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Georgia Medicaid DRAFT
Summary of Provider Tax Plan Options
I/P O/P
Price Elasticity 0.0 0.0
Medicaid PCK
FMAP Used 75.11% 75.69%
Inpatient Revenue Scenario
Excluded Providers Yes/No P1/P2 Must Be:
CAH Yes >1.0
Trauma No >1.0
Public - State Owned Yes >0.95
Public - DSH No >1.0
Psychiatric Yes >0.95
Specialty No >1.0
Inpatient Outpatient B1/B2 Must Be:
Tax Rate Table Net Revenue Tax Net Revenue
Base 1.45% 1.45% >1.0
CAH 1.45% 1.45% >1.0
Trauma 1.40% 1.40% >1.0
Public 1.45% 1.45% >1.0
Psychiatric 1.45% 1.45% >0.95
Grady 1.40% 1.40% >1.0
Estimated Change in Medicaid
Reimb.
By UPL Category FFS* Capitation ASC
Private 12.00% 12.00% 0.00%
Non-State Government 12.00% 12.00%
State 0.00% 0.00%
* - Change in Reimbursement to CAH's calculated at 101% of the Medicaid share of the tax for
O/P, I/P calculated as % increase reflected above.
MCO ASC
MCO & ASC Bases 0.00% 0.00%
Page 1 of 339 File: 0cbf858e-3c5e-4e16-9b70-d2943c3e0b4e.xls
Tab: Summary
Georgia Medicaid DRAFT
Summary of Provider Tax Plan Options
Inpatient Revenue Scenario
Hospital Fee
Inpatient Outpatient Total
Tax Revenue Generated 123,039,626 91,352,002 214,391,628
FFS Capitation
Total Est. Increased Payments 115,049,766 87,527,415 202,577,181
State Share of Increase Payments 28,636,275 21,785,869 50,422,144
Net Proceeds to State 163,969,484
Net Proceeds to State - All Fees 163,969,484
Target 172,000,000
Over/(Under) (8,030,516)
Hospital Fee Waiver Tests I/P O/P
P1/P2 - If providers excluded 1.00558703 1.05995740
B1/B2 - If rate not the same 1.00218745 1.07738709
Without UPL Offset
Net Impact Count
Net Gains $44,863,897 49
Net Losses ($56,678,344) 70
Neutral $0 49
10 Biggest Net Gains
1.Childrens Healthcare Egleston 9,941,523
2.Grady Memorial Hospital 8,805,561
3.Childrens Healthcare Scottish Rite 4,899,589
4.South Fulton Medical Center 2,600,991
5.The Medical Center Inc. 1,820,483
6.Medical Center Of Central Georgia 1,807,182
7.Memorial Health Univ. Medical Cente 1,609,564
8.Children'S Healthcare Of Atlanta At Hughes Spalding 1,438,533
9.Atlanta Medical Center 1,258,490
10.Dekalb Medical Center 1,144,355
10 Biggest Net Losses
1.Piedmont Hospital Inc. (6,875,169)
2.Northside Hospital (4,756,138)
3.Emory University Hosptial (4,709,488)
4.Kennestone Hospital (3,816,730)
5.Saint Joseph'S Atlanta (3,154,055)
6.East Georgia Regional Medical Ctr (1,942,990)
7.Northeast Georgia Medical Center (1,781,695)
8.Redmond Regional Medical Center (1,779,971)
9.Saint Francis (1,604,519)
10.Emory Crawford Long Hospital (1,548,588)
Page 2 of 339 File: 0cbf858e-3c5e-4e16-9b70-d2943c3e0b4e.xls
Tab: Summary
Estimated Hospital Tax Estimated Increase in Estimated Net Gain
UID Hospital Name Paid Reimbursement or (Loss)
HOSP416 CHILDRENS HEALTHCARE EGLESTON (4,903,332) 14,844,855 9,941,523
HOSP710 GRADY MEMORIAL HOSPITAL (4,408,285) 13,213,846 8,805,561
HOSP518 CHILDRENS HEALTHCARE SCOTTISH RITE (4,809,355) 9,708,944 4,899,589
HOSP630 SOUTH FULTON MEDICAL CENTER (1,242,195) 3,843,186 2,600,991
HOSP704 THE MEDICAL CENTER INC. (2,537,074) 4,357,557 1,820,483
HOSP712 MEDICAL CENTER OF CENTRAL GEORGIA (7,584,783) 9,391,965 1,807,182
HOSP703 MEMORIAL HEALTH UNIV. MEDICAL CENTE (5,586,414) 7,195,978 1,609,564
HOSP612 CHILDREN'S HEALTHCARE OF ATLANTA AT HUGHES SPALDING (229,828) 1,668,361 1,438,533
HOSP709 ATLANTA MEDICAL CENTER (4,117,847) 5,376,337 1,258,490
HOSP720 DEKALB MEDICAL CENTER (3,305,478) 4,449,833 1,144,355
HOSP616 PHOEBE PUTNEY MEMORIAL HOSPITAL (5,214,452) 6,298,586 1,084,134
HOSP544 KINDRED HOSPITAL - ATLANTA (369,864) 1,411,555 1,041,691
HOSP547 SOUTHERN REGIONAL MEDICAL CENTER (3,284,124) 4,298,768 1,014,644
HOSP902 DEKALB MEDICAL CENTER HILLANDALE (703,605) 1,258,797 555,192
HOSP606 FLOYD MEDICAL CENTER (2,668,827) 3,150,084 481,257
HOSP406 COFFEE REGIONAL HOSPITAL (737,426) 1,189,054 451,628
HOSP314 IRWIN COUNTY (219,383) 626,379 406,996
HOSP546 COBB HOSPITAL AND MEDICAL CENTER (3,828,678) 4,205,764 377,086
HOSP333 SMITH NORTHVIEW (480,293) 817,534 337,241
HOSP627 SATILLA REGIONAL (1,365,440) 1,661,748 296,308
HOSP626 CANDLER HOSPITAL INC (2,480,047) 2,764,943 284,896
HOSP523 UPSON REGIONAL MEDICAL CENTER (966,175) 1,230,386 264,211
HOSP240 ROCKDALE MEDICAL CENTER (1,384,635) 1,639,077 254,442
HOSP405 CRISP REGIONAL HOSPITAL (466,212) 707,356 241,144
HOSP306 BURKE MEDICAL CENTER (151,591) 383,513 231,922
HOSP524 COLQUITT REGIONAL MEDICAL CENTER (908,306) 1,127,479 219,173
HOSP366 GWINNETT MEDICAL CENTER (4,654,080) 4,843,720 189,640
HOSP623 HUTCHESON MEDICAL CENTER INC (1,309,703) 1,494,590 184,887
HOSP301 APPLING GENERAL HOSPITAL (278,511) 443,047 164,536
HOSP317 MEMORIAL HOSPITAL OF ADEL (155,389) 318,978 163,589
HOSP539 MEMORIAL HOSPITAL (320,153) 476,470 156,317
HOSP538 WAYNE MEMORIAL HOSPITAL (541,361) 684,983 143,622
HOSP501 DORMINY MEDICAL CENTER (299,358) 435,792 136,434
HOSP309 DODGE COUNTY HOSPITAL (297,118) 430,259 133,141
HOSP602 SUMTER REGIONAL HOSPITAL (367,929) 497,046 129,117
HOSP211 COBB MEMORIAL HOSPITAL (216,440) 344,920 128,480
HOSP244 TANNER MEDICAL CENTER-VILLA RICA (647,731) 717,707 69,976
HOSP519 TAYLOR REGIONAL HOSPITAL (355,691) 419,784 64,093
HOSP528 OCONEE REGIONAL MEDICAL CENTER (1,075,909) 1,137,197 61,288
HOSP545 STEPHENS COUNTY (585,179) 644,981 59,802
HOSP408 EMANUEL MEDICAL CENTER (352,769) 410,803 58,034
HOSP540 WASHINGTON COUNTY REG MED CTR (229,660) 272,068 42,408
HOSP310 DONALSONVILLE HOSPITAL (329,963) 372,311 42,348
HOSP351 GRADY GENERAL HOSPITAL (208,178) 230,523 22,345
HOSP417 JEFFERSON HOSPITAL (129,842) 149,955 20,113
HOSP329 FLINT RIVER HOSPITAL (123,361) 141,741 18,380
HOSP322 NEWTON MEDICAL CENTER (978,186) 982,350 4,164
HOSP448 EVANS MEMORIAL HOSPITAL (215,435) 218,353 2,918
HOSP303 BARROW REGIONAL MEDICAL CENTER (357,156) 357,185 29
HOSP375 ANCHOR HOSPITAL - - -
HOSP910 COASTAL BEHAVIORAL HEALTH - - -
HOSP550 COASTAL HARBOR TREATMENT CENTER - - -
HOSP675 COLISEUM PSYCHIATRIC CENTER - - -
HOSP160 HILLSIDE HOSPITAL - - -
HOSP642 INNER HARBOUR HOSPITAL - - -
HOSP909 LANDMARK HOSPITAL OF ATHENS - - -
HOSP241 LAUREL HEIGHTS HOSPITAL - - -
HOSP903 MACON BEHAVIORAL HEALTH SYSTEM - - -
HOSP601 PEACHFORD - - -
HOSP604 RIDGEVIEW INSTITUTE - - -
HOSP912 RIVERWOODS BEHAVIORAL HEALTH - - -
HOSP905 ROOSEVELT WARM SPRINGS LTAC HOSPITAL - - -
HOSP235 ST. SIMONS-BY-THE-SEA - - -
HOSP568 TURNING POINT - - -
HOSP363 WILLINGWAY HOSPITAL - - -
HOSP229 CHATUGE REGIONAL HOSPITAL - - -
HOSP319 JENKINS COUNTY HOSPITAL - - -
HOSP529 LOUIS SMITH MEMORIAL HOSPITAL - - -
HOSP203 CALHOUN MEMORIAL HOSPITAL - - -
HOSP305 BROOKS COUNTY HOSPITAL - - -
HOSP345 MONROE COUNTY HOSPITAL - - -
HOSP239 MOUNTAIN LAKES MEDICAL CENTER - - -
HOSP332 SCREVEN COUNTY HOSPITAL - - -
HOSP352 MORGAN MEMORIAL HOSPITAL - - -
HOSP454 EFFINGHAM HOSPITAL - - -
HOSP356 SYLVAN GROVE HOSPITAL - - -
HOSP526 WILLS HOSPITAL - - -
HOSP227 PUTNAM GENERAL HOSPITAL - - -
HOSP348 MILLER COUNTY HOSPITAL - - -
HOSP315 JASPER MEMORIAL HOSPITAL - - -
HOSP421 MITCHELL COUNTY HOSPITAL - - -
