,OMAHA ,NE ,68131 ,DOUGLAS ,,,,,,,,,,61,22265,,199,472,,671.5,,,63,172,,,,,,, 283301,01-JAN-15,31-DEC-15,Settled,CHILDRENS HOSPITAL & MEDICAL CENTER ,8200 DODGE STREET ,,OMAHA ,NE ,68114-4113 ,DOUGLAS ,,,,,,,,,1010,140,51100,21,15953,36093,31.09,1665.54,,3,791,4669,,,,,,, 284003,01-JUL-15,30-JUN-16,Settled,LINCOLN REGIONAL CENTER ,FOLSON & PROSPECTOR ,94949 ,LINCOLN ,NE ,68509-4949 ,LANCASTER ,,,,,,,,,,248,90520,762,3372,83578,,490.48,,19,9,34,,,,,,, 284009,01-JUL-15,30-JUN-16,Settled,DOUGLAS COUNTY HOSPITAL ,4102 WOOLWORTH AVENUE ,,OMAHA ,NE ,68105- ,DOUGLAS ,,,,,,,,,,16,5856,824,682,3657,,98,,176,173,929,,,,,,, 290001,01-JUL-15,30-JUN-16,Amended,RENOWN REGIONAL MEDICAL CENTER ,1155 MILL STREET ,,RENO ,NV ,89502-1576 ,WASHOE ,3777377,,,4008205,,,.1692,1529887,559420,619,226554,47387,20549,149390,56.93,2784,,7882,4113,31192,3810,,,,,, 290002,01-APR-15,31-MAR-16,As Submitted,SOUTH LYON MEDICAL CENTER ,WHITAKER & SURPRISE ,940 ,YERINGTON ,NV ,89447 ,LYON ,,,,,,,,,,14,5124,112,14,272,,90.19,,33,5,77,,,,,,, 290003,01-FEB-15,31-JAN-16,Amended,SUNRISE HOSPITAL AND MEDICAL CENTER ,3186 MARYLAND PARKWAY ,,LAS VEGAS ,NV ,89109-2317 ,CLARK ,1376336,,,7346839,,,.3778,467547,78299,566,217612,40539,36877,189710,18.16,2607.14,,6977,6024,31433,13753,,,,,,1026 290005,01-MAR-15,31-DEC-15,As Submitted,NORTH VISTA HOSPITAL ,1409 EAST LAKE MEAD BLVD ,,NORTH LAS VEGAS ,NV ,89030 ,CLARK ,,,,2096128,,,.4217,,,127,38862,8701,9564,29791,,494.23,,1917,1477,7271,1265,,,300,,797, 290006,01-JAN-15,11-OCT-15,Amended,BANNER CHURCHILL COMMUNITY HOSPITAL ,801 EAST WILLIAMS ,,FALLON ,NV ,89406 ,CHURCHILL ,,,,123467,,,.12,,,25,7100,2121,1008,4267,,232,,525,305,1226,,,,,,, 290007,01-JUL-15,30-JUN-16,Amended,UNIVERSITY MEDICAL CENTER ,1800 WEST CHARLESTON BLVD. ,,LAS VEGAS ,NV ,89102 ,CLARK ,4543157,,,3447276,,,.4091,2946194,721360,520,190320,19533,39256,128726,190.53,3316.57,,2805,7774,22739,,,,,,, 290008,01-JUL-15,30-JUN-16,As Submitted,NORTHEASTERN NEVADA REGIONAL HOSPITA ,2001 ERRECART BOULEVARD ,,ELKO ,NV ,89801 ,ELKO ,,,,71704,,,.0571,,,59,21594,2769,755,6203,,275.63,,791,333,1994,,,,,,, 290009,01-JAN-15,31-DEC-15,As Submitted,ST MARYS REGIONAL MEDICAL CENTER ,235 WEST SIXTH STREET ,,RENO ,NV ,89503-4548 ,WASHOE ,,,,2012903,,,.1542,,,252,91980,19477,6916,63470,,1490,,4864,972,15487,,,,,,, 290012,01-JUL-15,30-JUN-16,As Submitted,ST. ROSE DOMINICAN - DELIMA ,102 EAST LAKE MEAD DRIVE ,,HENDERSON ,NV ,89015 ,CLARK ,,,,452593,,,.1115,,,81,29646,8103,2120,21232,,596.76,,1598,712,4411,,,,,,,370 290019,01-JAN-15,31-DEC-15,As Submitted,CARSON TAHOE REGIONAL HEALTHCARE ,1600 MEDICAL PARKWAY ,,CARSON CITY ,NV ,89702 ,CARSON CITY ,,,,874059,,,.0699,,,169,59249,20679,7462,41340,,1023.85,,5051,1814,10498,,,,503,2,1350,56 290021,01-JAN-15,31-DEC-15,Amended,VALLEY HOSPITAL MEDICAL CENTER ,620 SHADOW LANE ,,LAS VEGAS ,NV ,89106 ,LAS VEGAS ,5856716,,,2734991,,,.325,2982165,486969,266,97090,17721,19725,74307,79.64,1264.68,,3143,2532,13798,,,,,2,,411 290022,01-JAN-15,31-DEC-15,Amended,DESERT SPRINGS HOSPITAL MEDICAL CNTR ,2075 EAST FLAMINGO ROAD ,,LAS VEGAS ,NV ,89119 ,LAS VEGAS ,,,,1121576,,,.1391,,,239,87235,16339,5591,54475,,1014.7,,3163,803,11273,1216,7,,107,8,477,480 290032,01-JAN-15,31-DEC-15,Amended,NORTHERN NEVADA MEDICAL CENTER ,2375 EAST PRATER WAY ,,SPARKS ,NV ,89431 ,WASHOE ,,,,258420,,,.0749,,,72,26280,5097,990,11469,,361.5,,1423,232,3284,352,,,10,3,400,128 290039,01-JAN-15,31-DEC-15,Amended,MOUNTAIN VIEW HOSPITAL ,3100 N. TENAYA WAY ,,LAS VEGAS ,NV ,89128 ,CLARK ,,,,2657381,,,.1446,,,301,109865,37833,10611,97661,,1303.03,,7250,1814,20353,2699,,,,,,895 290041,01-JAN-15,31-DEC-15,Amended,SUMMERLIN HOSPITAL MEDICAL CENTER ,657 TOWN CENTER DRIVE ,,LAS VEGAS ,NV ,89114 ,LAS VEGAS ,,,,1587336,,,.1765,,,406,148190,19870,11542,96656,,1548.26,,3605,1037,19457,3274,,,,125,,755 290042,01-JAN-15,31-DEC-15,Settled,THI OF NEVADA AT LAS VEGAS ,2170 E HARMON AVENUE ,,LAS VEGAS ,NV ,89119 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 290045,01-JUL-15,30-JUN-16,As Submitted,ST. ROSE DOMINICAN - SIENA ,3001 ST ROSE PARKWAY ,,HENDERSON ,NV ,89052 ,CLARK ,2087897,,,1331691,,,.0983,339248,94314,326,94810,24446,5007,87603,16.36,1844.54,,4533,1115,19840,,,,,,, 290046,01-JAN-15,31-DEC-15,Amended,SPRING VALLEY HOSPITAL MEDICAL CNTR ,5400 SOUTH RAINBOW BLVD ,,LAS VEGAS ,NV ,89119 ,LAS VEGAS ,,,,1559631,,,.2118,,,210,76650,13684,8842,67370,,1065.28,,2609,994,14349,,,,,18,,688 290047,01-FEB-15,31-JAN-16,Amended,SOUTHERN HILLS HOSPITAL & MEDICAR CT ,9300 WEST SUNSET RD ,,LAS VEGAS ,NV ,89148 ,CLARK ,,,,869409,,,.1392,,,120,43800,11579,2839,35961,,590.15,,2369,610,8368,1307,,,41,,385, 290049,01-JUL-15,30-JUN-16,As Submitted,RENOWN SOUTH MEADOWS MED CTR ,1155 MILL STREET ,,RENO ,NV ,89502 ,WASHOE ,,,,62768,,,.0272,,,76,27816,3678,511,9229,,361.17,,1082,129,3064,,,,,43,,402 290051,01-JAN-15,31-MAR-15,Settled,SIERRA SURGERY HOSPITAL LLC ,1400 MEDICAL PARKWAY ,,CARSON CITY ,NV ,89703- ,CARSON CITY ,,,,,,,,,,15,1350,248,16,437,,110.2,,98,8,184,,,,,,, 290053,01-JUL-15,30-JUN-16,As Submitted,ST. ROSE DOMINICAN - SAN MARTIN ,8280 WEST WARM SPRINGS ROAD ,,LAS VEGAS ,NV ,89113 ,CLARK ,,,,546365,,,.0959,,,147,53802,11567,2604,36702,,677.89,,1979,434,8231,,,,,,, 290054,01-JAN-15,31-DEC-15,Amended,CENTENNIAL HILLS HOSPITAL ,6900 N. DURANGO DRIVE ,,LAS VEGAS ,NV ,89149 ,LAS VEGAS ,,,,1078051,,,.158,,,190,69350,12752,5960,50446,,827.98,,2706,805,12436,2770,,,,,, 291300,01-JUL-15,30-JUN-16,Settled,MT. GRANT GENERAL HOSPITAL ,1ST AND A STREETS ,1510 ,HAWTHORNE ,NV ,89415 ,MINERAL ,,,,,,,,,,11,4026,1833,127,2395,,61.96,,191,53,313,,,,,,, 291301,01-JUL-15,30-JUN-16,As Submitted,INCLINE VILLAGE HOSPITAL ,880 ALDER AVENUE ,,INCLNE VILLAGE ,NV ,89451- ,WASHOE ,,,,,,,,,,4,1464,5,,12,,31.62,,2,,6,,,,,,, 291302,01-JUL-15,30-JUN-16,As Submitted,WILLIAM BEE RIRIE HOSPITAL ,1500 AVENUE G ,,ELY ,NV ,89301 ,WHITE PINE ,,,,,,,,,,25,9150,768,184,1336,,134.62,,195,73,520,,,,,,, 291303,01-JUL-15,30-JUN-16,Settled,BATTLE MOUNTAIN GENERAL HOUSPITAL ,535 HUMBOLDT STREET ,,BATTLE MOUNTAIN ,NV ,89820 ,LANDER ,,,,,,,,,,5,1830,83,4,198,,88.74,,24,1,53,,,,,,, 291304,01-JUL-15,30-JUN-16,Settled,PERSHING GENERAL HOSPITAL ,855 6TH STREET ,661 ,LOVELOCK ,NV ,89419 ,PERSHING ,,,,,,,,,,13,4758,289,18,352,,57.35,,22,7,40,,,,,,, 291306,01-JAN-15,31-DEC-15,Settled w/Audit,CARSON VALLEY MEDICAL CENTER ,1107 US HIGHWAY 395 ,,GARDNERVILLE ,NV ,89410 ,DOUGLAS ,,,,,,,,,,23,8395,2092,243,2992,,240.44,,574,88,911,1,,,,,, 291307,01-AUG-15,31-JUL-16,As Submitted,MESA VIEW REGIONAL HOSPITAL ,1299 BERTHA HOWE AVE ,,MESQUITE ,NV ,89027- ,CLARK COUNTY ,,,,,,,,,,25,9150,1481,428,2628,,149.41,,368,119,766,,,,,,, 291308,01-JUL-15,30-JUN-16,As Submitted,HUMBOLDT GENERAL HOSPITAL ,118 EAST HASKELL ,,WINNEMUCCA ,NV ,89445- ,HUMBOLDT ,,,,,,,,,,23,8418,1233,755,2985,,174.97,,224,346,1056,,,,,,, 291309,01-JAN-15,31-DEC-15,Settled w/Audit,BOULDER CITY HOSPITAL ,901 ADAMS BLVD ,,BOULDER CITY ,NV ,89005-2247 ,CLARK ,,,,,,,,,,25,9125,2497,5,3486,,139.09,,182,2,225,,,,68,8,241,32 291311,01-JAN-15,31-DEC-15,Settled,DESERT VIEW REGIONAL MEDICAL CENTER ,360 S LOLA LANE ,,PAHRUMP ,NV ,89048- ,NYE ,,,,,,,,,,25,9125,1881,442,4538,,222.64,,526,157,1394,,,,,,, 291312,01-JUL-15,30-JUN-16,Settled,GROVER C DILS MEDICAL CENTER ,700 N. SPRING STREET ,,CALIENTE ,NV ,89008- ,LINCOLN ,,,,,,,,,,4,1464,474,22,586,,34.98,,68,8,101,,,,,,, 292002,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL LAS VEGAS ,5110 WEST SAHARA AVENUE ,,LAS VEGAS ,NV ,89146 ,CLARK ,,,,,,,,,,146,53436,21795,1313,33825,,338.2,,768,36,1127,4,,,,,, 292003,01-JUN-15,31-MAY-16,As Submitted,HORIZON SPEC HOSPITAL-LASVEGAS ,640 DESERT LANE ,,LAS VEGAS ,NV ,89106 ,CLARK ,,,,,,,,,,100,36600,4948,998,17794,,98,,193,20,635,,,,,,, 292004,01-SEP-15,31-AUG-16,As Submitted,TAHOE PACIFIC HOSPITAL INC. ,10101 DOUBLE R BLVD. ,,RENO ,NV ,89521-5931 ,WASHOE ,,,,,,,,,,60,21960,10026,,13795,,115.4,,338,,460,,,,,,, 292006,01-SEP-15,31-AUG-16,As Submitted,COMPLEX CARE HOSPITAL AT TENAYA ,2500 NORTH TENAYA WAY ,,LAS VEGAS ,NV ,89128 ,CLARK ,,,,,,,,,,70,25620,16076,400,21364,,188.14,,604,15,785,,,,,,, 292007,01-JAN-15,30-APR-15,Settled,PROGRESSIVE HOSPITAL LLC ,4015 MCLOUD DR. ,,LAS VEGAS ,NV ,89121 ,CLARK ,,,,,,,,,,24,2880,773,499,1613,,58.78,,25,16,50,,,,,,, 292007,01-MAY-15,31-AUG-15,Settled,LAS VEGAS AMG SPECIALTY HOSPITAL ,4015 MCLOUD DR. ,,LAS VEGAS ,NV ,89121 ,CLARK ,,,,,,,,,,24,2952,449,351,1026,,37.21,,17,11,41,,,,,,, 292007,01-SEP-15,31-AUG-16,As Submitted,LAS VEGAS AMG SPECIALTY HOSPITAL ,4015 MCLOUD DR. ,,LAS VEGAS ,NV ,89121 ,CLARK ,,,,,,,,,,24,8784,3001,472,4286,,46.31,,118,20,170,,,,,,, 292008,01-JAN-15,31-DEC-15,Settled,CARSON TAHOE CONTINUING CARE HOSPITA ,775 FLEISCHMANN WAY ,,CARSON CITY ,NV ,89703 ,CARSON CITY ,,,,,,,,,,29,10585,5900,366,8044,,65.7,,234,19,265,,,,,,, 293026,01-JAN-15,31-DEC-15,Settled,HEALTHSOUTH REHABLITATON HOSPITAL OF ,1250 SOUTH VALLEY VIEW BLVD ,,LAS VEGAS ,NV ,89102 ,CLARK ,,,,,,,,,,79,28835,12191,1211,21387,,187.46,,1007,80,1675,112,,,,,, 293032,01-JAN-15,31-DEC-15,Settled,HEALTHSOUTH REHABILITATION HOSPITAL ,10301 JEFFREYS STREET ,,HENDERSON ,NV ,89052-0000 ,CLARK ,,,,,,,,,,90,32850,17582,506,25531,,219.07,,1299,28,1803,57,,,,,, 293033,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH DESERT CANYON REHABILITA ,9175 WEST OQUENDO ROAD ,,LAS VEGAS ,NV ,89148 ,CLARK ,,,,,,,,,,50,18250,8787,464,14318,,131.52,,767,31,1190,24,,,,,, 294000,01-JUL-15,30-JUN-16,Amended,NORTHERN NEVADA ADULT MENTAL HEALTH ,480 GALETTI WAY ,,SPARKS ,NV ,89431 ,WASHOE ,,,,,,,,,,70,25620,1128,37,7010,,277.07,,88,16,876,,,,,,, 294002,01-JUL-15,30-JUN-16,Amended,SOUTHERN NEVADA ADULT MENTAL HEALTH ,6161 W. CHARLESTON ,,LAS VEGAS ,NV ,89146 ,CLARK ,,,,,,,,,,289,105774,1321,,50640,,667.06,,86,,1869,,,,,,, 294003,01-NOV-14,31-OCT-15,Settled,WEST HILLS HOSPITAL ,1240 EAST 9TH STREET ,,RENO ,NV ,89512 ,WASHOE ,,,,,,,,,,95,34675,4996,2803,19984,,115.73,,598,424,3325,,,,,,, 294008,01-JAN-15,31-DEC-15,Settled,RED ROCK HOSPITAL ,5975 WEST TWAINTREET ,,LAS VEGAS ,NV ,89103 ,CLARK ,,,,,,,,,,21,7665,3472,649,6341,,37.31,,228,69,499,,,,,,, 294009,01-JAN-15,31-DEC-15,Settled,MONTEVISTA HOSPITAL ,5900 WEST ROCHELLE AVENUE ,,LAS VEGAS ,NV ,89103 ,CLARK ,,,,,,,,,,159,57906,5952,25783,41489,,265.76,,550,2141,3862,,,,,,, 294010,01-JAN-15,31-DEC-15,Settled,SPRING MOUNTAIN SAHARA ,5640 WEST SAHARA AVENUE ,,LAS VEGAS ,NV ,89146 ,CARSON ,,,,,,,,,,30,10950,5204,76,7956,,52.59,,413,7,779,,,,,,, 294011,01-JAN-15,31-DEC-15,Settled,SPRING MOUNTAIN TREATMENT CENTER ,7000 WEST SPRING MOUNTAIN ROAD ,,LAS VEGAS ,NV ,89117-3816 ,CLARK ,,,,,,,,,,110,35922,6712,3620,24420,,157.24,,661,517,3369,,,,,,, 294012,01-JUL-15,30-JUN-16,As Submitted,SEVEN HILLS BEHAVIORAL INSTITUTE ,3021 W. HORIZON RIDGE PARKWAY ,,HENDERSON ,NV ,89052-3990 ,CLARK ,,,,,,,,,,105,38430,5195,1015,34150,,177.07,,556,124,5257,,,,,,, 294013,01-JAN-15,31-DEC-15,Settled,DESERT PARKWAY BEHAVIORAL HEALTHCARE ,3247 S MARYLAND PKWY ,,LAS VEGAS ,NV ,89109-2412 ,CLARK ,,,,,,,,,,83,30295,8902,2670,24905,,68.66,,660,251,2677,,,,,,, 300001,01-OCT-14,30-SEP-15,As Submitted,CONCORD HOSPITAL INC. ,250 PLEASANT STREET ,,CONCORD ,NH ,03301 ,MERRIMACK ,4573543,,,521154,,,.041,905683,603230,191,64587,26338,8823,56836,26.82,2598,,5704,1497,11994,,,,97,,406, 300003,01-JUL-15,30-JUN-16,Amended,MARY HITCHCOCK MEMORIAL HOSP ,ONE MEDICAL CENTER DRIVE ,,LEBANON ,NH ,03756-0001 ,GRAFTON ,39223275,,,3154103,,,.1209,6477490,4832557,384,139678,50808,4043,114968,343,3076,,8171,473,19021,3918,367,,71,,1165, 300005,01-OCT-14,30-SEP-15,As Submitted,LAKES REGION GENERAL HOSPITAL ,80 HIGHLAND STREET ,,LACONIA ,NH ,03246 ,BELKNAP ,,,,232085,,,.0429,,,86,31390,13445,3735,22225,,1569.43,,2503,871,4461,,,,,,74, 300011,01-JAN-15,31-DEC-15,As Submitted,ST. JOSEPH HOSPITAL ,172 KINSLEY ST ,,NASHUA ,NH ,03060- ,HILLSBORO ,,,,,,,,,,184,67160,10836,436,19982,,996.2,,2359,352,4729,,,,,18,,526 300012,01-JUL-15,30-JUN-16,As Submitted,ELLIOT HOSPITAL ,1 ELLIOT WAY ,,MANCHESTER ,NH ,03103- ,HILLSBOROUGH ,,,,1865254,,,.1907,,,195,71329,17982,3942,52709,,2202.88,,4516,797,11777,1849,,,61,,686, 300014,01-OCT-14,30-SEP-15,As Submitted,FRISBIE MEMORIAL HOSPITAL ,11 WHITEHALL ROAD ,,ROCHESTER ,NH ,03867- ,STRAFFORD ,,,,290393,,,.0921,,,64,23360,6950,2679,12832,,715.78,,1682,119,3062,,,,,,222, 300017,01-AUG-15,31-JUL-16,Amended,PARKLAND MEDICAL CENTER ,1 PARKLAND DRIVE ,,DERBY ,NH ,03038- ,ROCKINGHAM ,,,,,,,,,,68,24820,6411,521,10468,,381.45,,1794,157,3184,237,137,,48,,570, 300018,01-JAN-15,31-DEC-15,As Submitted,WENTWORTH-DOUGLASS HOSPITAL ,789 CENTRAL AVE ,,DOVER ,NH ,03820 ,STRAFFORD ,,,,183382,,,.0297,,,115,41975,14461,1321,29336,,1396,,2961,138,7409,161,,,,,, 300019,01-JUL-15,30-JUN-16,As Submitted,CHESHIRE MEDICAL CENTER ,580 COURT STREET ,,KEENE ,NH ,03431- ,CHESHIRE ,,,,111562,,,.0302,,,98,35868,8383,1156,15262,,830.8,,1866,91,3331,,,,16,6,292,270 300020,01-OCT-14,30-SEP-15,Amended,SOUTHERN NH MEDICAL CENTER ,8 PROSPECT STREET ,2014 ,NASHUA ,NH ,03060- ,HILLSBOROUGH ,314784,,,614430,,,.1005,133012,54965,151,55115,12996,1501,32020,3.55,1186.04,,3019,1244,7158,154,,,,,, 300023,01-OCT-14,30-SEP-15,As Submitted,EXETER HOSPITAL INC. ,5 ALUMNI DRIVE ,,EXETER ,NH ,03833 ,ROCKINGHAM ,,,,,,,,,,97,35405,11063,621,21683,,1041.06,,2532,124,4913,354,,,,,, 300029,01-MAR-15,29-FEB-16,Amended,PORTSMOUTH REGIONAL HOSPITAL ,333 BORTHWICK AVENUE ,,PORTSMOUTH ,NH ,03801- ,ROCKINGHAM ,,,,,,,,,,128,45778,18736,1891,34533,,722,,3580,433,7087,,,,222,,1371, 300034,01-JUL-15,30-JUN-16,As Submitted,CATHOLIC MEDICAL CENTER ,100 MCGREGOR STREET ,,MANCHESTER ,NH ,03102 ,HILLSBOROUGH ,,,,971385,,,.0654,,,228,83448,25492,2575,53418,,1839.07,,5429,450,11954,1624,,,,9,,354 301300,01-OCT-14,30-SEP-15,As Submitted,UPPER CONNECTICUT VALLEY HOSPITAL ,CORLISS LANE RR 2 ,13 ,COLEBROOK ,NH ,03576 ,COOS ,,,,,,,,,,16,5840,1694,74,2183,,96.9,,222,18,276,,,,,,, 301301,01-OCT-14,30-SEP-15,As Submitted,COTTAGE HOSPITAL ,90 SWIFTWATER ROAD ,2001 ,WOODSVILLE ,NH ,03785- ,GRAFTON ,,,,,,,,,,25,9125,3588,38,4967,,183.29,,344,19,498,,,,,,, 301302,01-OCT-14,30-SEP-15,As Submitted,LITTLETON REGIONAL HEALTHCARE ,600 ST. JOHNSBURY ROAD ,,LITTLETON ,NH ,03561- ,GRAFTON ,,,,,,,,,,25,9125,2748,128,5795,,385.7,,622,56,1457,,,,,,, 301303,01-OCT-14,30-SEP-15,As Submitted,WEEKS MEDICAL CENTER ,173 MIDDLE STREET ,,LANCASTER ,NH ,03584 ,COOS ,,,,,,,,,,25,9125,2881,134,3514,,223.1,,463,46,739,,,,,,, 301304,01-JUL-15,30-JUN-16,As Submitted,NEW LONDON HOSPITAL ,273 COUNTY ROAD ,,NEW LONDON ,NH ,03257-4570 ,MERRIMACK ,,,,,,,,,,25,9150,3738,173,4828,,379,,739,53,1051,,,,,,, 301305,01-OCT-14,30-SEP-15,As Submitted,ALICE PECK DAY MEMORIAL HOSPITAL ,10 ALICE PECK DAY DRIVE ,,LEBANON ,NH ,03743 ,UNITED STATES ,,,,,,,,,,24,8760,3103,303,5223,,393.8,,340,69,1290,,,,,,, 301306,01-OCT-14,30-SEP-15,As Submitted,FRANKLIN REGIONAL HOSPITAL ,15 AIKEN AVENUE ,,FRANKLIN ,NH ,03235-1259 ,MERRIMACK ,,,,,,,,,,25,9125,3697,82,6027,,322.86,,411,33,648,,,,42,,286, 301307,01-OCT-14,30-SEP-15,As Submitted,MEMORIAL HOSPITAL ,3073 WHITE MOUNTAIN HIGHWAY ,,NORTH CONWAY ,NH ,03860 ,CARROLL ,,,,,,,,,,25,9125,3418,649,6718,,309,,695,55,1386,,,,,,, 301308,01-OCT-14,30-SEP-15,As Submitted,VALLEY REGIONAL HOSPITAL ,243 ELM STREET ,,CLAREMONT ,NH ,03743- ,SULLIVAN ,,,,,,,,,,25,9125,2692,533,3952,,256.27,,408,64,582,,,,,,, 301309,01-OCT-14,30-SEP-15,Amended,MONADNOCK COMMUNITY HOSPITAL ,452 OLD STREET ROAD ,,PETERBOROUGH ,NH ,03458- ,HILLSBOROUGH ,,,,,,,,,,25,9125,2955,144,5279,,510.66,,598,117,1216,,,,,,, 301310,01-JAN-15,31-DEC-15,Amended,ANDROSCOGGIN VALLEY HOSPITAL ,59 PAGE HILL ROAD ,,BERLIN ,NH ,03570- ,COOS ,,,,,,,,,,25,9125,4254,245,5964,,309.53,,776,56,1451,,,,,,, 301311,01-JUL-15,30-JUN-16,As Submitted,SPEARE MEMORIAL HOSPITAL ,16 HOSPITAL RD ,,PLYMOUTH ,NH ,03264- ,GRAFTON ,,,,,,,,,,25,9150,2267,106,4783,,286.1,,633,39,1274,157,,,,,, 301312,01-OCT-14,30-SEP-15,As Submitted,HUGGINS HOSPITAL ,240 SOUTH MAIN STREET ,912 ,WOLFEBORO ,NH ,03894 ,CARROLL ,,,,,,,,,,25,9125,2836,78,3833,,321.48,,466,10,732,,,,,,, 303026,01-JUN-15,31-MAY-16,Settled,NORTHEAST REHABILITATION HOSPITAL ,70 BUTLER STREET ,,SALEM ,NH ,03079- ,ROCKINGHAM ,,,,,,,,,,135,49410,30598,879,43324,,726.08,,2648,48,3610,87,,,,,, 303027,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,254 PLEASANT STREET ,,CONCORD ,NH ,03301 ,MERRIMACK ,,,,,,,,,,50,18250,7805,548,11701,,116.05,,599,39,881,28,,,,,, 304000,01-JUL-15,30-JUN-16,Settled,NEW HAMPSHIRE HOSPITAL ,36 CLINTON STREET ,,CONCORD ,NH ,03301- ,MERRIMACK ,,,,,,,,,,152,55632,7521,6871,55225,,598,,465,597,1929,,,,,,, 304001,01-JAN-15,31-DEC-15,Settled,HAMPSTEAD HOSPITAL ,218 EAST ROAD ,,HAMPSTEAD ,NH ,03841-2305 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 310001,01-JAN-15,31-DEC-15,As Submitted,HACKENSACK UNIVERSITY MEDICAL CENTER ,30 PROSPECT AVENUE ,,HACKENSACK ,NJ ,07601 ,BERGEN ,17674123,,,4296228,,,.1181,4144028,2524775,664,242360,71492,14489,216186,157.04,7024.97,,11196,1791,37185,,,,,,1131, 310002,01-JAN-15,31-DEC-15,Amended,NEWARK BETH ISRAEL MEDICAL CENTER ,201 LYONS AVENUE ,,NEWARK ,NJ ,07112-2027 ,ESSEX ,10508043,,,6571098,,,.4278,3331290,1217559,470,171550,31984,17664,127377,190.24,2837.72,,4184,1909,17855,1177,,,,,790, 310003,01-JAN-15,31-DEC-15,As Submitted,PALISADES MEDICAL CENTER ,7600 RIVER ROAD ,,NORTH BERGEN ,NJ ,07047 ,HUDSON ,6018304,,,1838394,,,.2479,4834663,1140896,192,70080,19768,4328,44577,81.94,988,,3404,1025,9270,2049,,,,,, 310005,01-JAN-15,31-DEC-15,Settled w/Audit,HUNTERDON MEDICAL CENTER ,2100 WESCOTT DR. ,,FLEMINGTON ,NJ ,08822 ,HUNTERDON ,1685489,,,,,,,1038532,458757,170,61999,18168,1533,35250,18.56,1675.72,,3673,324,9424,,,,262,,609, 310006,01-JAN-15,31-DEC-15,As Submitted,ST. MARYS HOSPITAL - PASSAIC ,350 BOULEVARD AVENUE ,,PASSAIC ,NJ ,07055- ,PASSAIC ,244720,,,1262894,,,.1607,115419,59380,212,63145,14356,1644,33200,3,855,,2946,369,7259,,,,,,, 310008,01-JAN-15,31-DEC-15,As Submitted,HOLY NAME HOSPITAL ,718 TEANECK ROAD ,,TEANECK ,NJ ,07666- ,BERGEN ,,,,1106227,,,.071,,,284,103660,36946,1475,72417,,1780.3,,6256,376,13718,2326,,,126,,758, 310009,01-JAN-15,31-DEC-15,Amended,CLARA MAASS MEDICAL CENTER ,1 CLARA MAASS DRIVE ,,BELLEVILLE ,NJ ,07109-3550 ,ESSEX ,,,,2475140,,,.2018,,,280,102200,28158,7294,66207,,1419.93,,4890,1606,13543,404,,,,,1716, 310010,01-JAN-15,31-DEC-15,Settled,PRINCETON HEALTHCARE SYSTEM ,ONE PLAINSBORO ROAD ,,PLAINSBORO ,NJ ,08536 ,MIDDLESEX ,3770193,,,,,,,933427,394638,206,75190,27080,2270,56881,33.38,1926.94,,5351,435,13139,947,,,1886,,4141,313 310011,01-JAN-15,31-DEC-15,As Submitted,CAPE REGIONAL MEDICAL CENTER ,TWO STONE HARBOR BOULEVARD ,,CAPE MAY COURT HOUSE ,NJ ,08210 ,CAPE MAY ,,,,704551,,,.0949,,,149,54385,15195,1526,26673,,741.61,,3689,352,7351,1273,,,,,, 310012,01-JAN-15,31-DEC-15,As Submitted,THE VALLEY HOSPITAL ,223 N. VAN DIEN AVENUE ,,RIDGEWOOD ,NJ ,07450 ,BERGEN ,,,,,,,,,,426,148938,52679,1773,103686,,2985,94,9999,276,24458,768,,,,,, 310014,01-JAN-15,31-DEC-15,Amended,COOPER UNIVERSITY HOSPITAL ,ONE COOPER PLAZA ,,CAMDEN ,NJ ,08103 ,U.S.A. ,15777097,,,6235896,,,.2871,6473157,3768046,532,194131,44999,11520,149099,306.39,3930.07,,7013,1954,29426,8955,,,,,, 310015,01-JAN-15,31-DEC-15,Amended,MORRISTOWN MEDICAL CENTER ,100 MADISON AVE ,,MORRISTOWN ,NJ ,07960-6136 ,MORRIS ,25407510,,,1487825,,,.0315,6657583,2565017,625,209873,80267,4743,185981,185.85,5167.64,,13537,921,38967,,,,116,4,765,915 310016,01-JAN-15,31-DEC-15,As Submitted,CHRIST HOSPITAL ,176 PALISADE AVENUE ,,JERSEY CITY ,NJ ,07306 ,HUDSON ,880454,,,1789121,,,.3602,446822,185559,188,68620,12156,6264,38871,20.62,1014.45,,2206,1427,8103,,,,,,, 310017,01-JAN-15,31-DEC-15,As Submitted,CHILTON HOSPITAL ,97 WEST PARKWAY ,,POMPTON PLAINS ,NJ ,07444 ,MORRIS ,,,,,,,,,,223,81395,27566,775,48183,,1085.9,,4973,144,10268,,,,,,, 310019,01-JAN-15,31-DEC-15,As Submitted,ST. JOSEPHS HOSPITAL & MEDICAL CTR ,703 MAIN STREET ,,PATERSON ,NJ ,07503 ,PASSAIC ,11643804,,,7657946,,,.3041,5684503,1559911,714,260236,57766,16160,179405,221.31,4338.87,,8788,4727,34517,9571,,,,11,,534 310021,01-JUL-15,30-JUN-16,As Submitted,ST. FRANCIS - TRENTON ,601 HAMILTON AVE. ,,TRENTON ,NJ ,08629 ,MERCER ,1750002,,,1234046,,,.2992,1205876,522185,144,52704,10307,5414,23983,30.92,685.15,,1521,872,4777,780,,,,,, 310022,01-JAN-15,31-DEC-15,Settled,WEST JERSEY HEALTH SYSTEM ,100 BOWMAN DRIVE ,,VOORHEES ,NJ ,08043 ,CAMDEN ,2036903,,,1010917,,,.0381,1274809,244483,577,210605,65448,5379,161399,32.43,3077.44,,13137,688,36514,,,,,,, 310024,01-JAN-15,31-DEC-15,As Submitted,RWJ RAHWAY ,865 STONE STREET ,,RAHWAY ,NJ ,07065 ,UNION ,,,,208414,,,.0312,,,140,51100,14974,705,27274,,658,,2944,104,5448,,,,,,, 310025,01-JAN-15,31-DEC-15,As Submitted,BAYONNE MEDICAL CENTER ,29 EAST 29TH STREET ,,BAYONNE ,NJ ,07002 ,HUDSON ,,,,568484,,,.0916,,,141,51465,13667,688,26839,3,739.9,,2692,137,5444,,,,152,,458, 310027,01-JAN-15,31-DEC-15,Amended,TRINITAS HOSPITAL ,225 WILLIAMSON STREET ,,ELIZABETH ,NJ ,07201 ,UNION ,2788441,,,2662243,,,.3431,1249348,474188,248,82490,20996,11301,63303,41.61,1940.02,,3378,2466,13878,,,,1024,,2142, 310028,01-JAN-15,31-DEC-15,As Submitted,NEWTON MEDICAL CENTER ,175 HIGH ST ,,NEWTON ,NJ ,07860 ,SUSSEX ,,,,304063,,,.0396,,,132,48180,17613,757,29793,,895.18,,3695,205,7466,,,,210,,574, 310029,01-JUL-15,30-JUN-16,As Submitted,OUR LADY OF LOURDES MED. CTR. ,1600 HADDON AVENUE ,,CAMDEN ,NJ ,08103 ,CAMDEN ,5236197,,,2447922,,,.1496,1809769,458612,257,94341,27468,3728,58559,43.95,1365.48,,5375,857,13112,,,,,,,580 310031,01-JAN-15,31-DEC-15,Settled w/Audit,DEBORAH HEART AND LUNG CENTER ,200 TRENTON ROAD ,,BROWNS MILLS ,NJ ,08015- ,BURLINGTON ,5205168,,,,,,,950863,530295,84,30660,9818,479,19207,30.23,859.91,,1873,72,3642,267,,,,,, 310032,01-JAN-15,31-DEC-15,As Submitted,INSPIRA MEDICAL CENTER VINELAND ,1505 WEST SHERMAN AVE ,,VINELAND ,NJ ,08360 ,CUMBERLAND ,9794476,,,2858483,,,.2124,3939751,1464364,280,102200,31415,8877,75395,132.88,1943.18,,6532,1944,16680,3471,,,,,949, 310034,01-JAN-15,31-DEC-15,Amended,RIVERVIEW MEDICAL CENTER ,RIVERVIEW PLAZA ,,RED BANK ,NJ ,07701 ,MONMOUTH ,,,,728417,,,.0561,,,246,89790,28997,6612,59837,,1346.45,,5266,1119,13605,,,,,5,,727 310038,01-JAN-15,31-DEC-15,As Submitted,ROBERT WOOD JOHNSON UNIVERSITY HOSP ,ONE ROBERT WOOD JOHNSON PLACE ,2601 ,NEW BRUNSWICK ,NJ ,08901-2601 ,MIDDLESEX ,20928117,,,4750217,,,.1406,5548019,1729064,610,222650,75839,15174,201672,271.59,4344,,10969,2515,34867,,,,,,, 310039,01-JAN-15,31-DEC-15,Amended,RARITAN BAY MEDICAL CENTER ,530 NEW BRUNSWICK AVE ,,PERTH AMBOY ,NJ ,08861 ,MIDDLESEX ,2512311,,,1908698,,,.1661,1726623,516047,276,100740,30576,5377,65909,28,1711,,4876,944,12594,1974,,,,,, 310040,01-JAN-15,31-DEC-15,Settled,HOBOKEN UNIVERSITY MEDICAL CENTER ,308 WILLOW AVE ,,HOBOKEN ,NJ ,07030 ,HUDSON ,1926244,,,1317227,,,.3739,1359562,343529,116,41236,8191,2679,26341,32.6,886.6,,1512,657,5910,,,,611,,1345,192 310041,01-JAN-15,31-DEC-15,Amended,COMMUNITY MEDICAL CENTER ,99 ROUTE 37W ,,TOMS RIVER ,NJ ,08755-6423 ,OCEAN ,,,,,,,,,,424,154760,66382,3901,114902,,1875.42,,11049,805,21460,738,,,,,, 310044,01-JAN-15,31-DEC-15,As Submitted,CAPITAL HEALTH MED CENTER - HOPEWELL ,ONE CAPITAL WAY ,,HOPEWELL ,NJ ,08534-8534 ,MERCER ,123143,,,1157948,,,.1497,43550,21038,188,68620,17643,4366,62528,1.72,1676.89,,3900,1335,15004,,,,,,, 310045,01-JAN-15,31-DEC-15,Amended,ENGLEWOOD HOSPITAL & MED CTR ,350 ENGLE STREET ,,ENGLEWOOD ,NJ ,07631- ,BERGEN ,6783037,,,643518,,,.0358,1857757,1280219,312,104565,34610,3768,74055,53.97,1952.31,,6240,587,14446,1061,1,,42,,296, 310047,01-JAN-15,31-DEC-15,As Submitted,SHORE MEMORIAL HOSPITAL ,1 E. NEW YORK AVE ,,SOMERS POINT ,NJ ,08244 ,ATLANTIC ,,,,836507,,,.0839,,,296,108040,20247,3091,39566,,889.62,,4367,352,9810,1193,,,,,, 310048,01-JAN-15,31-DEC-15,As Submitted,SOMERSET MEDICAL CENTER ,110 REHILL AVE. ,,SOMERVILLE ,NJ ,08876- ,SOMERSET ,2065656,,,,,,,745187,242871,260,94900,33286,5154,64139,18.43,1613.7,,6120,820,14019,,,,,,560, 310050,01-JUL-15,30-SEP-15,Amended,SAINT CLARES HOSPITAL- DENVILLE ,25 POCONO ROAD ,,DENVILLE ,NJ ,07834 ,MORRIS ,,,,423197,,,.1472,,,325,29900,5773,2672,13560,,1817,,1412,582,3756,,,,,,345, 310051,01-JAN-15,31-DEC-15,Amended,OVERLOOK MEDICAL CENTER ,99 BEAUVIOR ,,SUMMIT ,NJ ,07902-0220 ,UNION ,7722007,,,496658,,,.0255,3507809,2007415,480,161695,42272,2642,100972,83.85,2865.15,,8011,524,23733,,,,177,,967, 310052,01-JAN-15,31-DEC-15,Amended,MH -OCEAN MEDICAL CENTER ,425 JACK MARTIN BLVD ,,BRICK ,NJ ,08724- ,OCEAN ,,,,,,,,,,265,96725,42310,2343,72146,,1457.15,,7398,501,15160,,,,,,, 310054,01-JAN-15,31-DEC-15,As Submitted,MOUNTAINSIDE HOSPITAL ,1 BAY AVENUE ,,MONTCLAIR ,NJ ,07042-4837 ,ESSEX ,5120864,,,297515,,,.0287,2574116,1144045,181,66065,21020,836,43926,44.86,1212,,4413,347,11510,,,,345,,1119, 310057,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HOSP OF BURLINGTON CTY ,175 MADISON AVENUE ,,MT. HOLLY ,NJ ,08060 ,BURLINGTON ,1120193,,,948960,,,.0722,530647,110004,312,113880,33365,3340,77876,11.77,1447.79,,6399,616,18823,,,,511,,991, 310058,01-JAN-15,31-DEC-15,Amended,BERGEN REGIONAL MEDICAL CENTER ,230 EAST RIDGEWOOD AVENUE ,,PARAMUS ,NJ ,07652 ,BERGEN ,350396,,,454898,,,.35,384310,46052,109,39607,3757,19167,25953,19.12,858,,645,3213,6216,345,2133,,454,,5374, 310060,01-JUL-15,30-JUN-16,As Submitted,ST LUKES WARREN HOSPITAL ,185 ROSEBERRY STREET ,,PHILLIPSBURG ,NJ ,08865 ,WARREN ,1568177,,,,,,,966462,641218,103,35988,13237,226,19682,14.25,667.75,,2514,70,3903,,,,,,, 310061,01-JUL-15,30-JUN-16,As Submitted,LOURDES MEDICAL CENTER-BURLINGTON ,218 A SUNSET ROAD ,,WILLINGBORO ,NJ ,08046 ,BURLINGTON ,350125,,,447836,,,.097,132565,49965,100,36600,10729,969,20113,5.18,640.55,,2355,573,4958,,,,,,781, 310064,01-JAN-15,31-DEC-15,Settled w/Audit,ATLANTICARE REGIONAL MEDICAL CENTER ,65 W. JIMMIE LEEDS ROAD ,,POMONA ,NJ ,08240-9102 ,ATLANTIC ,4974860,,,5697988,,,.2061,1468974,479270,540,198837,55468,15847,128762,53.09,3384,,11181,3091,29704,,,,,,, 310069,01-JAN-15,31-DEC-15,Settled,INSPIRA MEDICAL CENTER ELMER ,501 FRONT STREET ,,ELMER ,NJ ,08318 ,SALEM ,,,,,,,,,,83,30295,6527,161,11987,,370.62,,1607,43,3244,289,,,,,, 310070,01-JAN-15,31-DEC-15,Amended,ST. PETERS UNIVERSITY HOSPITAL ,254 EASTON AVENUE ,,NEW BRUNSWICK ,NJ ,08903-0591 ,MIDDLESEX ,6081165,,,1430129,,,.1435,2245446,855023,348,127020,22220,8878,91820,115.85,2624.52,,4030,1667,18048,3295,,,,,, 310073,01-JAN-15,31-DEC-15,Amended,JERSEY SHORE UNIVERSITY MED CTR ,1945 ROUTE 33 ,,NEPTUNE ,NJ ,07753 ,MONMOUTH ,12431887,,,3414652,,,.1016,3803134,1298334,548,200020,62848,10956,136001,129.41,3308.25,,10186,1728,26791,,,,,,, 310074,01-JAN-15,31-DEC-15,Amended,JERSEY CITY MEDICAL CENTER ,355 GRAND STREET ,,JERSEY CITY ,NJ ,07302-4321 ,HUDSON ,5530047,,,3468710,,,.3802,1890195,507447,262,95630,20235,11120,75927,78.86,2100.65,,3378,1556,13561,1035,,,,,1258, 310075,01-JAN-15,31-DEC-15,Amended,MONMOUTH MEDICAL CENTER ,300 SECOND AVENUE ,,LONG BRANCH ,NJ ,07740-6303 ,OCEAN ,6776839,,,2350152,,,.2551,2107398,1153491,290,105850,18002,13163,63981,115.04,1807.39,,3658,1978,13939,300,,,,,2456, 310076,01-JAN-15,31-DEC-15,Amended,SAINT BARNABAS MEDICAL CENTER ,94 OLD SHORT HILLS RD ,,LIVINGSTON ,NJ ,07039-5668 ,ESSEX ,12525768,,,2722110,,,.1179,3946315,1825379,583,212795,48904,5536,154153,161.06,3041.19,,8100,66,27721,422,,,,,, 310081,01-JAN-15,31-DEC-15,As Submitted,INSPIRA MEDICAL CENTER WOODBURY INC ,509 NORTH BROAD STREE ,,WOODBURY ,NJ ,08096-7359 ,GLOUCESTER ,1165511,,,484627,,,.058,892055,299164,231,84315,19739,2086,40021,12.77,1157.59,,4080,254,8532,1160,7,,462,,830, 310083,01-JAN-15,29-FEB-16,Amended,EAST ORANGE GENERAL HOSPITAL ,300 CENTRAL AVE ,,EAST ORANGE ,NJ ,07018 ,ESSEX ,,,,1658097,,,.3366,,,159,67575,11220,3164,26127,,660,,1885,1587,4819,,,,,,1304, 310084,01-JAN-15,31-DEC-15,Amended,MONMOUTH MEDICAL CENTER SOUTHERN CA ,600 RIVER AVENUE ,,LAKEWOOD ,NJ ,08701-5237 ,OCEAN ,,,,1450728,,,.2813,,,201,73365,13782,10932,34023,,613.69,,2294,1665,5728,48,,,,,, 310086,01-JAN-15,31-DEC-15,As Submitted,KENNEDY UNIVERSITY HOSPITAL ,500 MARLBORO AVENUE ,5084 ,CHERRY HILL ,NJ ,08034 ,CAMDEN ,13287203,,,3220162,,,.142,6430549,2032426,526,191990,56259,12554,118891,156.79,2910.43,,10964,1679,26001,,,,,,, 310091,01-JAN-15,31-DEC-15,Amended,MEMORIAL HOSPITAL OF SALEM COUNTY ,310 WOODSTOWN ROAD ,,SALEM ,NJ ,08079 ,SALEM ,,,,310307,,,.1066,,,126,45990,6839,204,10901,,285.46,,1714,,3122,615,,,,,, 310092,01-JAN-15,31-DEC-15,As Submitted,HELENE FULD MEDICAL CENTER ,750 BRUNSWICK AVENUE ,,TRENTON ,NJ ,08638 ,MERCER ,3391489,,,1647455,,,.2193,1751823,254399,174,63510,18205,5736,47953,37.99,1614.45,,3091,915,8883,,,,,,814, 310096,01-JAN-15,31-DEC-15,As Submitted,ST. MICHAELS MEDICAL CENTER ,111 CENTRAL AVENUE ,,NEWARK ,NJ ,07102 ,ESSEX ,8208017,,,2121308,,,.2865,2565463,1004483,147,53655,14096,2320,36502,81.87,1124.72,,2527,397,7371,1687,,,,,, 310108,01-JAN-15,31-DEC-15,As Submitted,JFK MEDICAL CENTER ,65 JAMES STREET ,,EDISON ,NJ ,08818- ,MIDDLESEX ,3150426,,,1256764,,,.0726,2779471,1019696,357,130305,40078,3127,90950,36.88,2753.06,,6730,585,19633,,,,,28,,2021 310110,01-JAN-15,31-DEC-15,As Submitted,RWJ UNIVERSITY HOSPITAL HAMILTON ,ONE HAMILTON HEALTH PLACE ,,HAMILTON ,NJ ,08690- ,MERCER ,,,,267939,,,.0288,,,188,68620,24274,1608,45871,,1026.13,,4239,221,9095,,,,,,, 310111,01-JAN-15,31-DEC-15,As Submitted,CENTRA STATE MEDICAL CENTER ,901 WEST MAIN STREET ,,FREEHOLD ,NJ ,07728 ,MONMOUTH ,2099842,,,,,,,735331,302444,245,89425,30107,3155,60128,18.02,1683.96,,5528,713,13373,1093,,,,,859, 310112,01-JAN-15,31-DEC-15,Amended,BAYSHORE COMMUNITY HOSPITAL ,727 NORTH BEERS STREET ,,HOLMDEL ,NJ ,07733 ,MONMOUTH ,,,,,,,,,,148,54020,22197,1032,37601,,878.36,,3589,172,7265,,,,,,, 310113,01-JAN-15,31-DEC-15,Amended,SOUTHERN OCEAN MEDICAL CENTER ,1140 ROUTE 72 WEST ,,MANAHAWKIN ,NJ ,08050 ,OCEAN ,,,,,,,,,,133,48545,17034,1267,28577,,823.87,,3557,213,7524,,,,,,, 310115,01-JAN-15,31-DEC-15,As Submitted,HACKETTSTOWN REGIONAL MEDICAL CENTE ,651 WILLOW GROVE STREET ,,HACKETTSTOWN ,NJ ,07823 ,WARREN ,,,,,,,,,,103,37595,10292,435,17115,,616.95,8.13,1824,99,3517,335,,,,,, 310118,01-JAN-15,31-DEC-15,As Submitted,MEADOWLANDS HOSPITAL MEDICAL CENTER ,55 MEADOWLANDS PARKWAY ,,SECAUCUS ,NJ ,07094 ,HUDSON ,655700,,,303310,,,.2109,1351538,135982,102,37230,4654,275,12530,23.65,398.67,,749,48,3030,,,,,,, 310119,01-JUL-15,30-JUN-16,Amended,UH - UNIVERSITY HOSPITAL ,150 BERGEN STREET ,,NEWARK ,NJ ,07103- ,ESSEX ,9888484,,,3412622,,,.5001,3956155,1964877,368,134688,16965,21859,106928,295.41,3420.74,,2190,2510,15904,6135,,,,,, 310130,01-JUL-15,30-JUN-16,Settled,HACKENSACK UMC AT PASCACK VALLEY ,250 OLD HOOK ROAD ,,WESTWOOD ,NJ ,07675 ,,,,,,,,,,,96,35136,8520,182,18520,,400.59,,1880,50,5083,,,,,,, 312014,01-JUL-15,30-JUN-16,Settled,MATHENY SCHOOL & HOSPITAL ,MAIN STREET ,PO BOX 33 ,PEAPACK ,NJ ,07977 ,SOMERSET ,,,,,,,,,,101,36865,,14365,35935,,552,,,8,29,,,,,,, 312017,01-SEP-15,31-AUG-16,As Submitted,ACHS CENTRAL JERSEY ,600 RIVER AVENUE ,,LAKEWOOD ,NJ ,08701 ,OCEAN ,,,,,,,,,,50,18300,9024,,11365,,137.62,,299,,356,,,,,,, 312018,01-JAN-15,31-DEC-15,Settled,THE REHAB HOSPITAL AT RARITAN BAY ,530 NEW BRUNSWICK AVENEU ,,PERTH AMBOY ,NJ ,08861 ,MIDDLESEX ,,,,,,,,,,6092016,27740,13205,,17296,,155.3,,441,,571,,,,,,, 312019,01-NOV-14,31-OCT-15,Settled,SSH - NORTHEAST NEW JERSEY INC. ,96 PARKWAY ,,ROCHELLE PARK ,NJ ,07662 ,BERGEN ,,,,,,,,,,62,22630,9455,,14025,,135.81,,344,,416,8,,,,,, 312020,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL NEW JERSEY ,400 W. BLACKWELL STREET ,,DOVER ,NJ ,07801 ,MORRIS ,,,,,,,,,,117,42822,22277,32,31051,,268.2,,849,2,1105,23,,,,,, 312022,01-SEP-15,31-AUG-16,As Submitted,LOURDES SPECIALTY HOSPITAL ,218 SUNSET ROAD 3RD FLOOR ,,WILLINGBORO ,NJ ,08046 ,BURLINGTON ,,,,,,,,,,69,25254,12598,,16593,,204.63,,415,,529,,,,,,, 312023,01-SEP-15,31-AUG-16,As Submitted,ACUITY SPECIALTY HOSP OF NEW JERSEY ,1925 PACIFIC AVENUE 5TH FLOOR ,,ATLANTIC CITY ,NJ ,08401- ,ATLANTIC ,,,,,,,,,,30,10980,7875,,10340,,110.17,,289,,350,,,,,,, 312024,01-APR-15,31-MAR-16,Settled,COLUMBUS HOSPITAL LTACH ,495 NORTH 13TH STREET ,,NEWARK ,NJ ,07107 ,ESSEX ,,,,,,,,,,63,22995,16120,,20823,,167.02,,567,,655,,,,,,, 313025,01-JAN-15,31-DEC-15,As Submitted,KESSLER INSTITUTE FOR REHABILIATATIO ,1199 PLEASANT VALLEY WAY ,,WEST ORANGE ,NJ ,07052 ,ESSEX ,,,,,,,,,7785,336,122640,57576,3463,104987,11.92,1265.18,,4167,115,6865,284,,,,,, 313027,01-JAN-15,31-DEC-15,As Submitted,ST. LAWRENCE REHABILITATION CENTER ,2381 LAWRENCEVILLE RD. ,,LAWRENCEVILLE ,NJ ,08648 ,MERCER ,,,,,,,,,,86,31390,11665,137,17763,,338.1,,848,9,1260,,,,,,, 313029,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,14 HOSPITAL DRIVE ,,TOMS RIVER ,NJ ,08755 ,OCEAN ,,,,,,,,,,98,35770,26311,32,32544,,288.35,,1915,1,2354,41,,,,,, 313030,01-JAN-15,31-DEC-15,As Submitted,BACHARACH INSTITUTE FOR REHABILITATI ,61 WEST JIMMIE LEEDS ROAD ,P.O. BOX ,POMONA ,NJ ,08240-0723 ,ATLANTIC ,,,,,,,,,,52,18980,9942,412,15474,,401.84,,754,20,1118,,,,,,, 313032,01-JAN-15,31-DEC-15,As Submitted,MARLTON REHAB HOSPITAL ,92 BRICK ROAD ,,MARLTON ,NJ ,08053 ,BURLINGTON ,,,,,,,,,,61,22265,12360,600,19536,,176.24,,1105,33,1691,67,,,,,, 313033,01-JUN-15,31-MAY-16,As Submitted,SHORE REHABILITATION INSTITUTE ,425 JACK MARTIN BLVD ,,BRICK ,NJ ,08724- ,OCEAN ,,,,,,,,,,40,14640,9337,34,11586,,,,735,2,925,,,,,,, 313035,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,2 CENTRE PLAZA ,,TINTON FALLS ,NJ ,07724- ,MONMOUTH ,,,,,,,,,,60,21900,13820,98,19129,,172.41,,1067,7,1438,38,,,,,, 313036,01-JUN-15,31-MAY-16,Settled,HEALTHSOUTH REHABILITATION HOSPITAL ,1273 WEST SHERMAN AVE. ,,VINELAND ,NJ ,08360 ,CUMBERLAND ,,,,,,,,,,41,15006,8830,195,12895,,108.74,,680,21,977,74,,,,,, 313300,01-JAN-15,31-DEC-15,Settled,CHILDRENS SPECIALIZED HOSPITAL ,150 PROVIDENCE ROAD ,,MOUNTAINSIDE ,NJ ,07094 ,UNION ,,,,,,,,,,68,24100,73,3590,19379,,897.32,,3,73,614,,,,,,, 313302,01-JAN-15,31-DEC-15,Settled,WEISMAN CHILDRENS REHAB HOSPITAL ,92 BRICK ROAD ,,MARLTON ,NJ ,08053 ,BURLINGTON ,,,,,,,,,,18,6570,,277,2005,,136.12,,,8,105,,,,,,, 314001,01-MAR-15,29-FEB-16,As Submitted,SUMMIT OAKS HOSPITAL ,19 PROSPECT STREET ,,SUMMIT ,NJ ,07901 ,UNION ,,,,,,,,,,122,44652,14581,4243,38719,,,,1055,368,3730,,,,,,, 314005,01-JUL-15,30-JUN-16,Amended,ANCORA PSYCHIATRIC HOSPITAL ,SPRING GARDEN ROAD ,,ANCORA ,NJ ,08037 ,CAMDEN ,,,,,,,,,,515,188490,3073,,153681,,,,109,,327,,,,,,, 314011,01-JUL-15,30-JUN-16,As Submitted,UNIVERSITY BEHAVIORAL HEALTHCARE ,671 HOES LANE ,1392 ,PISCATAWAY ,NJ ,08855-1392 ,MIDDLESEX ,,,,,,,,,42699,64,23424,413,2141,10013,13.32,747.85,,39,176,972,,,,,,, 314012,01-JAN-15,31-DEC-15,Settled,CARRIER CLINIC ,252 ROUTE 601 ,147 ,BELLE MEAD ,NJ ,08502 ,SOMERSET ,,,,,,,,,,162,58948,14592,3036,50308,,636.6,,1131,362,4630,,,,,,, 314013,01-JUL-15,30-JUN-16,Amended,TRENTON PSYCHIATRIC HOSPITAL ,SULLIVAN WAY ,7500 ,W. TRENTON ,NJ ,08628 ,MERCER ,,,,,,,,,,400,146400,4025,,127346,,1282,,79,,159,,,,,,, 314016,01-JUL-15,30-JUN-16,Amended,GREYSTONE PARK PSYCH. HOSPITAL ,CENTRAL AVENUE ,,GREYSTONE PARK ,NJ ,07950 ,MORRIS ,,,,,,,,,,468,171288,3735,,165644,,,,100,,232,,,,,,, 314018,01-JAN-15,31-DEC-15,As Submitted,NORTHBROOK BEHAVIORAL HEALTH HOSPITA ,425 WOODBURY TURNERSVILLE ROAD ,,BLACKWOOD ,NJ ,08012 ,CAMDEN ,,,,,,,,,,158,57670,15796,,51294,,235.9,,737,,1782,,,,,,, 314019,01-JAN-15,31-DEC-15,Settled,RAMAPO RIDGE PSYCHIATRIC ,301 SICOMAC AVENUE ,,WYCKOFF ,NJ ,07481 ,BERGEN ,,,,,,,,,,58,21170,14108,21,18275,,171,,547,1,998,,,,,,, 314020,01-JAN-15,31-DEC-15,Settled,ESSEX COUNTY HOSPITAL CENTER ,204 GROVE AVENUE ,,CEDAR GROVE ,NJ ,07009 ,ESSEX ,,,,,,,,,,180,65700,3957,438,62436,,352.25,,63,1,298,,,,,,, 314021,01-JAN-15,31-DEC-15,Settled,HAMPTON HOSPITAL ,RANCOCAS ROAD ,,WESTHAMPTON ,NJ ,08073 ,BURLINGTON ,,,,,,,,,,110,40150,10750,4381,37332,,,,594,244,2514,,,,,,, 314022,01-JAN-15,31-DEC-15,Settled,SAINT BARNABAS BEHAVIORAL HEALTH CEN ,1691 ROUTE 9 ,,TOMS RIVER ,NJ ,08754- ,DOVER ,,,,,,,,,,40,14600,6856,175,10849,,114,,675,24,1172,,,,,,, 314023,01-JAN-15,31-DEC-15,Settled,ASPEN HILLS HEALTHCARE CENTER ,600 PEMBERTON-BROWNS MILL ROAD ,,LISBON ,NJ ,08060 ,BURLINGTON ,,,,,,,,,,30,10950,7411,,8018,,37.5,,328,,401,,,,,,, 314024,01-JAN-15,31-DEC-15,Settled,MEADOWVIEW PSYCHIATRIC HOSPITAL ,595 COUNTY AVENUE ,,SECAUCUS ,NJ ,07094 ,HUDSON ,,,,,,,,,,84,30660,1217,399,29378,,171.28,,21,5,157,,,,,,, 314026,01-JUL-15,30-JUN-16,Settled,EAST MOUNTAIN HOSPITAL INC. ,EAST MOUNTAIN HOSPITAL INC. ,1029 ,BELLE MEAD ,NJ ,08502-1029 ,SOMERSET ,,,,,,,,,,16,5856,567,4287,5622,,28.48,,33,426,508,,,,,,, 314027,01-JAN-15,31-DEC-15,Settled,CORNERSTONE BEHAVIORAL HEALTH HOSPIT ,40 WATCHUNG WAY ,,BERKELEY HEIGHTS ,NJ ,07922 ,UNION ,,,,,,,,,,44,16060,2697,450,15967,,92,,64,9,358,,,,,,, 320001,01-JUL-15,30-JUN-16,Amended,UNIVERSITY OF NEW MEXICO HOSPITAL ,2211 LOMAS BLVD. N.E. ,,ALBUQUERQUE ,NM ,87106-2745 ,BERNALILLO ,12392729,,,4958611,,,.5012,3710215,2567677,474,173484,25731,13890,156234,416.72,5757.33,,3573,1762,24827,938,,,88,,2267, 320002,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT HOSPITAL ,455 ST. MICHAELS DRIVE ,,SANTA FE ,NM ,87505 ,SANTA FE ,588478,,,917109,,,.12,242185,183288,168,61488,15457,1468,45131,9.92,1763.65,,3340,456,11794,,,,10,3,447,392 320003,01-SEP-15,31-AUG-16,As Submitted,ALTA VISTA REGIONAL HOSPITAL ,1235 8TH STREET ,,LAS VEGAS ,NM ,87701 ,SAN MIGUEL ,,,,90234,,,.12,,,46,16836,2016,10,4178,,159.06,,517,351,1173,,,,,,, 320004,01-JUL-15,30-JUN-16,As Submitted,GERALD CHAMPION REGIONAL MEDICAL CTR ,2669 N SCENIC DR ,,ALAMOGORDO ,NM ,83310 ,OTERO ,59478,,,288030,,,.12,30070,37317,68,25404,4329,144,10055,,577.17,,1246,54,3124,758,,,362,11,753,198 320005,01-JUL-15,30-JUN-16,As Submitted,SAN JUAN REGIONAL MEDICAL CENTER ,801 W MAPLE ST ,,FARMINGTON ,NM ,87401 ,SAN JUAN ,,,,2569288,,,.2953,,,184,67344,21942,5119,47837,,1764.22,,3891,1382,9747,,,,,,, 320006,01-JUN-15,31-MAY-16,As Submitted,EASTERN NEW MEXICO MEDICAL CENTER ,405 W COUNTRY CLUB ,,ROSWELL ,NM ,88201- ,CHAVES ,3487,,,1142466,,,.3656,845,538,162,59292,7084,699,20060,,452.81,,1720,1837,4693,,,,,,, 320009,01-MAR-15,29-FEB-16,Amended,LOVELACE MEDICAL CENTER- DOWNTOWN ,601 MARTIN LUTHER KING JR. NE ,,ALBUQUERQUE ,NM ,87102 ,BERNALILLO ,3888,,,980426,,,.1059,1107,373,268,98088,18534,1010,55125,,1046.85,,3572,207,12114,1584,,,,,, 320011,01-JAN-15,31-DEC-15,As Submitted,ESPANOLA HOSPITAL ,1010 SPRUCE STREET ,125 ,ESPANOLA ,NM ,87532 ,RIO ARRIBA ,,,,49019,,,.12,,,45,16425,2537,206,8878,,278.64,,668,76,2313,939,,,,,, 320013,01-JUN-15,31-MAY-16,As Submitted,HOLY CROSS HOSPITAL ,1397 WEIMER ROAD ,,TAOS ,NM ,87571 ,TAOS ,,,,115530,,,.12,,,29,10585,2204,104,5569,,353.7,,642,42,1626,,,,,,, 320016,01-JUL-15,30-JUN-16,Amended,GILA REGIONAL MEDICAL CENTER ,1313 EAST 32ND STREET ,,SILVER CITY ,NM ,88061- ,GRANT ,,,,143213,,,.12,,,58,21170,2547,13,6448,,552.91,,733,6,1921,,,,,,320, 320017,01-MAY-15,30-APR-16,As Submitted,LOVELACE WOMENS HOSPITAL ,4701 MONTGOMERY NE ,,ALBUQUERQUE ,NM ,87109 ,BERNALILLO ,31814,,,494223,,,.4118,14849,10583,162,59292,2398,1367,29426,1.67,599.54,,658,326,6790,3223,,,,,, 320018,01-OCT-14,30-SEP-15,As Submitted,MEMORIAL MEDICAL CENTER ,2450 S. TELSHORE BLVD ,,LAS CRUCES ,NM ,88011-5076 ,DONA ANA ,301661,,,1460614,,,.3553,430431,297483,240,87600,10948,1371,39490,16.8,1038.7,,2169,345,8250,,,,,,, 320021,01-JAN-15,31-DEC-15,As Submitted,PRESBYTERIAN HOSPITAL ,1100 CENTRAL AVE SE ,26666 ,ALBUQUERQUE ,NM ,87125-6666 ,BERNALILLO ,177170,,,4734005,,,.2563,56851,30837,671,244915,36012,5673,169633,3.16,5104.1,,7665,1110,37035,,,,,,1170, 320022,01-JAN-15,31-DEC-15,As Submitted,PLAINS REGIONAL MEDICAL CTR - CLOVIS ,2100 NORTH THOMAS STREET ,,CLOVIS ,NM ,88101 ,CURRY ,,,,199473,,,.12,,,106,38690,3747,88,12710,,439.94,,1112,35,4025,2287,,,,,, 320030,01-JUL-15,30-JUN-16,As Submitted,ARTESIA GENERAL HOSPITAL ,702 N 13TH STREET ,,ARTESIA ,NM ,88210- ,EDDY ,,,,42649,,,.0602,,,34,12444,1238,2,2205,,277.96,,384,2,728,109,,,4,,134, 320033,01-JAN-15,31-DEC-15,Amended,LOS ALAMOS MEDICAL CENTER ,3917 WEST ROAD ,,LOS ALAMOS ,NM ,87544- ,LOS ALAMOS ,,,,61311,,,.1142,,,47,17155,1075,105,3288,,193.42,,360,26,922,114,,,,,, 320038,01-JAN-15,31-DEC-15,As Submitted,REHOBOTH MCKINLEY CHRISTIAN HOSPITAL ,1901 RED ROCK DRIVE ,,GALLUP ,NM ,87301 ,MCKINLEY ,,,,175600,,,.12,,,60,21900,2829,1546,8475,,416.78,,823,648,2552,,,,,,, 320057,01-OCT-14,30-SEP-15,As Submitted,SANTA FE INDIAN HOSPITAL ,1700 CERILLIOS ROAD ,,SANTA FE ,NM ,87505 ,SANTA FE ,,,,1741,,,.12,,,4,1460,28,37,95,,181,,10,11,33,,,,,,, 320058,01-OCT-14,30-SEP-15,As Submitted,MESCALERO INDIAN HOSPITAL ,301 SAGE AVENUE ,,MESCALERO ,NM ,88340 ,OTERO ,,,,1039,,,.12,,,11,4015,24,460,484,,81,,5,54,74,,,,,,, 320059,01-OCT-14,30-SEP-15,As Submitted,NORTHERN NAVAJO MEDICAL CENTER ,US HWY 491 NORTH ,160 ,SHIPROCK ,NM ,87420 ,SAN JUAN ,,,,137552,,,.12,,,59,21535,2817,3849,7280,,1181,,607,1302,1991,,,,,,, 320060,01-OCT-14,30-SEP-15,As Submitted,USPHS HOSPITAL-ZUNI ,ROUTE 301 N B STREET ,467 ,ZUNI ,NM ,87237 ,MCKINLEY ,,,,29210,,,.12,,,27,9855,639,1096,1763,,230,,117,292,409,,,,,,, 320061,01-OCT-14,30-SEP-15,As Submitted,GALLUP INDIAN MEDICAL CENTER ,516 E. NIZHOVI BLVD ,1337 ,GALLUP ,NM ,87305 ,MCKINLEY ,,,,180774,,,.12,,,78,28470,3753,6915,11714,,1211,,803,2142,3067,,,,,,, 320062,01-OCT-14,30-SEP-15,As Submitted,CROWNPOINT INDIAN HOSPITAL ,NM STATE RD 371 ,,CROWNPOINT ,NM ,87313 ,MCKINLEY ,,,,19573,,,.12,,,25,9125,515,586,1223,,397,,103,147,288,,,,,,, 320063,01-SEP-15,31-AUG-16,As Submitted,CARLSBAD MEDICAL CENTER ,2430 WEST PIERCE STREET ,,CARLSBAD ,NM ,88220 ,EDDY ,,,,327388,,,.2255,,,105,38430,3233,49,7651,,292.84,,877,719,2477,,,,,9,,121 320065,01-JAN-15,31-DEC-15,As Submitted,LEA REGIONAL HOSPITAL ,5419 N LOVINGTON HWY ,,HOBBS ,NM ,88240 ,LEA ,,,,344336,,,.2805,,,143,52195,2751,2673,7747,,282.78,,801,1035,2701,,,,178,,351, 320067,01-JUL-15,30-JUN-16,As Submitted,GUADALUPE COUNTY HOSPITAL ,117 CAMINO DE VIDA SUITE 100 ,,SANTA ROSA ,NM ,88435- ,GUADALUPE ,,,,14803,,,.12,,,10,3660,342,,728,,39,,121,,262,55,,,,,, 320070,01-OCT-14,30-SEP-15,As Submitted,ACOMA CANONCITO LAGUNA HOSPITAL ,ACL INDIAN HOSPITAL ,130 ,SAN FIDEL ,NM ,87049 ,CIBOLA ,,,,13870,,,.12,,,6,2190,237,121,561,,189,,76,41,171,,,,,,, 320074,01-FEB-15,31-JAN-16,As Submitted,LOVELACE WESTSIDE HOSPITAL ,10501 GOLF COURSE ROAD NW ,,ALBUQUERQUE ,NM ,87114 ,BERNALILLO ,,,,114711,,,.12,,,70,25550,1789,171,8525,,274.83,,514,73,2613,629,,,,,, 320084,01-JUL-15,30-JUN-16,As Submitted,ROOSEVELT GENERAL HOSPITAL ,42121 US HIGHWAY 70 ,868 ,PORTALES ,NM ,88130- ,ROOSEVELT ,,,,45294,,,.12,,,24,8784,863,2,1578,,157.75,,315,2,609,,,,,,, 320085,01-APR-15,31-MAR-16,Amended,MOUNTAIN VIEW REG MED CTR ,4311 EAST LONHAM AVENUE ,,LAS CRUCES ,NM ,88011- ,DONA ANA ,,,,1578908,,,.2186,,,150,54900,16162,2801,41351,,714.11,,3320,2579,9522,,,,,,, 320086,01-JAN-15,31-DEC-15,Amended,LOVELACE REGIONAL HOSPITAL-ROSWELL ,117 E. 19TH STREET ,,ROSWELL ,NM ,88201- ,CHAVEZ ,,,,131232,,,.12,,,26,9490,2259,19,6890,,194.1,,631,12,2175,,,,,,, 320089,01-JUL-15,30-JUN-16,As Submitted,UNM SANDOVAL REGIONAL MEDICAL CENTER ,3001 BROADMOOR BLVD NE ,,RIO RANCHO ,NM ,87144 ,SANDOVAL ,25413,,,240200,,,.12,5451,2193,60,21960,4832,538,12466,3.07,435.27,,925,127,3194,843,193,,,,259, 321300,01-JUL-15,30-JUN-16,As Submitted,SIERRA VISTA HOSPITAL ,800 EAST 9TH STREET ,,TRUTH OR CONSEQUENCES ,NM ,87901-1961 ,SIERRA ,,,,,,,,,,15,5490,1205,,2350,,145.67,,283,,593,,,,,,, 321301,01-JAN-15,31-DEC-15,Settled,SOCORRO GENERAL HOSPITAL ,1202 HIGHWAY 60 WEST ,1009 ,SOCORRO ,NM ,87801 ,SOCORRO ,,,,,,,,,,24,8760,321,166,1621,,152.67,,107,74,521,216,,,,,, 321302,01-JAN-15,31-DEC-15,Settled,DR. DAN C. TRIGG MEMORIAL HOSPITAL ,EAST MIEL DE LUNA ,,TUCUMCARI ,NM ,88401 ,QUAY ,,,,,,,,,,25,9125,518,2,810,,81.05,,109,1,241,55,,,,,, 321304,01-JUL-15,30-JUN-16,As Submitted,UNION COUNTY GEN. HOSPITAL ,301 HARDING ST. ,489 ,CLAYTON ,NM ,88415- ,UNION ,,,,,,,,,,25,9150,531,8,813,,53.08,,109,3,200,,,,,,, 321305,01-JUL-15,30-JUN-16,Settled,NOR-LEA HOSPITAL ,1600 NORTH MAIN ,,LOVINGTON ,NM ,89260 ,LEA ,,,,,,,,,,25,9150,965,3,1628,,385.7,,219,2,479,,,,,,, 321306,01-JAN-15,31-DEC-15,Settled,LINCOLN COUNTY MEDICAL CENTER ,211 SUDDERTH ,,RUIDOSO ,NM ,88345 ,LINCOLN ,,,,,,,,,,25,9125,1618,393,4470,,221,,433,202,1519,789,,,,,, 321307,01-JUL-15,30-JUN-16,As Submitted,MINERS COLFAX MEDICAL CENTER ,200 HOSPITAL DRIVE ,,RATON ,NM ,87740- ,COLFAX ,,,,,,,,,,25,9150,1383,56,2372,,193.21,,220,8,435,91,,,,,, 321308,01-JUL-15,30-JUN-16,As Submitted,CIBOLA GENERAL HOSPITAL ,1016 ROOSEVELT ,,GRANTS ,NM ,87020 ,CIBOLA ,,,,,,,,,,25,9150,762,458,2536,,190.19,,197,222,884,,,,,,, 321309,01-JAN-15,31-DEC-15,Settled,MIMBRES MEMORIAL HOSPITAL ,900 WEST ASH STREET ,,DEMING ,NM ,88030 ,LUNA ,,,,,,,,,,25,9125,2153,1489,5508,,174.71,,533,496,1895,,,,,,, 322002,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL ALBUQUERQUE ,700 HIGH STREET N.E. ,,ALBUQUERQUE ,NM ,87102 ,BERNALILLO ,,,,,,,,,,60,21960,4681,8,15700,,155.2,,149,2,487,149,,,,,, 322003,01-JUN-15,31-MAY-16,As Submitted,ALBUQUERQUE - AMG SPECIALTY HOSPITAL ,235 ELM STREET ,,ALBEQUERQUE ,NM ,87102 ,BERNALILLO ,,,,,,,,,,25,9150,2485,136,7475,,75.2,,88,4,277,113,,,,,, 322004,01-MAR-15,29-FEB-16,Settled,ADVANCED CARE HOSPITAL OF SOUTHERN N ,4451 E LOHMAN AVENUE ,,LAS CRUCES ,NM ,88011 ,DONA ANA ,,,,,,,,,,20,7320,3142,50,6024,,50.44,,121,1,239,65,,,,,, 323026,01-JUL-15,30-JUN-16,As Submitted,NEW MEXICO REHABILITATION CENTER ,31 GAIL HARRIS AVE. ,,ROSWELL ,NM ,88201 ,CHAVES ,,,,,,,,,,15,5490,628,1374,2991,,92.82,,59,80,226,,,,,,, 323027,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,7000 JEFFERSON NE ,,ALBUQUERQUE ,NM ,87109 ,BERNALILLO ,,,,,,,,,,87,31755,9285,323,21657,,186.08,,692,24,1684,227,,,,,, 323028,01-SEP-15,31-AUG-16,As Submitted,LOVELACE REHABILITATION HOSPITAL ,505 ELM STREET NE ,,ALBUQUERQUE ,NM ,87102 ,BERNALILLO ,,,,,,,,,,62,22692,6518,232,14291,,182.62,,506,19,1048,198,,,,,, 323029,01-JUL-15,30-JUN-16,As Submitted,SAN JUAN REGIONAL REHAB HOSPITAL ,525 S SCHWARTZ ,,FARMINGTON ,NM ,87401 ,USA ,,,,,,,,,,18,6588,1704,279,2971,,34.78,,122,20,218,,,,,,, 323032,01-JAN-15,31-DEC-15,As Submitted,REHABILITATION HOSPITAL OF SOUTHERN ,4441 EAST LOHMAN AVE ,,LAS CRUCES ,NM ,88011 ,DONA ANA ,,,,,,,,,,40,14600,8639,63,12468,,150.39,,678,3,953,92,,,,,, 324010,01-JAN-15,31-DEC-15,Settled,MESILLA VALLEY HOSPITAL ,3751 DEL REY BLVD ,,LAS CRUCES ,NM ,88012 ,DON ANA ,,,,,,,,,,120,43800,3884,674,32668,,180.76,,317,53,2444,,,,,,, 324012,01-JAN-15,31-DEC-15,Settled,THE PEAK HOSPITAL ,5060 MCNUTT RD ,,SANTA TERESA ,NM ,88008 ,DONA ANA ,,,,,,,,,,119,43435,1586,2335,35532,,175.31,,141,48,1618,,,,,,, 324013,01-JAN-15,31-DEC-15,Settled,HAVEN BEHAVIORAL SEN CARE OF ALBUQUR ,5400 GIBSON BLVD SE 4TH FLOOR ,,ALBUQUERQUE ,NM ,87108 ,,,,,,,,,,,34,12410,3885,42,8782,,59.3,,297,2,743,108,,,,,, 324014,01-AUG-15,31-JUL-16,As Submitted,CENTRAL DESERT BEHAVIORAL HC ,239 ELM STREET N.E ,,ALBUQUERQUE ,NM ,87102 ,BERNALILLO ,,,,,,,,,,26,9516,4448,748,7503,,42,,269,61,518,,,,,,, 330003,01-JUL-15,30-JUN-16,As Submitted,ALBANY MEMORIAL HOSPITAL ,600 NORTHERN BLVD ,,ALBANY ,NY ,12204 ,ALBANY ,,,,85519,,,.0484,,,73,26718,5304,342,14196,,605.2,,1013,82,2850,,,,,,, 330004,01-JAN-15,31-DEC-15,Amended,THE KINGSTON HOSPITAL ,396 BROADWAY ,,KINGSTON ,NY ,12401 ,ULSTER ,1547237,,,501841,,,.0781,1520701,363829,149,54385,21103,2312,37443,19.29,862.2,,3939,320,7722,,,,,,, 330005,01-JAN-15,31-DEC-15,Amended,KALEIDA HEALTH ,100 HIGH STREET ,,BUFFALO ,NY ,14203 ,ERIE ,19174856,,,4602931,,,.1961,12961086,2964950,942,337844,56012,15864,253071,393.27,7100.31,,9449,2333,54277,,,,,9,,658 330006,01-JAN-15,31-DEC-15,Amended,ST. JOSEPHS MEDICAL CENTER ,127 SOUTH BROADWAY ,,YONKERS ,NY ,10701 ,WESTCHESTER ,1373151,,,1400654,,,.4618,1285130,274301,132,48180,10153,8204,32960,35.55,1536.5,,1413,772,4887,1481,,,946,,3126, 330008,01-JAN-15,31-DEC-15,As Submitted,WYOMING COUNTY COMMUNITY HOSPITAL ,400 NORTH MAIN STREET ,,WARSAW ,NY ,14569 ,WYOMING COUNTY ,,,,,,,,,,50,18250,2659,345,7402,,333.5,,495,63,1638,16,,,198,,499, 330009,01-JAN-15,31-DEC-15,Amended,BRONX-LEBANON HOSPITAL CENTER ,1276 FULTON AVENUE ,,BRONX ,NY ,10456 ,THE BRONX ,6731392,,,4301757,,,.7774,9571985,2598387,460,168860,14257,26128,131584,317.8,4018.1,,2290,5029,28167,14110,,,1022,,2262, 330011,01-JAN-15,30-JUN-15,As Submitted,OUR LADY OF LOURDES MEMORIAL HOSP ,169 RIVERSIDE DRIVE ,,BINGHAMTON ,NY ,13905 ,BROOME ,591261,,,308785,,,.0853,140558,98421,148,26788,9636,1277,23543,5.28,1835.1,,1950,198,5189,567,,,,,, 330011,01-JUL-15,30-JUN-16,As Submitted,OUR LADY OF LOURDES MEMORIAL HOSP ,169 RIVERSIDE DRIVE ,,BINGHAMTON ,NY ,13905 ,BROOME ,1466252,,,571655,,,.0828,390812,267609,148,54168,17195,1770,43385,14.2,1884.71,,3545,346,9988,2000,,,,,, 330013,01-JAN-15,31-DEC-15,Amended,ALBANY MEDICAL CENTER HOSPITAL ,43 NEW SCOTLAND AVENUE ,,ALBANY ,NY ,12208 ,ALBANY ,18273583,,,3950047,,,.1848,8463119,1383144,683,249295,59303,14244,207776,341.63,4759.4,,8747,1860,33846,7841,155,,228,15,814,410 330014,01-JAN-15,31-DEC-15,Amended,JAMAICA HOSPITAL MEDICAL CENTER ,8900 VAN WYCK EXPRESSWAY ,,JAMAICA ,NY ,11418 ,QUEENS ,5758530,,,2946563,,,.4818,7398116,1117789,325,118625,15978,14561,97254,163.49,3053.4,,2583,2685,19755,,,,254,53,1095,470 330019,01-JAN-15,31-DEC-15,As Submitted,NY COMMUNITY HOSPITAL OF BROOKLYN ,2525 KINGS HIGHWAY ,,BROOKLYN ,NY ,11229 ,KINGS ,450856,,,3499695,,,.44,367566,39390,134,48910,22050,2673,38213,5.01,597.6,,3711,493,7159,977,,,,,, 330023,01-JAN-15,31-DEC-15,As Submitted,VASSAR BROTHERS MEDICAL CENTER ,45 READE PLACE ,,POUGHKEEPSIE ,NY ,12601 ,DUTCHESS ,,,,1723598,,,.0774,,,365,133225,45358,4153,98859,,1759.5,,8187,639,19545,,,,,,, 330024,01-JAN-15,31-DEC-15,Amended,MOUNT SINAI HOSPITAL ,ONE GUSTAVE L. LEVY PLACE ,,NEW YORK ,NY ,10029 ,MANHATTAN ,63881415,,,13836786,,,.2796,38178316,12109708,1007,370032,89105,23630,333512,786.07,9077.8,,13903,3372,56211,13761,,,679,92,1685,934 330027,01-JAN-15,31-DEC-15,As Submitted,NASSAU UNIVERSITY MEDICAL CENTER ,2201 HEMPSTEAD TPKE ,,EAST MEADOW ,NY ,11554 ,NASSAU ,8399911,,,2752148,,,.4076,10293502,2330289,377,137605,16455,19905,83209,229.3,2449.7,,3124,8272,17324,,,,727,69,1703,423 330028,01-JAN-15,31-DEC-15,Amended,RICHMOND UNIVERSITY MEDICAL CENTER ,355 BARD AVENUE ,,STATEN ISLAND ,NY ,10310 ,RICHMOND ,5919342,,,1950761,,,.2852,4638296,2111173,271,99383,16196,7476,74726,130.5,1966.46,,2495,1179,13655,4515,,,420,,1458, 330030,01-JAN-15,31-DEC-15,Amended,NEWARK WAYNE COMMUNITY HOSPITAL ,DRIVING PARK ,,NEWARK ,NY ,14513 ,WAYNE ,,,,242333,,,.1085,,,104,37960,6608,1097,19650,,640.53,,1401,160,4639,991,102,,122,,468, 330033,01-JAN-15,31-DEC-15,Amended,CHENANGO MEMORIAL HOSPITAL ,179 N. BROAD ST. ,,NORWICH ,NY ,13815 ,CHENANGO ,,,,113626,,,.1302,,,58,21170,2478,196,5765,,345.2,,576,162,1398,251,,,,,, 330043,01-JAN-15,31-DEC-15,Amended,SOUTHSIDE HOSPITAL ,301 EAST MAIN STREET ,,BAY SHORE ,NY ,11706 ,SUFFOLK ,3385523,,,2219046,,,.1652,1363141,273572,242,88330,27764,5477,82144,30.57,2492.9,,4807,1087,17236,4648,,,83,37,285,901 330044,01-JAN-15,31-DEC-15,Amended,FAXTON-ST. LUKES HEALTHCARE ,1656 CHAMPLIN AVE ,,UTICA ,NY ,13503 ,ONEIDA ,463898,,,1316637,,,.1597,224387,104424,247,90155,28014,4446,70695,7.82,2028.77,,4789,676,13996,2897,,,,9,,316 330045,01-JAN-15,31-DEC-15,Amended,HUNTINGTON HOSPITAL ,270 PARK AVENUE ,,HUNTINGTON ,NY ,11743 ,SUFFOLK ,1354971,,,527843,,,.032,483315,124950,277,99065,35439,2053,69214,13.73,1810.4,,6396,610,15046,2069,,,114,,504, 330046,01-JAN-15,31-DEC-15,As Submitted,MOUNT SINAI ST. LUKES ROOSEVELT HOS ,1000 TENTH AVENUE ,,NEW YORK ,NY ,10019 ,NEW YORK ,19751838,,,5993459,,,.3374,18039299,5585738,654,224221,40577,16255,175142,437.68,5226.58,,6619,2452,31686,7687,,,420,26,1713,791 330047,01-JUL-15,30-JUN-16,As Submitted,ST. MARYS HEALTHCARE ,427 GUY PARK AVENUE ,,AMSTERDAM ,NY ,12010 ,MONTGOMERY ,,,,534130,,,.1718,,,100,36600,10658,2843,27579,,1217.6,,1952,234,5570,,,,206,,863,176 330049,01-JAN-15,31-DEC-15,As Submitted,NORTHERN DUTCHESS HOSPITAL ,6511 SPRINGBROOK AVENUE ,,RHINEBECK ,NY ,12572 ,DUTCHESS ,,,,198318,,,.0561,,,58,21170,6096,397,14895,,357.44,,1451,78,3992,797,,,,4,,174 330055,01-JAN-15,31-DEC-15,Amended,NEWYORK-PRESBYTERIAN/QUEENS ,56-45 MAIN STREET ,,FLUSHING ,NY ,11355 ,QUEENS ,14951288,,,6461666,,,.3119,10221865,2289092,462,165710,51738,12064,163249,189.37,3530.8,,7043,1897,27160,9769,,,,,, 330056,01-JAN-15,31-DEC-15,Amended,THE BROOKLYN HOSPITAL CENTER ,121 DEKALB AVENUE ,,BROOKLYN ,NY ,11201 ,KINGS ,8806703,,,2719967,,,.4342,11301794,3234294,287,112906,17169,9916,89530,252.34,2390.9,,2370,1738,14848,6630,,,,8,,150 330057,01-JUL-15,30-JUN-16,As Submitted,ST. PETERS HOSPITAL ,315 S. MANNING BLVD. ,,ALBANY ,NY ,12208 ,USA ,1536530,,,1861808,,,.1123,956797,304030,482,176412,40046,8867,138038,20.44,3047.8,,6971,1162,24973,,,,,,, 330058,01-JAN-15,31-DEC-15,As Submitted,GENEVA GENERAL HOSPITAL ,196 NORTH STREET ,,GENEVA ,NY ,14456 ,ONTARIO ,,,,65634,,,.0255,,,117,42705,7823,373,17659,,750.9,,1513,84,3772,316,,,,1,,78 330059,01-JAN-15,31-DEC-15,Amended,MONTEFIORE MEDICAL CENTER ,111 EAST 210TH STREET ,,BRONX ,NY ,10467 ,BRONX ,54548514,,,17335406,,,.4034,51267596,11304760,1455,531135,102136,52999,477180,1165.15,17286.5,,14635,7792,86548,,,,385,22,1215,425 330061,01-JAN-15,31-DEC-15,Amended,LAWRENCE HOSPITAL CENTER ,55 PALMER AVENUE ,,BRONXVILLE ,NY ,10708 ,WESTCHESTER ,,,,512258,,,.0724,,,288,105120,21217,1521,52763,,1100.9,,3598,277,10359,1889,,,,,, 330065,01-JAN-15,31-DEC-15,Amended,NIAGARA FALLS MEMORIAL MEDICAL CENTE ,621 10TH STREET ,,NIAGARA FALLS ,NY ,14203 ,NIAGARA ,367832,,,750353,,,.3717,358369,213000,133,48545,8155,3784,25701,11.85,840.2,,1162,550,4955,,,,,,, 330073,01-JAN-15,31-DEC-15,As Submitted,UNITED MEMORIAL MEDICAL CENTER ,127 NORTH STREET ,,BATAVIA ,NY ,14020 ,GENESEE ,208322,,,403628,,,.2642,206688,171432,131,47815,5185,3443,20073,8.32,678.4,,952,235,3656,923,,,,,, 330074,01-JAN-15,31-DEC-15,Amended,FF THOMPSON HOSPITAL ,350 PARRISH ST. ,,CANANDAIGUA ,NY ,14424 ,ONTARIO ,,,,,,,,,,113,41245,6965,1235,23206,,905.04,,1346,69,5144,,,,,,, 330078,01-JAN-15,31-DEC-15,Amended,SISTERS OF CHARITY HOSPITAL ,2157 MAIN STREET ,,BUFFALO ,NY ,14214 ,ERIE ,1336980,,,956401,,,.1679,1357668,460203,371,135415,16003,5246,83354,58.54,2194.1,,2587,490,15091,2319,,,,,, 330079,01-JAN-15,31-DEC-15,As Submitted,ADIRONDACK MEDICAL CENTER ,ADIRONDACK MEDICAL CENTER ,471 ,SARANAC LAKE ,NY ,12983 ,FRANKLIN ,,,,174875,,,.0978,,,83,30295,3647,284,8558,,540.5,,786,70,2024,363,,,14,,192, 330080,01-JUL-15,30-JUN-16,Amended,LINCOLN MEDICAL&MENTAL HEALTH CENTER ,234 EAST 149TH STREET ,,BRONX ,NY ,10451 ,BRONX ,5291698,,,2608472,,,.7544,2745268,6981172,287,105042,7935,19971,90214,266.63,3355.1,,1519,3631,20096,,,,397,,947, 330084,01-JAN-15,31-DEC-15,Amended,ALICE HYDE MEDICAL CENTER ,133 PARK STREET ,,MALONE ,NY ,12953 ,FRANKLIN ,,,,150506,,,.12,,,76,27740,3300,595,7241,,495.5,,811,,2031,,,,,,, 330085,01-JAN-15,31-DEC-15,As Submitted,AURELIA OSBORN FOX MEMORIAL HOSPITAL ,1 NORTON AVE ,,ONEONTA ,NY ,13820 ,OTSEGO ,,,,159046,,,.0919,,,60,21900,6570,752,12129,,528.4,,1227,106,2432,,,,,,, 330086,01-JAN-15,31-DEC-15,Amended,THE MOUNT VERNON HOSPITAL ,12 NORTH 7TH AVENUE ,,MOUNT VERNON ,NY ,10550 ,WESTCHESTER ,1421941,,,224875,,,.12,963018,201355,63,22995,5108,2711,16541,26.58,479.6,,760,386,2752,527,102,,167,,491, 330088,01-JAN-15,31-DEC-15,As Submitted,EASTERN LONG ISLAND HOSPITAL ,201 MANOR PLACE ,,GREENPORT ,NY ,11944 ,SUFFOLK ,,,,143908,,,.12,,,67,24455,3220,4110,13013,,292.6,,629,357,2028,,,,232,,557, 330090,01-JAN-15,31-DEC-15,Amended,ARNOT-OGDEN MEDICAL CENTER ,600 ROE AVENUE ,,ELMIRA ,NY ,14905 ,CHEMUNG ,2609736,,,960225,,,.1407,1425005,606340,239,87235,15966,3084,52097,47.82,2106.8,,3575,328,10100,1826,,,,,, 330094,01-JAN-15,31-DEC-15,Amended,COLUMBIA MEMORIAL HOSPITAL ,71 PROSPECT AVENUE ,,HUDSON ,NY ,12534 ,COLUMBIA ,,,,411322,,,.0973,,,93,33945,12617,1216,26521,,1180.42,,2315,258,5223,1073,99,,128,,498, 330096,01-JAN-15,31-DEC-15,Amended,JONES MEMORIAL HOSPITAL ,191 N MAIN STREET ,PO BOX 72 ,WELLSVILLE ,NY ,14895 ,ALLEGANY ,,,,104817,,,.1173,,,70,25550,2959,433,7476,,320.9,,592,471,1674,4,,,,,, 330100,01-JAN-15,31-DEC-15,As Submitted,NEW YORK EYE AND EAR INFIRMARY ,310 EAST 14TH STREET ,,NEW YORK ,NY ,10003 ,NEW YORK ,116699,,,8345,,,.12,12522,772282,27,9855,76,30,839,29.5,949.8,,41,19,409,152,,,,,, 330101,01-JAN-15,31-DEC-15,Amended,NEW YORK PRESBYTERIAN HOSPITAL ,525 EAST 68TH STREET ,,NEW YORK ,NY ,10065 ,NEW YORK ,100854765,,,25451513,,,.2851,36618572,11260859,2049,736411,173763,46520,662399,1524.61,22700.05,,25088,6056,101373,24858,,,1558,34,6497,1034 330102,01-JAN-15,31-DEC-15,Amended,KENMORE MERCY HOSPITAL ,2950 ELMWOOD AVENUE ,,KENMORE ,NY ,14217 ,ERIE ,,,,136589,,,.0335,,,164,59860,8642,733,32004,,905.8,,1738,166,7631,731,,,,7,,354 330103,01-JAN-15,31-DEC-15,As Submitted,OLEAN GENERAL HOSPITAL ,515 MAIN STREET ,,OLEAN ,NY ,14760 ,CATTARAUGUS ,49748,,,303726,,,.0991,72738,51519,150,54750,11596,1384,28065,4.03,787.2,,1743,471,4903,946,,,262,,604, 330104,01-JAN-15,31-DEC-15,As Submitted,NYACK HOSPITAL ,160 NORTH MIDLAND AVENUE ,,NYACK ,NY ,10960 ,USA ,,,,2410057,,,.2227,,,235,85775,28588,10826,67454,,1270.7,,4328,855,11849,,,,,,, 330106,01-JAN-15,31-DEC-15,Amended,NORTH SHORE UNIVERSITY HOSPITAL ,300 COMMUNITY DRIVE ,,MANHASSET ,NY ,10030 ,NASSAU ,37378326,,,3376862,,,.0764,20818419,5115715,766,275898,99207,12348,280503,331.82,9835.37,,14662,1772,48909,5389,,,174,,1033, 330107,01-JAN-15,31-DEC-15,As Submitted,PECONIC BAY MEDICAL CENTER ,1300 ROANOKE AVENUE ,,RIVERHEAD ,NY ,11901 ,SUFFOLK ,3535463,,,583064,,,.0734,2106121,390372,117,42705,15519,2525,32854,29.3,793.3,,3584,1160,7591,,,,,,, 330108,01-JAN-15,31-DEC-15,Amended,ST. JOSEPHS HOSPITAL ,555 ST. JOSEPHS BLVD. ,,ELMIRA ,NY ,14901 ,CHEMUNG ,,,,165247,,,.4935,,,34,12410,1670,2045,7801,,234.6,,316,158,1033,308,,,267,4,1132,491 330111,01-JAN-15,31-DEC-15,Amended,BERTRAND CHAFFEE HOSPITAL ,224 EAST MAIN ST ,,SPRINGVILLE ,NY ,14141 ,ERIE ,,,,,,,,,,23,7665,1178,181,3329,,226,,339,55,993,33,,,,,, 330115,01-JAN-15,31-DEC-15,As Submitted,ONEIDA HEALTHCARE ,321 GENESEE STREET ,,ONEIDA ,NY ,13421 ,MADISON ,,,,166057,,,.1244,,,101,36865,3742,671,11073,,650.2,,891,128,2816,,,,,,, 330119,01-JAN-15,31-DEC-15,Amended,LENOX HILL HOSPITAL ,100 EAST 77TH STREET ,,NEW YORK ,NY ,10075 ,MANHATTAN ,18102633,,,2137840,,,.1114,10255780,4319129,422,155766,34231,4266,121306,227.5,4589.2,,6129,1844,27520,3693,,,150,,586, 330125,01-JAN-15,31-DEC-15,Amended,ROCHESTER GENERAL HOSPITAL ,1425 PORTLAND AVENUE ,,ROCHESTER ,NY ,14621 ,MONROE ,6145256,,,1380127,,,.1073,3789814,2329392,470,171550,36448,6267,153469,119.2,5714.9,,5655,1002,27284,5822,,,240,4,916,133 330126,01-JAN-15,31-DEC-15,As Submitted,ORANGE REGIONAL MEDICAL CENTER ,707 EAST MAIN STREET ,,MIDDLETOWN ,NY ,10940 ,ORANGE ,1209142,,,1822260,,,.0921,,,329,120085,43858,6052,93163,7.81,1998.84,,7589,774,19399,2798,,,228,8,959,603 330127,01-JUL-15,30-JUN-16,Amended,JACOBI MEDICAL CENTER ,1400 PELHAM PARKWAY SOUTH ,,BRONX ,NY ,10461 ,BRONX ,8518895,,,3035750,,,.5705,5152076,5111759,326,119316,14674,19965,96525,298.45,3332.9,,1994,2628,16227,,,,657,55,2099,505 330128,01-JUL-15,30-JUN-16,Amended,ELMHURST HOSPITAL CENTER ,79-01 BROADWAY ,,ELMHURST ,NY ,11373 ,QUEENS ,5002584,,,2433187,,,.5687,6697145,2655561,358,131028,15247,33635,110005,236.86,3231.9,,1758,3988,15656,7715,,,773,30,2471,203 330132,01-JAN-15,31-DEC-15,As Submitted,TLC HEALTH NETWORK ,845 ROUTES 5 & 20 ,,IRVING ,NY ,14081 ,CATTARAUGUS ,,,,23737,,,.0762,,,25,9125,676,37,1895,,215.5,,218,12,563,64,,,156,,613, 330135,01-JAN-15,31-DEC-15,Amended,BON SECOURS COMMUNITY HOSPITAL ,160 EAST MAIN STREET ,,PORT JERVIS ,NY ,12771 ,ORANGE ,,,,752267,,,.2641,,,98,35770,5942,2012,15078,,353.18,,1275,242,3183,663,,,167,,741, 330136,01-JAN-15,31-DEC-15,Amended,MARY IMOGENE BASSETT HOSPITAL ,1 ATWELL ROAD ,,COOPERSTOWN ,NY ,13326 ,OTSEGO ,5466229,,,680565,,,.087,1604593,2092523,160,58400,21150,1452,43649,54.16,3316.16,,3522,282,8308,,,,102,,526, 330140,01-JAN-15,31-DEC-15,Amended,ST. JOSEPHS HOSPITAL HEALTH CENTER ,301 PROSPECT AVENUE ,,SYRACUSE ,NY ,13203 ,ONONDAGA ,6005958,,,1770515,,,.076,2227412,612226,451,164615,56319,6720,136074,57.4,3381.21,,8851,762,24332,,,,,,, 330141,01-JAN-15,31-DEC-15,Amended,BROOKHAVEN MEMORIAL HOSPITAL MEDICAL ,101 HOSPITAL RD ,,E PATCHOGUE ,NY ,11772 ,SUFFOLK ,2704559,,,1152730,,,.0836,1632716,358535,225,82125,38285,3327,74084,20.15,1663.3,,5550,609,12184,,,,151,,559, 330144,01-JAN-15,31-DEC-15,Amended,IRA DAVENPORT MEMORIAL HOSPITAL INC ,7571 STATE ROUTE 54 ,,BATH ,NY ,14810 ,STEUBEN ,,,,25768,,,.0713,,,15,5475,1016,75,2135,,150.6,,291,13,604,63,,,,,, 330151,01-JAN-15,31-DEC-15,Amended,ST. JAMES MERCY HOSPITAL ,411 CANISTEO STREET ,,HORNELL ,NY ,14843 ,STEUBEN ,,,,53745,,,.12,,,115,37685,1389,1295,5641,,270.3,,357,86,937,170,,,,,, 330153,01-JAN-15,31-DEC-15,Amended,ELLIS HOSPITAL ,1101 NOTT STREET ,,SCHENECTADY ,NY ,12309 ,SCHENECTADY ,2065486,,,1336980,,,.1501,1384892,668641,350,123673,27971,6200,92749,37.09,2768.3,,4665,885,17389,3114,,,,,, 330154,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HOSPITAL FOR CANCER AND ALL ,1275 YORK AVENUE ,,NEW YORK ,NY ,10065 ,NEW YORK ,,,,,,,,,4440944,473,172645,54404,3025,151827,319.82,11227.64,,7334,399,22486,1235,,,,,, 330157,01-JAN-15,31-DEC-15,As Submitted,SAMARITAN MEDICAL CENTER ,830 WASHINGTON STREET ,,WATERTOWN ,NY ,13601 ,JEFFERSON ,409826,,,485634,,,.12,,,157,57305,15864,5680,42327,12.2,1297.7,,3094,1182,7443,,,,515,3,1378,127 330158,01-JAN-15,31-DEC-15,Amended,GOOD SAMARITAN HOSPITAL ,255 LAFAYETTE AVENUE ,,SUFFERN ,NY ,10901 ,ROCKLAND ,,,,2660529,,,.1954,,,286,104390,25779,4435,64516,,1286.57,,5106,604,13725,4668,,,,,, 330160,01-JAN-15,31-DEC-15,As Submitted,STATEN ISLAND UNIVERSITY HOSPITAL ,475 SEAVIEW AVENUE ,,STATEN ISLAND ,NY ,10305 ,RICHMOND ,18004013,,,4634737,,,.22,9080631,2956643,531,193815,52170,13876,185473,276.81,5256.8,,9269,3207,37074,9633,285,,299,22,1174,1104 330162,01-JAN-15,31-DEC-15,As Submitted,NORTHERN WESTCHESTER HOSPITAL ,400 EAST MAIN STREET ,,MOUINT KISCO ,NY ,10549 ,WESTCHESTER ,,,,,,,,,,168,61320,15558,962,39535,,1282.3,,2992,151,8466,1052,,,48,,328, 330163,01-JAN-15,31-DEC-15,Amended,EASTERN NIAGARA HOSPITAL ,521 EAST AVENUE ,,LOCKPORT ,NY ,14094 ,NIAGARA ,,,,471155,,,.2433,,,125,45625,7698,3201,29993,,530.5,,1233,1128,4420,,,,,,, 330164,01-JAN-15,30-JUN-15,As Submitted,HIGHLAND HOSPITAL ,1000 SOUTH AVENUE ,,ROCHESTER ,NY ,14620 ,MONROE ,1613420,,,400861,,,.1215,1129386,395602,240,44043,9635,3126,40583,75.8,2416.6,,1577,641,8004,,,,,,, 330164,01-JUL-15,30-JUN-16,As Submitted,HIGHLAND HOSPITAL ,1000 SOUTH AVENUE ,,ROCHESTER ,NY ,14620 ,MONROE ,3113115,,,784287,,,.1231,2397658,791752,247,90059,20132,4359,77439,74.6,2369.6,,3062,1175,15594,,,,,,, 330166,01-JAN-15,31-DEC-15,As Submitted,WESTFIELD MEMORIAL HOSPITAL ,189 EAST MAIN STREET ,,WESTFIELD ,NY ,14787 ,CHAUTAUQUA ,,,,,,,,,,4,1460,1,,1,,68.69,,1,,1,,,,,,, 330167,01-JAN-15,31-DEC-15,Amended,WINTHROP UNIVERSITY HOSPITAL ,259 FIRST STREET ,,MINEOLA ,NY ,11501 ,NASSAU ,24802042,,,2494308,,,.0914,9836090,4103177,511,186515,57774,16117,169933,250.76,6724.58,,8520,1118,31644,,,,,,, 330169,01-JAN-15,31-DEC-15,As Submitted,MOUNT SINAI BETH ISRAEL ,FIRST AVENUE AT 16 STREET ,,NEW YORK ,NY ,10003 ,NEW YORK ,24952858,,,9462853,,,.3476,23015995,9862729,815,297602,68780,21846,213482,409.16,6576.1,,10959,3895,39715,10571,,,824,21,2391,660 330175,01-JAN-15,31-DEC-15,Amended,CORTLAND REGIONAL MEDICAL CENTER ,134 HOMER AVENUE ,2010 ,CORTLAND ,NY ,13045 ,CORTLAND ,,,,249589,,,.1199,,,103,37595,7891,484,15984,,656.3,,1430,118,3059,,,,98,,423, 330180,01-JUL-15,30-JUN-16,Amended,SAMARITAN HOSPITAL ,2215 BURDETT AVE ,,TROY ,NY ,12180 ,RENSSELAER ,,,,192372,,,.06,,,149,54534,9474,975,25329,,1100.19,,943,153,4978,887,187,,387,,1548, 330181,01-JAN-15,31-DEC-15,As Submitted,GLEN COVE HOSPITAL ,101 ST. ANDREWS LANE ,,GLEN COVE ,NY ,11542 ,NASSAU ,1300494,,,,,,,1223140,341064,54,24698,9053,919,15629,14.34,708.36,,1688,179,3238,185,,,,23,,931 330182,01-JAN-15,31-DEC-15,As Submitted,ST. FRANCIS HOSPITAL ,100 PORT WASHINGTON BLVD ,,ROSLYN ,NY ,11576 ,NASSAU ,407787,,,,,,,176409,66611,364,132860,60470,1600,100961,2.47,2767.33,,8481,185,15770,,,,,,, 330184,01-JAN-15,31-DEC-15,Amended,MONTEFIORE NEW ROCHELLE HOSPITAL ,16 GUION AVE ,,NEW ROCHELLE ,NY ,10802 ,WESTCHESTER ,4103849,,,1274426,,,.1945,3948103,761703,151,55115,14557,3367,35957,47.58,1099,,2537,498,6969,2088,,,,,, 330185,01-JAN-15,31-DEC-15,Amended,JOHN T MATHER MEMORIAL HOSPITAL ,75 N COUNTRY RD ,,PT JEFFERSON ,NY ,11777 ,SUFFOLK ,4054520,,,,,,,2343149,889133,195,71155,33586,1149,58047,32.5,1840.4,,5256,174,10261,,,,222,,1271, 330188,01-JAN-15,31-DEC-15,Amended,MOUNT ST. MARYS HOSPITAL ,5300 MILITARY RD ,,LEWISTON ,NY ,14092 ,NIAGARA ,,,,430565,,,.218,,,133,48545,5932,3011,26915,,633.8,,1138,278,4941,1100,,,,,, 330191,01-JAN-15,31-DEC-15,As Submitted,GLENS FALLS HOSPITAL ,100 PARK STREET ,,GLENS FALLS ,NY ,12801 ,WARREN ,,,,509131,,,.0737,,,363,132485,24578,2927,60983,,2126.51,,4025,459,11852,2115,,,254,10,1058,251 330193,01-JAN-15,31-DEC-15,As Submitted,FLUSHING HOSPITAL MEDICAL CENTER ,45TH AVE AT PARSONS BLVD ,,FLUSHING ,NY ,11355 ,QUEENS ,5614317,,,2834079,,,.4329,6051149,841354,275,100375,21460,12476,83140,116.87,1682.61,,2565,2105,14542,,,,89,,402, 330194,01-JAN-15,31-DEC-15,Amended,MAIMONIDES MEDICAL CENTER ,48-02 TENTH AVENUE ,,BROOKLYN ,NY ,11219 ,KINGS ,35781688,,,14317552,,,.5097,20420922,5107592,641,191677,58062,12592,184064,384.4,5402.5,,8700,2337,33629,13443,,,550,,1477, 330195,01-JAN-15,31-DEC-15,Amended,LONG ISLAND JEWISH MEDICAL CENTER ,275-05 76TH STREET ,,NEW HYDE PARK ,NY ,11040 ,QUEENS ,25721307,,,5156950,,,.2585,19916742,8168868,704,261340,46718,25638,233886,539.04,8824.9,,7518,3473,46946,13504,,,991,,4643, 330196,01-JUL-15,30-JUN-16,Amended,CONEY ISLAND HOSPITAL ,2601 OCEAN PARKWAY ,,BROOKLYN ,NY ,11235 ,,6985065,,,5183535,,,.5821,5014467,2564836,292,106456,29866,20004,95627,132.2,2794.7,,3624,2648,13226,4632,316,,290,11,975,151 330197,01-JAN-15,31-DEC-15,As Submitted,CANTON-POTSDAM HOSPITAL ,50 LEROY STREET ,,POTSDAM ,NY ,13676 ,SAINT LAWRENCE ,,,,292341,,,.12,,,94,34310,7775,3400,24127,,944.5,,1576,414,4725,1210,,,,,, 330198,01-JAN-15,31-DEC-15,Amended,SOUTH NASSAU COMMUNITIES HOSPITAL ,ONE HEALTHY WAY ,,OCEANSIDE ,NY ,11572 ,NASSAU ,6905322,,,1282370,,,.0661,3706610,950783,351,120755,47480,4000,102830,56.97,2732,,7332,667,19298,,,,208,,1101, 330199,01-JUL-15,30-JUN-16,Amended,METROPOLITAN HOSPITAL CENTER ,1901 FIRST AVENUE ,,NEW YORK ,NY ,10029 ,NEW YORK ,2291339,,,1020558,,,.7031,3240179,2285261,196,66246,3802,10411,41464,177.17,1919.27,,751,3039,9014,,,,,,2772,219 330201,01-JAN-15,31-DEC-15,Amended,KINGSBROOK JEWISH MEDICAL CENTER ,585 SCHENECTADY AVENUE ,,BROOKLYN ,NY ,11203 ,KINGS ,4319485,,,1407724,,,.2566,6124702,584469,161,58765,14754,3683,40022,74.02,1458.82,,1911,703,6221,,,,,,1026,750 330202,01-JUL-15,30-JUN-16,Amended,NYC HEALTH + HOSPITALS/ KINGS COUNTY ,451 CLARKSON AVE ,,BROOKLYN ,NY ,11203 ,KINGS ,7117887,,,2384495,,,.5316,5121850,2188405,406,148596,14471,34042,121426,379.72,4326.13,,1885,4424,18784,,,,1076,58,3546,351 330203,01-JAN-15,31-DEC-15,Amended,CROUSE HOSPITAL ,736 IRVING AVE ,,SYRACUSE ,NY ,13210 ,ONONDAGA ,2159507,,,2998265,,,.2538,964362,282596,487,182066,29580,13909,121197,41.33,2473.6,,5341,1102,19813,4913,,,,,, 330204,01-JUL-15,30-JUN-16,Amended,BELLEVUE HOSPITAL CENTER ,462 FIRST AVENUE ,,NEW YORK ,NY ,10016 ,NEW YORK ,7330909,,,2860187,,,.6037,3903381,3225249,527,166896,12597,37849,126681,409.41,4194.37,,1891,5583,21813,,,,1564,71,6320,487 330205,01-JAN-15,31-DEC-15,Amended,ST ANTHONYS COMMUNITY HOSPITAL ,15 MAPLE AVENUE ,,WARWICK ,NY ,10990 ,ORANGE ,,,,,,,,,,60,21900,5234,179,10007,,296,,1071,38,2292,200,,,,,, 330208,01-JAN-15,31-DEC-15,As Submitted,ST. JOHNS RIVERSIDE HOSPITAL ,967 NORTH BROADWAY ,,YONKERS ,NY ,10701 ,WESTCHESTER ,,,,3956171,,,.4272,,,378,137970,26485,18248,96428,,1576.5,,4212,2260,16853,,,,,,, 330211,01-JAN-15,31-DEC-15,Amended,CLAXTON HEPBURN MEDICAL CENTER ,214 KING STREET ,,OGDENSBURG ,NY ,13669 ,ST. LAWRENCE ,,,,142108,,,.0942,,,87,31755,5173,378,10789,,575.8,,928,87,2035,259,230,,231,,929,3 330214,01-JAN-15,31-AUG-15,Amended,NYU HOSPITALS CENTER ,550 FIRST AVENUE ,,NEW YORK ,NY ,10016 ,NEW YORK ,26676045,,,2596090,,,.1183,8054348,5421785,566,137538,31136,4049,106502,429.63,8933.4,,6290,510,21739,2603,58,,41,21,436,1051 330214,01-SEP-15,31-AUG-16,As Submitted,NYU HOSPITALS CENTER ,550 FIRST AVENUE ,,NEW YORK ,NY ,10016 ,NEW YORK ,76773240,,,9615896,,,.2199,23170901,13401527,877,284576,64793,19676,236224,992.56,13983.91,,12430,2487,48662,9267,378,,207,55,1339,1936 330215,01-JAN-15,31-DEC-15,Amended,ROME MEMORIAL HOSPITAL INC. ,1500 N. JAMES STREET ,,ROME ,NY ,13440 ,ONEIDA ,,,,265363,,,.12,,,92,33580,6428,1935,13846,,641.04,,1311,497,3196,,,,20,,300, 330218,01-JAN-15,31-DEC-15,As Submitted,OSWEGO HOSPITAL ,110 W SIXTH ST ,,OSWEGO ,NY ,13126 ,OSWEGO ,,,,313172,,,.1201,,,132,48180,8294,675,17857,,849.71,,1451,107,3471,782,,,219,,718, 330219,01-JAN-15,31-DEC-15,Amended,ERIE COUNTY MEDICAL CENTER ,462 GRIDER ST. ,,BUFFALO ,NY ,14215 ,ERIE ,6915655,,,2182565,,,.3073,5355622,1568948,309,113999,21022,8178,89748,155.82,2351.4,,2859,1093,13984,4028,821,,1292,39,3176,421 330221,01-JAN-15,31-DEC-15,As Submitted,WYCKOFF HEIGHTS MEDICAL CENTER ,374 STOCKHOLM STREET ,,BROOKLYN ,NY ,11237 ,KINGS ,5603901,,,2697816,,,.5141,6927267,1267899,261,95265,11416,6309,57176,155.27,1757.9,,2111,1259,12594,5763,,,,,, 330222,01-JAN-15,31-DEC-15,As Submitted,SARATOGA