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-15,30-SEP-16,As Submitted,SOUTHEAST ALABAMA MEDICAL CENTER ,1108 ROSS CLARK CIRCLE ,6987 ,DOTHAN ,AL ,36301 ,HOUSTON ,,,,2265536,,,.1369,,,387,141642,44473,12838,97665,,2397.43,,8529,3115,19632,191,,,,,, 010005,01-OCT-15,30-SEP-16,As Submitted,MARSHALL MEDICAL CENTER - SOUTH ,2505 U.S. HIGHWAY 431 ,,BOAZ ,AL ,35957- ,MARSHALL ,,,,741069,,,.1241,,,204,74664,17977,6959,38875,,1113.2,,3659,1446,9406,,,,,,, 010006,01-JUL-16,30-JUN-17,As Submitted,ELIZA COFFEE MEMORIAL HOSPITAL ,205 MARENGO STREET ,818 ,FLORENCE ,AL ,35630 ,LAUDERDALE ,,,,1018374,,,.0985,,,358,130670,28604,9591,61846,,971.12,,5535,1999,12713,51,,,,,, 010007,01-OCT-15,30-SEP-16,As Submitted,MIZELL MEMORIAL HOSPITAL ,702 MAIN STREET ,429 ,OPP ,AL ,36462- ,COVINGTON ,,,,44993,,,.0497,,,45,16470,3118,483,4450,,140.41,,764,159,1179,,,,24,,260, 010008,01-JAN-16,31-DEC-16,Amended,CRENSHAW COMMUNITY HOSPITAL ,CRENSHAW COMMUNITY HOSPITAL ,101 HOSPITAL CIRCLE ,LUVERNE ,AL ,36049 ,CRENSHAW ,,,,25842,,,.1299,,,29,10614,840,120,1216,,87.83,,195,37,328,,,,139,,671, 010011,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENTS EAST ,50 MEDICAL PARK DRIVE EAST ,,BIRMINGHAM ,AL ,35235- ,JEFFERSON ,780166,,,787842,,,.1055,721842,210310,313,114245,22904,15372,88025,18.13,1071.24,,3631,2159,15371,,,,20,17,433,286 010012,01-APR-16,31-MAR-17,As Submitted,DEKALB REGIONAL MEDICAL CENTER ,200 MEDICAL CENTER DRIVE ,,FORT PAYNE ,AL ,35967 ,DEKALB ,,,,188970,,,.12,,,97,35405,4691,2957,11884,,360.52,,1081,784,3141,,,,13,,238, 010016,03-OCT-15,31-DEC-15,As Submitted,SHELBY BAPTIST MEDICAL CENTER ,1000 FIRST STREET NORTH ,,ALABASTER ,AL ,35007 ,SHELBY ,,,,92156,,,.0643,,,212,19080,3588,1703,12514,,875.2,,731,473,2718,,,,65,,332, 010016,01-JAN-16,31-DEC-16,As Submitted,SHELBY BAPTIST MEDICAL CENTER ,1000 FIRST STREET NORTH ,,ALABASTER ,AL ,35007 ,SHELBY ,,,,584688,,,.09,,,212,77592,16230,8811,53086,,734.69,,3234,1447,11045,,,,227,,1332, 010018,01-OCT-15,30-SEP-16,As Submitted,CALLAHAN EYE FOUNDATION HOSP ,1720 UNIVERSITY BOULEVARD ,,BIRMINGHAM ,AL ,35233- ,JEFFERSON ,60834,,,,,,,43784,407784,12,4392,138,2,232,7.54,204.08,,37,1,64,,,,,,, 010019,01-OCT-15,30-SEP-16,As Submitted,HELEN KELLER HOSPITAL ,1300 SOUTH MONTGOMERY AVENUE ,610 ,SHEFFIELD ,AL ,35660- ,COLBERT ,,,,662423,,,.1694,,,185,67710,11498,6711,25969,,654.6,,2653,2202,6507,,,,,,, 010021,01-OCT-15,30-SEP-16,As Submitted,DALE MEDICAL CENTER ,126 HOSPITAL ,,OZARK ,AL ,36360- ,DALE ,,,,107466,,,.12,,,77,28182,3618,1864,8067,,284.93,,678,343,1530,,,,27,,240, 010022,01-APR-16,31-MAR-17,As Submitted,CHEROKEE MEDICAL CENTER ,100 NORTHWOOD DRIVE ,,CENTRE ,AL ,35960- ,CHEROKEE ,,,,106936,,,.2719,,,45,16425,2344,677,4349,,109.52,,315,155,857,,,,,,, 010023,01-JUL-16,30-JUN-17,As Submitted,BAPTIST MEDICAL CENTER SOUTH ,2105 EAST SOUTH BOULEVARD ,11010 ,MONTGOMERY ,AL ,36116- ,MONTGOMERY ,2911189,,,2471175,,,.237,555724,527742,329,120085,24548,26772,87146,39.47,1773.69,,4977,3659,18594,,,,,,2059, 010024,01-JAN-16,31-DEC-16,As Submitted,JACKSON HOSPITAL AND CLINIC INC ,1725 PINE STREET ,,MONTGOMERY ,AL ,36106-1109 ,MONTGOMERY ,,,,994313,,,.1041,,,241,88206,26964,10954,71822,,1318.74,,4661,1798,14647,,,,,,, 010029,01-OCT-15,30-SEP-16,As Submitted,EAST ALABAMA MEDICAL CENTER ,2000 PEPPERELL PKWY ,,OPELIKA ,AL ,36802- ,LEE ,,,,1409853,,,.1181,,,315,115290,34763,14130,76996,,2253.95,,5892,2691,14626,,,,,,, 010032,01-OCT-15,30-SEP-16,As Submitted,WEDOWEE HOSPITAL ,301 NORTH MAIN STREET ,,WEDOWEE ,AL ,36278 ,RANDOLPH ,,,,7371,,,.0587,,,34,12444,419,106,1302,,74.64,,127,39,323,,,,,,, 010033,01-OCT-15,30-SEP-16,As Submitted,UNIVERSITY OF ALABAMA HOSPITAL ,619 SOUTH 19TH STREET ,,BIRMINGHAM ,AL ,35233 ,JEFFERSON ,21577558,,,6865159,,,.1926,7686420,3132209,1054,385663,81162,85077,311787,555.82,8554,,12839,11103,43655,,,,,38,2587,1245 010034,01-OCT-15,30-SEP-16,As Submitted,COMMUNITY HOSPITAL INC. ,805 FRIENDSHIP DRIVE ,,TALLASSEE ,AL ,36078 ,ELMORE ,,,,51448,,,.0762,,,37,13505,3240,622,6139,,224.48,,491,145,1111,,,,6,,168, 010035,01-JUL-16,30-JUN-17,As Submitted,CULLMAN REGIONAL ,1912 ALABAMA HIGHWAY 157 ,,CULLMAN ,AL ,35056 ,CULLMAN ,,,,403214,,,.071,,,115,41975,13795,3011,27219,,817.09,,3383,1390,7807,,,,,,, 010036,01-APR-16,31-MAR-17,As Submitted,ANDALUSIA REGIONAL HOSPITAL ,849 THREE NOTCH STREET ,,ANDALUSIA ,AL ,36420 ,COVINGTON ,,,,238822,,,.12,,,88,32120,5613,2413,10986,,240.98,,1449,655,3107,142,,,,,, 010038,01-JUL-16,30-APR-17,As Submitted,STRINGFELLOW MEMORIAL HOSPITAL ,301 EAST 18TH STREET ,38 ,ANNISTON ,AL ,36207 ,CALHOUN ,,,,229014,,,.1349,,,125,38000,4919,1495,10185,,255.19,,1205,352,2427,,,,,,, 010039,01-JUL-16,30-JUN-17,As Submitted,HUNTSVILLE HOSPITAL ,101 SIVLEY ROAD ,,HUNTSVILLE ,AL ,35801- ,MADISON ,5078944,,,3829140,,,.1095,1505777,644113,863,314995,85333,47829,241872,58.73,5986.22,,15495,10047,49243,,,,234,,1551, 010040,01-OCT-15,30-SEP-16,As Submitted,GADSDEN REGIONAL MEDICAL CENTER ,1007 GOODYEAR AVENUE ,,GADSDEN ,AL ,35999 ,ETOWAH ,,,,1251047,,,.1241,,,225,82350,28580,11574,70009,,1105.02,,4976,2278,14190,,,,14,,299, 010044,01-OCT-15,30-SEP-16,Amended,MARION REGIONAL MEDICAL CENTER ,1256 MILITARY ST SOUTH ,,HAMILTON ,AL ,35570- ,MARION ,,,,22321,,,.0554,,,36,13176,3193,115,3966,,111.24,,322,38,482,,,,,,, 010045,01-OCT-15,30-SEP-16,As Submitted,FAYETTE MEDICAL CENTER ,1653 TEMPLE AVENUE NORTH ,,FAYETTE ,AL ,35555- ,FAYETTE ,,,,34554,,,.0486,,,42,15372,3977,267,4998,,182.8,,513,89,831,,,,,,, 010046,01-JAN-16,31-DEC-16,Amended,RIVERVIEW REGIONAL MEDICAL CENTER ,600 SOUTH 3RD STREET ,,GADSDEN ,AL ,35901 ,ETOWAH ,,,,432210,,,.0839,,,256,93440,13704,3030,29261,,621.91,,2994,855,7308,1,,,5,,192, 010047,01-JAN-16,31-DEC-16,As Submitted,GEORGIANA HOSPITAL ,515 MIRANDA STREET ,,GEORGIANA ,AL ,36033 ,BUTLER ,,,,12289,,,.0378,,,22,8052,1146,128,1637,,42.07,,347,44,512,,,,,,, 010049,01-JAN-16,31-DEC-16,As Submitted,MEDICAL CENTER ENTERPRISE ,400 NORTH EDWARDS STREET ,,ENTERPRISE ,AL ,36330- ,COFFEE ,,,,175583,,,.12,,,117,42822,3123,3567,10352,,341.45,,1007,986,3426,,,,,,, 010051,01-OCT-15,30-SEP-16,As Submitted,GREENE COUNTY HOSPITAL ,509 WILSON AVENUE ,,EUTAW ,AL ,35462 ,GREENE ,,,,14645,,,.12,,,20,7320,342,171,716,,93.42,,100,63,216,,,,,,, 010052,01-JAN-16,31-DEC-16,As Submitted,LAKE MARTIN COMMUNITY HOSPITAL ,1231 SOUTH STREET ,,DADEVILLE ,AL ,36853 ,TALLAPOOSA ,,,,32076,,,.0939,,,46,16836,951,180,1575,,83.04,,335,57,596,,,,,,, 010055,01-OCT-15,30-SEP-16,As Submitted,FLOWERS HOSPITAL ,4370 WEST MAIN STREET ,6907 ,DOTHAN ,AL ,36302- ,HOUSTON ,,,,657713,,,.0727,,,235,86010,25025,6220,53315,,1088.42,,4850,1436,11380,,,,,,, 010056,01-JUL-16,30-JUN-17,As Submitted,ST VINCENTS BIRMINGHAM ,810 ST VINCENTS DRIVE ,,BIRMINGHAM ,AL ,35205- ,JEFFERSON ,69552,,,511110,,,.0398,38989,19331,409,149285,30108,7963,107239,,,,5576,1296,20328,,,,,,, 010058,01-OCT-15,30-SEP-16,Amended,BIBB MEDICAL CENTER ,165 PIERSON AVENUE ,,CENTREVILLE ,AL ,35042 ,BIBB ,,,,21816,,,.12,,,25,9125,1879,776,4222,,124.38,,157,147,517,,,,,,, 010059,01-OCT-15,30-SEP-16,As Submitted,LAWRENCE MEDICAL CENTER ,202 HOSPITAL STREET ,,MOULTON ,AL ,35650- ,LAWRENCE ,,,,31243,,,.0719,,,43,15738,2191,187,3003,,122.09,,358,58,639,,,,,,, 010061,01-OCT-15,30-SEP-16,As Submitted,HIGHLANDS MEDICAL CENTER ,380 WOOD COVE ROAD ,1050 ,SCOTTSBORO ,AL ,35768 ,JACKSON ,,,,237267,,,.12,,,170,62220,6618,2747,11635,,398.45,,1489,957,3767,,,,,,, 010062,01-OCT-15,30-SEP-16,As Submitted,WIREGRASS MEDICAL CENTER ,1200 WEST MAPLE STREET ,,GENEVA ,AL ,36340 ,GENEVA ,,,,50446,,,.0768,,,73,26718,2823,432,4612,,162.79,,617,129,1099,9,,,,,271, 010065,01-JAN-16,31-DEC-16,As Submitted,RUSSELL MEDICAL CENTER ,C ,939 ,ALEXANDER CITY ,AL ,35010 ,TALLAPOOSA ,,,,427428,,,.1605,,,75,27375,5418,2623,11155,,472.03,,1541,629,3061,,,,,,, 010069,01-OCT-15,30-SEP-16,As Submitted,SEAR ,820 WEST WASHINGTON STREET ,,EUFAULA ,AL ,36027 ,BARBOUR ,,,,74310,,,.1164,,,30,10980,3297,617,5412,,147.21,,556,118,1082,,,,,,228, 010073,01-OCT-15,30-SEP-16,As Submitted,CLAY COUNTY HOSPITAL ,544 EAST AVENUE ,,ASHLAND ,AL ,36251 ,CLAY ,,,,176968,,,.2607,,,46,16836,3972,1544,6194,,161.66,,606,310,1233,,,,,,, 010078,01-JUL-16,30-JUN-17,As Submitted,NORTHEAST ALABAMA REGIONAL MED CTR ,400 EAST TENTH STREET ,2208 ,ANNISTON ,AL ,36202- ,CALHOUN ,,,,1310352,,,.1597,,,250,91500,26756,13794,56309,,1359.02,,4576,4330,12131,,,,174,,870, 010079,01-JAN-16,30-JUN-16,Amended,ATHENS LIMESTONE ,ATHENS LIMESTONE HOSPITAL ,999 ,ATHENS ,AL ,35611- ,LIMESTONE ,,,,176026,,,.12,,,71,12922,3679,1535,7996,,515.47,,890,571,2299,,,,,,, 010079,01-JUL-16,30-JUN-17,As Submitted,ATHENS LIMESTONE ,ATHENS LIMESTONE HOSPITAL ,999 ,ATHENS ,AL ,35611- ,LIMESTONE ,,,,336005,,,.1179,,,71,25915,6660,2728,14634,,495.73,,1653,1002,4348,,,,,,, 010083,01-OCT-15,30-SEP-16,As Submitted,SOUTH BALDWIN REGIONAL MEDICAL CENTE ,1613 NORTH MCKENZIE ,,FOLEY ,AL ,36535- ,BALDWIN ,,,,181758,,,.0537,,,112,40992,9650,2752,26402,,601.64,,2151,924,6505,,,,,,, 010085,01-APR-16,31-MAR-17,As Submitted,DECATUR MORGAN - DECATUR CAMPUS ,7TH STREET S.E. ,2239 ,DECATUR ,AL ,35609- ,MORGAN ,,,,697116,,,.1005,,,194,70810,22336,7419,43979,,1078.79,,4278,2344,10131,,,,,,1503, 010086,01-JAN-16,31-DEC-16,As Submitted,NORTHWEST MEDICAL CENTER ,HIGHWAY 78 WEST ,130 ,WINFIELD ,AL ,35594 ,MARION ,,,,36163,,,.046,,,61,22326,3524,399,5003,,179.35,,668,95,1145,,,,20,,220, 010087,01-OCT-15,30-SEP-16,Amended,UNIV OF SOUTH ALABAMA MEDICAL CENTER ,2451 FILLINGIM STREET ,,MOBILE ,AL ,36617 ,MOBILE ,5422340,,,841128,,,.2722,2087051,1740722,144,52704,7680,12137,42763,137.07,1554.5,,1226,1760,6949,,,,,,, 010089,03-OCT-15,31-DEC-15,Amended,WALKER BAPTIST MEDICAL CENTER ,3400 HIGHWAY 78 EAST ,3547 ,JASPER ,AL ,35502 ,WALKER ,,,,111519,,,.1454,,,145,13050,2084,1182,6001,,512.58,,466,503,1469,,,,117,,347, 010089,01-JAN-16,31-DEC-16,As Submitted,WALKER BAPTIST MEDICAL CENTER ,3400 HIGHWAY 78 EAST ,3547 ,JASPER ,AL ,35502 ,WALKER ,,,,691931,,,.1951,,,219,80154,9019,6197,24231,,456.51,,2020,1297,5845,,,,426,,1620, 010090,01-JUL-16,30-JUN-17,As Submitted,PROVIDENCE HOSPITAL ,6801 AIRPORT BLVD ,,MOBILE ,AL ,36608 ,MOBILE ,29360,,,662404,,,.0731,,,349,127385,24755,10978,78609,,1235.9,,4344,1812,15087,115,,,,,, 010091,01-JUL-16,30-JUN-17,As Submitted,GROVE HILL MEMORIAL HOSPITAL ,295 SOUTH JACKSON STREET ,935 ,GROVE HILL ,AL ,36451- ,CLARKE ,,,,29461,,,.12,,,21,7665,887,1202,3090,,111.88,,258,509,892,,,,15,,165, 010092,01-OCT-15,30-SEP-16,As Submitted,DCH REGIONAL MEDICAL CENTER ,809 UNIVERSITY BLVD EAST ,,TUSCALOOSA ,AL ,35401- ,TUSCALOOSA ,4447461,,,4137691,,,.1706,1339412,473438,525,192150,65768,36807,154665,46.74,3639.15,,12411,8685,33879,,,,,,1746,778 010095,01-OCT-15,30-SEP-16,Amended,HALE COUNTY HOSPITAL ,508 GREENE STREET ,,GREENSBORO ,AL ,36744 ,HALE ,,,,24832,,,.12,,,28,10220,2232,260,3167,,78.36,,194,89,448,,,,,,, 010097,01-JAN-16,31-DEC-16,As Submitted,ELMORE COMMUNITY HOSPITAL ,500 HOSPITAL DRIVE ,,WETUMPKA ,AL ,36092 ,ELMORE ,,,,47548,,,.12,,,33,12078,1329,536,2974,,124.89,,332,109,760,,,,,,, 010099,01-OCT-15,30-SEP-16,As Submitted,D W MCMILLAN MEMORIAL HOSPITAL ,1301 BELLEVILLE AVENUE ,908 ,BREWTON ,AL ,36427 ,ESCAMBIA ,,,,85594,,,.12,,,49,17934,2545,2039,6601,,191.83,,646,398,1615,,,,,,, 010100,01-APR-16,31-MAR-17,As Submitted,THOMAS HOSPITAL ,750 MORPHY AVE ,929 ,FAIRHOPE ,AL ,36532- ,BALDWIN ,,,,250192,,,.036,,,129,47085,15389,4545,37432,,769.01,,3359,1586,8697,,,,,,, 010101,03-OCT-15,31-DEC-15,As Submitted,CITIZENS BAPTIST MEDICAL CENTER ,604 STONE AVENUE ,,TALLADEGA ,AL ,35161 ,TALLADEGA ,,,,50188,,,.2079,,,81,7290,718,466,1991,,234.17,,177,194,575,,,,3,,64, 010101,01-JAN-16,31-DEC-16,As Submitted,CITIZENS BAPTIST MEDICAL CENTER ,604 STONE AVENUE ,,TALLADEGA ,AL ,35161 ,TALLADEGA ,,,,274755,,,.2538,,,100,36600,2938,2434,8420,,224.28,,818,643,2413,,,,28,,253, 010102,01-OCT-15,30-SEP-16,As Submitted,JOHN PAUL JONES HOSPITAL ,317 MCWILLIAMS AVENUE ,B ,CAMDEN ,AL ,36726-1610 ,WILCOX ,,,,8463,,,.12,,,21,7665,376,146,727,,38.99,,79,42,185,,,,,,, 010103,03-OCT-15,31-DEC-15,As Submitted,PRINCETON BAPTIST MEDICAL CENTER ,701 PRINCETON AVE SW ,,BIRMINGHAM ,AL ,35211 ,JEFFERSON ,1012702,,,253432,,,.1019,787066,257921,273,24570,5675,2732,17227,52.31,1194.88,,1034,494,3350,,,,4,,149, 010103,01-JAN-16,31-DEC-16,As Submitted,PRINCETON BAPTIST MEDICAL CENTER ,701 PRINCETON AVE SW ,,BIRMINGHAM ,AL ,35211 ,JEFFERSON ,4344103,,,1126177,,,.1042,3180852,868774,272,99479,23448,11953,71782,52.81,1086,,4227,1763,13487,,27,,,,672, 010104,01-JUL-16,30-JUN-17,As Submitted,GRANDVIEW MEDICAL CENTER ,800 MONTCLAIR ROAD ,,BIRMINGHAM ,AL ,35213 ,JEFFERSON ,2404933,,,958154,,,.0869,1888695,609473,350,127750,28147,11091,90388,40.31,1444.55,,4819,1472,17199,,,,,,312,393 010108,01-JUL-16,30-JUN-17,As Submitted,PRATTVILLE BAPTIST HOSPITAL ,124 SOUTH MEMORIAL DRIVE ,,PRATTVILLE ,AL ,36067- ,AUTAUGA ,,,,92584,,,.0538,,,50,18250,5625,1704,14142,,297.21,,1259,464,3423,,,,,,, 010109,01-OCT-15,30-SEP-16,As Submitted,PICKENS COUNTY MEDICAL CENTER ,R.K. WILSON DRIVE ,,CARROLLTON ,AL ,35477 ,PICKENS ,,,,21241,,,.0746,,,40,14600,1374,112,2036,,97.29,,251,51,490,,,,9,,89, 010110,01-JAN-16,31-DEC-16,As Submitted,BULLOCK COUNTY HOSPITAL ,BULLOCK COUNTY HOSPITAL ,102 CONECUH AVENUE ,UNION SPRINGS ,AL ,36089 ,BULLOCK ,,,,32935,,,.12,,,30,10980,1200,792,2970,,91.31,,261,84,615,,,,197,,558, 010112,01-OCT-15,30-SEP-16,As Submitted,BRYAN W WHITFIELD MEMORIAL HOSPITAL ,105 HIGHWAY 80 EAST ,,DEMOPOLIS ,AL ,36732 ,MARENGO ,,,,99312,,,.12,,,89,32485,4779,2544,8509,,234.18,,762,646,1723,,,,16,,160, 010113,01-APR-16,31-MAR-17,As Submitted,MOBILE INFIRMARY MEDICAL CENTER ,FIVE MOBILE INFIRMARY CIRCLE ,2144 ,MOBILE ,AL ,36652- ,MOBILE ,331126,,,2530486,,,.1474,134104,26589,601,219365,49264,25949,145449,5.12,1976.76,,8276,3707,25865,,,,306,9,1566,639 010114,01-JAN-16,31-DEC-16,As Submitted,UAB MEDICAL WEST ,995 NINTH AVENUE SOUTHWEST ,847 ,BESSEMER ,AL ,35023 ,JEFFERSON ,,,,351415,,,.1122,,,187,68442,10156,6227,34047,,866.9,,1700,1587,6211,,,,39,38,502,417 010118,01-JUL-16,30-JUN-17,As Submitted,VAUGHAN REGIONAL MEDICAL CENTER ,1015 MEDICAL CENTER PARKWAY ,,SELMA ,AL ,36701 ,DALLAS ,425149,,,1047119,,,.3868,331403,178930,163,59495,6307,5938,17692,15.01,429.44,,1766,1544,5157,314,,,,,, 010120,01-OCT-15,30-SEP-16,As Submitted,MONROE COUNTY HOSPITAL ,HIGHWAY 21 ,,MONROEVILLE ,AL ,36461 ,MONROE ,,,,64439,,,.12,,,49,17934,1653,1023,3871,,212.11,,493,290,1139,,,,,,, 010125,01-JAN-16,31-DEC-16,As Submitted,LAKELAND COMMUNITY HOSPITAL ,HIIGHWAY 195 EAST ,780 ,HALEYVILLE ,AL ,35565 ,WINSTON ,,,,139562,,,.1628,,,50,18300,4282,781,6261,,111.57,,835,171,1387,,,,15,,112, 010126,01-JAN-16,31-DEC-16,As Submitted,TROY REGIONAL MEDICAL CENTER ,130 HIGHWAY 231 ,,TROY ,AL ,36081 ,PIKE ,,,,95416,,,.12,,,97,35502,3124,1388,6973,,241.34,,591,339,1653,,,,,,, 010128,01-JAN-16,31-DEC-16,As Submitted,JACKSON MEDICAL CENTER ,220 HOSPITAL DRIVE ,,JACKSON ,AL ,36545 ,CLARKE ,,,,39658,,,.12,,,35,12810,1707,1093,4144,,95.55,,303,302,859,,,,,,, 010129,01-APR-16,31-MAR-17,As Submitted,NORTH BALDWIN INFIRMARY ,1815 HAND AVENUE ,1409 ,BAY MINETTE ,AL ,36507 ,BALDWIN ,,,,90591,,,.12,,,55,20075,1980,1313,6289,,769.01,,521,655,1817,,,,,,344, 010130,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENTS ST. CLAIR ,7063 VETERANS PARKWAY ,,PELL CITY ,AL ,35125 ,ST. CLAIR ,,,,,,,,,,40,14600,2799,407,7329,,173.66,,677,92,1626,,,,,,, 010131,01-JUL-16,30-JUN-17,As Submitted,CRESTWOOD MEDICAL CENTER ,ONE HOSPITAL DRIVE ,,HUNTSVILLE ,AL ,35801- ,MADISON ,,,,395353,,,.0431,,,176,64050,18894,3112,45882,,1021.07,,4182,1005,11152,,,,,,, 010138,01-JAN-16,31-DEC-16,As Submitted,HILL HOSPITAL OF SUMTER COUNTY ,751 DERBY DRIVE ,,YORK ,AL ,36925 ,SUMTER ,,,,16816,,,.12,,,33,12078,1617,1698,3746,,46.21,,256,163,555,,,,,,, 010139,03-OCT-15,31-DEC-15,As Submitted,BROOKWOOD MEDICAL CENTER ,2010 BROOKWOOD MEDICAL CENTER DRIVE ,,BIRMINGHAM ,AL ,35209 ,JEFFERSON ,,,,128458,,,.0544,,,406,36540,5556,3154,21401,,1345.99,,1209,360,4782,2,6,,254,,1087,181 010139,01-JAN-16,31-DEC-16,As Submitted,BROOKWOOD BAPTIST MEDICAL CENTER ,2010 BROOKWOOD MEDICAL CENTER DRIVE ,,BIRMINGHAM ,AL ,35209 ,JEFFERSON ,,,,724541,,,.0679,,,422,154452,25236,14659,88854,,1372.67,,5130,1591,19062,7,30,,808,11,4459,756 010144,01-JAN-16,31-DEC-16,As Submitted,SPRINGHILL MEMORIAL HOSPITAL ,3719 DAUPHIN STREET ,,MOBILE ,AL ,36608 ,MOBILE ,,,,333562,,,.0505,,,186,68076,18761,5263,56853,,996.47,,3232,1044,10642,,,,,,,212 010146,01-OCT-15,30-SEP-16,As Submitted,JACKSONVILLE MEDICAL CENTER ,1701 PELHAM ROAD SOUTH ,,JACKSONVILLE ,AL ,36265 ,CALHOUN ,,,,41238,,,.12,,,38,13908,1298,610,3306,,139.42,,333,130,853,,,,14,,224, 010148,01-JAN-16,31-DEC-16,As Submitted,EVERGREEN MEDICAL CENTER ,101 CRESTVIEW AVENUE ,,EVERGREEN ,AL ,36401- ,CONECUH ,,,,144206,,,.1713,,,44,16104,2835,915,5031,,104.1,,813,356,1622,,,,,,, 010149,01-JUL-16,30-JUN-17,As Submitted,BAPTIST MEDICAL CENTER EAST ,400 TAYLOR ROAD ,,MONTGOMERY ,AL ,36117- ,MONTGOMERY ,,,,690865,,,.2184,,,176,64240,10365,16759,52206,,806.04,,1941,4677,10067,,,,,,, 010150,01-FEB-16,31-JAN-17,As Submitted,LV STABLER MEMORIAL HOSPITAL ,29 LV STABLER DRIVE ,,GREENVILLE ,AL ,36037 ,BUTLER ,,,,55318,,,.0897,,,44,16104,1796,293,2983,,123.43,,485,127,869,,,,,,183, 010157,01-APR-16,31-MAR-17,As Submitted,SHOALS HOSPITAL ,201 W AVALON AVE. ,3359 ,MUSCLE SHOALS ,AL ,35661 ,COLBERT ,,,,57684,,,.0588,,,122,44530,3173,587,5888,,200.92,,743,154,1444,1,,,4,6,368,778 010158,01-JAN-16,31-DEC-16,As Submitted,RUSSELLVILLE HOSPITAL ,P O BOX 1089 ,,RUSSELLVILLE ,AL ,35653 ,FRANKLIN ,,,,180090,,,.1628,,,92,33672,4292,1024,6915,,186.31,,925,240,1868,31,,,,,, 010168,01-JAN-16,31-DEC-16,As Submitted,JACK HUGHSTON MEMORIAL HOSPITAL ,4401 RIVER CHASE DRIVE ,,PHENIX CITY ,AL ,36867 ,RUSSELL ,844059,,,,,,,341957,73147,47,17202,3206,163,6928,6.33,261.09,,1075,45,2510,10,,,,,, 010169,01-OCT-15,30-SEP-16,As Submitted,ATMORE COMMUNITY HOSPITAL ,401 MEDICAL PARK DRIVE ,,ATMORE ,AL ,36502 ,ESCAMBIA ,,,,43718,,,.0638,,,49,17934,2823,413,5259,,137,,587,140,1429,,,,,,, 011300,01-OCT-15,30-SEP-16,As Submitted,WASHINGTON COUNTY HOSPITAL ,ST. STEPHENS AVENUE ,1299 ,CHATOM ,AL ,36518- ,WASHINGTON ,,,,,,,,,,15,5490,2193,42,2618,,94,,87,10,128,,,,,,, 011302,01-OCT-15,30-SEP-16,As Submitted,RED BAY HOSPITAL ,211 HOSPITAL ROAD ,490 ,RED BAY ,AL ,35582- ,FRANKLIN ,,,,,,,,,,25,9150,2676,92,3141,,73.31,,310,30,413,,,,,,, 011304,01-JAN-16,31-DEC-16,As Submitted,CHOCTAW GENERAL HOSPITAL ,401 VANITY FAIR LANE ,618 ,BUTLER ,AL ,36904 ,BUTLER ,,,,,,,,,,25,9150,1708,18,1982,,76.03,,50,5,85,,,,,,, 011305,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENTS BLOUNT ,150 GILBREATH DRIVE ,1000 ,ONEONTA ,AL ,35121- ,BLOUNT ,,,,,,,,,,25,9125,1952,154,4704,,129.96,,258,78,699,,,,,,, 012006,01-APR-16,31-MAR-17,As Submitted,INFIRMARY LTAC HOSPITAL ,5644 GIRBY ROAD ,,MOBILE ,AL ,36693- ,MOBILE ,,,,,,,,,,22,8030,4096,,6739,,49.75,,141,,259,,,,,,, 012008,01-SEP-16,31-AUG-17,As Submitted,SSH - BIRMINGHAM ,2010 BROOKWOOD MEDICAL CENTER DRIVE ,3RD FLOOR ,BIRMINGHAM ,AL ,35213 ,JEFFERSON ,,,,,,,,,,38,13870,4551,,8482,,86.67,,173,,292,,,,,,, 012014,01-MAY-16,30-APR-17,As Submitted,NORTH ALABAMA SPECIALTY HOSPITAL ,700 WEST MARKET STREET 2ND FLOOR ,,ATHENS ,AL ,35611 ,LIMESTONE COUNTY ,,,,,,,,,,31,11315,3061,,3799,,14.63,,130,,160,,,,,,, 013025,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH LAKESHORE REHABILITATION ,3800 RIDGEWAY DRIVE ,,BIRMINGHAM ,AL ,35209 ,JEFFERSON ,,,,,,,,,,100,36600,22199,980,32396,,300.35,,1842,87,2731,8,,,,,, 013028,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,4465 NARROW LANE ROAD ,,MONTGOMERY ,AL ,36116- ,MONTGOMERY ,,,,,,,,,,70,25620,14264,,21752,,195.24,,1152,,1779,11,,,,,, 013029,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,107 GOVERNORS DRIVE SW ,,HUNTSVILLE ,AL ,35801 ,MADISON ,,,,,,,,,,70,25550,13924,,23984,,192.5,,1050,,1806,16,,,,,, 013030,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,6 EAST MAIN STREET ,,DOTHAN ,AL ,36301 ,HOUSTON ,,,,,,,,,,51,18666,14703,,18174,,155.8,,1172,,1455,9,,,,,, 013032,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,801 GOODYEAR AVENUE ,,GADSDEN ,AL ,35903 ,ETOWAH ,,,,,,,,,,44,16104,10858,,14411,,134.43,,839,,1157,8,,,,,, 013033,01-JUN-16,31-MAY-17,As Submitted,REGIONAL REHABILITATION HOSPITAL ,3715 HIGHWAY 280/431 NORTH ,,PHENIX CITY ,AL ,36867 ,,,,,,,,,,,48,17520,12499,,16269,,143.51,,1008,,1295,4,,,,,, 013300,01-JAN-16,31-DEC-16,As Submitted,THE CHILDRENS HOSPITAL OF ALABAMA ,1600 7TH AVENUE SOUTH ,,BIRMINGHAM ,AL ,35233 ,JEFFERSON ,,,,,,,,,2403,345,125925,405,59046,92126,124.63,4078.4,22.7,95,10374,15784,,,,,,, 013301,01-OCT-15,30-SEP-16,As Submitted,USA CHILDRENS AND WOMENS HOSPITAL ,1700 CENTER STREET ,,MOBILE ,AL ,36604 ,MOBILE ,,,,,,,,,30763,271,99186,324,50316,62706,67.72,1032.21,,82,6960,9298,,,,,,, 014000,01-JUL-16,30-JUN-17,As Submitted,HILL CREST HOSPITAL ,6869 FIFTH AVENUE SOUTH ,,BIRMINGHAM ,AL ,35212 ,,,,,,,,,,,80,29200,710,,25590,,193.93,,33,,868,,,,,,, 014006,01-JAN-16,31-DEC-16,As Submitted,MOUNTAIN VIEW HOSPITAL ,3001 SCENIC HIGHWAY ,,GADSDEN ,AL ,35901 ,ETOWAH ,,,,,,,,,,68,24888,984,6167,10966,,185.47,,107,442,1058,,,,,,, 014007,01-JUL-16,30-JUN-17,As Submitted,BRYCE HOSPITAL ,1651 RUBY TYLER PARKWAY ,,TUSCALOOSA ,AL ,35404-2990 ,TUSCALOOSA ,,,,,,,,,,98,35770,624,,34826,,602.58,,14,,120,,,,,,, 014012,01-OCT-15,30-SEP-16,As Submitted,MARY S HARPER GERIATRIC PSYCH CEN ,201 UNIVERSITY BOULEVARD ,21231 ,TUSCALOOSA ,AL ,35402- ,TUSCALOOSA ,,,,,,,,,,126,46116,4581,13823,33934,,274.71,,128,104,234,,,,,,, 014013,01-JUL-16,30-JUN-17,Settled,LAUREL OAKS BEHAVIORAL HEALTH CENTER ,700 EAST COTTONWOOD ROAD ,,DOTHAN ,AL ,36301 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 014014,01-OCT-15,30-SEP-16,Settled,BAYPOINTE BEHAVIORAL HEALTH ,5750-A SOUTHLAND DRIVE ,,MOBILE ,AL ,36693 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 014015,01-JAN-16,31-DEC-16,Settled,PROFESSIONAL RESOURCES MGMT PSYCHIAT ,150 HOSPITAL DRIVE ,,MONTGOMERY ,AL ,36103 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 014016,01-JUL-16,30-JUN-17,As Submitted,USA HEALTHCARE PSYCH SERVICES LLC ,1910 CHEROKEE AVENUE ,,CULLMAN ,AL ,35056 ,CULLMAN ,,,,,,,,,,40,14600,4676,,6589,,52.55,,321,,492,,,,,,, 014017,01-OCT-15,30-SEP-16,As Submitted,EASTPOINTE HOSPITAL ,7400 ROPER LANE ,,DAPHNE ,AL ,36526 ,BALDWIN ,,,,,,,,,,66,24156,2136,,14649,,150,,212,,1500,,,,,,, 014018,01-JAN-16,31-DEC-16,As Submitted,BEHAVIORAL HEALTH CENTERS ,5315 MILLENNIUM DRIVE NORTWEST ,,HUBTSVILLE ,AL ,35806 ,MADISON ,,,,,,,,,,20,7320,3876,,4086,,45,,247,,266,,,,,,, 020001,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE ALASKA MEDICAL CENTER ,3200 PROVIDENCE DRIVE ,196604 ,ANCHORAGE ,AK ,99519-6604 ,ANCHORAGE ,2011001,,,4500614,,,.2724,524505,174926,369,142045,30026,34549,105356,30.89,2456.86,,4532,4627,16204,13,,,,37,,195 020006,01-JAN-16,31-DEC-16,As Submitted,MAT-SU REGIONAL MED CTR ,2500 S. WOODWORTH LOOP ,1687 ,PALMER ,AK ,99645- ,MATANUSKA-SUSITNA ,,,,550743,,,.12,,,74,27084,8569,5253,20479,,552.37,,1612,1163,4857,,,,,,, 020008,01-JUL-16,30-JUN-17,As Submitted,BARTLETT REGIONAL HOSPITAL ,3260 HOSPITAL DRIVE ,,JUNEAU ,AK ,99801- ,JUNEAU BOROUGH ,,,,,,,,,,45,16425,2751,2117,7295,,439.54,,578,539,1790,,,,279,,502, 020012,01-JAN-16,31-DEC-16,As Submitted,FAIRBANKS MEMORIAL ,1650 COWLES ST ,,FAIRBANKS ,AK ,99701 ,NORTH STAR BOROUGH ,,,,791180,,,.2747,,,122,44652,5171,7612,21706,,1014.54,,1041,1401,4513,,,,,,, 020017,01-JAN-16,31-DEC-16,As Submitted,ALASKA REGIONAL HOSPITAL ,2801 DEBAR ROAD ,,ANCHORAGE ,AK ,99508 ,MUNICIPALITY OF ANCHORAGE ,,,,1657331,,,.1917,,,164,51538,12217,8418,33507,,635.53,,2164,1367,6405,,,,,20,,201 020018,01-OCT-15,30-SEP-16,As Submitted,YK DELTA REGIONAL HOSPITAL ,SUTE 3000 ,287 ,BETHEL ,AK ,99559 ,BETHEL ,,,,62438,,,.12,,,34,12444,764,2999,4139,,1077,,236,1283,1724,,,,,,, 020024,01-JUL-16,30-JUN-17,As Submitted,CENTRAL PENINSULA GENERAL HOSPITAL ,250 HOSPITAL PLACE ,,SOLDOTNA ,AK ,99969- ,KENAI PENINSULA BOROUGH ,,,,,,,,,,49,17885,4660,2217,11197,,634,,848,629,2449,,,,,,, 020026,01-OCT-15,30-SEP-16,As Submitted,ALASKA NATIVE MEDICAL CENTER ,4315 DIPLOMACY DRIVE ,,ANCHORAGE ,AK ,99508 ,ANCHORAGE ,,,,2512363,,,.4069,,,152,55633,9019,19986,38687,,3067,,1418,4425,7320,,,,,,, 020027,01-OCT-15,04-NOV-15,As Submitted,MT EDGECUMBE HOSPITAL ,222 TONGASS DRIVE ,,SITKA ,AK ,99835 ,SITKA ,,,,2644,,,.12,,,25,875,33,105,214,,1200,,11,15,46,,,,,,, 021301,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE VALDEZ MEDICAL CENTER ,911 MEALS AVENUE ,,VALDEZ ,AK ,99686- ,VALDEZ CORDOVA ,,,,,,,,,,11,4026,312,117,673,,74.07,,32,23,127,,,,,,, 021302,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE SEWARD MEDICAL & CARE CEN ,417 1ST AVENUE ,365 ,SEWARD ,AK ,99664-0365 ,KENAI PENINSULA BOROUGH ,,,,,,,,,,6,2196,435,35,646,,64.58,,33,15,67,,,,,,, 021303,01-JUL-16,30-JUN-17,As Submitted,SITKA COMMUNITY HOSPITAL ,209 MOLLER AVENUE ,,SITKA ,AK ,99835- ,SITKA BOROUGH ,,,,,,,,,,12,4380,874,159,1715,,141.36,,99,44,225,,,,,,, 021304,01-JUL-16,30-JUN-17,As Submitted,PETERSBURG MEDICAL CENTER ,103 FRAM STREET ,589 ,PETERSBURG ,AK ,99833- ,WRANGELL-PETERSBURG ,,,,,,,,,,12,4380,637,23,1206,,90.19,,35,9,73,,,,,,, 021305,01-JUL-16,30-JUN-17,As Submitted,WRANGELL MEDICAL CENTER ,310 BENNETT STREET ,1081 ,WRANGELL ,AK ,99929- ,WRANGELL ,,,,,,,,,,8,2920,555,27,819,,64.96,,62,12,101,,,,,,, 021306,01-JAN-16,31-DEC-16,As Submitted,PROV. KODIAK ISLAND MEDICAL CENTER ,1915 E REZANOF DRIVE ,1187 ,KODIAK ,AK ,99615 ,NONE ,,,,,,,,,,24,8784,758,653,2556,,171.54,,121,215,678,,,,,,, 021307,01-JAN-16,31-DEC-16,As Submitted,CORDOVA COMMUNITY MEDICAL CENTER ,602 CHASE STREET ,160 ,CORDOVA ,AK ,99574- ,CORDOVA ,,,,,,,,,,13,4758,352,14,447,,46.9,,41,6,81,,,,,,, 021308,01-OCT-15,30-SEP-16,Amended,NORTON SOUND REGIONAL HOSPITAL ,5TH & BERING ,966 ,NOME ,AK ,99762- ,NOME BOROUGH ,,,,,,,,,,18,6588,536,476,1469,,626.82,,117,191,416,,,,,,, 021309,01-OCT-15,30-SEP-16,As Submitted,KANAKANAK HOSPITAL ,6000 KANAKANAK ROAD ,,DILLINGHAM ,AK ,99576 ,DILLINGHAM ,,,,,,,,,,16,5856,317,,916,,163,,72,,268,,,,,,, 021310,01-OCT-15,30-SEP-16,As Submitted,MANIILAQ HEALTH CENTER ,436 5TH AVENUE ,43 ,KOTZEBUE ,AK ,99752 ,KOBUK ,,,,,,,,,,17,6222,545,331,1525,,220,,148,129,537,,,,,,, 021311,01-JUL-16,30-JUN-17,As Submitted,KETCHIKAN MEDICAL CENTER ,3100 TONGASS AVENUE ,,KETCHIKAN ,AK ,99901-5746 ,KETCHIKAN GATEWAY BOROUGH ,,,,,,,,,,25,9125,1756,1077,4044,,252.65,,375,396,1261,58,,,,,, 021312,01-OCT-15,30-SEP-16,As Submitted,SAMUEL SIMMONDS MEMORIAL HOSPITAL ,1296 AGVIK STREET ,29 ,BARROW ,AK ,99723 ,NORTH SLOPE BOROUGH ,,,,,,,,,,20,7320,268,,774,,439,,71,,202,,,,,,, 021313,01-JUL-16,30-JUN-17,As Submitted,SOUTH PENINSULA HOSPITAL ,4300 BARTLETT ST. ,,HOMER ,AK ,99603- ,KENAI PENINSULA ,,,,,,,,,,21,7665,2062,631,3714,,328.93,,277,211,746,,,,,,, 021314,05-NOV-15,30-SEP-16,As Submitted,MT EDGECUMBE HOSPITAL ,222 TONGASS DRIVE ,,SITKA ,AK ,99835 ,SITKA ,,,,,,,,,,25,8275,1527,,2423,,963,,192,,462,,,,,,, 022001,01-JAN-16,31-DEC-16,As Submitted,ALASKA SPECIALTY HOSPITAL LLC ,4800 CORDOVA STREET ,,ANCHORAGE ,AK ,99503 ,ANCHORAGE ,,,,,,,,,,59,21594,6527,2993,12744,,233.35,,156,69,295,,,,,,, 024002,01-JUL-16,30-JUN-17,As Submitted,ALASKA PSYCHIATRIC INSTITUTE ,3700 PIPER ST ,,ANCHORAGE ,AK ,99508-4677 ,ANCHORAGE ,,,,,,,,,,80,29200,2396,3778,26599,,268.51,,194,142,1429,,,,,,, 030001,01-JAN-16,31-DEC-16,As Submitted,ABRAZO MARYVALE CAMPUS ,5102 WEST CAMPBELL AVE ,,PHOENIX ,AZ ,85031-1703 ,MARICOPA ,,,,341341,,,.4004,,,228,83448,2209,3781,13736,,307.6,,399,286,3263,1365,,,,,, 030002,01-JAN-16,31-DEC-16,As Submitted,BANNER UNIVERSITY MEDICAL CENTER PHX ,1111 EAST MCDOWELL ROAD ,,PHOENIX ,AZ ,85006 ,MARICOPA ,7503026,,,5626487,,,.3166,4073827,1302871,618,226188,30289,70278,162479,164.1,3530.2,,5026,10931,29437,,,,389,155,686,639 030006,01-JAN-16,31-DEC-16,Amended,TUCSON MEDICAL CENTER ,5301 E GRANT ROAD ,,TUCSON ,AZ ,85712 ,PIMA ,3714553,119031,,4287457,70276,,.2346,1189488,356995,441,161406,31640,48994,135912,42.19,2993.07,,7148,10262,31500,,,,,,, 030007,01-JUL-16,30-JUN-17,As Submitted,VERDE VALLEY MEDICAL CENTER ,269 SOUTH CANDY LANE ,,COTTONWOOD ,AZ ,86326 ,COCONINO ,971773,,,378486,,,.1079,296543,258228,93,34043,6426,4082,17092,11.75,690.97,,1510,969,4198,,,,78,,210, 030012,01-JAN-16,31-DEC-16,As Submitted,YAVAPAI REGIONAL MEDICAL CENTER ,1003 WILLOW CREEK ROAD ,,PRESCOTT ,AZ ,86301 ,YAVAPAI ,,,,589148,383190,,.1074,,,206,60060,13294,6648,28546,,1230.98,,3845,2360,9269,,,,,,, 030013,01-OCT-15,30-SEP-16,As Submitted,YUMA REGIONAL MEDICAL CENTER ,2400 S AVENUE A ,,YUMA ,AZ ,85364 ,YUMA ,1623770,,,1906505,,,.12,503508,308598,406,148596,31817,20430,75397,17.33,2042.39,,6276,4951,15264,,,,,,, 030014,01-JAN-16,31-DEC-16,Amended,JOHN C LINCOLN MEDICAL CENTER ,250 WEST DUNLAP AVENUE ,,PHOENIX ,AZ ,85020 ,MARICOPA ,308633,,,1961222,,,.2097,157598,36634,262,81529,17707,21094,61916,6.36,1389.75,,3743,3418,12459,,,,,,, 030016,01-JAN-16,31-DEC-16,As Submitted,BANNER CASA GRANDE MEDICAL CENTER ,1800 EAST FLORENCE BLVD ,,CASA GRANDE ,AZ ,85122 ,,,,,775834,,,.2007,,,164,59860,7976,6587,22575,,637.98,,1624,2314,5307,,,,,,, 030022,01-JUL-16,30-JUN-17,As Submitted,MARICOPA MEDICAL CENTER ,2601 EAST ROOSEVELT STREET ,,PHOENIX ,AZ ,85008 ,MARICOPA ,2287631,,,1195827,,,.6165,4285153,1568105,323,109555,3982,21963,55152,188.63,2660.2,,615,544,12349,5150,7,,1765,,3327, 030023,01-JUL-16,30-JUN-17,As Submitted,FLAGSTAFF MEDICAL CENTER ,1200 NORTH BEAVER ,,FLAGSTAFF ,AZ ,86001 ,COCONINO ,,,,3906182,,,.3172,,,245,80369,16470,22386,54187,,1791.46,,3721,4222,11934,,,,312,,745, 030024,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPHS HOSPITAL & MEDICAL CTR ,350 WEST THOMAS ROAD ,,PHOENIX ,AZ ,85013 ,MARICOPA ,9986115,,,5141018,,,.2804,3292269,1076981,519,188847,27402,19698,153353,174.73,4841.85,,5080,3622,30567,7882,,,,114,,795 030030,01-APR-16,31-MAR-17,As Submitted,ABRAZO CENTRAL CAMPUS ,2000 WEST BETHANY HOME ROAD ,,PHOENIX ,AZ ,85015-2443 ,MARICOPA ,471203,,,984377,,,.3609,736132,175790,125,45625,4878,3057,29967,16.82,577.59,,1035,474,7265,3067,,,,1,,242 030033,01-JAN-16,31-DEC-16,As Submitted,BANNER PAYSON MEDICAL CENTER ,807 S. PONDEROSA ,,PAYSON ,AZ ,85541 ,GILA ,,,,160541,,,.12,,,44,16104,2181,1209,4609,,203.54,,700,219,1530,,,,,,, 030036,01-JUL-16,30-JUN-17,As Submitted,CHANDLER REGIONAL MEDICAL CENTER ,475 SOUTH DOBSON ROAD ,,CHANDLER ,AZ ,85224 ,MARICOPA ,,,,2286919,,,.1368,,,338,123370,27174,1318,106940,,2082.31,,6092,376,24755,5509,,,,,, 030037,01-JUN-16,31-MAY-17,As Submitted,ST. LUKES MEDICAL CENTER ,1800 EAST VAN BUREN ,,PHOENIX ,AZ ,85006 ,MARICOPA ,,,,1403265,,,.3046,,,185,67525,4985,1,26704,,731.94,,1504,1,8037,2624,338,,,,957,261 030038,01-JAN-16,31-DEC-16,As Submitted,SCOTTSDALE OSBORN MEDICAL CENTER ,7400 EAST OSBORN ROAD ,,SCOTTSDALE ,AZ ,85251 ,MARICOPA ,1563389,,,1199450,,,.1105,1219251,391485,337,120962,20396,14594,63360,22.08,1569.78,,4360,3290,13053,,,,,39,,315 030043,01-MAY-16,30-APR-17,As Submitted,CANYON VISTA MEDICAL CENTER ,5700 E. HIGHWAY 90 ,,SIERRA VISTA ,AZ ,85635 ,COCHISE ,1640424,,,392872,,,.12,522647,276728,75,27375,6049,3778,15700,17.47,550.19,,1736,1074,4686,,,,342,,698, 030055,01-JUL-16,30-JUN-17,As Submitted,KINGMAN REGIONAL MEDICAL CENTER ,3269 STOCKTON HILL ROAD ,,KINGMAN ,AZ ,86401 ,MOHAVE ,1493746,,,914306,,,.1171,678375,381279,214,78110,16496,9551,41836,22.9,1342.24,,2937,2510,8396,,,,,21,,265 030061,01-JAN-16,31-DEC-16,As Submitted,BANNER BOSWELL MEDICAL CENTER ,10401 THUNDERBIRD BLVD. ,,SUN CITY ,AZ ,85351- ,MARICOPA ,141975,,,,,,,204194,103537,400,146412,22843,6125,61338,3.34,1577.1,,4800,1171,12850,,,,,31,,403 030062,01-JAN-16,31-DEC-16,As Submitted,SUMMIT HEALTHCARE ,2200 SHOW LOW LAKE RD. ,,SHOW LOW ,AZ ,85901 ,NAVAJO ,,,,345203,,,.12,,,89,32574,4758,5141,15219,,908.91,,1367,1423,4448,,,,,,, 030064,01-JAN-16,31-DEC-16,Amended,BANNER UNIVERSITY MED CENTER TUCSON ,1501 NORTH CAMPBELL AVE ,,TUCSON ,AZ ,85721-0001 ,PIMA ,15901332,,,4461444,,,.3292,4442642,2937518,479,175314,25277,56479,128674,426.24,3268.8,,4309,10041,23326,,,,,,, 030065,01-JAN-16,31-DEC-16,As Submitted,BANNER DESERT MEDICAL CENTER ,1400 SOUTH DOBSON ROAD ,,MESA ,AZ ,85202 ,MARICOPA ,,,,3539915,,,.2558,,,615,225090,26271,58150,148900,,3153.71,,5252,12168,35276,,,,,,, 030068,01-JAN-16,31-DEC-16,As Submitted,MT. GRAHAM REGIONAL MEDICAL CENTER ,1600 TWENTIETH AVENUE ,,SAFFORD ,AZ ,85548- ,GRAHAM ,,,,54090,,,.12,,,49,17934,841,1345,4586,,370.09,,238,729,1956,,,,,,, 030071,01-OCT-15,30-SEP-16,As Submitted,FORT DEFIANCE INDIAN HOSPITAL ,CORNER OF N12 AND N7 ,649 ,FORT DEFIANCE ,AZ ,86504 ,APACHE ,,,,112952,,,.12,,,56,20496,2080,4639,9288,,1116,,547,1238,2160,,,,,,, 030073,01-OCT-15,30-SEP-16,As Submitted,TUBA CITY REG HEALTH CARE CORP ,HIGHWAY 264 ,600 ,TUBA CITY ,AZ ,86045 ,COCONINO ,,,,178110,,,.12,,,73,26718,3398,5410,10238,,1574,,557,1518,2193,,,,,,, 030074,01-OCT-15,30-JUN-16,As Submitted,SELLS PUBLIC HEALTH INDIAN HOSPITAL ,HWY 86 & TOPAWA RD ,548 ,SELLS ,AZ ,85634-0548 ,PIMA ,,,,4847,,,.12,,,11,4026,107,450,1058,,141,,27,129,266,,,,,,, 030074,01-JUL-16,30-SEP-16,Amended,TOHONO ODHAM NATION SELLS HOSPITAL ,HWY 86 & TOPAWA RD ,548 ,SELLS ,AZ ,85634-0548 ,PIMA ,,,,2112,,,.12,,,11,1012,48,155,370,,141,,12,45,112,,,,,,, 030077,01-OCT-15,30-SEP-16,As Submitted,SAN CARLOS HOSPITAL ,103 MEDICINE WAY ROAD ,,PERIDOT ,AZ ,85542 ,GILA ,,,,14209,,,.12,,,8,2928,291,649,1497,,1700,,76,173,322,,,,,,, 030078,01-OCT-15,30-SEP-16,As Submitted,PHOENIX INDIAN MEDICAL CENTER ,4121 N. 16TH STREET ,,PHOENIX ,AZ ,85016 ,MARICOPA ,,,,170086,,,.4126,,,115,48678,911,5273,9565,,1700,,174,1696,2378,,,,,,, 030083,01-OCT-15,30-SEP-16,As Submitted,ABRAZO SCOTTSDALE CAMPUS ,3929 EAST BELL ROAD ,,PHOENIX ,AZ ,85032 ,MARICOPA ,,,,381148,,,.1829,,,127,46482,4064,1229,22055,,440.4,,1021,232,5863,1509,,,,,, 030084,01-OCT-15,30-SEP-16,As Submitted,CHINLE COMPREHENSIVE CARE FACILITY ,1 MILE N OF HWY 191 ,DRAWER PH ,CHINLE ,AZ ,86503 ,NAVAJO ,,,,69153,,,.12,,,60,21960,1387,3332,5113,,1331,,326,1382,1708,,,,,,, 030085,01-OCT-15,30-SEP-16,As Submitted,NORTHWEST MEDICAL CENTER ,6200 NORTH LA CHOLLA ,,TUCSON ,AZ ,85741- ,PIMA ,,,,1311614,,,.1203,,,281,102846,16763,5170,59828,,1349.11,,4656,3122,16009,,,,,,,264 030087,01-JAN-16,31-DEC-16,As Submitted,SCOTTSDALE SHEA MEDICAL CENTER ,10450 N 92ND STREET ,,SCOTTSDALE ,AZ ,85258 ,,366199,,,,,,,182080,74592,421,150831,27918,9375,90878,6.27,1934.94,,6157,2726,19433,,,,,,, 030088,01-JAN-16,31-DEC-16,As Submitted,BANNER BAYWOOD MEDICAL CENTER ,6644 BAYWOOD AVENUE ,6239 ,MESA ,AZ ,85206- ,MARICOPA ,,,,912173,,,.065,,,318,116388,28337,13666,73637,,1522.53,,6036,3321,16050,,,,,65,,468 030089,01-JAN-16,31-DEC-16,As Submitted,BANNER THUNDERBIRD MEDICAL CENTER ,5555 WEST THUNDERBIRD ROAD ,,GLENDALE ,AZ ,85308 ,MARICOPA ,,,,2434479,,,.2491,,,499,182634,19771,41799,112278,,2453.75,2.62,3642,9515,28508,,,,1360,,2348, 030092,01-JAN-16,31-DEC-16,As Submitted,DEER VALLEY MEDICAL CENTER ,19829 N 27TH AVENUE ,,PHOENIX ,AZ ,85027 ,,,,,905535,,,.1084,,,204,74664,14671,10779,48168,,1166.43,,3238,2485,11609,,,,,,, 030093,01-JAN-16,31-DEC-16,As Submitted,BANNER DEL E WEBB MEDICAL CENTER ,14502 WEST MEEKER BOULEVARD ,,SUN CITY WEST ,AZ ,85375 ,MARICOPA ,,,,663992,,,.0552,28963,12086,286,104676,21116,9404,56844,1.23,1372.33,,4873,2147,14145,,,,483,17,1546,396 030094,01-APR-16,31-MAR-17,As Submitted,ABRAZO ARROWHEAD CAMPUS ,18701 NORTH 67TH AVENUE ,,GLENDALE ,AZ ,85308-7100 ,MARICOPA ,,,,2367515,,,.1896,,,262,95630,16301,3391,65550,,1164.6,,3996,287,15821,3912,,,,,, 030103,01-JAN-16,31-DEC-16,As Submitted,MAYO CLINIC HOSPITAL ,5777 EAST MAYO BLVD ,,PHOENIX ,AZ ,85054 ,MARICOPA ,9819889,,,,,,,2616246,1071682,261,95526,33856,3004,70097,118.77,5010.68,,7410,436,14160,,,,,2,,150 030105,01-JAN-16,31-DEC-16,As Submitted,BANNER HEART HOSPITAL ,6750 EAST BAYWOOD AVENUE ,,MESA ,AZ ,85206 ,MARICOPA ,,,,,,,,,,111,40626,8811,1781,19945,,410.78,,1924,348,4533,,,,,,, 030107,01-JAN-16,31-DEC-16,As Submitted,AZ SPINE & JOINT HOSPITAL ,4620 EAST BASELINE ROAD ,,MESA ,AZ ,85206 ,MARICOPA ,,,,,,,,,,23,8418,775,16,1810,,88.73,,432,7,1050,,,,,,, 030108,01-JAN-16,31-DEC-16,As Submitted,THE CORE INSTITUTE SPECIALTY HOSPITA ,6501 N 19TH AVE ,,PHOENIX ,AZ ,85015 ,MARICOPA ,,,,,,,,,,33,12078,607,14,1535,,98.63,,451,10,1180,,,,,,, 030110,01-MAY-16,30-APR-17,As Submitted,ABRAZO WEST CAMPUS ,13677 WEST MCDOWELL ROAD ,,GOODYEAR ,AZ ,85395 ,MARICOPA ,,,,1131710,,,.2323,,,179,65335,9479,2401,45087,,829.7,,2209,404,11502,3156,,,,,, 030111,01-JAN-16,31-DEC-16,As Submitted,BANNER UNIVERSITY MED CENTER SOUTH ,2800 EAST AJO WAY ,,TUCSON ,AZ ,85713 ,PIMA ,2661826,,,1052611,,,.4609,1244740,1438334,227,53156,5907,17662,33604,127.54,888.73,,1171,,6923,3431,,,94,,503, 030112,01-JAN-16,31-DEC-16,As Submitted,ARIZONA ORTHOPEDIC SURGICAL HOSPITAL ,2905 WEST WARNER ROAD ,,CHANDLER ,AZ ,85225 ,MARICOPA ,,,,,,,,,,24,8784,729,,1957,,91.56,,333,,1047,,,,,,, 030113,01-OCT-15,30-SEP-16,As Submitted,USPHS HOSPITAL-WHITERIVER ,200 W HOSPITAL DRIVE ,,WHITERIVER ,AZ ,85941 ,NAVAJO ,,,,31608,,,.12,,,40,14640,738,2364,3418,,529,,152,641,832,,,,,,, 030114,01-OCT-15,30-SEP-16,As Submitted,NORTHWEST MEDICAL CENTER ORO VALLEY ,1551 E TANGERINE ROAD ,,ORO VALLEY ,AZ ,85755- ,PIMA ,,,,,,,,,,111,40515,8401,1289,17158,,461.77,,2535,378,5301,,,,79,,319,218 030115,01-JAN-16,31-DEC-16,As Submitted,BANNER ESTRELLA MEDICAL CENTER ,9201 WEST THOMAS ROAD ,,PHOENIX ,AZ ,85037 ,MARICOPA ,,,,1590392,,,.3209,,,317,116022,9714,28074,64357,,1407.5,,2016,5987,15829,,,,,,, 030117,01-DEC-15,30-NOV-16,As Submitted,VALLEY VIEW MEDICAL CENTER ,5330 ARIZONA 95 ,,FORT MOHAVE ,AZ ,86426- ,MOHAVE ,,,,176249,,,.12,,,66,24156,3356,1001,8091,,257.26,,776,597,2059,,,,,3,,103 030118,01-JAN-16,31-JUL-16,As Submitted,YAVAPAI REGIONAL MEDICAL CENTER-EAST ,7700 EAST FLORENTINE ROAD ,,PRESCOTT VALLEY ,AZ ,86314 ,YAVAPAI ,,,,170626,,,.12,,,56,11928,2185,2653,8469,,351.86,,697,707,2441,,,,,,, 030119,01-JUL-16,30-JUN-17,As Submitted,MERCY GILBERT MEDICAL CENTER ,3555 S. VAL VISTA DRIVE ,,GILBERT ,AZ ,85296 ,MARICOPA ,,,,1013582,,,.1189,,,198,72270,15135,773,59480,,1158.73,,3435,152,14954,2483,,,,,, 030120,01-JAN-16,31-DEC-16,As Submitted,GILBERT HOSPITAL ,5656 S. POWER RD. ,,GLBERT ,AZ ,85295 ,,,,,53352,,,.12,,,19,6954,875,,2808,,161.68,,209,,661,226,,,,,, 030121,01-JUL-16,30-JUN-17,As Submitted,MOUNTAIN VISTA MEDICAL CENTER ,1301 SOUTH CRIMSON ROAD ,,MESA ,AZ ,85209 ,MARICOPA ,3234380,,,990564,,,.1575,1773596,678737,142,51830,9206,1,29905,35.26,674.57,,2181,,7513,1944,,,38,,400, 030122,01-JAN-16,31-DEC-16,As Submitted,BANNER GATEWAY MEDICAL CENTER ,1900 NORTH HIGHLEY ROAD ,,GILBERT ,AZ ,85234 ,MARICOPA ,,,,585288,,,.121,,,165,60390,9959,12612,49123,,1459.87,,2164,4205,11801,,,,,,, 030123,01-JAN-16,31-DEC-16,As Submitted,SCOTTSDALE THOMPSON PEAK MED CTR ,7400 EAST THOMPSON PEAK PKWY ,,SCOTTSDALE ,AZ ,85255 ,MARICOPA ,546899,,,,,,,,,92,33672,9567,1150,20065,3.01,526.28,,2797,418,6222,,,,,,, 030130,01-JAN-16,31-DEC-16,As Submitted,BANNER IRONWOOD MEDICAL CENTER ,37000 NORTH GANTZEL ROAD ,,SAN TAN VALLEY ,AZ ,85140 ,PINAL ,,,,119526,,,.12,,,53,19398,1752,3610,9364,,305.91,,477,883,2535,,,,,,, 030131,01-JAN-16,31-DEC-16,As Submitted,OASIS HOSPITAL ,750 NORTH 40TH STREET ,,PHOENIX ,AZ ,85008 ,MARICOPA ,,,,,,,,,,64,23424,2502,,8028,,224.86,,1497,,3615,,,,,,, 030132,01-JAN-16,31-DEC-16,As Submitted,FLORENCE HOSPITAL AT ANTHEM ,4545 N. HUNT HWY ,,FLORENCE ,AZ ,85132 ,PINAL ,,,,45762,,,.12,,,36,13176,648,,3564,,232.12,,168,,926,199,,,,,, 030134,01-JAN-16,31-DEC-16,As Submitted,BANNER GOLDFIELD MEDICAL CENTER ,2050 W. SOUTHERN AVE. ,,APACHE JUNCTION ,AZ ,85120 ,PINAL ,,,,27072,,,.0662,,,20,7320,726,374,2010,,115.82,,236,130,666,,,,,,, 030136,01-JAN-16,31-DEC-16,As Submitted,ARIZONA GENERAL HOSPITAL ,7171 S 51ST AVENUE ,,LAVEEN ,AZ ,85339 ,MARICOPA ,,,,7145,,,.12,,,9,3294,95,309,949,,287.56,,37,120,370,,,,,,, 030137,01-JAN-16,31-DEC-16,As Submitted,GREEN VALLEY HOSPITAL ,4455 I-19 FRONTAGE ROAD ,,GREEN VALLEY ,AZ ,85614 ,PIMA ,,,,,,,,,,49,17934,3039,360,6216,,292.89,,914,102,1658,,,,,,, 031300,01-JAN-16,31-DEC-16,Amended,WICKENBURG COMMUNITY HOSPITAL ,520 ROSE LANE ,,WICKENBURG ,AZ ,85390- ,MARICOPA ,,,,,,,,,,19,6954,1172,113,1864,,176.84,,225,44,460,,,,,,, 031301,01-JUL-16,30-JUN-17,As Submitted,BENSON HOSPITAL ,475 S. OCOTILLO ,,BENSON ,AZ ,85602-2990 ,COCHISE ,,,,,,,,,,22,8030,913,112,1605,,126.17,,126,31,357,,,,,,, 031302,01-JUL-16,30-JUN-17,As Submitted,N. COCHISE COMM. HOSPITAL ,901 W REX ALLEN DRIVE ,DRAWER D ,WILLCOX ,AZ ,85644- ,COCHISE ,,,,,,,,,,24,8760,943,195,1803,,121.68,,150,68,364,,,,,,, 031304,01-JAN-16,31-DEC-16,As Submitted,PAGE HOSPITAL ,501 NORTH NAVAJO ,1447 ,PAGE ,AZ ,86040 ,COCONINO ,,,,,,,,,,25,9150,180,687,1242,,93.99,,60,215,426,,,,,,, 031305,01-OCT-15,30-SEP-16,As Submitted,HOPI HEALTH CENTER ,HIGHWAY 264 ,400 ,POLACCA ,AZ ,86042 ,NAJAVO ,,,,,,,,,,6,2196,198,112,429,,134,,107,68,262,,,,,,, 031307,01-OCT-15,30-SEP-16,As Submitted,PARKER INDIAN HEALTH CENTER ,12033 AGENCY ROAD ,,PARKER ,AZ ,85344 ,LA PAZ ,,,,,,,,,,20,7320,408,143,1550,,336,,16,25,65,,,,,,, 031308,01-OCT-15,30-SEP-16,Settled,HU HU KAM MEMORIAL HOSPITAL ,SEED FARM ROAD ,38 ,SACATON ,AZ ,85247 ,PINAL ,,,,,,,,,,12,4392,29,56,143,,1073,,12,23,61,,,,,,, 031309,01-OCT-15,30-SEP-16,As Submitted,SAGE MEMORIAL HOSPITAL ,HIGHWAY 264 ,,GANADO ,AZ ,86505 ,APACHE ,,,,,,,,,,25,9150,648,264,1781,,139.87,,121,62,296,,,,,,, 031311,01-OCT-15,30-SEP-16,As Submitted,WINSLOW MEMORIAL HOSPITAL ,1501 N WILLIAMSON AVE ,,WINSLOW ,AZ ,86047- ,NAVAJO ,,,,,,,,,,25,9150,1013,1418,3498,,208.83,,233,430,1348,,,,,,, 031312,01-JUL-16,30-JUN-17,As Submitted,COPPER QUEEN COMM. HOSP. ,101 COLE AVE. ,,BISBEE ,AZ ,85603- ,COCHISE ,,,,,,,,,,14,5110,723,4,1129,,177.34,,105,,209,30,,,,,, 031314,01-JAN-16,31-DEC-16,As Submitted,COBRE VALLEY REG. MED. CTR. ,5880 S HOSPITAL DRIVE ,,GLOBE ,AZ ,85501- ,GILA ,,,,,,,,,,25,9150,2259,1866,5570,,239.4,,536,519,1476,72,,,,,, 031315,01-JAN-16,31-DEC-16,As Submitted,WHITE MOUNTAIN REGIONAL HOSPITAL ,118 SOUTH MOUNTAIN RD. ,,SPRINGERVILLE ,AZ ,85938 ,APACHE ,,,,,,,,,,20,7320,1513,95,2017,,130.33,,102,35,247,,,,,,, 031317,01-OCT-15,30-SEP-16,As Submitted,LA PAZ REGIONAL HOSPITAL ,1200 MOJAVE RD. ,,PARKER ,AZ ,85344- ,LA PAZ ,,,,,,,,,,25,9150,2483,450,3744,,189.04,,451,133,777,,,,,,, 032001,01-DEC-15,30-NOV-16,As Submitted,SSH - PHOENIX ,350 WEST THOMAS RD 3RD FLOOR ,,PHOENIX ,AZ ,85013 ,MARICOPA ,,,,,,,,,,48,17568,4954,,13872,,144.92,,189,,512,91,,,,,, 032005,01-JUN-16,31-MAY-17,As Submitted,SSH - ARIZONA INC. ,7400 E. OSBORNE RD 3RD FLOOR ,,SCOTTSDALE ,AZ ,85251 ,MARICOPA ,,,,,,,,,,39,14336,2871,,8997,,104.15,,116,,341,57,,,,,, 032006,01-JUN-16,31-MAY-17,As Submitted,PROMISE HOSPITAL OF PHOENIX INC. ,433 E 6TH ST ,,MESA ,AZ ,85203 ,MARICOPA ,,,,,,,,,,48,17520,7926,1238,11953,,130.37,,370,56,574,,,,,,, 033025,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH SCOTTSDALE REHABILITATIO ,9630 E. SHEA BLVD ,,SCOTTSDALE ,AZ ,85260 ,MARICOPA ,,,,,,,,,,60,21960,8559,146,13192,,128.01,,699,10,1036,46,,,,,, 033028,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION INSTITUTE ,2650 NORTH WYATT DRIVE ,,TUCSON ,AZ ,85712 ,PIMA ,,,,,,,,,,80,29280,12101,111,18727,,187.21,,964,8,1444,110,,,,,, 033029,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1921 WEST HOSPITAL DRIVE ,,TUCSON ,AZ ,85704 ,PIMA ,,,,,,,,,,60,21960,8522,140,12292,,116.31,,745,9,1014,76,,,,,, 033032,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH VALLEY OF THE SUN REHABI ,13460 NORTH 67TH AVE ,,GLENDALE ,AZ ,85304 ,MARICOPA ,,,,,,,,,,75,27375,7696,129,15112,,142.52,,588,8,1087,117,,,,,, 033034,01-JAN-16,31-DEC-16,As Submitted,YUMA REHABILITATION HOSPITAL A PART ,901 W. 24TH STREET ,,YUMA ,AZ ,85365 ,YUMA ,,,,,,,,,,51,18149,12332,21,14025,,118.2,,1046,2,1212,28,,,,,, 033036,01-JAN-16,31-MAY-16,As Submitted,MOUNTAIN VALLEY REGIONAL REHAB HOSP ,3700 N WINDSONG DRIVE ,,PRESCOTT VALLEY ,AZ ,86314 ,YAVAPAI ,,,,,,,,,,40,6080,3874,367,5275,,134.31,,290,19,383,,,,,,, 033036,01-JUN-16,31-MAY-17,As Submitted,MOUNTAIN VALLEY REGIONAL REHABILITAT ,3700 N WINDSONG DRIVE ,,PRESCOTT VALLEY AZ 86314 ,AZ ,86314 ,YAVAPAI ,,,,,,,,,,44,16060,8711,1265,12923,,141.39,,653,76,925,,,,,,, 033037,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH EAST VALLEY REHABILITATI ,5652 E.BASELINE ROAD ,,MESA ,AZ ,85206 ,MARICOPA ,,,,,,,,,,60,21900,11339,142,20370,,176.13,,842,8,1494,101,,,,,, 033038,01-JAN-16,31-DEC-16,As Submitted,SCOTTSDALE HRH ,8850 EAST PIMA CENTER PARKWAY ,,SCOTTSDALE ,AZ ,85258-4619 ,MARICOPA ,,,,,,,,,,50,18300,8415,44,12876,,148.51,,705,3,1056,9,,,,,, 033039,03-MAR-16,31-DEC-16,As Submitted,COBALT REHABILITATION HOSPITAL ,13060 WEST BELL ROAD ,,SURPRISE ,AZ ,85378 ,MARICOPA ,,,,,,,,,,40,14200,3725,173,5339,,68.73,,305,13,397,19,,,,,, 033302,01-JAN-16,31-DEC-16,As Submitted,PHOENIX CHILDRENS HOSPITAL ,1919 E. THOMAS ROAD ,,PHOENIX ,AZ ,85016- ,MARICOPA ,,,,,,,,,3690,433,158478,434,50955,80295,117.83,3940.28,,62,7516,12575,,,,,,, 033303,05-NOV-15,31-JUL-16,Settled,HACIENDA CHILDRENS HOSPITAL INC ,610 W JEROME AVE ,,MESA ,AZ ,85210 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 034004,01-JAN-16,31-DEC-16,As Submitted,BANNER BEHAVIORAL HEALTH HOSPITAL ,7575 EAST EARLL DRIVE ,,SCOTTSDALE ,AZ ,85251 ,MARICOPA ,,,,,,,,,,96,35136,1186,11173,21007,,248.84,,133,1420,2992,,,,,,, 034013,01-JUN-16,31-MAY-17,As Submitted,ST. LUKES BEHAVIORAL HEALTH ,1800 EAST VAN BUREN ,,PHOENIX ,AZ ,85006 ,MARICOPA ,,,,,,,,,,125,45625,4155,,45123,,334.83,,362,,5014,3614,,,,,, 034020,01-JUL-16,30-JUN-17,As Submitted,HAVEN SENIOR HORIZONS ,1201 S. 7TH AVENUE SUITE 200 ,,PHOENIX ,AZ ,85007-3913 ,MARICOPA ,,,,,,,,,,45,16425,6312,,13899,,81.09,,461,,1101,101,,,,,, 034021,01-JUL-16,30-JUN-17,As Submitted,ARIZONA STATE HOSPITAL ,2500 E VAN BUREN STREET ,,PHOENIX ,AZ ,85008 ,MARICOPA ,,,,,,,,,,116,42340,,12671,34886,,188,,,11,32,,,,,,, 034022,01-JAN-16,31-DEC-16,As Submitted,ACADIA SONORA BEHAVIORAL HOSPITAL ,6050 CORONA ROAD ,,TUSCON ,AZ ,85704 ,PIMA ,,,,,,,,,,82,30012,1673,,22140,,147.81,,203,,2873,,,,,,, 034023,01-OCT-15,30-SEP-16,As Submitted,THE GUIDANCE CENTER INC. ,2187 NORTH VICKEY STREET ,,FLAGSTAFF ,AZ ,86004 ,COCONINO ,,,,,,,,,,16,5840,492,1454,3104,,31,,86,,520,,,,,,, 034024,01-JAN-16,31-DEC-16,As Submitted,AURORA BHS OF ARIZONA ,6015 WEST PERIOA AVENUE ,,GLENDALE ,AZ ,85302-1213 ,MARICOPA ,,,,,,,,,,100,36600,2507,495,33091,,204.19,,268,54,4104,,,,,,, 034025,01-JUL-16,30-JUN-17,As Submitted,WINDHAVEN PSYCHIATRIC HOSPITAL ,3347 N. WINDSONG DR. ,,PRESCOTT ,AZ ,86314 ,YAVAPAI ,,,,,,,,,,16,5840,687,,5067,,32,,66,,725,,,,,,, 034026,01-JAN-16,31-DEC-16,As Submitted,UBH OF PHOENIX LLC DBA VALLEY HSP ,3550 E. PINCHOT AVE ,,PHOENIX ,AZ ,85018 ,MARICOPA ,,,,,,,,,,122,44652,7020,,39172,,236.2,,495,,3546,,,,,,, 034028,01-JAN-16,31-DEC-16,As Submitted,AURORA BEHAVIORAL HEALTHCARE-TEMPE ,6350 SOUTH MAPLE AVENUE ,,TEMPE ,AZ ,85283 ,MARICOPA ,,,,,,,,,,138,50508,1388,760,27663,,229.77,,135,56,2990,,,,,,, 034029,01-JAN-16,31-DEC-16,As Submitted,OASIS BEHAVIORAL HEALTH ,2190 N. GRACE BLVD ,,CHANDLER ,AZ ,85225 ,MARICOPA ,,,,,,,,,,132,48244,398,2269,33360,,190.2,,40,86,1782,875,,,,,, 034031,01-JUN-16,31-MAY-17,As Submitted,QUAIL RUN BEHAVIORAL HEALTH ,2545 WEST QUAIL AVENUE ,,PHOENIX ,AZ ,85027 ,MARICOPA ,,,,,,,,,,102,37230,4206,,28456,,,,436,,4398,,,,,,, 034032,01-JUN-16,31-DEC-16,As Submitted,COPPER SPRINGS ,10550 WEST MCDOWELL ROAD ,,AVONDALE ,AZ ,85392 ,MARICOPA ,,,,,,,,,,72,15408,1243,,7570,,107.43,,129,,941,465,,,,,, 040001,01-APR-16,31-MAR-17,As Submitted,SILOAM SPRINGS MEMORIAL HOSPITAL ,205 EAST JEFFERSON ,,SILOAM SPRINGS ,AR ,72761 ,BENTON ,,,,60867,,,.12,,,44,16060,1088,541,4542,,178.87,,357,283,1571,,,,,,, 040002,01-JAN-16,31-DEC-16,As Submitted,JOHNSON REGIONAL MEDICAL CENTER ,1100 POPLAR ,,CLARKSVILLE ,AR ,72830- ,JOHNSON ,,,,201848,,,.212,,,57,20862,2578,888,6125,,296.36,,687,316,1663,,,,,,419,139 040004,01-JAN-16,31-DEC-16,As Submitted,WASHINGTON REGIONAL MEDICAL CENTER ,3215 N. NORTH HILLS BLVD ,,FAYETTEVILLE ,AR ,72703- ,WASHINGTON ,1608234,,,1474420,,,.1123,492937,161591,321,100904,25561,5353,65912,21.14,1399.28,,5769,1438,14958,,,,,,, 040007,01-JUL-16,30-JUN-17,As Submitted,ST VINCENT INFIRMARY MEDICAL CENTER ,TWO ST VINCENT CIRCLE ,,LITTLE ROCK ,AR ,72205 ,PULASKI ,497574,,,5093776,,,.2339,134267,53209,414,155553,45088,18803,109627,4.67,1701.55,,8209,3211,20747,,,,,,, 040010,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER ,S-2 ,,ROGERS ,AR ,72758 ,BENTON ,469543,,,564129,,,.0673,265783,144697,206,75190,14835,3357,42753,4.96,1162.75,,3751,1178,12728,,,,,,, 040011,01-JUL-16,30-JUN-17,As Submitted,CHAMBERS MEMORIAL HOSPITAL ,719 DETROIT STREET ,,DANVILLE ,AR ,72833 ,YELL ,,,,115677,,,.12,,,41,14965,3540,464,5514,,170.35,,837,166,1488,,,,,,, 040014,01-OCT-15,30-SEP-16,As Submitted,WHITE COUNTY MEDICAL CENTER ,3214 EAST RACE ,809 ,SEARCY ,AR ,72143- ,WHITE ,978187,,,2193297,,,.2491,717161,287087,286,104676,23279,8974,52660,13.89,1676.23,,5311,2048,14485,,,,,,592,495 040015,01-JAN-16,31-DEC-16,As Submitted,MENA MEDICAL CENTER ,311 NORTH MORROW ,,MENA ,AR ,71953 ,POLK ,,,,66453,,,.12,,,41,15006,1699,478,3687,,235.65,,464,209,1069,,,,,,184,152 040016,01-JUL-16,30-JUN-17,As Submitted,UAMS MEDICAL CENTER ,4301 WEST MARKHAM ,,LITTLE ROCK ,AR ,72205 ,PULASKI ,14474167,,,5737842,,,.338,5336479,4074189,508,183212,42686,26781,153888,286.86,4202,,7076,5360,28314,,,,,,, 040017,01-APR-16,31-MAR-17,As Submitted,NORTH ARKANSAS REGIONAL MEDICAL CTR ,620 NORTH MAIN ,,HARRISON ,AR ,72601- ,BOONE ,,,,465113,,,.2151,,,120,43800,3883,1048,9477,,593.84,,1226,522,3087,,,,,,240, 040018,01-JAN-16,31-DEC-16,As Submitted,SUMMIT MEDICAL CENTER ,EAST MAIN AND SOUTH 20TH STREETS ,P.O. BOX 409 ,VAN BUREN ,AR ,72956 ,CRAWFORD ,,,,23207,,,.12,,,32,11546,410,343,1947,,102.59,,152,159,720,,,,,,, 040019,01-OCT-15,30-SEP-16,As Submitted,FORREST CITY MEDICAL CENTER ,1601 NEW CASTLE ROADEET ,,FORREST CITY ,AR ,72335- ,ST. FRANCIS ,,,,55012,,,.12,,,52,19032,1410,2042,7463,,170.41,,394,788,2114,,,,16,,204, 040020,01-OCT-15,30-SEP-16,Amended,ST BERNARDS MEDICAL CENTER ,225 EAST JACKSON ,,JONESBORO ,AR ,72401-3156 ,CRAIGHEAD ,1065083,,,2823449,,,.2092,399947,241856,331,121044,32539,7319,80842,18.6,1623.36,,6300,2676,17147,,,,,,337, 040022,01-NOV-15,31-OCT-16,As Submitted,NORTHWEST MEDICAL CENTER OF WASHINGT ,609 WEST MAPLE ,,SPRINGDALE ,AR ,72764 ,WASHINGTON ,342711,,,2124248,,,.2851,180609,63887,273,99792,14240,9690,59830,7.39,1207.41,,3634,3129,15295,,,,,1,,242 040026,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT HOT SPRINGS ,300 WERNER STREET ,,HOT SPRINGS ,AR ,71913 ,GARLAND ,,,,1887391,,,.1514,,,213,74095,27907,5817,55333,,929.55,,5827,1545,12203,,,,,,, 040027,01-JAN-16,31-DEC-16,Amended,BAXTER REGIONAL MEDICAL CENTER ,624 HOSPITAL DRIVE ,,MOUNTAIN HOME ,AR ,72653 ,BAXTER ,,,,627851,,,.0829,,,146,53436,14483,2085,27161,,1196.31,,3855,722,7771,,,,11,10,395,408 040029,01-JAN-16,31-DEC-16,As Submitted,CONWAY REGIONAL MEDICAL CENTER INC ,2302 COLLEGE AVENUE ,,CONWAY ,AR ,72034- ,FAULKNER ,,,,754668,,,.1241,,,143,52338,14329,2490,31402,,970.39,,3222,868,7842,,,,,,259, 040036,01-JAN-16,31-DEC-16,As Submitted,BAPTIST HEALTH MEDICAL CENTER- NLR ,3333 SPRINGHILL DRIVE ,,NORTH LITTLE ROCK ,AR ,72117- ,PULASKI ,,,,965917,,,.1041,,,148,54168,20444,3520,42481,,990.89,,4615,989,10130,,,,,,,541 040039,01-JUL-16,30-JUN-17,As Submitted,ARKANSAS METHODIST MEDICAL CENTER ,900 WEST KINGS HIGHWAY ,339 ,PARAGOULD ,AR ,72450- ,GREENE ,,,,468579,,,.1985,,,114,41610,6721,1754,14581,,540.86,,1468,717,4225,,,,,,,337 040047,01-JAN-16,31-DEC-16,As Submitted,FIVE RIVERS MEDICAL CENTER ,2801 MEDICAL CENTER DRIVE ,,POCAHONTAS ,AR ,72455 ,RANDOLPH ,,,,34605,,,.12,,,32,11712,1059,58,1465,,100.4,,282,21,414,,,,7,,259, 040050,01-OCT-15,30-SEP-16,Amended,OUACHITA COUNTY MEDICAL CENTER ,638 CALIFORNIA ,797 ,CAMDEN ,AR ,71701 ,OUACHITA ,,,,87127,,,.12,,,45,16433,2249,550,5937,,365.9,,546,215,1724,,,,,,, 040051,01-APR-16,31-MAR-17,As Submitted,DREW MEMORIAL HOSPITAL INC ,778 SCROGIN DRIVE ,538 ,MONTICELLO ,AR ,71655- ,DREW ,,,,119163,,,.12,,,49,17885,2870,874,7834,,260.51,,794,359,2226,,,,,,, 040055,01-OCT-15,30-SEP-16,As Submitted,SPARKS REGIONAL MEDICAL CENTER ,1001 TOWSON AVE ,PO BOX 2406 ,FORT SMITH ,AR ,72902 ,SEBASTION ,1474426,,,2048446,,,.162,369436,189105,249,91134,34314,6712,72186,16.29,1216.86,,6632,1696,15927,,,,39,,467, 040062,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL FORT SMITH ,7301 ROGERS AVENUE ,17000 ,FORT SMITH ,AR ,72917-7000 ,SEBASTIAN ,,,,314265,1630444,,.1722,,,343,125195,23315,5650,66063,,1482,,5269,1546,14913,,,,,,,485 040067,01-OCT-15,30-SEP-16,As Submitted,MAGNOLIA REGIONAL MEDICAL CENTER ,807 N JACKSON ,629 ,MAGNOLIA ,AR ,71753- ,COLUMBIA ,231972,,,88294,,,.12,222291,148055,43,15738,2397,616,4786,7.01,199.56,,589,234,1357,,,,,,, 040069,01-JAN-16,31-DEC-16,As Submitted,GREAT RIVER MEDICAL CENTER ,1520 NORTH DIVISION ST ,,BLYTHEVILLE ,AR ,72315 ,MISSISSIPPI ,,,,195177,,,.3004,,,148,54168,1525,1026,5044,,224.36,,544,457,1834,,,,,,, 040071,01-JUL-16,30-JUN-17,As Submitted,JEFFERSON REGIONAL MEDICAL CENTER ,1600 WEST 40TH AVENUE ,,PINE BLUFF ,AR ,71603- ,JEFFERSON ,1094553,,,1301956,,,.2115,876207,365492,248,90520,18434,5625,40433,24.88,1207.37,,3277,1257,8084,,,,,,413,484 040072,01-JAN-16,31-DEC-16,As Submitted,BHMC- STUTTGART ,1703 NORTH BUERKLE ,,STUTTGART ,AR ,72160 ,ARKANSAS ,,,,145241,,,.2403,,,41,14965,2439,600,4716,,159.91,,509,198,1113,,,,,,108, 040074,01-JUL-16,30-JUN-17,As Submitted,NORTH METRO MEDICAL CENTER ,1400 BRADEN STREET ,159 ,JACKSONVILLE ,AR ,72076- ,PULASKI ,,,,98845,,,.12,,,33,12078,2619,902,5023,,233.82,,575,250,1294,,,,8,,470, 040076,01-JAN-16,31-DEC-16,As Submitted,BAPTIST HEALTH MEDICAL CENTER - HSC ,1001 SCHNEDIER DRIVE ,,MALVERN ,AR ,72104- ,HOT SPRING ,,,,411952,,,.4115,,,64,23424,2943,3112,9119,,170.71,,777,592,2252,,,,,,, 040084,01-JUL-16,30-JUN-17,As Submitted,SALINE MEMORIAL HOSPITAL ,#1 MEDICAL PARK DRIVE ,,BENTON ,AR ,72015- ,SALINE ,,,,389030,,,.0973,,,137,50005,10079,3056,20096,,644.18,,2385,950,5425,,,,,,232,323 040085,01-JAN-16,31-DEC-16,As Submitted,HELENA REGIONAL MEDICAL CENTER ,1801 MARTIN LUTHER KING DRIVE ,,HELENA ,AR ,72342 ,PHILLIPS ,,,,84897,,,.12,,,127,46482,1902,773,5023,,124.84,,542,321,1578,,,,,,, 040088,01-JUL-16,30-JUN-17,As Submitted,MEDICAL CENTER OF ARKANSAS ,700 WEST GROVE ,,EL DORADO ,AR ,71731 ,UNION ,,,,287752,,,.1047,,,98,35770,6302,1455,13446,,377.03,,1461,528,3500,,,,,,,124 040114,01-JAN-16,31-DEC-16,As Submitted,BAPTIST HEALTH MEDICAL CENTER - LR ,9601 BAPTIST HEALTH DRIVE ,,LITTLE ROCK ,AR ,72205- ,PULASKI ,496335,,,4462153,,,.1834,190308,65661,750,274500,55409,14357,151762,6.92,2624.34,,10074,3086,28482,,,,,,394, 040118,01-OCT-15,30-SEP-16,As Submitted,NEA - BAPTIST MEMORIAL HEALTH ,4800 EAST JOHNSON AVENUE ,,JONESBORO ,AR ,72401 ,CRAIGHEAD ,114226,,,831548,,,.0896,36818,16951,192,70272,23495,3854,45813,3.33,960.74,,4769,945,10970,,,,,,,352 040119,01-OCT-15,30-SEP-16,As Submitted,WHITE RIVER MEDICAL CENTER ,1710 HARRISON STREET ,2197 ,BATESVILLE ,AR ,72501- ,INDEPENDENCE ,,,,1778372,,,.2781,,,187,68442,16249,4253,31612,,1071.53,,3304,1283,6547,,,,,,399,241 040132,01-JAN-16,31-DEC-16,As Submitted,LEO N LEVI MEMORIAL HOSPITAL ,300 PROSPECT AVENUE ,,HOT SPRINGS ,AR ,71901 ,GARLAND ,,,,,,,,,,1,366,2,,2,,.05,,1,,1,,,,704,,1405, 040134,01-OCT-15,30-SEP-16,As Submitted,ARKANSAS HEART HOSPITAL ,1701 S. SHACKELFORD ROAD ,,LITTLE ROCK ,AR ,72211 ,PULASKI ,,,,,,,,,,112,40992,12013,309,18832,,778.69,,3265,108,5282,,,,,,, 040137,01-JUL-16,30-JUN-17,As Submitted,ST VINCENT NORTH ,2215 WILDWOOD ,,SHERWOOD ,AR ,72120 ,PULASKI ,,,,140325,,,.0952,,,49,17885,3577,717,7067,,156.99,,881,172,1540,,,,,,, 040147,01-JAN-16,31-DEC-16,As Submitted,ARKANSAS SURGICAL HOSPITAL ,5201 NORTH SHORE DR ,,NORTH LITTLE ROCK ,AR ,72118- ,PULASKI ,,,,,,,,,,49,17934,3370,34,6735,,239.39,,1583,9,3502,,,,,,, 040152,01-JAN-16,31-MAR-16,As Submitted,PHYSICIANS SPECIALTY HOSPITAL ,3873 N PARKVIEW DR ,,FAYETTEVILLE ,AR ,72703 ,WASHINGTON ,,,,,,,,,,20,1820,165,4,435,,152.8,,92,4,289,,,,,,, 040152,01-APR-16,31-DEC-16,As Submitted,PHYSICIANS SPECIALTY HOSPITAL ,3873 N PARKVIEW DR ,,FAYETTEVILLE ,AR ,72703 ,WASHINGTON ,,,,,,,,,,20,5500,402,50,1345,,103.94,,249,44,981,,,,,,, 040153,01-OCT-15,30-SEP-16,As Submitted,WADLEY MEDICAL CENTER AT HOPE ,2001 SOUTH MAIN ,,HOPE ,AR ,71801 ,,,,,81384,,,.1185,,,67,24522,2196,659,3916,,102.2,,500,170,896,,,,27,,152, 041300,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL PARIS ,500 EAST ACADEMY ,,PARIS ,AR ,72855- ,LOGAN ,,,,,,,,,,16,5840,448,32,965,,52.5,,69,13,132,,,,,,, 041302,01-JUL-16,30-JUN-17,As Submitted,DARDANELLE HOSPITAL ,300 NORTH THIRD ,,DARDANELLE ,AR ,72834 ,YELL ,,,,,,,,,,25,9125,2172,68,2828,,115.05,,274,27,427,,,,,,201, 041303,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL OZARK ,801 WEST RIVER ,527 ,OZARK ,AR ,72949- ,FRANKLIN ,,,,,,,,,,25,9125,733,29,1206,,58.14,,114,12,200,,,,,,, 041304,01-JAN-16,31-DEC-16,As Submitted,EUREKA SPRINGS HOSPITAL ,24 NORRIS STREET ,,EUREKA SPRINGS ,AR ,72632 ,CARROLL ,,,,,,,,,,15,5490,1466,24,1942,,68.52,,112,7,177,,,,,,, 041305,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL WALDRON ,1341 WEST 6TH ST. ,2230 ,WALDRON ,AR ,72958-2230 ,SCOTT ,,,,,,,,,,24,8760,441,49,811,,57.87,,78,13,155,,,,,,, 041306,01-JAN-16,31-DEC-16,As Submitted,COMM MEDICAL CENTER OF CALICO ROCK ,PARK ST ,438 ,CALICO ROCK ,AR ,72519 ,IZARD ,,,,,,,,,,25,9150,1220,80,1668,,61.16,,283,31,499,,,,,,, 041307,01-OCT-15,30-SEP-16,As Submitted,CROSSRIDGE COMMUNITY HOSPITAL ,310 SOUTH FALLS BLVD ,590 ,WYNNE ,AR ,72396- ,CROSS ,,,,,,,,,,15,5490,2413,93,3169,,116.4,,424,33,623,,,,,,, 041308,01-JUL-16,30-JUN-17,As Submitted,MCGEHEE HOSPITAL INC. ,GREEN MEADOW ADDITION ,351 ,MCGEHEE ,AR ,71654- ,DESHA ,,,,,,,,,,25,9125,823,106,1213,,92.21,,136,45,279,,,,,,, 041309,01-JUL-16,30-JUN-17,As Submitted,LAWRENCE MEMORIAL HOSPITAL ,1309 W. HWY 25 ,839 ,WALNUT RIDGE ,AR ,72476- ,LAWRENCE ,,,,,,,,,,25,9125,3380,60,4400,,153.11,,372,25,538,,,,,,, 041310,01-OCT-15,30-SEP-16,As Submitted,STONE COUNTY MEDICAL CENTER ,HWY 14 EAST ,2300 ,MOUNTAIN VIEW ,AR ,72560-2300 ,STONE ,,,,,,,,,,25,9150,1814,92,2476,,106.83,,432,40,659,,,,,,, 041311,01-OCT-15,30-SEP-16,As Submitted,HOWARD MEMORIAL HOSPITAL ,130 MEDICAL CIRCLE ,381 ,NASHVILLE ,AR ,71852 ,HOWARD ,,,,,,,,,,25,9150,1515,66,2109,,154.03,,267,26,459,,,,,,, 041312,01-JAN-16,31-DEC-16,As Submitted,BHMC-HEBER SPRINGS ,1800 BYPASS ROAD ,,HEBER SPRINGS ,AR ,72543- ,CLEBURNE ,,,,,,,,,,25,9150,2476,87,3448,,140.73,,522,35,758,,,,,,, 041313,01-JUL-16,30-JUN-17,As Submitted,OZARK HEALTH INC ,HIGHWAY 65 ,,CLINTON ,AR ,72031- ,VAN BUREN ,,,,,,,,,,25,9125,1685,46,2460,,194.7,,362,15,549,,,,,,, 041314,01-JAN-16,31-DEC-16,As Submitted,DEWITT HOSPITAL & NURSING HOME INC ,HIGHWAY 1 & MADISON ,32 ,DEWITT ,AR ,72042- ,ARKANSAS ,,,,,,,,,,25,9150,1101,46,1389,,96.82,,244,17,328,,,,,,, 041316,01-JAN-16,31-DEC-16,As Submitted,SMC MEDICAL CENTER ,LEE & GRANDVIEW STREETS ,,OSCEOLA ,AR ,72370 ,MISSISSIPPI ,,,,,,,,,,25,9150,1255,116,1958,,63.6,,253,52,481,,,,,,, 041317,01-JAN-16,31-DEC-16,As Submitted,DALLAS COUNTY MEDICAL CENTER ,201 NORTH CLIFTON ,,FORDYCE ,AR ,71742- ,DALLAS ,,,,,,,,,,22,8052,290,30,395,,72.19,,95,19,147,,,,,,, 041318,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL BOONEVILLE ,880 WEST MAIN ,,BOONEVILLE ,AR ,72927-0290 ,LOGAN ,,,,,,,,,,24,8760,705,51,1618,,73.82,,105,16,223,,,,,,, 041319,01-OCT-15,30-SEP-16,As Submitted,DEQUEEN MEDICAL CENTER ,1300 HIGHWAY 70 WEST ,,DEQUEEN ,AR ,71832 ,SEVIER ,,,,,,,,,,25,9150,1611,67,2014,,93.42,,278,23,409,,,,,,,139 041320,01-JUL-16,30-JUN-17,As Submitted,LITTLE RIVER MEMORIAL ,5TH & LOCKE STREET ,577 ,ASHDOWN ,AR ,71822- ,LITTLE RIVER ,,,,,,,,,,25,9125,482,31,652,,88.25,,100,9,163,,,,,,, 041321,01-JAN-16,31-DEC-16,As Submitted,BAPTIST HEALTH MED CTR ARKADELPHIA ,3050 TWIN RIVERS ,,ARKADELPHIA ,AR ,71923- ,CLARK ,,,,,,,,,,25,9150,2641,636,5681,,142.2,,405,310,1214,,,,,,, 041322,01-JUL-16,30-JUN-17,As Submitted,FULTON COUNTY HOSPITAL ,679 N. MAIN STREET ,,SALEM ,AR ,72576 ,FULTON ,,,,,,,,,,25,9125,2750,127,3950,,127.43,,377,53,611,,,,,,, 041323,01-OCT-15,30-SEP-16,As Submitted,ASHLEY COUNTY MEDICAL CENTER ,1015 UNITY ROAD ,400 ,CROSSETT ,AR ,71635- ,ASHLEY ,,,,,,,,,,25,9150,2288,522,3845,,182.51,,434,190,824,,,,,,111, 041326,01-JUL-16,30-JUN-17,As Submitted,DELTA MEMORIAL HOSPITAL ,811 HWY 65 SOUTH ,126 ,DUMAS ,AR ,71639 ,DESHA ,,,,,,,,,,25,9125,1707,499,3254,,112.46,,301,177,821,,,,,,, 041327,01-OCT-15,30-SEP-16,As Submitted,BRADLEY COUNTY MEDICAL CENTER ,404 S BRADLEY ,,WARREN ,AR ,71671- ,BRADLEY ,,,,,,,,,,25,9150,1570,252,2912,,152.19,,306,110,833,,,,,,184, 041328,01-APR-16,31-MAR-17,As Submitted,CHICOT MEMORIAL MEDICAL CENTER ,CHICOT MEMORIAL MEDICAL CENTER ,512 ,LAKE VILLAGE ,AR ,71653 ,CHICOT ,,,,,,,,,,25,9125,2427,243,3872,,104.19,,458,73,761,,,,,,, 041329,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL BERRYVILLE ,214 CARTER STREET ,,BERRYVILLE ,AR ,72616- ,CARROLL ,,,,,,,,,,25,9125,818,83,1526,,137.54,,166,32,364,,,,,,, 041330,01-JAN-16,31-DEC-16,As Submitted,PIGGOTT COMMUNITY HOSPITAL ,1206 HIGHWAY 62 ,,PIGGOTT ,AR ,72454 ,CLAY ,,,,,,,,,,25,9150,3617,42,4555,,151.41,,434,17,639,,,,,,, 041331,01-JAN-16,31-DEC-16,As Submitted,OZARKS COMMUNITY HOSPITAL OF GRAVETT ,1101 JACKSON STREET SW ,,GRAVETTE ,AR ,72736- ,BENTON ,,,,,,,,,,25,9150,4445,98,7033,,291.56,,161,31,350,,,,,,, 042009,01-JUN-16,31-MAY-17,As Submitted,RH OF NORTHWESTARKANSAS LLC ,609 WEST MAPLE AVENUE 6TH FLOOR ,,SPRINGDALE ,AR ,72764-4335 ,WASHINGTON ,,,,,,,,,,25,9125,3487,,5973,,62.9,,137,,255,,,,,,, 042011,01-OCT-15,30-SEP-16,As Submitted,ADVANCED CARE HOSPITAL OF WHITE CO. ,1200 SOUTH MAIN STREET ,,SEARCY ,AR ,72143 ,WHITE ,,,,,,,,,,27,9882,4120,45,5403,,54.6,,153,2,204,,,,,,, 042012,01-JAN-16,31-DEC-16,As Submitted,BAPTIST HEALTH EXTENDED CARE ,9601 BAPTIST HEALTH DRIVE ,,LITTLE ROCK ,AR ,72205-7299 ,PULASKI ,,,,,,,,,,55,20075,4512,35,10635,,102.79,,160,1,337,,,,,,, 043026,01-JAN-16,31-DEC-16,As Submitted,BAPTIST HEALTH REHABILITATION INSTIT ,9601 BAPTIST HEALTH DRIVE ,,LITTLE ROCK ,AR ,72205 ,PULASKI ,,,,,,,,,8,120,43920,7428,1479,16786,3.63,218.79,,679,104,1389,,,,,,, 043028,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHAB HOSPITAL OF FT. SM ,1401 SOUTH J STREET ,,FORT SMITH ,AR ,72901 ,SEBASTIAN ,,,,,,,,,,60,21900,12793,566,16819,,136.23,,1098,50,1491,95,,,,,, 043029,01-JAN-16,31-DEC-16,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,1201 FLEMING AVE ,,JONESBORO ,AR ,72401 ,CRAIGHEAD ,,,,,,,,,,80,24743,14075,774,19125,,167.15,,1162,79,1605,113,,,,,, 043031,01-JAN-16,31-DEC-16,As Submitted,ST VINCENT REHABILITATION HOSPITAL ,2201 WILDWOOD AVE ,,SHERWOOD ,AR ,72120 ,PULASKI ,,,,,,,,,,80,29280,16742,357,20933,,174.27,,1392,34,1754,73,,,,,, 043032,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,153 EAST MONTE PAINTER DRIVE ,,FAYETTEVILLE ,AR ,72703 ,WASHINGTON ,,,,,,,,,,80,27523,13507,738,20034,,163.41,,1099,46,1637,124,,,,,, 043033,01-JAN-16,31-DEC-16,As Submitted,CONWAY REGIONAL REHABILITATION HOSPI ,2210 ROBINSON AVE ,,CONWAY ,AR ,72034 ,FAULKNER ,,,,,,,,,,26,9516,3908,172,5658,,32.52,,311,13,444,,,,,,, 043034,01-NOV-15,31-OCT-16,As Submitted,SOUTHEAST REHAB LLC ,2918 LOUIS SESSIONS ST ,,LAKE VILLAGE ,AR ,71653-6049 ,CHICOT ,,,,,,,,,,15,5490,2145,112,2641,,32.45,,175,17,216,,,,,,, 043035,11-APR-16,31-MAY-17,As Submitted,CHI ST. VINCENT HOT SPRINGS REHABILI ,1636 HIGDON FERRY ROAD ,,HOT SPRINGS ,AR ,71913-6912 ,GARLAND ,,,,,,,,,,40,15587,6162,38,7211,,73.8,,532,2,603,18,,,,,, 043300,01-JUL-16,30-JUN-17,As Submitted,ARKANSAS CHILDRENS HOSPITAL ,1 CHILDRENS WAY ,,LITTLE ROCK ,AR ,72202- ,PULASKI ,,,,,,,,,11608,336,122640,374,19818,83358,155.46,3575,,52,4149,9787,,,,,,, 044004,01-JAN-16,31-DEC-16,As Submitted,VANTAGE POINT ,4253 CROSSOVER ROAD ,,FAYETTEVILLE ,AR ,72703 ,,,,,,,,,,,70,25620,7078,6512,20876,,348.91,,614,663,2290,,,,151,,158, 044005,01-JAN-16,31-DEC-16,As Submitted,BRIDGEWAY HOSPITAL ,21 BRIDGEWAY ROAD ,,LITTLE ROCK ,AR ,72113 ,PULASKI ,,,,,,,,,,117,42822,6247,7935,30411,,173.46,,813,861,2921,,,,,,, 044006,01-JAN-16,31-DEC-16,As Submitted,VISTA HEALTH-FORT SMITH ,7301 ROGERS AVENUE ,,FORT SMITH ,AR ,72917 ,,,,,,,,,,,68,24888,2680,4098,14685,,230.32,,329,743,2345,,,,118,,149, 044007,01-JAN-16,31-DEC-16,As Submitted,RIVENDELL ARKANSAS ,100 RIVENDELL DRIVE ,,BENTON ,AR ,72015 ,BENTON ,,,,,,,,,,74,27222,3746,3504,22894,,121.5,,365,335,2894,,,,,,, 044011,01-JUL-16,30-JUN-17,As Submitted,ARKANSAS STATE HOSPITAL ,305 SOUTH PALM ,4096 ,LITTLE ROCK ,AR ,72205-4096 ,PULASKI ,,,,,,,,,,230,83950,1683,99,74472,,578,,63,4,502,,,,,,, 044013,01-JUN-16,31-MAY-17,Settled,BHC PINNACLE POINTE HOSPITAL INC ,11501 FINANCIAL CENTER PARKWAY ,,LITTLE ROCK ,AR ,72211 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 044019,01-JAN-16,31-DEC-16,As Submitted,SPRINGWOODS BEHAVIORAL ,1955 W. TRUCKERS DRIVE ,,FAYETTEVILLE ,AR ,72704 ,WASHINGTON ,,,,,,,,,,80,29280,4604,2664,16019,,91.1,,402,363,2063,,,,,,, 044020,01-JAN-16,31-DEC-16,Amended,VISTA HEALTH TEXARKANA ,701 ARKASAS BLVD ,,TEXARKANA ,AR ,72854 ,MILLER ,,,,,,,,,,37,13542,1123,3589,10188,,180.7,,121,484,1424,191,,,52,,78, 044021,01-JAN-16,31-DEC-16,Amended,WOODRIDGE OF WEST MEMPHIS LLC ,600 NORTH 7TH STREET ,,WEST MEMPHIS ,AR ,72301 ,,,,,,,,,,,51,18666,1006,2090,4335,,52.04,,70,291,404,,,,9,,9, 050002,01-OCT-15,30-SEP-16,As Submitted,ST ROSE HOSPITAL ,27200 CALAROGA AVENUE ,,HAYWARD ,CA ,94545-4383 ,ALAMEDA ,,,,2532297,,,.4388,,,195,71370,9255,4439,24726,,675.07,,1804,1230,5475,2007,,,,,, 050006,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPH HOSPITAL - EUREKA ,2700 DOLBEER ,,EUREKA ,CA ,95501 ,HUMBOLDT ,,,,2339718,,,.2406,,,133,48545,16768,1625,34179,,899.83,,3086,254,6910,,,,,,,209 050007,01-JAN-16,31-JUL-16,As Submitted,MILLS PENINSULA MEDICAL CENTER ,1783 EL CAMINO REAL ,,BURLINGAME ,CA ,94010- ,SAN MATEO ,,,,484600,,,.0634,,,241,51333,9150,,29345,,1629.52,,2092,,6485,832,,,,,1151, 050007,01-AUG-16,31-DEC-16,As Submitted,MILLS PENINSULA MEDICAL CENTER ,1783 EL CAMINO REAL ,,BURLINGAME ,CA ,94010- ,SAN MATEO ,,,,315940,,,.0546,,,241,36873,7164,,21342,,1587.71,,1521,,4506,331,,,,,786, 050008,01-JAN-16,31-DEC-16,As Submitted,CPMC-R.K. DAVIES MEDICAL CENTER ,601 DUBOCE AVE ,,SAN FRANCISCO ,CA ,94117-3389 ,SAN FRANCISCO ,57317,,,710242,,,.1883,38901,4904,137,50142,6196,,17845,1.25,583.31,,1080,,3546,557,,,,,,614 050009,01-JUL-16,30-JUN-17,As Submitted,QUEEN OF THE VALLEY MEDICAL CENTER ,1000 TRANCAS STREET ,,NAPA ,CA ,94558 ,NAPA ,,,,1566859,,,.1483,,,176,64240,16377,,30257,,845.25,,3152,,6327,495,,,,,,195 050013,01-JAN-16,31-DEC-16,As Submitted,ST. HELENA HOSPITAL ,10 WOODLAND ROAD ,,ST. HELENA ,CA ,94574 ,NAPA ,,,,2129420,,,.1924,,,131,50081,11215,2894,24214,,814.18,,2729,394,5548,1462,,,,,265, 050014,01-JAN-16,31-DEC-16,As Submitted,SUTTER AMADOR HOSPITAL ,200 MISSION BLVD ,,JACKSON ,CA ,95642-2198 ,AMADOR ,,,,354584,,,.12,,,52,19032,4791,,9160,,288.86,,1113,,2357,472,,,,,, 050017,01-JUL-16,30-JUN-17,As Submitted,MERCY GENERAL HOSPITAL ,4001 J STREET ,,SACRAMENTO ,CA ,95819 ,SACRAMENTO ,606415,,,3867128,,,.2485,205194,85554,389,142374,17053,5084,61860,7.01,1549.75,,3640,722,14236,3277,,,,,,449 050018,01-JAN-16,31-DEC-16,Amended,PACIFIC ALLIANCE MEDICAL CENTER ,531 WEST COLLEGE STREET ,,LOS ANGELES ,CA ,90012 ,LOS ANGELES ,,,,1502179,,,.8971,,,135,49135,4078,6239,28466,,637.96,,768,1280,6487,3601,,,,,, 050022,01-MAY-16,30-APR-17,As Submitted,RIVERSIDE COMMUNITY HOSPITAL ,4445 MAGNOLIA AVENUE ,,RIVERSIDE ,CA ,92501 ,RIVERSIDE ,1399657,,,3614095,,,.3188,,,373,136145,23812,13613,110087,21.21,1739.44,,3914,2404,22943,7832,,,,,, 050024,01-JAN-16,31-DEC-16,As Submitted,PARADISE VALLEY HOSPITAL ,2400 EAST 4TH STREET ,,NATIONAL CITY ,CA ,91950 ,SAN DIEGO ,,,,2866247,,,.6148,,,230,83950,11171,19064,47999,,942.42,,1987,3545,9016,1170,,,3,6,884,148 050025,01-JUL-16,30-JUN-17,As Submitted,UCSD MEDICAL CENTER ,200 W. ARBOR DRIVE ,,SAN DIEGO ,CA ,92103 ,SAN DIEGO ,23974291,,,8425781,,,.3477,4927041,3324535,622,227250,42065,25553,177324,417.56,6905.64,,6514,3204,28257,8299,353,,129,,943, 050026,01-OCT-15,30-SEP-16,As Submitted,GROSSMONT HOSPITAL ,5555 GROSSMONT CENTER DRIVE ,,LA MESA ,CA ,91942- ,SAN DIEGO ,,,,6927423,,,.3203,,,430,157380,36041,16772,115037,,2936,,7944,3243,25806,,,,821,12,1375,231 050028,01-JUL-16,30-JUN-17,As Submitted,MAD RIVER COMMUNITY HOSPITAL ,3800 JANES ROAD ,,ARCATA ,CA ,95521 ,HUMBOLDT ,,,,142762,,,.12,,,78,28470,2719,2998,7879,,406.31,,524,718,1788,,,,,,, 050030,01-DEC-15,30-NOV-16,As Submitted,OROVILLE HOSPITAL ,2767 OLIVE HIGHWAY ,,OROVILLE ,CA ,95965- ,BUTTE ,,,,4789432,,,.3403,,,133,48678,21172,2851,42557,,1110.52,,5684,782,12394,,,,,,, 050036,01-JUL-16,30-JUN-17,As Submitted,MEMORIAL HOSPITAL ,420 34TH STREET ,1888 ,BAKERSFIELD ,CA ,93303 ,KERN ,,,,3776282,,,.4052,,,421,153665,14854,12168,66434,,1506.08,,3249,1888,17452,6737,,,,,, 050038,01-JUL-16,30-JUN-17,As Submitted,SANTA CLARA VALLEY MEDICAL CENTER ,751 SOUTH BASCOM AVE ,,SAN JOSE ,CA ,95128- ,SANTA CLARA ,5388162,,,5013945,,,.6032,2134087,1022184,453,165345,14888,32962,108404,164.87,4814.19,,2193,4775,20579,9703,,,393,142,681,777 050039,01-JUL-16,30-JUN-17,As Submitted,ENLOE MEDICAL CENTER ,1531 ESPLANADE ,,CHICO ,CA ,95926 ,BUTTE ,,,,3867229,,,.1703,,,258,94170,40756,4606,75736,,2462.55,,8412,976,16818,3931,,,,84,,503 050040,01-JUL-16,30-JUN-17,As Submitted,LAC OLIVE VIEW/UCLA MEDICAL CENTER ,14445 OLIVE VIEW DR ,,SYLMAR ,CA ,91342 ,LOS ANGELES ,2020969,,,1308091,,,.7495,1712708,625249,246,89790,4920,27106,56936,162.53,2617.87,,779,5045,10296,,,,184,,705, 050043,01-JAN-16,31-DEC-16,As Submitted,SUMMIT MEDICAL CENTER ,350 HAWTHORNE AVENUE ,,OAKLAND ,CA ,94609- ,ALAMEDA ,,,,5282590,,,.2761,,,296,99796,25583,,57132,,1851.95,,4991,,12414,2454,,,,,,1168 050045,01-JUL-16,30-JUN-17,As Submitted,EL CENTRO REGIONAL MEDICAL CENTER ,1415 ROSS AVENUE ,,EL CENTRO ,CA ,92243- ,IMPERIAL ,,,,1743141,,,.453,,,161,58765,7944,2116,18992,,752.5,,1738,604,4582,1740,,,,,, 050047,01-JAN-16,31-DEC-16,As Submitted,CALIFORNIA PACIFIC MEDICAL CENTER ,BUCHANAN AND CLAY STREETS ,7999 ,SAN FRANCISCO ,CA ,94120- ,SAN FRANCISCO ,9128593,,,4727167,,,.207,3459495,916494,464,169824,31658,,108630,89.11,2705.14,,5527,,19597,2372,1,,,,635, 050054,01-JUL-16,30-JUN-17,As Submitted,SAN GORGONIO MEMORIAL ,600 NORTH HIGHLAND SPRINGS AVE ,,BANNING ,CA ,92220- ,SAN BERNARDINO ,,,,187609,,,.12,,,61,22265,3320,819,14319,,529.57,,747,199,3403,800,,,,,, 050055,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES HOSPITAL ,3555 CESAR CHAVEZ STREET ,,SAN FRANCISCO ,CA ,94110- ,SAN FRANCISCO ,70200,,,1232643,,,.4375,40904,7813,149,54534,5689,,18550,1.93,494.63,,954,,3650,909,,,,,, 050057,01-JUL-16,30-JUN-17,As Submitted,KAWEAH DELTA MEDICAL CENTER ,400 W. MINERAL KING AVE. ,,VISALIA ,CA ,93291-6237 ,TULARE ,6693902,,,6405083,,,.315,2125687,641148,403,147095,40268,12205,108022,,3288.72,,7108,1734,21562,,,,1662,43,2317,560 050058,01-JUL-16,30-JUN-17,As Submitted,GLENDALE MEMORIAL HOSPITAL & HLTH CT ,1420 SOUTH CENTRAL AVE ,,GLENDALE ,CA ,91204- ,LOS ANGELES ,,,,4956243,,,.6673,,,271,98915,14983,8929,46297,,788.99,,2607,1171,9743,,,,,,,285 050063,01-JAN-16,31-DEC-16,As Submitted,HOLLYWOOD PRESBYTERIAN MEDICAL CNTR ,1300 NORTH VERMONT AVENUE ,,LOS ANGELES ,CA ,90027 ,LOS ANGELES ,,,,5766389,,,.7826,,,317,116022,16293,16551,62929,2.9,919.35,,2561,3262,12371,3914,,,,8,,351 050067,01-JUL-16,30-JUN-17,As Submitted,OAK VALLEY DISTRICT HOSPITAL ,350 SOUTH OAK STREET ,,OAKDALE ,CA ,95361- ,STANISLAUS ,,,,66088,,,.12,,,35,12775,1366,136,3443,,245.38,,288,33,826,226,,,,,, 050069,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPH HOSPITAL OF ORANGE ,1100 WEST STEWART DRIVE ,5600 ,ORANGE ,CA ,92863-5600 ,,,,,3094817,,,.2123,,,388,141620,17885,7561,78533,,2303.16,,4112,1803,19750,3631,,,2,,1422, 050070,01-JAN-16,31-DEC-16,As Submitted,KFH - SOUTH SAN FRANCISCO ,1200 EL CAMINO REAL ,,SOUTH SAN FRANCISCO ,CA ,94080-3208 ,SAN MATEO ,,,,,,,,14040,2213,120,43920,1028,148,19766,.36,623,,245,28,5576,49,,,,,, 050071,01-JAN-16,31-DEC-16,As Submitted,KFH - SANTA CLARA ,700 LAURENCE EXPRESSWAY ,,SANTA CLARA ,CA ,95051- ,SANTA CLARA ,964281,,,,,,,2438705,446029,327,119682,2045,1101,82156,88.18,1817,,440,199,18990,769,,,,,, 050072,01-JAN-16,31-DEC-16,As Submitted,KFH - WALNUT CREEK ,1425 SOUTH MAIN STREET ,,WALNUT CREEK ,CA ,94596- ,CONTRA COSTA ,35499,,,,,,,115533,34556,233,85278,1332,1046,51642,4.49,1360,,254,91,11860,650,,,,,, 050073,01-JAN-16,31-DEC-16,As Submitted,KFH - VALLEJO ,975 SERRANO DRIVE ,,VALLEJO ,CA ,94589- ,SOLANO ,99660,,,,,,,271526,35271,200,73200,3721,549,40593,18.47,1077,,761,110,9736,1102,,,,,,1126 050075,01-JAN-16,31-DEC-16,As Submitted,KFH - OAKLAND ,275 W MACARTHUR BLVD ,,OAKLAND ,CA ,94611 ,ALAMEDA ,1950751,,,,,,,2518871,500963,365,129246,6210,2659,89902,107.81,2323,,1251,490,20355,1576,,,,,, 050076,01-JAN-16,31-DEC-16,As Submitted,KFH - SAN FRANCISCO ,2425 GEARY BOULEVARD ,,SAN FRANCISCO ,CA ,94115- ,SAN FRANCISCO ,866795,,,,,,,2138990,353700,239,87474,1662,400,57929,76.06,1357,,270,59,11505,490,,,,,, 050077,01-OCT-15,30-SEP-16,As Submitted,SCRIPPS MERCY HOSPITAL ,4077 FIFTH AVENUE ,,SAN DIEGO ,CA ,92103 ,SAN DIEGO ,5454982,,,6005665,,,.366,3176920,1012129,510,186660,30692,21476,135755,103.87,3176.65,,5728,4228,29625,7574,1,,901,,1549, 050078,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE LTTL CO MARY MC SAN PEDRO ,1300 W SEVENTH STREET ,,SAN PEDRO ,CA ,90732- ,LOS ANGELES ,,,,753936,,,.2641,,,186,68076,6770,,22712,,149.34,,1232,,5400,1169,8,,,,585,324 050082,01-JUL-16,30-JUN-17,As Submitted,ST. JOHNS REGIONAL MEDICAL CENTER ,1600 NORTH ROSE AVENUE ,,CAMARILLO ,CA ,93030 ,VENTURA ,,,,3191862,,,.2925,,,242,88330,16812,7733,50087,,,,3736,1133,9784,1909,,,,19,,462 050089,01-JUL-16,30-JUN-17,As Submitted,COMMUNITY HOSPITAL OF SAN BERNARDINO ,1805 MEDICAL CENTER DRIVE ,,SAN BERNARDINO ,CA ,92411 ,SAN BERNARDINO ,,,,1199267,,,.7084,,,185,67525,3539,5697,28743,,837.82,,691,552,6872,2240,3,,3132,,4164, 050090,01-JUL-16,30-JUN-17,As Submitted,SONOMA VALLEY HEALTH CARE DISTRICT ,347 ANDRIEUX STREET ,,SONOMA ,CA ,94576 ,SONOMA ,,,,207298,,,.1076,,,48,17520,2529,368,5046,,259.99,,583,112,1206,,,,,,, 050091,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HOSPITAL OF HUNTINGTON PAR ,2623 E SLAUSON AVENUE ,,HUNTINGTON PARK ,CA ,90255- ,LOS ANGELES ,,,,168913,,,.12,,,81,29646,2600,4366,13729,,309.11,,595,945,3273,1062,,,,,, 050093,01-JUL-16,30-JUN-17,As Submitted,ST. AGNES MEDICAL CENTER ,1303 E. HERNDON AVENUE ,,FRESNO ,CA ,93720 ,FRESNO ,,,,6404170,,,.2624,,,436,159140,43476,3581,102321,,2206.07,,8564,1739,21619,,,,,,, 050096,01-JAN-16,31-DEC-16,As Submitted,WEST COVINA MEDICAL CENTER ,725 SOUTH ORANGE AVENUE ,,WEST COVINA ,CA ,91790 ,LOS ANGELES ,317347,,,92296,,,.1111,168683,37777,13,4758,1828,110,2138,3,107.04,,500,26,601,21,,,,,, 050099,01-JAN-16,31-DEC-16,As Submitted,SAN ANTONIO REGIONAL HOSPITAL ,999 SAN BERNARDINO ROAD ,,UPLAND ,CA ,91786 ,SAN BERNARDINO ,,,,1203766,,,.1237,,,271,99186,14879,3324,61745,,1711.2,,3465,960,15895,,,,,,, 050100,01-OCT-15,30-SEP-16,As Submitted,SHARP MEMORIAL HOSPITAL ,7901 FROST STREET ,,SAN DIEGO ,CA ,92123- ,SAN DIEGO ,,,,3226225,,,.2021,,,832,304512,26568,24947,166193,,3602,,4963,3040,31502,3932,,,,24,,421 050101,01-JAN-16,31-DEC-16,As Submitted,SUTTER SOLANO MEDICAL CENTER ,300 HOSPITAL DRIVE ,,VALLEJO ,CA ,94589-2574 ,SOLANO ,,,,716663,,,.12,,,102,37332,8730,,18386,,473.18,,1809,,4202,1211,,,,,, 050102,01-JAN-16,31-DEC-16,Amended,PARKVIEW COMMUNITY HOSPITAL ,3865 JACKSON STREET ,,RIVERSIDE ,CA ,92503 ,RIVERSIDE ,,,,1594887,,,.3908,,,193,70638,9757,7481,42041,,957.65,,1534,1379,8977,2792,,,,,, 050103,01-JAN-16,31-DEC-16,As Submitted,WHITE MEMORIAL MEDICAL CENTER ,1720 CESAR E. CHAVEZ AVE ,,LOS ANGELES ,CA ,90033 ,LOS ANGELES ,2585849,,,4658742,,,.6889,1583247,413420,310,113460,12355,23948,83871,47.87,1385.55,,2454,4802,18937,6456,,,,2,,264 050104,01-JUL-16,30-JUN-17,As Submitted,ST. FRANCIS MEDICAL CENTER ,3630 EAST IMPERIAL HIGHWAY ,,LYNWOOD ,CA ,90262- ,LOS ANGELES ,,,,4816706,,,.7233,,,339,123735,14433,42444,104549,,1528.98,,2568,5620,20757,7431,,,,,, 050107,01-JUL-16,30-JUN-17,As Submitted,MARIAN MEDICAL CENTER ,1400 E. CHURCH STREET ,,SANTA MARIA ,CA ,93456 ,SANTA BARBARA ,1353238,,,3994354,,,.3019,433928,279297,238,86870,20381,7023,60485,17,1595.93,,5021,1660,14752,3179,,,,8,,491 050108,01-JAN-16,31-DEC-16,As Submitted,SUTTER MEDICAL CENTER - SACRAMENTO ,2801 L STREET ,,SACRAMENTO ,CA ,95816- ,SACRAMENTO ,1323421,,,10064470,,,.356,291253,92691,523,191418,32654,,142590,21.9,2938.34,,6579,,29800,5399,,,,,, 050110,01-JUL-16,30-JUN-17,As Submitted,LOMPOC VALLEY MEDICAL CENTER ,1515 EAST OCEAN AVENUE ,,LOMPOC ,CA ,93436- ,SANTA BARBARA ,,,,227464,,,.12,,,60,21900,3732,333,9204,,443.36,,886,103,2388,628,,,,,, 050112,01-JUL-16,30-JUN-17,As Submitted,SANTA MONICA UCLA MEDICAL CENTER ,1250 16TH STREET ,,SANTA MONICA ,CA ,90404 ,LOS ANGELES ,6539769,53121,,1852338,12401,,.1456,3824296,942025,265,96725,26466,6658,82113,105.12,1977,,4579,1325,16056,1157,,,,,, 050113,01-JUL-16,30-JUN-17,As Submitted,SAN MATEO MEDICAL CENTER ,222 WEST 39TH AVENUE ,,SAN MATEO ,CA ,94403- ,SAN MATEO ,52918,,,84189,,,.12,43754,33198,69,25185,1369,,12679,1.91,662.6,,260,,2543,,,,,,407, 050115,01-JUL-16,30-JUN-17,As Submitted,PALOMAR MEDICAL CENTER ESCONDIDO ,555 EAST VALLEY PARKWAY ,,ESCONDIDO ,CA ,92025-2762 ,SAN DIEGO ,52159,,,2292343,,,.1823,,,364,132860,19319,9966,86358,5.75,2274.53,,4277,3000,23701,5324,,,,53,529,541 050116,01-JUL-16,30-JUN-17,As Submitted,NORTHRIDGE MEDICAL CENTER - ROSCOE ,18300 ROSCOE BLVD ,,NORTHRIDGE ,CA ,91328 ,LOS ANGELES ,887294,,,3716385,,,.3397,666644,155254,348,127020,17258,7301,54200,24.5,1383.14,,3660,1853,12430,2047,4,,130,1,1404,255 050118,01-JUN-16,31-MAY-17,As Submitted,DOCTORS HOSPITAL OF MANTECA ,1205 E. NORTH ST. ,,MANTECA ,CA ,95336 ,SAN JOAQUIN ,,,,357725,,,.12,,,73,26645,6307,1261,15088,,349.9,,1357,229,3805,1026,,,,,, 050121,01-JAN-16,31-DEC-16,As Submitted,ADVENTIST MEDICAL CENTER ,115 MALL DRIVE ,,HANFORD ,CA ,93230- ,KINGS ,123732,,,2923407,,,.3338,110553,36027,230,85350,18280,3427,49554,3.14,1266.89,,3724,927,11534,2651,,,,,, 050122,01-JAN-16,31-DEC-16,As Submitted,DAMERON HOSPITAL ,525 W. ACACIA ,,STOCKTON ,CA ,95023 ,SAN JOAQUIN ,,,,1318684,,,.2952,,,202,73920,6034,2601,23323,,693,,1462,558,5901,1658,,,,,, 050124,01-JUL-16,30-JUN-17,As Submitted,VERDUGO HILLS HOSPITAL ,1812 VERDUGO BOULEVARD ,,GLENDALE ,CA ,91208 ,LOS ANGELES ,,,,558188,,,.1287,,,116,42340,9400,516,20784,.24,584.8,,1805,147,5967,465,,,,,553, 050125,01-JAN-16,31-DEC-16,As Submitted,REGIONAL MEDICAL CENTER OF SAN JOSE ,225 NORTH JACKSON AVENUE ,,SAN JOSE ,CA ,95116 ,SANTA CLARA ,,,,7512940,,,.4659,,,262,95322,27384,7857,81239,,1258,,4819,1363,15344,,,,,,, 050126,01-NOV-15,31-OCT-16,As Submitted,VALLEY PRESBYTERIAN HOSPITAL ,15107 VANOWEN STREET ,,VAN NUYS ,CA ,91405 ,LOS ANGELES ,,,,5483861,,,.7147,,,333,121878,15362,19235,70569,,1422.46,,2538,3627,14056,5555,,,,5,,302 050127,01-JUL-16,30-JUN-17,As Submitted,WOODLAND HEALTHCARE ,1325 COTTONWOOD STREET ,,WOODLAND ,CA ,95695 ,YOLO ,,,,373750,,,.12,,,77,28105,3137,747,11009,,470.14,,930,104,4255,1182,,,765,,1358, 050128,01-JUL-16,30-JUN-17,As Submitted,TRI-CITY MEDICAL CENTER ,4002 VISTA WAY ,,OCEANSIDE ,CA ,92056-4506 ,SAN DIEGO ,147725,,,2552224,,,.285,43243,18369,298,108770,13757,13040,60837,3.26,1730.05,,3143,2240,13251,2616,1,,361,17,630,219 050129,01-JUL-16,30-JUN-17,As Submitted,ST. BERNARDINE MEDICAL CENTER ,2101 N. WATERMAN AVE. ,,SAN BERNARDINO ,CA ,92404 ,SAN BERNARDINO ,441630,,,3109085,,,.3961,,,322,117530,12829,6482,65107,8.17,1338.8,,2344,1409,15638,5559,,,,,, 050131,01-JAN-16,31-DEC-16,As Submitted,NOVATO COMMUNITY HOSPITAL ,180 ROWLAND WAY ,,NOVATO ,CA ,94945- ,MARIN ,,,,169240,,,.0543,,,47,17202,3901,,6007,,248.14,,1069,,1760,195,,,,,, 050132,01-JUL-16,30-JUN-17,As Submitted,SAN GABRIEL VALLEY MEDICAL CENTER ,438 WEST LAS TUNAS DRIVE ,,SAN GABRIEL ,CA ,91778-1507 ,LOS ANGELES ,,,,2689020,,,.4786,,,187,68255,12980,4147,40036,,740,,2354,802,8917,2699,353,,39,,625, 050133,01-JUL-16,30-JUN-17,As Submitted,RIDEOUT MEMORIAL HOSPITAL ,726 FOURTH STREET ,,MARYSVILLE ,CA ,95901- ,YUBA ,,,,1655369,,,.12,,,221,80057,27857,5577,55664,,1443.44,,5141,1128,11121,,,,,,, 050135,01-JAN-16,31-DEC-16,As Submitted,SO CALIF HOSPITAL AT HOLLYWOOD ,6245 DELONGPRE AVE ,,HOLLYWOOD ,CA ,90028 ,LOS ANGELES ,,,,5416604,,,.5158,,,397,145302,28308,12324,84689,,1189,,4508,3261,14599,4116,,,1011,2,2229,343 050136,01-JUL-16,30-JUN-17,As Submitted,PETALUMA VALLEY HOSPITAL ,400 N. MCDOWELL BLVD ,,PETALUMA ,CA ,94954- ,SONOMA ,,,,371833,,,.12,,,80,29200,5115,,11074,,264.17,,1009,,2423,582,,,,,, 050137,01-JAN-16,31-DEC-16,As Submitted,KFH - PANORAMA CITY ,13652 CANTARA STREET ,,PANORAMA CITY ,CA ,91402- ,LOS ANGELES ,11404,,,15439,,,.0268,37363,16051,218,79788,711,618,33221,2.25,816,,193,113,9027,948,,,,,, 050138,01-JAN-16,31-DEC-16,As Submitted,KFH - LOS ANGELES ,4867 SUNSET BLVD ,,LOS ANGELES ,CA ,90027 ,LOS ANGELES ,1232354,,,,,,,4287043,466814,460,168360,3371,2958,113686,211.53,2548,,535,481,23319,1975,,,,,2574, 050139,01-JAN-16,31-DEC-16,As Submitted,KFH - DOWNEY ,9400 ROSECRANS AVENUE ,,BELLFLOWER ,CA ,90706- ,LOS ANGELES ,36821,,,165686,,,.1479,96741,22994,352,128832,1604,3337,72990,9.47,1598,,429,389,17332,4354,,,,,, 050140,01-JAN-16,31-DEC-16,As Submitted,KFH - FONTANA ,9961 SIERRA AVENUE ,,FONTANA ,CA ,92335 ,SAN BERNARDINO ,375447,,,122753,,,.0431,1027661,160212,626,229116,4564,4397,134118,75.94,2744,,942,728,30630,3801,,,,,, 050145,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HOSP. MONTEREY PENINSULA ,23625 W. R. HOLMAN HIGHWAY ,,MONTEREY ,CA ,93942-6032 ,MONTEREY ,,,,1255682,,,.0758,,,227,83082,24607,4790,48124,,1612.99,,4692,9,10408,,,,,,829,236 050146,01-OCT-15,30-SEP-16,As Submitted,CITY OF HOPE NATIONAL MEDICAL CTR ,1500 E. DUARTE ROAD ,,DUARTE ,CA ,91010 ,LOS ANGELES ,,,,,,,,,22449,217,79422,18030,8612,67605,,2656.55,,2025,815,6395,,,,,,, 050149,01-JUL-16,30-JUN-17,As Submitted,CALIFORNIA HOSPITAL MEDICAL CENTER ,1401 SOUTH GRAND AVENUE ,,LOS ANGELES ,CA ,90015 ,LOS ANGELES ,325855,,,2487527,,,.8527,256401,93144,287,104755,4890,18206,75814,29.93,1509.29,,1044,1598,17377,5958,,,,,, 050150,01-JUL-16,30-JUN-17,As Submitted,SIERRA NEVADA MEMORIAL HOSPITAL ,155 GLASSON WAY ,1029 ,GRASS VALLEY ,CA ,95945 ,NEVADA ,,,,833082,,,.1301,,,104,37960,9474,849,18648,,632.61,,2331,228,4603,,,,,,, 050152,01-JUL-16,30-JUN-17,As Submitted,SAINT FRANCIS MEMORIAL HOSPITAL ,900 HYDE STREET ,,SAN FRANCISCO ,CA ,94109 ,SAN FRANCISCO ,11633,,,2731110,,,.4855,5256,1335,150,54750,7969,2243,20635,,744.6,,1665,35,4517,903,2,,3,3,985,311 050153,01-JUL-16,30-JUN-17,As Submitted,OCONNOR HOSPITAL ,2105 FOREST AVENUE ,,SAN JOSE ,CA ,95128 ,SANTA CLARA ,1481383,,,2693230,,,.2803,997684,312556,324,118260,13293,4977,39834,22.9,941.38,,2640,771,9615,1710,,,,,, 050158,01-JAN-16,31-DEC-16,Amended,ENCINO HOSPITAL ,16237 VENTURA BLVD ,,ENCINO ,CA ,91436 ,LOS ANGELES ,,,,525668,,,.2136,,,108,39528,3788,371,14475,,325.93,,929,97,3369,,,,,,521, 050167,01-JUL-16,30-JUN-17,As Submitted,SAN JOAQUIN GENERAL HOSPITAL ,500 WEST FRENCH CAMP ROAD ,,FRENCH CAMP ,CA ,95231 ,SAN JOAQUIN ,1373591,,,1878877,,,.6504,424914,158951,181,66065,5105,13578,47603,58.65,1443.15,,1007,2308,9990,3439,,,,,, 050168,01-JUL-16,30-JUN-17,As Submitted,ST JUDE MEDICAL CENTER FULLERTON ,101 E. VALENCIA MESA AVE ,,FULLERTON ,CA ,92835 ,ORANGE ,,,,1522447,,,.1283,,,290,105850,18360,3208,65570,,2055.73,,3946,596,14782,1531,,,,37,,652 050169,01-OCT-15,30-SEP-16,Amended,PRESBYTERIAN INTERCOMMUNITY HOSPITAL ,12401 EAST WASHINGTON BLVD ,,WHITTIER ,CA ,90602- ,LOS ANGELES ,772742,,,1388012,,,.1356,547383,221376,394,144204,17385,8574,72256,19.15,2492.12,,3656,1938,17259,1122,,,,10,,207 050174,01-JUL-16,30-JUN-17,As Submitted,SANTA ROSA MEMORIAL HOSPITAL ,1165 MONTGOMERY DRIVE ,,SANTA ROSA ,CA ,95405- ,SONOMA ,,,,4008856,,,.2047,,,262,95630,30649,4983,68015,,1486.99,,5011,711,11642,3801,,,,16,,353 050179,01-JAN-16,31-DEC-16,As Submitted,EMANUEL MEDICAL CENTER ,825 DELBON AVENUE ,,TURLOCK ,CA ,95382 ,STANISLAUS ,,,,2664931,,,.3616,,,209,76494,14969,3811,37324,,759.1,,3108,815,8451,2521,,,,,, 050180,01-JAN-16,31-DEC-16,As Submitted,JOHN MUIR MEDICAL CENTER - WC ,1601 YGNACIO VALLEY ROAD ,,WALNUT CREEK ,CA ,94598-3198 ,CONTRA COSTA ,,,,2316672,,,.1099,,,506,185196,32113,10076,92982,,2003.9,,6199,481,18513,2132,,,,4,,594 050189,01-OCT-15,30-SEP-16,As Submitted,MEE MEMORIAL HOSPITAL ,300 CANAL ST. ,,KING CITY ,CA ,93930- ,MONTEREY ,,,,45386,,,.12,,,76,27816,1954,1172,14336,,262.88,,164,343,892,372,,,,,, 050191,01-JUL-16,30-JUN-17,As Submitted,ST. MARY MEDICAL CENTER ,1050 LINDEN AVENUE ,,LONG BEACH ,CA ,90813-3393 ,LOS ANGELES ,986512,,,2572452,,,.6021,783986,213822,256,93440,8697,11072,53314,32.49,1163.69,,1433,1990,10793,3377,,,,37,,429 050192,01-JAN-16,31-DEC-16,As Submitted,ADVENTIST MEDICAL CENTER REEDLEY ,372 WEST CYPRESS ,,REEDLEY ,CA ,93654- ,FRESNO ,25615,,,43794,,,.12,,,49,17934,816,1074,8577,10.09,231.42,,216,382,1939,1028,,,,,, 050195,01-JUL-16,30-JUN-17,As Submitted,WASHINGTON HOSPITAL DISTRICT ,2000 MOWRY AVENUE ,,FREMONT ,CA ,94538 ,ALAMEDA ,,,,3374073,,,.1953,,,289,105485,27500,,62368,,1414,,5217,,12326,1550,,,,,, 050197,01-JUL-16,30-JUN-17,As Submitted,SEQUOIA HOSPITAL ,170 ALAMEDA DE LAS PULGAS ,,REDWOOD CITY ,CA ,94160 ,SAN MATEO ,,,,,,,,,,208,75920,9065,143,22142,,677.7,,2218,44,6910,154,,,,,, 050204,01-JAN-16,31-DEC-16,As Submitted,PALMDALE REGIONAL MEDICAL CENTER ,38600 MEDICAL CENTER DRIVE ,,PALMDALE ,CA ,93551 ,LOS ANGELES ,,,,2108452,,,.2958,,,157,57462,13110,3248,39136,,824.33,,2536,502,9101,1990,,,,,, 050205,01-JAN-16,31-DEC-16,As Submitted,EAST VALLEY GLENDORA HOSPITAL ,150 WEST ROUTE 66 ,,GLENDORA ,CA ,91740 ,LOS ANGELES ,,,,418537,,,.2677,,,107,39162,2967,959,5958,,194.9,,680,209,1381,,,,10,,589, 050211,01-JUL-16,30-JUN-17,As Submitted,ALAMEDA HOSPITAL ,2070 CLINTON AVE ,,ALAMEDA ,CA ,94501 ,,,,,344706,,,.12,,,36,13140,5569,1074,11727,,365.09,,1043,181,2240,,,,,,, 050222,01-OCT-15,30-SEP-16,As Submitted,SHARP CHULA VISTA MEDICAL CTR ,751 MEDICAL CENTER COURT ,,CHULA VISTA ,CA ,91911- ,SAN DIEGO ,,,,4229275,,,.3783,,,243,88938,21476,9961,72253,,1611,,3833,1969,15009,4774,,,,,, 050224,01-JUL-16,30-JUN-17,As Submitted,HOAG MEMORIAL HOSPITAL PRESBYTERIAN ,ONE HOAG DRIVE ,6100 ,NEWPORT BEACH ,CA ,92658-6100 ,,,,,1188758,,,.047,,,527,192355,37120,4075,126574,,3850.89,,8417,865,29830,2240,,,,,, 050225,01-JAN-16,31-DEC-16,As Submitted,FEATHER RIVER HOSPITAL ,5974 PENTZ ROAD ,,PARADISE ,CA ,95969 ,BUTTE ,,,,750089,,,.12,,,100,36600,9418,590,17469,,700.64,,2567,189,4716,1800,,,,,, 050226,01-JUL-16,30-JUN-17,As Submitted,ANAHEIM REGIONAL MEDICAL CENTER ,1111 WEST LA PALMA AVENUE ,,ANAHEIM ,CA ,92801- ,ORANGE ,,,,2128469,,,.3317,,,223,81395,13294,5197,49634,,872.31,,3573,1100,10698,3090,,,,,, 050228,01-JUL-16,30-JUN-17,As Submitted,ZUCKERBERG SAN FRANCISCO GENERAL ,1001 POTRERO AVENUE ,,SAN FRANCISCO ,CA ,94110- ,SAN FRANCISCO ,11236944,,,5121903,,,.6407,3162427,1376862,284,103660,15817,,78442,259.01,2910.17,,2225,,13428,,,,,,1053, 050230,01-JAN-16,31-DEC-16,As Submitted,GARDEN GROVE HOSPITAL MEDICAL CENTER ,12601 GARDEN GROVE BLVD ,,GARDEN GROVE ,CA ,92634 ,ORANGE ,,,,2574484,,,.663,,,167,60955,6844,3273,22569,,477.18,,1404,784,5625,1696,,,,,, 050231,01-JAN-16,31-DEC-16,As Submitted,POMONA VALLEY HOSPITAL MED CTR ,1798 NORTH GAREY AVENUE ,,POMONA ,CA ,91767- ,LOS ANGELES ,816787,,,4013995,,,.4844,433273,153649,376,137616,13394,31224,104528,18.8,2638.56,,2950,7091,21989,6381,,,,,, 050232,01-JUL-16,30-JUN-17,As Submitted,FRENCH HOSPITAL MEDICAL CENTER ,1911 JOHNSON AVENUE ,,SAN LUIS OBISPO ,CA ,93401 ,SAN LUIS OBISPO ,,,,286141,,,.0418,,,98,36836,9125,361,17272,,474.93,,2217,72,4409,438,,,,,, 050234,01-OCT-15,30-SEP-16,As Submitted,SHARP CORONADO HOSPITAL ,250 PROSPECT PLACE ,,CORONADO ,CA ,92118- ,SAN DIEGO ,,,,182015,,,.12,,,59,21594,1768,671,6000,,303.3,,515,130,1857,257,,,,,, 050235,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE ST JOSEPH MEDICAL CENTER ,501 S. BUENA VISTA ST ,,BURBANK ,CA ,91505-4866 ,LOS ANGELES ,,,,4325330,,,.275,,,368,133058,28790,,73296,,543.31,,5576,,16740,2691,,,,,,199 050236,01-JAN-16,31-DEC-16,As Submitted,SIMI VALLEY HOSPITAL ,2675 NORTH SYCAMORE DRIVE ,,SIMI VALLEY ,CA ,93065 ,VENTURA ,,,,874201,,,.1321,,,144,52704,13339,833,29115,,552.09,,2744,233,7157,1056,,,,,, 050238,01-JAN-16,31-DEC-16,Amended,METHODIST HOSPITAL OF SO CALIF ,300 WEST HUNTING DRIVE ,,ARCADIA ,CA ,91007 ,LOS ANGELES ,,,,3306040,,,.2281,,,346,126636,28599,6265,68813,,1417,,5375,949,15085,1522,,,,7,,581 050239,01-JAN-16,31-DEC-16,As Submitted,GLENDALE ADVENTIST MEDICAL CENTER ,1509 WILSON TERRACE ,,GLENDALE ,CA ,92106 ,LOS ANGELES ,2326261,,,9474781,,,.5361,1537051,242365,323,118218,35686,6586,82939,19.71,2018.44,,6874,1538,19014,4440,,,599,4,1572,571 050242,01-JUL-16,30-JUN-17,As Submitted,DOMINICAN HOSPITAL ,1555 SOQUEL DRIVE ,,SANTA CRUZ ,CA ,95065 ,SANTA CRUZ ,,,,2921233,,,.1777,,,202,73730,21291,3453,46938,,1127.18,,4542,747,10586,2034,,,,19,,453 050243,01-JUN-16,31-MAY-17,As Submitted,DESERT HOSPITAL ,1150 N. INDIAN CANYON DR ,2739 ,PALM SPRINGS ,CA ,92262 ,RIVERSIDE ,2944670,,,3175787,,,.3388,1241880,378422,329,120130,17934,16698,88344,48.19,1598.67,,3333,2255,18801,4675,,,,27,,221 050245,01-JUL-16,30-JUN-17,As Submitted,ARROWHEAD REGIONAL MEDICAL CENTER ,400 NORTH PEPPER AVENUE ,,COLTON ,CA ,92324- ,SAN BERNARDINO ,2773917,,,2681712,,,.5989,2123646,674568,366,133590,11704,20040,98406,145.46,3020.35,,1834,3745,20504,12900,,,,,3662, 050248,01-JUL-16,30-JUN-17,As Submitted,NATIVIDAD MEDICAL CENTER ,1441 CONSTITUTION BLDV ,,SALINAS ,CA ,93906- ,MONTEREY ,917653,,,2119014,,,.6239,602249,189716,148,55084,5614,9320,34198,29.85,1060.59,,1263,1998,8430,,,,,40,,526 050254,01-NOV-15,31-OCT-16,As Submitted,MARSHALL HOSPITAL ,1100 MARSHALL WAY ,,PLACERVILLE ,CA ,95667 ,EL DORADO ,,,,917870,,,.12,,,99,36234,12001,,22512,,1069.14,,2496,,5215,1476,,,,,, 050257,01-JAN-16,31-DEC-16,As Submitted,GOOD SAMARITAN ,901 OLIVE DRIVE ,,BAKERSFIELD ,CA ,93308 ,KERN ,,,,740920,,,.53,,,133,48545,3536,3122,12338,,169.7,,754,529,2680,553,,,12,,179, 050261,01-JUL-16,30-JUN-17,As Submitted,SIERRA VIEW MED. CTR. ,465 W. PUTNAM AVE. ,,PORTERVILLE ,CA ,93257- ,TULARE ,,,,1637526,,,.3867,,,128,46720,9876,3110,23502,,852.54,,1815,684,5540,1855,,,,,, 050262,01-JUL-16,30-JUN-17,As Submitted,RONALD REAGAN UCLA MEDICAL CENTER ,RONALD REAGAN UCLA MEDICAL CENTER ,,757 WESTWOOD PLAZA ,CA ,90095 ,LOS ANGELES ,48542466,408519,,5338953,22280,,.242,10237909,5460818,445,167982,41424,29931,167624,678.8,6748.18,,5324,3048,23102,2157,,,,,,9 050272,01-OCT-15,30-SEP-16,Amended,REDLANDS COMMUNITY HOSPITAL ,350 TERRACINA BOULEVARD ,,REDLANDS ,CA ,92373 ,SAN BERNADINO CA ,,,,701498,,,.1576,,,195,71370,6580,4356,43328,,1170.44,,1567,576,10282,2094,,,281,,741, 050276,01-JUL-16,30-JUN-17,As Submitted,CONTRA COSTA REGIONAL MEDICAL CENTER ,2500 ALHAMBRA AVENUE ,,MARTINEZ ,CA ,94553 ,CONTRA COSTA ,1021397,,,1493796,,,.5948,196775,230106,124,45260,5454,7077,41084,34.02,1995,,988,1792,7108,,,,517,,836, 050278,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE HOLY CROSS MED. CENTER ,15031 RINALDI STREET ,,MISSION HILLS ,CA ,91345- ,LOS ANGELES ,,,,3681781,,,.3863,,,316,115656,17840,,77129,,1650.15,,3270,,17451,,,,,,,182 050279,01-JUN-16,31-MAY-17,As Submitted,HI - DESERT MEDICAL CENTER ,6601 WHITEFEATHER ROAD ,,JOSHUA TREE ,CA ,92252- ,SAN BERNADINO CA ,,,,118961,,,.12,,,59,21535,1992,2747,7614,,298.22,,512,797,2345,171,,,,,, 050280,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER REDDING ,2175 ROSALINE AVE ,496009 ,REDDING ,CA ,96001 ,SHASTA ,2809349,,,4709825,,,.2448,625068,299363,267,97455,28686,4459,63021,18.08,1359.09,,5809,421,13252,,,,,,, 050281,01-JUL-16,30-JUN-17,As Submitted,ALHAMBRA HOSPITAL ,100 SOUTH RAYMOND ,,ALHAMBRA ,CA ,91801 ,LOS ANGELES ,,,,2039375,,,.6265,,,101,36865,7140,997,19822,,411.68,,1374,235,5277,2074,,,,3,,277 050289,01-JUL-16,30-JUN-17,As Submitted,SETON MEDICAL CENTER ,1900 SULLIVAN AVENUE ,,DALY CITY ,CA ,94015- ,SAN MATEO ,76259,,,1297963,,,.1604,62110,18887,275,100375,12636,1848,30270,1.5,777.68,,2186,881,5668,,,,,,, 050290,01-JAN-16,31-DEC-16,As Submitted,SAINT JOHNS HOSPITAL ,2121 SANTA MONICA BLVD ,,SANTA MONICA ,CA ,90404 ,LOS ANGELES ,,,,537220,,,.03,,,266,97356,27222,,56899,,1180.91,,5736,,12359,210,,,,,, 050291,01-JAN-16,31-DEC-16,As Submitted,SUTTER SANTA ROSA REGIONAL HOSPITAL ,30 MARK WEST SPRING ROAD ,,SANTA ROSA ,CA ,95403 ,SONOMA ,5458380,,,834573,,,.12,1227152,551977,84,30744,8997,,28185,33.94,696.73,,1903,,6321,1420,,,,,, 050292,01-JUL-16,30-JUN-17,As Submitted,RIVERSIDE UNIVERSITY HEALTH SYSTEM ,26520 CACTUS AVENUE ,,MORENO VALLEY ,CA ,92555-3911 ,RIVERSIDE ,1627374,,,1899358,,,.4616,1096352,285166,439,160235,11697,20811,104841,135.68,3009,,1637,2968,18300,6023,,,,,, 050295,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL ,2215 TRUXTUN AVENUE ,,BAKERSFIELD ,CA ,93302 ,KERN ,,,,1767119,,,.2967,,,222,81030,10077,4854,48451,,1247.16,,2333,1102,14918,3859,,,,,, 050296,01-JUL-16,30-JUN-17,As Submitted,HAZEL HAWKINS MEM. HOSPITAL ,911 SUNSET DRIVE ,,HOLLISTER ,CA ,95023- ,SAN BENITO CA ,,,,217982,,,.12,,,41,14965,2635,1899,7125,,379.74,,777,508,2098,334,,,,,, 050298,01-FEB-16,31-JAN-17,As Submitted,BARSTOW COMMUNITY HOSPITAL ,555 SOUTH SEVENTH STREET ,,BARSTOW ,CA ,92311 ,SAN BERNARDINO ,,,,172665,,,.12,,,30,10980,2311,1422,8015,,254.96,,671,384,2465,452,,,,,, 050300,01-JUL-16,30-JUN-17,As Submitted,ST. MARY MEDICAL CENTER ,18300 HIGHWAY 18 ,P.O. BOX 7025 ,APPLE VALLEY ,CA ,92307 ,SAN BERNARDINO ,,,,2970402,,,.3209,,,212,77380,19376,6300,68028,,1343.8,,3436,1113,15093,5029,,,,,, 050301,01-JAN-16,31-DEC-16,As Submitted,UKIAH VALLEY MEDICAL CENTER ,275 HOSPITAL DRIVE ,,UKIAH ,CA ,95482- ,MENDOCINO ,,,,996103,,,.3009,,,50,18300,5679,723,12853,,485.87,,1376,234,3401,1660,,,,,, 050305,01-JAN-16,31-DEC-16,As Submitted,ALTA BATES MEDICAL CENTER ,2450 ASHBY AVENUE ,,BERKELEY ,CA ,94705- ,ALAMEDA ,,,,3506629,,,.3572,,,337,123342,14725,,73223,,1740.06,,2843,,14475,3672,,,,,2149, 050308,01-JUL-16,30-JUN-17,As Submitted,EL CAMINO HOSPITAL ,2500 GRANT ROAD ,7025 ,MOUNTAIN VIEW ,CA ,94039-7025 ,SANTA CLARA ,,,,1115172,,,.0506,,,388,141620,27421,2421,82482,,2372.04,,5732,455,16670,456,,,,,712,460 050309,01-JAN-16,31-DEC-16,As Submitted,SUTTER ROSEVILLE MEDICAL CENTER ,1 MEDICAL PLAZA ,,ROSEVILLE ,CA ,95661- ,PLACER ,,,,2753956,,,.1349,,,273,99918,30726,,79964,,1526.2,,6593,,19144,2293,,,,,,1037 050313,01-JAN-16,31-DEC-16,As Submitted,SUTTER TRACY COMMUNITY HOSPITAL ,1420 TRACY BOULEVARD ,,TRACY ,CA ,95376-3497 ,SAN JOAQUIN ,,,,347651,,,.12,,,81,29646,4664,,13454,,460.15,,1212,,3923,760,,,,,, 050315,01-JUL-16,30-JUN-17,As Submitted,KERN MEDICAL CENTER ,1700 MOUNT VERNON AVENUE ,,BAKERSFIELD ,CA ,93306 ,KERN ,2080602,,,1753342,,,.705,787600,285212,214,78110,4889,20193,47218,105.87,1521.51,,916,2604,10227,,,,,,, 050320,01-JUL-16,30-JUN-17,As Submitted,ALAMEDA HEALTH SYSTEM ,1411 EAST 31ST STREET ,,OAKLAND ,CA ,94602- ,ALAMEDA ,6453231,,,3388116,,,.6201,2364200,1102888,169,60955,9845,15062,54515,120.44,2137.21,,1654,2905,10241,,,,,,3278,473 050324,01-OCT-15,30-SEP-16,As Submitted,SCRIPPS MEMORIAL HOSPITAL - LA JOLLA ,9888 GENESEE AVENUE ,,LA JOLLA ,CA ,92037 ,SAN DIEGO ,,,,645599,,,.0403,,,402,147132,22231,4212,82626,,2132.22,,4373,507,16789,,,,,,, 050327,01-JAN-16,31-DEC-16,As Submitted,LOMA LINDA UNIVERSITY MEDICAL CENTER ,11234 ANDERSON STREET ,2000 ,LOMA LINDA ,CA ,92354 ,SAN BERNARDINO ,21955108,,,5532082,,,.3264,5129689,3608880,445,162870,28103,13494,109546,305.36,5181,,4762,2076,21818,,,,,218,,1166 050329,01-JAN-16,31-DEC-16,As Submitted,CORONA REGIONAL MEDICAL CENTER ,800 SOUTH MAIN STREET ,,CORONA ,CA ,91720 ,RIVERSIDE ,,,,1077106,,,.3172,,,160,58560,6795,3880,27230,,773.67,,1286,971,6536,2075,42,,662,,1770, 050334,01-JUL-16,30-JUN-17,As Submitted,SALINAS VALLEY MEMORIAL HOSPITAL ,450 E. ROMIE LANE ,,SALINAS ,CA ,93901-4098 ,MONTEREY ,,,,3545850,,,.2533,,,263,96913,21330,3728,47569,,1399.32,,3855,577,9944,2786,,,,,, 050335,01-JAN-16,31-DEC-16,As Submitted,SONORA REGIONAL MEDICAL CENTER ,1000 GREENLEY ROAD ,,SONORA ,CA ,95370 ,TUOLUMNE ,,,,903744,,,.1395,,,84,30744,12376,519,20467,,880.15,,2484,161,4433,786,,,,,, 050336,01-JAN-16,31-DEC-16,As Submitted,LODI MEMORIAL HOSPITAL ,975 S. FAIRMONT AVENUE ,,LODI ,CA ,92541 ,SAN JOAQUIN ,,,,1549849,,,.2162,,,182,66612,13985,2521,32354,,1076.97,,3061,575,7426,2853,,,,75,,163 050342,01-JUL-16,30-JUN-17,As Submitted,PIONEERS MEM. HOSPITAL ,207 W. LEGION RD. ,,BRAWLEY ,CA ,97222- ,IMPERIAL ,,,,1689269,,,.4427,,,107,39055,7282,2161,21779,,717.59,,1571,555,5764,2150,,,,,, 050348,01-JUL-16,30-JUN-17,As Submitted,UCI MEDICAL CENTER ,101 THE CITY DRIVE SOUTH ,,ORANGE ,CA ,92868 ,ORANGE ,17107891,44573,,5816033,4210,,.4319,3243782,2487748,353,128783,22008,18870,108197,266.25,4660.26,,4259,2315,19733,5301,1,,786,44,1273,264 050350,01-JAN-16,31-DEC-16,As Submitted,BEVERLY COMMUNITY HOSPITAL ,309 WEST BEVERLY BLVD ,,MONTEBELLO ,CA ,90640 ,LOS ANGELES ,,,,2221212,,,.4418,,,224,80934,10819,4602,37671,,683.68,,1879,1053,8928,,,,,,, 050351,01-JAN-16,31-DEC-16,As Submitted,TORRANCE MEM. MEDICAL CENTER ,3330 WEST LOMITA BLVD. ,,TORRANCE ,CA ,90505 ,LOS ANGELES CA ,,,,880084,,,.0535,,,581,212646,27112,7237,103258,,2312.54,,5613,1486,25214,1309,,,,,, 050352,01-JAN-16,31-DEC-16,As Submitted,BARTON MEMORIAL HOSPITAL ,2170 SOUTH AVENUE ,,SOUTH LAKE TAHOE ,CA ,96158 ,EL DORADO ,,,,203941,,,.12,,,63,23058,2344,964,7178,,555.3,,582,193,2081,669,,,,,, 050353,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE LTTL CO MARY MC TORRANCE ,4101 TORRANCE BLVD ,,TORRANCE ,CA ,90503- ,LOS ANGELES ,,,,2352495,,,.1999,,,337,123342,18099,,70685,,495.43,,4066,,18578,2322,,,,,, 050357,01-JAN-16,31-DEC-16,As Submitted,GOLETA VALLEY COTTAGE HOSPITAL ,351 SOUTH PATTERSON AVENUE ,,SANTA BARBARA ,CA ,93160- ,SANTA BARBARA ,,,,,,,,,,28,10248,2001,63,3890,,259.32,,727,23,1613,123,,,,,, 050360,01-JAN-16,31-DEC-16,As Submitted,MARIN GENERAL HOSPITAL ,250 BON AIR ROAD ,,GREENBRAE ,CA ,94904 ,MARIN ,,,,1750707,,,.1377,,,218,79788,17606,3602,38467,,1266.36,,3734,1056,8050,740,,,,,740, 050367,01-JAN-16,31-DEC-16,As Submitted,NORTHBAY HOSPITAL GROUP ,1200 B GALE WILSON BLVD ,,FAIRFIELD ,CA ,94533 ,SOLANO ,,,,3738770,,,.3037,,,182,66612,20893,,46711,,1764.01,,3856,695,9063,,,,,,, 050373,01-JUL-16,30-JUN-17,As Submitted,LAC+USC MEDICAL CENTER ,1200 N. STATE STREET ,,LOS ANGELES ,CA ,90033 ,LOS ANGELES ,8027276,,,3568933,,,.7458,3115351,1995342,594,216810,11084,75634,175277,631.94,7352.51,,1471,12119,29000,,,,193,,751, 050376,01-JUL-16,30-JUN-17,As Submitted,HARBOR-UCLA MEDICAL CENTER ,1000 WEST CARSON STREET ,,TORRANCE ,CA ,90509 ,LOS ANGELES ,6871038,,,2703866,,,.6418,4007960,1938418,388,141620,8830,35195,98154,450.29,3936.48,,1375,7498,18076,6101,226,,123,,552, 050378,01-JAN-16,31-DEC-16,As Submitted,PACIFICA HOSPITAL OF THE VALLEY ,9449 SAN FERNANDO ROAD ,,SUN VALLEY ,CA ,91352-1421 ,LOS ANGELES ,,,,941269,,,.7952,,,133,48671,3584,13345,23105,,404.58,,613,2282,4042,979,,,,,, 050380,01-FEB-16,31-JAN-17,As Submitted,GOOD SAMARITAN HOSPITAL ,2425 SAMARITAN DRIVE ,,SAN JOSE ,CA ,95124 ,SANTA CLARA ,,,,1301211,,,.0729,,,319,117300,26334,3071,81801,,1433.56,,4928,456,15819,,,,,23,735,336 050382,01-JAN-16,31-DEC-16,As Submitted,CITRUS VALLEY MEDICAL CENTER ,210 WEST SAN BERNARDINO ROAD ,,COVINA ,CA ,91723 ,LOS ANGELES ,,,,5307707,,,.4635,,,481,176046,23823,23229,104085,,1889.08,,4393,4095,23690,,,,,5,,232 050390,01-JAN-16,31-DEC-16,As Submitted,HEMET VALLEY MEDICAL CENTER ,1117 EAST DEVONSHIRE AVENUE ,,HEMET ,CA ,92543 ,RIVERSIDE ,958452,,,1422060,,,.2502,986524,180188,304,111264,12299,13594,45618,23.35,673.23,,2310,3298,9953,,,,,,, 050393,01-OCT-15,30-SEP-16,As Submitted,PIH HOSPITAL - DOWNEY ,11500 BROOKSHIRE AVENUE ,7010 ,DOWNEY ,CA ,90241-7010 ,LOS ANGELES ,874231,,,951955,,,.2405,682317,181325,183,66978,7756,3397,30062,24.61,931,,1625,908,7937,1073,,,,,, 050394,01-JAN-16,31-DEC-16,As Submitted,CMH OF SAN BUENAVENTURA ,147 N. BRENT STREET ,,VENTURA ,CA ,93003 ,VENTURA ,3736687,,,1145115,,,.1325,1298678,606883,201,73566,13895,3656,52526,41.48,1565,,2989,708,12209,,,,,,, 050396,01-JAN-16,31-DEC-16,As Submitted,SANTA BARBARA COTTAGE HOSPITAL ,400 WEST PUEBLO STREET ,689 ,SANTA BARBARA ,CA ,93102 ,SANTA BARBARA ,2805089,1384845,,1900521,693730,,.1623,1078972,341879,325,118950,28628,6341,77804,56.67,2392.61,,5773,1062,16534,2430,,,,23,,649 050397,01-JUL-16,30-JUN-17,As Submitted,COALINGA REGIONAL MEDICAL CENTER ,1191 PHELPS AVENUE ,,COALINGA ,CA ,93210- ,FRESNO CA ,,,,7026,,,.12,,,22,8030,114,29,325,,94.53,,37,11,113,23,,,,,, 050407,01-JAN-16,31-DEC-16,As Submitted,CHINESE HOSPITAL ,845 JACKSON STREET ,,SAN FRANCISCO ,CA ,94133- ,SAN FRANCISCO ,,,,167482,,,.12,,,57,20862,2467,98,6388,,354.86,,496,16,1382,,,,,,, 050411,01-JAN-16,31-DEC-16,As Submitted,KFH - SOUTH BAY ,25825 S. VERMONT AVENUE ,,HARBOR CITY ,CA ,90710 ,LOS ANGELES ,27390,,,,,,,93847,17800,325,101038,1812,648,41390,4.09,1031,,341,131,10987,1044,,,,,, 050414,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL OF FOLSOM ,1650 CREEKSIDE DRIVE ,,FOLSOM ,CA ,93630 ,SACRAMENTO ,,,,509355,,,.0806,,,106,38796,8774,1422,25157,,571.5,,2099,271,6880,,,,,,, 050417,01-JAN-16,31-DEC-16,As Submitted,SUTTER COAST HOSPITAL ,800 EAST WASHINGTON ,,CRESCENT CITY ,CA ,95531-3699 ,DEL NORTE ,,,,255735,,,.12,,,39,14274,3614,,7192,,296.58,,904,,1952,105,,,,,,88 050423,01-JUL-16,30-JUN-17,As Submitted,PALO VERDE HOSPITAL ,250 NORTH FIRST STREET DRAWER 2 ,,BLYTHE ,CA ,92225- ,RIVERSIDE ,,,,37676,,,.12,,,51,18615,662,1037,2545,,147.42,,186,462,994,8,,,,,, 050424,01-OCT-15,30-SEP-16,As Submitted,SCRIPPS GREEN HOSPITAL ,10666 NORTH TORREY PINES ROAD ,,LA JOLLA ,CA ,92037 ,SAN DIEGO ,4892523,,,,,,,1047939,351827,166,60756,12795,564,34317,64.97,1203.86,,3202,58,9214,109,,,,,, 050425,01-JAN-16,31-DEC-16,As Submitted,KFH - SACRAMENTO ,2025 MORSE AVENUE ,,SACRAMENTO ,CA ,95825- ,SACRAMENTO ,388785,,,,,,,616163,182455,287,105042,3501,981,45023,20.47,1061.75,,801,200,10999,594,,,,,, 050426,01-JAN-16,31-DEC-16,As Submitted,WEST ANAHEIM MEDICAL CENTER ,3033 ORANGE AVENUE ,,ANAHEIM ,CA ,92804 ,ORANGE ,904786,,,2138749,,,.3751,1040350,100778,167,60955,9980,2248,25401,21.92,594.02,,1919,405,5511,1499,,,2,,353, 050438,01-JAN-16,31-DEC-16,As Submitted,HUNTINGTON HOSPITAL ,100 WEST CALIFORNIA ,,PASADENA ,CA ,91105 ,LOS ANGELES ,3185114,,,3485825,,,.1717,1118835,197434,503,178310,35749,10348,124934,40.35,3042.69,,7242,1874,28327,,,,440,10,911,323 050444,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER MERCED ,333 MERCY AVENUE ,,MERCED ,CA ,95340 ,MERCED ,2381105,,,4126670,,,.3745,1253599,324563,186,67890,21831,,51747,22.94,1075.61,,4461,1192,12665,4210,,,,,, 050454,01-JUL-16,30-JUN-17,As Submitted,UCSF MEDICAL CENTER ,505 PARNASSUS ,,SAN FRANCISCO ,CA ,94143-0824 ,SAN FRANCISCO ,52264908,,,12967630,,,.295,7715714,5133187,782,285430,54377,45097,225246,566.87,7728.8,,8582,5408,35009,5358,,,,,, 050455,01-JAN-16,31-DEC-16,As Submitted,SAN JOAQUIN COMMUNITY HOSPITAL ,2615 CHESTER AVENUE ,P.O. BOX 2615 ,BAKERSFIELD ,CA ,93303-2615 ,KERN ,,,,2946803,,,.2927,,,254,92964,16210,4019,71209,,1516.03,,3572,1195,18156,6410,,,,,, 050464,01-JUN-16,31-MAY-17,As Submitted,DOCTORS MEDICAL CENTER OF MODESTO ,1441 FLORIDA AVENUE ,,MODESTO ,CA ,95350 ,STANISLAUS ,2106877,,,6314777,,,.4272,781885,161306,380,138700,28145,14978,114970,28.11,1676.7,,4924,2424,22907,8464,7,,1825,,3381, 050468,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL OF GARDENA ,1145 W REDONDO BEACH BLVD ,,GARDENA ,CA ,90247- ,LOS ANGELES ,,,,2061069,,,.5707,,,103,37698,6168,4943,24904,,541.7,,1361,1199,6428,2720,,,,,, 050481,01-JAN-16,31-DEC-16,As Submitted,WEST HILLS HOSPITAL ,7300 MEDICAL CENTER DRIVE ,,WEST HILLS ,CA ,91307 ,LOS ANGELES ,,,,1950100,,,.1826,,,225,82350,20285,4319,43759,,764.89,,3850,,9105,,,,,,, 050485,01-JUL-16,30-JUN-17,As Submitted,LONG BEACH MEMORIAL MEDICAL CENTER ,2801 ATLANTIC AVENUE ,,LONG BEACH ,CA ,90806 ,LOS ANGELES ,5532551,,,4918726,,,.3171,2160031,604412,369,150115,27287,9556,96631,70.58,2410.37,,4898,1707,19127,4970,,,,25,,506 050488,01-JAN-16,31-MAY-16,As Submitted,EDEN MEDICAL CENTER ,20103 LAKE CHABOT RD ,,CASTRO VALLEY ,CA ,94546- ,ALAMEDA ,,,,1048547,,,.2283,,,130,19760,6504,1418,17115,,1031.14,,1198,252,3336,666,,,,,, 050488,01-JUN-16,31-DEC-16,As Submitted,EDEN MEDICAL CENTER ,20103 LAKE CHABOT RD ,,CASTRO VALLEY ,CA ,94546- ,ALAMEDA ,,,,1318972,,,.2123,,,130,27820,9051,,23544,,1079.8,,1741,,4903,798,,,,,, 050496,01-JAN-16,31-DEC-16,As Submitted,JOHN MUIR MEDICAL CENTER - CONCORD ,2540 EAST STREET ,4110 ,CONCORD ,CA ,94520 ,CONTRA COSTA ,,,,3045168,,,.1796,,,238,87108,21859,4609,49726,,1208.58,,4351,389,10615,1734,,,,,, 050498,01-JAN-16,31-DEC-16,As Submitted,SUTTER AUBURN FAITH HOSPITAL ,11815 EDUCATION ROAD ,,AUBURN ,CA ,95604- ,PLACER COUNTY ,,,,308459,,,.0641,,,64,23424,6076,,11941,,426.12,,1739,,3635,79,,,,,, 050502,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT MEDICAL CENTER ,2131 WEST 3RD STREET ,57992 ,LOS ANGELES ,CA ,90057 ,LOS ANGELES ,286298,,,6108790,,,.4701,54572,10210,320,116800,22956,6317,50965,4,797.87,,4227,953,10102,1575,,,,1,,442 050503,01-OCT-15,30-SEP-16,As Submitted,SCRIPPS MEMORIAL HOSPITAL-ENCINITAS ,354 SANTA FE DRIVE ,,ENCINITAS ,CA ,92023 ,SAN DIEGO ,,,,410113,,,.0425,,,167,61122,15653,2236,45540,,1152.48,,3464,509,11116,825,,,,21,,505 050506,01-JUN-16,31-MAY-17,As Submitted,SIERRA VISTA REGIONAL MED CTR ,1010 MURRAY AVENUE ,,SAN LUIS OBISPO ,CA ,93405 ,SAN LUIS OBISPO ,,,,929035,,,.214,,,156,56940,6655,2948,25057,,474,,1564,400,5524,992,,,,,, 050510,01-JAN-16,31-DEC-16,As Submitted,KFH - SAN RAFAEL ,99 MONTICELLO ROAD ,,SAN RAFAEL ,CA ,94063- ,MARIN ,15713,,,,,,,19020,4151,116,42456,523,30,15872,1.97,484,,136,9,4501,134,,,,,, 050512,01-JAN-16,31-DEC-16,As Submitted,KFH - FREMONT ,39400 PASEO PADRE PKWY ,36084 ,FREMONT ,CA ,94545 ,ALAMEDA ,7434,,,,,,,36482,14037,106,38796,348,107,13197,1.33,456,,97,18,3531,91,,,,,, 050515,01-JAN-16,31-DEC-16,As Submitted,KFH - SAN DIEGO ,4647 ZION AVENUE ,,SAN DIEGO ,CA ,92120 ,SAN DIEGO ,134511,,,,,,,380774,55952,414,151524,3118,1719,99273,52.87,1895,,687,228,22169,1951,,,,,, 050516,01-JUL-16,30-JUN-17,As Submitted,MERCY SAN JUAN MEDICAL CENTER ,6501 COYLE AVENUE ,,CARMICHAEL ,CA ,95608 ,SACRAMENTO ,110419,,,6685213,,,.356,34602,8790,370,135050,27664,10103,97752,1.18,1840.53,,5411,1518,20414,5747,,,,,, 050517,01-JAN-16,31-DEC-16,As Submitted,VICTOR VALLEY GLOBAL MEDICAL CENTER ,15248 ELEVENTH STREET ,,VICTOR VALLEY ,CA ,92392- ,SAN BERNARDINO ,,,,791587,,,.4144,,,101,36966,4520,12904,26833,,498.29,,770,2578,5418,,,,,,, 050523,01-JAN-16,31-DEC-16,As Submitted,SUTTER DELTA MEDICAL CENTER ,3901 LONE TREE WAY ,,ANTIOCH ,CA ,94509- ,CONTRA COSTA ,,,,2148233,,,.3015,,,145,53070,11467,,30893,,715.35,,2392,,7071,1983,,,,,, 050526,01-JAN-16,31-DEC-16,As Submitted,HUNTINGTON BEACH HOSPITAL ,17772 BEACH BLVD ,,HUNTINGTON BEACH ,CA ,92647 ,ORANGE ,,,,839543,,,.3606,,,106,38690,4652,752,11070,,251.69,,1002,241,3106,913,38,,90,,417, 050528,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL - LOS BANOS ,520 WEST I STREET ,,LOS BANOS ,CA ,93635- ,MERCED ,,,,101023,,,.12,,,44,16104,1322,,4753,,208.69,,425,,1635,692,,,,,, 050534,01-JUN-16,31-MAY-17,As Submitted,JOHN.F. KENNEDY MEMORIAL HOSP. ,47-111 MONROE ST. ,,INDIO ,CA ,92201 ,RIVERSIDE ,,,,1256900,,,.5155,,,130,47450,4387,4534,22060,,433.9,,964,1129,6757,2673,,,,,, 050537,01-JAN-16,31-DEC-16,As Submitted,SUTTER DAVIS HOSPITAL ,2000 SUTTER PLACE ,,DAVIS ,CA ,95617- ,YOLO ,136405,,,281888,,,.12,29696,28858,48,17568,3099,,12472,2.03,346.93,,868,,3640,677,,,,,, 050541,01-JAN-16,31-DEC-16,As Submitted,KFH - REDWOOD CITY ,1100 VETERANS BOULEVARD ,,REDWOOD CITY ,CA ,94063 ,SAN MATEO ,,,,,,,,53471,8097,149,54534,815,364,30110,4.11,736,,205,53,7921,135,,,,,, 050543,01-JAN-16,31-DEC-16,As Submitted,COLLEGE HOSPITAL COSTA MESA ,301 VICTORIA STREET ,,COSTA MESA ,CA ,92627 ,ORANGE ,,,,136632,,,.7327,,,122,44652,1265,33921,40725,,351.88,,143,2117,3383,,,,,,, 050546,01-JUL-16,30-JUN-17,As Submitted,PORTERVILLE DEVELOPMENTAL CENTER ,26501 AVENUE 140 ,,PORTERVILLE ,CA ,93258 ,TULARE COUNTY ,,,,,,,,,,44,16060,543,184,727,,4.2,,42,1,43,,,,,,, 050547,01-JUL-16,30-JUN-17,As Submitted,SONOMA DEVELOPMENTAL CENTER ,15000 ARNOLD DRIVE ,,ELDRIDGE ,CA ,95431 ,SONOMA COUNTY ,,,,,,,,,,13,4745,1094,675,1769,,13.3,,117,2,119,,,,,,, 050548,01-JUL-16,30-JUN-17,As Submitted,FAIRVIEW DEVELOPMENTAL CENTER ,2501 HARBOR BLVD ,,COSTA MESA ,CA ,92626 ,ORANGE COUNTY ,,,,,,,,,,30,10950,242,77,319,,9.1,,32,1,33,,,,,,, 050549,01-JAN-16,31-DEC-16,As Submitted,LOS ROBLES HOSPITAL AND MEDICAL CTN. ,215 WEST JANSS ROAD ,1899 ,THOUSAND OAKS ,CA ,91360 ,VENTURA ,,,,881646,,,.0422,,,287,104550,37023,2958,73694,,1195.84,,6843,449,15253,,,,,8,,535 050551,01-JUN-16,31-MAY-17,As Submitted,LOS ALAMITOS MEDICAL CTR. ,3751 KATELLA AVE. ,,LOS ALAMITOS ,CA ,90720 ,ORANGE ,,,,516912,,,.0768,,,142,51830,13914,2902,40194,,718.08,,2689,353,9333,877,1,,5,,311, 050552,01-JAN-16,31-DEC-16,As Submitted,MOTION PICTURE AND TELEVISION FUND ,23388 MULHOLLAND DRIVE ,,WOODLAND HILLS ,CA ,91364 ,LOS ANGELES ,,,,,,,,,,,,,,,,324.85,,,,,,,,,,85, 050557,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL MODESTO ,1700 COFFEE ROAD ,,MODESTO ,CA ,95355- ,STANISLAUS ,,,,3316490,,,.197,,,423,154818,30474,,80067,,1764.7,,5710,,16978,3263,,,,,, 050561,01-JAN-16,31-DEC-16,As Submitted,KFH - WEST LOS ANGELES ,6041 CADILLAC AVENUE ,,LOS ANGELES ,CA ,90034- ,LOS ANGELES ,14228,,,,,,,49741,15207,265,96990,1518,647,31999,9.31,990,,279,172,8737,983,,,,,, 050567,01-JUL-16,30-JUN-17,As Submitted,MISSION HOSPITAL REG MEDICAL CENTER ,27700 MEDICAL CENTER ROAD ,,MISSION VIEJO ,CA ,92691 ,ORANGE ,,,,1984820,,,.1261,,,465,169725,22733,5952,78108,,2014.45,,5415,1127,18672,2898,5,,5,9,1249,421 050568,01-JUL-16,30-JUN-17,As Submitted,MADERA COMMUNITY HOSPITAL ,1250 EAST ALMOND AVENUE ,,MADERA ,CA ,93637 ,MADERA ,,,,895669,,,.3959,,,106,38690,4426,7291,16155,,537.08,,919,2364,3758,,,,,,, 050570,01-JAN-16,31-DEC-16,As Submitted,FOUNTAIN VALLEY REG MEDICAL CENTER ,17100 EUCLID AT WARNER ,,FOUNTAIN VALLEY ,CA ,92708 ,ORANGE ,163334,,,6229615,,,.5866,84179,13058,400,146400,23260,7107,91918,2.82,1218.7,,3595,1451,18449,6386,,,,,, 050573,01-JUL-16,30-JUN-17,As Submitted,EISENHOWER MEDICAL CENTER ,39000 BOB HOPE DRIVE ,,RANCHO MIRAGE ,CA ,92270-3221 ,RIVERSIDE ,8136939,,,2208406,,,.0865,2063309,1678528,370,135050,36357,5111,74799,52.55,3764,,8582,774,19490,2419,,,,,,341 050575,01-JAN-16,01-FEB-17,As Submitted,TRI-CITY REGIONAL MEDICAL CENTER ,TRI-CITY REGIONAL MEDICAL CENTER ,21530 S. PIONEER BLV ,HAWAIIAN GARDENS ,CA ,90716 ,LOS ANGELES ,,,,641550,,,.3559,,,132,52366,4500,1731,9881,,210.31,,844,201,1928,282,,,,,, 050580,01-JAN-16,31-DEC-16,As Submitted,LA PALMA INTERCOMMUNITY HOSPITAL ,7901 WALKER STREET ,,LA PALMA ,CA ,90623 ,ORANGE ,,,,1193041,,,.3853,,,131,47815,5622,2073,14002,,301.97,,1234,366,3205,,,,13,,197, 050581,01-JUN-16,31-MAY-17,As Submitted,LAKEWOOD REGIONAL MED. CTR. ,3700 E. SOUTH ST. ,,LAKEWOOD ,CA ,90712 ,LOS ANGELES ,192441,,,1629479,,,.2715,111043,21479,172,62780,11383,5269,39590,2.3,646.1,,2174,519,8271,1521,,,,,, 050586,01-JAN-16,31-DEC-16,As Submitted,CHINO VALLEY MEDICAL CENTER ,5451 WALNUT AVENUE ,,CHINO ,CA ,91710 ,RIVERSIDE ,758987,,,1023142,,,.3373,397125,45264,126,46116,3823,2417,17497,30.02,514.96,,1092,826,6003,1567,,,,,, 050588,01-JAN-16,31-DEC-16,Amended,SAN DIMAS COMMUNITY HOSPITAL ,1350 WEST COVINA BLVD. ,,SAN DIMAS ,CA ,91773 ,LOS ANGELES ,,,,352351,,,.12,,,64,23424,4999,1151,14436,,340.87,,1098,192,3800,497,,,,,, 050589,01-JUN-16,31-MAY-17,As Submitted,PLACENTIA LINDA COMMUNITY HOSPITAL ,1301 ROSE DR. ,,PLACENTIA ,CA ,92870 ,ORANGE ,,,,194761,,,.1066,,,114,41610,3186,572,10516,,326,,847,102,3141,437,,,,,, 050590,01-JUL-16,30-JUN-17,As Submitted,METHODIST HOSPITAL OF SACRAMENTO ,7500 HOSPITAL DRIVE ,,SACRAMENTO ,CA ,95823 ,SACRAMENTO ,1219308,,,3446299,,,.4834,320234,98314,158,57670,10014,5981,40152,12.63,904.82,,2382,1095,9890,4069,,,,,, 050597,01-JAN-16,31-DEC-16,As Submitted,FOOTHILL PRESBTYERIAN HOSPITAL ,250 SOUTH GRAND AVENUE ,,GLENDORA ,CA ,91740 ,LOS ANGELES ,,,,579895,,,.2011,,,105,38430,6123,1877,21950,,457.79,,1258,449,5697,,,,,,, 050603,01-JUL-16,30-JUN-17,As Submitted,SADDLEBACK MEMORIAL MEDICAL CENTER ,24451 HEALTH CENTER DRIVE ,,LAGUNA HILLS ,CA ,92653 ,ORANGE ,57319,,,212444,,,.0259,18040,6409,252,91980,11895,1180,52498,1,1325.3,,3115,207,12880,827,,,,,, 050604,01-JAN-16,31-DEC-16,As Submitted,KFH - SAN JOSE ,250 HOSPITAL PARKWAY ,,SAN JOSE ,CA ,95119 ,SANTA CLARA ,12172,,,,,,,22767,8766,235,86010,1549,356,38230,2.99,928,,334,93,10170,568,,,,,, 050608,01-JAN-16,31-DEC-16,As Submitted,DELANO REGIONAL MED. CTR. ,1401 GARCES HIGHWAY ,,DELANO ,CA ,93215 ,KERN ,,,,936856,,,.6135,,,105,38430,3008,1844,9887,,478,,758,494,2488,1032,,,,,, 050609,01-JAN-16,31-DEC-16,As Submitted,KFH - OC-ANAHEIM ,3440 E. LA PALMA AVENUE ,,ANAHEIM ,CA ,92806-2020 ,ORANGE ,115004,,,,,,,599061,76791,435,156186,1670,1936,102475,42.23,2046,,375,229,26070,2396,,,,,, 050616,01-JUL-16,30-JUN-17,As Submitted,ST. JOHNS PLEASANT VALLEY HOSPITAL ,2309 ANTONIO AVENUE ,,CAMARILLO ,CA ,93010 ,VENTURA ,,,,,,,,,,81,29565,8214,411,13923,,360.87,,1815,68,3336,245,,,,,, 050624,01-OCT-15,30-SEP-16,As Submitted,HENRY MAYO NEWHALL MEMORIAL HOSPITAL ,23845 MCBEAN PARKWAY ,,VALENCIA ,CA ,91355- ,LOS ANGELES ,,,,1027406,,,.1225,,,196,71736,19484,5389,52983,,1378.69,,3067,1218,10466,893,,,502,1,1116,565 050625,01-JUL-16,30-JUN-17,As Submitted,CEDARS-SINAI MEDICAL CENTER ,8700 BEVERLY BLVD. ,,LOS ANGELES ,CA ,90048 ,LOS ANGELES ,39491593,2994627,,12974012,983813,,.1918,7921746,3192578,879,319071,113872,27075,269374,345.19,11550.21,,19150,3419,55693,3251,,,,9,,69 050633,01-JUN-16,31-MAY-17,As Submitted,TWIN CITIES COMMUNITY HOSPITAL ,1100 LAS TABLAS RD ,,TEMPLETON ,CA ,93465 ,SAN LUIS OBISPO ,,,,587530,,,.1376,,,122,44530,7496,2668,16137,,334.5,,1967,277,4304,652,,,,,, 050636,01-JUL-16,30-JUN-17,As Submitted,POMERADO HOSPITAL ,15615 POMERADO RD ,,POWAY ,CA ,92064-2405 ,SAN DIEGO ,,,,510394,,,.12,,,95,34675,6677,1301,21155,,670.49,,1654,681,6029,,,,,,155, 050641,01-JAN-16,31-DEC-16,As Submitted,EAST LOS ANGELES DOCTORS HOSPITAL ,4060 EAST WHITTIER BOULEVARD ,,LOS ANGELES ,CA ,90023 ,LOS ANGELES ,,,,1158957,,,.7153,,,102,37332,3750,4815,15918,,309.06,,638,992,3269,1182,,,,,, 050660,01-OCT-15,30-SEP-16,As Submitted,USC NORRIS CANCER HOSPITAL ,1441 EASTLAKE AVE ,,LOS ANGELES ,CA ,90033- ,LOS ANGELES ,,,,,,,,,122936,60,21960,2752,2273,11890,7.56,400.93,,418,234,1518,,,,,,, 050663,01-JAN-16,31-DEC-16,As Submitted,LOS ANGELES COMMUNITY HOSPITAL ,4081 OLYMPIC BLVD ,,LOS ANGELES ,CA ,90023 ,LOS ANGELES ,,,,3439950,,,.6332,,,285,104310,10731,8970,51401,,660,,2119,2184,9902,4516,,,,,, 050668,01-JUL-16,30-JUN-17,As Submitted,LAGUNA HONDA HOSPITAL ,375 LAGUNA HONDA BLVD ,,SAN FRANCISCO ,CA ,94116- ,SAN FRANCISCO ,,,,5575,,,.12,,,6,2190,113,79,195,,595.83,,22,14,38,2,,,,14,,38 050674,01-JAN-16,31-DEC-16,As Submitted,KFH - SOUTH SACRAMENTO ,6600 BRUCEVILLE ROAD ,,SACRAMENTO ,CA ,95823 ,SACRAMENTO ,553310,,,192637,,,.0743,349726,114441,217,79422,3590,1877,52359,19.43,1161,,807,424,14363,2101,,,,,, 050677,01-JAN-16,31-DEC-16,As Submitted,KFH - WOODLAND HILLS ,5601 DE SOTO AVE ,,WOODLAND HILLS ,CA ,91367- ,LOS ANGELES ,88955,,,,,,,652282,119728,284,96739,989,406,35344,18,890,,215,89,10591,434,,,,,, 050678,01-JUL-16,30-JUN-17,As Submitted,ORANGE COAST MEMORIAL MEDICAL CENTER ,9920 TALBERT AVENUE ,,FOUNTAIN VALLEY ,CA ,92708 ,ORANGE ,,,,1499180,,,.2287,,,218,79570,10514,1251,42595,,1120.56,,2313,220,11470,3247,,,,,, 050684,01-JAN-16,31-DEC-16,As Submitted,MENIFEE VALLEY MEDICAL CENTER ,28400 MC CALL BLVD ,,SUN CITY ,CA ,92381 ,RIVERSIDE ,,,,161845,,,.12,,,84,30744,2703,2358,10921,,221.9,,624,640,2677,,,,,,, 050686,01-JAN-16,31-DEC-16,As Submitted,KFH - RIVERSIDE ,10800 MAGNOLIA AVE ,,RIVERSIDE ,CA ,92505- ,RIVERSIDE ,149780,,,,,,,484078,71004,226,82716,1318,740,46524,34.55,1208,,227,108,10943,1345,,,,,, 050688,01-JUL-16,30-JUN-17,As Submitted,ST LOUISE REGIONAL HOSPITAL ,9400 NO NAME UNO ,,GILROY ,CA ,95020- ,SANTA CLARA ,,,,333091,,,.12,,,72,26280,3898,1727,9871,,303.8,,965,237,2703,570,,,,,, 050689,01-JUN-16,31-MAY-17,As Submitted,SAN RAMON REG. MEDICAL CENTER ,6001 NORRIS CANYON RD ,,SAN RAMON ,CA ,94583 ,CONTRA COSTA ,,,,,,,,,,123,44895,6833,387,20493,,475.5,,1649,82,5134,177,,,,,, 050690,01-JAN-16,31-DEC-16,As Submitted,KFH - SANTA ROSA ,401 BICENTENNIAL WAY ,,SANTA ROSA ,CA ,95403- ,SONOMA ,25688,,,,,,,96834,19417,173,63318,1078,415,36224,3.18,821,,237,111,9598,592,,,,,, 050696,01-OCT-15,30-SEP-16,As Submitted,KECK HOSPITAL OF USC ,1500 SAN PABLO STREET ,,LOS ANGELES ,CA ,90033- ,LOS ANGELES ,12752257,,,3770529,,,.1849,2944454,1141167,318,116388,28643,6447,80993,119,2315.1,,4233,639,11703,,,,,21,,282 050697,01-JAN-16,31-DEC-16,As Submitted,PATIENTS HOSPITAL OF REDDING ,2900 EUREKA WAY ,,REDDING ,CA ,96001 ,SHASTA ,,,,,,,,,,10,3660,151,,407,,54.51,,71,,199,,,,,,, 050701,01-JAN-16,31-DEC-16,As Submitted,SOUTHWEST HEALTHCARE SYSTEM ,36485 INLAND VALLEY DRIVE ,,WILDOMAR ,CA ,92595- ,RIVERSIDE ,,,,1333948,,,.2325,,,239,87474,11386,6513,64697,,1340.88,,2266,1531,15868,5026,,,,,, 050704,01-JAN-16,31-DEC-16,As Submitted,MISSION COMMUNITY HOSPITAL ,14850 ROSCOE BOULEVARD ,,PANORAMA CITY ,CA ,91402 ,LOS ANGELES ,,,,3298496,,,.5547,,,145,53070,14166,17163,41311,,551.29,,2623,2806,7610,621,,,,,, 050708,01-JAN-16,31-DEC-16,As Submitted,FRESNO SURGICAL HOSPITAL ,6125 NORTH FRESNO STREET ,,FRESNO ,CA ,96710 ,FRESNO ,,,,,,,,,,27,9855,1378,1,3177,,289.02,,800,1,1971,38,,,,,, 050709,01-JAN-16,31-DEC-16,Amended,DESERT VALLEY HOSPITAL INC. ,16850 BEAR VALLEY ROAD ,,VICTORVILLE ,CA ,92395 ,SAN BERNANDINO COUNTY CA ,,,,2259352,,,.3294,,,148,54168,10572,3267,36945,,723.71,,2475,940,10265,3415,,,,,, 050710,01-JAN-16,31-DEC-16,As Submitted,KFH - FRESNO ,7300 NORTH FRESNO ,,FRESNO ,CA ,93720- ,FRESNO ,150,,,,,,,33386,5296,169,61854,899,279,30119,1.33,689,,196,34,8123,7,,,,,, 050714,01-JAN-16,31-JUL-16,As Submitted,SUTTER MATERNITY & SURGERY CENTER ,2900 CHANTICLEER AVENUE ,,SANTA CRUZ ,CA ,95065- ,SANTA CRUZ ,,,,46278,,,.12,,,30,6390,245,,3418,,212.37,,94,,920,,,,,,, 050714,01-AUG-16,31-DEC-16,As Submitted,SUTTER MATERNITY & SURGERY CENTER ,2900 CHANTICLEER AVENUE ,,SANTA CRUZ ,CA ,95065- ,SANTA CRUZ ,,,,38639,,,.12,,,30,4590,187,,2253,,217.7,,77,,610,98,,,,,, 050717,01-JUL-16,30-JUN-17,As Submitted,RANCHO LOS AMIGOS NATL.REHAB.CTR. ,7601 E. IMPERIAL HIGHWAY ,,DOWNEY ,CA ,90242-3496 ,LOS ANGELES ,137192,,,396635,,,.6528,98192,52995,123,45130,1607,9909,28939,13.38,1191.12,42.44,195,562,1768,,,,,375,,1098 050723,01-JAN-16,31-DEC-16,As Submitted,KFH - BALDWIN PARK ,1011 BALDWIN PARK BLVD ,,BALDWIN PARK ,CA ,91706- ,LOS ANGELES ,,,,,,,,,,257,94062,918,559,42225,3.27,1130.3,,251,147,11498,1078,,,,,, 050724,01-JAN-16,31-DEC-16,As Submitted,HEART HOSPITAL OF BAKERSFIELD ,3001 SILLECT AVENUE ,,BAKERSFIELD ,CA ,93308 ,KERN ,,,,153202,,,.0264,,,47,17155,9774,133,13876,,318.97,,2280,57,3392,82,,,,,, 050726,01-JAN-16,31-DEC-16,As Submitted,STANISLAUS SURGICAL HOSPITAL ,1421 OAKDALE ROAD ,,MODESTO ,CA ,95355 ,STANISLAUS ,,,,,,,,,,23,8395,524,,1039,,184.63,,226,,504,,,,,,, 050727,01-JUL-16,30-JUN-17,As Submitted,COMMUNITY HOSPITAL LONG BEACH ,1720 TERMINO AVENUE ,,LONG BEACH ,CA ,90804 ,LOS ANGELES ,,,,703121,,,.2429,,,130,47450,6749,1213,16016,,395.1,,1241,273,3684,898,870,,1119,,2076, 050735,01-JUL-16,30-JUN-17,As Submitted,WHITTIER HOSPITAL MEDICAL CENTER ,15151 JANINE DRIVE ,,WHITTIER ,CA ,90605 ,LOS ANGELES ,,,,1191165,,,.4187,,,156,56940,5644,4880,36150,,519.45,,1249,1223,8909,2506,,,,,, 050736,01-JUL-16,30-JUN-17,As Submitted,MONTEREY PARK HOSPITAL ,900 S. ATLANTIC BLVD ,,MONTEREY PARK ,CA ,91754- ,LOS ANGELES ,,,,991132,,,.6692,,,101,36865,3520,3430,22913,,280.43,,723,809,5798,2357,,,,,, 050737,01-JUL-16,30-JUN-17,As Submitted,GARFIELD MEDICAL CENTER ,525 N GARFIELD AVE. ,,MONTEREY PARK ,CA ,91754 ,LOS ANGELES ,,,,4566001,,,.6843,,,182,66472,15260,7204,56339,,989.11,,2451,1394,11708,3715,,,,22,,428 050738,01-JUL-16,30-JUN-17,As Submitted,GREATER EL MONTE COMMUNITY HOSPITAL ,1701 SANTA ANITA AVE ,,SOUTH EL MONTE ,CA ,91733 ,LOS ANGELES ,,,,1024690,,,.7186,,,104,37960,3293,4201,15606,,231.34,,574,909,3465,1426,,,,,, 050739,01-JAN-16,31-DEC-16,Amended,CENTINELA HOSPITAL MEDICAL CENTER ,555 EAST HARDY STREET ,,INGLEWOOD ,CA ,90301 ,LOS ANGELES ,,,,6892630,,,.4939,,,313,114558,22240,10774,64095,,1146.18,,5001,1888,15117,5346,,,,,,316 050740,01-JAN-16,30-JUN-16,As Submitted,MARINA DEL REY ,4650 LINCOLN BLVD ,,MARINA DEL REY ,CA ,90291 ,LOS ANGELES ,,,,214319,,,.0992,,,103,18408,2939,545,6718,,256.54,,694,96,1915,116,,,,,, 050740,01-JUL-16,30-JUN-17,As Submitted,MARINA DEL REY ,4650 LINCOLN BLVD ,,MARINA DEL REY ,CA ,90291 ,LOS ANGELES ,,,,384413,,,.0899,,,104,37960,5541,938,12417,,735.77,,1386,206,3886,262,,,,,, 050742,01-JAN-16,31-DEC-16,As Submitted,OLYMPIA ,5900 WEST OLYMPIC BLVD ,,LOS ANGELES ,CA ,90036 ,LOS ANGELES ,,,,2414216,,,.3546,,,204,74460,14262,2855,27501,,765.22,,2557,619,5352,,,,,,, 050744,01-APR-16,31-AUG-16,As Submitted,ANAHEIM GLOBAL MEDICAL CENTER ,1025 SOUTH ANAHEIM BOULEVARD ,,ANAHEIM ,CA ,92805-5806 ,ORANGE ,,,,183662,,,.4897,,,103,15759,687,2162,7871,,367.4,,106,295,1105,319,,,465,,870, 050745,01-APR-16,31-AUG-16,As Submitted,CHAPMAN GLOBAL MEDICAL CENTER ,2601 E CHAPMAN AVENUE ,,ORANGE ,CA ,92869-3206 ,ORANGE ,,,,42885,,,.12,,,75,11475,690,111,3044,,198.39,,163,27,746,74,,,,,86, 050746,01-APR-16,31-AUG-16,As Submitted,ORANGE COUNTY GLOBAL MEDICAL CENTER ,1001 N TUSTIN AVENUE ,,SANTA ANA ,CA ,92705-3502 ,ORANGE ,37901,,,720872,,,.4707,4024,460,228,34884,2647,3744,17220,1.08,884.6,,540,745,3508,942,,,,,, 050747,01-APR-16,31-AUG-16,As Submitted,SOUTH COAST GLOBAL MEDICAL CENTER ,2710 SOUTH BRISTOL STREET ,,SANTA ANA ,CA ,82701- ,ORANGE ,,,,211808,,,.6023,,,109,16677,920,1829,5614,,267.7,,134,378,1224,344,,,,,159, 050748,01-JAN-16,31-DEC-16,As Submitted,KFH - MANTECA ,1777 WEST YOSEMITE AVENUE ,,MANTECA ,CA ,95337- ,SAN JOAQUIN ,,,,,,,,458,108,213,77958,942,273,42513,.55,1079.33,,238,68,11433,49,,,,,, 050751,01-JAN-16,31-DEC-16,As Submitted,MIRACLE MILE MEDICAL CENTER ,MIRACLE MILE MEDICAL CENTER ,,6000 SAN VICENTE BOULEVARD ,CA ,90036-4404 ,USA ,,,,21844,,,.0588,,,17,6222,249,,656,,42.01,,66,,246,,,,,,, 050754,01-JAN-16,31-JUL-16,As Submitted,MENLO PARK SURGICAL HOSPITAL ,570 WILLOW RD ,,MENLO PARK ,CA ,94025- ,SAN MATEO ,,,,,,,,,,16,3392,18,,157,,40.34,,15,,95,,,,,,, 050754,01-AUG-16,31-DEC-16,As Submitted,MENLO PARK SURGICAL HOSPITAL ,570 WILLOW RD ,,MENLO PARK ,CA ,94025- ,SAN MATEO ,,,,,,,,,,16,2448,21,,120,,39.8,,20,,90,,,,,,, 050755,01-JAN-16,31-DEC-16,As Submitted,SHERMAN OAKS HOSPITAL-HLTH ,4929 VAN NUYS BLVD ,,SHERMAN OAKS ,CA ,91403 ,LOS ANGELES ,,,,2964321,,,.3644,,,112,40992,12201,2083,22599,,520.47,,2760,369,5438,893,1,,3,,823, 050757,01-JAN-16,31-DEC-16,As Submitted,ALVARADO HOSPITAL MEDICAL CENTER ,6655 ALVARADO ROAD ,,SAN DIEGO ,CA ,92120 ,SAN DIEGO ,,,,2082749,,,.3679,,,254,92964,7503,2524,24677,,635.98,,1724,464,5486,1333,,,,3,,168 050758,01-JAN-16,31-DEC-16,Amended,MONTCLAIR HOSPITAL MEDICAL CENTER ,5000 SAN BERNARDINO ,,MONTCLAIR ,CA ,91763 ,SAN BERNARDINO ,,,,644505,,,.4029,,,102,37332,2340,1834,12716,,321.49,,520,479,3558,1145,,,,,, 050760,01-JAN-16,31-DEC-16,As Submitted,KFH - ANTIOCH ,4501 SAND CREEK ROAD ,,ANTIOCH ,CA ,94531 ,CONTRA COSTA ,35339,,,,,,,51236,16003,132,48312,1431,259,25950,2.09,759,,363,77,7881,644,,,,,, 050761,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE TARZANA MEDICAL CENTER ,18321 CLARK STREET ,,TARZANA ,CA ,91356 ,LOS ANGELES ,,,,2873030,,,.2366,,,249,91134,21602,,56052,,406.85,,4624,,13377,1927,,,,,, 050763,01-JAN-16,31-DEC-16,As Submitted,SILVER LAKE MEDICAL CENTER ,1711 WEST TEMPLE STREET ,,LOS ANGELES ,CA ,92006-5421 ,LOS ANGELES ,61546,,,2832462,,,.472,46213,3005,211,77226,25557,18783,53885,1.04,591.61,,3144,2728,7011,364,,,,,, 050764,01-JAN-16,31-DEC-16,As Submitted,SHASTA REGIONAL MEDICAL CENTER ,1100 BUTTE STREET ,,REDDING ,CA ,96049 ,SHASTA ,,,,2475009,,,.1803,,,205,75030,19403,733,33263,,725.9,,4348,185,7338,1409,,,,,, 050765,01-JAN-16,31-DEC-16,As Submitted,KFH - MORENO VALLEY ,27300 IRIS AVENUE ,,MORENO VALLEY ,CA ,92360- ,RIVERSIDE ,,,,,,,,,,99,36234,519,106,13494,1.59,289.98,,135,36,4652,629,,,,,, 050766,01-JAN-16,31-DEC-16,As Submitted,SUTTER-TWIN CITIES SURG. HOSPITAL ,455 PLUMAS BLVD ,,YUBA CITY ,CA ,95991 ,SUTTER ,,,,,,,,,,14,5124,641,,1166,,77.77,,251,,490,,,,,,, 050767,01-JAN-16,31-DEC-16,As Submitted,KFH - VACAVILLE ,1 QUALITY DRIVE ,,VACAVILLE ,CA ,95688-9494 ,SOLANO ,15983,,,,,,,22599,3902,140,51240,1513,238,26218,.7,636,,297,9,6286,,,,,,, 050769,01-JUL-16,30-JUN-17,As Submitted,HOAG ORTHOPEDIC INSTITUTE ,16250 SAN CANYON AVENUE ,,IRVINE ,CA ,92618 ,ORANGE ,,,,,,,,,,70,25550,4597,33,10439,,274.7,,1978,15,4912,,,,,,, 050770,01-JAN-16,31-DEC-16,As Submitted,LLUMC MURRIETA ,28062 BAXTER ROAD ,,MURRIETA ,CA ,92563 ,RIVERSIDE ,,,,657678,,,.1174,,,106,38796,8632,1019,27309,,740.73,,2012,514,7728,848,,,,,, 050771,01-JAN-16,31-DEC-16,As Submitted,COAST PLAZA HOSPITAL ,13100 STUDEBAKER ,,NORWALK ,CA ,90650- ,LOS ANGELES ,,,,1168617,,,.4551,,,117,42822,4689,1667,13028,,271.91,,898,437,3210,1122,,,,,, 050772,01-JAN-16,31-DEC-16,As Submitted,KFH - ROSEVILLE ,1600 EUREKA ROAD ,,ROSEVILLE ,CA ,95661-3027 ,PLACER ,13129,,,46229,,,.029,14798,3054,340,123240,2133,3819,87502,8.09,1704,,560,495,20464,2547,,,,,, 050773,01-JUL-16,30-JUN-17,As Submitted,SAN LEANDRO HOSPITAL ,13855 EAST 14TH STREET ,,SAN LEANDRO ,CA ,94578 ,ALAMEDA ,,,,495541,,,.12,,,45,16425,6101,1304,12964,,361.14,,1345,337,3307,,,,,,, 050775,01-JAN-16,31-DEC-16,As Submitted,TEMECULA VALLEY HOSPITAL ,31700 TEMECULA VALLEY HOSPITAL ,,TEMECULA ,CA ,92592 ,RIVER SIDE ,,,,684159,,,.1104,,,140,51240,9838,1686,28882,,617.15,,2301,328,7466,1052,,,,,, 050776,01-JAN-16,31-DEC-16,As Submitted,COLLEGE MEDICAL CENTER ,2776 PACIFIC AVE ,,LONG BEACH ,CA ,90801 ,LOS ANGELES ,486792,,,1490995,,,.7318,238360,92402,208,76128,5451,39505,53945,24.01,544.69,,944,5998,8250,411,,,,,, 050777,01-JAN-16,31-DEC-16,As Submitted,KFH - SAN LEANDRO ,2500 MERCED STREET ,,SAN LEANDRO ,CA ,54577 ,ALAMEDA ,24001,,,,,,,,,216,75396,1659,309,44806,2.53,1016,,306,53,11530,795,,,,,, 050778,01-JAN-16,31-DEC-16,As Submitted,LOMA LINDA UNIVERSITY CHILDRENS HOSP ,11234 ANDERSON STREET STE 1836 ,2000 ,LOMA LINDA ,CA ,92354 ,SAN BERNARDINO ,,,,48946,,,.6436,,,343,125538,149,55080,88397,102.64,1269,,38,6247,13398,3856,,,,,, 050779,01-JUL-16,30-JUN-17,As Submitted,MARTIN LUTHER KING COMMUNITY HOSP ,1680 E 120TH STREET ,,LOS ANGELES ,CA ,90059 ,LOS ANGELES ,,,,1637998,,,.6911,,,131,47815,4720,7083,31641,,761.9,,1016,1605,8043,,,,,,, 050780,01-JAN-16,31-DEC-16,As Submitted,FOOTHILL REG MEDICAL CENTER ,14662 NEWPORT AVE. ,,TUSTIN ,CA ,92780 ,ORANGE ,,,,64669,,,.0728,,,135,49410,2158,110,6800,,164,,408,5,1701,431,,,,,, 050781,17-DEC-15,30-JUN-16,As Submitted,SONOMA WEST MEDICAL CENTER ,501 PETALUMA ,,SEBASTOPOL ,CA ,95472 ,SONOMA ,,,,20856,,,.0278,,,37,7289,1414,15,1799,,100.28,,320,69,440,,,,,,, 050781,01-JUL-16,30-JUN-17,As Submitted,SONOMA WEST MEDICAL CENTER ,501 PETALUMA ,,SEBASTOPOL ,CA ,95472 ,SONOMA ,,,,35031,,,.0462,,,37,13505,1550,247,2219,,160.91,,673,67,914,,,,,,, 050782,01-APR-16,31-MAR-17,As Submitted,CASA COLINA HOSPITAL AND CENTERS FOR ,255 E BONITA ,6001 ,POMONA ,CA ,91769-6001 ,LOS ANGELES ,,,,40882,,,.0255,,,31,11315,2944,35,4778,,462,,589,7,1092,,,,,14,,1458 051300,01-JUL-16,30-JUN-17,As Submitted,EASTERN PLUMAS HEALTH CARE ,500 FIRST AVENUE ,,PORTOLA ,CA ,96122-9406 ,PLUMAS ,,,,,,,,,,9,3285,825,14,1021,,128.7,,67,4,101,,,,,,, 051301,01-JUL-16,31-OCT-16,As Submitted,TEHACHAPI VALLEY HOSITAL DIST. ,115 W. E ST. ,1900 ,TEHACHAPI ,CA ,93561-1900 ,KERN ,,,,,,,,,,25,3075,86,,1717,,114.76,,13,,25,,,,,,, 051303,01-JUL-16,30-JUN-17,As Submitted,SOUTHERN MONO HEALTH CARE DISTRICT ,85 SIERRA PARK ROAD ,660 ,MAMMOTH LAKES ,CA ,93546- ,MONO ,,,,,,,,,,17,6205,270,193,1341,,216.64,,121,93,671,,,,,,, 051304,01-JUL-16,30-JUN-17,As Submitted,JOHN C. FREMONT HEALTHCARE DISTRICT ,5189 HOSPITAL ROAD ,216 ,MARIPOSA ,CA ,95338- ,MARIPOSA ,,,,,,,,,,18,6570,976,2905,4194,,123.52,,130,3,204,,,,,,, 051305,01-JUL-16,30-JUN-17,As Submitted,MAYERS MEMORIAL HOSPITAL ,43563 HIGHWAY 299 EAST ,459 ,FALL RIVER MILLS ,CA ,96028- ,SHASTA ,,,,,,,,,,22,8030,1648,38,2162,,131.97,,172,10,289,,,,,,, 051306,01-JUL-16,30-JUN-17,As Submitted,GLENN MEDICAL CENTER ,1133 WEST SYCAMORE STREET ,,WILLOWS ,CA ,95988- ,GLENN ,,,,,,,,,,15,5475,851,322,1418,,103.79,,151,43,227,,,,,,, 051307,01-JUL-16,30-JUN-17,As Submitted,CATALINA ISLAND MEDICAL CENTER ,100 FALLS CANYON ROAD ,,AVALON ,CA ,90704 ,LOS ANGELES ,,,,,,,,,,8,2920,427,,1304,,38.14,,6,,6,,,,,,, 051309,01-JUL-16,30-JUN-17,As Submitted,JEROLD PHELPS COMMUNITY HOSPITAL ,733 CEDAR STREET ,,GARBERVILLE ,CA ,95442- ,HUMBOLDT ,,,,,,,,,,9,3285,476,11,1595,,67.13,,17,8,28,,,,,,, 051310,01-JAN-16,31-DEC-16,As Submitted,HOWARD MEMORIAL HOSPITA ,ONE MADRONE STREET ,,WILLITS ,CA ,96594 ,MENDOCINO ,,,,,,,,,,25,9150,3661,189,6062,,240.26,,701,55,1314,,,,,,, 051311,01-JUL-16,30-JUN-17,As Submitted,BIGGS-GRIDLEY MEMORIAL HOSPITAL ,240 SPRUCE STREET ,,GRIDLEY ,CA ,95948- ,BUTTE ,,,,,,,,,,24,8760,3002,166,3827,,148.98,,239,120,369,,,,,,, 051312,01-JUL-16,30-JUN-17,As Submitted,MOUNTAINS COMMUNITY HOSPITAL ,29101 HOSPITAL ROAD ,,LAKE ARROWHEAD ,CA ,92352- ,SAN BERNARDINO ,,,,,,,,,,17,6205,531,196,1377,,125.47,,87,55,267,,,,,,, 051314,01-JUL-16,30-JUN-17,As Submitted,KERN VALLEY HEALTHCARE DISTRICT ,6412 LAUREL AVENUE ,,LAKE ISABELLA ,CA ,93240- ,KERN ,,,,,,,,,,22,8030,933,68,2348,,137.76,,209,26,527,,,,,,, 051315,01-JAN-16,31-DEC-16,As Submitted,TRINITY HOSPITAL ,60 EASTER AVENUE ,1229 ,WEAVERVILLE ,CA ,96093- ,TRINITY ,,,,,,,,,,25,9150,1969,,2652,,101.16,,188,,283,,,,,,, 051316,01-JAN-16,31-DEC-16,As Submitted,FAIRCHILD MEDICAL CENTER ,444 BRUCE STREET ,,YREKA ,CA ,96097 ,SISKIYOU ,,,,,,,,,,25,9150,2263,240,4981,,316.94,,612,11,1404,121,,,,,, 051317,01-JAN-16,31-DEC-16,As Submitted,ST. HELENA HOSPITAL CLEARLAKE ,18TH AVENUE & HI-WAY 53 ,6720 ,CLEARLAKE ,CA ,95422 ,LAKE ,,,,,,,,,,25,9150,3229,257,6057,,265.33,,702,64,1472,,,,,,, 051318,01-JUL-16,30-JUN-17,As Submitted,REDWOOD MEMORIAL HOSPITAL ,3300 RENNER DRIVE ,,FORTUNA ,CA ,95440 ,HUMBOLDT ,,,,,,,,,,25,9125,2458,318,5255,,164.35,,463,96,1279,,,,,,, 051319,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER MT. SHASTA ,914 PINE STREET ,P.O. BOX 238 ,MT. SHASTA ,CA ,96067 ,SISKIYOU ,,,,,,,,,,25,9125,1770,150,3360,,180.83,,509,60,1117,,,,,,, 051320,01-JAN-16,31-DEC-16,As Submitted,BANNER LASSEN MEDICAL CENTER ,1800 SPRING RIDGE DRVIE ,,SUSANVILLE ,CA ,96130 ,LASSEN ,,,,,,,,,,25,9150,1324,1098,3504,,162.37,,326,325,999,,,,,,, 051321,01-JAN-16,31-DEC-16,As Submitted,HEALDSBURG DISTRICT HOSPITAL ,1375 UNIVERSITY AVENUE ,,HEALDSBURG ,CA ,95448 ,SONOMA ,,,,,,,,,,25,9150,2262,120,3557,,217.47,,418,26,848,,,,,,, 051323,01-JAN-16,31-DEC-16,As Submitted,COLORADO RIVER MEDICAL CENTER ,1401 BAILEY AVE. ,,NEEDLES ,CA ,92363 ,SAN BERNARDINO ,,,,,,,,,,25,9150,628,,1532,,80.79,,195,,465,,,,,,, 051324,01-JUL-16,30-JUN-17,As Submitted,NORTHERN INYO HOSPITAL ,150 PIONEER LANE ,,BISHOP ,CA ,93514 ,INYO ,,,,,,,,,,25,9125,1663,898,3546,,337.26,,435,261,1051,,,,,,, 051325,01-JUL-16,30-JUN-17,As Submitted,MENDOCINO COAST DISTRICT HOSPITAL ,700 RIVER ROAD ,,FORT BRAGG ,CA ,95437- ,MENDOCINO COUNTY CA ,,,,,,,,,,25,9125,2862,203,4706,,206.79,,452,69,841,,,,,,, 051326,01-JUL-16,30-JUN-17,As Submitted,PLUMAS DISTRICT HOSPITAL CAH ,1065 BUCKS LAKE RD. ,,QUINCY ,CA ,95971- ,PLUMAS ,,,,,,,,,,23,8395,1121,282,1726,,105.39,,191,88,409,,,,,,, 051327,01-JUL-16,30-JUN-17,As Submitted,SENECA DISTRICT HOSPITAL ,130 BRENTWOOD DRIVE ,,CHESTER ,CA ,96020- ,PLUMAS CA ,,,,,,,,,,10,3650,533,12,741,,65.83,,97,5,141,,,,,,, 051328,01-JUL-16,30-JUN-17,As Submitted,TAHOE FOREST HOSPITAL ,10121 PINE AVENUE ,759 ,TRUCKEE ,CA ,96160- ,NEVADA ,,,,,,,,,,25,9125,1942,592,6007,,442.67,,594,133,1795,,,,,,, 051329,01-JAN-16,31-DEC-16,As Submitted,SUTTER LAKESIDE HOSPITAL ,5176 HILL ROAD EAST ,,LAKEPORT ,CA ,95453- ,LAKE ,,,,,,,,,,25,9150,3613,,6479,,254,,821,,1616,627,,,,,, 051330,01-JUL-16,30-JUN-17,As Submitted,MODOC MEDICAL CENTER ,228 W. MCDOWELLENTER ,,ALTURAS ,CA ,96101- ,MODOC ,,,,,,,,,,16,5840,613,,957,,39.32,,82,1,156,,,,,,, 051331,01-JAN-16,31-DEC-16,As Submitted,SANTA YNEZ VALLEY COTTAGE HOSPITAL ,2050 VIBORG ROAD ,,SOLVANG ,CA ,93463- ,SANTA BARBARA ,,,,,,,,,,11,4026,600,3,816,,65.36,,171,1,247,19,,,,,, 051332,01-JUL-16,30-JUN-17,As Submitted,MARK TWAIN MEDICAL CENTER ,768 MOUNTAIN RANCH ROAD ,,SAN ANDREAS ,CA ,95249 ,CALAVERAS ,,,,,,,,,,25,9125,2013,,3480,,214.53,,500,,917,150,,,,,, 051333,01-JAN-16,31-DEC-16,As Submitted,RIDGECREST REGIONAL HOSPITAL ,1081 N. CHINA LAKE RD. ,,RIDGECREST ,CA ,93555- ,KERN ,,,,,,,,,,25,9150,2977,1702,7203,,443.56,,644,528,1843,15,,,,,, 051334,01-JAN-16,31-DEC-16,As Submitted,OJAI VALLEY COMMUNITY HOSPITAL ,1306 MARICOPA HIGHWAY ,,OJAI ,CA ,93023 ,VENTURA ,,,,,,,,,,25,9150,2730,91,3878,,129.28,,240,20,630,50,,,,,, 051335,01-JUL-16,30-JUN-17,As Submitted,BEAR VALLEY COMMUNITY HOSPITAL ,41870 GARSTIN DR. ,,BIG BEAR ,CA ,92315 ,SAN BERNARDINO ,,,,,,,,,,9,3285,503,,855,,102.65,,64,39,137,,,,,,, 051990,01-JAN-16,31-DEC-16,As Submitted,SUNLAND HOME FOUNDATION ,691 SPARTA DRIVE ,,ENCINITAS ,CA ,92024 ,SAN DIEGO COUNTY ,,,,,,,,,,9,3294,352,,363,,24.71,,15,,19,,,,,,, 051991,01-JUL-16,30-JUN-17,As Submitted,BROADVIEW INC. ,4570 GRIFFIN AVENUE ,,LOS ANGELES ,CA ,90031-1422 ,LOS ANGELES ,,,,,,,,,,22,8030,646,552,1625,,11.83,,23,,27,,,,,,, 051993,01-APR-16,31-MAR-17,As Submitted,ARDEN WOOD INC. ,445 WAWONA STREET ,,SAN FRANCISCO ,CA ,94116 ,SAN FRANCISCO ,,,,,,,,,,13,4745,1419,,1747,,24.04,,55,,71,,,,,,, 051994,01-JAN-16,31-DEC-16,As Submitted,FERN LODGE INC. ,18457 MADISON AVE ,,CASTRO VALLEY ,CA ,94546 ,ALAMEDA ,,,,,,,,,,21,7686,736,3661,5433,,31.18,,15,7,30,,,,,,, 051995,01-JUL-16,30-JUN-17,As Submitted,OLIVE GLEN FOUNDATION ,3015 BECERRA WAY ,,SACRAMENTO ,CA ,95821 ,SACRAMENTO ,,,,,,,,,,8,2920,424,247,2250,,10.45,,4,2,15,,,,,,, 052043,01-JUL-16,30-JUN-17,As Submitted,1125 SIR FRANCIS DRAKE OPERATING CO ,1125 SIR FRANCIS DRAKE BLVD ,,KENTFIELD ,CA ,94904-1455 ,WAYNE ,,,,,,,,,,100,36500,8247,376,23662,,273.58,,262,13,553,101,,,,,, 052044,01-APR-16,31-MAR-17,As Submitted,SAN DIEGO REHAB HOSPITAL ,555 WASHINGTON STREET ,,SAN DIEGO ,CA ,92103 ,SHASTA ,,,,,,,,,,110,40150,10530,43,24223,,257.98,,534,1,917,159,,,,,, 052046,01-JUL-16,30-JUN-17,As Submitted,PROMISE HOSP OF EAST LOS ANGELES ,16453 SOUTH COLORADO AVE. ,,PARAMOUNT ,CA ,90753 ,LOS ANGELES ,,,,,,,,,,213,77745,30732,7948,47314,,736.1,,1458,78,1711,,,,,,, 052047,01-JAN-16,31-DEC-16,As Submitted,NORTHERN CALIFORNIA REHAB HOSPITAL ,2801 EUREKA WAY ,,REDDING ,CA ,96001 ,SHASTA ,,,,,,,,,,56,20496,11770,,16683,,189.22,,481,,642,118,,,,,, 052051,01-JAN-16,31-DEC-16,As Submitted,PROMISE HOSPITAL OF SAN DIEGO ,5550 UNIVERSITY AVENUE ,,SAN DIEGO ,CA ,92105 ,SAN DIEGO ,,,,,,,,,,57,20862,7964,85,11649,,203.33,,446,4,607,103,,,,,, 052054,01-MAY-16,30-APR-17,As Submitted,MONROVIA MEMORIAL HOSPITAL ,323 SOUTH HELIOTROPE AVENUE ,,MONROVIA ,CA ,91016 ,LOS ANGELES ,,,,,,,,,,49,17885,11116,48,12042,,175.57,,403,3,604,,,,,,, 052055,01-JAN-16,31-DEC-16,As Submitted,CENTRAL VALLEY SPECIALTY HOSPITAL ,730 17TH STREET ,,MODESTO ,CA ,95354-1209 ,STANISLAUS ,,,,,,,,,,96,35136,9028,777,28434,,321.13,,390,34,882,,,,,,, 053031,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH BAKERSFIELD REHABILITATI ,5001 COMMERCE DRIVE ,,BAKERSFIELD ,CA ,93309-0000 ,KERN ,,,,,,,,,,78,27792,12914,447,22539,,214.45,,1059,31,1865,396,,,,,, 053032,01-JAN-16,31-DEC-16,As Submitted,SAN JOAQUIN VALLEY REHAB HOSPITAL ,7173 N. SHARON AVENUE ,,FRESNO ,CA ,93720 ,FRESNO ,,,,,,,,,,62,22692,13564,188,18208,,299.55,,1246,14,1667,83,,,,,, 053034,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH TUSTIN REHABILITATION HO ,14851 YORBA STREET ,,TUSTIN ,CA ,92780 ,ORANGE ,,,,,,,,,,48,17568,9024,,14899,,147.81,,785,,1293,90,,,,,, 053037,01-JUL-16,30-JUN-17,As Submitted,SAN BERNARDINO - BALLARD REHAB HOSPI ,1760 WEST 16TH STREET ,,SAN BERNARDINO ,CA ,92411 ,SAN BERNARDINO ,,,,,,,,,,60,21900,4848,2274,14257,,166.84,,376,136,1001,215,,,,,, 053039,20-SEP-16,31-DEC-16,As Submitted,CALIFORNIA REHABILITATION INSTITUTE ,2070 CENTURY PARK EAST ,,LOS ANGELES ,CA ,90067 ,LOS ANGELES ,,,,,,,,,,138,14214,2276,,5265,,77.93,,208,,412,,,,,,, 053300,01-OCT-15,30-SEP-16,As Submitted,VALLEY CHILDRENS HOSPITAL ,9300 VALLEY CHILDRENS PLACE ,,MADERA ,CA ,93636 ,MADERA ,,,,,,,,,879,358,131028,164,43984,75108,29.3,2330.6,,34,5547,12979,,,,,,, 053301,01-JUL-16,30-JUN-17,As Submitted,CHILDRENS HOSP & RES CNTR OAKLAND ,747 52ND STREET ,,OAKLAND ,CA ,94609-1809 ,ALAMEDA ,,,,,,,,,17720,190,69350,114,,47014,90.41,2270.4,,17,,9545,,,,,,, 053302,01-JUL-16,30-JUN-17,As Submitted,CHILDRENS HOSPITAL LOS ANGELES ,4650 SUNSET BOULEVARD ,MAIL STOP #21 ,LOS ANGELES ,CA ,90027 ,UNITED STATES ,,,,,,,,,11311,357,130305,315,64963,108072,199.92,4539.74,,48,8314,16895,3932,,,,,, 053303,01-JUL-16,30-JUN-17,As Submitted,RADY CHILDRENS HOSPITAL - SAN DIEGO ,3020 CHILDRENS WAY ,,SAN DIEGO ,CA ,92123 ,SAN DIEGO ,,,,,,,,,1313,401,146365,265,38870,99694,99.92,3261,,63,6441,20603,4505,,,,,, 053304,01-JUL-16,30-JUN-17,As Submitted,CHILDRENS HOSPITAL OF ORANGE COUNT ,1201 W. LA VETA AVENUE ,,ORANGE ,CA ,92868-3874 ,ORANGE ,,,,,,,,,1346,279,101835,65,30933,61704,86.3,2645,,13,5352,12891,,,,,,, 053306,01-JUL-16,30-JUN-17,As Submitted,CHILDRENS HOSPITAL AT MISSION ,27700 MEDICAL CENTER