HOSP302 BACON COUNTY HOSPITAL - - -
HOSP420 ST JOSEPH AT EAST GEORGIA - - -
HOSP357 EARLY MEMORIAL HOSPITAL - - -
HOSP426 SOUTHWEST GEORGIA REGIONAL MEDICAL CTR. - - -
HOSP442 JEFF DAVIS - - -
HOSP234 CHARLTON MEMORIAL HOSPITAL - - -
HOSP349 WARM SPRINGS MEDICAL CENTER - - -
HOSP209 CANDLER COUNTY HOSPITAL - - -
HOSP347 CLINCH MEMORIAL HOSPITAL - - -
HOSP323 PEACH REGIONAL MEDICAL CENTER - - -
HOSP452 BLECKLEY MEMORIAL HOSPITAL - - -
HOSP304 HIGGINS GENERAL HOSPITAL - - -
HOSP610 ROOSEVELT WARM SPRINGS REHAB HOSP - - -
HOSP355 LIBERTY REGIONAL MEDICAL CENTER - - -
HOSP343 PHOEBE WORTH MEDICAL CENTER - - -
HOSP427 POLK MEDICAL CENTER - - -
HOSP719 MCG MEDICAL CENTER - - -
HOSP440 BJC MEDICAL CENTER (227,945) 227,639 (306)
HOSP407 ELBERT MEMORIAL HOSPITAL (174,717) 173,735 (982)
HOSP342 WILDWOOD LIFESTYLE CENTER AND HOSPITAL (4,719) - (4,719)
HOSP404 CHESTATEE REGIONAL HOSPITAL (307,960) 302,788 (5,172)
Hosp341 NORTH GEORGIA MEDICAL CENTER (207,708) 200,436 (7,272)
HOSP451 PIEDMONT MOUNTAINSIDE HOSPITAL INC. (521,320) 513,408 (7,912)
HOSP445 BERRIEN COUNTY HOSPITAL (61,348) 44,872 (16,476)
HOSP443 MEADOWS REGIONAL MEDICAL CENTER (898,946) 881,721 (17,225)
HOSP605 WEST GEORGIA MEDICAL CENTER (1,339,794) 1,303,528 (36,266)
HOSP724 DOCTORS HOSPITAL OF COLUMBUS (968,076) 926,994 (41,082)
HOSP460 DOCTORS HOSPITAL OF TATTNALL (193,928) 146,755 (47,173)
HOSP245 HART COUNTY HOSPITAL (189,619) 110,757 (78,862)
HOSP441 CAMDEN MEDICAL CENTER (442,952) 360,304 (82,648)
HOSP629 PIEDMONT NEWNAN HOSPITAL INC. (1,056,626) 970,067 (86,559)
HOSP413 FANNIN REGIONAL HOSPITAL (424,586) 335,144 (89,442)
HOSP320 MURRAY MEDICAL CENTER (247,011) 150,721 (96,290)
HOSP412 GORDON HOSPITAL (806,258) 705,672 (100,586)
HOSP541 NORTHSIDE HOSPITAL-CHEROKEE INC. (1,019,215) 917,637 (101,578)
HOSP510 FAIRVIEW PARK HOSPITAL (1,474,481) 1,370,247 (104,234)
HOSP321 MCDUFFIE REGIONAL MEDICAL CENTER (226,171) 108,185 (117,986)
HOSP340 WALTON REGIONAL MEDICAL CENTER (455,359) 270,587 (184,772)
HOSP730 GEORGIA REHABILITATION HOSPITAL (266,902) 80,958 (185,944)
HOSP731 CENTRAL GEORGIA REHAB HOSPITAL (193,902) - (193,902)
HOSP151 PAULDING MEDICAL CENTER (408,362) 213,394 (194,968)
HOSP248 UNION GENERAL (425,250) 215,303 (209,947)
HOSP552 DECATUR HOSPITAL (225,669) - (225,669)
HOSP450 PERRY HOSPITAL (369,454) 98,452 (271,002)
HOSP542 CARTERSVILLE MEDICAL CENTER (1,934,231) 1,653,018 (281,213)
HOSP414 HABERSHAM COUNTY MEDICAL CENTER (450,159) 159,102 (291,057)
HOSP312 DOUGLAS HOSPITAL (1,144,457) 851,247 (293,210)
HOSP532 HENRY MEDICAL CENTER (1,928,394) 1,628,231 (300,163)
HOSP618 SOUTH GEORGIA MEDICAL CENTER (3,200,997) 2,887,170 (313,827)
HOSP288 WESLEY WOODS CENTER OF EMORY UNIV. (522,313) 193,245 (329,068)
HOSP266 COLISEUM NORTHSIDE HOSPITAL (668,410) 325,177 (343,233)
HOSP603 ATHENS REGIONAL MEDICAL CENTER (4,424,393) 4,079,242 (345,151)
HOSP439 HOUSTON MEDICAL CENTER (2,291,855) 1,936,745 (355,110)
HOSP228 SHEPHERD CENTER (1,211,170) 839,207 (371,963)
HOSP641 EMORY-ADVENTIST HOSPITAL (702,574) 327,912 (374,662)
HOSP415 HAMILTON MEDICAL CENTER (2,354,245) 1,956,883 (397,362)
HOSP636 COLISEUM MEDICAL CENTERS (2,159,409) 1,745,742 (413,667)
HOSP904 SSH - AUGUSTA INC (451,497) - (451,497)
HOSP614 JOHN D. ARCHBOLD HOSPITAL (2,338,051) 1,861,904 (476,147)
HOSP635 PALMYRA MEDICAL CENTERS (1,113,458) 604,863 (508,595)
HOSP620 TRINITY HOSPITAL OF AUGUSTA (802,936) 288,552 (514,384)
HOSP640 KENNESTONE HOSPITAL AT WINDY HILL (647,585) 125,800 (521,785)
HOSP435 TANNER MEDICAL CENTER (2,096,182) 1,501,938 (594,244)
HOSP521 TIFT REGIONAL MEDICAL CENTER (2,698,868) 1,984,213 (714,655)
HOSP901 EMORY JOHNS CREEK HOSPITAL (968,574) 244,099 (724,475)
HOSP125 HUGHSTON ORTHOPEDIC HOSPITAL (909,095) 146,358 (762,737)
HOSP622 SAINT MARY'S (1,998,794) 1,130,406 (868,388)
HOSP507 SOUTHEAST GEORGIA HEALTH SYSTEM (2,493,953) 1,596,833 (897,120)
HOSP621 ST. JOSEPH S HOSPITAL INC (2,479,691) 1,538,550 (941,141)
HOSP508 SPALDING REGIONAL HOSPITAL (2,235,124) 1,170,998 (1,064,126)
HOSP346 NORTHSIDE FORSYTH (1,710,419) 572,722 (1,137,697)
HOSP226 GWINNETT MEDICAL CENTER - DULUTH (1,560,883) 400,670 (1,160,213)
HOSP327 NORTH FULTON REGIONAL HOSPITAL (2,635,071) 1,456,020 (1,179,051)
HOSP726 DOCTORS HOSPITAL OF AUGUSTA (4,126,436) 2,864,819 (1,261,617)
HOSP534 EMORY EASTSIDE MEDICAL CENTER (2,483,816) 1,213,120 (1,270,696)
HOSP318 PIEDMONT FAYETTE HOSPITAL INC. (2,142,245) 841,252 (1,300,993)
HOSP716 UNIVERSITY HEALTH SERVICES INC. (5,076,826) 3,636,046 (1,440,780)
HOSP705 EMORY CRAWFORD LONG HOSPITAL (6,489,017) 4,940,429 (1,548,588)
HOSP619 SAINT FRANCIS (2,202,806) 598,287 (1,604,519)
HOSP637 REDMOND REGIONAL MEDICAL CENTER (3,008,344) 1,228,373 (1,779,971)
HOSP611 NORTHEAST GEORGIA MEDICAL CENTER (6,434,155) 4,652,460 (1,781,695)
HOSP502 EAST GEORGIA REGIONAL MEDICAL CTR (2,740,239) 797,249 (1,942,990)
HOSP714 SAINT JOSEPH'S ATLANTA (4,563,855) 1,409,800 (3,154,055)
HOSP615 KENNESTONE HOSPITAL (7,959,696) 4,142,966 (3,816,730)
HOSP706 EMORY UNIVERSITY HOSPTIAL (8,507,035) 3,797,547 (4,709,488)
HOSP634 NORTHSIDE HOSPITAL (9,251,298) 4,495,160 (4,756,138)
HOSP617 PIEDMONT HOSPITAL INC. (8,152,043) 1,276,874 (6,875,169)
(214,391,628) 202,577,181 (11,814,447)
Gains
Count 49
Total 44,863,897
Losses
Count 70
Total (56,678,344)
Georgia Department of Community Health
Provider Tax Model
DRAFT
B2 - Proposed Tax Program
Exclude Exclude Exclude Exclude Exclude Exclude
(Yes/No) (Yes/No) (Yes/No) (Yes/No) (Yes/No) (Yes/No)
Yes No Yes No Yes No Base Rate 1.45% Base Rate 1.45%
P2 - I/P Estimated
Tax MCO Increased Medicare Estimated Uncomp 3% <= 6% <=
P1- I/P Tax Applicable P1- Tax P2 - Tax Pay ments Reimbursement for Increased Rank Rank Margin AGR < AGR>=9 HTH Combined
Own Type Care, % AGR AGR Rural PPS I/P NPR O/P NPR
Percent 3% % Member Hospital NPR
Fiscal Public/ Excluded I/P Provider Applicable to to Medicaid Tax Paid if Tax Paid Estimated Applicable to Applicable to Tax Paid if Current FFS (Estimated if FFS Rate for MCO Rate Estimated CAH's (101% of MCO Estimated FFS I/P FFS O/P with without Annualized Annualized AGR <6% <9%
Medicare Year Fiscal Non- Public - from Tax Basis- Net Estimated I/P Tax Basis - Net Estimated O/P Tax Basis if I/P Medicaid Tax if Broad- Medicaid if Under Broad-Based Tax Paid as Medicaid as a % of Medicaid Tax Basis if Medicaid Provider Tax if Medicaid if Medicaid Broad-Based Tax Paid as a Medicaid Tax Paid as a Medicaid I/P and O/P No Survey Category of for Category Increased FFS Cost for XVIII Reimburseme Estimated Increased UPL Class Reimbursemen Reimburseme UPL UPL I/P FFS O/P FFS