HOSPITAL ,211 CHURCH ST ,,SARATOGA SPRINGS ,NY ,12866 ,SARATOGA ,,,,200756,,,.0391,,,171,62415,17902,1726,49185,,1741.86,,2881,321,8898,,,,,,, 330223,01-JAN-15,31-DEC-15,As Submitted,MASSENA MEMORIAL HOSPITAL ,1 HOSPITAL DRIVE ,,MASSENA ,NY ,13662 ,ST. LAWRENCE ,,,,157077,,,.12,,,50,18250,4146,829,8791,,364,,906,135,2320,418,,,,,, 330224,01-JAN-15,31-DEC-15,Amended,BENEDICTINE HOSPITAL ,105 MARYS AVENUE ,,KINGSTON ,NY ,12401 ,ULSTER ,81265,,,419555,,,.4041,63691,39882,45,18265,1736,1898,9269,1.13,311.8,,411,240,1917,,,,185,3,969,166 330226,01-JAN-15,31-DEC-15,Amended,UNITY HOSPITAL OF ROCHESTER ,1555 LONG POND ROAD ,,ROCHESTER ,NY ,14626 ,MONROE ,1766239,,,744326,,,.1317,1394422,772424,283,103295,16979,7285,83033,42.35,3314.1,,2768,802,15546,1689,,,150,20,577,349 330229,01-JAN-15,31-DEC-15,As Submitted,BROOKS MEMORIAL HOSPITAL ,529 CENTRAL AVE. ,,DUNKIRK ,NY ,14063 ,CHAUTAUQUA ,,,,119536,,,.12,,,65,23725,2577,341,8716,,338.9,,609,46,2194,707,,,,,, 330231,01-JUL-15,30-JUN-16,Amended,QUEENS HOSPITAL CENTER ,82-68 164TH STREET ,,JAMAICA ,NY ,11432 ,U.S.A ,2344576,,,1428406,,,.5796,1270893,1437780,190,69540,7350,17414,57392,96.13,2135.4,,1069,2783,10551,4684,,,374,16,1388,171 330232,01-JUL-15,30-JUN-16,Amended,SETON HEALTH ,1300 MASSACHUSETTS AVE ,,TROY ,NY ,12180 ,RENSSELAER ,,,,504851,,,.3437,,,160,58560,5369,4141,18712,,774.79,,1016,353,3473,760,,,,,, 330233,01-JAN-15,31-DEC-15,Amended,BROOKDALE HOSPITAL MEDICAL CENTER ,ONE BROOKDALE PLAZA ,,BROOKLYN ,NY ,11212 ,BROOKLYN ,5825128,,,2427991,,,.4884,7335937,1582647,288,105354,12984,10107,74589,216.01,3211,,1747,1568,12277,5218,,,791,,1928, 330234,01-JAN-15,31-DEC-15,Amended,WESTCHESTER MEDICAL CENTER ,WESTCHESTER MEDICAL CENTER ,100 WOODS ROAD ,VALHALLA ,NY ,10595 ,WESTCHESTER ,15963207,,,5844681,,,.2773,9076095,1715509,708,258220,49694,25820,191370,307.34,3713.13,,5612,2541,23538,5044,,,1123,42,3126,614 330235,01-JAN-15,31-DEC-15,As Submitted,AUBURN MEMORIAL HOSPITAL ,17 LANSING STREET ,,AUBURN ,NY ,13021 ,CAYUGA ,,,,272481,,,.0824,,,85,31025,10453,697,20145,,654.6,,2148,147,4559,571,,,131,,508, 330236,01-JAN-15,31-DEC-15,As Submitted,NEW YORK METHODIST HOSPITAL ,506 SIXTH STREET ,,BROOKLYN ,NY ,11215 ,KINGS ,20532905,,,6710940,,,.3028,13836045,2968568,516,188340,50758,9327,185494,270.97,3544.7,,8172,1772,35575,11426,,,273,4,1110,625 330238,01-JAN-15,31-DEC-15,Amended,NICHOLAS H. NOYES MEMORIAL HOSPITAL ,111 CLARA BARTON STREET ,,DANSVILLE ,NY ,14437 ,LIVINGSTON ,,,,104351,,,.1126,,,67,24455,2740,489,8000,,405.8,,630,187,2291,478,,,,,, 330239,01-JAN-15,31-DEC-15,Amended,WOMANS CHRISTIAN ASSOCIATION HOSPIT ,207 FOOTE AVENUE ,,JAMESTOWN ,NY ,14702-0840 ,CHAUTAUQUA ,,,,321515,,,.12,,,157,44530,8543,2261,24655,,851.4,,1684,294,4895,1460,369,,449,,1189,132 330240,01-JUL-15,30-JUN-16,Amended,HARLEM HOSPITAL CENTER ,506 LENOX AVENUE ,,NEW YORK ,NY ,10037 ,NEW YORK ,3898947,,,1551705,,,.6097,5529594,2175342,222,76728,6816,11752,53494,183.96,2419.76,,1125,2355,12162,,,,541,34,1687,165 330241,01-JAN-15,31-DEC-15,Amended,UNIVERSITY HOSPITAL AT SYRACUSE ,750 E. ADAMS STREET ,,SYRACUSE ,NY ,13210 ,ONONDAGA ,15262995,,,3939930,,,.241,6907747,2819351,641,198195,48928,11153,152357,334.84,4881.55,,7078,1830,26859,5887,126,,281,32,957,916 330245,01-JAN-15,31-DEC-15,Amended,ST. ELIZABETH MEDICAL CENTER ,2209 GENESEE STREET ,,UTICA ,NY ,13501 ,ONEIDA ,1802319,,,567351,,,.0782,1123371,519020,177,64605,20916,1662,46685,27.34,1659.37,,3948,308,9591,1168,,,290,,1079, 330246,01-JAN-15,31-DEC-15,As Submitted,ST CHARLES HOSPITAL ,200 BELLE TERRE ROAD ,,PORT JEFFERESON ,NY ,11777 ,SUFFOLK ,199177,,,911789,,,.1789,279163,56001,177,60955,15685,11008,54135,3,1305.1,,2216,830,8753,,,,,26,,1058 330250,01-JAN-15,30-SEP-15,As Submitted,CHAMPLAIN VALLEY PHYSICIANS HOSPITAL ,75 BEEKMAN STREET ,,PLATTSBURGH ,NY ,12901 ,CLINTON ,,,,781070,,,.12,,,321,87633,21935,2588,41849,,1863.52,,3456,376,7203,,,,,,, 330259,01-JAN-15,31-DEC-15,As Submitted,MERCY MEDICAL CENTER ,1000 NORTH VILLAGE AVE ,,ROCKVILLE CENTRE ,NY ,11570 ,NASSAU ,65013,,,1080047,,,.1541,343998,68808,299,109135,18081,2370,48534,.84,1249.5,,2956,537,8969,,,,105,8,535,874 330261,01-JAN-15,31-DEC-15,Amended,PHELPS MEMORIAL HOSPITAL CENTER ,701 NORTH BROADWAY ,,SLEEPY HOLLOW ,NY ,10591 ,WESTCHESTER ,1370518,,,1425444,,,.2344,1031256,344553,168,61320,16785,5966,41734,24.63,1359.7,,2662,505,6409,1382,,,53,2,403,259 330264,01-JAN-15,31-DEC-15,Amended,ST. LUKES CORNWALL HOSPITAL ,70 DUBOIS ST ,,NEWBURGH ,NY ,12550 ,ORANGE ,,,,1353398,,,.1434,,,193,70445,21597,2807,46996,,984,,3829,499,9524,2389,,,,,, 330265,01-JAN-15,31-DEC-15,Amended,CLIFTON SPRINGS HOSPTAL AND CLINIC ,2 COULTER ROAD ,,CLIFTON SPRINGS ,NY ,14432 ,ONTARIO ,,,,358001,,,.3758,,,104,37960,3355,4160,14687,,483,,804,220,2100,251,82,,81,,466, 330267,01-JAN-15,31-DEC-15,As Submitted,HUDSON VALLEY HOSPITAL CENTER ,1980 CROMPOND ROAD ,,CORTLANDT MANOR ,NY ,10567 ,WESTCHESTER ,,,,368876,,,.0465,,,128,46720,16742,1843,33689,,920.4,,3401,347,7479,1012,,,,,, 330268,01-JAN-15,31-DEC-15,As Submitted,BASSETT HOSPITAL OF SCHOHARIE COUNTY ,BASSETT HOSPITAL OF SCHOHARIE COUNT ,178 GRANDVIEW DRIVE ,COBLESKILL ,NY ,12043 ,SCHOHARIE ,,,,,,,,,,40,14600,2937,26,4323,,211.9,,277,8,477,29,,,,,, 330270,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL FOR SPECIAL SURGERY ,535 EAST 70TH STREET ,,NEW YORK ,NY ,10021 ,MANHATTAN ,16164164,,,,,,,3075992,763695,201,73183,22388,256,53704,76.61,4063.26,,5919,48,15600,251,,,,,, 330273,01-JAN-15,31-DEC-15,As Submitted,PUTNAM HOSPITAL CENTER ,670 STONELEIGH AVE ,,CARMEL ,NY ,10512 ,PUTNAM ,,,,,,,,,,144,52560,12283,583,24001,,624.2,,2687,114,5727,460,,,144,,700, 330276,01-JAN-15,31-DEC-15,As Submitted,NATHAN LITTAUER HOSPITAL & NURSING H ,99 EAST STATE STREET ,,GLOVERSVILLE ,NY ,12078 ,FULTON ,,,,221833,,,.1708,,,70,25550,3697,544,10400,,691.5,,859,96,2584,782,,,,,, 330277,01-JAN-15,31-DEC-15,Amended,CORNING HOSPITAL ,1 GUTHRIE DRIVE ,,CORNING ,NY ,14830 ,STEUBEN ,,,,184961,,,.0678,,,74,27010,6789,613,17164,,543,,1687,171,5266,911,,,,,, 330279,01-JAN-15,31-DEC-15,Amended,MERCY HOSPITAL OF BUFFALO ,565 ABBOTT RD. ,,BUFFALO ,NY ,14220 ,ERIE ,1235751,,,667332,,,.072,1018740,333416,369,135729,21003,4323,92963,23.15,2339.2,,3435,532,17703,2408,,,,15,,396 330285,01-JAN-15,30-JUN-15,Amended,STRONG MEMORIAL HOSPITAL ,175 CORPORATE WOODS SUITE 225 ,,ROCHESTER ,NY ,14623 ,MONROE ,11319598,,,1743856,,,.2091,4479671,3187625,705,127605,26617,9690,126713,641.83,8579.1,,3167,940,17140,2966,,,233,9,992,191 330285,01-JUL-15,30-JUN-16,Amended,STRONG MEMORIAL HOSPITAL ,175 CORPORATE WOODS SUITE 225 ,,ROCHESTER ,NY ,14623 ,MONROE ,23228209,,,3872225,,,.229,8488576,6554703,705,258030,51413,18399,248242,652.91,9171.4,,6617,1805,34739,6426,506,,505,22,2170,405 330286,01-JAN-15,31-DEC-15,Amended,GOOD SAMARITAN HOSPITAL ,1000 MONTAUK HIGHWAY ,,WEST ISLIP ,NY ,11795 ,SUFFOLK ,3888832,,,2108261,,,.1147,2815453,843374,437,159505,50054,7920,139952,65.48,3023.2,,6905,1365,24589,,,,,,, 330304,01-JAN-15,31-DEC-15,Amended,WHITE PLAINS HOSPITAL ,41 EAST POST ROAD ,,WHITE PLAINS ,NY ,10601 ,WESTCHESTER ,,,,628454,,,.0498,,,292,106580,29312,4196,73357,,2308.2,,4965,668,15111,1468,,,,,, 330306,01-JAN-15,31-AUG-15,Amended,LUTHERAN MEDICAL CENTER ,150 55TH STREET ,,BROOKLYN ,NY ,11220 ,KINGS ,19577005,,,3355736,,,.414,14790194,2649715,323,78489,19436,8054,73852,534.07,4080.6,,2924,1747,14479,,,,204,33,655,395 330306,01-SEP-15,31-DEC-15,Amended,LUTHERAN MEDICAL CENTER ,150 55TH STREET ,,BROOKLYN ,NY ,11220 ,KINGS ,9635612,,,1631498,,,.4166,7104310,1625274,323,39406,8720,6461,35072,564.97,4221.2,,1491,1046,7744,,,,94,14,367,215 330307,01-JAN-15,31-DEC-15,Amended,CAYUGA MEDICAL CENTER AT ITHACA ,101 DATES DRIVE ,,ITHACA ,NY ,14850 ,TOMPKINS ,,,,70570,372223,,.1196,,,144,52560,9114,523,22896,,1130.6,,2338,366,5070,,,,139,,1135,178 330331,01-JAN-15,31-DEC-15,As Submitted,PLAINVIEW HOSPITAL ,888 OLD COUNTRY ROAD ,,PLAINVIEW ,NY ,11803 ,NASSAU ,4215412,,,,,,,3473027,1016431,158,66156,22302,1150,42027,45.74,1164.2,,3827,186,8437,390,,,,,, 330332,01-JAN-15,31-DEC-15,As Submitted,ST. JOSEPH HOSPITAL ,4295 HEMPSTEAD TURNPIKE ,,BETHPAGE ,NY ,11714 ,NASSAU ,71622,,,,,,,58012,15088,203,74095,17360,1014,33760,1,685,,2908,175,6179,,,,,,, 330340,01-JAN-15,31-DEC-15,As Submitted,SOUTHAMPTON HOSPITAL ,240 MEETING HOUSE LANE ,,SOUTHAMPTON ,NY ,11968 ,SUFFOLK ,5405996,,,387060,,,.0828,3510181,1873796,94,34310,9695,1174,20000,61.89,855.9,6.4,2330,228,4861,,,,,,, 330350,01-JAN-15,31-DEC-15,As Submitted,UNIVERSITY HOSPITAL OF BROOKLYN ,445 LENOX ROAD ,,BROOKLYN ,NY ,11203 ,KINGS ,8348307,,,2398821,,,.4461,15106986,2691862,305,111325,13476,9480,77724,295.19,2709,,2199,1327,12984,,,,,28,,334 330353,01-JAN-15,13-JAN-16,Amended,FOREST HILLS HOSPITAL ,102 - 66TH ROAD ,,FOREST HILLS ,NY ,11375 ,QUEENS ,3673732,,,2453132,,,.2607,2341706,231739,227,85806,25693,5493,78379,43.79,1424.33,,4050,1078,15544,4892,,,,,, 330354,01-APR-15,31-MAR-16,As Submitted,ROSWELL PARK CANCER INSTITUTE ,ELM & CARLTON STREETS ,,BUFFALO ,NY ,14263 ,ERIE ,,,,,,,,,985718,133,48678,9170,734,39083,54.2,2961,,974,97,4769,,,,,,, 330372,01-JAN-15,13-JAN-16,Amended,FRANKLIN HOSPITAL ,900 FRANKLIN AVE. ,,VALLEY STREAM ,NY ,11580 ,NASSAU ,391365,,,701630,,,.1251,310344,34522,196,74088,13804,2092,39232,6.18,1109.3,,2494,509,8391,1242,,,147,,539, 330385,01-JUL-15,30-JUN-16,Amended,NORTH CENTRAL BRONX HOSPITAL ,3424 KOSSUTH AVENUE ,,BRONX ,NY ,10467 ,BRONX ,658376,,,613327,,,.6742,938801,532051,130,45222,3003,6752,27248,53.47,1060.5,,483,957,5472,,,,277,,1221, 330386,01-JAN-15,31-DEC-15,As Submitted,CATSKILL REGIONAL MEDICAL CENTER ,68 BUSHVILLE ROAD ,800 ,HARRIS ,NY ,12742 ,SULLIVAN ,,,,792961,,,.2306,,,84,30660,7558,1769,15608,,451.7,,1469,155,3194,,,,108,,487, 330387,01-JAN-15,31-DEC-15,Settled,ROCKEFELLER UNIVERSITY HOSPITAL ,1230 YORK AVENUE ,,NEW YORK ,NY ,10021 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 330393,01-JAN-15,31-DEC-15,Amended,STONY BROOK UNIVERSITY HOSPITAL ,NICOLLS ROAD ,,STONY BROOK ,NY ,11794-9112 ,SUFFOLK ,42498242,,,4170325,,,.1332,16474547,4453087,562,205254,65705,11046,188647,419.68,5915.2,,9892,1671,31708,5953,153,,398,,974, 330394,01-JAN-15,31-DEC-15,Amended,UHS ,10 - 42 MITCHELL AVENUE ,,BINGHAMTON ,NY ,13903 ,BROOME ,4291281,,,1857940,,,.1561,3004561,1624642,394,143810,30743,7991,89282,72.76,3704.7,,5086,752,14838,2734,3,,2,10,1502,335 330395,01-JAN-15,31-DEC-15,Amended,EPISCOPAL HEALTH SERVICES ,327 BEACH 19TH STREET ,,FAR ROCKAWAY ,NY ,11691 ,QUEENS ,9714530,,,2441855,,,.4037,13698725,3952224,170,62050,16478,10182,47459,138.39,1176.2,,2350,1300,7423,2473,,,297,,781, 330396,01-JUL-15,30-JUN-16,Amended,WOODHULL HOSPITAL CENTER ,760 BROADWAY ,,BROOKLYN ,NY ,11206 ,KINGS ,1830074,,,1297767,,,.7149,1659777,1260006,238,87108,4919,13403,50547,131.23,2337.14,,847,2068,10525,,,,617,,1963, 330397,01-JAN-15,31-DEC-15,Amended,INTERFAITH MEDICAL CENTER ,1545 ATLANTIC AVENUE ,,BROOKLYN ,NY ,11213 ,KINGS ,2834558,,,1318890,,,.603,3928528,889807,153,55845,6351,8310,40008,124.5,1261.2,,844,1333,7326,,,,781,,1751, 330399,01-JAN-15,31-DEC-15,Amended,ST. BARNABAS HOSPITAL ,4422 THIRD AVENUE ,,BRONX ,NY ,10457 ,BRONX ,4200848,,,2064068,,,.7141,8891688,2146441,336,122640,7082,9715,63725,277.05,2254.9,,1199,2528,12939,,,,481,,1136, 330401,01-JAN-15,31-DEC-15,As Submitted,ST. CATHERINE OF SIENA MEDICAL CENTE ,50 ROUTE 25A ,,SMITHTOWN ,NY ,11787 ,SUFFOLK ,,,,,,,,,,264,96360,25199,1495,50976,,1159.82,,4087,279,9645,515,,,292,,1121, 330403,01-JAN-15,31-DEC-15,As Submitted,MONROE COMMUNITY HOSPITAL ,435 EAST HENRIETTA ROAD ,,ROCHESTER ,NY ,14620 ,MONROE ,,,,,,,,,,5,1825,55,27,112,,1.3,,16,2,28,,,,,,, 330404,01-JAN-15,31-DEC-15,As Submitted,BURKE REHABILITATION HOSPITAL ,785 MAMARONECK AVENUE ,,WHITE PLAINS ,NY ,10605 ,WESTCHESTER ,,,,,,,,,,30,10950,2144,,2489,,414.5,,270,,318,,,,,35,,2084 330405,01-APR-15,31-MAR-16,As Submitted,HELEN HAYES HOSPITAL ,HELEN HAYES HOSPITAL ,ROUTE 9W ,WEST HAVERSTRAW ,NY ,10993 ,ROCKLAND ,,,,,,,,,,18,6588,2043,,2322,,7.4,,348,,390,,,,,32,,1611 330406,01-JUL-15,30-JUN-16,As Submitted,SUNNYVIEW HOSPITAL ,1270 BELMONT AVENUE ,,SCHENECTADY ,NY ,12308 ,SCHENECTADY ,,,,,,,,,,17,6222,2825,19,4028,,63.15,,338,3,479,16,,,,51,,1855 330408,01-JAN-15,31-DEC-15,Amended,TRI TOWN REGIONAL HEALTHCARE ,43 PEARL STREET WEST ,,SIDNEY ,NY ,13838 ,DELEWARE ,,,,,,,,,,4,1460,,,,,54.76,,,,,,,,,,, 330409,01-JAN-15,31-DEC-15,Settled,BURDETT CARE CENTER INC. ,2215 BURDETT AVENUE SUITE 200 ,,TROY ,NY ,12180-2466 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 331301,01-JAN-15,31-DEC-15,As Submitted,CUBA MEMORIAL HOSPITAL INC ,140 W MAIN STREET ,,CUBA ,NY ,14727 ,ALLEGANY ,,,,,,,,,,20,7300,1983,90,2853,,113.6,,23,6,64,6,,,,,, 331302,01-JAN-15,30-SEP-15,Amended,ELIZABETHTOWN COMMUNITY HOSPITAL ,75 PARK STREET ,P.O. BOX 277 ,ELIZABETHTOWN ,NY ,12932 ,ESSEX ,,,,,,,,,,25,6825,2676,41,3268,,178.23,,191,8,258,9,,,,,, 331303,01-JAN-15,31-DEC-15,Amended,CATSKILL REGIONAL MEDICAL CENTER GRO ,8881 STATE RT 97 ,,CALLICOON ,NY ,12742 ,SULLIVAN ,,,,,,,,,,15,5475,1109,,1272,,29.6,,35,,44,4,,,,,, 331304,01-JAN-15,31-DEC-15,As Submitted,MARGARETVILLE HOSPITAL ,42084 STATE HIGHWAY ,,MARGARETVILLE ,NY ,12455 ,DELAWARE ,,,,,,,,,,15,5475,953,7,1578,,99,,68,3,134,5,,,,,, 331305,01-JAN-15,31-DEC-15,Amended,OCONNOR HOSPITAL ,460 ANDES ROAD ,,DELHI ,NY ,13753 ,DELAWARE ,,,,,,,,,,16,5840,1294,70,1993,,156.4,,111,7,153,,,,,,, 331306,01-JAN-15,31-DEC-15,Amended,MOSES-LUDINGTON HOSPITAL ,1019 WICKER STREET ,,TICONDEROGA ,NY ,12883 ,ESSEX ,,,,,,,,,,15,5475,581,17,1066,,117.6,,94,2,144,,,,,,, 331307,01-JAN-15,31-DEC-15,As Submitted,CLIFTON-FINE HOSPITAL ,1014 OSWEGATCHIE TRAIL ,,STAR LAKE ,NY ,13690 ,ST. LAWRENCE ,,,,,,,,,,20,7300,350,3741,4438,,59.1,,65,3,96,7,,,,,, 331309,01-JAN-15,31-DEC-15,Amended,RIVER HOSPITAL ,4 FULLER STREET ,,ALEXANDRIA BAY ,NY ,13607 ,JEFFERSON ,,,,,,,,,,24,8760,1089,803,2470,,167.6,,61,8,117,12,,,,,, 331310,01-JAN-15,31-DEC-15,As Submitted,ELLENVILLE REGIONAL HOSPITAL ,10 HEALTH WAY ,,ELLENVILLE ,NY ,12428 ,ULSTER ,,,,,,,,,,15,5475,3406,231,4469,,164.1,,150,84,257,,,,,,, 331311,01-JAN-15,31-DEC-15,As Submitted,LITTLE FALLS HOSPITAL ,LITTLE FALLS HOSPITAL ,140 BURWELL STREET ,LITTLE FALLS ,NY ,13365 ,HERKIMER ,,,,,,,,,,25,9125,3611,48,5741,,237.7,,413,16,733,47,,,,,, 331312,01-JAN-15,31-DEC-15,As Submitted,DELAWARE VALLEY HOSPITAL ,1 TITUS PLACE ,,WALTON ,NY ,13856 ,DELAWARE ,,,,,,,,,,25,9125,1651,765,3932,,197,,168,155,398,,,,,,, 331313,01-JAN-15,31-DEC-15,Amended,SCHUYLER HOSPITAL ,220 STEUBEN STREET ,,MONTOUR FALLS ,NY ,14865 ,SCHUYLER ,,,,,,,,,,25,9125,3356,126,4913,,254.3,,352,18,602,48,,,,,, 331314,01-JAN-15,31-DEC-15,As Submitted,SOLDIERS & SAILORS MEMORIAL HOSPITAL ,418 NORTH MAIN STREET ,,PENN YAN ,NY ,14527 ,YATES ,,,,,,,,,,25,9125,760,30,1788,,203.6,,215,10,523,48,52,,34,,217, 331315,01-JAN-15,31-DEC-15,Amended,GOUVERNEUR HOSPITAL ,77 WEST BARNEY STREET ,,GOUVERNEUR ,NY ,13642 ,ST. LAWRENCE ,,,,,,,,,,25,9125,1208,36,2529,,141.86,,202,12,398,50,,,,,, 331316,01-JAN-15,31-DEC-15,As Submitted,COMMUNITY MEMORIAL HOSPITAL ,150 BROAD ST ,,HAMILTON ,NY ,13346 ,MADISON ,,,,,,,,,,25,9125,2472,29,5049,,251.8,,561,13,1514,,,,,,, 331317,01-JAN-15,31-DEC-15,As Submitted,LEWIS COUNTY GENERAL HOSPITAL ,7785 N. STATE STREET ,,LOWVILLE ,NY ,13367 ,LEWIS ,,,,,,,,,,25,9125,1730,223,4632,,352.9,,437,47,1079,315,,,,,, 331318,01-JAN-15,31-DEC-15,Amended,CARTHAGE AREA HOSPITAL ,1001 WEST STREET ,,CARTHAGE ,NY ,13609 ,JEFFERSON ,,,,,,,,,,25,9125,1749,148,4444,,314.62,,229,26,831,156,,,,,, 331319,26-JAN-15,31-DEC-15,Amended,MEDINA MEMORIAL HOSPITAL ,200 OHIO STREET ,,MEDINA ,NY ,14103 ,ORLEANS ,,,,,,,,,,25,8500,1664,52,4794,,303.6,,375,16,1036,88,,,,8,,117 331990,01-JAN-15,31-DEC-15,As Submitted,HIGH RIDGE HOUSE ,5959 INDEPENDENCE AVE ,,RIVERDALE ,NY ,10471 ,BRONX ,,,,,,,,,,20,7300,689,,1136,,14.58,,17,,20,,,,,,, 332006,01-JAN-15,31-DEC-15,Reopened,CALVARY HOSPITAL INC. ,1740 EASTCHESTER ROAD ,,BRONX ,NY ,10461 ,,,,,,,,,,,225,82125,49053,11136,76219,,727.9,,1868,192,3024,94,,,,,, 332008,01-JUL-15,30-JUN-16,Settled,HENRY J. CARTER SPECIALTY HOSPITAL ,900 MAIN STREET ,,ROOSEVELT ISLAND ,NY ,10044 ,MANHATTAN ,,,,,,,,,3039,201,73566,3631,38464,52061,,726.67,,78,146,327,,,,,,, 332014,01-JAN-15,30-DEC-15,As Submitted,SUMMIT PARK HOSPITAL & NURSING CARE ,50 SANATORIUM ROAD ,,POMONA ,NY ,10970 ,ROCKLAND ,,,,,,,,,,74,27010,7671,330,8178,,86.73,,248,6,257,,,,,,, 332016,01-JUL-15,22-OCT-15,As Submitted,COLER MEMORIAL HOSPITAL ,900 MAIN STREET ,,ROOSEVELT ISLAND ,NY ,10044 ,MANHATTAN ,,,,,,,,,,1,114,,,,,532.8,,,,,,,,,,, 332022,01-JAN-15,31-DEC-15,Settled,TERENCE CARDINAL COOKE HEALTH CARE ,1249 FIFTH AVENUE ,,NEW YORK ,NY ,10029 ,NEW YORK ,,,,,,,,,,50,18250,,17956,18011,,81.22,,,4,6,,,,,,, 333301,01-JAN-15,31-DEC-15,Settled,BLYTHEDALE CHILDRENS HOSPITAL ,95 BRADHURST AVENUES ,,VALHALLA ,NY ,10595 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 334001,01-APR-15,31-MAR-16,As Submitted,HUTCHINGS P.C. ,620 MADISON ST. ,,SYRACUSE ,NY ,13210-2319 ,ONONDAGA ,,,,,,,,,5842,150,50108,1529,10097,50087,2.1,576,,28,289,580,,,,,,, 334002,01-JAN-15,31-DEC-15,Settled,FOUR WINDS INC. ,800 CROSS RIVER RD. ,,KATONAH ,NY ,10536 ,WESTCHESTER ,,,,,,,,,,175,63875,550,20807,55666,,503.6,,39,1074,4122,,,,,,, 334003,01-APR-15,31-MAR-16,As Submitted,ST. LAWRENCE P.C. ,1 CHIMNEY POINT DRIVE ,,OGDENSBURG ,NY ,13669-2291 ,ST. LAWRENCE ,,,,,,,,,454,85,28543,1139,11758,28543,.05,673,,24,290,481,,,,,,, 334004,01-APR-15,31-MAR-16,As Submitted,CREEDMOOR P.C. ,80-45 WINCHESTER BLVD. ,,QUEENS VILLAGE ,NY ,11427-2199 ,QUEENS ,,,,,,,,,11787,351,117567,1523,9269,117567,6.71,1260,,25,20,360,,,,,,, 334009,01-APR-15,31-MAR-16,As Submitted,NEW YORK P.I. ,1051 RIVERSIDE DRIVE ,,NEW YORK ,NY ,10032-2695 ,NEW YORK ,,,,,,,,,287211,21,7186,362,502,7186,21.5,492,,14,19,173,,,,,,, 334012,01-APR-15,31-MAR-16,Amended,GREATER BINGHAMTON H.C. ,425 ROBINSON ST. ,,BINGHAMTON ,NY ,13901-4199 ,BROOME ,,,,,,,,,15721,95,31928,1960,9060,31928,.81,461,,29,210,528,,,,,,, 334013,01-APR-15,31-MAR-16,Settled,PILGRIM P.C. ,998 CROOKED HILL ROAD ,,WEST BRENTWOOD ,NY ,11717-1087 ,SUFFOLK ,,,,,,,,,1198,309,103319,1671,14046,103319,.12,1396,,35,32,396,,,,,,, 334015,01-APR-15,31-MAR-16,Settled,ROCKLAND P.C. ,140 OLD ORANGEBURG ROAD ,,ORANGEBURG ,NY ,10962-1196 ,ROCKLAND ,,,,,,,,,1549,394,132017,2564,16626,132017,.92,1604,,42,34,400,,,,,,, 334020,01-APR-15,31-MAR-16,Settled,ROCHESTER P.C. ,1111 ELMWOOD AVE. ,,ROCHESTER ,NY ,14620-3965 ,MONROE ,,,,,,,,,70234,184,61539,2177,6115,61539,3,655,,31,20,318,,,,,,, 334021,01-APR-15,31-MAR-16,As Submitted,MOHAWK VALLEY P.C. ,1400 NOYES ST. ,,UTICA ,NY ,13502-3803 ,ONEIDA ,,,,,,,,,,30,9911,,8555,9911,,414,,,401,465,,,,,,, 334022,01-JAN-15,31-DEC-15,Settled,BRYLIN HOSPITALS ,1263 DELAWARE AVENUE ,,BUFFALO ,NY ,14209 ,ERIE ,,,,,,,,,,88,32120,1838,105,13085,,183.8,,166,105,1338,281,,,,,, 334026,01-JAN-15,31-DEC-15,Settled,BRUNSWICK HOSPITAL CENTER INC ,81 LOUDEN AVE ,,AMITYVILLE ,NY ,11701 ,SUFFOLK ,,,,,,,,,,124,45260,9940,6759,30881,,213.3,,454,266,1942,599,,,,,, 334027,01-JAN-15,31-DEC-15,Settled,SOUTH OAKS HOSPITAL ,400 SUNRISE HIGHWAY ,,AMITYVILLE ,NY ,11701 ,SUFFOLK ,,,,,,,,,,197,71905,9575,10812,52048,,777.7,,665,747,5520,,,,,,, 334043,01-APR-15,31-MAR-16,Amended,SOUTH BEACH P.C. ,777 SEAVIEW AVE. ,,STATEN ISLAND ,NY ,10305-3499 ,RICHMOND ,,,,,,,,,1612,315,105605,1218,10982,105605,1.25,987,,21,66,452,,,,,,, 334045,01-APR-15,31-MAR-16,Settled,ELMIRA P.C. ,100 WASHINGTON ST. ,,ELMIRA ,NY ,14901-2898 ,CHEMUNG ,,,,,,,,,,70,23553,1907,7002,23553,1.22,419,,34,173,365,,,,,,, 334046,01-APR-15,31-MAR-16,Settled,CAPITAL DISTRICT P.C. ,75 NEW SCOTLAND AVE. ,,ALBANY ,NY ,12208-3474 ,ALBANY ,,,,,,,,,10258,136,45632,1882,7085,45632,3.89,555,,56,25,524,,,,,,, 334048,01-JAN-15,31-DEC-15,Settled,THE NEW YORK GRACIE SQUARE HOSPITAL ,420 E 76 ST ,,NEW YORK ,NY ,10021 ,NEW YORK ,,,,,,,,,,157,57305,6738,2085,17688,,223.1,,270,28,863,,,,,,, 334049,01-JAN-15,31-DEC-15,Settled,FOUR WINDS OF SARATOGA INC. ,800 CROSS RIVER RD. ,,KATONAH ,NY ,10536 ,WESTCHESTER ,,,,,,,,,,88,32120,2094,4482,32253,,314.9,,166,254,2792,,,,,,, 334052,01-APR-15,31-MAR-16,As Submitted,BUFFALO P.C. ,400 FOREST AVE. ,,BUFFALO ,NY ,14213-1298 ,ERIE ,,,,,,,,,2233,168,56348,2025,11522,56348,1,635,,25,25,195,,,,,,, 334053,01-APR-15,31-MAR-16,Settled,BRONX P.C. ,1500 WATERS PLACE ,,BRONX ,NY ,10461-2796 ,BRONX ,,,,,,,,,17164,167,56005,645,9468,56005,8.58,842,,11,20,299,,,,,,, 334054,01-APR-15,31-MAR-16,As Submitted,MANHATTAN P.C. ,WARDS ISLAND ,,NEW YORK ,NY ,10035-6098 ,NEW YORK ,,,,,,,,,3927,195,65389,918,7744,65389,1.87,772,,13,19,288,,,,,,, 334060,01-APR-15,31-MAR-16,As Submitted,KIRBY FORENSIC P.C. ,WARDS ISLAND ,,NEW YORK ,NY ,10035-6098 ,NEW YORK ,,,,,,,,,6,200,66843,851,942,66843,1.5,610,,10,4,349,,,,,,, 334061,01-APR-15,31-MAR-16,As Submitted,MID-HUDSON P.C. ,BOX 158 RTE 17-M ,,NEW HAMPTON ,NY ,10958-0158 ,ORANGE ,,,,,,,,,17,278,93027,768,4790,93027,.4,830,,8,6,315,,,,,,, 334063,01-APR-15,31-MAR-16,As Submitted,KINGSBORO P.C. ,681 CLARKSON AVE. ,,BROOKLYN ,NY ,11203-2199 ,KINGS ,,,,,,,,,,172,57611,832,3055,57611,1.27,820,,11,7,219,,,,,,, 334064,01-APR-15,31-MAR-16,Settled,SAGAMORE CHILDRENS PSYCH CTR ,197 HALF HOLLOW ROAD ,,DIX HILLS ,NY ,11746-5861 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 334065,18-DEC-14,31-MAR-15,Settled,WNY CHILDRENS PSYCH CTR ,1010 EAST AND WEST ROAD ,,WEST SENECA ,NY ,14224-3602 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 334065,01-APR-15,31-MAR-16,Settled,WESTERN NY CHILDRENS PSYCH CTR ,1010 EAST AND WEST ROAD ,,WEST SENECA ,NY ,14224-3602 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 334066,29-JUL-15,31-MAR-16,Settled,ROCKLAND CHILDRENS PSYCH CENTER ,2 FIRST AVENUE ,,ORANGEBURG ,NY ,10962 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 340001,01-JAN-15,31-DEC-15,Amended,CAROLINAS HEALTHCARE SYSTEM NORTHEAS ,920 CHURCH STREET NORTH ,,CONCORD ,NC ,28025-2927 ,CABARRUS ,1640916,,,1846892,,,.118,766100,332250,447,163155,36261,16565,100433,24.44,2574.2,,7477,5312,25225,868,,,6,,244, 340002,01-OCT-14,30-SEP-15,As Submitted,MISSION HOSPITAL INC ,506 BILTMORE AVENUE ,,ASHEVILLE ,NC ,28801 ,BUNCOMBE ,5036903,,,5471379,,,.1556,1315821,582024,665,242725,72102,40529,194713,47.77,5614,,14915,8599,38308,8610,,,,,2273, 340003,01-OCT-14,30-SEP-15,Amended,NORTHERN HOSP OF SURRY CO ,830 ROCKFORD STREET ,,MOUNT AIRY ,NC ,27030 ,SURRY ,,,,252562,,,.1182,,,100,36500,5266,1875,11910,,499.95,,1402,825,4216,,,,,,, 340004,01-JUL-15,30-JUN-16,Amended,HIGH POINT REGIONAL HEALTH ,HIGH POINT REGIONAL HEALTH ,HP-5 ,HIGH POINT ,NC ,27260- ,GUILFORD ,,,,820528,,,.1099,,,310,113460,18284,6983,63583,,1399.55,,3835,3113,15595,,,,,15,,369 340008,01-OCT-14,30-SEP-15,Amended,SCOTLAND MEMORIAL HOSPITAL ,500 LAUCHWOOD DRIVE ,,LAURINBURG ,NC ,28352- ,SCOTLAND ,,,,433643,,,.12,,,97,35405,8458,4615,19443,,646.31,,2092,1591,5648,,,,,12,,105 340010,01-OCT-14,30-SEP-15,As Submitted,WAYNE MEMORIAL HOSPITAL ,2700 WAYNE MEMORIAL DRIVE ,8001 ,GOLDSBORO ,NC ,27533 ,WAYNE ,,,,1276845,,,.1543,,,261,95265,22802,9813,49661,,1478.13,,4322,2893,10234,,,,,,, 340011,01-OCT-14,20-NOV-14,As Submitted,BLUE RIDGE REGIONAL HOSPITAL ,125 HOSPITAL DRIVE ,,SPRUCE PINE ,NC ,28777 ,MITCHELL ,,,,20316,,,.1953,,,49,2499,220,134,525,,350.97,,75,68,209,,,,,,, 340013,01-JUN-15,31-MAY-16,As Submitted,RUTHERFORD HOSPITAL INC. ,288 S. RIDGECREST AVENUE ,,RUTHERFORDTON ,NC ,28139- ,RUTHERFORD ,,,,433239,49161,,.1599,,,129,47214,7740,3457,15700,,551.66,,1810,1134,3735,,,,,,457, 340014,01-JAN-15,31-DEC-15,As Submitted,FORSYTH MEMORIAL HOSPITAL INC ,3333 SILAS CREEK PARKWAY ,,WINSTON SALEM ,NC ,27103 ,FORSYTH ,1425358,,,2551001,,,.1179,630527,318157,799,291635,61556,39863,227141,24.09,5255.51,,9816,9029,40141,,,,,43,386,731 340015,01-JAN-15,31-DEC-15,As Submitted,ROWAN REGIONAL HOSPITAL ,612 MOCKSVILLE AVENUE ,,SALISBURY ,NC ,28144- ,ROWAN ,,,,481902,,,.0925,,,181,66065,16148,5795,44738,,920.85,,2950,1674,8634,,,,,9,428,128 340016,01-AUG-15,31-JUL-16,As Submitted,HARRIS REGIONAL HOSPITAL ,68 HOSPITAL ROAD ,,SYLVA ,NC ,28779- ,JACKSON ,,,,297499,,,.12,,,82,30012,5735,2420,13011,,641.1,,1454,837,3646,,,,,,, 340017,01-OCT-14,30-SEP-15,As Submitted,MARGARET R. PARDEE MEMORIAL HOSPITAL ,800 NORTH JUSTICE STREET ,,HENDERSONVILLE ,NC ,28791- ,HENDERSON ,383788,,,537700,,,.0859,173131,210928,216,59130,13890,2769,29897,8.17,1065.31,,3493,903,7835,,,,,,, 340020,01-JUN-15,31-DEC-15,Amended,CENTRAL CAROLINA HOSPITAL ,1135 CARTHAGE STREET ,,SANFORD ,NC ,27330 ,LEE ,,,,216098,,,.12,,,127,27178,4205,1992,9961,,377,,1125,626,2790,3,,,,,, 340021,01-JAN-15,31-DEC-15,Amended,CAROLINAS HC SYSTEM CLEVELAND ,201 EAST GROVER STREET ,,SHELBY ,NC ,28150 ,CLEVELAND ,,,,758800,,,.1293,,,241,87965,13035,5501,29608,,937.2,,3024,1997,8152,348,,,,,, 340023,01-JAN-15,31-DEC-15,Amended,PARK RIDGE HEALTH ,100 HOSPITAL DRIVE ,,HENDERSONVILLE ,NC ,28792- ,HENDERSON ,,,,393245,,,.143,,,73,26645,5471,2234,14261,,997.61,,1404,897,3594,,,,,,552, 340024,01-OCT-14,30-SEP-15,As Submitted,SAMPSON REGIONAL MEDICAL CENTER ,607 BEAMAN STREET ,258 ,CLINTON ,NC ,28328- ,SAMPSON ,137029,,,511888,,,.2415,78644,54312,83,30295,7815,2740,14632,2.38,459.91,,1380,1092,3026,,,,,,, 340027,01-OCT-14,30-SEP-15,Amended,LENOIR MEMORIAL HOSPITAL ,100 AIRPORT ROAD ,,KINSTON ,NC ,28501 ,LENOIR ,,,,957239,,,.1884,,,149,54385,15486,4976,25092,,755.04,,2823,1462,5220,,,,,14,,132 340028,01-OCT-14,30-SEP-15,Amended,CAPE FEAR VALLEY MEDICAL CENTER ,1638 OWEN DRIVE ,2000 ,FAYETTEVILLE ,NC ,28302 ,CUMBERLAND ,2023243,,,4331138,,,.2118,600406,205651,514,187610,63594,46148,179771,23.29,3984.43,,10240,9671,31356,,,,,,,1221 340030,01-JUL-15,30-JUN-16,As Submitted,DUKE UNIVERSITY HOSPITAL ,610 DOUGLAS STREET ,3088 ,DURHAM ,NC ,27710- ,DURHAM ,44289599,,,7103545,,,.1704,7930891,5525826,922,337289,85475,60912,281032,629.3,7895.63,,12665,8545,43652,,,,1,,587, 340032,01-JUL-15,30-JUN-16,Amended,GASTON MEMORIAL HOSPITAL ,2525 COURT DRIVE ,,GASTONIA ,NC ,28054 ,GASTON ,,,,2144343,,,.144,,,370,135420,34564,19766,98943,,2546,,7048,4638,20680,,,,,,, 340036,01-JAN-15,16-OCT-15,As Submitted,FRANKLIN REGIONAL MEDICAL CENTER ,100 HOSPITAL DRIVE ,609 ,LOUISBURG ,NC ,27549-0609 ,FRANKLIN ,,,,7781,,,.12,,,2,578,206,65,453,,101.71,,53,20,140,,,,,,149, 340037,01-JAN-15,31-DEC-15,Amended,CAROLINAS HC SYSTEM KINGS MOUNTAIN ,706 WEST KING STREET ,,KINGS MOUNTAIN ,NC ,28086 ,CLEVELAND ,,,,59620,5444,,.0549,,,47,17155,3560,645,7035,,228.89,,765,166,1659,30,,,1,,1146, 340039,01-OCT-14,30-SEP-15,As Submitted,IREDELL MEMORIAL HOSPITAL ,557 BROOKDALE DRIVE ,1828 ,STATESVILLE ,NC ,28677- ,IREDELL ,,,,316739,,,.0551,,,155,56575,16689,4844,36669,,1017.46,,3248,1551,7551,,,,,,, 340040,01-OCT-14,30-SEP-15,Amended,PITT COUNTY MEMORIAL HOSPITAL ,2100 STANTONSBURG ROAD ,,GREENVILLE ,NC ,27858 ,PITT ,18935483,,,9070993,,,.2231,13049294,3211043,782,285430,90519,56208,219912,308.32,5709.47,,15863,9355,41929,,,,40,210,1369,1019 340041,01-JUL-15,30-JUN-16,Amended,CALDWELL MEMORIAL HOSPITAL ,321 MULBERRY STREET ,1890 ,LENOIR ,NC ,28645- ,CALDWELL ,,,,194364,,,.0633,,,110,40260,7700,2528,18169,,700,,1517,851,3697,,,,,,, 340042,01-OCT-14,30-SEP-15,As Submitted,ONSLOW MEMORIAL HOSPITAL ,241 NEW RIVER DRIVE ,,JACKSONVILLE ,NC ,28540 ,ONSLOW ,,,,883389,,,.2038,,,162,59130,13624,8066,32219,,912.36,,2541,2748,8850,,,,,,, 340047,01-JUL-15,30-JUN-16,Amended,NORTH CAROLINA BAPTIST HOSPITAL ,MEDICAL CENTER BLVD ,,WINSTON-SALEM ,NC ,27157- ,FORSYTH ,29287353,,,4239226,,,.1541,11060589,7445128,795,290808,62318,45897,223760,599.83,7533.37,,10351,6793,37476,,,,11,113,1609,1637 340049,01-JAN-15,31-DEC-15,As Submitted,NORTH CAROLINA SPECIALTY HOSPITAL ,3916 BEN FRANKLIN BLVD ,15819 ,DURHAM ,NC ,27701 ,DURHAM ,,,,,,,,,,18,6570,1299,73,3566,,169.3,,520,38,1598,,,,,,, 340050,01-OCT-14,30-SEP-15,As Submitted,S.E. REGL MEDICAL CENTER ,300 W. 27TH STREET ,P.O. BOX ,LUMBERTON ,NC ,28358-3075 ,ROBESON ,,,,2320497,,,.2618,,,253,92345,29216,14783,64849,5.35,1775.11,,5507,4540,16025,267,,,,,, 340051,01-OCT-14,30-SEP-15,As Submitted,WATAUGA MEDICAL CENTER ,336 DEERFIELD ROAD ,2600 ,BOONE ,NC ,28607- ,WATAUGA ,,,,288679,,,.0873,,,94,34310,7181,1806,15228,,582.14,,1855,661,4017,,,,,,, 340053,01-JAN-15,31-DEC-15,As Submitted,PRESBYTERIAN HOSPITAL ,200 HAWTHORNE LANE ,31276 ,CHARLOTTE ,NC ,28231-1726 ,MECKLENBURG ,,,,3090229,,,.1811,,,581,212065,34654,28973,137844,,3241.54,,6675,6216,22995,,,,2,,2212, 340060,01-OCT-14,30-SEP-15,As Submitted,MOREHEAD MEMORIAL HOSPITAL ,117 EAST KINGS HWY ,,EDEN ,NC ,27288- ,ROCKINGHAM ,,,,197399,,,.12,,,108,39420,3409,1538,9962,,502.11,,989,638,3004,,,,,,, 340061,01-JUL-15,30-JUN-16,Amended,UNIVERSITY OF NORTH CAROLINA HOSP. ,101 MANNING DRIVE ,,CHAPEL HILL ,NC ,27514 ,ORANGE ,25569327,,,5353101,,,.2246,9658610,4790848,757,276951,54506,63785,231296,620.01,8679,,8038,9877,35345,,,,22,122,2655,555 340064,01-OCT-14,30-SEP-15,As Submitted,WILKES REGIONAL MEDICAL CENTER ,1370 WEST D STREET ,609 ,NORTH WILKESBORO ,NC ,28659- ,WILKES ,,,,300743,,,.12,,,101,36865,6759,2147,15329,,506.4,,1577,898,3830,,,,,,, 340068,01-OCT-14,30-SEP-15,As Submitted,COLUMBUS REGIONAL HEALTHCARE SYSTEM ,500 JEFFERSON STREET ,,WHITEVILLE ,NC ,28472- ,COLUMBUS ,,,,831556,,,.2248,,,154,56210,10502,2415,20250,,520.32,,2166,886,4816,536,,,,,, 340069,01-OCT-14,30-SEP-15,As Submitted,WAKEMED RALEIGH CAMPUS ,300 NEW BERN AVENUE ,14465 ,RALEIGH ,NC ,27620- ,WAKE ,4092491,,,4269034,,,.2156,2068612,509107,583,207613,50691,42526,165144,53.89,4139.03,,8420,10003,29960,,,,,188,,1653 340070,01-OCT-14,30-SEP-15,Amended,ALAMANCE REGIONAL MEDICAL CENTER ,1240 HUFFMAN MILL ROAD ,202 ,BURLINGTON ,NC ,27215 ,ALAMANCE ,,,,754164,,,.1222,,,182,66430,12943,7323,41750,,1383,,3161,2189,10588,104,279,,,,1053, 340071,01-OCT-14,30-SEP-15,Amended,HARNETT HEALTH SYSTEM ,800 TILGHMAN DRIVE ,1706 ,DUNN ,NC ,28334 ,HARNETT ,,,,826666,,,.2199,,,151,55115,12567,5812,24891,,769,,2901,1862,6077,,,,,,, 340073,01-JUL-15,30-JUN-16,As Submitted,DUKE RALEIGH HOSPITAL ,3200 WAKE FOREST ROAD ,,RALEIGH ,NC ,27611- ,WAKE ,,,,,,,,,,148,54168,16955,2352,37228,,1238.75,,3815,556,8985,,,,,,, 340075,01-JAN-15,31-DEC-15,As Submitted,BLUE RIDGE HEALTHCARE HOSPITALS ,2201 SOUTH STERLING STREET ,,MORGANTON ,NC ,28655 ,BURKE ,1706304,,,748283,,,.1637,584143,517674,154,56210,12595,5837,36000,28.21,12229.35,,2856,2060,8575,648,,,,,, 340084,01-JAN-15,31-DEC-15,Amended,CAROLINAS HEALTHCARE SYSTEM ANSON ,500 MORVEN ROAD ,,WADESBORO ,NC ,28170- ,ANSON ,,,,17862,,,.1001,,,15,5475,333,60,524,,118.17,,127,23,202,2,,,,,, 340085,01-JAN-15,31-DEC-15,As Submitted,THOMASVILLE MEDICAL CENTER ,207 OLD LEXINGTON ROAD ,,THOMASVILLE ,NC ,27360 ,DAVIDSON ,,,,129703,,,.12,,,101,36865,2866,3455,11914,,386.94,,692,1331,3184,,,,,,840, 340087,01-OCT-14,30-SEP-15,As Submitted,THE MCDOWELL HOSPITAL ,430 RANKIN DRIVE ,,MARION ,NC ,28752 ,MCDOWELL ,,,,133377,,,.12,,,49,17885,3050,1695,7471,,223.42,,783,567,1971,,,,,,, 340090,01-JUL-15,30-JUN-16,Amended,JOHNSTON HEALTH ,509 NORTH BRIGHTLEAF BLVD ,,SMITHFIELD ,NC ,27577 ,JOHNSTON ,,,,1170935,,,.1681,,,179,65514,17636,8068,39187,,1084.77,,3640,2994,9087,,,,,,993, 340091,01-OCT-14,30-SEP-15,Amended,THE MOSES H. CONE MEMORIAL HOSPITAL ,1200 NORTH ELM ST ,,GREENSBORO ,NC ,27401- ,GUILFORD ,3006570,,,3865464,,,.1584,1858699,883363,764,278860,50114,37146,198457,51.16,5257.01,,11764,10506,46276,,,,,101,2487,815 340096,01-JUL-15,30-JUN-16,Amended,LEXINGTON MEMORIAL HOSPITAL INC. ,250 HOSPITAL DRIVE ,,LEXINGTON ,NC ,27292- ,DAVIDSON ,,,,150561,,,.12,,,80,29280,2462,2381,9868,,545.93,,719,962,2940,109,,,,,, 340097,01-OCT-14,30-SEP-15,Amended,HUGH CHATHAM MEMORIAL HOSPITAL ,100 PARKWOOD DRIVE ,,ELKIN ,NC ,28621- ,SURRY ,,,,239328,,,.1072,,,81,29565,6357,2852,17131,,782.94,,1487,1136,4464,,,,,,, 340098,01-JAN-15,31-DEC-15,Amended,MERCY HOSPITALS INC. ,10628 PARK ROAD ,,CHARLOTTE ,NC ,28210-8407 ,MECKLENBURG ,,,,569392,,,.0524,85491,34675,206,75190,23144,3382,62631,,1397.11,,5273,1002,17707,1543,,,,32,,703 340099,01-OCT-14,30-SEP-15,As Submitted,VIDANT ROANOKE CHOWAN HOSPITAL ,500 SOUTH ACADEMY STREET ,,AHOSKIE ,NC ,27910 ,HERTFORD ,,,,297927,,,.12,,,70,25550,7191,2440,12792,,434.92,,1546,830,2930,,,,5,,1003, 340106,01-OCT-14,30-SEP-15,As Submitted,SANDHILLS REGIONAL MEDICAL CENTER ,1000 WEST HAMLET AVE ,,HAMLET ,NC ,28345 ,RICHMOND ,,,,135861,,,.12,,,64,23360,3960,1838,8073,,162.64,,838,388,1831,,,,,,, 340107,01-OCT-14,30-SEP-15,As Submitted,VIDANT EDGECOMBE HOSPITAL ,111 HOSPITAL DRIVE ,,TARBORO ,NC ,27886 ,EDGECOMBE ,,,,669308,,,.2197,,,101,36865,7364,3243,14673,,411.94,,1678,1082,3968,,,,,48,,209 340109,01-OCT-14,31-DEC-14,Amended,SENTARA ALBEMARLE REGIONAL MEDICAL C ,1144 NORTH ROAD STREET ,1587 ,ELIZABETH CITY ,NC ,27909 ,PASQUOTANK ,,,,151460,,,.1043,,,142,13064,3036,930,5560,,678.7,,667,204,1319,,,,,,, 340109,01-JAN-15,31-DEC-15,Amended,SENTARA ALBEMARLE REGIONAL MEDICAL C ,1144 NORTH ROAD STREET ,1587 ,ELIZABETH CITY ,NC ,27909 ,PASQUOTANK ,,,,469927,,,.1004,,,142,51830,12215,3568,21951,,689.2,,2730,808,5228,,,,,,, 340113,01-JAN-15,31-DEC-15,Amended,CAROLINAS MEDICAL CENTER ,1000 BLYTHE BLVD ,32861 ,CHARLOTTE ,NC ,28232- ,MECKLENBURG ,14365932,,,8462829,,,.227,4233301,2851260,1030,375950,77629,67835,310740,260,9517.66,,14307,14678,56003,3840,,,18,56,5440,197 340114,01-JUL-15,30-JUN-16,Amended,REX HOSPITAL ,4420 LAKE BOONE TRAIL ,,RALEIGH ,NC ,27607- ,WAKE ,,,,,,,,,,433,158478,42758,10054,119284,,3406.21,,9204,2728,26912,,,,,,, 340115,01-OCT-14,30-SEP-15,As Submitted,FIRSTHEALTH MOORE REGIONAL HOSPITAL ,35 MEMORIAL DRIVE ,3000 ,PINEHURST ,NC ,28374- ,MOORE ,,,,2280601,,,.0963,,,396,144540,50380,14065,101373,,2745.76,,10895,4084,23119,287,,,3,27,1660,286 340116,01-JUN-15,31-DEC-15,Amended,FRYE REGIONAL MEDICAL CENTER ,420 NORTH CENTER STREET ,,HICKORY ,NC ,28601 ,CATAWBA ,,,,200095,,,.051,,,242,51788,8405,2650,18938,,849.24,,1979,462,4560,5,494,,,4,1462,84 340119,01-OCT-14,31-DEC-14,As Submitted,STANLY REGIONAL MEDICAL CENTER ,301 YADKIN STREET ,,ALBEMARLE ,NC ,28001 ,STANLY ,,,,74338,,,.12,,,97,8924,1371,609,3180,,605.47,,375,288,1070,29,,,,,158, 340119,01-JAN-15,31-DEC-15,Amended,STANLY REGIONAL MEDICAL CENTER ,301 YADKIN STREET ,,ALBEMARLE ,NC ,28001 ,STANLY ,,,,295174,,,.12,,,97,35405,5447,2811,12743,,654.25,,1443,1231,4145,111,,,2,,557, 340120,01-OCT-14,30-SEP-15,As Submitted,DUPLIN GENERAL HOSPITAL ,HIGHWAY 11 NORTH MAIN STREET ,278 ,KENANSVILLE ,NC ,28349- ,DUPLIN ,,,,165755,,,.12,,,49,17885,3707,2689,8123,,316.42,,902,1080,2759,,,,12,,985, 340123,01-OCT-14,30-SEP-15,Amended,RANDOLPH HOSPITAL ,373 NORTH FAYETTEVILLE STREET ,,ASHEBORO ,NC ,27204- ,RANDOLPH ,,,,337228,,,.1258,,,145,52925,6259,3703,20164,,797.52,,1501,1611,6195,201,,,,,, 340126,01-MAR-15,29-FEB-16,As Submitted,WILSON MEDICAL CENTER ,1705 SOUTH TARBORO STREET ,,WILSON ,NC ,27893 ,WILSON ,,,,904752,,,.1507,,,251,91866,15823,5590,29503,,945,,3314,2062,6937,,,,,,, 340127,01-OCT-14,30-SEP-15,As Submitted,GRANVILLE MEDICAL CENTER ,1010 COLLEGE STREET ,947 ,OXFORD ,NC ,27565- ,GRANVILLE ,,,,188826,,,.12,,,42,15330,3477,1553,7737,,404.3,,876,706,2193,,,,,,, 340129,01-OCT-14,30-SEP-15,Amended,LAKE NORMAN REGIONAL MEDICAL CENTER ,171 FAIRVIEW RD ,3250 ,MOORESVILLE ,NC ,28117 ,IREDELL ,,,,153152,,,.0459,,,123,44895,6091,2316,18506,,463.55,,1578,488,4738,,,,,,, 340130,01-JAN-15,31-DEC-15,Amended,CAROLINAS HEALTHCARE SYSTEM UNION ,600 HOSPITAL DRIVE ,,MONROE ,NC ,28111 ,UNION ,327904,,,995554,,,.1631,159369,100233,175,63875,13077,6662,34544,4.46,913.06,,3183,2289,8827,576,,,,,, 340131,01-OCT-14,30-SEP-15,As Submitted,CAROLINAEAST MEDICAL CENTER ,2000 NEUSE BLVD ,12157 ,NEW BERN ,NC ,28561 ,CRAVEN ,,,,944922,,,.073,,,270,98550,32419,5695,58298,,1939.95,,5900,1573,11765,558,,,,20,,267 340132,01-NOV-14,31-OCT-15,As Submitted,MARIA PARHAM MEDICAL CENTER ,566 RUIN CREEK ROAD ,59 ,HENDERSON ,NC ,27536- ,VANCE ,,,,450516,117717,,.1858,,,91,33215,10598,4363,22114,,618.9,,2296,1499,5022,,,,,19,,171 340133,01-MAY-15,30-APR-16,As Submitted,MARTIN GENERAL HOSPITAL ,310 SOUTH MCCASKEY RD ,,WILLIAMSTON ,NC ,27892 ,MARTIN ,,,,184490,,,.2106,,,43,15738,2156,1217,4206,,175.03,,664,341,1355,,,,,,, 340141,01-OCT-14,30-SEP-15,Amended,NEW HANOVER REGIONAL MEDICAL CENTER ,2131 S. 17TH ST ,9000 ,WILMINGTON ,NC ,28402 ,NEW HANOVER ,3215392,3004335,,2067555,1931841,,.12,1650080,652205,630,230239,73239,34186,177081,70.99,4632.18,,15833,7143,34881,,,,12,86,1953,764 340142,01-OCT-14,30-SEP-15,As Submitted,CARTERET COUNTY GENERAL HOSPITAL COM ,3500 ARENDELL STREET ,,MOREHEAD CITY ,NC ,28557- ,CARTERET ,,,,190549,,,.0411,,,104,37960,13482,3279,25163,,844.14,,2673,976,5450,,,,,,, 340143,01-JUL-15,30-JUN-16,Amended,CATAWBA VALLEY MEDICAL CENTER ,810 FAIRGROVE CHURCH ROAD SE ,,HICKORY ,NC ,28602- ,CATAWBA ,,,,999828,,,.1937,,,200,73200,11860,11412,40260,,1256.39,,2455,3196,10244,,,,12,3,2240,99 340144,01-OCT-14,30-SEP-15,Amended,DAVIS REGIONAL MEDICAL CENTER ,218 OLD MOCKSVILLE RD ,PO BOX 1823 ,STATESVILLE ,NC ,28625 ,IREDELL ,,,,226615,,,.1364,,,102,37230,5081,2261,13171,,283.37,,1001,668,2772,,,,242,,810, 340145,01-JAN-15,31-DEC-15,Amended,CAROLINAS HEALTHCARE SYSTEM LINCOLN ,433 MCALISTER ROAD ,,LINCOLNTON ,NC ,28092 ,LINCOLN ,,,,384179,,,.1199,,,101,36865,8311,3310,19326,,507.72,,1892,1219,4424,230,,,,,, 340147,01-JAN-15,30-JUN-15,Amended,NASH HOSPITALS INC ,2460 CURTIS ELLIS DR ,,ROCKY MOUNT ,NC ,27804 ,NASH ,,,,891480,,,.1953,,,280,50680,14506,4461,31179,,1489,,2478,1172,5953,,,,,23,,253 340147,01-JUL-15,30-JUN-16,As Submitted,NASH HOSPITALS INC ,2460 CURTIS ELLIS DR ,,ROCKY MOUNT ,NC ,27804 ,NASH ,,,,1992156,,,.2047,,,280,102480,27495,5034,59181,,1505,,5183,2463,12061,,,,,67,,565 340148,01-JAN-15,31-DEC-15,Amended,MEDICAL PARK HOSPITAL ,1900 SOUTH HAWTHORNE ROAD ,24728 ,WINSTON-SALEM ,NC ,27114-4728 ,FORSYTH ,,,,,,,,,,22,8030,814,176,3506,,193.62,,201,51,921,7,,,,,, 340151,01-OCT-14,30-SEP-15,As Submitted,HALIFAX REGIONAL MEDICAL CENTER ,250 SMITH CHURCH ROAD ,1089 ,ROANOKE RAPIDS ,NC ,27870- ,HALIFAX ,,,,474749,,,.12,,,95,31240,11972,2910,19450,,608.65,,2529,1328,4807,,,,,,788, 340155,01-JUL-15,30-JUN-16,As Submitted,DUKE REGIONAL HOSPITAL ,3643 NORTH ROXBORO ROAD ,,DURHAM ,NC ,27704-2763 ,DURHAM ,1847024,,,1093704,,,.1121,777308,273073,301,110166,21249,10101,64798,32.88,1538.51,,4445,2651,14144,,,,1,74,886,508 340156,01-OCT-14,30-SEP-15,As Submitted,CHEROKEE INDIAN HOSPITAL AUTHORITY ,HOSPITAL RD CALL BOX C-268 ,,CHEROKEE ,NC ,28719 ,SWAIN ,,,,19813,,,.12,,,20,7300,384,139,1156,,479,,96,36,561,,,,,,, 340158,01-JAN-15,31-DEC-15,As Submitted,BRUNSWICK COMMUNITY HOSPITAL ,240 HOSPITAL DRIVE NE ,,BOLIVIA ,NC ,28422 ,BRUNSWICK ,,,,362843,,,.1035,,,66,24090,8853,2634,16694,,402.96,,2099,983,4349,421,,,,,, 340159,01-JUL-15,30-JUN-16,As Submitted,PERSON MEMORIAL HOSPITAL INC ,615 RIDGE ROAD ,,ROXOBORO ,NC ,27573 ,PERSON ,,,,63585,,,.0662,,,39,14274,1744,278,3506,,191.16,,557,105,1155,,,,,,, 340166,01-JAN-15,31-DEC-15,Amended,CAROLINAS HEALTHCARE SYS UNIVERSITY ,8800 NORTH TRYON STREET ,560727 ,CHARLOTTE ,NC ,28256-5009 ,MECKLENBURG ,,,,300802,,,.12,,,99,36135,5541,3824,25293,,755.1,,1376,1241,6266,297,,,,,, 340168,01-JAN-15,31-DEC-15,As Submitted,WILMINGTON TREATMENT CENTER INC ,2520 TROY DRIVE ,,WILMINGTON ,NC ,28401 ,NEW HANOVER ,,,,5025,,,.0335,,,44,16060,989,,9911,,88.38,,181,,466,,,,,,, 340171,01-JAN-15,31-DEC-15,As Submitted,PRESBYTERIAN HOSPITAL MATTHEWS ,1500 MATTHEWS TOWNSHIP PARKWAY ,3310 ,MATTHEWS ,NC ,28105 ,MECKLENBURG ,,,,313819,,,.0567,,,122,44530,14131,5209,40162,,705.66,,3121,1589,9398,198,,,,,, 340173,01-OCT-14,30-SEP-15,As Submitted,WAKE MED CARY HOSPITAL ,1900 KILDARE FARM ROAD ,,CARY ,NC ,27610- ,WAKE ,,,,,,,,,,156,56953,16860,2540,46677,,973.63,,3380,658,10335,,,,,,, 340183,01-JAN-15,31-DEC-15,Amended,PRESBYTERIAN HOSPITAL HUNTERSVILLE ,10030 GILEAD ROAD ,,HUNTERSVILLE ,NC ,28078 ,MECKLENBURG ,,,,96939,,,.0273,,,75,27375,8140,2429,25652,,518.8,,2056,787,6448,160,,,,,, 340184,01-AUG-15,31-JUL-16,As Submitted,HAYWOOD REGIONAL MEDICAL CENTER ,262 LEROY GEORGE DRIVE ,,CLYDE ,NC ,28721- ,HAYWOOD ,,,,370575,,,.0955,,,122,44652,7978,2144,16155,,749.73,,2218,703,4868,,,,,,805, 340186,01-OCT-14,30-SEP-15,Amended,BEAUFORT HOSPITAL ,628 EAST 12TH STREET ,,WASHINGTON ,NC ,27889 ,BEAUFORT ,,,,278647,,,.12,,,66,24090,6169,1759,10694,,411.07,,1436,661,2695,,,,,,764, 340187,01-JUL-15,30-JUN-16,Amended,DAVIE MEDICAL CENTER ,329 NC HIGHWAY 801 N ,,BERMUDA RUN ,NC ,27006-7905 ,DAVIE ,,,,,,,,,,25,9150,22,331,5373,,213.19,,2,10,160,,,,,,, 340188,14-APR-15,30-SEP-15,As Submitted,CAPE FEAR VALLEY HOKE HOSPITAL ,210 MEDICAL PAVILION DRIVE ,,RAEFORD ,NC ,28376 ,RAEFORD ,,,,4252,,,.0409,,,41,7339,270,189,1083,,170,,96,59,375,,,,,,, 341302,01-OCT-14,30-SEP-15,As Submitted,OUR COMMUNITY HOSPITAL ,921 JUNIOR HIGH ROAD ,405 ,SCOTLAND NECK ,NC ,27874- ,HALIFAX ,,,,,,,,,,20,7300,681,11,987,,46.14,,9,4,16,,,,,,, 341303,01-OCT-14,30-SEP-15,As Submitted,FIRSTHEALTH MONTGOMERY MEMORIAL CAH ,520 ALLEN STREET ,,TROY ,NC ,27371 ,MONTGOMERY ,,,,,,,,,,23,8418,1154,87,1626,,120.3,,173,34,364,,,,,,, 341304,01-OCT-14,30-SEP-15,As Submitted,BERTIE MEMORIAL HOSPITAL ,1403 SOUTH KING STREET ,,WINDSOR ,NC ,27983 ,BERTIE ,,,,,,,,,,6,2190,1065,95,1424,,35.29,,296,36,432,,,,,,, 341305,01-AUG-15,31-JUL-16,As Submitted,SWAIN COUNTY HOSPITAL ,45 PLATEAU STREET ,,BRYSON CITY ,NC ,28713- ,SWAIN ,,,,,,,,,,24,8784,1094,16,1699,,104.74,,230,8,366,,,,,,, 341307,01-OCT-14,30-SEP-15,As Submitted,PENDER MEMORIAL HOSPITAL ,507 E. FREMONT ST ,,BURGAW ,NC ,28425- ,PENDER ,,,,,,,,,,25,9125,2466,124,3370,,133.8,,355,42,569,,,,,,, 341308,01-OCT-14,20-AUG-15,As Submitted,CAH #10 - YADKINVILLE ,625 SOUTH MAIN ,,YADKINVILLE ,NC ,27065 ,YADKIN ,,,,,,,,,,15,4860,727,26,1544,,86.33,,52,8,115,,,,,,, 341311,01-JUL-15,30-JUN-16,As Submitted,CHATHAM HOSPITAL INC ,475 PROGRESS BLVD ,,SILER CITY ,NC ,27344 ,CHATHAM ,,,,,,,,,,25,9150,1815,303,5022,,166.39,,178,88,579,,,,,,, 341314,01-OCT-14,30-SEP-15,Settled,CAH #1 - WASHINGTON ,958 US HIGHWAY 64 EAST ,,PLYMOUTH ,NC ,27962 ,WASHINGTON ,,,,,,,,,,25,9125,1191,72,1523,,71.26,,206,24,295,,,,,,, 341315,01-OCT-14,30-SEP-15,As Submitted,BLADEN COUNTY HOSPITAL ,HIGHWAY 701 ,398 ,ELIZABETHTOWN ,NC ,28337 ,BLADEN ,,,,,,,,,,25,9125,1563,1035,3705,,315,,334,408,991,,,,,,, 341316,01-OCT-14,30-SEP-15,As Submitted,HIGHLANDS CASHIERS HOSPITAL ,HIGHWAY 64E ,190 ,HIGHLANDS ,NC ,28741- ,MACON ,,,,,,,,,,24,8760,1820,20,2459,,117.4,,141,6,209,,,,,,, 341317,01-OCT-14,30-SEP-15,As Submitted,PIONEER HLTH SERV OF STOKES CNTY ,1570 NC 8 & 89 HWY ,10 ,DANBURY ,NC ,27016 ,STOKES ,,,,,,,,,,25,9125,2095,18,5636,,206.77,,167,9,444,35,4,,,,59, 341318,01-OCT-14,30-SEP-15,Amended,CHOWAN HOSPITAL INC. ,211 VIRGINIA AVENUE ,,EDENTON ,NC ,27932 ,CHOWAN ,,,,,,,,,,25,9125,2754,1124,4786,,274.9,,653,532,1692,,,,,,, 341319,01-OCT-14,30-SEP-15,As Submitted,TRANSYLVANIA COMMUNITY HOSPITAL ,260 HOSPITAL DRIVE ,1116 ,BREVARD ,NC ,28712- ,TRANSYLVANIA ,,,,,,,,,,25,9125,3115,689,5643,,295.02,,841,258,1563,,,,,,, 341320,01-OCT-14,30-SEP-15,As Submitted,ALLEGHANY MEMORIAL HOSPITAL ,233 DOCTORS STREET ,,SPARTA ,NC ,28675 ,,,,,,,,,,,25,9125,1375,95,2140,,116.94,,270,30,466,,,,,,, 341322,01-OCT-14,30-SEP-15,As Submitted,ST LUKES HOSPITAL ,220 HOSPITAL DRIVE ,,COLUMBUS ,NC ,28722- ,POLK ,,,,,,,,,,25,9125,3343,78,5041,,207.22,,601,29,1056,,,,,,272, 341323,01-OCT-14,30-SEP-15,Amended,CHARLES A. CANNON MEMORIAL HOSPITAL ,434 HOSPITAL DRIVE ,,LINVILLE ,NC ,28646- ,AVERY ,,,,,,,,,,25,9125,1906,530,3556,,148.4,,524,219,1005,,,,,,526, 341324,01-OCT-14,30-SEP-15,As Submitted,THE OUTER BANKS HOSPITAL ,4800 S. CROATAN HWY ,,NAGS HEAD ,NC ,27959- ,DARE ,,,,,,,,,,21,7665,1277,906,3482,,229.33,,482,453,1584,,,,,,, 341325,01-JAN-15,31-DEC-15,As Submitted,ASHE MEMORIAL HOSPITAL ,200 HOSPITAL AVENUE ,8 ,JEFFERSON ,NC ,28640- ,ASHE ,,,,,,,,,,25,9125,2991,537,5012,,193.53,,679,261,1277,,,,,,, 341326,01-OCT-14,30-SEP-15,As Submitted,ANGEL MEDICAL CENTER ,120 RIVERVIEW STREET ,,FRANKLIN ,NC ,28744- ,MACON ,,,,,,,,,,25,9125,3685,1521,6984,,289.11,,845,674,2186,,,,,,, 341327,01-OCT-14,30-SEP-15,As Submitted,J ARTHUR DOSHER MEMORIAL HOSPITAL ,924 HOWE STREET ,,SOUTHPORT ,NC ,28461- ,BRUNSWICK ,,,,,,,,,,25,9125,1469,84,2525,,199.27,,496,31,848,1,,,,,, 341328,07-NOV-14,30-JUN-15,As Submitted,MURPHY MEDICAL CENTER ,3990 E US HIGHWAY 64 ALT ,,MURPHY ,NC ,28906- ,CHEROKEE ,,,,,,,,,,25,5900,2238,646,4511,,353.22,,601,217,1293,,,,,,, 341328,01-JUL-15,30-JUN-16,As Submitted,MURPHY MEDICAL CENTER ,3990 E US HIGHWAY 64 ALT ,,MURPHY ,NC ,28906- ,CHEROKEE ,,,,,,,,,,25,9150,3729,1200,6558,,366.92,,1000,383,1913,,,,,,, 341329,21-NOV-14,30-SEP-15,As Submitted,BLUE RIDGE REGIONAL HOSPITAL ,125 HOSPITAL DRIVE ,,SPRUCE PINE ,NC ,28777 ,MITCHELL ,,,,,,,,,,25,9125,1592,833,3700,,191.86,,538,357,1230,,,,,,, 342012,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL GREENSBORO ,2401 SOUTHSIDE BOULEVARD ,,GREENSBORO ,NC ,27406 ,GUILFORD ,,,,,,,,,,101,36966,14122,392,18700,,182,,456,2,520,,,,,,, 342013,01-MAR-15,29-FEB-16,Settled,LIFECARE HOSPITAL OF NORTH CAROLINA ,1051 NOELL LANE ,,ROCKY MOUNT ,NC ,27804- ,NASH ,,,,,,,,,,50,18300,12752,,15294,,128.58,,406,,487,,,,,,, 342014,01-JUL-15,30-JUN-16,As Submitted,HIGHSMITH RAINEY MEMORIAL HOSPITAL ,150 ROBESON STREET ,,FAYETTEVILLE ,NC ,28301 ,CUMBERLAND ,,,,,,,,,,66,24156,5876,3529,18770,,347.69,,151,61,320,,,,,,, 342015,01-AUG-15,31-JUL-16,As Submitted,CAROLINAS CONTINUECARE PINEVILLE ,10628 PARK RD ,,CHARLOTTE ,NC ,28210 ,MECKLENBURG ,,,,,,,,,,28,14640,9229,49,12242,,124.42,,351,1,458,,,,,,, 342016,01-AUG-15,31-JUL-16,Settled,SSH-WINSTON-SALEM ,3333 SILAS CREEK PARKWAY ,,WINSTON-SALEM ,NC ,27103-3013 ,FORSYTH ,,,,,,,,,,42,15372,7349,79,10628,,98.57,,272,1,375,,,,,,, 342017,01-OCT-14,30-SEP-15,As Submitted,ASHEVILLE SPECIALTY HOSPITAL LLC ,428 BILTMORE AVENUE ,,ASHEVILLE ,NC ,28801 ,BUNCOMBE ,,,,,,,,,,34,12410,6238,,9930,,107.87,,218,,335,,,,,,, 342018,01-FEB-15,31-JAN-16,As Submitted,SSH - DURHAM ,3643 NORTH ROXBORO RD ,,DURHAM ,NC ,27704 ,DURHAM ,,,,,,,,,,30,10950,6851,,10132,,88.34,,230,,318,,,,,,, 342019,01-JAN-15,31-DEC-15,As Submitted,CRAWLEY MEMORIAL HOSPITAL INC. ,706 WEST KING STREET 2ND FLOOR ,,KINGS MOUNTAIN ,NC ,28086 ,CLEVELAND ,,,,,,,,,,28,10220,6068,98,6860,,61.57,,240,7,262,,,,,,, 342020,01-MAY-15,30-APR-16,As Submitted,SSH -GREENSBORO ,1200 NORTH ELM STREET 5TH FLOOR ,,GREENSBORO ,NC ,27401 ,GUILFORD ,,,,,,,,,,30,10980,7721,,9308,,91.43,,309,,360,,,,,,, 343025,01-OCT-14,30-SEP-15,Amended,CAREPARTNERS REHAB HOSPITAL ,68 SWEETEN CREEK ROAD ,,ASHEVILLE ,NC ,28803 ,BUNCOMBE ,,,,,,,,,,70,25550,9428,2505,17618,,514.36,,729,106,1283,,,,,,, 343026,01-JAN-15,31-DEC-15,As Submitted,CAROLINAS REHABILITATION ,1100 BLYTHE BLVD ,,CHARLOTTE ,NC ,28203- ,MECKLENBURG ,,,,,,,,,52027,150,54750,19541,5454,46141,10.28,617.48,,1297,289,2761,146,,,,,, 344001,01-JUL-15,30-JUN-16,Settled,DOROTHEA DIX HOSPITAL ,820 SOUTH BOYLAN AVE ,,RALEIGH ,NC ,27603 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 344004,01-JUL-15,30-JUN-16,As Submitted,CENTRAL REGIONAL HOSPITAL ,300 VEASY RD. ,,BUTNER ,NC ,27509 ,USA ,,,,,,,,,,422,154452,7676,9167,134419,27,1886.15,,170,104,1199,,,,,,, 344007,01-JAN-15,31-DEC-15,Settled,OLD VINEYARD ,3637 OLD VINEYARD ROAD ,,WINSTON SALEM ,NC ,27004 ,FORSYTH ,,,,,,,,,,104,37960,9042,8,35566,,194.8,,942,1,4308,,,,,,, 344014,01-JAN-15,31-DEC-15,Settled,HOLLY HILLS HOSPITAL ,3019 FALSTAFF ROAD ,,RALEIGH ,NC ,27610 ,WAKE ,,,,,,,,,,205,74825,11790,1269,66755,,314.48,,999,135,7466,,,,,,, 344016,01-JUL-15,30-JUN-16,As Submitted,BRYNN MARR HOSPITAL ,192 VILLAGE DRIVE ,,JACKSONVILLE ,NC ,28546 ,ONSLOW ,,,,,,,,,,81,29557,1137,,23433,,143.1,,85,,1783,,,,,,, 344023,01-JUL-15,30-JUN-16,As Submitted,JULIAN F KEITH - ADATC ,201 TABERNACLE ROAD ,,BLACK MOUNTAIN ,NC ,28711 ,BUNCOMBE ,,,,,,,,,,80,29280,945,176,20819,,196.88,,57,14,1345,,,,,,, 344025,01-JUL-15,30-JUN-16,As Submitted,BROUGHTON HOSPITAL ,1000 SOUTH STERLING STREET ,,MORGANTON ,NC ,28655 ,BURKE ,,,,,,,,,,431,157746,5905,5853,98903,,1270.5,,93,60,451,,,,,,, 344026,01-JUL-15,30-JUN-16,As Submitted,CHERRY HOSPITAL ,201 STEVENS MILL ROAD ,,GOLDSBORO ,NC ,27530 ,WAYNE ,,,,,,,,,,197,72102,5909,3018,63898,1.27,1001,,113,85,628,,,,,,, 344027,01-JUL-15,30-JUN-16,As Submitted,RJ BLACKLEY ADATC ,RJ BLACKLEY ,1003 12TH STREET ,BUTNER ,NC ,27509 ,GRANVILLE ,,,,,,,,,,80,29280,1283,78,13295,,150,,97,7,1025,,,,,,, 344028,01-JAN-15,31-DEC-15,Settled,STRATEGIC BEHAVIORAL CENTER-GARNER ,3200 WATERFIELD DRIVE ,,GARNER ,NC ,27529-7727 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 344029,01-JAN-15,31-DEC-15,As Submitted,GOOD HOPE HOSPITAL INC ,410 DENIM DRIVE ,,ERWIN ,NC ,28339-2204 ,HARNETT ,,,,,,,,,,16,5840,753,1212,4787,,32.93,,65,133,547,,,,,,, 344030,01-JAN-15,31-DEC-15,Settled,SBH WILMINGTON LLC ,2050 MERCANTILE DR ,,LELAND ,NC ,28451 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 350002,01-JUL-15,30-JUN-16,As Submitted,ST ALEXIUS MEDICAL CENTER ,900 EAST BROADWAY AVENUE ,5510 ,BISMARCK ,ND ,58506-5510 ,BURLEIGH ,633519,,,470801,,,.0459,252508,133896,201,70684,17680,6167,40840,6.83,1850.3,,3819,,7589,,,,,,629,87 350006,01-JUL-15,30-JUN-16,As Submitted,TRINITY HOSPITALS/ST JOES ,ONE BURDICK EXPRESSWAY WEST ,5020 ,MINOT ,ND ,58702- ,WARD ,351131,,,682517,,,.099,106199,125124,203,74298,13758,6861,33977,5,2449.09,,2831,851,7769,,,,250,12,1040,392 350011,01-JUL-15,30-JUN-16,Amended,SANFORD MEDICAL CENTER - FARGO ,801 BROADWAY NORTH ,,FARGO ,ND ,58102-3641 ,CASS ,4767677,,,3448159,,,.1399,656100,539955,398,145563,48452,29415,120432,50.7,4680.52,,8522,3766,23528,,,,364,26,910,241 350015,01-JUL-15,30-JUN-16,As Submitted,SANFORD HEALTH BISMARCK ,300 N 7TH ST ,5505 ,BISMARCK ,ND ,58501 ,BURLEIGH ,741145,,,1302669,,,.1458,255620,232573,198,72468,19449,10364,44722,9.51,358.38,,3479,1805,8801,,,,280,14,716,148 350019,01-JAN-15,31-DEC-15,As Submitted,ALTRU HEALTH SYSTEM-ALTRU HOSPITAL ,1200 SOUTH COLUMBIA RD ,6002 ,GRAND FORKS ,ND ,58201- ,GRAND FORKS ,2240928,,,987120,,,.0826,647816,417061,253,92345,25337,10402,55130,29.05,3111.21,,4811,2544,13557,,,,307,13,674,295 350063,01-OCT-14,30-SEP-15,As Submitted,QUENTIN N BURDICK MEMORIAL HOSPITAL ,MAIN STREET ,160 ,BELCOURT ,ND ,58316 ,ROLETTE ,,,,26186,,,.12,,,27,9855,593,917,2241,,328,,136,355,636,,,,,,, 350064,01-OCT-14,30-SEP-15,As Submitted,STANDING ROCK IHS HOSPITAL ,N10 N RIVER ROADER CREEK RD ,J ,FORT YATES ,ND ,58538 ,SIOUX ,,,,1082,,,.12,,,12,4380,51,59,184,,145,,7,20,36,,,,,,, 350070,01-JUL-15,30-JUN-16,As Submitted,INNOVIS HEALTH ,3000 32ND AVENUE S ,,FARGO ,ND ,58103- ,CASS ,,,,1079634,,,.1237,,,133,48678,17777,9121,40810,,1694,,3577,795,8543,412,,,,,, 351300,01-JUL-15,30-JUN-16,Settled,TIOGA MEDICAL CENTER ,810 NORTH WELO STREET ,159 ,TIOGA ,ND ,58852-0159 ,WILLIAMS ,,,,,,,,,,25,9150,1189,57,1439,,51.17,,75,3,106,,,,,,, 351301,01-JUL-15,30-JUN-16,As Submitted,MOUNTRAIL COUNTY MEDICAL CENTER ,615 6TH STREET SE ,339 ,STANLEY ,ND ,58784 ,MOUNTRAIL ,,,,,,,,,,11,4026,307,,339,,109.39,,10,,19,,,,,,, 351302,01-JUL-15,30-JUN-16,Settled,MCKENZIE COUNTY HEALTHCARE SYSTEM ,516 NORTH MAIN ,548 ,WATFORD CITY ,ND ,58854- ,MCKENZIE ,,,,,,,,,,24,8784,376,2,670,,75.32,,52,2,102,,,,,,, 351303,01-JUL-15,30-JUN-16,Settled,GARRISON MEMORIAL HOSPITAL ,407 3RD AVENUE SE ,39 ,GARRISON ,ND ,58540 ,MCLEAN ,,,,,,,,,,22,8052,943,2,5908,,87.55,,66,1,77,,,,,,, 351304,01-JUL-15,30-JUN-16,As Submitted,TURTLE LAKE COMMUNITY HOSPITAL ,220 5TH AVENUE ,280 ,TURTLE LAKE ,ND ,58575 ,MCLEAN ,,,,,,,,,,22,8052,480,1,7376,,47.86,,56,1,90,,,,,,, 351305,01-JUL-15,30-JUN-16,As Submitted,KENMARE COMMUNITY HOSPITAL ,317 1ST AVE NW ,697 ,KENMARE ,ND ,58746 ,WARD ,,,,,,,,,,25,9150,203,,7784,,65.87,,7,1,8,,,,,,, 351306,01-JUL-15,30-JUN-16,Settled,COOPERSTOWN MEDICAL CENTER ,1200 ROBERTS AVENUE NE ,,COOPERSTOWN ,ND ,58425-7101 ,GRIGGS ,,,,,,,,,,18,6588,594,24,714,,31.08,,66,1,72,,,,,,, 351307,01-OCT-14,30-SEP-15,Settled,ST ANDREWS HEALTH CENTER ,316 OHMER ST ,,BOTTINEAU ,ND ,58318- ,BOTTINEAU ,,,,,,,,,,25,9125,1034,4,7218,,75.42,,102,2,114,,,,,,, 351308,01-JUL-15,30-JUN-16,As Submitted,NELSON COUNTY HEALTH SYSTEM-HOSPITAL ,200 NORTH MAIN STREET ,367 ,MCVILLE ,ND ,58254- ,NELSON ,,,,,,,,,,19,6954,556,,848,,18.5,,48,,52,,,,,,, 351309,01-JUL-15,30-JUN-16,As Submitted,SANFORD MAYVILLE ,42 6TH AVENUE SE ,,MAYVILLE ,ND ,58257- ,TRAILL ,,,,,,,,,,25,9125,974,3,1126,,61.92,,107,2,124,,,,,,, 351310,01-JUL-15,30-JUN-16,Settled,SAKAKAWEA MEDICAL CENTER ,510 J8TH AVE NE ,,HAZEN ,ND ,58545 ,MERCER ,,,,,,,,,,25,9150,837,,1843,,97.93,,115,,135,,,,,,, 351311,01-JUL-15,30-JUN-16,As Submitted,LISBON AREA HEALTH SERVICES ,905 MAIN ,,LISBON ,ND ,58054 ,RANSOM ,,,,,,,,,,25,9150,1429,3,5005,,67.93,,164,2,198,,,,,,, 351312,01-JAN-15,31-DEC-15,Settled,NORTHWOOD DEACONESS HEALTH CENTER ,4 N PARK STREET ,190 ,NORTHWOOD ,ND ,58267- ,GRAND FORKS ,,,,,,,,,,12,4380,1259,147,1832,,52.84,,68,1,77,,,,,,, 351313,01-JAN-15,31-DEC-15,Settled,SOUTHWEST HEALTHCARE SERVICES ,802 3ND STREET NW ,,BOWMAN ,ND ,58623-0009 ,BOWMAN ,,,,,,,,,,23,8395,502,,2747,,101.5,,56,,73,,,,,,, 351314,01-JUL-15,30-JUN-16,Settled,JACOBSON MEMORIAL HOSPITAL ,601 EAST STREET NORTH ,367 ,ELGIN ,ND ,58533- ,GRANT ,,,,,,,,,,25,9150,532,1,7988,,47.34,,57,3,60,,,,,,, 351315,01-JUL-15,30-JUN-16,Settled,OAKES COMMUNITY HOSPITAL ,314 SOUTH 8TH ST ,,OAKES ,ND ,58474 ,DICKEY ,,,,,,,,,,20,7320,1538,46,1821,,51.67,,200,17,282,,,,,,, 351316,01-OCT-14,30-SEP-15,Settled,PRESENTATION MEDICAL CENTER ,213 SECOND AVE N.E. ,759 ,ROLLA ,ND ,58367- ,ROLETTE ,,,,,,,,,,25,9125,684,1192,2946,,75.53,,78,28,144,,,,,,, 351318,01-JUL-15,30-JUN-16,As Submitted,CARRINGTON HEALTH CENTER ,800 NORTH FOURTH STREET ,,CARRINGTON ,ND ,58421 ,FOSTER ,,,,,,,,,,25,9150,1141,9,1385,,64.35,,208,4,260,,,,,,, 351319,01-JAN-15,31-DEC-15,Settled,PEMBINA COUNTY MEMORIAL HOSPITAL ,301 MOUNTAIN ST. EAST ,,CAVALIER ,ND ,58220- ,PEMBINA ,,,,,,,,,,20,7904,829,29,1007,,59.51,,198,10,266,,,,,,, 351320,01-JUL-15,30-JUN-16,As Submitted,UNITY MEDICAL CENTER ,164 WEST 13TH STREET ,,GRAFTON ,ND ,58237- ,WALSH ,,,,,,,,,,14,5124,1293,43,1630,,72.63,,138,9,186,,,,,,, 351321,01-JAN-15,31-DEC-15,Settled,WISHEK COMMUNITY HOSPITAL ,1007 4TH AVENUE SOUTH ,,WISHEK ,ND ,58495 ,MCINTOSH ,,,,,,,,,,24,8760,594,3,692,,49.58,,128,1,156,,,,,,, 351322,01-JUL-15,30-JUN-16,Settled,ASHLEY MEDICAL CENTER ,612 CENTER AVENUE NORTH ,,ASHLEY ,ND ,58413- ,MCINTOSH ,,,,,,,,,,20,7320,744,,1138,,33.68,,56,,63,,,,,,, 351323,01-JUL-15,30-JUN-16,Settled,CAVALIER COUNTY MEMORIAL HOSPITAL ,909 SECOND STREET ,,LANGDON ,ND ,58249 ,CAVALIER ,,,,,,,,,,20,7320,836,30,1002,,54.64,,178,14,242,,,,,,, 351324,01-JUL-15,30-JUN-16,As Submitted,MERCY HOSPITAL OF VALLEY CITY ,570 CHAUTAQUA BOULEVARD ,,VALLEY CITY ,ND ,58072 ,BARNES ,,,,,,,,,,25,9150,1996,33,3329,,69.24,,161,12,193,,,,,,, 351325,01-JUL-15,30-JUN-16,Settled,ST. LUKES HOSPITAL ,700 FIRST STREET SW ,10 ,CROSBY ,ND ,58730- ,DIVIDE ,,,,,,,,,,15,5490,944,3,1064,,48.61,,59,1,67,,,,,,, 351326,01-JAN-15,31-DEC-15,Settled,FIRST CARE HEALTH CENTER ,115 VIVIAN STREET ,1 ,PARK RIVER ,ND ,58278- ,WALSH ,,,,,,,,,,14,5110,2179,26,2573,,64.1,,183,11,238,,,,,,, 351327,01-OCT-14,30-SEP-15,Settled,ST ALOISIUS MEDICAL CENTER ,325 EAST BREWSTER STREET ,,HARVEY ,ND ,58341- ,WELLS ,,,,,,,,,,25,8205,1726,26,2095,,80.66,,175,6,220,,,,,,, 351328,01-APR-15,31-MAR-16,As Submitted,LINTON HOSPITAL ,518 NORTH BROADWAY ,850 ,LINTON ,ND ,58552-0850 ,EMMONS ,,,,,,,,,,14,5124,648,3,1227,,48.16,,123,1,149,,,,,,, 351329,01-JUL-15,30-JUN-16,As Submitted,SANFORD HILLSBORO ,12 3RD STREET SE ,609 ,HILLSBORO ,ND ,58045- ,TRAILL ,,,,,,,,,,16,5856,690,,1467,,45.98,,54,,71,,,,,,, 351330,01-APR-15,31-MAR-16,Settled w/Audit,WEST RIVER REGIONAL MEDICAL CENTER ,1000 HIGHWAY 12 ,124 ,HETTINGER ,ND ,58639- ,ADAMS ,,,,,,,,,,25,9125,2752,119,3684,,160.76,,518,33,792,,,,,,, 351331,01-JUL-15,30-JUN-16,As Submitted,TOWNER COUNTY MEDICAL CENTER ,HWY 281 NORTH ,688 ,CANDO ,ND ,58324-0688 ,TOWNER ,,,,,,,,,,20,7320,691,49,937,,56.5,,88,7,127,31,,,,,, 351332,01-APR-15,31-MAR-16,Settled,HEART OF AMERICA MEDICAL CENTER ,800 MAIN AVENUE SOUTH ,,RUGBY ,ND ,58368-2118 ,PIERCE ,,,,,,,,,,25,9150,1813,63,2008,,157.92,,147,3,295,,,,,,, 351333,01-JUL-15,30-JUN-16,As Submitted,MERCY HOSPITAL ,1031 7TH STREET ,,DEVILS LAKE ,ND ,58301 ,RAMSEY ,,,,,,,,,,25,9150,2395,945,4715,,129.96,,276,212,745,33,,,,,, 351334,01-JUL-15,30-JUN-16,As Submitted,MERCY MEDICAL CENTER ,1301 15TH AVENUE W ,,WILLISTON ,ND ,58801 ,WILLIAMS ,,,,,,,,,,25,9150,1536,552,5892,,339.36,,432,235,1885,,,,,,, 351335,01-JUL-15,30-JUN-16,Amended,JAMESTOWN REGIONAL MEDICAL CENTER ,419 FIFTH STREET NE ,,JAMESTOWN ,ND ,58401 ,STUTSMAN ,,,,,,,,,,25,9150,1646,596,4125,,237.76,,452,119,1035,,,,,,, 351336,01-JUL-15,30-JUN-16,As Submitted,ST JOSEPHS HOSPITAL & HEALTH CTR ,30 WEST 7TH STREET ,,DICKINSON ,ND ,58601 ,STARK ,,,,,,,,,,25,9150,2745,407,6998,,246.74,,707,48,1890,,,,,,, 352004,01-AUG-15,31-JUL-16,Settled,VIBRA HOSPITAL OF FARGO LLC ,1720 SOUTH UNIVERSITY DRIVE ,,FARGO ,ND ,58103 ,CASS ,,,,,,,,,,31,11346,4118,1328,8311,,65.78,,130,25,254,29,,,,,, 352005,01-AUG-15,31-JUL-16,Settled,VIBRA HOSPITAL OF CENTRAL DAKOTAS L ,1000 18TH STREET N.W. ,,MANDAN ,ND ,58554 ,MORTON ,,,,,,,,,,41,15006,2835,2132,7153,,61.02,,89,52,203,33,,,,,, 354003,01-JUL-15,30-JUN-16,Amended,ND STATE HOSPITAL ,2605 CIRCLE DR ,,JAMESTOWN ,ND ,58401 ,STUTSMAN ,,,,,,,,,,100,36600,4166,149,27684,,408.2,,150,,27684,,,,,,, 354004,01-OCT-14,30-SEP-15,Settled,PRAIRIE ST. JOHNS ,100 FOURTH STREET SOUTH SUITE 506 ,,FARGO ,ND ,58108 ,CASS ,,,,,,,,,,110,40150,3894,1368,26031,,265.5,,416,140,3376,,,,,,, 354005,01-JAN-15,31-DEC-15,Settled,RICHARD P. STADTER PSYCHIATRIC CNTR ,1451 44TH AVENUE SOUTH ,14354 ,GRAND FORKS ,ND ,58208-4354 ,GRAND FORKS ,,,,,,,,,,70,25550,4870,2491,9358,,81.01,,188,305,716,,,,,,, 360001,01-JAN-15,31-DEC-15,Amended,MERCY HOSPITAL ANDERSON ,7500 STATE ROAD ,,CINCINNATI ,OH ,45255-0589 ,HAMILTON ,,,,670309,,,.0941,,,180,65700,14673,1978,51420,,904.42,,3236,317,12601,1921,,,,,, 360002,01-JAN-15,31-DEC-15,Settled,UH SAMARITAN MEDICAL CENTER ,1025 CENTER STREET ,,ASHLAND ,OH ,44805-4098 ,ASHLAND ,,,,107127,,,.0849,,,39,14145,2642,207,6914,,483.18,,894,65,2237,510,,,,,, 360003,01-JUL-15,30-JUN-16,As Submitted,UNIVER.OF CINCINNATI MED CENTER LLC ,234 GOODMAN STREET ,,CINCINNATI ,OH ,45219- ,HAMILTON ,21055062,,,4822026,,,.3083,6622359,3063276,468,174216,33416,11304,142140,477.9,4467,,6243,2386,25345,7510,1126,,295,,2924, 360006,01-JUL-15,30-JUN-16,Amended,RIVERSIDE METHODIST HOSPITAL ,3535 OLENTANGY RIVER ROAD ,,COLUMBUS ,OH ,43214 ,FRANKLIN ,13736605,,,2987515,,,.0862,3961643,1199260,671,245097,62131,14844,204969,127.06,5855.33,,13331,1968,44496,5965,,,143,,1611, 360008,01-JUL-15,30-JUN-16,As Submitted,SOUTHERN OHIO MEDICAL CENTER ,1248 KENNEYS LANE ,,PORTSMOUTH ,OH ,45662- ,SCIOTO ,1962498,,,1436080,,,.1858,727790,454394,174,63684,23385,1748,47987,15.48,2012.08,,4540,389,10547,,,,7,15,354,613 360009,01-JAN-15,31-DEC-15,Amended,LIMA MEMORIAL HOSPITAL ,1001 BELLEFONTAINE AVENUE ,,LIMA ,OH ,45804- ,ALLEN ,,,,446974,,,.0876,,,155,56575,10174,919,23524,,994.22,,2380,194,6395,795,,,,6,,146 360010,01-JAN-15,31-DEC-15,Settled,UNION HOSPITAL ASSOCIATION ,659 BOULEVARD ,,DOVER ,OH ,44622 ,TUSCARAWAS ,,,,214342,,,.0648,,,139,50735,8200,1967,20086,,826.3,,1988,275,4898,555,,,,2,,132 360011,01-JUL-15,30-JUN-16,Amended,MARION GENERAL HOSPITAL ,100 MCKINLEY PARK DRIVE ,,MARION ,OH ,43302 ,MARION ,,,,722897,,,.1688,,,171,62586,8720,2229,22341,,1150.58,,2469,212,6347,1305,,,53,,701, 360012,01-JUL-15,30-JUN-16,Amended,ST. ANNS HOSPITAL ,500 S.CLEVELAND AVE ,,WESTERVILLE ,OH ,43081- ,FRANKLIN ,395284,,,1091170,,,.1524,238100,100136,265,96990,13817,5259,64031,13.5,1613.46,,3279,1347,16588,4229,,,,,, 360013,01-JAN-15,31-DEC-15,Settled,WILSON MEMORIAL HOSPITAL ,915 WEST MICHIGAN STREET ,,SIDNEY ,OH ,45365- ,SHELBY ,,,,109303,,,.0937,,,61,22265,2765,266,8314,,468.22,,791,61,2375,720,8,,15,,234, 360014,01-JUL-15,30-JUN-16,As Submitted,OBLENESS MEMORIAL HOSPITAL ,55 HOSPITAL DRIVE ,,ATHENS ,OH ,45701-2345 ,ATHENS ,505552,,,159155,,,.12,219807,330049,63,23058,2084,1004,7736,15.13,624.55,,841,54,2645,294,,,,,, 360016,01-JAN-15,31-DEC-15,Amended,JEWISH HOSPITAL OF CINCINNATI ,4777 EAST GALBRAITH ROAD ,,CINCINNATI ,OH ,45236-2725 ,HAMILTON ,4673937,,,371907,,,.055,2358971,858765,161,58765,14651,1169,43464,62.64,882.91,,3044,295,10129,1073,,,,,, 360017,01-JUL-15,30-JUN-16,Amended,GRANT MEDICAL CENTER ,111 S. GRANT AVE ,,COLUMBUS ,OH ,43215 ,FRANKLIN ,6270772,,,3382273,,,.2695,3309049,1388902,379,138663,25486,13147,109126,93.67,3078.8,,4826,1573,19271,5854,,,,,, 360019,01-JAN-15,31-MAY-15,As Submitted,SUMMA BARBERTON HOSPITAL ,155 FIFTH STREET NE ,,BARBERTON ,OH ,44203 ,SUMMIT ,341390,,,134296,,,.081,262350,246341,158,23700,4755,378,15314,15.7,1056.5,,986,143,3318,441,93,,31,,307, 360020,01-JAN-15,31-DEC-15,Amended,SUMMA HEALTH SYSTEM ,525 E. MARKET STREET ,2090 ,AKRON ,OH ,44308- ,SUMMIT ,10007304,,,1879844,,,.1243,6298243,3636866,624,204060,34914,7623,138357,203.14,6970.45,,7500,1230,30167,8287,433,,186,,3158, 360025,01-JAN-15,31-DEC-15,Reopened,FIRELANDS REGIONAL MEDICAL CENTER ,1111 HAYES AVENUE ,,SANDUSKY ,OH ,44870- ,ERIE ,768561,,,820960,,,.1197,444908,239620,171,62567,19463,2608,40260,12.15,1621.2,,3839,390,8411,1405,,,,14,,467 360026,01-JAN-15,31-DEC-15,As Submitted,GREENE MEMORIAL HOSPITAL INC. ,1141 NORTH MONROE DRIVE ,,XENIA ,OH ,45385- ,GREENE ,,,,48927,,,.042,,,49,17885,2690,313,7710,,361,,727,99,2137,252,,,,,, 360027,01-JAN-15,31-DEC-15,Amended,AKRON GENERAL MEDICAL CENTER ,400 WABASH AVE ,,AKRON ,OH ,44307- ,SUMMIT ,7947843,,,1623006,,,.1382,2965916,1936319,326,118990,27151,5066,93615,128.09,3128.49,,6100,594,20907,7164,399,,137,,1633, 360029,01-JUL-15,30-JUN-16,As Submitted,WOOD COUNTY HOSPITAL ,950 WEST WOOSTER STREET ,,BOWLING GREEN ,OH ,43402- ,WOOD ,,,,82571,,,.0596,,,96,35136,3263,467,9156,,582.6,,863,65,2593,396,,,,,, 360032,01-JAN-15,31-DEC-15,As Submitted,JOINT TOWNSHIP DISTRICT MEMORIAL HOS ,200 SAINT CLAIR ST ,,ST. MARYS ,OH ,45885-2400 ,AUGLAIZE ,,,,33084,,,.0364,,,40,14600,1973,155,5283,,319.46,,623,33,1536,191,,,,1,,34 360035,01-JUL-15,30-JUN-16,As Submitted,MOUNT CARMEL HEALTH ,793 WEST STATE STREET ,,COLUMBUS ,OH ,43222- ,FRANKLIN ,4587810,,,2296880,,,.1189,2464528,812935,684,250344,38038,10560,158872,76.51,4146.02,,7707,1899,31753,5819,,,128,13,1144,442 360036,01-JAN-15,31-DEC-15,Amended,WOOSTER COMMUNITY HOSPITAL ,1761 BEALL AVENUE ,,WOOSTER ,OH ,44691- ,WAYNE ,,,,283920,,,.1092,,,103,37423,4481,890,17282,,686.57,14.97,1546,326,5276,1221,,,,9,,226 360037,01-JAN-15,31-DEC-15,Amended,ST VINCENT CHARITY MEDICAL CENTER ,2351 EAST 22ND STREET ,,CLEVELAND ,OH ,44015 ,CUYAHOGA ,2828059,,,1244183,,,.3647,2423992,724397,152,58035,6749,2582,27930,66.85,944,,1618,570,7575,2084,734,,136,,792, 360039,01-JAN-15,31-DEC-15,Settled,GENESIS HEALTHCARE SYSTEM ,2951 MAPLE AVENUE ,,ZANESVILLE ,OH ,43701 ,MUSKINGUM ,,,,1678038,,,.1578,,,286,104390,22979,2428,59750,,2233.97,,5211,603,14083,3774,,,,,, 360040,01-JAN-15,31-DEC-15,As Submitted,KNOX COMMUNITY HOSPITAL ,1330 COSHOCTON ROAD ,,MT. VERNON ,OH ,43050 ,KNOX ,,,,223653,,,.1095,,,62,22630,4136,224,10266,,818.78,,1251,81,3089,858,,,,,, 360041,01-JAN-15,31-DEC-15,As Submitted,UH PARMA MEDICAL CENTER ,7007 POWERS BLVD. ,,PARMA ,OH ,44129-5495 ,CUYAHOGA ,417644,,,,,,,,,210,76650,18972,882,44584,4.66,1134.54,,4207,196,10350,711,10,,5,7,374,329 360044,01-JAN-15,31-DEC-15,As Submitted,WAYNE HOSPITAL COMPANY ,835 SWEITZER STREET ,,GREENVILLE ,OH ,45331- ,DARKE ,,,,76355,,,.0609,,,63,23058,3162,250,6526,,329.12,,875,425,2167,384,,,,,, 360046,01-JAN-15,31-DEC-15,Settled,MCCULLOUGH-HYDE MEMORIAL HOSPITAL ,101 N. POPLAR ST ,,OXFORD ,OH ,45056- ,BUTLER ,,,,76528,,,.0831,,,45,16425,1989,153,6644,,354.51,,574,60,1955,508,,,,,, 360048,01-JUL-15,30-JUN-16,Amended,UNIV OF TOLEDO MEDL CENTER ,3000 ARLINGTON AVENUE ,,TOLEDO ,OH ,43614-2589 ,LUCAS ,12513187,,,1124548,,,.1303,4629328,2582047,212,77592,19761,2550,53717,204.63,2193.29,,3550,431,10275,2190,,,28,30,964,290 360051,01-JAN-15,31-DEC-15,Amended,MIAMI VALLEY HOSPITAL ,ONE WYOMING STREET ,,DAYTON ,OH ,45409 ,MONTGOMERY ,4560712,,,3544062,,,.2134,3431944,1129646,772,281780,37414,13364,161204,119.93,4819.5,,7017,1647,31513,7211,743,,196,72,1642,844 360052,01-JAN-15,31-DEC-15,Amended,GOOD SAMARITAN HOSPITAL ,2222 PHILADELPHIA DRIVE ,,DAYTON ,OH ,45406-1891 ,MONTGOMERY ,3361848,,,964020,,,.1158,3167538,1615334,329,120085,17339,3641,55295,69.08,2036.35,,3860,500,12752,2062,,,,,, 360054,01-JUL-15,30-JUN-16,As Submitted,HOLZER ,100 JACKSON PIKE ,,GALLIPOLIS ,OH ,45631- ,GALLIA ,115003,,,659253,,,.2401,117543,139359,157,57462,5645,590,13351,2.92,1082.88,,1566,184,3674,1437,25,,8,14,172,481 360055,01-JAN-15,31-DEC-15,Settled,TRUMBULL MEMORIAL HOSPITAL ,1350 EAST MARKET ST. ,1269 ,WARREN ,OH ,44483- ,TRUMBULL ,,,,472444,,,.1056,,,295,107675,12676,2024,44244,,978.33,,2329,1928,9232,,,,,,395, 360056,01-JAN-15,31-DEC-15,Amended,MERCY HOSPITAL OF HAMILTON/FAIRFIELD ,100 RIVERFRONT PLAZA ,,HAMILTON ,OH ,45012 ,HAMILTON ,,,,513026,,,.0722,,,192,70080,15243,2658,53743,,1040.34,,3486,571,13905,1847,,,,2,,410 360058,01-APR-15,31-MAR-16,As Submitted,MERCER COUNTY COMMUNITY HOSPITAL ,800 WEST MAIN STREET ,,COLDWATER ,OH ,45828- ,MERCER ,,,,,,,,,,42,15372,2598,284,6196,,323.4,,692,46,1678,223,,,,,, 360059,01-JAN-15,31-DEC-15,As Submitted,METROHEALTH MEDICAL CENTER ,2500 METROHEALTH DRIVE ,,CLEVELAND ,OH ,44109-1998 ,CUYAHOGA ,11186354,,,4126540,,,.4847,7870101,4669435,519,175329,18760,15295,110959,367.96,5734.97,,4017,2516,24471,9700,,,92,23,914,909 360064,01-JAN-15,31-DEC-15,Amended,ST. ELIZABETH HEALTH CENTER ,1044 BELMONT AVENUE ,1790 ,YOUNGSTOWN ,OH ,44501-1790 ,MAHONING ,3694251,,,911846,,,.0923,2174771,720793,325,118625,23795,3028,76368,62.87,1681.01,,4612,745,15191,2014,465,,115,36,1112,523 360065,01-JAN-15,31-DEC-15,Settled,FISHER-TITUS MEDICAL CENTER ,272 BENEDICT AVE ,,NORWALK ,OH ,44857 ,HURON ,,,,303977,,,.119,,,78,28470,5501,463,13012,,752.9,,1488,113,3630,740,,,,,, 360066,01-JAN-15,31-DEC-15,Amended,ST. RITAS MEDICAL CENTER LLC ,730 W MARKET ST ,,LIMA ,OH ,45801 ,ALLEN ,276302,,,1386358,,,.1087,135169,52269,289,105485,27471,2490,67234,3.04,1392.97,,6340,684,18051,3231,302,,132,8,1641,328 360068,01-JAN-15,31-DEC-15,Amended,THE TOLEDO HOSPITAL ,2142 NORTH COVE BLVD. ,,TOLEDO ,OH ,43606- ,LUCAS ,3092092,,,3726652,,,.2028,2056231,564834,654,238710,37112,17078,152624,69.4,4238.88,,7007,1423,29821,,541,,106,,1452, 360070,01-JAN-15,31-DEC-15,Amended,MERCY MEDICAL CENTER ,1320 MERCY DRIVE N.W. ,,CANTON ,OH ,44708-2614 ,STARK ,1786393,,,809510,,,.1024,1365545,474403,256,93440,20236,5207,69386,25.04,2204,,3770,531,15632,2404,,,,1,,439 360071,01-JAN-15,31-DEC-15,Settled,VAN WERT COUNTY HOSPITAL ,1250 S. WASHINGTON ST. ,,VAN WERT ,OH ,45891- ,VAN WERT ,,,,26251,,,.0369,,,61,22265,1428,76,3231,,201.49,,448,34,1003,116,,,,,, 360072,01-JAN-15,31-DEC-15,Settled,FAIRFIELD MEDICAL CENTER ,401 NORTH EWING STREET ,,LANCASTER ,OH ,43130- ,FAIRFIELD ,1586656,,,776633,,,.1203,779257,464571,211,74986,13276,1255,35897,21.81,1632.38,,3135,273,9130,1547,,,,,, 360074,01-JAN-15,31-DEC-15,Amended,FLOWER HOSPITAL ,5200 HARROUN RD ,,SYLVANIA ,OH ,43560- ,LUCAS ,477710,,,207679,,,.0502,367520,218232,144,52660,10033,1289,31238,3.67,1110.57,,2075,118,7118,767,1201,,334,21,3177,636 360075,01-JAN-15,31-DEC-15,Settled,UH REGIONAL HOSPITALS ,27100 CHARDON ROAD ,,RICHMOND HEIGHTS ,OH ,44143- ,CUYAHOGA ,4414953,,,236507,,,.0777,3493818,1737944,107,39055,7521,1034,19793,100.07,745.35,,1711,196,4684,597,,,,,, 360076,01-JAN-15,31-DEC-15,Settled,ATRIUM MEDICAL CENTER ,ONE MEDICAL CENTER DRIVE ,,FRANKLIN ,OH ,45005-1006 ,WARREN ,,,,583442,,,.1168,,,217,79205,9721,2339,30890,,1387.32,,2196,281,7513,1296,549,,130,10,1238,403 360077,01-JAN-15,31-DEC-15,Reopened,FAIRVIEW HOSPITAL ,18101 LORAIN AVE ,,CLEVELAND ,OH ,44111- ,CUYAHOGA ,3636489,,,1393553,,,.1241,1565882,727409,419,152841,26903,6648,105162,76.52,2136.36,,5665,1135,22572,4733,,,,,, 360078,01-JAN-15,31-DEC-15,As Submitted,UH PORTAGE MEDICAL CENTER ,6847 N. CHESTNUT STREET ,1204 ,RAVENNA ,OH ,44266-1204 ,PORTAGE ,72843,,,201320,,,.0744,33992,20631,104,37960,7028,867,24067,1.83,852.84,,1490,218,5333,1041,,,,,, 360079,01-JAN-15,31-DEC-15,Settled w/Audit,KETTERING MEMORIAL HOSPITAL ,3535 SOUTHERN BOULEVARD ,,KETTERING ,OH ,45429- ,MONTGOMERY ,5798158,,,1073155,,,.077,3321481,1235165,371,132777,24625,4492,90638,77.3,2569.32,,5839,846,20255,2619,,,,9,,544 360080,01-JAN-15,31-DEC-15,Amended,EAST OHIO REGIONAL HOSPITAL ,90 NORTH FOURTH STREET ,,MARTINS FERRY ,OH ,43935 ,BELMONT ,,,,175778,,,.12,,,84,30660,4291,758,12489,,454.22,,896,127,2748,459,,,,,, 360081,01-JAN-15,31-DEC-15,Amended,ST. CHARLES HOSPITAL ,2600 NAVARRE AVENUE ,,OREGON ,OH ,43616 ,LUCAS ,606825,,,536582,,,.1694,451804,137543,121,44165,8083,1158,22067,12.55,619.4,,1792,186,6019,1155,1630,,415,25,3774,368 360082,01-JAN-15,31-DEC-15,Reopened,EUCLID HOSPITAL ,18901 LAKESHORE BLVD. ,,EUCLID ,OH ,44119- ,CUYAHOGA ,,,,326213,,,.1028,,,128,46720,7643,1539,22481,,605.99,.08,1681,248,5115,666,119,,41,67,351,692 360084,01-JAN-15,31-DEC-15,Amended,AULTMAN HOSPITAL ,2600 SIXTH STREET SW ,,CANTON ,OH ,44710 ,STARK ,3394656,,,856969,,,.081,2658170,910874,430,156950,23858,4089,86895,69.53,2939.27,,5043,892,19294,3656,,,315,9,833,500 360085,01-JUL-15,30-JUN-16,As Submitted,THE OHIO STATE UNIVERSITY HOSPITAL ,660 ACKERMAN ROAD - 4TH FLOOROR ,ROOM 443 ,COLUMBUS ,OH ,43202 ,FRANKLIN ,20622390,,,7203977,,,.2523,7125110,2129410,829,303319,65366,29169,246348,491.83,8043.23,,10303,4245,45846,10428,1178,,340,60,2903,1119 