DRIVE ,,MISSION VIEJO ,CA ,92691 ,ORANGE ,,,,,,,,,,54,19710,,1667,7929,,93.4,,,304,1994,,,,,,, 053309,01-JUL-16,30-JUN-17,As Submitted,MILLER CHILDRENS HOSPITAL ,2801 ATLANTIC AVENUE ,,LONG BEACH ,CA ,90806 ,LOS ANGELES ,,,,,,,,,3107,369,131659,220,34827,79291,51.75,1768.51,,34,4471,15603,8867,,,,,, 054009,01-JUL-16,30-JUN-17,As Submitted,RESNICK NEUROPSYCHIATRIC HOSPITAL AT ,150 UCLA MEDICAL PLAZA ,,LOS ANGELES ,CA ,90095 ,LOS ANGELES ,,,,,,,,,77874,74,27010,5621,3236,24854,62.35,342.48,,289,195,1751,,,,,,, 054032,01-FEB-16,31-JAN-17,As Submitted,ALHAMBRA ,4619 ROSEMEAD BLVD ,,ROSEMEAD ,CA ,91770 ,LOS ANGELES ,,,,,,,,,,97,35502,3302,7525,32280,,205.16,,305,1164,4958,,,,,,, 054053,01-JAN-16,31-DEC-16,As Submitted,DEL AMO HOSPITAL ,23700 CAMINO DEL SOL ,,TORRANCE ,CA ,90503 ,,,,,,,,,,,166,60756,9986,12322,44231,,272.85,,779,1786,6390,,,,,,, 054055,01-JAN-16,31-DEC-16,As Submitted,COLLEGE HOSPITAL INC ,18082 COLLEGE PLACE ,,CERRITOS ,CA ,90703 ,LOS ANGELES ,,,,,,,,,,187,68442,11896,3977,62636,,580.03,,949,493,6054,,,,,,, 054069,01-JAN-16,31-DEC-16,As Submitted,AURORA CHARTER OAK BHS ,1161 E COVINA BLVD ,,COVINA ,CA ,91724-1523 ,LOS ANGELES ,,,,,,,,,,134,49044,11443,6442,47084,,332.51,,928,961,6145,,,,,,, 054074,01-JAN-16,31-DEC-16,As Submitted,ST. HELENA CENTER FOR BEHAVARIOL HEA ,525 OREGON STREET ,,VALLEJO ,CA ,95490 ,SOLANO ,,,,,,,,,,61,22326,5694,4109,20726,,175.38,,501,440,2442,,,,,,, 054075,01-JAN-16,31-DEC-16,As Submitted,ALVARADO PARKWAY INSTITUTE ,7050 PARKWAY DRIVE ,,LA MESA ,CA ,91942- ,SAN DIEGO ,,,,,,,,,,66,24156,10456,140,22347,,240.56,,924,12,2317,,,,,,, 054077,01-JAN-16,31-DEC-16,As Submitted,AURORA VISTA DEL MAR BHS ,801 SENECA AVENUE ,,VENTURA ,CA ,93001 ,VENTURA ,,,,,,,,,,87,31842,5140,3965,23786,,178.56,,532,687,3450,,,,,,, 054078,01-JAN-16,31-DEC-16,As Submitted,AURORA LAS ENCINAS BHS ,2900 EAST DEL MAR BLVD ,,PASADENA ,CA ,91107 ,LOS ANGELES ,,,,,,,,,,118,43188,6901,1205,28514,,264.25,,885,239,5480,,,,,,, 054087,01-JAN-16,31-DEC-16,As Submitted,SIERRA VISTA ,8001 BRUCEVILLE ROAD ,,SACRAMENTO ,CA ,95823 ,,,,,,,,,,,171,62586,6270,18588,44650,,256.8,,489,2065,4920,,,,,,, 054089,01-JUL-16,30-JUN-17,As Submitted,JEWISH HOME FOR THE AGED ,302 SILVER AVENUE ,,SAN FRANCISCO ,CA ,94112 ,,,,,,,,,,,13,4745,2662,12,3862,,194.22,,121,2,177,,,,,,, 054093,01-JAN-16,31-DEC-16,As Submitted,LLU BEHAVIORAL MEDICINE CENTER ,1710 BARTON ROAD ,,REDLANDS ,CA ,92373 ,SAN BERNARDINO ,,,,,,,,,7657,89,32574,2105,,26834,9.11,268.26,,231,,4558,,,,,,, 054095,01-JAN-16,31-DEC-16,As Submitted,AURORA SAN DIEGO BEHAVIORAL ,11878 AVENUE OF INDUSTRY ,,SAN DIEGO ,CA ,92128-3423 ,SAN DEIGO ,,,,,,,,,,80,29280,3040,1979,26650,,220.23,,269,344,3234,,,,,,, 054096,01-JAN-16,31-DEC-16,As Submitted,SUTTER CENTER FOR PSYCHIATRY ,7700 FOLSOM BLVD ,,SACRAMENTO ,CA ,95826- ,SACRAMENTO ,,,,,,,,,,73,26718,3750,,20568,,184.13,,367,,2842,,,,,,, 054104,01-FEB-16,31-JAN-17,As Submitted,HERITAGE OAKS HOSPITAL ,4250 AUBURN BLVD ,,SACRAMENTO ,CA ,95841 ,SACRAMENTO ,,,,,,,,,,125,45750,9595,15661,39788,,260.17,,722,1537,3809,,,,,,, 054110,01-AUG-16,31-JUL-17,As Submitted,BHC FREMONT HOSPITAL ,39001 SUNDALE DRIVE ,,FREMONT ,CA ,94538 ,,,,,,,,,,,148,54020,7206,5464,37595,,266.7,,590,781,4625,,,,,,, 054111,01-FEB-16,31-JAN-17,As Submitted,CANYON RIDGE HOSPITAL ,5353 G STREET ,,CHINO ,CA ,91710 ,SAN BERNARDINO ,,,,,,,,,,106,38796,5910,4418,33453,,204.49,,533,963,5487,,,,,,, 054122,01-JUL-16,30-JUN-17,As Submitted,NAPA STATE HOSPITAL ,2100 NAPA-VALLEJO HIGHWAY ,,NAPA ,CA ,94558-6293 ,NAPA COUNTY ,,,,,,,,,,151,55115,,,8395,,217,,,15,15,,,,,,, 054123,01-JUN-16,30-JUN-17,As Submitted,ST. JOSEPHS BEHAVIORAL HLTH CENTER ,2510 NORTH CALIFORNIA STREET ,,STOCKTON ,CA ,95204 ,SAN JOAQUIN ,,,,,,,,,,35,13825,6373,,13063,,112.75,,751,,1912,,,,,,, 054124,01-JUL-16,30-JUN-17,As Submitted,HUMBOLDT COUNTY - SEMPREVIRENS ,720 WOOD STREET ,,EUREKA ,CA ,99410 ,HUMBOLDT ,,,,,,,,,,16,5840,770,,4225,,252.4,,140,,568,,,,,,, 054130,01-JAN-16,31-DEC-16,As Submitted,PACIFIC GROVE HOSPITAL ,PACI ,,RIVERSIDE ,CA ,92506 ,RIVERSIDE ,,,,,,,,,,68,24888,4689,93,13262,,92.2,,494,24,1900,,,,,,, 054131,01-JAN-16,31-DEC-16,As Submitted,JOHN MUIR BEHAVIORAL HEALTH ,2740 GRANT STREET ,,CONCORD ,CA ,94520 ,CONTRA COSTA ,,,,,,,,,,73,26718,1682,,14850,,179.9,,244,,2627,,,,,,, 054133,01-JUL-16,30-JUN-17,As Submitted,METROPOLITAN STATE HOSPITAL ,11400 SO. NORWALK BLVD. ,,NORWALK ,CA ,90650 ,LOS ANGELES ,,,,,,,,,,1004,366460,,,234691,,1210.6,,,724,724,,,,,,, 054135,01-MAY-16,30-APR-17,As Submitted,NEWPORT BAY HOSPITAL ,1501 E. 16TH STREET ,,NEWPORT BEACH ,CA ,92663 ,ORANGE ,,,,,,,,,,36,13140,10307,,10544,,26.69,,835,,857,,,,,,, 054144,01-JUL-16,30-JUN-17,As Submitted,LANGLEY PORTER PSYCHIATRIC HOSPITAL ,405 PARNASUS ,,SAN FRANCISCO ,CA ,94143-0824 ,SAN FRANCISCO ,,,,,,,,,203305,67,24455,1897,133,6409,33.91,121.67,,168,16,657,154,,,,,, 054145,01-OCT-15,30-SEP-16,Amended,SHARP MESA VISTA HOSPITAL ,7850 VISTA HILL AVE ,,SAN DIEGO ,CA ,92123- ,SAN DIEGO ,,,,,,,,,,158,57828,8356,3103,46450,,523,,642,378,5453,,,,,,, 054146,01-JUL-16,30-JUN-17,As Submitted,TELECARE HERITAGE PHF ,2633 EAST 27TH STREET ,,OAKLAND ,CA ,94601 ,ALAMEDA ,,,,,,,,,,26,9490,123,,7773,,63.61,,17,,1293,,,,,,, 054148,01-JAN-16,31-DEC-16,As Submitted,PSYCHIATRIC ,18646 OXNARD ST ,,TARZANA ,CA ,91356 ,USA ,,,,,,,,,,4,1464,1263,,1263,,45,,219,,219,,,,,,, 054151,01-JAN-16,31-DEC-16,As Submitted,AURORA SANTA ROSA BEHAVIORAL HEALTH ,1287 FULTON ROAD ,,SANTA ROSA ,CA ,95401 ,SONOMA ,,,,,,,,,,95,34770,7435,5205,21028,,157.88,,629,512,2170,,,,,,, 054152,01-JUL-16,30-JUN-17,As Submitted,TELECARE SANTA CRUZ PHF ,2250 SOQUEL AVE SUITE 150 ,,SANTA CRUZ ,CA ,95062 ,SANTA CRUZ ,,,,,,,,,,16,5840,1409,3043,5529,,35.37,,97,282,461,,,,,,, 054153,01-JAN-16,31-DEC-16,As Submitted,OCEAN VIEW PSYCHIATRIC FACILITY ,2600 REDONDO AVENUE ,,LONG BEACH ,CA ,90806 ,LOS ANGELES ,,,,,,,,,,20,7320,1932,,5849,,32.33,,262,,544,,,,,,, 054154,21-JUN-16,31-DEC-16,As Submitted,SAN JOSE BEHAVIORAL HEALTH ,455 SILICON VALLEY BLVD ,,SANN JOSE ,CA ,95138-1858 ,,,,,,,,,,,80,15520,501,,2788,,42.06,,47,,265,,,,,,, 060001,01-JAN-16,31-DEC-16,Amended,NORTH COLORADO MEDICAL CENTER ,1801 16TH STREET ,,GREELEY ,CO ,80631 ,WELD ,1873742,,,1883722,,,.2386,1125236,605141,225,82350,13758,14776,42476,31.21,1587.82,,3026,3125,10283,,,,,,, 060003,01-JAN-16,31-DEC-16,As Submitted,LONGMONT UNITED HOSPITAL ,1950 WEST MOUNTAIN VIEW AVENUE ,,LONGMONT ,CO ,80501-3129 ,BOULDER ,,,,569641,,,.1393,,,131,47946,8738,6768,25642,,892.1,,2021,1892,6181,49,,,,,, 060004,01-JAN-16,31-DEC-16,As Submitted,PLATTE VALLEY MEDICAL CENTER ,1600 PRAIRIE CENTER PARKWAY ,,BRIGHTON ,CO ,80601 ,ADAMS ,,,,196623,,,.12,,,86,31476,2648,3764,11601,,512.76,,715,910,3236,,,,,,, 060006,01-JAN-16,31-DEC-16,As Submitted,MONTROSE MEMORIAL HOSPITAL ,800 S THIRD ,,MONTROSE ,CO ,81401 ,MONTROSE ,,,,267185,,,.12,,,50,18300,4035,465,8567,,548.34,,1175,220,2713,804,,,,3,,219 060009,01-JAN-16,31-DEC-16,As Submitted,LUTHERAN MEDICAL CENTER ,8300 WEST 38TH AVE ,,WHEAT RIDGE ,CO ,80033 ,JEFFERSON ,,,,1072216,,,.1485,,,268,98088,12184,11754,49638,,1879.92,,2980,2755,13082,99,,,1,,2713, 060010,01-JUL-16,30-JUN-17,As Submitted,POUDRE VALLEY HOSPITAL ,1024 S. LEMAY AVENUE ,,FT. COLLINS ,CO ,80524 ,LARIMER ,1967890,,,1424243,,,.1146,299037,287518,217,79205,17456,11955,50402,16.75,1880.17,,5110,2462,13036,7,435,,290,,2129, 060011,01-JAN-16,31-DEC-16,As Submitted,DENVER HEALTH MEDICAL CENTER ,777 BANNOCK STREET ,40411 ,DENVER ,CO ,80204-4507 ,,2881756,,,1829916,,,.528,1107974,685953,359,131394,7592,42182,95527,214.73,5475.2,,1372,11925,18311,,,,710,83,1726,113 060012,01-JUL-16,30-JUN-17,As Submitted,ST MARY CORWIN MEDICAL CENTER ,1008 MINNEQUA AVENUE ,,PUEBLO ,CO ,81004 ,PUEBLO ,1102726,,,1066732,,,.218,759160,474084,127,46355,9687,8414,26410,16.98,1047.26,,2169,1788,6170,9,,,,49,,226 060013,01-JUL-16,30-JUN-17,As Submitted,MERCY REGIONAL MEDICAL CENTER ,1010 THREE SPRINGS BLVD. ,18 ,DURANGO ,CO ,81301- ,DURANGO ,,,,527428,,,.12,,,82,29930,5996,4294,15028,,954.73,,1632,702,4277,428,,,,,, 060015,01-JUL-16,30-JUN-17,As Submitted,ST ANTHONY HOSPITAL ,11600 W. 2ND PLACE ,,LAKEWOOD ,CO ,80228 ,DENVER ,425858,,,981334,,,.1046,74322,21531,220,77728,16136,11711,53880,6.05,1659.2,,3459,2214,11209,59,,,,52,,519 060016,01-JUL-16,30-JUN-17,As Submitted,ST THOMAS MORE HOSPITAL ,1338 PHAY ,,CANON CITY ,CO ,81212 ,FREMONT ,,,,145836,,,.12,,,25,9125,2284,1728,6118,,377.61,,620,508,1783,3,,,,,, 060020,01-JUL-16,30-JUN-17,As Submitted,PARKVIEW MEDICAL CENTER ,400 W. 16TH STREET ,,PUEBLO ,CO ,81003- ,PUEBLO ,4005562,,,2744091,,,.2306,1631269,460238,266,96958,28727,19454,71524,49.4,2382.2,,5187,3656,14209,479,353,,96,46,926,284 060022,01-JUL-16,30-JUN-17,As Submitted,MEMORIAL HEALTH SYSTEM ,1400 EAST BOULDER STREET ,,COLORADO SPRINGS ,CO ,80909-5533 ,,35092,,,4808053,,,.2806,,,475,175375,26301,47250,114549,4.5,3054.3,,7202,8895,26781,,,,,6,,392 060023,01-JAN-16,31-DEC-16,As Submitted,ST. MARYS HOSPITAL & MEDICAL CENTER ,2635 NORTH 7TH STREET ,1628 ,GRAND JUNCTION ,CO ,81502-1628 ,MESA ,1673879,,,1579033,,,.12,929083,312686,261,95526,24485,7984,60079,23.16,1708.2,,4866,1541,12554,1949,,,,13,,414 060024,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY OF CO HOSPITAL ,12606 E 16TH AVENUE ,,AURORA ,CO ,80045 ,ADAMS ,26098980,,,6568536,,,.2328,4416389,3748229,643,229250,50457,58446,185042,387.87,5223.46,,8948,8062,30959,452,,,,6,,249 060027,01-JAN-16,31-DEC-16,Amended,BOULDER COMMUNITY HOSPITAL ,4747 ARAPAHOE AVENUE ,P. O. BOX 9019 ,BOULDER ,CO ,80303 ,BOULDER ,,,,849955,,,.1169,,,139,50874,11445,5654,28722,2.63,1772.77,,2902,1098,8513,,,,141,27,541,206 060028,01-JAN-16,31-DEC-16,As Submitted,SAINT JOSEPH HOSPITAL ,1375 EAST 19TH AVENUE ,,DENVER ,CO ,80218 ,DENVER ,1914773,,,642063,,,.1404,2960523,845016,357,130786,8865,19284,92615,99.37,1986.84,,1582,3524,19373,108,,,,,, 060030,01-JAN-16,31-DEC-16,As Submitted,MCKEE MEDICAL CENTER ,2000 BOISE AVENUE ,,LOVELAND ,CO ,80538 ,LARIMER ,,,,363691,,,.1978,,,115,42090,2706,3356,11445,,557.73,,890,744,3408,,,,,,, 060031,01-JUL-16,30-JUN-17,As Submitted,PENROSE/ST. FRANCIS HEALTHCARE ,2222 N. NEVADA ,,COLORADO SPRINGS ,CO ,80933 ,EL PASO ,102529,331290,,587517,1898359,,.1378,135310,65120,425,155125,26755,24312,93978,6.88,2783.91,,7478,4189,23881,81,,,,53,,425 060032,01-JAN-16,31-DEC-16,As Submitted,ROSE MEDICAL CENTER ,4567 EAST NINTH AVENUE ,,DENVER ,CO ,80220 ,DENVER ,1660534,,,882857,,,.134,586051,246140,232,76775,9810,8702,45330,26.43,922.35,,2560,1866,10631,,,,,,, 060034,01-OCT-15,30-SEP-16,As Submitted,SWEDISH MEDICAL CENTER ,501 EAST HAMPDEN AVENUE ,,ENGLEWOOD ,CO ,80113- ,ARAPAHOE ,1382272,,,1935230,,,.1542,555187,125604,374,128097,25733,24336,92736,19.67,1733.34,,4891,5199,19140,,,,,29,,406 060036,01-APR-16,26-OCT-16,As Submitted,ARKANSAS VALLEY REGL MED CTR ,1100 CARSON AVENUE ,,LA JUNTA ,CO ,81050 ,OTERO ,,,,63826,,,.12,,,45,9405,1041,509,2016,,269.36,,321,183,656,,,,,,, 060043,01-JAN-16,31-DEC-16,As Submitted,KEEFE MEMORIAL HOSPITAL ,602 NORTH 6TH STREET WEST ,,CHEYENNE WELLS ,CO ,80810 ,CHEYENNE ,,,,,,,,,,11,4026,103,12,277,,43.23,,29,4,49,,,,,,, 060044,01-NOV-15,31-OCT-16,As Submitted,COLORADO PLAINS MEDICAL CENTER ,1000 LINCOLN STREET ,,FORT MORGAN ,CO ,80701 ,MORGAN ,,,,79372,,,.12,,,36,13176,1120,1150,3124,,231.77,,389,642,1153,,,,,,168, 060049,01-OCT-15,30-SEP-16,As Submitted,YAMPA VALLEY MEDICAL CENTER ,1024 CENTRAL PARK DRIVE ,,STEAMBOAT SPRINGS ,CO ,80487 ,ROUTT ,,,,,,,,,,39,14274,1283,929,4648,,428.81,,443,261,1478,,,,,,, 060054,01-MAY-16,31-DEC-16,As Submitted,COMMUNITY HOSPITAL ,2021 NORTH 12TH STREET ,,GRAND JUNCTION ,CO ,81501 ,MESA ,,,,154474,,,.12,,,45,11025,2295,1123,5252,,661.96,,574,163,2114,273,,,,,, 060064,01-JUL-16,31-DEC-16,As Submitted,PORTER ADVENTIST HOSPITAL ,2525 SOUTH DOWNING STREET ,,DENVER ,CO ,80210 ,DENVER ,,,,349209,,,.0784,1952,509,179,32936,5416,1567,16054,.17,694.75,,1418,483,4009,,,,25,18,855,116 060065,01-JAN-16,31-DEC-16,As Submitted,NORTH SUBURBAN MEDICAL CENTER ,9191 GRANT ,,THORNTON ,CO ,80229 ,ADAMS ,13563,,,906296,,,.2876,7151,2191,124,46102,6007,11177,29899,.25,654.79,,1452,2839,7652,1212,,,,,, 060071,01-JAN-16,31-DEC-16,As Submitted,DELTA COUNTY MEMORIAL HOSPITAL ,1501 E. 3RD ST. ,,DELTA ,CO ,81416 ,DELTA ,,,,,,,,,,49,17885,2799,810,5045,,411.85,,837,437,1561,,,,,,, 060075,01-JAN-16,31-DEC-16,As Submitted,VALLEY VIEW HOSPITAL ,1906 BLAKE ,,GLENWOOD SPRINGS ,CO ,81601- ,GARFIELD ,,,,253641,,,.12,,,49,17934,3298,5430,13751,,870.29,,949,596,3325,,,,,,, 060076,01-JAN-16,31-DEC-16,As Submitted,STERLING REGIONAL MEDCENTER ,615 FAIRHURST STREET ,,STERLING ,CO ,80751- ,LOGAN ,,,,103495,,,.12,,,25,9150,1569,958,3392,,196.87,,477,262,1086,,,,,,, 060096,01-NOV-15,31-OCT-16,As Submitted,VAIL VALLEY MEDICAL CENTER ,181 WEST MEADOW DRIVE ,,VAIL ,CO ,81657- ,EAGLE ,,,,52193,,,.0585,,,56,20496,1103,1163,6552,,630.61,,338,294,1792,1,,,,,, 060100,01-JAN-16,31-DEC-16,As Submitted,THE MEDICAL CENTER OF AURORA ,1501 SOUTH POTOMAC ST ,,AURORA ,CO ,80012- ,ARAPAHOE ,132359,,,1758928,,,.1903,92669,21319,323,114578,20620,15727,73049,2.05,1326.18,,3909,3377,14988,2706,,,3,,339, 060103,01-JUL-16,31-DEC-16,As Submitted,AVISTA ADVENTIST HOSPITAL ,100 HEALTH PARK DRIVE ,,LOUISVILLE ,CO ,80027 ,BOULDER ,,,,118810,,,.1934,,,108,19872,914,1307,7834,,265.08,,273,651,2172,16,,,,,, 060104,01-JUL-16,30-JUN-17,As Submitted,ST ANTHONY NORTH HEALTH CAMPUS ,14300 ORCHARD PKWY ,,WESTMINSTER ,CO ,80023 ,ADAMS ,1651304,,,343195,,,.12,442196,368818,97,36173,4395,6239,19682,25.21,827.28,,1281,1926,5596,237,,,,,, 060107,01-JUL-16,30-JUN-17,As Submitted,NATIONAL JEWISH HEALTH ,1400 JACKSON ST ,,DENVER ,CO ,80206- ,DENVER ,,,,,,,,,,24,8760,,45,85,9.38,1503,,,22,37,4,,,,,, 060112,01-JUL-16,30-JUN-17,As Submitted,SKY RIDGE MEDICAL CENTER ,10101 RIDGEGATE PARKWAY ,,LONE TREE ,CO ,80124 ,DOUGLAS ,3449432,,,,,,,1441131,388078,273,99556,11832,6362,59684,51.92,1478.76,,3121,1628,16507,,,,,,, 060113,01-JUL-16,31-DEC-16,As Submitted,LITTLETON ADVENTIST HOSPITAL ,7700 SOUTH BROADWAY ,,LITTLETON ,CO ,80122 ,ARAPAHOE ,,,,77766,,,.0256,,,184,33856,5860,1992,19999,,585.16,,1295,465,4393,23,,,,12,,170 060114,01-JUL-16,31-DEC-16,As Submitted,PARKER ADVENTIST HOSPITAL ,9395 CROWN CREST BLVD ,,PARKER ,CO ,80138 ,DOUGLAS ,,,,167182,,,.0656,,,167,30728,3744,2070,15484,,600.28,,974,567,3964,,,,,,, 060116,01-JAN-16,31-DEC-16,As Submitted,GOOD SAMARITAN MEDICAL CTR ,200 EXEMPLA CIRCLE ,,LAFAYETTE ,CO ,80026- ,BOULDER ,,,,,,,,,,183,66978,6050,5212,50234,,1096.37,,1401,1256,13193,18,,,,,, 060117,01-JAN-16,31-DEC-16,As Submitted,ANIMAS SURGICAL HOSPITAL ,575 RIVERGATE ,,DURANGO ,CO ,81301- ,LA PLATA ,,,,,,,,,,12,4392,551,42,978,,110.33,,274,31,512,,,,,,, 060118,01-JUL-16,30-JUN-17,As Submitted,ST ANTHONY SUMMIT MEDICAL CENTER ,340 PEAK ONE DR ,,FRISCO ,CO ,80443 ,SUMMIT ,,,,48924,,,.12,,,34,12410,583,1096,4012,,304.46,,213,311,1305,16,,,,,, 060119,01-JUL-16,30-JUN-17,As Submitted,MEDICAL CENTER OF THE ROCKIES ,2500 ROCKY MOUNTAIN AVENUE ,,LOVELAND ,CO ,80538 ,LARIMER ,,,,645628,,,.0452,,,156,56940,18915,7016,45531,,1152,,4657,1689,12633,5,,,,17,,384 060124,01-JUL-16,30-JUN-17,As Submitted,ORTHOCOLORADO HOSPITAL ,11650 WEST 2ND PLACE ,,LAKEWOOD ,CO ,80228 ,JEFFERSON ,,,,,,,,,,48,17520,1694,,5483,,143.93,,856,,2953,,,,,,, 060125,01-JUL-16,31-DEC-16,As Submitted,CASTLE ROCK ADVENTIST HOSPITAL ,2350 MEADOWS BOULEVARD ,,CASTLE ROCK ,CO ,80109 ,DOUGLAS ,,,,38402,,,.0522,,,53,9752,1234,614,5262,,,,324,178,1440,80,,,,,, 060126,01-JAN-16,31-DEC-16,As Submitted,BANNER FORT COLLINS MEDICAL CENTER ,4700 LADY MOON DRIVE ,,FORT COLLINS ,CO ,80528 ,LARIMER ,,,,34417,,,.12,,,22,8052,379,803,2328,,168.34,,117,221,819,,,,,,, 061300,01-JAN-16,31-DEC-16,As Submitted,WEISBROD MEMORIAL COUNTY HOSPITAL ,1208 LUTHER ,,EADS ,CO ,81036 ,KIOWA ,,,,,,,,,,25,9150,204,4263,6438,,56.9,,15,1,17,,,,,,, 061301,01-JAN-16,31-DEC-16,As Submitted,RIO GRANDE HOSPITAL ,310 COUNTY ROAD 14 ,,DEL NORTE ,CO ,81132 ,RIO GRANDE ,,,,,,,,,,17,6222,1976,164,2381,,100.55,,272,68,392,,,,,,, 061302,01-JAN-16,31-DEC-16,As Submitted,COLORADO CANYONS HOSPITAL & MED CTR ,300 W. OTTLEY AVE ,,FRUITA ,CO ,81521 ,MESA ,,,,,,,,,,16,5856,2922,48,3736,,191.14,,170,14,326,,,,,,, 061303,01-JAN-16,31-DEC-16,As Submitted,EAST MORGAN COUNTY HOSPITAL ,2400 W EDISON ,,BRUSH ,CO ,80723 ,MORGAN ,,,,,,,,,,25,9150,1037,279,1667,,145.5,,213,80,404,,,,,,, 061304,01-JAN-16,31-DEC-16,As Submitted,HAXTUN HOSPITAL DISTRICT ,235 WEST FLETCHER STREET ,,HAXTUN ,CO ,80731-2737 ,PHILLIPS ,,,,,,,,,,25,9150,498,2938,7739,,78.2,,51,1,96,,,,,,, 061305,01-JAN-16,31-DEC-16,As Submitted,MELISSA MEMORIAL HOSPITAL ,1001 E JOHNSON ST ,,HOLYOKE ,CO ,80734 ,PHILLIPS ,,,,,,,,,,15,5490,420,57,609,,66.3,,62,13,89,,,,,,, 061306,01-JAN-16,31-DEC-16,As Submitted,LINCOLN COMMUNITY HOSPITAL ,111 6TH STREET ,,HUGO ,CO ,80821 ,LINCOLN ,,,,,,,,,,15,5490,744,43,1015,,120.6,,102,14,140,,,,,,, 061307,01-JAN-16,31-DEC-16,As Submitted,RANGELY DISTRICT HOSPITAL ,225 EAGLE CREST STREET ,,RANGELY ,CO ,81648 ,RIO BLANCO ,,,,,,,,,,25,9150,127,15,4957,,116.79,,23,7,39,,,,,,, 061309,01-JAN-16,31-DEC-16,As Submitted,WRAY COMMUNITY DISTRICT HOSPITAL ,1017 WEST SEVENTH STREET ,,WRAY ,CO ,80758 ,YUMA ,,,,,,,,,,16,5856,426,334,1108,1.75,97.52,,99,115,340,,,,,,, 061310,01-JAN-16,31-DEC-16,As Submitted,SEDGWICK COUNTY HEALTH CENTER ,900 CEDAR STREET ,,JULESBURG ,CO ,80737- ,SEDGWICK ,,,,,,,,,,9,3294,317,53,513,,61.58,,55,28,131,,,,,,, 061311,01-JAN-16,31-DEC-16,As Submitted,SOUTHEAST COLORADO HOSPITAL ,373 EAST TENTH STREET ,,SPRINGFIELD ,CO ,81073 ,,,,,,,,,,,15,5490,1745,68,1835,,113.01,,113,14,144,,,,,,, 061312,01-JAN-16,31-DEC-16,As Submitted,ESTES PARK MEDICAL CENTER ,555 PROSPECT PARK DRIVE ,,ESTES PARK ,CO ,80517 ,LARIMER ,,,,,,,,,,25,9150,890,225,1609,,250.17,,145,69,349,,,,,,, 061313,01-JAN-16,31-DEC-16,As Submitted,KIT CARSON COUNTY MEMORIAL HOSPITAL ,286 16TH STREET ,,BURLINGTON ,CO ,80807 ,KIT CARSON ,,,,,,,,,,19,6954,960,134,1614,,91.4,,108,67,259,,,,,,, 061314,01-JAN-16,31-DEC-16,As Submitted,THE MEMORIAL HOSPITAL ,750 HOSPITAL LOOP ,,CRAIG ,CO ,81625 ,MOFFAT ,,,,,,,,,,25,9150,1393,232,2907,,229.04,,334,78,853,,,,,,, 061315,01-JAN-16,31-DEC-16,As Submitted,YUMA DISTRICT HOSPITAL ,1000 WEST 8TH AVENUE ,,YUMA ,CO ,80759- ,YUMA ,,,,,,,,,,15,5490,524,60,673,,92.15,,120,28,171,,,,,,, 061316,01-JAN-16,31-DEC-16,As Submitted,SPANISH PEAKS REGIONAL HEALTH ,23500 US HIGHWAY 160 ,,WALSENBURG ,CO ,81089- ,HUERFANO ,,,,,,,,,,20,7320,627,59,939,,174.88,,74,22,139,,,,,,, 061317,01-JAN-16,31-DEC-16,As Submitted,GRAND RIVER HOSPITAL DISTRICT ,501 AIRPORT ROAD ,912 ,RIFLE ,CO ,81650 ,GARFIELD ,,,,,,,,,,13,4758,767,293,1396,,334.17,,249,104,504,,,,,,, 061318,01-JAN-16,31-DEC-16,As Submitted,KREMMLING MEMORIAL HOSPITAL DISTRICT ,214 S. FOURTH STREET ,,KREMMLING ,CO ,80459 ,GRAND ,,,,,,,,,,21,7686,516,1271,2835,,146.08,,69,16,112,,,,,,, 061319,01-JAN-16,31-DEC-16,As Submitted,ST. VINCENT GENERAL HOSPITAL ,822 WEST 4TH ST. ,,LEADVILLE ,CO ,80461 ,LAKE COUNTY ,,,,,,,,,,25,9150,,5,5,,74.87,,,2,2,,,,,,, 061320,01-JAN-16,31-DEC-16,As Submitted,GUNNISON VALLEY HOSPITAL ,711 NORTH TAYLOR STREET ,,GUNNISON ,CO ,81230 ,GUNNISON ,,,,,,,,,,20,7320,846,326,2024,,200.45,,191,126,564,,,,,,, 061321,01-JAN-16,31-DEC-16,As Submitted,MT. SAN RAFAEL HOSPITAL ,410 BENEDICTA AVE. ,,TRINIDAD ,CO ,81082 ,LAS ANIMAS ,,,,,,,,,,25,9150,2014,485,3124,,159.96,,275,127,515,,,,,,, 061322,01-JAN-16,31-DEC-16,As Submitted,HEART OF THE ROCKIES REG MED CENTER ,1000 RUSH DRIVE ,429 ,SALIDA ,CO ,81201- ,CHAFFEE ,,,,,,,,,,25,9150,1858,561,3642,,318.63,,460,170,928,,,,,,, 061323,01-JAN-16,31-DEC-16,As Submitted,PROWERS MEDICAL CENTER ,401 KENDALL DRIVE ,,LAMAR ,CO ,81052-3993 ,PROWERS ,,,,,,,,,,25,9150,2093,840,3346,,195.88,,292,430,883,,,,,,, 061324,01-JAN-16,31-DEC-16,As Submitted,ASPEN VALLEY HOSPITAL DISTRICT ,401 CASTLE CREEK ROAD ,,ASPEN ,CO ,81611- ,PITKIN ,,,,,,,,,,25,9150,993,377,3001,,353.48,,189,87,751,,,,,,, 061325,01-JAN-16,31-DEC-16,As Submitted,PIONEERS MEDICAL CENTER ,100 PIONEERS MEDICAL CENTER DRIVE ,,MEEKER ,CO ,81641 ,RIO BLANCO ,,,,,,,,,,10,3660,919,15,1366,,87.33,,126,7,213,,,,,,, 061326,01-JAN-16,31-DEC-16,As Submitted,PIKES PEAK REGIONAL HOSPITAL ,16420 WEST HIGHWAY 24 ,,WOODLAND PARK ,CO ,80863 ,TELLER ,,,,,,,,,,15,5490,1144,232,2246,,117.99,,201,76,539,,,,,,, 061327,01-JAN-16,31-DEC-16,As Submitted,SOUTHWEST MEMORIAL HOSPITAL ,1311 NORTH MILDRED ROAD ,,CORTEZ ,CO ,81321-2299 ,MONTEZUMA ,,,,,,,,,,25,9150,2531,,4309,,335.61,,513,,1043,1,,,,,, 061328,01-JAN-16,31-DEC-16,Amended,PAGOSA SPRINGS MEDICAL CENTER ,95 SOUTH PAGOSA BOULEVARD ,,PAGOSA SPRINGS ,CO ,81147 ,ARCHULETA ,,,,,,,,,,11,4026,726,239,1302,,199.7,,252,100,493,,,,,,, 061991,01-JUL-16,30-JUN-17,As Submitted,WIDE HORIZON INC ,8900 WEST 38TH AVENUE ,,WHEAT RIDGE ,CO ,80033 ,USA ,,,,,,,,,,10,3650,479,,645,,18,,13,,17,,,,,,, 062011,01-OCT-15,30-SEP-16,As Submitted,CRAIG HOSPITAL ,3425 S. CLARKSON ST. ,,ENGLEWOOD ,CO ,80113 ,ARAPAHOE ,,,,,,,,,385,93,34038,1224,3263,29017,2.11,719.35,,37,50,487,,,,,,, 062015,01-OCT-15,31-MAY-16,Settled,SSH - DENVER INC ,1719 EAST 19TH AVE ,,DENVER ,CO ,80218 ,DENVER ,,,,,,,,,,28,6832,2276,39,3624,,51.22,,81,2,135,,,,,,, 062015,01-JUN-16,31-MAY-17,As Submitted,KINDRED HOSPITAL DENVER SOUTH ,2525 SOUTH DOWNING ST. 3RD FLOOR ,,DENVER ,CO ,80210 ,DENVER ,,,,,,,,,,28,10220,3130,22,5508,,48.2,,123,3,193,,,,,,, 062016,01-FEB-16,31-MAY-16,Settled,SSH - COLORADO SPRINGS ,6001 EAST WOODMAN ROAD 6TH FLOOR ,,COLORADO SPRINGS ,CO ,80923-2601 ,EL PASO ,,,,,,,,,,30,3630,811,93,1910,,20.69,,35,5,72,,,,,,, 062016,01-JUN-16,31-MAY-17,As Submitted,KINDRED HOSPITAL COLORADO SPRINGS ,6001 EAST WOODMEN ROAD 6TH FLOOR ,,COLORADO SPRINGS ,CO ,80923 ,EL PASO ,,,,,,,,,,30,10950,4120,,6128,,51.6,,162,,226,,,,,,, 062017,01-MAR-16,28-FEB-17,As Submitted,NORTHERN COLORADO LONG TERM ACUTE HO ,4401A UNION STREET ,,JOHNSTON ,CO ,80534 ,LARIMER ,,,,,,,,,,20,7300,4318,2,6117,,50.84,,158,1,213,,,,,,, 063027,01-JUN-16,31-MAY-17,As Submitted,SPALDING REHAB HOSPITAL ,900 POTOMAC ,,AURORA ,CO ,80011 ,ARAPAHOE ,,,,,,,,,,57,20805,5175,934,14328,,137.47,,423,111,1065,,,,,,, 063030,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,325 PARKSIDE DRIVE ,,COLORADO SPRINGS ,CO ,80935 ,EL PASO ,,,,,,,,,,62,22692,8977,4143,14970,,119.22,,757,355,1279,42,,,,,, 063033,01-JAN-16,31-DEC-16,As Submitted,NORTHERN COLORADO REHAB HOSPITAL ,4401 UNION STREET ,,JOHNSTOWN ,CO ,80534 ,LARIMER ,,,,,,,,,,40,14640,8450,1680,12605,,154.36,,602,135,905,,,,,,, 063034,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1001 WEST MINERAL AVE ,,LITTLETON ,CO ,80120 ,ARAPAHOE ,,,,,,,,,,40,14600,5849,3167,9974,,98.92,,462,288,835,7,,,,,, 063301,01-JAN-16,31-DEC-16,Amended,CHILDRENS HOSPITAL COLORADO ,13123 EAST 16TH AVENUE ,,AURORA ,CO ,80045-7106 ,ADAMS ,,,,,,,,,9278,416,151255,320,45160,97177,225,5391,,28,6796,15062,608,,,,,, 064001,01-JUL-16,30-JUN-17,As Submitted,CO. MENTAL HEALTH INST. - PUEBLO ,1600 W 24TH STREET ,,PUEBLO ,CO ,81001-1411 ,PUEBLO ,,,,,,,,,288,449,163885,5928,11146,148986,.36,1057.56,,122,69,1111,,,,,,, 064003,01-JUL-16,30-JUN-17,As Submitted,COLORADO MENTAL HEALTH INST-FT LOGAN ,3520 W. OXFORD AVE ,,DENVER ,CO ,80236-3120 ,DENVER ,,,,,,,,,185,94,34310,1051,24,33027,.05,243,,26,6,298,,,,,,, 064007,01-JAN-16,31-DEC-16,As Submitted,CENTENNIAL PEAKS HOSPITAL ,2255 SOUTH 88TH STREET ,,LOUISVILLE ,CO ,80027 ,BOULDER ,,,,,,,,,,72,26352,2661,35,22713,,165.64,,270,4,3901,884,,,,,, 064009,01-JAN-16,31-DEC-16,As Submitted,CEDAR SPRINGS BEHAVIORAL HOSPITAL ,2135 SOUTHGATE ROAD ,,COLORADO SPRINGS ,CO ,80906 ,EL PASO ,,,,,,,,,,76,27816,3488,,25263,,186.65,,360,,3280,1262,,,,,, 064024,01-JAN-16,31-DEC-16,As Submitted,HIGHLANDS BEHAVIORAL HEALTH ,8565 S POPLAR WAY ,,LITTLETON ,CO ,80130 ,,,,,,,,,,,86,31476,2301,,22617,,144.73,,226,,3097,,,,,,, 064025,01-JAN-16,01-FEB-16,Settled,HAVEN BEHAVIORAL SENIOR CARE AT SMC ,1008 MINNEQUA AVENUE SUITE 6100 ,,PUEBLO ,CO ,81004 ,PUEBLO ,,,,,,,,,,30,960,72,,286,,29.99,,2,,19,,,,,,, 064026,01-JAN-16,31-DEC-16,As Submitted,PEAK VIEW BEHAVIORAL HEALTH ,7353 SISTERS GROVE ,,COLORADO SPRINGS ,CO ,80923 ,EL PASO ,,,,,,,,,,112,35712,6865,4378,27858,,190.33,,675,641,3656,,,,,,, 064027,29-MAR-16,31-DEC-16,As Submitted,CLEAR VIEW BEHAVIORAL HEALTH ,4770 LARIMER PARKWAY ,,JOHNSTOWN ,CO ,80534 ,LARIMER ,,,,,,,,,,92,25484,2935,3985,11064,,105.24,,260,551,1360,,,,,,, 070002,01-OCT-15,30-SEP-16,As Submitted,SAINT FRANCIS HOSPITAL ,114 WOODLAND STREET ,,HARTFORD ,CT ,06105-1208 ,HARTFORD ,15019274,,,3401500,,,.1338,5671248,1436229,484,185178,47897,25725,126350,162.94,3625.79,,9874,6728,30429,,,,1116,,2146, 070003,01-OCT-15,30-SEP-16,As Submitted,DAY KIMBALL HOSPITAL ,320 POMFRET STREET ,,PUTNAM ,CT ,06260 ,WINDHAM ,,,,298753,,,.12,,,104,36606,5345,3423,14447,,627.2,,1378,748,3422,142,,,,,189, 070004,01-OCT-15,30-SEP-16,As Submitted,SHARON HOSPITAL ,50 HOSPITAL HILL ROAD ,,SHARON ,CT ,06069 ,LITCHFIELD ,,,,113677,,,.0698,,,66,24156,3117,750,6158,,267.21,,944,186,1809,137,9,,14,,322, 070005,01-OCT-15,30-SEP-16,As Submitted,WATERBURY HOSPITAL ,64 ROBBINS STREET ,,WATERBURY ,CT ,06708 ,NEW HAVEN ,4445448,,,1528602,,,.1489,1732955,652081,216,79056,18349,11771,44536,48.57,1076.44,,3879,3182,10989,,,,372,,659, 070006,01-OCT-15,30-SEP-16,As Submitted,THE STAMFORD HOSPITAL ,ONE HOSPITAL PLAZA ,9317 ,STAMFORD CT 06904 ,CT ,06904- ,FAIRFIELD ,4417889,,,1346837,,,.1217,1828919,1079547,267,97722,21318,9645,57502,66.39,2367.29,,3907,3310,13769,,,,328,26,623,371 070007,01-OCT-15,30-SEP-16,As Submitted,LAWRENCE & MEMORIAL HOSPITAL ,365 MONTAUK AVENUE ,,NEW LONDON ,CT ,06320- ,NEW LONDON ,118168,,,1471764,,,.1241,43914,28917,201,73566,23024,9613,50721,1,1772.83,,5613,2708,12507,,,,325,22,679,275 070008,01-OCT-15,30-DEC-15,As Submitted,JOHNSON MEMORIAL HOSPITAL ,201 CHESTNUT HILL ROAD ,,STAFFORD SPRINGS ,CT ,06076 ,TOLLAND ,,,,15268,,,.0392,,,81,7371,1222,365,2327,,504.73,,224,119,590,,,,81,,173, 070008,31-DEC-15,30-SEP-16,As Submitted,JOHNSON MEMORIAL HOSPITAL INC. ,201 CHESTNUT HILL ROAD ,,STAFFORD SPRINGS ,CT ,06076 ,TOLLAND ,,,,58885,,,.0475,,,81,22275,3304,1231,7396,,400.18,,645,347,1826,28,,,303,,549, 070010,01-OCT-15,30-SEP-16,As Submitted,BRIDGEPORT HOSPITAL ,267 GRANT STREET ,,BRIDGEPORT ,CT ,06610 ,FAIRFIELD ,9276553,,,3154268,,,.2077,3744084,1275421,345,126270,32423,23942,98511,112.95,2174.29,,5469,7287,20303,,,,,11,296,58 070011,01-OCT-15,30-SEP-16,As Submitted,CHARLOTTE HUNGERFORD HOSPITAL ,540 LITCHFIELD STREET ,0988 ,TORRINGTON ,CT ,06790-0988 ,LITCHFIELD COUNTY ,,,,313765,,,.0603,,,91,33306,10652,3216,19451,,722.66,,2380,953,4916,,,,301,,636, 070012,01-OCT-15,30-SEP-16,As Submitted,ROCKVILLE GENERAL HOSPITAL INC. ,31 UNION STREET ,,VERNON ,CT ,06066- ,TOLLAND ,54005,,,70660,,,.0326,57494,16033,102,37332,3885,1154,7985,1.14,342.98,,921,293,2053,,,,,,, 070016,01-OCT-15,30-SEP-16,As Submitted,ST. MARYS HOSPITAL ,56 FRANKLIN STREET ,,WATERBURY ,CT ,06706- ,NEW HAVEN ,5904541,,,1555331,,,.1535,1786320,736368,143,52338,17291,6323,39506,46.41,1370.52,,3892,3230,10983,,,,93,,673, 070017,01-OCT-15,30-SEP-16,As Submitted,MIDSTATE MEDICAL CENTER ,435 LEWIS AVENUE ,,MERIDEN ,CT ,06451- ,NEW HAVEN ,,,,778842,,,.1027,,,127,46482,14386,7290,34214,,844.15,,2832,1914,7667,,,,,,, 070018,01-OCT-15,30-SEP-16,Amended,GREENWICH HOSPITAL ,5 PERRYRIDGE ROAD ,07-0018 ,GREENWICH ,CT ,06830 ,FAIRFIELD ,2748995,,,,,,,714329,563573,184,67344,19876,1744,52573,24.04,1465.47,,3550,743,13077,210,,,,,, 070019,01-OCT-15,30-SEP-16,As Submitted,MILFORD HOSPITAL INC ,300 SEASIDE AVENUE ,,MILFORD ,CT ,06450 ,NEW HAVEN ,,,,,,,,,,106,38796,5130,998,11081,,554,,1203,264,2880,,,,,,, 070020,01-OCT-15,30-SEP-16,As Submitted,MIDDLESEX HOSPITAL ,28 CRESCENT STREET ,,MIDDLETOWN ,CT ,06457- ,MIDDLESEX ,1932770,,,522059,,,.0463,1240113,571342,209,76494,21323,5987,45289,25.35,1920.13,,4965,1476,10951,,,,352,,895, 070021,01-OCT-15,30-SEP-16,As Submitted,WINDHAM COMMUNITY MEMORIAL HOSPITAL ,112 MANSFIELD AVE ,,WILLIMANTIC ,CT ,06226 ,WINDHAM ,,,,182978,,,.091,,,79,28914,4588,1437,8528,,408.02,,1018,416,2207,,,,,,, 070022,01-OCT-15,30-SEP-16,As Submitted,YALE-NEW HAVEN HOSPITAL ,20 YORK STREET ,,NEW HAVEN ,CT ,06504 ,NEW HAVEN ,63544500,,,11154538,,,.1773,14959005,7665635,1276,467016,112716,84127,389885,746.21,10824.67,,19506,19667,69951,,,,,,3195,410 070024,01-OCT-15,30-SEP-16,As Submitted,THE WILLIAM W. BACKUS HOSPITAL ,326 WASHINGTON STREET ,,NORWICH ,CT ,06360 ,NEW LONDON ,,,,860207,,,.0937,,,165,60390,18851,7775,40749,,1434.4,,3726,2197,9886,,,,369,,721, 070025,01-OCT-15,30-SEP-16,As Submitted,HARTFORD HOSPITAL ,80 SEYMOUR STREET ,,HARTFORD ,CT ,06102- ,HARTFORD ,25816049,,,4684212,,,.1295,8589952,2527582,660,241560,72601,32879,204279,231.66,5232,,12635,8187,36814,,,,959,,2666, 070027,01-OCT-15,30-SEP-16,As Submitted,MANCHESTER MEMORIAL HOSPITAL ,71 HAYNES STREET ,,MANCHESTER ,CT ,06040- ,HARTFORD ,1815439,,,575340,,,.1135,893147,505799,140,51240,10468,6878,29379,26.87,1027.7,,2243,1911,8035,,,,674,,1408, 070028,01-OCT-15,30-SEP-16,As Submitted,ST. VINCENTS MEDICAL CENTER ,2800 MAIN STREET ,,BRIDGEPORT ,CT ,06606-4201 ,FAIRFIELD ,5832284,,,875606,,,.0633,1816643,776491,258,94428,27208,11190,68291,55.15,2135.41,,4780,2405,14098,,,,1420,23,2857,227 070029,01-OCT-15,30-SEP-16,As Submitted,BRISTOL HOSPITAL INC ,BREWSTER ROAD ,977 ,BRISTOL ,CT ,06111-0977 ,HARTFORD ,,,,358870,,,.0851,,,105,38430,8512,3665,20788,,774.38,9.41,2101,1701,5857,,,,456,,856, 070031,01-OCT-15,30-SEP-16,Amended,THE GRIFFIN HOSPITAL ,130 DIVISION STREET ,,DERBY ,CT ,06418- ,NEW HAVEN ,2837267,,,351276,,,.0675,839172,459155,101,36865,10437,4840,26595,28.74,962.41,,2273,1647,7000,,,,294,,596, 070033,01-OCT-15,30-SEP-16,As Submitted,DANBURY HOSPITAL ,24 HOSPITAL AVE ,,DANBURY ,CT ,06810-6099 ,FAIRFIELD ,8998533,,,1013197,,,.0481,2915693,1704339,376,137616,40234,11267,85717,100.37,2621.3,,8173,3443,18016,,,,201,29,517,286 070034,01-OCT-15,30-SEP-16,As Submitted,NORWALK HOSPITAL ,MAPLE ST ,,NORWALK ,CT ,06856- ,FAIRFIELD ,4391765,,,1080101,,,.0979,2534931,1393009,282,103212,22177,8089,49061,59.24,1628.5,22.26,4474,2459,11997,,,,235,,653, 070035,01-OCT-15,30-SEP-16,As Submitted,THE HOSPITAL OF CENTRAL CONNECTICUT ,100 GRAND STREET ,,NEW BRITAIN ,CT ,06050- ,HARTFORD ,3608099,,,1369229,,,.1298,1481114,736830,246,98072,20066,11341,53808,45.67,1668.73,,4212,,13062,,,,,,878, 070036,01-JUL-16,30-JUN-17,As Submitted,JOHN DEMPSEY HOSPITAL ,263 FARMINGTON AVENUE ,,FARMINGTON ,CT ,06030 ,HARTFORD ,15520888,,,1106522,,,.1465,3939323,3082769,158,57670,12931,6878,29913,224.02,1347.71,,2926,,8471,,,,,,769, 070038,01-OCT-15,30-SEP-16,As Submitted,THE CONNECTICUT HOSPICE INC. ,100 DOUBLE BEACH ROAD ,,BRANFORD ,CT ,06405 ,NEW HAVEN ,,,,689,,,.12,,,7,2562,56,669,2118,,67.36,,4,49,177,,,,,,, 070039,01-OCT-15,30-SEP-16,As Submitted,MASONICARE HEALTH CENTER ,22 MASONIC AVENUE ,70 ,WALLINGFORD ,CT ,06492 ,NEW HAVEN ,,,,,,,,,,30,10980,1119,,3458,,27.71,,283,,631,,,,,,863, 070040,01-OCT-15,30-SEP-16,As Submitted,HEBREW HOME & HOSPITAL ,ONE ABRAHAMS BLVD ,,WEST HARTFORD ,CT ,06117 ,HARTFORD ,,,,,,,,,,23,8418,596,11,1006,,17.61,,103,4,164,,,,27,,295, 072003,01-OCT-15,30-SEP-16,As Submitted,GAYLORD HOSPITAL ,400 GAYLORD FARMS ,,WALLINGFORD ,CT ,06492 ,NEW HAVEN ,,,,,,,,,,137,50142,15388,3558,39026,,585.77,,564,114,1379,,,,,,, 072004,01-APR-16,31-MAR-17,As Submitted,HOSPITAL FOR SPECIAL CARE ,2150 CORBIN AVENUE ,,NEW BRITAIN ,CT ,06053 ,HARTFORD ,,,,,,,,,,228,83220,5831,60329,74353,,834.42,6.54,218,284,721,,,,,,, 072006,01-JUL-16,30-JUN-17,As Submitted,DEPT. OF VETERANS AFFAIRS HOSP SERV ,287 WEST STREET ,351 ,ROCKY HILL ,CT ,06067 ,HARTFORD COUNTY ,,,,,,,,,,125,45625,92,25280,42002,,247,,4,32,84,,,,,,, 073025,01-OCT-15,30-SEP-16,As Submitted,MOUNT SINAI REHABILITATION HOSPTIAL ,490 BLUE HILLS AVENUE ,,HARTFORD ,CT ,06112- ,HARTFORD ,,,,,,,,,,60,21960,3974,1955,9485,,190.64,,313,148,738,2,,,,,, 073300,01-OCT-15,30-SEP-16,As Submitted,CONNECTICUT CHILDRENS MEDICAL CENTER ,282 WASHINGTON STREET ,,HARTFORD ,CT ,06106 ,HARTFORD ,,,,,,,,,2613,187,68442,121,25008,44704,88.16,1514,,11,3596,6416,,,,,,, 074003,01-JUL-16,30-JUN-17,As Submitted,CONNECTICUT VALLEY HOSPITAL ,EASTERN DRIVE ,351 ,MIDDLETOWN ,CT ,06457 ,MIDDLESEX ,,,,,,,,,,524,216194,5955,9553,197974,,1471,,271,22,3449,,,,,,, 074008,01-OCT-15,30-SEP-16,As Submitted,NATCHAUG HOSPITAL ,189 STORRS ROAD ,,MANSFIELD CENTER ,CT ,06250- ,TOLLAND ,,,,,,,,,,57,20862,3433,7953,18800,,431.21,,287,778,1992,,,,,,, 074011,01-JUL-16,30-JUN-17,As Submitted,CONNECTICUT MENTAL HEALTH CENTER ,34 PARK STREET ,351 ,NEW HAVEN ,CT ,06519 ,NEW HAVEN ,,,,,,,,,6950,32,11680,48,642,9309,16.68,233,,1,9,133,,,,,,, 074012,01-JUL-16,30-JUN-17,As Submitted,SOUTHWEST CT MENTAL HEALTH SYSTEM ,1635 CENTRAL AVENUE ,,BRIDGEPORT ,CT ,06610 ,FAIRFIELD ,,,,,,,,,,62,22630,745,513,22133,,462,,21,23,68,,,,,,, 074014,01-MAR-16,28-FEB-17,As Submitted,SILVER HILL HOSPITAL ,208 VALLEY ROAD ,,NEW CANAAN ,CT ,06840 ,FAIRFIELD ,,,,,,,,,,44,16060,1469,,11547,,256.25,,118,,1272,,,,,,, 080001,01-JUL-16,30-JUN-17,As Submitted,CHRISTIANA CARE HEALTH SYSTEM ,501 W. 14TH STREET ,,WILMINGTON ,DE ,19899 ,NEW CASTLE ,24688816,,,8163306,,,.1425,7695136,2934327,1063,380743,121774,72344,275576,257.56,9547.91,,21795,12183,51516,,,,413,58,957,631 080006,01-JUL-16,30-JUN-17,As Submitted,NANTICOKE MEMORIAL HOSPITAL ,801 MIDDLEFORD ROAD ,,SEAFORD ,DE ,19973 ,SUSSEX ,,,,832273,,,.1527,,,94,34310,10200,5688,18761,,723.01,,2541,1318,6222,,,,,,, 080007,01-JUL-16,30-JUN-17,As Submitted,BEEBE MEDICAL CENTER ,424 SAVANAH ROAD ,226 ,LEWES ,DE ,19958- ,SUSSEX ,,,,463722,,,.031,,,193,70445,31671,6521,50927,,1707.97,,6381,1377,11082,168,,,,,, 082000,01-AUG-16,31-JUL-17,As Submitted,SSH - WILMINGTON INC ,7TH AND CLAYTON STREETS 5TH FLOOR ,,WILMINGTON ,DE ,19805 ,NEWCASTLE ,,,,,,,,,,35,12775,7696,,9648,,101.47,,268,,335,4,,,,,, 083026,01-OCT-15,30-SEP-16,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,250 EAST HAMPDEN ROAD ,,MIDDLETOWN ,DE ,19709 ,NEW CASTLE ,,,,,,,,,,34,12444,8117,,11610,,103.25,,637,,838,54,,,,,, 083300,01-JAN-16,31-DEC-16,As Submitted,ALFRED I DUPONT HOSP FOR CHILDREN ,1600 ROCKLAND ROAD ,,WILMINGTON ,DE ,19899 ,NEW CASTLE ,,,,,,,,,2525,260,95160,197,14885,47325,86.88,1741.32,,29,2997,9690,,,,,,, 084001,01-JUL-16,30-JUN-17,As Submitted,DELAWARE PSYCHIATRIC CENTER ,1901 N. DUPONT HIGHWAY ,,NEW CASTLE ,DE ,19720 ,,,,,,,,,,,115,41975,4,,19382,,444.52,,2,,241,,,,,,, 084002,01-JAN-16,31-DEC-16,As Submitted,ROCKFORD ,100 ROCKFORD DRIVE ,,NEWARK ,DE ,19713 ,NEW CASTLE ,,,,,,,,,,118,43188,7949,,45944,,253.6,,616,,4719,,,,,,, 084003,01-JAN-16,31-DEC-16,As Submitted,MEADOW WOOD HOSPITAL ,575 SOUTH DUPONT HWY ,,NEW CASTLE ,DE ,19720-4606 ,NEW CASTLE ,,,,,,,,,,85,31110,9023,11916,31589,,206.8,,774,2051,4178,,,,,,, 084004,01-JAN-16,31-DEC-16,As Submitted,DOVER BEHAVIORAL HEALTH SYSTEM ,725 HORSEPOND ROAD ,,DOVER ,DE ,19901 ,KENT ,,,,,,,,,,80,29280,5530,,28638,,167.6,,489,,3239,,,,,,, 090001,01-JAN-16,31-DEC-16,As Submitted,GEORGE WASHINGTON UNIV HOSPITAL ,900 23RD STREET ,,WASHINGTON ,DC ,20037-2377 ,DC ,17610585,,,3215238,,,.2452,6185129,1589470,329,120171,29295,15648,103382,285.7,2140.92,,4686,2606,21958,,,,,,923,367 090004,01-JUL-16,30-JUN-17,As Submitted,GEORGETOWN UNIVERSITY HOSPITAL ,3800 RESERVOIR ROAD NW ,,WASHINGTON ,DC ,20007 ,DC ,20978451,,,2143854,,,.1298,6836448,2310427,383,139795,42813,10783,117058,287.8,3161.07,,5192,853,15498,1453,41,,95,,407, 090005,01-JUL-16,30-JUN-17,As Submitted,SIBLEY MEMORIAL HOSPITAL ,5255 LOUGHBORO ROAD NW ,,WASHINGTON ,DC ,20016-2695 ,DC ,419148,,,,,,,149270,82656,173,63080,15691,715,45929,6,1598.52,,3586,115,10261,137,33,,120,,627, 090008,01-OCT-15,30-SEP-16,As Submitted,NOT-FOR-PROFIT HOSPITAL CORPORATION ,1310 SOUTHERN AVE SE ,,WASHINGTON ,DC ,20032-4623 ,DC ,,,,1885739,,,.4367,,,196,71736,12489,10175,37015,,859.44,,2022,1620,6468,1464,29,,38,,247, 090011,01-JUL-16,30-JUN-17,As Submitted,WASHINGTON HOSPITAL CENTER ,110 IRVING STREET NW ,,WASHINGTON ,DC ,20010- ,DC ,37076563,,,9066864,,,.2152,12646713,4733000,706,257690,95746,36600,220754,341.95,5790.9,,13235,3304,31705,4329,327,,700,,1866, 092002,01-JAN-16,31-DEC-16,As Submitted,SPECIALTY HOSPITAL OF WASHINGTON ,700 CONSTITUTION AVENUE NE ,,WASHINGTON DC ,DC ,20002 ,DC ,,,,,,,,,,60,21960,9099,4766,17338,,233.19,,327,157,567,,,,,,, 092003,01-JAN-16,31-DEC-16,As Submitted,SPEC HOSPITAL WASHINGTON HADLEY ,4601 MARTIN LUTHER KING JR AVE ,,WASHINGTON DC ,DC ,20032 ,DC ,,,,,,,,,,82,29930,12040,4431,19304,,134.92,,467,173,726,,,,,,, 093025,01-JUL-16,30-JUN-17,As Submitted,NATIONAL REHABILITATION HOSPITAL ,102 IRVING STREET NW ,,WASHINGTON ,DC ,20010 ,DC ,,,,,,,,,13775,137,50005,11905,4145,36242,14.02,1042.21,,943,196,2173,185,,,,,, 094001,01-OCT-15,30-SEP-16,As Submitted,ST. ELIZABETHS HOSPITAL ,1100 ALABAMA AVE. SOUTHEAST ,DS ,WASHINGTON ,DC ,20032 ,DC ,,,,,,,,,17213,102,37230,281,3303,35021,24.07,548.94,,9,3303,3312,,,,,,, 094004,01-JAN-16,31-DEC-16,As Submitted,PSYCH INSTITUE OF WASHINGTON ,4228 WISCONSIN AVENUE NW ,,WASHINGTON ,DC ,20016 ,DC ,,,,,,,,,,124,45384,4313,947,27157,,215.02,,429,77,3511,,,,,,, 100001,01-JUL-16,30-JUN-17,As Submitted,SHANDS JACKSONVILLE MEDICAL CENTER ,655 WEST 8TH STREET ,,JACKSONVILLE ,FL ,32209- ,DUVAL ,13003014,,,4397661,,,.344,4317066,2898645,522,190250,34064,16698,148097,307.33,3098.33,30.48,5836,2240,28974,,,,,,, 100002,01-OCT-15,30-SEP-16,As Submitted,BETHESDA HOSPITAL INC ,2815 SOUTH SEACREST BLVD ,,BOYNTON BEACH ,FL ,33435 ,PALM BEACH ,1273291,,,2260061,,,.1594,645357,201572,395,144175,31854,13170,97885,21,2051,,6468,3169,22225,3982,,,,3,,966 100006,01-OCT-15,30-SEP-16,Amended,ORLANDO HEALTH ,1414 KUHL AVENUE ,,ORLANDO ,FL ,32806 ,ORANGE ,5166175,,,6878122,,,.2612,2435868,1121775,1422,520452,57351,29836,375997,227.71,10602,,10869,10490,84413,,,,,,4189,872 100007,01-JAN-16,31-DEC-16,Amended,FLORIDA HOSPITAL ,601 EAST ROLLINS STREET ,,ORLANDO ,FL ,32803 ,ORANGE ,7218082,,,11419969,,,.138,5343050,1163827,2546,931836,205318,44777,706953,162.15,18992.45,,34913,4958,136833,17444,,,87,31,1710,745 100008,01-OCT-15,30-SEP-16,Amended,BAPTIST HOSPITAL ,8900 NORTH KENDALL DRIVE ,,MIAMI ,FL ,33176 ,MIAMI-DADE ,,,,3816379,,,.2434,,,705,258030,42047,11582,187108,,4290.51,,6324,736,34688,4103,,,,3,,492 100009,01-JUN-16,31-MAY-17,As Submitted,UNIVERSITY OF MIAMI HOSPITAL ,1400 NW 12TH AVENUE ,,MIAMI ,FL ,33136- ,DADE ,5409404,,,4315748,,,.2938,2764260,519220,476,173740,41088,2382,116706,118.22,2137.54,,8218,403,21421,3228,,,,,, 100012,01-OCT-15,30-SEP-16,As Submitted,LEE MEMORIAL HOSPITAL ,2776 CLEVELAND AVENUE ,,FORT MYERS ,FL ,33901- ,LEE ,1866105,,,5325178,,,.1835,531989,195702,645,236070,60454,23660,184976,17.96,4875,,12525,1751,38682,6472,,,,50,,1457 100014,01-OCT-15,31-MAR-16,As Submitted,BERT FISH MEDICAL CENTER ,401 PALMETTO STREET ,,NEW SMYRNA BEACH ,FL ,32168- ,VOLUSIA ,,,,,,,,,,112,20496,4390,220,10445,,287.2,,982,51,2373,99,,,,,, 100014,01-APR-16,31-DEC-16,As Submitted,FLORIDA HOSPITAL NEW SMYRNA ,401 PALMETTO STREET ,,NEW SMYRNA BEACH ,FL ,32168- ,VOLUSIA ,,,,,,,,,,112,30800,6225,404,15415,,468.52,,1383,50,3420,,,,,,, 100017,01-OCT-15,30-SEP-16,Amended,HALIFAX MEDICAL CENTER ,HALIFAX MEDICAL CENTER ,,303 N CLYDE MORRIS BLVD ,FL ,32114 ,VOLUSIA ,1322639,,,1729816,,,.1561,896937,391651,405,145668,26168,7206,109641,28.67,3252.27,,4812,1062,20643,,,,,,1860,659 100018,01-OCT-15,30-SEP-16,As Submitted,NAPLES COMMUNITY HOSPITAL ,350 7TH STREET NORTH ,,NAPLES ,FL ,34102 ,COLLIER ,,,,1862062,,,.0683,,,570,208620,60515,13260,126011,,2526.82,,12806,2792,27178,3935,,,19,10,630,1095 100019,01-OCT-15,30-SEP-16,As Submitted,HOLMES REGL MEDICAL CENTER ,1350 SOUTH HICKORY STREET ,,MELBOURNE ,FL ,32901 ,BREVARD ,,,,1554780,,,.0647,,,514,188124,51539,6847,138593,,2175.28,,10230,2158,28249,3695,,,,,, 100022,01-OCT-15,30-SEP-16,As Submitted,JACKSON MEMORIAL ,1611 NW 12TH AVENUE ,,MIAMI ,FL ,33136 ,DADE ,15054685,,,8408468,,,.4363,11312961,1492314,1538,562908,53413,60735,394833,679.18,8377.22,,7024,10640,54088,,,,861,296,8462,810 100023,01-NOV-15,31-OCT-16,Amended,CITRUS MEMORIAL HOSPITAL ,502 HIGHLAND BLVD ,,INVERNESS ,FL ,32652 ,CITRUS ,,,,326924,,,.0342,,,204,74364,21485,1380,43397,,739.73,,5222,333,10328,857,,,,,, 100025,01-JUL-16,30-JUN-17,As Submitted,SACRED HEART HOSPITAL ,5151 NORTH 9TH AVENUE ,,PENSACOLA ,FL ,32504- ,ESCAMBIA ,1820452,,,3560817,,,.2481,393895,504325,566,196735,30212,10185,128714,54.99,3007.66,,6612,1738,30872,7283,,,,,, 100026,01-JAN-16,31-DEC-16,As Submitted,BAY COUNTY HEALTH SYSTEM LLC ,615 NORTH BONITA AVENUE ,,PANAMA CITY ,FL ,32401 ,BAY ,,,,1011534,,,.074,,,323,118218,28189,3215,78082,,1102.68,,6478,429,14099,,,,,,, 100028,01-OCT-15,30-SEP-16,As Submitted,PARRISH MEDICAL CENTER ,951 N. WASHINGTON AVE ,,TITUSVILLE ,FL ,32799 ,BREVARD ,,,,333303,,,.0614,,,210,76860,13950,1224,31986,,873.34,,2904,342,7330,1063,,,,,, 100029,01-JUN-16,31-MAY-17,As Submitted,NORTH SHORE MEDICAL CENTER AND FMC C ,1100 N.W. 95 ST ,,MIAMI ,FL ,33150-2098 ,DADE ,,,,3474178,,,.3627,,,760,277400,26272,13817,125248,,1567.7,,4894,1705,24948,6835,,,,,, 100030,01-OCT-15,30-SEP-16,Amended,HEALTH CENTRAL ,10000 W. COLONIAL DRIVE ,,OCOEE ,FL ,34761 ,ORANGE ,,,,665227,,,.1452,,,203,74298,13435,1336,47612,,1154.72,,2420,433,10768,2133,,,,,, 100032,01-OCT-15,30-SEP-16,As Submitted,BAYFRONT HEALTH ST. PETERSBURG ,701 SIXTH STREET SOUTH ,,ST PETERSBURG ,FL ,33701 ,PINELLAS ,1974059,,,1478477,,,.1874,1229674,163761,319,116754,19946,6150,84714,37.54,1480.6,,3542,3936,17146,,,,,22,,440 100034,01-JAN-16,31-DEC-16,As Submitted,MT. SINAI MEDICAL CENTER ,4300 ALTON ROAD ,,MIAMI BEACH ,FL ,33140 ,DADE ,8676611,,,2393243,,,.1706,5300540,1750592,471,172507,32307,5698,110641,148.47,3899.23,,5370,572,20122,,,,,,1774,915 100035,01-JAN-16,31-DEC-16,As Submitted,MANATEE MEMORIAL HOSPITAL ,206 SECOND STREET EAST ,,BRADENTON ,FL ,34208- ,MANATEE ,3389988,,,1544041,,,.1414,1679028,515590,295,107970,24244,7439,75332,44.96,1449.5,,4701,1586,16554,,,,,,, 100038,01-MAY-16,30-APR-17,As Submitted,MEMORIAL REGIONAL HOSPITAL ,3501 JOHNSON STREET ,,HOLLYWOOD ,FL ,33021 ,BROWARD ,461670,,,3877195,,,.3064,358939,158921,878,332345,32656,19984,201918,22.79,6917.6,,5241,2698,31678,,,,,,2522,2032 100039,01-JUL-16,30-JUN-17,As Submitted,BROWARD HEALTH MEDICAL CENTER ,1600 SOUTH ANDREWS AVENUE ,,FT. LAUDERDALE ,FL ,33316- ,BROWARD ,2145410,,,2852186,,,.3025,1918728,393750,548,200020,22826,18763,147273,113.3,2864.88,,3565,3089,24938,6131,633,,74,,2126, 100040,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENTS MEDICAL CENTER-RIVERSI ,1 SHIRCLIFF WAY ,,JACKSONVILLE ,FL ,32204 ,DUVAL ,2742813,,,1500651,,,.0702,1747534,743534,481,175565,40611,4544,112126,35.51,2141.27,,8601,629,24393,2241,,,,,, 100043,01-JAN-16,31-DEC-16,Amended,MEASE HOSPITAL AND CLINIC ,601 MAIN ST ,,DUNEDIN ,FL ,34698-5848 ,PINELLAS ,,,,270147,,,.0758,,,112,40992,11349,1962,32070,,581.45,,2233,201,7127,969,,,,,, 100044,01-OCT-15,30-SEP-16,As Submitted,MARTIN MEDICAL CENTER ,200 HOSPITAL AVENUE ,9010 ,STUART ,FL ,34995 ,MARTIN ,,,,872897,,,.0413,,,434,158410,50245,6386,116506,,3085.16,,10602,1169,24811,,,,,,, 100045,01-JAN-16,31-DEC-16,As Submitted,FH DELAND ,701 WEST PLYMOUTH AVENUE ,,DELAND ,FL ,32720-0509 ,,,,,499937,,,.098,,,146,53436,12180,1863,35407,,794.18,,2671,334,8763,1293,79,,12,,525, 100046,01-JAN-16,31-DEC-16,As Submitted,FLORIDA HOSPITAL ZEPHYRHILLS ,7050 GALL BOULEVARD ,,ZEPHYRHILLS ,FL ,33541 ,PASCO ,,,,264312,,,.0452,,,139,50874,12155,982,33491,,771.95,,2813,203,8303,908,,,,,, 100047,01-OCT-15,30-SEP-16,As Submitted,BAYFRONT HEALTH PUNTA GORDA ,809 EAST MARION AVENUE ,,PUNTA GORDA ,FL ,33950 ,CHARLOTTE ,,,,,,,,,,124,45260,9119,456,17716,,356.05,,1668,201,3464,,,,,,1460, 100048,01-OCT-15,30-SEP-16,As Submitted,JAY HOSPITAL ,14114 ALABAMA ST ,,JAY ,FL ,32565 ,SANTA ROSA ,,,,16157,,,.044,,,21,7686,2115,62,3071,,97.4,,331,22,560,36,,,,,, 100049,01-OCT-15,30-SEP-16,As Submitted,HIGHLANDS REGIONAL MEDICAL CENTER ,3600 S. HIGHLANDS AVENUE ,2066 ,SEBRING ,FL ,33870 ,HIGHLANDS ,,,,351077,,,.1269,,,126,46116,6577,1385,13791,,300.34,,1606,721,3573,,,,,,, 100050,01-FEB-16,31-DEC-16,As Submitted,LARKIN COMMUNITY HOSPITAL PALM SPRIN ,1475 W 75TH STREET ,,HIALEAH ,FL ,33012 ,MIAMI-DADE ,208930,,,1432805,,,.4513,311303,77463,199,66665,10714,177,22895,5.77,561.36,,2040,28,4886,397,,,,,, 100051,01-OCT-15,30-SEP-16,Amended,SOUTH LAKE HOSPITAL ,1900 DON WICKHAM DRIVE ,,CLERMONT ,FL ,34711 ,LAKE ,,,,351377,,,.0647,,,140,51240,14073,1135,39044,,1107,,2940,324,9701,1325,,,,,, 100052,01-JAN-16,31-DEC-16,As Submitted,WINTER HAVEN HOSPITAL ,200 AVE F NE ,,WINTER HAVEN ,FL ,33881- ,POLK ,,,,1383704,,,.127,,,505,184830,27991,5038,84163,,2032.64,,5999,660,18656,2298,,,,15,,302 100053,01-JUN-16,31-MAY-17,As Submitted,HIALEAH HOSPITAL ,651 EAST 25TH STREET ,,HIALEAH ,FL ,33013 ,DADE ,,,,2190674,,,.5243,,,348,127020,10423,4966,56202,,701.9,,2380,745,14092,3173,,,,,, 100054,01-JUN-16,31-MAY-17,As Submitted,TWIN CITIES HOSPITAL ,2190 HIGHWAY 85 NORTH ,,NICEVILLE ,FL ,32578- ,OKALOOSA ,,,,,,,,,,65,23725,3907,175,6280,,168.44,,1127,48,1902,80,,,,,, 100055,01-JAN-16,31-DEC-16,As Submitted,FLORIDA HOSPITAL - NORTH PINELLAS ,1395 S. PINELLAS AVENUE ,,TARPON SPRINGS ,FL ,34689 ,PINELLAS ,,,,139299,,,.0415,,,136,49776,7080,491,20076,,566.07,,1734,100,5129,,,,,,, 100057,01-JAN-16,31-DEC-16,As Submitted,FLORIDA HOSPTIAL WATERMAN ,1000 WATERMAN WAY ,,TAVARES ,FL ,32778- ,LAKE ,,,,518716,,,.0385,,,269,98454,30913,2212,65164,,1410.88,,6498,397,14246,,,,,,, 100062,01-OCT-15,30-SEP-16,As Submitted,MUNROE REGIONAL HEALTH SYSTEM INC. ,1500 SW 1ST AVE ,6000 ,OCALA ,FL ,34474 ,MARION ,,,,1475369,,,.0978,,,401,146766,36360,6775,93953,,1584.32,,6922,841,21107,2554,,,,,, 100063,01-JAN-16,31-DEC-16,As Submitted,MORTON PLANT NORTH BAY HOSPITAL ,6600 MADISON STREET ,,NEW PORT RICHEY ,FL ,34652-1971 ,PASCO ,,,,918804,,,.189,,,192,69754,14387,4210,54539,,826,,3044,584,12200,2333,,,,3,,434 100067,01-JAN-16,31-DEC-16,Amended,ST. ANTHONYS HOSPITAL ,1200 7TH AVENUE NORTH ,,ST. PETERSBURG ,FL ,33705- ,PINELLAS ,,,,909269,,,.0721,,,322,117852,33107,1088,80754,,1704.87,,6800,493,18002,1848,452,,107,,2105, 100068,01-JAN-16,31-DEC-16,As Submitted,FLORIDA HOSPITAL MEMORIAL MEDICAL CE ,301 MEMORIAL MEDICAL PARKWAY ,,DAYTONA ,FL ,32117- ,VOLUSIA ,,,,847841,,,.0679,,,310,110148,28085,2662,73695,,1769.23,,5517,471,14499,,,,,42,,742 100069,01-JAN-16,31-DEC-16,As Submitted,FLORIDA HOSPITAL-CARROLLWOOD ,7171 NORTH DALE MABRY HIGHWAY ,,TAMPA ,FL ,33614 ,HILLSBOROUGH ,90403,,,354193,,,.1058,46576,14581,120,43920,5165,536,18641,,577.58,,1239,140,5196,,,,,,, 100070,01-JAN-16,31-DEC-16,As Submitted,VENICE REGIONAL MEDICAL CENTER ,540 THE RIALTO ,,VENICE ,FL ,34285 ,SARASOTA ,,,,,,,,,,229,83814,19892,1284,33608,,822.4,,4772,252,8372,,,,,,, 100071,01-OCT-15,30-SEP-16,As Submitted,BROOKSVILLE REGIONAL HOSPTAL ,17240 CORTEZ BLVD ,P.O. BOX 37 ,BROOKSVILLE ,FL ,34601 ,HERNANDO ,,,,751790,,,.178,,,244,89304,11565,5624,42259,,712.06,,2474,138,10402,2348,,,,,, 100072,01-JAN-16,31-DEC-16,As Submitted,FLORIDA HOSPITAL FISH MEMORIAL ,1055 SAXON BLVD ,,ORANGE CITY ,FL ,32673 ,VOLUSIA ,,,,190034,,,.0302,,,175,50874,15927,986,44532,,770.15,,3281,193,9695,664,,,,,, 100073,01-JUL-16,30-JUN-17,As Submitted,HOLY CROSS HOSPITAL ,4725 NORTH FEDERAL HIGHWAY ,,FORT LAUDERDALE ,FL ,33308 ,BROWARD ,4105840,,,,,,,1476437,1057858,310,113150,25849,1787,63999,41.37,2289.45,,6085,254,15085,,,,,,,813 100075,01-JAN-16,31-DEC-16,As Submitted,ST. JOSEPHS HOSPITAL ,3001 W. MARTIN LUTHER KING JR. BLVD. ,,TAMPA ,FL ,33607-4227 ,HILLSBOROUGH ,,,,6610321,,,.2742,,,1030,368604,60737,30432,280553,,5560.8,,12382,1906,58769,13136,,,,,, 100077,01-JAN-16,31-DEC-16,As Submitted,PEACE RIVER REGIONAL MEDICAL CENTER ,2500 HARBOR BLVD ,,PORT CHARLOTTE ,FL ,33952 ,CHARLOTTE ,,,,506650,,,.0576,,,254,92964,24107,2753,51049,,736.87,,4194,234,10283,1134,,,,,, 100079,01-JUN-16,31-MAY-17,As Submitted,UNIVERSITY OF MIAMI HOSP & CLINICS ,1475 N.W. 12TH AVENUE ,,MIAMI ,FL ,33136- ,MIAMI-DADE ,,,,,,,,,95562,40,14600,1693,156,11062,47.25,1305.4,,166,16,1080,165,,,,,, 100080,01-JUL-16,30-JUN-17,As Submitted,JFK MEDICAL CENTER ,5301 SOUTH CONGRESS AVENUE ,,ATLANTIS ,FL ,33462- ,PALM BEACH ,4621915,,,2568394,,,.1119,1899143,436513,623,223559,46871,9664,152062,73.1,2243.83,,10052,1161,32620,,,,385,,5919, 100081,01-OCT-15,30-SEP-16,As Submitted,HEALTHMARK REGIONAL MED CTR ,4413 HIGHWAY 331 SOUTH ,,DEFUNIAK SPRINGS ,FL ,32433 ,WALTON ,,,,55344,,,.12,,,50,18300,1731,458,2461,,111.19,,369,98,581,,,,,,, 100084,01-JUL-16,30-JUN-17,As Submitted,LEESBURG REGIONAL MEDICAL CENTER ,600 E DIXIE AVENUE ,,LEESBURG ,FL ,34748 ,,,,,674492,,,.0461,,,308,112420,35782,2551,77694,,1420.2,,6245,492,13774,1450,,,,,, 100086,01-JUL-16,30-JUN-17,As Submitted,BROWARD HEALTH NORTH ,201 EAST SAMPLE ROAD ,,POMPANO BEACH ,FL ,33064 ,BROWARD ,,,,645886,,,.0944,,,304,110960,15965,4072,69999,,1238.23,,3138,501,13812,1196,,,,41,,566 100087,01-OCT-15,30-SEP-16,As Submitted,SARASOTA MEMORIAL HOSPITAL ,1700 S. TAMIAMI TRAIL ,,SARASOTA ,FL ,34239-3509 ,SARASOTA ,,,,3875439,,,.1177,,,667,242352,59249,7311,137299,,3854.13,,12794,888,29629,4450,230,,66,11,1538,796 100088,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEDICAL CENTER ,800 PRUDENTIAL DRIVE ,,JACKSONVILLE ,FL ,32207 ,DUVAL ,2316823,,,4834676,,,.167,690730,216297,879,321714,72326,17348,250603,81.5,5989.8,,12801,2226,52335,5496,,,146,,2529, 100090,01-OCT-15,30-SEP-16,As Submitted,FLAGLER HOSPITAL ,400 HEALTH PARK BLVD ,,ST AUGUSTINE ,FL ,32086 ,ST JOHNS ,,,,1182685,,,.0966,,,335,122613,28285,3127,65678,,1573.3,,5971,593,14106,,,,,,, 100092,01-OCT-15,30-SEP-16,As Submitted,WUESTOFF MEDICAL CENTER - ROCKLEDGE ,110 LONGWOOD AVENUE ,,ROCKLEDGE ,FL ,32955 ,BREVARD ,,,,655278,,,.0916,,,274,100284,19413,437,49565,,829.83,,3693,1552,9873,,,,363,,1484, 100093,01-OCT-15,30-SEP-16,As Submitted,BAPTIST HOSPITAL ,1000 WEST MORENO STREET ,,PENSACOLA ,FL ,32501-2316 ,ESCAMBIA ,,,,1757440,,,.1395,,,271,99186,25800,3880,71663,,1591.73,,5474,579,16571,2457,646,,206,,3371, 100099,01-JAN-16,31-DEC-16,As Submitted,LAKE WALES MEDICAL CENTER ,410 SOUTH 11TH STREET ,,LAKE WALES ,FL ,33853 ,POLK ,,,,113463,,,.0515,,,142,51972,6593,536,18268,,376.8,,1452,418,4100,,,,4,,322, 100102,01-JUL-16,30-JUN-17,As Submitted,SHANDS LAKE SHORE ,368 NE FRANKLIN STREET ,,LAKE CITY ,FL ,32056 ,COLUMBIA ,,,,177722,,,.12,,,99,36135,4841,916,13061,,273.22,,919,908,2908,,,,,,, 100105,01-OCT-15,30-SEP-16,As Submitted,INDIAN RIVER MEMORIAL HOSPITA.L ,1000 36TH STREET ,,VERO BEACH ,FL ,32960 ,INDIAN RIVER COUNTY ,,,,682964,,,.0477,,,310,113460,28970,3179,54071,,1301.97,,6451,906,12616,,,,28,,833, 100106,01-JUN-16,31-MAY-17,As Submitted,DOCTORS MEMORIAL ,333 BYRON BUTLER PARKWAY ,,PERRY ,FL ,32347 ,TAYLOR ,,,,28166,,,.0526,,,48,17520,1184,61,2384,,187.27,,408,22,872,100,,,,,, 100107,01-JAN-16,31-JAN-16,As Submitted,LEHIGH REGIONAL ,1500 LEE BOULEVARD ,,LEHIGH ACRES ,FL ,33936 ,LEE ,,,,16151,,,.12,,,76,2356,390,211,1125,,23.75,,83,35,216,,,,,,, 100107,01-FEB-16,31-DEC-16,As Submitted,LEHIGH REGIONAL MEDICAL CENTER ,1500 LEE BOULEVARD ,,LEHIGH ACRES ,FL ,33936 ,LEE ,,,,197796,,,.1145,,,78,26052,4006,275,10557,,243.36,,963,87,2873,364,,,,,, 100109,01-JAN-16,31-DEC-16,As Submitted,FLORIDA HOSPITAL HEARTLAND ,4200 SUN N LAKE BLVD ,,SEBRING ,FL ,33872- ,HIGHLANDS ,,,,704247,,,.0715,,,180,65880,24877,1897,47875,,1321.87,,5031,393,9574,,,,,,1380, 100110,01-JAN-16,31-DEC-16,As Submitted,OSCEOLA REGIONAL MEDICAL CENTER ,700 WEST OAK STREET ,,KISSIMMEE ,FL ,32742 ,OSCEOLA ,2585127,,,1633648,,,.1789,1279457,218156,307,109758,23661,5594,99488,38.25,1325.19,,4304,1263,22009,5112,252,,91,,1560, 100113,01-JUL-16,30-JUN-17,As Submitted,UF HEALTH SHANDS ,1600 ARCHER RD ,100336 ,GAINESVILLE ,FL ,32610 ,ALACHUA ,35044011,,,7540614,,,.2367,13045578,4262654,742,277500,67785,15150,255296,605.4,6310.4,,11002,2319,45446,,,,118,33,3575,1011 100117,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEDICAL CENTER-BEACHES ,1350 THIRTEENTH AVENUE SOUTH ,,JACKSONVILLE BEACH ,FL ,32250 ,DUVAL ,,,,220952,,,.0422,,,136,49776,13339,690,31297,,687.72,,2928,184,7783,,,,,,, 100118,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL FLAGLER ,60 MEMORIAL MEDICAL PARKWAY ,,PALM COAST ,FL ,32614 ,FLAGLER ,,,,,,,,,,99,36234,14700,588,33445,,739.03,,3458,116,7885,,,,,,, 100121,01-OCT-15,31-DEC-15,As Submitted,BARTOW REGIONAL MEDICAL CENTER ,2200 OSPREY BLVD ,1050 ,BARTOW ,FL ,33831 ,POLK ,,,,27626,,,.0925,,,72,6624,828,493,3005,,73.43,,179,97,695,,,,,,, 100121,01-JAN-16,31-DEC-16,As Submitted,BARTOW REGIONAL MEDICAL CENTER ,2200 OSPREY BLVD ,1050 ,BARTOW ,FL ,33831 ,POLK ,,,,81133,,,.0632,,,72,26352,3459,471,11606,,306,,836,134,2970,253,,,,,, 100122,01-APR-16,31-MAR-17,As Submitted,NORTH OKALOOSA MEDICAL CENTER ,151 REDSTONE AVENUE ,,CRESTVIW ,FL ,32536 ,OKALOOSA ,,,,362437,,,.0852,,,110,40150,10280,989,19958,,456.07,,2344,767,5149,,,,,,, 100124,01-JUN-16,31-MAY-17,As Submitted,SANTA ROSA MEDICAL CENTER ,6002 BERRYHILL ROAD ,,MILTON ,FL ,32570 ,SANTA ROSA ,,,,267043,,,.1305,,,121,44165,5948,953,14118,,321.94,,676,681,3679,,,,,,, 100125,01-OCT-15,30-SEP-16,Amended,HOMESTEAD HOSPITAL ,975 BAPTIST WAY ,,HOMESTEAD ,FL ,33033 ,MIAMI-DADE ,,,,1318583,,,.4468,,,142,51972,5829,6335,41079,,1137.13,,1511,498,12412,2936,,,,,, 100126,01-OCT-15,30-SEP-16,As Submitted,PALMS OF PASADENA HOSPITAL ,1501 PASADENA AVE S ,,ST PETERSBURG ,FL ,33707 ,PINELLAS ,,,,,,,,,,167,61122,13642,587,28861,,413.77,,2312,78,4943,,,,,1,,479 100127,01-JAN-16,31-DEC-16,As Submitted,MORTON PLANT HOSPITAL ,300 PINELLAS ST ,,CLEARWATER ,FL ,33756-3804 ,PINELLAS ,1965168,,,1237619,,,.0613,829892,211243,476,174216,41448,7850,119047,23.65,2376.69,,8950,792,25829,2126,,,,,, 100128,01-OCT-15,30-SEP-16,Amended,TAMPA GENERAL HOSPITAL ,1 TAMPA GENERAL CIRCLE ,,TAMPA ,FL ,33606-3508 ,HILLSBOROUGH ,12645832,,,6828105,,,.2541,4965884,960041,913,334158,68587,26353,275564,288.15,6534,,10009,5048,43714,,,,,,,1037 100130,01-OCT-15,30-SEP-16,As Submitted,LAKESIDE MEDICAL CENTER ,39200 HOOKER HIGHWAY ,,BELLE GLADE ,FL ,33430 ,PALM BEACH ,245342,,,77451,,,.12,302860,93075,54,19764,1857,1137,9270,13.96,259.8,,360,226,1993,709,,,,,, 100131,01-JAN-16,31-DEC-16,As Submitted,AVENTURA HOSPITAL AND MED CTR ,2801 NE 209TH ST AT BISCAYNE BLVD ,,MIAMI ,FL ,33180- ,DADE ,4110065,,,1542791,,,.1206,2196949,316795,351,128466,30732,5395,97877,48.72,1408.7,,6005,656,20616,,108,,142,,2694, 100132,01-JAN-16,31-DEC-16,As Submitted,SOUTH FLORIDA BAPTIST HOSPITAL ,301 N. ALEXANDER STREET ,,PLANT CITY ,FL ,33564- ,HILLSBOROUGH ,,,,467314,,,.1453,,,147,53802,7554,2454,28469,,661.36,,1808,418,7451,936,,,,,, 100134,01-OCT-15,30-SEP-16,As Submitted,ED FRASER MEMORIAL HOSPITAL ,159 NORTH 3RD STREET` ,,MACCLENNY ,FL ,32063 ,BAKER ,,,,5454,,,.012,,,21,7686,324,5,488,,199.9,,132,3,205,9,,,,,, 100135,01-OCT-15,30-SEP-16,As Submitted,TALLAHASSEE MEMORIAL HOSPITAL ,MAGNOLIA DRIVE & MICCOSUKEE ROAD ,,TALLAHASSEE ,FL ,32308- ,LEON ,4281829,,,2363173,,,.1654,1451196,496443,389,142374,29208,6126,120597,66.63,3184.43,,6524,1596,29144,,,,53,,1762, 100137,01-JUL-16,30-JUN-17,As Submitted,HEART OF FLORIDA REGIONAL MEDICAL CE ,40100 US HIGHWAY 27 ,,DAVENPORT ,FL ,33837 ,POLK ,,,,615426,,,.1271,,,193,70445,11118,2743,35920,,697.06,,2574,1575,9335,,,,,,, 100140,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEDICAL CTR-NASSAU ,1250 SOUTH 18TH STREET ,,FERNANDINA BEACH ,FL ,32034 ,NASSAU ,,,,205828,,,.0883,,,54,19764,6138,650,14587,,427.79,,1373,217,4492,,,,,,, 100142,01-OCT-15,30-SEP-16,As Submitted,JACKSON HOSPITAL MARIANNA ,4250 HOSPITAL DRIVE ,,MARIANNA ,FL ,32466 ,JACKSON ,,,,226588,,,.12,,,66,24156,6861,880,14153,,424.79,,1309,113,2837,813,,,,,, 100150,01-OCT-15,30-SEP-16,As Submitted,LOWER KEYS MEDICAL CENTER ,5900 COLLEGE ROAD ,,KEY WEST ,FL ,33040 ,MONROE ,,,,155446,,,.0799,,,99,36234,5178,2073,13737,,316.64,,1157,503,3483,,,,108,,593, 100151,01-JAN-16,31-DEC-16,As Submitted,MAYO CLINIC FLORIDA ,4500 SAN PABLO ROAD ,,JACKSONVILLE ,FL ,32224 ,DUVAL ,8817787,,,,,,,2721537,919159,259,94054,27710,296,62777,135.28,1331.63,,5616,46,12504,,,,,,, 100154,01-OCT-15,30-SEP-16,Amended,SOUTH MIAMI HOSPITAL ,6200 SW 73RD STREET ,,MIAMI ,FL ,33143 ,DADE ,187279,,,1946692,,,.275,103465,67708,453,165798,16756,14653,86565,2.25,2322.36,,2987,603,18625,3662,,,,,, 100156,01-NOV-15,31-OCT-16,As Submitted,LAKE CITY MEDICAL CENTER ,1050 N. COMMERCE BLVD ,,LAKE CITY ,FL ,32055- ,COLUMBIA ,,,,147823,,,.0343,,,91,28890,12129,456,19854,,312.03,,2781,101,4843,,,,,,, 100157,01-OCT-15,30-SEP-16,As Submitted,LAKELAND REGIONAL MED CTR ,1324 LAKELAND HILLS BLVD ,,LAKELAND ,FL ,33805- ,POLK ,,,,2727980,,,.1177,,,731,267546,56834,10917,177928,,3986.71,,12021,1489,38009,5260,,,,,2686,400 100161,01-JUN-16,31-MAY-17,As Submitted,CENTRAL FLORIDA REGIONAL HOSPITAL ,1401 W. SEMINOLE BLVD ,,SANFORD ,FL ,32771 ,SEMINOLE ,,,,608314,,,.0903,,,208,75920,15421,2107,50048,,827.66,,3227,324,11092,1533,,,,8,,307 100166,01-JAN-16,31-DEC-16,As Submitted,DOCTORS HOSPITAL OF SARASOTA ,5731 BEE RIDGE RD ,,SARASOTA ,FL ,34233- ,SARASOTA ,,,,,,,,,,139,50874,14614,368,27648,,463.85,,3913,76,7172,173,,,1,,506, 100168,01-JUL-16,30-JUN-17,As Submitted,BOCA RATON REGIONAL HOSPITAL ,800 MEADOWS ROAD ,,BOCA RATON ,FL ,33486 ,PALM BEACH ,7320461,,,,,,,1859814,1961640,365,133225,45565,765,87492,57.24,601.41,,9568,73,19002,27,,,,,, 100173,01-JAN-16,31-DEC-16,As Submitted,FLORIDA HOSPITAL TAMPA ,3100 E FLETCHER AVE ,,TAMPA ,FL ,33613- ,HILLSBOROUGH ,19433,,,1608687,,,.1298,9935,2577,486,172264,30335,5074,117513,6.45,2546.8,,5335,706,22557,,,,,,,646 100175,01-OCT-15,30-SEP-16,As Submitted,DESOTO MEMORIAL HOSPITAL ,900 NORTH ROBERT ROAD ,,ARCADIA ,FL ,34266 ,DESOTO ,,,,64596,,,.12,,,49,17934,1307,1568,3714,,215.94,,413,165,1146,,,,,,, 100176,01-JAN-16,31-DEC-16,As Submitted,PALM BEACH GARDENS ,3360 BURNS ROAD ,,PALM BEACH GARDENS ,FL ,33410 ,PALM BEACH ,,,,,,,,,,199,72834,22205,1214,47411,,668,,4254,134,9768,415,,,,,, 100177,01-OCT-15,30-SEP-16,As Submitted,CAPE CANAVERAL HOSPITAL INC ,701 WEST COCOA BEACH CAUSEWAY ,PO BOX 320069 ,COCOA BEACH ,FL ,32933 ,BREVARD ,,,,237020,,,.0478,,,150,54900,11786,1255,30555,,549.55,,2703,460,7103,877,,,,,, 100179,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL OF JACKSONVILLE ,3625 UNIVERSITY BLVD SOUTH ,16325 ,JACKSONVILLE ,FL ,32216- ,DUVAL ,79431,,,2024380,,,.1521,31604,8535,377,137982,31081,3892,95432,1.47,1387.96,,6281,839,20591,,,,17,,1689, 100180,01-MAY-16,30-APR-17,As Submitted,ST. PETERSBURG GENERAL ,6500 38TH AVENUE ,,SAINT PETERSBURG ,FL ,33710 ,PINELLAS ,1213563,,,414904,,,.1403,1190557,355205,168,57255,8583,1216,26251,35.65,470.99,,1557,208,5539,,,,,,, 100181,01-JAN-16,31-DEC-16,As Submitted,LARKIN COMMUNITY HOSPITAL ,7031 SW 62ND AVENUE ,,MIAMI ,FL ,33143 ,MIAMI-DADE ,11537778,,,1694179,,,.4513,6988889,3717539,119,43554,12245,512,29272,271.75,656.11,,2125,104,5524,1047,,,,,, 100183,01-JAN-16,31-DEC-16,As Submitted,CORAL GABLES HOSPITAL ,3100 DOUGLAS ROAD ,,CORAL GABLES ,FL ,33134 ,DADE ,,,,1544969,,,.3793,,,245,89670,12111,1732,35272,,521.5,,2429,216,8395,825,,,,,, 100187,01-JAN-16,31-DEC-16,As Submitted,PALMETTO GENERAL HOSPITAL ,2001 W. 68TH STREET ,,HIALEAH ,FL ,33016 ,DADE ,1894093,,,2759561,,,.4317,2551482,594658,364,133224,15462,7458,88210,89.73,1319,,3165,689,19857,4139,,,,,, 100189,01-JAN-16,31-DEC-16,As Submitted,NORTHWEST MEDICAL CENTER ,2801 NORTH STATE ROAD 7 ,639002 ,MARGATE ,FL ,33063- ,BROWARD ,330463,,,1030410,,,.1576,164930,28191,228,83258,15141,3816,67693,5.77,908.6,,3373,833,16402,,,,,,, 100191,01-JUL-16,30-JUN-17,As Submitted,MEDICAL CENTER OF TRINITY ,9330 SR 54 ,,TRINITY ,FL ,34655 ,PASCO ,,,,670891,,,.0773,,,242,88330,22644,1796,63760,,1039.86,,4494,576,13714,2889,,,69,,2736, 100200,01-JUL-16,30-JUN-17,As Submitted,BROWARD HEALTH IMPERIAL POINT ,6401 N FEDERAL HIGHWAY ,,FT. LAUDERDALE ,FL ,33308- ,BROWARD ,,,,197173,,,.0712,,,129,47085,6673,1171,26764,,652.91,,1412,152,6114,497,450,,35,,2076, 100204,01-MAR-16,28-FEB-17,As Submitted,NORTH FLORIDA REG MED CNTR ,6500 NEWBERRY ROAD ,,GAINESVILLE ,FL ,32605- ,ALACHUA ,3285388,,,2296621,,,.0904,933341,244681,379,138335,51138,3465,108273,21.92,1492.83,,11946,565,25885,,,,49,,1317, 100206,01-NOV-15,31-OCT-16,As Submitted,MEMORIAL HOSPITAL OF TAMPA ,2901 SWANN AVENUE ,,TAMPA ,FL ,33609 ,HILLSBOURGH ,,,,98726,,,.0412,,,147,53802,6919,328,16842,,346.51,,1415,63,3862,236,260,,68,,1607, 100209,01-JAN-16,31-DEC-16,As Submitted,KENDALL REGIONAL MEDICAL CENTER ,11750 BIRD ROAD ,,MIAMI ,FL ,33175- ,DADE ,2320170,,,3172108,,,.4088,1824049,156359,394,144204,18003,8952,111195,51.9,1594.35,,3358,1085,22539,,,,81,,1515, 100211,01-OCT-15,30-SEP-16,As Submitted,PASCO REGIONAL MEDICAL CENTER ,13100 FORT KING ROAD ,,DADE CITY ,FL ,33525 ,PASCO ,,,,84422,,,.0647,,,120,43920,2859,373,9220,,248.83,,710,57,2307,,,,,,, 100213,01-MAY-16,30-APR-17,As Submitted,BLAKE MEDICAL CENTER ,2020 59TH STREET ,,BRADENTON ,FL ,34209 ,MANATEE ,1187121,,,,,,,,,355,120822,30101,3517,68926,12.61,980.73,,6702,797,15755,596,,,,,,539 100217,01-OCT-15,30-SEP-16,As Submitted,SEBASTIAN RIVER MEDICAL CENTER ,13695 US HIGHWAY 1 ,,SEBASTIAN ,FL ,32958 ,INDIAN RIVER ,,,,,,,,,,121,44286,12166,1595,23659,,452.75,,2458,316,5062,,,,,,, 100220,01-OCT-15,30-SEP-16,As Submitted,GULF COAST MEDICAL CENTER ,13681 DOCTORS WAY ,,FORT MYERS ,FL ,33912- ,LEE ,,,,1693789,,,.0826,,,349,127739,45973,8621,99878,,2190,,9345,1952,23341,,,,,,, 100223,01-JUN-16,31-MAY-17,As Submitted,FORT WALTON BEACH MEDICAL CTR ,1000 MAR-WALT DRIVE ,,FORT WALTON BEACH ,FL ,32547 ,OKALOOSA ,,,,1189562,,,.1179,,,189,68985,21874,3279,50061,,686.86,,4606,764,10945,,,,,,2015,404 100224,01-MAY-16,30-APR-17,As Submitted,UNIVERSITY HOSPITAL ,7201 UNIVERSITY DRIVE ,,TAMARAC ,FL ,33321- ,BROWARD ,492834,,,166736,,,.0341,762325,89226,245,89790,13639,1305,36926,13.46,544.2,,2800,250,8705,,,,100,,3791, 100226,01-JUL-16,30-JUN-17,As Submitted,ORANGE PARK MEDICAL CENTER ,2001 KINGSLEY AVENUE ,,ORANGE PARK ,FL ,32073- ,CLAY ,4781927,,,1978562,,,.1617,1654473,364975,273,99645,27731,3715,79906,49.1,1652.51,,5788,736,17589,,,,11,2,1651,294 100228,01-FEB-16,31-JAN-17,As Submitted,WESTSIDE REGIONAL MEDICAL CENTER ,8201 WEST BROWARD BOULEVARD ,,PLANTATION ,FL ,33324- ,BROWARD ,424797,,,253016,,,.0337,296148,42006,224,81984,18827,2349,65661,6.34,824.57,,3652,379,14475,,,,,,, 100230,01-MAY-16,30-APR-17,As Submitted,MEMORIAL HOSPITAL PEMBROKE ,7800 SHERIDAN STREET ,,PEMBROKE PINES ,FL ,33024 ,BROWARD ,23821,,,473345,,,.1658,24515,11673,269,108068,7068,1894,32954,1.03,865.7,,1433,391,7379,,,,,,, 100231,01-JUN-16,31-MAY-17,As Submitted,WEST FLORIDA HOSPITAL ,8232 NORTH DAVIS HWY ,,PENSACOLA ,FL ,32523- ,ESCAMBIA ,,,,529269,,,.0426,,,400,146000,27966,1375,54803,,948.57,,6791,208,13584,,,,101,84,2831,784 100236,01-JAN-16,31-DEC-16,As Submitted,FAWCETT MEMORIAL HOSPITAL ,21298 OLEAN BLVD ,,PORT CHARLOTTE ,FL ,33952 ,CHARLOTTE ,,,,,,,,,,217,79422,32263,1281,57344,,734.55,,6285,185,11350,397,,,,,,449 100238,01-OCT-15,30-SEP-16,As Submitted,NORTHSIDE HOSPITAL ,6000 49TH STREET NORTH ,,ST PETERSBURG ,FL ,33709 ,PINELLAS ,2189899,,,611345,,,.0733,1259946,217908,229,83752,19742,2213,53292,36.14,753.11,,3743,248,10298,691,,,,,, 100240,01-JUN-16,31-MAY-17,As Submitted,ANNE BATES LEACH EYE HOSPITAL ,900 NW 17TH STREET ,,MIAMI ,FL ,33136- ,MIAMI-DADE ,19461,,,,,,,4635,92980,56,20440,64,,189,22.15,566.02,,21,,59,3,,,,,, 100242,01-FEB-16,31-JAN-17,As Submitted,GULF COAST REGIONAL MED CTR ,449 WEST 23RD STREET ,,PANAMA CITY ,FL ,32404 ,,,,,1719785,,,.1998,,,216,79056,18880,3250,54156,,783.15,,4216,504,12378,,,,,,, 100243,01-JAN-16,31-DEC-16,Amended,BRANDON REGIONAL HOSPITAL ,119 OAKFIELD DRIVE ,,BRANDON ,FL ,33511 ,HILLSBOROUGH ,2099789,,,1824487,,,.1612,1075820,172441,397,136832,25785,4700,97060,33.07,1494.39,,5572,1051,22733,5211,,,,,1732, 100244,01-OCT-15,30-SEP-16,As Submitted,CAPE CORAL HOSPITAL ,636 DEL PRADO BLVD. ,,CAPE CORAL ,FL ,33990- ,LEE ,,,,869396,,,.0705,,,282,103212,29103,4666,69631,,1558,,6427,490,16254,1477,,,,,, 100246,01-OCT-15,30-SEP-16,As Submitted,LAWNWOOD REGIONAL MEDICAL CENTER ,1700 SOUTH 23RD STREET ,188 ,FT. PIERCE ,FL ,34950- ,ST. LUCIE ,,,,2374017,,,.2013,,,312,114192,30072,7886,93125,1.74,1286.58,,5660,1075,17341,4231,,,28,45,1096,802 100248,01-MAR-16,28-FEB-17,Amended,LARGO MEDICAL CENTER ,201 14TH STREET ,,LARGO ,FL ,33770 ,PINELLAS ,9899719,,,,,,,4678054,707227,262,95630,29827,2756,74979,114.59,1184.89,,6022,377,15958,1588,,,125,20,3311,493 100249,01-JUN-16,30-SEP-16,As Submitted,SEVEN RIVERS REGIONAL MEDICAL CENTER ,6201 N. SUNCOAST BLVD ,,CRYSTAL RIVER ,FL ,34428 ,CITRUS ,,,,86128,,,.0556,,,128,15616,3392,319,7655,,139.39,,824,249,1905,,,,,,, 100252,01-MAY-16,30-APR-17,As Submitted,RAULERSON HOSPITAL ,1796 HIGHWAY 441 NORTH ,,OKEECHOBEE ,FL ,34972- ,OKEECHOBEE ,,,,,,,,,,100,36500,9442,783,19825,,30.68,,2061,207,4702,298,,,,,, 100253,01-OCT-15,30-SEP-16,As Submitted,JUPITER MEDICAL CENTER ,1210 SOUTH OLD DIXIE HWY ,,JUPITER ,FL ,33458 ,PALM BEACH ,,,,,,,,,,207,75762,20491,791,47831,,1103.3,,4151,215,12038,,,,,,, 100254,01-MAY-16,30-APR-17,As Submitted,CAPITAL REGIONAL MEDICAL CENTER ,2626 CAPITAL MEDICAL BLVD ,,TALLAHASSEE ,FL ,32308 ,LEON ,,,,1217092,,,.1792,,,242,88330,17207,2473,51797,,726.95,,3962,512,13898,,,,55,,1113, 100255,01-NOV-15,31-OCT-16,Amended,TAMPA COMMUNITY HOSPITAL ,6001 WEBB ROAD ,,TAMPA ,FL ,33615 ,HILLSBOROUGH ,,,,246251,,,.1251,,,166,60756,5584,462,15803,,307.23,,1108,147,3688,373,182,,,,1066, 100256,01-MAR-16,28-FEB-17,As Submitted,REGIONAL MEDICAL CENTRE BAYONET POIN ,14000 FIVAY ROAD ,,HUDSON ,FL ,34667 ,PASCO ,2705470,,,555970,,,.0514,1317550,225550,278,101470,24041,3549,71131,31.3,980.06,,5163,398,15077,1748,,,,,, 100258,01-JAN-16,31-DEC-16,As Submitted,DELRAY MEDICAL CENTER ,5352 LINTON BLVD. ,,DELRAY BEACH ,FL ,33484 ,PALM BEACH ,1926633,,,,,,,810404,161095,338,123614,39979,3160,76550,15.83,1143.07,,7961,283,15811,414,217,,51,5,2088,1040 100260,01-OCT-15,30-SEP-16,As Submitted,ST. LUCIE MEDICAL CENTER ,1800 S.E. TIFFANY AVE ,,PORT ST. LUCIE ,FL ,34952- ,ST. LUCIE ,3762191,,,317502,,,.0316,1860985,177396,207,75762,24368,2083,52402,35.27,744.35,,5395,462,12479,1318,,,43,,1083, 100264,01-MAR-16,28-FEB-17,As Submitted,OAK HILL HOSPITAL ,11375 CORTEZ BLVD ,,SPRING HILL ,FL ,34613- ,HERNANDO ,3140036,,,,,,,1624601,216298,280,100418,31219,1743,71621,30.76,1005.9,,6623,351,16129,1054,,,,,, 100265,01-JAN-16,31-DEC-16,As Submitted,MEASE HOSPITAL COUNTRYSIDE ,3231 NORTH MCMULLEN BOOTH RD ,,SAFETY HARBOR ,FL ,33761-2045 ,PINELLAS ,,,,534370,,,.0469,,,311,113826,29160,4193,79061,,1527.42,,6331,352,18074,1717,,,,,, 100266,01-OCT-15,30-SEP-16,As Submitted,GULF BREEZE HOSPITAL ,1100 GULF BREEZE PARKWAY ,,GULF BREEZE ,FL ,32561 ,SANTA ROSA ,,,,,,,,,,65,23790,7049,279,14593,,440.93,,1901,64,4086,140,,,,,, 100267,01-JAN-16,31-DEC-16,As Submitted,ENGLEWOOD COMMUNITY HOSPITAL ,700 MEDICAL BLVD ,,ENGLEWOOD ,FL ,34223 ,SARASOTA ,,,,,,,,,,100,36600,6792,237,11629,,248.54,,1941,54,3336,56,,,,,, 100268,01-JAN-16,31-DEC-16,As Submitted,WEST BOCA MEDICAL CENTER ,21644 STATE ROAD 7 ,,BOCA RATON ,FL ,33428 ,PALM BEACH ,,,,481502,,,.1339,,,195,71370,8392,4369,44633,,613.8,,2079,387,11282,1683,,,,,, 100269,01-JUN-16,31-MAY-17,As Submitted,PALMS WEST HOSPITAL ,13001 STATE ROAD 80 ,1150 ,LOXAHATCHEE ,FL ,33470- ,PALM BEACH ,678633,,,1013038,,,.2281,397575,57226,204,74460,11274,2895,57726,20.63,762.94,,2303,732,13745,,,,,,, 100271,01-JUL-16,30-JUN-17,As Submitted,H. LEE MOFFITT CANCER CENTER ,12902 MAGNOLIA DRIVE ,,TAMPA ,FL ,33612 ,HILLSBOROUGH ,,,,,,,,,907804,206,75190,19992,1942,59751,103.97,2934,,2995,244,9061,,,,,,, 100275,01-JAN-16,31-DEC-16,As Submitted,WELLINGTON REGL MEDICAL CENTER ,10101 FOREST HILL BOULEVARD ,024627 ,WEST PALM BEACH ,FL ,33414- ,PALM BEACH ,832717,,,780191,,,.1739,487334,149528,233,84131,9665,5491,52908,18,912.35,,2274,677,11894,,,,,,, 100276,01-JUL-16,30-JUN-17,As Submitted,BROWARD HEALTH CORAL SPRINGS ,3000 CORAL HILLS DRIVE ,,CORAL SPRINGS ,FL ,33065- ,BROWARD ,52081,,,630294,,,.2129,42029,12758,196,71540,7354,4592,49358,1.48,934.91,,1594,1249,12596,3136,,,,,, 100277,01-JUL-16,30-JUN-17,As Submitted,MIAMI JEWISH HEALTH SYSTEMS INC. ,5200 N.E. 2ND AVENUE ,,MIAMI ,FL ,33137 ,MIAMI-DADE ,,,,,,,,,,32,11680,307,,2098,,268,,86,,369,,,,,,, 100281,01-MAY-16,30-APR-17,As Submitted,MEMORIAL HOSPITAL WEST ,703 N. FLAMINGO ROAD ,,PEMBROKE PINES ,FL ,33028 ,BROWARD ,26113,,,1460553,,,.1754,10254,6587,366,136840,22848,4925,109806,.56,2262.7,,3924,838,20595,,,,,,, 100284,01-JAN-16,31-DEC-16,As Submitted,WESTCHESTER GENERAL HOSPITAL ,2500 SW 75 TH AVE ,,MIAMI ,FL ,33155 ,DADE ,1086350,,,1384761,,,.4339,953393,93373,125,45750,15487,422,28901,28.28,558.31,,2220,55,4563,979,,,18,,1214, 100285,01-MAY-16,30-APR-17,As Submitted,MEMORIAL HOSPITAL MIRAMAR ,1901 SW 172ND AVENUE ,,MIRAMAR ,FL ,33029 ,BROWARD ,13475,,,718356,,,.3397,7470,3337,178,64970,4525,1888,41331,.02,898.5,,1057,511,9484,,,,,,, 100286,01-OCT-15,30-SEP-16,As Submitted,PHYSICIANS REGIONAL MEDICAL CENTER ,6101 PINE RIDGE ROAD ,,NAPLES ,FL ,34119 ,COLLIER ,,,,,,,,,,201,73566,17893,1040,34399,,897.5,,4608,1027,9385,,,,,,, 100287,01-JUN-16,31-MAY-17,As Submitted,GOOD SAMARITAN HOSPITAL ,1309 NORTH FLAGLER DRIVE ,,WEST PALM BEACH ,FL ,33401 ,PALM BEACH ,,,,844579,,,.1282,,,333,121545,15891,2720,43952,,748.1,,3501,358,10203,1341,,,,,, 100288,01-JUN-16,31-MAY-17,As Submitted,ST MARYS MEDICAL CENTER ,901 45TH STREET ,,WEST PALM BEACH ,FL ,33407 ,PALM BEACH ,18732,,,1648747,,,.4158,,,356,130102,9299,23831,87088,.83,1270,,1715,2451,16247,4442,379,,81,22,1869,532 100289,01-JAN-16,31-DEC-16,As Submitted,CCF HOSPITAL - WESTON ,3100 WESTON ROAD ,,WESTON ,FL ,33331- ,BROWARD ,5003536,,,,,,,1202694,416828,155,56730,15092,431,45070,77.23,1248.06,,3356,59,10543,,,,,,, 100290,01-JUL-16,30-JUN-17,As Submitted,THE VILLAGES REGIONAL HOSPITAL ,1451 EL CAMINO REAL ,,THE VILLAGES ,FL ,32159-0041 ,SUMTER ,,,,,,,,,,277,101105,37526,721,66705,,1159.89,,8249,105,14661,325,,,,3,,437 100291,01-OCT-15,30-SEP-16,As Submitted,WUESTHOFF MEDICAL CENTER - MELBOURNE ,205 NORTH WICKHAM ROAD ,,MELBOURNE ,FL ,32940 ,BREVARD ,,,,112378,,,.0423,,,113,41358,5591,320,14470,,326.47,,1174,282,3288,,,,,,, 100292,01-JUL-16,30-JUN-17,As Submitted,SACRED HEART HOSPITAL ON THE EMERALD ,7800 US HIGHWAY 98 WEST ,,DESTIN ,FL ,32550- ,WALTON ,,,,350435,,,.0836,,,62,20974,5912,1028,15252,,464.47,,1984,314,6722,979,,,,,, 100296,01-OCT-15,30-SEP-16,Amended,DOCTORS HOSPITAL ,5000 UNIVERSITY DRIVE ,,CORAL GABLES ,FL ,33146 ,MIAMI-DADE ,,,,644225,,,.1729,,,281,102846,10699,407,30383,,862.16,,1868,53,6181,280,,,,,, 100298,01-JUL-16,30-JUN-17,As Submitted,FLORIDA STATE HOSPITAL ,MAIN STREET ,1000 ,CHATTACHOOCHEE ,FL ,32324 ,GADSDEN ,,,,,,,,,,24,8760,,,1146,,21,,,,,,,,9,,15, 100299,01-JAN-16,31-DEC-16,As Submitted,LAKEWOOD RANCH MEDICAL CENTER ,8330 LAKEWOOD RANCH BOULEVARD ,,BRADENTON ,FL ,34202 ,MANATEE ,,,,,,,,,,140,51240,8176,837,20108,,450.13,,2036,122,6001,,,,,,, 100302,01-JAN-16,31-DEC-16,Amended,ST. CLOUD REGIONAL MEDICAL CENTER ,2906 17TH STREET ,,ST. CLOUD ,FL ,34769 ,OSCEOLA ,,,,66243,,,.0326,,,84,30744,6105,546,16479,,301.35,,1227,405,3792,,,,,,, 100307,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENTS MEDICAL CENTER SOUTHSID ,4201 BELFORT ROAD ,,JACKSONVILLE ,FL ,32216 ,DUVAL ,,,,597895,,,.0781,,,275,100375,13416,1686,43333,,749.15,,3330,153,12038,1231,,,,,, 100313,01-JUL-16,30-JUN-17,As Submitted,SACRED HEART HOSPITAL ON THE GULF ,3801 EAST HIGHWAY 98 ,,PORT SAINT JOE ,FL ,32456- ,GULF ,,,,10853,,,.0507,,,19,6935,839,37,1648,,102.42,,177,17,454,36,,,,,, 100314,01-OCT-15,30-SEP-16,As Submitted,WEST KENDALL BAPTIST HOSPITAL ,9555 S.W. 162 AVENUE ,,MIAMI ,FL ,33196 ,MIAMI-DADE ,724843,,,1090480,,,.3182,416952,94337,36985,48678,7829,3108,36971,11.17,1060.2,,1741,170,9610,1579,,,,,, 100315,01-OCT-15,30-SEP-16,As Submitted,VIERA HOSPITAL INC ,8745 WICKHAM ROAD ,,VIERA ,FL ,32940 ,BREVARD ,,,,,,,,,,84,30744,7607,404,17023,,391.38,,1922,61,4531,86,,,,,, 100316,01-OCT-15,30-SEP-16,As Submitted,PALM BAY HOSPITAL ,1425 MALABAR ROAD NE ,,PALM BAY ,FL ,32907 ,BREVARD ,,,,161798,,,.04,,,152,55632,10116,849,25506,,505.11,,2242,281,5870,334,,,,,, 100319,01-JAN-16,31-DEC-16,As Submitted,FLORIDA HOSPITAL WESLEY CHAPEL ,2600 BRUCE B DOWNS BLVD ,,WESLEY CHAPEL ,FL ,33544 ,,,,,95892,,,.0292,,,97,31428,6115,594,23273,,730.58,,1603,131,6468,,,,,,, 100320,01-JUL-16,30-JUN-17,As Submitted,POINCIANA MEDICAL CENTER ,325 CYPRESS PARKWAY ,,KISSIMMEE ,FL ,34758 ,OSCEOLA ,,,,142935,,,.12,,,76,23720,2993,447,10614,,248.43,,806,127,3058,372,,,,,, 100321,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENTS MEDICAL CENTER-CLAY ,1670 ST. VINCENTS WAY ,,MIDDLEBURG ,FL ,32068 ,DUVAL ,,,,,,,,,,106,37640,8398,561,23163,,458.65,,2364,161,6710,637,,,,,, 101300,01-JAN-16,31-DEC-16,As Submitted,FLA HOSPT. WAUCHULA CRITICAL ACCESS ,533 WEST CARLETON STREET ,2155 ,WAUCHULA ,FL ,33873- ,HARDEE ,,,,,,,,,,25,9150,5908,29,7869,,105.54,,188,6,305,,,,,,, 101301,01-JUL-16,30-JUN-17,As Submitted,LIVE OAK SHANDS ,1100 SW 11TH STREET ,,LIVE OAK ,FL ,32060 ,SUWANNEE ,,,,,,,,,,25,9125,2071,62,3604,,127.48,,582,23,1081,88,,,,,, 101303,01-JAN-16,31-DEC-16,As Submitted,LAKE BUTLER HOSPITAL ,850 EAST MAIN STREET ,,LAKE BUTLER ,FL ,32054 ,UNION ,,,,,,,,,,25,9150,1707,,1848,,76.19,,16,,23,2,,,,,, 101304,01-JAN-16,31-DEC-16,As Submitted,CALHOUN-LIBERTY HOSPITAL ASSN ,20370 BURNS AVENUE ,,BLOUNTSTOWN ,FL ,32424 ,CALHOUN ,,,,,,,,,,15,5490,2226,168,3664,,106.14,,214,51,431,,,,,,, 101305,01-OCT-15,30-SEP-16,As Submitted,GEORGE E WEEMS MEMORIAL HOSP ,135 AVENUE G ,,APALACHICOLA ,FL ,32320 ,FRANKLIN ,,,,,,,,,,25,9150,399,114,838,,89.56,,76,26,204,,,,,,, 101307,01-OCT-15,30-SEP-16,As Submitted,DOCTORS MEMORIAL HOSPITAL ,401 EAST BYRD AVENUE ,,ONIFAY ,FL ,32425- ,HOLMES ,,,,,,,,,,20,7320,3476,43,4378,,115.58,,342,14,597,,,,,,, 101308,01-JAN-16,31-DEC-16,As Submitted,NORTHWEST FLORIDA COMMUNITY HOSPITAL ,1360 BRICKYARD RD ,889 ,CHIPLEY ,FL ,32428-0889 ,WASHINGTON ,,,,,,,,,,25,9150,3285,333,4267,,162.54,,372,63,593,,,,,,, 101309,01-OCT-15,30-SEP-16,As Submitted,HENDRY REGIONAL MEDICAL CENTER ,524 SAGAMORE AVENUE ,,CLEWISTON ,FL ,33440 ,HENDRY ,,,,,,,,,,25,9150,923,37,1931,,197.06,,270,14,621,,,,,,, 101310,01-JUL-16,30-JUN-17,As Submitted,SHANDS STARKE ,922 CALL STREET ,,STARKE ,FL ,32091 ,BRADFORD ,,,,,,,,,,25,9125,2253,141,4560,,143.09,,610,42,1316,121,,,,,, 101311,01-OCT-15,30-SEP-16,Amended,MADISON CTY MEMORIAL HOSPITAL ,224 NW CRANE AVENUE ,,MADISON ,FL ,32340 ,MADISON ,,,,,,,,,,25,9150,3983,14,4923,,92.2,,237,3,408,24,,,,,, 101313,01-OCT-15,30-SEP-16,As Submitted,MARINERS HOSPITAL ,91500 OVERSEAS HIGHWAY ,,TAVERNIER ,FL ,33070 ,MONROE ,,,,,,,,,,25,9150,1245,6,2067,,204.93,,298,2,610,16,,,,,, 101993,01-OCT-15,30-SEP-16,As Submitted,DAYSTAR INC ,3800 FLAMINGO ROAD ,,DAVIE ,FL ,33330 ,BROWARD ,,,,,,,,,,3,1098,677,,977,,11,,15,,17,,,,,,, 102003,01-JAN-16,31-DEC-16,As Submitted,SSH -ORLANDO ,2250 BEDFORD ROAD ,,ORLANDO ,FL ,32803 ,ORANGE ,,,,,,,,,,80,29280,10767,,22546,,249.11,,363,,722,18,,,,,, 102012,01-JAN-16,31-DEC-16,As Submitted,SPECIALTY HOSPITAL OF JACKSONVILLE ,4901 RICHARD STREET ,,JACKSONVILLE ,FL ,32207 ,DUVAL ,,,,,,,,,,107,39055,7781,,12327,,194.65,,262,,460,,,,,,, 102018,01-JUN-16,31-MAY-17,As Submitted,COMPLEX CARE HOSPITAL AT RIDGELAKE ,6150 EDGELAKE DRIVE ,,SARASOTA ,FL ,34240 ,SARASOTA ,,,,,,,,,,40,14600,7808,112,11781,,114.21,,316,3,465,,,,,,, 102020,01-MAR-16,28-FEB-17,As Submitted,SSH -TALLAHASSEE INC. ,1554 SURGEONS DRIVE ,,TALLAHASSEE ,FL ,32308 ,LEON ,,,,,,,,,,29,10585,5018,15,9246,,103.7,,202,1,349,11,,,,,, 102021,01-JAN-16,31-DEC-16,As Submitted,BAYCARE ALLIANT HOSPITAL ,601 MAIN STREET ,,DUNEDIN ,FL ,34698-5848 ,PINELLAS ,,,,,,,,,,48,17568,5689,209,10601,,102,,218,4,389,13,,,,,, 102023,01-DEC-15,30-NOV-16,Settled,SSH - PALM BEACH LLC ,3060 MELALEUCA LANE ,,LAKE WORTH ,FL ,33461 ,PALM BEACH ,,,,,,,,,,60,21960,8902,650,16900,,198.86,,308,4,611,18,,,,,, 102024,01-OCT-15,30-SEP-16,Settled,SSH - PENSACOLA INC ,7000 COBBLE CREEK DRIVE ,,PENSACOLA ,FL ,32504 ,ESCAMBIA ,,,,,,,,,,75,27450,12483,55,21063,,218.58,,509,3,789,27,,,,,, 102026,01-JAN-16,31-DEC-16,As Submitted,FLORIDA HOSPITAL AT CONNERTON ,9441 HEALTH CENTER DRIVE ,,LAND O LAKES ,FL ,34637 ,PASCO ,,,,,,,,,,44,16104,8401,1,17573,,191.07,,335,1,679,,,,,,, 102028,01-JUL-16,30-JUN-17,As Submitted,PROMISE HOSPITAL OF FLORIDA AT THE V ,5050 COUNTY ROAD 472 ,,OXFORD ,FL ,34484 ,SUMTER ,,,,,,,,,,40,14600,7246,,11153,,142.2,,291,,440,,,,,,, 102030,01-DEC-15,30-NOV-16,As Submitted,SSH - DAYTONA BEACH ,301 MEMORIAL MEDICAL PKWY 11TH FL ,,DAYTONA BEACH ,FL ,32117 ,VOLUSIA ,,,,,,,,,,34,12444,4085,,7837,,88.53,,161,,286,,,,,,, 102031,01-APR-16,31-MAR-17,As Submitted,PROMISE HOSPITAL OF MIAMI ,14001 NW 82ND AVENUE ,,MIAMI LAKES ,FL ,33016 ,MIAMI-DADE ,,,,,,,,,,60,21900,8339,484,15017,,149.91,,371,3,541,,,,,,, 102032,01-APR-16,31-AUG-16,As Submitted,LANDMARK HOSPITAL OF SOUTHWEST FLORI ,1285 CREEKSIDE BLVD EAST ,,NAPLES ,FL ,34108 ,,,,,,,,,,,50,7650,1664,,2773,,77.4,,64,,99,,,,,,, 103026,01-OCT-15,30-SEP-16,As Submitted,ST CATHERINES REHABILITATION HOSP ,1050 NE 125TH STREET ,,NORTH MIAMI ,FL ,33161 ,MIAMI-DADE ,,,,,,,,,,60,21960,10171,77,14137,,108.69,,763,6,1042,,,,,,, 103027,01-OCT-15,30-SEP-16,As Submitted,ST JOHNS REHABILITATION HOSPITAL ,3705 NW 35TH STREET ,,LAUDERDALE LAKES ,FL ,33311 ,BROWARD ,,,,,,,,,,26,9516,3287,146,6403,,44.59,,238,8,475,50,,,,,, 103028,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH SUNRISE REHABILITATION H ,4399 KNOB HILL ROAD ,,SUNRISE ,FL ,33351 ,BROWARD ,,,,,,,,,,126,46116,20147,2,32651,,324.36,,1595,1,2461,39,,,,,, 103031,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,6400 EDGELAKE DRIVE ,,SARASTA ,FL ,34240 ,SARASOTA ,,,,,,,,,,96,35136,24581,141,29960,,229.22,,1880,7,2293,20,,,,,, 103032,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH TREASURE COAST REHABILIT ,1600 37TH STREET ,,VERO BEACH ,FL ,32960 ,INDIAN RIVER ,,,,,,,,,,80,29280,16670,71,20680,,178.24,,1328,5,1620,25,,,,,, 103033,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1675 RIGGINS ROAD ,,TALLAHASSEE ,FL ,32308 ,LEON ,,,,,,,,,,76,27816,10530,74,14908,,148.9,,843,3,1124,34,,,,,, 103034,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH SEA PINES REHABILITATION ,101 EAST FLORIDA AVENUE ,,MELBOURNE ,FL ,32901 ,BREVARD ,,,,,,,,,,90,32940,15572,35,21522,,200.62,,1129,3,1536,29,,,,,, 103036,01-JAN-16,31-DEC-16,As Submitted,WEST GABLES REHABILITATION HOSPITAL ,2525 SW 75TH STREET ,,MIAMI ,FL ,33155 ,MIAMI-DADE ,,,,,,,,,,60,21960,8194,19,17887,,221.8,,703,2,1376,95,,,,,, 103037,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,901 NORTH CLEARWATER-LARGO ROAD ,,LARGO ,FL ,33770 ,PINELLAS ,,,,,,,,,,70,25620,12978,398,19748,,173.82,,986,28,1491,14,,,,,, 103038,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,20601 OLD CUTLER ROAD ,,MIAMI ,FL ,33189 ,DADE ,,,,,,,,,,60,21960,11000,92,16316,,141.37,,1000,8,1399,31,,,,,, 103039,01-JAN-16,31-DEC-16,As Submitted,BROOKS REHABILITATION ,3599 UNIVERSITY BLVD SOUTH ,,JACKSONVILLE ,FL ,32216 ,DUVAL ,,,,,,,,,,157,57462,21929,883,48172,,577.89,,1400,51,2940,,,,,,, 103040,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH EMERALD COAST REHABILITA ,1847 FLORIDA AVENUE ,,PANAMA CITY ,FL ,32405 ,BAY ,,,,,,,,,,75,27450,14434,19,20645,,188.83,,1150,2,1639,37,,,,,, 103042,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,12440 CORTEZ BOULEVARD ,,BROOKSVILLE ,FL ,34613 ,HERNANDO ,,,,,,,,,,80,29280,18920,20,23819,,214.76,,1355,1,1702,23,,,,,, 103043,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,2275 SW 22ND LANE ,,OCALA ,FL ,34471 ,MARION ,,,,,,,,,,60,19890,14806,31,18970,,162.01,,1145,2,1429,31,,,,,, 103044,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,5850 SE COMMUNITY DRIVE ,,STUART ,FL ,34997 ,MARTIN ,,,,,,,,,,44,16104,12559,49,15861,,139.9,,1096,4,1378,20,,,,,, 103045,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,831 SOUTH STATE ROAD 434 ,,ALTAMONTE SPRINGS ,FL ,32714 ,SEMINOLE ,,,,,,,,,,50,18300,11615,46,15101,,130.6,,834,4,1022,15,,,,,, 103300,01-JUL-16,30-JUN-17,As Submitted,JOHNS HOPKINS ALL CHILDRENS HOSPITA ,501 6TH AVENUE SOUTH 6500002500 ,,ST. PETERSBURG ,FL ,33701 ,PINELLAS ,,,,,,,,,,259,94535,165,9550,59303,49.15,2517.52,,32,1268,6951,,,,,,, 103301,01-JAN-16,31-DEC-16,As Submitted,MIAMI CHILDRENS HOSPITAL ,3100 SW 62ND AVENUE ,,MIAMI ,FL ,33155 ,MIAMI-DADE ,,,,,,,,,4827,289,105774,347,7509,65289,146.46,3051.8,,50,843,10542,5975,,,,,, 103303,01-JAN-16,31-DEC-16,Settled,SHRINERS HOSPITAL FOR CHILDREN TAMPA ,12505 USF PINE DRIVE ,,TAMPA ,FL ,33612 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 103304,01-JAN-16,31-DEC-16,As Submitted,NEMOURS CHILDRENS HOSPITAL ,13535 NEMOURS PARKWAY ,,ORLANDO ,FL ,32827 ,ORANGE ,,,,,,,,,,100,31110,60,1336,13919,,670.02,,17,160,2727,,,,,,, 104001,01-JUL-16,30-JUN-17,As Submitted,SOUTH FLORIDA STATE HOSPITAL ,800 EAST CYPRESS DRIVE ,,PEMBROKE PINES ,FL ,33025 ,DADE ,,,,,,,,,,50,18250,,4142,17163,,107.89,,,15,55,,,,,,, 104007,01-JUL-16,30-JUN-17,As Submitted,NORTHEAST FLORIDA STATE HOSPITAL ,HIGHWAY 121 SOUTH ,519 ,MACCLENNY ,FL ,32063-9777 ,BAKER ,,,,,,,,,,50,18250,,5685,13695,,58,,,9,53,,,,,,, 104008,01-OCT-15,30-SEP-16,As Submitted,THE JEROME GOLDEN CENTER FOR BEHAVOR ,1041 WEST 45TH STREET ,,WEST PALM BEACH ,FL ,33407 ,PALM BEACH ,,,,,,,,,,44,16104,1266,,14115,,280.15,,143,,1224,278,,,,,, 104016,01-JUL-16,30-JUN-17,As Submitted,RIVER POINT BEHAVIORAL HEALTH ,6300 BEACH BOULEVARD ,,JACKSONVILLE ,FL ,32216 ,JACKSONVILLE ,,,,,,,,,,84,30660,212,,13592,,113.7,,45,,2803,,,,,,, 104017,01-JUL-16,30-JUN-17,As Submitted,WINDMOOR HEALTHCARE ,11300 US 19 NORTH ,,CLEARWATER ,FL ,33764 ,PINELLAS ,,,,,,,,,,144,52560,16053,,38384,,224.73,,1111,,4102,,,,,,, 104018,01-JUL-16,30-JUN-17,As Submitted,LIFESTREAM BEHAVIORAL CENTER ,515 WEST MAIN STREET ,,LEESBURG ,FL ,34749 ,LAKE ,,,,,,,,,,62,22630,2767,,16250,,724.98,,474,,2370,,,,,,, 104024,01-JUL-16,30-JUN-17,As Submitted,CIRCLES OF CARE INC. ,400 EAST SHERIDAN ROAD ,,MELBOURNE ,FL ,32901 ,BREVARD ,,,,,,,,,,172,62780,4334,,39200,,434.55,,474,,1838,,,,,,, 104026,01-JAN-16,31-DEC-16,As Submitted,FT. LAUDERDALE HOSPITAL ,1601 EAST LAS OLAS BLVD ,,FT. LAUDERDALE ,FL ,33301 ,BROWARD ,,,,,,,,,,100,36600,10660,,33612,,195.1,,755,,5560,,,,,,, 104027,01-JUL-16,30-JUN-17,As Submitted,WEST FLORIDA COMM. CARE CENTER ,5500 STEWART ST. ,,MILTON ,FL ,32570 ,SANTA ROSA ,,,,,,,,,,100,36500,1360,,22597,,71.74,,40,,136,,,,,,, 104040,01-JUL-16,30-JUN-17,As Submitted,CENTERSTONE OF FLORIDA INC. ,2020 26TH AVENUE EAST ,,BRADENTON ,FL ,34208 ,MANATEE ,,,,,,,,,,37,13505,3208,,11297,,100.7,,286,,1636,,,,,,, 104049,01-JUN-16,31-DEC-16,As Submitted,SOUTHERN WINDS HEALTH ,4225 W 20TH AVENUE ,,HIALEAH ,FL ,33012 ,,,,,,,,,,,72,15408,4807,,8499,,94.93,,496,,1303,,,,,,, 104057,01-OCT-15,30-SEP-16,As Submitted,SPRINGBROOK HOSPITAL ,7007 GROVE ROAD ,,BROOKSVILLE ,FL ,34609 ,HERNANDO ,,,,,,,,,,66,24156,13199,,23593,,156.64,,853,,2583,,,,,,, 104059,01-JUL-16,30-JUN-17,As Submitted,EASTSIDE PSYCHIATRIC HOSPITAL ,2634-J CAPITAL CIRCLE NE ,,TALLAHASSEE ,FL ,32308 ,LEON ,,,,,,,,,,46,16790,1526,,4760,,58.2,,176,,911,,,,,,, 104063,01-JAN-16,31-DEC-16,As Submitted,THE WILLOUGH AT NAPLES ,9001 TAMIAMI TRAIL EAST ,,NAPLES ,FL ,33862 ,CHARLOTTE ,,,,,,,,,,87,31842,22527,,24437,,177.14,,1001,,1306,,,,,,, 104065,01-JAN-16,31-DEC-16,As Submitted,ATLANTIC SHORES HOSPITAL ,4545 NORTH FEDERAL HWY ,,FT. LAUDERDALE ,FL ,33308 ,BROWARD ,,,,,,,,,,42,15372,1556,,7888,,86.34,,213,,1174,,,,,,, 104067,01-JUL-16,30-JUN-17,As Submitted,ASPIRE HEALTH PARTNERS INC ,ASPIRE HEALTHCARE ,1800 MERCY DRIVE ,ORLANDO ,FL ,32808 ,ORANGE ,,,,,,,,,,90,20610,4274,,18587,,1303,,479,,2855,,,,,,, 104068,01-JUL-16,30-JUN-17,As Submitted,THE CENTERS ,5664 SW 60 AVENUE ,,OCALA ,FL ,34474 ,MARION ,,,,,,,,,,15,5475,1380,,4899,,424.58,,249,,1030,,,,,,, 104069,01-JUL-16,30-JUN-17,As Submitted,WEKIVA SPRINGS CENTER LLC ,3947 SALISBURY RD. NORTH ,,JACKSONVILLE ,FL ,32216 ,JACKSONVILLE ,,,,,,,,,,120,43800,7529,,26344,,160.8,,683,,3125,,,,,,, 104070,01-JAN-16,31-DEC-16,As Submitted,PORT ST LUCIE HOSPITAL ,2550 SE WALTON ROAD ,,PORT ST. LUCIE ,FL ,34952 ,ST. LUCIE ,,,,,,,,,,75,27450,17091,,23963,,140,,999,,1557,,,,,,, 104071,01-JUL-16,30-JUN-17,As Submitted,THE VINES HOSPITAL ,3130 S. W. 27TH AVENUE ,,OCALA ,FL ,34471 ,OCALA ,,,,,,,,,,64,23360,5043,,19144,,142.7,,575,,3234,,,,,,, 104072,01-JAN-16,31-DEC-16,As Submitted,CENTRAL FLORIDA BEHAVIORAL HEALTH ,6601 CENTRAL FLORIDA PARKWAY ,,ORLANDO ,FL ,32821 ,ORANGE ,,,,,,,,,,126,46116,5676,,41875,,236.3,,656,,6813,,,,,,, 104073,01-NOV-15,31-OCT-16,Settled,EMERALD COAST BEHAVIORAL HOSPITAL ,1900 HARRISON AVENUE ,,PANAMA CITY ,FL ,32405 ,BAY ,,,,,,,,,,86,31476,3852,,25790,,116.57,,367,,2506,,,,,,, 104074,01-JAN-16,31-DEC-16,Amended,PARK ROYAL HOSPITAL ,9241 PARK ROYAL DRIVE ,,FORT MYERS ,FL ,33908 ,LEE ,,,,,,,,,,103,37698,16099,,31057,,193.07,,1453,,3827,,,,,,, 104075,01-JAN-16,31-DEC-16,As Submitted,NORTH TAMPA BEHAVIORAL HEALTH ,29910 SR 56 ,,WESLEY CHAPEL ,FL ,33543 ,PASCO ,,,,,,,,,,75,27450,7007,,25406,,155.89,,663,,3220,,,,,,, 104076,01-JAN-16,31-DEC-16,As Submitted,UNIVERSITY BEHAVIORAL CENTER ,2500 DISCOVERY DRIVE ,,ORLANDO ,FL ,32826 ,ORANGE ,,,,,,,,,,79,28914,3820,,22880,,135.3,,316,,4211,,,,,,, 104078,01-NOV-15,31-OCT-16,As Submitted,SUNCOAST BEHAVIORAL HEALTH CENTER ,4480 51ST. STREET WEST ,,BRADENTON ,FL ,34210 ,MANATEE ,,,,,,,,,,60,21960,1737,,9995,,78.62,,250,,1986,,,,,,, 104079,01-JAN-16,31-DEC-16,As Submitted,LARKIN COMMUNITY HOSPITAL BEHAVIORAL ,1201 NORTH 37 AVENUE ,,HOLLYWOOD ,FL ,33021 ,BROWARD ,,,,,,,,,,50,18300,751,104,6672,,42.33,,115,16,777,,,,,,, 110001,01-OCT-15,30-SEP-16,As Submitted,HAMILTON MEDICAL CENTER ,1200 MEMORIAL DRIVE ,1168 ,DALTON ,GA ,30722 ,WHITFIELD ,,,,1436301,,,.2228,,,234,85644,14595,5127,41588,,1176.94,,3308,1211,9119,2271,45,,103,,548, 110002,01-JAN-16,31-DEC-16,As Submitted,UPSON REGIONAL MEDICAL CENTER ,801 WEST GORDON STREET ,1059 ,THOMASTON ,GA ,30286 ,UPSON ,,,,293086,,,.1595,,,101,36966,4452,1398,14024,,530.65,,980,354,2859,6,,,,,, 110003,01-JAN-16,31-DEC-16,As Submitted,MAYO CLINIC HEALTH SYSTEM WAYCROSS ,1900 TEBEAU STREET ,,WAYCROSS ,GA ,31501 ,WARE ,173447,,,527083,,,.1376,95255,58517,155,56730,10043,2830,25107,4.02,960.67,,2293,588,6466,,,,,,311, 110004,01-OCT-15,12-MAY-16,Amended,HUTCHESON MEDICAL CENTER INC ,101 GROSS CRESCENT CIRCLE ,,FT OGLETHORPE ,GA ,30742 ,WALKER DADE AND CATOOSA ,,,,3192,,,.0405,,,114,23484,186,27,722,,207.8,,59,8,211,6,,,,,, 110005,01-OCT-15,30-SEP-16,As Submitted,NORTHSIDE HOSPITAL FORSYTH ,1200 MEDICAL CENTER BLVD ,,CUMMING ,GA ,30040- ,FORSYTH ,,,,498023,,,.052,,,231,84546,25320,5623,78403,,2520.21,,4564,1111,14251,1894,,,,,, 110006,01-JUL-16,30-JUN-17,As Submitted,ST MARYS HEALTH CARE SYSTEM INC ,1230 BAXTER STREET ,,ATHENS ,GA ,30606-3791 ,CLARK ,1397698,,,688117,,,.1049,1053032,417204,164,59087,11849,1892,40260,16,971.18,,2945,464,9079,,,,,,,482 110008,01-OCT-15,30-SEP-16,As Submitted,NORTHSIDE HOSPITAL-CHEROKEE INC. ,201 HOSPITAL ROAD ,,CANTON ,GA ,30115- ,CHEROKEE ,,,,358959,,,.0806,,,80,29280,9964,2523,29012,,1258.68,,2045,707,6317,1061,,,,,, 110011,01-JUL-16,30-JUN-17,As Submitted,TANNER MEDICAL CENTER ,705 DIXIE STREET ,,CARROLLTON ,GA ,30117- ,CARROLL ,,,,696127,,,.1106,,,147,52580,13358,2338,36061,,1418.48,,2958,501,8397,1839,,,,1,,25 110015,01-JUL-16,30-JUN-17,As Submitted,TANNER MEDICAL CENTER-VILLA RICA ,601 DALLAS ROAD ,,VILLA RICA ,GA ,30180- ,CARROLL ,,,,162286,,,.12,,,40,14600,2913,785,9206,,445.28,,768,158,2405,732,,,1226,,4305, 110016,01-OCT-15,30-JUN-16,Amended,WEST GEORGIA MEDICAL CENTER ,1514 VERNON ROAD ,1567 ,LAGRANGE ,GA ,30240 ,TROUP ,,,,578152,,,.1679,,,276,75624,7646,1542,22119,,679.02,,1813,403,5518,,,,,,, 110016,01-JUL-16,30-JUN-17,As Submitted,WEST GEORGIA MEDICAL CENTER ,1514 VERNON ROAD ,1567 ,LAGRANGE ,GA ,30240 ,TROUP ,,,,685369,,,.1613,,,276,100740,9293,1966,27088,,1009.42,,2276,509,7004,,,,,,, 110018,01-JAN-16,30-JUN-16,As Submitted,PIEDMONT NEWTON HOSPITAL ,5126 HOSPITAL DRIVE ,,COVINGTON ,GA ,30209 ,NEWTON ,,,,179503,,,.12,,,87,15834,2845,693,9474,,587.78,,825,183,2297,545,,,,,, 110018,01-JUL-16,30-JUN-17,As Submitted,PIEDMONT NEWTON HOSPITAL ,5126 HOSPITAL DRIVE ,,COVINGTON ,GA ,30209 ,NEWTON ,,,,345016,,,.12,,,87,31755,5719,1273,17147,,527.15,,1689,374,6220,1394,,,,,, 110023,01-JAN-16,31-DEC-16,As Submitted,GORDON HOSPITAL ,1035 RED BUD ROAD ,12938 ,CALHOUN ,GA ,30703-7013 ,,,,,431754,,,.1524,,,69,25254,7097,1375,16776,,721.88,,1546,374,4050,,,,,,, 110024,01-JUL-16,30-JUN-17,As Submitted,CANDLER HOSPITAL INC ,5353 REYNOLDS STREET ,,SAVANNAH ,GA ,31405- ,CHATHAM ,,,,844355,,,.1609,,,212,84415,17060,3660,62189,,1293.95,,2771,556,10800,2832,,,,,,375 110025,01-MAY-16,30-APR-17,As Submitted,SGHS - BRUNSWICK CAMPUS ,2415 PARKWOOD DRIVE ,,BRUNSWICK ,GA ,31520 ,GLYNN ,,,,717396,,,.0801,,,300,109500,24700,5014,61653,,1173.34,,4317,796,11538,1708,,,,,, 110026,01-JUL-16,30-JUN-17,As Submitted,ELBERT MEMORIAL HOSPITAL ,4 MEDICAL DRIVE ,,ELBERTON ,GA ,30635 ,ELBERT ,,,,14202,,,.0407,,,52,18980,1626,138,3179,,114,,275,45,644,24,,,,,, 110027,01-JUL-16,30-JUN-17,As Submitted,ST. MARYS SACRED HEART HOSPITAL ,367 CLEAR CREEK PARKWAY ,,LAVONIA ,GA ,30553 ,FRANKLIN ,,,,157396,,,.1963,,,56,20440,2561,410,6845,,214.98,,636,168,1773,151,,,,,, 110028,01-JAN-16,31-DEC-16,As Submitted,UNIVERSITY HEALTH SERVICES INC. ,1350 WALTON WAY ,,AUGUSTA ,GA ,30901-2612 ,RICHMOND ,343977,,,2384910,,,.1248,131827,57617,537,194142,41495,14218,122575,4.45,2370.56,,8139,1377,23944,3171,,,,,, 110029,01-OCT-15,30-SEP-16,As Submitted,NORTHEAST GEORGIA MEDICAL CENTER ,743 SPRING STREET NE ,,GAINESVILLE ,GA ,30501-3715 ,HALL ,,,,2948034,,,.1113,,,518,189588,53719,13579,155143,,4673.75,,11072,3265,31950,3359,507,,448,30,2534,311 110030,01-OCT-15,30-SEP-16,Amended,CARTERSVILLE MEDICAL CENTER ,960 JOE FRANK HARRIS PARKWAY ,,CARTERSVILLE ,GA ,30120 ,BARTOW ,,,,588182,,,.1189,,,112,40992,11792,3086,30100,,563.3,,2534,871,7222,1403,,,,,, 110031,01-JAN-16,31-MAR-16,As Submitted,SPALDING REGIONAL HOSPITAL ,601 SOUTH 8TH STREET ,,GRIFFIN ,GA ,30224 ,SPALDING ,,,,174783,,,.1359,,,160,14560,3479,1126,10063,,600,,698,227,2262,231,,,,,, 110031,01-APR-16,30-JUN-16,Amended,SPALDING REGIONAL HOSPITAL ,601 SOUTH 8TH STREET ,,GRIFFIN ,GA ,30224 ,SPALDING ,,,,151045,,,.1248,,,160,14560,3406,679,9670,,676.95,,695,177,2158,284,,,,,, 110031,01-JUL-16,30-JUN-17,As Submitted,SPALDING REGIONAL HOSPITAL ,601 SOUTH 8TH STREET ,,GRIFFIN ,GA ,30224 ,SPALDING ,,,,743043,,,.1521,,,160,58400,12570,5059,37161,,674.86,,2658,830,8460,1597,,,,,, 110032,01-OCT-15,30-SEP-16,As Submitted,STEPHENS COUNTY HOSPITAL ,2003 FALLS RD ,,TOCCOA ,GA ,30577- ,STEPHENS ,,,,138014,,,.1211,,,87,31842,4148,238,8553,,477.3,,783,146,1951,,,,,,, 110034,01-JUL-16,30-JUN-17,As Submitted,AU MEDICAL CENTER INC ,1120 15TH STREET ,,AUGUSTA ,GA ,30912 ,RICHMOND ,14991198,,,2530221,,,.2364,5106506,3572773,499,182145,26384,16900,124955,477.44,3864.27,,4314,2614,21666,,,,,,, 110035,01-JUL-16,30-JUN-17,As Submitted,KENNESTONE HOSPITAL ,677 CHURCH STREET ,,MARIETTA ,GA ,30060- ,COBB ,1402116,,,2457846,,,.0902,377974,121381,642,234330,60898,13645,204282,14,3938.76,,10759,2261,38083,,,,,60,,530 110036,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HEALTH UNIV MED CENTER ,4700 WATERS AVENUE ,PO BOX 32 ,SAVANNAH ,GA ,31403 ,CHATHAM ,7045953,,,4283433,,,.262,3362013,997602,486,177876,35065,20076,151927,134.4,2839.14,,6339,3147,25896,3680,,,,,220, 110038,01-OCT-15,30-SEP-16,As Submitted,JOHN D. ARCHBOLD MEMORIAL HOSPITAL ,GORDON AVENUE AT MIMOSA DRIVE ,1018 ,THOMASVILLE ,GA ,31792- ,THOMAS ,,,,1241447,,,.1646,,,226,82716,22366,4956,55193,,1467.12,,3693,953,10433,1515,,,50,7,202,282 110039,01-OCT-15,30-SEP-16,As Submitted,TRINITY HOSPITAL OF AUGUSTA ,2260 WRIGHTSBORO RD ,,AUGUSTA ,GA ,30910- ,RICHMOND ,,,,144269,,,.1145,,,140,51240,2469,330,12191,,357,,629,362,3224,,,,,,222, 110040,01-JAN-16,31-DEC-16,As Submitted,NORTHRIDGE MEDICAL CENTER ,70 MEDICAL CENTER DRIVE ,,COMMERCE ,GA ,30529 ,JACKSON ,,,,61390,,,.12,,,45,16470,1710,735,3215,,176.1,,352,92,921,,,,46,,437, 110041,01-JUL-16,30-JUN-17,As Submitted,HABERSHAM MEDICAL CENTER ,HIGHWAY 441 NORTH ,37 ,DEMOREST ,GA ,30535 ,HABERSHAM ,,,,145987,,,.12,,,53,19345,3609,665,9093,,410.06,,746,258,2130,,,,,,, 110042,01-JUL-16,30-JUN-17,As Submitted,PAULDING MEDICAL CENTER ,2518 JIMMY LEE SMITH PKWY ,,HIRAM ,GA ,30141 ,PAULDING ,,,,,,,,,,112,36624,8180,1221,20105,,646.56,,2117,306,5972,,,,,,, 110043,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPHS HOSPITAL INC. ,11705 MERCY BLVD ,,SAVANNAH ,GA ,31419 ,CHATHAM ,,,,,,,,,,216,78840,23829,2902,53757,,1045.97,,4750,345,10611,83,,,,,,446 110045,01-JAN-16,31-DEC-16,As Submitted,BARROW REGIONAL MEDICAL CENTER ,316 NORTH BROAD STREET ,,WINDER ,GA ,30680 ,BARROW ,,,,86193,,,.12,,,56,20496,1486,599,4353,,144.29,,423,250,1387,,,,,,, 110046,01-OCT-15,30-SEP-16,As Submitted,CLEARVIEW REGIONAL MEDICAL CENTER ,2151 WEST SPRING STREET ,1346 ,MONROE ,GA ,30655 ,WALTON ,,,,197840,,,.12,,,77,28182,3310,786,9705,,279.68,,855,247,2669,,,,,,, 110050,01-OCT-15,31-DEC-16,As Submitted,MURRAY MEDICAL CENTER ,707 OLDS ELLIJAY HIGHWAY ,1406 ,CHATSWORTH ,GA ,30705 ,MURRAY ,,,,14440,,,.0296,,,29,13282,1144,98,1749,,103.85,,353,37,575,,,,,,, 110051,01-MAY-16,30-APR-17,As Submitted,UNION GENERAL HOSPITAL ,130 HOSPITAL CIRCLE SUITE B ,,BLAIRSVILLE ,GA ,30512 ,UNION ,,,,109198,,,.0886,,,39,14235,2862,175,6954,,430.35,,939,62,2156,,,,,,, 110054,01-JUL-16,30-JUN-17,As Submitted,FLOYD MEDICAL CENTER ,TURNER MCCALL BLVD ,233 ,ROME ,GA ,30162 ,FLOYD ,2280725,,,2006399,,,.2205,1234223,425359,225,82125,20211,8611,66391,21.95,2004.81,,4340,1603,13030,1307,,,,12,912,512 110064,01-JUL-16,30-JUN-17,As Submitted,MIDTOWN MEDICAL CENTER ,710 CENTER ST. ,951 ,COLUMBUS ,GA ,31902- ,MUSCOGEE ,1568425,,,2224311,,,.3147,801751,554551,326,119050,17916,8382,83313,34.74,1656.88,,3156,1356,16662,,,,,,, 110069,01-JAN-16,31-DEC-16,As Submitted,HOUSTON MEDICAL CENTER ,1601 WATSON BLVD ,PO BOX 28 ,WARNER ROBINS ,GA ,31093-3431 ,HOUSTON ,1458683,,,1201240,,,.14,600040,220399,237,86742,24649,5766,65055,18.8,1833.75,,4570,1315,13605,23,,,,,, 110074,01-OCT-15,30-SEP-16,As Submitted,ATHENS REGIONAL MEDICAL CENTER ,1199 PRINCE AVENUE ,,ATHENS ,GA ,30306- ,CLARKE ,465609,,,2447129,,,.1607,,,316,115656,30461,9154,88793,4.43,2315.74,,6909,1947,19171,3012,,,,,, 110075,01-OCT-15,30-SEP-16,As Submitted,EAST GEORGIA REGIONAL MEDICAL CENTER ,1499 FAIR ROAD ,,STATESBORO ,GA ,30459 ,BULLOCH ,,,,1104291,,,.2325,,,149,54534,11177,2408,32423,,642.96,,2513,1957,8132,,,,,,, 110076,01-JUL-16,30-JUN-17,As Submitted,DEKALB MEDICAL CENTER ,2701 NORTH DECATUR ROAD ,,DECATUR ,GA ,30033- ,DEKALB ,521469,,,2259187,,,.2715,209464,87083,389,141985,18648,10829,93168,13.22,1812,,3884,2272,19836,,,,,,,575 110079,01-JAN-16,31-DEC-16,As Submitted,GRADY MEMORIAL HOSPITAL ,80 JESSE HILL JR. DRIVE SE ,,ATLANTA ,GA ,30303-3050 ,FULTON ,13162545,,,4251125,,,.3914,6907237,2469302,642,234972,29615,50319,185874,424.06,5160.17,,4552,7691,30345,,,,,,1197, 110083,01-JUL-16,30-JUN-17,As Submitted,PIEDMONT HOSPITAL INC. ,1968 PEACHTREE RD. NW. ,,ATLANTA ,GA ,30309-1281 ,F ,524542,,,,,,,143512,49433,505,184325,47537,7143,151384,4.28,3138.59,,8337,897,31048,436,,,,,, 110087,01-JUL-16,30-JUN-17,As Submitted,GWINNETT HOSPITAL SYSTEM INC ,1000 MEDICAL CENTER BLVD ,1190 ,LAWRENCEVILLE ,GA ,30046-7694 ,GWINNETT ,2620367,,,2369974,,,.1433,1037023,471920,462,170732,38319,15518,147322,34.32,4049.56,,7046,4417,29734,4614,,,,4,,632 110089,01-JAN-16,31-DEC-16,As Submitted,COFFEE REGIONAL MEDICAL CENTER ,1101 OCILLA ROAD ,1248 ,DOUGLAS ,GA ,31533 ,COFFEE ,,,,259579,,,.12,,,86,31476,6589,1635,16270,,649.97,,1314,420,4007,839,,,,,, 110091,01-OCT-15,30-SEP-16,As Submitted,ROCKDALE MEDICAL CENTER ,1412 MILSTEAD AVENUE NE ,,CONYERS ,GA ,30012- ,ROCKDALE ,,,,1021629,,,.2273,,,141,51606,10801,8786,41142,,993.37,,2315,669,8832,1414,,,,,, 110092,01-OCT-15,30-SEP-16,As Submitted,DODGE COUNTY HOSPITAL ,715 GRIFFIN STREET SOUTH WEST ,706 ,EASTMAN ,GA ,31023 ,DODGE ,,,,69549,,,.12,,,45,16470,1843,1068,5191,,177.51,,408,193,1188,,,,,,164, 110095,01-OCT-15,30-SEP-16,As Submitted,TIFT REGIONAL MEDICAL CENTER ,901 EAST 18TH STREET ,747 ,TIFTON ,GA ,31793- ,TIFT ,,,,1063669,,,.1849,,,181,66246,14496,3728,41913,,1429.2,,2953,826,9219,2284,,,,,, 110100,01-JAN-16,31-DEC-16,As Submitted,JEFFERSON HOSPITAL ,1067 PEACHTREE STREET ,528 ,LOUISVILLE ,GA ,30434-1558 ,JEFFERSON ,,,,8834,,,.0368,,,37,13542,1226,34,2090,,92.59,,175,13,342,2,,,,,, 110101,01-JUL-16,30-JUN-17,As Submitted,COOK MEDICAL CENTER ,706 N PARRISH AVE ,677 ,ADEL ,GA ,31620-1511 ,COOK ,,,,11597,,,.12,,,33,12045,482,109,1005,,198.24,,97,20,226,5,,,,,219, 110105,01-OCT-15,30-SEP-16,As Submitted,COLQUITT REGIONAL MEDICAL CENTER ,3131 SOUTH MAIN STREET ,40 ,MOULTRIE ,GA ,31768- ,COLQUITT ,,,,509199,,,.1766,,,99,36234,8601,2239,21248,,897.82,,1594,618,4622,881,,,,,, 110107,01-OCT-15,30-SEP-16,As Submitted,MEDICAL CENTER OF CENTRAL GEORGIA ,777 HEMLOCK STREET ,,MACON ,GA ,31201- ,BIBB ,5782417,,,3636764,,,.1934,3680078,1403211,586,214476,48003,21480,176836,102.58,4308.07,,7729,2903,31033,5551,,,,,492, 110111,01-JAN-16,31-DEC-16,As Submitted,UNIVERSITY HOSPITAL MCDUFFIE ,2460 WASHINGTON RD NE ,,THOMSON ,GA ,30824 ,MCDUFFIE ,,,,21514,,,.0738,,,25,9150,1430,193,3109,,119.85,,168,48,495,12,,,,,, 110113,01-JUN-16,31-MAY-17,As Submitted,BURKE MEDICAL CENTER ,351 LIBERTY STREET ,,WAYNESBORO ,GA ,30830 ,BURKE ,,,,9384,,,.0689,,,40,14600,601,60,1108,,102.55,,118,14,297,5,,,,,, 110115,01-JAN-16,31-MAR-16,As Submitted,ATLANTA MEDICAL CENTER ,303 PARKWAY DRIVE ,,ATLANTA ,GA ,30312 ,FULTON ,566787,,,569782,,,.3212,584049,79062,466,42406,5519,7894,27082,75.19,1570.73,,844,697,4317,512,36,,366,,776,70 110115,01-APR-16,30-JUN-16,Amended,ATLANTA MEDICAL CENTER ,303 PARKWAY DRIVE ,,ATLANTA ,GA ,30312 ,FULTON ,539560,,,448081,,,.2665,663110,80782,466,42406,5393,2634,24946,21.58,435.19,,798,808,4581,,,,144,,714,55 110121,01-OCT-15,30-SEP-16,As Submitted,GRADY GENERAL HOSPITAL ,1155 5TH ST SE ,360 ,CAIRO ,GA ,39828-3142 ,GRADY ,,,,53739,,,.12,,,46,16836,2688,451,6966,,137.87,,297,171,1029,354,,,,,, 110122,01-OCT-15,30-SEP-16,As Submitted,SOUTH GEORGIA MEDICAL CENTER ,2501 NORTH PATTERSON STREET ,1727 ,VALDOSTA ,GA ,31603-1727 ,LOWNDES ,,,,1666800,,,.1841,,,261,95526,22932,4935,62011,,2250.72,,4335,1057,12937,2628,,,,8,,295 110125,01-MAY-16,30-APR-17,As Submitted,FAIRVIEW PARK HOSPITAL ,200 INDUSTRIAL BLVD ,,DUBLIN ,GA ,31021 ,LAURENS ,,,,788108,,,.2004,,,145,53384,9136,3040,27706,,454.22,,2071,696,6763,1999,,,,15,,213 110128,01-JUL-16,30-JUN-17,As Submitted,MEADOWS REGIONAL MEDICAL CENTER ,1 MEADOWS PARKWAY ,,VIDALIA ,GA ,30474- ,TOOMBS ,,,,252876,,,.12,,,52,18980,4880,1605,15312,,1005.38,,1218,531,4072,,,,,,, 110129,01-JAN-16,31-DEC-16,As Submitted,ST. FRANCIS HOSPITAL INC. ,2122 MANCHESTER EXPRESSWAY ,7000 ,COLUMBUS ,GA ,31904 ,MUSCOGEE ,,,,1334133,,,.1175,,,312,114192,27907,6981,70342,,2183.5,,5304,1212,15742,,,,,,219, 110130,01-DEC-15,30-NOV-16,Amended,IRWIN COUNTY HOSPITAL ,710 NORTH IRWIN AVENUE ,,OCILLA ,GA ,31774 ,IRWIN ,,,,11549,,,.12,,,34,12444,325,531,3076,,127.71,,85,138,1292,695,,,,,, 110132,01-APR-16,31-MAR-17,As Submitted,MEMORIAL HOSPITAL ,1500 EAST SHOTWELL STREET ,,BAINBRIDGE ,GA ,39819- ,DECATUR ,,,,68410,,,.12,,,80,29200,2700,586,8143,,392.67,,459,170,1826,525,,,,,, 110135,01-APR-16,31-MAR-17,As Submitted,TAYLOR REGIONAL HOSPITAL ,222 PERRY HIGHWAY ,1297 ,HAWKINSVILLE ,GA ,31036-6748 ,PULASKI ,,,,76569,,,.12,,,55,20075,1313,339,4125,,229.91,,395,111,1185,320,,,,,, 110142,01-OCT-15,30-SEP-16,As Submitted,EVANS MEMORIAL HOSPITAL ,200 NORTH RIVER STREET ,518 ,CLAXTON ,GA ,30417- ,EVANS ,,,,18765,,,.0604,,,49,17934,815,112,1744,,110.84,,260,38,603,,,,,,, 110143,01-JUL-16,30-JUN-17,As Submitted,COBB HOSPITAL AND MEDICAL CENTER ,3950 AUSTELL ROAD ,,AUSTELL ,GA ,30106-1121 ,COBB ,,,,2181413,,,.227,,,352,128480,25947,11071,101434,,1922.34,,4388,1997,19855,,,,,22,,232 110146,01-MAY-16,30-APR-17,As Submitted,SGHS - CAMDEN CAMPUS ,2000 DAN PROCTOR DRIVE ,,ST. MARYS ,GA ,31558 ,CAMDEN ,,,,93239,,,.12,,,40,14600,1890,481,7897,,264,,493,118,1965,481,,,,,, 110150,01-OCT-15,30-SEP-16,As Submitted,OCONEE REGIONAL MEDICAL CENTER ,821 N. COBB STREET ,690 ,MILLEDGEVILLE ,GA ,31061- ,BALDWIN ,,,,223750,,,.1561,,,103,37698,4060,1059,11914,,399.03,,823,230,2647,860,,,,,, 110153,01-JAN-16,31-DEC-16,As Submitted,PERRY HOSPITAL ,1120 MORNINGSIDE DRIVE ,,PERRY ,GA ,31069- ,HOUSTON ,,,,,,,,,,39,14274,4046,179,7207,,207.11,,643,49,1331,,,,,,, 110161,01-OCT-15,30-SEP-16,As Submitted,NORTHSIDE HOSPITAL ,1000 JOHNSON FERRY ROAD NE ,,ATLANTA ,GA ,30342- ,FULTON ,,,,1350645,,,.1595,,,526,192516,21725,19711,209541,,7373.44,,3725,4917,35452,11838,,,,,, 110164,01-JUL-16,30-JUN-17,As Submitted,COLISEUM MEDICAL CENTERS ,350 HOSPITAL DRIVE ,,MACON ,GA ,31203 ,BIBB ,,,,1243355,,,.1458,,,201,73365,18233,4576,51276,,725.85,,3674,972,10675,2006,,,,44,1420,759 110165,01-FEB-16,31-DEC-16,As Submitted,SOUTHERN REGIONAL MEDICAL CENTER ,STREET 11 UPPER RIVERSIDE ROAD S.W. ,,RIVERDALE ,GA ,30274 ,CLAYTON ,,,,1283242,,,.295,,,244,89060,8456,5733,42362,,855.32,,2032,870,12288,,,,,2,,200 110168,01-JUL-16,30-JUN-17,As Submitted,REDMOND REGIONAL MEDICAL CENTER ,501 REDMOND ROAD ,,ROME ,GA ,30161 ,FLOYD ,1626145,,,413008,,,.0344,460816,121064,196,67304,21166,4176,44639,9.99,973.4,,5121,613,10783,110,,,,28,,318 110177,01-APR-16,31-MAR-17,As Submitted,DOCTORS HOSPITAL OF AUGUSTA ,3651 WHEELER ROAD ,,AUGUSTA ,GA ,30909- ,RICHMOND ,,,,1509932,,,.1717,,,257,93805,17917,7941,66867,,1023.63,,3769,1467,15069,3248,,,,26,,431 110184,01-JUL-16,30-JUN-17,As Submitted,DOUGLAS HOSPITAL ,8954 HOSPITAL DRIVE ,,DOUGLASVILLE ,GA ,30134- ,DOUGLAS ,,,,409050,,,.1009,,,102,37230,9495,2200,25299,,717.21,,2184,523,6522,,,,,,, 110189,01-JAN-16,31-DEC-16,As Submitted,FANNIN REGIONAL HOSPITAL ,2855 OLD HIGHWAY 5 NORTH ,,BLUE RIDGE ,GA ,30513-6248 ,FANNIN ,,,,164766,,,.2049,,,50,18300,1576,527,4051,,193.63,,539,170,1344,,,,,,, 110190,01-JAN-16,31-DEC-16,As Submitted,FLINT RIVER COMMUNITY HOSPITAL ,509 SUMTER STREET ,,MONTEZUMA ,GA ,31063 ,MACON ,,,,1299,,,.1519,,,22,8052,41,,224,,47.16,,10,,50,1,,,1161,,1670, 110194,01-JUL-16,30-JUN-17,As Submitted,DONALSONVILLE HOSPITAL ,102 HOSPITAL CIRCLE ,677 ,DONALSONVILLE ,GA ,31745 ,SEMINOLE ,,,,29231,,,.12,,,45,16425,1005,135,3175,,196,,234,51,828,371,,,,,, 110198,01-JAN-16,31-MAR-16,As Submitted,NORTH FULTON REGIONAL HOSPITAL ,3000 HOSPITAL BLVD. ,,ROSWELL ,GA ,30076 ,FULTON ,,,,135967,,,.1398,,,169,15379,2603,1874,8271,,603,,512,147,1702,125,,,,3,,147 110198,01-APR-16,30-JUN-16,As Submitted,NORTH FULTON REGIONAL HOSPITAL ,3000 HOSPITAL BLVD. ,,ROSWELL ,GA ,30076 ,FULTON ,,,,52500,,,.0564,,,169,15379,2483,300,7323,,675.85,,515,102,1589,103,,,,,,140 110198,01-JUL-16,30-JUN-17,As Submitted,NORTH FULTON REGIONAL HOSPITAL ,3000 HOSPITAL BLVD. ,,ROSWELL ,GA ,30076 ,FULTON ,,,,137051,,,.0356,,,169,61685,10655,3094,31854,,670.42,,1955,566,11845,,,,,,,827 110200,01-JUL-16,30-JUN-17,As Submitted,NORTHSIDE MEDICAL CENTER ,100 FIRST COURT ,7188 ,COLUMBUS ,GA ,31909 ,MUSCOGEE ,,,,,,,,,,37,13505,2149,81,4983,,229.48,,764,17,1908,,,,,,,732 110201,01-JUL-16,30-JUN-17,As Submitted,COLISEUM NORTHSIDE HOSPITAL ,400 CHARTER BLVD ,,MACON ,GA ,31210 ,BIBB ,,,,82047,,,.0322,,,85,31025,4044,562,9805,,230.49,,1106,175,2931,33,,,,,, 110209,01-JAN-16,31-DEC-16,As Submitted,TURNING POINT HOSPITAL ,319 EAST BYPASS ,,MOULTREE ,GA ,31768 ,COLQUITT ,,,,365944,,,.0962,,,33,12078,10713,,11389,,205.09,,2753,,2947,,,,,,731, 110226,01-JUL-16,30-JUN-17,As Submitted,DEKALB MEDICAL CENTER HILLANDALE ,2801 DEKALB MEDICAL PARKWAY ,,LITHONIA ,GA ,30058 ,DEKALB ,,,,229403,,,.12,,,90,32850,4818,2988,20022,,466.74,,1055,551,4565,,,,,,, 110233,01-JUL-16,30-JUN-17,As Submitted,SOUTHEASTERN REGIONAL MEDICAL CENTER ,600 PARKWAY NORTH ,,NEWNAN ,GA ,30265 ,COWETA ,,,,,,,,,,50,18250,1757,288,10834,,1003.95,,309,48,2091,,,,,,, 110234,01-OCT-15,30-SEP-16,As Submitted,SGMC BERRIEN CAMPUS ,1121 MCPHERSON STREET ,,NASHVILLE ,GA ,31639 ,BERRIEN ,,,,7779,,,.12,,,51,18666,252,87,1001,,49.68,,64,14,180,,,,,,201, 110236,12-MAY-16,31-DEC-16,Amended,CORNERSTONE MEDICAL CENTER ,101 GROSS CRESCENT CIRCLE ,,FT OGLETHORPE ,GA ,30742 ,WALKER DADE AND CATOOSA ,,,,10871,,,.12,,,19,4446,224,36,788,,117.92,,69,15,266,,,,,,, 111302,01-APR-16,31-MAR-17,As Submitted,BLECKLEY MEMORIAL HOSPITAL ,408 PEACOCK STREET ,536 ,COCHRAN ,GA ,31014 ,BLECKLEY ,,,,,,,,,,15,5475,3384,29,5050,,100.27,,79,10,153,11,,,,,, 111303,01-OCT-15,30-SEP-16,As Submitted,JASPER MEMORIAL HOSPITAL ,898 COLLEGE STREET ,,MONTICELLO ,GA ,31064- ,JASPER ,,,,,,,,,,12,4392,660,8,1150,,65.6,,38,2,68,,,,,,, 111304,01-JUL-16,30-JUN-17,As Submitted,MORGAN MEMORIAL HOSPITAL ,1077 SOUTH MAIN STREET ,860 ,MADISON ,GA ,30650- ,MORGAN ,,,,,,,,,,25,9125,3098,23,5196,,144.72,,43,6,110,1,,,,,, 111305,01-JUL-16,30-JUN-17,As Submitted,MILLER COUNTY HOSPITAL ,209 N CUTHBERT ST ,7 ,COLQUITT ,GA ,39837 ,MILLER ,,,,,,,,,,25,9125,4314,400,7431,,212.58,,159,85,449,11,,,,,, 111306,01-JUL-16,31-OCT-16,As Submitted,EFFINGHAM HOSPITAL ,459 HIGHWAY 119 SOUTH ,386 ,SPRINGFIELD ,GA ,31329-0386 ,EFFINGHAM ,,,,,,,,,,30,3690,355,24,1085,,82.8,,55,4,314,10,,,,,, 111308,01-JUL-16,30-JUN-17,As Submitted,CLINCH MEMORIAL HOSPITAL ,1050 VALDOSTA HIGHWAY ,516 ,HOMERVILLE ,GA ,31634 ,CLINCH ,,,,,,,,,,15,5475,594,83,1149,,92.8,,126,31,263,,,,,,, 111310,01-OCT-15,30-SEP-16,As Submitted,MEDICAL CENTER OF PEACH COUNTY ,1960 HIGHWAY 247 CONNECTOR ,,BYRON ,GA ,31008 ,PEACH ,,,,,,,,,,25,9150,2301,186,7109,,135.97,,249,59,852,,,,,,, 111311,01-JAN-16,31-DEC-16,As Submitted,JENKINS COUNTY HOSPITAL ,931 EAST WINTHORPE AVENUE ,,MILLEN ,GA ,30442 ,JENKINS ,,,,,,,,,,15,5490,534,26,986,,59.31,,53,14,137,,,,,,, 111312,01-JAN-16,31-DEC-16,As Submitted,SCREVEN COUNTY HOSPITAL ,215 MIMS ROAD ,,SYLVANIA ,GA ,30476 ,SCREVEN ,,,,,,,,,,25,9150,844,53,1408,,79.71,,85,19,185,,,,,,, 111313,01-OCT-15,30-SEP-16,As Submitted,PUTNAM GENERAL HOSPITAL ,101 LAKE OCONEE PARKWAY ,4330 ,EATONTON ,GA ,31024- ,PUTNAM ,,,,,,,,,,25,9150,1611,144,3200,,107.08,,229,40,571,12,,,,,, 111314,01-OCT-15,30-SEP-16,Amended,PIONEER HLTH SERV OF EARLY COUNTY ,11740 COLUMBIA STREET ,,BLAKELY ,GA ,39823 ,EARLY ,,,,,,,,,,25,9125,1454,90,2781,,160.6,,148,27,253,4,7,,7,,48, 111316,01-JAN-16,31-DEC-16,As Submitted,WARM SPRINGS MEDICAL CENTER ,5995 SPRING STREET ,8 ,WARM SPRINGS ,GA ,31830 ,MERIWETHER ,,,,,,,,,,25,9150,998,68,2346,,96.8,,100,17,211,3,,,,,, 111318,01-OCT-15,30-SEP-16,Amended,MONROE COUNTY HOSPITAL ,88 MARTIN LUTHER KING JR DRIVE ,1068 ,FORSYTH ,GA ,31029- ,MONROE ,,,,,,,,,,25,9150,1315,44,2404,,87.22,,138,15,275,3,,,,,, 111319,01-JAN-16,31-MAR-16,Settled,SYLVAN GROVE HOSPITAL ,1050 MCDONOUGH ROAD ,,JACKSON ,GA ,30233 ,BUTTS ,,,,,,,,,,10,910,654,60,1095,,63.8,,5,2,9,,,,,,, 111319,01-APR-16,30-JUN-16,Settled,SYLVAN GROVE HOSPITAL ,1050 MCDONOUGH ROAD ,,JACKSON ,GA ,30233 ,BUTTS ,,,,,,,,,,10,910,642,5,1214,,63.78,,5,1,102,,,,,,, 111319,01-JUL-16,30-JUN-17,As Submitted,SYLVAN GROVE HOSPITAL ,1050 MCDONOUGH ROAD ,,JACKSON ,GA ,30233 ,BUTTS ,,,,,,,,,,25,9125,2424,4,3925,,63.54,,25,1,334,,,,,,, 111320,01-JUL-16,30-JUN-17,As Submitted,HIGGINS GENERAL HOSPITAL ,200 ALLEN MEMORIAL HOSPITAL ,,BREMEN ,GA ,30110 ,HARALSON ,,,,,,,,,,15,5475,3278,43,5662,,185.17,,90,20,215,,,,,,, 111323,01-JAN-16,31-DEC-16,As Submitted,TATTNALL HOSPITAL COMPANY LLC ,ROUTE 1 BOX 121 ,,REIDSVILLE ,GA ,30453 ,TATTNALL ,,,,,,,,,,25,9150,1165,62,2699,,178.21,,439,32,1217,,,,,,, 111324,01-MAY-16,30-APR-17,As Submitted,CHATUGE REGIONAL HOSPITAL ,110 N MAIN STREET ,,HIWASSEE ,GA ,30546-0509 ,TOWNS ,,,,,,,,,,25,9125,1710,66,2094,,173.89,,294,22,496,,,,,,162, 111325,01-MAY-16,30-APR-17,As Submitted,WILLS MEMORIAL HOSPITAL ,120 GORDON STREET ,370 ,WASHINGTON ,GA ,30673 ,WILKES ,,,,,,,,,,25,9125,2225,73,3598,,106.22,,219,22,520,,,,,,, 111326,01-OCT-15,30-SEP-16,As Submitted,SGMC LANIER CAMPUS ,116 W. THIGPEN AVENUE ,,LAKELAND ,GA ,31635- ,LANIER ,,,,,,,,,,25,9150,2377,36,2934,,71.83,,61,10,132,,,,,,, 111329,01-JUL-16,30-JUN-17,As Submitted,ST MARYS GOOD SAMARITAN ,1201 SILOAM RD ,,GREENSBORO ,GA ,30642 ,GREENE ,,,,,,,,,,25,9125,2250,97,4146,,143.43,,305,32,640,,,,,,, 111330,01-JUL-16,30-JUN-17,As Submitted,POLK MEDICAL CENTER ,2360 ROCKMART HWY ,,CEDARTOWN ,GA ,30125 ,POLK ,,,,,,,,,,25,9125,4953,12,7380,,150.95,,54,4,96,3,,,,,, 111331,01-OCT-15,30-SEP-16,As Submitted,MITCHELL COUNTY HOSPITAL ,90 STEPHENS STREET ,360 ,CAMILLA ,GA ,31728- ,MITCHELL ,,,,,,,,,,25,9150,1913,15,4177,,87.29,,29,6,91,6,,,,,, 111332,01-OCT-15,30-SEP-16,As Submitted,BROOKS COUNTY HOSPITAL ,903 N COURT ST ,5000 ,QUITMAN ,GA ,31643-1315 ,BROOKS ,,,,,,,,,,25,9150,2201,32,5082,,77.95,,79,9,158,4,,,,,, 111333,01-OCT-15,30-SEP-16,As Submitted,JEFF DAVIS ,163 S TALLAHASSEE ST ,1690 ,HAZLEHURST ,GA ,31539- ,JEFF DAVIS ,,,,,,,,,,25,9150,1174,146,2344,,102,,256,42,583,37,,,,,, 111334,01-JAN-16,31-DEC-16,As Submitted,CANDLER COUNTY HOSPITAL ,400 CEDAR STREET ,597 ,METTER ,GA ,30349-0597 ,CANDLER ,,,,,,,,,,25,9150,2815,269,4787,,132.82,,228,53,502,12,,,,,, 111335,01-DEC-15,30-NOV-16,As Submitted,LIBERTY REGIONAL MEDICAL CENTER ,462 E. G. MILES PARKWAY ,919 ,HINESVILLE ,GA ,31313- ,LIBERTY ,,,,,,,,,,25,9150,1084,277,4293,,261.86,,287,99,1584,460,,,,,, 111336,01-JAN-16,31-DEC-16,As Submitted,MOUNTAIN LAKES MEDICAL CENTER ,196 RIDGECREST CIRCLE ,,CLAYTON ,GA ,30525 ,RABUN ,,,,,,,,,,25,9150,1582,46,2446,,116.2,,206,27,357,,,,,,, 112000,01-JAN-16,31-DEC-16,As Submitted,ROOSEVELT WARM SPRINGS LTAC HOSPITAL ,6135 ROOSEVELT HIGHWAY ,1000 ,WARM SPRINGS ,GA ,31830-0268 ,MERIWETHER ,,,,,,,,,,32,11680,2403,,4548,,41.85,,94,,162,,,,,,, 112003,01-APR-16,31-MAR-17,As Submitted,SHEPHERD CENTER ,2020 PEACHTREE RD NW ,,ATLANTA ,GA ,30309-1465 ,FULTON ,,,,,,,,,,152,55480,2620,1552,45247,,1249.08,,72,50,889,17,,,,,, 112004,28-JUN-16,31-AUG-17,As Submitted,SSH - ES MIDTOWN ATLANTA ,705 JUNIPER ST ,,ATLANTA ,GA ,30308-1307 ,FULTON ,,,,,,,,,,72,30960,4266,260,10879,,137.47,,133,7,295,3,,,,,, 112007,01-JUL-16,30-JUN-17,As Submitted,KENNESTONE HOSPITAL AT WINDY HILL ,2540 WINDY HILL ROAD ,,MARIETTA ,GA ,30067- ,COBB ,,,,,,,,,,55,20075,4220,764,10173,,313.83,,134,16,350,,,,,,, 112009,01-JAN-16,31-DEC-16,As Submitted,SSH - ATLANTA ,550 PEACHTREE ST. NE 7TH FLOOR ,,ATLANTA ,GA ,30365 ,FULTON ,,,,,,,,,,30,10980,3057,641,8372,,85.62,,102,13,262,4,,,,,, 112011,01-MAY-16,30-APR-17,As Submitted,SSH - SAVANNAH INC. ,5353 REYNOLDS STREET ,,SAVANNAH ,GA ,31405 ,CHATHAM ,,,,,,,,,,40,14600,4000,,7492,,81.21,,154,,285,15,,,,,, 112012,01-JAN-16,31-DEC-16,As Submitted,COLUMBUS SPECIALTY HOSPITAL ,616 19TH STREET FOURTH FLOOR ,910 ,COLUMBUS ,GA ,31902 ,,,,,,,,,,,50,18300,3798,,6602,,75,,150,,150,,,,,,, 112013,01-APR-16,31-MAR-17,As Submitted,SSH - AUGUSTA UH INC ,1537 WALTON WAY ,,AUGUSTA ,GA ,30904 ,RICHMOND ,,,,,,,,,,80,29200,9836,,16990,,199.44,,391,,637,10,,,,,, 112014,01-MAR-16,28-FEB-17,As Submitted,REGENCY HOSPITAL OF SOUTH ATLANTA ,1170 CLEVELAND AVENUE 4TH FLOOR ,,EAST POINT ,GA ,30344 ,FULTON ,,,,,,,,,,40,14600,3852,,6987,,71.52,,96,,166,5,,,,,, 112015,01-JUL-16,30-JUN-17,As Submitted,SOUTHERN CRESCENT HOSPITAL ,11 UPPER RIVERDALE RD SW 6TH FLOOR ,,RIVERDALE ,GA ,30274- ,CLAYTON ,,,,,,,,,,30,10950,3127,,5487,,43.78,,103,,181,,,,,,, 112016,01-NOV-15,31-OCT-16,As Submitted,REGENCY HOSPITAL OF MACON LLC ,700 SPRING STREET ,,MACON ,GA ,31201 ,BIBB ,,,,,,,,,,60,21960,9798,,17154,,176.53,,282,,471,4,,,,,, 112017,01-JAN-16,31-DEC-16,As Submitted,LANDMARK HOSPITAL OF ATHENS LLC ,775 SUNSET DRIVE ,,ATHENS ,GA ,30606 ,CLARKE ,,,,,,,,,,42,15372,5795,,10990,,97.57,,240,,427,,,,,,, 113028,01-JUL-16,30-JUN-17,As Submitted,ROOSEVELT WARM SPRINGS REHAB HOSP ,6135 ROOSEVELT HIGHWAY ,1000 ,WARM SPRINGS ,GA ,31830-0268 ,MERIWETHER ,,,,,,,,,,52,19032,2954,1494,6714,,105.64,,186,91,397,,,,,,, 113029,01-OCT-15,30-SEP-16,As Submitted,CENTRAL GEORGIA REHAB HOSPITAL ,3351 NORTHSIDE DRIVE ,,MACON ,GA ,31210- ,BIBB ,,,,,,,,,,58,21228,9575,,13997,,155.11,,643,,945,,,,,,, 113030,01-APR-16,31-MAR-17,As Submitted,HEALTHSOUTH WALTON REHABILITATION HO ,1355 INDEPENDENCE DRIVE ,,AUGUSTA ,GA ,30901 ,RICHMOND ,,,,,,,,,,50,18250,11040,55,14989,,144.16,,914,6,1214,11,,,,,, 113032,01-OCT-15,30-SEP-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,2101 E. NEWNAN CROSSING BLVD ,,NEWNAN ,GA ,30265 ,COWETA ,,,,,,,,,,50,18300,7570,,10975,,109.62,,666,,929,14,,,,,, 113033,01-APR-16,31-MAR-17,As Submitted,SAVANNAH REHABILITATION HOSPITAL ,6510 SEAWRIGHT DRIVE ,,SAVANNAH ,GA ,31406 ,CHATHAM ,,,,,,,,,,50,18250,8638,388,13184,,124.31,,701,29,1040,20,,,,,, 113300,01-JAN-16,31-DEC-16,As Submitted,EGLESTON CHILDRENS HOSPITAL AT EMORY ,1405 CLIFTON ROAD ,,ATLANTA ,GA ,30322-1101 ,DEKALB ,,,,,,,,,4415,278,101748,651,22222,80099,156.21,2416.16,,138,3109,12485,4596,,,,,, 113301,01-JAN-16,31-DEC-16,As Submitted,SCOTTISH RITE CHILDRENS MEDICAL CTR ,1001 JOHNSON FERRY RD ,,ATLANTA ,GA ,30329-2303 ,FULTON ,,,,,,,,,,273,99918,,16702,75795,23.62,2568.12,,,2640,13947,4399,,,,,, 114004,01-JAN-16,31-DEC-16,As Submitted,SUMMIT RIDGE HOSPITAL ,250 SCENIC HIGHWAY ,,LAWRENCEVILLE ,GA ,30045 ,GWINNETT ,,,,,,,,,,86,31476,8628,,25663,,143.05,,660,,3338,,,,,,, 114008,01-JAN-16,31-DEC-16,As Submitted,COASTAL HARBOR TREATMENT CENTER ,1150 CORNELL AVENUE ,,SAVANNAH ,GA ,31406 ,,,,,,,,,,,96,35136,3614,,22085,,224.14,,345,,3530,,,,,,, 114010,01-JAN-16,31-DEC-16,As Submitted,PEACHFORD HOSPITAL ,2151 PEACHFORD ROAD ,,ATLANTA ,GA ,30338 ,,,,,,,,,,,246,90036,16632,,75992,,405.8,,1277,,10560,,,,,,, 114012,01-SEP-16,04-JAN-17,As Submitted,RIDGEVIEW INSTITUTE ,3995 SOUTH COBB DRIVE ,,SMYRNA ,GA ,30080 ,COBB ,,,,,,,,,,110,13860,1818,,9919,,383.27,,215,,1727,,,,,,, 114013,01-JUL-16,30-JUN-17,As Submitted,WEST CENTRAL GA REGIONAL HOSPITAL ,3000 SCHATULGA ROAD ,,COLUMBUS ,GA ,31905 ,MUSCOGEE ,,,,,,,,,,40,14600,76,,14266,,568,,1,,254,,,,,,, 114016,01-JAN-16,31-DEC-16,As Submitted,ST. SIMONS BY THE SEA ,2927 DEMERE ROAD ,,ST. SIMONS ISLAND ,GA ,31522 ,GLYNN ,,,,,,,,,,101,36966,6384,,20143,,124.57,,521,,2509,,,,,,, 114028,01-JUL-16,30-JUN-17,As Submitted,GEORGIA REGIONAL HOSPITAL@ SAVANNAH ,1915 EISENHOWER DRIVE ,,SAVANNAH ,GA ,31406 ,CHATHAM ,,,,,,,,,,112,40880,363,,36554,,528,,33,,1305,,,,,,, 114029,01-JUL-16,30-JUN-17,As Submitted,EAST CENTRAL REGIONAL HOSPITAL ,3405 MIKE PADGETT HIGHWAY ,,AUGUSTA ,GA ,30906 ,RICHMOND ,,,,,,,,,,110,40150,752,,23966,,552,,40,,625,,,,,,, 114032,01-JAN-16,31-DEC-16,As Submitted,SOUTHERN CRESCENT HOSPITAL ,255454 YORKTOWNE DRIVE ,,COLLEGE PARK ,GA ,30349 ,CLAYTON ,,,,,,,,,,172,62780,9730,,44708,,280.4,,775,,6309,,,,,,, 114035,01-JAN-16,31-DEC-16,As Submitted,RIVERWOODS BEHAVIORAL HEALTH SYSTEM ,223 MEDICAL CENTER DRIVE ,,RIVERDALE ,GA ,30274 ,CLAYTON ,,,,,,,,,,155,56730,13883,,50983,,335.47,,1383,,7830,,,,,,, 114036,01-JAN-16,31-DEC-16,As Submitted,ACADIA GREENLEAF HOSPITAL ,2209 PINEVIEW DRIVE ,,VALDOSTA ,GA ,31602 ,,,,,,,,,,,73,26718,10641,,23997,,142.71,,780,,2759,,,,,,, 120001,01-JUL-16,30-JUN-17,As Submitted,THE QUEENS MEDICAL CENTER ,1301 PUNCHBOWL STREET ,861 ,HONOLULU ,HI ,96813 ,HONOLULU ,7563804,,,4260011,,,.1882,3020525,980727,583,212795,43814,2753,193241,105.38,4076.17,,6603,294,29551,6783,,,,,, 120002,01-JUL-16,30-JUN-17,As Submitted,MAUI MEMORIAL MEDICAL CENTER ,221 MAHALANI STREET ,,WAILUKU ,HI ,96793 ,MAUI ,,,,586013,,,.1392,,,219,79935,10727,9758,59991,,1283.79,,1605,3040,9472,,,,,,, 120004,01-JUL-16,30-JUN-17,As Submitted,WAHIAWA GENERAL HOSPITAL ,128 LEHUA STREET ,,WAHIAWA ,HI ,96786 ,HONOLULU ,399665,,,116049,,,.1177,397374,74646,43,15695,2153,1136,6366,.61,278.57,,425,294,1388,,,,,,49, 120006,01-JAN-16,31-DEC-16,As Submitted,CASTLE MEDICAL CENTER ,640 ULUKAHIKI ST ,,KAILUA ,HI ,96734 ,HONOLULU ,,,,837980,,,.1814,,,160,58560,8275,8362,34033,,660.1,,1576,2109,7291,457,,,,,, 120007,01-JUL-16,30-JUN-17,As Submitted,KUAKINI MEDICAL CENTER ,347 N. KUAKINI STREET ,,HONOLULU ,HI ,96717- ,HONOLULU ,1094983,,,127292,,,.0281,884620,315615,170,62050,9179,60,25062,16.54,821.92,,1325,8,3827,369,,,,,, 120011,01-JAN-16,31-DEC-16,As Submitted,KFH-HAWAII ,3288 MOANALUA ROAD ,,HONOLULU ,HI ,96819-1495 ,HONOLULU ,65462,,,54125,,,.0359,193958,52839,295,107970,3161,64,65041,22.62,1512,,523,9,10987,2124,,,,,, 120014,01-JUL-16,30-JUN-17,As Submitted,WILCOX MEMORIAL HOSPTIAL ,3-3420 KUHIO HIGHWAY ,,LIHUE ,HI ,96766- ,KAUAI ,,,,262002,,,.12,,,72,26280,4290,74,16564,,460.49,,832,14,3378,1184,,,,,, 120022,01-JUL-16,30-JUN-17,As Submitted,STRAUB CLINIC & HOSPITAL ,888 S. KING STREET ,,HONOLULU ,HI ,96813- ,HONOLULU ,936472,,,900776,,,.1183,238900,187927,159,58035,12434,382,42020,9.18,1716.18,,2137,57,7202,1102,,,,,, 120026,01-JUL-16,30-JUN-17,As Submitted,PALI MOMI MEDICAL CENTER ,98-1079 MOANALUA ROAD ,,AIEA ,HI ,96701- ,HONOLULU ,318501,,,503023,,,.0838,109203,48717,118,43070,10992,182,31671,10.19,892.61,,1952,30,5757,870,,,,,, 120028,01-JUL-16,30-JUN-17,As Submitted,NORTH HAWAII COMMUNITY HOSPITAL ,67-1125 MAMALAHOA HIGHWAY ,,KAMUELAA ,HI ,96743 ,HAWAII ,,,,108534,,,.12,,,33,12045,1609,1409,6564,,302.54,,419,367,1789,120,,,,,, 121300,01-JUL-16,30-JUN-17,As Submitted,KAUAI VETERANS MEMORIAL HOSPITAL ,4643 WAIMEA CANYON ROAD ,337 ,WAIMEA KAUAI ,HI ,96796-0337 ,HAWAII ,,,,,,,,,,25,9125,889,672,4073,,216.17,,111,286,679,,,,,,, 121301,01-JUL-16,30-JUN-17,As Submitted,KAU HOSPITAL ,1 KAMANI STREET ,,PAHALE ,HI ,96777 ,HAWAII ,,,,,,,,,,5,1825,185,136,474,,24.8,,9,,30,,,,,,, 121302,01-JUL-16,30-JUN-17,As Submitted,KOHALA HOSPITAL ,54-383 OLD HOSPITAL ROAD ,10 ,KAPAAU ,HI ,96755 ,USA ,,,,,,,,,,6,2066,248,286,854,,37.62,,1,,6,,,,,,, 121303,01-JUL-16,30-JUN-17,As Submitted,MOLOKAI GENERAL HOSPITAL ,280 HOME OLU ,408 ,KAUNAKAKAI ,HI ,96748 ,MAUI ,,,,,,,,,,15,5475,128,100,491,,64.15,,11,,52,16,,,,,, 121304,01-JUL-16,30-JUN-17,As Submitted,KAHUKU MEDICAL CENTER ,56-117 PUALALEA ST. ,,KAHUKU ,HI ,96731 ,HONOLULU ,,,,,,,,,,15,5475,1845,3,4311,,67.11,,5,1,21,,,,,,, 121305,01-JUL-16,30-JUN-17,As Submitted,LANAI COMMUNITY HOSPITAL ,628 7TH STREET ,797 ,LANAI ,HI ,96763 ,MAUI ,,,,,,,,,,4,1460,2,,13,,25.15,,1,,5,,,,,,, 121306,01-JUL-16,30-JUN-17,As Submitted,SAMUEL MAHELONA MEMORIAL HOSPITAL ,4800 KAWAIHAU ROAD ,,KAPAA KAUAI ,HI ,96746 ,HAWAII ,,,,,,,,,,5,1825,,,,,77.55,,,,,,,,75,,193, 121307,01-JUL-16,30-JUN-17,As Submitted,HALE HOOLA HAMAKUA ,45 - 547 PLUMERIA STREET ,237 ,HONOKAA ,HI ,96727 ,HAWAII ,,,,,,,,,,11,4015,1445,4,2851,,74.84,,,2,3,,,,,,, 122001,01-JUL-16,30-JUN-17,As Submitted,LEAHI HOSPITAL ,3675 KILAUEA AVENUE ,,HONOLULU ,HI ,96816 ,HAWAII ,,,,,,,,,,9,3285,,,4,,108.93,,,,,,,,,,, 123025,01-OCT-15,30-SEP-16,As Submitted,REHABILITATION HOSPITAL OF THE PACIF ,226 N. KUAKINI STREET ,,HONOLULU ,HI ,96817-2421 ,HONOLULU ,,,,,,,,,,69,25262,7310,3324,22516,,348,3,637,222,1863,,,,,,, 123300,01-JUL-16,30-JUN-17,As Submitted,KAPIOLANI MED CTR FOR WOMEN & CHILDR ,1319 PUNAHOU STREET ,,HONOLULU ,HI ,96826- ,HONOLULU ,,,,,,,,,14295,243,84411,204,163,77334,47.75,1375.69,,48,47,8807,5185,,,,,, 124001,01-JAN-16,31-DEC-16,As Submitted,SUTTER PACIFIC KAHI MOHALA HOSP ,91-2301 FORT WEAVER ROAD ,,EWA BEACH ,HI ,96706- ,HONOLULU ,,,,,,,,,,88,32208,,7,10065,,177.49,,,1,355,,,,,,, 130003,01-JUL-16,30-APR-17,As Submitted,ST JOSEPH REGIONAL MEDICAL CENTER ,415 SIXTH STREET ,816 ,LEWISTON ,ID ,83501 ,NEZ PERCE ,,,,310655,,,.073,,,94,28576,7808,754,15023,,828.2,,1764,137,3544,756,,,131,,382, 130006,01-OCT-15,30-SEP-16,As Submitted,ST. LUKES REGIONAL MEDICAL CENTER ,190 EAST BANNOCK ,,BOISE ,ID ,83712- ,ADA ,521473,,,2436209,,,.1449,105990,125330,559,204594,29989,33199,126990,8.62,6456.19,,6899,6870,30317,,,,,,,334 130007,01-JUL-16,30-JUN-17,As Submitted,ST. ALPHONSUS REGIONAL MED CENTER ,1055 NORTH CURTIS ROAD ,,BOISE ,ID ,83706-1309 ,ADA ,766095,,,1483184,,,.1253,270004,119072,348,127020,21940,15979,78785,25.21,3281.59,,4593,3147,17421,394,,,,38,,271 130013,01-JUL-16,30-JUN-17,As Submitted,ST. ALPHONSUS MEDICAL CENTER - NAMP ,1512 12TH AVE ROAD ,,NAMPA ,ID ,83686 ,CANYON ,,,,389811,,,.1329,,,151,55115,5949,4481,19994,,625.34,,1442,1420,5895,584,,,,,, 130014,01-OCT-15,30-SEP-16,As Submitted,WEST VALLEY MEDICAL CENTER ,1717 ARLINGTON ,,CALDWELL ,ID ,83605- ,CANYON ,183529,,,546504,,,.2189,87923,50363,108,39528,4370,3689,16652,6.19,442.65,,1152,1002,4633,,,,,,, 130018,01-OCT-15,30-SEP-16,As Submitted,EASTERN IDAHO REGIONAL MEDICAL CENTE ,3100 CHANNING WAY ,2077 ,IDAHO FALLS ,ID ,83403 ,BONNIEVILLE ,,,,1822031,,,.2156,,,237,86742,14886,11541,47038,,1010.58,,3566,1861,10210,,,,,8,850,281 130025,01-OCT-15,30-SEP-16,As Submitted,MADISON MEMORIAL HOSPITAL ,450 EAST MAIN ST ,310 ,REXBURG ,ID ,83440-0310 ,MADISON ,,,,103845,,,.12,,,69,25254,1745,3202,9192,,416.13,,474,543,2478,,,,,,, 130028,01-JAN-16,31-DEC-16,As Submitted,PORTNEUF MEDICAL CENTER ,651 MEMORIAL DRIVE ,,POCATELLO ,ID ,83201-4004 ,BANNOCK ,1514737,,,682185,,,.1093,486565,261851,137,50142,10386,5965,30225,18.48,973.57,,2631,1286,7814,,,,122,6,699,115 130049,01-JAN-16,31-DEC-16,Amended,KOOTENAI HOSPITAL DISTRICT ,2003 KOOTENAI HEALTH WAY ,,COEUR DALENE ,ID ,83814- ,KOOTENAI ,1245379,,,1622691,,,.1257,413426,291287,281,103212,24314,15260,68262,15.12,2532.84,,5081,2125,16190,,,,,,, 130063,01-JAN-16,31-DEC-16,As Submitted,TREASURE VALLEY HOSPITAL ,8800 WEST EMERALD STREET 100 ,,BOISE ,ID ,83704- ,ADARIS ,,,,,,,,,,10,3660,118,1,1181,,124.67,,77,1,645,,,,,,, 130065,01-JAN-16,31-DEC-16,As Submitted,MOUNTAIN VIEW HOSPITAL ,2325 CORONADO STREET ,,IDAHO FALLS ,ID ,83404- ,BONNEVILLE ,,,,170996,,,.12,,,41,15006,1323,2235,8088,,676.86,,507,410,2510,,,,,,, 130066,01-JAN-16,31-DEC-16,As Submitted,NORTHWEST SPECIALTY HOSPITAL ,1593 E. POLSTON AVENUE ,,POST FALLS ,ID ,83854 ,KOOTENAI ,,,,,,,,,,34,12444,605,8,2010,,209.81,,282,6,973,,,,,,, 131301,01-JAN-16,31-DEC-16,As Submitted,BOUNDARY COMMUNITY HOSPITAL ,6640 KANIKSU ,,BONNERS FERRY ,ID ,83805 ,BOUNDARY ,,,,,,,,,,20,7320,398,47,1094,,108.45,,44,6,68,,,,,,, 131302,01-OCT-15,30-SEP-16,As Submitted,NORTH CANYON MEDICAL CENTER ,267 NORTH CANYON DRIVE ,,GOODING ,ID ,83330- ,GOODING ,,,,,,,,,,17,6222,1516,81,2068,,124.19,,190,30,353,,,,,,, 131303,01-JUL-16,30-JUN-17,As Submitted,ONEIDA COUNTY HOSPITAL ,150 NORTH 200 WEST ,126 ,MALAD CITY ,ID ,83252-0126 ,ONEIDA ,,,,,,,,,,11,4015,767,3,976,,48.74,,68,,92,,,,,,, 131304,01-OCT-15,30-SEP-16,As Submitted,POWER COUNTY HOSPITAL DISTRICT ,510 ROOSEVELT ,,AMERICAN FALLS ,ID ,83211- ,POWER ,,,,,,,,,,10,3660,588,1,689,,61.26,,34,1,47,,,,,,, 131305,01-OCT-15,30-SEP-16,As Submitted,STEELE MEMORIAL MEDICAL CENTER ,203 S. DAISY STREET ,,SALMON ,ID ,83467- ,LEMHI ,,,,,,,,,,18,6588,665,135,1180,,118.48,,186,40,374,,,,,,, 131307,01-JUL-16,30-JUN-17,As Submitted,MEMORIAL HOSPITAL ,645 E FIFTH STREET ,,WEISER ,ID ,83672 ,WASHINGTON ,,,,,,,,,,19,6935,632,159,1207,,100.21,,138,41,322,,,,,,, 131308,01-OCT-15,30-SEP-16,As Submitted,CASCADE MEDICAL CENTER ,402 OLD STATE HIGHWAY ,1330 ,CASCADE ,ID ,83611-0151 ,VALLEY ,,,,,,,,,,8,2928,80,,88,,36.76,,11,,13,,,,,,, 131309,01-OCT-15,30-SEP-16,As Submitted,CARIBOU MEMORIAL HOSPITAL ,300 SOUTH THIRD WEST ,,SODA SPRINGS ,ID ,83276- ,CARIBOU ,,,,,,,,,,19,6954,910,94,1329,,119.54,,128,25,298,,,,,,, 131310,01-OCT-15,30-SEP-16,As Submitted,ST. LUKES JEROME LTD ,709 N. LINCOLN AVE ,586 ,JEROME ,ID ,83338-1851 ,JEROME ,,,,,,,,,,25,9150,1078,631,2833,,191.83,,56,120,352,,,,,,, 131311,01-OCT-15,30-SEP-16,As Submitted,ELMORE MEDICAL CENTER ,895 N. SIXTH EAST ,,MOUNTAIN HOME ,ID ,83647- ,ELMORE ,,,,,,,,,,21,7686,1878,516,3294,,185.76,,279,180,693,,,,,,, 131312,01-OCT-15,30-SEP-16,As Submitted,ST. LUKES MCCALL ,1000 STATE STREET ,906 ,MCCALL ,ID ,83638- ,VALLEY ,,,,,,,,,,15,5490,695,210,1619,,292.56,,209,64,534,,,,,,, 131313,01-OCT-15,30-SEP-16,As Submitted,TETON VALLEY HOSPITAL ,120 EAST HOWARD ,,DRIGGS ,ID ,83422- ,TETON ,,,,,,,,,,13,4758,335,45,524,,94.23,,77,12,139,,,,,,, 131314,01-DEC-15,30-NOV-16,As Submitted,SHOSHONE MEDICAL CENTER ,204 OREGON STREET ,,KELLOGG ,ID ,83837 ,SHOSHONE ,,,,,,,,,,21,7686,1379,12,1552,,70.69,,175,4,234,,,,,,, 131315,01-OCT-15,30-SEP-16,Amended,SYRINGA GENERAL HOSPITAL ,607 W. MAIN STREET ,,GRANGEVILLE ,ID ,83530- ,IDAHO ,,,,,,,,,,15,5490,1203,164,1718,,109.9,,267,37,427,,,,,,, 131316,01-JAN-16,31-DEC-16,As Submitted,BEAR LAKE MEMORIAL HOSPITAL ,164 SOUTH 5TH ,,MONTPELIER ,ID ,83254 ,BEAR LAKE ,,,,,,,,,,21,7686,1804,175,2380,,126.48,,176,43,349,,,,,,, 131317,01-JAN-16,31-DEC-16,As Submitted,BENEWAH COMMUNITY HOSPITAL ,229 SEVENTH ST ,,ST MARIES ,ID ,83861 ,BENEWAH ,,,,,,,,,,19,6954,1067,104,1493,,142.32,,188,35,313,,,,,,, 131318,01-OCT-15,30-SEP-16,As Submitted,WALTER KNOX MEMORIAL HOSPITAL ,1202 EAST LOCUST ,,EMMETT ,ID ,83617 ,GEM ,,,,,,,,,,13,4758,379,240,910,,103.64,,59,60,180,,,,,,, 131319,01-OCT-15,30-SEP-16,As Submitted,MINIDOKA MEMORIAL HOSPITAL ,1224 8TH STREET ,,RUPERT ,ID ,83350- ,MINIDOKA ,,,,,,,,,,16,5840,1074,81,1818,,132.68,,203,13,376,,,,,,, 131320,01-JUL-16,30-JUN-17,As Submitted,CLEARWATER VALLEY HOSPITAL ,301 CEDAR ,,OROFINO ,ID ,83544- ,CLEARWATER ,,,,,,,,,,23,8395,1854,178,2325,,162,,361,142,530,,,,,,, 131321,01-JUL-16,30-JUN-17,As Submitted,ST. MARYS HOSPITAL ,701 LEWISTON ST. ,137 ,COTTONWOOD ,ID ,83522-0137 ,LEWIS ,,,,,,,,,,25,9125,1923,207,2413,,167.29,,281,55,447,,,,,,, 131322,01-OCT-15,30-SEP-16,As Submitted,FRANKLIN COUNTY MEDICAL CENTER ,44 NORTH FIRST EAST ,,PRESTON ,ID ,83263- ,FRANKLIN ,,,,,,,,,,20,7320,1937,186,3248,,127.75,,331,49,599,,,,,,, 131323,01-OCT-15,30-SEP-16,As Submitted,ST. LUKES WOOD RIVER MEDICAL CENTER ,100 HOSPITAL DRIVE ,100 ,KETCHUM ,ID ,83340 ,BLAINE ,,,,,,,,,,25,9150,1122,407,2969,,489.47,,327,102,952,,,,,,, 131324,01-OCT-15,30-SEP-16,As Submitted,LOST RIVERS HOSPITAL ,551 HIGHLAND DRIVE ,,ARCO ,ID ,83213 ,BUTTE ,,,,,,,,,,14,5124,446,5,501,,37.67,,51,1,63,,,,,,, 131325,01-JAN-16,31-DEC-16,As Submitted,BINGHAM MEMORIAL HOSPITAL ,98 POPLAR ,,BLACKFOOT ,ID ,83221- ,BINGHAM ,,,,,,,,,,25,9150,2295,1030,5439,4.88,465.66,,664,306,2151,,,,,,, 131326,01-JAN-16,31-DEC-16,As Submitted,CASSIA REGIONAL MED. CENTER ,1501 HILAND AVE. ,,BURLEY ,ID ,83318- ,CASSIA ,,,,,,,,,,25,9150,1524,1011,4528,,307.66,,419,342,1479,9,,,,,, 131327,01-JAN-16,31-DEC-16,As Submitted,GRITMAN MEDICAL CENTER ,700 SOUTH MAIN STREET ,,MOSCOW ,ID ,83843- ,LATAH ,,,,,,,,,,25,9150,1965,518,4357,,375.43,,545,110,1243,,,,,,, 131328,01-JAN-16,31-DEC-16,As Submitted,BONNER GENERAL HOSPITAL ,520 N. THIRD AVENUE ,1448 ,SANDPOINT ,ID ,83864- ,BONNER ,,,,,,,,,,25,9150,2039,917,5115,,314.88,,552,402,1917,4,,,,,, 132001,01-OCT-15,30-SEP-16,As Submitted,NORTHERN IDAHO ADVANCED CARE HOSP ,600 NORTH CECIL ,,POST FALLS ,ID ,83854 ,KOOTENAI ,,,,,,,,,,40,14640,6589,1175,10389,,126.1,,274,40,412,,,,,,, 132003,01-JAN-16,31-DEC-16,As Submitted,SOUTHWEST IDAHO ADVANCED CARE HOSPIT ,6651 W FRANKLIN ROAD ,,BOISE ,ID ,83709 ,ADA ,,,,,,,,,,40,14640,5686,915,8487,,112.24,,223,30,327,,,,,,, 133027,01-JAN-16,31-MAY-16,Settled,REHABILITATION HOSP OF THE NORTHWEST ,3372 E JENALAN AVE ,,POST FALLS ,ID ,83854 ,KOOTENAI ,,,,,,,,,,30,4560,2656,73,3372,,89.43,,206,7,254,,,,,,, 133027,01-JUN-16,31-MAY-17,As Submitted,REHABILITATION HOSPITAL OF THE NORTH ,3372 E JENALAN AVE ,,POST FALLS ,ID ,83854 ,KOOTENAI ,,,,,,,,,,30,10950,5652,171,7936,,82.96,,439,10,596,9,,,,,, 134002,01-OCT-15,30-SEP-16,As Submitted,INTERMOUNTAIN ,303 N ALLUMBAUGH STREET ,,BOISE ,ID ,83704 ,ADA ,,,,,,,,,,151,55266,6751,5890,31798,,,,600,628,3990,,,,,,, 134009,01-JAN-16,31-DEC-16,As Submitted,SAFE HAVEN HOSPITAL TREASURE VALLEY ,8050 NORTHVIEW STREET ,,BOISE ,ID ,83704 ,ADA ,,,,,,,,,,16,5856,796,1643,4712,,41.17,,76,180,641,,,,,,, 134010,01-JUL-16,30-JUN-17,As Submitted,STATE HOSPITAL SOUTH ,700 EAST ALICE STREET ,400 ,BLACKFOOT ,ID ,83221- ,BINGHAM ,,,,,,,,,,106,38690,4789,3897,31731,,291.02,,125,116,712,,,,,,, 134015,11-FEB-16,26-AUG-16,As Submitted,SAWTOOTH BEHAVIORAL HEALTH ,650 ADDISON W AVE; 300 B ,,TWIN FALLS ,ID ,83301 ,TWIN FALLS ,,,,,,,,,,29,5742,530,,860,,22.68,,33,,56,,,,,,, 140001,01-JUL-16,30-JUN-17,As Submitted,GRAHAM HOSPITAL ASSOCIATION ,210 WEST WALNUT ,,CANTON ,IL ,61520- ,FULTON ,,,,142257,,,.0902,,,43,15695,3778,1425,7947,,457.21,,988,403,2160,,,,,,, 140002,01-JAN-16,31-DEC-16,As Submitted,ALTON MEMORIAL HOSPITAL ,ONE MEMORIAL DRIVE ,,ALTON ,IL ,62002- ,MADISON ,,,,487980,,,.0968,,,132,48312,10760,2291,23898,,693.48,,2773,731,6838,1033,1,,2,,234, 140007,01-JAN-16,31-DEC-16,As Submitted,PRESENCE ST. JOSEPH MEDICAL CENTER ,333 NORTH MADISON STREET ,,JOLIET ,IL ,60435 ,KANE ,83682,,,2153182,,,.1127,41742,12685,432,158112,40602,6059,91646,2.58,1717.08,,8754,1456,21964,,,,,13,,879 140008,01-JUL-16,30-JUN-17,As Submitted,GOTTLIEB MEMORIAL HOSPITAL ,8700 WEST NORTH AVENUE ,,MELROSE PARK ,IL ,60160 ,COOK ,145544,,,375678,,,.0658,64857,13598,155,59825,11741,457,25911,4.93,729.55,,2548,1004,5972,,,,1,52,192,466 140010,01-OCT-15,30-SEP-16,As Submitted,NORTHSHORE UNIVERSITY HEALTHSYSTEM ,2650 RIDGE AVENUE ,,EVANSTON ,IL ,60201 ,COOK ,20530935,,,1407511,,,.0388,5120062,5331390,733,255002,69387,16108,164003,197.75,5869,,16019,3702,36632,1543,99,,90,23,1642,412 140011,01-APR-16,31-MAR-17,As Submitted,HERRIN HOSPITAL ,201 S. 14TH STREET ,,HERRIN ,IL ,62948 ,,,,,442608,,,.0762,,,85,31025,12763,3154,21086,,743.01,,3315,1078,6231,93,,,,67,,425 140012,01-JAN-16,31-DEC-16,As Submitted,KATHERINE SHAW BETHEA ,KATHERINE SHAW BETHEA HOSPITAL ,403 EAST ,DIXON ,IL ,61021 ,LEE ,433966,,,257211,,,.12,115668,124762,66,24156,3819,2470,9092,3.63,716.7,,1133,642,2929,,,,263,,559, 140013,01-JAN-16,31-DEC-16,As Submitted,PROCTOR HOSPITAL ,5409 N. KNOXVILLE ,,PEORIA ,IL ,61614 ,PEORIA ,,,,,,,,,,110,40260,6957,834,12928,,495.59,,1629,191,3226,,,,,,303, 140015,01-OCT-15,30-SEP-16,As Submitted,BLESSING HOSPITAL ,1005 BROADWAY ,,QUINCY ,IL ,62301 ,ADAMS ,1891865,,,835360,,,.0757,630023,234651,228,83448,25449,6870,44751,16.42,1675.2,,5723,1846,11183,150,101,,950,21,1961,334 140018,01-JUL-16,30-JUN-17,As Submitted,MOUNT SINAI HOSPITAL MEDICAL CENTER ,15TH STREET & CALIFORNIA AVE ,,CHICAGO ,IL ,60608- ,COOK ,3807723,,,2524648,,,.6183,2128194,704232,263,95995,8930,11247,56875,124.61,1627.16,,1654,2321,13762,7270,837,,187,,1358, 140019,01-SEP-16,30-JUN-17,As Submitted,HSHS GOOD SHEPHERD HOSPITAL ,200 SOUTH CEDAR ,,SHELBYBILLE ,IL ,62565-1899 ,SHELBY ,,,,28245,,,.12,,,30,10950,853,227,1379,,145.4,,192,82,376,35,,,,,, 140029,01-JUL-16,30-JUN-17,As Submitted,COPLEY MEMORIAL HOSPITAL ,2000 OGDEN AVENUE ,,AURORA ,IL ,60504 ,KANE ,1215495,,,1150227,,,.1505,300497,179504,192,70080,13961,6865,45215,11.91,1554.17,,3423,3579,11351,,,,,112,,354 140030,01-JAN-16,31-DEC-16,As Submitted,ADVOCATE SHERMAN HOSPITAL ,1425 NORTH RANDALL ROAD ,,ELGIN ,IL ,60123 ,KANE ,,,,894190,,,.0773,,,255,93330,23978,5990,62450,,1337.39,,5172,535,16526,2023,,,,,, 140032,01-JUL-16,30-JUN-17,As Submitted,ST. ANTHONYS MEMORIAL HOSPITAL ,503 N MAPLE ,,EFFINGHAM ,IL ,62401 ,EFFINGHAM ,,,,287883,,,.0599,,,133,48545,9243,2077,16849,,613.62,,2596,613,5125,,,,,,, 140033,01-DEC-15,30-NOV-16,As Submitted,VISTA MEDICAL CENTER WEST ,1324 NORTH SHERIDAN ROAD ,,WAUKEGAN ,IL ,60085- ,LAKE ,,,,179,,,.12,,,16,5856,8,2035,2698,,74.21,,1,332,443,,,,539,27,961,232 140034,01-JAN-16,31-DEC-16,Amended,SSM HEALTH ST. MARYS HOSPITAL ,400 NORTH PLEASANT AVENUE ,,CENTRALIA ,IL ,62801- ,MARION ,,,,485551,,,.1221,,,101,36966,10323,2814,16392,,585.04,,2510,983,4118,150,59,,339,,665, 140040,01-MAY-16,30-APR-17,As Submitted,GALESBURG COTTAGE HOSPITAL ,695 NORTH KELLOGG STREET ,,GALESBURG ,IL ,61401 ,KNOX ,,,,221760,,,.1453,,,123,44895,3493,862,7397,,281.72,,858,423,1964,,,,,,205, 140043,01-MAY-16,30-APR-17,As Submitted,CGH MEDICAL CENTER ,100 EAST LEFEVRE ROAD ,,STERLING ,IL ,61081-1279 ,WHITESIDE ,,,,318292,,,.0839,,,97,35405,7506,2178,14177,,1274.93,,2025,664,4068,,,,,,, 140046,01-JAN-16,31-DEC-16,Amended,SSM HEALTH GOOD SAMARITAN HOSPITAL ,1 GOOD SAMARITAN WAY ,,MT. VERNON ,IL ,62864 ,JEFFERSON ,,,,1124148,,,.1494,,,124,45384,15605,5974,29788,,904,,3598,1664,7667,,,,,18,,214 140048,01-JAN-16,31-DEC-16,As Submitted,ADVOCATE TRINITY HOSPITAL ,2320 E. 93RD ST. ,,CHICAGO ,IL ,60617- ,COOK ,,,,1382390,,,.275,,,193,70638,11313,12574,37263,,813,,2379,2912,8645,,,,,,, 140049,01-MAY-16,30-APR-17,As Submitted,WEST SUBURBAN HOSP MED CTR ,3 ERIE COURT ,,OAK PARK ,IL ,60302 ,COOK ,3135195,,,1215480,,,.3237,2532068,802619,135,49275,7788,3645,29589,58.17,803.2,,1775,699,7295,2400,,,,,, 140052,01-OCT-15,30-SEP-16,As Submitted,OSF SAINT ANTHONYS HEALTH CENTER ,SAINT ANTHONYS WAY ,340 ,ALTON ,IL ,62002-0340 ,MADISON ,,,,351263,,,.1487,,,83,30378,5047,516,11319,,485.14,8.77,1224,60,3458,331,,,,,,190 140053,01-JUL-16,30-JUN-17,As Submitted,ST. JOHNS HOSPITAL ,800 EAST CARPENTER ,,SPRINGFIELD ,IL ,62769 ,SANGAMON ,5659453,,,3211612,,,.2014,1531417,645298,356,128479,29616,17794,88236,72.51,2348.21,,5743,4896,17347,,,,10,,252, 140054,01-OCT-15,30-SEP-16,As Submitted,MACNEAL HOSPITAL ,3249 SOUTH OAK PARK AVENUE ,,BERWYN ,IL ,60402 ,COOK ,5396274,,,1399972,,,.2011,4789298,1757125,257,94062,13965,8050,54715,103.76,1395.74,,3021,919,12831,2472,,,,,867,220 140058,01-OCT-15,30-SEP-16,As Submitted,PASSAVANT AREA HOSPITAL ,1600 WEST WALNUT ,,JACKSONVILLE ,IL ,62650-1185 ,MORGAN ,,,,231386,,,.0941,,,103,34778,5506,2081,10368,,654.74,,1452,595,3192,,,,,,, 140059,01-JUL-16,30-JUN-17,As Submitted,JERSEY COMMUNITY HOSPITAL DIST ,400 MAPLE SUMMIT ROAD ,,JERSEYVILLE ,IL ,62052 ,JERSEY ,,,,,,,,,,46,16790,2248,223,3064,,256.12,,655,81,912,,,,,,, 140062,01-JAN-16,31-DEC-16,As Submitted,PALOS COMMUNITY HOSPITAL ,12251 S. 80TH AVENUE ,,PALOS HEIGHTS ,IL ,60463 ,COOK ,,,,,,,,,,317,116022,51552,2230,83123,,2143.86,,10568,698,18278,1028,,,,,1631, 140063,01-JUL-16,30-JUN-17,As Submitted,OAK PARK HOSPITAL ,520 SOUTH MAPLE ,,OAK PARK ,IL ,60603- ,COOK ,204940,,,363919,,,.0928,131979,82440,165,60225,8158,1085,15455,5.41,735.52,,1941,122,4148,,,,,,,60 140064,01-OCT-15,30-SEP-16,As Submitted,ST. MARY MEDICAL CENTER ,3333 N SEMINARY ,,GALESBURG ,IL ,61401 ,KNOX ,,,,150031,,,.0649,,,90,32940,5351,345,11675,,418.27,,1308,512,3043,,,,,,, 140065,01-JAN-16,31-DEC-16,As Submitted,ADVENTIST LAGRANGE MEMORIAL HOSPITAL ,5101 S. WILLOW SPRINGS ROAD ,,LAGRANGE ,IL ,60525- ,COOK ,2022016,,,,,,,1490441,436314,160,58560,17902,790,32797,19.3,732.66,,3693,213,7541,657,,,,,,512 140067,01-OCT-15,30-SEP-16,As Submitted,SAINT FRANCIS MEDICAL CENTER ,530 NE GLEN OAK AVENUE ,,PEORIA ,IL ,61637 ,PEORIA ,9413687,1000157,,4461551,474018,,.1916,4890819,1349842,618,226368,51915,12122,164030,185.29,5064.96,,10232,1797,33477,4446,,,,31,,540 140068,01-APR-16,31-MAR-17,As Submitted,ROSELAND COMMUNITY HOSPITAL ,45 W. 111TH STREET ,,CHICAGO ,IL ,60628- ,COOK ,,,,604050,,,.5524,,,134,48910,3368,1048,15341,,407.42,,670,244,3314,1947,,,,,, 140077,01-JAN-16,31-DEC-16,As Submitted,TOUCHETTE REGIONAL HOSPITAL ,5900 BOND STREET ,,CENTREVILLE ,IL ,62207 ,ST. CLAIR ,,,,411502,,,.6557,,,124,45384,2200,1486,10230,,419.87,,446,412,2643,,,,,,, 140080,01-JAN-16,31-DEC-16,As Submitted,PRESENCE SAINT FRANCIS HOSPITAL ,355 RIDGE AVENUE ,,EVANSTON ,IL ,60202 ,COOK ,6153272,,,1427034,,,.2316,3283808,1590538,195,71370,12514,3743,32954,96.12,830.25,,2852,759,7633,1876,,,,,, 140082,01-JUN-16,31-MAY-17,As Submitted,LOUIS A. WEISS MEMORIAL HOSPITAL ,4646 NORTH MARINE DRIVE ,,CHICAGO ,IL ,60640 ,COOK ,6141232,,,1261421,,,.2345,3703854,1479732,119,43435,11517,3178,27160,77.41,646.07,,2248,658,5413,1029,11,,39,27,299,182 140083,01-JUL-16,30-JUN-17,As Submitted,LORETTO HOSPITAL ,645 SOUTH CENTRAL AVENUE ,,CHICAGO ,IL ,60646 ,COOK ,31344,,,692216,,,.6219,37319,8987,122,44530,4348,1918,20694,1.5,480.41,,648,346,3604,1482,,,,,, 140084,01-DEC-15,30-NOV-16,As Submitted,VISTA MEDICAL CENTER - EAST ,1324 NORTH SHERIDAN ROAD ,,WAUKEGAN ,IL ,60085- ,LAKE ,,,,1514993,,,.2048,,,190,69540,17267,4700,44360,,784.66,,3534,3702,10725,,,,,,, 140088,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY OF CHICAGO HOSPITALS ,5841 SOUTH MARYLAND AVENUE ,,CHICAGO ,IL ,60637 ,COOK ,35836643,,,7523822,,,.3184,8923049,6348744,613,222218,51800,31615,196288,606.65,7408.34,,7443,3161,29544,8395,,,,,, 140089,01-JUL-16,30-JUN-17,As Submitted,MCDONOUGH DISTRICT HOSPITAL ,525 E. GRANT ,,MACOMB ,IL ,61455- ,MCDONOUGH ,,,,82207,,,.103,,,45,16425,2262,825,5294,,531.4,,510,253,1278,1,,,4,,133, 140091,01-JAN-16,31-DEC-16,As Submitted,CARLE FOUNDATION HOSPITAL ,611 W. PARK STREET ,,URBANA ,IL ,61801-2595 ,CHAMPAIGN ,3630909,,,2500059,,,.1674,1413040,867031,376,137616,30026,27806,109939,54.67,2802.95,,6127,2943,25659,711,,,,49,,279 140093,01-JAN-16,31-DEC-16,As Submitted,PRESENCE UNITED SAMARITANS MEDICAL C ,812 NORTH LOGAN AVENUE ,,DANVILLE ,IL ,61821 ,VERMILION ,,,,504945,,,.1543,,,172,62952,7289,906,16833,,469.54,,1896,456,5045,,,,,,, 140095,01-JUL-16,30-JUN-17,As Submitted,SAINT ANTHONY HOSPITAL ,2875 W. 19TH STREET ,,CHICAGO ,IL ,60623 ,COOK ,69659,,,595295,,,.4799,61728,36176,109,39785,3565,3912,19127,3.98,679.17,,663,977,4235,1798,,,120,,1109, 140100,01-JUL-16,30-JUN-17,As Submitted,MIDWESTERN REGIONAL MEDICAL CENTER ,2501 EMMAUS AVENUE ,,ZION ,IL ,60099 ,LAKE ,,,,,,,,,,73,26645,1238,10,10575,,1180.42,,234,3,1929,,,,,,, 140101,01-JAN-16,31-DEC-16,As Submitted,MORRIS HOSPITAL ,150 WEST HIGH STREET ,,MORRIS ,IL ,60450 ,GRUNDY ,,,,,,,,,,89,32485,8875,1849,16424,,972.06,,2093,665,4695,50,,,,,, 140103,01-JAN-16,31-DEC-16,As Submitted,ST. BERNARD HOSPITAL ,64TH & DAN RYAN ,,CHICAGO ,IL ,60621 ,COOK ,97775,,,1104767,,,.5819,74049,10472,158,57828,5880,2625,24969,4.08,718.54,,1145,516,5479,2192,947,,163,,1731, 140110,01-OCT-15,30-SEP-16,As Submitted,OTTAWA REGIONAL HOSPITAL & HEALTHCAR ,1100 EAST NORRIS DRIVE ,,OTTAWA ,IL ,61350 ,LASALLE ,,,,558607,,,.2247,,,87,31842,5068,1101,13149,,535.9,,1477,1313,3764,,,,17,,316, 140113,01-JAN-16,31-DEC-16,As Submitted,PRESENCE COVENANT MEDICAL CENTER ,1400 WEST PARK STREET ,,URBANA ,IL ,61801 ,CHAMPAIGN ,590337,,,652471,,,.1358,350880,132782,169,61685,8708,2065,24807,9.03,601.14,,2227,646,6587,,,,,,,368 140114,01-OCT-15,30-SEP-16,As Submitted,SWEDISH COVENANT HOSPITAL ,5145 NORTH