# Medicaid # UID Hospital Name Begin Year End CAH Trauma Public DSH Psy chiatric Specialty Tax Base I/P O/P I/P Revenue Tax Paid Revenues Tax Paid Broad Based Statistic Based Broad-Based Waiver and Uniform a % of Total Statistic Total Statistic Broad Based Statistic Broad-Based Broad-Based Under Waiver and Uniform % of Total Statistic % of Total Statistic Pay ments Data) Provider of Provider Reimbursement Utilization) nt Tax Paid Reimbursement Net Impact Rank Facility Name Code UPL Class t nt Offset Offset Pay ments Pay ments
114032 HOSP375 ANCHOR HOSPITAL 01/01/08 12/31/08 Psy ch Yes 0.00% 0.00% 20,407,047 - 2,009,549 - 20,407,047 - 295,902 - - 295,902 0.0022530 - 0.0000000 - 2,009,549 - 29,138 - - 29,138 0.0002976 - 0.0000000 - - - 0.00% 0.00% - - - - - - 50 Anchor Hospital PRIV Private - - #REF! 50 - - 30.29% For Profit 5.0% 0 1 0 0 0 $19,353,826 $2,043,730 $21,397,556
110071 000000052A HOSP301 APPLING GENERAL HOSPITAL 09/01/07 08/31/08 Public No 1.45% 1.45% 11,146,681 161,627 8,060,979 116,884 11,146,681 1,326,411 161,627 19,233 19,233 161,627 0.0012306 1,326,411 0.0013136 1,326,411 8,060,979 364,898 116,884 5,291 5,291 116,884 0.0011937 364,898 0.0012795 364,898 1,691,309 2,000,746 12.00% 12.00% 202,957 - 240,090 (278,511) 443,047 164,536 29 Appling General Hospital NSG Non-State Government 159,169 43,788 #REF! 29 1,326,411 364,898 -2.04% Hospital Authority 5.6% 0 1 0 0 1 $15,271,742 $10,697,542 $25,969,284
110074 000000074A HOSP603 ATHENS REGIONAL MEDICAL CENTER 10/01/07 09/30/08 2 Public No 1.40% 1.40% 173,698,792 2,431,783 142,329,293 1,992,610 173,698,792 15,613,091 2,518,632 226,390 218,583 2,518,632 0.0191770 15,613,091 0.0197642 15,613,091 142,329,293 4,042,885 2,063,775 58,622 56,600 2,063,775 0.0210764 4,042,885 0.0218124 4,042,885 19,655,976 14,337,710 12.00% 12.00% 2,358,717 - 1,720,525 (4,424,393) 4,079,242 (345,151) 133 Athens Regional Medical Center NSG Non-State Government 1,873,571 485,146 #REF! 133 ######### 4,042,885 -2.51% Hospital Authority 6.6% 0 0 1 0 0 ########### ########### ###########
110115 000000789A HOSP709 ATLANTA MEDICAL CENTER 01/01/08 12/31/08 2 No 1.40% 1.40% 228,694,504 3,201,723 65,437,397 916,124 228,694,504 29,327,078 3,316,070 425,243 410,579 3,316,070 0.0252488 29,327,078 0.0260219 29,327,078 65,437,397 2,741,953 948,842 39,758 38,387 948,842 0.0096901 2,741,953 0.0100285 2,741,953 32,069,031 12,733,774 12.00% 12.00% 3,848,284 - 1,528,053 (4,117,847) 5,376,337 1,258,490 9 Atlanta Medical Center PRIV Private 3,519,250 329,034 #REF! 9 ######### 2,741,953 -4.54% For Profit 5.6% 0 1 0 0 0 ########### $46,696,449 ###########
111327 000000118A HOSP302 BACON COUNTY HOSPITAL 07/01/07 06/30/08 Yes Public Yes 0.00% 0.00% 31,943,796 - 36,085,094 - 31,943,796 855,939 463,185 12,411 - 463,185 0.0035267 855,939 0.0000000 855,939 36,085,094 384,889 523,234 5,581 - 523,234 0.0053436 384,889 0.0000000 384,889 1,240,828 1,169,493 0.00% 0.00% - - - - - - 50 Bacon County Hospital NSG Non-State Government - - #REF! 50 855,939 384,889 13.43% Hospital Authority 2.5% 1 0 0 0 1 $11,211,918 $9,126,106 $20,338,024
110045 000002098A HOSP303 BARROW REGIONAL MEDICAL CENTER 01/01/08 12/31/08 No 1.45% 1.45% 10,874,130 157,675 13,757,278 199,481 10,874,130 1,455,781 157,675 21,109 21,109 157,675 0.0012005 1,455,781 0.0012815 1,455,781 13,757,278 732,274 199,481 10,618 10,618 199,481 0.0020372 732,274 0.0021837 732,274 2,188,055 788,486 12.00% 12.00% 262,567 - 94,618 (357,156) 357,185 29 49 Barrow Regional Medical Center PRIV Private 174,694 87,873 #REF! 49 1,455,781 732,274 -17.77% For Profit 15.5% 0 0 0 1 0 $10,624,046 $14,011,219 $24,635,265
110112 000000173A HOSP445 BERRIEN COUNTY HOSPITAL 07/01/08 08/04/08 No 1.45% 1.45% 2,107,697 30,562 2,123,147 30,786 2,107,697 215,634 30,562 3,127 3,127 30,562 0.0002327 215,634 0.0002484 215,634 2,123,147 158,299 30,786 2,295 2,295 30,786 0.0003144 158,299 0.0003370 158,299 373,933 - 12.00% 12.00% 44,872 - - (61,348) 44,872 (16,476) 105 Berrien County Hospital PRIV Private 25,876 18,996 #REF! 105 215,634 158,299 -25.45% For Profit 6.1% 0 0 1 0 1 $3,210,172 $1,993,444 $5,203,616
110040 000000151A HOSP440 BJC MEDICAL CENTER 07/01/07 06/30/08 Public No 1.45% 1.45% 6,592,554 95,592 9,127,789 132,353 6,592,554 686,536 95,592 9,955 9,955 95,592 0.0007278 686,536 0.0007769 686,536 9,127,789 324,776 132,353 4,709 4,709 132,353 0.0013517 324,776 0.0014488 324,776 1,011,312 885,686 12.00% 12.00% 121,357 - 106,282 (227,945) 227,639 (306) 99 Bjc Medical Center NSG Non-State Government 82,384 38,973 #REF! 99 686,536 324,776 -37.92% Hospital Authority 5.0% 0 1 0 0 0 $9,447,732 $8,228,229 $17,675,961
111302 000000195A HOSP452 BLECKLEY MEMORIAL HOSPITAL 04/01/07 03/31/08 Yes Public Yes 0.00% 0.00% 2,108,669 - 4,198,688 - 2,108,669 301,607 30,576 4,373 - 30,576 0.0002328 301,607 0.0000000 301,607 4,198,688 195,774 60,881 2,839 - 60,881 0.0006218 195,774 0.0000000 195,774 497,381 234,968 0.00% 0.00% - - - - - - 50 Bleckley Memorial Hospital NSG Non-State Government - - #REF! 50 301,607 195,774 -20.86% Hospital Authority 1.9% 1 0 0 0 1 $2,173,512 $4,271,748 $6,445,260
111332 000000239A HOSP305 BROOKS COUNTY HOSPITAL 10/01/07 09/30/08 Yes Public Yes 0.00% 0.00% 4,208,722 - 2,566,240 - 4,208,722 254,115 61,026 3,685 - 61,026 0.0004647 254,115 0.0000000 254,115 2,566,240 410,700 37,210 5,955 - 37,210 0.0003800 410,700 0.0000000 410,700 664,815 252,175 0.00% 0.00% - - - - - - 50 Brooks County Hospital NSG Non-State Government - - #REF! 50 254,115 410,700 -45.93% Hospital Authority 24.2% 0 0 0 1 1 $5,797,866 $5,144,720 $10,942,586
110113 000000283A HOSP306 BURKE MEDICAL CENTER 06/01/07 05/31/08 Public No 1.45% 1.45% 5,912,054 85,725 4,542,468 65,866 5,912,054 840,573 85,725 12,188 12,188 85,725 0.0006527 840,573 0.0006967 840,573 4,542,468 308,451 65,866 4,473 4,473 65,866 0.0006727 308,451 0.0007210 308,451 1,149,024 2,046,913 12.00% 12.00% 137,883 - 245,630 (151,591) 383,513 231,922 25 Burke Medical Center NSG Non-State Government 100,869 37,014 #REF! 25 840,573 308,451 5.69% Hospital Authority 1.8% 1 0 0 0 1 $6,278,005 $4,225,287 $10,503,292
111309 000000305A HOSP203 CALHOUN MEMORIAL HOSPITAL 04/01/07 03/31/08 Yes Public Yes 0.00% 0.00% 1,326,976 - 3,194,098 - 1,326,976 79,110 19,241 1,147 - 19,241 0.0001465 79,110 0.0000000 79,110 3,194,098 165,891 46,314 2,405 - 46,314 0.0004730 165,891 0.0000000 165,891 245,001 - 0.00% 0.00% - - - - - - 50 Calhoun Memorial Hospital NSG Non-State Government - - #REF! 50 79,110 165,891 -12.97% Hospital Authority 10.8% 0 0 0 1 1 $1,212,908 $1,696,260 $2,909,168
110146 000000811A HOSP441 CAMDEN MEDICAL CENTER 10/01/07 09/30/08 Public No 1.45% 1.45% 9,177,482 133,073 21,370,947 309,879 9,177,482 618,115 133,073 8,963 8,963 133,073 0.0010132 618,115 0.0010815 618,115 21,370,947 501,179 309,879 7,267 7,267 309,879 0.0031647 501,179 0.0033921 501,179 1,119,294 1,883,238 12.00% 12.00% 134,315 - 225,989 (442,952) 360,304 (82,648) 111 Camden Medical Center NSG Non-State Government 74,174 60,141 #REF! 111 618,115 501,179 5.36% Hospital Authority 6.1% 0 0 1 0 0 $9,492,249 $22,117,938 $31,610,187
111334 000000316A HOSP209 CANDLER COUNTY HOSPITAL 01/01/08 12/31/08 Yes Public Yes 0.00% 0.00% 5,132,513 - 7,060,527 - 5,132,513 702,703 74,421 10,189 - 74,421 0.0005666 702,703 0.0000000 702,703 7,060,527 420,598 102,378 6,099 - 102,378 0.0010455 420,598 0.0000000 420,598 1,123,301 570,477 0.00% 0.00% - - - - - - 50 Candler County Hospital NSG Non-State Government - - #REF! 50 702,703 420,598 -1.36% Hospital Authority 1.8% 1 0 0 0 1 $4,782,998 $5,981,535 $10,764,533