360086,01-JAN-15,31-DEC-15,Settled,SPRINGFIELD REGIONAL MEDICAL CENTER ,2615 EAST HIGH STREET ,,SPRINGFIELD ,OH ,45501- ,CLARK ,,,,968325,,,.1419,,,230,83950,15718,3977,58023,,1077.42,,3326,750,13078,2965,,,,15,,611 360087,01-JAN-15,31-DEC-15,Amended,LUTHERAN HOSPITAL ,1730 W. 25TH STREET ,,CLEVELAND ,OH ,44113- ,CUYAHOGA ,124853,,,570472,,,.3298,190678,48325,118,43070,3262,1037,14832,3.59,472.9,,884,372,4357,901,1494,,186,,3538, 360089,01-JAN-15,31-DEC-15,Amended,MERCY HEALTH-TIFFIN HOSPITAL LLC ,45 ST LAWRENCE DRIVE ,,TIFFIN ,OH ,44883 ,SENECA ,,,,84597,,,.0716,,,48,17520,3845,213,7577,,244.07,,832,71,1978,361,,,,,, 360090,01-JAN-15,31-DEC-15,As Submitted,ST. LUKES HOSPITAL ,5901 MONCLOVA ROAD ,,MAUMEE ,OH ,43537- ,LUCAS ,1279531,,,,,,,859340,290522,173,63145,14964,1400,43293,13.16,1042,,3401,317,10735,,,,,,, 360091,01-JAN-15,31-DEC-15,Settled,MEDINA HOSPITAL ,1000 E. WASHINGTON STREET ,,MEDINA ,OH ,44256- ,MEDINA ,,,,,,,,,,148,54113,9781,565,25510,,622.39,,2200,75,6052,578,,,,,, 360092,01-JAN-15,31-DEC-15,Amended,MEMORIAL HOSPITAL OF UNION COUNTY ,500 LONDON AVENUE ,,MARYSVILLE ,OH ,43040- ,UNION ,,,,78355,,,.12,,,60,21900,1052,719,5200,,547.5,,378,69,1547,306,,,,,, 360095,01-JAN-15,31-DEC-15,Amended,BLANCHARD VALLEY REG. HEALTH CENTER ,1900 SOUTH MAIN STREET ,,FINDLAY ,OH ,45840- ,HANCOCK ,,,,422774,,,.0894,,,141,51465,10065,1364,26206,,1045.73,,2646,238,6964,1293,,,124,,442, 360096,01-JAN-15,31-DEC-15,Settled,EAST LIVERPOOL CITY HOSPITAL ,425 WEST FIFTH STREET ,,EAST LIVERPOOL ,OH ,43920- ,COLUMBIANA ,788046,,,191832,,,.12,616025,270437,93,33945,4811,832,11901,20.85,278.98,,1243,284,3461,810,,,,,599, 360098,01-JAN-15,31-DEC-15,Amended,LAKE HOSPITAL SYSTEM ,7590 AUBURN RD ,,CONCORD ,OH ,44077 ,LAKE ,,,,417908,,,.037,,,278,101470,26082,2467,68000,,2043,,5341,698,15714,2213,2,,2,2,271,178 360107,01-JAN-15,31-DEC-15,Amended,THE BELLEVUE HOSPITAL ,1400 W. MAIN ST. ,8004 ,BELLEVUE ,OH ,44811- ,SANDUSKY ,,,,87106,,,.12,,,50,18250,1617,458,4885,,324.09,,507,45,1285,461,,,,,, 360109,01-JAN-15,31-DEC-15,As Submitted,COSHOCTON CTY MEM HOSP ,1460 ORANGE STREET ,,COSHOCTON ,OH ,43812-2229 ,COSHOCTON ,,,,73637,,,.0666,,,56,20440,2733,165,5068,,379.81,,765,50,1560,252,,,,,, 360112,01-JAN-15,31-DEC-15,Settled w/Audit,ST VINCENT MEDICAL CENTER ,2213 CHERRY STREET ,,TOLEDO ,OH ,43608 ,LUCAS ,8549427,,,3399206,,,.3799,5583338,2431893,322,118625,19010,5825,76677,166.39,2369.54,,4016,1055,16838,4982,,,,,, 360118,01-JAN-15,30-JUN-15,Settled,MEDCENTRAL HEALTH SYSTEM ,335 GLESSNER AVE ,,MANSFIELD ,OH ,44903-2265 ,RICHLAND ,,,,776583,,,.1586,,,229,41449,12085,2490,27599,,1794.98,,2429,318,5608,1114,,,,7,,61 360118,01-JUL-15,30-JUN-16,Amended,MEDCENTRAL HEALTH SYSTEM ,335 GLESSNER AVE ,,MANSFIELD ,OH ,44903-2265 ,RICHLAND ,,,,1622539,,,.1644,,,211,77226,22849,4513,52554,,1900.86,,4818,497,11288,2374,,,,7,,129 360121,01-OCT-14,30-SEP-15,Settled,COMMUNITY HOSPITAL OF WILLIAMS CITY ,433 WEST HIGH ,,BRYAN ,OH ,43506- ,WILLIAMS ,,,,94241,,,.0675,,,75,27375,2862,144,6525,,450.89,,803,31,1891,243,,,,,, 360123,01-JAN-15,31-DEC-15,Amended,UH ST. JOHN MEDICAL CENTER ,29000 CENTER RIDGE ROAD ,,WESTLAKE ,OH ,44145 ,CUYAHOGA ,3318686,,,168863,,,.0251,1489120,642286,166,58763,13617,1019,35326,38.44,977,,3437,295,9433,1164,,,,,, 360125,01-JAN-15,31-DEC-15,Settled,ASHTABULA COUNTY MEDICAL CENTER ,2420 LAKE ,2420 ,ASHTABULA ,OH ,44004- ,ASHTABULA ,,,,367590,,,.12,,,108,39420,8408,792,16733,,794,,1986,215,4309,1046,,,250,,595, 360131,01-JAN-15,31-DEC-15,Amended,ALLIANCE COMMUNITY HOSPITAL ,200 EAST STATE STREET ,,ALLIANCE ,OH ,44601- ,STARK ,251900,,,154098,,,.1148,306123,140973,100,36500,2905,393,8708,9.14,595.06,,800,94,2544,397,6,,,,296,80 360132,01-JAN-15,31-DEC-15,Settled,FORT HAMILTON HOSPITAL ,630 EATON AVENUE ,,HAMILTON ,OH ,45013-2767 ,BUTLER ,,,,767261,,,.1781,,,140,51100,10266,1982,32700,,751.4,,2434,489,7837,1859,395,,101,,794, 360133,01-JAN-15,31-DEC-15,As Submitted,GRANDVIEW HOSPITAL ,405 GRAND AVENUE ,,DAYTON ,OH ,45405 ,MONTGOMERY ,3276516,,,1100765,,,.2094,1639937,1308498,254,91798,12331,3309,50531,94.14,2059,,2521,803,10996,3454,26,,38,,327, 360134,01-JUL-15,30-JUN-16,Amended,GOOD SAMARITAN HOSPITAL ,375 DIXMYTH AVENUE ,,CINCINNATI ,OH ,45220 ,HAMILTON ,3179454,,,1999670,,,.1934,2097288,1134854,430,157380,19930,10675,106976,72.45,3295.43,,4504,7374,25053,,,,704,51,1812,439 360137,01-JAN-15,31-DEC-15,Amended,UH CASE MEDICAL CENTER ,11100 EUCLID AVENUE ,,CLEVELAND ,OH ,44106-5022 ,CUYAHOGA ,26910294,,,4317125,,,.211,9837471,5014456,565,205905,46032,7662,169148,516.43,6965.01,,7473,1564,30471,,,,60,,1304, 360141,01-JAN-15,31-DEC-15,Reopened,NORTHSIDE MEDICAL CENTER ,500 GYPSY LANE ,240 ,YOUNGSTOWN ,OH ,44501-0240 ,MAHONING ,2699238,,,508556,,,.158,2826097,931111,188,68620,7197,2458,25730,82.61,690.33,,1333,240,5291,1166,,,,,, 360143,01-JAN-15,31-DEC-15,Reopened,MARYMOUNT HOSPITAL ,12300 MCCRACKEN ROAD ,,GARFIELD HTS. ,OH ,44125- ,CUYAHOGA ,,,,183238,,,.0395,,,231,84315,13106,802,33295,,835.37,,2480,217,6618,423,1005,,118,,2729, 360144,01-JAN-15,31-DEC-15,Amended,SOUTH POINTE HOSPITAL ,4110 WARRENSVILLE CENTER ROAD ,,WARRENSVILLE HEIGHTS ,OH ,44122- ,CUYAHOGA ,2463717,,,534658,,,.1166,1185765,582701,156,57033,12954,2459,33947,51.09,778.72,2.1,2563,397,6980,887,,,,,, 360145,01-JAN-15,31-DEC-15,Settled,UH ELYRIA MEDICAL CENTER ,630 EAST RIVER STREET ,,ELYRIA ,OH ,44035 ,LORAIN ,,,,770470,,,.1001,,,240,87600,18124,2623,47991,,1321.71,,3843,598,10831,2086,,,,,, 360147,01-OCT-14,30-SEP-15,Settled w/Audit,MARIETTA MEMORIAL HOSPITAL ,401 MATTHEW STREET ,,MARIETTA ,OH ,43750- ,WASHINGTON ,1427054,,,1003805,,,.1179,311819,236599,147,53655,17680,3156,38008,15.76,2021,,4730,1740,10547,,,,36,15,355,268 360148,01-JAN-15,31-DEC-15,As Submitted,POMERENE HOSPITAL ,981 WOOSTER ROAD ,,MILLERSBURG ,OH ,44654 ,HOLMES ,,,,,,,,,,41,14965,1167,91,5198,,233.7,,327,28,1555,132,,,,,, 360150,01-JAN-15,31-DEC-15,Amended,SUMMA WESTERN RESERVE HOSPITAL ,1900 23RD STREET ,,CUYAHOGA FALLS ,OH ,44223 ,SUMMIT ,1571144,,,99051,,,.0517,956783,847039,83,30295,4306,570,14902,41.61,714.57,,1021,139,3777,381,,,,,, 360151,01-JUL-15,30-JUN-16,Amended,AFFINITY MEDICAL CENTER ,875 8TH ST ,,MASSILLON ,OH ,44646 ,STARK ,1068465,,,105708,,,.0366,781071,233124,107,39162,6765,787,20206,18.36,550.82,,1317,608,4319,,,,13,11,358,155 360152,01-JUL-15,30-JUN-16,Amended,DOCTORS HOSPITAL ,5100 W. BROAD STREET ,,COLUMBUS ,OH ,43228 ,FRANKLIN ,3503555,,,1008158,,,.2627,1823088,892528,175,63750,8647,4699,35975,106.97,1092.17,,2101,647,8829,2352,,,,,, 360153,01-JAN-15,31-DEC-15,As Submitted,BELMONT COMMUNITY HOSPITAL ,4697 HARRISON STREET ,,BELLAIRE ,OH ,43906 ,BELMONT ,,,,16429,,,.12,,,22,8030,1355,1226,5385,,166,,119,87,478,129,,,,6,,169 360155,01-JAN-15,31-DEC-15,As Submitted,SOUTHWEST GENERAL HEALTH CENTER ,18697 BAGLEY ROAD ,,MIDDLEBURG HEIGHTS ,OH ,44130-3497 ,CUYAHOGA ,,,,,,,,,,236,83260,21205,2016,54510,,1659.58,,4875,349,13571,1026,368,,39,2,1395,240 360156,01-OCT-14,31-DEC-14,As Submitted,MEMORIAL HOSPITAL ,715 SOUTH TAFT AVENUE ,,FREMONT ,OH ,43420 ,SANDUSKY ,,,,26151,,,.1178,,,102,9384,509,106,1399,,420.03,,157,52,435,96,,,,,, 360156,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HOSPITAL ,715 SOUTH TAFT AVENUE ,,FREMONT ,OH ,43420 ,SANDUSKY ,,,,100111,,,.1191,,,102,37230,1915,509,5089,,338.14,,544,39,1415,375,,,,,, 360159,01-JAN-15,31-DEC-15,Settled w/Audit,ADENA REGIONAL MEDICAL CENTER ,272 HOSPITAL ROAD ,,CHILLICOTHE ,OH ,45601-9031 ,ROSS ,2464697,,,1103761,,,.1543,677101,577575,189,68985,14183,1692,38206,28.15,2465.51,,3459,387,9360,1808,,,,,, 360161,01-JAN-15,31-DEC-15,Amended,ST. JOSEPH HEALTH CENTER ,667 EASTLAND AVENUE ,,WARREN ,OH ,44484 ,TRUMBULL ,716994,,,444188,,,.1166,664878,465011,131,47815,10735,1353,35447,23.41,745.84,,2242,386,7960,1766,,,,,, 360163,01-JUL-15,30-JUN-16,Amended,THE CHRIST HOSPITAL ,2139 AUBURN AVENUE ,,CINCINNATI ,OH ,45219-2906 ,HAMILTON ,7158483,,,1107786,,,.0597,2690877,1140475,393,140915,32135,2270,92819,78.4,3343.13,,6828,444,21596,,565,,187,3,1413,539 360170,01-JAN-15,31-DEC-15,Amended,BERGER HOSPITAL ,600 NORTH PICKAWAY STREET ,,CIRCLEVILLE ,OH ,43113 ,PICKAWAY ,,,,136968,,,.12,,,74,27010,2225,232,6610,,376.84,,625,61,1948,399,,,,,, 360172,01-JAN-15,31-DEC-15,Amended,MERCY REGIONAL MEDICAL CENTER ,3700 KOLBE ROAD ,,LORAIN ,OH ,44053- ,LORAIN ,597675,,,990367,,,.1491,303440,121444,169,61685,14546,1194,38067,15.01,989.94,,3661,382,9723,1633,617,,177,18,1450,741 360174,01-JAN-15,31-DEC-15,Settled,UPPER VALLEY MEDICAL CENTER ,3130 N. COUNTY ROAD 25 A ,,TROY ,OH ,45373 ,MIAMI ,,,,494606,,,.1451,,,137,50005,7457,1909,21898,,927,,1959,216,5869,1140,381,,147,7,1034,192 360175,01-JAN-15,31-DEC-15,As Submitted,CLINTON MEMORIAL HOSPITAL ,610 WEST MAIN STREET ,,WILMINGTON ,OH ,45177 ,CLINTON ,,,,202836,,,.12,,,75,27375,3567,501,9640,,462.59,,1051,141,2911,524,,,,,, 360179,01-JUL-15,30-JUN-16,Amended,BETHESDA HOSPITAL ,619 OAK STREET ,,CINCINNATI ,OH ,45206 ,HAMILTON ,2812803,,,852735,,,.0614,1445653,692735,349,127977,26728,5336,97075,38.6,3279.36,,6331,5312,26355,,,,,19,,195 360180,01-JAN-15,31-DEC-15,Reopened,CLEVELAND CLINIC HOSPITAL ,9500 EUCLID AVENUE ,,CLEVELAND ,OH ,44195- ,CUYAHOGA ,44549728,,,3714374,,,.079,11218665,8436754,1258,458992,106797,24341,365780,901.4,22173.61,,14960,1618,53510,5700,,,,16,,367 360185,01-JUL-15,30-JUN-16,As Submitted,SALEM COMMUNITY HOSPITAL ,1995 EAST STATE STREET ,,SALEM ,OH ,44460- ,COLUMBIANA ,,,,130168,,,.0582,,,168,61488,6443,454,17161,,840.02,,1321,96,3739,483,,,,,, 360189,01-JAN-15,31-DEC-15,Amended,MADISON HEALTH ,210 NORTH MAIN STREET ,,LONDON ,OH ,43140- ,MADISON ,,,,50580,,,.12,,,45,16425,1044,147,4864,,233.42,,274,74,1580,,,,,,, 360192,01-JAN-15,31-DEC-15,As Submitted,UH GEAUGA MEDICAL CENTER ,13207 RAVENNA ROAD ,,CHARDON ,OH ,44024- ,GEAUGA ,18676,,,182679,,,.0403,4667,2915,116,42319,10989,1837,29402,3.05,728.69,,2328,391,7175,906,307,,42,,783, 360197,01-JAN-15,31-DEC-15,Amended,MARY RUTAN HOSPITAL ,205 PALMER AVENUE ,,BELLEFONTAINE ,OH ,43311 ,LOGAN ,,,,138822,,,.1121,,,45,16425,2598,611,6316,,545.15,,766,59,1809,351,,,,,, 360203,01-JAN-15,31-DEC-15,Settled,SOUTHEASTERN OHIO REG MED CTR ,1341 CLARK STREET ,,CAMBRIDGE ,OH ,43725 ,GUERNSEY ,,,,291376,,,.12,,,90,32850,5077,450,12333,,633.81,,1378,110,3473,875,,,,,, 360210,01-JUL-15,30-JUN-16,Amended,GRADY MEMORIAL HOSPITAL ,561 W. CENTRAL AVENUE ,,DELAWARE ,OH ,43015 ,DELAWARE ,,,,86785,,,.0676,,,64,23424,2687,590,7907,,461.8,,736,69,2160,283,,,,,, 360211,01-JAN-15,31-DEC-15,Settled w/Audit,TRINITY HOSPITAL HOLDING COMPANY ,4000 JOHNSON ROAD ,,STEUBENVILLE ,OH ,43952- ,JEFFERSON ,,,,596507,,,.0864,,,282,81760,16981,1830,41206,,1303,,3808,469,9630,1418,207,,54,11,483,375 360212,01-JAN-15,31-DEC-15,Settled,LAKEWOOD HOSPITAL ,14519 DETROIT AVENUE ,,LAKEWOOD ,OH ,44107- ,CUYAHOGA ,,,,313503,,,.106,,,144,52560,6761,830,20449,,607.57,,1565,193,5090,518,37,,7,27,397,563 360218,01-JAN-15,31-DEC-15,As Submitted,LICKING MEMORIAL HOSPITAL ,1320 WEST MAIN ST. ,,NEWARK ,OH ,43055-3699 ,LICKING ,,,,821656,,,.1916,,,219,79935,9192,1812,28490,,1305,,2511,440,8818,2201,,,,2,,205 360230,01-JAN-15,31-DEC-15,Amended,HILLCREST HOSPITAL ,6780 MAYFIELD ROAD ,,MAYFIELD HEIGHTS ,OH ,44124- ,CUYAHOGA ,1475410,,,816125,,,.0552,489344,198716,388,141620,39053,7877,119712,23.52,2066,1.03,7235,559,27070,2908,,,,,, 360234,01-JAN-15,31-DEC-15,Settled,MERCY HEALTH WEST HOSPITAL ,3300 MERCY HEALTH BLVD ,,CINCINNATI ,OH ,45211 ,HAMILTON ,260502,,,719711,,,.0942,120055,40480,186,67890,15874,1728,46888,1.45,931.83,,3843,443,11958,1748,,,,26,,515 360236,01-JAN-15,31-DEC-15,Amended,CLERMONT MERCY HOSPITAL ,3000 HOSPITAL DRIVE ,,BATAVIA ,OH ,45103- ,CLERMONT ,,,,337059,,,.0856,,,119,43435,8862,791,21353,,561.68,,1957,238,5754,1338,,,149,,1328, 360239,01-JAN-15,31-DEC-15,Settled,SYCAMORE HOSPITAL ,2150 LEITER ROAD ,,MIAMISBURG ,OH ,45342- ,MONTGOMERY ,615425,,,607030,,,.1686,447005,185401,168,61444,7995,2281,34671,13.44,804.96,,1985,488,8472,1737,,,,,, 360241,01-JAN-15,31-DEC-15,As Submitted,EDWIN SHAW REHAB ,330 BROADWAY EAST ,,CUYAHOGA FALLS ,OH ,44221- ,SUMMIT ,,,,,,,,,,,,,,,,,,,,,,,,,38,,732 360242,01-JUL-15,30-JUN-16,As Submitted,OHIO STATE UNIVERSITY JAMES CANCER H ,460 WEST 10TH AVENUE ,,COLUMBUS ,OH ,43210-1240 ,FRANKLIN ,,,,,,,,,300021,306,111996,26482,4901,94113,73.31,3299,,3928,631,13791,2045,,,,,, 360245,01-JAN-15,31-DEC-15,Settled,GLENBEIGH HEALTH SOURCES ,2863 STATE ROUTE 45 ,298 ,ROCK CREEK ,OH ,44084- ,ASHTABULA ,,,,49155,,,.12,,,114,41610,3417,947,29800,,237.07,,306,97,3168,423,,,,,, 360247,01-JAN-15,31-DEC-15,As Submitted,PARKSIDE BEHAVIORAL HEALTHCARE ,349 OLDE RIDENOUR ROAD ,,GAHANNA ,OH ,43230 ,FRANKLIN ,,,,43389,,,.1076,,,50,18250,2515,,12549,,92.49,,447,,1637,,,,,,, 360259,01-JAN-15,31-DEC-15,Settled,BAY PARK COMMUNITY HOSPITAL ,2801 BAY PARK DRIVE ,,OREGON ,OH ,43616 ,LUCAS ,,,,208292,,,.1133,,,77,28105,4210,1137,13599,,407.67,,975,74,3194,,,,,,, 360261,01-JAN-15,31-DEC-15,Amended,THREE GABLES SURG & DIAG CENTER ,5897 STATE ROUTE 7 ,,PROCTORVILLE ,OH ,45669 ,LAWRENCE ,,,,,,,,,,8,2920,40,,80,,47.87,,40,,80,2,,,,,, 360262,01-JAN-15,31-DEC-15,Amended,MERCY ST. ANNE HOSPITAL ,3404 W. SYLVANIA AVE ,,TOLEDO ,OH ,43623 ,LUCAS ,63596,,,310148,,,.099,36266,18327,111,40515,6942,913,18699,2.25,485.28,,1635,256,4871,593,,,,,, 360263,01-JAN-15,31-DEC-15,As Submitted,INSTITUTE FOR ORTHOPAEDIC SURGERY ,801 MEDICAL DRIVE ,,LIMA ,OH ,45804 ,ALLEN ,,,,,,,,,,12,4380,740,62,2184,,127.13,,324,40,1087,,,,,,, 360266,01-JUL-15,30-JUN-16,As Submitted,MOUNT CARMEL NEW ALBANY HOSPITAL ,7333 SMITHS MILL ROAD ,,NEW ALBANY ,OH ,43054 ,FRANKLIN ,,,,,,,,,,60,21960,2637,22,6883,,233.27,,1504,12,4281,97,,,,,, 360270,01-JAN-15,31-DEC-15,Settled,MERCY HOSPITAL OF DEFIANCE LLC ,1404 EAST SECOND STREET ,,DEFIANCE ,OH ,43512 ,DEFIANCE ,,,,,,,,,,23,8395,1616,63,2818,,90.06,,593,18,1075,72,,,,,, 360274,01-JAN-15,31-DEC-15,As Submitted,MEDICAL CENTER AT ELIZABETH PLACE ,ONE ELIZABETH PLACE ,,DAYTON ,OH ,45408 ,MONTGOMERY ,,,,,,,,,,26,9490,204,4,722,,100.89,,101,3,399,25,,,,,, 360276,01-JAN-15,31-DEC-15,Settled,ST ELIZABETH BOARDMAN HEALTH CTR ,8401 MARKET STREET ,,YOUNGSTOWN ,OH ,44512 ,MAHONING ,282208,,,585038,,,.1145,,,182,66430,13437,1430,53699,4.77,784.35,,3041,529,12847,3006,,,,,, 360348,01-JUL-15,30-JUN-16,Amended,DUBLIN METHODIST HOSPITAL ,7500 HOSPITAL DRIVE ,,DUBLIN ,OH ,43016 ,FRANKLIN ,,,,129348,,,.0406,,,102,37102,4005,1621,23015,,744.95,,1385,165,6950,719,,,,,, 360351,01-JAN-15,31-DEC-15,As Submitted,CRYSTAL CLINIC ORTHOPAEDIC CENTER ,444 N. MAIN STREET ,,AKRON ,OH ,44310 ,SUMMIT ,,,,,,,,,,60,21900,2266,29,10112,,678.71,,870,13,3922,269,,,,,, 360352,01-JAN-15,31-DEC-15,As Submitted,THE SURGICAL HOSPITAL AT SOUTHWOODS ,7630 SOUTHERN BOULEVARD ,,YOUNGSTOWN ,OH ,44512- ,MAHONING ,,,,,,,,,,24,8760,812,28,2947,,334.28,,292,2,1098,62,,,,,, 360354,01-JUL-15,30-JUN-16,Amended,WEST CHESTER HOSPITAL LLC ,7700 UNIVERSITY DRIVE ,,WEST CHESTER ,OH ,45069-2505 ,BUTLER ,,,,278338,,,.042,,,163,59658,14027,1022,36028,,933.37,,3316,199,9099,1224,,,,,, 360355,01-JAN-15,31-DEC-15,Settled,OHIO VALLEY MEDICAL CENTER ,100 WEST MAIN STREET ,,SPRINGFIELD ,OH ,45502 ,CLARK ,,,,,,,,,,24,8760,421,14,1766,,186.33,,142,5,604,53,,,,,, 360358,01-JUL-15,30-JUN-16,As Submitted,DILEY RIDGE MEDICAL CENTER ,7911 DILEY ROAD ,,CANAL WINCHESTER ,OH ,43110 ,FRANKLIN ,,,,809,,,.12,,,10,3660,10,,59,,79.47,,5,,30,5,,,,,, 360359,01-JAN-15,31-DEC-15,As Submitted,UH AHUJA MEDICAL CENTER ,3999 RICHMOND ROAD ,,BEACHWOOD ,OH ,44122 ,CUTYHOGA ,17572,,,,,,,7414,3137,138,50370,13956,757,36178,5.45,915.1,,3333,173,9131,538,,,,,, 360360,01-JAN-15,31-DEC-15,Amended,SOIN MEDICAL CENTER ,3535 PENTAGON PARK BOULEVARD ,,BEAVERCREEK ,OH ,45431 ,GREENE ,,,,376444,,,.1445,,,97,35405,5568,1227,19029,,672.18,,1539,357,5356,1346,,,,,, 360361,01-OCT-14,30-SEP-15,Settled,KINGS DAUGHTERS MED CENTER OHIO ,2001 SCIOTO TRAIL ,,PORTSMOUTH ,OH ,45662 ,SCIOTO ,,,,19766,,,.12,,,10,3650,161,98,409,,133.74,,59,42,163,,,,,,, 360362,01-JUL-15,30-JUN-16,As Submitted,TRIHEALTH HOSPITAL INC. ,GLENDALE MILFORD ROAD ,,CINCINNATI ,OH ,45241 ,HAMILTON ,,,,,,,,,,29,10614,294,,963,,209,,160,,606,11,,,,,, 360363,24-DEC-14,30-JUN-15,Settled,SSH BOARDMAN ,8401 MARKET STREET 7 SOUTH ,,BOARDMAN ,OH ,44512 ,MAHONING ,,,,,,,,,,24,4536,182,,1211,,15.23,,5,,57,9,,,,,, 361300,01-JAN-15,31-DEC-15,Settled,PAULDING COUNTY HOSPITAL ,1035 WEST WAYNE STREET ,,PAULDING ,OH ,45879-9235 ,PAULDING ,,,,,,,,,,25,9125,1277,29,1744,,154.3,,108,11,192,,,,,,, 361301,01-JAN-15,31-DEC-15,Settled,COMMUNITY MEMORIAL HOSPITAL ,208 N. COLUMBUS STREET ,,HICKSVILLE ,OH ,43526- ,DEFIANCE ,,,,,,,,,,25,9125,856,53,1897,,200.57,,134,146,471,,,,,,, 361302,01-JAN-15,30-JUN-15,Settled,TWIN CITY HOSPITAL ,819 NORTH FIRST STREET ,,DENNISON ,OH ,44621-1098 ,TUSCARAWAS ,,,,,,,,,,25,4525,409,9,698,,181.06,,92,3,154,15,,,,,, 361302,01-JUL-15,30-JUN-16,As Submitted,TWIN CITY HOSPITAL ,819 NORTH FIRST STREET ,,DENNISON ,OH ,44621-1098 ,TUSCARAWAS ,,,,,,,,,,25,9150,824,22,1213,,179.2,,177,12,281,20,,,,,, 361303,01-JAN-15,31-DEC-15,Settled,LODI COMMUNITY HOSPITAL ,225 ELYRIA STREET ,,LODI ,OH ,44254- ,MEDINA ,,,,,,,,,,20,7300,933,,2034,,110,,38,,75,6,,,,,, 361304,01-JAN-15,31-DEC-15,Settled,GREENFIELD AREA MEDICAL CENTER ,545 SOUTH STREET ,,GREENFIELD ,OH ,45123- ,HIGHLAND ,,,,,,,,,,25,9125,1373,6,2711,,97.56,,85,3,125,5,,,,,, 361306,01-JAN-15,31-DEC-15,Settled,MERCY ALLEN HOSPITAL ,200 WEST LORAIN STREET ,,OBERLIN ,OH ,44074- ,LORAIN ,,,,,,,,,,25,9125,2108,40,4710,,127.43,,223,11,497,40,,,,,, 361307,01-JAN-15,31-DEC-15,Settled,UH GENEVA MEDICAL CENTER ,870 WEST MAIN STREET ,,GENEVA ,OH ,44041- ,ASHTABULA ,,,,,,,,,,25,9125,3298,179,5340,,,,668,42,1113,,,,,,, 361308,01-JAN-15,31-DEC-15,Settled w/Audit,UH CONNEAUT MEDICAL CENTER ,158 WEST MAIN STREET ,,CONNEAUT ,OH ,44030- ,ASHTABULA ,,,,,,,,,,25,9125,1509,20,2371,1.79,160.51,,292,9,618,,,,,,, 361309,01-NOV-14,31-OCT-15,Settled,HENRY COUNTY HOSPITAL (CAH) ,11600 STATE ROUTE 424 ,,NAPOLEON ,OH ,43545- ,HENRY ,,,,,,,,,,25,9125,1979,23,3706,,211.1,,338,6,697,65,,,,,, 361310,01-JAN-15,31-DEC-15,Settled,MERCY HEALTH-WILLARD HOSPITAL LLC ,110 EAST HOWARD STREET ,,WILLARD ,OH ,44890- ,HURON ,,,,,,,,,,20,7300,1668,34,2652,,112.56,,291,7,492,41,,,,,, 361311,01-JAN-15,31-DEC-15,Settled,HARRISON COMMUNITY HOSPITAL ,951 EAST MARKET STREET ,,CADIZ ,OH ,43907- ,HARRISON ,,,,,,,,,,25,9125,841,19,1477,,165.78,,130,8,250,,,,,,, 361312,01-JAN-15,31-DEC-15,Settled,MERCY MEMORIAL HOSPITAL ,904 SCIOTO STREET ,,URBANA ,OH ,43078- ,CHAMPAIGN ,,,,,,,,,,25,9125,1413,66,3027,,196.45,,332,34,831,87,,,,,, 361313,01-JAN-15,31-DEC-15,Settled w/Audit,MORROW COUNTY HOSPITAL ,651 WEST MARION ROAD ,,MOUNT GILEAD ,OH ,43338- ,MORROW ,,,,,,,,,,23,8395,880,35,1727,,210.26,,186,12,373,32,,,,,, 361314,01-JAN-15,31-DEC-15,Settled,H B MAGRUDER MEMORIAL HOSPITAL ,615 FULTON STREET ,,PORT CLINTON ,OH ,43452 ,OTTAWA ,,,,,,,,,,25,9125,1143,74,1977,,342.72,,324,22,558,,,,,,, 361315,01-JUL-15,30-JUN-16,As Submitted,HARDIN MEMORIAL HOSPITAL ,921 E. FRANKLIN STREET ,,KENTON ,OH ,43326 ,HARDIN ,,,,,,,,,,25,9150,1312,21,2076,,178.9,,308,7,543,60,,,,,, 361316,01-JUL-15,30-JUN-16,As Submitted,BUCYRUS COMMUNITY HOSPITAL ,629 N. SANDUSKY ST. ,,BUCYRUS ,OH ,44820- ,CRAWFORD ,,,,,,,,,,25,9150,2346,127,4016,,261.95,,554,41,980,101,,,,,, 361318,01-JAN-15,31-DEC-15,Settled w/Audit,FOSTORIA COMMUNITY HOSPITAL ,501 VAN BUREN STREET ,907 ,FOSTORIA ,OH ,44830-1437 ,HANCOCK ,,,,,,,,,,25,9125,1041,52,2007,,162.6,,288,18,682,78,,,,,, 361319,01-OCT-14,30-SEP-15,Amended,SELBY GENERAL HOSPITAL ,1106 COLEGATE DRIVE ,,MARIETTA ,OH ,45750 ,WASHINGTON ,,,,,,,,,,25,9125,1864,194,3425,,176.74,,496,63,945,,,,,,, 361320,01-JUL-15,30-JUN-16,As Submitted,HOLZER MEDICAL CENTER JACKSON ,500 BURLINGTON ROAD ,,JACKSON ,OH ,45640- ,JACKSON ,,,,,,,,,,24,8784,1584,69,2717,,173.79,,399,29,766,94,,,,,, 361321,01-JAN-15,31-DEC-15,Settled,BARNESVILLE HOSPITAL ,639 WEST MAIN STREET ,,BARNESVILLE ,OH ,43713- ,BELMONT ,,,,,,,,,,25,9125,1476,37,3263,,189.92,,316,15,791,51,,,,,, 361322,01-JAN-15,31-DEC-15,Settled,BLUFFTON HOSPITAL ,139 GARAU STREET ,,BLUFFTON ,OH ,45817 ,ALLEN ,,,,,,,,,,25,9125,164,240,1016,,113,,50,112,283,,,,,,, 361323,01-JAN-15,31-DEC-15,Settled,AULTMAN ORRVILLE HOSPITAL ,832 SOUTH MAIN STREET ,44667 ,ORRVILLE ,OH ,44667 ,WAYNE ,,,,,,,,,,25,9125,338,43,2262,,157.52,,108,12,796,149,,,,,, 361324,01-JAN-15,30-JUN-15,Settled,SHELBY MEMORIAL HOSPITAL ,20 MORRIS ROAD ,,SHELBY ,OH ,44875 ,RICHLAND ,,,,,,,,,,25,4525,1038,63,1947,,160.87,,213,6,445,34,,,,,, 361324,01-JUL-15,30-JUN-16,As Submitted,SHELBY MEMORIAL HOSPITAL ,20 MORRIS ROAD ,,SHELBY ,OH ,44875 ,RICHLAND ,,,,,,,,,,25,9150,2105,116,3905,,150.83,,411,14,859,73,,,,,, 361325,01-JUL-15,30-JUN-16,As Submitted,GALION COMMUNITY HOSPITAL ,269 PORTLAND WAY SOUTH ,,GALION ,OH ,44833-2312 ,CRAWFORD ,,,,,,,,,,25,9150,2447,258,6128,,590.22,,706,61,1754,,,,,,,133 361326,01-JAN-15,31-DEC-15,Settled w/Audit,ADAMS COUNTY REGIONAL MEDICAL CENTER ,230 MEDICAL CENTER DRIVE ,,SEAMAN ,OH ,45679- ,ADAMS ,,,,,,,,,,25,9125,2601,105,4201,,165.66,,444,22,818,124,,,,,, 361327,01-OCT-14,30-SEP-15,Settled,CHWC-MONTPELIER ,909 SNYDER AVE. ,,MONTPELIER ,OH ,43543-1271 ,WILLIAMS ,,,,,,,,,,25,9125,2281,,3860,,105.1,,6,,24,4,,,,,, 361328,01-JAN-15,31-DEC-15,As Submitted,DEFIANCE HOSPITAL INC. ,1200 RALSTON AVE. ,,DEFIANCE ,OH ,43512- ,DEFIANCE ,,,,,,,,,,25,9125,1249,626,4875,,249.04,,405,437,1435,,,,118,,569, 361329,01-JAN-15,31-DEC-15,Settled,WYANDOT MEMORIAL HOSPITAL ,885 N. SANDUSKY AVE. ,,UPPER SANDUSKY ,OH ,43351- ,WYANDOT ,,,,,,,,,,24,8760,2327,188,4980,,266.27,,330,13,762,92,,,,,, 361330,01-JAN-15,31-DEC-15,Settled w/Audit,HOCKING VALLEY COMMUNITY HOSPITAL ,601 STATE ROUTE 664 ,,LOGAN ,OH ,43138-0966 ,HOCKING ,,,,,,,,,,25,9125,3372,98,4964,,299.11,,377,26,694,71,,,10,,176, 361331,01-JAN-15,31-DEC-15,As Submitted,FAYETTE COUNTY MEMORIAL HOSP ,1430 COLUMBUS AVE ,,WASHINGTON COURT HOUSE ,OH ,43160 ,FAYETTE ,,,,,,,,,,25,9125,2044,144,4103,,295.68,,372,44,814,99,,,,,, 361332,01-JAN-15,31-DEC-15,Settled,HIGHLAND DISTRICT HOSPITAL ,1275 NORTH HIGH STREET ,,HILLSBORO ,OH ,45133- ,HIGHLAND ,,,,,,,,,,25,9125,2226,208,5170,,272.17,,676,62,1717,558,1,,1,,215, 361333,01-JAN-15,31-DEC-15,Settled,FULTON COUNTY HEALTH CENTER ,725 SOUTH SHOOP AVENUE ,,WAUSEON ,OH ,43567 ,FULTON ,,,,,,,,,,25,9125,1251,56,3553,,506.98,,476,13,1222,,,,2,,159, 361334,01-JAN-15,31-DEC-15,Settled,PIKE COMMUNITY HOSPITAL ,100 DAWUN LANE ,,WAVERLY ,OH ,45690 ,PIKE ,,,,,,,,,,25,9125,1676,8,2611,,127.52,,261,8,402,49,,,,,, 361991,01-JAN-15,31-DEC-15,Settled,GLENMONT ,4599 AVERY ROAD ,,HILLIARD ,OH ,43026-4786 ,FRANKLIN ,,,,,,,,,,25,9125,1143,864,8165,,56.25,,18,8,54,,,,,,, 362004,01-JUL-15,30-JUN-16,As Submitted,DANIEL DRAKE CENTER FOR POST-ACUTE C ,151 WEST GALBRAITH ROAD ,,CINCINNATI ,OH ,45216-1096 ,HAMILTON ,,,,,,,,,2698,149,54534,7951,3483,25017,1.43,458.61,,306,102,892,163,,,,,, 362007,01-JAN-15,31-DEC-15,Settled,ELMWOOD HC CENTER AT THE SPRINGS ,401 NORTH BROADWAY ,,GREEN SPRINGS ,OH ,44836 ,SANDUSKY ,,,,,,,,,,36,13140,1666,639,3904,,47.51,,62,25,198,,,,,,, 362014,01-JAN-15,31-DEC-15,Settled,HEATHER HILLS CARE COMMUNITIES ,12340 BASS LAKE ROAD ,,CHARDON ,OH ,44024 ,GEAUGA ,,,,,,,,,,56,20440,2984,150,4557,,45.53,,121,7,174,,,,,,, 362015,01-JUL-15,30-JUN-16,Settled,GRACE HOSPITAL ,2307 WEST 14 STREET ,,CLEVELAND ,OH ,44113- ,CUYAHOGA ,,,,,,,,,,104,38064,6214,2433,11995,,115.03,,247,106,462,,,,,,, 362016,01-MAR-15,29-FEB-16,As Submitted,SSH -NE OHIO ,1320 MERCY DRIVE ,,CANTON ,OH ,44708 ,STARK ,,,,,,,,,,30,10980,4178,828,7986,,79.63,,153,33,302,31,,,,,, 362019,01-AUG-15,31-JUL-16,Settled,SSH - CINCINNATI INC. ,375 DIXMYTH AVENUE 15TH FLOOR ,,CINCINNATI ,OH ,45220 ,HAMILTON ,,,,,,,,,,36,13176,3146,688,9459,,89.93,,109,21,293,51,,,,,, 362020,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL LIMA ,730 WEST MARKET STREET ,,LIMA ,OH ,45801 ,ALLEN ,,,,,,,,,,26,9516,5806,140,8860,,94.1,,223,5,333,24,,,,,, 362021,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL CENTRAL OHIO ,335 GLESSNER AVENUE ,,MANSFIELD ,OH ,44903 ,RICHLAND ,,,,,,,,,,33,12078,5148,915,8392,,82.2,,200,24,309,29,,,,,, 362022,01-SEP-15,31-AUG-16,Settled,SSH - COLUMBUS INC. ,1087 DENNISON AVENUE ,,COLUMBUS ,OH ,43201 ,FRANKLIN ,,,,,,,,,,186,68076,13393,4267,35124,,305.47,,479,134,1212,261,,,,,, 362023,01-NOV-14,31-OCT-15,Settled,MAHONING VALLEY HOSPITAL ,8049 SOUTH AVENUE ,,BOARDMAN ,OH ,44512- ,MAHONING ,,,,,,,,,,42,15330,5536,510,10030,,109.81,,221,20,398,43,,,,,, 362024,01-JAN-15,31-DEC-15,Settled,SSH - YOUNGSTOWN ,1044 BELMONT AVENUE ,,YOUNGSTOWN ,OH ,44501 ,MAHONING ,,,,,,,,,,56,20440,7918,864,15495,,140.03,,314,30,618,72,,,,,, 362025,01-JAN-15,31-DEC-15,Settled,SPECIALTY HOSPITAL OF LORAIN ,205 W 20TH STREET SUITE 200 ,,LORAIN ,OH ,44052-3779 ,LORAIN ,,,,,,,,,,28,10220,4596,254,7260,,55.99,,174,10,284,,,,,,, 362026,01-SEP-15,31-MAY-16,Settled,KINDRED HOSPITAL CLEVELAND ,11900 FAIRHILL ROAD ,,CLEVELAND ,OH ,44120 ,CUYAHOGA ,,,,,,,,,,119,32606,6648,1853,15676,,235.2,,228,50,498,63,,,,,, 362027,01-DEC-14,30-NOV-15,Settled,SSH - AKRON LLC ,200 EAST MARKET STREET ,,AKRON ,OH ,44308 ,SUMMIT ,,,,,,,,,,60,21900,6153,1326,16647,,168.95,,237,51,621,90,,,,,, 362028,01-APR-15,31-MAR-16,Settled,LIFECARE HOSPITAL OF DAYTON ,4000 MIAMISBURG - CENTERVILLE RD ,,MIAMISBURG ,OH ,45342-3698 ,MONTGOMERY ,,,,,,,,,,44,16104,6090,691,13368,,108.45,,236,30,544,,,,,,, 362029,01-SEP-15,31-AUG-16,As Submitted,REGENCY HOSPITAL OF NORTH CENTRAL ,4200 INTERCHANGE CORPORATE CTR RD ,,WARRENSVILLE HEIGHTS ,OH ,44128-5631 ,CUYAHOGA ,,,,,,,,,,87,31842,11304,1911,21157,,217.84,,453,69,805,62,,,,,, 362031,01-APR-15,31-MAR-16,As Submitted,SSH - SOUTHEAST OHIO ,2000 TAMARACK ROAD 2ND FLOOR ,,NEWARK ,OH ,43701 ,LICKING ,,,,,,,,,,35,12810,4270,687,7939,,75.65,,171,30,334,76,,,,,, 362032,01-OCT-14,30-SEP-15,Settled,ACUTE CARE SPECIALTY HOSPITAL ,2600 - SIXTH STREET SW ,,CANTON ,OH ,44710 ,STARK ,,,,,,,,,,30,10950,2271,214,4732,,50.75,,81,9,188,,,,,,, 362033,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL DAYTON ,707 S. EDWIN C. MOSES BLVD ,,DAYTON ,OH ,45417 ,MONTGOMERY ,,,,,,,,,,64,24279,7866,1366,17110,,182.1,,306,43,641,76,,,,,, 362034,01-SEP-15,31-AUG-16,As Submitted,REGENCY HOSPITAL OF CINCINNATI ,10500 MONTGOMERY ROAD ,,CINCINNATI ,OH ,45242 ,HAMILTON ,,,,,,,,,,41,15006,3481,386,7297,,66.86,,131,20,293,45,,,,,, 362035,01-SEP-15,31-AUG-16,As Submitted,ACUITY SPECIALTY HOSPITAL ,4697 HARRISON STREET ,2ND FLOOR ,BELLAIRE ,OH ,43906 ,BELMONT ,,,,,,,,,,72,26352,13798,495,19316,,203.87,,542,23,763,39,,,,,, 362036,01-JAN-15,31-DEC-15,Settled,REGENCY HOSPITAL OF TOLEDO ,5220 ALEXIS RD ,,SYLVANIA ,OH ,43560 ,LUCAS ,,,,,,,,,,45,16425,5744,931,11455,,130.27,,224,33,451,50,,,,,, 362037,01-JUL-15,30-JUN-16,As Submitted,REGENCY HOSPITAL OF COLUMBUS ,1430 SOUTH HIGH STREET ,,COLUMBUS ,OH ,43207 ,FRANKLIN ,,,,,,,,,,66,24156,5707,2517,16353,,150.76,,210,83,558,117,,,,,, 362038,01-MAR-15,29-FEB-16,As Submitted,ADVANCED SPECIALTY HOSP. OF TOLEDO ,1015 GARDEN LAKE PKWY ,,TOLEDO ,OH ,43614- ,LUCAS ,,,,,,,,,,40,14640,2921,1288,7976,1.92,71.09,,115,53,315,50,,,,,, 362039,01-AUG-15,31-JUL-16,As Submitted,LIFE LINE HOSPITAL ,200 SCHOOL STREET ,,WINTERVILLE ,OH ,43953 ,JEFFERSON ,,,,,,,,,,36,13176,8525,495,11780,,128.85,,339,19,465,,,,,,, 362040,01-JUL-15,30-JUN-16,Settled,SSH BOARDMAN ,8401 MARKET STREET 7 SOUTH ,,BOARDMAN ,OH ,44512 ,MAHONING ,,,,,,,,,,24,8784,3172,186,5558,,48.82,,123,7,220,25,,,,,, 363026,01-JAN-15,31-DEC-15,Settled,HILLSIDE HOSPITAL ,8747 SQUIRES LANE NE ,,WARREN ,OH ,44484- ,TRUMBULL ,,,,,,,,,,65,23725,6074,1608,12495,,188.7,,422,94,873,,,,,,, 363033,01-JAN-15,31-DEC-15,Settled,HEALTHSOUTH REHABILITATION HOSPITAL ,ONE ELIZABETH PLACE ,,DAYTON ,OH ,45408- ,MONTGOMERY ,,,,,,,,,,50,18250,3562,696,7282,,46.45,,346,46,623,89,,,,,, 363034,01-OCT-14,30-SEP-15,Settled,HEALTHSOUTH REHABILITATION HOSPITAL ,151 WEST GALBRAITH ROAD ,,CINCINNATI ,OH ,45216 ,HAMILTON ,,,,,,,,,,60,21900,8428,1564,18704,,144.91,,597,106,1292,232,,,,,, 363035,01-FEB-15,31-JAN-16,As Submitted,SUMMA REHAB HOSPITAL ,29 N ADAMS ST. ,,AKRON ,OH ,44304 ,SUMMIT ,,,,,,,,,,60,21900,8099,705,18865,,163.71,,898,70,2045,119,,,,,, 363036,01-JAN-15,31-DEC-15,Settled,UNIVERSITY HOSPITALS REHAB HOSPITAL ,23333 HARVARD ROAD ,,BEACHWOOD ,OH ,44122 ,CUYAHOGA ,,,,,,,,,,50,18250,5821,865,12933,,138.8,,473,55,1053,113,,,,,, 363037,01-JUL-15,30-JUN-16,Settled,OHIOHEALTH REHABILITATION HOSPITAL ,1087 DENNISON AVE 4TH FLOOR ,,COLUMBUS ,OH ,43201 ,FRANKLIN ,,,,,,,,,,74,22494,6374,1195,15854,,145,,509,83,1186,69,,,,,, 363300,01-JUL-15,30-JUN-16,As Submitted,CHILDRENS HOSPITAL MEDICAL CENTER ,3333 BURNET AVENUE MLC #4900 ,,CINCINNATI ,OH ,45229-3039 ,HAMILTON ,,,,,,,,,28411,582,213064,487,19064,144482,355.41,13216,,97,1921,19581,7854,,,,,, 363302,01-JAN-15,31-DEC-15,Settled,RAINBOW BABIES & CHILDRENS HOSPITAL ,11100 EUCLID AVENUE ,,CLEVELAND ,OH ,44106-5022 ,CUYAHOGA ,,,,,,,,,6537,231,84252,550,7646,56069,157.59,673.1,,49,985,9831,,,,,,, 363303,01-JAN-15,31-DEC-15,Settled,CHILDRENS HOSPITAL MEDICAL CENTER ,1 PERKINS SQUARE ,,AKRON ,OH ,44308- ,SUMMIT ,,,,,,,,,9300,384,139931,814,9461,73822,116.16,3904.81,,76,1074,10377,4843,,,,,, 363304,01-JAN-15,31-DEC-15,Settled,CLEVELAND CLINIC CHILDRENS HOSP ,6801 BRECKSVILLE RD ,,INDEPENDENCE ,OH ,44131 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 363305,01-JAN-15,31-DEC-15,Settled,NATIONWIDE CHILDRENS HOSPITAL ,700 CHILDRENS DRIVE ,,COLUMBUS ,OH ,43205 ,FRANKLIN ,,,,,,,,,13779,610,223172,810,23464,155588,321.06,6375.68,,113,1977,17621,7959,,,,,, 363306,01-JUL-15,30-JUN-16,As Submitted,DAYTON CHILDRENS HOSPITAL ,ONE CHILDRENS PLAZA ,,DAYTON ,OH ,45404- ,MONTGOMERY ,,,,,,,,,1818,155,56730,14,4402,29591,58,1691.77,,5,745,7354,3735,,,,,, 363308,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITALS FOR CHILDREN ,PO BOX 31356 ,,CINCINNATI ,OH ,45201 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 364007,01-JUL-15,30-JUN-16,As Submitted,TWIN VALLEY RPH - COLUMBUS CAMPUS ,2200 WEST BROAD STREET ,,COLUMBUS ,OH ,43223 ,FRANKLIN ,,,,,,,,,,230,84180,1946,,80235,,649,,84,,1895,,,,,,, 364011,01-JUL-15,30-JUN-16,As Submitted,NORTHCOAST RPH ,1756 SAGAMORE ROAD ,305 ,NORTHFIELD ,OH ,44109-1911 ,SUMMIT ,,,,,,,,,,260,95160,4162,,90873,,596,,102,,1592,,,,,,, 364014,01-JUL-15,30-JUN-16,Settled,NORTHWEST - TOLEDO RPH ,930 SOUTH DETROIT AVENUE ,,TOLEDO ,OH ,44109-1911 ,LUCAS ,,,,,,,,,,114,41724,3337,,40017,,297,,114,,639,,,,,,, 364015,01-JUL-15,30-JUN-16,As Submitted,APPALACHIAN RPH - ATHENS CAMPUS ,100 HOSPITAL DRIVE ,,ATHENS ,OH ,45701 ,ATHENS ,,,,,,,,,,92,33672,1809,,27965,,322,,118,,973,,,,,,, 364027,01-JAN-15,31-DEC-15,Settled,CAMBRIDGE BEHAVIORAL HOSPITAL ,66755 STATE STREET ,,CAMBRIDGE ,OH ,42725-8757 ,FRANKLIN ,,,,,,,,,,66,24090,15757,,22210,,124.14,,745,,1106,,,,,,, 364029,01-JAN-15,31-DEC-15,Settled,LAURELWOOD HOSPITAL ,35900 EUCLID AVENUE ,,WILLOUGHBY ,OH ,44094 ,LAKE ,,,,,,,,,,154,56210,17642,8566,47383,,258.16,,1205,1060,5152,,,,,,, 364031,01-JUL-15,30-JUN-16,As Submitted,HEARTLAND RPH ,3000 ERIE STREET SOUTH ,,MASSILLON ,OH ,44646 ,STARK ,,,,,,,,,,152,55632,2736,,45381,,342,,120,,1028,,,,,,, 364035,01-JUL-15,30-JUN-16,Settled,SUMMIT RPH ,1101 SUMMIT ROAD ,,CINCINNATI ,OH ,45237 ,HAMILTON ,,,,,,,,,,291,106506,3991,,101919,,570,,119,,724,,,,,,, 364036,01-JAN-15,31-DEC-15,Settled,ARROWHEAD HOSPITAL ,1725 TIMBERLINE ROAD ,,MAUMEE ,OH ,43537 ,LUCUC ,,,,,,,,,,30,10950,5286,,10688,,76.15,,476,,1847,,,,,,, 364040,01-JUL-15,30-JUN-16,Settled,MENTAL HEALTH SRVS FOR CLARK COUNTY ,1345 N. FOUNTAIN BLVD ,,SPRINGFIELD ,OH ,45504 ,CLARK ,,,,,,,,,,16,5856,670,2155,4671,,32.37,,89,313,739,,,,,,, 364041,01-JAN-15,31-DEC-15,Settled,OHIO HOSPITAL FOR PSYCHIATRY ,880 GREENLAWN AVENUE ,,COLUMBUS ,OH ,43223 ,FRANKLIN ,,,,,,,,,,90,32850,13180,1521,26943,,166.13,,919,149,2482,23,,,,,, 364042,01-JAN-15,31-DEC-15,Settled,TEN LAKES HOSPITAL LLC ,819 NORTH FIRST STREET ,,DENNISON ,OH ,44621 ,TUSCARAWAS ,,,,,,,,,,16,5840,3519,444,5061,,40.71,,200,49,354,4,,,,,, 364044,01-JUL-15,30-JUN-16,As Submitted,LINDNER CENTER OF HOPE ,4075 OLD WESTERN ROW ROAD ,,MASON ,OH ,45040- ,WARREN ,,,,,,,,,,32,11712,1611,,8411,,5.42,,174,,1281,,,,,,, 364045,01-JAN-15,30-JUN-15,Settled,POMEGRANATE HEALTH SYSTEMS ,65418 BARKCAMP PARK ROAD ,,BELMONT ,OH ,43718 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 364045,01-JUL-15,30-JUN-16,Settled,POMEGRANATE HEALTH SYSTEMS OF CENTRA ,65418 BARKCAMP PARK ROAD ,,BELMONT ,OH ,43718 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 364047,01-OCT-14,30-SEP-15,Settled,RIDGEVIEW HOSPITAL ,17872 LINCOLN HIGHWAY ,,MIDDLE POINT ,OH ,45863 ,VAN WERT ,,,,,,,,,,66,18304,17114,,18010,,134.86,,715,,767,,,,,,, 364048,01-JAN-15,31-DEC-15,Settled,HAVEN BEHAVIORAL SVCS DAYTON ,ONE ELIZABETH PL 4TH FL SW TOWER ,,DAYTON ,OH ,45417 ,,,,,,,,,,,32,11680,5120,88,9679,,63.37,,381,8,801,1,,,,,, 364049,01-JAN-15,31-DEC-15,Settled,DUBLIN SPRINGS ,7625 HOSPITAL DRIVE ,,DUBLIN ,OH ,43016 ,FRANKLIN ,,,,,,,,,,72,26280,9680,44,24828,,166.43,,856,15,2806,5,,,,,, 364050,01-JAN-15,31-DEC-15,Settled,ACCESS HOSPITAL DAYTON ,2611 WAYNE AVENUE ,,DAYTON ,OH ,45420 ,MONTGOMERY ,,,,,,,,,,52,18980,5922,313,10560,,87.93,,399,14,889,,,,,,, 364051,01-JAN-15,31-DEC-15,Settled,BECKETT SPRINGS ,8614 SHEPHERD FARM DRIVE ,,WEST CHESTER ,OH ,45069 ,HAMILTON ,,,,,,,,,,72,26280,6857,55,16223,,113.09,,570,8,1959,17,,,,,, 364052,10-JUL-15,31-MAR-16,Settled,CLEARVISTA HEALTH & WELNESS ,3364 KOLBE ROAD ,,LORAIN ,OH ,44053 ,LORAIN ,,,,,,,,,,30,7980,2150,,3595,,18.59,,145,,234,6,,,,,, 370001,01-JUL-15,30-JUN-16,As Submitted,HILLCREST MEDICAL CENTER ,1120 SOUTH UTICA ,,TULSA ,OK ,74104 ,TULSA ,1058898,3528333,,794111,2646041,,.2152,1991097,714084,460,168360,37675,34308,114703,67.74,1975.79,,7158,6007,22693,,,,,50,,529 370002,01-JUN-15,31-MAY-16,Amended,ALLIANCEHEALTH WOODWARD ,917 17TH STREET ,,WOODWARD ,OK ,73802 ,WOODWARD ,,,,95287,,,.1163,,,40,14640,2739,1070,5384,,233.46,,549,311,1366,,,,,,, 370004,01-JUL-15,30-JUN-16,Amended,INTEGRIS BAPT. REGIONAL HEALTH CTR. ,200 2ND AVE. SW ,,MIAMI ,OK ,74354 ,OTTAWA ,,,,136890,,,.12,,,94,34404,2665,1397,5306,,212.06,,776,491,1753,,,,17,,357, 370006,01-JUN-15,31-MAY-16,As Submitted,PONCA CITY MEDICAL CENTER ,1900 N 14TH STREET ,,PONCA CITY ,OK ,74601 ,KAY ,,,,272588,,,.1565,,,77,28182,4413,2792,9765,,310.25,,1120,605,2572,,,,,,, 370007,01-JAN-15,31-DEC-15,As Submitted,NEWMAN MEMORIAL HOSPITAL ,905 MAIN STREET ,,SHATTUCK ,OK ,73858- ,ELLIS ,,,,8264,,,.0714,,,23,8395,542,105,851,,46.16,,99,21,169,,,,,,, 370008,01-JUL-15,30-JUN-16,Amended,NORMAN REGIONAL HOSPITAL AUTHORITY ,901 N PORTER ,,NORMAN ,OK ,73070- ,CLEVELAND ,994614,,,1057887,,,.0842,323229,134649,310,113460,27965,13335,67136,10.92,2263.97,,5881,3164,15012,,,,87,14,711,375 370011,01-JUL-15,30-JUN-16,Settled,MERCY HOSPITAL EL RENO ,2115 PARK VIEW DRIVE ,129 ,EL RENO ,OK ,73036-0129 ,CANADIAN ,,,,17718,,,.0526,,,48,17568,721,189,1447,,90.56,,221,49,447,,,,,,, 370013,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL OKC ,4300 WEST MEMORIAL ROAD ,,OKLAHOMA CITY ,OK ,73120-8304 ,OKLAHOMA ,,,,1123437,,,.0893,,,308,112728,26927,13811,81187,,1977.71,,5399,3240,15396,,,,,,, 370014,01-OCT-14,30-SEP-15,As Submitted,ALLIANCEHEALTH DURANT ,1800 W UNIVERSITY BLVD ,,DURANT ,OK ,74820 ,BRYAN ,601433,,,905071,,,.2206,427494,158037,148,54020,11089,5042,21244,9.72,368.03,,2649,2243,6431,,,,,,, 370015,01-APR-15,31-MAR-16,As Submitted,ALLIANCE HEALTH PRYOR ,1111 EAST CENTER STREET ,,PRYOR ,OK ,74362 ,MAYES ,,,,,,,,,,35,12810,900,118,1611,,95.96,,313,44,597,,,,,,, 370016,01-JUL-15,30-JUN-16,Amended,BASS BAPTIST HEALTH CENTER ,600 SOUTH MONROE ,,ENID ,OK ,73702 ,GARFIELD ,391299,,,399172,,,.1434,132258,58546,108,39419,5711,3778,14302,8.33,403.62,,1340,773,4215,,,,,,142, 370018,01-OCT-14,30-SEP-15,Amended,JANE PHILLIPS MEDICAL CENTER ,3500 SE FRANK PHILLIPS BLVD ,,BARTLESVILLE ,OK ,74006- ,WASHINGTON ,406567,,,219771,,,.053,110854,87533,81,29565,9870,2520,16191,3.4,557.46,,2306,1107,5233,,,,2,5,96,90 370019,01-JUL-15,30-JUN-16,As Submitted,GREAT PLAINS REGIONAL MEDICAL CENTER ,WEST THIRD AND LINCOLN ,2339 ,ELK CITY ,OK ,73648- ,BECKHAM ,,,,121823,,,.1097,,,40,13470,3707,1113,7047,,336.69,,725,274,1489,,,,,,118, 370020,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL ADA ,431 NORTH MONTE VISTA ,,ADA ,OK ,74820- ,PONTOTOC ,,,,368019,,,.1465,,,108,39528,5785,2449,11198,,497.11,,1265,402,2405,,,,,,446,105 370022,01-JUL-15,30-JUN-16,As Submitted,JACKSON COUNTY MEMORIAL HOSPITAL ,1200 EAST PECAN ,,ALTUS ,OK ,73522- ,JACKSON ,,,,219178,,,.1238,,,49,27134,5372,1559,9508,,566.37,,1084,427,2270,,,,,,, 370023,01-JUL-15,30-JUN-16,Amended,DUNCAN REGIONAL HOSPITAL ,1407 WHISENANT DRIVE ,,DUNCAN ,OK ,74534- ,STEPHENS ,,,,249372,,,.0808,,,81,29646,6844,2195,12895,,556.65,,1816,627,3743,,,,,5,181,156 370025,01-OCT-14,30-SEP-15,As Submitted,MUSKOGEE REGIONAL MEDICAL CENTER ,300 ROCKEFELLER DRIVE ,,MUSKOGEE ,OK ,74401 ,MUSKOGEE ,,,,849053,,,.1393,,,264,96360,17853,7162,34134,,775.11,,3575,1990,7418,,,,382,2,1212,326 370026,01-JAN-15,31-DEC-15,As Submitted,ST MARYS REGL MEDICAL CENTER ,305 SOUTH FIFTH STREET ,,ENID ,OK ,73701- ,GARFIELD ,,,,,,,,,,127,46355,9777,1797,16215,,446.37,,2167,575,4185,,,,,,,352 370028,01-JUL-15,30-JUN-16,Amended,INTEGRIS BAPTIST MEDICAL CENTER ,3300 NORTHWEST EXPRESSWAY ,,OKLAHOMA CITY ,OK ,73112 ,OKLAHOMA ,4094984,,,2102339,,,.1015,836485,317831,471,171262,46987,24546,126251,46.78,2376.21,,7874,3407,22469,,,,,,, 370029,01-APR-15,31-MAR-16,As Submitted,ALLIANCE HEALTH CLINTON ,100 NORTH 30TH ,,CLINTON ,OK ,73601 ,CUSTER ,,,,59526,,,.12,,,45,16470,1112,1046,3122,,104.03,,351,322,1033,,,,,1,,95 370030,01-APR-15,31-MAR-16,Settled,ALLIANCEHEALTH BLACKWELL ,710 SOUTH 13TH ,,BLACKWELL ,OK ,74631 ,KAY ,,,,14721,,,.0476,,,34,12444,884,168,1375,,60.72,,238,48,409,,,,,,, 370032,01-NOV-14,31-OCT-15,As Submitted,ALLIANCEHEALTH DEACONESS ,5501 PORTLAND ,,OKLAHOMA CITY ,OK ,73111-2209 ,OKLAHOMA ,,,,529717,,,.1323,,,213,77745,9763,5102,24192,,590.68,,1918,992,5136,,,,,16,,303 370034,01-JUL-15,30-JUN-16,As Submitted,MCALESTER REGIONAL HEALTH CENTER ,1 CLARK BASS BOULEVARD ,,MCALESTER ,OK ,74501- ,PITTSBURG ,429368,,,449846,,,.1275,380242,121939,128,46848,8036,2510,14156,9.52,609.05,,2085,846,4137,,,,,4,,123 370036,01-JUL-15,30-JUN-16,As Submitted,HARMON MEMORIAL HOSPITAL ,400 EAST CHESTNUT ,,HOLLIS ,OK ,73550-0791 ,HARMON ,,,,10790,,,.0524,,,22,8030,1098,182,1819,,,,190,55,317,,,,,,, 370037,01-JAN-15,31-DEC-15,Amended,ST ANTHONY HOSPITAL ,1000 N LEE BLVD ,205 ,OKLAHOMA CITY ,OK ,73101 ,OKLAHOMA ,2997785,,,3015685,,,.2197,811494,373662,391,142715,31375,33713,107114,45.44,2288.27,,5924,3811,20176,,,,288,18,1323,300 370039,01-NOV-14,31-OCT-15,Amended,HILLCREST HOSPITAL CLAREMORE ,1205 N. MUSKOGEE PLACE ,,CLAREMORE ,OK ,74017 ,RODGERS ,,,,134721,,,.12,,,54,19710,3543,2531,9480,,272.29,,857,782,2680,,,,12,,207, 370040,01-JUL-15,30-JUN-16,As Submitted,EASTERN OKLAHOMA MEDICAL CENTER ,105 WALL STREET ,,POTEAU ,OK ,74953 ,LEFLORE ,,,,69066,,,.12,,,49,17934,3178,1279,6674,,157.05,,542,325,1116,,,,,,193, 370041,01-JAN-15,31-DEC-15,As Submitted,BRISTOW MEDICAL CENTER ,700 WEST 7TH AVE SUITE 6 ,,BRISTOW ,OK ,74010- ,CREEK ,,,,,,,,,,55,20075,1036,123,1667,,166.91,,379,72,715,,,,,,, 370047,01-JUL-15,30-JUN-16,Amended,MERCY HOSPITAL ARDMORE ,1011 14TH AVE NW ,,ARDMORE ,OK ,73401-1889 ,CARTER ,,,,615605,,,.0998,,,140,51240,13497,4012,24545,,628.66,,2998,534,6197,,,,17,24,156,270 370048,01-JUL-15,30-JUN-16,As Submitted,MCCURTAIN MEMORIAL HOSPITAL ,1301 EAST LINCOLN ROAD ,,IDABEL ,OK ,74745- ,MCCURTAIN ,,,,60402,,,.12,,,77,28182,1397,997,3086,,179.81,,453,317,1001,,,,4,,135, 370049,01-JAN-15,31-DEC-15,As Submitted,STILLWATER MEDICAL CENTER ,1323 W 6TH STREET ,,STILLWATER ,OK ,74074- ,PAYNE ,,,,309350,,,.099,,,87,31755,5777,2295,11961,,914.65,,1641,597,3648,,,,,7,,363 370051,01-OCT-14,30-SEP-15,As Submitted,TILLMAN MEMORIAL HOSPITAL ,319 EAST JOSEPHINE ,,FREDERICK ,OK ,73542- ,TILLMAN ,,,,8166,,,.0579,,,37,13505,658,58,960,,83.49,,121,20,211,,,,,,, 370054,01-JAN-15,31-DEC-15,As Submitted,GRADY MEMORIAL HOSPITAL ,2220 IOWA AVENUE ,,CHICKASHA ,OK ,73018- ,GRADY ,,,,135354,,,.1424,,,49,17885,2616,1152,5303,,344.54,,626,499,1422,,,,,,, 370056,01-JUL-15,30-JUN-16,Amended,COMANCHE COUNTY MEMORIAL HOSPITAL ,3401 W GORE ,,LAWTON ,OK ,73502- ,COMANCHE ,625534,,,1025325,,,.1309,856914,386353,175,64050,18975,4311,39797,20,1417,,3523,1,8924,,,,,1,249,277 370057,01-OCT-14,30-SEP-15,Amended,MUSCOGEE CREEK NATION MED CENTER ,1401 MORRIS DRIVE ,,OKMULGEE ,OK ,74447 ,OKMULGEE ,,,,27126,,,.0878,,,50,18250,1045,116,1696,,19.6,,273,45,493,,,,19,,162, 370065,01-JAN-15,31-DEC-15,As Submitted,CRAIG GENERAL HOSPITAL ,735 N. FOREMAN ,,VINITA ,OK ,74301- ,CRAIG ,,,,58548,,,.0947,,,35,12775,2689,484,4052,,177.06,,552,170,979,,,,35,,253, 370072,01-JUL-15,30-JUN-16,As Submitted,LATIMER COUNTY GENERAL HOSPITAL ,806 HIGHWAY 2 NORTH ,,WILBURTON ,OK ,74578-3625 ,LATIMER ,,,,9707,,,.1028,,,33,12078,282,43,496,,46.46,,96,18,176,,,,,,, 370078,01-JUL-15,30-JUN-16,As Submitted,OSU MEDICAL CENTER ,744 WEST 9TH STREET ,,TULSA ,OK ,74127- ,TULSA ,5938132,,,1042019,,,.1923,3395850,889204,175,64050,12526,8022,30965,120.19,1138.92,,2481,1806,6996,,,,,,, 370080,01-JUL-15,30-JUN-16,Settled,SHARE MEDICAL CENTER ,809 SHARE DRIVE ,,ALVA ,OK ,73717 ,WOODS ,,,,,,,,,,37,13542,855,6,994,,94.39,,155,1,190,,,,,,, 370083,01-APR-15,31-MAR-16,As Submitted,PUSHMATAHA HOSPITAL ,510 EAST MAIN STREET ,,ANTLERS ,OK ,74523- ,PUSHMATAHA ,,,,20742,,,.0759,,,42,15372,1947,167,2583,,63.79,,275,59,423,,,,,,, 370089,01-JUL-15,30-JUN-16,As Submitted,TAHLEQUAH CITY HOSPITAL ,E DOWNING ,1008 ,TAHLEQUAH ,OK ,74464 ,CHEROKEE ,943532,,,369385,,,.12,314200,248381,70,25620,6145,2105,11809,18.42,691.03,,1710,552,3287,159,2,,7,,168,136 370091,01-JUL-15,30-JUN-16,As Submitted,SAINT FRANCIS HOSPITAL ,6161 S. YALE ,,TULSA ,OK ,74136 ,TULSA ,2011303,,,3632540,,,.1363,877802,299359,851,305881,74962,57236,233980,44.67,4950.28,,12245,11194,43623,,,,,46,,571 370093,01-SEP-15,31-AUG-16,Amended,OU MEDICAL CENTER ,1200 EVERETT DRIVE ,,OKLAHOMA CITY ,OK ,73104 ,OKLAHOMA ,13110763,,,5031111,,,.3193,4856066,1319150,690,253699,41437,78880,215765,363.81,3333.26,,6341,14190,33743,,,,17,,489, 370094,01-JUL-15,30-JUN-16,Amended,MIDWEST REGIONAL MEDICAL CENTER ,2825 PARKLAWN DRIVE ,,MIDWEST CITY ,OK ,73110 ,OKLAHOMA ,,,,681876,,,.1137,,,219,80154,16108,6299,37623,,666.9,,3254,1379,8212,,,,68,,493, 370097,01-NOV-14,31-OCT-15,As Submitted,SOUTHWESTERN MEDICAL CENTER ,5602 SOUTHWEST LEE BOULEVARD ,,LAWTON ,OK ,73505 ,COMANCHE ,,,,385097,,,.1724,,,107,39055,6292,3692,16076,,344.06,,1245,841,3438,,,,,9,,178 370099,01-DEC-14,30-NOV-15,As Submitted,HILLCREST HOSPITAL CUSHING ,1027 EAST CHERRY ,,CUSHING ,OK ,74023 ,PAYNE ,,,,95376,,,.121,,,74,27010,2005,954,4413,,155.46,,679,305,1589,,,,,,351, 370100,01-JUL-15,30-JUN-16,As Submitted,CHOCTAW MEMORIAL HOSPITAL ,1405 EAST KIRK ,,HUGO ,OK ,74743 ,CHOCTAW ,,,,103103,,,.1412,,,34,12444,2768,617,4307,,143.5,,686,151,1072,,,,,,, 370103,01-JUL-15,30-JUN-16,As Submitted,SAYRE MEMORIAL HOSPITAL ,911 HOSPITAL DRIVE ,,SAYRE ,OK ,73662- ,BECKHAM ,,,,4614,,,.0461,,,25,9150,1023,58,1192,,31.19,,98,21,152,,,,,,, 370106,01-JUL-15,30-JUN-16,Amended,INTEGRIS SOUTHWEST MEDICAL CENTER ,4401 SOUTH WESTERN ,,OKLAHOMA CITY ,OK ,73109 ,OKLAHOMA COUNTY ,1793304,,,1151784,,,.1642,850081,194097,199,72894,17950,11136,50821,29.72,1002.61,,3403,2128,9813,,,,28,103,285,1692 370112,01-APR-15,31-MAR-16,As Submitted,SEQUOYAH MEMORIAL HOSPITAL ,213 E. REDWOOD STREET ,505 ,SALLISAW ,OK ,74955- ,SEQUOYAH ,,,,37819,,,.1044,,,41,15006,1965,167,3021,,143.43,,285,63,500,,,,,,, 370113,01-JUL-15,30-JUN-16,As Submitted,INTEGRIS GROVE HOSPITAL ,1001 EAST 18TH STREET ,,GROVE ,OK ,74344 ,DELWARE ,,,,166029,,,.1175,,,58,21228,3139,1232,5903,,207.94,,908,335,1852,,,,,,, 370114,01-OCT-14,30-SEP-15,Amended,ST. JOHN MEDICAL CENTER ,1923 SOUTH UTICA AVENUE ,,TULSA ,OK ,74104 ,TULSA ,3561276,,,1689458,,,.0806,1339167,478953,519,189435,57294,26259,153783,68.39,2363.04,,10512,3411,28399,,,,,19,,464 370138,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL HOSPITAL OF TEXAS COUNTY ,520 MEDICAL DRIVE ,,GUYMON ,OK ,73942- ,TEXAS ,,,,19467,,,.12,,,42,15372,513,646,1405,,129,,144,330,771,,,,,,, 370139,01-JUL-15,30-JUN-16,Settled,PERRY MEMORIAL HOSPITAL ,501 14TH STREET ,,PERRY ,OK ,73077 ,NOBLE ,,,,,,,,,,26,9516,1210,27,1398,,67,,159,14,225,,,,,,, 370149,01-JAN-15,31-DEC-15,As Submitted,ST ANTHONY SHAWNEE HOSPITAL ,1102 WEST MACARTHUR ,,SHAWNEE ,OK ,74801- ,POTTAWATOMIE ,,,,562888,,,.1983,,,77,28105,5387,3862,13499,,554.13,,1566,767,3522,,,,,,, 370153,01-JUL-15,30-JUN-16,As Submitted,ELKVIEW GENERAL HOSPITAL ,429 ELM ,633 ,HOBART ,OK ,73654-0633 ,KIOWA ,,,,44986,,,.0902,,,38,13908,2177,233,3056,,131.28,,376,98,683,,,,,,, 370156,01-JUL-15,30-JUN-16,Settled,PAULS VALLEY GENERAL HOSPITAL ,100 VALLEY DRIVE ,,PAULS VALLEY ,OK ,73095 ,GARVIN ,,,,,,,,,,64,23424,1029,60,1377,,137.6,,355,28,493,,,,,,, 370158,01-JUL-15,30-JUN-16,Settled,PURCELL MUNICIPAL HOSPITAL ,1500 NORTH GREEN ,511 ,PURCELL ,OK ,73080 ,MCCLAIN ,,,,,,,,,,39,14235,1835,116,2474,,108.9,,404,47,688,,,,,,, 370166,01-OCT-14,30-SEP-15,As Submitted,WAGONER HOSPITAL AUTHORITY ,1200 WEST CHEROKEE ,,WAGONER ,OK ,74467- ,WAGONER ,,,,223268,,,.2773,,,100,36500,3738,3257,12571,,170.08,,698,616,2575,,,,,,, 370169,01-JAN-15,31-DEC-15,As Submitted,EPIC MEDICAL CENTER ,ONE HOSPITAL DRIVE ,,EUFAULA ,OK ,74432-0629 ,MCINTOSH ,,,,10877,,,.0987,,,33,12045,311,46,443,,41.73,,100,19,155,,,,,,, 370170,01-OCT-14,30-SEP-15,As Submitted,USPHS HOSPITAL-LAWTON ,1515 NE LAWRIE TATUM ROAD ,,LAWTON ,OK ,73501 ,COMANCHE ,,,,4605,,,.0569,,,38,13870,235,330,2040,,491,,46,41,263,,,,,,, 370171,01-OCT-14,30-SEP-15,As Submitted,CHEROKEE NATION WW HASTINGS HOSPITAL ,100 SOUTH BLISS AVENUE ,,TAHLEQUAH ,OK ,74464 ,CHEROKEE ,,,,84702,,,.12,,,52,18980,1350,2634,5164,,806,,346,1149,1731,,,,,,, 370172,01-OCT-14,30-SEP-15,As Submitted,CHOCTAW NATION HEALTH CARE CENTER ,ONE CHOCTAW WAY ,,TALIHINA ,OK ,74571 ,LE FLORE ,,,,33985,,,.12,,,43,15695,564,1944,3945,,1274,,186,917,1433,,,,,,, 370173,01-OCT-14,30-SEP-15,As Submitted,CLAREMORE INDIAN HOSPITAL ,101 SOUTH MOORE STREET ,,CLAREMORE ,OK ,74017 ,ROGERS ,,,,24071,,,.12,,,46,16790,433,660,2629,,419,,127,265,865,,,,,,, 370178,01-JUL-15,30-JUN-16,As Submitted,ADAIR COUNTY HEALTH CENTER ,100 HIGHWAY WEST ,272 ,STILWELL ,OK ,74960- ,ADAIR ,,,,111244,,,.12,,,30,10980,3648,1360,5880,,181.03,,843,418,1534,,,,9,,108, 370180,01-OCT-14,30-SEP-15,Amended,CHICKASAW NATION MEDICAL CENTER ,1921 STONECIPHER BLVD ,,ADA ,OK ,74820 ,PONTOTOC ,,,,171765,,,.12,,,72,26280,2969,2593,8841,,,,624,1221,2652,,,,,,, 370183,01-DEC-14,30-NOV-15,Settled,HILLCREST HOSPITAL HENRYETTA ,DEWEY BARTLETT & MAIN ,1269 ,HENRYETTA ,OK ,74437 ,OKMULGEE ,,,,19593,,,.0838,,,27,9855,865,245,2862,,99.32,,232,78,615,,,,,,348, 370190,01-JUL-15,30-JUN-16,As Submitted,SOUTHWESTERN REGIONAL MEDICAL CENTER ,10109 EAST 79TH STREET ,,TULSA ,OK ,74133 ,TULSA ,29978,,,,,,,4935,15071,40,14640,714,,4793,2,666.5,,109,,685,,,,,,, 370192,01-JAN-15,31-DEC-15,Settled,NORTHWEST SURGICAL HOSPITAL ,9204 NORTH MAY ,,OKLAHOMA CITY ,OK ,73120- ,OKLAHOMA ,,,,,,,,,,9,3285,233,7,773,,45.48,,104,4,388,,,,,,, 370199,01-JUL-15,30-JUN-16,Amended,LAKESIDE WOMENS HOSPITAL ,11200 NORTH PORTLAND AVENUE ,,OKLAHOMA CITY ,OK ,73120 ,OKLAHOMA ,,,,635,,,.0518,,,23,8418,18,1108,6277,,114.85,,9,204,1504,,,,,,, 370201,01-JAN-15,31-DEC-15,As Submitted,SURGICAL HOSPITAL OF OKLAHOMA ,100 SE 59TH STREET ,,OKLAHOMA CITY ,OK ,73129 ,OKLAHOMA ,54247,,,5309,,,.0614,13300,53855,12,4380,63,53,292,4,58.9,,31,25,142,,,,,,, 370202,01-JAN-15,31-DEC-15,As Submitted,HILLCREST HOSPITAL SOUTH ,8801 SOUTH 101ST EAST AVENUE ,,TULSA ,OK ,74133 ,TULSA ,,,,438796,,,.1005,,,180,65700,12500,6975,36079,,670.46,,2342,1333,7432,,,,,,, 370203,01-JAN-15,31-DEC-15,Settled,COMMUNITY HOSPITAL ,3100 SW 89TH STREET ,,OKLAHOMA CITY ,OK ,73159 ,OKLAHOMA ,,,,,,,,,,49,17885,1797,152,5400,,328.45,,575,67,1778,,,,,,, 370206,01-JAN-15,31-DEC-15,Settled,OKLAHOMA SPINE HOSPITAL ,14101 PARKWAY COMMONS DRIVE ,,OKLAHOMA CITY ,OK ,73134-6012 ,OKLAHOMA ,,,,,,,,,,23,8395,1201,94,4413,,211.98,,498,31,1974,,,,,,, 370210,01-JAN-15,31-DEC-15,Settled,OKLAHOMA SURGICAL HOSPITAL ,2408 EAST 81ST STREET ,,TULSA ,OK ,74137 ,TULSA ,,,,,,,,,,76,27740,3568,219,8878,,375.32,,1424,90,3853,,,,,,, 370211,01-JUL-15,30-JUN-16,Amended,INTEGRIS CANADIAN VALLEY HOSPITAL ,1201 HEALTH CARE PARKWAY ,,YUKON ,OK ,73009 ,CANADIAN ,,,,159071,,,.12,,,75,27450,3096,2632,9673,,226.08,,777,570,2628,,,,,,, 370212,01-JAN-15,31-DEC-15,Settled,CTR FOR ORTHOPEDIC & MULTI - SPEC ,8100 SOUTH WALKER ,,OKLAHOMA CITY ,OK ,73139 ,OKLAHOMA ,,,,,,,,,,14,5110,650,,1760,,216.12,,236,,750,,,,,,, 370214,01-JUL-15,30-JUN-16,As Submitted,LINDSAY MUNICIPAL HOSPITAL AUTHORITY ,HIGHWAY #19 WEST ,888 ,LINDSAY ,OK ,73052 ,GARVIN ,,,,3065,,,.12,,,26,9516,81,2322,6289,,105.23,,23,299,1021,,,,,,, 370215,01-JAN-15,31-DEC-15,Settled w/Audit,OKLAHOMA HEART HOSPITAL ,4050 W MEMORIAL ROAD ,,OKLAHOMA CITY ,OK ,73120- ,OKLAHOMA ,,,,,,,,,,99,36135,16406,1181,29088,,1367.5,,3791,293,6985,,,,,,, 370216,01-JAN-15,31-DEC-15,Settled,TULSA SPINE HOSPITAL ,6901 SOUTH OLYMPIA AVE ,,TULSA ,OK ,74132-1843 ,TULSA ,,,,,,,,,,38,13870,1261,104,3249,,203.6,,455,51,1316,,,,,,, 370218,01-JUL-15,30-JUN-16,As Submitted,SAINT FRANCIS HOSPITAL SOUTH ,10501 EAST 91ST STREET SOUTH ,,TULSA ,OK ,74133 ,TULSA ,,,,225441,,,.1006,,,88,32033,6113,3749,17853,,447.46,,1376,885,4284,,,,,,, 370220,01-JAN-15,31-DEC-15,As Submitted,ORTHOPEDIC HOSPITAL ,1044 SW 44TH STREET ,,OKLAHOMA CITY ,OK ,73109 ,OKLAHOMA ,,,,14901,,,.0532,,,8,2920,210,14,557,,47.7,,79,5,225,,,,,,, 370222,01-JAN-15,31-DEC-15,Settled,MCBRIDE CLINIC ORTHOPEDIC HOSPITAL ,9600 NORTH BROADWAY EXTENSION ,,OKLAHOMA CITY ,OK ,73114 ,OKLAHOMA ,,,,,,,,,,64,23360,5386,79,10429,,637.38,,1764,27,3515,,,,,,, 370225,01-JAN-15,31-DEC-15,As Submitted,SUMMIT MEDICAL CENTER ,1800 S RENAISSANCE BLVD ,,EDMOND ,OK ,73013-3023 ,OKLAHOMA ,,,,17320,,,.1011,,,15,5475,180,39,651,,176.76,,53,14,264,,,,,,, 370227,01-JAN-15,31-DEC-15,As Submitted,ST. JOHN OWASSO ,12451 E. 100TH ST. NORTH ,,OWASSO ,OK ,74055 ,TULSA ,,,,46390,,,.0776,,,32,11680,1280,820,4740,,165.61,,458,499,1717,,,,,,, 370228,01-JAN-15,31-DEC-15,As Submitted,BAILEY MEDICAL CENTER ,10502 NORTH 110TH EAST AVENUE ,,OWASSO ,OK ,74055 ,TULSA ,,,,53082,,,.1144,,,73,26645,884,869,3844,,186.93,,288,277,1398,,,,,,, 370229,01-APR-15,31-MAR-16,As Submitted,ALLIANCE HEALTH SEMINOLE ,2401 WRANGLER BLVD ,,SEMINOLE ,OK ,74868 ,SEMINOLE ,,,,23192,,,.0488,,,32,11712,1286,226,2174,,74.34,,387,80,664,,,,,,, 370233,01-JAN-15,31-DEC-15,As Submitted,PINNACLE SPECIALTY HOSPITAL ,2408 EAST 81 ST STREET SUITE 600 ,,TULSA ,OK ,74137- ,TULSA ,,,,,,,,,,4,1460,1,,5,,24.21,,1,,5,,,,,,, 370234,01-JAN-15,31-DEC-15,Settled,OKLAHOMA HEART HOSPITAL SOUTH ,5200 EAST I-240 HWY ,,OKLAHOMA CITY ,OK ,73135- ,OKLAHOMA ,,,,,,,,,,46,16790,9318,1099,17319,,526.6,,2183,287,4442,,,,,,, 370235,01-JAN-15,31-DEC-15,Settled,ST. JOHN BROKEN ARROW ,1000 WEST BOISE CIRCLE ,,BROKEN ARROW ,OK ,74012-4900 ,TULSA ,,,,,,,,,,44,16060,2948,191,6474,,216.15,,1138,86,2667,,,,,,, 370236,01-JUL-15,30-JUN-16,Amended,INTEGRIS HEALTH EDMOND ,4801 INTEGRIS PARKWAY ,,EDMOND ,OK ,73034 ,OKLAHOMA COUNTY ,,,,44430,,,.0297,,,40,14640,3528,1178,9588,,214.16,,839,252,2537,,,,,,, 371300,01-JAN-15,31-DEC-15,As Submitted,ATOKA MEMORIAL HOSPITAL ,1200 WEST LIBERTY ROAD ,,ATOKA ,OK ,74525 ,ATOKA ,,,,,,,,,,25,9125,2946,231,3636,,75.17,,483,79,690,,,,,,, 371301,01-OCT-14,30-SEP-15,Settled,CAH ACQUISITION COMPANY # 7 LLC ,1322 KLAZUBA AVENUE ,DRAWER 5 ,PRAGUE ,OK ,74864-1090 ,POTTAWATOMIE ,,,,,,,,,,25,9125,418,31,762,,47.05,,36,9,69,,,,,,, 371302,01-JUL-15,30-JUN-16,Settled,MERCY HOSPITAL WATONGA ,500 N CLARENCE NASH ,370 ,WATONGA ,OK ,73772-0370 ,BLAINE ,,,,,,,,,,25,9150,890,84,1126,,48.95,,107,28,179,,,,,,, 371303,01-MAY-15,30-APR-16,As Submitted,ROGER MILLS MEMORIAL HOSPITAL ,501 SOUTH LL MALES AVENUE ,209 ,CHEYENNE ,OK ,73628 ,ROGER MILLS ,,,,,,,,,,15,5490,315,6,357,,31.31,,23,3,36,,,,,,, 371304,01-JUL-15,30-JUN-16,As Submitted,MERCY HOSPITAL TISHOMINGO ,1000 SOUTH BYRD ,,TISHOMINGO ,OK ,73460- ,JOHNSTON ,,,,,,,,,,25,9150,1512,103,1778,,51.26,,136,18,184,,,,,,, 371305,01-OCT-14,30-SEP-15,Settled,NOWATA HEALTH CENTER ,237 S LOCUST ,436 ,NOWATA ,OK ,74048-3660 ,NOWATA ,,,,,,,,,,25,9125,1438,111,1803,,32.98,,107,8,125,,,,,,, 371306,01-JUL-15,30-JUN-16,As Submitted,MERCY HEALTH/LOVE COUNTY ,300 WANDA ,,MARIETTA ,OK ,73448 ,LOVE ,,,,,,,,,,25,9150,1881,12,2340,,141.65,,99,3,135,2,,,,,, 371307,01-JAN-15,31-DEC-15,Settled,CIMARRON MEMORIAL HOSPITAL ,100 SOUTH ELLIS ,,BOISE CITY ,OK ,73933- ,CIMARRON ,,,,,,,,,,25,9125,1044,5,1193,,33.45,,75,3,92,,,,,,, 371309,01-OCT-14,30-SEP-15,Settled,PAWHUSKA HOSPITAL INC. ,1101 S 15TH ,,PAWHUSKA ,OK ,74056 ,OSAGE ,,,,,,,,,,25,9125,649,,751,,52.25,,41,,59,,,,,,, 371310,01-JUL-15,30-JUN-16,Settled,MERCY HOSPITAL HEALDTON INC. ,3462 HOSPITAL RD ,,HEALDTON ,OK ,73438-2424 ,CARTER ,,,,,,,,,,25,9150,1935,57,2333,,44.1,,64,12,102,,,,,,, 371311,01-OCT-14,30-SEP-15,Settled,JEFFERSON COUNTY HOSPITAL ,INTERSECTION HWY 70 & 81 ,,WAURIKA ,OK ,73573- ,JEFFERSON ,,,,,,,,,,25,9125,578,37,709,,31.95,,74,11,108,,,,,,, 371312,01-OCT-14,30-SEP-15,As Submitted,ST JOHN SAPULPA ,519 SOUTH DIVISION ,1368 ,SAPULPA ,OK ,74067 ,CREEK ,,,,,,,,,,25,9125,1686,416,4955,,214.23,,243,79,597,,,,,,, 371313,01-JUL-15,30-JUN-16,Settled,KINGFISHER REGIONAL HOSPITAL ,1000 KINGFISHER REGIONAL HOSPITAL DR ,PO BOX 59 ,KINGFISHER ,OK ,73750- ,KINGFISHER ,,,,,,,,,,25,9150,1301,27,1794,,88.6,,157,9,274,,,,,,, 371314,01-OCT-14,30-SEP-15,Settled,PHYSICIANS HOSPITAL AT ANADARKO ,1002 EAST CENTRAL BLVD ,,ANADARKO ,OK ,73005- ,CADDO ,,,,,,,,,,25,9125,2413,105,2939,,59.74,,139,27,195,,,,,,, 371316,01-OCT-14,30-SEP-15,Settled,STROUD REGIONAL MEDICAL CENTER ,2308 HIGHWAY 66 WEST ,,STROUD ,OK ,74079 ,LINCOLN ,,,,,,,,,,25,9125,655,47,1058,,47.05,,87,18,112,,,,,,, 371317,01-JUL-15,30-JUN-16,As Submitted,MERCY HOSPITAL LOGAN COUNTY ,200 S ACADEMY ROAD ,1017 ,GUTHRIE ,OK ,73044- ,LOGAN ,,,,,,,,,,25,9150,2372,168,3591,,105.02,,272,47,484,,,,,,, 371318,01-OCT-14,30-SEP-15,Settled,CAH #12 - FAIRFAX ,HWY 18 & TAFT ,,FAIRFAX ,OK ,74637 ,OSAGE ,,,,,,,,,,15,5475,979,68,1246,,41.88,,91,9,136,,,,,,, 371319,01-JUL-15,30-JUN-16,Settled,COAL COUNTY ,6 NORTH COVINGTON ,,COALGATE ,OK ,74538 ,COAL ,,,,,,,,,,20,7320,2545,158,3091,,47.75,,468,48,614,,,,,,, 371320,01-JAN-15,31-DEC-15,Settled,CLEVELAND AREA HOSPITAL ,1401 W PAWNEE ,,CLEVELAND ,OK ,74020 ,PAWNEE ,,,,,,,,,,14,5110,984,27,1183,,75.33,,67,5,96,,,,,,, 371321,01-JUL-15,30-JUN-16,Settled,HOLDENVILLE GENERAL HOSPITAL ,100 MCDOUGAL DRIVE ,,HOLDENVILLE ,OK ,74848-2844 ,HUGHES ,,,,,,,,,,25,9150,2328,87,2935,,61.54,,297,26,407,,,,,,, 371322,01-JUL-15,30-JUN-16,Settled,BEAVER COUNTY MEMORIAL HOSPITAL ,212 E 8TH STREET ,PO 640 ,BEAVER ,OK ,73932 ,BEAVER ,,,,,,,,,,24,8784,588,5,655,,39.01,,59,1,71,,,,,,, 371323,01-OCT-14,30-SEP-15,Settled,WEATHERFORD REGIONAL HOSPITAL ,3701 EAST MAIN STREET ,,WEATHERFORD ,OK ,73096 ,CUSTER ,,,,,,,,,,25,9125,1502,591,2613,,143.88,,245,179,582,,,,,,, 371324,01-OCT-14,30-SEP-15,Settled,HARPER COUNTY COMMUNITY HOSPITAL ,1003 HIGHWAY 64 ,,BUFFALO ,OK ,73834- ,HARPER ,,,,,,,,,,15,5475,575,9,661,,45.25,,78,4,110,,,,,,, 371325,01-JUL-15,30-JUN-16,Settled,CORDELL MEMORIAL HOSPITAL ,1220 N GLENN ENGISH ,,CORDELL ,OK ,73632 ,WASHITA ,,,,,,,,,,25,9150,648,12,832,,38.73,,118,13,209,,,,,,, 371326,01-APR-15,31-MAR-16,Settled,ALLIANCE HEALTH MADILL ,901 S. 5TH AVE. ,,MADILL ,OK ,73446 ,MARSHALL ,,,,,,,,,,21,7686,1230,88,1563,,63.47,,237,26,328,,,,,,, 371327,01-JUL-15,30-JUN-16,Settled,OKEENE MUNICIPAL HOSPITAL ,207 EAST F STREET ,,OKEENE ,OK ,73763 ,BLAINE ,,,,,,,,,,17,6222,770,9,1045,,59.16,,60,5,78,,,,,,, 371328,01-JAN-15,31-DEC-15,As Submitted,ARBUCKLE MEMORIAL HOSPITAL ,2011 WEST BROADWAY ,,SULPHUR ,OK ,73086- ,MURRAY ,,,,,,,,,,25,9125,4110,42,4538,,120.39,,300,19,375,,,,,,, 371329,01-JUL-15,30-JUN-16,Settled,FAIRVIEW HOSPITAL ,523 STATE ROAD ,,FAIRVIEW ,OK ,73737 ,MAJOR ,,,,,,,,,,25,9150,804,12,920,,56.37,,110,5,206,,,,,,, 371330,01-JAN-15,31-DEC-15,Settled,QUARTZ MOUNTAIN MEDICAL CENTER ,1 WICKERSHAM DR. ,PO BOX 28 ,MANGUM ,OK ,73554 ,GREER ,,,,,,,,,,15,5475,1233,1,1503,,81,,160,1,256,,,,,,, 371331,01-OCT-14,30-SEP-15,Settled,CAH ACQUISITION CO #4 - DRUMRIGHT ,610 W BYPASS ,,DRUMRIGHT ,OK ,64030 ,CREEK ,,,,,,,,,,15,5475,2214,263,3167,,64.63,,213,84,453,,,,,,, 371332,01-OCT-14,30-JUN-15,Settled,SEILING MUNICIPAL HOSPITAL ,HIGHWAY 60 & 281 ,720 ,SEILING ,OK ,73663 ,DEWEY ,,,,,,,,,,18,4914,707,9,781,,24.89,,97,4,117,,,,,,, 371332,01-JUL-15,30-JUN-16,Settled,SEILING MUNICIPAL HOSPITAL ,HIGHWAY 60 & 281 ,720 ,SEILING ,OK ,73663 ,DEWEY ,,,,,,,,,,18,6588,885,16,936,,30.11,,118,4,133,,,,,,, 371333,01-OCT-14,30-SEP-15,Settled,CREEK NATION COMMUNITY HOSPITAL ,309 NORTH 14TH STREET ,,OKEMAH ,OK ,74859 ,OKFUSKEE ,,,,,,,,,,25,9125,216,73,704,,145,,76,17,190,,,,,,, 371334,01-MAY-15,30-APR-16,Settled,CARNEGIE TRI-COUNTY MUNICIPAL HOSPIT ,102 N BROADWAY ,,CARNEGIE ,OK ,73015- ,CADDO ,,,,,,,,,,17,6222,858,85,1118,,36.69,,137,26,211,,,,,,, 371335,01-OCT-14,30-SEP-15,Settled,CAH # 16 - HASKELL ,401 NW H STREET ,,STIGLER ,OK ,74462 ,HASKELL ,,,,,,,,,,25,9125,2476,50,2898,,73.29,,174,15,218,,,,,,, 372004,01-SEP-15,30-SEP-16,Settled,KINDRED HOSPITAL OKLAHOMA CITY ,1407 NORTH ROBINSON AVENUE ,,OKLAHOMA CITY ,OK ,73103 ,OKLAHOMA ,,,,,,,,,,93,36828,16162,1038,21123,,153.8,,614,48,810,,,,,,, 372005,01-JUN-15,31-MAY-16,Settled,LTAC HOSPITAL OF EDMOND ,1100 E NINTH STREET ,,EDMOND ,OK ,73034 ,OKLAHOMA ,,,,,,,,,,37,13505,8054,652,10489,,112.07,,324,37,429,,,,,,, 372007,01-SEP-15,31-AUG-16,As Submitted,SSH - TULSA / MIDTOWN LLC ,1125 S TRENTON 2ND AND 3RD FLOORS ,,TULSA ,OK ,74120 ,TULSA ,,,,,,,,,,56,20496,6450,83,9111,,81.38,,266,3,357,,,,,,, 372009,01-FEB-15,31-JAN-16,Settled,SSH - OKLAHOMA CITY INC. ,3524 NORTHWEST 56TH STREET ,,OKLAHOMA CITY ,OK ,73112 ,OKLAHOMA ,,,,,,,,,,72,26280,15432,,23009,,210.64,,606,,883,,,,,,, 372011,01-SEP-15,31-AUG-16,As Submitted,TULSA-AMG SPECIALITY HOSPITAL ,1923 SOUTH UTICA ,,TULSA ,OK ,74104 ,TULSA ,,,,,,,,,,40,14640,6042,297,7818,,63.73,,237,14,309,,,,,,, 372012,01-JUN-15,30-JUN-15,Settled,SPECIALTY HOSPITAL AT MIDWEST CITY ,8210 NATIONAL AVENUE ,,MIDWEST CITY ,OK ,73110 ,OKLAHOMA ,,,,,,,,,,31,930,601,31,653,,40.96,,24,5,32,,,,,,, 372012,01-JUL-15,31-DEC-15,Settled,SPECIALTY HOSPITAL AT MIDWEST CITY ,8210 NATIONAL AVENUE ,,MIDWEST CITY ,OK ,73110 ,OKLAHOMA ,,,,,,,,,,31,5704,2953,284,4409,,61.54,,116,15,156,,,,,,, 372016,01-JUL-15,30-JUN-16,Settled,INTEGRIS BASS PAVILION ,401 S. THIRD ,3187 ,ENID ,OK ,73702 ,GARFIELD ,,,,,,,,,,24,8784,3182,,3403,,54.1,,112,,133,,,,,,, 372017,01-JUL-15,30-JUN-16,As Submitted,LANE FROST HEALTH & REHAB CENTER ,2815 EAST JACKSON ,,HUGO ,OK ,74743 ,CHOCTAW ,,,,,,,,,,60,21960,2818,435,3377,,35.35,,128,28,161,,,,,,, 372018,01-SEP-15,31-AUG-16,As Submitted,POST ACUTE MEDICAL TULSA ,3219 SOUTH 79TH EAST AVE ,,TULSA ,OK ,74145 ,TULSA ,,,,,,,,,,60,21960,9603,425,13008,,126.73,,376,15,528,,,,,,, 372019,01-SEP-15,31-AUG-16,As Submitted,SOLARA HOSPITAL SHAWNEE ,1900 GORDON COOPER ,,SHAWNEE ,OK ,74801 ,POTTAWATOMIE ,,,,,,,,,,34,12444,7146,1065,9739,,96.25,,287,52,398,,,,,,, 372021,01-JUN-15,31-MAY-16,Settled,NORMAN SPECIALTY HOSPITAL ,1210 WEST ROBINSON STREET ,,NORMAN ,OK ,73069 ,CLEVELAND ,,,,,,,,,,50,18300,9818,,11696,,109.43,,370,,455,,,,,,, 372022,01-JUL-15,30-JUN-16,Settled,SOLARA HOSPITAL MUSKOGEE ,351 SOUTH 40TH STREET ,,MUSKOGEE ,OK ,74403 ,MUSKOGEE ,,,,,,,,,,64,23424,15819,572,21315,,183.7,,629,33,838,,,,,,, 372023,01-OCT-14,30-SEP-15,Settled,MUSCOGEE CREEK NATION LONG TERM CARE ,900 EAST AIRPORT ROAD ,,OKMULGEE ,OK ,74447-1118 ,OKMULGEE ,,,,,,,,,,4,1460,220,194,1076,,9,,8,7,33,,,,,,, 373025,01-JAN-15,31-DEC-15,As Submitted,VALIR REHAB HOSPITAL ,700 NW 7TH STREET ,,OKLAHOMA CITY ,OK ,73102- ,OKLAHOMA ,,,,,,,,,,86,31390,6267,1876,11407,,158.24,,586,179,1032,,,,,,, 373026,01-OCT-14,30-SEP-15,As Submitted,MUSCOGEE CREEK NATION PHYSICAL REHAB ,900 EAST AIRPORT ROAD ,,OKMULGEE ,OK ,74447-1118 ,OKMULGEE ,,,,,,,,,,26,9490,865,263,2065,,79,,61,17,137,,,,,,, 373033,01-JAN-15,31-DEC-15,As Submitted,MERCY REHABILITATION HOSPITAL - OKC ,5401 WEST MEMORIAL ROAD ,,OKLAHOMA CITY ,OK ,73142 ,OKLAHOMA ,,,,,,,,,,50,18250,7772,268,14002,,46.79,,608,23,1092,,,,,,, 373300,01-JUL-15,30-JUN-16,Settled,MCCARTY HANDICAPPED CTR ,2002 E ROBINSON ST ,,NORMAN ,OK ,73017-7420 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 374000,01-JUL-15,30-JUN-16,As Submitted,GRIFFIN MEMORIAL HOSPITAL ,900 EAST MAIN STREET ,151 ,NORMAN ,OK ,73070- ,CLEVELAND ,,,,,,,,,,120,43920,3574,5428,42163,17.09,337.5,,140,148,1191,,,,,,, 374001,01-JUL-15,30-JUN-16,As Submitted,NORTHWEST CTR FOR BEHAVIORAL HEALTH ,ONE MILE EAST HWY 270 ,,FT. SUPPLY ,OK ,73841-0001 ,WOODWARD ,,,,,,,,,,24,7616,847,157,5916,,177.7,,55,11,496,,,,,,, 374006,01-JUL-15,30-JUN-16,As Submitted,CARL ALBERT COMMUNITY MENTAL HEALTH ,1101 E MONROE ,579 ,MCALESTER ,OK ,74501- ,PITTSBURGH ,,,,,,,,,,15,5490,1038,881,4833,,128,,62,61,384,,,,,,, 374008,01-JUL-15,30-JUN-16,Reopened,JIM TALIAFERRO COMM MENTAL HLTH CNTR ,602 SW 38TH STREET ,,LAWTON ,OK ,73505- ,COMANCHE ,,,,,,,,,,30,10980,563,641,4344,,133.45,,52,93,520,,,,,,, 374012,01-JAN-15,31-DEC-15,Settled,BROOKHAVEN HOSPITAL ,201 SOUTH GARNETT ROAD ,,TULSA ,OK ,74128- ,TULSA ,,,,,,,,,,64,23360,5281,8801,18514,,155.03,,484,19,1169,,,,,,, 374016,01-JAN-15,31-DEC-15,Settled,ROLLING HILLS HOSPITAL ,1000 ROLLING HILLS LANE ,,ADA ,OK ,74820 ,PONTOC ,,,,,,,,,,60,21900,12067,3955,18936,,109.05,,603,432,1318,,,,,,, 374017,01-JAN-15,31-DEC-15,Settled,WILLOW CREST HOSPITAL ,130 A STREET SOUTHWEST ,,MIAMI ,OK ,74354 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 374020,01-JUL-15,30-JUN-16,As Submitted,LAUREATE PSYCHIATRIC HOSPITAL ,6655 S. YALE ,,TULSA ,OK ,74136 ,TULSA ,,,,,,,,,8,91,33306,7657,1007,25205,3.02,321.89,,760,159,2719,,,,,,, 374021,01-JAN-15,31-DEC-15,Settled,PARKSIDE HOSPITAL INC. ,1620 E.12TH ST. ,,TULSA ,OK ,74120 ,TULSA ,,,,,,,,,,32,11680,1017,2775,8749,,172.9,,132,648,1411,,,,,,, 374023,01-JAN-15,31-DEC-15,Settled,CEDAR RIDGE HOSPITAL ,6501 NE 50TH STREET ,,OKLAHOMA CITY ,OK ,73141-9118 ,OKLAHOMA ,,,,,,,,,,54,19710,4625,2227,13837,,82.71,,294,405,2015,,,,,,, 374024,16-JAN-15,31-AUG-15,Settled,SHADOW MOUNTAIN BEHAVIORAL HEALTH SY ,6262 SOUTH SHERIDAN RD ,,TULSA ,OK ,74133 ,TULSA ,,,,,,,,,,68,15436,468,,6373,,,,58,,1124,,,,,,, 374024,01-SEP-15,31-AUG-16,As Submitted,SHADOW MOUNTAIN BEHAVIORAL HEALTH SY ,6262 SOUTH SHERIDAN RD ,,TULSA ,OK ,74133 ,TULSA ,,,,,,,,,,68,15436,1435,6788,12762,,,,147,1306,2199,,,,,,, 380001,01-JAN-15,31-DEC-15,As Submitted,MID-COLUMBIA MEDICAL CENTER ,1700 EAST 19TH STREET ,,THE DALLES ,OR ,97058 ,WASCO ,,,,250361,,,.1553,,,43,15695,3438,1872,7515,,693.51,,884,534,2217,,,,,3,,71 380002,01-OCT-14,30-SEP-15,Amended,THREE RIVERS MEDICAL CENTER ,500 S.W. RAMSEY AVE ,,GRANTS PASS ,OR ,97527 ,JOSEPHINE ,,,,1082217,,,.2321,,,111,40515,9173,8542,24292,,209.07,,2484,2717,7778,,,,,,, 380004,01-JAN-15,31-DEC-15,Amended,ST. VINCENT MEDICAL CENTER ,9205 SW BARNES RD ,,PORTLAND ,OR ,97225- ,MULTNOMAH ,2487985,,,2286996,,,.1375,1451224,504820,526,191990,27222,10963,122942,40.92,2615.8,,5297,1219,26328,3708,,,,,, 380005,01-OCT-14,30-SEP-15,Amended,ASHLAND COMMUNITY HOSPITAL ,280 MAPLE ST ,,ASHLAND ,OR ,97520 ,JACKSON ,,,,120129,,,.12,,,40,14600,1906,1424,4909,,50.79,,453,520,1569,,,,,,, 380007,01-APR-15,31-MAR-16,As Submitted,LEGACY EMANUEL HOSPITAL & HEALTH CTR ,2801 N. GANTBEIN ,,PORTLAND ,OR ,97227 ,MULTNOMAH ,1567792,,,2713523,,,.4,961963,212100,383,140052,13307,18060,106132,55.83,3033.17,,2158,9529,19818,,,,112,,216, 380009,01-JUL-15,30-JUN-16,As Submitted,OHSU HOSPITAL AND CLINICS ,3181 SAM JACKSON PARK ROAD ,,PORTLAND ,OR ,97239 ,MULTNOMAH ,19962422,,,5704553,,,.2794,4861140,3409860,573,207558,36450,34508,176086,474.24,6674.89,,5642,10477,29800,7636,,,,,, 380014,01-JAN-15,31-DEC-15,As Submitted,GOOD SAMARITAN HOSPITAL CORVALLIS ,3600 NW SAMARITAN DRIVE ,1068 ,CORVALLIS ,OR ,97330- ,BENTON ,7203514,,,700346,,,.097,2582303,1154279,149,54385,12593,1701,38177,77.54,1710.58,,2594,309,8847,1255,,,322,,659, 380017,01-APR-15,31-MAR-16,Settled w/Audit,LEGACY GOOD SAMARITAN HOSPITAL ,1015 NW 22ND AVENUE ,,PORTLAND ,OR ,97210 ,MULTNOMAH ,2943005,,,853555,,,.1411,1553480,733202,151,55294,10414,2564,39768,43.05,1154.45,,2120,2109,9506,,,,570,121,916,629 380018,01-OCT-14,30-SEP-15,Amended,ROGUE REGIONAL MEDICAL CENTER ,2825 BARNETT ROAD ,,MEDFORD ,OR ,97504 ,JACKSON ,,,,3023326,,,.1935,,,302,110230,27720,24125,75729,,657.67,,5816,5379,17769,,,,338,39,700,254 380020,01-JAN-15,31-DEC-15,As Submitted,MCKENZIE-WILLAMETTE HOSPITAL ,1460 G STREET ,,SPRINGFIELD ,OR ,97477 ,LANE ,,,,675764,,,.1453,,,113,41245,6807,2298,26095,,626.09,,1830,1649,7543,,,,,,, 380021,01-OCT-14,30-SEP-15,As Submitted,TUALITY COMMUNITY HOSPITAL ,335 S. E. 8TH ,309 ,HILLSBORO ,OR ,97123 ,WASHINGTON ,,,,373250,,,.1977,,,194,70810,3368,4505,14413,,866.92,,838,1224,3859,,,,3,,243, 380022,01-JAN-15,31-DEC-15,As Submitted,SAMARITAN ALBANY GENERAL HOSPITAL ,1046 SIXTH AVENUE ,,ALBANY ,OR ,97321-1517 ,LINN ,11897,,,171762,,,.12,,,73,26645,2196,650,10368,,798.1,,661,140,2937,715,,,,,, 380025,01-APR-15,31-MAR-16,As Submitted,LEGACY MOUNT HOOD MEDICAL CENTER ,24800 SE STARK STREET ,,GRESHAM ,OR ,97030 ,MULTNOMAH ,,,,713396,,,.2442,,,96,35045,5553,3048,23659,,530.5,,1315,2870,6555,,,,,,, 380027,01-JUL-15,30-JUN-16,As Submitted,MERCY MEDICAL CENTER ,2700 STEWART PARKWAY ,,ROSEBURG ,OR ,97471- ,DOUGLAS ,,,,709821,,,.1309,,,140,51240,11294,6909,30317,,794.39,,2481,1558,8052,42,,,,,, 380029,01-OCT-14,30-SEP-15,As Submitted,SILVERTON HOSPITAL ,342 FAIRVIEW STREET ,,SILVERTON ,OR ,97381-1993 ,MARION ,,,,87033,,,.12,,,48,17520,888,3289,11016,,663.01,,355,1518,2961,,,,,,, 380033,01-JUL-15,30-JUN-16,As Submitted,SACRED HEART MEDICAL CENTER ,1255 HILYARD STREET ,10905 ,EUGENE ,OR ,97440- ,LANE ,,,,95996,,,.1083,,,39,14274,2338,257,6544,,254.54,,507,45,1428,,358,,103,18,967,316 380037,01-JAN-15,31-DEC-15,Amended,PROVIDENCE NEWBERG MEDICAL CENTER ,1001 PROVIDENCE DRIVE ,,NEWBERG ,OR ,97132- ,YAMHILL ,,,,139403,,,.0957,,,32,11680,2287,365,8443,,367,,667,122,2777,377,,,,,, 380038,01-JAN-15,31-DEC-15,Amended,PROVIDENCE WILLAMETTE FALLS MED CTR ,1500 DIVISION STREET ,,OREGON CITY ,OR ,97045- ,CLACKAMAS ,,,,361491,,,.2123,,,97,35405,2500,1138,17289,,465,,740,199,5110,1023,,,,,, 380040,01-JAN-15,31-DEC-15,As Submitted,ST. CHARLES MED CTR-REDMOND ,1253 NORTH CANAL BOULEVARD ,,REDMOND ,OR ,97756- ,DESCHUTES ,,,,212446,,,.12,,,48,17520,3504,2541,8488,,385.06,,941,730,2574,,,,,,, 380047,01-JAN-15,31-DEC-15,As Submitted,ST CHARLES MEDICAL CENTER ,2500 NE NEFF ROAD ,,BEND ,OR ,97701 ,DESCHUTES ,78162,,,2311142,,,.1618,17895,7824,223,81395,19968,6306,58912,.65,685.79,,4892,598,14788,2519,,,260,8,620,296 380050,01-OCT-14,30-SEP-15,As Submitted,SKY LAKES MEDICAL CENTER ,2865 DAGGETT STREET ,,KLAMATH FALLS ,OR ,97601- ,KLAMATH ,1776349,,,817646,,,.171,739038,598418,105,38325,9564,5716,21052,21.13,1017.51,,2107,1764,5103,,,,,,, 380051,01-OCT-14,30-SEP-15,As Submitted,SALEM HOSPITAL ,890 OAK STREET SE ,14001 ,SALEM ,OR ,97301 ,MARION ,,,,2001894,,,.1569,,,373,132257,23061,27374,107471,,2996.22,,4765,5257,23168,,,,358,61,842,389 380052,01-JUL-15,30-JUN-16,As Submitted,SAINT ALPHONSUS MEDICAL CENTER - ONT ,351 SOUTHWEST 9TH STREET ,,ONTARIO ,OR ,97914 ,MALHEUR ,,,,165468,,,.12,,,44,16104,2658,1294,6559,,399.02,,788,426,2130,366,,,,,, 380056,01-JAN-15,31-DEC-15,As Submitted,SANTIAM MEMORIAL HOSPITAL ,1401 NORTH 10TH AVE ,,STAYTON ,OR ,97383 ,MARION ,,,,34714,,,.0693,,,40,14600,1087,139,3524,,254.13,,288,38,1036,195,,,,,, 380060,01-JAN-15,31-DEC-15,As Submitted,ADVENTIST MEDICAL CENTER-PORTLAND ,10123 SE MARKET STREET ,16800 ,PORTLAND ,OR ,97216 ,MULTNOMAH ,,,,1009299,,,.1927,,,168,61506,6760,1851,29189,,1596.65,,1903,533,9420,2542,,,81,,794, 380061,01-JAN-15,31-DEC-15,Amended,PROVIDENCE PORTLAND MEDICAL CENTER ,4805 NE GLISAN ,,PORTLAND ,OR ,97213 ,MULTNOMAH ,2006347,,,2458075,,,.2184,1241506,423365,318,116070,20718,6820,95249,34.64,2554.73,,3900,947,20786,3976,,,560,49,994,441 380071,01-JAN-15,31-DEC-15,As Submitted,WILLAMETTE VALLEY MEDICAL CENTER ,2700 SE STRATUS AVENUE ,,MCMINNVILLE ,OR ,97128 ,YAMHILL ,,,,267600,,,.12,,,78,28470,3549,1105,10958,,396.19,,1006,308,3225,819,,,,,131, 380075,01-JAN-15,31-DEC-15,Amended,PROVIDENCE MEDFORD MEDICAL CENTER ,1111 CRATER LAKE AVENUE ,,MEDFORD ,OR ,97304- ,JACKSON ,,,,908238,,,.1494,,,118,43070,11377,1184,25826,,724.69,,2466,277,6369,1103,,,,23,,136 380082,01-JAN-15,31-DEC-15,Amended,PROVIDENCE MILWAUKIE HOSPITAL ,10150 S.E. 32ND AVENUE ,,MILWAUKIE ,OR ,97222- ,CLACKAMAS ,698535,,,164818,,,.12,625111,359436,52,18980,2419,466,9014,15.12,360.06,,672,95,2912,446,,,,,, 380089,01-APR-15,31-MAR-16,As Submitted,LEGACY MERIDIAN PARK HOSPITAL ,19300 SW 65TH AVENUE ,,TUALATIN ,OR ,97062 ,CLACKAMAS ,,,,280395,,,.0509,,,107,39162,8271,2020,30311,,738.39,,2289,1592,9207,,,,,,, 380090,01-JUL-15,30-JUN-16,As Submitted,BAY AREA HOSPITAL ,1775 THOMPSON ROAD ,,COOS BAY ,OR ,97420-2125 ,COOS ,200523,,,1245287,,,.2106,67127,48543,130,47580,14127,7398,25220,,714.08,,2738,523,5799,,,,,,, 380091,01-JAN-15,31-DEC-15,Amended,KAISER SUNNYSIDE MEDICAL CENTER ,10180 SE SUNNYSIDE ROAD ,,CLACKAMAS ,OR ,97015- ,CLACKAMAS ,179173,,,,,,,537229,48353,302,110230,1612,998,59934,25,1757,,417,227,15930,8,,,,,, 