CALIFORNIA AVENUE ,,CHICAGO ,IL ,60625 ,COOK ,3646670,,,2297483,,,.2785,1971207,1078795,226,82716,17924,15252,53239,47.03,1511.32,,3540,3814,11339,,,,132,85,550,345 140115,01-JUL-16,30-JUN-17,As Submitted,THOREK MEMORIAL HOSPITAL ,850 WEST IRVING PARK ROAD ,,CHICAGO ,IL ,60613 ,COOK ,,,,844047,,,.5026,,,156,56940,5054,2702,19411,,297,,993,897,4111,1468,,,,,, 140116,01-JUL-16,30-JUN-17,As Submitted,NORTHERN ILLINOIS MEDICAL CENTER ,4201 MEDICAL CENTER DRIVE ,,MCHENRY ,IL ,60050- ,MCHENRY ,874950,,,456754,,,.0344,317806,184642,279,96657,26026,1603,52009,8,1495.74,,5727,202,12090,1339,,,,6,,455 140117,01-JAN-16,31-DEC-16,As Submitted,PRESENCE RESURRECTION MEDICAL CENTER ,7435 WEST TALCOTT ,,CHICAGO ,IL ,60631 ,COOK ,9842626,,,589736,,,.0405,3833646,925023,196,76110,30044,2446,57736,73.74,1384.89,,5582,465,11636,,,,,3,,911 140118,01-JAN-16,31-DEC-16,As Submitted,METROSOUTH MEDICAL CENTER ,12935 SOUTH GREGORY STREET ,,BLUE ISLAND ,IL ,60406 ,COOK ,,,,1144284,,,.231,,,300,109800,10775,2085,32442,,607.14,,2315,3087,7892,,,,,,278, 140119,01-JUL-16,30-JUN-17,As Submitted,RUSH UNIVERSITY MEDICAL CENTER ,1653 W. CONGRESS PARKWAY ,,CHICAGO ,IL ,60612 ,COOK ,43183786,,,5967620,,,.2137,10667391,5619348,554,200965,48465,15728,156201,535.57,8453.12,,9342,1469,29253,,,,199,60,1417,830 140120,01-MAY-16,30-APR-17,As Submitted,PEKIN MEMORIAL HOSPITAL ,600 SOUTH 13TH STREET ,,PEKIN ,IL ,61554 ,TAZWELL ,,,,152282,,,.0706,,,107,39055,5886,933,11957,,478.04,,1315,382,2971,,,,,,, 140122,01-JAN-16,31-DEC-16,As Submitted,ADVENTIST HINSDALE HOSPITAL ,120 NORTH OAK STREET ,,HINSDALE ,IL ,60521- ,DUPAGE ,1655986,,,229712,,,.0308,768769,475572,244,89304,14478,1457,48762,27.42,1416.51,,3352,261,10766,1079,,,29,,828, 140124,01-DEC-15,30-NOV-16,As Submitted,JOHN H. STROGER JR. HOSP OF COOK CTY ,1901 WEST HARRISON STREET ,,CHICAGO ,IL ,60612-3714 ,COOK ,8327597,,,2176208,,,.455,2956452,2254651,448,161964,11598,40827,99847,489.4,4323.42,,2467,7254,21062,,,,,,, 140125,01-JAN-16,31-DEC-16,As Submitted,GATEWAY REGIONAL ,2100 MADISON AVE ,,GRANITE CITY ,IL ,62040 ,MADISON ,,,,970196,,,.3929,,,301,110166,7307,8306,31963,,576.74,,1497,3277,6709,,,,150,12,509,102 140127,01-JAN-16,31-DEC-16,As Submitted,ADVOCATE BROMENN MEDICAL CENTER ,1304 VIRGINIA ,,NORMAL ,IL ,61761- ,MCLEAN ,713497,,,587690,,,.1123,461214,157285,206,75396,11048,3357,31950,12.57,907.68,,2581,663,8012,1188,,,,8,,251 140133,01-JUL-16,30-JUN-17,As Submitted,HOLY CROSS HOSPITAL ,2701 WEST 68TH STREET ,,CHICAGO ,IL ,60629 ,COOK ,,,,1957909,,,.3716,,,216,75022,13674,3532,40525,,861.24,,2752,824,9241,3567,,,,18,,293 140135,01-OCT-15,30-SEP-16,As Submitted,DECATUR MEMORIAL HOSPITAL ,2300 N. EDWARD ST. ,,DECATUR ,IL ,62526 ,MACON ,962682,,,854127,,,.0953,446211,290543,202,73730,18533,2694,35634,14.17,1616.7,,4117,1292,8385,,,,17,,261, 140137,01-JAN-16,31-DEC-16,As Submitted,GREENVILLE REGIONAL HOSPITAL ,200 HEALTHCARE DRIVE ,,GREENVILLE ,IL ,62246-1156 ,BOND ,,,,46405,,,.12,,,32,11712,1450,736,3529,,196.12,,299,483,1007,,,,12,,221, 140143,01-OCT-15,30-SEP-16,As Submitted,ST. MARGARETS HOSPITAL ,600 EAST FIRST ST ,,SPRING VALLEY ,IL ,61362 ,BUREAU ,,,,57015,,,.0363,,,63,23058,3417,933,6494,,537.2,,884,435,1747,3,,,,,, 140145,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPHS HOSPITAL ,9515 HOLY CROSS LANE ,,BREESE ,IL ,62230 ,CLINTON ,,,,43046,,,.0575,,,49,17885,1510,500,4458,,276.09,,447,83,1251,83,,,,,, 140147,01-OCT-15,30-SEP-16,As Submitted,RICHLAND MEMORIAL HOSPITAL ,800 EAST LOCUST ,,OLNEY ,IL ,62450-2958 ,RICHLAND ,,,,104324,,,.0971,,,47,17202,2948,838,4674,,398.42,,742,258,1286,,,,282,,456, 140148,01-OCT-15,30-SEP-16,As Submitted,MEMORIAL MEDICAL CENTER ,701 NORTH FIRST STREET ,,SPRINGFIELD ,IL ,62781 ,SANGAMON ,10156206,,,1457632,,,.0689,3462974,1102239,412,150701,45841,5968,106253,162.93,3325.86,,8884,1411,22424,3053,418,,305,44,1563,470 140150,01-JUL-16,30-JUN-17,As Submitted,BOARD OF TRUSTEES OF THE UNIVERSITY ,1740 W TAYLOR ST ,,CHICAGO ,IL ,60612 ,COOK ,17326175,,,3492871,,,.3721,6894526,3737496,446,162790,20674,8197,99799,479.55,4074.78,,3321,1414,19224,8005,307,,164,39,919,361 140155,01-JAN-16,31-DEC-16,As Submitted,PRESENCE ST. MARYS HOSPITAL ,500 WEST COURT STREET ,,KANKAKEE ,IL ,60901 ,KANKAKEE ,,,,759948,,,.1698,,,182,66612,9676,1358,22855,,568.81,,2084,395,5854,,,,,,, 140158,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL & MEDICAL CENTER ,2525 SOUTH MICHIGAN AVENUE ,,CHICAGO ,IL ,60616-2477 ,COOK ,6222460,,,2225699,,,.3384,3454317,1322255,220,75920,15280,6577,48259,78.5,1201.93,,3013,1093,10860,3378,524,,245,115,1340,377 140160,01-JAN-16,31-DEC-16,As Submitted,FHN MEMORIAL HOSPITAL ,1405 WEST STEPHENSON STREET ,,FREEPORT ,IL ,64032 ,STEPHENSON ,,,,227991,,,.0832,,,100,36600,6052,2609,13844,,530.22,,1532,807,3827,,,,,,, 140161,01-OCT-15,30-SEP-16,As Submitted,SAINT JAMES HOSPITAL ,2500 WEST REYNOLDS STREET ,,PONTIAC ,IL ,61764 ,LIVINGSTON ,,,,80848,,,.0521,,,42,15372,3273,274,5901,,307,,877,258,1841,,,,,,, 140162,01-OCT-15,30-SEP-16,As Submitted,ST. JOSEPH MEDICAL CENTER ,2200 E WASHINGTON ,,BLOOMINGTON ,IL ,61701 ,MCLEAN ,,,,276776,,,.0552,,,137,50142,9749,522,24865,,776.59,,2445,250,6344,519,,,,,, 140164,01-APR-16,31-MAR-17,As Submitted,MEMORIAL HOSPITAL OF CARBONDALE ,405 W. JACKSON ST. ,,CARBONDALE ,IL ,62901 ,,983538,,,1383429,,,.1665,366267,234507,159,58035,14598,8285,36547,13.31,1116.7,,3785,2548,10580,634,,,,,, 140166,01-JUL-16,30-JUN-17,As Submitted,ST MARYS HOSPITAL ,1800 EAST LAKE SHORE DRIVE ,,DECATUR ,IL ,62521 ,MACON ,45612,,,1230864,,,.227,14744,7354,131,47815,10939,8194,27199,.26,745.47,,2709,1677,6316,,,,23,17,269,293 140167,01-OCT-15,30-SEP-16,As Submitted,IROQUOIS MEMORIAL HOSPITAL ,200 FAIRMAN AVENUE ,,WATSEKA ,IL ,60970 ,IROQUOIS ,,,,78444,,,.1171,,,25,9150,1064,318,1848,,233.8,,378,138,666,,,,,,, 140172,01-JAN-16,31-DEC-16,As Submitted,FRANCISCAN ST. JAMES HEALTH ,20201 SOUTH CRAWFORD AVE ,,OLYMPIA FIELDS ,IL ,60461 ,COOK ,8004384,,,1562450,,,.1562,3862518,1865629,276,100467,19645,11270,45997,98.04,1374.91,,4639,2108,11460,,,,,20,,250 140174,01-JAN-16,31-DEC-16,Amended,PRESENCE MERCY MEDICAL CENTER ,1325 NORTH HIGHLAND AVENUE ,,AURORA ,IL ,60506 ,KANE ,,,,707249,,,.1484,,,226,82716,8714,2325,26066,,681.2,,1965,797,6775,1480,429,,605,,1528, 140176,01-JUL-16,30-JUN-17,As Submitted,MEMORIAL MEDICAL CENTER ,3701 DOTY ROAD ,,WOODSTOCK ,IL ,60098- ,MCHENRY ,,,,323420,,,.1009,,,104,33064,7744,1050,16185,,480.34,,1714,114,3776,581,179,,46,,557, 140177,01-APR-16,31-MAR-17,As Submitted,JACKSON PARK HOSPITAL ,7531 SOUTH STONEY ISLAND AVENUE ,,CHICAGO ,IL ,60649 ,COOK ,299531,,,1248524,,,.522,261503,32124,201,73365,7005,10030,31575,16.31,626.92,,1491,2984,7785,2703,,,,,, 140179,01-JUL-16,30-JUN-17,As Submitted,LITTLE COMPANY OF MARY ,2800 WEST 95TH STREET ,,EVERGREEN PARK ,IL ,60642 ,COOK ,163119,,,990460,,,.1049,139761,64140,220,80300,20900,2511,50680,2.18,1390.48,,4194,541,10927,803,,,,,601, 140180,01-JAN-16,31-DEC-16,As Submitted,PRESENCE SAINTS MARY & ELIZABETH MED ,2233 WEST DIVISION STREET ,,CHICAGO ,IL ,60622 ,COOK ,2014388,,,3972272,,,.5118,1444698,471479,376,139968,23066,12394,96144,44.41,1383.08,,3849,1929,17806,,,,,11,,263 140181,01-JAN-16,31-DEC-16,As Submitted,SOUTH SHORE HOSPITAL CORPORATION ,8012 SOUTH CRANDON AVENUE ,,CHICAGO ,IL ,60617-1175 ,COOK ,,,,980344,,,.4231,,,122,44652,9195,1118,19445,,410.38,,1183,200,2981,562,79,,9,,364, 140182,01-JAN-16,31-DEC-16,As Submitted,ADVOCATE NORTHSIDE HEALTH SYSTEM ,836 WELLINGTON ,,CHICAGO ,IL ,60640 ,COOK ,6947412,,,1331738,,,.2264,3658073,1782387,254,92939,10557,7980,55635,175.69,2014,,2623,976,13085,2933,458,,121,16,1194,400 140184,01-MAY-16,30-APR-17,As Submitted,MARION MEMORIAL HOSPITAL ,917 WEST MAIN ST ,,MARION ,IL ,62959 ,WILLIAMSON ,,,,299407,,,.12,,,98,35770,4767,2413,11563,,334.02,,1318,1154,3728,,,,,,, 140185,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL ,4500 MEMORIAL DRIVE ,,BELLEVILLE ,IL ,62226 ,SAINT CLAIR ,,,,1061947,,,.0955,,,316,115656,26834,2220,59838,,1606.18,,5360,2215,12909,367,,,,,, 140186,01-JAN-16,31-DEC-16,As Submitted,RIVERSIDE MEDICAL CENTER ,350 NORTH WALL STREET ,,KANKAKEE ,IL ,60901 ,USA ,1291720,,,1994912,,,.2046,537701,259829,291,106506,19126,10727,52586,16.95,1824.04,,4387,2842,11299,,,,7,50,263,756 140187,01-JUL-16,30-JUN-17,As Submitted,ST. ELIZABETH HOSPITAL ,211 S 3RD STREET ,,BELLEVILLE ,IL ,62220- ,ST. CLAIR ,519835,,,598706,,,.1043,392455,231175,194,70810,11704,1571,29702,14.11,888.2,,2687,374,7555,1488,,,,10,,394 140189,01-JUL-16,30-JUN-17,As Submitted,SARAH BUSH LINCOLN HEALTH CENTER ,1000 HEALTH CENTER DRIVE ,372 ,MATTOON ,IL ,61920- ,COLES ,,,,350894,,,.0715,,,88,32120,11010,3669,21628,,1820.55,,2961,1291,6619,,,,372,,719, 140191,01-OCT-15,30-SEP-16,As Submitted,INGALLS MEMORIAL HOSPITAL ,ONE INGALLS DRIVE ,,HARVEY ,IL ,60426 ,COOK ,,,,2275807,,,.2472,,,268,98088,20758,5909,59601,,1524.04,,4209,949,12436,2877,62,,16,4,268,521 140197,01-OCT-15,30-SEP-16,As Submitted,METHODIST HOSPITAL OF CHICAGO ,5025 N PAULINA ST ,,CHICAGO ,IL ,60640-2772 ,COOK ,,,,877439,,,.5575,,,145,53070,6249,4488,22143,,325.76,,1049,2787,4308,,,,,,, 140200,01-JUL-16,30-JUN-17,As Submitted,ELMHURST MEMORIAL HOSPITAL ,155 E BRUSH HILL ROAD ,,ELMHURST ,IL ,60126 ,DUPAGE ,,,,,,,,,,282,102930,29702,2475,73087,,2241.08,,6230,441,17387,1352,,,,,, 140202,01-JAN-16,31-DEC-16,As Submitted,CONDELL MEDICAL CENTER ,900 GARFIELD AVE ,,LIBERTYVILLE ,IL ,60648- ,LAKE ,,,,1185113,,,.0814,,,271,99186,29704,7477,69561,,1412,,6535,969,16817,,,,,,, 140206,01-OCT-15,30-SEP-16,As Submitted,NORWEGIAN AMERICAN HOSPITAL ,1044 N. FRANSICSO AVENUE ,,CHICAGO ,IL ,60622 ,COOK ,105059,,,1793862,,,.6276,62726,26961,173,63318,8584,15493,36258,3,724.34,,1477,2988,7181,,,,58,,449, 140208,01-JAN-16,31-DEC-16,As Submitted,ADVOCATE CHRIST HOSPITAL ,4440 WEST 95TH STREET ,,OAK LAWN ,IL ,60453- ,COOK ,20648935,,,4779709,,,.1604,11101049,2474878,679,248514,59841,21701,214697,236.69,4740,,10631,3632,39880,,,,134,24,1349,928 140209,01-JAN-16,31-DEC-16,As Submitted,METHODIST MEDICAL CTR OF ILLINOIS ,221 N E GLEN OAK ,,PEORIA ,IL ,61636 ,PEORIA ,2044882,,,1510869,,,.1734,1297024,501788,198,72468,17367,14756,49264,31.86,1692.34,,3816,5018,11210,,,,,,2258,444 140210,01-JUL-16,30-JUN-17,As Submitted,HARRISBURG MEDICAL CENTER INC. ,100 DR WARREN TUTTLE DRIVE ,,HARRISBURG ,IL ,62946 ,SALINE ,,,,120196,,,.0809,,,46,16790,3172,662,4789,,399.41,,1069,294,1720,,,,728,,1306, 140213,01-OCT-15,30-SEP-16,As Submitted,SILVER CROSS HOSPITAL ,1900 SILVER CROSS BLVD. ,,NEW LENOX ,IL ,60451 ,WILL ,,,,621287,,,.045,,,251,91866,29983,5927,72390,,1698.1,,6877,3467,18807,,,,360,10,975,595 140217,01-JAN-16,31-DEC-16,Amended,PRESENCE SAINT JOSEPH HOSPITAL ELGIN ,77 NORTH AIRLITE ST. ,,ELGIN ,IL ,60123 ,KANE ,,,,571492,,,.0958,,,144,52704,11653,1716,26093,,546.58,,2454,313,5710,691,,,,,,1254 140223,01-JAN-16,31-DEC-16,As Submitted,ADVOCATE LUTHERAN GENERAL HOSPITAL ,1775 W. DEMPSTER STREET ,,PARK RIDGE ,IL ,60068- ,COOK ,16721788,,,1952523,,,.0944,6570772,2099360,530,193980,41675,12319,138438,209.98,3240.81,,8543,1973,26235,3996,192,,98,19,1149,938 140224,01-JAN-16,31-DEC-16,As Submitted,PRESENCE SAINT JOSEPH HOSP-CHICAGO ,2900 NORTH LAKE SHORE DRIVE ,,CHICAGO ,IL ,60657 ,COOK ,5565442,,,884985,,,.1405,4675860,1308329,277,102607,15805,2693,55801,121.28,1586.5,,3118,391,10843,2713,,,,7,,181 140228,01-JUL-16,30-JUN-17,As Submitted,SWEDISHAMERICAN HOSPITAL ,1401 EAST STATE ST. ,,ROCKFORD ,IL ,61104 ,WINNEBAGO ,917770,,,1779369,,,.1888,316163,273078,302,108390,20740,8909,61061,20.38,2415.7,,4308,2345,15657,2596,232,,117,,951, 140231,01-JUL-16,30-JUN-17,As Submitted,EDWARD HOSPITAL ,801 SOUTH WASHINGTON STREET ,,NAPERVILLE ,IL ,60540-7499 ,,,,,,,,,,,298,108770,31686,3413,96138,,2523.87,,7138,500,22831,1401,,,,,, 140233,01-OCT-15,30-SEP-16,As Submitted,SAINT ANTHONY MEDICAL CENTER ,5666 EAST STATE STREET ,,ROCKFORD ,IL ,61108-2472 ,WINNEBAGO ,571420,,,496343,,,.0412,185709,102537,235,86010,23147,1988,50554,6.53,1719.12,,5204,358,11771,928,,,,,, 140234,01-JUL-16,30-JUN-17,As Submitted,ILLINOIS VALLEY COMMUNITY HOSPITAL ,925 WEST STREET ,,PERU ,IL ,61354 ,,,,,126100,,,.0606,,,56,20440,4157,1313,7515,,473.24,,1242,560,2399,,,,,,, 140239,01-JUL-16,30-JUN-17,As Submitted,ROCKFORD MEMORIAL HOSPITAL ,2400 N ROCKTON AVENUE ,,ROCKFORD ,IL ,61103 ,WINNEBAGO ,7970,,,2499131,,,.2772,3820,1649,320,114775,17836,13832,61760,.5,1580.39,,3801,2316,12257,3045,147,,86,,622, 140240,01-JUL-16,30-JUN-17,As Submitted,WESTLAKE COMMUNITY HOSPITAL ,1225 SUPERIOR STREET ,,MELROSE PARK ,IL ,60160 ,COOK ,16832,,,631629,,,.3655,20466,4893,121,44165,5149,2844,20201,.61,413.58,,881,463,3930,1318,,,14,21,364,260 140250,01-JAN-16,31-DEC-16,As Submitted,SOUTH SUBURBAN HOSPITAL ,178TH STREET AND KEDZIE AVE ,,HAZELCREST ,IL ,60429- ,COOK ,,,,873831,,,.118,,,243,88938,15162,2190,42788,,1013.43,,3265,445,9835,2512,,,,,, 140251,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY FIRST MEDICAL CENTER ,5645 WEST ADDISON STREET ,,CHICAGO ,IL ,60634 ,COOK ,107730,,,1048933,,,.1908,63203,14063,213,77958,13295,5362,31463,2.27,727.62,,2614,982,6102,658,,,,,, 140252,01-OCT-15,30-SEP-16,As Submitted,NORTHWEST COMMUNITY HOSPITAL ,800 WEST CENTRAL ROAD ,,ARLINGTON HEIGHTS ,IL ,60005 ,COOK ,,,,444756,,,.0264,,,340,124440,32965,3779,77406,,2409.32,,7409,1947,17557,1,146,,109,,1728,301 140258,01-JUL-16,30-JUN-17,As Submitted,ALEXIAN BROTHERS MEDICAL CENTER ,800 BIESTERFIELD ROAD ,,ELK GROVE VILLAGE ,IL ,60007-3397 ,COOK ,,,,890140,,,.0509,,,257,93805,36948,4779,79188,,2072.08,,6850,467,16135,1580,71,,3,14,409,1610 140275,01-JUL-16,30-JUN-17,As Submitted,GENESIS MEDICAL CENTER - SILVIS ,801 HOSPITAL ROAD ,,SILVIS ,IL ,61282- ,ROCK ISLAND ,,,,271688,,,.1067,,,145,52925,4662,667,12269,,451.78,,1426,1005,4123,,,,,,, 140280,01-JAN-16,31-DEC-16,As Submitted,TRINITY ROCK ISLAND ,2701 17TH STREET ,,ROCK ISLAND ,IL ,61201 ,ROCK ISLAND ,,,,1370351,,,.1425,,,297,108702,18424,6403,59094,,1358.17,,4318,1789,14044,2019,,,,22,,213 140286,01-MAY-16,31-AUG-16,As Submitted,KISHWAUKEE COMMUNITY HOSPITAL ,ONE KISH HOSPITAL DRIVE ,,DEKALB ,IL ,60115- ,DEKALB ,,,,61197,,,.0428,,,98,12054,3385,922,6982,,812.8,,709,275,1745,,,,,,, 140288,01-JAN-16,31-DEC-16,As Submitted,ADVOCATE GOOD SAMARITAN HOSPITAL ,3815 HIGHLAND AVENUE ,,DOWNERS GROVE ,IL ,60515- ,DUPAGE ,,,,447879,,,.0342,,,288,105408,23174,4634,57744,,1572,,4857,324,14447,,,,128,,1091, 140289,01-JAN-16,31-DEC-16,As Submitted,ANDERSON HOSPITAL ,6800 STATE ROUTE 162 ,,MARYVILLE ,IL ,62062-1000 ,MADISON ,,,,302404,,,.0732,,,130,47580,9492,1426,27905,,911.87,,2266,534,8648,,,,,17,,361 140290,01-JUL-16,30-JUN-17,As Submitted,ST. ALEXIUS MEDICAL CENTER ,1555 BARRINGTON ROAD ,,HOFFMAN ESTATES ,IL ,60194 ,COOK ,,,,1310893,,,.1216,,,311,113515,25843,6241,81975,,1566.57,,5079,758,17297,2982,,,,,, 140291,01-JAN-16,31-DEC-16,As Submitted,GOOD SHEPHERD HOSPITAL ,450 W. HIGHWAY 22 ,,BARRINGTON ,IL ,60010- ,LAKE ,,,,,,,,,,156,57096,19685,1339,41984,,1017,,4201,304,9812,474,,,,,, 140292,01-JAN-16,31-DEC-16,As Submitted,ADVENTIST GLENOAKS HOSPITAL ,701 WINTHROP AVENUE ,,GLENDALE HEIGHTS ,IL ,60139- ,DUPAGE ,,,,766970,,,.3008,,,127,46482,7353,2465,24971,,460.85,,1335,582,5078,1520,35,,7,,414, 140294,01-JAN-16,31-DEC-16,As Submitted,CROSSROADS COMMUNITY HOSPITAL ,8 DOCTORS PARK ROAD ,,MT VERNON ,IL ,62864 ,JEFFERSON ,,,,47109,,,.0546,,,47,17202,1630,382,2595,,169.13,,469,161,866,,,,,,, 140300,01-DEC-15,30-NOV-16,As Submitted,PROVIDENT HOSPITAL ,500 EAST 51ST STREET ,,CHICAGO ,IL ,60615- ,COOK ,42494,,,13635,,,.12,45639,67121,25,9150,499,1043,2993,3.45,362,,99,249,710,136,,,,,, 140304,01-JAN-16,31-DEC-16,As Submitted,ADVENTIST BOLINGBROOK HOSPITAL ,500 REMINGTON BLVD ,,BOLINGBROOK ,IL ,60440- ,WILL ,,,,537629,,,.1555,,,114,41724,7054,1478,22542,,525.84,,1739,320,5756,1473,1,,,,241, 140307,16-MAY-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL EAST ,1404 CROSS STREET ,,SHILOH ,IL ,62269 ,ST. CLAIR ,,,,84173,,,.059,,,94,34404,3132,383,10667,,410.6,,782,696,2829,185,,,,,, 141301,01-JUL-16,30-JUN-17,As Submitted,KIRBY HOSPITAL ,1000 MEDICAL CENTER DRIVE ,,MONTICELLO ,IL ,61856 ,PIATT ,,,,,,,,,,16,5840,910,27,1866,,164.89,,64,8,109,,,,,,, 141302,01-OCT-15,30-SEP-16,As Submitted,MIDWEST MEDICAL CENTER ,1 MEDICAL CENTER DRIVE ,,GALENA ,IL ,61036- ,JO DAVIESS ,,,,,,,,,,25,9150,1449,12,1973,,93.38,,76,6,104,,,,,,, 141303,01-MAY-16,30-APR-17,As Submitted,WARNER HOSPITAL AND HEALTH SERVICES ,422 WEST WHITE STREET ,,CLINTON ,IL ,61727 ,DEWITT ,,,,,,,,,,14,5554,463,18,655,,91.8,,136,5,201,,,,,,, 141304,01-JUL-16,30-JUN-17,As Submitted,GENESIS MEDICAL CENTER - ALEDO ,409 N.W. NINTH AVENUE ,,ALEDO ,IL ,61231- ,MERCER ,,,,,,,,,,22,8030,664,5,1054,,81.06,,78,2,146,8,,,,,, 141306,01-JUL-16,31-DEC-16,As Submitted,COMMUNITY HOSPITAL OF STAUNTON ,400 CALDWELL STREET ,,STAUNTON ,IL ,62088-1499 ,MACOUPIN ,,,,,,,,,,25,4600,407,38,544,,118.17,,79,18,132,,,,,,, 141307,01-MAY-16,30-APR-17,As Submitted,PINCKNEYVILLE COMMUNITY HOSPITAL ,5383 STATE ROUTE 154 ,,PINCKNEYVILLE ,IL ,62274-1034 ,PERRY ,,,,,,,,,,17,6205,2044,73,2775,,157.28,,217,22,316,,,,,,, 141308,01-MAY-16,30-APR-17,As Submitted,WASHINGTON COUNTY HOSPITAL ,705 SOUTH GRAND AVENUE ,,NASHVILLE ,IL ,62263 ,WASHINGTON ,,,,,,,,,,22,8030,1158,2,1409,,98.91,,63,1,83,,,,,,, 141309,01-JAN-16,31-DEC-16,As Submitted,ADVOCATE EUREKA HOSPITAL ,101 SOUTH MAJOR STREET ,,EUREKA ,IL ,61530 ,WOODFORD ,,,,,,,,,,25,9150,827,30,1225,,87.49,,84,12,142,,,,,,, 141310,01-OCT-15,30-SEP-16,As Submitted,MENDOTA COMMUNITY HOSPITAL ,1401 EAST 12TH ST ,,MENDOTA ,IL ,61342-9216 ,LASALLE ,,,,,,,,,,25,9150,1398,142,2275,,209.34,,272,49,450,,,,,,, 141311,01-JUL-16,30-JUN-17,As Submitted,FAIRFIELD MEMORIAL HOSPITAL ,303 NW 11TH ST ,,FAIRFIELD ,IL ,62837 ,WAYNE ,,,,,,,,,,25,9125,1251,212,1956,,212.03,,418,67,605,,,,,,, 141312,01-MAY-16,30-APR-17,As Submitted,ROCHELLE COMMUNITY HOSPITAL ,900 NORTH 2ND STREET ,,ROCHELLE ,IL ,61068 ,OGLE ,,,,,,,,,,16,5840,903,137,1440,,292.7,,274,59,492,,,,,,, 141313,01-OCT-15,30-SEP-16,As Submitted,MASON DISTRICT HOSPITAL ,615 NORTH PROMENADE STREET ,,HAVANA ,IL ,62644-0530 ,MASON ,,,,,,,,,,25,9150,706,44,1003,,164.14,,140,15,213,,,,,,, 141315,01-OCT-15,30-SEP-16,As Submitted,BCC DBA ILLINI COMMUNITY HOSPITAL ,640 WEST WASHINGTON ,,PITTSFIELD ,IL ,62363 ,PIKE ,,,,,,,,,,25,9150,795,87,1014,,156.08,,170,25,245,,6,,38,,181, 141316,01-JAN-16,31-DEC-16,As Submitted,HOOPESTON COMMUNITY MEMORIAL HOSPITA ,701 EAST ORANGE ,,HOOPSETON ,IL ,60942 ,VERMILLION ,,,,,,,,,,22,8052,526,209,1049,,85.41,,174,27,370,52,,,,,, 141317,01-OCT-15,30-SEP-16,As Submitted,GIBSON AREA HOSPITAL AND HEALTH SVCS ,1120 N. MELVIN ,,GIBSON CITY ,IL ,60936- ,FORD ,,,,,,,,,,25,9150,1393,155,3303,,531.94,,277,101,925,,,,,,, 141318,01-OCT-15,30-SEP-16,As Submitted,OSF HOLY FAMILY MED CTR ,1000 WEST HARLEM AVENUE ,,MONMOUTH ,IL ,61462 ,WARREN ,,,,,,,,,,23,8418,1156,77,1895,,108.23,,156,17,253,,,,,,, 141319,01-JUN-16,31-MAY-17,As Submitted,HAMMOND-HENRY HOSPITAL ,600 N. COLLEGE AVENUE ,,GENESEO ,IL ,61254-1099 ,HENRY ,,,,,,,,,,25,9125,1529,350,3632,,229.38,,424,52,1076,,,,,,, 141320,01-JAN-16,31-DEC-16,As Submitted,PARIS COMMUNITY HOSPITAL ,721 EAST COURT STREET ,,PARIS ,IL ,61944- ,EDGAR ,,,,,,,,,,25,3775,1610,193,4741,,253.17,,373,71,612,,,,,,, 141322,01-OCT-15,30-SEP-16,As Submitted,ABRAHAM LINCOLN MEMORIAL HOSPITAL ,200 STAHLHUT DRIVE ,,LINCOLN ,IL ,62656 ,LOGAN ,,,,,,,,,,25,9150,1884,190,4012,,259.98,,374,36,915,,,,,,, 141323,01-APR-16,31-MAR-17,As Submitted,MASSAC MEMORIAL HOSPITAL ,28 CHICK STREET ,,METROPOLIS ,IL ,62960- ,MASSAC ,,,,,,,,,,25,9125,2206,460,3335,,167.33,,430,139,722,,,,,,, 141324,01-APR-16,31-MAR-17,As Submitted,FERRELL HOSPITAL ,1201 PINE STREET ,,EL DORADO ,IL ,62930 ,SALINE ,,,,,,,,,,25,9125,2041,307,2778,,140.53,,408,105,625,,,,,,, 141325,01-OCT-15,30-SEP-16,Amended,OSF SAINT LUKE MEDICAL CENTER ,1051 WEST SOUTH STREET ,747 ,KEWANEE ,IL ,61443 ,HENRY ,,,,,,,,,,25,9150,939,91,1418,,162.35,,247,41,373,,,,,,, 141326,01-JUL-16,30-JUN-17,As Submitted,HAMILTON MEMORIAL HOSPITAL ,611 SOUTH MARSHALL ,,MCLEANSBORO ,IL ,62859 ,HAMILTON ,,,,,,,,,,25,9125,3270,197,3947,,115.62,,446,59,601,,,,,,, 141327,01-JAN-16,31-DEC-16,As Submitted,WABASH GENERAL HOSPITAL ,1418 COLLEGE DRIVE ,,MT. CARMEL ,IL ,62863- ,WABASH ,,,,,,,,,,25,9150,1893,291,2954,,223.02,,481,55,687,,,,,,, 141328,01-APR-16,31-MAR-17,As Submitted,HARDIN COUNTY GENERAL HOSPITAL ,6 FERRELL ROAD ,2467 ,ROSICLARE ,IL ,62982 ,HARDIN ,,,,,,,,,,25,9125,2589,215,3100,,107.77,,338,70,471,,,,,,, 141329,01-JUL-16,30-JUN-17,As Submitted,MORRISON COMMUNITY HOSPITAL ,303 JACKSON ,,MORRISON ,IL ,61270 ,WHITESIDE ,,,,,,,,,,25,9125,2139,24,3093,,110.3,,49,11,84,,,,,,, 141330,01-JUL-16,30-JUN-17,As Submitted,HOPEDALE MEDICAL COMPLEX ,SECOND STREET ,,HOPEDALE ,IL ,61747- ,TAZEWELL ,,,,,,,,,,25,9125,1825,8,2305,,226.89,,237,2,336,,,,,,, 141331,01-JUL-16,30-JUN-17,As Submitted,MARSHALL BROWNING HOSPITAL ,900 NORTH WASHINGTON STREET ,,DUQUOIN ,IL ,62832 ,PERRY ,,,,,,,,,,25,9125,2145,149,2947,,156.11,,329,55,615,,,,,,, 141332,01-JUL-16,30-JUN-17,As Submitted,HILLSBORO AREA HOSPITAL ,1200 E. TREMONT ,,HILLSBORO ,IL ,62049 ,MONTGOMERY ,,,,,,,,,,25,9125,1727,36,1987,,133.7,,217,17,301,,,,,,, 141333,01-MAR-16,28-FEB-17,As Submitted,SARAH D CULBERTSON ,238 SOUTH CONGRESS ,,RUSHVILLE ,IL ,62681 ,SCHUYLER ,,,,,,,,,,22,8030,1406,43,1756,,124.8,,164,10,250,,,,,,, 141334,01-APR-16,31-MAR-17,As Submitted,SAINT JOSEPH MEMORIAL HOSPITAL ,2 SOUTH HOSPITAL DRIVE ,,MURPHYSBORO ,IL ,62966 ,JACKSON ,,,,,,,,,,25,9125,2490,235,4396,,220.77,,228,77,423,,,,,,, 141335,01-JUL-16,30-JUN-17,As Submitted,HARVARD MEMORIAL HOSPITAL ,901 GRANT STREET ,,HARVARD ,IL ,60033- ,MC HENRY ,,,,,,,,,,13,4745,676,14,1148,,138.27,,225,7,398,37,,,,,, 141336,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPHS HOSPITAL-HIGHLAND IL ,1515 MAIN STREET ,,HIGHLAND ,IL ,62249 ,MADISON ,,,,,,,,,,25,9125,4354,95,6542,,215.43,,557,26,1015,37,,,,,, 141337,01-MAY-16,30-APR-17,As Submitted,PERRY MEMORIAL HOSPITAL ,530 PARK AVENUE EAST ,,PRINCETON ,IL ,61356 ,BUREAU ,,,,,,,,,,25,9125,2001,155,3032,,272.34,,479,74,813,,,,,,, 141338,01-JUL-16,30-JUN-17,As Submitted,MEMORIAL HOSPITAL ,1900 STATE STREET ,,CHESTER ,IL ,62233 ,RANDOLPH ,,,,,,,,,,25,9125,919,129,1699,,210.08,,233,38,460,,,,,,, 141339,01-OCT-15,30-SEP-16,As Submitted,TAYLORVILLE MEMORIAL HOSPITAL ,201 EAST PLEASANT STREET ,,TAYLORVILLE ,IL ,62568 ,CHRISTIAN ,,,,,,,,,,25,9150,4232,43,5826,,275.62,,653,16,935,,,,,,, 141340,01-MAY-16,31-AUG-16,As Submitted,VALLEY WEST COMMUNITY HOSPITAL ,1302 N. MAIN STREET ,,SANDWICH ,IL ,60548- ,DEKALB ,,,,,,,,,,25,3075,285,101,653,,183.31,,111,43,247,,,,,,, 141341,01-JAN-16,31-DEC-16,As Submitted,PANA COMMUNITY HOSPITAL ,101 E. 9TH STREET ,,PANA ,IL ,62557-1716 ,CHRISTIAN ,,,,,,,,,,22,8052,963,20,1213,,142.46,,241,8,321,22,,,,,, 141342,01-JAN-16,31-DEC-16,As Submitted,UNION COUNTY HOSPITAL DISTRICT ,517 NORTH MAIN STREET ,,ANNA ,IL ,62906 ,UNION ,,,,,,,,,,25,9150,2102,209,3078,,127.95,,331,75,534,,,,,,, 141343,01-MAY-16,30-APR-17,As Submitted,CRAWFORD MEMORIAL HOSPITAL ,1000 NORTH ALLEN STREET ,,ROBINSON ,IL ,62454 ,CRAWFORD ,,,,,,,,,,25,9125,1211,570,3036,,268.36,,290,183,770,,,,,,, 141344,01-JUL-16,30-JUN-17,As Submitted,LAWRENCE COUNTY MEMORIAL HOSPITAL ,2100 STATE STREET ,,LAWRENCEVILLE ,IL ,62439 ,LAWRENCE ,,,,,,,,,,25,9125,2036,290,2702,,116.54,,355,91,541,,,,,,, 141345,01-APR-16,31-MAR-17,As Submitted,SALEM TOWNSHIP HOSPITAL ,1201 RICKER DRIVE ,,SALEM ,IL ,62881 ,MARION ,,,,,,,,,,25,9125,2133,141,2738,,184.52,,269,47,419,,,,,,, 141346,01-JAN-16,31-DEC-16,As Submitted,FAYETTE COUNTY HOSPITAL ,SEVENTH & TAYLOR ,,VANDALIA ,IL ,62471- ,FAYETTE ,,,,,,,,,,25,9150,1327,241,1750,,159.91,,255,50,372,,,,,,, 141348,01-JUL-16,30-JUN-17,As Submitted,RED BUD REGIONAL HOSPITAL ,ST. CLEMENT BLVD ,,RED BUD ,IL ,62278- ,RANDOLPH ,,,,,,,,,,25,9125,4059,105,5594,,127.82,,470,36,705,,,,,,, 141349,01-JUL-16,30-JUN-17,As Submitted,SPARTA COMMUNITY HOSPITAL ,818 EAST BROADWAY ,,SPARTA ,IL ,62286 ,RANDOLPH ,,,,,,,,,,25,9125,1132,88,1568,,179.55,,252,34,372,,,,,,, 141350,01-JUL-16,30-JUN-17,As Submitted,ST. FRANCIS HOSPITAL ,1215 FRANCISCAN DRIVE ,,LITCHFIELD ,IL ,62056 ,MONTGOMERY ,,,,,,,,,,25,9125,2981,881,5092,,210.47,,655,260,1316,,,,,,, 141351,01-MAR-16,28-FEB-17,As Submitted,CLAY COUNTY HOSPITAL ,911 STACY BURK DRIVE ,,FLORA ,IL ,62839-0280 ,CLAY ,,,,,,,,,,20,7300,2634,311,3516,,239.6,,608,103,869,,,,,,, 142010,01-JUN-16,31-MAY-17,As Submitted,RML HEALTH PROVIDERS L.P. ,5601 SOUTH COUNTY LINE ROAD ,,HINSDALE ,IL ,60521 ,COOK ,,,,,,,,,,168,61320,21103,15610,49573,,702.51,,570,435,1376,,,,,,, 142011,01-JAN-16,31-DEC-16,As Submitted,HOLY FAMILY MEDICAL CENTER ,100 NORTH RIVER ROAD SECOND FLOOR ,,DES PLAINES ,IL ,60016 ,COOK ,,,,,,,,,280,128,46848,13432,1667,31260,.07,226.9,,458,45,1461,,,,,,, 143025,01-JUL-16,30-JUN-17,As Submitted,SCHWAB REHAB HOSP & CARE NETWORK ,1401 S. CALIFORNIA AVE ,,CHICAGO ,IL ,60608- ,COOK ,,,,,,,,,2472,61,22265,2058,2480,13624,10.46,255,,157,173,1005,,,,,,, 143028,01-JAN-16,31-DEC-16,As Submitted,VAN MATRE HEALTHSOUTH REHABILITATION ,950 S MULFORD ROAD ,,ROCKFORD ,IL ,61108 ,WINNEBAGO ,,,,,,,,,,61,22326,11316,963,19522,,186.51,,910,77,1550,166,,,,,, 143301,01-JUL-16,30-JUN-17,As Submitted,LARABIDA CHILDRENS HOSPITAL ,6501 S. PROMONTORY DRIVE ,,CHICAGO ,IL ,60649 ,COOK ,,,,,,,,,,49,17885,20,5357,9215,4.23,412.38,,1,167,311,128,,,,,, 143302,01-JAN-16,31-DEC-16,Settled,SHRINERS HOSPITAL FOR CHILDREN ,2211 NORTH OAK PARK AVE ,,CHICAGO ,IL ,60707-3351 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 144005,01-JAN-16,31-DEC-16,As Submitted,AURORA CHICAGO LAKESHORE ,4840 N MARINE DRIVE ,,CHICAGO ,IL ,60640-7860 ,COOK ,,,,,,,,,,161,58926,4421,8558,44551,,354.86,,433,653,5117,,,,,,, 144009,01-JAN-16,31-DEC-16,As Submitted,RIVEREDGE HOSPITAL ,8311 WEST ROOSEVELT RD ,,FOREST PARK ,IL ,60130 ,COOK ,,,,,,,,,,210,76860,7086,6935,40533,,252.77,,501,507,4081,,,,,,, 144010,01-JUL-16,30-JUN-17,As Submitted,CHICAGO REED MENTAL HEALTH CTR ,4200 N OAK PARK AVE ,,CHICAGO ,IL ,60634 ,COOK ,,,,,,,,,,24,8760,7,446,7329,,305.19,,1,23,385,,,,,,, 144016,01-JUL-16,30-JUN-17,As Submitted,ALTON MENTAL HEALTH CENTER ,4500 COLLEGE AVE ,,ALTON ,IL ,62002 ,MADISON ,,,,,,,,,,24,8760,234,189,5487,,257.7,,8,2,55,,,,,,, 144021,01-JUL-16,30-JUN-17,As Submitted,MCFARLAND MENTAL HEALTH CENTER ,901 SOUTHWIND RD ,,SPRINGFIELD ,IL ,62703 ,SANGAMON ,,,,,,,,,,147,53655,1519,67,48513,,247.76,,38,,272,,,,,,, 144026,01-JAN-16,31-DEC-16,As Submitted,HARTGROVE HOSPITAL ,520 N. RIDGEWAY AVE ,,CHICAGO ,IL ,60624- ,COOK ,,,,,,,,,,160,58400,3810,11285,47082,,252.56,,265,591,4319,,,,,,, 144028,01-JUL-16,30-JUN-17,As Submitted,JOHN J MADDEN MENTAL HEALTH CENTER ,1200 S FIRST AVE ,,HINES ,IL ,60141 ,COOK ,,,,,,,,,,28,10220,28,493,6924,,315.88,,3,35,486,,,,,,, 144029,01-JAN-16,31-DEC-16,As Submitted,THE PAVILION FOUNDATION ,809 WEST CHURCH STREET ,,CHAMPAIGN ,IL ,61820-3999 ,CHAMPAIGN ,,,,,,,,,,69,25254,2001,10173,21876,,196.46,,225,848,2473,,,,,,, 144031,01-JUL-16,30-JUN-17,As Submitted,ALEXIAN BROTHERS BEHAVIORAL HEALTH ,S ,,HOFFMAN ESTATES ,IL ,60194- ,COOK ,,,,,,,,,,141,51465,15471,778,45983,,605.6,,1041,107,5775,,,,,,, 144034,01-JUL-16,30-JUN-17,As Submitted,STREAMWOOD ,1400 EAST IRVING PARK ,,STREAMWOOD ,IL ,60107 ,COOK ,,,,,,,,,,178,64970,495,17599,40198,,284.81,,59,1286,3753,,,,,,, 144035,01-JUL-16,30-JUN-17,As Submitted,LINDEN OAKS HOSPITAL ,852 WEST STREET ,,NAPERVILLE ,IL ,60540 ,DUPAGE ,,,,,,,,,,110,40150,5472,1119,31164,,414.93,,519,128,4387,65,,,,,, 144037,01-JUL-16,30-JUN-17,As Submitted,ELGIN MENTAL HEALTH CENTER ,750 S STATE ST ,,ELGIN ,IL ,60123 ,KANE ,,,,,,,,,,429,156585,148,755,137855,,706.91,,4,5,842,,,,,,, 144038,01-JUL-16,30-JUN-17,As Submitted,CHOATE MENTAL HEALTH CENTER ,1000 N MAIN ,,ANNA ,IL ,62906 ,UNION ,,,,,,,,,,113,41245,401,62,15345,,592.74,,10,1,90,,,,,,, 144039,01-JUL-16,30-JUN-17,Settled,GARFIELD PARK HOSPITAL LLC ,520 NORTH RIDGEWAY AVE ,,CHICAGO ,IL ,60624 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 144040,01-JAN-16,31-DEC-16,As Submitted,CHICAGO BEHAVIORAL HOSPITAL ,555 WILSON LANE ,,DES PLAINES ,IL ,60016 ,COOK ,,,,,,,,,,138,44812,7056,2194,36762,,194.59,,556,185,3780,1866,,,,,, 150001,01-JAN-16,31-DEC-16,As Submitted,JOHNSON MEMORIAL HOSPITAL ,1125 WEST JEFFERSON STREET ,,FRANKLIN ,IN ,46131- ,JOHNSON ,,,,148356,,,.1045,,,86,31476,2944,141,7238,,547.98,,783,29,2053,516,,,,9,,103 150002,01-JAN-16,31-DEC-16,As Submitted,METHODIST HOSPITALS INC ,600 GRANT STREET ,,GARY ,IN ,46402 ,LAKE ,211408,,,2914492,,,.231,68306,21897,438,160308,34233,3213,90230,2.93,2079.51,,5926,418,15584,4097,,,,8,242,723 150004,01-JAN-16,31-DEC-16,As Submitted,FRANCISCAN HEALTH HAMMOND ,5454 HOMAN AVENUE ,,HAMMOND ,IN ,46320 ,LAKE ,307025,,,810055,,,.1649,97704,68859,191,69906,11082,5713,23604,5.62,794.13,,2076,1112,4754,,,,831,,1964, 150005,01-JAN-16,31-DEC-16,As Submitted,HENDRICKS REGIONAL HEALTH ,1000 EAST MAIN STREET ,,DANVILLE ,IN ,46122-1409 ,HENDRICKS ,,,,220803,,,.0555,,,127,46482,7237,569,20998,,1325.3,,1994,114,5608,737,,,,,, 150006,01-JAN-16,29-FEB-16,As Submitted,LAPORTE HOSPITAL ,STATE & MADISON STREETS ,250 ,LAPORTE ,IN ,46350- ,LAPORTE ,,,,89096,,,.1179,,,129,7740,1561,113,3230,,875.38,,332,37,907,234,,,,,, 150006,01-MAR-16,31-DEC-16,Amended,LAPORTE HOSPITAL ,STATE & MADISON STREETS ,250 ,LAPORTE ,IN ,46350- ,,,,,379143,,,.1001,,,129,39474,7678,3552,16533,,855.32,,1759,689,3866,,,,,,, 150007,01-JAN-16,31-DEC-16,Amended,COMMUNITY HOWARD REGIONAL HEALTH ,3500 SOUTH LAFOUNTAIN ,,KOKOMO ,IN ,46902 ,HOWARD ,,,,408135,,,.1185,,,116,39669,7422,1108,15571,,633.79,,1774,264,4606,,,,,,, 150008,01-JUL-16,30-JUN-17,As Submitted,ST. CATHERINE HOSPITAL ,4321 FIR STREET ,,EAST CHICAGO ,IN ,46312 ,LAKE ,,,,1423450,,,.3185,,,165,60225,10113,1276,30662,,867.61,,2118,243,6307,2162,19,,13,3,290,725 150010,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPH HOSPITAL & HEALTH CENTER ,1907 WEST SYCAMORE STREET ,,KOKOMO ,IN ,46901 ,,,,,481160,,,.121,,,107,39055,8464,566,20755,,658.27,,1958,115,5113,1510,,,,15,,276 150011,01-JUL-16,30-JUN-17,As Submitted,MARION GENERAL HOSPITAL ,441 WABASH AVENUE ,,MARION ,IN ,46952- ,GRANT ,,,,508635,,,.1304,,,99,36135,9146,478,20465,,722.66,,2127,80,4932,1093,,,,1,,237 150012,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPHS REG MED CENTER S. BEND ,5215 HOLY CROSS PARKWAY ,,MISHAWAKA ,IN ,46545 ,SAINT JOSEPH ,2590525,,,1221946,,,.1077,1640854,538669,253,92345,24061,2946,63511,32.53,1491.4,533,5120,315,14376,1900,,,,3,,270 150015,01-JAN-16,31-DEC-16,As Submitted,FRANCISCAN HEALTH MICHIGAN CITY ,301 W. HOMER ST ,,MICHIGAN CITY ,IN ,46360 ,LAPORTE ,,,,612267,,,.109,,,149,54534,11509,4442,21357,,693.25,,2675,1043,5407,,,,221,12,436,219 150017,01-JUL-16,30-JUN-17,As Submitted,LUTHERAN HOSPITAL OF INDIANA ,7950 WEST JEFFERSON BLVD ,,FT WAYNE ,IN ,46804 ,ALLEN ,563780,,,1157120,,,.0786,267622,85873,396,144648,32592,2519,99042,6.07,2071.79,,6054,3297,20007,,,,,,, 150018,01-JAN-16,31-DEC-16,As Submitted,ELKHART GENERAL HOSPITAL ,600 EAST BLVD ,,ELKHART ,IN ,46514 ,ELKHART ,,,,953758,,,.1061,,,240,87840,16704,1746,41969,,1341.32,,3903,299,10393,1832,167,,11,6,512,163 150021,01-JAN-16,31-DEC-16,As Submitted,PARKVIEW HOSPITAL ,11109 PARKVIEW PLAZA DRIVE ,,FORT WAYNE ,IN ,46845 ,ALLEN ,779908,,,2398058,,,.1401,479313,183266,549,200934,39617,5840,143855,18.8,4192.2,,7808,1028,30061,7521,1563,,100,17,3919,450 150022,01-JAN-16,31-DEC-16,Amended,FRANCISCAN HEALTH CRAWFORDSVILLE ,1710 LAFAYETTE RD. ,,CRAWFORDSVILLE ,IN ,47933 ,MONTGOMERY ,,,,,,,,,,31,11346,2066,343,3333,,143.89,,661,133,1277,,,,,,142, 150023,01-JAN-16,31-DEC-16,As Submitted,UNION HOSPITAL INC. ,1606 NORTH SEVENTH ST ,,TERRE HAUTE ,IN ,47804- ,VIGO ,2301853,,,1800046,,,.1208,779170,512823,242,88572,29794,1243,64502,21,1431.61,,6816,210,14901,2930,,,,4,,267 150024,01-JAN-16,31-DEC-16,As Submitted,ESKENAZI HEALTH ,720 ESKENAZI AVENUE ,,INDIANAPOLIS ,IN ,46202 ,MARION ,7455904,,,3734967,,,.4824,2334881,1099479,316,115340,15242,13937,74656,172.48,3952,11,3088,2415,17144,5252,,,186,,799, 150026,01-JAN-16,31-DEC-16,As Submitted,GOSHEN HOSPITAL ,200 HIGH PARK AVENUE ,,GOSHEN ,IN ,46526 ,ELKHART ,,,,294823,,,.0839,,,123,45018,7660,1414,22872,,1024.81,,1712,1839,6721,,,,,,, 150030,01-JAN-16,31-DEC-16,As Submitted,HENRY COUNTY MEMORIAL HOSPITAL ,1000 NORTH 16TH STREET ,,NEW CASTLE ,IN ,47392- ,HENRY ,,,,200040,,,.0999,,,48,17568,3876,95,8049,,551.17,,1051,19,2294,386,,,,,, 150034,01-JUL-16,30-JUN-17,As Submitted,ST. MARY MEDICAL CENTER INC. ,1500 SOUTH LAKE AVENUE ,,HOBART ,IN ,46342 ,LAKE ,,,,499096,,,.0523,,,180,65700,22274,1010,50363,,1064.22,,4296,160,9735,1268,,,,,,593 150035,01-JAN-16,31-DEC-16,Amended,PORTER MEMORIAL HOSPITAL ,85 EAST US HIGHWAY 6 ,,VALPARAISO ,IN ,46383 ,PORTER ,,,,682915,,,.0616,,,238,87108,26951,2561,56847,,1494.78,,4976,1538,12366,,,,,15,,210 150037,01-JAN-16,31-DEC-16,As Submitted,HANCOCK REGIONAL HOSPITAL ,.10 NORTH STATE STREET ,,GREENFIELD ,IN ,46140- ,HANCOCK ,,,,75673,,,.0332,,,61,22326,3646,31,9139,,837.35,,1179,229,2714,97,,,,,231, 150042,01-JAN-16,31-DEC-16,As Submitted,GOOD SAMARITAN HOSPITAL ,520 SOUTH 7TH STREET ,,VINCENNES ,IN ,47591 ,KNOX ,,,,301576,,,.0561,,,192,70272,13053,425,22443,,1537.06,,3056,528,5459,,,,164,9,607,677 150044,01-JAN-16,30-SEP-16,As Submitted,FLOYD MEMORIAL HOSPITAL & HEALTH SVS ,1850 STATE STREET ,,NEW ALBANY ,IN ,47150-4990 ,FLOYD ,,,,633008,,,.0629,,,215,58910,20832,563,43146,,2276.09,,4568,113,10600,1350,,,,,, 150045,01-OCT-15,30-SEP-16,As Submitted,DEKALB MEMORIAL HOSPITAL ,1316 EAST 7TH STREET ,,AUBURN ,IN ,46706- ,DEKALB ,,,,86905,,,.1011,,,56,20496,2224,267,7322,,488.22,,667,56,2179,359,,,,,, 150047,01-JUN-16,31-MAY-17,As Submitted,ST JOSEPH MEDICAL CENTER ,700 BROADWAY STREET ,,FORT WAYNE ,IN ,46802 ,ALLEN ,210275,,,597255,,,.3147,166087,63760,111,40515,5375,1589,23378,5.29,497.04,,983,2064,4876,,,,33,,403, 150048,01-JAN-16,31-DEC-16,As Submitted,REID HOSPITAL & HEALTH CARE SERVICES ,1401 CHESTER BOULEVARD ,,RICHMOND ,IN ,47374 ,WAYNE ,730418,,,1226772,,,.1017,164067,93374,165,60390,20262,876,36554,4.39,2293.77,,5394,303,10232,,,,,,784,255 150051,01-JAN-16,31-DEC-16,As Submitted,IU HEALTH BLOOMINGTON HOSPITAL ,601 WEST SECOND STREET ,1149 ,BLOOMINGTON ,IN ,47402 ,MONROE ,,,,1587944,,,.1598,,,257,94062,19743,3067,50652,,1757.4,,4117,306,13796,2294,,,,3,,242 150056,01-JAN-16,31-DEC-16,As Submitted,INDIANA UNIVERSITY HEALTH ,340 W 10TH ST ,,INDIANAPOLIS ,IN ,46202 ,MARION ,35395873,,,10866975,,,.2768,10511144,4228472,1259,460905,85650,24470,319573,670.42,8515,,12962,2726,47408,11020,,,,,837, 150057,01-JAN-16,31-DEC-16,As Submitted,ST. FRANCIS H&H-MOORESVILLE ,1201 HADLEY ROAD ,,MOORESVILLE ,IN ,46158- ,MORGAN ,,,,240893,,,.0655,,,83,36691,4338,212,9238,,333.01,,1525,29,3024,,,,,,, 150058,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL OF SOUTH BEND INC ,615 N MICHIGAN ST ,,SOUTH BEND ,IN ,46601 ,ST. JOSEPH ,1290621,,,2957749,,,.2577,791929,310367,392,143472,25583,5510,97813,28.18,2270.68,,5061,1098,19016,4608,77,,17,14,353,249 150059,01-JAN-16,31-DEC-16,As Submitted,RIVERVIEW HOSPITAL ,395 WESTFIELD ROAD ,,NOBLESVILLE ,IN ,46060- ,HAMILTON ,,,,147510,,,.0448,,,105,38430,6379,316,15656,,998.91,,1567,49,3928,494,,,,3,,470 150061,01-JAN-16,31-DEC-16,As Submitted,DAVIESS COMMUNITY HOSPITAL ,1314 E. WALNUT STREET ,760 ,WASHINGTON ,IN ,47501 ,DAVIESS ,,,,109862,,,.12,,,42,15372,2202,262,4893,,265.71,,646,84,1560,,,,35,,406,167 150064,01-OCT-15,30-SEP-16,As Submitted,FAYETTE REGIONAL HEALTH SYSTEM ,1941 VIRGINIA AVE ,,CONNERSVILLE ,IN ,47331 ,FAYETTE ,,,,68722,,,.12,,,50,18300,1242,58,2619,,390.63,,374,17,796,212,,,7,,182, 150065,01-JAN-16,31-DEC-16,As Submitted,SCHNECK MEDICAL CENTER ,411 WEST TIPTON STREET ,,SEYMOUR ,IN ,47274- ,JACKSON ,,,,244685,,,.1379,,,93,34038,4226,1340,12171,,772.13,,963,256,2807,,,,,,, 150069,01-JAN-16,31-DEC-16,As Submitted,KINGS DAUGHTERS HOSPITAL ,ONE KINGS DAUGHTERS DRIVE ,447 ,MADISON ,IN ,47250- ,JEFFERSON ,,,,369371,,,.1307,,,89,32574,6321,2182,12894,,821.91,,1542,552,3228,,,,,,, 150072,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL LOGANSPORT ,1101 MICHIGAN AVENUE ,,LOGANSPORT ,IN ,46947- ,CASS ,,,,122955,,,.12,,,83,30378,2323,389,6307,,516.9,,686,165,1693,555,,,,,, 150074,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HOSPITAL OF INDIANA INC. ,1500 NORTH RITTER AVENUE ,,INDIANAPOLIS ,IN ,46219 ,MARION ,2878773,,,3070420,,,.2598,624799,534375,315,114975,22948,5258,74480,38.87,2509.56,,5029,1014,16241,3624,,,,,, 150075,01-OCT-15,30-SEP-16,As Submitted,BLUFFTON REGIONAL MEDICAL CENTER ,303 S. MAIN STREET ,,BLUFFTON ,IN ,46714- ,WELLS ,,,,83330,,,.101,,,62,22692,2148,231,5257,,212.98,,587,249,1529,,,,,,, 150076,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPHS REG MED CENTER PLYMOUT ,1915 LAKE AVENUE ,670 ,PLYMOUTH ,IN ,46563 ,MARSHALL ,,,,110821,,,.0905,,,45,16425,2399,135,6022,,287.4,100,734,20,2044,289,,,,,, 150082,01-OCT-15,30-SEP-16,As Submitted,DEACONESS HOSPITAL ,600 MARY STREET ,,EVANSVILLE ,IN ,47747- ,VANDERBURGH ,1827536,,,1545813,,,.0658,830294,303097,500,183477,55627,5023,122763,22.8,3893.27,,12089,891,26497,2739,195,,28,,556, 150084,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT HOSPITAL & HCC ,2001 WEST 86TH STREET ,,INDIANAPOLIS ,IN ,46260- ,MARION ,9394696,,,5212729,,,.1858,3294018,1036245,755,275879,57637,17475,189962,159.33,5016,,9946,1044,31939,5527,,,921,,2595,334 150086,01-JAN-16,31-DEC-16,As Submitted,DEARBORN COUNTY HOSPITAL ,600 WILSON CREEK ROAD ,,LAWRENCEBURG ,IN ,47025- ,DEARBORN ,,,,320211,,,.1071,,,88,32208,6939,33,14559,,571.23,,1730,7,4159,1159,,,,,, 150088,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT ANDERSON ,2015 JACKSON STREET ,,ANDERSON ,IN ,46016 ,,,,,810438,,,.1802,,,117,42705,12016,1768,29640,,973.39,,2159,196,5627,1622,,,,40,,225 150089,01-JAN-16,31-DEC-16,As Submitted,BALL MEMORIAL HOSPITAL ,2401 UNIVERSITY AVENUE ,,MUNCIE ,IN ,47303-3428 ,DELAWARE ,6360301,,,2529537,,,.1661,2472174,999683,321,117486,37137,3511,80397,64.48,1750.73,,7053,333,16651,3088,,,,1,,300 150090,01-JAN-16,31-DEC-16,As Submitted,FRANCISCAN HEALTH- DYER ,24 JOLIET STREET ,,DYER ,IN ,46311-1799 ,LAKE ,1156352,,,373189,,,.0672,434230,152372,132,48312,10882,4221,22614,11.06,817.7,,2279,872,4835,,,,,39,,638 150091,01-JAN-16,31-DEC-16,As Submitted,HUNTINGTON MEMORIAL HOSPITAL ,2001 STULTS ROAD ,,HUNTINGTON ,IN ,46750 ,HUNTINGTON ,,,,63107,24042,,.12,,,36,13176,1633,86,5084,,215,,527,516,1606,,,,,,, 150097,01-JAN-16,31-DEC-16,As Submitted,MAJOR HOSPITAL ,150 WEST WASHINGTON ST ,,SHELBYVILLE ,IN ,46176- ,IN ,,,,214696,,,.0994,,,46,16836,4771,352,10419,,669.03,,1192,72,2793,520,,,,,, 150100,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT EVANSVILLE ,3700 WASHINGTON AVE ,,EVANSVILLE ,IN ,47750 ,VANDERBURGH ,470882,,,2049190,,,.1473,182598,95789,405,147825,26680,3377,70306,6,1850.86,,5969,190,15992,2952,99,,36,50,702,373 150101,01-JAN-16,31-DEC-16,As Submitted,WHITLEY MEMORIAL HOSPITAL ,1260 E STATE ROAD 205 ,,COLUMBIA CITY ,IN ,46725-9492 ,WHITLEY ,,,,52089,,,.12,,,30,10980,1159,255,4672,,263.3,,347,225,1574,108,,,,,, 150102,01-JAN-16,29-FEB-16,As Submitted,IU HEALTH STARKE MEMORIAL HOSPITAL ,102 EAST CULVER RD ,,KNOX ,IN ,46534 ,STARKE ,,,,5443,,,.0817,,,50,3000,138,,234,,113.03,,44,,90,14,,,,,, 150102,01-MAR-16,31-DEC-16,As Submitted,IU HEALTH STARKE MEMORIAL HOSPITAL ,102 EAST CULVER RD ,,KNOX ,IN ,46534 ,STARKE ,,,,28772,,,.0939,,,50,15300,52,191,1099,,95.71,,201,68,365,,,,,,, 150104,01-JAN-16,31-DEC-16,As Submitted,WITHAM MEMORIAL HOSPITAL ,2605 N. LEBANON STREET ,,LEBANON ,IN ,46052- ,BOONE ,,,,173165,,,.12,,,68,24888,3121,171,7780,,623.03,,920,27,2289,454,,,,,227, 150109,01-JAN-16,31-DEC-16,Amended,FRANCISCAN HEALTH LAFAYETTE ,1701 SOUTH CREASY LANE ,,LAFAYETTE ,IN ,47905- ,TIPPECANOE ,,,,1325102,,,.1271,,,169,61854,18154,5603,44083,,1403.5,,4113,1904,9773,,,,,23,,247 150112,01-JAN-16,31-DEC-16,As Submitted,COLUMBUS REGIONAL HOSPITAL ,2400 EAST 17TH STREET ,,COLUMBUS ,IN ,47201- ,BARTHOLOMEW ,,,,1025589,,,.1414,,,150,54900,12508,7742,31942,,1263,,3652,1631,8595,,,,,19,,293 150113,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HOSPITAL ANDERSON ,1515 NORTH MADISON AVE ,,ANDERSON ,IN ,46011 ,MADISON ,,,,807912,,,.136,,,140,51240,10911,2512,25296,,1062.18,,2552,1236,7047,,,,,,, 150115,01-JUL-16,30-JUN-17,As Submitted,MEMORIAL HOSP & HEALTH CARE CTR ,800 WEST 9TH STREET ,,JASPER ,IN ,47546 ,DUBOIS ,,,,222203,,,.0491,,,111,40515,6942,264,15725,,1221.64,,2255,236,3764,,,,133,7,466,114 150125,01-JUL-16,30-JUN-17,As Submitted,COMMUNITY HOSPITAL ,901 MACARTHUR BOULEVARD ,,MUNSTER ,IN ,46321 ,LAKE ,,,,921852,,,.0498,,,410,149650,41314,1565,92304,,2434.75,,7554,182,17158,2184,,,,5,,1561 150126,01-JAN-16,31-DEC-16,As Submitted,FRANCISCAN HEALTH CROWN POINT ,1201 SOUTH MAIN STREET ,,CROWN POINT ,IN ,46307 ,,125780,,,,,,,52487,20307,195,71370,16975,4471,35503,1.58,949.79,,3423,1585,8157,,,,,12,,101 150128,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HOSPITAL SOUTH ,1402 EAST COUNTY LINE ROAD SOUTH ,,INDIANAPOLIS ,IN ,46227 ,MARION ,43627,,,521719,,,.0751,114238,40084,170,62220,13537,2402,38189,6.56,826.44,,3362,132,9545,1378,,,,,, 150133,01-MAR-16,28-FEB-17,As Submitted,KOSCIUSKO COMMUNITY HOSPITAL ,2101 EAST DUBOIS DRIVE ,,WARSAW ,IN ,46580- ,KOSCIUSKO ,,,,95600,,,.0556,,,72,26280,3745,1744,11266,,421.19,,1054,453,3309,,,,,,, 150146,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HOSPT. OF NOBLE CTY INC. ,401 SAWYER ROAD ,728 ,KENDALLVILLE ,IN ,46755-0728 ,NOBLE ,,,,76037,31103,,.12,,,31,11346,2089,201,5542,,216,,647,422,1789,,,,,,, 150149,01-JAN-16,31-DEC-16,As Submitted,DEACONESS WOMENS HOSPITAL ,4199 GATEWAY BLVD ,,NEWBURGH ,IN ,47630- ,WARRICK ,,,,7179,,,.12,,,74,27084,150,1598,25545,,483.82,,41,167,3826,1024,,,,,, 150150,01-APR-16,31-MAR-17,As Submitted,DUPONT HOSPITAL ,2520 E. DUPONT ROAD ,,FORT WAYNE ,IN ,46825- ,ALLEN ,,,,245094,,,.2024,,,131,47815,2412,2663,22605,,570.15,,658,1348,6166,,,,,,, 150153,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT HEART CENTER ,10580 N. MERIDIAN ST. ,,INDIANAPOLIS ,IN ,46290 ,HAMILTON ,,,,,,,,,,107,39055,10219,175,20321,,399.34,,2268,44,4568,216,,,,,, 150157,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT CARMEL HOSPITAL ,13500 NORTH MERIDIAN STREET ,,CARMEL ,IN ,46033 ,HAMILTON ,,,,106582,,,.0378,,,153,55845,4209,537,19349,,578.27,,1169,121,6631,686,,,,,, 150158,01-JAN-16,31-DEC-16,As Submitted,IU HEALTH WEST HOSPITAL ,1111 N. RONALD REAGAN PARKWAY ,,AVON ,IN ,46123-7085 ,HENDRICKS ,,,,175997,,,.0362,,,127,46482,11770,1192,29744,,679.48,,2470,92,7487,767,,,,,, 150160,01-JAN-16,31-DEC-16,Amended,INDIANA ORTHOPAEDIC HOSPITAL LLC ,8450 NORTHWEST BOULEVARD ,,INDIANAPOLIS ,IN ,46278 ,MARION ,,,,,,,,,,38,13908,2483,60,6038,,300.1,,1172,31,3111,,,,,,, 150161,01-JAN-16,31-DEC-16,As Submitted,IU HEALTH NORTH HOSPITAL ,11700 NORTH MERIDIAN ST ,,CARMEL ,IN ,46032-4656 ,HAMILTON ,,,,345266,,,.0955,,,149,54534,6512,3380,33786,,758.66,,1523,189,9453,715,,,,,, 150162,01-JAN-16,31-DEC-16,As Submitted,ST. FRANCIS HOSPITAL & HEALTH CENTER ,8111 S. EMERSON AVENUE ,,INDIANAPOLIS ,IN ,46237 ,MARION ,1838026,,,1602814,,,.0809,686568,303538,432,157680,38697,2221,97737,22.4,2441.98,,7725,366,18797,,,,,,,365 150165,01-JAN-16,31-DEC-16,As Submitted,FRANCISCAN HEALTH MUNSTER ,701 SUPERIOR STREET ,,MUNSTER ,IN ,46321 ,LAKE ,,,,,,,,,,63,23058,3517,802,7976,,334.86,,797,161,1836,,,,,,, 150166,01-JAN-16,31-DEC-16,As Submitted,PINNACLE HOSPITAL ,9301 CONNECTICUT DRIVE ,,CROWN POINT ,IN ,46307 ,LAKE ,,,,,,,,,,18,6588,1442,11,3036,,118.61,,371,3,854,,,,,,, 150167,01-JAN-16,31-DEC-16,As Submitted,ORTHOPAEDIC HOSPT.AT PARKVIEW ,11119 PARKVIEW PLAZA DRIVE ,,FORT WAYNE ,IN ,46845-1705 ,ALLEN ,,,,,,,,,,37,13542,843,256,5494,,206.1,,843,29,2685,,,,,,, 150168,01-JAN-16,31-DEC-16,As Submitted,LUTHERAN MUSCULOSKELETAL CENTER ,7952 W. JEFFERSON BLVD ,,FORT WAYNE ,IN ,46804 ,,,,,,,,,,,39,14274,2209,405,6364,,230.15,,921,142,2832,,,,,,, 150169,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HOSPITAL OF INDIANA INC. ,7150 CLEARVISTA DRIVE ,,INDIANAPOLIS ,IN ,46256 ,MARION ,127457,,,1381324,,,.1356,84025,19713,295,106968,21139,5458,77238,3.89,1368.31,,4590,195,16256,2517,,,,,272, 150172,01-JAN-16,31-DEC-16,Amended,PHYSICIANS MEDICAL CENTER ,4023 REES LANE ,,NEW ALBANY ,IN ,47150 ,FLOYD ,,,,,,,,,,12,4392,270,46,829,,110.38,,129,25,436,,,,,,, 150173,01-JAN-16,31-DEC-16,As Submitted,IU HEALTH ARNETT HOSPITAL ,6165 MCCARTY LANE ,,LAFAYETTE ,IN ,47905 ,TIPPECANOE ,,,,669830,,,.0892,,,180,65880,14854,2192,37953,,1693.05,,3344,241,10168,1171,,,,,, 150175,01-OCT-15,30-SEP-16,As Submitted,HEART HOSPITAL AT DEACONESS GATEWAY ,4007 GATEWAY BOULEVARD ,,NEWBURGH ,IN ,47630- ,WARRICK ,,,,,,,,,,24,8784,3282,97,6208,,144.5,,849,23,1590,49,,,,,, 150176,01-JAN-16,31-DEC-16,As Submitted,KENTUCKIANA MEDICAL CENTER ,4601 MEDICAL PLAZA WAY ,,CLARKSVILLE ,IN ,47129 ,CLARK ,,,,102453,,,.0513,,,46,16836,5011,112,9072,,230,,859,21,1631,160,,,,,, 150177,01-JAN-16,31-DEC-16,As Submitted,UNITY MEDICAL AND SURGICAL HOSPITAL ,4455 EDISON LAKES PKWY ,,MISHAWAKA ,IN ,46545 ,ST. JOSEPH ,,,,,,,,,,29,10614,354,,1140,,126.12,,107,,326,,,,,,, 150179,01-JUL-16,30-JUN-17,As Submitted,FAIRBANKS ,8102 CLEARVISTA ,,INDIANAPOLIS ,IN ,46256 ,MARION ,,,,53684,,,.12,,,86,31390,2156,5,18486,,246.38,,298,1,3757,953,,,,,, 150181,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT FISHERS HOSPITAL ,13861 OLIO RD ,,FISHERS ,IN ,46037 ,HAMILTON ,,,,11463,,,.0307,,,46,16790,571,80,3700,,210.2,,224,17,1277,220,,,,,, 150182,01-JAN-16,31-DEC-16,As Submitted,ST FRANCIS CARMEL ,12188B N. MERIDIAN STREET ,,CARMEL ,IN ,46032 ,MARION ,,,,,,,,,,6,2196,302,,563,,47.54,,196,,387,,,,,,, 150183,02-NOV-15,31-DEC-15,As Submitted,MONROE HOSPITAL ,4011 S. MONROE MEDICAL PARK BLVD ,,BLOOMINGTON ,IN ,47403 ,MONROE ,,,,11177,,,.12,,,32,1920,189,203,841,,206,,58,29,250,,,,,,, 150183,01-JAN-16,31-DEC-16,Amended,MONROE HOSPITAL ,4011 SOUTH MONROE MEDICAL PARK BLVD ,,BLOOMINGTON ,IN ,47403 ,MONROE ,,,,123785,,,.0914,,,32,11680,2451,609,5058,,202,,658,11,1486,,,,,,, 151300,01-MAY-16,30-APR-17,Amended,COMMUNITY HOSPITAL OF BREMEN INC. ,1020 HIGH RD ,8 ,BREMEN ,IN ,46506- ,MARSHALL ,,,,,,,,,,24,8760,507,24,1185,,138.66,,111,14,337,67,,,,,, 151301,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT RANDOLPH HOSPITAL ,473 GREENVILLE AVE. ,,WINCHESTER ,IN ,47934 ,RANDOLPH ,,,,,,,,,,25,9125,628,126,1961,,129.69,,153,27,510,135,,,,,, 151302,01-JAN-16,31-DEC-16,As Submitted,IU HEALTH BLACKFORD HOSPITAL ,410 PILGRIM STREET ,,HARTFORD CITY ,IN ,47348 ,BLACKFORD ,,,,,,,,,,15,5490,1623,5,2083,,93.25,,205,1,437,12,,,,,, 151303,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT JENNINGS HOSPITAL ,301 HENRY STREET ,,NORTH VERNON ,IN ,47265 ,JENNINGS ,,,,,,,,,,25,9125,666,14,895,,94.6,,151,8,231,23,,,,,, 151304,01-JAN-16,31-DEC-16,Settled,RUSH MEMORIAL HOSPITAL ,1300 NORTH MAIN STREET ,,RUSHVILLE ,IN ,46173- ,RUSH ,,,,,,,,,,25,9150,1652,10,2290,,280.21,,394,3,604,7,,,,,, 151305,01-OCT-15,30-SEP-16,As Submitted,PULASKI MEMORIAL HOSPITAL ,616 EAST 13TH ,,WINAMAC ,IN ,46996- ,PULASKI ,,,,,,,,,,25,9150,2057,56,3308,,188.81,,293,17,583,81,,,,,, 151306,01-JAN-16,31-DEC-16,As Submitted,IU HEALTH PAOLI HOSPITAL ,642 WEST HOSPITAL ROAD ,,PAOLI ,IN ,47454 ,ORANGE ,,,,,,,,,,25,9150,135,6,728,,119.05,,44,3,200,126,,,,,, 151307,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT WILLIAMSPORT HOSPITAL ,412 NORTH MONROE ,,WILLIAMSPORT ,IN ,47993 ,WARREN ,,,,,,,,,,16,5840,1312,32,1767,,114.33,,310,10,445,24,,,,,, 151308,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT MERCY HOSPITAL ,13311 SOUTH A ST. ,,ELWOOD ,IN ,46036- ,MADISON ,,,,,,,,,,25,9125,613,23,1218,,127.98,,144,12,317,33,,,,,, 151309,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT CLAY HOSPITAL ,1206 EAST NATIONAL AVENUE ,,BRAZIL ,IN ,47834 ,CLAY ,,,,,,,,,,25,9125,1049,8,1533,,99.3,,171,7,310,53,,,,,, 151310,01-JAN-16,31-DEC-16,As Submitted,PARKVIEW WABASH HOSPITAL INC. ,710 NORTH EAST STREET ,548 ,WABASH ,IN ,46992-0548 ,WABASH ,,,,,,,,,,25,9150,902,95,1861,,180.2,,309,7,645,34,,,,,, 151311,01-JAN-16,31-DEC-16,As Submitted,IU HEALTH TIPTON HOSPITAL ,1000 SOUTH MAIN STREET ,,TIPTON ,IN ,46072 ,TIPTON ,,,,,,,,,,25,9150,2296,4,3342,,168.05,,475,2,893,6,,,,,, 151312,01-JAN-16,31-DEC-16,As Submitted,IU HEALTH WHITE HOSPITAL ,720 SOUTH SIXTH STREET ,,MONTICELLO ,IN ,47960 ,WHITE ,,,,,,,,,,25,9150,1392,11,1857,,131.19,,353,4,540,23,,,,,, 151313,01-JAN-16,31-DEC-16,As Submitted,WOODLAWN HOSPITAL ,1400 EAST 9TH STREET ,,ROCHESTER ,IN ,46975- ,FULTON ,,,,,,,,,,25,9150,1499,247,4054,,395.66,,367,18,1039,171,,,,,, 151314,01-JUL-16,30-JUN-17,As Submitted,ST VINCENT SALEM ,911 N. SHELBY STREET ,,SALEM ,IN ,47167 ,WASHINGTON ,,,,,,,,,,25,9125,287,2,450,,102.22,,55,1,93,8,,,,,, 151315,01-OCT-15,30-SEP-16,As Submitted,CAMERON MEMORIAL COMMUNITY ,416 E MAUMEE STREET ,,ANGOLA ,IN ,47803- ,STEUBEN ,,,,,,,,,,25,9150,1541,96,4379,,350.62,,492,30,1344,148,,,,,, 151316,01-JUL-16,31-MAY-17,As Submitted,ST. VINCENT FRANKFORT HOSPITAL ,1300 SOUTH JACKSON STREET ,,FRANKFORT ,IN ,46041 ,CLINTON ,,,,,,,,,,25,8375,725,84,1367,,93.44,,154,16,328,79,,,,,, 151317,01-JAN-16,31-DEC-16,As Submitted,GREENE COUNTY GENERAL HOSPITAL ,R.R 1 ,1000 ,LINTON ,IN ,47441-9457 ,GREENE ,,,,,,,,,,25,9150,1804,155,2613,,195.38,,469,62,716,,,,,,, 151318,01-JAN-16,31-DEC-16,Amended,DUKES MEMORIAL HOSPITAL ,275 WEST 12TH STREET ,,PERU ,IN ,46970 ,MIAMI ,,,,,,,,,,25,9150,2058,86,3837,,193.27,,538,198,1113,,,,,,, 151319,01-OCT-15,30-SEP-16,Amended,GIBSON GENERAL HOSPITAL ,1800 SHERMAN DRIVE ,,PRINCETON ,IN ,47670- ,GIBSON ,,,,,,,,,,25,9150,1545,9,2238,,259.1,,205,3,361,25,,,,,, 151320,01-OCT-15,30-SEP-16,Settled,JAY COUNTY HOSPITAL ,500 W. VOTAW ,,PORTLAND ,IN ,47371- ,JAY ,,,,,,,,,,25,9150,1846,,3336,,292.36,,365,43,779,,,,4,,174, 151322,01-JAN-16,31-DEC-16,As Submitted,PERRY COUNTY HOSPITAL ,8885 SR 237 ,X ,TELL CITY ,IN ,47586 ,PERRY ,,,,,,,,,,25,9150,2475,402,3507,,229.38,,404,67,731,,,,,,, 151323,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HOSPT. OF LAGRANGE CTY IN ,207 NORTH TOWNLINE ROAD ,,LAGRANGE ,IN ,46761-1325 ,LAGRANGE ,,,,,,,,,,25,9150,1158,429,3122,,172.1,,308,34,1009,,,,,,, 151324,01-JAN-16,31-DEC-16,Amended,FRANCISCAN HEALTH RENSSELAER ,1104 EAST GRACE STREET ,,RENSSELAER ,IN ,47978- ,JASPER ,,,,,,,,,,25,9150,2132,29,2805,,208.82,,501,12,698,,,,,,, 151325,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT WARRICK ,1116 MILLIS AVE ,,BOONEVILLE ,IN ,47601 ,WARRICK ,,,,,,,,,,25,9125,1465,28,2499,,80.53,,75,8,124,,,,1,,276, 151326,01-JAN-16,31-DEC-16,As Submitted,UNION HOSPITAL CLINTON ,801 SOUTH MAIN STREET ,,CLINTON ,IN ,47842- ,VERMILLION ,,,,,,,,,,25,9150,1387,335,2220,,130.08,,483,116,655,,,,,,, 151327,01-JAN-16,31-DEC-16,Amended,SULLIVAN COUNTY COMMUNITY HOSPITAL ,2200 NORTH SECTION STREET ,10 ,SULLIVAN ,IN ,47882- ,SULLIVAN ,,,,,,,,,,25,9150,1748,235,2999,,199.65,,431,12,763,,,,,,, 151328,01-JAN-16,31-DEC-16,Amended,INDIANA UNIVERSITY HEALTH BEDFORD ,2900 WEST SIXTEENTH STREET ,,BEDFORD ,IN ,47421- ,LAWRENCE ,,,,,,,,,,25,9150,2345,44,3510,,209,,529,12,965,85,,,,,, 151329,01-JAN-16,31-DEC-16,As Submitted,MARGARET MARY COMMUNITY HOSPITAL ,321 MITCHELL ,,BATESVILLE ,IN ,47006- ,RIPLEY ,,,,,,,,,,25,9150,1917,89,5526,,491.57,,646,31,1693,158,,,,,, 151330,01-JAN-16,31-DEC-16,As Submitted,ADAMS MEMORIAL HOSPITAL ,1100 MERCER AVENEUE ,,DECATUR ,IN ,46733 ,ADAMS ,,,,,,,,,,25,9150,2059,234,5086,,484.76,,454,65,1597,,,,27,,346, 151331,01-JAN-16,31-DEC-16,As Submitted,HARRISON COUNTY HOSPITAL ,245 ATWOOD ST. ,,CORYDON ,IN ,47112- ,HARRISON ,,,,,,,,,,25,9150,2353,1314,5852,,382.45,,641,556,1909,,,,,,, 151332,01-JAN-16,31-DEC-16,As Submitted,DECATUR CO. MEMORIAL HOSPITAL ,702 NORTH LINCOLN STREET ,,GREENSBURG ,IN ,47240-1398 ,DECATUR ,,,,,,,,,,25,9150,2103,286,4464,,359.16,,560,98,1197,,,,,,, 151333,01-JAN-16,31-DEC-16,As Submitted,PUTNAM COUNTY HOSPITAL ,1542 SOUTH BLOOMINGTON ST ,,GREENCASTLE ,IN ,46135- ,PUTNAM ,,,,,,,,,,25,9150,1689,3,2528,,271.81,,405,1,719,5,,,,,, 151334,01-JAN-16,31-DEC-16,As Submitted,SCOTT MEMORIAL HOSPITAL ,1451 NORTH GARDNER ,,SCOTTSBURG ,IN ,47170- ,SCOTT ,,,,,,,,,,25,9150,2046,977,4023,,170.92,,506,316,1149,,,,,,, 151335,01-JUL-16,30-JUN-17,As Submitted,ST VINCENT DUNN ,1616 TWENTY-THIRD STREET ,,BEDFORD ,IN ,47421 ,LAWRENCE ,,,,,,,,,,25,9125,1200,58,2344,,121.4,,249,11,409,32,,,,,, 152013,01-JUN-16,31-MAY-17,As Submitted,KINDRED HOSPITAL INDIANAPOLIS NORTH ,8060 KNUE ROAD ,,INDIANAPOLIS ,IN ,46250 ,MARION ,,,,,,,,,,45,16425,5392,,8898,,103.1,,219,,331,4,,,,,, 152014,01-JAN-16,31-DEC-16,As Submitted,SSH - EVANSVILLE LLC. ,400 SE 4TH STREET ,,EVANSVILLE ,IN ,47713 ,VANDERBURGH ,,,,,,,,,,60,21960,7461,259,12407,,151.54,,293,10,483,69,,,,,, 152016,01-JUL-16,18-NOV-16,As Submitted,SSH - FORT WAYNE INC. ,700 BROADWAY 7TH FLOOR EAST ,,FORT WAYNE ,IN ,46802 ,ALLEN ,,,,,,,,,,32,4512,758,21,1663,,26.43,,29,2,78,20,,,,,, 152020,01-JUL-16,30-JUN-17,As Submitted,ST VINCENT SETON SPECIALITY HOSPITAL ,8050 TOWNSHIP LINE ROAD ,,INDIANAPOLIS ,IN ,46260 ,MARION ,,,,,,,,,,72,26280,10839,13,18264,,271,,239,1,437,,,,,,, 152024,01-FEB-16,31-JAN-17,As Submitted,RH OF NORTHWEST INDIANA LLC ,4321 FIR STREET 4TH FLOOR ,,EAST CHICAGO ,IN ,46312 ,LAKE ,,,,,,,,,,61,22326,9903,,14593,,147.37,,385,,588,54,,,,,, 152027,01-NOV-15,31-OCT-16,Settled,VIBRA HOSP FORT WAYNE ,2200 RANDALLIA DRIVE ,5TH FLOOR ,FORT WAYNE ,IN ,46805-4638 ,ALLEN ,,,,,,,,,,48,17568,4458,,7215,,73.26,,223,,326,22,,,,,, 152028,01-NOV-15,31-OCT-16,As Submitted,VIBRA HOSPITAL OF NORTHWEST INDIANA ,9509 GEORGIA STREET ,,CROWN POINT ,IN ,46307-6518 ,LAKE ,,,,,,,,,,40,14640,9052,,12259,,113.08,,396,,520,15,,,,,, 153025,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH DEACONESS REHABILITATION ,4100 COVERT AVENUE ,,EVANSVILLE ,IN ,47714 ,VANDENBURGH ,,,,,,,,,,103,37698,19199,293,28711,,246.11,,1496,20,2203,217,,,,,, 153028,01-JAN-16,31-DEC-16,As Submitted,REHABILITATION HOSPITAL OF INDIANA ,4141 SHORE DRIVE ,,INDIANAPOLIS ,IN ,46254 ,MARION ,,,,,,,,,5433,91,33306,6597,474,19719,,291.15,,466,26,1298,243,,,,,, 153030,01-OCT-15,30-SEP-16,As Submitted,REHABILITATION HOSPITAL OF FT WAYNE ,7970 WEST JEFFERSON BOULEVARD ,,FORT WAYNE ,IN ,46804- ,ALLEN ,,,,,,,,,,36,13176,2931,893,6813,,90.43,,261,85,637,,,,,,, 153037,01-JAN-16,31-DEC-16,As Submitted,SOUTHERN INDIANA REHAB HOSPITAL ,3104 BLACKISTON BOULEVARD ,,NEW ALBANY ,IN ,47150 ,FLOYD ,,,,,,,,,,34,12444,4638,24,7369,,168.41,,375,4,562,27,,,,,, 153039,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HRH SPECIALITY HOSPITAL ,829 NORTH DIXON ROAD ,,KOKOMO ,IN ,46901 ,HOWARD ,,,,,,,,,,30,10980,3783,151,5597,,109.82,,332,6,457,28,,,,,, 153042,01-JAN-16,31-DEC-16,As Submitted,LAFAYETTE REGIONAL REHABILITATION HO ,950 PARK EAST BLVD ,,LAFAYETTE ,IN ,47905 ,TIPPECANOE ,,,,,,,,,,40,14640,5103,407,8080,,91.87,,397,32,604,,,,,,, 153043,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HEALTH NETWORK REHAB HOSP ,7343 CLEARVISTA DRIVE ,,INDIANAPOLIS ,IN ,46256 ,MARION ,,,,,,,,,,60,21960,8618,696,16693,,160,,712,42,1302,144,,,,,, 154005,01-JAN-16,31-DEC-16,As Submitted,RIVER BEND HOSPITAL ,2900 NORTH RIVER ROAD ,,WEST LAFAYETTE ,IN ,47906- ,TIPPECANOE ,,,,,,,,,,16,5856,522,95,2551,,36.32,,81,17,523,216,,,,,, 154009,01-JUL-16,30-JUN-17,As Submitted,HAMILTON CENTER INC. ,620 EIGHTH AVENUE ,,TERRE HAUTE ,IN ,47804 ,VIGO ,,,,,,,,,,16,5840,1854,201,5553,,446,,164,15,438,204,,,,,, 154011,01-JUL-16,30-JUN-17,As Submitted,COMMUNITY MENTAL HEALTH CENTER ,285 BIELBY ROAD ,,LAWRENCEBURG ,IN ,47025 ,DEARBORN ,,,,,,,,,,16,5840,420,55,2281,,216,,74,10,496,86,,,,,, 154014,01-JUL-16,30-JUN-17,As Submitted,THE OTIS R. BOWEN CENTER ,850 N. HARRISON ,,WARSAW ,IN ,46580- ,KOSCIUSKO ,,,,,,,,,,16,5840,973,284,4659,,929,,182,38,1099,58,,,,,, 154018,01-JUL-16,30-JUN-17,As Submitted,RICHMOND STATE HOSPITAL ,498 N.W. 18TH ,,RICHMOND ,IN ,47374- ,WAYNE ,,,,,,,,,,213,77745,57,5651,61794,,341.28,,3,29,280,,,,,,, 154019,01-JUL-16,30-JUN-17,As Submitted,MADISON STATE HOSPITAL ,711 GREEN ROAD ,,MADISON ,IN ,47250- ,JEFFERSON ,,,,,,,,,,150,54750,41,5634,36402,,297.75,,3,7,53,,,,,,, 154020,01-JUL-16,30-JUN-17,As Submitted,REGIONAL MENTAL HEALTH CENTER ,8555 TAFT STREET ,,MERRILLVILLE ,IN ,46410 ,LAKE ,,,,,,,,,,16,5840,1090,237,4647,,397.85,,110,16,402,133,,,,,, 154021,01-JUL-16,30-JUN-17,As Submitted,GRANT BLACKFORD MENTAL HEALTH INC. ,505 WABASH AVENUE ,,MARION ,IN ,46952- ,GRANT ,,,,,,,,,,16,5840,616,291,3343,,165.5,,111,48,692,77,,,,,, 154031,01-JUL-16,30-JUN-17,As Submitted,OAKLAWN PSYCHIATRIC CENTER INC. ,330 LAKEVIEW DRIVE ,809 ,GOSHEN ,IN ,46527-0809 ,ELKHART ,,,,,,,,,,16,5840,1275,250,4520,,174.33,,133,26,596,197,,,,,, 154035,01-JUL-16,30-JUN-17,As Submitted,FOUR COUNTY COUNSELING CENTER ,1015 MICHIGAN AVENUE ,,LOGANSPORT ,IN ,46947- ,CASS ,,,,,,,,,,16,5840,687,145,3633,,330,,98,23,571,227,,,,,, 154041,01-JAN-16,31-DEC-16,As Submitted,BHC MEADOWS HOSPITAL ,3600 NORTH PROW ROAD ,,BLOOMINGTON ,IN ,47404 ,MONROE ,,,,,,,,,,37,13542,551,1811,12075,,103.67,,70,179,1544,438,,,,,, 154050,01-JUL-16,30-JUN-17,As Submitted,NORTHEASTERN CENTER ,220 S. MAIN ST. ,,KENDALLVILLE ,IN ,46755 ,NOBLE ,,,,,,,,,,16,5840,853,219,4090,,206.76,,122,34,725,235,,,,,, 154051,01-JAN-16,31-DEC-16,As Submitted,WELLSTONE ,2700 VISSING PARK ROAD ,,JEFFERSONVILLE ,IN ,47130 ,CLARK ,,,,,,,,,,88,32208,8044,6830,27848,,190.37,,702,887,3416,657,,,,,, 154052,01-JUL-16,30-JUN-17,As Submitted,PORTER-STARKE SERVICES INC ,601 WALL ST ,,VALPARAISO ,IN ,46385- ,PORTER ,,,,,,,,,,16,5840,447,14,2359,,227.87,,83,5,561,11,,,,,, 154053,01-JUL-16,30-JUN-17,As Submitted,MERIDIAN HEALTH SERVICES CORP. ,240 N. TILLOTSON AVE ,,MUNCIE ,IN ,47304 ,DELAWARE ,,,,,,,,,,16,5840,2106,295,3490,,891.07,,209,23,381,40,,,,,, 154054,01-JAN-16,31-DEC-16,As Submitted,HARSHA BEHAVIORAL CENTER ,1980 E WOODSMALL DR ,,TERRE HAUTE ,IN ,47802 ,VIGO ,,,,,,,,,,61,16325,3994,6657,12864,,112.61,,288,1011,1618,,,,,,, 154055,01-JAN-16,31-DEC-16,As Submitted,BRENTWOOD MEADOWS ,4488 ROSLIN ROAD ,,NEWBURGH ,IN ,47630 ,WARRICK ,,,,,,,,,,48,17568,2911,542,13982,,100.12,,292,66,1800,639,,,,,, 154056,01-JUL-16,30-JUN-17,As Submitted,EVANSVILLE STATE HOSPITAL ,3400 LINCOLN AVE ,,EVANSVILLE ,IN ,47714 ,VANDERBURGH ,,,,,,,,,,168,61320,,8850,54936,,230.85,,,23,152,,,,,,, 154057,01-JAN-16,31-DEC-16,As Submitted,OPTIONS BEHAVIORAL HEALTH SYSTEM ,5602 CAITO DRIVE ,,INDIANAPOLIS ,IN ,46226 ,MARION ,,,,,,,,,,56,20496,4230,1129,14860,,153.57,,394,121,1663,255,,,,,, 154058,01-JAN-16,31-DEC-16,As Submitted,DOCTORS NEUROPSYCHIATRIC HOSPITAL ,417 SOUTH WHITLOCK STREET ,,BREMEN ,IN ,46506-1626 ,MARSHALL ,,,,,,,,,,37,13542,10985,,12892,,84.55,,619,,778,,,,,,, 154059,01-JAN-16,31-DEC-16,As Submitted,SYCAMORE SPRINGS ,833 PARK EAST BOULEVARD ,,LAFAYETTE ,IN ,47905 ,TIPPECANOE ,,,,,,,,,,48,17568,3108,107,11020,,105.39,,306,20,1555,556,,,,,, 154060,01-JUL-16,30-JUN-17,As Submitted,PARK CENTER INC. ,1909 CAREW STREET ,,FORT WAYNE ,IN ,46805 ,ALLEN ,,,,,,,,,,16,5840,801,61,2673,,438.73,,122,11,348,145,,,,,, 154061,01-JAN-16,31-DEC-16,As Submitted,RIVERCREST SPECIALTY HOSPITAL LLC ,1625 E. JEFFERSON BLVD ,,MISHAWAKA ,IN ,46545-7103 ,ST. JOSEPH ,,,,,,,,,,30,10980,8742,,10411,,69.29,,500,,598,,,,,,, 154062,01-JAN-16,31-DEC-16,As Submitted,ASSURANCE HEALTH ,2725 ENTERPRISE DRIVE ,,ANDERSON ,IN ,46013 ,MADISON ,,,,,,,,,,22,8052,6922,58,7809,,88,,436,4,526,,,,,,, 154063,01-JAN-16,31-DEC-16,As Submitted,NEUROPSYCHIATRIC HOSPITAL OF INDIANA ,6720 PARKDALE PL ,,INDIANAPOLIS ,IN ,46254-4668 ,MARION ,,,,,,,,,,42,15372,10352,,11562,,73.36,,621,,716,,,,,,, 160001,01-NOV-15,31-DEC-15,As Submitted,CENTRAL IOWA HEALTHCARE ,3 SOUTH 4TH AVENUE ,,MARSHALLTOWN ,IA ,50158- ,MARSHALL ,,,,21333,,,.0633,,,49,2989,640,165,1260,,426.73,,173,74,367,,,,,,, 160001,01-JAN-16,31-DEC-16,As Submitted,CENTRAL IOWA HEALTHCARE ,3 SOUTH 4TH AVENUE ,,MARSHALLTOWN ,IA ,50158 ,MARSHALL ,,,,127818,,,.0777,,,49,17934,3153,869,7484,,417.38,,875,377,2554,,,,,,, 160005,01-JUL-16,30-JUN-17,As Submitted,ST. ANTHONY REGIONAL HOSPITAL ,311 SOUTH CLARK STREET ,,CARROLL ,IA ,51401 ,CARROLL ,,,,124293,,,.105,,,59,21535,5111,407,8859,,432.59,,768,69,2072,155,144,,25,,456, 160008,01-OCT-15,30-SEP-16,As Submitted,KEOKUK AREA HOSPITAL ,1600 MORGAN STREET ,,KEOKUK ,IA ,52632- ,LEE ,,,,23877,,,.0294,,,49,17934,2001,115,2883,,184.48,,638,45,976,78,,,,,, 160013,01-JAN-16,31-DEC-16,As Submitted,UNITY HEALTH CARE ,1518 MULBERRY ,,MUSCATINE ,IA ,52761- ,MUSCATINE ,,,,93078,,,.12,,,45,16465,1642,1230,4305,,257.38,,495,305,1332,,,,,,, 160016,01-JAN-16,31-DEC-16,As Submitted,TRINITY REGIONAL MEDICAL CENTER ,802 SOUTH KENYON ROAD ,,FORT DODGE ,IA ,50501 ,WEBSTER ,169500,,,427635,,,.12,64791,51095,49,17934,7074,1152,13319,2.87,630.04,,1786,281,3468,490,,,,,, 160024,01-JAN-16,31-DEC-16,As Submitted,IOWA LUTHERAN HOSPITAL ,700 EAST UNIVERSITY ,,DES MOINES ,IA ,50316 ,POLK ,706517,,,1289125,,,.2653,680686,267056,164,59819,14754,12637,35804,15.62,652.04,,2699,2288,7524,,,,9,,142, 160028,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH MERCY COUNCIL BLUFFS ,800 MERCY DRIVE ,,COUNCIL BLUFFS ,IA ,51502 ,POTTAWATTAMIE ,,,,1100334,,,.2849,,,145,52925,8437,2288,26830,,482.69,,1959,383,7637,,,,,,, 160029,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL IOWA CITY ,500 E MARKET ST ,,IOWA CITY ,IA ,52245 ,JOHNSON ,,,,204610,,,.0322,,,218,79570,11855,2337,27088,,853.33,,2801,602,6844,865,,,,,, 160032,01-JUL-16,30-JUN-17,As Submitted,SKIFF MEDICAL CENTER ,204 N 4TH AVE E ,,NEWTON ,IA ,50208 ,JASPER ,,,,,,,,,,48,17520,2589,50,4511,,191.39,,538,22,877,,,,,,, 160033,01-JUL-16,30-JUN-17,As Submitted,GENESIS MEDICAL CENTER - DAVENPORT ,1227 EAST RUSHOLME ,,DAVENPORT ,IA ,52803- ,SCOTT ,1762728,,,1538057,,,.1014,657983,305071,255,93075,27436,1786,62982,17.35,1334.14,,7061,2627,17167,2097,,,81,11,1771,443 160040,01-JUL-16,30-JUN-17,As Submitted,SARTORI MEMORIAL HOSPITAL ,515 COLLEGE STREET ,,CEDAR FALLS ,IA ,50613 ,BLACK HAWK ,,,,,,,,,,35,12775,2197,38,4106,,196.07,,541,10,1115,,,,,,372, 160045,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES METHODIST HOSPITAL ,1026 A AVENUE N.E. ,3026 ,CEDAR RAPIDS ,IA ,52406-3026 ,LINN ,549686,,,2421457,,,.2392,310410,157527,303,110879,19400,8287,67034,14.27,1922.6,,4266,1799,14183,3330,66,,81,21,564,443 160047,01-JAN-16,31-DEC-16,As Submitted,JENNIE EDMUNDSON MEMORIAL ,933 EAST PIERCE STREET ,,COUNCIL BLUFFS ,IA ,51503- ,POTTAWATTAMIE ,51067,,,820100,,,.1868,22897,12217,110,40260,8670,2460,21984,.8,585.65,,2183,536,5588,1058,,,,,, 160057,01-JUL-16,30-JUN-17,As Submitted,GREAT RIVER MEDICAL CENTER ,1221 SOUTH GEAR AVENUE ,,WEST BURLINGTON ,IA ,52655 ,DES MOINES ,,,,590704,,,.0963,,,138,50370,12593,769,23951,,481.29,,2873,146,5631,877,,,,3,,138 160058,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY OF IOWA HOSP & CLINICS ,200 HAWKINS DRIVE ,,IOWA CITY ,IA ,52242-1009 ,JOHNSON ,33967938,,,6921047,,,.2321,7029000,4580834,655,239119,60295,11346,202194,596.2,8014.62,,10524,1227,32746,8172,,,755,,1726, 160064,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER - MASON CITY ,1000 4TH STREET ,,MASON CITY ,IA ,50401 ,CERRO GORDO ,3105140,,,1496086,,,.1238,774627,698067,176,64240,23395,1935,43215,26.6,1892.42,,5311,448,10772,1776,,,,,,83 160067,01-JUL-16,30-JUN-17,As Submitted,COVENANT MEDICAL CENTER ,3421 W 9TH ST ,,WATERLOO ,IA ,50702 ,BLACK HAWK ,506668,,,1124583,,,.271,278837,287009,215,78475,10751,1487,33742,13.64,1688.51,,2228,387,7352,2362,,,,13,,229 160069,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER - DUBUQUE ,250 MERCY DRIVE ,,DUBUQUE ,IA ,52001 ,DUBUQUE ,,,,373028,,,.0425,,,147,53655,19515,1224,34352,,878.3,,4518,1140,8466,1005,,,,3,,88 160079,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER ,701 10TH STREET SE ,,CEDAR RAPIDS ,IA ,52403- ,LINN ,290861,,,575908,,,.0741,130726,118318,194,70810,15096,1005,35926,12.92,1835.5,,3836,229,9325,,,,629,10,1215,164 160080,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER-CLINTON ,1410 N. FOURTH ST ,,CLINTON ,IA ,52732 ,CLINTON ,,,,487107,,,.1524,,,107,39055,8300,1487,14995,,598.29,,1959,245,5198,1001,,,,,, 160082,01-JAN-16,31-DEC-16,As Submitted,IOWA METHODIST MEDICAL CENTER ,1200 PLEASANT STREET ,,DES MOINES ,IA ,50309 ,POLK ,4870557,,,2829505,,,.1367,2609115,680093,456,166866,45882,34335,128671,68.94,2621.94,,8893,4999,29720,,,,,51,,378 160083,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER-DES MOINES ,1111 6TH AVENUE ,,DES MOINES ,IA ,50314 ,POLK ,4060782,,,4734598,,,.1726,1622010,639056,544,198560,57419,16227,166675,45.4,5206.62,,10474,5777,35235,,,,84,69,1224,279 160089,01-MAY-16,30-APR-17,As Submitted,OTTUMWA REGIONAL HEALTH CENTER ,1001 PENNSYLVANIA ,,OTTUMWA ,IA ,52501 ,WAPELLO ,,,,344770,,,.1859,,,88,32120,3448,172,8740,,344.53,,980,42,2426,657,,,5,,431,321 160101,01-JUL-16,30-JUN-17,As Submitted,BROADLAWNS MEDICAL CENTER ,1801 HICKMAN ROAD ,,DES MOINES ,IA ,50314 ,POLK ,482861,,,108211,,,.12,233151,526246,101,36865,4637,10928,19313,29.49,,,565,1779,2921,,,,,,, 160104,01-JAN-16,31-DEC-16,As Submitted,TRINITY BETTENDORF ,4500 UTICA RIDGE ROAD ,,BETTENDORF ,IA ,52722 ,SCOTT ,426799,,,378257,,,.12,159818,71469,75,27450,4445,1139,14331,10.57,330.89,,1334,484,4414,739,,,,,, 160110,01-JAN-16,31-DEC-16,As Submitted,ALLEN MEMORIAL HOSPITAL ,1825 LOGAN AVENUE ,,WATERLOO ,IA ,50703 ,BLACK HAWK ,339476,,,915632,,,.1454,192258,138541,187,68442,11822,8371,33451,7.74,1175.33,,2991,2236,8780,,,,,21,,208 160112,01-JUL-16,30-JUN-17,As Submitted,SPENCER MUNICIPAL HOSPITAL ,1200 FIRST AVENUE EAST ,,SPENCER ,IA ,51301- ,CLAY ,,,,77260,,,.0414,,,49,19560,4822,337,8035,,391.97,,1016,192,1841,,,,177,,380, 160117,01-JAN-16,31-DEC-16,As Submitted,THE FINLEY HOSPITAL ,350 NORTH GRANDVIEW AVENUE ,,DUBUQUE ,IA ,52001 ,DUBUQUE ,,,,263968,,,.0831,,,98,35868,6762,2971,15879,,577.23,,1701,809,5157,,,,,,145,173 160122,01-OCT-15,30-SEP-16,As Submitted,FORT MADISON COMMUNITY HOSPITAL ,HIGHWAY 61 WEST ,174 ,FORT MADISON ,IA ,52627- ,LEE ,,,,102349,,,.12,,,50,18300,2514,1170,5856,,420.19,,553,280,1317,,,,,,, 160124,01-JUL-16,30-JUN-17,As Submitted,LAKES REGIONAL HEALTHCARE ,HIGHWAY 71 SOUTH ,AB ,SPIRIT LAKE ,IA ,51360- ,DICKINSON ,,,,,,,,,,44,16060,1885,353,3135,,194.43,,418,80,750,,,,,,, 160146,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES REGL MEDICAL CENTER ,2720 STONE PARK BLVD ,2000 ,SIOUX CITY ,IA ,51104 ,WOODBURY ,370380,,,1229094,,,.2545,298049,127878,180,59130,10667,15200,38458,9.88,967.57,,2401,3546,8957,,,,,3,,141 160147,01-JAN-16,31-DEC-16,As Submitted,GRINNELL REGIONAL MEDICAL CENTER ,210 FOURTH AVE ,780 ,GRINNELL ,IA ,50112 ,POWESHIEK ,,,,42393,,,.0624,,,49,17934,1971,791,4821,,296.84,,449,258,1219,,,,,,, 160153,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER - SIOUX CITY ,801 FIFTH STREET ,,SIOUX CITY ,IA ,51101 ,WOODBURY ,500734,,,516699,,,.0668,311826,93728,154,56210,17262,2446,34682,6.67,957.74,,3256,487,7202,551,195,,153,15,762,315 161300,01-JUL-16,30-JUN-17,As Submitted,BAUM HARMON MERCY HOSPITAL ,235 N WELCH AVE ,,PRIMGHAR ,IA ,51245 ,OBRIEN ,,,,,,,,,,14,5110,238,15,296,,131.75,,70,4,94,,,,,,, 161301,01-JUL-16,30-JUN-17,As Submitted,IOWA SPECIALTY HOSPITAL - BELMOND ,403 FIRST STREET SE ,,BELMOND ,IA ,50421- ,WRIGHT ,,,,,,,,,,22,8030,844,6,1352,,105.2,,131,4,448,38,,,,,, 161302,01-JUL-16,30-JUN-17,As Submitted,IOWA SPECIALTY HOSPITAL ,S ,,CLARION ,IA ,50525- ,WRIGHT ,,,,,,,,,,25,9125,1282,220,3245,,239.89,,354,98,1007,,,,,,, 161303,01-JUL-16,30-JUN-17,As Submitted,GRUNDY COUNTY MEM. HOSPITAL ,201 EAST J AVENUE ,,GRUNDY CENTER ,IA ,50638 ,GRUNDY ,,,,,,,,,,25,9125,933,2,1351,,108.8,,83,1,144,,,,,,, 161304,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH MERCY CORNING ,603 ROSARY DRIVE ,,CORNING ,IA ,50841-1414 ,ADAMS ,,,,,,,,,,22,8030,796,2,912,,76.92,,99,2,199,,,,,,, 161305,01-JUL-16,30-JUN-17,As Submitted,POCAHONTAS COMMUNITY HOSPITAL ,606 NW 7TH STREET ,,POCAHONTAS ,IA ,50574- ,POCAHONTAS ,,,,,,,,,,25,9150,827,,1048,,73.06,,102,,123,,,,,,, 161306,01-JAN-16,31-DEC-16,As Submitted,JONES REGIONAL MEDICAL CTR ,1795 HIGHWAY 64 EAST ,,ANAMOSA ,IA ,52205 ,JONES ,,,,,,,,,,22,8052,1723,20,2286,,140.12,,185,8,303,,,,,,, 161307,01-JUL-16,30-JUN-17,As Submitted,HANCOCK COUNTY HEALTH SYSTEM ,531 SECOND STREET NORTHWEST ,,BRITT ,IA ,50423- ,HANCOCK ,,,,,,,,,,25,9125,2719,45,3252,,157.15,,169,11,209,,,,,,, 161308,01-JUL-16,30-JUN-17,As Submitted,FRANKLIN GENERAL HOSPITAL ,1720 CENTRAL AVE EAST ,,HAMPTON ,IA ,50441- ,FRANKLIN ,,,,,,,,,,25,9125,1025,1,1211,,73.64,,118,3,158,,,,,,, 161309,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH - MISSOURI VALLEY ,631 N 8TH STREET ,,MISSOURI VALLEY ,IA ,51555-1197 ,HARRISON ,,,,,,,,,,25,9125,1140,1,1419,,135.82,,239,1,409,,,,,,, 161310,01-JUL-16,30-JUN-17,As Submitted,ADAIR COUNTY MEMORIAL HOSPITAL ,609 SE KENT STREET ,,GREENFIELD ,IA ,50849- ,ADAIR ,,,,,,,,,,25,9125,275,,347,,64.69,,34,,68,4,,,,,, 161311,01-JUL-16,30-JUN-17,As Submitted,HAWARDEN REGIONAL HEALTHCARE ,1111 11TH STREET ,,HAWARDEN ,IA ,51023- ,SIOUX ,,,,,,,,,,25,9125,857,6,976,,56.01,,73,3,82,,,,,,, 161312,01-JUL-16,30-JUN-17,As Submitted,GUTTENBERG MUNICIPAL HOSPITAL ,2ND AND MAIN STREETS ,,GUTTENBERG ,IA ,52052- ,CLAYTON ,,,,,,,,,,25,9150,1007,10,1592,,90.76,,164,5,277,,,,,,, 161313,01-JUL-16,30-JUN-17,As Submitted,GENESIS MEDICAL CENTER - DEWITT ,1118 ELEVENTH ST ,,DEWITT ,IA ,52742- ,CLINTON ,,,,,,,,,,13,4745,1417,,1895,,101.1,,109,,272,10,,,,,, 161314,01-JUL-16,30-JUN-17,As Submitted,GUTHRIE COUNTY HOSPITAL ,710 NORTH 12TH STREET ,,GUTHRIE CENTER ,IA ,50115 ,GUTHRIE ,,,,,,,,,,25,9125,1721,8,2207,,111.64,,275,2,372,,,,,,, 161316,01-JAN-16,31-DEC-16,As Submitted,PALMER LUTHERAN HEALTH CENTER ,112 JEFFERSON STREET ,,WEST UNION ,IA ,52175-1022 ,FAYETTE ,,,,,,,,,,25,9150,1225,104,2423,,131.09,,94,25,216,24,,,,,, 161317,01-JUL-16,30-JUN-17,As Submitted,COMPASS MEMORIAL HEALTHCARE ,300 WEST MAY STREET ,,MARENGO ,IA ,52301- ,IOWA ,,,,,,,,,,25,9125,1235,,2013,,126.64,,129,9,187,,,,,,, 161318,01-JUL-16,30-JUN-17,As Submitted,VETERANS MEMORIAL HOSPITAL ,40 FIRST ST. S.E. ,,WAUKON ,IA ,52172- ,ALLAMAKEE ,,,,,,,,,,25,9125,1732,14,2803,,145.9,,217,10,601,,,,,,, 161319,01-JUL-16,30-JUN-17,As Submitted,CENTRAL COMMUNITY HOSPITAL ,901 DAVIDSON STREET NW ,,ELKADER ,IA ,52043 ,CLAYTON ,,,,,,,,,,16,5840,591,,763,,47.91,,71,,90,2,,,,,, 161320,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY MEM. HOSPT. SUMMER ,909 WEST 1ST STREET ,148 ,SUMNER ,IA ,50674-0148 ,BREMER ,,,,,,,,,,16,5856,589,7,915,,87.76,,73,3,131,,,,,,, 161321,01-JUL-16,30-JUN-17,As Submitted,SANFORD HOSPITAL ROCK RAPIDS ,801 SOUTH GREENE STREET ,,ROCK RAPIDS ,IA ,51246- ,LYON ,,,,,,,,,,14,5110,951,26,1166,,51.85,,135,14,211,,,,,,, 161322,01-JUL-16,30-JUN-17,As Submitted,DALLAS COUNTY HOSPITAL ,10TH STREET AND IOWA ,,PERRY ,IA ,50220- ,DALLAS ,,,,,,,,,,25,9150,585,6,831,,80.7,,84,1,134,,,,,,, 161323,01-JUL-16,30-JUN-17,As Submitted,MITCHELL COUNTY REGIONAL HEALTH CENT ,616 N. 8TH STREET ,,OSAGE ,IA ,50461- ,MITCHELL ,,,,,,,,,,25,9125,1486,31,1690,,111.87,,217,6,254,,,,,,, 161324,01-OCT-15,30-SEP-16,As Submitted,GRAPE COMMUNITY HOSPITAL - HAMBURG ,275 HWY NORTH ,,HAMBURG ,IA ,51640- ,FREMONT ,,,,,,,,,,25,9150,1166,10,1785,,79.73,,98,7,129,,,,,,, 161325,01-JUL-16,30-JUN-17,As Submitted,GREENE COUNTY MEDICAL CENTER ,1000 WEST LINCOLNWAY ,,JEFFERSON ,IA ,50129 ,GREENE ,,,,,,,,,,25,9125,989,9,1453,,207.1,,148,3,231,,,,,,, 161326,01-JUL-16,30-JUN-17,As Submitted,MADISON COUNTY MEMORIAL HOSPITAL ,300 HUTCHINGS ,,WINTERSET ,IA ,50273 ,MADISON ,,,,,,,,,,25,9125,1098,7,1450,,87.15,,202,1,271,12,,,,,, 161327,01-JUL-16,30-JUN-17,As Submitted,DAVIS COUNTY HOSPITAL ,509 N MADISON ,,BLOOMFIELD ,IA ,52537-1271 ,DAVIS ,,,,,,,,,,25,9125,678,2,1077,,132.02,,132,1,228,17,,,,,, 161328,01-JUL-16,30-JUN-17,As Submitted,REGIONAL HEALTH SERVICES OF HOWARD C ,235 8TH AVENUE WEST ,,CRESCO ,IA ,52136 ,HOWARD ,,,,,,,,,,18,6570,1033,13,1367,,107.75,,100,20,183,,,,,,, 161329,01-JUL-16,30-JUN-17,As Submitted,JACKSON COUNTY PUBLIC HOSPITAL ,700 WEST GROVE STREET ,,MAQUOKETA ,IA ,52060- ,JACKSON ,,,,,,,,,,25,9125,943,67,1297,,101.16,,57,6,98,,,,,,, 161330,01-JUL-16,30-JUN-17,As Submitted,AUDUBON COUNTY MEMORIAL HOSPITAL ,515 PACIFIC STREET ,,AUDUBON ,IA ,50025- ,AUDUBON ,,,,,,,,,,25,9125,760,2,927,,81.95,,95,1,123,,,,,,, 161331,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER - NEW HAMPTON ,308 NORTH MAPLE AVE ,,NEW HAMPTON ,IA ,50659- ,CHICKASAW ,,,,,,,,,,17,6205,737,99,1214,,110.71,,126,39,292,,,,,,, 161332,01-JUL-16,30-JUN-17,As Submitted,MANNING REGIONAL HEALTHCARE CENTER ,410 MAIN STREET ,,MANNING ,IA ,51455 ,CARROLL ,,,,,,,,,,17,6205,844,19,1009,,119.31,,101,2,145,11,,,,,, 161333,01-JUL-16,30-JUN-17,As Submitted,STORY COUNTY HOSPITAL ,630 6TH STREET ,,NEVADA ,IA ,50201 ,STORY ,,,,,,,,,,17,6205,1765,11,2711,,155.17,,86,3,160,,,,,,, 161334,01-JUL-16,30-JUN-17,As Submitted,HUMBOLDT COUNTY MEMORIAL HOSPITAL ,1000 NORTH 15TH ST ,,HUMBOLDT ,IA ,50548 ,HUMBOLDT ,,,,,,,,,,17,6205,1317,4,1580,,152.47,,153,1,221,,,,,,, 161335,01-JUL-16,30-JUN-17,As Submitted,PEOPLES MEMORIAL HOSPITAL ,1600 FIRST STREET EAST ,,INDEPENDENCE ,IA ,50644- ,BUCHANAN ,,,,,,,,,,25,9125,1046,48,1737,,155.5,,109,14,216,,,,,,, 161336,01-JUL-16,30-JUN-17,As Submitted,HEGG MEMORIAL HEALTH CENTER ,1202 21ST AVENUE ,,ROCK VALLEY ,IA ,51247-1420 ,SIOUX ,,,,,,,,,,25,9125,658,21,1161,,105.87,,83,10,185,3,,,,,, 161337,01-JUL-16,30-JUN-17,As Submitted,VAN BUREN COUNTY HOSPITAL ,304 FRANKLIN STREET ,PO BOX 70 ,KEOSAUQUA ,IA ,52565-0070 ,VAN BUREN ,,,,,,,,,,25,9125,1041,25,1383,,127.12,,139,10,224,31,,,,,, 161338,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL OF FRANCISCAN SISTERS ,201 EIGHTH AVENUE SE ,,OELWEIN ,IA ,50662 ,FAYETTE ,,,,,,,,,,25,9125,777,4,1223,,90.77,,114,2,191,6,,,,,, 161339,01-JUL-16,30-JUN-17,As Submitted,WAVERLY HEALTH CENTER ,S ,,WAVERLY ,IA ,50677 ,BREMER ,,,,,,,,,,21,7686,1648,54,3334,,364.74,,338,24,787,,,,,,, 161340,01-JUL-16,30-JUN-17,As Submitted,DECATUR COUNTY HOSPITAL ,1405 NW CHURCH ,,LEON ,IA ,50144- ,DECATUR ,,,,,,,,,,11,4015,568,44,902,,83.49,,116,17,177,,,,,,, 161341,01-JUL-16,30-JUN-17,As Submitted,LUCAS COUNTY HEALTH CENTER ,1200 NORTH 7TH STREET ,,CHARITON ,IA ,50049- ,LUCAS ,,,,,,,,,,25,9125,1159,178,1667,,159.22,,175,107,324,,,,,,, 161342,01-JUL-16,30-JUN-17,As Submitted,MONROE COUNTY HOSPITAL ,6580 165TH STREET ,,ALBIA ,IA ,52531 ,MONROE ,,,,,,,,,,25,9125,1014,22,1461,,114.58,,168,3,261,,,,,,, 161343,01-JUL-16,30-JUN-17,As Submitted,DELAWARE COUNTY MEMORIAL HOSPITAL ,709 WEST MAIN ST ,,MANCHESTER ,IA ,52057- ,DELAWARE ,,,,,,,,,,25,9125,1631,57,3346,,278.49,,305,22,731,,,,,,, 161344,01-JUL-16,30-JUN-17,As Submitted,WASHINGTON COUNTY HOSPITAL ,400 EAST POLK STREET ,909 ,WASHINGTON ,IA ,52353 ,WASHINGTON ,,,,,,,,,,25,9125,2121,41,3070,,199.69,,271,9,490,,,,,,, 161345,01-JUL-16,30-JUN-17,As Submitted,OSCEOLA COMMUNITY HOSPITAL ,9TH AVENUE NORTH ,,SIBLEY ,IA ,51249 ,OSCEOLA ,,,,,,,,,,25,9125,1054,20,1289,,91.59,,145,7,213,,,,,,, 161346,01-JUL-16,30-JUN-17,As Submitted,SIOUX CENTER HEALTH ,605 SOUTH MAIN ,,SIOUX CENTER ,IA ,51250- ,SIOUX ,,,,,,,,,,19,6935,1051,338,2156,,282.57,,179,57,518,,,,,,, 161347,01-JUL-16,30-JUN-17,As Submitted,FLOYD COUNTY HOSPITAL ,11 TH AND SOUTH MAIN ,,CHARLES CITY ,IA ,50616 ,FLOYD ,,,,,,,,,,25,9125,3392,197,4193,,162.33,,343,63,519,,,,,,, 161348,01-JUL-16,30-JUN-17,As Submitted,CLARKE COUNTY PUBLIC HOSPITAL ,800 S FILLMORE ST ,,OSCEOLA ,IA ,50213-1694 ,CLARKE ,,,,,,,,,,25,9125,810,15,4430,,144.98,,144,7,210,6,,,,,, 161349,01-JUL-16,30-JUN-17,As Submitted,VIRGINIA GAY HOSPITAL ,502 N. 9TH STREET ,,VINTON ,IA ,52349- ,BENTON ,,,,,,,,,,25,9125,1333,48,1832,,116.24,,165,18,262,,,,,,, 161350,01-JAN-16,31-DEC-16,As Submitted,STEWART MEMORIAL HOSPITAL ,1200 WEST MONROE ,,LAKE CITY ,IA ,51449- ,CALHOUN ,,,,,,,,,,25,9150,1171,247,1921,,162.07,,196,73,489,,,,,,, 161351,01-JUL-16,30-JUN-17,As Submitted,AVERA HOLY FAMILY HEALTH ,826 N. 8TH STREET ,,ESTHERVILLE ,IA ,51334- ,EMMET ,,,,,,,,,,22,8030,1742,47,2494,,208.69,,354,9,566,70,,,,,, 161352,01-JUL-16,30-JUN-17,As Submitted,CLARINDA REGIONAL HEALTH CENTER ,220 ESSIE DAVISON DRIVE ,,CLARINDA ,IA ,51632-0217 ,PAGE ,,,,,,,,,,25,9125,1269,109,1723,,233.52,,313,39,451,,,,,,, 161353,01-JUL-16,30-JUN-17,As Submitted,KOSSUTH REGIONAL HEALTH CENTER ,1515 SOUTH PHILLIPS STREET ,N ,ALGONA ,IA ,50511- ,KOSSUTH ,,,,,,,,,,24,8760,2959,39,3967,,141.89,,406,3,638,,,,,,, 161354,01-JAN-16,31-DEC-16,As Submitted,HORN MEMORIAL HOSPITAL ,700 EAST 2ND STREET ,,IDA GROVE ,IA ,51445 ,IDA ,,,,,,,,,,25,9150,1722,38,2287,,137.2,,184,13,260,,,,,,, 161355,01-JUL-16,30-JUN-17,As Submitted,KNOXVILLE HOSPITAL & CLINICS ,1002 SOUTH LINCOLN ,,KNOXVILLE ,IA ,50138 ,MARION ,,,,,,,,,,25,9125,1659,79,2465,,214.81,,287,30,421,,,,,,, 161356,01-JUL-16,30-JUN-17,As Submitted,HENRY COUNTY HEALTH CENTER ,SAUNDERS PARK ,,MT. PLEASANT ,IA ,52641- ,HENRY ,,,,,,,,,,25,9125,1302,148,2238,,210.09,,232,4,470,87,,,,,, 161357,01-JUL-16,30-JUN-17,As Submitted,PALO ALTO COUNTY HOSPITAL ,3201 W. 1ST ,,EMMETSBURG ,IA ,50536- ,PALO ALTO ,,,,,,,,,,24,8760,1214,120,1715,,127.1,,126,36,229,,,,,,, 161358,01-JUL-16,30-JUN-17,As Submitted,WAYNE COUNTY HOSPITAL ,417 SOUTH EAST STREET ,305 ,CORYDON ,IA ,50060 ,WAYNE ,,,,,,,,,,25,9125,1380,26,2526,,143.18,,230,9,688,,,,,,, 161359,01-JUL-16,30-JUN-17,As Submitted,BURGESS HEALTH CENTER ,1600 DIAMOND STREET ,,ONAWA ,IA ,51040- ,MONONA ,,,,,,,,,,25,9125,1897,309,2732,,166.01,,347,51,567,,,,,,, 161360,01-JUL-16,30-JUN-17,As Submitted,ORANGE CITY MUNICIPAL HOSPITAL ,1000 LINCOLN CIRCLE SE ,,ORANGE CITY ,IA ,51041- ,SIOUX ,,,,,,,,,,25,9125,2256,118,4221,,313,,325,1,775,,,,,,, 161361,01-JUL-16,30-JUN-17,As Submitted,VAN DIEST MEDICAL CENTER ,2350 HOSPITAL DRIVE ,,WEBSTER CITY ,IA ,50595 ,HAMILTON ,,,,,,,,,,25,9125,2534,101,3800,,206.38,,478,18,766,63,,,,,, 161362,01-JAN-16,31-DEC-16,As Submitted,CHEROKEE REGIONAL MEDICAL CENTER ,300 SIOUX VALLEY DRIVE ,,CHEROKEE ,IA ,51012 ,CHEROKEE ,,,,,,,,,,25,9150,1909,177,3383,,182.1,,386,86,709,,,,,,, 161363,01-JUL-16,30-JUN-17,As Submitted,MONTGOMERY CNTY MEMORIAL HOSPITAL ,2301 EASTERN AVE. ,,RED OAK ,IA ,51566 ,MONTGOMERY ,,,,,,,,,,25,9125,3535,208,4331,,251.28,,528,67,785,,,,,,, 161364,01-JUL-16,30-JUN-17,As Submitted,JEFFERSON COUNTY HOSPITAL ,2000 SOUTH MAIN ST. ,,FAIRFIELD ,IA ,52556- ,JEFFERSON ,,,,,,,,,,25,9125,3400,13,4186,,231,,332,5,495,,,,,,, 161365,01-JUL-16,30-JUN-17,As Submitted,GREATER REGIONAL MEDICAL CENTER ,COTTONWOOD & TOWNLINE ,,CRESTON ,IA ,50801 ,UNION ,,,,,,,,,,25,9125,1679,58,3259,,317.53,,403,27,840,,,,,,, 161366,01-JAN-16,31-DEC-16,As Submitted,SHENANDOAH MEDICAL CENTER ,300 PERSHING AVE ,,SHENANDOAH ,IA ,51601 ,PAGE ,,,,,,,,,,25,9150,1401,381,2476,,248.56,,218,153,704,,,,,,, 161367,01-JAN-16,31-DEC-16,As Submitted,PELLA REGIONAL HEALTH CENTER ,404 JEFFERSON ST ,,PELLA ,IA ,50219-1299 ,MARION ,,,,,,,,,,25,9150,2760,866,6130,,494.46,,477,202,1283,,,,,,, 161368,01-JUL-16,30-JUN-17,As Submitted,FLOYD VALLEY HOSPITAL ,714 LINCOLN STREET ,10 ,LEMARS ,IA ,51031- ,PLYMOUTH ,,,,,,,,,,25,9125,1302,31,2324,,251.69,,244,16,499,,,,,,, 161369,01-JUL-16,30-JUN-17,As Submitted,CRAWFORD COUNTY MEMORIAL HOSPITAL ,2020 FIRST AVENUE SOUTH ,,DENISON ,IA ,51442- ,CRAWFORD ,,,,,,,,,,25,9125,1098,100,2268,,181,,257,25,546,,,,,,, 161370,01-JUL-16,30-JUN-17,As Submitted,LORING HOSPITAL ,HIGHLAND AVENUE ,,SAC CITY ,IA ,50583 ,SAC ,,,,,,,,,,25,9125,825,,1036,,88.61,,206,,274,10,,,,,, 161371,01-JUL-16,30-JUN-17,As Submitted,WINNESHIEK MEDICAL CENTER ,901 MONTGOMERY ,,DECORAH ,IA ,52101- ,WINNESHIEK ,,,,,,,,,,25,9125,3022,178,5076,,376.47,,411,28,842,76,,,,,, 161372,01-JUL-16,30-JUN-17,As Submitted,BOONE COUNTY HOSPITAL ,1015 UNION STREET ,,BOONE ,IA ,50036 ,BOONE ,,,,,,,,,,25,9125,2852,458,4595,,295.9,,463,114,844,,,,,,, 161373,01-JUL-16,30-JUN-17,As Submitted,RINGGOLD COUNTY HOSPITAL ,211 SHELLWAY DRIVE ,,MOUNT AYR ,IA ,50854- ,RINGGOLD ,,,,,,,,,,16,5840,960,18,1189,,93.2,,193,3,243,,,,,,, 161374,01-JUL-16,30-JUN-17,As Submitted,MYRTUE MEDICAL CENTER ,1213 GARFIELD AVENUE ,,HARLAN ,IA ,51537 ,SHELBY ,,,,,,,,,,25,9125,3275,288,4206,,244.16,,556,60,776,,,,,,, 161375,01-JUL-16,30-JUN-17,As Submitted,BUENA VISTA REGIONAL MEDICAL CENTER ,1525 WEST 5TH STREET ,,STORM LAKE ,IA ,50588 ,BUENA VISTA ,,,,,,,,,,25,9125,1326,364,3826,,298.71,,352,74,970,,,,,,203, 161376,01-JUL-16,30-JUN-17,As Submitted,CASS COUNTY MEMORIAL HOSPITAL ,1501 E 10TH ST ,,ATLANTIC ,IA ,50022 ,CASS ,,,,,,,,,,25,9125,1864,54,3208,,308.47,,340,5,497,34,,,,,185, 161377,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER-CENTERVILLE ,1 ST. JOSEPHS DRIVE ,,CENTERVILLE ,IA ,52544-9017 ,APPANOOSE ,,,,,,,,,,25,9125,1334,235,2065,,144.98,,283,58,467,,,,,,, 161378,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER - DYERSVILLE ,1111 THIRD STREET SW ,,DYERSVILLE ,IA ,52040 ,DUBUQUE ,,,,,,,,,,25,9125,782,,1027,,51,,22,,23,,,,,,, 161379,01-JUL-16,30-JUN-17,As Submitted,MAHASKA HEALTH PARTNERSHIP ,1229 C AVENUE EAST ,,OSKALOOSA ,IA ,52577 ,MAHASKA ,,,,,,,,,,25,9125,2323,181,4151,,386.15,,493,6,970,156,,,,,, 161380,01-JUL-16,30-JUN-17,As Submitted,HANSEN FAMILY HOSPITAL ,920 SOUTH OAK STREET ,,IOWA FALLS ,IA ,50126- ,HARDIN ,,,,,,,,,,21,7665,1751,110,2460,,195.68,,213,7,333,44,,,,,, 161381,01-JUL-16,30-JUN-17,As Submitted,SANFORD MEDICAL CENTER SHELDON ,118 NORTH SEVENTH AVENUE ,250 ,SHELDON ,IA ,51201- ,OBRIEN ,,,,,,,,,,25,9125,2706,149,3878,,124.32,,276,47,591,,,,,,, 162001,01-FEB-16,31-JAN-17,As Submitted,SSH - QUAD CITIES INC. ,1111 WEST KIMBERLY RD ,,DAVENPORT ,IA ,52806 ,SCOTT ,,,,,,,,,,50,18300,5159,,8032,,97.67,,204,,312,24,,,,,, 162002,01-MAY-16,15-JUN-17,As Submitted,CONTINUING CARE HOSPITAL AT ST. LUKE ,1026 A AVENUE NE - 6TH FLOOR ,,CEDAR RAPIDS ,IA ,52402-5036 ,LINN ,,,,,,,,,,24,9888,3769,,4477,,41,,126,,159,,,,,,, 162003,01-JAN-16,31-DEC-16,As Submitted,SSH - DES MOINES ,1111 6TH AVENUE 4TH FLOOR MAIN ,,DES MOINES ,IA ,50314 ,POLK ,,,,,,,,,,30,10980,5034,,6906,,65.38,,200,,270,31,,,,,, 164002,01-JUL-16,30-JUN-17,As Submitted,MENTAL HEALTH INSTITUTE ,1251 WEST CEDAR LOOP ,,CHEROKEE ,IA ,51012 ,,,,,,,,,,,36,13140,1027,2992,12575,,156.85,,27,184,417,,,,,,, 164003,01-JUL-16,30-JUN-17,As Submitted,MENTAL HEALTH INSTITUTE ,2277 IOWA AVE ,,INDEPENDENCE ,IA ,50644 ,BUCHANAN ,,,,,,,,,,60,21900,1646,5770,19133,,187.15,,29,94,153,,,,,,, 170006,01-APR-16,31-MAR-17,As Submitted,VIA CHRISTI HOSPITAL PITTSBURG INC. ,1 MT CARMEL WAY ,,PITTSBURG ,KS ,66762 ,CRAWFORD ,,,,179080,,,.0884,,,68,24820,5044,1752,10692,,432.3,,1273,387,3256,,,,,32,,210 170009,01-JAN-16,31-DEC-16,As Submitted,SAINT JOHN HOSPITAL ,3500 SOUTH FOURTH STREET ,,LEAVENWORTH ,KS ,66048 ,LEAVENWORTH ,,,,,,,,,,22,8052,2026,30,3178,,139.48,,696,18,1230,64,19,,6,,471, 170012,01-OCT-15,30-SEP-16,As Submitted,SALINA REGIONAL HEALTH CENTER ,400 S. SANTA FE ,,SALINA ,KS ,67401-5080 ,SALINE ,997274,,,269993,,,.0356,428492,161730,177,63647,18676,558,34186,12.56,1380.91,,3646,98,7172,853,210,,24,8,988,387 170013,01-JUL-16,30-JUN-17,As Submitted,HAYS MEDICAL CENTER INC. ,2220 CANTERBURY DRIVE ,,HAYS ,KS ,67601- ,ELLIS ,,,,,,,,,,132,48180,11007,520,17826,,1063.87,,2394,23,4346,401,,,,,, 170014,01-JAN-16,31-DEC-16,As Submitted,RANSOM MEMORIAL HOSPITAL ,1301 SOUTH MAIN ,,OTTAWA ,KS ,66067-3598 ,FRANKLIN ,,,,10110,51440,,.0524,,,47,17202,2318,195,4016,,297.71,,663,,1164,161,,,,,, 170016,01-JUL-16,30-JUN-17,As Submitted,ST.FRANCIS HEALTH CENTER ,1700 SOUTHWEST SEVENTH STREET ,,TOPEKA ,KS ,66606-1690 ,SHAWNEE ,66664,,,439487,,,.0635,29085,19454,219,79935,14883,1114,30736,1,1211.87,,3203,94,7578,851,,,,,,348 170017,01-JAN-16,31-DEC-16,As Submitted,SUSAN B. ALLEN MEMORIAL HOSPITAL ,720 W. CENTRAL ,,EL DORADO ,KS ,67042- ,BUTLER ,,,,56305,,,.0502,,,53,19398,3130,32,5727,,329.22,,700,9,1523,180,,,,,, 170020,01-JUL-16,30-JUN-17,As Submitted,HUTCHINSON REGIONAL MEDICAL CENTER ,1701 EAST 23RD ,,HUTCHINSON ,KS ,67502 ,RENO ,,,,,,,,,,129,47085,11393,723,19490,,765.67,,2606,38,4930,502,168,,3,,686,198 170023,01-JUL-16,30-JUN-17,As Submitted,ST. CATHERINE HOSPITAL ,410 E. WALNUT ,,GARDEN CITY ,KS ,67846-5679 ,FINNEY ,,,,209830,,,.0882,,,80,29200,6127,1033,14032,,577.56,,1383,99,3572,,,,6,,485,222 170027,01-OCT-15,30-SEP-16,As Submitted,PRATT REGIONAL MEDICAL CENTER ,200 COMMODORE ,,PRATT ,KS ,67124- ,PRATT ,,,,,,,,,,35,12810,2702,183,4883,,269.6,,729,15,1409,114,,,,,, 170039,01-JAN-16,31-DEC-16,As Submitted,SUMNER REGIONAL MEDICAL CENTER ,1323 NORTH A STREET ,,WELLINGTON ,KS ,67152 ,SUMNER ,,,,6388,,,.0461,,,42,15372,296,124,745,,96.87,,129,46,282,,,,,,204, 170040,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY OF KANSAS HOSPITAL ,4000 CAMBRIDGE STREET ,,KANSAS CITY ,KS ,66103 ,WYANDOTTE ,16136466,,,4237675,,,.1471,4717798,3460698,713,254315,59303,3487,204306,357.12,6897,,10383,2059,37287,6304,149,,66,56,677,671 170049,01-JAN-16,31-DEC-16,As Submitted,OLATHE MEDICAL CENTER ,20333 WEST 151ST STREET ,,OLATHE ,KS ,66061 ,JOHNSON ,,,,,,,,,,247,84358,17598,476,37764,,1212.7,,4075,85,10809,867,,,,,, 170058,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL - FORT SCOTT ,401 WOODLAND HILLS BOULEVARD ,,FORT SCOTT ,KS ,66701-8797 ,BOURBON ,,,,,,,,,,43,15695,1974,266,3763,,188.03,,426,26,1016,208,,,,,, 170068,01-JAN-16,31-DEC-16,As Submitted,SOUTHWEST MEDICAL CENTER ,15TH AT PERSHING ,1340 ,LIBERAL ,KS ,67905- ,SEWARD ,,,,114128,,,.1047,,,68,24888,2640,451,7491,,356.67,,619,195,2161,565,,,,,, 170074,01-MAY-16,30-APR-17,As Submitted,GEARY COMMUNITY HOSPITAL ,1102 ST. MARYS ROAD ,,JUNCTION CITY ,KS ,66441 ,GEARY ,,,,61571,,,.101,,,49,17885,1802,15,3692,,261.33,,393,8,1049,191,,,,,, 170075,01-OCT-15,30-SEP-16,As Submitted,MERCY HOSPITAL INC. ,218 E. PACK ,180 ,MOUNDRIDGE ,KS ,67107 ,MCPHERSON ,,,,,,,,,,21,7686,1245,18,1600,,36.41,,165,7,235,,,,,,, 170086,01-OCT-15,30-SEP-16,As Submitted,STORMONT-VAIL REGIONAL HEALTH CENTER ,1500 SW 10TH AVE ,,TOPEKA ,KS ,66604-1353 ,SHAWNEE ,95630,,,2533313,,,.1386,24864,10711,391,143106,41616,1855,99875,.95,3885.4,,8725,309,23406,4421,,,,,434, 170094,01-JAN-16,31-DEC-16,As Submitted,COFFEY COUNTY HOSPITAL ,801 NORTH FOURTH ,,BURLINGTON ,KS ,66839- ,COFFEY ,,,,,,,,,,36,13176,1335,55,1956,,168.5,,218,,447,44,,,,,, 170103,01-JUL-16,30-JUN-17,As Submitted,NEWTON MEDICAL CENTER ,600 MEDICAL CENTER DRIVE ,,NEWTON ,KS ,67114- ,HARVEY ,,,,,,,,,,74,27010,4756,408,9157,,542.43,,1090,11,2327,293,5,,,,197,162 170104,01-JAN-16,31-DEC-16,As Submitted,SHAWNEE MISSION MEDICAL CENTER ,9100 WEST 74TH STREET ,,SHAWNEE MISSION ,KS ,66204-4004 ,JOHNSON ,75556,,,538710,,,.0474,19743,9704,339,124099,23211,399,84843,.95,2459.51,,5508,92,19395,,,,46,,2454, 170105,01-JUL-16,30-JUN-17,As Submitted,MCPHERSON HOSPITAL INC. ,1000 HOSPITAL DRIVE ,,MCPHERSON ,KS ,67460- ,MCPHERSON ,,,,,,,,,,34,12410,1715,59,3470,,267.81,,375,,849,88,,,,,, 170109,01-JAN-16,31-DEC-16,As Submitted,MIAMI COUNTY MEDICAL CENTER ,2100 BAPTISTE DRIVE ,,PAOLA ,KS ,66071- ,MIAMI ,,,,,,,,,,18,6570,592,5,1147,,132.4,,255,1,504,27,,,,,, 170110,01-FEB-16,31-DEC-16,As Submitted,BOB WILSON MEMORIAL GRANT COUNTY HOS ,415 NORTH MAIN STREET ,,ULYSSES ,KS ,67880-2196 ,GRANT ,,,,,,,,,,22,7370,1172,17,1782,,74.19,,104,3,253,20,,,,,, 170120,01-JAN-16,31-DEC-16,As Submitted,LABETTE COUNTY MEDICAL CENTER ,1902 S. U.S. HIGHWAY 59 ,,PARSONS ,KS ,67357 ,LABETTE ,,,,190789,,,.105,,,45,16367,3000,295,6218,,377.4,,968,7,2056,,,,,3,,161 170122,01-OCT-15,30-SEP-16,Amended,VIA CHRISTI HOSPITAL WICHITA ,929 N. ST. FRANCIS ,,WICHITA ,KS ,67214 ,SEDGWICK ,9293405,,,3118557,,,.1186,5863784,1361317,631,230946,58049,2425,147188,127.54,2925.7,,11713,5402,30534,,,,19,,301, 170123,01-JAN-16,31-DEC-16,Amended,WESLEY MEDICAL CENTER ,550 NORTH HILLSIDE STREET ,,WICHITA ,KS ,67214 ,SEDGWICK ,7184122,,,3115949,,,.1608,3787697,829537,551,210178,43305,2733,139660,111.08,2302.34,,8353,897,29469,7705,,,,,, 170133,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES CUSHING HOSPITAL ,901 E 104TH STREET ,,KANSAS CITY ,KS ,64131 ,HOWELL ,,,,73411,,,.12,,,23,8418,1275,39,2915,,188.46,,396,14,972,108,,,,,, 170137,01-JAN-16,31-DEC-16,As Submitted,LAWRENCE MEMORIAL HOSPITAL ,325 MAINE STREET ,,LAWRENCE ,KS ,66044- ,DOUGLAS ,,,,173940,,,.0385,,,113,41853,8125,2715,19888,,1045.35,,2651,693,6238,,,,,6,,216 170142,01-APR-16,31-MAR-17,As Submitted,MERCY REGIONAL HEALTH CENTER ,1105 SUNSET AVENUE ,,MANHATTAN ,KS ,66502 ,RILEY ,,,,216184,,,.0559,,,86,31390,6795,1470,15189,,487.9,,1913,335,4077,,,,,12,,185 170145,01-JAN-16,31-DEC-16,As Submitted,COFFEYVILLE REG MEDICAL CENTER INC. ,1400 WEST 4TH STREET ,856 ,COFFEYVILLE ,KS ,67337- ,MONTGOMERY ,,,,118689,72126,,.12,,,47,17202,3246,457,5686,,312.31,,906,39,1794,354,,,,,, 170146,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE MEDICAL CENTER ,8929 PARALLEL PARKWAY ,,KANSAS CITY ,KS ,66112 ,WYANDOTTE ,,,,560456,,,.0713,,,171,62586,14860,1236,36000,,766.52,,3666,361,9806,1332,,,,,, 170150,01-JAN-16,31-DEC-16,Amended,SOUTH CENTRAL KS REGIONAL MEDICAL CT ,216 WEST BIRCH ,,ARKANSAS CITY ,KS ,67005- ,COWLEY ,,,,50862,,,.0814,,,37,13542,2092,173,3133,,158.91,,475,5,848,44,,,,,, 170166,01-JAN-16,31-DEC-16,As Submitted,MORTON COUNTY HEALTH SYSTEM ,445 HILLTOP ,937 ,ELKHART ,KS ,67950-0937 ,MORTON ,,,,,,,,,,26,9516,824,,961,,62.64,,158,,209,7,,,,,, 170175,01-MAR-16,28-FEB-17,As Submitted,WESTERN PLAINS MEDICAL COMPLEX ,3001 AVENUE A ,1478 ,DODGE CITY ,KS ,67801- ,FORD ,,,,144167,,,.12,,,60,21900,2408,847,6052,,222.63,,678,164,1987,,,,,,, 170176,01-JUN-16,31-MAY-17,As Submitted,OVERLAND PARK REGIONAL MEDICAL CTR ,10500 QUIVIRA ROAD ,,OVERLAND PARK ,KS ,66215 ,,,,,659035,,,.126,,,262,96182,11722,388,58649,,998.73,,2798,67,11526,2496,,,,,, 170182,01-JUN-16,31-MAY-17,As Submitted,MENORAH MEDICAL CENTER ,5721 WEST 119TH STREET ,,OVERLAND PARK ,KS ,66209-3722 ,JOHNSON ,,,,,,,,,,142,51830,12192,375,29066,,658.96,,2992,70,7805,215,,,,,,324 170183,01-JUL-16,30-JUN-17,As Submitted,KANSAS SURGERY & RECOVERY CENTER ,2770 N WEBB ROAD ,,WICHITA ,KS ,67226- ,SEDGWICK ,,,,,,,,,,24,8760,2078,,4088,,132.47,,897,,1951,29,,,,,, 170185,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES SOUTH ,12300 METCALF AVE. ,,OVERLAND PARK ,KS ,66213 ,JOHNSON ,,,,,,,,,,89,32574,7883,373,17658,,494.73,,2169,90,5218,107,,,,2,,283 170186,01-JAN-16,31-DEC-16,As Submitted,KANSAS HEART HOSPITAL ,3601 NORTH WEBB ROAD ,,WICHITA ,KS ,67226- ,SEDGWICK ,,,,,,,,,,46,16836,5409,,7703,,169.68,,1249,,1747,34,,,,,, 170187,01-JAN-16,31-DEC-16,As Submitted,SALINA SURGICAL HOSPITAL ,401 SOUTH SANTA FE ,,SALINA ,KS ,67401-2697 ,SALINE ,,,,,,,,,,15,5490,1279,,1967,,94.65,,490,,823,9,,,,,, 170188,01-JAN-16,31-DEC-16,As Submitted,KANSAS CITY ORTHOPAEDIC INSTITUTE ,3651 COLLEGE BOULEVARD ,,LEAWOOD ,KS ,66211 ,JOHNSON ,,,,,,,,,,9,3294,791,,1653,,114.53,,380,,828,,,,,,, 170190,01-JAN-16,31-DEC-16,As Submitted,MANHATTAN SURGICAL HOSPITAL ,1829 COLLEGE ,,MANHATTAN ,KS ,66502 ,RILEY ,,,,,,,,,,13,4758,370,,906,,82.56,,194,,576,3,,,,,, 170191,01-JAN-16,31-DEC-16,As Submitted,GREAT BEND REGIONAL HOSPITAL ,514 CLEVELAND ,,GREAT BEND ,KS ,67530 ,BARTON ,,,,117739,,,.0982,,,33,12078,2856,505,5907,,215.51,,641,19,1412,214,,,,,, 170194,01-JAN-16,31-DEC-16,As Submitted,DOCTORS HOSPITAL ,4901 COLLEGE ,,LEAWOOD ,KS ,66211 ,JOHNSON ,,,,47339,,,.12,,,9,3294,137,47,248,,36.6,,105,32,175,,,,,,, 170196,01-JAN-16,31-DEC-16,As Submitted,KANSAS SPINE & SPECIALTY HOSPITAL ,3333 N WEBB ROAD ,,WICHITA ,KS ,67226- ,SEGWICK ,,,,,,,,,,36,13176,2045,,4758,,196.23,,863,,2177,118,,,,,, 170197,01-JAN-16,31-DEC-16,As Submitted,KANSAS MEDICAL CENTER ,1124 W 21ST STREET ,,ANDOVER ,KS ,67002 ,BUTLER ,,,,,,,,,,56,20555,6161,,9908,,230,,1585,,2472,50,,,,,, 170198,01-JAN-16,31-DEC-16,As Submitted,SUMMIT SURGICAL LLC ,1818 E. 23RD AVENUE ,,HUTCHINSON ,KS ,67502-1106 ,RENO ,,,,,,,,,,10,3660,277,,499,,50.28,,135,,281,,,,,,, 170199,01-JAN-16,31-DEC-16,Amended,MINIMALLY INVASIVE SURGERY HOSPITAL ,11217 LAKEVIEW AVENUE ,,LENEXA ,KS ,66209 ,USA ,,,,,,,,,,9,3294,64,80,148,,42.78,,58,,58,,,,,,, 170201,01-JAN-16,31-DEC-16,As Submitted,BLUE VALLEY HOSPITAL INC ,12850 METCALF AVE ,,OVERLAND PARK ,KS ,66213 ,JOHNSON ,,,,,,,,,,4,1464,134,316,501,,127.79,,496,899,1580,,,,,,, 170203,01-JAN-16,31-DEC-16,As Submitted,PREMIER SURGICAL INSTITUTE ,1619 K 66 ,127 ,GALENA ,KS ,66739 ,CHEROKEE ,,,,,,,,,,36,13176,1866,8,2892,,98.53,,734,5,1240,,,,,,, 171300,01-JAN-16,31-DEC-16,As Submitted,GRISELL MEMORIAL HOSPITAL DIST #1 ,210 S VERMONT ,,RANSOM ,KS ,67572- ,NESS ,,,,,,,,,,12,4392,260,,283,,45.39,,12,,15,,,,,,, 171301,01-OCT-15,30-SEP-16,As Submitted,GREAT PLAINS OF ELLINWOOD INC. ,605 NORTH MAIN ,,ELLINWOOD ,KS ,67526- ,BARTON ,,,,,,,,,,23,8418,944,,2305,,54.95,,81,,113,6,,,,,, 171302,01-OCT-15,30-SEP-16,Settled,CAH ACQUISITION COMPANY #2 LLC ,800 BARKER DRIVE ,,OSWEGO ,KS ,67356 ,LABETTE ,,,,,,,,,,12,4392,1012,,1111,,35.25,,21,,39,,,,,,, 171303,01-JAN-16,31-DEC-16,As Submitted,LANE COUNTY HOSPITAL ,235 W VINE ,,DIGHTON ,KS ,67839- ,LANE ,,,,,,,,,,25,7934,294,,5281,,43.56,,34,,39,,,,,,, 171304,01-JAN-16,31-DEC-16,As Submitted,ASHLAND HEALTH CENTER ,709 OAK STREET ,188 ,ASHLAND ,KS ,67831 ,CLARK ,,,,,,,,,,25,9150,755,,6492,,56.43,,43,,52,3,,,,,, 171306,01-JAN-16,31-DEC-16,Amended,WICHITA COUNTY HEALTH CENTER ,211 E EARL ,,LEOTI ,KS ,67861- ,WICHITA ,,,,,,,,,,25,9150,623,1064,5633,,57.7,,45,2,60,,,,,,, 171307,01-JUL-16,30-JUN-17,As Submitted,RAWLINS COUNTY HEALTH CENTER ,707 GRANT ,,ATWOOD ,KS ,67730 ,RAWLINS ,,,,,,,,,,15,5232,908,,997,,52.23,,72,,104,4,,,,,, 171308,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL COLUMBUS ,220 NORTH PENNSYLVANIA ,,COLUMBUS ,KS ,66725 ,CHEROKEE ,,,,,,,,,,10,3650,352,54,456,,58,,25,,30,,,,,,, 171309,01-JAN-16,31-DEC-16,As Submitted,JEWELL COUNTY HOSPITAL ,100 CRESTVUE ,,MANKATO ,KS ,66956 ,JEWELL ,,,,,,,,,,24,8784,477,,6753,,61.01,,40,,45,,,,,,, 171310,01-JAN-16,31-DEC-16,Settled,GREAT PLAINS OF CHEYENNE COUNTY INC ,210 W. FIRST STREET ,,ST. FRANCIS ,KS ,67756- ,CHEYENNE ,,,,,,,,,,16,5856,894,,1133,,67.54,,116,,191,11,,,,,, 171311,01-JAN-16,31-DEC-16,As Submitted,ROOKS COUNTY HEALTH CENTER ,1210 N. WASHINGTON ,,PLAINVILLE ,KS ,67663 ,ROOKS ,,,,,,,,,,16,5856,1983,20,2550,,124.2,,199,,345,43,,,,,, 171312,01-JAN-16,31-DEC-16,As Submitted,COMANCHE COUNTY HOSPITAL ,HC 65 ,8A ,COLDWATER ,KS ,67029 ,COMANCHE ,,,,,,,,,,12,4392,592,,762,,46.32,,46,,59,4,,,,,, 171313,01-JUL-16,30-JUN-17,As Submitted,KEARNY COUNTY HOSPITAL ,500 THORPE STREET ,,LAKIN ,KS ,67860 ,KEARNY ,,,,,,,,,,25,9125,1225,80,2701,,151.23,,97,6,488,101,,,,,, 171314,01-JAN-16,31-DEC-16,As Submitted,FW HUSTON MEMORIAL HOSPITAL ,408 DELAWARE ,,WINCHESTER ,KS ,66097 ,JEFFERSON ,,,,,,,,,,25,9150,603,,674,,55.4,,7,,7,,,,,,, 171315,01-JUL-16,30-JUN-17,As Submitted,NEMAHA VALLEY COMMUNITY HOSPITAL ,1600 COMMUNITY DRIVE ,,SENECA ,KS ,66538- ,NEMAHA ,,,,,,,,,,24,8760,1494,,1817,,92.54,,182,,274,11,,,,,, 171316,01-JAN-16,31-DEC-16,As Submitted,ANDERSON COUNTY HOSPITAL ,421 SOUTH MAPLE ,309 ,GARNETT ,KS ,66032- ,ANDERSON ,,,,,,,,,,12,4392,1545,,1701,,149.25,,83,,98,,,,,,, 171317,01-JAN-16,31-DEC-16,As Submitted,EDWARDS COUNTY HOSPITAL ,620 W 6TH ,99 ,KINSLEY ,KS ,67547- ,EDWARDS ,,,,,,,,,,12,4392,1091,,1392,,58.83,,51,,58,,,,,,204, 171318,01-OCT-15,30-SEP-16,As Submitted,SEDAN CITY HOSPITAL ,300 W NORTH STREET ,C ,SEDAN ,KS ,67361 ,CHAUTAUQUA ,,,,,,,,,,16,5856,1021,,1140,,41.99,,137,,157,6,,,,,, 171319,01-APR-16,31-MAR-17,As Submitted,HOLTON COMMUNITY HOSPITAL ,1110 COLUMBINE DRIVE ,,HOLTON ,KS ,66436 ,JACKSON ,,,,,,,,,,12,4380,1002,71,1524,,104.23,,106,21,199,,,,,,, 171320,01-OCT-15,30-SEP-16,Settled,CAH ACQUISITION COMPANY #3 LLC ,240 WEST 18 TH STREET ,,HORTON ,KS ,66439 ,BROWN ,,,,,,,,,,15,5490,880,2,995,,40.96,,98,1,147,,,,,,, 171321,01-JAN-16,31-DEC-16,As Submitted,MEADE DISTRICT HOSPITAL ,510 E. CARTHAGE ,,MEADE ,KS ,67864-0820 ,MEADE ,,,,,,,,,,20,7320,762,,965,,93.99,,137,,210,3,,,,,, 171322,01-JAN-16,31-DEC-16,As Submitted,HAMILTON COUNTY HOSPITAL ,700 N HUSER ST ,948 ,SYRACUSE ,KS ,67878- ,HAMILTON ,,,,,,,,,,25,9150,323,14,412,,41.26,,31,2,48,,,,,,, 171323,01-JAN-16,31-DEC-16,As Submitted,STAFFORD COUNTY HOSPITAL ,502 SOUTH BUCKEYE ,,STAFFORD ,KS ,67578 ,STAFFORD ,,,,,,,,,,25,9150,484,,952,,38.4,,19,,24,2,,,,,, 171324,01-JAN-16,31-DEC-16,As Submitted,SATANTA DISTRICT HOSPITAL ,401 CHEYENNE ,159 ,SATANTA ,KS ,67870- ,HASKELL ,,,,,,,,,,13,4758,713,,998,,82.26,,46,,75,2,,,,,, 171325,01-JAN-16,31-DEC-16,As Submitted,GRAHAM COUNTY HOSPITAL ,304 PROUT ,339 ,HILL CITY ,KS ,67642 ,GRAHAM ,,,,,,,,,,20,7320,1012,8,1214,,55.76,,151,,199,13,,,,,, 171326,01-JAN-16,31-DEC-16,As Submitted,LOGAN COUNTY HOSPITAL ,211 CHERRY ,,OAKLEY ,KS ,67748 ,,,,,,,,,,,25,9150,1606,21,1928,,83.26,,142,2,161,,,,,,, 171327,01-JUL-16,30-JUN-17,As Submitted,ELLSWORTH COUNTY MEDICAL CENTER ,1604 AYLWARD ,87 ,ELLSWORTH ,KS ,67439-0087 ,ELLSWORTH ,,,,,,,,,,19,6935,1884,,2232,,130.73,,325,,396,3,,,,,, 171328,01-OCT-15,30-SEP-16,Settled,GREAT PLAINS OF OTTAWA COUNTY INC ,215 EAST EIGHTH ,290 ,MINNEAPOLIS ,KS ,67467- ,OTTAWA ,,,,,,,,,,25,9150,1335,,1988,,58.59,,109,,114,,,,,,, 171329,01-JAN-16,31-DEC-16,As Submitted,SUMNER COUNTY HOSPITAL DISTRICT #1 ,601 S. OSAGE ,,CALDWELL ,KS ,67022 ,SUMNER ,,,,,,,,,,25,9150,717,2,2869,,38.28,,72,1,85,,,,,,, 171330,01-MAY-16,30-APR-17,As Submitted,HOSPITAL DIST NO 1 OF RICE COUNTY ,619 S CLARK ,,LYONS ,KS ,67554 ,RICE ,,,,,,,,,,25,9125,824,57,4833,,108.21,,126,,262,37,,,,,, 171331,01-JAN-16,31-DEC-16,As Submitted,KIOWA DISTRICT HOSPITAL ,1002 S. 4TH STREET ,184 ,KIOWA ,KS ,67070-0184 ,BARBER ,,,,,,,,,,10,3660,422,,518,,51.27,,58,,68,,,,,,, 171332,01-JAN-16,31-DEC-16,As Submitted,GREAT PLAINS OF KIOWA COUNTY INC. ,721 W. KANSAS ,,GREENSBURG ,KS ,67054- ,KIOWA ,,,,,,,,,,15,5490,406,,1791,,64.7,,44,,75,6,,,,,, 171333,01-JAN-16,31-DEC-16,As Submitted,CLARA BARTON HOSPITAL ASSOCIATION ,250 WEST NINTH ,,HOISINGTON ,KS ,67544 ,BARTON ,,,,,,,,,,18,6588,2655,,3129,,139.78,,270,,378,18,,,,,, 171334,01-JAN-16,31-DEC-16,As Submitted,MEDICINE LODGE MEMORIAL HOSPITAL ,710 N WALNUT ,DRAWER D ,MEDICINE LODGE ,KS ,67104 ,BARBER ,,,,,,,,,,22,8198,912,,4897,,102.76,,95,,127,,,,,,, 171335,01-JAN-16,31-DEC-16,As Submitted,STEVENS COUNTY HOSPITAL ,1006 S JACKSON ,,HUGOTON ,KS ,67951 ,STEVENS ,,,,,,,,,,17,6222,912,,1117,,81.23,,114,,240,,,,,,, 171336,01-JAN-16,31-DEC-16,As Submitted,NESS COUNTY HOSPITAL DISTRICT #2 ,312 CUSTER ,,NESS CITY ,KS ,67560- ,NESS ,,,,,,,,,,20,7320,498,1,611,,61.36,,71,,101,4,,,,,, 171337,01-OCT-15,30-SEP-16,As Submitted,WAMEGO HOSPITAL ASSOCIATION ,711 GENN DRIVE ,,WAMEGO ,KS ,66547 ,POTTAWATOMIE ,,,,,,,,,,23,8418,1325,,1597,,68.38,,70,2,101,,,,,,, 171338,01-JAN-16,31-DEC-16,As Submitted,GREAT PLAINS OF SABETHA INC. ,14TH & OREGON ,229 ,SABETHA ,KS ,66534- ,NEMAHA ,,,,,,,,,,17,6222,1825,,2093,,92.27,,133,,219,14,,,,,, 171339,01-OCT-15,30-SEP-16,Settled,GREENWOOD COUNTY HOSPITAL ,100 WEST 16TH ,,EUREKA ,KS ,67045- ,GREENWOOD ,,,,,,,,,,25,9150,2193,,2381,,95.2,,264,,316,9,,,,,, 171340,01-JUL-16,30-JUN-17,As Submitted,HERINGTON MUNICIPAL HOSPITAL ,100 EAST HELEN ,,HERINGTON ,KS ,67449 ,DICKINSON ,,,,,,,,,,25,9125,1443,,1682,,64.68,,170,,205,6,,,,,, 171341,01-JAN-16,31-DEC-16,As Submitted,HIAWATHA COMMUNITY HOSPITAL ,300 UTAH ,,HIAWATHA ,KS ,66434- ,BROWN ,,,,,,,,,,25,9150,2753,21,3696,,175.78,,401,5,691,62,,,,,, 171342,01-JAN-16,31-DEC-16,As Submitted,RUSH COUNTY MEMORIAL HOSPITAL ,801 LOCUST ,,LACROSSE ,KS ,67548- ,RUSH ,,,,,,,,,,16,5856,557,,583,,45.92,,57,,61,1,,,,,, 171343,01-JAN-16,31-DEC-16,As Submitted,STANTON COUNTY HOSPITAL ,404 NORTH CHESTNUT STREET ,779 ,JOHNSON ,KS ,67855- ,STANTON ,,,,,,,,,,16,5856,745,4,853,,56.87,,48,12,99,,,,,,, 171344,01-JAN-16,31-DEC-16,As Submitted,WILSON MEDICAL CENTER ,2600 OTTAWA ROAD ,360 ,NEODESHA ,KS ,66757- ,WILSON ,,,,,,,,,,15,5490,1645,36,1925,,105.16,,133,14,180,,,,,,, 171345,01-JUL-16,30-JUN-17,As Submitted,PAWNEE VALLEY COMMUNITY HOSPITAL ,923 CARROLL ,,LARNED ,KS ,67550- ,PAWNEE ,,,,,,,,,,18,6570,1476,,1635,,97.39,,94,,127,5,,,,,, 171346,01-JAN-16,31-DEC-16,As Submitted,ANTHONY MEDICAL CENTER ,1101 EAST SPRING STREET ,,ANTHONY ,KS ,67003- ,HARPER ,,,,,,,,,,25,9150,749,14,2594,,69.92,,92,8,134,,,,,,, 171347,01-JAN-16,31-DEC-16,As Submitted,SHERIDAN COUNTY HEALTH COMPLEX ,826 18TH STREET ,,HOXIE ,KS ,67740-0167 ,SHERIDAN ,,,,,,,,,,18,6588,1503,,2044,,78.7,,111,,145,6,,,,,, 171348,01-JUL-16,30-JUN-17,As Submitted,NORTON COUNTY HOSPITAL ,102 E. HOLME ,250 ,NORTON ,KS ,67654-0250 ,NORTON ,,,,,,,,,,25,9125,1321,54,3085,,100.8,,167,,238,19,,,,,, 171349,01-OCT-15,30-SEP-16,As Submitted,CLOUD COUNTY HEALTH CENTER ,1100 HIGHLAND DRIVE ,,CONCORDIA ,KS ,66901- ,CLOUD ,,,,,,,,,,22,8052,1769,,1972,,119.88,,244,,367,,,,,,, 171351,01-JAN-16,31-DEC-16,As Submitted,WASHINGTON COUNTY HOSPITAL ,304 E. 3RD STREET ,,WASHINGTON ,KS ,66968 ,WASHINGTON ,,,,,,,,,,25,9150,715,4,1803,,38.8,,83,,143,3,,,,,, 171352,01-JAN-16,31-DEC-16,As Submitted,DECATUR COUNTY HOSPITAL ,810 WEST COLUMBIA ,,OBERLIN ,KS ,67749 ,DECATUR ,,,,,,,,,,21,7686,1093,,1310,,56.51,,73,,91,1,,,,,, 171353,01-APR-16,31-MAR-17,As Submitted,PHILLIPS COUNTY HOSPITAL ,1150 STATE ST ,607 ,PHILLIPSBURG ,KS ,67661- ,PHILLIPS ,,,,,,,,,,25,9125,2158,,2430,,99.59,,110,,133,4,,,,,, 171354,01-APR-16,31-MAR-17,As Submitted,COMMUNITY HEALTHCARE SYSTEM ,120 WEST EIGHTH STREET ,,ONAGA ,KS ,66521- ,POTTAWATOMIE ,,,,,,,,,,25,9125,2421,,3203,,383.27,,304,,497,35,,,,,, 171355,01-JAN-16,31-DEC-16,As Submitted,TREGO COUNTY LEMKE MEMORIAL HOSPITAL ,320 13TH STREET ,,WAKEENEY ,KS ,67672- ,TREGO ,,,,,,,,,,25,9150,4313,,4582,,131.78,,337,,385,6,,,,,, 171356,01-OCT-15,30-SEP-16,Settled,ST. LUKE HOSPITAL ,535 SOUTH FREEBORN ,,MARION ,KS ,66861- ,MARION ,,,,,,,,,,10,3660,817,2,954,,60.94,,64,1,86,4,,,,,, 171357,01-OCT-15,30-SEP-16,Settled,CAH ACQUISITION COMPANY # 5 LLC ,701 SOUTH MAIN STREET ,,HILLSBORO ,KS ,67063 ,MARION ,,,,,,,,,,15,5490,792,,874,,32.26,,125,,163,,,,,,, 171358,01-OCT-15,30-SEP-16,As Submitted,LINDSBORG COMMUNITY HOSPITAL ,605 WEST LINCOLN ,,LINDSBORG ,KS ,64756- ,MCPHERSON ,,,,,,,,,,23,8418,1387,,1604,,81.95,,133,,166,,,,,,, 171359,01-JAN-16,31-DEC-16,As Submitted,GREELEY COUNTY HEALTH SERVICES ,506 THIRD STREET ,338 ,TRIBUNE ,KS ,67879- ,GREELEY ,,,,,,,,,,18,6588,1444,,1683,,67.08,,125,,150,8,,,,,, 171360,01-APR-16,31-MAR-17,As Submitted,LINCOLN COUNTY HOSPITAL ,624 NORTH SECOND ,467 ,LINCOLN ,KS ,67455- ,LINCOLN ,,,,,,,,,,10,3650,1555,,1627,,53.74,,80,,102,7,,,,,, 171361,01-OCT-15,30-SEP-16,Settled,GREAT PLAINS OF REPUBLIC CO. INC ,2420 G STREET ,,BELLEVILLE ,KS ,66935- ,REPUBLIC ,,,,,,,,,,25,9150,2400,37,3085,,121,,331,,508,62,,,,,, 171362,01-JAN-16,31-DEC-16,Amended,CITIZENS MEDICAL CENTER ,100 E. COLLEGE DRIVE ,,COLBY ,KS ,67701 ,THOMAS ,,,,,,,,,,20,7320,2155,103,3420,,195.12,,250,,570,61,,,,,, 171363,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY MEMORIAL HEALTHCARE INC. ,708 NORTH 18TH STREET ,,MARYSVILLE ,KS ,66508- ,MARSHALL ,,,,,,,,,,23,8418,3151,3,3709,,130.04,,396,1,501,29,,,,,, 171364,01-JAN-16,31-DEC-16,As Submitted,OSBORNE COUNTY MEMORIAL HOSPITAL ,424 W. NEW HAMPSHIRE ,70 ,OSBORNE ,KS ,67474- ,OSBORNE ,,,,,,,,,,24,8784,1101,,1709,,53.04,,142,,180,11,,,,,, 171365,01-JAN-16,31-DEC-16,As Submitted,HANOVER HOSPITAL ,205 S. HANOVER ,38 ,HANOVER ,KS ,66945 ,WASHINGTON ,,,,,,,,,,25,9150,1188,3516,6917,,52.1,,97,,131,1,,,,,, 171366,01-JAN-16,31-DEC-16,As Submitted,HARPER DISTRICT HOSPITAL ,700 W. 13 STREET ,,HARPER ,KS ,67058- ,HARPER ,,,,,,,,,,25,9150,810,,3849,,75.54,,130,,163,4,,,,,, 171367,01-JAN-16,31-DEC-16,Settled,GOVE COUNTY MEDICAL CENTER ,520 WEST 5TH ,,QUINTER ,KS ,67752-0129 ,GOVE ,,,,,,,,,,21,7686,1858,34,2551,,118.45,,229,,469,35,,,,,, 171368,01-JAN-16,31-DEC-16,As Submitted,MINNEOLA DISTRICT HOSPITAL ,212 MAIN ST ,127 ,MINNEOLA ,KS ,67865 ,FORD ,,,,,,,,,,18,6588,1301,,1430,,75.75,,173,,212,8,,,,,, 171369,01-JAN-16,31-DEC-16,As Submitted,HODGEMAN COUNTY HEALTH CENTER ,809 WEST BRAMLEY ,310 ,JETMORE ,KS ,67854-0310 ,HODGEMAN ,,,,,,,,,,13,4758,1923,,2068,,52.75,,128,,154,,,,,,, 171370,01-JAN-16,31-DEC-16,As Submitted,GOODLAND REGIONAL MEDICAL CENTER ,220 WEST 2ND STREET ,,GOODLAND ,KS ,67735- ,SHERMAN ,,,,,,,,,,21,7709,1427,61,1908,,108.52,,219,,363,55,,,,,, 171371,01-JAN-16,31-DEC-16,As Submitted,CLAY COUNTY MEDICAL CENTER ,617 LIBERTY ,512 ,CLAY CENTER ,KS ,67432- ,CLAY ,,,,,,,,,,19,6954,2983,,3776,,140.19,,297,,477,45,,,,,, 171372,01-JUL-16,30-JUN-17,As Submitted,SCOTT COUNTY HOSPITAL INC. ,201 E. ALBERT ,,SCOTT CITY ,KS ,67871 ,SCOTT ,,,,,,,,,,25,9125,2489,28,2989,,152.63,,219,,361,21,,,,,, 171373,01-JAN-16,31-DEC-16,As Submitted,ALLEN COUNTY HOSPITAL ,3066 N. KENTUCKY STREET ,,IOLA ,KS ,66749- ,ALLEN ,,,,,,,,,,25,9150,2640,94,3373,,119.94,,331,2,529,67,,,,,, 171374,01-JAN-16,31-DEC-16,As Submitted,FREDONIA REGIONAL HOSPITAL ,1527 MADISON ,579 ,FREDONIA ,KS ,66736- ,WILSON ,,,,,,,,,,25,9150,1744,,1943,,122.81,,209,,268,1,,,,,225, 171375,01-APR-16,31-MAR-17,As Submitted,MITCHELL CO HOSP HEALTH SYSTEMS ,400 W. 8TH ,,BELOIT ,KS ,67620- ,MITCHELL ,,,,,,,,,,17,6205,5302,34,6356,,205.34,,579,36,831,,,,,,211, 171376,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL DISTRICT #1 CRAWFORD COUNTY ,302 NORTH HOSPITAL DRIVE ,,GIRARD ,KS ,66743-2000 ,CRAWFORD ,,,,,,,,,,23,8366,1113,65,1408,,122.91,,224,19,307,,,,5,,202, 171377,01-APR-16,31-MAR-17,As Submitted,GREAT PLAINS OF SMITH CO. INC ,614 SOUTH MAIN STREET ,349 ,SMITH CENTER ,KS ,66967- ,SMITH ,,,,,,,,,,16,5840,1728,28,2221,,95.34,,268,,407,29,,,,,, 171378,01-MAY-16,30-APR-17,As Submitted,NINNESCAH VALLEY HEALTH SYSTEMS ,750 AVENUE D WEST ,376 ,KINGMAN ,KS ,67068 ,KINGMAN ,,,,,,,,,,25,9125,2249,,2519,,101,,251,,319,6,,,,,, 171379,01-JAN-16,31-DEC-16,As Submitted,MORRIS COUNTY HOSPITAL ,600 NORTH WASHINGTON ,,COUNCIL GROVE ,KS ,66846- ,MORRIS ,,,,,,,,,,25,9150,1152,10,1481,,78.6,,150,,206,8,,,,,, 171380,01-JAN-16,31-DEC-16,As Submitted,NEOSHO MEMORIAL REGIONAL MED CTR ,629 SOUTH PLUMMER ,,CHANUTE ,KS ,66720- ,NEOSHO ,,,,,,,,,,22,8052,4665,,7707,,336.89,,774,,1490,298,,,,,, 171381,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL - ABILENE ,511 NORTHEAST TENTH STREET ,,ABILENE ,KS ,67410-2100 ,DICKINSON ,,,,,,,,,,20,7320,2618,,3123,,150.52,,261,,383,53,,,,,121, 171382,01-OCT-15,30-SEP-16,As Submitted,ATCHISON HOSPITAL ASSOCIATION ,800 RAVEN HILL DRIVE ,,ATCHISON ,KS ,66002-1297 ,ATCHISON ,,,,,,,,,,25,9150,2666,43,4166,,175.96,,486,3,1178,179,,,,,, 171383,01-JAN-16,31-DEC-16,As Submitted,WILLIAM NEWTON MEMORIAL HOSPITAL ,1300 EAST FIFTH ,,WINFIELD ,KS ,67156 ,COWLEY ,,,,,,,,,,21,7829,2413,178,4015,,224.42,,490,,1024,159,,,,,, 171384,01-JAN-16,31-DEC-16,As Submitted,NEWMAN REGIONAL HEALTH ,1201 W. 12TH AVE ,,EMPORIA ,KS ,66801- ,LYON ,,,,,,,,,,23,8418,4273,460,7511,,412.13,,1026,21,1956,219,,,,,,72 172003,01-JUN-16,31-MAY-17,As Submitted,LTAC HOSPITAL OF WICHITA ,8080 EAST PAWNEE ,,WICHITA ,KS ,67207 ,SEDGWICK ,,,,,,,,,,26,9490,4271,,5525,,53.18,,184,,241,,,,,,, 172004,01-JUN-16,31-MAY-17,As Submitted,PROMISE HOSPITAL OF OVERLAND PARK ,6509 W 103RD STREET ,,OVERLAND PARK ,KS ,66212 ,JONHSON ,,,,,,,,,,56,20384,5564,896,9220,,92.7,,234,29,386,,,,,,, 172005,01-NOV-15,31-OCT-16,As Submitted,SSH - KANSAS CITY ,1731 NORTH 90TH STREET ,,KANSAS CITY ,KS ,66112 ,WYANDOTTE ,,,,,,,,,,40,14640,5609,81,9906,,109.79,,215,3,360,23,,,,,, 172007,01-JAN-16,31-DEC-16,As Submitted,SSH - WICHITA INC. ,929 N ST FRANCIS ST. 6TH FL. ,,WICHITA ,KS ,67214 ,SEDGWICK ,,,,,,,,,,48,17568,9021,,13283,,122.34,,356,,487,24,,,,,, 173025,01-JAN-16,31-DEC-16,As Submitted,KANSAS REHABILITATION HOSPITAL ,1504 SW 8TH STREET ,,TOPEKA ,KS ,66606 ,SHAWNEE ,,,,,,,,,,57,20862,10421,105,14342,,133.03,,909,6,1253,30,,,,,, 173026,01-JAN-16,31-DEC-16,As Submitted,MID AMERICA REHABILITATION HOSPITAL ,5701 WEST 110TH STREET ,,OVERLAND PARK ,KS ,66211 ,JOHNSON ,,,,,,,,,,98,35868,13665,,21538,,203.97,,1109,,1717,203,,,,,, 173027,01-JAN-16,31-DEC-16,As Submitted,WESLEY REHABILITATION HOSPITAL AN A ,8338 WEST 13TH STREET ,,WICHITA ,KS ,67212 ,SEDGEWICK ,,,,,,,,,,65,23790,8458,,13870,,137.53,,657,,1083,49,,,,,, 173028,01-OCT-15,30-SEP-16,As Submitted,VIA CHRISTI REHAB CENTER INC ,1151 N. ROCK ROAD ,,WICHITA ,KS ,67206- ,SEDGWICK ,,,,,,,,,,58,21228,3920,1321,8246,,172,,371,38,706,,,,,,, 173032,01-JAN-16,31-DEC-16,As Submitted,REHABILITATION HOSP OF OVERLAND PARK ,5100 INDIAN CREEK PARKWAY ,,OVERLAND PARK ,KS ,66207 ,JOHNSON ,,,,,,,,,,45,16470,6491,56,10547,,108.14,,530,2,823,119,,,,,, 173033,01-JAN-16,31-DEC-16,As Submitted,MEADOWBROOK REHABILITATION HOSPITAL ,427 W MAIN STREET ,,GARDNER ,KS ,66030-1197 ,JOHNSON ,,,,,,,,,,,,,,,,,,,,,,,,,90,,212 173300,01-JUL-16,30-JUN-17,As Submitted,CHILDRENS MERCY HOSPITAL KANSAS ,5808 WEST 110TH ,,OVERLAND PARK ,KS ,66211 ,JOHNSON ,,,,,,,,,,50,18250,,244,4991,,709.8,,,120,2138,802,,,,,, 174006,01-JUL-16,30-JUN-17,As Submitted,LARNED STATE HOSPITAL ,1301 KS HWY 264 ,,LARNED ,KS ,67550-9365 ,PAWNEE ,,,,,,,,,,99,36135,2209,1274,24869,,924.5,,183,33,1019,,,,,,, 174016,01-JUL-16,30-JUN-17,As Submitted,PRAIRIE VIEW INC. ,1901 EAST FIRST ,467 ,NEWTON ,KS ,67114-0467 ,HARVEY ,,,,,,,,,,60,21900,1177,,4310,,324.7,,153,,750,,,,,,, 174020,05-NOV-15,31-DEC-15,Settled,COTTONWOOD SPRINGS ,13351 S ARAPAHO DR. ,,OLATHE ,KS ,66062 ,JOHNSON ,,,,,,,,,,72,4104,188,,968,,73.96,,24,,105,2,,,,,, 174020,01-JAN-16,31-DEC-16,As Submitted,COTTONWOOD SPRINGS ,13351 S ARAPAHO DR. ,,OLATHE ,KS ,66062 ,JOHNSON ,,,,,,,,,,72,26352,4108,33,11259,,120.13,,448,4,1522,24,,,,,, 180001,01-JAN-16,31-DEC-16,As Submitted,ST ELIZABETH FT THOMAS ,85 NORTH GRAND AVENUE ,,FT. THOMAS ,KY ,41075-1793 ,CAMPBELL ,,,,750549,,,.1664,,,134,49044,12084,265,31626,,677.71,,2717,61,7478,1241,,,,,, 180002,01-JUL-16,30-JUN-17,As Submitted,WHITESBURG ARH ,240 HOSPITAL ROAD ,,WHITESBURG ,KY ,41858- ,LETCHER ,,,,216442,,,.12,,,90,32850,6427,330,14287,,304.54,,1284,58,3095,887,,,,,, 180004,01-JUN-16,31-MAY-17,As Submitted,MUHLENBERG COMMUNITY HOSPITAL ,440 HOPKINSVILLE STREET ,387 ,GREENVILLE ,KY ,42345- ,MUHLENBERG ,,,,111234,,,.12,,,47,17155,3054,32,5063,,302.9,,669,6,1110,368,,,,,, 180005,01-JUL-16,30-JUN-17,As Submitted,HIGHLAND REGIONAL MEDICAL CENTER ,US 23 NORTH ,PO BOX 66 ,PRESTONSBURG ,KY ,41653 ,,,,,684074,,,.2721,,,127,46355,7826,235,17643,,387.67,,1620,48,3986,1858,,,,,168, 180009,01-OCT-15,30-SEP-16,As Submitted,KINGS DAUGHTERSMEDICAL CENTER ,2201 LEXINGTON AVENUE ,151 ,ASHLAND ,KY ,41101-0151 ,BOYD ,,,,2730618,,,.2204,,,466,170556,27094,1787,58772,,2490.2,,6007,380,13330,4282,,,,,, 180010,01-JUL-16,30-JUN-17,As Submitted,SAINT JOSEPH HOSPITAL ,ONE SAINT JOSEPH HOSPITAL DRIVE ,,LEXINGTON ,KY ,40504- ,FAYETTE ,275040,,,1243656,,,.0866,83276,30591,258,94170,28971,654,62983,2.26,1206.84,,5406,133,12775,2010,,,,,, 180011,01-JUL-16,30-JUN-17,As Submitted,ST JOSEPH HOSPITAL LONDON ,1001 SAINT JOSEPH LANE ,,LONDON ,KY ,40741- ,LAUREL ,,,,1427637,,,.3459,,,102,37230,9840,412,24379,,568.79,,2042,108,5743,2221,,,,,, 180012,01-JUL-16,30-JUN-17,As Submitted,HARDIN MEMORIAL HOSPITAL ,913 NORTH DIXIE AVENUE ,,ELIZABETHTOWN ,KY ,42701 ,HARDIN ,,,,1420835,,,.1481,,,270,98550,25387,562,55851,,2112.67,,5074,136,13757,2975,364,,15,,666, 180013,01-APR-16,31-MAR-17,As Submitted,THE MEDICAL CENTER ,250 PARK STREET ,90010 ,BOWLING GREEN ,KY ,42102-9010 ,WARREN ,1074759,,,2802261,,,.2106,232143,93171,306,111690,19522,1755,85677,10.92,1731.02,,6192,276,16010,4063,,,6,,196, 180016,01-JUL-16,30-JUN-17,As Submitted,JEWISH HOSPITAL SHELBYVILLE ,727 HOSPITAL DRIVE ,,SHELBYVILLE ,KY ,40065 ,,,,,50701,,,.0767,,,30,10950,1291,4,2456,,124.96,,449,1,866,132,,,,,, 180017,01-OCT-15,30-SEP-16,As Submitted,T.J. SAMSON COMMUNITY HOSPITAL ,1301 NORTH RACE STREET ,,GLASGOW ,KY ,42141-3483 ,BARREN ,886511,,,1149727,,,.2824,282862,232481,117,42822,8357,221,19312,10.62,898.92,,2201,57,5346,1432,,,,,, 180018,01-JUL-16,30-JUN-17,As Submitted,ST. CLAIRE MEDICAL CENTER ,222 MEDICAL CIRCLE ,,MOREHEAD ,KY ,40351- ,ROWAN ,665043,,,907717,,,.3044,198056,157041,91,33215,6941,338,15046,8.48,909.95,,1771,71,4367,1534,,,,,746,89 180019,01-DEC-15,30-NOV-16,As Submitted,MEADOWVIEW REGIONAL MEDICAL CENTER ,999 WEST HIGHWAY 10 ,,MAYSVILLE ,KY ,41056- ,MASON ,,,,216977,,,.12,,,100,36600,3132,76,7173,,299.55,,1046,31,2452,897,,,,,, 180020,01-JUL-16,30-JUN-17,As Submitted,MIDDLESBORO ARH ,3600 WEST CUMBERLAND AVE. ,340 ,MIDDLESBORO ,KY ,40965- ,BELL ,,,,120471,,,.12,,,73,26645,3814,91,7435,,281.49,,593,21,1484,487,,,,,, 180021,01-JUL-16,30-JUN-17,As Submitted,PINEVILLE COMMUNITY HOSPITAL ,850 RIVERVIEW AVENUE ,,PINEVILLE ,KY ,40977 ,BELL ,,,,110875,,,.12,,,98,35770,3013,102,5315,,244.65,,785,20,1315,298,,,,,192, 180024,01-OCT-15,30-SEP-16,As Submitted,SPRING VIEW HOSPITAL ,320 LORETTO ROAD ,,LEBANON ,KY ,40333 ,MARION ,,,,78787,,,.12,,,75,27450,1450,49,3959,,202.03,,431,17,1171,562,,,,,, 180025,01-JUL-16,30-JUN-17,As Submitted,ST. JOE. - FLAGET ,4305 NEW SHEPARDSVILLE RD ,,BARDSTOWN ,KY ,40004 ,NELSON ,,,,188532,,,.12,,,40,14600,3248,43,7257,,242.87,,775,12,1917,433,,,,,, 180027,01-OCT-15,30-SEP-16,As Submitted,MURRAY CALLOWAY COUNTY HOSPITAL ,803 POPLAR STREET ,,MURRAY ,KY ,42071 ,CALLOWAY ,,,,309580,,,.1169,,,128,46848,8429,115,19095,,701.82,,1694,26,4129,1330,,,,,,91 180029,01-JUL-16,30-JUN-17,Amended,HAZARD ARH ,100 MEDICAL CENTER DR ,,HAZARD ,KY ,41701- ,PERRY ,488207,,,2084815,,,.2684,157644,68210,202,73730,21944,1628,43423,9.57,874.71,,3850,315,8118,2961,,,1137,43,1779,335 180035,01-JAN-16,31-DEC-16,As Submitted,ST ELIZABETH HEALTHCARE ,1 MEDICAL VILLAGE DRIVE ,,EDGEWOOD ,KY ,41017-3403 ,KENTON ,1926067,,,2771053,,,.1638,673851,290582,463,166324,38024,1580,123543,23.39,3634.68,,7874,367,31997,,,,4,,432, 180038,01-JUN-16,31-MAY-17,As Submitted,OWENSBORO HEALTH REGIONAL HOSPITAL ,1201 PLEASANT VALLEY ROAD ,20007 ,OWENSBORO ,KY ,42304 ,DAVIESS ,,,,1841358,,,.1413,,,427,155855,31760,5542,74570,,2372.3,,6587,223,15842,4345,,,,42,,380 180040,01-JUL-16,30-JUN-17,As Submitted,JEWISH HOSPITAL & ST MARYS HEALTH ,217 EAST CHESTNUT ,,LOUISVILLE ,KY ,40202 ,JEFFERSON ,2631453,,,8397781,,,.3393,809794,272668,701,255865,56712,3518,192112,56.38,3747.2,,9876,609,33254,13700,,,,24,,1611 180043,01-OCT-15,30-SEP-16,Amended,MANCHESTER MEMORIAL HOSPITAL ,210 MARIE LANGDON DRIVE ,,MANCHESTER ,KY ,40962- ,CLAY ,,,,518909,,,.4445,,,63,23058,2755,179,6660,,379.41,,776,53,1947,,,,,,, 180044,01-OCT-15,30-SEP-16,As Submitted,PIKEVILLE MEDICAL CENTER ,911 BYPASS ROAD ,,PIKEVILLE ,KY ,41501 ,PIKE ,1722180,,,3308635,,,.2349,405951,175798,224,82123,36908,1044,79453,12.38,2561.07,,6447,132,14227,,,,,1,,545 180045,01-JAN-16,31-DEC-16,As Submitted,ST. ELIZABETH FLORENCE ,4900 HOUSTON ROAD ,,FLORENCE ,KY ,41042-4824 ,BOONE ,,,,1021070,,,.1674,,,148,54168,14283,862,39154,,782.68,,3427,156,10825,2376,,,,,, 180046,01-JUN-16,31-MAY-17,As Submitted,BOURBON COMMUNITY HOSPITAL ,9 LINNVILLE DRIVE ,,PARIS ,KY ,40361 ,BOURBON ,,,,56843,,,.12,,,34,12410,1367,26,3951,,175.85,,361,8,990,401,,,8,,1627, 180048,01-OCT-15,30-SEP-16,As Submitted,EPHRAIM MCDOWELL REG MED CTR ,217 3RD STREET ,,DANVILLE ,KY ,40422- ,BOYLE ,,,,1156988,,,.2063,,,170,62220,15343,464,28591,,889.21,,2774,91,6585,1490,,,,,172, 180050,01-JUL-16,30-JUN-17,As Submitted,HARLAN ARH ,81 BALL PARK ROAD ,,HARLAN ,KY ,40831- ,HARLAN ,,,,665589,,,.3132,,,70,25550,6046,636,12923,,345.91,,1587,163,3842,1495,,,221,,724, 180051,01-JAN-16,31-DEC-16,As Submitted,JENNIE STUART MEDICAL CENTER ,320 WEST 18TH STREET ,,HOPKINSVILLE ,KY ,42240-6315 ,CHRISTIAN ,,,,251216,116368,,.12,,,179,68394,8613,250,19586,,776.06,,1925,48,4795,1347,,,,,, 180056,01-JUL-16,30-JUN-17,As Submitted,METHODIST HOSPITAL ,1305 NORTH ELM STREET ,,HENDERSON ,KY ,42420- ,HENDERSON ,272891,,,594119,,,.2561,164481,118556,118,43070,6191,109,18488,8.67,953.76,,1369,17,4586,,,,,,, 180064,01-JUL-16,30-JUN-17,As Submitted,SAINT JOSEPH MOUNT STERLING ,STERLING AVENUE ,,MT. STERLING ,KY ,40353 ,MONTGOMERY ,,,,138582,,,.12,,,42,15330,2911,104,7248,,216.3,,632,26,1729,506,,,,,, 180066,01-MAR-16,28-FEB-17,As Submitted,LOGAN MEMORIAL HOSPITAL ,1625 NASHVILLE STREET ,,RUSSELLVILLE ,KY ,42276 ,LOGAN ,,,,80760,,,.1136,,,75,27375,2330,43,3827,,153.59,,475,8,819,,,,,,, 180067,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY HOSPITAL ,800 ROSE STREET ,,LEXINGTON ,KY ,40536- ,FAYETTE ,17826668,,,9138527,,,.3563,5927132,2408192,853,311345,64229,7974,258121,484.43,7053.42,,8992,13926,38706,,,,961,,1518, 180069,01-JUL-16,30-JUN-17,As Submitted,TUG VALLEY ARH ,260 HOSPITAL DRIVE ,,SOUTH WILLIAMSON ,KY ,41503 ,PIKE ,,,,483824,,,.3157,,,88,32120,4103,50,8927,,283.33,,1082,31,2402,932,,,,,, 180070,01-JUL-16,30-JUN-17,Amended,TWIN LAKES REGIONAL MEDICAL CENTER ,910 WALLACE AVENUE ,,LEITCHFIELD ,KY ,42754 ,GRAYSON ,,,,387114,,,.2924,,,75,27375,4117,32,8420,,313.37,,916,,2544,1362,,,,,, 180078,01-OCT-15,30-SEP-16,As Submitted,PAUL B. HALL REGIONAL MEDICAL CENTER ,PAUL B. HALL REGIONAL MEDICAL CENTE ,1848 ,PAINTSVILLE ,KY ,41240 ,JOHNSON ,,,,150660,,,.12,,,72,26352,3405,275,6560,,196.95,,862,527,1809,,,,,,, 180079,01-OCT-15,30-SEP-16,Amended,HARRISON MEMORIAL HOSPITAL ,1210 KY HIGHWAY 36 E ,,CYNTHIANA ,KY ,41031 ,HARRISON ,,,,138681,,,.2091,,,61,22326,2106,115,5100,,351.88,,514,22,1290,348,,,,,, 180087,01-JUL-16,30-JUN-17,As Submitted,TAYLOR REGIONAL HOSPITAL ,1700 OLD LEBANON ROAD ,,CAMPBELLSVILLE ,KY ,42718- ,TAYLOR ,,,,330614,,,.1811,,,90,32850,5021,186,10176,,524.68,,1146,30,2511,795,,,,,, 180088,01-JAN-16,31-DEC-16,Amended,NORTON HOSPITALS INC ,200 E. CHESTNUT ST ,,LOUISVILLE ,KY ,40202- ,JEFFERSON ,8959750,,,10814355,,,.2676,2629552,1272793,1361,498126,93515,6488,372626,168.31,7636.91,,17480,1033,69187,24898,,,,,, 180092,01-MAY-16,30-APR-17,As Submitted,CLARK REGIONAL MEDICAL CENTER ,1107 LEXINGTON AVENUE ,,WINCHESTER ,KY ,40392 ,CLARK ,,,,184031,,,.12,,,54,19710,2960,79,9458,,462.13,,1009,25,3177,1571,,,,,, 180095,01-OCT-15,30-SEP-16,As Submitted,CRITTENDEN COUNTY HOSPITAL INC. ,HIGHWAY 60 ,386 ,MARION ,KY ,42064- ,CRITTENDEN ,,,,46603,,,.0775,,,48,17568,3369,53,4944,,144.29,,498,11,791,98,,,,,, 180101,01-MAR-16,28-FEB-17,As Submitted,GEORGETOWN COMMUNITY HOSPITAL ,1140 LEXINGTON RD ,,GEORGETOWN ,KY ,40324 ,SCOTT ,,,,135460,,,.12,,,75,27375,2301,75,6549,,356,,654,22,2008,699,,,,,, 180102,01-JAN-16,31-DEC-16,As Submitted,MERCY HEALTH LOURDES HOSPITAL LLC ,1530 LONE OAK ROAD ,,PADUCAH ,KY ,42003 ,MC CRACKEN ,,,,1128765,,,.1202,,,265,96990,20259,488,42655,,848.51,,4416,73,9874,1681,79,,,,388,416 180105,01-MAR-16,28-FEB-17,Amended,MONROE COUNTY MEDICAL CENTER ,529 CAPP HARLAN ROAD ,,TOMPKINSVILLE ,KY ,42178 ,MONROE ,,,,178964,,,.2207,,,49,17885,3581,122,5482,,194.37,,763,32,1334,247,,,,,, 180106,01-APR-16,31-MAR-17,As Submitted,THE MEDICAL CENTER OF ALBANY ,723 BURKESVILLE ROAD ,,ALBANY ,KY ,42602 ,CLINTON ,,,,99615,,,.2186,,,38,13870,2241,45,3524,,104.49,,430,3,677,112,,,,,, 180115,01-NOV-15,31-OCT-16,Amended,ROCKCASTLE HOSPT. & RESPIR CARE CTR ,145 NEWCOMB AVENUE ,,MT VERNON ,KY ,40456 ,ROCKCASTLE ,,,,89889,,,.1769,,,20,7320,1925,144,3096,,349.35,,450,25,744,133,,,,,, 180116,01-MAR-16,28-FEB-17,As Submitted,JACKSON PURCHASE MEDICAL CENTER ,1099 MEDICAL CENTER CIRCLE ,,MAYFIELD ,KY ,42066- ,GRAVES ,,,,434478,,,.1529,,,107,39055,9685,438,16871,,457.06,,1628,79,3282,954,,,,,319, 180124,01-OCT-15,30-SEP-16,Amended,GREENVIEW HOSPITAL ,1802 ASHLEY CIRCLE ,,BOWLING GREEN ,KY ,42101 ,WARREN ,,,,246715,,,.0633,,,157,64997,9843,53,18498,,380.39,,2017,12,4197,607,,,,,, 180128,01-APR-16,31-MAR-17,As Submitted,THREE RIVERS MEDICAL CENTER ,THREE RIVERS MEDICAL CENTER ,769 ,LOUISA ,KY ,41230- ,LAWRENCE ,,,,117975,,,.12,,,65,23725,2442,43,5262,,206.02,,731,505,1872,,,,,,752, 180132,01-JAN-16,31-DEC-16,As Submitted,LAKE CUMBERLAND REGIONAL HOSP ,305 LANGDON ST ,,SOMERSET ,KY ,42501 ,PULASKI ,1533404,,,2648553,,,.3112,651836,263760,258,94428,20767,1198,46656,20.91,1077.15,,4503,211,9937,2769,,,,,223,201 180138,01-SEP-16,31-AUG-17,As Submitted,BAPTIST HEALTH LAGRANGE ,1025 NEW MOODY LANE ,,LAGRANGE ,KY ,40031- ,OLDHAM ,,,,143466,,,.12,,,90,32850,2555,329,8207,,373.68,,596,114,2167,454,,,,,, 180141,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY OF LOUISVILLE HOSPITAL ,530 SOUTH JACKSON STREET ,,LOUISVILLE ,KY ,40202 ,JEFFERSON ,10652804,,,3111866,,,.3513,2929796,1999939,333,121545,20789,2556,94813,273.76,1910.48,3.47,3533,529,16089,6719,,,,,, 180143,01-JUL-16,30-JUN-17,As Submitted,SAINT JOSEPH EAST ,150 N. EAGLE CREEK DRIVE ,,LEXINGTON ,KY ,40509- ,FAYETTE ,,,,1325684,,,.2684,,,164,59860,8281,436,38056,,759.69,,2194,113,8788,4202,,,,,, 180149,11-FEB-16,30-SEP-16,As Submitted,TJ HEALTH COLUMBIA ,901 WESTLAKE DRIVE ,,COLUMBIA ,KY ,42728- ,ADAIR ,,,,,,,,,,31,11368,,,,,,,,,,,,,,,139, 180152,01-FEB-16,31-MAR-16,As Submitted,CONTINUECARE HOSPITAL MADISONVILLE ,900 HOSPITAL DR ,4TH FLOOR ,MADISONVILLE ,KY ,42431 ,HOPKINS COUNTY ,,,,,,,,,,35,2100,185,,256,,20.23,,7,,10,,,,,,, 180153,01-FEB-16,31-MAR-16,Settled,CONTINUECARE HOSPITAL AT BAPTIST HEA ,2501 KENTUCKY AVE 5TH FLOOR ,,PADUCAH ,KY ,42003-3813 ,MCCRACKEN ,,,,,,,,,,37,2220,290,,293,,11.94,,8,,9,,,,,,, 181301,01-JAN-16,31-DEC-16,As Submitted,MARCUM & WALLACE MEMORIAL HOSPITAL ,60 MERCY COURT ,,IRVINE ,KY ,40336-0928 ,ESTILL ,,,,,,,,,,25,9150,3128,11,4611,,118.14,,450,1,738,106,,,,,, 181302,01-OCT-15,30-SEP-16,Amended,JAMES B HAGGIN MEMORIAL HOSPITAL ,464 LINDEN AVENUE ,,HARRODSBURG ,KY ,40330 ,MERCER ,,,,,,,,,,25,9125,1258,457,2065,,186.1,,240,58,423,,,,,,, 181304,01-MAY-16,30-APR-17,As Submitted,TRIGG COUNTY HOSPITAL ,MAIN STREET HWY 68 ,,CADIZ ,KY ,42211- ,TRIGG ,,,,,,,,,,25,9125,2423,207,3742,,126.65,,107,1,176,11,,,,,, 181305,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPH MARTIN ,MAIN STREET RR 1428 ,910 ,MARTIN ,KY ,41649 ,,,,,,,,,,,25,9125,2323,14,3701,,103.52,,326,4,574,171,,,,,, 181306,01-JUL-16,30-JUN-17,As Submitted,METHODIST HOSPITAL UNION COUNTY ,4606 US HIGHWAY 60 EAST ,,MORGANFIELD ,KY ,42437- ,UNION ,,,,,,,,,,25,9125,2247,462,4248,,115.62,,193,3,340,42,,,,,, 181307,01-JUL-16,30-JUN-17,As Submitted,MORGAN CO. ARH ,476 LIBERTY ROAD ,579 ,WEST LIBERTY ,KY ,41472- ,MORGAN ,,,,,,,,,,25,9125,611,9,923,,92,,76,3,133,17,,,,,, 181308,01-MAR-16,28-FEB-17,As Submitted,BLUEGRASS COMMUNITY HOSPITAL ,360 AMSDEN AVENUE ,,VERSAILLES ,KY ,40383- ,WOODFORD ,,,,,,,,,,25,9125,725,,1654,,94.02,,104,,256,56,,,,,, 181309,01-JUL-16,30-JUN-17,As Submitted,CASEY COUNTY HOSPITAL ,187 WOOLFORD ,,LIBERTY ,KY ,42539- ,CASEY ,,,,,,,,,,24,8760,3997,2647,7251,,171.29,,408,59,550,,,,,,, 181310,01-JAN-16,31-DEC-16,Amended,CARROLL COUNTY MEMORIAL HOSP ,309 ELEVENTH ST ,,CARROLLTON ,KY ,41008- ,CARROLL ,,,,,,,,,,25,9150,952,162,1942,,118.44,,205,5,468,,,,,,, 181311,01-JAN-16,31-DEC-16,As Submitted,ST ELIZABETH - GRANT COUNTY ,238 BARNES ROAD ,,WILLIAMSTOWN ,KY ,41097-9482 ,GRANT ,,,,,,,,,,15,5490,207,5,455,,100.77,,93,3,192,19,,,,,, 181314,01-JAN-16,31-MAR-16,As Submitted,THE MEDICAL CENTER AT CAVERNA ,1501 S. DIXIE STREET ,120 ,HORSE CAVE ,KY ,42749 ,HART ,,,,,,,,,,25,2275,165,22,381,,19.37,,33,2,84,17,,,,,, 181314,01-APR-16,31-MAR-17,As Submitted,THE MEDICAL CENTER AT CAVERNA ,1501 S. DIXIE STREET ,120 ,HORSE CAVE ,KY ,42749 ,HART ,,,,,,,,,,25,9125,1374,696,2814,,79.93,,167,5,261,28,,,,,, 181315,01-OCT-15,30-SEP-16,As Submitted,FORT LOGAN HOSPITAL ,110 METKER TRAIL ,,STANFORD ,KY ,40484- ,LINCOLN ,,,,,,,,,,25,9150,560,23,3257,,123.97,,153,11,1176,716,,,,,, 181316,01-JUL-16,30-JUN-17,As Submitted,MARY BRECKINRIDGE HOSPITAL ,130 KATE IRELAND DRIVE ,447-A ,HYDEN ,KY ,41749 ,LESLIE ,,,,,,,,,,25,9125,1698,532,3205,,103.44,,106,14,195,30,,,,,, 181317,01-JUL-16,30-JUN-17,As Submitted,CUMBERLAND COUNTY HOSPITAL ,229 GLASGOW ROAD ,280 ,BURKESVILLE ,KY ,42717 ,CUMBERLAND ,,,,,,,,,,25,9125,2435,62,3378,,149.82,,402,16,611,64,,,,,, 181318,01-APR-16,31-MAR-17,As Submitted,THE MEDICAL CENTER AT FRANKLIN ,1100 BROOKHAVEN ROAD ,,FRANKLIN ,KY ,42135- ,SIMPSON ,,,,,,,,,,25,9125,4437,328,6809,,129.46,,411,13,706,52,,,,,, 181319,01-JAN-16,31-DEC-16,As Submitted,BRECKINRIDGE MEMORIAL HOSPITAL ,ROUTE 1 ,,HARDINSBURG ,KY ,40143- ,BRECKINRIDGE ,,,,,,,,,,25,9125,3313,238,4213,,168.4,,342,32,513,,,,,,, 181320,01-JAN-16,31-DEC-16,As Submitted,LIVINGSTON HOSPITAL ,131 HOSPITAL DRIVE ,,SALEM ,KY ,42078- ,LIVINGSTON ,,,,,,,,,,25,9150,1713,30,2826,,130.34,,360,5,657,129,,,,,, 181321,01-NOV-15,31-OCT-16,As Submitted,WAYNE COUNTY HOSPITAL ,166 HOSPITAL STREET ,,MONTICELLO ,KY ,42633- ,WAYNE ,,,,,,,,,,25,9150,2239,171,3778,,133,,231,8,468,,,,,,, 181322,01-JUL-16,30-JUN-17,As Submitted,CALDWELL COUNTY HOSPITAL ,100 MEDICAL CENTER DRIVE ,,PRINCETON ,KY ,42445 ,CALDWELL ,,,,,,,,,,25,9125,1328,120,2067,,104.83,,170,37,302,,,,,,, 181323,01-OCT-15,30-SEP-16,As Submitted,OHIO COUNTY HOSPITAL ,1211 MAIN STREET ,126 ,HARTFORD ,KY ,42347-0126 ,OHIO ,,,,,,,,,,25,9150,2404,,3716,,323.21,,467,,776,128,,,,,, 181325,01-JUL-16,30-JUN-17,As Submitted,JANE TODD CRAWFORD HOSPITAL ,202 MILBY STREET ,,GREENSBURG ,KY ,42743- ,GREEN ,,,,,,,,,,25,9125,3275,2900,7118,,203.31,,269,109,599,,,,,,, 181327,01-JAN-16,31-DEC-16,As Submitted,MARSHALL COUNTY HOSPITAL ,615 OLD SYMSONIA RD ,630 ,BENTON ,KY ,42025 ,MARSHALL ,,,,,,,,,,25,9150,1774,39,2679,,216.53,,389,3,593,89,,,,,, 181328,01-DEC-15,30-JUN-16,As Submitted,BARBOURVILLE ARH HOSPITAL ,80 HOSPITAL DRIVE ,,BARBOURVILLE ,KY ,40906 ,KNOX ,,,,,,,,,,25,5325,1446,,2766,,152.71,,373,,800,236,,,,,, 181328,01-JUL-16,30-JUN-17,As Submitted,BARBOURVILLE ARH HOSPITAL ,80 HOSPITAL DRIVE ,,BARBOURVILLE ,KY ,40906 ,KNOX ,,,,,,,,,,25,9125,1995,189,3652,,251.04,,537,28,1024,244,,,,,, 181329,01-JUL-16,30-JUN-17,As Submitted,SAINT JOSEPH BEREA ,305 ESTILL STREET ,,BEREA ,KY ,40403 ,,,,,,,,,,,25,9125,2312,30,4016,,162.05,,459,8,878,151,,,,,, 181330,01-JUL-16,30-JUN-17,As Submitted,RUSSELL COUNTY HOSPITAL ,153 DOWELL ROAD ,,RUSSELL SPRINGS ,KY ,42642 ,RUSSELL ,,,,,,,,,,25,9125,1910,385,4205,,170.74,,268,6,559,92,,,,,, 181331,01-JUL-16,30-JUN-17,As Submitted,MCDOWELL ARH ,9879 ROUTE 122 ,247 ,MCDOWELL ,KY ,41647 ,,,,,,,,,,,25,9125,1225,39,1875,,112.87,,190,5,337,91,,,,,, 182002,01-JUL-16,30-JUN-17,As Submitted,CONTINUING CARE HOSPITAL ,150 N. EAGLE STREET ,,LEXINGTON ,KY ,40509 ,,,,,,,,,,,43,15695,3872,256,8974,,75.67,,160,11,373,52,,,,,, 182003,01-JUN-16,31-MAY-17,As Submitted,SSH - LEXINGTON INC ,310 S. LIMESTONE ST. 3RD FLOOR ,,LEXINGTON ,KY ,40508 ,FAYETTE ,,,,,,,,,,41,14965,5821,186,11022,,98.97,,199,6,339,24,,,,,, 182005,01-FEB-16,31-JAN-17,As Submitted,COMMONWEALTH REGIONAL SPECIALTY HOSP ,250 PARK STREET ,,BOWLING GREEN ,KY ,42101- ,WARREN ,,,,,,,,,,28,10248,4496,38,5755,,55.81,,175,1,220,8,,,,,, 182006,01-MAR-16,28-FEB-17,As Submitted,CCH AT BAPTIST HEALTH CORBIN ,ONE TRILLIUM WAY LOWER LEVEL ,,CORBIN ,KY ,40701- ,WHITLEY ,,,,,,,,,,32,11680,5896,231,9347,,94.88,,201,37,282,14,,,,,, 182008,01-APR-16,31-MAR-17,As Submitted,CONTINUECARE HOSPITAL AT BAPTIST HEA ,2501 KENTUCKY AVE 5TH FLOOR ,,PADUCAH ,KY ,42003-3813 ,,,,,,,,,,,37,13505,878,,4046,,31.81,,31,,131,,,,,,, 182009,01-APR-16,31-MAR-17,As Submitted,CONTINUECARE HOSPITAL MADISONVILLE ,900 HOSPITAL DR ,4TH FLOOR ,MADISONVILLE ,KY ,42431 ,,,,,,,,,,,35,12775,572,,4934,,25.97,,25,,171,,,,,,, 183027,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH NORTHERN KENTUCKY REHABI ,201 MEDICAL VILLAGE DRIVE ,,EDGEWOOD ,KY ,41017 ,KENTON ,,,,,,,,,,40,14640,8024,114,14146,,129.89,,745,13,1308,184,,,,,, 183028,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH LAKEVIEW REHABILITATION ,134 HEARTLAND DRIVE ,,ELIZABETHTOWN ,KY ,42701 ,HARDIN ,,,,,,,,,,40,14640,6628,39,9023,,91.26,,567,3,775,83,,,,,, 183029,01-JAN-16,31-DEC-16,As Submitted,SOUTHERN KENTUCKY REHAB HOSPITAL ,1300 CAMPBELL LANE ,,BOWLING GREEN ,KY ,42104 ,WARREN ,,,,,,,,,,60,21960,11520,123,17708,,181.61,,954,7,1402,192,,,,,, 183030,01-JAN-16,31-DEC-16,As Submitted,GATEWAY REHAB AT FLORENCE ,5940 MERCHANTS STREET ,,FLORENCE ,KY ,41042- ,BOONE ,,,,,,,,,,40,14640,8387,102,13481,,130.19,,731,11,1106,137,,,,,, 183300,01-JAN-16,31-DEC-16,Settled,SHRINERS HOSPITALS FOR CHILDREN ,1900 RICHMOND ROAD ,,LEXINGTON ,KY ,40502 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 184002,01-JUL-16,30-JUN-17,As Submitted,WESTERN STATE HOSPITAL ,2400 RUSSELLVILLE RD ,2200 ,HOPKINSVILLE ,KY ,42241-2200 ,CHRISTIAN ,,,,,,,,,,222,81030,6503,144,41437,,219,,387,84,2024,,,,,,, 184004,01-JUL-16,30-JUN-17,As Submitted,EASTERN STATE HOSPITAL ,1350 BULL LEA ROAD ,,LEXINGTON ,KY ,40511 ,FAYETTE ,,,,,,,,,,195,71175,5175,,47481,.9,515.75,,447,,2732,,,,,,, 184006,01-JUL-16,30-JUN-17,Settled,NORTHKEY COMM CARE ,503 FARRELL DRIVE ,,COVINGTON ,KY ,41011 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 184007,01-JAN-16,31-DEC-16,As Submitted,THE BROOK - DUPONT ,1405 BROWNS LANE ,,LOUSIVILLE ,KY ,40207 ,JEFFERSON ,,,,,,,,,,68,24888,7228,,16265,,136.89,,571,,1964,333,,,,,, 184008,01-JAN-16,31-DEC-16,As Submitted,TEN BROECK HOSPITAL - KMI ,8521 OLD LAGRANGE ROAD ,,LOUSIVILLE ,KY ,40242 ,JEFFERSON ,,,,,,,,,,62,22692,2952,,13911,,155.52,,199,,1661,337,,,,,, 184009,01-JAN-16,31-DEC-16,As Submitted,RIDGE ,3050 RIO DOSA DRIVE ,,LEXINGTON ,KY ,40509 ,FAYETTE ,,,,,,,,,,92,33672,4933,142,19657,,158.99,,409,6,2670,,,,,,, 184012,01-MAY-16,30-APR-17,As Submitted,LINCOLN TRAIL BEHAVIORAL HEALTH ,3099 SOUTH WILSON ROAD ,,RADCLIFF ,KY ,40160 ,HARDIN ,,,,,,,,,,118,43070,15729,,29401,,163.3,,881,,2018,408,,,,,, 184013,01-JUL-16,30-JUN-17,Settled,GREEN RIVER VALLEY ,PO BOX 1637 ,,OWENSBORO ,KY ,42302 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 184014,01-JAN-16,31-DEC-16,Settled,FIRST HOSPITAL HOPKINSVILLE ,210 WEST 17TH STREET ,,HOPKINSVILLE ,KY ,42240 ,CHRISTIAN ,,,,,,,,,,97,35502,982,38,21355,,126.55,,74,3,1589,438,,,,,, 184015,01-JUL-16,30-JUN-17,As Submitted,CENTRAL STATE HOSPITAL ,10510 LAGRANGE ROAD ,,LOUISVILLE ,KY ,40223-1228 ,JEFFERSON ,,,,,,,,,,112,40880,2612,,20557,2,17.82,,140,,785,14,,,,,, 184017,01-JAN-16,31-DEC-16,As Submitted,RIVENDELL BEHAVIORAL HEALTH SRVCS KY ,200 RIVENDELL DRIVE ,,BOWLING GREEN ,KY ,42103 ,WARREN ,,,,,,,,,,81,29646,3771,5,13749,,126.35,,243,5,1397,760,,,,,, 190002,01-OCT-15,30-SEP-16,As Submitted,LAFAYETTE GENERAL MEDICAL CENTER ,1214 COOLIDGE AVENUE ,,LAFAYETTE ,LA ,70570- ,LAFAYETTE ,1995946,,,4134008,,,.2248,582929,197905,393,143838,42653,3444,105841,21.47,1888,,8640,353,20968,,,,,,1262,251 190004,01-OCT-15,30-SEP-16,As Submitted,THIBODAUX REGIONAL MEDICAL CTR ,602 NORTH ACADIA ROAD ,1118 ,THIBODAUX ,LA ,70302- ,LAFOURCHE ,,,,403776,,,.077,,,145,53070,12300,543,29495,,944.6,,2992,127,7524,1125,,,,9,253,307 190005,01-JAN-16,31-DEC-16,As Submitted,UNIVERSITY MEDICAL CTR. AT NEW ORLEA ,2000 CANAL STREET ,,NEW ORLEANS ,LA ,70112-3018 ,ORLEANS ,6700616,,,1738799,,,.5649,2606025,1559909,208,76128,7171,9887,55291,304.98,1800,,1270,1404,10034,4300,,,,,1916, 190006,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY HOSPITAL & CLINICS ,2390 WEST CONGRESS STREET ,,LAFAYETTE ,LA ,70506 ,,554970,,,466404,,,.6449,331210,701984,116,42340,2120,729,12238,56.57,716,,461,110,2590,,,,,,, 190007,01-JUL-16,30-JUN-17,As Submitted,NATCHITOCHES REGIONAL MEDICAL CENTER ,501 KEYSER AVENUE ,2009 ,NATCHITOCHES ,LA ,71457 ,NATCHITOCHES ,,,,158722,,,.12,,,81,29565,3840,134,9755,,421.84,,904,31,2429,1059,,,,,220, 190008,01-APR-16,31-MAR-17,Amended,TERREBONNE GENERAL MEDICAL CENTER ,8166 MAIN STREET ,6037 ,HOUMA ,LA ,70360- ,TERREBONNE ,,,,1516142,,,.1851,,,188,68620,19174,5170,41292,,1342.97,,3641,80,8241,1972,,,,,,217 190011,01-OCT-15,30-SEP-16,As Submitted,UNIVERSITY HEALTH CONWAY ,4864 JACKSON STREET ,,MONROE ,LA ,71210 ,OUACHITA ,310426,,,412881,,,.5431,308049,306024,125,45750,2217,1913,18330,35.66,712.36,,510,323,4900,2027,245,,32,,740, 190013,01-JAN-16,31-DEC-16,As Submitted,WEST CALCASIEU-CAMERON HOSPITAL ,701 EAST CYPRESS ,2269 ,SULPHUR ,LA ,70663 ,CALCASIEU ,,,,475239,,,.2283,,,107,39162,5269,124,10923,,634.68,,1213,28,2715,,,,,,, 190014,01-JAN-16,31-DEC-16,As Submitted,TECHE REGIONAL MEDICAL CENTER ,1125 MARGUERITE STREET ,,MORGAN CITY ,LA ,70308 ,ST. MARY ,,,,161279,,,.12,,,138,50508,3826,158,7973,,229.17,,880,28,2141,632,209,,6,1,500,162 190015,01-JUL-16,30-JUN-17,As Submitted,NORTH OAKS MEDICAL CENTER ,15790 PAUL VEGA MD DRIVE ,2668 ,HAMMOND ,LA ,70404 ,TANGIPAHOA ,,,,2046711,,,.2629,,,344,125560,21232,1549,61455,,1422.4,,3983,189,11541,3657,,,,,, 190017,01-JUL-16,30-JUN-17,As Submitted,OPELOUSAS GENERAL HOSPITAL ,539 E PRUDHOMME STREET ,,OPELOUSAS ,LA ,70570- ,,,,,1404912,,,.3216,,,151,59363,9714,401,22256,,815.52,,2340,66,5662,1868,36,,1,21,895,259 190019,01-JUL-16,30-JUN-17,As Submitted,ST. FRANCES CABRINI HOSPITAL ,3330 MASONIC DRIVE ,,ALEXANDRIA ,LA ,71301- ,RAPIDES ,,,,2133476,,,.2265,,,276,100740,23441,1502,60233,,1343.11,,4612,215,14917,,,,,13,,630 190020,01-JUL-16,30-JUN-17,As Submitted,LANE REGIONAL MEDICAL CENTER ,6300 MAIN STREET ,,ZACHARY ,LA ,70791 ,EAST BATON ROUGE ,,,,471139,,,.2075,,,113,41245,5499,628,17579,,100.69,,1371,126,4778,1302,,,,,,239 190025,01-JAN-16,31-DEC-16,As Submitted,SAVOY MEDICAL MANAGEMENT GROUP INC. ,801 POINCIANA AVENUE ,,MAMOU ,LA ,70554- ,EVANGELINE ,,,,65098,,,.12,,,132,48312,2145,99,3154,,91.01,,415,162,749,79,764,,,,1468,146 190026,01-JAN-16,31-DEC-16,As Submitted,RAPIDES REGIONAL MEDICAL CENTER ,211 FOURTH STREET ,30101 ,ALEXANDRIA ,LA ,71301- ,,920216,,,3326968,,,.29,392284,103175,357,130662,35609,2902,90808,21.72,1381.78,,5671,408,16025,3480,,,,,, 190027,01-JUL-16,30-JUN-17,As Submitted,ST. PATRICK HOSPITAL ,524 DR. MICHAEL DEBAKEY DRIVE ,,LAKE CHARLES ,LA ,70601 ,CALCASIEU ,143830,,,527197,,,.0858,159682,91806,100,36500,12641,340,24785,2,690.16,,2961,62,6067,,,,,,1069,410 190034,01-JAN-16,31-DEC-16,As Submitted,ABBEVILLE GENERAL HOSPITAL ,118 NORTH HOSPITAL DRIVE ,,ABBEVILLE ,LA ,70511-0580 ,VERMILION ,,,,189589,,,.2005,,,44,16104,3283,118,6026,,332.8,,610,20,1262,477,,,8,,553, 190036,01-JAN-16,31-DEC-16,As Submitted,OCHSNER CLINIC FOUNDATION ,1516 JEFFERSON HIGHWAY ,,NEW ORLEANS ,LA ,70121 ,JEFFERSON ,13133932,,,4409899,,,.1912,9960534,5362445,883,323178,50137,4728,216177,294.23,8453.31,,9030,547,38709,,,,6,,563,442 190039,01-OCT-15,31-DEC-15,As Submitted,WEST JEFFERSON MEDICAL CENTER ,1101 MEDICAL CENTER BLVD ,,MARRERO ,LA ,70072 ,,213816,,,229906,,,.1805,136607,63725,255,23460,2874,434,12310,19.38,1393.96,,601,52,2815,342,28,,1,,200,104 190039,01-JAN-16,31-DEC-16,As Submitted,WEST JEFFERSON MEDICAL CENTER ,1101 MEDICAL CENTER BLVD ,,MARRERO ,LA ,70072 ,ORLEANS ,862930,,,1035516,,,.2094,500567,256270,240,84124,11281,713,49569,19.41,1474.83,,2292,16,9419,3056,,,25,1,785,442 190040,01-JAN-16,31-DEC-16,As Submitted,SLIDELL MEMORIAL HOSPITAL ,1001 GAUSE BLVD ,,SLIDELL ,LA ,70458 ,ST TAMMANY ,69619,,,773736,,,.1816,26562,15580,222,82584,8499,2203,30765,1.84,1022.2,,2297,103,7452,2170,,,,,,38 190041,01-JUL-16,30-JUN-17,As Submitted,HIGHLAND MEDICAL CENTER ,ONE ST MARY PLACE ,21976 ,SHREVEPORT ,LA ,71101 ,,79852,,,946026,,,.1334,23180,16872,161,58765,15272,579,35696,1,862.36,,3475,65,9372,,,,,,,368 190044,01-OCT-15,30-SEP-16,As Submitted,ACADIA GENERAL HOSPITAL ,190044 ,,CROWLEY ,LA ,70526 ,ACADIA ,,,,389186,,,.2249,,,137,50142,6314,265,10747,,270.12,,1090,49,2308,,,,,,, 190045,01-JAN-16,31-DEC-16,Amended,ST. TAMMANY PARISH HOSPITAL ,1202 S. TYLER STREET ,,COVINGTON ,LA ,70433 ,,,,,628721,,,.0907,,,211,77226,14872,4160,47618,,1699.8,,3288,563,12642,2011,,,,,,191 190046,01-JAN-16,31-DEC-16,As Submitted,TOURO INFIRMARY ,1401 FOUCHER STREET ,,NEW ORLEANS ,LA ,70115-3515 ,ORLEANS ,1525881,,,1785415,,,.358,1071771,440966,251,87591,13617,11111,57022,33.44,1307.93,,2390,5407,10137,,,,,300,,659 190050,01-NOV-15,31-OCT-16,As Submitted,BEAUREGARD MEMORIAL HOSPITAL INC. ,600 S. PINE STREET ,,DERIDDER ,LA ,70634 ,BEAUREGARD ,,,,168402,,,.12,,,53,22159,4561,182,9249,,345.74,,1068,34,2443,,,,,,, 190053,01-DEC-15,30-NOV-16,As Submitted,JENNINGS AMERICAN LEGION HOSPITAL ,1634 ELTON ROAD ,,JENNINGS ,LA ,70546 ,JEFFERSON DAVIS ,,,,219724,,,.12,,,49,17934,5880,251,11172,,351.68,,1275,29,2915,,,,,,, 190054,01-OCT-15,30-SEP-16,As Submitted,IBERIA MEDICAL CENTER ,2315 W MAIN STREET ,,NEW IBERIA ,LA ,70562-3338 ,IBERIA ,,,,428792,,,.12,,,122,36666,7460,289,15183,,525.88,,2162,84,4432,,,,,,, 190060,01-JAN-16,31-DEC-16,Amended,LAKE CHARLES MEMORIAL HOSPITAL ,1701 OAK PARK BOULEVARD ,,LAKE CHARLES ,LA ,70601 ,CALCASIEU ,1077834,,,2334968,,,.299,385830,206824,276,101016,20252,4671,63331,24,1773.21,,3800,438,12083,4576,81,,6,10,307,351 190064,01-JUL-16,30-JUN-17,As Submitted,OUR LADY OF THE LAKE RMC ,5000 HENNESSY BLVD ,,BATON ROUGE ,LA ,70808-4389 ,USA ,8768636,,,3569413,,,.2026,3574341,1710418,730,261340,40335,6667,157432,170.05,4362.67,,7714,8537,30755,,,,1665,112,2608,411 190065,01-OCT-15,30-SEP-16,As Submitted,BATON ROUGE GENERAL ,3600 FLORIDA BLVD. ,,BATON ROUGE ,LA ,70806 ,EAST BATON ROUGE PARISH ,4314530,,,1417771,,,.1397,2016841,796412,253,92598,21161,10242,64151,66.55,1894.02,,4519,2005,14317,,,,248,14,1165,118 190081,01-JAN-16,31-DEC-16,As Submitted,WEST CARROLL HEALTH SYSTEMS LLC ,706 ROSS STREET ,,OAK GROVE ,LA ,71263 ,WEST CARROLL ,,,,48358,,,.12,,,33,12078,3888,21,6462,,124.39,,357,6,987,,,,,,, 190086,01-OCT-15,30-SEP-16,As Submitted,NORTHERN LOUISIANA MEDICAL CENTER ,401 EAST VAUGHN AVENUE ,,RUSTON ,LA ,71270- ,LINCOLN ,,,,606247,,,.2036,,,151,55266,9105,530,21179,,372.91,,1838,84,4621,982,,,,,, 190088,01-JAN-16,31-DEC-16,Amended,SPRINGHILL MED CTR AMENDED9-2017DSH ,2001 DOCTORS DRIVE ,,SPRINGHILL ,LA ,71075 ,WEBSTER PARISH ,,,,67845,,,.12,,,46,16836,1826,75,3141,,139.14,,475,130,746,,,,1,,149, 190090,01-JAN-16,31-AUG-16,As Submitted,WINN PARISH MEDICAL CENTER ,301 WEST BOUNDRY STREET ,152 ,WINNFIELD ,LA ,71483 ,WINN PARISH ,,,,41606,,,.1245,,,60,14640,1420,98,2668,,131.23,,160,59,628,,,,,,, 190090,01-SEP-16,31-MAR-17,Amended,WINN PARISH MEDICAL CENTER ,301 WEST BOUNDRY STREET ,152 ,WINNFIELD ,LA ,71483 ,WINN PARISH ,,,,40673,,,.1354,,,60,12720,1395,405,2293,,134.04,,289,106,526,,,,,,, 190098,01-OCT-15,30-SEP-16,As Submitted,UNIVERSITY HEALTH SHREVEPORT ,1501 KINGS HIGHWAY ,,SHREVEPORT ,LA ,71130-3932 ,CADDO ,7673609,,,3940937,,,.4823,3191790,1596683,424,155184,18802,8777,95084,389.97,2676.65,,3320,1288,18234,5509,241,,41,,1093, 190099,01-JAN-16,31-AUG-16,Amended,AVOYELLES HOSPITAL ,4231 HIGHWAY 