110024 000000327A HOSP626 CANDLER HOSPITAL INC 07/01/07 06/30/08 No 1.45% 1.45% 88,850,392 1,288,331 82,187,329 1,191,716 88,850,392 9,360,669 1,288,331 135,730 135,730 1,288,331 0.0098094 9,360,669 0.0104709 9,360,669 82,187,329 2,098,473 1,191,716 30,428 30,428 1,191,716 0.0121705 2,098,473 0.0130453 2,098,473 11,459,142 11,582,048 12.00% 12.00% 1,375,097 - 1,389,846 (2,480,047) 2,764,943 284,896 21 Candler Hospital Inc PRIV Private 1,123,280 251,817 #REF! 21 9,360,669 2,098,473 6.07% Not for Profit 5.0% 0 1 0 0 0 ########### $88,358,705 ###########
110030 000001625A HOSP542 CARTERSVILLE MEDICAL CENTER 10/01/07 09/30/08 No 1.45% 1.45% 63,564,138 921,680 69,831,099 1,012,551 63,564,138 3,700,562 921,680 53,658 53,658 921,680 0.0070177 3,700,562 0.0074909 3,700,562 69,831,099 2,367,645 1,012,551 34,331 34,331 1,012,551 0.0103407 2,367,645 0.0110841 2,367,645 6,068,207 7,706,942 12.00% 12.00% 728,185 - 924,833 (1,934,231) 1,653,018 (281,213) 126 Cartersville Medical Center PRIV Private 444,068 284,117 #REF! 126 3,700,562 2,367,645 21.93% For Profit 6.2% 0 0 1 0 0 $52,435,479 $61,675,341 ###########
113029 HOSP731 CENTRAL GEORGIA REHAB HOSPITAL 10/01/07 09/30/08 Public Specialty No 1.45% 1.45% 11,145,492 161,610 2,227,002 32,292 11,145,492 - 161,610 - - 161,610 0.0012305 - 0.0013135 - 2,227,002 - 32,292 - - 32,292 0.0003298 - 0.0003535 - - - 12.00% 12.00% - - - (193,902) - (193,902) 121 Central Georgia Rehab Hospital NSG Non-State Government - - #REF! 121 - - 12.10% Hospital Authority 4.8% 0 1 0 0 0 $12,076,614 $2,317,631 $14,394,245
111315 000000338A HOSP234 CHARLTON MEMORIAL HOSPITAL 07/01/07 06/30/08 Yes Public Yes 0.00% 0.00% 1,017,308 - 4,977,950 - 1,017,308 67,402 14,751 977 - 14,751 0.0001123 67,402 0.0000000 67,402 4,977,950 194,130 72,180 2,815 - 72,180 0.0007371 194,130 0.0000000 194,130 261,532 215,358 0.00% 0.00% - - - - - - 50 Charlton Memorial Hospital NSG Non-State Government - - #REF! 50 67,402 194,130 -27.98% Hospital Authority 5.5% 0 1 0 0 1 $1,251,270 $5,930,949 $7,182,219
111324 000001933A HOSP229 CHATUGE REGIONAL HOSPITAL 05/01/07 04/30/08 Yes Public Yes 0.00% 0.00% 1,179,750 - 7,259,979 - 1,179,750 64,653 17,106 937 - 17,106 0.0001302 64,653 0.0000000 64,653 7,259,979 140,636 105,270 2,039 - 105,270 0.0010751 140,636 0.0000000 140,636 205,289 209,925 0.00% 0.00% - - - - - - 50 Chatuge Regional Hospital NSG Non-State Government - - #REF! 50 64,653 140,636 14.03% Hospital Authority 0.7% 1 0 0 0 1 $1,973,865 $2,861,851 $4,835,716
110187 000081232A HOSP404 CHESTATEE REGIONAL HOSPITAL 07/01/07 06/30/08 No 1.45% 1.45% 9,438,545 136,859 11,800,077 171,101 9,438,545 634,178 136,859 9,196 9,196 136,859 0.0010421 634,178 0.0011123 634,178 11,800,077 403,135 171,101 5,845 5,845 171,101 0.0017474 403,135 0.0018730 403,135 1,037,313 1,485,918 12.00% 12.00% 124,478 - 178,310 (307,960) 302,788 (5,172) 102 Chestatee Regional Hospital PRIV Private 76,102 48,376 #REF! 102 634,178 403,135 4.41% For Profit 3.9% 0 1 0 0 1 $12,218,274 $15,471,665 $27,689,939
113300 000000943A HOSP416 CHILDRENS HEALTHCARE EGLESTON 01/01/08 12/31/08 2 No 1.40% 1.40% 244,783,556 3,426,970 105,454,435 1,476,362 244,783,556 52,722,994 3,549,362 764,483 738,122 3,549,362 0.0270251 52,722,994 0.0278526 52,722,994 105,454,435 9,582,492 1,529,089 138,946 134,155 1,529,089 0.0156159 9,582,492 0.0161612 9,582,492 62,305,486 61,401,643 12.00% 12.00% 7,476,658 - 7,368,197 (4,903,332) 14,844,855 9,941,523 1 Childrens Healthcare Egleston PRIV Private 6,326,759 1,149,899 #REF! 1 ######### 9,582,492 13.10% Not for Profit 5.5% 0 1 0 0 0 ########### ########### ###########
000679808A HOSP612 CHILDREN'S HEALTHCARE OF ATLANTA AT HUGHES SPALDING No 1.45% 1.45% 4,260,059 61,771 11,590,166 168,057 4,260,059 1,740,540 61,771 25,238 25,238 61,771 0.0004703 1,740,540 0.0005020 1,740,540 11,590,166 2,825,698 168,057 40,973 40,973 168,057 0.0017163 2,825,698 0.0018397 2,825,698 4,566,238 9,336,770 12.00% 12.00% 547,949 - 1,120,412 (229,828) 1,668,361 1,438,533 8 PRIV
Children'S Healthcare Of Atlanta At Hughes Spalding Private 208,865 339,084 #REF! 8 1,740,540 2,825,698 Missing Missing 8.8% 0 0 1 0 0 #N/A #N/A #N/A
113301 000001636A HOSP518 CHILDRENS HEALTHCARE SCOTTISH RITE 01/01/08 12/31/08 2 No 1.40% 1.40% 155,914,890 2,182,808 187,610,518 2,626,547 155,914,890 32,866,432 2,260,766 476,563 460,130 2,260,766 0.0172136 32,866,432 0.0177407 32,866,432 187,610,518 8,383,270 2,720,353 121,557 117,366 2,720,353 0.0277817 8,383,270 0.0287519 8,383,270 41,249,702 39,658,166 12.00% 12.00% 4,949,964 - 4,758,980 (4,809,355) 9,708,944 4,899,589 3 Childrens Healthcare Scottish Rite PRIV Private 3,943,972 1,005,992 #REF! 3 ######### 8,383,270 15.05% Not for Profit 5.1% 0 1 0 0 0 ########### ########### ###########
111308 000000415A HOSP347 CLINCH MEMORIAL HOSPITAL 07/01/07 06/30/08 Yes Public Yes 0.00% 0.00% 2,227,293 - 4,019,577 - 2,227,293 230,017 32,296 3,335 - 32,296 0.0002459 230,017 0.0000000 230,017 4,019,577 271,373 58,284 3,935 - 58,284 0.0005952 271,373 0.0000000 271,373 501,390 280,911 0.00% 0.00% - - - - - - 50 Clinch Memorial Hospital NSG Non-State Government - - #REF! 50 230,017 271,373 -5.36% Hospital Authority 7.2% 0 0 1 0 1 $2,395,057 $4,738,384 $7,133,441
HOSP 910 COASTAL BEHAVIORAL HEALTH 1.45% 1.45% - - - - - - - - - - 0.0000000 - - - - - - - - - 0.0000000 - - - 12.00% 12.00% - - - - - - 50 Coastal Behavioral Health PRIV Private - - #REF! 50 - - Missing Missing 8.8% 0 0 1 0 0 #N/A #N/A #N/A
HOSP 550 COASTAL HARBOR TREATMENT CENTER 1.45% 1.45% 15,435,963 246,026 15,435,963 - 223,821 - - 223,821 0.0017042 - 0.0000000 - 246,026 - 3,567 - - 3,567 0.0000364 - 0.0000000 - - - 12.00% 12.00% - - - - - - 50 Coastal Harbor Treatment Center PRIV Private - - #REF! 50 - - Missing Missing 8.8% 0 0 1 0 0 #N/A #N/A #N/A
110143 000000426A HOSP546 COBB HOSPITAL AND MEDICAL CENTER 07/01/07 06/30/08 Public No 1.45% 1.45% 159,785,438 2,316,889 104,261,331 1,511,789 159,785,438 16,120,777 2,316,889 233,751 233,751 2,316,889 0.0176410 16,120,777 0.0188304 16,120,777 104,261,331 2,557,903 1,511,789 37,090 37,090 1,511,789 0.0154392 2,557,903 0.0165491 2,557,903 18,678,680 16,369,349 12.00% 12.00% 2,241,442 - 1,964,322 (3,828,678) 4,205,764 377,086 18 Cobb Hospital And Medical Center NSG Non-State Government 1,934,494 306,948 #REF! 18 ######### 2,557,903 0.92% Hospital Authority 6.8% 0 0 1 0 0 ########### ########### ###########
110027 000000437A HOSP211 COBB MEMORIAL HOSPITAL 01/01/08 12/31/08 No 1.45% 1.45% 7,170,577 103,973 7,756,320 112,467 7,170,577 944,904 103,973 13,701 13,701 103,973 0.0007917 944,904 0.0008450 944,904 7,756,320 317,386 112,467 4,602 4,602 112,467 0.0011486 317,386 0.0012311 317,386 1,262,290 1,612,044 12.00% 12.00% 151,475 - 193,445 (216,440) 344,920 128,480 36 Cobb Memorial Hospital PRIV Private 113,389 38,086 #REF! 36 944,904 317,386 -5.34% Not for Profit 12.1% 0 0 0 1 1 $11,468,256 $7,124,084 $18,592,340