380102,01-JUL-15,30-JUN-16,As Submitted,SHMC-RIVERBEND ,3333 RIVERBEND DRIVE ,,SPRINGFIELD ,OR ,97477- ,LANE ,,,,3732671,,,.1903,,,383,140178,29513,8067,112211,,2099.78,,6303,969,23409,4445,,,,,, 380103,01-JAN-15,31-DEC-15,Amended,KAISER WESTSIDE MEDICAL CENTER ,2875 NW STUCKI AVENUE ,,HILLSBORO ,OR ,97124-5806 ,WASHINGTON ,250,,,,,,,229,25,122,33580,716,170,22699,6.38,787,,204,66,7272,3,,,,,, 381301,01-JUL-15,30-JUN-16,As Submitted,COTTAGE GROVE COMMUNITY HOSPITAL ,1515 VILLAGE DRIVE ,128 ,COTTAGE GROVE ,OR ,97424-9700 ,LANE ,,,,,,,,,,14,5124,542,51,1223,,120.46,,167,16,407,64,,,,,, 381302,01-JAN-15,31-DEC-15,Settled,NORTH LINCOLN HOSPITAL ,3043 NE 28TH STREET ,,LINCOLN CITY ,OR ,97367 ,LINCOLN ,,,,,,,,,,25,9125,1821,207,3597,,258.9,,448,67,1028,185,,,,,, 381303,01-JAN-15,31-DEC-15,Settled,PROVIDENCE SEASIDE HOSPITAL ,725 S. WAHANA ROAD ,,SEASIDE ,OR ,97138- ,CLATSOP ,,,,,,,,,,25,9125,1724,,3405,,218.78,,417,60,1005,170,,,,,, 381304,01-JUL-15,30-JUN-16,Settled,SOUTHERN COOS GENERAL HOSPITAL ,900 11TH STREET SE ,,BANDON ,OR ,97411- ,COOS ,,,,,,,,,,19,6954,691,47,903,,103.48,,134,20,198,,,,,,, 381305,01-JUL-15,30-JUN-16,Settled,BLUE MOUNTAIN HOSPITAL DISTRICT ,170 FORD RD. ,,JOHN DAY ,OR ,97845- ,GRANT ,,,,,,,,,,16,5856,1023,42,1654,,108.52,,148,12,317,47,,,,,, 381306,01-JUL-15,30-JUN-16,As Submitted,WALLOWA COUNTY HEALTH CARE DISTRICT ,601 MEDICAL PARKWAY ,460 ,ENTERPRISE ,OR ,97828 ,WALLOWA ,,,,,,,,,,22,8052,1708,316,2465,,100.95,,290,73,485,,,,,,, 381307,01-JUL-15,30-JUN-16,Settled,HARNEY DISTRICT HOSPITAL ,557 W. WASHINGTON ,,BURNS ,OR ,97720- ,HARNEY ,,,,,,,,,,20,7302,786,30,1484,,124.5,,142,8,320,76,,,,,, 381308,01-OCT-14,30-SEP-15,Settled,WEST VALLEY HOSPITAL ,525 SE WASHINGTON STREET ,,DALLAS ,OR ,97338-0378 ,POLK ,,,,,,,,,,15,5475,183,79,533,,128.45,,58,27,182,,,,,,, 381309,01-JUL-15,30-JUN-16,As Submitted,LAKE HEALTH DISTRICT ,700 SOUTH J STREET ,,LAKEVIEW ,OR ,97630- ,LAKE ,,,,,,,,,,24,8784,1756,297,2844,,179.16,,189,82,399,,,,,,, 381310,01-JUL-15,30-JUN-16,As Submitted,PIONEER MEMORIAL HOSPITAL ,564 E. PIONEER DRIVE ,9 ,HEPPNER ,OR ,97836 ,MORROW ,,,,,,,,,,21,7686,429,,3029,,46.84,,38,2,54,,,,,,, 381311,01-JUL-15,30-JUN-16,Settled w/Audit,LOWER UMPQUA HOSPITAL ,600 RANCH ROAD ,,REEDSPORT ,OR ,97467 ,DOUGLAS ,,,,,,,,,,20,7320,1197,112,1624,,144.43,,178,43,296,,,,,,, 381312,01-JUL-15,30-JUN-16,As Submitted,COQUILLE VALLEY HOSPITAL ,940 E 5TH STREET ,,COQUILLE ,OR ,97423- ,COOS ,,,,,,,,,,25,9150,1611,259,2656,,130.12,,301,89,541,,,,,,, 381313,01-JAN-15,31-DEC-15,Settled,PIONEER MEMORIAL HOSPITAL ,1201 NE ELM ,,PRINEVILLE ,OR ,97754- ,CROOK ,,,,,,,,,,16,5840,1262,37,2261,,116.97,,279,14,651,85,,,,,, 381314,01-JAN-15,31-DEC-15,Settled w/Audit,SAMARITAN PACIFIC COMM HOSPIAL ,930 SW ABBY STREET ,,NEWPORT ,OR ,97365 ,LINCOLN ,,,,,,,,,,25,9125,2154,272,4327,,443.8,,618,78,1060,227,,,,,, 381315,01-JUL-15,30-JUN-16,Settled,SAINT ALPHONSUS MEDICAL CENTER BAKER ,3325 POCAHONTAS RD ,,BAKER CITY ,OR ,97814-1486 ,BAKER COUNTY ,,,,,,,,,,21,7686,1681,705,3184,,161.66,,372,156,628,,,,,,, 381316,01-JUL-15,30-JUN-16,Settled,PEACE HARBOR HOSPITAL ,400 9TH STREET ,580 ,FLORENCE ,OR ,97439-0580 ,LANE ,,,,,,,,,,21,7686,1488,128,3271,,331.04,,481,37,1077,,,,,,, 381317,01-JAN-15,31-DEC-15,Settled w/Audit,TILLAMOOK COUNTY GEN. HOSPITAL ,1000 THIRD ST. ,,TILLAMOOK ,OR ,97141- ,TILLAMOOK ,,,,,,,,,,25,9125,1960,206,4286,,337.69,,478,54,1261,,,,,,, 381318,01-JAN-15,31-DEC-15,Settled,HOOD RIVER MEMORIAL HOSPITAL ,810 12TH ST ,149 ,HOOD RIVER ,OR ,97031- ,HOOD ,,,,,,,,,,25,9125,1365,725,4112,1.73,312.03,,500,197,1557,233,,,,,, 381319,01-JUL-15,30-JUN-16,As Submitted,ST. ANTHONY HOSPITAL ,2801 ST. ANTHONY WAY ,,PENDLETON ,OR ,97801-3297 ,UMATILLA ,,,,,,,,,,25,9150,1804,733,4868,,253.07,,482,381,1372,,,,,,, 381320,01-JAN-15,31-DEC-15,Settled w/Audit,COLUMBIA MEMORIAL HOSPITAL ,2111 EXCHANGE STREET ,,ASTORIA ,OR ,97103 ,CLATSOP ,,,,,,,,,,25,9125,2408,1016,5339,,452.29,,685,282,1518,98,,,,,, 381321,01-MAY-15,30-APR-16,Settled w/Audit,GRANDE RONDE HOSPITAL ,900 SUNSET DRIVE ,,LA GRANDE ,OR ,97850 ,UNION ,,,,,,,,,,25,9150,2267,309,4919,,534.41,,693,397,1698,,,,,,, 381322,01-JUL-15,30-JUN-16,Settled,CURRY HEALTH DISTRICT ,94220 E FOURTH STREET ,,GOLD BEACH ,OR ,97444 ,CURRY ,,,,,,,,,,15,5490,1208,338,2001,,223.13,,226,86,414,,,,,,, 381323,01-JAN-15,31-DEC-15,Settled w/Audit,SAMARITAN LEBANON COMM HOSPITAL ,525 NORTH SANTIAM HIGHWAY ,,LEBANON ,OR ,97355- ,LINN ,,,,,,,,,,25,9125,1696,241,6471,,587.3,,407,62,1721,462,,,,,, 381324,01-JAN-15,31-DEC-15,Settled,ST CHARLES MADRAS ,470 A STREET ,,MADRAS ,OR ,97741 ,JEFFERSON ,,,,,,,,,,25,9125,1332,373,2618,,131.48,,222,121,614,,,,,,, 381325,01-JUL-15,30-JUN-16,Settled w/Audit,GOOD SHEPHERD MEDICAL CENTER ,610 NW ELEVENTH STREET ,,HERMISTON ,OR ,97838 ,UMATILLA ,,,,,,,,,,25,9150,1627,598,5069,,476.44,,556,322,1771,532,,,,,, 382004,01-FEB-15,31-JAN-16,As Submitted,VIBRA SPECIALTY HOSP PORTLAND ,10300 NE HANCOCK STREET ,,PORTLAND ,OR ,97220 ,PORTLAND ,,,,,,,,,,73,26645,8990,155,18906,,188.14,,316,4,576,76,,,,,, 383300,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITALS FOR CHILDREN ,3101 SW SAM JACKSON PARK ROAD ,,PORTLAND ,OR ,97239-3009 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 384008,01-JUL-15,30-JUN-16,As Submitted,OREGON STATE HOSPITAL ,2600 CENTER ST NE ,,SALEM ,OR ,97301-1319 ,MARION ,,,,,,,,,,115,41975,874,1085,37812,,1859.45,,18,9,187,,,,,,, 384012,01-JAN-15,31-DEC-15,Settled,UBH OF OREGON LLD D/B/A CEDAR HILLS ,10300 SW EASTRIDGE STREET ,,PORTLAND ,OR ,97225 ,MULTNOMAH ,,,,,,,,,,89,32485,11119,74,30105,,193.7,,878,56,2845,,,,,,, 390001,01-JUL-15,30-JUN-16,As Submitted,COMMUNITY MEDICAL CENTER ,1800 MULBERRY STREET ,,SCRANTON ,PA ,18510 ,LACKAWANNA ,2047291,,,584704,,,.0637,820467,328527,246,90036,23700,2062,51093,26.55,1399.13,,4841,420,11665,1372,,,111,,868, 390002,01-JUL-15,30-JUN-16,Amended,UPMC MCKEESPORT ,1500 FIFTH AVENUE ,,MCKEESPORT ,PA ,15132 ,ALLEGHENY ,1472297,,,587507,,,.2439,1893926,1368819,189,64475,7412,1284,34779,56.91,762.59,,1503,234,6714,1604,,,,3,,168 390003,01-JUL-15,30-JUN-16,Amended,GEISINGER BLOOMSBURG HOSPITAL ,549 EAST FAIR STREET ,,BLOOMSBURG ,PA ,17815 ,COLUMBIA ,,,,67221,,,.0847,23410,14558,52,19032,1968,442,6201,2.08,245.39,,567,337,1986,46,46,,189,,574, 390004,01-JUL-15,30-JUN-16,As Submitted,HOLY SPIRIT HOSPITAL ,503 NORTH 21ST STREET ,,CAMP HILL ,PA ,17011 ,CUMBERLAND ,128009,,,337383,,,.0447,68313,36100,276,101016,13938,1128,43494,2,1519.64,,3046,230,9613,1583,184,,98,,799, 390006,01-JUL-15,30-JUN-16,Amended,GEISINGER MEDICAL CENTER ,100 NORTH ACADEMY AVENUE ,,DANVILLE ,PA ,17822 ,MONTOUR ,21997862,,,3205848,,,.1696,7177687,5281088,504,184464,40797,6422,145373,342.52,4563.08,,8006,788,28979,5361,494,,67,,1354, 390008,01-JUL-15,30-JUN-16,As Submitted,ELLWOOD CITY HOSPITAL ,724 PERSHING STREET ,,ELLWOOD CITY ,PA ,16117 ,LAWRENCE ,,,,,,,,,,52,19032,2415,37,7561,,268.5,,355,10,1158,54,,,,,204, 390009,01-JUL-15,30-JUN-16,As Submitted,SAINT VINCENT HOSPITAL ,232 WEST 25TH STREET ,740 ,ERIE ,PA ,16544 ,ERIE ,1858032,,,1461247,,,.1683,1694507,787890,300,109800,18481,4059,60381,41.26,1606.3,,4169,367,13496,2593,2,,4,3,171,440 390012,01-JUL-15,30-JUN-16,Amended,LANSDALE HOSPITAL ,100 MEDICAL CAMPUS DRIVE ,,LANSDALE ,PA ,19446 ,MONTGOMERY ,,,,,,,,,,118,43188,9503,797,18552,,492,,2591,216,5320,172,,,,,,118 390013,01-JUL-15,30-JUN-16,As Submitted,EVANGELICAL COMMUNITY HOSPITAL ,ONE HOSPITAL DRIVE ,,LEWISBURG ,PA ,17837- ,UNION ,,,,157602,,,.042,,,120,43920,6842,217,19579,,1091.69,,1992,63,5616,782,,,,,,114 390016,01-JUL-15,30-JUN-16,Amended,UPMC JAMESON ,1211 WILMINGTON AVENUE ,,NEW CASTLE ,PA ,16105-2595 ,LAWRENCE ,,,,204582,,,.0819,,,194,71004,7566,801,24466,,900.55,,1670,82,5408,671,3,,,,18,272 390019,01-JUL-15,30-JUN-16,As Submitted,PALMERTON HOSPITAL ,135 LAFAYETTE AVENUE ,,PALMERTON ,PA ,18071 ,CARBON ,,,,,,,,,,40,14640,2935,90,4609,,245.38,,763,26,1314,106,53,,6,,499, 390025,01-JUL-15,30-JUN-16,As Submitted,KENSINGTON HOSPITAL ,136 W DIAMOND STREET ,,PHILADELPHIA ,PA ,19122 ,PHILADELPHIA ,,,,6982,,,.12,,,33,12078,205,,7576,,92.94,,48,,946,,,,,,, 390026,01-JUL-15,30-JUN-16,As Submitted,CHESTNUT HILL HOSPITAL ,8835 GERMANTOWN AVENUE ,,PHILADELPHIA ,PA ,19118- ,PHILADELPHIA ,3616114,,,305704,,,.0578,2093727,580777,109,39927,11938,1397,27702,39.04,553.54,,2624,933,6698,,,,,,326, 390027,01-JUL-15,30-JUN-16,As Submitted,TEMPLE UNIVERSITY HOSPITAL ,3401 N. BROAD ST. ,,PHILADELPHIA ,PA ,19140 ,PHILADELPHIA ,16070400,,,6339931,,,.4308,10968258,2862060,588,213744,30592,14084,150193,414.07,4299.91,,4426,2789,26265,12405,1310,,261,19,2365,332 390028,01-JUL-15,30-JUN-16,Amended,UPMC MERCY HOSPITAL ,1400 LOCUST STREET ,,PITTSBURGH ,PA ,15219 ,ALLEGHENY ,5263202,,,1583179,,,.2381,7327444,2286404,416,146145,16919,5555,96187,151.38,2155.29,,3242,815,17438,4176,,,,73,,1526 390030,01-JUL-15,30-JUN-16,As Submitted,SCHUYLKILL MEDICAL CENTER - SOUTH ,420 SOUTH JACKSON STREET ,,POTTSVILLE ,PA ,17901 ,SCHUYLKILL ,,,,805044,,,.3373,,,179,65514,8449,2010,25490,,643.31,,1520,307,4556,1734,,,,,, 390031,01-JUL-15,30-JUN-16,As Submitted,SCHUYLKILL MEDICAL CENTER - EAST ,700 EAST NORWEGIAN STREET ,,POTTSVILLE ,PA ,17901 ,SCHUYLKILL ,,,,,,,,,,96,35136,8074,418,13668,,438.69,,1784,91,3199,243,,,,1,185,420 390032,01-JUL-15,30-JUN-16,As Submitted,ALLE-KISKI MEDICAL CENTER ,1301 CARLISLE STREET ,,NATRONA HEIGHTS ,PA ,15065- ,ALLEGHENY ,,,,,,,,,,188,68620,4339,304,17433,,758,,1093,70,4644,331,352,,50,,878, 390035,01-JUL-15,30-JUN-16,As Submitted,QUAKERTOWN COMMUNITY HOSPITAL ,1021 PARK AVENUE ,9003 ,QUAKERTOWN ,PA ,18951 ,BUCKS ,,,,260724,,,.12,,,62,22692,5085,902,13388,,384.26,,1093,133,2806,456,,,,,, 390036,01-JUL-15,30-JUN-16,As Submitted,HERITAGE VALLEY BEAVER ,1000 DUTCH RIDGE ROAD ,,BEAVER ,PA ,15009 ,BEAVER ,1251552,,,248341,,,.0458,1243254,575065,214,78324,11174,2189,48368,24,1409.64,,2754,131,10463,1130,632,,79,,1349,172 390037,01-JUL-15,30-JUN-16,As Submitted,HERITAGE VALLEY SEWICKLEY ,HERITAGE VALLEY SEWICKLEY ,720 BLACKBURN ROAD ,ALLEGHENY ,PA ,15143 ,ALLEGHENY ,,,,,,,,,,149,54534,5113,852,26949,,834.44,,1296,64,6588,607,270,,44,2,758,147 390039,01-JUL-15,30-JUN-16,As Submitted,SOMERSET HOSPITAL ,225 SOUTH CENTER AVENUE ,,SOMERSET ,PA ,15501-2088 ,SOMERSET ,,,,134297,,,.12,,,101,36966,3088,1639,12060,,473.73,,643,214,2614,,,,8,,502, 390041,01-JUL-15,30-JUN-16,Amended,UNIONTOWN HOSPITAL ,500 WEST BERKELEY STREET ,,UNIONTOWN ,PA ,15401 ,FAYETTE ,,,,650827,,,.1835,,,160,58560,8495,1686,32294,,898.4,,1984,553,8018,2187,,,,3,,202 390042,01-JUL-15,30-JUN-16,Amended,THE WASHINGTON HOSPITAL ,155 WILSON AVENUE ,,WASHINGTON ,PA ,15301- ,WASHINGTON ,847576,,,332548,,,.0735,993785,377253,214,78324,11057,2333,45740,19.15,1504.88,,2498,278,10732,,,,65,,993,185 390043,01-JUL-15,30-JUN-16,As Submitted,SOLDIERS & SAILORS MEMORIAL HOSPT. ,32-36 CENTRAL AVENUE ,,WELLSBORO ,PA ,16901 ,TIOGA ,,,,113328,,,.0869,,,67,24522,3537,180,7007,,425.86,,834,35,1773,302,,,,,, 390044,01-JUL-15,30-JUN-16,As Submitted,READING HOSPITAL AND MEDICAL CENTER ,420 SOUTH FIFTH AVENUE ,16052 ,READING ,PA ,19612 ,BERKS ,4682889,,,3016059,,,.1546,1879288,780747,508,185928,43239,8554,121781,96.92,4302.6,,8982,1325,28172,4931,,,,86,1406,1488 390045,01-JUL-15,30-JUN-16,As Submitted,WILLIAMSPORT HOSPITAL & MEDICAL CTR ,700 HIGH STREET ,,WILLIAMSPORT ,PA ,17701- ,LYCOMING ,1858221,,,817820,,,.0832,666293,199736,196,72648,17679,1215,44229,19.92,1166.46,,4356,221,10838,1490,,,,16,,560 390046,01-JUL-15,30-JUN-16,As Submitted,YORK HOSPITAL ,1001 SOUTH GEORGE STREET ,,YORK ,PA ,17405 ,YORK ,11189077,,,2654027,,,.1143,4538785,1881777,517,188450,51838,7426,143934,143.3,3931.47,,9033,817,27603,,,,157,,2865, 390048,01-JUL-15,30-JUN-16,As Submitted,GEISINGER LEWISTOWN HOSPITAL ,400 HIGHLAND AVENUE ,,LEWISTOWN ,PA ,17044 ,MIFFLIN ,,,,198768,,,.0821,,,109,39894,6280,678,15909,,685.9,1.7,1563,49,4139,754,225,,36,,550, 390049,01-JUL-15,30-JUN-16,As Submitted,ST. LUKES HOSPITAL ,801 OSTRUM STREET ,,BETHLEHEM ,PA ,18015 ,LEHIGH ,14726416,,,2434851,,,.1056,5528725,2529126,424,147665,45235,8609,111303,133.25,3771.95,,8955,2196,37427,3934,,,,15,1652,772 390050,01-JUL-15,30-JUN-16,As Submitted,ALLEGHENY GENERAL HOSPITAL ,320 EAST NORTH AVENUE ,,PITTSBURGH ,PA ,15212- ,ALLEGHENY ,16995106,,,960327,,,.0653,11445374,2884253,508,181148,28684,3972,127485,364,3687,,5263,773,24329,1916,,,,,, 390052,01-JUL-15,30-JUN-16,As Submitted,CLEARFIELD HOSPITAL ,809 TURNPIKE AVENUE ,992 ,CLEARFIELD ,PA ,16830-0992 ,CLEARFIELD ,,,,41096,,,.0425,,,40,14640,3537,174,6720,,274.43,,704,33,1477,151,10,,,,187, 390056,01-JUL-15,30-JUN-16,As Submitted,JC BLAIR MEMORIAL HOSPITAL ,1225 WARM SPRINGS AVENUE ,,HUNTINGDON ,PA ,16652-2350 ,HUNTINGDON ,,,,113171,,,.12,,,60,21960,3110,97,6550,,368.89,,693,28,1709,325,197,,6,,414, 390057,01-JUL-15,30-JUN-16,As Submitted,GRAND VIEW HOSPITAL ,700 LAWN AVENUE ,,SELLERSVILLE ,PA ,18960-1587 ,BUCKS ,,,,,,,,,,180,65880,12063,1506,31905,,1227.51,,2545,148,7438,686,,,,,,336 390058,01-JUL-15,30-JUN-16,Amended,CARLISLE REGIONAL MEDICAL CENTER ,361 ALEXANDER SPRING ROAD ,,CARLISLE ,PA ,17015 ,CUMBERLAND ,,,,,,,,,,145,53070,5336,592,13573,,513.44,,1454,346,3672,,,,,2,,141 390061,01-JUL-15,30-JUN-16,Amended,LANCASTER REGIONAL MEDICAL CENTER ,250 COLLEGE AVENUE ,,LANCASTER ,PA ,17603 ,LANCASTER ,,,,453491,,,.1479,,,142,51972,7084,442,19458,,491.27,,1295,687,3779,,,,14,17,155,200 390062,01-FEB-15,30-JUN-15,Settled,NASON HOSPITAL ,105 NASON DRIVE ,,ROARING SPRING ,PA ,16673 ,BLAIR ,,,,34513,,,.0933,,,45,6750,790,34,2716,,289.69,,212,7,795,108,,,,,, 390062,01-JUL-15,30-JUN-16,As Submitted,NASON HOSPITAL ,105 NASON DRIVE ,,ROARING SPRING ,PA ,16673 ,BLAIR ,,,,80823,,,.105,,,45,16470,1435,70,6033,,285.6,,456,14,1866,461,,,,,, 390063,01-JUL-15,30-JUN-16,Amended,UPMC HAMOT ,201 STATE STREET ,,ERIE ,PA ,16550 ,ERIE ,2974106,,,1964089,,,.1438,2121792,754605,383,136715,28478,5588,93350,42.33,1928.23,,6418,474,20437,3583,,,,,, 390065,01-JUL-15,30-JUN-16,As Submitted,THE GETTYSBURG HOSPITAL ,147 GETTYS ,3786 ,GETTYSBURG ,PA ,17325-0786 ,ADAMS ,,,,155094,,,.0416,,,76,27816,7372,874,16257,,608.87,,1942,118,4391,,,,,,, 390066,01-JUL-15,30-JUN-16,As Submitted,THE GOOD SAMARITAN HOSPITAL ,THE GOOD SAMARITAN HOSPITAL ,241 SOUTH FOURTH ST ,LEBANON ,PA ,17042 ,LEBANON ,831406,,,382252,,,.0759,564346,281748,124,45384,15432,1719,30339,12.9,1193.56,,2559,163,6715,880,,,,3,,289 390067,01-JUL-15,30-JUN-16,As Submitted,PINNACLE HEALTH HOSPITALS ,409 S. SECOND ST SUITE 4E ,,HARRISBURG ,PA ,17101 ,DAUPHIN ,8819254,,,2538858,,,.11,4238066,1466379,629,229179,45760,5969,160601,129.45,3719.93,,9461,922,33953,4505,,,,,, 390068,01-JUL-15,30-JUN-16,Amended,HEART OF LANCASTER REGIONAL MEDICAL ,1500 HIGHLAND DRIVE ,,LITITZ ,PA ,17543 ,LANCASTER ,334715,,,109753,,,.12,194806,112856,65,23790,2316,1659,11553,13.23,334.38,,515,385,2580,,,,,,, 390070,01-JAN-15,31-DEC-15,Amended,LOWER BUCKS HOSPITAL ,501 BATH ROAD ,,BRISTOL ,PA ,19007 ,BUCKS ,531198,,,203392,,,.0776,427305,73450,126,45990,4848,240,15602,12,481.58,,1269,76,4661,714,,,14,,974, 390071,01-JUL-15,30-JUN-16,As Submitted,LOCK HAVEN HOSPITAL ,24 CREE DRIVE ,,LOCKHAVEN ,PA ,17745-2699 ,CLINTON ,,,,75839,,,.12,,,47,17202,1466,197,3707,,142.72,,439,198,1116,,,,,,, 390072,01-JUL-15,30-JUN-16,Amended,BERWICK HOSPITAL CENTER ,701 EAST 16TH STREET ,,BERWICK ,PA ,18603 ,COLUMBIA ,,,,77617,,,.0935,,,87,31842,2095,221,5176,,259,,566,209,1434,,,,,,317, 390073,01-JUL-15,30-JUN-16,Amended,ALTOONA REGIONAL HEALTH SYSTEM ,620 HOWARD AVENUE ,,ALTOONA ,PA ,16601-4889 ,BLAIR ,1590419,,,1495257,,,.123,1259314,582709,345,124420,28659,4284,86140,26.74,2186,,5532,410,17387,2246,,,,,, 390076,01-JUL-15,30-JUN-16,Amended,BRANDYWINE HOSPITAL ,200 REECEVILLE ROAD ,,COATSVILLE ,PA ,19320- ,CHESTER ,,,,721815,,,.1527,,,153,55998,11298,922,31039,,516.02,,2259,1236,6328,,,,,,233, 390079,01-JUL-15,30-JUN-16,Amended,ROBERT PACKER HOSPITAL ,GUTHRIE SQUARE ,,SAYRE ,PA ,18840 ,BRADFORD ,5752136,,,920528,,,.0806,2081509,1127037,250,91500,28185,3746,65043,67.14,1475.2,,5246,421,14858,2036,,,,,, 390080,01-JUL-15,30-JUN-16,As Submitted,JEANES HOSPITAL ,7600 CENTRAL AVENUE ,,PHILADELPHIA ,PA ,19111 ,PHILADELPHIA ,888300,,,591105,,,.1273,534698,201411,146,53436,10655,800,30001,12.16,819.01,,1966,1012,6642,,,,,,, 390081,01-JUL-15,30-JUN-16,As Submitted,DELAWARE COUNTY MEMORIAL HOSPITAL ,501 N. LANDSDOWNE AVE. ,,DREXEL HILL ,PA ,19026- ,DELAWARE COUNTY ,1188109,,,770255,,,.2081,1148390,452977,145,53070,8822,1422,30399,24.47,761,,1710,421,6534,1566,,,,2,,412 390084,01-JUL-15,30-JUN-16,As Submitted,SUNBURY COMMUNITY HOSPITAL ,350 N. ELEVENTH STREET ,737 ,SUNBURY ,PA ,17801- ,NORTHUMBERLAND ,,,,163322,,,.2741,,,68,24888,2038,318,5423,,137.78,,381,229,1016,,,,,,, 390086,01-JUL-15,30-JUN-16,As Submitted,DUBOIS REGIONAL MEDICAL CENTER ,100 HOSPITAL AVENUE ,P.O. BOX 447 ,DUBOIS ,PA ,15801 ,CLEARFIELD ,,,,1400543,,,.2758,,,202,73932,11259,556,36815,,1591.09,,2943,505,8979,2550,,,,3,,257 390090,01-JUL-15,30-JUN-16,As Submitted,WESTERN PENNSYLVANIA HOSPITAL ,4800 FRIENDSHIP AVENUE ,,PITTSBURGH ,PA ,15224- ,ALLEGHENY ,1702709,,,608385,,,.2184,851168,1322287,293,103922,4909,1869,57363,101,1607,,1090,319,11484,2096,,,,31,,561 390091,01-JUL-15,30-JUN-16,Amended,UPMC NORTHWEST HOSPITAL ,100 FAIRFIELD DRIVE ,,SENECA ,PA ,16346 ,VENANGO ,,,,313627,,,.0925,,,118,42955,9124,1369,20023,,569.43,,2277,72,5007,749,317,,42,3,681,199 390093,01-JUL-15,30-JUN-16,As Submitted,CLARION HOSPITAL ,ONE HOSPITAL DRIVE ,,CLARION ,PA ,16214 ,CLARION ,225791,,,70322,,,.0565,318541,440268,58,21228,3027,64,6054,11.52,441.6,,826,21,1699,175,,,,,,72 390096,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPH MEDICAL CENTER ,2500 BERNVILLE RD ,PO BOX 316 ,READING ,PA ,19603-0316 ,BERKS ,1484029,,,671687,,,.1148,859620,487120,180,65880,13442,2332,36675,24.66,1130.13,,2610,257,7564,,,,,,, 390097,01-JUL-15,30-JUN-16,As Submitted,HOSPITAL ,1648 HUNTINGTON PIKE ,,MEADOWBROOK ,PA ,19046 ,MONTGOMERY ,58539,,,1054948,,,.196,35254,10006,195,71370,13440,3269,44870,1.8,969.54,,2684,118,8854,1170,,,,,384, 390100,01-JUL-15,30-JUN-16,Amended,LANCASTER GENERAL HOSPITAL ,555 NORTH DUKE STREET ,3555 ,LANCASTER ,PA ,17604-3555 ,LANCASTER ,2969103,,,2153965,,,.0972,1117645,609538,565,210646,42549,3645,133456,38.85,5089,36.32,9457,710,33117,5189,408,,111,,1145, 390101,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL HOSPITAL ,325 S BELMONT STREET ,15118 ,YORK ,PA ,17405 ,YORK ,846098,,,305065,,,.1366,569183,320757,100,36600,5204,1156,16673,16.64,588.4,,1274,1034,4633,,,,,,, 390102,01-JUL-15,30-JUN-16,Amended,UPMC ST MARGARET ,815 FREEPORT ROAD ,,PITTSBURGH ,PA ,15215 ,ALLEGHENY ,2730126,,,,,,,3619392,1191269,220,79853,12005,601,49927,62.36,1157.57,,2743,117,10601,870,,,,8,,668 390104,01-JUL-15,30-JUN-16,As Submitted,KANE COMMUNITY HOSPITAL ,4372 ROUTE 6 ,,KANE ,PA ,16735 ,MCKEAN ,,,,15101,,,.0323,,,31,11346,1348,115,2396,,168.83,,338,23,528,34,,,,,, 390107,01-JUL-15,30-JUN-16,Amended,UPMC PASSAVANT ,9100 BABCOCK BOULEVARD ,,PITTSBURGH ,PA ,15237 ,ALLEGHENY ,706958,,,,,,,130049,49544,347,126788,18455,698,71478,15.44,1690.55,,4018,127,14753,683,,,,7,,533 390110,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL MEDICAL CENTER ,1086 FRANKLIN STREET ,,JOHNSTOWN ,PA ,15905 ,CAMBRIA ,3320446,,,1154664,,,.1223,3539162,1058496,425,155550,24408,1528,88420,77.38,3163.03,,4729,324,18687,3801,37,,1,6,353,596 390111,01-JUL-15,30-JUN-16,As Submitted,HOSPITAL OF THE UNIV OF PENNA ,3400 SPRUCE STREET ,,PHILADELPHIA ,PA ,19104- ,PHILADELPHIA ,50479581,,,4748229,,,.148,19860027,13281555,701,258176,67492,9996,236045,695.83,6791.54,,8693,1139,34985,8955,,,,52,,1252 390112,01-JUL-15,30-JUN-16,As Submitted,WINDBER MEDICAL CENTER ,600 SOMERSET AVENUE ,,WINDBER ,PA ,15963- ,SOMERSET ,,,,,,,,,,50,18300,720,16,2689,,289.76,,242,3,1007,,,,,,, 390113,01-JUL-15,30-JUN-16,Amended,MEADVILLE MEDICAL CENTER ,1034 GROVE STREET ,,MEADVILLE ,PA ,16335 ,CRAWFORD ,591034,,,814123,,,.2115,428284,329519,173,63318,9682,2104,26396,11.92,1128.44,,2193,60,6159,1091,,,,,,181 390114,01-JUL-15,30-JUN-16,Amended,MAGEE WOMENS HOSPITAL OF UPMC ,300 HALKET ST ,,PITTSBURGH ,PA ,15213-3180 ,ALLEGHENY COUNTY ,1322309,,,896973,,,.3333,255100,984605,317,114742,6209,4784,93889,120.57,2371.24,,1398,369,18200,5214,,,,,, 390115,01-JUL-15,30-JUN-16,As Submitted,ARIA HEALTH ,KNIGHTS & RED LION ROADS ,,PHILADELPHIA ,PA ,19114 ,PHILADELPHIA ,6284316,,,2782502,,,.156,3802545,846970,464,169360,37008,6343,112053,93.16,2585.11,,7398,1298,24507,4511,,,,,, 390116,01-JUL-15,31-JAN-16,As Submitted,MERCY SUBURBAN HOSPITAL ,2701 DEKALB PIKE ,,NORRISTOWN ,PA ,19401 ,MONTGOMERY ,1002503,,,163213,,,.12,710958,325728,99,21285,3040,1303,8316,22.78,504.46,,681,266,1943,220,,,,,31, 390117,01-JUL-15,30-JUN-16,As Submitted,UPMC BEDFORD MEMORIAL HOSPITAL ,10455 LINCOLN HIGHWAY ,,EVERETT ,PA ,15537 ,BEDFORD ,,,,67333,,,.12,,,47,17005,1148,430,3937,,285.22,,429,18,1355,280,,,,,, 390118,01-JAN-15,31-DEC-15,As Submitted,BRADFORD REGIONAL MEDICAL CENTER ,116 INTERSTATE PARKWAY ,,BRADFORD ,PA ,16701 ,MCKEAN ,,,,177911,,,.12,,,87,31755,5148,2535,14082,,425.55,,971,298,2687,583,,,,,, 390119,01-JUL-15,30-JUN-16,As Submitted,MOSES TAYLOR HOSPITAL ,700 QUINCY AVENUE ,,SCRANTON ,PA ,18510-1798 ,LACKAWANNA ,543392,,,655112,,,.1458,612645,176241,173,63318,13652,4620,43811,11.05,777.1,,2497,2123,8883,,,,24,,397, 390123,01-JUL-15,30-JUN-16,Amended,POTTSTOWN MEMORIAL MEDICAL CENTER ,1600 EAST HIGH STREET ,,POTTSTOWN ,PA ,19464 ,MONTGOMERY ,,,,367737,,,.064,,,183,66978,13745,1158,33380,,768.31,,2792,1087,7431,,,,167,,825, 390125,01-JUL-15,30-JUN-16,As Submitted,WAYNE MEMORIAL HOSPITAL ,601 PARK ST ,,HONESDALE ,PA ,18431 ,WAYNE ,,,,174010,,,.0712,,,73,26718,7058,188,13142,,558.34,,1685,52,3319,774,,,,,,272 390127,01-JUL-15,30-JUN-16,Amended,PHOENIXVILLE HOSPITAL ,140 NUTT ROAD ,,PHOENIXVILLE ,PA ,19460 ,CHESTER ,383888,,,284702,,,.0534,129196,80834,126,46088,11199,1026,29929,6,656.59,,2285,100,7384,,,,,,, 390130,01-JUL-15,30-JUN-16,As Submitted,MINERS HOSPITAL ,290 HAIDA AVENUE ,689 ,HASTINGS ,PA ,16646 ,CAMBRIA ,,,,,,,,,,30,10980,943,3,1758,,120.38,,200,1,392,,,,,,, 390132,01-JUL-15,31-MAR-16,As Submitted,ST. JOSEPH HOSPITAL ,16TH STREEET AND GIRARD AVENUE ,,PHILADELPHIA ,PA ,19130 ,PHILADELPIHA ,188179,,,607495,,,.7244,153050,18503,106,29150,3044,2231,15466,15.5,447.18,,443,253,3004,1732,323,,15,,478, 390133,01-JUL-15,30-JUN-16,Amended,LEHIGH VALLEY ,2100 MACK BLVD. 4TH FLOOR FINANCE ,4000 ,ALLENTOWN ,PA ,18105-4000 ,LEHIGH ,12883608,,,3481007,,,.1076,4683818,2013665,804,261622,75716,11076,202350,175.73,5894.61,,13720,2137,41141,7445,758,,1002,,2465,727 390137,01-JUL-15,30-JUN-16,As Submitted,WILKES-BARRE GENERAL HOSPITAL ,NORTH RIVER AND AUBURN STREETS ,,WILKES BARRE ,PA ,18764- ,LUZERNE ,1477241,,,694142,,,.0515,1073499,364253,392,143080,37180,1851,67836,19.89,1524.95,,6944,302,13489,,,,,,,558 390138,01-JUL-15,30-JUN-16,As Submitted,WAYNESBORO HOSPITAL ,501 EAST MAIN STREET ,,WAYNESBORO ,PA ,17268 ,FRANKLIN ,,,,137640,,,.0826,,,56,20496,3895,684,8697,,406,,1126,38,2642,333,,,,,, 390139,01-JUL-15,30-JUN-16,As Submitted,BRYN MAWR HOSPITAL ,130 S. BRYN MAWR AVE. ,,BRYN MAWR ,PA ,19010 ,MONTGOMERY ,2831266,,,,,,,1198951,606105,299,109434,20087,1281,53718,39.67,1350.37,,4242,110,12565,,,,7,,792, 390142,01-JUL-15,30-JUN-16,Amended,ALBERT EINSTEIN MEDICAL CENTER ,5501 OLD YORK ROAD ,3098 ,PHILADELPHIA ,PA ,19141 ,PHILADELPHIA ,16635828,,,4328135,,,.3541,15320062,4384831,407,148962,26660,9167,106921,333.31,3988.37,20.96,4894,1961,23777,9184,606,,91,117,1248,2789 390145,01-JUL-15,30-JUN-16,As Submitted,WESTMORELAND REGIONAL HOSPITAL ,532 WEST PITTSBURGH STREET ,,GREENSBURG ,PA ,15601- ,WESTMORELAND ,,,,484115,,,.0956,,,244,89304,13633,1639,67603,,1668.39,,2829,284,16221,,,,,4,,393 390146,01-JUL-15,30-JUN-16,As Submitted,WARREN GENERAL HOSPITAL ,2 CRESCENT PARK WEST ,,WARREN ,PA ,16365 ,WARREN ,,,,68750,,,.0566,,,69,25254,4580,160,10635,,401.44,,832,42,2602,410,119,,7,,495, 390147,01-JUL-15,30-JUN-16,Amended,MONONGAHELA VALLEY HOSPITAL INC. ,1163 COUNTRY CLUB RD ROUTE 88 ,,MONONGAHELA ,PA ,15063 ,USA ,,,,75453,,,.025,,,150,54900,8324,390,29911,,958,11,1706,88,6432,672,326,,30,1,691,240 390150,01-JUL-15,30-JUN-16,As Submitted,WHS - GREENE ,350 BONAR AVENUE ,,WAYNESBURG ,PA ,15370 ,GREENE ,,,,40235,,,.0958,,,23,8418,1139,95,3368,,207.34,,344,30,1030,117,,,,,, 390151,01-JUL-15,30-JUN-16,As Submitted,THE CHAMBERSBURG HOSPITAL ,112 NORTH 7TH ST. ,,CHAMBERSBURG ,PA ,17201 ,FRANKLIN ,100818,,,811142,,,.0699,31724,12033,214,77629,21293,3246,45990,.77,1504.37,,5188,299,11729,1400,233,,293,13,778,284 390153,01-JUL-15,30-JUN-16,As Submitted,PAOLI HOSPITAL ,255 W. LANCASTER AVE. ,,PAOLI ,PA ,19301-1792 ,CHESTER ,,,,,,,,,,231,84546,20216,320,54011,,1113.74,,4434,67,13057,187,,,,,, 390154,01-JUL-15,31-OCT-15,Amended,ELK REGIONAL HEALTH CENTER ,763 JOHNSONBURG RD ,,ST. MARYS ,PA ,15857 ,ELK ,,,,35028,,,.0936,,,65,7995,869,22,1725,,337.91,,245,9,543,94,,,,,51, 390156,01-JUL-15,30-JUN-16,As Submitted,MERCY CATHOLIC MEDICAL CENTER ,LANSDOWNE AVE & BAILEY RD. ,,DARBY ,PA ,19023 ,USA ,5795725,,,2576141,,,.3353,5742045,1972719,299,109434,18862,5136,68416,113.51,1571.18,,3884,1225,15734,4868,,,,37,1262,148 390157,01-JUL-15,30-JUN-16,As Submitted,OHIO VALLEY GENERAL HOSPITAL ,25 HECKEL ROAD ,,MC KEES ROCKS ,PA ,15136 ,,,,,,,,,,,89,32574,3087,176,12649,,423.84,,639,48,2790,218,,,11,9,272,286 390160,01-JUL-15,30-JUN-16,As Submitted,CANONSBURG GENERAL HOSPITAL ,100 MEDICAL BLVD ,,CANONSBURG ,PA ,15317- ,WASHINGTON ,,,,,,,,,,88,32120,2326,219,7919,,323,,642,54,2176,91,,,,3,,286 390162,01-JUL-15,30-JUN-16,Amended,EASTON HOSPITAL ,250 SOUTH 21ST STREET ,,EASTON ,PA ,18042-4195 ,NORTHHAMPTON ,2329048,,,438307,,,.0582,2266659,899933,228,83448,15671,1156,29546,36.39,738.45,,3300,1036,6696,,,,,6,282,240 390163,01-JUL-15,30-JUN-16,Amended,ARMSTRONG COUNTY MEMORIAL ,ONE NOLTE DRIVE ,,KITTANNING ,PA ,16201 ,ARMSTRONG ,,,,219700,,,.132,,,132,48312,4764,337,19959,,776.85,,959,84,4677,481,,,,,,152 390164,01-JUL-15,30-JUN-16,Amended,UPMC - PRESBYTERIAN SHADYSIDE ,200 LOTHROP STREET ,,PITTSBURGH ,PA ,15213 ,ALLEGHENY ,35263800,,,3611550,,,.1035,28355591,6116986,1173,423863,79228,8798,324939,707.33,8484.11,,13368,1068,52185,7007,3086,,349,15,5993,523 390168,01-JUL-15,30-JUN-16,As Submitted,BUTLER MEMORIAL HOSPITAL ,ONE HOSPITAL WAY ,,BUTLER ,PA ,16001 ,BUTLER ,,,,390490,,,.0888,,,275,88605,10621,9843,52913,,1361.8,,2116,,11040,,,,,,356, 390173,01-JUL-15,30-JUN-16,As Submitted,INDIANA REGIONAL MEDICAL CENTER ,835 HOSPITAL ROAD ,788 ,INDIANA ,PA ,15701 ,INDIANA ,,,,125251,,,.0433,,,132,46355,7854,518,27186,,1002.53,,1832,134,6510,916,,,2,1,304,261 390174,01-JUL-15,30-JUN-16,As Submitted,THOMAS JEFFERSON UNIV. HOSPITAL ,111 SOUTH 11TH STREET ,,PHILADELPHIA ,PA ,19107 ,PHILADELPHIA ,44236081,,,5564103,,,.1635,19849323,8011839,838,306708,66505,9420,220772,637.62,6465.9,,11266,1293,41121,8203,316,,35,23,857,422 390178,01-JUL-15,30-JUN-16,Amended,UPMC HORIZON HOSPITAL ,110 NORTH MAIN STREET ,,GREENVILLE ,PA ,16125 ,MERCER ,392788,,,370177,,,.1239,388464,420515,142,51601,7774,2134,25362,15.52,790.11,,1823,91,5955,1093,,,,7,,196 390179,01-JUL-15,30-JUN-16,As Submitted,THE CHESTER COUNTY HOSPITAL ,701 E. MARSHALL STREET ,,WEST CHESTER ,PA ,19380- ,CHESTER ,,,,535338,,,.0561,,,248,90520,19014,2861,59892,,1656,,4116,774,16634,2167,,,,,, 390180,01-JUL-15,30-JUN-16,As Submitted,CROZER CHESTER MEDICAL CENTER ,ONE MEDICAL CENTER BLVD. ,,UPLAND ,PA ,19013-3995 ,DELAWARE COUNTY ,6384503,,,2068082,,,.2033,4237764,1786767,360,131760,20131,3519,70836,115,2582,,4149,833,15535,3413,682,,191,15,1541,938 390183,01-JUL-15,30-JUN-16,As Submitted,MINERS MEMORIAL MEDICAL CENTER ,360 WEST RUDDLE STREET ,,COALDALE ,PA ,18218 ,SCHUYLKILL ,,,,,,,,,,44,16104,4193,109,7165,,251.37,,1038,32,1980,,,,,,, 390184,01-JUL-15,30-JUN-16,As Submitted,HIGHLANDS HOSPITAL ,401 EAST MURPHY AVENUE ,,CONNELLSVILLE ,PA ,15425 ,FAYETTE ,,,,52626,,,.12,,,64,23424,1556,456,9102,,239.48,,345,128,2311,810,,,,,, 390185,01-JUL-15,30-JUN-16,As Submitted,LEHIGH VALLEY HOSPITAL-HAZELTON ,700 EAST ROAD STREET ,,HAZLETON ,PA ,18201 ,,,,,566686,,,.0965,,,134,49044,15190,1505,28977,,736.1,,3365,473,6522,1482,,,,12,,362 390192,01-JUL-15,30-JUN-16,As Submitted,TYLER MEMORIAL HOSPITAL ,880 SR 6 W ,,TUNKHANNOCK ,PA ,18657 ,WAYNE ,,,,,,,,,,48,17568,968,13,1680,,126.69,,267,18,517,,,,,,, 390194,01-JUL-15,30-JUN-16,As Submitted,GNADEN HUETTEN MEMORIAL HOSPITAL ,211 N. 12TH STREET ,,LEHIGHTON ,PA ,18235 ,CARBON ,,,,216946,,,.12,,,70,25620,5283,500,11163,,417.7,,1208,18,2649,,,,,4,,442 390195,01-JUL-15,30-JUN-16,As Submitted,LANKENAU MEDICAL CENTER ,100 LANCASTER AVE. ,,WYNEWOOD ,PA ,19096 ,MONTGOMERY ,9825877,,,1261399,,,.0728,2778038,979627,357,126270,30555,5716,90291,126.84,1808.53,,5460,718,17078,2129,,,,,, 390196,01-JUL-15,30-JUN-16,As Submitted,AMERICAN ONCOLOGIC HOSPIAL ,7701 BURHOLME AVENUE ,,PHILADELPHIA ,PA ,19111 ,PHILADELPHIA ,,,,,,,,,747079,100,36600,8653,127,23263,,1002,,1374,14,4229,260,,,,,, 390197,01-JUL-15,30-JUN-16,Amended,SACRED HEART HOSPITAL ,421 CHEW STREET ,,ALLENTOWN ,PA ,18102 ,LEHIGH ,589857,,,819992,,,.397,670830,319411,119,44306,5420,2297,24908,19.89,631.39,,1050,229,4055,,,,79,,525, 390198,01-JUL-15,30-JUN-16,As Submitted,MILLCREEK COMMUNITY HOSPITAL ,5515 PEACH STREET ,,ERIE ,PA ,16509 ,ERIE ,693590,,,509694,,,.375,1088954,149858,130,47580,5993,1351,24229,64.97,422,,968,247,3974,1262,,,,6,,366 390199,01-JUL-15,30-JUN-16,As Submitted,PUNXSUTAWNEY AREA HOSPITAL ,81 HILLCREST DRIVE ,,PUNXSUTAWNEY ,PA ,15767 ,JEFFERSON ,,,,72207,,,.1127,,,44,16104,2903,109,6690,,302.45,,488,203,1169,,,,,,, 390201,01-JUL-15,30-JUN-16,Amended,POCONO MEDICAL CENTER ,206 EAST BROWN STREET ,,EAST STROUDSBURG ,PA ,18301- ,MONROE ,,,,765896,,,.0729,,,217,79422,21291,2046,46961,,1502.03,,4989,456,11452,,,,44,,496, 390203,01-JUL-15,30-JUN-16,Amended,DOYLESTOWN HOSPITAL ,595 WEST STATE STREET ,,DOYLESTOWN ,PA ,18901 ,BUCKS ,,,,,,,,,,232,84912,20889,1229,54737,,1485.8,,4557,286,13500,,,,,,, 390204,01-JUL-15,30-JUN-16,As Submitted,NAZARETH HOSPITAL-PHILA PA ,2601 HOLME AVENUE ,,PHILADELPHIA ,PA ,19152 ,PHILADELPHIA ,,,,867807,,,.1552,,,183,66978,12265,1470,30407,,776.96,,2563,1215,6692,869,,,,24,,188 390211,01-JUL-15,30-JUN-16,As Submitted,SHARON REGIONAL HEALTH SYSTEM ,740 EAST STATE STREET ,,SHARON ,PA ,16146-2096 ,MERCER ,,,,643246,,,.1585,,,178,65148,11726,888,32587,,891.04,,2392,831,6268,,,,,,,218 390217,01-JUL-15,30-JUN-16,As Submitted,FRICK HOSPITAL ,508 CHURCH STREET ,,MOUNT PLEASANT ,PA ,15666- ,WESTMORELAND ,,,,28490,,,.0369,,,33,12078,2178,120,8641,,325.31,,520,42,2217,,,,,,, 390219,01-JUL-15,30-JUN-16,Amended,LATROBE AREA HOSPITAL ,ONE MELLON WAY ,,LATROBE ,PA ,15650- ,WESTMORELAND ,704593,,,146753,,,.068,809162,512778,113,41358,5098,548,25184,17.27,930.14,,1327,127,6578,,,,,,, 390220,01-JUL-15,30-JUN-16,Amended,JENNERSVILLE REGIONAL HOSPITAL ,1015 W. BALTIMORE PIKE ,,WEST GROVE ,PA ,19390- ,CHESTER ,,,,121449,,,.0669,,,51,18666,4573,1405,9947,,227.42,,1065,355,2616,,,,,,, 390222,01-JUL-15,30-JUN-16,As Submitted,RIDDLE HOSPITAL ,1068 W. BALTIMORE PIKE ,,MEDIA ,PA ,19063 ,DELAWARE ,,,,,,,,,,204,74664,18374,420,42604,,908.13,,3598,75,9946,512,,,,,, 390223,01-JUL-15,30-JUN-16,As Submitted,PRESBYTERIAN MEDICAL CENTER ,39TH & MARKET STREETS ,,PHILADELPHIA ,PA ,19104- ,PHILADELPHIA ,13409338,,,3497665,,,.2173,3297521,1598241,302,110512,28281,4260,90158,151.64,2447,,4888,599,16024,2970,,,92,,714, 390225,01-JUL-15,30-JUN-16,As Submitted,EPHRATA COMMUNITY HOSPITAL ,169 MARTIN AVENUE ,,EPHRATA ,PA ,17522-1002 ,LANCASTER ,,,,103302,,,.0271,,,115,42090,8587,826,24399,,1007.7,,1904,79,6850,483,79,,33,,296,145 390226,01-JUL-15,30-JUN-16,As Submitted,PENNSYLVANIA HOSPITAL OF UPHS ,8TH & SPRUCE ,,PHILADELPHIA ,PA ,19107- ,,8031823,,,2115849,,,.2034,2659325,1505215,349,127734,20207,3505,95317,152.47,2462.55,,3593,831,23343,5460,,,101,,978, 390228,01-JUL-15,30-JUN-16,As Submitted,ST. CLAIR MEMORIAL HOSPITAL ,1000 BOWER HILL ROAD ,,PITTSBURGH ,PA ,15243 ,ALLEGHENY ,,,,,,,,,,293,107098,13567,1173,60461,,1674,,3233,240,16317,,169,,42,,841,176 390231,01-JUL-15,30-JUN-16,Amended,ABINGTON MEMORIAL HOSPITAL ,1200 OLD YORK ROAD ,,ABINGTON ,PA ,19001 ,,11235826,,,1180639,,,.0588,4584853,1702925,562,199463,40940,10355,128454,156.71,3470.54,,8572,1464,26680,2247,,,61,25,408,402 390233,01-JUL-15,30-JUN-16,As Submitted,HANOVER HOSPITAL INC. ,300 HIGHLAND AVENUE ,,HANOVER ,PA ,17331- ,YORK ,,,,,,,,,,93,34038,11083,404,23785,,969.06,,2506,91,6351,535,,,,,, 390236,01-JUL-15,30-JUN-16,As Submitted,GUTHRIE TOWANDA MEMORIAL HOSPITAL ,91 HOSPITAL DRIVE ,,TOWANDA ,PA ,18848 ,BRADFORD ,,,,,,,,,,35,12810,2447,63,4239,,268.7,,360,17,683,44,,,,,, 390237,01-JUL-15,30-JUN-16,As Submitted,REGIONAL HOSPITAL OF SCRANTON ,746 JEFFERSON AVENUE ,,SCRANTON ,PA ,18501- ,LACKAWANNA ,1097152,,,,,,,848586,263984,186,68076,24503,557,42333,9.75,847.26,,4573,705,8543,,,,,,, 390256,01-JUL-15,30-JUN-16,Amended,MILTON S. HERSHEY MEDICAL CENTER ,500 UNIVERSITY DRIVE ,,HERSHEY ,PA ,17033 ,DAUPHIN ,18700395,,,3502607,,,.1948,6690675,5255657,541,198024,37696,15032,166242,560.4,6828.38,,6464,824,28469,4929,,,,,, 390258,01-JUL-15,30-JUN-16,As Submitted,ST. MARY MEDICAL CENTER ,1201 LANGHORNE NEWTOWN RD ,,LANGHORNE ,PA ,19047 ,BUCKS ,,,,506070,,,.0311,,,306,111996,33110,3436,93100,,2046,,7190,731,24379,,,,,,, 390263,01-JUL-15,30-JUN-16,As Submitted,MUHLENBERG HOSPITAL CENTER ,2100 MACK BOULEVARD ,4000 ,ALLENTOWN ,PA ,18105-4000 ,LEHIGH ,4897970,,,,,,,2642793,1038556,195,71370,24322,1660,44582,60.11,1357.96,,4560,330,9605,585,,,,,, 390265,01-JUL-15,30-JUN-16,As Submitted,JEFFERSON REGIONAL MEDICAL CENTER ,565 COAL VALLEY ROAD ,,PITTSBURGH ,PA ,15236-0119 ,ALLEGHENY ,,,,,,,,,,286,104676,11303,1160,53601,,1394.5,,2604,217,13092,924,1,,47,5,857,514 390266,01-JUL-15,30-JUN-16,As Submitted,GROVE CITY MEDICAL CENTER ,631 NORTH BROAD ST EXT ,,GROVE CITY ,PA ,16127- ,MERCER ,,,,,,,,,,90,32940,2122,138,5792,,342,,595,19,1573,87,,,,,, 390267,01-JUL-15,30-JUN-16,As Submitted,FORBES REGIONAL HOSPITAL ,2570 HAYMAKER ROAD ,,MONROEVILLE ,PA ,15146- ,ALLEGHENY ,1498654,,,,,,,1820920,387867,216,79056,12144,2072,52307,42,1260,,2611,217,11972,930,426,,66,10,1158,598 390268,01-JUL-15,30-JUN-16,As Submitted,MOUNT NITTANY MEDICAL CENTER ,1800 EAST PARK AVENUE ,,STATE COLLEGE ,PA ,16803-6797 ,CENTRE ,428984,,,,,,,280935,111063,248,90768,16690,792,51881,5.54,1690.35,,3879,201,13652,1929,,,30,,476, 390270,01-JUL-15,30-JUN-16,As Submitted,GEISINGER WYOMING VALLEY MED CTR ,1000 EAST MOUNTAIN DRIVE ,,WILKES BARRE ,PA ,18702 ,LUZERNE ,3885467,,,1478388,,,.135,1190154,951547,256,93634,24570,4113,68851,46.88,1686.4,,5340,540,16839,3294,,,,3,,573 390272,01-SEP-15,31-AUG-16,As Submitted,VALLEY FORGE MEDICAL CENTER ,1033 WEST GERMANTOWN PIKE ,,NORRISTOWN ,PA ,19403-3905 ,MONTGOMERY ,,,,38883,,,.12,,,50,18300,2004,189,17085,,145.2,,310,14,1579,830,,,,,, 390278,01-JUL-15,30-JUN-16,As Submitted,EAGLEVILLE HOSPITAL ,100 EAGLEVILLE ROAD ,,EAGLEVILLE ,PA ,19403 ,MONTGOMERY ,,,,89919,,,.12,,,49,17885,3825,6707,10532,,193.74,,604,1018,1961,,,,385,,729, 390290,01-JAN-15,31-DEC-15,Amended,HAHNEMANN UNIVERSITY HOSPITAL ,BROAD & VINE ,,PHILADELPHIA ,PA ,19102 ,PHILADELPHIA ,14747997,,,3481735,,,.3874,12960280,2970325,421,153622,25313,8859,93673,395.85,1306.98,,3844,1204,16868,5687,414,,76,,714, 390304,01-JAN-15,31-DEC-15,Amended,ROXBOROUGH MEMORIAL HOSPITAL ,5800 RIDGE AVENUE ,,PHILADELPHIA ,PA ,19128 ,PHILADELPHIA ,1505783,,,276932,,,.0978,1222238,165901,99,36135,5727,559,14058,28.77,485.86,,1341,268,3709,463,,,,1,633,86 390307,01-JAN-15,31-DEC-15,As Submitted,EDGEWOOD SURGICAL HOSPITAL ,239 EDGEWOOD DRIVE EXTENSION ,,TRANSFER ,PA ,16154 ,MERCER ,,,,4851,,,.0481,,,10,3650,106,,365,,38.41,,40,,147,19,,,,,, 390312,01-JUL-15,30-JUN-16,As Submitted,EASTERN REGIONAL MEDICAL CENTER ,1331 EAST WYOMING AVE ,,PHILADELPHIA ,PA ,19124 ,PHILADELPHIA ,,,,,,,,,,74,27084,1182,,9018,,779.53,,182,,1000,,,,,,, 390314,01-JAN-15,31-DEC-15,Settled,COORDINATED HEALTH ORTHOPEDIC HOSP ,2310 HIGHLAND AVENUE ,,BETHLEHEM ,PA ,18017 ,NORTHHAMPTON ,,,,,,,,,,20,7300,1212,,2666,,84.29,,481,,1129,15,,,,,, 390316,01-JAN-15,31-DEC-15,Settled,SURGICAL INSTITUTE OF READING ,2752 CENTURY BLVD ,,WYOMISSING ,PA ,19610- ,BERKS ,,,,,,,,,,15,5475,574,,1551,,113.42,,252,,742,16,,,,,, 390321,01-JAN-15,31-DEC-15,As Submitted,COORDINATED HOSPITAL OF ALLENTOWN ,1503 N CEDAR CREST BLVD ,,ALLENTOWN ,PA ,18104 ,NORTHHAMPTON ,133524,,,,,,,13007,35735,20,7300,871,18,2218,1,499.06,,372,10,1024,,,,,,, 390322,01-JAN-15,31-DEC-15,Settled,ROTHMAN ORTHOPAEDIC SPECIALTY HOSPI ,3300 TILLMAN DRIVE ,,BENSALEM ,PA ,19020- ,BUCKS ,,,,,,,,,,24,8760,708,,2107,,111.7,,530,,1662,,,,,,, 390323,01-JAN-15,31-DEC-15,Settled,ADVANCED SURGICAL HOSPITAL ,100 TRICH DRIVE ,,WASHINGTON ,PA ,15301 ,WASHINGTON ,,,,,,,,,,14,5110,328,,1483,,77.43,,119,,532,,,,,,, 390324,01-NOV-14,31-OCT-15,As Submitted,PHYSICIANS CARE SURGICAL HOSPITAL ,454 ENTERPRISE DRIVE ,,ROYERSFORD ,PA ,19468 ,MONTGOMERY ,,,,,,,,,,12,4380,421,,1230,,69.06,,264,,856,,,,,,, 390325,01-JUL-15,30-JUN-16,As Submitted,OSS ORTHOPAEDIC HOSPITAL ,1861 POWDER MILL ROAD ,,YORK ,PA ,17402 ,YORK ,,,,,,,,,,30,10980,1303,,3868,,484.31,,506,,1622,70,,,,,, 390326,01-JUL-15,30-JUN-16,Amended,ST LUKE HOSPITAL ANDERSON CAMPUS ,1872 ST LUKES BOULEVARD ,,EASTON ,PA ,18045 ,NORTHHAMPTON ,82541,,,,,,,17704,17296,78,28548,13835,535,25628,,577.68,,3059,133,6450,,,,,,, 390327,01-JUL-15,30-JUN-16,As Submitted,WELLSPAN SURGERY AND REHAB HOSPITAL ,45 MONUMENT DRIVE SUITE 200 ,,YORK ,PA ,17403 ,YORK ,,,,,,,,,,25,9150,421,,1432,,173.75,,207,2,738,70,,,,24,,1117 390328,01-JUL-15,30-JUN-16,Amended,UPMC EAST HOSPITAL ,2775 MOSSIDE BLVD ,,MONROEVILLE ,PA ,15146 ,ALLEGHENY ,,,,,,,,,,136,49368,9093,605,31301,,681.69,,2241,132,7159,599,,,,11,,455 390329,01-JUL-15,30-JUN-16,As Submitted,EINSTEIN MEDICAL CENTER MONTGOMERY ,559 WEST GERMANTOWN PIKE ,,EAST NORRITON ,PA ,19403 ,MONTGOMERY ,95223,,,784416,,,.1206,,,170,62022,13049,2871,44647,,983.48,,2841,703,11836,2282,,,,,, 391300,01-JUL-15,30-JUN-16,As Submitted,JERSEY SHORE HOSPITAL ,1020 THOMPSON STREET ,,JERSEY SHORE ,PA ,17745 ,LYCOMING ,,,,,,,,,,25,9150,1206,132,2803,,196.46,,282,48,758,,,,,,, 391301,01-JUL-15,30-JUN-16,As Submitted,MUNCY VALLEY HOSPITAL ,215 EAST WATER STREET ,,MUNCY ,PA ,17756- ,LYCOMING ,,,,,,,,,,20,7320,3082,6,4102,,124.76,,267,3,471,21,,,,,, 391302,01-JUL-15,30-JUN-16,Amended,MEYERSDALE COMMUNITY HOSPITAL ,200 HOSPITAL DRIVE ,,MEYERSDALE ,PA ,15552 ,SOMERSET ,,,,,,,,,,20,7300,730,7,1662,,105.51,,88,1,196,,,,,,, 391303,01-JUL-15,30-JUN-16,As Submitted,FULTON COUNTY MEDICAL CENTER ,214 PEACH ORCHARD ROAD ,,MCCONNELLSBURG ,PA ,17233 ,FULTON ,,,,,,,,,,21,7686,2650,28,3694,,299.2,,441,7,652,33,,,,,, 391304,01-JUL-15,30-JUN-16,As Submitted,BUCKTAIL MEDICAL CENTER ,1001 PINE STREET ,,RENOVO ,PA ,17764 ,CLINTON ,,,,,,,,,,21,7665,755,,1098,,47.74,,27,,44,1,,,,,, 391305,01-JUL-15,30-JUN-16,As Submitted,TROY COMMUNITY HOSPITAL ,275 GUTHRIE DRIVE ,,TROY ,PA ,16947 ,BRADFORD ,,,,,,,,,,25,9150,3468,1184,6519,,114,,403,47,656,,,,,,, 391306,01-JAN-15,31-DEC-15,Settled,ENDLESS MOUNTAINS HEALTH SYSTEMS ,100 HOSPITAL DRIVE ,,MONTROSE ,PA ,18801 ,SUSQUEHANNA ,,,,,,,,,,25,9125,2069,8,3382,,198.71,,433,3,763,61,,,,,, 391307,01-JUL-15,30-JUN-16,As Submitted,TYRONE HOSPITAL ,ONE HOSPITAL DRIVE ,,TYRONE ,PA ,16686 ,BLAIR ,,,,,,,,,,25,9150,606,21,1857,,170.95,,274,7,835,76,,,,,, 391308,01-JUL-15,30-JUN-16,As Submitted,CORRY MEMORIAL HOSPITAL ,965 SHAMROCK LANE ,,CORRY ,PA ,16407- ,ERIE ,,,,,,,,,,20,7320,1564,10,2520,,162.67,,231,3,449,55,,,,,, 391309,01-JUL-15,30-JUN-16,As Submitted,BARNES-KASSON COUNTY HOSPITAL ,2872 TURNPIKE STREET ,,SUSQUEHANNA ,PA ,18847 ,SUSQUEHANNA ,,,,,,,,,,25,9150,2605,199,3513,,159.43,,520,67,772,,,,,,, 391312,01-JUL-15,30-JUN-16,As Submitted,BROOKVILLE HOSPITAL ,100 HOSPITAL ROAD ,,BROOKVILLE ,PA ,15825 ,JEFFERSON ,,,,,,,,,,24,8784,2604,9,3922,,155.56,,431,3,698,27,25,,,,218, 391313,01-JUL-15,30-JUN-16,As Submitted,CHARLES COLE MEMORIAL HOSPITAL ,1001 EAST 2ND STREET ,20 ,COUDERSPORT ,PA ,16915 ,POTTER ,,,,,,,,,,25,9150,2648,418,5799,,421.92,,699,35,1560,202,,,,,139, 391314,11-DEC-14,30-JUN-15,Settled w/Audit,TITUSVILLE AREA HOSPITAL ,406 WEST OAK STREET ,,TITUSVILLE ,PA ,16354 ,CRAWFORD ,,,,,,,,,,25,5025,1607,4,2390,,206.62,,270,2,448,19,,,,,, 391314,01-JUL-15,30-JUN-16,As Submitted,TITUSVILLE AREA HOSPITAL ,406 WEST OAK STREET ,,TITUSVILLE ,PA ,16354 ,CRAWFORD ,,,,,,,,,,25,9150,2698,31,4023,,211.52,,438,10,763,64,,,,,, 392024,01-JAN-15,31-DEC-15,Settled,LIFECARE HOSPITAL OF PITTSBURGH ,225 PENNSYLVANIA AVE. ,,PITTSBURGH ,PA ,15221 ,ALLEGHENY ,,,,,,,,,,147,71491,22214,,33966,,278.23,,834,,1363,,,,,,, 392025,03-NOV-14,31-AUG-15,Settled,POST ACUTE MEDICAL AT NANTICOKE ,575 NORTH RIVER STREET ,,WILKES-BARE ,PA ,18764 ,LUZERNE ,,,,,,,,,,66,19932,7771,,10119,,109.52,,305,,393,,,,,,, 392025,01-SEP-15,31-AUG-16,As Submitted,POST ACUTE MEDICAL AT NANTICOKE ,575 NORTH RIVER STREET ,,WILKES-BARE ,PA ,18764 ,LUZERNE ,,,,,,,,,,66,24156,11438,,14242,,138.36,,442,,556,,,,,,, 392027,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL PHILADELPHIA ,6129 PALMETTO STREET ,,PHILADELPHIA ,PA ,19111 ,PHILADELPHIA ,,,,,,,,,,109,39894,15812,1228,20424,,240.2,,644,29,844,4,,,,,, 392028,01-SEP-15,30-SEP-16,As Submitted,KINDRED HOSPITAL PITTSBURGH ,7777 STEUBENVILLE PIKE ,,OAKDALE ,PA ,15071 ,ALLEGHENY ,,,,,,,,,,63,24948,5886,,9677,,102.1,,233,,384,1,,,,,, 392031,01-MAY-15,30-APR-16,Settled,SSH - JOHNSTOWN INC. ,320 MAIN STREET ,,JOHNSTOWN ,PA ,15901 ,CAMBRIA ,,,,,,,,,,39,14274,8185,,11606,,107.02,,306,,451,,,,,,, 392033,01-JUL-15,30-JUN-16,As Submitted,GOOD SHEPHERD SPECIALTY HOSPITAL ,2445 SHOENERSVILLE ROAD ,,BETHLEHEM ,PA ,18017-7384 ,LEHIGH ,,,,,,,,,,32,11712,6036,,9036,,81.27,,217,,347,,,,,,, 392036,01-APR-15,31-MAR-16,Settled,SSH - LAUREL HIGHLANDS INC ,ONE MELLON WAY 3RD FLOOR ,,LATROBE ,PA ,15650 ,WESTMORELAND ,,,,,,,,,,40,14640,4970,,8503,,82.45,,196,,322,,,,,,, 392037,01-JUN-15,31-MAY-16,Settled,SSH - ERIE ,252 WEST 11TH STREET ,,ERIE ,PA ,16501 ,ERIE ,,,,,,,,,,50,18300,6565,,9576,,88.33,,261,,376,4,,,,,, 392038,01-SEP-15,31-AUG-16,As Submitted,LIFECARE HOSPITAL OF MECHANICSBURG ,4950 WILSON LANE ,,MECHANICSBURG ,PA ,17055 ,CUMBERLAND ,,,,,,,,,,68,24888,6489,,8654,,84.65,,251,,334,,,,,,, 392039,01-FEB-15,31-JAN-16,Settled,SSH - CENTRAL PA ,503 NORTH 21ST STREET ,,CAMPHILL ,PA ,17011 ,CUMBERLAND ,,,,,,,,,,92,33580,17379,,26627,,238.59,,679,,991,,,,,,, 392041,01-SEP-15,31-AUG-16,As Submitted,LIFECARE HOSPITAL OF MONROEVILLE ,2380 MCGINLEY ROAD ,,MONROEVILLE ,PA ,15146 ,ALLEGHENY ,,,,,,,,,,87,31842,7045,,10932,,93.43,,282,,431,,,,,,, 392043,01-SEP-15,30-SEP-16,As Submitted,KINDRED HOSPITAL AT HERITAGE VALLEY ,1000 DUTCH RIDGE ROAD FLOOR 2 ,,BEAVER ,PA ,15009 ,BEAVER ,,,,,,,,,,35,13860,4116,245,7689,,62.8,,162,5,305,,,,,,, 392044,01-JUL-15,30-JUN-16,Settled,SSH - PITTSBURGH / UPMC ,200 LOTHROP STREET MUH E824 ,,PITTSBURGH ,PA ,15213 ,ALLEGHENY ,,,,,,,,,,32,11712,4471,,9070,,86.01,,162,,298,,,,,,, 392045,01-SEP-15,31-AUG-16,As Submitted,SSH - MCKEESPORT ,1500 FIFTH AVE CRAWFORD 6TH FLOOR ,,MCKEESPORT ,PA ,15132 ,ALLEGHENY ,,,,,,,,,,30,10980,4606,,7005,,67.59,,174,,238,,,,,,, 392046,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL SOUTH PHILADELPHIA ,1930 S. BROAD ST. ,,PHILADELPHIA ,PA ,19145 ,PHILADELPHIA ,,,,,,,,,,58,21228,7062,30,9767,,104.9,,267,2,363,4,,,,,, 392047,01-FEB-15,31-JAN-16,As Submitted,SSH - DANVILLE ,100 NORTH ACADEMY AVENUE ,,DANVILLE ,PA ,17822 ,MONTOUR ,,,,,,,,,,30,10950,6240,,8790,,70.92,,229,,306,,,,,,, 392048,01-APR-15,31-MAR-16,As Submitted,LIFECARE HOSPITALS OF CHESTER COUNTY ,400 EAST MARSHALL ST. ,,WEST CHESTER ,PA ,19380- ,CHESTER COUNTY ,,,,,,,,,,39,14274,8495,,9328,,75.22,,322,,361,,,,,,, 392050,01-JUL-15,30-JUN-16,Settled,GOOD SHEPHERD PENN PARTNERS ,1800 LOMBARD STREET ,,PHILADELPHIA ,PA ,19146 ,PHILADELPHIA ,,,,,,,,,,38,13908,5106,,7750,,572.1,,159,,276,,,,,,, 393025,01-JUL-15,30-JUN-16,As Submitted,BRYN MAWR REHABILITATION HOSPITAL ,414 PAOLI PIKE ,,MALVERN ,PA ,19355-3300 ,CHESTER ,,,,,,,,,5,148,54168,15007,744,34869,.83,487.62,,1035,36,2144,18,,,,,, 393026,01-JUL-15,30-JUN-16,As Submitted,HEALTHSOUTH READING REHABILITATION H ,1623 MORGANTOWN ROAD ,,READING ,PA ,19607 ,BERKS ,,,,,,,,,,60,21960,10987,201,14717,,154.45,,869,13,1161,33,,,,,, 393027,01-JUL-15,30-JUN-16,As Submitted,HEALTHSOUTH HARMARVILLE REHABILITATI ,320 GUYS RUN ROAD ,,PITTSBURGH ,PA ,15238 ,ALLEGHENY ,,,,,,,,,,162,59292,12250,464,23651,,233.75,,823,26,1518,83,,,,,, 393030,01-JUL-15,30-JUN-16,As Submitted,ALLIED SERVICES REHAB. HOSPT. ,475 MORGAN HIGHWAY ,PO BOX 1103 ,SCRANTON ,PA ,18501 ,LACKAWANNA ,,,,,,,,,,82,30012,12667,731,17151,,319.45,,1186,45,1586,,,,,,, 393031,01-JUL-15,30-JUN-16,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,175 LANCASTER BOULEVARD ,,MECHANICSBURG ,PA ,17055 ,CUMBERLAND ,,,,,,,,,,75,27450,10883,72,15607,,159.11,,910,4,1301,39,,,,,, 393035,01-JUL-15,30-JUN-16,Settled,GOOD SHEPHERD REHABILITATION HOSPITA ,850 S. 5TH STREET ,,ALLENTOWN ,PA ,18103-3295 ,LEHIGH ,,,,,,,,,,106,38796,12398,858,26487,,767.48,,765,32,1407,182,,,,,, 393036,01-JUL-15,30-JUN-16,Settled,JOHN HEINZ INSTIT. OF REHAB MEDICIN ,150 MUNDY ST ,PO BOX 2096 ,WILKES-BARRE ,PA ,18436 ,LUZERNE ,,,,,,,,,,67,24522,12817,491,17082,,329,,1028,31,1342,,,,,,, 393037,01-JUL-15,30-JUN-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1850 NORMANDIE DRIVE ,,YORK ,PA ,17404 ,YORK ,,,,,,,,,,90,32940,17659,235,22467,,213.27,,1331,13,1710,37,,,,,, 393038,01-JUL-15,30-JUN-16,As Submitted,MAGEE REHABILITATION HOSPITAL ,1513 RACE STREET ,,PHILADELPHIA ,PA ,19102- ,PHILADELPHIA ,,,,,,,,,1963,96,35136,7631,1440,25538,5.85,460.79,,325,48,965,156,,,,,, 393039,01-JUL-15,30-JUN-16,Amended,HEALTHSOUTH NITTANY VALLEY REHABILIT ,550 WEST COLLEGE AVENUE ,,PLEASANT GAP ,PA ,16823-0000 ,CENTRE ,,,,,,,,,,73,26718,10077,215,16450,,165.94,,821,18,1352,55,,,,,, 393040,01-JUL-15,30-JUN-16,As Submitted,HEALTHSOUTH REHAB HOSPITAL OF ALTOON ,2005 VALLEY VIEW BLVD ,,ALTOONA ,PA ,16602 ,BLAIR ,,,,,,,,,,80,29280,15244,248,24984,,249.97,,1044,16,1783,101,,,,,, 393045,01-JUL-15,30-JUN-16,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,303 CAMP MEETING RD ,,SEWICKLEY ,PA ,15143- ,ALLEGHENY ,,,,,,,,,,44,16104,7041,131,12906,,106.56,,490,10,866,33,,,,,, 393046,01-JUL-15,30-JUN-16,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,143 EAST 2ND STREET ,,ERIE ,PA ,16504 ,ERIE ,,,,,,,,,,100,36600,10782,240,15142,,141.21,,935,18,1320,73,,,,,, 393047,01-JUL-15,30-JUN-16,As Submitted,GEISINGER HEALTHSOUTH REHABILITATION ,2 REHAB LANE ,,DANVILLE ,PA ,17821 ,MONTOUR ,,,,,,,,,,42,15372,5456,224,10802,,168.7,,456,11,862,59,,,,,, 393053,01-JUN-15,31-MAY-16,As Submitted,PENN STATE HERSHEY REHABILITATION LL ,1135 OLD WEST CHOCOLATE AVENUE ,,HUMMELSTOWN ,PA ,17036 ,DAUPHIN ,,,,,,,,,,76,27816,7042,357,18068,3.67,211.39,,548,19,1165,71,,,,,, 393054,01-JUL-15,30-JUN-16,As Submitted,LANCASTER REHABILITATION HOSPITAL ,675 GOOD DRIVE ,,LANCASTER ,PA ,17601 ,LANCASTER ,,,,,,,,,,59,21594,11765,498,19691,,184.2,,845,24,1357,48,,,,,, 393055,01-JAN-15,31-DEC-15,As Submitted,ST. MARY REHABILITATION HOSPITAL ,1200 LANGHORNE-NEWTOWN ROAD ,,LANGHORNE ,PA ,19407 ,BUCKS ,,,,,,,,,,50,18250,8742,207,13766,,144.5,,702,16,1092,16,,,,,, 393056,11-MAR-15,30-JUN-15,Settled,HELEN M. SIMPSON REHABILITATION HOSP ,4300 LONDONDERRY ROAD ,,HARRISBURG ,PA ,17109 ,DAUPHIN ,,,,,,,,,,55,6160,1645,,3605,,44.76,,129,,267,,,,,,, 393056,01-JUL-15,30-JUN-16,Settled,HELEN M. SIMPSON REHABILITATION HOSP ,4300 LONDONDERRY ROAD ,,HARRISBURG ,PA ,17109 ,DAUPHIN ,,,,,,,,,,55,20130,7363,77,10836,,84.32,,518,6,748,26,,,,,, 393302,01-JUL-15,30-JUN-16,As Submitted,CHILDRENS HOSPITAL OF PGH OF UPMC ,45TH ST. AND PENN AVENUE ,,PITTSBURGH ,PA ,15224 ,ALLEGHENY ,,,,,,,,,8826,315,113102,584,2610,80490,262.68,2625.49,,86,230,12558,8372,,,,,, 393303,01-JUL-15,30-JUN-16,As Submitted,THE CHILDRENS HOSPITAL OF PHILADELP ,34TH STREET & CIVIC CENTER BLVD ,,PHILADELPHIA ,PA ,19104 ,PHILADELPHIA ,,,,,,,,,454,520,190320,634,10781,159004,404.29,8263,,107,548,22064,8253,,,,,, 393307,01-JAN-15,31-DEC-15,Settled,ST CHRISTOPHERS HOSPITAL FOR CHILDR ,ERIE AVENUE AT FRONT STREET ,,PHILADELPHIA ,PA ,19134 ,PHILADELPHIA ,,,,,,,,,18966,189,68985,56,2710,41623,172.07,943,,11,389,9149,7157,,,,,, 393308,01-JUL-15,30-JUN-16,As Submitted,THE CHILDRENS INSTITUTE ,6301 NORTHUMBERLAND STREET ,,PITTSBURGH ,PA ,15217 ,ALLEGHENY ,,,,,,,,,,62,22692,741,54,6889,,465.32,,15,2,277,,,,,,, 393309,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITAL FOR CHILDREN PHILA ,3551 N. BROAD STREET ,,PHILADELPHIA ,PA ,19140 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 394001,01-JUL-15,30-JUN-16,As Submitted,NORRISTOWN STATE HOSPITAL ,1001 STERIGERE STREET ,,NORRISTOWN ,PA ,19401 ,MONTGOMERY ,,,,,,,,,,266,97219,90,5637,91579,,599,,1,7,110,,,,,,, 394004,01-JUL-15,30-JUN-16,Settled,DANVILLE STATE ,200 STATE HOSPITAL DRIVE ,,DANVILLE ,PA ,17821-9198 ,MONTOUR ,,,,,,,,,,161,60105,273,10408,57964,,381,,5,18,82,,,,,,, 394007,01-JUL-15,30-JUN-16,As Submitted,KIRKBRIDE CENTER ,111 NORTH 49TH STREET ,,PHILADELPHIA ,PA ,19139 ,PHILADELPHIA ,,,,,,,,,,247,90180,287,463,77117,,310,,34,46,674,,,,,,, 394008,01-JAN-15,31-DEC-15,Settled,FRIENDS BEHAVIORAL HEALTH SYSTEM ,4641 ROOSEVELT BLVD ,,PHILADELPHIA ,PA ,19124-2399 ,PHILADELPHIA ,,,,,,,,,,192,70080,10214,7911,65750,6.38,415.4,,708,776,5710,,,,,,, 394012,01-JUL-15,30-JUN-16,As Submitted,CLARKS SUMMIT STATE HOSPITAL ,1451 HILLSIDE DRIVE ,,CLARKS SUMMIT ,PA ,18411-9505 ,LACKAWANNA ,,,,,,,,,,210,76860,531,15029,70730,,415,,13,10,78,,,,,,, 394014,01-JUL-15,30-JUN-16,As Submitted,WERNERSVILLE STATE HOSPITAL ,160 MAIN STREET ,,WERNERSVILLE ,PA ,19565 ,BERKS ,,,,,,,,,,266,97090,117,15509,91333,,608,,2,10,75,,,,,,, 394016,01-JUL-15,30-JUN-16,Settled,WARREN STATE HOSPITAL ,33 MAIN DRIVE ,,WARREN ,PA ,16365 ,WARREN ,,,,,,,,,,152,57874,706,8553,51858,,394.6,,16,13,92,,,,,,, 394020,01-JUL-15,30-JUN-16,Settled,PHILHAVEN ,283 SOUTH BUTLER ROAD ,550 ,MT GRETNA ,PA ,17064-0550 ,LEBANON ,,,,,,,,,,103,37595,1883,,34298,,922.37,,167,,2462,,,,,,, 394023,01-JUL-15,30-JUN-16,As Submitted,BELMONT BEHAVIORAL HEALTHCARE ,4200 MONUMENT ROAD ,,PHILADELPHIA ,PA ,19131 ,PHILADELPHIA ,,,,,,,,,48461,147,53802,6019,128,49788,10.41,405.34,,512,14,4096,734,,,,,, 394026,01-JUL-15,30-JUN-16,As Submitted,TORRANCE STATE ,SR 1014 ,111 ,TORRANCE ,PA ,15779-0111 ,WESTMORELAND ,,,,,,,,,,364,126344,592,11878,100524,,691,,13,7,268,,,,,,, 394027,01-JUL-15,30-JUN-16,As Submitted,FAIRMOUNT HOSPITAL ,361 FAIRTHORNE AVE ,,PHILADELPHIA ,PA ,19128 ,PHILADELPHIA ,,,,,,,,,,172,62952,5936,3594,58621,,412.1,,418,235,4482,,,,,,, 394033,01-JUL-15,30-JUN-16,As Submitted,MONTGOMERY CNTY EMERGENCY SRV. INC. ,50 BEECH DRIVE ,,NORRISTOWN ,PA ,19401 ,MONTGOMERY ,,,,,,,,,,73,26718,3829,1157,17822,,189.14,,302,111,1489,,,,,,, 394034,01-JUL-15,30-JUN-16,As Submitted,THE HORSHAM CLINIC ,WESLH ROAD & BUTLER PIKE ,,AMBLER ,PA ,19002 ,MONTGOMERY ,,,,,,,,,,206,75396,5876,5263,69959,,376.1,,446,599,5937,,,,,,, 394038,01-JUL-15,30-JUN-16,Settled,FOUNDATIONS BEHAVIORAL HEALTH ,833 BUTLER AVE ,,DOYLESTOWN ,PA ,18901 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 394039,01-JUL-15,30-JUN-16,As Submitted,FIRST HOSPITAL ,562 WYOMING AVENUE ,,KINGSTON ,PA ,18704- ,LUZERNE ,,,,,,,,,,127,46482,4970,24206,39148,,248.79,,455,1782,5173,,,,,,, 394040,01-JUL-15,30-JUN-16,As Submitted,THE MEADOWS HOSPITAL ,1 EARLYSTOWN RD ,,CENTRE HALL ,PA ,16828 ,CENTRE HALL ,,,,,,,,,,101,36966,3692,1214,35475,,199.94,,227,104,2669,,,,,,, 394043,01-JUL-15,30-JUN-16,Settled,CLARION PSYCHIATRIC HOSPITAL ,2 HOSPITAL DRIVE ,,CLARION ,PA ,16214 ,CLARION ,,,,,,,,,,74,27084,3301,1722,25416,,148.54,,206,159,1909,,,,,,, 394048,01-JUL-15,30-JUN-16,As Submitted,DIVINE PROVIDENCE HOSPITAL ,1100 GRAMPIAN BOULEVARD ,,WILLIAMSPORT ,PA ,17701- ,LYCOMING COUNTY ,,,,,,,,,,31,11346,1187,463,5648,,241.54,,144,48,630,219,,,,,, 394049,01-MAR-15,29-FEB-16,Settled,BROOKE GLEN BEHAVIORAL HOSPITAL ,7170 LAFAYETTE AVENUE ,,FORT WASHINGTON ,PA ,19034 ,MONTGOMERY ,,,,,,,,,,146,53436,5943,3098,47657,,254,,387,268,3370,,,,,,, 394050,01-JAN-15,31-DEC-15,Settled,ROXBURY PSYCHIATRIC HOSPITAL ,601 ROXBURY ROAD ,,SHIPPENSBURG ,PA ,17257 ,FRANKLIN ,,,,,,,,,,112,40880,1545,69,34588,,107.83,,110,8,1304,,,,,,, 394051,01-JUL-15,30-JUN-16,As Submitted,PENNSYLVANIA PSYCHIATRIC INSTITUTE ,2501 NORTH THIRD STREET ,,HARRISBURG ,PA ,17110 ,DAUPHIN ,,,,,,,,,,80,29280,2968,1595,21414,,237.2,,215,211,1950,732,,,,,, 394052,01-JAN-15,31-DEC-15,Settled,HAVEN BEHAVIORAL SVCS OF READING LLC ,145 NORTH SIXTH STREET ,,READING ,PA ,19601 ,BERKS ,,,,,,,,,,50,18109,4848,727,15581,,87.9,,330,79,1421,531,,,,,, 394053,01-JAN-15,31-DEC-15,Settled,HAVEN BEHAVIORAL HOSP- PHILADELPHIA ,3301 SCOTTS LANE ,,PHILADELPHIA ,PA ,19129 ,,,,,,,,,,,36,13140,5545,269,9047,,59.2,,394,26,715,43,,,,,, 400001,01-JUL-15,30-JUN-16,As Submitted,ASHFORD PRESBYTERIAN COMMUNITY CORP ,1451 ASHFORD AVE. ,,SAN JUAN ,PR ,00902-0032 ,SAN JUAN ,,,,,,,,,,183,66978,4165,,44349,,804.33,,565,,9307,,,,,,, 400003,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL DR. PILA ,2445 AVE. LAS AMERICAS ,,PONCE ,PR ,00731 ,PONCE ,,,,89444,,,.2038,,,131,47815,3358,13262,35109,,392.15,,426,2897,6663,,,,,,, 400004,01-JUL-15,30-JUN-16,Settled,ASOCIACION HOSPITAL DEL MAESTRO INC ,SERGIO CUEVAS BUSTAMANTE # 550 ,364708 ,SAN JUAN ,PR ,00936 ,SAN JUAN ,,,,,,,,,,197,72102,3337,,27935,,364,,440,,4514,,,,,,, 400005,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL SAN PABLO HUMACAO ,FONT MARTELLO ,639 ,HUMACAO ,PR ,00972 ,HUMACAO ,,,,24578,,,.1034,,,64,23360,1765,4801,18756,,280.39,,226,932,3064,,,,,,, 400006,01-JAN-15,31-DEC-15,As Submitted,DOCTORS CENTER HOSPITAL SAN JUAN I ,1395 SAN RAFAEL ST. PDA. 20 ,11338 ,SAN JUAN ,PR ,00910 ,SAN JUAN ,,,,103168,,,.1644,,,152,55480,3394,12267,37179,,409.12,,449,2209,6280,,,,,,, 400007,01-JAN-15,31-DEC-15,As Submitted,RYDER ,ROAD 30 ,850 ,HUMACAO ,PR ,00792 ,HUMACAO ,,,,62221,,,.1524,,,165,60225,3178,11851,37579,,840.65,,397,2730,6461,,,,,,, 400009,01-JUL-15,30-JUN-16,As Submitted,HOSPITAL SANTA ROSA ,LOS VETERANOS AVENUE ,,GUAYAMA ,PR ,00785 ,,,,,2774,,,.0295,,,39,14274,447,1034,6593,,107,,101,588,1762,,,,,,, 400010,01-OCT-14,30-SEP-15,As Submitted,HOSPITAL GENERAL CASTANER ,ROAD 135 K. 64.2 ,1003 ,CASTANER ,PR ,00631- ,RURAL ,,,,5339,,,.1504,,,24,8760,247,173,1150,,167.06,,49,,258,,,,,,, 400011,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL ORIENTE ,FONT MARTELO # 100 ,699 ,HUMACAO ,PR ,00792 ,HUMACAO ,,,,17402,,,.12,,,71,25915,1220,4854,15478,,217.27,,160,867,2640,,,,,,, 400012,01-JUL-15,30-JUN-16,As Submitted,HOSPITAL I GONZALEZ MARTINEZ ,AREA CENTRO MEDICO ,,RIO PIEDRAS ,PR ,00935 ,RIO PIEDRAS ,,,,8874,,,.0675,,,62,22692,590,1454,6840,,239.5,,87,345,1294,,,,,,, 400013,01-APR-15,31-MAR-16,Amended,HOSPITAL MENONITA DE CAYEY ,CARR 14 KM 1.2 ,373130 ,BARRIO RINCON ,PR ,00737-3130 ,CAYEY ,,,,137523,,,.1529,,,228,83448,5116,18573,59646,,910,,757,5203,11075,,,,,,, 400014,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL BELLA VISTA ,349 KM 2.7 ,,MAYAGUEZ ,PR ,00680 ,MAYAGUEZ ,134676,,,,,,,272190,49834,157,57305,3703,,34216,16.04,725.65,,503,,7140,,,,,,,483 400015,01-JUL-15,30-JUN-16,As Submitted,SAN JUAN MUNICIPAL HOSPITAL ,RIO PIEDRAS STATION ,21405 ,SAN JUAN ,PR ,00928 ,SAN JUAN ,128749,,,125131,,,.4397,165202,10560,172,62707,2051,22633,34391,96,980,,235,3050,5074,,,,,,, 400016,01-OCT-14,30-SEP-15,As Submitted,AUXILIO MUTUO HOSPITAL ,PONCE DE LEON ,191227 ,SAN JUAN ,PR ,00919-1227 ,HATO REY ,8251,,,,,,,,,495,179253,20872,12671,122987,1.63,2265,,2341,2027,17594,1186,,,,,, 400018,01-APR-15,31-MAR-16,Amended,HOSPITAL MENONITA AIBONITO ,JOSE C VAZQUEZ ,POBOX1379 ,AIBONITO ,PR ,00705-1379 ,AIBONITO ,,,,132499,,,.1769,,,150,54900,3824,11277,33374,,739,,702,4022,7827,,,,,,, 400019,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL PAVIA SANTURCE ,ASIA STREET ,,SANTURCE ,PR ,00910 ,SANTURCE ,,,,,,,,,,197,71905,7310,9062,60790,,831.33,,875,,9161,,,,,,, 400021,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL DE LA CONCEPCION ,CARR. #2 KM 173.4 BO CAIN ALTO ,,SAN GERMAN ,PR ,00683 ,SAN GERMAN ,187020,,,117402,,,.1052,380715,54192,167,60955,6050,12606,48838,13.17,729.76,,761,,7847,,,,,,,479 400022,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL DAMAS ,2213 PONCE BY PASS ,,PONCE ,PR ,00717-1318 ,PONCE ,211573,,,124151,,,.1305,614153,118220,209,76285,6042,15408,53346,24.95,754.57,,747,,10800,,,,,,, 400026,01-JUL-15,30-JUN-16,As Submitted,HOSPITAL LAFAYETTE ,SECTOR CUATRO CALLE KM 1 ,207 ,ARROYO ,PR ,00714 ,PUERTO RICO ,,,,,,,,,,28,10248,282,,1785,,103.66,,52,,451,,,,,,, 400032,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL HERMANOS MELENDEZ ,CARR. #2 KM. 11.7 ,306 ,BAYAMON ,PR ,00960 ,BAYAMON ,,,,52246,,,.0888,,,241,87965,3750,12220,51253,,761.9,,494,4332,8738,,,,,,, 400044,01-JAN-15,31-DEC-15,Amended,SAN LUCAS PONCE ,917 AVE TITO CASTRO ,336810 ,PONCE ,PR ,00733-6810 ,PUERTO RICO ,750576,,,309780,,,.1474,2096676,377520,334,121910,9975,29432,95132,84.86,1336,,1423,7135,17695,,,,,,, 400048,01-JAN-15,31-DEC-15,Amended,HOSPITAL EPISCOPAL CRISTO REDENTOR ,AVE PEDRO ALBIZU CAMPOS ,10011 ,GUAYAMA ,PR ,00785 ,PUERTO RICO ,,,,88273,,,.2613,,,115,41975,1741,11215,25069,,320,,335,3728,6528,,,,,,, 400061,01-JUL-15,30-JUN-16,As Submitted,UNIVERSITY DISTRICT HOSPITAL ,BO. MONACILLOS ,,SAN JUAN ,PR ,00922-2116 ,PUERTO RICO ,854544,,,189968,,,.1637,1365691,44242,223,81618,6270,21552,65494,76.35,744.33,,662,3325,8896,,,,,,, 400079,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL BUEN SAMARITANO ,HIGHWAY #2 CAIMITAL BAJO ,,AGUADILLA ,PR ,00605-4055 ,AGUADILLA ,,,,86289,,,.1409,,,147,53655,3558,11040,36623,,490.14,,544,2497,7077,,,,,,, 400087,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL CAYETANO COLL & TOSTE ,AVE. SAN LUCAS #129 ,,ARECIBO ,PR ,00678 ,ARECIBO ,,,,121043,,,.1347,,,178,64970,5847,14816,50415,,573,,803,2967,9069,,,,,,, 400098,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL SAN FRANCISCO ,DE DIEGO AVE. #371 ,,RIO PIEDRAS ,PR ,00923 ,RIO PIEDRAS ,,,,72024,,,.1787,,,148,54020,2764,12907,37173,,492.62,,374,2644,6831,,,,,,, 400102,01-JUL-15,31-DEC-15,As Submitted,DOCTORS CENTER HOSPITAL BAYAMON ,STREET J-9 EXT. HERMANAS DAVILA ,2957 ,BAYAMON ,PR ,00956-2957 ,BAYAMON ,,,,46384,,,.1809,,,146,26864,2288,9400,26864,,249.34,,231,1345,3972,,,,,,, 400103,01-JAN-15,31-DEC-15,As Submitted,MAYAGUEZ MEDICAL CENTER ,410 HOSTOS AVENUE ,,MAYAGUEZ ,PR ,00681-1838 ,MAYAGUEZ ,275715,,,145403,,,.1119,860452,173388,189,68985,7188,15633,58715,31,806.39,,858,2423,9570,,,,,,, 400104,01-APR-15,31-MAR-16,Amended,HOSPITAL MENONITA CAGUAS INC ,ROAD 172 EXIT TO CIDRA ,,CAGUAS ,PR ,00726-4964 ,CAGUAS ,,,,105476,,,.188,,,200,73200,3286,13534,38220,,497,,415,4092,7600,,,,,,, 400105,01-JUL-15,30-JUN-16,As Submitted,BAYAMON REGIONAL HOSPITAL ,LAUREL #100 ,,BAYAMON ,PR ,00956 ,PUERTO RICO ,,,,93175,,,.2718,162456,16278,102,37332,1706,6265,14225,33.78,671,,263,,2675,,,,,,, 400106,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL METROPOLITANO ,21 #1785 ,,RIO PIEDRAS ,PR ,00922 ,RIO PIEDRAS ,,,,,,,,,,132,48180,3151,,32653,,436.33,,387,,5494,,,,,,, 400109,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL HIMA SAN PABLO BAYAMON ,SANTA CRUZ # 70 ,,BAYAMON ,PR ,00959 ,BAYAMON ,,,,,,,,,,421,153712,11945,,109477,,1764,,1298,,15425,,,,,,, 400110,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL METROPOLITANO TITO MATTEI ,#128 KM 1.0 ,,YAUCO ,PR ,00658 ,YAUCO ,,,,34197,,,.12,,,85,31025,1702,7596,18579,,289.91,,296,1875,5668,,,,,,1607, 400111,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL SAN CARLOS BORROMEO ,68 ,,MOCA ,PR ,00676 ,MOCA ,,,,41349,,,.1123,,,106,38690,2217,6298,23611,,366,,365,,4731,,,,,,, 400112,01-JUL-15,30-JUN-16,As Submitted,HOSPITAL UPR ,STREET 3 KM 8.3 65 INFANTERIA AVE. ,,CAROLINA ,PR ,00984 ,CAROLINA ,317322,,,136534,,,.2025,920837,53643,250,91500,3747,20342,54087,54.92,556.37,,629,4436,8875,,,,,,, 400113,01-OCT-14,30-SEP-15,As Submitted,HOSPITAL SAN CRISTOBAL ,509 KM 1 COTTO LAUREL ,,PONCE ,PR ,00980 ,PONCE ,,,,51292,,,.0918,,,138,50370,4531,9774,40403,,384.29,,504,2067,5876,,,,,,, 400114,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL DR. ALEJANDRO OTERO ,CARRETERA ESTATAL 668 ,,MANATI ,PR ,00701 ,MANATI ,161073,,,215363,,,.143,133620,14381,243,88695,8367,23637,77747,14.02,1157.62,,1175,,16030,,,,,,, 400115,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL WILMA N VAZQUEZ ,#2 KM 39.5 ,,VEGA BAJA ,PR ,00693 ,VEGA BAJA ,,,,16522,,,.1337,,,130,47450,896,4151,14184,,330.65,,113,824,2193,,,,,,, 400117,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL DR. SUSONI ,PALMA A 56 ,,ARECIBO ,PR ,00614 ,ARECIBO ,,,,52247,,,.1042,,,134,48910,3908,10106,39340,,482.28,,582,2020,7570,,,,,,, 400118,01-JAN-15,31-DEC-15,As Submitted,DOCTOR CENTER HOSPITAL MANATI INC. ,CARR. #2 ,532 ,MANATI ,PR ,00674 ,MANATI ,,,,165985,,,.1534,,,250,91250,7291,28426,89773,,938.36,,941,6112,15275,,,,,,, 400120,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL HIMA SAN PABLO CAGUAS ,AVE MU ,1744 ,CAGUAS ,PR ,00726 ,CAGUAS ,,,,87609,,,.0497,,,440,160600,10523,22405,119236,,2056.54,,1276,3861,19159,,,,,,, 400122,01-JUL-15,30-JUN-16,As Submitted,PROFESSIONAL HOSPITAL ,AVENIDA LAS CUMBRES ,1609 ,GUAYNABO ,PR ,00970 ,,,,,,,,,,,54,19764,351,,4864,,77.5,,85,,1375,,,,,,, 400123,01-JAN-15,31-DEC-15,As Submitted,METRO MAYAGUEZ ,BASORA ,,MAYAGUEZ ,PR ,00681 ,MAYAGUEZ ,,,,23957,,,.0323,,,154,56210,5066,7949,49328,,519.31,,660,1937,8690,,,,,,, 400124,01-JUL-15,30-JUN-16,As Submitted,HOSPITAL ,CENTRO MEDICO ,366528 ,RIO PIEDRAS ,PR ,00936-6528 ,SAN JUAN ,30553,,,25056,,,.0291,25185,10639,138,50508,4089,5204,33307,3.81,648.57,,443,983,4073,,,,,,, 400125,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL HIMA SAN PABLO FAJARDO ,AVE. GENERAL VALERO ,,FAJARDO ,PR ,00973 ,FAJARDO ,,,,,,,,,,180,65700,2179,2891,22595,,434.53,,288,,3871,,,,,,, 400126,01-JAN-15,31-DEC-15,As Submitted,HOSP. METROPOLITANO DE SAN GERMAN ,JAVILLA #8 ,,SAN GERMAN ,PR ,00683 ,SAN GERMAN ,,,,34216,,,.12,,,82,29930,1748,7096,16830,,249.33,,294,1782,3629,,,,,,, 400127,01-JUL-15,30-JUN-16,As Submitted,ADMIN DE SERVICIOS MEDICOS DE PR ,CENTRO MEDICO ,,SAN JUAN ,PR ,00922-2129 ,SAN JUAN ,,,,8393,,,.12,,,85,31110,808,8373,23855,,1372.66,,65,605,1773,,,,,,, 400128,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL METRO HATO REY INC. ,PONCE DE LEON #435 ,,HATO REY ,PR ,00917 ,HATO REY ,,,,32982,,,.2066,,,111,40515,1224,10133,26593,,351.85,,152,2752,5128,,,,,,2442, 400130,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL METROPOLITANO DE LA MONTANA ,ISAAC GONZALEZ ,,UTUADO ,PR ,00641 ,UTUADO ,,,,1427,,,.12,,,26,9490,84,1256,2862,,105.3,,19,,667,,,,,,1890, 400131,01-JAN-15,31-DEC-15,As Submitted,CARIBBEAN MEDICAL CENTER ,AVE OSVALDO MOLINA #151 ,,FAJARDO ,PR ,00738-7006 ,FAJARDO ,,,,,,,,,,44,16060,761,,16231,,201.98,,113,,3107,,,,,,, 403025,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,PMB #340 ,70344 ,SAN JUAN ,PR ,00936-8344 ,PUERTO RICO ,,,,,,,,,,32,11680,2019,,11482,,104.94,,150,,913,,,,,,, 403026,01-JUN-15,31-MAY-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,CARRETERA #2 KILOMETRO 47.7 ,,MANATI ,PR ,00674 ,PUERTO RICO ,,,,,,,,,,40,14640,2457,,13349,,105.02,,188,,1125,,,,,,, 403301,01-JUL-15,30-JUN-16,As Submitted,PEDIATRIC HOSPITAL ,SOUTH MEDICAL CENTER ,,RIO PIEDRAS ,PR ,00936 ,PUERTO RICO ,,,,,,,,,,140,51240,223,,43262,,480,,31,,4372,,,,,,, 404004,01-JAN-15,31-DEC-15,Settled,FIRST HOSPITAL PANAMERICANO ,STATE ROAD #787 ,,CIDRA ,PR ,00739 ,CAUGUAS ,,,,,,,,,,216,78840,3108,,66051,,427.58,,372,,9213,,,,,,, 404005,01-JAN-15,31-DEC-15,Settled,SAN JUAN CP HOSPITAL ,RR #2 BUZON 11 ,,SAN JUAN ,PR ,00926 ,SAN JUAN ,,,,,,,,,,145,53060,2079,,37430,,289.48,,240,,5707,851,,,,,, 404007,01-JAN-15,31-DEC-15,Settled,HOSPITAL PSIQUIATRICO CABO ROJO ,CALLE MUNOZ RIVERA 108 ,,CABO ROJO ,PR ,00623 ,CABO ROJO ,,,,,,,,,,39,14235,671,,9736,,117.55,,105,,1880,,,,,,, 404008,01-JAN-15,31-DEC-15,Settled,INSPIRA ,CALLE GUADALUPE FINAL 184 ,BOX 9809 ,PONCE ,PR ,00763 ,PONCE ,,,,,,,,,,20,7300,591,,7209,,28.54,,89,,1402,,,,,,, 404009,01-APR-15,31-MAR-16,As Submitted,CENTRO DE SALUD CONDUCTUAL MENONITA ,CARR ESTATAL 14 INTERIOR ,,AIBONITO ,PR ,00705-1379 ,AIBONITO PR ,,,,,,,,,,20,7320,741,,7320,,102,,161,,2692,,,,,,, 410001,01-OCT-14,30-SEP-15,Amended,MEMORIAL HOSPITAL OF RHODE ISLAND ,111 BREWSTER STREET ,,PAWTUCKET ,RI ,02860- ,PROVIDENCE ,3226750,,,565602,,,.1969,3238293,2252647,115,42340,5970,584,16789,71.13,934.68,,1455,1311,5005,,,,,27,,349 410004,01-JAN-15,31-DEC-15,Amended,ROGER WILLIAMS HOSPITAL ,825 CHALKSTONE AVENUE ,,PROVIDENCE ,RI ,02908 ,PROVIDENCE ,4370529,,,1228038,,,.2254,3001088,1636389,148,54020,9483,1285,26249,63.44,885,,2233,264,7006,1733,,,9,,350, 410005,01-JAN-15,31-DEC-15,Amended,OUR LADY OF FATIMA HOSPITAL ,200 HIGH SERVICE AVENUE ,,NORTH PROVIDENCE ,RI ,02904- ,PROVIDENCE ,,,,155367,,,.0405,,,132,48180,6984,423,15835,,863,,1541,85,3738,311,,,116,6,1947,212 410006,01-OCT-14,30-SEP-15,As Submitted,NEWPORT HOSPITAL ,11 FRIENDSHIP STREET ,,NEWPORT ,RI ,02840 ,NEWPORT ,,,,142634,,,.0439,,,102,37230,8015,526,17016,,593.27,,1644,54,4075,879,,,42,3,709,143 410007,01-OCT-14,30-SEP-15,As Submitted,RHODE ISLAND HOSPITAL ,593 EDDY STREET ,,PROVIDENCE ,RI ,02901 ,PROVIDENCE ,29139977,,,5223852,,,.2029,9910348,3673417,617,225205,53729,18962,169489,419.38,6285.54,,9795,1563,32589,,,,180,5,2541,242 410008,01-OCT-14,30-SEP-15,As Submitted,SOUTH COUNTY HOSPITAL ,100 KENYON AVENUE ,,WAKEFIELD ,RI ,02879 ,WASHINGTON ,,,,108774,,,.025,,,91,33215,7280,509,17616,,819.5,,1992,673,5760,,,,,,, 410009,01-OCT-14,30-SEP-15,Amended,KENT COUNTY MEMORIAL HOSPITAL ,455 TOLL GATE ROAD ,,WARWICK ,RI ,02886 ,KENT ,2620711,,,1195476,,,.1219,1767068,504888,323,117895,27775,4996,76082,43.22,1646.74,,4760,520,14180,2589,,,,7,,380 410010,01-OCT-14,30-SEP-15,Amended,WOMEN & INFANTS HOSPITAL ,101 DUDLEY STREET ,,PROVIDENCE ,RI ,02905 ,PROVIDENCE ,181475,,,287145,,,.4664,11761,66006,247,90155,1323,5074,73617,43.18,2225.05,,307,5098,11651,,,,,,, 410011,01-JAN-15,31-DEC-15,As Submitted,LANDMARK MEDICAL CENTER ,115 CASS AVENUE ,,WOONSOCKET ,RI ,02895 ,PROVIDENCE ,,,,436275,,,.0814,,,123,44895,11226,4500,27352,,1401.48,,2391,151,6143,,,,34,,443, 410012,01-OCT-14,30-SEP-15,As Submitted,THE MIRIAM HOSPITAL ,164 SUMMIT AVENUE ,,PROVIDENCE ,RI ,02906 ,PROVIDENCE ,8022165,,,634818,,,.0435,2334882,801731,235,85775,28403,1183,67390,61.09,2292.95,,6720,281,16690,,,,,,, 410013,01-OCT-14,30-SEP-15,As Submitted,THE WESTERLY HOSPITAL ,25 WELLS STREET ,,WESTERLY ,RI ,02891- ,WASHINGTON COUNTY ,,,,,,,,,,89,32485,7496,484,13073,,463,14,1508,133,2898,135,,,,,, 412001,01-JUL-15,30-JUN-16,Settled,ELEANOR SLATER HOSPITAL ,14 HARRINGTON ROAD ,,CRANSTON ,RI ,02920-3080 ,PROVIDENCE ,,,,,,,,,,495,181170,138,,100039,,863.3,,9,,256,,,,,,, 413025,01-JAN-15,31-DEC-15,As Submitted,REHAB HOSP OF RI ,116 EDDIE DOWLING HIGHWAY ,,NORTH SMITHFIELD ,RI ,02896 ,PROVIDENCE ,,,,,,,,,,82,29930,2399,40,4449,,66.32,,199,5,357,,,,,,, 414000,01-OCT-14,30-SEP-15,Settled,BUTLER HOSPITAL ,345 BLACKSTONE BOULEVARD ,,PROVIDENCE ,RI ,02906 ,PROVIDENCE ,,,,,,,,,31901,143,52195,17407,1667,52860,11.75,676.26,,1634,156,6340,,,,,,, 414003,01-OCT-14,30-SEP-15,Settled,EMMA P BRADLEY HOSPITAL ,1011 VETERANS MEMORIAL PARKWAY ,,EAST PROVIDENCE ,RI ,02915-5061 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 420002,01-JUN-15,31-MAY-16,Amended,PIEDMONT MEDICAL CENTER ,222 SOUTH HERLONG AVENUE ,,ROCK HILL ,SC ,29732 ,YORK ,,,,1182351,,,.1259,,,268,98088,23052,5145,62759,,1052,,4877,693,13456,1845,104,,36,,573, 420004,01-JUL-15,30-JUN-16,Amended,MEDICAL UNIVERSITY OF SOUTH CAROLINA ,19 HAGOOD AVE . RM 1003 HARBORVIEW ,MSC 820 ,CHARLESTON ,SC ,29425 ,CHARLESTON ,26729882,,,7673051,,,.3051,5778062,3043744,669,238358,54496,22508,205076,513.2,7023.72,,8557,3022,33781,,,,,,3309, 420005,01-OCT-14,30-SEP-15,Amended,MCLEOD MEDICAL CENTER - DILLON ,301 EAST JACKSON STREET ,1327 ,DILLON ,SC ,29536-1327 ,DILLON ,,,,150866,,,.12,,,60,21900,2873,481,8572,,293,,822,152,2889,867,,,,,, 420007,01-OCT-14,30-SEP-15,Amended,SPARTANBURG REGIONAL MEDICAL CENTER ,101 E WOOD ST ,,SPARTANBURG ,SC ,29303- ,SPARTANBURG ,4232183,,,2202978,,,.1215,2494051,1179716,477,174105,51423,9451,151987,54.69,3451.63,,8794,1300,24985,,,,,,, 420009,01-OCT-14,30-SEP-15,Amended,OCONEE MEMORIAL HOSPITAL ,298 MEMORIAL DRIVE ,,SENECA ,SC ,29672 ,OCONEE ,441896,,,153298,,,.0338,166150,65550,122,44530,12493,795,25485,5.19,719.1,,2635,188,5715,662,,,,,, 420010,01-OCT-14,30-SEP-15,Amended,CAROLINA PINES REGIONAL MEDICAL CENT ,1304 WEST BOBO NEWSOM HWY ,,HARTSVILLE ,SC ,29550 ,DARLINGTON ,,,,631782,,,.1965,,,116,42340,7512,1417,18179,,429.18,,1741,349,4870,1166,,,,,, 420011,01-OCT-14,30-SEP-15,As Submitted,CANNON MEMORIAL HOSPITAL ,123 W.G. ACKER DRIVE ,,PICKENS ,SC ,29671- ,PICKENS ,,,,16026,,,.0339,,,42,15330,1228,53,2916,,197.66,,334,12,789,,,,,,, 420015,01-OCT-14,30-SEP-15,As Submitted,BAPTIST EASLEY HOSPITAL ,200 FLEETWOOD DRIVE ,2129 ,EASLEY ,SC ,29641- ,PICKENS ,,,,251108,,,.12,,,89,32485,4613,460,13393,,652.64,,1154,146,3466,,,,,,, 420016,01-JAN-15,31-DEC-15,As Submitted,SOUTHERN PALMETTO HOSPITAL ,811 REYNOLDS ROAD ,,BARNWELL ,SC ,29812 ,BARNWELL ,,,,12177,,,.098,,,10,3650,824,46,1270,,121.03,,120,14,300,,,,,,, 420018,01-OCT-14,30-SEP-15,As Submitted,PALMETTO