1192 ,,MARKSVILLE ,LA ,71351 ,AVOYELLES ,,,,57675,,,.129,,,51,12444,1673,120,2455,,135.36,,417,16,616,64,,,,,, 190102,01-JUL-16,30-JUN-17,As Submitted,OUR LADY OF LOURDES RMC ,4801 AMBASSADOR CAFFERY PRKWY ,,LAFAYETTE ,LA ,70508 ,LAFAYETTE ,,,,481952,,,.0503,,,170,62050,23060,597,44079,,1067.98,,4534,83,9200,1040,,,,3,,220 190106,01-JAN-16,31-AUG-16,As Submitted,OAKDALE COMMUNITY HOSPITAL ,130 NORTH HOSPITAL DRIVE ,629 ,OAKDALE ,LA ,71463 ,ALLEN ,,,,33998,,,.1309,,,60,14640,1485,276,2500,,132.77,,267,48,432,,,,,,, 190106,01-SEP-16,31-MAR-17,As Submitted,OAKDALE COMMUNITY HOSPITAL ,130 NORTH HOSPITAL DRIVE ,629 ,OAKDALE ,LA ,71463 ,ALLEN ,,,,50312,,,.1866,,,49,10388,1464,297,2501,,129.79,,219,66,402,,,,,,, 190111,01-OCT-15,30-SEP-16,As Submitted,WILLIS-KNIGHTON HEALTH SYSTEMS ,2600 GREENWOOD ROAD ,,SHREVEPORT ,LA ,32600 ,CADDO ,1012747,,,3243302,,,.1364,434821,178046,621,211852,63200,2666,146297,26.5,3849.02,,11062,376,27397,5989,284,,14,4,1621,456 190114,01-JUL-16,30-JUN-17,As Submitted,HOMER MEMORIAL HOSPITAL ,620 EAST COLLEGE ,,HOMER ,LA ,71040 ,CLAIBORNE ,,,,83217,21997,,.1499,,,36,13140,3841,261,5882,,30.93,,582,31,991,143,1,,,,72, 190116,01-JUN-16,31-MAY-17,As Submitted,MOREHOUSE GENERAL HOSPITAL ,323 W. WALNUT STREET ,,BASTROP ,LA ,71121-1060 ,MOREHOUSE ,,,,56543,,,.12,,,49,17885,1796,44,4192,,166.04,,428,12,1133,453,,,,,, 190118,01-OCT-15,30-SEP-16,As Submitted,DESOTO REGIONAL HEALTH SYSTEM ,207 JEFFERSON STREET ,1636 ,MANSFIELD ,LA ,71052 ,DESOTO ,,,,45927,,,.12,,,34,13060,1337,43,2084,,141.93,,332,9,538,48,,,,,, 190125,01-JUL-16,30-JUN-17,As Submitted,ST. FRANCIS MEDICAL CENTER ,309 JACKSON ST ,,MONROE ,LA ,71201 ,OUACHITA ,,,,1678366,,,.189,,,469,172645,22785,1182,63088,,1572.47,,4372,140,11503,2570,,,,4,,169 190128,01-OCT-15,30-SEP-16,As Submitted,WOMANS HOSPITAL ,100 WOMANS WAY ,,BATON ROUGE ,LA ,70817-5100 ,EAST BATON ROUGE ,,,,61440,,,.394,,,216,79056,421,203,66425,18.56,1694.1,,125,34,11767,4486,,,,,, 190133,01-JUL-16,30-JUN-17,As Submitted,ALLEN PARISH HOSPITAL ,HWY 190 WEST ,1670 ,KINDER ,LA ,70648 ,ALLEN ,,,,19476,,,.1976,,,25,9125,691,25,1581,,79.96,,99,9,338,90,,,8,,802, 190140,01-MAY-16,30-APR-17,As Submitted,FRANKLIN MEDICAL CENTER ,2106 LOOP ROAD ,1300 ,WINNSBORO ,LA ,71295 ,FRANKLIN ,,,,96011,,,.2222,,,39,14235,1402,92,2450,,193.36,,366,25,608,125,,,,,, 190145,01-OCT-15,30-SEP-16,As Submitted,LASALLE GENERAL HOSPITAL INC. ,HIGHWAY 84 ,2780 ,JENA ,LA ,71342 ,LASALLE ,,,,19072,,,.0562,,,46,16836,1510,31,2066,,150.44,,332,7,500,,,,,,, 190146,01-JAN-16,31-DEC-16,As Submitted,EAST JEFFERSON GENERAL HOSPITAL ,4200 HOUMA ,,METAIRIE ,LA ,70006 ,JEFFERSON ,1527812,,,422260,,,.0517,1076337,512507,339,119904,16898,630,58304,31.54,1709.07,,3889,1255,12391,,,,,17,262,351 190151,01-OCT-15,30-SEP-16,As Submitted,RICHARDSON MEDICAL CENTER ,254 HWY 3048 ,388 ,RAYVILLE ,LA ,71239 ,RICHLAND ,,,,88136,,,.2059,,,38,13908,1912,63,3470,,165.46,,395,12,773,83,,,,,, 190160,01-MAR-16,28-FEB-17,As Submitted,GLENWOOD REGIONAL MEDICAL CENTER ,503 MCMILLAN ROAD ,,WEST MONROE ,LA ,71291 ,OUACHITA PARISH ,,,,1640042,,,.1891,,,214,78110,22450,1309,49267,,748.72,,4649,210,10690,2396,405,,18,2,1244,161 190167,01-OCT-15,30-SEP-16,As Submitted,MERCY REGIONAL MEDICAL CENTER ,800 EAST MAIN STREET ,349 ,VILLE PLATTE ,LA ,70586 ,EVANGELINE ,,,,750958,,,.3322,,,99,36234,6832,207,15042,,394.12,,1506,56,3469,,,,,,,121 190176,01-JAN-16,31-DEC-16,As Submitted,TULANE UNIVERSITY HOSPITAL & CLINICS ,1415 TULANE AVENUE ,,NEW ORLEANS ,LA ,70112 ,ORLEANS PARISH ,5896950,,,2196149,,,.3718,4932020,2360221,315,115290,15412,905,74974,177.63,1440.96,,2598,266,13440,5489,,,,48,,184 190177,01-JAN-16,31-DEC-16,Amended,LAKEVIEW - NICU TRADITIONAL (XIX) ,92 JUDGE TANNER BLVD ,,COVINGTON ,LA ,70433 ,,,,,764477,,,.2024,,,151,55266,7680,533,29109,,515.87,,1809,52,6368,2106,,,,,549, 190183,01-JUL-16,30-JUN-17,As Submitted,SOUTHERN REGIONAL MEDICAL CORP ,1978 INDUSTRIAL BOULEVARD ,,HOUMA ,LA ,70363 ,TERREBONNE PARISH ,292185,,,142503,,,.12,117876,182873,74,27010,2681,4329,9107,43.8,580,,777,1149,2532,,,,,,1051, 190184,01-APR-16,31-MAR-17,As Submitted,CITIZENS MEDICAL CENTER ,HWY 165 ,1079 ,COLUMBIA ,LA ,71418 ,CALDWELL ,,,,32195,,,.12,,,40,14600,1132,15,1829,,99.91,,246,2,433,62,,,,,, 190190,01-JAN-16,31-DEC-16,As Submitted,CALDWELL MEMORIAL HOSPITAL ,411 MAIN STREET ,899 ,COLUMBIA ,LA ,71418-0899 ,CALDWELL PARISH ,,,,42951,,,.12,,,37,13542,1209,54,2601,,72.83,,322,17,764,175,,,,24,,122 190199,01-JUL-16,30-JUN-17,As Submitted,VILLA FELICIANA MEDICAL COMPLEX ,HIGHWAY 10 ,,JACKSON ,LA ,70748 ,EAST FELICIANA PARISH ,,,,,,,,,,37,13505,,,34,,96.65,,,6,77,,,,,,, 190201,01-JUN-16,30-JUN-17,As Submitted,LAKE AREA MEDICAL CENTER ,4200 NELSON RD ,,LAKE CHARLES ,LA ,70605 ,CALCASIEU ,,,,272964,,,.2762,,,108,42660,1890,52,14815,,331.88,,568,14,3249,1208,,,,,, 190202,01-OCT-15,30-SEP-16,As Submitted,OCHSNER MEDICAL CENTER - BATON ROUGE ,MEDICAL CENTER DRIVE ,,BATON ROUGE ,LA ,70816 ,EAST BATON ROUGE ,,,,662313,,,.2481,,,159,58194,5457,578,27836,,962.97,,1404,105,7043,1434,,,,,, 190204,01-APR-16,31-MAR-17,As Submitted,OCHSNER MEDICAL CENTER -NORTHSHORE ,100 MEDICAL CENTER DRIVE ,,SLIDELL ,LA ,70461 ,ST TAMMANY ,,,,277566,,,.1072,,,151,55115,6000,516,17867,,465.87,,1397,67,4401,,,,,,,204 190208,01-JUN-16,31-MAY-17,As Submitted,EAST CARROLL PARISH HOSPITAL ,336 NORTH HOOD STREET ,,LAKE PROVIDENCE ,LA ,71254 ,EAST CARROLL ,,,,29577,,,.12,,,23,8395,829,70,1787,,84.74,,270,25,659,92,,,,,, 190218,01-APR-16,31-MAR-17,As Submitted,SABINE MEDICAL CENTER ,240 HIGHLAND DRIVE ,,MANY ,LA ,71449 ,SABINE ,,,,36456,,,.12,,,48,17520,1108,198,1873,,130.32,,294,124,529,65,,,,,, 190236,01-OCT-15,30-SEP-16,As Submitted,WILLIS-KNIGHTON BOSSIER ,2400 HOSPITAL DRIVE ,,BOSSIER CITY ,LA ,71111 ,BOSSIER ,,,,422165,,,.0757,,,166,54200,14089,780,31995,,819.8,,3248,130,8001,819,,,,,, 190241,01-JAN-16,31-DEC-16,As Submitted,PHYSICIANS MEDICAL CENTER ,218 CORPORATE DRIVE ,,HOUMA ,LA ,70360 ,TERREBONNE PARISH ,,,,,,,,,,30,10980,119,,532,,115.2,,38,,208,,,,,,, 190242,01-JUL-16,30-JUN-17,As Submitted,OUR LADY OF THE LAKE ASCENSION ,1125 WEST HWY 30 ,,GONZALES ,LA ,70737 ,ASCENSION ,,,,144890,,,.12,,,78,28470,3197,279,12359,,404.48,,670,57,2727,486,,,,,, 190245,01-JAN-16,31-DEC-16,As Submitted,MONROE SURGICAL HOSPITAL ,2408 BROADMOOR BLVD. ,,MONROE ,LA ,71201 ,OUACHITA ,,,,,,,,,,10,3660,212,,641,,91.5,,87,,294,,,,,,, 190246,01-JAN-16,31-DEC-16,As Submitted,P&S SURGICAL HOSPITAL ,312 GRAMMONT STREET SUITE 101 ,,MONROE ,LA ,71201 ,OUACHITA ,,,,,,,,,,22,8052,301,,898,,130.92,,144,,397,2,,,,,, 190250,01-JAN-16,09-FEB-17,As Submitted,LOUISIANA HEART HOSPITAL ,64030 HIGHWAY 434 ,,LACOMBE ,LA ,70445 ,ST TAMMANY PARISH ,,,,,,,,,,137,55622,6199,144,14436,,434,,1625,21,3910,,,,,,, 190251,01-JAN-16,31-DEC-16,As Submitted,SURGICAL SPECIALTY CENTER BATON ROU ,8080 BLUEBONNET BLVD. ,,BATON ROUGE ,LA ,70810 ,E. BATON ROUGE PARISH ,,,,,,,,,,16,5856,99,5,497,,151,,62,3,306,,,,,,, 190255,01-JAN-16,31-DEC-16,As Submitted,PARK PLACE SURGERY CENTER ,901 WILSON ST. ,,LAFAYETTE ,LA ,70503 ,LAFAYETTE ,,,,,,,,,,10,3660,141,4,760,,151.35,,99,1,443,,,,,,, 190256,01-JAN-16,31-DEC-16,As Submitted,DOCTORS HOSPITAL OF SLIDELL LLC ,989 ROBERT DRIVE ,,SLIDELL ,LA ,70458 ,ST. TAMMANY ,,,,,,,,,,10,3660,55,,240,,39.75,,22,,103,,,,,,, 190259,01-JAN-16,31-DEC-16,As Submitted,LAFAYETTE SURGICAL SPECIALTY HOSPITA ,1101 KALISTE SALOOM ,,LAFAYETTE ,LA ,70508 ,LAFAYETTE ,,,,,,,,,,20,7320,571,,1980,,189.34,,273,,1032,,,,,,, 190263,01-JUL-16,30-JUN-17,As Submitted,HEART HOSPITAL OF ACADIANA ,1105 KALISTE SALOOM ROAD ,,LAFAYETTE ,LA ,70508 ,,,,,,,,,,,32,11680,3446,14,6043,,186.59,,1009,4,1679,76,,,,,, 190266,01-JAN-16,31-DEC-16,As Submitted,THE SPINE HOSPITAL OF LOUISIANA ,10105 PARK ROWE CIRCLE ,,BATON ROUGE ,LA ,70810 ,BATON ROUGE ,,,,,,,,,,23,8418,403,,2044,,114.02,,214,,1207,,,,,,, 190267,01-JAN-16,31-DEC-16,As Submitted,FAIRWAY MEDICAL CENTER ,67252 INDUSTRY LANE ,,COVINGTON ,LA ,70433 ,ST TAMMANY ,,,,,,,,,,21,7686,67,,242,,91.68,,37,,145,,,,,,, 190268,01-JAN-16,31-DEC-16,As Submitted,LAFAYETTE GENERAL SURGICAL HOSPITAL ,1000 WEST PINHOOK RD ,,LAFAYETTE ,LA ,70503 ,LAFAYETTE ,,,,,,,,,,10,3660,97,,219,,55.67,,60,,142,,,,,,, 190270,01-OCT-15,31-DEC-15,As Submitted,SOUTHERN SURGICAL HOSPITAL ,1700 LINDBERG DRIVE ,,SLIDELL ,LA ,70458 ,ST. TAMMANY ,,,,,,,,,,37,3404,206,,707,,30.67,,76,,330,,,,,,, 190270,01-JAN-16,31-DEC-16,As Submitted,SOUTHERN SURGICAL HOSPITAL ,1700 LINDBERG DRIVE ,,SLIDELL ,LA ,70458 ,ST. TAMMANY ,,,,,,,,,,37,13542,599,,2425,,105.92,,228,,1217,,,,,,, 190274,01-MAY-16,30-APR-17,As Submitted,OCHSNER MEDICAL CENTER - KENNER LLC ,180 WEST ESPLANADE AVE. ,,KENNER ,LA ,70065 ,JEFFERSON ,1766321,,,565706,,,.2094,824913,664286,131,42023,5530,404,25529,38.23,,,1327,73,6305,,,,,,, 190278,01-JAN-16,31-DEC-16,Amended,SPECIALISTS HOSPITAL OF SHREVEPORT ,1500 LINE AVENUE SUITE 206 ,,SHREVEPORT ,LA ,71101- ,CADDO ,,,,,,,,,,15,5490,1235,,2678,,168.52,,623,,1373,,,,,,, 190297,01-JAN-16,31-DEC-16,As Submitted,DOCTORS HOSPITAL AT DEER CREEK ,815 SOUTH 10TH STREET ,,LEESVILLE ,LA ,71446 ,VERNON ,,,,,,,,,,10,3660,1070,3,1697,,70.45,,298,1,518,,,,,,, 190298,01-JUN-16,31-MAY-17,As Submitted,CENTRAL LOUISIANA SURGICAL HOSPITAL ,651 N. BOLTON AVE ,,ALEXANDRIA ,LA ,71301 ,RAPIDES ,,,,,,,,,,24,8760,1514,2,2756,,284.9,,669,2,1237,,,,,,, 190300,01-JAN-16,31-DEC-16,As Submitted,ST. CHARLES SURGICAL HOSPITAL ,1717 ST CHARLES AVENUE ,,NEW ORLEANS ,LA ,70130 ,ORLEANS PARISH ,,,,,,,,,,39,14274,124,,1347,,61,,35,,377,,,,,,, 190302,01-JAN-16,31-DEC-16,As Submitted,OMEGA HOSPITAL LLC ,2525 SEVERN AVENUE ,,METAIRIE ,LA ,70002 ,JEFFERSON ,,,,,,,,,,16,5856,21,,215,,46.64,,13,,116,,,,,,, 190303,01-JAN-16,31-DEC-16,As Submitted,HAMMOND SURGICAL L.L.C. ,42570 S. AIRPORT ROAD ,,HAMMOND ,LA ,70403 ,TANGIPOHOA ,,,,,,,,,,30,10980,333,,1248,,132.75,,161,,641,,,,,,, 190307,01-JAN-16,31-DEC-16,As Submitted,SOUTH CAMERON MEMORIAL HOSPITAL ,5360 W CREOLE HWY ,,CAMERON ,LA ,70631 ,CAMERON ,,,,,,,,,,25,9150,7,,12,,38.3,,2,,5,,318,,10,,641, 190308,01-JAN-16,31-DEC-16,As Submitted,ST. BERNARD PARISH HOSPITAL ,8000 WEST JUDGE PEREZ DRIVE ,,CHALMETTE ,LA ,70043 ,ST. BERNARD ,,,,94296,,,.12,,,40,14640,1990,123,5845,,254.16,,460,22,1395,,,,,,, 190312,01-JUL-16,30-JUN-17,As Submitted,OUR LADY OF THE ANGELS HOSPITAL MC ,400 MEMPHIS STREET ,40 ,BOGALUSA ,LA ,70429-0040 ,WASHINGTON ,45359,,,118401,,,.12,12576,10572,31,11315,2628,98,6702,12.83,421.87,,654,27,1592,634,,,200,,434, 190313,01-JUL-16,30-JUN-17,As Submitted,NEW ORLEANS EAST HOSPITAL ,5620 READ BOULEVARD ,,NEW ORLEANS ,LA ,70127 ,ORLEANS ,,,,35047,,,.12,,,60,21900,748,1022,3067,,179.05,,200,313,914,,,,,,, 191300,01-NOV-15,31-OCT-16,As Submitted,ST. HELENA PARISH HOSPITAL ,16874 HIGHWAY 43 ,337 ,GREENSBURG ,LA ,70441- ,ST. HELENA PARISH ,,,,,,,,,,25,9150,1358,8,2141,,114.62,,38,1,70,,,,,,, 191301,01-JUL-16,30-JUN-17,As Submitted,UNION GENERAL HOSPITAL INC. ,901 JAMES AVE ,398 ,FARMERVILLE ,LA ,71241- ,UNION PARISH ,,,,,,,,,,20,7300,1262,33,1717,,104.39,,152,8,236,22,,,,,, 191302,01-OCT-15,30-SEP-16,As Submitted,ST MARTIN HOSPITAL ,210 CHAMPAGNE BLVD ,357 ,BREAUX BRIDGE ,LA ,70157 ,ST MARTIN PARISH ,,,,,,,,,,25,9150,4079,11,4631,,142.18,,130,3,186,,,,,,, 191303,01-JUL-16,30-JUN-17,As Submitted,OUR LADY OF THE LAKE ASSUMPTION COM ,135 HIGHWAY 402 ,,NAPOLEONVILLE ,LA ,70390-2217 ,ASSUMPTION ,,,,,,,,,,15,5475,133,,157,,36.38,,43,,51,,,,,,, 191304,01-JUL-16,30-JUN-17,As Submitted,NORTH CADDO MEDICAL CENTER ,715 SOUTH PINE ,792 ,VIVIAN ,LA ,71082 ,CADDO ,,,,,,,,,,25,9125,2174,28,4097,.62,188.92,,327,6,705,180,,,,,, 191305,01-APR-16,31-MAR-17,As Submitted,ST. JAMES PARISH HOSPITAL ,1645 LUTCHER AVENUE ,,LUTCHER ,LA ,70071- ,ST. JAMES PARISH ,,,,,,,,,,25,9125,1210,3,2810,,167.29,,151,1,442,,,,,,, 191306,01-NOV-15,31-OCT-16,As Submitted,WEST FELICIANA PARISH HOSPITAL ,5266 COMMERCE STREET ,368 ,ST. FRANCISVILLE ,LA ,70775- ,WEST FELICIANA PARISH ,,,,,,,,,,22,8052,137,12,271,,126.61,,11,10,61,,,,,,, 191307,01-JAN-16,31-DEC-16,As Submitted,DEQUINCY MEMORIAL HOSPITAL ,110 WEST FOURTH STREET ,1166 ,DEQUINCY ,LA ,70633- ,CALCASIEU ,,,,,,,,,,19,6954,1288,11,1710,,68.02,,86,2,110,4,,,,,144, 191309,01-OCT-15,30-SEP-16,As Submitted,HOOD MEMORIAL HOSPITAL ,301 WEST WALNUT ,,AMITE ,LA ,70422- ,TANGIPAHOE ,,,,,,,,,,30,10980,5310,6,6187,,138.07,,88,1,130,,,,,,, 191310,01-OCT-15,30-SEP-16,As Submitted,FRANKLIN FOUNDATION HOSPITAL ,1097 NORTHWEST BLVD ,,FRANKLIN ,LA ,70538- ,ST. MARY PARISH ,,,,,,,,,,25,9150,2589,77,3756,,181.48,,235,13,625,,,,,,, 191311,01-JUL-16,30-JUN-17,As Submitted,BUNKIE GENERAL HOSPITAL ,427 EVERGREEN HWY ,380 ,BUNKIE ,LA ,71322- ,,,,,,,,,,,25,9125,289,5,487,,79.97,,47,2,108,16,,,,,, 191312,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS COUSHATTA HEALTH CARE CTR ,1635 MARVEL STREET ,589 ,COUSHATTA ,LA ,71019- ,RED RIVER PARISH ,,,,,,,,,,25,9125,3359,42,5125,,135.24,,498,9,1149,,,,,,, 191313,01-JAN-16,31-DEC-16,As Submitted,RIVERSIDE MEDICAL CENTER ,1900 SOUTH MAIN STREET ,,FRANKLINTON ,LA ,70438- ,,,,,,,,,,,25,9150,1010,14,1448,,207.57,,202,4,319,18,,,,,, 191314,01-JAN-16,31-DEC-16,As Submitted,MADISON PARISH HOSPITAL ,900 JOHNSON STREET ,1559 ,TALLULAH ,LA ,71384 ,MADISON ,,,,,,,,,,25,9150,1095,22,1559,,113.2,,153,2,262,,,,,,, 191315,01-OCT-15,30-SEP-16,As Submitted,HARDTNER MEDICAL CENTER ,1102 N. PINE ROAD ,,OLLA ,LA ,71465- ,LASALLE ,,,,,,,,,,25,9150,2775,939,4605,,159.79,,386,192,802,,,,19,,221, 191316,01-NOV-15,31-OCT-16,As Submitted,POINTE COUPEE GENERAL HOSPITAL ,2202 FALSE RIVER ,578 ,NEW ROADS ,LA ,70760 ,POINTE COUPEE ,,,,,,,,,,25,9150,698,3,1947,,173.93,,127,1,263,,,,,,, 191317,01-OCT-15,30-SEP-16,As Submitted,JACKSON PARISH HOSPITAL ,165 BEECH SPRINGS ROAD ,605 ,JONESBORO ,LA ,71251- ,JACKSON ,,,,,,,,,,25,9150,673,33,1454,,137.88,,197,10,442,,,,,,, 191318,01-OCT-15,30-SEP-16,As Submitted,RIVERLAND MEDICAL CENTER ,1700 EE WALLACE BOULEVARD NORTH ,111 ,FERRIDAY ,LA ,71334 ,CONCORDIA ,,,,,,,,,,25,9150,3459,92,4397,,147.35,,431,16,775,69,,,,,, 191319,01-JUL-16,30-JUN-17,As Submitted,ACADIA-ST. LANDRY HOSPITAL ,810 SOUTH BROADWAY ,,CHURCH POINT ,LA ,70525 ,,,,,,,,,,,15,5475,3283,5,3311,,75.84,,25,3,33,,,,131,,349, 191320,01-JAN-16,31-DEC-16,As Submitted,BIENVILLE MEDICAL CENTER ,1175 PINE STREET SUITE 200 ,,ARCADIA ,LA ,71001 ,BIENVILLE ,,,,,,,,,,25,9125,598,6,754,,51.71,,85,2,125,,,,,,, 191321,01-JUL-16,30-JUN-17,As Submitted,LALLIE KEMP REG. MEDICAL CENTER ,5279 HIGHWAY 51 SOUTH ,,INDEPENDENCE ,LA ,70443 ,TANGIPAHOA ,,,,,,,,,,24,8760,409,98,2415,,,,127,18,621,,,,,,, 191322,01-OCT-15,30-SEP-16,As Submitted,ABROM KAPLAN MEMORIAL HOSPITAL ,1310 WEST 7TH STREET ,,KAPLAN ,LA ,70548 ,VERMILION ,,,,,,,,,,25,9150,1164,11,1598,,85.32,,151,3,220,,,,18,,361, 191323,01-OCT-15,30-SEP-16,As Submitted,RICHLAND PARISH HOSPITAL NO. 1 A ,407 CINCINNATI ST ,,DELHI ,LA ,71232- ,RICHLAND ,,,,,,,,,,25,9150,1674,183,2372,,137.13,,244,35,388,,,,,,, 191324,01-JAN-16,31-DEC-16,As Submitted,OCHSNER BAYOU LLC ,4608 HIGHWAY 1 ,,RACELAND ,LA ,70394 ,LAFOURCHE ,,,,,,,,,,25,9150,1084,32,3783,,257.29,,242,10,962,,,,8,,626, 191325,01-JUL-16,30-JUN-17,As Submitted,LADY OF SEA HOSPTAL CARE & CAID TRAD ,200 WEST 134TH PLACE ,,CUT OFF ,LA ,70345- ,,,,,,,,,,,23,8395,1534,6,2915,,178.73,,247,1,812,,,,,,, 191326,01-JAN-16,31-DEC-16,As Submitted,REEVES MEMORIAL MEDICAL CENTER ,401 FIRST ST. ,697 ,BERNICE ,LA ,71222 ,UNION ,,,,,,,,,,15,5490,1019,65,1298,,59.94,,93,8,128,,,,,,, 192007,01-OCT-15,31-AUG-16,As Submitted,LOUISIANA CONTINUING CARE HOSPITAL ,1101 MEDICAL CENTER BLVD 7TH FLOOR ,,MARRERO ,LA ,70072 ,JEFFERSON ,,,,,,,,,,44,14784,3669,31,4862,,55.48,,205,2,292,,,,,,, 192008,01-JAN-16,31-DEC-16,As Submitted,DENHAM SPRINGS - AMG SPECIALTY HOSPI ,8375 FLORIDA BOULEVARD ,,DENHAM SPRINGS ,LA ,70726 ,EAST BATON ROUGE PARISH ,,,,,,,,,,59,21594,7202,195,8552,,44.15,,341,14,412,,,,,,, 192010,01-JAN-16,31-DEC-16,As Submitted,PROMISE HOSPITAL OF LOUISIANA INC. ,1800 IRVING ,,SHREVEPORT ,LA ,71101 ,CADDO ,,,,,,,,,,196,71736,41064,222,46547,,434.16,,1753,10,1998,43,,,,,, 192012,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS DUBUIS - ALEXANDRIA ,3330 MASONIC DRIVE ,,ALEXANDRIA ,LA ,71301- ,RAPIDES ,,,,,,,,,,25,9125,3821,,5320,,43.73,,142,,204,,,,,,, 192015,01-JUN-16,31-MAY-17,As Submitted,LA EXTENDED CARE OF KENNER ,901 HUGH WALLIS RD. S ,,LAFAYETTE ,LA ,70508 ,JEFFERSON ,,,,,,,,,,32,11680,3287,601,7998,,100.76,,131,24,312,,,,,,, 192016,01-JUN-16,31-MAY-17,As Submitted,SPECIALTY HOSPITAL ,901 HUGH WALLIS RD. S ,,LAFAYETTE ,LA ,70508 ,OUACHITA ,,,,,,,,,,32,11680,6290,82,8576,,89.76,,267,4,358,,,,,,, 192019,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL SPECIALTY HOSPITAL ,524 DR. MICHAEL DEBAKEY DRIVE ,,LAKE CHARLES ,LA ,70601 ,CALCASIEU PARISH ,,,,,,,,,,29,10614,4422,152,6712,,44.4,,178,6,264,10,,,,,, 192022,01-JUN-16,31-MAY-17,As Submitted,LIFECARE SPECIALTY HOSPITAL OF N. LA ,1401 EZELL STREET ,,RUSTON ,LA ,71270 ,LINCOLN PARISH ,,,,,,,,,,55,20075,8766,,9827,,104.04,,373,,436,,,,,,, 192023,01-JAN-16,31-DEC-16,As Submitted,SPECIALTY HOSPITAL OF NEW ORLEANS ,14500 HAYNE BLVD ,,NEW ORLEANS ,LA ,70128- ,ORLEANS PARISH ,,,,,,,,,,21,7686,1134,2405,3605,,115,,42,63,107,,,,,,, 192028,01-JAN-16,31-DEC-16,As Submitted,PROFESSIONAL REHAB HOSPITAL ,209 FRONT STREET ,,VIDALIA ,LA ,71373 ,CONCORDIA ,,,,,,,,,,40,14640,9191,,9988,,108.96,,434,,471,6,,,,,, 192029,01-JAN-16,31-DEC-16,As Submitted,LTAC OF LOUISIANA LLC ,310 YOUNGSVILLE HWY ,,LAFAYETTE ,LA ,70508 ,LAFAYETTE ,,,,,,,,,,18,14456,8140,,9223,,80.14,,367,,416,1,,,,,, 192036,01-JAN-16,31-DEC-16,As Submitted,POST ACUTE MEDICAL OF HAMMOND ,42074 VETERNS AVENUE ,,HAMMOND ,LA ,70403 ,TANGIAHOA ,,,,,,,,,,40,14640,8354,56,10518,,95.49,,400,3,481,,,,,,, 192037,01-JUN-16,31-MAY-17,As Submitted,HOUMA - AMG SPECIALTY HOSPITAL ,629 DUNN STREET ,,HOUMA ,LA ,70360-4707 ,TERREBONNE ,,,,,,,,,,40,14560,8402,7,9875,,93.71,,390,1,457,3,,,,,, 192041,01-JAN-16,31-DEC-16,As Submitted,ZACHARY-AMG SPECIALTY HOSPITAL ,4601 MCHUGH RD. BLDG B ,,ZACHARY ,LA ,70791 ,EAST BATON ROUGE ,,,,,,,,,,16,5856,1780,150,2966,,29.07,,184,5,230,6,,,,,, 192043,01-JUL-16,30-JUN-17,As Submitted,RIVERSIDE HOSPITAL OF LOUISIANA ,13 HEYMAN LANE ,,ALEXANDRIA ,LA ,71303 ,,,,,,,,,,,28,10220,6819,12,8810,,63.21,,332,1,437,,,,,,, 192048,01-JAN-16,31-DEC-16,As Submitted,PAM II OF COVINGTON ,20050 CRESTWOOD BLVD ,,COVINGTON ,LA ,70433 ,ST. TAMMANY PARISH ,,,,,,,,,,58,21228,7315,8,10707,,124.88,,399,1,546,,,,,,, 192049,01-JAN-16,31-DEC-16,As Submitted,PROMISE HOSPITAL OF BATON ROUGE INC ,5130 MANCUSO LANE ,,BATON ROUGE ,LA ,70809 ,EAST BATON ROUGE PARISH ,,,,,,,,,,57,20862,6744,12,10885,,81.18,,306,2,474,,,,,,, 192052,01-APR-16,31-MAR-17,As Submitted,SPECIALTY HOSPITAL OF WINNFIELD ,915 FIRST STREET ,,WINNFIELD ,LA ,71483 ,WINN ,,,,,,,,,,20,7300,3639,76,4038,,33.2,,187,4,207,,,,,,, 193028,01-OCT-15,30-SEP-16,As Submitted,BATON ROUGE REHAB HOSPITAL ,8595 UNITED PLAZA BLVD. ,,BATON ROUGE ,LA ,70809 ,EAST BATON ROUGE ,,,,,,,,,,81,29646,4589,77,9112,,,,352,4,668,11,,,,,, 193031,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,104 NORTH THIRD STREET ,Y ,ALEXANDRIA ,LA ,71301 ,RAPIDES PARISH ,,,,,,,,,,47,17202,8981,86,11658,,105.07,,698,6,896,51,,,,,, 193044,01-JUL-16,30-JUN-17,As Submitted,N. OAKS REHABILITATION HOSPITAL ,1900 S. MORRISON BLVD. ,P.O. BOX 2668 ,HAMMOND ,LA ,70404 ,TANGIPAHOA ,,,,,,,,,,27,9855,3438,53,6244,,38.25,,319,4,563,70,,,,,, 193050,01-APR-16,31-MAR-17,As Submitted,TRI PARISH REHABILITATION HOSPITAL ,8088 HAWKS ROAD ,,ROSEPINE ,LA ,70659 ,VERNON ,,,,,,,,,,36,13140,4739,434,5810,,72.24,,355,27,415,,,,,,, 193058,01-JUN-16,31-MAY-17,As Submitted,BASTROP REHABILITATION HOSPITAL ,4310 SOUTH GRAND STREET ,,MONROE ,LA ,71202 ,OUACHITA PARISH ,,,,,,,,,,12,4380,1421,14,1676,,29.88,,112,1,135,10,,,,,, 193069,01-JAN-16,31-DEC-16,As Submitted,STERLINGTON REHAB HOSPITAL ,P O BOX 627 ,,STERLINGTON ,LA ,71280 ,OUACHITA ,,,,,,,,,,10,3660,3143,42,3350,,61.62,,255,3,271,,,,,,, 193070,01-JUL-16,30-JUN-17,As Submitted,MMO REHAB AND WELLNESS CENTER ,4660 CONVENTION STREET ,,BATON ROUGE ,LA ,70802 ,EAST BATON ROUGE ,,,,,,,,,,15,5475,1240,56,1431,,32.17,,91,4,103,3,,,,,, 193074,01-JUL-16,30-JUN-17,As Submitted,UNITED MEDICAL HEALTHWEST ,3201 WALL BOULEVARD ,,GRETNA ,LA ,70056 ,JEFFERSON ,,,,,,,,,,15,5475,2014,961,3891,,51.96,,167,54,267,,,,,,, 193078,01-JAN-16,31-DEC-16,As Submitted,SAGE REHAB. HOSPITAL ,8000 SUMMA AVENUE ,,BATON ROUGE ,LA ,70809 ,EAST BATON ROUGE ,,,,,,,,,,27,9882,4146,24,5012,,93.56,,294,1,349,,,,,,, 193079,01-JAN-16,31-DEC-16,As Submitted,UNITED MEDICAL REHABILITATION HOSPIT ,15717 BELLE DRIVE ,,HAMMOND ,LA ,70403 ,TANGIPAHOA ,,,,,,,,,,20,7300,4978,245,7312,,62.27,,439,64,590,,,,,,, 193080,01-JAN-16,31-DEC-16,As Submitted,SPECIALTY REHABILITATION HOSPITAL ,1110 RINGGOLD AVE ,,COUSHATTA ,LA ,71019 ,RED RIVER ,,,,,,,,,,12,4392,2617,378,3381,,38.14,,205,20,254,,,,,,, 193086,01-JAN-16,31-DEC-16,As Submitted,LEESVILLE REHABILITATION HOSPITAL ,900 SOUTH 9TH STREET ,,LEESVILLE ,LA ,71446 ,,,,,,,,,,,16,5856,3082,41,3693,,40.82,,261,3,310,,,,,,, 193090,01-JAN-16,31-DEC-16,As Submitted,THE NEUROMEDICAL CENTER ,10101 PARK ROWE AVENUE ,,BATON ROUGE ,LA ,70810 ,EAST BATON ROUGE ,,,,,,,,,,27,9882,3240,,6327,,74.25,,229,,448,5,,,,,, 193094,01-JAN-16,31-DEC-16,As Submitted,PATHWAY REHABILITATION HOSPITAL LLC ,4900 MEDICAL DRIVE ,,BOSSIER CITY ,LA ,71112-4521 ,BOSSIER ,,,,,,,,,,24,8784,4505,,5154,,43.9,,353,,419,4,,,,,, 193096,01-JUN-16,31-MAY-17,As Submitted,IBERIA REHABILITATION HOSPITAL ,523 JEFFERSON TERRACE STREET ,,NEW IBERIA ,LA ,70560 ,IBERIA PARISH ,,,,,,,,,,40,14600,5541,823,7387,,72.63,,417,46,539,,,,,,, 193097,10-MAY-16,31-AUG-16,As Submitted,COVINGTON AMG REHABILITATION HOSPITA ,5025 COVINGTON AMG REHABILITATION H ,,COVINGTON ,LA ,70433 ,ST. TAMMANY ,,,,,,,,,,24,2736,948,,997,,35.98,,75,,78,,,,,,, 193300,01-JAN-16,31-DEC-16,As Submitted,CHILDRENS HOSPITAL ,200 HENRY CLAY AVENUE ,,NEW ORLEANS ,LA ,70118 ,,,,,,,,,,,187,68442,439,29062,40802,102.83,1454.28,,72,3602,5510,,,,1084,,1572, 194008,01-JUL-16,30-JUN-17,As Submitted,EAST LA STATE HOSPITAL ,4502 HIGHWAY 951 ,498 ,JACKSON ,LA ,70748 ,EAST FELICIANA ,,,,,,,,,,158,52474,121,354,47727,,186,,14,1,204,,,,,,, 194020,01-JAN-16,31-DEC-16,As Submitted,BRENTWOOD BEHAVIORAL-SHREVEPORT ,1006 HIGHLAND AVENUE ,,SHREVEPORT ,LA ,71101 ,CADO ,,,,,,,,,,176,64416,8078,2542,56474,,317.3,,623,231,6462,,,,,,, 194022,01-JAN-16,31-DEC-16,As Submitted,LONGLEAF HOSPITAL ,44 VERSAILES BLVD ,,ALEXANDRIA ,LA ,71303 ,,,,,,,,,,,92,33672,4373,2093,26754,,163.48,,327,257,3160,,,,,,, 194025,01-JUL-16,30-JUN-17,As Submitted,CENTRAL LA. STATE HOSPITAL ,PO BOX 5031 ,5031 ,PINEVILLE ,LA ,71360 ,RAIPES ,,,,,,,,,,196,71540,1,,43325,,279,,1,,40,,,,,,, 194031,01-JAN-16,31-DEC-16,As Submitted,RIVER OAKS HOSPITAL ,1525 RIVER OAKS W. AVE ,,HARAHANELO ,LA ,76901 ,JEFFERSON PARISH ,,,,,,,,,,126,46116,5918,1382,27661,,154.9,,427,197,3428,,,,,,, 194044,01-DEC-15,30-NOV-16,As Submitted,ACADIA VERMILION HOSPITAL ,2520 UNIVERSITY AVENUE ,,LAFAYETTE ,LA ,70507 ,LAFAYETTE ,,,,,,,,,,54,19764,2875,2714,18603,,127.24,,239,362,2088,,,,,,, 194056,01-MAY-16,30-APR-17,As Submitted,COMMUNITY CARE HOSPITAL ,1421 GENERAL TAYLOR ,,NEW ORLEANS ,LA ,70115 ,ORLEANS ,,,,,,,,,,38,13870,1612,915,8647,,109.91,,211,141,1329,,,,,,, 194069,01-JAN-16,31-DEC-16,As Submitted,GREENBRIER BEHAVIORAL HEALTH ,201 GREENBRIER BLVD ,,COVINGTON ,LA ,70433 ,,,,,,,,,,,60,21960,2943,295,15356,,115.29,,291,37,2003,,,,,,, 194073,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF LAFAYE ,418 ALBERTSON PARKWAY ,,BROUSSARD ,LA ,70518 ,LAFAYETTE PARISH ,,,,,,,,,,38,13908,9280,,12344,,101.17,,601,,902,,,,,,, 194074,01-JAN-16,31-DEC-16,As Submitted,SOLUTIONS MEDICAL CONSULTING LLC ,1495 FRAZIER ROAD ,,RUSTON ,LA ,71270 ,LINCOLN ,,,,,,,,,,18,6588,1493,,5389,,42.31,,116,,650,224,,,,,, 194075,01-JUL-16,01-NOV-16,As Submitted,WESTEND HOSPITAL ,1530 HIGHWAY 90 W ,,JENNINGS ,LA ,70546 ,JEFF DAVIS ,,,,,,,,,,20,2480,359,331,1780,,15.95,,28,26,172,,,,,,, 194078,01-JAN-16,31-DEC-16,As Submitted,OPTIMA SPECIALTY HOSPITAL ,1131 RUE DE BELIER ,,LAFAYETTE ,LA ,70506 ,LAFAYETTE ,,,,,,,,,,24,8784,2662,1076,7863,,53.01,,225,119,908,,,,,,, 194079,01-JUL-16,30-JUN-17,As Submitted,RED RIVER BEHAVIORAL CENTER ,2800 MELROSE AVENUE ,,BOSSIER CITY ,LA ,71111 ,BOSSIER ,,,,,,,,,,20,7300,4869,,6017,,39.34,,287,,344,,,,,,, 194080,01-JAN-16,31-DEC-16,As Submitted,BEACON BEHAVIORAL HOSPITAL NORTHSHOR ,64026 HIGHWAY 434 SUITE 300 ,,LACOMBE ,LA ,70445 ,ST. TAMMANY PARISH ,,,,,,,,,,22,8052,4023,,5790,,115,,323,,458,25,,,,,, 194081,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF DERIDD ,1420 BLANKENSHIP DRIVE ,,DERIDDER ,LA ,70634 ,BEAUREGARD PARISH ,,,,,,,,,,20,7320,4392,,5779,,45.09,,278,,401,,,,,,, 194082,01-JAN-16,31-DEC-16,As Submitted,JENNINGS SENIOR CARE HOSPITAL LLC ,1 HOSPITAL DRIVE ,,JENNINGS ,LA ,70546 ,JEFF DAVIS ,,,,,,,,,,16,5840,3872,133,4463,,54.25,,232,15,297,,,,,,, 194083,01-JAN-16,31-DEC-16,As Submitted,LIBERTY HEALTHCARE SYSTEMS ,4673 EUGENE WARE ROAD ,,BASTROP ,LA ,71220 ,MOREHOUSE PARISH ,,,,,,,,,,60,21960,,230,7122,,79.12,,,26,665,,,,,,, 194084,01-JAN-16,31-DEC-16,As Submitted,BEACON BEHAVIORAL HOSPITAL N.O. INC ,9938 AIRLINE HWY STE 200 ,,BATON ROUGE ,LA ,70816 ,BATON ROUGE ,,,,,,,,,,34,12444,2860,,8173,,158,,209,,853,165,,,,,, 194085,01-JAN-16,31-DEC-16,As Submitted,COMPASS BEHAVIORAL CENTER LLC ,P.O. BOX 425 ,,CROWLEY ,LA ,70527 ,ACADIA ,,,,,,,,,,34,12444,4966,306,6355,,83.7,,355,52,596,,,,,,, 194086,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF BATON ,11135 FLORIDA BOULEVARD ,,BATON ROUGE ,LA ,70815 ,E. BATON ROUGE PARISH ,,,,,,,,,,20,7320,5406,,6598,,58.54,,306,,427,,,,,,, 194087,01-JAN-16,31-DEC-16,As Submitted,ALLEGIANCE HEALTH CTR OF RUSTON ,1401 EZELLE STREET ,,RUSTON ,LA ,71270 ,LINCOLN ,,,,,,,,,,28,7840,5918,,7834,,94.45,,391,,563,,,,,,, 194088,01-JAN-16,31-DEC-16,As Submitted,ST. JAMES BEHAVIORAL HEALTH HOSP ,3136 SOUTH ST. LANDRY ROAD ,,GONZALES ,LA ,70737 ,ASCENSION ,,,,,,,,,,28,10248,3202,,9023,,82.02,,260,,945,196,,,,,, 194089,01-JAN-16,31-DEC-16,As Submitted,GENESIS BEHAVIORAL HOSPITAL INC ,847 STEWART STREET ,,LAFAYETTE ,LA ,70501 ,LAFAYETTE ,,,,,,,,,,18,6588,3392,,5384,,80,,342,,704,,,,,,, 194090,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF LAKE C ,4250 5TH AVENUE ,,LAKE CHARLES ,LA ,70607 ,CALCASIEU PARISH ,,,,,,,,,,40,12400,6917,,9494,,75.25,,488,,775,,,,,,, 194091,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF KENTWO ,921 AVENUE G ,,KENTWOOD ,LA ,70444 ,TANGIPAHOA PARISH ,,,,,,,,,,16,5856,4479,,5142,,38.11,,311,,399,,,,,,, 194094,01-JAN-16,31-DEC-16,As Submitted,PHYSICIANS BEHAVIORAL HOSPITAL OF SH ,2025 DESOTO STREET ,,SHREVEPORT ,LA ,71103 ,SHREVEPORT ,,,,,,,,,,24,8784,6431,,7572,,57.76,,344,8,426,,,,,,, 194095,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF OPELOU ,1310 HEATHER DRIVE ,,OPELOUSAS ,LA ,70570 ,ST. LANDRY PARISH ,,,,,,,,,,20,7320,5187,,5949,,48.46,,255,,309,,,,,,, 194096,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF ALEXAN ,2621 BOLTON AVENUE ,,ALEXANDRIA ,LA ,71303 ,RAPIDES PARISH ,,,,,,,,,,24,8784,4850,,6405,,55.18,,326,,451,,,,,,, 194097,01-JAN-16,11-JAN-17,As Submitted,PHOENIX BEHAVIORAL HOSPITAL ,3859 HWY 190 ,,EUNICE ,LA ,70535 ,ACADIA ,,,,,,,,,,16,6048,2148,1067,3850,,38.68,,191,129,390,,,,,,, 194098,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF GREATE ,716 VILLAGE ROAD ,,KENNER ,LA ,70065 ,JEFFERSON PARISH ,,,,,,,,,,30,10980,8355,,10758,,64.88,,421,,684,,,,,,, 194100,01-JAN-16,31-DEC-16,As Submitted,SEASIDE BEHAVIORAL CENTER LLC ,4201 WOODLAND DRIVE ,,NEW ORLEANS ,LA ,70131 ,ORLEANS ,,,,,,,,,,47,17202,6994,,15870,,129.18,,479,,1661,562,,,,,, 194102,01-JAN-16,31-DEC-16,As Submitted,BEACON BEHAVIORAL HOSPITAL LUTCHER ,9938 AIRLINE HWY STE 200 ,,BATON ROUGE ,LA ,70816 ,BATON ROUGE ,,,,,,,,,,19,6954,2032,,5502,,136,,173,,640,60,,,,,, 194103,01-OCT-15,30-SEP-16,As Submitted,SEASIDE HEALTH SYSTEMS ,4363 CONVENTION ST ,,BATON ROUGE ,LA ,70806 ,,,,,,,,,,,64,23424,4049,,19232,,146.46,,432,1122,2808,,,,,,, 194105,01-JAN-16,31-DEC-16,As Submitted,APOLLO BEHAVIORAL HEALTH HOSPITAL ,7414 SUMRALL DRIVE SUITE C ,,BATON ROUGE ,LA ,70812 ,BATON ROUGE ,,,,,,,,,,18,6588,1646,,5276,,48.17,,203,,886,,,,,,, 194106,01-JAN-16,31-DEC-16,As Submitted,COMPASS BEHAVIORAL HEALTH CNTR ALEXA ,6410 MASONIC DRIVE ,,ALEXANDRIA ,LA ,71301 ,RAPIDES ,,,,,,,,,,20,7320,2394,567,4310,,37.75,,214,65,458,,,,,,, 194107,01-OCT-15,30-SEP-16,As Submitted,BATON ROUGE BEHAVIORAL HOSPITAL ,4040 NORTH BOULEVARD ,,BATON ROUGE ,LA ,70806 ,EAST BATON ROUGE PARISH ,,,,,,,,,,47,17202,3167,,12326,,54.3,,233,,1535,,,,,,, 194109,01-JAN-16,31-DEC-16,As Submitted,COMPASS BEHAVIORAL HEALTH CENTER OF ,4701 WEST PARK AVENUE ,,HOUMA ,LA ,70364 ,TERREBONE ,,,,,,,,,,20,7320,2874,382,5390,,40.17,,233,37,500,,,,,,, 194112,06-OCT-15,31-DEC-15,Settled,BEACON BEHAVIORAL HOSPITAL CENTRAL ,323 EVERGREEN STREET ,,BUNKIE ,LA ,71322 ,AVOYELLES PARISH ,,,,,,,,,,18,6102,155,117,816,,28,,15,12,92,,,,,,, 194112,01-JAN-16,31-DEC-16,As Submitted,BEACON BEHAVIORAL HOSP CENTRAL ,323 EVERGREEN STREET ,,BUNKIE ,LA ,71322 ,AVOYELLES PARISH ,,,,,,,,,,18,6588,1393,,4531,,77,,119,,500,187,,,,,, 200001,01-JAN-16,31-DEC-16,As Submitted,ST JOSEPH HOSPITAL ,360 BROADWAY ,403 ,BANGOR ,ME ,04401 ,PENOBSCOT ,,,,141975,,,.0322,,,112,40992,9963,1789,18624,,1283.13,,2230,135,4097,,,,,,, 200008,01-OCT-15,30-SEP-16,As Submitted,MERCY HOSPITAL ,144 STATE STREET ,,PORTLAND ,ME ,04101 ,CUMBERLAND ,,,,320448,,,.0708,,,103,38552,7081,2485,19528,,1298.98,,1799,1595,5166,,,,,,, 200009,01-OCT-15,30-SEP-16,Amended,MAINE MEDICAL CENTER ,22 BRAMHALL STREET ,,PORTLAND ,ME ,04102 ,CUMBERLAND ,16176910,,,3859350,,,.1393,5457405,2359054,611,223626,48345,26755,145388,243.88,6813.93,,9426,3510,28160,,,,,,324, 200019,01-OCT-15,30-SEP-16,As Submitted,SOUTHERN MAINE HEALTH CARE ,1 MEDICAL CENTER DRIVE ,626 ,BIDDEFORD ,ME ,04005-0626 ,YORK ,14535,,,307813,,,.0565,8946,9690,128,46848,11709,2518,26124,,1646.14,,2875,619,6302,338,,,109,,454, 200020,01-JAN-16,31-DEC-16,Amended,YORK HOSPITAL ,15 HOSPITAL DR ,,YORK ,ME ,03909- ,YORK ,,,,,,,,,,66,24156,6680,689,12139,,891.99,,1557,303,3348,,,,,,, 200021,01-OCT-15,30-SEP-16,As Submitted,MID COAST HOSPITAL ,123 MEDICAL CENTER DRIVE ,,BRUNSWICK ,ME ,04011-3218 ,CUMBERLAND ,,,,166198,,,.0479,,,92,33672,9857,2958,23858,,1053.8,,1950,851,4911,,,,,,, 200024,01-JUL-16,30-JUN-17,As Submitted,CENTRAL MAINE MEDICAL CENTER ,300 MAIN STREET ,4500 ,LEWISTON ,ME ,04240-4500 ,ANDROSCOGGIN ,1691924,,,845234,,,.0836,538042,431283,228,83220,18296,7671,44603,17.98,1843,,4121,1679,10516,,,,,,,309 200031,01-JAN-16,31-DEC-16,As Submitted,CARY MEDICAL CENTER ,163 VAN BUREN ROAD STE 2 ,,CARIBOU ,ME ,04736 ,AROOSTOOK ,,,,135160,,,.0967,,,49,17934,4166,917,7276,,358,,900,327,1657,,,,,,, 200034,01-JAN-16,31-DEC-16,As Submitted,ST. MARYS REGIONAL MEDICAL CENTER ,93 CAMPUS AVE ,291 ,LEWISTON ,ME ,04243-0291 ,ANDROSCOGGIN ,,,,562824,,,.1969,,,140,51240,7209,6242,21874,,1110.3,,1554,1562,5213,,,,190,,785, 200037,01-OCT-15,30-SEP-16,As Submitted,FRANKLIN MEMORIAL HOSPITAL ,111 FRANKLIN HEALTH COMMONS ,,FARMINGTON ,ME ,04938 ,FRANKLIN ,,,,106492,,,.0846,,,48,17568,3638,1392,7581,,637.67,,938,515,1988,,,,,,, 200039,01-JUL-16,30-JUN-17,As Submitted,MAINEGENERAL MEDICAL CENTER ,35 MEDICAL CENTER PARKWAY ,,AUGUSTA ,ME ,04330 ,,2720079,,,1213378,,,.1561,1217267,1170271,172,62780,22018,11802,53079,37.52,2759.53,,3876,2519,11049,,,,,32,,432 200050,01-JUL-16,30-SEP-16,As Submitted,MAINE COAST MEMORIAL HOSPITAL ,50 UNION STREET ,,ELLSWORTH ,ME ,04650- ,HANCOCK ,,,,21115,,,.0405,,,48,4416,1310,240,2491,,557.53,,314,141,627,,,,,,, 200052,01-OCT-15,30-SEP-16,As Submitted,NORTHERN MAINE MEDICAL CENTER ,194 EAST MAIN STREET ,,FORT KENT ,ME ,04743- ,AROOSTOOK ,,,,106756,,,.12,,,43,15738,3316,797,5087,,269.16,,566,148,1124,,,,86,,268, 200063,01-OCT-15,30-SEP-16,As Submitted,PENOBSCOT BAY MEDICAL CENTER ,6 GLEN COVE DRIVE ,,ROCKPORT ,ME ,04856-4240 ,KNOX ,,,,276819,,,.12,,,81,29646,7991,3964,18095,,826.96,,1474,769,3321,,,,,,, 201302,01-OCT-15,30-SEP-16,As Submitted,LINCOLNHEALTH ,6 ST. ANDREWS LANE ,417 ,BOOTHBAY HARBOR ,ME ,04538- ,LINCOLN ,,,,,,,,,,25,9150,3951,633,7169,,352.56,,1003,193,1768,,,,,,, 201303,01-JAN-16,31-DEC-16,As Submitted,PENOBSCOT VALLEY HOSPITAL ,TRANSALPINE ROAD ,,LINCOLN ,ME ,04457 ,PENOBSCOT ,,,,,,,,,,25,9150,2435,168,3219,,146.78,,341,38,518,,,,,,, 201304,01-MAY-16,30-APR-17,As Submitted,MOUNT DESERT ISLAND HOSPITAL ,10 WAYMAN LANE ,8 ,BAR HARBOR ,ME ,04609 ,HANCOCK ,,,,,,,,,,25,9125,2446,328,3985,,349.71,,416,49,832,,,,,,, 201305,01-JAN-16,31-DEC-16,As Submitted,CALAIS REGIONAL HOSPITAL ,24 HOSPITAL LANE ,,CALAIS ,ME ,04619- ,WASHINGTON ,,,,,,,,,,25,9150,3127,459,4664,,201.12,,534,90,848,,,,,,, 201306,01-JUL-16,30-JUN-17,As Submitted,RUMFORD HOSPITAL ,420 FRANKLIN STREET ,,RUMFORD ,ME ,04276 ,OXFORD ,,,,,,,,,,25,9125,2985,462,4739,,190,,428,213,892,,,,,,, 201308,01-OCT-15,30-SEP-16,As Submitted,HOULTON REGIONAL HOSPITAL ,20 HARTFORD STREET ,,HOULTON ,ME ,04730 ,AROOSTOOK ,,,,,,,,,,25,9150,3573,1054,5904,,314,,642,186,1251,,,,,,, 201309,01-OCT-15,30-SEP-16,As Submitted,MAYO REGIONAL HOSPITAL ,897 WEST MAIN STREET ,,DOVER-FOXCROFT ,ME ,04426- ,PISCATAQUIS ,,,,,,,,,,25,9150,2977,1219,4909,,343,,605,194,1273,,,,,,, 201310,01-JUL-16,30-JUN-17,As Submitted,BRIDGTON HOSPITAL ,BRIDGTON HOSPITAL ,230 ,BRIDGTON ,ME ,04009- ,CUMBERLAND ,,,,,,,,,,25,9125,2821,339,4423,,282.14,,340,99,652,,,,,,, 201311,01-JAN-16,31-DEC-16,As Submitted,DOWN EAST COMMUNITY HOSPITAL ,UPPER COURT STREET ,,MACHIAS ,ME ,04654 ,WASHINGTON ,,,,,,,,,,25,9150,2027,698,3688,,225.42,,366,181,921,,,,,,, 201312,01-OCT-15,30-SEP-16,As Submitted,WALDO COUNTY GENERAL HOSPITAL ,118 NORTHPORT AVENUE ,287 ,BELFAST ,ME ,04915 ,WALDO ,,,,,,,,,,25,9150,3436,642,6313,,552.19,,633,134,1407,,,,,,, 201313,01-OCT-15,30-SEP-16,As Submitted,SEBASTICOOK VALLEY HOSPITAL ,99 GROVE STREET ,,PITTSFIELD ,ME ,04967- ,SOMERSET ,,,,,,,,,,25,9150,3103,475,4669,,247.29,,387,59,819,,,,,,, 201314,01-JUL-16,30-JUN-17,As Submitted,REDINGTON-FAIRVIEW GENERAL HOSPITAL ,FAIRVIEW AVENUE ,468 ,SKOWHEGAN ,ME ,04976- ,SOMERSET ,,,,,,,,,,25,9125,3120,715,5350,,590.72,,826,200,1469,,,,,,, 201315,01-OCT-15,30-SEP-16,As Submitted,STEPHENS MEMORIAL HOSPITAL - CAH ,181 MAIN STREET ,,NORWAY ,ME ,04268 ,OXFORD ,,,,,,,,,,25,9150,2476,646,4935,,329.34,,675,183,1364,,,,,,, 203025,01-JAN-16,31-DEC-16,As Submitted,NEW ENGLAND REHABILITATION HOSPITAL ,335 BRIGHTON AVENUE SUITE 201 ,,PORTLAND ,ME ,04102 ,CUMBERLAND ,,,,,,,,,,90,32940,14628,1869,24321,,206.69,,1161,134,1909,24,,,,,, 204004,01-JUL-16,30-JUN-17,As Submitted,DOROTHEA DIX PSYCHIATRIC CENTER ,STATE STREET ,926 ,BANGOR ,ME ,04402-0926 ,PENOBSCOT ,,,,,,,,,,51,18615,655,17,16136,,196.5,,14,1,106,,,,,,, 204005,01-OCT-15,30-SEP-16,As Submitted,SPRING HARBOR HOSPITAL ,123 ANDOVER ROAD ,,WESTBROOK ,ME ,04092- ,CUMBERLAND ,,,,,,,,,,100,33672,5157,10281,27601,,302.01,,440,495,2185,,,,,,, 210001,01-JUL-16,30-JUN-17,As Submitted,MERITUS MEDICAL CENTER ,11116 MEDICAL CAMPUS ROAD ,,HAGERSTOWN ,MD ,21742 ,WASHINGTON ,,,,1632268,,,.1215,,,247,90155,35605,2221,72346,,1536.27,,7149,487,17557,3783,,,,,, 210002,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY OF MARYLAND MED SYS ,22 SOUTH GREENE STREET ,,BALTIMORE ,MD ,21201 ,BALTIMORE CITY ,43941444,,,15797786,,,.2758,6009890,1870527,802,292730,67018,19822,219614,603.56,6972.98,,8058,1817,27122,7492,,,,,, 210004,01-JUL-16,30-JUN-17,As Submitted,HOLY CROSS HOSPITAL ,1500 FOREST GLEN ROAD ,,SILVER SPRING ,MD ,20910 ,MONTGOMERY ,1986989,,,4482916,,,.178,413410,84616,455,166075,42806,19537,140723,25.2,2692.16,,7666,1913,34198,4724,,,,,, 210005,01-JUL-16,30-JUN-17,As Submitted,FREDERICK MEMORIAL HOSPITAL ,400 WEST SEVENTH STREET ,,FREDERICK ,MD ,21701 ,FREDERICK ,,,,2095049,,,.0926,,,239,87235,34160,6429,76508,,1497.58,,7414,529,16356,2223,,,,,, 210008,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER ,301 ST. PAUL PLACE ,,BALTIMORE ,MD ,21202 ,BALTIMORE CITY ,5001064,,,3158714,,,.2982,912927,643388,209,76285,15847,2354,51994,50.27,1642.1,,3095,454,13238,4064,,,,,, 210009,01-JUL-16,30-JUN-17,As Submitted,THE JOHNS HOPKINS HOSPITAL ,1800 ORLEANS ST ,,BALTIMORE ,MD ,21287 ,BALTIMORE CITY ,85996873,,,11334158,,,.1944,12963025,6518703,997,363905,91995,18944,311387,940.23,9537.52,,12316,13196,46219,11275,,,,,, 210011,01-JUL-16,30-JUN-17,As Submitted,ST. AGNES HOSPITAL ,900 CATON AVENUE ,,BALTIMORE ,MD ,21229 ,BALTIMORE CITY ,6862779,,,3313552,,,.1618,1611281,632237,287,104755,32340,6577,73756,76.53,2494.24,,6524,1078,15878,,,,,,, 210015,01-JUL-16,30-JUN-17,As Submitted,MEDSTAR FRANKLIN SQUARE MEDICAL CTR ,9000 FRANKLIN SQUARE DR ,,BALTIMORE ,MD ,21237 ,BALTIMORE ,7112650,,,3050262,,,.1811,2368416,857224,374,136510,41900,11186,100667,72.83,2686,,8741,7617,23952,,,,,,, 210016,01-JAN-16,31-DEC-16,As Submitted,WASHINGTON ADVENTIST HOSPITAL ,7600 CARROLL AVENUE ,,TAKOMA PARK ,MD ,20912 ,MONTGOMERY ,,,,3807086,,,.2901,,,217,79422,22741,15053,57074,,1098.38,,3670,2821,10038,920,,,,,, 210019,01-JUL-16,30-JUN-17,As Submitted,PENINSULA REGIONAL MEDICAL CENTER ,100 EAST CARROLL STREET ,,SALISBURY ,MD ,21801 ,WICOMICO ,,,,2404868,,,.1308,,,281,102565,40879,5785,80996,,2547.7,,8760,1192,17253,3663,,,,,, 210022,01-JUL-16,30-JUN-17,As Submitted,SUBURBAN HOSPITAL ,8600 OLD GEORGETOWN RD ,,BETHESDA ,MD ,20814-1422 ,MONTGOMERY ,1381483,,,1020637,,,.0459,172819,60271,222,81030,32859,5103,60864,5.43,1479.87,,7361,726,14163,487,,,,,, 210023,01-JUL-16,30-JUN-17,As Submitted,ANNE ARUNDEL MEDICAL CENTER INC. ,2001 MEDICAL PARKWAY ,,ANNAPOLIS ,MD ,21401 ,ANNE ARUNDEL ,,,,1061532,,,.0378,,,400,146000,49743,6470,115624,,2806.3,,10687,691,26363,2481,,,,,, 210024,01-JUL-16,30-JUN-17,As Submitted,MEDSTAR UNION MEMORIAL HOSPITAL ,201 EAST UNIVERSITY PARKWAY ,,BALTIMORE ,MD ,21218- ,BALTIMORE CITY ,8936212,,,2368993,,,.1599,2219944,791771,183,66795,25128,3635,48580,90.66,1992.4,,5342,2297,11015,1656,,,,,, 210027,01-JUL-16,30-JUN-17,As Submitted,WESTERN MARYLAND HEALTH SYSTEM ,12500 WILLOWBROOK RAOD ,,CUMBERLAND ,MD ,21502 ,,,,,2757085,,,.1148,,,198,72270,40296,11999,56105,,1608.7,,6150,2961,12749,,,,,,, 210028,01-JUL-16,30-JUN-17,As Submitted,ST. MARYS HOSPITAL ,25500 POINT LOOKOUT RD ,,LEONARDTOWN ,MD ,20650 ,,,,,679240,,,.1167,,,103,37595,14282,1051,29829,,945.23,,3275,1998,7445,1733,,,,,, 210029,01-JUL-16,30-JUN-17,As Submitted,JOHNS HOPKINS BAYVIEW MED. CTR. ,4940 EASTERN AVENUE ,,BALTIMORE ,MD ,21224 ,BALTIMORE CITY ,14825386,,,5416196,,,.2168,7623097,2780637,442,161330,50670,18704,116969,159.41,3032,,7659,6235,20334,,,,,,, 210033,01-JUL-16,30-JUN-17,As Submitted,CARROLL COUNTY GENERAL HOSPITAL ,200 MEMORIAL AVENUE ,,WESTMINSTER ,MD ,21157 ,CARROLL ,,,,838883,,,.05,,,143,52195,21896,2085,41716,,1082.9,,5188,139,9937,1271,,,,,, 210034,01-JUL-16,30-JUN-17,As Submitted,MEDSTAR HARBOR HOSPITAL ,3001 SOUTH HANOVER STREET ,,BALTIMORE ,MD ,21225- ,BALTIMORE CITY ,3045775,,,1578847,,,.3033,1181083,299630,133,48545,12808,4828,35006,45.15,919,,2540,3618,8546,,,,,,, 210038,01-JUL-16,30-JUN-17,As Submitted,MARYLAND GENERAL HOSPITAL ,827 LINDEN AVENUE ,,BALTIMORE ,MD ,21201 ,BALTIMORE CITY ,4234249,,,3144304,,,.3683,1094330,574408,167,60955,12699,2602,33623,49.36,1111.01,,1593,246,4648,1892,,,,,, 210043,01-JUL-16,30-JUN-17,As Submitted,BALTIMORE WASHINGTON MEDICAL CENTER ,301 HOSPITAL DRIVE ,,GLEN BURNIE ,MD ,21061 ,ANNE ARUNDEL ,,,,2518719,,,.0998,,,293,106945,39884,14038,75830,,2070.27,,8312,3813,21204,192,,,,,, 210045,01-JUL-16,30-JUN-17,As Submitted,MCCREADY MEMORIAL HOSPITAL ,201 HALL HIGHWAY ,,CRISFIELD ,MD ,21817 ,SOMERSET ,,,,22729,,,.0448,,,3,1095,638,8,886,,126.8,,204,3,286,30,,,,,, 210048,01-JUL-16,30-JUN-17,As Submitted,HOWARD COUNTY ,5755 CEDAR LANE ,,COLUMBIA ,MD ,21045 ,HOWARD ,,,,912746,,,.0572,,,264,96360,31134,5835,81202,,1530.8,,6337,631,17049,2132,,,,,, 210051,01-JUL-16,30-JUN-17,As Submitted,DOCTORS COMMUNITY HOSPITAL ,8118 GOOD LUCK ROAD ,,LANHAM ,MD ,20706 ,PRINCE GEORGES COUNTY ,,,,1452740,,,.0925,,,190,69350,30003,3205,54490,,1207.91,,4937,470,9957,1331,,,,,, 210056,01-JUL-16,30-JUN-17,As Submitted,GOOD SAMARITAN HOSPITAL ,5601 LOCH RAVEN BLVD ,,BALTIMORE ,MD ,21239 ,BALTIMORE ,3177697,,,1184890,,,.1211,1248144,625819,206,75190,26884,3091,47240,40,1571,,5061,1920,9376,1394,,,,,, 210057,01-JAN-16,31-DEC-16,As Submitted,SHADY GROVE ADVENTIST HOSPITAL ,9901 MEDICAL CENTER DRIVE ,,ROCKVILLE ,MD ,20850 ,MONTGOMERY ,,,,3114352,,,.1769,,,304,111264,30099,8788,87020,,1684.45,,5801,974,17749,2366,,,,,, 210060,01-JAN-16,31-DEC-16,As Submitted,FORT WASHINGTON MEDICAL CENTER ,11711 LIVINGSTON ROAD ,,FORT WASHINGTON ,MD ,20744 ,PRINCE GEORGES ,,,,,,,,,,31,11346,5038,395,8475,,303.46,,1326,,2263,281,,,,,, 210061,01-JUL-16,30-JUN-17,As Submitted,ATLANTIC GENERAL HOSPITAL ,9733 HEALTHWAY DRIVE ,,BERLIN ,MD ,21811 ,WORCESTER ,,,,,,,,,,48,17520,7893,284,11512,,652.02,,2114,54,3269,355,,,,,, 210063,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPH MEDICAL CENTER ,7601 OSLER DRIVE ,,TOWSON ,MD ,21204 ,BALTIMORE ,,,,1362396,,,.0525,,,252,91980,29363,3595,64826,,1560.32,,6957,549,18816,1972,,,,,, 210065,01-JUL-16,30-JUN-17,As Submitted,HOLY CROSS GERMANTOWN HOSPITAL ,19801 OBSERVATION DRIVE ,,GERMANTOWN ,MD ,20876 ,MONTGOMERY ,,,,600197,,,.12,,,93,33945,8078,3107,21141,,544.48,,1894,609,6923,639,,,,,, 212002,01-JUL-16,30-JUN-17,As Submitted,WESTERN MARYLAND CENTER ,1500 PENNSYLVANIA AVENUE ,,HAGERSTOWN ,MD ,21740 ,WASHINGTON ,,,,,,,,,,60,21960,2493,1760,6510,,42.5,,97,21,118,,,,,,, 212003,01-JUL-16,30-JUN-17,As Submitted,DEERS HEAD CENTER ,DEERS HEAD HOSPITAL ROAD ,P. O. BOX ,SALISBURY ,MD ,21801- ,WICOMICO ,,,,,,,,,,66,24090,1596,26,1731,,19,,55,1,56,,,,,,, 213028,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH CHESAPEAKE REHABILITATIO ,220 TILGHMAN ROAD ,,SALISBURY ,MD ,21804 ,WICOMICO ,,,,,,,,,,59,21069,15521,161,19784,,176.32,,1177,9,1467,40,,,,,, 213029,01-JAN-16,31-DEC-16,As Submitted,ADVENTIST REHAB. HOSPT. OF MD ,9909 MEDICAL CENTER DRIVE ,,ROCKVILLE ,MD ,20850 ,MONTGOMERY ,,,,,,,,,,87,31842,14822,700,26049,,352.74,,1092,39,1864,80,,,,,, 214002,01-JUL-16,30-JUN-17,As Submitted,EASTERN SHORE HOSPITAL CENTER ,5262 WOODS ROAD ,800 ,CAMBRIDGE ,MD ,21613- ,DORCHESTER ,,,,,,,,,,60,21900,34,468,21900,,110,,2,5,52,,,,,,, 214004,01-JUL-16,30-JUN-17,As Submitted,SPRINGFIELD HOSPITAL CENTER ,6655 SYKESVILLE ,,SYKESVILLE ,MD ,21784- ,CARROLL ,,,,,,,,,,522,190530,890,3051,79065,,715,,68,11,284,,,,,,, 214012,01-JUL-16,30-JUN-17,As Submitted,THOMAS B. FINAN ,COUNTRY CLUB ROAD ,P. O. BOX ,CUMBERLAND ,MD ,21502- ,ALLEGHENY ,,,,,,,,,,95,34675,,1711,23476,,166,,,9,63,,,,,,, 214013,01-JAN-16,31-DEC-16,As Submitted,ADVENTIST HC BEHAVIORAL HEALTH & WEL ,14901 BROSCHART ROAD ,,ROCKVILLE ,MD ,20850 ,MONTGOMERY ,,,,,,,,,,107,39162,4906,11686,29104,1.07,355.18,,440,1461,3841,,,,24,,24, 214018,01-JUL-16,30-JUN-17,As Submitted,SPRING GROVE HOSPITAL CENTER ,WADE AVENUE ,,CATONSVILLE ,MD ,21228- ,BALTIMORE ,,,,,,,,,,569,207685,918,6916,128032,,729,,15,9,298,,,,,,, 220001,01-OCT-15,30-SEP-16,Amended,HEALTH ALLIANCE ,60 HOSPITAL ROAD ,2004 ,LEOMINSTER ,MA ,01453 ,WORCESTER ,858678,,,898801,,,.181,266228,199120,113,41358,8944,3253,28159,10.03,941.43,11.06,2180,825,7640,1289,,,,,, 220002,01-OCT-15,30-SEP-16,As Submitted,MOUNT AUBURN HOSPITAL ,330 MOUNT AUBURN STREET ,,CAMBRIDGE ,MA ,02238 ,MIDDLESEX ,7607470,,,364577,,,.0376,2343973,1430212,183,67150,18333,6232,51819,70.09,1735.02,,3866,1839,13626,,,,3,,269, 220008,01-OCT-15,30-SEP-16,Amended,STURDY MEMORIAL HOSPITAL ,211 PARK STREET ,,ATTLEBORO ,MA ,02703 ,BRISTOL ,,,,544463,,,.076,,,127,46482,16008,1991,29238,,1043.82,,3372,1183,6593,,,,,,, 220010,01-OCT-15,30-SEP-16,As Submitted,LAWRENCE GENERAL HOSPITAL ,ONE GENERAL STREET ,,LAWRENCE ,MA ,01841 ,ESSEX ,2095502,,,2858537,,,.3116,1006673,441546,189,69174,17426,8210,44400,24.6,1412.1,,4015,1911,12146,,,,,,, 220011,01-JUL-16,30-JUN-17,As Submitted,CAMBRIDGE HEALTH ALLIANCE ,350 MAIN STREET ,,MALDEN ,MA ,02148 ,MIDDLESEX ,4203652,,,1807585,,,.4027,2376193,1797099,198,72270,9567,2460,37085,92.78,3233.93,,2139,885,7931,1003,176,,206,,1860, 220012,01-OCT-15,30-SEP-16,Amended,CAPE COD HOSPITAL ,27 PARK STREET ,,HYANNIS ,MA ,02601 ,BARNSTABLE ,638789,,,929551,,,.0411,114244,77744,239,87474,35209,3455,60792,,1898.19,,7774,742,14868,1961,,,32,,890, 220015,01-OCT-15,30-SEP-16,As Submitted,COOLEY DICKINSON HOSPITAL ,30 LOCUST STREET ,,NORTHAMPTON ,MA ,01060 ,HAMPSHIRE ,,,,450641,,,.071,,,118,43188,11812,2338,24132,,923.55,,2791,284,5790,272,86,,207,,766, 220016,01-OCT-15,30-SEP-16,As Submitted,BAYSTATE FRANKLIN MEDICAL CENTER ,164 HIGH STREET ,,GREENFIELD ,MA ,01301 ,FRANKLIN ,,,,466913,,,.12,,,89,32574,8212,1886,19495,,536.35,,1969,305,4588,,,,,,, 220017,01-JAN-16,31-DEC-16,Amended,STEWARD CARNEY HOPSITAL ,2100 DORCHESTER AVENUE ,,DORCHESTER ,MA ,02124 ,SUFFOLK ,2869971,,,1368662,,,.4166,1723677,974962,110,40260,7250,3263,22301,41.78,708.5,,1539,447,4550,,,,8,,341, 220019,01-OCT-15,30-SEP-16,As Submitted,HARRINGTON MEMORIAL HOSPITAL INC ,100 SOUTH STREET ,,SOUTHBRIDGE ,MA ,01550 ,WORCESTER ,,,,290391,,,.1179,,,112,40992,4805,1337,12751,,850.35,,1248,262,3382,442,,,235,,515, 220020,01-JAN-16,31-DEC-16,Amended,STEWARD ST. ANNES HOSPITAL ,795 MIDDLE STREET ,,FALL RIVER ,MA ,02721 ,BRISTOL ,304971,,,1300871,,,.1409,111303,92393,154,56364,17944,3259,37427,2.2,1085.46,,4068,603,9046,,,,9,,690, 220024,01-OCT-15,30-SEP-16,As Submitted,HOLYOKE MEDICAL CENTER ,575 BEECH STREET ,,HOLYOKE ,MA ,01040 ,HAMPDEN ,,,,1106106,,,.2327,,,165,60390,8632,5276,19724,,958.02,,2270,411,5747,923,255,,18,,634, 220029,01-OCT-15,30-SEP-16,As Submitted,ANNA JAQUES HOSPITAL ,25 HIGHLAND AVENUE ,,NEWBURYPORT ,MA ,01950 ,ESSEX ,,,,431658,,,.089,,,120,43920,8348,2159,22249,,701.21,,2427,610,5470,,,,394,,859, 220030,01-OCT-15,30-SEP-16,As Submitted,BAYSTATE WING HOSPITAL & MEDICAL CTR ,40 WRIGHT STREET ,,PALMER ,MA ,01069 ,,,,,80907,,,.0407,,,46,16836,4039,315,6955,,485.84,,1101,96,1957,127,195,,24,,855, 220031,01-OCT-15,30-SEP-16,As Submitted,BOSTON MEDICAL CENTER ,ONE BOSTON MEDICAL CENTER PLACE ,,BOSTON ,MA ,02118 ,SUFFORK ,26294386,,,8044039,,,.5016,7595603,6141081,442,161772,29248,65149,124872,522.46,5347,,5185,12699,25131,,,,,,, 220033,01-OCT-15,30-SEP-16,As Submitted,BEVERLY HOSPITAL ,85 HERRICK ST. ,,BEVERLY ,MA ,01915-1777 ,ESSEX ,,,,1822869,,,.1247,,,296,108336,28139,6557,71520,,1778.33,,6751,1223,17416,,,,242,,2062, 220035,01-OCT-15,30-SEP-16,As Submitted,NORTH SHORE MEDICAL CENTER ,81 HIGHLAND AVENUE ,,SALEM ,MA ,01970 ,ESSEX ,3101795,,,3268727,,,.1908,1206665,407337,344,125904,34828,10800,78571,30.26,2671.13,,7339,1797,16656,2497,,,391,,1102, 220036,01-JAN-16,31-DEC-16,Amended,STEWARD ST. ELIZABETHS MEDICAL CTR ,736 CAMBRIDGE STREET ,,BOSTON ,MA ,02135 ,SUFFOLK ,15205179,,,2807382,,,.2297,5494688,1583751,203,74298,17944,5572,49947,125.54,1454.85,,3590,681,10436,,,,120,,1871, 220046,01-OCT-15,30-SEP-16,As Submitted,BERKSHIRE MEDICAL CENTER ,725 NORTH STREET ,,PITTSFIELD ,MA ,01201 ,BERKSHIRE ,9371693,,,2793629,,,.1845,2463981,1971637,214,78506,28114,7924,54273,62.56,2254.59,,6260,1204,12607,1976,373,,279,6,1406,233 220049,01-OCT-15,30-SEP-16,Amended,MARLBOROUGH HOSPITAL ,57 UNION STREET ,,MARLBOROUGH ,MA ,01752 ,MIDDLESEX ,,,,345050,,,.12,,,67,24522,6574,2013,16151,,399.39,,1429,319,3612,337,,,,,, 220050,01-OCT-15,09-SEP-16,As Submitted,BAYSTATE MARY LANE HOSPITAL CORPORAT ,85 SOUTH STREET ,,WARE ,MA ,01082 ,HAMPSHIRE ,,,,27032,,,.0394,,,25,8625,948,109,1891,,146.59,,355,34,740,,,,,,, 220052,01-OCT-15,30-SEP-16,As Submitted,BROCKTON HOSPITAL INC. ,680 CENTRE STREET ,,BROCKTON ,MA ,02402 ,PLYMOUTH ,1730350,,,2140407,,,.266,731183,326479,175,64050,14797,5113,39695,15.31,1465.08,,3596,2749,10327,1783,,,324,,745, 220058,01-OCT-15,30-SEP-16,Amended,UMMHC~CLINTON HOSPITAL ,201 HIGHLAND STREET ,,CLINTON ,MA ,01510 ,WORCESTER ,,,,19961,,,.0496,,,21,7686,781,117,1800,,133.44,,226,29,540,42,2,,4,,441, 220060,01-OCT-15,30-SEP-16,As Submitted,BETH ISRAEL DEACONESS - PLYMOUTH ,275 SANDWICH STREET ,,PLYMOUTH ,MA ,02360 ,PLYMOUTH ,,,,557928,,,.0499,,,131,48961,20023,2738,38136,,1212.52,,4615,329,8534,819,,,,,297, 220062,01-OCT-15,30-SEP-16,As Submitted,ADCARE HOSPITAL OF WORCESTER ,107 LINCOLN STREET ,,WORCESTER ,MA ,01605 ,WORCESTER ,,,,1333192,,,.3354,,,114,41724,18645,475,38521,,341.74,,2820,59,5946,1825,,,,,, 220063,01-OCT-15,30-SEP-16,As Submitted,LOWELL GENERAL HOSPITAL ,295 VARNUM AVENUE ,,LOWELL ,MA ,01854 ,MIDDLESEX ,,,,3078248,,,.1893,,,396,144936,32296,10680,85031,,2518.64,,7040,1821,19513,3136,,,,,, 220065,01-OCT-15,30-SEP-16,As Submitted,BAYSTATE NOBLE HOSPITAL ,115 WEST SILVER STREET ,1634 ,WESTFIELD ,MA ,01086 ,HAMPDEN ,,,,144962,,,.0598,,,77,28182,5787,237,10542,,373.96,,1228,51,2424,253,163,,9,,604, 220066,01-JUL-16,30-JUN-17,As Submitted,THE MERCY HOSPITAL ,271 CAREW STREET ,,SPRINGFIELD ,MA ,01102 ,HAMPDEN ,,,,2755619,,,.3188,,,263,95995,15516,3818,54487,,1391,,3942,994,13057,3974,,,,34,1638,475 220070,01-OCT-15,30-SEP-16,Amended,HALLMARK HEALTH SYSTEM ,170 GOVERNORS AVE ,,MEDFORD ,MA ,02155 ,MIDDLESEX ,103750,,,540560,,,.0585,44603,29086,211,77226,19369,3013,39278,1,1553.71,,4322,289,8831,924,,,388,,1446, 220071,01-OCT-15,30-SEP-16,Amended,MASSACHUSETTS GENERAL HOSPITAL ,FRUIT STREET ,,BOSTON ,MA ,02114 ,SUFFOLK ,65099093,,,7756201,,,.1247,18629374,11234198,987,358254,121628,39128,306887,543.32,12591,,17706,10254,49021,,,,197,,887, 220073,01-JAN-16,31-DEC-16,Amended,MORTON HOSPITAL ,88 WASHINGTON STREET ,,TAUNTON ,MA ,02780 ,BRISTOL ,,,,736704,,,.1153,,,106,38796,11458,1926,20692,,643.73,,2883,447,5708,,,,,,356, 220074,01-OCT-15,30-SEP-16,As Submitted,SOUTHCOAST HOSPITALS GROUP ,363 HIGHLAND AVENUE ,,FALL RIVER ,MA ,02720 ,BRISTOL ,,,,6326085,,,.1618,,,835,305610,71620,13999,151220,,4247.22,,15446,7770,34255,,,,,38,,472 220075,01-OCT-15,30-SEP-16,As Submitted,MASS EYE & EAR INFIRMARY ,243 CHARLES STREET ,,BOSTON ,MA ,02114 ,SUFFOLK ,1564780,,,68720,,,.0709,169848,1201576,41,15006,1560,454,4635,36.3,1598,,332,40,1129,87,,,,,, 220077,01-OCT-15,30-SEP-16,As Submitted,BAYSTATE MEDICAL CENTER ,759 CHESTNUT STREET ,,SPRINGFIELD ,MA ,01199 ,HAMPDEN ,28409517,,,9486104,,,.2535,12154499,4198304,685,250572,67487,22001,187567,323.23,6079.52,,13113,3730,36802,,,,94,,1017, 220080,01-JAN-16,31-DEC-16,Amended,STEWARD HOLY FAMILY HOSPITAL ,70 EAST STREET ,,METHUEN ,MA ,01884-0156 ,ESSEX ,,,,2745454,,,.2481,,,335,122610,24168,8320,55547,1.51,1232.85,,5113,828,11654,,,,36,,385, 220083,01-OCT-15,30-SEP-16,As Submitted,BETH ISRAEL DEACONESS HOSPITAL-NEEDH ,148 CHESTNUT STREET ,,NEEDHAM ,MA ,02492-2523 ,NORFOLK ,43715,,,,,,,,,58,21228,5354,326,8704,1.99,377.3,,1386,105,2422,,,,,,, 220084,01-OCT-15,30-SEP-16,As Submitted,EMERSON HOSPITAL ,133 ORNAC ,,CONCORD ,MA ,01742 ,MIDDLESEX ,,,,,,,,,,119,43554,7591,1849,24762,,1104.64,,1972,279,5886,,,,87,,1265, 220086,01-OCT-15,30-SEP-16,As Submitted,BETH ISRAEL DEACONESS MEDICAL CENTER ,330 BROOKLINE AVENUE ,,BOSTON ,MA ,02215 ,SUFFOLK ,55075501,,,5653394,,,.1413,15844215,9715176,644,235704,70755,42157,208444,511.68,7886.8,,11903,2379,39498,,,,78,,628, 220088,01-OCT-15,30-SEP-16,As Submitted,NEW ENGLAND BAPTIST HOSPITAL ,125 PARKER HILL AVENUE ,,BOSTON ,MA ,02120 ,SUFFOLK ,1703740,,,,,,,210131,62985,98,35868,10004,,22874,,976.5,,3206,,8018,,,,,,, 220090,01-OCT-15,30-SEP-16,As Submitted,MILFORD REGIONAL MEDICAL CENTER INC ,14 PROSPECT STREET ,,MILFORD ,MA ,01757 ,WORCESTER ,1400248,,,386348,,,.0523,381581,234664,145,53070,13176,4699,30531,11.14,1311,,3397,1404,7911,,,,,,, 220095,01-OCT-15,30-SEP-16,As Submitted,HENRY HEYWOOD MEMORIAL HOSPITAL ,242 GREEN STREET ,,GARDNER ,MA ,01440 ,WORCESTER ,,,,505332,,,.2071,,,114,41724,5008,1942,14988,,666.16,,1244,243,3620,,,,63,,563, 220098,01-JAN-16,31-DEC-16,Amended,NASHOBA VALLEY HOSPITAL ,200 GROTON ROAD ,,AYER ,MA ,01432 ,MIDDLESEX ,,,,,,,,,,57,20862,2434,160,5042,,274.23,,745,51,1636,,,,,,280, 220100,01-OCT-15,30-SEP-16,As Submitted,SOUTH SHORE HOSPITAL ,55 FOGG ROAD ,,SOUTH WEYMOUTH ,MA ,02360 ,NORFOLK ,,,,1320714,,,.053,,,368,134688,51497,12878,116524,,2983,,10909,4137,25097,,,,,,, 220101,01-OCT-15,30-SEP-16,As Submitted,NEWTON WELLESLEY HOSPITAL ,2014 WASHINGTON STREET ,,NEWTON ,MA ,02467 ,MIDDLESEX ,4022659,,,,,,,1476000,699022,206,75396,19234,2071,59603,35.15,2101.12,,4608,249,13895,600,,,252,,901, 220105,01-OCT-15,30-SEP-16,As Submitted,WINCHESTER HOSPITAL ,41 HIGHLAND AVE ,,WINCHESTER ,MA ,01890 ,MIDDLESEX ,204769,,,,,,,56984,39703,205,75030,18211,1096,49144,2.05,1573.4,,3965,289,8544,,,,,,, 220108,01-OCT-15,30-SEP-16,As Submitted,BIDMC-MILTON HOSPITAL INC ,199 REEDSDALE ROAD ,,MILTON ,MA ,02186 ,NORFOLK ,,,,,,,,,,88,32208,11770,599,20435,,574.39,,2701,129,5041,117,,,,,, 220110,01-OCT-15,30-SEP-16,Amended,BRIGHAM AND WOMENS HOSPITAL ,75 FRANCIS STREET ,3714 ,BOSTON ,MA ,02115 ,SUFFOLK ,58138206,,,5679278,,,.1123,12743840,5155867,763,279258,85225,31065,258481,489.29,10443,,13491,3336,41534,,,,,,, 220111,01-JAN-16,31-DEC-16,Amended,GOOD SAMARITAN MEDICAL CENTER ,235 NORTH PEARL STREET ,,BROCKTON ,MA ,02301 ,PLYMOUTH ,572340,,,3313046,,,.2506,168717,55030,248,90768,25572,7205,67241,4.25,1205.69,,5707,1267,15451,,,,13,,375, 220116,01-OCT-15,30-SEP-16,As Submitted,TUFTS MEDICAL CENTER ,800 WASHINGTON ST ,,BOSTON ,MA ,02111 ,SUFFOLK ,26213500,,,5367376,,,.2924,6263626,3275481,362,132492,26768,31283,91040,316.13,3715.7,,4687,1443,17332,3892,,,380,,626, 220119,01-OCT-15,30-SEP-16,As Submitted,FAULKNER HOSPITAL ,1153 CENTRE STREET ,,JAMAICA PLAIN ,MA ,02130 ,SUFFOLK ,3529471,,,979812,,,.1205,888149,753444,138,49860,14123,2065,31025,26.65,1126.2,,3586,,8665,,,,,,605, 220126,01-JAN-16,31-DEC-16,Amended,STEWARD NORWOOD HOSPITAL ,100 WASHINGTON STREET ,,NORWOOD ,MA ,02062 ,NORFOLK ,,,,423492,,,.0491,,,154,56364,16222,1857,32646,,814.29,,3826,440,8390,,,,109,,1955, 220135,01-OCT-15,30-SEP-16,Amended,FALMOUTH HOSPITAL ,100 TER HEUN DRIVE ,,FALMOUTH ,MA ,02574 ,BARNSTABLE ,,,,413086,,,.0481,,,95,34770,14531,1229,24763,,743.89,,3474,246,6358,786,,,,,, 220162,01-OCT-15,30-SEP-16,As Submitted,DANA-FARBER CANCER INSTITUTE ,450 BROOKLINE AVE ,,BOSTON ,MA ,02215 ,SUFFOLK ,,,,,,,,,439776,30,10980,2529,728,9912,,4271.77,,395,85,1270,76,,,,,, 220163,01-OCT-15,30-SEP-16,Amended,UMASS MEMORIAL MEDICAL CENTER ,55 LAKE AVE. NORTH ,,WORCESTER ,MA ,01655 ,WORCESTER ,47583656,,,7518660,,,.2146,10449741,5102876,580,207576,62511,31979,197651,503.12,6182.48,39.42,11980,3751,36732,5409,,,376,,1709, 220171,01-OCT-15,30-SEP-16,As Submitted,LAHEY CLINIC HOSPITAL INC. ,41 MALL ROAD ,,BURLINGTON ,MA ,01805 ,MIDDLESEX ,22920911,,,,,,,3889412,3955101,345,126270,52207,9147,109230,161.56,4451,,10958,1846,23805,,,,,,, 220175,01-FEB-16,31-JAN-17,As Submitted,METROWEST MEDICAL CENTER ,67 UNION STREET ,,NATICK ,MA ,01760 ,MIDDLESEX ,3095525,,,1202625,,,.148,1246660,662251,247,90402,13956,4899,37338,44.49,1285.17,,3554,618,8574,903,179,,430,,2038, 220176,01-FEB-16,31-JAN-17,As Submitted,SAINT VINCENT HOSPITAL ,123 SUMMER STREET ,,WORCESTER ,MA ,01608 ,WORCESTER ,11474402,,,1648607,,,.1312,4913529,2203072,259,94794,22088,7289,75074,115.47,1836.79,,5215,1039,17048,1839,69,,59,,534, 220177,01-OCT-15,30-SEP-16,As Submitted,NANTUCKET COTTAGE HOSPITAL ,57 PROSPECT STREET ,,NANTUCKET ,MA ,02554-2799 ,NANTUCKET ,,,,30973,,,.12,,,19,6954,967,128,2323,,183.3,,151,48,437,149,,,,,, 221300,01-OCT-15,30-SEP-16,As Submitted,MARTHAS VINEYARD HOSPITAL ,ONE HOSPITAL ROAD ,,OAK BLUFFS ,MA ,02557 ,DUKES ,,,,,,,,,,25,9150,4183,113,5775,,317.55,,575,29,945,,,,,,, 221302,01-OCT-15,30-SEP-16,As Submitted,FAIRVIEW HOSPITAL ,29 LEWIS AVE ,,GREAT BARRINGTON ,MA ,01230 ,BERKSHIRE ,,,,,,,,,,24,8750,2197,359,3489,,254.52,,508,56,853,85,,,,,, 221303,01-OCT-15,30-SEP-16,As Submitted,ATHOL MEMORIAL HOSPITAL ,2033 MAIN STREET ,,ATHOL ,MA ,01331 ,WORCESTER ,,,,,,,,,,25,9150,2411,72,3376,,136.47,,164,20,352,,,,,,, 221990,01-JAN-16,31-DEC-16,As Submitted,CHESTNUT HILL BENEVOLENT ASSOCIATION ,910 BOYLSTON STREET ,,CHESTNUT HILL ,MA ,02467-2404 ,NORFOLK ,,,,,,,,,,20,7320,1079,,1337,,16.77,,39,,54,,,,,,, 222000,01-OCT-15,30-SEP-16,As Submitted,SPAULDING HOSPITAL CAMBRIDGE ,SPAULDING HOSPITAL CAMBRIDGE ,1575 CAMBRIDGE STREE ,CAMBRIDGE ,MA ,02138 ,MIDDLESEX ,,,,,,,,,,180,65880,14741,3601,43987,,485.99,,468,87,1363,,,,,,, 222003,01-JUL-16,30-JUN-17,As Submitted,TEWKSBURY HOSPITAL ,365 EAST STREET ,,TEWKSBURY ,MA ,02129 ,MIDDLESEX ,,,,,,,,,,540,197100,288,92444,126256,,906.85,,18,469,698,,,,,,, 222006,01-JUL-16,30-JUN-17,As Submitted,LEMUEL SHATTUCK HOSPITAL ,170 MORTON STREET ,,JAMAICA PLAIN ,MA ,02130 ,SUFFOLK ,,,,,,,,,5774,260,94900,361,58846,83115,6.46,672,,18,750,1181,,,,,,, 222007,01-OCT-15,30-SEP-16,As Submitted,HEBREW REHABILITATION CENTER ,1200 CENTRE STREET ,,ROSLINDALE ,MA ,02127 ,SUFFOLK ,,,,,,,,,,667,244122,4323,189487,233635,,1325.17,,130,195,1347,,,,,,, 222023,01-JUL-16,30-JUN-17,As Submitted,WESTERN MASSACHUSETTS HOSPITAL ,91 EAST MOUNTAIN ROAD ,,WESTFIELD ,MA ,01085 ,HAMPDEN ,,,,,,,,,,81,29565,94,27239,27942,,235.88,,1,48,73,,,,,,, 222027,01-JAN-16,31-DEC-16,As Submitted,NEW ENGLAND SINAI HOSPITAL ,150 YORK STREET ,,STOUGHTON ,MA ,02072 ,NORFOLK ,,,,,,,,,,182,66612,10382,9286,31287,,348.93,,396,1,921,,,,,,, 222043,01-JAN-16,31-DEC-16,As Submitted,4499 ACUSHNET AVENUE OPERATING COMPM ,4499 ACUSHNET AVENUE ,,NEW BEDFORD ,MA ,02745 ,NEW BEDFORD ,,,,,,,,,,90,32940,7603,8828,26182,,203.31,,268,89,594,104,,,,,, 222047,01-OCT-15,30-SEP-16,As Submitted,WHITTIER HOSPITAL-BRADFORD ,145 WARD HILL AVENUE ,,BRADFORD ,MA ,01835 ,ESSEX ,,,,,,,,,,60,21960,12791,,16867,,214.29,,612,,842,,,,,,, 222048,01-OCT-15,30-SEP-16,As Submitted,WHITTIER HOSPITAL-WESTBOROUGH ,150 FLANDERS ROAD ,,WESTBOROUGH ,MA ,01581 ,WORCESTER ,,,,,,,,,,88,32208,11377,,17090,,202.4,,516,,835,,,,,,, 223026,01-JAN-16,31-DEC-16,As Submitted,NEW ENGLAND REHABILITATION HOSPITAL ,2 REHABILIATION WAY ,,WOBURN ,MA ,01801 ,MIDDLESEX ,,,,,,,,,,210,76860,26946,1040,37434,3.52,286.84,,2063,46,2760,125,,,,,, 223027,01-JUL-16,30-JUN-17,As Submitted,HEALTHSOUTH BRAINTREE REHABILITATION ,250 POND STREET ,,BRAINTREE ,MA ,02184 ,NORFOLK ,,,,,,,,,,187,68255,20445,1474,33351,,347.96,,1649,89,2526,215,,,,,, 223029,01-OCT-15,30-SEP-16,As Submitted,FAIRLAWN REHABILITATION HOSPITAL ,189 MAY STREET ,,WORCESTER ,MA ,01602-4399 ,WORCESTER ,,,,,,,,,,110,40260,23264,1038,31470,,259.22,,1869,81,2515,136,,,,,, 223030,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,222 STATE STREET ,,LUDLOW ,MA ,01056 ,HAMPDEN ,,,,,,,,,,53,19398,13035,407,17229,,159.91,,967,28,1261,46,,,,,, 223032,01-OCT-15,30-SEP-16,As Submitted,REHAB HOSPITAL OF CAPE & ISLANDS ,311 SERVICE ROAD ,,EAST SANDWICH ,MA ,02537 ,BARNSTABLE ,,,,,,,,,,60,21960,11193,210,15576,,315.31,,863,14,1186,,,,,,, 223034,01-OCT-15,30-SEP-16,As Submitted,SPAULDING REHABILITATION HOSPITAL ,300 FIRST AVENUE ,,CHARLESTOWN ,MA ,02129 ,SUFFOLK ,,,,,,,,,75251,132,48312,14979,11405,46057,10.94,1018.92,,882,121,2292,,,,,,, 223300,01-OCT-15,30-SEP-16,As Submitted,FRANCISCAN HOSPITAL FOR CHILDREN ,30 WARREN STREET ,,BOSTON ,MA ,02135 ,ESSEX ,,,,,,,,,,112,40992,,9210,22555,8.39,546.3,,,245,824,,,,,,, 223302,01-OCT-15,30-SEP-16,Amended,CHILDRENS HOSPITAL CORPORATION ,300 LONGWOOD AVENUE ,,BOSTON ,MA ,02115 ,SUFFOLK ,,,,,,,,,87284,415,151890,1877,42866,118345,323.72,7018.21,,192,5172,15255,,,,,,, 223303,01-JAN-16,31-DEC-16,Settled,THE SHRINERS HOSPITAL FOR CHILDREN ,516 CAREW STREET ,,SPRINGFIELD ,MA ,01104 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 223304,01-JAN-16,31-DEC-16,Settled,THE SHRINERS HOSPITAL FOR CHILDREN ,51 BLOSSOM STREET ,,BOSTON ,MA ,02114 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 224001,01-JUL-16,30-JUN-17,As Submitted,TAUNTON STATE HOSPITAL ,60 HODGES AVENUE ,,TAUNTON ,MA ,02780 ,BRISTOL ,,,,,,,,,,45,16425,60,2547,17126,,185.92,,1,6,33,,,,,,, 224007,01-OCT-15,30-SEP-16,As Submitted,MCLEAN HOSPITAL ,115 MILL STREET ,,BELMONT ,MA ,02478 ,MIDDLESEX ,,,,,,,,,90205,328,120048,20644,2460,65845,25.14,1624,,1321,193,6037,,,,,,, 224013,01-JAN-16,31-DEC-16,As Submitted,THE ARBOUR HOSPITAL ,49 ROBINWOOD WAY ,,JAMAICA PLAINS ,MA ,02130 ,SUFFOLK ,,,,,,,,,,136,49776,7604,1698,39719,,283.3,,590,171,3323,,,,,,, 224018,01-JAN-16,31-DEC-16,As Submitted,HUMAN RESOURCE INSTITUTE ,227 BABCOCK STREET ,,BOSTON ,MA ,02146 ,NORFOLK ,,,,,,,,,,66,24156,6464,1757,20898,,161.9,,593,133,2164,,,,,,, 224021,01-JAN-16,31-DEC-16,As Submitted,FULLER MEMORIAL HOSPITAL ,200 MAY STREET ,,SOUTH ATTLEBORO ,MA ,02703 ,BRISTOL ,,,,,,,,,,103,37698,6649,1321,32423,,232.2,,291,31,2693,,,,,,, 224023,01-JAN-16,31-DEC-16,As Submitted,WESTWOOD LODGE ,45 CLAPBOARD STREET ,,WESTWOOD ,MA ,02090 ,NORFOLK ,,,,,,,,,,250,91500,13159,3501,61064,,494.9,,966,227,5226,,,,,,, 224028,01-JUL-16,30-JUN-17,As Submitted,CORRIGAN MENTAL HEALTH CENTER ,49 HILLSIDE STREET ,,FALL RIVER ,MA ,02720 ,BRISTOL ,,,,,,,,,,16,5840,464,4172,5255,,89.98,,20,88,127,,,,,,, 224031,01-JUL-16,30-JUN-17,As Submitted,CAPE COD AND ISLANDS MENTAL HEALTH C ,380 COUNTY LANE ,,POCASSET ,MA ,02559 ,BARNSTABLE ,,,,,,,,,,16,5840,776,4284,5773,,70.6,,29,113,167,,,,,,, 224032,01-JUL-16,30-JUN-17,As Submitted,WORCESTER RECOVERY CENTER AND HOSP ,309 BELMONT STREET ,,WORCESTER ,MA ,01604 ,WORCESTER ,,,,,,,,,,290,105850,658,19915,102018,,737.09,,32,261,588,,,,,,, 224033,01-JAN-16,19-NOV-16,As Submitted,BALDPATE HOSPITAL ,BALDPATE ROAD ,,GEORGETOWN ,MA ,01833 ,ESSEX ,,,,,,,,,,35,11165,978,56,6475,,56.48,,129,7,1040,179,,,,,, 224038,01-JAN-16,31-DEC-16,Amended,WALDEN BEHAVIORAL CARE ,51 SAWYER ROAD ,,WALTHAM ,MA ,02453 ,SUFFOLK ,,,,,,,,,,47,17202,2176,6079,16564,,232.4,,156,227,672,,,,,,, 224039,01-OCT-15,30-SEP-16,As Submitted,WHITTIER PAVILION ,76 SUMMER STREET ,,HAVERHILL ,MA ,01832 ,ESSEX ,,,,,,,,,,71,24420,11663,,20336,,170.83,,1068,,1864,,,,,,, 224040,01-JUL-16,30-JUN-17,As Submitted,DR. SOLOMON CARTER FULLER MENTAL HL ,85 E. NEWTON STREET ,,BOSTON ,MA ,02118 ,SUFFOLK ,,,,,,,,,,60,21900,1396,3812,21453,,167.86,,46,127,299,,,,,,, 224041,20-NOV-15,31-DEC-15,Settled,SOUTHCOAST BEHAVIORAL HEALTH ,581 FAUNCE CORNER ROAD ,,DARTMOUTH ,MA ,02747-1242 ,BRISTOL ,,,,,,,,,,120,5040,499,,3827,,73.9,,67,,416,,,,,,, 224041,01-JAN-16,31-DEC-16,As Submitted,SOUTHCOAST BEHAVIORAL HEALTH ,581 FAUNCE CORNER ROAD ,,DARTMOUTH ,MA ,02747-1242 ,BRISTOL ,,,,,,,,,,120,43920,9679,,23139,,154.45,,870,,2288,,,,,,, 224042,07-MAR-16,30-JUN-16,Settled,HIGH POINT HOSPITAL ,98 NORTH FRONT STREET 3RD FLOOR ,,NEW BEDFORD ,MA ,02740-7262 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 224042,01-JUL-16,30-JUN-17,Settled,HIGH POINT HOSPITAL ,53 OAK STREET ,,MIDDLEBORO ,MA ,02346 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 230002,01-JUL-16,30-JUN-17,As Submitted,ST. MARY MERCY HOSPITAL - LIVONIA ,36475 FIVE MILE ROAD ,,LIVONIA ,MI ,48154 ,WAYNE ,12898724,,,435908,,,.0329,7149228,2300198,252,91980,30930,2718,63817,100.7,1709.75,,7151,528,16218,1381,,,,1,1012,329 230003,01-JUL-16,30-JUN-17,As Submitted,SPECTRUM HEALTH ZEELAND ,100 S PINE STREET ,,ZEELAND ,MI ,49464 ,OTTAWA ,,,,50291,,,.0635,,,57,20805,1437,230,7682,,335.66,,468,101,3132,354,,,,,, 230005,01-JAN-16,31-DEC-16,Amended,BIXBY MEDICAL CENTER ,818 RIVERSIDE AVENUE ,,ADRIAN ,MI ,49221- ,LENAWEE ,,,,321278,,,.1177,,,88,32208,6167,1324,14001,,460.73,,1453,110,3486,502,,,,,, 230013,01-JAN-16,31-DEC-16,As Submitted,PONTIAC GENERAL HOSPITAL ,461 WEST HURON ,,PONTIAC ,MI ,48341 ,OAKLAND ,119990,,,21794,,,.12,506033,112332,47,17202,355,61,1435,16.58,124.98,,151,23,452,180,322,,,1,434,14 230015,01-JAN-16,31-DEC-16,As Submitted,THREE RIVERS HEALTH ,701 S. HEALTH PARKWAY ,,THREE RIVERS ,MI ,49093 ,ST. JOSEPH ,,,,75308,,,.12,,,48,17568,1195,160,3304,,295.74,,379,41,1007,199,,,,4,,164 230017,01-JAN-16,31-DEC-16,As Submitted,BRONSON METHODIST HOSPITAL ,601 JOHN STREET ,BOX 26 ,KALAMAZOO ,MI ,49007- ,KALAMAZOO ,6494165,,,3591169,,,.2265,3063210,1209801,415,151890,28958,9241,110678,108.36,3873.68,,6228,1608,26464,,,,,,, 230019,01-JUL-16,30-JUN-17,As Submitted,PROVIDENCE HOSPITAL ,16001 WEST NINE MILE ROAD ,,SOUTHFIELD ,MI ,48075- ,OAKLAND ,14879531,,,2615204,,,.0964,5362815,2405092,575,209383,55651,5380,142409,178.49,3404.84,,11505,1231,31791,4758,,,,7,634,251 230020,01-JAN-16,31-DEC-16,As Submitted,BEAUMONT HOSPITAL - DEARBORN ,18101 OAKWOOD BLVD ,2500 ,DEARBORN ,MI ,48124 ,WAYNE ,7571993,827821,,4794178,524132,,.2186,5681212,1695376,632,231312,59271,18184,162346,125.26,3713.33,,10301,1415,30391,6413,,,,,, 230021,01-OCT-15,30-SEP-16,As Submitted,LAKELAND MEDICAL CENTER ST. JOSEPH ,1234 NAPIER AVENUE ,,ST. JOSEPH ,MI ,49085- ,BERRIEN ,4716513,,,2035243,,,.2016,1729250,1115023,264,96624,19042,5162,53212,58.67,2116.37,,4542,1066,15348,2976,,,,5,602,202 230022,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HEALTH CENTER BRANCH CTY ,274 EAST CHICAGO STREET ,,COLDWATER ,MI ,49036- ,BRANCH ,292392,,,289535,,,.1589,139303,140395,87,31842,4494,385,10910,4.98,430.2,,1089,153,2820,,,,,,, 230024,01-JAN-16,31-DEC-16,As Submitted,SINAI-GRACE HOSPITAL ,6071 W. OUTER DRIVE ,,DETROIT ,MI ,48235 ,WAYNE ,13622414,,,5159676,,,.404,7085996,1788094,345,126270,30401,8741,86832,189.59,1899.26,,6277,1391,19135,6566,425,,1,14,757,238 230029,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPH MERCY HOSPITAL - OAKLAND ,44405 WOODWARD AVENUE ,,PONTIAC ,MI ,48341 ,OAKLAND ,10020384,,,2300222,,,.134,6622832,2135477,369,134685,34206,6646,83448,113.16,2309.67,,7021,984,19911,3577,,,,9,792,568 230030,01-JUL-16,30-JUN-17,As Submitted,MIDMICHIGAN MEDICAL CENTER-GRATIOT ,300 E. WARWICK DRIVE ,,ALMA ,MI ,48801 ,GRATIOT ,359076,,,318277,,,.1397,110723,97758,49,17885,4325,356,10132,3.41,404.76,,1366,161,3250,531,90,,,1,528,368 230031,01-JAN-16,31-DEC-16,As Submitted,LAKE HURON MEDICAL CENTER ,2601 ELECTRIC AVENUE ,,PORT HURON ,MI ,48060 ,ST. CLAIR ,,,,314433,,,.0693,,,154,56210,8370,457,16241,,467.14,,2101,130,4340,592,,,,5,,141 230035,01-JUL-16,30-JUN-17,As Submitted,SPECTRUM HEALTH UNITED MEMORIAL ,615 SOUTH BOWER ,,GREENVILLE ,MI ,48838 ,MONTCLAIM ,,,,192819,,,.12,,,42,15330,3492,474,9123,,520.57,,968,206,3147,670,,,,,, 230036,01-JUL-16,30-JUN-17,As Submitted,MIDMICHIGAN MEDICAL CENTER - ALPENA ,1501 W. CHISHOLM ,,ALPENA ,MI ,49707- ,ALPENA ,,,,266965,,,.0754,,,96,35040,6912,541,13038,,786.8,,2029,104,3896,419,,,,3,582,134 230037,01-JUL-16,30-JUN-17,As Submitted,HILLSDALE HOSPITAL ,168 SOUTH HOWELL STREET ,,HILLSDALE ,MI ,49242-2081 ,HILLSDALE ,237575,,,226545,,,.174,121821,52108,44,16060,2504,447,5994,3,308.35,,798,64,1940,359,,,232,,410, 230038,01-JUL-16,30-JUN-17,As Submitted,SPECTRUM HEALTH HOSPITALS ,100 MICHIGAN NE ,,GRAND RAPIDS ,MI ,49503- ,KENT ,13500022,,,7028070,,,.211,5859651,1732105,1064,388373,68530,20395,306855,239.11,8364.25,,12798,3879,61119,12434,,,,24,,792 230040,01-OCT-15,30-JUN-16,As Submitted,SPECTRUM HEALTH PENNOCK ,1009 WEST GREEN STREET ,,HASTINGS ,MI ,49058 ,BARRY ,,,,81569,,,.078,,,49,13426,2464,165,6509,,460.37,,638,68,1813,,,,,,, 230040,01-JUL-16,30-JUN-17,As Submitted,SPECTRUM HEALTH PENNOCK ,1009 WEST GREEN STREET ,,HASTINGS ,MI ,49058 ,BARRY ,,,,56022,,,.0456,,,49,17885,2817,168,7885,,435.24,,773,69,2239,334,,,,,, 230041,01-OCT-15,30-SEP-16,As Submitted,BAY REGIONAL MEDICAL CENTER ,1900 COLUMBUS AVENUE ,,BAY CITY ,MI ,48708 ,BAY ,800691,,,862719,,,.0548,334100,138174,297,108702,33671,1506,61702,11.08,1462.03,,6678,521,14310,1794,,,,28,891,286 230046,01-JUL-16,30-JUN-17,As Submitted,UNIV OF MI HOSPITALS & HLTH CTRS ,2301 COMMONWEALTH BLVD ,,ANN ARBOR ,MI ,48105-1500 ,WASHTENAW ,48887670,,,6729731,,,.1945,12716937,12022549,923,337079,73409,14468,284830,965.92,17246.64,,11297,1911,45285,7924,,,,17,1395,672 230047,01-JAN-16,31-DEC-16,As Submitted,HENRY FORD MACOMB HOSPITAL ,215 NORTH AVENUE ,,MT. CLEMENS ,MI ,48043 ,MACOMB ,7259790,,,550397,,,.038,4869215,1955270,321,117486,31538,2542,73600,101.81,2112.15,,6496,816,17841,2104,,,,44,2195,803 230053,01-JAN-16,31-DEC-16,As Submitted,HENRY FORD HOSPITAL ,ONE FORD PLACE ,,DETROIT ,MI ,48202 ,WAYNE ,37463595,,,7109233,,,.2966,16857766,16276850,677,246337,53187,14890,188295,597.15,10794.05,,8849,2849,35374,7599,,,,,, 230054,01-JUL-16,30-JUN-17,As Submitted,MARQUETTE GENERAL HOSPITAL ,420 W MAGNETIC STREET ,,MARQUETTE ,MI ,49855 ,MARQUETTE ,1091880,,,1100494,,,.1252,529491,292485,244,89060,15556,2665,40192,17.59,1792.74,,3661,491,9002,1355,260,,,2,656,363 230055,01-JAN-16,31-DEC-16,As Submitted,DICKINSON COUNTY HEALTHCARE SYSTEM ,1721 S. STEPHENSON AVENUE ,,IRON MOUNTAIN ,MI ,49801- ,DICKINSON ,,,,173368,,,.0848,,,96,35136,4158,305,9596,,735.47,,1130,67,2668,,,,,,, 230058,01-JUL-16,30-JUN-17,As Submitted,MUNSON HEALTHCARE GRAYLING HOSPITAL ,1110 MICHIGAN AVE ,,GRAYLING ,MI ,49738 ,CRAWFORD ,,,,210292,,,.0959,,,58,21170,4398,597,8718,,405.55,,1318,73,2670,479,,,,,, 230059,01-JUL-16,30-JUN-17,As Submitted,SAINT MARYS HEALTH CARE ,200 JEFFERSON SE ,,GRAND RAPIDS ,MI ,49503-4502 ,KENT ,5696142,,,1746914,,,.1684,1608830,1041012,255,93075,19376,4778,69011,72.25,3247.27,,4621,1350,18534,2555,,,1656,,4150, 230066,01-JUL-16,30-JUN-17,As Submitted,MERCY HEALTH MUSKEGON ,1700 CLINTON STREET ,P.O. BOX 3302 ,MUSKEGON ,MI ,49442-5502 ,MUSKEGON ,3788371,,,2030146,,,.1403,1898988,933183,336,116464,25840,2637,67522,52.89,3184.41,,6049,517,16804,2505,398,,,7,880,400 230069,01-JUL-16,30-JUN-17,As Submitted,SJMHS - LIVINGSTON ,620 BRYON ROAD ,,HOWELL ,MI ,48843 ,LIVINGSTON ,2311150,,,,,,,800391,1254518,38,20075,3886,365,8196,31.68,514.66,,1129,119,2691,221,,,,,, 230070,01-JUL-16,30-JUN-17,As Submitted,COVENANT MEDICAL CENTER ,1447 NORTH HARRISON ,,SAGINAW ,MI ,48602 ,SAGINAW ,4011577,,,3846530,,,.1788,2323041,836025,458,167218,53290,6607,132762,67.6,3800.01,,9725,920,25978,4571,,,,22,,890 230071,01-NOV-15,31-OCT-16,As Submitted,STRAITH HOSPITAL FOR SPECIAL SURGERY ,23901 LAHSER ROAD ,,SOUTHFIELD ,MI ,48033 ,OAKLAND ,,,,,,,,,,34,12444,4674,,4988,,77.22,,602,,647,,,,,,, 230072,01-APR-16,31-MAR-17,Amended,HOLLAND HOSPITAL ,602 MICHIGAN AVENUE ,,HOLLAND ,MI ,49423- ,OTTAWA ,,,,488301,,,.1203,,,173,63145,7177,2151,29377,,1535.25,,1981,390,8001,1130,,,,,582, 230075,01-JAN-16,31-DEC-16,As Submitted,BRONSON BATTLE CREEK ,300 NORTH AVE ,,BATTLE CREEK ,MI ,49016 ,CALHOUN ,,,,1271884,,,.1839,,,159,58194,14641,979,32951,,1503,,3165,433,8295,1754,,,,,618, 230077,01-JUL-16,30-JUN-17,As Submitted,ST. MARYS OF MICHIGAN ,800 S WASHINGTON ,,SAGINAW ,MI ,48601 ,SAGINAW ,1866926,9190,,998077,4913,,.092,1015363,465339,197,71905,23907,1700,49535,20.84,1520.61,,4479,319,10310,1496,,,,,, 230078,01-OCT-15,30-SEP-16,As Submitted,LAKELAND COMMUNITY HOSP WATERVLIET ,400 MEDICAL PARK DRIVE ,,WATERVLIET ,MI ,49098 ,BERRIEN ,,,,13479,,,.0509,,,26,9516,432,33,1611,,177.54,,171,19,430,75,,,,11,,207 230080,01-OCT-15,30-SEP-16,As Submitted,CENTRAL MICHIGAN COMMUNITY HOSPITAL ,1221 SOUTH DRIVE ,,MT PLEASANT ,MI ,48858 ,ISABELLA ,,,,370791,,,.1644,,,78,28548,4139,492,10299,,521.22,,1295,203,3691,627,,,,,, 230081,01-JUL-16,30-JUN-17,As Submitted,MUNSON HEALTHCARE CADILLAC HOSPITAL ,400 HOBART ST ,,CADILLAC ,MI ,49601 ,WEXFORD ,,,,237399,,,.0886,,,49,27917,5858,838,11897,,522.33,,1515,69,3078,380,,,,,, 230085,01-JUL-16,31-DEC-16,As Submitted,SOUTH HAVEN COMMUNITY HOSPITAL ,955 S. BAILEY ,,SOUTH HAVEN ,MI ,49090 ,VAN BUREN ,,,,14221,,,.0607,,,29,5336,331,34,708,,236.4,,127,16,304,25,,,,,, 230089,01-JAN-16,31-DEC-16,As Submitted,BEAUMONT HOSPITAL GROSSE POINTE ,468 CADIEUX ROAD ,,GROSSE POINTE ,MI ,48230 ,WAYNE ,1363944,,,1202172,,,.1222,1170707,395754,220,80520,21664,2126,48131,14.43,1168,,5154,454,12357,,,,,,, 230092,01-JUL-16,30-JUN-17,As Submitted,W.A. FOOTE MEMORIAL HOSPITAL ,205 N. EAST AVENUE ,,JACKSON ,MI ,49201 ,JACKSON ,8255845,,,2468216,,,.1612,3367449,1769201,313,114245,31503,7083,66921,82.77,3648.4,,6857,1142,16261,2652,,,13,,1302, 230093,01-JUL-16,30-JUN-17,As Submitted,SPECTRUM HEALTH BIG RAPIDS ,605 OAK STREET ,,BIG RAPIDS ,MI ,49307 ,MECOSTA ,,,,102141,,,.12,,,49,17885,1716,372,6053,,380.73,,563,167,2519,702,,,,,, 230095,01-APR-16,31-MAR-17,As Submitted,WEST BRANCH REGIONAL MEDICAL CENTER ,2463 S. M-30 ,,WEST BRANCH ,MI ,48661- ,OGEMAW ,,,,,,,,,,88,32120,4951,98,8153,,304.63,,1359,31,2392,228,,,,,, 230096,01-OCT-15,30-SEP-16,As Submitted,STURGIS HOSPITAL INC. ,916 MYRTLE STREET ,,STURGIS ,MI ,49091- ,ST. JOSEPH ,,,,100539,,,.12,,,49,17934,2021,360,4099,,255.57,,599,40,1113,,,,,,, 230097,01-JUL-16,30-JUN-17,As Submitted,MUNSON MEDICAL CENTER ,1105 SIXTH STREET ,,TRAVERSE CITY ,MI ,49684 ,GRAND TRAVERSE ,2143448,,,1746740,,,.0835,670044,442854,409,135902,41003,4707,94684,22.04,3071.87,,8749,775,22757,2830,216,,,6,559,241 230099,01-JAN-16,31-DEC-16,As Submitted,MONROE REGIONAL HOSPITAL ,718 NORTH MACOMB ,,MONROE ,MI ,48162 ,MONROE ,1777430,,,597077,,,.1189,1194030,448668,165,60390,12765,1776,27674,33.81,883.26,,2865,187,6975,793,,,,,621, 230100,01-JUL-16,30-JUN-17,As Submitted,TWAS ST. JOSEPH HOSPITAL ,200 HEMLOCK/M-55 ,0659 ,TAWAS CITY ,MI ,48764-0659 ,,,,,117171,,,.1041,,,47,17155,1825,157,3820,,263.79,,643,41,1448,273,,,,,, 230104,01-JAN-16,31-DEC-16,As Submitted,HARPER- HUTZEL HOSPITAL ,3990 JOHN R ,,DETROIT ,MI ,48201 ,WAYNE ,17192798,,,6494455,,,.4715,7184743,2255302,352,128832,29043,10946,105152,237.97,2342.81,,5931,1320,22385,8815,,,,,, 230105,01-OCT-15,30-SEP-16,As Submitted,NORTHERN MICHIGAN REGIONAL HOSPITAL ,416 CONNABLE AVENUE ,,PETOSKEY ,MI ,49770 ,EMMET ,,,,,,,,,,187,68442,18165,1571,36640,,1186.06,,4446,442,10356,1041,,,,13,,269 230108,01-DEC-15,30-NOV-16,As Submitted,PORTAGE HEALTH SYSTEM ,500 CAMPUS DRIVE ,,HANCOCK ,MI ,49930- ,HOUGHTON ,,,,47213,,,.0624,,,36,13176,1824,247,5213,,399.03,,470,67,1351,,,,,,, 230110,01-JUL-16,30-JUN-17,As Submitted,SPECTRUM HEALTH LUDINGTON ,ONE ATKINSON DRIVE ,,LUDINGTON ,MI ,49431 ,MASON ,,,,169340,,,.1079,,,49,17885,3713,311,7935,,430.25,,963,129,2140,454,,,,,, 230117,01-JUL-16,30-JUN-17,As Submitted,BORGESS MEDICAL CENTER ,1521 GULL ROAD ,,KALAMAZOO ,MI ,49048 ,KALAMAZOO ,9000279,,,1204987,,,.0777,4016196,1790316,286,104390,29620,4859,67260,80.62,2220,,5839,602,17003,1950,651,,3,19,1610,362 230118,01-OCT-15,30-SEP-16,As Submitted,HURON MEMORIAL HOSPITAL ,1100 SOUTH VAN DYKE ,,BAD AXE ,MI ,48413- ,HURON ,,,,147243,,,.12,,,53,19398,2344,282,5203,,304.24,,709,63,1587,231,,,,,, 230121,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HEALTHCARE ,826 WEST KING STREET ,,OWOSSO ,MI ,48867 ,SHIAWASSEE ,,,,254123,,,.1249,,,107,39242,4852,450,11010,,855.37,,1132,99,2631,458,,,1,,975, 230130,01-JAN-16,31-DEC-16,As Submitted,WILLIAM BEAUMONT HOSPITAL - ROYAL OA ,3601 WEST 13 MILE ROAD ,,ROYAL OAK ,MI ,48073-6769 ,OAKLAND ,23424508,9178027,,3481828,1364226,,.0973,12025054,3870820,976,356200,117386,11567,289573,411.96,7270.1,,21360,1498,57249,,,,,34,900,1904 230132,01-JUL-16,30-JUN-17,As Submitted,HURLEY MEDICAL CENTER ,ONE HURLEY PLAZA ,,FLINT ,MI ,48503-5993 ,GENESEE ,5968131,,,4635720,,,.4311,4576037,1041103,370,135050,26407,8689,95659,115.47,2631.08,,4715,1567,18883,6487,570,,,17,935,147 230133,01-JAN-16,31-DEC-16,As Submitted,OTSEGO MEMORIAL HOSPITAL ,825 N CENTER AVENUE ,,GAYLORD ,MI ,49735 ,OTSEGO ,,,,173773,,,.12,,,46,16836,2645,317,6621,,430.37,,835,76,2106,436,,,,,, 230141,01-OCT-15,30-SEP-16,As Submitted,MCLAREN REGIONAL MEDICAL CENTER ,401 S. BALLANGER ,,FLINT ,MI ,48532 ,GENESEE ,10780100,,,2031714,,,.094,4079320,1735247,284,103944,36510,2269,78629,74.12,2395.97,,7900,645,18507,2853,573,,591,13,1021,222 230142,01-JAN-16,31-DEC-16,Amended,BEAUMONT HEALTH - WAYNE ,33155 ANNAPOLIS AVENUE ,,WAYNE ,MI ,48184 ,WAYNE ,2189137,,,1101824,,,.1877,1343480,538632,170,65970,13254,2573,31338,33.17,1121.72,,3226,446,8298,1676,,,,,, 230144,01-JAN-16,31-DEC-16,As Submitted,FOREST HEALTH MEDICAL CENTER ,135 SOUTH PROSPECT ,,YPSILANTI ,MI ,48198- ,WASHTENAW ,,,,21639,,,.0498,,,24,8784,401,,2145,,71,,207,,995,,,,,,, 230146,01-JAN-16,31-DEC-16,Amended,HENRY FORD WYANDOTTE HOSPITAL ,2333 BIDDLE ,,WYANDOTTE ,MI ,48192 ,WAYNE ,3437701,,,1011982,,,.104,2586638,711337,281,102846,24417,3654,59127,47.33,1691.22,,4960,935,14633,1827,,,,13,1333,699 230151,01-JAN-16,31-DEC-16,As Submitted,BEAUMONT HOSPITAL - FARMINGTON HILLS ,28050 GRAND RIVER ,,FARMINGTON HILLS ,MI ,48336 ,OAKLAND ,12288085,,,1731174,,,.1514,5800310,3323174,256,93696,27444,4185,60862,154.37,2023.31,10.94,5406,719,13245,2259,,,,12,730,433 230156,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPH MERCY HOSPITAL - ANN ARBO ,5301 E. HURON RIVER DR. ,992 ,ANN ARBOR ,MI ,48106 ,WASHTENAW ,13286026,,,1766586,,,.0708,4295464,1954402,444,162060,46672,5664,126676,137.4,4058.86,,10480,1160,32237,2753,,,,14,1110,463 230165,01-JUL-16,30-JUN-17,As Submitted,ST JOHN HOSPITAL & MEDICAL CENTER ,22101 MOROSS ,,DETROIT ,MI ,48236 ,WAYNE ,11576251,63781,,5411700,29817,,.285,5382070,3702835,555,202575,42038,10566,135478,246.09,3601.5,299,7785,1447,26034,7440,332,,,10,782,512 230167,01-OCT-15,30-SEP-16,As Submitted,MCLAREN GREATER LANSING ,401 WEST GREENLAWN AVE. ,,LANSING ,MI ,48910 ,INGHAM ,6557335,,,1720070,,,.1538,2254204,2169838,249,91134,21373,4051,46919,92.78,1890.95,33.55,4576,856,12017,1917,,,,,158, 230174,01-JUL-16,30-JUN-17,As Submitted,NORTH OTTAWA COMMUNITY HOSPITAL ,1309 SHELDON ROAD ,,GRAND HAVEN ,MI ,49417 ,OTTAWA ,,,,33075,,,.0517,,,81,29565,1377,297,4574,,503.32,,372,21,1522,164,,,,,, 230176,01-JAN-16,31-DEC-16,As Submitted,BEAUMONT HOSPITAL-TRENTON ,5450 FORT STREET ,,TRENTON ,MI ,48183 ,WAYNE ,3832749,,,294942,,,.0394,2682414,839242,186,68076,16854,1811,36814,53.02,946.95,,3685,205,8928,886,,,,,, 230180,01-JUL-16,30-JUN-17,As Submitted,MIDMICHIGAN MEDICAL CENTER-CLARE ,703 N. MCEWAN STREET ,,CLARE ,MI ,48617 ,CLARE COUNTY ,,,,45226,,,.0578,,,49,17885,1495,108,2833,,251.4,,525,37,967,63,,,,,, 230193,01-OCT-15,30-SEP-16,As Submitted,MCLAREN LAPEER REGION ,1375 NORTH MAIN STREET ,,LAPEER ,MI ,48436 ,LAPEER ,,,,302156,,,.055,,,183,66978,11795,653,24055,,623.21,,2660,173,5899,741,,,,,522, 230195,01-JUL-16,30-JUN-17,As Submitted,ST. JOHN MACOMB-OAKLAND HOSPITAL ,28000 DEQUINDRE ROAD ,,WARREN ,MI ,48092 ,MACOMB ,13843953,,,2884291,,,.1433,7814395,2423841,451,164615,50219,6016,107741,172.57,2159.38,,9502,1304,22855,4180,652,,,14,1667,506 230197,01-JUL-16,30-JUN-17,As Submitted,GENESYS REGIONAL MEDICAL CTR. ,1 GENESYS PARKWAY ,,GRAND BLANC ,MI ,48439-8065 ,GENESEE ,14541174,,,876530,,,.0457,6586861,1711661,350,127750,38483,2863,91402,140.49,2563,,7097,719,19290,2889,,,,3,,349 230207,01-OCT-15,30-SEP-16,As Submitted,MCLAREN OAKLAND ,50 N. PERRY STREET ,,PONTIAC ,MI ,48342 ,OAKLAND ,4864206,,,821839,,,.2222,2395124,2647593,108,39528,8768,1348,20338,79.51,958.8,,1757,383,4309,912,,,,14,620,231 230208,01-JAN-16,31-DEC-16,Amended,CARSON CITY HOSPITAL ,406 EAST ELM STREET ,879 ,CARSON CITY ,MI ,48811 ,MONTCALM ,8900,,,158879,,,.195,4406,6518,48,17520,1334,246,3751,.68,398,,428,41,1163,364,,,,,1506, 230216,01-OCT-15,30-SEP-16,As Submitted,MCLAREN PORT HURON ,1221 PINE GROVE AVENUE ,,PORT HURON ,MI ,48060- ,ST. CLAIR ,,,,810144,,,.0967,,,163,59658,17164,1236,37515,,1022.05,,4082,331,10816,2193,,,,,1091, 230217,01-APR-16,31-MAR-17,As Submitted,OAKLAWN HOSPITAL ,200 NORTH MADISON STREET ,,MARSHALL ,MI ,49068 ,CALHOUN ,,,,317120,,,.12,,,78,28470,4763,432,13166,,771.71,,1198,215,4562,1228,,,,,, 230222,01-JUL-16,30-JUN-17,As Submitted,MIDMICHIGAN MEDICAL CTR ,4000 WELLNESS DRIVE ,,MIDLAND ,MI ,48670 ,MIDLAND ,1773959,,,1169664,,,.0869,1114860,700926,328,119720,21464,2324,53867,23.11,1981.36,,5216,572,14581,2182,,,,,, 230227,01-OCT-15,30-SEP-16,As Submitted,MCLAREN MACOMB ,1000 HARRINGTON ,,MT. CLEMENS ,MI ,48043 ,MACOMB COUNTY ,6564611,,,1331803,,,.1005,2402884,1280465,259,94900,26175,4293,61464,104.25,1909.67,,6154,1192,14818,2446,,,,,, 230230,01-JAN-16,31-DEC-16,As Submitted,EDWARD W. SPARROW HOSPITAL ,1215 E. MICHIGAN AVE ,,LANSING ,MI ,48912-1811 ,INGHAM ,13788871,,,4129278,,,.1754,4985860,1970355,524,191718,51400,9711,152555,171.13,4848.87,,9927,1882,31756,,,,,41,1252,891 230236,01-JUL-16,30-JUN-17,As Submitted,METROPOLITAN HOSPITAL ,5900 BYRON CENTER AVE SW ,,WYOMING ,MI ,49519-9606 ,KENT ,3047909,,,635655,,,.118,1255224,957462,178,64592,8983,1542,34524,63.23,2046,,2193,292,9498,1092,,,,,, 230239,01-JAN-16,31-DEC-16,As Submitted,CHIPPEWA COUNTY WAR MEMORIAL HOSPITA ,500 OSBORNE BOULEVARD ,,SAULT STE. MARIE ,MI ,49783- ,CHIPPEWA ,,,,195656,,,.12,,,82,30012,5114,1062,11037,,709.31,,284,351,2669,413,,,,,564, 230241,01-JUL-16,30-JUN-17,As Submitted,ST. JOHN RIVER DISTRICT HOSPITAL ,4100 RIVER ROAD ,,EAST CHINA ,MI ,48054 ,ST CLAIR ,,,,134941,,,.12,,,68,24820,2167,335,5655,.78,220.78,,66,134,1792,,,,,,, 230244,01-JAN-16,31-DEC-16,Amended,GARDEN CITY HOSPITAL OSTEOPATHIC ,6245 INKSTER ROAD ,,GARDEN CITY ,MI ,48135 ,,6358587,,,1323193,,,.1757,2816571,898477,141,51606,14736,2317,34445,81.03,982.41,,3562,581,11927,3205,,,,6,,370 230254,01-JAN-16,30-JUN-16,As Submitted,CRITTENTON HOSPITAL MEDICAL CENTER ,1101 W. UNIVERSITY DR. ,,ROCHESTER ,MI ,48307 ,OAKLAND ,2870398,,,,,,,2043773,657530,192,34944,7837,645,17002,70.73,1020.53,,1763,131,4329,,,,,3,415,339 230254,01-JUL-16,30-JUN-17,As Submitted,CRITTENTON HOSPITAL MEDICAL CENTER ,1101 W. UNIVERSITY DR. ,,ROCHESTER ,MI ,48307 ,OAKLAND ,5671692,,,,,,,4016200,1356520,187,68255,14929,1042,32891,69.58,995.37,,3454,186,8379,,,,,5,807,632 230259,01-JUL-16,30-JUN-17,As Submitted,CHELSEA COMMUNITY HOSPITAL ,775 SOUTH MAIN STREET ,P.O BOX 490 ,CHELSEA ,MI ,48118 ,WASHTENAW ,,,,,,,,,,97,35405,1311,162,10785,,804,,1264,79,3227,128,,,1,1,900,54 230264,01-JAN-16,31-DEC-16,As Submitted,SOUTHEAST MICHIGAN SURGICAL HOSPITAL ,21230 DEQUINDRE ROAD ,,WARREN ,MI ,48091 ,MACOMB ,49177,,,4982,,,.1011,13917,75587,13,4758,26,,205,6.72,62.76,,13,,129,5,,,,,, 230269,01-JAN-16,31-DEC-16,Amended,WILLIAM BEAUMONT HOSPITAL - TROY ,44201 DEQUINDRE ,,TROY ,MI ,48098-1198 ,OAKLAND ,1821298,747191,,907708,372390,,.0463,1228625,378869,495,173668,60073,4109,142876,32.43,3360.07,,13569,1023,34623,,,,,11,,713 230270,01-JAN-16,31-DEC-16,As Submitted,BEAUMONT HOSPITAL - TAYLOR ,10000 TELEGRAPH RD ,,TAYLOR ,MI ,48180 ,WAYNE ,2050637,,,491128,,,.12,1762069,405650,99,36234,9201,811,20292,22.45,916.57,,2207,329,5181,643,,,,27,972,1128 230273,01-JAN-16,31-DEC-16,As Submitted,DETROIT RECEIVING HOSPITAL ,4201 ST. ANTOINE ,,DETROIT ,MI ,48201 ,WAYNE ,12319645,,,3651917,,,.4851,5412622,955296,203,74298,18281,7992,58198,183.96,1425.53,,3768,1353,12955,4574,253,,34,,624, 230275,01-JAN-16,31-DEC-16,Amended,HEALTHSOURCE SAGINAW ,3340 HOSPITAL ROAD ,,SAGINAW ,MI ,48603 ,SAGINAW ,,,,15324,,,.12,198538,1512,7,2562,253,,1572,,5.65,,91,,568,310,,,,3,2763,211 230277,01-NOV-15,31-OCT-16,As Submitted,HURON VALLEY-SINAI HOSPITAL ,1601 E. COMMERCE ROAD ,,COMMERCE TOWNSHIP ,MI ,48382 ,OAKLAND ,1495081,,,452307,,,.0792,1312667,604094,128,46848,11988,1923,33320,38.18,859.1,,2664,313,8543,1049,,,,,, 230279,01-JUL-16,30-JUN-17,As Submitted,ST. JOHN BRIGHTON ,12851 EAST GRAND RIVER AVENUE ,,BRIGHTON ,MI ,48116 ,LIVINGSTON ,,,,,,,,,,99,36135,745,,15492,,141.89,,68,,2340,,,,,,, 230297,01-OCT-15,30-SEP-16,As Submitted,KARMANOS CANCER HOSPITAL ,4100 JOHN R ,,DETROIT ,MI ,48201 ,WAYNE ,50729,,,392032,,,.1383,44557,83836,122,44469,7371,363,25242,42.74,758.95,,1004,46,3312,605,,,,,, 230301,01-JAN-16,31-DEC-16,As Submitted,OAKLAND REGIONAL HOSPITAL ,22401 FOSTER WINTER DRIVE ,,SOUTHFIELD ,MI ,48075 ,OAKLAND ,,,,,,,,,,30,10980,1207,4,1407,,95.73,,206,2,301,2,,,,,, 230302,01-JAN-16,31-DEC-16,As Submitted,HENRY FORD WEST BLOOMFIELD HOSPITAL ,1 FORD PLACE ,,DETROIT ,MI ,48202-3450 ,WAYNE ,,,,524806,,,.0632,,,191,69906,17418,1308,50526,10.92,1685.62,,3829,252,12732,,,,,,, 230303,01-JUL-16,30-JUN-17,As Submitted,MUNSON HEALTHCARE MANISTEE HOSPITAL ,1465 E. PARKDALE AVE ,,MANISTEE ,MI ,49660 ,MANISTEE ,,,,95494,,,.081,,,45,16425,3022,362,6016,,344.25,,726,37,1612,253,,,,,, 231300,01-JUL-16,30-JUN-17,As Submitted,PAUL OLIVER MEMORIAL HOSPITAL ,224 PARK AVENUE ,,FRANKFORT ,MI ,49635 ,BENZIE ,,,,,,,,,,8,2920,30,,48,,165,,1,,1,,,,,,, 231301,01-JUL-16,30-JUN-17,As Submitted,KALKASKA MEMORIAL HEALTH CENTER ,419 CORAL STREET ,,KALKASKA ,MI ,49646 ,KALKASKA ,,,,,,,,,,8,2920,136,,211,,320,,53,,84,13,,,,,, 231303,01-JAN-16,31-DEC-16,As Submitted,SCHOOLCRAFT MEMORIAL HOSPITAL ,7870W US HWY 2 ,,MANISTIQUE ,MI ,49854-0000 ,SCHOOLCRAFT ,,,,,,,,,,12,4392,1002,21,1566,,163.92,,215,8,390,34,,,,,, 231304,01-JAN-16,31-DEC-16,As Submitted,HELEN NEWBERRY JOY HOSPITAL ,502 W HARRIE ,,NEWBERRY ,MI ,49868 ,LUCE ,,,,,,,,,,25,9150,1505,44,2322,,200.02,,213,13,363,35,,,,,, 231305,01-JUL-16,30-JUN-17,As Submitted,STANDISH COMMUNITY HOSPITAL ,805 WEST CEDAR STREET ,,STANDISH ,MI ,48658 ,ARENAC ,,,,,,,,,,25,9125,979,58,1681,,97.88,,340,21,627,56,,,,,, 231306,01-APR-16,31-MAR-17,As Submitted,MACKINAC STRAITS HEALTH SYSTEM INC ,1140 NORTH STATE STREET ,,ST. IGNACE ,MI ,49781 ,MACKINAC ,,,,,,,,,,15,5475,1507,27,2251,,151.79,,147,6,251,8,,,,,, 231307,01-OCT-15,30-SEP-16,As Submitted,BARAGA COUNTY MEMORIAL HOSPITAL ,18341 U.S. HIGHWAY 41 ,,LANSE ,MI ,49946 ,BARAGA ,,,,,,,,,,24,8784,1752,51,2665,,100.65,,231,24,435,45,,,,,, 231308,01-APR-16,31-MAR-17,As Submitted,MUNISING MEMORIAL HOSPITAL ,1500 SAND POINT ROAD ,,MUNISING ,MI ,49682 ,ALGER ,,,,,,,,,,11,4026,279,3,318,,77.09,,34,1,60,9,,,,,, 231309,01-JUL-16,30-JUN-17,As Submitted,ASPIRUS ONTONAGON HOSPITAL ,601 SOUTH SEVENTH STREET ,,ONTONAGON ,MI ,49953 ,ONTONAGON ,,,,,,,,,,25,9125,326,,601,,69.91,,81,,145,10,,,,,, 231310,01-JUL-16,30-JUN-17,As Submitted,SCHEURER HOSPITAL ,170 NORTH CASEVILLE ROAD ,,PIGEON ,MI ,48755 ,HURON ,,,,,,,,,,25,9125,2245,9,3121,,286.55,,230,2,422,3,,,,,, 231311,01-JUL-16,30-JUN-17,As Submitted,DECKERVILLE COMMUNITY HOSPITAL ,3559 PINE STREET ,126 ,DECKERVILLE ,MI ,48427 ,SANILAC ,,,,,,,,,,15,5475,77,3,110,,63.52,,31,1,48,,,,,,, 231312,01-APR-16,31-MAR-17,As Submitted,SHERIDAN COMMUNITY HOSPITAL ,301 N MAIN STREET ,279 ,SHERIDAN ,MI ,48884 ,MONTCALM ,,,,,,,,,,22,8030,668,2,1008,,126.17,,75,1,131,19,,,,,, 231313,01-JAN-16,31-DEC-16,As Submitted,HARBOR BEACH COMMUNITY HOSPITAL ,210 SOUTH FIRST STREET ,,HARBOR BEACH ,MI ,48441-0040 ,HURON ,,,,,,,,,,15,5490,448,2,596,,87.59,,91,1,121,3,,,,,, 231314,01-OCT-15,30-SEP-16,As Submitted,MCKENZIE MEMORIAL HOSPITAL ,120 DELAWARE STREET ,,SANDUSKY ,MI ,48471 ,SANILAC ,,,,,,,,,,25,9150,1255,2,1502,,128.19,,138,2,194,3,,,,,, 231316,01-OCT-15,30-SEP-16,As Submitted,HILLS & DALES GENERAL HOSPITAL ,4675 HILL STREET ,,CASS CITY ,MI ,48726- ,TUSCOLA ,,,,,,,,,,25,9150,1465,27,2170,,182.08,,267,8,460,26,,,,,, 231317,01-JUL-16,30-JUN-17,As Submitted,KELSEY MEMORIAL HOSPITAL ,418 WASHINGTON AVENUE ,,LAKEVIEW ,MI ,48850- ,MONTCALM ,,,,,,,,,,16,5840,547,,736,,92.5,,1,,2,,,,,,, 231319,01-JUL-16,30-JUN-17,As Submitted,ASPIRUS KEWEENAW HOSPITAL ,205 OCEOLA ST ,,LAURIUM ,MI ,49913- ,HOUGHTON ,,,,,,,,,,25,9125,1280,170,3333,,230.49,,305,179,1030,,,,,,, 231320,01-JUL-16,30-JUN-17,As Submitted,MH-LAKESHORE CAMPUS ,72 SOUTH STATE STREET ,,SHELBY ,MI ,49455 ,OCEANA ,,,,,,,,,,24,8760,540,38,966,,81,,164,10,283,29,,,,,, 231321,01-JUL-16,30-JUN-17,As Submitted,BELL MEMORIAL HOSPITAL ,901 LAKESHORE DRIVE ,,ISHPEMING ,MI ,49849-2151 ,MARQUETTE ,,,,,,,,,,25,9125,1541,188,3388,,287.67,,336,32,1003,,,,,,, 231322,01-APR-16,30-JUN-16,Amended,CHARLEVOIX AREA HOSPITAL ,14700 LAKESHORE DRIVE ,,CHARLEVOIX ,MI ,49720 ,CHARLEVOIX ,,,,,,,,,,25,2275,240,29,660,,253.5,,84,8,226,35,,,,,, 231322,01-JUL-16,30-JUN-17,As Submitted,MUNSON HEALTHCARE CHARLEVOIX HOSPITA ,14700 LAKESHORE DRIVE ,,CHARLEVOIX ,MI ,49720 ,CHARLEVOIX ,,,,,,,,,,25,9125,1084,132,2779,,311.6,,353,26,902,151,,,,,, 231323,01-JUL-16,30-JUN-17,As Submitted,SPECTRUM HEALTH REED CITY ,300 PATTERSON ROAD ,,REED CITY ,MI ,49677- ,OSCEOLA ,,,,,,,,,,25,9125,1555,34,2482,,251.52,,333,11,694,89,,,,,, 231324,01-JUL-16,30-JUN-17,As Submitted,EATON RAPIDS MEDICAL CENTER ,1500 S MAIN ST ,,EATON RAPIDS ,MI ,48827 ,EATON ,,,,,,,,,,20,7300,920,10,1719,,158.38,,201,4,449,29,,,,,, 231325,01-JUL-16,30-JUN-17,As Submitted,MIDMICHIGAN MEDICAL CENTER - GLADWIN ,515 QUARTER ST. ,,GLADWIN ,MI ,48624 ,,,,,,,,,,,25,9125,851,35,1476,,129.68,,330,12,565,68,,,,,, 231326,01-JAN-16,31-DEC-16,As Submitted,SPARROW CLINTON HOSPITAL ,805 S. OAKLAND ,,ST. JOHNS ,MI ,48879-2253 ,CLINTON ,,,,,,,,,,25,9150,1154,17,2153,,218.11,,398,8,765,40,,,,,, 231327,01-APR-16,31-MAR-17,As Submitted,HAYES GREEN BEACH MEMORIAL HOSPITAL ,321 EAST HARRIS STREET ,,CHARLOTTE ,MI ,48813 ,,,,,,,,,,,25,9125,879,26,1665,,345.01,,334,13,661,50,,,,,, 231328,01-JAN-16,31-DEC-16,As Submitted,ALLEGAN GENERAL HOSPITAL ,555 LINN STREET ,,ALLEGAN ,MI ,49010 ,ALLEGAN ,,,,,,,,,,25,9150,1253,61,2770,,251.41,,362,17,828,67,,,,,, 231329,01-JAN-16,31-DEC-16,As Submitted,CARO COMMUNITY HOSPITAL ,401 N HOOPER ST ,435 ,CARO ,MI ,48723 ,TUSCOLA ,,,,,,,,,,25,9150,257,7,388,,101.27,,112,3,167,10,,,,,, 231330,01-JUL-16,30-JUN-17,As Submitted,MARLETTE REGIONAL HOSPITAL ,2770 MAIN STREET ,307 ,MARLETTE ,MI ,48453 ,SANILAC ,,,,,,,,,,25,9125,1829,11,2585,,230.81,,229,4,422,35,,,,,, 231331,01-JAN-16,31-DEC-16,As Submitted,SPARROW IONIA HOSPITAL ,479 LAFAYETTE ,,IONIA ,MI ,48846 ,IONIA ,,,,,,,,,,25,9150,1104,63,2303,,199.16,,344,29,743,97,,,,,, 231332,01-JAN-16,31-DEC-16,As Submitted,BRONSON LAKEVIEW HOSPITAL ,408 HAZEN ,209 ,PAW PAW ,MI ,49079-0209 ,VAN BUREN ,,,,,,,,,,25,9150,703,75,1463,,212.08,,251,27,587,72,,,,,206, 231334,01-JAN-16,31-DEC-16,As Submitted,HERRICK MEDICAL CENTER ,500 E. POTTAWATAMIE STREET ,,TECUMSEH ,MI ,49286- ,LENAWEE ,,,,,,,,,,25,9150,183,1,300,,122.5,,69,1,128,2,219,,,,404, 231337,01-OCT-15,30-SEP-16,As Submitted,ST. FRANCIS HOSPITAL ,3410 LUDINGTON STREET ,,ESCANABA ,MI ,49829-0787 ,DELTA ,,,,,,,,,,25,9150,2124,584,5316,,410.88,,752,153,1843,,,,,,, 231338,01-JUL-16,30-JUN-17,As Submitted,SPECTRUM HEALTH GERBER ,212 S. SULLIVAN ,,FREMONT ,MI ,49412 ,NEWAYGO ,,,,,,,,,,25,9125,1914,291,5863,,464.74,,592,167,2540,561,,,,,, 232012,01-FEB-16,31-JAN-17,As Submitted,SSH - FLINT INC ,401 SOUTH BALLENGER 5TH FLOOR ,,FLINT ,MI ,48532 ,GENESEE ,,,,,,,,,,26,9516,4102,,7196,,77.36,,159,,286,3,,,,,, 232019,01-JUN-16,31-MAY-17,As Submitted,VIBRA DETROIT ,26400 WEST OUTER DRIVE ,,DETROIT ,MI ,48146 ,WAYNE ,,,,,,,,,,260,94900,17757,,26181,,215.7,,747,,1046,49,,,,,, 232020,01-OCT-15,30-SEP-16,Settled,MCLAREN BAY SPECIAL CARE ,3250 E. MIDLAND RD ,,BAY CITY ,MI ,48706 ,BAY ,,,,,,,,,,31,11346,5060,161,6069,,52.16,,297,5,360,4,,,,,, 232021,01-JUL-16,30-JUN-17,As Submitted,GLS - MUSKEGON ,1700 CLINTON STREET 2 SOUTH ,,MUSKEGON ,MI ,49442 ,MUSKEGON ,,,,,,,,,,31,11315,2923,,5781,,67.32,,110,,221,19,,,,,, 232023,01-JAN-16,31-DEC-16,As Submitted,SSH - MACOMB COUNTY INC. ,215 NORTH AVENUE SUITE 200 ,,MOUNT CLEMENS ,MI ,48043 ,MACOMB ,,,,,,,,,,36,13176,4793,,9465,,134.26,,195,,353,16,,,,,, 232024,01-MAY-16,30-APR-17,As Submitted,SSH - ANN ARBOR ,5301 E. HURTON RIVER DR. 7TH FLOOR ,,YPSILANTI ,MI ,48197 ,WASHTENAW ,,,,,,,,,,36,13140,5926,14,11509,,105.17,,204,1,390,11,,,,,, 232026,01-JAN-16,31-DEC-16,As Submitted,SSH - GLSH OAK LLC ,310 LAFAYETTE SE ,SUITE 302 ,GRAND RAPIDS ,MI ,49503-4502 ,KENT ,,,,,,,,,,20,7320,2094,73,4977,,53.5,,83,1,193,13,,,,,, 232029,01-JUL-16,30-JUN-17,As Submitted,KENT COMMUNITY CAMPUS ,750 FULLER NE ,,GRAND RAPIDS ,MI ,49503 ,KENT ,,,,,,,,,,40,14600,2101,411,4842,,143.48,,66,19,146,,,,,,, 232030,01-FEB-16,31-JAN-17,As Submitted,SSH - PONTIAC INC. ,44405 WOODWARD AVENUE 8TH FLOOR ,,PONTIAC ,MI ,48341 ,OAKLAND ,,,,,,,,,,30,10980,4201,88,8241,,87.78,,165,2,312,16,,,,,, 232031,01-MAY-16,30-APR-17,As Submitted,SSH - WYANDOTTE ,2333 BIDDLE AVE. 8TH FLOOR ,,WYANDOTTE ,MI ,48192-4668 ,WAYNE ,,,,,,,,,,35,12775,4610,,9563,,91.13,,179,,337,13,,,,,, 232033,01-MAR-16,28-FEB-17,As Submitted,SSH -SAGINAW INC. ,1447 NORTH HARRISON STREET ,,SAGINAW ,MI ,48602 ,SAGINAW ,,,,,,,,,,32,11680,4929,29,8496,,85.24,,178,1,306,13,,,,,, 232034,01-JUL-16,30-JUN-17,As Submitted,BORGESS-PIPP HEALTH CENTER ,411 NAOMI STREET ,,PLAINWELL ,MI ,48080-1222 ,ALLEGAN ,,,,,,,,,,43,15695,1559,,4331,,96.26,,55,,157,,,,,,, 232035,01-JUN-16,31-MAY-17,As Submitted,SSH - KALAMAZOO ,300 NORTH AVENUE ,,BATTLE CREEK ,MI ,49017 ,CALHOUN ,,,,,,,,,,25,9125,3616,,6648,,69.2,,130,,224,27,,,,,, 232036,01-MAR-16,28-FEB-17,Amended,HENRY FORD ALLEGIANCE CARELINK ,110 NORTH ELM AVENUE ,,JACKSON ,MI ,49202 ,JACKSON ,,,,,,,,,,44,16060,6453,974,10567,,100,,309,45,476,,,,,,, 232037,01-JAN-16,31-DEC-16,As Submitted,SPARROW SPECIALTY HOSPITAL ,1210 W. SAGINAW ,,LANSING ,MI ,48915 ,INGHAM ,,,,,,,,,,36,13176,4688,,8998,,97.12,,172,,338,21,,,,,, 232038,01-JAN-16,31-DEC-16,As Submitted,SSH - GROSSE POINTE ,22101 MOROSS ROAD ,,DETROIT ,MI ,48236 ,WAYNE ,,,,,,,,,,26,10188,4855,,8904,,81.14,,189,,340,14,,,,,, 232039,01-OCT-15,30-SEP-16,Settled,PIONEER SPECIALTY HOSPITAL ,50 N PERRY STREET SIXTH FLOOR ,,PONTIAC ,MI ,48342-2217 ,OAKLAND ,,,,,,,,,,30,10980,2418,29,4439,,49.5,,94,1,173,,,,,,, 233026,01-APR-16,31-MAR-17,As Submitted,MARY FREE BED REHAB HOSPITAL ,235 WEALTHY ST. SE ,,GRAND RAPIDS ,MI ,49503-5247 ,KENT ,,,,,,,,,,103,35912,6816,1672,31185,,866.38,,401,82,1710,288,,,,,, 233027,01-NOV-15,31-OCT-16,As Submitted,REHABILITATION INSTITUTE OF MICHIGAN ,261 MACK BLVD ,,DETROIT ,MI ,48201 ,WAYNE COUNTY ,,,,,,,,,11248,69,25254,5862,3551,20617,11.7,588.08,,458,99,1328,210,,,,,, 233300,01-JAN-16,31-DEC-16,As Submitted,CHILDRENS HOSPITAL OF MICHIGAN ,3901 BEAUBIEN ,,DETROIT ,MI ,48201 ,WAYNE ,,,,,,,,,54411,225,82350,360,7564,56143,227.61,2015.34,,67,1228,11479,6786,,,,,, 234006,01-JUL-16,30-JUN-17,As Submitted,PINE REST CHRISTIAN HOSPITAL ,300 68TH STREET SE ,165 ,GRAND RAPIDS ,MI ,49501-0165 ,KENT ,,,,,,,,,108689,84,30660,6147,,25413,23.21,1274.07,,413,,2449,,,,,,, 234011,01-JAN-16,31-DEC-16,As Submitted,KINGSWOOD HOSPITAL ,10300 W EIGHT MILE ROAD ,,FERNDALE ,MI ,48220 ,OAKLAND ,,,,,,,,,,136,49776,2399,,23234,5.49,249,,352,,3816,1397,,,,,, 234021,01-JUL-16,30-JUN-17,As Submitted,HARBOR OAKS HOSPITAL ,35031 23 MILE ROAD ,,NEW BALTIMORE ,MI ,48087 ,MACOMB ,,,,,,,,,,99,36135,9866,12626,31859,,206.2,,661,1306,3182,,,,,,, 234023,01-JUL-16,30-JUN-17,As Submitted,HAVENWYCK HOSPITAL ,1525 UNIVERSITY DRIVE ,,AUBURN HILLS ,MI ,48326 ,OAKLAND ,,,,,,,,,,213,77745,8512,,62596,,,,783,,7094,,,,,,, 234025,01-OCT-15,30-SEP-16,As Submitted,CARO CENTER ,2000 CHAMBERS ROAD ,,CARO ,MI ,48723 ,TUSCOLA ,,,,,,,,,,148,54020,489,5512,51941,,372,,13,1,379,,,,,,, 234026,01-OCT-15,30-SEP-16,As Submitted,KALAMAZOO PSYCHIATRIC HOSPITAL ,1312 OAKLAND DRIVE ,,KALAMAZOO ,MI ,49008 ,KALAMAZOO ,,,,,,,,,,184,67160,965,7536,66836,,445,,17,20,287,,,,,,, 234030,01-JAN-16,31-DEC-16,As Submitted,FOREST VIEW HOSPITAL ,1055 MEDICAL PARK DRIVE ,,GRAND RAPIDS ,MI ,49546-3671 ,KENT ,,,,,,,,,,108,39528,7587,,32700,,157.1,,608,,3233,,,,,,, 234035,01-OCT-15,30-SEP-16,As Submitted,WALTER REUTHER PSYCHIATRIC HOSPITAL ,30901 PALMER ROAD ,,WESTLAND ,MI ,48186 ,,,,,,,,,,,171,62415,525,4985,59696,,353,,,7,255,,,,,,, 234038,01-JAN-16,31-DEC-16,As Submitted,STONECREST ,15000 GRATIOT AVE. ,,DETROIT ,MI ,48205 ,WAYNE ,,,,,,,,,,125,44386,9318,,41144,,251.85,,658,2240,3755,,,,,,, 234040,01-JAN-16,31-DEC-16,As Submitted,SAMARITAN BEHAVIORAL CENTER ,5555 CONNER AVENUE ,,DETROIT ,MI ,48213-3448 ,WAYNE ,,,,,,,,,,55,20130,6572,,18242,,100.9,,456,,1483,576,,,,,, 234041,01-OCT-15,30-SEP-16,As Submitted,CENTER FOR FORENSIC PHYCHIATRY ,1500 MEDICAL CENTER DRIVE ,P.O. BOX 2060 ,ANN ARBOR ,MI ,48106 ,WASHTENAW ,,,,,,,,,,210,76650,841,4444,76650,,511,,20,10,482,,,,,,, 234042,01-JAN-16,31-DEC-16,As Submitted,BEHAVIORAL CENTER OF MICHIGAN ,4050 EAST 12 MILE RD. ,,WARREN ,MI ,48092 ,MACOMB ,,,,,,,,,,42,15372,8325,,14484,,104.34,,633,,1361,108,,,,,, 240001,01-JAN-16,31-DEC-16,As Submitted,NORTH MEMORIAL HEALTH CARE ,3300 OAKDAVE AVENUE NORTH ,,ROBBINSDALE ,MN ,55422-2926 ,HENNEPIN ,2036635,,,2734454,,,.164,559808,175530,341,124806,27435,7189,78334,24.69,4085.86,,6407,9412,19462,,,,,,984,196 240002,01-JUL-16,30-JUN-17,As Submitted,ST. MARYS MEDICAL CENTER ,407 EAST THIRD STREET ,,DULUTH ,MN ,55805- ,ST. LOUIS ,1734107,,,2882191,,,.1395,444868,109142,310,113150,35766,15885,81559,16.49,1842.69,,7291,1104,17293,2357,,,,,, 240004,01-JAN-16,31-DEC-16,As Submitted,HENNEPIN COUNTY MEDICAL CENTER ,701 PARK AVE P-1 ,,MINNEAPOLIS ,MN ,55415-1829 ,HENNEPIN ,17042965,,,5070237,,,.4423,7235228,3524611,341,124744,23073,16890,91226,276.04,5587.16,,4497,2848,18829,5808,1030,,587,52,3153,323 240006,01-JAN-16,31-DEC-16,As Submitted,OLMSTED MEDICAL CENTER ,1650 FOURTH STREET ,,ROCHESTER ,MN ,55904- ,OLMSTED ,,,,109966,,,.12,,,61,22265,1180,2498,7027,,806.13,,456,676,2179,,,,,,, 240010,01-JAN-16,31-DEC-16,Amended,MAYO CLINIC HOSPITAL ROCHESTER ,1216 SECOND STREET SW ,,ROCHESTER ,MN ,55905 ,OLMSTED ,64174969,,,1743832,,,.025,14365643,5189400,1092,399758,108044,34168,279746,546.18,7662.11,,20061,5056,39900,1823,,,1011,57,2597,625 240014,01-JAN-16,31-DEC-16,Amended,NORTHFIELD CITY HOSPITAL ,2000 NORTH AVENUE ,,NORTHFIELD ,MN ,55057-1697 ,DAKOTA ,,,,62791,,,.0486,,,37,13542,1755,372,5439,,522.42,,680,22,1884,245,,,,,, 240018,01-JAN-16,31-DEC-16,As Submitted,MAYO CLINIC HEALTH SYSTEM - RED WING ,701 HEWITT BLVD ,95 ,RED WING ,MN ,55066-0095 ,GOODHUE ,,,,109249,,,.0704,,,50,18300,1961,1000,5368,,487.94,,736,353,2223,,,,,,, 240019,01-JUL-16,30-JUN-17,As Submitted,SMDC MEDICAL CENTER ,502 EAST 2ND STREET ,,DULUTH ,MN ,55805 ,ST. LOUIS ,61834,,,810945,,,.4415,,,103,37595,6306,7385,19262,1.44,1565.18,,803,427,2696,536,,,,37,,440 240020,01-JAN-16,31-DEC-16,As Submitted,CAMBRIDGE MEDICAL CENTER ,701 SOUTH DELLWOOD ,,CAMBRIDGE ,MN ,55008- ,ISANTI ,,,,199692,,,.12,,,59,21594,3104,1718,7832,,354.77,,864,740,2328,,,,214,,612, 240022,01-JUL-16,30-JUN-17,As Submitted,SANFORD REGIONAL HOSPITAL WORTHINGTO ,1018 SIXTH AVENUE ,,WORTHINGTON ,MN ,56187- ,NOBLES ,,,,68117,,,.12,,,48,17520,1060,1494,3382,,267.29,,361,299,1066,,,,,,, 240030,01-JAN-16,31-DEC-16,As Submitted,DOUGLAS COUNTY HOSPITAL ,111 17TH AVENUE E ,,ALEXANDRIA ,MN ,56308-3798 ,DOUGLAS ,,,,183444,,,.0481,,,99,36234,5958,1856,12332,,715.86,,1672,506,3403,,,,,,, 240036,01-JUL-16,30-JUN-17,As Submitted,ST. CLOUD HOSPITAL ,1406 6TH AVENUE NORTH ,,ST. CLOUD ,MN ,56303 ,STEARNS ,1795634,,,3758392,,,.12,424028,197525,467,170455,49268,11756,115987,15,4416.26,,11150,1484,27327,3775,,,,17,,428 240038,01-JAN-16,31-DEC-16,As Submitted,UNITED HOSPITAL ,333 SMITH AVENUE NORTH ,,SAINT PAUL ,MN ,55102 ,RAMSEY ,1969469,,,2789244,,,.1398,652463,191005,317,116022,33581,13435,93912,16.85,2371.42,,7572,3970,22690,2307,1,,4,14,272,323 240040,01-JAN-16,31-DEC-16,As Submitted,RANGE REGIONAL HEALTH SERVICES ,750 EAST 34TH STREET ,,HIBBING ,MN ,55746- ,ST. LOUIS ,,,,184413,,,.12,,,79,28914,4964,2239,13517,,800.8,,920,207,2406,497,,,,,, 240043,01-JAN-16,31-DEC-16,As Submitted,MAYO CLNIC HLTH SYS-ALBRT LEA AUSTIN ,1000 1ST DRIVE NW ,,AUSTIN ,MN ,55912 ,MOWER ,,,,356003,,,.12,,,142,51972,5658,3154,12407,,1332.79,,1652,1236,4496,,,,128,,340, 240044,01-OCT-15,30-SEP-16,As Submitted,WINONA HEALTH SERVICES ,855 MANKATO AVE ,5600 ,WINONA ,MN ,55987-0600 ,WINONA ,,,,107662,,,.0821,,,53,19398,2766,396,6757,,883.86,,789,107,2005,,,,68,,351, 240047,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES HOSPITAL OF DULUTH ,915 EAST FIRST STREET ,,DULUTH ,MN ,55805- ,ST. LOUIS ,675471,147230,,1175384,256194,,.1316,263106,133111,238,87108,23702,5843,52153,8.11,2115.87,,4418,1070,10089,1090,,,,11,,361 240050,01-JAN-16,31-DEC-16,As Submitted,FAIRVIEW LAKES REGIONAL MEDICAL CTR ,5200 FAIRVIEW BOULEVARD ,,WYOMING ,MN ,55092-8013 ,CHISAGO ,,,,125959,,,.0589,,,54,19764,3454,803,9477,,438.2,,1035,70,2854,379,,,,,, 240052,01-OCT-15,30-SEP-16,As Submitted,LAKE REGION HEALTHCARE ,712 SOUTH CASCADE STREET ,728 ,FERGUS FALLS ,MN ,56538-0728 ,OTTER TAIL ,,,,154004,,,.0723,,,80,29280,3916,1217,7492,,701.23,,1117,512,2164,,101,,38,9,359,97 240053,01-JAN-16,31-DEC-16,As Submitted,PARK NICOLLET METHODIST HOSPITAL ,6500 EXCELSIOR BLVD ,650 ,ST. LOUIS PARK ,MN ,55426-4702 ,HENNEPIN ,3771530,,,832825,,,.04,761394,408668,412,145958,35629,4841,85406,35.5,3198.4,,8606,837,22172,3255,,,,,, 240056,01-JAN-16,31-DEC-16,As Submitted,RIDGEVIEW MEDICAL CENTER ,500 SOUTH MAPLE STREET ,,WACONIA ,MN ,55387 ,CARVER ,,,,,,,,,,112,40992,7050,846,21839,,1196.27,,2105,84,6283,494,,,,,238, 240057,01-JAN-16,31-DEC-16,As Submitted,ABBOTT NORTHWESTERN HOSPITAL ,800 EAST 28TH STREET ,,MINNEAPOLIS ,MN ,55407 ,HENNEPIN ,5661867,,,4953064,,,.125,1407882,359839,577,211182,59870,19058,163743,42.35,5191.98,,12421,1655,35465,5824,,,,40,,722 240059,01-JAN-16,31-DEC-16,As Submitted,REGINA HOSPITAL ,1175 NININGER ROAD ,,HASTINGS ,MN ,55033- ,DAKOTA ,,,,34072,,,.0325,,,20,7320,1350,207,3346,,230.72,,535,37,1349,124,,,,,345, 240064,01-JAN-16,31-DEC-16,As Submitted,GRAND ITASCA CLINIC AND HOSPITAL ,1601 GOLF COURSE ROAD ,,GRAND RAPIDS ,MN ,55744-3698 ,ITASCA ,,,,122010,,,.113,,,36,13176,2228,1112,5287,,510.53,,678,395,1555,,,,,,, 240066,01-JAN-16,31-DEC-16,As Submitted,LAKEVIEW MEMORIAL ,927 WEST CHURCHILL STREET ,,STILLWATER ,MN ,55082 ,WASHINGTON ,,,,,,,,,,68,24888,5361,448,12354,,522,,1719,154,4475,,,,,,, 240069,01-JAN-16,31-DEC-16,As Submitted,OWATONNA HOSPITAL ,2250 NW 26TH STREET ,,OWATONNA ,MN ,55060 ,STEELE ,,,,151884,,,.0967,,,30,10980,2546,1100,6776,,226.03,,806,570,2219,383,,,63,,345, 240071,01-JAN-16,31-DEC-16,As Submitted,DISTRICT ONE HOSPITAL ,200 STATE AVENUE ,,FARIBAULT ,MN ,55021- ,RICE ,,,,130223,,,.1412,,,26,9516,1675,793,4493,,200.52,,557,236,1550,205,,,,,, 240076,01-JAN-16,31-DEC-16,As Submitted,BUFFALO HOSPITAL ,303 CATLIN STREET ,,BUFFALO ,MN ,55313 ,WRIGHT ,,,,127392,,,.0801,,,44,16104,2359,815,6823,,331.88,,796,432,2343,237,,,,,, 240078,01-JAN-16,31-DEC-16,As Submitted,FAIRVIEW SOUTHDALE HOSPITAL ,6401 FRANCE AVENUE ,,EDINA ,MN ,55435- ,HENNEPIN ,,,,,,,,,,317,116022,27974,3009,71880,,1793.07,,6136,351,16639,1249,191,,98,,821, 240080,01-JAN-16,31-DEC-16,As Submitted,UNIVERSITY OF MINNESOTA MEDICAL CTR ,2450 RIVERSIDE AVENUE ,,MINNEAPOLIS ,MN ,55426 ,HENNEPIN ,22426690,,,5131961,,,.2199,4800567,2321481,618,225853,44730,16387,172181,355.46,5081.03,,6812,1856,26342,5306,1561,,716,11,4590,533 240084,01-JUL-16,30-JUN-17,As Submitted,ESSENTIA HEALTH VIRGINIA ,901 9TH STREET NORTH ,,VIRGINIA ,MN ,55792-2398 ,ST. LOUIS ,,,,133325,,,.12,,,48,17520,2045,792,4749,,474.35,,600,57,1383,231,,,,4,,182 240088,01-JAN-16,31-DEC-16,As Submitted,RICE MEMORIAL HOSPITAL ,301 BECKER AVENUE SW ,,WILLMAR ,MN ,56201- ,KANDIYOHI ,,,,273650,,,.12,,,81,29646,5089,2142,14118,,665.76,,1291,1533,3457,,,,,,, 240093,01-JAN-16,31-DEC-16,As Submitted,MAYO CLINIC HEALTH SYSTEM MANKATKO ,1025 MARSH STREET ,8673 ,MANKATO ,MN ,56002-8673 ,BLUE EARTH ,734999,,,969394,,,.1114,435012,212974,159,58194,16507,8102,39730,12.97,1496.93,,3758,1522,9307,,,,,,, 240100,01-JUL-16,30-JUN-17,As Submitted,SANFORD BEMIDJI ,1300 ANNE STREET NW ,,BEMIDJI ,MN ,56601 ,BELTRAMI ,,,,1270868,,,.2459,,,89,32485,9881,5902,19126,,1141.46,,2366,2229,6312,,,,,20,140,215 240101,01-JUL-16,30-JUN-17,As Submitted,ST. MARYS REGIONAL HEALTH CENTER ,1027 WASHINGTON AVENUE ,,DETROIT LAKES ,MN ,56501- ,BECKER ,,,,188195,,,.12,,,36,13140,2683,1202,6867,,517.72,,877,190,2117,,,,,,, 240104,01-JAN-16,31-DEC-16,As Submitted,ST. FRANCIS REGIONAL MEDICAL CENTER ,1455 ST. FRANCIS AVENUE ,,SHAKOPEE ,MN ,55379- ,SCOTT ,,,,266534,,,.0805,,,79,28914,5603,1533,17719,,567.17,,1697,739,5805,739,,,,,, 240106,01-JAN-16,31-DEC-16,As Submitted,REGIONS HOSPITAL ,640 N JACKSON STREET ,,ST PAUL ,MN ,55101 ,RAMSEY ,17144890,,,6216103,,,.2518,4258181,1617295,401,146497,48933,16737,129586,140.06,3744.99,,9100,8191,25037,,,,,42,,393 240115,01-JAN-16,31-DEC-16,As Submitted,MERCY HOSPITAL ,4050 COON RAPIDS BLVD ,,COON RAPIDS ,MN ,55433- ,ANOKA ,399336,,,2105901,,,.118,81534,27296,258,94428,29020,8510,78657,3.42,1720.24,,7022,2727,20402,2791,,,,,, 240132,01-JAN-16,31-DEC-16,As Submitted,UNITY HOSPITAL ,550 OSBORNE ROAD ,,FRIDLEY ,MN ,55432- ,ANOKA ,51385,,,573630,,,.0806,,,149,53567,12550,2913,32001,.4,803.78,,3298,868,9230,814,,,1,,285, 240141,01-JAN-16,31-DEC-16,As Submitted,FAIRVIEW NORTHLAND REG ,911 NORTHLAND DR ,,PRINCETON ,MN ,55371- ,SHERBURNE ,,,,128431,,,.1089,,,34,12444,1778,568,5826,,267.21,,536,56,1743,320,,,,,, 240166,01-JAN-16,31-DEC-16,As Submitted,MAYO CLINIC HEALTH SYSTEM-FAIRMONT ,835 JOHNSON STREET ,,FAIRMONT ,MN ,56031- ,MARTIN ,,,,370600,,,.35,,,59,21594,2988,770,5619,,332.03,,662,211,1383,,,,,,, 240187,01-JAN-16,31-DEC-16,As Submitted,HUTCHINSON HEALTH CARE ,1095 HIGHWAY 15 SOUTH ,,HUTCHINSON ,MN ,55350- ,MCLEOD ,,,,121312,48198,,.12,,,49,17206,2382,1802,6755,,452.15,,694,336,1723,,,,107,,272, 240196,01-JAN-16,31-DEC-16,As Submitted,PHILLIPS EYE INSTITUTE ,2215 PARK AVENUE ,,MINNEAPOLIS ,MN ,55404- ,HENNEPIN ,,,,,,,,,,8,2928,,,4,,133.54,,,,2,1,,,,,, 240206,01-OCT-15,30-SEP-16,As Submitted,RED LAKE INDIAN HOSPITAL ,24760 HOSPITAL DRIVE ,497 ,RED LAKE ,MN ,56671 ,CLEARWATER ,,,,6030,,,.12,,,23,8418,172,616,1382,,140,,35,64,158,,,,,,, 240207,01-JAN-16,31-DEC-16,As Submitted,FAIRVIEW RIDGES HOSPITAL ,201 E NICOLLET BLVD ,,BURNSVILLE ,MN ,55337- ,DAKOTA ,,,,785705,,,.0928,,,173,63318,15080,3806,46229,,1081.45,,3485,425,10904,1460,,,,,, 240214,01-JAN-16,31-DEC-16,As Submitted,MAPLE GROVE HOSPITAL ,9875 HOSPITAL DRIVE ,,MAPLE GROVE ,MN ,55369- ,HENNEPIN ,,,,433674,,,.1261,,,134,49044,4158,3314,38159,,672.84,,1504,277,9233,2938,,,,,, 241300,01-JAN-16,31-DEC-16,As Submitted,MAHNOMEN HEALTH CENTER ,414 JEFFERSON ,396 ,MAHNOMEN ,MN ,56557 ,MAHNOMEN ,,,,,,,,,,10,3660,415,51,670,,63.12,,28,10,60,,,,,,, 241302,01-JUL-16,30-JUN-17,As Submitted,SANFORD MEDICAL CENTER WESTBROOK ,920 BELL AVENUE ,,WESTBROOK ,MN ,56183- ,COTTONWOOD ,,,,,,,,,,8,2920,283,5,399,,34.47,,52,4,82,,,,,,, 241304,01-JUL-16,30-JUN-17,As Submitted,SANFORD MEDICAL CENTER WHEATON ,401 12TH STREET NORTH ,,WHEATON ,MN ,56296- ,TRAVERSE ,,,,,,,,,,15,5475,494,5,546,,36.21,,59,3,85,,,,,,, 241305,01-OCT-15,30-SEP-16,Amended,RIVERWOOD HEALTHCARE CENTER ,200 BUNKER HILL DRIVE ,,AITKIN ,MN ,56431-1697 ,AITKIN ,,,,,,,,,,25,9150,2268,156,3882,,256.98,,626,45,1279,121,,,,,, 241306,01-JAN-16,31-DEC-16,As Submitted,RENVILLE COUNTY HOSPITAL AND CLINICS ,100 HEALTH WAY ,,OLIVIA ,MN ,56277-1397 ,RENVILLE ,,,,,,,,,,16,5856,1291,65,1854,,121.5,,201,17,432,42,,,,,, 241308,01-JAN-16,31-DEC-16,As Submitted,LAKE VIEW MEMORIAL HOSPITAL ,11TH AVENUE & 4TH STREET ,,TWO HARBORS ,MN ,55616-1298 ,LAKE ,,,,,,,,,,16,5856,2188,7,2623,,94.36,,94,2,130,8,,,,,, 241309,01-JUL-16,30-JUN-17,As Submitted,PINE MEDICAL CENTER ,109 COURT AVENUE SOUTH ,140 ,SANDSTONE ,MN ,55072 ,PINE ,,,,,,,,,,9,4245,620,21,925,,136.26,,74,10,215,28,,,,,, 241311,01-JAN-16,31-DEC-16,As Submitted,SIBLEY MEDICAL CENTER ,601 WEST CHANDLER ,620 ,ARLINGTON ,MN ,55307- ,SIBLEY ,,,,,,,,,,20,6222,717,2,974,,64.01,,87,1,135,,,,,,, 241312,01-JAN-16,31-DEC-16,As Submitted,COOK HOSPITAL ,10 SOUTH 5TH STREET ,,COOK ,MN ,55723-9745 ,ST. LOUIS ,,,,,,,,,,14,5124,598,16,938,,80.74,,107,23,185,,,,,,, 241313,01-JUL-16,30-JUN-17,As Submitted,BRIDGES MEDICAL CENTER ,201 9TH STREET WEST ,,ADA ,MN ,56510- ,NORMAN ,,,,,,,,,,14,5110,275,4,339,,47.88,,36,2,67,3,,,,,, 241314,01-OCT-15,30-SEP-16,As Submitted,JOHNSON MEMORIAL HOSPITAL ,1282 WALNUT STREET ,1022 ,DAWSON ,MN ,56232- ,LAC QUI PARLE ,,,,,,,,,,20,7320,930,24,1323,,67.3,,81,18,141,12,,,,,, 241315,01-JUL-16,30-JUN-17,As Submitted,SANFORD MEDICAL CENTER JACKSON ,1430 NORTH HIGHWAY ,,JACKSON ,MN ,56143- ,JACKSON ,,,,,,,,,,14,5110,663,57,840,,42.26,,95,9,124,,,,,,, 241316,01-JAN-16,31-DEC-16,As Submitted,NORTHERN ITASCA HOSPITAL DISTRICT ,258 PINE TREE DRIVE ,,BIGFORK ,MN ,56628-0258 ,ITASCA ,,,,,,,,,,20,7320,662,16,955,,124.24,,187,10,324,17,,,,,, 241317,01-JAN-16,31-DEC-16,As Submitted,COOK COUNTY NORTH SHORE HOSPITAL ,515 5TH AVE W ,,GRAND MARAIS ,MN ,55604-0010 ,COOK ,,,,,,,,,,16,5856,543,167,925,,71.53,,66,5,119,7,,,,,, 241318,01-OCT-15,30-SEP-16,Amended,ELY-BLOOMENSON COMMUNITY HOSPITAL ,328 WEST CONAN ,,ELY ,MN ,55731-1198 ,ST. LOUIS ,,,,,,,,,,20,7320,637,16,996,,86.97,,138,7,233,22,,,,,, 241319,01-JAN-16,31-DEC-16,As Submitted,MURRAY COUNTY MEMORIAL HOSPITAL ,2042 JUNIPER AVE ,,SLAYTON ,MN ,56172 ,MURRAY ,,,,,,,,,,25,9150,900,1,1200,,89.51,,164,1,234,,,,,,, 241320,01-OCT-15,30-SEP-16,As Submitted,RIVERVIEW HEALTHCARE ASSOCIATION ,123 SOUTH MINNESOTA ,,CROOKSTON ,MN ,56716- ,POLK ,,,,,,,,,,25,9150,1713,298,3031,,224.8,,439,102,877,,,,,,, 241321,01-JUL-16,30-JUN-17,As Submitted,GRACEVILLE HEALTH CENTER ,115 WEST SECOND STREET ,157 ,GRACEVILLE ,MN ,56240-0157 ,BIG STONE ,,,,,,,,,,15,5475,304,,409,,47.15,,39,,79,,,,,,, 241322,01-JAN-16,31-DEC-16,As Submitted,INTL FALLS MEMORIAL HOSPITAL ,1400 HIGHWAY 71 ,,INTERNATIONAL FALLS ,MN ,56649-3525 ,KOOCHICHING ,,,,,,,,,,20,6104,1155,30,1655,,139.03,,171,7,335,51,,,,,, 241323,01-JUN-16,31-MAY-17,As Submitted,MADELIA COMMUNITY HOSPITAL ,121 DREW AVE SE ,,MADELIA ,MN ,56062- ,WATONWAN ,,,,,,,,,,25,9125,606,28,849,,68.46,,65,8,92,,,,,,, 241325,01-JAN-16,31-DEC-16,As Submitted,CHIPPEWA COUNTY-MONTEVIDEO HOSPITAL ,824 NORTH 11TH STREET ,,MONTEVIDEO ,MN ,56265- ,CHIPPEWA ,,,,,,,,,,25,9150,1200,319,2298,,218.03,,296,97,618,,,,,,, 241327,01-JAN-16,31-DEC-16,As Submitted,SLEEPY EYE MUNICIPAL HOSPITAL ,400 FOURTH AVENUE NORTHWEST ,,SLEEPY EYE ,MN ,56085 ,BROWN ,,,,,,,,,,16,5856,818,94,1302,,91.45,,168,28,299,,,,,,, 241328,01-JUL-16,30-JUN-17,As Submitted,SANFORD BAGLEY MEDICAL CENTER ,203 4TH STREET NW ,,BAGLEY ,MN ,56621 ,CLEARWATER ,,,,,,,,,,25,9125,487,46,676,,57.61,,54,18,105,,,,,,, 241329,01-JAN-16,31-DEC-16,As Submitted,LAKEWOOD HEALTH SYSTEM ,49725 COUNTY 83 ,,STAPLES ,MN ,56479 ,TODD ,,,,,,,,,,25,9125,1950,939,4784,,434.97,,458,369,1477,,,,,,195, 241332,01-MAY-16,30-APR-17,As Submitted,WINDOM AREA HOSPITAL ,HIGHWAYS 60 AND 71 NORTH ,339 ,WINDOM ,MN ,56101 ,COTTONWOOD ,,,,,,,,,,18,6570,770,203,1389,,101.68,,133,56,287,,,,,,, 241333,01-JAN-16,31-DEC-16,As Submitted,MAYO CLINIC HEALTH SYS - ST. JAMES ,1101 MOULTON & PARSONS DRIVE ,,ST. JAMES ,MN ,56081 ,WATONWAN ,,,,,,,,,,25,9150,1168,19,1698,,74.09,,68,11,111,,,,,,, 241334,01-JAN-16,31-DEC-16,As Submitted,RIVERS EDGE HOSPITAL AND CLINIC ,1900 N SUNRISE DRIVE ,,ST. PETER ,MN ,56082- ,NICOLLET ,,,,,,,,,,17,6222,1600,76,2636,,155.85,,531,11,896,19,,,,,, 241335,01-JUL-16,30-JUN-17,As Submitted,ST. ELIZABETH HOSP. OF WABASHA INC. ,1200 FIFTH GRANT BLVD WEST ,,WABASHA ,MN ,55981- ,WABASHA ,,,,,,,,,,17,6205,1147,7,1739,,150.81,,127,3,212,,,,,,, 241336,01-OCT-15,30-SEP-16,As Submitted,KITTSON MEMORIAL HOSPITAL ,1010 SOUTH BIRCH ,700 ,HALLOCK ,MN ,56728- ,KITTSON ,,,,,,,,,,15,5490,454,6,583,,72.36,,77,3,117,,,,,,, 241337,01-JAN-16,31-DEC-16,As Submitted,NORTH VALLEY HEALTH CENTER ,300 WEST GOOD SAMARITAN DRIVE ,,WARREN ,MN ,56762 ,MARSHALL ,,,,,,,,,,12,4392,596,23,780,,59.14,,87,10,134,,,,,,, 241338,01-JAN-16,31-DEC-16,As Submitted,MAYO CLNIC HEALTH SYSTEM - LAKE CITY ,500 WEST GRANT ST ,,LAKE CITY ,MN ,55041 ,GOODHUE ,,,,,,,,,,18,6588,1770,38,3218,,155.53,,102,9,181,,,,,,, 241339,01-JUL-16,30-JUN-17,As Submitted,HENDRICKS COMMUNITY HOSPITAL ASSOC ,503 EAST LINCOLN STREET ,106 ,HENDRICKS ,MN ,56136- ,LINCOLN ,,,,,,,,,,24,8760,832,2,1359,,52.01,,58,1,68,1,,,,,, 241340,01-JUL-16,30-JUN-17,As Submitted,NORTHERN PINES MEDICAL CENTER ,5211 HIGHWAY 110 ,,AURORA ,MN ,55705-8714 ,ST. LOUIS ,,,,,,,,,,16,5840,769,18,1162,,95.37,,73,4,170,7,,,,,, 241341,01-OCT-15,30-SEP-16,As Submitted,APPLETON MUNICIPAL HOSPITAL ,30 SOUTH BEHL STREET ,,APPLETON ,MN ,56208 ,SWIFT ,,,,,,,,,,15,5490,591,7,828,,62.86,,52,3,81,3,,,,,, 241342,01-OCT-15,30-SEP-16,As Submitted,ORTONVILLE AREA HEALTH SERVICES ,450 EASTVOLD AVENUE ,,ORTONVILLE ,MN ,56278- ,BIG STONE ,,,,,,,,,,25,9150,1103,74,1714,,139.17,,229,30,397,,,,,,, 241343,01-JAN-16,31-DEC-16,As Submitted,GRANITE FALLS HOSPITAL ,345 TENTH AVENUE ,,GRANITE FALLS ,MN ,56241- ,YELLOW MEDICINE ,,,,,,,,,,25,9150,1218,28,1874,,132.94,,142,8,312,34,,,,,, 241344,01-OCT-15,30-SEP-16,As Submitted,LIFECARE MEDICAL CENTER ,715 DELMORE DRIVE ,,ROSEAU ,MN ,56751- ,ROSEAU ,,,,,,,,,,25,9150,1501,135,3050,,279.77,,199,21,601,78,,,,,, 241345,01-JAN-16,31-DEC-16,As Submitted,MAYO CLINIC HEALTH SYSTEM - WASECA ,100 FIFTH AVE W ,,WASECA ,MN ,56093 ,WASECA ,,,,,,,,,,15,5490,1408,19,2495,,110.72,,67,6,116,,,,,,, 241346,01-JAN-16,31-DEC-16,As Submitted,CANNON FALLS MEDICAL CENTER - MAYO ,32021 COUNTY 24 BOULEVARD ,,CANNON FALLS ,MN ,55009 ,GOODHUE ,,,,,,,,,,15,5490,2147,36,3223,,138.3,,137,14,236,,,,,,, 241347,01-JUL-16,30-JUN-17,As Submitted,SANFORD HOSPITAL CANBY ,112 SAINT OLAF AVENUE ,,CANBY ,MN ,56220- ,YELLOW MEDICINE ,,,,,,,,,,22,8030,934,72,1341,,93.43,,98,10,151,,,,,,, 241348,01-MAR-16,30-JUN-16,As Submitted,TYLER HEALTHCARE CENTER ,240 WILLOW STREET ,,TYLER ,MN ,56178- ,LINCOLN ,,,,,,,,,,21,2562,79,,107,,47.32,,15,,23,,,,,,, 241348,01-JUL-16,30-JUN-17,As Submitted,TYLER HEALTHCARE CENTER ,240 WILLOW STREET ,,TYLER ,MN ,56178- ,LINCOLN ,,,,,,,,,,21,7665,478,5,597,,38.62,,50,2,76,6,,,,,, 241350,01-OCT-15,30-SEP-16,As Submitted,MERCY HOSPITAL & HEALTH CARE CENTER ,710 KENWOOD AVENUE SOUTH ,,MOOSE LAKE ,MN ,55767- ,CARLTON ,,,,,,,,,,25,9150,1564,195,2939,,188.17,,273,79,865,107,,,,,, 241351,01-JAN-16,31-DEC-16,As Submitted,REDWOOD AREA HOSPITAL ,100 FALLWOOD ROAD ,,REDWOOD FALLS ,MN ,56283 ,REDWOOD ,,,,,,,,,,25,9150,1170,111,1993,,136.46,,224,13,460,59,,,,,, 241352,01-JAN-16,31-DEC-16,As Submitted,MAYO CLINIC HLTH SYS - SPRINGFIELD ,765 NORTH JACKSON ,,SPRINGFIELD ,MN ,56087 ,BROWN ,,,,,,,,,,24,8784,1018,9,1389,,67.97,,122,3,176,,,,,,, 241353,01-APR-16,31-JUL-16,As Submitted,CUYUNA REGIONAL MEDICAL CENTER ,320 EAST MAIN STREET ,,CROSBY ,MN ,56441 ,CROW WING ,,,,,,,,,,25,3044,925,300,1804,,516.97,,290,31,601,66,,,,,, 241353,01-AUG-16,31-MAR-17,Amended,CUYUNA REGIONAL MEDICAL CENTER ,320 EAST MAIN STREET ,,CROSBY ,MN ,56441 ,CROW WING ,,,,,,,,,,25,6075,1531,631,3260,,525.18,,522,255,1165,,,,,,, 241354,01-JAN-16,31-DEC-16,As Submitted,TRI COUNTY HOSPITAL ,415 JEFFERSON STREET NORTH ,,WADENA ,MN ,56482 ,WADENA ,,,,,,,,,,25,9150,1171,109,2644,,296.43,,326,27,741,126,,,,,, 241355,01-JAN-16,31-DEC-16,As Submitted,GLENCOE REGIONAL HEALTH SERVICES ,705 EAST 18TH STREEET ,,GLENCOE ,MN ,55336- ,MCLEOD ,,,,,,,,,,25,9150,2470,501,4152,,321.36,,297,144,873,5,,,,,, 241356,01-OCT-15,30-SEP-16,As Submitted,MILLE LACS HOSPITAL ,200 NORTH ELM ST ,,ONAMIA ,MN ,56359- ,MILLE LACS ,,,,,,,,,,25,9150,1547,88,2749,,230.33,,285,26,603,72,,,2,,172, 241357,01-JUL-16,30-JUN-17,As Submitted,FIRST CARE MEDICAL SERVICES ,900 HILLIGOSS BOULEVARD SE ,,FOSSTON ,MN ,56542-1599 ,POLK ,,,,,,,,,,24,8760,822,153,1719,,140.17,,165,26,455,59,,,,,, 241358,01-OCT-15,30-SEP-16,As Submitted,CASS LAKE INDIAN HOSPITAL ,425 7TH STREET NW ,211 ,CASS LAKE ,MN ,56633 ,CASS ,,,,,,,,,,13,4758,25,,120,,132,,10,,26,,,,,,, 241359,01-JUL-16,30-JUN-17,As Submitted,AVERA MARSHALL REGIONAL MEDICAL CTR ,300 SOUTH BRUCE STREET ,,MARSHALL ,MN ,56258- ,LYON ,,,,,,,,,,25,9125,1942,240,4926,,268.57,,619,42,1619,315,127,,40,,454, 241360,01-JUL-16,30-JUN-17,As Submitted,DEER RIVER HEALTHCARE CENTER ,115 10TH AVENUE NE ,,DEER RIVER ,MN ,56636-9703 ,ITASCA ,,,,,,,,,,20,7300,837,206,1540,,185.86,,160,22,412,63,,,,,, 241361,01-JAN-16,31-DEC-16,As Submitted,MAYO CLINIC HEALTH SYS - NEW PRAGUE ,301 SECOND STREET ,,NEW PRAGUE ,MN ,56071-1799 ,SCOTT ,,,,,,,,,,20,7320,2265,179,3897,,205.52,,279,95,780,,,,,,, 241363,01-JAN-16,31-DEC-16,As Submitted,STEVENS COMMUNITY MEDICAL CENTER ,400 EAST 1ST STREET ,660 ,MORRIS ,MN ,56267- ,STEVENS ,,,,,,,,,,25,9150,1557,317,2767,,233.37,,441,102,825,,,,,,, 241364,01-OCT-15,30-SEP-16,As Submitted,COMMUNITY MEMORIAL HOSPITAL ,512 SKYLINE BOULEVARD ,,CLOQUET ,MN ,55720- ,CARLTON ,,,,,,,,,,22,12651,1817,125,3475,,294.32,,446,46,1009,,,,,,, 241365,01-JAN-16,31-DEC-16,As Submitted,SWIFT COUNTY - BENSON ,1815 WISCONSIN AVE ,,BENSON ,MN ,56215 ,SWIFT ,,,,,,,,,,18,6588,477,12,696,,64.6,,116,4,225,7,,,,,, 241366,01-JAN-16,31-DEC-16,As Submitted,MEEKER COUNTY MEMORIAL HOSPITAL ,612 SIBLEY AVENUE SOUTH ,,LITCHFIELD ,MN ,55355- ,MEEKER ,,,,,,,,,,25,9150,1516,495,2982,,154.35,,345,136,764,,,,1,,119, 241367,01-JAN-16,31-DEC-16,Amended,FIRST LIGHT HEALTH SYSTEM ,301 HIGHWAY 65 SOUTH ,,MORA ,MN ,55051-1950 ,KANABEC ,,,,,,,,,,25,9150,1411,204,3311,,339.96,,505,66,1153,163,,,,,, 241369,01-JAN-16,31-DEC-16,As Submitted,UNITED HOSPITAL DISTRICT ,515 SOUTH MOORE STREET ,,BLUE EARTH ,MN ,56013 ,FARIBAULT ,,,,,,,,,,24,8784,1629,40,2450,,225.52,,244,8,442,21,,,,,, 241370,01-JUL-16,30-JUN-17,As Submitted,ST. GABRIELS HOSPITAL ,815 SE 2ND STREET ,,LITTLE FALLS ,MN ,56345 ,MORRISON ,,,,,,,,,,25,9125,1913,113,3783,,274.91,,527,26,955,139,,,,,, 241371,01-JUL-16,30-JUN-17,As Submitted,SANFORD HOSPITAL LUVERNE ,1000 N. KNISS ,1019 ,LUVERNE ,MN ,56156-2519 ,ROCK ,,,,,,,,,,25,9125,1678,155,2411,,146.12,,262,47,431,,,,,,, 241372,01-OCT-15,30-SEP-16,As Submitted,MADISON LUTHERAN HOME ,900 SECOND AVENUE ,,MADISON ,MN ,56256- ,LAC QUI PARLE ,,,,,,,,,,12,4392,1178,12,1570,,88.22,,112,4,183,,,,,,, 241373,01-OCT-15,30-SEP-16,As Submitted,PERHAM MEMORIAL HOSPITAL AND HOME ,1000 CONEY STREET WEST ,,PERHAM ,MN ,56573 ,OTTERTAIL ,,,,,,,,,,25,9150,1542,426,3239,,200.94,,392,144,881,,,,,,, 241374,01-JUL-16,30-JUN-17,As Submitted,PIPESTONE COUNTY MEDICAL CENTER ,916 4TH AVENUE SW ,,PIPESTONE ,MN ,56164- ,PIPESTONE ,,,,,,,,,,18,6570,583,43,1269,,168.33,,160,28,524,82,,,,,, 241376,01-OCT-15,30-SEP-16,As Submitted,GLACIAL RIDGE HOSPITAL ,10 FOURTH AVENUE SE ,,GLENWOOD ,MN ,56334- ,POPE ,,,,,,,,,,19,6954,2299,15,3480,,186.44,,356,15,591,,,,,,, 241378,01-JAN-16,31-DEC-16,As Submitted,NEW ULM MEDICAL CENTER ,1324 FIFTH STREET NORTH ,,NEW ULM ,MN ,56073 ,BROWN ,,,,,,,,,,19,6954,1812,204,4339,,381.01,,678,256,1658,257,,,99,,574, 241379,01-JAN-16,30-SEP-16,Amended,PRAIRIE RIDGE HOSPITAL ,1411 HIGHWAY 79 EAST ,5052 ,ELBOW LAKE ,MN ,56531 ,GRANT ,,,,,,,,,,10,2740,420,3,577,,101.05,,51,2,74,,,,,,, 241381,01-JUL-16,30-JUN-17,As Submitted,SANFORD THIEF RIVER FALLS ,3001 SANFORD PARKWAY ,,THIEF RIVER FALLS ,MN ,56701 ,PENNINGTON ,,,,,,,,,,25,9150,1495,584,3753,,447.62,,446,193,1169,,,,,,, 242005,01-JUL-16,30-JUN-17,As Submitted,REGENCY HOSPITAL OF MINNEAPOLIS LLC ,1300 HIDDEN LAKE PARKWAY ,,GOLDEN VALLEY ,MN ,55422 ,HENNEPIN ,,,,,,,,,,92,33580,7383,2641,18158,,231.8,,230,62,540,83,,,,,, 243300,01-JAN-16,31-DEC-16,As Submitted,GILLETTE CHILDRENS SPECIALTY HEALTH ,200 EAST UNIVERSITY ,,ST. PAUL ,MN ,55101 ,RAMSEY ,,,,,,,,,6990,60,21960,145,5611,11068,10.84,1106.73,,43,1471,2251,,,,,,, 243302,01-JAN-16,31-DEC-16,As Submitted,CHILDRENS HEALTH CARE ,2525 CHICAGO AVENUE SOUTH ,,MINNEAPOLIS ,MN ,55404-4518 ,HENNEPIN ,,,,,,,,,252,413,143461,19,61990,106108,50.05,3852.63,,4,6676,14626,,,,,,, 243303,01-JAN-16,31-DEC-16,Settled,SHRINERS HOSPITALS FOR CHILDREN ,2025 EAST RIVER PARKWAY ,,MINNEAPOLIS ,MN ,55414-3604 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 244002,01-JUL-16,30-JUN-17,As Submitted,ANOKA-METRO REGIONAL TREATMENT CTR. ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,ANOKA ,,,,,,,,,,110,40150,2541,3106,34454,,401.48,,55,46,267,,,,,,, 244005,01-JUL-16,30-JUN-17,As Submitted,CHILD & ADOLESCENT BEH. HEALTH SRVS. ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,KANDIYOHI ,,,,,,,,,,14,5110,,666,1115,,42.12,,,8,11,,,,,,, 244010,01-JUL-16,29-NOV-16,As Submitted,CBHH- ST. PETER ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,NICOLLET ,,,,,,,,,,16,2448,474,390,966,,25.63,,13,1,32,,,,,,, 244011,01-JUL-16,30-JUN-17,As Submitted,ANNANDALE BEHAVIORAL HEALTH HSP ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,NICOLLET ,,,,,,,,,,16,5840,1145,716,3480,,74.8,,27,21,58,,,,,,, 244012,01-JUL-16,30-JUN-17,As Submitted,ALEXANDRIA BEHAVORIAL HEALTH HSP ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,NICOLLET ,,,,,,,,,,16,5840,922,1353,3419,,74.8,,24,40,76,,,,,,, 244013,01-JUL-16,30-JUN-17,As Submitted,FERGUS FALLS CBHH ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,OTTER TAIL ,,,,,,,,,,16,5840,1320,1432,3442,,74.8,,35,41,90,,,,,,, 244014,01-JUL-16,30-JUN-17,As Submitted,BEMIDJI BEHAVORIAL HEALTH HSP ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,BELTRAMI ,,,,,,,,,,16,5840,1120,1766,3612,,74.8,,44,50,100,,,,,,, 244015,01-JUL-16,30-JUN-17,As Submitted,BAXTER BEHAVORIAL HEALTH HSP ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,CROW WING ,,,,,,,,,,16,5840,1076,1732,3926,,82.95,,33,47,92,,,,,,, 244016,01-JAN-16,31-DEC-16,Settled,PRAIRIECARE ,9400 ZANE AVE N ,,BROOKLYN PARK ,MN ,55443-1814 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 244017,01-JUL-16,30-JUN-17,As Submitted,CBHH- ROCHESTER ,444 LAFAYETTE ROAD ,64979 ,ST. PAUL ,MN ,55164-0979 ,OLMSTED ,,,,,,,,,,16,5840,579,1618,3491,,74.8,,13,31,60,,,,,,, 244018,26-APR-16,30-JUN-16,As Submitted,SANFORD BEHAVIORAL HEALTH ,120 LABREE AVENUE SOUTH ,,THIEF RIVER FALLS ,MN ,56701 ,PENNINGTON ,,,,,,,,,,16,4384,,978,2059,,56.08,,,193,1148,,,,,,, 244018,01-JUL-16,30-JUN-17,As Submitted,SANFORD BEHAVIORAL HEALTH ,120 LABREE AVENUE SOUTH ,,THIEF RIVER FALLS ,MN ,56701 ,PENNINGTON ,,,,,,,,,,16,5840,834,1837,3714,,56.08,,57,276,506,,,,,,, 250001,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY OF MISSISSIPPI MEDICAL ,2500 NORTH STATE STREET ,,JACKSON ,MS ,39216 ,HINDS ,15481258,,,6887363,,,.4022,4515906,2299506,700,255500,42834,84187,198769,535.54,5212.45,,7230,11618,31167,,,,,,, 250002,01-OCT-15,30-SEP-16,Amended,TISHOMINGO HEALTH SERVICES ,1777 CURTIS DRIVE ,,IUKA ,MS ,38852 ,TISHOMINGO ,,,,,,,,,,48,17568,4002,80,4834,,140.51,,461,27,642,,,,,,, 250004,01-OCT-15,30-SEP-16,As Submitted,NORTH MISSISSIPPI MEDICAL CENTER ,830 SOUTH GLOSTER STREET ,,TUPELO ,MS ,38801 ,LEE ,2754167,,,4035278,,,.1459,786225,484487,524,191772,65613,22338,122301,25.21,3619.44,,12240,3000,22978,,,,196,67,1806,655 250006,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEM HOSPITAL UNION COUNTY ,HIGHWAY 30 WEST ,,NEW ALBANY ,MS ,38652 ,UNION COUNTY ,,,,173769,,,.12,,,92,33672,4788,4013,11904,,359.35,,1037,106,3114,923,,,,,, 250007,01-OCT-15,30-SEP-16,As Submitted,BILOXI REGIONAL MEDICAL CENTER ,150 REYNOIR STREET ,,BILOXI ,MS ,39530 ,HARRISON ,,,,800115,,,.2405,,,166,60756,10014,6838,31597,,562.69,,1852,1853,6330,,,,,,180, 250009,01-OCT-15,30-SEP-16,Amended,MAGNOLIA HOSPITAL ,611 ALCORN DRIVE ,,CORINTH ,MS ,38834- ,ALCORN ,2407711,,,835862,,,.1088,683631,400622,161,58743,21049,4626,32512,22.3,1078,,4710,1620,8363,,,,174,,868, 250012,01-JAN-16,31-DEC-16,As Submitted,ALLIANCE HEALTHCARE SYSTEM ,1430 HWY 4 EAST ,6000 ,HOLLY SPRINGS ,MS ,38634 ,MARSHALL ,,,,24132,,,.12,,,27,9882,1232,32,1680,,73.72,,190,10,315,22,,,,,111, 250017,01-JUL-16,30-JUN-17,As Submitted,TRACE REGIONAL HOSPITAL ,HIGHWAY 8 EAST ,,HOUSTON ,MS ,38851- ,CHICKASAW ,,,,8997,,,.1125,,,39,14235,1019,14,1199,,86.42,,71,3,158,9,,,,,336, 250018,01-OCT-15,30-SEP-16,As Submitted,JASPER GENERAL HOSPITAL ,,527 ,BAY SPRINGS ,MS ,39422 ,JASPER ,,,,66,,,.025,,,20,7320,2028,1,2606,,169.79,,3,1,12,,,,,,, 250019,01-OCT-15,30-SEP-16,As Submitted,MEMORIAL HOSPITAL AT GULFPORT ,BROAD STREET ,1810 ,GULFPORT ,MS ,39502- ,HARRISON ,,,,1837495,,,.1559,,,421,154086,33655,18373,84568,,3108.62,,5852,3304,17318,,,,,47,,689 250020,01-OCT-15,30-SEP-16,Amended,WEBSTER HEALTH SERVICES ,70 MEDICAL PLAZA ,,EUPORA ,MS ,39744- ,WEBSTER ,,,,75941,,,.0962,,,38,13908,6505,325,8144,,181.11,,682,106,997,,,,,,, 250025,01-JAN-16,31-DEC-16,Amended,GILMORE MEMORIAL REGIONAL MEDICAL CE ,1105 EARL FRYE BLVD ,P O BOX 459 ,AMORY ,MS ,38821 ,MONROE ,,,,165649,,,.12,,,95,34770,4235,829,10881,,241.3,,959,708,2579,,,,,,, 250027,01-JAN-16,31-DEC-16,As Submitted,WINSTON MEDICAL CENTER ,MAIN STREET ,967 ,LOUISVILLE ,MS ,39339 ,WINSTON ,,,,9178,,,.0437,,,10,3660,901,80,1211,,88.66,,212,29,314,,,,,,155, 250034,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEM HOSPITAL NORTH MISS ,2301 SOUTH LAMAR BOULEVARD ,,OXFORD ,MS ,38655 ,LAFAYETTE ,,,,938436,,,.1215,,,204,74664,17521,4647,32363,,804.69,,3600,301,7610,731,,,,11,,172 250036,01-OCT-15,30-SEP-16,As Submitted,GEORGE COUNTY HOSPITAL ,305 WINTER STREET ,607 ,LUCEDALE ,MS ,39452-0607 ,GEORGE ,,,,63554,,,.12,,,43,15098,1518,355,4019,,229.32,,392,117,1258,,,,,,, 250038,01-JAN-16,31-DEC-16,As Submitted,MADISON RIVER OAKS MEDICAL CENTER ,161 RIVER OAKS DR. ,PO BOX 1607 ,CANTON ,MS ,39046 ,MADISON ,,,,70063,,,.12,,,67,24522,1504,2110,5084,,191.87,,395,508,1380,,,,,,, 250040,01-OCT-15,30-SEP-16,As Submitted,SINGING RIVER HEALTH SYSTEM ,2809 DENNY AVENUE ,,PASCAGOULA ,MS ,39581 ,JACKSON ,,,,1330709,,,.121,,,350,128100,26824,5481,65978,,1786.45,,5653,912,15258,1739,24,,18,18,314,460 250042,01-JAN-16,31-DEC-16,As Submitted,NORTHWEST MS REG. MED. CENTER ,1970 HOSPITAL DRIVE ,P.O. BOX 1218 ,CLARKSDALE ,MS ,38614 ,COAHOMA ,,,,978883,,,.4474,,,181,66246,5810,5481,14383,,334.78,,1265,1079,3092,,,,,,, 250043,01-OCT-15,30-SEP-16,As Submitted,NESHOBA COUNTY GENERAL HOSPITAL ,1001 HOLLAND AVENUE ,648 ,PHILADELPHIA ,MS ,39350 ,NESHOBA ,1534,,,74123,,,.12,1296,1114,38,13908,2263,738,4405,,277.8,,594,165,1322,,,,,,179, 250044,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEM HOSPITAL BOONEVILLE ,100 HOSPITAL STREET ,,BOONEVILLE ,MS ,38829 ,PRENTISS ,,,,33097,,,.0459,,,39,14157,2444,227,3107,,131.6,,532,64,799,38,,,,,197, 250048,01-JAN-16,31-DEC-16,Amended,ST. DOMINIC-JACKSON MEMORIAL HOSP ,969 LAKELAND DRIVE ,,JACKSON ,MS ,39216 ,HINDS ,,,,2412117,,,.1225,,,518,189588,56328,19471,124088,,2938.26,,9856,3828,23349,310,,,,,480, 250049,01-OCT-15,29-FEB-16,As Submitted,SOUTH PIKE HOSPITAL ASSOCIATION ,N. MYRTLE STREET ,351 ,MAGNOLIA ,MS ,39652 ,PIKE ,,,,14204,,,.0682,,,37,5624,1167,95,1810,,59.23,,175,22,287,,,,,,, 250049,01-MAR-16,30-JUN-16,As Submitted,BEACHAM MEMORIAL HOSPITAL ,N. MYRTLE STREET ,351 ,MAGNOLIA ,MS ,39652 ,PIKE ,,,,13871,,,.098,,,37,4514,855,111,1252,,45.6,,133,25,205,,,,,,, 250049,01-JUL-16,30-JUN-17,As Submitted,BEACHAM MEMORIAL HOSPITAL ,N. MYRTLE STREET ,351 ,MAGNOLIA ,MS ,39652 ,PIKE ,,,,30573,,,.1048,,,17,6205,1255,206,2123,,38.31,,280,39,455,,,,,,, 250050,01-OCT-15,30-SEP-16,As Submitted,OKTIBBEHA COUNTY HOSPITAL ,HOSPITAL ROAD ,1506 ,STARKVILLE ,MS ,39759 ,OKTIBBEHA ,,,,158729,,,.12,,,88,32208,4194,3342,10679,,594.6,,677,445,2385,,,,,,, 250057,01-OCT-15,30-SEP-16,As Submitted,KINGS DAUGHTERS MEDICAL CENTER ,427 HIGHWAY 51 NORTH ,,BROOKHAVEN ,MS ,39601- ,LINCOLN ,,,,216266,,,.12,,,99,36234,3535,2574,9571,,590.28,,972,1017,2435,,,,,,, 250058,01-OCT-15,30-SEP-16,As Submitted,SOUTH CENTRAL REGIONAL MEDICAL CENTR ,1220 JEFFERSON STREET ,607 ,LAUREL ,MS ,39441- ,JONES ,,,,725713,,,.1623,,,268,98088,16003,7636,34213,,1254.97,,3048,1719,7353,,,,,,, 250060,01-OCT-15,30-SEP-16,As Submitted,JEFFERSON COUNTY HOSPITAL ,809 S. MAIN ,577 ,FAYETTE ,MS ,39069-0577 ,JEFFERSON ,,,,8472,,,.1115,,,12,4392,504,39,833,,85.29,,80,16,228,,,,,,350, 250061,01-OCT-15,30-SEP-16,As Submitted,YALOBUSHA GENERAL HOSPITAL ,HIGHWAY 7 SOUTH ,728 ,WATER VALLEY ,MS ,38965 ,YALOBUSHA ,,,,13067,,,.0378,,,26,9516,5084,36,5980,,140.32,,356,12,505,,,,,,, 250067,01-OCT-15,30-SEP-16,Amended,CLAY COUNTY MEDICAL CORPORATION ,835 MEDICAL CENTER DRIVE ,,WEST POINT ,MS ,39773 ,CLAY ,,,,69770,,,.12,,,60,21960,3212,1643,6506,,229.06,,419,360,1179,,,,,,, 250069,01-JAN-16,31-DEC-16,Amended,RUSH FOUNDATION HOSPITAL ,1314 19TH AVENUE ,,MERIDIAN ,MS ,39301- ,LAUDERDALE ,439051,,,817866,,,.2249,241556,166864,182,66612,8425,5421,22851,9.87,716.15,,2109,1475,6345,,,,,,, 250072,01-OCT-15,30-SEP-16,As Submitted,CENTRAL MISSISSIPPI MEDICAL CENTER ,1850 CHADWICK DRIVE ,,JACKSON ,MS ,39204 ,HINDS ,,,,1158299,,,.3002,,,272,99552,9546,9006,30323,,701.28,,1731,1898,6789,,,,332,,1623, 250077,01-OCT-15,30-SEP-16,Amended,WAYNE GENERAL HOSPITAL ,950 MATHEW DRIVE ,590 ,WAYNESBORO ,MS ,39367- ,WAYNE ,12460,,,93730,,,.12,1455,899,70,25620,4934,1760,10212,.09,287,,651,396,1426,72,,,,,, 250078,01-OCT-15,30-SEP-16,Amended,FORREST GENERAL HOSPITAL ,6051 U. S HIGHWAY 49 ,16389 ,HATTIESBURG ,MS ,39404 ,FORREST ,1485340,,,4699671,,,.2158,397893,138297,426,155852,48231,29238,119717,12.95,2850.22,,10414,4760,26530,,,,,58,,416 250079,01-OCT-15,30-SEP-16,As Submitted,SHARKEY-ISSAQUENA COMM HOSPITAL ,108 SOUTH FOURTH STREET ,339 ,ROLLING FORK ,MS ,39159 ,SHARKEY ,,,,51271,,,.2712,,,19,6954,1745,67,2178,,58.05,,199,22,347,44,,,,,114, 250081,01-OCT-15,30-SEP-16,Amended,ANDERSON REGIONAL MED CTR-SOUTH CAMP ,1102 CONSTITUTION AVENUE ,1810 ,MERIDIAN ,MS ,39301 ,LAUDERDALE ,,,,,,,,,,33,12078,5105,16,5944,,122.82,,,,1,,,,,25,218,457 250082,01-OCT-15,30-SEP-16,As Submitted,DELTA REGIONAL MEDICAL CENTER ,1400 EAST UNION STREET ,,GREENVILLE ,MS ,38704-5247 ,WASHINGTON ,,,,1535399,,,.3414,,,177,64782,14949,9630,33684,,732.64,,2673,2043,6888,,,,2,28,173,242 250084,01-OCT-15,30-SEP-16,As Submitted,NATCHEZ REGIONAL MEDICAL CENTER ,54 SOUTH SEARGENT PRENTISS ,1488 ,NATCHEZ ,MS ,39121 ,ADAMS ,,,,287441,,,.12,,,147,53802,8119,2677,15094,,8119,,1600,1081,3699,,,,,,375,208 250085,01-OCT-15,30-SEP-16,As Submitted,MARION GENERAL HOSPITAL ,1560 SUMRALL ,630 ,COLUMBIA ,MS ,39429 ,MARION ,,,,,,,,,,49,17934,5195,310,7921,,133.22,,482,35,684,,,,,,, 250093,01-APR-16,31-MAR-17,As Submitted,BOLIVAR MEDICAL CENTER ,901 EAST SUNFLOWER ROAD ,,CLEVELAND ,MS ,38732 ,BOLIVAR ,,,,257826,,,.12,,,152,55480,6834,452,11742,,367.26,,1396,167,2931,903,,,,,224, 250094,01-APR-16,31-MAR-17,As Submitted,MERIT HEALTH WESLEY ,5001 WEST HARDY ST ,,HATTIESBURG ,MS ,39402- ,LAMAR ,1398747,,,1027874,,,.2203,754419,237579,148,54020,11167,6967,27140,20.01,663.04,,2519,1410,6430,,,,,,245, 250095,01-OCT-15,30-SEP-16,As Submitted,SOUTH SUNFLOWER COUNTY HOSPITAL ,121 EAST BAKER STREET ,,INDIANOLA ,MS ,38751- ,SUNFLOWER ,,,,58574,,,.12,,,48,17568,3352,1211,4984,,159.24,,400,363,956,,,,,,, 250096,01-JAN-16,31-DEC-16,Amended,CROSSGATES RIVER OAKS HOSPITAL ,350 CROSSGATES BLVD ,,BRANDON ,MS ,39042 ,RANKIN ,,,,81071,,,.0427,,,114,41724,5039,652,8320,,194.73,,1029,152,1871,,,,,,338, 250097,01-OCT-15,30-SEP-16,As Submitted,SOUTHWEST MS REG MED CENTER ,215 MARION AVENUE ,,MCCOMB ,MS ,39648- ,PIKE ,,,,1041787,,,.2364,,,160,58560,9709,1521,21364,,806.64,,2416,559,5549,1267,,,,,, 250099,01-OCT-15,30-SEP-16,As Submitted,GREENWOOD LEFLORE HOSPITAL ,1401 RIVER ROAD ,1410 ,GREENWOOD ,MS ,38935-1410 ,LEFLORE ,,,,1271190,,,.2915,,,173,63318,10925,6355,22298,,793.06,,2636,566,5576,,,,,27,155,357 250100,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEM HOSPITAL GOLDEN TRIANGLE ,2520 FIFTH STREET NORTH ,,COLUMBUS ,MS ,39701 ,LOWNDES ,,,,1289736,,,.1847,,,262,95892,11989,4964,24620,,846.4,,3181,270,6800,840,,,192,,1787, 250104,01-OCT-15,30-SEP-16,Amended,JEFF ANDERSON REGIONAL MEDICAL CENTE ,2124 14TH STREET ,,MERIDIAN ,MS ,39301 ,LAUDERDALE ,18614,,,1201015,,,.1404,8716,4395,256,93696,23622,8501,45059,.04,1137.37,,4720,2402,10757,,,,,,, 250117,01-OCT-15,30-SEP-16,As Submitted,HIGHLAND COMMUNITY HOSPITAL ,130 HIGHLAND PARKWAY ,,PICAYUNE ,MS ,39466 ,PEARL RIVER ,,,,91181,,,.12,,,50,18300,1724,1509,5265,,262.5,,519,727,1565,,,,,,156, 250123,01-JAN-16,31-DEC-16,Amended,GARDEN PARK COMMUNITY HOSPITAL ,15200 COMMUNITY ROAD ,,GULFPORT ,MS ,39503- ,HARRISON ,,,,278318,,,.1303,,,117,42822,4918,2528,15174,,354.15,,1198,566,3538,510,,,,,331, 250124,01-JAN-16,31-DEC-16,As Submitted,MAGEE GENERAL HOSPITAL ,300 S.E. THIRD AVENUE ,,MAGEE ,MS ,39111 ,SIMPSON ,,,,56307,,,.12,,,64,23424,4290,441,6011,,191.52,,434,18,784,,,,,,, 250126,01-APR-16,31-MAR-17,As Submitted,NORTH OAK REGIONAL MEDICAL CENTER ,401 GETWELL DRIVE ,,SENATOBIA ,MS ,38668- ,TATE ,,,,37517,,,.12,,,29,10585,1127,253,2173,,91.33,,290,78,619,,,,,,114, 250127,01-OCT-15,30-SEP-16,As Submitted,CHOCTAW HEALTH CENTER ,ROUTE 7 BOX R50 ,,PHILADELPHIA ,MS ,39350 ,NESHOBA ,,,,11227,,,.12,,,20,7320,320,130,751,,387,,60,27,289,,,,,,, 250128,01-JAN-16,31-DEC-16,As Submitted,MERIT HEALTH BATESVILLE ,303 MEDICAL CENTER DRIVE ,,BATESVILLE ,MS ,38606 ,PANOLA ,,,,105768,,,.12,,,90,32940,3211,4178,11710,,224.08,,707,101,2785,,,,,,183, 250134,01-JUL-16,30-JUN-17,As Submitted,WHITFIELD MEDICAL SURGICAL CENTER ,,157A ,WHITFIELD ,MS ,39193- ,RANKIN ,,,,15043,,,.12,,,32,11680,500,275,1364,,44.27,,109,38,187,,,,,,, 250136,01-JAN-16,31-DEC-16,As Submitted,MERIT HEALTH WOMANS HOSPITAL ,1026 NORTH FLOWOOD DRIVE ,,FLOWOOD ,MS ,39232 ,RANKIN ,,,,2772,,,.0972,,,33,12078,37,1039,6501,,151.92,,22,127,1376,,,,,,, 250138,01-OCT-15,30-SEP-16,Amended,RIVER OAKS HOSPITAL ,1030 RIVER OAKS DRIVE ,,FLOWOOD ,MS ,39232 ,RANKIN ,,,,608306,,,.2713,,,158,57828,3930,7399,20340,,521.18,,1095,1226,4698,7,,,,,, 250141,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEM HOSPITAL DESOTO ,7601 SOUTHCREST ,,SOUTHAVEN ,MS ,38671 ,DESOTO ,203365,,,1765341,,,.1383,37083,18190,309,113094,30154,10422,67296,2.36,1428.51,,5794,814,15168,1692,,,,34,,511 250151,01-JAN-16,31-DEC-16,As Submitted,ALLIANCE HEALTH CENTER ,5000 HWY 39 NORTH ,,MERIDIAN ,MS ,39303 ,LAUDERDALE ,,,,45069,,,.12,,,86,31476,2772,1654,6855,,,,405,300,1146,,,,1234,,2174, 250152,01-JUL-16,30-JUN-17,As Submitted,MISSISSIPPI METHODIST REHAB CENTER ,1350 E WOODROW WILSON ,,JACKSON ,MS ,39216 ,HINDS ,,,,,,,,,,31,11315,,,,,326.95,,,,,,,,,123,,1310 250162,01-OCT-15,30-SEP-16,As Submitted,HANCOCK MEDICAL CENTER ,149 DRINKWATER BLVD ,,BAY ST. LOUIS ,MS ,39520 ,HANCOCK ,,,,83253,,,.12,,,102,37332,1682,528,5289,,263.61,,474,322,1429,,,,,,, 250163,01-JAN-16,31-DEC-16,As Submitted,PATIENTS CHOICE MED CNT-SMITH CNTY ,347 MAGNOLIA DRIVE ,,RALEIGH ,MS ,39153 ,SMITH ,,,,,,,,,,19,6954,,,4,,14.2,,,,2,,,,,,153, 250167,01-JAN-16,31-DEC-16,As Submitted,METHODIST H/C OLIVE BRANCH HOSPT ,4250 BETHEL ROAD ,,OLIVE BRANCH ,MS ,38654 ,DESOTO ,,,,165717,,,.12,,,51,18666,2876,1569,8308,,306,,747,326,2029,,,,,,, 250168,01-JUL-16,30-JUN-17,As Submitted,UMMC-GRENADA ,960 AVENT DRIVE ,38901 ,GRENADA ,MS ,38901- ,GRENADA ,,,,165871,,,.12,,,49,45456,3945,2825,8848,,381.08,,972,815,2131,,,,,,97, 251302,01-JAN-16,31-DEC-16,As Submitted,PIONEER HEALTH SERVICES OF MONROE C ,400 SOUTH CHESTNUT STREET ,,ABERDEEN ,MS ,39730 ,MONROE ,,,,,,,,,,25,9150,4167,16,4744,,131.09,,275,4,390,14,1,,,,155, 251303,01-JAN-16,31-DEC-16,As Submitted,STONE COUNTY HOSPITAL ,1434 E CENTRAL AVENUE ,,WIGGINS ,MS ,39577 ,STONE ,,,,,,,,,,25,9150,4726,145,6104,,122.12,,211,11,350,,,,,,, 251304,01-OCT-15,30-SEP-16,As Submitted,TALLAHATCHIE CRITICAL ACCESS HOSPITA ,CHURCH STREET ,,CHARLESTON ,MS ,38921 ,TALLAHATCHIE ,,,,,,,,,,9,3294,4796,20,4966,,337.85,,70,7,102,,,,,,, 251305,01-OCT-15,30-SEP-16,As Submitted,LAWRENCE COUNTY HOSPITAL ,1065 EAST BROAD STREET ,788 ,MONTICELLO ,MS ,39654 ,LAWRENCE ,,,,,,,,,,25,9150,2430,25,2581,,95.27,,252,4,301,11,,,,,, 251306,01-JAN-16,31-DEC-16,As Submitted,PERRY COUNTY GENERAL HOSPITAL ,206 BAY AVENUE ,,RICHTON ,MS ,39476 ,PERRY ,,,,,,,,,,22,8052,1242,7,1301,,43.76,,68,1,75,,,,,,, 251307,01-OCT-15,30-SEP-16,As Submitted,NOXUBEE COUNTY HOSPITAL ,NOXUBEE GENERAL CRITICAL ACCESS HOS ,480 ,MACON ,MS ,39341 ,NOXUBEE ,,,,,,,,,,25,9150,4384,243,5058,,196.12,,424,66,616,,,,,,, 251308,01-OCT-15,30-SEP-16,Amended,PONTOTOC HEALTH SERVICES ,176 SOUTH MAIN ,,PONTOTOC ,MS ,38863 ,PONTOTOC ,,,,,,,,,,25,9150,5952,12,7588,,176.54,,137,4,175,,,,,,, 251309,01-OCT-15,30-SEP-16,Settled,FIELD MEMORIAL COMMUNITY HOSPITAL ,270 WEST MAIN STREET ,639 ,CENTREVILLE ,MS ,39631-0639 ,WILKINSON ,,,,,,,,,,16,5915,2906,248,3439,,96.63,,259,66,414,,,,,,, 251312,01-OCT-15,30-SEP-16,As Submitted,TYLER HOLMES MEMORIAL HOSPITAL ,TYLER HOLMES MEMORIAL HOSPITAL ,409 TYLER HOLMES DRI ,WINONA ,MS ,38967 ,MONTGOMERY ,,,,,,,,,,25,9150,3312,120,3623,,116.33,,246,35,332,,,,,,, 251314,01-JAN-16,31-OCT-16,As Submitted,QUITMAN COUNTY HOSPITAL LLC ,340 GETWELL DRIVE ,,MARKS ,MS ,38646 ,QUITMAN ,,,,,,,,,,25,7625,1006,36,1209,,104.17,,123,10,191,,,,,,21, 251316,01-JAN-16,31-DEC-16,As Submitted,H.C. WATKINS MEMORIAL HOSPITAL ,605 S. ARCHUSA AVENUE ,,QUITMAN ,MS ,39355- ,CLARKE ,,,,,,,,,,25,9150,3206,74,4042,,109.4,,162,25,231,,,,,,, 251317,01-JAN-16,31-DEC-16,As Submitted,SIMPSON GENERAL HOSPITAL ,1842 SIMPSON HIGHWAY 149 ,457 ,MENDENHALL ,MS ,39114 ,SIMPSON ,,,,,,,,,,25,9150,3072,56,3888,,131.51,,202,17,353,2,,,,,175, 251318,01-OCT-15,30-SEP-16,As Submitted,NORTH SUNFLOWER COUNTY HOSPITAL ,N/A ,369 ,RULEVILLE ,MS ,38771 ,SUNFLOWER ,,,,,,,,,,25,9150,5415,135,6545,,424.91,,382,60,552,,,,,,260, 251319,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY HOSPITAL & CLINICS - HOLM ,239 BOWLING GREEN ROAD ,,LEXINGTON ,MS ,39095 ,HOLMES ,,,,,,,,,,25,9125,1944,106,2550,,103.69,,143,42,248,,,,,,, 251320,01-JAN-16,31-DEC-16,As Submitted,CLAIBORNE COUNTY HOSPITAL ,123 MCCOMB AVE ,1004 ,PORT GIBSON ,MS ,39150 ,CLAIBORNE ,,,,,,,,,,22,8052,2692,124,3666,,116.35,,307,42,558,,,,,,136, 251322,01-JAN-16,31-DEC-16,As Submitted,LAIRD HOSPITAL ,25117 HWY 15 ,,UNION ,MS ,39365- ,NEWTON ,,,,,,,,,,25,9150,2747,70,3451,,117.89,,149,9,224,,,,,,, 251323,01-JAN-16,31-DEC-16,As Submitted,SCOTT REGIONAL HOSPITAL ,317 HIGHWAY 13 SOUTH ,259 ,MORTON ,MS ,39117- ,SCOTT ,,,,,,,,,,25,9150,2212,115,2945,,76.52,,168,14,296,,,,,,, 251324,01-OCT-15,30-SEP-16,As Submitted,WALTHALL COUNTY GENERAL HOSPITAL ,100 HOSPITAL DRIVE ,,TYLERTOWN ,MS ,39667-2099 ,WALTHALL ,,,,,,,,,,25,9150,1982,127,2383,,81.93,,190,35,270,,,,,,, 251325,01-OCT-15,30-SEP-16,As Submitted,COVINGTON COUNTY HOSPITAL ,803 GERALD MCRANEY DRIVE ,,COLLINS ,MS ,39428 ,COVINGTON ,,,,,,,,,,25,9150,4259,40,4792,,137.72,,193,13,263,,,,,,, 251326,01-OCT-15,30-SEP-16,As Submitted,PRENTISS REGIONAL HOSPITAL ,1102 ROSE STREET ,1289 ,PRENTISS ,MS ,39474- ,JEFFERSON DAVIS ,,,,,,,,,,25,9150,1104,50,1272,,61.47,,85,17,131,,,,,,118, 251327,01-JAN-16,31-DEC-16,As Submitted,HARDY WILSON MEMORIAL HOSPITAL ,MAGNOLIA STREET ,889 ,HAZLEHURST ,MS ,39083 ,COPIAH ,,,,,,,,,,25,9150,3424,43,4659,,128.99,,341,17,580,74,,,,,, 251329,01-OCT-15,30-SEP-16,As Submitted,GREENE COUNTY HOSPITAL ,1017 JACKSON AVENUE ,,LEAKESVILLE ,MS ,39451- ,GREENE ,,,,,,,,,,7,2562,1611,7,1695,,42.39,,60,2,76,,,,,,, 251330,01-MAY-16,30-APR-17,As Submitted,FRANKLIN COUNTY HOSPITAL ,HOSPITAL ROAD ,636 ,MEADVILLE ,MS ,39653 ,FRANKLIN ,,,,,,,,,,24,8760,6201,42,6420,,166.74,,104,12,124,,,,,,, 251331,01-OCT-15,30-SEP-16,As Submitted,CALHOUN HEALTH SERVICES ,140 BURKE-CALHOUN CITY ROAD ,,CALHOUN CITY ,MS ,38916 ,CALHOUN ,,,,,,,,,,21,7686,2843,55,3080,,231.31,,177,16,240,,,,,,, 251333,01-OCT-15,30-SEP-16,As Submitted,PEARL RIVER COUNTY HOSPITAL ,305 WEST MOODY STREET ,392 ,POPLARVILLE ,MS ,39470 ,PEARL RIVER ,,,,,,,,,,24,5144,2629,,2775,,112.61,,23,,23,,,,,,, 251334,01-OCT-15,30-SEP-16,Amended,CHOCTAW REGIONAL MEDICAL CENTER ,CHOCTAW REGIONAL MEDICAL CENTER ,8613 MS HWY 12 ,ACKERMAN ,MS ,39735 ,CHOCTAW ,,,,,,,,,,15,5490,2288,13,2624,,150.76,,131,5,192,,,,,,, 251335,01-JAN-16,31-DEC-16,As Submitted,JOHN C. STENNIS MEMORIAL HOSPITAL ,14365 HIGHWAY 16 WEST ,,DEKALB ,MS ,39328 ,KEMPER ,,,,,,,,,,25,9150,2472,27,3363,,58.81,,113,3,137,7,,,,,, 251337,01-OCT-15,30-SEP-16,As Submitted,TIPPAH COUNTY HOSPITAL ,1005 HIGHWAY 15 N ,,RIPLEY ,MS ,38663 ,TIPPAH ,,,,,,,,,,25,9150,3517,17,3870,,203.73,,309,8,377,,,,,,128, 252004,01-JAN-16,31-DEC-16,As Submitted,THE SPECIALTY HOSPITAL OF MERIDIAN ,1314 19TH STREET ,,MERIDIAN ,MS ,39301- ,LAUDERDALE ,,,,,,,,,,49,17934,14126,,15345,,133.6,,531,,566,,,,,,, 252005,01-JAN-16,31-DEC-16,As Submitted,SSH - GULF COAST ,1520 BROAD AVE. ,,GULFPORT ,MS ,39501 ,HARRISON ,,,,,,,,,,61,22326,5964,,9793,,122.03,,237,,357,,,,,,, 252007,01-MAR-16,28-FEB-17,As Submitted,SSH - JACKSON INC ,5903 RIDGEWOOD RD ,,JACKSON ,MS ,39211 ,HINDS ,,,,,,,,,,53,19345,9839,48,14169,,181.78,,384,2,531,,,,,,, 252008,01-JUL-16,30-JUN-17,As Submitted,PROMISE HOSPITAL OF VICKSBURG ,111 N. FRONTAGE ROAD 2ND FLOOR ,,VICKSBURG ,MS ,39180 ,WARREN ,,,,,,,,,,35,12775,7455,,9781,,95.26,,313,,383,,,,,,, 252009,01-SEP-16,31-AUG-17,As Submitted,REGENCY HOSPITAL OF HATTIESBURG ,6051 US HWY 49 5TH FLOOR ,,HATTIESBURG ,MS ,39401 ,FORREST ,,,,,,,,,,33,12045,5613,,8009,,85.55,,217,,299,,,,,,, 252012,01-OCT-15,02-AUG-16,As Submitted,REGENCY HOSPITAL OF JACKSON ,971 LAKELAND DR W. TOWER SUITE 105 ,,JACKSON ,MS ,39216 ,HINDS ,,,,,,,,,,36,11052,5533,,7362,,82.85,,220,,305,,,,,,, 252013,01-NOV-15,31-OCT-16,As Submitted,ALLEGIANCE SPECIALTY HOSPITAL OF GRE ,300 SOUTH WASHINGTON AVENUE 3RD FL ,,GREENVILLE ,MS ,38701 ,WASHINGTON ,,,,,,,,,,39,14274,7783,,8224,,85.79,,418,,443,,,,,,, 254005,01-JAN-16,31-DEC-16,As Submitted,PARKWOOD HOSPITAL ,8135 GOODMAN ROAD ,,OLIVE BRANCH ,MS ,38654 ,DESOTO ,,,,,,,,,,108,39528,7261,7143,26309,,159.94,,577,862,3057,,,,,,, 254007,01-JAN-16,31-DEC-16,As Submitted,BRENTWOOD BEHAVIORAL HEALTHCARE ,3531 EAST LAKELAND DRIVE ,,JACKSON ,MS ,39208 ,RANKIN ,,,,,,,,,,105,35430,1077,16498,24859,,,,129,1571,2652,,,,,,, 254008,01-JUL-16,30-JUN-17,As Submitted,SOUTH MISSISSIPPI STATE HOSPITAL ,823 HWY 589 ,,PURVIS ,MS ,39475- ,LAMAR ,,,,,,,,,,45,16425,3316,,15731,,86.97,,139,,592,,,,,,, 254009,01-JUL-16,30-JUN-17,As Submitted,NORTH MISSISSIPPI STATE HOSPITAL ,1937 BRIAR RIDGE ROAD ,,TUPELO ,MS ,38804- ,LEE ,,,,,,,,,,50,18250,3037,,18103,,87.13,,127,,665,,,,,,, 254010,01-JUL-16,30-JUN-17,As Submitted,MSH- RECEIVING UNITS ,,157A ,WHITFIELD ,MS ,39193- ,RANKIN ,,,,,,,,,,139,53765,1650,,51857,,268.35,,160,,944,,,,,,, 260001,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL JOPLIN ,100 MERCY WAY ,,JOPLIN ,MO ,64804 ,JASPER ,,,,1352284,,,.1507,,,240,87600,21519,9800,52083,,1165.49,,4058,1777,10931,350,,,,,, 260004,01-JAN-16,31-DEC-16,As Submitted,COOPER COUNTY MEMORIAL HOSPITAL ,17651 B HIGHWAY ,88 ,BOONVILLE ,MO ,65233- ,COOPER ,,,,,,,,,,46,16836,1681,16,2067,,96.97,,142,7,194,1,,,,,, 260005,01-JAN-16,31-DEC-16,As Submitted,SSM HEALTH ST. JOSEPH HOSPITAL - SC ,300 FIRST CAPITOL DRIVE ,,ST. CHARLES ,MO ,63301-2844 ,ST. CHARLES ,,,,946991,,,.1372,,,364,133224,16667,10656,62889,,1134.95,,3291,1294,12564,994,,,91,20,776,359 260006,01-JUL-16,30-JUN-17,As Submitted,HEARTLAND REGIONAL MEDICAL CENTER ,5325 FARAON ,,ST. JOSEPH ,MO ,64506-3398 ,BUCHANAN ,,,,1638204,,,.1148,,,352,128480,33296,12164,70520,,3193.04,,6911,3422,17773,258,,,,,, 260009,01-JUN-16,31-MAY-17,As Submitted,BOTHWELL REGIONAL HEALTH CENTER ,601 E. 14TH STREET ,1706 ,SEDALIA ,MO ,65302-1706 ,PETTIS ,,,,176071,,,.0518,,,107,39055,8831,1349,15954,,667.62,,1990,582,3986,,,,,,, 260011,01-JAN-16,31-DEC-16,As Submitted,SSM HEALTH-ST. MARYS-JEFFERSON CITY ,100 ST. MARYS MEDICAL PLAZA ,,JEFFERSON CITY ,MO ,65101- ,COLE ,,,,511999,,,.0895,,,167,61122,12133,2816,27160,,708.93,,2653,983,7103,127,,,,,, 260015,01-JAN-16,31-DEC-16,As Submitted,TWIN RIVERS REGIONAL MEDICAL CENTER ,1301 FIRST STREET ,,KENNETT ,MO ,63857 ,DUNKLIN ,,,,94999,,,.12,,,100,36600,2087,4104,9960,,230.67,,606,1352,2756,,,,,12,1,75 260017,01-JAN-16,31-DEC-16,As Submitted,PHELPS COUNTY REGIONAL MEDICAL CNTR ,1000 WEST 10TH STREET ,,ROLLA ,MO ,65401 ,PHELPS ,,,,529721,,,.1357,,,172,62952,8669,2916,16827,,993.86,,2234,558,4671,309,,,344,35,1076,359 260020,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL - ST. LOUIS ,615 S. NEW BALLAS ROAD ,,ST. LOUIS ,MO ,63141- ,ST. LOUIS ,5016907,,,2456536,,,.1181,2751856,1167000,819,298935,42965,13184,206857,99.24,4760.71,,8466,1868,37728,,,,439,,2385, 260022,01-JUN-16,31-MAY-17,As Submitted,NORTHEAST REGIONAL MEDICAL CENTER ,315 SOUTH OSTEOPATHY ,C8502 ,KIRKSVILLE ,MO ,63501-8599 ,ADAIR ,1870880,,,208055,,,.0903,1377411,839429,73,26645,6051,1686,10821,36.21,327.49,,1071,390,2262,,,,,,, 260023,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL JEFFERSON ,HIGHWAY 61 SOUTH ,350 ,CRYSTAL CITY ,MO ,63019 ,JEFFERSON ,,,,359680,,,.0507,,,195,71175,15915,3000,32774,,780.31,,3224,650,7465,295,,,427,21,1594,372 260024,01-JAN-16,31-DEC-16,As Submitted,TEXAS COUNTY MEMORIAL HOSPITAL ,1333 S. SAM HOUSTON BOULEVARD ,,HOUSTON ,MO ,65483 ,TEXAS ,,,,77999,,,.12,,,47,17202,3123,872,5239,,250.21,,551,303,1203,,,,,,, 260025,01-OCT-15,30-SEP-16,As Submitted,HANNIBAL REGIONAL HOSPITAL ,HIGHWAY 36 6000 HOSPITAL DRIVE ,,HANNIBAL ,MO ,63401 ,MARION ,,,,221894,,,.0535,,,86,31476,8775,918,15236,,725.58,,2131,217,4080,286,,,,,,147 260027,01-JAN-16,31-DEC-16,Amended,RESEARCH MEDICAL CENTER ,2316 E MEYER BLVD ,,KANSAS CITY ,MO ,64132 ,JACKSON ,2419466,,,1451907,,,.148,1640912,445737,330,120780,23573,12198,83001,38.77,1718.14,,4296,2149,15187,,,,,,4102,468 260032,01-JAN-16,31-DEC-16,As Submitted,BARNES-JEWISH HOSPITAL ,ONE BARNES-JEWISH HOSPITAL PLAZA ,,ST. LOUIS ,MO ,63110- ,ST. LOUIS CITY ,45112110,,,6482531,,,.1358,21097056,6798697,1227,449079,101968,29271,304800,707.15,8569.05,,16131,5197,51462,6604,,,706,,2587, 260034,01-JAN-16,31-DEC-16,Amended,BATES COUNTY MEMORIAL HOSPITAL ,615 WEST NURSERY STREET ,370 ,BUTLER ,MO ,64730-0370 ,BATES ,,,,15933,,,.0253,,,44,16104,2198,265,3541,,217.42,,458,87,836,7,,,,,, 260040,01-OCT-15,30-SEP-16,As Submitted,COXHEALTH ,1423 N JEFFERSON ,,SPRINGFIELD ,MO ,65802 ,GREENE ,1331680,,,3048685,,,.1665,507441,285104,582,208049,42763,32911,153404,24.22,5901.1,,8143,5173,29822,1666,4,,151,53,604,519 260047,01-JUL-16,30-JUN-17,As Submitted,CAPITAL REGION MEDICAL CENTER ,1125 SOUTH MADISON STREET ,1128 ,JEFFERSON CITY ,MO ,65102-1128 ,COLE ,1044530,,,220938,,,.0555,301853,290752,100,36500,8460,1135,17048,11.01,1135.19,,2223,292,4821,468,,,,13,,213 260048,01-JUL-16,30-JUN-17,As Submitted,TRUMAN MED CTR HOSPITAL HILL ,2301 HOLMES STREET ,,KANSAS CITY ,MO ,64108 ,JACKSON ,4299573,,,1925995,,,.4784,1555676,1449450,238,85928,12695,27021,74957,168.06,2241.52,,2054,4265,14085,,,,,,, 260050,01-JAN-16,31-DEC-16,As Submitted,ST. FRANCIS HOSPITAL & HEALTH SVCS. ,2016 SOUTH MAIN STREET ,,MARYVILLE ,MO ,64468 ,NODAWAY ,,,,57877,,,.1054,,,43,14055,1687,651,3517,,371.54,,356,147,875,,,,174,,548, 260057,01-OCT-15,30-SEP-16,As Submitted,CAMERON REGIONAL MEDICAL CENTER ,1600 EAST EVERGREEN ,,CAMERON ,MO ,64429- ,CLINTON ,,,,58772,,,.0457,,,35,12810,5091,804,8259,,338.36,,901,264,1705,81,,,8,8,213,53 260059,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL LEBANON ,100 HOSPITAL DRIVE ,,LEBANON ,MO ,65536 ,LACLEDE ,,,,155919,,,.12,,,49,17885,2646,633,7152,,414,,802,209,2312,251,,,,,, 260061,01-JUL-16,30-JUN-17,As Submitted,NEVADA REGIONAL MEDICAL CENTER ,800 SOUTH ASH ,,NEVADA ,MO ,64772 ,VERNON ,,,,52729,,,.12,,,41,14965,1127,424,3316,,237.04,,330,171,976,43,53,,324,,1248, 260062,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES NORTHLAND HOSPITAL ,5830 NW BARRY ROAD ,,KANSAS CITY ,MO ,64154 ,PLATTE ,,,,291893,,,.0833,,,108,39528,7434,3529,25980,,604.86,,1907,764,6916,369,2,,47,31,296,251 260064,01-JAN-16,31-DEC-16,As Submitted,SSM HEALTH-ST. MARYS AUDRAIN ,620 E. MONROE ,,MEXICO ,MO ,65265- ,AUDRAIN ,,,,82103,,,.0678,,,49,17934,2579,661,5775,,300.78,,728,179,1726,110,,,17,,132, 260065,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL SPRINGFIELD ,1235 EAST CHEROKEE STREET ,,SPRINGFIELD ,MO ,65804 ,GREENE ,,,,2978300,,,.1294,,,590,215350,48382,37674,164203,,5018,,9927,4961,33274,,,,,,, 260068,01-JAN-16,31-DEC-16,As Submitted,BOONE HOSPITAL CENTER ,1600 E BROADWAY ,,COLUMBIA ,MO ,65201 ,BOONE ,,,,,,,,,,309,113094,33823,2079,66131,,1455.29,,7406,330,14574,505,,,,10,,278 260070,01-JAN-16,31-DEC-16,As Submitted,PEMISCOT COUNTY MEMORIAL HOSPITAL ,HIGHWAY 61 AND REED ,,HAYTI ,MO ,63851 ,PEMISCOT ,,,,103178,,,.12,,,49,17934,3978,1303,6920,,212.91,,707,358,1431,8,93,,398,,1367, 260074,01-NOV-15,31-OCT-16,Amended,MOBERLY REGIONAL MEDICAL CENTER ,1515 UNION AVENUE ,3000 ,MOBERLY ,MO ,65270 ,RANDOLPH ,,,,,,,,,,52,19032,2532,198,3563,,210.19,,567,71,899,,,,20,,296, 260077,01-JUL-16,30-JUN-17,As Submitted,ST ANTHONYS MEDICAL CENTER ,10010 KENNERLY ROAD ,,SAINT LOUIS ,MO ,63128- ,ST. LOUIS ,,,,,,,,,,644,235060,35906,4639,90313,,2868.35,,8197,1028,21833,561,429,,597,30,3151,650 260078,01-JAN-16,31-DEC-16,As Submitted,OZARKS MEDICAL CENTER ,1100 KENTUCKY AVENUE ,1100 ,WEST PLAINS ,MO ,65775 ,HOWELL ,,,,687541,,,.1984,,,103,37698,7456,4185,18913,,892.21,,2047,1256,5329,107,,,,,, 260080,01-JAN-16,31-DEC-16,As Submitted,SOUTHEASTHEALTH CENTER OF RIPLEY COU ,109 PLUM STREET ,336 ,DONIPHAN ,MO ,63935 ,RIPLEY ,,,,18864,,,.1017,,,21,7686,616,102,908,,59.57,,181,40,294,,,,,,, 260081,01-JAN-16,31-DEC-16,As Submitted,SSM HEALTH ST CLARE HOSPITAL ,1015 BOWLES AVE ,,FENTON ,MO ,63026 ,,,,,236984,,,.0291,,,180,65880,16292,2763,43737,,884.94,,3696,450,9326,655,,,,,, 260085,01-JAN-16,31-DEC-16,As Submitted,ST. JOSEPH MEDICAL CENTER ,1000 CARONDELET DRIVE ,,KANSAS CITY ,MO ,64114- ,JACKSON ,,,,,,,,,,164,53653,15425,1464,32422,,897.19,,3344,271,7564,226,,,,4,,229 260091,01-JAN-16,31-DEC-16,As Submitted,SSM HEALTH ST. MARYS HOSPITAL - STL ,6420 CLAYTON ROAD ,,ST. LOUIS ,MO ,63117- ,ST. LOUIS ,5494033,,,3400891,,,.3977,2743685,1776277,551,201666,20579,18448,137807,190.83,3347,,3874,3422,26880,7444,98,,691,,2019, 260094,01-OCT-15,30-SEP-16,As Submitted,COX MEDICAL CENTER BRANSON ,251 SKAGGS ROAD ,650 ,BRANSON ,MO ,65615-0650 ,TANEY ,,,,363002,,,.0845,,,100,36600,11030,3448,26839,,876.54,,2330,779,6183,300,,,,7,,253 260095,01-APR-16,31-MAR-17,As Submitted,CENTERPOINT MEDICAL CENTER ,19600 EAST 39TH STREET SOUTH ,,INDEPENDENCE ,MO ,64057-2301 ,JACKSON ,2687,,,521588,,,.0559,3381,905,217,79205,20463,5073,63984,.09,1113.61,,4759,1026,15404,820,,,,,, 260096,01-JUL-16,30-JUN-17,As Submitted,NORTH KANSAS CITY HOSPITAL ,2800 CLAY EDWARDS DR ,,NORTH KANSAS CITY ,MO ,64116 ,CLAY ,,,,547668,,,.0331,,,365,133225,33993,7624,88996,,2576.76,,7351,756,13644,695,,,,74,,1385 260097,01-JAN-16,31-DEC-16,As Submitted,WESTERN MISSOURI MEDICAL CENTER ,403 BURKARTH ROAD ,,WARRENSBURG ,MO ,64093- ,JOHNSON ,,,,134357,,,.0817,,,72,26352,3789,673,10754,,482.3,,980,465,2634,230,,,,,, 260102,01-JUL-16,30-JUN-17,As Submitted,TRUMAN MEDICAL CTR LAKEWOOD ,7900 LEES SUMMIT ROAD ,,KANSAS CITY ,MO ,64139 ,JACKSON ,985908,,,334490,,,.3234,1601048,1286147,110,39214,4390,5503,21569,60.37,851.6,,646,703,4655,1277,,,,,, 260104,01-JAN-16,31-DEC-16,As Submitted,SSM HEALTH DEPAUL HOSPITAL ,12303 DEPAUL DRIVE ,,BRIDGETON ,MO ,63044 ,ST. LOUIS ,821157,,,2301770,,,.1637,395406,189476,418,152988,30377,16493,104024,14,1669.28,,6319,2400,20653,2471,57,,257,,942, 260105,01-JAN-16,31-DEC-16,Amended,SSM SAINT LOUIS UNIVERSITY HOSPITAL ,3635 VISTA AVE ,,ST. LOUIS ,MO ,63110 ,,19533995,,,2794656,,,.2338,12130065,2967239,291,106506,29409,13327,89899,293.63,1710.03,,4945,2445,15427,1033,85,,348,,1502, 260108,01-JAN-16,31-DEC-16,As Submitted,MISSOURI BAPTIST MEDICAL CENTER ,3015 N. BALLAS ROAD ,,ST. LOUIS ,MO ,63131-2329 ,ST. LOUIS ,278304,,,,,,,83283,39402,413,155184,37120,2598,93764,4.16,2319.06,,7627,465,20304,808,,,,6,,459 260110,01-JAN-16,31-DEC-16,As Submitted,SOUTHEASTHEALTH ,1701 LACEY STREET ,,CAPE GIRARDEAU ,MO ,63701 ,CAPE GIRARDEAU ,,,,811072,,,.0839,,,196,71540,19254,4471,35995,,1709.74,,4149,1006,8044,442,106,,221,8,741,186 260113,01-OCT-15,30-SEP-16,As Submitted,MISSOURI DELTA MEDICAL CENTER ,1008 N MAIN ,,SIKESTON ,MO ,63801 ,SCOTT ,,,,587739,,,.1942,,,121,44286,7599,3161,14007,,569.14,,1664,778,3173,4,7,,47,18,473,174 260119,01-JAN-16,31-DEC-16,As Submitted,POPLAR BLUFF REGIONAL MEDICAL CENTER ,3100 OAK GROVE ROAD ,,POPLAR BLUFF ,MO ,63901 ,BUTLER ,,,,1808316,,,.2756,,,209,76494,17346,11750,41916,,758.79,,3820,3300,10631,,,,,14,,199 260137,01-APR-16,31-MAR-17,As Submitted,FREEMAN OAK HILL HEALTH SYSTEM ,1102 WEST 32ND STREET ,,JOPLIN ,MO ,64804 ,NEWTON ,277794,434219,,766852,987909,,.1456,491692,307912,361,131765,31843,17702,82956,19.88,2715.79,,6163,3070,16278,281,2,,26,26,357,368 260138,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES HOSPITAL OF KANSAS CITY ,4401 WORNALL ROAD ,,KANSAS CITY ,MO ,64111 ,JACKSON ,11039263,,,2440600,,,.1209,2770155,1000682,454,150500,39947,15685,114147,109.32,2746,,7045,1825,19609,1215,,,,22,,353 260141,01-JUL-16,30-JUN-17,As Submitted,UNIV OF MISSOURI HEALTH CARE ,ONE HOSPITAL DRIVE ,,COLUMBIA ,MO ,65212 ,BOONE ,17048944,,,3746798,,,.2187,6315697,3734904,526,169616,38135,19274,126788,338.48,4725.24,,7159,3284,25990,4848,,,801,,3007, 260142,01-MAY-16,30-APR-17,As Submitted,JOHN FITZGIBBON MEMORIAL HOSPITAL ,2305 SOUTH HIGHWAY 65 ,250 ,MARSHALL ,MO ,65340 ,SALINE ,,,,91647,,,.1143,,,42,15330,2305,547,4779,,322.96,,628,137,1428,131,35,,103,,468, 260160,01-JAN-16,31-DEC-16,As Submitted,SOUTHEASTHEALTH CENTER OF STODDARD C ,1200 NORTH ONE MILE ROAD ,,DEXTER ,MO ,63841 ,STODDARD ,,,,19238,,,.0404,,,48,17568,1304,151,1970,,109.09,,442,88,747,,,,,,, 260162,01-JAN-16,31-DEC-16,As Submitted,BARNES JEWISH WEST COUNTY HOSPITAL ,12630 OLIVE STREET ,,CREVE COEUR ,MO ,63141 ,ST. LOUIS ,649518,,,,,,,198118,350759,77,28182,2123,93,6051,18.2,424.3,,803,39,2485,20,,,,,, 260163,01-JAN-16,31-DEC-16,As Submitted,PARKLAND HEALTH CENTER - FARMINGTON ,1101 WEST LIBERTY ,,FARMINGTON ,MO ,63640 ,ST FRANCOIS ,,,,140311,273146,,.12,,,86,31476,5110,1471,11780,,505.51,,1642,459,3850,897,,,41,,359, 260175,01-APR-16,31-MAR-17,As Submitted,GOLDEN VALLEY MEMORIAL HOSPITAL ,1600 NORTH SECOND ,,CLINTON ,MO ,64735-1192 ,HENRY ,,,,164728,,,.1272,,,54,16940,3406,869,7783,,548.54,,906,159,2041,489,,,,,, 260176,01-JUN-16,31-MAY-17,As Submitted,DES PERES MEDICAL CENTER ,2345 DOUGHERTY FERRY ,,ST. LOUIS ,MO ,63122 ,ST LOUIS ,2102925,,,,,,,1004573,331248,88,32120,5909,541,13879,34.06,353.6,,1595,150,4471,25,,,,,, 260177,01-JUL-16,30-JUN-17,As Submitted,LIBERTY HOSPITAL ,2525 GLENN HENDREN ,,LIBERTY ,MO ,64068 ,CLAY ,,,,,,,,,,207,75555,13802,1780,32034,,1222,,3130,323,7224,206,,,,,, 260179,01-JUL-16,30-JUN-17,As Submitted,ST. LUKES HOSPITAL ,232 S. WOODS MILL RD. ,,CHESTERFIELD ,MO ,63017 ,SAINT LOUIS ,2980880,,,,,,,1586828,1085166,402,143525,28573,972,63821,38.98,2479.56,,5922,392,14024,,,,,,, 260180,01-JAN-16,31-DEC-16,As Submitted,CHRISTIAN HOSPITAL NORTHEAST ,11133 DUNN ROAD ,,ST. LOUIS ,MO ,63136- ,ST. LOUIS COUNTY ,86399,,,1127819,,,.1061,47346,17359,442,161772,25110,8031,58332,,1653.7,,4435,1538,11841,469,,,,,,256 260183,01-JUL-16,30-JUN-17,As Submitted,SAINT FRANCIS MEDICAL CENTER ,211 ST. FRANCIS DRIVE ,,CAPE GIRARDEAU ,MO ,63703 ,CAPE GIRARDEAU ,,,,1961511,,,.1568,,,278,101470,27870,12567,57341,,2140.05,,6093,2852,12373,,,,,34,,282 260186,01-MAY-16,30-APR-17,As Submitted,LAKE REGIONAL HEALTH SYSTEM ,54 HOSPITAL DRIVE ,,OSAGE BEACH ,MO ,65065 ,CAMDEN ,,,,353711,,,.0807,,,100,36500,9048,1415,18202,,802.76,,2184,382,4616,994,,,,,, 260190,01-OCT-15,30-SEP-16,As Submitted,LEES SUMMIT MEDICAL CENTER ,2100 SE BLUE PARKWAY ,,LEES SUMMIT ,MO ,64063 ,JACKSON ,,,,,,,,,,64,23424,5234,311,13544,,342.19,,1431,107,3923,38,,,,,, 260191,01-JAN-16,31-DEC-16,As Submitted,BARNES JEWISH ST. PETERS HOSPITAL ,10 HOSPITAL DRIVE ,,ST. PETERS ,MO ,63376 ,ST. CHARLES ,82493,,,,,,,42095,30395,113,45194,8927,520,20611,1.35,523.71,,1961,126,4912,43,,,,,, 260193,01-JAN-16,31-DEC-16,As Submitted,ST. MARYS MEDICAL CENTER ,201 WEST RD MIZE ROAD ,,BLUE SPRINGS ,MO ,64014- ,JACKSON ,1650675,,,,,,,604217,168848,73,26645,7595,853,18217,21.22,439.93,,2084,234,5456,90,,,,13,,190 260195,01-JUN-16,31-MAY-17,As Submitted,CITIZENS MEMORIAL HOSPITAL DISTRICT ,1500 NORTH OAKLAND ,,BOLIVAR ,MO ,65613 ,POLK ,,,,257663,,,.12,,,52,18980,3070,1151,8977,,828.21,,1111,371,3062,296,2,,43,,436, 260200,01-JAN-16,31-DEC-16,As Submitted,SSM HEALTH ST. JOSEPH HOSPITAL - LSL ,100 MEDICAL PLAZA ,,LAKE ST. LOUIS ,MO ,63367 ,ST. CHARLES ,,,,263151,,,.0444,,,116,42456,13025,2337,34171,,752.54,,2961,446,8278,,,,,,, 260207,01-JAN-16,01-AUG-16,As Submitted,OZARKS COMMUNITY HOSPITAL - SPRINGFI ,2828 N. NATIONAL AVENUE ,,SPRINGFIELD ,MO ,65803- ,GREENE ,,,,7817,,,.0829,,,11,2315,286,106,620,,269.17,,72,53,192,,,,,,, 260209,01-JAN-16,31-DEC-16,As Submitted,FULTON MEDICAL CENTER ,10 SOUTH HOSPITAL DRIVE ,,FULTON ,MO ,65251- ,CALLAWAY ,13652,,,,,,,71334,38041,18,6588,172,5,253,1.32,78.57,,66,5,99,,,,25,,281, 260210,01-JAN-16,31-DEC-16,As Submitted,ST. ALEXIUS HOSPITAL ,3933 SOUTH BROADWAY ,,ST. LOUIS ,MO ,63118-4601 ,ST. LOUIS ,11593,,,784986,,,.4136,59704,12316,133,48678,12719,11958,28371,.51,535.44,,1111,1064,3162,118,1,,79,,537, 260214,01-JAN-16,31-DEC-16,As Submitted,BELTON REGIONAL MEDICAL CENTER ,17065 S. 71 HIGHWAY ,,BELTON ,MO ,64012- ,CASS ,,,,,,,,,,71,25986,3869,362,9475,.05,239.96,,1176,127,3044,60,,,,,, 260216,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES EAST - LEES SUMMIT ,100 N.E. ST. LUKES BOULEVARD ,,LEES SUMMIT ,MO ,64086 ,JACKSON ,,,,,,,,,,184,67344,18951,2232,51107,,977.11,,4394,452,12376,589,,,,,, 260219,01-JAN-16,31-DEC-16,As Submitted,PROGRESS WEST HOSPITAL ,2 PROGRESS POINT PARKWAY ,,OFALLON ,MO ,63368 ,ST CHARLES ,,,,45922,,,.0332,,,72,26352,2934,341,12112,,320.28,,721,79,3164,292,,,,,, 260227,01-JAN-16,31-DEC-16,As Submitted,BLACK RIVER MEDICAL CENTER ,217 PHYSICIANS PARK DRIVE ,,POPLAR BLUFF ,MO ,63901 ,BUTLER ,,,,,,,,,,7,2562,931,114,1437,,105.59,,259,34,417,,,,,,, 261301,01-JUN-16,31-MAY-17,As Submitted,ELLETT MEMORIAL HOSPITAL ,610 NORTH OHIO AVENUE ,,APPLETON ,MO ,64724- ,ST. CLAIR ,,,,,,,,,,25,9125,492,18,596,,61,,85,9,140,,,,,,, 261302,01-OCT-15,30-SEP-16,As Submitted,MADISON MEDICAL CENTER ,611 WEST MAIN ,431 ,FREDERICKTOWN ,MO ,63645- ,MADISON ,,,,,,,,,,25,9150,1609,42,2133,,152.99,,115,41,196,5,,,,,, 261303,01-JUL-16,30-JUN-17,As Submitted,COMMUNITY HOSPITAL ASSOCIATION INC. ,26136 US HIGHWAY 59 ,107 ,FAIRFAX ,MO ,64446-0107 ,ATCHISON ,,,,,,,,,,16,5840,1479,68,1828,,108.61,,263,24,385,5,,,,,, 261305,01-JUL-16,30-JUN-17,As Submitted,PUTNAM COUNTY MEMORIAL HOSPITAL ,1926 OAK STREET ,,UNIONVILLE ,MO ,63565 ,PUTNAM ,,,,,,,,,,15,5475,925,27,1174,,80.72,,94,9,141,,,,,,, 261306,01-NOV-15,31-OCT-16,Settled,SULLIVAN COUNTY MEMORIAL HOSPITAL ,630 WEST THIRD STREET ,,MILAN ,MO ,63556- ,SULLIVAN ,,,,,,,,,,7,2562,1474,67,2995,,44.05,,108,23,150,,,,,,, 261307,01-JUL-16,30-JUN-17,As Submitted,PERSHING MEMORIAL HOSPITAL ,130 EAST LOCKLING ,,BROOKFIELD ,MO ,64623- ,LINN ,,,,,,,,,,25,9125,1743,35,2008,,111.46,,168,12,231,1,,,,,, 261309,01-JAN-16,31-DEC-16,As Submitted,WRIGHT MEMORIAL HOSPITAL ,191 IOWA BLVD ,,TRENTON ,MO ,64683 ,GRUNDY ,,,,,,,,,,21,7686,1935,516,3147,,145.82,,261,142,572,,,,,,, 261310,01-JUL-16,30-JUN-17,As Submitted,SCOTLAND COUNTY MEMORIAL HOSPITAL ,450 E. SIGLER AVENUE ,,MEMPHIS ,MO ,63555 ,SCOTLAND ,,,,,,,,,,25,9125,2850,246,3714,,142.06,,264,69,500,,,,,,, 261311,01-APR-16,31-MAR-17,As Submitted,PERRY COUNTY MEMORIAL HOSPITAL ,434 NORTH WEST STREET ,,PERRYVILLE ,MO ,63775 ,PERRY ,,,,,,,,,,25,9125,4100,136,6149,,278.1,,672,79,1260,,,,,,, 261312,01-APR-16,31-MAR-17,As Submitted,HARRISON COUNTY COMMUNITY HOSPITAL ,2600 MILLER STREET ,428 ,BETHANY ,MO ,64424-0428 ,HARRISON ,,,,,,,,,,15,5475,1766,81,2144,,167.78,,200,26,283,,,,,,, 261313,01-JAN-16,31-DEC-16,As Submitted,SAMARITAN MEMORIAL HOSPITAL ,1205 N. MISSOURI STREET ,,MACON ,MO ,63552 ,MACON ,,,,,,,,,,25,9150,4299,153,5391,,155.79,,428,33,605,10,,,,,, 261314,01-JAN-16,31-DEC-16,As Submitted,HERMANN AREA DISTRICT HOSPITAL ,509 WEST 18TH STREET ,470 ,HERMANN ,MO ,65041- ,GASCONADE ,,,,,,,,,,24,8784,2752,38,4371,,122.17,,186,14,294,5,,,,,, 261315,01-JAN-16,31-DEC-16,As Submitted,PARKLAND HLTH CTR - BONNE TERRE ,7245 RAIDER ROAD ,,BONNE TERRE ,MO ,63628 ,ST FRANCOIS ,,,,,,,,,,3,1098,6,21,45,,48.69,,3,10,22,7,,,,,, 261316,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL AURORA ,500 PORTER STREET ,,AURORA ,MO ,65605- ,LAWRENCE ,,,,,,,,,,25,9125,686,867,2380,,133,,133,195,564,18,,,,,, 261317,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL CASSVILLE ,94 MAIN ,,CASSVILLE ,MO ,65625- ,BARRY ,,,,,,,,,,25,9125,555,91,1032,,110,,102,30,232,3,,,,,, 261318,01-JUL-16,30-JUN-17,As Submitted,SALEM MEMORIAL DISTRICT HOSPITAL ,35629 HIGHWAY 72 ,,SALEM ,MO ,65560 ,DENT ,,,,,,,,,,25,9125,2483,145,3152,,141.7,,416,46,558,,,,,,, 261319,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL LINCOLN ,1000 EAST CHERRY STREET ,,TROY ,MO ,63379- ,LINCOLN ,,,,,,,,,,25,9125,1742,122,3192,,192.02,,250,41,614,,,,,,, 261320,01-OCT-15,30-SEP-16,As Submitted,LAFAYETTE REGIONAL HEALTH CENTER ,15TH AND STATE STREETS ,,LEXINGTON ,MO ,64067 ,LAFAYETTE ,,,,,,,,,,25,9150,1787,339,3248,,145.21,,464,105,995,8,,,,,, 261321,01-JAN-16,31-DEC-16,As Submitted,HEDRICK MEDICAL CENTER ,2799 N. WASHINGTON ST. ,,CHILLICOTHE ,MO ,64601 ,LIVINGSTON ,,,,,,,,,,25,9150,3789,478,5551,,239.45,,510,153,983,,,,,,, 261322,01-OCT-15,30-SEP-16,As Submitted,EXCELSIOR SPRINGS HOSPITAL ,1700 RAINBOW BLVD ,,EXCELSIOR SPRINGS ,MO ,64024- ,CLAY ,,,,,,,,,,25,9150,1275,31,1876,,178.42,,111,14,184,1,,,,,, 261323,01-FEB-16,31-JAN-17,As Submitted,CEDAR COUNTY MEMORIAL HOSPITAL ,1401 S. PARK ,,EL DORADO SPRINGS ,MO ,64744 ,CEDAR ,,,,,,,,,,25,9150,1372,30,2019,,99.18,,140,18,259,4,,,,,, 261324,01-JAN-16,31-DEC-16,As Submitted,CASS REGIONAL MEDICAL CENTER ,2800 E ROCK HAVEN ROAD ,,HARRISONVILLE ,MO ,64701 ,CASS ,,,,,,,,,,25,9150,1381,116,2946,,331.28,,423,48,868,20,,,4,,170, 261325,01-JAN-16,31-DEC-16,As Submitted,BARTON COUNTY MEMORIAL HOSPITAL ,29 NORTHWEST FIRST LANE ,,LAMAR ,MO ,64759 ,BARTON ,,,,,,,,,,25,9150,1801,212,2825,,126.24,,301,103,564,4,,,,,, 261327,01-NOV-15,31-OCT-16,As Submitted,RAY COUNTY MEMORIAL HOSPITAL ,904 WOLLARD BOULEVARD ,,RICHMOND ,MO ,64085-0389 ,RAY ,,,,,,,,,,25,9150,2156,79,3205,,193.58,,340,30,594,6,,,,,, 261328,01-APR-16,30-JUN-16,As Submitted,NORTHWEST MEDICAL CENTER ,COLLEGE AND CLARK STREETS ,,ALBANY ,MO ,64402 ,GENTRY ,,,,,,,,,,25,2275,407,11,462,,117.15,,47,6,73,,,,,,, 261328,01-JUL-16,30-JUN-17,As Submitted,NORTHWEST MEDICAL CENTER ,COLLEGE AND CLARK STREETS ,,ALBANY ,MO ,64402 ,GENTRY ,,,,,,,,,,25,9125,1766,68,2132,,123.26,,244,29,350,,,,,,, 261329,01-OCT-15,30-SEP-16,Amended,COX-MONETT HOSPITAL ,801 LINCOLN AVENUE ,,MONETT ,MO ,65708- ,BARRY ,,,,,,,,,,18,6588,889,861,2852,,204.03,,180,293,774,3,,,,,, 261330,01-MAY-16,30-APR-17,As Submitted,STE. GENEVIEVE CO. MEMORIAL HOSP ,HIGHWAY 61 & 32 ,468 ,STE. GENEVIEVE ,MO ,63670- ,STE. GENEVIEVE ,,,,,,,,,,25,9125,2386,225,3847,,249.94,,329,35,684,75,,,,,, 261331,01-APR-16,31-MAR-17,As Submitted,FREEMAN NEOSHO HOSPITAL ,1102 WEST 32ND STREET ,,JOPLIN ,MO ,64804 ,NEWTON ,,,,,,,,,,25,9125,1891,209,3436,,183.1,,316,68,696,,,,,,, 261332,01-JUL-16,30-JUN-17,As Submitted,CARROLL COUNTY HOSPITAL ,1502 NORTH JEFFERSON ,,CARROLLTON ,MO ,64633- ,CARROLL ,,,,,,,,,,25,9146,1503,34,2043,,123.23,,157,18,263,,,,,,, 261333,01-JUL-16,30-JUN-17,As Submitted,PIKE COUNTY MEMORIAL HOSPITAL ,2305 WEST GEORGIA STREET ,,LOUISIANA ,MO ,63353-2559 ,PIKE ,,,,,,,,,,25,9125,1537,53,1943,,114.8,,229,20,311,4,,,,,, 261334,01-OCT-15,30-SEP-16,As Submitted,CAH #6 - I70 ,105 HOSPITAL DRIVE ,,SWEET SPRINGS ,MO ,65351 ,SALINE ,,,,,,,,,,15,5490,616,13,918,,49.32,,30,4,71,14,,,,,, 261335,01-JUL-16,30-JUN-17,Amended,MERCY ST FRANCIS HOSPITAL ,US HIGHWAY 60 ,P. O. BOX ,MOUNTAIN VIEW ,MO ,65548-0082 ,HOWELL ,,,,,,,,,,25,9125,755,36,1022,,91,,102,14,152,,,,,,, 261336,01-JUL-16,30-JUN-17,As Submitted,IRON COUNTY HOSPITAL ,301 NORTH HWY 21 ,548 ,PILOT KNOB ,MO ,63663- ,IRON COUNTY ,,,,,,,,,,15,5475,1092,40,1411,,95.12,,129,14,161,,,,,,, 261337,01-JAN-16,31-DEC-16,As Submitted,MISSOURI BAPTIST HOSPITAL SULLIVAN ,751 SAPPINGTON BRIDGE ROAD ,,SULLIVAN ,MO ,63080 ,CRAWFORD ,,,,,,,,,,25,9150,1962,1267,5886,,280.54,,527,357,1579,250,6,,72,,367, 261338,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL CARTHAGE ,3125 DR RUSSELL SMITH WAY ,,CARTHAGE ,MO ,64836 ,JASPER ,,,,,,,,,,25,9125,2938,121,4223,,206,,263,44,570,2,,,,,, 261339,01-JAN-16,10-MAR-16,Settled,SOUTHEAST HEALTH CENTER OF REYNOLDS ,100 HIGHWAY 21 N ,,ELLINGTON ,MO ,63638 ,REYNOLDS ,,,,,,,,,,8,568,32,3,50,,42.55,,12,1,18,,,,,,, 262013,01-NOV-15,31-OCT-16,As Submitted,SSH - ST LOUIS INC. ,300 FIRST CAPITOL DRIVE 1ST FLOOR ,,ST. CHARLES ,MO ,63301 ,SAINT CHARLES ,,,,,,,,,,33,12078,5872,746,9595,,85.73,,226,19,333,4,,,,,, 262014,01-MAR-16,31-OCT-16,As Submitted,SSH - WESTERN MISSOURI ,2316 EAST MEYER BOULEVARD 3-WEST ,,KANSAS CITY ,MO ,64132 ,JACKSON ,,,,,,,,,,34,8330,1451,1741,5821,,56.81,,61,74,232,12,,,,,, 262015,01-JAN-16,31-DEC-16,As Submitted,LANDMARK HOSPITAL OF CAPE GIRARDEAU ,355 INDEPENDENCE STREET ,,CAPE GIRARDEAU ,MO ,63701 ,CAPE GIRARDEAU ,,,,,,,,,,30,10980,5044,794,7887,,83.92,,217,51,327,,,,,,, 262016,01-JAN-16,31-DEC-16,As Submitted,LANDMARK HOSPITAL OF JOPLIN LLC ,2040 WEST 32ND STREET ,,JOPLIN ,MO ,64804 ,JASPER ,,,,,,,,,,30,10980,5564,1196,8354,,84.78,,236,45,347,,,,,,, 262017,01-NOV-15,31-OCT-16,Settled,SSH - SPRINGFIELD INC. ,1630 EAST PRIMROSE STREET ,,SPRINGFIELD ,MO ,65804 ,GREENE ,,,,,,,,,,44,16104,5108,1764,10994,,121.18,,200,63,417,1,,,,,, 262019,01-JUL-16,30-JUN-17,As Submitted,HEARTLAND LONG TERM ACUTE CARE HOSPI ,5325 FARAON ,,ST JOSEPH ,MO ,64506-3398 ,BUCHANAN ,,,,,,,,,,41,14965,4505,1933,7563,,56.99,,143,63,239,,,,,,, 262020,01-JAN-16,31-DEC-16,As Submitted,LANDMARK HOSPITAL OF COLUMBIA LLC ,604 OLD HIGHWAY 63 NORTH ,,COLUMBIA ,MO ,65201 ,BOONE ,,,,,,,,,,42,15372,4290,2094,8920,,75.14,,176,71,308,,,,,,, 263027,01-JAN-16,31-DEC-16,As Submitted,RUSK REHABILITATION CENTER A JOINT ,315 BUSINESS LOOP 70 WEST ,,COLUMBIA ,MO ,65203 ,BOONE ,,,,,,,,,,60,21960,6644,3675,15703,4.05,154.17,,492,238,1102,51,,,,,, 263028,01-JUN-16,31-MAY-17,As Submitted,THE REHABILITATION INSTITUTE OF ST L ,4455 DUNCAN AVENUE ,,ST LOUIS ,MO ,63110 ,ST LOUIS ,,,,,,,,,,96,35040,10047,4454,28284,4.93,293.29,,745,373,1943,137,,,,,, 263029,01-JAN-16,31-DEC-16,As Submitted,MERCY REHABILITATION HOSPITAL - ST L ,14561 NORTH OUTER FORTY ,,CHESTERFIELD ,MO ,63017- ,ST LOUIS ,,,,,,,,,,90,32940,10551,1809,23134,,225.94,,800,129,1724,,,,,,, 263030,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES REHAB HOSPITAL ,14709 OLIVE BLVD. ,,CHESTERFIELD ,MO ,63017 ,ST. LOUIS ,,,,,,,,,,35,12810,5718,624,8302,,80.4,,475,96,662,2,,,,,, 263031,01-JUL-16,30-JUN-17,As Submitted,SSM SELECT REHAB ST LOUIS LLC ,1027 BELLEVUE AVENUE ,,RICHMOND HEIGHTS ,MO ,63117 ,ST LOUIS ,,,,,,,,,,95,34675,13139,4020,28742,,479.09,,1046,240,2070,22,,,,,, 263032,01-JAN-16,31-DEC-16,As Submitted,MERCY REHABILITATION HOSPITAL-SPGF ,5904 SOUTHWOOD ROAD ,,SPRINGFIELD ,MO ,65804 ,GREENE ,,,,,,,,,,60,21960,6320,2290,14892,,145.52,,551,141,1247,,,,,,, 263301,01-JAN-16,31-DEC-16,As Submitted,ST. LOUIS CHILDRENS HOSPITAL ,ONE CHILDRENS PLACE ,,ST. LOUIS ,MO ,63110 ,ST. LOUIS ,,,,,,,,,3594,280,102480,245,13036,78011,182.13,3004.9,,34,1296,10541,2465,,,,,, 263302,01-JUL-16,30-JUN-17,As Submitted,CHILDRENS MERCY HOSPITAL ,2401 GILLHAM ROAD ,,KANSAS CITY ,MO ,64108 ,JACKSON ,,,,,,,,,14587,301,109865,599,11095,83882,179.87,5986.66,,83,1191,12207,5087,,,,,, 263303,01-JUL-16,30-JUN-17,As Submitted,RANKEN JORDAN ,11365 DORSETT ROAD ,,MARYLAND HEIGHTS ,MO ,63043- ,SAINT LOUIS ,,,,,,,,,,34,12410,,3597,10758,,241.18,,,75,239,64,,,,,, 263304,01-JAN-16,31-DEC-16,Settled,SHRINERS HOSPITAL FOR CHILDREN ,4400 CLAYTON AVE. ,,ST. LOUIS ,MO ,63110 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 264004,01-JUL-16,30-JUN-17,As Submitted,FULTON STATE HOSPITAL ,FULTON STATE HOSPITAL ,600 ,FULTON ,MO ,65251 ,CALLAWAY ,,,,,,,,,275,401,137729,1002,2621,149376,1.73,1313.58,,12,2,112,,,,,,, 264005,01-JUL-16,30-JUN-17,As Submitted,SMMHC ,1010 W. COLUMBIA ,,FARMINGTON ,MO ,63640 ,ST. FRANCOIS ,,,,,,,,,,323,117895,740,2107,113528,,929.7,,12,1,37,,,,,,, 264007,01-JUL-16,30-JUN-17,As Submitted,N.W. MO PSYCHIATRIC REHAB CTR ,3505 FREDERICK AVENUE ,,ST.JOSEPH ,MO ,64506 ,BUCHANAN ,,,,,,,,,,108,39420,366,2274,38665,,305.09,,5,2,60,,,,,,, 264008,01-JUL-16,30-JUN-17,As Submitted,CENTER FOR BEHAVIORAL MEDICINE ,1000 EAST 24TH STREET ,,KANSAS CITY ,MO ,64108 ,JACKSON ,,,,,,,,,,65,23725,1048,660,23132,9.83,358.13,,14,3,65,,,,,,, 264010,01-JUL-16,30-JUN-17,As Submitted,ST. LOUIS PSYCHIATRIC REHAB CTR. ,500 ARSENAL STREET ,,ST.LOUIS ,MO ,63119 ,ST.LOUIS CITY ,,,,,,,,,,180,65700,,2296,64647,,512.71,,,3,38,,,,,,, 264012,01-JAN-16,31-DEC-16,As Submitted,CENTERPOINTE HOSPITAL ,4801 WELDON SPRINGS PARKWAY ,,ST. CHARLES ,MO ,63304 ,ST. CHARLES ,,,,,,,,,,104,38064,7611,3164,38010,,328.12,,616,302,4670,113,,,,,, 264017,01-JAN-16,31-DEC-16,As Submitted,TWO RIVERS HOSPITAL ,5121 RAYTOWN ROAD ,,KANSAS CITY ,MO ,64133 ,JACKSON ,,,,,,,,,,105,38325,3045,1250,14010,,148.45,,435,194,3271,,,,,,, 264018,01-JAN-16,14-NOV-16,Settled,CRITTENTON CHILDRENS CENTER ,10918 ELM AVENUE ,,KANSAS CITY ,MO ,64134 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 264020,01-JUL-16,30-JUN-17,As Submitted,ROYAL OAKS HOSPITAL ,307 NORTH MAIN ,,WINDSOR ,MO ,65360 ,HENRY ,,,,,,,,,,41,14965,218,3224,9468,,152,,33,391,1248,373,,,,,, 264024,01-JAN-16,31-DEC-16,As Submitted,LAKELAND REGIONAL HOSPITAL ,400 SOUTH MARKET STREET ,,SPRINGFIELD ,MO ,65806 ,GREENE ,,,,,,,,,,200,73200,1978,54711,67307,,339.34,,157,1701,2371,162,,,,,, 264025,01-JUL-16,30-JUN-17,As Submitted,METROPOLITAN ST.LOUIS PSYCH CENTER ,5351 DELMAR BLVD. ,,ST.LOUIS ,MO ,63112 ,ST.LOUIS ,,,,,,,,,,50,18250,1677,638,18084,,189.9,,19,3,89,,,,,,, 264028,01-JUL-16,30-JUN-17,Settled,HAWTHORN CHILDRENS PSYCH. CTR. ,1901 PENNSYLVANIA AVE ,,ST LOUIS ,MO ,63133-1325 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 264030,01-JAN-16,31-DEC-16,As Submitted,SIGNATURE PSYCH HOSPITAL ,2900 CLAY EDWARDS DR ,,NORTH KANSAS CITY ,MO ,64116 ,CLAY ,,,,,,,,,,24,8784,1807,15,7712,,54.45,,186,1,1280,32,,,,,, 264031,01-JAN-16,31-DEC-16,As Submitted,OSAGE BEACH CENTER FOR COGNITIVE DIS ,840 PASSOVER ROAD ,,OSAGE BEACH ,MO ,65065 ,CAMDEN ,,,,,,,,,,14,5124,1239,1323,3819,,28.29,,86,134,381,6,,,,,, 270003,01-JUN-16,31-MAY-17,As Submitted,ST. PETERS HOSPITAL ,2475 BROADWAY ,,HELENA ,MT ,59601- ,LEWIS AND CLARK ,,,,273377,,,.0685,,,101,36865,9603,3850,22463,,1074.49,,1987,889,5108,,,,174,,467, 270004,01-JUL-16,30-JUN-17,As Submitted,BILLINGS CLINIC ,2800 TENTH AVENUE NORTH ,37000 ,BILLINGS ,MT ,59107-7000 ,YELLOWSTONE ,3172403,,,2892904,,,.182,602035,553506,283,103507,27549,20461,73641,24.46,3146.74,,5704,4534,15842,,,,,,, 270012,01-JAN-16,31-DEC-16,As Submitted,BENEFIS HOSPITALS INC. ,1101 26TH STREET SOUTH ,,GREAT FALLS ,MT ,59405- ,CASCADE ,,,,1019998,,,.12,,,292,106872,16951,12627,45813,,2194.79,,3523,2230,9726,,,,251,66,461,383 270014,01-JAN-16,31-DEC-16,As Submitted,ST PATRICK HOSPITAL ,500 W. BROADWAY ST ,4587 ,MISSOULA ,MT ,59802 ,MISSOULA ,3115578,,,834696,,,.0715,630195,347598,158,57828,19339,6269,38883,20.01,1088.37,,4188,1193,8934,114,27,,450,18,944,161 270017,01-JAN-16,31-DEC-16,As Submitted,SAINT JAMES HEALTHCARE ,400 SOUTH CLARK ,,BUTTE ,MT ,59701 ,SILVER BOW ,,,,415626,,,.12,,,67,24522,6463,2886,13051,,460.28,,1449,693,3200,,,,,,, 270023,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY MEDICAL CENTER ,2827 FORT MISSOULA ROAD ,,MISSOULA ,MT ,59801 ,MISSOULA ,252612,,,895439,,,.2787,73046,66019,143,52338,5230,10067,23676,5.13,856.68,,1366,1636,4747,,,,,15,,92 270032,01-JUL-16,30-JUN-17,As Submitted,NORTHERN MONTANA HOSPITAL ,30 13TH STREET ,1231 ,HAVRE ,MT ,59501- ,HILL ,,,,91086,,,.12,,,49,17885,1529,1539,4375,,358.46,,449,510,1288,,,,,,, 270049,01-JAN-16,31-DEC-16,As Submitted,ST VINCENT HEALTHCARE ,1233 N. 30TH STREET ,,BILLINGS ,MT ,59101 ,YELLOWSTONE ,937365,,,1636617,,,.1384,229390,91345,238,87108,18021,11166,48747,9.92,1212.23,,4291,2135,11225,7,,,,62,,306 270051,01-APR-16,31-MAR-17,As Submitted,KALISPELL REGIONAL MEDICAL CENTER ,310 SUNNYVIEW LANE ,,KALISPELL ,MT ,59901 ,FLATHEAD ,303998,,,1521117,,,.2164,55408,57327,178,64970,11604,11512,37058,3.2,2642,,2838,1992,8364,,,,,,, 270057,01-JAN-16,31-DEC-16,Amended,BOZEMAN DEACONESS HEALTH SERVICES ,915 HIGHLAND BLVD ,,BOZEMAN ,MT ,59715- ,GALLATIN ,,,,168114,,,.0391,,,83,30074,7181,3232,21369,,1131.67,,1810,730,5435,,,,,,, 270074,01-OCT-15,30-SEP-16,Amended,BLACKFEET COMMUNITY HOSPITAL ,760 GOVERNMENT SQUARE ,,BROWNING ,MT ,59417 ,GLACIER ,,,,18797,,,.12,,,26,9516,415,909,1831,,324,,89,323,526,,,,,,, 270086,01-JAN-16,31-DEC-16,As Submitted,GREAT FALLS CLINIC MEDICAL CENTER ,1411 9TH STREET SOUTH ,,GREAT FALLS ,MT ,59405- ,CASCADE ,,,,,,,,,,20,7320,2181,310,3485,,238.57,,608,87,876,,,,,,, 270087,01-APR-16,31-MAR-17,As Submitted,HEALTHCENTER NORTHWEST ,320 SUNNYVIEW LANE ,,KALISPELL ,MT ,59901 ,FLATHEAD ,,,,18019,,,.0419,,,17,6205,425,79,1090,,290,,174,33,431,,,,,17,,143 270089,12-JUL-16,31-DEC-16,As Submitted,BIG SKY MEDICAL CENTER ,344 TOWN CENTER AVE ,161529 ,BIG SKY ,MT ,59716 ,,,,,,,,,,,4,692,17,,48,,38.86,,8,,26,,,,,,, 271300,01-JUL-16,30-JUN-17,As Submitted,NORTHEAST MONTANA HEALTHCARE-POPLAR ,COURT AVE ,,POPLAR ,MT ,59255 ,ROOSEVELT ,,,,,,,,,,20,7300,314,658,1420,,40.67,,36,58,115,,,,,,, 271301,01-JUL-16,30-JUN-17,As Submitted,FALLON MEDICAL COMPLEX ,202 SOUTH 4TH STREET WEST ,820 ,BAKER ,MT ,59313-0820 ,FALLON ,,,,,,,,,,25,9125,422,2917,6455,,72.11,,66,,85,,,,,,, 271302,01-JUL-16,30-JUN-17,As Submitted,DAHL MEMORIAL HEALTHCARE ASSOC. ,215 SANDY STREET ,46 ,EKALAKA ,MT ,59324 ,CARTER ,,,,,,,,,,25,9125,210,,6820,,33,,23,,27,,,,,,, 271303,01-JUL-16,30-JUN-17,As Submitted,GRANITE COUNTY MEDICAL CENTER ,310 SANSOME STREET ,729 ,PHILIPSBURG ,MT ,59858- ,GRANITE ,,,,,,,,,,25,9125,143,5113,7532,,30.24,,7,1,12,,,,,,, 271304,01-JUL-16,30-JUN-17,As Submitted,MISSOURI RIVER MEDICAL CENTER ,1501 ST CHARLES STREET ,BOX 249 ,FORT BENTON ,MT ,59442- ,,,,,,,,,,,25,9125,323,3,5519,,54.27,,6,2,36,,,,,,, 271305,01-JUL-16,30-JUN-17,As Submitted,MCCONE COUNTY HEALTH CENTER ,205 SULLIVAN AVENUE ,48 ,CIRCLE ,MT ,59215 ,MCCONE ,,,,,,,,,,30,10795,300,2705,7415,,40.35,,44,2,46,,,,,,, 271306,01-JUL-16,30-JUN-17,As Submitted,MOUNTAINVIEW MEDICAL CENTER ,16 WEST MAIN ,,WHITE SULPHER SPRINGS ,MT ,59645 ,MEAGHER ,,,,,,,,,,25,9125,974,21,6900,,51.79,,58,8,77,,,,,,, 271307,01-JAN-16,31-DEC-16,As Submitted,BENEFIS TETON MEDICAL CENTER ,915 FOURTH STREET NW ,,CHOTEAU ,MT ,59422 ,TETON ,,,,,,,,,,10,3660,268,12,507,,46.31,,42,5,102,,,,,,, 271308,01-MAY-16,30-APR-17,As Submitted,ROOSEVELT MEDICAL CENTER ,818 2ND AVENUE EAST ,419 ,CULBERTSON ,MT ,59218 ,ROOSEVELT ,,,,,,,,,,33,11309,690,4527,8167,,47.96,,22,2,25,,,,,,, 271309,01-JUL-16,30-JUN-17,As Submitted,PRAIRIE COMMUNITY HOSPITAL ,312 S. ADAMS AVE ,156 ,TERRY ,MT ,59349-0156 ,PRAIRIE ,,,,,,,,,,22,8030,410,,6873,,29.63,,11,,12,,,,,,, 271310,01-JUL-16,30-JUN-17,As Submitted,GARFIELD CO. HEALTH CENTER ,332 LEAVITT AVENUE ,389 ,JORDAN ,MT ,59337 ,GARFIELD ,,,,,,,,,,4,1460,3,,3,,13.33,,1,,1,,,,,,, 271311,01-JUL-16,30-JUN-17,As Submitted,BIG SANDY MEDICAL CENTER ,166 MONTANA AVENUE ,,BIG SANDY ,MT ,59520 ,CHOUTEAU ,,,,,,,,,,8,2920,402,,535,,28.98,,12,,16,,,,,,, 271312,01-MAY-16,30-APR-17,As Submitted,PHILLIPS COUNTY HOSPITAL ,311 SOUTH 8TH AVE EAST ,,MALTA ,MT ,59538 ,PHILLIPS ,,,,,,,,,,6,2196,683,34,877,,45.97,,130,14,246,,,,,,, 271313,01-JUL-16,30-JUN-17,As Submitted,PIONEER MEDICAL CENTER ,301 WEST 7TH ,,BIG TIMBER ,MT ,59011 ,SWEETGRASS ,,,,,,,,,,25,9125,683,6,7990,,63.9,,58,3,71,,,,,,, 271314,01-JUL-16,30-JUN-17,As Submitted,DEER LODGE MEDICAL CENTER ,1100 HOLLENBACK LANE ,,DEER LODGE ,MT ,59722 ,POWELL ,,,,,,,,,,16,5856,956,136,1463,,67.79,,109,60,227,,,,,,, 271315,01-OCT-15,30-SEP-16,As Submitted,FORT BELKNAP HEALTH CENTER ,RR1 ,,HARLEM ,MT ,59523 ,BLAINE ,,,,,,,,,,6,2196,7,,18,,163,,3,,11,,,,,,, 271316,01-JUL-16,30-JUN-17,As Submitted,FRANCES MAHON DEACONESS HOSPITAL ,621 THIRD ST SOUTH ,,GLASGOW ,MT ,59230 ,VALLEY ,,,,,,,,,,25,9125,885,394,2231,,191.2,,181,116,488,,,,,,, 271317,01-JUL-16,30-JUN-17,As Submitted,LIVINGSTON HEALTHCARE ,504 SOUTH 13TH STREET ,,LIVINGSTON ,MT ,59047 ,PARK ,,,,,,,,,,25,9125,2181,585,4344,,205.36,,456,227,1007,,,,,,, 271318,01-JUL-16,30-JUN-17,As Submitted,BARRETT HOSPITAL AND HEALTHCARE ,600 MT HWY 91 S ,,DILLON ,MT ,59725 ,BEAVERHEAD ,,,,,,,,,,18,6570,1263,160,2282,,211.23,,261,67,524,3,,,,,, 271319,01-NOV-15,31-OCT-16,As Submitted,RUBY VALLEY HOSPITAL ,2220 EAST CROFOOT ,336 ,SHERIDAN ,MT ,59749- ,MADISON ,,,,,,,,,,10,3660,665,35,859,,36.95,,91,7,161,,,,,,, 271320,01-APR-16,31-MAR-17,As Submitted,CABINET PEAKS MEDICAL CENTER ,209 HEALTH PARK DRIVE ,,LIBBY ,MT ,59923-2198 ,LINCOLN ,,,,,,,,,,25,9125,1120,454,2882,,207.49,,261,237,956,,,,,,, 271321,01-JAN-16,31-DEC-16,As Submitted,WHEATLAND MEMORIAL HEALTHCARE ,530 3RD STREET NW ,287 ,HARLOWTON ,MT ,59036-0287 ,WHEATLAND ,,,,,,,,,,25,9150,577,,7983,,52.17,,27,,35,,,,,,, 271323,01-JAN-16,31-DEC-16,As Submitted,CLARK FORK VALLEY HOSPITAL ,10 KRUGER ROAD ,,PLAINS ,MT ,59859 ,SANDERS ,,,,,,,,,,16,5856,1256,331,1998,,133.43,,199,118,426,,,,,,, 271324,01-JAN-16,31-DEC-16,As Submitted,PONDERA MEDICAL CENTER ,805 SUNSET BLVD ,,CONRAD ,MT ,59425 ,PONDERA ,,,,,,,,,,20,7320,734,5,897,,102.15,,65,3,71,,,,,,, 271325,01-JAN-16,31-DEC-16,As Submitted,ST LUKE COMMUNITY HOSPITAL ,107 6TH AVENUE SOUTHWEST ,,RONAN ,MT ,59864 ,LAKE ,,,,,,,,,,25,9150,2983,1002,4945,,272.91,,360,286,803,,,,,,, 271326,01-JUL-16,30-JUN-17,As Submitted,BEARTOOTH BILLINGS CLINIC ,2525 NORTH BROADWAY ,,RED LODGE ,MT ,59806 ,CARBON ,,,,,,,,,,10,3650,1054,15,1850,,105.42,,109,9,167,,,,,,, 271327,01-JUL-16,30-JUN-17,As Submitted,ROSEBUD COMMUNITY HOSPITAL ,383 N 17TH AVE ,268 ,FORSYTH ,MT ,59327- ,ROSEBUD ,,,,,,,,,,24,9150,1109,15,3881,,51.85,,87,7,124,,,,,,, 271328,01-JUL-16,30-JUN-17,As Submitted,MARIAS MEDICAL CENTER ,640 PARK DRIVE ,,SHELBY ,MT ,59474- ,TOOLE ,,,,,,,,,,25,9150,540,183,996,,68.51,,78,57,209,,,,,,, 271329,01-OCT-15,30-SEP-16,As Submitted,MADISON VALLEY MEDICAL CENTER ,217 NORTH MAIN ,,ENNIS ,MT ,59019 ,MADISON ,,,,,,,,,,10,3660,1042,31,1329,,38,,100,9,170,,,,,,, 271330,01-JUL-16,30-JUN-17,As Submitted,STILLWATER COMMUNITY HOSPITAL ,710 N. 11TH STREET ,,COLUMBUS ,MT ,59019 ,STILLWATER ,,,,,,,,,,10,3650,562,13,668,,49.52,,65,5,93,,,,,,, 271331,01-JUL-16,30-JUN-17,As Submitted,MINERAL COMMUNITY HOSPITAL ,1208 6TH AVE EAST ,,SUPERIOR ,MT ,59872 ,MINERAL ,,,,,,,,,,25,9125,357,36,5988,,80.26,,40,16,81,,,,,,, 271333,01-JUL-16,30-JUN-17,As Submitted,BROADWATER HEALTH CENTER ,110 NORTH OAK ,,TOWNSEND ,MT ,59644 ,BROADWATER ,,,,,,,,,,9,3285,508,4,677,,51.53,,26,2,41,,,,,,, 271334,01-JUL-16,30-JUN-17,As Submitted,LIBERTY COUNTY HOSPITAL ,315 W MADISON AVE ,705 ,CHESTER ,MT ,59522-0705 ,LIBERTY ,,,,,,,,,,25,9125,453,3740,7251,,66.79,,44,2,62,,,,,,, 271335,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HOSPITAL OF ANACONDA ,401 WEST PENNSYLVANIA ,,ANACONDA ,MT ,59711-1999 ,DEER LODGE ,,,,,,,,,,25,9150,2921,854,5752,,293.46,,500,244,1253,29,,,,,, 271336,01-JUL-16,31-MAR-17,As Submitted,NORTH VALLEY HOSPITAL ,1600 HOSPITAL WAY ,,WHITEFISH ,MT ,59937- ,FLATHEAD ,,,,,,,,,,25,9900,1206,1692,4674,,284.4,,314,302,1135,15,,,,,, 271337,01-OCT-15,30-SEP-16,As Submitted,NORTHERN ROCKIES MEDICAL CENTER ,802 SECOND STREET SE ,,CUTBANK ,MT ,59427 ,GLACIER ,,,,,,,,,,20,7320,461,112,816,,61.66,,106,55,217,,,,,,, 271338,01-JUL-16,30-JUN-17,As Submitted,BIG HORN COUNTY MEMORIAL HOSPITAL ,17 NORTH MILES AVENUE ,4308 ,HARDIN ,MT ,59034- ,BIG HORN ,,,,,,,,,,25,9125,1115,1465,3272,,95.89,,80,54,179,,,,,,, 271339,01-OCT-15,30-SEP-16,Settled,CROW/NORTHERN CHEYENNE INDIAN HOSPIT ,1010 SOUTH 7650 EAST ,09 ,CROW AGENCY ,MT ,59022 ,BIG HORN ,,,,,,,,,,24,8784,97,,432,,338,,36,,165,,,,,,, 271340,01-JUL-16,30-JUN-17,As Submitted,MARCUS DALY MEMORIAL HOSPITAL ,1200 WESTWOOD DRIVE ,,HAMILTON ,MT ,59840- ,RAVALLI ,,,,,,,,,,25,9125,2909,239,5255,,372.35,,635,274,1518,,,,,,, 271341,01-JUL-16,30-JUN-17,As Submitted,NORTHEAST MONTANA HEALTH SERVICES ,315 KNAPP ,,WOLF POINT ,MT ,59201 ,ROOSEVELT ,,,,,,,,,,22,8030,354,611,1204,,142.8,,100,231,431,,,,,,, 271343,01-JAN-16,31-DEC-16,As Submitted,ST. JOSEPH HOSPITAL ,6 13TH AVE E ,1010 ,POLSON ,MT ,59860-1010 ,LAKE ,,,,,,,,,,22,8052,1060,575,2545,.2,167.19,,250,210,648,6,,,,,, 271344,01-JUL-16,30-JUN-17,As Submitted,SIDNEY HEALTH CENTER ,216 14TH AVENUE S.W. ,,SIDNEY ,MT ,59270 ,RICHLAND ,,,,,,,,,,25,9125,2247,636,4311,,290.87,,421,226,1064,,,,,,, 271345,01-JUL-16,30-JUN-17,As Submitted,CENTRAL MONTANA MEDICAL CENTER ,408 WENDELL AVENUE ,,LEWISTOWN ,MT ,59457 ,FERGUS ,,,,,,,,,,23,8395,1413,330,2915,,215.63,,324,96,688,,,,,,, 271346,01-JUL-16,30-JUN-17,As Submitted,ROUNDUP MEMORIAL HEALTHCARE ,1202 3RD STREET WEST ,,ROUNDUP ,MT ,59072 ,MUSSELLSHELL ,,,,,,,,,,25,9125,664,21,6920,,62.66,,70,9,91,,,,,,, 271347,01-JAN-16,31-DEC-16,As Submitted,HOLY ROSARY HEALTHCARE ,2600 WILSON STREET ,,MILES CITY ,MT ,59301 ,CUSTER ,,,,,,,,,,25,9150,3235,606,5288,,178.43,,403,219,1248,,,,,,, 274004,01-JUN-16,31-MAY-17,As Submitted,SHODAIR CHILDRENS HOSPITAL ,2755 COLONIAL DRIVE ,,HELENA ,MT ,59604 ,LEWIS & CLARK ,,,,,,,,,,20,7300,,4540,6172,,135.97,,,457,669,,,,,,, 274086,01-JUL-16,30-JUN-17,As Submitted,MONTANA STATE HOSPITAL ,300 GARNET WAY ,300 ,WARM SPRINGS ,MT ,59756 ,DEER LODGE ,,,,,,,,,,174,63510,5173,,63510,,502.8,,311,,816,,,,,,, 280003,01-JAN-16,31-DEC-16,Amended,BRYAN MEDICAL CENTER ,1600 SOUTH 48 TH STREET ,,LINCOLN ,NE ,68506-1299 ,LANCASTER ,1080258,,,1721573,,,.0735,332465,116409,482,176062,43334,6050,105701,16.96,3006,,9533,2189,20901,,,,375,33,2364,520 280009,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH GOOD SAMARITAN ,10 E 31ST STREET ,1990 ,KEARNEY ,NE ,68847-1990 ,BUFFALO ,46920,87662,,136299,254651,,.0561,95514,30591,203,74095,14568,1785,31224,2.83,718.96,,2625,197,7080,1011,,,11,8,900,161 280013,01-JUL-16,30-JUN-17,As Submitted,THE NEBRASKA MEDICAL CENTER ,DEWEY AVENUE AT 42ND ,,OMAHA ,NE ,68198 ,DOUGLAS ,21056161,,,3219793,,,.131,4754969,2591608,509,186358,51223,24891,155520,345.99,6154.17,,8645,1907,24815,2019,,,63,,342, 280020,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH ST. ELIZABETH ,555 SOUTH 70TH STREET ,,LINCOLN ,NE ,68510-9904 ,LANCASTER ,300554,,,834874,,,.0958,204628,73732,260,94900,16487,3327,40990,4.96,835.92,28.65,3639,280,10146,1335,,,,,, 280023,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH ST. FRANCIS ,2620 W FAIDLEY AVENUE ,9804 ,GRAND ISLAND ,NE ,68802-9804 ,HALL ,53107,171751,,76959,248890,,.0584,107676,77984,145,52925,12730,1414,24286,3.92,590.05,,2665,258,6537,886,,,,2,,189 280032,01-JAN-16,31-DEC-16,As Submitted,MARY LANNING MEMORIAL HOSPITAL ASSOC ,715 NORTH ST. JOSEPH AVENUE ,,HASTINGS ,NE ,68901 ,ADAMS ,,,,169235,,,.0559,,,86,31476,7086,1405,15344,,952.96,,1622,124,3575,397,3,,169,3,847,124 280040,01-JAN-16,31-DEC-16,As Submitted,NEBRASKA METHODIST HOSPITAL ,8303 DODGE STREET ,,OMAHA ,NE ,68114- ,DOUGLAS ,922810,,,517528,,,.0405,248536,131830,350,128100,26335,6736,94070,12.62,2798.39,,5462,318,18412,1202,,,,14,,385 280060,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH CREIGHTON UNIVERSITY BERG ,7500 MERCY ROAD ,,OMAHA ,NE ,68124- ,DOUGLAS ,7811330,,,2456796,,,.184,4734634,1812775,454,166125,32614,31504,112117,149.03,1854.36,,5619,1066,21067,3417,,,,,, 280061,01-JAN-16,31-DEC-16,As Submitted,REGIONAL WEST MEDICAL CENTER ,4021 AVENUE B ,,SCOTTSBLUFF ,NE ,69361 ,SCOTTS BLUFF ,,,,451443,,,.0903,,,122,44652,10984,4088,21729,,1110.47,,2294,1164,5429,,,,255,12,564,251 280065,01-JAN-16,31-DEC-16,As Submitted,GREAT PLAINS HEALTH ,601 W LEOTA ST ,1167 ,NORTH PLATTE ,NE ,69101 ,LINCOLN ,,,,160728,,,.0333,,,97,35302,10033,2041,17462,,907.51,,2515,527,4788,,,,164,,782, 280077,01-JUL-16,30-JUN-17,As Submitted,FREMONT HEALTH ,450 EAST 23RD ST ,,FREMONT ,NE ,68025 ,DODGE ,,,,,,,,,,50,21264,4688,996,8435,,,,1225,204,2274,,,,81,,521, 280081,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH IMMANUEL ,6901 NORTH 72ND STREET ,,OMAHA ,NE ,68122-1799 ,DOUGLAS ,572069,,,921188,,,.1917,346455,88904,165,60225,11805,1874,40292,8.74,735.02,,2316,869,12070,2048,,,,,471,591 280105,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH MIDLANDS ,11111 SOUTH 84TH STREET ,,PAPILLION ,NE ,68046- ,SARPY ,,,,,,,,,,40,14600,3007,24,4960,,185.29,,731,6,1426,,,,,,, 280111,01-MAY-16,30-APR-17,Amended,COLUMBUS COMMUNITY HOSPITAL ,4600 38TH STREET ,1800 ,COLUMBUS NEBRASKA ,NE ,68602- ,PLATTE ,,,,52365,,,.0385,,,47,17155,3552,894,7817,,477.38,,812,209,1932,,,,,,, 280125,01-JAN-16,31-DEC-16,As Submitted,FAITH REGIONAL HEALTH SERVICES ,1500 KOENIGSTEIN AVE ,,NORFOLK ,NE ,68701- ,MADISON ,,,,131330,,,.0284,,,114,41724,8573,2393,19620,,825.82,,1927,418,4772,,,,,5,,138 280127,01-JAN-16,31-DEC-16,As Submitted,LINCOLN SURGICAL HOSPITAL ,1710 SOUTH 70TH STREET ,,LINCOLN ,NE ,68506 ,LANCASTER ,,,,,,,,,,21,7686,1482,16,2920,,229.94,,705,7,1486,,,,,,, 280128,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH NEBRASKA HEART ,7500 SOUTH 91ST STREET ,,LINCOLN ,NE ,68526 ,LANCASTER ,,,,,,,,,,54,19710,4424,82,6872,,251.37,,1392,24,3143,42,,,,,, 280129,01-JAN-16,31-DEC-16,As Submitted,NEBRASKA ORTHOPAEDIC HOSPITAL LLC ,2808 S 143RD PLAZA ,,OMAHA ,NE ,68144 ,DOUGLAS ,,,,,,,,,,24,8784,1963,47,4071,,323.47,,878,21,1945,,,,,,, 280130,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH LAKESIDE ,16901 LAKESIDE HILLS CT ,,OMAHA ,NE ,68130-2318 ,DOUGLAS ,,,,,,,,,,108,39420,12234,1289,27373,,541.53,,2748,152,8349,,,,,,, 280131,01-JAN-16,31-DEC-16,As Submitted,MIDWEST SURGICAL HOSPITAL ,7915 FARNAM DRIVE ,,OMAHA ,NE ,68114- ,DOUGLAS ,,,,,,,,,,19,6954,775,11,1868,,78.92,,372,7,959,13,,,,,, 280132,01-APR-16,31-MAR-17,As Submitted,BELLEVUE MEDICAL CENTER ,2500 BELLEVUE MEDICAL CENTER ,,BELLEVUE ,NE ,68123- ,SARPY ,,,,,,,,,,57,20805,6138,562,14199,,350.84,,1737,155,4882,290,,,,,, 280133,01-JAN-16,31-DEC-16,As Submitted,NEBRASKA SPINE HOSPITAL ,6901 N. 72ND STREET STE 20300 ,,OMAHA ,NE ,68122 ,DOUGLAS ,,,,,,,,,,34,12444,940,102,2997,,59.31,,370,49,1292,,,,,,, 280134,01-JAN-16,31-DEC-16,As Submitted,KEARNEY REGIONAL MEDICAL CENTER ,804 22ND AVE ,,KEARNEY ,NE ,68845-2208 ,,,,,,,,,,,42,12852,4444,22,6525,,304.64,,1220,4,1792,28,,,,,, 281300,01-JAN-16,31-DEC-16,As Submitted,HARLAN COUNTY HEALTH SYSTEM ,717 NORTH BROWN ,836 ,ALMA ,NE ,68920- ,HARLAN ,,,,,,,,,,19,6954,998,,1018,,56.49,,41,,43,,,,,,, 281301,01-JUL-16,30-JUN-17,As Submitted,FILLMORE COUNTY HOSPITAL ,1900 F STREET ,193 ,GENEVA ,NE ,68361- ,FILLMORE ,,,,,,,,,,20,7300,807,73,1570,,121.48,,237,4,325,,,,,,128, 281302,01-JUL-16,30-JUN-17,As Submitted,PAWNEE COUNTY MEMORIAL HOSPITAL ,600 I STREET ,433 ,PAWNEE CITY ,NE ,68420 ,,,,,,,,,,,17,6205,559,,581,,41.21,,49,,56,,,,,,, 281303,01-SEP-16,31-AUG-17,As Submitted,NIOBRARA VALLEY HOSPITAL ,HIGHWAY 12 & FIFTH STREET ,118 ,LYNCH ,NE ,68746- ,BOYD ,,,,,,,,,,20,7300,238,,439,,21.13,,41,,49,,,,,,, 281304,01-JUL-16,30-JUN-17,As Submitted,THAYER COUNTY HEALTH SERVICES ,120 PARK AVENUE ,49 ,HEBRON ,NE ,68370 ,THAYER ,,,,,,,,,,19,6935,1158,114,1548,,100.63,,147,15,403,,,,,,, 281305,01-JUL-16,30-JUN-17,As Submitted,KIMBALL COUNTY HOSPITAL ,505 SOUTH BURG ,,KIMBALL ,NE ,69145 ,KIMBALL ,,,,,,,,,,15,5475,694,24,785,,68.77,,112,9,150,,,,,,, 281306,01-JUL-16,30-JUN-17,As Submitted,KEARNEY COUNTY HEALTH SERVICES ,727 EAST 1ST STREET ,,MINDEN ,NE ,68959- ,KEARNEY ,,,,,,,,,,10,3650,796,3,892,,68,,78,,103,,,,,,, 281307,01-JUL-16,30-JUN-17,As Submitted,SAUNDERS COUNTY HEALTH SERVICES ,1760 CO. RD. J ,,WAHOO ,NE ,68066- ,SAUNDERS ,,,,,,,,,,16,5840,654,,713,,125.76,,101,1,119,,,,,,, 281308,01-JUL-16,30-JUN-17,As Submitted,HENDERSON HEALTH CARE SERVICES ,1621 FRONT STREET ,,HENDERSON ,NE ,68371 ,YORK ,,,,,,,,,,13,4745,693,25,906,,69.21,,93,5,135,,,,,,, 281309,01-JUL-16,30-JUN-17,As Submitted,COMMUNITY MEMORIAL HOSPITAL ,1579 MIDLAND STREET ,N ,SYRACUSE ,NE ,68446 ,OTOE ,,,,,,,,,,18,6570,401,8,462,,78.17,,107,3,124,,,,,,, 281310,01-JAN-16,31-DEC-16,As Submitted,REGIONAL WEST GARDEN COUNTY HOSPITAL ,1100 WEST 2ND ST ,32 ,OSHKOSH ,NE ,69154- ,GARDEN ,,,,,,,,,,10,3660,185,8,226,,48.31,,31,,36,,,,,,, 281311,01-JUL-16,30-JUN-17,As Submitted,FRANKLIN COUNTY MEMORIAL HOSPITAL ,1406 Q STREET ,315 ,FRANKLIN ,NE ,68939-0315 ,FRANKLIN ,,,,,,,,,,14,5110,313,1,356,,39,,48,1,56,,,,,,, 281312,01-JUL-16,30-JUN-17,As Submitted,GENOA COMMUNITY HOSPITAL ,709 EWING AVE ,,GENOA ,NE ,68640 ,NANCE ,,,,,,,,,,17,6205,1195,8,1277,,43.88,,65,3,80,,,,,,, 281313,01-JUL-16,30-JUN-17,As Submitted,GOTHENBURG MEMORIAL HOSP ,910 20TH STREET ,469 ,GOTHENBURG ,NE ,69138- ,DAWSON ,,,,,,,,,,12,4380,820,146,1254,,93.05,,125,32,249,,,,,,, 281314,01-JUL-16,30-JUN-17,As Submitted,ANNIE JEFFREY MEM. CNTY HLTH. CTR. ,531 BEEBE ,428 ,OSCEOLA ,NE ,68651-0428 ,POLK ,,,,,,,,,,16,5840,321,40,444,,49.42,,60,10,102,,,,,,, 281315,01-MAY-16,30-APR-17,As Submitted,BRODSTONE MEMORIAL HOSPITAL ,520 EAST 10TH STREET ,187 ,SUPERIOR ,NE ,68978-0187 ,NUCKOLLS ,,,,,,,,,,25,9125,1878,85,2321,,140.58,,330,22,459,,,,,,, 281316,01-JUL-16,30-JUN-17,As Submitted,WEBSTER COUNTY COMMUNITY HOSPITAL ,6TH & FRANKLIN ST ,465 ,RED CLOUD ,NE ,68970-0465 ,WEBSTER ,,,,,,,,,,13,4745,393,3,425,,32.45,,54,1,60,,,,,,, 281318,01-JUL-16,30-JUN-17,As Submitted,MORRILL COUNTY COMMUNITY HOSPITAL ,1313 S STREET ,579 ,BRIDGEPORT ,NE ,69336- ,MORRILL ,,,,,,,,,,20,7300,490,,813,,91.87,,75,,116,,,,,,, 281319,01-OCT-15,30-SEP-16,Settled,JEFFERSON COMMUNITY HEALTH CENTER ,2200 NORTH H STREET ,277 ,FAIRBURY ,NE ,68352- ,JEFFERSON ,,,,,,,,,,17,6222,1118,39,1394,,115.29,,126,13,200,,,,,,, 281320,01-OCT-15,30-SEP-16,Settled,MEMORIAL COMMUNITY HEALTH INC. ,1423 7TH STREET ,,AURORA ,NE ,68818- ,HAMILTON ,,,,,,,,,,14,5124,1154,62,1467,,193.12,,122,2,213,15,,,,,, 281321,01-JUL-16,30-JUN-17,As Submitted,OAKLAND MERCY ,601 EAST 2ND STREET ,,OAKLAND ,NE ,68045 ,BURT ,,,,,,,,,,16,5840,375,8,395,,92.85,,64,1,69,,,,,,, 281322,01-JAN-16,31-DEC-16,As Submitted,SAINT FRANCIS MEMORIAL HOSPITAL ,430 NORTH MONITOR STREET ,,WEST POINT ,NE ,68788 ,DODGE ,,,,,,,,,,25,9150,2093,27,2760,,138.77,,297,6,453,18,,,,,, 281323,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH SCHUYLER ,104 WEST 17TH STREET ,,SCHUYLER ,NE ,68661-1396 ,COLFAX ,,,,,,,,,,25,9125,193,1,250,,50.02,,27,1,62,,,,,,, 281324,01-MAY-16,30-APR-17,As Submitted,NEMAHA COUNTY HOSPITAL ,2022 13TH STREET ,,AUBURN ,NE ,68305- ,NEMAHA ,,,,,,,,,,16,5840,996,1,1184,,81.02,,132,1,165,,,,,,, 281325,01-JUL-16,30-JUN-17,As Submitted,BROWN COUNTY HOSPITAL ,945 EAST ZERO ,,AINSWORTH ,NE ,69210- ,BROWN ,,,,,,,,,,23,8395,720,4,978,,64.89,,62,2,81,,,,,,, 281326,01-JUL-16,30-JUN-17,As Submitted,ANTELOPE MEMORIAL HOSPITAL ,102 WEST 9TH STREET ,,NELIGH ,NE ,68756- ,ANTELOPE ,,,,,,,,,,18,6570,1732,26,1962,,99.79,,158,8,202,,,,,,, 281327,01-MAY-16,30-APR-17,As Submitted,COZAD COMMUNITY HOSPITAL ,300 EAST 12TH STREET ,108 ,COZAD ,NE ,69130- ,DAWSON ,,,,,,,,,,20,7300,805,150,1320,,95.53,,135,35,249,,,,,,, 281328,01-JUL-16,30-JUN-17,As Submitted,LITZENBERG MEMORIAL COUNTY HOSPITAL ,1715 26TH STREET ,,CENTRAL CITY ,NE ,68826- ,MERRICK ,,,,,,,,,,20,7300,1184,22,1476,,84.26,,163,7,210,,,,,,, 281329,01-JUL-16,30-JUN-17,As Submitted,AVERA ST. ANTHONYS HOSPITAL ,300 N 2ND STREET ,,ONEILL ,NE ,68763-1173 ,HOLT ,,,,,,,,,,25,9125,2805,128,3990,,208.78,,470,10,830,75,,,,,, 281330,01-OCT-15,30-SEP-16,Settled,WARREN MEMORIAL HOSPITAL ,905 2ND STREET ,,FRIEND ,NE ,68359 ,SALINE ,,,,,,,,,,12,4392,659,,976,,27.58,,9,,10,,,,,,, 281331,01-JUL-16,30-JUN-17,As Submitted,AVERA CREIGHTON HOSPITAL ,1503 MAIN STREET ,186 ,CREIGHTON ,NE ,68729 ,KNOX ,,,,,,,,,,23,8395,807,6,1020,,74.48,,101,,123,2,,,,,, 281332,01-JUL-16,30-JUN-17,As Submitted,BUTLER COUNTY HEALTH CARE CENTER ,372 SOUTH 9TH STREET ,,DAVID CITY ,NE ,68632-2199 ,BUTLER ,,,,,,,,,,20,7300,800,94,1308,,98.3,,173,24,314,,,,,,, 281333,01-JUL-16,30-JUN-17,As Submitted,ROCK COUNTY HOSPITAL ,102 EAST SOUTH STREET ,,BASSETT ,NE ,68714 ,ROCK ,,,,,,,,,,24,8760,457,5,713,,56.93,,69,4,85,,,,,,, 281334,01-OCT-15,30-SEP-16,As Submitted,BOONE COUNTY HEALTH CENTER ,723 WEST FAIRVIEW ,,ALBION ,NE ,68620- ,BOONE ,,,,,,,,,,25,9150,2459,96,3234,,176.78,,361,33,551,,,,,,, 281336,01-OCT-15,30-SEP-16,As Submitted,YORK GENERAL HOSPITAL INC ,2222 LINCOLN AVENUE ,,YORK ,NE ,68467- ,YORK ,,,,,,,,,,25,9150,2135,216,3162,,224.43,,490,45,806,,,,,,, 281338,01-JUL-16,30-JUN-17,As Submitted,HOWARD COUNTY MEDICAL CENTER ,1113 SHERMAN STREET ,406 ,SAINT PAUL ,NE ,68873-0406 ,HOWARD ,,,,,,,,,,16,5840,1280,52,1574,,103.7,,227,16,320,,,,,,, 281339,01-OCT-15,30-SEP-16,As Submitted,MEMORIAL HEALTH CARE SYSTEMS ,300 NORTH COLUMBIA AVENUE ,,SEWARD ,NE ,68434- ,SEWARD ,,,,,,,,,,24,8784,2203,22,2832,,157.84,,312,4,476,13,,,,,, 281340,01-MAR-16,28-FEB-17,As Submitted,DUNDY COUNTY HOSPITAL ,1313 NORTH CHEYENNE STREET ,,BENKELMAN ,NE ,69021-3074 ,DUNDY ,,,,,,,,,,14,5110,479,7,655,,64.58,,77,4,100,,,,,,, 281341,01-OCT-15,30-SEP-16,As Submitted,CHADRON COMMUNITY HOSPITAL ,825 CENTENNIAL DRIVE ,,CHADRON ,NE ,69337-9400 ,DAWES ,,,,,,,,,,25,9150,976,266,1990,,121.08,,209,90,515,,,,,,, 281342,01-JUL-16,30-JUN-17,As Submitted,SAINT MARYS HOSPITAL ,1301 GRUNDMAN BLVD ,,NEBRASKA CITY ,NE ,68410-3319 ,OTOE ,,,,,,,,,,18,6570,708,286,1599,,105.63,,147,73,449,,,,,,, 281343,01-JUL-16,30-JUN-17,As Submitted,WEST HOLT MEMORIAL HOSPITAL ,406 WEST NEELY STREET ,,ATKINSON ,NE ,68713-0200 ,HOLT ,,,,,,,,,,17,6205,688,21,835,,69.74,,146,10,178,,,,,,, 281344,01-APR-16,31-MAR-17,As Submitted,CHERRY COUNTY HOSPITAL ,510 NORTH GREEN STREET ,410 ,VALENTINE ,NE ,69201- ,CHERRY ,,,,,,,,,,25,9125,865,385,1814,,90.5,,174,124,426,,,,,,, 281345,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE MEDICAL CENTER ,1200 PROVIDENCE ROAD ,,WAYNE ,NE ,68787-1299 ,WAYNE ,,,,,,,,,,25,9150,985,33,1761,,137.97,,142,11,425,,,,,,, 281346,01-JUL-16,30-JUN-17,As Submitted,CHI HEALTH PLAINVIEW ,704 N 3RD STREET ,489 ,PLAINVIEW ,NE ,68769- ,PIERCE ,,,,,,,,,,15,5475,621,,712,,47.44,,76,,98,,,,,,, 281347,01-JUL-16,30-JUN-17,As Submitted,OSMOND GENERAL HOSPITAL ,402 NORTH MAPLE ,,OSMOND ,NE ,68765- ,PIERCE ,,,,,,,,,,20,7391,758,,2209,,47.76,,76,,110,,,,,,, 281348,01-MAY-16,30-APR-17,As Submitted,TRI VALLEY HEALTH SYSTEM ,WEST HIGHWAY 6 AND 34 ,488 ,CAMBRIDGE ,NE ,69022- ,FURNAS ,,,,,,,,,,20,7300,1816,136,2215,,119.87,,165,38,278,,,,,,, 281349,01-JUL-16,30-JUN-17,As Submitted,PENDER COMMUNITY HOSPITAL DISTRICT ,100 HOSPITAL DRIVE ,100 ,PENDER ,NE ,68047 ,THURSTON ,,,,,,,,,,21,7665,1772,205,2770,,115.02,,212,24,402,,,,,,, 281350,01-JUL-16,30-JUN-17,As Submitted,JOHNSON COUNTY HOSPITAL ,202 HIGH STREET ,,TECUMSEH ,NE ,68450 ,JOHNSON ,,,,,,,,,,18,6570,825,12,968,,80.12,,112,3,148,,,,,,, 281351,01-JUL-16,30-JUN-17,As Submitted,CHASE COUNTY COMMUNITY HOSPITAL ,600 WEST 12TH STREET ,819 ,IMPERIAL ,NE ,69033- ,CHASE ,,,,,,,,,,22,8030,616,34,754,,70.74,,87,9,115,,,,,,, 281353,01-JUL-16,30-JUN-17,As Submitted,VALLEY COUNTY HEALTH SYSTEM ,2707 L STREET ,,ORD ,NE ,68862- ,VALLEY ,,,,,,,,,,16,5840,1824,21,2095,,128.18,,203,4,264,,,,,,, 281354,01-JAN-16,31-DEC-16,As Submitted,CRETE AREA MEDICAL CENTER ,2910 BETTEN DRIVE ,,CRETE ,NE ,68333- ,SALINE ,,,,,,,,,,24,8784,485,179,938,,119.9,,102,54,263,,,,,,, 281355,01-JAN-16,31-DEC-16,As Submitted,OGALLALA COMMUNITY HOSPITAL ,2601 NORTH SPRUCE ,,OGALLALA ,NE ,69153- ,KEITH ,,,,,,,,,,18,6588,1095,174,1635,,97.71,,203,50,350,,,,,,, 281356,01-JUL-16,30-JUN-17,As Submitted,PERKINS COUNTY HEALTH SERVICES ,902 CENTRAL AVENUE ,,GRANT ,NE ,69140- ,PERKINS ,,,,,,,,,,20,7300,1234,134,1836,,138.77,,175,30,309,,,,,,, 281357,01-JAN-16,31-DEC-16,As Submitted,SIDNEY REGIONAL MEDICAL CENTER ,1000 POLE CREEK CROSSING ,,SIDNEY ,NE ,69162- ,CHEYENNE ,,,,,,,,,,19,6954,1321,144,2188,,237.95,,332,50,635,,,,,,, 281358,01-JUL-16,30-JUN-17,As Submitted,GORDON MEMORIAL HOSPITAL DISTRICT ,300 E 8TH STREET ,,GORDON ,NE ,69343 ,SHERIDAN ,,,,,,,,,,25,9125,718,30,1078,,63.88,,113,11,175,,,,,,, 281359,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL COMMUNITY HOSPITAL ,810 N 22ND ST ,250 ,BLAIR ,NE ,68008 ,WASHINGTON ,,,,,,,,,,21,7686,672,78,1144,,163.17,,142,28,248,,,,,,, 281360,01-JUL-16,30-JUN-17,As Submitted,BOX BUTTE GENERAL HOSPITAL ,2101 BOX BUTTE AVENUE ,810 ,ALLIANCE ,NE ,69301 ,BOX BUTTE ,,,,,,,,,,25,9125,2267,218,3375,,236.84,,442,65,775,,,,,,, 281362,01-JAN-16,31-DEC-16,As Submitted,PHELPS MEMORIAL HEALTH CENTER ,1215 TIBBALS ,630 ,HOLDREGE ,NE ,68949- ,PHELPS ,,,,,,,,,,25,9150,3309,243,4796,,222.44,,644,64,1046,,,,,,, 281363,01-JUL-16,30-JUN-17,As Submitted,COMMUNITY HOSPITAL ASSOCOCIATION ,1301 EAST H STREET ,1328 ,MCCOOK ,NE ,69001-1328 ,RED WILLOW ,,,,,,,,,,25,9125,2292,300,3495,,231.16,,511,123,842,,,,,,, 281364,01-OCT-15,30-SEP-16,As Submitted,BEATRICE COMMUNITY HOSPITAL ,4800 HOSPITAL PARKWAY ,,BEATRICE ,NE ,68310- ,GAGE ,,,,,,,,,,25,9150,1931,347,3686,,321.21,,435,193,906,,,,,,, 281365,01-OCT-15,30-SEP-16,Settled,JENNIE M. MELHAM MEMORIAL MED CENTER ,145 E. MEMORIAL DRIVE ,,BROKEN BOW ,NE ,68822- ,CUSTER ,,,,,,,,,,23,8418,1266,106,1890,,99.68,,263,34,456,,,,,,, 282000,01-JUL-16,30-JUN-17,As Submitted,MADONNA REHABILITATION LTC HOSPITAL ,5401 SOUTH STREET ,,LINCOLN ,NE ,68506 ,LANCASTER ,,,,,,,,,,86,32340,9556,,15159,,129.6,,284,,464,15,,,,,, 282001,01-JUL-16,30-JUN-17,As Submitted,SSH - OMAHA INC. ,1870 SOUTH 75TH STREET ,,OMAHA ,NE ,68124 ,DOUGLAS ,,,,,,,,,,52,18980,7675,,10868,,121.67,,320,,418,6,,,,,, 282002,01-FEB-16,31-JAN-17,As Submitted,SSH - LINCOLN ,2300 SOUTH 16TH STREET 7TH FLOOR ,,LINCOLN ,NE ,68506 ,LANCASTER ,,,,,,,,,,24,8784,3630,,5343,,55.11,,145,,207,,,,,,, 282003,01-MAR-16,28-FEB-17,As Submitted,MADONNA REHABILITATION SYSTEMS ,17500 BURKE STREET ,,OMAHA ,NE ,68118-2244 ,DOUGLAS ,,,,,,,,,,32,11680,4970,,8158,,57.5,,195,,328,,,,,,, 283025,01-JUL-16,30-JUN-17,As Submitted,MADONNA REHABILITATION HOSPITAL ,5401 SOUTH STREET ,,LINCOLN ,NE ,68506-2134 ,LANCASTER ,,,,,,,,,,60,25320,3557,729,19036,,158.25,,195,16,639,125,,,,,, 283300,01-JAN-16,31-DEC-16,As Submitted,BOYS TOWN NATIONAL RESEARCH HOSPITAL ,555 NORTH 30TH STREET ,,OMAHA ,NE ,68131 ,DOUGLAS ,,,,,,,,,,61,22326,,190,550,,702.39,,,58,272,,,,,,, 283301,01-JAN-16,31-DEC-16,As Submitted,CHILDRENS HOSPITAL & MEDICAL CENTER ,8200 DODGE STREET ,,OMAHA ,NE ,68114-4113 ,DOUGLAS ,,,,,,,,,2911,140,51240,81,8612,35276,34.18,1803.7,,6,1085,4614,,,,,,, 284009,01-JUL-16,30-JUN-17,As Submitted,DOUGLAS COUNTY HOSPITAL ,4102 WOOLWORTH AVENUE ,,OMAHA ,NE ,68105- ,DOUGLAS ,,,,,,,,,,16,5840,1001,686,3612,,100,,167,153,843,,,,,,, 290001,01-JUL-16,30-JUN-17,As Submitted,RENOWN REGIONAL MEDICAL CENTER ,1155 MILL STREET ,,RENO ,NV ,89502 ,WASHOE ,4335873,,,4553968,,,.1764,1464397,547789,619,225036,54709,28470,178317,54.34,2933.44,,8876,4865,31440,5185,,,,,, 290002,01-APR-16,18-MAY-16,As Submitted,SOUTH LYON MEDICAL CENTER ,WHITAKER & SURPRISE ,940 ,YERINGTON ,NV ,89447 ,LYON ,,,,,,,,,,14,672,31,,46,,11.67,,7,,14,,,,,,, 290003,01-FEB-16,31-JAN-17,As Submitted,SUNRISE HOSPITAL AND MEDICAL CENTER ,3186 MARYLAND PARKWAY ,,LAS VEGAS ,NV ,89109-2317 ,CLARK ,1415949,,,8309857,,,.4087,490717,74245,566,207156,40885,37955,190545,19.43,2679.96,,7016,6201,31132,,,,,,,976 290005,01-JAN-16,31-DEC-16,As Submitted,NORTH VISTA HOSPITAL ,1409 EAST LAKE MEAD BLVD ,,NORTH LAS VEGAS ,NV ,89030 ,CLARK ,,,,2247157,,,.3939,,,127,46482,9534,10672,30738,,533.4,,2229,812,7816,,,,399,,1214, 290007,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY MEDICAL CENTER ,1800 WEST CHARLESTON BLVD. ,,LAS VEGAS ,NV ,89102 ,CLARK ,5725493,,,4004553,,,.3936,3625318,550022,505,184325,21649,35051,126104,196.85,3427.66,,3249,7301,22995,,,,,,, 290008,01-JUL-16,30-JUN-17,As Submitted,NORTHEASTERN NEVADA REGIONAL HOSPITA ,2001 ERRECART BOULEVARD ,,ELKO ,NV ,89801 ,ELKO ,,,,120098,,,.104,,,43,15695,2532,1099,5968,,266.79,,685,564,1913,10,,,,,, 290009,01-JAN-16,31-DEC-16,Amended,ST MARYS REGIONAL MEDICAL CENTER ,235 WEST SIXTH STREET ,,RENO ,NV ,89503-4548 ,WASHOE ,,,,2041166,,,.1769,,,252,92232,18996,8060,63346,,1536,,4598,966,14878,,,,,,, 290012,01-JUL-16,30-JUN-17,As Submitted,ST. ROSE DOMINICAN - DELIMA ,102 EAST LAKE MEAD DRIVE ,,HENDERSON ,NV ,89015 ,CLARK ,,,,413031,,,.1052,,,81,29565,6771,1935,17790,,513.75,,1568,370,4166,370,,,,15,,358 290019,01-JAN-16,31-DEC-16,As Submitted,CARSON TAHOE REGIONAL HEALTHCARE ,1600 MEDICAL PARKWAY ,,CARSON CITY ,NV ,89702 ,CARSON CITY ,,,,1051827,,,.0827,,,175,64050,22202,9011,45362,,1139.8,,5494,1928,11256,,,,539,,1234, 290021,01-JAN-16,31-DEC-16,As Submitted,VALLEY HOSPITAL MEDICAL CENTER ,620 SHADOW LANE ,,LAS VEGAS ,NV ,89106 ,LAS VEGAS ,6312143,,,2997585,,,.3305,2993372,469431,270,98820,17960,23897,76823,81.03,1333.67,,3220,2841,14037,1939,,,,1,,436 290022,01-JAN-16,31-DEC-16,As Submitted,DESERT SPRINGS HOSPITAL MEDICAL CNTR ,2075 EAST FLAMINGO ROAD ,,LAS VEGAS ,NV ,89119 ,LAS VEGAS ,,,,1306244,,,.1492,,,244,89304,16735,5935,55227,,1035.6,,3271,885,11695,1550,5,,4,2,570,328 290032,01-JAN-16,31-DEC-16,As Submitted,NORTHERN NEVADA MEDICAL CENTER ,2375 EAST PRATER WAY ,,SPARKS ,NV ,89431 ,WASHOE ,,,,267328,,,.0717,,,72,26352,4916,951,11611,,395.62,,1577,239,3858,334,7,,6,4,397,133 290039,01-JAN-16,31-DEC-16,As Submitted,MOUNTAIN VIEW HOSPITAL ,3100 N. TENAYA WAY ,,LAS VEGAS ,NV ,89128 ,CLARK ,3503491,,,3136173,,,.1613,,,301,110166,36957,9718,97019,24.17,1358.64,,7263,1755,20208,2857,,,,8,,884 290041,01-JAN-16,31-DEC-16,As Submitted,SUMMERLIN HOSPITAL MEDICAL CENTER ,657 TOWN CENTER DRIVE ,,LAS VEGAS ,NV ,89114 ,LAS VEGAS ,,,,1723625,,,.1673,,,406,148766,20399,11217,103396,,1684.2,,3892,1212,20933,5322,,,,148,,784 290045,01-JUL-16,30-JUN-17,As Submitted,ST. ROSE DOMINICAN - SIENA ,3001 ST ROSE PARKWAY ,,HENDERSON ,NV ,89052 ,CLARK ,1960301,,,1767969,,,.1113,391165,102064,326,118990,26458,5674,91935,16.42,1863.6,,5357,992,18676,3006,,,,,, 290046,01-JAN-16,31-DEC-16,As Submitted,SPRING VALLEY HOSPITAL MEDICAL CNTR ,5400 SOUTH RAINBOW BLVD ,,LAS VEGAS ,NV ,89119 ,LAS VEGAS ,,,,1622351,,,.1964,,,238,87108,15853,7167,71892,,1182.22,,2804,911,14620,3467,,,,16,,541 290047,01-FEB-16,31-JAN-17,As Submitted,SOUTHERN HILLS HOSPITAL & MEDICAR CT ,9300 WEST SUNSET RD ,,LAS VEGAS ,NV ,89148 ,CLARK ,,,,971195,,,.1335,,,166,59424,13122,3365,39705,,637.67,,2697,632,8819,1530,,,106,,385, 290049,01-JUL-16,30-JUN-17,As Submitted,RENOWN SOUTH MEADOWS MED CTR ,1155 MILL STREET ,,RENO ,NV ,89502 ,WASHOE ,,,,113518,,,.0364,,,76,27740,4840,838,12201,,392.66,,1490,146,4080,294,,,,44,,817 290053,01-JUL-16,30-JUN-17,As Submitted,ST. ROSE DOMINICAN - SAN MARTIN ,8280 WEST WARM SPRINGS ROAD ,,LAS VEGAS ,NV ,89113 ,CLARK ,,,,520268,,,.1033,,,136,49640,8673,1971,31108,,616.34,,1785,382,6720,870,,,,,, 290054,01-JAN-16,31-DEC-16,As Submitted,CENTENNIAL HILLS HOSPITAL ,6900 N. DURANGO DRIVE ,,LAS VEGAS ,NV ,89149 ,LAS VEGAS ,,,,1141307,,,.158,,,199,72834,13103,5707,58617,,917.13,,2694,771,13072,3187,,,,,, 290056,17-NOV-15,31-OCT-16,Amended,MOUNTAINS EDGE HOSPITAL ,8656 WEST PATRICK LANE ,,LAS VEGAS ,NV ,89148 ,CLARK ,,,,,,,,,,130,45500,352,30,18960,,169,,28,2,1651,,,,,,, 291300,01-JUL-16,30-JUN-17,As Submitted,MT. GRANT GENERAL HOSPITAL ,1ST AND A STREETS ,1510 ,HAWTHORNE ,NV ,89415 ,MINERAL ,,,,,,,,,,11,4015,1487,201,2153,,64.17,,171,39,284,2,,,,,, 291301,01-JUL-16,30-JUN-17,As Submitted,INCLINE VILLAGE HOSPITAL ,880 ALDER AVENUE ,,INCLNE VILLAGE ,NV ,89451- ,WASHOE ,,,,,,,,,,4,1460,3,,6,,42.94,,2,,5,,,,,,, 291302,01-JUL-16,30-JUN-17,As Submitted,WILLIAM BEE RIRIE HOSPITAL ,1500 AVENUE G ,,ELY ,NV ,89301 ,WHITE PINE ,,,,,,,,,,25,9125,697,191,1352,,133.5,,171,109,459,,,,,,, 291303,01-JUL-16,30-JUN-17,As Submitted,BATTLE MOUNTAIN GENERAL HOSPITAL ,535 HUMBOLDT STREET ,,BATTLE MOUNTAIN ,NV ,89820 ,LANDER ,,,,,,,,,,5,1825,43,10,147,,78.56,,14,4,28,,,,,,, 291304,01-JUL-16,30-JUN-17,As Submitted,PERSHING GENERAL HOSPITAL ,855 6TH STREET ,661 ,LOVELOCK ,NV ,89419 ,PERSHING ,,,,,,,,,,13,4745,381,25,481,,57.93,,42,9,58,,,,,,, 291306,01-JAN-16,31-DEC-16,As Submitted,CARSON VALLEY MEDICAL CENTER ,1107 US HIGHWAY 395 ,,GARDNERVILLE ,NV ,89410 ,DOUGLAS ,,,,,,,,,,23,8418,2356,267,3667,,253.89,,636,92,1039,,,,,,, 291309,01-JAN-16,31-DEC-16,As Submitted,BOULDER CITY HOSPITAL ,901 ADAMS BLVD ,,BOULDER CITY ,NV ,89005-2247 ,CLARK ,,,,,,,,,,25,9150,3242,17,4406,,137.72,,178,9,285,,,,59,,258, 291311,01-JAN-16,15-AUG-16,As Submitted,DESERT VIEW REGIONAL MEDICAL CENTER ,360 S LOLA LANE ,,PAHRUMP ,NV ,89048- ,NYE ,,,,,,,,,,25,5700,895,363,2565,,222.64,,268,104,772,,,,,,, 291311,16-AUG-16,31-DEC-16,As Submitted,DESERT VIEW REGIONAL MEDICAL CENTER ,360 S LOLA LANE ,,PAHRUMP ,NV ,89048- ,NYE ,,,,,,,,,,25,3450,527,147,1461,,203.99,,162,62,445,,,,,,, 291312,01-JUL-16,30-JUN-17,As Submitted,GROVER C DILS MEDICAL CENTER ,700 N. SPRING STREET ,,CALIENTE ,NV ,89008- ,LINCOLN ,,,,,,,,,,4,1460,353,20,533,,55.1,,61,10,109,,,,,,, 291313,12-OCT-15,31-DEC-15,Settled,BANNER CHURCHILL COMMUNITY HOSPITAL ,801 EAST WILLIAMS ,,FALLON ,NV ,89406 ,CHURCHILL ,,,,,,,,,,25,2025,463,271,1103,,232,,131,87,350,,,,,,, 291313,01-JAN-16,31-DEC-16,As Submitted,BANNER CHURCHILL COMMUNITY HOSPITAL ,801 EAST WILLIAMS ,,FALLON ,NV ,89406 ,CHURCHILL ,,,,,,,,,,25,9150,2295,1271,4994,,236.03,,561,345,1383,,,,,,, 291314,19-MAY-16,31-MAR-17,As Submitted,SOUTH LYON MEDICAL CENTER ,WHITAKER & SURPRISE ,940 ,YERINGTON ,NV ,89447 ,LYON ,,,,,,,,,,14,4438,744,10,823,,90.58,,61,4,103,,,,,,, 292003,01-JUN-16,31-MAY-17,As Submitted,HORIZON SPEC HOSPITAL-LASVEGAS ,640 DESERT LANE ,,LAS VEGAS ,NV ,89106 ,CLARK ,,,,,,,,,,100,36500,5487,1482,20469,,168,,227,40,795,,,,,,, 292008,01-JAN-16,31-DEC-16,As Submitted,CARSON TAHOE CONTINUING CARE HOSPITA ,775 FLEISCHMANN WAY ,,CARSON CITY ,NV ,89703 ,CARSON CITY ,,,,,,,,,,29,10614,5297,666,8166,,67.4,,222,31,335,,,,,,, 293026,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1250 SOUTH VALLEY VIEW BLVD ,,LAS VEGAS ,NV ,89102 ,CLARK ,,,,,,,,,,79,28914,13799,1863,22003,,183.41,,1110,105,1687,69,,,,,, 293032,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,10301 JEFFREYS STREET ,,HENDERSON ,NV ,89052-0000 ,CLARK ,,,,,,,,,,90,32940,19351,870,28894,,239.1,,1401,41,1982,83,,,,,, 293033,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH DESERT CANYON REHABILITA ,9175 WEST OQUENDO ROAD ,,LAS VEGAS ,NV ,89148 ,CLARK ,,,,,,,,,,50,18300,9288,515,14632,,120.63,,807,33,1193,24,,,,,, 294000,01-JUL-16,30-JUN-17,As Submitted,NORTHERN NEVADA ADULT MENTAL HEALTH ,480 GALETTI WAY ,,SPARKS ,NV ,89431 ,WASHOE ,,,,,,,,,,70,25550,1082,2,7097,,252.42,,70,2,689,,,,,,, 294002,01-JUL-16,30-JUN-17,As Submitted,SOUTHERN NEVADA ADULT MENTAL HEALTH ,6161 W. CHARLESTON ,,LAS VEGAS ,NV ,89146 ,CLARK ,,,,,,,,,,289,105485,1390,,41271,,667.06,,67,,1465,,,,,,, 294003,01-NOV-15,31-OCT-16,As Submitted,WEST HILLS HOSPITAL ,1240 EAST 9TH STREET ,,RENO ,NV ,89512 ,WASHOE ,,,,,,,,,,95,34770,4045,2604,19715,,115.73,,517,420,3319,,,,,,, 294008,01-JAN-16,31-JAN-17,As Submitted,RED ROCK HOSPITAL ,5975 WEST TWAINTREET ,,LAS VEGAS ,NV ,89103 ,CLARK ,,,,,,,,,,21,8337,2226,231,3712,,14.77,,127,21,247,,,,,,, 294009,01-JAN-16,31-DEC-16,As Submitted,MONTEVISTA HOSPITAL ,5900 WEST ROCHELLE AVENUE ,,LAS VEGAS ,NV ,89103 ,CLARK ,,,,,,,,,,202,65572,8709,25326,44620,,270.11,,671,1724,3540,,,,,,, 294010,01-JAN-16,31-DEC-16,As Submitted,SPRING MOUNTAIN SAHARA ,5640 WEST SAHARA AVENUE ,,LAS VEGAS ,NV ,89146 ,,,,,,,,,,,30,10980,4054,91,6834,,51.02,,385,10,716,,,,,,, 294011,01-JAN-16,31-DEC-16,As Submitted,SPRING MOUNTAIN TREATMENT CENTER ,7000 WEST SPRING MOUNTAIN ROAD ,,LAS VEGAS ,NV ,89117-3816 ,,,,,,,,,,,110,40260,5270,3310,30705,,169.3,,605,509,4737,,,,,,, 294012,01-JUL-16,30-JUN-17,As Submitted,SEVEN HILLS BEHAVIORAL INSTITUTE ,3021 W. HORIZON RIDGE PARKWAY ,,HENDERSON ,NV ,89052-3990 ,CLARK ,,,,,,,,,,134,48910,6966,1565,40981,,211.74,,722,199,6420,2931,,,,,, 294013,01-JAN-16,31-DEC-16,As Submitted,DESERT PARKWAY BEHAVIORAL HEALTHCARE ,3247 S MARYLAND PKWY ,,LAS VEGAS ,NV ,89109-2412 ,CLARK ,,,,,,,,,,83,30378,7310,2322,25999,,140.97,,632,261,3109,,,,,,, 300001,01-OCT-15,30-SEP-16,As Submitted,CONCORD HOSPITAL INC. ,250 PLEASANT STREET ,,CONCORD ,NH ,03301 ,MERRIMACK ,4947205,,,585370,,,.041,926252,634429,191,67507,27073,2352,57689,26.82,2598,,6294,472,13141,,,,59,,506, 300003,01-JUL-16,30-JUN-17,As Submitted,MARY HITCHCOCK MEMORIAL HOSP ,ONE MEDICAL CENTER DRIVE ,,LEBANON ,NH ,03756-0001 ,GRAFTON ,40567360,,,3325468,,,.1232,6370093,5457982,381,135885,48410,4567,112785,351,3674,,8447,603,19209,3511,240,,36,,2084, 300005,01-OCT-15,30-SEP-16,As Submitted,LAKES REGION GENERAL HOSPITAL ,80 HIGHLAND STREET ,,LACONIA ,NH ,03246 ,BELKNAP ,,,,,,,,,,86,31476,11153,1171,19610,,1463.12,,2432,871,4420,,,,,,120, 300011,01-JAN-16,31-DEC-16,As Submitted,ST. JOSEPH HOSPITAL ,172 KINSLEY ST ,,NASHUA ,NH ,03060 ,,,,,,,,,,,184,67344,10447,584,21123,,1127.68,,2274,102,4846,378,,,,2,,543 300012,01-JUL-16,30-JUN-17,As Submitted,ELLIOT HOSPITAL ,1 ELLIOT WAY ,,MANCHESTER ,NH ,03103- ,HILLSBOROUGH ,,,,1228841,,,.1231,,,189,68985,18695,4054,53714,,2297.3,,4538,445,11749,1226,,,50,,656, 300014,01-OCT-15,30-SEP-16,As Submitted,FRISBIE MEMORIAL HOSPITAL ,11 WHITEHALL ROAD ,,ROCHESTER ,NH ,03867- ,STRAFFORD ,,,,370175,,,.1144,,,64,23424,6699,468,12187,,787.1,,1690,117,3100,,,,,,277, 300018,01-JAN-16,31-DEC-16,As Submitted,WENTWORTH-DOUGLASS HOSPITAL ,789 CENTRAL AVE ,,DOVER ,NH ,03820 ,STRAFFORD ,,,,271358,,,.0399,,,112,40880,15344,1311,32499,,1460,,3220,66,8180,811,,,,,, 300019,01-JUL-16,30-JUN-17,As Submitted,CHESHIRE MEDICAL CENTER ,580 COURT STREET ,,KEENE ,NH ,03431- ,CHESHIRE ,,,,165286,,,.0392,,,89,32485,8991,1293,16092,,853.47,,2158,93,3874,,,,,6,,259 300020,01-OCT-15,30-SEP-16,As Submitted,SOUTHERN NH MEDICAL CENTER ,8 PROSPECT STREET ,2014 ,NASHUA ,NH ,03060- ,HILLSBOROUGH ,300413,,,599215,,,.1027,137488,58376,151,55266,12630,1476,30900,3.61,1185.06,,3030,422,7196,570,,,38,,574, 300023,01-OCT-15,30-SEP-16,As Submitted,EXETER HOSPITAL INC. ,5 ALUMNI DRIVE ,,EXETER ,NH ,03833 ,ROCKINGHAM ,,,,,,,,,,97,35502,11677,546,22074,,1070.73,,2749,100,5208,381,,,,,, 300029,01-MAR-16,28-FEB-17,As Submitted,PORTSMOUTH REGIONAL HOSPITAL ,333 BORTHWICK AVENUE ,,PORTSMOUTH ,NH ,03801- ,ROCKINGHAM ,,,,,,,,,,128,46720,20196,1982,36311,,771.13,,,433,7615,700,13,,315,,1355, 300034,01-JUL-16,30-JUN-17,As Submitted,CATHOLIC MEDICAL CENTER ,100 MCGREGOR STREET ,,MANCHESTER ,NH ,03102 ,HILLSBOROUGH ,,,,1477337,,,.0865,,,231,84315,29203,4223,59882,,1994.44,,5883,345,10953,1446,,,,8,,358 301300,01-OCT-15,30-SEP-16,As Submitted,UPPER CONNECTICUT VALLEY HOSPITAL ,CORLISS LANE RR 2 ,13 ,COLEBROOK ,NH ,03576 ,COOS ,,,,,,,,,,16,5856,1246,39,1659,,91.2,,241,23,329,,,,,,, 301301,01-OCT-15,30-SEP-16,As Submitted,COTTAGE HOSPITAL ,90 SWIFTWATER ROAD ,2001 ,WOODSVILLE ,NH ,03785- ,GRAFTON ,,,,,,,,,,25,9150,3349,31,4874,,181.84,,362,17,520,,,,,,, 301302,01-OCT-15,30-SEP-16,As Submitted,LITTLETON REGIONAL HEALTHCARE ,600 ST. JOHNSBURY ROAD ,,LITTLETON ,NH ,03561- ,GRAFTON ,,,,,,,,,,25,9150,2553,112,5018,,384.55,,646,50,1427,,,,,,, 301303,01-OCT-15,30-SEP-16,As Submitted,WEEKS MEDICAL CENTER ,173 MIDDLE STREET ,,LANCASTER ,NH ,03584 ,COOS ,,,,,,,,,,25,9150,2234,217,3008,,227.69,,371,40,622,,,,,,, 301304,01-JUL-16,30-JUN-17,As Submitted,NEW LONDON HOSPITAL ,273 COUNTY ROAD ,,NEW LONDON ,NH ,03257-4570 ,MERRIMACK ,,,,,,,,,,25,9125,4031,324,5481,,432.82,,756,43,1019,,,,,,, 301305,01-OCT-15,30-SEP-16,As Submitted,ALICE PECK DAY MEMORIAL HOSPITAL ,10 ALICE PECK DAY DRIVE ,,LEBANON ,NH ,03743 ,UNITED STATES ,,,,,,,,,,24,8784,3211,42,5482,,398.67,,450,598,1156,,,,,,, 301306,01-OCT-15,30-SEP-16,As Submitted,FRANKLIN REGIONAL HOSPITAL ,15 AIKEN AVENUE ,,FRANKLIN ,NH ,03235-1259 ,MERRIMACK ,,,,,,,,,,25,9150,2764,22,4167,,257.82,,259,22,429,,,,38,,260, 301307,01-OCT-15,30-SEP-16,As Submitted,MEMORIAL HOSPITAL ,3073 WHITE MOUNTAIN HIGHWAY ,,NORTH CONWAY ,NH ,03860 ,CARROLL ,,,,,,,,,,25,9150,3572,237,6377,,351.24,,763,41,1511,,,,,,, 301308,01-OCT-15,30-SEP-16,As Submitted,VALLEY REGIONAL HOSPITAL ,243 ELM STREET ,,CLAREMONT ,NH ,03743- ,SULLIVAN ,,,,,,,,,,25,9150,2082,21,3062,,257.69,,319,3,451,,,,,,, 301309,01-OCT-15,30-SEP-16,Amended,MONADNOCK COMMUNITY HOSPITAL ,452 OLD STREET ROAD ,,PETERBOROUGH ,NH ,03458- ,HILLSBOROUGH ,,,,,,,,,,25,9150,3053,77,5658,,488.23,,657,125,1290,,,,,,, 301310,01-JAN-16,30-SEP-16,As Submitted,ANDROSCOGGIN VALLEY HOSPITAL ,59 PAGE HILL ROAD ,,BERLIN ,NH ,03570- ,COOS ,,,,,,,,,,25,6850,2991,121,4330,,309.59,,581,36,1054,,,,,,, 301311,01-JUL-16,30-JUN-17,As Submitted,SPEARE MEMORIAL HOSPITAL ,16 HOSPITAL RD ,,PLYMOUTH ,NH ,03264- ,GRAFTON ,,,,,,,,,,25,9125,2118,128,5059,,287.01,,631,77,1346,,,,,,, 301312,01-OCT-15,30-SEP-16,As Submitted,HUGGINS HOSPITAL ,240 SOUTH MAIN STREET ,912 ,WOLFEBORO ,NH ,03894 ,CARROLL ,,,,,,,,,,25,9150,3008,45,3913,,225.92,,436,66,687,,,,,,, 303026,01-JUN-16,31-MAY-17,As Submitted,NORTHEAST REHABILITATION HOSPITAL ,70 BUTLER STREET ,,SALEM ,NH ,03079- ,ROCKINGHAM ,,,,,,,,,,135,49275,30232,968,43231,,756.46,,2722,84,3724,75,,,,,, 303027,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,254 PLEASANT STREET ,,CONCORD ,NH ,03301 ,MERRIMACK ,,,,,,,,,,50,18300,8055,207,11384,,108.87,,626,12,905,57,,,,,, 304000,01-JUL-16,30-JUN-17,As Submitted,NEW HAMPSHIRE HOSPITAL ,36 CLINTON ST ,,CONCORD ,NH ,03301 ,MERRIMACK ,,,,,,,,,,168,61320,9672,26784,58018,,,,466,537,1190,,,,,,, 304001,01-JAN-16,31-DEC-16,Settled,HAMPSTEAD HOSPITAL ,218 EAST RD ,,HAMPSTEAD ,NH ,03841 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 310001,01-JAN-16,31-DEC-16,Amended,HACKENSACK UNIVERSITY MEDICAL CENTER ,30 PROSPECT AVENUE ,,HACKENSACK ,NJ ,07601 ,BERGEN ,17881804,,,4250425,,,.1161,4116226,2501022,687,251442,67971,12389,213522,191.74,7401.73,,10948,1791,36668,,,,,,1215, 310002,01-JAN-16,31-DEC-16,Amended,NEWARK BETH ISRAEL MEDICAL CENTER ,201 LYONS AVENUE ,,NEWARK ,NJ ,07112-2027 ,ESSEX ,11231302,,,6094969,,,.3813,3631686,1289111,452,165432,32820,15825,119422,186.37,2873.51,,4139,1493,17663,1293,,,,,1185, 310003,01-JAN-16,31-DEC-16,Amended,PALISADES MEDICAL CENTER ,7600 RIVER ROAD ,,NORTH BERGEN ,NJ ,07047 ,HUDSON ,5855488,,,1856509,,,.2741,4708069,1254659,192,70272,15871,5303,42584,89.38,1020.01,,2974,1024,8912,2201,,,,,, 310005,01-JAN-16,31-DEC-16,As Submitted,HUNTERDON MEDICAL CENTER ,2100 WESCOTT DR. ,,FLEMINGTON ,NJ ,08822 ,HUNTERDON ,1702453,,,,,,,1177437,483866,170,62136,18234,975,32919,16.93,1442.33,,3621,189,9453,811,32,,210,,588, 310006,01-JAN-16,31-DEC-16,Amended,ST. MARYS HOSPITAL - PASSAIC ,350 BOULEVARD AVENUE ,,PASSAIC ,NJ ,07055- ,PASSAIC ,316813,,,1627640,,,.2129,112096,57768,197,57828,12513,2460,28753,3,815.07,,3765,369,7016,,,,,,, 310008,01-JAN-16,31-DEC-16,As Submitted,HOLY NAME HOSPITAL ,718 TEANECK ROAD ,,TEANECK ,NJ ,07666- ,BERGEN ,,,,1211599,,,.0824,,,284,103944,33497,975,69244,,1855.7,,5729,220,13171,2264,,,163,,747, 310009,01-JAN-16,31-DEC-16,Amended,CLARA MAASS MEDICAL CENTER ,1 CLARA MAASS DRIVE ,,BELLEVILLE ,NJ ,07109-3550 ,ESSEX ,,,,2378233,,,.1934,,,280,102480,28104,8269,69599,,1447.42,,4736,1346,13840,637,,,,,1689, 310010,01-JAN-16,31-DEC-16,As Submitted,PRINCETON HEALTHCARE SYSTEM ,ONE PLAINSBORO ROAD ,,PLAINSBORO ,NJ ,08536 ,MIDDLESEX ,4295209,,,,,,,994488,455522,206,75396,23710,1696,54681,36.54,1943.99,,4649,365,12514,914,,,1815,,3862,319 310011,01-JAN-16,31-DEC-16,As Submitted,CAPE REGIONAL MEDICAL CENTER ,TWO STONE HARBOR BOULEVARD ,,CAPE MAY COURT HOUSE ,NJ ,08210 ,CAPE MAY ,,,,583449,,,.0822,,,149,54534,15481,1375,26534,,768.16,,3522,324,7144,1220,,,,,, 310012,01-JAN-16,31-DEC-16,As Submitted,THE VALLEY HOSPITAL ,223 N. VAN DIEN AVENUE ,,RIDGEWOOD ,NJ ,07450 ,BERGEN ,,,,,,,,,,356,142666,50397,1286,106572,,2965.67,98.94,9477,263,86695,699,,,,,, 310014,01-JAN-16,31-DEC-16,As Submitted,COOPER UNIVERSITY HOSPITAL ,ONE COOPER PLAZA ,,CAMDEN ,NJ ,08103 ,U.S.A. ,15934440,,,6873239,,,.2923,6167538,3566382,579,211183,45671,16017,157910,312.78,4289.65,,7148,1796,30589,9363,,,,,, 310015,01-JAN-16,31-DEC-16,As Submitted,MORRISTOWN MEDICAL CENTER ,100 MADISON AVE ,,MORRISTOWN ,NJ ,07960-6136 ,MORRIS ,24817790,,,1578850,,,.0327,6500361,2437681,599,219234,79408,6044,189161,190,5457.48,,13250,1043,39572,,,,170,17,806,831 310016,01-JAN-16,31-DEC-16,Amended,CHRIST HOSPITAL ,176 PALISADE AVENUE ,,JERSEY CITY ,NJ ,07306 ,HUDSON ,902032,,,1825550,,,.3599,448244,145609,188,68808,11418,7097,41738,21.15,990,,2155,1493,7895,,,,,,, 310017,01-JAN-16,31-DEC-16,As Submitted,CHILTON HOSPITAL ,97 WEST PARKWAY ,,POMPTON PLAINS ,NJ ,07444 ,MORRIS ,,,,,,,,,,223,81618,25678,855,44987,,1101.52,,4791,140,9628,,,,,,, 310019,01-JAN-16,31-DEC-16,As Submitted,ST. JOSEPHS HOSPITAL & MEDICAL CTR ,703 MAIN STREET ,,PATERSON ,NJ ,07503 ,PASSAIC ,11346547,,,7412853,,,.3021,5882325,1551235,677,248824,55230,14686,180123,218.46,4440.98,,8594,4682,34965,9797,,,,14,,405 310021,01-JUL-16,30-JUN-17,As Submitted,ST. FRANCIS - TRENTON ,601 HAMILTON AVE. ,,TRENTON ,NJ ,08629 ,MERCER ,1264802,,,1271067,,,.3611,790160,387054,144,52560,6839,6622,22048,28.49,803,,1314,940,4343,642,,,,,, 310022,01-JAN-16,31-DEC-16,As Submitted,WEST JERSEY HEALTH SYSTEM ,100 BOWMAN DRIVE ,,VOORHEES ,NJ ,08043 ,CAMDEN ,2706790,,,1140172,,,.0428,1132220,242708,591,216306,61882,3866,153931,30.15,3047.01,,12561,543,33389,,,,,,, 310024,01-JAN-16,31-DEC-16,As Submitted,ROBERT WOOD JOHNSON UNIV HOSP @ RAH ,865 STONE STREET ,,RAHWAY ,NJ ,07065 ,UNION ,,,,307562,,,.0448,,,140,51240,11282,330,26051,,657.39,,2855,74,5158,501,,,,,, 310025,01-JAN-16,31-DEC-16,As Submitted,BAYONNE MEDICAL CENTER ,29 EAST 29TH STREET ,,BAYONNE ,NJ ,07002 ,HUDSON ,,,,626087,,,.1009,,,141,51606,12252,866,24642,22.36,698.25,,2685,128,5200,,,,204,,525, 310027,01-JAN-16,31-DEC-16,As Submitted,TRINITAS HOSPITAL ,225 WILLIAMSON STREET ,,ELIZABETH ,NJ ,07201 ,UNION ,2430822,,,2311869,,,.3461,1050180,444928,248,90768,16890,10542,57686,43.72,1910.03,,3065,2274,13722,,,,1100,,2418, 310028,01-JAN-16,31-DEC-16,As Submitted,NEWTON MEDICAL CENTER ,175 HIGH ST ,,NEWTON ,NJ ,07860 ,SUSSEX ,,,,276370,,,.0344,,,132,48312,17704,758,30922,,913.57,,3383,162,7690,,,,225,,553, 310029,01-JUL-16,30-JUN-17,As Submitted,OUR LADY OF LOURDES MED. CTR. ,1600 HADDON AVENUE ,,CAMDEN ,NJ ,08103 ,CAMDEN ,5303830,,,2446481,,,.1541,1794034,584460,257,93805,26340,3186,57677,42.83,1380.77,,5274,697,13161,,,,,,,548 310031,01-JAN-16,31-DEC-16,As Submitted,DEBORAH HEART AND LUNG CENTER ,200 TRENTON ROAD ,,BROWNS MILLS ,NJ ,08015- ,BURLINGTON ,5641829,,,,,,,943244,554632,84,30744,9860,755,19682,30.23,907.52,,1975,116,3575,430,,,,,, 310032,01-JAN-16,31-DEC-16,As Submitted,INSPIRA MEDICAL CENTER VINELAND ,1505 WEST SHERMAN AVE ,,VINELAND ,NJ ,08360 ,CUMBERLAND ,10537015,,,2873166,,,.2014,4527308,1612855,280,102480,33427,7752,76027,146.04,1933.95,,6871,2056,16707,3370,,,,,1064, 310034,01-JAN-16,31-DEC-16,Amended,RIVERVIEW MEDICAL CENTER ,RIVERVIEW PLAZA ,,RED BANK ,NJ ,07701 ,MONMOUTH ,,,,667099,,,.049,,,269,98454,28397,5730,57556,,1368.45,,5305,989,13327,,,,,2,,726 310038,01-JAN-16,31-DEC-16,As Submitted,ROBERT WOOD JOHNSON UNIV HOSPITAL ,ONE ROBERT WOOD JOHNSON PLACE ,2601 ,NEW BRUNSWICK ,NJ ,08901-2601 ,MIDDLESEX ,22962690,,,5156071,,,.1393,5646628,1726663,610,223260,73087,13643,193664,274.27,4454,,10776,2259,33164,,,,,,, 310039,01-JAN-16,31-DEC-16,Amended,RARITAN BAY MEDICAL CENTER ,530 NEW BRUNSWICK AVE ,,PERTH AMBOY ,NJ ,08861 ,MIDDLESEX ,2560264,,,2322211,,,.1983,1796789,471807,275,100650,28360,5200,64418,28,1742.56,,4784,889,12665,2150,,,,,, 310040,01-JAN-16,31-DEC-16,Amended,HOBOKEN UNIVERSITY MEDICAL CENTER ,308 WILLOW AVE ,,HOBOKEN ,NJ ,07030 ,HUDSON ,1579757,,,1103589,,,.3579,1180074,299929,116,42456,6377,2341,23042,36,809.11,,1318,623,5121,,,,724,,1337,159 310041,01-JAN-16,31-DEC-16,Amended,COMMUNITY MEDICAL CENTER ,99 ROUTE 37W ,,TOMS RIVER ,NJ ,08755-6423 ,OCEAN ,,,,,,,,,,424,155184,63960,3288,111786,,1923.28,,10977,616,20768,637,,,,,, 310044,01-JAN-16,31-DEC-16,As Submitted,CAPITAL HEALTH MED CENTER - HOPEWELL ,ONE CAPITAL WAY ,,HOPEWELL ,NJ ,08534-8534 ,MERCER ,65337,,,1152393,,,.1677,26008,13821,160,62220,14921,5337,58102,1.96,1776.46,,2756,2573,11009,,,,,,, 310045,01-JAN-16,31-DEC-16,As Submitted,ENGLEWOOD HOSPITAL & MED CTR ,350 ENGLE STREET ,,ENGLEWOOD ,NJ ,07631- ,BERGEN ,7245873,,,908257,,,.0479,2057849,1208961,267,97722,33053,3869,72921,54.34,2021.99,,6276,797,14619,1061,7,,42,,333, 310047,01-JAN-16,31-DEC-16,As Submitted,SHORE MEMORIAL HOSPITAL ,1 E. NEW YORK AVE ,,SOMERS POINT ,NJ ,08244 ,ATLANTIC ,,,,780115,,,.0833,,,296,108336,17640,2388,34950,,876.46,,4159,249,9273,1233,,,,,, 310048,01-JAN-16,31-DEC-16,As Submitted,ROBERT WOOD JOHNSON UNIV HOSP @ SOM ,110 REHILL AVENUE ,,SOMERVILLE ,NJ ,08876 ,SOMERSET ,2024215,,,475485,,,.0366,749911,264697,260,95160,29780,4784,59998,18.58,1566,,6027,779,13265,1065,,,,,584, 310050,01-OCT-15,31-DEC-15,As Submitted,SAINT CLARES HOSPITAL- DENVILLE ,25 POCONO ROAD ,,DENVILLE ,NJ ,07834 ,MORRIS ,,,,521444,,,.137,,,325,29900,6311,2768,14550,,1808.86,,1547,554,4061,,,,,,353, 310050,01-JAN-16,31-DEC-16,As Submitted,SAINT CLARES HOSPITAL ,25 POCONO ROAD ,,DENVILLE ,NJ ,07834 ,,,,,1252308,,,.076,,,325,118950,26361,9523,60519,,1816.64,,6431,2362,16885,1315,,,,,1423, 310051,01-JAN-16,31-DEC-16,As Submitted,OVERLOOK MEDICAL CENTER ,99 BEAUVIOR ,,SUMMIT ,NJ ,07902-0220 ,UNION ,8161701,,,716872,,,.0356,3682596,2011134,443,162138,38906,2323,97902,88.42,2961.95,,7619,512,23274,,,,192,,958, 310052,01-JAN-16,31-DEC-16,Amended,MH -OCEAN MEDICAL CENTER ,425 JACK MARTIN BLVD ,,BRICK ,NJ ,08724- ,OCEAN ,,,,,,,,,,272,99552,43427,1900,71321,,1615.75,,7806,367,15251,,,,,,, 310054,01-JAN-16,31-DEC-16,Amended,MOUNTAINSIDE HOSPITAL ,1 BAY AVENUE ,,MONTCLAIR ,NJ ,07042-4837 ,ESSEX ,5262825,,,276482,,,.027,2575801,1188801,163,61488,19812,967,41068,45.87,1156.22,,4336,328,9783,,,,230,,1062, 310057,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSP OF BURLINGTON CTY ,175 MADISON AVENUE ,,MT. HOLLY ,NJ ,08060 ,BURLINGTON ,1177908,,,1202285,,,.0872,504562,115773,312,114192,33734,3100,79116,12.76,1378.21,,6293,453,16569,,,,529,,983, 310058,01-JAN-16,31-DEC-16,As Submitted,BERGEN REGIONAL MEDICAL CENTER ,230 EAST RIDGEWOOD AVENUE ,,PARAMUS ,NJ ,07652 ,BERGEN ,323033,,,458728,,,.35,371068,49581,120,43982,3597,21589,31752,19.64,893,,651,4658,7551,284,2360,,434,,5641, 310061,01-JUL-16,30-JUN-17,As Submitted,LOURDES MEDICAL CENTER-BURLINGTON ,218 A SUNSET ROAD ,,WILLINGBORO ,NJ ,08046 ,BURLINGTON ,472234,,,1026310,,,.2192,204599,78560,122,41164,12588,3696,20357,6.16,679.88,,2484,573,5048,,,,,,69, 310064,01-JAN-16,30-JUN-16,As Submitted,ATLANTICARE REGIONAL MEDICAL CENTER ,65 W. JIMMIE LEEDS ROAD ,,POMONA ,NJ ,08240-9102 ,ATLANTIC ,2591795,,,2916015,,,.2024,804556,256569,545,99190,25827,7735,63509,54.99,3405,,5275,1571,14511,,,,,,, 310069,01-JAN-16,31-DEC-16,As Submitted,INSPIRA MEDICAL CENTER ELMER ,501 FRONT STREET ,,ELMER ,NJ ,08318 ,SALEM ,,,,,,,,,,83,30378,6468,250,12547,,350.09,,1625,80,3361,293,,,,,, 310070,01-JAN-16,31-DEC-16,As Submitted,ST. PETERS UNIVERSITY HOSPITAL ,254 EASTON AVENUE ,,NEW BRUNSWICK ,NJ ,08903-0591 ,MIDDLESEX ,6762746,,,1572890,,,.1478,2387027,857274,350,128100,23117,9158,96719,117.28,2716,,4349,1765,19439,3988,,,,,, 310073,01-JAN-16,31-DEC-16,Amended,JERSEY SHORE UNIVERSITY MED CTR ,1945 ROUTE 33 ,,NEPTUNE ,NJ ,07753 ,MONMOUTH ,13123054,,,3297853,,,.0934,4051923,1371234,556,203496,63777,9762,136554,131.08,3466.89,,10384,1352,26536,,,,,,, 310074,01-JAN-16,31-DEC-16,Amended,JERSEY CITY MEDICAL CENTER ,355 GRAND ST ,,JERSEY CITY ,NJ ,07302-4321 ,HUDSON ,5773796,,,3219412,,,.3447,1968730,559396,262,95892,18711,7928,70830,85.11,2103.87,,3196,920,13324,1118,,,,,1179, 310075,01-JAN-16,31-DEC-16,Amended,MONMOUTH MEDICAL CENTER ,300 SECOND AVENUE ,,LONG BRANCH ,NJ ,07740-6303 ,OCEAN ,7186538,,,2393685,,,.2461,2162700,1178482,295,107970,17453,10916,63635,112.95,1816.19,,3724,1650,14170,284,,,,,2565, 310076,01-JAN-16,31-DEC-16,Amended,SAINT BARNABAS MEDICAL CENTER ,94 OLD SHORT HILLS ROAD ,,LIVINGSTON ,NJ ,07039-5668 ,ESSEX ,12953186,,,2817868,,,.1177,4133778,1757363,583,213378,48502,4529,156419,161.86,3159.15,,8075,336,27027,506,,,,,, 310081,01-JAN-16,31-DEC-16,As Submitted,INSPIRA MEDICAL CENTER WOODBURY INC ,509 NORTH BROAD STREET ,,WOODBURY ,NJ ,08096-7359 ,GLOUCESTER ,1107364,,,654554,,,.0784,920739,305339,241,88206,19770,1018,38583,13.7,1158.38,,4107,191,8450,1147,7,,289,,872, 310083,01-MAR-16,31-DEC-16,As Submitted,EAST ORANGE GENERAL HOSPITAL ,300 CENTRAL AVE ,,EAST ORANGE ,NJ ,07018 ,ESSEX ,,,,1031091,,,.2938,,,159,48654,8216,1076,20599,,661,,1394,332,3965,976,,,513,,1011, 310084,01-JAN-16,31-DEC-16,Amended,MONMOUTH MEDICAL CENTER SOUTHERN CA ,600 RIVER AVENUE ,,LAKEWOOD ,NJ ,08701-5237 ,OCEAN ,,,,1572179,,,.3027,,,201,73566,13677,10819,34584,,628.9,,2198,1643,5571,76,,,,,, 310086,01-JAN-16,31-DEC-16,As Submitted,KENNEDY UNIVERSITY HOSPITAL ,500 MARLBORO AVENUE ,5084 ,CHERRY HILL ,NJ ,08034 ,CAMDEN ,13524769,,,3357325,,,.1477,6526938,1998454,526,192516,56797,12393,122818,154.33,2928.58,,10996,1812,28310,,,,,,, 310091,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL OF SALEM COUNTY ,310 WOODSTOWN ROAD ,,SALEM ,NJ ,08079 ,SALEM ,,,,378960,,,.1094,,,126,46116,7569,198,12172,,298.76,,2013,680,3561,,,,,,, 310092,01-JAN-16,31-DEC-16,As Submitted,HELENE FULD MEDICAL CENTER ,750 BRUNSWICK AVENUE ,,TRENTON ,NJ ,08638 ,MERCER ,2919609,,,1463904,,,.2314,1611135,272257,162,59292,14818,5954,42054,32.15,1526.17,,2348,878,6563,,,,,,775, 310096,01-JAN-16,30-APR-16,Amended,ST. MICHAELS MEDICAL CENTER ,111 CENTRAL AVENUE ,,NEWARK ,NJ ,07102 ,ESSEX ,2486672,,,706750,,,.3014,806733,338342,147,17787,4211,899,11613,83,1076.22,,823,121,1746,,,,,,, 310096,01-MAY-16,31-DEC-16,Amended,ST. MICHAELS MEDICAL CENTER ,111 CENTRAL AVENUE ,,NEWARK ,NJ ,07102 ,ESSEX ,5269015,,,1508962,,,.3037,1692631,652870,147,36015,8416,1177,22919,80.31,1124.72,,1651,162,3014,,,,,,, 310108,01-JAN-16,31-DEC-16,As Submitted,JFK MEDICAL CENTER ,65 JAMES STREET ,,EDISON ,NJ ,08818- ,MIDDLESEX ,3416418,,,1098703,,,.0621,2868540,1016023,357,130662,40733,2936,93757,37.82,2810.14,,6689,689,19829,,,,,32,,1981 310110,01-JAN-16,31-DEC-16,As Submitted,ROBERT WOOD JOHNSON UNIV HOSP @ HAM ,ONE HAMILTON HEALTH PLACE ,,HAMILTON ,NJ ,08690 ,MERCER ,,,,253543,,,.0264,,,164,60024,22752,801,42781,,981.81,,4208,144,8949,798,,,,,, 310111,01-JAN-16,31-DEC-16,Amended,CENTRA STATE MEDICAL CENTER ,901 WEST MAIN STREET ,,FREEHOLD ,NJ ,07728 ,MONMOUTH ,2129676,,,,,,,771573,283388,245,89670,29062,2988,58807,18.02,1626.51,,5310,572,12787,1228,,,,,801, 310112,01-JAN-16,31-DEC-16,Amended,BAYSHORE COMMUNITY HOSPITAL ,727 NORTH BEERS STREET ,,HOLMDEL ,NJ ,07733 ,MONMOUTH ,,,,266842,,,.0286,,,160,58560,21945,783,37783,,896.6,,3666,94,7360,,,,,,, 310113,01-JAN-16,31-DEC-16,Amended,SOUTHERN OCEAN MEDICAL CENTER ,1140 ROUTE 72 WEST ,,MANAHAWKIN ,NJ ,08050 ,OCEAN ,,,,,,,,,,152,55632,15593,1491,29048,,891.66,,3593,246,8121,,,,,,, 310115,01-JAN-16,31-DEC-16,As Submitted,HACKETTSTOWN MEDICAL CENTER ,651 WILLOW GROVE STREET ,,HACKETTSTOWN ,NJ ,07823 ,WARREN ,,,,,,,,,,95,34648,8050,214,13439,,569.78,,1653,118,3342,,,,,,, 310118,01-JAN-16,31-DEC-16,As Submitted,MEADOWLANDS HOSPITAL MEDICAL CENTER ,55 MEADOWLANDS PARKWAY ,,SECAUCUS ,NJ ,07094 ,HUDSON ,386784,,,271638,,,.2032,686622,107245,102,37332,3423,247,10235,3.18,424.52,,596,40,2853,,,,,,, 310130,01-JUL-16,30-JUN-17,As Submitted,HACKENSACK UMC AT PASCACK VALLEY ,250 OLD HOOK ROAD ,,WESTWOOD ,NJ ,07675 ,,,,,193152,,,.043,,,96,35040,8280,228,19476,,417.21,,1904,68,4745,569,,,,,, 312014,01-JUL-16,30-JUN-17,As Submitted,MATHENY SCHOOL & HOSPITAL ,MAIN STREET ,PO BOX 33 ,PEAPACK ,NJ ,07977 ,SOMERSET ,,,,,,,,,,101,36865,,15693,35839,,545,,,14,39,,,,,,, 312018,01-JAN-16,31-DEC-16,As Submitted,THE REHAB HOSPITAL AT RARITAN BAY ,530 NEW BRUNSWICK AVENEU ,,PERTH AMBOY ,NJ ,08861 ,MIDDLESEX ,,,,,,,,,,76,27816,11230,,14961,,156,,423,,524,,,,,,, 312019,01-NOV-15,31-OCT-16,As Submitted,SSH - NORTHEAST NEW JERSEY INC. ,96 PARKWAY ,,ROCHELLE PARK ,NJ ,07662 ,BERGEN ,,,,,,,,,,62,22692,7125,,11889,,126.12,,240,,326,17,,,,,, 312024,01-APR-16,31-MAR-17,As Submitted,COLUMBUS HOSPITAL LTACH ,495 NORTH 13TH STREET ,,NEWARK ,NJ ,07107 ,ESSEX ,,,,,,,,,,63,22995,18802,,21715,,241.61,,596,,653,,,,,,, 313025,01-JAN-16,31-DEC-16,Amended,KESSLER INSTITUTE FOR REHABILIATATIO ,1199 PLEASANT VALLEY WAY ,,WEST ORANGE ,NJ ,07052 ,ESSEX ,,,,,,,,,11341,336,122976,54167,2617,102421,11.67,1280.28,,3807,66,6338,248,,,,,, 313027,01-JAN-16,31-DEC-16,As Submitted,ST. LAWRENCE REHABILITATION CENTER ,2381 LAWRENCEVILLE RD. ,,LAWRENCEVILLE ,NJ ,08648 ,MERCER ,,,,,,,,,,86,31476,11555,133,16315,,489,,813,8,1121,,,,,,, 313029,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,14 HOSPITAL DRIVE ,,TOMS RIVER ,NJ ,08755 ,OCEAN ,,,,,,,,,,98,35868,26775,87,31913,,281.98,,1951,9,2315,19,,,,,, 313030,01-JAN-16,31-DEC-16,As Submitted,BACHARACH INSTITUTE FOR REHABILITATI ,61 WEST JIMMIE LEEDS ROAD ,P.O. BOX ,POMONA ,NJ ,08240-0723 ,ATLANTIC ,,,,,,,,,,52,19032,10323,145,15875,,94.56,,753,11,1122,,,,,,, 313032,01-JAN-16,31-OCT-16,As Submitted,MARLTON REHAB HOSPITAL ,92 BRICK ROAD ,,MARLTON ,NJ ,08053 ,BURLINGTON ,,,,,,,,,,61,18605,9799,609,16278,,177.3,,884,39,1385,53,,,,,, 313033,01-JUN-16,31-MAY-17,As Submitted,SHORE REHABILITATION INSTITUTE ,425 JACK MARTIN BLVD ,,BRICK ,NJ ,08724- ,OCEAN ,,,,,,,,,,40,14600,8775,21,10922,,109.85,,713,1,899,,,,,,, 313035,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,2 CENTRE PLAZA ,,TINTON FALLS ,NJ ,07724 ,MONMOUTH ,,,,,,,,,,60,21960,14793,66,19021,,177.64,,1135,8,1463,18,,,,,, 313036,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1273 WEST SHERMAN AVE ,,VINELAND ,NJ ,08360 ,CUMBERLAND ,,,,,,,,,,41,14965,8886,279,13351,,111.72,,661,22,965,62,,,,,, 313300,01-JAN-16,31-DEC-16,As Submitted,CHILDRENS SPECIALIZED HOSPITAL ,150 PROVIDENCE ROAD ,,MOUNTAINSIDE ,NJ ,07094 ,UNION ,,,,,,,,,,68,24888,,4153,19515,,916.96,,,95,577,,,,,,, 313302,01-JAN-16,31-DEC-16,As Submitted,WEISMAN CHILDRENS REHAB HOSPITAL ,92 BRICK ROAD ,,MARLTON ,NJ ,08053 ,BURLINGTON ,,,,,,,,,,18,6570,,251,2405,,149.2,,,8,110,,,,,,, 314001,01-MAR-16,28-FEB-17,As Submitted,SUMMIT OAKS HOSPITAL ,19 PROSPECT STREET ,,SUMMIT ,NJ ,07901 ,UNION ,,,,,,,,,,122,44652,15898,4439,38937,,,,1138,439,3812,,,,,,, 314012,01-JAN-16,31-DEC-16,As Submitted,CARRIER CLINIC ,252 ROUTE 601 ,147 ,BELLE MEAD ,NJ ,08502 ,SOMERSET ,,,,,,,,,,177,64660,17227,2575,50971,,611.5,,1268,363,5019,,,,,,, 314013,01-JUL-16,30-JUN-17,As Submitted,TRENTON PSYCHIATRIC HOSPITAL ,SULLIVAN WAY ,7500 ,W. TRENTON ,NJ ,08628 ,MERCER ,,,,,,,,,,400,146000,3115,,116938,,1353,,65,,177,,,,,,, 314018,01-JAN-16,31-DEC-16,As Submitted,NORTHBROOK BEHAVIORAL HEALTH HOSPITA ,425 WOODBURY TURNERSVILLE ROAD ,,BLACKWOOD ,NJ ,08012 ,CAMDEN ,,,,,,,,,,158,57828,17683,,46620,,88.9,,791,,791,,,,,,, 314019,01-JAN-16,31-DEC-16,As Submitted,RAMAPO RIDGE PSYCHIATRIC ,301 SICOMAC AVENUE ,,WYCKOFF ,NJ ,07481 ,BERGEN ,,,,,,,,,,58,21228,13956,26,16358,,171,,687,1,940,,,,,,, 314020,01-JAN-16,31-DEC-16,As Submitted,ESSEX COUNTY HOSPITAL CENTER ,204 GROVE AVENUE ,,CEDAR GROVE ,NJ ,07009 ,ESSEX ,,,,,,,,,,180,65880,1919,781,64006,,325.22,,28,1,265,,,,,,, 314021,01-JAN-16,31-DEC-16,As Submitted,HAMPTON HOSPITAL ,RANCOCAS ROAD ,,WESTHAMPTON ,NJ ,08073 ,BURLINGTON ,,,,,,,,,,110,40260,9410,3488,37024,,227.3,,565,206,2607,,,,,,, 314022,01-JAN-16,31-DEC-16,As Submitted,SAINT BARNABAS BEHAVIORAL HEALTH CEN ,1691 ROUTE 9 ,,TOMS RIVER ,NJ ,08754- ,DOVER ,,,,,,,,,,40,14640,6970,13,11173,,102.45,,726,1,1293,,,,,,, 314023,01-JAN-16,31-DEC-16,As Submitted,ASPEN HILLS HEALTHCARE CENTER ,600 PEMBERTON-BROWNS MILL ROAD ,,LISBON ,NJ ,08060 ,BURLINGTON ,,,,,,,,,,30,10980,4774,,5444,,35.6,,270,,270,,,,,,, 314024,01-JAN-16,31-DEC-16,As Submitted,MEADOWVIEW PSYCHIATRIC HOSPITAL ,595 COUNTY AVENUE ,,SECAUCUS ,NJ ,07094 ,HUDSON ,,,,,,,,,,84,30744,1108,657,29473,,155.94,,28,3,158,,,,,,, 314027,01-JAN-16,31-DEC-16,As Submitted,CORNERSTONE BEHAVIORAL HEALTH HOSPIT ,40 WATCHUNG WAY ,,BERKELEY HEIGHTS ,NJ ,07922 ,UNION ,,,,,,,,,,44,16104,2357,262,15809,,93.56,,59,5,303,,,,,,, 320002,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT HOSPITAL ,455 ST. MICHAELS DRIVE ,,SANTA FE ,NM ,87505 ,SANTA FE ,620379,,,944116,,,.12,252727,204084,168,61320,15329,1532,46468,10.46,1822.76,,3373,422,12135,,,,11,1,410,432 320006,01-JUN-16,31-MAY-17,As Submitted,EASTERN NEW MEXICO MEDICAL CENTER ,405 W COUNTRY CLUB ,,ROSWELL ,NM ,88201- ,CHAVES ,,,,1175708,,,.3196,,,162,59130,7773,409,19655,,424.54,,1807,1557,4555,,,,,,, 320009,01-MAR-16,28-FEB-17,As Submitted,LOVELACE MEDICAL CENTER- DOWNTOWN ,601 MARTIN LUTHER KING JR. NE ,,ALBUQUERQUE ,NM ,87102 ,BERNALILLO ,,,,1552091,,,.1538,1023,359,294,107310,17994,1516,59826,,1111.15,,3683,233,11769,2259,,,,,, 320011,01-JAN-16,31-DEC-16,As Submitted,ESPANOLA HOSPITAL ,1010 SPRUCE STREET ,125 ,ESPANOLA ,NM ,87532 ,RIO ARRIBA ,,,,146258,,,.12,,,49,17885,2653,252,8682,,293.42,,699,84,2309,832,,,,,, 320013,01-JUN-16,31-MAY-17,As Submitted,HOLY CROSS HOSPITAL ,1397 WEIMER ROAD ,,TAOS ,NM ,87571 ,TAOS ,,,,115963,,,.12,,,29,10585,2173,139,5286,,337.53,,600,43,1573,,,,,,, 320017,01-MAY-16,30-APR-17,As Submitted,LOVELACE WOMENS HOSPITAL ,4701 MONTGOMERY NE ,,ALBUQUERQUE ,NM ,87109 ,BERNALILLO ,31828,,,605167,,,.4456,16456,10259,162,59130,2888,1367,30203,1.73,632.3,,746,295,6645,3278,,,,,, 320018,01-OCT-15,30-SEP-16,As Submitted,MEMORIAL MEDICAL CENTER ,2450 S. TELSHORE BLVD ,,LAS CRUCES ,NM ,88011-5076 ,DONA ANA ,373239,,,1548997,,,.3432,476961,309105,199,72834,11892,808,40566,17.6,1072.25,,2202,314,8051,,,,,,, 320021,01-JAN-16,31-DEC-16,As Submitted,PRESBYTERIAN HOSPITAL ,1100 CENTRAL AVE SE ,26666 ,ALBUQUERQUE ,NM ,87125-6666 ,BERNALILLO ,208962,,,5330210,,,.2661,56056,29765,671,245586,37308,5546,173036,2.8,5267.39,,8384,1090,37400,8982,678,,,,1383, 320022,01-JAN-16,31-DEC-16,As Submitted,PLAINS REGIONAL MEDICAL CTR - CLOVIS ,2100 NORTH THOMAS STREET ,,CLOVIS ,NM ,88101 ,CURRY ,,,,204995,,,.12,,,106,38796,3881,62,12412,,436.65,,1046,27,3629,1438,,,,,, 320030,01-JUL-16,30-JUN-17,As Submitted,ARTESIA GENERAL HOSPITAL ,702 N 13TH STREET ,,ARTESIA ,NM ,88210- ,EDDY ,,,,55472,,,.0888,,,34,12410,965,,1902,,320.71,,337,,732,129,9,,9,,160, 320033,01-JAN-16,31-DEC-16,As Submitted,LOS ALAMOS MEDICAL CENTER ,3917 WEST ROAD ,,LOS ALAMOS ,NM ,87544- ,LOS ALAMOS ,,,,73587,,,.1186,,,47,17202,1434,41,3803,,214.03,,401,18,1048,207,,,,,, 320038,01-JAN-16,31-DEC-16,As Submitted,REHOBOTH MCKINLEY CHRISTIAN HOSPITAL ,1901 RED ROCK DRIVE ,,GALLUP ,NM ,87301 ,MCKINLEY ,,,,180206,,,.12,,,60,21960,2995,1675,14033,,464.79,,868,704,2550,,,,,,, 320057,01-OCT-15,30-SEP-16,As Submitted,SANTA FE INDIAN HOSPITAL ,1700 CERILLIOS ROAD ,,SANTA FE ,NM ,87505 ,SANTA FE ,,,,310,,,.12,,,4,1464,3,31,43,,212,,2,6,12,,,,,,, 320058,01-OCT-15,30-SEP-16,As Submitted,MESCALERO INDIAN HOSPITAL ,301 SAGE AVENUE ,,MESCALERO ,NM ,88340 ,OTERO ,,,,435,,,.12,,,11,4026,6,96,133,,96,,1,31,38,,,,,,, 320059,01-OCT-15,30-SEP-16,As Submitted,NORTHERN NAVAJO MEDICAL CENTER ,US HWY 491 NORTH ,160 ,SHIPROCK ,NM ,87420 ,SAN JUAN ,,,,121582,,,.12,,,59,21594,2418,2983,6851,,1363,,518,978,1789,,,,,,, 320060,01-OCT-15,30-SEP-16,As Submitted,USPHS HOSPITAL-ZUNI ,ROUTE 301 N B STREET ,467 ,ZUNI ,NM ,87237 ,MCKINLEY ,,,,21134,,,.12,,,27,9882,387,701,1218,,261,,83,249,334,,,,,,, 320061,01-OCT-15,30-SEP-16,As Submitted,GALLUP INDIAN MEDICAL CENTER ,516 E. NIZHOVI BLVD ,1337 ,GALLUP ,NM ,87305 ,MCKINLEY ,,,,189500,,,.12,,,78,28548,3866,5152,10574,,1211,,799,1699,2812,,,,,,, 320062,01-OCT-15,30-SEP-16,As Submitted,CROWNPOINT INDIAN HOSPITAL ,NM STATE RD 371 ,,CROWNPOINT ,NM ,87313 ,MCKINLEY ,,,,20434,,,.12,,,20,7320,374,376,860,,428,,102,122,269,,,,,,, 320065,01-JAN-16,31-DEC-16,As Submitted,LEA REGIONAL HOSPITAL ,5419 N LOVINGTON HWY ,,HOBBS ,NM ,88240 ,LEA ,,,,351940,,,.2875,,,143,52338,2205,2644,6725,,249.47,,767,1251,2664,,,,252,,485, 320067,01-JUL-16,30-JUN-17,As Submitted,GUADALUPE COUNTY HOSPITAL ,117 CAMINO DE VIDA SUITE 100 ,,SANTA ROSA ,NM ,88435- ,GUADALUPE ,,,,28554,,,.12,,,15,5475,382,2,837,,49.34,,120,1,264,57,,,,,, 320070,01-OCT-15,30-SEP-16,As Submitted,ACOMA CANONCITO LAGUNA HOSPITAL ,ACL INDIAN HOSPITAL ,130 ,SAN FIDEL ,NM ,87049 ,CIBOLA ,,,,1007,,,.12,,,6,2196,9,7,27,,225,,5,4,13,,,,,,, 320074,01-FEB-16,31-JAN-17,As Submitted,LOVELACE WESTSIDE HOSPITAL ,10501 GOLF COURSE ROAD NW ,,ALBUQUERQUE ,NM ,87114 ,BERNALILLO ,,,,114393,,,.12,,,70,25620,1684,184,8646,,280.15,,505,63,2651,739,,,,,, 320085,01-APR-16,31-MAR-17,As Submitted,MOUNTAIN VIEW REG MED CTR ,4311 EAST LONHAM AVENUE ,,LAS CRUCES ,NM ,88011- ,DONA ANA ,787766,,,1602070,,,.2014,,,150,54750,18247,2834,47719,6.61,800.88,,3475,2489,9917,,,,,,, 320086,01-JAN-16,31-DEC-16,As Submitted,LOVELACE REGIONAL HOSPITAL-ROSWELL ,117 E. 19TH STREET ,,ROSWELL ,NM ,88201- ,CHAVES ,,,,135610,,,.12,,,26,9516,2343,34,7129,,202.87,,653,15,2245,944,,,,,, 321301,01-JAN-16,31-DEC-16,As Submitted,SOCORRO GENERAL HOSPITAL ,1202 HIGHWAY 60 WEST ,1009 ,SOCORRO ,NM ,87801 ,SOCORRO ,,,,,,,,,,24,8784,386,97,1563,,154.71,,81,43,370,156,,,,,, 321302,01-JAN-16,31-DEC-16,Amended,DR. DAN C. TRIGG ,EAST MIEL DE LUNA ,,TUCUMCARI ,NM ,88401 ,QUAY ,,,,,,,,,,25,9150,469,9,753,,77.3,,63,2,135,42,,,,,, 321304,01-JUL-16,30-JUN-17,As Submitted,UNION COUNTY GEN. HOSPITAL ,301 HARDING ST. ,489 ,CLAYTON ,NM ,88415- ,UNION ,,,,,,,,,,25,9125,666,10,961,,61.39,,88,3,182,,,,,,, 321305,01-JUL-16,30-JUN-17,As Submitted,NOR-LEA HOSPITAL ,1600 NORTH MAIN ,,LOVINGTON ,NM ,89260 ,LEA ,,,,,,,,,,25,9125,1179,,1890,,372.06,,215,,489,,,,,,, 321306,01-JAN-16,31-DEC-16,As Submitted,LINCOLN COUNTY MEDICAL CENTER ,211 SUDDERTH ,,RUIDOSO ,NM ,88345 ,LINCOLN ,,,,,,,,,,25,9150,1420,307,4112,,226.26,,412,130,1254,357,,,,,, 321308,01-JUL-16,30-JUN-17,As Submitted,CIBOLA GENERAL HOSPITAL ,1016 ROOSEVELT ,,GRANTS ,NM ,87020 ,CIBOLA ,,,,,,,,,,25,9125,781,408,2396,,177.34,,193,195,849,,,,,,, 321309,01-JAN-16,31-DEC-16,As Submitted,MIMBRES MEMORIAL HOSPITAL ,900 WEST ASH STREET ,,DEMING ,NM ,88030 ,LUNA ,,,,,,,,,,25,9150,1325,1115,4067,,156.69,,367,410,1266,,,,,,, 322003,01-JUN-16,31-MAY-17,As Submitted,ALBUQUERQUE - AMG SPECIALTY HOSPITAL ,235 ELM STREET ,,ALBUQUERQUE ,NM ,87102 ,BERNALILLO ,,,,,,,,,,25,9125,2702,162,7570,,70.82,,104,9,294,109,,,,,, 322004,01-MAR-16,28-FEB-17,As Submitted,ADV CARE HOSP OF SOUTHERN NEW MEXICO ,4451 E LOHMAN AVENUE ,,LAS CRUCES ,NM ,88011 ,DONA ANA ,,,,,,,,,,20,7300,2314,,5220,,47.65,,93,,232,71,,,,,, 323027,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,7000 JEFFERSON NE ,,ALBUQUERQUE ,NM ,87109 ,BERNALILLO ,,,,,,,,,,87,31842,8679,88,21073,,172.2,,660,12,1648,214,,,,,, 323032,01-JAN-16,31-DEC-16,As Submitted,REHAB HOSP OF SOUTHERN NEW MEXICO ,4441 LOHMAN AVENUE ,,LAS CRUCES ,NM ,88011 ,DONA ANA ,,,,,,,,,,40,14640,8266,,12644,,154.22,,611,,895,106,,,,,, 324010,01-JAN-16,31-DEC-16,As Submitted,MESILLA VALLEY HOSPITAL ,3751 DEL REY BLVD ,,LAS CRUCES ,NM ,88012 ,DONA ANA ,,,,,,,,,,120,43920,2736,886,29347,,173.83,,246,73,2280,,,,,,, 324012,01-JAN-16,31-DEC-16,As Submitted,THE PEAK HOSPITAL ,5060 MCNUTT RD ,,SANTA TERESA ,NM ,88008 ,DONA ANA ,,,,,,,,,,119,43554,2366,685,24918,,174.19,,178,36,1944,,,,,,, 324013,01-JAN-16,31-DEC-16,As Submitted,HAVEN BEHAVIORAL SEN CARE OF ALBUQUR ,5400 GIBSON BLVD SE 4TH FLOOR ,,ALBUQUERQUE ,NM ,87108 ,,,,,,,,,,,34,12444,3750,74,8287,,64.08,,287,6,734,127,,,,,, 330004,01-JAN-16,31-DEC-16,As Submitted,THE KINGSTON HOSPITAL ,396 BROADWAY ,,KINGSTON ,NY ,12401 ,ULSTER ,1440722,,,476461,,,.0805,1474507,365430,149,54534,18197,1972,33509,18.29,878.4,,3730,294,7436,,,,,,, 330005,01-JAN-16,31-DEC-16,As Submitted,KALEIDA HEALTH ,100 HIGH STREET ,,BUFFALO ,NY ,14203 ,ERIE ,20562925,,,4961438,,,.1996,13025363,2855391,942,337452,55504,15206,251723,398.14,7266.68,,9652,1638,49967,,,,,16,,732 330006,01-JAN-16,31-DEC-16,As Submitted,ST. JOSEPHS MEDICAL CENTER ,127 SOUTH BROADWAY ,,YONKERS ,NY ,10701 ,WESTCHESTER ,1391097,,,1415574,,,.4953,1260586,296487,124,45384,8463,6996,28515,36.15,1502.3,,1195,649,4147,,,,640,,2848, 330008,01-JAN-16,31-DEC-16,As Submitted,WYOMING COUNTY COMMUNITY HOSPITAL ,400 NORTH MAIN STREET ,,WARSAW ,NY ,14569 ,WYOMING COUNTY ,,,,,,,,,,50,18300,2041,204,5801,,288.84,,448,45,1406,127,,,130,,407, 330009,01-JAN-16,31-DEC-16,As Submitted,BRONX-LEBANON HOSPITAL CENTER ,1276 FULTON AVENUE ,,BRONX ,NY ,10456 ,,6659512,,,3819378,,,.7215,9458175,2852508,460,168360,12334,18034,132413,316.22,3968.2,,2128,4248,27803,13969,,,517,,2203, 330011,01-JUL-16,30-JUN-17,As Submitted,OUR LADY OF LOURDES MEMORIAL HOSP ,169 RIVERSIDE DRIVE ,,BINGHAMTON ,NY ,13905 ,BROOME ,1792341,,,567319,,,.0822,526712,359022,148,54020,16296,1345,41461,19.03,1903.01,,3591,271,10035,,,,,,, 330013,01-JAN-16,31-DEC-16,As Submitted,ALBANY MEDICAL CENTER HOSPITAL ,43 NEW SCOTLAND AVENUE ,,ALBANY ,NY ,12208 ,ALBANY ,19831060,,,4284722,,,.1839,8358361,1544042,686,251076,60494,16153,218231,354.23,4793.9,,9591,2133,37475,8381,193,,212,9,873,413 330014,01-JAN-16,31-DEC-16,As Submitted,JAMAICA HOSPITAL MEDICAL CENTER ,8900 VAN WYCK EXPRESSWAY ,,JAMAICA ,NY ,11418 ,QUEENS ,5603421,,,2869114,,,.477,7280178,1231554,325,118950,14472,14713,95454,166.32,3110.7,,2488,2547,18549,,,,291,29,1335,361 330019,01-JAN-16,31-DEC-16,As Submitted,NY COMMUNITY HOSPITAL OF BROOKLYN ,2525 KINGS HIGHWAY ,,BROOKLYN ,NY ,11229 ,KINGS ,502217,,,3402902,,,.4211,494648,52755,134,49044,21469,2280,37451,6.01,616,,3643,440,7177,851,,,,,, 330023,01-JAN-16,31-DEC-16,As Submitted,VASSAR BROTHERS MEDICAL CENTER ,45 READE PLACE ,,POUGHKEEPSIE ,NY ,12601 ,DUTCHESS ,,,,1614858,,,.0646,,,365,133590,47519,4282,103922,,1826.4,,8671,715,20994,,,,,,, 330024,01-JAN-16,31-DEC-16,As Submitted,MOUNT SINAI HOSPITAL ,ONE GUSTAVE L. LEVY PLACE ,,NEW YORK ,NY ,10029 ,MANHATTAN ,69354526,,,14151822,,,.267,38041785,12142354,991,364588,87913,22865,339575,850.02,9790.4,,13868,3059,56507,11830,299,,281,90,1079,857 330027,01-JAN-16,31-DEC-16,As Submitted,NASSAU UNIVERSITY MEDICAL CENTER ,2201 HEMPSTEAD TPKE ,,EAST MEADOW ,NY ,11554 ,NASSAU ,9105389,,,2716873,,,.3712,10389064,2691116,377,137982,18078,18950,88711,239,2535.2,,3235,7929,17277,,,,764,48,1750,475 330028,01-JAN-16,31-DEC-16,As Submitted,RICHMOND UNIVERSITY MEDICAL CENTER ,355 BARD AVENUE ,,STATEN ISLAND ,NY ,10310 ,RICHMOND ,6935058,,,2173964,,,.2843,4479591,2212439,271,98743,17002,6459,73739,133.92,1987.6,,2705,1151,13974,,,,306,,1577, 330030,01-JAN-16,31-DEC-16,As Submitted,NEWARK WAYNE COMMUNITY HOSPITAL ,DRIVING PARK ,,NEWARK ,NY ,14513 ,WAYNE ,,,,417437,,,.1682,,,104,38064,6637,757,19200,,674.1,,1474,159,4973,1301,,,64,,439, 330033,01-JAN-16,31-DEC-16,As Submitted,CHENANGO MEMORIAL HOSPITAL ,179 N. BROAD ST. ,,NORWICH ,NY ,13815 ,CHENANGO ,,,,124174,,,.1646,,,58,21228,1762,550,4707,,337.9,,499,,1305,,,,,,, 330043,01-JAN-16,31-DEC-16,As Submitted,SOUTHSIDE HOSPITAL ,301 EAST MAIN STREET ,,BAY SHORE ,NY ,11706 ,SUFFOLK ,4075540,,,2490979,,,.1567,1423391,263277,259,92363,30259,7008,90483,32.03,2586.83,,5237,1073,19144,5411,,,,28,,630 330044,01-JAN-16,31-DEC-16,As Submitted,FAXTON-ST. LUKES HEALTHCARE ,1656 CHAMPLIN AVE ,,UTICA ,NY ,13503 ,ONEIDA ,390620,,,1386344,,,.1997,210945,123371,247,90402,22786,3913,63767,7.12,2076.08,,3878,614,11021,3719,,,,10,,343 330045,01-JAN-16,31-DEC-16,As Submitted,HUNTINGTON HOSPITAL ,270 PARK AVENUE ,,HUNTINGTON ,NY ,11743 ,SUFFOLK ,1892785,,,630955,,,.032,626280,133601,266,97356,39688,2912,73346,14.27,1822.6,,7373,594,15984,2259,,,68,,440, 330046,01-JAN-16,31-DEC-16,As Submitted,MOUNT SINAI ST. LUKES ROOSEVELT HOS ,1000 TENTH AVENUE ,,NEW YORK ,NY ,10019 ,NEW YORK ,21643648,258396,,6251208,74631,,.3474,17725255,5248103,625,216646,35444,15681,165574,427.28,5167.45,,6364,2323,30726,,,,482,25,2190,712 330049,01-JAN-16,31-DEC-16,As Submitted,NORTHERN DUTCHESS HOSPITAL ,6511 SPRINGBROOK AVENUE ,,RHINEBECK ,NY ,12572 ,DUTCHESS ,,,,262024,,,.0628,,,58,21228,7230,397,16310,,396,,1726,72,4322,,,,,2,,200 330055,01-JAN-16,31-DEC-16,As Submitted,NEWYORK-PRESBYTERIAN/QUEENS ,56-45 MAIN STREET ,,FLUSHING ,NY ,11355 ,QUEENS ,14951688,154933,,6878205,26636,,.3211,9763884,2133266,474,171209,50387,14876,164567,190.42,3700.3,,7127,2071,27567,9953,,,,,, 330056,01-JAN-16,31-DEC-16,As Submitted,THE BROOKLYN HOSPITAL CENTER ,121 DEKALB AVENUE ,,BROOKLYN ,NY ,11201 ,KINGS ,9547658,,,2936582,,,.4527,11632909,3377374,287,105042,14873,8533,79420,253.98,2321.5,,2347,1601,14608,,,,,10,,163 330057,01-JUL-16,30-JUN-17,As Submitted,ST. PETERS HOSPITAL ,315 S. MANNING BLVD. ,,ALBANY ,NY ,12208 ,USA ,1625497,,,2081865,,,.1141,994509,297539,482,175930,41973,8001,142498,18.5,3084.4,,7838,1116,27151,,,,,,, 330058,01-JAN-16,31-DEC-16,As Submitted,GENEVA GENERAL HOSPITAL ,04Y ,,GENEVA ,NY ,14456 ,ONTARIO ,,,,76233,,,.0307,,,117,42822,7230,289,16614,,750.1,,1462,65,3651,347,,,,1,,68 330059,01-JAN-16,31-DEC-16,As Submitted,MONTEFIORE MEDICAL CENTER ,111 EAST 210TH STREET ,,BRONX ,NY ,10467 ,BRONX ,55967800,,,17464710,,,.3972,51578413,11426356,1453,531789,97653,48505,486294,1189.64,17956.1,,14455,8045,87012,28436,,,212,33,1022,431 330061,01-JAN-16,31-DEC-16,As Submitted,NEW YORK PRESBYTERIAN LAWRENCE HOSPI ,55 PALMER AVENUE ,,BRONXVILLE ,NY ,10708 ,WESTCHESTER ,,,,562341,,,.0737,,,288,105408,19654,1304,50749,,1198.9,,3196,268,10178,2083,,,,,, 330065,01-JAN-16,31-DEC-16,As Submitted,NIAGARA FALLS MEMORIAL MEDICAL CENTE ,621 10TH STREET ,,NIAGARA FALLS ,NY ,14203 ,NIAGARA ,280511,,,678171,,,.3707,321159,165259,133,48545,6348,2560,23976,11.49,874.5,,1024,466,4877,1593,,,,,, 330073,01-JAN-16,31-DEC-16,As Submitted,UNITED MEMORIAL MEDICAL CENTER ,127 NORTH STREET ,,BATAVIA ,NY ,14020 ,GENESEE ,243264,,,382186,,,.2691,211385,202684,131,47946,3627,2637,18892,10.5,712.6,,905,233,4018,1062,,,,,, 330074,01-JAN-16,31-DEC-16,Amended,FF THOMPSON HOSPITAL ,350 PARRISH ST. ,,CANANDAIGUA ,NY ,14424 ,ONTARIO ,,,,,,,,,,113,41358,6845,1568,21579,,941.65,,1343,65,4966,,,,,,, 330078,01-JAN-16,31-DEC-16,As Submitted,SISTERS OF CHARITY HOSPITAL ,2157 MAIN STREET ,,BUFFALO ,NY ,14214 ,ERIE ,1431024,,,999672,,,.1754,1360934,417114,347,127002,14841,4043,81734,53.75,2194.1,,2497,494,15882,3225,,,,,, 330079,01-JAN-16,31-DEC-16,As Submitted,ADIRONDACK MEDICAL CENTER ,ADIRONDACK MEDICAL CENTER ,471 ,SARANAC LAKE ,NY ,12983 ,FRANKLIN ,,,,184912,,,.1081,,,83,30378,3149,214,7724,,561.5,,733,64,1940,345,,,12,,236, 330080,01-JUL-16,30-JUN-17,As Submitted,LINCOLN MEDICAL&MENTAL HEALTH CENTER ,234 EAST 149TH STREET ,,BRONX ,NY ,10451 ,BRONX ,5857583,,,2709011,,,.7224,4600691,6251480,287,104755,8463,18101,93121,287.1,3243.1,,1464,3358,19759,,,,285,,1289, 330084,01-JAN-16,30-SEP-16,As Submitted,ALICE HYDE MEDICAL CENTER ,133 PARK STREET ,,MALONE ,NY ,12953 ,FRANKLIN ,,,,97897,,,.12,,,76,20747,1839,205,4425,,492,,518,95,1340,336,,,,,, 330085,01-JAN-16,31-DEC-16,As Submitted,AURELIA OSBORN FOX MEMORIAL HOSPITAL ,1 NORTON AVE ,,ONEONTA ,NY ,13820 ,OTSEGO ,,,,127159,,,.0743,,,60,21960,5100,354,9130,,537.1,,1167,79,2198,317,,,,,, 330086,01-JAN-16,31-DEC-16,As Submitted,THE MOUNT VERNON HOSPITAL ,12 NORTH 7TH AVENUE ,,MOUNT VERNON ,NY ,10550 ,WESTCHESTER ,1443843,,,210084,,,.12,884282,253976,63,23058,4239,1751,15653,27.86,465.1,,720,396,2904,554,118,,130,,428, 330088,01-JAN-16,31-DEC-16,As Submitted,EASTERN LONG ISLAND HOSPITAL ,201 MANOR PLACE ,,GREENPORT ,NY ,11944 ,SUFFOLK ,,,,134765,,,.12,,,67,24447,2755,3415,12495,,300.3,,559,337,2056,,,,168,,529, 330090,01-JAN-16,31-DEC-16,As Submitted,ARNOT-OGDEN MEDICAL CENTER ,600 ROE AVENUE ,,ELMIRA ,NY ,14905 ,CHEMUNG ,3984341,,,1009420,,,.1467,2025536,1018414,225,82350,18506,2858,50022,59.69,2067.6,,3396,397,9878,1725,,,,,, 330094,01-JAN-16,31-DEC-16,Amended,COLUMBIA MEMORIAL HOSPITAL ,71 PROSPECT AVENUE ,,HUDSON ,NY ,12534 ,COLUMBIA ,,,,431511,,,.1071,,,95,34770,12478,1179,25464,,1163,,2200,163,4946,977,,,213,,473, 330096,01-JAN-16,31-DEC-16,As Submitted,JONES MEMORIAL HOSPITAL ,191 N MAIN STREET ,PO BOX 72 ,WELLSVILLE ,NY ,14895 ,ALLEGANY ,,,,99771,,,.12,,,70,25620,2515,320,7013,,325,,515,429,1610,,,,,,, 330100,01-JAN-16,31-DEC-16,As Submitted,NEW YORK EYE AND EAR INFIRMARY ,310 EAST 14TH STREET ,,NEW YORK ,NY ,10003 ,NEW YORK ,93708,,,5851,,,.12,17078,938343,22,7910,104,42,840,32.59,928.3,,23,7,329,120,,,,,, 330101,01-JAN-16,31-DEC-16,As Submitted,NEW YORK PRESBYTERIAN HOSPITAL ,525 EAST 68TH STREET ,,NEW YORK ,NY ,10065 ,NEW YORK ,103206840,750377,,25845325,187912,,.2797,38846701,10823162,2037,750168,178093,43346,683247,1532.93,23839.01,,24728,5673,102777,26518,,,1046,25,6672,1102 330102,01-JAN-16,31-DEC-16,As Submitted,KENMORE MERCY HOSPITAL ,2950 ELMWOOD AVENUE ,,KENMORE ,NY ,14217 ,ERIE ,,,,183121,,,.0452,,,164,60024,7565,711,30573,,892.9,,1639,134,7708,933,,,,5,,335 330103,01-JAN-16,31-DEC-16,As Submitted,OLEAN GENERAL HOSPITAL ,515 MAIN STREET ,,OLEAN ,NY ,14760 ,CATTARAUGUS ,45911,,,283310,,,.1013,63381,55027,150,54900,10120,1255,25974,4.12,789.28,,1573,251,4595,923,191,,109,,602, 330104,01-JAN-16,31-DEC-16,Amended,NYACK HOSPITAL ,160 NORTH MIDLAND AVENUE ,,NYACK ,NY ,10960 ,USA ,,,,2151954,,,.2216,,,209,76494,24255,4103,57780,,1246.6,,3851,584,10883,4519,,,82,,637, 330106,01-JAN-16,31-DEC-16,As Submitted,NORTH SHORE UNIVERSITY HOSPITAL ,300 COMMUNITY DRIVE ,,MANHASSET ,NY ,10030 ,NASSAU ,41641823,,,3806183,,,.0764,21345577,4929168,756,283006,101816,13622,290266,336.5,10314.56,,15218,1860,50179,5715,,,125,,812, 330107,01-JAN-16,31-DEC-16,As Submitted,PECONIC BAY MEDICAL CENTER ,1300 ROANOKE AVENUE ,,RIVERHEAD ,NY ,11901 ,SUFFOLK ,4232180,,,559375,,,.0629,2449448,450011,117,42822,16113,2422,31361,32.92,846.6,,3958,1211,7928,,,,,,, 330108,01-JAN-16,31-DEC-16,As Submitted,ST. JOSEPHS HOSPITAL ,555 ST. JOSEPHS BLVD. ,,ELMIRA ,NY ,14901 ,CHEMUNG ,,,,45959,112729,,.431,,,34,12444,2092,1685,7467,,219.1,,355,132,974,118,315,,232,7,1044,435 330111,01-JAN-16,31-DEC-16,As Submitted,BERTRAND CHAFFEE HOSPITAL ,224 EAST MAIN STREET ,,SPRINGVILLE ,NY ,14141 ,ERIE ,,,,,,,,,,23,8418,925,35,2975,,243.9,,266,10,914,75,,,,,, 330115,01-JAN-16,31-DEC-16,As Submitted,ONEIDA HEALTHCARE ,321 GENESEE STREET ,,ONEIDA ,NY ,13421 ,MADISON ,,,,169769,,,.1179,,,101,36966,3976,369,11433,,658.5,,880,73,2714,,,,,,, 330119,01-JAN-16,31-DEC-16,As Submitted,LENOX HILL HOSPITAL ,100 EAST 77TH STREET ,,NEW YORK ,NY ,10075 ,MANHATTAN ,20106326,108128,,2245063,12074,,.1114,10126297,4504416,422,154452,32146,5488,116639,229.21,4781,,5898,2191,27623,3746,,,116,,639, 330125,01-JAN-16,31-DEC-16,As Submitted,ROCHESTER GENERAL HOSPITAL ,1425 PORTLAND AVENUE ,,ROCHESTER ,NY ,14617 ,MONROE ,7074886,,,1428039,,,.0984,4449389,1979872,470,172020,37222,4604,152971,114.41,5910.77,,6004,889,29347,5424,,,137,,842, 330126,01-JAN-16,31-DEC-16,As Submitted,ORANGE REGIONAL MEDICAL CENTER ,707 EAST MAIN STREET ,,MIDDLETOWN ,NY ,10940 ,ORANGE ,3741794,,,1831066,,,.089,1742449,535220,329,120414,44625,6029,94636,23.04,2161.81,,7934,1112,20131,4097,246,,211,9,1042,593 330127,01-JUL-16,30-JUN-17,As Submitted,JACOBI MEDICAL CENTER ,1400 PELHAM PARKWAY SOUTH ,,BRONX ,NY ,10461 ,BRONX ,8437064,,,2982917,,,.564,5172582,4678491,326,118990,14999,21840,101674,293.9,3211.9,,1991,2302,16394,,,,419,43,1698,405 330128,01-JUL-16,30-JUN-17,As Submitted,ELMHURST HOSPITAL CENTER ,79-01 BROADWAY ,,ELMHURST ,NY ,11373 ,QUEENS ,5195776,,,2515044,,,.5705,7184177,3782441,358,130670,14442,33901,102958,237.99,3081.91,,1769,3694,15335,7536,,,597,24,2678,206 330132,01-JAN-16,31-DEC-16,As Submitted,TLC HEALTH NETWORK ,845 ROUTES 5 & 20 ,,IRVING ,NY ,14081 ,CATTARAUGUS ,,,,32855,,,.12,,,25,9150,692,59,1641,,238,,202,17,494,55,,,251,,618, 330135,01-JAN-16,31-DEC-16,As Submitted,BON SECOURS COMMUNITY HOSPITAL ,BON SECOURS COMMUNITY HOSPITAL ,160 EAST MAIN STREET ,PORT JERVIS ,NY ,12771 ,ORANGE ,,,,301488,,,.12,,,98,35868,5093,1741,13482,,354.9,,1100,216,2884,670,217,,144,,711, 330136,01-JAN-16,31-DEC-16,As Submitted,MARY IMOGENE BASSETT HOSPITAL ,1 ATWELL ROAD ,,COOPERSTOWN ,NY ,13326 ,OTSEGO ,6014258,,,924972,,,.1077,1717099,1930374,160,58560,20403,1717,44036,53.33,3289.44,,3733,298,8799,,,,80,,543, 330140,01-JAN-16,30-JUN-16,Amended,ST. JOSEPHS HOSPITAL HEALTH CENTER ,301 PROSPECT AVENUE ,,SYRACUSE ,NY ,13203 ,ONONDAGA ,2872285,,,1000649,,,.0898,1061122,325841,451,82082,25911,3199,65025,58.36,3360.62,,4336,412,12443,1971,,,,,, 330140,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPHS HOSPITAL HEALTH CENTER ,301 PROSPECT AVENUE ,,SYRACUSE ,NY ,13203 ,ONONDAGA ,5689714,,,1647610,,,.076,2129037,693298,451,164615,47875,4558,126562,58.1,3328.39,,8289,655,24933,4067,,,,,, 330141,01-JAN-16,31-DEC-16,As Submitted,BROOKHAVEN MEMORIAL HOSPITAL MEDICAL ,101 HOSPITAL RD ,,E PATCHOGUE ,NY ,11772 ,SUFFOLK ,2818681,,,1432149,,,.0977,1547543,388684,216,80886,36462,4211,74342,18.5,1663.8,,5425,614,11678,,,,88,,446, 330144,01-JAN-16,31-DEC-16,As Submitted,IRA DAVENPORT MEMORIAL HOSPITAL INC ,7571 STATE ROUTE 54 ,,BATH ,NY ,14810 ,STEUBEN ,,,,24235,,,.1239,,,15,5490,569,73,1473,,141.2,,160,17,391,60,,,,,, 330151,01-JAN-16,31-DEC-16,As Submitted,ST. JAMES MERCY HOSPITAL ,411 CANISTEO STREET ,,HORNELL ,NY ,14843 ,STEUBEN ,,,,52801,,,.0952,,,15,11874,1392,90,2874,,208.5,,403,31,833,97,,,,,, 330153,01-JAN-16,31-DEC-16,As Submitted,ELLIS HOSPITAL ,1101 NOTT STREET ,,SCHENECTADY ,NY ,12309 ,SCHENECTADY ,2262239,,,1601031,,,.1629,1421294,644924,339,124074,26492,6169,94733,35.05,2777,,4844,857,18004,3867,,,,,, 330154,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL FOR CANCER AND ALL ,1275 YORK AVENUE ,,NEW YORK ,NY ,10065 ,NEW YORK ,,,,,,,,,4595280,476,174216,55788,3260,160072,319.7,12269.9,,8036,405,23060,1518,,,,,, 330157,01-JAN-16,31-DEC-16,As Submitted,SAMARITAN MEDICAL CENTER ,SAMARITAN MEDICAL CENTER ,,WATERTOWN ,NY ,13601 ,JEFFERSON ,390725,,,492117,,,.12,224724,105206,167,61122,20081,6290,37596,11.25,1318.35,,3303,1282,7198,,,,428,3,1158,125 330158,01-JAN-16,31-DEC-16,As Submitted,GOOD SAMARITAN HOSPITAL ,255 LAFAYETTE AVENUE ,,SUFFERN ,NY ,10901 ,ROCKLAND ,,,,2756369,,,.1901,,,286,104676,24792,4606,66498,,1359.6,,4906,684,14073,4641,,,,,, 330160,01-JAN-16,31-DEC-16,As Submitted,STATEN ISLAND UNIVERSITY HOSPITAL ,475 SEAVIEW AVENUE ,,STATEN ISLAND ,NY ,10305 ,RICHMOND ,19308746,,,4557213,,,.2042,9167913,2823654,531,194346,53600,13509,188233,283.86,5509.15,,8287,2693,37365,9873,266,,123,29,797,1068 330162,01-JAN-16,31-DEC-16,As Submitted,NORTHERN WESTCHESTER HOSPITAL ,400 EAST MAIN STREET ,,MOUINT KISCO ,NY ,10549 ,WESTCHESTER ,,,,,,,,,,174,63684,15509,915,38863,,1356.3,,3156,176,8800,1045,45,,32,,300, 330163,01-JAN-16,31-DEC-16,As Submitted,EASTERN NIAGARA HOSPITAL ,521 EAST AVENUE ,,LOCKPORT ,NY ,14094 ,NIAGARA ,,,,456690,,,.2424,,,125,45750,6883,3179,28315,3.37,517.9,,1128,1020,4084,,,,,,, 330164,01-JUL-16,30-JUN-17,As Submitted,HIGHLAND HOSPITAL ,1000 SOUTH AVENUE ,,ROCHESTER ,NY ,14620 ,MONROE ,3028589,,,720527,,,.12,2147431,904670,247,90155,18963,3481,80728,77.5,2403.4,,3059,595,16083,,,,,,, 330166,01-JAN-16,31-DEC-16,As Submitted,WESTFIELD MEMORIAL HOSPITAL ,189 EAST MAIN STREET ,,WESTFIELD ,NY ,14787 ,CHAUTAUQUA ,,,,273,,,.0902,,,4,1464,8,,28,,70.59,,3,,9,1,,,,,, 330167,01-JAN-16,31-DEC-16,As Submitted,WINTHROP UNIVERSITY HOSPITAL ,259 FIRST STREET ,,MINEOLA ,NY ,11501 ,NASSAU ,28035736,,,2566546,,,.0839,10012501,4168567,511,187026,60661,17265,173749,253.37,7025.48,,9276,1078,32768,,,,,,, 330169,01-JAN-16,31-DEC-16,As Submitted,MOUNT SINAI BETH ISRAEL ,1ST AVENUE@ 16TH STREET ,,NEW YORK ,NY ,10003 ,MANHATTAN ,25909088,,,9518673,,,.3496,23575873,9099051,740,270568,60379,19996,191098,411.59,5666.06,,9688,2941,35300,8780,983,,509,16,2435,332 330175,01-JAN-16,31-DEC-16,As Submitted,CORTLAND REGIONAL MEDICAL CENTER ,134 HOMER AVENUE ,2010 ,CORTLAND ,NY ,13045 ,CORTLAND ,,,,224536,,,.12,,,103,37698,5893,529,13646,,599.44,,1160,94,2900,,,,62,,344, 330180,01-JUL-16,30-JUN-17,As Submitted,SAMARITAN HOSPITAL ,2215 BURDETT AVE ,,TROY ,NY ,12180 ,RENSSELAER ,,,,293422,,,.0691,,,149,54385,11255,1144,28685,,,,1894,164,6199,,,,242,,1750, 330181,01-JAN-16,31-DEC-16,As Submitted,GLEN COVE HOSPITAL ,101 ST. ANDREWS LANE ,,GLEN COVE ,NY ,11542 ,NASSAU ,1841802,,,,,,,1062723,283908,54,19764,8949,784,15937,14.92,704.2,,1740,162,3459,270,,,,31,,994 330182,01-JAN-16,31-DEC-16,Amended,ST. FRANCIS HOSPITAL ,100 PORT WASHINGTON BLVD ,,ROSLYN ,NY ,11576 ,NASSAU ,418161,,,,,,,160674,58900,364,133224,60719,1449,101945,1.92,2752.7,,8974,204,16382,,,,,,, 330184,01-JAN-16,31-DEC-16,As Submitted,MONTEFIORE NEW ROCHELLE HOSPITAL ,16 GUION AVE ,,NEW ROCHELLE ,NY ,10802 ,WESTCHESTER ,4224954,,,1264489,,,.1897,4006834,769086,151,55266,13703,2673,33792,48.87,1033.1,,2448,486,6752,1885,,,,,, 330185,01-JAN-16,31-DEC-16,As Submitted,JOHN T MATHER MEMORIAL HOSPITAL ,75 N COUNTRY ROAD ,,PT JEFFERSON ,NY ,11777 ,SUFFOLK ,7772383,,,,,,,4157845,1560644,195,71354,32537,889,54799,57,1868.9,,5779,193,10720,,,,177,,1223, 330188,01-JAN-16,31-DEC-16,As Submitted,MOUNT ST. MARYS HOSPITAL ,5300 MILITARY RD ,,LEWISTON ,NY ,14092 ,NIAGARA ,,,,542122,,,.2174,,,133,48678,7501,2476,27472,,692.8,,1337,216,5317,892,,,,,, 330191,01-JAN-16,31-DEC-16,As Submitted,GLENS FALLS HOSPITAL ,100 PARK STREET ,,GLENS FALLS ,NY ,12801 ,WARREN ,,,,430888,,,.0642,,,363,132858,24075,4147,60717,,2165.8,,3883,424,11745,2212,299,,212,4,1106,233 330193,01-JAN-16,31-DEC-16,As Submitted,FLUSHING HOSPITAL MEDICAL CENTER ,45TH AVE AT PARSONS BLVD ,,FLUSHING ,NY ,11355 ,QUEENS ,5774294,,,2863686,,,.4111,6206246,832892,275,100650,23325,12545,89427,116.69,1693.01,,2696,2047,15080,,,,55,,333, 330194,01-JAN-16,31-DEC-16,As Submitted,MAIMONIDES MEDICAL CENTER ,48-02 TENTH AVENUE ,,BROOKLYN ,NY ,11219 ,KINGS ,38972230,,,13642728,,,.4505,20005356,5245260,641,198820,57100,13289,187773,384.8,5504.2,,9113,2396,35144,13678,,,271,,1413, 330195,01-JAN-16,31-DEC-16,As Submitted,LONG ISLAND JEWISH MEDICAL CENTER ,275-05 76TH STREET ,,NEW HYDE PARK ,NY ,11040 ,QUEENS ,33194809,,,8315011,,,.233,26108612,7007334,1116,403281,82147,28578,351650,599.93,12108.3,,13486,5153,70927,21566,,,755,,5040, 330196,01-JUL-16,30-JUN-17,As Submitted,CONEY ISLAND ,2601 OCEAN PARKWAY ,,BROOKLYN ,NY ,11235 ,,6917889,,,4996931,,,.5836,5323559,2467931,292,106580,28741,19476,83420,128.76,2794.7,,3561,2644,12738,,,,221,15,928,106 330197,01-JAN-16,31-DEC-16,As Submitted,CANTON-POTSDAM HOSPITAL ,50 LEROY STREET ,,POTSDAM ,NY ,13676 ,SAINT LAWRENCE ,,,,324669,,,.12,,,94,34404,7528,2658,24188,,1015.8,,1642,349,4883,1231,,,,,, 330198,01-JAN-16,31-DEC-16,As Submitted,SOUTH NASSAU COMMUNITIES HOSPITAL ,ONE HEALTHY WAY ,,OCEANSIDE ,NY ,11572 ,NASSAU ,7022388,,,1131697,,,.0571,3715103,995328,351,128466,46567,4168,104017,60.36,2922,,7363,721,19426,,,,196,,1031, 330199,01-JUL-16,30-JUN-17,As Submitted,METROPOLITAN HOSPITAL CENTER ,1901 FIRST AVENUE ,,NEW YORK ,NY ,10029 ,NEW YORK ,2277276,,,1016376,,,.7118,2860822,2102634,196,66065,3680,9933,36560,176.57,1752.15,,692,3039,8060,,,,,,2600,185 330201,01-JAN-16,31-DEC-16,As Submitted,KINGSBROOK JEWISH MEDICAL CENTER ,585 SCHENECTADY AVENUE ,,BROOKLYN ,NY ,11203 ,KINGS ,4543284,,,1592829,,,.2811,6866212,624632,161,58926,16035,4058,43237,79.27,1508.3,,2023,829,7072,1345,156,,203,34,909,666 330202,01-JUL-16,30-JUN-17,As Submitted,NYC HEALTH + HOSPITAL / KINGS COUNTY ,451 CLARKSON AVENUE ,,BROOKLYN ,NY ,11203 ,KINGS ,7140694,,,2515942,,,.5778,5401490,2767003,406,148190,14349,30328,117188,369.47,4030,,1725,4967,19395,,,,702,45,3425,326 330203,01-JAN-16,31-DEC-16,As Submitted,CROUSE HOSPITAL ,736 IRVING AVE ,,SYRACUSE ,NY ,13210 ,ONONDAGA ,1935726,,,2730983,,,.2579,920398,301623,487,178242,26430,13633,117381,43.64,2438.27,,4899,899,19174,4968,,,,,, 330204,01-JUL-16,30-JUN-17,As Submitted,BELLEVUE HOSPITAL CENTER ,462 FIRST AVENUE ,,NEW YORK ,NY ,10016 ,NEW YORK ,7150012,,,2839376,,,.612,3993948,3581466,527,166440,12339,32488,120901,411.82,4060.93,,1816,4969,20789,,,,1362,64,6045,438 330205,01-JAN-16,31-DEC-16,As Submitted,ST ANTHONYS COMMUNITY HOSPITAL ,ST ANTHONYS COMMUNITY HOSPITAL ,15 MAPLE AVENUE ,WARWICK ,NY ,10990 ,ORANGE ,,,,,,,,,,60,21960,4761,257,9476,,303.7,,1038,44,2226,249,,,,,, 330208,01-JAN-16,31-DEC-16,As Submitted,ST. JOHNS RIVERSIDE HOSPITAL ,967 NORTH BROADWAY ,,YONKERS ,NY ,10701 ,WESTCHESTER ,410096,,,4240277,,,.4267,,,378,138348,25462,12182,95044,7.03,1548.09,,4224,1750,17029,,,,,,, 330211,01-JAN-16,31-DEC-16,As Submitted,CLAXTON HEPBURN MEDICAL CENTER ,214 KING STREET ,,OGDENSBURG ,NY ,13669 ,ST. LAWRENCE ,,,,129114,,,.0802,,,87,31842,5485,355,10450,,578.4,,984,127,2097,385,309,,207,,1061, 330215,01-JAN-16,31-DEC-16,As Submitted,ROME MEMORIAL HOSPITAL INC. ,1500 N. JAMES STREET ,,ROME ,NY ,13440 ,ONEIDA ,,,,249480,,,.12,,,79,28835,5887,2450,14006,,647.51,,1207,567,3182,,1,,21,,313, 330218,01-JAN-16,31-DEC-16,As Submitted,OSWEGO HOSPITAL ,110 W SIXTH ST ,,OSWEGO ,NY ,13126 ,OSWEGO ,,,,286378,,,.1225,,,132,48312,6789,959,16654,,839,,1251,97,3353,735,283,,119,,786, 330219,01-JAN-16,31-DEC-16,As Submitted,ERIE COUNTY MEDICAL CENTER ,462 GRIDER ST. ,,BUFFALO ,NY ,14215 ,ERIE ,7416001,,,2393265,,,.3115,5508977,1530611,324,115149,20491,6119,88625,152.39,2460.8,,3003,950,14648,4189,835,,1074,33,3111,400 330221,01-JAN-16,31-DEC-16,Amended,WYCKOFF HEIGHTS MEDICAL CENTER ,374 STOCKHOLM STREET ,,BROOKLYN ,NY ,11237 ,KINGS ,5264228,,,2443682,,,.5294,6410239,1751595,261,95526,10313,6316,57157,151,1822.4,,1930,1224,12714,6180,,,,,, 330222,01-JAN-16,31-DEC-16,As Submitted,SARATOGA HOSPITAL ,211 CHURCH ST ,,SARATOGA SPRINGS ,NY ,12866 ,SARATOGA ,,,,257243,,,.0474,,,171,62586,17080,1639,48729,,1900,,2975,275,9260,,,,,,, 330223,01-JAN-16,31-DEC-16,As Submitted,MASSENA MEMORIAL HOSPITAL ,1 HOSPITAL DRIVE ,,MASSENA ,NY ,13662 ,ST. LAWRENCE ,,,,129420,,,.1009,,,50,18300,4328,494,9187,,381,,858,132,2017,512,,,,,, 330224,01-JAN-16,31-DEC-16,As Submitted,BENEDICTINE HOSPITAL ,105 MARYS AVENUE ,,KINGSTON ,NY ,12401 ,ULSTER ,49901,,,437052,,,.4259,53080,32444,45,16470,2013,1953,9530,.98,304.1,,440,243,1933,,,,135,,952,140 330226,01-JAN-16,31-DEC-16,As Submitted,THE UNITY HOSPITAL OF ROCHESTER ,1555 LONG POND ROAD ,,ROCHESTER ,NY ,14626 ,MONROE ,1935570,,,761363,,,.1246,1460305,701630,283,103578,17563,4891,85206,42.57,3330,,2814,533,15476,,,,102,18,569,456 330229,01-JAN-16,31-DEC-16,As Submitted,BROOKS MEMORIAL HOSPITAL ,529 CENTRAL AVE. ,,DUNKIRK ,NY ,14063 ,CHAUTAUQUA ,,,,129947,,,.12,,,65,23790,2569,217,8501,,336.5,,619,42,2197,724,,,,,, 330231,01-JUL-16,30-JUN-17,As Submitted,QUEENS HOSPITAL CENTER ,82-68 164TH STREET ,,JAMAICA ,NY ,11432 ,U.S.A ,2511505,,,1534939,,,.5828,1402016,1639800,190,69350,7710,13270,55376,95.62,2064.4,,1152,2959,11208,4740,614,,286,20,1473,156 330232,01-JUL-16,30-JUN-17,As Submitted,SETON HEALTH ,1300 MASSACHUSETTS AVE ,,TROY ,NY ,12180 ,RENSSELAER ,,,,162086,,,.4381,,,160,20040,1939,2228,8697,,632.4,,242,126,1030,,,,,,, 330233,01-JAN-16,31-DEC-16,Amended,BROOKDALE HOSPITAL MEDICAL CENTER ,ONE BROOKDALE PLAZA ,,BROOKLYN ,NY ,11212 ,BROOKLYN ,7105965,,,2297129,,,.4393,7581813,1590552,288,105408,11766,9539,74392,220.1,3210.5,,1655,1515,12154,5036,807,,476,,1841, 330234,01-JAN-16,31-DEC-16,Amended,WESTCHESTER MEDICAL CENTER ,WESTCHESTER MEDICAL CENTER ,100 WOODS ROAD ,VALHALLA ,NY ,10595 ,WESTCHESTER ,16986956,,,6799112,,,.3003,9545756,1592504,708,259128,49714,25244,188002,314.06,3754.4,,5788,2336,23775,7248,926,,875,21,3236,506 330235,01-JAN-16,31-DEC-16,As Submitted,AUBURN MEMORIAL HOSPITAL ,17 LANSING STREET ,,AUBURN ,NY ,13021 ,CAYUGA ,,,,318171,,,.0948,,,85,31025,9772,630,19405,,696.7,,2069,134,4557,993,153,,76,,498, 330236,01-JAN-16,31-DEC-16,As Submitted,NEWYORK-PRESBYTERIAN/BROOKLYN METHOD ,506 SIXTH STREET ,,BROOKLYN ,NY ,11215 ,KINGS ,19922641,,,6310799,,,.2954,13395780,3444853,516,188856,48963,9857,186327,275.59,3705.1,,7564,1800,34958,11129,,,213,2,1138,601 330238,01-JAN-16,31-DEC-16,As Submitted,NICHOLAS H. NOYES MEMORIAL HOSPITAL ,111 CLARA BARTON STREET ,,DANSVILLE ,NY ,14437 ,LIVINGSTON ,,,,100208,,,.1197,,,67,24522,2646,403,8331,,427.07,,611,140,2361,544,,,,,, 330239,01-JAN-16,31-DEC-16,As Submitted,UPMC CHAUTAUQUA AT WCA ,UPMC CHAUTAUQUA AT WCA ,PO BOX 840 ,JAMESTOWN ,NY ,14701 ,CHAUTAUQUA ,,,,342218,,,.12,,,157,44652,9673,2337,26734,,870.2,,1829,355,5361,1403,454,,353,,1158,126 330240,01-JUL-16,30-JUN-17,As Submitted,HARLEM HOSPITAL CENTER ,506 LENOX AVENUE ,,NEW YORK ,NY ,10037 ,NEW YORK ,3863146,,,1428597,,,.5758,6653865,2369022,222,70080,7013,13163,54944,186.17,2419.76,,1037,2189,11026,,,,541,34,1578,145 330241,01-JAN-16,31-DEC-16,As Submitted,UNIVERSITY HOSPITAL AT SYRACUSE ,750 E. ADAMS STREET ,,SYRACUSE ,NY ,13210 ,ONONDAGA ,15313103,,,3990384,,,.2434,6811751,2868404,641,198738,44094,10465,151284,348.21,5112.85,,7032,1743,28089,7263,238,,202,32,1079,887 330245,01-JAN-16,31-DEC-16,As Submitted,ST. ELIZABETH MEDICAL CENTER ,2209 GENESEE STREET ,,UTICA ,NY ,13501 ,ONEIDA ,2014342,,,497423,,,.0615,1343095,440845,177,64782,21523,1380,46444,27.32,1625.59,,3998,290,9740,1120,,,194,,1053, 330246,01-JAN-16,31-DEC-16,As Submitted,ST CHARLES HOSPITAL ,200 BELLE TERRE ROAD ,,PORT JEFFERESON ,NY ,11777 ,SUFFOLK ,228342,,,1068673,,,.1829,281712,57710,167,61122,16591,8335,52522,3,1285.45,,2391,765,8969,,,,,21,,1076 330250,01-OCT-15,30-SEP-16,As Submitted,CHAMPLAIN VALLEY PHYSICIANS HOSPITAL ,75 BEEKMAN STREET ,,PLATTSBURGH ,NY ,12901 ,CLINTON ,,,,994009,,,.1185,,,300,109800,26110,1620,52378,,2012.5,,4338,436,9119,,,,,,, 330259,01-JAN-16,31-DEC-16,As Submitted,MERCY MEDICAL CENTER ,1000 NORTH VILLAGE AVE ,,ROCKVILLE CENTRE ,NY ,11570 ,NASSAU ,61913,,,833645,,,.1249,320787,64512,299,109434,18458,2723,47840,1.34,1214,,2815,413,8442,,,,121,5,572,835 330261,01-JAN-16,31-DEC-16,As Submitted,PHELPS MEMORIAL HOSPITAL CENTER ,701 NORTH BROADWAY ,,SLEEPY HOLLOW ,NY ,10591 ,WESTCHESTER ,1859517,,,1490992,,,.2344,1238414,453570,168,61488,14354,3270,38540,27.61,1421.28,,2514,290,6297,,,,52,2,378,185 330264,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES CORNWALL HOSPITAL ,70 DUBOIS ST ,,NEWBURGH ,NY ,12550 ,ORANGE ,,,,1418719,,,.1492,,,193,70638,21330,3583,48127,,1007.3,,3794,541,9638,2399,,,,,, 330265,01-JAN-16,31-DEC-16,As Submitted,CLIFTON SPRINGS HOSPITAL AND CLINIC ,2 COULTER ROAD ,,CLIFTON SPRINGS ,NY ,14432 ,ONTARIO ,,,,316335,,,.3694,,,104,38064,3365,2662,13101,,443.7,,588,144,1826,315,110,,58,,448, 330267,01-JAN-16,31-DEC-16,As Submitted,NEW YORK-PRESBYTERIAN/HUDSON VALLEY ,1980 CROMPOND ROAD ,,CORTLANDT MANOR ,NY ,10567 ,WESTCHESTER ,,,,434255,,,.0483,,,128,46848,18539,1414,35462,,982.26,,3696,270,8050,1087,,,,,, 330268,01-JAN-16,31-DEC-16,As Submitted,BASSETT HOSPITAL OF SCHOHARIE COUNTY ,178 GRANDVIEW DRIVE ,,COBLESKILL ,NY ,12043 ,SCHOHARIE ,,,,21662,,,.069,,,40,14640,3453,51,4962,,205.3,,273,8,469,35,,,,,, 330270,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL FOR SPECIAL SURGERY ,535 EAST 70TH STREET ,,NEW YORK ,NY ,10021 ,MANHATTAN ,15737753,,,,,,,3133820,704393,209,76494,21327,249,52881,79.09,4280.25,,5781,48,15792,233,,,,,, 330273,01-JAN-16,31-DEC-16,As Submitted,PUTNAM HOSPITAL CENTER ,670 STONELEIGH AVE ,,CARMEL ,NY ,10512 ,PUTNAM ,,,,,,,,,,144,52704,12112,660,23947,,630.2,,2819,129,5922,580,158,,81,,655, 330276,01-JAN-16,31-DEC-16,As Submitted,NATHAN LITTAUER HOSPITAL & NURSING H ,99 EAST STATE STREET ,,GLOVERSVILLE ,NY ,12078 ,FULTON ,,,,170009,,,.164,,,63,23058,2615,365,8455,,688.5,,664,78,2147,644,,,,,, 330277,01-JAN-16,30-JUN-16,Amended,CORNING HOSPITAL ,1 GUTHRIE DRIVE ,,CORNING ,NY ,14830 ,STEUBEN ,,,,84998,,,.0641,,,74,13468,3010,248,7294,,537.1,,783,70,2069,389,,,,,, 330277,01-JUL-16,30-JUN-17,As Submitted,CORNING HOSPITAL ,1 GUTHRIE DRIVE ,,CORNING ,NY ,14830 ,STEUBEN ,,,,176742,,,.07,,,65,23725,5648,508,14632,,533.6,8.2,1476,103,4099,837,,,,,, 330279,01-JAN-16,31-DEC-16,As Submitted,MERCY HOSPITAL OF BUFFALO ,565 ABBOTT RD. ,,BUFFALO ,NY ,14220 ,ERIE ,1270891,,,795057,,,.0848,993869,310990,367,132236,20733,3426,96970,24,2368.2,,3653,481,19151,2912,,,,11,,382 330285,01-JUL-16,30-JUN-17,As Submitted,STRONG MEMORIAL HOSPITAL ,135 CORPORATE WOODS SUITE 380 ,,ROCHESTER ,NY ,14623 ,MONROE ,26152379,,,3746042,,,.2064,8236736,7320185,710,259150,54878,17458,258929,661.62,9822.4,,7363,1815,37846,7337,698,,212,13,2082,374 330286,01-JAN-16,31-DEC-16,As Submitted,GOOD SAMARITAN HOSPITAL ,1000 MONTAUK HIGHWAY ,,WEST ISLIP ,NY ,11795 ,SUFFOLK ,4549071,,,2268387,,,.1055,2694265,889382,437,159942,53930,7189,143703,57.75,3040.9,,7583,1351,25236,,,,,,, 330304,01-JAN-16,31-DEC-16,As Submitted,WHITE PLAINS HOSPITAL ,41 EAST POST ROAD ,,WHITE PLAINS ,NY ,10601 ,WESTCHESTER ,,,,661623,,,.047,,,292,106872,29956,4632,77076,,2526.6,,5530,901,16248,1596,,,,,, 330307,01-JAN-16,31-DEC-16,As Submitted,CAYUGA MEDICAL CENTER AT ITHACA ,101 DATES DRIVE ,,ITHACA ,NY ,14850 ,TOMPKINS ,,,,415301,,,.1187,,,144,52704,8031,932,21356,,1112.9,,2515,387,5114,,,,172,3,1101,139 330331,01-JAN-16,31-DEC-16,As Submitted,PLAINVIEW HOSPITAL ,888 OLD COUNTRY ROAD ,,PLAINVIEW ,NY ,11803 ,NASSAU ,5128962,,,,,,,3904316,847252,158,57828,23012,1147,42806,48.51,1230.5,,3967,178,8582,467,,,,,, 330332,01-JAN-16,31-DEC-16,As Submitted,ST. JOSEPH HOSPITAL ,4295 HEMPSTEAD TURNPIKE ,,BETHPAGE ,NY ,11714 ,NASSAU ,74725,,,,,,,57266,15089,203,74298,17165,552,33257,1,668.3,,3048,104,6232,,,,,,, 330340,01-JAN-16,31-DEC-16,As Submitted,SOUTHAMPTON HOSPITAL ,240 MEETING HOUSE LANE ,,SOUTHAMPTON ,NY ,11968 ,SUFFOLK ,6128961,,,365907,,,.0733,3793424,1962857,94,34404,9164,940,18501,68.25,873.6,4.7,2207,219,4601,998,,,,,, 330350,01-JAN-16,31-DEC-16,As Submitted,UNIVERSITY HOSPITAL OF BROOKLYN ,445 LENOX ROAD ,,BROOKLYN ,NY ,11203 ,KINGS ,9182773,,,2338357,,,.4485,15212522,3080466,305,111630,16004,10416,80557,296.88,2642.01,,2020,1151,11975,,,,,14,,307 330354,01-APR-16,31-MAR-17,As Submitted,ROSWELL PARK CANCER INSTITUTE ,666 CARLTON ST ,,BUFFALO ,NY ,14263 ,ERIE ,,,,,,,,,1010598,133,48545,9679,933,38880,55.93,2975,,1145,90,5082,,,,,,, 330385,01-JUL-16,30-JUN-17,As Submitted,NORTH CENTRAL BRONX HOSPITAL ,3424 KOSSUTH AVENUE ,,BRONX ,NY ,10467 ,BRONX ,662645,,,657916,,,.7046,781288,545982,130,47450,2829,7017,26857,46.2,1052.2,,489,905,5626,,,,223,,1243, 330386,01-JAN-16,31-DEC-16,As Submitted,CATSKILL REGIONAL MEDICAL CENTER ,68 BUSHVILLE ROAD ,800 ,HARRIS ,NY ,12742 ,SULLIVAN ,,,,680553,,,.2027,,,84,30744,7580,1574,15398,,460.54,,1491,209,3437,1134,,,109,,512, 330387,01-JAN-16,31-DEC-16,Settled,ROCKEFELLER UNIVERSITY HOSPITAL ,1230 YORK AVENUE ,,NEW YORK ,NY ,10021 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 330393,01-JAN-16,31-DEC-16,Amended,STONY BROOK UNIVERSITY HOSPITAL ,NICOLLS ROAD ,,STONY BROOK ,NY ,11794-9112 ,SUFFOLK ,46523612,,,4685504,,,.1373,16405387,4666008,563,205903,63893,11112,182840,428.71,6094.5,,10345,1318,30709,5532,221,,321,,975, 330394,01-JAN-16,31-DEC-16,As Submitted,UHS ,10 - 42 MITCHELL AVENUE ,,BINGHAMTON ,NY ,13903 ,BROOME ,4182503,,,2063381,,,.1799,2831359,1636057,372,136138,26701,7048,78261,67.92,3830,,4839,694,14570,2734,3,,2,10,1665,319 330395,01-JAN-16,31-DEC-16,Amended,EPISCOPAL HEALTH SERVICES ,327 BEACH 19TH STREET ,,FAR ROCKAWAY ,NY ,11691 ,QUEENS ,10422250,,,2621477,,,.4123,14569514,3797349,170,62220,17056,9076,46692,150.81,1177.5,,2241,1195,7004,,,,222,,781, 330396,01-JUL-16,30-JUN-17,As Submitted,WOODHULL HOSPITAL CENTER ,760 BROADWAY ,,BROOKLYN ,NY ,11206 ,KINGS ,2101193,,,1399927,,,.6771,1830654,1367022,238,86870,5598,12024,52259,128.98,2198,,852,1803,8916,,,,443,,1865, 330397,01-JAN-16,31-DEC-16,As Submitted,INTERFAITH MEDICAL CENTER ,1545 ATLANTIC AVENUE ,,BROOKLYN ,NY ,11213 ,KINGS ,3075311,,,1421420,,,.6029,4160768,1034763,153,55998,6519,7143,42035,121.3,1316,,903,1169,7552,,,,418,,2051, 330399,01-JAN-16,31-DEC-16,As Submitted,ST. BARNABAS HOSPITAL ,4422 THIRD AVENUE ,,BRONX ,NY ,10457 ,BRONX ,5193554,,,2127547,,,.6908,9080747,2090648,283,103578,8112,12646,63889,284.29,2329.69,,1203,2176,12369,,,,239,,1205, 330401,01-JAN-16,31-DEC-16,As Submitted,ST. CATHERINE OF SIENA MEDICAL CENTE ,50 ROUTE 25A ,,SMITHTOWN ,NY ,11787 ,SUFFOLK ,,,,,,,,,,254,92964,23938,1205,48389,,1164.47,,4160,181,9557,529,,,223,,1051, 330403,01-JAN-16,31-DEC-16,As Submitted,MONROE COMMUNITY HOSPITAL ,435 EAST HENRIETTA ROAD ,,ROCHESTER ,NY ,14620 ,MONROE ,,,,,,,,,,5,1825,52,1,55,,.5,,12,1,14,,,,,,, 330405,01-APR-16,31-MAR-17,As Submitted,HELEN HAYES HOSPITAL ,HELEN HAYES HOSPITAL ,ROUTE 9W ,WEST HAVERSTRAW ,NY ,10993 ,ROCKLAND ,,,,,,,,48905,4494,,2196,131,,153,2.31,,,25,,31,2,,,,99,,1498 330406,01-JUL-16,30-JUN-17,As Submitted,SUNNYVIEW HOSPITAL REHABILITATION CE ,1270 BELMONT AVENUE ,,SCHENECTADY ,NY ,12308 ,SCHENECTADY ,,,,,,,,,,17,6205,2899,25,4745,,71.15,,331,3,549,20,,,,45,,1886 330408,01-JAN-16,31-DEC-16,As Submitted,TRI TOWN REGIONAL HEALTHCARE ,43 PEARL STREET WEST ,,SIDNEY ,NY ,13838 ,DELEWARE ,,,,,,,,,,4,1464,,,,,54.4,,,,,,,,,,, 330409,01-JAN-16,31-DEC-16,Settled,BURDETT CARE CENTER ,2215 BURDETT AVE SUITE 200 ,,TROY ,NY ,12180 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 331301,01-JAN-16,31-DEC-16,As Submitted,CUBA MEMORIAL HOSPITAL INC ,140 W MAIN STREET ,,CUBA ,NY ,14727 ,ALLEGANY ,,,,,,,,,,20,7320,1082,112,2134,,103.2,,15,,35,2,,,,,, 331302,01-OCT-15,30-SEP-16,As Submitted,ELIZABETHTOWN COMMUNITY HOSPITAL ,75 PARK STREET ,P.O. BOX 277 ,ELIZABETHTOWN ,NY ,12932 ,ESSEX ,,,,,,,,,,25,9150,2711,63,3493,,182.13,,215,,288,11,,,,,, 331303,01-JAN-16,31-DEC-16,As Submitted,CATSKILL REGIONAL MEDICAL CENTER GRO ,8881 STATE RT 97 ,,CALLICOON ,NY ,12742 ,SULLIVAN ,,,,,,,,,,15,5490,759,15,1037,,30.7,,19,,31,3,,,,,, 331304,01-JAN-16,31-DEC-16,As Submitted,MARGARETVILLE HOSPITAL ,42084 STATE HIGHWAY ,,MARGARETVILLE ,NY ,12455 ,DELAWARE ,,,,,,,,,,15,5490,1076,15,1492,,95,,90,4,163,3,,,,,, 331305,01-JAN-16,31-DEC-16,As Submitted,OCONNOR HOSPITAL ,460 ANDES ROAD ,,DELHI ,NY ,13753 ,DELAWARE ,,,,,,,,,,16,5856,1237,145,1914,,155.5,,97,3,134,3,,,,,, 331306,01-JAN-16,31-DEC-16,As Submitted,MOSES-LUDINGTON HOSPITAL ,1019 WICKER STREET ,,TICONDEROGA ,NY ,12883 ,ESSEX ,,,,,,,,,,15,5490,222,12,286,,95.54,,48,6,70,4,,,,,, 331307,01-JAN-16,31-DEC-16,As Submitted,CLIFTON-FINE HOSPITAL ,1014 OSWEGATCHIE TRAIL ,,STAR LAKE ,NY ,13690 ,ST. LAWRENCE ,,,,,,,,,,20,7320,232,3640,5147,,58.8,,40,,64,6,,,,,, 331309,01-JAN-16,31-DEC-16,As Submitted,RIVER HOSPITAL ,4 FULLER STREET ,,ALEXANDRIA BAY ,NY ,13607 ,JEFFERSON ,,,,,,,,,,24,8784,559,515,2021,,182.1,,47,2,84,15,,,,,, 331310,01-JAN-16,31-DEC-16,As Submitted,ELLENVILLE REGIONAL HOSPITAL ,10 HEALTH WAY ,,ELLENVILLE ,NY ,12428 ,ULSTER ,,,,,,,,,,15,5490,3206,23,4373,,163.6,,147,7,258,11,,,,,, 331311,01-JAN-16,31-DEC-16,As Submitted,LITTLE FALLS HOSPITAL ,140 BURWELL STREET ,,LITTLE FALLS ,NY ,13365 ,HERKIMER ,,,,,,,,,,25,9150,2949,84,5453,,234.5,,378,21,758,65,,,,,, 331312,01-JAN-16,31-DEC-16,As Submitted,DELAWARE VALLEY HOSPITAL ,1 TITUS PLACE ,,WALTON ,NY ,13856 ,DELAWARE ,,,,,,,,,,25,9150,1280,1141,4117,,189.4,,118,169,375,,,,,,, 331313,01-JAN-16,31-DEC-16,As Submitted,SCHUYLER HOSPITAL ,220 STEUBEN STREET ,,MONTOUR FALLS ,NY ,14865 ,SCHUYLER ,,,,,,,,,,25,9150,2548,91,3880,,233.8,,259,11,505,50,,,,,, 331314,01-JAN-16,31-DEC-16,As Submitted,SOLDIERS & SAILORS MEMORIAL HOSPITAL ,418 NORTH MAIN STREET ,,PENN YAN ,NY ,14527 ,YATES ,,,,,,,,,,25,9150,1183,41,2040,,201,,196,12,453,29,35,,20,,213, 331315,01-JAN-16,31-DEC-16,As Submitted,GOUVERNEUR HOSPITAL ,77 WEST BARNEY STREET ,,GOUVERNEUR ,NY ,13642 ,ST. LAWRENCE ,,,,,,,,,,25,9150,1468,17,2849,,133.2,,180,5,353,22,,,,,, 331316,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY MEMORIAL HOSPITAL ,150 BROAD ST ,,HAMILTON ,NY ,13346 ,MADISON ,,,,,,,,,,25,9150,2510,26,5435,,240.6,,498,5,1428,136,,,,,, 331317,01-JAN-16,31-DEC-16,As Submitted,LEWIS COUNTY GENERAL HOSPITAL ,7785 N. STATE STREET ,,LOWVILLE ,NY ,13367 ,LEWIS ,,,,,,,,,,25,9150,1682,185,4756,,462.4,,428,39,1102,284,,,,,, 331318,01-JAN-16,31-DEC-16,As Submitted,CARTHAGE AREA HOSPITAL ,1001 WEST STREET ,,CARTHAGE ,NY ,13609 ,JEFFERSON ,,,,,,,,,,25,9150,2282,127,5405,,339.5,,320,29,973,170,,,,,, 331319,01-JAN-16,31-DEC-16,As Submitted,MEDINA MEMORIAL HOSPITAL ,200 OHIO STREET ,,MEDINA ,NY ,14103 ,ORLEANS ,,,,,,,,,,25,9150,1532,79,4160,,279.54,,235,23,692,22,,,,,,40 331990,01-JAN-16,31-DEC-16,As Submitted,HIGH RIDGE HOUSE ,5959 INDEPENDENCE AVE ,,RIVERDALE ,NY ,10471 ,BRONX ,,,,,,,,,,20,7320,337,,802,,9.75,,8,,14,,,,,,, 332006,01-JAN-16,31-DEC-16,As Submitted,CALVARY HOSPITAL INC. ,1740 EASTCHESTER ROAD ,,BRONX ,NY ,10461 ,BRONX ,,,,,,,,,,225,82350,47916,12057,78971,,711.3,,1774,215,2890,,,,,,, 332008,01-JUL-16,30-JUN-17,As Submitted,HENRY J. CARTER SPECIALTY HOSPITAL ,900 MAIN STREET ,,ROOSEVELT ISLAND ,NY ,10044 ,MANHATTAN ,,,,,,,,,71,201,73365,4576,41147,55693,,696.6,,76,140,316,,,,,,, 332022,01-JAN-16,31-DEC-16,As Submitted,TERENCE CARDINAL COOKE HEALTH CARE ,1249 FIFTH AVENUE ,,NEW YORK ,NY ,10029 ,NEW YORK ,,,,,,,,,,54,18988,,18586,18586,,82.28,,,5,6,,,,,,, 333030,01-JAN-16,31-DEC-16,As Submitted,BURKE REHABILITATION HOSPITAL ,785 MAMARONECK AVENUE ,,WHITE PLAINS ,NY ,10605 ,WESTCHESTER ,,,,,,,,,,150,54900,21182,1500,42303,2.01,594.7,,1228,49,2291,73,,,,,, 333301,01-JAN-16,31-DEC-16,Settled,BLYTHEDALE CHILDRENS HOSPITAL ,96 BRADHURST AVENUE ,,VALHALLA ,NY ,10595 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 334002,01-JAN-16,31-DEC-16,As Submitted,FOUR WINDS INC. ,800 CROSS RIVER RD. ,,KATONAH ,NY ,10536 ,WESTCHESTER ,,,,,,,,,,175,64050,510,20123,55474,,520.7,,40,1068,4064,,,,,,, 334022,01-JAN-16,31-DEC-16,As Submitted,BRYLIN HOSPITALS ,1263 DELAWARE AVENUE ,,BUFFALO ,NY ,14209 ,ERIE ,,,,,,,,,,88,32208,1230,802,12281,,183.8,,115,47,1254,364,,,,,, 