110089 000000448A HOSP406 COFFEE REGIONAL HOSPITAL 01/01/08 12/31/08 Public No 1.45% 1.45% 20,590,554 298,563 30,266,423 438,863 20,590,554 2,964,349 298,563 42,983 42,983 298,563 0.0022733 2,964,349 0.0024266 2,964,349 30,266,423 1,409,266 438,863 20,434 20,434 438,863 0.0044819 1,409,266 0.0048041 1,409,266 4,373,615 5,535,169 12.00% 12.00% 524,834 - 664,220 (737,426) 1,189,054 451,628 16 Coffee Regional Hospital NSG Non-State Government 355,722 169,112 #REF! 16 2,964,349 1,409,266 -50.49% Hospital Authority 8.0% 0 0 1 0 0 $30,440,706 $39,686,276 $70,126,982
110164 000000459A HOSP636 COLISEUM MEDICAL CENTERS 07/01/07 06/30/08 No 1.45% 1.45% 103,545,973 1,501,417 45,378,787 657,992 103,545,973 6,821,498 1,501,417 98,912 98,912 1,501,417 0.0114319 6,821,498 0.0122027 6,821,498 45,378,787 904,801 657,992 13,120 13,120 657,992 0.0067198 904,801 0.0072028 904,801 7,726,299 6,821,550 12.00% 12.00% 927,156 - 818,586 (2,159,409) 1,745,742 (413,667) 138 Coliseum Medical Centers PRIV Private 818,580 108,576 #REF! 138 6,821,498 904,801 6.94% For Profit 2.3% 1 0 0 0 0 $96,324,766 $40,518,362 ###########
110201 000295358A HOSP266 COLISEUM NORTHSIDE HOSPITAL 07/01/07 06/30/08 No 1.45% 1.45% 29,868,334 433,091 16,228,880 235,319 29,868,334 2,311,935 433,091 33,523 33,523 433,091 0.0032976 2,311,935 0.0035199 2,311,935 16,228,880 397,872 235,319 5,769 5,769 235,319 0.0024032 397,872 0.0025760 397,872 2,709,807 - 12.00% 12.00% 325,177 - - (668,410) 325,177 (343,233) 132 Coliseum Northside Hospital PRIV Private 277,432 47,745 #REF! 132 2,311,935 397,872 -0.83% For Profit 1.6% 1 0 0 0 0 $29,067,461 $14,704,137 $43,771,598
114015 HOSP675 COLISEUM PSYCHIATRIC CENTER 07/01/07 06/30/08 Psy ch Yes 0.00% 0.00% 6,736,009 - 430,833 - 6,736,009 - 97,672 - - 97,672 0.0007437 - 0.0000000 - 430,833 - 6,247 - - 6,247 0.0000638 - 0.0000000 - - - 0.00% 0.00% - - - - - - 50 Coliseum Psy chiatric Center PRIV Private - - #REF! 50 - - -0.50% For Profit 1.2% 1 0 0 0 0 $6,544,552 $393,879 $6,938,431
110105 000002021A HOSP524 COLQUITT REGIONAL MEDICAL CENTER 10/01/07 09/30/08 Public No 1.45% 1.45% 25,509,576 369,889 37,132,240 538,417 25,509,576 3,208,812 369,889 46,528 46,528 369,889 0.0028164 3,208,812 0.0030063 3,208,812 37,132,240 1,300,130 538,417 18,852 18,852 538,417 0.0054986 1,300,130 0.0058939 1,300,130 4,508,942 4,886,718 12.00% 12.00% 541,073 - 586,406 (908,306) 1,127,479 219,173 26 Colquitt Regional Medical Center NSG Non-State Government 385,057 156,016 #REF! 26 3,208,812 1,300,130 5.89% Hospital Authority 4.9% 0 1 0 0 0 $31,727,697 $46,552,240 $78,279,937
110104 000000514A HOSP405 CRISP REGIONAL HOSPITAL 07/01/07 06/30/08 Public No 1.45% 1.45% 13,992,443 202,890 18,160,155 263,322 13,992,443 2,252,897 202,890 32,667 32,667 202,890 0.0015448 2,252,897 0.0016490 2,252,897 18,160,155 988,285 263,322 14,330 14,330 263,322 0.0026892 988,285 0.0028825 988,285 3,241,182 2,653,447 12.00% 12.00% 388,942 - 318,414 (466,212) 707,356 241,144 24 Crisp Regional Hospital NSG Non-State Government 270,348 118,594 #REF! 24 2,252,897 988,285 -3.66% Hospital Authority 14.3% 0 0 0 1 1 $19,426,374 $23,911,636 $43,338,010
112006 HOSP552 DECATUR HOSPITAL 07/01/07 06/30/08 Specialty No 1.45% 1.45% 9,737,989 141,201 5,825,373 84,468 9,737,989 - 141,201 - - 141,201 0.0010751 - 0.0011476 - 5,825,373 - 84,468 - - 84,468 0.0008626 - 0.0009246 - - - 12.00% 12.00% - - - (225,669) - (225,669) 124 Decatur Hospital PRIV Private - - #REF! 124 - - -33.73% Not for Profit 0.2% 1 0 0 0 0 $10,368,023 $6,245,985 $16,614,008
110076 000000536A HOSP720 DEKALB MEDICAL CENTER 07/01/07 06/30/08 Public No 1.45% 1.45% 138,179,607 2,003,604 89,784,402 1,301,874 138,179,607 17,636,947 2,003,604 255,736 255,736 2,003,604 0.0152556 17,636,947 0.0162842 17,636,947 89,784,402 3,065,581 1,301,874 44,451 44,451 1,301,874 0.0132955 3,065,581 0.0142512 3,065,581 20,702,528 16,379,415 12.00% 12.00% 2,484,303 - 1,965,530 (3,305,478) 4,449,833 1,144,355 10 Dekalb Medical Center NSG Non-State Government 2,116,433 367,870 #REF! 10 ######### 3,065,581 -19.52% Not for Profit 3.6% 0 1 0 0 0 ########### ########### ###########
110226 000000536U HOSP902 DEKALB MEDICAL CENTER HILLANDALE 07/01/07 06/30/08 Public No 1.45% 1.45% 22,385,722 324,593 26,138,777 379,012 22,385,722 2,685,273 324,593 38,936 38,936 324,593 0.0024715 2,685,273 0.0026381 2,685,273 26,138,777 1,389,540 379,012 20,148 20,148 379,012 0.0038707 1,389,540 0.0041489 1,389,540 4,074,813 6,415,156 12.00% 12.00% 488,978 - 769,819 (703,605) 1,258,797 555,192 14 Dekalb Medical Center Hillandale NSG Non-State Government 322,233 166,745 #REF! 14 2,685,273 1,389,540 -64.84% Not for Profit 4.9% 0 1 0 0 0 $32,126,970 $35,912,582 $68,039,552
110177 000000558A HOSP726 DOCTORS HOSPITAL OF AUGUSTA 04/01/07 03/31/08 No 1.45% 1.45% 213,948,851 3,102,258 70,632,974 1,024,178 213,948,851 12,201,273 3,102,258 176,918 176,918 3,102,258 0.0236208 12,201,273 0.0252135 12,201,273 70,632,974 1,459,468 1,024,178 21,162 21,162 1,024,178 0.0104595 1,459,468 0.0112113 1,459,468 13,660,741 10,212,754 12.00% 12.00% 1,639,289 - 1,225,530 (4,126,436) 2,864,819 (1,261,617) 155 Doctors Hospital Of Augusta PRIV Private 1,464,153 175,136 #REF! 155 ######### 1,459,468 25.25% For Profit 4.8% 0 1 0 0 0 ########### $55,128,320 ###########
110186 000148233A HOSP724 DOCTORS HOSPITAL OF COLUMBUS 07/01/08 12/02/08 Public No 1.45% 1.45% 33,908,499 491,673 32,855,369 476,403 33,908,499 2,157,158 491,673 31,279 31,279 491,673 0.0037436 2,157,158 0.0039961 2,157,158 32,855,369 994,679 476,403 14,423 14,423 476,403 0.0048653 994,679 0.0052150 994,679 3,151,837 4,573,120 12.00% 12.00% 378,220 - 548,774 (968,076) 926,994 (41,082) 108 Doctors Hospital Of Columbus NSG Non-State Government 258,859 119,361 #REF! 108 2,157,158 994,679 -0.77% For Profit 1.3% 1 0 0 0 0 $33,751,882 $34,812,301 $68,564,183
111323 000001878A HOSP460 DOCTORS HOSPITAL OF TATTNALL No 1.45% 1.45% 3,480,430 50,466 9,893,943 143,462 3,480,430 245,084 50,466 3,554 3,554 50,466 0.0003843 245,084 0.0004102 245,084 9,893,943 456,789 143,462 6,623 6,623 143,462 0.0014651 456,789 0.0015704 456,789 701,873 521,085 12.00% 12.00% 84,225 - 62,530 (193,928) 146,755 (47,173) 109 Doctors Hospital Of Tattnall PRIV Private 29,410 54,815 #REF! 109 245,084 456,789 -70.29% For Profit 15.4% 0 0 0 1 1 $3,624,962 $6,234,414 $9,859,376
110092 000000591A HOSP309 DODGE COUNTY HOSPITAL Public No 1.45% 1.45% 7,804,091 113,159 12,686,825 183,959 7,804,091 1,198,835 113,159 17,383 17,383 113,159 0.0008616 1,198,835 0.0009197 1,198,835 12,686,825 647,208 183,959 9,385 9,385 183,959 0.0018787 647,208 0.0020137 647,208 1,846,043 1,739,449 12.00% 12.00% 221,525 - 208,734 (297,118) 430,259 133,141 34 Dodge County Hospital NSG Non-State Government 143,860 77,665 #REF! 34 1,198,835 647,208 -12.31% Not for Profit 3.4% 0 1 0 0 1 $9,892,414 $13,322,193 $23,214,607