RICHLAND ,5 RICHLAND MEDICAL PARK DRIVE ,,COLUMBIA ,SC ,29203-6897 ,RICHLAND ,6969794,,,3903668,,,.2603,4805803,1207374,649,230914,45716,21204,170520,183.08,4235.4,,7043,2280,26439,,,,27,,775, 420019,01-OCT-14,30-SEP-15,As Submitted,CHESTER REGIONAL MEDICAL CENTER ,ONE MEDICAL PARK DRIVE ,,CHESTER ,SC ,29706 ,CHESTER ,,,,74047,,,.1071,,,36,13140,1452,129,3432,,123.91,,489,219,1188,,,,,,, 420020,01-OCT-14,30-SEP-15,Amended,GEORGETOWN MEMORIAL HOSPITAL ,606 BLACK RIVER ROAD ,421718 ,GEORGETOWN ,SC ,29442 ,GEORGETOWN ,,,,577258,,,.1819,,,131,47815,7465,1295,17440,,747.98,,1651,191,4142,847,,,,,, 420023,01-SEP-15,31-AUG-16,As Submitted,ST. FRANCIS HOSPITAL INC ,ONE ST. FRANCIS DRIVE ,,GREENVILLE ,SC ,29601 ,GREENVILLE ,,,,392443,,,.0251,,,319,116754,30738,1864,81640,,2005.16,,6952,488,18324,,,,,,,358 420026,01-JAN-15,31-JAN-16,As Submitted,PROVIDENCE HOSPITAL ,2435 FOREST DIVE ,,COLUMBIA ,SC ,29204 ,RICHLAND ,,,,,,,,,,314,124344,24655,930,50242,,1164,,4928,131,10624,419,,,,,, 420027,01-JAN-15,31-DEC-15,Amended,ANMED HEALTH ,800 NORTH FANT STREET ,,ANDERSON ,SC ,29621- ,ANDERSON ,2147517,,,1180480,,,.0865,1128913,632319,361,131765,33626,4358,81292,32.85,3106.48,,6634,830,18373,,,,,,830, 420030,01-JAN-15,31-DEC-15,Amended,COLLETON MEDICAL CENTER ,501 ROBERTSON ROAD ,,WALTERBORO ,SC ,29488- ,COLLETON ,,,,325910,,,.12,,,102,37230,7619,1109,17591,,347.15,,1592,236,3977,928,,,,3,761,125 420033,01-OCT-14,30-SEP-15,Amended,GHS GREER MEMORIAL HOSPITAL ,830 SOUTH BUNCOMBE ROAD ,,GREER ,SC ,29650- ,GREENVILLE ,167014,,,273173,,,.1293,52035,37833,57,20805,3903,432,12329,3.19,393.4,,1175,165,3615,,,,,,, 420036,01-DEC-14,30-NOV-15,Amended,SPRINGS MEMORIAL HOSPITAL ,800 WEST MEETING STREET ,,LANCASTER ,SC ,29720 ,LANCASTER ,,,,592969,,,.1763,,,166,60590,9185,2189,21476,,507.73,,2035,1080,5323,,,,,10,,198 420037,01-OCT-14,30-SEP-15,Amended,GHS HILLCREST MEMORIAL HOSPITAL ,729 SOUTHEAST MAIN STREET ,,SIMPSONVILLE ,SC ,29681- ,GREENVILLE ,55621,,,,,,,25594,21970,43,15695,2103,139,6349,1.9,256.9,,602,32,1994,,,,,,, 420038,01-OCT-14,30-SEP-15,Amended,GHS LAURENS COUNTY MEMORIAL HOSPITAL ,22725 HIGHWAY 76 EAST ,,CLINTON ,SC ,29235- ,LAURENS ,,,,201075,,,.1064,,,49,17885,4897,585,11401,,316.2,,1085,196,2927,,,,,,, 420039,01-OCT-14,02-AUG-15,As Submitted,WALLACE THOMSON HOSPITAL ,322 WEST SOUTH STREET ,798 ,UNION ,SC ,29379- ,UNION ,,,,63348,,,.0862,,,50,15300,2453,223,5772,,221.54,,573,51,1391,274,,,,,, 420043,01-JAN-15,31-DEC-15,Amended,MARY BLACK HEALTH SYSTEM GAFFNEY ,1530 NORTH LIMESTONE STREET ,,GAFFNEY ,SC ,29340 ,CHEROKEE ,,,,131254,,,.12,,,125,45625,3753,207,9441,,260.88,,715,68,2355,,,,,,, 420048,01-OCT-14,31-OCT-15,As Submitted,KERSHAWHEALTH ,1315 ROBERTS STREET ,,CAMDEN ,SC ,29020- ,KERSHAW ,,,,328130,,,.1029,,,123,48708,9611,599,20315,,739.12,,2025,167,4663,,,,,,, 420049,01-OCT-14,30-SEP-15,As Submitted,CONWAY HOSPITAL ,300 SINGLETON RIDGE ROAD ,829 ,CONWAY ,SC ,29526 ,HORRY ,,,,947134,,,.1586,,,166,60590,14412,1819,35359,,906.07,,3243,772,8547,1029,,,,,, 420051,01-OCT-14,30-SEP-15,Amended,MCLEOD REGIONAL MEDICAL CENTER ,555 EAST CHEVES STREET ,,FLORENCE ,SC ,59506 ,FLORENCE ,1979293,,,4388165,,,.19,754068,277817,467,170455,61873,8289,139045,24.96,3007.76,,10852,830,25538,3554,,,,,, 420053,01-JUL-15,30-JUN-16,As Submitted,NEWBERRY COUNTY MEMORIAL HOSPITAL ,2669 KINARD STREET ,,NEWBERRY ,SC ,29108 ,NEWBERRY ,,,,107132,,,.0874,,,90,32940,3304,287,7512,,364.93,,697,160,1916,,,,,,, 420055,01-OCT-14,30-SEP-15,Amended,MARION COUNTY MEDICAL CENTER ,289 EAST HWY 76 ,,MULLINS ,SC ,29574 ,MARION ,,,,190530,,,.12,,,94,34310,4717,556,10730,,342.55,,1040,164,2445,840,,,,,, 420057,01-OCT-14,30-SEP-15,Amended,MCLEOD MED CTR - DARLINGTON ,701 CASHUA FERRY ROAD ,P.O. BOX ,DARLINGTON ,SC ,29532- ,DARLINGTON ,,,,,,,,,,49,17885,700,856,7824,,86.35,,83,,227,7,5,,,,969, 420065,01-JAN-15,31-DEC-15,Amended,ST. FRANCIS XAVIER BON SECOURS ,2095 HENRY TECKLENBURG DRIVE ,,CHARLESTON ,SC ,29414 ,CHARLESTON ,,,,751984,,,.1362,,,189,68985,11115,2358,38681,,902.45,,2456,497,8841,1287,,,,,, 420066,01-JUL-15,30-JUN-16,As Submitted,LAKE CITY COMMUNITY HOSPITAL ,258 NORTH RON MCNAIR BLVD ,1479 ,LAKE CITY ,SC ,29560 ,FLORENCE ,,,,50332,,,.12,,,26,9516,1462,74,2889,,174.28,,369,21,874,92,,,,,, 420067,01-OCT-14,30-SEP-15,As Submitted,BEAUFORT MEMORIAL HOSPITAL ,955 S. RIBAUT ROAD ,,BEAUFORT ,SC ,29902- ,BEAUFORT ,,,,586130,,,.1104,,,167,60955,16015,2233,38779,,1458.93,,3203,576,8345,,,,6,4,516,219 420068,01-OCT-14,30-SEP-15,As Submitted,THE REGIONAL MEDICAL CENTER ,3000 ST. MATTHEWS ROAD ,,ORANGEBURG ,SC ,29115- ,ORANGEBURG ,,,,1619302,,,.2709,,,251,91615,19328,3218,46510,,1231.9,,3223,637,8886,,,,18,18,324,344 420069,01-OCT-14,30-SEP-15,Amended,CLARENDON MEMORIAL HOSPITAL ,10 HOSPITAL STREET ,550 ,MANNING ,SC ,29102 ,CLARENDON ,,,,157187,,,.12,,,57,20929,5670,650,11894,,494.57,,859,182,1737,,,,,,, 420070,01-OCT-14,30-SEP-15,Amended,TUOMEY REGIONAL MEDICAL CENTER ,129 N. WASHINGTON STREET ,,SUMTER ,SC ,29150 ,SUMTER ,,,,1355749,,,.1981,,,210,76650,22028,3797,50239,,1248.36,,3845,700,9742,,,,,,,380 420071,01-OCT-14,30-SEP-15,Amended,SELF REGIONAL HEALTHCARE ,1325 SPRING STREET ,,GREENWOOD ,SC ,29646- ,GREENWOOD ,1282416,,,1164938,,,.142,1105082,598725,290,105850,21329,3511,54821,30.76,1671.01,,4246,765,11218,2998,,,25,,578, 420072,01-OCT-14,30-SEP-15,As Submitted,HAMPTON REGIONAL MEDICAL CENTER ,503 CAROLINA WEST ,,VARNVILLE ,SC ,29944 ,HAMPTON ,,,,26397,,,.0803,,,32,11680,1165,94,2629,,139.15,,259,25,592,,,,,,, 420073,01-OCT-14,30-SEP-15,Amended,LEXINGTON MEDICAL CENTER ,2720 SUNSET BLVD ,,WEST COLUMBIA ,SC ,29169 ,LEXINGTON ,,,,1283618,,,.075,,,414,151110,49389,5255,121417,,4678,,7718,808,21251,3304,,,,,, 420078,01-OCT-14,30-SEP-15,Amended,GHS GREENVILLE MEMORIAL HOSPITAL ,701 GROVE RD ,,GREENVILLE ,SC ,29605- ,GREENVILLE ,7900098,,,4905189,,,.2216,2949830,1713910,697,254405,51390,22678,205023,180.14,4733.38,,8760,3471,32815,,,,,,1408,783 420079,01-APR-15,31-MAR-16,Amended,TRIDENT REGIONAL MEDICAL CENTER ,9330 MEDICAL PLAZA DRIVE ,,CHARLESTON ,SC ,29418 ,DORCHESTER ,1593020,,,1921896,,,.1205,602067,205984,404,147864,38282,4531,97264,18.77,1675.1,,7923,1171,22665,4948,,,,,952, 420080,01-JAN-15,31-DEC-15,Amended,HILTON HEAD HOSPITAL ,25 HOSPITAL CENTER BLVD ,,HILTON HEAD ISLAND ,SC ,29926 ,BEAUFORT ,,,,,,,,,,93,33945,12252,1449,23262,,376,,3044,250,5875,263,,,,,, 420082,01-JAN-15,31-DEC-15,As Submitted,AIKEN REGIONAL MEDICAL CENTER ,302 UNIVERSITY PARKWAY ,1117 ,AIKEN ,SC ,29801 ,AIKEN ,325144,,,971244,,,.1503,139973,43987,197,56940,17873,5350,45648,4.84,900.97,,3262,696,10045,,,,,,1661, 420083,01-JUL-15,30-JUN-16,Amended,MARY BLACK MEMORIAL HOSPITAL ,1700 SKYLYN DRIVE ,,SPARTANBURG ,SC ,29304 ,SPARTANBURG ,,,,324597,,,.092,,,148,54168,7780,1811,23376,,631.58,,1825,109,5182,,,,3,4,232,304 420085,01-MAY-15,30-APR-16,Amended,GRAND STRAND REGIONAL MEDICAL CENTER ,809 82ND PARKWAY NORTH ,,MYRTLE BEACH ,SC ,29572 ,HORRY ,2568881,,,1020894,,,.0585,,,301,106677,38537,2883,85568,18.97,1125.8,,8174,517,17821,1677,,,,,, 420086,01-OCT-14,30-SEP-15,As Submitted,PALMETTO BAPTIST ,1333 TAYLOR STREET ,,COLUMBIA ,SC ,29202- ,RICHLAND ,,,,1217493,,,.1743,329385,92921,332,121180,24925,5621,74526,,1633.3,,3529,934,11959,,,,54,,1222, 420087,01-JAN-15,31-DEC-15,Amended,ROPER HOSPITAL ,316 CALHOUN ST ,,CHARLESTON ,SC ,29401 ,CHARLESTON ,,,,,,,,,,316,115340,29888,1624,56356,,1524.81,,6182,208,12013,,,,,,,1109 420089,01-JAN-15,31-DEC-15,Amended,EAST COOPER REGIONAL MEDICAL CENTER ,2000 HOSPITAL DRIVE ,,MT. PLEASANT ,SC ,29464 ,CHARLESTON ,,,,,,,,,,130,47450,5664,589,18171,,337.7,,1715,44,5338,266,,,,,, 420091,01-JUL-15,30-JUN-16,Amended,CAROLINAS HOSPITAL SYSTEM ,805 PAMPLICO HIGHWAY ,,FLORENCE ,SC ,29505 ,FLORENCE ,,,,1480832,,,.1583,,,354,129564,26703,3376,56275,,1019.48,,4916,1821,10798,,,,,88,,421 420098,01-OCT-14,30-SEP-15,Amended,WACCAMAW COMMUNITY HOSPITAL ,4070 HIGHWAY 17 BY-PASS ,3350 ,MURRELLS INLET ,SC ,29576 ,GEORGETOWN ,,,,167820,,,.0266,,,124,45260,15325,959,29276,,522.69,,3552,216,6928,900,,,,4,,928 420101,01-JAN-15,31-DEC-15,Amended,COASTAL CAROLINA MEDICAL CENTER ,1000 MEDICAL CENTER DR. ,,HARDEEVILLE ,SC ,29927 ,JASPER ,,,,165349,,,.1131,,,41,14965,3628,1112,9662,,197,,1056,67,2764,384,,,,,, 420102,01-OCT-14,30-SEP-15,Amended,GHS PATEWOOD MEMORIAL HOSPITAL ,175 PATEWOOD DRIVE ,,GREENVILLE ,SC ,29615-3570 ,GREENVILLE ,196072,,,,,,,92368,156719,36,13140,1007,6,2379,18.45,379.7,,499,3,1285,,,,,,, 420103,01-OCT-14,30-SEP-15,As Submitted,PELHAM MEDICAL CENTER ,250 WESTMORELAND ROAD ,,GREER ,SC ,29651-9013 ,SPARTANBURG ,,,,,,,,,,48,17520,3749,191,9379,,318.34,,941,41,2471,,,,,,, 420104,01-JAN-15,31-DEC-15,Amended,ROPER ST. FRANCIS MT PLEASANT HOSPIT ,3500 HIGHWAY 17 NORTH ,,MT. PLEASANT ,SC ,29466 ,CHARLESTON ,,,,30221,,,.0315,,,85,31025,2032,314,6013,,231.91,,544,74,1635,107,,,,,, 420105,01-OCT-14,30-SEP-15,Amended,MCLEOD LORIS SEACOAST HOSPITAL ,3655 MITCHELL STREET ,P.O. BOX ,LORIS ,SC ,29569- ,HORRY ,,,,416531,,,.0993,,,155,56575,10145,643,18725,,612.35,,2357,169,5180,959,,,,,, 420106,01-OCT-14,30-SEP-15,As Submitted,PALMETTO HEALTH BAPTIST PARKRIDGE ,400 PALMETTO HEALTH PARKWAY ,,COLUMBIA ,SC ,29212 ,RICHLAND ,,,,,,,,,,83,30079,6315,241,13550,,462.8,,1297,78,3364,,,,,,, 420107,14-JUL-15,30-SEP-15,As Submitted,MCLEOD HEALTH CHERAW ,HIGHWAY 9 WEST ,,CHERAW ,SC ,29520- ,CHESTERFIELD ,,,,,,,,,,59,4661,14,14,1737,,186,,4,3,474,,,,,,, 421300,01-OCT-14,30-SEP-15,As Submitted,ALLENDALE COUNTY HOSPITAL ,1787 ALLENDALE FAIRFAX ROAD ,218 ,FAIRFAX ,SC ,29827- ,ALLENDALE ,,,,,,,,,,25,9125,678,58,2787,,111.67,,63,10,188,17,,,,,, 421301,01-OCT-14,30-SEP-15,As Submitted,ABBEVILLE AREA MEDICAL CENTER ,ABBEVILLE AREA MEDICAL CENTER ,87 ,ABBEVILLE ,SC ,29620 ,ABBEVILLE ,,,,,,,,,,25,9125,1516,27,2822,,169.01,,290,10,677,46,,,,,, 421302,01-OCT-14,30-SEP-15,As Submitted,FAIRFIELD MEMORIAL HOSPITAL ,102 US HWY 31 BYPASS NORTH ,620 ,WINSBORO ,SC ,29180-0620 ,FAIRFIELD ,,,,,,,,,,25,9125,504,11,1235,,92.57,,40,17,104,28,,,,,, 421303,01-OCT-14,30-SEP-15,As Submitted,WILLIAMSBURG REGIONAL HOSPITAL ,WILLIAMSBURG REGIONAL HOSPITAL ,568 ,KINGSTREE ,SC ,29556 ,WILLIAMSBURG ,,,,,,,,,,25,9125,3170,196,5851,,178.56,,441,34,1144,,,,,,, 421304,01-OCT-14,30-SEP-15,As Submitted,EDGEFIELD COUNTY HOSPITAL ,300 RIDGE MEDICAL PLAZA ,,EDGEFIELD ,SC ,29824- ,EDGEFIELD ,,,,,,,,,,25,9125,2041,10,4046,,119.18,,124,3,203,,,,,,, 422004,01-OCT-14,30-SEP-15,As Submitted,SPARTANBURG HOSPITAL FOR RESTORATIVE ,389 SERPENTINE DRIVE ,,SPARTANBURG ,SC ,29303 ,SPARTANBURG ,,,,,,,,,,66,24090,6947,,9745,,154.31,,255,,357,,,,,,, 422005,01-SEP-15,31-AUG-16,As Submitted,VIBRA HOSPITAL OF CHARLESTON LLC ,1200 HOSPITAL DRIVE ,,MT. PLEASANT ,SC ,29464 ,CHARLESTON ,,,,,,,,,,59,21594,8796,311,14662,,163,,319,6,474,8,,,,,, 422006,01-OCT-14,30-SEP-15,As Submitted,INTERMEDICAL HOSPITAL OF SC INC. ,TAYLOR AT MARION STREETS ,,COLUMBIA ,SC ,29220 ,RICHLAND ,,,,,,,,,,35,12775,3626,75,6217,,51.07,,126,3,232,,,,,,, 422007,01-JAN-15,31-DEC-15,Settled,REGENCY HOSPITAL OF FLORENCE ,121 EAST CEDAR STREET FOURTH FLOOR ,,FLORENCE ,SC ,29504-2576 ,FLORENCE ,,,,,,,,,,40,14600,9927,,12946,,110.03,,395,,507,13,,,,,, 422008,01-OCT-14,30-SEP-15,Amended,GHS N GREENVILLE LT ACUTE CARE HOSPI ,807 NORTH MAIN STREET ,,TRAVELERS REST ,SC ,29690- ,GREENVILLE ,,,,,,,,,,45,16425,3699,219,7841,,150.1,,113,9,230,,,,,,, 422009,01-AUG-15,31-JUL-16,Settled,REGENCY HOSPITAL OF GREENVILLE ,1 SAINTT FRANCIS DRIVE 4TH FLOOR ,,GREENVILLE ,SC ,29601 ,GREENVILLE ,,,,,,,,,,32,11712,6222,,8871,,97.33,,249,,339,8,,,,,, 423025,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,2935 COLONIAL DRIVE ,,COLUMBIA ,SC ,29203 ,RICHLAND ,,,,,,,,,,96,35040,15765,,23903,,201.79,,1166,,1763,25,,,,,, 423026,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHAB HOSPITAL OF FLOREN ,900 EAST CHEVES STREET ,,FLORENCE ,SC ,29506 ,FLORENCE ,,,,,,,,,,88,32120,12082,,15372,,134.59,,898,,1126,28,,,,,, 423027,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,9181 MEDCOM STREET ,,CHARLESTON ,SC ,29406 ,CHARLESTON ,,,,,,,,,,49,17885,9995,,14690,,133.35,,755,,1084,35,,,,,, 423028,01-JUN-15,31-MAY-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1795 FRANK GASTON BLVD. ,,ROCK HILL ,SC ,29732 ,YORK ,,,,,,,,,,50,18300,12511,,15474,,132.27,,1086,,1358,14,,,,,, 423029,01-JAN-15,31-DEC-15,As Submitted,ANMED HEALTH REHABILITATION HOSPITAL ,1 SPRING BACK WAY ,,ANDERSON ,SC ,29621 ,ANDERSON ,,,,,,,,,,60,21560,15387,,18294,,169.07,,1193,,1448,15,,,,,, 423030,01-JAN-15,31-DEC-15,As Submitted,GREENWOOD REGIONAL REHABILITATION HO ,1530 PARKWAY ,,GREENWOOD ,SC ,29646 ,GREENWOOD ,,,,,,,,,,42,15330,8418,,10629,,133.53,,681,,1043,,,,,,, 423031,01-JAN-15,31-DEC-15,As Submitted,SPARTANBURG REHABILITATION INSTITUTE ,160 HAROLD FLEMING COURT ,,SPARTANBURG ,SC ,29303 ,SPARTANBURG ,,,,,,,,,,40,14600,7589,23,10038,,106.9,,571,1,770,,,,,,, 423300,01-JAN-15,31-DEC-15,Settled,SHRINER HSOPITALS FOR CHILDREN ,950 W FARIS ROAD ,,GRENNVILLE ,SC ,29605-4255 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 424002,01-JAN-15,31-DEC-15,As Submitted,LIGHTHOUSE CARE CENTER OF CONWAY ,152 WACCAMAW MEDICAL PARK DRIVE ,,CONWAY ,SC ,29526 ,HORRY ,,,,,,,,,,78,29000,12065,1476,23627,,142.42,,1096,209,2816,,,,,,, 424003,01-JUL-15,16-DEC-15,Settled,SOUTH CAROLINA DEPT OF MENTAL HEALTH ,1800 COLONIAL DRIVE ,,COLUMBIA ,SC ,29203-6827 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 424005,01-JUL-15,30-JUN-16,As Submitted,BRYAN PSYCHIATRIC HOSPITAL ,2414 BULL STREET ,485 ,COLUMBIA ,SC ,29202 ,RICHLAND ,,,,,,,,,,387,141642,697,8466,139546,,394.45,,17,11,28,,,,,,, 424006,01-JAN-15,31-DEC-15,As Submitted,PALMETTO LOW COUNTRY BHD ,2777 SPEISSEGER DRIVE ,,CHARLESTON ,SC ,29405-8229 ,CHARLESTON ,,,,,,,,,,108,39420,4730,3192,22919,,149.8,,461,404,2751,,,,,,, 424007,01-JAN-15,31-DEC-15,As Submitted,SPRINGBROOK BHS ,ONE HAVENWOOD LANE ,,TRAVELERS REST ,SC ,29690-9447 ,GREENVILLE ,,,,,,,,,,44,16060,4429,70,11393,,112.82,,342,6,985,,,,,,, 424008,01-JAN-15,31-DEC-15,As Submitted,THREE RIVER CTR FOR BEHAV HEALTH ,2900 SUNSET BLVD ,,WEST COLUMBIA ,SC ,29169-3422 ,LEXINGTON ,,,,,,,,,,98,35770,13330,2656,33477,,181.73,,819,278,2892,,,,,,, 424010,01-JAN-15,31-DEC-15,Settled,CAROLINA CENTER ,2700 E PHILLIPS RD ,,GREER ,SC ,29650 ,GREENVILLE ,,,,,,,,,,125,45625,17027,1210,39701,,204.3,,1211,160,3892,,,,,,, 424011,01-JUL-15,30-JUN-16,As Submitted,HARRIS PSYCHIATRIC HOSPITAL ,2414 BULL STREET ,485 ,COLUMBIA ,SC ,29202 ,RICHLAND ,,,,,,,,,,123,45018,611,1441,39964,,313,,20,146,441,,,,,,, 424013,01-JUL-15,30-JUN-16,Settled,THE WILLIAM J MCCORD ADOLESCENT TREA ,910 COOK ROAD ,,ORANGEBURG ,SC ,29118 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 424014,01-JAN-15,31-DEC-15,Settled,REBOUND BEHAVIORAL HEALTH ,134 EAST REBOUND ROAD ,,LANCASTER ,SC ,29720 ,LANCASTER ,,,,,,,,,,42,15330,2750,1842,9044,,74.38,,328,274,1440,,,,,,, 430005,01-JUN-15,31-MAY-16,As Submitted,PRAIRIE LAKES HEALTH CARE CENTER ,401 9TH AVE. NW ,1210 ,WATERTOWN ,SD ,57201 ,CODINGTON ,,,,150935,,,.0548,,,81,29646,4677,1550,9552,,390.78,,1347,219,2801,,,,,,, 430008,01-JAN-15,31-DEC-15,As Submitted,BROOKINGS HEALTH SYSTEM ,300 22ND AVENUE ,,BROOKINGS ,SD ,57006- ,BROOKINGS ,,,,,,,,,,49,17885,2940,415,5076,,364.09,,574,95,1208,,,,,,, 430012,01-JUL-15,30-JUN-16,As Submitted,AVERA SACRED HEART HOSPITAL ,501 SUMMIT ST ,,YANKTON ,SD ,57078 ,YANKTON ,,,,298236,,,.0991,,,75,27450,5920,1748,13162,,680.04,,1447,346,3327,65,,,,,, 430013,01-JUL-15,30-JUN-16,As Submitted,AVERA QUEEN OF PEACE ,501 NORTH FOSTER ,,MITCHELL ,SD ,57301- ,DAVISON ,,,,104481,,,.052,,,50,18300,5602,693,9701,,516.96,,1006,182,2085,,,,,,, 430014,01-JUL-15,30-JUN-16,Amended,AVERA ST. LUKES ,305 SOUTH STATE STREET ,4450 ,ABERDEEN ,SD ,57402-4450 ,BROWN ,,,,,,,,,,50,18300,9231,981,16168,,1019.75,,1872,354,3799,,,,125,,701, 430015,01-JUL-15,30-JUN-16,Amended,AVERA ST MARYS ,801 E SIOUX AVENUE ,,PIERRE ,SD ,57501- ,HUGHES ,,,,133944,,,.12,,,50,18300,2216,1080,5623,,473.49,,635,477,2146,,,,,,, 430016,01-JUL-15,30-JUN-16,As Submitted,AVERA MCKENNAN ,1325 SOUTH CLIFF ,5045 ,SIOUX FALLS ,SD ,57117-5045 ,MINNEHAHA ,1623238,,,3179699,,,.1958,929332,781263,461,168726,38473,22373,113520,46.6,3576.97,,6859,3657,20676,598,,,,39,266,491 430027,01-JUL-15,30-JUN-16,As Submitted,SANFORD USD MEDICAL CENTER ,1305 W 18TH ST ,5039 ,SIOUX FALLS ,SD ,57117-5039 ,MINNEHAHA ,4366177,,,3081146,,,.1416,950166,623542,452,163497,36437,26927,109410,61.11,4760,,7902,3485,23697,,,,,21,,312 430048,01-JUL-15,30-JUN-16,Amended,SPEARFISH REGIONAL HOSPITAL ,1440 NORTH MAIN ,,SPEARFISH ,SD ,57783- ,LAWRENCE ,,,,134652,,,.1047,,,27,9882,1540,924,4151,,477.14,,553,332,1454,,,,,,, 430077,01-JUL-15,30-JUN-16,As Submitted,RAPID CITY REGIONAL HOSPITAL ,353 FAIRMONTH STREET ,,RAPID CITY ,SD ,57701 ,PENNINGTON ,1161784,,,1988825,,,.1333,449665,280008,339,122836,36649,14967,86634,16.38,2754.94,,6068,3342,16150,,,,424,24,2000,341 430081,01-OCT-14,30-SEP-15,As Submitted,PINE RIDGE HOSPITAL ,E HIGHWAY 18 ,1201 ,PINE RIDGE ,SD ,57770 ,SHANNON ,,,,38392,,,.12,,,45,16425,697,1797,4239,,539,,197,803,1531,,,,,,, 430082,01-OCT-14,30-SEP-15,As Submitted,RAPID CITY HOSPITAL ,3200 CANYON LAKE DRIVE ,,RAPID CITY ,SD ,57702 ,PENNINGTON ,,,,,,,,,,9,3285,,17,137,,241,,,7,39,,,,,,, 430083,01-OCT-14,30-SEP-15,Amended,PHS HOSPITAL - EAGLE BUTTE ,24276 166TH STREET ,1012 ,EAGLE BUTTE ,SD ,57625 ,DEWEY ,,,,7851,,,.1186,,,8,2920,232,292,1438,,240,,46,83,283,,,,,,, 430084,01-OCT-14,30-SEP-15,As Submitted,USPHS HOSPITAL - ROSEBUD ,HWY 18 00 SOLDIER CREEK RD ,,ROSEBUD ,SD ,57570 ,TODD ,,,,19386,,,.12,,,35,12775,392,642,1745,,263,,112,323,637,,,,,,, 430089,01-JAN-15,31-DEC-15,As Submitted,SIOUXLAND SURGERY CENTER ,600 SIOUX POINT ROAD ,,DAKOTA DUNES ,SD ,57049 ,UNION ,,,,,,,,,,40,14600,1193,173,2778,,200.62,,527,102,1342,,,,,,, 430090,01-JAN-15,31-DEC-15,As Submitted,SIOUX FALLS SPECIALTY HOSPITAL ,910 EAST 20TH STREET ,,SIOUX FALLS ,SD ,57105- ,MINNEHAHA ,,,,,,,,,,35,12775,1697,31,3465,,225.34,,780,20,1751,14,,,,,, 430091,01-JAN-15,31-DEC-15,As Submitted,BLACK HILLS SURGICAL HOSPITAL LLP ,216 ANAMARIA DRIVE ,,RAPID CITY ,SD ,57701- ,PENNINGTON ,,,,,,,,,,26,9490,1615,63,3504,,282.34,,688,29,1600,,,,,,, 430092,01-JAN-15,30-JUN-15,Settled,DAKOTA PLAINS SURGICAL CENTER LLP ,701 8TH AVENUE NW SUITE C ,,ABERDEEN ,SD ,57401- ,BROWN ,,,,,,,,,,15,2715,191,5,382,,20.51,,66,2,144,,,,,,, 430093,01-JUL-15,30-JUN-16,As Submitted,SAME DAY SURGERY CENTER ,651 CATHEDRAL DRIVE ,39660 ,RAPID CITY ,SD ,57701 ,PENNINGTON ,,,,,,,,,,6,2196,40,11,195,,47.6,,17,4,115,,,,,,, 430095,01-JUL-15,30-JUN-16,As Submitted,AVERA HEART HOSPITAL OF SOUTH DAKOTA ,4500 WEST 69TH STREET ,,SIOUX FALLS ,SD ,57105 ,LINCOLN ,,,,,,,,,,53,19398,5626,189,8716,,472.05,,1344,54,2169,,,,,,, 430096,01-JAN-15,31-DEC-15,As Submitted,LEWIS AND SPECIALTY HOSPITAL ,2601 FOX RUN PARKWAY ,,YANKTON ,SD ,57070- ,YANKTON ,,,,,,,,,,10,3650,120,14,228,,53.06,,42,6,81,,,,,,, 430097,01-JUL-15,30-JUN-16,As Submitted,SANFORD ABERDEEN MEDICAL CENTER ,3015 3RD AVE SE ,,ABERDEEN ,SD ,57401 ,BROWN ,,,,95994,,,.0762,,,48,17568,2288,849,4902,,384.79,,657,377,1752,,,,,,, 431300,01-JUL-15,30-JUN-16,Settled,MADISON REGIONAL HEALTH SYSTEM ,323 SW 10TH ST ,,MADISON ,SD ,57042-1634 ,LAKE ,,,,,,,,,,22,8361,2407,47,2984,,179.52,181,225,10,337,,,,,,, 431301,01-MAR-15,29-FEB-16,As Submitted,FAULKTON AREA MEDICAL CENTER ,1300 OAK STREETREET ,100 ,FAULKTON ,SD ,57438-0100 ,FAULK ,,,,,,,,,,12,4392,1069,22,1245,,641862.83,,132,8,164,,,,,,, 431302,01-JUL-15,30-JUN-16,Amended,AVERA GETTYSBURG HOSPITAL ,606 EAST GARFIELD STREET ,,GETTYSBURG ,SD ,57442 ,POTTER ,,,,,,,,,,10,3660,254,,404,,39.35,,24,,29,,,,,,, 431305,01-JUN-15,31-MAY-16,Settled,DOUGLAS COUNTY MEMORIAL HOSPITAL ,HIGHWAY 281 NORTH ,26 ,ARMOUR ,SD ,57313- ,DOUGLAS ,,,,,,,,,,11,4026,582,37,698,,61.42,,94,19,134,,,,,,, 431306,01-JUL-15,30-JUN-16,Settled,PLATTE HEALTH CENTER INC. ,601 E 7TH STREET ,200 ,PLATTE ,SD ,57369-0200 ,CHARLES MIX ,,,,,,,,,,17,6222,671,7,997,,78.48,,122,3,152,,,,,,, 431307,01-JUL-15,30-JUN-16,As Submitted,SANFORD MEDICAL CENTER CLEAR LAKE ,701 3RD AVE ,,CLEAR LAKE ,SD ,57226- ,DEUEL ,,,,,,,,,,10,3660,969,13,1177,,40.74,,108,5,135,,,,,,, 431308,01-JUL-15,30-JUN-16,Settled,EUREKA COMMUNITY HEALTH SERVICES ,410 9TH STREET ,PO BOX ,EUREKA ,SD ,57437- ,MCPHERSON ,,,,,,,,,,6,2196,237,,273,,20.32,,44,,56,,,,,,, 431309,01-JAN-15,31-DEC-15,Settled,COMMUNITY MEMORIAL HOSPITAL ,809 JACKSON ST ,319 ,BURKE ,SD ,57523- ,GREGORY ,,,,,,,,,,16,5840,846,401,1352,,41.49,,108,11,142,,,,,,, 431310,01-JUL-15,30-JUN-16,Settled,AVERA FLANDREAU HOSPITAL ,214 NORTH PRAIRIE AVE ,,FLANDREAU ,SD ,57028- ,MOODY ,,,,,,,,,,18,6588,344,43,478,,59.2,,60,,86,,,,,,, 431311,01-JUL-15,30-JUN-16,As Submitted,SANFORD HOSPITAL WEBSTER ,1401 W 1ST STREET ,489 ,WEBSTER ,SD ,57274-0489 ,DAY ,,,,,,,,,,20,7320,618,19,779,,43.75,,118,10,147,,,,,,, 431312,01-JUL-15,30-JUN-16,Settled,MARSHALL COUNTY HEALTHCARE CENTER ,413 9TH STREET ,,BRITTON ,SD ,57430- ,MARSHALL ,,,,,,,,,,20,7320,912,,974,,62.32,,85,,94,,,,,,, 431313,01-JAN-15,31-DEC-15,Settled,FREEMAN MEDICAL CENTER ,510 EAST 8TH ,370 ,FREEMAN ,SD ,57029 ,HUTCHINSON ,,,,,,,,,,25,9125,800,8,909,,73.04,,145,3,168,,,,,,, 431314,01-JAN-15,31-DEC-15,Settled,BENNETT COUNTY HOSPITAL ,102 MAJOR ALLEN STREET ,PO BOX 70 ,MARTIN ,SD ,57511 ,BENNETT ,,,,,,,,,,14,5110,626,88,728,,62.97,,66,29,104,,,,,,, 431315,01-JUL-15,30-JUN-16,Settled,WAGNER COMMUNITY MEMORIAL HOSPITAL ,513 THIRD STREET ,280 ,WAGNER ,SD ,57380- ,CHARLES MIX ,,,,,,,,,,20,7320,611,112,782,,63.31,,94,39,157,,,,,,, 431316,01-JAN-15,31-DEC-15,Settled,COMMUNITY MEMORIAL HOSPITAL ,111 WEST 10TH AVE ,,REDFIELD ,SD ,57469 ,SPINK ,,,,,,,,,,23,8395,1698,12,1930,,104.96,,210,8,277,,,,,,, 431317,01-JUL-15,30-JUN-16,Settled,LANDMANN-JUNGMAN MEMORIAL HOSPITAL ,600 BILLARDS STREET ,,SCOTLAND ,SD ,57059- ,BON HOMME ,,,,,,,,,,25,9150,348,,413,,25.3,,34,,41,,,,,,, 431318,01-JUL-15,30-JUN-16,As Submitted,BOWDLE HOSPITAL ,8001 W 5TH STREET ,,BOWDLE ,SD ,57428- ,EDMUNDS ,,,,,,,,,,12,4392,654,43,778,,36.86,,115,3,141,,,,,,, 431319,01-JAN-15,31-DEC-15,Settled,PHILIP HEALTH SERVICES INC ,503 W PINE STREET ,790 ,PHILIP ,SD ,57567- ,HAAKON ,,,,,,,,,,18,6570,1743,9,4609,,71.82,,98,3,136,,,,,,, 431320,01-JUL-15,30-JUN-16,Settled,LEAD-DEADWOOD REGIONAL HOSPITAL ,61 CHARLES STREET ,,DEADWOOD ,SD ,57732 ,LAWRENCE ,,,,,,,,,,18,6588,1617,153,2245,,102.81,,133,7,194,,,,,,, 431321,01-JUL-15,30-JUN-16,Settled,STURGIS REGIONAL HOSPITAL ,949 HARMON ,,STURGIS ,SD ,57785- ,MEADE ,,,,,,,,,,25,9150,4051,414,5503,,144.5,,257,8,360,,,,,,, 431322,01-JAN-15,31-DEC-15,Settled,FALL RIVER HOSPITAL ,1201 HWY 71 SOUTH ,,HOT SPRINGS ,SD ,57747 ,FALL RIVER ,,,,,,,,,,25,9125,3033,26,3340,,98.85,,147,6,184,,,,,,, 431323,01-JUL-15,30-JUN-16,Settled,CUSTER REGIONAL HOSPITAL ,1039 MONTGOMERY STREET ,,CUSTER ,SD ,57730- ,CUSTER ,,,,,,,,,,11,4026,591,26,857,,82.37,,89,4,144,,,,,,, 431324,01-JUL-15,30-JUN-16,Settled,AVERA WESKOTA MEMORIAL MEDICAL CENTE ,604 1ST STREET NE ,,WESSINGTON SPRINGS ,SD ,57382- ,JERAULD ,,,,,,,,,,16,5856,644,6,684,,26.56,,87,3,110,,,,,,, 431325,01-OCT-14,30-SEP-15,Settled,MOBRIDGE REGIONAL HOSPITAL ,140110TH AVE WEST ,580 ,MOBRIDGE ,SD ,57601- ,WALWORTH ,,,,,,,,,,25,9125,1740,369,2676,,122.45,,323,155,678,,,,,,, 431326,01-JUL-15,30-JUN-16,Settled,MILBANK AREA HOSPITAL/AVERA HEALTH ,901 EAST VIRGIL AVE ,,MILBANK ,SD ,57252- ,GRANT ,,,,,,,,,,25,9150,1457,62,2007,,73.06,,216,35,332,,,,,,, 431327,01-JUL-15,30-JUN-16,Settled,ST. MICHAELS HOSPITAL INC. ,410 WEST 16TH AVENUE ,,TYNDALL ,SD ,57066- ,BON HOMME ,,,,,,,,,,25,9150,911,33,1162,,49.61,,95,1,120,,,,,,, 431328,01-JAN-15,31-DEC-15,Settled,PIONEER MEMORIAL HOSPITAL AND HEALTH ,314 NORTH WASHINGTON STREET ,,VIBORG ,SD ,57070 ,TURNER ,,,,,,,,,,12,4380,612,13,738,,81.1,,72,4,85,,,,,,, 431329,01-JUL-15,30-JUN-16,Settled,SANFORD CHAMBERLAIN MEDICAL CENTER ,300 SOUTH BYRON BOULEVARD ,,CHAMBERLAIN ,SD ,57325 ,BRULE ,,,,,,,,,,25,9150,887,588,2033,,112.8,,155,210,441,,,,,,, 431330,01-JUL-15,30-JUN-16,As Submitted,AVERA ST. BENEDICT HEALTH CENTER ,401 WEST GLYNN DRIVE ,B ,PARKSTON ,SD ,57366- ,HUTCHINSON ,,,,,,,,,,25,9150,1719,51,2908,,100.63,,240,12,372,,,,,,, 431331,01-JUL-15,30-JUN-16,Settled,AVERA DELLS AREA HOSPITAL ,909 NORTH IOWA AVENUE ,,DELL RAPIDS ,SD ,57022- ,MINNEHAHA ,,,,,,,,,,21,7686,1210,10,1339,,78.14,,186,5,228,,,,,,, 431332,01-JUL-15,30-JUN-16,Settled,DE SMET MEMORIAL HOSPITAL ,306 PRAIRIE AVE. SW ,,DE SMET ,SD ,57231- ,KINGSBURY ,,,,,,,,,,6,2196,160,,220,,28.43,,12,,18,,,,,,, 431333,01-JUL-15,30-JUN-16,Settled w/Audit,SANFORD MEDICAL CENTER CANTON ,440 NORTH HIAWATHA DRIVE ,,CANTON ,SD ,57013- ,LINCOLN ,,,,,,,,,,16,5856,896,2,1049,,58.15,,67,2,88,,,,,,, 431334,01-JAN-15,31-DEC-15,Settled,WINNER REGIONAL HEALTHCARE CENTER ,745 EAST 8TH STREET ,,WINNER ,SD ,57580-2677 ,TRIPP ,,,,,,,,,,25,9125,2145,750,3434,,96.58,,234,200,568,,,,,,, 431335,01-JUL-15,30-JUN-16,Settled w/Audit,HURON REGIONAL MEDICAL CENTER ,172 4TH ST SE ,,HURON ,SD ,57350 ,BEADLE ,,,,,,,,,,25,9150,2294,960,5080,,242.15,,490,182,1182,,,,,,, 431336,01-JUL-15,30-JUN-16,Settled,SANFORD MEDICAL CENTER VERMILLION ,20 SOUTH PLUM STREET ,,VERMILLION ,SD ,57069- ,CLAY ,,,,,,,,,,25,9150,1446,197,2403,,176.24,,123,43,309,,,,,,, 431337,01-JUL-15,30-JUN-16,Settled,AVERA HAND COUNTY MEMORIAL HOSPITAL ,300 WEST 5TH STREET ,,MILLER ,SD ,57362- ,HAND ,,,,,,,,,,25,9150,1094,15,1277,,67.89,,158,5,192,,,,,,, 431338,01-JUL-15,30-JUN-16,As Submitted,AVERA GREGORY HOSPITAL ,400 PARK STREET ,408 ,GREGORY ,SD ,57533-0408 ,GREGORY ,,,,,,,,,,25,9150,2186,50,2483,,100,,317,22,382,,,,,,, 431339,01-JAN-15,31-DEC-15,Settled w/Audit,COTEAU DES PRAIRIES ,205 ORCHARD DRIVE ,,SISSETON ,SD ,57262- ,ROBERTS ,,,,,,,,,,25,9125,892,720,2112,,101.39,,153,179,471,,,,,,, 432002,01-MAR-15,29-FEB-16,Settled,SSH - SIOUX FALLS INC ,1305 WEST 18TH STREET ,,SIOUX FALLS ,SD ,57105 ,MINNEHAHA ,,,,,,,,,,24,8784,5218,110,7305,,71.53,,186,4,252,,,,,,, 433300,01-JUL-15,30-JUN-16,Settled,CHILDRENS CARE HOSPITAL AND SCHOOL ,2501 W 26TH STREET ,,SIOUX FALLS ,SD ,57105-2498 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 434003,01-JUL-15,30-JUN-16,Settled,SOUTH DAKOTA HUMAN SERVICES CENTER ,3515 BROADWAY AVE ,76 ,YANKTON ,SD ,57078-0076 ,YANKTON ,,,,,,,,,,98,35868,5844,,19355,,121.65,,310,,1154,,,,,,, 440001,01-JAN-15,31-DEC-15,As Submitted,UNICOI COUNTY MEMORIAL HOSPITAL ,100 GREENWAY CIRCLE ,,ERWIN ,TN ,37650 ,UNICOI ,,,,,,,,,,48,16970,1092,,2246,,141.04,,285,,641,32,,,,,, 440002,01-JUL-15,30-JUN-16,As Submitted,JACKSON-MADISON COUNTY GENERAL HOSP ,620 SKYLINE DRIVE ,,JACKSON ,TN ,38301- ,MADISON ,1823866,,,3513469,,,.1254,614915,272381,587,214842,75142,3349,163040,24,3523.99,,12530,,28222,6806,,,,,,1006 440003,01-MAY-15,30-APR-16,Amended,SUMNER REGIONAL MEDICAL CENTER ,555 HARTSVILLE PIKE ,1558 ,GALLATIN ,TN ,37066 ,SUMNER ,,,,507543,,,.1147,,,126,46116,10809,1433,29580,,776.35,,2584,,7565,1175,,,,,148,186 440006,01-DEC-14,30-NOV-15,Amended,SKYLINE MEDICAL CENTER ,3441 DICKERSON PIKE ,,NASHVILLE ,TN ,37207 ,DAVIDSON ,,,,1505838,,,.1688,,,302,107434,23251,1118,81185,,1114.05,,4431,242,14850,2738,,,,7,25,941 440007,01-JAN-15,31-DEC-15,Amended,-0007 ,481 INTERSTATE DRIVE ,,MANCHESTER ,TN ,37355 ,COFFEE ,,,,139855,,,.2504,,,49,18790,1731,,3800,,253.12,,481,,1144,184,,,,,, 440008,01-FEB-15,31-JAN-16,As Submitted,HENDERSON COUNTY HOSPITAL ,200 WEST CHURCH STREET ,,LEXINGTON ,TN ,38351- ,HENDERSON ,,,,10907,,,.0458,,,36,13140,643,,1021,,77.06,,215,40,357,,,,,,, 440009,01-JUL-15,30-JUN-16,As Submitted,CUMBERLAND MEDICAL CENTER ,421 SOUTH MAIN STREET ,,CROSSVILLE ,TN ,38555-5048 ,CUMBERLAND ,,,,433712,,,.1137,,,73,27875,10265,799,19336,,620,,2558,830,4925,,,,,,, 440010,01-JUL-15,30-JUN-16,As Submitted,WAYNE MEDICAL CENTER ,HIGHWAY 64 EAST ,580 ,WAYNESBORO ,TN ,38485 ,WAYNE ,,,,11563,,,.0378,,,32,11712,1849,124,2407,,131.38,,274,21,495,,,,,,, 440011,01-JUL-15,30-JUN-16,As Submitted,BLOUNT MEMORIAL HOSPITAL ,907 E LAMAR ALEXANDER PKWY ,,MARYVILLE ,TN ,37804 ,BLOUNT ,,,,301471,,,.0485,,,220,80520,17655,5921,50353,,1944.48,,3374,1262,10704,,,,,,749, 440012,01-JUL-15,30-JUN-16,As Submitted,BRISTOL REGIONAL MEDICAL CENTER ,1 MEDICAL PARK BLVD ,,BRISTOL ,TN ,37620- ,SULLIVAN ,2348639,,,483971,,,.0557,1112659,506883,248,90768,21349,6697,58224,33.6,1297.97,,4549,1290,12874,,,,382,,1298, 440015,01-JAN-15,31-DEC-15,As Submitted,UNIVERSITY OF TENNESSEE MEDICAL CENT ,1924 ALCOA HIGHWAY ,,KNOXVILLE ,TN ,37920 ,KNOX ,10837665,,,3194259,,,.182,7213909,4175958,599,209623,44451,2485,168949,192.89,4077.53,,8177,6817,30353,,,,,,, 440016,01-OCT-14,30-SEP-15,Amended,BAPTIST MEM HOSPITAL HUNTINGDON ,631 E. B. WILSON DRIVE ,,HUNTINGDON ,TN ,38344 ,CARROLL ,,,,16706,,,.0335,,,42,15330,2626,,3678,,131.93,,367,,632,63,,,,,139, 440017,01-JUL-15,30-JUN-16,As Submitted,HOLSTON VALLEY HOSP & MED CTR ,130 W. RAVINE ,BOX 238 ,KINGSPORT ,TN ,37662-0238 ,SULLIVAN ,2793682,,,971410,,,.0977,1431143,649133,291,99385,21719,12527,72533,58.9,1700,,4796,1961,16106,,,,,,, 440018,01-JUL-15,30-JUN-16,As Submitted,SYCAMORE SHOALS HOSPITAL ,1501 W. ELK AVENUE ,,ELIZABETHTON ,TN ,37643-2874 ,CARTER ,,,,124797,,,.085,,,109,39894,4417,,12291,,345.05,,1074,,3138,362,6,,,,248, 440020,01-JAN-15,31-DEC-15,Amended,SO TENN REG MED CTR OF PULASKI ,1265 EAST COLLEGE ,,PULASKI ,TN ,38478 ,GILES ,,,,138995,,,.1406,,,81,29565,2382,749,4656,,230.94,,701,155,1413,,,,,,182, 440025,01-JUL-15,30-JUN-16,As Submitted,LAUGHLIN MEMORIAL HOSPITAL ,1420 TUSCULUM BLVD. ,,GREENEVILLE ,TN ,37745- ,GREENE ,,,,162898,,,.0803,,,140,51240,5321,,13511,,575.06,,1208,,3216,494,,,,,, 440029,01-JUL-15,30-JUN-16,As Submitted,WILLIAMSON MEDICAL CENTER ,2021 CAROTHERS RD ,1600 ,FRANKLIN ,TN ,37065 ,WILLIAMSON ,,,,,,,,,,185,67710,11091,3151,37223,,1234.01,,2884,626,9312,,,,,,, 440030,01-JUL-15,30-JUN-16,As Submitted,MORRISTOWN-HAMBLEN HOSPITAL ,908 WEST FOURTH NORTH STREET ,,MORRISTOWN ,TN ,37814-3894 ,HAMBLEN ,,,,445045,,,.1732,,,116,42456,6557,,21660,,487,,1627,1215,5538,,,,,,338, 440031,01-JUL-15,30-JUN-16,Amended,ROANE COUNTY MEDICAL CENTER ,8045 ROANE MEDICAL CENTER DRIVE ,,HARRIMAN ,TN ,37748-8333 ,ROANE ,,,,130073,,,.0919,,,52,19032,3867,190,10003,,228,,926,354,2571,,,,,,, 440032,01-JUL-15,30-JUN-16,As Submitted,HAWKINS COUNTY MEMORIAL HOSPITAL ,851 LOCUST ST ,,ROGERSVILLE ,TN ,37857- ,HAWKINS ,,,,28167,,,.0697,,,39,14274,961,273,2903,,153.62,,269,93,840,,,,,,, 440033,01-OCT-14,30-SEP-15,Amended,LAFOLLETTE MEDICAL CENTER ,923 E. CENTRAL AVENUE ,,LAFOLLETTE ,TN ,37766 ,CAMPBELL ,,,,120053,,,.12,,,62,22630,3914,,9973,,220.66,,752,369,1989,,,,,,314, 440034,01-JAN-15,31-DEC-15,Amended,METHODIST MEDICAL CENTER ,990 OAK RIDGE TURNPIKE ,2529 ,OAK RIDGE ,TN ,37830-6976 ,ANDERSON ,,,,458184,,,.0642,,,204,74460,18463,,49177,,900,,3797,1450,10816,,,,,,, 440035,01-OCT-14,30-SEP-15,Amended,GATEWAY HEALTH SYSTEM ,651 DUNLOP LANE ,3160 ,CLARKSVILLE ,TN ,37040 ,MONTGOMERY ,,,,832316,,,.1465,,,261,95265,13339,2068,37411,,942.19,,3194,1849,9946,,,,,1,,185 440039,01-JUL-15,29-APR-16,Amended,VANDERBILT UNIVERSITY MEDICAL CENTER ,1211 MEDICAL CENTER DRIVE ,,NASHVILLE ,TN ,37232 ,DAVIDSON ,27354045,,,5636092,,,.2157,6757192,4592261,890,270589,46720,77361,239881,586.85,24938.5,,8986,11383,46050,,,,951,,3096, 440040,01-JAN-15,31-DEC-15,As Submitted,PERRY COMMUNITY HOSPITAL ,2718 SQUIRREL HOLLOW DRIVE ,,LINDEN ,TN ,37096 ,PERRY ,,,,,,,,,,21,7665,1993,108,2566,,58.57,,342,28,480,,,,,,159, 440046,01-JUN-15,31-MAY-16,Amended,HORIZON MEDICAL CENTER ,111 HIGHWAY 70 EAST ,,DICKSON ,TN ,37055 ,DICKSON ,,,,349203,,,.1043,,,122,44652,8681,21,19158,,423.7,,2133,12,5152,1247,,,,,,192 440048,01-OCT-14,30-SEP-15,Amended,BAPTIST MEM HOSPITAL MEMPHIS ,6019 WALNUT GROVE ROAD ,,MEMPHIS ,TN ,38120 ,SHELBY ,5131514,,,3693953,,,.1115,1952344,464237,777,283605,85254,,203110,58.9,3445.34,,13275,,33612,7988,,,,,, 440049,01-JAN-15,31-DEC-15,Amended,METHODIST H/C MEMPHIS HOSPT. ,1265 UNION AVENUE ,,MEMPHIS ,TN ,38104 ,SHELBY ,14938478,,,10240268,,,.2362,3461627,1622056,1339,488698,102768,31377,352188,289.36,7910.13,,18887,13699,62362,,,,1,,389, 440050,01-JUL-15,30-JUN-16,Amended,TAKOMA REGIONAL HOSPITAL ,401 TAKOMA AVENUE ,,GREENEVILLE ,TN ,37743- ,GREENE ,,,,199165,,,.1992,,,73,26718,2191,1653,7251,,464.74,,605,392,1992,,,,,,203,102 440051,01-FEB-15,31-JAN-16,As Submitted,MCNAIRY REGIONAL HOSPITAL ,705 EAST POPLAR AVENUE ,,SELMER ,TN ,38375-3266 ,MCNAIRY ,,,,67903,,,.3433,,,28,10220,584,48,1634,,97.35,,194,271,653,,,,,,, 440053,01-JUL-15,30-JUN-16,As Submitted,SAINT THOMAS RUTHERFORD HOSPITAL ,400 N. HIGHLAND AVENUE ,,MURFREESBORO ,TN ,37130 ,RUTHERFORD ,1273723,,,708260,,,.0718,,,303,110898,24707,,80456,16.74,980.56,,5408,,20934,3150,,,,,, 440056,01-OCT-14,30-SEP-15,As Submitted,JEFFERSON COUNTY HMA LLC ,110 HOSPITAL DRIVE ,,JEFFERSON CITY ,TN ,37760 ,JEFFERSON ,,,,31063,,,.0257,,,58,21170,3419,511,6871,,194.02,,863,156,1875,,,,,,, 440057,01-JUL-15,30-JUN-16,As Submitted,CLAIBORNE MEDICAL CENTER ,1850 OLD KNOXVILLE HWY ,,TAZEWELL ,TN ,37879-3625 ,CLAIBORNE ,,,,13610,74511,,.12,,,34,12444,1892,,4880,,271,,522,182,1402,,,,,,, 440058,01-JAN-15,31-DEC-15,Amended,SOUTHERN TENNESSEE MEDICAL CENTER ,185 HOSPITAL ROAD ,,WINCHESTER ,TN ,37398 ,FRANKLIN ,,,,313283,,,.12,,,128,46720,7328,2650,15593,,527.02,,1772,1071,4023,,,,,3,246,122 440059,01-JUL-15,30-JUN-16,Amended,COOKEVILLE REGIONAL MEDICAL CENTER ,142 WEST FIFTH STREET ,,COOKEVILLE ,TN ,38501 ,PUTNAM ,,,,1436469,,,.1117,,,223,81618,25816,9419,53089,,1640.5,,6255,3285,13399,,,,,,,458 440060,01-JUL-15,30-JUN-16,As Submitted,MILAN GENERAL HOSPITAL ,4039 SOUTH HIGHLAND ,,MILAN ,TN ,38358- ,GIBSON ,,,,17123,,,.0373,,,47,17202,1509,161,2177,,73.02,,344,35,516,,,,,,, 440061,01-FEB-15,31-JAN-16,Amended,VOLUNTEER COMMUNITY HOSPITAL ,161 MT PELIA ROAD ,,MARTIN ,TN ,38237 ,WEAKLEY ,,,,168432,,,.1918,,,41,14965,2457,224,5196,,183.01,,681,342,1460,,,,,,, 440063,01-JUL-15,30-JUN-16,As Submitted,JOHNSON CITY MEDICAL CENTER ,400 N. STATE OF FRANKLIN RD ,,JOHNSON CITY ,TN ,37604 ,WASHINGTON ,4178736,,,2750379,,,.1973,1905671,649910,514,188124,41136,10890,149816,89.94,2477.34,,7221,207,28377,6417,,,,,921, 440065,01-JUL-15,30-JUN-16,As Submitted,NORTHCREST MEDICAL CENTER ,100 NORTHCREST DRIVE ,,SPRINGFIELD ,TN ,37172- ,ROBERTSON ,,,,223975,,,.1105,,,109,39894,4659,2,14345,,524.11,,1073,,3250,847,,,,,, 440067,01-JUN-15,31-MAY-16,Amended,LAKEWAY REGIONAL HOSPITAL ,726 MCFARLAND ST ,,MORRISTOWN ,TN ,37814 ,HAMBLEN ,,,,65872,,,.0753,,,107,39162,2698,1,6072,,205.52,,577,178,1523,,,,,2,,176 440068,01-OCT-14,30-SEP-15,Amended,ATHENS REGIONAL MEDICAL CENTER ,1114 MADISON AVENUE ,,ATHENS ,TN ,37303 ,HAMILTON ,,,,167721,,,.12,,,166,60590,3579,2069,9160,,490.07,,944,770,2357,,,,1,,246, 440070,01-JUL-15,30-JUN-16,As Submitted,DECATUR COUNTY GENERAL HOSPITAL ,969 TENNESSEE AVENUE SOUTH ,,PARSONS ,TN ,38363 ,DECATUR ,,,,,,,,,,40,14640,1254,,1619,,91.2,,297,13,379,,,,,,, 440072,01-FEB-15,31-JAN-16,As Submitted,DYERSBURG REGIONAL MEDICAL CENTER ,400 TICKLE STREET ,,DYERSBURG ,TN ,38024 ,DYER ,,,,339839,,,.12,,,95,34675,6937,470,13956,,348.65,,2070,906,4310,,,,,,, 440073,01-JUL-15,30-JUN-16,As Submitted,MAURY REGIONAL HOSPITAL ,1224 TROTWOOD AVENUE ,,COLUMBIA ,TN ,38401- ,MAURY ,,,,1200838,,,.1204,,,255,93330,18000,9620,47431,,1704.09,,4700,2563,13451,,,,,,, 440081,01-JAN-15,31-DEC-15,Amended,LECONTE MEDICAL CENTER ,742 MIDDLE CREEK ROAD ,8005 ,SEVIERVILLE ,TN ,37862-5019 ,SEVIER ,,,,255207,,,.12,,,56,20440,5217,1479,18801,,428,,1233,1056,4797,,,,,,, 440082,01-JUL-15,30-JUN-16,Amended,SAINT THOMAS WEST HOSPITAL ,4220 HARDING ROAD ,,NASHVILLE ,TN ,37202 ,DAVIDSON ,1353531,,,,,,,479183,133890,397,116792,39589,,94064,16.02,1381.46,,7645,,18579,2053,,,,,161, 440083,01-JAN-15,31-DEC-15,As Submitted,JAMESTOWN REGIONAL MEDICAL CENTER ,436 CENTRAL AVENUE WEST ,PO BOX 1500 ,JAMESTOWN ,TN ,38556 ,FENTRESS ,,,,125492,,,.12,,,75,27375,3074,551,4532,,106.17,,859,177,1322,,,,1,,178, 440084,01-JUL-15,30-JUN-16,As Submitted,SWEETWATER HOSPITAL ASSOCIATION ,304 CHURCH STREET ,,SWEETWATER ,TN ,37874 ,MONROE ,,,,124543,,,.1227,,,59,21594,3682,284,9726,,456.87,,655,366,1973,,,,,,, 440091,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL HEALTH CARE SYSTEM INC. ,2525 DE SALES AVENUE ,,CHATTANOOGA ,TN ,37404 ,HAMILTON ,,,,,,,,,,405,148230,52890,2941,113934,,2430,,10804,1067,23929,,,,,,, 440102,01-JUL-15,30-JUN-16,As Submitted,LINCOLN REGIONAL HOSPITAL ,106 MEDICAL CENTER BLVD ,,FAYETTEVILLE ,TN ,37324 ,LINCOLN ,,,,98894,,,.12,,,49,17934,1875,470,4905,,261.23,,587,289,1413,,,,,,, 440104,01-JUL-15,30-JUN-16,Amended,ERLANGER MEDICAL CENTER ,975 EAST THIRD STREET ,,CHATTANOOGA ,TN ,37403- ,HAMILTON ,10445885,,,4739400,,,.229,3257644,1099237,606,214093,43604,15920,178151,153.75,3967.56,,8688,3939,33468,6457,,,,,241, 440109,01-JUL-15,30-JUN-16,Amended,HARDIN MEDICAL CENTER ,935 WAYNE ROAD ,,SAVANNAH ,TN ,38372 ,HARDIN ,,,,171644,,,.2666,,,49,17934,2751,1876,6127,,302.61,,486,430,1244,,,,,,, 440110,01-JAN-15,31-DEC-15,As Submitted,FORT LOUDOUN MEDICAL CENTER ,550 FORT LOUDOUN MEDICAL CENTER DR ,,LENOIR CITY ,TN ,37772-1965 ,LOUDON ,,,,,,,,,,30,10950,3017,605,8168,,191,,772,135,2023,,,,,,, 440111,01-JUL-15,30-JUN-16,As Submitted,METRO NASHVILLE GENERAL HOSPITAL ,1818 ALBION STREET ,,NASHVILLE ,TN ,37208 ,DAVIDSON ,417252,,,179866,,,.3512,542808,341012,126,42348,1410,4714,16923,50.52,585.64,,276,868,3527,,,,,,, 440120,01-OCT-14,30-SEP-15,Amended,METRO KNOXVILLE HMA LLC PHYS REGNL ,900 OAK HILL AVENUE ,,KNOXVILLE ,TN ,37917- ,KNOX ,,,,1099724,,,.0845,,,548,200020,30352,14965,101065,,1942.45,,6191,3051,22247,,,,187,5,1304,312 440125,01-JAN-15,31-DEC-15,Amended,FORT SANDERS REGIONAL MEDICAL CENTER ,1901 CLINCH AVE ,,KNOXVILLE ,TN ,37916-2307 ,KNOX ,,,,1058860,,,.1229,,,280,102200,22575,,80647,,1371,,4323,2860,15030,,,,,23,,713 440130,01-OCT-14,30-SEP-15,Amended,BAPTIST MEM HOSPITAL UNION CITY ,1101 BISHOP STREET ,,UNION CITY ,TN ,38261 ,OBION ,,,,151755,,,.1011,,,63,22995,3633,,6760,,286.34,,972,,2045,551,,,,,7, 440131,01-OCT-14,30-SEP-15,Amended,BAPTIST MEM HOSPITAL TIPTON COUNTY ,1995 HIGHWAY 51 SOUTH ,,COVINGTON ,TN ,38019 ,TIPTON ,,,,57485,,,.12,,,47,25007,1116,,3131,,270.99,,345,,1285,926,,,,,, 440132,01-JUL-15,30-JUN-16,As Submitted,HENRY COUNTY MEDICAL CENTER ,301 TYSON AVENUE ,1080 ,PARIS ,TN ,38242 ,HENRY ,,,,162263,,,.0665,,,92,33672,5546,1753,11292,,495.34,,1472,431,3028,,,,,,355, 440133,01-JUL-15,30-JUN-16,As Submitted,SAINT THOMAS MIDTOWN HOSPITAL ,2000 CHURCH ST ,,NASHVILLE ,TN ,37236 ,DAVIDSON ,1168745,,,1349002,,,.1151,401302,112606,380,133781,21605,,110112,17.96,1406.24,,4731,,22055,6886,,,,,,449 440137,01-APR-15,31-MAR-16,As Submitted,TENNOVA HEALTHCARE SHELBYVILLE ,845 UNION ST ,,SHELBYVILLE ,TN ,37160 ,BEDFORD ,,,,50403,,,.0535,,,52,19032,2627,,5822,,196.46,,657,,1580,191,,,,,, 440144,01-JUN-15,31-MAY-16,As Submitted,TENNOVA HEALTHCARE HARTON ,1801 NORTH JACKSON STREET ,,TULLAHOMA ,TN ,37388 ,COFFEE ,,,,407228,,,.1095,,,99,36234,10336,3246,21191,,433.62,,2126,805,4761,,,,,,, 440147,01-OCT-14,30-SEP-15,As Submitted,BMH GERMANTOWN ,2100 EXETER ,,GERMANTOWN ,TN ,38138 ,SHELBY ,,,,,,,,,,11,4015,,,,,154.77,,,,,,,,,,,25 440148,01-JAN-15,31-JUL-15,As Submitted,DEKALB COMMUNITY HOSPITAL ,520 W MAIN ,640 ,SMITHVILLE ,TN ,37166 ,DEKALB ,,,,23137,,,.0761,,,52,11024,878,,2050,,103.92,,219,,729,69,,,,,, 440148,01-AUG-15,30-JUN-16,As Submitted,ST THOMAS DEKALB HOSPITAL ,520 W MAIN ,640 ,SMITHVILLE ,TN ,37166 ,DEKALB ,,,,17661,,,.0398,,,52,17420,1293,,2977,,108.66,,307,,721,80,,,,,, 440150,01-JAN-15,31-DEC-15,Amended,SUMMIT MEDICAL CENTER ,5655 FRIST BLVD ,,HERMITAGE ,TN ,37076- ,DAVIDSON ,,,,356132,,,.0564,,,174,63510,14648,428,44042,,781.26,,3374,101,10249,1739,,,,1,,293 440151,01-MAY-15,31-JUL-15,As Submitted,RIVER PARK HOSPITAL ,1559 SPARTA ROAD ,,MCMINNVILLE ,TN ,37110 ,WARREN ,,,,59945,,,.1632,,,79,7268,908,139,2256,,298.48,,245,,618,127,,,,,21,58 440151,01-AUG-15,30-JUN-16,Amended,RIVER PARK HOSPITAL ,1559 SPARTA ROAD ,,MCMINNVILLE ,TN ,37110 ,WARREN ,,,,239154,,,.1704,,,100,33500,3170,520,7504,,247.07,,899,,2107,410,,,,,133,207 440152,01-JUL-15,30-JUN-16,Amended,REGIONAL ONE HEALTH ,877 JEFFERSON AVENUE ,,MEMPHIS ,TN ,38002 ,SHELBY ,3628933,,,1713695,,,.4564,1519025,410564,268,101016,8074,2198,84202,146.21,2328.84,,1178,410,10818,5937,,,,7,,338 440153,01-OCT-14,30-SEP-15,Amended,NEWPORT MEDICAL CENTER ,435 SECOND STREET ,,NEWPORT ,TN ,37821- ,COCKE ,,,,81837,,,.12,,,32,11680,2089,1280,6878,,194.38,,602,399,2090,,,,,,, 440156,01-APR-15,31-MAR-16,Amended,PARKRIDGE MEDICAL CENTER ,2333 MCCALLIE AVENUE ,,CHATTANOOGA ,TN ,37404- ,HAMILTON ,,,,3216979,,,.3265,,,400,146400,23004,19431,96152,,1387.16,,4554,1564,16151,,315,,,,610,272 440159,01-APR-15,31-MAR-16,As Submitted,DELTA MEDICAL CENTER MEMPHIS ,3000 GETWELL ROAD ,,MEMPHIS ,TN ,38118 ,SHELBY ,,,,127849,,,.2468,,,143,52338,1693,128,5562,,396.43,,324,26,1247,213,539,,368,,2791, 440161,01-JAN-15,31-DEC-15,Amended,TRISTAR CENTENNIAL MEDICAL CENTER ,2300 PATTERSON STREET ,,NASHVILLE ,TN ,37203 ,DAVIDSON ,,,,3034897,,,.1568,,,523,190895,38859,2552,144501,,2242.8,,7626,333,27224,6787,807,,,,3998, 440168,01-JAN-15,28-MAR-15,Settled,METHODIST H/C FAYETTE HOSPT. ,214 LAKEVIEW DRIVE ,,SOMERVILLE ,TN ,38068 ,FAYETTE ,,,,,,,,,,10,870,8,,8,,16,,2,,2,,,,,,, 440173,01-SEP-15,31-AUG-16,Amended,PARKWEST MEDICAL CENTER ,9352 PARKWEST BLVD ,,KNOXVILLE ,TN ,37923-4325 ,KNOX ,,,,1065122,,,.0778,,,398,145668,32944,,106786,,1647,,6535,,21170,2571,,,1,,568, 440175,01-DEC-14,30-NOV-15,Amended,CROCKETT HOSPITAL ,HIGHWAY 43 SOUTH ,,LAWRENCEBURG ,TN ,38464 ,LAWRENCE ,,,,229373,,,.1953,,,89,32485,3689,1444,7057,,275.69,,834,666,1798,,,,,,,79 440176,01-JUL-15,30-JUN-16,Amended,INDIAN PATH MEDICAL CENTER ,2000 BROOKSIDE DRIVE ,,KINGSPORT ,TN ,37660-4627 ,SULLIVAN ,68402,,,410324,,,.151,60710,22436,148,54168,6858,1748,25107,2.76,615.35,,1504,70,5676,1681,,,,,, 440180,01-JUL-15,30-JUN-16,As Submitted,JELLICO COMMUNITY HOSPITAL ,188 HOSPITAL LANE ,,JELLICO ,TN ,37762 ,CAMPBELL ,,,,76693,,,.12,,,37,13542,1668,891,3542,,156.96,,476,374,1320,155,,,,,, 440181,01-JUL-15,30-JUN-16,As Submitted,BOLIVAR GENERAL HOSPITAL ,650 NUCKOLLS ROAD ,,BOLIVAR ,TN ,38008- ,HARDEMAN ,,,,29528,,,.1491,,,33,12078,628,91,994,,55.24,,171,36,315,,,,,,, 440182,01-FEB-15,31-JAN-16,As Submitted,MCKENZIE REGIONAL HOSPITAL ,161 HOSPITAL DRIVE ,,MCKENZIE ,TN ,38201 ,CARROLL ,,,,37312,,,.12,,,30,10950,1015,162,3046,,123.97,,273,408,922,,,,,,, 440183,01-JUN-15,31-MAY-16,Amended,ST. FRANCIS HOSPITAL ,5959 PARK AVENUE ,,MEMPHIS ,TN ,38119 ,SHELBY ,999035,,,1873166,,,.1907,427597,113852,318,116388,22908,4147,71197,19.63,996.9,,4312,340,14347,2721,108,,67,,826,274 440184,01-JUL-15,30-JUN-16,As Submitted,FRANKLIN WOODS COMMUNITY HOSPITAL ,300 MEDTECH PARKWAY ,,JOHNSON CITY ,TN ,37604- ,WASHINGTON ,,,,181907,,,.12,,,80,29280,4734,1358,18971,,437.16,,1080,3,4950,1096,,,,,, 440185,01-SEP-15,31-AUG-16,Amended,SKYRIDGE MEDICAL CENTER ,2800 WESTSIDE DRIVE NW ,,CLEVELAND ,TN ,37312 ,BRADLEY ,,,,718942,,,.1361,,,183,66954,13617,1571,38138,,821.43,,2827,1671,8596,,,,,,, 440187,01-MAR-15,29-FEB-16,Amended,LIVINGSTON REGIONAL HOSPITAL ,315 OAK STREET ,,LIVINGSTON ,TN ,38570 ,OVERTON ,,,,271081,,,.1986,,,90,32940,5031,1425,8213,,222.61,,974,406,1859,,,,,,205,118 440189,01-OCT-14,30-SEP-15,Amended,REGIONAL HOSPITAL OF JACKSON ,367 HOSPITAL BLVD ,,JACKSON ,TN ,38305 ,MADISON ,,,,597904,,,.1123,,,115,41975,12490,561,22778,,341.72,,2696,935,5311,,,,,,, 440192,01-JAN-15,31-JUL-15,As Submitted,HIGHLANDS MEDICAL CENTER ,401 SEWELL ROAD ,,SPARTA ,TN ,38583 ,WHITE ,,,,43005,,,.0977,,,32,6784,732,,1369,,137.97,,277,,584,84,,,,,145, 440192,01-AUG-15,30-JUN-16,As Submitted,SAINT THOMAS HIGHLAND HOSPITAL ,401 SEWELL ROAD ,,SPARTA ,TN ,38583 ,WHITE ,,,,61649,,,.1143,,,32,10720,956,55,1864,,121.31,,344,,521,69,,,1,,247, 440193,01-NOV-14,31-OCT-15,As Submitted,UNIVERSITY MEDICAL CENTER ,1411 BADDOUR PARKWAY ,,LEBANON ,TN ,37087 ,WILSON ,,,,375280,,,.1352,,,170,62050,8498,1236,21875,,479.33,,1539,914,4513,,,,431,,833,144 440194,01-SEP-15,31-AUG-16,Amended,TRISTAR HENDERSONVILLE MEDICALCENTER ,355 NEW SHACKLE ISLAND ,,HENDERSONVILLE ,TN ,37215 ,SUMNER ,,,,285476,,,.0922,,,105,36818,6696,331,23579,,476.06,,1778,77,6333,1474,,,,,, 440197,01-JUN-15,31-MAY-16,Amended,SOUTHERN HILLS MEDICAL CENTER ,391 WALLACE ROAD ,,NASHVILLE ,TN ,37211 ,DAVIDSON ,,,,179585,,,.0669,,,93,34038,5574,116,18259,,448.7,,1294,39,4456,529,,,,7,,294 440200,01-JAN-15,31-JUL-15,As Submitted,STONES RIVER HOSPITAL ,324 DOOLITTLE ROAD ,,WOODBURY ,TN ,37190 ,CANNON ,,,,17338,,,.0796,,,30,6360,587,,1170,,81.39,,174,,395,51,,,,,125, 440200,01-AUG-15,30-JUN-16,As Submitted,SAINT THOMAS STONES RIVER HOSPITAL ,324 DOOLITTLE ROAD ,,WOODBURY ,TN ,37190 ,CANNON ,,,,24769,,,.0951,,,30,10050,738,,1562,,72.58,,205,,459,63,,,,,248, 440218,01-JAN-15,31-DEC-15,As Submitted,THE CENTER FOR SPINAL SURGERY ,2011 MURPHY AVENUE THIRD FLOOR ,,NASHVILLE ,TN ,37203 ,DAVIDSON ,,,,,,,,,,23,8395,674,,2235,,102.2,,488,,1617,,,,,,, 440227,01-APR-15,31-MAR-16,Amended,TRISTAR STONECREST MEDICAL CENTER ,200 STONECREST BOULEVARD ,,SMYRNA ,TN ,37167- ,RUTHERFORD ,,,,279750,,,.12,,,109,39894,4842,242,20254,,433.23,,1296,72,5231,1750,,,,,, 440228,01-JUN-15,31-MAY-16,Amended,ST. FRANCIS BARTLETT MED CTR ,2986 KATE BOND ROAD ,,BARTLETT ,TN ,38133 ,SHELBY ,,,,345673,,,.0647,,,156,57096,13670,674,34856,,495.5,,2467,22,7035,983,,,,,, 440231,01-JUL-15,30-JUN-16,As Submitted,TRUSTPOINT HOSPITAL ,1009 NORTH THOMPSON LANE ,,MURFREESBORO ,TN ,37129 ,RUTHERFORD ,,,,,,,,,,10,3660,740,,1382,,92.75,,111,,225,,,,,,2606,387 440232,01-JAN-15,31-DEC-15,As Submitted,HOUSTON COUNTY COMMUNITY HOSPITAL ,5001 EAST MAIN STREET ,,ERIN ,TN ,37061 ,HOUSTON ,,,,21574,,,.0882,,,25,9125,1419,41,2208,,70.01,,241,10,336,,,,,,, 441300,01-JUL-15,30-JUN-16,As Submitted,HICKMAN COMM HLTH CARE SERV ,135 EAST SWAN ST. ,,CENTERVILLE ,TN ,37033 ,HICKMAN ,,,,,,,,,,25,9150,206,,579,,56.37,,18,,32,1,,,,,, 441301,01-OCT-14,30-SEP-15,Amended,TROUSDALE MEDICAL CENTER ,500 CHURCH STREET ,,HARTSVILLE ,TN ,37074 ,TROUSDALE ,,,,,,,,,,25,9125,1258,68,1666,,69.12,,183,20,282,,,,,,, 441303,01-JAN-15,31-DEC-15,As Submitted,THREE RIVERS HOSPITAL ,451 HWY 13 S ,,WAVERLY ,TN ,37185 ,HUMPHREYS ,,,,,,,,,,25,9125,2118,46,2504,,95.36,,284,24,362,,,,,,, 441304,01-JUL-15,30-JUN-16,As Submitted,JOHNSON COUNTY COMMUNITY HOSPITAL ,1901 SOUTH SHADY STREET ,,MOUNTAIN CITY ,TN ,37683 ,JOHNSON ,,,,,,,,,,2,732,39,4,79,,64.73,,16,,35,2,,,,,, 441305,01-OCT-14,30-SEP-15,As Submitted,MACON COUNTY GENERAL HOSPITAL ,204 MEDICAL DRIVE ,,LAFAYETTE ,TN ,37083-0378 ,MACON ,,,,,,,,,,25,9125,2208,,3580,,113.97,,405,,758,74,,,,,, 441306,01-JUL-15,30-JUN-16,As Submitted,ERLANGER BLEDSOE HOSPITAL ,71 WHEELERTOWN AVENUE ,,PIKEVILLE ,TN ,37367 ,BLEDSOE ,,,,,,,,,,25,9150,1647,121,2386,,111.37,,138,28,333,,,,,,, 441307,01-AUG-15,31-JUL-16,Amended,RIVERVIEW REGIONAL MEDICAL CENTER ,158 HOSPITAL DRIVE ,,CARTHAGE ,TN ,37030 ,SMITH ,,,,,,,,,,25,9150,1932,434,3190,,151.55,,328,138,774,,,,,,187, 441308,01-JAN-15,30-JUN-15,As Submitted,MEDICAL CENTER OF MANCHESTER ,481 INTERSTATE DRIVE ,,MANCHESTER ,TN ,37355 ,COFFEE ,,,,,,,,,,25,4525,854,192,1824,,101.82,,199,59,517,,,,,,, 441309,01-JUL-15,30-JUN-16,As Submitted,MARSHALL MEDICAL CENTER ,ELLINGTON PARKWAY ,1609 ,LEWISBURG ,TN ,37091- ,MARSHALL ,,,,,,,,,,25,9150,523,86,999,,124.21,,150,32,302,,,,,,, 441310,01-JUL-15,30-JUN-16,As Submitted,RHEA MEDICAL CENTER ,9400 RHEA COUNTY HIGHWAY ,,DAYTON ,TN ,37321 ,RHEA ,,,,,,,,,,25,9150,2163,305,3995,,190.9,,572,104,1182,,,,,,, 441311,01-JUN-15,31-MAY-16,Amended,TRISTAR ASHLAND CITY MEDICAL CENTER ,313 NORTH MAIN STREET ,,ASHLAND CITY ,TN ,37015 ,CHEATHAM COUNTY ,,,,,,,,,,12,4392,745,36,1776,,54.53,,91,6,270,,,,,,, 441313,01-JUL-15,30-JUN-16,As Submitted,HANCOCK COUNTY HOSPITAL ,1519 MAIN ST ,,SNEEDVILLE ,TN ,37869-3657 ,HANCOCK ,,,,,,,,,,10,3660,320,81,692,,36.24,,98,30,212,,,,,,, 441314,01-OCT-14,30-SEP-15,As Submitted,CAH ACQUISITION COMPANY #11 LLC ,326 ASBURY RD ,,RIPLEY ,TN ,38063 ,LAUDERDALE ,,,,,,,,,,25,9125,1870,83,2194,,121.25,,194,22,254,,,,,,, 441315,01-OCT-14,30-SEP-15,Amended,COPPER BASIN MEDICAL CENTER INC. ,HIGHWAY 61 ,990 ,COPPERHILL ,TN ,37317- ,POLK ,,,,,,,,,,21,7665,1655,148,2694,,106.04,,334,36,544,,,,,,, 441316,01-JUL-15,30-JUN-16,As Submitted,CAMDEN GENERAL HOSPITAL ,175 HOSPITAL DRIVE ,,CAMDEN ,TN ,38320- ,BENTON ,,,,,,,,,,25,9150,1313,130,1611,,59.85,,167,26,245,,,,,,, 441318,01-JAN-15,31-DEC-15,As Submitted,PIONEER HEALTH SERVICES OF ONEIDA ,18797 ALBERTA STREET ,,ONEIDA ,TN ,37841-2127 ,SCOTT ,,,,,,,,,,25,9125,2249,4,3168,,215,,420,1,642,,,,,,, 441319,31-JUL-15,30-JUN-16,Amended,CUMBERLAND RIVER HOSPITAL ,100 OLD JEFFERSON STREET ,,CELINA ,TN ,38551 ,CLAY ,,,,,,,,,,25,8400,1807,117,2598,,102.76,,197,37,313,,,,,,144, 442006,01-SEP-15,30-SEP-16,As Submitted,KINDRED HOSPITAL NASHVILLE ,1412 COUNTY HOSPITAL ROAD ,,NASHVILLE ,TN ,37218 ,DAVIDSON ,,,,,,,,,,60,23760,6494,,11780,,94,,213,,364,40,,,,,, 442007,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL CHATTANOOGA ,709 WALNUT STREET ,,CHATTANOOGA ,TN ,37402 ,HAMILTON ,,,,,,,,,,44,16104,4969,,9356,,88.6,,205,,323,30,,,,,, 442010,01-OCT-14,30-SEP-15,As Submitted,BAPTIST MEM RESTORATIVE CARE HOSP. ,6019 WALNUT GROVE ,,MEMPHIS ,TN ,38120 ,SHELBY ,,,,,,,,,,30,10950,5351,207,8393,,77.01,,160,8,250,,,,,,, 442011,01-MAY-15,30-APR-16,Settled,SSH -NASHVILLE ,2000 HAYES STREET SUITE 1502 ,,NASHVILLE ,TN ,37203 ,DAVIDSON ,,,,,,,,,,70,25620,8543,,22738,,254.68,,237,,569,39,,,,,, 442012,01-AUG-15,31-JUL-16,Settled,SSH - KNOXVILLE INC. ,1901 CLINCH AVENUE 4TH FLOOR NORTH ,,KNOXVILLE ,TN ,37916 ,KNOX ,,,,,,,,,,35,12810,6761,,9557,,89.69,,265,,387,25,,,,,, 442013,01-SEP-15,21-JUN-16,Settled,METHODIST HLTH/C-EXTENDED CARE HOSP ,225 SOUTH CLAYBROOK ,,MEMPHIS ,TN ,38104 ,SHELBY ,,,,,,,,,,36,10944,7114,,8175,,121.39,,245,,296,,,,,,, 442014,01-DEC-14,30-NOV-15,Settled,SSH -MEMPHIS INC ,5959 PARK AVENUE 12TH FLOOR ,,MEMPHIS ,TN ,38119 ,SHELBY ,,,,,,,,,,39,14235,7540,,12372,,119.08,,261,,414,31,,,,,, 442015,01-JAN-15,31-DEC-15,Settled,SSH -NORTH KNOXVILLE ,7557B DANNAHER DRIVE ,SUITE 145 ,POWELL ,TN ,37849-3568 ,KNOX COUNTY ,,,,,,,,,,33,12045,6384,,10577,,92.94,,244,,388,22,,,,,, 442016,01-NOV-14,31-OCT-15,Settled,SSH - TRI-CITIES INC. ,1 MEDICAL PARK BLVD 5TH FL WEST ,,BRISTOL ,TN ,37620 ,SULLIVAN ,,,,,,,,,,33,12045,6525,,10457,,102.63,,243,,387,29,,,,,, 442017,11-AUG-15,30-JUN-16,As Submitted,REGIONAL ONE HEALTH EXTENDED CARE HO ,890 MADISON AVENUE 4TH FLOOR ,,MEMPHIS ,TN ,38103-3409 ,SHELBY ,,,,,,,,,,24,7800,3409,328,6440,,71.72,,101,10,172,,,,,,, 443025,01-JUL-15,30-JUN-16,As Submitted,SISKIN HOSPITAL FOR PHYSICAL REHAB. ,ONE SISKIN PLAZA ,,CHATTANOOGA ,TN ,37403 ,HAMILTON ,,,,,,,,,,80,29280,10941,,21888,,359.8,,786,41,1523,,,,,,, 443027,01-JUN-15,31-MAY-16,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,113 CASSEL DRIVE ,,KINGSPORT ,TN ,37660 ,SULIVAN ,,,,,,,,,,50,18300,6924,,11465,,104.53,,480,,796,30,,,,,, 443028,01-JUN-15,31-MAY-16,Amended,VANDERBILT STALLWORTH REHABILITATION ,2201 CHILDRENS WAY ,,NASHVILLE ,TN ,37212 ,DAVIDSON ,,,,,,,,,,80,29280,6699,,18951,,181.39,,539,,1423,127,,,,,, 443029,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,128 UNION AVENUE ,,MEMPHIS ,TN ,38104 ,SHELBY ,,,,,,,,,,80,29200,11066,,17694,,148.66,,872,,1348,49,,,,,, 443030,01-JUN-15,31-MAY-16,As Submitted,HEALTHSOUTH CANE CREEK REHABILITATIO ,180 MT PELIA ROAD ,,MARTIN ,TN ,38237- ,WEAKLEY ,,,,,,,,,,40,14640,8130,,9798,,95.79,,681,,833,14,,,,,, 443031,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,4100 AUSTIN PEAY HIGHWAY ,,MEMPHIS ,TN ,38128 ,SHELBY ,,,,,,,,,,50,18250,10195,,13783,,110.45,,802,,1090,18,,,,,, 443032,01-JUN-15,31-MAY-16,Amended,HEALTHSOUTH CHATTANOOGA REHABILITATI ,2412 MCCALLIE AVENUE ,,CHATTANOOGA ,TN ,37404 ,HAMILTON ,,,,,,,,,,69,25254,10273,,14596,,128.92,,836,,1161,15,,,,,, 443033,16-DEC-14,30-SEP-15,Amended,QUILLEN REHABILITATION HOSPITAL A J ,2511 WESLEY STREET ,,JOHNSON CITY ,TN ,37601 ,WASHINGTON ,,,,,,,,,,26,7514,3448,,5884,,72.31,,277,,455,8,,,,,, 443034,20-NOV-14,31-DEC-14,As Submitted,BAPTIST MEMORIAL REHABILITATION HOSP ,2120 EXETER RD. ,,GERMANTOWN ,TN ,38138 ,SHELBY ,,,,,,,,,,49,2058,669,,957,,151.62,,68,,83,,,,,,, 443034,01-JAN-15,31-DEC-15,As Submitted,BAPTIST MEMORIAL REHABILITATION HOSP ,1240 S. GERMANTOWN ROAD ,,GERMANTOWN ,TN ,38138 ,SHELBY ,,,,,,,,,,49,17885,11069,,13171,,143.3,,894,,1060,,,,,,, 443302,01-JUL-15,30-JUN-16,Settled,ST JUDE CHILDRENS RESEARCH HOSPITAL ,332 NORTH LAUDERDALE ,,MEMPHIS ,TN ,38101 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 443303,01-JUL-15,30-JUN-16,Settled,EAST TENNESSEE CHILDRENS HOSPITAL ,11227 WESTPOINT DRIVE ,,KNOXVILLE ,TN ,37934-2838 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 444001,01-JUL-15,30-JUN-16,As Submitted,MEMPHIS MENTAL HLTH INISTITUTE ,951 COURT AVE ,,MEMPHIS ,TN ,38103-2813 ,SHELBY ,,,,,,,,,,55,20130,1136,4971,17565,,186,,97,269,1527,,,,,,, 444002,01-JUL-15,30-JUN-16,As Submitted,MOCCASIN BEND MENTAL HLTH INSTITUTE ,100 MOCCASIN BEND ROAD ,,CHATTANOOGA ,TN ,37405 ,HAMILTON ,,,,,,,,,,150,54900,3324,12978,47530,,541.2,,275,9,2925,638,,,,,, 444003,01-JUL-15,30-JUN-16,As Submitted,RIDGEVIEW PSYCHIATRIC HOSPITAL ,240 WEST TYRONE ROAD ,,OAK RIDGE ,TN ,37830 ,ANDERSON ,,,,,,,,,,16,5840,458,1468,4609,,223,,71,262,880,,,,,,, 444004,01-JAN-15,31-DEC-15,Settled,LAKESIDE HOSPITAL ,2911 BRUNSWICK RD ,,MEMPHIS ,TN ,38133 ,MEMPHIS ,,,,,,,,,,261,95265,22368,2430,83708,,433,,1584,237,8393,,,,,,, 444005,01-JAN-15,31-DEC-15,As Submitted,BEHAVORIAL HEALTHCARE CENTERS ,458 HANNINGS LANE ,1006 ,MARTIN ,TN ,38237 ,WEAKLEY ,,,,,,,,,,16,5840,3525,,3525,,33.8,,215,,215,,,,,,, 444007,01-MAR-15,29-FEB-16,As Submitted,ROLLING HILLS HOSPITAL ,2014 QUAIL HOLLOW CIRCLE ,,FRANKLIN ,TN ,37067 ,WILLIAMSON ,,,,,,,,,,80,29280,3481,,25536,,151.39,,380,,3277,,,,,,, 444008,01-JUL-15,30-JUN-16,As Submitted,WESTERN MENTAL HLTH INSTIT. ,11100 OLD HIGHWAY 64 WEST ,,BOLIVAR ,TN ,38008 ,HARDEMAN ,,,,,,,,,,150,54900,565,13463,50104,,239,,84,185,1002,,,,,,, 444010,01-JUL-15,30-JUN-16,As Submitted,PATHWAYS OF TN INC. ,238 SUMMAR DRIVE ,,JACKSON ,TN ,38301- ,MADISON ,,,,,,,,,,25,9150,258,420,3220,,202.08,,55,117,831,,,,,,, 444014,01-JUL-15,30-JUN-16,As Submitted,MIDDLE TENN MENTAL HLTH INSTITUTE ,221 STEWARTS FERRY PIKE ,,NASHVILLE ,TN ,37214 ,DAVIDSON ,,,,,,,,,,207,75636,1235,19043,63585,,579,,184,369,3802,,,,,,, 444019,01-JAN-15,31-DEC-15,As Submitted,BEHAVIORAL HEALTHCARE CENTERS LLC ,930 PROFESSIONAL DRIVE ,,CLARKSVILLE ,TN ,37040 ,MONTGOMERY ,,,,,,,,,,26,9490,4109,,4109,,36.1,,242,,242,,,,,,, 444021,01-JAN-15,31-DEC-15,As Submitted,BEHAVORIAL HEALTH CENTERS ,1400 ROSEWOOD DR ,,COLUMBIA ,TN ,38401 ,MAURY ,,,,,,,,,,16,5840,3923,,3923,,38,,238,,238,,,,,,, 444022,01-JAN-15,31-DEC-15,As Submitted,PREMIERCARE TENNESSEE INC. ,1 MEDICAL CENTER BLVD 5 WEST ,,COOKEVILLE ,TN ,38501-4294 ,PUTNAM ,,,,,,,,,,36,13140,1642,,5767,,39.14,,253,,992,,,,,,, 444023,09-JUL-15,31-DEC-15,As Submitted,WOODRIDGE OF WEST TENNESSEE LLC ,49 OLD HICKORY BOULEVARD ,,JACKSON ,TN ,38305 ,,,,,,,,,,,16,2816,641,21,1273,,15,,37,1,79,4,,,,,, 450002,01-JUN-15,31-MAY-16,Amended,THE HOSPITALS OF PROVIDENCE - MEMORI ,2001 NORTH OREGON ,,EL PASO ,TX ,79902 ,EL PASO ,60632,,,1869751,,,.3872,57272,22786,456,165759,12680,8135,75017,2.94,1120,,2691,895,16770,4523,7,,1,,280, 450007,01-JUL-15,30-JUN-16,As Submitted,PETERSON REGIONAL MEDICAL CENTER ,551 HILL COUNTRY DRIVE ,,KERRVILLE ,TX ,78028- ,KERR ,,,,,,,,,,98,35868,9641,268,16783,,663.87,,2372,103,4347,269,,,,,,441 450010,01-JAN-15,31-DEC-15,As Submitted,UNITED REGIONAL HEALTH CARE SYSTEM ,1600 ELEVENTH STREET ,,WICHITA FALLS ,TX ,76301 ,WICHITA ,1801443,,,1552342,,,.1194,543145,191182,275,100375,28345,5391,66431,17.51,1670,,6108,446,14690,2641,,,,,, 450011,01-JAN-15,30-JUN-15,Amended,ST. JOSEPH REGIONAL HEALTH CENTER ,2801 FRANCISCAN DRIVE ,,BRYAN ,TX ,77802 ,BRAZOS ,1406600,,,563022,,,.092,287462,115320,209,37829,12487,4638,28808,26.19,1973.32,,2819,485,6766,,,,,,,212 450011,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPH REGIONAL HEALTH CENTER ,2801 FRANCISCAN DRIVE ,,BRYAN ,TX ,77802 ,BRAZOS ,2958069,,,1276931,,,.1031,794856,353666,209,76494,24455,7908,57845,26.9,1878.98,,5491,1006,13512,,,,,,,455 450015,01-OCT-14,30-SEP-15,Amended,DALLAS CO. HOSP. DIST. ,5200 HARRY HINES BLVD ,,DALLAS ,TX ,75235 ,DALLAS ,8463600,,,3751070,,,.5038,2857428,2125905,800,291216,21994,96241,229365,566.54,10008.14,,3377,20216,46242,,,,,,265,407 450018,01-SEP-15,31-AUG-16,As Submitted,THE UNIVERSITY OF TEXAS MEDICAL BR. ,301 UNIVERSITY BLVD ,,GALVESTON ,TX ,77555-0115 ,GALVESTON ,17192014,,,2742987,,,.2605,4998036,3672878,566,195469,24493,9078,145929,498.08,4344.45,,4555,3205,27375,,,,,,, 450021,01-JUL-15,30-JUN-16,Amended,BAYLOR UNIVERSITY MEDICAL CTR ,3500 GASTON AVENUE ,,DALLAS ,TX ,75246- ,DALLAS ,10959715,,,3737309,,,.1109,3801939,772417,850,311100,77205,17117,248268,165.46,4389.26,,11577,884,29897,,,,,,, 450023,01-JUL-15,30-JUN-16,Amended,CITIZENS MEDICAL CENTER ,2701 HOSPITAL DRIVE ,,VICTORIA ,TX ,77901- ,VICTORIA ,,,,389350,,,.069,,,313,114558,14853,2074,33125,,989.03,,2996,257,7387,492,,,,,, 450024,01-OCT-14,30-SEP-15,As Submitted,UNIVERSITY MEDICAL CENTER OF EL PASO ,4815 ALAMEDA AVENUE ,,EL PASO ,TX ,79905- ,EL PASO ,3478737,,,1214146,,,.3739,1931491,609884,261,95389,8381,9371,72081,168.22,2471,,1631,2723,15174,,,,,,, 450028,01-MAY-15,30-APR-16,Amended,VALLEY BAPTIST MED CNTR BROWNSVILLE ,1040 WEST JEFFERSON STREET ,,BROWNSVILLE ,TX ,78520 ,CAMERON ,,,,2427009,,,.5304,,,228,83448,11884,7533,44624,,672.42,,2341,1374,9949,2152,382,,82,,1265, 450029,01-OCT-14,30-SEP-15,As Submitted,LAREDO MEDICAL CENTER ,1700 EAST SAUNDERS ,,LAREDO ,TX ,78041 ,WEBB ,,,,3983758,,,.4413,,,308,112420,27067,10419,75322,,1058.29,,4111,4658,13678,,,,,,, 450032,01-OCT-14,30-SEP-15,As Submitted,GOOD SHEPHERD MEDICAL CTR - MARSHALL ,811 SOUTH WASHINGTON ,75670 ,MARSHALL ,TX ,75670 ,HARRISON ,,,,397444,,,.1651,,,111,40515,5501,535,13753,,355.53,,1434,183,3772,878,,,,,,157 450033,01-SEP-15,31-AUG-16,Amended,VALLEY BAPTIST MEDICAL CENTER ,2101 PEASE STREET ,2588 ,HARLINGEN ,TX ,78551-2588 ,CAMERON ,809090,,,3214250,,,.3611,312920,94615,377,137799,19100,9487,74137,8.09,1046,,3814,1350,15804,2851,,,,3,,389 450034,01-JUL-15,30-JUN-16,As Submitted,CHRISTUS HOSPITAL ,2830 CALDER STREET ,5405 ,BEAUMONT ,TX ,77702-1048 ,JEFFERSON ,,,,1290756,,,.1177,,,425,155550,21756,2085,67855,,1685.44,,4667,499,15922,,,,,,, 450035,01-NOV-14,31-OCT-15,As Submitted,ST JOSEPH MEDICAL CENTER ,1401 ST. JOSEPH PARKWAY ,,HOUSTON ,TX ,77002 ,HARRIS ,1094256,,,1507436,,,.4206,1522816,482443,248,87072,7997,13278,60333,27.41,1268.05,,1517,2779,11935,2733,802,,138,1,3124,252 450037,01-OCT-14,30-SEP-15,As Submitted,GOOD SHEPHERD MEDICAL CENTER ,700 EAST MARSHALL AVE ,,LONGVIEW ,TX ,75601 ,GREGG ,3578859,,,2188753,,,.194,1443048,470027,354,129210,24611,3596,70350,50.65,1535.6,,5607,609,14563,3336,,,,6,,529 450039,01-OCT-14,30-SEP-15,Amended,TCHD D/B/A JPS HEALTH NETWORK ,1500 SOUTH MAIN STREET ,,FORT WORTH ,TX ,76104-4917 ,TARRANT ,3928765,,,2078998,,,.3458,1213670,696497,405,147825,13485,20247,116714,180.59,4937,,2563,4470,23783,5936,,,,,3326, 450040,01-JUL-15,30-JUN-16,As Submitted,COVENANT HEALTH SYSTEM ,3615 19TH ST ,1201 ,LUBBOCK ,TX ,79410 ,LUBBOCK ,618672,,,1412137,,,.0741,212028,74650,458,166234,45823,7472,112799,19.2,3014,,7966,357,20859,1908,97,,,,807,153 450042,01-JUL-15,30-JUN-16,As Submitted,PROVIDENCE HEALTH CENTER ,6901 MEDICAL PARKWAY ,2589 ,WACO ,TX ,76712-2589 ,MCLENNAN ,720747,,,683358,,,.0541,196031,76418,237,86742,31509,799,69847,6.28,1720.76,,6816,244,16405,2487,,,207,,1083, 450044,01-SEP-15,31-AUG-16,As Submitted,UT SOUTHWESTERN UNIVERSITY HOSP ,5909 HARRY HINES BLVD ,,DALLAS ,TX ,75235- ,DALLAS ,3902167,,,1394130,,,.0839,963048,685341,449,157873,38968,1952,113852,199.24,2897.73,,6550,327,20614,2490,,,,,, 450046,01-JUL-15,30-JUN-16,As Submitted,CHRISTUS SPOHN HOSP CORPUS CHRISTI ,2606 HOSPITAL BOULEVARD ,,CORPUS CHRISTI ,TX ,78405 ,NUECES ,1463798,,,2552746,,,.1675,1358604,342236,637,233142,37889,5126,150757,55.18,2789.03,,6942,939,29318,5445,,,,,490,569 450051,01-JUL-15,30-JUN-16,As Submitted,METHODIST DALLAS MEDICAL CENTER ,1441 N BECKLEY AVE ,,DALLAS ,TX ,75203-1201 ,DALLAS ,2310360,,,2761836,,,.2617,1016547,344126,377,137616,20900,8802,92230,63.6,2001,,3673,1412,15782,,,,,,, 450052,01-JUL-15,08-SEP-15,Amended,GOODALL-WITCHER HOSPITAL AUTHORITY ,101 POSEY AVE ,549 ,CLIFTON ,TX ,76634- ,BOSQUE ,,,,,,,,,,33,1089,423,6,594,,29.17,,39,3,57,,,,,,, 450054,01-SEP-15,31-AUG-16,Amended,SCOTT AND WHITE MEMORIAL HOSPITAL ,2401 SOUTH 31ST STREET ,,TEMPLE ,TX ,76508- ,BELL ,16746165,,,3717889,,,.1239,5427222,5472040,581,212646,62197,7191,160114,362.41,7401.53,,12708,1344,34523,,,,,,279, 450055,01-OCT-14,30-SEP-15,As Submitted,ROLLING PLAINS MEMORIAL HOSPITAL ,200 EAST ARIZONA ,,SWEETWATER ,TX ,79556 ,NOLAN ,,,,76176,,,.12,,,39,14235,2753,114,5634,,238.13,,456,55,1119,,,,,,, 450056,01-JUL-15,30-JUN-16,As Submitted,DCHSA-D.B.A.