334026,01-JAN-16,31-DEC-16,Amended,BRUNSWICK HOSPITAL CENTER INC ,81 LOUDEN AVE ,,AMITYVILLE ,NY ,11701 ,SUFFOLK ,,,,,,,,,,124,45384,9511,7351,38427,,237.6,,467,267,2521,,,,,,, 334027,01-JAN-16,31-DEC-16,As Submitted,SOUTH OAKS HOSPITAL ,400 SUNRISE HIGHWAY ,,AMITYVILLE ,NY ,11701 ,SUFFOLK ,,,,,,,,,,197,72102,11535,9495,58188,,830.3,,844,677,6135,,,,,,, 334048,01-JAN-16,31-DEC-16,As Submitted,THE NEW YORK GRACIE SQUARE HOSPITAL ,420 E 76 ST ,,NEW YORK ,NY ,10021 ,NEW YORK ,,,,,,,,,,157,57462,6352,1001,32639,,306.5,,276,30,1746,,,,,,, 334049,01-JAN-16,31-DEC-16,As Submitted,FOUR WINDS OF SARATOGA INC. ,800 CROSS RIVER RD. ,,KATONAH ,NY ,10536 ,WESTCHESTER ,,,,,,,,,,88,32208,1810,4259,31896,,315.3,,129,274,2783,,,,,,, 334064,01-APR-16,31-MAR-17,Settled,SAGAMORE CHILDRENS PSYCH CENTER ,197 HALF HOLLOW ROAD ,,DIX HILLS ,NY ,11746 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 334065,01-APR-16,31-MAR-17,Settled,WNY CHILDRENS PSYCH CENTER ,1010 EAST AND WEST ROADS ,,WEST SENECA ,NY ,14224 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 334066,01-APR-16,31-MAR-17,Settled,ROCKLAND CHILDRENS PSYCH CENTER ,2 FIRST AVENUE ,,ORANGEBURG ,NY ,10962 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 340001,01-JAN-16,31-DEC-16,As Submitted,CAROLINAS HEALTHCARE SYSTEM NORTHEAS ,920 CHURCH STREET NORTH ,,CONCORD ,NC ,28025-2927 ,CABARRUS ,1555575,,,1903676,,,.1288,703645,360248,447,163602,31265,17536,96879,25.28,2620.86,,6743,4938,24233,1046,,,4,,176, 340002,01-OCT-15,30-SEP-16,As Submitted,MISSION HOSPITAL INC ,506 BILTMORE AVENUE ,,ASHEVILLE ,NC ,28801 ,BUNCOMBE ,4776899,436852,,5002617,457493,,.15,1294752,623692,665,243390,73035,42438,197837,52.78,5881.59,,14911,8539,38707,,,,30,,2457, 340003,01-OCT-15,30-SEP-16,Amended,NORTHERN HOSP OF SURRY CO ,830 ROCKFORD STREET ,,MOUNT AIRY ,NC ,27030 ,SURRY ,,,,265207,,,.1179,,,100,36600,5443,1703,12360,,546.68,,1490,767,4284,,,,,,, 340004,01-JUL-16,30-JUN-17,As Submitted,HIGH POINT REGIONAL HEALTH ,HIGH POINT REGIONAL HEALTH ,HP-5 ,HIGH POINT ,NC ,27260- ,GUILFORD ,,,,729364,,,.0945,,,310,113150,18408,9279,68200,,1361.35,,3924,3303,16137,,,,,13,,396 340008,01-OCT-15,30-SEP-16,As Submitted,SCOTLAND MEMORIAL HOSPITAL ,500 LAUCHWOOD DRIVE ,,LAURINBURG ,NC ,28352- ,SCOTLAND ,,,,427053,,,.12,,,97,35502,8113,4202,19378,,697.06,,2094,1491,5666,244,,,,15,,140 340010,01-OCT-15,30-JUN-16,As Submitted,WAYNE MEMORIAL HOSPITAL ,2700 WAYNE MEMORIAL DRIVE ,8001 ,GOLDSBORO ,NC ,27533 ,WAYNE ,,,,1015438,,,.1544,,,261,71514,17701,7542,38022,,1509.25,,3300,2189,7841,,,,,,, 340010,01-JUL-16,30-JUN-17,Amended,WAYNE MEMORIAL HOSPITAL ,2700 WAYNE MEMORIAL DRIVE ,8001 ,GOLDSBORO ,NC ,27533 ,WAYNE ,,,,299569,1089938,,.1401,,,261,95265,25008,9574,52242,,1509.55,,4750,2744,10610,,,,,,, 340013,01-JUN-16,31-MAY-17,As Submitted,RUTHERFORD HOSPITAL INC. ,288 S. RIDGECREST AVENUE ,,RUTHERFORDTON ,NC ,28139- ,RUTHERFORD ,,,,495485,,,.1616,,,129,47085,7343,3397,14838,,517.36,,1635,1089,3485,,,,,,444, 340014,01-JAN-16,31-DEC-16,As Submitted,FORSYTH MEMORIAL HOSPITAL INC ,3333 SILAS CREEK PARKWAY ,,WINSTON SALEM ,NC ,27103 ,FORSYTH ,1386160,,,2592591,,,.1184,585890,317399,841,307806,57151,38931,230214,24.05,5063.5,,9563,8917,40213,,,,,42,372,697 340015,01-JAN-16,31-DEC-16,As Submitted,ROWAN REGIONAL HOSPITAL ,612 MOCKSVILLE AVENUE ,,SALISBURY ,NC ,28144- ,ROWAN ,,,,535076,,,.1047,,,169,61854,15068,6286,43557,,873.75,,2662,1693,7488,,,,1,15,378,128 340017,01-OCT-15,30-SEP-16,As Submitted,MARGARET R. PARDEE MEMORIAL HOSPITAL ,800 NORTH JUSTICE STREET ,,HENDERSONVILLE ,NC ,28791- ,HENDERSON ,519520,,,380026,,,.0583,172275,201814,216,59292,13310,3813,29569,7.3,1164.35,,3350,885,7974,,,,,,, 340020,01-JAN-16,31-DEC-16,As Submitted,CENTRAL CAROLINA HOSPITAL ,1135 CARTHAGE STREET ,,SANFORD ,NC ,27330 ,LEE ,,,,383027,,,.12,,,127,46482,7286,3775,18087,,539.25,,2036,1431,4632,,,,,,, 340021,01-JAN-16,31-DEC-16,As Submitted,CAROLINAS HC SYSTEM CLEVELAND ,201 EAST GROVER STREET ,,SHELBY ,NC ,28150 ,CLEVELAND ,,,,799584,,,.1391,,,241,88206,13242,5853,30775,,977.03,,2937,2065,8398,354,,,,,, 340023,01-JAN-16,31-DEC-16,Amended,PARK RIDGE HEALTH ,100 HOSPITAL DRIVE ,,HENDERSONVILLE ,NC ,28792- ,HENDERSON ,,,,329353,,,.1434,,,73,26718,4803,2145,13398,,923.34,,1167,890,3284,,,,1,,547, 340024,01-OCT-15,30-SEP-16,As Submitted,SAMPSON REGIONAL MEDICAL CENTER ,607 BEAMAN STREET ,258 ,CLINTON ,NC ,28328- ,SAMPSON ,409351,,,374728,,,.1804,257580,164591,83,30378,7727,2244,14559,7.39,573.08,,1285,952,3083,,,,,,, 340027,01-OCT-15,30-SEP-16,As Submitted,LENOIR MEMORIAL HOSPITAL ,100 AIRPORT ROAD ,,KINSTON ,NC ,28501 ,LENOIR ,,,,766599,,,.1435,,,150,54900,14997,4016,24769,,771.96,,2851,1252,5115,,,,,22,,118 340028,01-OCT-15,30-SEP-16,As Submitted,CAPE FEAR VALLEY MEDICAL CENTER ,1638 OWEN DRIVE ,2000 ,FAYETTEVILLE ,NC ,28302 ,CUMBERLAND ,1960651,267915,,5133708,701501,,.2608,647660,217435,514,188124,59074,52175,165115,23.61,3976.01,,10324,10000,29576,,,,,,,1259 340030,01-JUL-16,30-JUN-17,As Submitted,DUKE UNIVERSITY HOSPITAL ,610 DOUGLAS STREET ,3088 ,DURHAM ,NC ,27710- ,DURHAM ,43790506,,,7027410,,,.1681,7978851,5906371,936,341926,83834,64145,292379,641.48,8242.08,,12700,8626,42083,,,,,,592, 340032,01-JUL-16,30-JUN-17,As Submitted,GASTON MEMORIAL HOSPITAL ,2525 COURT DRIVE ,,GASTONIA ,NC ,28054 ,GASTON ,,,,2012401,,,.1347,,,370,135050,34562,18181,97523,,2602.01,,6996,4466,21025,,,,,,, 340037,01-JAN-16,31-DEC-16,As Submitted,CAROLINAS HC SYSTEM KINGS MOUNTAIN ,706 WEST KING STREET ,,KINGS MOUNTAIN ,NC ,28086 ,CLEVELAND ,,,,55603,,,.0515,,,47,17202,3134,736,6472,,240.25,,716,182,1588,28,,,1,,1146, 340039,01-OCT-15,30-SEP-16,As Submitted,IREDELL MEMORIAL HOSPITAL ,557 BROOKDALE DRIVE ,1828 ,STATESVILLE ,NC ,28677- ,IREDELL ,,,,338623,,,.0563,,,155,56730,15794,4586,34947,,1070.86,,3353,1419,7735,,,,,,, 340040,01-OCT-15,30-SEP-16,As Submitted,PITT COUNTY MEMORIAL HOSPITAL ,2100 STANTONSBURG ROAD ,,GREENVILLE ,NC ,27858 ,PITT ,19659312,,,9141360,,,.224,13345503,3265612,782,286212,86615,54914,214915,317.79,5825.42,,15201,8194,41053,,,,8,227,1315,968 340041,01-JUL-16,30-JUN-17,As Submitted,CALDWELL MEMORIAL HOSPITAL ,321 MULBERRY STREET ,1890 ,LENOIR ,NC ,28645- ,CALDWELL ,,,,209429,,,.0698,,,110,40150,8038,2610,18715,,698.44,,1488,903,3995,,,,,,, 340042,01-OCT-15,30-SEP-16,As Submitted,ONSLOW MEMORIAL HOSPITAL ,241 NEW RIVER DRIVE ,,JACKSONVILLE ,NC ,28540 ,ONSLOW ,,,,938362,,,.2056,,,162,59292,14147,7755,31494,,959.74,,2624,2532,8469,,,,,,, 340047,01-JUL-16,30-JUN-17,As Submitted,NORTH CAROLINA BAPTIST HOSPITAL ,MEDICAL CENTER BLVD ,,WINSTON-SALEM ,NC ,27157- ,FORSYTH ,29377282,,,4606968,,,.1676,10946366,7881687,796,290540,61808,48867,227036,605.38,7872.79,,10137,6308,36154,,56,,,92,1442,1599 340049,01-JAN-16,31-DEC-16,As Submitted,NORTH CAROLINA SPECIALTY HOSPITAL ,3916 BEN FRANKLIN BLVD ,15819 ,DURHAM ,NC ,27701 ,DURHAM ,,,,,,,,,,18,6588,1437,57,3729,,175.25,,565,29,1662,,,,,,, 340050,01-OCT-15,30-SEP-16,As Submitted,S.E. REGL MEDICAL CENTER ,300 W. 27TH STREET ,P.O. BOX ,LUMBERTON ,NC ,28358-3075 ,ROBESON ,2217256,,,2493265,,,.2564,856376,380412,256,93696,30462,16955,72394,5.35,1775.11,,5545,4767,15455,,,,,,, 340051,01-OCT-15,30-SEP-16,As Submitted,WATAUGA MEDICAL CENTER ,336 DEERFIELD ROAD ,2600 ,BOONE ,NC ,28607- ,WATAUGA ,,,,261492,,,.0833,,,94,34404,6146,1807,13604,,609,,1779,702,3886,,,,,,, 340053,01-JAN-16,31-DEC-16,As Submitted,PRESBYTERIAN HOSPITAL ,200 HAWTHORNE LANE ,31276 ,CHARLOTTE ,NC ,28231-1726 ,MECKLENBURG ,,,,2931598,,,.1828,,,582,213012,32105,30519,139640,,3113.61,,6104,5951,22047,,,,3,,2730, 340060,01-OCT-15,30-SEP-16,As Submitted,MOREHEAD MEMORIAL HOSPITAL ,117 EAST KINGS HWY ,,EDEN ,NC ,27288- ,ROCKINGHAM ,,,,177631,,,.12,,,108,39528,3144,1501,9804,,461.84,,890,684,2904,,,,,,, 340061,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY OF NORTH CAROLINA HOSP. ,101 MANNING DRIVE ,,CHAPEL HILL ,NC ,27514 ,ORANGE ,27962538,,,5702270,,,.2194,9324473,5146209,759,276912,56690,67077,239849,639.16,9014.7,,8582,9858,36425,,,,33,134,2542,581 340064,01-OCT-15,30-SEP-16,As Submitted,WILKES REGIONAL MEDICAL CENTER ,1370 WEST D STREET ,609 ,NORTH WILKESBORO ,NC ,28659- ,WILKES ,,,,283581,,,.12,,,94,34404,5350,2202,13445,,508.78,,1440,941,3889,,,,,,, 340068,01-OCT-15,30-SEP-16,As Submitted,COLUMBUS REGIONAL HEALTHCARE SYSTEM ,500 JEFFERSON STREET ,,WHITEVILLE ,NC ,28472- ,COLUMBUS ,,,,665034,,,.2022,,,154,56364,8759,3408,16992,,527.18,,1898,1189,4314,119,,,,,, 340069,01-OCT-15,30-SEP-16,As Submitted,WAKEMED RALEIGH CAMPUS ,3000 NEW BERN AVENUE ,14465 ,RALEIGH ,NC ,27620-4465 ,WAKE ,4284777,,,4343155,,,.2095,1887285,536540,592,209418,45278,42400,165494,58.75,4283.27,,7962,10073,30674,,,,,155,,1598 340070,01-OCT-15,30-SEP-16,As Submitted,ALAMANCE REGIONAL MEDICAL CENTER ,1240 HUFFMAN MILL ROAD ,202 ,BURLINGTON ,NC ,27215 ,ALAMANCE ,,,,671963,,,.1293,,,182,66612,10044,6846,37162,,1333,,2612,2209,9717,224,,,,,1077, 340071,01-OCT-15,30-SEP-16,As Submitted,HARNETT HEALTH SYSTEM ,800 TILGHMAN DRIVE ,1706 ,DUNN ,NC ,28334 ,HARNETT ,,,,719991,,,.1895,,,151,55266,12691,5691,24899,3.23,741.23,,2681,1715,5701,,,,,,, 340073,01-JUL-16,30-JUN-17,As Submitted,DUKE RALEIGH HOSPITAL ,3200 WAKE FOREST ROAD ,,RALEIGH ,NC ,27611- ,WAKE ,,,,,,,,,,171,62415,18942,3468,43584,,1382.82,,4034,604,9588,,,,,,, 340075,01-JAN-16,31-DEC-16,As Submitted,BLUE RIDGE HEALTHCARE HOSPITALS ,2201 SOUTH STERLING STREET ,,MORGANTON ,NC ,28655 ,BURKE ,1732751,,,731828,,,.1718,633747,547355,156,56548,11768,5627,33866,32.39,1265.22,,2555,1908,7841,703,,,,,, 340084,01-JAN-16,31-DEC-16,As Submitted,CAROLINAS HEALTHCARE SYSTEM ANSON ,2301 US HIGHWAY 74 WEST ,,WADESBORO ,NC ,28170- ,ANSON ,,,,6144,,,.0515,,,15,5490,197,22,312,,115.37,,83,10,143,3,,,,,, 340085,01-JAN-16,31-DEC-16,As Submitted,THOMASVILLE MEDICAL CENTER ,207 OLD LEXINGTON ROAD ,,THOMASVILLE ,NC ,27360 ,DAVIDSON ,,,,137188,,,.12,,,74,27084,2840,3415,12930,,397.93,,693,1328,3464,,,,,,860, 340087,01-OCT-15,30-SEP-16,As Submitted,THE MCDOWELL HOSPITAL ,430 RANKIN DRIVE ,,MARION ,NC ,28752 ,MCDOWELL ,,,,142329,,,.12,,,49,17885,3382,1433,7811,,220.1,,810,511,2133,,,,,,, 340090,01-JUL-16,30-JUN-17,As Submitted,JOHNSTON HEALTH ,509 NORTH BRIGHTLEAF BLVD ,,SMITHFIELD ,NC ,27577 ,JOHNSTON ,,,,1195321,,,.172,,,179,65335,13792,7143,33673,,1089.6,,3520,3091,8877,,,,,,988, 340091,01-OCT-15,30-SEP-16,As Submitted,THE MOSES H. CONE MEMORIAL HOSPITAL ,1200 NORTH ELM ST ,,GREENSBORO ,NC ,27401- ,GUILFORD ,3095828,,,3791029,,,.1562,1864910,928000,759,277794,47547,37604,199504,51.65,5368.25,,11305,10667,47598,,,,,99,2327,717 340096,01-JUL-16,30-JUN-17,As Submitted,LEXINGTON MEMORIAL HOSPITAL INC. ,250 HOSPITAL DRIVE ,,LEXINGTON ,NC ,27292- ,DAVIDSON ,,,,156149,,,.12,,,80,29200,2473,2065,9699,,592.7,,729,813,2883,31,,,,,, 340097,01-OCT-15,30-SEP-16,As Submitted,HUGH CHATHAM MEMORIAL HOSPITAL ,100 PARKWOOD DRIVE ,,ELKIN ,NC ,28621- ,SURRY ,,,,208346,,,.0925,,,81,29646,6443,2245,16154,,617.34,,1443,977,4060,,,,,,, 340098,01-JAN-16,31-DEC-16,As Submitted,MERCY HOSPITALS INC. ,10628 PARK ROAD ,,CHARLOTTE ,NC ,28210-8407 ,MECKLENBURG ,,,,379411,,,.0329,,,206,75396,23870,3631,65739,,1500,,5365,1061,17838,1580,,,,37,,642 340099,01-OCT-15,30-SEP-16,As Submitted,VIDANT ROANOKE CHOWAN HOSPITAL ,500 SOUTH ACADEMY STREET ,,AHOSKIE ,NC ,27910 ,HERTFORD ,,,,353837,,,.12,,,70,25620,8731,2598,14593,,447.42,,1788,866,3246,,,,1,,841, 340106,01-OCT-15,30-SEP-16,As Submitted,SANDHILLS REGIONAL MEDICAL CENTER ,1000 WEST HAMLET AVE ,,HAMLET ,NC ,28345 ,RICHMOND ,,,,122738,,,.12,,,64,23424,3159,546,7133,,161.72,,701,523,1726,,,,,,, 340107,01-OCT-15,30-SEP-16,As Submitted,VIDANT EDGECOMBE HOSPITAL ,111 HOSPITAL DRIVE ,,TARBORO ,NC ,27886 ,EDGECOMBE ,,,,638173,,,.1967,,,101,36966,7729,3133,14805,,417.6,,1716,1012,3470,,,,,31,,166 340109,01-JAN-16,31-DEC-16,Amended,SENTARA ALBEMARLE REGL MED CTR LLC ,1144 NORTH ROAD STREET ,,ELIZABETH CITY ,NC ,27909 ,PASQUOTANK ,,,,443445,,,.0925,,,142,51972,12245,3304,22721,,648.8,,2760,1076,5302,,,,,,, 340113,01-JAN-16,31-DEC-16,As Submitted,CAROLINAS MEDICAL CENTER ,1000 BLYTHE BLVD ,32861 ,CHARLOTTE ,NC ,28232- ,MECKLENBURG ,14681189,,,8690766,,,.2283,4183764,2609484,1040,380640,73770,75510,314107,270.62,10073.19,,13940,14102,56896,4217,,,22,44,5212,187 340114,01-JUL-16,30-JUN-17,As Submitted,REX HOSPITAL ,4420 LAKE BOONE TRAIL ,,RALEIGH ,NC ,27607- ,WAKE ,,,,,,,,,,433,158045,44869,10094,122102,,3380.37,,9988,2555,27624,,,,,,, 340115,01-OCT-15,30-SEP-16,As Submitted,FIRSTHEALTH MOORE REGIONAL HOSPITAL ,35 MEMORIAL DRIVE ,3000 ,PINEHURST ,NC ,28374- ,MOORE ,,,,2013258,,,.0809,,,422,154452,51531,14198,104077,,2973.52,,11103,3994,23929,307,,,1,13,1644,300 340116,01-JAN-16,30-SEP-16,As Submitted,FRYE REGIONAL MEDICAL CENTER ,420 NORTH CENTER STREET ,,HICKORY ,NC ,28601 ,CATAWBA ,,,,230242,,,.0442,,,242,66308,11624,2632,27029,,1179.83,,2573,657,6109,186,,,,7,1925,104 340119,01-JAN-16,29-FEB-16,As Submitted,STANLY REGIONAL MEDICAL CENTER ,301 YADKIN STREET ,,ALBEMARLE ,NC ,28001 ,STANLY ,,,,47238,,,.1066,,,97,5820,949,378,2152,,236.6,,245,143,627,28,,,,,92, 340119,01-MAR-16,31-DEC-16,Amended,CAROLINAS HEALTHCARE SYSTEM STANLY ,301 YADKIN STREET ,,ALBEMARLE ,NC ,28001 ,STANLY ,,,,235032,,,.12,,,97,29682,4308,1840,9997,,482.49,,1114,733,3208,212,,,,,485, 340120,01-OCT-15,30-SEP-16,As Submitted,DUPLIN GENERAL HOSPITAL ,HIGHWAY 11 NORTH MAIN STREET ,278 ,KENANSVILLE ,NC ,28349- ,DUPLIN ,,,,194154,,,.12,,,49,17934,3946,2833,9207,,321.27,,973,1129,2874,,,,4,,812, 340123,01-OCT-15,30-SEP-16,Amended,RANDOLPH HOSPITAL ,373 NORTH FAYETTEVILLE STREET ,,ASHEBORO ,NC ,27204- ,RANDOLPH ,,,,289777,,,.1255,,,145,53070,5083,3618,20048,,778.72,,1322,1541,5902,243,,,,,, 340126,01-MAR-16,28-FEB-17,As Submitted,WILSON MEDICAL CENTER ,1705 SOUTH TARBORO STREET ,,WILSON ,NC ,27893 ,WILSON ,,,,1063967,,,.1706,,,251,91615,15144,5754,29290,,884.6,,3509,2051,7182,,,,,,, 340127,01-OCT-15,30-SEP-16,As Submitted,GRANVILLE MEDICAL CENTER ,1010 COLLEGE STREET ,947 ,OXFORD ,NC ,27565- ,GRANVILLE ,,,,154287,,,.12,,,42,15372,3008,1301,7098,,403.91,,760,666,2028,,,,,,, 340129,01-OCT-15,30-SEP-16,As Submitted,LAKE NORMAN REGIONAL MEDICAL CENTER ,171 FAIRVIEW RD ,3250 ,MOORESVILLE ,NC ,28117 ,IREDELL ,,,,184460,,,.0501,,,123,45018,5918,2199,17094,,484.33,,1619,456,4783,,,,,,, 340130,01-JAN-16,31-DEC-16,As Submitted,CAROLINAS HEALTHCARE SYSTEM UNION ,600 HOSPITAL DRIVE ,,MONROE ,NC ,28111 ,UNION ,308050,,,915389,,,.1513,150891,104058,175,64050,13291,6561,35117,3.36,971.9,,3150,2250,8983,650,,,,,, 340131,01-OCT-15,30-SEP-16,As Submitted,CAROLINAEAST MEDICAL CENTER ,2000 NEUSE BOULEVARD ,PO BOX 12 ,NEW BERN ,NC ,28561 ,CRAVEN ,,,,1010987,,,.0725,,,278,101748,34345,5650,63909,,2008.36,,6072,1558,12490,,,,,20,,269 340132,01-NOV-15,31-OCT-16,As Submitted,MARIA PARHAM MEDICAL CENTER ,566 RUIN CREEK ROAD ,59 ,HENDERSON ,NC ,27536- ,VANCE ,,,,618155,,,.1797,,,91,33306,10061,4088,21714,,604.24,,2239,1534,5622,,,,,20,,148 340133,01-MAY-16,30-APR-17,As Submitted,MARTIN GENERAL HOSPITAL ,310 SOUTH MCCASKEY RD ,,WILLIAMSTON ,NC ,27892 ,MARTIN ,,,,220845,,,.2477,,,43,15695,2274,1206,4028,,172.86,,665,295,1330,,,,,,, 340141,01-OCT-15,30-SEP-16,As Submitted,NEW HANOVER REGIONAL MEDICAL CENTER ,2131 S. 17TH ST ,9000 ,WILMINGTON ,NC ,28402 ,NEW HANOVER ,6467299,,,4130173,,,.12,1608547,657804,626,229238,72962,35027,177984,73.49,4785.7,,16191,6960,37167,,,,7,88,1938,800 340142,01-OCT-15,30-SEP-16,As Submitted,CARTERET COUNTY GENERAL HOSPITAL COM ,3500 ARENDELL STREET ,,MOREHEAD CITY ,NC ,28557- ,CARTERET ,,,,139650,,,.0283,,,99,36234,13982,2743,25311,,855.25,,2721,903,5313,,,,,,, 340143,01-JUL-16,30-JUN-17,Amended,CATAWBA VALLEY MEDICAL CENTER ,810 FAIRGROVE CHURCH ROAD SE ,,HICKORY ,NC ,28602- ,CATAWBA ,,,,1052842,,,.1959,,,200,73000,11536,11635,40898,,1321.07,,2569,3238,10778,,,,11,10,2364,107 340144,01-OCT-15,30-SEP-16,As Submitted,DAVIS REGIONAL MEDICAL CENTER ,218 OLD MOCKSVILLE RD ,PO BOX 1823 ,STATESVILLE ,NC ,28625 ,IREDELL ,,,,297587,,,.1744,,,102,37332,4894,2887,14210,,302.91,,962,779,2954,,,,242,,589, 340145,01-JAN-16,31-DEC-16,As Submitted,CAROLINAS HEALTHCARE SYSTEM LINCOLN ,433 MCALISTER ROAD ,,LINCOLNTON ,NC ,28092 ,LINCOLN ,,,,355230,,,.12,,,101,36966,7180,3143,17846,,532.07,,1695,1107,4079,177,,,,,, 340147,01-JUL-16,30-JUN-17,As Submitted,NASH HOSPITALS INC ,2460 CURTIS ELLIS DR ,,ROCKY MOUNT ,NC ,27804 ,NASH ,,,,1982901,,,.2042,,,322,117530,26657,12841,58816,,1544,,5059,2622,12061,8,,,,49,,500 340148,01-JAN-16,31-DEC-16,As Submitted,MEDICAL PARK HOSPITAL ,1900 SOUTH HAWTHORNE ROAD ,24728 ,WINSTON-SALEM ,NC ,27114-4728 ,FORSYTH ,,,,,,,,,,22,8052,743,141,3298,,186.15,,190,40,915,7,,,,,, 340151,01-OCT-15,30-SEP-16,As Submitted,HALIFAX REGIONAL MEDICAL CENTER ,250 SMITH CHURCH ROAD ,1089 ,ROANOKE RAPIDS ,NC ,27870- ,HALIFAX ,,,,492186,,,.12,,,94,34404,12160,3187,20662,,621.78,,2571,1487,5052,,,,,,753, 340155,01-JUL-16,30-JUN-17,As Submitted,DUKE REGIONAL HOSPITAL ,3643 NORTH ROXBORO ROAD ,,DURHAM ,NC ,27704-2763 ,DURHAM ,1927899,,,1213791,,,.1203,842507,316666,301,109865,23117,11530,69374,32.22,1637.48,,4549,2753,14873,,,,,81,788,497 340156,01-OCT-15,30-SEP-16,As Submitted,CHEROKEE INDIAN HOSPITAL AUTHORITY ,HOSPITAL RD CALL BOX C-268 ,,CHEROKEE ,NC ,28719 ,SWAIN ,,,,21305,,,.12,,,20,7320,373,448,1681,,479,,101,45,576,,,,,,, 340158,01-JAN-16,31-DEC-16,As Submitted,BRUNSWICK COMMUNITY HOSPITAL ,240 HOSPITAL DRIVE NE ,,BOLIVIA ,NC ,28422 ,,,,,339200,,,.1076,,,66,24156,7950,2784,15932,,391.42,,2006,707,4310,82,,,,,, 340159,01-JUL-16,30-JUN-17,As Submitted,PERSON MEMORIAL HOSPITAL INC ,615 RIDGE ROAD ,,ROXOBORO ,NC ,27573 ,PERSON ,,,,65634,,,.0718,,,38,13870,1611,276,3439,,192.59,,533,104,1194,,,,,,, 340166,01-JAN-16,31-DEC-16,As Submitted,CAROLINAS HEALTHCARE SYS UNIVERSITY ,8800 NORTH TRYON STREET ,560727 ,CHARLOTTE ,NC ,28256-5009 ,MECKLENBURG ,,,,291872,,,.12,,,100,36600,5289,4674,25610,,788.27,,1355,1309,7521,373,,,,,, 340168,01-JAN-16,31-DEC-16,As Submitted,WILMINGTON TREATMENT CENTER INC ,2520 TROY DRIVE ,,WILMINGTON ,NC ,28401 ,NEW HANOVER ,,,,3907,,,.0279,,,44,16104,837,,10010,,132.16,,159,,406,,,,,,, 340171,01-JAN-16,31-DEC-16,As Submitted,PRESBYTERIAN HOSPITAL MATTHEWS ,1500 MATTHEWS TOWNSHIP PARKWAY ,3310 ,MATTHEWS ,NC ,28105 ,MECKLENBURG ,,,,332517,,,.0618,,,136,49776,13299,6179,40281,,700.57,,2933,1718,9247,,,,,,, 340173,01-OCT-15,30-SEP-16,As Submitted,WAKE MED CARY HOSPITAL ,1900 KILDARE FARM ROAD ,,CARY ,NC ,27518 ,WAKE ,,,,,,,,,,156,57096,15041,2649,43769,,985.41,,3305,641,10565,,,,,,, 340183,01-JAN-16,31-DEC-16,As Submitted,PRESBYTERIAN HOSPITAL HUNTERSVILLE ,10030 GILEAD ROAD ,,HUNTERSVILLE ,NC ,28078 ,MECKLENBURG ,,,,83309,,,.0253,,,118,43188,6850,2302,23364,2.16,500.15,,1838,772,6172,,,,,,, 340186,01-OCT-15,30-SEP-16,As Submitted,VIDANT BEAUFORT HOSPITAL ,628 EAST 12TH STREET ,,WASHINGTON ,NC ,27889 ,BEAUFORT ,,,,297740,,,.12,,,66,24156,6338,1472,10816,,430.87,,1425,558,2626,,,,,,804, 340187,01-JUL-16,30-JUN-17,As Submitted,DAVIE MEDICAL CENTER ,329 NC HIGHWAY 801 N ,,BERMUDA RUN ,NC ,27006-7905 ,DAVIE ,,,,,,,,,,23,8488,326,823,2205,,252.84,,94,35,365,,,,,,, 340188,01-OCT-15,30-SEP-16,Amended,CAPE FEAR VALLEY HOKE HOSPITAL ,210 MEDICAL PAVILION DRIVE ,,RAEFORD ,NC ,28376 ,RAEFORD ,,,,65158,,,.12,,,41,15006,1380,556,3832,,235.54,,443,209,1261,19,,,,,, 340189,22-DEC-15,30-JUN-16,As Submitted,CONTINUECARE HOSPITAL AT UNIVERSITY ,8800 NORTH TRYON STREET 4TH FLOOR ,,CHARLOTTE ,NC ,28262-3300 ,MECKLENBURG ,,,,,,,,,,35,6720,426,,490,,14.37,,15,,18,,,,,,, 341302,01-OCT-15,30-SEP-16,As Submitted,OUR COMMUNITY HOSPITAL ,921 JUNIOR HIGH ROAD ,405 ,SCOTLAND NECK ,NC ,27874- ,HALIFAX ,,,,,,,,,,20,7320,939,7,1235,,41.69,,12,2,15,,,,,,, 341303,01-OCT-15,30-SEP-16,As Submitted,FIRSTHEALTH MONTGOMERY MEMORIAL CAH ,520 ALLEN STREET ,,TROY ,NC ,27371 ,MONTGOMERY ,,,,,,,,,,23,8418,707,58,1035,,99.67,,145,25,293,,,,,,, 341304,01-OCT-15,30-SEP-16,Amended,BERTIE MEMORIAL HOSPITAL ,1403 SOUTH KING STREET ,,WINDSOR ,NC ,27983 ,BERTIE ,,,,,,,,,,6,2196,1080,64,1375,,119.44,,314,20,411,,,,,,, 341307,01-OCT-15,30-SEP-16,As Submitted,PENDER MEMORIAL HOSPITAL ,507 E. FREMONT ST ,,BURGAW ,NC ,28425- ,PENDER ,,,,,,,,,,25,9150,2233,148,3203,,147.82,,401,60,587,,,,,,, 341314,01-OCT-15,30-SEP-16,Settled,CAH #1 - WASHINGTON ,958 US HIGHWAY 64 EAST ,,PLYMOUTH ,NC ,27962 ,WASHINGTON ,,,,,,,,,,25,9150,893,105,1247,,66.97,,123,30,210,,,,,,, 341315,01-OCT-15,30-SEP-16,As Submitted,BLADEN COUNTY HOSPITAL ,HIGHWAY 701 ,398 ,ELIZABETHTOWN ,NC ,28337 ,BLADEN ,,,,,,,,,,25,9150,1461,1303,3918,,405.53,,293,400,762,,,,,,, 341316,01-OCT-15,30-SEP-16,As Submitted,HIGHLANDS CASHIERS HOSPITAL ,HIGHWAY 64E ,190 ,HIGHLANDS ,NC ,28741- ,MACON ,,,,,,,,,,24,8784,1386,19,1924,,89.55,,98,4,147,,,,,,, 341317,01-OCT-15,30-SEP-16,As Submitted,PIONEER HLTH SERV OF STOKES CNTY ,1570 NC & 89 HWY ,10 ,DANBURY ,NC ,27016 ,STOKES ,,,,,,,,,,25,9150,1151,59,2712,,152.91,,78,19,235,12,,,,,, 341318,01-OCT-15,30-SEP-16,As Submitted,CHOWAN HOSPITAL INC. ,211 VIRGINIA AVENUE ,,EDENTON ,NC ,27932 ,CHOWAN ,,,,,,,,,,25,9150,2516,1507,4938,,291.16,,663,609,1496,,,,,,, 341319,01-OCT-15,30-SEP-16,As Submitted,TRANSYLVANIA COMMUNITY HOSPITAL ,260 HOSPITAL DRIVE ,1116 ,BREVARD ,NC ,28712- ,TRANSYLVANIA ,,,,,,,,,,25,9150,3108,486,5438,,293.51,,794,129,1434,,,,,,, 341320,01-OCT-15,30-SEP-16,As Submitted,ALLEGHANY MEMORIAL HOSPITAL ,233 DOCTORS STREET ,,SPARTA ,NC ,28675 ,,,,,,,,,,,25,9150,1357,103,1936,,113.77,,284,33,410,,,,,,, 341322,01-OCT-15,30-SEP-16,As Submitted,ST LUKES HOSPITAL ,220 HOSPITAL DRIVE ,,COLUMBUS ,NC ,28722- ,POLK ,,,,,,,,,,25,9150,3293,101,5346,,208.17,,634,28,1335,,,,,,248, 341323,01-OCT-15,30-SEP-16,As Submitted,CHARLES A. CANNON MEMORIAL HOSPITAL ,434 HOSPITAL DRIVE ,,LINVILLE ,NC ,28646- ,AVERY ,,,,,,,,,,25,9150,1357,207,2148,,146.27,,415,68,761,,,,,,548, 341324,01-OCT-15,30-SEP-16,As Submitted,THE OUTER BANKS HOSPITAL ,4800 S. CROATAN HWY ,,NAGS HEAD ,NC ,27959- ,DARE ,,,,,,,,,,21,7686,1084,750,3049,,249.11,,448,379,1110,,,,,,, 341325,01-JAN-16,31-DEC-16,As Submitted,ASHE MEMORIAL HOSPITAL ,200 HOSPITAL AVENUE ,8 ,JEFFERSON ,NC ,28640- ,ASHE ,,,,,,,,,,25,9150,2427,483,4292,,213.76,,596,249,1110,,,,,,, 341326,01-OCT-15,30-SEP-16,As Submitted,ANGEL MEDICAL CENTER ,120 RIVERVIEW STREET ,,FRANKLIN ,NC ,28744- ,MACON ,,,,,,,,,,25,9150,3450,1507,6999,,276.12,,882,636,1963,,,,,,, 341327,01-OCT-15,30-SEP-16,As Submitted,J ARTHUR DOSHER MEMORIAL HOSPITAL ,924 HOWE STREET ,,SOUTHPORT ,NC ,28461- ,BRUNSWICK ,,,,,,,,,,25,9150,1597,108,2719,,210.96,,481,37,827,,,,,,, 341328,01-JUL-16,30-JUN-17,As Submitted,MURPHY MEDICAL CENTER ,3990 E US HIGHWAY 64 ALT ,,MURPHY ,NC ,28906- ,CHEROKEE ,,,,,,,,,,25,9125,3375,1168,6117,,386.57,,972,369,1894,,,,,,, 341329,01-OCT-15,30-SEP-16,As Submitted,BLUE RIDGE REGIONAL HOSPITAL ,125 HOSPITAL DRIVE ,,SPRUCE PINE ,NC ,28777 ,MITCHELL ,,,,,,,,,,25,9150,1669,769,4136,,179.46,,484,363,1416,,,,,,, 342013,01-MAR-16,28-FEB-17,As Submitted,LIFECARE HOSPITAL OF NORTH CAROLINA ,1051 NOELL LANE ,,ROCKY MOUNT ,NC ,27804- ,NASH ,,,,,,,,,,50,18250,13074,,15618,,133.36,,454,,533,,,,,,, 342014,01-JUL-16,30-JUN-17,Amended,HIGHSMITH RAINEY MEMORIAL HOSPITAL ,150 ROBESON STREET ,,FAYETTEVILLE ,NC ,28301 ,CUMBERLAND ,,,,,,,,,,66,24090,6475,4753,19631,,339.33,,171,77,328,,,,,,, 342017,01-OCT-15,30-SEP-16,As Submitted,ASHEVILLE SPECIALTY HOSPITAL LLC ,428 BILTMORE AVENUE ,,ASHEVILLE ,NC ,28801 ,BUNCOMBE ,,,,,,,,,,34,12444,5505,,8675,,102.61,,222,,356,,,,,,, 342018,01-FEB-16,31-JAN-17,As Submitted,SSH - DURHAM ,3643 NORTH ROXBORO RD ,,DURHAM ,NC ,27704 ,DURHAM ,,,,,,,,,,30,10980,6225,,9589,,86.42,,208,,295,,,,,,, 342019,01-JAN-16,31-DEC-16,As Submitted,CRAWLEY MEMORIAL HOSPITAL INC. ,706 WEST KING STREET 2ND FLOOR ,,KINGS MOUNTAIN ,NC ,28086 ,CLEVELAND ,,,,,,,,,,28,10248,4834,,5548,,56.37,,206,,226,,,,,,, 342020,01-MAY-16,30-APR-17,As Submitted,SSH -GREENSBORO ,1200 NORTH ELM STREET 5TH FLOOR ,,GREENSBORO ,NC ,27401 ,GUILFORD ,,,,,,,,,,30,10950,5746,,7587,,74.72,,205,,269,,,,,,, 342021,01-JUL-16,30-JUN-17,As Submitted,CONTINUECARE HOSPITAL AT UNIVERSITY ,8800 NORTH TRYON STREET 4TH FLOOR ,,CHARLOTTE ,NC ,28262-3300 ,MECKLENBURG ,,,,,,,,,,35,12775,2606,,3338,,41.7,,103,,137,,,,,,, 343025,01-OCT-15,30-SEP-16,As Submitted,CAREPARTNERS REHAB HOSPITAL ,68 SWEETEN CREEK ROAD ,,ASHEVILLE ,NC ,28803 ,BUNCOMBE ,,,,,,,,,,70,25620,8701,2097,17842,,618.34,,693,135,1295,,,,,,, 343026,01-JAN-16,31-DEC-16,As Submitted,CAROLINAS REHABILITATION ,1100 BLYTHE BLVD ,,CHARLOTTE ,NC ,28203- ,MECKLENBURG ,,,,,,,,,52823,150,54900,17205,6352,42710,9.06,635.58,,1176,300,2683,135,,,,,, 344004,01-JUL-16,30-JUN-17,As Submitted,CENTRAL REGIONAL HOSPITAL ,300 VEASY RD. ,,BUTNER ,NC ,27509 ,USA ,,,,,,,,,,398,145270,6566,8325,132020,27,1868.55,,151,130,1107,,,,,,, 344007,01-JAN-16,31-DEC-16,As Submitted,OLD VINEYARD ,3637 OLD VINEYARD ROAD ,,WINSTON SALEM ,NC ,27004 ,FORSYTH ,,,,,,,,,,104,38064,8786,518,35610,,200.19,,963,66,5015,,,,,,, 344014,01-JAN-16,31-DEC-16,As Submitted,HOLLY HILLS HOSPITAL ,3019 FALSTAFF ROAD ,,RALEIGH ,NC ,27610 ,WAKE ,,,,,,,,,,228,83448,14554,,71905,,388.2,,1247,,8041,,,,,,, 344016,01-JUL-16,30-JUN-17,As Submitted,BRYNN MARR HOSPITAL ,192 VILLAGE DRIVE ,,JACKSONVILLE ,NC ,28546 ,ONSLOW ,,,,,,,,,,81,29557,794,,23478,,146.3,,62,,1580,,,,,,, 344023,01-JUL-16,30-JUN-17,As Submitted,JULIAN F KEITH - ADATC ,201 TABERNACLE ROAD ,,BLACK MOUNTAIN ,NC ,28711 ,BUNCOMBE ,,,,,,,,,,80,29200,1075,142,20950,,196.88,,72,13,1519,,,,,,, 344025,01-JUL-16,30-JUN-17,As Submitted,BROUGHTON HOSPITAL ,1000 SOUTH STERLING STREET ,,MORGANTON ,NC ,28655 ,BURKE ,,,,,,,,,,431,157315,2672,5479,100056,,1268.5,,48,21,367,,,,,,, 344026,01-JUL-16,30-JUN-17,As Submitted,CHERRY HOSPITAL ,201 STEVENS MILL ROAD ,,GOLDSBORO ,NC ,27530 ,WAYNE ,,,,,,,,,,226,75778,4193,3675,66779,.73,1044,,94,96,752,,,,,,, 344027,01-JUL-16,30-JUN-17,As Submitted,RJ BLACKLEY ADATC ,RJ BLACKLEY ,1003 12TH STREET ,BUTNER ,NC ,27509 ,GRANVILLE ,,,,,,,,,,62,22630,885,147,11531,,154,,68,12,966,,,,,,, 344028,01-JAN-16,31-DEC-16,Settled,STRATEGIC BEHAVIORAL CNETER-GARNER ,3200 WATERFIELD DRIVE ,,GARNER ,NC ,27529-7727 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 344029,01-JAN-16,31-DEC-16,As Submitted,GOOD HOPE HOSPITAL INC ,410 DENIM DRIVE ,,ERWIN ,NC ,28339-2204 ,HARNETT ,,,,,,,,,,16,5856,642,1894,3032,,31.73,,51,165,246,,,,,,, 344030,01-JAN-16,31-DEC-16,As Submitted,STRATEGIC BEHAVIORAL CENTER LELAND ,2050 MERCANTILE DRIVE ,,LELAND ,NC ,28451 ,BRUNSWICK ,,,,,,,,,,112,35112,349,25727,33730,,214.08,,25,305,550,,,,,,, 344031,07-JAN-16,31-DEC-16,Settled,STRATEGIC BEHAVIORAL CENTER-CHARLOTT ,1715 SHARON W ROAD ,,CHARLOTTE ,NC ,28210-5663 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 350002,01-JUL-16,30-JUN-17,As Submitted,ST ALEXIUS MEDICAL CENTER ,900 EAST BROADWAY AVENUE ,5510 ,BISMARCK ,ND ,58506-5510 ,BURLEIGH ,612411,,,789703,,,.0746,198716,147964,181,66506,16963,6956,36868,6.32,1511.66,,3920,1584,8905,73,,,,,686, 350006,01-JUL-16,30-JUN-17,As Submitted,TRINITY HOSPITALS/ST JOES ,ONE BURDICK EXPRESSWAY WEST ,5020 ,MINOT ,ND ,58702- ,WARD ,359974,,,666152,,,.0952,92592,128564,203,74095,13394,6858,34812,6.56,2498.94,,2731,764,7317,,,,227,6,979,328 350011,01-JUL-16,30-JUN-17,As Submitted,SANFORD MEDICAL CENTER - FARGO ,801 BROADWAY NORTH ,,FARGO ,ND ,58102-3641 ,CASS ,5275949,,,3585783,,,.1383,695197,586702,398,145088,48339,28906,119288,52.99,4680.52,,8952,3733,24143,,,,343,49,943,236 350015,01-JUL-16,30-JUN-17,As Submitted,SANFORD HEALTH BISMARCK ,300 N 7TH ST ,5505 ,BISMARCK ,ND ,58501 ,BURLEIGH ,949290,,,1344074,,,.1338,241126,227094,205,74141,19420,10687,46024,10.05,379.48,,3858,1908,9645,,,,335,13,758,130 350019,01-JAN-16,31-DEC-16,As Submitted,ALTRU HEALTH SYSTEM-ALTRU HOSPITAL ,1200 SOUTH COLUMBIA RD ,6002 ,GRAND FORKS ,ND ,58201- ,GRAND FORKS ,2282534,,,977449,,,.0803,698789,395944,253,92598,26112,10477,55442,31.46,3195.6,,4922,2663,13837,,,,,20,765,227 350063,01-OCT-15,30-SEP-16,As Submitted,QUENTIN N BURDICK MEMORIAL HOSPITAL ,MAIN STREET ,160 ,BELCOURT ,ND ,58316 ,ROLETTE ,,,,27782,,,.12,,,27,9882,830,1098,2285,,369,,142,249,483,,,,,,, 350064,01-OCT-15,30-SEP-16,As Submitted,STANDING ROCK IHS HOSPITAL ,N10 N RIVER ROAD ,J ,FORT YATES ,ND ,58538 ,SIOUX ,,,,2081,,,.12,,,12,4392,61,72,177,,135,,11,16,36,,,,,,, 350070,01-JUL-16,30-JUN-17,As Submitted,INNOVIS HEALTH ,3000 32ND AVENUE S ,,FARGO ,ND ,58103- ,CASS ,,,,648759,,,.0685,,,133,48545,18347,6462,42391,,1580,,3696,633,8785,639,,,,,, 351300,01-JUL-16,30-JUN-17,As Submitted,TIOGA MEDICAL CENTER ,810 NORTH WELO STREET ,159 ,TIOGA ,ND ,58852-0159 ,WILLIAMS ,,,,,,,,,,25,9125,910,47,1390,,51.54,,72,2,100,,,,,,, 351301,01-JUL-16,30-JUN-17,As Submitted,MOUNTRAIL COUNTY MEDICAL CENTER ,615 6TH STREET SE ,339 ,STANLEY ,ND ,58784 ,MOUNTRAIL ,,,,,,,,,,11,4015,434,1,485,,103.27,,15,1,29,,,,,,, 351302,01-JUL-16,30-JUN-17,As Submitted,MCKENZIE COUNTY HEALTHCARE SYSTEM ,516 NORTH MAIN ,548 ,WATFORD CITY ,ND ,58854- ,MCKENZIE ,,,,,,,,,,24,8760,484,5,642,,86.07,,40,1,78,,,,,,, 351303,01-JUL-16,30-JUN-17,As Submitted,GARRISON MEMORIAL HOSPITAL ,407 3RD AVENUE SE ,39 ,GARRISON ,ND ,58540 ,MCLEAN ,,,,,,,,,,22,8030,901,,5523,,78.79,,63,,82,,,,,,, 351304,01-JUL-16,30-JUN-17,As Submitted,TURTLE LAKE COMMUNITY HOSPITAL ,220 5TH AVENUE ,280 ,TURTLE LAKE ,ND ,58575 ,MCLEAN ,,,,,,,,,,22,8030,477,,6861,,47.47,,34,,36,,,,,,, 351305,01-JUL-16,30-JUN-17,As Submitted,KENMARE COMMUNITY HOSPITAL ,317 1ST AVE NW ,697 ,KENMARE ,ND ,58746 ,WARD ,,,,,,,,,,25,9125,451,,7524,,63.93,,10,,10,,,,,,, 351306,01-JUL-16,30-JUN-17,As Submitted,COOPERSTOWN MEDICAL CENTER ,1200 ROBERTS AVENUE NE ,,COOPERSTOWN ,ND ,58425-7101 ,GRIGGS ,,,,,,,,,,18,6570,569,57,720,,30.76,,44,4,54,,,,,,, 351307,01-OCT-15,30-SEP-16,As Submitted,ST ANDREWS HEALTH CENTER ,316 OHMER ST ,,BOTTINEAU ,ND ,58318- ,BOTTINEAU ,,,,,,,,,,25,9150,659,7,6620,,75.87,,74,2,93,1,,,,,, 351308,01-JUL-16,30-JUN-17,As Submitted,NELSON COUNTY HEALTH SYSTEM-HOSPITAL ,200 NORTH MAIN STREET ,367 ,MCVILLE ,ND ,58254- ,NELSON ,,,,,,,,,,19,6935,488,,619,,24.29,,46,,52,,,,,,, 351309,01-JUL-16,30-JUN-17,As Submitted,SANFORD MAYVILLE ,42 6TH AVENUE SE ,,MAYVILLE ,ND ,58257- ,TRAILL ,,,,,,,,,,25,9125,867,5,1006,,60.3,,95,1,111,,,,,,, 351310,01-JUL-16,30-JUN-17,As Submitted,SAKAKAWEA MEDICAL CENTER ,510 J8TH AVE NE ,,HAZEN ,ND ,58545 ,MERCER ,,,,,,,,,,25,9125,870,,1442,,102.5,,129,,166,,,,,,, 351311,01-JUL-16,30-JUN-17,As Submitted,LISBON AREA HEALTH SERVICES ,905 MAIN ,,LISBON ,ND ,58054 ,RANSOM ,,,,,,,,,,25,9125,1673,19,3675,,57.41,,172,6,219,,,,,,, 351312,01-JAN-16,31-DEC-16,As Submitted,NORTHWOOD DEACONESS HEALTH CENTER ,4 N PARK STREET ,190 ,NORTHWOOD ,ND ,58267- ,GRAND FORKS ,,,,,,,,,,12,4380,1200,15,1426,,52.49,,34,1,42,,,,,,, 351313,01-JAN-16,31-DEC-16,As Submitted,SOUTHWEST HEALTHCARE SERVICES ,802 3ND STREET NW ,,BOWMAN ,ND ,58623-0009 ,BOWMAN ,,,,,,,,,,23,8418,323,,2042,,89.9,,40,,57,,,,,,, 351314,01-JUL-16,30-JUN-17,As Submitted,JACOBSON MEMORIAL HOSPITAL ,601 EAST STREET NORTH ,367 ,ELGIN ,ND ,58533- ,GRANT ,,,,,,,,,,30,10950,534,1,9619,,48.39,,75,1,86,,,,,,, 351315,01-JUL-16,30-JUN-17,As Submitted,OAKES COMMUNITY HOSPITAL ,314 SOUTH 8TH ST ,,OAKES ,ND ,58474 ,DICKEY ,,,,,,,,,,20,7300,1777,9,1932,,49.08,,253,4,307,1,,,,,, 351316,01-OCT-15,30-SEP-16,As Submitted,PRESENTATION MEDICAL CENTER ,213 SECOND AVE N.E. ,759 ,ROLLA ,ND ,58367- ,ROLETTE ,,,,,,,,,,25,9150,323,906,2174,,70.98,,53,23,103,,,,,,, 351318,01-JUL-16,30-JUN-17,As Submitted,CARRINGTON HEALTH CENTER ,800 NORTH FOURTH STREET ,,CARRINGTON ,ND ,58421 ,FOSTER ,,,,,,,,,,25,9125,1689,24,2006,,62.98,,276,8,345,,,,,,, 351319,01-JAN-16,31-DEC-16,As Submitted,PEMBINA COUNTY MEMORIAL HOSPITAL ,301 MOUNTAIN ST. EAST ,,CAVALIER ,ND ,58220- ,PEMBINA ,,,,,,,,,,20,7320,783,12,934,,64.91,,193,1,265,,,,,,, 351320,01-JUL-16,30-JUN-17,As Submitted,UNITY MEDICAL CENTER ,164 WEST 13TH STREET ,,GRAFTON ,ND ,58237- ,WALSH ,,,,,,,,,,14,5110,1541,16,1868,,76.08,,124,5,167,,,,,,, 351321,01-JAN-16,31-DEC-16,As Submitted,WISHEK COMMUNITY HOSPITAL ,1007 4TH AVENUE SOUTH ,,WISHEK ,ND ,58495 ,MCINTOSH ,,,,,,,,,,24,8784,682,3,739,,49.44,,138,1,153,,,,,,, 351322,01-JUL-16,30-JUN-17,As Submitted,ASHLEY MEDICAL CENTER ,612 CENTER AVENUE NORTH ,,ASHLEY ,ND ,58413- ,MCINTOSH ,,,,,,,,,,20,7300,565,,1108,,56.23,,52,,56,,,,,,, 351323,01-JUL-16,30-JUN-17,As Submitted,CAVALIER COUNTY MEMORIAL HOSPITAL ,909 SECOND STREET ,,LANGDON ,ND ,58249 ,CAVALIER ,,,,,,,,,,20,7300,624,3,769,,57.27,,121,1,177,,,,,,, 351324,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL OF VALLEY CITY ,570 CHAUTAQUA BOULEVARD ,,VALLEY CITY ,ND ,58072 ,BARNES ,,,,,,,,,,25,9125,1879,19,2954,,60.63,,197,8,244,,,,,,, 351325,01-JUL-16,30-JUN-17,As Submitted,ST. LUKES HOSPITAL ,700 FIRST STREET SW ,10 ,CROSBY ,ND ,58730- ,DIVIDE ,,,,,,,,,,15,5475,805,,940,,44.19,,55,,63,,,,,,, 351326,01-JAN-16,31-DEC-16,As Submitted,FIRST CARE HEALTH CENTER ,115 VIVIAN STREET ,1 ,PARK RIVER ,ND ,58278- ,WALSH ,,,,,,,,,,14,5124,1773,4,2330,,64.5,,174,1,213,,,,,,, 351327,01-OCT-15,30-SEP-16,As Submitted,ST ALOISIUS MEDICAL CENTER ,325 EAST BREWSTER STREET ,,HARVEY ,ND ,58341- ,WELLS ,,,,,,,,,,25,9150,1429,61,1975,,95.27,,177,24,230,,,,,,, 351328,01-APR-16,31-MAR-17,As Submitted,LINTON HOSPITAL ,518 NORTH BROADWAY ,850 ,LINTON ,ND ,58552-0850 ,EMMONS ,,,,,,,,,,14,5110,538,3,901,,48.09,,104,1,122,,,,,,, 351329,01-JUL-16,30-JUN-17,As Submitted,SANFORD HILLSBORO ,12 3RD STREET SE ,609 ,HILLSBORO ,ND ,58045- ,TRAILL ,,,,,,,,,,16,5840,952,,1720,,43.75,,59,,72,,,,,,, 351330,01-APR-16,31-MAR-17,As Submitted,WEST RIVER REGIONAL MEDICAL CENTER ,1000 HIGHWAY 12 ,124 ,HETTINGER ,ND ,58639- ,ADAMS ,,,,,,,,,,25,9125,2393,130,3281,1.62,159.58,,434,28,657,,,,,,, 351331,01-JUL-16,30-JUN-17,As Submitted,TOWNER COUNTY MEDICAL CENTER ,HWY 281 NORTH ,688 ,CANDO ,ND ,58324-0688 ,TOWNER ,,,,,,,,,,20,7300,644,18,1127,,57.28,,98,2,115,,,,,,, 351332,01-APR-16,31-MAR-17,As Submitted,HEART OF AMERICA MEDICAL CENTER ,800 MAIN AVENUE SOUTH ,,RUGBY ,ND ,58368-2118 ,PIERCE ,,,,,,,,,,25,9125,1863,43,2111,,157.92,,163,3,194,,,,,,, 351333,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL ,1031 7TH STREET ,,DEVILS LAKE ,ND ,58301 ,RAMSEY ,,,,,,,,,,25,9125,2489,862,4372,,119.66,,322,222,795,40,,,,,, 351334,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER ,1301 15TH AVENUE W ,,WILLISTON ,ND ,58801 ,WILLIAMS ,,,,,,,,,,25,9125,1793,850,5717,,353.13,,491,299,1852,,,,,,, 351335,01-JUL-16,30-JUN-17,As Submitted,JAMESTOWN REGIONAL MEDICAL CENTER ,2422 20TH ST SW ,,JAMESTOWN ,ND ,58401 ,STUTSMAN ,,,,,,,,,,25,9125,1817,549,4126,,273.48,,509,110,1021,,,,,,, 351336,01-JUL-16,30-JUN-17,As Submitted,ST JOSEPHS HOSPITAL & HEALTH CTR ,30 WEST 7TH STREET ,,DICKINSON ,ND ,58601 ,STARK ,,,,,,,,,,25,9125,2540,635,6549,,271.9,,678,187,1761,,,,,,, 352004,01-AUG-16,31-JUL-17,As Submitted,VIBRA HOSPITAL OF FARGO LLC ,1720 SOUTH UNIVERSITY DRIVE ,,FARGO ,ND ,58103 ,CASS ,,,,,,,,,,31,11315,3294,978,8068,,63.41,,133,32,277,45,,,,,, 352005,01-AUG-16,31-JUL-17,As Submitted,VIBRA HOSPITAL OF CENTRAL DAKOTAS L ,1000 18TH STREET N.W. ,,MANDAN ,ND ,58554 ,MORTON ,,,,,,,,,,41,14965,2310,1942,6948,,62.14,,95,52,237,31,,,,,, 354003,01-JUL-16,30-JUN-17,As Submitted,ND STATE HOSPITAL ,2605 CIRCLE DR ,,JAMESTOWN ,ND ,58401 ,STUTSMAN ,,,,,,,,,,100,36500,4543,389,30063,,383.75,,162,,27684,,,,,,, 354004,01-OCT-15,30-SEP-16,As Submitted,PRAIRIE ST. JOHNS ,100 FOURTH STREET SOUTH SUITE 506 ,,FARGO ,ND ,58108 ,CASS ,,,,,,,,,,110,40260,4987,1353,26402,,265.31,,429,138,2992,,,,,,, 354005,01-JAN-16,11-SEP-16,As Submitted,RICHARD P. STADTER PSYCHIATRIC CNTR ,1451 44TH AVENUE SOUTH ,14354 ,GRAND FORKS ,ND ,58208-4354 ,GRAND FORKS ,,,,,,,,,,70,17850,1981,1768,6211,,77.83,,97,231,546,,,,,,, 354005,12-SEP-16,31-DEC-16,As Submitted,RED RIVER BEHAVIORAL HEALTH SYSTEM ,1451 44TH AVENUE SOUTH ,14354 ,GRAND FORKS ,ND ,58208-4354 ,GRAND FORKS ,,,,,,,,,,70,7770,161,9,686,,60.4,,4,2,92,,,,,,, 360001,01-JAN-16,31-DEC-16,As Submitted,MERCY HOSPITAL ANDERSON ,7500 STATE ROAD ,,CINCINNATI ,OH ,45255-0589 ,HAMILTON ,,,,766548,,,.101,,,284,72158,15526,1031,51474,,949.92,,3432,298,12301,1911,,,,,, 360002,01-JAN-16,31-DEC-16,As Submitted,UH SAMARITAN MEDICAL CENTER ,1025 CENTER STREET ,,ASHLAND ,OH ,44805-4098 ,ASHLAND ,,,,90534,,,.0651,,,39,14274,3052,263,7481,,469.27,,973,78,2292,494,,,,,, 360003,01-JUL-16,30-JUN-17,As Submitted,UNIVER.OF CINCINNATI MED CENTER LLC ,234 GOODMAN STREET ,,CINCINNATI ,OH ,45219- ,HAMILTON ,21227378,,,4964899,,,.3158,6459077,3353839,473,172645,33352,16105,143181,473.7,4608,,6008,1873,24646,6459,801,,194,,1762, 360006,01-JUL-16,30-JUN-17,As Submitted,RIVERSIDE METHODIST HOSPITAL ,3535 OLENTANGY RIVER ROAD ,,COLUMBUS ,OH ,43214 ,FRANKLIN ,14719308,,,3385880,,,.0917,4013292,1336337,677,246944,64303,14246,200509,128.47,6240.11,,13630,1728,43153,5975,,,128,,1296, 360008,01-JUL-16,30-JUN-17,As Submitted,SOUTHERN OHIO MEDICAL CENTER ,1248 KENNEYS LANE ,,PORTSMOUTH ,OH ,45662- ,SCIOTO ,1511899,,,1605157,,,.1936,488096,334110,177,64605,22069,1519,47270,6.32,2077.24,,4536,325,10488,,,,13,22,337,608 360009,01-JAN-16,31-DEC-16,As Submitted,LIMA MEMORIAL HOSPITAL ,1001 BELLEFONTAINE AVENUE ,,LIMA ,OH ,45804- ,ALLEN ,,,,522047,,,.0902,,,155,56730,11864,692,25510,,1048.07,,2649,150,6563,789,,,,5,,127 360010,01-JAN-16,31-DEC-16,As Submitted,UNION HOSPITAL ASSOCIATION ,659 BOULEVARD ,,DOVER ,OH ,44622 ,TUSCARAWAS ,,,,262365,,,.0689,,,138,50508,9535,2135,20867,,830.98,,2284,301,5013,499,,,,6,,132 360011,01-JUL-16,30-JUN-17,As Submitted,MARION GENERAL HOSPITAL ,100 MCKINLEY PARK DRIVE ,,MARION ,OH ,43302 ,MARION ,,,,696816,,,.1443,,,171,62415,10032,2481,23524,,1196.34,,2651,220,6630,1277,,,65,,554, 360012,01-JUL-16,30-JUN-17,As Submitted,ST. ANNS HOSPITAL ,500 S.CLEVELAND AVE ,,WESTERVILLE ,OH ,43081- ,FRANKLIN ,515109,,,1177158,,,.1459,270926,116933,265,96725,15684,4491,66871,14.55,1674.6,,3608,1107,16824,4283,,,,,, 360013,01-JAN-16,31-DEC-16,As Submitted,WILSON MEMORIAL HOSPITAL ,915 WEST MICHIGAN STREET ,,SIDNEY ,OH ,45365- ,SHELBY ,,,,126017,,,.1054,,,61,22326,2907,183,8013,,477.62,,790,46,2244,724,9,,7,,225, 360014,01-JUL-16,30-JUN-17,As Submitted,OBLENESS MEMORIAL HOSPITAL ,55 HOSPITAL DRIVE ,,ATHENS ,OH ,45701-2345 ,ATHENS ,50427,,,161729,,,.12,206584,388674,58,21170,1842,996,6541,16.56,563.04,,807,45,2508,286,,,,,, 360016,01-JAN-16,31-DEC-16,As Submitted,JEWISH HOSPITAL OF CINCINNATI ,4777 EAST GALBRAITH ROAD ,,CINCINNATI ,OH ,45236-2725 ,HAMILTON ,5630134,,,402957,,,.0518,2718934,838050,212,62304,15399,1204,42620,66.44,1016.72,,3552,278,10172,1113,,,,3,,332 360017,01-JUL-16,30-JUN-17,As Submitted,GRANT MEDICAL CENTER ,111 S. GRANT AVE ,,COLUMBUS ,OH ,43215 ,FRANKLIN ,6225636,,,3711291,,,.2911,3269117,1489195,388,141605,24796,11921,102375,90.64,3202.26,,4736,1512,17765,5748,,,,,, 360020,01-JAN-16,31-DEC-16,As Submitted,SUMMA HEALTH SYSTEM ,525 E. MARKET STREET ,2090 ,AKRON ,OH ,44308- ,SUMMIT ,9695649,,,2161135,,,.1394,6817591,3673108,566,221404,33391,5544,136028,219.72,4430.19,,7473,1230,31579,8287,433,,186,,3159, 360025,01-JAN-16,31-DEC-16,As Submitted,FIRELANDS REGIONAL MEDICAL CENTER ,1111 HAYES AVENUE ,,SANDUSKY ,OH ,44870- ,ERIE ,948793,,,1134513,,,.1481,626076,332059,179,65514,19452,2242,39645,16.92,1673.85,,4025,304,8478,1550,,,,7,,449 360026,01-JAN-16,31-DEC-16,As Submitted,GREENE MEMORIAL HOSPITAL INC. ,1141 NORTH MONROE DRIVE ,,XENIA ,OH ,45385- ,GREENE ,,,,68801,,,.0489,,,49,17934,3387,269,9042,,481,,873,88,2400,339,,,,,, 360027,01-JAN-16,31-DEC-16,As Submitted,AKRON GENERAL MEDICAL CENTER ,400 WABASH AVE ,,AKRON ,OH ,44307- ,SUMMIT ,8184125,,,1772643,,,.1344,3262521,1800110,361,132080,30737,5115,100845,127.81,3467.46,,6651,957,22031,5008,409,,118,,1790, 360029,01-JUL-16,30-JUN-17,As Submitted,WOOD COUNTY HOSPITAL ,950 WEST WOOSTER STREET ,,BOWLING GREEN ,OH ,43402- ,WOOD ,,,,73284,,,.0509,,,103,37595,2964,424,8254,,587.88,,865,57,2580,358,,,,,, 360032,01-JAN-16,31-DEC-16,As Submitted,JOINT TOWNSHIP DISTRICT MEMORIAL HOS ,200 SAINT CLAIR ST ,,ST. MARYS ,OH ,45885-2400 ,AUGLAIZE ,,,,27353,,,.0326,,,40,14640,1772,114,4593,,327.93,,568,33,1438,147,,,,,,41 360035,01-JUL-16,30-JUN-17,As Submitted,MOUNT CARMEL HEALTH ,793 WEST STATE STREET ,,COLUMBUS ,OH ,43222- ,FRANKLIN ,5001623,,,2543977,,,.124,2411210,818101,649,236885,38803,9496,152876,70.36,4152.85,,8312,1528,31753,6153,,,132,,1198,279 360036,01-JAN-16,31-DEC-16,As Submitted,WOOSTER COMMUNITY HOSPITAL ,1761 BEALL AVENUE ,,WOOSTER ,OH ,44691- ,WAYNE ,,,,314272,,,.0924,,,104,37960,5708,702,17951,,717.43,14.99,1973,237,5505,1235,,,,9,,203 360037,01-JAN-16,31-DEC-16,As Submitted,ST. VINCENT CHARITY MEDICAL CENTER ,1351 EAST 22ND STREET ,,CLEVELAND ,OH ,44015 ,CUYAHOGA ,2890274,,,1364534,,,.4044,2409155,837457,145,53070,6121,2296,26292,69.83,955.29,,1471,510,6227,2256,,,148,,2325, 360039,01-JAN-16,31-DEC-16,As Submitted,GENESIS HEALTHCARE SYSTEM ,2951 MAPLE AVENUE ,,ZANESVILLE ,OH ,43701 ,MUSKINGUM ,,,,1870434,,,.169,,,285,104310,23994,1883,60991,,2199,,5279,407,13665,3838,,,,,, 360040,01-JAN-16,31-DEC-16,As Submitted,KNOX COMMUNITY HOSPITAL ,1330 COSHOCTON ROAD ,,MT. VERNON ,OH ,43050 ,KNOX ,,,,269269,,,.12,,,65,23790,4329,336,10172,,869.11,,1285,104,3127,710,,,,,, 360041,01-JAN-16,31-DEC-16,Amended,UH PARMA MEDICAL CENTER ,7007 POWERS BLVD. ,,PARMA ,OH ,44129-5495 ,CUYAHOGA ,1430987,,,,,,,672500,322070,212,77592,17418,832,39691,15.94,1096.63,,4201,229,9591,1092,26,,5,7,375,418 360044,01-JAN-16,31-DEC-16,As Submitted,WAYNE HOSPITAL COMPANY ,835 SWEITZER STREET ,,GREENVILLE ,OH ,45331- ,DARKE ,,,,125297,,,.1111,,,63,23058,2344,251,5336,,378.71,,738,460,1912,448,,,,,, 360046,01-JAN-16,30-JUN-16,As Submitted,MCCULLOUGH-HYDE MEMORIAL HOSPITAL ,101 N. POPLAR ST ,,OXFORD ,OH ,45056- ,BUTLER ,,,,31790,,,.0695,,,45,8190,969,163,3015,,319.55,,267,4,849,150,,,,,, 360046,01-JUL-16,30-JUN-17,As Submitted,MCCULLOUGH-HYDE MEMORIAL HOSPITAL ,101 N. POPLAR ST ,,OXFORD ,OH ,45056- ,BUTLER ,,,,97812,,,.0901,,,45,16425,2121,512,6296,,301.57,,613,17,1823,336,,,,,, 360048,01-JUL-16,30-JUN-17,As Submitted,UNIV OF TOLEDO MEDL CENTER ,3000 ARLINGTON AVENUE ,,TOLEDO ,OH ,43614-2589 ,LUCAS ,12964184,,,1210106,,,.1306,4875624,2483875,212,74738,20747,2597,51806,202.5,2203,,3926,480,10701,1851,179,,46,,1034, 360051,01-JAN-16,31-DEC-16,As Submitted,MIAMI VALLEY HOSPITAL ,ONE WYOMING STREET ,,DAYTON ,OH ,45409 ,MONTGOMERY ,5049401,,,3746426,,,.2074,3476411,1069759,768,281076,37211,12010,149196,125.68,4818.8,,7674,1356,31113,7028,852,,196,33,1872,888 360052,01-JAN-16,31-DEC-16,As Submitted,GOOD SAMARITAN HOSPITAL ,222 PHILADELPIA DRIVE ,,DAYTON ,OH ,45406-1891 ,MONTGOMERY ,3626912,,,1156314,,,.1235,3297050,1425016,345,126270,19558,3512,57389,71.72,2135.69,,4430,526,13542,2382,,,,,, 360054,01-JUL-16,30-JUN-17,As Submitted,HOLZER ,100 JACKSON PIKE ,,GALLIPOLIS ,OH ,45631- ,GALLIA ,262182,,,579636,,,.199,283049,337142,157,57305,6456,358,14083,,1038.87,,1755,104,3877,1466,44,,11,11,233,487 360055,01-JAN-16,31-DEC-16,As Submitted,TRUMBULL MEMORIAL HOSPITAL ,1350 EAST MARKET ST. ,1269 ,WARREN ,OH ,44483- ,TRUMBULL ,,,,619909,,,.1333,,,233,85278,13010,2177,42699,,856.81,,2401,1857,8613,,,,99,,317, 360056,01-JAN-16,31-DEC-16,As Submitted,MERCY HOSPITAL OF HAMILTON/FAIRFIELD ,100 RIVERFRONT PLAZA ,,HAMILTON ,OH ,45012 ,HAMILTON ,,,,598636,,,.0687,,,199,72834,16703,1711,52645,,1071.94,,4072,494,13310,1749,,,,6,,431 360058,01-APR-16,31-MAR-17,As Submitted,MERCER COUNTY COMMUNITY HOSPITAL ,800 WEST MAIN STREET ,,COLDWATER ,OH ,45828- ,MERCER ,,,,,,,,,,42,15330,2882,126,6433,,341.56,,807,45,1839,243,,,,,, 360059,01-JAN-16,31-DEC-16,As Submitted,METROHEALTH MEDICAL CENTER ,2500 METROHEALTH DRIVE ,,CLEVELAND ,OH ,44109-1998 ,CUYAHOGA ,12100720,,,4322594,,,.4688,7532556,5710381,491,180005,20812,13317,106688,367.33,6184.94,,4143,2427,23648,9540,,,88,19,970,785 360064,01-JAN-16,31-DEC-16,As Submitted,ST. ELIZABETH HEALTH CENTER ,1044 BELMONT AVENUE ,,YOUNGSTOWN ,OH ,44501-1790 ,MAHONING ,2856089,1464726,,707757,362969,,.1002,2193075,741857,335,122530,24861,2542,77341,57.21,1712.1,,5108,558,15889,2386,701,,88,25,1366,548 360065,01-JAN-16,31-DEC-16,As Submitted,FISHER-TITUS MEDICAL CENTER ,272 BENEDICT AVE ,,NORWALK ,OH ,44857 ,HURON ,,,,329132,,,.1147,,,78,28548,5450,449,12614,,786.13,,1697,128,3898,870,,,,,, 360066,01-JAN-16,31-DEC-16,As Submitted,ST. RITAS MEDICAL CENTER LLC ,730 W MARKET ST ,,LIMA ,OH ,45801 ,ALLEN ,287348,,,1508159,,,.1115,137037,58792,293,107238,28651,1168,67671,3.5,1580.32,,6637,481,16501,2698,492,,103,16,1078,365 360068,01-JAN-16,31-DEC-16,As Submitted,THE TOLEDO HOSPITAL ,2142 NORTH COVE BLVD. ,,TOLEDO ,OH ,43606- ,LUCAS ,2631610,1246929,,2464276,1167642,,.1918,2349275,600652,654,239364,37389,14011,150449,84.24,4111.44,,7263,1026,29972,5240,587,,93,,1492, 360070,01-JAN-16,31-DEC-16,As Submitted,MERCY MEDICAL CENTER ,1320 MERCY DRIVE N.W. ,,CANTON ,OH ,44708 ,STARK ,1922038,,,846531,,,.1005,1307523,490259,256,93696,20378,3851,69988,23.31,2171,,3958,855,15934,2651,,,,,,397 360071,01-JAN-16,31-DEC-16,As Submitted,VAN WERT COUNTY HOSPITAL ,1250 S. WASHINGTON ST. ,,VAN WERT ,OH ,45891- ,VAN WERT ,,,,48789,,,.0744,,,61,22326,1295,46,3081,,188.72,,382,10,862,195,,,,,, 360072,01-JAN-16,31-DEC-16,As Submitted,FAIRFIELD MEDICAL CENTER ,401 NORTH EWING STREET ,,LANCASTER ,OH ,43130- ,FAIRFIELD ,2059266,,,951484,,,.1181,795197,430124,211,77226,15611,1004,39435,21.39,1649.41,,3820,241,10100,1805,,,,,, 360074,01-JAN-16,31-DEC-16,Amended,FLOWER HOSPITAL ,5200 HARROUN RD ,,SYLVANIA ,OH ,43560- ,LUCAS ,233441,,,199617,,,.05,206878,137041,162,59296,8980,954,28322,1.93,1110.57,,1991,99,6685,751,1345,,246,19,3333,576 360075,01-JAN-16,31-DEC-16,Amended,UH REGIONAL HOSPITALS ,27100 CHARDON ROAD ,,RICHMOND HEIGHTS ,OH ,44143- ,CUYAHOGA ,4804354,,,309150,,,.0944,3474523,1983328,101,36966,7318,1009,19325,106.41,781.78,,1787,255,4992,734,,,,,, 360076,01-JAN-16,31-DEC-16,As Submitted,ATRIUM MEDICAL CENTER ,ONE MEDICAL CENTER DRIVE ,,FRANKLIN ,OH ,45005-1006 ,WARREN ,,,,656593,,,.1237,,,217,79422,9919,2181,29982,,1385.71,,2387,261,7574,1321,656,,129,5,1361,396 360077,01-JAN-16,31-DEC-16,As Submitted,FAIRVIEW HOSPITAL ,18101 LORAIN AVE ,,CLEVELAND ,OH ,44111- ,CUYAHOGA ,4385218,,,1953093,,,.1397,1675446,685475,426,155964,32336,6136,116052,75.89,2317.95,,6815,1028,25346,5681,,,,,, 360078,01-JAN-16,31-DEC-16,As Submitted,UH PORTAGE MEDICAL CENTER ,6847 N. CHESTNUT STREET ,1204 ,RAVENNA ,OH ,44266-1204 ,PORTAGE ,85364,,,235672,,,.0794,35739,21979,104,38064,7287,866,24558,2.19,700.48,,1550,261,5580,1041,,,,,, 360079,01-JAN-16,31-DEC-16,As Submitted,KETTERING MEMORIAL HOSPITAL ,3535 SOUTHERN BOULEVARD ,,KETTERING ,OH ,45429- ,MONTGOMERY ,6673573,,,1249271,,,.079,3472180,1262691,360,132761,26286,3728,91637,71.67,2550.58,,6560,771,21710,3030,,,,2,,742 360080,01-JAN-16,31-DEC-16,As Submitted,EAST OHIO REGIONAL HOSPITAL ,90 NORTH FOURTH STREET ,,MARTINS FERRY ,OH ,43935 ,,,,,146891,,,.1114,,,84,30744,3431,450,8571,,421.52,,762,100,2029,300,,,,,, 360081,01-JAN-16,31-DEC-16,As Submitted,ST. CHARLES HOSPITAL ,2600 NAVARRE AVENUE ,,OREGON ,OH ,43616 ,LUCAS ,806146,,,580965,,,.1558,439953,126741,120,43920,9060,678,22993,11.7,619.4,,1945,162,5826,1210,2448,,355,16,4489,350 360082,01-JAN-16,31-DEC-16,As Submitted,EUCLID HOSPITAL ,18901 LAKESHORE BLVD. ,,EUCLID ,OH ,44119- ,CUYAHOGA ,,,,509197,,,.1543,,,122,45930,7388,1244,19813,,638.56,.08,1641,219,4749,663,113,,37,69,387,699 360084,01-JAN-16,31-DEC-16,Amended,AULTMAN HOSPITAL ,2600 SIXTH STREET SW ,,CANTON ,OH ,44710 ,STARK ,2736815,778883,,950865,270611,,.1068,2683495,919329,430,157380,24428,3900,86921,71.13,2787.99,,5266,848,19669,4309,,,372,11,875,520 360085,01-JUL-16,30-JUN-17,As Submitted,THE OHIO STATE UNIVERSITY HOSPITAL ,660 ACKERMAN ROAD - 4TH FLOOROR ,ROOM 443 ,COLUMBUS ,OH ,43202 ,FRANKLIN ,21581383,,,7790073,,,.2488,7540288,2241166,876,319705,72829,27160,258471,516.44,8330.09,,11238,4031,47238,10707,1240,,412,71,3097,1140 360086,01-JAN-16,31-DEC-16,As Submitted,SPRINGFIELD REGIONAL MEDICAL CENTER ,2615 EAST HIGH STREET ,,SPRINGFIELD ,OH ,45501- ,CLARK ,,,,655704,267059,,.1416,,,230,84180,15675,1758,56072,,1083.33,,3328,512,13683,3309,,,,18,,611 360087,01-JAN-16,31-DEC-16,As Submitted,LUTHERAN HOSPITAL ,1730 W. 25TH STREET ,,CLEVELAND ,OH ,44113- ,CUYAHOGA ,182130,,,843439,,,.321,201957,47946,119,43463,3973,1008,17287,3.67,539.4,,1284,371,5580,1149,1434,,164,,3445, 360089,01-JAN-16,31-DEC-16,As Submitted,MERCY HEALTH-TIFFIN HOSPITAL LLC ,45 ST LAWRENCE DRIVE ,,TIFFIN ,OH ,44883 ,SENECA ,,,,158221,,,.1069,,,45,16470,3337,150,6770,,225.21,,921,57,2001,327,,,,,, 360090,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES HOSPITAL ,5901 MONCLOVA ROAD ,,MAUMEE ,OH ,43537- ,LUCAS ,1308660,,,,,,,663228,235521,173,63318,15472,1335,40170,8.76,1031,,3549,198,9941,,,,,,, 360091,01-JAN-16,31-DEC-16,As Submitted,MEDINA HOSPITAL ,1000 E. WASHINGTON STREET ,,MEDINA ,OH ,44256- ,MEDINA ,,,,,,,,,,148,54168,10357,425,24774,,654.09,,2316,127,6313,561,,,,,, 360092,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL OF UNION COUNTY ,500 LONDON AVENUE ,,MARYSVILLE ,OH ,43040- ,UNION ,,,,70973,,,.0993,,,60,21960,1206,591,5148,,608.08,,428,65,1546,249,,,,,, 360095,01-JAN-16,31-DEC-16,As Submitted,BLANCHARD VALLEY REG. HEALTH CENTER ,1900 SOUTH MAIN STREET ,,FINDLAY ,OH ,45840- ,HANCOCK ,,,,347876,,,.0667,,,141,51606,9840,569,24126,,993.85,,2803,138,6890,1085,158,,,,451, 360096,01-JAN-16,31-DEC-16,As Submitted,EAST LIVERPOOL CITY HOSPITAL ,425 WEST FIFTH STREET ,,EAST LIVERPOOL ,OH ,43920 ,COLUMBIANA ,1444472,,,375985,,,.12,769764,165684,93,34038,5945,830,14954,21.26,351.05,,1857,206,5217,,,,26,,326, 360098,01-JAN-16,31-DEC-16,As Submitted,LAKE HOSPITAL SYSTEM ,7590 AUBURN RD ,,CONCORD ,OH ,44077 ,LAKE ,,,,545359,,,.046,,,278,101748,26258,3185,67839,,2056.9,,6087,877,16590,2380,12,,4,,290,189 360107,01-JAN-16,31-DEC-16,As Submitted,THE BELLEVUE HOSPITAL ,1400 W. MAIN ST. ,8004 ,BELLEVUE ,OH ,44811- ,SANDUSKY ,,,,85408,,,.12,,,50,18300,1553,203,4726,,317.36,5.64,499,89,1177,433,,,,,, 360109,01-JAN-16,30-OCT-16,As Submitted,COSHOCTON CTY MEM HOSP ,1460 ORANGE STREET ,,COSHOCTON ,OH ,43812-2229 ,COSHOCTON ,,,,87420,,,.0822,,,56,17024,2129,133,4046,,306.59,,669,51,1531,208,,,,,, 360112,01-JAN-16,31-DEC-16,As Submitted,ST VINCENT MEDICAL CENTER ,2213 CHERRY STREET ,,TOLEDO ,OH ,43608 ,LUCAS ,9322652,,,3447579,,,.346,5511104,2312434,319,116754,19680,4313,75020,153.78,2205.02,,4091,799,16188,4999,,,,,, 360118,01-JUL-16,30-JUN-17,As Submitted,MEDCENTRAL HEALTH SYSTEM ,335 GLESSNER AVE ,,MANSFIELD ,OH ,44903-2265 ,RICHLAND ,,,,1449507,,,.1494,,,214,78110,21524,3723,48919,,1775.76,,4655,429,10815,2122,,,,7,,138 360121,01-OCT-15,30-SEP-16,As Submitted,COMMUNITY HOSPITAL OF WILLIAMS CITY ,433 WEST HIGH ,,BRYAN ,OH ,43506- ,WILLIAMS ,,,,97892,,,.0617,,,75,27450,3077,135,6555,,459.15,,906,37,2088,469,,,,,, 360123,01-JAN-16,31-DEC-16,As Submitted,UH ST JOHN MEDICAL CENTER ,29000 CENTER RIDGE ROAD ,,WESTLAKE ,OH ,44145 ,CUYAHOGA ,3749553,,,200073,,,.0273,1479303,685035,167,61244,14395,1086,35651,40.1,1011.98,,3692,185,9891,1183,,,,,, 360125,01-JAN-16,31-DEC-16,As Submitted,ASHTABULA COUNTY MEDICAL CENTER ,2420 LAKE ,2420 ,ASHTABULA ,OH ,44004- ,ASHTABULA ,,,,409347,,,.1288,,,106,38796,8831,790,17934,,823,,2163,217,4844,1178,,,210,,586, 360131,01-JAN-16,31-DEC-16,As Submitted,ALLIANCE COMMUNITY HOSPITAL ,200 EAST STATE STREET ,,ALLIANCE ,OH ,44601- ,STARK ,312084,,,122118,,,.0828,353230,167179,61,27864,3005,352,7853,9.01,609.55,,899,86,2368,261,,,,,289,78 360132,01-JAN-16,31-DEC-16,As Submitted,FORT HAMILTON HOSPITAL ,630 EATON AVENUE ,,HAMILTON ,OH ,45013-2767 ,BUTLER ,,,,837853,,,.1929,,,138,51150,9990,1640,29495,,720.27,,2474,411,7543,1814,376,,70,,732, 360133,01-JAN-16,31-DEC-16,As Submitted,GRANDVIEW HOSPITAL ,405 GRAND AVENUE ,,DAYTON ,OH ,45405 ,MONTGOMERY ,3656199,,,1370733,,,.2169,1667762,1187780,259,94946,14362,3359,54369,96.4,2926,,2977,825,12079,4012,62,,27,,377, 360134,01-JUL-16,30-JUN-17,As Submitted,GOOD SAMARITAN HOSPITAL ,375 DIXMYTH AVENUE ,,CINCINNATI ,OH ,45220 ,HAMILTON ,3403025,,,2135854,,,.193,2076616,1089923,390,153450,19298,10546,104063,67.33,3327.41,,4648,1078,19690,5622,,,765,,1830, 360137,01-JAN-16,31-DEC-16,Amended,UH CLEVELAND MEDICAL CENTER ,11100 EUCLID AVENUE ,,CLEVELAND ,OH ,44106-5022 ,CUYAHOGA ,29014498,,,4646217,,,.211,9231238,4980943,579,211842,47043,7890,175255,526.27,7385.77,,7731,1455,30443,7652,576,,84,,1124, 360141,01-JAN-16,31-DEC-16,As Submitted,NORTHSIDE MEDICAL CENTER ,500 GYPSY LANE ,240 ,YOUNGSTOWN ,OH ,44501-0240 ,MAHONING ,2043114,,,398499,,,.1633,2478410,869182,188,68808,5550,1723,19725,82.45,566.65,,1102,1249,4456,,,,,,, 360143,01-JAN-16,31-DEC-16,As Submitted,MARYMOUNT HOSPITAL ,12300 MCCRACKEN ROAD ,,GARFIELD HTS. ,OH ,44125- ,CUYAHOGA ,,,,342122,,,.0662,,,173,79845,13424,1040,30535,,849.26,,2570,201,6104,779,864,,135,,2613, 360144,01-JAN-16,31-DEC-16,Amended,SOUTH POINTE HOSPITAL ,4110 WARRENSVILLE CENTER ROAD ,,WARRENSVILLE HEIGHTS ,OH ,44122- ,CUYAHOGA ,2413657,,,571364,,,.1293,1155894,553793,156,57096,11681,1945,30629,50.75,785,.08,2302,319,6345,1022,,,,,, 360145,01-JAN-16,31-DEC-16,As Submitted,UH ELYRIA MEDICAL CENTER ,630 EAST RIVER STREET ,,ELYRIA ,OH ,44035 ,LORAIN ,,,,897452,,,.1146,,,214,78324,17547,2237,44704,,1295.07,,3760,512,10173,2136,,,,,, 360147,01-OCT-15,30-SEP-16,As Submitted,MARIETTA MEMORIAL HOSPITAL ,401 MATTHEW STREET ,,MARIETTA ,OH ,43750- ,WASHINGTON ,,1944812,,,1157673,,,366926,343107,164,60024,19597,863,40696,16.23,2101.83,,5079,1586,10674,1315,,,26,,334,7 360148,01-JAN-16,31-DEC-16,Amended,POMERENE HOSPITAL ,981 WOOSTER ROAD ,,MILLERSBURG ,OH ,44654 ,HOLMES ,,,,19817,,,.038,,,41,15006,1228,128,4511,,254.5,,364,33,1412,177,,,,,, 360150,01-JAN-16,31-DEC-16,As Submitted,SUMMA WESTERN RESERVE HOSPITAL ,1900 23RD STREET ,,CUYAHOGA FALLS ,OH ,44223 ,SUMMIT ,1651768,,,97665,,,.0463,956904,780678,83,30378,4216,452,14710,41.87,756.63,,1065,98,3722,422,,,,,, 360151,01-JUL-16,30-JUN-17,As Submitted,AFFINITY MEDICAL CENTER ,875 8TH ST ,,MASSILLON ,OH ,44646 ,STARK ,1059028,,,119509,,,.0427,713922,216565,107,39055,5852,773,19004,17.88,519.85,,1304,524,4246,,,,23,16,527,154 360152,01-JUL-16,30-JUN-17,As Submitted,DOCTORS HOSPITAL ,5100 W. BROAD STREET ,,COLUMBUS ,OH ,43228 ,FRANKLIN ,4177457,,,1026120,,,.2468,1897389,998238,174,63395,8879,4098,35914,101.86,1145.74,,2000,594,8362,2284,,,,,, 360153,01-JAN-16,31-DEC-16,As Submitted,BELMONT COMMUNITY HOSPITAL ,4697 HARRISON STREET ,,BELLAIRE ,OH ,43906 ,BELMONT ,,,,14266,,,.12,,,22,8052,1257,1240,5348,,170,,103,79,417,119,,,,12,,161 360155,01-JAN-16,31-DEC-16,As Submitted,SOUTHWEST GENERAL HEALTH CENTER ,18697 BAGLEY ROAD ,,MIDDLEBURG HEIGHTS ,OH ,44130-3497 ,CUYAHOGA ,,,,,,,,,,194,71004,21659,1664,51910,,1588.19,,4981,229,14168,1087,415,,43,,1346,256 360156,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL ,715 SOUTH TAFT AVENUE ,,FREMONT ,OH ,43420 ,SANDUSKY ,,,,85402,,,.12,,,102,37332,1551,456,4111,,278.42,,493,30,1273,258,,,,,, 360159,01-JAN-16,31-DEC-16,As Submitted,ADENA REGIONAL MEDICAL CENTER ,272 HOSPITAL ROAD ,,CHILLICOTHE ,OH ,45601-9031 ,ROSS ,2923868,,,1355178,,,.2028,875269,932566,189,69174,13119,1760,34361,29.93,1875.89,,3300,343,8786,1791,,,,,, 360161,01-JAN-16,31-DEC-16,As Submitted,ST. JOSEPH HEALTH CENTER ,667 EASTLAND AVENUE ,,WARREN ,OH ,44484 ,TRUMBULL ,935941,,,461081,,,.1135,669014,508290,131,47946,10721,1083,35406,24.33,789.74,,2238,246,8080,1547,,,,,, 360163,01-JUL-16,30-JUN-17,As Submitted,THE CHRIST HOSPITAL ,2139 AUBURN AVENUE ,,CINCINNATI ,OH ,45219-2906 ,HAMILTON ,7334940,,,1039554,,,.0507,2805253,1181860,431,157267,32805,6688,94517,80.7,3549.08,,7330,281,22612,2239,698,,165,,1584,488 360170,01-JAN-16,31-DEC-16,As Submitted,BERGER HOSPITAL ,600 NORTH PICKAWAY STREET ,,CIRCLEVILLE ,OH ,43113 ,PICKAWAY ,,,,138837,,,.12,,,74,27084,2043,811,6305,,447.69,,590,110,1788,414,,,,,, 360172,01-JAN-16,31-DEC-16,As Submitted,MERCY REGIONAL MEDICAL CENTER ,3700 KOLBE ROAD ,,LORAIN ,OH ,44053- ,LORAIN ,1112967,,,1024216,,,.1503,449303,177089,171,62586,14523,1007,37979,14.76,985.64,,3588,279,9806,1733,691,,108,13,1433,710 360174,01-JAN-16,31-DEC-16,As Submitted,UPPER VALLEY MEDICAL CENTER ,3130 N. COUNTY ROAD 25 A ,,TROY ,OH ,45373 ,MIAMI ,,,,381028,,,.1204,,,127,49112,6861,1618,19279,,909.68,,1914,166,5456,1013,386,,126,6,1039,218 360175,01-JAN-16,31-DEC-16,As Submitted,CLINTON MEMORIAL HOSPITAL ,610 WEST MAIN STREET ,,WILMINGTON ,OH ,45177 ,CLINTON ,,,,77796,194517,,.1424,,,75,27450,4361,666,11086,,440.58,,1240,188,3216,575,,,,,, 360179,01-JUL-16,30-JUN-17,As Submitted,BETHESDA HOSPITAL ,619 OAK STREET ,,CINCINNATI ,OH ,45206 ,HAMILTON ,2957241,,,936929,,,.064,1440200,760285,356,129697,26741,5456,98193,42.31,3381.51,,6519,5227,22971,,,,,,, 360180,01-JAN-16,31-DEC-16,Amended,CLEVELAND CLINIC HOSPITAL ,9500 EUCLID AVENUE ,,CLEVELAND ,OH ,44195- ,CUYAHOGA ,48228836,,,4045587,,,.0803,11493479,9131469,1268,464088,106592,16730,359437,908.48,23568.2,,15392,1201,52018,5931,,,,45,,404 360185,01-JUL-16,30-JUN-17,As Submitted,SALEM COMMUNITY HOSPITAL ,1995 EAST STATE STREET ,,SALEM ,OH ,44460 ,COLUMBIANA ,,,,134769,,,.0588,,,168,61320,6380,275,17204,,845.1,,1414,65,3374,303,,,,,, 360189,01-JAN-16,31-DEC-16,As Submitted,MADISON HEALTH ,210 NORTH MAIN STREET ,,LONDON ,OH ,43140- ,MADISON ,,,,59411,,,.12,,,45,16470,1290,191,4005,,276.11,,335,52,1371,,,,,,, 360192,01-JAN-16,31-DEC-16,As Submitted,UH GEAUGA MEDICAL CENTER ,13207 RAVENNA ROAD ,,CHARDON ,OH ,44024- ,GEAUGA ,19349,,,259244,,,.0552,4285,2903,121,44408,10686,1074,28506,2.31,733.89,,2371,303,7191,1399,334,,39,,739, 360197,01-JAN-16,31-DEC-16,As Submitted,MARY RUTAN HOSPITAL ,205 PALMER AVENUE ,,BELLEFONTAINE ,OH ,43311 ,LOGAN ,,,,136225,,,.12,,,39,14274,2155,563,5197,,553.2,,708,58,1617,304,,,,,, 360203,01-JAN-16,31-DEC-16,As Submitted,SOUTHEASTERN OHIO REG MED CTR ,1341 CLARK STREET ,,CAMBRIDGE ,OH ,43725 ,GUERNSEY ,,,,322258,,,.12,,,89,32574,5875,342,12018,,684.17,,1466,96,3230,593,,,,,, 360210,01-JUL-16,30-JUN-17,As Submitted,GRADY MEMORIAL HOSPITAL ,561 W. CENTRAL AVENUE ,,DELAWARE ,OH ,43015 ,DELAWARE ,,,,119454,,,.0893,,,64,23360,2285,605,7028,,470.35,,687,62,2064,303,,,,,, 360211,01-JAN-16,30-JUN-16,As Submitted,TRINITY HOSPITAL HOLDING COMPANY ,4000 JOHNSON ROAD ,,STEUBENVILLE ,OH ,43952- ,JEFFERSON ,,,,301541,,,.0893,,,218,39676,7994,861,18247,,1285,,1780,181,4135,567,86,,36,2,267,221 360211,01-JUL-16,30-JUN-17,As Submitted,TRINITY HOSPITAL HOLDING COMPANY ,4000 JOHNSON ROAD ,,STEUBENVILLE ,OH ,43952- ,JEFFERSON ,,,,836234,,,.1193,,,194,70810,14764,2425,33346,,1160,,3570,347,8105,1273,232,,92,13,526,444 360212,01-JAN-16,06-FEB-16,As Submitted,LAKEWOOD HOSPITAL ,14519 DETROIT AVENUE ,,LAKEWOOD ,OH ,44107- ,CUYAHOGA ,,,,13782,,,.064,,,144,5184,440,34,1327,,527.77,,106,5,1271,23,,,1,,186, 360218,01-JAN-16,31-DEC-16,As Submitted,LICKING MEMORIAL HOSPITAL ,1320 WEST MAIN ST. ,,NEWARK ,OH ,43055-3699 ,LICKING ,,,,905338,,,.2016,,,219,80154,8615,1457,27438,,1371.38,,2488,371,8514,2312,,,,5,,190 360230,01-JAN-16,31-DEC-16,As Submitted,HILLCREST HOSPITAL ,6780 MAYFIELD ROAD ,,MAYFIELD HEIGHTS ,OH ,44124- ,CUYAHOGA ,1663808,,,993036,,,.0619,497440,201656,378,140168,40086,5600,115898,20.85,2112,2.4,7507,488,26606,3197,,,,,, 360234,01-JAN-16,31-DEC-16,As Submitted,MERCY HEALTH WEST HOSPITAL ,3300 MERCY HEALTH BLVD ,,CINCINNATI ,OH ,45211 ,HAMILTON ,136551,,,762836,,,.0985,92927,30667,186,68076,15799,1464,46703,1.14,982.48,,3695,363,11349,1779,,,,7,,564 360236,01-JAN-16,31-DEC-16,As Submitted,CLERMONT MERCY HOSPITAL ,3000 HOSPITAL DRIVE ,,BATAVIA ,OH ,45103- ,CLERMONT ,,,,365069,,,.0887,,,123,45018,8545,561,21026,,547.5,,2095,152,5524,812,701,,134,,1522, 360239,01-JAN-16,31-DEC-16,As Submitted,SYCAMORE HOSPITAL ,2150 LEITER ROAD ,,MIAMISBURG ,OH ,45342- ,MONTGOMERY ,572696,,,770463,,,.1961,431361,177678,202,72170,8679,2334,36573,12.66,811.95,,2247,513,9495,2173,,,,,, 360241,01-JAN-16,31-DEC-16,As Submitted,EDWIN SHAW REHAB ,330 BROADWAY EAST ,,CUYAHOGA FALLS ,OH ,44221- ,SUMMIT ,,,,,,,,,,,,,,,,,,,,,,,,,39,,751 360242,01-JUL-16,30-JUN-17,As Submitted,OHIO STATE UNIVERSITY JAMES CANCER H ,460 WEST 10TH AVENUE ,,COLUMBUS ,OH ,43210-1240 ,FRANKLIN ,,,,,,,,,341894,308,112356,30690,5364,95347,74.2,3593,,4633,590,14398,2167,,,,,, 360245,01-JAN-16,31-DEC-16,As Submitted,GLENBEIGH HEALTH SOURCES ,2863 STATE ROUTE 45 ,298 ,ROCK CREEK ,OH ,44084- ,ASHTABULA ,,,,130735,,,.2552,,,114,41724,3831,992,34563,,247.32,,343,94,3207,496,,,,,, 360247,01-JAN-16,31-DEC-16,As Submitted,PARKSIDE BEHAVIORAL HEALTHCARE ,349 OLDE RIDENOUR ROAD ,,GAHANNA ,OH ,43230 ,FRANKLIN ,,,,51792,,,.1176,,,50,18300,2915,,12743,,99.55,,467,,1659,,,,,,, 360259,01-JAN-16,31-DEC-16,As Submitted,BAY PARK COMMUNITY HOSPITAL ,2801 BAY PARK DRIVE ,,OREGON ,OH ,43616 ,LUCAS ,,,,198192,,,.12,,,77,28182,3585,1173,12437,,384.72,,873,41,3027,624,,,,,, 360261,01-JAN-16,31-DEC-16,As Submitted,THREE GABLES SURG & DIAG CENTER ,5897 STATE ROUTE 7 ,,PROCTORVILLE ,OH ,45669 ,LAWRENCE ,,,,,,,,,,8,2928,41,,69,,47.72,,37,,63,1,,,,,, 360262,01-JAN-16,31-DEC-16,As Submitted,MERCY ST. ANNE HOSPITAL ,3404 W. SYLVANIA AVE ,,TOLEDO ,OH ,43623 ,LUCAS ,163631,,,316332,,,.0925,88597,47693,111,40626,6939,439,17865,4.37,492.43,,1709,133,4859,770,,,,,, 360263,01-JAN-16,31-DEC-16,As Submitted,INSTITUTE FOR ORTHOPAEDIC SURGERY ,801 MEDICAL DRIVE ,,LIMA ,OH ,45804 ,ALLEN ,,,,,,,,,,12,4392,780,65,1981,,123.91,,348,44,991,,,,,,, 360266,01-JUL-16,30-JUN-17,As Submitted,MOUNT CARMEL NEW ALBANY HOSPITAL ,7333 SMITHS MILL ROAD ,,NEW ALBANY ,OH ,43054 ,FRANKLIN ,,,,,,,,,,60,21900,3196,23,7396,,249.49,,1959,15,4707,95,,,,,, 360270,01-JAN-16,31-DEC-16,As Submitted,MERCY HOSPITAL OF DEFIANCE LLC ,1404 EAST SECOND STREET ,,DEFIANCE ,OH ,43512 ,DEFIANCE ,,,,24954,,,.0296,,,23,8418,1688,68,2843,,85.85,,593,26,1052,91,,,,,, 360274,01-JAN-16,31-DEC-16,As Submitted,MEDICAL CENTER AT ELIZABETH PLACE ,ONE ELIZABETH PLACE ,,DAYTON ,OH ,45408 ,MONTGOMERY ,,,,,,,,,,26,9516,167,,550,,100.89,,99,,324,17,,,,,, 360276,01-JAN-16,31-DEC-16,As Submitted,ST ELIZABETH BOARDMAN HEALTH CTR ,8401 MARKET STREET ,,YOUNGSTOWN ,OH ,44512 ,MAHONING ,901451,,,731162,,,.1206,490910,163601,206,75324,15281,1355,56058,14.43,823.07,,3516,293,13618,2545,,,,,, 360348,01-JUL-16,30-JUN-17,As Submitted,DUBLIN METHODIST HOSPITAL ,7500 HOSPITAL DRIVE ,,DUBLIN ,OH ,43016 ,FRANKLIN ,,,,138444,,,.0446,,,107,39055,3907,1589,21989,,764.57,,1387,164,6664,699,,,,,, 360351,01-JAN-16,31-DEC-16,As Submitted,CRYSTAL CLINIC ORTHOPAEDIC CENTER ,444 N. MAIN STREET ,,AKRON ,OH ,44310 ,SUMMIT ,,,,,,,,,,60,21960,2643,27,9771,,687.62,,1016,10,3902,231,,,,,, 360352,01-JAN-16,31-DEC-16,As Submitted,THE SURGICAL HOSPITAL AT SOUTHWOODS ,7630 SOUTHERN BOULEVARD ,,YOUNGSTOWN ,OH ,44512- ,MAHONING ,,,,,,,,,,24,8784,966,2,3284,,388.32,,363,1,1144,60,,,,,, 360354,01-JUL-16,30-JUN-17,As Submitted,WEST CHESTER HOSPITAL LLC ,7700 UNIVERSITY DRIVE ,,WEST CHESTER ,OH ,45069-2505 ,BUTLER ,,,,307520,,,.0492,,,153,55845,12749,1217,34443,,736.41,,3123,284,8745,1131,,,,,, 360355,01-JAN-16,31-DEC-16,As Submitted,OHIO VALLEY MEDICAL CENTER ,100 WEST MAIN STREET ,,SPRINGFIELD ,OH ,45502 ,CLARK ,,,,14126,,,.0298,,,24,8784,460,9,1798,,196.07,,162,4,626,84,,,,,, 360358,01-JUL-16,30-JUN-17,As Submitted,DILEY RIDGE MEDICAL CENTER ,7911 DILEY ROAD ,,CANAL WINCHESTER ,OH ,43110 ,FRANKLIN ,,,,,,,,,,10,3650,11,,27,,82.01,,10,,20,,,,,,, 360359,01-JAN-16,31-DEC-16,Amended,UH AHUJA MEDICAL CENTER ,3999 RICHMOND ROAD ,,BEACHWOOD ,OH ,44122 ,CUTYHOGA ,26477,,,,,,,7732,3502,145,53088,13182,770,33938,5.98,951.02,,3286,153,8648,646,,,,,, 360360,01-JAN-16,31-DEC-16,As Submitted,SOIN MEDICAL CENTER ,3535 PENTAGON PARK BOULEVARD ,,BEAVERCREEK ,OH ,45431 ,GREENE ,,,,459252,,,.1293,,,129,47214,7530,1261,24095,,1444,,2035,373,6639,1574,,,,,, 360361,01-OCT-15,30-SEP-16,As Submitted,KINGS DAUGHTERS MED CENTER OHIO ,2001 SCIOTO TRAIL ,,PORTSMOUTH ,OH ,45662 ,SCIOTO ,,,,23414,,,.12,,,10,3660,170,3,420,,129.65,,75,2,197,49,,,,,, 360362,01-JUL-16,30-JUN-17,As Submitted,TRIHEALTH HOSPITAL INC. ,GLENDALE MILFORD ROAD ,,CINCINNATI ,OH ,45241 ,HAMILTON ,,,,,,,,,,29,10585,339,2,1115,,196.57,,219,2,759,28,,,,,, 361300,01-JAN-16,31-DEC-16,As Submitted,PAULDING COUNTY HOSPITAL ,1035 WEST WAYNE STREET ,,PAULDING ,OH ,45879-9235 ,PAULDING ,,,,,,,,,,25,9150,919,27,1278,,151.3,,144,17,250,,,,,,, 361301,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY MEMORIAL HOSPITAL ,208 N. COLUMBUS STREET ,,HICKSVILLE ,OH ,43526- ,DEFIANCE ,,,,,,,,,,25,9150,867,66,1969,,137.6,,241,16,432,98,,,,,, 361302,01-JUL-16,30-JUN-17,As Submitted,TWIN CITY HOSPITAL ,819 NORTH FIRST STREET ,,DENNISON ,OH ,44621-1098 ,TUSCARAWAS ,,,,,,,,,,25,9125,383,4,717,,167.05,,67,1,117,13,,,,,, 361303,01-JAN-16,31-DEC-16,As Submitted,LODI COMMUNITY HOSPITAL ,225 ELYRIA STREET ,,LODI ,OH ,44254- ,MEDINA ,,,,,,,,,,20,7320,1048,5,1937,,111.84,,26,1,37,,,,,,, 361304,01-JAN-16,31-DEC-16,As Submitted,GREENFIELD AREA MEDICAL CENTER ,545 SOUTH STREET ,,GREENFIELD ,OH ,45123- ,HIGHLAND ,,,,,,,,,,25,9150,1572,26,2738,,97.65,,51,6,82,11,,,,,, 361306,01-JAN-16,31-DEC-16,Amended,MERCY ALLEN HOSPITAL ,200 WEST LORAIN STREET ,,OBERLIN ,OH ,44074- ,LORAIN ,,,,,,,,,,25,9150,2051,38,4714,,123.51,,218,14,484,36,,,,,, 361307,01-JAN-16,31-DEC-16,Amended,UH GENEVA MEDICAL CENTER ,870 WEST MAIN STREET ,,GENEVA ,OH ,44041- ,ASHTABULA ,,,,,,,,,,25,9150,2996,139,4885,.99,235.5,,674,34,1157,63,,,,,, 361308,01-JAN-16,31-DEC-16,As Submitted,UH CONNEAUT MEDICAL CENTER ,158 WEST MAIN STREET ,,CONNEAUT ,OH ,44030- ,ASHTABULA ,,,,,,,,,,25,9150,1235,44,1854,2.28,162.63,,250,15,487,44,,,,,, 361309,01-NOV-15,31-OCT-16,As Submitted,HENRY COUNTY HOSPITAL (CAH) ,11600 STATE ROUTE 424 ,43545 ,NAPOLEON ,OH ,43545- ,HENRY ,,,,,,,,,,25,9150,1789,89,3308,,211.85,,315,7,691,80,,,,,, 361310,01-JAN-16,31-DEC-16,As Submitted,MERCY HEALTH-WILLARD HOSPITAL LLC ,1100 NEAL ZICK ROAD ,,WILLARD ,OH ,44890- ,HURON ,,,,,,,,,,20,7320,1549,21,2593,,118.25,,258,6,459,43,,,,,, 361311,01-JAN-16,31-DEC-16,As Submitted,HARRISON COMMUNITY HOSPITAL ,951 EAST MARKET STREET ,,CADIZ ,OH ,43907- ,HARRISON ,,,,,,,,,,25,9150,572,5,961,,132.22,,78,2,164,32,,,,,, 361312,01-JAN-16,31-DEC-16,As Submitted,MERCY MEMORIAL HOSPITAL ,904 SCIOTO STREET ,,URBANA ,OH ,43078- ,CHAMPAIGN ,,,,,,,,,,25,9150,1522,64,3077,,126.06,,308,23,692,93,,,,,, 361313,01-JAN-16,31-DEC-16,As Submitted,MORROW COUNTY HOSPITAL ,651 WEST MARION ROAD ,,MOUNT GILEAD ,OH ,43338- ,MORROW ,,,,,,,,,,23,8418,1148,7,1637,,198.04,,230,3,387,41,,,,,, 361314,01-JAN-16,31-DEC-16,As Submitted,H B MAGRUDER MEMORIAL HOSPITAL ,615 FULTON STREET ,,PORT CLINTON ,OH ,43452 ,OTTAWA ,,,,,,,,,,25,9150,989,36,1662,,350.43,,269,11,464,,,,,,, 361315,01-JUL-16,30-JUN-17,As Submitted,HARDIN MEMORIAL HOSPITAL ,921 E. FRANKLIN STREET ,,KENTON ,OH ,43326 ,HARDIN ,,,,,,,,,,25,9125,1654,46,2348,,179.44,,400,18,604,38,,,,,, 361316,01-JUL-16,30-JUN-17,As Submitted,BUCYRUS COMMUNITY HOSPITAL ,629 N. SANDUSKY ST. ,,BUCYRUS ,OH ,44820- ,CRAWFORD ,,,,,,,,,,25,9125,1652,75,3116,,262.85,,475,21,896,87,,,,,, 361318,01-JAN-16,31-DEC-16,As Submitted,FOSTORIA COMMUNITY HOSPITAL ,501 VAN BUREN STREET ,907 ,FOSTORIA ,OH ,44830-1437 ,HANCOCK ,,,,,,,,,,25,9150,860,33,1533,,156.11,,250,15,543,51,,,,,, 361319,01-OCT-15,30-SEP-16,As Submitted,SELBY GENERAL HOSPITAL ,1106 COLEGATE DRIVE ,,MARIETTA ,OH ,45750 ,WASHINGTON ,,,,,,,,,,25,9150,1962,88,3587,,194.12,,657,26,1209,40,,,,2,,253 361320,01-JUL-16,30-JUN-17,As Submitted,HOLZER MEDICAL CENTER JACKSON ,500 BURLINGTON ROAD ,,JACKSON ,OH ,45640- ,JACKSON ,,,,,,,,,,24,8760,1285,63,2164,,166.31,,396,23,708,102,,,,,, 361321,01-JAN-16,31-DEC-16,As Submitted,BARNESVILLE HOSPITAL ,639 WEST MAIN STREET ,,BARNESVILLE ,OH ,43713- ,BELMONT ,,,,,,,,,,25,9150,1392,36,2687,,186.25,,313,13,689,56,,,,,, 361322,01-JAN-16,31-DEC-16,As Submitted,BLUFFTON HOSPITAL ,139 GARAU STREET ,,BLUFFTON ,OH ,45817 ,ALLEN ,,,,,,,,,,25,9150,132,232,1059,,183.25,,47,101,275,,,,,,, 361323,01-JAN-16,31-DEC-16,As Submitted,AULTMAN ORRVILLE HOSPITAL ,832 SOUTH MAIN STREET ,44667 ,ORRVILLE ,OH ,44667 ,WAYNE ,,,,,,,,,,25,9150,465,26,2744,,165.34,,150,12,1016,326,,,,,, 361324,01-JUL-16,30-JUN-17,As Submitted,SHELBY MEMORIAL HOSPITAL ,20 MORRIS ROAD ,,SHELBY ,OH ,44875 ,RICHLAND ,,,,,,,,,,25,9125,2381,214,4055,,150,,375,8,689,59,,,,,, 361325,01-JUL-16,30-JUN-17,As Submitted,GALION COMMUNITY HOSPITAL ,269 PORTLAND WAY SOUTH ,,GALION ,OH ,44833-2312 ,CRAWFORD ,,,,,,,,,,25,9125,2431,102,6128,,477.05,,784,42,1754,486,,,,,,133 361326,01-JAN-16,31-DEC-16,As Submitted,ADAMS COUNTY REGIONAL MEDICAL CENTER ,230 MEDICAL CENTER DRIVE ,,SEAMAN ,OH ,45679- ,ADAMS ,,,,,,,,,,25,9150,2805,86,4312,,181.63,,484,25,813,100,,,,,, 361327,01-OCT-15,30-SEP-16,As Submitted,CHWC-MONTPELIER ,909 SNYDER AVE. ,,MONTPELIER ,OH ,43543-1271 ,WILLIAMS ,,,,,,,,,,25,9150,2893,,4024,,105.97,,8,,17,1,,,,,, 361328,01-JAN-16,31-DEC-16,As Submitted,DEFIANCE HOSPITAL INC. ,1200 RALSTON AVE. ,,DEFIANCE ,OH ,43512- ,DEFIANCE ,,,,,,,,,,25,9150,1291,568,4300,,242.41,,370,22,1164,510,,,40,,567, 361329,01-JAN-16,31-DEC-16,As Submitted,WYANDOT MEMORIAL HOSPITAL ,885 N. SANDUSKY AVE. ,,UPPER SANDUSKY ,OH ,43351- ,WYANDOT ,,,,,,,,,,24,8784,2060,46,4413,,276.67,,322,9,744,127,,,,,, 361330,01-JAN-16,31-DEC-16,As Submitted,HOCKING VALLEY COMMUNITY HOSPITAL ,601 STATE ROUTE 664 ,,LOGAN ,OH ,43138-0966 ,HOCKING ,,,,,,,,,,25,9150,2672,42,4313,,263.04,,338,21,721,99,,,11,,173, 361331,01-JAN-16,31-DEC-16,As Submitted,FAYETTE COUNTY MEMORIAL HOSP ,1430 COLUMBUS AVE ,,WASHINGTON COURT HOUSE ,OH ,43160 ,FAYETTE ,,,,,,,,,,25,9150,2404,96,4463,,290.81,,438,32,928,136,,,,,, 361332,01-JAN-16,31-DEC-16,As Submitted,HIGHLAND DISTRICT HOSPITAL ,1275 NORTH HIGH STREET ,,HILLSBORO ,OH ,45133- ,HIGHLAND ,,,,,,,,,,25,9150,1949,172,4499,,268.79,,554,53,1400,336,,,1,,208, 361333,01-JAN-16,31-DEC-16,As Submitted,FULTON COUNTY HEALTH CENTER ,725 SOUTH SHOOP AVENUE ,,WAUSEON ,OH ,43567 ,FULTON ,,,,,,,,,,25,9150,1223,60,3235,,483.81,,503,9,1168,,,,,,157, 361334,01-JAN-16,31-DEC-16,As Submitted,PIKE COMMUNITY HOSPITAL ,100 DAWUN LANE ,,WAVERLY ,OH ,45690 ,PIKE ,,,,,,,,,,25,9150,1331,43,1884,,137.04,,217,16,338,34,,,,,, 361991,01-JAN-16,31-DEC-16,As Submitted,GLENMONT ,4599 AVERY ROAD ,,HILLIARD ,OH ,43026-4786 ,FRANKLIN ,,,,,,,,,,25,9150,708,627,7246,,55.33,,18,3,64,,,,,,, 362004,01-JUL-16,30-JUN-17,As Submitted,DANIEL DRAKE CENTER FOR POST-ACUTE C ,151 WEST GALBRAITH ROAD ,,CINCINNATI ,OH ,45216-1096 ,HAMILTON ,,,,,,,,,1693,149,54385,6794,3073,21913,1.65,482.4,,301,103,838,146,,,,,, 362007,01-JAN-16,25-AUG-16,As Submitted,ELMWOOD HC CENTER AT THE SPRINGS ,401 NORTH BROADWAY ,,GREEN SPRINGS ,OH ,44836 ,SANDUSKY ,,,,,,,,,,36,8568,1419,217,2384,,43.91,,57,6,94,,,,,,, 362007,26-AUG-16,31-DEC-16,As Submitted,EDEN SPRINGS HEALTHCARE CENTER ,401 NORTH BROADWAY ,,GREEN SPRINGS ,OH ,44836 ,SANDUSKY ,,,,,,,,,,36,4608,786,196,1336,,33.33,,38,6,52,2,,,,,, 362014,01-JAN-16,31-DEC-16,As Submitted,HEATHER HILLS CARE COMMUNITIES ,12340 BASS LAKE ROAD ,,CHARDON ,OH ,44024 ,GEAUGA ,,,,,,,,,,56,20496,2663,286,4419,,45.26,,118,10,174,,,,,,, 362015,01-JUL-16,30-JUN-17,As Submitted,GRACE HOSPITAL ,2307 WEST 14 STREET ,,CLEVELAND ,OH ,44113- ,CUYAHOGA ,,,,,,,,,,52,18980,3544,1874,7171,,73.28,,162,64,290,,,,,,, 362016,01-MAR-16,28-FEB-17,As Submitted,SSH -NE OHIO ,1320 MERCY DRIVE ,,CANTON ,OH ,44708 ,STARK ,,,,,,,,,,30,10950,3058,1036,7277,,78.8,,121,36,293,41,,,,,, 362023,01-NOV-15,31-OCT-16,Settled,MAHONING VALLEY HOSPITAL ,8049 SOUTH AVENUE ,,BOARDMAN ,OH ,44512- ,MAHONING ,,,,,,,,,,42,15372,5752,705,10243,,103.88,,246,32,435,34,,,,,, 362024,01-JAN-16,31-DEC-16,As Submitted,SSH - YOUNGSTOWN ,1044 BELMONT AVENUE ,,YOUNGSTOWN ,OH ,44501 ,MAHONING ,,,,,,,,,,56,20496,6735,784,13484,,129.12,,261,29,531,61,,,,,, 362025,01-JAN-16,31-DEC-16,As Submitted,SPECIALTY HOSPITAL OF LORAIN ,205 W 20TH STREET SUITE 200 ,,LORAIN ,OH ,44052-3779 ,LORAIN ,,,,,,,,,,28,10248,4502,331,6800,,53.29,,186,12,278,,,,,,, 362026,01-JUN-16,31-AUG-16,As Submitted,SSH - CLEVELAND ,11900 FAIRHILL ROAD ,,CLEVELAND ,OH ,44120 ,CUYAHOGA ,,,,,,,,,,143,13156,1390,357,2702,,41.18,,38,12,92,16,,,,,, 362027,01-DEC-15,30-NOV-16,As Submitted,SSH - AKRON LLC ,200 EAST MARKET STREET ,,AKRON ,OH ,44308 ,SUMMIT ,,,,,,,,,,60,21960,5252,1827,15223,,172.18,,197,60,590,84,,,,,, 362028,01-APR-16,31-MAR-17,As Submitted,LIFECARE HOSPITAL OF DAYTON ,4000 MIAMISBURG - CENTERVILLE RD ,,MIAMISBURG ,OH ,45342-3698 ,MONTGOMERY ,,,,,,,,,,44,16060,5805,1028,13160,,107.93,,227,33,495,,,,,,, 362031,01-APR-16,31-MAR-17,As Submitted,SSH - SOUTHEAST OHIO ,2000 TAMARACK ROAD 2ND FLOOR ,,NEWARK ,OH ,43701 ,LICKING ,,,,,,,,,,35,12775,4173,754,8372,,84.29,,169,36,335,61,,,,,, 362032,01-OCT-15,30-SEP-16,As Submitted,ACUTE CARE SPECIALTY HOSPITAL ,2600 - SIXTH STREET SW ,,CANTON ,OH ,44710 ,STARK ,,,,,,,,,,30,10980,2128,353,4444,,48.74,,83,13,159,8,,,,,, 362036,01-JAN-16,31-DEC-16,As Submitted,REGENCY HOSPITAL OF TOLEDO ,5220 ALEXIS RD ,,SYLVANIA ,OH ,43560 ,LUCAS ,,,,,,,,,,45,16470,4498,789,9829,,118.47,,178,26,404,48,,,,,, 362037,01-JUL-16,30-JUN-17,As Submitted,REGENCY HOSPITAL OF COLUMBUS ,1430 SOUTH HIGH STREET ,,COLUMBUS ,OH ,43207 ,FRANKLIN ,,,,,,,,,,66,24090,5191,3207,15503,,154.58,,202,87,542,121,,,,,, 362038,01-MAR-16,28-FEB-17,As Submitted,ADVANCED SPECIALTY HOSP. OF TOLEDO ,1015 GARDEN LAKE PKWY ,,TOLEDO ,OH ,43614- ,LUCAS ,,,,,,,,,,40,14600,3337,923,7913,1.79,63.56,,124,33,299,43,,,,,, 362040,01-JUL-16,01-JAN-17,As Submitted,SSH BOARDMAN ,8401 MARKET STREET 7 SOUTH ,,BOARDMAN ,OH ,44512 ,MAHONING ,,,,,,,,,,24,4416,1384,267,3194,,31.17,,55,10,117,18,,,,,, 363026,01-JAN-16,31-DEC-16,As Submitted,HILLSIDE HOSPITAL ,8747 SQUIRES LANE NE ,,WARREN ,OH ,44484- ,TRUMBULL ,,,,,,,,,,65,23790,6676,1709,13686,,178.9,,531,120,1038,,,,,,, 363033,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,ONE ELIZABETH PLACE ,,DAYTON ,OH ,45408 ,MONTGOMERY ,,,,,,,,,,50,18300,4084,643,7386,,68.87,,353,47,624,99,,,,,, 363034,01-OCT-15,30-SEP-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,151 WEST GALBRAITH ROAD ,,CINCINNATI ,OH ,45216 ,HAMILTON ,,,,,,,,,,100,30520,9801,1242,21404,,183.82,,699,83,1501,266,,,,,, 363035,01-FEB-16,31-JAN-17,As Submitted,SUMMA REHAB HOSPITAL ,29 N ADAMS ST. ,,AKRON ,OH ,44304 ,SUMMIT ,,,,,,,,,,60,21960,8827,689,19567,,172.61,,892,66,1938,118,,,,,, 363036,01-JAN-16,31-DEC-16,As Submitted,UNIVERSITY HOSPITALS REHAB HOSPITAL ,23333 HARVARD ROAD ,,BEACHWOOD ,OH ,44122 ,CUYAHOGA ,,,,,,,,,,50,18300,6261,828,13570,,143.7,,532,68,1154,174,,,,,, 363037,01-JUL-16,30-JUN-17,As Submitted,OHIOHEALTH REHABILITATION HOSPITAL ,1087 DENNISON AVE 4TH FLOOR ,,COLUMBUS ,OH ,43201 ,FRANKLIN ,,,,,,,,,,74,27010,8641,1217,20328,,205.72,,679,92,1533,173,,,,,, 363038,09-JAN-16,31-AUG-16,As Submitted,CLEVELAND CLINIC REHABILITATION HOSP ,33355 HEALTH CAMPUS BOULEVARD ,,AVON ,OH ,44011 ,LORAIN ,,,,,,,,,,60,15960,3138,35,5830,,75.49,,239,3,425,4,,,,,, 363039,10-MAR-16,31-DEC-16,As Submitted,UNIVERSITY HOSPITALS AVON REHAB HOSP ,37900 CHESTER ROAD ,,AVON ,OH ,44011 ,LORAIN ,,,,,,,,,,50,14850,3303,249,5272,,83.4,,287,23,447,28,,,,,, 363040,29-APR-16,31-MAY-16,As Submitted,REHAB HOSPITAL OF NORTHWEST OHIO ,1455 WEST MEDICAL LOOP ,,TOLEDO ,OH ,43614 ,LUCAS ,,,,,,,,,,40,1320,201,75,581,,76.99,,18,5,37,,,,,,, 363040,01-JUN-16,31-MAY-17,As Submitted,REHABILITATION HOSPITAL OF NORTHWEST ,1455 WEST MEDICAL LOOP ,,TOLEDO ,OH ,43614 ,LUCAS ,,,,,,,,,,40,14600,4052,959,8744,,102,,296,63,610,,,,,,, 363041,07-JUN-16,31-MAR-17,As Submitted,TRIHEALTH REHABILITATION HOSPITAL ,2155 DANA AVENUE ,,CINCINNATI ,OH ,45207 ,HAMILTON ,,,,,,,,,,60,17880,4058,137,7752,,97.06,,359,11,633,6,,,,,, 363300,01-JUL-16,30-JUN-17,As Submitted,CHILDRENS HOSPITAL MEDICAL CENTER ,3333 BURNET AVENUE MLC #4900 ,,CINCINNATI ,OH ,45229-3039 ,HAMILTON ,,,,,,,,,33931,592,215981,906,17197,145647,364.36,13154,,98,1820,19285,9206,,,,,, 363302,01-JAN-16,31-DEC-16,As Submitted,RAINBOW BABIES & CHILDRENS HOSPITAL ,11100 EUCLID AVENUE ,,CLEVELAND ,OH ,44106-5022 ,CUYAHOGA ,,,,,,,,,4922,230,84185,502,6705,56592,157.39,730.12,,51,779,9184,5110,,,,,, 363303,01-JAN-16,31-DEC-16,As Submitted,CHILDRENS HOSPITAL MEDICAL CENTER ,1 PERKINS SQUARE ,,AKRON ,OH ,44308- ,SUMMIT ,,,,,,,,,8782,391,143059,968,7267,74774,120.6,4185.39,,68,780,9631,4588,,,,,, 363304,01-JAN-16,31-DEC-16,Settled,CLEVELAND CLINIC ,6801 BRECKSVILLE RD ,,INDEPENDENCE ,OH ,44131 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 363305,01-JAN-16,31-DEC-16,As Submitted,Y ,700 CHILDRENS DRIVE ,,COLUMBUS ,OH ,43205 ,FRANKLIN ,,,,,,,,,11088,616,225456,691,21577,159366,244.62,7153.68,,95,1640,17263,8144,,,,,, 363306,01-JUL-16,30-JUN-17,As Submitted,DAYTON CHILDRENS HOSPITAL ,ONE CHILDRENS PLAZA ,,DAYTON ,OH ,45404- ,MONTGOMERY ,,,,,,,,,4430,155,56575,50,3075,28561,59.02,1988.15,,9,601,6899,3481,,,,,, 363308,01-JAN-16,31-DEC-16,Settled,SHRINERS HOSPITALS FOR CHILDREN - C ,3229 BURNETT AVENUE ,,CINCINNATI ,OH ,45229 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 364007,01-JUL-16,30-JUN-17,As Submitted,TWIN VALLEY RPH - COLUMBUS CAMPUS ,2200 WEST BROAD STREET ,,COLUMBUS ,OH ,43223 ,FRANKLIN ,,,,,,,,,,232,85444,2577,,80363,,653,,84,,1709,,,,,,, 364011,01-JUL-16,30-JUN-17,As Submitted,NORTHCOAST RPH ,1756 SAGAMORE ROAD ,305 ,NORTHFIELD ,OH ,44109-1911 ,SUMMIT ,,,,,,,,,,258,95296,4397,,92725,,624,,102,,1401,,,,,,, 364014,01-JUL-16,30-JUN-17,As Submitted,NORTHWEST - TOLEDO RPH ,930 SOUTH DETROIT AVENUE ,,TOLEDO ,OH ,44109-1911 ,LUCAS ,,,,,,,,,,114,41610,2919,,39614,,322,,108,,674,,,,,,, 364015,01-JUL-16,30-JUN-17,As Submitted,APPALACHIAN RPH - ATHENS CAMPUS ,100 HOSPITAL DRIVE ,,ATHENS ,OH ,45701 ,ATHENS ,,,,,,,,,,92,33672,2107,,29914,,362,,130,,1171,,,,,,, 364027,01-JAN-16,31-DEC-16,As Submitted,CAMBRIDGE BEHAVIORAL HOSPITAL ,66755 STATE STREET ,,CAMBRIDGE ,OH ,42725-8757 ,FRANKLIN ,,,,,,,,,,66,24156,14592,,21417,,141,,789,,1240,,,,,,, 364029,01-JAN-16,31-DEC-16,As Submitted,LAURELWOOD HOSPITAL ,35900 EUCLID AVENUE ,,WILLOUGHBY ,OH ,44094 ,LAKE ,,,,,,,,,,159,58194,16311,9027,44177,,256.87,,1165,1171,4962,,,,,,, 364031,01-JUL-16,30-JUN-17,As Submitted,HEARTLAND RPH ,3000 ERIE STREET SOUTH ,,MASSILLON ,OH ,44646 ,STARK ,,,,,,,,,,148,54904,2368,,47399,,347,,75,,952,,,,,,, 364035,01-JUL-16,30-JUN-17,As Submitted,SUMMIT RPH ,1101 SUMMIT ROAD ,,CINCINNATI ,OH ,45237 ,HAMILTON ,,,,,,,,,,291,106506,2853,,102582,,587,,74,,595,,,,,,, 364036,01-JAN-16,31-DEC-16,As Submitted,ARROWHEAD HOSPITAL ,1725 TIMBERLINE ROAD ,,MAUMEE ,OH ,43537 ,LUCUC ,,,,,,,,,,30,1098010950,4891,,10539,,75.74,,418,,1714,,,,,,, 364040,01-JUL-16,30-JUN-17,As Submitted,MENTAL HEALTH SRVS FOR CLARK COUNTY ,474 N YELLOW SPRINGS STREET ,,SPRINGFIELD ,OH ,45504 ,CLARK ,,,,,,,,,,16,5840,606,2496,4895,,32.05,,69,355,717,,,,,,, 364041,01-JAN-16,31-DEC-16,Amended,OHIO HOSPITAL FOR PSYCHIATRY ,880 GREENLAWN AVENUE ,,COLUMBUS ,OH ,43223 ,FRANKLIN ,,,,,,,,,,90,32850,17090,1689,33205,,197.31,,1045,149,2482,23,,,,,, 364042,01-JAN-16,31-DEC-16,Amended,TEN LAKES HOSPITAL LLC ,819 NORTH FIRST STREET ,,DENNISON ,OH ,44621 ,TUSCARAWAS ,,,,,,,,,,16,5840,2894,425,4988,,40.71,,179,47,335,4,,,,,, 364044,01-JUL-16,30-JUN-17,As Submitted,LINDNER CENTER OF HOPE ,4075 OLD WESTERN ROW ROAD ,,MASON ,OH ,45040- ,WARREN ,,,,,,,,,,32,11680,1610,,7831,,,,169,,1284,,,,,,, 364045,01-JUL-16,26-OCT-16,Settled,POMEGRANATE HEALTH SYSTEMS ,765 PIERCE DR ,,COLUMBUS ,OH ,43223 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 364047,01-OCT-15,30-SEP-16,As Submitted,RIDGEVIEW HOSPITAL ,17872 LINCOLN HIGHWAY ,,MIDDLE POINT ,OH ,45863 ,VAN WERT ,,,,,,,,,,84,25812,24028,,25368,,226.25,,1003,,1060,,,,,,, 364048,01-JAN-16,31-DEC-16,As Submitted,HAVEN BEHAVIORAL SVCS DAYTON ,ONE ELIZABETH PL 4TH FL SW TOWER ,,DAYTON ,OH ,45417 ,,,,,,,,,,,32,11712,5191,165,9969,,69.93,,420,14,831,6,,,,,, 364049,01-JAN-16,31-DEC-16,As Submitted,DUBLIN SPRINGS ,7625 HOSPITAL DRIVE ,,DUBLIN ,OH ,43016 ,FRANKLIN ,,,,,,,,,,72,26352,8705,84,25532,,183.89,,771,22,2903,10,,,,,, 364050,01-JAN-16,31-DEC-16,As Submitted,ACCESS HOSPITAL DAYTON ,2611 WAYNE AVENUE ,,DAYTON ,OH ,45420 ,MONTGOMERY ,,,,,,,,,,52,19032,6374,352,11888,,65.94,,348,12,793,,,,,,, 364051,01-JAN-16,31-DEC-16,As Submitted,BECKETT SPRINGS ,8614 SHEPHERD FARM DRIVE ,,WEST CHESTER ,OH ,45069 ,HAMILTON ,,,,,,,,,,72,26352,9328,72,23436,,162.27,,673,8,2542,16,,,,,, 364052,01-APR-16,31-MAR-17,As Submitted,CLEARVISTA HEALTH & WELNESS ,3364 KOLBE ROAD ,,LORAIN ,OH ,44053 ,LORAIN ,,,,,,,,,,30,10950,5058,157,9192,,46.49,,334,12,414,3,,,,,, 364053,01-DEC-15,31-DEC-16,As Submitted,HIGHLAND SPRINGS ,4199 MILL POND ROAD ,,BEACHWOOD ,OH ,44122 ,CUYAHOGA ,,,,,,,,,,72,28584,4114,21,13153,,98.18,,423,7,1706,6,,,,,, 364054,04-DEC-15,31-DEC-16,As Submitted,GENERATIONS BEHAVORIAL HEALTH- GENEV ,60 WEST STREET ,,GENEVA ,OH ,44041 ,ASHTABULA ,,,,,,,,,,16,6304,2750,260,4200,,27.18,,181,23,294,,,,,,, 364055,13-MAY-16,30-JUN-16,As Submitted,SOJOURN AT SENECA ,50 ST. LAWRENCE DRIVE ,,TIFFIN ,OH ,44883 ,SENECA ,,,,,,,,,,24,1176,414,,638,,,,41,,61,,,,,,, 364055,01-JUL-16,30-JUN-17,As Submitted,SOJOURN AT SENECA ,50 ST. LAWRENCE DRIVE ,,TIFFIN ,OH ,44883 ,SENECA ,,,,,,,,,,24,8760,2569,,3355,,,,179,,242,,,,,,, 364056,27-JUL-16,31-DEC-16,Settled,ASSURANCE HEALTH - CINCINNATI ,11690 GROOMS ROAD ,,CINCINNATI ,OH ,17140 ,HAMILTON ,,,,,,,,,,28,4424,2870,,3861,,107,,172,,218,10,,,,,, 370001,01-JUL-16,30-JUN-17,As Submitted,HILLCREST MEDICAL CENTER ,1120 SOUTH UTICA ,,TULSA ,OK ,74104 ,TULSA ,4928271,,,3775428,,,.2032,1899292,649372,460,167900,40780,34287,120595,59.44,2089.06,,7605,6027,23598,,,,,59,,616 370002,01-JUN-16,31-MAY-17,As Submitted,ALLIANCEHEALTH WOODWARD ,917 17TH STREET ,,WOODWARD ,OK ,73802 ,WOODWARD ,,,,91991,,,.1028,,,40,14600,2894,1035,5590,,217.74,,570,321,1368,,,,,,, 370006,01-JUN-16,31-MAY-17,As Submitted,PONCA CITY MEDICAL CENTER ,1900 N 14TH STREET ,,PONCA CITY ,OK ,74601 ,KAY ,,,,312862,,,.1761,,,77,28105,4197,2806,9587,,315.61,,1079,568,2516,,,,,,, 370007,01-JAN-16,27-APR-16,As Submitted,NEWMAN MEMORIAL HOSPITAL ,905 MAIN STREET ,,SHATTUCK ,OK ,73858- ,ELLIS ,,,,1198,,,.0427,,,23,2714,148,15,192,,46.54,,25,3,37,,,,,,, 370008,01-JUL-16,30-JUN-17,As Submitted,NORMAN REGIONAL HOSPITAL AUTHORITY ,901 N PORTER ,,NORMAN ,OK ,73070- ,CLEVELAND ,1362710,,,1148451,,,.0902,449826,216621,322,117530,27239,13019,64801,15.97,2377.22,,5803,3039,14693,,,,96,11,624,379 370011,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL EL RENO ,2115 PARK VIEW DRIVE ,129 ,EL RENO ,OK ,73036-0129 ,CANADIAN ,,,,12720,,,.0546,,,48,17520,459,129,965,,86.71,,148,46,328,,,,,,, 370013,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL OKC ,4300 WEST MEMORIAL ROAD ,,OKLAHOMA CITY ,OK ,73120-8304 ,OKLAHOMA ,,,,1232911,,,.0906,,,308,112420,28192,14367,83216,,2080.98,,5589,3018,16137,,,,,,, 370014,01-OCT-15,30-SEP-16,As Submitted,ALLIANCEHEALTH DURANT ,1800 W UNIVERSITY BLVD ,,DURANT ,OK ,74820 ,BRYAN ,586641,,,1083304,,,.2707,408346,152751,148,54168,10359,5616,20462,9.76,369.9,,2481,1558,5432,,,,,,, 370018,01-OCT-15,30-SEP-16,As Submitted,JANE PHILLIPS MEDICAL CENTER ,3500 SE FRANK PHILLIPS BLVD ,,BARTLESVILLE ,OK ,74006- ,WASHINGTON ,421560,,,230025,,,.0535,104169,89612,81,29646,9111,2278,15514,4.27,486.13,,2351,599,4449,,,,4,7,154,115 370019,01-JUL-16,30-JUN-17,As Submitted,GREAT PLAINS REGIONAL MEDICAL CENTER ,WEST THIRD AND LINCOLN ,2339 ,ELK CITY ,OK ,73648- ,BECKHAM ,,,,125649,,,.0972,,,40,14600,4807,1104,8156,,350.1,,748,313,1692,,,,,,76, 370020,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL ADA ,431 NORTH MONTE VISTA ,,ADA ,OK ,74820- ,PONTOTOC ,,,,371170,,,.1513,,,108,39420,5372,2393,10685,,499.84,,1270,1002,2796,,,,188,3,421,85 370022,01-JUL-16,30-JUN-17,As Submitted,JACKSON COUNTY MEMORIAL HOSPITAL ,1200 EAST PECAN ,,ALTUS ,OK ,73522- ,JACKSON ,,,,177454,,,.089,,,49,17885,5949,1289,9932,,553.81,,1197,391,2353,,,,,,, 370023,01-JUL-16,30-JUN-17,As Submitted,DUNCAN REGIONAL HOSPITAL ,1407 WHISENANT DRIVE ,,DUNCAN ,OK ,74534- ,STEPHENS ,,,,293601,,,.0953,,,81,29565,6836,2414,12858,,580.28,,1858,650,3844,,,,1,5,172,159 370025,01-OCT-15,30-SEP-16,As Submitted,MUSKOGEE REGIONAL MEDICAL CENTER ,300 ROCKEFELLER DRIVE ,,MUSKOGEE ,OK ,74401 ,MUSKOGEE ,,,,864806,,,.1377,,,264,96624,17807,7416,34641,,755.24,,3622,1564,7586,,,,448,1,1374,348 370026,01-JAN-16,31-DEC-16,As Submitted,ST MARYS REGL MEDICAL CENTER ,305 SOUTH FIFTH STREET ,,ENID ,OK ,73701- ,GARFIELD ,,,,152035,51922,,.0449,,,122,44652,10408,2579,18526,,538.8,,2425,724,4776,,,,,,,337 370029,01-APR-16,31-MAR-17,As Submitted,ALLIANCE HEALTH CLINTON ,100 NORTH 30TH ,,CLINTON ,OK ,73601 ,CUSTER ,,,,70277,,,.12,,,45,16425,1251,997,3432,,113.71,,412,314,1108,,,,,,,88 370030,01-APR-16,02-SEP-16,As Submitted,ALLIANCEHEALTH BLACKWELL ,710 SOUTH 13TH ,,BLACKWELL ,OK ,74631 ,KAY ,,,,,,,,,,34,5270,175,17,256,,21.61,,54,4,88,,,,,,, 370030,03-SEP-16,31-DEC-16,As Submitted,BLACKWELL REGIONAL HOSPITAL ,710 SOUTH 13TH ,,BLACKWELL ,OK ,74631 ,KAY ,,,,13559,,,.2039,,,34,4080,176,74,257,,42.05,,53,7,76,,,,,,, 370032,01-NOV-15,31-OCT-16,As Submitted,ALLIANCEHEALTH DEACONESS ,5501 PORTLAND ,,OKLAHOMA CITY ,OK ,73111-2209 ,OKLAHOMA ,,,,439494,,,.1089,,,213,77958,8817,4405,22544,,574.74,,1787,881,4701,,,,,36,,318 370034,01-JUL-16,30-JUN-17,As Submitted,MCALESTER REGIONAL HEALTH CENTER ,1 CLARK BASS BOULEVARD ,,MCALESTER ,OK ,74501- ,PITTSBURG ,582033,,,485926,,,.1298,365119,102373,128,46720,7821,2668,14334,9,648.73,,2106,760,4115,,,,,6,,92 370036,01-JUL-16,17-NOV-16,As Submitted,HARMON MEMORIAL HOSPITAL ,400 EAST CHESTNUT ,,HOLLIS ,OK ,73550-0791 ,HARMON ,,,,9061,,,.1118,,,22,3080,423,22,479,,26.31,,80,9,104,,,,,,, 370037,01-JAN-16,31-DEC-16,As Submitted,ST ANTHONY HOSPITAL ,1000 NORTH LEE ,,OKLAHOMA CITY ,OK ,73101 ,OKLAHOMA ,3422174,,,3044941,,,.1903,947580,340717,407,145910,35174,29211,104883,50.64,1979.27,,6555,2336,20224,,,,269,19,1280,244 370039,01-NOV-15,31-OCT-16,As Submitted,HILLCREST HOSPITAL CLAREMORE ,1202 N. MUSKOGEE PLACE ,,CLAREMORE ,OK ,74017 ,RODGERS ,,,,137121,,,.12,,,54,19764,3276,2272,8796,,269.5,,814,1231,3203,,,,7,,242, 370040,01-JUL-16,19-SEP-16,As Submitted,EASTERN OKLAHOMA MEDICAL CENTER ,105 WALL STREET ,,POTEAU ,OK ,74953 ,LEFLORE ,,,,10340,,,.12,,,49,3969,513,227,1448,,152.01,,47,78,243,,,,,,56, 370041,01-JAN-16,31-DEC-16,As Submitted,BRISTOW MEDICAL CENTER ,700 WEST 7TH AVE SUITE 6 ,,BRISTOW ,OK ,74010- ,CREEK ,,,,45205,,,.0366,,,55,20130,1144,257,2436,,245.45,,625,163,1385,,,,,,, 370047,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL ARDMORE ,1011 14TH AVE NW ,,ARDMORE ,OK ,73401-1889 ,CARTER ,,,,634549,,,.1054,,,140,51100,13257,3675,23391,,676.31,,2964,1454,5860,,,,13,21,211,261 370048,01-JUL-16,30-JUN-17,As Submitted,MCCURTAIN MEMORIAL HOSPITAL ,1301 EAST LINCOLN ROAD ,,IDABEL ,OK ,74745- ,MCCURTAIN ,,,,57294,,,.12,,,77,28105,1326,970,2825,,169.56,,435,314,965,,,,1,,110, 370049,01-JAN-16,31-DEC-16,As Submitted,STILLWATER MEDICAL CENTER ,1323 W 6TH STREET ,,STILLWATER ,OK ,74074- ,PAYNE ,,,,282863,,,.1003,,,87,31842,4821,2070,10456,,918.45,,1434,556,3279,,,,,5,,257 370051,01-OCT-15,31-MAR-16,As Submitted,TILLMAN MEMORIAL HOSPITAL ,319 EAST JOSEPHINE ,,FREDERICK ,OK ,73542- ,TILLMAN ,,,,7290,,,.0887,,,37,6771,466,54,562,,75.74,,68,18,125,,,,,,, 370054,01-JAN-16,31-DEC-16,As Submitted,GRADY MEMORIAL HOSPITAL ,2220 IOWA AVENUE ,,CHICKASHA ,OK ,73018- ,GRADY ,,,,64912,,,.0924,,,49,17934,2044,547,3617,,238.08,,505,202,1060,,,,,,, 370056,01-JUL-16,30-JUN-17,As Submitted,COMANCHE COUNTY MEMORIAL HOSPITAL ,3401 W GORE ,,LAWTON ,OK ,73502- ,,667705,,,982410,,,.1175,1376893,561937,191,69715,19950,3595,43557,22.64,1507.84,,3628,1198,10573,,,,,,277,308 370057,01-OCT-15,30-SEP-16,As Submitted,MUSCOGEE CREEK NATION MED CENTER ,1401 MORRIS DRIVE ,,OKMULGEE ,OK ,74447 ,OKMULGEE ,,,,16668,,,.0605,,,50,18300,919,172,1697,,201,,259,48,482,,,,18,,160, 370065,01-JAN-16,04-DEC-16,As Submitted,CRAIG GENERAL HOSPITAL ,735 N. FOREMAN ,,VINITA ,OK ,74301- ,CRAIG ,,,,50770,,,.1,,,35,11865,2617,388,3582,,162.63,,453,127,751,,,,,,259, 370078,01-JUL-16,30-JUN-17,As Submitted,OSU MEDICAL CENTER ,744 WEST 9TH STREET ,,TULSA ,OK ,74127- ,TULSA ,5799595,,,1226328,,,.2217,3496710,941843,171,66867,12130,7650,29216,117.32,1151.27,,2362,1509,6575,,,,,,, 370080,01-JUL-16,30-JUN-17,As Submitted,SHARE MEDICAL CENTER ,809 SHARE DRIVE ,,ALVA ,OK ,73717 ,WOODS ,,,,,,,,,,25,9125,1325,18,1601,,97.28,,225,5,296,,,,,,, 370083,01-APR-16,31-MAR-17,As Submitted,PUSHMATAHA HOSPITAL ,510 EAST MAIN STREET ,,ANTLERS ,OK ,74523 ,PUSHMATAHA ,,,,30764,,,.1291,,,42,15330,1742,164,2453,,48.78,,230,53,365,,,,,,, 370091,01-JUL-16,30-JUN-17,As Submitted,SAINT FRANCIS HOSPITAL ,6161 S. YALE ,,TULSA ,OK ,74136 ,TULSA ,2741208,,,3719486,,,.1347,1137462,389331,836,301780,74482,56340,229400,58.21,5023.98,,12498,10827,43917,,,,,50,,588 370094,01-JUL-16,30-JUN-17,As Submitted,ALLIANCEHEALTH MIDWEST ,2825 PARKLAWN DRIVE ,,MIDWEST CITY ,OK ,73110 ,OKLAHOMA ,,,,737216,,,.1186,,,223,81395,14506,6911,37489,,672.46,,3207,1534,8174,,,,98,,610, 370097,01-NOV-15,31-OCT-16,As Submitted,SOUTHWESTERN MEDICAL CENTER ,5602 SOUTHWEST LEE BOULEVARD ,,LAWTON ,OK ,73505 ,COMANCHE ,,,,402515,,,.1613,,,126,46116,6298,3456,16319,,350.72,,1309,935,3605,,,,,13,,213 370099,01-DEC-15,30-NOV-16,As Submitted,HILLCREST HOSPITAL CUSHING ,1027 EAST CHERRY ,,CUSHING ,OK ,74023 ,PAYNE ,,,,101782,,,.1434,,,74,27084,1885,950,4426,,149.62,,625,298,1510,,,,,,310, 370100,01-JUL-16,30-JUN-17,As Submitted,CHOCTAW MEMORIAL HOSPITAL ,1405 EAST KIRK ,,HUGO ,OK ,74743 ,CHOCTAW ,,,,85888,,,.1273,,,34,12410,2708,570,4193,,128.49,,618,132,958,,,,,,, 370112,01-APR-16,31-MAR-17,As Submitted,SEQUOYAH MEMORIAL HOSPITAL ,213 E. REDWOOD STREET ,505 ,SALLISAW ,OK ,74955- ,SEQUOYAH ,,,,35241,,,.0962,,,41,14965,1901,206,2700,,120.02,,301,77,533,,,,,,, 370114,01-OCT-15,30-SEP-16,As Submitted,ST. JOHN MEDICAL CENTER ,1923 SOUTH UTICA AVENUE ,,TULSA ,OK ,74104 ,TULSA ,3914420,,,1879529,,,.0797,1299026,463711,519,189954,56246,25439,153405,71.45,2383.66,,10453,3445,28829,,,,,17,,424 370139,01-JUL-16,30-JUN-17,As Submitted,PERRY MEMORIAL HOSPITAL ,501 14TH STREET ,,PERRY ,OK ,73077 ,NOBLE ,,,,,,,,,,26,9490,1449,47,1866,,65.79,,210,20,328,,,,,,, 370149,01-JAN-16,31-DEC-16,As Submitted,ST ANTHONY SHAWNEE HOSPITAL ,1102 WEST MACARTHUR ,,SHAWNEE ,OK ,74801- ,POTTAWATOMIE ,,,,587133,,,.1997,,,77,28182,5471,3803,12804,,622.35,,1543,896,3766,,,,,,, 370153,01-JUL-16,30-JUN-17,As Submitted,ELKVIEW GENERAL HOSPITAL ,429 ELM ,633 ,HOBART ,OK ,73654-0633 ,KIOWA ,,,,48827,,,.1023,,,38,13870,1722,272,2574,,118.36,,344,120,680,,,,,,, 370158,01-JUL-16,30-JUN-17,As Submitted,PURCELL MUNICIPAL HOSPITAL ,1500 NORTH GREEN ,511 ,PURCELL ,OK ,73080 ,MCCLAIN ,,,,,,,,,,39,14235,1445,94,1930,,93.25,,334,36,506,,,,,,, 370166,01-OCT-15,30-SEP-16,As Submitted,WAGONER HOSPITAL AUTHORITY ,1200 WEST CHEROKEE ,,WAGONER ,OK ,74467 ,WAGONER ,,,,251637,,,.33,,,100,36600,3739,3247,12248,,174.44,,652,583,2271,,,,,,, 370169,01-JAN-16,24-MAY-16,As Submitted,EPIC MEDICAL CENTER ,ONE HOSPITAL DRIVE ,,EUFAULA ,OK ,74432-0629 ,MCINTOSH ,,,,1016,,,.0811,,,33,4785,45,11,64,,17.14,,14,3,21,,,,,,, 370170,01-OCT-15,30-SEP-16,As Submitted,USPHS HOSPITAL-LAWTON ,1515 NE LAWRIE TATUM ROAD ,,LAWTON ,OK ,73501 ,COMANCHE ,,,,10853,,,.12,,,38,13908,223,491,2672,,566,,53,61,329,,,,,,, 370171,01-OCT-15,30-SEP-16,As Submitted,CHEROKEE NATION WW HASTINGS HOSPITAL ,100 SOUTH BLISS AVENUE ,,TAHLEQUAH ,OK ,74464 ,CHEROKEE ,,,,88543,,,.12,,,60,21960,1421,2840,6366,,481,,356,1231,2082,,,,,,, 370172,01-OCT-15,30-SEP-16,As Submitted,CHOCTAW NATION HEALTH CARE CENTER ,ONE CHOCTAW WAY ,,TALIHINA ,OK ,74571 ,LE FLORE ,,,,38390,,,.12,,,43,15738,636,1601,4070,,1365,,213,828,1354,,,,,,, 370173,01-OCT-15,30-SEP-16,As Submitted,CLAREMORE INDIAN HOSPITAL ,101 SOUTH MOORE STREET ,,CLAREMORE ,OK ,74017 ,ROGERS ,,,,27424,,,.12,,,46,16836,434,812,2427,,140,,140,313,850,,,,,,, 370178,01-JUL-16,30-JUN-17,As Submitted,ADAIR COUNTY HEALTH CENTER ,100 HIGHWAY WEST ,272 ,STILWELL ,OK ,74960- ,ADAIR ,,,,107241,,,.12,,,30,10950,3550,1210,5520,,184.55,,814,382,1423,,,,14,,107, 370180,01-OCT-15,30-SEP-16,As Submitted,CHICKASAW NATION MEDICAL CENTER ,1921 STONECIPHER BLVD ,,ADA ,OK ,74820 ,PONTOTOC ,,,,143632,,,.12,,,72,26352,2614,2704,8716,,,,549,1291,2769,,,,,,, 370183,01-DEC-15,30-NOV-16,As Submitted,HILLCREST HOSPITAL HENRYETTA ,DEWEY BARTLETT & MAIN ,1269 ,HENRYETTA ,OK ,74437 ,OKMULGEE ,,,,20782,,,.1095,,,27,9882,594,172,2476,,100.69,,179,60,572,,,,,,333, 370190,01-JUL-16,30-JUN-17,As Submitted,SOUTHWESTERN REGIONAL MEDICAL CENTER ,10109 EAST 79TH STREET ,,TULSA ,OK ,74133 ,TULSA ,45219,,,,,,,9593,31960,40,14600,871,,4345,2,519.33,,162,,702,,,,,,, 370192,01-JAN-16,31-DEC-16,As Submitted,NORTHWEST SURGICAL HOSPITAL ,9204 NORTH MAY ,,OKLAHOMA CITY ,OK ,73120- ,OKLAHOMA ,,,,,,,,,,9,3294,126,10,431,,43.02,,73,8,269,,,,,,, 370201,01-JAN-16,31-DEC-16,As Submitted,SURGICAL HOSPITAL OF OKLAHOMA ,100 SE 59TH STREET ,,OKLAHOMA CITY ,OK ,73129 ,OKLAHOMA ,57356,,,3437,,,.0376,12516,65736,12,4392,82,52,373,4,60.1,,38,22,179,,,,,,, 370202,01-JAN-16,31-DEC-16,As Submitted,HILLCREST HOSPITAL SOUTH ,8801 SOUTH 101ST EAST AVENUE ,,TULSA ,OK ,74133 ,TULSA ,,,,404763,,,.0779,,,180,65880,13480,6207,36604,,685.72,,2567,1183,7695,,,,,,, 370203,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY HOSPITAL ,3100 SW 89TH STREET ,,OKLAHOMA CITY ,OK ,73159 ,OKLAHOMA ,,,,,,,,,,45,16470,2111,199,5991,,408.77,,820,71,2367,,,,,,, 370206,01-JAN-16,31-DEC-16,As Submitted,OKLAHOMA SPINE HOSPITAL ,14101 PARKWAY COMMONS DRIVE ,,OKLAHOMA CITY ,OK ,73134-6012 ,OKLAHOMA ,,,,,,,,,,23,8418,1242,86,4111,,205.45,,543,40,2002,,,,,,, 370210,01-JAN-16,31-DEC-16,As Submitted,OKLAHOMA SURGICAL HOSPITAL ,2408 EAST 81ST STREET ,,TULSA ,OK ,74137 ,TULSA ,,,,,,,,,,76,27816,3706,159,8416,,387.13,,1633,70,3967,,,,,,, 370212,01-JAN-16,31-DEC-16,As Submitted,CTR FOR ORTHOPEDIC & MULTI - SPEC ,8100 SOUTH WALKER ,,OKLAHOMA CITY ,OK ,73139 ,OKLAHOMA ,,,,,,,,,,14,5124,721,,1683,,213.92,,323,,813,,,,,,, 370214,01-JUL-16,30-JUN-17,As Submitted,LINDSAY MUNICIPAL HOSPITAL AUTHORITY ,HIGHWAY #19 WEST ,888 ,LINDSAY ,OK ,73052 ,GARVIN ,,,,3148,,,.12,,,26,9490,99,1924,6753,,110.18,,25,284,1012,,,,,,, 370215,01-JAN-16,31-DEC-16,As Submitted,OKLAHOMA HEART HOSPITAL ,4050 W MEMORIAL ROAD ,,OKLAHOMA CITY ,OK ,73120- ,OKLAHOMA ,,,,,,,,,,99,36234,16032,1328,29179,,1433.06,,3632,329,6559,,,,,,, 370216,01-JAN-16,31-DEC-16,As Submitted,TULSA SPINE HOSPITAL ,6901 SOUTH OLYMPIA AVE ,,TULSA ,OK ,74132-1843 ,TULSA ,,,,,,,,,,38,13908,1369,80,2993,,211.16,,493,30,1146,,,,,,, 370218,01-JUL-16,30-JUN-17,As Submitted,SAINT FRANCIS HOSPITAL SOUTH ,10501 EAST 91ST STREET SOUTH ,,TULSA ,OK ,74133 ,TULSA ,,,,262986,,,.0913,,,88,31876,7708,3826,19296,,468.61,,1777,830,4862,,,,,,, 370220,01-JAN-16,31-DEC-16,As Submitted,ORTHOPEDIC HOSPITAL ,1044 SW 44TH STREET ,,OKLAHOMA CITY ,OK ,73109 ,OKLAHOMA ,,,,,,,,,,8,2928,209,3,510,,54.14,,94,2,234,,,,,,, 370222,01-JAN-16,31-DEC-16,As Submitted,MCBRIDE CLINIC ORTHOPEDIC HOSPITAL ,9600 NORTH BROADWAY EXTENSION ,,OKLAHOMA CITY ,OK ,73114 ,OKLAHOMA ,,,,,,,,,,64,23424,5581,100,10875,,651.03,,1818,36,3738,,,,,,, 370225,01-JAN-16,31-DEC-16,As Submitted,SUMMIT MEDICAL CENTER ,1800 S. RENAISSANCE BLVD ,,EDMOND ,OK ,73013-3023 ,,,,,22953,,,.1131,,,9,3294,157,18,560,,194.84,,60,9,242,,,,,,, 370227,01-JAN-16,31-DEC-16,As Submitted,ST. JOHN OWASSO ,12451 E. 100TH ST. NORTH ,,OWASSO ,OK ,74055 ,TULSA ,,,,64938,,,.1149,,,32,11712,1184,862,4303,,155.94,,433,279,1555,,,,,,, 370228,01-JAN-16,31-DEC-16,As Submitted,BAILEY MEDICAL CENTER ,10502 NORTH 110TH EAST AVENUE ,,OWASSO ,OK ,74055 ,TULSA ,,,,37876,,,.0844,,,73,26718,678,633,3553,,200.01,,270,213,1406,,,,,,, 370229,01-APR-16,31-MAR-17,As Submitted,ALLIANCE HEALTH SEMINOLE ,2401 WRANGLER BLVD ,,SEMINOLE ,OK ,74868 ,SEMINOLE ,,,,32559,,,.0731,,,32,11680,1546,202,2200,,67.34,,360,76,610,,,,,,, 370233,01-JAN-16,31-DEC-16,As Submitted,PINNACLE SPECIALTY HOSPITAL ,2408 EAST 81 ST STREET SUITE 600 ,,TULSA ,OK ,74137- ,TULSA ,,,,,,,,,,4,1460,,,,,19.02,,,,,,,,,,, 370234,01-JAN-16,31-DEC-16,As Submitted,OKLAHOMA HEART HOSPITAL SOUTH ,5200 EAST I-240 HWY ,,OKLAHOMA CITY ,OK ,73135- ,OKLAHOMA ,,,,,,,,,,44,16346,8321,1087,16309,,637.78,,1973,255,3977,,,,,,, 370235,01-JAN-16,31-DEC-16,As Submitted,ST. JOHN BROKEN ARROW ,1000 WEST BOISE CIRCLE ,,BROKEN ARROW ,OK ,74012-4900 ,TULSA ,,,,,,,,,,44,16104,2822,220,5969,,208.05,,1122,88,2596,,,,,,, 370236,01-JUL-16,30-JUN-17,As Submitted,INTEGRIS HEALTH EDMOND ,4801 INTEGRIS PARKWAY ,,EDMOND ,OK ,73034 ,OKLAHOMA COUNTY ,,,,92810,,,.0498,,,40,14600,3808,1365,9784,,225.82,,953,270,2680,,,,,,, 371300,01-JAN-16,31-DEC-16,As Submitted,ATOKA MEMORIAL HOSPITAL ,1200 WEST LIBERTY ROAD ,,ATOKA ,OK ,74525 ,ATOKA ,,,,,,,,,,25,9150,1629,157,2098,,78.44,,274,48,392,,,,,,, 371301,01-OCT-15,30-SEP-16,As Submitted,CAH ACQUISITION COMPANY # 7 LLC ,1322 KLAZUBA AVENUE ,DRAWER 5 ,PRAGUE ,OK ,74864-1090 ,POTTAWATOMIE ,,,,,,,,,,25,9150,499,26,619,,46.92,,43,8,70,,,,,,, 371302,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL WATONGA ,500 N CLARENCE NASH ,370 ,WATONGA ,OK ,73772-0370 ,BLAINE ,,,,,,,,,,25,9125,797,54,1042,,50.95,,99,16,159,,,,,,, 371303,01-MAY-16,30-APR-17,As Submitted,ROGER MILLS MEMORIAL HOSPITAL ,501 SOUTH LL MALES AVENUE ,209 ,CHEYENNE ,OK ,73628 ,ROGER MILLS ,,,,,,,,,,15,5475,426,21,544,,33.45,,38,5,55,,,,,,, 371304,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL TISHOMINGO ,1000 SOUTH BYRD ,,TISHOMINGO ,OK ,73460- ,JOHNSTON ,,,,,,,,,,25,9125,1273,176,1536,,52.31,,134,34,193,,,,,,, 371305,01-OCT-15,30-SEP-16,As Submitted,NOWATA HEALTH CENTER ,237 S LOCUST ,436 ,NOWATA ,OK ,74048-3660 ,NOWATA ,,,,,,,,,,25,9150,1291,55,1687,,38.82,,71,7,99,,,,,,, 371306,01-JUL-16,30-JUN-17,As Submitted,MERCY HEALTH/LOVE COUNTY ,300 WANDA ,,MARIETTA ,OK ,73448 ,LOVE ,,,,,,,,,,25,9125,1986,93,2560,,144.19,,111,1,135,,,,,,, 371307,01-JAN-16,31-DEC-16,As Submitted,CIMARRON MEMORIAL HOSPITAL ,100 SOUTH ELLIS ,,BOISE CITY ,OK ,73933- ,CIMARRON ,,,,,,,,,,25,9150,696,21,774,,38.74,,63,7,91,,,,,,, 371309,01-OCT-15,30-SEP-16,As Submitted,PAWHUSKA HOSPITAL INC. ,1101 S 15TH ,,PAWHUSKA ,OK ,74056 ,OSAGE ,,,,,,,,,,25,9150,1643,25,1851,,63.32,,30,8,58,,,,,,, 371310,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL HEALDTON INC. ,3462 HOSPITAL RD ,,HEALDTON ,OK ,73438-2424 ,CARTER ,,,,,,,,,,25,9125,1586,92,1781,,43.03,,53,6,81,,,,,,, 371311,01-OCT-15,30-SEP-16,As Submitted,JEFFERSON COUNTY HOSPITAL ,INTERSECTION HWY 70 & 81 ,,WAURIKA ,OK ,73573- ,JEFFERSON ,,,,,,,,,,25,9150,704,5,1038,,33.8,,76,3,98,,,,,,, 371312,01-OCT-15,30-SEP-16,As Submitted,ST JOHN SAPULPA ,519 SOUTH DIVISION ,1368 ,SAPULPA ,OK ,74067 ,CREEK ,,,,,,,,,,25,9150,1558,90,5991,,119.63,,177,41,309,,,,,,, 371313,01-JUL-16,30-JUN-17,As Submitted,KINGFISHER REGIONAL HOSPITAL ,1000 KINGFISHER REGIONAL HOSPITAL DR ,PO BOX 59 ,KINGFISHER ,OK ,73750- ,KINGFISHER ,,,,,,,,,,25,9125,1225,20,1587,,88.55,,132,7,212,,,,,,, 371314,01-OCT-15,30-SEP-16,Settled,PHYSICIANS HOSPITAL AT ANADARKO ,1002 EAST CENTRAL BLVD ,,ANADARKO ,OK ,73005- ,CADDO ,,,,,,,,,,25,9150,2129,66,2385,,59.74,,139,20,194,,,,,,, 371316,01-OCT-15,30-SEP-16,As Submitted,STROUD REGIONAL MEDICAL CENTER ,2308 HIGHWAY 66 WEST ,,STROUD ,OK ,74079 ,LINCOLN ,,,,,,,,,,25,9150,1544,25,1849,,58.99,,50,7,85,,,,,,, 371317,01-JUL-16,30-JUN-17,As Submitted,MERCY HOSPITAL LOGAN COUNTY ,200 S ACADEMY ROAD ,1017 ,GUTHRIE ,OK ,73044- ,LOGAN ,,,,,,,,,,25,9125,2216,215,3368,,112.46,,272,63,527,,,,,,, 371318,01-OCT-15,30-SEP-16,As Submitted,CAH #12 - FAIRFAX ,HWY 18 & TAFT ,,FAIRFAX ,OK ,74637 ,OSAGE ,,,,,,,,,,15,5490,1143,36,1348,,41.25,,77,12,113,,,,,,, 371319,01-JUL-16,30-JUN-17,As Submitted,COAL COUNTY ,6 NORTH COVINGTON ,,COALGATE ,OK ,74538 ,COAL ,,,,,,,,,,20,7300,1907,91,2360,,52.14,,355,23,456,,,,,,, 371320,01-JAN-16,31-DEC-16,As Submitted,CLEVELAND AREA HOSPITAL ,1401 W PAWNEE ,,CLEVELAND ,OK ,74020 ,PAWNEE ,,,,,,,,,,14,5124,1325,20,1456,,66.6,,43,4,61,,,,,,, 371322,01-JUL-16,30-JUN-17,As Submitted,BEAVER COUNTY MEMORIAL HOSPITAL ,212 E 8TH STREET ,PO 640 ,BEAVER ,OK ,73932 ,BEAVER ,,,,,,,,,,24,8760,491,11,653,,39.35,,44,4,65,,,,,,, 371323,01-OCT-15,30-SEP-16,As Submitted,WEATHERFORD REGIONAL HOSPITAL ,3701 EAST MAIN STREET ,,WEATHERFORD ,OK ,73096 ,CUSTER ,,,,,,,,,,25,9150,1464,430,2418,,143.46,,231,141,527,,,,,,, 371324,01-OCT-15,30-SEP-16,As Submitted,HARPER COUNTY COMMUNITY HOSPITAL ,1003 HIGHWAY 64 ,,BUFFALO ,OK ,73834- ,HARPER ,,,,,,,,,,15,5490,502,27,658,,45.41,,81,5,121,,,,,,, 371326,01-APR-16,31-MAR-17,As Submitted,ALLIANCE HEALTH MADILL ,901 S. 5TH AVE. ,,MADILL ,OK ,73446 ,MARSHALL ,,,,,,,,,,21,7665,1191,31,1434,,63.78,,188,10,249,,,,,,, 371327,01-JUL-16,30-JUN-17,As Submitted,OKEENE MUNICIPAL HOSPITAL ,207 EAST F STREET ,,OKEENE ,OK ,73763 ,BLAINE ,,,,,,,,,,17,6205,483,23,738,,60.75,,52,10,79,,,,,,, 371328,01-JAN-16,31-DEC-16,As Submitted,ARBUCKLE MEMORIAL HOSPITAL ,2011 WEST BROADWAY ,,SULPHUR ,OK ,73086- ,MURRAY ,,,,,,,,,,25,9150,4025,21,4319,,118.83,,278,7,353,,,,,,, 371329,01-JUL-16,30-JUN-17,As Submitted,FAIRVIEW HOSPITAL ,523 STATE ROAD ,,FAIRVIEW ,OK ,73737 ,MAJOR ,,,,,,,,,,25,9125,770,42,937,,59.28,,128,15,231,,,,,,, 371330,01-JAN-16,31-DEC-16,As Submitted,QUARTZ MOUNTAIN MEDICAL CENTER ,1 WICKERSHAM DR. ,PO BOX 28 ,MANGUM ,OK ,73554 ,GREER ,,,,,,,,,,15,5490,826,79,1061,,78,,155,39,248,,,,,,, 371331,01-OCT-15,30-SEP-16,As Submitted,CAH ACQUISITION CO #4 - DRUMRIGHT ,610 W BYPASS ,,DRUMRIGHT ,OK ,64030 ,CREEK ,,,,,,,,,,15,5490,1949,257,2792,,62.72,,220,81,490,,,,,,, 371332,01-JUL-16,30-JUN-17,As Submitted,SEILING MUNICIPAL HOSPITAL ,HIGHWAY 60 & 281 ,720 ,SEILING ,OK ,73663 ,DEWEY ,,,,,,,,,,18,6588,879,56,993,,26.08,,128,9,154,,,,,,, 371333,01-OCT-15,30-SEP-16,As Submitted,CREEK NATION COMMUNITY HOSPITAL ,309 NORTH 14TH STREET ,,OKEMAH ,OK ,74859 ,OKFUSKEE ,,,,,,,,,,25,9150,286,32,577,,128,,116,18,232,,,,,,, 371334,01-MAY-16,30-APR-17,As Submitted,CARNEGIE TRI-COUNTY MUNICIPAL HOSPIT ,102 N BROADWAY ,,CARNEGIE ,OK ,73015- ,CADDO ,,,,,,,,,,17,6205,1350,182,1903,,36.69,,156,39,231,,,,,,, 371335,01-OCT-15,30-SEP-16,As Submitted,CAH # 16 - HASKELL ,401 NW H STREET ,,STIGLER ,OK ,74462 ,HASKELL ,,,,,,,,,,25,9150,2269,55,2492,,68.1,,146,15,187,,,,,,, 371336,28-APR-16,31-DEC-16,As Submitted,NEWMAN MEMORIAL HOSPITAL ,905 MAIN STREET ,,SHATTUCK ,OK ,73858- ,ELLIS ,,,,,,,,,,25,6200,133,24,496,,49.37,,24,8,88,,,,,,, 371337,20-SEP-16,30-JUN-17,As Submitted,EASTERN OKLAHOMA MEDICAL CENTER ,105 WALL STREET ,,POTEAU ,OK ,74953 ,,,,,,,,,,,25,7100,2634,802,4425,,155,,462,232,862,,,,,,152, 372005,01-JUN-16,31-MAY-17,As Submitted,LTAC HOSPITAL OF EDMOND ,1100 E NINTH STREET ,,EDMOND ,OK ,73034 ,OKLAHOMA ,,,,,,,,,,37,13505,9987,348,11679,,126.32,,388,12,459,,,,,,, 372009,01-FEB-16,31-JAN-17,As Submitted,SSH - OKLAHOMA CITY INC. ,3524 NORTHWEST 56TH STREET ,,OKLAHOMA CITY ,OK ,73112 ,OKLAHOMA ,,,,,,,,,,72,26352,11719,100,19670,,203.63,,467,2,746,,,,,,, 372012,01-JAN-16,31-DEC-16,As Submitted,SPECIALTY HOSPITAL AT MIDWEST CITY ,8210 NATIONAL AVENUE ,,MIDWEST CITY ,OK ,73110 ,OKLAHOMA ,,,,,,,,,,31,11346,5433,768,6959,,61.54,,266,55,367,,,,,,, 372016,01-JUL-16,30-JUN-17,As Submitted,INTEGRIS BASS PAVILION ,401 S. THIRD ,3187 ,ENID ,OK ,73702 ,GARFIELD ,,,,,,,,,,24,8760,2625,,2990,,33.76,,98,,113,,,,,,, 372021,01-JUN-16,19-AUG-16,Settled,NORMAN SPECIALTY HOSPITAL ,1210 WEST ROBINSON STREET ,,NORMAN ,OK ,73069 ,CLEVELAND ,,,,,,,,,,50,4050,1531,,1708,,38.44,,64,,74,,,,,,, 372022,01-JUL-16,30-JUN-17,As Submitted,SOLARA HOSPITAL MUSKOGEE ,351 SOUTH 40TH STREET ,,MUSKOGEE ,OK ,74403 ,MUSKOGEE ,,,,,,,,,,64,23360,16281,638,21124,,288.85,,718,33,932,,,,,,, 372023,01-OCT-15,30-SEP-16,As Submitted,MUSCOGEE CREEK NATION LONG TERM CARE ,900 EAST AIRPORT ROAD ,,OKMULGEE ,OK ,74447-1118 ,OKMULGEE ,,,,,,,,,,4,1464,182,361,990,,6,,7,11,29,,,,,,, 373025,01-JAN-16,31-DEC-16,As Submitted,VALIR REHAB HOSPITAL ,700 NW 7TH STREET ,,OKLAHOMA CITY ,OK ,73102- ,OKLAHOMA ,,,,,,,,,,81,29646,5765,1801,11403,,162.84,,505,148,962,,,,,,, 373026,01-OCT-15,30-SEP-16,As Submitted,MUSCOGEE CREEK NATION PHYSICAL REHAB ,900 EAST AIRPORT ROAD ,,OKMULGEE ,OK ,74447-1118 ,OKMULGEE ,,,,,,,,,,26,9516,723,267,1754,,87.36,,49,18,113,,,,,,, 373033,01-JAN-16,31-DEC-16,As Submitted,MERCY REHABILITATION HOSPITAL - OKC ,5401 WEST MEMORIAL ROAD ,,OKLAHOMA CITY ,OK ,73142 ,OKLAHOMA ,,,,,,,,,,50,18300,8048,687,14883,,151.42,,646,54,1174,,,,,,, 373300,01-JUL-16,30-JUN-17,Settled,J D MCCARTY HANICAPPED CTR ,2002 E ROBINSON ST ,,NORMAN ,OK ,73071 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 374001,01-JUL-16,30-JUN-17,As Submitted,NORTHWEST CTR FOR BEHAVIORAL HEALTH ,1222 10TH STREET ,,FT. SUPPLY ,OK ,73841-0001 ,WOODWARD ,,,,,,,,,,24,8760,523,245,5969,,165.3,,53,32,597,,,,,,, 374006,01-JUL-16,30-JUN-17,As Submitted,CARL ALBERT COMMUNITY MENTAL HEALTH ,1101 E MONROE ,579 ,MCALESTER ,OK ,74501- ,PITTSBURGH ,,,,,,,,,,15,5475,722,1026,4871,,137.3,,42,75,375,,,,,,, 374008,01-JUL-16,30-JUN-17,As Submitted,JIM TALIAFERRO COMM MENTAL HLTH CNTR ,602 SW 38TH STREET ,,LAWTON ,OK ,73505- ,COMANCHE ,,,,,,,,,,30,10950,473,509,3954,,135.45,,58,86,654,,,,,,, 374012,01-JAN-16,31-DEC-16,As Submitted,BROOKHAVEN HOSPITAL ,201 SOUTH GARNETT ROAD ,,TULSA ,OK ,74128- ,TULSA ,,,,,,,,,,64,23424,4348,10380,19109,,167.8,,417,12,955,,,,,,, 374016,01-JAN-16,31-DEC-16,As Submitted,ROLLING HILLS HOSPITAL ,1000 ROLLING HILLS LANE ,,ADA ,OK ,74820 ,PONTOC ,,,,,,,,,,60,21960,12919,2084,18241,,97.22,,655,104,1328,,,,,,, 374017,01-JAN-16,31-DEC-16,Settled,WILLOW CREST HOSPITAL INC ,130 A STREET SOUTHWEST ,,MIAMI ,OK ,74354 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 374020,01-JUL-16,30-JUN-17,As Submitted,LAUREATE PSYCHIATRIC HOSPITAL ,6655 S. YALE ,,TULSA ,OK ,74136 ,TULSA ,,,,,,,,,32,106,38690,7791,1121,27028,2.69,335.86,,796,197,3275,,,,,,, 374021,01-JAN-16,31-DEC-16,As Submitted,PARKSIDE HOSPITAL INC. ,1620 E. 12TH STREET ,,TULSA ,OK ,74120 ,TULSA ,,,,,,,,,,32,11712,1361,2800,8536,,165.71,,162,515,1388,,,,,,, 374023,01-JAN-16,31-DEC-16,As Submitted,CEDAR RIDGE HOSPITAL ,6501 NE 50TH STREET ,,OKLAHOMA CITY ,OK ,73141-9118 ,OKLAHOMA ,,,,,,,,,,110,40150,5073,3307,16668,,120.4,,432,589,2257,,,,,,, 380001,01-JAN-16,31-DEC-16,As Submitted,MID-COLUMBIA MEDICAL CENTER ,1700 EAST 19TH STREET ,,THE DALLES ,OR ,97058 ,WASCO ,,,,253574,,,.141,,,43,15738,3399,772,7366,,719.1,,944,166,2207,427,,,,2,,62 380002,01-OCT-15,30-SEP-16,As Submitted,THREE RIVERS MEDICAL CENTER ,500 S.W. RAMSEY AVE ,,GRANTS PASS ,OR ,97527 ,JOSEPHINE ,,,,951107,,,.1982,,,111,40626,9152,8298,25423,,222.62,,2340,2684,7480,,,,,,, 380004,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE ST. VINCENT MEDICAL CTR ,9205 SW BARNES RD ,,PORTLAND ,OR ,97225- ,MULTNOMAH ,2672160,,,2522299,,,.1401,1445656,480994,464,175932,26722,8199,121325,40.5,2680.3,,5441,1296,25787,3517,,,,,, 380005,01-OCT-15,30-SEP-16,As Submitted,ASHLAND COMMUNITY HOSPITAL ,280 MAPLE ST ,,ASHLAND ,OR ,97520 ,JACKSON ,,,,121595,,,.12,,,40,14640,1652,1690,4837,,51.81,,413,520,1573,,,,,,, 380007,01-APR-16,31-MAR-17,As Submitted,LEGACY EMANUEL HOSPITAL & HEALTH CTR ,2801 N. GANTBEIN ,,PORTLAND ,OR ,97227 ,MULTNOMAH ,1803536,,,3140940,,,.3881,1055924,236344,397,145000,14432,21408,111150,56.92,3683.52,,2326,9000,20347,,,,281,,638, 380009,01-JUL-16,30-JUN-17,As Submitted,OHSU HOSPITAL AND CLINICS ,3181 SAM JACKSON PARK ROAD ,,PORTLAND ,OR ,97239 ,MULTNOMAH ,21126924,,,6263496,,,.2896,5066470,3649048,556,206767,36949,35057,175661,474.24,7228.08,,5850,10042,29777,7161,,,,,, 380014,01-JAN-16,31-DEC-16,As Submitted,GOOD SAMARITAN HOSPITAL CORVALLIS ,3600 NW SAMARITAN DRIVE ,1068 ,CORVALLIS ,OR ,97330- ,BENTON ,6944049,,,831016,,,.1239,2240687,1539947,155,55914,11994,1553,38753,84.17,1827.36,,2430,308,8610,1227,,,278,,584, 380017,01-APR-16,31-MAR-17,As Submitted,LEGACY GOOD SAMARITAN HOSPITAL ,1015 NW 22ND AVENUE ,,PORTLAND ,OR ,97210 ,MULTNOMAH ,2926208,,,965836,,,.1587,1650318,742578,164,59860,10979,2945,41099,42.38,1202.68,,2234,2056,9771,,,,370,130,607,640 380018,01-OCT-15,30-SEP-16,As Submitted,ROGUE REGIONAL MEDICAL CENTER ,2825 BARNETT ROAD ,,MEDFORD ,OR ,97504 ,JACKSON ,,,,3327264,,,.2028,,,302,110532,28037,24675,75964,,716.74,,5568,5420,16921,,,,349,36,694,223 380020,01-JAN-16,31-DEC-16,As Submitted,MCKENZIE-WILLAMETTE HOSPITAL ,1460 G STREET ,,SPRINGFIELD ,OR ,97477 ,LANE ,,,,735324,,,.1549,,,113,41358,6192,2360,27077,,710.65,,1798,1698,7951,,,,,,, 380021,01-OCT-15,30-JUN-16,As Submitted,TUALITY HEALTHCARE ,335 S. E. 8TH ,309 ,HILLSBORO ,OR ,97123 ,WASHINGTON ,,,,294678,,,.1902,,,194,53156,2561,3292,10780,,689.46,,648,815,2866,,,,5,,217, 380021,01-JUL-16,30-JUN-17,As Submitted,TUALITY HEALTHCARE ,335 S. E. 8TH ,309 ,HILLSBORO ,OR ,97123 ,WASHINGTON ,,,,405994,,,.1852,,,194,70810,3516,4311,14841,,906.12,,925,1075,3830,,,,12,,374, 380022,01-JAN-16,31-DEC-16,As Submitted,SAMARITAN ALBANY GENERAL HOSPITAL ,1046 SIXTH AVENUE ,,ALBANY ,OR ,97321-1517 ,LINN ,11153,,,161009,,,.12,,,73,26718,2248,504,9524,77.51,,,609,133,2591,645,,,,,, 380025,01-APR-16,31-MAR-17,As Submitted,LEGACY MOUNT HOOD MEDICAL CENTER ,24800 SE STARK STREET ,,GRESHAM ,OR ,97030 ,MULTNOMAH ,,,,791728,,,.2573,,,93,34036,5359,3501,23672,,581.44,,1327,2741,9234,,,,,,, 380027,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER ,2700 STEWART PARKWAY ,,ROSEBURG ,OR ,97471- ,DOUGLAS ,,,,827831,,,.1483,,,140,51100,10730,6951,29779,,808.35,,2518,2138,8104,48,,,,,, 380029,01-OCT-15,30-SEP-16,As Submitted,SILVERTON HOSPITAL ,342 FAIRVIEW STREET ,,SILVERTON ,OR ,97381-1993 ,MARION ,,,,84977,,,.12,,,48,17568,949,3933,10615,,661.02,,321,875,2885,,,,,,, 380033,01-JUL-16,30-JUN-17,As Submitted,SACRED HEART MEDICAL CENTER ,1255 HILYARD STREET ,10905 ,EUGENE ,OR ,97440- ,LANE ,,,,86946,,,.1017,,,36,13140,2701,556,7281,,275.94,,529,48,1449,206,363,,106,14,972,275 380037,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE NEWBERG MEDICAL CENTER ,1001 PROVIDENCE DRIVE ,,NEWBERG ,OR ,97132- ,YAMHILL ,,,,139605,,,.1008,,,40,14640,2296,783,9500,,396,,633,118,2671,358,,,,,, 380038,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE WILLAMETTE FALLS MED CTR ,1500 DIVISION STREET ,,OREGON CITY ,OR ,97045- ,CLACKAMAS ,,,,409096,,,.2305,,,111,40626,2229,2079,19148,,492.85,,721,199,4796,939,,,,,, 380040,01-JAN-16,31-DEC-16,As Submitted,ST. CHARLES MED CTR-REDMOND ,1253 NORTH CANAL BOULEVARD ,,REDMOND ,OR ,97756- ,DESCHUTES ,,,,212520,,,.12,,,48,17568,3295,2274,7961,,408.85,,914,139,2528,,,,,,, 380047,01-JAN-16,31-DEC-16,As Submitted,ST CHARLES MEDICAL CENTER ,2500 NE NEFF ROAD ,,BEND ,OR ,97701 ,DESCHUTES ,72525,,,2483037,,,.1579,15307,6005,222,81252,21232,15924,59266,.28,1881.98,,5248,650,15265,2456,262,,101,19,721,313 380050,01-OCT-15,30-SEP-16,As Submitted,SKY LAKES MEDICAL CENTER ,2865 DAGGETT STREET ,,KLAMATH FALLS ,OR ,97601- ,KLAMATH ,1768720,,,866855,,,.1866,667563,639785,105,38430,8360,5905,20608,22.06,1092,,1995,1474,5084,,,,,,, 380051,01-OCT-15,30-JUN-16,As Submitted,SALEM HOSPITAL ,890 OAK STREET SE ,14001 ,SALEM ,OR ,97301 ,MARION ,,,,1526476,,,.156,,,372,101928,16973,21444,85261,,2045.17,,3440,4719,13782,,,,241,68,554,300 380051,01-JUL-16,30-JUN-17,As Submitted,SALEM HOSPITAL ,890 OAK STREET SE ,14001 ,SALEM ,OR ,97301 ,MARION ,,,,2285472,,,.1645,,,374,136510,24190,29325,110512,,3568.57,,4919,6214,23575,,,,325,85,726,389 380052,01-JUL-16,30-JUN-17,As Submitted,SAINT ALPHONSUS MEDICAL CENTER - ONT ,351 SOUTHWEST 9TH STREET ,,ONTARIO ,OR ,97914 ,MALHEUR ,,,,196857,,,.12,,,44,16060,2758,814,6178,,410.03,,809,326,2031,339,,,,,, 380056,01-JAN-16,31-DEC-16,As Submitted,SANTIAM MEMORIAL HOSPITAL ,1401 NORTH 10TH AVE ,,STAYTON ,OR ,97383 ,MARION ,,,,27620,,,.0605,,,40,14640,993,587,3350,,251.74,,254,183,928,,,,,,, 380060,01-JAN-16,31-DEC-16,As Submitted,ADVENTIST MEDICAL CENTER-PORTLAND ,10123 SE MARKET STREET ,16800 ,PORTLAND ,OR ,97216 ,MULTNOMAH ,,,,1142741,,,.2099,,,168,61488,7003,1945,30501,,1313.67,,1973,485,8972,1666,433,,139,,1311, 380061,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE PORTLAND MEDICAL CENTER ,4805 NE GLISAN ,,PORTLAND ,OR ,97213 ,MULTNOMAH ,1998093,,,2110292,,,.1847,1170433,422489,339,124074,20575,7351,94940,33.71,2721,,3844,882,19429,3604,462,,124,27,1054,402 380071,01-JAN-16,31-DEC-16,As Submitted,WILLAMETTE VALLEY MEDICAL CENTER ,2700 SE STRATUS AVENUE ,,MCMINNVILLE ,OR ,97128 ,YAMHILL ,,,,299659,,,.12,,,78,28548,4071,1463,11800,,403.74,,1065,287,3340,618,,,,,114, 380075,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE MEDFORD MEDICAL CENTER ,1111 CRATER LAKE AVENUE ,,MEDFORD ,OR ,97304- ,JACKSON ,,,,928135,,,.1311,,,126,46116,11831,1920,26806,,751.93,,2709,283,6692,1091,,,,2,,104 380082,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE MILWAUKIE HOSPITAL ,10150 S.E. 32ND AVENUE ,,MILWAUKIE ,OR ,97222- ,CLACKAMAS ,715259,,,156704,,,.1131,655667,405253,52,18480,2481,434,9485,16.69,400.19,,648,85,2706,393,,,,,, 380089,01-APR-16,31-MAR-17,As Submitted,LEGACY MERIDIAN PARK HOSPITAL ,19300 SW 65TH AVENUE ,,TUALATIN ,OR ,97062 ,CLACKAMAS ,,,,198468,,,.0363,,,108,39359,8234,2462,36476,,787.9,,2189,1534,9234,,,,,,, 380090,01-JUL-16,30-JUN-17,As Submitted,BAY AREA HOSPITAL ,1775 THOMPSON ROAD ,,COOS BAY ,OR ,97420-2125 ,COOS ,213380,,,1178167,,,.1942,60042,44880,130,47450,13166,7375,26159,,753.92,,2874,632,6175,266,,,,,, 380091,01-JAN-16,31-DEC-16,As Submitted,KAISER SUNNYSIDE MEDICAL CENTER ,10180 SE SUNNYSIDE ROAD ,,CLACKAMAS ,OR ,97015- ,CLACKAMAS ,275939,,,,,,,517732,84665,302,110532,2602,1549,68396,25.88,1813.45,,550,269,17047,14,,,,,, 380102,01-JUL-16,30-JUN-17,As Submitted,SHMC-RIVERBEND ,3333 RIVERBEND DRIVE ,,SPRINGFIELD ,OR ,97477- ,LANE ,,,,3084947,,,.1557,,,379,138335,31754,16056,121175,,2157.98,,6468,6935,27518,5474,,,,,, 380103,01-JAN-16,31-DEC-16,As Submitted,KAISER WESTSIDE MEDICAL CENTER ,2875 NW STUCKI AVENUE ,,HILLSBORO ,OR ,97124-5806 ,WASHINGTON ,,,,,,,,255,61,122,44652,823,366,22227,7.65,792.44,,253,92,7358,4,,,,,, 381301,01-JUL-16,30-JUN-17,As Submitted,COTTAGE GROVE COMMUNITY HOSPITAL ,1515 VILLAGE DRIVE ,128 ,COTTAGE GROVE ,OR ,97424-9700 ,LANE ,,,,,,,,,,14,5110,505,56,1288,,98.3,,176,23,460,61,,,,,, 381302,01-JAN-16,31-DEC-16,As Submitted,NORTH LINCOLN HOSPITAL ,3043 NE 28TH STREET ,,LINCOLN CITY ,OR ,97367 ,LINCOLN ,,,,,,,,,,25,9150,1604,161,3247,,275.86,,410,52,980,195,,,,,, 381303,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE SEASIDE HOSPITAL ,725 S. WAHANNA ROAD ,,SEASIDE ,OR ,97138- ,CLATSOP ,,,,,,,,,,25,9150,1775,204,3351,,238.43,,435,51,979,169,,,,,, 381304,01-JUL-16,30-JUN-17,As Submitted,SOUTHERN COOS GENERAL HOSPITAL ,900 11TH STREET SE ,,BANDON ,OR ,97411- ,COOS ,,,,,,,,,,19,6935,942,6,1181,,102.34,,159,3,266,14,,,,,, 381305,01-JUL-16,30-JUN-17,As Submitted,BLUE MOUNTAIN HOSPITAL DISTRICT ,170 FORD RD. ,,JOHN DAY ,OR ,97845- ,GRANT ,,,,,,,,,,16,5840,1267,44,1918,,118,,177,11,356,56,,,,,, 381306,01-JUL-16,30-JUN-17,As Submitted,WALLOWA COUNTY HEALTH CARE DISTRICT ,601 MEDICAL PARKWAY ,460 ,ENTERPRISE ,OR ,97828 ,WALLOWA ,,,,,,,,,,23,8211,1793,67,2435,,97.41,,290,19,499,80,,,,,, 381307,01-JUL-16,30-JUN-17,As Submitted,HARNEY DISTRICT HOSPITAL ,557 W. WASHINGTON ,,BURNS ,OR ,97720- ,HARNEY ,,,,,,,,,,22,8030,1052,193,1625,,123.18,,145,81,325,,,,,,, 381308,01-OCT-15,30-JUN-16,As Submitted,WEST VALLEY HOSPITAL ,525 SE WASHINGTON STREET ,,DALLAS ,OR ,97338-0378 ,POLK ,,,,,,,,,,15,4110,89,53,274,,102.03,,30,19,92,,,,,,, 381308,01-JUL-16,30-JUN-17,As Submitted,SALEM HEALTH WEST VALLEY ,525 SE WASHINGTON STREET ,,DALLAS ,OR ,97338-0378 ,POLK ,,,,,,,,,,15,5475,179,55,548,,139.81,,39,19,134,,,,,,, 381309,01-JUL-16,30-JUN-17,As Submitted,LAKE HEALTH DISTRICT ,700 SOUTH J STREET ,,LAKEVIEW ,OR ,97630- ,LAKE ,,,,,,,,,,24,8760,1803,236,2700,,195.16,,193,80,373,,,,,,, 381310,01-JUL-16,30-JUN-17,As Submitted,PIONEER MEMORIAL HOSPITAL ,564 E. PIONEER DRIVE ,9 ,HEPPNER ,OR ,97836 ,MORROW ,,,,,,,,,,21,7665,555,4,2706,,52.49,,37,4,55,,,,,,, 381311,01-JUL-16,30-JUN-17,As Submitted,LOWER UMPQUA HOSPITAL ,600 RANCH ROAD ,,REEDSPORT ,OR ,97467 ,DOUGLAS ,,,,,,,,,,16,5840,1136,197,1761,,140.17,,191,73,379,,,,,,, 381312,01-JUL-16,30-JUN-17,As Submitted,COQUILLE VALLEY HOSPITAL ,940 E 5TH STREET ,,COQUILLE ,OR ,97423- ,COOS ,,,,,,,,,,17,6205,1895,65,2788,,116,,380,22,621,61,,,,,, 381313,01-JAN-16,31-DEC-16,As Submitted,ST. CHARLES MED CTR - PRINEVILLE ,384 SE COMBS FLAT ROAD ,,PRINEVILLE ,OR ,97754- ,CROOK ,,,,,,,,,,16,5856,1363,35,2273,,124.26,,317,20,639,94,,,,,, 381314,01-JAN-16,31-DEC-16,As Submitted,SAMARITAN PACIFIC COMM HOSPIAL ,930 SW ABBY STREET ,,NEWPORT ,OR ,97365 ,LINCOLN ,,,,,,,,,,25,9150,1966,305,4515,,440.88,,547,79,1286,226,,,,,, 381315,01-JUL-16,30-JUN-17,As Submitted,SAINT ALPHONSUS MEDICAL CENTER BAKER ,3325 POCAHONTAS RD ,,BAKER CITY ,OR ,97814-1486 ,BAKER COUNTY ,,,,,,,,,,21,7665,1461,690,3048,,153.4,,307,180,641,,,,,,, 381316,01-JUL-16,30-JUN-17,As Submitted,PEACE HARBOR HOSPITAL ,400 9TH STREET ,580 ,FLORENCE ,OR ,97439-0580 ,LANE ,,,,,,,,,,21,7633,1521,117,3269,,288.92,,456,37,1053,113,,,,,, 381317,01-JAN-16,31-DEC-16,As Submitted,TILLAMOOK COUNTY GEN. HOSPITAL ,1000 THIRD ST. ,,TILLAMOOK ,OR ,97141- ,TILLAMOOK ,,,,,,,,,,25,9150,2291,68,4974,,344.58,,552,43,1312,,,,,,, 381318,01-JAN-16,31-DEC-16,As Submitted,HOOD RIVER MEMORIAL HOSPITAL ,810 12TH ST ,149 ,HOOD RIVER ,OR ,97031- ,HOOD ,,,,,,,,,,25,9150,1567,411,4447,2.06,333.16,,506,108,1513,258,,,,,, 381320,01-JAN-16,31-DEC-16,As Submitted,COLUMBIA MEMORIAL HOSPITAL ,2111 EXCHANGE STREET ,,ASTORIA ,OR ,97103 ,CLATSOP ,,,,,,,,,,25,9150,2259,347,5085,,478.7,,693,91,1298,239,,,,,, 381321,01-MAY-16,30-APR-17,As Submitted,GRANDE RONDE HOSPITAL ,900 SUNSET DRIVE ,,LA GRANDE ,OR ,97850 ,UNION ,,,,,,,,,,25,9125,2112,271,4727,,562.14,,630,304,1367,,,,,,, 381322,01-JUL-16,30-JUN-17,As Submitted,CURRY HEALTH DISTRICT ,94220 E FOURTH STREET ,,GOLD BEACH ,OR ,97444 ,CURRY ,,,,,,,,,,16,5505,1279,181,1869,,227.31,,289,60,381,,,,,,, 381323,01-JAN-16,31-DEC-16,As Submitted,SAMARITAN LEBANON COMM HOSPITAL ,525 NORTH SANTIAM HIGHWAY ,,LEBANON ,OR ,97355- ,LINN ,,,,,,,,,,25,9150,1670,294,6027,,627.48,,435,82,1700,406,,,,,, 381324,01-JAN-16,31-DEC-16,As Submitted,ST CHARLES MADRAS ,470 A STREET ,,MADRAS ,OR ,97741 ,JEFFERSON ,,,,,,,,,,25,9150,1178,316,2503,,138.35,,185,149,1791,171,,,,,, 381325,01-JUL-16,30-JUN-17,As Submitted,GOOD SHEPHERD MEDICAL CENTER ,610 NW ELEVENTH STREET ,,HERMISTON ,OR ,97838 ,UMATILLA ,,,,,,,,,,25,9125,1439,480,4358,,490.62,,509,268,1523,439,,,,,, 382004,01-FEB-16,31-JAN-17,As Submitted,VIBRA SPECIALTY HOSP PORTLAND ,10300 NE HANCOCK STREET ,,PORTLAND ,OR ,97220 ,PORTLAND ,,,,,,,,,,73,26718,6764,1355,18314,,176.25,,238,19,548,103,,,,,, 384012,01-JAN-16,31-DEC-16,As Submitted,UBH OF OREGON LLD D/B/A CEDAR HILLS ,10300 SW EASTRIDGE STREET ,,PORTLAND ,OR ,97225 ,MULTNOMAH ,,,,,,,,,,89,32574,10704,1197,29409,,192.8,,959,121,2916,,,,,,, 390001,01-JUL-16,30-JUN-17,As Submitted,COMMUNITY MEDICAL CENTER ,1800 MULBERRY STREET ,,SCRANTON ,PA ,18510 ,LACKAWANNA ,2112456,,,642428,,,.0699,727342,388680,249,91026,21455,1622,51559,28.81,1473.44,,4425,426,11789,1394,383,,66,,813, 390002,01-JUL-16,30-JUN-17,As Submitted,UPMC MCKEESPORT ,1500 FIFTH AVENUE ,,MCKEESPORT ,PA ,15132 ,ALLEGHENY ,1491519,,,571865,,,.2399,1846678,1334490,189,62725,6782,1059,35812,57.49,757.7,,1553,202,6501,1470,,,,3,,167 390003,01-JUL-16,30-JUN-17,As Submitted,GEISINGER BLOOMSBURG HOSPITAL ,549 EAST FAIR STREET ,,BLOOMSBURG ,PA ,17815 ,COLUMBIA ,,,,65676,,,.1062,39528,33039,52,18980,1126,164,5163,3.28,270.71,,398,45,2061,306,258,,51,,629, 390004,01-JUL-16,30-JUN-17,As Submitted,HOLY SPIRIT HOSPITAL ,503 NORTH 21ST STREET ,,CAMP HILL ,PA ,17011 ,CUMBERLAND ,126786,,,405166,,,.0537,66390,30767,280,101360,15106,2071,46944,,1474.19,,3118,382,9514,1312,163,,129,,802, 390006,01-JUL-16,30-JUN-17,As Submitted,GEISINGER MEDICAL CENTER ,100 NORTH ACADEMY AVENUE ,,DANVILLE ,PA ,17822 ,MONTOUR ,22242204,,,3303425,,,.1802,7350524,5860030,516,188490,39787,6983,146621,349.95,4756.55,,7264,851,30990,6026,533,,74,,1291, 390009,01-JUL-16,30-JUN-17,As Submitted,SAINT VINCENT HOSPITAL ,232 WEST 25TH STREET ,740 ,ERIE ,PA ,16544 ,ERIE ,1870067,60410,,1411693,45603,,.1694,1668732,912012,287,104755,17333,5725,59229,39.67,1563.24,,3989,319,13212,2449,1,,,1,148,386 390013,01-JUL-16,30-JUN-17,As Submitted,EVANGELICAL COMMUNITY HOSPITAL ,ONE HOSPITAL DRIVE ,,LEWISBURG ,PA ,17837- ,UNION ,,,,157883,,,.0388,,,120,43800,7370,190,20248,,1104.57,,2158,56,5872,686,,,,,,103 390016,01-JUL-16,30-JUN-17,As Submitted,UPMC JAMESON ,1211 WILMINGTON AVENUE ,,NEW CASTLE ,PA ,16105-2595 ,,,,,188041,,,.0785,,,194,70810,6746,1229,21366,,862.61,,1508,70,4936,548,,,,1,,205 390019,01-JUL-16,31-OCT-16,As Submitted,PALMERTON HOSPITAL ,135 LAFAYETTE AVENUE ,,PALMERTON ,PA ,18071 ,CARBON ,,,,9407,,,.0283,,,40,4920,795,81,1194,,242.25,,210,30,346,20,24,,5,,157, 390025,01-JUL-16,30-JUN-17,As Submitted,KENSINGTON HOSPITAL ,136 W DIAMOND STREET ,,PHILADELPHIA ,PA ,19122 ,PHILADELPHIA ,,,,8627,,,.12,,,30,10950,285,,8230,,80,,66,,1363,1295,,,,,, 390026,01-JUL-16,30-JUN-17,As Submitted,CHESTNUT HILL HOSPITAL ,8835 GERMANTOWN AVENUE ,,PHILADELPHIA ,PA ,19118- ,PHILADELPHIA ,3337330,,,477851,,,.0847,2518509,611878,128,46720,12405,2427,24039,38.8,575.71,,2694,960,6880,,,,1,,347, 390028,01-JUL-16,30-JUN-17,As Submitted,UPMC MERCY HOSPITAL ,1400 LOCUST STREET ,,PITTSBURGH ,PA ,15219 ,ALLEGHENY ,5363860,,,1811464,,,.2556,7522042,2166317,416,145954,17506,5366,97002,147.04,2109.17,,3296,660,17497,4749,,,,75,,1390 390030,01-JUL-16,30-JUN-17,As Submitted,LEHIGH VALLEY HOSPITAL SCHUYLKILL SO ,420 SOUTH JACKSON STREET ,,POTTSVILLE ,PA ,17901 ,SCHUYLKILL ,,,,499581,,,.4321,,,67,43160,4842,1996,21609,,486,,734,317,3052,1633,,,,,, 390031,01-JUL-16,30-JUN-17,As Submitted,LEHIGH VALLEY HOSPITAL SCHUYLKILL EA ,700 EAST NORWEGIAN STREET ,,POTTSVILLE ,PA ,17901 ,SCHUYLKILL ,,,,130360,,,.0343,,,99,31375,10208,599,17782,,519,,2392,151,4379,313,17,,4,7,221,373 390032,01-JUL-16,30-JUN-17,As Submitted,ALLE-KISKI MEDICAL CENTER ,1301 CARLISLE STREET ,,NATRONA HEIGHTS ,PA ,15065- ,ALLEGHENY ,,,,,,,,,,160,58400,4578,223,17242,,757.14,,1258,72,4696,294,302,,46,,808, 390036,01-JUL-16,30-JUN-17,As Submitted,HERITAGE VALLEY BEAVER ,1000 DUTCH RIDGE ROAD ,,BEAVER ,PA ,15009 ,BEAVER ,1206650,,,261187,,,.0475,1257674,538913,182,78454,11271,1089,46783,24,1355.72,,2734,139,9980,,630,,80,1,1313,169 390037,01-JUL-16,30-JUN-17,As Submitted,HERITAGE VALLEY SEWICKLEY ,HERITAGE VALLEY SEWICKLEY ,720 BLACKBURN ,ALLEGHENY ,PA ,15143 ,ALLEGHENY ,,,,,,,,,,149,54385,5221,406,27278,,814.54,,1335,56,6846,687,260,,44,1,694,145 390041,01-JUL-16,30-JUN-17,As Submitted,UNIONTOWN HOSPITAL ,500 WEST BERKELEY STREET ,,UNIONTOWN ,PA ,15401 ,FAYETTE ,,,,605368,,,.1639,,,149,54385,8860,785,33273,,934.4,,2075,245,8276,2227,,,,2,,215 390042,01-JUL-16,30-JUN-17,As Submitted,THE WASHINGTON HOSPITAL ,155 WILSON AVENUE ,,WASHINGTON ,PA ,15301- ,WASHINGTON ,852979,,,347717,,,.0761,900908,422190,214,78110,10589,1965,44377,19.54,1541.19,,2441,246,10576,,,,50,,868,179 390043,01-JUL-16,09-NOV-16,As Submitted,SOLDIERS & SAILORS MEMORIAL HOSPT. ,32-36 CENTRAL AVENUE ,,WELLSBORO ,PA ,16901 ,TIOGA ,,,,40273,,,.0811,,,67,8844,1254,40,2452,,329.99,,303,8,616,108,,,,,, 390044,01-JUL-16,30-JUN-17,As Submitted,READING HOSPITAL AND MEDICAL CENTER ,420 SOUTH FIFTH AVENUE ,16052 ,READING ,PA ,19612 ,BERKS ,4466634,749763,,2852291,478782,,.1585,2010263,806944,526,192093,46639,,130917,93.74,4633.79,,9383,6300,30135,,,,,86,1373,1460 390045,01-JUL-16,30-JUN-17,As Submitted,WILLIAMSPORT HOSPITAL & MEDICAL CTR ,700 HIGH STREET ,,WILLIAMSPORT ,PA ,17701- ,LYCOMING ,1809543,,,826567,,,.0817,724086,222275,196,71540,18833,866,44858,20.03,1161.66,,4407,236,10769,2039,,,,11,,595 390046,01-JUL-16,30-JUN-17,As Submitted,YORK HOSPITAL ,1001 SOUTH GEORGE STREET ,,YORK ,PA ,17405 ,YORK ,11054525,,,2420233,,,.1055,4221352,2243546,517,188583,50467,7357,147760,142.79,4056.48,,9019,730,27924,,,,227,,2501, 390048,01-JUL-16,30-JUN-17,As Submitted,GEISINGER LEWISTOWN HOSPITAL ,400 HIGHLAND AVENUE ,,LEWISTOWN ,PA ,17044 ,MIFFLIN ,,,,192315,,,.0801,5889,6072,109,39785,5974,1098,15960,.62,698.53,,1425,285,4238,600,,,280,,1038, 390052,01-JUL-16,30-JUN-17,As Submitted,CLEARFIELD HOSPITAL ,809 TURNPIKE AVENUE ,992 ,CLEARFIELD ,PA ,16830-0992 ,CLEARFIELD ,,,,,,,,,,40,14600,3506,10,6241,,276.08,,688,12,1412,144,,,3,,169, 390058,01-JUL-16,30-JUN-17,As Submitted,CARLISLE REGIONAL MEDICAL CENTER ,361 ALEXANDER SPRING ROAD ,,CARLISLE ,PA ,17015 ,CUMBERLAND ,,,,112369,,,.0412,,,145,52925,5469,622,13745,,512.12,,1488,404,3777,,,,,9,,193 390061,01-JUL-16,30-JUN-17,As Submitted,LANCASTER REGIONAL MEDICAL CENTER ,250 COLLEGE AVENUE ,,LANCASTER ,PA ,17603 ,LANCASTER ,,,,412110,,,.1434,,,142,51830,5568,332,16606,,468.94,,1134,610,3454,,,,10,8,127,186 390063,01-JUL-16,30-JUN-17,As Submitted,UPMC HAMOT ,201 STATE STREET ,,ERIE ,PA ,16550 ,ERIE ,3641605,,,2100417,,,.1428,2314655,907205,422,140715,30689,6154,96564,47.78,1978.71,,6782,484,20965,3703,,,,,, 390065,01-JUL-16,30-JUN-17,As Submitted,THE GETTYSBURG HOSPITAL ,147 GETTYS ,3786 ,GETTYSBURG ,PA ,17325-0786 ,ADAMS ,,,,167560,,,.0474,,,76,27740,7422,900,16330,,616.61,,1909,112,4329,,,,,,, 390066,01-JUL-16,30-JUN-17,As Submitted,THE GOOD SAMARITAN HOSPITAL ,THE GOOD SAMARITAN HOSPITAL ,241 SOUTH FOURTH ST ,LEBANON ,PA ,17042 ,LEBANON ,1099351,,,294342,,,.0597,435179,295973,110,40150,10440,1485,31179,19.91,1046.09,,2305,110,6228,850,,,,,,311 390067,01-JUL-16,30-JUN-17,As Submitted,PINNACLE HEALTH HOSPITALS ,409 S. 2ND STREET ,,HARRISBURG ,PA ,17101 ,DAUPHIN ,4556748,4966244,,1244460,1356294,,.1056,4183161,1675280,640,229535,45818,5816,165023,126.91,3856.06,,9610,898,34806,4824,,,,,, 390068,01-JUL-16,30-JUN-17,As Submitted,HEART OF LANCASTER REGIONAL MEDICAL ,1500 HIGHLAND DRIVE ,,LITITZ ,PA ,17543 ,LANCASTER ,311979,,,101739,,,.12,165165,130600,65,23725,1976,1453,11155,16.02,324.77,,463,387,2565,,,,,,, 390070,01-JAN-16,31-DEC-16,As Submitted,LOWER BUCKS HOSPITAL ,501 BATH ROAD ,,BRISTOL ,PA ,19007 ,BUCKS ,573941,,,372909,,,.1236,366520,64918,130,47450,5034,742,16220,4.68,480.43,,1355,193,4980,910,11,,55,,1295, 390071,01-JUL-16,30-JUN-17,As Submitted,LOCK HAVEN HOSPITAL ,24 CREE DRIVE ,,LOCKHAVEN ,PA ,17745-2699 ,CLINTON ,,,,73370,,,.12,,,47,17155,1170,206,3160,,161.91,,393,208,1106,,,,,,, 390072,01-JUL-16,30-JUN-17,As Submitted,BERWICK HOSPITAL CENTER ,S ,,BERWICK ,PA ,18603 ,COLUMBIA ,,,,68183,,,.0836,,,87,31755,1742,154,3989,,240.41,,528,146,1194,,,,,,282, 390073,01-JUL-16,30-JUN-17,As Submitted,ALTOONA REGIONAL HEALTH SYSTEM ,620 HOWARD AVENUE ,,ALTOONA ,PA ,16601-4889 ,BLAIR ,1841755,,,1486098,,,.1122,1343397,623150,343,123772,29225,4028,90701,30.89,2090.08,,6140,454,18524,3070,,,,,, 390076,01-JUL-16,30-JUN-17,As Submitted,BRANDYWINE HOSPITAL ,200 REECEVILLE ROAD ,,COATSVILLE ,PA ,19320- ,CHESTER ,,,,818515,,,.1699,,,153,55845,8761,727,32351,,526.12,,2233,1216,6226,,,,,,266, 390080,01-JUL-16,30-JUN-17,As Submitted,JEANES HOSPITAL ,7600 CENTRAL AVENUE ,,PHILADELPHIA ,PA ,19111 ,PHILADELPHIA ,886740,,,738902,,,.1523,480720,215635,146,53290,9976,1120,28844,11.21,840.89,,2072,253,6653,1030,,,,,, 390081,01-JUL-16,31-DEC-16,As Submitted,DELAWARE COUNTY MEMORIAL HOSPITAL ,501 N. LANDSDOWNE AVE. ,,DREXEL HILL ,PA ,19026- ,DELAWARE COUNTY ,521359,,,376156,,,.2315,467698,239363,145,26680,3548,272,13168,21.8,734,,766,147,3023,,,,,7,,170 390084,01-JUL-16,30-JUN-17,As Submitted,SUNBURY COMMUNITY HOSPITAL ,350 N. ELEVENTH STREET ,737 ,SUNBURY ,PA ,17801- ,NORTHUMBERLAND ,,,,200134,,,.3196,,,70,25550,2315,256,6050,,127.43,,404,250,1449,,,,,,, 390091,01-JUL-16,30-JUN-17,As Submitted,UPMC NORTHWEST HOSPITAL ,100 FAIRFIELD DRIVE ,,SENECA ,PA ,16346 ,VENANGO ,,,,331721,,,.1002,,,118,38872,8484,1217,19623,,518.24,,2196,56,4976,766,168,,23,2,355,201 390093,01-JUL-16,30-JUN-17,As Submitted,CLARION HOSPITAL ,ONE HOSPITAL DRIVE ,,CLARION ,PA ,16214 ,CLARION ,226307,,,84496,,,.0721,325358,473689,58,21170,3065,60,6097,11.63,430.97,,787,18,1561,156,,,,,,64 390096,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPH MEDICAL CENTER ,2500 BERNVILLE RD ,PO BOX 316 ,READING ,PA ,19603-0316 ,BERKS ,1546217,11475,,613550,4554,,.1006,844725,518465,144,53676,11894,1875,33183,23.1,1075.37,,2542,193,7366,1027,,,,,, 390097,01-JUL-16,30-JUN-17,As Submitted,HOSPITAL ,1648 HUNTINGTON PIKE ,,MEADOWBROOK ,PA ,19046 ,MONTGOMERY ,61301,,,1324152,,,.2402,39291,8319,195,71175,13651,2150,43544,.96,985,,2753,107,8315,1281,,,4,,479, 390100,01-JUL-16,30-JUN-17,As Submitted,LANCASTER GENERAL HOSPITAL ,555 NORTH DUKE STREET ,3555 ,LANCASTER ,PA ,17604-3555 ,LANCASTER ,3346359,,,2198712,,,.0937,1196911,636806,541,205138,44367,4272,137110,40.52,4943,41.21,9797,716,34100,5298,454,,109,,1293, 390101,01-JUL-16,30-JUN-17,As Submitted,MEMORIAL HOSPITAL ,325 S BELMONT STREET ,15118 ,YORK ,PA ,17405 ,YORK ,738953,,,249314,,,.1229,485511,289257,100,36500,5254,709,15880,16.99,577.79,,1205,843,4177,,,,,,, 390102,01-JUL-16,30-JUN-17,As Submitted,UPMC ST MARGARET ,815 FREEPORT ROAD ,,PITTSBURGH ,PA ,15215 ,ALLEGHENY ,3461346,,,,,,,3756659,1205188,216,78883,13832,636,50975,62.09,1146.49,,3034,111,10967,1022,,,,7,,588 390104,01-JUL-16,30-JUN-17,As Submitted,KANE COMMUNITY HOSPITAL ,4372 ROUTE 6 ,,KANE ,PA ,16735 ,MCKEAN ,,,,,,,,,,31,11315,1456,63,2374,,174.59,,330,17,570,33,,,,,, 390112,01-JUL-16,30-JUN-17,As Submitted,WINDBER MEDICAL CENTER ,600 SOMERSET AVENUE ,,WINDBER ,PA ,15963- ,SOMERSET ,,,,,,,,,,50,18250,659,20,3274,,303.74,,362,4,1389,,,,,,, 390114,01-JUL-16,30-JUN-17,As Submitted,MAGEE WOMENS HOSPITAL OF UPMC ,300 HALKET ST ,,PITTSBURGH ,PA ,15213-3180 ,ALLEGHENY COUNTY ,1267483,,,956370,,,.349,234209,1129302,317,114857,6287,3902,94414,111.2,2348,,1386,753,17482,5314,,,,,, 390116,01-FEB-16,31-DEC-16,As Submitted,SUBURBAN COMMUNITY HOSPITAL ,2701 DEKALB PIKE ,,NORRISTOWN ,PA ,19401 ,MONTGOMERY ,1797435,,,71518,,,.0285,1215024,629725,99,33066,4784,1155,12851,34.79,408.39,,1067,233,3267,,,,,,174, 390117,01-JUL-16,30-JUN-17,As Submitted,UPMC BEDFORD MEMORIAL HOSPITAL ,10455 LINCOLN HIGHWAY ,,EVERETT ,PA ,15537 ,BEDFORD ,,,,83875,,,.1048,,,47,16926,1626,452,5257,,271.61,,571,32,1692,263,,,,,, 390118,01-JAN-16,31-DEC-16,As Submitted,BRADFORD REGIONAL MEDICAL CENTER ,116 INTERSTATE PARKWAY ,,BRADFORD ,PA ,16701 ,MCKEAN ,,,,190086,,,.12,,,87,31842,5143,2683,14465,,428.1,,1065,309,2747,557,,,,,, 390123,01-JUL-16,30-JUN-17,As Submitted,POTTSTOWN MEMORIAL MEDICAL CENTER ,1600 EAST HIGH STREET ,,POTTSTOWN ,PA ,19464 ,MONTGOMERY ,,,,421216,,,.0646,,,183,66795,14638,1105,33153,,771.49,,3147,1127,7709,,,,434,,975, 390125,01-JUL-16,30-JUN-17,As Submitted,WAYNE MEMORIAL HOSPITAL ,601 PARK ST ,,HONESDALE ,PA ,18431 ,WAYNE ,,,,276305,,,.1204,,,73,26645,6047,145,12086,,657.25,,1510,38,3147,707,,,,,,218 390127,01-JUL-16,30-JUN-17,As Submitted,PHOENIXVILLE HOSPITAL ,140 NUTT ROAD ,,PHOENIXVILLE ,PA ,19460 ,CHESTER ,373589,,,303824,,,.0586,179291,88462,126,45990,10983,2554,29631,6,648.02,,2275,231,6573,,,,,,, 390130,01-JUL-16,30-JUN-17,As Submitted,MINERS HOSPITAL ,290 HAIDA AVENUE ,689 ,HASTINGS ,PA ,16646 ,CAMBRIA ,,,,,,,,,,30,10950,865,19,1684,,110.26,,186,3,390,,,,,,, 390139,01-JUL-16,30-JUN-17,As Submitted,BRYN MAWR HOSPITAL ,130 S. BRYN MAWR AVE. ,,BRYN MAWR ,PA ,19010 ,MONTGOMERY ,3163170,,,,,,,1439098,675457,267,108111,20888,1213,53276,39.24,1355.07,,4767,102,13200,341,12,,6,,789, 390142,01-JUL-16,30-JUN-17,As Submitted,ALBERT EINSTEIN MEDICAL CENTER ,5501 OLD YORK ROAD ,3098 ,PHILADELPHIA ,PA ,19141 ,PHILADELPHIA ,15566451,,,4251794,,,.3726,15816731,4538060,407,148555,24858,9239,103861,325.96,4013.62,17.67,4651,1778,22699,8772,702,,99,116,1406,2627 390145,01-JUL-16,30-JUN-17,As Submitted,WESTMORELAND REGIONAL HOSPITAL ,532 WEST PITTSBURGH STREET ,,GREENSBURG ,PA ,15601- ,WESTMORELAND ,,,,462882,,,.0855,,,244,89060,13547,1462,66077,,1599.13,,2843,271,16335,,,,,4,,422 390147,01-JUL-16,30-JUN-17,As Submitted,MONONGAHELA VALLEY HOSPITAL INC. ,1163 COUNTRY CLUB RD ROUTE 88 ,,MONONGAHELA ,PA ,15063 ,USA ,,,,110227,,,.0405,,,151,55094,6895,334,27401,,920.96,10.46,1480,83,5909,729,315,,5,1,696,260 390150,01-JUL-16,30-JUN-17,As Submitted,WHS - GREENE ,350 BONAR AVENUE ,,WAYNESBURG ,PA ,15370 ,GREENE ,,,,65586,,,.1528,,,23,8395,1048,139,2716,,194,,352,35,932,137,178,,340,,661, 390151,01-JUL-16,30-JUN-17,As Submitted,THE CHAMBERSBURG HOSPITAL ,112 NORTH 7TH ST. ,,CHAMBERSBURG ,PA ,17201 ,FRANKLIN ,109831,,,1111504,,,.0859,40437,14529,228,83473,23485,3679,41878,.79,1621.47,,5622,253,11274,1338,241,,297,10,826,259 390153,01-JUL-16,30-JUN-17,As Submitted,PAOLI HOSPITAL ,255 W. LANCASTER AVE. ,,PAOLI ,PA ,19301-1792 ,CHESTER ,,,,,,,,,,231,84315,20512,379,55314,,1131.83,,4480,66,12888,187,,,,,, 390157,01-JUL-16,30-JUN-17,As Submitted,OHIO VALLEY GENERAL HOSPITAL ,25 HECKEL ROAD ,,MC KEES ROCKS ,PA ,15136 ,,,,,34670,,,.0337,,,87,31755,2928,139,13068,,408.5,,653,32,2907,291,,,9,2,287,257 390160,01-JUL-16,30-JUN-17,As Submitted,CANONSBURG GENERAL HOSPITAL ,100 MEDICAL BLVD ,,CANONSBURG ,PA ,15317- ,WASHINGTON ,,,,,,,,,,88,32120,2069,93,6464,,325.2,,630,28,1916,74,,,,6,,282 390162,01-JUL-16,30-APR-17,As Submitted,EASTON HOSPITAL ,250 SOUTH 21ST STREET ,,EASTON ,PA ,18042-4195 ,NORTHHAMPTON ,1727717,,,336194,,,.0584,1733935,689271,205,62352,11236,926,21689,33.1,697.51,,2438,682,4965,,,,31,6,529,144 390163,01-JUL-16,30-JUN-17,As Submitted,ARMSTRONG COUNTY MEMORIAL ,ONE NOLTE DRIVE ,,KITTANNING ,PA ,16201 ,ARMSTRONG ,,,,259392,,,.1472,,,133,48545,4714,292,20227,,762.53,,1009,101,4767,,,,,,,147 390164,01-JUL-16,30-JUN-17,As Submitted,UPMC - PRESBYTERIAN SHADYSIDE ,200 LOTHROP STREET ,,PITTSBURGH ,PA ,15213 ,ALLEGHENY ,37665698,,,4165530,,,.1128,30469683,6083643,1160,420031,85206,9823,335342,707.33,8499.16,,14000,1047,52889,7907,3383,,325,22,6510,495 390173,01-JUL-16,30-JUN-17,As Submitted,INDIANA REGIONAL MEDICAL CENTER ,835 HOSPITAL ROAD ,788 ,INDIANA ,PA ,15701 ,INDIANA ,,,,137252,,,.0476,,,132,48180,7123,507,25359,,1017.03,,1783,105,6820,765,21,,6,3,292,292 390174,01-JUL-16,30-JUN-17,As Submitted,THOMAS JEFFERSON UNIV. HOSPITAL ,111 SOUTH 11TH STREET ,,PHILADELPHIA ,PA ,19107 ,PHILADELPHIA ,45425013,,,5542618,,,.1605,20572535,8713463,848,308290,65215,9851,214997,638.44,6590.73,,10941,1399,39278,7765,335,,53,42,948,418 390178,01-JUL-16,30-JUN-17,As Submitted,UPMC HORIZON HOSPITAL ,110 NORTH MAIN STREET ,,GREENVILLE ,PA ,16125 ,MERCER ,386995,,,348229,,,.1185,348018,444646,142,51513,7427,1908,23787,15.52,772.62,,1862,53,5818,1049,,,,6,,185 390179,01-JUL-16,30-JUN-17,As Submitted,THE CHESTER COUNTY HOSPITAL ,701 E. MARSHALL STREET ,,WEST CHESTER ,PA ,19380- ,CHESTER ,,,,608152,,,.0614,,,248,90520,20716,2935,60568,,1616.15,,4389,711,16654,2277,,,,,, 390180,01-JUL-16,31-DEC-16,As Submitted,CROZER CHESTER MEDICAL CENTER ,ONE MEDICAL CENTER BLVD. ,,UPLAND ,PA ,19013-3995 ,DELAWARE COUNTY ,3005507,,,907513,,,.188,2172377,857932,349,63969,9458,891,33854,114.31,2459,,1945,313,7264,1697,399,,78,7,941,393 390183,01-JUL-16,30-JUN-17,As Submitted,MINERS MEMORIAL MEDICAL CENTER ,360 WEST RUDDLE STREET ,,COALDALE ,PA ,18218 ,SCHUYLKILL ,,,,96154,,,.0509,,,44,16060,4717,137,7811,,267.51,,1162,48,2214,235,,,,,, 390184,01-JUL-16,30-JUN-17,As Submitted,HIGHLANDS HOSPITAL ,401 EAST MURPHY AVENUE ,,CONNELLSVILLE ,PA ,15425 ,FAYETTE ,,,,44791,,,.12,,,64,23360,1495,447,9133,,269.82,,294,110,2130,845,,,,,, 390192,01-JUL-16,30-JUN-17,As Submitted,TYLER MEMORIAL HOSPITAL ,880 SR 6 W ,,TUNKHANNOCK ,PA ,18657 ,WAYNE ,,,,,,,,,,44,16060,642,8,1313,,119.6,,192,2,429,,,,,,, 390194,01-JUL-16,30-JUN-17,As Submitted,BLUE MOUNTAIN HOSPITAL ,211 N. 12TH STREET ,,LEHIGHTON ,PA ,18235 ,CARBON ,,,,275777,,,.12,,,110,35230,7257,724,13193,,560.12,,1533,142,3324,594,23,,8,4,313,356 390195,01-JUL-16,30-JUN-17,As Submitted,LANKENAU MEDICAL CENTER ,100 LANCASTER AVE. ,,WYNEWOOD ,PA ,19096 ,MONTGOMERY ,9638868,,,1442436,,,.0799,3055887,933428,358,133955,31797,6361,93255,135.07,1766.96,,5591,,17465,2288,,,,,, 390197,01-JUL-16,30-JUN-17,As Submitted,SACRED HEART HOSPITAL ,421 CHEW STREET ,,ALLENTOWN ,PA ,18102 ,LEHIGH ,604359,,,796174,,,.4647,674824,292964,119,43435,4340,2290,21981,20.24,638.14,,904,229,3363,,,,77,,540, 390198,01-JUL-16,30-JUN-17,As Submitted,MILLCREEK COMMUNITY HOSPITAL ,5515 PEACH STREET ,,ERIE ,PA ,16509 ,,711139,,,493453,,,.355,1062462,193884,130,47450,5722,1363,24488,56.37,432,,967,218,4119,1363,,,,,,345 390203,01-JUL-16,30-JUN-17,As Submitted,DOYLESTOWN HOSPITAL ,595 WEST STATE STREET ,,DOYLESTOWN ,PA ,18901 ,BUCKS ,,,,,,,,,,237,86505,20835,1066,53720,,1477,,4715,229,13470,,,,,,, 390204,01-JUL-16,30-JUN-17,As Submitted,NAZARETH HOSPITAL-PHILA PA ,2601 HOLME AVENUE ,,PHILADELPHIA ,PA ,19152 ,PHILADELPHIA ,,,,810904,,,.1583,,,126,46355,11311,1440,29219,,743.38,,2418,1485,6644,1129,,,,5,,166 390211,01-JUL-16,30-APR-17,As Submitted,SHARON REGIONAL HEALTH SYSTEM ,740 EAST STATE STREET ,,SHARON ,PA ,16146-2096 ,MERCER ,,,,517408,,,.1486,,,189,57456,9770,2892,28197,,854.65,,2001,1355,6072,,,,,3,,175 390217,01-JUL-16,30-JUN-17,As Submitted,FRICK HOSPITAL ,508 CHURCH STREET ,,MOUNT PLEASANT ,PA ,15666- ,WESTMORELAND ,,,,30563,,,.0376,,,33,12045,2246,106,8325,,319.7,,545,22,2159,,,,,,, 390219,01-JUL-16,30-JUN-17,As Submitted,LATROBE AREA HOSPITAL ,ONE MELLON WAY ,,LATROBE ,PA ,15650- ,WESTMORELAND ,808204,,,202550,,,.0864,844343,506292,113,41245,5167,476,25113,17.27,907.5,,1348,106,6886,,,,,,, 390220,01-JUL-16,30-JUN-17,As Submitted,JENNERSVILLE REGIONAL HOSPITAL ,1015 W. BALTIMORE PIKE ,,WEST GROVE ,PA ,19390- ,CHESTER ,,,,88936,,,.0526,,,57,20805,4022,603,8390,,209.34,,1001,,2380,345,,,,,, 390222,01-JUL-16,30-JUN-17,As Submitted,RIDDLE HOSPITAL ,1068 W. BALTIMORE PIKE ,,MEDIA ,PA ,19063 ,DELAWARE ,,,,,,,,,,204,74460,19255,430,44260,,940.41,,3859,68,10399,390,,,,,, 390225,01-JUL-16,30-JUN-17,As Submitted,EPHRATA COMMUNITY HOSPITAL ,169 MARTIN AVENUE ,,EPHRATA ,PA ,17522-1002 ,LANCASTER ,,,,128530,,,.034,,,115,41975,8740,795,24686,,983.7,,1947,12,6874,144,,,,,164,129 