110194 000206181A HOSP310 DONALSONVILLE HOSPITAL 07/01/07 06/30/08 No 1.45% 1.45% 9,319,012 135,126 13,437,067 194,837 9,319,012 1,032,812 135,126 14,976 14,976 135,126 0.0010289 1,032,812 0.0010982 1,032,812 13,437,067 328,518 194,837 4,764 4,764 194,837 0.0019898 328,518 0.0021328 328,518 1,361,330 1,741,257 12.00% 12.00% 163,360 - 208,951 (329,963) 372,311 42,348 43 Donalsonville Hospital PRIV Private 123,938 39,422 #REF! 43 1,032,812 328,518 5.27% Not for Profit 9.0% 0 0 0 1 1 $6,991,445 $13,714,799 $20,706,244
110073 000000613A HOSP501 DORMINY MEDICAL CENTER 08/01/07 07/31/08 Public No 1.45% 1.45% 10,279,916 149,059 10,365,482 150,299 10,279,916 1,090,711 149,059 15,815 15,815 149,059 0.0011349 1,090,711 0.0012115 1,090,711 10,365,482 520,773 150,299 7,551 7,551 150,299 0.0015349 520,773 0.0016453 520,773 1,611,484 2,020,117 12.00% 12.00% 193,378 - 242,414 (299,358) 435,792 136,434 33 Dorminy Medical Center NSG Non-State Government 130,885 62,493 #REF! 33 1,090,711 520,773 2.71% Hospital Authority 10.6% 0 0 0 1 1 $12,627,819 $13,825,605 $26,453,424
110184 000000624A HOSP312 DOUGLAS HOSPITAL 07/01/07 06/30/08 Public No 1.45% 1.45% 33,978,021 492,681 44,950,039 651,776 33,978,021 3,347,161 492,681 48,534 48,534 492,681 0.0037513 3,347,161 0.0040042 3,347,161 44,950,039 1,060,355 651,776 15,375 15,375 651,776 0.0066563 1,060,355 0.0071348 1,060,355 4,407,516 2,686,212 12.00% 12.00% 528,902 - 322,345 (1,144,457) 851,247 (293,210) 128 Douglas Hospital NSG Non-State Government 401,659 127,243 #REF! 128 3,347,161 1,060,355 7.38% Hospital Authority 6.3% 0 0 1 0 0 $42,140,203 $54,437,102 $96,577,305
111314 000000635A HOSP357 EARLY MEMORIAL HOSPITAL 10/01/07 09/30/08 Yes Public Yes 0.00% 0.00% 2,296,246 - 2,948,657 - 2,296,246 181,998 33,296 2,639 - 33,296 0.0002535 181,998 0.0000000 181,998 2,948,657 348,284 42,756 5,050 - 42,756 0.0004366 348,284 0.0000000 348,284 530,282 339,798 0.00% 0.00% - - - - - - 50 Early Memorial Hospital NSG Non-State Government - - #REF! 50 181,998 348,284 -32.33% Not for Profit 6.7% 0 0 1 0 1 $5,887,375 $5,178,831 $11,066,206
110075 000000272A HOSP502 EAST GEORGIA REGIONAL MEDICAL CTR 10/01/07 09/30/08 No 1.45% 1.45% 92,975,931 1,348,151 96,006,084 1,392,088 92,975,931 3,914,083 1,348,151 56,754 56,754 1,348,151 0.0102649 3,914,083 0.0109570 3,914,083 96,006,084 1,965,767 1,392,088 28,504 28,504 1,392,088 0.0142168 1,965,767 0.0152387 1,965,767 5,879,850 763,889 12.00% 12.00% 705,582 - 91,667 (2,740,239) 797,249 (1,942,990) 163 East Georgia Regional Medical Ctr PRIV Private 469,690 235,892 #REF! 163 3,914,083 1,965,767 50.31% For Profit 6.1% 0 0 1 0 0 $59,962,884 $66,926,591 ###########
111306 000000657A HOSP454 EFFINGHAM HOSPITAL 07/01/07 06/30/08 Yes Public Yes 0.00% 0.00% 1,330,559 - 8,731,390 - 1,330,559 10,845 19,293 157 - 19,293 0.0001469 10,845 0.0000000 10,845 8,731,390 319,509 126,605 4,633 - 126,605 0.0012930 319,509 0.0000000 319,509 330,354 400,936 0.00% 0.00% - - - - - - 50 Effingham Hospital NSG Non-State Government - - #REF! 50 10,845 319,509 -63.94% Hospital Authority 1.8% 1 0 0 0 0 $3,426,417 $6,326,690 $9,753,107
110026 000000668A HOSP407 ELBERT MEMORIAL HOSPITAL 07/01/07 06/30/08 Public No 1.45% 1.45% 4,773,451 69,215 7,275,985 105,502 4,773,451 432,497 69,215 6,271 6,271 69,215 0.0005270 432,497 0.0005625 432,497 7,275,985 222,980 105,502 3,233 3,233 105,502 0.0010774 222,980 0.0011549 222,980 655,477 792,313 12.00% 12.00% 78,657 - 95,078 (174,717) 173,735 (982) 100 Elbert Memorial Hospital NSG Non-State Government 51,899 26,758 #REF! 100 432,497 222,980 -8.27% Hospital Authority 4.7% 0 1 0 0 1 $4,938,343 $7,200,875 $12,139,218
110109 000000701A HOSP408 EMANUEL MEDICAL CENTER 07/01/07 06/30/08 Public No 1.45% 1.45% 11,886,369 172,352 12,442,573 180,417 11,886,369 1,503,736 172,352 21,804 21,804 172,352 0.0013123 1,503,736 0.0014008 1,503,736 12,442,573 588,804 180,417 8,538 8,538 180,417 0.0018425 588,804 0.0019750 588,804 2,092,540 1,330,817 12.00% 12.00% 251,105 - 159,698 (352,769) 410,803 58,034 41 Emanuel Medical Center NSG Non-State Government 180,448 70,657 #REF! 41 1,503,736 588,804 -32.11% Hospital Authority 10.1% 0 0 0 1 1 $12,956,776 $12,334,145 $25,290,921
110078 000000503A HOSP705 EMORY CRAWFORD LONG HOSPITAL 09/01/07 08/31/08 No 1.45% 1.45% 277,687,902 4,026,475 169,830,484 2,462,542 277,687,902 19,711,241 4,026,475 285,813 285,813 4,026,475 0.0306579 19,711,241 0.0327250 19,711,241 169,830,484 3,168,685 2,462,542 45,946 45,946 2,462,542 0.0251488 3,168,685 0.0269566 3,168,685 22,879,926 18,290,317 12.00% 12.00% 2,745,591 - 2,194,838 (6,489,017) 4,940,429 (1,548,588) 159 Emory Crawford Long Hospital PRIV Private 2,365,349 380,242 #REF! 159 ######### 3,168,685 5.68% Not for Profit 4.2% 0 1 0 0 0 ########### ########### ###########
110192 000190088A HOSP534 EMORY EASTSIDE MEDICAL CENTER 09/01/07 08/31/08 No 1.45% 1.45% 100,320,807 1,454,652 70,976,828 1,029,164 100,320,807 3,374,410 1,454,652 48,929 48,929 1,454,652 0.0110758 3,374,410 0.0118226 3,374,410 70,976,828 968,765 1,029,164 14,047 14,047 1,029,164 0.0105104 968,765 0.0112659 968,765 4,343,175 5,766,158 12.00% 12.00% 521,181 - 691,939 (2,483,816) 1,213,120 (1,270,696) 156 Emory Eastside Medical Center PRIV Private 404,929 116,252 #REF! 156 3,374,410 968,765 13.94% For Profit 3.0% 0 1 0 0 0 $88,300,543 $65,415,353 ###########
110230 344886600A HOSP901 EMORY JOHNS CREEK HOSPITAL 01/01/08 12/31/08 No 1.45% 1.45% 35,999,066 521,986 30,799,191 446,588 35,999,066 813,573 521,986 11,797 11,797 521,986 0.0039744 813,573 0.0042424 813,573 30,799,191 255,437 446,588 3,704 3,704 446,588 0.0045608 255,437 0.0048887 255,437 1,069,010 965,154 12.00% 12.00% 128,281 - 115,818 (968,574) 244,099 (724,475) 146 Emory Johns Creek Hospital PRIV Private 97,629 30,652 #REF! 146 813,573 255,437 -27.73% For Profit 3.1% 0 1 0 0 0 $34,715,617 $29,545,246 $64,260,863
110010 000000712A HOSP706 EMORY UNIVERSITY HOSPTIAL 09/01/07 08/31/08 No 1.45% 1.45% 472,703,665 6,854,203 113,988,427 1,652,832 472,703,665 25,185,758 6,854,203 365,193 365,193 6,854,203 0.0521884 25,185,758 0.0557073 25,185,758 113,988,427 1,425,931 1,652,832 20,676 20,676 1,652,832 0.0168796 1,425,931 0.0180930 1,425,931 26,611,689 5,034,530 12.00% 12.00% 3,193,403 - 604,144 (8,507,035) 3,797,547 (4,709,488) 166 Emory University Hosptial PRIV Private 3,022,291 171,112 #REF! 166 ######### 1,425,931 8.38% Not for Profit 2.9% 1 0 0 0 0 ########### $95,193,996 ###########
110183 000001702A HOSP641 EMORY-ADVENTIST HOSPITAL 01/01/08 12/31/08 No 1.45% 1.45% 14,205,661 205,982 34,247,728 496,592 14,205,661 1,108,007 205,982 16,066 16,066 205,982 0.0015684 1,108,007 0.0016741 1,108,007 34,247,728 489,746 496,592 7,101 7,101 496,592 0.0050715 489,746 0.0054360 489,746 1,597,753 1,134,848 12.00% 12.00% 191,730 - 136,182 (702,574) 327,912 (374,662) 136 Emory -Adventist Hospital PRIV Private 132,961 58,769 #REF! 136 1,108,007 489,746 -52.92% Not for Profit 13.2% 0 0 0 1 0 $14,466,953 $33,384,169 $47,851,122