-SETON MEDICAL CTR ,1201 WEST 38TH STREET ,,AUSTIN ,TX ,78705- ,TRAVIS ,,,,1723239,,,.1342,,,447,163602,27871,8479,110539,,1747.6,,5145,2200,20839,3331,,,,,, 450058,01-JUL-15,30-JUN-16,Amended,BAPTIST HEALTH SYSTEM ,111 DALLAS STREET ,,SAN ANTONIO ,TX ,78205 ,BEXAR ,,,,6222633,,,.2094,,,1432,524112,61731,20657,286816,,5088.89,,13992,2041,63965,9190,,,10,8,569,1115 450064,01-JAN-15,31-DEC-15,As Submitted,ARLINGTON MEMORIAL HOSPITAL ,800 W RANDOL MILL ROAD ,,ARLINGTON ,TX ,76012 ,TARRANT ,,,,862365,,,.1118,,,241,87965,20054,2947,66241,,1497.49,,3715,2240,12419,,,,,,1175, 450068,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL HERMANN TEXAS MEDICAL CNTR ,6411 FANNIN ,,HOUSTON ,TX ,77030 ,HARRIS ,20656169,,,6948261,,,.2785,7227958,1419104,931,338265,45477,44344,268350,530.28,5440.22,,6664,2535,42085,,,,,40,,407 450072,01-JAN-15,31-DEC-15,As Submitted,BRAZOSPORT REGIONAL HEALTH SYSTEM ,100 MEDICAL DRIVE ,,LAKE JACKSON ,TX ,77566 ,BRAZORIA ,,,,100039,,,.0401,,,70,25550,6244,276,15286,,600.8,,1503,105,4864,,,,,,,143 450073,01-JAN-15,20-APR-15,Amended,D.M. COGDELL MEMORIAL HOSPITAL ,1700 COGDELL BLVD ,,SNYDER ,TX ,79549- ,SCURRY ,,,,10261,,,.12,,,34,3740,296,38,803,,153.03,,82,18,216,,,,,,, 450076,01-SEP-15,31-AUG-16,As Submitted,UT MD ANDERSON CANCER CENTER ,1515 HOLCOMBE BLVD ,,HOUSTON ,TX ,77030 ,HARRIS ,,,,,,,,,2538365,660,241560,65000,2948,197749,304.11,21299,,8816,416,27365,,,,,,, 450078,01-APR-15,31-MAR-16,As Submitted,ANSON GENERAL HOSPITAL ,101 AVENUE J ,,ANSON ,TX ,79501- ,JONES ,,,,9199,,,.0336,,,14,5124,2352,9,2652,,59.32,,268,1,315,13,,,,,, 450079,01-JUL-15,30-JUN-16,Amended,BAYLOR MEDICAL CENTER AT IRVING ,1901 NORTH MACARTHUR BLVD ,,IRVING ,TX ,75061- ,DALLAS ,,,,902125,,,.1431,,,189,69174,15794,1205,51800,,896.47,,3164,311,10671,3240,,,,3,,348 450080,01-OCT-14,30-SEP-15,As Submitted,TITUS REGIONAL MEDICAL CENTER ,2001 NORTH JEFFERSON ,,MT. PLEASANT ,TX ,75455 ,TITUS ,,,,251955,,,.1667,,,96,35040,4130,809,11245,,473.67,,1011,489,2914,,,,,,251,145 450082,01-JUL-15,30-JUN-16,As Submitted,CHRISTUS SPOHN HOSPITAL BEEVILLE ,1500 E. HOUSTON HWY ,,BEEVILLE ,TX ,78102- ,BEE ,,,,61309,,,.12,,,51,18666,1375,148,4869,,140.69,,424,65,1172,,,,,,, 450083,01-NOV-14,31-OCT-15,As Submitted,ETMC- TYLER ,1000 SOUTH BECKHAM ,6400 ,TYLER ,TX ,75711- ,SMITH ,,,,1234579,,,.0667,,,451,164615,43078,3391,117749,,2497.11,,8531,474,25213,,,,,,, 450085,01-OCT-14,30-SEP-15,As Submitted,GRAHAM REGIONAL MEDICAL CENTER ,1301 MONTGOMERY ROAD ,,GRAHAM ,TX ,76450- ,YOUNG ,,,,56098,,,.1101,,,25,9125,1362,14,2319,,168.14,,362,8,1065,,,,,,, 450087,01-JUN-15,31-MAY-16,Amended,NORTH HILLS HOSPITAL ,4401 BOOTH CALLOWAY ROAD ,,NORTH RICHLAND HILLS ,TX ,76180 ,TARRANT ,,,,,,,,,,137,50142,9922,199,28476,,496.73,,2006,44,6403,,,,,,189, 450090,01-OCT-14,30-SEP-15,As Submitted,NORTH TEXAS MEDICAL CENTER ,1900 HOSPITAL BOULEVARD ,,GAINSVILLE ,TX ,76240- ,COOKE ,,,,80010,,,.12,,,48,17520,2201,189,4563,,192.87,,438,76,1647,433,,,,,, 450092,01-JAN-15,31-DEC-15,Amended,FORT DUNCAN MEDICAL CENTER ,3333 N. FOSTER MALDONADO BLVD ,,EAGLE PASS ,TX ,78852- ,MAVERICK ,,,,277054,,,.12,,,86,31390,6697,971,17669,,358.06,,1320,399,4334,,,,,,,400 450097,01-JAN-15,31-DEC-15,Amended,BAYSHORE MEDICAL CENTER ,4000 SPENCER HIGHWAY ,,PASADENA ,TX ,77504- ,HARRIS ,,,,2288054,,,.2909,,,368,134953,23130,9494,110989,,1728.64,,3933,3027,20839,,,,,,707,250 450099,01-JAN-15,31-DEC-15,Amended,PAMPA REGIONAL ,ONE MEDICAL PLAZA ,,PAMPA ,TX ,79065 ,GRAY ,,,,,,,,,,32,11680,2094,157,5930,,400.26,,620,45,1854,,,,1,,154, 450101,01-SEP-15,31-AUG-16,Amended,HILLCREST BAPTIST MEDICAL CENTER ,100 HILLCREST MEDICAL BOULEVARD ,,WACO ,TX ,76712- ,MCLENNAN ,1176588,,,1568345,,,.1998,362725,181918,221,80886,16725,4224,56619,17.03,1572.61,,3687,1133,12737,1897,,,,,,477 450102,01-JUL-15,30-JUN-16,As Submitted,CHRISTUS MOTHER FRANCES HOSP-TYLER ,800 EAST DAWSON ,,TYLER ,TX ,75701 ,SMITH ,277956,,,1701096,,,.0824,66189,46407,449,153246,44107,4704,109548,4.78,3258.65,,9342,1361,22769,3652,,,,,, 450104,01-OCT-14,30-SEP-15,Amended,GUADALUPE REGIONAL MEDICAL CENTER ,1215 EAST COURT STREET ,,SEGUIN ,TX ,78155- ,GUADALUPE ,,,,363273,,,.12,,,103,37595,6356,459,14390,,562.56,,1639,218,4109,,,,,,,176 450107,01-AUG-15,31-JUL-16,Amended,LAS PALMAS MEDICAL CENTER ,1801 NORTH OREGON ,,EL PASO ,TX ,79902- ,EL PASO ,,,,3651680,,,.3255,,,493,180438,29195,5628,131604,,2176.48,,5420,1534,26869,6386,,,,40,,1159 450108,01-OCT-14,30-SEP-15,Settled,CONNALLY MEMORIAL MEDICAL CENTER ,499 10TH STREET ,,FLORESVILLE ,TX ,78114 ,WILSON ,,,,,,,,,,44,16060,1816,28,3504,,202.97,,479,8,985,,,,,,, 450119,01-JAN-15,31-DEC-15,Amended,SOUTH TEXAS HEALTH SYSTEM ,1102 W. TRENTON ROAD ,,EDINBURG ,TX ,78539- ,HIDALGO ,420458,,,3929299,,,.4522,,,762,247105,26090,7568,117202,18,1986.75,,4285,1658,23843,,,,,,723,338 450124,01-JUL-15,30-JUN-16,Amended,UNIVERSITY MED CENTER BRACKENRIDGE ,601 E. 15TH STREET ,,AUSTIN ,TX ,78701- ,TRAVIS ,3172691,,,1091175,,,.2189,1474774,500308,222,74768,11389,8655,65425,131.37,1456.36,,2011,1991,12848,1659,,,,,, 450128,01-JUL-15,31-DEC-15,As Submitted,KNAPP MEDICAL CENTER ,1401 EAST EIGHT STREET ,,WESLACO ,TX ,78596 ,HIDALGO ,,,,1039624,,,.5062,,,183,33398,4629,1890,16873,,1183.34,,1012,2416,4054,,,,,,, 450130,01-JAN-15,31-DEC-15,Amended,NIX HEALTH CARE SYSTEM ,414 NAVARRO STREET SUITE 600 ,,SAN ANTONIO ,TX ,78205 ,BEXAR ,,,,1466944,,,.3718,,,201,73365,10183,3713,45831,,763,,1954,535,7892,1511,,,18,,836,233 450132,01-OCT-14,30-SEP-15,As Submitted,MEDICAL CENTER HEALTH SYSTEM ,500 WEST 4TH STREET ,,ODESSA ,TX ,79761- ,ECTOR ,1970311,,,1533127,,,.1675,1190708,402053,331,120815,24229,5324,71028,38.85,1688.11,,4105,1205,14407,2651,,,,,,411 450133,01-OCT-14,30-SEP-15,Amended,MIDLAND MEMORIAL HOSPITAL ,400 ROSALIND REDFERN GROVER PARKWAY ,,MIDLAND ,TX ,79701- ,MIDLAND ,655196,,,626136,,,.0892,510334,169399,229,83651,21188,2254,61956,14.43,1668.92,,3509,542,12244,,,,,,, 450135,01-OCT-14,30-SEP-15,As Submitted,TEXAS HEALTH FORT WORTH ,1301 PENNSYLVANIA AVENUE ,,FORT WORTH ,TX ,76104 ,TARRANT ,248766,,,2789372,,,.1176,105863,23387,652,237980,55788,7062,186004,2.45,3854.75,,10575,856,34223,3063,,,,,, 450137,01-OCT-14,30-SEP-15,Amended,BAYLOR ALL SAINTS MEDICAL CENTER ,1400 8TH AVENUE ,,FORT WORTH ,TX ,76104- ,TARRANT ,,,,1872314,,,.2194,,,358,130670,22718,4079,90570,,1420.36,,4062,1223,17448,,,,,,,271 450143,01-JUL-15,30-JUN-16,As Submitted,SETON SMITHVILLE REGIONAL HOSPITAL ,701 EAST 9TH ,359 ,SMITHVILLE ,TX ,78957 ,BASTROP ,,,,,,,,,,36,13176,372,1,705,,93.55,,97,1,205,,,,,,, 450144,01-OCT-14,30-SEP-15,As Submitted,PERMIAN REGIONAL MEDICAL CENTER ,720 HOSPITAL DRIVE ,,ANDREWS ,TX ,79714- ,ANDREWS ,,,,20636,,,.12,,,42,15330,449,139,2049,,214,,132,93,1114,,,,,,, 450147,01-OCT-14,30-SEP-15,As Submitted,DETAR HEALTHCARE SYSTEMS ,506 E. ANTONIO STREET ,,VICTORIA ,TX ,77901- ,VICTORIA ,,,,898403,,,.1499,,,204,74460,15565,1294,37164,,864.57,,3308,1546,8713,,,,8,1,189,128 450148,01-OCT-14,30-SEP-15,As Submitted,TEXAS HEALTH CLEBURNE ,201 WALLS DRIVE ,,CLEBURNE ,TX ,76031 ,JOHNSON ,,,,195537,,,.0903,,,109,39785,5062,573,16791,,271.05,,1236,233,4399,,,,,,, 450152,01-OCT-14,30-SEP-15,Amended,METROPLEX HOSPITAL ,2201 SOUTH CLEAR CREEK ROAD ,,KILLEEN ,TX ,76549 ,BELL ,,,,782123,,,.21,,,208,75920,8883,1910,25927,,705.82,,1999,423,7661,,,,,,, 450154,01-JUL-15,30-JUN-16,As Submitted,VAL VERDE REGIONAL MEDICAL CENTER ,801 BEDELL ST ,,DEL RIO ,TX ,78840- ,VAL VERDE ,,,,135748,,,.12,,,45,16470,3236,510,10065,,402.8,,781,222,2776,539,,,,,, 450155,01-OCT-14,30-SEP-15,As Submitted,HEREFORD REGIONAL MEDICAL CTR ,801 EAST 3RD STREET ,,HEREFORD ,TX ,79045- ,DEAF SMITH ,,,,20336,,,.12,,,42,15330,1114,215,3184,,133.87,,144,76,781,226,,,,,, 450162,01-JAN-15,31-DEC-15,Amended,GRACE MEDICAL CENTER ,2412 50TH STREET ,,LUBBOCK ,TX ,79412 ,LUBBOCK ,,,,,,,,,,92,33580,1231,6,2830,,202.23,,468,3,1062,,,,,,, 450163,01-JUL-15,30-JUN-16,As Submitted,CHRISTUS SPOHN KLEBERG MEMORIAL HOSP ,1300 GENERAL CAVASOS BLVD ,1300 ,KINGSVILLE ,TX ,78363- ,KLEBERG ,,,,131242,,,.12,,,50,18300,4194,165,11778,,173.81,,816,66,2745,,,,,,, 450165,01-JUL-15,30-JUN-16,As Submitted,SOUTH TEXAS MEDICAL CENTER ,HWY 97 ,,JOURDANTON ,TX ,78026 ,ATASCOSA ,,,,85383,,,.12,,,67,24522,1930,68,5542,,194.38,,516,310,1551,,,,,,, 450176,01-OCT-14,30-SEP-15,As Submitted,MISSION HOSPITAL ,990 SOUTH BRYAN ,,MISSION ,TX ,78572- ,HIDALGO ,,,,2558289,,,.5476,,,229,83585,14436,8886,41411,,862.93,,2571,2742,7918,,,,,3,,579 450177,01-JUL-15,17-JUL-16,As Submitted,UVALDE MEMORIAL HOSPITAL ,1025 GARNER FIELD ROAD ,,UVALDE ,TX ,78801- ,UVALDE ,,,,83850,,,.12,,,62,23746,1653,174,5185,,366.8,,499,71,1415,,,,,,, 450178,01-JAN-15,31-DEC-15,As Submitted,PECOS COUNTY MEMORIAL HOSPITAL ,386 W IH-10 ,,FORT STOCKTON ,TX ,79735 ,PECOS ,,,,53794,,,.12,,,27,9855,1365,76,4141,,203.43,,365,35,1184,,,,,,, 450184,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL HERMANN HOSPITAL SYS ,1635 NORTH LOOP WEST ,,HOUSTON ,TX ,77008- ,HARRIS ,2550967,,,6726737,,,.1995,1548144,557899,1216,445056,72625,43618,307475,45.45,5539.53,,14124,8061,71867,10685,,,,,,1187 450187,01-JAN-15,31-DEC-15,Amended,SCOTT & WHITE HOSPITAL BRENHAM ,700 MEDICAL PARKWAY ,,BRENHAM ,TX ,77833- ,WASHINGTON ,,,,92133,,,.12,,,50,18250,2577,287,5377,,186.18,,492,150,1345,453,,,,,, 450192,01-JUN-15,31-MAY-16,As Submitted,HILL REGIONAL HOSPITAL ,101 CIRCLE DRIVE ,,HILLSBORO ,TX ,76645 ,HILL ,,,,74673,,,.12,,,53,19398,1481,218,3158,,141.24,,411,119,2194,,,,,,, 450193,01-JUL-15,30-JUN-16,Amended,CHI ST LUKES HEALTH BAYLOR MED CTR ,6720 BERTNER AVE ,4335 ,HOUSTON ,TX ,77030 ,HARRIS ,8221880,,,1027723,,,.0414,2906848,852412,654,239364,54271,6539,173223,171.07,3422.7,,7142,272,24027,1196,,,,,,440 450194,01-NOV-14,31-OCT-15,As Submitted,ETMC JACKSONVILLE ,501 S RAGSDALE ,,JACKSONVILLE ,TX ,75766- ,CHEROKEE ,,,,88792,,,.12,,,38,13870,1864,563,5544,,157.65,,526,314,1772,,,,,,, 450196,01-JUL-15,30-JUN-16,Amended,PARIS REGIONAL MEDICAL CENTER ,865 DESHONG DRIVE ,9070 ,PARIS ,TX ,75462 ,LAMAR ,,,,665503,,,.0845,,,230,84180,16352,2241,28856,,663.43,,3759,618,6982,483,16,,4,3,268,492 450200,01-JAN-15,31-DEC-15,As Submitted,WADLEY REGIONAL MEDICAL CENTER ,100 PINE STREET ,,TEXARKANA ,TX ,75501 ,BOWIE ,575849,,,1206218,,,.2185,285903,86930,189,68985,13444,5920,31377,11.79,657.91,,2781,1315,6927,701,7,,,,291, 450203,01-NOV-14,31-OCT-15,As Submitted,WEATHERFORD REGIONAL ,713 EAST ANDERSON STREET ,,WEATHERFORD ,TX ,76086 ,PARKER ,,,,173190,,,.05,,,82,29930,8554,522,20415,,554.87,,2038,812,5406,,,,1,,145, 450209,01-JAN-15,31-DEC-15,Amended,NORTHWEST TEXAS HOSPITAL ,1501 S. COULTER AVENUE ,,AMARILLO ,TX ,79106-1770 ,POTTER ,2149761,,,2264553,,,.3199,934006,255990,347,125811,15072,8108,66137,57.3,1398.34,,3461,1656,14088,1656,,,,,3265,218 450210,01-AUG-15,31-JUL-16,As Submitted,ETMC CARTHAGE ,409 COTTAGE ROAD ,,CARTHAGE ,TX ,75633- ,PANOLA ,,,,33333,,,.0888,,,42,15372,953,47,1911,,92.73,,331,15,664,,,,,,, 450211,01-JAN-15,30-JUN-15,Settled,CHI ST LUKES HEALTH MEMORIAL LUFKIN ,1201 FRANK STREET ,,LUFKIN ,TX ,75902- ,ANGELINA ,,,,149466,,,.0515,,,172,31132,8003,432,16638,,772.93,,1503,88,2857,,,,,,,103 450211,01-JUL-15,30-JUN-16,As Submitted,CHI ST LUKES HEALTH MEMORIAL LUFKIN ,1201 FRANK STREET ,,LUFKIN ,TX ,75902- ,ANGELINA ,,,,233733,,,.0424,,,172,62952,15076,749,31051,,755.84,,2857,145,6178,,,,,,,242 450213,01-JAN-15,31-DEC-15,As Submitted,UNIVERSITY HEALTH SYSTEM ,4502 MEDICAL DRIVE ,,SAN ANTONIO ,TX ,78229- ,BEXAR ,9813501,,,3121138,,,.3328,4129005,1106743,598,218270,22388,27032,152919,424,6538,,3646,4942,25871,,,,,,,512 450219,01-SEP-15,31-AUG-16,Amended,LLANO MEMORIAL HOSPITAL ,200 N. OLLIE STREET ,,LLANO ,TX ,78643- ,LLANO ,,,,,,,,,,25,9150,438,,569,,141.73,,154,,217,,,,,,, 450221,01-JUL-15,30-JUN-16,As Submitted,MOORE COUNTY HOSP. DBA DUMAS MEM HOS ,224 EAST 2ND STREET ,,DUMAS ,TX ,79331 ,MOORE ,,,,26749,,,.12,,,25,9125,1006,414,3152,,237.41,,170,233,766,102,,,,,, 450222,01-JAN-15,31-DEC-15,Amended,CONROE REGIONAL MEDICAL CENTER ,504 MEDICAL CENTER BLVD ,,CONROE ,TX ,77304-2808 ,MONTGOMERY ,1572238,,,1102055,,,.1057,718984,123699,276,100740,26635,3690,79060,20.54,1061.84,,5107,1133,15684,2139,,,,,,406 450229,01-SEP-15,31-AUG-16,Amended,HENDRICK MEDICAL CENTER ,1900 PINE STREET ,,ABILENE ,TX ,79601-2432 ,TAYLOR ,,,,1419448,,,.1048,,,309,113094,32351,6419,75330,,1621,,6240,494,15413,2296,,,,,,395 450231,01-JAN-15,31-DEC-15,Amended,BAPTIST SAINT ANTHONYS HOSPITAL ,1600 WALLACE BLVD ,,AMARILLO ,TX ,79106 ,POTTER ,725618,,,415685,,,.0286,271780,101876,421,153665,33942,1584,92039,11.79,1843.57,,7339,3321,21481,,,,,14,,363 450235,01-JUL-15,30-JUN-16,As Submitted,GONZALES HEALTHCARE SYSTEMS ,HIGHWAY 90A BYPASS ,587 ,GONZALES ,TX ,78629- ,GONZALES ,,,,42075,,,.12,,,34,12410,952,231,2339,,187.21,,243,68,691,133,,,,,, 450236,01-OCT-14,30-SEP-15,As Submitted,HOPKINS COUNTY MEMORIAL HOSPITAL ,115 AIRPORT RD ,275 ,SULPHUR SPRINGS ,TX ,75482- ,HOPKINS ,,,,257051,,,.12,,,82,29930,5161,653,11980,,411.25,,1361,250,4290,,,,,,,104 450237,01-JUL-15,30-JUN-16,Amended,SANTA ROSA HEALTHCARE ,519 WEST HOUSTON STREET ,,SAN ANTONIO ,TX ,78207 ,BEXAR ,2002018,,,1226355,,,.0954,888840,320713,414,151524,26154,1406,73175,29.34,1713.83,,6153,434,19937,,,,,,360, 450241,01-JUN-15,31-MAY-16,Amended,FAITH COMMUNITY HOSPITAL ,717 MAGNOLIA STREET ,,JACKSBORO ,TX ,76458- ,JACK ,,,,9346,,,.12,,,17,6222,338,4,787,,116.76,,69,2,212,,,,,,, 450243,01-SEP-15,31-AUG-16,As Submitted,HAMLIN MEMORIAL HOSPITAL ,632 NORTHWEST SECOND STREET ,400 ,HAMLIN ,TX ,79520- ,JONES ,,,,3366,,,.0522,,,25,9125,380,,495,,34.42,,61,7,97,3,,,,,, 450253,01-JAN-15,30-JUN-15,Settled,BELLVILLE GENERAL HOSPITAL ,44 NORTH CUMMINGS ,,BELLVILLE ,TX ,77418- ,AUSTIN ,,,,,,,,,,32,5792,277,2,549,,73.5,,41,1,75,,,,,,, 450253,01-JUL-15,30-JUN-16,As Submitted,BELLVILLE GENERAL HOSPITAL ,44 NORTH CUMMINGS ,,BELLVILLE ,TX ,77418- ,AUSTIN ,,,,,,,,,,32,11712,436,3,619,,70.6,,54,1,106,,,,,,, 450271,01-JAN-15,31-DEC-15,As Submitted,DECATUR COMMUNITY HOSPITAL ,2000 SOUTH FM #51 ,,DECATUR ,TX ,76234- ,WISE ,,,,180241,,,.0481,,,81,29565,8173,543,18695,,1109.13,,1714,207,4675,,,,,,434,159 450272,01-JAN-15,31-DEC-15,Amended,CENTRAL TEXAS MEDICAL CENTER ,1301 WONDER WORLD DRIVE ,,SAN MARCOS ,TX ,78666 ,HAYS ,,,,331294,,,.1335,,,178,64970,5547,1081,16997,,519.55,,1397,282,4131,,,,,,29, 450280,01-JAN-15,31-DEC-15,Amended,BAYLOR MEDICAL CENTER AT GARLAND ,2300 MARIE CURIE DRIVE ,,GARLAND ,TX ,75042 ,DALLAS ,1298936,,,294602,,,.0469,471275,214294,112,40880,14365,1019,31595,15.74,715.38,,3170,192,7448,352,,,,,, 450289,01-MAR-15,29-FEB-16,As Submitted,HARRIS HEALTH SYSTEM ,2525 HOLLY HALL ,,HOUSTON ,TX ,77054 ,HARRIS ,5836996,,,2275505,,,.5483,2222914,1759989,683,252554,11197,64937,186348,618.32,6528,,1837,14076,35030,,,,,,884,348 450292,01-JAN-15,31-DEC-15,As Submitted,PRESBYTERIAN HOSPITAL OF KAUFMAN ,HIGHWAY 243 W @ HIGHWAY 175 ,310 ,KAUFMAN ,TX ,75142 ,KAUFMAN ,,,,136993,,,.114,,,68,24800,2914,244,6909,,190.61,,847,104,2114,238,,,,,, 450293,01-JAN-15,31-DEC-15,Amended,FRIO REGIONAL HOSPITAL ,200 IH 35 ,,PEARSALL ,TX ,78061 ,FRIO ,,,,11094,,,.12,,,22,8030,415,85,1395,,108.13,,89,33,340,,,,,,, 450299,01-OCT-14,30-SEP-15,Amended,COLLEGE STATION MEDICAL CENTER ,1604 ROCK PRAIRIE ROAD ,,COLLEGE STATION ,TX ,77840- ,BRAZOS ,14869,,,450534,,,.1612,21635,8778,152,55480,6275,2424,20015,.74,411.25,,1464,930,4881,,,,,,,3 450306,01-JAN-15,31-DEC-15,As Submitted,STAMFORD MEMORIAL HOSPITAL ,1601 COLUMBIA STREET ,911 ,STAMFORD ,TX ,79553- ,JONES ,,,,2419,,,.027,,,22,8030,561,,770,,64.01,,84,,159,14,,,,,, 450324,01-JAN-15,31-DEC-15,Amended,TEXOMA MEDICAL CENTER ,5016 US HWY 75 ,,DENISON ,TX ,75020- ,GRAYSON ,242712,,,1149016,,,.0883,,,277,97685,27586,1410,60154,2.04,1296.63,,5810,452,13009,,,,,,566,510 450330,01-JAN-15,31-DEC-15,As Submitted,OAKBEND MEDICAL CENTER ,1705 JACKSON ST ,,RICHMOND ,TX ,77469 ,FORT BEND ,24444,,,527094,,,.1694,16808,2552,171,62415,8473,2897,28366,.57,701.79,,1531,1063,7524,,,,,,321, 450340,01-SEP-15,31-AUG-16,As Submitted,SAN ANGELO COMMUNITY MEDICAL CENTER ,3501 KNICKERBOCKER ROAD ,,SAN ANGELO ,TX ,76904- ,TOM GREEN ,,,,558012,,,.1705,,,131,47946,6994,592,18693,,677.8,,1565,744,4520,,,,,,, 450346,01-SEP-15,31-AUG-16,Amended,BAPTIST BEAUMONT HOSPITAL ,3080 COLLEGE ST ,,BEAUMONT ,TX ,77701 ,JEFFERSON ,,,,1314355,23687,,.1442,,,371,135786,19086,2355,66050,,1519.38,,4573,535,15950,3462,,,,,370,214 450347,01-JUL-15,30-JUN-16,As Submitted,HUNTSVILLE MEMORIAL ,110 MEMORIAL HOSPITAL DRIVE ,4001 ,HUNTSVILLE ,TX ,77340- ,WALKER ,,,,17247,51383,,.0289,,,87,31842,5798,230,19736,,392.99,,1375,72,4222,649,,,,,,108 450348,01-SEP-15,31-AUG-16,As Submitted,FALLS COMMUNITY HOSPITAL AND CLINIC ,322 COLEMAN ,,MARLIN ,TX ,76661- ,FALLS ,,,,23563,,,.1007,,,32,11712,732,17,1233,,104.63,,191,7,350,17,,,,,, 450351,01-OCT-14,30-SEP-15,As Submitted,TEXAS HEALTH HARRIS METHODIST STEPHE ,411 BELKNAP ,,STEPHENVILLE ,TX ,76401 ,ERATH ,,,,67923,,,.0505,,,54,19710,3173,230,6585,,210.44,,828,126,2277,342,,,,,, 450352,01-OCT-14,30-SEP-15,Amended,HUNT REGIONAL MEDICAL CENTER ,4215 JOE RAMSEY BLVD ,1059 ,GREENVILLE ,TX ,75401- ,HUNT ,379736,,,711045,,,.1705,169548,86414,128,51830,10410,2012,23549,6,779.51,,2369,636,5020,,,,,,565,436 450358,01-JAN-15,31-DEC-15,Amended,THE METHODIST HOSPITAL ,6565 FANNIN STREET ,,HOUSTON ,TX ,77030- ,HARRIS ,20000937,,,1136499,,,.0285,5916476,1919843,914,323105,87811,8281,225444,234.79,6233.08,,13304,345,34668,,,,29,5,982,601 450369,01-OCT-14,30-SEP-15,Amended,CHILDRESS REGIONAL MEDICAL CENTER ,HIGHWAY 83 NORTH ,1030 ,CHILDRESS ,TX ,79201 ,CHILDRESS ,,,,41339,,,.12,,,39,14235,1374,121,3631,,162.51,,249,52,921,,,,,,, 450370,01-MAY-15,30-APR-16,As Submitted,COLUMBUS COMMUNITY HOSPITAL ,110 SHULT DRIVE ,,COLUMBUS ,TX ,78934- ,COLORADO ,,,,77228,,,.0995,,,40,14600,2656,217,4444,,127.32,,532,104,1015,331,,,,,, 450372,01-JUL-15,30-JUN-16,Amended,BAYLOR MEDICAL CENTER AT WAXAHACHIE ,1405 WEST JEFFERSON ,,WAXAHACHIE ,TX ,75165- ,ELLIS ,,,,172346,,,.0458,,,87,31842,8236,678,21355,,545.25,,2098,302,5721,778,,,,,, 450379,01-JAN-15,31-DEC-15,Amended,DALLAS MEDICAL CENTER ,17 MEDICAL PARKWAY ,,DALLAS ,TX ,75234 ,DALLAS ,,,,521244,,,.227,,,119,43435,3819,608,16180,,406.47,,928,241,4144,1350,,,,,, 450388,01-JUL-15,30-JUN-16,Amended,METHODIST HOSPITAL ,7700 FLOYD CURL DRIVE ,,SAN ANTONIO ,TX ,78229-3902 ,BEXAR ,576534,,,8794908,,,.188,230182,44718,1479,545889,116715,20229,425113,32.38,6331.17,,20388,21596,77757,17161,,,,,286,1313 450389,01-MAY-15,30-APR-16,As Submitted,ETMC ATHENS ,2000 SOUTH PALESTINE ,,ATHENS ,TX ,75751 ,HENDERSON ,,,,393878,,,.1461,,,127,46482,7730,666,19811,,425.61,,1860,197,5149,791,,,,,, 450395,01-JAN-15,30-JUN-15,As Submitted,CHI ST LUKES HEALTH MEM LIVINGSTON ,HIGHWAY 59 ,P. O. BOX ,LIVINGSTON ,TX ,77351- ,POLK ,,,,73028,,,.12,,,66,11946,1279,179,3378,,223.94,,362,52,858,181,,,,,, 450395,01-JUL-15,30-JUN-16,As Submitted,CHI ST LUKES HEALTH MEM LIVINGSTON ,HIGHWAY 59 ,P. O. BOX ,LIVINGSTON ,TX ,77351- ,POLK ,,,,119353,,,.12,,,66,24156,1822,230,5545,,200.56,,579,90,1487,424,,,,,, 450399,01-OCT-14,30-SEP-15,As Submitted,BROWNFIELD REGIONAL MEDICAL CENTER ,705 E FELT ,,BROWNFIELD ,TX ,79316 ,TERRY ,,,,28482,,,.12,,,26,9490,800,172,2113,,171.42,,201,84,474,,,,,,, 450400,01-APR-15,31-MAR-16,Settled,PARKVIEW REGIONAL HOSPITAL ,600 SOUTH BOWMAN STREET ,,MEXIA ,TX ,76667- ,LIMESTONE ,,,,,,,,,,49,17934,820,10,1428,,106.52,,243,4,451,,,,,,92, 450403,01-SEP-15,31-AUG-16,Amended,NO.CENTRAL MED.CTR. LP ,4500 MEDICAL CENTER DRIVE ,,MCKINNEY ,TX ,75069- ,COLLIN ,,,,623499,,,.0972,,,144,55244,16185,2160,45965,,,,3191,1549,9511,,,,,,1865,285 450411,01-JUL-15,30-JUN-16,As Submitted,EASTLAND MEMORIAL HOSPITAL ,304 S DAUGHTERY ,,EASTLAND ,TX ,76448- ,EASTLAND ,,,,,,,,,,34,12444,1787,25,2654,,142.61,,355,6,564,27,,,,,, 450419,01-OCT-14,30-SEP-15,Settled,TEXAS HEALTH HARRIS METHODIST AZLE ,108 DENVER TRAIL ,,AZLE ,TX ,76020 ,TARRANT ,,,,,,,,,,31,11315,1934,44,5085,,196.27,,561,16,1550,91,,,,,, 450422,01-JAN-15,31-DEC-15,Settled,BAYLOR MEDICAL CENTER AT UPTOWN ,2727 LEMMON AVENUE ,,DALLAS ,TX ,75204 ,DALLAS ,,,,,,,,,,24,8760,604,,1930,,160.85,,315,,1158,,,,,,, 450424,01-JAN-15,31-DEC-15,Amended,SAN JACINTO METHODIST HOSPITAL ,4401 GARTH ROAD ,,BAYTOWN ,TX ,77521- ,HARRIS ,1725116,,,915432,,,.1213,858039,227182,191,69577,19386,3643,50104,17.33,1263.07,,3545,555,11458,,,,23,,651,414 450431,01-JAN-15,31-DEC-15,Amended,ST. DAVIDS MEDICAL CENTER ,919 EAST 32ND STREET ,4039 ,AUSTIN ,TX ,78765- ,TRAVIS ,,,,4787497,,,.2345,,,468,170820,38759,13822,128136,,2382.22,,7976,3527,24144,,,,,7,,1887 450447,01-JAN-15,31-DEC-15,As Submitted,NAVARRO REGIONAL HOSPITAL ,3201 WEST HWY 22 ,,CORSICANA ,TX ,75110- ,NAVARRO ,,,,336031,,,.2036,,,162,59130,3497,452,8435,,239.68,,952,164,2462,442,,,,,, 450451,01-OCT-14,30-SEP-15,Settled,GLEN ROSE MEDICAL CENTER ,1021 HOLDEN STREET ,,GLEN ROSE ,TX ,76043- ,SOMERVELL ,,,,,,,,,,16,5840,1257,9,2000,,164.01,,295,3,551,10,,,,,, 450460,01-JUL-15,30-JUN-16,As Submitted,TYLER COUNTY HOSPITAL ,1100 WEST BLUFF ,,WOODVILLE ,TX ,75979 ,TYLER ,,,,10569,,,.0343,,,25,9150,1005,9,1566,,105.95,,278,5,471,,,,,,, 450462,01-JAN-15,31-DEC-15,As Submitted,TEXAS HEALTH DALLAS ,8200 WALNUT HILL LANE ,,DALLAS ,TX ,75231 ,DALLAS ,2124469,,,1790153,,,.1087,905479,280272,535,198680,37182,6997,134233,30.19,2167.43,,6921,701,23815,2464,91,,13,5,1646,1031 450465,01-OCT-14,30-SEP-15,As Submitted,MATAGORDA REGIONAL MEDICAL CENTER ,104 7TH STREET ,,BAY CITY ,TX ,77414- ,MATAGORDA ,,,,152466,,,.1182,,,46,16790,3318,267,7651,,301.95,,785,157,2029,,,,,,135, 450469,01-JAN-15,31-DEC-15,Amended,WILSON N JONES REGIONAL MEDICAL CTR ,500 NORTH HIGHLAND AVENUE ,,SHERMAN ,TX ,75092 ,GRAYSON ,,,,153304,,,.033,,,217,79205,12190,492,22248,,428.85,,2310,196,5014,,,,86,,478, 450475,01-OCT-14,30-SEP-15,As Submitted,ETMC HENDERSON ,300 WILSON ST ,,HENDERSON ,TX ,75652- ,RUSK ,,,,75835,,,.12,,,41,14965,1676,228,4581,,114.66,,503,66,1441,,,,,,, 450484,01-JAN-15,31-DEC-15,As Submitted,WOODLAND HEIGHTS MED CENTER ,505 SOUTH JOHN REDDIT ,,LUFKIN ,TX ,75904 ,ANGELINA ,,,,557718,,,.1601,,,134,48755,9140,862,22494,,512.09,,1795,1026,5041,,,,,,, 450488,01-SEP-15,31-AUG-16,As Submitted,ALLEGIANCE SPECIALTY HOSPITAL OF KIL ,1612 SOUTH HENDERSON BLVD ,,KILGORE ,TX ,75662 ,GREGG ,,,,424,,,.12,,,38,13908,9,4,14,,21.24,,3,1,5,,,,,,333, 450489,01-APR-15,31-MAR-16,As Submitted,MEDICAL ARTS HOSPITAL ,2200 NORTH BRYAN AVE. ,,LAMESA ,TX ,79331- ,DAWSON ,,,,14393,,,.12,,,22,8030,522,75,1623,,163.83,,107,48,383,,,,,,, 450498,01-OCT-14,30-SEP-15,Settled,STEPHENS MEMORIAL HOSPITAL ,200 SOUTH GENEVA STREET ,,BRECKENRIDGE ,TX ,76424- ,STEPHENS ,,,,,,,,,,22,8030,938,20,1304,,109.28,,192,6,308,,,,,,, 450508,01-JUL-15,30-JUN-16,As Submitted,NACOGDOCHES MEMORIAL HOSPITAL ,1204 NORTH MOUND STREET ,,NACOGDOCHES ,TX ,75961- ,NACOGDOCHES ,,,,446073,,,.159,,,104,38064,7880,1162,19048,,656.25,,1556,418,4092,,,,19,4,171,317 450518,01-DEC-14,30-NOV-15,As Submitted,THE MEDICAL CENTER OF SOUTHEAST TEXA ,2555 JIMMYJOHNSON BLVD ,,PORT ARTHUR ,TX ,77640 ,JEFFERSON ,,,,714852,,,.1704,,,171,62561,10353,1122,33006,,645.39,,2253,234,7334,1433,145,,14,2,753,218 450537,01-JUL-15,30-JUN-16,As Submitted,METHODIST RICHARDSON MEDICAL CENTER ,2831 E. PRESIDENT GEORGE BUSH HWY ,,RICHARDSON ,TX ,75082 ,DALLAS ,,,,,,,,,,139,50654,10718,1198,36694,,927,,2078,201,8510,,,,,,1284, 450539,01-JUL-15,30-JUN-16,As Submitted,COVENANT HOSPITAL PLAINVIEW ,2601 DIMMITT ROAD ,,PLAINVIEW ,TX ,79072 ,HALE ,,,,144454,,,.12,,,49,17885,2538,374,8466,,255.41,,682,150,1977,,,,,,, 450558,01-SEP-15,31-AUG-16,As Submitted,ABILENE REG MED CTR ,6250 HWY 83/84 ,,ABILENE ,TX ,79606 ,TAYLOR ,,,,515507,,,.1218,,,180,65880,9683,658,27612,,676.77,,1895,1030,5988,,,,,,, 450563,01-JUL-15,30-JUN-16,Amended,BAYLOR MEDICAL CENTER-GRAPEVINE ,1650 WEST COLLEGE ST ,,GRAPEVINE ,TX ,76051-3565 ,TARRANT ,,,,,,,,,,302,113576,16892,643,58426,,1682,,3492,112,12479,,,,,,, 450565,01-OCT-14,30-SEP-15,As Submitted,PALO PINTO GENERAL HOSPITAL ,400 SW 25TH AVENUE ,,MINERAL WELLS ,TX ,76067- ,PALO PINTO ,,,,216270,,,.2229,,,48,17520,3134,208,6856,,235.71,,732,88,1696,,,,,,, 450571,01-OCT-14,30-SEP-15,Amended,SHANNON MEDICAL CENTER ,120 EAST HARRIS AVENUE ,1879 ,SAN ANGELO ,TX ,76903 ,TOM GREEN ,,,,1284305,,,.1179,,,242,88178,25926,3254,55526,,1363.75,,5201,1635,12107,,,,,,,165 450573,01-JUL-15,30-JUN-16,As Submitted,JASPER MEMORIAL HOSPITAL ,1275 MARVIN HANCOCK DR ,,JASPER ,TX ,75951- ,JASPER ,,,,76854,,,.12,,,40,14640,1481,92,3560,,145.68,,500,39,1403,,,,,,, 450578,01-OCT-14,30-SEP-15,Settled,HEMPHILL COUNTY HOSPITAL ,1020 S 4TH ST ,,CANADIAN ,TX ,79014- ,HEMPHILL ,,,,,,,,,,11,4015,612,1,939,,86.64,,56,1,116,,,,,,, 450580,01-MAR-15,31-MAY-15,As Submitted,ETMC CROCKETT ,1100 LOOP 304 ,1129 ,CROCKETT ,TX ,75835- ,HOUSTON ,,,,13316,,,.12,,,49,4508,374,8,704,,31.18,,101,5,226,,,,,,, 450580,01-JUN-15,29-FEB-16,As Submitted,HOUSTON COUNTY MEDICAL CENTER ,1100 LOOP 304 ,,CROCKETT ,TX ,75835- ,HOUSTON ,,,,23396,,,.12,,,49,13426,544,190,1521,,100.6,,173,238,572,,,,,,, 450584,01-OCT-14,30-SEP-15,Settled,WILBARGER GENERAL HOSPITAL ,920 HILLCREST DRIVE ,,VERNON ,TX ,76384- ,WILBARGER ,,,,,,,,,,28,10220,1239,14,2057,,130.1,,215,2,387,26,,,,,102, 450586,01-JUL-15,30-JUN-16,As Submitted,BAYLOR COUNTY HOSPITAL DISTRICT ,200 STADIUM DRIVE ,,SEYMOUR ,TX ,76380 ,BAYLOR ,,,,22027,,,.12,,,27,9882,1003,34,1597,,109.85,,142,9,332,,,,,,, 450587,01-OCT-14,30-SEP-15,As Submitted,BROWNWOOD REGIONAL MEDICAL CENTER ,1501 BURNET DRIVE ,,BROWNWOOD ,TX ,76804- ,BROWNWOOD ,,,,273370,,,.12,,,83,30295,6151,466,13472,,494.41,,1375,660,3234,,,,,,51, 450596,01-DEC-14,30-NOV-15,Amended,LAKE GRANBURY MEDICAL CENTER ,1310 PALUXY ROAD ,,GRANBURY ,TX ,76048 ,HOOD ,,,,79110,,,.0307,,,43,15695,4610,582,10369,,312.89,,1205,359,2838,,,,,,, 450597,01-OCT-14,30-SEP-15,As Submitted,CUERO COMMUNITY HOSPITAL ,2550 NORTH ESPLANDE ,,CUERO ,TX ,77954- ,DEWITT ,,,,74983,,,.12,,,49,17885,1893,177,3732,,288.11,,447,59,910,81,,,,,, 450604,01-JAN-15,31-DEC-15,As Submitted,HILL COUNTRY MEMORIAL HOSPITAL ,1020 KERRVILLE HWY ,835 ,FREDERICKSBURG ,TX ,78624- ,GILLESPIE ,,,,95032,,,.0362,,,57,20805,4429,291,8990,,436.46,,1313,144,2695,,,,,,, 450605,01-JAN-15,31-DEC-15,As Submitted,CARE REGIONAL MEDICAL CENTER ,141 W WHEELER ,,ARANSAS PASS ,TX ,78336- ,SAN PATRICIO ,,,,36645,,,.0954,,,63,22995,1266,83,4323,,174.71,,274,13,792,104,,,,,190, 450610,01-JUL-15,30-JUN-16,Amended,MEMORIAL HERMANN MEMORIAL CITY MEDIC ,921 GESSNER DRIVE ,,HOUSTON ,TX ,77024 ,HARRIS ,,,,871764,,,.0731,,,375,136875,23727,9347,96714,,1724,,4977,1367,24269,2026,,,,,, 450617,01-JAN-15,31-DEC-15,Amended,CLEAR LAKE REG MED CTR ,500 MEDICAL CENTER BLVD. ,,WEBSTER ,TX ,77598- ,HARRIS ,,,,1985689,,,.1161,,,555,202374,47699,4595,150384,,2391.16,,8645,940,28064,5139,,,,,530,882 450620,01-OCT-14,30-SEP-15,As Submitted,DIMMIT REGIONAL HOSPITAL DISTRICT ,70440 SPIRAL DRIVE ,,CARRIZO SPRINGS ,TX ,78834- ,DIMMIT ,,,,23243,,,.12,,,35,12775,744,122,3916,,156.22,,189,44,745,,,,,,, 450634,01-JAN-15,31-DEC-15,As Submitted,DENTON REGIONAL MED CENTER ,3535 SOUTH I-35E ,,DENTON ,TX ,76210- ,DENTON ,,,,,,,,,,184,67160,20224,1779,46819,,751.92,,3700,418,9201,588,,,,,, 450638,01-JUN-15,31-MAY-16,Amended,HOUSTON NORTHWEST MEDICAL CENTER ,710 FM 1960 WEST ,,HOUSTON ,TX ,77090 ,HARRIS ,64894,,,1859951,,,.292,26299,8483,306,111984,14307,16260,77618,4,1113.2,,2965,1947,16203,3414,,,,,, 450639,01-OCT-14,30-SEP-15,As Submitted,TEXAS HEALTH H-E-B ,1600 HOSPITAL PKWY ,,BEDFORD ,TX ,76021 ,TARRANT ,,,,329609,,,.0517,,,202,73730,14931,1701,53103,,1254.13,,3212,350,12152,,,,,,2670, 450641,01-JUL-15,30-JUN-16,As Submitted,NOCONA GENERAL HOSPITAL ,100 PARK ROAD ,,NOCONA ,TX ,76255-3616 ,MONTAGUE ,,,,,,,,,,33,12078,1761,6,2486,,88.06,,345,2,519,,,,,,, 450643,01-JAN-15,31-DEC-15,Amended,DOCTORS HOSPITAL OF LAREDO ,10700 MCPHERSON ROAD ,,LAREDO ,TX ,78045- ,WEBB ,,,,1572272,,,.3828,,,171,62415,14880,3902,45265,,662.62,,2045,850,8343,,,,,,,212 450644,01-JAN-15,31-DEC-15,Amended,WEST HOUSTON MEDICAL CENTER ,12141 RICHMOND AVE ,,HOUSTON ,TX ,77082- ,HARRIS ,706016,,,1771719,,,.2759,347050,55853,221,77623,18457,6352,73975,10.87,1086.21,,2663,1898,12483,5436,,,,,333,193 450647,01-JUN-15,31-MAY-16,Amended,MEDICAL CITY DALLAS HOSPITAL ,7777 FOREST LANE ,,DALLAS ,TX ,75230- ,DALLAS ,42530,,,2349425,,,.1739,20007,4576,649,237534,33388,16902,159818,.85,2414.91,,5165,1153,25042,4122,,,,,, 450651,01-APR-15,31-MAR-16,Amended,MEDICAL CENTER OF PLANO ,3901 WEST 15TH STREET ,,PLANO ,TX ,75075- ,COLLIN ,,,,653943,,,.058,,,363,132583,29687,3504,107221,.16,1444.61,,5073,594,18201,984,,,,201,,460 450653,01-JAN-15,31-DEC-15,As Submitted,SCENIC MT REGIONAL ,1601 W 11TH PLACE ,,BIG SPRINGS ,TX ,79720- ,HOWARD ,,,,106524,,,.092,,,75,27375,3338,149,7647,,258.13,,806,400,2189,,,,,,, 450654,01-OCT-14,30-SEP-15,As Submitted,STARR COUNTY MEMORIAL HOSPITAL ,128 NORTH FM 1367 ,#78 ,RIO GRANDE CITY ,TX ,78582-0078 ,STARR ,,,,95877,,,.12,,,48,17520,2556,559,4683,,268,,612,159,1228,,,,,,, 450656,01-JAN-15,31-DEC-15,Amended,NACOGDOCHES MEDICAL CENTER ,4920 NORTHEAST STALLINGS DRIVE ,,NACOGDOCHES ,TX ,75965 ,NACOGDOCHES ,,,,126358,,,.0429,,,147,53655,6409,622,14163,,296,,1600,62,3798,268,,,,,, 450658,01-SEP-15,31-AUG-16,As Submitted,ETMC FAIRFIELD ,125 NEWMAN STREET ,,FAIRFIELD ,TX ,75840- ,FREESTONE ,,,,,,,,,,37,13542,691,11,1181,,57.38,,206,4,377,,,,,,, 450659,01-JAN-15,31-DEC-15,Amended,PARK PLAZA HOSPITAL ,1313 HERMANN DRIVE ,,HOUSTON ,TX ,77004 ,HARRIS ,38688,,,583733,,,.2323,29258,9527,133,48545,7395,447,22617,.84,396,,1276,40,3725,467,,,,,, 450661,01-OCT-14,30-SEP-15,As Submitted,ODESSA REGIONAL HOSPITAL ,520 EAST 6TH STREET ,,ODESSA ,TX ,79760 ,ECTOR ,,,,705090,,,.3266,,,192,70080,4585,2477,33944,,604.65,,952,217,5868,1882,,,,,,134 450662,01-APR-15,31-MAR-16,Amended,VALLEY REGIONAL MEDICAL CENTER ,100 ALTON GLOOR BLVD ,,BROWNSVILLE ,TX ,78526 ,CAMERON ,,,,2247326,,,.4146,,,214,78324,20220,4975,58223,,774.76,,2591,1400,9256,3403,,,,,, 450668,01-JUN-15,31-MAY-16,Amended,THE HOSPITALS OF PROVIDENCE SIERRA C ,1625 MEDICAL CTR. DR. ,,EL PASO ,TX ,79902 ,EL PASO ,,,,1152187,,,.1974,,,280,102480,14335,2151,46973,,754,,2806,257,9907,1412,,,,3,,384 450669,01-JUN-15,31-MAY-16,Amended,MEDICAL CENTER OF LEWISVILLE ,500 WEST MAIN ,,LEWISVILLE ,TX ,75067- ,DENTON ,,,,491865,,,.1666,,,161,58926,7385,2629,30340,,578.53,,1548,725,6422,446,,,,,,365 450670,01-JUL-15,30-JUN-16,As Submitted,TOMBALL REGIONAL HOSPITAL ,605 HOLDERIETH ,,TOMBALL ,TX ,77375 ,HARRIS ,,,,261960,,,.0426,,,284,103586,14758,975,42409,,841.73,,2808,333,8757,,,,,,178,434 450672,01-FEB-15,31-JAN-16,Amended,PLAZA MEDICAL CTR FT WORTH ,900 EIGHTH ,,FORT WORTH ,TX ,76104 ,TARRANT ,4203124,,,429573,,,.047,2186005,477510,208,74916,20116,650,51936,58.82,820.94,,3659,127,9586,,,,,,, 450674,01-MAR-15,29-FEB-16,Amended,WOMANS HOSPITAL OF TEXAS ,7600 FANNIN STREET ,,HOUSTON ,TX ,77054 ,HARRIS ,,,,70857,,,.3928,,,257,94062,604,7495,110601,,1316.01,,125,1041,14499,5250,,,,,, 450675,01-JUN-15,31-MAY-16,Amended,MC-ARLINGTON AMEND CHARITY S-10 ,3301 MATLOCK ROAD ,,ARLINGTON ,TX ,76015 ,TARRANT ,,,,1650455,,,.2413,,,275,100650,18740,4589,81118,,1035.93,,3151,1318,14910,4759,,,,,, 450677,01-JAN-15,31-DEC-15,Amended,TEXAS HEALTH HUGULEY ,11801 SOUTH FREEWAY ,,BURLESON ,TX ,76028 ,TARRANT ,,,,535188,,,.0844,,,213,77745,13917,1760,44962,,1099.98,,3040,540,10195,,,,,,, 450678,01-JUN-15,31-DEC-15,Amended,DOCTORS HOSPITAL AT WHITE ROCK LAKE ,9440 POPPY DRIVE ,,DALLAS ,TX ,75218 ,DALLAS ,,,,426889,,,.1863,,,191,40874,5309,3837,19078,,459.7,,1201,200,4594,771,,,,,, 450684,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HERMANN NORTHEAST ,18951 MEMORIAL NORTH ,,HUMBLE ,TX ,77338- ,HARRIS ,,,,1002545,,,.1613,,,255,93075,14713,6583,56904,,1032.14,,2829,3164,12926,2542,,,,,, 450686,01-JAN-15,31-DEC-15,Amended,UNIVERSITY MEDICAL CENTER ,602 INDIANA AVE ,,LUBBOCK ,TX ,79415 ,LUBBOCK ,8331202,,,2905599,,,.2405,2949547,1269069,429,156188,30852,6115,120701,207,3604.56,,5256,1086,21116,3912,,,,,, 450688,01-JAN-15,28-FEB-15,As Submitted,DALLAS REGIONAL MEDICAL CENTER ,1011 NORTH GALLOWAY ,,MESQUITE ,TX ,75149 ,DALLAS ,,,,67812,,,.1436,,,176,10384,1049,57,3066,,65.34,,200,8,607,,,,,,, 450688,01-MAR-15,31-DEC-15,As Submitted,DALLAS REGIONAL MEDICAL CENTER ,1011 NORTH GALLOWAY ,,MESQUITE ,TX ,75149 ,DALLAS ,,,,344273,,,.1381,,,176,53856,4963,25,15868,,338.75,,1071,3,3545,490,,,,,, 450690,01-SEP-15,31-AUG-16,As Submitted,UT HEALTH CENTER AT TYLER ,11937 US HIGHWAY 271 ,,TYLER ,TX ,75710- ,SMITH ,356500,,,422561,,,.35,749408,1076786,104,38064,3029,367,7057,23.63,1285.97,,678,59,1570,,,,,,430, 450694,01-APR-15,31-MAR-16,Settled,EL CAMPO MEMORIAL HOSPITAL ,303 SANDY CORNER ROAD ,,EL CAMPO ,TX ,77437- ,WHARTON ,,,,,,,,,,25,9125,1622,7,2405,,113.32,,237,3,431,,,,,,, 450697,01-OCT-14,30-SEP-15,As Submitted,SOUTHWEST GENERAL HOSPITAL ,7400 BARLITE BLVD ,,SAN ANTONIO ,TX ,78224 ,BEXAR ,,,,1936599,,,.5306,,,232,84680,8411,3372,41465,,644.04,,1618,469,8387,3277,103,,4,6,806,208 450698,01-OCT-14,30-SEP-15,As Submitted,LAMB HEALTHCARE CENTER ,1500 SOUTH SUNSET ,,LITTLEFIELD ,TX ,79339- ,LAMB ,,,,15528,,,.12,,,42,15330,1075,101,2215,,97.68,,116,50,391,,,,,,, 450702,01-OCT-14,30-SEP-15,As Submitted,LONGVIEW REGIONAL MEDICAL CENTER ,2901 NORTH FOURTH ST ,,LONGVIEW ,TX ,75601 ,GREGG ,,,,920071,,,.147,,,215,78475,13296,1854,36897,,1443.18,,3052,1721,8627,,,,,,, 450709,01-JAN-15,31-DEC-15,As Submitted,HOUSTON METHODIST ST. JOHN HOSPITAL ,18300 ST. JOHN DRIVE ,,NASSAU BAY ,TX ,77058 ,HARRIS ,,,,,,,,,,178,64970,7443,586,24044,,700.52,,1500,691,6923,,,,,,, 450711,01-OCT-14,30-SEP-15,Amended,RIO GRANDE REGIONAL HOSPITAL ,101 EAST RIDGE ROAD ,,MCALLEN ,TX ,78503- ,HILDAGO ,,,,3381144,,,.4623,,,320,116800,19415,9037,68545,,1029.92,,4678,2319,15086,4499,,,,,, 450713,01-NOV-14,31-OCT-15,Amended,SOUTH AUSTIN MEDICAL CENTER ,901 WEST BEN WHITE BLVD ,,AUSTIN ,TX ,78704- ,TRAVIS ,,,,998131,,,.0797,,,279,101835,30826,2309,78739,,1198.97,,6058,547,15772,2095,,,,,, 450716,01-JAN-15,31-DEC-15,Amended,CYPRESS FAIRBANKS MEDICAL CENTER ,10655 STEEPLETOP ,,HOUSTON ,TX ,77065 ,HARRIS ,,,,729965,,,.37,,,181,66065,4448,6577,39722,,649.1,,1019,1118,9325,2040,,,,,, 450718,01-MAR-15,29-FEB-16,Amended,ROUND ROCK MEDICAL CENTER ,2400 ROUND ROCK AVENUE ,,ROUND ROCK ,TX ,78681- ,WILLIAMSON ,,,,376168,,,.0631,,,145,53345,12655,2131,37743,,1182.17,,2787,661,8515,1191,,,,,,321 450723,01-JUL-15,30-JUN-16,As Submitted,METHODIST CHARLTON MEDICAL CENTER ,3500 WEST WHEATLAND RD ,225357 ,DALLAS ,TX ,75237-3464 ,DALLAS ,773196,,,1520310,,,.1877,815792,316439,275,100546,18873,2317,62569,15.96,1348,,3556,418,11547,,,,,,, 450730,01-OCT-14,30-SEP-15,Amended,BAYLOR MEDICAL CENTER AT CARROLLTON ,4343 N. JOSEY LANE ,,CARROLLTON ,TX ,75010- ,DENTON ,,,,525139,,,.1515,,,109,39785,8728,3068,30535,,596.78,,1669,253,6033,,,,,,, 450742,01-JUN-15,31-MAY-16,Amended,LAKE POINTE MEDICAL CENTER ,6800 SCENIC DRIVE PO BOX 1550 ,,ROWLETT ,TX ,75088 ,ROCKWALL ,,,,586069,,,.1838,,,112,40992,6813,2210,28856,,507.02,,1770,236,7295,3463,,,,,, 450743,01-MAY-15,30-APR-16,Amended,TEXAS HEALTH DENTON ,207 NORTH BONNIE BRAE ,,DENTON ,TX ,76201 ,DENTON ,,,,641917,,,.1022,,,208,76128,15147,2744,50118,,936.06,,3059,931,10746,,,,,,, 450746,01-OCT-14,30-SEP-15,As Submitted,KNOX COUNTY HOSPITAL ,712 SOUTH FIFTH ,,KNOX CITY ,TX ,79529 ,KNOX ,,,,4961,,,.0905,,,28,10220,268,2,424,,43.19,,47,1,99,,,,,,, 450747,01-JAN-15,31-DEC-15,As Submitted,PALESTINE REGIONAL MEDICAL CENTER ,2900 SOUTH LOOP 256 ,,PALESTINE ,TX ,75801- ,ANDERSON ,,,,463159,,,.1972,,,116,42340,5663,563,14656,,500.79,,1449,201,4345,,,,,,301,126 450749,01-MAR-15,29-FEB-16,As Submitted,ETMC TRINITY ,900 PROSPECT DRIVE ,471 ,TRINITY ,TX ,75862- ,TRINITY ,,,,8951,,,.0674,,,45,16470,495,6,721,,44,,133,2,202,,,,,,, 450754,01-OCT-14,30-SEP-15,Settled,HAMILTON GENERAL HOSPITAL ,400 NORTH BROWN ,,HAMILTON ,TX ,76531- ,HAMILTON ,,,,,,,,,,42,15330,3205,13,5004,,191.04,,749,4,1296,70,,,,,, 450755,01-JUL-15,30-JUN-16,As Submitted,COVENANT HOSPITAL LEVELLAND ,3900 COLLEGE AVENUE ,,LEVELLAND ,TX ,79336 ,HOCKLEY ,,,,31588,,,.12,,,48,17520,746,116,2605,,103.43,,208,59,796,,,,,,, 450766,01-SEP-15,31-AUG-16,As Submitted,UT SOUTHWESTERN MED CTR- ZALE LIPSHY ,5151 HARRY HINES BLVD. ,,DALLAS ,TX ,75390 ,DALLAS ,2599109,,,,,,,798795,207340,92,33672,8079,298,22454,28.18,549.34,,1562,38,4339,,,,4,1,603,740 450771,01-JAN-15,31-DEC-15,As Submitted,TEXAS HEALTH PRESBYTERIAN HOSPITAL P ,6200 WEST PARKER ROAD ,,PLANO ,TX ,75093 ,COLLIN ,,,,417700,,,.0498,,,338,123370,20451,2271,81078,,1324.19,,3742,293,15235,,,,,,1435, 450774,01-JAN-15,31-DEC-15,Settled,TOPS SURGICAL SPECIALTY HOSPITAL ,17080 RED OAK DRIVE ,,HOUSTON ,TX ,77090 ,HARRIS ,,,,,,,,,,16,5840,414,,1624,,154.15,,165,,727,,,,,,, 450775,01-OCT-14,30-SEP-15,Amended,KINGWOOD MEDICAL CENTER ,22999 HIGHWAY 59 NORTH ,,KINGWOOD ,TX ,77339- ,HARRIS COUNTY ,485911,,,1108244,,,.1214,278719,40323,341,118709,25660,2819,87071,7.22,1106.45,,4488,719,16451,2645,,,,,,435 450779,01-OCT-14,30-SEP-15,As Submitted,TEXAS HEALTH SOUTHWEST ,6100 HARRIS PARKWAY ,,FORT WORTH ,TX ,76132-4101 ,TARRANT ,,,,597075,,,.0774,,,222,81030,14490,1547,55529,,1006.4,,3660,487,14148,,,,,,, 450780,01-JAN-15,31-DEC-15,Settled,METHODIST AMBULATORY SURGICAL HOSPIT ,9150 HUEBNER RD ,,SAN ANTONIO ,TX ,78240-1558 ,BEXAR ,,,,,,,,,,23,8395,345,2,985,,94.82,,147,1,454,4,,,,,, 450788,01-SEP-15,31-AUG-16,Amended,CORPUS CHRISTI MEDICAL CENTER ,7101 SOUTH PADRE ISLAND DRIVE ,,CORPUS CHRISTI ,TX ,78412- ,,795137,,,1925271,,,.24,640474,145597,384,140544,20608,4468,98504,49.5,1375.87,,3940,990,18896,7687,,,,,60,304 450796,01-JAN-15,30-JUN-15,Settled,NORTHWEST TEXAS SURGERY CENTER ,3501 SONCY ROAD SUITE 118 ,,AMARILLO ,TX ,79121- ,POTTER ,,,,,,,,,,4,730,14,,123,,17.07,,8,,87,,,,,,, 450797,01-JAN-15,31-DEC-15,As Submitted,HOUSTON HOSPITAL FOR SPECIALIZED SUR ,5400 LABRANCH BLVD ,,HOUSTON ,TX ,77004- ,HARRIS ,,,,,,,,,,7,2555,53,19,527,,68,,34,13,200,7,,,,,, 450801,01-JUL-15,30-JUN-16,As Submitted,CHRISTUS ST MICHAEL ,2600 ST MICHAEL DRIVE ,,TEXARKANA ,TX ,75503- ,BOWIE ,322678,,,1257796,,,.1255,195356,88077,354,129564,24663,1654,59615,7.69,1540,,5086,161,13491,,,,,,, 450803,01-JAN-15,31-DEC-15,Amended,DOCTORS HOSPITAL TIDWELL ,510 TIDWELL ST ,,HOUSTON ,TX ,77091 ,,,,,215631,,,.2847,,,113,41245,2620,1372,10013,,148.11,,247,228,1519,,,,,,, 450804,01-JAN-15,31-DEC-15,Settled,TEXAS ORTHOPEDIC HOSPITA ,7401 SOUTH MAIN STREET ,,HOUSTON ,TX ,77030 ,HARRIS ,,,,,,,,,,49,17885,2767,19,8700,,364.7,,1088,6,3503,45,,,,,, 450808,01-JAN-15,31-DEC-15,As Submitted,NORTHWEST HILLS SURGICAL HOSPITAL ,AUSTIN CENTER BLVD SUITE 100 ,,AUSTIN ,TX ,78731 ,TRAVIS ,,,,,,,,,,8,2920,140,,559,,80.98,,115,,472,,,,,,, 450809,01-JUL-15,30-JUN-16,Amended,NORTH AUSTIN MEDICAL CENTER ,12221 NORTH MOPAC EXPRESSWAY ,,AUSTIN ,TX ,78758- ,TRAVIS ,40170,,,1411362,,,.1463,14556,3471,341,124953,24239,3410,108453,,1415.26,,4572,667,19816,4282,,,,5,,324 450820,01-JAN-15,31-DEC-15,Amended,METHODIST SUGAR LAND HOSPITAL ,16655 SOUTHWEST FREEWAY ,,SUGAR LAND ,TX ,77479- ,FORT BEND ,,,,1014189,,,.0878,,,243,88695,24636,4311,72826,,,,5062,1821,15611,,,,,,, 450822,01-JAN-15,31-DEC-15,Amended,LAS COLINAS MEDICAL CENTER ,6800 N. MACARTHUR BLVD ,,IRVING ,TX ,75039 ,DALLAS ,,,,75319,,,.0572,,,90,32850,3112,458,19995,,356.35,,745,89,4847,,,,,,, 450825,01-JAN-15,31-DEC-15,As Submitted,CORNERSTONE REGIONAL HOSPITAL ,2302 CORNERSTONE BLVD. ,,EDINBURG ,TX ,78539- ,HIDALGO ,,,,56604,,,.12,,,14,5110,400,6,1224,,65.31,,173,3,553,,,,,,, 450827,01-JAN-15,31-DEC-15,Settled,KELL WEST REGIONAL HOSPITAL ,5420 KELL WEST BOULEVARD ,,WICHITA FALLS ,TX ,76310 ,WICHITA ,,,,,,,,,,41,14965,1913,19,3497,,209,,643,5,1179,,,,,,, 450828,01-JUL-15,30-JUN-16,As Submitted,CHRISTUS SPOHN ALICE ,2500 E. MAIN ,,ALICE ,TX ,78332- ,JIM WELLS ,,,,158875,,,.12,,,72,26352,3445,203,10366,,199.95,,869,64,2124,,,,,,182, 450831,01-SEP-15,31-AUG-16,As Submitted,VISTA MEDICAL CENTER HOSPITAL ,4301 VISTA ROAD ,,PASADENA ,TX ,77504- ,HARRIS ,,,,,,,,,,37,13542,35,1,149,,85.87,,18,1,76,,,,,,, 450833,01-MAY-15,30-APR-16,As Submitted,ENNIS REGIONAL MEDICAL CENTER ,2201 WEST LAMPASA STREET ,,ENNIS ,TX ,75119 ,ELLIS ,,,,86066,,,.12,,,50,18300,1494,238,4152,,143.68,,422,44,1263,284,,,,,, 450834,01-JAN-15,31-DEC-15,Settled,THE PHYSICIAN CENTRE ,3131 UNIVERSITY DRIVE E. ,,BRYAN ,TX ,77802- ,BRAZOS ,,,,,,,,,,16,5840,320,,704,,68.05,,122,,310,,,,,,, 450840,01-JAN-15,31-DEC-15,As Submitted,TEXAS HEALTH HOSPITAL ALLEN ,1105 N. CENTRAL EXPRESSWAY ,,ALLEN ,TX ,75013 ,COLLIN ,,,,99276,,,.0616,,,48,22832,2929,292,11107,,327.71,,810,99,3204,254,,,,,, 450844,01-JAN-15,31-DEC-15,Amended,METHODIST WILLOWBROOK HOSPITAL ,18220 TOMBALL PARKWAY HOSPITAL ,,HOUSTON ,TX ,77070- ,HARRIS ,,,,1121603,,,.1312,,,277,101105,19356,4751,74302,,1510.82,,3989,526,16020,,,,,,, 450845,01-JAN-15,31-DEC-15,Settled,EL PASO SPECIALTY HOSPITAL ,1755 CURIE SUITE A ,,EL PASO ,TX ,79902 ,EL PASO ,,,,,,,,,,31,11315,496,3,1715,,139.87,,233,2,790,,,,,,, 450847,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HERMANN KATY ,23900 KATY FREEWAY ,,KATY ,TX ,77494 ,HARRIS ,,,,266030,,,.0573,,,142,51830,9653,2911,38258,,836.11,,2218,542,11263,868,,,,,, 450848,01-OCT-14,30-SEP-15,Amended,MEMORIAL HERMANN SUGAR LAND HOSPITAL ,17500 WEST GRAND PARKWAY SOUTH ,,SUGAR LAND ,TX ,77479 ,FORT BEND ,,,,314859,,,.12,,,77,28105,5031,1905,21947,,484,,1190,142,6579,1022,,,,,, 450851,01-JUL-15,30-JUN-16,Settled,BAYLOR HEART AND VASCULAR ,621 NORTH HALL ST SUITE 150 ,,DALLAS ,TX ,75246- ,DALLAS ,669507,,,,,,,,,54,19764,4283,85,8291,5.5,366.47,,1082,12,2253,,,,,,, 450853,01-JAN-15,31-DEC-15,As Submitted,BAYLOR MEDICAL CENTER AT FRISCO ,5601 WARREN PARKWAY ,,FRISCO ,TX ,75034 ,COLLIN ,,,,,,,,,,68,24820,1604,162,18171,,523.35,,734,36,4954,,,,,,, 450855,01-JAN-15,31-DEC-15,Amended,HARLINGEN MEDICAL CENTER ,5510 SOUTH EXPRESSWAY ,,HARLINGEN ,TX ,78550 ,CAMERON ,,,,1206896,,,.3225,,,112,40880,7734,3387,21874,,509.96,,1726,61,5189,,,,,,, 450856,01-JAN-15,31-DEC-15,Settled,SOUTH TX SPINE & SURGICAL HOSPITAL ,18600 NORTH HARDY OAK BLVD ,,SAN ANTONIO ,TX ,78258 ,BEXAR ,,,,,,,,,,30,10950,912,8,2609,,98.51,,315,2,1063,,,,,,, 450860,01-JAN-15,31-DEC-15,Settled,SUGAR LAND SURGICAL HOSPITAL ,1211 HIGHWAY 6 SUITE 70 ,,SUGAR LAND ,TX ,77478 ,FORT BEND ,,,,,,,,,,6,2190,191,,693,,96.28,,97,,393,,,,,,, 450862,01-JUL-15,30-JUN-16,As Submitted,ST. LUKES THE WOODLANDS HOSPITAL ,17200 ST LUKES WAY ,4546 ,THE WOODLANDS ,TX ,77384 ,MONTGOMERY ,,,,200172,,,.0284,,,213,77958,12862,4664,47497,,796.5,,3047,172,10816,643,,,,,, 450864,01-JAN-15,31-DEC-15,Settled,TEXAS SPINE & JOINT HOSPITAL ,1814 ROSELAND BLVD ,,TYLER ,TX ,75701- ,SMITH ,,,,,,,,,,18,6570,2855,10,5246,,296.91,,1287,2,2277,,,,,,, 450865,01-JUL-15,30-JUN-16,As Submitted,DCHSA-D.B.A.-SETON SOUTHWEST ,7900 FM 1826 ,,AUSTIN ,TX ,78737- ,TRAVIS ,,,,2899,,,.0458,,,33,12078,107,57,4763,,145.5,,33,22,1099,292,,,,,, 450867,01-JUL-15,30-JUN-16,As Submitted,DCHSA-D.B.A.-SETON NORTHWEST ,11113 RESEARCH BLVD ,,AUSTIN ,TX ,78759-5297 ,TRAVIS ,,,,245635,,,.137,,,106,38796,3893,1684,20964,,414.57,,985,648,5492,1189,,,,,, 450869,01-JAN-15,31-DEC-15,As Submitted,DOCTORS HOSPITAL AT RENAISSANCE ,5501 SOUTH MCCOLL ,,EDINBURG ,TX ,78539- ,HIDALGO ,766743,,,6585028,,,.5479,,,449,164443,28500,26560,146861,7.82,3245.64,,5434,5324,29681,,,,81,6,769,766 450871,01-JAN-15,31-DEC-15,Settled,ARISE AUSTIN SURGICAL HOSPITAL ,3003 BEE CAVE ROAD ,,AUSTIN ,TX ,78746 ,TRAVIS ,,,,,,,,,,23,8395,720,,2096,,134.8,,317,,982,,,,,,, 450872,01-JAN-15,31-DEC-15,Settled,USMD HOSPITAL OF ARLINGTON ,801 WEST I-20 ,,ARLINGTON ,TX ,76017-5851 ,TARRANT ,,,,,,,,,,34,12410,1270,18,5546,,266.6,,482,3,1827,,,,,,, 450874,01-JAN-15,31-DEC-15,As Submitted,BAYLOR SURGICAL HOSPITAL LAS COLINAS ,400 W I-635 SUITE 101 ,,IRVING ,TX ,75063 ,IRVING ,,,,,,,,,,20,7300,339,1,1605,,127.84,,142,1,738,,,,,,, 450875,01-JAN-15,31-DEC-15,Settled,PHYSICIANS SURGICAL HOSPITAL ,6819 PLUM CREEK ,,AMARILLO ,TX ,79124 ,POTTER ,,,,,,,,,,32,11680,1377,2,3906,,189.44,,637,2,1879,5,,,,,, 450876,01-JAN-15,31-DEC-15,Settled,LUBBOCK HEART HOSPITAL ,4810 NORTH LOOP 289 ,,LUBBOCK ,TX ,79416 ,LUBBOCK ,,,,,,,,,,73,26645,7222,6,11646,,354,,1855,16,3109,,,,,,, 450877,01-JAN-15,31-DEC-15,As Submitted,FOUNDATION SURGICAL HOSPITAL EL PASO ,1416 GEORGE DIETER ,,EL PASO ,TX ,79936 ,EL PASO ,,,,42366,,,.0595,,,40,14600,421,9,1796,,220.22,,187,4,782,,,,,,, 450880,01-JAN-15,31-DEC-15,Settled,BAYLOR SURGICAL HOSPITAL AT FORT WOR ,750 12TH AVENUE ,,FORT WORTH ,TX ,76104 ,,,,,,,,,,,34,12410,877,1,2899,,203.75,,350,1,1208,,,,,,, 450883,01-JAN-15,31-DEC-15,Settled,BAYLOR MEDICAL CENTER AT TROPHY CLUB ,2850 SOUTH HIGHWAY 114 E ,,TROPHY CLUB ,TX ,76262 ,DENTON ,,,,,,,,,,22,8030,343,,1756,,142.78,,152,,720,,,,,,, 450885,01-JAN-15,31-DEC-15,Amended,CENTENNIAL MEDICAL CENTER ,12505 LEBANON ROAD ,,FRISCO ,TX ,75035 ,COLLIN ,,,,90022,,,.0338,,,118,43070,4680,736,16891,,310.7,,986,71,3804,132,,,,,, 450888,01-JAN-15,31-DEC-15,Settled,SOUTHLAKE SPECIALITY HOSPITAL ,1545 E SOUTHLAKE BLVD ,,SOUTHLAKE ,TX ,76092 ,TARRANT ,,,,,,,,,,16,5840,957,,2455,,153.92,,352,,981,,,,,,, 450889,01-JAN-15,31-DEC-15,Settled,TEXAS INSTITUTE FOR SURGERY AT PRES ,7115 GREENVILLE AVE SUITE 100 ,,DALLAS ,TX ,75234 ,DALLAS ,,,,,,,,,,9,3285,261,,801,,173.65,,132,,426,,,,,,, 450890,01-JAN-15,31-DEC-15,Amended,BAYLOR REGIONAL MEDICAL CTR AT PLANO ,4700 ALLIANCE BLVD ,,PLANO ,TX ,75093- ,COLLIN ,,,,,,,,,,120,43541,16236,44,31802,,677.16,,3011,8,6252,,,,,,, 450891,01-JAN-15,31-DEC-15,Settled,PRESBYTERIAN PLANO CENTER DIAG SRVCS ,6020 W PARKER RD ,,PLANO ,TX ,75093- ,DALLAS ,,,,,,,,,,18,6570,177,,1365,,170.77,,90,,675,,,,,,, 450893,01-JAN-15,31-DEC-15,Amended,THE HEART HOSPITAL BAYLOR DENTON ,2801 SOUTH MAYHILL ROAD ,,DENTON ,TX ,76208 ,DENTON ,,,,,,,,,,22,8030,666,2,1493,,115.1,,166,1,377,,,,,,, 450894,01-JAN-15,31-DEC-15,Settled,PINE CREEK MEDICAL CENTER ,9032 HARRY HINES BOULEVARD ,,DALLAS ,TX ,75235 ,DALLAS ,,,,,,,,,,15,5475,487,,2992,,149,,229,,1357,,,,,,, 451300,01-OCT-14,30-SEP-15,Settled,PARMER COUNTY COMMUNITY HOSPT. INC. ,1307 CLEVELAND STREET ,,FRIONA ,TX ,79035- ,PARMER ,,,,,,,,,,25,9125,1284,7,1452,,84.7,,77,2,135,7,,,,,, 451301,01-OCT-14,30-SEP-15,Settled,REAGAN MEMORIAL HOSPITAL ,805 NORTH MAIN STREET ,,BIG LAKE ,TX ,76932-3938 ,REAGAN ,,,,,,,,,,7,2555,89,,305,,37.25,,6,,15,,,,,,, 451303,01-OCT-14,30-SEP-15,Settled,LIMESTONE MEDICAL CENTER ,900 N. ELLIS ,,GROESBECK ,TX ,76642- ,LIMESTONE ,,,,,,,,,,15,5475,1477,4,2208,,137.94,,156,1,276,,,,,,, 451304,01-JAN-15,31-DEC-15,Settled,SCHLEICHER COUNTY MEDICAL CENTER ,102 NORTH US HWY 277 ,V ,ELDORADO ,TX ,76936- ,SCHLEICHER ,,,,,,,,,,14,5110,430,,455,,39.04,,78,,92,,,,,,, 451305,01-JAN-15,30-JUN-15,Settled,BURLESON ST. JOSEPH HEALTH CENTER ,1101 WOODSON ,,CALDWELL ,TX ,77836 ,BURLESON ,,,,,,,,,,19,3439,703,,906,,78.65,,40,,51,,,,,,, 451305,01-JUL-15,30-JUN-16,Settled,BURLESON ST. JOSEPH HEALTH CENTER ,1101 WOODSON ,,CALDWELL ,TX ,77836 ,BURLESON ,,,,,,,,,,19,6954,1607,,1909,,65.6,,64,,87,,,,,,, 451306,01-OCT-14,30-SEP-15,Settled,KIMBLE HOSPITAL ,349 REID RD ,,JUNCTION ,TX ,76849-3024 ,KIMBLE ,,,,,,,,,,15,5475,531,,677,,64.58,,98,,142,,,,,,, 451307,01-JAN-15,31-DEC-15,Settled,IRAAN GENERAL HOSPITAL DISTRICT ,320 WEST 5TH STREET ,,IRAAN ,TX ,79744 ,PECOS ,,,,,,,,,,14,5110,667,,1411,,58,,26,,49,2,,,,,, 451308,01-JAN-15,31-DEC-15,Settled,YOAKUM COUNTY HOSPITAL ,412 MUSTANG AVENUE ,,DENVER CITY ,TX ,79323 ,YOAKUM ,,,,,,,,,,24,8760,1455,211,2627,,175.75,,157,119,495,,,,,,, 451309,01-OCT-14,30-SEP-15,Settled,MCCAMEY COUNTY HOSPITAL DISTRICT ,HIGHWAY 305 SOUTH ,1200 ,MCCAMEY ,TX ,79752 ,UPTON ,,,,,,,,,,14,5110,119,,259,,69.9,,18,,40,1,,,,,, 451310,01-OCT-14,30-SEP-15,Settled,BALLINGER MEMORIAL HOSPITAL ,BRONTE HIGHWAY & AVE B ,,BALLINGER ,TX ,76821- ,RUNNELS ,,,,,,,,,,16,5840,667,5,751,,58.09,,57,1,68,3,,,,,, 451311,01-OCT-14,30-SEP-15,Settled,SWEENY COMMUNITY HOSPITAL ,305 NORTH MCKINNEY ,,SWEENY ,TX ,77480- ,BRAZORIA ,,,,,,,,,,16,5840,379,3,766,,169.71,,96,1,201,10,,,,,, 451312,01-JAN-15,31-DEC-15,Settled,RICE MEDICAL CENTER ,1700 BRAZOS ,,EAGLE LAKE ,TX ,76567 ,COLORADO ,,,,,,,,,,21,7665,659,39,1192,,127.8,,122,19,266,,,,,,, 451313,01-JAN-15,31-DEC-15,Settled,FISHER COUNTY HOSPITAL DISTRICT ,774 STATE HIGHWAY 70 ,DRAWER F ,ROTAN ,TX ,79546 ,FISHER ,,,,,,,,,,13,4745,850,,1007,,72.18,,59,,82,2,,,,,, 451314,01-JAN-15,31-DEC-15,Settled,MEMORIAL HOSPITAL ,821 JEFEE DRIVE ,,KERMIT ,TX ,79745 ,WINKLER ,,,,,,,,,,19,6935,484,3,743,,64.2,,74,1,177,,,,,,, 451315,01-JUL-15,30-JUN-16,Settled,NORTH RUNNELS HOSPITAL DISTRICT ,HIGHWAY 153 EAST ,185 ,WINTERS ,TX ,79567 ,RUNNELS ,,,,,,,,,,15,5490,409,10,497,,44.36,,117,5,140,,,,,,, 451316,01-JAN-15,30-JUN-15,Settled,MADISON ST. JOSEPH HEALTH CENTER ,100 WEST CROSS ,,MADISONVILLE ,TX ,77864 ,MADISON ,,,,,,,,,,19,3439,909,,1035,,80,,48,,63,,,,,,, 451316,01-JUL-15,30-JUN-16,As Submitted,MADISON ST. JOSEPH HEALTH CENTER ,100 WEST CROSS ,,MADISONVILLE ,TX ,77864 ,MADISON ,,,,,,,,,,19,6954,1765,,2115,,68.65,,90,,118,,,,,,, 451317,01-JAN-15,31-DEC-15,Settled,REFUGIO MEMORIAL HOSPITAL ,107 SWIFT STREET ,,REFUGIO ,TX ,78377 ,REFUGIO ,,,,,,,,,,20,7300,334,3,380,,128.64,,36,2,45,,,,,,, 451318,01-OCT-14,30-SEP-15,Settled,STONEWALL MEMORIAL HOSPITAL ,HIGHWAY #83 & NORTH WASHINGTON AVE. ,DRAWER C ,ASPERMONT ,TX ,79502- ,STONEWALL ,,,,,,,,,,20,7300,640,6,741,,56.92,,94,3,115,,,,,,, 451319,01-JUL-15,30-JUN-16,Settled,CHRISTUS MFH - JACKSONVILLE ,2026 SOUTH JACKSON ,,JACKSONVILLE ,TX ,75766- ,CHEROKEE ,,,,,,,,,,21,7686,1385,44,2786,,150.32,,289,23,588,36,,,,,, 451320,01-OCT-14,30-SEP-15,Settled,BAYSIDE COMMUNITY HOSPITAL ,200 HOSPTIAL DRIVE ,,ANAHUAC ,TX ,77514 ,CHAMBERS ,,,,,,,,,,14,5110,303,,532,,60.05,,70,,140,,,,,,, 451321,01-OCT-14,18-MAY-15,Settled,HUNT REGIONAL COMMUNITY HOSPITAL ,2700 STERLING HART DRIVE ,,COMMERCE ,TX ,75428- ,HUNT ,,,,,,,,,,15,3450,414,,741,,48,,52,,96,3,,,,,, 451322,01-JAN-15,30-JUN-15,Reopened,GRIMES ST. JOSEPH HEALTH CENTER ,210 JUDSON ,,NAVASOTA ,TX ,77868 ,GRIMES ,,,,,,,,,,18,3258,872,,1236,,91.8,,60,,80,2,,,,,, 451322,01-JUL-15,30-JUN-16,As Submitted,GRIMES ST. JOSEPH HEALTH CENTER ,210 JUDSON ,,NAVASOTA ,TX ,77868 ,GRIMES ,,,,,,,,,,18,6588,1551,,2284,,73.43,,68,,104,,,,,,, 451323,01-OCT-14,30-SEP-15,Reopened,ROLLINS BROOK COMMUNITY HOSPITAL CAH ,608 NORTH KEY AVENUE ,,LAMPASAS ,TX ,76550 ,LAMPASAS ,,,,,,,,,,25,9125,2955,31,3777,,98.34,,384,6,684,,,,,,, 451324,01-JAN-15,31-DEC-15,Settled,LILLIAN M. HUDSPETH MEMORIAL HOSP. ,310 HUDSPETH ,,SONORA ,TX ,76950- ,SUTTON ,,,,,,,,,,12,4380,481,,713,,67.5,,74,,154,6,,,,,, 451325,01-OCT-14,30-SEP-15,Settled,CONCHO COUNTY HOSPITAL ,314 EAKER ,L ,EDEN ,TX ,76837- ,CONCHO ,,,,,,,,,,16,5840,253,2,316,,43.1,,81,1,101,,,,,,, 451326,01-JUL-15,30-JUN-16,Settled,CHILLICOTHE HOSPITAL DISTRICT ,303 AVENUE I ,370 ,CHILLICOTHE ,TX ,79225- ,HARDEMAN ,,,,,,,,,,21,7686,141,,182,,20,,23,,34,,,,,,, 451328,01-JAN-15,31-DEC-15,Settled,RICELAND MEDICAL CENTER ,538 BROADWAY ,,WINNIE ,TX ,77665 ,CHAMBERS ,,,,,,,,,,25,9125,942,2,1124,,80.39,,234,1,300,,,,,,, 451329,01-OCT-14,30-SEP-15,Settled,RANKIN COUNTY HOSPITAL DISTRICT ,1105 ELIZABETH ,,RANKIN ,TX ,79778 ,UPTON ,,,,,,,,,,15,5475,150,,310,,48.14,,28,,51,1,,,,,, 451330,01-OCT-14,30-SEP-15,Settled,MEDINA REGIONAL HOSPITAL ,3100 AVENUE E ,,HONDO ,TX ,78861- ,MEDINA ,,,,,,,,,,25,9125,1250,30,3287,,171.3,,220,8,704,,,,,,, 451331,01-AUG-15,31-JUL-16,As Submitted,COON MEMORIAL HOSPITAL ,1411 DENVER ,,DALHART ,TX ,79022- ,DALLAM-HARTLEY ,,,,,,,,,,21,7686,1221,119,2051,,160.62,,118,73,364,,,,,,, 451332,01-JAN-15,31-DEC-15,Settled,PALACIOS COMMUNITY MEDICAL CENTER ,311 GREEN AVENUE ,,PALACIOS ,TX ,77465 ,MATAGORDA ,,,,,,,,,,17,6205,617,4,915,,36,,76,2,162,,,,,,, 451333,01-MAY-15,30-APR-16,As Submitted,MARTIN COUNTY HOSPITAL ,610 N. SAINT PETER STREET ,,STANTON ,TX ,79782- ,MARTIN COUNTY ,,,,,,,,,,18,6588,1243,,1934,,145.6,,37,,75,,,,,,, 451334,01-JUN-15,31-MAY-16,Settled,PARKVIEW HOSPITAL ,901 S SWEETWATER STREET ,1030 ,WHEELER ,TX ,79096 ,WHEELER ,,,,,,,,,,15,5490,580,,709,,86,,62,,104,,,,,,, 451335,01-JUL-15,30-JUN-16,As Submitted,MUENSTER MEMORIAL HOSPITAL ,605 N. MAPLE STREET ,,MUENSTER ,TX ,76252- ,COOKE ,,,,,,,,,,18,6588,2071,,2710,,75.08,,33,,50,1,,,,,, 451337,01-OCT-14,30-SEP-15,Settled,W.J. MANGOLD MEMORIAL HOSPITAL ,320 MAIN ,,LOCKNEY ,TX ,79241- ,FLOYD ,,,,,,,,,,25,9125,923,14,1762,,94.03,,179,6,443,,,,,,, 451338,01-APR-15,31-MAR-16,As Submitted,CULBERSON HOSPITAL ,EISENHOWER RD & FM 2185 ,609 ,VAN HORN ,TX ,79855- ,CULBERSON ,,,,,,,,,,14,5124,795,,852,,56.31,,76,,88,,,,,,, 451339,01-JAN-15,31-DEC-15,Settled,THROCKMORTON COUNTY HOSPITAL ,802 NORTH MINTER ,#729 ,THROCKMORTON ,TX ,76483-0729 ,THROCKMORTON ,,,,,,,,,,14,5110,386,1,451,,40,,48,1,73,,,,,,, 451340,01-OCT-14,30-SEP-15,Settled,SHAMROCK GENERAL HOSPITAL ,1000 SOUTH MAIN STREET ,511 ,SHAMROCK ,TX ,79079 ,WHEELER ,,,,,,,,,,25,9125,538,4,606,,66,,39,1,97,,,,,,, 451341,01-OCT-14,30-SEP-15,Settled,HASKELL MEMORIAL HOSPITAL ,#1 NORTH AVENUE N ,,HASKELL ,TX ,76521-1117 ,HASKELL ,,,,,,,,,,25,9125,806,,1061,,72.22,,106,,166,,,,,,, 451342,01-OCT-14,30-SEP-15,Settled,MITCHELL COUNTY HOSPITAL ,1543 CHESTNUT ,,COLORADO CITY ,TX ,79512- ,MITCHELL ,,,,,,,,,,25,9125,1657,,2363,,154.25,,208,,420,22,,,,,, 451343,01-OCT-14,30-SEP-15,Settled,ELECTRA MEMORIAL HOSPITAL ,1207 SOUTH BAILEY STREET ,,ELECTRA ,TX ,76360- ,WICHITA ,,,,,,,,,,19,6935,2003,14,2453,,164.1,,259,4,365,,,,,,, 451344,01-OCT-14,30-SEP-15,Settled,HANSFORD COUNTY HOSPITAL DISTRICT ,707 SOUTH ROLAND STREET ,,SPEARMAN ,TX ,79081-3341 ,HANSFORD ,,,,,,,,,,14,5110,595,,725,,159.83,,52,,88,5,,,,,, 451345,01-JAN-15,31-DEC-15,Settled,CROSBYTON CLINIC HOSPITAL ,HOSPITAL DRIVE ,,CROSBYTON ,TX ,79322 ,CROSBY ,,,,,,,,,,25,9125,603,,857,,72.59,,89,,160,,,,,,, 451346,01-JUL-15,30-JUN-16,Settled,YOAKUM COMMUNITY HOSPITAL ,1200 CARL RAMERT DR ,,YOAKUM ,TX ,77995-0753 ,LAVACA ,,,,,,,,,,25,9150,3270,55,4474,,124.17,,463,19,792,,,,,,, 451347,01-OCT-14,30-SEP-15,Settled,COLEMAN COUNTY MEDICAL CENTER ,310 S. PECOS ,,COLEMAN ,TX ,76834 ,COLEMAN ,,,,,,,,,,25,9125,2409,111,3102,,87.99,,349,12,555,,,,,,, 451348,01-APR-15,31-MAR-16,As Submitted,HEART OF TEXAS HEALTHCARE SYSTEM ,2008 NINE ROAD ,1150 ,BRADY ,TX ,76825- ,MCCULLOCH ,,,,,,,,,,25,9150,645,2,893,,85.69,,173,2,264,,,,,,, 451349,01-JAN-15,31-DEC-15,Settled,SWISHER MEMORIAL HEALTHCARE SYSTEM ,SWISHER MEMORIAL HEALTHCARE SYSTEM ,PO BOX539 ,TULIA ,TX ,79088 ,SWISHER ,,,,,,,,,,20,7300,1202,2,1423,,68,,141,1,234,2,,,,,, 451350,01-MAY-15,30-APR-16,Settled,PLAINS MEMORIAL HOSPITAL ,310 WEST HALSELL ,278 ,DIMMITT ,TX ,79027-0278 ,CASTRO ,,,,,,,,,,17,6222,955,,1638,,79.49,,67,,110,7,,,,,, 451351,01-OCT-14,30-SEP-15,Settled,LYNN COUNTY HOSPITAL ,2600 LOCKWOOD STREET ,1310 ,TAHOKA ,TX ,79373- ,LYNN COUNTY ,,,,,,,,,,24,8760,1898,4,2371,,112.45,,88,2,154,,,,,,, 451352,01-JAN-15,31-DEC-15,Settled,HARDEMAN COUNTY HOSPITAL ,402 MERCER ST ,,QUANAH ,TX ,79252 ,HARDEMAN ,,,,,,,,,,24,8760,1010,,1421,,63.95,,113,,178,,,,,,, 451353,01-OCT-14,30-SEP-15,Settled,CRANE COUNTY HOSPITAL DISTRICT ,1310 SOUTH ALFORD ,,CRANE ,TX ,79731- ,CRANE ,,,,,,,,,,24,8760,696,2,818,,45.75,,61,1,103,4,,,,,, 451354,01-MAR-15,29-FEB-16,Settled,OLNEY HAMILTON HOSPITAL DISTRICT ,901 WEST HAMILTON ,158 ,OLNEY ,TX ,76374-0158 ,YOUNG ,,,,,,,,,,13,4758,2647,26,3516,,103,,231,8,497,26,,,,,, 451355,01-OCT-14,30-SEP-15,Settled,COLLINGSWORTH GENERAL HOSPITAL ,1013 15TH STREET ,1112 ,WELLINGTON ,TX ,79095- ,COLLINGSWORTH ,,,,,,,,,,15,5475,964,8,972,,46.82,,95,2,122,,,,,,, 451356,01-JAN-15,31-DEC-15,Settled,MEMORIAL MEDICAL CENTER ,815 NORTH VIRGINIA STREET ,,PORT LAVACA ,TX ,77979 ,CALHOUN ,,,,,,,,,,25,9125,2703,63,4730,,184.78,,503,204,1133,189,,,,,, 451357,01-JAN-15,31-DEC-15,As Submitted,ROCKDALE HOSPITAL ,1700 BRAZOS AVE ,,ROCKDALE ,TX ,76567 ,MILAM ,,,,,,,,,,25,9125,822,3,1292,,152.51,,125,1,234,,,,,,, 451358,01-OCT-14,30-SEP-15,As Submitted,MEMORIAL HOSPITAL-SEMINOLE ,209 NORTHWEST 8TH STREET ,,SEMINOLE ,TX ,79360-3499 ,GAINES ,,,,,,,,,,25,9125,1933,368,3899,,191.58,,162,146,820,,,,,,, 451359,01-OCT-14,30-SEP-15,Settled,OCHILTREE GENERAL HOSPITAL ,3101 GARRETT DRIVE ,,PERRYTON ,TX ,79070- ,OCHILTREE ,,,,,,,,,,25,9125,1531,194,2750,,135.14,,187,46,510,,,,,,, 451360,01-JAN-15,30-JUN-15,Settled,ST LUKES HEALTH MEMORIAL SAN AUGUST ,HOSPITAL DR ,PO BOX 65 ,SAN AUGUSTINE ,TX ,75792 ,SAN AUGUSTINE ,,,,,,,,,,18,3258,250,7,398,,23.11,,84,3,138,,,,,,, 451360,01-JUL-15,30-JUN-16,Amended,ST LUKES HEALTH MEMORIAL SAN AUGUST ,HOSPITAL DR ,PO BOX 65 ,SAN AUGUSTINE ,TX ,75792 ,SAN AUGUSTINE ,,,,,,,,,,18,6588,545,3,699,,42.21,,191,1,275,7,,,,,, 451361,01-JAN-15,31-DEC-15,Settled,PREFERRED HOSPITAL LEASING HEMPHILL ,2301 STATE HIGHWAY 83W ,750 ,HEMPHILL ,TX ,75948 ,SABINE ,,,,,,,,,,25,9125,1134,,1267,,78.03,,192,,248,,,,,,, 451362,01-OCT-14,30-SEP-15,Settled,CLAY COUNTY MEMORIAL HOSPITAL ,310 WEST SOUTH STREET ,,HENRIETTA ,TX ,76365- ,CLAY ,,,,,,,,,,25,9125,653,3,925,,77.79,,119,2,195,,,,,,, 451363,01-OCT-14,30-SEP-15,Settled,JACKSON COUNTY HOSPITAL ,1013 SOUTH WELLS ,,EDNA ,TX ,77957-4098 ,JACKSON ,,,,,,,,,,25,9125,727,2,1146,,107.8,,70,1,135,,,,,,, 451364,01-JUL-15,30-JUN-16,Settled,OTTO KAISER MEMORIAL HOSPITAL ,ROUTE 1 ,450 ,KENEDY ,TX ,78119-9718 ,KARNES ,,,,,,,,,,25,9150,1002,2,1374,,126.39,,128,1,222,,,,,,, 451365,01-JUL-15,30-JUN-16,As Submitted,SETON HIGHLAND LAKES HOSPITAL ,3201 S. WATER ST. ,,BURNET ,TX ,78611- ,BURNET ,,,,,,,,,,25,9150,1684,25,3336,,194.72,,472,7,996,,,,,,, 451366,01-OCT-14,30-SEP-15,Settled,COCHRAN MEMORIAL HOSPITAL ,201 EAST GRANT ,,MORTON ,TX ,79346- ,COCHRAN ,,,,,,,,,,18,6570,67,,87,,27.06,,17,,28,,,,,,, 451367,01-DEC-14,30-NOV-15,Settled,ETMC PITTSBURG ,2701 US HWY 271 N ,,PITTSBURG ,TX ,75686- ,CAMP ,,,,,,,,,,25,9125,2348,30,3782,,151.22,,431,4,825,52,,,,,, 451369,01-JAN-15,31-DEC-15,Settled,GOLDEN PLAINS COMMUNITY HOSPITAL ,200 S. MCGEE ,,BORGER ,TX ,79007 ,HUTCHINSON ,,,,,,,,,,25,9125,1066,133,3363,,280.56,,219,64,874,161,,,,,, 451370,01-JAN-15,31-DEC-15,As Submitted,RED RIVER REGIONAL HOSPITAL ,504 LIPSCOMB BLVD ,,BONHAM ,TX ,75418-4028 ,FANNIN ,,,,,,,,,,25,9125,2400,8,3489,,126.26,,386,3,630,,,,,,, 451371,01-JUL-15,30-JUN-16,As Submitted,SETON EDGAR B. DAVIS HOSPITAL ,130 HAYS STREET ,,LULING ,TX ,78648-0510 ,CALDWELL ,,,,,,,,,,25,9150,1218,19,2324,,149.41,,263,7,587,,,,,,, 451372,01-OCT-14,28-FEB-15,Settled,MULESHOE AREA HOSPITAL DISTRICT ,708 SOUTH FIRST STREET ,,MULESHOE ,TX ,79347-3627 ,BAILEY ,,,,,,,,,,25,3775,407,,578,,95.14,,51,,78,1,,,,,, 451372,01-MAR-15,30-SEP-15,Settled,MULESHOE AREA MEDICAL CENTER ,708 SOUTH FIRST STREET ,,MULESHOE ,TX ,79347-3627 ,BAILEY ,,,,,,,,,,25,5350,898,19,1040,,48.75,,76,5,146,,,,,,, 451373,01-JAN-15,31-DEC-15,Settled,WARD MEMORIAL HOSPITAL ,406 SOUTH GARY AVENUE ,,MONAHANS ,TX ,79756 ,WARD ,,,,,,,,,,25,9125,616,1,983,,63.94,,138,1,252,,,,,,, 451374,01-JAN-15,31-DEC-15,As Submitted,SCOTT AND WHITE HOSPITAL TAYLOR ,305 MALLARD LANE ,,TAYLOR ,TX ,76574- ,WILLIAMSON ,,,,,,,,,,25,9125,2011,9,2589,,217.63,,230,1,481,,,,,,, 451375,01-OCT-14,30-SEP-15,Settled,LIBERTY-DAYTON REGIONAL MEDICAL CENT ,1353 NORTH TRAVIS ,,LIBERTY ,TX ,77575- ,LIBERTY ,,,,,,,,,,25,9125,312,5,557,,83.5,,91,2,169,,,,,,, 451376,01-JAN-15,31-DEC-15,Settled,LAVACA MEDICAL CENTER ,1400 TEXANA ,,HALLETTSVILLE ,TX ,77964- ,LAVACA ,,,,,,,,,,25,9125,2007,6,2424,,107.4,,378,3,484,,,,,,, 451377,01-JAN-15,31-DEC-15,Settled,REEVES COUNTY HOSPITAL ,2323 TEXAS AVENUE ,,PECOS ,TX ,79772 ,REEVES ,,,,,,,,,,25,9125,1794,86,3610,,160.41,,257,22,776,135,,,,,, 451378,01-OCT-14,30-SEP-15,Reopened,BIG BEND REGIONAL MED CTR ,2600 HIGHWAY 118 NORTH ,,ALPINE ,TX ,79830- ,BREWSTER ,,,,,,,,,,25,9125,890,81,2713,,110.69,,213,150,734,,,,,,, 451379,01-AUG-15,31-JUL-16,As Submitted,CORYELL MEMORIAL HOSPITAL ,1507 WEST MAIN STREET ,,GATESVILLE ,TX ,76528- ,CORYELL ,,,,,,,,,,25,9150,2655,4,3729,,278.14,,368,3,683,,,,,,, 451380,01-JUN-15,31-MAY-16,As Submitted,ETMC QUITMAN ,117 N WINDDSBORO ,1000 ,QUITMAN ,TX ,75783 ,WOOD ,,,,,,,,,,25,9150,2731,30,4245,,111.85,,531,10,951,,,,,,, 451381,01-JUL-15,30-JUN-16,As Submitted,CHRISTUS MFH WINNSBORO ,719 WEST COKE ROAD ,,WINNSBORO ,TX ,75494- ,WOOD ,,,,,,,,,,25,9150,979,5,1671,,85.33,,229,2,402,16,,,,,, 451382,01-JAN-15,31-DEC-15,Settled,COMANCHE COUNTY MEDICAL CENTER ,10201 HIGHWAY 16 NORTH ,,COMANCHE ,TX ,76442- ,COMANCHE ,,,,,,,,,,25,9125,2330,5,3208,,151.25,,407,2,623,,,,,,, 451384,21-APR-15,31-DEC-15,Settled,D.M. COGDELL MEMORIAL HOSPITAL ,1700 COGDELL BLVD ,,SNYDER ,TX ,79549- ,SCURRY ,,,,,,,,,,25,6125,538,12,1624,,122.2,,123,5,553,,,,,,, 451385,09-SEP-15,30-JUN-16,As Submitted,GOODALL-WITCHER HOSPITAL AUTHORITY ,101 POSEY AVE ,549 ,CLIFTON ,TX ,76634 ,BOSQUE ,,,,,,,,,,25,7375,1470,,2733,,127.88,,133,,280,18,,,,,, 451990,01-JAN-15,31-DEC-15,Settled,THE LEAVES ,1230 W. SPRING VALLEY RD ,,RICHARDSON ,TX ,75080-7709 ,DALLAS ,,,,,,,,,,20,7300,221,,3367,,19.49,,9,,44,,,,,,, 452015,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL DALLAS ,9525 GREENVILLE AVENUE ,,DALLAS ,TX ,75243 ,DALLAS ,,,,,,,,,,45,16470,10131,,14117,,134.5,,385,,509,,,,,,, 452016,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL SAN ANTONIO ,3636 MEDICAL DRIVE ,,SAN ANTONIO ,TX ,78229 ,BEXAR ,,,,,,,,,,59,21594,7857,,12051,,101.6,,314,,480,,,,,,, 452018,01-APR-15,31-MAR-16,Settled,TEXAS HEALTH SPECIALTY HOSPITAL FORT ,1301 PENNSYLVANIA AVENUE ,,FT. WORTH ,TX ,76104 ,TARRANT ,,,,,,,,,,15,5490,1014,,3077,,39.56,,31,,100,,,,,,, 452019,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL MANSFIELD ,1802 HIGHWAY 157 NORTH ,,MANSFIELD ,TX ,76063 ,TARRANT ,,,,,,,,,,55,20130,7935,,10861,,103.9,,327,,445,,,,,,, 452022,01-JAN-15,31-DEC-15,Settled,SSH - DALLAS INC. ,2329 PARKER RD ,,CARROLLTON ,TX ,75010 ,DALLAS ,,,,,,,,,,60,21900,9080,,12939,,152.23,,319,,433,,,,,,, 452023,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL HOUSTON ,6441 MAIN STREET ,,HOUSTON ,TX ,77030 ,HARRIS ,,,,,,,,,,110,40260,17996,,32833,,310.8,,564,,944,,,,,,, 452028,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL TARRANT COUNTY ,1000 NORTH COOPER STREET ,,ARLINGTON ,TX ,76011 ,TARRANT ,,,,,,,,,,160,58560,28805,,41598,,376.4,,1184,,1575,,,,,,, 452029,01-SEP-15,31-AUG-16,As Submitted,CONTINUECARE HOSPITAL AT HENDRICK MC ,1900 PINE STREET ,7TH FLOOR ,ABILENE ,TX ,79601-2432 ,TAYLOR ,,,,,,,,,,19,6954,3503,,5215,,37.21,,129,,185,,,,,,, 452031,01-JAN-15,30-JUN-15,Settled,CHI ST LUKES HEALTH MEM SPECLTY HOSP ,1202 FRANK STREET ,,LUFKIN ,TX ,75902- ,ANGELINA ,,,,,,,,,,26,4706,2359,,3101,,46.65,,90,,113,,,,,,, 452031,01-JUL-15,30-JUN-16,Settled,CHI ST LUKES HEALTH MEM SPECLTY HOSP ,1202 FRANK STREET ,,LUFKIN ,TX ,75902- ,ANGELINA ,,,,,,,,,,26,9516,3388,22,5516,,45.82,,133,1,201,,,,,,, 452032,01-JAN-15,31-MAY-15,Settled,CHG CORNERSTONE HOSP OF HOUSTON ,709 MEDICAL CTR BLVD ,,WEBSTER ,TX ,77598 ,HARRIS ,,,,,,,,,,148,22348,10591,,15197,,278.98,,411,,574,,,,,,, 452032,01-JUN-15,31-AUG-15,Settled,CHG CORNERSTONE HOSP OF HOUSTON ,709 MEDICAL CTR BLVD ,,WEBSTER ,TX ,77598 ,HARRIS ,,,,,,,,,,148,13616,5619,,7882,,281.19,,215,,299,,,,,,, 452032,01-SEP-15,31-AUG-16,As Submitted,CHG CORNERSTONE HOSP OF HOUSTON ,709 MEDICAL CTR BLVD ,,WEBSTER ,TX ,77598 ,HARRIS ,,,,,,,,,,148,54168,20959,,30307,,305.77,,831,,1195,,,,,,, 452033,01-SEP-15,31-AUG-16,As Submitted,TEXAS CENTER FOR INFECTIOUS DESEASE ,2303 S.E MILITARY DRIVE ,,SAN ANTONIO ,TX ,78223 ,BEXAR ,,,,,,,,,,36,13176,201,,13258,,147.5,,4,,4,,,,,,, 452034,01-FEB-15,31-AUG-15,Settled,CORNERSTONE HOSPITAL OF AUSTIN ,4207 BURNET RD ,,AUSTIN ,TX ,78756 ,TRAVIS ,,,,,,,,,,118,25016,8835,,12547,,203.13,,347,,465,,,,,,, 452034,01-SEP-15,31-AUG-16,As Submitted,CORNERSTONE HOSPITAL OF AUSTIN ,4207 BURNET RD ,,AUSTIN ,TX ,78756 ,TRAVIS ,,,,,,,,,,118,43188,14198,,19629,,210.23,,585,,788,,,,,,, 452035,01-APR-15,31-MAR-16,As Submitted,MESA HILLS SPECIALTY HOSPITAL ,2311 NORTH OREGON STREET ,,EL PASO ,TX ,79902 ,EL PASO ,,,,,,,,,,32,11712,4517,26,6427,,74,,165,2,256,,,,,,, 452038,01-JAN-15,31-DEC-15,Settled,TEXAS NEURO REHAB CENTER ,1106 WEST DITTMAR ROAD ,,AUSTIN ,TX ,78745 ,TRAVIS ,,,,,,,,,,47,17155,4890,,13628,,,,184,,448,,,,,,, 452039,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL HOUSTON NW/BAY AREA ,11297 FALLBROOK DRIVE ,,HOUSTON ,TX ,77065 ,HARRIS ,,,,,,,,,,158,57828,28183,,36414,,318.3,,1139,,1437,,,,,,, 452040,01-SEP-15,31-AUG-16,As Submitted,ACUITY HOSPITAL OF SOUTH TEXAS ,718 LEXINGTON AVE. ,,SAN ANTONIO ,TX ,78212 ,BEXAR ,,,,,,,,,,30,10980,5754,,9287,,113.27,,244,,352,,,,,,, 452041,01-JAN-15,31-DEC-15,Settled,CARRUS SPECIALTY HOSPITAL ,1810 WEST HIGHWAY 82 ,,SHERMAN ,TX ,78092-7378 ,GRAYSON ,,,,,,,,,,16,5840,4437,,5428,,94.65,,172,,213,,,,,,, 452042,01-JUL-15,30-JUN-16,Settled,CHRISTUS DUBUIS HOSPITAL OF BEAUMONT ,2830 CALDER AVENUE ,5405 ,BEAUMONT ,TX ,77706- ,JEFFERSON ,,,,,,,,,,51,18666,9550,29,13502,,87.74,,352,1,519,,,,,,, 452043,01-JUN-15,31-DEC-15,Settled,PROMISE HOSPITAL OF HOUSTON INC ,6160 SOUTH LOOP EAST ,,HOUSTON ,TX ,77087 ,HARRIS ,,,,,,,,,,59,12626,4432,,5025,,90.56,,150,,165,,,,,,, 452044,01-JAN-15,31-DEC-15,Settled,LIFECARE SPEC HOSP OF NORTH TEXAS ,1950 RECORD CROSSING ,,DALLAS ,TX ,75235-5306 ,DALLAS/TARRANT ,,,,,,,,,,206,75190,35411,,48320,,429.52,,1339,,1815,,,,,,, 452046,01-JAN-15,31-DEC-15,Settled,PLAZA SPECIALTY HOSPITAL ,1300 BINZ STREET ,,HOUSTON ,TX ,77004 ,HARRIS ,,,,,,,,,,65,23725,8463,,12495,,82,,237,,334,,,,,,, 452049,01-SEP-15,31-MAY-16,Settled,SSH - HOUSTON ,9430 OLD KATY RD ,,HOUSTON ,TX ,77055 ,HARRIS ,,,,,,,,,,135,37060,8300,,14540,,223.58,,350,,578,,,,,,, 452051,01-MAY-15,30-APR-16,Settled,ETMC SPECIALTY ,1000 S BECKHAM ,,TYLER ,TX ,75711- ,SMITH ,,,,,,,,,,36,13176,6184,,9855,,74.87,,215,,308,,,,,,, 452054,01-JAN-15,31-MAR-15,Settled,PLANO SPECIALTY HOSPITAL ,1621 COIT ROAD ,,PLANO ,TX ,75075 ,COLLIN ,,,,,,,,,,43,3870,1140,,2056,,46.75,,59,,89,,,,,,, 452054,01-APR-15,31-DEC-15,Settled,PLANO SPECIALTY HOSPITAL ,1621 COIT ROAD ,,PLANO ,TX ,75075 ,COLLIN ,,,,,,,,,,43,11825,2244,128,4533,,64.44,,92,2,160,,,,,,, 452055,01-FEB-15,31-AUG-15,Settled,CORNERSTONE SOUTH HOUSTON ,2001 HERMANN DRIVE ,,HOUSTON ,TX ,77004 ,HARRIS ,,,,,,,,,,35,7420,3553,,5017,,78.4,,136,,194,,,,,,, 452055,01-SEP-15,31-AUG-16,As Submitted,CORNERSTONE SOUTH HOUSTON ,2001 HERMANN DRIVE ,,HOUSTON ,TX ,77004 ,HARRIS ,,,,,,,,,,35,12810,5871,,8832,,91.57,,231,,353,,,,,,, 452056,01-SEP-15,31-AUG-16,Settled,POST ACUTE MEDICAL VICTORIA ,506 EAST SAN ANTONIO ST ,,VICTORIA ,TX ,77903 ,VICTORIA ,,,,,,,,,,23,8418,7031,,8204,,64.43,,281,,340,,,,,,, 452057,01-SEP-15,31-AUG-16,As Submitted,NEXUS SPECIALTY HOSPITAL ,9812 SIX PINES DR. ,,THE WOODLANDS ,TX ,77380 ,MONTGOMERY ,,,,,,,,,,85,29580,8081,,16917,,175.47,,330,,588,,,,,,, 452059,01-SEP-15,31-AUG-16,As Submitted,LIFECARE HOSPITAL OF SAN ANTONIO ,8902 FLOYD CURL DRIVE ,,SAN ANTONIO ,TX ,78240-1681 ,BEXAR ,,,,,,,,,,62,22692,13327,,19951,,185.9,,448,,653,,,,,,, 452060,01-AUG-15,31-JUL-16,As Submitted,VIBRA HOSPITAL OF AMARILLO ,7501 WALLACE BLVD. ,,AMARILLO ,TX ,79124 ,POTTER ,,,,,,,,,,72,26352,13901,,18993,,185.18,,542,,713,,,,,,, 452061,03-NOV-14,31-AUG-15,Settled,PAM SQUARED AT TEXARKANA ,2600 ST. MICHAEL DRIVE ,,TEXARKANA ,TX ,75503 ,BOWIE ,,,,,,,,,,49,14798,8224,,10452,,90.84,,330,,411,,,,,,, 452061,01-SEP-15,31-AUG-16,As Submitted,PAM SQUARED AT TEXARKANA ,2600 ST. MICHAEL DRIVE ,,TEXARKANA ,TX ,75503 ,BOWIE ,,,,,,,,,,49,17934,10900,,13782,,100.57,,425,,546,,,,,,, 452062,01-JAN-15,31-DEC-15,Settled,WARM SPRINGS SPECIALITY HOSPITAL ,200 MEMORIAL DRIVE ,,LULING ,TX ,78648 ,CALDWELL ,,,,,,,,,,42,15330,7436,,11824,,123.7,,269,,373,,,,,,, 452063,01-SEP-15,31-AUG-16,As Submitted,LIFECARE HOSPITALS OF SOUTH TEXAS ,2001 SOUTH M STREET ,,MCALLEN ,TX ,78503- ,HIDALGO ,,,,,,,,,,94,34404,12085,,15981,,157.74,,456,,612,,,,,,, 452066,01-JAN-15,31-MAR-15,Settled,PLUM CREEK SPECIALTY HOSPITAL ,5601 PLUM CREEK DRIVE ,,AMARILLO ,TX ,79124 ,POTTER ,,,,,,,,,,47,4230,902,,1208,,50.6,,36,,55,,,,,,, 452066,01-APR-15,31-DEC-15,Settled,PLUM CREEK SPECIALTY HOSPITAL ,5601 PLUM CREEK DRIVE ,,AMARILLO ,TX ,79124 ,POTTER ,,,,,,,,,,47,12925,2320,,2924,,57.62,,89,,108,,,,,,, 452067,01-JUN-15,31-MAY-16,As Submitted,PROMISE HOSPITAL OF DALLAS ,7850 BROOKHOLLOW ROAD ,,DALLAS ,TX ,75235 ,DALLAS ,,,,,,,,,,66,24090,6988,,11068,,128.1,,246,,344,,,,,,, 452068,01-JUN-15,31-MAY-16,Settled,PROMISE HOSPITAL OF WICHITA FALLS ,1103 GRACE STREET ,,WICHITA FALLS ,TX ,76301 ,WICHITA ,,,,,,,,,,31,11315,6084,,7415,,75.92,,231,,309,,,,,,, 452071,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL WHITE ROCK ,9440 POPPY DRIVE ,,DALLAS ,TX ,75218 ,DALLAS ,,,,,,,,,,25,9150,4860,,7138,,66.6,,200,,272,,,,,,, 452073,01-MAY-15,30-APR-16,As Submitted,SSH - SAN ANTONIO INC ,111 DALLAS STREET 4TH FLOOR ,,SAN ANTONIO ,TX ,78205 ,BEXAR ,,,,,,,,,,44,16104,7062,,11567,,113.31,,271,,415,,,,,,, 452074,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL TOMBALL ,505 GRAHAM DRIVE ,,TOMBALL ,TX ,77375 ,HARRIS ,,,,,,,,,,258,94428,36687,,51592,,418.8,,1423,,1974,,,,,,, 452075,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL CLEAR LAKE ,350 BLOSSOM STREET ,,WEBSTER ,TX ,77598 ,HARRIS ,,,,,,,,,,147,53802,24529,,33153,,280.1,,995,,1342,,,,,,, 452078,01-APR-15,31-MAR-16,As Submitted,SSH - SOUTH DALLAS ,3500 WEST WHEATLAND RD ,4TH FLOOR ,DALLAS ,TX ,75237 ,DALLAS ,,,,,,,,,,60,21960,10124,,13628,,119.57,,413,,545,,,,,,, 452079,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL EL PASO ,1740 CURIE DRIVE ,,EL PASO ,TX ,79902 ,EL PASO ,,,,,,,,,,72,26352,8202,,15016,,129.8,,322,,584,11,,,,,, 452080,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL SUGAR LAND ,1550 FIRST COLONY BLVD. ,,SUGAR LAND ,TX ,77479 ,FORT BEND ,,,,,,,,,,169,61854,26444,,38633,,297.6,,1062,,1481,1,,,,,, 452082,01-JUL-15,30-JUN-16,Settled,CHRISTUS DUBUIS - PARIS ,865 DESHONG DRIVE 5TH FLOOR ,,PARIS ,TX ,75462- ,LAMAR ,,,,,,,,,,25,9150,4653,,4950,,31.66,,183,,204,,,,,,, 452083,01-OCT-14,31-DEC-14,Settled,MID JEFFERSON EXTENDED CARE HOSPT. ,2600 HIGHWAY 365 ,,NEDERLAND ,TX ,77627 ,JEFFERSON ,,,,,,,,,,48,4416,2007,,3839,,158.04,,83,,151,,,,,,, 452083,01-JAN-15,31-AUG-15,Reopened,MID JEFFERSON EXTENDED CARE HOSPT. ,2600 HIGHWAY 365 ,,NEDERLAND ,TX ,77627 ,JEFFERSON ,,,,,,,,,,48,11616,8575,,9274,,166.2,,346,,364,,,,,,, 452083,01-SEP-15,31-AUG-16,As Submitted,MID JEFFERSON EXTENDED CARE HOSPT. ,2600 HIGHWAY 365 ,,NEDERLAND ,TX ,77627 ,JEFFERSON ,,,,,,,,,,48,17568,14523,,15832,,168.69,,576,,644,,,,,,, 452086,03-NOV-14,31-AUG-15,Settled,PAM SQUARED AT CORPUS CHRISTI ,600 ELIZABETH STREET 3RD FLOOR ,,CORPUS CHRSTI ,TX ,78404 ,NUECES ,,,,,,,,,,22,6644,4584,,5796,,53.1,,172,,213,,,,,,, 452086,01-SEP-15,31-AUG-16,As Submitted,PAM SQUARED AT CORPUS CHRISTI ,600 ELIZABETH STREET 3RD FLOOR ,,CORPUS CHRSTI ,TX ,78404 ,NUECES ,,,,,,,,,,22,8052,6372,,7369,,58.39,,247,,292,,,,,,, 452087,01-JAN-15,31-DEC-15,Settled,SSH - LONGVIEW INC. ,700 EAST MARSHALL AVENUE ,,LONGVIEW ,TX ,75601 ,GREGG ,,,,,,,,,,32,11680,9209,,10500,,98.17,,343,,404,,,,,,, 452088,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL FORT WORTH ,815 EIGHTH AVENUE ,,FORT WORTH ,TX ,76104 ,TARRANT ,,,,,,,,,,67,24522,11184,,16375,,143.5,,447,,634,,,,,,, 452090,01-SEP-15,31-AUG-16,As Submitted,WARM SPRINGS SPECIALTY HOSP OF SA ,7400 BARLITE BOULEVARD 2ND FLOOR ,,SAN ANTONIO ,TX ,78224 ,BEXAR ,,,,,,,,,,26,9516,4418,,5982,,59.58,,158,,220,,,,,,, 452091,01-JAN-15,31-DEC-15,Settled,TYLER CONTINUECARE HOSPITAL ,800 E. DAWSON 4TH FLOOR ,,TYLER ,TX ,75701 ,SMITH ,,,,,,,,,,51,18615,12192,,16021,,122.15,,466,,594,,,,,,, 452092,01-SEP-15,31-AUG-16,As Submitted,POST ACUTE MEDICAL CORPUS ,6226 SARATOGA BLVD ,,CORPUS CHRISTI ,TX ,78414 ,NUECES ,,,,,,,,,,74,27084,9805,,13997,,131.47,,390,,575,,,,,,, 452093,01-MAR-15,29-MAY-15,Settled,HARBOR HOSPITAL OF SE TEXAS ,860 SOUTH 8TH STREET ,,BEAUMONT ,TX ,77701 ,JEFFERSON ,,,,,,,,,,30,2700,1144,,1235,,58.16,,49,,75,,,,,,, 452094,01-JAN-15,31-DEC-15,Settled,VICTORIA WARM SPRINGS SPECIALTY HOSP ,102 MEDICAL DRIVE ,,VICTORIA ,TX ,77904 ,VICTORIA ,,,,,,,,,,26,9490,8205,,8968,,100.16,,328,,369,,,,,,, 452095,01-OCT-14,31-JAN-15,Settled,SOLARA HOSPITAL MCALLEN ,301 W. EXPRESSWAY 83 8TH FLOOR ,,MCALLEN ,TX ,78503- ,HIDALGO ,,,,,,,,,,74,9102,3799,,4984,,143.77,,150,,200,,,,,,, 452095,01-FEB-15,31-AUG-15,Settled,SOLARA HOSPITAL MCALLEN ,301 W. EXPRESSWAY 83 8TH FLOOR ,,MCALLEN ,TX ,78503- ,HIDALGO ,,,,,,,,,,74,15688,6869,,9638,,144.38,,263,,352,,,,,,, 452095,01-SEP-15,31-AUG-16,As Submitted,SOLARA HOSPITAL MCALLEN ,301 W. EXPRESSWAY 83 8TH FLOOR ,,MCALLEN ,TX ,78503- ,HIDALGO ,,,,,,,,,,49,26309,10921,,14349,,143.1,,425,,564,,,,,,, 452096,01-FEB-15,31-JAN-16,Settled,LAREDO SPECIALTY HOSPITAL ,2005 BUSTAMANTE STREET ,,LAREDO ,TX ,78041 ,WEBB ,,,,,,,,,,40,14600,10644,,12221,,145.11,,400,,457,,,,,,, 452097,01-AUG-15,31-JUL-16,Settled,VIBRA SPECIALTY HOSP DALLAS ,2700 WALKER WAY ,,DESOTO ,TX ,75115-2088 ,DALLAS ,,,,,,,,,,60,21960,9412,,11795,,121.02,,347,,445,,,,,,, 452099,01-APR-15,31-MAR-16,Settled,REGENCY HOSPITAL OF FORT WORTH ,6801 OAKMONT BLVD ,,FORT WORTH ,TX ,76132 ,TARRANT ,,,,,,,,,,44,16104,6131,,8309,,93.1,,243,,328,,,,,,, 452100,01-JUN-15,31-MAY-16,Settled,MESQUITE SPECIALTY HOSPITAL ,1024 N GALLOWAY AVENUE ,,MESQUITE ,TX ,75149 ,DALLAS ,,,,,,,,,,40,14640,10042,,11227,,142.55,,401,,452,,,,,,, 452101,01-AUG-15,31-JUL-16,As Submitted,SOLARA HOSPITAL HARLINGEN ,508 VICTORIA LANE ,,HARLINGEN ,TX ,78550- ,CAMERON ,,,,,,,,,,82,30012,16207,,20485,,175.42,,645,,822,,,,,,, 452102,01-JUL-15,30-JUN-16,Settled,COVENANT SPECIALTY HOSPITAL ,3815 20TH STREET ,,LUBBOCK ,TX ,79410 ,LUBBOCK ,,,,,,,,,,56,20496,7804,27,10170,,160.82,,274,1,357,,,,,,, 452103,01-JAN-15,31-DEC-15,Settled,EL PASO LTACH HOSPITAL ,1221 N. COTTON STREET 3RD FLOOR ,,EL PASO ,TX ,79902- ,EL PASO ,,,,,,,,,,33,12045,4576,,5915,,71.7,,183,,237,,,,,,, 452105,01-JAN-15,31-DEC-15,Settled,SCOTT & WHITE LONG TERM ACUTE CARE ,546 KEGLEY ROAD ,,TEMPLE ,TX ,76502- ,BELL ,,,,,,,,,,50,18250,6922,,11281,,125.12,,207,,392,,,,,,, 452106,01-OCT-14,30-SEP-15,Settled,POST ACUTE MEDICAL OF NEW BRAUNFELS ,1445 HANZ DRIVE ,,NEW BRANFELS ,TX ,78130 ,COMAL ,,,,,,,,,,40,14600,7944,,9666,,104.35,,324,,410,,,,,,, 452107,01-JUN-15,31-AUG-15,Settled,SOLARA HOSPITAL CONROE ,1500 GRAND LAKE DRIVE ,,CONROE ,TX ,77304-2891 ,MONTGOMERY ,,,,,,,,,,41,3772,2468,,3043,,98.5,,97,,129,,,,,,, 452107,01-SEP-15,31-AUG-16,As Submitted,SOLARA HOSPITAL CONROE ,1500 GRAND LAKE DRIVE ,,CONROE ,TX ,77304-2891 ,MONTGOMERY ,,,,,,,,,,41,15006,8996,,11577,,109.42,,359,,468,,,,,,, 452108,01-SEP-15,31-AUG-16,Settled,KINDRED HOSPITAL DALLAS CENTRAL ,8050 MEADOW ROAD ,,DALLAS ,TX ,75231 ,DALLAS ,,,,,,,,,,60,21960,10018,,16527,,155,,380,,561,,,,,,, 452109,01-JUN-15,31-MAY-16,Settled,INTEGRITY TRANSITIONAL HOSPITAL ,2813 SOUTH MAYHILL RD ,,DENTON ,TX ,76208 ,DENTON ,,,,,,,,,,54,19764,4249,,5712,,100.97,,161,,233,,,,,,, 452110,01-SEP-15,31-AUG-16,Amended,ETHICUS HOSPITAL - GRAPEVINE ,4201 WILLIAM D. TATE AVENUE ,,GRAPEVINE ,TX ,76051-5736 ,TARRANT ,,,,,,,,,,60,21960,7791,,10204,,109.45,,291,,382,,,,,,, 452111,01-DEC-14,30-NOV-15,Settled,ATRIUM MEDICAL CENTER AT CORINTH ,3305 CORINTH PARKWAY ,,CORINTH ,TX ,76208- ,DENTON ,,,,,,,,,,60,21900,5828,,8562,,118.3,,238,,332,,,,,,, 452112,01-FEB-15,31-JAN-16,Settled,ICON HOSPITAL ,19211 MCKAY BLVD ,,HUMBLE ,TX ,77338 ,HARRIS ,,,,,,,,,,54,19710,8212,,10452,,126.35,,336,,413,,,,,,, 452113,01-JUL-15,15-JAN-16,As Submitted,CHRISTUS DUBUIS HOSPITAL OF BRYAN ,1600 ST. JOSEPH DRIVE 2ND FLOOR ,,BRYAN ,TX ,77802-1502 ,BRAZOS ,,,,,,,,,,30,5970,1663,,1989,,20.37,,53,,72,,,,,,, 452114,01-JAN-15,31-DEC-15,Settled,ATRIUM MEDICAL CENTER ,11929 WEST AIRPORT BLVD. STE 110 ,,STAFFORD ,TX ,77477 ,FORT BEND ,,,,,,,,,,68,24820,9618,,11861,,149.52,,372,,460,,,,,,, 452116,01-JUN-15,31-MAY-16,Settled,LUBBOCK SPECIALTY HOSPITAL ,4302-B PRINCETON STREET ,,LUBBOCK ,TX ,79415 ,LUBBOCK ,,,,,,,,,,37,13542,5403,,8660,,66,,204,,286,,,,,,, 452117,01-MAY-15,30-APR-16,Settled,CONTINUECARE HOSPITAL OF MILAND ,4214 ANDREWS HIGHWAY ,,MIDLAND ,TX ,79703 ,MIDLAND ,,,,,,,,,,29,10614,4484,,6856,,59.14,,176,,255,,,,,,, 452118,01-AUG-15,31-JUL-16,As Submitted,HOUSTON METHODIST ST. CATHERINE LTAC ,701 SOUTH FRY ROAD ,,KATY ,TX ,77450 ,UNITED STATES ,,,,,,,,,,44,16104,6197,519,11225,,198.23,,247,14,476,,,,,,, 452119,01-JUL-15,30-JUN-16,As Submitted,SSH - DALLAS DOWNTOWN ,3500 GASTON AVE 3RD AND 4TH FLOORS ,,DALLAS ,TX ,75246 ,DALLAS ,,,,,,,,,,46,16836,5282,,9294,,75.71,,212,,347,,,,,,, 452120,01-JUL-15,30-JUN-16,As Submitted,SSH - DALLAS GARLAND ,2300 MARIE CURIE 3W AND 3E FLOORS ,,GARLAND ,TX ,75042 ,DALLAS ,,,,,,,,,,40,14640,4740,,6906,,66.88,,191,,267,1,,,,,, 453025,01-JAN-15,31-DEC-15,Amended,MEMORIAL HERMANN TIRR ,1333 MOURSUND ,,HOUSTON ,TX ,77030 ,HARRIS ,,,,,,,,,40595,134,48910,5669,995,36779,8.53,759.41,,260,38,1256,105,,,,,, 453029,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,19002 MCKAY DRIVE ,,HUMBLE ,TX ,77338 ,HARRIS ,,,,,,,,,,68,24820,8167,,13010,,135.62,,652,,1034,18,,,,,, 453031,01-JUN-15,31-MAY-16,Amended,HEALTHSOUTH REHABILITATION INSTITUTE ,9119 CINNAMON HILL ,,SAN ANTONIO ,TX ,78240 ,BEXAR ,,,,,,,,,,108,39216,9915,30,19614,,176.59,,749,1,1164,27,,,,,, 453035,01-JUN-15,31-MAY-16,As Submitted,SA WARM SPRINGS REHAB HOSP ,5101 MEDICAL DRIVE ,,SAN ANTONIO ,TX ,78229- ,BEXAR ,,,,,,,,,3334,129,47214,21066,27,31746,1.9,422.96,,1690,1,2597,47,,,,,, 453036,01-JUL-15,30-JUN-16,As Submitted,BAYLOR INSTITUTE FOR REHABILITATION ,909 NORTH WASHINGTON AVENUE ,,DALLAS ,TX ,75246-1520 ,DALLAS ,,,,,,,,,4513,92,33672,11634,,29354,2.8,289.26,,796,,1523,1,,,,,, 453040,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,3200 MATLOCK ROAD ,,ARLINGTON ,TX ,76015 ,TARRANT ,,,,,,,,,,85,31025,15610,,23823,,213.38,,1268,,1919,17,,,,,, 453041,01-JUN-15,31-MAY-16,Amended,HEALTHSOUTH REHABILITION HOSPITAL OF ,1212 LANCASTER STREET ,,FORT WORTH ,TX ,76102 ,TARRANT ,,,,,,,,,,60,21960,10305,,14369,,125.89,,808,,1148,14,,,,,, 453042,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH CITY VIEW REHABILITATION ,6701 OAKMONT BLVD ,,FORT WORTH ,TX ,76132 ,TARRANT ,,,,,,,,,,62,22630,11580,,16047,,128.5,,955,,1318,8,,,,,, 453044,01-JUN-15,31-MAY-16,Amended,HEALTHSOUTH