390226,01-JUL-16,30-JUN-17,As Submitted,PENNSYLVANIA HOSPITAL OF UPHS ,8TH & SPRUCE ,,PHILADELPHIA ,PA ,19107- ,,7285602,,,2184159,,,.2044,2669927,1706285,398,145176,20395,3571,94259,152.65,2366.8,,3648,749,22636,5694,,,100,,983, 390228,01-JUL-16,30-JUN-17,As Submitted,ST. CLAIR MEMORIAL HOSPITAL ,1000 BOWER HILL ROAD ,,PITTSBURGH ,PA ,15243 ,ALLEGHENY ,,,,,,,,,,301,109986,13438,876,61076,,1669.56,,3228,204,15135,900,,,44,,865, 390233,01-JUL-16,30-JUN-17,As Submitted,HANOVER HOSPITAL INC. ,300 HIGHLAND AVENUE ,,HANOVER ,PA ,17331- ,YORK ,,,,,,,,,,93,33945,9725,281,21301,,914.97,,2351,66,5387,475,,,,,, 390236,01-JUL-16,30-JUN-17,As Submitted,GUTHRIE TOWANDA MEMORIAL HOSPITAL ,91 HOSPITAL DRIVE ,,TOWANDA ,PA ,18848 ,BRADFORD ,,,,13244,,,.029,,,35,12775,2499,99,3776,,335,,338,48,581,13,,,,,, 390237,01-JUL-16,30-JUN-17,As Submitted,REGIONAL HOSPITAL OF SCRANTON ,746 JEFFERSON AVENUE ,,SCRANTON ,PA ,18501- ,LACKAWANNA ,1011319,,,,,,,779639,256813,186,67890,22893,549,41161,10.72,790.11,,4326,673,8391,,,,,,, 390256,01-JUL-16,30-JUN-17,As Submitted,MILTON S. HERSHEY MEDICAL CENTER ,500 UNIVERSITY DRIVE ,,HERSHEY ,PA ,17033 ,DAUPHIN ,15112100,3956709,,2818573,737970,,.1957,7132567,5607845,548,200020,37727,5995,168832,562.33,7141.48,,6589,751,29068,5135,,,,,, 390258,01-JUL-16,30-JUN-17,As Submitted,ST. MARY MEDICAL CENTER ,1201 LANGHORNE NEWTOWN RD ,,LANGHORNE ,PA ,19047 ,BUCKS ,,,,626680,,,.0382,,,306,111690,31762,4236,87224,,2011,,7111,768,23230,,,,,,, 390265,01-JUL-16,30-JUN-17,As Submitted,JEFFERSON REGIONAL MEDICAL CENTER ,565 COAL VALLEY ROAD ,,PITTSBURGH ,PA ,15236-0119 ,ALLEGHENY ,,,,,,,,,,286,104390,12396,1071,58546,,1410.66,,2661,193,13616,1111,1,,40,,900,480 390267,01-JUL-16,30-JUN-17,As Submitted,FORBES REGIONAL HOSPITAL ,2570 HAYMAKER ROAD ,,MONROEVILLE ,PA ,15146- ,ALLEGHENY ,1714295,,,,,,,1901715,443794,234,77004,13942,1289,59376,43.75,1303.57,,2767,232,12880,1306,504,,78,3,1262,496 390270,01-JUL-16,30-JUN-17,As Submitted,GEISINGER WYOMING VALLEY MED CTR ,1000 EAST MOUNTAIN DRIVE ,,WILKES BARRE ,PA ,18702 ,LUZERNE ,4136625,,,1505005,,,.1352,1199135,1047177,263,93993,24434,3757,73658,46.5,1827.89,,4997,447,17625,3723,,,,1,,558 390278,01-JUL-16,30-JUN-17,As Submitted,EAGLEVILLE HOSPITAL ,100 EAGLEVILLE ROAD ,,EAGLEVILLE ,PA ,19403 ,MONTGOMERY ,,,,88150,,,.12,,,49,17885,3599,441,10078,,173.47,,550,94,1656,712,391,,21,,763, 390290,01-JAN-16,31-DEC-16,As Submitted,HAHNEMANN UNIVERSITY HOSPITAL ,BROAD & VINE ,,PHILADELPHIA ,PA ,19102 ,PHILADELPHIA ,15172009,,,3697400,,,.398,12826209,3052804,379,138714,23982,10089,96060,399.05,1305.4,,3868,1251,17596,6220,428,,77,,698, 390304,01-JAN-16,31-DEC-16,As Submitted,ROXBOROUGH MEMORIAL HOSPITAL ,5800 RIDGE AVENUE ,,PHILADELPHIA ,PA ,19128 ,PHILADELPHIA ,1339095,,,404416,,,.1606,1030482,180350,99,36135,4769,536,13071,28.77,451.9,,1301,121,3960,791,1,,1,,587,64 390307,01-JAN-16,31-DEC-16,As Submitted,EDGEWOOD SURGICAL HOSPITAL ,239 EDGEWOOD DRIVE EXTENSION ,,TRANSFER ,PA ,16154 ,MERCER ,,,,4455,,,.0706,,,10,3660,69,,231,,38.4,,25,,90,13,,,,,, 390312,01-JUL-16,30-JUN-17,As Submitted,EASTERN REGIONAL MEDICAL CENTER ,1331 EAST WYOMING AVE ,,PHILADELPHIA ,PA ,19124 ,PHILADELPHIA ,,,,,,,,,,74,27010,994,,6848,,594.26,,160,,856,,,,,,, 390314,01-JAN-16,31-DEC-16,As Submitted,COORDINATED HEALTH ORTHOPEDIC HOSP ,2310 HIGHLAND AVENUE ,,BETHLEHEM ,PA ,18017 ,NORTHAMPTON ,,,,,,,,,,20,7320,1279,16,2725,,97.08,,552,4,1229,42,,,,,, 390316,01-JAN-16,31-DEC-16,As Submitted,SURGICAL INSTITUTE OF READING ,2752 CENTURY BLVD ,,WYOMISSING ,PA ,19610 ,BERKS ,,,,,,,,,,15,5490,633,,1377,,162.42,,317,,863,16,,,,,, 390321,01-JAN-16,31-DEC-16,As Submitted,COORDINATED HOSPITAL OF ALLENTOWN ,1503 N CEDAR CREST BLVD ,,ALLENTOWN ,PA ,18104 ,LEHIGH ,185349,,,,,,,10050,14623,20,7320,1038,7,2392,1,584.76,,514,4,1251,93,,,,,, 390322,01-JAN-16,31-DEC-16,As Submitted,ROTHMAN ORTHOPAEDIC SPECIALTY HOSPI ,3300 TILLMAN DRIVE ,,BENSALEM ,PA ,19020- ,BUCKS ,,,,,,,,,,24,8784,802,,2585,,117.77,,600,,2017,,,,,,, 390323,01-JAN-16,31-DEC-16,As Submitted,ADVANCED SURGICAL HOSPITAL ,100 TRICH DRIVE ,,WASHINGTON ,PA ,15301 ,WASHINGTON ,,,,,,,,,,14,5124,423,,1351,,80.51,,184,,620,,,,,,, 390324,01-NOV-15,31-OCT-16,Amended,PHYSICIANS CARE SURGICAL HOSPITAL ,454 ENTERPRISE DRIVE ,,ROYERSFORD ,PA ,19468 ,MONTGOMERY ,,,,,,,,,,12,4392,471,2,1069,,82.32,,328,1,386,,,,,,, 390325,01-JUL-16,30-JUN-17,As Submitted,OSS ORTHOPAEDIC HOSPITAL ,1861 POWDER MILL ROAD ,,YORK ,PA ,17402 ,YORK ,,,,,,,,,,30,10950,1290,1,3454,,532,,597,1,1653,56,,,,,, 390327,01-JUL-16,30-JUN-17,As Submitted,WELLSPAN SURGERY AND REHAB HOSPITAL ,45 MONUMENT DRIVE SUITE 200 ,,YORK ,PA ,17403 ,YORK ,,,,,,,,,,25,9125,414,,1617,,208.78,,204,2,816,94,,,,26,,1095 390329,01-JUL-16,30-JUN-17,As Submitted,EINSTEIN MEDICAL CENTER MONTGOMERY ,559 WEST GERMANTOWN PIKE ,,EAST NORRITON ,PA ,19403 ,MONTGOMERY ,,,,863728,,,.1302,,,170,62111,13737,2937,45439,,1074.84,,3040,614,11553,2323,,,,,, 391300,01-JUL-16,30-JUN-17,As Submitted,JERSEY SHORE HOSPITAL ,1020 THOMPSON STREET ,,JERSEY SHORE ,PA ,17745 ,LYCOMING ,,,,,,,,,,25,9125,945,132,2248,,196.46,,212,48,603,,,,,,, 391304,01-JUL-16,30-JUN-17,As Submitted,BUCKTAIL MEDICAL CENTER ,1001 PINE STREET ,,RENOVO ,PA ,17764 ,CLINTON ,,,,,,,,,,16,7360,599,,883,,47.91,,30,,57,6,,,,,, 391306,01-JAN-16,31-DEC-16,As Submitted,ENDLESS MOUNTAINS HEALTH SYSTEMS ,100 HOSPITAL DRIVE ,,MONTROSE ,PA ,18801 ,SUSQUEHANNA ,,,,,,,,,,25,9150,1996,12,3107,,191.94,,420,4,717,54,,,,,, 391308,01-JUL-16,30-JUN-17,As Submitted,CORRY MEMORIAL HOSPITAL ,965 SHAMROCK LANE ,,CORRY ,PA ,16407- ,ERIE ,,,,,,,,,,20,7300,1592,15,2568,,146.58,,247,8,451,41,,,,,, 391309,01-JUL-16,30-JUN-17,As Submitted,BARNES-KASSON COUNTY HOSPITAL ,2872 TURNPIKE STREET ,,SUSQUEHANNA ,PA ,18847 ,SUSQUEHANNA ,,,,,,,,,,25,9125,2908,152,3669,,152.42,,492,47,685,,,,,,, 391315,01-NOV-15,30-JUN-16,Amended,PENN HIGHLANDS ELK ,763 JOHNSONBURG RD ,,ST. MARYS ,PA ,15857 ,ELK ,,,,,,,,,,25,6075,1753,28,3321,,346.61,,512,10,1081,143,3,,,,135, 391315,01-JUL-16,30-JUN-17,As Submitted,PENN HIGHLANDS ELK ,763 JOHNSONBURG RD ,,ST. MARYS ,PA ,15857 ,ELK ,,,,,,,,,,25,9125,3643,59,6867,,327.53,,728,13,1553,216,,,2,,205, 392024,01-JAN-16,31-DEC-16,As Submitted,LIFECARE HOSPITALS OF PITTSBURGH ,225 PENNSYLVANIA AVE. ,,PITTSBURGH ,PA ,15221 ,ALLEGHENY ,,,,,,,,,,147,53802,13851,,24340,,238.39,,562,,924,,,,,,, 392031,01-MAY-16,30-APR-17,As Submitted,SSH - JOHNSTOWN INC. ,320 MAIN STREET ,,JOHNSTOWN ,PA ,15901 ,CAMBRIA ,,,,,,,,,,39,14237,5563,,9174,,96.37,,210,,354,,,,,,, 392033,01-JUL-16,30-JUN-17,As Submitted,GOOD SHEPHERD SPECIALTY HOSPITAL ,2445 SHOENERSVILLE ROAD ,,BETHLEHEM ,PA ,18017-7384 ,LEHIGH ,,,,,,,,,,32,11680,5236,,8436,,81.94,,227,,364,,,,,,, 392036,01-APR-16,31-MAR-17,As Submitted,SSH - LAUREL HIGHLANDS INC ,ONE MELLON WAY 3RD FLOOR ,,LATROBE ,PA ,15650 ,WESTMORELAND ,,,,,,,,,,40,14600,4817,,8584,,87.13,,173,,321,1,,,,,, 392037,01-JUN-16,31-MAY-17,As Submitted,SSH - ERIE ,252 WEST 11TH STREET ,,ERIE ,PA ,16501 ,ERIE ,,,,,,,,,,50,18250,4621,10,8076,,84.44,,184,1,314,13,,,,,, 392039,01-FEB-16,31-JAN-17,As Submitted,SSH - CENTRAL PA ,503 NORTH 21ST STREET ,,CAMPHILL ,PA ,17011 ,CUMBERLAND ,,,,,,,,,,92,33672,13370,,23656,,230.74,,528,,896,,,,,,, 392041,01-SEP-16,14-DEC-16,As Submitted,LIFECARE HOSPITAL OF MONROEVILLE ,2380 MCGINLEY ROAD ,,MONROEVILLE ,PA ,15146 ,ALLEGHENY ,,,,,,,,,,87,9135,1270,,1393,,82.12,,39,,62,,,,,,, 392044,01-JUL-16,30-JUN-17,As Submitted,SSH - PITTSBURGH / UPMC ,200 LOTHROP STREET MUH E824 ,,PITTSBURGH ,PA ,15213 ,ALLEGHENY ,,,,,,,,,,32,11680,5547,,9155,,80.19,,203,,321,,,,,,, 392047,01-FEB-16,31-JAN-17,As Submitted,SSH - DANVILLE ,100 NORTH ACADEMY AVENUE ,,DANVILLE ,PA ,17822 ,MONTOUR ,,,,,,,,,,30,10980,6102,,8555,,68.35,,228,,307,,,,,,, 392048,01-APR-16,31-MAR-17,As Submitted,LIFECARE HOSPITALS OF CHESTER COUNTY ,400 EAST MARSHALL ST. ,,WEST CHESTER ,PA ,19380- ,CHESTER COUNTY ,,,,,,,,,,39,14235,7364,,9007,,76.29,,304,,356,,,,,,, 392050,01-JUL-16,30-JUN-17,As Submitted,GOOD SHEPHERD PENN PARTNERS ,1800 LOMBARD STREET ,,PHILADELPHIA ,PA ,19146 ,PHILADELPHIA ,,,,,,,,,,38,13870,3706,53,8160,,626.72,,108,1,213,,,,,,, 393025,01-JUL-16,30-JUN-17,As Submitted,BRYN MAWR REHABILITATION HOSPITAL ,414 PAOLI PIKE ,,MALVERN ,PA ,19355-3300 ,CHESTER ,,,,,,,,,3,148,54020,13231,3107,31957,.83,499.86,,937,135,1965,12,,,,,, 393026,01-JUL-16,30-JUN-17,As Submitted,HEALTHSOUTH READING REHABILITATION H ,1623 MORGANTOWN ROAD ,,READING ,PA ,19607 ,BERKS ,,,,,,,,,,60,21900,11297,270,14815,,143.72,,891,13,1151,48,,,,,, 393027,01-JUL-16,30-JUN-17,As Submitted,HEALTHSOUTH HARMARVILLE REHABILITATI ,320 GUYS RUN ROAD ,,PITTSBURGH ,PA ,15238 ,ALLEGHENY ,,,,,,,,,,162,59130,14604,611,25470,,232.12,,967,33,1642,93,,,,,, 393030,01-JUL-16,30-JUN-17,As Submitted,ALLIED SERVICES REHAB. HOSPT. ,475 MORGAN HIGHWAY ,PO BOX 1103 ,SCRANTON ,PA ,18501 ,LACKAWANNA ,,,,,,,,,,82,29930,12053,869,16335,,309.02,,1061,57,1397,,,,,,, 393031,01-JUL-16,30-JUN-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,175 LANCASTER BOULEVARD ,,MECHANICSBURG ,PA ,17055 ,CUMBERLAND ,,,,,,,,,,75,27375,11431,171,16890,,165.64,,924,13,1356,56,,,,,, 393035,01-JUL-16,30-JUN-17,As Submitted,GOOD SHEPHERD REHABILITATION HOSPITA ,850 S. 5TH STREET ,,ALLENTOWN ,PA ,18103-3295 ,LEHIGH ,,,,,,,,,,106,38690,13492,2378,29437,,782.65,,831,73,1472,199,,,,,, 393036,01-JUL-16,30-JUN-17,As Submitted,JOHN HEINZ INSTIT. OF REHAB MEDICIN ,150 MUNDY ST ,PO BOX 2096 ,WILKES-BARRE ,PA ,18436 ,LUZERNE ,,,,,,,,,,67,24455,10948,530,14789,,329.9,,902,31,1170,,,,,,, 393037,01-JUL-16,30-JUN-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1850 NORMANDIE DRIVE ,,YORK ,PA ,17408 ,YORK ,,,,,,,,,,90,32850,18152,174,22544,,215.43,,1394,12,1707,29,,,,,, 393038,01-JUL-16,30-JUN-17,As Submitted,MAGEE REHABILITATION HOSPITAL ,1513 RACE STREET ,,PHILADELPHIA ,PA ,19102- ,PHILADELPHIA ,,,,,,,,,346,96,35040,5598,1502,24736,5.81,463.86,,255,48,930,182,,,,,, 393039,01-JUL-16,30-JUN-17,As Submitted,HEALTHSOUTH NITTANY VALLEY REHABILIT ,550 WEST COLLEGE AVE ,,PLEASANT GAP ,PA ,16823 ,CENTRE ,,,,,,,,,,73,26645,11042,288,16789,,165.73,,888,22,1352,41,,,,,, 393040,01-JUL-16,30-JUN-17,As Submitted,HEALTHSOUTH REHAB HOSPITAL OF ALTOON ,2005 VALLEY VIEW BLVD ,,ALTOONA ,PA ,16602 ,BLAIR ,,,,,,,,,,80,29200,15587,268,24808,,253.6,,1113,15,1811,114,,,,,, 393045,01-JUL-16,30-JUN-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,303 CAMP MEETING ROAD ,,SEWICKLEY ,PA ,15143 ,ALLEGHENY ,,,,,,,,,,44,16060,7649,121,13406,,109.21,,555,8,948,35,,,,,, 393046,01-JUL-16,30-JUN-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,143 EAST 2ND STREET ,,ERIE ,PA ,16504 ,ERIE ,,,,,,,,,,100,36500,9816,98,14986,,141.04,,791,7,1169,72,,,,,, 393047,01-JUL-16,30-JUN-17,As Submitted,GEISINGER HEALTHSOUTH REHABILITATION ,2 REHAB LANE ,,DANVILLE ,PA ,17821 ,MONTOUR ,,,,,,,,,,42,15330,5774,331,10676,,164.91,,470,24,843,75,,,,,, 393053,01-JUN-16,31-MAY-17,As Submitted,PENN STATE HERSHEY REHABILITATION LL ,1135 OLD WEST CHOCOLATE AVENUE ,,HUMMELSTOWN ,PA ,17036 ,DAUPHIN ,,,,,,,,,8869,76,27740,7530,701,17472,4,218.47,,557,22,1144,85,,,,,, 393054,01-JUL-16,30-JUN-17,As Submitted,LANCASTER REHABILITATION HOSPITAL ,675 GOOD DRIVE ,,LANCASTER ,PA ,17601 ,LANCASTER ,,,,,,,,,,59,21535,10892,422,19157,,182.9,,827,22,1371,57,,,,,, 393055,01-JAN-16,31-DEC-16,As Submitted,ST. MARY REHABILITATION HOSPITAL ,1200 LANGHORNE-NEWTOWN ROAD ,,LANGHORNE ,PA ,19047 ,BUCKS ,,,,,,,,,,50,18300,9330,156,14019,,135.6,,738,9,1082,15,,,,,, 393056,01-JUL-16,30-JUN-17,As Submitted,HELEN M. SIMPSON REHABILITATION HOSP ,4300 LONDONDERRY ROAD ,,HARRISBURG ,PA ,17109 ,DAUPHIN ,,,,,,,,,,55,20075,9353,417,14059,,109.85,,707,32,1037,43,,,,,, 393302,01-JUL-16,30-JUN-17,As Submitted,CHILDRENS HOSPITAL OF PGH OF UPMC ,45TH ST. AND PENN AVENUE ,,PITTSBURGH ,PA ,15224 ,ALLEGHENY ,,,,,,,,,10531,315,113155,678,3517,83000,268.34,2640.02,,96,258,12290,8350,,,,,, 393303,01-JUL-16,30-JUN-17,As Submitted,THE CHILDRENS HOSPITAL OF PHILADELP ,34TH STREET & CIVIC CENTER BLVD ,,PHILADELPHIA ,PA ,19104 ,PHILADELPHIA ,,,,,,,,,388,527,192355,377,11072,162667,416.55,8790.42,,76,563,21229,8387,,,,,, 393307,01-JAN-16,31-DEC-16,As Submitted,ST CHRISTOPHERS HOSPITAL FOR CHILDR ,ERIE AVENUE AT FRONT STREET ,,PHILADELPHIA ,PA ,19134 ,PHILADELPHIA ,,,,,,,,,17482,189,69420,57,2241,37031,172.22,868.4,,12,304,8959,7297,,,,,, 393308,01-JUL-16,30-JUN-17,As Submitted,THE CHILDRENS INSTITUTE ,6301 NORTHUMBERLAND STREET ,,PITTSBURGH ,PA ,15217 ,ALLEGHENY ,,,,,,,,,,62,22630,265,126,6998,,462.76,,8,2,460,,,,,,, 394001,01-JUL-16,30-JUN-17,As Submitted,NORRISTOWN STATE HOSPITAL ,1001 STERIGERE STREET ,,NORRISTOWN ,PA ,19401 ,MONTGOMERY ,,,,,,,,,,259,94535,150,5258,90440,,558,,1,6,133,,,,,,, 394004,01-JUL-16,30-JUN-17,As Submitted,DANVILLE STATE ,50 KIRKBRIDE DRIVE ,,DANVILLE ,PA ,17821-9198 ,MONTOUR ,,,,,,,,,,161,58765,318,8354,56747,,367,,7,12,77,,,,,,, 394008,01-JAN-16,31-DEC-16,As Submitted,FRIENDS BEHAVIORAL HEALTH SYSTEM ,4641 ROOSEVELT BLVD ,,PHILADELPHIA ,PA ,19124-2399 ,PHILADELPHIA ,,,,,,,,,,192,70272,9632,5625,63401,6.17,401.33,,688,589,5617,,,,,,, 394014,01-JUL-16,30-JUN-17,As Submitted,WERNERSVILLE STATE HOSPITAL ,160 MAIN STREET ,,WERNERSVILLE ,PA ,19565 ,BERKS ,,,,,,,,,,266,97090,839,15110,92788,,564,,9,13,58,,,,,,, 394016,01-JUL-16,30-JUN-17,As Submitted,WARREN STATE HOSPITAL ,33 MAIN DRIVE ,,WARREN ,PA ,16365 ,WARREN ,,,,,,,,,,152,55480,705,8306,51058,,402.6,,16,7,74,,,,,,, 394020,01-JUL-16,30-JUN-17,As Submitted,PHILHAVEN ,283 SOUTH BUTLER ROAD ,550 ,MT GRETNA ,PA ,17064-0550 ,LEBANON ,,,,,,,,,,103,37595,1271,,33586,,902.7,,131,,2389,,,,,,, 394026,01-JUL-16,30-JUN-17,As Submitted,TORRANCE STATE ,SR 1014 ,111 ,TORRANCE ,PA ,15779-0111 ,WESTMORELAND ,,,,,,,,,,361,131765,610,9684,96706,,686,,12,19,259,,,,,,, 394027,01-JUL-16,30-JUN-17,As Submitted,FAIRMOUNT HOSPITAL ,361 FAIRTHORNE AVE ,,PHILADELPHIA ,PA ,19128 ,PHILADELPHIA ,,,,,,,,,,172,62780,4874,3362,57785,,409.3,,363,188,4818,,,,,,, 394033,01-JUL-16,30-JUN-17,As Submitted,MONTGOMERY CNTY EMERGENCY SRV. INC. ,50 BEECH DRIVE ,,NORRISTOWN ,PA ,19401 ,MONTGOMERY ,,,,,,,,,,73,26645,2980,888,15139,,167.96,,224,100,1247,,,,,,, 394034,01-JUL-16,30-JUN-17,As Submitted,THE HORSHAM CLINIC ,WESLH ROAD & BUTLER PIKE ,,AMBLER ,PA ,19002 ,MONTGOMERY ,,,,,,,,,,206,75190,6602,4447,69171,,395.1,,485,483,5711,,,,,,, 394039,01-JUL-16,30-JUN-17,As Submitted,FIRST HOSPITAL ,562 WYOMING AVENUE ,,KINGSTON ,PA ,18704- ,LUZERNE ,,,,,,,,,,127,46355,4943,34239,42366,,262.4,,442,3216,5035,,,,,,, 394040,01-JUL-16,30-JUN-17,As Submitted,THE MEADOWS HOSPITAL ,1 EARLYSTOWN RD ,,CENTRE HALL ,PA ,16828 ,CENTRE HALL ,,,,,,,,,,101,36865,3902,1001,36634,,207.2,,241,105,2891,,,,,,, 394043,01-JUL-16,30-JUN-17,As Submitted,CLARION PSYCHIATRIC HOSPITAL ,2 HOSPITAL DRIVE ,,CLARION ,PA ,16214 ,CLARION ,,,,,,,,,,74,27010,2765,1798,25394,,148,,189,177,2075,,,,,,, 394049,01-MAR-16,28-FEB-17,As Submitted,BROOKE GLEN BEHAVIORAL HOSPITAL ,7170 LAFAYETTE AVENUE ,,FORT WASHINGTON ,PA ,19034 ,MONTGOMERY ,,,,,,,,,,146,53290,5299,2428,47983,,256.7,,384,268,3370,,,,,,, 394050,01-JAN-16,31-DEC-16,As Submitted,ROXBURY PSYCHIATRIC HOSPITAL ,601 ROXBURY ROAD ,,SHIPPENSBURG ,PA ,17257 ,FRANKLIN ,,,,,,,,,,112,40992,1420,113,35647,,107.97,,100,13,1306,,,,,,, 394051,01-JUL-16,30-JUN-17,As Submitted,PENNSYLVANIA PSYCHIATRIC INSTITUTE ,2501 N. 3RD STREET ,,HARRISBURG ,PA ,17110 ,,,,,,,,,,,89,31117,2968,1380,22731,,258.68,,215,167,2092,776,,,,,, 394052,01-JAN-16,31-DEC-16,As Submitted,HAVEN BEHAVIORAL SVCS OF READING LLC ,145 NORTH SIXTH STREET ,,READING ,PA ,19601 ,BERKS ,,,,,,,,,,67,24522,6767,613,22443,,114.3,,467,57,1995,815,,,,,, 394053,01-JAN-16,31-DEC-16,As Submitted,HAVEN BEHAVIORAL HOSP- PHILADELPHIA ,3301 SCOTTS LANE ,,PHILADELPHIA ,PA ,19129 ,,,,,,,,,,,36,13176,6715,422,10830,,64.6,,492,44,880,44,,,,,, 400003,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL DR. PILA ,2445 AVE. LAS AMERICAS ,,PONCE ,PR ,00731 ,PONCE ,,,,90851,,,.1642,,,131,47946,3145,11151,33825,,440.97,,460,2548,6718,,,,,,, 400005,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL SAN PABLO HUMACAO ,FONT MARTELLO ,639 ,HUMACAO ,PR ,00972 ,HUMACAO ,,,,21630,,,.0746,,,64,23424,1731,3215,14534,,250.87,,206,631,2390,,,,,,, 400006,01-JAN-16,31-DEC-16,As Submitted,DOCTORS CENTER HOSPITAL SAN JUAN I ,1395 SAN RAFAEL ST. PDA. 20 ,11338 ,SAN JUAN ,PR ,00910 ,SAN JUAN ,,,,98748,,,.175,,,133,48678,3281,11330,33060,,414.08,,423,1959,5342,,,,,,, 400007,01-JAN-16,31-DEC-16,As Submitted,RYDER ,ROAD 30 ,850 ,HUMACAO ,PR ,00792 ,HUMACAO ,,,,49559,,,.1265,,,165,60254,3106,9221,32461,,828.67,,347,2927,5683,,,,,,, 400010,01-OCT-15,30-SEP-16,As Submitted,HOSPITAL GENERAL CASTANER ,ROAD 135 K. 64.2 ,1003 ,CASTANER ,PR ,00631- ,RURAL ,,,,,,,,,,24,8784,77,100,704,,173.67,,20,,175,,,,,,, 400011,01-JAN-16,31-DEC-16,Amended,HOSPITAL ORIENTE ,FONT MARTELO # 100 ,699 ,HUMACAO ,PR ,00792 ,HUMACAO ,,,,20642,,,.12,,,71,25986,1074,4475,12622,,208.22,,154,907,2205,,,,,,, 400013,01-APR-16,31-MAR-17,As Submitted,HOSPITAL MENONITA DE CAYEY ,CARR 14 KM 1.2 ,373130 ,BARRIO RINCON ,PR ,00737-3130 ,CAYEY ,,,,187181,,,.1515,,,225,82125,5550,19795,63944,,915,,796,4555,11361,,,,,,, 400014,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL BELLA VISTA ,349 KM 2.7 ,,MAYAGUEZ ,PR ,00680 ,MAYAGUEZ ,129288,,,,,,,288584,55740,158,57828,3366,4463,31269,17.08,723,,468,1066,5848,,,,,,,444 400016,01-OCT-15,30-SEP-16,As Submitted,AUXILIO MUTUO HOSPITAL ,PONCE DE LEON ,191227 ,SAN JUAN ,PR ,00919-1227 ,HATO REY ,20371,,,,,,,,,435,159210,19325,11696,109111,1.76,2105,,2246,1833,15963,1218,,,,,, 400018,01-APR-16,31-MAR-17,As Submitted,HOSPITAL MENONITA AIBONITO ,JOSE C VAZQUEZ ,POBOX1379 ,AIBONITO ,PR ,00705-1379 ,AIBONITO ,,,,152750,,,.1661,,,150,54750,3799,9754,30002,,732,,737,3053,7127,,,,,,, 400019,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL PAVIA SANTURCE ,ASIA STREET ,,SANTURCE ,PR ,00910 ,SANTURCE ,,,,,,,,,,197,72102,8198,6383,61506,,818,,865,1168,9126,,,,,,, 400021,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL DE LA CONCEPCION ,CARR. #2 KM 173.4 BO CAIN ALTO ,,SAN GERMAN ,PR ,00683 ,SAN GERMAN ,194547,,,109426,,,.0917,352303,47174,167,61122,5797,10337,43622,12.12,686.06,,790,2099,7556,,,,,,,532 400022,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL DAMAS ,2213 PONCE BY PASS ,,PONCE ,PR ,00717-1318 ,PONCE ,258481,,,179046,,,.1748,617779,130615,186,68076,4847,16520,48239,24.33,758,,695,4454,9853,,,,,,, 400032,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL HERMANOS MELENDEZ ,CARR. #2 KM. 11.7 ,306 ,BAYAMON ,PR ,00960 ,BAYAMON ,,,,65278,,,.0941,,,253,92598,3933,11621,47463,,665.75,,511,4186,9291,,,,,,, 400044,01-JAN-16,31-DEC-16,As Submitted,SAN LUCAS PONCE ,917 AVE TITO CASTRO ,336810 ,PONCE ,PR ,00733-6810 ,PUERTO RICO ,831293,,,308161,,,.1346,1413284,268420,325,118950,9740,26195,91260,92,1048,,1444,5791,16122,,,,,,, 400048,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL SAN LUCAS GUAYAMA ,AVE PEDRO ALBIZU CAMPOS ,10011 ,GUAYAMA ,PR ,00785 ,PUERTO RICO ,,,,91167,,,.2051,,,115,42090,2027,9244,23909,,346,,364,2710,5525,,,,,,, 400079,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL BUEN SAMARITANO ,HIGHWAY #2 CAIMITAL BAJO ,,AGUADILLA ,PR ,00605-4055 ,AGUADILLA ,,,,66139,,,.0954,,,132,48312,3597,7638,30625,,451.52,,557,1674,5880,,,,,,, 400087,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL CAYETANO COLL & TOSTE ,AVE. SAN LUCAS #129 ,,ARECIBO ,PR ,00678 ,ARECIBO ,,,,138985,,,.147,,,186,68076,5885,14912,48294,,577,,781,2685,8180,,,,,,, 400098,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL SAN FRANCISCO ,DE DIEGO AVE. #371 ,,RIO PIEDRAS ,PR ,00923 ,RIO PIEDRAS ,,,,90541,,,.1918,,,134,49044,2961,14016,38599,,501.03,,395,2521,5864,,,,,,, 400102,01-JAN-16,31-DEC-16,As Submitted,DOCTORS CENTER HOSPITAL BAYAMON ,STREET J-9 EXT. HERMANAS DAVILA ,2957 ,BAYAMON ,PR ,00956-2957 ,BAYAMON ,,,,151244,,,.2284,,,146,53436,5226,20291,49792,,518,,552,3080,7485,,,,,,, 400103,01-JAN-16,31-DEC-16,As Submitted,MAYAGUEZ MEDICAL CENTER ,410 HOSTOS AVENUE ,,MAYAGUEZ ,PR ,00681-1838 ,MAYAGUEZ ,294574,,,137223,,,.0895,590099,103319,189,69174,7085,12803,53538,33.9,837.71,,942,2036,9307,,,,,,, 400104,01-APR-16,31-MAR-17,As Submitted,HOSPITAL MENONITA CAGUAS INC ,ROAD 172 EXIT TO CIDRA ,,CAGUAS ,PR ,00726-4964 ,CAGUAS ,,,,114019,,,.1535,,,198,72270,3975,13162,41923,,518,,575,3667,7931,,,,,,, 400106,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL METROPOLITANO ,21 #1785 ,,RIO PIEDRAS ,PR ,00922 ,RIO PIEDRAS ,,,,12359,,,.0307,,,132,48312,2852,4854,30605,,390.58,,358,,5338,,,,,,, 400109,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL HIMA SAN PABLO BAYAMON ,SANTA CRUZ # 70 ,,BAYAMON ,PR ,00959 ,,,,,,,,,,,421,154086,11310,,105764,,1471,,1412,,15736,,,,,,, 400110,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL METROPOLITANO TITO MATTEI ,#128 KM 1.0 ,,YAUCO ,PR ,00658 ,YAUCO ,,,,40142,,,.12,,,85,31110,1622,5999,16647,,299.16,,288,1610,5475,,,,,,1550, 400111,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL SAN CARLOS BORROMEO ,68 ,,MOCA ,PR ,00676 ,MOCA ,,,,50795,,,.1242,,,106,38796,2175,5566,19791,,352,,356,1527,4061,,,,,,, 400113,01-OCT-15,30-SEP-16,As Submitted,HOSPITAL SAN CRISTOBAL ,509 KM 1 COTTO LAUREL ,,PONCE ,PR ,00980 ,PONCE ,,,,47377,,,.0902,,,145,53070,3065,8823,37367,,364.29,,460,2047,5552,,,,,,, 400114,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL DR. ALEJANDRO OTERO ,CARRETERA ESTATAL 668 ,,MANATI ,PR ,00701 ,MANATI ,176344,,,262821,,,.1594,111076,13416,244,89304,7943,23867,73609,15.09,1226.3,,1167,,15365,,,,,,, 400115,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL WILMA N VAZQUEZ ,#2 KM 39.5 ,,VEGA BAJA ,PR ,00693 ,VEGA BAJA ,,,,20898,,,.1458,,,130,47580,1217,3579,11642,,311.44,,121,621,1719,,,,,,, 400117,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL DR. SUSONI ,PALMA A 56 ,,ARECIBO ,PR ,00614 ,ARECIBO ,,,,68343,,,.1218,,,134,49044,3717,10051,36117,,483.8,,567,2064,7063,,,,,,, 400118,01-JAN-16,31-DEC-16,As Submitted,DOCTOR CENTER HOSPITAL MANATI INC. ,CARR. #2 ,532 ,MANATI ,PR ,00674 ,MANATI ,,,,221726,,,.1654,,,258,94428,7642,28715,86728,,908.54,,1058,5921,15991,,,,,,, 400120,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL HIMA SAN PABLO CAGUAS ,AVE MU ,1744 ,CAGUAS ,PR ,00726 ,CAGUAS ,,,,121008,,,.0655,,,440,161040,10327,21208,111287,,1862.15,,1237,3932,17550,,,,,,, 400123,01-JAN-16,31-DEC-16,As Submitted,METRO MAYAGUEZ ,BASORA ,,MAYAGUEZ ,PR ,00681 ,MAYAGUEZ ,,,,18582,,,.0294,,,142,51972,4037,6552,41726,,503,,579,,7769,,,,,,, 400125,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL HIMA SAN PABLO FAJARDO ,AVE. GENERAL VALERO ,,FAJARDO ,PR ,00973 ,FAJARDO ,,,,,,,,,,180,65880,1988,,20379,,328.7,,252,,3104,,,,,,, 400126,01-JAN-16,31-DEC-16,As Submitted,HOSP. METROPOLITANO DE SAN GERMAN ,JAVILLA #8 ,,SAN GERMAN ,PR ,00683 ,SAN GERMAN ,,,,36213,,,.12,,,82,30012,1492,5157,15086,,355,,273,1179,3327,,,,,,, 400128,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL METRO HATO REY INC. ,PONCE DE LEON #435 ,,HATO REY ,PR ,00917 ,HATO REY ,,,,27477,,,.1118,,,111,40626,1770,7100,26679,,353.92,,192,2525,4694,,,,,,2268, 400130,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL METROPOLITANO DE LA MONTANA ,ISAAC GONZALEZ ,,UTUADO ,PR ,00641 ,UTUADO ,,,,710,,,.0836,,,20,7320,42,412,1776,,96.59,,13,109,296,,,,680,,1765, 400131,01-JAN-16,31-DEC-16,As Submitted,CARIBBEAN MEDICAL CENTER ,AVE OSVALDO MOLINA #151 ,,FAJARDO ,PR ,00738-7006 ,FAJARDO ,,,,19182,,,.12,,,44,16104,948,6542,13144,,175,,152,1542,2873,,,,,,, 400132,18-MAR-16,31-DEC-16,As Submitted,DOCTORS CENTER HOSPITAL CAROLINA ,EDIF. JESUS T PINERO AVE. FERNANDEZ ,30532 ,MANATI ,PR ,00674 ,CAROLINA MUNICIPIO ,,,,31494,,,.2301,,,109,31501,850,7253,17712,,179.87,,121,1425,3127,,,,,,, 403025,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,PMB #340 ,70344 ,SAN JUAN ,PR ,00936-8344 ,PUERTO RICO ,,,,,,,,,,32,11712,2068,,11616,,102.99,,167,,915,,,,,,, 403026,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,CARRETERA #2 KILOMETRO 47.7 ,,MANATI ,PR ,00674 ,PUERTO RICO ,,,,,,,,,,40,14600,2472,,13485,,109.06,,200,,1146,,,,,,, 403027,01-JAN-16,31-DEC-16,As Submitted,MULTY MEDICAL FACILITIES ,MUNOZ RIVERA AVENUE #402 ,,SAN JUAN PR 00918 ,PR ,00918 ,,,,,,,,,,,17,6222,799,,2634,,46,,83,,282,,,,,,, 404004,01-JAN-16,31-DEC-16,As Submitted,FIRST HOSPITAL PANAMERICANO ,STATE ROAD #454 ,,CIDRA ,PR ,00739 ,,,,,,,,,,,216,79056,3149,,69002,,387.39,,361,,8324,,,,,,, 404005,01-JAN-16,31-DEC-16,As Submitted,SAN JUAN CP HOSPITAL ,RR #2 BUZON 11 ,,SAN JUAN ,PR ,00926 ,SAN JUAN ,,,,,,,,,,172,62952,2304,,43541,,314.83,,283,,6253,799,,,,,, 404007,01-JAN-16,31-DEC-16,As Submitted,HOSPITAL PSIQUIATRICO CABO ROJO ,CALLE MUNOZ RIVERA 108 ,,CABO ROJO ,PR ,00623 ,CABO ROJO ,,,,,,,,,,43,15738,909,,7025,,108.22,,114,,1202,,,,,,, 404008,01-JAN-16,31-DEC-16,As Submitted,INSPIRA ,CALLE GUADALUPE FINAL 184 ,BOX 9809 ,PONCE ,PR ,00763 ,PONCE ,,,,,,,,,,20,7320,486,,6723,,31.37,,62,,1252,,,,,,, 404009,01-APR-16,31-MAR-17,As Submitted,CENTRO DE SALUD CONDUCTUAL MENONITA ,CARR ESTATAL 14 INTERIOR ,,AIBONITO ,PR ,00705-1379 ,AIBONITO PR ,,,,,,,,,,44,16060,1156,,12846,,106,,232,,2614,,,,,,, 410001,01-OCT-15,30-SEP-16,As Submitted,MEMORIAL HOSPITAL OF RHODE ISLAND ,111 BREWSTER STREET ,,PAWTUCKET ,RI ,02860- ,PROVIDENCE ,2958410,,,513165,,,.2028,3135833,2401279,107,38979,4923,709,14003,61.17,772.32,,1193,228,3259,945,,,,34,,312 410004,01-JAN-16,31-DEC-16,As Submitted,ROGER WILLIAMS HOSPITAL ,825 CHALKSTONE AVENUE ,,PROVIDENCE ,RI ,02908 ,PROVIDENCE ,4038873,,,1091708,,,.216,2907093,1524458,148,54168,8806,992,26559,60.41,782,,2171,230,6853,1775,,,10,,323, 410005,01-JAN-16,31-DEC-16,As Submitted,OUR LADY OF FATIMA HOSPITAL ,200 HIGH SERVICE AVENUE ,,NORTH PROVIDENCE ,RI ,02904- ,PROVIDENCE ,,,,179497,,,.0533,,,132,48312,5805,360,14718,,1140,,1386,98,3660,427,,,73,4,1898,246 410006,01-OCT-15,30-SEP-16,As Submitted,NEWPORT HOSPITAL ,11 FRIENDSHIP STREET ,,NEWPORT ,RI ,02840 ,NEWPORT ,,,,307931,,,.0965,,,102,37332,7139,360,15061,,577.32,,1623,240,4207,532,,,304,15,728,224 410007,01-OCT-15,30-SEP-16,As Submitted,RHODE ISLAND HOSPITAL ,593 EDDY STREET ,,PROVIDENCE ,RI ,02901 ,PROVIDENCE ,32702630,,,5687678,,,.1948,10112665,3942093,622,227652,57181,9318,170807,431.74,6246.04,,10358,1402,33717,8634,,,180,13,2762,291 410008,01-OCT-15,30-SEP-16,As Submitted,SOUTH COUNTY HOSPITAL ,100 KENYON AVENUE ,,WAKEFIELD ,RI ,02879 ,WASHINGTON ,,,,,,,,,,91,31385,7217,464,18333,,867.3,,2033,668,6102,,,,,,, 410009,01-OCT-15,30-SEP-16,Amended,KENT COUNTY MEMORIAL HOSPITAL ,455 TOLL GATE ROAD ,,WARWICK ,RI ,02886 ,KENT ,2737311,,,1377121,,,.136,1676052,612751,323,118218,24079,4672,69023,48.74,1666.89,,4507,846,13513,2635,,,,11,,398 410010,01-OCT-15,30-SEP-16,As Submitted,WOMEN & INFANTS HOSPITAL ,101 DUDLEY STREET ,,PROVIDENCE ,RI ,02905 ,PROVIDENCE ,136765,,,235974,,,.4595,6760,41294,247,90402,973,27220,75487,67.57,2164.13,,259,4725,9972,,,,,,, 410011,01-JAN-16,31-DEC-16,As Submitted,LANDMARK MEDICAL CENTER ,115 CASS AVENUE ,,WOONSOCKET ,RI ,02895 ,PROVIDENCE ,,,,498400,,,.0989,,,123,44895,8312,424,21999,,701.78,,2126,116,5848,,,,33,,487, 410012,01-OCT-15,30-SEP-16,As Submitted,THE MIRIAM HOSPITAL ,164 SUMMIT AVENUE ,,PROVIDENCE ,RI ,02906 ,PROVIDENCE ,8665712,,,844299,,,.0538,2319781,875334,245,89670,27975,1518,66524,64.08,2289.34,,6962,281,17551,,,,,,, 410013,01-OCT-15,30-SEP-16,As Submitted,THE WESTERLY HOSPITAL ,25 WELLS STREET ,,WESTERLY ,RI ,02891- ,WASHINGTON COUNTY ,,,,,,,,,,75,27450,5743,397,10348,,440,14,1249,106,2386,140,,,,,, 412001,01-JUL-16,30-JUN-17,As Submitted,ELEANOR SLATER HOSPITAL ,14 HARRINGTON ROAD ,,CRANSTON ,RI ,02920-3080 ,PROVIDENCE ,,,,,,,,,,495,180675,261,,87527,,813.8,,6,,264,,,,,,, 413025,01-JAN-16,31-DEC-16,As Submitted,REHAB HOSPITAL OF RHODE ISLAND ,116 EDDIE DOWLING HIGHWAY ,,NORTH SMITHFIELD ,RI ,02896 ,PROVIDENCE ,,,,,,,,,,82,29930,2050,37,4270,,64.51,,169,3,332,29,,,,,, 414000,01-OCT-15,30-SEP-16,As Submitted,BUTLER HOSPITAL ,345 BLACKSTONE BOULEVARD ,,PROVIDENCE ,RI ,02906 ,PROVIDENCE ,,,,,,,,,56556,143,52338,15527,548,51711,14.3,758.06,,1743,101,7115,,,,,,, 414003,01-OCT-15,30-SEP-16,Settled,EMMA P BRADLEY HOSPITAL ,117 ELLENFIELD STREET ,,PROVIDENCE ,RI ,02905 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 420002,01-JUN-16,31-MAY-17,As Submitted,PIEDMONT MEDICAL CENTER ,222 SOUTH HERLONG AVENUE ,,ROCK HILL ,SC ,29732 ,YORK ,,,,1209669,,,.1347,,,268,97820,23669,5452,67497,,1092,,4740,642,13635,2011,100,,28,,627, 420004,01-JUL-16,30-JUN-17,As Submitted,MEDICAL UNIVERSITY OF SOUTH CAROLINA ,19 HAGOOD AVE . RM 1003 HARBORVIEW ,MSC 820 ,CHARLESTON ,SC ,29425 ,CHARLESTON ,26868783,,,7724542,,,.2962,6314853,3467245,674,245244,54793,22182,208591,529.6,7057.14,,8986,2983,34619,,,,,,3749, 420005,01-OCT-15,30-SEP-16,As Submitted,MCLEOD MEDICAL CENTER - DILLON ,301 EAST JACKSON STREET ,1327 ,DILLON ,SC ,29536-1327 ,DILLON ,,,,146190,,,.12,,,50,18300,2879,512,8342,,290.48,,811,677,2543,,,,,,, 420007,01-OCT-15,30-SEP-16,As Submitted,SPARTANBURG REGIONAL MEDICAL CENTER ,101 E WOOD ST ,,SPARTANBURG ,SC ,29303- ,SPARTANBURG ,4348838,,,2375251,,,.1261,2373406,1248389,477,174582,51540,8945,154594,54.69,3620.19,,8900,1330,26233,,,,,,, 420009,01-OCT-15,30-SEP-16,As Submitted,OCONEE MEMORIAL HOSPITAL ,298 MEMORIAL DRIVE ,,SENECA ,SC ,29672 ,OCONEE ,434272,,,107753,,,.0246,169851,69474,117,42822,10963,566,23963,5,672.1,,2584,190,6056,629,,,,,, 420010,01-OCT-15,30-SEP-16,As Submitted,CAROLINA PINES REGIONAL MEDICAL CENT ,1304 WEST BOBO NEWSOM HWY ,,HARTSVILLE ,SC ,29550 ,DARLINGTON ,,,,577580,,,.1965,,,116,42456,6044,864,15529,,456.65,,1594,284,4293,,,,,,, 420011,01-OCT-15,31-DEC-15,Amended,CANNON MEMORIAL HOSPITAL ,123 W.G. ACKER DRIVE ,,PICKENS ,SC ,29671- ,PICKENS ,,,,,,,,,,42,3864,263,12,715,,198.39,,75,3,169,,,,,,, 420011,01-JAN-16,31-DEC-16,As Submitted,CANNON MEMORIAL HOSPITAL ,123 W.G. ACKER DRIVE ,,PICKENS ,SC ,29671- ,PICKENS ,,,,9659,,,.0291,,,42,15372,932,75,2549,,183.3,,231,14,642,50,,,,,, 420015,01-OCT-15,30-SEP-16,As Submitted,BAPTIST EASLEY HOSPITAL ,200 FLEETWOOD DRIVE ,2129 ,EASLEY ,SC ,29641- ,PICKENS ,,,,214125,,,.12,,,89,32574,4029,458,11525,,664,,994,180,3101,,,,,,, 420018,01-OCT-15,30-SEP-16,As Submitted,PALMETTO RICHLAND ,5 RICHLAND MEDICAL PARK DRIVE ,,COLUMBIA ,SC ,29203-6897 ,RICHLAND ,7409489,,,4201642,,,.259,4913785,1210059,641,235486,45473,16652,169063,189.68,4535.72,,6897,1999,25193,,,,34,,822, 420019,01-OCT-15,30-SEP-16,Amended,CHESTER REGIONAL MEDICAL CENTER ,ONE MEDICAL PARK DRIVE ,,CHESTER ,SC ,29706 ,CHESTER ,,,,43036,,,.0609,,,36,13176,1374,308,3071,,124,,469,202,1166,,,,,,, 420020,01-OCT-15,30-SEP-16,As Submitted,GEORGETOWN MEMORIAL HOSPITAL ,606 BLACK RIVER ROAD ,421718 ,GEORGETOWN ,SC ,29442 ,GEORGETOWN ,,,,415054,,,.1369,,,131,47946,7264,772,17020,,770.43,,1575,206,4049,537,,,,,, 420026,01-FEB-16,30-SEP-16,As Submitted,PROVIDENCE HOSPITAL ,2435 FOREST DIVE ,,COLUMBIA ,SC ,29204 ,RICHLAND ,,,,,,,,,,332,80676,13891,596,28359,,1348,,2754,95,5945,262,,,,,, 420027,01-JAN-16,31-DEC-16,As Submitted,ANMED HEALTH ,800 NORTH FANT STREET ,,ANDERSON ,SC ,29621- ,ANDERSON ,2170568,,,964709,,,.0718,1136965,616656,359,131394,33046,3737,81289,34.13,3126.6,,6733,734,18753,,,,,,960, 420030,01-JAN-16,31-DEC-16,Amended,COLLETON MEDICAL CENTER ,501 ROBERTSON ROAD ,,WALTERBORO ,SC ,29488- ,COLLETON ,,,,61464,254489,,.12,,,102,37332,7092,1255,16835,,342.44,,1548,219,3930,1000,,,,15,723,124 420033,01-OCT-15,30-SEP-16,As Submitted,GHS GREER MEMORIAL HOSPITAL ,830 SOUTH BUNCOMBE ROAD ,,GREER ,SC ,29650- ,GREENVILLE ,127966,,,219077,,,.1118,47450,38432,70,25620,3441,573,12001,3.57,388,,1099,187,3732,,,,,,, 420036,01-DEC-15,30-NOV-16,As Submitted,SPRINGS MEMORIAL HOSPITAL ,800 WEST MEETING STREET ,,LANCASTER ,SC ,29720 ,LANCASTER ,,,,583834,,,.1661,,,166,60756,8970,2357,21818,,493.42,,2029,1083,5187,,,,,51,204,195 420037,01-OCT-15,30-SEP-16,As Submitted,GHS HILLCREST MEMORIAL HOSPITAL ,729 SOUTHEAST MAIN STREET ,,SIMPSONVILLE ,SC ,29681- ,GREENVILLE ,55012,,,,,,,27074,24910,43,15738,2060,56,5699,1.89,256.9,,622,17,1926,,,,,,, 420038,01-OCT-15,30-SEP-16,As Submitted,GHS LAURENS COUNTY MEMORIAL HOSPITAL ,22725 HIGHWAY 76 EAST ,,CLINTON ,SC ,29235- ,LAURENS ,,,,234669,,,.1304,,,49,17934,4154,536,10404,,302.9,,1019,204,2970,,,,,,, 420043,01-JAN-16,31-DEC-16,As Submitted,MARY BLACK HEALTH SYSTEM GAFFNEY ,1530 NORTH LIMESTONE STREET ,,GAFFNEY ,SC ,29340 ,CHEROKEE ,,,,139635,,,.12,,,125,45750,3462,685,10092,,247.29,,671,484,2253,,,,,,, 420048,01-NOV-15,30-SEP-16,As Submitted,KERSHAW HEALTH ,1315 ROBERTS STREET ,,CAMDEN ,SC ,29020- ,KERSHAW ,,,,191820,,,.0727,,,123,41205,7561,531,16315,,504.5,,1621,132,3808,,,,,,, 420049,01-OCT-15,30-SEP-16,As Submitted,CONWAY HOSPITAL ,300 SINGLETON RIDGE ROAD ,829 ,CONWAY ,SC ,29526 ,HORRY ,,,,960355,,,.1514,,,166,60590,14456,2826,36914,,928.59,,3454,572,9144,1328,,,,,, 420051,01-OCT-15,30-SEP-16,As Submitted,MCLEOD REGIONAL MEDICAL CENTER ,555 EAST CHEVES STREET ,,FLORENCE ,SC ,59506 ,FLORENCE ,1947304,,,4302915,,,.1832,742476,299859,491,179706,60879,8400,142702,24.38,3138.71,,10668,1525,25906,4907,,,,,, 420053,01-JUL-16,30-JUN-17,As Submitted,NEWBERRY COUNTY MEMORIAL HOSPITAL ,2669 KINARD STREET ,,NEWBERRY ,SC ,29108 ,NEWBERRY ,,,,94766,,,.0803,,,48,17520,3012,305,7158,,364.93,,680,126,1878,,,,,,, 420055,01-OCT-15,30-SEP-16,As Submitted,MARION COUNTY MEDICAL CENTER ,289 EAST HWY 76 ,,MULLINS ,SC ,29574 ,MARION ,,,,178994,,,.12,,,94,34404,4355,663,8944,,274.64,,982,151,2172,324,,,,,, 420057,01-OCT-15,30-SEP-16,As Submitted,MCLEOD MED CTR - DARLINGTON ,701 CASHUA FERRY ROAD ,P.O. BOX ,DARLINGTON ,SC ,29532- ,DARLINGTON ,,,,10248,,,.1053,,,36,13176,1059,23,7739,,87.96,,70,4,97,8,,,,,875, 420065,01-JAN-16,31-DEC-16,As Submitted,ST. FRANCIS XAVIER BON SECOURS ,2095 HENRY TECKLENBURG DRIVE ,,CHARLESTON ,SC ,29414 ,CHARLESTON ,,,,812631,,,.1456,,,189,69174,11045,2515,40136,,924.33,,2520,546,8943,1188,,,,,, 420066,01-JUL-16,30-JUN-17,Amended,LAKE CITY COMMUNITY HOSPITAL ,258 NORTH RON MCNAIR BLVD ,1479 ,LAKE CITY ,SC ,29560 ,FLORENCE ,,,,37080,,,.12,,,26,9490,971,44,2076,,176.5,,276,8,618,65,,,,,, 420067,01-OCT-15,30-SEP-16,As Submitted,BEAUFORT MEMORIAL HOSPITAL ,955 S. RIBAUT ROAD ,,BEAUFORT ,SC ,29902- ,BEAUFORT ,,,,529958,,,.0944,,,167,61122,15739,1685,38604,,1458.93,,3255,576,8345,,,,6,4,516,219 420068,01-OCT-15,30-SEP-16,As Submitted,THE REGIONAL MEDICAL CENTER ,3000 ST. MATTHEWS ROAD ,,ORANGEBURG ,SC ,29115- ,ORANGEBURG ,,,,1384549,,,.245,,,251,91866,16498,2771,43424,,1200.02,,2907,528,8547,,,,54,34,390,409 420069,01-OCT-15,12-JUL-16,As Submitted,CLARENDON MEMORIAL HOSPITAL ,10 HOSPITAL STREET ,550 ,MANNING ,SC ,29102 ,CLARENDON ,,,,113067,,,.12,,,54,15292,4455,465,10115,,570.15,,592,136,1110,,,,,,, 420070,01-OCT-15,31-DEC-15,Amended,TUOMEY REGIONAL MEDICAL CENTER ,129 N. WASHINGTON STREET ,,SUMTER ,SC ,29150 ,SUMTER ,,,,314487,,,.2046,,,210,19320,4742,907,11369,,1248.36,,875,700,2243,,,,,,,109 420070,01-JAN-16,30-SEP-16,As Submitted,PALMETTO HEALTH TUOMEY ,129 N. WASHINGTON STREET ,,SUMTER ,SC ,29150 ,SUMTER ,,,,938666,,,.1827,,,173,47402,16312,1667,36498,,1287.18,,2772,376,6158,,,,,33,,281 420071,01-OCT-15,30-SEP-16,As Submitted,SELF REGIONAL HEALTHCARE ,1325 SPRING STREET ,,GREENWOOD ,SC ,29646- ,GREENWOOD ,1327832,,,1183625,,,.1395,1125448,611877,290,106140,20217,3031,51402,30.3,1711.79,,4203,806,11006,2365,,,33,,537, 420072,01-OCT-15,30-SEP-16,Amended,HAMPTON REGIONAL MEDICAL CENTER ,503 CAROLINA WEST ,,VARNVILLE ,SC ,29944 ,HAMPTON ,,,,47519,,,.12,,,32,11712,1638,62,3152,,155.88,,294,25,619,,,,,,, 420073,01-OCT-15,30-SEP-16,As Submitted,LEXINGTON MEDICAL CENTER ,2720 SUNSET BLVD ,,WEST COLUMBIA ,SC ,29169 ,LEXINGTON ,,,,1261629,,,.0683,,,428,156648,49913,4789,126458,,4951,,8055,782,22365,3424,,,,,, 420078,01-OCT-15,30-SEP-16,As Submitted,GHS GREENVILLE MEMORIAL HOSPITAL ,701 GROVE RD ,,GREENVILLE ,SC ,29605- ,GREENVILLE ,7772579,,,5042782,,,.232,2739621,1749728,697,255102,48050,21764,202479,182.8,4770,,8362,3346,33768,,,,,,1495,543 420079,01-APR-16,31-MAR-17,Amended,TRIDENT REGIONAL MEDICAL CENTER ,9330 MEDICAL PLAZA DRIVE ,,CHARLESTON ,SC ,29418 ,DORCHESTER ,1723951,,,2178552,,,.1264,595924,205609,404,147460,38576,5261,102962,18.88,1708.4,,8142,1190,23012,5067,,,,,1119, 420080,01-JAN-16,31-DEC-16,As Submitted,HILTON HEAD HOSPITAL ,25 HOSPITAL CENTER BLVD ,,HILTON HEAD ISLAND ,SC ,29926 ,BEAUFORT ,,,,,,,,,,93,34038,12165,836,21861,,371.8,,2994,203,5760,249,,,,,, 420082,01-JAN-16,31-DEC-16,As Submitted,AIKEN REGIONAL MEDICAL CENTER ,302 UNIVERSITY PARKWAY ,1117 ,AIKEN ,SC ,29801 ,AIKEN ,328830,,,1147064,,,.1655,135121,46236,197,69042,18244,5819,46638,4.77,951.64,,3401,670,10179,,,,,,1741, 420083,01-JUL-16,30-JUN-17,As Submitted,MARY BLACK MEMORIAL HOSPITAL ,1700 SKYLYN DRIVE ,,SPARTANBURG ,SC ,29304 ,SPARTANBURG ,,,,333313,,,.1018,,,148,54020,7248,1902,23496,,614.84,,1604,125,5461,,,,4,6,346,263 420085,01-MAY-16,30-APR-17,As Submitted,GRAND STRAND REGIONAL MEDICAL CENTER ,809 82ND PARKWAY NORTH ,,MYRTLE BEACH ,SC ,29572 ,HORRY ,5971727,,,947179,,,.0509,1680164,467540,301,107856,39173,3036,88382,43.27,1129.95,,8439,468,18579,1665,,,,,, 420086,01-OCT-15,30-SEP-16,As Submitted,PALMETTO BAPTIST ,1333 TAYLOR STREET ,,COLUMBIA ,SC ,29202- ,RICHLAND ,,,,1597526,,,.189,332928,81796,332,121512,24005,5493,76029,,1742.39,,3871,977,13128,,,,79,,1179, 420087,01-JAN-16,31-DEC-16,As Submitted,ROPER HOSPITAL ,316 CALHOUN ST ,,CHARLESTON ,SC ,29401 ,CHARLESTON ,,,,,,,,,,316,115656,29769,1961,58249,,1580.01,,6333,191,12539,,,,,,,1136 420089,01-JAN-16,31-DEC-16,As Submitted,EAST COOPER REGIONAL MEDICAL CENTER ,2000 HOSPITAL DRIVE ,,MT. PLEASANT ,SC ,29464 ,CHARLESTON ,,,,,,,,,,130,47580,5869,595,18900,,343.5,,1676,49,5425,295,,,,,, 420091,01-JUL-16,30-JUN-17,As Submitted,CAROLINAS HOSPITAL SYSTEM ,805 PAMPLICO HIGHWAY ,,FLORENCE ,SC ,29505 ,FLORENCE ,,,,1329934,,,.1649,,,354,129210,23351,2381,53336,,945.19,,4294,1930,10477,,,,,67,,442 420098,01-OCT-15,30-SEP-16,As Submitted,WACCAMAW COMMUNITY HOSPITAL ,4070 HIGHWAY 17 BY-PASS ,3350 ,MURRELLS INLET ,SC ,29576 ,GEORGETOWN ,,,,,,,,,,124,43921,13857,932,26310,,504.34,,3570,181,6918,477,,,,5,,913 420101,01-JAN-16,31-DEC-16,As Submitted,COASTAL CAROLINA MEDICAL CENTER ,1000 MEDICAL CENTER DR. ,,HARDEEVILLE ,SC ,29927 ,JASPER ,,,,155178,,,.0976,,,41,15006,3925,663,10579,,207.8,,1113,114,2991,395,,,,,, 420102,01-OCT-15,30-SEP-16,As Submitted,GHS PATEWOOD MEMORIAL HOSPITAL ,175 PATEWOOD DRIVE ,,GREENVILLE ,SC ,29615-3570 ,GREENVILLE ,425178,,,,,,,108390,160831,34,12444,1034,5,2346,18.19,368.2,,543,4,1371,,,,,,, 420103,01-OCT-15,30-SEP-16,As Submitted,PELHAM MEDICAL CENTER ,250 WESTMORELAND ROAD ,,GREER ,SC ,29651-9013 ,SPARTANBURG ,,,,,,,,,,48,17568,4245,196,10520,,353.32,,1137,39,2986,,,,,,, 420104,01-JAN-16,31-DEC-16,As Submitted,ROPER ST. FRANCIS MT PLEASANT HOSPIT ,3500 HIGHWAY 17 NORTH ,,MT. PLEASANT ,SC ,29466 ,CHARLESTON ,,,,45636,,,.0447,,,85,31110,2150,244,6866,,251.01,,617,100,1922,127,,,,,, 420105,01-OCT-15,30-SEP-16,As Submitted,MCLEOD LORIS SEACOAST HOSPITAL ,3655 MITCHELL STREET ,P.O. BOX ,LORIS ,SC ,29569- ,HORRY ,,,,432006,,,.0985,,,155,56730,9901,493,18482,,659.07,,2550,151,5159,716,,,,,, 420106,01-OCT-15,30-SEP-16,As Submitted,PALMETTO HEALTH BAPTIST PARKRIDGE ,400 PALMETTO HEALTH PARKWAY ,,COLUMBIA ,SC ,29212 ,RICHLAND ,,,,,,,,,,83,30378,7540,317,17750,,549.07,,1511,83,4072,,,,,,, 420107,01-OCT-15,30-SEP-16,As Submitted,MCLEOD HEALTH CHERAW ,HIGHWAY 9 WEST ,,CHERAW ,SC ,29520- ,CHESTERFIELD ,,,,131334,,,.12,,,59,21594,3056,254,7756,,195.29,,739,85,1784,350,,,,,, 420108,24-NOV-15,30-SEP-16,As Submitted,UNION MEDICAL CENTER ,322 WEST SOUTH STREET ,798 ,UNION ,SC ,29379-2839 ,UNION ,,,,23696,,,.0605,,,50,15600,1461,36,3676,,245.55,,394,9,930,,,,,,, 420109,05-AUG-16,30-SEP-16,As Submitted,MCLEOD HEALTH CLARENDON ,10 HOSPITAL STREET ,550 ,MANNING ,SC ,29102 ,CLARENDON ,,,,8740,,,.0817,,,54,3078,318,103,2016,,373.18,,72,18,376,,,,,,, 421300,01-OCT-15,30-SEP-16,As Submitted,ALLENDALE COUNTY HOSPITAL ,1787 ALLENDALE FAIRFAX ROAD ,218 ,FAIRFAX ,SC ,29827- ,ALLENDALE ,,,,,,,,,,25,9150,631,16,2197,,112.69,,68,4,188,10,,,,,, 421301,01-OCT-15,30-SEP-16,As Submitted,ABBEVILLE AREA MEDICAL CENTER ,ABBEVILLE AREA MEDICAL CENTER ,87 ,ABBEVILLE ,SC ,29620 ,ABBEVILLE ,,,,,,,,,,25,9150,1535,43,2973,,162.01,,208,11,586,30,,,,,, 421302,01-OCT-15,30-SEP-16,As Submitted,FAIRFIELD MEMORIAL HOSPITAL ,102 US HWY 31 BYPASS NORTH ,620 ,WINSBORO ,SC ,29180-0620 ,FAIRFIELD ,,,,,,,,,,25,9150,647,3,1014,,85.07,,17,1,119,3,,,,,, 421303,01-OCT-15,30-SEP-16,As Submitted,WILLIAMSBURG REGIONAL HOSPITAL ,WILLIAMSBURG REGIONAL HOSPITAL ,568 ,KINGSTREE ,SC ,29556 ,WILLIAMSBURG ,,,,,,,,,,25,9150,1068,81,1889,,140.31,,131,16,284,,,,,,, 421304,01-OCT-15,30-SEP-16,As Submitted,EDGEFIELD COUNTY HOSPITAL ,300 RIDGE MEDICAL PLAZA ,,EDGEFIELD ,SC ,29824- ,EDGEFIELD ,,,,,,,,,,25,9150,1499,4,3495,,117.61,,88,1,154,,,,,,, 422004,01-OCT-15,30-SEP-16,As Submitted,SPARTANBURG HOSPITAL FOR RESTORATIVE ,389 SERPENTINE DRIVE ,,SPARTANBURG ,SC ,29303 ,SPARTANBURG ,,,,,,,,,,66,24156,6161,18,10060,,156.2,,203,2,303,,,,,,, 422006,01-OCT-15,30-SEP-16,As Submitted,INTERMEDICAL HOSPITAL OF SC INC. ,TAYLOR AT MARION STREETS ,,COLUMBIA ,SC ,29220 ,RICHLAND ,,,,,,,,,,35,12810,3635,,6316,,46.71,,117,,199,5,,,,,, 422007,01-JAN-16,31-DEC-16,As Submitted,REGENCY HOSPITAL OF FLORENCE ,121 EAST CEDAR STREET FOURTH FLOOR ,,FLORENCE ,SC ,29504-2576 ,FLORENCE ,,,,,,,,,,40,14640,8469,,12177,,93.18,,310,,431,13,,,,,, 422008,01-OCT-15,30-SEP-16,As Submitted,GHS N GREENVILLE LT ACUTE CARE HOSPI ,807 NORTH MAIN STREET ,,TRAVELERS REST ,SC ,29690- ,GREENVILLE ,,,,,,,,,,29,10614,3091,216,7310,,137.1,,105,9,237,,,,,,, 422009,01-AUG-16,31-JUL-17,As Submitted,REGENCY HOSPITAL OF GREENVILLE ,1 SAINTT FRANCIS DRIVE 4TH FLOOR ,,GREENVILLE ,SC ,29601 ,GREENVILLE ,,,,,,,,,,32,11680,4079,,7422,,86.91,,160,,265,14,,,,,, 423025,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,2935 COLONIAL DRIVE ,,COLUMBIA ,SC ,29203 ,RICHLAND ,,,,,,,,,,96,35136,16047,,23879,,198.62,,1248,,1816,31,,,,,, 423026,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHAB HOSPITAL OF FLOREN ,900 EAST CHEVES STREET ,,FLORENCE ,SC ,29506 ,FLORENCE ,,,,,,,,,,88,32208,12604,,16635,,135.37,,910,,1187,35,,,,,, 423027,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,9181 MEDCOM STREET ,,CHARLESTON ,SC ,29406 ,CHARLESTON ,,,,,,,,,,49,17934,9385,,14351,,132.92,,715,,1059,32,,,,,, 423028,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1795 FRANK GASTON BLVD. ,,ROCK HILL ,SC ,29732 ,YORK ,,,,,,,,,,50,18250,12931,,15745,,131.64,,1132,,1405,12,,,,,, 423029,01-JAN-16,31-DEC-16,As Submitted,ANMED HEALTH REHABILITATION HOSPITAL ,1 SPRING BACK WAY ,,ANDERSON ,SC ,29621 ,ANDERSON ,,,,,,,,,,60,21960,14486,,17656,,165.83,,1200,,1471,12,,,,,, 423030,01-JAN-16,31-DEC-16,As Submitted,GREENWOOD REGIONAL REHABILITATION HO ,1530 PARKWAY ,,GREENWOOD ,SC ,29646 ,GREENWOOD ,,,,,,,,,,42,15372,8718,,10720,,131.5,,710,2,1086,,,,,,, 423031,01-JAN-16,31-DEC-16,As Submitted,SPARTANBURG REHABILITATION INSTITUTE ,160 HAROLD FLEMING COURT ,,SPARTANBURG ,SC ,29303 ,SPARTANBURG ,,,,,,,,,,40,14640,7394,,10559,,106.43,,564,,798,,,,,,, 423300,01-JAN-16,31-DEC-16,Settled,SHRINERS HOSPITALS FOR CHILDEREN ,PO BOX 8500 #7642 ,,PHILADELPHIA ,SC ,29605 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 424002,01-JAN-16,31-DEC-16,As Submitted,LIGHTHOUSE CARE CENTER OF CONWAY ,152 WACCAMAW MEDICAL PARK DRIVE ,,CONWAY ,SC ,29526 ,HORRY ,,,,,,,,,,85,30951,12333,2126,25943,,147.19,,1033,306,3110,,,,,,, 424005,01-JUL-16,30-JUN-17,As Submitted,BRYAN PSYCHIATRIC HOSPITAL ,2414 BULL STREET ,485 ,COLUMBIA ,SC ,29202 ,RICHLAND ,,,,,,,,,,460,167900,597,11454,151732,,560.5,,14,99,113,,,,,,, 424006,01-JAN-16,31-DEC-16,As Submitted,PALMETTO LOW COUNTRY BHD ,2777 SPEISSEGER DRIVE ,,CHARLESTON ,SC ,29405-8229 ,CHARLESTON ,,,,,,,,,,108,39528,4751,2957,22640,,145.21,,465,406,2818,,,,,,, 424007,01-JAN-16,31-DEC-16,As Submitted,SPRINGBROOK BHS ,ONE HAVENWOOD LANE ,,TRAVELERS REST ,SC ,29690-9447 ,GREENVILLE ,,,,,,,,,,44,16104,4152,204,10829,,111.33,,314,24,983,,,,,,, 424008,01-JAN-16,31-DEC-16,As Submitted,THREE RIVER CTR FOR BEHAV HEALTH ,2900 SUNSET BLVD ,,WEST COLUMBIA ,SC ,29169-3422 ,LEXINGTON ,,,,,,,,,,122,44652,11181,3830,33565,,189.1,,775,385,3296,,,,,,, 424010,01-JAN-16,31-DEC-16,As Submitted,CAROLINA CENTER ,2700 E PHILLIPS RD ,,GREER ,SC ,29650 ,GREENVILLE ,,,,,,,,,,125,45750,16940,1274,40610,,217.73,,1229,165,4040,,,,,,, 424011,01-JUL-16,30-JUN-17,As Submitted,HARRIS PSYCHIATRIC HOSPITAL ,2414 BULL STREET ,485 ,COLUMBIA ,SC ,29202 ,RICHLAND ,,,,,,,,,,131,47815,878,1557,41299,,301.22,,23,153,483,,,,,,, 424013,01-JUL-16,30-JUN-17,Settled,WILLIAM J MCCORD TREATMENT FACILITY ,910 COOK ROAD ,,ORANGEBURG ,SC ,29118-2124 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 424014,01-JAN-16,31-DEC-16,As Submitted,REBOUND BEHAVIORAL HEALTH ,134 EAST REBOUND ROAD ,,LANCASTER ,SC ,29720 ,LANCASTER ,,,,,,,,,,42,15372,2778,3518,10279,,84.32,,308,537,1588,,,,,,, 430005,01-JUN-16,31-MAY-17,As Submitted,PRAIRIE LAKES HEALTH CARE CENTER ,401 9TH AVE. NW ,1210 ,WATERTOWN ,SD ,57201 ,CODINGTON ,,,,163023,,,.0538,,,81,29565,5470,1655,10782,,413.37,,1480,219,2964,,,,,,, 430008,01-JAN-16,31-DEC-16,As Submitted,BROOKINGS HEALTH SYSTEM ,300 22ND AVENUE ,,BROOKINGS ,SD ,57006- ,BROOKINGS ,,,,,,,,,,49,17934,2915,293,4757,,372.43,,591,221,1130,,,,,,, 430012,01-JUL-16,30-JUN-17,As Submitted,AVERA SACRED HEART HOSPITAL ,501 SUMMIT ST ,,YANKTON ,SD ,57078 ,YANKTON ,,,,294937,,,.0929,,,75,27375,5777,1455,12697,,689.2,,1506,343,3468,75,,,,,, 430013,01-JUL-16,30-JUN-17,As Submitted,AVERA QUEEN OF PEACE ,501 NORTH FOSTER ,,MITCHELL ,SD ,57301- ,DAVISON ,,,,93789,,,.0474,,,50,18250,5286,815,9217,,512.42,,1034,208,2138,,,,,,, 430014,01-JUL-16,30-JUN-17,As Submitted,AVERA ST. LUKES ,305 SOUTH STATE STREET ,4450 ,ABERDEEN ,SD ,57402-4450 ,BROWN ,,,,,,,,,,50,18250,8412,960,14316,,976.99,,1880,426,3634,,,,147,,727, 430015,01-JUL-16,30-JUN-17,As Submitted,AVERA ST MARYS ,801 E SIOUX AVENUE ,,PIERRE ,SD ,57501- ,HUGHES ,,,,151741,,,.1186,,,50,18250,2070,1228,4972,,454.51,,638,248,1574,,,,,,, 430016,01-JUL-16,30-JUN-17,As Submitted,AVERA MCKENNAN ,1325 SOUTH CLIFF ,5045 ,SIOUX FALLS ,SD ,57117-5045 ,MINNEHAHA ,1683154,,,2656360,,,.1495,883890,840945,483,176295,40412,18285,115512,45.01,3675.21,,7473,3379,23932,766,,,,39,258,481 430027,01-JUL-16,30-JUN-17,As Submitted,SANFORD USD MEDICAL CENTER ,1305 W 18TH ST ,5039 ,SIOUX FALLS ,SD ,57117-5039 ,MINNEHAHA ,4742701,,,3376640,,,.1473,988727,654512,452,164980,36449,26868,108094,63.71,4724.04,,8186,3640,24085,,,,,19,,318 430048,01-JUL-16,30-JUN-17,As Submitted,SPEARFISH REGIONAL HOSPITAL ,1440 NORTH MAIN ,,SPEARFISH ,SD ,57783- ,LAWRENCE ,,,,165788,,,.12,,,27,9855,1362,961,3932,,474.48,,589,181,1567,,,,,,, 430081,01-OCT-15,30-SEP-16,As Submitted,PINE RIDGE HOSPITAL ,E HIGHWAY 18 ,1201 ,PINE RIDGE ,SD ,57770 ,SHANNON ,,,,49348,,,.12,,,45,16470,761,1405,4269,,539,,225,612,1607,,,,,,, 430082,01-OCT-15,30-SEP-16,As Submitted,RAPID CITY HOSPITAL ,3200 CANYON LAKE DRIVE ,,RAPID CITY ,SD ,57702 ,PENNINGTON ,,,,608,,,.12,,,9,3285,23,7,100,,276,,3,3,21,,,,,,, 430083,01-OCT-15,30-SEP-16,As Submitted,PHS HOSPITAL - EAGLE BUTTE ,24276 166TH STREET ,1012 ,EAGLE BUTTE ,SD ,57625 ,DEWEY ,,,,9412,,,.12,,,8,2928,304,95,1138,,278,,53,26,221,,,,,,, 430084,01-OCT-15,30-SEP-16,As Submitted,USPHS HOSPITAL - ROSEBUD ,HWY 18 00 SOLDIER CREEK RD ,,ROSEBUD ,SD ,57570 ,TODD ,,,,17067,,,.12,,,35,12810,424,315,1218,,307,,87,155,424,,,,,,, 430089,01-JAN-16,31-DEC-16,As Submitted,SIOUXLAND SURGERY CENTER ,600 SIOUX POINT ROAD ,,DAKOTA DUNES ,SD ,57049 ,UNION ,,,,,,,,,,40,14640,1287,202,2973,,207,,628,113,1547,,,,,,, 430090,01-JAN-16,31-DEC-16,As Submitted,SIOUX FALLS SPECIALTY HOSPITAL ,910 EAST 20TH STREET ,,SIOUX FALLS ,SD ,57105- ,MINNEHAHA ,,,,,,,,,,26,10056,1796,29,3432,,240.79,,901,25,1898,,,,,,, 430091,01-JAN-16,31-DEC-16,As Submitted,BLACK HILLS SURGICAL HOSPITAL LLP ,216 ANAMARIA DRIVE ,,RAPID CITY ,SD ,57701- ,PENNINGTON ,,,,,,,,,,26,9516,1751,140,3772,,302.52,,792,67,1776,,,,,,, 430093,01-JUL-16,30-JUN-17,As Submitted,SAME DAY SURGERY CENTER ,651 CATHEDRAL DRIVE ,39660 ,RAPID CITY ,SD ,57701 ,PENNINGTON ,,,,,,,,,,6,2190,33,6,178,,48.26,,16,10,108,,,,,,, 430095,01-JUL-16,30-JUN-17,As Submitted,AVERA HEART HOSPITAL OF SOUTH DAKOTA ,4500 WEST 69TH STREET ,,SIOUX FALLS ,SD ,57105 ,LINCOLN ,,,,,,,,,,53,19345,5015,154,8153,,471.92,,1313,60,2163,,,,,,, 430096,01-JAN-16,31-DEC-16,As Submitted,LEWIS AND SPECIALTY HOSPITAL ,2601 FOX RUN PARKWAY ,,YANKTON ,SD ,57070- ,YANKTON ,,,,,,,,,,10,3660,122,2,219,,49.43,,51,1,93,,,,,,, 430097,01-JUL-16,30-JUN-17,As Submitted,SANFORD ABERDEEN MEDICAL CENTER ,3015 3RD AVE SE ,,ABERDEEN ,SD ,57401 ,BROWN ,,,,124457,,,.0935,,,48,17520,2601,888,5157,,386.22,,738,397,1852,,,,,,, 431300,01-JUL-16,30-JUN-17,As Submitted,MADISON REGIONAL HEALTH SYSTEM ,323 SW 10TH ST ,,MADISON ,SD ,57042-1634 ,LAKE ,,,,,,,,,,22,8030,3031,93,4146,,193.52,,272,28,421,,,,,,, 431301,01-MAR-16,28-FEB-17,As Submitted,FAULKTON AREA MEDICAL CENTER ,1300 OAK STREETREET ,100 ,FAULKTON ,SD ,57438-0100 ,FAULK ,,,,,,,,,,12,4380,1344,11,1502,,65.47,,131,5,164,,,,,,, 431302,01-JUL-16,30-JUN-17,As Submitted,AVERA GETTYSBURG HOSPITAL ,606 EAST GARFIELD STREET ,,GETTYSBURG ,SD ,57442 ,POTTER ,,,,,,,,,,10,3650,549,,775,,39.63,,72,,96,,,,,,, 431305,01-JUN-16,31-MAY-17,As Submitted,DOUGLAS COUNTY MEMORIAL HOSPITAL ,HIGHWAY 281 NORTH ,26 ,ARMOUR ,SD ,57313- ,DOUGLAS ,,,,,,,,,,11,4015,813,6,957,,60.52,,119,3,134,,,,,,, 431306,01-JUL-16,30-JUN-17,As Submitted,PLATTE HEALTH CENTER INC. ,601 E 7TH STREET ,200 ,PLATTE ,SD ,57369-0200 ,CHARLES MIX ,,,,,,,,,,17,6205,762,2,864,,80.99,,119,1,141,,,,,,, 431307,01-JUL-16,30-JUN-17,As Submitted,SANFORD MEDICAL CENTER CLEAR LAKE ,701 3RD AVE ,,CLEAR LAKE ,SD ,57226- ,DEUEL ,,,,,,,,,,10,3650,1139,,1345,,40.92,,82,,98,,,,,,, 431308,01-JUL-16,30-JUN-17,As Submitted,EUREKA COMMUNITY HEALTH SERVICES ,410 9TH STREET ,PO BOX ,EUREKA ,SD ,57437- ,MCPHERSON ,,,,,,,,,,6,2190,369,,450,,23.04,,56,,59,,,,,,, 431309,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY MEMORIAL HOSPITAL ,809 JACKSON ST ,319 ,BURKE ,SD ,57523- ,GREGORY ,,,,,,,,,,16,5856,917,379,1423,,42.5,,97,12,131,,,,,,, 431310,01-JUL-16,30-JUN-17,As Submitted,AVERA FLANDREAU HOSPITAL ,214 NORTH PRAIRIE AVE ,,FLANDREAU ,SD ,57028- ,MOODY ,,,,,,,,,,18,6570,479,28,604,,47.5,,89,3,120,,,,,,, 431311,01-JUL-16,30-JUN-17,As Submitted,SANFORD HOSPITAL WEBSTER ,1401 W 1ST STREET ,489 ,WEBSTER ,SD ,57274-0489 ,DAY ,,,,,,,,,,20,7300,661,33,834,,42.35,,95,10,114,,,,,,, 431312,01-JUL-16,30-JUN-17,As Submitted,MARSHALL COUNTY HEALTHCARE CENTER ,413 9TH STREET ,,BRITTON ,SD ,57430- ,MARSHALL ,,,,,,,,,,20,7300,831,4,910,,60.32,,93,1,109,,,,,,, 431313,01-JAN-16,31-DEC-16,As Submitted,FREEMAN MEDICAL CENTER ,510 EAST 8TH ,370 ,FREEMAN ,SD ,57029 ,HUTCHINSON ,,,,,,,,,,25,9150,727,6,817,,69.67,,135,2,156,,,,,,, 431314,01-JAN-16,31-DEC-16,As Submitted,BENNETT COUNTY HOSPITAL ,102 MAJOR ALLEN STREET ,PO BOX 70 ,MARTIN ,SD ,57511 ,BENNETT ,,,,,,,,,,14,5124,676,59,801,,68.2,,66,23,99,,,,,,, 431315,01-JUL-16,30-JUN-17,As Submitted,WAGNER COMMUNITY MEMORIAL HOSPITAL ,513 THIRD STREET ,280 ,WAGNER ,SD ,57380- ,CHARLES MIX ,,,,,,,,,,20,7300,502,58,626,,60.56,,81,28,131,,,,,,, 431316,01-JAN-16,31-DEC-16,As Submitted,COMMUNITY MEMORIAL HOSPITAL ,111 WEST 10TH AVE ,,REDFIELD ,SD ,57469 ,SPINK ,,,,,,,,,,23,8418,1275,24,1547,,100.67,,231,12,296,,,,,,, 431317,01-JUL-16,30-JUN-17,As Submitted,LANDMANN-JUNGMAN MEMORIAL HOSPITAL ,600 BILLARDS STREET ,,SCOTLAND ,SD ,57059- ,BON HOMME ,,,,,,,,,,25,9125,244,,278,,30.37,,22,,26,,,,,,, 431318,01-JUL-16,30-JUN-17,As Submitted,BOWDLE HOSPITAL ,8001 W 5TH STREET ,,BOWDLE ,SD ,57428- ,EDMUNDS ,,,,,,,,,,12,4380,704,8,798,,32.7,,135,3,166,,,,,,, 431319,01-JAN-16,31-DEC-16,As Submitted,PHILIP HEALTH SERVICES INC ,503 W PINE STREET ,790 ,PHILIP ,SD ,57567- ,HAAKON ,,,,,,,,,,18,6588,1494,39,4332,,80.42,,97,9,148,,,,,,, 431320,01-JUL-16,30-JUN-17,As Submitted,LEAD-DEADWOOD REGIONAL HOSPITAL ,61 CHARLES STREET ,,DEADWOOD ,SD ,57732 ,LAWRENCE ,,,,,,,,,,18,6570,1686,186,2354,,106.26,,136,7,210,,,,,,, 431321,01-JUL-16,30-JUN-17,As Submitted,STURGIS REGIONAL HOSPITAL ,949 HARMON ,,STURGIS ,SD ,57785- ,MEADE ,,,,,,,,,,25,9125,3712,636,5269,,156.08,,251,18,345,,,,,,, 431322,01-JAN-16,31-DEC-16,As Submitted,FALL RIVER HOSPITAL ,1201 HWY 71 SOUTH ,,HOT SPRINGS ,SD ,57747 ,FALL RIVER ,,,,,,,,,,25,9150,3012,32,3170,,101.65,,199,7,235,,,,,,, 431323,01-JUL-16,30-JUN-17,As Submitted,CUSTER REGIONAL HOSPITAL ,1039 MONTGOMERY STREET ,,CUSTER ,SD ,57730- ,CUSTER ,,,,,,,,,,11,4015,869,86,1203,,84.04,,127,8,187,,,,,,, 431324,01-JUL-16,30-JUN-17,As Submitted,AVERA WESKOTA MEMORIAL MEDICAL CENTE ,604 1ST STREET NE ,,WESSINGTON SPRINGS ,SD ,57382- ,JERAULD ,,,,,,,,,,16,5840,698,1,729,,26.5,,81,1,91,,,,,,, 431325,01-OCT-15,30-SEP-16,As Submitted,MOBRIDGE REGIONAL HOSPITAL ,140110TH AVE WEST ,580 ,MOBRIDGE ,SD ,57601- ,WALWORTH ,,,,,,,,,,25,9150,1479,407,2359,,122.45,,311,154,688,,,,,,, 431326,01-JUL-16,30-JUN-17,As Submitted,MILBANK AREA HOSPITAL/AVERA HEALTH ,301 FLYNN DRIVE ,,MILBANK ,SD ,57252- ,GRANT ,,,,,,,,,,25,9125,1585,78,2043,,82.95,,255,25,386,,,,,,, 431327,01-JUL-16,30-JUN-17,As Submitted,ST. MICHAELS HOSPITAL INC. ,410 WEST 16TH AVENUE ,,TYNDALL ,SD ,57066- ,BON HOMME ,,,,,,,,,,25,9125,1259,3,2025,,51.59,,114,1,149,,,,,,, 431328,01-JAN-16,31-DEC-16,As Submitted,PIONEER MEMORIAL HOSPITAL AND HEALTH ,314 NORTH WASHINGTON STREET ,,VIBORG ,SD ,57070 ,TURNER ,,,,,,,,,,12,4392,732,12,880,,82.65,,83,3,92,,,,,,, 431329,01-JUL-16,30-JUN-17,As Submitted,SANFORD CHAMBERLAIN MEDICAL CENTER ,300 SOUTH BYRON BOULEVARD ,,CHAMBERLAIN ,SD ,57325 ,BRULE ,,,,,,,,,,25,9125,1142,455,1874,,113.84,,162,157,370,,,,,,, 431330,01-JUL-16,30-JUN-17,As Submitted,AVERA ST. BENEDICT HEALTH CENTER ,401 WEST GLYNN DRIVE ,B ,PARKSTON ,SD ,57366- ,HUTCHINSON ,,,,,,,,,,25,9125,1942,92,2898,,109.04,,303,23,438,,,,,,, 431331,01-JUL-16,30-JUN-17,As Submitted,AVERA DELLS AREA HOSPITAL ,909 NORTH IOWA AVENUE ,,DELL RAPIDS ,SD ,57022- ,MINNEHAHA ,,,,,,,,,,21,7665,905,,1057,,78.9,,144,,180,,,,,,, 431332,01-JUL-16,30-JUN-17,As Submitted,DE SMET MEMORIAL HOSPITAL ,306 PRAIRIE AVE. SW ,,DE SMET ,SD ,57231- ,KINGSBURY ,,,,,,,,,,6,2190,221,,248,,26.98,,32,,38,,,,,,, 431333,01-JUL-16,30-JUN-17,As Submitted,SANFORD MEDICAL CENTER CANTON ,440 NORTH HIAWATHA DRIVE ,,CANTON ,SD ,57013- ,LINCOLN ,,,,,,,,,,11,4015,1115,20,1310,,58.12,,77,4,94,,,,,,, 431334,01-JAN-16,31-DEC-16,As Submitted,WINNER REGIONAL HEALTHCARE CENTER ,745 EAST 8TH STREET ,,WINNER ,SD ,57580-2677 ,TRIPP ,,,,,,,,,,25,9150,2244,842,3648,,99.74,,237,242,561,,,,,,, 431335,01-JUL-16,30-JUN-17,As Submitted,HURON REGIONAL MEDICAL CENTER ,172 4TH ST SE ,,HURON ,SD ,57350 ,BEADLE ,,,,,,,,,,25,9125,2859,1129,5631,,244.01,,578,206,1277,,,,,,, 431336,01-JUL-16,30-JUN-17,As Submitted,SANFORD MEDICAL CENTER VERMILLION ,20 SOUTH PLUM STREET ,,VERMILLION ,SD ,57069- ,CLAY ,,,,,,,,,,25,9125,1163,230,2069,,182.01,,126,46,292,,,,,,, 431337,01-JUL-16,30-JUN-17,As Submitted,AVERA HAND COUNTY MEMORIAL HOSPITAL ,300 WEST 5TH STREET ,,MILLER ,SD ,57362- ,HAND ,,,,,,,,,,25,9125,1243,23,1410,,66.83,,182,5,216,,,,,,, 431338,01-JUL-16,30-JUN-17,As Submitted,AVERA GREGORY HOSPITAL ,400 PARK STREET ,408 ,GREGORY ,SD ,57533-0408 ,GREGORY ,,,,,,,,,,25,9125,2020,88,2467,,100.09,,309,28,404,,,,,,, 431339,01-JAN-16,31-DEC-16,As Submitted,COTEAU DES PRAIRIES ,205 ORCHARD DRIVE ,,SISSETON ,SD ,57262- ,ROBERTS ,,,,,,,,,,25,9150,1148,507,2199,,100.01,,165,137,438,,,,,,, 432002,01-MAR-16,28-FEB-17,As Submitted,SSH - SIOUX FALLS INC ,1305 WEST 18TH STREET ,,SIOUX FALLS ,SD ,57105 ,MINNEHAHA ,,,,,,,,,,24,8760,4592,216,6737,,70.23,,163,10,225,3,,,,,, 434003,01-JUL-16,30-JUN-17,As Submitted,SOUTH DAKOTA HUMAN SERVICES CENTER ,3515 BROADWAY AVE ,76 ,YANKTON ,SD ,57078-0076 ,YANKTON ,,,,,,,,,,83,30295,4147,,16711,,83.16,,212,,875,,,,,,, 440001,01-JAN-16,31-DEC-16,As Submitted,UNICOI COUNTY MEMORIAL HOSPITAL ,100 GREENWAY CIRCLE ,,ERWIN ,TN ,37650 ,UNICOI ,,,,,,,,,,22,8052,674,,1385,,114.32,,189,,425,23,,,,,, 440002,01-JUL-16,30-JUN-17,As Submitted,JACKSON-MADISON COUNTY GENERAL HOSP ,620 SKYLINE DRIVE ,,JACKSON ,TN ,38301- ,MADISON ,1778261,,,3116293,,,.1121,659922,290396,642,220965,76449,3143,164257,24,3637.4,,12608,,28647,6602,,,,,,1006 440003,01-MAY-16,30-APR-17,As Submitted,SUMNER REGIONAL MEDICAL CENTER ,555 HARTSVILLE PIKE ,1558 ,GALLATIN ,TN ,37066 ,SUMNER ,,,,534208,,,.1103,,,126,45990,10602,5123,27936,,822.89,,2761,1141,7990,,,,,,154,164 440006,01-DEC-15,30-NOV-16,Amended,SKYLINE MEDICAL CENTER ,3441 DICKERSON PIKE ,,NASHVILLE ,TN ,37207 ,DAVIDSON ,,,,1565122,,,.1648,,,312,111868,25020,826,83739,,1159.66,,4514,154,15409,3055,,,,5,,845 440007,01-JAN-16,31-DEC-16,As Submitted,UNITY MEDICAL CENTER ,481 INTERSTATE DRIVE ,,MANCHESTER ,TN ,37355 ,COFFEE ,,,,229151,,,.2988,,,49,17934,2334,,4781,,151.58,,659,,1461,189,,,,,, 440008,01-FEB-16,31-JAN-17,As Submitted,HENDERSON COUNTY HOSPITAL ,,,LEXINGTON ,TN ,38351- ,HENDERSON ,,,,10278,,,.044,,,36,13176,668,,1091,,99.43,,219,44,386,,,,,,, 440009,01-JUL-16,30-JUN-17,As Submitted,CUMBERLAND MEDICAL CENTER ,421 SOUTH MAIN STREET ,,CROSSVILLE ,TN ,38555-5048 ,CUMBERLAND ,,,,365468,,,.1025,,,73,26645,9455,826,18122,,597,,2309,764,4605,,,,,,, 440010,01-JUL-16,30-JUN-17,As Submitted,WAYNE MEDICAL CENTER ,HIGHWAY 64 EAST ,580 ,WAYNESBORO ,TN ,38485 ,WAYNE ,,,,9592,,,.0385,,,32,11680,1726,,2304,,130.06,,215,25,371,,,,,,, 440011,01-JUL-16,30-JUN-17,As Submitted,BLOUNT MEMORIAL HOSPITAL ,907 E LAMAR ALEXANDER PKWY ,,MARYVILLE ,TN ,37804 ,BLOUNT ,,,,299102,,,.0488,,,183,66795,17570,1037,47317,,1870,,3426,1169,10251,,,,,,702, 440012,01-JUL-16,30-JUN-17,As Submitted,BRISTOL REGIONAL MEDICAL CENTER ,1 MEDICAL PARK BLVD ,,BRISTOL ,TN ,37620- ,SULLIVAN ,2485528,,,426638,,,.0441,1196930,433430,242,88330,25004,7486,65915,33.07,1313.12,,5271,1533,14821,,,,276,,1128, 440015,01-JAN-16,31-DEC-16,As Submitted,UNIVERSITY OF TENNESSEE MEDICAL CENT ,1924 ALCOA HIGHWAY ,,KNOXVILLE ,TN ,37920 ,KNOX ,11094747,,,3079545,,,.166,6901614,4331738,599,219223,43311,2301,170059,198.45,4190.37,,8511,6871,29277,,,,,,, 440016,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEM HOSPITAL HUNTINGDON ,631 E. B. WILSON DRIVE ,,HUNTINGDON ,TN ,38344 ,CARROLL ,,,,29094,,,.0586,,,42,15372,2675,,4198,,137.05,,355,,668,74,,,,,155, 440017,01-JUL-16,30-JUN-17,As Submitted,HOLSTON VALLEY HOSP & MED CTR ,130 W. RAVINE ,BOX 238 ,KINGSPORT ,TN ,37662-0238 ,SULLIVAN ,3268916,,,892509,,,.081,1344786,580647,290,102211,23392,11976,77708,56.8,1757.51,,5340,2053,18032,,,,,,, 440018,01-JUL-16,30-JUN-17,As Submitted,SYCAMORE SHOALS HOSPITAL ,1501 W. ELK AVENUE ,,ELIZABETHTON ,TN ,37643-2874 ,CARTER ,,,,135919,,,.0977,,,109,39785,2756,1,11116,,300.89,,970,1,3157,403,15,,,,303, 440020,01-JAN-16,31-DEC-16,As Submitted,SO TENN REG MED CTR OF PULASKI ,1265 EAST COLLEGE ,,PULASKI ,TN ,38478 ,GILES ,,,,145657,,,.1485,,,81,29646,2582,963,5043,,208.18,,693,230,1376,,,,,,174, 440025,01-JUL-16,30-JUN-17,As Submitted,LAUGHLIN MEMORIAL HOSPITAL ,1420 TUSCULUM BLVD. ,,GREENEVILLE ,TN ,37745- ,GREENE ,,,,115031,,,.058,,,140,51100,4789,,13028,,587.39,,1156,,3107,458,,,,,, 440029,01-JUL-16,30-JUN-17,As Submitted,WILLIAMSON MEDICAL CENTER ,2021 CAROTHERS RD ,1600 ,FRANKLIN ,TN ,37065 ,WILLIAMSON ,,,,,,,,,,185,67525,10402,3142,36036,,1287.02,,2803,618,9092,,,,,,, 440030,01-JUL-16,30-JUN-17,As Submitted,MORRISTOWN-HAMBLEN HOSPITAL ,908 WEST FOURTH NORTH STREET ,,MORRISTOWN ,TN ,37814-3894 ,HAMBLEN ,,,,389470,,,.1426,,,116,42340,6959,,22475,,479,,1662,1083,4442,,,,,,299, 440031,01-JUL-16,30-JUN-17,As Submitted,ROANE COUNTY MEDICAL CENTER ,8045 ROANE MEDICAL CENTER DRIVE ,,HARRIMAN ,TN ,37748-8333 ,ROANE ,,,,109806,,,.0846,,,52,18980,3313,,8196,,226,,885,316,2386,,,,,,, 440032,01-JUL-16,30-JUN-17,As Submitted,HAWKINS COUNTY MEMORIAL HOSPITAL ,851 LOCUST ST ,,ROGERSVILLE ,TN ,37857- ,HAWKINS ,,,,44248,,,.1023,,,49,17885,1010,393,3054,,141,,309,125,981,,,,,,, 440033,01-OCT-15,30-SEP-16,As Submitted,LAFOLLETTE MEDICAL CENTER ,923 E. CENTRAL AVENUE ,,LAFOLLETTE ,TN ,37766 ,CAMPBELL ,,,,139527,,,.12,,,56,20496,4298,,10702,,255.33,,848,318,2187,,,,5,,294, 440034,01-JAN-16,31-DEC-16,As Submitted,METHODIST MEDICAL CENTER ,990 OAK RIDGE TURNPIKE ,2529 ,OAK RIDGE ,TN ,37830-6976 ,ANDERSON ,,,,560025,,,.0789,,,204,74664,17449,,47884,,891.05,,3651,,10640,1407,,,,,, 440035,01-OCT-15,30-SEP-16,As Submitted,TENNOVA HEALTHCARE CLARKSVILLE ,651 DUNLOP LANE ,3160 ,CLARKSVILLE ,TN ,37040 ,MONTGOMERY ,,,,951226,,,.1667,,,261,95526,12201,2209,36037,,801.64,,2926,1405,8271,,,,,5,,172 440039,30-APR-16,30-JUN-17,As Submitted,VANDERBILT UNIVERSITY MEDICAL CENTER ,1211 MEDICAL CENTER DRIVE ,,NASHVILLE ,TN ,37232 ,DAVIDSON ,42409563,,,8677923,,,.2129,6525692,6005377,905,384227,73243,109142,342229,837.81,20274.05,,13640,16699,66894,,,,1391,,4373, 440040,01-JAN-16,31-DEC-16,As Submitted,PERRY COMMUNITY HOSPITAL ,2718 SQUIRREL HOLLOW DRIVE ,,LINDEN ,TN ,37096 ,PERRY ,,,,,,,,,,21,7686,1707,87,2104,,58.48,,308,22,415,,,,,,189, 440046,01-JUN-16,31-MAY-17,As Submitted,HORIZON MEDICAL CENTER ,111 HIGHWAY 70 EAST ,,DICKSON ,TN ,37055 ,DICKSON ,,,,357204,,,.1005,,,85,31074,8227,16,19170,,419.62,,2110,7,5367,1351,,,,,,189 440048,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEM HOSPITAL MEMPHIS ,6019 WALNUT GROVE ROAD ,,MEMPHIS ,TN ,38120 ,SHELBY ,5076662,,,3935669,,,.1235,1920590,480364,793,290238,77933,,195783,58.89,4609.92,,12587,6126,33559,,,,,,, 440049,01-JAN-16,31-DEC-16,As Submitted,METHODIST H/C MEMPHIS HOSPT. ,1265 UNION AVENUE ,,MEMPHIS ,TN ,38104 ,SHELBY ,14825716,,,9431512,,,.2192,3892577,1625905,1337,488121,101661,30674,349866,309.85,8423,,18337,12402,61081,,,,1,,373, 440050,01-JUL-16,30-JUN-17,As Submitted,TAKOMA REGIONAL HOSPITAL ,401 TAKOMA AVENUE ,,GREENEVILLE ,TN ,37743- ,GREENE ,,,,153738,25154,,.2003,,,73,26645,1960,1674,7054,,253.7,,598,571,2402,,,,138,66,211,100 440051,01-FEB-16,17-MAY-16,As Submitted,MCNAIRY REGIONAL HOSPITAL ,705 EAST POPLAR AVENUE ,,SELMER ,TN ,38375-3266 ,MCNAIRY ,,,,5402,,,.3596,,,28,2996,43,34,93,,83.56,,17,10,33,,,,,,, 440053,01-JUL-16,30-JUN-17,As Submitted,SAINT THOMAS RUTHERFORD HOSPITAL ,400 N. HIGHLAND AVENUE ,,MURFREESBORO ,TN ,37130 ,RUTHERFORD ,2503894,,,726301,,,.0681,926787,309237,305,111325,25058,,83844,30.87,1066.54,,5781,,22255,3340,,,,,, 440056,01-OCT-15,30-SEP-16,As Submitted,JEFFERSON COUNTY HMA LLC ,110 HOSPITAL DRIVE ,,JEFFERSON CITY ,TN ,37760 ,JEFFERSON ,,,,,,,,,,58,21228,2474,,5728,,193.23,,707,,1729,155,,,,,, 440057,01-JUL-16,30-JUN-17,As Submitted,CLAIBORNE MEDICAL CENTER ,1850 OLD KNOXVILLE HWY ,,TAZEWELL ,TN ,37879-3625 ,CLAIBORNE ,,,,84071,,,.12,,,34,12410,1694,,4343,,256,,489,,1277,139,,,,,, 440058,01-JAN-16,31-DEC-16,As Submitted,SOUTHERN TENNESSEE MEDICAL CENTER ,185 HOSPITAL ROAD ,,WINCHESTER ,TN ,37398 ,FRANKLIN ,,,,255538,,,.12,,,128,46848,5238,2396,12219,,495.79,,1303,664,3420,,,,,4,202,129 440059,01-JUL-16,30-JUN-17,As Submitted,COOKEVILLE REGIONAL MEDICAL CENTER ,142 WEST FIFTH STREET ,,COOKEVILLE ,TN ,38501 ,PUTNAM ,,,,1286647,,,.0949,,,223,81395,25908,8575,52198,,1681.72,,6179,2977,13223,27,,,,,,465 440060,01-JUL-16,30-JUN-17,As Submitted,MILAN GENERAL HOSPITAL ,4039 SOUTH HIGHLAND ,,MILAN ,TN ,38358- ,GIBSON ,,,,,,,,,,47,17155,1088,101,1606,,75.05,,300,23,422,,,,,,, 440061,01-FEB-16,31-JAN-17,As Submitted,VOLUNTEER COMMUNITY HOSPITAL ,161 MT PELIA ROAD ,,MARTIN ,TN ,38237 ,WEAKLEY ,,,,124951,,,.1619,,,41,15006,2091,292,4713,,172.98,,587,317,1370,,,,,,, 440063,01-JUL-16,30-JUN-17,As Submitted,JOHNSON CITY MEDICAL CENTER ,400 N. STATE OF FRANKLIN RD ,,JOHNSON CITY ,TN ,37604 ,WASHINGTON ,4283138,,,2714030,,,.19,1854090,658853,513,187245,35253,9659,146724,95.64,2335.21,,7179,252,28842,6356,,,,,904, 440067,01-JUN-16,31-MAY-17,As Submitted,LAKEWAY REGIONAL HOSPITAL ,726 MCFARLAND ST ,,MORRISTOWN ,TN ,37814 ,HAMBLEN ,,,,47451,,,.0562,,,107,39055,2464,,5602,,187.9,,525,146,1441,,,,,5,,167 440068,01-OCT-15,30-SEP-16,Amended,ATHENS REGIONAL MEDICAL CENTER ,1114 MADISON AVENUE ,,ATHENS ,TN ,37303 ,MCMINN ,,,,159729,,,.12,,,162,59292,3285,2250,8872,,426.89,,883,834,2296,,,,,,297, 440070,01-JUL-16,30-JUN-17,As Submitted,DECATUR COUNTY GENERAL HOSPITAL ,969 TENNESSEE AVENUE SOUTH ,,PARSONS ,TN ,38363 ,DECATUR ,,,,,,,,,,40,14600,881,,1135,,86.88,,180,,259,10,,,,,, 440072,01-FEB-16,31-JAN-17,As Submitted,DYERSBURG REGIONAL MEDICAL CENTER ,400 TICKLE STREET ,,DYERSBURG ,TN ,38024 ,DYER ,,,,316344,,,.12,,,95,34770,6279,545,12867,,342.68,,1979,892,4101,,,,,,, 440073,01-JUL-16,30-JUN-17,As Submitted,MAURY REGIONAL HOSPITAL ,1224 TROTWOOD AVENUE ,,COLUMBIA ,TN ,38401- ,MAURY ,,,,1041134,,,.1018,,,255,93075,18496,4306,48116,,1759.26,,4720,2426,13125,,,,,,, 440081,01-JAN-16,31-DEC-16,As Submitted,LECONTE MEDICAL CENTER ,742 MIDDLE CREEK ROAD ,8005 ,SEVIERVILLE ,TN ,37862-5019 ,SEVIER ,,,,277960,,,.12,,,60,21836,6051,1472,20337,,471,,1390,,5288,1184,,,,,, 440082,01-JUL-16,30-JUN-17,As Submitted,SAINT THOMAS WEST HOSPITAL ,4220 HARDING ROAD ,,NASHVILLE ,TN ,37202 ,DAVIDSON ,2260292,,,,,,,652160,170364,397,123735,40712,,94364,18.94,1402.24,,7749,,18688,1857,,,,,164, 440083,01-JAN-16,31-DEC-16,As Submitted,JAMESTOWN REGIONAL MEDICAL CENTER ,436 CENTRAL AVENUE WEST ,PO BOX 1500 ,JAMESTOWN ,TN ,38556 ,FENTRESS ,,,,92612,,,.12,,,75,27450,2151,,3303,,98.44,,637,,1041,127,,,,,166, 440084,01-JUL-16,30-JUN-17,As Submitted,SWEETWATER HOSPITAL ASSOCIATION ,304 CHURCH STREET ,,SWEETWATER ,TN ,37874 ,MONROE ,,,,104810,,,.1065,,,59,21535,3663,223,9601,,439.45,,653,,1936,321,,,,,, 440102,01-JUL-16,30-JUN-17,As Submitted,LINCOLN REGIONAL HOSPITAL ,106 MEDICAL CENTER BLVD. ,,FAYETTEVILLE ,TN ,37324 ,LINCOLN ,,,,71467,,,.0971,,,49,17885,1543,355,4215,,257.08,,530,,1345,243,,,1,,37, 440104,01-JUL-16,30-JUN-17,As Submitted,ERLANGER MEDICAL CENTER ,975 EAST THIRD STREET ,,CHATTANOOGA ,TN ,37403- ,HAMILTON ,10224085,,,4597207,,,.2137,3390152,1208441,645,227937,44990,15002,186593,167.63,4196,,8754,2983,35234,7676,,,,,209, 440109,01-JUL-16,30-JUN-17,As Submitted,HARDIN MEDICAL CENTER ,935 WAYNE ROAD ,,SAVANNAH ,TN ,38372 ,HARDIN ,,,,130801,34829,,.2757,,,49,17885,3286,2090,6747,,313.09,,588,478,1360,,,,,,, 440110,01-JAN-16,31-DEC-16,As Submitted,FORT LOUDOUN MEDICAL CENTER ,550 FORT LOUDOUN MEDICAL CENTER DR ,,LENOIR CITY ,TN ,37772-1965 ,LOUDON ,,,,32904,,,.0271,,,30,10980,3238,847,8690,,204.32,,736,177,2049,,,,,,, 440111,01-JUL-16,30-JUN-17,As Submitted,METRO NASHVILLE GENERAL HOSPITAL ,1818 ALBION STREET ,,NASHVILLE ,TN ,37208 ,,418180,,,169022,,,.3446,505754,419795,114,41610,1185,4535,16002,54.61,623.26,,259,859,3511,,,,,,, 440120,01-OCT-15,30-SEP-16,As Submitted,METRO KNOXVILLE HMA LLC PHYS REGNL ,900 OAK HILL AVENUE ,,KNOXVILLE ,TN ,37917- ,KNOX ,,,,1024200,,,.0812,,,372,136152,28803,2926,101122,,1898.53,,5995,3118,22675,,,,196,16,1236,341 440125,01-JAN-16,31-DEC-16,As Submitted,FORT SANDERS REGIONAL MEDICAL CENTER ,1901 CLINCH AVE ,,KNOXVILLE ,TN ,37916-2307 ,KNOX ,,,,1067121,,,.1195,,,280,102480,22209,,82208,,1402,,4255,3000,15828,,,,,23,,732 440130,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEM HOSPITAL UNION CITY ,1101 BISHOP STREET ,,UNION CITY ,TN ,38261 ,OBION ,,,,198473,,,.119,,,63,23058,3910,,7503,,295.74,,1068,,2330,382,,,,,, 440131,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEM HOSPITAL TIPTON COUNTY ,1995 HIGHWAY 51 SOUTH ,,COVINGTON ,TN ,38019 ,TIPTON ,,,,51892,,,.12,,,47,17202,946,991,2909,,266.65,,306,,1252,573,,,,,, 440132,01-JUL-16,30-JUN-17,As Submitted,HENRY COUNTY MEDICAL CENTER ,301 TYSON AVENUE ,1080 ,PARIS ,TN ,38242 ,HENRY ,,,,151282,,,.057,,,92,33580,5761,1723,12045,,482.35,,1548,433,3176,414,,,,,419, 440133,01-JUL-16,30-JUN-17,As Submitted,SAINT THOMAS MIDTOWN HOSPITAL ,2000 CHURCH ST ,,NASHVILLE ,TN ,37236 ,DAVIDSON ,1227801,,,1300736,,,.1115,411669,133646,359,134867,21285,,108324,21.18,1454.09,,4645,,22643,6973,,,,,,451 440137,01-APR-16,31-MAR-17,As Submitted,TENNOVA HEALTHCARE SHELBYVILLE ,845 UNION ST ,,SHELBYVILLE ,TN ,37160 ,BEDFORD ,,,,41875,,,.0543,,,49,17885,1890,2,4733,,191.93,,493,1,1419,151,,,,,, 440144,01-JUN-16,31-MAY-17,As Submitted,TENNOVA HEALTHCARE HARTON ,1801 NORTH JACKSON STREET ,,TULLAHOMA ,TN ,37388 ,COFFEE ,,,,332441,,,.1004,,,96,35040,9147,933,19434,,421.28,,1791,605,4202,,,,,,, 440147,01-OCT-15,31-MAR-16,As Submitted,GERMANTOWN ,2100 EXETER ,,GERMANTOWN ,TN ,38138 ,SHELBY ,,,,,,,,,,11,2013,,,,,4.68,,,,,,,,,,, 440148,01-JUL-16,30-JUN-17,As Submitted,ST THOMAS DEKALB HOSPITAL ,520 W MAIN ,640 ,SMITHVILLE ,TN ,37166 ,DEKALB ,,,,15138,,,.0581,,,52,18980,588,,1778,,78.38,,188,,529,54,,,,,, 440150,01-JAN-16,31-DEC-16,Amended,SUMMIT MEDICAL CENTER ,5655 FRIST BLVD ,,HERMITAGE ,TN ,37076- ,DAVIDSON ,,,,382422,,,.0562,,,170,63316,15152,418,46068,,776.15,,3570,137,10847,1765,,,,1,,330 440151,01-JUL-16,30-JUN-17,As Submitted,RIVER PARK HOSPITAL ,1559 SPARTA ROAD ,,MCMINNVILLE ,TN ,37110 ,WARREN ,,,,168360,,,.12,,,100,36500,3699,540,9058,,192.07,,888,,2492,324,,,,,180,237 440152,01-JUL-16,30-JUN-17,As Submitted,REGIONAL ONE HEALTH ,877 JEFFERSON AVENUE ,,MEMPHIS ,TN ,38103 ,SHELBY ,3412429,,,1756208,,,.4677,1594784,397351,288,103110,8652,2341,89331,145.51,2588.17,,1213,453,14782,7753,,,,21,,343 440153,01-OCT-15,30-SEP-16,As Submitted,NEWPORT MEDICAL CENTER ,435 SECOND STREET ,,NEWPORT ,TN ,37821- ,COCKE ,,,,85892,,,.12,,,32,11712,1932,1198,6867,,193.09,,552,390,2025,,,,,,, 440156,01-APR-16,31-MAR-17,As Submitted,PARKRIDGE MEDICAL CENTER ,2333 MCCALLIE AVENUE ,,CHATTANOOGA ,TN ,37404- ,HAMILTON ,,,,3406845,,,.3335,,,400,146000,23444,18902,96445,,1400.77,,4663,1869,16460,4148,,,,1,833,235 440159,01-APR-16,31-MAR-17,As Submitted,DELTA MEDICAL CENTER MEMPHIS ,3000 GETWELL ROAD ,,MEMPHIS ,TN ,38118 ,SHELBY ,,,,34306,,,.2304,,,123,44895,530,529,2436,,237.2,,105,53,494,,,,178,,2551, 440161,01-JAN-16,31-DEC-16,As Submitted,TRISTAR CENTENNIAL MEDICAL CENTER ,2300 PATTERSON STREET ,,NASHVILLE ,TN ,37203 ,DAVIDSON ,,,,3248678,,,.1652,,,525,192150,36951,2771,148800,,2256.24,,7535,375,27895,6986,,,,,3425, 440175,01-DEC-15,30-NOV-16,As Submitted,CROCKETT HOSPITAL ,HIGHWAY 43 SOUTH ,,LAWRENCEBURG ,TN ,38464 ,LAWRENCE ,,,,213917,,,.187,,,89,32574,3440,1301,6676,,276.55,,746,386,1722,,,,,,,74 440176,01-JUL-16,31-MAR-17,As Submitted,INDIAN PATH MEDICAL CENTER ,2000 BROOKSIDE DRIVE ,,KINGSPORT ,TN ,37660-4627 ,SULLIVAN ,43038,,,261636,,,.1459,51059,24413,148,40552,4425,1244,17149,1.61,559.73,,966,31,3943,896,,,,,, 440180,01-JUL-16,30-JUN-17,As Submitted,JELLICO COMMUNITY HOSPITAL ,188 HOSPITAL LANE ,,JELLICO ,TN ,37762 ,CAMPBELL ,,,,72229,,,.12,,,37,13505,1438,515,3067,,138.38,,452,506,1347,,,,,,, 440181,01-JUL-16,30-JUN-17,As Submitted,BOLIVAR GENERAL HOSPITAL ,650 NUCKOLLS ROAD ,,BOLIVAR ,TN ,38008- ,HARDEMAN ,,,,19247,,,.1303,,,33,12045,469,81,768,,56.41,,125,39,247,,,,,,, 440182,01-FEB-16,31-JAN-17,As Submitted,MCKENZIE REGIONAL HOSPITAL ,161 HOSPITAL DRIVE ,,MCKENZIE ,TN ,38201 ,CARROLL ,,,,42657,,,.12,,,30,10980,946,151,2923,,128.7,,266,,918,386,,,,,, 440183,01-JUN-16,31-MAY-17,As Submitted,ST. FRANCIS HOSPITAL ,5959 PARK AVENUE ,,MEMPHIS ,TN ,38119 ,SHELBY ,982973,,,1996694,,,.2,459094,111009,367,134105,22970,4107,70560,20.38,935,,4240,330,14381,2878,121,,66,1,815,249 440184,01-JUL-16,31-MAR-17,As Submitted,FRANKLIN WOODS COMMUNITY HOSPITAL ,300 MEDTECH PARKWAY ,,JOHNSON CITY ,TN ,37604- ,WASHINGTON ,,,,138858,,,.1076,,,80,21920,3759,877,14622,,399.71,,896,4,3775,679,,,,,, 440187,01-MAR-16,28-FEB-17,As Submitted,LIVINGSTON REGIONAL HOSPITAL ,315 OAK STREET ,,LIVINGSTON ,TN ,38570 ,OVERTON ,,,,266433,,,.2123,,,90,32850,4631,1436,7952,,227.39,,877,437,1886,,,,,,247,118 440189,01-OCT-15,30-SEP-16,As Submitted,REGIONAL HOSPITAL OF JACKSON ,367 HOSPITAL BLVD ,,JACKSON ,TN ,38305 ,MADISON ,,,,520527,,,.1185,,,115,42090,10058,492,18746,,432.45,,2048,715,4327,,,,,,, 440192,01-JUL-16,30-JUN-17,As Submitted,SAINT THOMAS HIGHLAND HOSPITAL ,401 SEWELL ROAD ,,SPARTA ,TN ,38583 ,WHITE ,,,,46929,,,.0876,,,32,11680,913,19,1736,,93.51,,331,,568,83,,,,,236, 440193,01-NOV-15,31-OCT-16,As Submitted,UNIVERSITY MEDICAL CENTER ,1411 BADDOUR PARKWAY ,,LEBANON ,TN ,37087 ,WILSON ,,,,440006,,,.1615,,,170,62220,7444,1134,19854,,466.18,,1468,,4295,818,,,324,2,709,138 440197,01-JUN-16,31-MAY-17,As Submitted,SOUTHERN HILLS MEDICAL CENTER ,391 WALLACE ROAD ,,NASHVILLE ,TN ,37211 ,DAVIDSON ,,,,195108,,,.0621,,,103,34795,6023,115,19670,,441.29,,1451,32,4627,529,,,,,,306 440200,01-JUL-16,30-JUN-17,As Submitted,SAINT THOMAS STONES RIVER HOSPITAL ,324 DOOLITTLE ROAD ,,WOODBURY ,TN ,37190 ,CANNON ,,,,26333,,,.12,,,30,10950,581,,1233,,53.7,,159,,335,50,,,,,252, 440218,01-JAN-16,31-DEC-16,As Submitted,THE CENTER FOR SPINAL SURGERY ,2011 MURPHY AVENUE THIRD FLOOR ,,NASHVILLE ,TN ,37203 ,DAVIDSON ,,,,,,,,,,23,8418,920,,2480,,107.4,,648,,1828,,,,,,, 440227,01-APR-16,31-MAR-17,As Submitted,TRISTAR STONECREST MEDICAL CENTER ,200 STONECREST BOULEVARD ,,SMYRNA ,TN ,37167- ,RUTHERFORD ,,,,325418,,,.12,,,109,39785,5209,228,20514,,444.77,,1401,91,5496,1784,,,,,, 440228,01-JUN-16,31-MAY-17,As Submitted,ST. FRANCIS BARTLETT MED CTR ,2986 KATE BOND ROAD ,,BARTLETT ,TN ,38133 ,SHELBY ,,,,492796,,,.0868,,,156,56940,14712,679,35925,,497,,2676,12,7602,977,,,,,, 440231,01-JUL-16,30-JUN-17,As Submitted,TRUSTPOINT HOSPITAL ,1009 NORTH THOMPSON LANE ,,MURFREESBORO ,TN ,37129 ,RUTHERFORD ,,,,3134,,,.044,,,10,3650,335,29,568,,113.72,,58,,95,,,,529,,2852,350 440232,01-JAN-16,31-DEC-16,As Submitted,HOUSTON COUNTY COMMUNITY HOSPITAL ,5001 EAST MAIN STREET ,,ERIN ,TN ,37061 ,HOUSTON ,,,,6099,,,.0342,,,25,9150,1051,51,1514,,60.4,,168,14,265,,,,,,, 441300,01-JUL-16,30-JUN-17,As Submitted,ST THOMAS HICKMAN HOSPITAL ,135 EAST SWAN ST. ,,CENTERVILLE ,TN ,37033 ,HICKMAN ,,,,,,,,,,25,9125,453,,1107,,59.34,,28,,43,5,,,,,, 441301,01-OCT-15,30-SEP-16,As Submitted,TROUSDALE MEDICAL CENTER ,500 CHURCH STREET ,,HARTSVILLE ,TN ,37074 ,TROUSDALE ,,,,,,,,,,25,9150,756,99,1201,,66.41,,116,31,247,,,,,,, 441303,01-JAN-16,31-DEC-16,As Submitted,THREE RIVERS HOSPITAL ,451 HWY 13 S ,,WAVERLY ,TN ,37185 ,HUMPHREYS ,,,,,,,,,,25,9150,1827,69,2416,,83.09,,201,14,289,,,,,,, 441304,01-JUL-16,30-JUN-17,As Submitted,JOHNSON COUNTY COMMUNITY HOSPITAL ,1901 SOUTH SHADY STREET ,,MOUNTAIN CITY ,TN ,37683 ,JOHNSON ,,,,,,,,,,2,730,16,6,63,,63.57,,8,,30,4,,,,,, 441305,01-OCT-15,30-SEP-16,As Submitted,MACON COUNTY GENERAL HOSPITAL ,204 MEDICAL DRIVE ,,LAFAYETTE ,TN ,37083-0378 ,MACON ,,,,,,,,,,25,9150,1942,,3153,,112.13,,365,,678,75,,,,,, 441306,01-JUL-16,30-JUN-17,As Submitted,ERLANGER BLEDSOE HOSPITAL ,71 WHEELERTOWN AVENUE ,,PIKEVILLE ,TN ,37367 ,BLEDSOE ,,,,,,,,,,25,9125,2098,735,2993,,117,,154,25,368,,,,,,, 441309,01-JUL-16,30-JUN-17,As Submitted,MARSHALL MEDICAL CENTER ,ELLINGTON PARKWAY ,1609 ,LEWISBURG ,TN ,37091- ,MARSHALL ,,,,,,,,,,25,9125,511,51,877,,121.69,,128,18,245,,,,,,, 441310,01-JUL-16,30-JUN-17,As Submitted,RHEA MEDICAL CENTER ,9400 RHEA COUNTY HIGHWAY ,,DAYTON ,TN ,37321 ,RHEA ,,,,,,,,,,25,9125,2082,261,3611,,190.1,,547,105,1137,,,,,,, 441311,01-JUN-16,31-MAY-17,As Submitted,TRISTAR ASHLAND CITY MEDICAL CENTER ,313 NORTH MAIN STREET ,,ASHLAND CITY ,TN ,37015 ,CHEATHAM COUNTY ,,,,,,,,,,12,4380,650,52,1673,,55.34,,78,9,223,,,,,,, 441313,01-JUL-16,30-JUN-17,As Submitted,HANCOCK COUNTY HOSPITAL ,1519 MAIN ST ,,SNEEDVILLE ,TN ,37869-3657 ,HANCOCK ,,,,,,,,,,10,3650,245,33,518,,36,,72,22,157,,,,,,, 441314,01-OCT-15,30-SEP-16,As Submitted,CAH ACQUISITION COMPANY #11 LLC ,326 ASBURY RD ,,RIPLEY ,TN ,38063 ,LAUDERDALE ,,,,,,,,,,25,9150,1615,,1885,,106.68,,156,,213,20,,,,,, 441315,01-OCT-15,30-SEP-16,As Submitted,COPPER BASIN MEDICAL CENTER INC. ,HIGHWAY 61 ,990 ,COPPERHILL ,TN ,37317 ,POLK ,,,,,,,,,,21,7686,1312,,1944,,94.12,,292,25,465,,,,,,, 441316,01-JUL-16,30-JUN-17,As Submitted,CAMDEN GENERAL HOSPITAL ,175 HOSPITAL DRIVE ,,CAMDEN ,TN ,38320- ,BENTON ,,,,,,,,,,25,9125,1013,124,1275,,59.8,,151,15,218,,,,,,, 441318,01-JAN-16,25-JUN-16,As Submitted,PIONEER HEALTH SERVICES OF ONEIDA ,18797 ALBERTA STREET ,,ONEIDA ,TN ,37841-2127 ,SCOTT ,,,,,,,,,,25,4450,560,8,670,,113.2,,107,1,162,27,,,,,, 441319,01-JUL-16,30-JUN-17,As Submitted,CUMBERLAND RIVER HOSPITAL ,100 OLD JEFFERSON STREET ,,CELINA ,TN ,38551 ,CLAY ,,,,,,,,,,25,9125,1827,128,2857,,98.85,,166,36,315,,,,1,,115, 442010,01-OCT-15,30-SEP-16,As Submitted,BAPTIST MEM RESTORATIVE CARE HOSP. ,6019 WALNUT GROVE ,,MEMPHIS ,TN ,38120 ,SHELBY ,,,,,,,,,,30,10980,4715,120,7213,,73.66,,146,3,229,,,,,,, 442011,01-MAY-16,30-APR-17,As Submitted,SSH -NASHVILLE ,2000 HAYES STREET SUITE 1502 ,,NASHVILLE ,TN ,37203 ,DAVIDSON ,,,,,,,,,,70,25550,10208,,23088,,248.05,,281,,584,63,,,,,, 442014,01-DEC-15,30-NOV-16,As Submitted,SSH -MEMPHIS INC ,5959 PARK AVENUE 12TH FLOOR ,,MEMPHIS ,TN ,38119 ,SHELBY ,,,,,,,,,,39,14274,5602,,10464,,97.7,,187,,347,29,,,,,, 442015,01-JAN-16,31-DEC-16,As Submitted,SSH -NORTH KNOXVILLE ,7557B DANNAHER DRIVE ,SUITE 145 ,POWELL ,TN ,37849-3568 ,KNOX COUNTY ,,,,,,,,,,33,12078,4663,,10097,,93.84,,183,,392,34,,,,,, 442016,01-NOV-15,31-OCT-16,As Submitted,SSH - TRI-CITIES INC. ,1 MEDICAL PARK BLVD 5TH FL WEST ,,BRISTOL ,TN ,37620 ,SULLIVAN ,,,,,,,,,,33,12078,5920,,10887,,110.79,,234,,417,31,,,,,, 442017,01-JUL-16,30-JUN-17,As Submitted,REGIONAL ONE HEALTH EXTENDED CARE HO ,890 MADISON AVENUE 4TH FLOOR ,,MEMPHIS ,TN ,38103-3409 ,SHELBY ,,,,,,,,,,24,8760,3382,845,7388,,80.82,,102,21,212,,,,,,, 443025,01-JUL-16,30-JUN-17,As Submitted,SISKIN HOSPITAL FOR PHYSICAL REHAB. ,ONE SISKIN PLAZA ,,CHATTANOOGA ,TN ,37403 ,HAMILTON ,,,,,,,,,,80,29200,11057,,22313,,365.28,,834,,1615,39,,,,,, 443027,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,113 CASSEL DRIVE ,,KINSPORT ,TN ,37660 ,SULLIVAN ,,,,,,,,,,50,18250,6828,,11700,,107.03,,481,,821,50,,,,,, 443028,01-JUN-16,31-MAY-17,As Submitted,VANDERBILT STALLWORTH REHABILITATION ,2201 CHILDRENS WAY ,,NASHVILLE ,TN ,37212 ,DAVIDSON ,,,,,,,,,,80,29200,7091,,19011,,182.09,,545,,1366,113,,,,,, 443029,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,128 UNION AVENUE ,,MEMPHIS ,TN ,38104 ,SHELBY ,,,,,,,,,,80,29280,10859,,17545,,149.89,,896,,1385,56,,,,,, 443030,01-JUN-16,30-JUN-17,As Submitted,HEALTHSOUTH CANE CREEK REHABILITATIO ,180 MT PELIA ROAD ,,MARTIN ,TN ,38237 ,WEAKLEY ,,,,,,,,,,40,15800,7496,,9557,,89,,679,,851,25,,,,,, 443031,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL- ,4100 AUSTIN PEAY HIGHWAY ,,MEMPHIS ,TN ,38128 ,SHELBY ,,,,,,,,,,50,18300,9712,,13125,,112.08,,812,,1092,17,,,,,, 443032,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH CHATTANOOGA REHABILITATI ,2412 MCCALLIE AVE. ,,CHATTANOOGA ,TN ,37404 ,HAMILTON ,,,,,,,,,,69,25185,9201,,14082,,127.4,,759,,1147,26,,,,,, 443033,01-OCT-15,30-SEP-16,As Submitted,QUILLEN REHABILITATION HOSPITAL A J ,2511 WESLEY STREET ,,JOHNSON CITY ,TN ,37601 ,WASHINGTON ,,,,,,,,,,36,11666,4812,8,8150,,75.37,,366,1,639,18,,,,,, 443034,01-JAN-16,31-DEC-16,As Submitted,BAPTIST MEMORIAL REHAB HOSPITAL ,1240 S. GERMANTOWN ROAD ,,GERMANTOWN ,TN ,38138 ,SHELBY ,,,,,,,,,,49,17934,11744,,14500,,144.3,,944,,1152,,,,,,, 443035,25-JAN-16,31-MAR-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1000 PHYSICIANS WAY ,,FRANKLIN ,TN ,37067 ,WILLIAMSON ,,,,,,,,,,40,17280,4502,,6766,,73.35,,372,,549,4,,,,,, 444001,01-JUL-16,30-JUN-17,As Submitted,MEMPHIS MENTAL HLTH INISTITUTE ,951 COURT AVE ,,MEMPHIS ,TN ,38103-2813 ,SHELBY ,,,,,,,,,,55,20075,671,5508,18799,,186,,56,219,1528,,,,,,, 444002,01-JUL-16,30-JUN-17,As Submitted,MOCCASIN BEND MENTAL HLTH INSTITUTE ,100 MOCCASIN BEND ROAD ,,CHATTANOOGA ,TN ,37405 ,HAMILTON ,,,,,,,,,,165,55665,2747,13555,50786,,578.7,,195,14,2853,552,,,,,, 444004,01-JAN-16,31-DEC-16,As Submitted,LAKESIDE HOSPITAL ,2911 BRUNSWICK RD ,,MEMPHIS ,TN ,38133 ,MEMPHIS ,,,,,,,,,,287,100153,20037,542,85273,,417.45,,1514,53,8598,,,,,,, 444005,01-JAN-16,31-DEC-16,As Submitted,BEHAVORIAL HEALTHCARE CENTERS ,458 HANNINGS LANE ,1006 ,MARTIN ,TN ,38237 ,WEAKLEY ,,,,,,,,,,16,5856,3463,,3463,,43,,243,,243,,,,,,, 444007,01-MAR-16,28-FEB-17,As Submitted,ROLLING HILLS HOSPITAL ,2014 QUAIL HOLLOW CIRCLE ,,FRANKLIN ,TN ,37067 ,WILLIAMSON ,,,,,,,,,,120,43800,5113,,31758,,208,,518,,4028,,,,,,, 444008,01-JUL-16,30-JUN-17,As Submitted,WESTERN MENTAL HLTH INSTIT. ,11100 OLD HIGHWAY 64 WEST ,,BOLIVAR ,TN ,38008 ,HARDEMAN ,,,,,,,,,,150,54750,474,12668,51293,,222,,51,150,954,,,,,,, 444010,01-JUL-16,30-JUN-17,As Submitted,PATHWAYS OF TN INC. ,238 SUMMAR DRIVE ,,JACKSON ,TN ,38301- ,MADISON ,,,,,,,,,,25,9125,171,533,3477,,200.92,,43,162,860,,,,,,, 444019,01-JAN-16,31-DEC-16,As Submitted,BEHAVIORAL HEALTHCARE CENTERS LLC ,930 PROFESSIONAL DRIVE ,,CLARKSVILLE ,TN ,37040 ,MONTGOMERY ,,,,,,,,,,26,9516,5435,,5435,,43,,295,,295,,,,,,, 444021,01-JAN-16,31-DEC-16,As Submitted,BEHAVORIAL HEALTH CENTERS ,1400 ROSEWOOD DR ,,COLUMBIA ,TN ,38401 ,MAURY ,,,,,,,,,,16,5856,3820,,3820,,44,,232,,232,,,,,,, 444022,01-JAN-16,31-DEC-16,As Submitted,PREMIERCARE TENNESSEE INC. ,266 ,,COOKEVILLE ,TN ,38501-4294 ,PUTNAM ,,,,,,,,,,36,13176,1799,4248,8229,,54.43,,266,694,1364,,,,,,, 444023,01-JAN-16,31-DEC-16,As Submitted,WOODRIDGE OF WEST TENNESSEE LLC ,49 OLD HICKORY BOULEVARD ,,JACKSON ,TN ,38305 ,,,,,,,,,,,16,5856,2305,,3444,,21.9,,177,,269,26,,,,,, 444024,13-JUL-16,31-DEC-16,As Submitted,BEHAVIORAL HEALTH CENTERS ,1505 NORTH SECOND STREET ,,MEMPHIS ,TN ,38107 ,SHELBY ,,,,,,,,,,16,2752,462,,462,,29,,46,,46,,,,,,, 444025,01-JUL-16,31-DEC-16,As Submitted,CRESTWYN BEHAVIORAL HEALTH ,9485 CRESTWYN HILLS COVE ,,MEMPHIS ,TN ,38125-8515 ,,,,,,,,,,,60,11040,1257,,6104,,78.66,,93,,609,,,,,,, 450002,01-JUN-16,31-MAY-17,As Submitted,THE HOSPITALS OF PROVIDENCE - MEMORI ,2001 NORTH OREGON ,,EL PASO ,TX ,79902 ,EL PASO ,58996,,,1687370,,,.3971,53917,23895,448,163418,10521,10566,70748,3.02,1089,,2339,702,15879,4896,14,,3,,389, 450007,01-JUL-16,30-JUN-17,As Submitted,PETERSON REGIONAL MEDICAL CENTER ,551 HILL COUNTRY DRIVE ,,KERRVILLE ,TX ,78028- ,KERR ,,,,,,,,,,84,30660,8573,373,16145,,676.14,,2154,173,4381,230,,,,,,423 450010,01-JAN-16,31-DEC-16,As Submitted,UNITED REGIONAL HEALTH CARE SYSTEM ,1600 ELEVENTH STREET ,,WICHITA FALLS ,TX ,76301 ,WICHITA ,1803398,,,1124520,,,.0864,564788,203908,255,93330,27437,5508,65274,18.65,1606,,4726,434,14633,1686,,,,,, 450011,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPH REGIONAL HEALTH CENTER ,2801 FRANCISCAN DRIVE ,,BRYAN ,TX ,77802 ,BRAZOS ,2766433,,,1226332,,,.1034,743476,375746,209,76285,23285,4011,58991,26.9,1848.51,,5288,796,13789,,,,,,,52 450015,01-OCT-15,30-SEP-16,Amended,DALLAS CO. HOSP. DIST. ,5200 HARRY HINES BLVD ,,DALLAS ,TX ,75235 ,DALLAS ,10172008,,,4161368,,,.4847,3242705,2214429,794,290282,23787,95113,246940,576.93,10887.26,,3600,20289,50786,,,,,,294,378 450021,01-JUL-16,30-JUN-17,As Submitted,BAYLOR UNIVERSITY MEDICAL CTR ,3500 GASTON AVENUE ,,DALLAS ,TX ,75246- ,DALLAS ,11571982,,,3302092,,,.0928,4105180,847951,854,311710,78638,11513,245906,179.44,4412.05,,12507,1342,33161,506,,,,,, 450023,01-JUL-16,30-JUN-17,As Submitted,CITIZENS MEDICAL CENTER ,2701 HOSPITAL DRIVE ,,VICTORIA ,TX ,77901- ,VICTORIA ,,,,266613,,,.0487,,,313,114245,13414,1056,30888,,1053.08,,2860,240,7172,543,,,,,, 450024,01-OCT-15,30-SEP-16,As Submitted,UNIVERSITY MEDICAL CENTER OF EL PASO ,4815 ALAMEDA AVENUE ,,EL PASO ,TX ,79905- ,EL PASO ,3266589,,,1036551,,,.3434,2007216,640177,261,95526,7974,8464,70276,187.69,2568.71,,1481,2374,14360,,,,,,, 450028,01-MAY-16,30-APR-17,As Submitted,VALLEY BAPTIST MED CNTR BROWNSVILLE ,1040 WEST JEFFERSON STREET ,,BROWNSVILLE ,TX ,78520 ,CAMERON ,,,,2290236,,,.4981,,,228,83220,11451,7182,42872,,666.98,,2271,1355,9590,1972,429,,57,,1388, 450029,01-OCT-15,30-SEP-16,Amended,LAREDO MEDICAL CENTER ,1700 EAST SAUNDERS ,,LAREDO ,TX ,78041 ,WEBB ,,,,3759737,,,.4173,,,242,87748,26417,8927,75676,,1098.46,,3977,4954,13453,,,,,,, 450032,01-OCT-15,30-SEP-16,As Submitted,GOOD SHEPHERD MEDICAL CTR - MARSHALL ,811 SOUTH WASHINGTON ,75670 ,MARSHALL ,TX ,75670 ,HARRISON ,,,,353698,,,.151,,,111,40626,5538,713,13890,,364.66,,1438,199,3768,755,,,,,,193 450034,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS HOSPITAL ,2830 CALDER STREET ,5405 ,BEAUMONT ,TX ,77702-1048 ,JEFFERSON ,,,,1030136,,,.0935,,,443,161695,21300,1876,67820,,1716.55,,4789,394,17303,1,,,,,, 450035,01-NOV-15,31-OCT-16,As Submitted,ST JOSEPH MEDICAL CENTER ,1401 ST. JOSEPH PARKWAY ,,HOUSTON ,TX ,77002 ,HARRIS ,945681,,,1390106,,,.4488,1168395,476763,248,90768,6544,13658,55550,33.34,1278.97,,1244,2771,11170,2636,694,,137,7,2708,294 450037,01-OCT-15,30-SEP-16,As Submitted,GOOD SHEPHERD MEDICAL CENTER ,700 EAST MARSHALL AVE ,,LONGVIEW ,TX ,75601 ,GREGG ,3175654,,,1948957,,,.1904,1242641,478421,337,116344,21091,3207,62431,44.93,1442.03,,4919,651,13183,,,,,,,519 450039,01-OCT-15,30-SEP-16,As Submitted,TCHD D/B/A JPS HEALTH NETWORK ,1500 SOUTH MAIN STREET ,,FORT WORTH ,TX ,76104-4917 ,TARRANT ,4187779,,,2156265,,,.3441,1188669,716890,405,148230,13883,25969,122237,186.6,4638.51,,2503,11846,23337,,,,,,2593, 450040,01-JUL-16,30-JUN-17,As Submitted,COVENANT HEALTH SYSTEM ,3615 19TH ST ,1201 ,LUBBOCK ,TX ,79410 ,LUBBOCK ,636096,,,1115767,,,.061,212564,82008,394,154831,41146,5677,101294,15.17,2445,,7693,277,19144,1642,53,,18,,557, 450042,01-JUL-16,30-JUN-17,As Submitted,PROVIDENCE HEALTH CENTER ,6901 MEDICAL PARKWAY ,2589 ,WACO ,TX ,76712-2589 ,,766132,,,632401,,,.0471,190547,64296,229,83585,30588,479,65338,5.84,1729.4,,6594,169,15886,3690,,,405,,1094, 450051,01-JUL-16,30-JUN-17,As Submitted,METHODIST DALLAS MEDICAL CENTER ,1441 N BECKLEY AVE ,,DALLAS ,TX ,75203-1201 ,DALLAS ,2385514,,,2571920,,,.2632,1013867,352455,376,137248,18844,6358,86414,62.82,2041.29,,3446,1158,15457,,,,,,, 450055,01-OCT-15,30-SEP-16,Amended,ROLLING PLAINS MEMORIAL HOSPITAL ,200 EAST ARIZONA ,,SWEETWATER ,TX ,79556 ,NOLAN ,,,,63000,,,.12,,,39,14274,2076,114,4794,,273.97,,388,39,1009,,,,,,, 450056,01-JUL-16,30-JUN-17,As Submitted,DCHSA-D.B.A.-SETON MEDICAL CTR ,1201 WEST 38TH STREET ,,AUSTIN ,TX ,78705- ,TRAVIS ,,,,1716555,,,.1375,,,447,163155,24843,9064,105318,,1517.31,,4714,2366,19919,4064,,,,,, 450058,01-JUL-16,30-JUN-17,As Submitted,BAPTIST HEALTH SYSTEM ,111 DALLAS STREET ,,SAN ANTONIO ,TX ,78205 ,BEXAR ,,,,6102151,,,.2119,,,1402,511730,57795,20716,278272,,4928.6,,13567,1694,62590,9374,45,,10,6,427,1312 450064,01-JAN-16,31-DEC-16,Amended,ARLINGTON MEMORIAL HOSPITAL ,800 W RANDOL MILL ROAD ,,ARLINGTON ,TX ,76012 ,TARRANT ,,,,916039,,,.1246,,,277,101382,19055,3676,63570,,1363.9,,3605,934,12218,,,,,,1207, 450072,01-JAN-16,31-DEC-16,As Submitted,BRAZOSPORT REGIONAL HEALTH SYSTEM ,100 MEDICAL DRIVE ,,LAKE JACKSON ,TX ,77566 ,BRAZORIA ,,,,89047,,,.0354,,,80,29280,6390,422,15701,,610.74,,1482,90,4641,,,,,,,136 450078,01-APR-16,31-MAR-17,As Submitted,ANSON GENERAL HOSPITAL ,101 AVENUE J ,,ANSON ,TX ,79501- ,JONES ,,,,8380,,,.0316,,,7,2555,1672,,2019,,63.18,63.18,254,,325,13,,,,,, 450080,01-OCT-15,30-SEP-16,As Submitted,TITUS REGIONAL MEDICAL CENTER ,2001 NORTH JEFFERSON ,,MT. PLEASANT ,TX ,75455 ,TITUS ,,,,137327,40571,,.12,,,96,35136,3564,735,10825,,647.68,,943,454,2866,,,,,,224,167 450082,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS SPOHN HOSPITAL BEEVILLE ,1500 E. HOUSTON HWY ,,BEEVILLE ,TX ,78102- ,BEE ,,,,85062,,,.12,,,49,17885,1757,118,5415,,162.67,,552,59,1811,575,,,,,, 450083,01-NOV-15,31-OCT-16,As Submitted,ETMC- TYLER ,1000 SOUTH BECKHAM ,6400 ,TYLER ,TX ,75711- ,SMITH ,,,,1209076,,,.0657,,,451,165066,40479,2753,101692,,2505.56,,8132,398,21135,,,,,,, 450085,01-OCT-15,30-SEP-16,As Submitted,GRAHAM REGIONAL MEDICAL CENTER ,1301 MONTGOMERY ROAD ,,GRAHAM ,TX ,76450- ,YOUNG ,,,,,,,,,,25,9150,1449,32,2197,,164.85,,352,6,626,,,,,,, 450087,01-JUN-16,31-MAY-17,As Submitted,MEDICAL CITY NORTH HILLS ,4401 BOOTH CALLOWAY ROAD ,,NORTH RICHLAND HILLS ,TX ,76180 ,TARRANT ,,,,,,,,,,137,50005,9774,395,29586,,495.18,,2009,54,6458,198,,,,,248, 450090,01-OCT-15,30-SEP-16,As Submitted,NORTH TEXAS MEDICAL CENTER ,1900 HOSPITAL BOULEVARD ,,GAINSVILLE ,TX ,76240- ,COOKE ,,,,61322,,,.12,,,48,17568,1725,182,4287,,184.56,,365,93,1534,436,,,,,, 450092,01-JAN-16,31-DEC-16,As Submitted,FORT DUNCAN MEDICAL CENTER ,3333 N. FOSTER MALDONADO BLVD ,,EAGLE PASS ,TX ,78852- ,MAVERICK ,,,,235176,,,.12,,,86,31476,5469,911,15927,,345.52,,1202,357,4012,,,,,,,380 450097,01-JAN-16,31-DEC-16,As Submitted,BAYSHORE MEDICAL CENTER ,4000 SPENCER HIGHWAY ,,PASADENA ,TX ,77504- ,HARRIS ,,,,2170485,,,.2882,,,368,134688,20289,10654,106818,,1679.3,,3656,3227,20436,,,,,,619,262 450099,01-JAN-16,31-DEC-16,Amended,PAMPA REGIONAL MEDICAL CENTER ,ONE MEDICAL PLAZA ,,PAMPA ,TX ,79065 ,GRAY ,,,,69767,,,.0422,,,32,11712,2900,329,6613,,224.56,,940,33,2185,,,,3,,152, 450102,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS MOTHER FRANCES HOSP-TYLER ,800 EAST DAWSON ,,TYLER ,TX ,75701 ,SMITH ,259939,,,2008082,,,.0957,64336,45808,457,165085,42127,5551,112064,5.4,3282.12,,9420,676,23749,3185,,,,,, 450104,01-OCT-15,30-SEP-16,Amended,GUADALUPE REGIONAL MEDICAL CENTER ,1215 EAST COURT STREET ,,SEGUIN ,TX ,78155- ,GUADALUPE ,,,,339196,,,.12,,,103,37698,5415,402,13738,,566.95,,1515,167,3822,,,,,,,200 450108,01-OCT-15,30-SEP-16,As Submitted,CONNALLY MEMORIAL MEDICAL CENTER ,499 10TH STREET ,,FLORESVILLE ,TX ,78114 ,WILSON ,,,,,,,,,,44,16060,1851,21,3775,,230.37,,461,5,955,27,,,,,, 450119,01-JAN-16,31-DEC-16,Amended,SOUTH TEXAS HEALTH SYSTEM ,1102 W. TRENTON ROAD ,,EDINBURG ,TX ,78539- ,HIDALGO ,274060,138162,,2572226,1296742,,.4632,,,762,258396,23773,14147,119962,18,1912.13,,4146,3170,24291,,,,,,771,322 450124,01-JUL-16,30-JUN-17,As Submitted,DELL SETON MEDICAL CENTER AT THE UNI ,1500 RED RIVER ST ,,AUSTIN ,TX ,78701- ,TRAVIS ,2843757,,,783232,,,.1826,1226939,651041,211,72818,10780,4687,61935,118.21,1263.73,,1742,785,11453,1927,,,,,, 450128,01-JAN-16,31-DEC-16,As Submitted,KNAPP MEDICAL CENTER ,1401 EAST EIGHT STREET ,,WESLACO ,TX ,78596 ,HIDALGO ,,,,1926435,,,.4335,,,186,68076,10050,3648,34664,,775.26,,2373,2396,8557,,,,,,, 450130,01-JAN-16,31-DEC-16,As Submitted,NIX HEALTH CARE SYSTEM ,414 NAVARRO STREET SUITE 600 ,,SAN ANTONIO ,TX ,78205 ,BEXAR ,,,,1281312,,,.3594,,,201,73566,9458,2933,41938,,707,,1665,439,7535,1360,,,8,,809,217 450132,01-OCT-15,30-SEP-16,As Submitted,MEDICAL CENTER HEALTH SYSTEM ,500 WEST 4TH STREET ,,ODESSA ,TX ,79761- ,ECTOR ,2132099,,,1608073,,,.1703,1205889,452153,331,121146,24524,5599,69706,42.02,1701.46,,4184,1023,12633,1428,,,,,,418 450133,01-OCT-15,30-SEP-16,Amended,MIDLAND MEMORIAL HOSPITAL ,400 ROSALIND REDFERN GROVER PARKWAY ,,MIDLAND ,TX ,79701- ,MIDLAND ,623368,,,731545,,,.1049,414909,155186,231,84480,19998,2406,58028,13.3,1537.48,,3277,622,11628,,,,,,, 450135,01-OCT-15,30-SEP-16,As Submitted,TX HLTH HARRIS METHODIST HOSPITAL ,1301 PENNSYLVANIA AVENUE ,,FORT WORTH ,TX ,76104 ,TARRANT ,216182,,,2969283,,,.1201,97937,21189,645,235546,55538,7094,197440,3.34,3968.4,,10652,948,35940,3130,,,,,, 450137,01-OCT-15,30-SEP-16,As Submitted,BAYLOR ALL SAINTS MEDICAL CENTER ,1400 8TH AVENUE ,,FORT WORTH ,TX ,76104- ,TARRANT ,,,,1992489,,,.219,,,356,130296,22535,3768,93786,,1484.73,,4053,1276,17611,6427,,,,,,247 450143,01-JUL-16,30-JUN-17,As Submitted,SETON SMITHVILLE REGIONAL HOSPITAL ,701 EAST 9TH ,359 ,SMITHVILLE ,TX ,78957 ,BASTROP ,,,,,,,,,,8,3256,246,9,459,,80.21,,86,2,161,,,,,,, 450144,01-OCT-15,30-SEP-16,As Submitted,PERMIAN REGIONAL MEDICAL CENTER ,720 HOSPITAL DRIVE ,,ANDREWS ,TX ,79714- ,ANDREWS ,,,,18936,,,.12,,,41,15006,445,115,1937,,238.56,,134,74,749,269,,,,,, 450147,01-OCT-15,30-SEP-16,As Submitted,DETAR HEALTHCARE SYSTEMS ,506 E. ANTONIO STREET ,,VICTORIA ,TX ,77901- ,VICTORIA ,,,,949269,,,.1509,,,204,74664,16611,1028,39389,3.99,972.06,,3436,1445,9064,,,,4,1,186,189 450148,01-OCT-15,30-SEP-16,As Submitted,TEXAS HEALTH CLEBURNE ,201 WALLS DRIVE ,,CLEBURNE ,TX ,76033-4007 ,JOHNSON ,,,,117369,,,.0524,,,109,39894,4850,269,14465,,368.26,,1287,118,4129,,,,,,, 450152,01-OCT-15,30-SEP-16,As Submitted,METROPLEX HOSPITAL ,2201 SOUTH CLEAR CREEK ROAD ,,KILLEEN ,TX ,76549 ,BELL ,,,,724470,,,.2022,,,208,76128,8119,1738,24333,,688.85,,1844,310,6765,,,,,,, 450154,01-JUL-16,30-JUN-17,As Submitted,VAL VERDE REGIONAL MEDICAL CENTER ,801 BEDELL ST ,,DEL RIO ,TX ,78840- ,VAL VERDE ,,,,131368,,,.12,,,47,17155,2905,365,8603,,441.47,,722,177,2542,,,,,,, 450155,01-OCT-15,30-SEP-16,As Submitted,HEREFORD REGIONAL MEDICAL CTR ,801 EAST 3RD STREET ,,HEREFORD ,TX ,79045- ,DEAF SMITH ,,,,19507,,,.12,,,32,11712,727,341,2941,,134.4,,143,174,742,,,,,,, 450162,01-JAN-16,31-DEC-16,Amended,GRACE MEDICAL CENTER ,2412 50TH STREET ,,LUBBOCK ,TX ,79412 ,LUBBOCK ,,,,,,,,,,92,33672,1382,13,3028,,221.3,,511,2,1174,,,,,,, 450163,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS SPOHN KLEBERG MEMORIAL HOSP ,1300 GENERAL CAVASOS BLVD ,1300 ,KINGSVILLE ,TX ,78363- ,KLEBERG ,,,,155295,,,.12,,,50,18250,4697,196,13895,,219.42,,938,70,2301,699,,,,,, 450165,01-JUL-16,30-JUN-17,As Submitted,SOUTH TEXAS MEDICAL CENTER ,HWY 97 ,,JOURDANTON ,TX ,78026 ,ATASCOSA ,,,,104038,,,.12,,,67,24455,2231,310,5971,,192.16,,529,286,1570,,,,,,, 450176,01-OCT-15,30-SEP-16,As Submitted,MISSION HOSPITAL ,990 SOUTH BRYAN ,,MISSION ,TX ,78572- ,HIDALGO ,,,,2250561,,,.5071,,,229,83814,13002,8256,41293,,858.14,,2370,2421,7883,,,,,,,538 450178,01-JAN-16,31-DEC-16,As Submitted,PECOS COUNTY MEMORIAL HOSPITAL ,386 W IH-10 ,,FORT STOCKTON ,TX ,79735 ,PECOS ,,,,34627,,,.12,,,25,9150,764,130,2385,,159.1,,219,49,704,104,,,,,, 450187,01-JAN-16,31-DEC-16,Amended,SCOTT & WHITE HOSPITAL BRENHAM ,700 MEDICAL PARKWAY ,,BRENHAM ,TX ,77833- ,WASHINGTON ,,,,92094,,,.12,,,50,18300,2714,181,5345,,262.47,,449,138,1306,,,,,,, 450192,01-JUN-16,31-MAY-17,As Submitted,HILL REGIONAL HOSPITAL ,101 CIRCLE DRIVE ,,HILLSBORO ,TX ,76645 ,HILL ,,,,59564,,,.12,,,62,22630,1372,163,3144,,134.35,,357,224,933,,,,,,, 450193,01-JUL-16,30-JUN-17,As Submitted,CHI ST LUKES HEALTH BAYLOR MED CTR ,6720 BERTNER AVE ,4335 ,HOUSTON ,TX ,77030 ,HARRIS ,8280588,,,852551,,,.0341,3321144,992557,654,238710,48159,4072,152291,190.96,3457.4,,6810,226,23370,1225,,,,,,431 450194,01-NOV-15,31-OCT-16,As Submitted,ETMC JACKSONVILLE ,501 S RAGSDALE ,,JACKSONVILLE ,TX ,75766- ,CHEROKEE ,,,,76589,,,.12,,,38,13908,1608,470,5642,,145.47,,421,213,1526,,,,,,, 450196,01-JUL-16,30-JUN-17,As Submitted,PARIS REGIONAL MEDICAL CENTER ,865 DESHONG DRIVE ,9070 ,PARIS ,TX ,75462 ,LAMAR ,,,,705562,,,.0917,,,230,83950,14765,576,27000,,666.66,,3565,108,6745,1032,15,,,2,190,588 450200,01-JAN-16,31-DEC-16,As Submitted,WADLEY REGIONAL MEDICAL CENTER ,100 PINE STREET ,,TEXARKANA ,TX ,75501 ,BOWIE ,478190,222523,,682718,205963,,.1851,291888,105704,175,64050,12990,5572,30051,11.96,678.56,,2686,1212,6606,596,9,,,,286, 450203,01-NOV-15,31-OCT-16,As Submitted,WEATHERFORD REGIONAL ,713 EAST ANDERSON STREET ,,WEATHERFORD ,TX ,76086 ,PARKER ,375972,,,187215,,,.0543,,,82,30012,9132,550,22034,4.03,482.74,,1922,790,5504,,,,11,,78, 450209,01-JAN-16,31-DEC-16,Amended,NORTHWEST TEXAS HOSPITAL ,1501 S. COULTER AVENUE ,,AMARILLO ,TX ,79106-1770 ,POTTER ,1109458,1121684,,1151530,443231,,.3152,942103,273170,347,127002,14860,4138,66179,57.76,1478.4,,3465,835,14441,,,,,,2895,210 450211,01-JUL-16,30-JUN-17,As Submitted,CHI ST LUKES HEALTH MEMORIAL LUFKIN ,1201 FRANK STREET ,,LUFKIN ,TX ,75902- ,ANGELINA ,,,,244737,,,.0414,,,172,62780,13439,722,27617,,702.61,,2855,187,5356,,,,,,,240 450213,01-JAN-16,31-DEC-16,As Submitted,UNIVERSITY HEALTH SYSTEM ,4502 MEDICAL DRIVE ,,SAN ANTONIO ,TX ,78229- ,BEXAR ,10662080,,,3371664,,,.3309,4470684,1114459,595,217770,23950,26114,165613,441,7269,,3941,4718,27341,,,,,,,616 450221,01-JUL-16,31-AUG-16,As Submitted,MOORE COUNTY HOSP. DBA DUMAS MEM HOS ,224 EAST 2ND STREET ,,DUMAS ,TX ,79331 ,MOORE ,,,,2624,,,.12,,,25,1550,115,21,336,,235.11,,15,15,60,,,,,,, 450222,01-JAN-16,31-DEC-16,As Submitted,CONROE REGIONAL MEDICAL CENTER ,504 MEDICAL CENTER BLVD ,,CONROE ,TX ,77304-2808 ,MONTGOMERY ,1545518,,,1050549,,,.1067,715483,151792,276,101016,24097,4042,71954,20.96,1042.16,,4686,1212,14711,2260,,,,,,417 450231,01-JAN-16,31-DEC-16,Amended,BAPTIST SAINT ANTHONYS HOSPITAL ,1600 WALLACE BLVD ,,AMARILLO ,TX ,79106 ,POTTER ,757008,,,581447,,,.0392,272169,106525,421,154086,33147,2022,88012,9.67,2095.11,,7675,1457,21843,1924,,,,11,,359 450235,01-JUL-16,30-JUN-17,As Submitted,GONZALES HEALTHCARE SYSTEMS ,HIGHWAY 90A BYPASS ,587 ,GONZALES ,TX ,78629- ,GONZALES ,,,,44265,,,.1132,,,34,12410,954,183,2277,,192.07,,266,87,631,,,,,,, 450236,01-OCT-15,11-JUL-16,As Submitted,HOPKINS COUNTY MEMORIAL HOSPITAL ,115 AIRPORT RD ,275 ,SULPHUR SPRINGS ,TX ,75482- ,HOPKINS ,,,,161835,,,.12,,,82,23370,3189,343,7842,,425.05,,811,138,2710,,,,,1,,70 450236,12-JUL-16,30-JUN-17,As Submitted,CHRISTUS MF - SULPHUR SPRINGS ,115 AIRPORT RD ,275 ,SULPHUR SPRINGS ,TX ,75482- ,HOPKINS ,,,,237698,,,.12,,,82,28946,4581,19,10663,,352.28,,1185,10,3594,,,,,1,,94 450237,01-JUL-16,30-JUN-17,As Submitted,SANTA ROSA HEALTHCARE ,519 WEST HOUSTON STREET ,,SAN ANTONIO ,TX ,78207 ,BEXAR ,2182447,,,1358644,,,.0984,1058807,330249,405,147825,28296,1728,78848,29.34,1771.6,,6646,475,22998,,,,,,353, 450241,01-JUN-16,31-MAY-17,As Submitted,FAITH COMMUNITY HOSPITAL ,717 MAGNOLIA STREET ,,JACKSBORO ,TX ,76458- ,JACK ,,,,11347,,,.12,,,17,6205,391,4,751,,134.94,,84,2,199,,,,,,, 450253,01-JUL-16,30-JUN-17,As Submitted,BELLVILLE GENERAL HOSPITAL ,44 NORTH CUMMINGS ,,BELLVILLE ,TX ,77418- ,AUSTIN ,,,,,,,,,,32,11680,438,,628,,62.83,,31,,63,,,,,,, 450271,01-JAN-16,31-DEC-16,As Submitted,DECATUR COMMUNITY HOSPITAL ,2000 SOUTH FM #51 ,,DECATUR ,TX ,76234- ,WISE ,,,,205216,,,.0533,,,88,32208,8372,598,18424,,1107.17,,1811,224,4646,,,,,,448,144 450272,01-JAN-16,31-DEC-16,As Submitted,CENTRAL TEXAS MEDICAL CENTER ,1301 WONDER WORLD DRIVE ,,SAN MARCOS ,TX ,78666 ,HAYS ,,,,322681,,,.1335,,,157,57462,5148,985,16348,,513.16,,1216,194,4607,,,,,,, 450280,01-JAN-16,31-DEC-16,As Submitted,BAYLOR MEDICAL CENTER AT GARLAND ,2300 MARIE CURIE DRIVE ,,GARLAND ,TX ,75042 ,DALLAS ,1608522,,,267943,,,.0434,497561,210111,112,40992,13686,1366,31541,16.58,685.36,,3141,485,7282,203,,,,,, 450289,01-MAR-16,28-FEB-17,As Submitted,HARRIS HEALTH SYSTEM ,2525 HOLLY HALL ,,HOUSTON ,TX ,77054 ,HARRIS ,5671660,,,2256129,,,.5669,2432621,1575011,639,235265,10073,59254,173238,536.35,7948.1,,1696,13020,32141,,,,,,870,241 450292,01-JAN-16,31-DEC-16,As Submitted,PRESBYTERIAN HOSPITAL OF KAUFMAN ,850 ED HALL ,,KAUFMAN ,TX ,75142 ,KAUFMAN ,,,,42198,,,.037,,,68,24888,2551,128,5241,,172,,759,58,1790,184,,,,,, 450293,01-JAN-16,31-DEC-16,Amended,FRIO REGIONAL HOSPITAL ,200 IH 35 ,,PEARSALL ,TX ,78061 ,FRIO ,,,,15702,,,.12,,,22,8052,502,73,1593,,111.02,,106,27,471,,,,,,, 450299,01-OCT-15,30-SEP-16,As Submitted,COLLEGE STATION MEDICAL CENTER ,1604 ROCK PRAIRIE ROAD ,,COLLEGE STATION ,TX ,77840- ,BRAZOS ,23396,,,486630,,,.1768,13843,5329,152,55632,5273,944,16687,.61,488.12,,1269,852,4134,,,,,,, 450306,01-JAN-16,31-DEC-16,As Submitted,STAMFORD MEMORIAL HOSPITAL ,1601 COLUMBIA STREET ,911 ,STAMFORD ,TX ,79553- ,JONES ,,,,,,,,,,22,8052,273,2,398,,78.21,,62,1,97,,,,,,, 450324,01-JAN-16,31-DEC-16,As Submitted,TEXOMA MEDICAL CENTER ,5016 US HWY 75 ,,DENISON ,TX ,75020- ,GRAYSON ,736554,,,841014,,,.0599,228446,63785,277,101382,29749,1596,65752,5.87,1348.33,,6171,445,13563,,,,412,427,743,509 450330,01-JAN-16,31-DEC-16,As Submitted,OAKBEND MEDICAL CENTER ,1705 JACKSON ST ,,RICHMOND ,TX ,77469 ,FORT BEND ,17978,,,531805,,,.1608,,,160,58560,8881,2009,25867,,978.15,,1605,646,5487,898,,,,,301, 450347,01-JUL-16,30-JUN-17,As Submitted,HUNTSVILLE MEMORIAL ,110 MEMORIAL HOSPITAL DRIVE ,4001 ,HUNTSVILLE ,TX ,77340- ,WALKER ,,,,63702,,,.0259,,,87,31755,5702,276,19358,,488.84,,1337,72,4226,516,,,,,,100 450351,01-OCT-15,30-SEP-16,Amended,TEXAS HEALTH HARRIS METHODIST STEPHE ,411 BELKNAP ,,STEPHENVILLE ,TX ,76401 ,ERATH ,,,,82183,,,.0552,,,54,19764,3433,234,7215,,220.17,,914,131,2109,371,,,,,, 450352,01-OCT-15,30-SEP-16,As Submitted,HUNT REGIONAL MEDICAL CENTER ,4215 JOE RAMSEY BLVD ,1059 ,GREENVILLE ,TX ,75401- ,HUNT ,408085,,,692842,,,.1633,168606,97443,122,44652,9905,1467,24272,6,821.89,,2384,493,5112,,,,,,501,435 450358,01-JAN-16,31-DEC-16,As Submitted,THE METHODIST HOSPITAL ,6565 FANNIN STREET ,,HOUSTON ,TX ,77030- ,HARRIS ,21921772,,,1089681,,,.0252,6606169,2067385,915,334351,94114,10117,227717,220.77,6469.17,,13981,396,36127,,,,34,4,759,617 450369,01-OCT-15,30-SEP-16,Amended,CHILDRESS REGIONAL MEDICAL CENTER ,HIGHWAY 83 NORTH ,1030 ,CHILDRESS ,TX ,79201 ,CHILDRESS ,,,,38267,,,.12,,,39,14274,1325,43,2434,,163.39,,229,16,408,,,,,,, 450370,01-MAY-16,30-APR-17,As Submitted,COLUMBUS COMMUNITY HOSPITAL ,110 SHULT DRIVE ,,COLUMBUS ,TX ,78934- ,COLORADO ,,,,86836,,,.1156,,,36,14600,2547,287,4426,,125.25,,510,79,1027,166,,,,,, 450379,01-JAN-16,31-DEC-16,As Submitted,DALLS MEDICAL CENTER ,17 MEDICAL PARKWAY ,,DALLAS ,TX ,75234 ,DALLAS ,,,,409396,,,.212,,,119,43554,3332,195,15031,,433.62,,758,55,3892,,,,,,, 450388,01-JUL-16,30-JUN-17,As Submitted,METHODIST HOSPITAL ,7700 FLOYD CURL DRIVE ,,SAN ANTONIO ,TX ,78229-3902 ,BEXAR ,606465,,,8211367,,,.1732,237985,50117,1499,544854,114545,17668,423605,42.91,6547.53,,20384,2926,78435,17876,,,,,272,1305 450389,01-MAY-16,30-APR-17,Amended,ETMC ATHENS ,2000 SOUTH PALESTINE ,,ATHENS ,TX ,75751 ,HENDERSON ,,,,374347,,,.149,,,127,46482,7151,734,19495,,413.84,,1677,257,5006,782,,,,,, 450395,01-JUL-16,30-JUN-17,As Submitted,CHI ST LUKES HEALTH MEM LIVINGSTON ,HIGHWAY 59 ,P. O. BOX ,LIVINGSTON ,TX ,77351- ,POLK ,,,,138715,,,.12,,,66,24090,2175,258,5959,,179.53,,635,113,1689,622,,,,,, 450399,01-OCT-15,30-SEP-16,As Submitted,BROWNFIELD REGIONAL MEDICAL CENTER ,705 E FELT ,,BROWNFIELD ,TX ,79316 ,TERRY ,,,,24453,,,.12,,,26,9516,622,145,2167,,181.24,,185,78,552,,,,,,, 450400,01-APR-16,31-MAR-17,As Submitted,PARKVIEW REGIONAL HOSPITAL ,600 SOUTH BONHAM STREET ,,MEXIA ,TX ,76667- ,LIMESTONE ,,,,,,,,,,49,17885,878,23,1412,,101.92,,199,9,380,,,,,,83, 450411,01-JUL-16,30-JUN-17,As Submitted,EASTLAND MEMORIAL HOSPITAL ,304 S DAUGHTERY ,,EASTLAND ,TX ,76448- ,EASTLAND ,,,,,,,,,,34,12410,1451,10,2480,,120.18,,283,3,483,18,,,,,, 450419,01-OCT-15,30-SEP-16,As Submitted,TX HXLTH HARRIS METHODIST HOSP AZIE ,108 DENVER TRAIL ,,AZLE ,TX ,76020 ,TARRANT ,,,,,,,,,,31,11315,1815,117,5000,,200.28,,539,21,1559,75,,,,,, 450422,01-JAN-16,31-DEC-16,As Submitted,BAYLOR MEDICAL CENTER AT UPTOWN ,2727 LEMMON AVENUE ,,DALLAS ,TX ,75204 ,DALLAS ,,,,,,,,,,24,8784,604,,2083,,181.66,,353,,1289,,,,,,, 450424,01-JAN-16,31-DEC-16,As Submitted,SAN JACINTO METHODIST HOSPITAL ,4401 GARTH ROAD ,,BAYTOWN ,TX ,77521- ,HARRIS ,1536101,,,976104,,,.1284,781395,212924,190,69633,18946,3417,50151,12.04,1307.02,,3377,624,11286,,,,29,3,793,425 450431,01-JAN-16,31-DEC-16,Amended,ST. DAVIDS MEDICAL CENTER ,919 EAST 32ND STREET ,4039 ,AUSTIN ,TX ,78765- ,TRAVIS ,,,,4426929,,,.1992,,,493,176984,39993,11922,130131,,2318.33,,8283,3260,24661,5445,,,,,,1835 450447,01-JAN-16,31-DEC-16,Amended,NAVARRO REGIONAL HOSPITAL ,3201 WEST HWY 22 ,,CORSICANA ,TX ,75110- ,NAVARRO ,,,,366227,,,.1914,,,49,59292,3741,472,9325,,237.02,,1009,529,2575,,,,,,, 450451,01-OCT-15,30-SEP-16,As Submitted,GLEN ROSE MEDICAL CENTER ,1021 HOLDEN STREET ,,GLEN ROSE ,TX ,76043- ,SOMERVELL ,,,,,,,,,,16,5856,887,,1620,,159.9,,226,,424,6,,,,,, 450460,01-JUL-16,30-JUN-17,As Submitted,TYLER COUNTY HOSPITAL ,1100 WEST BLUFF ,,WOODVILLE ,TX ,75979 ,TYLER ,,,,,,,,,,25,9125,754,5,1104,,98.01,,270,2,404,15,,,,,, 450462,01-JAN-16,31-DEC-16,As Submitted,TEXAS HEALTH DALLAS ,8200 WALNUT HILL LANE ,,DALLAS ,TX ,75231 ,DALLAS ,2381396,,,1888502,,,.1023,900507,256621,536,195871,38866,5343,135836,32.5,2656.93,,7334,578,24575,2484,62,,13,4,1823,1048 450465,01-OCT-15,30-SEP-16,As Submitted,MATAGORDA REGIONAL MEDICAL CENTER ,104 7TH STREET ,,BAY CITY ,TX ,77414- ,MATAGORDA ,,,,144885,,,.12,,,46,16836,3449,274,8353,,335.13,,764,165,2040,,,,,,145, 450469,01-JAN-16,31-DEC-16,As Submitted,WILSON N JONES REGIONAL MED CENTER ,500 NORTH HIGHLAND AVENUE ,,SHERMAN ,TX ,75092 ,GRAYSON ,,,,199473,,,.0478,,,217,79205,10548,885,20744,,796.06,,1971,60,5215,540,,,77,,404, 450475,01-OCT-15,30-SEP-16,As Submitted,ETMC HENDERSON ,300 WILSON ST ,,HENDERSON ,TX ,75652- ,RUSK ,,,,68409,,,.12,,,41,14965,1516,236,4685,,134.67,,465,87,1436,,,,,,, 450484,01-JAN-16,31-DEC-16,Amended,WOODLAND HEIGHTS MED CENTER ,505 SOUTH JOHN REDDIT ,,LUFKIN ,TX ,75904 ,ANGELINA ,,,,506799,,,.1383,,,137,50142,9429,665,21352,,502.25,,1861,212,5794,,,,,,, 450489,01-APR-16,31-MAR-17,As Submitted,MEDICAL ARTS HOSPITAL ,2200 NORTH BRYAN AVE. ,,LAMESA ,TX ,79331- ,DAWSON ,,,,11274,,,.12,,,22,8030,452,63,1350,,152.06,,83,35,311,,,,,,, 450498,01-OCT-15,30-SEP-16,As Submitted,STEPHENS MEMORIAL HOSPITAL ,200 SOUTH GENEVA STREET ,,BRECKENRIDGE ,TX ,76424- ,STEPHENS ,,,,,,,,,,25,9150,552,,826,,101.71,,142,,260,,,,,,, 450508,01-JUL-16,30-JUN-17,As Submitted,NACOGDOCHES MEMORIAL HOSPITAL ,1204 NORTH MOUND STREET ,,NACOGDOCHES ,TX ,75961- ,NACOGDOCHES ,,,,505917,,,.1929,,,112,37984,7127,1555,18905,,690.46,,1499,492,4155,,,,,,57,331 450518,01-DEC-15,30-NOV-16,As Submitted,THE MEDICAL CENTER OF SOUTHEAST TEXA ,2555 JIMMYJOHNSON BLVD ,,PORT ARTHUR ,TX ,77640 ,JEFFERSON ,,,,905714,,,.1851,,,185,67710,11797,1769,36221,,731.98,,2492,328,7924,1552,153,,19,,754,222 450537,01-JUL-16,30-JUN-17,As Submitted,METHODIST RICHARDSON MEDICAL CENTER ,2831 E. PRESIDENT GEORGE BUSH HWY ,,RICHARDSON ,TX ,75082 ,DALLAS ,,,,,,,,,,165,61845,10664,915,40483,,909.63,,2054,159,8282,,,,,,2259, 450539,01-JUL-16,30-JUN-17,As Submitted,COVENANT HOSPITAL PLAINVIEW ,2601 DIMMITT ROAD ,,PLAINVIEW ,TX ,79072 ,HALE ,,,,124797,,,.12,,,49,17885,2219,462,8321,,275.48,,631,194,1897,,,,,,, 450563,01-JUL-16,30-JUN-17,As Submitted,BAYLOR MEDICAL CENTER-GRAPEVINE ,1650 WEST COLLEGE ST ,,GRAPEVINE ,TX ,76051 ,TARRANT ,,,,,,,,,,288,105120,19267,720,64978,,962.21,,4203,97,13961,,,,,,,275 450565,01-OCT-15,30-SEP-16,As Submitted,PALO PINTO GENERAL HOSPITAL ,400 SW 25TH AVENUE ,,MINERAL WELLS ,TX ,76067- ,PALO PINTO ,,,,183141,,,.2159,,,40,14640,2758,295,6423,,265.8,,581,102,1464,,,,,,, 450571,01-OCT-15,30-SEP-16,As Submitted,SHANNON MEDICAL CENTER ,120 EAST HARRIS AVENUE ,1879 ,SAN ANGELO ,TX ,76903 ,TOM GREEN ,,,,1096610,,,.0977,,,256,93696,26363,2527,56847,,1423.6,,5151,1558,12133,,,,,,,133 450573,01-JUL-16,30-JUN-17,As Submitted,JASPER MEMORIAL HOSPITAL ,1275 MARVIN HANCOCK DR ,,JASPER ,TX ,75951- ,JASPER ,,,,67116,,,.12,,,40,14600,1263,119,3559,,139.88,,451,47,1070,,,,,,, 450578,01-OCT-15,30-SEP-16,As Submitted,HEMPHILL COUNTY HOSPITAL ,1020 S 4TH ST ,,CANADIAN ,TX ,79014- ,HEMPHILL ,,,,,,,,,,11,4026,587,,807,,85.3,,71,,134,,,,,,, 450580,01-MAR-16,30-SEP-16,As Submitted,HOUSTON COUNTY MEDICAL CENTER ,1100 LOOP 304 ,,CROCKETT ,TX ,75835- ,HOUSTON ,,,,20163,,,.12,,,37,7942,482,162,1070,,119.63,,137,96,338,,,,,,, 450584,01-OCT-15,30-SEP-16,As Submitted,WILBARGER GENERAL HOSPITAL ,920 HILLCREST DRIVE ,,VERNON ,TX ,76384- ,WILBARGER ,,,,,,,,,,28,10248,1355,,2233,,131.53,,208,,375,17,,,,,11, 450586,01-JUL-16,30-JUN-17,As Submitted,BAYLOR COUNTY HOSPITAL DISTRICT ,200 STADIUM DRIVE ,,SEYMOUR ,TX ,76380 ,BAYLOR ,,,,22615,,,.0819,,,27,9882,1188,31,1773,,102.2,,189,13,357,,,,,,, 450587,01-OCT-15,30-SEP-16,As Submitted,BROWNWOOD REGIONAL MEDICAL CENTER ,1501 BURNET DRIVE ,,BROWNWOOD ,TX ,76804- ,BROWNWOOD ,,,,253146,,,.12,,,83,30378,5556,436,12389,,482.82,,1224,633,2901,,,,,,, 450596,01-DEC-15,30-NOV-16,As Submitted,LAKE GRANBURY MEDICAL CENTER ,1310 PALUXY ROAD ,,GRANBURY ,TX ,76048 ,HOOD ,,,,114690,,,.0467,,,43,15738,3876,413,9785,,331.64,,1109,354,2932,,,,,,, 450597,01-OCT-15,30-SEP-16,As Submitted,CUERO COMMUNITY HOSPITAL ,2550 NORTH ESPLANDE ,,CUERO ,TX ,77954- ,DEWITT ,,,,60490,,,.12,,,49,17934,1473,68,3049,,288.68,,364,16,776,223,,,,,, 450604,01-JAN-16,31-DEC-16,As Submitted,HILL COUNTRY MEMORIAL HOSPITAL ,1020 KERRVILLE HWY ,835 ,FREDERICKSBURG ,TX ,78624- ,GILLESPIE ,,,,82033,,,.0333,,,57,20862,4015,306,8469,,433.29,,1135,145,2240,163,,,,,, 450605,01-JAN-16,31-DEC-16,As Submitted,CARE REGIONAL MEDICAL CENTER ,141 W WHEELER ,,ARANSAS PASS ,TX ,78336- ,SAN PATRICIO ,,,,47112,,,.1076,,,63,23058,1446,11,5180,,184.59,,290,3,925,,,,,,925, 450617,01-JAN-16,31-DEC-16,As Submitted,CLEAR LAKE REG MED CTR ,500 MEDICAL CENTER BLVD. ,,WEBSTER ,TX ,77598- ,HARRIS ,,,,2041822,,,.114,,,566,207156,48010,5979,153956,,2379.6,,8537,1080,28681,5826,,,,,530,905 450620,01-OCT-15,30-SEP-16,As Submitted,DIMMIT REGIONAL HOSPITAL DISTRICT ,70440 SPIRAL DRIVE ,,CARRIZO SPRINGS ,TX ,78834- ,DIMMIT ,,,,18289,,,.12,,,35,12810,510,52,2767,,181.75,,118,20,906,563,,,,,, 450634,01-JAN-16,31-DEC-16,As Submitted,MEDICAL CITY DENTON ,3535 SOUTH I-35E ,,DENTON ,TX ,76210- ,DENTON ,,,,,,,,,,184,67344,18201,737,43686,,721.28,,3669,115,9151,392,,,,,, 450638,01-JUN-16,31-MAY-17,As Submitted,HOUSTON NORTHWEST MEDICAL CENTER ,710 FM 1960 WEST ,,HOUSTON ,TX ,77090 ,HARRIS ,65112,,,1959703,,,.3023,30065,9278,299,109135,14355,10634,76287,3.9,1142.52,,2991,1944,16411,3376,,,,1,,191 450639,01-OCT-15,30-SEP-16,As Submitted,TEXAS HEALTH H-E-B ,1600 HOSPITAL PKWY ,,BEDFORD ,TX ,76021 ,TARRANT ,,,,436443,,,.0684,,,161,61122,13764,1854,51602,,1244.1,,3145,283,11976,1118,,,,,2603, 450641,01-JUL-16,30-JUN-17,As Submitted,NOCONA GENERAL HOSPITAL ,100 PARK ROAD ,,NOCONA ,TX ,76255-3616 ,MONTAGUE ,,,,,,,,,,33,12045,1776,7,2626,,90.16,,317,3,471,,,,,,, 450643,01-JAN-16,31-DEC-16,As Submitted,DOCTORS HOSPITAL OF LAREDO ,10700 MCPHERSON ROAD ,,LAREDO ,TX ,78045- ,WEBB ,,,,1520725,,,.3708,,,171,62586,14095,3211,40929,,698.51,,1985,943,7667,,,,,,,236 450644,01-JAN-16,31-DEC-16,As Submitted,WEST HOUSTON MEDICAL CENTER ,12141 RICHMOND AVE ,,HOUSTON ,TX ,77082- ,HARRIS ,675857,,,1840829,,,.2977,371845,68718,218,77574,15502,6284,65380,10.01,1059.53,,2665,1962,12102,3288,,,,,289,227 450647,01-JUN-16,31-MAY-17,As Submitted,MEDICAL CITY DALLAS ,7777 FOREST LANE ,,DALLAS ,TX ,75230- ,DALLAS ,44600,,,2482195,,,.1752,19706,3944,656,239440,34235,7578,162795,1.24,2379.8,,5249,844,25309,4012,,,,3,,450 450651,01-APR-16,31-MAR-17,As Submitted,MEDICAL CITY PLANO ,3901 WEST 15TH STREET ,,PLANO ,TX ,75075- ,COLLIN ,,,,732996,,,.0559,,,417,152205,32835,3273,114391,1.83,1610.22,,5434,489,19211,972,,,,6,,539 450653,01-JAN-16,31-DEC-16,As Submitted,SCENIC MT REGIONAL ,1601 W 11TH PLACE ,,BIG SPRINGS ,TX ,79720- ,HOWARD ,,,,141523,,,.1118,,,75,27450,3383,196,8209,,281.06,,897,391,2412,,,,,,, 450654,01-OCT-15,30-SEP-16,As Submitted,STARR COUNTY MEMORIAL HOSPITAL ,128 NORTH FM 1367 ,#78 ,RIO GRANDE CITY ,TX ,78582-0078 ,STARR ,,,,86309,,,.12,,,48,17568,2277,496,4311,,270,,608,187,1197,,,,,,, 450656,01-JAN-16,31-DEC-16,As Submitted,NACOGDOCHES MEDICAL CENTER ,4920 NORTHEAST STALLINGS DRIVE ,,NACOGDOCHES ,TX ,75965 ,NACOGDOCHES ,,,,132750,,,.0426,,,155,56730,6866,643,14821,,303.6,,1667,64,3871,300,,,,,, 450658,01-SEP-16,31-DEC-16,As Submitted,ETMC FAIRFIELD ,125 NEWMAN STREET ,,FAIRFIELD ,TX ,75840- ,FREESTONE ,,,,,,,,,,37,4514,193,,328,,21.11,,64,,115,,,,,,, 450659,01-JAN-16,31-DEC-16,As Submitted,PARK PLAZA HOSPITAL ,1313 HERMANN DRIVE ,,HOUSTON ,TX ,77004 ,HARRIS ,30914,,,505340,,,.2161,26756,8434,133,48678,6170,645,19239,.56,373,,1163,46,3457,391,,,,,, 450661,01-OCT-15,30-SEP-16,As Submitted,ODESSA REGIONAL HOSPITAL ,520 EAST 6TH STREET ,,ODESSA ,TX ,79760 ,ECTOR ,,,,791507,,,.3412,,,192,70272,4935,1964,33614,,640.49,,1018,214,6007,2071,,,,1,,133 450662,01-APR-16,31-MAR-17,As Submitted,VALLEY REGIONAL MEDICAL CENTER ,100 ALTON GLOOR BLVD ,,BROWNSVILLE ,TX ,78526 ,CAMERON ,,,,2168698,,,.3664,,,214,78110,21630,4161,56139,,729.86,,2626,1215,8740,3316,,,,,, 450668,01-JUN-16,31-MAY-17,As Submitted,THE HOSPITALS OF PROVIDENCE SIERRA C ,1625 MEDICAL CTR. DR. ,,EL PASO ,TX ,79902 ,EL PASO ,,,,1025256,,,.1756,,,280,102200,13152,2916,42028,,730,,2787,209,9547,1284,,,,,,425 450669,01-JUN-16,31-MAY-17,As Submitted,MEDICAL CITY LEWISVILLE ,500 WEST MAIN ,,LEWISVILLE ,TX ,75067- ,DENTON ,,,,435763,,,.1449,,,151,57548,6817,2439,30412,,581.43,,1536,661,6227,390,,,,,,403 450670,01-JUL-16,30-JUN-17,As Submitted,TOMBALL REGIONAL HOSPITAL ,605 HOLDERIETH ,,TOMBALL ,TX ,77375 ,HARRIS ,,,,327078,,,.0583,,,279,101835,13653,1722,41383,,908.55,,2602,1027,8273,,,,,,312,441 450672,01-FEB-16,31-JAN-17,As Submitted,MEDICAL CITY FORT WORTH ,900 EIGHTH ,,FORT WORTH ,TX ,76104 ,TARRANT ,4874080,,,458968,,,.0452,2347384,379811,202,72674,20896,709,52275,58.74,884.91,,3820,92,9746,2,,,,,,292 450674,01-MAR-16,28-FEB-17,As Submitted,WOMANS HOSPITAL OF TEXAS ,7600 FANNIN STREET ,,HOUSTON ,TX ,77054 ,HARRIS ,,,,59430,,,.3785,,,257,93805,389,7639,111493,,1314.31,,103,1103,14606,6739,,,,,, 450675,01-JUN-16,31-MAY-17,As Submitted,MEDICAL CITY ARLINGTON ,3301 MATLOCK ROAD ,,ARLINGTON ,TX ,76015 ,TARRANT ,,,,1622935,,,.2111,,,308,109500,20330,4973,86751,1.08,1064.71,,3495,1412,16044,4877,,,,,, 450677,01-JAN-16,31-DEC-16,As Submitted,TEXAS HEALTH HUGULEY ,11801 SOUTH FREEWAY ,,BURLESON ,TX ,76028 ,TARRANT ,,,,577993,,,.0963,,,356,98979,13417,1876,44911,,1143.05,,2766,548,11127,,,,,,, 450678,01-JAN-16,31-MAY-16,As Submitted,DOCTORS HOSPITAL AT WHITE ROCK LAKE ,9440 POPPY DRIVE ,,DALLAS ,TX ,75218 ,DALLAS ,,,,237981,,,.1588,,,187,28424,3337,827,12359,,491,,732,130,2888,512,,,,,, 450678,01-JUN-16,31-MAY-17,As Submitted,BAYLOR SCOTT & WHITE - WHITE ROCK LA ,9440 POPPY DRIVE ,,DALLAS ,TX ,75218 ,DALLAS ,,,,819577,,,.2062,,,187,68255,9189,2029,33253,,498.1,,1969,344,7750,1464,,,,,, 450684,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HERMANN NORTHEAST ,18951 MEMORIAL NORTH ,,HUMBLE ,TX ,77338- ,HARRIS ,,,,888416,,,.137,,,255,93330,14938,3094,58466,,1070.95,,3029,1041,13617,1917,,,,,, 450686,01-JAN-16,31-DEC-16,Amended,UNIVERSITY MEDICAL CENTER ,602 INDIANA AVE ,,LUBBOCK ,TX ,79415 ,LUBBOCK ,8446210,,,2776334,,,.2273,2909126,1129330,431,156998,29898,6609,121556,186.53,3952.96,,5074,1126,23861,5608,,,,,, 450688,01-JAN-16,31-DEC-16,As Submitted,DALLAS REGIONAL MEDICAL CENTER ,1011 NORTH GALLOWAY ,,MESQUITE ,TX ,75149 ,DALLAS ,,,,483187,,,.1473,,,202,73932,6454,187,23141,,508.16,,1418,54,5569,,,,,,, 450694,01-APR-16,31-MAR-17,As Submitted,EL CAMPO MEMORIAL HOSPITAL ,303 SANDY CORNER ROAD ,,EL CAMPO ,TX ,77437- ,WHARTON ,,,,,,,,,,26,9490,1714,7,2370,,102.87,,280,3,481,,,,,,, 450697,01-OCT-15,30-SEP-16,Amended,SOUTHWEST GENERAL HOSPITAL ,7400 BARLITE BLVD ,,SAN ANTONIO ,TX ,78224 ,BEXAR ,,,,1434707,,,.4828,,,232,84722,6354,3007,42788,,658.75,,1243,412,8075,2779,226,,,4,1015,156 450698,01-OCT-15,30-SEP-16,As Submitted,LAMB HEALTHCARE CENTER ,1500 SOUTH SUNSET ,,LITTLEFIELD ,TX ,79339- ,LAMB ,,,,10354,,,.12,,,42,15330,606,190,1524,,90.03,,76,95,312,,,,,,, 450702,01-OCT-15,30-SEP-16,As Submitted,LONGVIEW REGIONAL MEDICAL CENTER ,2901 NORTH FOURTH ST ,,LONGVIEW ,TX ,75601 ,GREGG ,,,,1002960,,,.1361,,,215,78690,13705,2262,39628,,1427.68,,3341,1662,9162,,,,,,, 450709,01-JAN-16,31-DEC-16,As Submitted,HOUSTON METHODIST ST. JOHN HOSPITAL ,18300 ST. JOHN DRIVE ,,NASSAU BAY ,TX ,77058 ,HARRIS ,,,,,,,,,,178,65148,6663,426,21435,,724.16,,1526,493,5989,,,,,,, 450711,01-OCT-15,30-SEP-16,As Submitted,RIO GRANDE REGIONAL HOSPITAL ,101 EAST RIDGE ROAD ,,MCALLEN ,TX ,78503- ,HILDAGO ,,,,2979462,,,.456,,,320,117120,17586,8033,67864,,1046.75,,3471,2219,14514,4354,,,,,, 450713,01-NOV-15,31-OCT-16,Amended,SOUTH AUSTIN MEDICAL CENTER ,901 WEST BEN WHITE BLVD ,,AUSTIN ,TX ,78704- ,TRAVIS ,,,,955851,,,.0686,,,117,105144,32343,2675,86921,,1265.5,,6259,522,17005,2193,,,,,, 450716,01-JAN-16,31-DEC-16,As Submitted,CYPRESS FAIRBANKS MEDICAL CENTER ,10655 STEEPLETOP ,,HOUSTON ,TX ,77065 ,HARRIS ,,,,635348,,,.3688,,,181,66246,3722,6865,38513,,685.5,,948,1163,9069,2090,,,,,, 450718,01-MAR-16,28-FEB-17,As Submitted,ROUND ROCK MEDICAL CENTER ,2400 ROUND ROCK AVENUE ,,ROUND ROCK ,TX ,78681- ,WILLIAMSON ,,,,407303,,,.0629,,,147,53105,13839,2362,41099,,705.48,,2898,1198,8677,816,,,,,,325 450723,01-JUL-16,30-JUN-17,As Submitted,METHODIST CHARLTON MEDICAL CENTER ,3500 WEST WHEATLAND RD ,225357 ,DALLAS ,TX ,75237-3464 ,DALLAS ,841451,,,1400980,,,.1688,888076,308535,281,102565,19361,1585,63927,15.27,1454.83,,3529,372,12013,,,,,,, 450730,01-OCT-15,30-SEP-16,As Submitted,BAYLOR MEDICAL CENTER AT CARROLLTON ,4343 N. JOSEY LANE ,,CARROLLTON ,TX ,75010- ,DENTON ,,,,375951,,,.1113,,,130,43188,7630,2466,26315,,591.31,,1592,352,5578,,,,,,, 450742,01-JUN-16,31-MAY-17,As Submitted,BAYLOR SCOTT & WHITE-LAKE POINTE ,6800 SCENIC DRIVE PO BOX 1550 ,,ROWLETT ,TX ,75088 ,ROCKWALL ,,,,661315,,,.1589,,,112,40880,8733,2044,31661,,529.7,,2124,232,8036,,,,,,, 450743,01-MAY-16,30-APR-17,As Submitted,TEXAS HEALTH DENTON ,207 NORTH BONNIE BRAE ,,DENTON ,TX ,76201 ,DENTON ,,,,645569,,,.0966,,,208,75920,15301,2869,50806,,952.41,,3095,537,10766,,,,,,, 450746,01-OCT-15,30-SEP-16,As Submitted,KNOX COUNTY HOSPITAL ,712 SOUTH FIFTH ,,KNOX CITY ,TX ,79529 ,KNOX ,,,,1632,,,.0316,,,28,10248,245,,324,,60.82,,49,1,75,,,,,,, 450747,01-JAN-16,31-DEC-16,As Submitted,PALESTINE REGIONAL MEDICAL CENTER ,2900 SOUTH LOOP 256 ,,PALESTINE ,TX ,75801- ,ANDERSON ,,,,296647,,,.1624,,,116,42340,4838,627,19461,,470.99,,1150,241,3693,,,,,,270,112 450749,01-MAR-16,28-FEB-17,As Submitted,ETMC TRINITY ,900 PROSPECT DRIVE ,471 ,TRINITY ,TX ,75862- ,TRINITY ,,,,924,,,.0353,,,45,16470,87,,153,,38,,23,,47,2,,,,,, 450754,01-OCT-15,30-SEP-16,As Submitted,HAMILTON GENERAL HOSPITAL ,400 NORTH BROWN ,,HAMILTON ,TX ,76531- ,HAMILTON ,,,,,,,,,,42,15372,2273,19,3604,,194.33,,573,6,998,50,,,,,, 450755,01-JUL-16,30-JUN-17,As Submitted,COVENANT HOSPITAL LEVELLAND ,3900 COLLEGE AVENUE ,,LEVELLAND ,TX ,79336 ,HOCKLEY ,,,,23008,,,.12,,,48,17520,519,179,2195,,137.59,,153,98,683,,,,,,, 450771,01-JAN-16,31-DEC-16,As Submitted,TEXAS HEALTH PRESBYTERIAN HOSPITAL P ,6200 WEST PARKER ROAD ,,PLANO ,TX ,75093 ,COLLIN ,,,,543531,,,.0609,,,338,123708,18116,2365,83460,,1329.93,,3920,614,20542,799,,,,,1053, 450774,01-JAN-16,31-DEC-16,As Submitted,TOPS SURGICAL SPECIALTY HOSPITAL ,17080 RED OAK DRIVE ,,HOUSTON ,TX ,77090 ,HARRIS ,,,,,,,,,,16,5856,450,,1589,,153.99,,192,,727,,,,,,, 450775,01-OCT-15,30-SEP-16,Amended,KINGWOOD MEDICAL CENTER ,22999 HIGHWAY 59 NORTH ,,KINGWOOD ,TX ,77339- ,HARRIS COUNTY ,466447,,,1336277,,,.1401,288710,39009,341,124806,25725,2954,92453,6.91,1150.52,,4493,715,17149,3977,,,,7,,562 450779,01-OCT-15,30-SEP-16,As Submitted,TEXAS HEALTH SOUTHWEST ,6100 HARRIS PARKWAY ,,FORT WORTH ,TX ,76132-4101 ,TARRANT ,,,,550419,,,.0677,,,199,72834,15476,1534,57569,,1006.4,,3899,469,14719,,,,,,, 450780,01-JAN-16,31-DEC-16,As Submitted,METHODIST AMBULATORY SURGICAL HOSPIT ,9150 HUEBNER RD ,,SAN ANTONIO ,TX ,78240-1558 ,BEXAR ,,,,,,,,,,23,8418,411,,1065,1.26,92.27,,190,,492,2,,,,,, 450797,01-JAN-16,31-DEC-16,As Submitted,HOUSTON HOSPITAL FOR SPECIALIZED SUR ,5400 LABRANCH BLVD ,,HOUSTON ,TX ,77004- ,HARRIS ,,,,18758,,,.12,,,7,2562,68,1,424,,128.7,,41,1,188,20,,,,,, 450801,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS ST MICHAEL ,2600 ST MICHAEL DRIVE ,,TEXARKANA ,TX ,75503 ,BOWIE ,358601,,,1469151,,,.1321,209742,94843,354,129210,25160,617,59561,13.88,1394,,5437,153,14801,,,,,,, 450803,01-JAN-16,31-DEC-16,As Submitted,DOCTORS HOSPITAL TIDWELL ,510 TIDWELL ST ,,HOUSTON ,TX ,77091 ,,,,,255073,,,.532,,,113,39358,2464,753,6060,,413,,1373,738,14483,2365,,,,,, 450804,01-JAN-16,31-DEC-16,As Submitted,TEXAS ORTHOPEDIC HOSPITA ,7401 SOUTH MAIN STREET ,,HOUSTON ,TX ,77030 ,HARRIS ,,,,,,,,,,49,17934,2775,19,8565,,367.66,,1172,7,3698,40,,,,,, 450808,01-JAN-16,31-DEC-16,As Submitted,NORTHWEST HILLS SURGICAL HOSPITAL ,6818 AUSTIN CENTER BLVD SUITE 100 ,,AUSTIN ,TX ,78731 ,TRAVIS ,,,,,,,,,,8,2928,180,4,587,,98.44,,128,2,462,,,,,,, 450820,01-JAN-16,31-DEC-16,As Submitted,METHODIST SUGAR LAND HOSPITAL ,16655 SOUTHWEST FREEWAY ,,SUGAR LAND ,TX ,77479- ,FORT BEND ,,,,1152774,,,.0896,,,319,116435,28396,4587,81372,,1907.9,,5452,502,16582,,,,,,, 450822,01-JAN-16,31-DEC-16,As Submitted,LAS COLINAS MEDICAL CENTER ,6800 N. MACARTHUR BLVD ,,IRVING ,TX ,75039 ,DALLAS ,,,,101827,,,.0751,,,90,32850,3096,351,20261,,351.79,,734,94,4949,,,,,,, 450825,01-JAN-16,31-DEC-16,As Submitted,CORNERSTONE REGIONAL HOSPITAL ,2302 CORNERSTONE BLVD. ,,EDINBURG ,TX ,78539- ,HIDALGO ,,,,67305,,,.12,,,14,5124,520,1,1622,,72.37,,213,1,733,,,,,,, 450827,01-JAN-16,31-DEC-16,As Submitted,KELL WEST REGIONAL HOSPITAL ,5420 KELL WEST BOULEVARD ,,WICHITA FALLS ,TX ,76310 ,WICHITA ,,,,,,,,,,41,15006,1945,4,3562,,221,,656,1,1176,,,,,,, 450828,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS SPOHN ALICE ,2500 E. MAIN ,,ALICE ,TX ,78332- ,JIM WELLS ,,,,139415,,,.12,,,72,26280,3071,336,9063,,239.59,,801,161,2669,203,,,2,,135, 450833,01-MAY-16,30-APR-17,As Submitted,ENNIS REGIONAL MEDICAL CENTER ,2201 WEST LAMPASA STREET ,,ENNIS ,TX ,75119 ,ELLIS ,,,,,,,,,,50,18250,1220,21,2147,,126.34,,341,8,649,19,,,,,, 450834,01-JAN-16,31-DEC-16,As Submitted,THE PHYSICIAN CENTRE ,3131 UNIVERSITY DRIVE E. ,,BRYAN ,TX ,77802- ,BRAZOS ,,,,,,,,,,16,5856,216,,542,,63.13,,97,,287,,,,,,, 450840,01-JAN-16,31-DEC-16,As Submitted,TEXAS HEALTH HOSPITAL ALLEN ,1105 N. CENTRAL EXPRESSWAY ,,ALLEN ,TX ,75013 ,COLLIN ,,,,118505,,,.0691,,,56,20496,2878,285,12393,,337.33,,877,74,3591,296,,,,,, 450844,01-JAN-16,31-DEC-16,As Submitted,METHODIST WILLOWBROOK HOSPITAL ,18220 TOMBALL PARKWAY HOSPITAL ,,HOUSTON ,TX ,77070- ,HARRIS ,,,,1309969,,,.1331,,,313,114245,22114,5100,84971,,1730.37,,4474,607,17686,,,,,,, 450845,01-JAN-16,31-DEC-16,As Submitted,EL PASO SPECIALTY HOSPITAL ,1755 CURIE SUITE A ,,EL PASO ,TX ,79902 ,EL PASO ,,,,,,,,,,31,11346,481,1,1734,,151.45,,228,1,623,5,,,,,, 450847,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HERMANN KATY ,23900 KATY FREEWAY ,,KATY ,TX ,77494 ,HARRIS ,,,,262006,,,.0526,,,208,75920,9709,1929,40724,,936,,2271,504,12025,986,,,,,, 450848,01-OCT-15,30-SEP-16,As Submitted,MEMORIAL HERMANN SUGARLAND ,17500 WEST GRAND PARKWAY ,,SUGARLAND ,TX ,77479 ,FORT BEND ,,,,303239,,,.12,,,95,34518,4474,1919,23340,,617.77,,1183,751,7328,1024,,,,,, 450851,01-JUL-16,30-JUN-17,As Submitted,BAYLOR HEART AND VASCULAR ,621 NORTH HALL ST SUITE 150 ,,DALLAS ,TX ,75246- ,DALLAS ,761859,,,,,,,,,54,19710,4112,27,8417,5.33,406.02,,1174,10,2471,,,,,,, 450853,01-JAN-16,31-DEC-16,As Submitted,BAYLOR MEDICAL CENTER AT FRISCO ,5601 WARREN PARKWAY ,,FRISCO ,TX ,75034 ,COLLIN ,,,,,,,,,,68,24888,1620,84,18245,,535.74,,755,30,4889,,,,,,, 450855,01-JAN-16,31-DEC-16,Amended,HARLINGEN MEDICAL CENTER ,5510 SOUTH EXPRESSWAY ,,HARLINGEN ,TX ,78550 ,CAMERON ,,,,977315,,,.2538,,,112,40992,7310,636,21936,,528.55,,1737,59,4163,,,,,,, 450856,01-JAN-16,31-DEC-16,As Submitted,SOUTH TX SPINE & SURGICAL HOSPITAL ,18600 NORTH HARDY OAK BLVD ,,SAN ANTONIO ,TX ,78258 ,BEXAR ,,,,,,,,,,30,10980,1083,4,2921,,109.81,,390,2,1191,,,,,,, 450860,01-JAN-16,31-DEC-16,Amended,MEMORIAL HERMANN FIRST COLONY ,1211 HIGHWAY 6 SUITE 70 ,,SUGAR LAND ,TX ,77478 ,FORT BEND ,,,,,,,,,,6,2196,107,,529,,90.58,,71,,380,,,,,,, 450862,01-JUL-16,30-JUN-17,As Submitted,ST. LUKES THE WOODLANDS HOSPITAL ,17200 ST LUKES WAY ,4546 ,THE WOODLANDS ,TX ,77384 ,MONTGOMERY ,,,,,,,,,,216,78840,13052,4698,45864,,886.4,,2960,165,10613,665,,,,,,331 450864,01-JAN-16,31-DEC-16,As Submitted,TEXAS SPINE & JOINT HOSPITAL ,1814 ROSELAND BLVD ,,TYLER ,TX ,75701- ,SMITH ,,,,,,,,,,18,6588,2761,3,5401,,314.93,,1193,1,2280,,,,,,, 450865,01-JUL-16,30-JUN-17,As Submitted,DCHSA-D.B.A.-SETON SOUTHWEST ,7900 FM 1826 ,,AUSTIN ,TX ,78737- ,TRAVIS ,,,,2579,,,.0477,,,33,12045,115,14,2091,,102.54,,25,5,2133,124,,,,,, 450867,01-JUL-16,30-JUN-17,As Submitted,DCHSA-D.B.A.