110142 000000734A HOSP448 EVANS MEMORIAL HOSPITAL 10/01/07 09/30/08 Public No 1.45% 1.45% 5,164,125 74,880 9,693,414 140,555 5,164,125 818,197 74,880 11,864 11,864 74,880 0.0005701 818,197 0.0006086 818,197 9,693,414 276,831 140,555 4,014 4,014 140,555 0.0014354 276,831 0.0015386 276,831 1,095,028 724,580 12.00% 12.00% 131,403 - 86,950 (215,435) 218,353 2,918 48 Evans Memorial Hospital NSG Non-State Government 98,183 33,220 #REF! 48 818,197 276,831 -31.82% Not for Profit 2.6% 1 0 0 0 1 $7,432,261 $8,235,401 $15,667,662
110125 000001141A HOSP510 FAIRVIEW PARK HOSPITAL No 1.45% 1.45% 57,396,594 832,251 44,291,731 642,230 57,396,594 3,037,919 832,251 44,050 44,050 832,251 0.0063368 3,037,919 0.0067641 3,037,919 44,291,731 1,206,240 642,230 17,490 17,490 642,230 0.0065588 1,206,240 0.0070303 1,206,240 4,244,159 7,174,564 12.00% 12.00% 509,299 - 860,948 (1,474,481) 1,370,247 (104,234) 117 Fairview Park Hospital PRIV Private 364,550 144,749 #REF! 117 3,037,919 1,206,240 32.87% For Profit 5.5% 0 1 0 0 0 $47,112,713 $38,999,260 $86,111,973
110189 000134406A HOSP413 FANNIN REGIONAL HOSPITAL 01/01/08 12/31/08 No 1.45% 1.45% 14,092,871 204,347 15,188,898 220,239 14,092,871 1,171,048 204,347 16,980 16,980 204,347 0.0015559 1,171,048 0.0016608 1,171,048 15,188,898 296,601 220,239 4,301 4,301 220,239 0.0022492 296,601 0.0024109 296,601 1,467,649 1,325,215 12.00% 12.00% 176,118 - 159,026 (424,586) 335,144 (89,442) 113 Fannin Regional Hospital PRIV Private 140,526 35,592 #REF! 113 1,171,048 296,601 -9.74% For Profit 6.3% 0 0 1 0 1 $14,490,313 $14,363,439 $28,853,752
110190 000149487A HOSP329 FLINT RIVER HOSPITAL 01/01/08 12/31/08 No 1.45% 1.45% 3,055,944 44,311 5,451,756 79,050 3,055,944 771,935 44,311 11,193 11,193 44,311 0.0003374 771,935 0.0003601 771,935 5,451,756 409,244 79,050 5,934 5,934 79,050 0.0008073 409,244 0.0008653 409,244 1,181,179 - 12.00% 12.00% 141,741 - - (123,361) 141,741 18,380 46 Flint River Hospital PRIV Private 92,632 49,109 #REF! 46 771,935 409,244 -15.46% For Profit 4.2% 0 1 0 0 1 $4,674,154 $8,372,262 $13,046,416
110054 000000756A HOSP606 FLOYD MEDICAL CENTER 07/01/07 06/30/08 2 Public No 1.40% 1.40% 105,732,072 1,480,249 84,898,435 1,188,578 105,732,072 9,886,127 1,533,115 143,349 138,406 1,533,115 0.0116732 9,886,127 0.0120307 9,886,127 84,898,435 3,367,032 1,231,027 48,822 47,138 1,231,027 0.0125719 3,367,032 0.0130110 3,367,032 13,253,159 12,997,541 12.00% 12.00% 1,590,379 - 1,559,705 (2,668,827) 3,150,084 481,257 15 Floy d Medical Center NSG Non-State Government 1,186,335 404,044 #REF! 15 9,886,127 3,367,032 3.99% Not for Profit 13.6% 0 0 0 1 0 $93,527,698 $84,002,740 ###########
113026 000368387A HOSP730 GEORGIA REHABILITATION HOSPITAL 07/01/07 06/30/08 Specialty No 1.45% 1.45% 14,195,334 205,832 4,211,697 61,070 14,195,334 365,301 205,832 5,297 5,297 205,832 0.0015672 365,301 0.0016729 365,301 4,211,697 29,164 61,070 423 423 61,070 0.0006237 29,164 0.0006685 29,164 394,465 280,180 12.00% 12.00% 47,336 - 33,622 (266,902) 80,958 (185,944) 120 Georgia Rehabilitation Hospital PRIV Private 43,836 3,500 #REF! 120 365,301 29,164 2.71% Not for Profit 3.7% 0 1 0 0 0 $14,241,209 $4,612,163 $18,853,372
110023 000000833A HOSP412 GORDON HOSPITAL 01/01/08 12/31/08 No 1.45% 1.45% 28,392,125 411,686 27,211,861 394,572 28,392,125 1,826,494 411,686 26,484 26,484 411,686 0.0031346 1,826,494 0.0033460 1,826,494 27,211,861 1,031,834 394,572 14,962 14,962 394,572 0.0040296 1,031,834 0.0043192 1,031,834 2,858,328 3,022,272 12.00% 12.00% 342,999 - 362,673 (806,258) 705,672 (100,586) 115 Gordon Hospital PRIV Private 219,179 123,820 #REF! 115 1,826,494 1,031,834 15.33% Not for Profit 13.7% 0 0 0 1 0 $29,740,458 $32,539,146 $62,279,604
110121 000000844A HOSP351 GRADY GENERAL HOSPITAL 10/01/07 09/30/08 Public No 1.45% 1.45% 7,698,333 111,626 6,658,730 96,552 7,698,333 576,955 111,626 8,366 8,366 111,626 0.0008499 576,955 0.0009072 576,955 6,658,730 307,664 96,552 4,461 4,461 96,552 0.0009860 307,664 0.0010569 307,664 884,619 1,036,405 12.00% 12.00% 106,154 - 124,369 (208,178) 230,523 22,345 44 Grady General Hospital NSG Non-State Government 69,234 36,920 #REF! 44 576,955 307,664 -18.70% Hospital Author
Calculation of Tax Paid
Tax Rate From Tax Base: Net Estimated
UID ASC Name Tax Table Revenue Tax Paid
ASC001 The Surgery Center Of Rome 0.00% 8,056,729 -
ASC002 Gainesville Surgery Center 0.00% 2,671,715 -
ASC003 Advanced Surgery Center Of Georgia 0.00% 1,687,802 -
ASC004 Atlanta Eye Surgery Center at Omni West 0.00% 4,200,646 -
ASC006 Perimeter Surgery Center of Atlanta 0.00% 8,236,367 -
ASC007 Gwinnett Center for Outpatient Surgery 0.00% 3,354,614 -
ASC008 Feminist Women's Health Center 0.00% 1,821,488 -
ASC009 Surgery Center at Mt. Zion d.b.a. Spivey Station Surgery Center 0.00% 4,937,127 -
ASC010 0.00%
Center For Reconstructive Surgery (International Center For Foot and Ankle 5,389,859 -
ASC011 Atlanta Women's Medical Center 0.00% 3,392,413 -
ASC013 North Atlanta Endoscopy Center 0.00% 1,577,423 -
ASC014 Atlanta Outpatient Surgery Center 0.00% 13,778,365 -
ASC015 Northside/Dunwoody Surgical Center 0.00% 543,545 -
ASC016 Northside Women's Clinic 0.00% 7,492,736 -
ASC017 Emory Clinic Ambulatory Surgery Center 0.00% 11,677,967 -
ASC018 Northlake Surgical Center 0.00% 5,132,661 -
ASC019 Northwoods Surgery Center, LLC 0.00% 3,366,540 -
ASC020 Marietta Surgical Center 0.00% 12,483,568 -
ASC021 East-West Surgery Center 0.00% 3,903,900 -
ASC023 Atlanta Outpatient Peachtree-Dunwoody Center 0.00% 10,703,450 -
ASC024 Southern Surgery Center, LLC 0.00% 2,916,856 -
ASC025 Medical Eye Associates 0.00% 1,773,314 -
ASC026 Coliseum Same Day Surgery Center 0.00% 7,864,502 -
ASC027 Evans Surgery Center 0.00% 11,076,539 -
ASC028 Planned Parenthood Reproductive Health Services, Inc. 0.00% 722,267 -
ASC029 Augusta Surgical Center 0.00% 6,650,841 -
ASC030 Surgery Center, LLC, The 0.00% 6,459,814 -
ASC032 Savannah Medical Clinic 0.00% 1,125,522 -
asc033 Savannah Foot and Ankle Surgery Center, LLC 0.00% 1,516,757 -
ASC034 Columbus Women's Health Organization, Inc. 0.00% 931,956 -
ASC036 Premier Surgery Center 0.00% 6,566,575 -
ASC037 Brunswick Endoscopy Center 0.00% 1,929,035 -
ASC039 Buckhead Surgery Center 0.00% 4,478,519 -
ASC044 Atlanta Center for Reconstructive Foot and Ankle Surgery 0.00% 1,828,239 -
ASC050 Hamilton Ambulatory Surgery Center 0.00% 6,070,481 -
ASC051 Schulze Surgery Center, Inc. 0.00% 1,184,386 -
ASC052 Children's Healthcare of Atlanta Surgery, Meridian Mark 0.00% 22,295,656 -
ASC053 Endoscopy Center of Columbus, LLC 0.00% 1,523,017 -
ASC056 Surgical Centers of Georgia 0.00% 2,233,643 -
ASC057 Center for Pain Management (The Emory Clinic) 0.00% 777,349 -
ASC058 Savannah Plastic Surgicenter, Inc. 0.00% 1,073,292 -
ASC059 North Atlanta Orthopaedic Surgery Center, LLC 0.00% 3,041,257 -
ASC060 Orthopedic Surgery Center, L.P. 0.00% 11,714,508 -
ASC061 North Georgia Foot & Ankle Surgery Center 0.00% 662,419 -
ASC062 Summerville Surgical Center 0.00% 31,003 -