REHABABILITATION HOSPITA ,1215 RED RIVER ROAD ,,AUSTIN ,TX ,78701 ,TRAVIS ,,,,,,,,,,83,30378,7818,,10909,,113.77,,613,,815,13,,,,,, 453047,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH PLANO REHABILITATION HOS ,2800 WEST 15TH STREET ,,PLANO ,TX ,75075 ,COLLIN ,,,,,,,,,,83,30295,13230,,18996,,188.41,,1147,,1613,12,,,,,, 453048,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,3340 PLAZA 10 BLVD ,,BEAUMONT ,TX ,77707 ,JEFFERSON ,,,,,,,,,,61,22265,5616,22,9124,,95.5,,432,2,728,7,,,,,, 453052,01-JAN-15,31-DEC-15,As Submitted,KINDRED REHAB HOSPITAL CLEAR LAKE ,655 E. MEDICAL CENTER BLVD. ,,WEBSTER ,TX ,77598 ,HARRIS ,,,,,,,,,,60,21900,9019,,13745,,130.9,,734,,1026,,,,,,, 453053,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,515 WEST 12TH STREET ,,TEXARKANA ,TX ,75501 ,BOWIE ,,,,,,,,,,60,21900,11306,4,14269,,151.19,,862,1,1136,78,,,,,, 453054,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHAB HOSPITAL OF WICHIT ,3901 ARMORY ROAD ,,WICHITA FALLS ,TX ,76302 ,WICHITA ,,,,,,,,,,63,22995,14674,,17168,,163.9,,1154,,1318,12,,,,,, 453056,01-JAN-15,31-DEC-15,Amended,TRINITY MOTHER FRANCES REHABILTATION ,3131 TROUP HIGHWAY ,,TYLER ,TX ,75701 ,SMITH ,,,,,,,,,,74,27010,18742,,24371,,198.62,,1529,,1909,12,,,,,, 453057,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1800 HERITAGE BLVD ,,MIDLAND ,TX ,79707 ,MIDLAND ,,,,,,,,,,60,21900,13374,,17934,,153.7,,1006,,1297,7,,,,,, 453059,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,18550 IH 45 SOUTH ,,CONROE ,TX ,77384 ,MONTGOMERY ,,,,,,,,,,84,30660,9697,,13364,,118.58,,846,,1184,6,,,,,, 453065,01-JUL-15,30-JUN-16,As Submitted,CHRISTUS ST MICHAEL REHAB HOSPITAL ,2400 ST MICHAEL DR ,,TEXARKANA ,TX ,75503- ,BOWIE ,,,,,,,,,,50,18300,9463,202,12083,,198.06,,873,15,1138,,,,,,, 453072,01-AUG-15,31-JUL-16,As Submitted,ETMC REHABILITATION ,701 OLYMPIC PLAZA CIRCLE ,7000 ,TYLER ,TX ,75711- ,SMITH ,,,,,,,,,,49,17934,9419,,11741,,212.54,,785,,954,3,,,,,, 453086,01-JUN-15,31-JUL-15,Settled,HIGHLANDS REGIONAL REHAB HOSPITAL ,1395 GEORGE DIETER ,,EL PASO ,TX ,79936- ,EL PASO ,,,,,,,,,,41,2501,742,28,1474,,95.58,,59,1,150,,,,,,, 453086,01-AUG-15,31-DEC-15,Settled,HIGHLANDS REGIONAL REHAB HOSPITAL ,1395 GEORGE DIETER ,,EL PASO ,TX ,79936- ,EL PASO ,,,,,,,,,,41,6273,2291,,3518,,105.87,,187,,274,2,,,,,, 453091,28-FEB-15,31-DEC-15,As Submitted,WESLACO REGIONAL REHABILITATION HOSP ,906 S JAMES STREET ,,WESLACO ,TX ,78596 ,HIDALGO ,,,,,,,,,,32,9824,3991,,5123,,60.78,,301,,382,,,,,,, 453092,01-JAN-15,31-DEC-15,As Submitted,SOUTH TEXAS REHABILITATION HOSPITAL ,425 EAST ALTON GLOOR BLVD ,,BROWNSVILLE ,TX ,78526 ,CAMERON ,,,,,,,,,,40,14600,9527,,11729,,123.05,,667,1,819,,,,,,, 453094,01-JAN-15,31-DEC-15,As Submitted,KINDRED REHAB HOSPITAL ARLINGTON ,2601 W. RANDOL MILL ROAD #101 ,,ARLINGTON ,TX ,76012 ,TARRANT ,,,,,,,,,,24,8760,5261,,6937,,61.9,,464,,604,,,,,,, 453096,01-AUG-15,31-JUL-16,As Submitted,VIBRA REHABILITATION HOSPITAL OF AMA ,7200 W. 9TH AVE. ,,AMARILLO ,TX ,79106 ,POTTER ,,,,,,,,,,44,16104,5760,,6819,,85.85,,515,,723,,,,,,, 453300,01-OCT-14,30-SEP-15,Settled,COOK CHILDRENS MEDICAL CENTER ,901 SEVENTH AVENUE ,,FORT WORTH ,TX ,76104-2796 ,TARRANT ,,,,,,,,,306,363,132495,288,13556,71801,8.05,3992,,51,1572,10350,,,,,,, 453301,01-MAY-15,30-APR-16,Settled,DRISCOLL CHILDRENS HOSPITAL ,3533 SOUTH ALAMEDA ST. ,,CORPUS CHRISTI ,TX ,78411 ,NUECES ,,,,,,,,,6802,162,59292,272,7336,28661,43.8,1528.07,,58,818,3664,1698,,,,,, 453302,01-JAN-15,31-DEC-15,Settled,CHILDRENS MEDICAL CENTER OF DALLAS ,1935 MEDICAL DISTRICT DRIVE ,,DALLAS ,TX ,75235 ,DALLAS ,,,,,,,,,4040,373,117450,604,24992,95677,106.57,4699.15,,68,3116,11946,,,,,,, 453304,01-OCT-14,30-SEP-15,Settled,TEXAS CHILDRENS HOSPITAL ,6621 FANNIN ,,HOUSTON ,TX ,77030 ,HARRIS ,,,,,,,,,11585,647,233531,808,39512,204838,394,8032,,117,5064,32521,11604,,,,,, 453306,01-JUL-15,30-JUN-16,Settled,COVENANT CHILDRENS HOSPITAL ,4015 22ND PLACE ,,LUBBOCK ,TX ,79410 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 453308,01-JAN-15,19-SEP-15,Settled,OUR CHILDRENS HOUSE ,3301 SWISS AVENUE ,,DALLAS ,TX ,75204 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 453308,20-SEP-15,31-DEC-15,Settled,OUR CHILDRENS HOUSE ,3301 SWISS AVENUE ,,DALLAS ,TX ,75204 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 453309,01-JAN-15,31-DEC-15,Settled,HEALTHBRIDGE CHILDRENS HOSPITAL ,2929 WOODLAND PARK ,,HOUSTON ,TX ,77056 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 453310,01-JUL-15,30-JUN-16,Settled,DELL CHILDRENS MEDICAL CENTER ,4900 MUELLER BLVD ,,AUSTIN ,TX ,78723- ,TRAVIS ,,,,,,,,,4944,246,90036,221,8219,41224,54.43,1234.58,,32,1570,9775,4064,,,,,, 453311,01-JAN-15,31-DEC-15,Settled,SHINERS HOSPITAL GALVESTON ,815 MARKET STREET ,,GALVESTON ,TX ,77550 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 453312,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITALS FOR CHILDREN-HOUS ,6977 MAIN STREET ,,HOUSTON ,TX ,77030 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 453313,01-OCT-14,30-SEP-15,Settled,EL PASO CHILDRENS HOSPITAL ,4845 ALAMEDA AVE ,,EL PASO ,TX ,79905 ,EL PASO ,,,,,,,,,,122,44530,21,6329,21977,,654.38,,8,831,3923,,,,,,, 453314,01-OCT-14,30-SEP-15,Settled,TX SCOTTISH RITE HOSPTIAL FOR CHILDR ,2222 WELBORN ,,DALLAS ,TX ,75219 ,DALLAS ,,,,,,,,,,52,18980,,746,4869,14.73,851.09,,,112,673,,,,,,, 453315,01-JUL-15,30-JUN-16,Amended,CHILDRENS HOSPITAL OF SAN ANTONIO ,519 WEST HOUSTON STREET ,,SAN ANTONIO ,TX ,78207 ,BEXAR ,,,,,,,,,784,196,71736,118,8243,32859,10.2,1128.23,,21,1593,5468,,,,,,, 453316,01-JUL-15,31-DEC-15,Settled,CHILDRENS MEDICAL CENTER PLANO ,7601 PRESTON ROAD ,,PLANO ,TX ,75024 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 454000,01-SEP-15,31-AUG-16,As Submitted,BIG SPRING STATE HOSPITAL ,1901 NORTH US HIGHWAY 87 ,231 ,BIG SPRINGS ,TX ,79721-0231 ,HOWARD ,,,,,,,,,,200,73200,2587,,68153,,581,,52,,276,,,,,,, 454006,01-SEP-15,31-AUG-16,As Submitted,TERRELL STATE HOSPITAL ,1200 E. BRIN STREET ,70 ,TERRELL ,TX ,75160-0070 ,KAUFMAN ,,,,,,,,,,288,105120,2923,400,89287,,890.89,,84,1,1597,,,,,,, 454008,01-SEP-15,31-AUG-16,As Submitted,NTSH - WITCHITA FALLS ,6515 LAKE ROAD ,300 ,WICHITA FALLS ,TX ,76307-0300 ,WICHITA ,,,,,,,,,,297,108702,4509,990,97319,,961.21,,184,18,904,,,,87,,1024, 454009,01-SEP-15,31-AUG-16,As Submitted,RUSK STATE HOSPITAL ,US HIGHWAY 69 NORTH ,318 ,RUSK ,TX ,75785-0318 ,CHEROKEE ,,,,,,,,,,249,105408,1539,,101090,,945.55,,57,,481,,,,,,, 454011,01-SEP-15,31-AUG-16,As Submitted,SAN ANTONIO STATE HOSPITAL ,6711 S. NEW BRAUNFELS SUITE 100 ,,SAN ANTONIO ,TX ,78223-3006 ,BEXAR ,,,,,,,,,,302,110532,3754,2718,95714,,865,,95,126,1233,,,,,,, 454012,01-JAN-15,31-DEC-15,Settled,MILLWOOD HOSPITAL ,1011 NORTH COOPER STREET ,,ARLINGTON ,TX ,76001 ,TARRANT ,,,,,,,,,,122,44530,6400,2531,32153,,217.3,,490,288,3643,,,,,,, 454014,01-SEP-15,31-AUG-16,As Submitted,KERRVILLE STATE HOSPITAL ,721 THOMPSON DRIVE ,1465 ,KERRVILLE ,TX ,78028-5154 ,KERR ,,,,,,,,,,202,73932,,,70036,,543.1,,,,64,,,,,,, 454018,01-JAN-15,31-DEC-15,Settled,RED RIVER HOSPITAL ,1505 EIGHTH SREET ,,WICHITA FALLS ,TX ,76301 ,WICHITA ,,,,,,,,,,74,27010,7621,1201,23114,,130.29,,593,117,2104,,,,,,, 454026,01-JAN-15,31-DEC-15,Settled,WEST OAKS HOSPITAL ,6500 HORNWOOD ,,HOUSTON ,TX ,77074 ,HARRIS ,,,,,,,,,,144,52560,8261,3675,37130,,253.71,,687,388,5481,,,,,,, 454029,01-JUL-15,30-JUN-16,As Submitted,SETON SHOAL CREEK ,3501 MILLS AVENUE ,,AUSTIN ,TX ,78731-0000 ,TRAVIS ,,,,,,,,,,101,36966,2276,,23197,12.58,234.48,,249,612,3835,,,,,,, 454050,01-JAN-15,31-DEC-15,Settled,GLEN OAKS HOSPITAL ,301 EAST DIVISION STREET ,,GREENVILLE ,TX ,75401 ,HUNT ,,,,,,,,,,54,19710,2596,755,12149,,88.19,,262,95,1895,,,,,,, 454060,01-JAN-15,31-DEC-15,Settled,LAUREL RIDGE HOSPITAL ,17720 CORPORATE WOODS DR ,,SAN ANTONIO ,TX ,78259 ,BEXAR ,,,,,,,,,,208,75920,7126,4143,62566,,410.44,,686,510,7080,,,,,,, 454064,01-JAN-15,31-DEC-15,Settled,RIVER CREST HOSPITAL ,1636 HUNTERS GLEN RD ,,SAN ANGELO ,TX ,76907 ,TOM ,,,,,,,,,,80,29200,3606,787,20296,,110.4,,365,141,3079,,,,,,, 454065,01-AUG-15,31-JUL-16,Settled,HICKORY TRAIL HOSPITAL ,2000 N. OLD HICKORY TRAIL ,,DESOTO ,TX ,75115 ,DALLAS ,,,,,,,,,,86,31476,5507,315,20264,,153.88,,481,35,2882,,,,,,, 454069,01-JAN-15,31-DEC-15,Reopened,AUSTIN LAKES HOSPITAL ,1025 EAST 32ND STREET ,,AUSTIN ,TX ,78705 ,TRAVIS ,,,,,,,,,,58,21170,4606,447,17777,,127.3,,486,46,2374,,,,,,, 454076,01-SEP-15,31-AUG-16,As Submitted,HARRIS CO PSYCHIATRIC CENTER ,2800 S MCGREGOR WAY ,,HOUSTON ,TX ,77225-0249 ,HARRIS ,,,,,,,,,1131,253,90524,2748,757,79887,12.08,460.83,,347,117,9603,,,,,,, 454081,01-JAN-15,14-AUG-15,Reopened,TIMBERLAWN HOSPITAL ,4600 SAMUEL BLVD ,,DALLAS ,TX ,75315 ,DALLAS ,,,,,,,,,,144,32400,9757,219,22904,,150,,730,34,3288,,,,,,, 454083,01-JAN-15,31-DEC-15,Settled,INTRACARE NORTH HOSPITAL ,1120 CYPRESS STATTION ,,HOUSTON ,TX ,77090 ,HARRIS ,,,,,,,,,,90,32850,3113,2009,19431,,27759,,334,238,2313,,,,,,, 454084,01-SEP-15,31-AUG-16,As Submitted,AUSTIN STATE HOSPITAL ,4110 GUADALUPE ,,AUSTIN ,TX ,78751-4296 ,TRAVIS ,,,,,,,,,,315,115290,5935,2030,91440,,847.6,,112,29,1110,,,,,,, 454088,01-SEP-15,31-AUG-16,As Submitted,RIO GRANDE STATE CENTER ,1401 SOUTH RANGERVILLE ROAD ,2668 ,HARLINGEN ,TX ,78552-7638 ,CAMERON ,,,,,,,,,,55,20130,1467,82,18963,,234.57,,47,6,866,,,,,,, 454093,01-SEP-15,31-AUG-16,As Submitted,SUNRISE CANYON HOSPITAL ,1950 ASPEN AVENUE ,,LUBBOCK ,TX ,79408- ,LUBBOCK ,,,,,,,,,,30,10980,1090,,9607,,38.82,,69,,595,,,,,,, 454094,01-SEP-15,31-AUG-16,As Submitted,GREEN OAKS HOSPITAL ,7808 CLODUS FIELDS DRIVE ,,DALLAS ,TX ,75251 ,DALLAS ,,,,,,,,,,124,45384,13849,19,44765,,330.26,,1024,3,5292,,,,,,, 454098,01-JAN-15,31-DEC-15,Settled,ACADIA ABILENE PSYCH CENTER ,1111 INDUSTRIAL BLVD ,,ABILENE ,TX ,79608-5559 ,TAYLOR ,,,,,,,,,,88,32120,2417,1263,14084,,122.4,,237,112,1612,,,,,,, 454100,01-SEP-15,31-AUG-16,As Submitted,EL PASO PSYCHIATRIC CENTER ,4615 ALAMEDA AVENUE ,,EL PASO ,TX ,79950 ,EL PASO ,,,,,,,,,,74,27084,735,476,24206,,248.36,,43,39,897,,,,,,, 454101,01-JAN-15,31-DEC-15,Settled,ALLEGIANCE BEHAVIORAL CTR OF PLAINVI ,2601 DIMMITT ROAD SUITE 400 ,,PLAINVIEW ,TX ,79072 ,HALE ,,,,,,,,,,20,7300,3702,4,4126,,74.01,,239,1,293,,,,,,, 454103,01-JAN-15,31-DEC-15,Settled,KINGWOOD PINES HOSPITAL ,2001 LADBROOK ,,KINGWOOD ,TX ,77339 ,HARRIS ,,,,,,,,,,116,42340,2722,4307,33549,,190.94,,241,396,3899,,,,,,, 454104,01-JAN-15,31-DEC-15,Settled,UBH DENTON HOSPITAL ,2026 W UNIVERSITY DRIVE ,,DENTON ,TX ,76201 ,DENTON ,,,,,,,,,,104,37960,2336,1271,25355,,179.7,,186,132,2768,,,,,,, 454105,01-JAN-15,31-DEC-15,Settled,BEHAVIORAL HOSPITAL OF LONGVIEW ,22 BERMUDA LANE ,,LONGVIEW ,TX ,75605 ,GREGG ,,,,,,,,,,76,27740,11690,,17266,,119.2,,644,,1238,,,,,,, 454107,01-JAN-15,31-DEC-15,Settled,UBH BELLAIRE HOSPITAL ,5314 DASHWOOD ,,HOUSTON ,TX ,77081 ,HARRIS ,,,,,,,,,,122,42268,6055,1547,30293,,165,,505,152,3501,,,,,,, 454108,01-JAN-15,31-DEC-15,Settled,CYPRESS CREEK HOSPITAL ,17750 CALI DRIVE ,,HOUSTON ,TX ,77090 ,HARRIS ,,,,,,,,,,96,35040,6194,1430,31608,,191.51,,512,151,3823,,,,,,, 454109,01-JAN-15,31-DEC-15,Settled,UBH EL PASO HOSPITAL ,1900 DENVER AVENUE ,,EL PASO ,TX ,79902 ,EL PASO ,,,,,,,,,,163,59495,7971,2918,51368,,286,,600,326,5937,,,,,,, 454110,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAV HOSP OF PERMIAN BASIN ,330 S FM 1788 ,,MIDLAND ,TX ,79706-2601 ,MIDLAND ,,,,,,,,,,60,21900,5211,919,15169,,100.72,,369,101,1524,,,,,,, 454111,01-JAN-15,31-DEC-15,Settled,TEXAS STAR RECOVERY ,1106 WEST DITTMAR ROAD ,,AUSTIN ,TX ,78745 ,TRAVIS ,,,,,,,,,,28,10220,2764,,7387,,,,224,,809,,,,,,, 454113,01-JAN-15,31-DEC-15,Settled,SUNDANCE HOSPITAL ,7000 US HWY 287 ,,ARLINGTON ,TX ,76001 ,TARRANT ,,,,,,,,,,232,84680,2781,2951,37602,,244.05,,254,290,4217,1568,,,,,, 454114,01-JAN-15,31-DEC-15,Settled,CEDAR CREST HOSPITAL ,3500 SOUTH I-35 ,,BELTON ,TX ,76513-9426 ,BELL ,,,,,,,,,,79,28835,3010,1609,21451,,142.81,,322,253,3003,,,,,,, 454117,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF LONGV ,615 CLINIC DRIVE ,,LONGVIEW ,TX ,75605 ,GREGG ,,,,,,,,,,24,8760,5404,,6270,,50.09,,354,,455,,,,,,, 454118,01-JAN-15,31-DEC-15,Settled,LONESTAR BEHAVIORAL HEALTH ,16303 GRANT RD ,,CYPRESS ,TX ,77429 ,HARRIS ,,,,,,,,,,24,8760,1789,16,4825,,83,,183,4,549,134,,,,,, 454119,01-JAN-15,31-DEC-15,Settled,CARROLLTON SPRINGS ,2225 PARKER ROAD ,,CARROLLTON ,TX ,75010 ,DENTON ,,,,,,,,,,45,16425,3018,,14900,,118.2,,232,,1628,2,,,,,, 454120,01-DEC-14,07-JUL-15,Settled,CAMBRIDGE HOSPITAL LLC ,7601 FANNIN ,,HOUSTON ,TX ,77054 ,HARRIS ,,,,,,,,,,148,32412,1087,1911,5405,,103.53,,96,264,891,,,,,,, 454121,01-AUG-15,31-JUL-16,Settled,AUSTIN OAKS HOSPITAL ,1407 WEST STASSNEY LANE ,,AUSTIN ,TX ,78748 ,TRAVIS ,,,,,,,,,,80,29280,1975,1687,17970,,111.62,,189,193,2246,,,,,,, 454122,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF ABILEN ,6401 DIRECTORS PKWY. SUITE 200 ,,ABILENE ,TX ,79606 ,TAYLOR ,,,,,,,,,,35,12775,5634,112,8462,,59.05,,325,7,596,,,,,,, 454123,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF LUFKIN ,302 GOBBLERS KNOB RD ,,LUFKIN ,TX ,75904 ,ANGELINA ,,,,,,,,,,24,8760,4907,,6115,,49.82,,280,,366,,,,,,, 454124,01-JAN-15,31-DEC-15,Settled,MESA SPRINGS ,5560 MESA SPRINGS DRIVE ,,FORT WORTH ,TX ,76123 ,TARRANT ,,,,,,,,,,72,26280,2732,1040,16194,,146.18,,260,113,1928,154,,,,,, 454125,01-JAN-15,31-DEC-15,Settled,ROCK PRAIRIE BEHAVIORAL HEALTH ,3550 NORMAND AVE ,,COLLEGE STATION ,TX ,77845 ,BRAZOS ,,,,,,,,,,72,26280,4152,1231,16760,,109.61,,353,112,1921,,,,,,, 454126,01-JAN-15,31-DEC-15,Settled,DALLAS BEHAVIORAL HEALTHCARE ,800 KIRNWOOD DRIVE ,,DE SOTO ,TX ,75115 ,DALLAS ,,,,,,,,,,116,42340,2568,582,14917,,85.31,,223,55,1876,,,,,,, 454127,01-JAN-15,31-DEC-15,Settled,ROCK SPRINGS ,700 SOUTEAST INNTER LOOP ,,GEORGETOWN ,TX ,78626 ,WILLIAMSON ,,,,,,,,,,72,26280,2201,77,13986,,110.83,,211,11,1730,77,,,,,, 454128,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF FORT W ,6200 OVERTON RIDGE BLVD ,,FORT WORTH ,TX ,76132 ,TARRANT ,,,,,,,,,,48,17520,7550,154,12112,,77.66,,525,10,894,,,,,,, 454129,28-OCT-14,31-DEC-14,Settled,GEORGETOWN BEHAVIORAL HEALTH INSTITU ,3101 S AUSTIN AVENUE ,,GEORGETOWN ,TX ,78626 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 454129,01-JAN-15,31-DEC-15,Settled,GEORGETOWN BEHAVIORAL HEALTH ,3101 S AUSTIN AVENUE ,,GEORGETOWN ,TX ,78626 ,WILLIAMSON ,,,,,,,,,,118,43070,1565,526,12319,,129.35,,181,53,1678,,,,,,, 454130,05-NOV-14,31-DEC-14,Settled,OCEANS BEHAVIORAL HOSPITAL OF PLANO ,4301 MAPLESHADE LANE ,,PLANO ,TX ,75093 ,COLLIN ,,,,,,,,,,48,2736,415,,583,,7.38,,29,,38,,,,,,, 454130,01-JAN-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF PLANO ,4301 MAPLESHADE LANE ,,PLANO ,TX ,75093 ,COLLIN ,,,,,,,,,,48,17520,7096,68,8873,,53.59,,410,7,554,,,,,,, 454131,19-DEC-14,31-DEC-15,Settled,WESTPARK SPRINGS ,6902 S PEEK ROAD ,,RICHMOND ,TX ,77407 ,FORT BEND ,,,,,,,,,,72,27216,2605,209,12398,,99.73,,223,20,1465,38,,,,,, 454132,22-JAN-15,31-DEC-15,Settled,SAN ANTONIO BEHAVIORAL HEALTHCARE ,8550 HUEBNER ROAD ,,SAN ANTONIO ,TX ,78240 ,BEXAR ,,,,,,,,,,108,37152,1732,1615,16749,,165.74,,216,174,2458,,,,,,, 454133,22-APR-15,31-DEC-15,Settled,CROSS CREEK HOSPITAL ,8402 CROSS PARK DRIVE ,,AUSTIN ,TX ,78754 ,TRAVIS ,,,,,,,,,,90,22860,1224,66,5228,,48.93,,129,7,843,,,,,,, 454134,09-JAN-15,31-DEC-15,Settled,HAVEN BEHAVIORAL HOSPITAL OF FRISCO ,5680 FRISCO SQUARE BLVD SUITE 3000 ,,FRISCO ,TX ,75034-3308 ,,,,,,,,,,,36,12852,3135,,4597,,43.5,,224,,336,,,,,,, 454135,25-MAR-15,31-DEC-15,Settled,HOUSTON BEHAVIORAL HEALTHCARE ,2801 GESSNER ROAD ,,HOUSTON ,TX ,77080 ,HARRIS ,,,,,,,,,,88,24816,902,322,10102,,132.92,,82,44,1412,,,,,,, 454136,21-MAY-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF KATY ,455 PARK GROVE LANE ,,KATY ,TX ,77450 ,HARRIS ,,,,,,,,,,48,10800,3658,37,4185,,36.62,,243,4,292,,,,,,, 460001,01-JAN-15,31-DEC-15,Amended,UTAH VALLEY REGIONAL MED. CTR. ,1034 NORTH 500 WEST ,50390 ,PROVO ,UT ,84603- ,UTAH ,1130838,,,1445268,,,.1458,398448,137219,317,117517,17527,14025,79132,21,2334.57,,3821,1621,17765,2034,194,,27,9,1233,324 460003,01-SEP-15,31-AUG-16,As Submitted,SALT LAKE REGIONAL MEDICAL CENTER ,1050 EAST SOUTH TEMPLE ,,SALT LAKE CITY ,UT ,84405 ,SALT LAKE ,323419,,,158427,,,.0828,249540,104122,119,43554,2534,668,10387,8.71,391.39,,701,137,3131,326,11,,3,11,409,129 460004,01-JAN-15,31-DEC-15,Amended,MCKAY-DEE HOSPITAL ,4401 HARRISON BLVD ,,OGDEN ,UT ,84403- ,WEBER ,1148725,,,1042304,,,.1171,364076,165458,249,90885,12582,7103,55612,17.88,1991,,3560,1063,15201,1667,730,,,17,2572,326 460005,01-JUN-15,31-MAY-16,Amended,OGDEN REGIONAL MEDICAL CENTER ,5475 SOUTH 500 EAST ,,OGDEN ,UT ,84405 ,WEBER ,,,,328125,,,.0971,,,164,60024,6432,1435,33076,,653.58,,1585,,7901,1294,,,,,, 460006,01-JAN-15,31-DEC-15,Amended,LDS HOSPITAL ,8TH AVENUE AND C STREET. ,,SALT LAKE CITY ,UT ,84143- ,SALT LAKE ,46085,,,293296,,,.1045,14700,8829,204,74460,5382,3711,35989,5.17,1096.88,38.26,1100,840,8744,942,269,,,,1822, 460007,01-JAN-15,31-DEC-15,Amended,VALLEY VIEW MEDICAL CENTER ,1303 NORTH MAIN ,,CEDAR CITY ,UT ,84720 ,IRON ,,,,180932,,,.12,,,48,17520,2383,1583,8148,,324.44,,809,372,2850,318,,,,,, 460009,01-JUL-15,30-JUN-16,As Submitted,U OF U HOSPITALS & CLINICS ,50 NORTH MEDICAL DRIVE ,,SALT LAKE CITY ,UT ,84132 ,SALT LAKE COUNTY ,18716066,,,2690093,,,.151,3759193,3316428,513,187606,30633,25715,147033,354.93,7964.4,,5794,5909,29623,,,,108,51,516,747 460010,01-JAN-15,31-DEC-15,Amended,INTERMOUNTAIN MEDICAL CENTER ,5121 S COTTONWOOD ST ,,MURRAY ,UT ,84157-7000 ,SALT LAKE ,5292893,,,1002002,,,.0604,1401841,541710,448,163520,26765,11026,121084,72.94,3551.82,16.59,5936,1375,25972,1777,,,,33,,357 460011,01-JAN-15,31-DEC-15,As Submitted,CASTLEVIEW HOSPITAL ,300 NORTH HOSPITAL DRIVE ,,PRICE ,UT ,84501- ,CARBON ,,,,125577,,,.1026,,,49,17885,2456,1162,5507,,236.02,,703,346,1691,,,,,,, 460013,01-SEP-15,31-AUG-16,Amended,MOUNTAIN VIEW HOSPITAL ,1000 EAST 100 NORTH ,,PAYSON ,UT ,84651 ,OREM ,,,,87415,,,.0514,,,114,41724,2561,487,10538,,264.93,,748,130,3204,363,,,,,151, 460014,01-JAN-15,31-DEC-15,As Submitted,TOOELE VALLEY HOSPITAL ,211 SOUTH 100 EAST ,,TOOELE ,UT ,84074 ,TOOELE ,,,,92991,,,.12,,,36,13140,1346,660,5035,,226.59,,488,286,1798,,,,,,, 460015,01-JAN-15,31-DEC-15,Amended,LOGAN REGIONAL HOSPITAL ,1400 NORTH 500 EAST ,,LOGAN ,UT ,84341- ,CACHE ,,,,260606,,,.1438,,,121,44165,3354,3767,18687,,803.72,,986,927,6377,614,,,,,468, 460017,01-SEP-15,31-AUG-16,Amended,BRIGHAM CITY COMMUNITY HOSPITAL ,950 SOUTH MEDICAL DRIVE ,,BRIGHAM CITY ,UT ,84302-4724 ,BOX ELDER ,,,,41869,,,.0908,,,40,14640,774,75,3488,,130.62,,259,31,1099,,,,,,, 460019,01-JUL-15,30-JUN-16,Amended,UINTAH BASIN MEDICAL CENTER ,250 WEST 300 NORTH ,752 ,ROOSEVELT ,UT ,84066 ,DUCHESNE ,,,,55852,,,.12,,,49,17934,1022,1358,5359,,383.61,,336,371,1662,,,,,,, 460021,01-JAN-15,31-DEC-15,Amended,DIXIE REGIONAL MEDICAL CENTER ,1380 EAST MEDICAL CENTER DRIVE ,,ST GEORGE ,UT ,84790 ,WASHINGTON ,,,,726087,,,.0487,,,216,78840,22709,5228,53541,,1709.81,19.31,5752,1446,14954,709,171,,2,9,753,251 460023,01-JAN-15,31-DEC-15,Amended,AMERICAN FORK HOSPITAL ,170 NORTH 1100 EAST ,,AMERICAN FORK ,UT ,84003- ,UTAH ,,,,88367,,,.051,,,90,32850,3009,1701,21088,,605.52,,862,202,6013,762,,,,,, 460026,01-JAN-15,31-DEC-15,Amended,SEVIER VALLEY REGIONAL MEDICAL CENTR ,100 NORTH MAIN ,,RICHFIELD ,UT ,84701- ,SEVIER ,,,,50773,,,.0863,,,24,8760,1121,540,2558,,135.51,,364,154,868,6,,,,,, 460030,01-FEB-15,31-JAN-16,As Submitted,ASHLEY REGIONAL MEDICAL CENTER ,151 WEST 200 NORTH ,,VERNAL ,UT ,84078 ,UINTAH ,,,,24191,,,.0507,,,39,14235,897,531,3408,,207.78,,295,264,1597,,,,,,, 460033,01-JAN-15,31-DEC-15,As Submitted,GARFIELD MEMORIAL HOSPITAL ,200 NORTH 400 EAST ,,PANGUITCH ,UT ,84759 ,GARFIELD ,,,,,,,,,,41,14965,1199,5509,8796,,80.72,,157,30,308,8,,,,,, 460035,01-JUL-15,30-JUN-16,Amended,BEAVER VALLEY HOSPITAL ,1109 NORTH 100 WEST ,1670 ,BEAVER ,UT ,84713 ,BEAVER ,,,,18427,,,.12,,,49,17885,783,1747,5932,,95.92,,138,11,221,,,,,,, 460039,01-JAN-15,31-DEC-15,Amended,BEAR RIVER VALLEY HOSPITAL ,905 NORTH 1000 WEST ,,TREMONTON ,UT ,84337- ,BOX ELDER ,,,,9775,,,.0867,,,16,5840,175,120,916,,100.16,,85,44,356,26,,,,,, 460041,01-APR-15,31-MAR-16,As Submitted,DAVIS HOSPITAL & MEDICAL CENTER ,1600 WEST ANTELOPE DRIVE ,,LAYTON ,UT ,84041 ,DAVIS ,,,,169709,,,.0682,,,170,62235,4053,842,19066,,621.76,,1168,158,5793,574,129,,6,1,648,70 460042,01-OCT-14,30-SEP-15,Amended,LAKEVIEW HOSPITAL ,630 EAST MEDICAL DRIVE ,,BOUNTIFUL ,UT ,84010 ,DAVIS ,,,,,,,,,,87,31755,3865,307,13193,,354.97,,1076,84,3633,447,,,1,,136, 460043,01-JAN-15,31-DEC-15,Amended,OREM COMMUNITY HOSPITAL ,331 NORTH 400 WEST ,X ,OREM ,UT ,84057- ,UTAH ,,,,1701,,,.12,,,18,6570,23,1126,4862,,153.31,,9,59,1238,339,,,,,, 460044,01-JAN-15,31-DEC-15,Amended,ALTA VIEW HOSPITAL ,9660 SOUTH 1300 EAST ,,SANDY ,UT ,84094- ,SALT LAKE ,,,,39472,,,.0311,,,66,24090,1928,1064,11192,,424,,645,107,3322,279,,,,,, 460047,01-JUL-15,30-JUN-16,Amended,ST MARKS HOSPITAL ,1200 EAST 3900 SOUTH ,,SALT LAKE CITY ,UT ,84124 ,SALT LAKE ,1053339,,,449289,,,.0543,355864,115051,232,85056,14278,3168,56978,15.62,1117.03,,3412,580,13304,1218,,,,5,922,286 460049,01-JAN-15,31-DEC-15,Settled,THE ORTHOPEDIC SPECIALTY HOSPITAL ,5848 SOUTH 3RD EAST ,,MURRAY ,UT ,84107 ,SALT LAKE ,,,,,,,,,,36,13140,1069,44,4104,,305.1,,459,19,1891,17,,,,,, 460051,01-JUL-15,30-JUN-16,As Submitted,JORDAN VALLEY MEDICAL CENTER ,3580 W 9000 SOUTH ,,WEST JORDAN ,UT ,84088 ,SALT LAKE ,,,,465960,,,.1336,,,264,96725,6017,2568,38929,,1051.83,,1595,490,9646,1399,316,,15,12,1101,153 460052,01-JAN-15,31-DEC-15,Amended,TIMPANOGOS REGIONAL HOSPITAL ,750 WEST 800 NORTH ,,OREM ,UT ,84057- ,UTAH ,,,,102361,,,.0859,,,117,42705,1773,1107,17956,,406.84,,534,228,4093,471,,,,,, 460054,06-NOV-14,31-MAR-15,As Submitted,CACHE VALLEY HOSPITAL ,2380 NORTH 400 EAST ,,NORTH LOGAN ,UT ,84341 ,CACHE ,,,,,,,,,,22,3212,212,13,619,,174.06,,85,5,261,,,,,,, 460054,01-APR-15,31-MAR-16,Amended,CACHE VALLEY HOSPITAL ,2380 NORTH 400 EAST ,,NORTH LOGAN ,UT ,84341 ,CACHE ,,,,,,,,,,22,8052,472,31,1249,,179.84,,195,34,556,,,,,,, 460057,01-JAN-15,31-DEC-15,As Submitted,PARK CITY MEDICAL CENTER ,900 ROUND VALLEY DRIVE ,,PARK CITY ,UT ,84060- ,SUMMIT ,,,,,,,,,,37,13625,1024,273,4582,,311.25,,354,70,1697,25,,,,,, 460058,01-JAN-15,31-DEC-15,Amended,RIVERTON HOSPITAL ,3741 WEST 12600 SOUTH ,,RIVERTON ,UT ,84065- ,SALT LAKE ,,,,37000,,,.0523,,,88,32120,1266,1579,16754,,485,,398,200,5117,605,,,,,, 460060,01-JUL-15,30-JUN-16,Amended,LONE PEAK HOSPITAL ,11925 S STATE STREET ,,DRAPER ,UT ,84020 ,UNITED STATES ,758,,,,,,,676,333,30,10950,793,84,5051,.04,150.49,,277,17,1571,142,,,,,, 461300,01-JAN-15,31-DEC-15,Settled,DELTA COMMUNITY MEDICAL CENTER ,126 S WHITE SAGE AVE ,,DELTA ,UT ,84624 ,MILLARD ,,,,,,,,,,18,6570,466,231,1070,,44.77,,63,67,274,3,,,,,, 461301,01-JAN-15,31-DEC-15,Settled,FILLMORE COMMUNITY MEDICAL CENTER ,674 SOUTH HIGHWAY 99 ,,FILLMORE ,UT ,84631- ,MILLARD ,,,,,,,,,,19,6935,493,1671,4210,,48.73,,51,17,132,1,,,,,, 461302,01-JAN-15,31-DEC-15,Settled,MOAB REGIONAL HOSPITAL ,450 WEST WILLIAMS WAY ,,MOAB ,UT ,84532 ,GRAND ,,,,,,,,,,17,6205,1327,394,2347,,145.72,,196,114,512,,,,,,, 461303,01-JAN-15,31-DEC-15,Settled,SANPETE VALLEY HOSPITAL ,1100 SOUTH MEDICAL DRIVE ,,MT PLEASANT ,UT ,84647 ,SANPETE ,,,,,,,,,,18,6570,987,210,1812,,85.71,,126,69,340,3,,,,,, 461304,01-JUL-15,30-JUN-16,Settled w/Audit,CENTRAL VALLEY MEDICAL CENTER ,48 WEST 1500 NORTH ,412 ,NEPHI ,UT ,84648 ,JUAB ,,,,,,,,,,25,9150,3114,342,4462,,208.28,,417,138,991,,,,,,, 461305,01-JAN-15,31-DEC-15,Settled,MILFORD VALLEY HEALTHCARE SERVICES ,850 NORTH MAIN STREET ,PO BOX 640 ,MILFORD ,UT ,84751 ,BEAVER ,,,,,,,,,,25,9125,241,3626,4266,,33.88,,19,1,32,,,,,,, 461306,01-JUL-15,30-JUN-16,Settled,GUNNISON VALLEY HOSPITAL ,64 EAST 100 NORTH ,759 ,GUNNISON ,UT ,84634- ,SANPETE ,,,,,,,,,,25,9150,2071,346,3628,,107.21,,291,95,695,4,,,,,, 461307,01-JAN-15,31-DEC-15,Settled,HEBER VALLEY MEDICAL CENTER ,1485 SOUTH HIGHWAY 40 ,,HEBER CITY ,UT ,84032- ,WASATCH ,,,,,,,,,,20,7300,666,204,2275,,131.8,,97,50,490,30,,,,,, 461308,01-JAN-15,31-DEC-15,Settled,SAN JUAN HEALTH SERVICES DISTRICT ,384 WEST 200 NORTH ,308 ,MONTICELLO ,UT ,84535 ,SAN JUAN ,,,,,,,,,,21,7665,442,132,760,,58.85,,114,33,218,,,,,,, 461309,01-JAN-15,31-DEC-15,Settled,KANE COUNTY HOSPITAL ,355 NORTH MAIN ,,KANAB ,UT ,84741- ,KANE ,,,,,,,,,,25,9125,669,2370,5939,,78.26,,89,64,265,,,,,,, 461310,01-OCT-14,30-SEP-15,Settled,BLUE MOUNTAIN HOSPITAL ,802 SOUTH 200 WEST ,,BLANDING ,UT ,84511 ,SAN JUAN COUNTY ,,,,,,,,,,11,4015,460,617,1328,,70.18,,101,168,389,,,,,,, 462003,01-JAN-15,31-DEC-15,As Submitted,SOUTH DAVIS COMMUNITY HOSPITAL ,401 SOUTH 400 EAST ,,BOUNTIFUL ,UT ,84010 ,DAVIS ,,,,,,,,,,16,5840,1625,1336,4589,,22,,72,20,138,,,,,,, 462004,01-FEB-15,31-JAN-16,Settled w/Audit,PROMISE HOSPITAL OF SALT LAKE ,8TH AVENUE C STREET ,,SALT LAKE CITY ,UT ,84143 ,SALT LAKE ,,,,,,,,,,41,14965,5156,269,11881,,149.45,,202,13,408,9,,,,,, 462005,01-JUL-15,30-JUN-16,Settled,UTAH VALLEY SPECIALTY HOSPITAL ,306 WEST RIVER BEND LANE ,,PROVO ,UT ,84604 ,UTAH ,,,,,,,,,,40,14640,5915,1786,10074,,128.84,,233,61,391,,,,,,, 462006,01-JAN-15,31-DEC-15,Settled,LANDMARK HOSPITAL OF SALT LAKE CITY ,4552 BIRKHILL BLVD ,,MURRAY ,UT ,84107 ,SALT LAKE ,,,,,,,,,,38,13870,5499,231,9721,,73.4,,194,9,341,,,,,,, 463025,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,8074 SOUTH 1300 EAST ,,SANDY ,UT ,84094 ,SALT LAKE ,,,,,,,,,,84,30660,6937,,11658,,116.5,,521,,850,14,,,,,, 463027,01-JAN-15,31-DEC-15,Settled,NORTHERN UTAH REHABILITATION HOSPITA ,5825 HARRISON BLVD ,,SOUTH OGDEN ,UT ,84403-4316 ,WEBER ,,,,,,,,,,40,14600,4219,,5644,,76.36,,297,,392,,,,,,, 463301,01-JAN-15,31-DEC-15,As Submitted,PRIMARY CHILDRENS HOSPITAL ,100 NORTH MARIO CAPECCHI DRIVE ,NONE ,SALT LAKE CITY ,UT ,84113- ,SALT LAKE ,,,,,,,,,3971,289,105485,180,12445,66861,124.27,2484.74,30.41,27,1745,13687,3062,,,,,, 463302,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITALS FOR CHILDREN ,FAIRFAX RD AT VIRGINIA ST ,,SALT LAKE CITY ,UT ,84103-4399 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 464001,01-JUL-15,30-JUN-16,As Submitted,UTAH STATE HOSPITAL ,1300 E CENTER STREET ,,PROVO ,UT ,84606 ,UTAH ,,,,,,,,,,329,120085,812,22680,109040,,761,,25,61,317,,,,,,, 464007,01-JUL-15,30-JUN-16,Settled,BENCHMARK BEHAVIORAL HEALTH SYSTEM ,529 WEST 1350 SOUTH ,,WOODS CROSS ,UT ,84087 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 464009,01-JUL-15,30-JUN-16,As Submitted,U OF UTAH NEUROPSYCHIATRIC INSTITUTE ,501 CHIPETA WAY ,,SALT LAKE CITY ,UT ,84108 ,SALT LAKE ,,,,,,,,,968,155,56730,3745,,42166,16.82,607.94,,299,,4795,,,,,,, 464011,01-JUL-15,30-JUN-16,Settled,COPPER HILLS YOUTH CENTER ,5899 WEST RIVENDELL DRIVE ,,WEST JORDAN UT ,UT ,84088 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 464012,01-JAN-15,31-DEC-15,Settled,MARIAN CENTER ,451 FEDERAL BISHOP LANE ,,SALT LAKE CITY ,UT ,84115 ,SALT LAKE ,,,,,,,,,,12,4380,1704,,3144,,33,,97,,192,,,,,,, 464013,01-JAN-15,31-DEC-15,Settled,SALT LAKE CITY BEHAVIORAL HEALTH ,3802 SOUTH 700 EAST ,,SALT LAKE CITY ,UT ,84106 ,SALT LAKE ,,,,,,,,,,118,43070,5155,,19568,,144.5,,430,,2119,,,,,,, 464014,01-JAN-15,31-DEC-15,Settled,PROVO CANYON HOSPITAL ,1350 EAST 750 NORTH ,,OREM ,UT ,84097 ,UTAH ,,,,,,,,,,80,29200,2598,,17455,,96,,241,,2106,,,,,,, 464015,01-JAN-15,31-DEC-15,Settled,HIGHLAND RIDGE HOSPITAL ,7309 SOUTH 180 WEST ,,MIDVALE ,UT ,84047 ,SALT LAKE ,,,,,,,,,,83,30295,2012,,13075,,96.84,,183,,1833,,,,,,, 470001,01-OCT-14,30-SEP-15,Amended,CENTRAL VERMONT HOSPITAL ,130 FISHER ROAD ,547 ,BARRE ,VT ,05641 ,WASHINGTON ,,,,325943,,,.0927,,,62,22630,9054,2415,15006,,1199.36,,1974,617,3482,,,,108,,366, 470003,01-OCT-14,30-SEP-15,Amended,UNIVERSITY OF VERMONT MEDICAL CENTER ,111 COLCHESTER AVENUE ,,BURLINGTON ,VT ,05401 ,CHITTENDEN ,21019209,,,3335981,,,.174,4854433,3947739,406,147682,44921,19068,108721,286.31,6105.97,,7411,3839,20410,,,,,76,,728 470005,01-OCT-14,30-SEP-15,Amended,RUTLAND REGIONAL MEDICAL CENTER ,160 ALLEN STREET ,,RUTLAND ,VT ,05701 ,RUTLAND ,,,,656095,,,.1254,,,123,44895,14999,6175,29860,,1254.23,,2882,1439,5507,,,,,,, 470011,01-OCT-14,30-SEP-15,As Submitted,BRATTLEBORO MEMORIAL HOSPITAL ,17 BELMONT AVE ,,BRATTLEBORO ,VT ,05301 ,WINDHAM ,,,,148963,,,.1231,,,47,17155,2680,1240,5809,,454.46,,702,447,1542,,,,,,, 470012,01-OCT-14,30-SEP-15,As Submitted,SOUTHWESTERN VERMONT MEDICAL CENTER ,100 HOSPITAL DRIVE EAST ,,BENNINGTON ,VT ,05201- ,BENNINGTON ,100416,27520,,194103,53196,,.081,14705,18177,78,28470,7366,2060,13951,2.62,742.5,,1821,664,3431,,,,,,, 470024,01-OCT-14,30-SEP-15,As Submitted,NORTHWESTERN MEDICAL CENTER ,133 FAIRFIELD STREET ,,SAINT ALBANS ,VT ,05478- ,FRANKLIN ,,,,251321,,,.12,,,53,19345,4352,2198,8944,,572.43,,1242,523,2476,,,,,,, 471300,01-OCT-14,30-SEP-15,Settled,GRACE COTTAGE HOSPITAL ,185 GRAFTON ROAD ,,TOWNSHEND ,VT ,05353-0216 ,WINDHAM ,,,,,,,,,,19,6935,3139,21,3746,,121.99,,103,6,132,,,,,,, 471301,01-OCT-14,30-SEP-15,As Submitted,GIFFORD MEDICAL CENTER ,44 SOUTH MAIN STREET ,2000 ,RANDOLPH ,VT ,05060- ,ORANGE ,,,,,,,,,,29,10585,4589,1100,7087,,354.65,,734,229,1283,,,,,,, 471302,01-OCT-14,30-SEP-15,As Submitted,MT ASCUTNEY HOSPITAL AND HEALTH CENT ,289 COUNTY ROAD ,,WINDSOR ,VT ,05089 ,WINDSOR ,,,,,,,,,,25,9125,4825,93,7042,,306.34,,308,28,393,,,,,17,,228 471303,01-OCT-14,30-SEP-15,As Submitted,NORTHEASTERN VT REGIONAL HOSPITAL ,1315 HOSPITAL DRIVE ,,ST. JOHNSBURY ,VT ,05819 ,CALEDONIA ,,,,,,,,,,25,9125,2931,1311,5363,,339.66,,640,409,1551,,,,,,, 471304,01-OCT-14,30-SEP-15,As Submitted,NORTH COUNTRY HOSPITAL & HEALTH CTR ,189 PROUTY DRIVE ,,NEWPORT ,VT ,05855 ,ORLEANS ,,,,,,,,,,25,9125,3457,1250,5974,,368.09,,778,308,1400,,,,,,, 471305,01-OCT-14,30-SEP-15,Settled,COPLEY HOSPITAL INC. ,528 WASHINGTON HIGHWAY ,,MORRISVILLE ,VT ,05661 ,LAMOILLE ,,,,,,,,,,25,9125,3067,746,5222,,355.48,,939,240,1724,,,,,,, 471306,01-OCT-14,30-SEP-15,Settled,SPRINGFIELD HOSPITAL ,25 RIDGEWOOD ROAD ,2003 ,SPRINGFIELD ,VT ,05156- ,WINDSOR ,,,,,,,,,,25,9125,4004,971,6501,,293.25,,950,247,1594,,,,145,,400, 471307,01-OCT-14,30-SEP-15,As Submitted,PORTER HOSPITAL ,115 PORTER DRIVE ,,MIDDLEBURY ,VT ,05753-8629 ,ADDISON ,,,,,,,,,,25,9125,3042,1029,6357,,457.81,,727,240,1540,,,,,,, 474001,01-JAN-15,31-DEC-15,Settled,BRATTLEBORO RETREAT ,ANNA MARSH LANE ,101 ,BRATTLEBORO ,VT ,05302 ,WINDHAM ,,,,,,,,,,122,44530,6923,,38907,,755,69,701,,3940,,,,,,, 474004,01-JUL-15,30-JUN-16,Settled,VERMONT PSYCHIATRIC CARE HOSPITAL ,350 FISHER ROAD ,,BERLIN ,VT ,05633-7901 ,WASHINGTON ,,,,,,,,,,25,9150,634,3425,8156,,178,,18,20,49,,,,,,, 480001,01-OCT-14,30-SEP-15,As Submitted,ROY L SCHNEIDER HOSPITAL ,9048 SUGAR ESTATE ,,ST. THOMAS ,VI ,00801 ,U.S. VIRGIN ISLANDS ,,,,,,,,,,107,39055,8684,3775,22846,,630.17,,982,759,3923,,,,,,, 480002,01-OCT-14,30-SEP-15,As Submitted,GOV. JUAN F. LUIS HOSPITAL ,4007 EAST DIAMOND RUBY ,,CHRISTIANSTED ,VI ,00820-4421 ,U. S. VIRGIN ISLANDS ,,,,,,,,,,112,40880,9175,3637,21358,,635.49,,949,739,3501,,,,,,, 490001,01-OCT-14,30-SEP-15,As Submitted,NORTON COMMUNITY HOSPITAL INC. ,100 15TH STREET NW ,,NORTON ,VA ,24273- ,NORTON ,1112753,,,213318,,,.12,756807,330567,51,18615,4379,401,10311,22.75,365.62,,1244,109,3088,572,,,,2,,180 490002,01-OCT-14,30-SEP-15,As Submitted,RUSSELL COUNTY MEDICAL CENTER ,CARROLL & TATE STREET ,,LEBANON ,VA ,24266- ,RUSSELL ,,,,86887,,,.1176,,,49,17885,2096,118,3793,,146.06,,652,40,1249,155,158,,3,,660, 490004,01-JAN-15,31-DEC-15,Amended,SENTARA RMH MEDICAL CENTER ,2010 HEALTH CAMPUS DRIVE ,,HARRISONBURG ,VA ,22801 ,ROCKINGHAM ,,,,471106,,,.0424,,,238,86870,25353,1700,53548,,2156,,6125,559,13498,,,,,,, 490005,01-OCT-14,30-SEP-15,Amended,WINCHESTER MEDICAL CENTER ,1840 AMHERST STREET ,P.O. BOX ,WINCHESTER ,VA ,22604-2540 ,FREDERICK ,933687,,,1624461,,,.0753,307448,120836,389,141985,49417,18533,104511,8.66,2317.2,,9468,2331,20542,1298,171,,307,25,1300,586 490007,01-JAN-15,31-DEC-15,As Submitted,SENTARA NORFOLK GENERAL HOSPITAL ,600 GRESHAM ROAD ,,NORFOLK ,VA ,23507 ,NORFOLK ,9525415,,,3901915,,,.1711,2737216,1451280,469,171316,53567,9956,157802,129.1,3208,,8096,1414,24364,3815,,,65,15,1017,334 490009,01-JUL-15,30-JUN-16,Amended,UNIVERSITY OF VIRGINIA MEDICAL CENTE ,855 WEST MAIN STREET ,80078 ,CHARLOTTESVILLE ,VA ,22908- ,ALBERMARLE ,47791071,,,6004801,,,.2152,12526697,7784055,553,202398,55329,30466,161902,659.57,7322.29,,9500,5574,26950,3784,,,113,,1188, 490011,01-SEP-15,31-AUG-16,As Submitted,BON SECOURS DEPAUL MEDICAL CENTER ,150 KINGSLEY LANE ,,NORFOLK ,VA ,23505- ,NORFOLK ,821844,,,487201,,,.1048,293828,152802,106,38796,9861,2981,28344,10.21,1069.4,,1981,1018,6227,621,,,,,, 490013,01-JAN-15,31-DEC-15,Amended,HALIFAX REGIONAL HOSPITAL ,2204 WILBORN AVENUE ,,SOUTH BOSTON ,VA ,24592- ,HALIFAX ,,,,406994,,,.1128,,,173,63145,9226,801,16017,,537.76,,2077,136,3934,781,,,,,, 490017,01-SEP-15,31-AUG-16,As Submitted,MARYVIEW HOSPITAL ,3636 HIGH STREET ,,PORTSMOUTH ,VA ,23707-3236 ,PORTSMOUTH ,1367954,,,1323652,,,.1519,440821,234900,210,76860,21004,5814,53932,14.93,1853.18,,3864,2200,11054,1363,,,,40,,243 490018,01-JAN-15,31-DEC-15,As Submitted,AUGUSTA MEDICAL CENTER ,78 MEDICAL CENTER DRIVE ,1000 ,FISHERSVILLE ,VA ,22939 ,AUGUSTA ,,,,264433,,,.0283,,,209,71337,18054,682,38163,,1483.69,,5094,286,10761,895,4,,,5,151,101 490019,01-OCT-14,30-JUN-15,As Submitted,CULPEPER MEMORIAL HOSPITAL ,501 SUNSET LANE ,592 ,CULPEPER ,VA ,22701- ,CULPEPER ,,,,558240,,,.2259,,,70,19110,4979,1355,10021,,458.49,,1158,286,2255,,,,,,, 490019,01-JUL-15,30-JUN-16,As Submitted,CULPEPER MEMORIAL HOSPITAL ,501 SUNSET LANE ,592 ,CULPEPER ,VA ,22701- ,CULPEPER ,,,,348959,,,.0975,,,70,25620,6515,2021,12775,,473.27,,1628,502,3142,,,,,,, 490020,01-JAN-15,31-DEC-15,Amended,JOHN RANDOLPH MEDICAL CENTER ,411 WEST RANDOLPH ROAD ,,HOPEWELL ,VA ,23860 ,HOPEWELL CITY ,,,,131117,,,.0489,,,123,44895,7669,816,14972,,371.27,,1638,104,3479,287,230,,66,,1080, 490021,01-JAN-15,31-DEC-15,As Submitted,CENTRA HEALTH ,1920 ATHERHOLT ROAD ,,LYNCHBURG ,VA ,24501- ,LYNCHBURG ,1681903,,,2442152,,,.0998,546869,230051,433,158045,54832,6030,113570,16.5,3183.53,,11898,1072,23235,,,,98,15,1650,345 490022,01-JAN-15,31-DEC-15,As Submitted,MARY WASHINGTON HOSPITAL ,1001 SAM PERRY BLVD ,,FREDERICKSBURG ,VA ,22401 ,SPOTSYLVANIA ,,,,1290074,,,.0663,,,407,148555,43834,4018,98643,,1675.52,,8756,908,21863,2774,,,,,, 490023,01-NOV-14,31-OCT-15,Amended,FAUQUIER HOSPITAL ,500 HOSPITAL DRIVE ,,WARRENTON ,VA ,20186 ,FAUQUIER ,,,,141448,,,.0334,,,97,35405,9594,834,20470,,906.38,,2264,118,5102,414,,,,,, 490024,01-OCT-14,30-SEP-15,Amended,CARILION MEDICAL CENTER ,BELLEVUE AVE. AT JEFFERSON ST. ,P.O.BOX 1 ,ROANOKE ,VA ,24033 ,,9669517,,,4556223,,,.1518,4016095,1900420,606,221190,64636,22151,176188,217.92,5670.25,,11530,2059,32220,5321,847,,191,77,2680,550 490032,01-JUL-15,30-JUN-16,Amended,VCU HEALTH SYSTEM MCV HOSPITAL ,1250 EAST MARSHALL STREET ,980152 ,RICHMOND ,VA ,23298- ,RICHMOND ,25353940,,,4895756,,,.2111,9587440,3420045,679,248514,55006,25271,208794,530.27,6350.1,,7986,3635,33363,,,,95,119,1730,740 490033,01-OCT-14,30-SEP-15,Amended,WARREN MEMORIAL HOSPITAL ,1000 SHENANDOAH AVE. ,,FRONT ROYAL ,VA ,22630 ,WARREN ,481149,,,135460,,,.1035,426446,159708,46,16790,3334,1358,6979,8.3,315.9,,878,576,2215,,,,,,, 490037,01-JAN-15,31-DEC-15,As Submitted,SHORE MEMORIAL HOSPITAL ,9507 HOSPITAL AVENUE ,,NASSAWADOX ,VA ,23413 ,NORTHAMPTON ,,,,243168,,,.12,,,135,49275,5212,1255,9711,,300.36,,1379,339,2681,453,,,,,, 490038,01-JUL-15,30-JUN-16,As Submitted,SMYTH COUNTY COMMUNITY HOSPITAL ,245 MEDICAL PARK DRIVE ,,MARION ,VA ,24354 ,SMYTH ,,,,36495,,,.0314,,,30,10980,3029,84,4961,,243.53,,787,20,1371,92,,,,5,,110 490040,01-JAN-15,31-DEC-15,Amended,INOVA ALEXANDRIA HOSPITAL ,4320 SEMINARY ROAD ,,ALEXANDRIA ,VA ,22315- ,FAIRFAX ,,,,920441,,,.0824,,,334,121910,29736,7294,80961,,1389,,5221,1792,16156,1139,,,,,, 490041,01-SEP-15,31-AUG-16,As Submitted,MARY IMMACULATE HOSPITAL ,2 BERNARDINE DRIVE ,,NEWPORT NEWS ,VA ,23602-4404 ,NEWPORT NEWS ,,,,677669,,,.103,,,115,42090,9846,3601,27258,,949.86,,2759,1309,7734,916,,,,,, 490042,01-OCT-14,30-SEP-15,Amended,CARILION NEW RIVER VALLEY MED CENTER ,2900 LAMB CIRCLE ,,CHRISTIANSBURG ,VA ,24073 ,MONTGOMERY ,,,,360697,,,.0837,,,110,40150,9410,2648,23283,1.01,736.28,,2268,179,5894,1155,,,408,,2008, 490043,01-JAN-15,31-DEC-15,Amended,INOVA LOUDOUN HOSPITAL CENTER ,44045 RIVERSIDE PARKWAY ,,LEESBURG ,VA ,20176- ,LOUDOUN ,18238,,,232223,,,.0328,9201,3392,157,57305,15520,3774,44573,.39,1006,,3733,1256,11905,565,,,,,1074, 490044,01-JAN-15,31-DEC-15,As Submitted,SENTARA OBICI HOSPITAL ,2800 GODWIN BOULEVARD ,,SUFFOLK ,VA ,23434 ,SUFFOLK ,97372,,,720474,,,.1064,38368,20332,158,57670,16000,1123,36700,1.3,939.16,,3584,273,8930,1594,88,,23,,419, 490045,01-JAN-15,31-DEC-15,As Submitted,NOVANT HEALTH PRINCE WILLIAM MEDICAL ,8700 SUDLEY ROAD ,2610 ,MANASSAS ,VA ,20110 ,PRINCE WILLIAM ,,,,239053,,,.0638,,,108,39420,6353,2169,23374,,703.31,,1817,727,7173,,168,,60,,1248, 490046,01-JAN-15,31-DEC-15,As Submitted,SENTARA LEIGH HOSPITAL ,830 KEMPSVILLE ROAD ,,NORFOLK ,VA ,23502 ,N/A ,983873,,,712774,,,.058,299579,149362,250,91250,27090,2752,63083,13.58,1371.85,,5913,575,14525,1521,,,,,, 490048,01-JAN-15,31-DEC-15,Amended,LEWIS GALE MEDICAL CENTER ,1900 ELECTRIC ROAD ,,SALEM ,VA ,24153 ,ROANOKE ,,,,858160,,,.0604,,,328,119720,40021,3654,84417,,1092.84,,7046,400,15807,1800,,,,3,,553 490050,01-JAN-15,31-DEC-15,As Submitted,VIRGINIA HOSPITAL CENTER ARLINGTON ,1701 GEORGE MASON DR. ,,ARLINGTON ,VA ,22205 ,ARLINGTON ,3675247,,,602844,,,.039,1296049,571608,261,95265,30671,4294,90063,29.47,1997.89,,6677,1120,20075,,72,,,,1449,538 490052,01-JAN-15,31-DEC-15,As Submitted,RIVERSIDE REGIONAL MEDICAL CENTER ,500 J CLYDE MORRIS BLVD ,,NEWPORT NEWS ,VA ,23601- ,NEWPORT NEWS ,4441075,,,1792387,,,.1223,1481602,1465957,363,122303,32982,11578,93488,60,2039.2,,6653,4030,18799,2153,,,,,, 490053,01-JUL-15,30-JUN-16,As Submitted,JOHNSTON MEMORIAL HOSPITAL ,16000 JOHNSTON MEMORIAL DRIVE ,,ABINGDON ,VA ,24211 ,WASHINGTON ,612543,,,667086,,,.1157,154383,121327,116,42456,13602,2211,29760,11.89,771.02,,3522,311,8043,966,,,,,, 490057,01-JAN-15,31-DEC-15,As Submitted,SENTARA VA. BEACH GENERAL HOSPITAL ,1060 FIRST COLONIAL ROAD ,,VIRGINIA BEACH ,VA ,23454 ,UNITED STATES ,228173,,,,,,,61072,30460,225,82125,30530,2008,58997,5.22,1421.49,,5824,269,12308,,,,44,3,1100,198 490059,01-SEP-15,31-AUG-16,As Submitted,ST. MARYS HOSPITAL ,5801 BREMO ROAD ,,RICHMOND ,VA ,23226 ,HENRICO ,1119468,,,1312768,,,.0806,513833,177259,378,138348,32627,10632,91330,12.96,2558.84,,6533,800,17835,1640,,,,,1185, 490060,01-DEC-14,30-NOV-15,Amended,CLINCH VALLEY MEDICAL CENTER ,6801 GOV G C PERRY HWY ,,RICHLANDS ,VA ,24641 ,TAZEWELL ,,,,258343,,,.12,,,151,55115,6515,551,15342,,570.97,,1647,157,4151,765,,,,,,1 490063,01-JAN-15,31-DEC-15,Amended,INOVA FAIRFAX HOSPITAL ,3300 GALLOWS ROAD ,,FALLS CHURCH ,VA ,22042-3307 ,FAIRFAX ,10728860,,,5550453,,,.169,5394994,1810792,830,302950,67459,40160,218435,168.92,5292.62,,11771,6494,29119,3745,,,,,2817, 490066,01-JAN-15,31-DEC-15,As Submitted,SENTARA WILLIAMSBURG REGIONAL MEDICA ,100 SENTARA CIRCLE ,,WILLIAMSBURG ,VA ,23187-8700 ,N/A ,,,,,,,,,,139,50735,13001,831,25065,,727.43,,3135,285,6509,653,,,,2,,115 490067,01-MAR-15,29-FEB-16,Amended,SOUTHSIDE REGIONAL MEDICAL CENTER ,200 MEDICAL PARK BLVD ,,PETERSBURG ,VA ,23805 ,CITY OF PETERSBURG ,,,,1262407,,,.1308,,,300,109500,24528,4592,59496,,1184.87,,4975,467,13105,,,,,,, 490069,01-SEP-15,31-AUG-16,As Submitted,MEMORIAL REGIONAL MEDICAL CENTER ,8260 ATLEE ROAD ,,MECHANICSVILLE ,VA ,23116 ,HANOVER ,,,,444183,,,.0335,,,224,81984,29940,3935,62526,,1738.26,,5937,513,13029,917,,,,,, 490075,01-JUL-15,30-JUN-16,Amended,DANVILLE REGIONAL MEDICAL CENTER ,142 SOUTH MAIN ,,DANVILLE ,VA ,24541- ,PITTSYLVANIA ,3445819,,,858168,,,.1201,1973894,994252,215,78690,15579,,29185,49.1,1090.81,,3739,,7415,1284,114,,26,,520,709 490077,01-JAN-15,31-DEC-15,As Submitted,HOSPITAL ,500 MARTHA JEFFERSON DRIVE ,,CHARLOTTESVILLE ,VA ,22911 ,ALBEMARLE ,,,,,,,,,,176,64240,17590,1508,37218,,1437.78,,4498,151,9430,679,,,,,, 490079,01-JAN-15,31-DEC-15,Amended,MEMORIAL HOSPITAL OF MARTINSVILLE ,320 HOSPITAL DRIVE ,,MARTINSVILLE ,VA ,24115- ,HENRY ,,,,457842,,,.0982,,,208,75920,10029,571,18730,,594.36,,2558,132,4918,601,108,,24,,536, 490084,01-JAN-15,31-DEC-15,Amended,RIVERSIDE TAPPAHANNOCK HOSPITAL ,ROUTE 2 ,256 ,TAPPAHANNOCK ,VA ,22560 ,ESSEX ,,,,,,,,,,67,24455,3116,131,5154,,195.29,,928,22,1602,76,,,,,, 490088,01-OCT-14,31-DEC-14,As Submitted,BEDFORD MEMORIAL HOSPITAL ,1613 OAKWOOD STREET ,,BEDFORD ,VA ,24523 ,BEDFORD ,,,,,,,,,,50,4600,820,54,1368,,55.76,,217,16,384,20,,,,,, 490088,01-JAN-15,31-DEC-15,As Submitted,BEDFORD MEMORIAL HOSPITAL ,1613 OAKWOOD STREET ,,BEDFORD ,VA ,24523 ,BEDFORD ,,,,,,,,,,34,12410,2777,135,4316,,224.85,,829,39,1403,91,,,,,, 490089,01-OCT-14,30-SEP-15,Amended,CARILION FRANKLIN MEMORIAL HOSPITAL ,180 FLOYD AVE ,,ROCKY MOUNT ,VA ,24151 ,FRANKLIN ,,,,64712,,,.0639,,,37,13505,2261,300,4808,,196.85,,629,176,1458,,,,,,, 490090,01-JAN-15,31-DEC-15,As Submitted,SOUTHSIDE COMMUNITY HOSPITAL ,800 OAK STREET ,,FARMVILLE ,VA ,23901- ,PRINCE EDWARD ,,,,317221,,,.12,,,86,31390,5747,874,12324,,352.3,,1719,203,3854,691,,,,,, 490092,01-JAN-15,31-DEC-15,Amended,SOUTHAMPTON MEMORIAL HOSPITAL ,100 FAIRVIEW DRIVE ,817 ,FRANKLIN ,VA ,23851- ,SOUTHAMPTON ,,,,118568,,,.12,,,63,22995,2599,275,6598,,264.98,,717,383,1869,,,,,,, 490093,01-JAN-15,31-DEC-15,As Submitted,SENTARA CAREPLEX HOSPITAL ,3000 COLISEUM DRIVE ,,HAMPTON ,VA ,23666-5963 ,HAMPTON ,,,,412366,,,.0552,,,218,79570,17681,1565,39394,,1120.23,,3657,241,8469,,,,,,, 490094,01-SEP-15,31-AUG-16,As Submitted,RICHMOND COMMUNITY HOSPITAL ,1500 NORTH 28TH STREET ,,RICHMOND ,VA ,23223 ,RICHMOND CITY ,,,,80998,,,.12,,,101,36966,2794,1423,10312,,282.11,,501,279,2204,378,,,,,, 490097,01-MAR-15,29-FEB-16,Amended,SOUTHERN VIRGINIA REGIONAL MED. CTR. ,214 WEAVER AVENUE ,,EMPORIA ,VA ,23847 ,GREENSVILLE ,,,,72818,,,.0857,,,70,25620,2482,119,4663,,190.2,,634,190,1238,,,,86,,323, 490098,01-JUL-15,30-JUN-16,Amended,COMMUNITY MEMORIAL HOSPITAL ,125 BUENA VISTA CIRCLE ,90 ,SOUTH HILL ,VA ,23970 ,MECKLENBURG ,,,,190253,,,.0854,,,68,24888,7994,815,13573,,510.85,,1453,228,2746,,,,,,, 490101,01-JAN-15,31-DEC-15,Amended,INOVA FAIR OAKS HOSPITAL ,3600 JOSEPH SIEWICK DR ,,FAIRFAX ,VA ,22033- ,FAIRFAX ,,,,560555,,,.0767,,,182,66430,13892,3243,49745,,972.64,,3495,911,12468,1332,,,,,, 490104,01-JUL-15,30-JUN-16,As Submitted,HIRAM W DAVIS MEDICAL CENTER - MS ,WEST WASHINGTON STREET ,4030 ,PETERSBURG ,VA ,23803 ,DINWIDDIE ,,,,,,,,,,4,1464,7,,304,,2.03,,2,,13,,,,,,, 490107,01-JAN-15,31-DEC-15,Amended,RESTON HOSPITAL ,1850 TOWN CENTER PARKWAY ,,RESTON ,VA ,20190- ,FAIRFAX ,,,,233253,,,.0251,,,199,72635,18636,2907,58172,,904.28,,3821,172,12948,,,,,,, 490110,01-OCT-14,30-SEP-15,Amended,LEWISGALE HOSPITAL - MONTGOMERY ,ROUTE 460 SOUTH ,,BLACKSBURG ,VA ,24060- ,MONTGOMERY ,2681673,,,155105,,,.0452,1393247,579596,88,32120,8294,668,16410,35,379.98,,1877,128,4116,510,,,,,, 490111,01-NOV-14,31-OCT-15,As Submitted,WYTHE COUNTY COMMUNITY HOSPITAL ,600 WEST RIDGE ROAD ,,WYTHEVILLE ,VA ,24382- ,WYTHE ,,,,122132,,,.087,,,92,33580,3580,177,6929,,292.59,,946,45,2076,242,,,,,, 490112,01-SEP-15,31-AUG-16,Amended,CJW MEDICAL CENTER ,7101 JAHNKE ROAD ,,RICHMOND ,VA ,23225- ,RICHMON / CHESTERFIELD ,516267,,,1888567,,,.085,212052,49670,612,225456,57595,8354,145408,6.57,2387.59,,10579,999,28589,3738,1941,,254,16,5821,820 490113,01-JAN-15,31-DEC-15,As Submitted,SENTARA NORTHERN VIRGINIA MED CTR ,2300 OPITZ BOULEVARD ,,WOODBRIDGE ,VA ,22191 ,PRINCE WILLIAM ,,,,726428,,,.1106,,,181,66065,16481,3568,43829,,1033.47,,3309,1005,9929,1324,,,,,, 490114,01-JUL-15,30-JUN-16,As Submitted,LONESOME PINE HOSPITAL ,HOLTON AVENUE ,DRAWER ,BIG STONE GAP ,VA ,24219- ,WISE ,309594,,,150778,,,.12,256357,608302,110,40260,2650,1548,6179,14.85,357.13,,846,478,2401,,,,,,, 490115,01-OCT-14,30-SEP-15,As Submitted,TWIN COUNTY REGIONAL HOSPITAL ,200 HOSPITAL DRIVE ,1040 ,GALAX ,VA ,24333 ,CARROLL ,,,,284453,,,.1199,,,141,51465,6637,415,10974,,444.24,,1672,100,3182,427,,,,,, 490116,01-SEP-15,31-AUG-16,Amended,LEWISGALE HOSPITAL-PULASKI ,2400 LEE HIGHWAY ,,PULASKI ,VA ,24301 ,PULASKI ,,,,43084,,,.0264,,,86,31488,4321,159,6788,,223.13,,1169,31,1944,107,,,,,, 490117,01-OCT-14,30-SEP-15,Amended,CARILION TAZEWELL COMMUNITY HOSPITAL ,141 BEN BOLT AVENUE ,,TAZEWELL ,VA ,24651 ,TAZEWELL ,,,,43758,,,.1052,,,56,20440,1131,191,2599,,84.05,,315,66,617,,,,,,, 490118,01-APR-15,31-MAR-16,Amended,HENRICO DOCTORS HOSPITAL ,1602 SKIPWITH ROAD ,,RICHMOND ,VA ,23229- ,HENRICO ,,,,1273260,,,.0803,,,707,258762,36559,6935,103835,,1859.89,,7157,706,19408,2375,149,,31,8,945,616 490119,01-JAN-15,31-DEC-15,As Submitted,SENTARA PRINCESSS ANNE HOSPITAL ,2025 GLENN MITCHELL DR ,,VIRGINIA BEACH ,VA ,23456-0178 ,UNITED STATES ,288827,,,491483,,,.0655,71666,32696,160,58400,20685,2542,57162,2.49,1144.73,,3911,462,11687,1365,,,,,, 490120,01-JUL-15,30-JUN-16,As Submitted,CHESAPEAKE GENERAL HOSPITAL ,736 BATTLEFIELD BLVD. NORTH ,2028 ,CHESAPEAKE ,VA ,23320- ,N/A ,,,,957962,,,.0834,,,310,113460,27748,5073,71374,,1564.58,,5524,1380,16527,,,,,,, 490122,01-JAN-15,31-DEC-15,Amended,INOVA MOUNT VERNON HOSPITAL ,2501 PARKERS LANE ,,ALEXANDRIA ,VA ,22306- ,FAIRFAX ,,,,,,,,,,140,51100,13488,483,22176,,661,,3205,110,6035,147,,,,59,1158,1697 490123,01-APR-15,30-APR-16,As Submitted,RAPPAHANNOCK GENERAL HOSPITAL ,101 HARRIS ROAD ,1449 ,KILMARNOCK ,VA ,22482-1449 ,LANCASTER ,,,,,,,,,,65,25675,4021,87,5743,,269.38,,859,69,1288,,,,71,,342, 490126,01-MAR-15,29-FEB-16,Amended,LEWISGALEHOSPITAL - ALLEGHANY ,1 ARH LANE ,,LOW MOOR ,VA ,24457- ,ALLEGHANY ,,,,,,,,,,95,34770,5541,137,8156,,194,,1141,39,1797,72,22,,11,,455, 490127,01-JUL-15,30-JUN-16,As Submitted,BUCHANAN GENERAL HOSPITAL ,1535 SLATE CREEK ROAD ,,GRUNDY ,VA ,24614 ,BUCHANAN ,,,,30387,,,.0452,,,49,17934,2591,294,5664,,207.23,,548,67,1245,123,,,,,, 490129,01-JAN-15,31-DEC-15,Settled,CAPITAL HOSPICE ,2900 TELESTAR COURT ,,FALLS CHURCH ,VA ,22042-1206 ,FAIRFAX ,,,,,,,,,,,,,,,,,,,,,,,,,,, 490130,01-JAN-15,31-DEC-15,As Submitted,RIVERSIDE WALTER REED ,ROUTE 17 ,,GLOUCESTER ,VA ,23061 ,GLOUCESTER ,,,,,,,,,,67,24455,6399,349,10149,,302.8,,1619,98,2691,61,,,,,, 490136,01-SEP-15,31-AUG-16,As Submitted,ST. FRANCIS MEDICAL CENTER ,13700 ST. FRANCIS BLVD. ,,MIDLOTHIAN ,VA ,23114 ,CHESTERFIELD ,2362695,,,344581,,,.0476,642030,417639,130,47580,14241,3883,38435,22.04,1360.85,,3245,510,9240,705,,,,,, 490140,01-JAN-15,31-DEC-15,As Submitted,STAFFORD HOSPITAL ,101 HOSPITAL CENTER BLVD. ,,STAFFORD ,VA ,22554 ,STAFFORD ,,,,113753,,,.0478,,,90,32850,5792,404,15251,,342.91,,1331,175,4487,478,,,,,, 490141,01-MAY-15,30-APR-16,Amended,SPOTSYLVANIA REGIONAL MEDICAL CENTER ,4600 SPOTSYLVANIA PARKWAY ,,FREDERICKSBURG ,VA ,22408 ,SPOTSYLVANIA ,,,,210461,,,.0572,,,105,38430,7275,867,19671,,403.32,,1696,686,5107,137,,,,,993, 490143,01-JAN-15,31-DEC-15,As Submitted,RIVERSIDE DOCTORS HOSPITAL WILLIAMSB ,1500 COMMONWEALTH AVENUE ,,WILLIAMSBURG ,VA ,23185 ,,,,,,,,,,,40,14600,2207,127,4313,,190.04,,699,43,1452,36,,,,,, 490144,01-JAN-15,31-DEC-15,As Submitted,NOVANT HLTH HAYMARKET MEDICAL CENTER ,15225 HEALTHCOTE BOULEVARD ,,HAYMARKET ,VA ,20169 ,PRINCE WILLIAM ,,,,,,,,,,53,19345,2092,28,6800,,238.95,,662,8,2560,,,,,,, 491300,01-JAN-15,31-DEC-15,Settled,BATH COUNTY COMMUNITY HOSPITAL ,ROUTE 220 ,DRAWER Z ,HOT SPRINGS ,VA ,24445- ,BATH ,,,,,,,,,,25,9125,1716,,2117,,118.14,,208,1,271,,,,,,, 491302,01-OCT-14,30-SEP-15,Settled,CARILION GILES COMMUNITY HOSPITAL ,159 HARTLEY WAY ,,PEARISBURG ,VA ,24134 ,GILES ,,,,,,,,,,25,9125,3498,85,6034,,170,,468,23,1167,34,,,,,, 491303,01-OCT-14,30-SEP-15,Settled,DICKENSON COMMUNITY HOSPITAL ,312 HOSPITAL DRIVE ,1440 ,CLINTWOOD ,VA ,24228-0000 ,DICKENSON ,,,,,,,,,,2,730,32,,35,,60.93,,10,,12,,,,,,, 491304,01-OCT-14,30-SEP-15,Settled,CARILION STONEWALL JACKSON HOSPITAL ,1 HEALTH CIRCLE ,,LEXINGTON ,VA ,24450 ,ROCKBRIDGE ,,,,,,,,,,25,9125,3625,239,5377,,176.12,,808,72,1245,27,,,,,, 491305,01-JAN-15,31-DEC-15,Amended,SHENANDOAH MEMORIAL HOSPITAL ,759 MAIN STREET ,508 ,WOODSTOCK ,VA ,22664- ,SHENANDOAH ,,,,,,,,,,25,9125,4091,102,6018,,237,,887,22,1474,59,,,,,, 491306,01-JAN-15,31-DEC-15,As Submitted,PIONEER HLTH SERVICES OF PATRICK CO ,ROUTE 2 ,P O BOX 71 ,STUART ,VA ,24171 ,PATRICK ,,,,,,,,,,25,9125,2991,10,3696,,174,,284,2,395,19,,,,,, 491307,01-JAN-15,31-DEC-15,Settled,PAGE MEMORIAL HOSPITAL ,200 MEMORIAL DRIVE ,,LURAY ,VA ,22835 ,PAGE ,,,,,,,,,,25,9125,3529,19,4465,,182.1,,381,7,532,18,,,,,, 491991,01-JAN-15,31-DEC-15,As Submitted,LYNN HOUSE OF POTOMAC VALLEY INC. ,4400 W BRADDOCK ROAD ,,ALEXANDRIA ,VA ,22304-1010 ,ARLINGTON ,,,,,,,,,,4,1460,763,,814,,10.05,,22,,37,,,,,,, 492001,01-JUL-15,30-JUN-16,As Submitted,LAKE TAYLOR TRANSITIONAL CARE HOSPIT ,1309 KEMPSVILLE ROAD ,,NORFOLK ,VA ,23502- ,NORFOLK ,,,,,,,,,,104,38064,1572,19506,25571,,80.84,,57,85,219,,,,,,, 492007,01-JUN-15,31-MAY-16,Settled,HOSPITAL FOR EXTENDED RECOVERY ,600 GRESHAM DR STE 700 ,,NORFOLK ,VA ,23507 ,CITY OF NORFOLK ,,,,,,,,,,35,12810,3937,,5385,,72.22,,126,,174,,,,,,, 492008,01-JAN-15,31-DEC-15,Settled,HAMPTON ROADS SPECIALTY HOSPITAL ,254 CHESAPEAKE AVE 4TH FLOOR ,,NEWPORT NEWS ,VA ,23607- ,NEWPORT NEWS ,,,,,,,,,,25,9125,5058,336,7802,,61.99,,165,11,245,11,,,,,, 492009,01-AUG-15,31-JUL-16,As Submitted,VIBRA HOSPITAL OF RICHMOND LLC ,2220 EDWARD HOLLAND DRIVE ,,RICHMOND ,VA ,23230 ,HENRICO ,,,,,,,,,,60,21960,9384,419,16518,,147.21,,338,8,539,40,,,,,, 492010,01-JAN-15,31-DEC-15,Settled,CENTRA SPECIALTY HOSPITAL ,3300 RIVERMONT AVENUE ,,LYNCHBURG ,VA ,24503- ,LYNCHBURG ,,,,,,,,,,36,13140,6306,,8129,,71.46,,215,,277,,,,,,, 492011,01-JUL-15,30-JUN-16,As Submitted,UVA TRANSITIONAL CARE HOSPITAL ,2965 IVY ROAD ,,CHARLOTTESVILLE ,VA ,22908- ,ALBEMARLE ,,,,,,,,,,40,14640,6635,671,11712,,136.15,,229,15,411,23,,,,,, 493025,01-OCT-14,30-SEP-15,As Submitted,SHELTERING ARMS HOSPITAL ,8254 ATLEE ROAD ,,MECHANICSVILLE ,VA ,23116 ,HANOVER ,,,,,,,,,,40,14600,7507,252,12664,,170.61,,563,14,858,,,,,,, 493027,01-JAN-15,31-DEC-15,As Submitted,RIVERSIDE REHABILITATION INSTITUTE ,245 CHESAPEAKE BLVD. ,,NEWPORT NEWS ,VA ,23607- ,NEWPORT NEWS ,,,,,,,,,23,50,18250,5922,819,10894,1,134.97,,402,40,726,67,,,,,, 493028,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,5700 FITZHUGH AVENUE ,,RICHMOND ,VA ,23226- ,HENRICO ,,,,,,,,,,40,14600,6555,324,9168,,101.83,,497,14,675,32,,,,,, 493029,01-JAN-15,31-DEC-15,As Submitted,UVA-HEALTHSOUTH REHABILITATION HOSPI ,515 RAY C HUNT DRIVE ,,CHARLOTTESVILLE ,VA ,22903-2981 ,ALBEMARLE ,,,,,,,,,,50,18250,10498,252,15718,,205.54,,888,11,1320,73,,,,,, 493030,01-OCT-14,30-SEP-15,As Submitted,SHELTERING ARMS HOSPITAL SOUTH ,13700 ST.FRANCIS BLVD ,,MIDLOTHIAN ,VA ,23114 ,CHESTERFIELD ,,,,,,,,,,28,10220,5106,142,7853,,64.01,,422,7,636,,,,,,, 493031,01-JUN-15,31-MAY-16,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,95 PINE HILL BLVD ,,PETERSBURG ,VA ,23805 ,PETERSBURG CITY ,,,,,,,,,,64,23424,8459,307,12724,,111.16,,650,18,942,73,,,,,, 493032,01-JUN-15,31-MAY-16,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,300 PARK HILL AVENUE ,,FREDERICKSBURG ,VA ,22401 ,SPOTSYLVANIA ,,,,,,,,,,52,19032,11915,160,17056,,139.42,,940,10,1365,70,,,,,, 493033,01-JUN-15,31-MAY-16,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,24430 MILLSTREAM DRIVE ,,ALDIE ,VA ,20105 ,LOUDOUN ,,,,,,,,,,55,20130,12864,70,18071,,147.7,,1077,4,1468,57,,,,,, 493034,01-JUN-15,31-MAY-16,Amended,THE REHABILITATION HOSPITAL OF SOUTH ,103 NORTH STREET ,,BRISTOL ,VA ,24201 ,LOUDOUN ,,,,,,,,,,25,9150,5658,49,7630,,63.7,,445,4,599,33,,,,,, 493300,01-JUN-15,31-MAY-16,Settled,CUMBERLAND HOSPITAL LLC ,9407 CUMBERLAND ROAD ,,NEW KENT ,VA ,23124 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 493301,01-JUL-15,30-JUN-16,As Submitted,CHILDRENS HOSPITAL OF THE KINGS DA ,601 CHILDRENS LANE ,,NORFOLK ,VA ,23507 ,NORFOLK ,,,,,,,,,1776,206,75396,50,30797,50405,92.36,2226.05,,14,897,5452,2054,,,,,, 493302,01-JUL-15,30-JUN-16,Settled,CHILDRENS HOSPITAL ,2924 BROOK ROAD ,,RICHMAND ,VA ,23220 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 494001,01-JAN-15,30-JUN-15,As Submitted,PENINSULA BEHAVIOR CENTER ,2244 EXECUTIVE DRIVE ,,HAMPTON ,VA ,23666- ,HAMPTON ,,,,,,,,,,79,14536,1322,85,6673,,97.74,,170,11,1147,224,,,,,, 494010,01-JUL-15,30-JUN-16,As Submitted,NORTHERN VIRGINIA MENTAL HEALTH INST ,3302 GALLOWS ROAD ,,FALLS CHURCH ,VA ,22042-3398 ,FAIRFAX ,,,,,,,,,,144,52704,1067,,44560,2.37,292.7,,73,,1045,,,,,,, 494017,01-JUL-15,30-JUN-16,As Submitted,SOUTHERN VIRGINIA MENTAL HEALTH INST ,382 TAYLOR DRIVE ,,DANVILLE ,VA ,24541-4023 ,PITTSYLVANIA ,,,,,,,,,,72,26352,1689,,15698,,87.11,,59,,362,,,,,,, 494021,01-OCT-14,30-JUN-15,Settled,WESTERN STATE HOSPITAL ,103 VALLEY CENTER DR ,2500 ,STAUNTON ,VA ,24402-2500 ,AUGUSTA ,,,,,,,,,,84,22932,3776,,20627,.45,94.91,,95,,419,,,,,,, 494021,01-JUL-15,30-JUN-16,As Submitted,WESTERN STATE HOSPITAL ,103 VALLEY CENTER DR ,2500 ,STAUNTON ,VA ,24402-2500 ,AUGUSTA ,,,,,,,,,,84,30744,4160,,27422,.68,91.37,,121,,661,,,,,,, 494022,01-SEP-15,31-AUG-16,As Submitted,POPLAR SPRINGS HOSPITAL ,350 POPLAR DRIVE ,,PETERSBURG ,VA ,23805 ,PETERSBURG CITY ,,,,,,,,,,100,36600,4349,1314,32064,,222.9,,384,92,3271,,,,,,, 494023,01-FEB-15,31-JAN-16,As Submitted,DOMINION HOSPITAL ,2960 SLEEPY HOLLOW ROAD ,,FALLS CHURCH ,VA ,22044 ,FAIRFAX ,,,,,,,,,,116,38184,1652,,29432,,207.67,,183,,3242,,,,,,, 494025,01-JAN-15,31-DEC-15,Settled,VIRGINIA BEACH PSYCHIATRIC CENTER ,1100 FIRST COLONIAL ROAD ,,VIRGINIA BEACH ,VA ,23454 ,VIRGINIA BEACH ,,,,,,,,,,100,36500,5917,56,28117,,170,,681,8,4130,,,,,,, 494029,01-JUL-15,30-JUN-16,Settled,SOUTHWESTERN VA MENTAL HLTH INST IPT ,340 BAGLEY CIRCLE ,,MARION ,VA ,24354 ,SMYTH ,,,,,,,,,,109,39894,2812,,29326,,157.29,,129,,951,,,,,,, 494030,01-OCT-14,30-JUN-15,Settled,EASTERN STATE HOSPITAL IPT ,4601 IRONBOUND ROAD ,,WILLIAMSBURG ,VA ,23188-2652 ,JAMES CITY ,,,,,,,,,,40,10920,409,,9995,.79,65,,29,,181,,,,,,, 494030,01-JUL-15,22-APR-16,Settled,EASTERN STATE HOSPITAL IPT ,4601 IRONBOUND ROAD ,,WILLIAMSBURG ,VA ,23188-2652 ,JAMES CITY ,,,,,,,,,,40,11880,458,,10382,.86,74,,39,,236,,,,,,, 494032,01-JAN-15,31-DEC-15,Settled,THE PAVILION AT WILLIAMSBURG PLACE ,5483 MOORETOWN ROAD ,,WILLIAMSBURG ,VA ,23188 ,,,,,,,,,,,57,20805,8299,,17739,,156.55,,432,,1385,,,,,,, 500001,01-JUL-15,30-JUN-16,As Submitted,UW MEDICINE/NORTHWEST HOSPITAL ,1550 NORTH 115TH STREET ,,SEATTLE ,WA ,98133 ,KING ,2380939,,,968158,,,.1012,558296,229697,168,61488,16506,1732,42962,26.62,1467.4,,3725,362,10701,401,,,18,,402, 500002,01-JAN-15,31-DEC-15,Reopened,PROV ST MARY MEDICAL CENTER ,401 W POPLAR ST. ,1477 ,WALLA WALLA ,WA ,99362-2846 ,WALLA WALLA ,,,,728021,,,.1261,,,68,24820,7554,1481,15229,,604,,2004,341,4244,898,,,,2,,140 500003,01-JAN-15,31-DEC-15,Amended,PHD#1 DBA SKAGIT VALLEY HOSPITAL ,1415 E KINCAID STREET ,,MOUNT VERNON ,WA ,98273-1376 ,SKAGIT ,2002256,,,879649,,,.1684,509727,727417,134,48910,11679,2680,31475,23.24,1504.24,,2308,515,6621,1281,,,,,, 500005,01-JAN-15,31-DEC-15,As Submitted,VIRGINIA MASON MEDICAL CENTER ,925 SENECA STREET ,1930 ,SEATTLE ,WA ,98111- ,KING ,10027508,,,,,,,2002646,2199887,236,86232,23680,6160,71964,118.14,4683.41,,4651,887,15175,,,,,,,132 500007,01-JAN-15,31-DEC-15,As Submitted,ISLAND HOSPITAL ,1211 24TH STREET ,,ANACORTES ,WA ,98221 ,SKAGIT ,,,,115981,,,.0321,,,42,15330,5280,361,10062,,439.22,,1385,564,3192,,,,,,, 500008,01-JUL-15,30-JUN-16,As Submitted,UNIVERSITY OF WASHINGTON MED CTR ,1959 NE PACIFIC ST ,,SEATTLE ,WA ,98195-9415 ,KING ,23513971,,,4860171,,,.25,5474478,2569128,397,139911,31695,13760,119312,380.04,4298.45,,4732,1309,18192,,168,,52,9,516,286 500011,01-JUL-15,30-JUN-16,As Submitted,HIGHLINE MEDICAL CENTER ,16251 SYLVESTER RD. SW ,,SEATTLE ,WA ,98166-0657 ,KING ,,,,1037797,,,.2066,,,128,46848,10712,2545,32913,,773.49,,2112,597,8016,1989,,,,,, 500012,01-JUL-15,30-JUN-16,Amended,YAKIMA REGIONAL MEDICAL & CARDIAC CE ,110 SOUTH NINTH AVENUE ,,YAKIMA ,WA ,98902 ,YAKIMA ,563791,,,874923,,,.1713,423658,122454,124,45384,8323,1417,17368,8.76,481.04,,1871,864,4008,,,,,21,,258 500014,01-JAN-15,31-DEC-15,Amended,PROV REGL MED CENTER EVERETT ,1321 COLBY AVENUE ,PO BOX ,EVERETT ,WA ,98201 ,SNOHOMISH ,,,,2584707,,,.1744,,,436,159140,31602,12044,136346,,2778,,5698,2388,32267,5979,,,,85,,504 500015,01-JAN-15,31-DEC-15,As Submitted,MULTICARE AUBURN MEDICAL CENTER ,202 NORTH DIVISION STREET ,,AUBURN ,WA ,98001 ,KING ,,,,1082832,,,.2503,,,109,39785,8794,2711,25613,,708.12,,1791,393,6298,2083,,,,,444, 500016,01-JAN-15,31-DEC-15,As Submitted,CENTRAL WASHINGTON HOSPITAL ,1201 SOUTH MILLER STREET ,,WENATCHEE ,WA ,98801- ,CHELAN ,,,,2151870,,,.1588,,,176,64240,20437,3498,44328,,1160.29,,4688,769,10975,1721,,,,,, 500019,01-JAN-15,31-DEC-15,Amended,PROVIDENCE CENTRALIA HOSPITAL ,914 S SCHEUBER RD ,,CENTRALIA ,WA ,98531-9027 ,LEWIS ,,,,461461,,,.12,,,91,31495,7059,1276,18284,,593.22,,1911,2080,5874,,,,,,, 500021,01-JUL-15,30-JUN-16,As Submitted,ST CLARE HOSPITAL ,11315 BRIDGEPORT WAY SW ,,LAKEWOOD ,WA ,98499- ,PIERCE ,,,,1162796,,,.2184,,,106,38796,11621,1454,29533,,614,,2291,276,6120,1375,,,,,, 500024,01-JAN-15,31-DEC-15,Amended,PROVIDENCE ST. PETER HOSPITAL ,413 LILLY ROAD NE ,,OLYMPIA ,WA ,98506 ,THURSTON ,2192380,,,2179748,,,.127,686030,181259,238,86870,30480,5064,81532,21.03,1752.31,,6232,5258,20198,,,,,68,700,474 500025,01-JAN-15,31-DEC-15,Amended,SWEDISH MEDICAL CENTER CHERRY HILL ,500 - 17TH AVENUE ,,SEATTLE ,WA ,98124-5711 ,KING ,5236969,,,1148719,,,.0774,1305144,445716,170,62050,17981,2958,45486,26.13,1260.3,,3499,284,8965,750,9,,91,17,422,486 500026,01-JAN-15,31-DEC-15,Amended,SWEDISH EDMONDS ,21601 76TH AVENUE WEST ,,EDMONDS ,WA ,98026-7507 ,SNOHOMISH ,,,,1215150,,,.1727,,,149,54385,14173,5657,42392,,966.38,,2888,805,8767,1350,,,,,, 500027,01-JAN-15,31-DEC-15,Amended,SWEDISH MEDICAL CENTER ,747 BROADWAY ,,SEATTLE ,WA ,98122-4307 ,KING ,5579343,,,5011762,,,.2317,2004085,994157,595,217296,36007,27695,167173,69.09,3901.74,,8046,2194,35193,4548,,,,,, 500030,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPH MEDICAL CENTER ,2901 SQUALICUM PARKWAY ,,BELLINGHAM ,WA ,98225-1851 ,WHATCOM ,,,,1607101,,,.12,,,207,75762,22350,14732,59263,,1531.46,,5256,4151,28869,3085,26,,210,27,419,263 500031,01-JAN-15,31-DEC-15,As Submitted,GRAYS HARBOR COMMUNITY HOSPITAL ,915 ANDERSON DR ,,ABERDEEN ,WA ,98520- ,GRAYS HARBOR ,,,,449475,,,.12,,,105,38325,6659,2667,16711,,629.69,,1742,374,3745,645,,,,,, 500033,01-JAN-15,31-DEC-15,As Submitted,SAMARITAN HOSPITAL ,801 EAST WHEELER ROAD ,,MOSES LAKE ,WA ,98837 ,GRANT ,,,,198817,,,.12,,,48,17520,2704,854,9185,,368.09,,792,1041,2826,,,,,,, 500036,01-NOV-14,31-OCT-15,As Submitted,YAKIMA VALLEY MEMORIAL HOSPITAL ,2811 TIETON DRIVE ,,YAKIMA ,WA ,98902 ,YAKIMA ,408471,,,2394732,,,.2471,163351,176152,208,75920,16590,4660,45634,9.35,1798.88,,4243,223,11673,,,,31,,285, 500037,01-JUL-15,30-JUN-16,Amended,TOPPENISH COMMUNITY HOSPITAL ,502 WEST 4TH AVENUE ,,TOPPENISH ,WA ,98948 ,YAKIMA ,,,,48356,,,.12,,,36,13176,679,1798,3929,,145.04,,248,688,1459,,,,,,, 500039,01-JUL-15,30-JUN-16,As Submitted,HARRISON MEDICAL CENTER ,2520 CHERRY AVENUE ,WA ,BREMERTON ,WA ,98310 ,KITSAP ,,,,1694960,,,.1119,,,254,92964,27484,2950,58176,,1621.94,,5604,826,14795,2826,,,,,, 500041,01-JUL-15,30-JUN-16,As Submitted,ST. JOHN MEDICAL CENTER ,1615 DELAWARE STREET ,,LONGVIEW ,WA ,98632- ,COWLITZ ,,,,1436382,,,.2409,,,166,60756,11048,10437,29749,,1174.79,,2625,923,7492,176,,,,,, 500044,01-OCT-14,30-SEP-15,Amended,DEACONESS MEDICAL CENTER ,800 WEST FIFTH AVENUE ,,SPOKANE ,WA ,99210-0248 ,SPOKANE ,614183,,,2378384,,,.2448,343408,126954,301,109865,20510,11750,62052,8.71,1320.66,,3731,2695,11057,,,,,,, 500049,01-JAN-15,31-DEC-15,As Submitted,WALLA WALLA GENERAL HOSPITAL ,1025 S. SECOND ,1398 ,WALLA WALLA ,WA ,99362 ,WALLA WALLA ,,,,146795,,,.12,,,37,13505,1874,272,4195,,245.19,,595,78,1405,298,,,,,, 500050,01-JUL-15,30-JUN-16,As Submitted,PEACEHEALTH SOUTHWEST MEDICAL CENTER ,400 MOTHER JOSEPH PLACE ,1600 ,VANCOUVER ,WA ,98664 ,CLARK ,1529267,,,2881964,,,.1862,764965,235250,398,145668,28747,22582,85515,18.43,2112.07,,5762,5792,21379,4701,,,,42,,215 500051,01-JUL-15,30-JUN-16,As Submitted,OVERLAKE HOSPITAL MEDICAL CENTER ,1035 116TH AVENUE NE ,,BELLEVUE ,WA ,98004- ,KING ,,,,257347,,,.0251,,,286,104676,15556,2383,67121,,2191,,3968,533,20902,1336,,,212,,863, 500052,01-JAN-15,31-DEC-15,As Submitted,GROUP HEALTH COOPERATIVE-CENTRAL HOS ,201 16TH AVE. E. ,,SEATTLE ,WA ,98112 ,KING ,,,,102,,,.12,,,24,1416,2,77,860,,198.33,,1,18,390,69,,,,,, 500053,01-JAN-15,31-DEC-15,Amended,KENNEWICK GENERAL HOSPITAL ,900 SOUTH AUBURN ST ,,KENNEWICK ,WA ,99336 ,BENTON ,1099208,,,1052669,,,.2194,343164,222362,111,40515,8970,1943,22431,11.59,886.21,,2290,434,6045,1338,,,,,, 500054,01-JAN-15,31-DEC-15,Amended,PROV SACRED HEART MEDICAL CENTER ,101 W. 8TH AVE. ,2555 ,SPOKANE ,WA ,99220-2555 ,SPOKANE ,5447013,,,6998008,,,.2583,2002896,534121,575,209875,41934,20169,148505,64.34,3171.26,,8469,1824,28596,5641,361,,128,,1155, 500058,01-JAN-15,31-DEC-15,Amended,KADLEC REGIONAL MEDICAL CENTER ,888 SWIFT BOULEVARD ,,RICHLAND ,WA ,99352- ,BENTON ,426804,,,3318083,,,.235,,,242,88330,24526,10026,65150,3.29,2642.86,,5535,1628,15473,3134,,,,9,,230 500060,01-JAN-15,31-DEC-15,As Submitted,CASCADE VALLEY HOSPITAL ,330 S. STILLAGUAMISH AVE. ,370 ,ARLINGTON ,WA ,98223 ,SNOHOMISH ,,,,99156,,,.1167,,,48,17520,1760,1259,5440,,246.99,,436,359,1543,,,,,,, 500064,01-JUL-15,30-JUN-16,As Submitted,HARBORVIEW MEDICAL CENTER ,325 9TH AVENUE ,,SEATTLE ,WA ,98104-2499 ,KING ,13195243,,,4487423,,,.3476,4674184,1599947,323,118218,26398,15499,108501,336.13,4159.36,,3596,1490,15450,,18,,696,62,1143,391 500072,01-JAN-15,31-DEC-15,Amended,OLYMPIC MEDICAL CENTER ,939 CAROLINE STREET ,,PORT ANGELES ,WA ,98362 ,CLALLAM ,,,,540332,,,.1121,,,78,28470,8896,2810,15559,,995.92,,2329,870,4244,,,,,,, 500077,01-JAN-15,31-DEC-15,Amended,PROVIDENCE HOLY FAMILY HOSPITAL ,N. 5633 LEDGERWOOD STREET ,,SPOKANE ,WA ,99208 ,SPOKANE ,,,,1460423,,,.195,,,184,67160,14121,2618,39187,,753.55,,3116,537,10506,2827,,,,,, 500079,01-JAN-15,31-DEC-15,As Submitted,GOOD SAMARITAN HOSPITAL ,407TH 14TH AVENUE SE ,,PUYALLUP ,WA ,98371 ,PIERCE ,47807,,,1785764,,,.14,26400,6795,261,94095,27242,4258,74506,15.39,1665.35,,5486,1922,15615,2196,,,,51,,596 500084,01-JAN-15,31-DEC-15,As Submitted,EVERGREEN HEALTH MONROE ,14701 179TH SE ,,MONROE ,WA ,98272-0646 ,SNOHOMISH ,,,,74321,,,.1204,,,27,9855,1229,222,3186,,246.38,.76,320,70,1050,138,,,,,, 500088,01-JUL-15,30-JUN-16,As Submitted,VALLEY MEDICAL CENTER ,400 SOUTH 43RD STREET ,50010 ,RENTON ,WA ,98058-5010 ,KING ,1918442,,,3259144,,,.265,710864,411109,282,103304,22016,5946,74015,28.16,2812.95,,4650,1016,16307,4813,,,,,, 500108,01-JUL-15,30-JUN-16,As Submitted,ST JOSEPH MEDICAL CENTER ,1717 SOUTH J STREET ,,TACOMA ,WA ,98405 ,PIERCE ,,,,3165527,,,.2014,,,310,113460,30411,6268,110135,,2849,,5036,1707,25166,6326,,,,20,,680 500119,01-OCT-14,30-SEP-15,Amended,VALLEY HOSPITAL & MEDICAL CENTER ,12606 EAST MISSION ,P.O. BOX ,SPOKANE ,WA ,99210- ,SPOKANE ,19671,,,520176,,,.1172,20553,5781,123,44895,8454,1222,21395,.29,553.58,,2042,1046,5546,,,,,,, 500124,01-JAN-15,31-DEC-15,As Submitted,EVERGREEN HEALTHCARE ,12040 NE 128TH STREET ,,KIRKLAND ,WA ,98034- ,KING ,,,,700687,,,.0718,,,304,110960,19867,6465,66956,,2920.79,,3974,654,19840,2132,,,,,,166 500129,01-JAN-15,31-DEC-15,As Submitted,TACOMA GENERAL ALLENMORE HOSPITAL ,315 SOUTH MLK JR. WAY ,5299 ,TACOMA ,WA ,98415-0299 ,PIERCE ,1492173,,,4538878,,,.2961,570354,420464,308,112735,28103,13319,100847,19.26,2690.48,,5264,1873,17855,5505,,,,,, 500138,01-JUL-15,30-JUN-16,As Submitted,SEATTLE CANCER CARE ALLIANCE ,825 EASTLAKE AVE EAST ,19023 ,SEATTLE ,WA ,98109-1023 ,KING ,,,,,,,,,,20,7300,1300,53,6014,18.81,1149.19,,140,4,534,46,,,,,, 500139,01-MAY-15,30-APR-16,As Submitted,CAPITAL MEDICAL CENTER ,3900 CAPITAL MALL DRIVE SW ,,OLYMPIA ,WA ,98502 ,THURSTON ,,,,686527,,,.1302,,,110,40260,6209,1495,15152,,499.78,,1724,310,4459,790,,,,,, 500141,01-JUL-15,30-JUN-16,As Submitted,ST FRANCIS HOSPITAL ,34515 NINTH AVENUE S ,,FEDERAL WAY ,WA ,98003- ,KING ,576492,,,1126120,,,.1997,191943,76752,124,45384,11315,1921,35328,6,813,,2385,3283,9862,,,,,,, 500148,01-JAN-15,31-DEC-15,As Submitted,WENATCHEE VALLEY HOSPITAL ,820 N CHELAN AVENUE ,2087 ,WENATCHEE ,WA ,98807 ,CHELAN ,,,,3689,,,.0474,,,14,5110,159,26,559,,839.12,,37,7,158,21,,,,5,,124 500150,01-APR-15,31-MAR-16,As Submitted,LEGACY SALMON CREEK HOSPITAL ,2211 NE 139TH STREET ,,VANCOUVER ,WA ,98686 ,CLARK ,,,,1190782,,,.1825,,,166,60756,12492,6701,55613,,1126.19,,2800,5224,14766,,,,,,, 500151,01-JUL-15,30-JUN-16,As Submitted,ST ANTHONY HOSPITAL ,11567 CANTERWOOD BLVD NW ,,GIG HARBOR ,WA ,98332- ,PIERCE ,,,,383999,,,.0661,,,80,29280,11128,912,22706,,496,,2553,204,5680,934,,,,,, 500152,01-JAN-15,31-DEC-15,Amended,SWEDISH ISSAQUAH ,751 NE BLAKELY DRIVE ,,ISSAQUAH ,WA ,98029-6201 ,KING ,12172,,,144535,,,.0332,4437,1670,86,31390,5461,1107,18815,.34,557.75,,1860,340,7742,612,,,,,, 501301,01-JAN-15,31-DEC-15,Settled,GARFIELD MEMORIAL HOSPITAL ,NORTH 66 SIXTH STREET ,,POMEROY ,WA ,99347- ,GARFIELD ,,,,,,,,,,25,9125,561,3902,7746,,61.78,,13,1,16,,,,,,, 501302,01-JAN-15,31-DEC-15,Settled,DAYTON GENERAL HOSPITAL ,1012 S. THIRD STREET ,,DAYTON ,WA ,99328 ,COLUMBIA ,,,,,,,,,,25,9125,699,1271,3536,,86.3,,69,1,75,,,,,,, 501303,01-JAN-15,31-DEC-15,Settled,WILLAPA HARBOR HOSPITAL ,800 ALDER STREET ,438 ,SOUTH BEND ,WA ,98586 ,WILLAPA ,,,,,,,,,,10,3650,624,,798,,118.45,,186,,248,29,,,,,, 501304,01-JAN-15,31-DEC-15,As Submitted,SUMMIT PACIFIC MEDICAL CENTER ,600 E MAIN STREET ,,ELMA ,WA ,98541 ,GRAYS HARBOR ,,,,,,,,,,10,3650,1093,7,1417,,102.17,,111,3,177,29,,,,,, 501305,01-JAN-15,31-DEC-15,As Submitted,LINCOLN HOSPITAL ,10 NICHOLS STREET ,,DAVENPORT ,WA ,99122- ,LINCOLN ,,,,,,,,,,25,9125,1939,1498,4678,,132.08,,224,52,328,,,,,,, 501307,01-JAN-15,31-DEC-15,As Submitted,ODESSA MEMORIAL HOSPITAL ,502 EAST AMENDE ,368 ,ODESSA ,WA ,99159- ,LINCOLN ,,,,,,,,,,25,9125,422,5679,8482,,53.02,,13,,14,,,,,,, 501308,01-JAN-15,31-DEC-15,Settled,COULEE MEDICAL CENTER ,411 FORTUYN ROAD ,,GRAND COULEE ,WA ,99133 ,GRANT ,,,,,,,,,,25,9125,1344,4779,6826,,134.59,,144,106,339,,,,,,, 501309,01-JAN-15,31-DEC-15,Settled,PROVIDENCE ST JOSEPHS HOSPITAL ,500 EAST WEBSTER ,,CHEWELAH ,WA ,99109 ,STEVENS ,,,,,,,,,,23,8395,1452,56,2256,,98.65,,189,10,319,40,,,,,, 501310,01-JAN-15,31-DEC-15,Settled,NEWPORT COMMUNITY HOSPITAL ,714 W. PINE ST ,,NEWPORT ,WA ,99156-9046 ,PEND OREILLE ,,,,,,,,,,20,7300,1500,178,2501,,162.99,,228,49,443,77,,,,,, 501311,01-JAN-15,31-DEC-15,Settled,EAST ADAMS RURAL HOSPITAL ,903 SOUTH ADAMS ,,RITZVILLE ,WA ,99169 ,ADAMS ,,,,,,,,,,4,1460,76,,112,,34.89,,18,,27,,,,,,, 501312,01-JAN-15,31-DEC-15,Settled w/Audit,PROSSER MEMORIAL HOSPITAL ,723 MEMORIAL STREET ,,PROSSER ,WA ,99350- ,BENTON ,,,,,,,,,,25,9125,2545,1136,4791,,227.53,,228,92,832,,,,,,, 501313,01-JAN-15,31-DEC-15,As Submitted,CASCADE MEDICAL CENTER ,817 COMMERCIAL STREET ,,LEAVENWORTH ,WA ,98826- ,CHELAN ,,,,,,,,,,9,3285,1074,,1375,,86.35,,60,4,90,,,,,,, 501314,01-JAN-15,31-DEC-15,Settled,OCEAN BEACH HOSPITAL ,1ST & FIR STREETS ,DRAWER H ,ILWACO ,WA ,98624 ,PACIFIC ,,,,,,,,,,25,9125,1176,23,1433,,96.22,,190,4,270,,,,,,, 501315,01-JAN-15,31-DEC-15,Settled,SKYLINE HOSPITAL ,211 SKYLINE DRIVE ,99 ,WHITE SALMON ,WA ,98672 ,KLICKITAT ,,,,,,,,,,14,5110,1639,141,1952,,112.15,,180,53,295,,,,,,, 501316,01-JAN-15,31-DEC-15,Settled,KLICKITAT VALLEY HEALTH ,310 S ROOSEVELT ,5 ,GOLDENDALE ,WA ,98620- ,KLICKITAT ,,,,,,,,,,17,6205,957,158,1737,,138.17,,141,39,220,,,,,,, 501317,01-JAN-15,31-DEC-15,Settled,COLUMBIA BASIN HOSPITAL ,200 NAT WASHINGTON WAY ,,EPHRATA ,WA ,98823- ,GRANT ,,,,,,,,,,25,9125,2013,2552,5529,,106.87,,84,20,126,,,,,,, 501318,01-JAN-15,31-DEC-15,As Submitted,OTHELLO COMMUNITY HOSPITAL ,315 N 14TH AVE ,,OTHELLO ,WA ,99344 ,ADAMS ,,,,,,,,,,16,5840,120,1182,1865,,120.58,,42,484,629,,,,,,, 501319,01-JAN-15,31-DEC-15,Settled,MORTON GENERAL HOSPITAL ,521 ADAMS ,C ,MORTON ,WA ,98356 ,LEWIS ,,,,,,,,,,25,9125,923,3678,5777,,167.66,,113,7,215,,,,,,, 501320,01-JAN-15,31-DEC-15,Settled,QUINCY VALLEY MEDICAL CENTER ,908 10TH AVENUE SW ,,QUINCY ,WA ,98848 ,GRANT ,,,,,,,,,,25,9125,386,3210,4986,,89.17,,37,5,123,,,,,,, 501321,01-JAN-15,31-DEC-15,Settled,NORTH VALLEY HOSPITAL ,203 SOUTH WESTERN ,,TONASKET ,WA ,98855- ,OKANOGAN ,,,,,,,,,,22,8030,1787,103,2689,,120.87,,186,25,393,105,,,,,, 501322,01-JAN-15,31-DEC-15,Settled,FERRY COUNTY MEMORIAL HOSPITAL ,36 NORTH KLONDIKE ROAD ,365 ,REPUBLIC ,WA ,99166- ,FERRY ,,,,,,,,,,25,9125,495,3020,3870,,75.73,,54,4,83,,,,,,, 501323,01-JAN-15,31-DEC-15,Settled,JEFFERSON GENERAL HOSPITAL ,824 SHERIDAN AVE. ,,PORT TOWNSEND ,WA ,98368- ,JEFFERSON ,,,,,,,,,,25,9125,3044,197,4763,,367.95,,786,51,1315,158,,,,,, 501324,01-JAN-15,31-DEC-15,Settled,THREE RIVERS HOSPITAL ,507 HOSPITAL WAY ,577 ,BREWSTER ,WA ,98812- ,OKANOGAN ,,,,,,,,,,25,9125,506,200,1095,,87.41,,97,74,409,,,,,,, 501325,01-JAN-15,31-DEC-15,Settled,FORKS COMMUNITY HOSPITAL ,530 BOGACHIEL WAY ,,FORKS ,WA ,98331- ,CLALLAM ,,,,,,,,,,20,7300,1313,260,2033,,150.08,,133,45,297,,,,,,, 501326,01-JAN-15,31-DEC-15,Settled,PROVIDENCE MOUNT CARMEL HOSPITAL ,982 EAST COLUMBIA ,,COLVILLE ,WA ,99114 ,STEVENS ,,,,,,,,,,25,9125,2694,146,5183,1.74,199.92,,463,41,1051,230,,,,,, 501327,01-JAN-15,31-DEC-15,Settled w/Audit,WHITMAN HOSPITAL & MEDICAL CENTER ,1200 W. FAIRVIEW ST ,,COLFAX ,WA ,99111 ,WHITMAN ,,,,,,,,,,25,9125,1942,45,2539,,146,,377,8,557,61,,,,,, 501328,01-JAN-15,31-DEC-15,Settled w/Audit,MID-VALLEY HOSPITAL ,810 JASMINE STREET ,,OMAK ,WA ,98841- ,OKANOGAN ,,,,,,,,,,25,9125,1354,550,2987,,170.56,,425,105,974,,,,,,, 501329,01-JUL-15,30-JUN-16,Settled,UNITED GENERAL MEDICAL CENTER ,2000 HOSPITAL DRIVE ,,SEDRO WOOLLEY ,WA ,98284 ,SKAGIT ,,,,,,,,,,25,9150,1428,371,2713,,185.56,,333,89,629,,,,,,, 501330,01-JAN-15,31-DEC-15,Settled,SUNNYSIDE COMMUNITY HOSPITAL ,10 & TACOMA AVE ,719 ,SUNNYSIDE ,WA ,98944- ,YAKIMA ,,,,,,,,,,25,9125,2563,1074,6594,,316.8,,609,809,1823,,,,,,, 501331,01-JAN-15,31-DEC-15,Settled w/Audit,PULLMAN REGIONAL HOSPITAL ,835 SE BISHOP BLVD ,,PULLMAN ,WA ,99163- ,WHITMAN ,,,,,,,,,,25,9125,1752,254,4546,,327.61,,526,61,1382,139,,,,,, 501332,01-JAN-15,31-DEC-15,Settled,TRI-STATE MEMORIAL HOSPITAL ,1221 HIGHLAND AVE ,189 ,CLARKSTON ,WA ,99403- ,ASOTIN ,,,,,,,,,,25,9125,2663,108,3996,,394.3,,757,28,1195,46,,,,,, 501333,01-JAN-15,31-DEC-15,Settled w/Audit,KITTITAS VALLEY COMMUNITY HOSPITAL ,603 S CHESTNUT ST ,,ELLENSBURG ,WA ,98926-3897 ,KITTITAS ,,,,,,,,,,25,9125,1704,353,3808,,347.91,,686,42,1449,245,,,,,, 501334,01-JAN-15,31-DEC-15,Settled,LAKE CHELAN COMMUNITY HOSPITAL ,.03 E. HIGHLAND ,908 ,CHELAN ,WA ,98816- ,CHELAN ,,,,,,,,,,25,9125,4123,132,5539,,187.84,,271,34,499,,,,,,, 501335,01-JUL-15,30-JUN-16,As Submitted,ENUMCLAW REGIONAL HOSPITAL DBA SEH ,1455 BATTERSBY AVENUE ,,ENUMCLAW ,WA ,98022- ,KING ,,,,,,,,,,25,9150,1849,238,5283,,190.04,,518,230,1931,138,,,,,, 501336,01-JAN-15,31-DEC-15,Settled w/Audit,MASON GENERAL HOSPITAL ,901 MTN. VIEW DRIVE BLDG 1 ,1668 ,SHELTON ,WA ,98584- ,MASON ,,,,,,,,,,25,9125,2789,1717,5558,,421.81,,849,447,1594,,,,,,, 501337,01-JUL-15,30-JUN-16,As Submitted,LOURDES MEDICAL CENTER ,520 NORTH FOURTH STREET ,2568 ,PASCO ,WA ,99301 ,FRANKLIN ,,,,,,,,,,25,9150,2890,224,6324,,413.37,,864,58,1889,,,,,3,,145 501338,01-JAN-15,31-DEC-15,Settled,SNOQUALMIE VALLEY HOSPITAL ,9575 ETHAN WADE WAY SE ,,SNOQUALMIE ,WA ,98065- ,KING ,,,,,,,,,,25,9125,4398,42,7550,,165.4,,26,1,66,,,,,,, 501339,01-JAN-15,31-DEC-15,Settled,WHIDBEY GENERAL HOSPITAL ,101 NORTH MAIN STREET ,,COUPEVILLE ,WA ,98239 ,ISLAND ,,,,,,,,,,25,9125,3005,430,6210,,475.3,,906,112,1861,,,,,,, 501340,01-JUL-15,30-JUN-16,Settled,PEACE ISLAND MEDICAL CENTER ,1117 SPRING STREET ,,FRIDAY HARBOR ,WA ,98250-9782 ,ISLAND ,,,,,,,,,,10,3660,144,23,251,,54.07,,59,8,101,,,,,,, 501992,01-OCT-14,30-SEP-15,Settled,SUNRISE HAVEN ,24423 100TH AVE SE ,6057 ,KENT ,WA ,98030 ,KING ,,,,,,,,,,5,1825,811,,928,,13,,38,,45,,,,,,, 502001,01-JUL-15,30-JUN-16,Settled,REGIONAL HOSPITAL ,16251 SYLVESTER RD SW ,,BURIEN ,WA ,98166 ,KING ,,,,,,,,,,26,9516,3336,595,7204,,79.54,,85,15,196,12,,,,,, 502002,01-SEP-15,31-AUG-16,As Submitted,KINDRED HOSPITAL SEATTLE NORTHGATE ,10631 8TH AVENUE NE ,,SEATTLE ,WA ,98125 ,KING ,,,,,,,,,,80,29280,9658,424,22948,,272.6,,312,8,591,68,,,,,, 503025,01-JAN-15,31-DEC-15,Settled,ST. LUKES REHABILITATION INST. ,S-2 PART ,288 ,SPOKANE ,WA ,99210 ,SPOKANE ,,,,,,,,,,102,37230,9190,931,17954,,350.35,,705,60,1349,,,,,,, 503300,01-OCT-14,30-SEP-15,Settled,SEATTLE CHILDRENS HOSPITAL ,4800 SANDPOINT WAY NE ,5371 ,SEATTLE ,WA ,98105- ,KING ,,,,,,,,,9512,316,111093,474,33843,83472,230.59,4298,,89,6801,12170,4414,,,,,, 503301,01-JAN-15,31-DEC-15,Settled,MARY BRIDGE CHILDRENS HOSPITAL ,402 15TH AVE SE ,,PUYALLUP ,WA ,98072-3709 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 503302,01-JAN-15,31-DEC-15,Settled,SHRINERS HOSPITALS FOR CHILDREN ,911 W FIFTH AVENUE ,,SPOKANE ,WA ,99204-2901 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 504002,01-SEP-15,31-AUG-16,As Submitted,BHC FAIRFAX HOSPITAL ,10200 NE 132ND STREET ,,KIRKLAND ,WA ,98034 ,KING ,,,,,,,,,,221,80886,9153,22784,52847,,338.59,,565,1863,4378,,,,,,, 504003,01-JUL-15,30-JUN-16,As Submitted,WESTERN STATE HOSPITAL ,9601 STEILACOOM BLVD SW ,,LAKEWOOD ,WA ,98498-7213 ,PIERCE ,,,,,,,,,,771,282186,9436,19671,248071,,2056.53,,253,65,1457,,,,,,, 504004,01-JUL-15,30-JUN-16,As Submitted,EASTERN STATE HOSPITAL ,MAPLE STREET ,800 ,MEDICAL LAKE ,WA ,99022-0800 ,SPOKANE ,,,,,,,,,,317,112332,7321,12739,94515,,764.81,,159,73,722,,,,,,, 504008,01-JUL-15,30-JUN-16,As Submitted,LOURDES COUNSELING CENTER ,1175 CARONDELET DRIVE ,,RICHLAND ,WA ,99352 ,BENTON ,,,,,,,,,,22,8052,1434,2842,5912,,160,,108,265,542,,,,,,, 504009,01-JAN-15,31-DEC-15,Settled,NAVOS ,2600 SW HOLDEN STREET ,,SEATTLE ,WA ,98126 ,KING ,,,,,,,,,,40,14600,4610,4864,14283,,208.74,,221,268,787,,,,,,, 504011,01-JAN-15,31-DEC-15,Settled,CASCADE BEHAVIORAL HEALTH ,12844 MILITARY ROAD SOUTH ,,TUKWILA ,WA ,98168 ,KING ,,,,,,,,,,97,35405,11881,5291,24301,,164.59,,666,660,2128,1,,,,,, 510001,01-JAN-15,31-DEC-15,Amended,WEST VIRGINIA UNIVERSITY HOSPITALS ,MEDICAL CENTER DRIVE ,P.O. BOX 8034 ,MORGANTOWN ,WV ,26505 ,MONONGALIA ,18913398,,,4667412,,,.2909,5610358,2625635,455,163085,39987,32317,139953,326.02,4677.87,,7502,4105,25630,2891,,,680,,1797, 510002,01-MAY-15,30-APR-16,Amended,GREENBRIER VALLEY MEDICAL CENTER ,1320 MAPLEWOOD AVENUE ,497 ,RONCEVERTE ,WV ,24970 ,GREENBRIER ,427535,,,475998,,,.1733,250535,185107,116,42456,7425,2774,14769,11.56,384.25,,1634,807,3459,,,,,,, 510006,01-JAN-15,31-DEC-15,Amended,UNITED HOSPITAL CENTER ,327 MEDICAL PARK DRIVE ,,BRIDGEPORT ,WV ,26330 ,HARRISON ,1606627,,,1436147,,,.1733,771097,339516,232,84680,24979,9648,57936,19.78,1567.14,,4742,2405,11599,,,,,,, 510007,01-OCT-14,30-SEP-15,Amended,ST. MARYS MEDICAL CENTER INC. ,2900 FIRST AVENUE ,,HUNTINGTON ,WV ,25702- ,CABELL ,2501912,,,1683586,,,.1201,709472,279950,341,124465,37613,11342,81951,27.22,2246.73,,6711,2602,16052,,,,280,,382, 510008,01-JAN-15,31-DEC-15,Amended,CITY HOSPITAL INC. ,DRY RUN ROAD ,,MARTINSBURG ,WV ,25401 ,BERKELEY ,173378,,,1001887,,,.194,65760,33992,157,57305,14021,4945,33504,3.51,1031.74,,2798,1029,7460,1280,,,383,,812, 510012,01-OCT-14,30-SEP-15,Amended,PLEASANT VALLEY HOSPITAL ,VALLEY DRIVE ,,POINT PLEASANT ,WV ,25550- ,MASON ,,,,215647,,,.2075,,,94,34310,3136,757,6649,,443.95,,854,235,1849,223,,,,,, 510013,01-OCT-14,30-SEP-15,As Submitted,REYNOLDS MEMORIAL HOSPITAL ,800 WHEELING AVENUE ,,GLEN DALE ,WV ,26038 ,MARSHALL ,,,,52815,,,.0515,,,70,25550,3730,1108,8382,,303.4,,734,225,1686,,,,,,, 510022,01-JAN-15,31-DEC-15,Amended,CHARLESTON AREA MEDICAL CENTER INC. ,501 MORRIS STREET ,1547 ,CHARLESTON ,WV ,25326-1320 ,KANAWHA ,10510188,,,5474950,,,.1914,4397709,1878797,801,291183,76489,38090,189540,143.31,5396.03,,13327,9644,35416,,,,,,670,362 510023,01-JUL-15,30-JUN-16,As Submitted,WEIRTON MEDICAL CENTER ,601 COLLIERS WAY ,,WEIRTON ,WV ,26062- ,BROOKE ,,,,324210,,,.0821,,,127,46482,9831,2979,24264,,945.17,,2358,760,5625,,,,,,,151 510024,01-JUL-15,30-JUN-16,As Submitted,MONONGALIA GENERAL HOSPITAL ,1200 JD ANDERSON DRIVE ,,MORGANTOWN ,WV ,26505- ,MONONGALIA ,,,,318950,,,.0489,,,189,69174,14517,3204,36751,,1413.29,,2961,262,8012,291,,,,,, 510029,01-OCT-14,30-SEP-15,As Submitted,THOMAS MEMORIAL HOSPITAL ,4605 MACCORKLE AVENUE SW ,,SOUTH CHARLESTON ,WV ,25309- ,KANAWHA ,,,,903470,,,.1476,,,178,64970,17051,5142,41159,,1064.1,,3225,1002,8918,596,4,,245,,663, 510030,01-JAN-15,31-DEC-15,As Submitted,DAVIS MEMORIAL HOSPITAL ,GORMAN AVENUE ,1484 ,ELKINS ,WV ,26241 ,RANDOLPH ,,,,223954,,,.12,,,90,32850,4777,1483,10523,,595.35,,1246,359,2818,285,,,,,, 510031,01-OCT-14,30-SEP-15,As Submitted,ST FRANCIS HOSPITAL ,333 LAIDLEY STREET ,,CHARLESTON ,WV ,25301- ,KANAWHA ,,,,240482,,,.086,,,113,41245,5727,1674,12071,,584.58,,1382,423,3015,32,,,,,, 510038,01-OCT-14,30-SEP-15,As Submitted,STONEWALL JACKSON MEMORIAL HOSPITAL ,ROUTE 4 ,10 ,WESTON ,WV ,26452 ,LEWIS ,,,,210648,,,.2063,,,70,25550,2932,963,7503,,407.66,,722,427,1922,,,,,,, 510039,01-JAN-15,31-DEC-15,As Submitted,OHIO VALLEY GENERAL HOSPITAL ,2000 EOFF STREET ,,WHEELING ,WV ,26003 ,OHIO ,956683,,,278297,,,.12,443241,627446,119,43435,6242,2231,19815,32.54,739,,1327,457,4196,617,,,,,1460, 510046,01-JUL-15,30-JUN-16,As Submitted,PRINCETON COMMUNITY HOSPITAL ,TWELFTH STREET ,1369 ,PRINCETON ,WV ,24774- ,MERCER ,,,,661729,,,.1578,,,162,59292,11494,2983,26900,,943.32,,2419,1242,5947,,,,1227,,2265, 510047,01-JAN-15,31-DEC-15,As Submitted,FAIRMONT REGIONAL MEDICAL CENTER ,1325 LOCUST AVENUE ,,FAIRMONT ,WV ,26554 ,MARION ,,,,324224,,,.1078,,,94,34310,7922,,15352,,967.58,,1651,,3619,,,,963,,1395, 510048,01-OCT-14,30-SEP-15,As Submitted,LOGAN REGIONAL MEDICAL CENTER ,20 HOSPITAL DRIVE ,,LOGAN ,WV ,25601 ,LOGAN ,,,,342469,,,.12,,,132,48180,11473,3646,21349,,588.5,,1914,869,4093,515,,,,,,81 510050,01-OCT-14,30-SEP-15,Amended,WHEELING HOSPITAL ,1 MEDICAL PARK ,,WHEELING ,WV ,26003 ,OHIO ,1303701,,,542800,,,.093,660402,488357,223,81395,14877,7638,46918,23.14,1910.98,,3159,1559,10223,,,,,,, 510055,01-OCT-14,30-SEP-15,Amended,CABELL HUNTINGTON HOSPITAL ,1340 HAL GREER BLVD ,,HUNTINGTON ,WV ,25701 ,CABELL ,3872398,,,3561823,,,.4475,1218005,731935,288,105120,19881,15804,78070,107.59,2236.56,,3706,6234,16154,,,,,,, 510058,01-JAN-15,31-DEC-15,Amended,CAMDEN-CLARK MEMORIAL HOSPITAL ,800 GARFIELD AVENUE ,718 ,PARKERSBURG ,WV ,26102 ,WOOD ,1002041,,,1269531,,,.1529,487100,227528,226,82490,21226,5020,45236,15.65,1370.55,,4800,2403,10947,,,,381,,649, 510062,01-JUL-15,30-JUN-16,As Submitted,BECKLEY ARH ,306 STANAFORD ROAD ,,BECKLEY ,WV ,25801- ,RALEIGH ,,,,486178,,,.12,,,100,36600,10870,4013,20276,,586.85,,2113,835,4219,163,,,1528,,2530, 510070,01-JUN-15,31-MAY-16,Amended,RALEIGH GENERAL HOSPITAL ,1710 HARPER ROAD ,,BECKLEY ,WV ,25801 ,RALEIGH ,,,,1515778,,,.1866,,,300,109800,22778,5538,46585,,887.25,,4503,2046,10028,,,,,,, 510071,01-JUL-15,30-JUN-16,Amended,BLUEFIELD REGIONAL MEDICAL CENTER ,500 CHERRY ST ,,BLUEFIELD ,WV ,24701- ,MERCER ,1349761,,,584477,,,.2137,738412,461386,92,33672,6494,2168,14417,22.39,435.25,,1466,989,3572,,,,,,, 510072,01-JUL-15,30-JUN-16,As Submitted,WETZEL COUNTY HOSPITAL ,3 EAST BENJAMIN DRIVE ,,NEW MARTINSVILLE ,WV ,26155 ,WETZEL ,,,,21169,,,.0881,,,48,17568,1152,111,2390,,195.81,,188,34,419,34,,,,,, 510077,01-OCT-14,30-SEP-15,Amended,WILLIAMSON MEMORIAL HOSPITAL ,859 ALDERSON STREET ,,WILLIAMSON ,WV ,25661 ,MINGO ,,,,70341,,,.12,,,76,27740,1783,670,3832,,145.02,,498,182,1166,,,,,,, 510082,01-JAN-15,31-DEC-15,Amended,SUMMERSVILLE REGIONAL MED CENTER ,400 FAIRVIEW HEIGHTS ROAD ,,SUMMERSVILLE ,WV ,26551 ,NICHOLAS ,,,,129212,,,.12,,,49,17885,4630,1845,9267,,378.82,,823,710,2205,62,,,,,, 510086,01-JUL-15,30-JUN-16,As Submitted,WELCH COMMUNITY HOSPITAL ,454 MCDOWELL STREET ,,WELCH ,WV ,24801- ,MCDOWELL ,,,,31703,,,.12,,,49,17934,1127,921,3025,,245.26,,237,254,705,,,,,,, 510091,03-FEB-15,31-DEC-15,As Submitted,CHARLESTON SURGICAL HOSPITAL ,1306 KANAWHA BLVD E ,,CHARLETON ,WV ,25328 ,KANAWHA ,,,,,,,,,,35,11620,76,12,337,,72.42,,36,6,158,,,,,,, 511300,01-JAN-15,31-DEC-15,As Submitted,BROADDUS HOSPITAL ASSOCIATION ,MANSFIELD HILL ,,PHILIPPI ,WV ,26416- ,BARBOUR ,,,,,,,,,,12,4380,1654,21,2305,,132.99,,38,6,68,,,,,,, 511301,01-JUL-15,30-JUN-16,As Submitted,WEBSTER COUNTY MEMORIAL HOSPITAL ,324 MILLER MOUNTAIN ROAD ,,WEBSTER SPRINGS ,WV ,26288- ,WEBSTER ,,,,,,,,,,25,9150,285,31,478,,149.98,,63,15,119,,,,,,, 511303,01-JAN-15,31-DEC-15,As Submitted,MINNIE HAMILTON HEALTH CARE CENTER ,186 HOSPITAL DRIVE ,,GRANTSVILLE ,WV ,26147- ,CALHOUN ,,,,,,,,,,25,9125,1085,63,1486,,190.72,,137,23,219,6,,,,,, 511304,01-JAN-15,31-DEC-15,As Submitted,SISTERSVILLE GENERAL HOSPITAL ,314 SOUTH WELLS STREET ,,SISTERSVILLE ,WV ,26175 ,TYLER ,,,,,,,,,,25,9125,210,29,517,,111.3,,40,13,104,4,,,,,, 511306,01-OCT-14,30-SEP-15,As Submitted,ROANE GENERAL HOSPITAL ,200 HOSPITAL DRIVE ,,SPENCER ,WV ,25276-1060 ,ROANE ,,,,,,,,,,25,9125,1808,101,3172,,205.81,,147,40,287,,,,,,, 511307,01-JUL-15,30-JUN-16,As Submitted,GRAFTON CITY HOSPITAL ,ROUTE 50 & MARKET STREET ,,GRAFTON ,WV ,26354- ,TAYLOR ,,,,,,,,,,25,9150,2402,118,3274,,151.82,,187,36,332,6,,,,,, 511308,01-JAN-15,31-DEC-15,As Submitted,BRAXTON COUNTY MEMORIAL HOSPITAL ,100 HOYLMAN DRIVE ,,GASSAWAY ,WV ,26624 ,BRAXTON ,,,,,,,,,,25,9125,676,75,1112,,136.03,,159,28,299,5,,,,,, 511309,01-JAN-15,31-DEC-15,Amended,WAR MEMORIAL HOSPITAL ,1 HEALTHY WAY ,,BERKELEY SPRINGS ,WV ,25411- ,MORGAN ,,,,,,,,,,25,9125,2241,13,2888,,133.3,,118,5,181,,,,,,, 511310,01-JUL-15,30-JUN-16,As Submitted,SUMMERS COUNTY ARH ,TERRACE STREET ,,HINTON ,WV ,25951- ,SUMMERS ,,,,,,,,,,25,9150,2101,71,2955,,105.21,,261,26,373,11,,,,,, 511311,01-JAN-15,31-DEC-15,Amended,HAMPSHIRE MEMORIAL HOSPITAL ,363 SUNRISE BOULEVARD ,,ROMNEY ,WV ,26757- ,HAMPSHIRE ,,,,,,,,,,14,5110,1315,83,2181,,114.1,,207,38,338,2,,,,,, 511312,01-JAN-15,30-JUN-15,As Submitted,PRESTON MEMORIAL HOSPITAL ,150 MEMORIAL DRIVE ,,KINGWOOD ,WV ,26537- ,PRESTON ,,,,,,,,,,25,4525,1182,219,1885,,251.98,,217,71,421,5,,,,,, 511312,01-JUL-15,30-JUN-16,As Submitted,PRESTON MEMORIAL HOSPITAL ,150 MEMORIAL DRIVE ,,KINGWOOD ,WV ,26537- ,PRESTON ,,,,,,,,,,25,9150,1504,191,2604,,272.09,,357,66,727,57,,,,,, 511313,01-JUL-15,30-JUN-16,As Submitted,BOONE MEMORIAL HOSPITAL ,701 MADISON ,,MADISON ,WV ,25130- ,BOONE ,,,,,,,,,,25,9150,2619,160,3858,,189.32,,228,79,405,,,,,,, 511314,01-JUL-15,30-JUN-16,As Submitted,POCAHONTAS MEMORIAL HOSPITAL ,RT 2 BOX 52W ,,BUCKEYE ,WV ,24924- ,POCAHONTAS ,,,,,,,,,,25,9150,673,31,1153,,121,,61,16,129,7,,,,,, 511315,01-JAN-15,31-DEC-15,As Submitted,POTOMAC VALLEY HOSPITAL ,PIN OAK LANE ,,KEYSER ,WV ,26726 ,MINERAL ,,,,,,,,,,25,9125,1599,203,2455,,190.07,,358,59,654,,,,,,, 511316,01-JUL-15,30-JUN-16,As Submitted,GRANT MEMORIAL HOSPITAL ,117 HOSPITAL DRIVE ,1019 ,PETERSBURG ,WV ,26847 ,GRANT ,,,,,,,,,,25,9150,3231,244,6479,,291.14,,604,191,1331,,,,,,, 511317,01-JAN-15,31-DEC-15,Amended,PLATEAU MEDICAL CENTER ,430 MAIN STREET ,,OAK HILL ,WV ,25901- ,FAYETTE ,,,,,,,,,,25,9125,2653,570,4208,,181.48,,763,217,1279,,,,,,, 511318,01-JAN-15,31-DEC-15,As Submitted,MONTGOMERY GENERAL HOSPITAL ,401 6TH AVENUE ,,MONTGOMERY ,WV ,25136 ,FAYETTE ,,,,,,,,,,25,9125,2501,52,2725,,187.76,,142,17,311,,,,,,, 511319,01-JAN-15,31-DEC-15,Amended,JEFFERSON MEMORIAL HOSPITAL ,300 S. PRESTON STREET ,,RANSON ,WV ,25438 ,JEFFERSON ,,,,,,,,,,25,9125,1649,435,4130,12.28,294.1,,486,163,1339,,,,,,, 511320,01-OCT-14,30-SEP-15,As Submitted,JACKSON GENERAL HOSPITAL ,PINNELL STREET ,,RIPLEY ,WV ,25271 ,JACKSON ,,,,,,,,,,25,9125,2321,113,3645,,227.99,,485,94,887,6,,,,,, 511321,01-OCT-14,30-SEP-15,As Submitted,ST. JOSEPHS HOSPITAL ,1 AMALIA DRIVE ,,BUCKHANNON ,WV ,26201- ,UPSHUR ,,,,,,,,,,25,9125,968,845,3472,,336.18,,309,163,1074,148,,,,,, 512002,01-SEP-15,31-AUG-16,As Submitted,SSH - CHARLESTON ,333 LAIDLEY STWY ,,CHARLESTON ,WV ,25301 ,KANAWHA ,,,,,,,,,,32,11712,7863,,11028,,99.32,,310,,429,2,,,,,, 512003,01-NOV-14,31-OCT-15,Settled,CORNERSTONE HOSPITAL OF HUNTINGTON ,2900 FIRST AVE ,,HUNTINGTON ,WV ,25702- ,CABELL ,,,,,,,,,,28,10220,6059,138,8356,,67.07,,246,6,346,,,,,,, 513025,01-JAN-15,31-DEC-15,As Submitted,PETERSON REHABILITATION HOSPITAL ,20 HOMESTEAD AVENUE ,,WHEELING ,WV ,26003 ,OHIO ,,,,,,,,,,22,8030,1962,,3035,,16,,164,,164,,,,,,, 513026,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH SOUTHERN HILLS REHABILIT ,120 12TH STREET ,,PRINCETON ,WV ,24740 ,MERCER ,,,,,,,,,,60,21900,8267,,10867,,89.99,,718,,945,22,,,,,, 513027,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH WESTERN HILLS REGIONAL R ,3 WESTERN HILLS DRIVE ,1428 ,PARKERSBURG ,WV ,26105 ,WOOD ,,,,,,,,,,40,14600,10933,11,13149,,123.14,,912,1,1101,13,,,,,, 513028,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,6900 WEST COUNTRY CLUB DRIVE ,,HUNTINGTON ,WV ,25705- ,CABELL ,,,,,,,,,,62,22630,12323,,16623,,145.47,,980,,1303,21,,,,,, 513030,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH MOUNTAIN VIEW REGIONAL R ,1160 VAN VOORHIS ROAD ,,MORGANTOWN ,WV ,26505 ,MONONGALIA ,,,,,,,,,,96,35040,17482,125,25530,,246.2,,1355,6,1907,45,,,,,, 514001,01-OCT-14,30-SEP-15,Settled,HIGHLAND HOSPITAL ASSOC ,300 56TH STREET ,,CHARLESTON ,WV ,25364- ,KANAWHA ,,,,,,,,,,40,14600,2131,3459,9579,,240.71,,274,538,1381,,,,,,, 514008,01-JAN-15,31-DEC-15,Settled,RIVER PARK HOSPITAL ,1230 SIXTH AVENUE ,,HUNTINGTON ,WV ,25719-1875 ,CABELL ,,,,,,,,,,121,44165,4274,7800,31338,.26,175.5,,258,510,1797,,,,,,, 514009,01-JUL-15,30-JUN-16,Settled,MILDRED MITCHELL-BATEMAN HOSPITAL ,1530 NORWAY AVENUE ,,HUNTINGTON ,WV ,25706 ,CABELL ,,,,,,,,,,110,40260,3072,528,40260,.98,385.92,,116,20,552,,,,,,, 514010,01-JUL-15,30-JUN-16,As Submitted,WILLIAM R SHARPE JR HOSPITAL ,936 SHARPE HOSPITAL ROAD ,1127 ,WESTON ,WV ,26452-8550 ,LEWIS ,,,,,,,,,,150,54900,1814,726,50979,,431.09,,83,21,497,,,,,,, 514011,01-OCT-14,30-SEP-15,Settled,HIGHLAND CLARKSBURG HOSPITAL ,3 HOSPITAL PLAZA ,,CLARKSBURG ,WV ,26301 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 520002,01-JUL-15,30-JUN-16,As Submitted,ST. MICHAELS HOSPITAL ,900 ILLINOIS AVENUE ,,STEVENS POINT ,WI ,54481 ,PORTAGE ,,,,192931,,,.083,,,89,32574,4765,1095,15353,,1199.3,,1338,182,4382,614,,,,,, 520004,01-JAN-15,31-DEC-15,Amended,MCHS FRANCISCAN HEALTHCARE INC ,700 WEST AVE SOUTH ,,LA CROSSE ,WI ,54601-4783 ,LA CROSSE ,1053479,,,730684,,,.1355,530786,495944,145,52925,11294,4292,28115,17.86,2669.14,,2604,1148,6048,587,,,,,, 520008,01-OCT-14,30-SEP-15,Amended,WAUKESHA MEMORIAL HOSPITAL ,725 AMERICAN AVENUE ,,WAUKESHA ,WI ,53188-5099 ,WAUKESHA ,1313980,,,,,,,465734,313656,247,94025,19173,1991,51685,20.16,1548.94,,4505,500,12820,1067,143,,58,,704, 520009,01-JUL-15,30-JUN-16,As Submitted,ST. ELIZABETH HOSPITAL ,1506 SOUTH ONEIDA STREET ,,APPLETON ,WI ,54915 ,OUTAGAMIE ,148831,,,482060,,,.1538,90240,52830,190,69540,5986,4021,37282,5.21,879.9,,1372,781,8413,1721,,,,,, 520011,01-OCT-14,30-SEP-15,Amended,LAKEVIEW MEDICAL CENTER ,1700 WEST STOUT STREET ,,RICE LAKE ,WI ,54868- ,BARRON ,,,,188749,,,.1185,,,40,14600,2576,1069,6989,,371.71,,887,81,2377,246,,,,,, 520013,01-JUL-15,30-JUN-16,As Submitted,SACRED HEART HOSPITAL ,900 WEST CLAIREMENT AVE ,,EAU CLAIRE ,WI ,54701 ,EAU CLAIRE ,697343,,,1122277,,,.1393,265469,62804,177,64627,18058,3543,42574,6.13,1132.89,,3534,353,9922,1955,,,,4,,206 520017,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPHS HOSPITAL ,2661 COUNTY HWY I ,,CHIPPEWA FALLS ,WI ,54729 ,CHIPPEWA ,,,,248187,,,.2591,,,102,37332,2181,1187,13244,,312.42,,624,187,3062,930,,,,,, 520019,01-JUL-15,30-JUN-16,As Submitted,SAINT MARYS HOSPITAL ,2251 NORTH SHORE DRIVE ,,RHINELANDER ,WI ,54501- ,ONEIDA ,,,,171461,,,.093,,,59,21594,3527,739,8246,,578.93,,998,115,2449,110,106,,122,,494, 520021,01-JUL-15,30-JUN-16,As Submitted,UNITED HOSPITAL SYSTEM INC. ,6308 8TH AVENUE ,,KENOSHA ,WI ,53143- ,KENOSHA ,,,,659922,,,.107,,,221,80574,14817,2649,36631,,1888.03,,2980,598,7854,,,,,,, 520027,01-JUL-15,30-JUN-16,As Submitted,COLUMBIA ST. MARYS OZAUKEE CAMPUS ,13111 N. PORT WASHINGTON RD ,,MEQUON ,WI ,53097- ,OZAUKEE ,,,,164608,,,.0391,,,120,43920,9641,1160,22300,,719.55,,2123,205,5051,,,,,,, 520028,01-JAN-15,31-DEC-15,As Submitted,MONROE CLINIC ,515 22ND AVENUE ,,MONROE ,WI ,53566 ,GREEN ,53685,,,,,,,9525,19511,95,34675,4347,696,9529,.83,980.43,,1184,61,2590,346,,,,,, 520030,01-JUL-15,30-JUN-16,As Submitted,ASPIRUS WAUSAU HOSPITAL ,333 PINE RIDGE BOULEVARD ,,WAUSAU ,WI ,54401 ,MARATHON ,1451263,,,591463,,,.057,363914,269744,227,82855,17926,995,53978,14.77,1638.95,,4149,179,11418,,,,,8,,235 520033,01-JUL-15,30-JUN-16,As Submitted,ASPIRUS RIVERVIEW HOSPITAL & CLINICS ,410 DEWEY STREET ,8080 ,WISCONSIN RAPIDS ,WI ,54495-8080 ,WOOD ,,,,111706,,,.0652,,,44,16104,2767,231,8557,,480,,918,210,2715,,,,,,, 520034,01-JAN-15,31-DEC-15,Amended,AURORA MED CTR OF MANITOWOC COUNTY ,5000 MEMORIAL DRIVE ,,TWO RIVERS ,WI ,54241-2399 ,MANITOWOC ,,,,86574,,,.0747,,,69,25185,2188,505,6428,,327.8,,660,235,2110,329,,,,,, 520035,01-JAN-15,31-DEC-15,Amended,SHEBOYGAN MEMORIAL HOSPITAL ,2629 N. SEVENTH STREET ,,SHEBOYGAN ,WI ,53083- ,SHEBOYGAN ,,,,561642,,,.2074,,,134,48910,4970,2644,20046,,561,,1305,774,5484,1008,,,,,, 520037,01-JUL-15,30-JUN-16,Amended,ST. JOSEPHS HOSPITAL ,611 ST. JOSEPH AVE ,,MARSHFIELD ,WI ,54449 ,WOOD ,1879195,,,1023868,,,.1223,1995553,579454,286,104676,18951,5566,65016,63.93,1538.9,,3377,739,12103,2137,,,,4,,149 520038,01-JAN-15,31-DEC-15,Amended,AURORA MEDICAL CENTER - HARTFORD ,1032 E. SUMNER STREET ,,HARTFORD ,WI ,53027- ,WASHINGTON ,,,,,,,,,,53,19345,2634,52,5212,,280.81,,679,25,1539,,,,,,, 520041,01-JUL-15,30-JUN-16,As Submitted,DIVINE SAVIOR HOSPITAL ,2817 NEW PINERY ROAD ,387 ,PORTAGE ,WI ,53901- ,COLUMBIA ,,,,126103,,,.0826,,,43,15738,2656,215,5404,,592.01,,797,72,1723,183,,,,,, 520044,01-JUL-15,30-JUN-16,As Submitted,ST. NICHOLAS HOSPITAL ,3100 SUPERIOR AVENUE ,,SHEBOYGAN ,WI ,53081- ,SHEBOYGAN ,,,,40072,,,.0273,,,53,19398,2809,213,8450,,355.25,,731,63,2447,,,,,,, 520045,01-JAN-15,31-DEC-15,As Submitted,THEDACARE REGIONAL MEDICAL CENTER - ,130 SECOND ST ,,NEENAH ,WI ,54956 ,WINNEBAGO ,,,,289463,,,.0807,,,139,50735,6023,1730,32752,,1028,,1493,312,7387,644,,,,15,,193 520048,01-JUL-15,30-JUN-16,As Submitted,MERCY MEDICAL CENTER ,500 S. OAKWOOD ROAD ,,OSHKOSH ,WI ,54904 ,WINNEBAGO ,,,,227282,,,.1032,,,106,38796,4155,1182,17335,,481.3,,1022,616,4540,612,,,,8,,64 520049,01-OCT-14,30-SEP-15,As Submitted,BELLIN MEMORIAL HOSPITAL ,744 S WEBSTER AVENUE ,23400 ,GREEN BAY ,WI ,54305-3400 ,BROWN ,,,,340828,,,.0543,,,161,58765,8999,1391,30330,,2384.1,,2344,385,8181,645,,,,2,,259 520051,01-JUL-15,30-JUN-16,Amended,COLUMBIA ST MARYS HOSPITAL MILWAUKEE ,2323 NORTH LAKE DRIVE ,503 ,MILWAUKEE ,WI ,53211- ,MILWAUKEE ,1842611,,,1741533,,,.302,1091721,779882,269,98256,14993,9682,61528,43.4,2142,,2642,1949,14517,,,,,,, 520057,01-JAN-15,31-DEC-15,As Submitted,ST. CLARE HOSPITAL ,707 FOURTEENTH STREET ,,BARABOO ,WI ,53913 ,SAUK ,236340,,,141365,,,.0868,136009,104240,43,15695,3317,489,6223,4.46,308.74,,971,214,2099,,,,,,, 520059,01-JAN-15,31-DEC-15,Amended,MEMORIAL HOSPITAL OF BURLINGTON ,252 MCHENRY ST ,,BURLINGTON ,WI ,53105- ,RACINE ,,,,,,,,,,41,14965,4028,73,7773,,290,,1131,18,2359,,,,,,, 520062,01-OCT-14,30-SEP-15,Settled,OCONOMOWOC MEMORIAL HOSPITAL ,791 SUMMIT AVENUE ,,OCONOMOWOC ,WI ,53066- ,WAUKESHA ,,,,,,,,,,58,21170,3738,288,9442,,288.32,,1114,73,3015,246,,,,,, 520063,01-JUL-15,30-JUN-16,As Submitted,ST. JOSEPHS COMM. HOSPT. ,3200 PLESANT VALLEY ROAD ,,WEST BEND ,WI ,53095 ,WASHINGTON ,,,,65835,,,.0257,,,70,25630,5526,832,15035,,477.74,,1361,113,3883,374,,,,,, 520066,01-JUL-15,30-JUN-16,As Submitted,MERCY HEALTH SYSTEM CORPORATION ,1000 MINERAL POINT AVE ,5003 ,JANESVILLE ,WI ,53547-5003 ,ROCK ,1115675,,,593640,,,.1037,434720,346991,182,66612,12008,2054,29094,22.98,2431.71,,2539,608,7141,816,,,,20,,175 520070,01-JAN-15,31-DEC-15,Amended,MCHS EAU CLAIRE HOSPITAL ,1221 WHIPPLE STREET ,4105 ,EAU CLAIRE ,WI ,54702- ,EAU CLAIRE ,885059,1549,,731542,1280,,.069,259628,103441,190,69350,23046,5729,46329,7.33,1312.97,,4568,1100,9643,502,,,,,, 520071,01-OCT-14,30-SEP-15,Settled,FORT ATKINSON MEMORIAL HOSPITAL ,611 E SHERMAN AVENUE ,,FORT ATKINSON ,WI ,53538 ,JEFFERSON ,,,,89103,,,.0474,,,72,26280,2905,244,6541,,623.45,,970,96,2061,166,,,,,, 520075,01-JUL-15,30-JUN-16,As Submitted,ST. VINCENT HOSPITAL ,835 SOUTH VAN BUREN ST. ,P.O. BOX 13508 ,GREEN BAY ,WI ,54307-3508 ,BROWN ,,,,956648,,,.1662,,,223,81618,10461,4952,45606,,1438,,2346,944,10023,,,,,19,,364 520076,01-JUL-15,30-JUN-16,As Submitted,BEAVER DAM COMMUNITY HOSPITALS ,707 SOUTH UNIVERSITY AVENUE ,,BEAVER DAM ,WI ,53916 ,DODGE ,,,,101158,,,.1033,,,125,45750,1628,817,4494,,543.1,,591,35,1442,138,,,,,, 520078,01-JUL-15,30-JUN-16,Amended,ST. FRANCIS HOSPITAL ,3237 SOUTH 16TH STREET ,,MILWAUKEE ,WI ,53215- ,MILWAUKEE ,8284,,,1149410,,,.2675,3797,2762,168,61320,11768,4644,36851,.2,1141.32,,1950,956,7265,1661,,,,,, 520083,01-JAN-15,31-DEC-15,Amended,ST. MARYS HOSPITAL ,700 SOUTH PARK STREET ,,MADISON ,WI ,53715-1830 ,DANE ,4622940,,,1841809,,,.0856,1556622,427587,357,130305,40336,7362,90453,41.76,1830.75,,8224,1803,17980,,,,126,,873, 520087,01-JAN-15,31-DEC-15,Amended,GUNDERSEN LUTHERAN MEDICAL CENTER I ,1910 SOUTH AVENUE ,,LA CROSSE ,WI ,54601- ,LA CROSSE ,4255582,,,1696358,,,.1647,993470,1142230,249,90956,19419,4792,63050,50.56,5393.37,,4126,805,13892,2266,,,,4,,407 520088,01-JUL-15,30-JUN-16,As Submitted,ST. AGNES HOSPITAL ,430 EAST DIVISION STREET ,,FOND DU LAC ,WI ,54935 ,FOND DU LAC ,,,,252304,,,.0583,,,125,45750,7410,1446,22592,,1807,,1876,294,5888,603,102,,73,,708,84 520089,01-JAN-15,31-DEC-15,As Submitted,MERITER HOSPITAL INC. ,202 SOUTH PARK STREET ,,MADISON ,WI ,53715-1596 ,DANE ,2687273,,,1348178,,,.1318,793101,317511,283,103295,17375,5208,65515,45.88,2217.74,,3902,967,14364,,,,200,20,773,363 520091,01-JUL-15,30-JUN-16,As Submitted,HOWARD YOUNG MEDICAL CENTER ,290 MAPLE STREET ,470 ,WOODRUFF ,WI ,54568- ,ONEIDA ,,,,96124,,,.0511,,,99,36234,4171,818,9067,,330.8,,1039,241,2358,159,,,,,, 520095,01-JAN-15,31-DEC-15,As Submitted,SAUK PRAIRIE MEMORIAL HOSPITAL ,260 26TH STREET ,,PRAIRIE DU SAC ,WI ,53578- ,SAUK ,,,,,,,,,,36,13140,1926,300,5358,,394.18,,791,42,1796,69,,,,,, 520096,01-JUL-15,30-JUN-16,Amended,WHEATON FRANCISCAN HEALTHCARE - ALL ,3801 SPRING STREET ,,RACINE ,WI ,53405- ,RACINE ,70115,,,1730140,,,.2208,63442,56068,286,105955,18385,6514,58116,,2035.53,,3660,1175,12292,2281,,,,11,,398 520097,01-JUL-15,30-JUN-16,As Submitted,ST. MARYS HOSPITAL MEDICAL CENTER ,1726 SHAWANO AVENUE ,,GREEN BAY ,WI ,54303 ,BROWN ,,,,143584,,,.0691,,,83,30378,4021,787,13956,,583.82,,1039,229,3934,,,,,,, 520098,01-JUL-15,30-JUN-16,Amended,UNIVERSITY OF WI HOSPITALS & CLINICS ,600 HIGHLAND AVE ,,MADISON ,WI ,53792 ,DANE ,30408549,,,2908716,,,.0991,6541775,3831884,564,206424,51610,20633,153733,406.79,7646.02,,9673,1978,30819,,,,139,1,1298,159 520100,01-JAN-15,31-DEC-15,Amended,BELOIT MEMORIAL HOSPITAL INC. ,1969 WEST HART ROAD ,,BELOIT ,WI ,53511 ,ROCK ,,,,361143,,,.1055,,,103,37595,8637,1057,18017,,1300,,1865,300,4147,433,,,,,, 520102,01-JAN-15,31-DEC-15,Amended,AURORA LAKELAND MEDICAL CENTER ,W3985 HIGHWAY NN ,1002 ,ELKHORN ,WI ,53121-1002 ,WALWORTH ,,,,164161,,,.0954,,,64,23360,3834,637,9479,,312.35,,1030,247,2666,476,,,,6,,137 520103,01-JUL-15,30-JUN-16,As Submitted,COMMUNITY MEMORIAL HOSPITAL ,W180 N8085 TOWN HALL ROAD ,,MENOMONEE FALLS ,WI ,53051 ,WAUKESHA ,,,,,,,,,,169,61854,10113,793,25055,,884.64,,2724,216,7508,480,134,,90,1,771,255 520107,01-JAN-15,31-DEC-15,As Submitted,HOLY FAMILY MEMORIAL INC ,2300 WESTERN AVENUE ,1450 ,MANITOWOC ,WI ,54221 ,MANITOWOC ,,,,83408,,,.0429,,,67,24455,3827,385,9655,,834.68,,946,106,2685,247,,,,,, 520109,01-OCT-14,30-SEP-15,Amended,MILE BLUFF MEDICAL CENTER INC. ,1050 DIVISION STREET ,,MAUSTON ,WI ,53948- ,JUNEAU ,,,,72400,,,.0859,,,40,14600,2332,409,4282,,344.38,,594,71,1240,,,,,,, 520113,01-JAN-15,31-DEC-15,As Submitted,BAY AREA MEDICAL CENTER ,3100 SHORE DRIVE ,,MARINETTE ,WI ,54143- ,MARINETTE ,,,,144537,,,.0583,,,99,36135,6129,754,11993,,552.53,,1370,68,3109,,,,,,, 520116,01-OCT-14,31-AUG-15,Amended,WATERTOWN REGIONAL MEDICAL CENTER ,125 HOSPITAL DRIVE ,,WATERTOWN ,WI ,53098 ,DODGE ,,,,,,,,,,95,31825,2226,264,5508,,639.09,,683,250,1639,,,,,,, 520116,01-SEP-15,31-AUG-16,As Submitted,WATERTOWN REGIONAL MEDICAL CENTER ,125 HOSPITAL DRIVE ,,WATERTOWN ,WI ,53098 ,DODGE ,,,,70858,,,.047,,,95,34770,2974,523,6493,,622.32,,870,113,2268,294,,,,,, 520136,01-JUL-15,30-JUN-16,Amended,WHEATON FRANCISCAN INC. ,5000 WEST CHAMBERS STREET ,,MILWAUKEE ,WI ,53210- ,MILWAUKEE ,2782839,,,2290441,,,.3215,1870660,910010,321,117486,14221,8314,63816,63.86,2201.39,,3032,1211,13353,3004,,,,11,,264 520138,01-JAN-15,31-DEC-15,Amended,AURORA HEALTH CARE METRO INC. ,2900 WEST OKLAHOMA AVENUE ,,MILWAUKEE ,WI ,53215 ,MILWAUKEE ,10908318,,,6664695,,,.1897,5516821,2555492,882,317239,82594,24778,233522,137.82,5660.65,,13534,12893,42079,8655,,,,140,,1257 520139,01-JAN-15,31-DEC-15,Amended,WEST ALLIS MEMORIAL HOSPITAL ,8901 WEST LINCOLN AVENUE ,,WEST ALLIS ,WI ,53227-2409 ,MILWAUKEE ,62386,,,850778,,,.1391,,,229,83585,15067,6363,59491,3.05,1054.1,,3320,1344,13372,2725,,,,,, 520160,01-JAN-15,31-DEC-15,As Submitted,THEDACARE REGIONAL MEDICAL CENTER AP ,1818 N MEADE ST ,,APPLETON ,WI ,54911 ,OUTAGAMIE ,960029,,,,,,,371039,173496,147,53655,9648,754,36083,13.25,1258,,2158,71,8144,739,,,,,, 520177,01-JUL-15,30-JUN-16,As Submitted,FROEDTERT MEM. LUTHERAN HOSPT. ,9200 WEST WISCONSIN AVENUE ,,MILWAUKEE ,WI ,53226 ,MILWAUKEE ,18335557,,,2917221,,,.1545,6237538,5315576,508,181982,40131,10601,143755,329.83,4547.86,,7115,2276,26548,3722,,,,,,514 520189,01-JAN-15,31-DEC-15,Amended,AURORA MEDICAL CENTER KENOSHA ,10400 75TH STREET ,,KENOSHA ,WI ,53142 ,KENOSHA ,,,,249881,,,.0722,,,73,26645,6799,1160,19064,.08,636,,1768,375,5179,859,,,,,, 520193,01-JAN-15,31-DEC-15,Amended,AURORA BAYCARE MEDICAL CENTER ,2845 GREENBRIAR ROAD ,,GREEN BAY ,WI ,54311- ,BROWN ,,,,679689,,,.1302,,,161,58765,10076,5151,38217,,1233.87,,2173,571,8517,466,,,,,,119 520194,01-JAN-15,31-DEC-15,As Submitted,ORTHOPAEDIC HOSPITAL OF WISCONSIN ,575 WEST RIVER WOODS PARKWAY ,,GLENDALE ,WI ,53212 ,MILWAUKEE ,,,,,,,,,,30,10950,846,29,3012,,174.91,,321,13,1190,46,,,,,, 520195,01-JUL-15,30-JUN-16,As Submitted,COLUMBIA CENTER ,13125 N. PORT WASHINGTON ROAD ,,MEQUON ,WI ,53097 ,OZAUKEE ,,,,,,,,,,17,6222,1,59,2772,,34.26,,1,27,1119,207,,,,,, 520196,01-JAN-15,31-DEC-15,As Submitted,OAK LEAF SURGICAL HOSPITAL LLC ,1000 OAKLEAF WAY ,,ALTOONA ,WI ,54720 ,EAU CLAIRE ,,,,,,,,,,13,4745,607,11,1472,,183.27,,251,6,623,35,,,,,, 520198,01-JAN-15,31-DEC-15,Amended,AURORA MEDICAL CENTER OF OSHKOSH ,855 N. WESTHAVEN DRIVE ,,OSHKOSH ,WI ,54904- ,WINNEBAGO ,,,,162559,,,.0819,,,61,22265,3447,845,10448,,440.56,,965,255,3083,449,,,,,, 520202,01-JUL-15,30-JUN-16,As Submitted,SAINT CLARES HOSPITAL ,3400 MINISTRY PARKWAY ,,WESTON ,WI ,54476- ,MARATHON ,,,,316960,,,.0622,,,98,35868,8640,1633,21472,,510.79,,2281,237,4546,631,,,,,, 520204,01-JUL-15,30-JUN-16,Amended,WHEATON FRANCISCAN - FRANKLIN ,10101 SOUTH 27TH STREET ,,FRANKLIN ,WI ,53132- ,MILWAUKEE ,,,,,,,,,,44,16060,3664,316,9985,,400.36,,816,68,2327,132,,,,,, 520205,01-JAN-15,31-DEC-15,As Submitted,MIDWEST ORTHOPEDIC SPECIALTY HOSP ,10101 S 27TH ST ,,FRANKLIN ,WI ,53132- ,MILWAUKEE ,58868,,,,,,,9194,3099,16,5840,943,20,2954,.26,111.09,,396,10,1325,27,,,,,, 520206,01-JAN-15,31-DEC-15,Amended,AURORA MEDICAL CENTER - SUMMIT ,36500 AURORA DRIVE ,,SUMMIT ,WI ,53066 ,WAUKESHA COUNTY ,,,,,,,,,,77,28105,4052,703,12568,,459.31,,948,176,3162,282,,,,4,,95 520207,01-JAN-15,31-DEC-15,Amended,AURORA MEDICAL CENTER GRAFTON ,975 PORT WASHINGTON ROAD ,,GRAFTON ,WI ,53024 ,OZAUKEE ,,,,,,,,,,107,39055,8776,514,26759,.17,748.62,,2251,149,7273,442,,,,,, 520208,01-JAN-15,31-DEC-15,As Submitted,ST. MARYS JANESVILLE HOSPITAL ,3400 EAST RACINE STREET ,,JANESVILLE ,WI ,53546 ,ROCK ,,,,154904,,,.0602,,,50,18250,5974,654,10098,,307.57,,1498,306,3261,,,,,,, 521300,01-JUL-15,30-JUN-16,Amended,EAGLE RIVER MEMORIAL HOSPITAL ,201 HOSPITAL ROAD ,,EAGLE RIVER ,WI ,54521- ,VILAS ,,,,,,,,,,25,9150,1107,24,1555,,95.8,,182,10,304,,,,,,, 521302,01-OCT-14,30-SEP-15,Settled,MCHS OAKRIDGE ,13025 8TH STREET ,70 ,OSSEO ,WI ,54758-0070 ,TREMPEAULEAU ,,,,,,,,,,18,6570,3175,,4302,,152.76,,60,3,102,,,,,,, 521303,01-OCT-14,31-DEC-14,Settled,WILD ROSE COMMUNITY MEM. HOSPITAL ,601 GROVE AVENUE ,,WILD ROSE ,WI ,54948- ,WAUSHARA ,,,,,,,,,,25,2300,317,48,590,,116.72,,31,7,51,,,,,,, 521303,01-JAN-15,31-DEC-15,Settled,THEDACARE MED CTR - WILD ROSE ,601 GROVE AVENUE ,243 ,WILD ROSE ,WI ,54984 ,WAUSHARA ,,,,,,,,,,25,9125,826,11,2281,,123.48,,72,4,171,10,,,,,, 521304,01-JAN-15,31-DEC-15,As Submitted,ST. JOSEPHS HEALTH SERVICES ,400 WATER AVENUE ,,HILLSBORO ,WI ,54634- ,VERNON ,,,,,,,,,,25,9125,648,29,1006,,108.61,,123,24,232,,,,,,, 521305,01-JAN-15,31-DEC-15,Amended,MCHS-FRANCISCAN SPARTA ,310 W MAIN ,,SPARTA ,WI ,54656 ,MONROE ,,,,,,,,,,25,9125,1881,43,3457,,126.15,,125,13,221,,,,,,, 521307,01-JAN-15,31-DEC-15,Amended,CHIPPEWA VALLEY HOSPITAL CAH ,1220 THIRD AVENUE ,,DURAND ,WI ,54736 ,PEPIN ,,,,,,,,,,25,9125,1204,,1464,,85.12,,156,,200,,,,,,, 521308,01-JAN-15,31-DEC-15,Amended,AMERY REGIONAL MEDICAL CENTER ,265 GRIFFIN STREET EAST ,,AMERY ,WI ,54011-1292 ,POLK ,,,,,,,,,,25,6125,1528,210,2647,,304.67,,413,68,1079,,,,9,,229, 521309,01-JUL-15,30-JUN-16,As Submitted,MOUNDVIEW MEMORIAL HOSPITAL ,402 WEST LAKE STREET ,,FRIENDSHIP ,WI ,53934- ,ADAMS ,,,,,,,,,,25,9150,466,17,651,,100.2,,83,7,135,,,,,,, 521310,01-OCT-14,30-SEP-15,Amended,COMMUNITY MEMORIAL HOSPITAL INC ,855 SOUTH MAIN STREET ,,OCONTO FALLS ,WI ,54154 ,OCONTO ,,,,,,,,,,22,8030,1299,30,2632,,135.54,,242,37,573,,,,,,, 521311,01-JUL-15,30-JUN-16,Amended,OUR LADY OF VICTORY HOSPITAL ,1120 PINE STREET ,,STANLEY ,WI ,54768- ,CLARK ,,,,,,,,,,24,8784,966,12,1307,,105.98,,111,4,182,2,,,,,, 521312,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HOSPITAL OF LAFAYETTE CTY ,800 CLAY STREET ,,DARLINGTON ,WI ,53530 ,LAFAYETTE ,,,,,,,,,,25,9125,924,29,1131,,88.96,,184,16,260,,,,,,, 521313,01-JUL-15,30-JUN-16,Amended,SACRED HEART HOSPITAL ,401 W MOHAWK DRIVE ,,TOMAHAWK ,WI ,54487-2218 ,LINCOLN ,,,,,,,,,,18,6588,547,9,974,,103.8,,157,4,299,10,,,,,, 521314,01-OCT-14,30-SEP-15,Amended,MCHS-CHIPPEWA VALLEY ,1501 THOMPSON STREET ,,BLOOMER ,WI ,54724- ,CHIPPEWA ,,,,,,,,,,25,9125,3466,2,4940,,200.41,,122,4,171,18,,,,,, 521315,01-OCT-14,30-SEP-15,Settled,MCHS NORTHLAND ,1222 E WOODLAND AVE ,,BARRON ,WI ,54812- ,BARRON ,,,,,,,,,,25,9125,3012,99,4691,,308.37,,322,4,599,,,,,,, 521316,01-JAN-15,31-DEC-15,As Submitted,TRI-COUNTY MEMORIAL HOSPITAL INC. ,18601 LINCOLN STREET ,65 ,WHITEHALL ,WI ,54773- ,TREMPEALEAU ,,,,,,,,,,25,9125,1152,19,1591,,163.67,,112,5,214,,,,,,, 521317,01-JUL-15,30-JUN-16,Amended,CALUMET MEDICAL CENTER INC. ,614 MEMORIAL DRIVE ,,CHILTON ,WI ,53014 ,CALUMET ,,,,,,,,,,25,9150,472,29,1616,,141.74,,99,2,327,7,,,,,, 521318,01-JAN-15,31-DEC-15,Settled,LADD MEMORIAL HOSPTIAL ,2600 65TH AVENUE ,218 ,OSCEOLA ,WI ,54020 ,POLK ,,,,,,,,,,25,9125,1007,62,1747,,197.7,,248,20,463,28,,,,,, 521319,01-JAN-15,31-DEC-15,Settled,EDGERTON HOSPITAL & HEALTH SERVICES ,11101 NORTH SHERMAN ROAD ,,EDGERTON ,WI ,53534- ,ROCK ,,,,,,,,,,18,6570,2830,18,3396,,131.13,,108,6,151,,,,,,, 521320,01-OCT-14,30-SEP-15,Settled,TOMAH MEMORIAL HOSPITAL ,321 BUTTS AVENUE ,,TOMAH ,WI ,54660- ,MONROE ,,,,,,,,,,25,9125,1497,186,3650,,203.7,,325,53,970,142,,,,,, 521321,01-JUL-15,30-JUN-16,As Submitted,RIPON MEDICAL CENTER ,933 NEWBURY STREET ,390 ,RIPON ,WI ,54971 ,FOND DU LAC ,,,,,,,,,,25,9150,546,57,2046,,152.46,,133,16,466,,,,,,, 521322,01-JAN-15,31-DEC-15,As Submitted,GRANT REGIONAL HEALTH CENTER INC. ,507 SOUTH MONROE STREET ,,LANCASTER ,WI ,53813- ,GRANT ,,,,,,,,,,25,9125,1154,327,2227,,174.11,,287,90,615,132,,,,,, 521323,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HOSPITAL INC. ,216 SUNSET PLACE ,,NEILLSVILLE ,WI ,54456- ,CLARK ,,,,,,,,,,25,9125,653,32,1257,,158.71,,82,6,246,,,,,,, 521324,01-JUL-15,30-JUN-16,As Submitted,ASPIRUS MEDFORD HOSPITAL AND CLINICS ,135 SOUTH GIBSON STREET ,,MEDFORD ,WI ,54451- ,TAYLOR ,,,,,,,,,,25,9150,639,705,2543,,311.69,,168,168,753,,,,,,, 521325,01-JUL-15,30-JUN-16,As Submitted,FLAMBEAU HOSPITAL INC. ,98 SHERRY AVENUE ,310 ,PARK FALLS ,WI ,54552-0310 ,PRICE ,,,,,,,,,,24,8784,1123,24,1834,,143.3,,358,8,553,,,,,,, 521326,01-JAN-15,31-DEC-15,Amended,THEDACARE MEDICAL CENTER -NEW LONDON ,1405 MILL STREET ,,NEW LONDON ,WI ,54961 ,OUTAGAMIE ,,,,,,,,,,25,9125,1018,67,3823,,174.51,,173,26,759,,,,,,, 521327,01-JUL-15,30-JUN-16,As Submitted,WAUPUN MEMORIAL HOSPITAL ,620 WEST BROWN STREET ,,WAUPUN ,WI ,53963 ,DODGE ,,,,,,,,,,25,9150,780,506,3095,,207.76,,209,149,890,,,,,,, 521328,01-JAN-15,31-DEC-15,Settled,RUSK COUNTY MEMORIAL HOSPITAL & NH ,900 COLLEGE AVE WEST ,,LADYSMITH ,WI ,54848- ,RUSK ,,,,,,,,,,25,9125,1605,54,2405,,140.06,,222,19,423,,,,,,, 521329,01-JUL-15,30-JUN-16,As Submitted,ST MARYS HOSPITAL SUPERIOR ,3500 TOWER AVE ,,SUPERIOR ,WI ,54880- ,DOUGLAS ,,,,,,,,,,25,9150,2008,52,2740,,216.43,,174,33,300,17,,,,,, 521330,01-JAN-15,31-DEC-15,As Submitted,PRAIRIE DU CHIEN MEMORIAL HOSPITAL ,705 EAST TAYLOR STREET ,,PRAIRIE DU CHIEN ,WI ,53821 ,CRAWFORD ,,,,,,,,,,24,8760,1989,223,3605,,244.16,,439,94,851,,,,,,, 521331,01-OCT-14,30-SEP-15,Settled,BURNETT MEDICAL CENTER INC ,257 W ST GEORGE AVE ,,GRANTSBURG ,WI ,54480 ,BURNETT ,,,,,,,,,,25,9125,958,66,1470,,133.04,,207,17,334,47,,,,,, 521332,01-APR-15,31-MAR-16,As Submitted,SPOONER HEALTH SYSTEM ,819 ASH STREET ,,SPOONER ,WI ,54801- ,WASHBURN ,,,,,,,,,,25,9150,1759,34,2282,,107.99,,183,6,272,14,,,,,, 521333,01-JAN-15,31-DEC-15,As Submitted,BLACK RIVER MEMORIAL HOSPITAL ,711 WEST ADAMS STREET ,,BLACK RIVER FALLS ,WI ,54615- ,JACKSON ,,,,,,,,,,25,9125,851,605,2651,,254.56,,303,175,854,,,,,,, 521334,01-JAN-15,31-DEC-15,As Submitted,THEDACARE MEDICAL CENTER - WAUPACA ,800 RIVERSIDE DRIVE ,,WAUPACA ,WI ,54981 ,WAUPACA ,,,,,,,,,,25,9125,1458,104,4104,,214,,363,38,955,108,,,,,, 521335,01-JAN-15,31-DEC-15,As Submitted,HUDSON HOSPITAL ,405 STAGELINE RD ,,HUDSON ,WI ,54016 ,S CROIX ,,,,,,,,,,25,9125,1574,1422,4960,,283.25,,456,545,1952,,,,,,, 521336,01-APR-15,31-MAR-16,As Submitted,HAYWARD AREA MEMORIAL HOSPITAL ,11040 N STATE ROAD #77 ,,HAYWARD ,WI ,54843-6391 ,SAWYER ,,,,,,,,,,25,9150,1645,506,3192,,186.05,,287,105,672,67,,,,,, 521337,01-JUL-15,30-JUN-16,As Submitted,ST CROIX REGIONAL MEDICAL CENTER ,204 SOUTH ADAMS STREET ,,ST CROIX FALLS ,WI ,54024 ,POLK ,,,,,,,,,,25,9150,2898,135,5394,,434.42,,774,65,1853,,,,,,, 521338,01-OCT-14,30-SEP-15,Settled,COLUMBUS COMMUNITY HOSPITAL ,1515 PARK AVENUE ,,COLUMBUS ,WI ,53925- ,COLUMBIA ,,,,,,,,,,25,9125,2183,85,3247,,191.09,,552,46,881,,,,,,, 521339,01-JUL-15,30-JUN-16,Amended,GOOD SAMARITAN HEALTH CTR OF MER WI ,601 CENTER AVE. SOUTH ,,MERRILL ,WI ,54452- ,LINCOLN ,,,,,,,,,,25,9150,541,33,1144,,137.22,,217,13,456,23,,,,,, 521340,01-JAN-15,31-DEC-15,Settled,MCHS-RED CEDAR ,2321 STOUT ROAD ,,MENOMONIE ,WI ,54751- ,DUNN ,,,,,,,,,,25,9125,2682,795,5129,,394.46,,587,463,1313,,,,,,, 521341,01-JAN-15,31-DEC-15,As Submitted,THE RICHLAND HOSPITAL INC ,333 EAST SECOND STREET ,,RICHLAND CENTER ,WI ,53581- ,RICHLAND ,,,,,,,,,,25,9125,2291,362,4037,,246.62,,546,98,1064,,,,,,, 521342,01-JAN-15,31-DEC-15,Amended,INDIANHEAD MEDICAL CENTER ,COUNTY HIGHWAY ,,SHELL LAKE ,WI ,54871 ,WASHBURN ,,,,,,,,,,25,9125,1125,68,1536,,58.9,,224,22,345,,,,,,, 521343,01-OCT-14,30-SEP-15,Settled,STOUGHTON HOSPITAL ASSOCIATION ,900 RIDGE STREET ,,STOUGHTON ,WI ,53589-1896 ,DANE ,,,,,,,,,,22,8030,2151,88,3195,,209.95,,437,27,727,10,2,,,,159, 521344,01-JAN-15,31-DEC-15,As Submitted,MEMORIAL HOSPITAL OF BOSCOBEL ,205 PARKER STREET ,,BOSCOBEL ,WI ,53805 ,GRANT ,,,,,,,,,,25,9125,603,4,897,,87.9,,130,2,247,,,,,,, 521345,01-JAN-15,31-DEC-15,Settled,WESTFIELDS HOSPITAL ,535 HOSPITAL ROAD ,,NEW RICHMOND ,WI ,54017 ,ST CROIX ,,,,,,,,,,25,9125,1380,192,2410,,272.08,,395,94,851,,,,,,, 521346,01-JAN-15,31-DEC-15,As Submitted,THEDACARE MEDICAL CENTER - SHAWANO ,SHAWANO MEDICAL CENTER ,309 N BARTLETTE ST ,SHAWANO ,WI ,54166 ,SHAWANO ,,,,,,,,,,25,9125,1534,545,5334,,273.85,,452,172,1541,151,,,,,, 521347,01-OCT-14,30-SEP-15,As Submitted,BALDWIN AREA MEDICAL CENTER INC. ,730 10TH AVENUE ,,BALDWIN ,WI ,54002- ,ST. CROIX ,,,,,,,,,,25,9125,1170,92,1830,,189.22,,258,24,431,,,,,,, 521348,01-OCT-14,30-SEP-15,Settled,VERNON MEMORIAL HOSPITAL ,507 SOUTH MAIN ST ,,VIROQUA ,WI ,54665 ,VERNON ,,,,,,,,,,25,9125,1151,122,3718,,305,,387,37,1229,,,,,,, 521349,01-JAN-15,31-DEC-15,Amended,RIVER FALLS AREA HOSPITAL ,1629 E. DIVISION STREET ,,RIVER FALLS ,WI ,54022- ,ST CROIX ,,,,,,,,,,21,7665,1491,55,2729,,160.83,,419,11,864,82,,,,,, 521350,01-JUL-15,30-JUN-16,As Submitted,ASPIRUS LANGLADE HOSPITAL ,112 EAST FIFTH AVENUE ,,ANTIGO ,WI ,54409 ,LANGLADE ,,,,,,,,,,25,9150,1441,571,4255,,427,,399,229,1208,,,,,,, 521351,01-OCT-14,30-SEP-15,Settled,REEDSBURG AREA MEDICAL CENTER ,2000 NORTH DEWEY STREET ,,REEDSBURG ,WI ,53959- ,SAUK ,,,,,,,,,,25,9125,2840,453,5319,,405.52,,691,188,1428,,,,,,, 521352,01-OCT-14,30-SEP-15,Settled,UPLAND HILLS HEALTH ,825 S. IOWA STREET ,,DODGEVILLE ,WI ,53533- ,IOWA ,,,,,,,,,,25,9125,2361,304,4304,,272,,565,93,1064,62,,,,,, 521353,01-JUL-15,30-JUN-16,As Submitted,CUMBERLAND MEMORIAL HOSPITAL ,1110 7TH AVENUE ,,CUMBERLAND ,WI ,54829- ,BARRON ,,,,,,,,,,25,9150,2117,116,2905,,142.63,,244,28,413,,,,,,, 521354,01-JUL-15,30-JUN-16,Amended,SOUTHWEST HEALTH CENTER ,1400 EAST SIDE ROAD ,,PLATTEVILLE ,WI ,53818- ,GRANT ,,,,,,,,,,25,9150,1415,70,2629,,237.21,,281,22,645,97,,,6,,168, 521355,01-OCT-14,31-DEC-14,Settled,BERLIN MEMORIAL HOSPITAL ,225 MEMORIAL DRIVE ,,BERLIN ,WI ,54923- ,GREEN LAKE ,,,,,,,,,,25,2300,409,291,1295,,417.08,,111,111,427,,,,,,, 521355,01-JAN-15,31-DEC-15,As Submitted,THEDACARE-BERLIN ,225 MEMORIAL DRIVE ,,BERLIN ,WI ,54923 ,GREEN LAKE ,,,,,,,,,,25,9125,1858,245,5556,,466.29,,485,41,1531,151,,,,,, 521356,01-OCT-14,30-SEP-15,Settled,OCONTO HOSPITAL & MEDICAL CENTER ,820 ARBUTUS AVE ,357 ,OCONTO ,WI ,54153- ,OCONTO ,,,,,,,,,,10,3650,162,10,424,,66.11,,42,3,113,16,,,,,, 521357,01-JUL-15,30-JUN-16,As Submitted,MERCY WALWORTH HOSPITAL ,N2950 STATE ROAD 67 ,,LAKE GENEVA ,WI ,53147- ,WALWORTH ,,,,,,,,,,25,9150,1590,453,3954,,386.16,,445,76,1141,96,,,,,, 521358,01-JUL-15,30-JUN-16,As Submitted,DOOR COUNTY MEMORIAL HOSPITAL ,330 S. 16TH PLACE ,,STURGEON BAY ,WI ,54235- ,DOOR ,,,,,,,,,,25,9150,2175,394,4287,,398.89,,630,118,1428,,,,,,, 521359,01-OCT-14,30-SEP-15,Settled,MEMORIAL MEDICAL CENTER INC. ,1615 MAPLE LANE ,,ASHLAND ,WI ,54806- ,ASHLAND ,,,,,,,,,,25,9125,2199,687,4660,,317.55,,706,157,1485,151,93,,135,,566, 521990,01-JAN-15,31-DEC-15,As Submitted,CLEARVIEW HOME CORPORATION ,935 MAIN STREET ,180198 ,DELAFIELD ,WI ,53018 ,WAUKESHA ,,,,,,,,,,2,730,36,,308,,4.19,,1,,5,,,,,,, 522004,01-SEP-15,31-AUG-16,Settled,PAM SPECIALTY HOSPITAL MILWAUKEE ,5017 SOUTH 110TH STREET ,,GREENFIELD ,WI ,53228 ,MILWAUKEE ,,,,,,,,,,56,20496,5608,1504,11162,,124.68,,224,74,457,51,,,,,, 522005,01-JAN-15,31-DEC-15,Settled,LAKEVIEW SPECIALTY HOSPT & REHAB ,1701 SHARP ROAD ,,WATERFORD ,WI ,53185 ,RACINE ,,,,,,,,,,39,14235,4027,2285,9154,,168.01,,119,61,247,,,,,,, 522006,01-NOV-14,31-OCT-15,Settled,SSH - MILWAUKEE ,8901 W. LINCOLN AVE. 6TH FLOOR ,,WEST ALLIS ,WI ,53227 ,MILWAUKEE ,,,,,,,,,,63,22995,10634,1059,19107,,167.52,,378,31,638,16,,,,,, 522007,01-JAN-15,31-DEC-15,Settled,LIFECARE HOSPITAL OF MILWAUKEE ,2400 GOLF ROAD ,,PEWAUKEE ,WI ,53072 ,WAUKESHA ,,,,,,,,,,62,22630,4373,2241,11138,,104.83,,169,75,381,,,,,,, 522008,01-JUN-15,31-MAY-16,Settled,SSH -MADISON ,801 BRAXTON PLACE ,,MADISON ,WI ,53715 ,DANE ,,,,,,,,,,58,21228,9046,880,16274,,181.61,,270,33,485,9,,,,,, 523025,01-JUL-15,30-JUN-16,As Submitted,SACRED HEART REHABILITATION ,2350 N. LAKE DRIVE ,,MILWAUKEE ,WI ,53211- ,MILWAUKEE ,,,,,,,,,,49,17934,1145,1048,4373,,67.45,,79,28,264,,,,,,, 523027,01-JAN-15,31-DEC-15,As Submitted,REHABILITATION HOSPITAL OF WISCONSIN ,1625 COLDWATER CREEK DRIVE ,,WAUKESHA ,WI ,53188 ,WAUKESHA ,,,,,,,,,,40,14600,7372,498,10824,,123.4,,542,22,747,10,,,,,, 523300,01-JAN-15,31-DEC-15,Settled,CHILDRENS HOSPITAL OF WISCONSIN ,9000 W.WISCONSIN AVE ,,MILWAUKEE ,WI ,53226 ,MILWAUKEE ,,,,,,,,,15413,306,111690,259,23636,69764,215.2,2361.54,,37,2547,10773,,,,,,, 523302,01-JAN-15,31-DEC-15,Settled,CHILDRENS HOSPITAL OF WI-FOX VALLEY ,130 SECOND STREET ,,NEENAH ,WI ,54956 ,WINNEBAGO ,,,,,,,,,,42,15330,,1003,5095,,117.75,,,57,489,,,,,,, 524000,01-JAN-15,31-DEC-15,Settled,AURORA PSYCHIATRIC HOSPITAL ,1220 DEWEY AVENUE ,,WAUWATOSA ,WI ,53213- ,MILWAUKEE ,,,,,,,,,360,68,24820,1761,740,18068,1.28,256.29,,281,147,3815,,,,,,, 524001,01-JAN-15,31-DEC-15,Settled,MILWAUKEE CTY MENTAL HEALTH COMPLEX ,9455 WATERTOWN PLANK ROAD ,,MILWAUKEE ,WI ,53226 ,MILWAUKEE ,,,,,,,,,14758,120,43800,3058,1170,20826,3.45,541,,192,277,1887,,,,,,, 524002,01-JUL-15,30-JUN-16,As Submitted,WINNEBAGO MENTAL HEALTH INSTITUTE ,1 W WILSON ST ,7850 ,MADISON ,WI ,53707-7850 ,WINNEBAGO ,,,,,,,,,,330,120780,7193,13446,70125,,593.06,,464,1439,3226,,,,,,, 524008,01-JUL-15,30-JUN-16,As Submitted,MENDOTA MENTAL HEALTH INSTITUTE ,1 W WILSON ST ,7850 ,MADISON ,WI ,53707-7850 ,DANE ,,,,,,,,,,379,138714,2189,1666,99279,,671.7,,58,156,487,,,,,,, 524014,01-JAN-15,31-DEC-15,Settled,BROWN CNTY COMMUNITY TREATMENT CTR ,3150 GERSHWIN DR ,,GREEN BAY ,WI ,54311-5899 ,,,,,,,,,,,16,5840,789,1475,3650,,46.77,,146,429,968,236,,,,,, 524017,01-JAN-15,31-DEC-15,Settled,NORTH CENTRAL HEALTH CARE FACILITIES ,1100 LAKEVIEW DRIVE ,,WAUSAU ,WI ,54403 ,MARATHON ,,,,,,,,,,16,5840,1686,1658,5153,,335,,183,352,896,,,,,,, 524018,01-AUG-15,31-JUL-16,As Submitted,ROGERS MEMORIAL HOSPITAL INC. ,34700 VALLEY ROAD ,,OCONOMOWOC ,WI ,53066- ,WAUKESHA ,,,,,,,,,,227,83082,4386,6612,53671,,1362.2,,587,715,9060,,,,,,, 524019,01-JAN-15,31-DEC-15,Settled,NORWOOD HEALTH CENTER ,1600 NORTH CHESTNUT AVENUE ,,MARSHFIELD ,WI ,54449 ,WOOD ,,,,,,,,,,16,5840,868,534,3599,,40.21,,90,120,546,,,,,,, 524025,01-JAN-15,31-DEC-15,Settled,FOND DU LAC COUNTY HEALTH CARE CTR. ,459 E 1ST ST ,,FOND DU LAC ,WI ,54935 ,FOND DU LAC ,,,,,,,,,,25,9125,1397,218,5007,,69,,175,29,976,,,,,,, 524026,01-JAN-15,31-DEC-15,Settled,WAUKESHA COUNTY MENTAL HEALTH CNTR ,1501 AIRPORT RD ,,WAUKESHA ,WI ,53188 ,WAUKESHA ,,,,,,,,,,28,10220,1580,35,6095,,383.97,,135,9,697,116,,,,,, 524038,01-OCT-14,30-SEP-15,Settled,BELLIN PSYCHIATRIC CENTER INC. ,BELLIN PSYCHIATRIC CENTER INC. ,23725 ,GREEN BAY ,WI ,54305-3725 ,BROWN ,,,,,,,,,,80,29200,736,731,6464,,136.74,,123,183,1442,308,,,,,, 530002,01-JUL-15,30-JUN-16,As Submitted,CAMPBELL COUNTY MEMORIAL HOSPITAL ,501 S BURMA AVENUE ,3011 ,GILLETTE ,WY ,82717-3011 ,CAMPBELL ,,,,131127,,,.1007,,,66,24156,2474,2010,8827,,963.84,,657,363,2540,,,,74,,352, 530006,01-JUL-15,30-JUN-16,As Submitted,MEM. HOSPITAL OF SHERIDAN CTY. ,1401 FIFTH ST. ,,SHERIDAN ,WY ,82716- ,SHERIDAN ,,,,,,,,,,66,24156,4812,751,8912,,541.06,,1020,200,2203,,,,,,, 530008,01-JAN-15,31-DEC-15,As Submitted,SAGE WEST HEALTH CARE ,2100 WEST SUNSET DRIVE ,,RIVERTON ,WY ,82501 ,FREMONT ,,,,182721,,,.12,,,133,48545,3266,1910,8362,,331.5,,891,669,2738,,,,13,5,172,95 530011,01-JUL-15,30-JUN-16,As Submitted,MEM. HOSPT. OF SWEETWATER COUNTY ,1200 COLLEGE DRIVE ,P.O. BOX ,ROCK SPRINGS ,WY ,82901 ,SWEETWATER ,,,,38230,,,.0336,,,58,21228,2359,985,7431,,457.95,,607,250,2049,,,,,,, 530012,01-JUL-15,30-JUN-16,As Submitted,WYOMING MEDICAL CENTER ,1233 E. SECOND STREET ,,CASPER ,WY ,82601 ,NATRONA ,1419516,,,365315,,,.0384,,,158,57894,15943,4241,35771,,950.5,,3741,887,8531,,,,,,, 530014,01-JUL-15,30-JUN-16,As Submitted,CHEYENNE REGIONAL MEDICAL CENTER ,214 EAST 23RD STREET ,,CHEYENNE ,WY ,82001 ,LARAMIE ,798850,,,476205,,,.0552,,,170,62220,19857,4781,39021,,1486.27,,3853,1241,8974,,,,147,17,712,363 530015,01-JUL-15,30-JUN-16,As Submitted,ST. JOHNS HOSPITAL ,625 E. BROADWAY ,,JACKSON ,WY ,83001- ,TETON ,,,,,,,,,,48,17568,1894,401,5861,,507.49,,622,43,1904,,,,,,, 530025,01-JUL-15,30-JUN-16,As Submitted,IVINSON MEMORIAL HOSPITAL ,255 N. 30TH ST. ,,LARAMIE ,WY ,82072- ,ALBANY ,,,,55163,,,.0459,,,66,24156,2650,780,5969,,375.51,,593,184,1509,,,,93,,426, 530032,01-MAY-15,30-APR-16,As Submitted,EVANSTON REGIONAL ,190 ARROWHEAD DR ,,EVANSTON ,WY ,82930 ,UINTA ,,,,40181,,,.1106,,,32,11712,557,409,1656,,138.65,,222,151,706,,,,,,, 530033,01-JAN-15,31-DEC-15,As Submitted,MOUNTAIN VIEW REGIONAL HOSPITAL ,6550 EAST SECOND STREET ,,CASPER ,WY ,82609 ,NATRONA ,,,,,,,,,,23,8395,1457,117,2923,,194.83,,511,50,1150,,,,,,, 530034,21-AUG-15,31-DEC-15,Settled,SUMMIT MEDICAL CENTER LLC ,6350 E 2ND ST ,,CASPER ,WY ,82609-4264 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 531301,01-JUL-15,30-JUN-16,As Submitted,SOUTH BIG HORN HOSPITAL ,388 HWY 20 SOUTH ,,BASIN ,WY ,82410 ,BIG HORN ,,,,,,,,,,6,2196,477,11,543,,42.96,,57,11,264,,,,,,, 531302,01-JUL-15,30-JUN-16,As Submitted,MEMORIAL HOSPITAL OF CONVERSE COUNTY ,111 SOUTH 5TH STREET ,,DOUGLAS ,WY ,82633 ,CONVERSE ,,,,,,,,,,25,9150,1506,363,3381,,331.57,,320,95,804,,,,,,, 531303,01-JUL-15,30-JUN-16,As Submitted,WESTON COUNTY HEALTH SERVICES ,1124 WASHINGTON BLVD ,,NEWCASTLE ,WY ,82701 ,WESTON ,,,,,,,,,,12,6832,859,759,2765,,89.06,,45,9,77,,,,,,, 531304,01-JUL-15,30-JUN-16,Settled w/Audit,HOT SPRINGS COUNTY MEMORIAL ,150 EAST ARAPAHOE ,,THERMOPOLIS ,WY ,82443- ,HOT SPRINGS ,,,,,,,,,,25,9150,1189,154,1657,,87.54,,238,47,409,,,,,,, 531305,01-JAN-15,31-DEC-15,Settled,PLATTE COUNTY MEMORIAL HOSPITAL ,201 14TH STREET ,,WHEATLAND ,WY ,82201- ,PLATTE ,,,,,,,,,,25,9125,1159,136,1644,,117.59,,257,39,413,,,,,,, 531306,01-JAN-15,31-DEC-15,Reopened,WASHAKIE MEDICAL CENTER ,400 SOUTH 19TH STREET ,700 ,WORLAND ,WY ,82401 ,WASHAKIE ,,,,,,,,,,25,9125,1042,185,1705,,96.99,,286,57,542,,,,,,, 531307,01-JAN-15,31-DEC-15,Settled,COMMUNITY HOSPITAL ,2000 CAMPBELL DRIVE ,,TORRINGTON ,WY ,82240 ,GOSHEN ,,,,,,,,,,25,9125,1527,224,2497,,125.29,,286,71,537,,,,,,, 531308,01-JUL-15,30-JUN-16,Settled,JOHNSON COUNTY HEALTHCARE ,497 LOTT ,,BUFFALO ,WY ,82834 ,JOHNSON ,,,,,,,,,,15,5490,1758,51,2410,,135.11,,186,13,299,,,,,,, 531309,01-JUL-15,30-JUN-16,Settled,NORTH BIG HORN HOSPITAL ,1115 LANE 12 ,,LOVELL ,WY ,82431 ,BIG HORN ,,,,,,,,,,15,5490,1468,54,1801,,115.97,,198,12,266,,,,,,, 531310,01-JUL-15,30-JUN-16,Settled,POWELL VALLEY HEALTH CARE ,777 AVENUE H ,,POWELL ,WY ,82435- ,PARK ,,,,,,,,,,25,9150,1159,355,2163,,265.5,,230,117,533,,,,,,, 531311,01-JUL-15,30-JUN-16,Amended,CROOK COUNTY MEDICAL SERVICES ,713 OAK STREET ,,SUNDANCE ,WY ,82435 ,CROOK ,,,,,,,,,,16,5856,486,5,947,,54.82,,29,3,34,,,,,,, 531312,01-JUL-15,30-JUN-16,Settled w/Audit,WEST PARK HOSPITAL ,707 SHERIDAN AVE ,,CODY ,WY ,82414 ,PARK ,,,,,,,,,,25,9150,2751,322,5185,,472.33,,887,140,1550,,,,,,, 531313,01-JUL-15,30-JUN-16,Settled w/Audit,STAR VALLEY HOSPITAL ,901 ADAMS STREET ,,AFTON ,WY ,83110 ,LINCOLN ,,,,,,,,,,20,7320,1657,219,2891,,207.34,,298,60,719,,,,,,, 531314,01-JUL-15,30-JUN-16,Settled,NIOBRARA HEALTH & LIFE CENTER ,921 S. BALLANCEE AVE. ,780 ,LUSK ,WY ,82225 ,NIOBRARA ,,,,,,,,,,24,8784,159,3214,7097,,66.72,,18,5,51,,,,,,, 531315,01-JUL-15,30-JUN-16,As Submitted,SOUTH LINCOLN HOSPITAL DISTRICT ,711 ONYX STREET ,390 ,KEMMERER ,WY ,83101- ,LINCOLN ,,,,,,,,,,14,5124,254,29,656,,90.94,,47,2,106,,,,,,, 531316,01-JUL-15,30-JUN-16,Amended,MEMORIAL HOSPITAL OF CARBON COUNTY ,221 WEST ELM STREET ,,RAWLINS ,WY ,82301 ,CARBON ,,,,,,,,,,25,9150,936,207,2111,,147.32,,218,120,682,,,,,,, 533027,01-JAN-15,31-DEC-15,Settled,ELKHORN VALLEY REHABILITATION HOSPIT ,5715 EAST SECOND STREET ,,CASPER ,WY ,82609 ,NATRONA ,,,,,,,,,,40,14600,8345,384,11320,,119.84,,593,22,751,,,,,,, 534001,01-JUL-15,30-JUN-16,As Submitted,WYOMING STATE HOSPITAL ,831 HIGHWAY 150 SOUTH ,177 ,EVANSTON ,WY ,82930 ,UINTA ,,,,,,,,,,75,27450,189,,24634,,,,5,,138,,,,,,, 534004,01-JAN-15,31-DEC-15,Settled,WYOMING BEHAVIORAL INSITUTE ,EAST 15TH STREET ,,CASPER ,WY ,82609 ,NATRONA ,,,,,,,,,,85,31025,3415,3872,24445,,145,,208,340,2063,,,,,,, 650001,01-OCT-14,30-SEP-15,Settled,GUAM MEMORIAL HOSPITAL AUTHORITY ,850 GOVERNOR CARLOS G CAMACHO RD ,,OKA TAMUNING ,GU ,96911 ,GUAM ,,,,,,,,,,161,58765,11667,11248,49071,,1286.02,,1330,2351,9488,,,,,,, 660001,01-OCT-14,30-SEP-15,As Submitted,COMMONWEALTH HEALTH CENTER ,LOWER NAVY HILL RD. ,409 CK ,SAIPAN ,MP ,96950 ,CNMI ,,,,,,,,,,74,27010,,,17399,,524.44,,,,3027,,,,,,, 670004,01-JUL-15,30-JUN-16,As Submitted,ST. MARKS MEDICAL CENTER ,ONE ST. MARKS PLACE ,,LA GRANGE ,TX ,78945 ,FAYETTE ,,,,45443,,,.0402,,,44,16104,3079,135,5304,,200.32,,690,72,1284,212,,,,,, 670005,01-JAN-15,31-DEC-15,Settled,MEMORIAL HERMANN KINGWOOD ,300 KINGWOOD MEDICAL DRIVE ,,KINGWOOD ,TX ,77339 ,HARRIS ,,,,,,,,,,10,3650,216,,516,,77.95,,91,,220,,,,,,, 670006,01-JAN-15,31-DEC-15,Settled,THE HOSPITAL AT WESTLAKE MEDICAL CTR ,5656 BEE CAVES RD. STE M302 ,,AUSTIN ,TX ,78746- ,TRAVIS ,,,,,,,,,,23,8395,1227,,2745,,167.64,,481,,966,,,,,,, 670008,01-JAN-15,31-DEC-15,Settled,WEBSTER SURGICAL SPECIALTY HOSPITAL ,333 N. TEXAS AVENUE ,,WEBSTER ,TX ,77598- ,HARRIS ,,,,,,,,,,21,7665,446,,1309,,134.86,,198,,588,,,,,,, 670010,01-JAN-15,31-DEC-15,Settled,MAYHILL HOSPITAL ,2809 SOUTH MAYHILL ROAD ,,DENTON ,TX ,76208-5910 ,DENTON ,,,,,,,,,,4,1460,,,,,,,,,,,,,31,,1728, 670012,01-JAN-15,11-APR-15,Reopened,HOUSTON ORTHOPEDIC SURGIAL CENTER ,5410 WEST LOOP STREET ,,HOUSTON ,TX ,77401 ,HARRIS ,,,,,,,,,,64,6464,528,,1192,,97.29,,192,,465,,,,,,, 670019,01-JAN-15,31-DEC-15,As Submitted,UNIVERSITY GENERAL HOSPITAL LP ,7501 FANNIN ST ,,HOUSTON ,TX ,77054 ,HARRIS ,125335,,,42497,,,.0258,69719,24726,69,25185,3993,79,12413,2,454,,772,12,2862,,,,,,, 670023,01-JUL-15,30-JUN-16,As Submitted,METHODIST MANSFIELD MEDICAL CENTER ,2700 EAST BROAD STREET ,,MANSFIELD ,TX ,76063 ,TARRANT ,,,,,,,,,,197,72250,11379,599,42337,,834,,2194,148,8788,,,,,,, 670024,01-JAN-15,31-DEC-15,As Submitted,NORTH CYPRESS MEDICAL CENTER ,21214 NORTHWEST FREEWAY ,,CYPRESS ,TX ,77429- ,HARRIS ,,,,,,,,,,139,50735,17692,429,40624,,1369.76,,3845,85,9574,322,,,,,, 670025,01-JAN-15,31-DEC-15,Amended,THE HEART HOSPITAL BAYLOR PLANO ,1100 ALLIED DRIVE ,,PLANO ,TX ,75093 ,COLLIN ,,,,,,,,,,116,42340,13135,153,25591,,703.04,,2307,16,4440,,,,,,, 670031,01-JUL-15,30-JUN-16,As Submitted,ST. LUKES PATIENTS MEDICAL CENTER ,4600 EAST SAM HOUSTON PARKWAY SOUTH ,,PASADENA ,TX ,77505 ,HARRIS ,,,,,,,,,,61,22326,6221,176,19902,,404.1,,1245,25,3928,92,,,,,, 670034,01-JUN-15,31-MAY-16,Amended,ROUND ROCK HOSPITAL ,300 UNIVERSITY BLVD ,,ROUND ROCK ,TX ,78664-1032 ,WILLIAMSON ,,,,,,,,,,101,36966,12920,161,23625,,1297.36,,3215,62,6357,,,,,,, 670041,01-JUL-15,30-JUN-16,Amended,SETON MEDICAL CENTER WILLIAMSON ,201 SETON PARKWAY ,,ROUND ROCK ,TX ,78665-8000 ,WILLIAMSON ,,,,,,,,,,143,52090,11286,752,32431,,600.3,,2153,154,7122,923,,,,,, 670043,01-DEC-14,30-NOV-15,Amended,CEDAR PARK REGIONAL MEDICAL CENTER ,1401 MEDICAL PARKWAY ,,CEDAR PARK ,TX ,78613- ,TRAVIS ,,,,100694,,,.0446,,,93,33945,5151,287,17148,,472.13,,1182,430,4270,,,,,,, 670044,01-JAN-15,31-DEC-15,Settled,PRESBYTERIAN HOSPITAL OF ROCKWALL ,3151 HORIZON ROAD ,,ROCKWALL ,TX ,75032- ,ROCKWALL ,,,,,,,,,,50,18250,5540,171,16813,,464.35,,1398,62,4317,,,,,,, 670045,01-JAN-15,31-DEC-15,As Submitted,COOK CHILDRENS NORTHEAST HOSPITAL ,6316 PRECINCT LINE ROAD ,,HURST ,TX ,76054- ,TARRANT ,,,,,,,,,,3,1095,,7,7,,142.27,,,2,2,,,,,,, 670046,01-JAN-15,31-DEC-15,As Submitted,USMD HOSPITAL AT FORT WORTH ,5900 DIRKS ROAD ,,FORT WORTH ,TX ,76132 ,TARRANT ,,,,,,,,,,8,2920,100,,434,,69.35,,38,,170,,,,,,, 670047,01-JAN-15,31-DEC-15,Amended,HOSPITALS OF PROVIDENCE EAST CAMPUS ,3280 JOE BATTLE BLVD. ,,EL PASO ,TX ,79938 ,EL PASO ,,,,1174568,,,.308,,,182,66430,9922,3579,46094,,670,,2166,517,11067,2203,,,,,, 670049,01-JAN-15,31-DEC-15,Settled,NORTH CENTRAL SURGICAL HOSPITAL ,9301 NORTH CENTRAL EXPRESSWAY ,,DALLAS ,TX ,75231 ,DALLAS ,,,,,,,,,,24,8760,1129,,3059,,228.79,,416,,1247,,,,,,, 670050,01-JAN-15,16-JUN-15,As Submitted,TRUSTPOINT HOSPITAL ,4302 PRINCETON ,,LUBBOCK ,TX ,79415 ,LUBBOCK ,,,,,,,,,,14,2338,644,7,1062,,44.47,,111,2,177,,,,6,14,219,277 670050,17-JUN-15,31-JUL-15,As Submitted,TRUSTPOINT REHABILITATION HOSPITAL ,4302 PRINCETON ,,LUBBOCK ,TX ,79415 ,LUBBOCK ,,,,,,,,,,14,630,70,,139,,,,12,,21,,,,,,27,57 670053,01-JUL-15,30-JUN-16,Amended,ST. LUKES SUGAR LAND HOSPITAL ,1317 LAKE POINTE PARKWAY ,4406 ,SUGAR LAND ,TX ,77478 ,FORT BEND ,,,,267308,,,.12,,,87,31842,5675,835,18598,,341.9,,1054,272,3719,1196,,,,,, 670054,01-JAN-15,31-DEC-15,As Submitted,FOUNDATION SURGICAL SAN ANTONIO ,9522 HUEBNER ROAD ,,SAN ANTONIO ,TX ,78240 ,BEXAR ,,,,,,,,,,20,7300,632,,2802,,119.09,,260,,1325,,,,,,, 670055,01-MAR-15,29-FEB-16,Amended,METHODIST STONE OAK HOSPITAL ,1139 E SONTERRA BLVD ,,SAN ANTONIO ,TX ,78258 ,BEXAR ,,,,348863,,,.0423,,,140,51240,16828,655,49734,2.83,699.15,,3822,139,11496,1972,,,,,, 670056,01-JUL-15,30-JUN-16,As Submitted,SETON MEDICAL CENTER HAYS ,6001 KYLE PARKWAY ,,KYLE ,TX ,78640- ,HAYS ,,,,561039,,,.128,,,112,40992,9921,1305,30316,,546.57,,2009,449,6680,1335,,,,,, 670058,01-JAN-15,31-DEC-15,Settled,EMERUS EMERGENCY HOSPITAL SUGAR LAND ,16000 SOUTHWEST FRWY SUITE 100 ,,SUGAR LAND ,TX ,77479 ,FORT BEND ,,,,,,,,,,7,2555,33,,330,,25.39,,10,,92,,,,,,, 670059,01-JUL-15,30-JUN-16,As Submitted,ST. LUKES LAKESIDE HOSPITAL ,17400 ST. LUKES WAY ,4670 ,THE WOODLANDS ,TX ,77384 ,MONTGOMERY ,,,,,,,,,,30,10980,550,,1983,,102.4,,241,,813,,,,,,, 670060,01-NOV-14,31-OCT-15,Amended,TEXAS REGIONAL MEDICAL CENTER ,231 S COLLINS ,,SUNNYVALE ,TX ,75182 ,DALLAS ,,,,377247,,,.12,,,70,25550,6926,1692,21463,,356,,1537,119,5325,1096,,,,,, 670061,01-JAN-15,31-DEC-15,Settled,SOUTH TEXAS SURGICAL HOSPITAL ,6130 PARKWAY DRIVE ,,CORPUS CHRISTI ,TX ,78414 ,CORPUS CHRISTI ,,,,,,,,,,33,12045,854,10,2972,,174.84,,285,3,944,10,,,,,, 670062,01-JAN-15,31-DEC-15,As Submitted,BAYLOR EMERGENCY MEDICAL CENTER ,26791 HWY 380 ,,AUBREY ,TX ,76227 ,DENTON ,,,,,,,,,,32,11680,95,,114,,113.24,,43,,70,,,,,,, 670067,01-JAN-15,31-DEC-15,Settled,BAYLOR ORTHOPEDIC AND SPINE HOSPITAL ,707 HIGHLANDER BOULEVARD ,,ARLINGTON ,TX ,76015 ,TARRANT ,,,,,,,,,,24,8760,933,,3027,,135.8,,401,,1380,,,,,,, 670068,01-APR-15,31-MAR-16,As Submitted,PRESBYTERIAN HOSP FLOWER MOUND ,4400 LONG PRAIRIE ROAD ,,FLOWER MOUND ,TX ,75028- ,DENTON ,,,,182203,,,.0591,,,103,37595,5678,1419,23456,,,,1437,574,5573,,,,,,, 670069,01-AUG-15,31-JUL-16,Amended,METHODIST MCKINNEY HOSPITAL ,8000 W. ELDORADO PARKWAY ,,MCKINNEY ,TX ,75070 ,COLLIN ,,,,,,,,,,21,7122,760,4,2577,,138.27,,266,1,944,,,,,,, 670071,01-JAN-15,31-DEC-15,Amended,TEXAS HEALTH HEART & VASULAR HOSP ,811 WRIGHT ST ,,ARLINGTON ,TX ,76012-4716 ,TARRANT ,,,,,,,,,,48,17520,2312,127,5647,,113.19,,466,7,1241,,,,,,, 670072,01-JAN-15,30-JUL-15,Settled,HOPEBRIDGE HOSPITAL ,5556 GASMER ,,HOUSTON ,TX ,77035 ,HARRIS ,,,,,,,,,,92,19412,,1019,8435,,149.9,,,158,1195,,,,,,306, 670072,31-JUL-15,31-AUG-16,As Submitted,HOPEBRIDGE HOSPITAL ,5556 GASMER ,,HOUSTON ,TX ,77035 ,HARRIS ,,,,,,,,,,92,36616,,1288,8173,,126.41,,,159,811,,,,102,,1386, 670073,01-DEC-14,30-NOV-15,Settled,METHODIST HOSPITAL FOR SURGERY ,17101 DALLAS PARKWAY ,,ADDISON ,TX ,75001 ,DALLAS ,,,,,,,,,,32,11680,1550,,6267,,202.34,,563,,2444,,,,,,, 670075,01-JUL-15,30-JUN-16,Amended,ST LUKES HOSPITAL AT THE VINTAGE ,20171 CHASEWOOD PARK DR. ,4241 ,HOUSTON ,TX ,77070 ,HARRIS ,,,,182962,,,.12,,,78,28548,3501,2120,18275,,343.8,,746,433,4168,787,,,,,, 670076,01-JAN-15,31-MAY-15,Settled,HERITAGE PARK SURGICAL HOSPITAL ,3601 CALAIS DRIVE ,,SHERMAN ,TX ,75090 ,GRAYSON ,,,,,,,,,,14,2114,99,,260,,189.91,,50,,127,,,,,,, 670076,01-JUN-15,31-DEC-15,Settled,HERITAGE PARK SURGICAL HOSPITAL ,3601 CALAIS DRIVE ,,SHERMAN ,TX ,75090 ,GRAYSON ,,,,,,,,,,12,2568,261,,575,,127.68,,114,,247,,,,,,, 670077,01-JAN-15,31-DEC-15,Amended,METHODIST WEST HOUSTON HOSPITAL ,18500 KATY FREEWAY ,,HOUSTON ,TX ,77094 ,HARRIS ,,,,621723,,,.1058,,,193,70445,11741,5080,46148,,1224.92,,2850,185,11268,,,,,,, 670078,01-JAN-15,31-DEC-15,Settled,BAPTIST EMERGENCY HOSPITAL ,16088 SAN PEDRO DRIVE ,,SAN ANTONIO ,TX ,78232 ,BEXAR ,,,,,,,,,,42,15330,249,5,332,,180.91,,100,2,177,7,,,,,, 670079,01-APR-15,31-MAR-16,As Submitted,LAKEWAY REGIONAL MEDICAL CENTER ,100 MEDICAL PARKWAY ,,LAKEWAY ,TX ,78734 ,TRAVIS ,,,,,,,,,,106,38796,4340,50,10267,,376.97,,1138,6,2663,,,,,,, 670080,01-MAY-15,30-APR-16,As Submitted,SETON MEDICAL CENTER HARKER HEIGHTS ,850 W. CENTRAL TEXAS EXPRESSWAY ,,HARKER HEIGHTS ,TX ,76548 ,BELL ,,,,305708,,,.12,,,58,21228,4569,334,12280,,334.45,,1349,157,3860,1017,,,,,, 670082,01-JUL-15,30-JUN-16,Amended,BAYLOR MEDICAL CENTER AT MCKINNEY ,5252 W UNIVERSITY DR ,,MCKINNEY ,TX ,75071-7822 ,COLLIN ,,,,196727,,,.0482,,,143,52338,9122,1070,33028,,566.25,,2090,275,7332,868,,,,,, 670083,01-JAN-15,31-DEC-15,As Submitted,TEXAS GENERAL HOSPITAL ,2709 HOSPITAL BLVD ,,GRAND PRAIRIE ,TX ,75051 ,DALLAS ,,,,14773,,,.12,,,41,14965,199,89,1125,,233.02,,69,18,342,,,,,,, 670085,01-JUL-15,30-JUN-16,Amended,TEXAS HEALTH ALLIANCE ,10864 TEXAS HEALTH TRAIL ,,FORT WORTH ,TX ,76244-4897 ,TARRANT ,,,,,,,,,,74,27084,4269,357,20817,,450.13,,1063,65,5364,410,,,,,, 670087,01-JAN-15,31-DEC-15,Settled,SCOTT & WHITE CEDAR PARK ,900 E WHITESTONE BLVD ,,CEDAR PARK ,TX ,78613 ,WILLIAMSON ,,,,,,,,,,8,2920,26,,51,,47.39,,9,,27,1,,,,,, 670088,01-JUN-15,31-MAY-16,Amended,COLLEGE STATION HOSPITAL ,700 SCOTT & WHITE DRIVE ,,COLLEGE STATION ,TX ,77845 ,BRAZOS ,,,,340551,,,.0753,,,117,42530,7285,913,20968,,1145.75,,1900,139,5353,,,,,,, 670089,01-JAN-15,31-DEC-15,As Submitted,NIX COMMUNITY GENERAL HOSPITAL ,230 WEST MILLER STREET ,,DILLEY ,TX ,78017 ,FRIO ,,,,2627,,,.12,,,18,6570,50,2,125,,42,,18,10,55,,,,,,, 670090,01-JAN-15,31-DEC-15,As Submitted,CRESCENT MEDICAL CENTER LANCASTER ,2600 W. PLEASANT RUN RD. ,,LANCASTER ,TX ,75146 ,DALLAS ,,,,,,,,,,92,33580,380,9,1200,,98.04,,99,3,336,,,,,,, 670092,01-MAR-15,29-FEB-16,As Submitted,WALNUT HILL MEDICAL CENTER ,7502 GREENVILLE AVENUE ,,DALLAS ,TX ,75231 ,DALLAS ,,,,,,,,,,100,36600,4845,36,9001,,188.63,,1043,15,2067,,,,,,, 670093,01-JAN-15,31-DEC-15,As Submitted,ASPIRE HOSPITAL LLC ,2006 SOUTH LOOP 336 WEST SUITE 500 ,,CONROE ,TX ,77304- ,MONTGOMERY ,,,,,,,,,,4,1460,47,,47,,36.57,,10,,10,,,,,,727, 670094,01-JAN-15,31-DEC-15,As Submitted,CAMERON HOSPITAL ,806 N CROCKETT AVE ,,CAMERON ,TX ,76520 ,MILAM ,,,,,,,,,,10,3650,190,,418,,214.5,,52,,95,,,,,,, 670095,01-JAN-15,31-DEC-15,Settled,EMERUS COMMUNITY HOSPITAL ,24429 TOMBALL PARKWAY SUITE 100 ,,TOMBALL ,TX ,77375 ,HARRIS ,,,,,,,,,,8,2920,11,,16,,27.95,,5,,6,,,,,,, 670096,01-JUL-15,30-JUN-16,As Submitted,BAY AREA REGIONAL MEDICAL CENTER ,200 BLOSSOM ST. ,,WEBSTER ,TX ,77598 ,HARRIS ,,,,,,,,,,104,38064,6700,141,18122,,438.71,,1706,29,4939,142,,,,,, 670097,01-JAN-15,31-DEC-15,Settled,BAYLOR EMERGENCY MEDICAL CENTER ,1975 ALPHA STE 100 ,,ROCKWALL ,TX ,75087 ,ROCKWALL ,,,,,,,,,,8,2920,23,,23,,28.92,,13,,13,,,,,,, 670098,01-JUN-15,31-MAY-16,Amended,RESOLUTE HEALTH ,555 CREEKSIDE CROSSING ,,NEW BRAUNFELS ,TX ,78130 ,COMAL ,,,,132092,,,.0687,,,69,25254,4084,233,12511,,302,,1145,53,3703,218,,,,,, 670099,10-DEC-14,31-DEC-15,Settled,APOLLO HOSPITAL SYSTEMS LP ,9201 PINECORFT DRIVE ,,SHENANDOAH ,TX ,77380 ,MONTGOMERY ,,,,,,,,,,5,1825,325,,585,,164.79,,88,,241,,,,,,, 670100,03-DEC-14,30-JUN-15,Settled,SSH - DALLAS DOWNTOWN ,3500 GASTON AVE 3RD AND 4TH FLOORS ,,DALLAS ,TX ,75246 ,DALLAS ,,,,,,,,,,46,9660,828,,1582,,28.11,,36,,57,,,,,,, 670101,03-DEC-14,30-JUN-15,As Submitted,SSH - DALLAS GARLAND ,2300 MARIE CURIE 3W AND 3E FLOORS ,,GARLAND ,TX ,75042 ,DALLAS ,,,,,,,,,,40,8400,1037,,1445,,23.58,,48,,60,,,,,,, 670102,19-DEC-14,20-JAN-16,Settled,AD HOSPITAL EAST LLC ,12950 EAST FREEWAY ,,HOUSTON ,TX ,77015 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 670103,19-FEB-15,31-JAN-16,Amended,MEDICAL CENTER ALLIANCE ,3101 NORTH TARRANT PARKWAY ,,FORT WORTH ,TX ,76177 ,TARRANT ,,,,24131,,,.0807,,,55,19085,656,188,6764,,209.05,,176,71,1715,507,,,,,, 670106,03-FEB-15,31-JAN-16,Amended,PEARLAND MEDICAL CENTER ,11100 SHADOW CREEK PARKWAY ,,PEARLAND ,TX ,77584 ,BRAZORIA ,,,,13289,,,.0328,,,30,10890,803,211,4305,,197.46,,250,37,1313,130,,,,,, 670107,19-MAR-15,31-DEC-15,Settled,BEMC BURLESON ,1776 N. U.S. 287 SUITE 100 ,,MANSFIELD ,TX ,76063 ,TARRANT ,,,,,,,,,,16,4608,15,,15,,47.39,,7,,7,,,,,,, 670108,17-SEP-15,31-MAY-16,Amended,BAYLOR SCOTT & WHITE - MARBLE FALLS ,810 WEST HIGHWAY 71 ,,MARBLE FALLS ,TX ,78654 ,,,,,97877,,,.1185,,,45,11565,1766,504,3373,,199.12,,586,172,1178,334,,,,,, 670109,23-JUN-15,31-DEC-15,Settled,ALTUS BAYTOWN HOSPITAL ,1626 W BAKER ROAD ,,BAYTOWN ,TX ,77521 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 670111,31-JUL-15,31-JAN-16,Settled,CONTINUECARE HOSPITAL AT MEDICAL CEN ,500 WEST 4TH STREET ,4TH FLOOR ,ODESSA ,TX ,79761-5001 ,ECTOR ,,,,,,,,,,25,4625,417,,433,,8.73,,15,,18,,,,,,, 673025,01-JAN-15,31-DEC-15,As Submitted,POST ACUTE MEDICAL AT ALLEN ,1001 RAINTREE CIRCLE ,,ALLEN ,TX ,75013-4900 ,COLLIN ,,,,,,,,,,40,14600,7754,,9670,,98.46,,715,,883,,,,,,, 673027,01-JAN-15,31-DEC-15,As Submitted,CENTRAL TEXAS REHAB HOSPITAL ,700 WEST 45TH STREET 8TH FLOOR NORT ,,AUSTIN ,TX ,78751 ,TRAVIS ,,,,,,,,,,50,18250,8431,,13985,,142.2,,673,,1005,3,,,,,, 673029,01-JAN-15,31-DEC-15,Amended,RELIANT REHAB HOSP NORTH TEXAS ,3351 WATERVIEW PARKWAY ,,RICHARDSON ,TX ,75080- ,DALLAS ,,,,,,,,,,50,18250,10687,,13846,,102.17,,933,,1185,7,,,,,, 673030,01-JUL-15,30-JUN-16,As Submitted,KATE DISHMAN REHAB HOSPITAL ,2830 CALDER ST ,,BEAUMONT ,TX ,77702- ,JEFFERSON ,,,,,,,,,,27,9882,3534,,4918,,36.95,,281,,379,,,,,,, 673031,01-JUN-15,31-MAY-16,As Submitted,METHODIST REHABILITATION HOSPITAL ,3020 WEST WHEATLAND ROAD ,,DALLAS ,TX ,75237 ,DALLAS ,,,,,,,,,,40,14640,8084,,12569,,128.5,,675,,1032,,,,,,, 673032,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1400 HESTERS CROSSING ,,ROUND ROCK ,TX ,78681- ,WILLIAMSON ,,,,,,,,,,50,18250,10750,,14519,,114.7,,976,,1245,4,,,,,, 673033,01-JAN-15,31-DEC-15,As Submitted,BIR AT NORTHWEST DALLAS ,1340 EMPIRE CENTRAL DRIVE ,,DALLAS ,TX ,75247 ,DALLAS ,,,,,,,,,,42,15330,4883,,7489,,82.17,,379,,548,,,,,,, 673034,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,117 VISION PARK BLVD ,,SHENANDOAH ,TX ,77384-3001 ,MONTGOMERY ,,,,,,,,,,60,21900,12599,,16118,,107.7,,1224,,1496,5,,,,,, 673035,01-JAN-15,31-DEC-15,As Submitted,BIR AT FORT WORTH ,6601 HARRIS PARKWAY ,,FORT WORTH ,TX ,76132 ,TARRANT ,,,,,,,,,,42,15330,8409,,11422,,101.32,,732,,992,,,,,,, 673036,01-JUN-15,31-MAY-16,As Submitted,REHABILITATION INSTITUTE OF DENTON ,2620 SCRIPTURE STREET ,,DENTON ,TX ,76201 ,DENTON ,,,,,,,,,,44,16104,8471,,11405,,122.49,,700,,927,,,,,,, 673038,01-OCT-14,30-SEP-15,As Submitted,MEMORIAL HERMANN REHAB HOSP KATY ,21720 KINGSLAND BLVD 102 ,,KATY ,TX ,77450 ,HARRIS ,,,,,,,,,,35,12775,4478,,8732,,118.78,,313,,591,,,,,,, 673039,01-JAN-15,31-DEC-15,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,3401 DIRECTORS PARKWAY ,,ABILENE ,TX ,79606-5869 ,TAYLOR ,,,,,,,,,,30,10950,4071,,5090,,39.71,,416,,497,1,,,,,, 673040,01-JAN-15,31-DEC-15,As Submitted,SRH OF SAN ANTONIO ,19126 STONE HUE ,,SAN ANTONIO ,TX ,78258 ,BEXAR ,,,,,,,,,,42,15330,10102,,13725,,129.64,,776,,1005,,,,,,, 673041,01-AUG-15,31-JUL-16,As Submitted,CARRUS REHABILITATION HOSPITAL ,1810 U.S. HIGHWAY 82 WEST ,,SHERMAN ,TX ,75092 ,GRAYSON ,,,,,,,,,,24,8784,6471,,8232,,69.26,,512,,622,,,,,,, 673042,01-JUN-15,31-MAY-16,Amended,HEALTHSOUTH SUGAR LAND REHABILITATIO ,1325 HIGHWAY 6 ,,SUGAR LAND ,TX ,77478 ,FORT BEND ,,,,,,,,,,50,18300,11599,,16470,,148.03,,950,,1339,7,,,,,, 673043,01-JUL-15,30-JUN-16,Amended,HEALTHSOUTH REHABILIATION HOSPITAL O ,7930 NORTHAVEN ROAD ,,DALLAS ,TX ,75230 ,DALLAS ,,,,,,,,,,40,14640,6502,,9568,,140.73,,597,,865,2,,,,,, 673044,01-JUL-15,30-JUN-16,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,2304 STATE HIGHWAY 121 ,,BEDFORD ,TX ,76021 ,TARRANT ,,,,,,,,,,60,21960,11116,,15493,,178.71,,1062,,1467,9,,,,,, 673045,01-JAN-15,31-DEC-15,As Submitted,REHABILITATION HOSPITAL OF MESQUITE ,1023 N BELT LINE ROAD ,,MESQUITE ,TX ,75149 ,DALLAS ,,,,,,,,,,20,7300,5740,,6854,,61.24,,432,,517,,,,,,, 673046,01-JUL-15,30-JUN-16,As Submitted,BAYLOR INSTITUTE FOR REHABILITATION ,2990 LEGACY DRIVE ,,FRISCO ,TX ,75034-6066 ,COLLIN ,,,,,,,,,,44,16104,6473,,10872,,96.28,,551,,882,,,,,,, 673048,01-JAN-15,31-DEC-15,As Submitted,TEXAS REHAB HOSPITAL OF FT WORTH ,425 ALABAMA AVENUE ,,FORT WORTH ,TX ,76104 ,TARRANT ,,,,,,,,,,66,24090,11287,,18697,,182.9,,857,,1387,,,,,,, 673049,01-JAN-15,31-DEC-15,As Submitted,NEW BRAUNFELS REG REHAB HOSP INC ,2041 SUNDANCE PARKWAY ,,NEW BRAUNFELS ,TX ,78130 ,COMAL ,,,,,,,,,,40,14600,8221,,10680,,117.25,,559,,725,,,,,,, 673050,01-OCT-14,30-SEP-15,Settled,HEALTHSOUTH REHABILITATION HOSPITAL ,13031 WORTHAM CENTER DRIVE ,,HOUSTON ,TX ,77065 ,HARRIS ,,,,,,,,,,60,21740,12026,,17963,,150.61,,944,,1395,6,,,,,, 673051,01-JAN-15,31-DEC-15,Settled,KINDRED REHAB HOSPITAL NE HOUSTON ,18839 MCKAY BLVD ,,HUMBLE ,TX ,77338 ,HARRIS ,,,,,,,,,,46,16790,7454,,9384,,92.7,,576,,691,,,,,,, 673052,01-JAN-15,31-DEC-15,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,20180 CHASEWOOD PARK DRIVE ,,HOUSTON ,TX ,77070 ,HARRIS ,,,,,,,,,,60,21900,9548,,11347,,79.74,,919,,1082,2,,,,,, 673053,01-JAN-15,31-DEC-15,As Submitted,CORPUS CHRISTI REHABILITATION HOSPIT ,5726 ESPLANADE DRIVE ,,CORPUS CHRISTI ,TX ,78414 ,NUECES ,,,,,,,,,,35,12775,5550,8,7903,,87.77,,400,1,517,,,,,,, 673054,01-JAN-15,31-DEC-15,As Submitted,RELIANT REHAB HOSPITAL AUSTIN LP ,330 WEST BEN WHITE ROAD ,,AUSTIN ,TX ,78704 ,TRAVIS ,,,,,,,,,,60,21900,4442,,5618,,45.04,,417,,521,2,,,,,, 673055,01-JAN-15,31-DEC-15,Settled,ACCEL REHABILITATION HOSPITAL PLANO ,2301 MARSH LANE SUITE 200 ,,PLANO ,TX ,75093-8497 ,COLLIN ,,,,,,,,,,149,54385,5950,,7536,,62.01,,467,,573,,,,,,, 673056,01-JAN-15,31-DEC-15,As Submitted,WARM SPRINGS REHAB VICTORIA ,101 JAMES COLEMAN DRIVE ,,VICTORIA ,TX ,77904 ,VICTORIA ,,,,,,,,,,26,9490,6430,,7458,,74.6,,579,,671,,,,,,, 673057,01-SEP-15,31-AUG-16,As Submitted,WARM SPRINGS REHAB HOSP KYLE ,5980 KYLE PARKWAY ,,KYLE ,TX ,78640 ,HAYS ,,,,,,,,,,40,14640,7789,,10048,,113.28,,655,,824,,,,,,, 673058,16-JAN-15,30-APR-15,As Submitted,VIBRA HOSPITAL OF LAKE TRAVIS ,2000 MEDICAL DRIVE ,,LAKEWAY ,TX ,78734 ,TRAVIS ,,,,,,,,,,36,3276,811,,1177,,14.38,,74,,115,,,,,,, 673058,01-MAY-15,30-APR-16,As Submitted,VIBRA HOSPITAL OF LAKE TRAVIS ,2000 MEDICAL DRIVE ,,LAKEWAY ,TX ,78734 ,TRAVIS ,,,,,,,,,,36,13176,5376,,5941,,66.1,,461,,499,,,,,,, 673059,26-FEB-15,31-DEC-15,As Submitted,LAREDO REHABILITATION HOSPITAL ,2005A E BUSTAMANTE STREET ,,LAREDO ,TX ,78041 ,WEBB ,,,,,,,,,,20,6180,3455,,4247,,43.78,,233,,275,,,,,,, 673060,10-AUG-15,31-DEC-15,As Submitted,TEXAS REHAB HOSPITAL OF ARLINGTON ,900 WEST ARBROOK BLVD. ,,ARLINGTON ,TX ,76018 ,TARRANT ,,,,,,,,,,40,4404,2451,,2589,,84.5,,221,,236,,,,,,, 673061,20-AUG-15,31-MAY-16,As Submitted,BAY AREA REHAB HOSPITAL ,110 E. MEDICAL CENTER BOULEVARD ,,WEBSTER ,TX ,77598 ,HARRIS ,,,,,,,,,,45,12825,4815,,5883,,78.73,,386,,468,,,,,,, 673063,01-AUG-15,31-JUL-16,As Submitted,TRUSTPOINT REHABILITATION HOSPITAL ,4302 PRINCETON STREET ,,LUBBOCK ,TX ,79415 ,LUBBOCK ,,,,,,,,,,60,21960,8261,1298,18607,,170.36,,569,39,939,,,,,,,