-SETON NORTHWEST ,11113 RESEARCH BLVD ,,AUSTIN ,TX ,78759-5297 ,TRAVIS ,,,,237396,,,.1411,,,106,38690,3518,1576,18065,,332.4,,897,519,4562,1219,,,,,, 450869,01-JAN-16,31-DEC-16,As Submitted,DOCTORS HOSPITAL AT RENAISSANCE ,5501 SOUTH MCCOLL ,,EDINBURG ,TX ,78539- ,HIDALGO ,2107415,,,6648167,,,.5319,730349,422896,449,164334,28414,15603,144292,33.53,3623.54,,5473,3672,30841,13792,,,24,1,829,789 450871,01-JAN-16,31-DEC-16,As Submitted,ARISE AUSTIN MEDICAL CENTER ,3003 BEE CAVE ROAD ,,AUSTIN ,TX ,78746 ,TRAVIS ,,,,,,,,,,23,8418,739,,2128,,130.37,,326,,947,2,,,,,, 450872,01-JAN-16,31-DEC-16,As Submitted,USMD HOSPITAL OF ARLINGTON ,801 WEST I-20 ,,ARLINGTON ,TX ,76017-5851 ,TARRANT ,,,,,,,,,,34,12444,1624,3,5784,,279.27,,503,1,1756,,,,,,, 450874,01-JAN-16,31-DEC-16,As Submitted,BAYLOR SURGICAL HOSPITAL LAS COLINAS ,400 W I-635 SUITE 101 ,,IRVING ,TX ,75063 ,IRVING ,,,,,,,,,,20,7320,383,,1624,,130.81,,189,,850,,,,,,, 450875,01-JAN-16,31-DEC-16,As Submitted,PHYSICIANS SURGICAL HOSPITAL ,6819 PLUM CREEK ,,AMARILLO ,TX ,79124 ,POTTER ,,,,,,,,,,32,11712,1624,6,4404,,206.61,,750,2,2142,4,,,,,, 450876,01-JAN-16,31-DEC-16,As Submitted,LUBBOCK HEART HOSPITAL ,4810 NORTH LOOP 289 ,,LUBBOCK ,TX ,79416 ,LUBBOCK ,,,,,,,,,,73,26718,6661,54,11205,,395.17,,1854,26,3214,20,,,,,, 450877,01-JAN-16,31-DEC-16,As Submitted,FOUNDATION SURGICAL HOSPITAL EL PASO ,1416 GEORGE DIETER ,,EL PASO ,TX ,79936 ,EL PASO ,,,,26843,,,.0383,,,40,14640,470,4,1775,,220.22,,198,1,763,21,,,,,, 450880,01-JAN-16,31-DEC-16,As Submitted,BAYLOR SURGICAL HOSPITAL AT FORT WOR ,750 12TH AVENUE ,,FORT WORTH ,TX ,76104 ,,,,,,,,,,,30,10980,1085,,3873,,222.75,,467,,1673,,,,,,, 450883,01-JAN-16,31-DEC-16,As Submitted,BAYLOR MEDICAL CENTER AT TROPHY CLUB ,2850 SOUTH HIGHWAY 114 E ,,TROPHY CLUB ,TX ,76262 ,DENTON ,,,,,,,,,,22,8052,432,,2136,,157.36,,193,,943,,,,,,, 450885,01-JAN-16,31-DEC-16,As Submitted,CENTENNIAL MEDICAL CENTER ,12505 LEBANON ROAD ,,FRISCO ,TX ,75035 ,COLLIN ,,,,77449,,,.039,,,118,43188,3590,637,15253,,319.8,,849,61,3510,141,,,,,, 450888,01-JAN-16,31-DEC-16,As Submitted,SOUTHLAKE SPECIALITY HOSPITAL ,1545 E SOUTHLAKE BLVD ,,SOUTHLAKE ,TX ,76092 ,TARRANT ,,,,,,,,,,16,5856,806,6,2412,,151.26,,330,4,999,,,,,,, 450889,01-JAN-16,31-DEC-16,As Submitted,TEXAS INSTITUTE FOR SURGERY AT PRES ,7115 GREENVILLE AVE SUITE 100 ,,DALLAS ,TX ,75234 ,DALLAS ,,,,,,,,,,9,3294,311,,891,,170.37,,158,,426,,,,,,, 450890,01-JAN-16,31-DEC-16,As Submitted,BAYLOR REGIONAL MEDICAL CTR AT PLANO ,4700 ALLIANCE BLVD ,,PLANO ,TX ,75093- ,COLLIN ,,,,,,,,,,122,44652,16992,292,34394,,698.74,,3230,68,6856,,,,,,, 450891,01-JAN-16,31-DEC-16,As Submitted,PRESBYTERIAN PLANO CENTER DIAG SRVCS ,6020 W PARKER RD ,,PLANO ,TX ,75093- ,DALLAS ,,,,,,,,,,18,6588,160,,1207,,164.71,,88,,631,,,,,,, 450893,01-JAN-16,31-DEC-16,As Submitted,THE HEART HOSPITAL BAYLOR DENTON ,2801 SOUTH MAYHILL ,,DENTON ,TX ,76208 ,DENTON ,,,,,,,,,,22,8052,1076,,2274,,120.31,,249,,539,4,,,,,, 450894,01-JAN-16,31-DEC-16,As Submitted,PINE CREEK MEDICAL CENTER ,9032 HARRY HINES BOULEVARD ,,DALLAS ,TX ,75077 ,DALLAS ,,,,,,,,,,15,5490,649,,3270,,125,,547,,1583,,,,,,, 451300,01-OCT-15,30-SEP-16,As Submitted,PARMER COUNTY COMMUNITY HOSPITAL ,1307 CLEVELAND STREET ,,FRIONA ,TX ,79035- ,PARMER ,,,,,,,,,,25,9150,1549,6,1724,,86.12,,107,3,163,13,,,,,, 451301,01-OCT-15,30-SEP-16,As Submitted,REAGAN MEMORIAL HOSPITAL ,805 NORTH MAIN STREET ,,BIG LAKE ,TX ,76932-3938 ,REAGAN ,,,,,,,,,,7,2562,195,,267,,34.94,,12,,18,,,,,,, 451303,01-OCT-15,30-SEP-16,As Submitted,LIMESTONE MEDICAL CENTER ,900 N. ELLIS ,,GROESBECK ,TX ,76642- ,LIMESTONE ,,,,,,,,,,11,4026,1851,,2717,,168.51,,183,,314,,,,,,, 451304,01-JAN-16,31-DEC-16,As Submitted,SCHLEICHER COUNTY MEDICAL CENTER ,102 NORTH US HWY 277 ,V ,ELDORADO ,TX ,76936- ,SCHLEICHER ,,,,,,,,,,14,5124,485,,541,,40.07,,56,,71,,,,,,, 451305,01-JUL-16,30-JUN-17,As Submitted,BURLESON ST. JOSEPH HEALTH CENTER ,1101 WOODSON ,,CALDWELL ,TX ,77836 ,BURLESON ,,,,,,,,,,15,5475,987,,1587,,57.05,,46,,70,,,,,,, 451306,01-OCT-15,30-SEP-16,As Submitted,KIMBLE HOSPITAL ,349 REID RD ,,JUNCTION ,TX ,76849-3024 ,KIMBLE ,,,,,,,,,,15,5490,336,,397,,65.34,,61,,77,,,,,,, 451307,01-JAN-16,31-DEC-16,As Submitted,IRAAN GENERAL HOSPITAL DISTRICT ,320 WEST 5TH STREET ,,IRAAN ,TX ,79744 ,PECOS ,,,,,,,,,,14,5124,388,1,1324,,57,,21,1,36,2,,,,,, 451308,01-JAN-16,31-DEC-16,As Submitted,YOAKUM COUNTY HOSPITAL ,412 MUSTANG AVENUE ,,DENVER CITY ,TX ,79323 ,YOAKUM ,,,,,,,,,,24,8784,954,227,2013,,180.17,,126,118,427,,,,,,, 451309,01-OCT-15,30-SEP-16,Amended,MCCAMEY COUNTY HOSPITAL DISTRICT ,HIGHWAY 305 SOUTH ,1200 ,MCCAMEY ,TX ,79752 ,UPTON ,,,,,,,,,,14,5124,110,,397,,73.15,,8,,23,,,,,,, 451310,01-OCT-15,30-SEP-16,Amended,BALLINGER MEMORIAL HOSPITAL ,BRONTE HIGHWAY & AVE B ,,BALLINGER ,TX ,76821- ,RUNNELS ,,,,,,,,,,16,5856,935,,959,,63.91,,65,,74,1,,,,,, 451311,01-OCT-15,30-SEP-16,As Submitted,SWEENY COMMUNITY HOSPITAL ,305 NORTH MCKINNEY ,,SWEENY ,TX ,77480- ,BRAZORIA ,,,,,,,,,,14,5124,557,,874,,171.59,,79,,167,12,,,,,, 451312,01-JAN-16,31-DEC-16,As Submitted,RICE MEDICAL CENTER ,1700 BRAZOS ,,EAGLE LAKE ,TX ,76567 ,COLORADO ,,,,,,,,,,21,7686,808,25,1224,,114.98,,116,10,245,22,,,,,, 451313,01-JAN-16,31-DEC-16,As Submitted,FISHER COUNTY HOSPITAL DISTRICT ,774 STATE HIGHWAY 70 ,DRAWER F ,ROTAN ,TX ,79546 ,FISHER ,,,,,,,,,,13,4758,657,,1019,,77.83,,67,,109,2,,,,,, 451314,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL ,821 JEFEE DRIVE ,,KERMIT ,TX ,79745 ,WINKLER ,,,,,,,,,,19,6954,374,7,446,,59.5,,37,3,66,3,,,,,, 451316,01-JUL-16,30-JUN-17,As Submitted,MADISON ST. JOSEPH HEALTH CENTER ,100 WEST CROSS ,,MADISONVILLE ,TX ,77864 ,MADISON ,,,,,,,,,,19,6935,2116,,2603,,64.14,,64,,88,,,,,,, 451317,01-JAN-16,31-DEC-16,As Submitted,REFUGIO MEMORIAL HOSPITAL ,107 SWIFT STREET ,,REFUGIO ,TX ,78377 ,REFUGIO ,,,,,,,,,,20,7320,308,,394,,142.55,,46,,62,2,,,,,, 451318,01-OCT-15,30-SEP-16,As Submitted,STONEWALL MEMORIAL HOSPITAL ,HIGHWAY #83 & NORTH WASHINGTON AVE. ,DRAWER C ,ASPERMONT ,TX ,79502- ,STONEWALL ,,,,,,,,,,20,7320,671,,740,,58.48,,67,,84,,,,,,, 451319,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS MFH - JACKSONVILLE ,2026 SOUTH JACKSON ,,JACKSONVILLE ,TX ,75766- ,CHEROKEE ,,,,,,,,,,21,7665,1977,66,3687,,156.02,,303,12,641,9,,,,,, 451320,01-OCT-15,30-SEP-16,As Submitted,BAYSIDE COMMUNITY HOSPITAL ,200 HOSPTIAL DRIVE ,,ANAHUAC ,TX ,77514 ,CHAMBERS ,,,,,,,,,,14,5124,310,,501,,57.42,,76,,149,,,,,,, 451322,01-JUL-16,30-JUN-17,As Submitted,GRIMES ST. JOSEPH HEALTH CENTER ,210 JUDSON ,,NAVASOTA ,TX ,77868 ,GRIMES ,,,,,,,,,,18,6570,1054,,1702,,63.5,,53,,76,,,,,,, 451323,01-OCT-15,30-SEP-16,As Submitted,ROLLINS BROOK COMMUNITY HOSPITAL CAH ,608 NORTH KEY AVENUE ,,LAMPASAS ,TX ,76550 ,LAMPASAS ,,,,,,,,,,25,9150,2445,,3313,,99.42,,331,,473,,,,,,, 451324,01-JAN-16,31-DEC-16,As Submitted,LILLIAN M. HUDSPETH MEMORIAL HOSP. ,310 HUDSPETH ,,SONORA ,TX ,76950- ,SUTTON ,,,,,,,,,,12,4392,390,3,597,,67.05,,57,2,132,8,,,,,, 451325,01-OCT-15,30-SEP-16,As Submitted,CONCHO COUNTY HOSPITAL ,314 EAKER ,L ,EDEN ,TX ,76837- ,CONCHO ,,,,,,,,,,16,5856,306,,366,,48.9,,52,,61,,,,,,, 451326,01-JUL-16,30-JUN-17,As Submitted,CHILLICOTHE HOSPITAL DISTRICT ,303 AVENUE I ,370 ,CHILLICOTHE ,TX ,79225- ,HARDEMAN ,,,,,,,,,,21,7665,90,,147,,25,,24,,38,,,,,,, 451328,01-JAN-16,31-DEC-16,Amended,RICELAND MEDICAL CENTER ,538 BROADWAY ,,WINNIE ,TX ,77665 ,CHAMBERS ,,,,,,,,,,25,9150,876,,971,,94.66,,211,,243,,,,,,, 451329,01-OCT-15,30-SEP-16,As Submitted,RANKIN COUNTY HOSPITAL DISTRICT ,1611 SPUR 576 ,PO BOX327 ,RANKIN ,TX ,79778 ,UPTON ,,,,,,,,,,15,5490,274,,372,,59.6,,24,,52,,,,,,, 451330,01-OCT-15,30-SEP-16,As Submitted,MEDINA REGIONAL HOSPITAL ,3100 AVENUE E ,,HONDO ,TX ,78861- ,MEDINA ,,,,,,,,,,25,9150,1378,37,3241,,168.4,,192,18,587,,,,,,, 451332,01-JAN-16,31-DEC-16,As Submitted,PALACIOS COMMUNITY MEDICAL CENTER ,311 GREEN AVENUE ,,PALACIOS ,TX ,77465 ,MATAGORDA ,,,,,,,,,,17,6222,545,,752,,36.82,,49,,111,,,,,,, 451333,01-MAY-16,30-APR-17,As Submitted,MARTIN COUNTY HOSPITAL ,610 N. SAINT PETER STREET ,,STANTON ,TX ,79782- ,MARTIN COUNTY ,,,,,,,,,,18,6570,1300,,1899,,169.07,,35,,133,,,,,,, 451334,01-JUN-16,31-MAY-17,As Submitted,PARKVIEW HOSPITAL ,901 S SWEETWATER STREET ,1030 ,WHEELER ,TX ,79096 ,WHEELER ,,,,,,,,,,15,5475,862,,1134,,67,,59,,86,2,,,,,, 451335,01-JUL-16,30-JUN-17,As Submitted,MUENSTER MEMORIAL HOSPITAL ,605 N. MAPLE STREET ,,MUENSTER ,TX ,76252- ,COOKE ,,,,,,,,,,18,6570,2089,,2807,,75.03,,31,,43,,,,,,, 451337,01-OCT-15,30-SEP-16,As Submitted,W.J. MANGOLD MEMORIAL HOSPITAL ,320 MAIN ,,LOCKNEY ,TX ,79241- ,FLOYD ,,,,,,,,,,25,9125,737,19,1472,,87.74,,125,6,313,,,,,,, 451338,01-APR-16,31-MAR-17,As Submitted,CULBERSON HOSPITAL ,EISENHOWER RD & FM 2185 ,609 ,VAN HORN ,TX ,79855- ,CULBERSON ,,,,,,,,,,14,5110,809,,914,,61.4,,75,,100,,,,,,, 451339,01-JAN-16,31-DEC-16,As Submitted,THROCKMORTON COUNTY HOSPITAL ,802 NORTH MINTER ,#729 ,THROCKMORTON ,TX ,76483-0729 ,THROCKMORTON ,,,,,,,,,,14,5124,412,,447,,45,,45,,58,,,,,,, 451340,01-OCT-15,30-SEP-16,As Submitted,SHAMROCK GENERAL HOSPITAL ,1000 SOUTH MAIN STREET ,511 ,SHAMROCK ,TX ,79079 ,WHEELER ,,,,,,,,,,25,9125,385,,499,,65,,36,,107,,,,,,, 451341,01-OCT-15,30-SEP-16,As Submitted,HASKELL MEMORIAL HOSPITAL ,#1 NORTH AVENUE N ,,HASKELL ,TX ,76521-1117 ,HASKELL ,,,,,,,,,,25,9150,853,,1199,,75.83,,94,,152,,,,,,, 451342,01-OCT-15,30-SEP-16,As Submitted,MITCHELL COUNTY HOSPITAL ,997 WEST I-20 ,,COLORADO CITY ,TX ,79512- ,MITCHELL ,,,,,,,,,,25,9150,1331,5,2205,,150.17,,143,1,316,19,,,,,, 451343,01-OCT-15,30-SEP-16,As Submitted,ELECTRA MEMORIAL HOSPITAL ,1207 SOUTH BAILEY STREET ,,ELECTRA ,TX ,76360- ,WICHITA ,,,,,,,,,,19,6954,1617,10,2070,,146.52,,174,2,243,9,,,,,, 451344,01-OCT-15,30-SEP-16,As Submitted,HANSFORD COUNTY HOSPITAL DISTRICT ,707 SOUTH ROLAND STREET ,,SPEARMAN ,TX ,79081-3341 ,HANSFORD ,,,,,,,,,,14,5124,824,,905,,168.13,,40,,63,,,,,,, 451345,01-JAN-16,31-DEC-16,Amended,CROSBYTON CLINIC HOSPITAL ,HOSPITAL DRIVE ,,CROSBYTON ,TX ,79322 ,CROSBY ,,,,,,,,,,25,9150,538,,714,,76.04,,90,,129,,,,,,, 451346,01-JUL-16,30-JUN-17,As Submitted,YOAKUM COMMUNITY HOSPITAL ,1200 CARL RAMERT DR ,,YOAKUM ,TX ,77995-0753 ,LAVACA ,,,,,,,,,,25,9125,2362,55,3574,,124.52,,402,21,720,,,,,,, 451347,01-OCT-15,30-SEP-16,As Submitted,COLEMAN COUNTY MEDICAL CENTER ,310 S. PECOS ,,COLEMAN ,TX ,76834 ,COLEMAN ,,,,,,,,,,25,9150,2511,9,3446,,90.68,,367,5,596,,,,,,, 451348,01-APR-16,31-MAR-17,As Submitted,HEART OF TEXAS HEALTHCARE SYSTEM ,2008 NINE ROAD ,1150 ,BRADY ,TX ,76825- ,MC CULLOCH ,,,,,,,,,,25,9125,551,,807,,81.98,,116,,176,,,,,,, 451349,01-JAN-16,31-DEC-16,As Submitted,SWISHER MEMORIAL HEALTHCARE SYSTEM ,SWISHER MEMORIAL HEALTHCARE SYSTEM ,PO BOX539 ,TULIA ,TX ,79088 ,SWISHER ,,,,,,,,,,20,7320,1563,15,1916,,68,,130,3,207,15,,,,,, 451350,01-MAY-16,30-SEP-16,As Submitted,PLAINS MEMORIAL HOSPITAL ,310 WEST HALSELL ,278 ,DIMMITT ,TX ,79027-0278 ,CASTRO ,,,,,,,,,,17,2601,268,,392,,79,,15,,29,1,,,,,, 451351,01-OCT-15,30-SEP-16,As Submitted,LYNN COUNTY HOSPITAL ,2600 LOCKWOOD STREET ,1310 ,TAHOKA ,TX ,79373- ,LYNN COUNTY ,,,,,,,,,,24,8784,1612,4,2324,,111.12,,55,2,112,,,,,,, 451352,01-JAN-16,31-DEC-16,Amended,HARDEMAN COUNTY HOSPITAL ,402 MERCER ST ,,QUANAH ,TX ,79252 ,HARDEMAN ,,,,,,,,,,24,8784,1064,2,1525,,70.76,,117,1,162,,,,,,, 451353,01-OCT-15,30-SEP-16,As Submitted,CRANE COUNTY HOSPITAL DISTRICT ,1310 SOUTH ALFORD ,,CRANE ,TX ,79731- ,CRANE ,,,,,,,,,,24,8784,336,,440,,45.28,,52,,84,4,,,,,, 451354,01-MAR-16,28-FEB-17,As Submitted,OLNEY HAMILTON HOSPITAL DISTRICT ,901 WEST HAMILTON ,158 ,OLNEY ,TX ,76374-0158 ,YOUNG ,,,,,,,,,,25,9125,2455,30,3266,,102,,244,17,405,,,,,,, 451355,01-OCT-15,30-SEP-16,As Submitted,COLLINGSWORTH GENERAL HOSPITAL ,1013 15TH STREET ,1112 ,WELLINGTON ,TX ,79095- ,COLLINGSWORTH ,,,,,,,,,,15,5490,1211,5,1315,,49.9,,132,2,154,,,,,,, 451356,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL MEDICAL CENTER ,815 NORTH VIRGINIA STREET ,,PORT LAVACA ,TX ,77979 ,CALHOUN ,,,,,,,,,,25,9150,2385,256,4467,,183.4,,486,58,1057,105,,,,,, 451357,01-JAN-16,31-DEC-16,As Submitted,ROCKDALE HOSPITAL ,1700 BRAZOS AVE ,,ROCKDALE ,TX ,76567 ,MILAM ,,,,,,,,,,25,9150,869,5,1322,,536,,143,1,244,,,,,,, 451358,01-OCT-15,30-SEP-16,As Submitted,MEMORIAL HOSPITAL-SEMINOLE ,209 NORTHWEST 8TH STREET ,,SEMINOLE ,TX ,79360-3499 ,GAINES ,,,,,,,,,,25,9150,1370,268,3662,,205.79,,144,155,808,,,,,,, 451359,01-OCT-15,30-SEP-16,As Submitted,OCHILTREE GENERAL HOSPITAL ,3101 GARRETT DRIVE ,,PERRYTON ,TX ,79070- ,OCHILTREE ,,,,,,,,,,25,9150,1343,143,2469,,131.39,,193,70,651,,,,,,, 451360,01-JUL-16,30-JUN-17,As Submitted,ST LUKES HEALTH MEMORIAL SAN AUGUST ,HOSPITAL DR ,PO BOX 65 ,SAN AUGUSTINE ,TX ,75792 ,SAN AUGUSTINE ,,,,,,,,,,9,3285,435,,605,,42.39,,145,,207,5,,,,,, 451361,01-JAN-16,31-DEC-16,As Submitted,PREFERRED HOSPITAL LEASING HEMPHILL ,2301 STATE HIGHWAY 83W ,750 ,HEMPHILL ,TX ,75948 ,SABINE ,,,,,,,,,,25,9150,1466,2,1652,,71.93,,186,2,252,,,,,,, 451362,01-OCT-15,30-SEP-16,Settled,CLAY COUNTY MEMORIAL HOSPITAL ,310 WEST SOUTH STREET ,,HENRIETTA ,TX ,76365- ,CLAY ,,,,,,,,,,25,9150,389,,564,,74.33,,74,,127,3,,,,,, 451363,01-OCT-15,30-SEP-16,As Submitted,JACKSON COUNTY HOSPITAL ,1013 SOUTH WELLS ,,EDNA ,TX ,77957-4098 ,JACKSON ,,,,,,,,,,25,9150,496,2,722,,143.23,,52,2,124,,,,,,, 451364,01-JUL-16,30-JUN-17,As Submitted,OTTO KAISER MEMORIAL HOSPITAL ,ROUTE 1 ,450 ,KENEDY ,TX ,78119-9718 ,KARNES ,,,,,,,,,,25,9125,1115,10,1623,,133.18,,119,3,222,12,,,,,, 451365,01-JUL-16,30-JUN-17,As Submitted,SETON HIGHLAND LAKES HOSPITAL ,3201 S. WATER ST. ,,BURNET ,TX ,78611- ,BURNET ,,,,,,,,,,25,9125,1002,24,2464,,151.88,,305,8,774,,,,,,, 451366,01-OCT-15,30-SEP-16,As Submitted,COCHRAN MEMORIAL HOSPITAL ,201 EAST GRANT ,,MORTON ,TX ,79346- ,COCHRAN ,,,,,,,,,,18,6588,22,,36,,35.71,,9,,14,,,,,,, 451367,01-DEC-15,30-NOV-16,As Submitted,ETMC PITTSBURG ,2701 US HWY 271 N ,,PITTSBURG ,TX ,75686- ,CAMP ,,,,,,,,,,25,9150,2215,20,3948,,146.29,,430,5,893,52,,,,,, 451369,01-JAN-16,31-DEC-16,As Submitted,GOLDEN PLAINS COMMUNITY HOSPITAL ,100 MEDICAL DR ,,BORGER ,TX ,79007 ,HUTCHINSON ,,,,,,,,,,25,9150,1021,190,3293,,295.6,,209,51,799,,,,,,, 451370,01-JAN-16,31-DEC-16,As Submitted,RED RIVER REGIONAL HOSPITAL ,504 LIPSCOMB BLVD ,,BONHAM ,TX ,75418-4028 ,FANNIN ,,,,,,,,,,25,9150,2968,25,4398,,140.22,,301,8,558,,,,,,, 451371,01-JUL-16,30-JUN-17,As Submitted,SETON EDGAR B. DAVIS HOSPITAL ,130 HAYS STREET ,,LULING ,TX ,78648-0510 ,CALDWELL ,,,,,,,,,,25,9125,1073,33,2227,,92.83,,212,7,574,,,,,,, 451372,01-OCT-15,30-SEP-16,As Submitted,MULESHOE AREA MEDICAL CENTER ,708 SOUTH FIRST STREET ,,MULESHOE ,TX ,79347-3627 ,BAILEY ,,,,,,,,,,25,9150,1082,,1324,,130.42,,137,,248,,,,,,, 451373,01-JAN-16,31-DEC-16,As Submitted,WARD MEMORIAL HOSPITAL ,406 SOUTH GARY AVENUE ,,MONAHANS ,TX ,79756 ,WARD ,,,,,,,,,,25,9150,535,,746,,59.67,,124,,220,,,,,,, 451374,01-JAN-16,31-DEC-16,Amended,SCOTT AND WHITE HOSPITAL TAYLOR ,305 MALLARD LANE ,,TAYLOR ,TX ,76574- ,WILLIAMSON ,,,,,,,,,,25,9150,1616,5,2504,,164.38,,187,2,405,13,,,,,, 451375,01-OCT-15,30-SEP-16,As Submitted,LIBERTY-DAYTON REGIONAL MEDICAL CENT ,1353 NORTH TRAVIS ,,LIBERTY ,TX ,77575 ,LIBERTY ,,,,,,,,,,25,9150,329,60,647,,83.78,,79,,155,,,,,,, 451376,01-JAN-16,31-DEC-16,As Submitted,LAVACA MEDICAL CENTER ,1400 TEXANA ,,HALLETTSVILLE ,TX ,77964- ,LAVACA ,,,,,,,,,,25,9150,2032,4,2376,,134.3,,350,1,455,,,,,,, 451377,01-JAN-16,31-DEC-16,As Submitted,REEVES COUNTY HOSPITAL ,2323 TEXAS AVENUE ,,PECOS ,TX ,79772 ,REEVES ,,,,,,,,,,25,9150,1569,72,3086,,167.54,,267,30,695,223,,,,,, 451378,01-OCT-15,30-SEP-16,Settled,BIG BEND REGIONAL MED CTR ,2600 HIGHWAY 118 NORTH ,,ALPINE ,TX ,79830- ,BREWSTER ,,,,,,,,,,25,9150,1090,77,2935,,102.85,,220,106,689,,,,,,, 451380,01-JUN-16,31-MAY-17,As Submitted,ETMC QUITMAN ,117 N WINDDSBORO ,1000 ,QUITMAN ,TX ,75783 ,WOOD ,,,,,,,,,,25,9125,2674,12,4389,,123.26,,414,5,811,,,,,,, 451382,01-JAN-16,31-DEC-16,As Submitted,COMANCHE COUNTY MEDICAL CENTER ,10201 HIGHWAY 16 NORTH ,,COMANCHE ,TX ,76442- ,COMANCHE ,,,,,,,,,,25,9150,2000,5,2690,,156.27,,376,2,548,,,,,,, 451384,01-JAN-16,31-DEC-16,As Submitted,D.M. COGDELL MEMORIAL HOSPITAL ,1700 COGDELL BLVD ,,SNYDER ,TX ,79549- ,SCURRY ,,,,,,,,,,25,9150,977,86,2500,,98.35,,205,40,644,,,,,,, 451385,01-JUL-16,30-JUN-17,As Submitted,GOODALL-WITCHER HOSPITAL AUTHORITY ,101 POSEY AVE ,549 ,CLIFTON ,TX ,76634 ,BOSQUE ,,,,,,,,,,25,9125,1721,75,2691,,126.62,,185,37,526,,,,,,, 451387,18-JUL-16,30-JUN-17,As Submitted,UVALDE MEMORIAL HOSPITAL ,1025 GARNER FIELD ROAD ,,UVALDE ,TX ,78801- ,UVALDE ,,,,,,,,,,21,7308,1728,183,4927,,341.18,,482,65,1222,,,,,,, 451990,01-JAN-16,31-DEC-16,As Submitted,THE LEAVES ,1230 W. SPRING VALLEY RD ,,RICHARDSON ,TX ,75080-7709 ,DALLAS ,,,,,,,,,,20,7320,250,,3473,,22.81,,13,,40,,,,,,, 452018,01-APR-16,31-MAR-17,As Submitted,TX HLTH SPECIALTY HOSP FORT WORTH ,1301 PENNSYLVANIA AVENUE ,,FT. WORTH ,TX ,76104 ,TARRANT ,,,,,,,,,,15,5475,689,,2956,,38.16,,24,,98,,,,,,, 452022,01-JAN-16,31-DEC-16,As Submitted,SSH - DALLAS INC. ,2329 PARKER RD ,,CARROLLTON ,TX ,75010 ,DALLAS ,,,,,,,,,,60,21960,3370,,6937,,97.75,,138,,250,,,,,,, 452031,01-JUL-16,30-JUN-17,As Submitted,CHI ST LUKES HEALTH MEM SPECLTY HOSP ,1202 FRANK STREET ,,LUFKIN ,TX ,75902- ,ANGELINA ,,,,,,,,,,26,9490,2920,,3648,,32.93,,142,,177,,,,,,, 452035,01-APR-16,31-MAR-17,As Submitted,MESA HILLS SPECIALTY HOSPITAL ,2311 NORTH OREGON STREET ,,EL PASO ,TX ,79902 ,EL PASO ,,,,,,,,,,32,11680,3706,,6150,,95.62,,204,,211,,,,,,, 452038,01-JAN-16,31-DEC-16,As Submitted,TEXAS NEURO REHAB CENTER ,1106 WEST DITTMAR ROAD ,,AUSTIN ,TX ,78745 ,TRAVIS ,,,,,,,,,,47,17155,5124,,14946,,,,228,,448,,,,,,, 452041,01-JAN-16,31-DEC-16,As Submitted,CARRUS SPECIALTY HOSPITAL ,1810 WEST HIGHWAY 82 ,,SHERMAN ,TX ,78092-7378 ,GRAYSON ,,,,,,,,,,16,5856,4278,,5421,,94.66,,192,,195,,,,,,, 452042,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS DUBUIS HOSPITAL OF BEAUMONT ,2830 CALDER AVENUE ,5405 ,BEAUMONT ,TX ,77706- ,JEFFERSON ,,,,,,,,,,51,18615,6805,,10242,,84.28,,300,,447,,,,,,, 452043,01-JAN-16,31-DEC-16,As Submitted,PINE VALLEY SPECIALTY HOSPITAL ,6160 SOUTH LOOP EAST ,,HOUSTON ,TX ,77087 ,HARRIS ,,,,,,,,,,43,15738,4248,65,5063,,64.44,,202,2,235,,,,,,, 452044,01-JAN-16,31-DEC-16,As Submitted,LIFECARE SPEC HOSP OF NORTH TEXAS ,1950 RECORD CROSSING ,,DALLAS ,TX ,75235-5306 ,DALLAS/TARRANT ,,,,,,,,,,206,75396,33359,,48191,,421.03,,1375,,1899,,,,,,, 452046,01-JAN-16,31-DEC-16,As Submitted,PLAZA SPECIALTY HOSPITAL ,1300 BINZ STREET ,,HOUSTON ,TX ,77004 ,HARRIS ,,,,,,,,,,65,23790,5621,,11258,,82,,244,,377,,,,,,, 452049,01-JUN-16,15-OCT-16,Amended,KINDRED HOSPITAL MEDICAL CENTER HOLC ,2130 W. HOLCOMBE BOULEVARD ,,HOUSTON ,TX ,77030 ,HARRIS ,,,,,,,,,,86,11782,2026,,3432,,117.5,,73,,110,,,,,,, 452051,01-MAY-16,30-APR-17,As Submitted,ETMC SPECIALTY ,1000 S BECKHAM ,,TYLER ,TX ,75711- ,SMITH ,,,,,,,,,,36,13140,6551,,9072,,74.22,,246,,318,,,,,,, 452054,01-JAN-16,31-DEC-16,As Submitted,PLANO SPECIALTY HOSPITAL ,1621 COIT ROAD ,,PLANO ,TX ,75075 ,COLLIN ,,,,,,,,,,43,15738,3118,,4462,,64.44,,144,,191,,,,,,, 452062,01-JAN-16,31-DEC-16,As Submitted,WARM SPRINGS SPECIALITY HOSPITAL ,200 MEMORIAL DRIVE ,,LULING ,TX ,78648 ,CALDWELL ,,,,,,,,,,42,15372,8555,,12327,,123.7,,492,,572,,,,,,, 452063,01-SEP-16,17-JUN-17,As Submitted,LIFECARE HOSPITALS OF SOUTH TEXAS ,2001 SOUTH M STREET ,,MCALLEN ,TX ,78503- ,HIDALGO ,,,,,,,,,,94,27260,7855,,10022,,141.72,,352,,474,,,,,,, 452066,01-JAN-16,31-DEC-16,As Submitted,PLUM CREEK SPECIALTY HOSPITAL ,5601 PLUM CREEK DRIVE ,,AMARILLO ,TX ,79124 ,POTTER ,,,,,,,,,,47,17202,2273,29,2759,,57.62,,112,1,155,,,,,,, 452067,01-JUN-16,31-MAY-17,As Submitted,PROMISE HOSPITAL OF DALLAS ,7850 BROOKHOLLOW ROAD ,,DALLAS ,TX ,75235 ,DALLAS ,,,,,,,,,,66,24090,6884,,9658,,135.56,,282,,371,,,,,,, 452068,01-JUN-16,31-MAY-17,As Submitted,PROMISE HOSPITAL OF WICHITA FALLS ,1103 GRACE STREET ,,WICHITA FALLS ,TX ,76301 ,WICHITA ,,,,,,,,,,31,11284,6985,,8353,,93.45,,271,,318,,,,,,, 452073,01-MAY-16,27-JUN-16,Settled,SSH - SAN ANTONIO INC ,111 DALLAS STREET 4TH FLOOR ,,SAN ANTONIO ,TX ,78205 ,BEXAR ,,,,,,,,,,44,2596,846,,1590,,16.75,,33,,63,,,,,,, 452073,28-JUN-16,31-MAY-17,As Submitted,KINDRED HOSPITAL SAN ANTONIO CENTRAL ,111 DALLAS STREET 4TH FLOOR ,,SAN ANTONIO ,TX ,78205 ,BEXAR ,,,,,,,,,,44,14872,5859,,9245,,90.8,,247,,341,,,,,,, 452078,01-APR-16,16-JAN-17,As Submitted,SSH - SOUTH DALLAS ,3500 WEST WHEATLAND RD ,4TH FLOOR ,DALLAS ,TX ,75237 ,DALLAS ,,,,,,,,,,60,17520,3115,,5312,,81.64,,131,,240,,,,,,, 452082,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS DUBUIS - PARIS ,865 DESHONG DRIVE 5TH FLOOR ,,PARIS ,TX ,75462- ,LAMAR ,,,,,,,,,,25,9125,2869,,3285,,26.43,,130,,164,,,,,,, 452087,01-JAN-16,31-DEC-16,As Submitted,SSH - LONGVIEW INC. ,700 EAST MARSHALL AVENUE ,,LONGVIEW ,TX ,75601 ,GREGG ,,,,,,,,,,32,11712,6699,,8433,,82.54,,259,,318,,,,,,, 452091,01-JAN-16,31-DEC-16,As Submitted,TYLER CONTINUECARE HOSPITAL ,800 E. DAWSON 4TH FLOOR ,,TYLER ,TX ,75701 ,SMITH ,,,,,,,,,,51,18666,9769,,14357,,118.54,,368,,483,,,,,,, 452094,01-JAN-16,31-DEC-16,As Submitted,VICTORIA WARM SPRINGS SPECIALTY HOSP ,102 MEDICAL DRIVE ,,VICTORIA ,TX ,77904 ,VICTORIA ,,,,,,,,,,26,9516,7565,,9152,,100.16,,526,,591,,,,,,, 452096,01-FEB-16,31-JAN-17,As Submitted,LAREDO SPECIALTY HOSPITAL ,2005 BUSTAMANTE STREET ,,LAREDO ,TX ,78041 ,WEBB ,,,,,,,,,,40,14640,9309,,11249,,144.41,,374,,428,,,,,,, 452099,01-APR-16,07-JUL-16,Settled,REGENCY HOSPITAL OF FORT WORTH ,6801 OAKMONT BLVD ,,FORT WORTH ,TX ,76132 ,TARRANT ,,,,,,,,,,,4312,1233,,1454,,33.57,,55,,84,,,,,,, 452100,01-JUN-16,31-MAY-17,As Submitted,MESQUITE SPECIALTY HOSPITAL ,1024 N GALLOWAY AVENUE ,,MESQUITE ,TX ,75149 ,DALLAS ,,,,,,,,,,40,14600,8329,,9828,,114.65,,343,,402,,,,,,, 452102,01-JUL-16,30-JUN-17,As Submitted,COVENANT SPECIALTY HOSPITAL ,3815 20TH STREET ,,LUBBOCK ,TX ,79410 ,LUBBOCK ,,,,,,,,,,56,20440,8009,,11388,,231.37,,315,,411,,,,,,, 452103,01-JAN-16,31-DEC-16,As Submitted,EL PASO LTAC HOSPITAL ,1221 N. COTTON STREET 3RD FLOOR ,,EL PASO ,TX ,79902- ,EL PASO ,,,,,,,,,,33,12078,2593,,4453,,60.67,,152,,232,,,,,,, 452105,01-JAN-16,31-DEC-16,As Submitted,BAYLOR SCOTT & WHITE CONTINUING CARE ,546 KEGLEY ROAD ,,TEMPLE ,TX ,76502- ,BELL ,,,,,,,,,,50,18300,6906,,12373,,113.44,,229,,420,,,,,,, 452106,01-OCT-15,30-SEP-16,As Submitted,POST ACUTE MEDICAL OF NEW BRAUNFELS ,1445 HANZ DRIVE ,,NEW BRANFELS ,TX ,78130 ,COMAL ,,,,,,,,,,40,14640,8203,,10536,,98.43,,533,,634,,,,,,, 452111,01-DEC-15,30-NOV-16,As Submitted,ATRIUM MEDICAL CENTER ,2813 S. MAYHILL ROAD ,,DENTON ,TX ,76208 ,DENTON ,,,,,,,,,,60,21960,2180,,2898,,,,117,,134,,,,,,, 452112,01-FEB-16,31-JAN-17,As Submitted,ICON HOSPITAL ,19211 MCKAY BLVD ,,HUMBLE ,TX ,77338 ,HARRIS ,,,,,,,,,,54,19764,5275,,6488,,90.12,,269,,330,,,,,,, 452114,01-JAN-16,31-DEC-16,As Submitted,ATRIUM MEDICAL CENTER ,11929 WEST AIRPORT BLVD. STE 110 ,,STAFFORD ,TX ,77477 ,FORT BEND ,,,,,,,,,,68,24888,7336,,9725,,120.1,,319,,376,,,,,,, 452116,01-JUN-16,14-JUL-16,As Submitted,LUBBOCK ACUTE CARE CENTER ,4320-B PRINCETON STREET ,,LUBBOCK ,TX ,79415 ,LUBBOCK ,,,,,,,,,,37,1628,382,,438,,46,,14,,308,,,,,,, 452117,01-MAY-16,30-APR-17,As Submitted,CONTINUECARE HOSPITAL OF MILAND ,4214 ANDREWS HIGHWAY ,,MIDLAND ,TX ,79703 ,MIDLAND ,,,,,,,,,,29,10585,3219,,5911,,58.24,,115,,208,,,,,,, 452118,01-AUG-16,31-DEC-16,As Submitted,HOUSTON METHODIST ST. CATHERINE LTAC ,701 SOUTH FRY ROAD ,,KATY ,TX ,77450 ,UNITED STATES ,,,,,,,,,,44,6710,2443,,5326,,197.17,,105,,216,,,,,,, 452121,01-FEB-16,31-JAN-17,As Submitted,CONTINUECARE HOSPITAL AT MEDICAL CEN ,500 WEST 4TH STREET ,4TH FLOOR ,ODESSA ,TX ,79761-5001 ,ECTOR ,,,,,,,,,,25,9150,1836,,3140,,24.67,,71,,88,,,,,,, 453025,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HERMANN TIRR ,1333 MOURSUND ,,HOUSTON ,TX ,77030 ,HARRIS ,,,,,,,,,36017,134,49044,6296,838,35840,9.66,822.8,,290,24,1258,112,,,,,, 453029,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,19002 MCKAY DRIVE ,,HUMBLE ,TX ,77338 ,HARRIS ,,,,,,,,,,68,24888,7459,,12902,,128.88,,606,,958,6,,,,,, 453031,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHABILITATION INSTITUTE ,9119 CINNAMON HILL ,,SAN ANTONIO ,TX ,78240 ,BEXAR ,,,,,,,,,,108,39420,10088,,18931,,163.27,,762,,1177,49,,,,,, 453035,01-JUN-16,31-MAY-17,As Submitted,SA WARM SPRINGS REHAB HOSP ,5101 MEDICAL DRIVE ,,SAN ANTONIO ,TX ,78229- ,BEXAR ,,,,,,,,,2210,129,47085,19011,,30899,1.9,406.88,,1664,,2426,116,,,,,, 453036,01-JUL-16,30-JUN-17,As Submitted,BAYLOR INSTITUTE FOR REHABILITATION ,909 NORTH WASHINGTON AVENUE ,,DALLAS ,TX ,75246-1520 ,DALLAS ,,,,,,,,,4156,92,22580,11271,,29218,2.86,330.33,,753,,1483,,,,,,, 453040,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,3200 MATLOCK ROAD ,,ARLINGTON ,TX ,76015 ,TARRANT ,,,,,,,,,,85,29362,14216,,20836,,189.79,,1168,,1702,12,,,,,, 453041,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1212 LANCASTER SREET ,,FORT WORTH ,TX ,76102 ,TARRANT ,,,,,,,,,,60,21900,9354,,13113,,118.99,,748,,1063,12,,,,,, 453042,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH CITY VIEW REHABILITATION ,6701 OAKMONT BLVD ,,FORT WORTH ,TX ,76132 ,TARRANT ,,,,,,,,,,62,22692,11828,,16199,,128.87,,1001,,1353,5,,,,,, 453044,01-JUN-16,09-AUG-16,As Submitted,HEALTHSOUTH REHABABILITATION HOSPITA ,1215 RED RIVER ROAD ,,AUSTIN ,TX ,78701 ,TRAVIS ,,,,,,,,,,83,5810,1136,,1578,,133.29,,94,,141,1,,,,,, 453047,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH PLANO REHABILITATION HOS ,2800 WEST 15TH STREET ,,PLANO ,TX ,75075 ,COLLIN ,,,,,,,,,,83,30378,13769,,17977,,184.83,,1244,,1602,7,,,,,, 453048,01-JAN-16,31-MAY-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,3340 PLAZA 10 BLVD ,,BEAUMONT ,TX ,77707 ,JEFFERSON ,,,,,,,,,,61,9272,1810,,3325,,84.42,,144,,268,2,,,,,, 453048,01-JUN-16,31-DEC-16,As Submitted,PAM SQUARED AT BEAUMONT ,3340 PLAZA 10 BLVD ,,BEAUMONT ,TX ,77707 ,JEFFERSON ,,,,,,,,,,61,13054,3019,,3929,,76.14,,221,,301,,,,,,, 453052,01-JAN-16,31-DEC-16,As Submitted,KINDRED REHAB HOSPITAL CLEAR LAKE ,655 E. MEDICAL CENTER BLVD. ,,WEBSTER ,TX ,77598 ,HARRIS ,,,,,,,,,,60,21960,7960,,12321,,128.3,,649,,941,,,,,,, 453053,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,515 WEST 12TH STREET ,,TEXARKANA ,TX ,75501 ,BOWIE ,,,,,,,,,,60,21960,11529,,15295,,150.94,,924,,1225,85,,,,,, 453054,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHAB HOSPITAL OF WICHIT ,3901 ARMORY ROAD ,,WICHITA FALLS ,TX ,76302 ,WICHITA ,,,,,,,,,,63,23058,16294,,18719,,168.45,,1263,,1433,7,,,,,, 453056,01-JAN-16,31-DEC-16,As Submitted,TRINITY MOTHER FRANCES REHABILTATION ,3131 TROUP HIGHWAY ,,TYLER ,TX ,75701 ,SMITH ,,,,,,,,,,74,27084,17474,,23160,,187.85,,1400,,1791,11,,,,,, 453057,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1800 HERITAGE BLVD ,,MIDLAND ,TX ,79707 ,MIDLAND ,,,,,,,,,,60,21960,13497,130,18439,,165.24,,1050,2,1348,16,,,,,, 453059,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,18550 IH 45 SOUTH ,,CONROE ,TX ,77384 ,MONTGOMERY ,,,,,,,,,,84,30744,8577,,12623,,126.84,,724,,1051,8,,,,,, 453065,01-JUL-16,30-JUN-17,As Submitted,CHRISTUS ST MICHAEL REHAB HOSPITAL ,2400 ST MICHAEL DR ,,TEXARKANA ,TX ,75503- ,BOWIE ,,,,,,,,,,50,18250,9315,182,12323,,167.37,,842,32,1118,,,,,,, 453086,01-JAN-16,31-DEC-16,As Submitted,HIGHLANDS REGIONAL REHAB HOSPITAL ,1395 GEORGE DIETER ,,EL PASO ,TX ,79936- ,EL PASO ,,,,,,,,,,41,15006,5419,,9010,,111.57,,469,,709,,,,,,, 453091,01-JAN-16,31-DEC-16,As Submitted,WESLACO REGIONAL REHABILITATION HOSP ,906 S JAMES STREET ,,WESLACO ,TX ,78596 ,HIDALGO ,,,,,,,,,,32,11712,5791,17,7633,,83.02,,447,5,593,,,,,,, 453092,01-JAN-16,31-DEC-16,As Submitted,SOUTH TEXAS REHABILITATION HOSPITAL ,425 EAST ALTON GLOOR BLVD ,,BROWNSVILLE ,TX ,78526 ,CAMERON ,,,,,,,,,,40,14640,9633,,11814,,122.86,,681,,834,,,,,,, 453094,01-JAN-16,15-DEC-16,As Submitted,KINDRED REHAB HOSPITAL ARLINGTON ,2601 W. RANDOL MILL ROAD #101 ,,ARLINGTON ,TX ,76012 ,TARRANT ,,,,,,,,,,24,8400,2946,,4288,,50.5,,272,,382,,,,,,, 453300,01-OCT-15,30-SEP-16,As Submitted,COOK CHILDRENS MEDICAL CENTER ,901 SEVENTH AVENUE ,,FORT WORTH ,TX ,76104-2796 ,TARRANT ,,,,,,,,,289,369,135054,411,15072,77339,8.05,4020.75,,59,1657,11614,,,,,,, 453301,01-MAY-16,30-APR-17,As Submitted,DRISCOLL CHILDRENS HOSPITAL ,3533 SOUTH ALAMEDA ST. ,,CORPUS CHRISTI ,TX ,78411 ,NUECES ,,,,,,,,,4420,162,59130,184,4474,28001,49.93,1570.9,,44,410,3193,1724,,,,,, 453302,01-JAN-16,31-DEC-16,Amended,CHILDRENS MEDICAL CENTER OF DALLAS ,1935 MEDICAL DISTRICT DRIVE ,,DALLAS ,TX ,75235 ,DALLAS ,,,,,,,,,3044,361,132215,371,20761,90875,106.57,,,54,1,12870,,,,,,, 453304,01-OCT-15,30-SEP-16,As Submitted,TEXAS CHILDRENS HOSPITAL ,6621 FANNIN ,,HOUSTON ,TX ,77030 ,HARRIS ,,,,,,,,,7174,681,247432,504,40308,217160,394,9031,,95,5175,33977,12575,,,,,, 453306,01-JUL-16,30-JUN-17,As Submitted,COVENANT CHILDRENS HOSPITAL ,4015 22ND PLACE ,,LUBBOCK ,TX ,79410 ,LUBBOCK ,,,,,,,,,,204,53139,319,1809,21677,8.05,385.3,,55,260,3338,1626,,,,,, 453308,01-JAN-16,31-DEC-16,Settled,OUR CHILDRENS HOUSE ,3301 SWISS AVENUE ,,DALLAS ,TX ,75204 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 453309,01-JAN-16,31-DEC-16,Settled,HEALTHBRIDGE CHIDRENS HOSP OF HOUSTO ,2929 WODDLAND PARK DRIVE ,,HOUSTON ,TX ,77082 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 453310,01-JUL-16,30-JUN-17,As Submitted,DELL CHILDRENS MEDICAL CENTER ,4900 MUELLER BLVD ,,AUSTIN ,TX ,78723- ,TRAVIS ,,,,,,,,,5481,224,87788,108,3729,37690,62.85,1085.8,,27,823,8826,4123,,,,,, 453311,01-JAN-16,31-DEC-16,Settled,SHRINERS HOSPITAL FOR CHILDREN ,815 MARKET STREET ,,GALVESTON ,TX ,77550 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 453312,01-JAN-16,31-DEC-16,Settled,SHRINERS HOSPITALS FOR CHILDREN ,6977 MAIN STREET ,,HOUSTON ,TX ,77030-3701 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 453313,01-OCT-15,30-SEP-16,As Submitted,EL PASO CHILDRENS HOSPITAL ,4845 ALAMEDA AVE ,,EL PASO ,TX ,79905 ,EL PASO ,,,,,,,,,,122,44652,15,5043,20177,,496.02,,6,698,3316,,,,,,, 453314,01-OCT-15,30-SEP-16,As Submitted,TX SCOTTISH RITE HOSPTIAL FOR CHILDR ,2222 WELBORN ,,DALLAS ,TX ,75219 ,DALLAS ,,,,,,,,,,52,19032,15,664,3567,11.42,918.84,,1,75,494,,,,,,, 453315,01-JUL-16,30-JUN-17,As Submitted,CHILDRENS HOSPITAL OF SAN ANTONIO ,519 WEST HOUSTON STREET ,,SAN ANTONIO ,TX ,78207 ,BEXAR ,,,,,,,,,1137,202,73730,97,5342,31135,28.93,1240.08,,26,1164,9295,,,,,,, 453316,01-JAN-16,31-DEC-16,Amended,CHILDRENS MEDICAL CENTER OF PLANO ,7601 PRESTON RD ,,PLANO ,TX ,75024 ,COLLIN ,,,,,,,,,,68,24641,5,553,10040,,504.05,,1,1,2357,,,,,,, 454012,01-JAN-16,31-DEC-16,As Submitted,MILLWOOD HOSPITAL ,1011 NORTH COOPER STREET ,,ARLINGTON ,TX ,76001 ,TARRANT ,,,,,,,,,,122,44652,6585,2300,35592,,234.1,,474,236,3845,,,,,,, 454018,01-JAN-16,31-DEC-16,As Submitted,RED RIVER HOSPITAL ,1505 EIGHTH SREET ,,WICHITA FALLS ,TX ,76301 ,WICHITA ,,,,,,,,,,96,35136,7956,897,27161,,137.62,,594,87,2309,,,,,,, 454026,01-JAN-16,31-DEC-16,As Submitted,WEST OAKS HOSPITAL ,6500 HORNWOOD ,,HOUSTON ,TX ,77074 ,HARRIS ,,,,,,,,,,144,52704,7052,3111,41172,,281.82,,592,294,5177,,,,,,, 454029,01-JUL-16,30-JUN-17,As Submitted,SETON SHOAL CREEK ,3501 MILLS AVENUE ,,AUSTIN ,TX ,78731-0000 ,TRAVIS ,,,,,,,,,,101,36865,1597,,22666,,217.41,,207,,3975,,,,,,, 454050,01-JAN-16,31-DEC-16,As Submitted,GLEN OAKS HOSPITAL ,301 EAST DIVISION STREET ,,GREENVILLE ,TX ,75401 ,,,,,,,,,,,54,19764,3406,426,13164,,105.02,,313,60,1848,,,,,,, 454060,01-JAN-16,31-DEC-16,As Submitted,LAUREL RIDGE HOSPITAL ,17720 CORPORATE WOODS DR ,,SAN ANTONIO ,TX ,78259 ,BEXAR ,,,,,,,,,,208,76128,6549,4119,65254,,431.25,,675,472,7420,,,,,,, 454064,01-JAN-16,31-DEC-16,As Submitted,RIVER CREST HOSPITAL ,1636 HUNTERS GLEN RD ,,SAN ANGELO ,TX ,76907 ,,,,,,,,,,,80,29280,3227,439,20170,,126.58,,330,91,3079,,,,,,, 454065,01-AUG-16,31-JUL-17,As Submitted,HICKORY TRAIL HOSPITAL ,2000 N. OLD HICKORY TRAIL ,,DESOTO ,TX ,75115 ,DALLAS ,,,,,,,,,,86,31390,5592,291,21606,,144.83,,475,33,2876,,,,,,, 454069,01-JAN-16,31-DEC-16,As Submitted,AUSTIN LAKES HOSPITAL ,1025 EAST 32ND STREET ,,AUSTIN ,TX ,78705 ,TRAVIS ,,,,,,,,,,58,21228,4239,213,17343,,124.9,,474,33,3300,,,,,,, 454083,01-JAN-16,31-DEC-16,As Submitted,INTRACARE NORTH HOSPITAL ,1120 CYPRESS STATTION ,,HOUSTON ,TX ,77090 ,HARRIS ,,,,,,,,,,90,32850,2775,1521,18803,,17752,,298,171,2058,,,,,,, 454098,01-JAN-16,01-DEC-16,As Submitted,ACADIA ABILENE PSYCH CENTER ,1111 INDUSTRIAL BLVD ,,ABILENE ,TX ,79608-5559 ,TAYLOR ,,,,,,,,,,92,30912,2255,1713,16639,,124.5,,210,151,1899,,,,,,, 454101,01-JAN-16,31-DEC-16,As Submitted,ALLEGIANCE BEHAVIORAL CTR OF PLAINVI ,2601 DIMMITT ROAD SUITE 400 ,,PLAINVIEW ,TX ,79072 ,HALE ,,,,,,,,,,20,7300,3889,,4183,,86.58,,241,,263,,,,,,, 454103,01-JAN-16,31-DEC-16,As Submitted,KINGWOOD PINES HOSPITAL ,2001 LADBROOK ,,KINGWOOD ,TX ,77339 ,HARRIS ,,,,,,,,,,116,42456,2390,3554,34095,,196.55,,246,359,4073,,,,,,, 454104,01-JAN-16,31-DEC-16,As Submitted,UBH DENTON HOSPITAL ,2026 W UNIVERSITY DRIVE ,,DENTON ,TX ,76201 ,DENTON ,,,,,,,,,,104,38064,2478,418,25634,,193.18,,190,41,2603,,,,,,, 454105,01-JAN-16,21-JUL-16,As Submitted,BEHAVIORAL HOSPITAL OF LONGVIEW ,22 BERMUDA LANE ,,LONGVIEW ,TX ,75605 ,GREGG ,,,,,,,,,,76,15428,5156,,7022,,119.2,,316,,540,,,,,,, 454107,01-JAN-16,31-DEC-16,As Submitted,UBH BELLAIRE HOSPITAL ,UBH BELLAIRE HOSPITAL ,,5314 DASHWOOD ,TX ,77081 ,,,,,,,,,,,102,37332,6398,1414,32927,,190.6,,533,161,3723,,,,,,, 454108,01-JAN-16,31-DEC-16,As Submitted,CYPRESS CREEK HOSPITAL ,17750 CALI DRIVE ,,HOUSTON ,TX ,77090 ,HARRIS ,,,,,,,,,,96,35136,4595,934,31879,,195.21,,416,102,3679,,,,,,, 454109,01-JAN-16,31-DEC-16,As Submitted,UBH EL PASO HOSPITAL ,1900 DENVER AVENUE ,,EL PASO ,TX ,79902 ,,,,,,,,,,,163,59658,5982,2242,52650,,315.3,,489,246,5718,,,,,,, 454110,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAV HOSP OF PERMIAN BASIN ,330 S FM 1788 ,,MIDLAND ,TX ,79706-2601 ,MIDLAND ,,,,,,,,,,60,21960,4826,333,17146,,108.94,,346,35,1803,,,,,,, 454111,01-JAN-16,31-DEC-16,As Submitted,TEXAS STAR RECOVERY ,1106 WEST DITTMAR ROAD ,,AUSTIN ,TX ,78745 ,TRAVIS ,,,,,,,,,,28,10220,3490,,6874,,,,284,,754,,,,,,, 454113,01-JAN-16,31-DEC-16,As Submitted,SUNDANCE HOSPITAL ,7000 US HWY 287 ,,ARLINGTON ,TX ,76001 ,TARRANT ,,,,,,,,,,232,84912,4783,3309,50171,,415.72,,457,339,6310,2506,,,,,, 454114,01-JAN-16,31-DEC-16,As Submitted,CEDAR CREST HOSPITAL ,3500 SOUTH I-35 ,,BELTON ,TX ,76513-9426 ,BELL ,,,,,,,,,,88,32208,2809,1590,21251,,150.07,,329,236,3089,,,,,,, 454117,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF LONGV ,615 CLINIC DRIVE ,,LONGVIEW ,TX ,75605 ,GREGG ,,,,,,,,,,24,8784,6140,,7115,,57.96,,400,,534,,,,,,, 454118,01-JAN-16,31-DEC-16,As Submitted,LONESTAR BEHAVIORAL HEALTH ,16303 GRANT RD ,,CYPRESS ,TX ,77429 ,HARRIS ,,,,,,,,,,24,8760,2030,837,5142,,94,,208,84,516,,,,,,, 454119,01-JAN-16,31-DEC-16,As Submitted,CARROLLTON SPRINGS ,2225 PARKER ROAD ,,CARROLLTON ,TX ,75010 ,DENTON ,,,,,,,,,,45,16470,2918,,15820,,130.27,,226,,1633,,,,,,, 454122,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF ABILEN ,4425 WOODS PLACE ,,ABILENE ,TX ,79602 ,TAYLOR ,,,,,,,,,,90,14515,5703,9,10419,,83.83,,295,2,740,,,,,,, 454123,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF LUFKIN ,302 GOBBLERS KNOB RD ,,LUFKIN ,TX ,75904 ,ANGELINA ,,,,,,,,,,24,8784,4937,,6047,,51.22,,309,,411,,,,,,, 454124,01-JAN-16,31-DEC-16,As Submitted,MESA SPRINGS ,5560 MESA SPRINGS DRIVE ,,FORT WORTH ,TX ,76123 ,TARRANT ,,,,,,,,,,72,26352,2502,947,20655,,184.58,,246,97,2544,381,,,,,, 454125,01-JAN-16,31-DEC-16,As Submitted,ROCK PRAIRIE BEHAVIORAL HEALTH ,3550 NORMAND AVE ,,COLLEGE STATION ,TX ,77845 ,BRAZOS ,,,,,,,,,,72,26352,3332,5964,14040,,118.92,,283,659,1600,,,,,,, 454126,01-JAN-16,31-DEC-16,As Submitted,DALLAS BEHAVIORAL HEALTHCARE ,800 KIRNWOOD DRIVE ,,DE SOTO ,TX ,75115 ,DALLAS ,,,,,,,,,,116,42456,3795,697,26815,,152.69,,319,62,3876,,,,,,, 454127,01-JAN-16,31-DEC-16,As Submitted,ROCK SPRINGS ,700 SOUTEAST INNTER LOOP ,,GEORGETOWN ,TX ,78626 ,WILLIAMSON ,,,,,,,,,,72,26352,2406,57,16555,,145.54,,242,9,1950,161,,,,,, 454128,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF FORT W ,6200 OVERTON RIDGE BLVD ,,FORT WORTH ,TX ,76132 ,TARRANT ,,,,,,,,,,48,17568,6682,,11900,,84.19,,516,,1101,,,,,,, 454129,01-JAN-16,31-DEC-16,As Submitted,GEORGETOWN BEHAVIORAL HEALTH ,3101 S AUSTIN AVENUE ,,GEORGETOWN ,TX ,78626 ,WILLIAMSON ,,,,,,,,,,118,43188,3386,861,24151,,168.58,,312,84,2812,,,,,,, 454130,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF PLANO ,4301 MAPLESHADE LANE ,,PLANO ,TX ,75093 ,COLLIN ,,,,,,,,,,48,17568,7269,,11180,,74.31,,429,,717,,,,,,, 454131,01-JAN-16,31-DEC-16,As Submitted,WESTPARK SPRINGS ,6902 S PEEK ROAD ,,RICHMOND ,TX ,77407 ,FORT BEND ,,,,,,,,,,72,26352,3100,640,17135,,127.92,,250,59,2006,193,,,,,, 454132,01-JAN-16,31-DEC-16,As Submitted,SAN ANTONIO BEHAVIORAL HEALTHCARE ,8550 HUEBNER ROAD ,,SAN ANTONIO ,TX ,78240 ,BEXAR ,,,,,,,,,,108,39528,2543,2857,29912,,175.34,,291,309,4245,,,,,,, 454133,01-JAN-16,31-DEC-16,As Submitted,CROSS CREEK HOSPITAL ,8402 CROSS PARK DRIVE ,,AUSTIN ,TX ,78754 ,TRAVIS ,,,,,,,,,,90,32940,1590,823,15499,,101.42,,190,111,2320,,,,,,, 454134,01-JAN-16,31-DEC-16,As Submitted,HAVEN BEHAVIORAL HOSPITAL OF FRISCO ,5680 FRISCO SQUARE BLVD SUITE 3000 ,,FRISCO ,TX ,75034-3308 ,,,,,,,,,,,36,13176,7839,,10804,,67.97,,492,1,688,1,,,,,, 454135,01-JAN-16,31-DEC-16,As Submitted,HOUSTON BEHAVIORAL HEALTHCARE ,2801 GESSNER ROAD ,,HOUSTON ,TX ,77080 ,HARRIS ,,,,,,,,,,88,32208,1994,921,20555,,164.5,,175,98,2643,1,,,,,, 454136,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF KATY ,455 PARK GROVE LANE ,,KATY ,TX ,77450 ,HARRIS ,,,,,,,,,,48,17568,7545,,11920,,78.82,,459,,848,,,,,,, 454137,23-OCT-15,31-DEC-15,Settled,OCEANS BEHAVIORAL HOSPITAL OF SAN MA ,1106 N IH 35 ,,SAN MARCOS ,TX ,78666 ,HAYS ,,,,,,,,,,24,1680,428,,545,,14.89,,26,,34,,,,,,, 454137,01-JAN-16,31-DEC-16,As Submitted,OCEANS BEHAVIORAL HOSPITAL OF SAN MA ,1106 N IH 35 ,,SAN MARCOS ,TX ,78666 ,HAYS ,,,,,,,,,,24,8784,4953,,6512,,53.82,,234,,389,,,,,,, 454138,09-MAR-16,30-APR-16,As Submitted,GARLAND BEHAVIORAL HOSPITAL ,2300 MARIE CURIE BOULEVARD 5TH FLOOR ,,GARLAND ,TX ,75042 ,DALLAS ,,,,,,,,,,24,1296,152,,491,,48.95,,22,,85,,,,,,, 454138,01-MAY-16,30-APR-17,As Submitted,GARLAND BEHAVIORAL HOSPITAL ,2300 MARIE CURIE BOULEVARD 5TH FLOOR ,,GARLAND ,TX ,75042 ,,,,,,,,,,,50,18250,3602,14,8999,,88.3,,326,1,1130,,,,,,, 454139,19-APR-16,31-DEC-16,As Submitted,SUN BEHAVIORAL HOUSTON ,7601 FANNIN STREET ,,HOUSTON ,TX ,77054 ,,,,,,,,,,,148,38036,783,123,7335,,55.02,,80,26,956,255,,,,,, 454140,21-SEP-16,31-MAY-17,As Submitted,TIMBERLAWN HOSPITAL ,4600 SAMUEL BLVD ,,DALLAS ,TX ,75315 ,,,,,,,,,,,57,14421,889,76,4832,,91.8,,109,12,712,,,,,,, 460001,01-JAN-16,31-DEC-16,As Submitted,UTAH VALLEY REGIONAL MED. CTR. ,1034 NORTH 500 WEST ,50390 ,PROVO ,UT ,84604 ,UTAH ,1195057,,,1500940,,,.1455,400580,127520,315,115290,16832,15302,79652,21.53,2500.71,,3879,1402,17993,2397,184,,96,9,1386,286 460004,01-JAN-16,31-DEC-16,As Submitted,MCKAY-DEE HOSPITAL ,4401 HARRISON BLVD ,,OGDEN ,UT ,84403- ,WEBER ,1177951,,,1106377,,,.1189,339089,144747,249,91134,12729,5904,58966,17.89,2022.17,,3585,927,15356,1640,667,,155,18,2939,324 460005,01-JUN-16,31-MAY-17,As Submitted,OGDEN REGIONAL MEDICAL CENTER ,5475 SOUTH 500 EAST ,,OGDEN ,UT ,84405 ,WEBER ,,,,281381,,,.0738,,,164,59860,6928,1115,32788,,660.69,,1688,206,8182,1255,,,,,, 460006,01-JAN-16,31-DEC-16,Amended,LDS HOSPITAL ,8TH AVENUE AND C STREET. ,,SALT LAKE CITY ,UT ,84143- ,SALT LAKE ,46540,,,284042,,,.0998,16576,8463,204,74664,5410,3542,35837,4.51,1110.23,4.93,1085,802,8727,954,295,,,,2095, 460007,01-JAN-16,31-DEC-16,As Submitted,CEDAR CITY HOSPITAL ,1303 NORTH MAIN ,,CEDAR CITY ,UT ,84720 ,IRON ,,,,180749,,,.12,,,48,17568,2329,1449,7554,,330.88,,780,217,2758,414,,,,,, 460009,01-JUL-16,30-JUN-17,As Submitted,U OF U HOSPITALS & CLINICS ,50 NORTH MEDICAL DRIVE ,,SALT LAKE CITY ,UT ,84132 ,SALT LAKE COUNTY ,20373740,,,2735914,,,.1411,3699240,3475488,512,186971,33332,23333,152473,364.61,8649.48,,6162,5679,30486,,5,,113,50,440,756 460010,01-JAN-16,31-DEC-16,As Submitted,INTERMOUNTAIN MEDICAL CENTER ,5121 S COTTONWOOD ST ,,MURRAY ,UT ,84157-7000 ,SALT LAKE ,5127061,,,773591,,,.0481,1387982,538987,448,163968,25625,8468,122577,72.97,3537.62,14.85,5704,1292,26166,1863,,,,36,,378 460011,01-JAN-16,31-DEC-16,As Submitted,CASTLEVIEW HOSPITAL ,300 NORTH HOSPITAL DRIVE ,,PRICE ,UT ,84501- ,CARBON ,,,,113306,,,.0849,,,49,17934,2396,953,5032,,239.98,,738,265,1617,,,,,,, 460014,01-JAN-16,31-DEC-16,As Submitted,TOOELE VALLEY HOSPITAL ,211 SOUTH 100 EAST ,,TOOELE ,UT ,84074 ,,,,,68724,,,.1027,,,36,13176,1131,387,4626,,228.49,,420,234,1674,,,,,,, 460015,01-JAN-16,31-DEC-16,As Submitted,LOGAN REGIONAL HOSPITAL ,1400 NORTH 500 EAST ,,LOGAN ,UT ,84341- ,CACHE ,,,,225540,,,.12,,,121,44286,3061,2398,19247,,776.66,,940,381,6098,863,,,,,493, 460019,01-JUL-16,30-JUN-17,As Submitted,UINTAH BASIN MEDICAL CENTER ,250 WEST 300 NORTH ,752 ,ROOSEVELT ,UT ,84066 ,DUCHESNE ,,,,50601,,,.0909,,,49,17885,1022,1155,5459,,374.75,,349,285,1600,,,,,,, 460021,01-JAN-16,31-DEC-16,As Submitted,DIXIE REGIONAL MEDICAL CENTER ,1380 EAST MEDICAL CENTER DRIVE ,,ST GEORGE ,UT ,84790 ,WASHINGTON ,,,,673097,,,.0425,,,216,79056,24812,3544,56293,,1907.06,15.72,6245,894,15575,1276,164,,1,13,711,263 460023,01-JAN-16,31-DEC-16,As Submitted,AMERICAN FORK HOSPITAL ,170 NORTH 1100 EAST ,,AMERICAN FORK ,UT ,84003- ,UTAH ,,,,52495,,,.0344,,,91,33275,2435,1553,20769,,646.66,,786,138,6271,629,,,,,, 460026,01-JAN-16,31-DEC-16,As Submitted,SEVIER VALLEY REGIONAL MEDICAL CENTR ,100 NORTH MAIN ,,RICHFIELD ,UT ,84701- ,SEVIER ,,,,54322,,,.086,,,24,8784,1204,502,2486,,146.99,,376,154,848,16,,,,,, 460030,01-FEB-16,31-JAN-17,As Submitted,ASHLEY REGIONAL MEDICAL CENTER ,151 WEST 200 NORTH ,,VERNAL ,UT ,84078 ,UINTAH ,,,,30212,,,.0536,,,39,14274,976,563,3475,,205.91,,345,194,1289,,,,,,, 460033,01-JAN-16,23-JAN-17,As Submitted,GARFIELD MEMORIAL HOSPITAL ,200 NORTH 400 EAST ,,PANGUITCH ,UT ,84759 ,GARFIELD ,,,,,,,,,,41,15949,902,6084,8953,,93.32,,144,24,321,6,,,,,, 460035,01-JUL-16,10-AUG-16,As Submitted,BEAVER VALLEY HOSPITAL ,1109 NORTH 100 WEST ,1670 ,BEAVER ,UT ,84713 ,BEAVER ,,,,619,,,.0496,,,49,2009,29,329,624,,97.63,,8,1,27,,,,,,, 460039,01-JAN-16,31-DEC-16,As Submitted,BEAR RIVER VALLEY HOSPITAL ,905 NORTH 1000 WEST ,,TREMONTON ,UT ,84337- ,BOX ELDER ,,,,15517,,,.0814,,,16,5856,290,117,1069,,102,,114,19,402,46,,,,,, 460041,01-APR-16,31-MAR-17,Amended,DAVIS HOSPITAL & MEDICAL CENTER ,1600 WEST ANTELOPE DRIVE ,,LAYTON ,UT ,84041 ,DAVIS ,,,,215761,,,.0827,,,170,62050,4401,1818,19771,,632.04,,1160,101,5160,716,130,,24,,732,53 460042,01-OCT-15,30-SEP-16,As Submitted,LAKEVIEW HOSPITAL ,630 EAST MEDICAL DRIVE ,,BOUNTIFUL ,UT ,84010 ,DAVIS ,,,,,,,,,,91,30202,3743,357,12790,,350.84,,1113,77,3669,303,,,2,,156, 460043,01-JAN-16,31-DEC-16,As Submitted,OREM COMMUNITY HOSPITAL ,331 NORTH 400 WEST ,X ,OREM ,UT ,84057- ,UTAH ,,,,310,,,.12,,,18,6588,3,798,4338,,164.81,,2,54,1157,258,,,,,, 460044,01-JAN-16,31-DEC-16,As Submitted,ALTA VIEW HOSPITAL ,9660 SOUTH 1300 EAST ,,SANDY ,UT ,84094- ,SALT LAKE ,,,,,,,,,,66,24156,1593,675,10366,,436,,548,74,3150,231,,,,,, 460047,01-JUL-16,30-JUN-17,As Submitted,ST MARKS HOSPITAL ,1200 EAST 3900 SOUTH ,,SALT LAKE CITY ,UT ,84124 ,,1113587,,,660449,,,.0773,347897,115784,233,84944,12864,1899,54841,14.49,1126.52,,3434,364,13366,1681,,,44,5,879,285 460049,01-JAN-16,31-DEC-16,As Submitted,THE ORTHOPEDIC SPECIALTY HOSPITAL ,5848 SOUTH 3RD EAST ,,MURRAY ,UT ,84107 ,SALT LAKE ,,,,,,,,,,40,14640,1314,90,3950,,304,,491,37,1991,36,,,,,, 460051,01-JUL-16,30-JUN-17,As Submitted,JORDAN VALLEY MEDICAL CENTER ,3580 W 9000 SOUTH ,,WEST JORDAN ,UT ,84088 ,SALT LAKE ,,,,477819,,,.1297,,,278,101470,5818,2304,38810,,1017.11,,1648,421,9857,1440,317,,27,7,1128,151 460052,01-JAN-16,31-DEC-16,As Submitted,TIMPANOGOS REGIONAL HOSPITAL ,750 WEST 800 NORTH ,,OREM ,UT ,84057- ,UTAH ,,,,131297,,,.0786,,,117,42822,2236,784,16708,,405.57,,655,202,3788,400,,,,,, 460054,01-APR-16,31-MAR-17,As Submitted,CACHE VALLEY HOSPITAL ,2380 NORTH 400 EAST ,,NORTH LOGAN ,UT ,84341 ,CACHE ,,,,,,,,,,28,8216,624,34,1522,,167.65,,267,16,691,37,,,,,, 460057,01-JAN-16,31-DEC-16,As Submitted,PARK CITY HOSPITAL ,900 ROUND VALLEY DRIVE ,,PARK CITY ,UT ,84060- ,SUMMIT ,,,,,,,,,,37,13542,1018,264,4577,,333.71,,380,60,1870,44,,,,,, 460058,01-JAN-16,31-DEC-16,As Submitted,RIVERTON HOSPITAL ,3741 WEST 12600 SOUTH ,,RIVERTON ,UT ,84065- ,SALT LAKE ,,,,38132,,,.0488,,,88,32208,1341,1271,18283,,536,,417,162,5527,769,,,,,, 460060,01-JUL-16,30-JUN-17,As Submitted,LONE PEAK HOSPITAL ,11925 S STATE STREET ,,DRAPER ,UT ,84020 ,UNITED STATES ,1895,,,,,,,720,352,30,10950,811,157,5701,.02,163.98,,303,,1778,160,,,,,, 461300,01-JAN-16,31-DEC-16,Amended,DELTA COMMUNITY HOSPITAL ,126 S WHITE SAGE AVE ,,DELTA ,UT ,84624 ,MILLARD ,,,,,,,,,,18,6588,349,192,892,,46.13,,73,52,247,1,,,,,, 461301,01-JAN-16,31-DEC-16,As Submitted,FILLMORE COMMUNITY HOSPITAL ,674 SOUTH HIGHWAY 99 ,,FILLMORE ,UT ,84631- ,MILLARD ,,,,,,,,,,19,6954,427,1223,3861,,50.44,,51,20,150,1,,,,,, 461302,01-JAN-16,31-DEC-16,As Submitted,MOAB REGIONAL HOSPITAL ,450 WEST WILLIAMS WAY ,,MOAB ,UT ,84532 ,GRAND ,,,,,,,,,,17,6222,1139,265,2040,,151.2,,166,39,389,,,,,,, 461303,01-JAN-16,31-DEC-16,As Submitted,SANPETE VALLEY HOSPITAL ,1100 SOUTH MEDICAL DRIVE ,,MT PLEASANT ,UT ,84647 ,SANPETE ,,,,,,,,,,18,6588,1046,215,1888,,90.47,,141,60,385,4,,,,,, 461304,01-JUL-16,30-JUN-17,As Submitted,CENTRAL VALLEY MEDICAL CENTER ,48 WEST 1500 NORTH ,412 ,NEPHI ,UT ,84648 ,JUAB ,,,,,,,,,,25,9125,2780,222,3868,,212.75,,428,67,777,,,,,,, 461305,01-JAN-16,31-DEC-16,As Submitted,MILFORD VALLEY HEALTHCARE SERVICES ,850 NORTH MAIN STREET ,PO BOX 640 ,MILFORD ,UT ,84751 ,BEAVER ,,,,,,,,,,25,9150,293,4012,4977,,32.09,,21,,26,,,,,,, 461306,01-JUL-16,30-JUN-17,As Submitted,GUNNISON VALLEY HOSPITAL ,64 EAST 100 NORTH ,759 ,GUNNISON ,UT ,84634- ,SANPETE ,,,,,,,,,,25,9125,1858,293,3290,,110.97,,260,76,678,2,,,,,, 461307,01-JAN-16,31-DEC-16,As Submitted,HEBER VALLEY HOSPITAL ,1485 SOUTH HIGHWAY 40 ,,HEBER CITY ,UT ,84032- ,WASATCH ,,,,,,,,,,20,7320,641,164,2167,,146.7,,127,35,542,41,,,,,, 461308,01-JAN-16,31-DEC-16,As Submitted,SAN JUAN HEALTH SERVICES DISTRICT ,384 WEST 200 NORTH ,308 ,MONTICELLO ,UT ,84535 ,SAN JUAN ,,,,,,,,,,21,7686,534,183,1063,,71.19,,104,47,300,,,,,,, 461309,01-JAN-16,31-DEC-16,As Submitted,KANE COUNTY HOSPITAL ,355 NORTH MAIN ,,KANAB ,UT ,84741- ,KANE ,,,,,,,,,,25,9150,972,2202,6482,,78.17,,102,33,228,,,,,,, 461310,01-OCT-15,30-SEP-16,As Submitted,BLUE MOUNTAIN HOSPITAL ,802 SOUTH 200 WEST ,,BLANDING ,UT ,84511 ,SAN JUAN COUNTY ,,,,,,,,,,11,4026,494,471,1264,,71.87,,99,145,333,,,,,,, 462003,01-JAN-16,31-DEC-16,Amended,SOUTH DAVIS COMMUNITY HOSPITAL ,401 SOUTH 400 EAST ,,BOUNTIFUL ,UT ,84010 ,DAVIS ,,,,,,,,,,16,5856,1469,1086,4651,,78.48,,58,34,146,,,,,,, 462004,01-FEB-16,31-JAN-17,As Submitted,PROMISE HOSPITAL OF SALT LAKE ,8TH AVENUE C STREET ,,SALT LAKE CITY ,UT ,84143 ,SALT LAKE ,,,,,,,,,,54,19764,5476,959,12816,,44.11,,218,36,444,4,,,,,, 462005,01-JUL-16,30-JUN-17,As Submitted,UTAH VALLEY SPECIALTY HOSPITAL ,306 WEST RIVER BEND LANE ,,PROVO ,UT ,84604 ,UTAH ,,,,,,,,,,40,14600,5156,1227,8917,,102.22,,202,38,343,,,,,,, 462006,01-JAN-16,31-DEC-16,As Submitted,LANDMARK HOSPITAL OF SALT LAKE CITY ,4552 BIRKHILL BLVD ,,MURRAY ,UT ,84107 ,SALT LAKE ,,,,,,,,,,38,13908,4099,931,8285,,72.93,,167,20,299,,,,,,, 463025,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,8074 SOUTH 1300 EAST ,,SANDY ,UT ,84094 ,SALT LAKE ,,,,,,,,,,84,16104,6777,62,11416,,111.3,,520,7,822,11,,,,,, 463027,01-JAN-16,31-DEC-16,As Submitted,NORTHERN UTAH REHABILITATION HOSPITA ,5825 HARRISON BLVD ,,SOUTH OGDEN ,UT ,84403 ,WEBER ,,,,,,,,,,40,14640,4921,,6565,,95.39,,357,,448,,,,,,, 463301,01-JAN-16,31-DEC-16,As Submitted,PRIMARY CHILDRENS HOSPITAL ,100 NORTH MARIO CAPECCHI DRIVE ,NONE ,SALT LAKE CITY ,UT ,84113- ,SALT LAKE ,,,,,,,,,1084,289,105774,51,6527,70383,127.22,2491.47,26.85,15,1659,12741,3091,,,,,, 464001,01-JUL-16,30-JUN-17,As Submitted,UTAH STATE HOSPITAL ,1300 E CENTER STREET ,,PROVO ,UT ,84606 ,,,,,,,,,,,329,120085,1359,24637,108841,,764,,29,76,294,,,,,,, 464009,01-JUL-16,30-JUN-17,As Submitted,U OF UTAH NEUROPSYCHIATRIC INSTITUTE ,501 CHIPETA WAY ,,SALT LAKE CITY ,UT ,84108 ,SALT LAKE ,,,,,,,,,1316,157,57305,3765,,44199,15.59,672.12,,267,,4740,,,,,,, 464012,01-JAN-16,31-DEC-16,As Submitted,MARIAN CENTER ,451 FEDERAL BISHOP LANE ,,SALT LAKE CITY ,UT ,84115 ,SALT LAKE ,,,,,,,,,,12,4392,1724,,3012,,33,,97,,181,,,,,,, 464013,01-JAN-16,31-DEC-16,As Submitted,SALT LAKE CITY BEHAVIORAL HEALTH ,3802 SOUTH 700 EAST ,,SALT LAKE CITY ,UT ,84106 ,SALT LAKE ,,,,,,,,,,118,43188,4891,,23235,,163.9,,400,,2354,,,,,,, 464014,01-JAN-16,31-DEC-16,As Submitted,PROVO CANYON HOSPITAL ,1350 EAST 750 NORTH ,,OREM ,UT ,84097 ,UTAH ,,,,,,,,,,80,29280,2786,,19784,,125.36,,242,,2333,,,,,,, 464015,01-JAN-16,31-DEC-16,As Submitted,HIGHLAND RIDGE HOSPITAL ,7309 SOUTH 180 WEST ,,MIDVALE ,UT ,84047 ,SALT LAKE ,,,,,,,,,,83,30378,2558,,11895,,90.28,,215,,1597,,,,,,, 470001,01-OCT-15,30-SEP-16,As Submitted,CENTRAL VERMONT HOSPITAL ,130 FISHER ROAD ,547 ,BARRE ,VT ,05641 ,WASHINGTON ,,,,316256,,,.081,,,62,22692,8984,2227,15023,,1281.43,,2206,646,3864,,,,139,,379, 470003,01-OCT-15,30-SEP-16,As Submitted,UNIVERSITY OF VERMONT MEDICAL CENTER ,111 COLCHESTER AVENUE ,,BURLINGTON ,VT ,05401 ,CHITTENDEN ,22147405,,,3510141,,,.173,4803404,4056938,410,150060,44072,19256,108039,279.97,6227.19,,7580,4037,21329,,,,,71,,722 470005,01-OCT-15,30-SEP-16,As Submitted,RUTLAND REGIONAL MEDICAL CENTER ,160 ALLEN STREET ,,RUTLAND ,VT ,05701 ,RUTLAND ,,,,776152,,,.1268,,,123,45018,16970,6737,31588,,1310.97,,3303,1550,6446,,,,,,, 470011,01-OCT-15,30-SEP-16,As Submitted,BRATTLEBORO MEMORIAL HOSPITAL ,17 BELMONT AVE ,,BRATTLEBORO ,VT ,05301 ,WINDHAM ,,,,188173,,,.142,,,47,17202,2735,1281,5882,,463.1,,747,484,1612,,,,,,, 470012,01-OCT-15,30-SEP-16,As Submitted,SOUTHWESTERN VERMONT MEDICAL CENTER ,100 HOSPITAL DRIVE EAST ,,BENNINGTON ,VT ,05201- ,BENNINGTON ,117651,,,354992,,,.1107,31935,49126,78,28548,6351,1882,12219,1.55,747.05,,1767,506,3327,,,,,,, 470024,01-OCT-15,30-SEP-16,As Submitted,NORTHWESTERN MEDICAL CENTER ,133 FAIRFIELD STREET ,,SAINT ALBANS ,VT ,05478- ,FRANKLIN ,,,,,,,,,,53,19398,4368,2076,8930,,664.28,,1343,517,2581,,,,,,, 471300,01-OCT-15,30-SEP-16,As Submitted,GRACE COTTAGE HOSPITAL ,185 GRAFTON ROAD ,,TOWNSHEND ,VT ,05353-0216 ,WINDHAM ,,,,,,,,,,19,6954,3129,32,3869,,125.4,,97,17,131,,,,,,, 471301,01-OCT-15,30-SEP-16,As Submitted,GIFFORD MEDICAL CENTER ,44 SOUTH MAIN STREET ,2000 ,RANDOLPH ,VT ,05060- ,ORANGE ,,,,,,,,,,29,10614,4334,819,6695,,343.39,,749,214,1312,,,,,,, 471302,01-OCT-15,30-SEP-16,As Submitted,MT ASCUTNEY HOSPITAL AND HEALTH CENT ,289 COUNTY ROAD ,,WINDSOR ,VT ,05089 ,WINDSOR ,,,,,,,,,,25,9150,3959,101,7178,,301.29,,217,33,365,,,,,22,,247 471303,01-OCT-15,30-SEP-16,As Submitted,NORTHEASTERN VT REGIONAL HOSPITAL ,1315 HOSPITAL DRIVE ,,ST. JOHNSBURY ,VT ,05819 ,CALEDONIA ,,,,,,,,,,25,9150,2870,1473,5670,,351.26,,674,314,1694,,,,,,, 471304,01-OCT-15,30-SEP-16,As Submitted,NORTH COUNTRY HOSPITAL & HEALTH CTR ,189 PROUTY DRIVE ,,NEWPORT ,VT ,05855 ,ORLEANS ,,,,,,,,,,25,9150,3696,1004,5883,,381.77,,817,258,1359,,,,,,, 471305,01-OCT-15,30-SEP-16,As Submitted,COPLEY HOSPITAL INC. ,528 WASHINGTON HIGHWAY ,,MORRISVILLE ,VT ,05661 ,LAMOILLE ,,,,,,,,,,25,9150,3135,854,5390,,357.83,,951,251,1734,,,,,,, 471306,01-OCT-15,30-SEP-16,As Submitted,SPRINGFIELD HOSPITAL ,25 RIDGEWOOD ROAD ,2003 ,SPRINGFIELD ,VT ,05156- ,WINDSOR ,,,,,,,,,,25,9150,4108,779,6003,,291,,957,203,1536,,,,136,,358, 471307,01-OCT-15,30-SEP-16,As Submitted,PORTER HOSPITAL ,115 PORTER DRIVE ,,MIDDLEBURY ,VT ,05753-8629 ,ADDISON ,,,,,,,,,,25,9150,2903,831,6103,,428,,678,377,1454,,,,,,, 474001,01-JAN-16,31-DEC-16,As Submitted,BRATTLEBORO RETREAT ,ANNA MARSH LANE ,101 ,BRATTLEBORO ,VT ,05302 ,WINDHAM ,,,,,,,,,,122,44342,7696,,38486,,793,,725,,3807,,,,,,, 480001,01-OCT-15,30-SEP-16,As Submitted,ROY L SCHNEIDER HOSPITAL ,9048 SUGAR ESTATE ,,ST. THOMAS ,VI ,00801 ,U.S. VIRGIN ISLANDS ,,,,,,,,,,107,39162,6962,4481,22537,,616.95,,883,781,3742,,,,,,, 480002,01-OCT-15,30-SEP-16,As Submitted,GOV. JUAN F. LUIS HOSPITAL ,4007 EAST DIAMOND RUBY ,,CHRISTIANSTED ,VI ,00820-4421 ,U. S. VIRGIN ISLANDS ,,,,,,,,,,112,40992,7757,4793,18910,,614.26,,948,947,3421,,,,,,, 490001,01-OCT-15,30-SEP-16,As Submitted,NORTON COMMUNITY HOSPITAL INC. ,100 15TH STREET NW ,,NORTON ,VA ,24273- ,NORTON ,993000,,,195175,,,.12,723746,378141,69,25254,3744,282,9725,21.69,352.3,,1095,95,2912,622,,,,2,,180 490002,01-OCT-15,30-SEP-16,As Submitted,RUSSELL COUNTY MEDICAL CENTER ,CARROLL & TATE STREET ,,LEBANON ,VA ,24266- ,RUSSELL ,,,,56748,,,.0686,,,49,17934,2118,57,3809,,140.01,,683,20,1283,120,156,,7,,697, 490004,01-JAN-16,31-DEC-16,As Submitted,SENTARA RMH MEDICAL CENTER ,2010 HEALTH CAMPUS DRIVE ,,HARRISONBURG ,VA ,22801 ,ROCKINGHAM ,,,,400202,,,.0366,,,238,87108,24901,1725,53917,,2233,,6037,503,13539,,,,,,, 490005,01-OCT-15,30-SEP-16,Amended,WINCHESTER MEDICAL CENTER ,1840 AMHERST STREET ,P.O. BOX ,WINCHESTER ,VA ,22604-2540 ,FREDERICK ,997658,,,1418377,,,.0633,293613,137265,389,142374,49035,16777,104243,8.52,2330.69,,9336,2224,20305,1622,226,,297,24,1284,440 490007,01-JAN-16,31-DEC-16,Amended,SENTARA NORFOLK GENERAL HOSPITAL ,600 GRESHAM ROAD ,,NORFOLK ,VA ,23507 ,NORFOLK CITY ,9659563,,,3715895,,,.16,2653559,1412108,469,172720,50346,9029,157227,134.98,3305,,7845,1261,24359,3281,193,,52,11,1003,313 490009,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY OF VIRGINIA MEDICAL CENTE ,855 WEST MAIN STREET ,80078 ,CHARLOTTESVILLE ,VA ,22908- ,ALBERMARLE ,49081742,,,6265035,,,.2136,12262680,8465136,569,207685,55295,32515,165033,650.36,7474.59,,10010,5426,29534,73,,,110,,1132, 490013,01-JAN-16,31-DEC-16,As Submitted,HALIFAX REGIONAL HOSPITAL ,2204 WILBORN AVENUE ,,SOUTH BOSTON ,VA ,24592- ,HALIFAX ,,,,318779,,,.084,,,192,70272,8918,511,15633,,554.4,,2042,100,3725,632,,,,,, 490018,01-JAN-16,31-DEC-16,As Submitted,AUGUSTA MEDICAL CENTER ,78 MEDICAL CENTER DRIVE ,1000 ,FISHERSVILLE ,VA ,22939 ,AUGUSTA ,,,,276515,,,.031,,,209,71412,16581,580,37425,,1431.8,,4806,226,10806,895,5,,,1,133,111 490019,01-JUL-16,31-DEC-16,As Submitted,CULPEPER MEMORIAL HOSPITAL ,501 SUNSET LANE ,592 ,CULPEPER ,VA ,22701- ,CULPEPER ,,,,163456,,,.1009,,,70,12880,3035,1101,6133,,539.3,,763,292,1590,,,,,,, 490020,01-JAN-16,31-DEC-16,As Submitted,JOHN RANDOLPH MEDICAL CENTER ,411 WEST RANDOLPH ROAD ,,HOPEWELL ,VA ,23860 ,HOPEWELL CITY ,,,,111823,,,.0424,,,107,39162,7105,564,13835,,355.67,,1583,97,3298,252,250,,54,,1150, 490021,01-JAN-16,31-DEC-16,As Submitted,CENTRA HEALTH ,1920 ATHERHOLT ROAD ,,LYNCHBURG ,VA ,24501- ,LYNCHBURG ,1408837,370854,,1777804,467980,,.0854,606834,250798,459,167994,57414,5768,117844,16.5,3337.94,,11797,920,23211,,,,90,18,1677,327 490022,01-JAN-16,31-DEC-16,As Submitted,MARY WASHINGTON HOSPITAL ,1001 SAM PERRY BLVD ,,FREDERICKSBURG ,VA ,22401 ,SPOTSYLVANIA ,,,,1326406,,,.0651,,,421,150250,43422,2146,98886,,1646.78,,8630,942,22138,2793,,,,,, 490023,01-NOV-15,31-OCT-16,As Submitted,FAUQUIER HOSPITAL ,500 HOSPITAL DRIVE ,,WARRENTON ,VA ,20186 ,FAUQUIER ,,,,,,,,,,97,35502,9263,186,19702,,903.03,,2170,55,5008,368,,,,,, 490024,01-OCT-15,30-SEP-16,As Submitted,CARILION MEDICAL CENTER ,BELLEVUE AVE. AT JEFFERSON ST. ,P.O.BOX 1 ,ROANOKE ,VA ,24033 ,,11184369,,,4944049,,,.1572,4394474,1491106,606,221268,64190,13395,180909,230.28,5887.02,,12062,2401,33264,6532,,,2401,181,2847,655 490032,01-JUL-16,30-JUN-17,As Submitted,VCU HEALTH SYSTEM MCV HOSPITAL ,1250 EAST MARSHALL STREET ,980152 ,RICHMOND ,VA ,23298- ,RICHMOND CITY ,25921454,,,5130148,,,.2105,8811337,4013846,718,258506,57702,29603,217014,497.96,7492.34,,8462,3635,35400,,,,95,119,1782,748 490033,01-OCT-15,30-SEP-16,As Submitted,WARREN MEMORIAL HOSPITAL ,1000 SHENANDOAH AVE. ,,FRONT ROYAL ,VA ,22630 ,WARREN ,502381,,,110292,,,.0906,417343,169746,46,16836,2920,675,6523,7.91,305.2,,775,126,2117,414,,,,,, 490037,01-JAN-16,31-DEC-16,As Submitted,SHORE MEMORIAL HOSPITAL ,9507 HOSPITAL AVENUE ,,NASSAWADOX ,VA ,23413 ,NORTHAMPTON ,,,,232872,,,.12,,,135,49410,4715,844,9572,,307.29,,1236,217,2604,560,,,,,, 490038,01-JUL-16,30-JUN-17,As Submitted,SMYTH COUNTY COMMUNITY HOSPITAL ,245 MEDICAL PARK DRIVE ,,MARION ,VA ,24354 ,SMYTH ,,,,,,,,,,30,10950,2546,46,4157,,208.67,,676,13,1205,85,,,,2,,135 490040,01-JAN-16,31-DEC-16,As Submitted,INOVA ALEXANDRIA HOSPITAL ,4320 SEMINARY ROAD ,,ALEXANDRIA ,VA ,22315- ,FAIRFAX ,,,,818910,,,.0709,,,334,122244,28297,5841,74409,,1312,,5339,1515,15797,1001,,,,,, 490042,01-OCT-15,30-SEP-16,As Submitted,CARILION NEW RIVER VALLEY MED CENTER ,2900 LAMB CIRCLE ,,CHRISTIANSBURG ,VA ,24073 ,MONTGOMERY ,122285,,,376829,,,.0816,,,110,40260,9615,2613,23637,2.99,772,,2413,211,6280,623,399,,203,,1996, 490043,01-JAN-16,31-DEC-16,As Submitted,INOVA LOUDOUN HOSPITAL CENTER ,44045 RIVERSIDE PARKWAY ,,LEESBURG ,VA ,20176- ,LOUDOUN ,35401,,,264891,,,.0346,11640,4316,157,57462,18957,3750,47770,.35,1106,,3968,1239,12161,635,,,,,1095, 490044,01-JAN-16,31-DEC-16,Amended,SENTARA OBICI HOSPITAL ,2800 GODWIN BOULEVARD ,,SUFFOLK ,VA ,23434 ,SUFFOLK ,105497,,,859827,,,.1217,36891,19828,158,57828,15450,1296,35929,.9,961.11,,3613,312,8950,1115,94,,20,,471, 490045,01-JAN-16,31-DEC-16,As Submitted,NOVANT HEALTH PRINCE WILLIAM MEDICAL ,8700 SUDLEY ROAD ,2610 ,MANASSAS ,VA ,20110 ,PRINCE WILLIAM ,,,,355641,,,.0966,,,98,35868,6511,2807,23264,,698.9,,1668,810,6482,,117,,93,,1317, 490046,01-JAN-16,31-DEC-16,As Submitted,SENTARA LEIGH HOSPITAL ,830 KEMPSVILLE ROAD ,,NORFOLK ,VA ,23502 ,N/A ,1116037,,,752376,,,.0561,318997,155719,250,91500,29113,2586,67362,13.32,1430.97,,6404,598,15586,1292,,,,,, 490048,01-JAN-16,31-DEC-16,As Submitted,LEWIS GALE MEDICAL CENTER ,1900 ELECTRIC ROAD ,,SALEM ,VA ,24153 ,ROANOKE ,,,,753240,,,.0547,,,330,120137,38430,3249,80897,,1077.08,,6884,439,15471,1844,,,,4,,515 490050,01-JAN-16,31-DEC-16,As Submitted,VIRGINIA HOSPITAL CENTER ARLINGTON ,1701 GEORGE MASON DR. ,,ARLINGTON ,VA ,22205 ,ARLINGTON ,3881049,,,452725,,,.0272,1380133,579604,290,106140,32385,3870,90718,34.78,2222.67,,6782,1055,19904,1301,59,,,4,1297,583 490052,01-JAN-16,31-DEC-16,As Submitted,RIVERSIDE REGIONAL MEDICAL CENTER ,500 J CLYDE MORRIS BLVD ,,NEWPORT NEWS ,VA ,23601- ,NEWPORT NEWS ,3953398,,,1925405,,,.1274,1595322,1412535,392,143472,35335,9820,104523,60,2174.43,,6877,856,19279,4497,,,,,, 490053,01-JUL-16,30-JUN-17,As Submitted,JOHNSTON MEMORIAL HOSPITAL ,16000 JOHNSTON MEMORIAL DRIVE ,,ABINGDON ,VA ,24211 ,WASHINGTON ,1759064,,,584653,,,.0916,462375,341454,116,42340,15026,1415,31965,22.58,730.64,,3731,216,8370,968,,,,,, 490057,01-JAN-16,31-DEC-16,As Submitted,SENTARA VA. BEACH GENERAL HOSPITAL ,1060 FIRST COLONIAL ROAD ,,VIRGINIA BEACH ,VA ,23454 ,UNITED STATES ,241526,,,,,,,59704,30850,225,82350,30654,2272,61962,5.2,1477.71,,5741,286,12364,483,193,,,3,1211,208 490060,01-DEC-15,30-NOV-16,As Submitted,CLINCH VALLEY MEDICAL CENTER ,6801 GOV G C PERRY HWY ,,RICHLANDS ,VA ,24641 ,TAZEWELL ,,,,258398,,,.12,,,151,55266,5923,540,13652,,576.37,,1463,140,3628,643,,,,,,1 490063,01-JAN-16,31-DEC-16,As Submitted,INOVA FAIRFAX HOSPITAL ,3300 GALLOWS ROAD ,,FALLS CHURCH ,VA ,22042-3307 ,FAIRFAX ,10939924,,,4619384,,,.1268,4678381,1702154,922,337452,71894,35699,257274,174.67,6085.46,,12366,6416,44545,4369,,,,,2720, 490066,01-JAN-16,31-DEC-16,As Submitted,SENTARA WILLIAMSBURG REGIONAL MEDICA ,100 SENTARA CIRCLE ,,WILLIAMSBURG ,VA ,23187-8700 ,N/A ,,,,186898,,,.0296,,,139,50874,14144,918,27587,,766.42,,3392,316,7214,383,,,,,,104 490067,01-MAR-16,28-FEB-17,As Submitted,SOUTHSIDE REGIONAL MEDICAL CENTER ,200 MEDICAL PARK BLVD ,,PETERSBURG ,VA ,23805 ,CITY OF PETERSBURG ,,,,954703,,,.0944,,,300,109500,27785,2159,64554,,1059.27,,5109,439,13152,,,,,,, 490075,01-JUL-16,30-JUN-17,As Submitted,DANVILLE REGIONAL MEDICAL CENTER ,142 SOUTH MAIN ,,DANVILLE ,VA ,24541- ,PITTSYLVANIA ,,3539466,,,852144,,.1175,1879294,1047969,215,78475,16580,,32955,46.84,1106.01,,3747,,7932,1266,133,,13,1,516,172 490077,01-JAN-16,31-DEC-16,As Submitted,SENTARA MARTHA JEFFERSON HOSPITAL ,500 MARTHA JEFFERSON DRIVE ,,CHARLOTTESVILLE ,VA ,22911 ,ALBEMARLE ,,,,,,,,,,150,54900,17407,550,36095,,1529.93,,4252,134,9234,679,,,,,, 490079,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL OF MARTINSVILLE ,320 HOSPITAL DRIVE ,,MARTINSVILLE ,VA ,24115- ,HENRY ,,,,351037,,,.0716,,,208,76128,11315,767,21609,,709.04,,2680,718,5325,,,,,,597, 490084,01-JAN-16,31-DEC-16,As Submitted,RIVERSIDE TAPPAHANNOCK HOSPITAL ,ROUTE 2 ,256 ,TAPPAHANNOCK ,VA ,22560 ,ESSEX ,,,,,,,,,,67,24522,3121,50,5461,,203.83,,967,16,1714,101,,,,,, 490088,01-JAN-16,31-DEC-16,As Submitted,BEDFORD MEMORIAL HOSPITAL ,1613 OAKWOOD STREET ,,BEDFORD ,VA ,24523 ,BEDFORD ,,,,,,,,,,34,12444,2867,150,4740,,224.86,,832,22,1460,80,,,,,, 490089,01-OCT-15,30-SEP-16,As Submitted,CARILION FRANKLIN MEMORIAL HOSPITAL ,180 FLOYD AVE ,,ROCKY MOUNT ,VA ,24151 ,FRANKLIN ,,,,28902,,,.0292,,,37,13542,2249,90,4536,,198.46,,626,149,1395,,,,,,, 490090,01-JAN-16,31-DEC-16,As Submitted,SOUTHSIDE COMMUNITY HOSPITAL ,800 OAK STREET ,,FARMVILLE ,VA ,23901- ,PRINCE EDWARD ,,,,329688,,,.12,,,86,31476,5874,891,12642,,366.88,,1707,192,3905,614,,,,,, 490092,01-JAN-16,31-DEC-16,As Submitted,SOUTHAMPTON MEMORIAL HOSPITAL ,100 FAIRVIEW DRIVE ,817 ,FRANKLIN ,VA ,23851- ,SOUTHAMPTON ,,,,104832,,,.0968,,,63,23058,2827,264,6321,,268.04,,747,322,1726,,,,,,, 490093,01-JAN-16,31-DEC-16,As Submitted,SENTARA CAREPLEX HOSPITAL ,3000 COLISEUM DRIVE ,,HAMPTON ,VA ,23666-5963 ,HAMPTON ,,,,231034,,,.0298,,,218,79788,17753,1310,39532,,1122.62,,3603,163,8430,526,,,,,, 490097,01-MAR-16,28-FEB-17,As Submitted,SOUTHERN VIRGINIA REGIONAL MED. CTR. ,214 WEAVER AVENUE ,,EMPORIA ,VA ,23847 ,GREENSVILLE ,,,,46154,,,.0561,,,70,25550,2254,471,4175,,171.63,,610,115,1148,,,,65,,311, 490098,01-JUL-16,30-JUN-17,As Submitted,COMMUNITY MEMORIAL HOSPITAL ,125 BUENA VISTA CIRCLE ,90 ,SOUTH HILL ,VA ,23970 ,MECKLENBURG ,,,,125338,,,.0529,,,68,24820,7580,514,12657,,537.41,,1488,191,2682,,,,,,, 490101,01-JAN-16,31-DEC-16,As Submitted,INOVA FAIR OAKS HOSPITAL ,3600 JOSEPH SIEWICK DR ,,FAIRFAX ,VA ,22033- ,FAIRFAX ,,,,476278,,,.0676,,,182,66612,12818,2759,46220,,947.82,,3275,732,11590,1162,,,,,, 490104,01-JUL-16,30-JUN-17,As Submitted,HIRAM W DAVIS MEDICAL CENTER - MS ,WEST WASHINGTON STREET ,4030 ,PETERSBURG ,VA ,23803 ,DINWIDDIE ,,,,,,,,,,4,1460,24,,239,,1.2,,2,,10,,,,,,, 490107,01-JAN-16,31-DEC-16,As Submitted,RESTON HOSPITAL ,1850 TOWN CENTER PARKWAY ,,RESTON ,VA ,20190- ,FAIRFAX ,,,,,,,,,,199,72834,18785,3126,56496,,,,3944,189,12951,943,,,,,, 490110,01-OCT-15,30-SEP-16,Amended,LEWISGALE HOSPITAL - MONTGOMERY ,ROUTE 460 SOUTH ,,BLACKSBURG ,VA ,24060- ,MONTGOMERY ,2827159,,,133439,,,.0374,1416987,570614,88,32208,8082,512,16020,34.49,382.23,,1914,113,4124,493,,,,,, 490111,01-NOV-15,31-OCT-16,As Submitted,WYTHE COUNTY COMMUNITY HOSPITAL ,600 WEST RIDGE ROAD ,,WYTHEVILLE ,VA ,24382- ,WYTHE ,,,,105114,,,.078,,,92,33672,3220,183,6311,,307.7,,879,89,2013,375,,,,,, 490113,01-JAN-16,31-DEC-16,Amended,SENTARA NORTHERN VIRGINIA MED CTR ,2300 OPITZ BOULEVARD ,,WOODBRIDGE ,VA ,22191 ,PRINCE WILLIAM ,,,,815890,,,.1187,,,181,66246,15223,3614,42913,,1061.51,,3324,974,9997,694,,,,,, 490114,01-JUL-16,30-JUN-17,As Submitted,LONESOME PINE HOSPITAL ,HOLTON AVENUE ,DRAWER ,BIG STONE GAP ,VA ,24219- ,WISE ,454720,,,182326,,,.12,306692,523221,91,33215,3275,1724,7750,15.26,363,,998,532,2698,,,,,,, 490115,01-OCT-15,30-SEP-16,As Submitted,TWIN COUNTY REGIONAL HOSPITAL ,200 HOSPITAL DRIVE ,1040 ,GALAX ,VA ,24333 ,CARROLL ,,,,248932,,,.12,,,141,51606,5836,621,10137,,437.07,,1486,144,2456,396,,,,,, 490117,01-OCT-15,30-SEP-16,As Submitted,CARILION TAZEWELL COMMUNITY HOSPITAL ,141 BEN BOLT AVENUE ,,TAZEWELL ,VA ,24651 ,TAZEWELL ,,,,35412,,,.0877,,,56,20496,1139,181,2515,,82.74,,311,68,598,,,,,,, 490118,01-APR-16,31-MAR-17,As Submitted,HENRICO DOCTORS HOSPITAL ,1602 SKIPWITH ROAD ,,RICHMOND ,VA ,23229- ,HENRICO ,,,,1220287,,,.0745,,,707,258055,37833,6480,105555,,1870.53,,7176,740,20190,2498,152,,29,9,1067,621 490119,01-JAN-16,31-DEC-16,As Submitted,SENTARA PRINCESSS ANNE HOSPITAL ,2025 GLENN MITCHELL DR ,,VIRGINIA BEACH ,VA ,23456-0178 ,UNITED STATES ,251963,,,386386,,,.0476,57711,30409,160,58560,20413,1785,55878,1.35,1169.61,,4068,391,11733,835,,,,,, 490120,01-JUL-16,30-JUN-17,As Submitted,CHESAPEAKE GENERAL HOSPITAL ,736 BATTLEFIELD BLVD. NORTH ,2028 ,CHESAPEAKE ,VA ,23320- ,N/A ,,,,627552,,,.0543,,,310,113150,27630,3300,69706,,1614.94,,5443,529,15815,2310,,,,,, 490122,01-JAN-16,31-DEC-16,As Submitted,INOVA MOUNT VERNON HOSPITAL ,2501 PARKERS LANE ,,ALEXANDRIA ,VA ,22306- ,FAIRFAX ,,,,,,,,,,140,51240,14062,641,23518,,693,,3366,118,6376,170,,,,69,1196,1645 490126,01-MAR-16,28-FEB-17,As Submitted,LEWISGALEHOSPITAL - ALLEGHANY ,1 ARH LANE ,,LOW MOOR ,VA ,24457- ,ALLEGHANY ,,,,,,,,,,95,34675,5397,133,8052,,181.9,,1131,,1745,80,33,,33,,359, 490127,01-JUL-16,30-JUN-17,As Submitted,BUCHANAN GENERAL HOSPITAL ,1535 SLATE CREEK ROAD ,,GRUNDY ,VA ,24614 ,BUCHANAN ,,,,34253,,,.0518,,,49,17885,2558,581,5599,,211.84,,501,49,1120,104,,,,,, 490129,01-JAN-16,31-DEC-16,Settled,CAPITAL HOSPICE ,2900 TELESTAR COURT ,,FALLS CHURCH ,VA ,22042-1206 ,FAIRFAX ,,,,,,,,,,,,,,,,,,,,,,,,,,, 490130,01-JAN-16,31-DEC-16,As Submitted,RIVERSIDE WALTER REED ,ROUTE 17 ,,GLOUCESTER ,VA ,23061 ,GLOUCESTER ,,,,,,,,,,67,24522,6562,167,10357,,310.08,,1606,40,2684,112,,,,,, 490140,01-JAN-16,31-DEC-16,As Submitted,STAFFORD HOSPITAL ,101 HOSPITAL CENTER BLVD. ,,STAFFORD ,VA ,22554 ,STAFFORD ,,,,128122,,,.0508,,,90,32940,5906,415,15883,,346.26,,1377,217,4631,490,,,,,, 490141,01-MAY-16,30-APR-17,As Submitted,SPOTSYLVANIA REGIONAL MEDICAL CENTER ,4600 SPOTSYLVANIA PARKWAY ,,FREDERICKSBURG ,VA ,22408 ,SPOTSYLVANIA ,,,,178458,,,.0477,,,105,38325,8038,993,20988,,398.33,,,146,5545,605,158,,38,,1139, 490143,01-JAN-16,31-DEC-16,As Submitted,RIVERSIDE DOCTORS HOSPITAL WILLIAMSB ,1500 COMMONWEALTH AVENUE ,,WILLIAMSBURG ,VA ,23185 ,,,,,,,,,,,40,14640,2497,83,4583,,199.86,,759,29,1509,60,,,,,, 490144,01-JAN-16,31-DEC-16,As Submitted,NOVANT HLTH HAYMARKET MEDICAL CENTER ,15225 HEALTHCOTE BOULEVARD ,,HAYMARKET ,VA ,20169 ,PRINCE WILLIAM ,,,,,,,,,,53,19398,1912,163,6895,,231.68,,625,54,2760,345,,,,,, 490145,12-JAN-16,31-OCT-16,As Submitted,STONESPRINGS HOSPITAL CENTER ,24440 STONE SPRINGS BLVD ,,DULLES ,VA ,20166 ,LOUDOUN ,,,,,,,,,,124,36456,1212,179,3256,,206.73,,280,42,845,94,,,,,, 491300,01-JAN-16,31-DEC-16,As Submitted,BATH COUNTY COMMUNITY HOSPITAL ,ROUTE 220 ,DRAWER Z ,HOT SPRINGS ,VA ,24445- ,BATH ,,,,,,,,,,14,9150,1703,2,2044,,133.04,,186,2,335,,,,,,, 491302,01-OCT-15,30-SEP-16,Amended,CARILION GILES COMMUNITY HOSPITAL ,159 HARTLEY WAY ,,PEARISBURG ,VA ,24134 ,GILES ,,,,,,,,,,25,9150,3301,45,5717,,161,,475,10,896,30,,,,,, 491303,01-OCT-15,30-SEP-16,As Submitted,DICKENSON COMMUNITY HOSPITAL ,312 HOSPITAL DRIVE ,1440 ,CLINTWOOD ,VA ,24228-0000 ,DICKENSON ,,,,,,,,,,2,732,9,,21,,70.36,,5,,12,,,,,,128, 491304,01-OCT-15,30-SEP-16,Amended,CARILION STONEWALL JACKSON HOSPITAL ,1 HEALTH CIRCLE ,,LEXINGTON ,VA ,24450 ,ROCKBRIDGE ,,,,,,,,,,25,9150,3385,54,5173,,185.46,,715,10,1251,42,,,,,, 491305,01-JAN-16,31-DEC-16,Amended,SHENANDOAH MEMORIAL HOSPITAL ,759 MAIN STREET ,508 ,WOODSTOCK ,VA ,22664- ,SHENANDOAH ,,,,,,,,,,25,9150,3469,25,5348,,258,,861,10,1437,53,,,,,, 491306,01-JAN-16,31-DEC-16,As Submitted,PIONEER HLTH SERVICES OF PATRICK CO ,ROUTE 2 ,P O BOX 71 ,STUART ,VA ,24171 ,PATRICK ,,,,,,,,,,25,9150,3256,12,4060,,96.2,,225,6,343,18,,,,,, 491307,01-JAN-16,31-DEC-16,As Submitted,PAGE MEMORIAL HOSPITAL ,200 MEMORIAL DRIVE ,,LURAY ,VA ,22835 ,PAGE ,,,,,,,,,,25,9150,2886,10,3932,,132.4,,347,4,509,16,,,,,, 491308,01-MAY-16,31-MAR-17,As Submitted,RAPPAHANNOCK GENERAL HOSPITAL ,101 HARRIS ROAD ,1449 ,KILMARNOCK ,VA ,22482-1449 ,LANCASTER ,,,,,,,,,,25,8375,2977,92,4034,,262.32,,704,20,982,17,24,,57,,256, 491991,01-JAN-16,31-DEC-16,As Submitted,LYNN HOUSE OF POTOMAC VALLEY INC. ,4400 W BRADDOCK ROAD ,,ALEXANDRIA ,VA ,22304-1010 ,ARLINGTON ,,,,,,,,,,8,2928,326,,1476,,16.78,,19,,30,,,,,,, 492001,01-JUL-16,30-JUN-17,As Submitted,LAKE TAYLOR TRANSITIONAL CARE HOSPIT ,1309 KEMPSVILLE ROAD ,,NORFOLK ,VA ,23502- ,NORFOLK ,,,,,,,,,,104,37960,1724,19506,25709,,84.83,,49,85,250,,,,,,, 492007,01-JUN-16,31-MAY-17,As Submitted,HOSPITAL FOR EXTENDED RECOVERY ,600 GRESHAM DR STE 700 ,,NORFOLK ,VA ,23507 ,NORFOLK CITY ,,,,,,,,,,35,12775,4141,,6160,,72.98,,133,,206,,,,,,, 492008,01-JAN-16,31-DEC-16,As Submitted,HAMPTON ROADS SPECIALTY HOSPITAL ,254 CHESAPEAKE AVE 4TH FLOOR ,,NEWPORT NEWS ,VA ,23607- ,NEWPORT NEWS ,,,,,,,,,,25,9150,4593,184,7830,,59.6,,145,7,243,11,,,,,, 492009,01-AUG-16,31-JUL-17,As Submitted,VIBRA HOSPITAL OF RICHMOND LLC ,2220 EDWARD HOLLAND DRIVE ,,RICHMOND ,VA ,23230 ,HENRICO ,,,,,,,,,,60,21900,8984,95,15509,,141.58,,310,4,492,31,,,,,, 492010,01-JAN-16,31-DEC-16,As Submitted,CENTRA SPECIALTY HOSPITAL ,3300 RIVERMONT AVENUE ,,LYNCHBURG ,VA ,24503- ,LYNCHBURG CITY ,,,,,,,,,,36,13176,3727,305,6779,,66.94,,145,11,240,14,,,,,, 492011,01-JUL-16,30-JUN-17,As Submitted,UVA TRANSITIONAL CARE HOSPITAL ,2965 IVY ROAD ,,CHARLOTTESVILLE ,VA ,22908- ,ALBEMARLE ,,,,,,,,,,40,14600,5234,1308,10887,,123.87,,212,34,423,29,,,,,, 493025,01-OCT-15,30-SEP-16,As Submitted,SHELTERING ARMS HOSPITAL ,8254 ATLEE ROAD ,,MECHANICSVILLE ,VA ,23116 ,HANOVER ,,,,,,,,,,40,14640,7715,532,13126,,193.41,,553,14,864,,,,,,, 493027,01-JAN-16,31-DEC-16,As Submitted,RIVERSIDE REHABILITATION INSTITUTE ,245 CHESAPEAKE BLVD. ,,NEWPORT NEWS ,VA ,23607- ,NEWPORT NEWS ,,,,,,,,,7,50,18300,5943,329,10701,1,135.51,,430,2,737,68,,,,,, 493028,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,5700 FITZHUGH AVENUE ,,RICHMOND ,VA ,23226- ,HENRICO ,,,,,,,,,,40,14640,7504,39,9722,,96.06,,559,2,725,21,,,,,, 493029,01-JAN-16,31-DEC-16,As Submitted,UVA-HEALTHSOUTH REHABILITATION HOSPI ,515 RAY C HUNT DRIVE ,,CHARLOTTESVILLE ,VA ,22903-2981 ,ALBEMARLE ,,,,,,,,,,50,18300,10004,346,15175,,208.27,,792,16,1197,60,,,,,, 493030,01-OCT-15,30-SEP-16,As Submitted,SHELTERING ARMS HOSPITAL SOUTH ,13700 ST.FRANCIS BLVD ,,MIDLOTHIAN ,VA ,23114 ,CHESTERFIELD ,,,,,,,,,,28,10248,5064,100,7737,,65.35,,425,7,615,,,,,,, 493031,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,95 PINE HILL BLVD ,,PETERSBURG ,VA ,23805 ,PETERSBURG CITY ,,,,,,,,,,64,23360,8486,123,12456,,113.4,,645,6,929,67,,,,,, 493032,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,300 PARK HILL AVENUE ,,FREDERICKSBURG ,VA ,22401 ,SPOTSYLVANIA ,,,,,,,,,,52,18980,12474,140,17739,,151.4,,983,8,1370,56,,,,,, 493033,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,24430 MILLSTREAM DRIVE ,,ALDIE ,VA ,20102 ,LOUDOUN ,,,,,,,,,,60,21830,12881,45,18225,,155.74,,1079,4,1507,59,,,,,, 493034,01-JUN-16,31-MAY-17,As Submitted,THE REHABILITATION HOSPITAL OF SOUTH ,103 NORTH STREET ,,BRISTOL ,VA ,24201 ,LOUDOUN ,,,,,,,,,,25,9125,5759,45,8016,,65.56,,464,4,639,25,,,,,, 493301,01-JUL-16,30-JUN-17,As Submitted,CHILDRENS HOSPITAL OF THE KINGS DA ,601 CHILDRENS LANE ,,NORFOLK ,VA ,23507 ,,,,,,,,,,3388,206,75190,120,28800,47218,93.71,2348.49,,19,817,5303,2028,,,,,, 493302,01-JUL-16,30-JUN-17,Settled,CHILDRENS HOSPITAL ,2924 BROOK ROAD ,,RICHMOND ,VA ,23220 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 494010,01-JUL-16,30-JUN-17,As Submitted,NORTHERN VIRGINIA MENTAL HEALTH INST ,3302 GALLOWS ROAD ,,FALLS CHURCH ,VA ,22042-3398 ,FAIRFAX ,,,,,,,,,,94,34310,1244,,27866,2,270.14,,86,,1063,,,,,,, 494017,01-JUL-16,30-JUN-17,As Submitted,SOUTHERN VIRGINIA MENTAL HEALTH INST ,382 TAYLOR DRIVE ,,DANVILLE ,VA ,24541-4023 ,PITTSYLVANIA ,,,,,,,,,,72,26280,1060,,23133,,96.42,,54,,421,,,,,,, 494021,01-JUL-16,30-JUN-17,As Submitted,WESTERN STATE HOSPITAL ,103 VALLEY CENTER DR ,2500 ,STAUNTON ,VA ,24402-2500 ,AUGUSTA ,,,,,,,,,,84,30660,3299,,26864,.77,100.2,,101,,818,,,,,,, 494023,01-FEB-16,31-JAN-17,As Submitted,DOMINION HOSPITAL ,2960 SLEEPY HOLLOW ROAD ,,FALLS CHURCH ,VA ,22044 ,FAIRFAX ,,,,,,,,,,116,42456,1829,,31637,,210.46,,187,,3318,,,,,,, 494025,01-JAN-16,31-DEC-16,As Submitted,VIRGINIA BEACH PSYCHIATRIC CENTER ,1100 FIRST COLONIAL ROAD ,,VIRGINIA BEACH ,VA ,23454 ,VIRGINIA BEACH ,,,,,,,,,,100,36600,4920,41,28392,,171.5,,586,5,4201,,,,,,, 494029,01-JUL-16,30-JUN-17,As Submitted,SOUTHWESTERN VA MENTAL HLTH INST IPT ,340 BAGLEY CIRCLE ,,MARION ,VA ,24354 ,SMYTH ,,,,,,,,,,109,39785,2902,,30109,,160.41,,141,,941,,,,,,, 494032,01-JAN-16,31-DEC-16,As Submitted,THE PAVILION AT WILLIAMSBURG PLACE ,5483 MOORETOWN ROAD ,,WILLIAMSBURG ,VA ,23188 ,,,,,,,,,,,57,20862,7668,8,18955,,137.91,,469,3,1632,106,,,,,, 500001,01-JUL-16,30-JUN-17,As Submitted,UW MEDICINE/NORTHWEST HOSPITAL ,1550 NORTH 115TH STREET ,,SEATTLE ,WA ,98133 ,KING ,3113335,,,1045244,,,.1094,704434,329877,168,61320,16801,902,43435,25.1,1473.11,,3599,165,8949,1322,3,,10,,319, 500002,01-JAN-16,31-DEC-16,Amended,PROV ST MARY MEDICAL CENTER ,401 W POPLAR ST. ,1477 ,WALLA WALLA ,WA ,99362-2846 ,WALLA WALLA ,,,,1007223,,,.1387,,,80,27238,8492,1750,17474,,625.27,,2324,137,4860,755,,,,1,,156 500003,01-JAN-16,31-DEC-16,Amended,PHD#1 DBA SKAGIT VALLEY HOSPITAL ,1415 E KINCAID STREET ,,MOUNT VERNON ,WA ,98273-1376 ,SKAGIT ,2608420,,,980472,,,.1661,638002,853253,137,50142,12683,1778,32829,27.69,1673.22,,2536,564,6771,1847,,,,,, 500005,01-JAN-16,31-DEC-16,As Submitted,VIRGINIA MASON MEDICAL CENTER ,925 SENECA STREET ,1930 ,SEATTLE ,WA ,98111- ,KING ,11572681,,,458680,,,.0296,2331557,2251292,188,68819,25828,6327,54450,108.21,4377.05,,5067,943,10795,,,,,,, 500007,01-JAN-16,31-DEC-16,As Submitted,ISLAND HOSPITAL ,1211 24TH STREET ,,ANACORTES ,WA ,98221 ,SKAGIT ,,,,170785,,,.0473,,,42,15372,4880,286,9436,,456.73,,1334,597,3054,,,,,,, 500008,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY OF WASHINGTON MED CTR ,1959 NE PACIFIC ST ,,SEATTLE ,WA ,98195-9415 ,KING ,22547611,,,4259484,,,.2061,5687009,2727568,408,148920,33611,10813,118077,297.64,4373.78,,5141,1094,18769,3671,168,,16,12,436,273 500011,01-JUL-16,30-JUN-17,As Submitted,HIGHLINE MEDICAL CENTER ,16251 SYLVESTER RD. SW ,,SEATTLE ,WA ,98166-0657 ,KING ,,,,1044406,,,.2278,,,129,47085,9822,1730,32497,,752.23,,1924,499,7970,2194,,,,,, 500012,01-JUL-16,30-JUN-17,As Submitted,YAKIMA REGIONAL MEDICAL & CARDIAC CE ,110 SOUTH NINTH AVENUE ,,YAKIMA ,WA ,98902 ,YAKIMA ,471901,,,874084,,,.2,394979,143926,124,45260,7230,880,14686,8.52,464.05,,1603,859,3391,,,,,,,209 500014,01-JAN-16,31-DEC-16,As Submitted,PROV REGL MED CENTER EVERETT ,1321 COLBY AVENUE ,PO BOX ,EVERETT ,WA ,98201 ,SNOHOMISH ,,,,2785730,,,.1617,,,436,159576,34621,6106,143556,,2653,,6465,959,30130,173,,,,8,,489 500015,01-JAN-16,31-DEC-16,As Submitted,MULTICARE AUBURN MEDICAL CENTER ,202 NORTH DIVISION STREET ,,AUBURN ,WA ,98001 ,KING ,,,,508586,,,.12,,,73,26718,8025,2109,24890,,677.74,,1652,625,6199,2289,,,,,494, 500016,01-JAN-16,31-DEC-16,As Submitted,CENTRAL WASHINGTON HOSPITAL ,1201 SOUTH MILLER STREET ,,WENATCHEE ,WA ,98801- ,CHELAN ,,,,2137272,,,.1522,,,176,64416,22266,3582,46895,,1240.96,,4656,695,10867,1868,,,,,, 500019,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE CENTRALIA HOSPITAL ,914 S SCHEUBER RD ,,CENTRALIA ,WA ,98531-9027 ,LEWIS ,15325,,,492763,,,.12,,,17924,33306,7763,617,17918,.15,612.33,,2002,211,5334,1377,,,,,, 500021,01-JUL-16,30-JUN-17,As Submitted,ST CLARE HOSPITAL ,11315 BRIDGEPORT WAY SW ,,LAKEWOOD ,WA ,98499- ,PIERCE ,,,,663028,,,.12,,,106,38690,11275,613,30443,,603,,2316,234,5963,1393,,,,,, 500024,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE ST. PETER HOSPITAL ,413 LILLY ROAD ,,OLYMPIA ,WA ,98506 ,THURSTON ,2431821,,,2296315,,,.1273,635158,157975,299,109434,33227,3264,87120,21.67,1983.41,,6184,403,17650,2880,261,,23,15,665,469 500025,01-JAN-16,31-DEC-16,As Submitted,SWEDISH MEDICAL CENTER CHERRY HILL ,500 - 17TH AVENUE ,,SEATTLE ,WA ,98122 ,KING ,5034003,,,1520216,,,.0997,1453534,444892,180,62350,17164,2574,47503,29.21,1364.94,,3372,216,9673,884,,,50,16,167,548 500026,01-JAN-16,31-DEC-16,As Submitted,SWEDISH EDMONDS ,21601 76TH AVENUE WEST ,,EDMONDS ,WA ,98026-7507 ,,,,,1206284,,,.1703,,,164,63676,15210,4023,45405,,1053,,2952,453,9420,1340,,,,,, 500027,01-JAN-16,31-DEC-16,As Submitted,SWEDISH MEDICAL CENTER ,747 BROADWAY ,,SEATTLE ,WA ,98122-4307 ,KING ,5883174,,,4892693,,,.2196,2541470,1067783,642,230284,36820,15712,184677,79.23,4347,,7928,2015,38450,5057,,,,,, 500030,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPH MEDICAL CENTER ,2901 SQUALICUM PARKWAY ,,BELLINGHAM ,WA ,98225-1851 ,WHATCOM ,,,,1724631,,,.12,,,207,75555,24228,2513,63221,,1774.43,,5153,630,15726,2965,94,,108,3,428,226 500031,01-JAN-16,31-DEC-16,As Submitted,GRAYS HARBOR COMMUNITY HOSPITAL ,915 ANDERSON DR ,,ABERDEEN ,WA ,98520- ,GRAYS HARBOR ,,,,424323,,,.12,,,105,38430,6680,2344,16693,,655.35,,1575,371,3378,689,,,,,, 500033,01-JAN-16,31-DEC-16,As Submitted,SAMARITAN HOSPITAL ,801 EAST WHEELER ROAD ,,MOSES LAKE ,WA ,98837 ,GRANT ,,,,240966,,,.12,,,48,17568,3217,951,9634,,376.44,,938,1043,2900,,,,,,, 500036,01-NOV-15,31-OCT-16,As Submitted,YAKIMA VALLEY MEMORIAL HOSPITAL ,2811 TIETON DRIVE ,,YAKIMA ,WA ,98902 ,YAKIMA ,406908,,,2644786,,,.2733,148355,192551,208,76128,15721,3858,43274,9.05,1984.88,,3948,975,11382,,,,,,314, 500037,01-JUL-16,30-JUN-17,As Submitted,TOPPENISH COMMUNITY HOSPITAL ,502 WEST 4TH AVENUE ,,TOPPENISH ,WA ,98948 ,YAKIMA ,,,,44240,,,.12,,,36,13140,561,1342,3177,,134.89,,211,702,1155,,,,,,, 500039,01-JUL-16,30-JUN-17,As Submitted,HARRISON MEDICAL CENTER ,2520 CHERRY AVENUE ,WA ,BREMERTON ,WA ,98310 ,KITSAP ,,,,1974062,15729,,.1246,,,254,92710,27568,2039,59633,,1527.43,,5640,531,12891,3123,,,,,, 500041,01-JUL-16,30-JUN-17,As Submitted,ST. JOHN MEDICAL CENTER ,1615 DELAWARE STREET ,,LONGVIEW ,WA ,98632- ,COWLITZ ,,,,1192447,,,.2037,,,166,60590,11752,1068,31769,,1110.96,,2486,240,8256,2260,,,,,, 500044,01-OCT-15,30-SEP-16,As Submitted,DEACONESS MEDICAL CENTER ,800 WEST FIFTH AVENUE ,,SPOKANE ,WA ,99210-0248 ,SPOKANE ,628761,,,2455274,,,.2335,361269,131505,301,110166,20480,8773,60650,7.63,1155.81,,3783,2917,11255,,,,,,, 500049,01-JAN-16,31-DEC-16,As Submitted,WALLA WALLA GENERAL HOSPITAL ,1025 S. SECOND ,1398 ,WALLA WALLA ,WA ,99362 ,WALLA WALLA ,,,,163352,,,.12,,,34,12444,2070,144,3633,,195.63,,690,55,1272,316,,,,,, 500050,01-JUL-16,30-JUN-17,As Submitted,PEACEHEALTH SOUTHWEST MEDICAL CENTER ,400 MOTHER JOSEPH PLACE ,1600 ,VANCOUVER ,WA ,98664 ,CLARK ,1534377,,,2768911,,,.1783,747662,266089,398,144140,28345,3157,90543,24.4,2104.03,,5508,4989,19259,4429,,,,37,,183 500051,01-JUL-16,30-JUN-17,As Submitted,OVERLAKE HOSPITAL MEDICAL CENTER ,1035 116TH AVENUE NE ,,BELLEVUE ,WA ,98004- ,KING ,,,,307141,,,.0292,,,286,104390,17291,2339,69291,,2248,,4174,299,20776,1491,22,,260,,937, 500053,01-JAN-16,31-DEC-16,As Submitted,KENNEWICK GENERAL HOSPITAL ,900 SOUTH AUBURN ST ,,KENNEWICK ,WA ,99336 ,BENTON ,1333192,,,962801,,,.1948,478378,336171,111,40626,8984,1221,21765,16.54,930.41,,2367,558,6235,2057,,,,,, 500054,01-JAN-16,31-DEC-16,As Submitted,PROV SACRED HEART MEDICAL CENTER ,101 W. 8TH AVE. ,2555 ,SPOKANE ,WA ,99220-2555 ,SPOKANE ,6474783,,,7300547,,,.2386,2088087,589514,594,217094,45007,10527,154545,67.91,3213.4,,8907,1321,28695,6101,491,,69,,1184, 500058,01-JAN-16,31-DEC-16,As Submitted,KADLEC REGIONAL MEDICAL CENTER ,888 SWIFT BOULEVARD ,,RICHLAND ,WA ,99352- ,BENTON ,1190020,,,3212488,,,.2227,175111,139191,215,75117,24284,8094,65175,9.04,2483,,5472,1317,15417,2797,,,,9,,203 500060,01-JAN-16,31-MAY-16,As Submitted,CASCADE VALLEY HOSPITAL ,330 S. STILLAGUAMISH AVE. ,370 ,ARLINGTON ,WA ,98223 ,SNOHOMISH ,,,,60371,,,.1094,,,48,7296,1095,505,2389,,215.61,,279,120,619,,,,,,, 500060,01-JUN-16,31-DEC-16,Amended,CASCADE VALLEY HOSPITAL ,330 S. STILLAGUAMISH AVE. ,370 ,ARLINGTON ,WA ,98223 ,SNOHOMISH ,,,,55167,,,.1239,,,48,10272,862,85,3189,,272.75,,228,19,877,192,,,,,, 500064,01-JUL-16,30-JUN-17,As Submitted,HARBORVIEW MEDICAL CENTER ,325 9TH AVENUE ,,SEATTLE ,WA ,98104-2499 ,KING ,13968075,,,5258160,,,.3782,5089597,1535472,332,121180,28886,11949,114284,337.01,4185.26,,3812,1490,15450,,18,,696,62,1143,391 500072,01-JAN-16,31-DEC-16,As Submitted,OLYMPIC MEDICAL CENTER ,939 CAROLINE STREET ,,PORT ANGELES ,WA ,98362 ,CLALLAM ,,,,561520,,,.1093,,,78,28548,9528,2657,15111,,1064.6,,2459,821,4189,,,,,,, 500077,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE HOLY FAMILY HOSPITAL ,N. 5633 LIDGERWOOD STREET ,,SPOKANE ,WA ,99208 ,SPOKANE ,,,,1464043,,,.1918,,,187,68442,13890,1486,37759,,767.27,,3066,262,9017,2131,,,,,, 500079,01-JAN-16,31-DEC-16,As Submitted,GOOD SAMARITAN HOSPITAL ,407TH 14TH AVENUE SE ,,PUYALLUP ,WA ,98371 ,PIERCE ,49280,,,1606729,,,.1222,26772,7458,249,94391,28251,2463,76669,14.17,1780.75,,5417,684,16412,4119,,,,23,,590 500084,01-JAN-16,31-DEC-16,As Submitted,EVERGREEN HEALTH MONROE ,14701 179TH SE ,500084 ,MONROE ,WA ,98272-0646 ,SNOHOMISH ,,,,95051,,,.1268,,,27,9882,1303,159,3877,,239.5,.83,387,33,1178,208,,,,,, 500088,01-JUL-16,30-JUN-17,As Submitted,VALLEY MEDICAL CENTER ,400 SOUTH 43RD STREET ,50010 ,RENTON ,WA ,98058-5010 ,KING ,2006796,,,3225505,,,.2485,783358,444948,295,105149,24081,3837,77818,28.05,3050.87,,4886,707,16758,5406,,,,,, 500108,01-JUL-16,30-JUN-17,As Submitted,ST JOSEPH MEDICAL CENTER ,1717 SOUTH J STREET ,,TACOMA ,WA ,98405 ,PIERCE ,,,,3785566,,,.2364,,,333,121545,29029,5327,113225,,2675,,4682,1148,24003,6979,,,,9,,545 500119,01-OCT-15,30-SEP-16,As Submitted,VALLEY HOSPITAL & MEDICAL CENTER ,12606 EAST MISSION ,P.O. BOX ,SPOKANE ,WA ,99210- ,SPOKANE ,18944,,,707219,,,.1562,11998,3528,123,45018,8256,1271,21147,.2,508.21,,1928,1112,5532,,,,,,, 500124,01-JAN-16,31-DEC-16,As Submitted,EVERGREEN HEALTHCARE ,12040 NE 128TH STREET ,,KIRKLAND ,WA ,98034- ,KING ,,,,882660,,,.0831,,,304,111264,20139,2721,68203,,3069.88,,4146,753,20088,2138,,,,2,,266 500129,01-JAN-16,31-DEC-16,As Submitted,TACOMA GENERAL ALLENMORE HOSPITAL ,315 SOUTH MLK JR. WAY ,5299 ,TACOMA ,WA ,98415-0299 ,PIERCE ,1437504,,,4963201,,,.3102,562647,398123,371,124693,28484,9493,102688,17.05,2922.65,,5368,1360,18533,5966,,,,,, 500138,01-JUL-16,30-JUN-17,As Submitted,SEATTLE CANCER CARE ALLIANCE ,825 EASTLAKE AVE EAST ,19023 ,SEATTLE ,WA ,98109-1023 ,KING ,,,,,,,,,,20,7300,960,239,6067,20.91,1149.19,,85,9,427,52,,,,,, 500139,01-MAY-16,30-APR-17,As Submitted,CAPITAL MEDICAL CENTER ,3900 CAPITAL MALL DRIVE SW ,,OLYMPIA ,WA ,98502 ,THURSTON ,,,,581701,,,.1118,,,110,40150,5973,1261,14615,,498.22,,1642,251,4195,702,,,,,, 500141,01-JUL-16,30-JUN-17,As Submitted,ST FRANCIS HOSPITAL ,34515 NINTH AVENUE S ,,FEDERAL WAY ,WA ,98003- ,KING ,620309,,,1122472,,,.1899,198747,96468,124,45260,12021,962,35155,6,795,,2494,521,9964,2822,,,,,, 500148,01-JAN-16,31-DEC-16,As Submitted,WENATCHEE VALLEY HOSPITAL ,820 N CHELAN AVENUE ,2087 ,WENATCHEE ,WA ,98807 ,CHELAN ,,,,2373,,,.0302,,,11,4026,140,3,497,,870.68,,36,1,147,19,,,,2,,148 500150,01-APR-16,31-MAR-17,As Submitted,LEGACY SALMON CREEK HOSPITAL ,2211 NE 139TH STREET ,,VANCOUVER ,WA ,98686 ,CLARK ,,,,1279235,,,.1786,,,167,60920,13152,14689,58359,,1236.25,,2890,5187,15073,,,,,,, 500151,01-JUL-16,30-JUN-17,As Submitted,ST ANTHONY HOSPITAL ,11567 CANTERWOOD BLVD NW ,,GIG HARBOR ,WA ,98332- ,PIERCE ,,,,433568,,,.067,,,80,29200,12242,472,23900,,472,,2669,61,5432,697,,,,,, 500152,01-JAN-16,31-DEC-16,As Submitted,SWEDISH ISSAQUAH ,751 NE BLAKELY DRIVE ,,ISSAQUAH ,WA ,98029-6201 ,KING ,18820,,,240681,,,.0488,,,129,45738,6694,936,22750,.25,671.53,,2060,226,7694,713,,,,,, 501301,01-JAN-16,31-DEC-16,As Submitted,GARFIELD MEMORIAL HOSPITAL ,NORTH 66 SIXTH STREET ,,POMEROY ,WA ,99347- ,GARFIELD ,,,,,,,,,,25,9150,384,2687,6433,,84.71,,10,1,13,,,,,,, 501302,01-JAN-16,31-DEC-16,As Submitted,DAYTON GENERAL HOSPITAL ,1012 S. THIRD STREET ,,DAYTON ,WA ,99328 ,COLUMBIA ,,,,,,,,,,25,9150,1082,141,4150,,91.16,,67,,104,5,,,,,, 501303,01-JAN-16,31-DEC-16,As Submitted,WILLAPA HARBOR HOSPITAL ,800 ALDER STREET ,438 ,SOUTH BEND ,WA ,98586 ,WILLAPA ,,,,,,,,,,10,3660,728,18,926,,122,,232,5,297,33,,,,,, 501304,01-JAN-16,31-DEC-16,Amended,SUMMIT PACIFIC MEDICAL CENTER ,600 E MAIN STREET ,,ELMA ,WA ,98541 ,GRAYS HARBOR ,,,,,,,,,,10,3660,1147,30,1483,,128.93,,151,5,230,29,,,,,, 501305,01-JAN-16,31-DEC-16,As Submitted,LINCOLN HOSPITAL ,10 NICHOLS STREET ,,DAVENPORT ,WA ,99122- ,LINCOLN ,,,,,,,,,,25,9125,1656,2174,5305,,128.01,,226,68,354,,,,,,, 501307,01-JAN-16,31-DEC-16,As Submitted,ODESSA MEMORIAL HOSPITAL ,502 EAST AMENDE ,368 ,ODESSA ,WA ,99159- ,LINCOLN ,,,,,,,,,,25,9150,280,4980,7946,,50.26,,11,,13,,,,,,, 501308,01-JAN-16,31-DEC-16,As Submitted,COULEE MEDICAL CENTER ,411 FORTUYN ROAD ,,GRAND COULEE ,WA ,99133 ,GRANT ,,,,,,,,,,25,9150,1108,3832,6119,,150.49,,179,165,454,,,,,,, 501309,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE ST JOSEPHS HOSPITAL ,500 EAST WEBSTER ,,CHEWELAH ,WA ,99109 ,STEVENS ,,,,,,,,,,23,8418,2374,1,2977,,100.34,,211,1,341,68,,,,,, 501310,01-JAN-16,31-DEC-16,Amended,NEWPORT COMMUNITY HOSPITAL ,714 W. PINE ST ,,NEWPORT ,WA ,99156-9046 ,PEND OREILLE ,,,,,,,,,,20,7320,1774,242,2536,,172.34,,246,24,434,70,,,,,, 501311,01-JAN-16,31-DEC-16,As Submitted,EAST ADAMS RURAL HOSPITAL ,903 SOUTH ADAMS ,,RITZVILLE ,WA ,99169 ,ADAMS ,,,,,,,,,,4,1464,169,4,237,,43.43,,3,1,12,,,,,,, 501312,01-JAN-16,31-DEC-16,As Submitted,PROSSER MEMORIAL HOSPITAL ,723 MEMORIAL STREET ,,PROSSER ,WA ,99350- ,BENTON ,,,,,,,,,,25,9150,2343,1188,4541,,242.72,,225,365,903,,,,,,, 501313,01-JAN-16,31-DEC-16,As Submitted,CASCADE MEDICAL CENTER ,817 COMMERCIAL STREET ,,LEAVENWORTH ,WA ,98826- ,CHELAN ,,,,,,,,,,9,3294,1196,,1455,,90.15,,42,,74,6,,,,,, 501314,01-JAN-16,31-DEC-16,As Submitted,OCEAN BEACH HOSPITAL ,1ST & FIR STREETS ,DRAWER H ,ILWACO ,WA ,98624 ,PACIFIC ,,,,,,,,,,25,9150,1045,19,1420,,101.3,,190,3,280,37,,,,,, 501315,01-JAN-16,31-DEC-16,Amended,SKYLINE HOSPITAL ,211 SKYLINE DRIVE ,99 ,WHITE SALMON ,WA ,98672 ,KLICKITAT ,,,,,,,,,,14,5124,1762,62,2190,,118.91,,150,21,252,30,,,,,, 501316,01-JAN-16,31-DEC-16,Amended,KLICKITAT VALLEY HEALTH ,310 S ROOSEVELT ,5 ,GOLDENDALE ,WA ,98620- ,KLICKITAT ,,,,,,,,,,17,6222,1173,132,1496,,141.93,,173,39,242,,,,,,, 501317,01-JAN-16,31-DEC-16,As Submitted,COLUMBIA BASIN HOSPITAL ,200 NAT WASHINGTON WAY ,,EPHRATA ,WA ,98823- ,GRANT ,,,,,,,,,,25,9150,2633,2512,6172,,104.5,,114,27,167,,,,,,, 501318,01-JAN-16,31-DEC-16,As Submitted,OTHELLO COMMUNITY HOSPITAL ,315 N 14TH AVE ,,OTHELLO ,WA ,99344 ,ADAMS ,,,,,,,,,,16,5856,154,1132,1845,,120.95,,55,479,640,,,,,,, 501319,01-JAN-16,31-DEC-16,Amended,MORTON GENERAL HOSPITAL ,521 ADAMS ,C ,MORTON ,WA ,98356 ,LEWIS ,,,,,,,,,,25,9150,898,3493,5703,,138.21,,109,1,200,,,,,,, 501320,01-JAN-16,31-DEC-16,As Submitted,QUINCY VALLEY MEDICAL CENTER ,908 10TH AVENUE SW ,,QUINCY ,WA ,98848 ,GRANT ,,,,,,,,,,25,9150,180,1025,1764,,62.91,,26,2,42,,,,,,, 501321,01-JAN-16,31-DEC-16,As Submitted,NORTH VALLEY HOSPITAL ,203 SOUTH WESTERN ,,TONASKET ,WA ,98855- ,OKANOGAN ,,,,,,,,,,21,7686,1605,80,2219,,98.29,,186,21,348,81,,,,,, 501322,01-JAN-16,31-DEC-16,As Submitted,FERRY COUNTY MEMORIAL HOSPITAL ,36 NORTH KLONDIKE ROAD ,365 ,REPUBLIC ,WA ,99166- ,FERRY ,,,,,,,,,,25,9150,589,3355,4524,,67.55,,52,1,129,,,,,,, 501323,01-JAN-16,31-DEC-16,Amended,JEFFERSON GENERAL HOSPITAL ,824 SHERIDAN AVE. ,,PORT TOWNSEND ,WA ,98368- ,JEFFERSON ,,,,,,,,,,25,9150,2673,205,4376,,386.84,,773,33,1216,47,,,,,, 501324,01-JAN-16,31-DEC-16,As Submitted,THREE RIVERS HOSPITAL ,507 HOSPITAL WAY ,577 ,BREWSTER ,WA ,98812- ,OKANOGAN ,,,,,,,,,,25,9150,516,227,1102,,85.67,,75,57,263,74,,,,,, 501325,01-JAN-16,31-DEC-16,As Submitted,FORKS COMMUNITY HOSPITAL ,530 BOGACHIEL WAY ,,FORKS ,WA ,98331- ,CLALLAM ,,,,,,,,,,20,7320,1339,248,2371,,149.56,,103,35,247,,,,,,, 501326,01-JAN-16,31-DEC-16,As Submitted,PROVIDENCE MOUNT CARMEL HOSPITAL ,982 EAST COLUMBIA ,,COLVILLE ,WA ,99114 ,STEVENS ,,,,,,,,,,25,9150,3389,90,5652,2.26,205.37,,486,23,1040,271,,,,,, 501327,01-JAN-16,31-DEC-16,As Submitted,WHITMAN HOSPITAL & MEDICAL CENTER ,1200 W. FAIRVIEW ST ,,COLFAX ,WA ,99111 ,WHITMAN ,,,,,,,,,,25,9150,1743,35,2405,,154,,306,9,498,62,,,,,, 501328,01-JAN-16,31-DEC-16,As Submitted,MID-VALLEY HOSPITAL ,810 JASMINE STREET ,,OMAK ,WA ,98841- ,OKANOGAN ,,,,,,,,,,25,9150,837,433,2376,,166.8,,286,85,782,,,,,,, 501329,01-JUL-16,30-JUN-17,As Submitted,UNITED GENERAL MEDICAL CENTER ,2000 HOSPITAL DRIVE ,,SEDRO WOOLLEY ,WA ,98284 ,SKAGIT ,,,,,,,,,,25,9125,1564,75,3424,,175.88,,304,17,712,131,,,,,, 501330,01-JAN-16,31-DEC-16,As Submitted,SUNNYSIDE COMMUNITY HOSPITAL ,10 & TACOMA AVE ,719 ,SUNNYSIDE ,WA ,98944- ,YAKIMA ,,,,,,,,,,25,9150,2628,1013,7186,,342.88,,637,280,1929,,,,,,, 501331,01-JAN-16,31-DEC-16,As Submitted,PULLMAN REGIONAL HOSPITAL ,835 SE BISHOP BLVD ,,PULLMAN ,WA ,99163- ,WHITMAN ,,,,,,,,,,25,9150,1368,151,4321,,351,,437,42,1322,164,,,,,, 501332,01-JAN-16,31-DEC-16,As Submitted,TRI-STATE MEMORIAL HOSPITAL ,1221 HIGHLAND AVE ,189 ,CLARKSTON ,WA ,99403- ,ASOTIN ,,,,,,,,,,25,9150,2687,39,3843,,393.27,,756,14,1175,65,,,,,, 501333,01-JAN-16,31-DEC-16,As Submitted,KITTITAS VALLEY COMMUNITY HOSPITAL ,603 S CHESTNUT ST ,,ELLENSBURG ,WA ,98926-3897 ,KITTITAS ,,,,,,,,,,25,9150,1297,99,3391,,356.52,,515,31,1182,212,,,,,, 501334,01-JAN-16,31-DEC-16,As Submitted,LAKE CHELAN COMMUNITY HOSPITAL ,.03 E. HIGHLAND ,908 ,CHELAN ,WA ,98816- ,CHELAN ,,,,,,,,,,25,9150,4807,127,5945,,188.28,,275,38,495,,,,,,, 501335,01-JUL-16,30-JUN-17,As Submitted,ENUMCLAW REGIONAL HOSPITAL DBA SEH ,1455 BATTERSBY AVENUE ,,ENUMCLAW ,WA ,98022- ,KING ,,,,,,,,,,25,9125,2284,267,5696,,193.89,,578,69,1972,388,,,,,, 501336,01-JAN-16,31-DEC-16,As Submitted,MASON GENERAL HOSPITAL ,901 MTN. VIEW DRIVE BLDG 1 ,1668 ,SHELTON ,WA ,98584- ,MASON ,,,,,,,,,,25,9150,2340,1664,4970,,445.44,,761,434,1527,,,,,,, 501337,01-JUL-16,30-JUN-17,As Submitted,LOURDES MEDICAL CENTER ,520 NORTH FOURTH STREET ,2568 ,PASCO ,WA ,99301 ,FRANKLIN ,,,,,,,,,,25,9125,3591,113,6423,,430.61,,1111,23,2094,,,,,,,208 501338,01-JAN-16,31-DEC-16,As Submitted,SNOQUALMIE VALLEY HOSPITAL ,9575 ETHAN WADE WAY SE ,,SNOQUALMIE ,WA ,98065- ,KING ,,,,,,,,,,25,9150,4885,39,8213,,196.51,,24,1,61,,,,,,, 501339,01-JAN-16,31-DEC-16,As Submitted,WHIDBEY GENERAL HOSPITAL ,101 NORTH MAIN STREET ,,COUPEVILLE ,WA ,98239 ,ISLAND ,,,,,,,,,,25,9150,2707,98,5648,,464.37,,806,22,1671,,,,,,, 501340,01-JUL-16,30-JUN-17,As Submitted,PEACE ISLAND MEDICAL CENTER ,1117 SPRING STREET ,,FRIDAY HARBOR ,WA ,98250-9782 ,ISLAND ,,,,,,,,,,10,3650,138,12,233,,44.96,,52,2,96,3,,,,,, 501992,01-OCT-15,30-SEP-16,As Submitted,SUNRISE HAVEN ,24423 100TH AVE SE ,,KENT ,WA ,98030 ,KING ,,,,,,,,,,5,1830,1071,,1282,,13,,31,,43,,,,,,, 502001,01-JUL-16,30-JUN-17,As Submitted,REGIONAL HOSPITAL ,16251 SYLVESTER RD SW ,,BURIEN ,WA ,98166 ,KING ,,,,,,,,,,26,9490,3350,24,6789,,75.49,,86,1,205,9,,,,,, 503025,01-JAN-16,31-DEC-16,As Submitted,ST. LUKES REHABILITATION INST. ,S-2 PART ,288 ,SPOKANE ,WA ,99210 ,SPOKANE ,,,,,,,,,,102,37332,10638,962,19925,,428.37,,790,44,1450,,,,,,, 503300,01-OCT-15,30-SEP-16,As Submitted,SEATTLE CHILDRENS HOSPITAL ,4800 SANDPOINT WAY NE ,5371 ,SEATTLE ,WA ,98105- ,KING ,,,,,,,,,11328,334,121751,801,29997,90074,238.94,4554,,108,2104,12081,4525,,,,,, 504004,01-JUL-16,30-JUN-17,As Submitted,EASTERN STATE HOSPITAL ,MAPLE STREET ,800 ,MEDICAL LAKE ,WA ,99022-0800 ,,,,,,,,,,,317,115705,8324,11358,103258,,894,,144,41,634,,,,,,, 504008,01-JUL-16,30-JUN-17,As Submitted,LOURDES COUNSELING CENTER ,1175 CARONDELET DRIVE ,,RICHLAND ,WA ,99352 ,BENTON ,,,,,,,,,,22,8030,1469,2905,5965,,203,,108,255,520,,,,,,, 504009,01-JAN-16,31-DEC-16,As Submitted,NAVOS ,2600 SW HOLDEN STREET ,,SEATTLE ,WA ,98126 ,KING ,,,,,,,,,,40,14640,2656,1956,14385,,205.54,,117,85,625,,,,,,, 504011,01-JAN-16,31-DEC-16,As Submitted,CASCADE BEHAVIORAL HEALTH ,12844 MILITARY ROAD SOUTH ,,TUKWILA ,WA ,98168 ,KING ,,,,,,,,,,135,49410,13228,11411,38194,,222.18,,786,741,2728,,,,,,, 510001,01-JAN-16,31-DEC-16,As Submitted,WEST VIRGINIA UNIVERSITY HOSPITALS ,MEDICAL CENTER DRIVE ,P.O. BOX 8034 ,MORGANTOWN ,WV ,26505 ,MONONGALIA ,22044582,,,5224070,,,.274,6303395,2570377,486,166623,46092,20991,149426,329.06,5110.13,,8405,2973,27555,4528,,,406,,1966, 510002,01-MAY-16,30-APR-17,As Submitted,GREENBRIER VALLEY MEDICAL CENTER ,1320 MAPLEWOOD AVENUE ,497 ,RONCEVERTE ,WV ,24970 ,GREENBRIER ,373510,,,428318,,,.1794,251819,203082,116,42340,6735,1756,13468,14.42,345.4,,1417,698,3039,,,,,,, 510006,01-JAN-16,31-DEC-16,As Submitted,UNITED HOSPITAL CENTER ,327 MEDICAL PARK DRIVE ,,BRIDGEPORT ,WV ,26330 ,HARRISON ,1711069,,,1790748,,,.2029,704014,327045,232,84912,22477,6005,56188,21.2,1606.51,,4607,1065,11708,2090,,,,,, 510007,01-OCT-15,30-SEP-16,As Submitted,ST. MARYS MEDICAL CENTER INC. ,2900 FIRST AVENUE ,,HUNTINGTON ,WV ,25702- ,CABELL ,2508143,,,1724194,,,.1202,738272,288005,354,129564,38266,12853,83048,29.32,2243.95,,6570,2657,15728,1424,,,7,,80, 510008,01-JAN-16,31-DEC-16,Amended,CITY HOSPITAL INC. ,DRY RUN ROAD ,,MARTINSBURG ,WV ,25401 ,BERKELEY ,175095,,,1069380,,,.1981,59675,28431,154,57117,14037,6180,35147,3.68,970.54,,2864,614,7974,1946,277,,185,,813, 510012,01-OCT-15,30-SEP-16,As Submitted,PLEASANT VALLEY HOSPITAL ,VALLEY DRIVE ,,POINT PLEASANT ,WV ,25550- ,MASON ,,,,132083,,,.12,,,94,34404,3099,559,6672,,435.72,,905,185,1965,248,,,,,, 510013,01-OCT-15,30-SEP-16,Amended,REYNOLDS MEMORIAL HOSPITAL ,800 WHEELING AVENUE ,,GLEN DALE ,WV ,26038 ,MARSHALL ,,,,101784,,,.1039,,,70,25620,3375,978,8144,,313.4,,722,398,1823,,,,,,, 510022,01-JAN-16,31-DEC-16,As Submitted,CHARLESTON AREA MEDICAL CENTER INC. ,501 MORRIS STREET ,1547 ,CHARLESTON ,WV ,25326-1320 ,KANAWHA ,10255082,,,5279649,,,.1866,4536502,1798254,835,297310,71816,36417,181192,143.31,6255.11,,12421,7053,33672,2355,,,,,597,337 510023,01-JUL-16,30-JUN-17,As Submitted,WEIRTON MEDICAL CENTER ,601 COLLIERS WAY ,,WEIRTON ,WV ,26062- ,BROOKE ,,,,404689,,,.0947,,,127,46355,9227,896,22684,,918.74,,2412,179,5589,781,,,,,,160 510024,01-JUL-16,30-JUN-17,As Submitted,MONONGALIA GENERAL HOSPITAL ,1200 JD ANDERSON DRIVE ,,MORGANTOWN ,WV ,26505- ,MONONGALIA ,,,,430967,,,.0612,,,189,68985,15353,2120,36041,,1471.6,,3311,237,8066,782,,,,,, 510029,01-OCT-15,30-SEP-16,As Submitted,THOMAS MEMORIAL HOSPITAL ,4605 MACCORKLE AVENUE SW ,,SOUTH CHARLESTON ,WV ,25309- ,KANAWHA ,,,,965038,,,.1731,,,178,65148,14552,2708,36151,,1008.9,,2871,482,7980,996,,,194,,514, 510030,01-JAN-16,31-DEC-16,As Submitted,DAVIS MEMORIAL HOSPITAL ,GORMAN AVENUE ,1484 ,ELKINS ,WV ,26241 ,RANDOLPH ,,,,252150,,,.12,,,90,32940,4911,925,10376,,605.95,,1277,251,2882,384,,,,,, 510031,01-OCT-15,30-SEP-16,As Submitted,ST FRANCIS HOSPITAL ,333 LAIDLEY STREET ,,CHARLESTON ,WV ,25301- ,KANAWHA ,,,,162878,,,.1105,,,113,41358,3036,803,6741,,584.58,,682,164,1615,116,,,,,, 510038,01-OCT-15,30-SEP-16,As Submitted,STONEWALL JACKSON MEMORIAL HOSPITAL ,ROUTE 4 ,10 ,WESTON ,WV ,26452- ,LEWIS ,,,,165593,,,.1579,,,70,25620,2865,464,6901,,407.91,,689,383,1749,,,,,,, 510039,01-JAN-16,31-DEC-16,As Submitted,OHIO VALLEY GENERAL HOSPITAL ,2000 EOFF STREET ,,WHEELING ,WV ,26003 ,OHIO ,872590,,,308257,,,.1458,421575,512484,119,43554,5695,1010,18035,32.2,733.78,,1234,238,3909,924,702,,355,,1699, 510046,01-JUL-16,30-JUN-17,As Submitted,PRINCETON COMMUNITY HOSPITAL ,TWELFTH STREET ,1369 ,PRINCETON ,WV ,24774- ,MERCER ,,,,770630,,,.1756,,,162,59130,11825,3620,27468,,934.57,,2403,1307,5792,,,,1264,,2200, 510047,01-JAN-16,31-DEC-16,As Submitted,FAIRMONT REGIONAL MEDICAL CENTER ,1325 LOCUST AVENUE ,,FAIRMONT ,WV ,26554 ,MARION ,,,,277153,,,.1111,,,155,56730,7498,1215,14074,,489.04,,1532,293,3285,389,,,259,,1386, 510048,01-OCT-15,30-SEP-16,As Submitted,LOGAN REGIONAL MEDICAL CENTER ,20 HOSPITAL DRIVE ,,LOGAN ,WV ,25601 ,LOGAN ,,,,370040,,,.12,,,132,48312,12239,2516,22449,,561.97,,2043,508,4625,909,,,,,,95 510050,01-OCT-15,30-SEP-16,As Submitted,WHEELING HOSPITAL ,1 MEDICAL PARK ,,WHEELING ,WV ,26003 ,OHIO ,1334581,,,671781,,,.1107,588351,452914,223,81618,14736,6928,46093,22.47,2014.49,,3311,1737,10389,,,,,,, 510055,01-OCT-15,30-SEP-16,Amended,CABELL HUNTINGTON HOSPITAL ,1340 HAL GREER BLVD ,,HUNTINGTON ,WV ,25701 ,CABELL ,4035646,,,3591640,,,.434,1076477,803471,288,105408,20105,9980,82657,116.67,2397.88,,3701,5934,15747,,,,,,, 510058,01-JAN-16,31-DEC-16,Amended,CAMDEN-CLARK MEMORIAL HOSPITAL ,800 GARFIELD AVENUE ,718 ,PARKERSBURG ,WV ,26102 ,WOOD ,1453240,,,1248914,,,.1554,579701,265899,226,82716,21114,4875,44781,17.85,1377.6,,4669,797,10775,1622,244,,156,,665, 510062,01-JUL-16,30-JUN-17,Amended,BECKLEY ARH ,306 STANAFORD ROAD ,,BECKLEY ,WV ,25801- ,RALEIGH ,,,,484604,,,.12,,,100,36500,11092,3583,19828,,536.92,,2050,998,4060,198,,,1421,,2363, 510070,01-JUN-16,31-MAY-17,As Submitted,RALEIGH GENERAL HOSPITAL ,1710 HARPER ROAD ,,BECKLEY ,WV ,25801 ,RALEIGH ,,,,1576381,,,.2005,,,300,109500,22925,3578,47303,,852.79,,4410,1839,9786,,,,,,, 510072,01-JUL-16,30-JUN-17,As Submitted,WETZEL COUNTY HOSPITAL ,3 EAST BENJAMIN DRIVE ,,NEW MARTINSVILLE ,WV ,26155 ,WETZEL ,,,,10056,,,.0429,,,48,17568,1144,51,2097,,188.39,,186,15,389,38,,,,,, 510077,01-OCT-15,30-SEP-16,As Submitted,WILLIAMSON MEMORIAL HOSPITAL ,859 ALDERSON STREET ,,WILLIAMSON ,WV ,25661 ,MINGO ,,,,75820,,,.12,,,76,27816,1675,685,3379,,128.19,,467,380,1005,,,,,,, 510082,01-JAN-16,31-DEC-16,As Submitted,SUMMERSVILLE REGIONAL MED CENTER ,400 FAIRVIEW HEIGHTS ROAD ,,SUMMERSVILLE ,WV ,26551 ,NICHOLAS ,,,,155271,,,.12,,,49,17934,4885,2091,10221,,386.78,,900,742,1984,37,,,,,, 510086,01-JUL-16,30-JUN-17,As Submitted,WELCH COMMUNITY HOSPITAL ,454 MCDOWELL STREET ,,WELCH ,WV ,24801- ,,,,,29481,,,.12,,,49,17885,1059,967,3612,,239.35,,210,245,754,,,,,,, 510091,01-JAN-16,31-DEC-16,As Submitted,CHARLESTON SURGICAL HOSPITAL ,1306 KANAWHA BLVD E ,,CHARLETON ,WV ,25328 ,KANAWHA ,,,,,,,,,,35,12810,129,25,425,,88.52,,64,12,228,,,,,,, 511300,01-JAN-16,31-DEC-16,As Submitted,BROADDUS HOSPITAL ASSOCIATION ,MANSFIELD HILL ,,PHILIPPI ,WV ,26416- ,BARBOUR ,,,,,,,,,,12,4392,1570,9,2291,,131.94,,28,4,39,,,,,,, 511303,01-JAN-16,31-DEC-16,As Submitted,MINNIE HAMILTON HEALTH CARE CENTER ,186 HOSPITAL DRIVE ,,GRANTSVILLE ,WV ,26147- ,CALHOUN ,,,,,,,,,,25,9150,1300,45,1833,,159.2,,112,15,177,6,,,,,, 511304,01-JAN-16,31-DEC-16,As Submitted,SISTERSVILLE GENERAL HOSPITAL ,314 SOUTH WELLS STREET ,,SISTERSVILLE ,WV ,26175 ,TYLER ,,,,,,,,,,25,9150,222,15,361,,111.3,,50,7,77,10,,,,,, 511306,01-OCT-15,30-SEP-16,As Submitted,ROANE GENERAL HOSPITAL ,200 HOSPITAL DRIVE ,,SPENCER ,WV ,25276-1060 ,ROANE ,,,,,,,,,,25,9150,1703,41,2868,,183.35,,111,17,187,9,,,,,, 511307,01-JUL-16,30-JUN-17,As Submitted,GRAFTON CITY HOSPITAL ,ROUTE 50 & MARKET STREET ,,GRAFTON ,WV ,26354- ,TAYLOR ,,,,,,,,,,25,9125,2595,35,3612,,157.95,,173,10,298,16,,,,,, 511308,01-JAN-16,31-DEC-16,As Submitted,BRAXTON COUNTY MEMORIAL HOSPITAL ,100 HOYLMAN DRIVE ,,GASSAWAY ,WV ,26624 ,BRAXTON ,,,,,,,,,,25,9150,439,24,779,,135.93,,124,14,238,10,,,,,, 511309,01-JAN-16,31-DEC-16,As Submitted,WAR MEMORIAL HOSPITAL ,1 HEALTHY WAY ,,BERKELEY SPRINGS ,WV ,25411- ,MORGAN ,,,,,,,,,,25,9150,2038,13,2822,,135.14,,145,3,218,,,,,,, 511310,01-JUL-16,30-JUN-17,As Submitted,SUMMERS COUNTY ARH ,TERRACE STREET ,,HINTON ,WV ,25951- ,SUMMERS ,,,,,,,,,,25,9125,2475,76,2822,,105.21,,238,31,317,,,,,,, 511311,01-JAN-16,31-DEC-16,As Submitted,HAMPSHIRE MEMORIAL HOSPITAL ,363 SUNRISE BOULEVARD ,,ROMNEY ,WV ,26757- ,HAMPSHIRE ,,,,,,,,,,14,5124,1505,70,2385,,122.69,,182,24,312,18,,,,,, 511312,01-JUL-16,30-JUN-17,As Submitted,PRESTON MEMORIAL HOSPITAL ,150 MEMORIAL DRIVE ,,KINGWOOD ,WV ,26537- ,PRESTON ,,,,,,,,,,25,9125,1444,87,2501,,287.11,,308,41,645,62,,,,,, 511313,01-JUL-16,30-JUN-17,As Submitted,BOONE MEMORIAL HOSPITAL ,701 MADISON ,,MADISON ,WV ,25130- ,BOONE ,,,,,,,,,,25,9125,2695,134,4101,,193.16,,333,39,572,83,,,,,, 511314,01-JUL-16,30-JUN-17,As Submitted,POCAHONTAS MEMORIAL HOSPITAL ,RT 2 BOX 52W ,,BUCKEYE ,WV ,24924- ,POCAHONTAS ,,,,,,,,,,25,9125,523,40,991,,117.47,,77,14,147,12,,,,,, 511315,01-JAN-16,31-DEC-16,As Submitted,POTOMAC VALLEY HOSPITAL ,PIN OAK LANE ,,KEYSER ,WV ,26726 ,MINERAL ,,,,,,,,,,25,9150,1589,153,2410,,187.91,,335,49,549,,,,,,, 511316,01-JUL-16,30-JUN-17,As Submitted,GRANT MEMORIAL HOSPITAL ,117 HOSPITAL DRIVE ,1019 ,PETERSBURG ,WV ,26847 ,GRANT ,,,,,,,,,,25,9125,3262,163,6419,,300.54,,606,35,1248,203,,,,,, 511317,01-JAN-16,31-DEC-16,Amended,PLATEAU MEDICAL CENTER ,430 MAIN STREET ,,OAK HILL ,WV ,25901- ,FAYETTE ,,,,,,,,,,25,9150,2079,297,3407,,172.55,,664,188,1137,,,,,,, 511318,01-JAN-16,31-DEC-16,As Submitted,MONTGOMERY GENERAL HOSPITAL ,401 6TH AVENUE ,,MONTGOMERY ,WV ,25136 ,FAYETTE ,,,,,,,,,,25,9150,2348,61,2681,,185.31,,127,18,194,7,,,,,, 511319,01-JAN-16,31-DEC-16,As Submitted,JEFFERSON MEMORIAL HOSPITAL ,300 S. PRESTON STREET ,,RANSON ,WV ,25438 ,JEFFERSON ,,,,,,,,,,25,9150,1327,323,3686,12.08,253.2,,443,93,1234,,,,,,, 511320,01-OCT-15,30-SEP-16,Amended,JACKSON GENERAL HOSPITAL ,PINNELL STREET ,,RIPLEY ,WV ,25271 ,JACKSON ,,,,,,,,,,25,9150,1806,125,2631,,212.5,,340,36,560,49,,,,,, 511321,01-OCT-15,30-SEP-16,Amended,ST. JOSEPHS HOSPITAL OF BUCKHANNON ,1 AMALIA DRIVE ,,BUCKHANNON ,WV ,26201 ,UPSHUR ,,,,,,,,,,25,9150,1039,185,3541,,321.67,,294,43,907,213,,,,,, 512003,01-NOV-15,31-OCT-16,As Submitted,CORNERSTONE HOSPITAL OF HUNTINGTON ,2900 FIRST AVE ,,HUNTINGTON ,WV ,25702- ,CABELL ,,,,,,,,,,28,10248,6059,108,8493,,76.76,,259,4,361,,,,,,, 513025,01-JAN-16,31-DEC-16,As Submitted,PETERSON HEALTHCARE AND REHAB ,20 HOMESTEAD AVENUE ,,WHEELING ,WV ,26003 ,OHIO ,,,,,,,,,,22,8052,1984,,2873,,13,,160,,160,,,,,,, 513026,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH SOUTHERN HILLS REHABILIT ,120 12TH STREET ,,PRINCETON ,WV ,24740 ,MERCER ,,,,,,,,,,60,21960,9287,,12118,,99.7,,748,,1005,45,,,,,, 513027,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH WESTERN HILLS REGIONAL R ,3 WESTERN HILLS DRIVE ,1428 ,PARKERSBURG ,WV ,26105 ,WOOD ,,,,,,,,,,40,14640,10885,,13270,,122.74,,903,,1099,22,,,,,, 513028,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,6900 WEST COUNTRY CLUB DRIVE ,,HUNTINGTON ,WV ,25705- ,CABELL ,,,,,,,,,,62,22692,12567,,16781,,144.13,,1041,,1357,30,,,,,, 513030,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH MOUNTAIN VIEW REGIONAL R ,1160 VAN VOORHIS ROAD ,,MORGANTOWN ,WV ,26505 ,MONONGALIA ,,,,,,,,,,96,35136,17286,81,25879,,229.44,,1454,6,2128,133,,,,,, 514001,01-OCT-15,30-SEP-16,As Submitted,HIGHLAND HOSPITAL ASSOC ,300 56TH STREET ,,CHARLESTON ,WV ,25364- ,KANAWHA ,,,,,,,,,,40,14640,1700,117,8555,,261.05,,194,17,1187,,,,,,, 514008,01-JAN-16,31-DEC-16,As Submitted,RIVER PARK HOSPITAL ,1230 SIXTH AVENUE ,,HUNTINGTON ,WV ,25719-1875 ,CABELL ,,,,,,,,,,121,42456,4116,3259,30823,2.01,183.22,,263,176,1139,,,,,,, 514009,01-JUL-16,30-JUN-17,As Submitted,MILDRED MITCHELL-BATEMAN HOSPITAL ,1530 NORWAY AVENUE ,,HUNTINGTON ,WV ,25706 ,CABELL ,,,,,,,,,,110,40150,2174,818,35495,1,369,,95,35,585,,,,,,, 514010,01-JUL-16,30-JUN-17,As Submitted,WILLIAM R SHARPE JR HOSPITAL ,936 SHARPE HOSPITAL ROAD ,1127 ,WESTON ,WV ,26452-8550 ,LEWIS ,,,,,,,,,,150,54750,1986,688,51067,,414.82,,76,24,501,,,,,,, 514011,01-OCT-15,30-SEP-16,Settled,HIGHLAND-CLARKSBURG HOSPITAL INC ,3 HOSPITAL PLAZA ,,CLARKSBURG ,WV ,26301 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 520004,01-JAN-16,31-DEC-16,As Submitted,MCHS FRANCISCAN HEALTHCARE INC ,700 WEST AVE SOUTH ,,LA CROSSE ,WI ,54601-4783 ,LA CROSSE ,810091,277603,,520239,175067,,.1222,467676,577296,142,62050,10683,2833,24895,18.22,2112.48,,2572,491,6204,25,,,,,, 520008,01-OCT-15,30-SEP-16,As Submitted,WAUKESHA MEMORIAL HOSPITAL ,725 AMERICAN AVENUE ,,WAUKESHA ,WI ,53188-5099 ,WAUKESHA ,1259209,,,,,,,447164,306116,240,88456,17681,2209,52714,22.83,1811.65,,4185,515,12662,1062,94,,30,,587, 520009,01-JUL-16,30-JUN-17,As Submitted,ST. ELIZABETH HOSPITAL ,1506 SOUTH ONEIDA STREET ,,APPLETON ,WI ,54915 ,OUTAGAMIE ,180864,,,446195,,,.1496,83800,62889,190,69350,5560,4062,37371,5.62,875.6,,1311,568,8469,1239,,,,,, 520011,01-OCT-15,30-SEP-16,As Submitted,LAKEVIEW MEDICAL CENTER ,1700 WEST STOUT STREET ,,RICE LAKE ,WI ,54868- ,BARRON ,,,,189978,,,.12,,,40,14640,2629,334,7093,,401.84,,884,81,2306,327,,,,,, 520013,01-JUL-16,30-JUN-17,As Submitted,SACRED HEART HOSPITAL ,900 WEST CLAIREMENT AVE ,,EAU CLAIRE ,WI ,54701 ,EAU CLAIRE ,698607,,,1436429,,,.1682,235738,65937,177,64605,16756,4051,40161,6.25,992.18,,3448,691,8863,1216,,,,19,,207 520017,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPHS HOSPITAL ,2661 COUNTY HWY I ,,CHIPPEWA FALLS ,WI ,54729 ,CHIPPEWA ,,,,302358,,,.2821,,,102,37230,2281,1093,12618,,270.27,,656,386,3295,894,,,,,, 520019,01-JUL-16,30-JUN-17,As Submitted,SAINT MARYS HOSPITAL ,2251 NORTH SHORE DRIVE ,,RHINELANDER ,WI ,54501- ,ONEIDA ,,,,203485,,,.1095,,,59,21535,3538,771,8890,,464.62,,997,236,2564,,,,117,,467, 520021,01-JUL-16,30-JUN-17,As Submitted,UNITED HOSPITAL SYSTEM INC. ,6308 8TH AVENUE ,,KENOSHA ,WI ,53143- ,KENOSHA ,,,,476318,,,.0833,,,229,83585,13959,2242,35051,,1908.69,,2716,541,7325,,,,,,, 520027,01-JUL-16,30-JUN-17,As Submitted,COLUMBIA ST. MARYS OZAUKEE CAMPUS ,13111 N. PORT WASHINGTON RD ,,MEQUON ,WI ,53097- ,OZAUKEE ,,,,121489,,,.0321,,,120,43800,8555,1110,21098,,692.83,,1777,174,4455,247,,,,,, 520028,01-JAN-16,31-DEC-16,As Submitted,MONROE CLINIC ,515 22ND AVENUE ,,MONROE ,WI ,53566 ,GREEN ,156036,,,747,,,.0003,45374,95107,95,34770,4026,616,9103,.89,987.58,,1121,63,2580,327,,,,,, 520030,01-JUL-16,30-JUN-17,As Submitted,ASPIRUS WAUSAU HOSPITAL ,333 PINE RIDGE BOULEVARD ,,WAUSAU ,WI ,54401 ,MARATHON ,1515996,,,922133,,,.0828,440374,317379,227,82855,20377,872,49602,14.17,1954.79,,4424,186,10621,2243,,,,3,,320 520033,01-JUL-16,30-JUN-17,As Submitted,ASPIRUS RIVERVIEW HOSPITAL & CLINICS ,410 DEWEY STREET ,8080 ,WISCONSIN RAPIDS ,WI ,54495-8080 ,WOOD ,,,,93292,,,.0512,,,45,16470,2768,390,9117,,438,,904,175,2954,,,,,,, 520034,01-JAN-16,31-DEC-16,As Submitted,AURORA MED CTR OF MANITOWOC COUNTY ,5000 MEMORIAL DRIVE ,,TWO RIVERS ,WI ,54241-2399 ,MANITOWOC ,,,,92259,,,.0748,,,69,25254,1972,644,6217,,300.01,,695,220,2191,188,,,,,, 520035,01-JAN-16,31-DEC-16,As Submitted,SHEBOYGAN MEMORIAL HOSPITAL ,2629 N. SEVENTH STREET ,,SHEBOYGAN ,WI ,53083- ,SHEBOYGAN ,,,,638256,,,.2376,,,134,49044,4721,4250,20439,,569.46,,1308,1005,5592,530,,,,,, 520037,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPHS HOSPITAL ,611 ST. JOSEPH AVE ,,MARSHFIELD ,WI ,54449 ,WOOD ,3141947,,,1085380,,,.1263,2157266,529761,286,104390,19066,6886,64620,67.15,1186.47,,3375,721,10868,1264,,,,2,,91 520038,01-JAN-16,31-DEC-16,As Submitted,AURORA MEDICAL CENTER - HARTFORD ,1032 E. SUMNER STREET ,,HARTFORD ,WI ,53027- ,WASHINGTON ,,,,,,,,,,53,19398,2228,89,4803,,275.68,,582,52,1435,,,,,,, 520041,01-JUL-16,30-JUN-17,As Submitted,DIVINE SAVIOR HOSPITAL ,2817 NEW PINERY ROAD ,387 ,PORTAGE ,WI ,53901- ,COLUMBIA ,,,,61631,,,.0383,,,43,15695,2945,205,5548,,595.59,,851,72,1676,183,,,,,, 520044,01-JUL-16,30-JUN-17,As Submitted,ST. NICHOLAS HOSPITAL ,3100 SUPERIOR AVENUE ,,SHEBOYGAN ,WI ,53081- ,SHEBOYGAN ,,,,50253,,,.0381,,,53,19345,2525,196,8344,,352.9,,640,56,2337,,,,,,, 520045,01-JAN-16,31-DEC-16,As Submitted,THEDACARE REGIONAL MEDICAL CENTER - ,130 SECOND ST ,,NEENAH ,WI ,54956 ,WINNEBAGO ,,,,265299,,,.0787,,,139,50874,5917,2738,30033,,901.27,,1462,299,7748,607,,,,36,,221 520048,01-JUL-16,30-JUN-17,As Submitted,MERCY MEDICAL CENTER ,500 S. OAKWOOD ROAD ,,OSHKOSH ,WI ,54904 ,WINNEBAGO ,,,,173775,,,.0916,,,104,37960,3767,1094,15473,,438.3,,867,186,4070,416,,,,6,,75 520049,01-OCT-15,30-SEP-16,As Submitted,BELLIN MEMORIAL HOSPITAL ,744 S WEBSTER AVENUE ,23400 ,GREEN BAY ,WI ,54305-3400 ,BROWN ,,,,349949,,,.0529,,,161,58926,8557,892,29342,,2554.93,,2349,361,8406,672,,,,4,,272 520051,01-JUL-16,30-JUN-17,As Submitted,COLUMBIA ST MARYS HOSPITAL MILWAUKEE ,2323 NORTH LAKE DRIVE ,503 ,MILWAUKEE ,WI ,53211- ,MILWAUKEE ,1993747,,,1812801,,,.3254,1045588,813447,263,95995,14091,10191,62283,44.53,2060.28,,2460,2031,14479,3779,,,,,, 520057,01-JAN-16,31-DEC-16,As Submitted,ST. CLARE HOSPITAL ,707 FOURTEENTH STREET ,,BARABOO ,WI ,53913 ,SAUK ,261176,,,152757,,,.0991,120659,112172,43,15738,3165,587,6154,4.48,306.42,,943,222,2118,,,,,,, 520059,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL OF BURLINGTON ,252 MCHENRY ST ,,BURLINGTON ,WI ,53105- ,RACINE ,,,,,,,,,,41,15006,3221,62,6910,,353,,994,25,2199,88,,,,,, 520062,01-OCT-15,30-SEP-16,As Submitted,OCONOMOWOC MEMORIAL HOSPITAL ,791 SUMMIT AVENUE ,,OCONOMOWOC ,WI ,53066- ,WAUKESHA ,,,,,,,,,,58,21228,3239,342,8974,,299.53,,1033,101,2992,285,,,,,, 520063,01-JUL-16,30-JUN-17,As Submitted,ST. JOSEPHS COMM. HOSPT. ,3200 PLESANT VALLEY ROAD ,,WEST BEND ,WI ,53095 ,WASHINGTON ,,,,,,,,,,70,25550,5315,957,14278,,493.41,,1352,183,3667,235,,,,,, 520066,01-JUL-16,30-JUN-17,As Submitted,MERCY HEALTH SYSTEM CORPORATION ,1000 MINERAL POINT AVE ,5003 ,JANESVILLE ,WI ,53547-5003 ,ROCK ,1225938,,,894261,,,.1483,413889,417100,182,66430,12029,3895,31103,19.38,2479.07,,2605,566,7588,990,,,,,,141 520070,01-JAN-16,31-DEC-16,As Submitted,MCHS EAU CLAIRE HOSPITAL ,1221 WHIPPLE STREET ,4105 ,EAU CLAIRE ,WI ,54702- ,EAU CLAIRE ,952514,,,807767,,,.0744,259501,106492,190,69540,23657,5699,46545,7.18,1318.55,,4754,1143,9959,270,,,,,, 520071,01-OCT-15,30-SEP-16,As Submitted,FORT ATKINSON MEMORIAL HOSPITAL ,611 E SHERMAN AVENUE ,,FORT ATKINSON ,WI ,53538 ,JEFFERSON ,,,,92304,,,.0519,,,72,26352,2788,245,6197,,634.5,,906,85,1976,173,,,,,, 520075,01-JUL-16,30-JUN-17,As Submitted,ST. VINCENT HOSPITAL ,835 SOUTH VAN BUREN ST. ,P.O. BOX 13508 ,GREEN BAY ,WI ,54307-3508 ,BROWN ,,,,1164501,,,.1581,,,223,81395,11495,5152,48624,,1511,,2545,918,11623,,,,,14,,316 520076,01-JUL-16,30-JUN-17,As Submitted,BEAVER DAM COMMUNITY HOSPITALS ,707 SOUTH UNIVERSITY AVENUE ,,BEAVER DAM ,WI ,53916 ,DODGE ,,,,71267,,,.0737,,,125,45625,1706,688,4353,,545.74,,565,462,1429,171,,,,,, 520078,01-JUL-16,30-JUN-17,As Submitted,ST. FRANCIS HOSPITAL ,3237 SOUTH 16TH STREET ,,MILWAUKEE ,WI ,53215- ,MILWAUKEE ,7087,,,950228,,,.2585,3244,2852,155,56575,10414,4072,35231,.06,998.69,,1729,979,6159,2052,,,,,, 520083,01-JAN-16,31-DEC-16,As Submitted,ST. MARYS HOSPITAL ,700 SOUTH PARK STREET ,,MADISON ,WI ,53715-1830 ,DANE ,4857773,,,1912439,,,.0848,1362072,360064,350,128100,40409,7326,92787,43.35,1883.02,,8404,1825,18751,,,,54,,950, 520087,01-JAN-16,31-DEC-16,As Submitted,GUNDERSEN LUTHERAN MEDICAL CENTER I ,1910 SOUTH AVENUE ,,LA CROSSE ,WI ,54601- ,LA CROSSE ,4442379,,,1531370,,,.1394,819802,1301960,250,91319,19208,4959,64502,50.48,5567.2,,4217,799,14296,2664,,,,2,,346 520088,01-JUL-16,30-JUN-17,As Submitted,ST. AGNES HOSPITAL ,430 EAST DIVISION STREET ,,FOND DU LAC ,WI ,54935 ,FOND DU LAC ,,,,11399,160179,,.0464,,,115,41975,7008,1866,22854,,1875.76,,1733,309,5839,469,,,236,3,733,84 520089,01-JAN-16,31-DEC-16,As Submitted,MERITER HOSPITAL INC. ,202 SOUTH PARK STREET ,,MADISON ,WI ,53715-1596 ,DANE ,2623529,,,1488963,,,.1491,638311,291293,272,99552,17000,8969,65885,47.08,2002.64,,3888,2579,14139,,,,190,1,765,20 520091,01-JUL-16,30-JUN-17,As Submitted,HOWARD YOUNG MEDICAL CENTER ,290 MAPLE STREET ,470 ,WOODRUFF ,WI ,54568- ,ONEIDA ,,,,109388,,,.0561,,,99,36135,4255,820,9296,,237.9,,1052,180,2409,153,,,,,, 520095,01-JAN-16,31-DEC-16,As Submitted,SAUK PRAIRIE MEMORIAL HOSPITAL ,260 26TH STREET ,,PRAIRIE DU SAC ,WI ,53578- ,SAUK ,,,,,,,,,,36,13176,2007,300,4674,,422.93,,851,22,1506,11,,,,,, 520096,01-JUL-16,30-JUN-17,As Submitted,WHEATON FRANCISCAN HEALTHCARE - ALL ,3801 SPRING STREET ,,RACINE ,WI ,53405- ,RACINE ,166001,,,1659862,,,.2303,98488,96185,265,96725,15209,7515,53367,,1770.8,,3417,1315,10480,3066,,,,21,,430 520097,01-JUL-16,30-JUN-17,As Submitted,ST. MARYS HOSPITAL MEDICAL CENTER ,1726 SHAWANO AVENUE ,,GREEN BAY ,WI ,54303 ,BROWN ,,,,126302,,,.0633,,,83,30295,3688,792,12994,,580.33,,1009,238,3954,,,,,,, 520098,01-JUL-16,30-JUN-17,As Submitted,UNIVERSITY OF WI HOSPITALS & CLINICS ,600 HIGHLAND AVE ,,MADISON ,WI ,53792 ,DANE ,31250899,,,2781793,,,.0886,7247129,4168028,591,215715,56523,21225,163703,425.74,8315.34,,10560,2202,32229,,,,122,,1183, 520100,01-JAN-16,31-DEC-16,As Submitted,BELOIT MEMORIAL HOSPITAL INC. ,1969 WEST HART ROAD ,,BELOIT ,WI ,53511 ,ROCK ,,,,359462,,,.0982,,,103,37698,8607,1182,18246,,1301,,1897,290,4150,454,,,,,, 520102,01-JAN-16,31-DEC-16,As Submitted,AURORA LAKELAND MEDICAL CENTER ,W3985 HIGHWAY NN ,1002 ,ELKHORN ,WI ,53121-1002 ,WALWORTH ,,,,153059,,,.0938,,,64,23424,3403,851,8862,,319.6,,937,211,2542,518,,,,3,,114 520103,01-JUL-16,30-JUN-17,As Submitted,COMMUNITY MEMORIAL HOSPITAL ,W180 N8085 TOWN HALL ROAD ,,MENOMONEE FALLS ,WI ,53051 ,WAUKESHA ,,,,,,,,,,169,61685,10482,1143,26232,,987.13,,2724,211,7596,401,159,,91,3,877,259 520107,01-JAN-16,31-DEC-16,As Submitted,HOLY FAMILY MEMORIAL INC ,2300 WESTERN AVENUE ,1450 ,MANITOWOC ,WI ,54221 ,MANITOWOC ,,,,82995,,,.0413,,,60,21960,3496,347,8829,,822.57,,912,83,2505,258,,,,,, 520109,01-OCT-15,30-SEP-16,As Submitted,MILE BLUFF MEDICAL CENTER INC. ,1050 DIVISION STREET ,,MAUSTON ,WI ,53948- ,JUNEAU ,,,,73687,,,.0871,,,40,14640,1992,332,3690,,350.57,,581,74,1163,,,,,,, 520113,01-JAN-16,31-DEC-16,As Submitted,BAY AREA MEDICAL CENTER ,3100 SHORE DRIVE ,,MARINETTE ,WI ,54143- ,MARINETTE ,,,,128146,,,.0591,,,99,36234,5029,400,10683,,543.48,,1295,146,3191,,,,,,, 520136,01-JUL-16,30-JUN-17,As Submitted,WHEATON FRANCISCAN INC. ,5000 WEST CHAMBERS STREET ,,MILWAUKEE ,WI ,53210- ,MILWAUKEE ,2492966,,,2158476,,,.3528,1480392,994551,293,107875,12944,9801,56851,60.36,1816.87,,2681,1451,14462,4162,,,,8,,131 520138,01-JAN-16,31-DEC-16,As Submitted,AURORA HEALTH CARE METRO INC. ,2900 WEST OKLAHOMA AVENUE ,,MILWAUKEE ,WI ,53215 ,MILWAUKEE ,10248239,,,6586194,,,.1949,5559044,2346107,872,324911,77593,31480,234964,138.04,5881.34,,13158,5963,42747,7289,,,,128,,1307 520139,01-JAN-16,31-DEC-16,As Submitted,WEST ALLIS MEMORIAL HOSPITAL ,8901 WEST LINCOLN AVENUE ,,WEST ALLIS ,WI ,53227-2409 ,MILWAUKEE ,53983,,,794225,,,.1443,,,237,86742,13262,5747,58148,1.93,1081.22,,2985,731,12785,2659,,,,,, 520160,01-JAN-16,31-DEC-16,As Submitted,THEDACARE REGIONAL MEDICAL CENTER AP ,1818 N MEADE ST ,,APPLETON ,WI ,54911 ,OUTAGAMIE ,1041818,,,,,,,394140,160318,147,53802,9407,1151,33854,11.26,1024.56,,2239,291,10002,596,,,,,, 520177,01-JUL-16,30-JUN-17,As Submitted,FROEDTERT MEM. LUTHERAN HOSPT. ,9200 WEST WISCONSIN AVENUE ,,MILWAUKEE ,WI ,53226 ,MILWAUKEE ,19392051,,,2850488,,,.1371,6716089,5459407,525,189303,45140,17364,158126,330.63,4809.84,,7675,3231,28559,3076,,,,139,,567 520189,01-JAN-16,31-DEC-16,As Submitted,AURORA MEDICAL CENTER KENOSHA ,10400 75TH STREET ,,KENOSHA ,WI ,53142 ,KENOSHA ,,,,240995,,,.0609,,,73,26718,7315,1252,18899,,688,,1932,260,5337,650,,,,,, 520193,01-JAN-16,31-DEC-16,As Submitted,AURORA BAYCARE MEDICAL CENTER ,2845 GREENBRIAR ROAD ,,GREEN BAY ,WI ,54311- ,BROWN ,,,,750037,,,.134,,,161,58926,9390,5100,37798,,1289.25,,2236,1113,8865,978,,,,8,,102 520194,01-JAN-16,31-DEC-16,As Submitted,ORTHOPAEDIC HOSPITAL OF WISCONSIN ,575 WEST RIVER WOODS PARKWAY ,,GLENDALE ,WI ,53212 ,MILWAUKEE ,,,,,,,,,,30,10980,939,24,3097,,181,,384,11,1307,49,,,,,, 520195,01-JUL-16,30-JUN-17,As Submitted,COLUMBIA CENTER ,13125 N. PORT WASHINGTON ROAD ,,MEQUON ,WI ,53097 ,OZAUKEE ,,,,,,,,,,17,6205,5,58,2833,,37.05,,2,8,566,187,,,,,, 520196,01-JAN-16,31-DEC-16,As Submitted,OAK LEAF SURGICAL HOSPITAL LLC ,1000 OAKLEAF WAY ,,ALTOONA ,WI ,54720 ,EAU CLAIRE ,,,,,,,,,,13,4758,705,19,1638,,193.6,,313,9,721,26,,,,,, 520198,01-JAN-16,31-DEC-16,As Submitted,AURORA MEDICAL CENTER OF OSHKOSH ,855 N. WESTHAVEN DRIVE ,,OSHKOSH ,WI ,54904- ,WINNEBAGO ,,,,200396,,,.0996,,,61,22326,3463,1130,11952,,498.2,,947,182,3316,446,,,,,, 520202,01-JUL-16,30-JUN-17,As Submitted,SAINT CLARES HOSPITAL ,3400 MINISTRY PARKWAY ,,WESTON ,WI ,54476- ,MARATHON ,,,,293449,,,.0541,,,99,36135,9019,1625,22581,,386.65,,2226,219,4689,476,,,,,, 520204,01-JUL-16,30-JUN-17,As Submitted,WHEATON FRANCISCAN - FRANKLIN ,10101 SOUTH 27TH STREET ,,FRANKLIN ,WI ,53132- ,MILWAUKEE ,,,,,,,,,,44,16060,4773,367,13306,,409.81,,995,61,2723,147,,,,,, 520205,01-JAN-16,31-DEC-16,As Submitted,MIDWEST ORTHOPEDIC SPECIALTY HOSP ,10101 S 27TH ST ,,FRANKLIN ,WI ,53132- ,MILWAUKEE ,60285,,,,,,,9735,3133,16,5856,1035,30,3172,.54,107.94,,433,14,1469,27,,,,,, 520206,01-JAN-16,31-DEC-16,As Submitted,AURORA MEDICAL CENTER - SUMMIT ,36500 AURORA DRIVE ,,SUMMIT ,WI ,53066 ,WAUKESHA COUNTY ,,,,,,,,,,77,28182,3801,1025,12763,.08,482.94,,999,223,3583,217,,,,2,,106 520207,01-JAN-16,31-DEC-16,As Submitted,AURORA MEDICAL CENTER GRAFTON ,975 PORT WASHINGTON ROAD ,,GRAFTON ,WI ,53024 ,OZAUKEE ,,,,,,,,,,107,39162,9370,761,28517,1.07,805.75,,2361,221,7634,413,,,,,, 520208,01-JAN-16,31-DEC-16,As Submitted,ST. MARYS JANESVILLE HOSPITAL ,3400 EAST RACINE STREET ,,JANESVILLE ,WI ,53546 ,ROCK ,,,,214492,,,.0845,,,50,18294,5071,633,9490,,323.5,,1407,283,3234,,,,,,, 521300,01-JUL-16,30-JUN-17,As Submitted,EAGLE RIVER MEMORIAL HOSPITAL ,201 HOSPITAL ROAD ,,EAGLE RIVER ,WI ,54521- ,VILAS ,,,,,,,,,,25,9125,1237,40,1848,,70.1,,167,14,397,19,,,,,, 521302,01-OCT-15,30-SEP-16,Amended,MCHS OAKRIDGE ,13025 8TH STREET ,70 ,OSSEO ,WI ,54758-0070 ,TREMPEAULEAU ,,,,,,,,,,18,6588,2846,7,4433,,149.63,,81,3,148,,,,,,, 521303,01-JAN-16,31-DEC-16,As Submitted,THEDACARE MED CTR - WILD ROSE ,601 GROVE AVENUE ,243 ,WILD ROSE ,WI ,54984 ,WAUSHARA ,,,,,,,,,,25,9150,674,,1844,,98.07,,67,,151,10,,,,,, 521304,01-JAN-16,31-DEC-16,As Submitted,ST. JOSEPHS HEALTH SERVICES ,400 WATER AVENUE ,,HILLSBORO ,WI ,54634- ,VERNON ,,,,,,,,,,25,9150,708,10,1049,,108.61,,135,3,255,,,,,,, 521305,01-JAN-16,31-DEC-16,As Submitted,MCHS-FRANCISCAN SPARTA ,310 W MAIN ,,SPARTA ,WI ,54656 ,MONROE ,,,,,,,,,,25,9150,2531,31,3857,,108.56,,100,10,161,4,,,,,, 521307,01-JAN-16,31-DEC-16,As Submitted,CHIPPEWA VALLEY HOSPITAL CAH ,1220 THIRD AVENUE ,,DURAND ,WI ,54736 ,PEPIN ,,,,,,,,,,25,9150,1541,,1805,,94.6,,208,,301,,,,,,, 521308,01-JAN-16,31-DEC-16,As Submitted,AMERY REGIONAL MEDICAL CENTER ,265 GRIFFIN STREET EAST ,,AMERY ,WI ,54011-1292 ,POLK ,,,,,,,,,,25,9150,1484,163,2545,,295.4,,408,48,1054,,,,8,,228, 521310,01-OCT-15,30-JUN-16,As Submitted,ST CLARE MEMORIAL HOSPITAL INC ,855 SOUTH MAIN STREET ,,OCONTO FALLS ,WI ,54154 ,OCONTO ,,,,,,,,,,22,6028,687,28,1814,,126.62,,158,10,413,28,,,,,, 521310,01-JUL-16,30-JUN-17,As Submitted,ST CLARE MEMORIAL HOSPITAL INC ,855 SOUTH MAIN STREET ,,OCONTO FALLS ,WI ,54154 ,OCONTO ,,,,,,,,,,22,8030,749,23,1755,,132.75,,171,11,507,28,,,,,, 521311,01-JUL-16,30-JUN-17,As Submitted,OUR LADY OF VICTORY HOSPITAL ,1120 PINE STREET ,,STANLEY ,WI ,54768- ,CLARK ,,,,,,,,,,24,8760,866,7,1121,,66.62,,90,3,151,7,,,,,, 521312,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL OF LAFAYETTE CTY ,800 CLAY STREET ,,DARLINGTON ,WI ,53530 ,LAFAYETTE ,,,,,,,,,,25,9150,1009,26,1454,,85.89,,167,9,254,,,,,,, 521313,01-JUL-16,30-JUN-17,As Submitted,SACRED HEART HOSPITAL ,401 W MOHAWK DRIVE ,,TOMAHAWK ,WI ,54487-2218 ,LINCOLN ,,,,,,,,,,18,6570,469,23,905,,83.44,,143,10,282,19,,,,,, 521314,01-OCT-15,30-SEP-16,Amended,MCHS-CHIPPEWA VALLEY ,1501 THOMPSON STREET ,,BLOOMER ,WI ,54724- ,CHIPPEWA ,,,,,,,,,,25,9150,3242,16,4457,,195.81,,130,5,165,,,,,,, 521315,01-OCT-15,30-SEP-16,Amended,MCHS NORTHLAND ,1222 E WOODLAND AVE ,,BARRON ,WI ,54812- ,BARRON ,,,,,,,,,,25,9150,3694,208,5269,,289.59,,418,81,765,,,,,,, 521316,01-JAN-16,31-DEC-16,As Submitted,TRI-COUNTY MEMORIAL HOSPITAL INC. ,18601 LINCOLN STREET ,65 ,WHITEHALL ,WI ,54773- ,TREMPEALEAU ,,,,,,,,,,25,9150,1540,6,2030,,159.21,,109,3,196,2,,,,,, 521317,01-JUL-16,30-JUN-17,As Submitted,CALUMET MEDICAL CENTER ,614 MEMORIAL DRIVE ,,CHILTON ,WI ,53014 ,CALUMET ,,,,,,,,,,25,9125,446,1,1712,,115.4,,100,1,448,13,,,,,, 521318,01-JAN-16,31-DEC-16,As Submitted,LADD MEMORIAL HOSPTIAL ,2600 65TH AVENUE ,218 ,OSCEOLA ,WI ,54020 ,POLK ,,,,,,,,,,25,9150,1086,46,1837,,207,,228,12,388,47,,,,,, 521319,01-JAN-16,31-DEC-16,As Submitted,EDGERTON HOSPITAL & HEALTH SERVICES ,11101 NORTH SHERMAN ROAD ,,EDGERTON ,WI ,53534- ,ROCK ,,,,,,,,,,18,6588,2791,25,3291,,136.44,,129,11,202,,,,,,, 521320,01-OCT-15,30-SEP-16,As Submitted,TOMAH MEMORIAL HOSPITAL ,321 BUTTS AVENUE ,,TOMAH ,WI ,54660- ,MONROE ,,,,,,,,,,25,9150,1287,176,3428,,210.7,,302,46,916,,,,,,, 521321,01-JUL-16,30-JUN-17,As Submitted,RIPON MEDICAL CENTER ,845 PARKSIDE STREET ,,RIPON ,WI ,54971 ,FOND DU LAC ,,,,,,,,,,18,6570,588,51,1847,,151.31,,169,7,514,,,,,,, 521322,01-JAN-16,31-DEC-16,As Submitted,GRANT REGIONAL HEALTH CENTER INC. ,507 SOUTH MONROE STREET ,,LANCASTER ,WI ,53813- ,GRANT ,,,,,,,,,,25,9150,1112,311,2271,,163.18,,272,75,585,102,,,,,, 521323,01-JAN-16,31-DEC-16,Amended,MEMORIAL HOSPITAL INC. ,216 SUNSET PLACE ,,NEILLSVILLE ,WI ,54456- ,CLARK ,,,,,,,,,,25,9150,524,18,1042,,156.91,,112,8,288,,,,,,, 521326,01-JAN-16,31-DEC-16,As Submitted,THEDACARE MEDICAL CENTER-NEW LONDON ,1405 MILL STREET ,,NEW LONDON ,WI ,54961 ,OUTAGAMIE ,,,,,,,,,,25,9150,902,86,3295,,172.17,,154,16,574,42,,,,,, 521327,01-JUL-16,30-JUN-17,As Submitted,WAUPUN MEMORIAL HOSPITAL ,620 WEST BROWN STREET ,,WAUPUN ,WI ,53963 ,DODGE ,,,,,,,,,,25,9125,915,594,3262,,205.41,,237,159,1085,,,,,,, 521328,01-JAN-16,31-DEC-16,As Submitted,RUSK COUNTY MEMORIAL HOSPITAL & NH ,900 COLLEGE AVE WEST ,,LADYSMITH ,WI ,54848- ,RUSK ,,,,,,,,,,25,9150,1324,68,2016,,138.6,,209,26,416,23,,,,,, 521329,01-JUL-16,30-JUN-17,As Submitted,ST MARYS HOSPITAL SUPERIOR ,3500 TOWER AVE ,,SUPERIOR ,WI ,54880- ,DOUGLAS ,,,,,,,,,,25,9125,2121,30,2862,,257.08,,206,17,534,33,,,,,, 521330,01-JAN-16,31-DEC-16,As Submitted,PRAIRIE DU CHIEN MEMORIAL HOSPITAL ,37868 US HWY 18 ,,PRAIRIE DU CHIEN ,WI ,53821 ,CRAWFORD ,,,,,,,,,,24,8784,2346,230,4040,,284.87,,451,85,867,,,,,,, 521331,01-OCT-15,30-SEP-16,As Submitted,BURNETT MEDICAL CENTER INC ,257 W ST GEORGE AVE ,,GRANTSBURG ,WI ,54480 ,BURNETT ,,,,,,,,,,25,9150,805,20,1229,,127.95,,167,7,279,51,,,,,, 521332,01-APR-16,31-MAR-17,As Submitted,SPOONER HEALTH SYSTEM ,1280 CHANDLER DRIVE ,,SPOONER ,WI ,54801- ,WASHBURN ,,,,,,,,,,20,7540,1659,22,2195,,113.15,,220,10,336,17,,,,,, 521333,01-JAN-16,31-DEC-16,As Submitted,BLACK RIVER MEMORIAL HOSPITAL ,711 WEST ADAMS STREET ,,BLACK RIVER FALLS ,WI ,54615- ,JACKSON ,,,,,,,,,,25,9150,959,452,2547,,265.39,,308,132,850,,,,,,, 521334,01-JAN-16,31-DEC-16,As Submitted,THEDACARE MEDICAL CENTER - WAUPACA ,800 RIVERSIDE DRIVE ,,WAUPACA ,WI ,54981 ,WAUPACA ,,,,,,,,,,25,9150,1397,110,3521,,208,,356,38,1083,80,,,,,, 521335,01-JAN-16,31-DEC-16,As Submitted,HUDSON HOSPITAL ,405 STAGELINE RD ,,HUDSON ,WI ,54016 ,,,,,,,,,,,25,9150,1330,300,4471,.64,249.97,,403,73,1866,,,,,,, 521336,01-APR-16,31-MAR-17,As Submitted,HAYWARD AREA MEMORIAL HOSPITAL ,11040 N STATE ROAD #77 ,,HAYWARD ,WI ,54843-6391 ,SAWYER ,,,,,,,,,,25,9125,1898,375,3296,,190.35,,340,78,720,66,,,,,, 521338,01-OCT-15,30-SEP-16,As Submitted,COLUMBUS COMMUNITY HOSPITAL ,1515 PARK AVENUE ,,COLUMBUS ,WI ,53925- ,COLUMBIA ,,,,,,,,,,25,9150,2045,56,3317,,202.47,,530,20,945,47,,,,,, 521339,01-JUL-16,30-JUN-17,As Submitted,GOOD SAMARITAN HEALTH CTR OF MER WI ,601 CENTER AVE. SOUTH ,,MERRILL ,WI ,54452- ,LINCOLN ,,,,,,,,,,25,9125,742,28,1455,,88.72,,235,11,476,30,,,,,, 521340,01-JAN-16,31-DEC-16,As Submitted,MCHS-RED CEDAR ,2321 STOUT ROAD ,,MENOMONIE ,WI ,54751- ,DUNN ,,,,,,,,,,25,9150,2587,670,4700,,395.67,,586,179,1204,,,,,,, 521341,01-JAN-16,31-DEC-16,As Submitted,THE RICHLAND HOSPITAL INC ,333 EAST SECOND STREET ,,RICHLAND CENTER ,WI ,53581- ,RICHLAND ,,,,,,,,,,25,9150,2431,337,3897,,255.32,,547,93,997,,,,,,, 521342,01-JAN-16,31-DEC-16,As Submitted,INDIANHEAD MEDICAL CENTER ,COUNTY HIGHWAY ,,SHELL LAKE ,WI ,54871 ,WASHBURN ,,,,,,,,,,25,9150,932,35,1290,,58.81,,183,15,264,,,,,,, 521343,01-OCT-15,30-SEP-16,As Submitted,STOUGHTON HOSPITAL ASSOCIATION ,900 RIDGE STREET ,,STOUGHTON ,WI ,53589-1896 ,DANE ,,,,,,,,,,22,8052,2018,40,2733,,213.53,,407,23,624,36,,,5,,146, 521344,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HOSPITAL OF BOSCOBEL ,205 PARKER STREET ,,BOSCOBEL ,WI ,53805 ,GRANT ,,,,,,,,,,25,9150,638,4,821,,105.25,,91,2,177,,,,,,, 521345,01-JAN-16,31-DEC-16,As Submitted,WESTFIELDS HOSPITAL ,535 HOSPITAL ROAD ,,NEW RICHMOND ,WI ,54017 ,ST CROIX ,,,,,,,,,,25,9150,1388,172,2535,,275.1,,412,86,901,,,,,,, 521346,01-JAN-16,31-DEC-16,As Submitted,THEDACARE MEDICAL CENTER - SHAWANO ,100 COUNTY ROAD B ,,SHAWANO ,WI ,54166 ,SHAWANO ,,,,,,,,,,25,9150,1371,499,4912,,270.27,,396,154,1465,138,,,,,, 521347,01-OCT-15,30-SEP-16,As Submitted,BALDWIN AREA MEDICAL CENTER INC. ,1100 BERGSLIEN STREET ,,BALDWIN ,WI ,54002 ,ST. CROIX ,,,,,,,,,,25,9150,858,61,1500,,190.99,,239,25,451,,,,,,, 521348,01-OCT-15,30-SEP-16,As Submitted,VERNON MEMORIAL HOSPITAL ,507 SOUTH MAIN ST ,,VIROQUA ,WI ,54665 ,VERNON ,,,,,,,,,,25,9150,1036,77,3436,,336.57,,373,24,1200,,,,,,, 521349,01-JAN-16,31-DEC-16,As Submitted,RIVER FALLS AREA HOSPITAL ,1629 E. DIVISION STREET ,,RIVER FALLS ,WI ,54022- ,ST CROIX ,,,,,,,,,,21,7686,1391,65,2331,,163.43,,450,21,830,61,,,,,, 521350,01-JUL-16,30-JUN-17,As Submitted,ASPIRUS LANGLADE HOSPITAL ,112 EAST FIFTH AVENUE ,,ANTIGO ,WI ,54409 ,LANGLADE ,,,,,,,,,,25,9125,1522,487,4663,,416,,422,398,1318,,,,,,, 521351,01-OCT-15,30-SEP-16,As Submitted,REEDSBURG AREA MEDICAL CENTER ,2000 NORTH DEWEY STREET ,,REEDSBURG ,WI ,53959- ,SAUK ,,,,,,,,,,25,9150,1989,721,4487,,411.17,,574,281,1313,,,,,,, 521352,01-OCT-15,30-SEP-16,As Submitted,UPLAND HILLS HEALTH ,825 S. IOWA STREET ,,DODGEVILLE ,WI ,53533- ,IOWA ,,,,,,,,,,25,9150,2058,104,3978,,297.58,,477,28,990,100,,,,,, 521353,01-JUL-16,30-JUN-17,As Submitted,CUMBERLAND MEMORIAL HOSPITAL ,1110 7TH AVENUE ,,CUMBERLAND ,WI ,54829- ,BARRON ,,,,,,,,,,25,9125,1809,56,2436,,141.69,,226,19,397,,,,,,, 521355,01-JAN-16,31-DEC-16,As Submitted,THEDACARE-BERLIN ,225 MEMORIAL DRIVE ,,BERLIN ,WI ,54923 ,GREEN LAKE ,,,,,,,,,,25,9150,1238,158,4139,,317.86,,373,48,1306,151,,,,,, 521356,01-OCT-15,30-SEP-16,As Submitted,OCONTO HOSPITAL & MEDICAL CENTER ,820 ARBUTUS AVE ,357 ,OCONTO ,WI ,54153- ,OCONTO ,,,,,,,,,,10,3660,194,6,459,,68.75,,43,3,124,11,,,,,, 521357,01-JUL-16,30-JUN-17,As Submitted,MERCY WALWORTH HOSPITAL ,N2950 STATE ROAD 67 ,,LAKE GENEVA ,WI ,53147- ,WALWORTH ,,,,,,,,,,3716,9125,1835,453,4053,,386.16,,534,76,1141,96,,,,,, 521358,01-JUL-16,30-JUN-17,As Submitted,DOOR COUNTY MEMORIAL HOSPITAL ,330 S. 16TH PLACE ,,STURGEON BAY ,WI ,54235- ,DOOR ,,,,,,,,,,25,9125,2291,272,4562,,398.09,,625,25,1139,,,,,,, 521359,01-OCT-15,30-SEP-16,As Submitted,MEMORIAL MEDICAL CENTER INC. ,1615 MAPLE LANE ,,ASHLAND ,WI ,54806- ,ASHLAND ,,,,,,,,,,25,9150,2145,763,4518,,322.37,,668,173,1417,133,126,,197,,596, 521990,01-JAN-16,31-DEC-16,As Submitted,CLEARVIEW HOME CORPORATION ,935 MAIN STREET ,180198 ,DELAFIELD ,WI ,53018 ,WAUKESHA ,,,,,,,,,,2,732,114,,137,,4.84,,2,,2,,,,,,, 522005,01-JAN-16,31-DEC-16,Amended,LAKEVIEW SPECIALTY HOSPT & REHAB ,1701 SHARP ROAD ,,WATERFORD ,WI ,53185 ,RACINE ,,,,,,,,,,39,14274,2873,2019,8405,,152.6,,86,34,210,1,,,,,, 522006,01-NOV-15,31-OCT-16,As Submitted,SSH - MILWAUKEE ,8901 W. LINCOLN AVE. 6TH FLOOR ,,WEST ALLIS ,WI ,53227 ,MILWAUKEE ,,,,,,,,,,63,23058,6654,1370,18198,,167.38,,208,44,522,33,,,,,, 522007,01-JAN-16,31-DEC-16,As Submitted,LIFECARE HOSPITALS OF WISCONSIN ,2400 GOLF ROAD ,,PEWAUKEE ,WI ,53072 ,WAUKESHA ,,,,,,,,,,62,22692,4704,3019,11498,,106.92,,197,103,432,,,,,,, 522008,01-JUN-16,31-MAY-17,As Submitted,SSH -MADISON ,801 BRAXTON PLACE ,,MADISON ,WI ,53715 ,DANE ,,,,,,,,,,58,21170,6062,775,13325,,158.2,,203,25,448,30,,,,,, 523025,01-JUL-16,30-JUN-17,As Submitted,SACRED HEART REHABILITATION ,2350 N. LAKE DRIVE ,,MILWAUKEE ,WI ,53211- ,MILWAUKEE ,,,,,,,,,,49,17885,1377,1376,5594,,68.57,,98,49,319,43,,,,,, 523027,01-JAN-16,31-DEC-16,As Submitted,REHABILITATION HOSPITAL OF WISCONSIN ,1625 COLDWATER CREEK DRIVE ,,WAUKESHA ,WI ,53188 ,WAUKESHA ,,,,,,,,,,40,14640,8337,317,11964,,127.8,,649,19,862,11,,,,,, 523028,26-OCT-15,31-DEC-15,Amended,UW HEALTH REHABILITATION HOSPITAL ,5115 N. BILTMORE LANE ,,MADISON ,WI ,53718 ,DANE ,,,,,,,,,,22,1246,285,20,902,,32.9,,31,2,109,4,,,,,, 523028,01-JAN-16,31-DEC-16,As Submitted,UW HEALTH REHABILITATION HOSPITAL ,5115 N. BILTMORE LANE ,,MADISON ,WI ,53718 ,DANE ,,,,,,,,,,40,14640,4453,635,10108,1.89,80.8,,352,47,806,37,,,,,, 523300,01-JAN-16,31-DEC-16,As Submitted,CHILDRENS HOSPITAL OF WISCONSIN ,9000 W.WISCONSIN AVE ,,MILWAUKEE ,WI ,53226 ,MILWAUKEE ,,,,,,,,,11902,306,111690,215,19722,64493,210.83,2452.96,,23,1988,8433,,,,,,, 523302,01-JAN-16,31-DEC-16,As Submitted,CHILDRENS HOSPITAL OF WI-FOX VALLEY ,130 SECOND STREET ,,NEENAH ,WI ,54956 ,WINNEBAGO ,,,,,,,,,,42,15372,,1003,5938,,125.4,,,70,524,,,,,,, 524000,01-JAN-16,31-DEC-16,As Submitted,AURORA PSYCHIATRIC HOSPITAL ,1220 DEWEY AVENUE ,,WAUWATOSA ,WI ,53213- ,MILWAUKEE ,,,,,,,,,1353,68,24888,1836,1002,19864,1.48,270.78,,301,199,4292,,,,,,, 524001,01-JAN-16,31-DEC-16,Amended,MILWAUKEE CTY MENTAL HEALTH COMPLEX ,9455 WATERTOWN PLANK ROAD ,,MILWAUKEE ,WI ,53226 ,MILWAUKEE ,,,,,,,,,,120,43800,2302,1115,19706,4.96,458,,115,207,1291,,,,,,, 524014,01-JAN-16,31-DEC-16,As Submitted,BROWN CNTY COMMUNITY TREATMENT CTR ,3150 GERSHWIN DR ,,GREEN BAY ,WI ,54311-5899 ,BROWN ,,,,,,,,,,16,5856,800,939,4419,,48.34,,135,162,837,219,,,,,, 524017,01-JAN-16,31-DEC-16,As Submitted,NORTH CENTRAL HEALTH CARE FACILITIES ,1100 LAKEVIEW DRIVE ,,WAUSAU ,WI ,54403 ,MARATHON ,,,,,,,,,,16,5856,1641,1937,5368,,335,,152,351,845,,,,,,, 524019,01-JAN-16,31-DEC-16,As Submitted,NORWOOD HEALTH CENTER ,1600 NORTH CHESTNUT AVENUE ,,MARSHFIELD ,WI ,54449 ,WOOD ,,,,,,,,,,16,5856,956,772,3760,,39.84,,120,113,595,,,,,,, 524025,01-JAN-16,31-DEC-16,As Submitted,FOND DU LAC COUNTY HEALTH CARE CTR. ,459 E 1ST ST ,,FOND DU LAC ,WI ,54935 ,FOND DU LAC ,,,,,,,,,,25,9150,1428,157,5171,,73,,205,28,967,,,,,,, 524026,01-JAN-16,31-DEC-16,As Submitted,WAUKESHA COUNTY MENTAL HEALTH CNTR ,1501 AIRPORT RD ,,WAUKESHA ,WI ,53188 ,WAUKESHA ,,,,,,,,,,28,10248,1495,37,6373,,387.86,,124,4,659,101,,,,,, 524038,01-OCT-15,30-SEP-16,As Submitted,BELLIN PSYCHIATRIC CENTER INC. ,BELLIN PSYCHIATRIC CENTER INC. ,23725 ,GREEN BAY ,WI ,54305-3725 ,BROWN ,,,,,,,,,,80,29280,945,983,7498,,149.2,,140,201,1591,354,,,,,, 530002,01-JUL-16,30-JUN-17,As Submitted,CAMPBELL COUNTY MEMORIAL HOSPITAL ,501 S BURMA AVENUE ,3011 ,GILLETTE ,WY ,82717-3011 ,CAMPBELL ,,,,137726,,,.1007,,,66,24090,2714,1630,8008,,898.56,,675,321,2264,,,,89,,352, 530006,01-JUL-16,30-JUN-17,As Submitted,MEM. HOSPITAL OF SHERIDAN CTY. ,1401 FIFTH ST. ,,SHERIDAN ,WY ,82716- ,SHERIDAN ,,,,,,,,,,71,25155,4814,835,9233,,575.32,,1066,248,2378,,,,,,, 530008,01-JAN-16,31-DEC-16,As Submitted,SAGE WEST HEALTH CARE ,2100 WEST SUNSET DRIVE ,,RIVERTON ,WY ,82501 ,FREMONT ,,,,161322,,,.12,,,133,48678,2589,1774,7275,,312.28,,796,596,2499,,,,12,,105,29 530011,01-JUL-16,30-JUN-17,As Submitted,MEM. HOSPT. OF SWEETWATER COUNTY ,1200 COLLEGE DRIVE ,P.O. BOX ,ROCK SPRINGS ,WY ,82901 ,SWEETWATER ,,,,94499,,,.08,,,58,21170,2536,1213,7056,,473.54,,649,483,1955,,,,,,, 530012,01-JUL-16,30-JUN-17,As Submitted,WYOMING MEDICAL CENTER ,1233 E. SECOND STREET ,,CASPER ,WY ,82601 ,NATRONA ,1567460,,,328069,,,.0332,,,163,59562,15885,3704,33919,,960.91,,3855,895,8608,,,,,,, 530014,01-JUL-16,30-JUN-17,As Submitted,CHEYENNE REGIONAL MEDICAL CENTER ,214 EAST 23RD STREET ,,CHEYENNE ,WY ,82001 ,LARAMIE ,768976,,,438728,,,.054,,,170,62050,18068,4088,36516,,1656.47,,3703,1131,8745,,,,102,21,648,314 530015,01-JUL-16,30-JUN-17,As Submitted,ST. JOHNS HOSPITAL ,625 E. BROADWAY ,,JACKSON ,WY ,83001- ,TETON ,,,,,,,,,,48,17520,1738,304,5549,,535.49,,623,35,1914,,,,,,, 530025,01-JUL-16,30-JUN-17,As Submitted,IVINSON MEMORIAL HOSPITAL ,255 N. 30TH ST. ,,LARAMIE ,WY ,82072- ,ALBANY ,,,,48953,,,.0419,,,66,24090,2538,862,6128,,374.27,,562,208,1549,,,,79,,413, 530032,01-MAY-16,30-APR-17,As Submitted,EVANSTON REGIONAL ,190 ARROWHEAD DR ,,EVANSTON ,WY ,82930 ,UINTA ,,,,34484,,,.12,,,32,11680,463,377,1411,,127.23,,194,201,632,,,,,,, 530033,01-JAN-16,31-DEC-16,As Submitted,MOUNTAIN VIEW REGIONAL HOSPITAL ,6550 EAST SECOND STREET ,,CASPER ,WY ,82609 ,NATRONA ,,,,,,,,,,23,8418,1169,72,2297,,262.38,,456,33,956,,,,,,, 531301,01-JUL-16,30-JUN-17,As Submitted,SOUTH BIG HORN HOSPITAL ,388 HWY 20 SOUTH ,,BASIN ,WY ,82410 ,BIG HORN ,,,,,,,,,,10,2914,698,14,822,,38.68,,65,,87,,,,,,, 531302,01-JUL-16,30-JUN-17,As Submitted,MEMORIAL HOSPITAL OF CONVERSE COUNTY ,111 SOUTH 5TH STREET ,,DOUGLAS ,WY ,82633 ,CONVERSE ,,,,,,,,,,25,9125,1627,257,2887,,304.58,,294,81,718,,,,,,, 531303,01-JUL-16,30-JUN-17,As Submitted,WESTON COUNTY HEALTH SERVICES ,1124 WASHINGTON BLVD ,,NEWCASTLE ,WY ,82701 ,WESTON ,,,,,,,,,,10,3214,883,632,2729,,91.57,,43,,67,,,,,,, 531304,01-JUL-16,30-JUN-17,As Submitted,HOT SPRINGS COUNTY MEMORIAL ,150 EAST ARAPAHOE ,,THERMOPOLIS ,WY ,82443- ,HOT SPRINGS ,,,,,,,,,,25,9125,997,147,1482,,84.62,,195,50,353,,,,,,, 531305,01-JAN-16,31-DEC-16,As Submitted,PLATTE COUNTY MEMORIAL HOSPITAL ,201 14TH STREET ,,WHEATLAND ,WY ,82201- ,PLATTE ,,,,,,,,,,25,9150,854,144,1314,,120.94,,211,41,391,,,,,,, 531306,01-JAN-16,31-DEC-16,Amended,WASHAKIE MEDICAL CENTER ,400 SOUTH 19TH STREET ,700 ,WORLAND ,WY ,82401 ,WASHAKIE ,,,,,,,,,,25,9150,992,78,1434,,102.89,,266,34,421,,,,,,, 531307,01-JAN-16,31-DEC-16,Amended,COMMUNITY HOSPITAL ,2000 CAMPBELL DRIVE ,,TORRINGTON ,WY ,82240 ,GOSHEN ,,,,,,,,,,25,9150,1106,218,1969,,121.51,,246,59,493,,,,,,, 531308,01-JUL-16,30-JUN-17,As Submitted,JOHNSON COUNTY HEALTHCARE ,497 LOTT ,,BUFFALO ,WY ,82834 ,JOHNSON ,,,,,,,,,,25,9125,1620,62,2842,,139.76,,190,9,316,2,,,,,, 531309,01-JUL-16,30-JUN-17,As Submitted,NORTH BIG HORN HOSPITAL ,1115 LANE 12 ,,LOVELL ,WY ,82431 ,BIG HORN ,,,,,,,,,,15,5475,1740,36,1948,,120.12,,199,14,255,,,,,,, 531311,01-JUL-16,30-JUN-17,As Submitted,CROOK COUNTY MEDICAL SERVICES ,713 OAK STREET ,,SUNDANCE ,WY ,82435 ,CROOK ,,,,,,,,,,16,5840,549,3,792,,58.68,,42,6,81,,,,,,, 531313,01-JUL-16,30-JUN-17,As Submitted,STAR VALLEY HOSPITAL ,901 ADAMS STREET ,,AFTON ,WY ,83110 ,LINCOLN ,,,,,,,,,,22,8030,1538,153,2777,,216.51,,287,57,709,,,,,,, 531314,01-JUL-16,30-JUN-17,As Submitted,NIOBRARA HEALTH & LIFE CENTER ,921 S. BALLANCEE AVE. ,780 ,LUSK ,WY ,82225 ,NIOBRARA ,,,,,,,,,,24,8760,428,2704,7055,,51.22,,35,2,53,,,,,,, 531315,01-JUL-16,30-JUN-17,As Submitted,SOUTH LINCOLN HOSPITAL DISTRICT ,711 ONYX STREET ,390 ,KEMMERER ,WY ,83101- ,LINCOLN ,,,,,,,,,,14,5110,261,68,745,,90.94,,32,19,120,,,,,,, 531316,01-JUL-16,30-JUN-17,As Submitted,MEMORIAL HOSPITAL OF CARBON COUNTY ,221 WEST ELM STREET ,,RAWLINS ,WY ,82301 ,CARBON ,,,,,,,,,,25,9125,1056,182,2150,,169.9,,223,55,650,,,,,,, 533027,01-JAN-16,31-MAY-16,As Submitted,ELKHORN VALLEY REHABILITATION HOSPIT ,5715 EAST SECOND STREET ,,CASPER ,WY ,82609 ,NATRONA ,,,,,,,,,,40,6080,3481,324,4771,,123.59,,238,14,306,,,,,,, 533027,01-JUN-16,31-MAY-17,As Submitted,ELKHORN VALLEY REHABILITATION HOSPIT ,5715 EAST SECOND STREET ,,CASPER ,WY ,82609 ,NATRONA ,,,,,,,,,,40,14600,8359,431,10819,,139.4,,580,19,711,,,,,,, 534001,01-JUL-16,30-JUN-17,As Submitted,WYOMING STATE HOSPITAL ,831 HIGHWAY 150 SOUTH ,177 ,EVANSTON ,WY ,82930 ,UINTA ,,,,,,,,,,73,26645,81,,22304,,,,4,,118,,,,,,, 534004,01-JAN-16,31-DEC-16,As Submitted,WYOMING BEHAVIORAL INSTITUTE ,EAST 15TH STREET ,,CASPER ,WY ,82609 ,,,,,,,,,,,81,29646,2724,3965,21794,,157.36,,200,266,2071,,,,,,, 650001,01-OCT-15,30-SEP-16,As Submitted,GUAM MEMORIAL HOSPITAL ,850 GOVERNOR CARLOS G CAMACHO RD ,,OKA TAMUNING ,GU ,96911 ,GUAM ,,,,,,,,,,161,58926,10490,8912,43291,,1212,,1235,1711,7059,,,,,,, 650003,08-JAN-16,31-DEC-16,As Submitted,GUAM REGIONAL MEDICAL CITY ,133 ROUTE 3 ,,DEDEDO ,GU ,96929 ,,,,,,,,,,,64,23360,3458,5941,14887,,626.2,,525,1161,3382,,,,,,, 660001,01-OCT-15,30-SEP-16,As Submitted,COMMONWEALTH HEALTH CENTER ,LOWER NAVY HILL RD ,409 CK ,SAIPAN ,MP ,96950 ,CNMI ,,,,,,,,,,74,27084,,,17034,,579.38,,,,4208,,,,,,, 670004,01-JUL-16,30-JUN-17,As Submitted,ST. MARKS MEDICAL CENTER ,ONE ST. MARKS PLACE ,,LA GRANGE ,TX ,78945 ,FAYETTE ,,,,45206,,,.0437,,,44,16060,3117,80,5097,,194.82,,636,16,1301,91,,,,,, 670005,01-JAN-16,31-DEC-16,As Submitted,MEMORIAL HERMANN KINGWOOD ,300 KINGWOOD MEDICAL DRIVE ,,KINGWOOD ,TX ,77339 ,HARRIS ,,,,,,,,,,10,3660,183,,526,,79.72,,85,,247,,,,,,, 670006,01-JAN-16,31-DEC-16,As Submitted,THE HOSPITAL AT WESTLAKE MEDICAL CTR ,5656 BEE CAVES RD. STE M302 ,,AUSTIN ,TX ,78746- ,TRAVIS ,,,,,,,,,,23,8418,941,,2192,,205.63,,394,,945,,,,,,, 670008,01-JAN-16,31-DEC-16,As Submitted,WEBSTER SURGICAL SPECIALTY HOSPITAL ,333 N. TEXAS AVENUE ,,WEBSTER ,TX ,77598- ,HARRIS ,,,,,,,,,,21,7686,449,,1241,,142.99,,241,,673,,,,,,, 670010,01-JAN-16,31-DEC-16,Amended,MAYHILL HOSPITAL ,2809 SOUTH MAYHILL ROAD ,,DENTON ,TX ,76208-5910 ,DENTON ,,,,,,,,,,4,1464,,,,,,,,,,,,,28,,1676, 670023,01-JUL-16,30-JUN-17,As Submitted,METHODIST MANSFIELD MEDICAL CENTER ,2700 EAST BROAD STREET ,,MANSFIELD ,TX ,76063 ,TARRANT ,,,,,,,,,,222,80990,12073,715,45368,,938.8,,2271,164,8930,,,,,,, 670024,01-JAN-16,31-DEC-16,As Submitted,NORTH CYPRESS MEDICAL CENTER ,21214 NORTHWEST FREEWAY ,,CYPRESS ,TX ,77429- ,HARRIS ,,,,,,,,,,139,50874,17910,299,40817,,1384,,4008,73,9703,273,,,,,, 670025,01-JAN-16,31-DEC-16,As Submitted,THE HEART HOSPITAL BAYLOR PLANO ,1100 ALLIED DRIVE ,,PLANO ,TX ,75093 ,COLLIN ,,,,,,,,,,116,42456,14018,55,28101,,1278.08,,2513,13,4798,27,,,,,, 670034,01-JUN-16,31-MAY-17,As Submitted,ROUND ROCK HOSPITAL ,300 UNIVERSITY BLVD ,,ROUND ROCK ,TX ,78664-1032 ,WILLIAMSON ,,,,,,,,,,181,65803,16552,336,32318,,1714.34,,4380,72,8868,,,,,,, 670041,01-JUL-16,30-JUN-17,As Submitted,SETON MEDICAL CENTER WILLIAMSON ,201 SETON PARKWAY ,,ROUND ROCK ,TX ,78665-8000 ,WILLIAMSON ,,,,,,,,,,143,52195,11025,658,32657,,544.36,,2262,151,7278,980,,,,,, 670043,01-DEC-15,30-NOV-16,As Submitted,CEDAR PARK REGIONAL MEDICAL CENTER ,1401 MEDICAL PARKWAY ,,CEDAR PARK ,TX ,78613- ,TRAVIS ,,,,80052,,,.0309,,,93,34038,4992,481,18217,,524.65,,1319,418,4832,,,,,,, 670044,01-JAN-16,31-DEC-16,As Submitted,PRESBYTERIAN HOSPITAL OF ROCKWALL ,3151 HORIZON ROAD ,,ROCKWALL ,TX ,75032- ,ROCKWALL ,,,,,,,,,,50,18300,5572,173,16444,,488.05,,1456,71,3143,,,,,,, 670045,01-JAN-16,31-DEC-16,As Submitted,COOK CHILDRENS NORTHEAST HOSPITAL ,6316 PRECINCT LINE ROAD ,,HURST ,TX ,76054- ,TARRANT ,,,,,,,,,,3,1098,,,7,,149.55,,,,5,5,,,,,, 670046,01-JAN-16,31-DEC-16,As Submitted,USMD HOSPITAL AT FORT WORTH ,5900 DIRKS ROAD ,,FORT WORTH ,TX ,76132 ,TARRANT ,,,,,,,,,,8,2928,123,1,558,,66.06,,44,1,223,,,,,,, 670047,01-JAN-16,31-DEC-16,As Submitted,HOSPITALS OF PROVIDENCE EAST CAMPUS ,3280 JOE BATTLE BLVD. ,,EL PASO ,TX ,79938 ,EL PASO ,,,,1144540,,,.2951,,,182,66612,9799,3446,48003,,697,,2134,503,11557,2152,,,,,, 670049,01-JAN-16,31-DEC-16,As Submitted,NORTH CENTRAL SURGICAL HOSPITAL ,9301 NORTH CENTRAL EXPRESSWAY ,,DALLAS ,TX ,75231 ,DALLAS ,,,,,,,,,,24,8784,1244,,3233,,237.75,,484,,1377,,,,,,, 670053,01-JUL-16,30-JUN-17,As Submitted,ST. LUKES SUGAR LAND HOSPITAL ,1317 LAKE POINTE PARKWAY ,4406 ,SUGAR LAND ,TX ,77478 ,FORT BEND ,,,,229516,,,.12,,,100,36500,4695,1396,19999,,397,,871,325,4310,651,,,,,, 670054,01-JAN-16,31-DEC-16,As Submitted,FOUNDATION SURGICAL SAN ANTONIO ,9522 HUEBNER ROAD ,,SAN ANTONIO ,TX ,78240 ,,,,,,,,,,,20,7320,789,,2716,,103.93,,312,,1345,,,,,,, 670055,01-MAR-16,28-FEB-17,As Submitted,METHODIST STONE OAK HOSPITAL ,1139 E SONTERRA BLVD ,,SAN ANTONIO ,TX ,78258 ,,,,,362291,,,.0446,,,140,51100,16327,828,49319,1.87,723.67,,3779,145,11187,1885,,,,,, 670056,01-JUL-16,30-JUN-17,As Submitted,SETON MEDICAL CENTER HAYS ,6001 KYLE PARKWAY ,,KYLE ,TX ,78640- ,HAYS ,,,,381549,,,.0912,,,112,40880,9213,1003,30517,,492.28,,1887,385,6801,1793,,,,,, 670058,01-JAN-16,31-DEC-16,As Submitted,EMERUS EMERGENCY HOSPITAL SUGAR LAND ,16000 SOUTHWEST FRWY SUITE 100 ,,SUGAR LAND ,TX ,77479 ,FORT BEND ,,,,,,,,,,7,2562,27,5,165,,23.29,,6,2,51,1,,,,,, 670059,01-JUL-16,30-JUN-17,As Submitted,ST. LUKES LAKESIDE HOSPITAL ,17400 ST. LUKES WAY ,4670 ,THE WOODLANDS ,TX ,77384 ,MONTGOMERY ,,,,,,,,,,30,10950,629,4,1800,,101.8,,272,1,760,2,,,,,, 670060,01-NOV-15,31-OCT-16,As Submitted,BAYLOR SCOTT & WHTIE MC-SUNNYVALE ,231 S COLLINS ,,SUNNYVALE ,TX ,75182 ,DALLAS ,,,,293134,,,.1124,,,70,25620,5307,882,18637,,288.1,,1366,86,4915,772,,,,,, 670061,01-JAN-16,31-DEC-16,As Submitted,SOUTH TEXAS SURGICAL HOSPITAL ,6130 PARKWAY DRIVE ,,CORPUS CHRISTI ,TX ,78414 ,CORPUS CHRISTI ,,,,,,,,,,33,12078,639,20,2461,,171.26,,217,5,841,,,,,,, 670062,01-JAN-16,31-DEC-16,As Submitted,BAYLOR EMERGENCY MEDICAL CENTER ,26791 HWY 380 ,,AUBREY ,TX ,76227 ,DENTON ,,,,,,,,,,32,11712,81,,81,,109.2,,41,,50,,,,,,, 670067,01-JAN-16,31-DEC-16,As Submitted,BAYLOR ORTHOPEDIC AND SPINE HOSPITAL ,707 HIGHLANDER BOULEVARD ,,ARLINGTON ,TX ,76015 ,TARRANT ,,,,,,,,,,24,8784,849,,3133,,151.65,,424,,1577,,,,,,, 670068,01-APR-16,31-MAR-17,As Submitted,PRESBYTERIAN HOSP FLOWER MOUND ,4400 LONG PRAIRIE ROAD ,,FLOWER MOUND ,TX ,75028 ,,,,,183645,,,.0565,,,103,37595,5458,1208,23906,,561.63,,1495,512,5843,,,,,,, 670071,01-JAN-16,31-DEC-16,Amended,TEXAS HEALTH HEART & VASULAR HOSP ,811 WRIGHT ST ,,ARLINGTON ,TX ,76012-4716 ,TARRANT ,,,,,,,,,,48,17568,2126,74,5940,,121.53,,443,11,1225,,,,,,, 670073,01-DEC-15,30-NOV-16,As Submitted,METHODIST HOSPITAL FOR SURGERY ,17101 DALLAS PARKWAY ,,ADDISON ,TX ,75001 ,DALLAS ,,,,,,,,,,32,11712,1449,,6485,,205.23,,589,,2564,,,,,,, 670075,01-JUL-16,30-JUN-17,As Submitted,ST LUKES HOSPITAL AT THE VINTAGE ,20171 CHASEWOOD PARK DR. ,4241 ,HOUSTON ,TX ,77070 ,HARRIS ,,,,157569,,,.12,,,86,31390,2905,2222,16540,,329.7,,605,566,3841,636,,,,,, 670076,01-JAN-16,31-DEC-16,As Submitted,HERITAGE PARK SURGICAL HOSPITAL ,3601 CALAIS DRIVE ,,SHERMAN ,TX ,75090 ,GRAYSON ,,,,,,,,,,12,4392,521,,1128,,199.84,,234,,527,,,,,,, 670077,01-JAN-16,31-DEC-16,As Submitted,METHODIST WEST HOUSTON HOSPITAL ,18500 KATY FREEWAY ,,HOUSTON ,TX ,77094 ,HARRIS ,,,,868814,,,.131,,,193,70445,12046,5593,46420,,1271.28,,2905,122,10988,,,,,,, 670078,01-JAN-16,31-DEC-16,As Submitted,BAPTIST EMERGENCY HOSPITAL ,16088 SAN PEDRO DRIVE ,,SAN ANTONIO ,TX ,78232 ,BEXAR ,,,,,,,,,,50,15860,329,4,484,,206.61,,135,2,233,10,,,,,, 670079,01-APR-16,31-AUG-16,As Submitted,LAKEWAY REGIONAL MEDICAL CENTER ,100 MEDICAL PARKWAY ,,LAKEWAY ,TX ,78734 ,TRAVIS ,,,,,,,,,,106,16218,2236,19,4823,,376.97,,562,2,1219,,,,,,, 670080,01-MAY-16,30-APR-17,As Submitted,SETON MEDICAL CENTER HARKER HEIGHTS ,850 W. CENTRAL TEXAS EXPRESSWAY ,,HARKER HEIGHTS ,TX ,76548 ,,,,,312332,,,.12,,,66,24090,4168,221,11374,,348.74,,1358,108,3902,1210,,,,,, 670085,01-JUL-16,30-JUN-17,As Submitted,TEXAS HEALTH ALLIANCE ,10864 TEXAS HEALTH TRAIL ,,FORT WORTH ,TX ,76244-4897 ,TARRANT ,,,,66645,,,.0305,,,98,35770,5138,634,23578,,483.4,,1193,98,5963,375,,,,,, 670087,01-JAN-16,31-DEC-16,As Submitted,SCOTT & WHITE CEDAR PARK ,900 E WHITESTONE BLVD ,,CEDAR PARK ,TX ,78613 ,WILLIAMSON ,,,,,,,,,,8,2928,18,,34,,28.47,,7,,18,1,,,,,, 670088,01-JUN-16,31-MAY-17,As Submitted,COLLEGE STATION HOSPITAL ,700 SCOTT & WHITE DRIVE ,,COLLEGE STATION ,TX ,77845 ,BRAZOS ,,,,357837,,,.0722,,,119,43467,8145,412,22435,,1194.09,,2216,98,6033,,,,,,, 670089,01-JAN-16,01-OCT-16,As Submitted,NIX COMMUNITY GENERAL HOSPITAL ,230 WEST MILLER STREET ,,DILLEY ,TX ,78017 ,FRIO ,,,,912,,,.12,,,18,4950,15,,52,,42,,8,3,23,,,,,,, 670090,01-JAN-16,31-DEC-16,As Submitted,CRESCENT MEDICAL CENTER LANCASTER ,2600 W. PLEASANT RUN RD. ,,LANCASTER ,TX ,75146 ,DALLAS ,,,,21952,,,.12,,,92,33672,391,22,1435,158.33,,,88,4,397,,,,,,, 670092,01-MAR-16,28-FEB-17,As Submitted,WALNUT HILL MEDICAL CENTER ,7502 GREENVILLE AVENUE ,,DALLAS ,TX ,75231 ,DALLAS ,,,,,,,,,,100,36500,3938,14,6574,,252.36,,889,3,1597,,,,,,, 670093,01-JAN-16,31-DEC-16,As Submitted,ASPIRE HOSPITAL LLC ,2006 SOUTH LOOP 336 WEST SUITE 500 ,,CONROE ,TX ,77304- ,MONTGOMERY ,,,,,,,,,,6,2196,95,,152,,23.3,,15,,27,,,,,,708, 670094,01-JAN-16,31-DEC-16,As Submitted,CAMERON HOSPITAL ,806 N CROCKETT AVE ,,CAMERON ,TX ,76520 ,MILAM ,,,,,,,,,,10,3660,98,,244,,189.28,,31,,182,,,,,,, 670095,01-JAN-16,31-DEC-16,As Submitted,EMERUS COMMUNITY HOSPITAL ,24429 TOMBALL PARKWAY SUITE 100 ,,TOMBALL ,TX ,77375 ,HARRIS ,,,,,,,,,,8,2928,11,,17,,26.31,,5,,6,,,,,,, 670097,01-JAN-16,31-DEC-16,As Submitted,BAYLOR EMERGENCY MEDICAL CENTER ,1975 ALPHA STE 100 ,,ROCKWALL ,TX ,75087 ,ROCKWALL ,,,,,,,,,,8,2928,19,,26,,29.99,,10,,11,,,,,,, 670098,01-JUN-16,31-MAY-17,As Submitted,RESOLUTE HEALTH ,555 CREEKSIDE CROSSING ,,NEW BRAUNFELS ,TX ,78130 ,COMAL ,,,,,,,,,,112,40880,4804,202,14496,,291,,1250,34,3881,271,,,,,, 670099,01-JAN-16,31-DEC-16,As Submitted,APOLLO HOSPITAL SYSTEMS LP ,9201 PINECROFT DRIVE ,,SHENNANDOAH ,TX ,77380 ,MONTGOMERY ,,,,,,,,,,5,1825,278,,548,,,,104,,191,,,,,,, 670102,21-JAN-16,31-DEC-16,As Submitted,AD HOSPITAL EAST LLC ,12950 EAST FWY ,,HOUSTON ,TX ,77015 ,HARRIS ,,,,,,,,,,4,1384,40,,325,,36.03,,20,,153,,,,,,, 670103,01-FEB-16,31-JAN-17,As Submitted,MEDICAL CITY ALLIANCE ,3101 NORTH TARRANT PARKWAY ,,FORT WORTH ,TX ,76177 ,TARRANT ,,,,44929,,,.0747,,,55,20130,1461,505,11528,,239.98,,320,124,2553,,,,,,, 670106,01-FEB-16,31-JAN-17,As Submitted,PEARLAND MEDICAL CENTER ,11100 SHADOW CREEK PARKWAY ,,PEARLAND ,TX ,77584 ,BRAZORIA ,,,,80196,,,.0976,,,30,10980,1584,255,6952,,218.19,,431,91,1921,463,,,,,, 670107,01-JAN-16,31-DEC-16,As Submitted,BEMC BURLESON ,12500 SOUTH FREEWAY SUITE 100 ,,BURLESON ,TX ,76028 ,TARRANT ,,,,,,,,,,16,5856,34,,34,,59.49,,14,,14,,,,,,, 670108,01-JUN-16,31-MAY-17,As Submitted,BAYLOR SCOTT & WHITE - MARBLE FALLS ,810 WEST HIGHWAY 71 ,,MARBLE FALLS ,TX ,78654 ,,,,,105008,,,.0618,,,46,16790,3701,675,7332,,381.87,,1176,221,2460,463,,,,,, 670109,01-JAN-16,31-DEC-16,Settled,ALTUS BAYTOWN HOSPITAL ,1626 W BAKE ROAD ,,BAYTOWN ,TX ,77521 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 670110,03-NOV-15,31-DEC-15,Settled,FIRST TEXAS HOSPITAL CARROLLTON ,1407 E TRINITY MILLS ROAD ,,CARROLLTON ,TX ,75006 ,,,,,,,,,,,,,,,,,,,,,,,,,,,, 670110,01-JAN-16,31-DEC-16,As Submitted,FIRST TEXAS HOSPITAL CARROLLTON LLC ,1401 E TRINITY MILLS ROAD ,,CARROLLTON ,TX ,75006 ,DALLAS ,,,,,,,,,,18,6588,171,,1274,,595.27,,55,,452,21,,,,,, 670112,23-JAN-16,31-AUG-16,As Submitted,CUMBERLAND SURGICAL HOSPITAL SA ,5330 NORTH LOOP 1604 WEST ,,SAN ANTONIO ,TX ,78249-1371 ,BEXAR ,,,,,,,,,,26,5772,86,,246,,46.44,,43,,134,,,,,,, 670114,26-FEB-16,31-DEC-16,As Submitted,WEIMAR MEDICAL CENTER ,400 YOUENS DRIVE ,,WEIMAR ,TX ,78962 ,COLORADO ,,,,,,,,,,39,11780,181,9,296,,32.95,,52,2,88,,,,,,, 670115,16-JUN-16,31-DEC-16,As Submitted,CLEVELAND ER ,1017 SOUTH TRAVIS ,,CLEVELAND ,TX ,77328- ,LIBERTY ,,,,,,,,,,4,796,26,,322,,53.13,,1,,96,,,,,,, 670116,26-JUL-16,31-DEC-16,As Submitted,WISE HEALTH SYSTEM - PARKWAY ,3200 NORTH TARRANT PARKWAY ,,FORT WORTH ,TX ,76177-8611 ,TARRANT ,,,,,,,,,,12,1908,76,,445,,51.45,,28,,166,,,,,,, 673025,01-JAN-16,31-DEC-16,As Submitted,POST ACUTE MEDICAL AT ALLEN ,1001 RAINTREE CIRCLE ,,ALLEN ,TX ,75013-4900 ,COLLIN ,,,,,,,,,,40,14640,7454,,9547,,100.09,,652,,831,,,,,,, 673027,01-JAN-16,31-DEC-16,As Submitted,CENTRAL TEXAS REHAB HOSPITAL ,700 WEST 45TH STREET 8TH FLOOR NORT ,,AUSTIN ,TX ,78751 ,TRAVIS ,,,,,,,,,,50,18300,8360,,13516,,140.5,,667,,993,1,,,,,, 673029,01-JAN-16,31-DEC-16,As Submitted,RELIANT REHAB HOSP NORTH TEXAS ,3351 WATERVIEW PARKWAY ,,RICHARDSON ,TX ,75080- ,DALLAS ,,,,,,,,,,50,18300,11965,,15085,,124.76,,1044,,1305,1,,,,,, 673030,01-JUL-16,30-JUN-17,As Submitted,KATE DISHMAN REHAB HOSPITAL ,2830 CALDER ST ,,BEAUMONT ,TX ,77702- ,JEFFERSON ,,,,,,,,,,27,9855,3668,,5297,,41.27,,283,,395,,,,,,, 673031,01-JUN-16,31-MAY-17,As Submitted,METHODIST REHABILITATION HOSPITAL ,3020 WEST WHEATLAND ROAD ,,DALLAS ,TX ,75237 ,DALLAS ,,,,,,,,,,40,14600,7502,,12099,,128.8,,663,,896,,,,,,, 673032,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,1400 HESTERS CROSSING ,,ROUND ROCK ,TX ,78681- ,WILLIAMSON ,,,,,,,,,,50,18300,11802,,15066,,144.53,,1007,,1258,5,,,,,, 673033,01-JAN-16,02-MAY-16,Amended,BIR AT NORTHWEST DALLAS ,1340 EMPIRE CENTRAL DRIVE ,,DALLAS ,TX ,75247 ,DALLAS ,,,,,,,,,,42,5166,1400,,1854,,27.44,,106,,131,,,,,,, 673034,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,117 VISION PARK BLVD ,,SHENANDOAH ,TX ,77384-3001 ,MONTGOMERY ,,,,,,,,,,60,21960,11984,,14729,,128.34,,1050,,1255,2,,,,,, 673035,01-JAN-16,31-DEC-16,As Submitted,BIR AT FORT WORTH ,6601 HARRIS PARKWAY ,,FORT WORTH ,TX ,76132 ,TARRANT ,,,,,,,,,,42,15372,6951,,9869,,111.3,,605,,822,,,,,,, 673036,01-JUN-16,31-MAY-17,As Submitted,REHABILITATION INSTITUTE OF DENTON ,2620 SCRIPTURE STREET ,,DENTON ,TX ,76201 ,DENTON ,,,,,,,,,,44,16060,6478,,9118,,116.34,,569,,786,,,,,,, 673038,01-OCT-15,30-SEP-16,As Submitted,MEMORIAL HERMANN REHAB HOSP KATY ,21720 KINGSLAND BLVD 102 ,,KATY ,TX ,77450 ,HARRIS ,,,,,,,,,,35,12810,5043,,9061,,134.58,,357,,618,,,,,,, 673039,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,3401 DIRECTORS PARKWAY ,,ABILENE ,TX ,79606-5869 ,TAYLOR ,,,,,,,,,,30,10980,7602,1,9098,,79.26,,630,1,737,5,,,,,, 673040,01-JAN-16,31-DEC-16,As Submitted,SRH OF SAN ANTONIO ,19126 STONE HUE ,,SAN ANTONIO ,TX ,78258 ,BEXAR ,,,,,,,,,,42,15372,9670,,14614,,137.08,,735,,1027,,,,,,, 673042,01-JUN-16,31-MAY-17,As Submitted,HEALTHSOUTH SUGAR LAND REHABILITATIO ,1325 HIGHWAY 6 ,,SUGAR LAND ,TX ,77478 ,FORT BEND ,,,,,,,,,,50,18250,11875,,16744,,149.48,,985,,1386,9,,,,,, 673043,01-JUL-16,30-JUN-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,7930 NORTHAVEN ROAD ,,DALLAS ,TX ,75230 ,DALLAS ,,,,,,,,,,40,14600,6245,,9480,,112.02,,545,,803,17,,,,,, 673044,01-JUL-16,30-JUN-17,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,2304 STATE HIGHWAY 121 ,,BEDORD ,TX ,76021 ,TARRANT ,,,,,,,,,,60,21900,10028,,15386,,140.45,,880,,1328,5,,,,,, 673045,01-JAN-16,31-DEC-16,As Submitted,REHABILITATION HOSPITAL OF MESQUITE ,1023 N BELT LINE ROAD ,,MESQUITE ,TX ,75149 ,DALLAS ,,,,,,,,,,30,10080,6939,,8738,,74.73,,500,,617,,,,,,, 673046,01-JUL-16,30-JUN-17,As Submitted,BAYLOR INSTITUTE FOR REHABILITATION ,2990 LEGACY DRIVE ,,FRISCO ,TX ,75034-6066 ,COLLIN ,,,,,,,,,,44,16060,6472,,11327,,119.87,,522,,810,,,,,,, 673048,01-JAN-16,31-DEC-16,As Submitted,TEXAS REHAB HOSPITAL OF FT. WORTH ,425 ALABAMA AVENUE ,,FORT WORTH ,TX ,76104 ,TARRANT ,,,,,,,,,,66,24156,12016,,19398,,183.3,,947,,1489,,,,,,, 673049,01-JAN-16,31-DEC-16,As Submitted,NEW BRAUNFELS REG REHAB HOSP INC ,2041 SUNDANCE PARKWAY ,,NEW BRAUNFELS ,TX ,78130 ,COMAL ,,,,,,,,,,40,14640,8648,,10943,,138.4,,615,,766,,,,,,, 673050,01-OCT-15,30-SEP-16,Amended,HEALTHSOUTH REHABILITATION HOSPITAL ,13031 WORTHAM CENTER DRIVE ,,HOUSTON ,TX ,77065 ,HARRIS ,,,,,,,,,,60,21960,13203,,18440,,166.01,,1043,,1455,7,,,,,, 673051,01-JAN-16,31-DEC-16,As Submitted,KINDRED REHAB HOSPITAL NE HOUSTON ,18839 MCKAY BLVD ,,HUMBLE ,TX ,77338 ,HARRIS ,,,,,,,,,,46,16836,6280,,7668,,88.6,,499,,592,,,,,,, 673052,01-JAN-16,31-DEC-16,As Submitted,HEALTHSOUTH REHABILITATION HOSPITAL ,20180 CHASEWOOD PARK DRIVE ,,HOUSTON ,TX ,77070 ,HARRIS ,,,,,,,,,,60,21960,10312,,12378,,98.18,,976,,1146,2,,,,,, 673053,01-JAN-16,31-DEC-16,As Submitted,CORPUS CHRISTI REHABILITATION HOSPIT ,5726 ESPLANADE DRIVE ,,CORPUS CHRISTI ,TX ,78414 ,NUECES ,,,,,,,,,,35,12810,6202,,8837,,88.9,,459,,623,,,,,,, 673054,01-JAN-16,31-DEC-16,As Submitted,RELIANT REHAB HOSPITAL AUSTIN LP ,330 WEST BEN WHITE ROAD ,,AUSTIN ,TX ,78704 ,TRAVIS ,,,,,,,,,,60,21960,7442,,9223,,86.04,,635,,770,8,,,,,, 673055,01-JAN-16,31-DEC-16,As Submitted,ACCEL REHABILITATION HOSPITAL PLANO ,2301 MARSH LANE SUITE 200 ,,PLANO ,TX ,75093-8497 ,COLLIN ,,,,,,,,,,149,54534,4999,,6207,,62.01,,447,,542,,,,,,, 673056,01-JAN-16,31-DEC-16,As Submitted,WARM SPRINGS REHAB VICTORIA ,101 JAMES COLEMAN DRIVE ,,VICTORIA ,TX ,77904 ,VICTORIA ,,,,,,,,,,26,9516,6463,,7712,,77.75,,585,,689,,,,,,, 673058,01-MAY-16,30-APR-17,As Submitted,VIBRA HOSPITAL OF LAKE TRAVIS ,2000 MEDICAL DRIVE ,,LAKEWAY ,TX ,78734 ,TRAVIS ,,,,,,,,,,36,13140,7261,,8144,,84.46,,637,,727,,,,,,, 673059,01-JAN-16,31-DEC-16,As Submitted,LAREDO REHABILITATION HOSPITAL ,2005A E BUSTAMANTE STREET ,,LAREDO ,TX ,78041 ,WEBB ,,,,,,,,,,20,7320,5093,,5834,,51.19,,325,,367,,,,,,, 673060,01-JAN-16,31-DEC-16,As Submitted,TEXAS REHAB HOSPITAL OF ARLINGTON ,900 WEST ARBROOK BLVD. ,,ARLINGTON ,TX ,76018 ,TARRANT ,,,,,,,,,,40,14640,9196,,11236,,118.5,,752,,920,,,,,,, 673061,01-JUN-16,31-MAY-17,As Submitted,BAY AREA REHAB HOSPITAL ,110 E. MEDICAL CENTER BOULEVARD ,,WEBSTER ,TX ,77598 ,HARRIS ,,,,,,,,,,45,16425,9734,,12421,,117.33,,808,,979,,,,,,, 673062,10-DEC-15,31-DEC-16,As Submitted,WEATHERFORD REABILITATION HOSPITAL ,703 EUREKA ST ,,WEATHERFORD ,TX ,76086 ,PARKER ,,,,,,,,,,26,10088,3549,,4434,,50.27,,337,,410,,,,,,, 673064,05-JUL-16,31-MAR-17,As Submitted,ICARE REHABILITATION HOSPITAL ,3100 PETERS COLOBY ROAD ,,FLOWER MOUND ,TX ,75022-2949 ,,,,,,,,,,,41,11070,971,,1219,,34.43,,80,,99,,,,,,,