ASC063 Surgery Center of Columbia County 0.00% 2,342,209 -
ASC065 Roswell Center for Foot and Ankle Surgery 0.00% 842,823 -
ASC066 Albany Endoscopy Center 0.00% 4,028,729 -
ASC067 0.00%
Emory Orthopaedic and Spine Physiatry Outpatient Surgery Center 4,815,590 -
LNRASC000 ALBANY REGIONAL PLASTIC SURGERY 0.00% - -
LNRASC005 TIFTON ENDOSCOPY CENTER, INC. 0.00% 765,091 -
LNRASC011 GEORGIA LITHOTRIPSY AND LASER 0.00% 1,621,435 -
LNRASC012 PLASTIC SURG CTR OF THE SOUTH 0.00% - -
LNRASC013 GASTROENTEROLOGY ENDOSCOPY CTR, INC 0.00% 701,025 -
LNRASC016 WELLBROOK ENDOSCOPY CENTER 0.00% 947,926 -
LNRASC017 MIDTOWN UROLOGY SURGICAL CENTER 0.00% 1,331,111 -
LNRASC019 NORTH ATL PLAS & RECON SURG PC 0.00% - -
LNRASC020 NORTHEAST GEORGIA PLASTIC SURGERY CENTER 0.00% 297,369 -
LNRASC022 HOUSTON LAKE SURGERY CENTER 0.00% 2,524,380 -
LNRASC024 NORTHLAKE ENDOSCOPY CENTER 0.00% 381,900 -
LNRASC026 CENTER FOR ORTHOPEDIC SURGERY 0.00% 2,470,684 -
LNRASC027 CARROLLTON EYE CLINIC - ASTC 0.00% 737,314 -
LNRASC030 E.N.T. SURG CTR OF CENTRAL GA 0.00% 955,282 -
LNRASC032 HARBIN G I, LLC 0.00% 2,429,173 -
LNRASC034 SUMMIT MEDICAL ASSOCIATES 0.00% 2,749,928 -
LNRASC035 GEORGIA SURGICAL CTR ON PEACHTREE 0.00% 1,888,161 -
LNRASC037 ENDOSCOPY CTR OF SOUTHEAST GA 0.00% 1,100,341 -
LNRASC040 JIMENEZ FOOT, ANKLE & LEG ASC 0.00% - -
LNRASC048 FOOT SURGERY CENTER, THE 0.00% 384,130 -
LNRASC049 GI DIAGNOSTICS ENDOSCOPY CENTER, LLC 0.00% 4,289,379 -
LNRASC050 NORTHWEST GA ORTHOPAEDIC SC 0.00% - -
LNRASC052 ATLANTA ENDOSCOPY CENTER, LTD. 0.00% 740,857 -
LNRASC054 DEKALB ENDOSCOPY CENTER 0.00% 1,869,883 -
LNRASC055 NORTH OAK AMBULATORY SURGERY CENTER, LLC 0.00% 386,368 -
LNRASC059 EYE ASSOCIATES SURGERY CTR 0.00% 524,195 -
LNRASC064 DENNIS SURGERY CENTER, INC. 0.00% 383,290 -
LNRASC066 SOUTHERN ENDOSCOPY SUITE, LLC 0.00% 3,881,925 -
LNRASC070 PACES PLASTIC SURGERY CENTER 0.00% 2,368,546 -
LNRASC075 0.00%
NORTHSIDE FOOT & ANKLE OUTPATIENT SURGICAL CENTER, INC. 884,280 -
LNRASC076 V.O.A. AMBULATORY SURG CTR 0.00% 1,335,511 -
LNRASC078 CENTER FOR PLASTIC SURGERY 0.00% 971,913 -
LNRASC079 EYE SURGERY CENTER OF AUGUSTA 0.00% - -
LNRASC082 AESTHETIC LASER & SURG FACILITY 0.00% 594,677 -
LNRASC086 GEORGIA UROLOGY AMBULATORY SURGERY CENTER0.00% 31,557,449 -
LNRASC087 PLASTIKOS SURGERY CENTER 0.00% 1,317,823 -
LNRASC088 EAST COBB PODIATRY SURGERY CTR 0.00% 144,118 -
LNRASC090 NORTHSIDE FOOT & ANKLE O P SC 0.00% 315,500 -
LNRASC091 PIEDMONT SURGERY CENTER 0.00% 1,737,546 -
LNRASC093 ADVANCED AESTHETICS SURGICENTER 0.00% 1,404,420 -
LNRASC094 ALBANY SURGERY CENTER, LLP 0.00% 2,101,507 -
LNRASC097 CENTRAL GA HEAD & NECK SURG CT 0.00% 1,968,433 -
LNRASC100 SOUTHEASTERN SURGICAL CENTER 0.00% 1,707,832 -
LNRASC102 NORTHSIDE SURGERY CENTER, INC. 0.00% - -
LNRASC103 SPECIALTY SURGERY CENTER, INC. 0.00% 250,000 -
LNRASC104 SURGICAL SUITE, THE 0.00% 286,000 -
LNRASC106 PERIMETER OUTPATIENT SURG ASSOCIATES, INC 0.00% 1,218,112 -
LNRASC107 RESURGENS SURGICAL CENTER 0.00% - -
LNRASC108 PAIN SPECIALTY CENTER OF ATLANTA 0.00% 388,314 -
LNRASC116 G.I. ENDOSCOPY CENTER 0.00% 1,187,072 -
LNRASC119 RODERIQUE SURGI-CENTER, INC. 0.00% 1,704,969 -
LNRASC120 OUTPATIENT CTR FOR FOOT SURG 0.00% 395,253 -
LNRASC122 COBB FOOT AND LEG SURGICAL CENTER, LLC 0.00% 207,788 -
LNRASC123 NORTH GEORGIA OUTPATIENT SURG 0.00% - -
LNRASC127 AUGUSTA PLASTIC SURGERY CENTER, INC. 0.00% 1,446,776 -
LNRASC128 AUGUSTA UROLOGY SURGICENTER, LLC 0.00% 2,966,905 -
LNRASC129 MACON OUTPATIENT SURGERY, LLC 0.00% 4,714,137 -
LNRASC130 TIFTAREA ENDOSCOPY CENTER, INC 0.00% 178,327 -
LNRASC132 STATESBORO AMBULATORY SUR CTR 0.00% 336,318 -
LNRASC135 NORTH ATLANTA HEAD & NECK SURGERY CENTER 0.00% - -
LNRASC137 SUMMIT SURGICAL ASC-DAHLONEGA SURGERY CENTER0.00% 13,213 -
LNRASC142 Augusta Retina-Laser Surgi Care 0.00% - -
LNRASC144 SUMMIT ENDOSCOPY CENTER, L L C 0.00% 4,393,991 -
LNRASC145 PLASTIC SURGERY CTR OF WEST GA 0.00% 369,554 -
LNRASC146 AKSTEIN EYE CENTER, P.C. 0.00% - -
LNRASC149 DALTON PLASTIC SURGERY 0.00% 1,076,800 -
LNRASC151 PEACHTREE ORTHO SC AT PIEDMONT 0.00% - -
LNRASC152 ATLANTA SURGERY CENTERS 0.00% 1,041,343 -
LNRASC154 MOULTRIE UROLOGY ASC 0.00% 1,109,835 -
LNRASC158 AUGUSTA AESTHETIC SURGERY, LLC 0.00% - -
LNRASC159 WOODHAMS LASER & LENS IMPLANT 0.00% 657,552 -
LNRASC163 SOUTH GEORGIA ENDOSCOPY CENTER 0.00% - -
LNRASC165 UROLOGY INSTITUTE ASC, THE 0.00% 854,426 -
LNRASC166 MACON PAIN CENTER, PC 0.00% - -
LNRASC167 WOMEN'S SURGERY CENTER, THE 0.00% 2,455,087 -
LNRASC169 ENDOSCOPY CTR OF COASTAL GA 0.00% 2,333,159 -
LNRASC170 NORTHWEST GA ENT SURGERY CTR 0.00% 813,522 -
LNRASC171 GOLDEN ISLES FOOT SUR CTR, INC 0.00% 36,654 -
LNRASC172 GEORGIA PAIN SURG CTR, INC 0.00% - -
LNRASC176 VALDOSTA ENDOSCOPY CENTER, LLC 0.00% 807,510 -
LNRASC178 ATLANTA EYE INTERNATIONAL SURGERY CENTER 0.00% 183,416 -
LNRASC180 DALTON FOOT & ANKLE SURG CTR 0.00% 93,209 -
LNRASC183 PROFESSIONAL EYE SURGERY CTR 0.00% 1,168,635 -
LNRASC190 AUGUSTA ENDOSCOPY CENTER 0.00% 1,931,239 -
LNRASC192 ORTHOPAEDIC ASSOCIATES SURGERY CENTER, LLC 0.00% 3,544,136 -
LNRASC193 AZALEA SURGERY CENTER 0.00% - -
LNRASC194 GAINESVILLE UROLOGY ASC, LLC 0.00% 2,314,385 -
LNRASC195 PLASTIC SURGERY OPERATIVE SUITE, LLC 0.00% 435,118 -
LNRASC196 GAINESVILLE ENDOSCOPY CENTER, LLC 0.00% 3,651,403 -
LNRASC197 WESTSIDE ENDOSCOPY CENTER, P C 0.00% 470,461 -
LNRASC198 COASTAL EMPIRE PLASTIC SURGERY 0.00% 1,278,247 -
LNRASC199 ADVANCED EYE SURGERY AND LASER CENTER 0.00% 2,131,852 -
LNRASC200 SOUTHERN OB/GYN AMBULATORY SURGERY CENTER0.00% 929,627 -
LNRASC201 ORTHOPAEDIC SOUTH SURGICAL CENTER 0.00% - -
LNRASC202 UROLOGY SURGERY CENTER OF SAVANNAH, LP 0.00% 1,330,606 -
LNRASC203 0.00%
GAINESVILLE FOOT AND ANKLE SURGERY CENTER, PC 265,385 -
LNRASC207 PLASTIC & RECONSTRUCTIVE SURGERY CENTER, PC 0.00% 99,852 -
LNRASC209 ENDOSCOPY CENTER OF MIDDLE GEORGIA, LLC 0.00% 3,995,504 -
LNRASC210 COOSA PROCEDURE CENTER, LLC 0.00% 861,381 -
LNRASC211 ISLAND SURGERY CENTER, INC 0.00% 72,510 -
LNRASC212 ENT SURGERY CENTER OF AUGUSTA, LLC 0.00% 3,703,847 -
LNRASC213 OUTPATIENT ORTHOPEDIC SURGERY CENTER, LLC 0.00% 1,673,066 -
LNRASC214 RENAISSANCE SURGICAL CENTRE, LLC 0.00% 931,295 -
LNRASC215 0.00%
HAND & UPPER EXTREMITY SURG CTR OF GA, LLC (THE) 2,602,324 -
LNRASC216 COFFEE COUNTY CENTER FOR DIGESTIVE DISEASE 0.00% - -
LNRASC217 NORTH CRESCENT SURGERY CENTER 0.00% 3,117,535 -
LNRASC218 BRUNSWICK PAIN TREATMENT CENTER, LLC 0.00% 2,826,574 -
LNRASC219 The Center for Spine Procedures, PC 0.00% 226,000 -
LNRASC220 BULLOCH COUNTY ENDOSCOPY CENTER, LLC 0.00% 877,137 -
LNRASC222 NORTHEAST GEORGIA PROCEDURE CENTER 0.00% 2,478,817 -
LNRASC224 GEORGIA DERMATOLOGIC SURGERY CENTERS, PC 0.00% 429,890 -
LNRASC226 WELLBROOK ENDOSCOPY CENTER (COVINGTON) 0.00% 1,045,659 -
LNRASC227 0.00% 2,761,187 -
PEACHTREE SPINE AND PAIN PHYSICIANS ASC, LLC dba OPTIMUM SURGERY CENTER
LNRASC228 THOMAS EYE SURGERY CENTER 0.00% 4,106,432 -
LNRASC230 PAIN SOLUTIONS TREATMENT CENTERS 0.00% 1,449,235 -
LNRASC232 ATLANTA SOUTH ENDOSCOPY CENTER, LLC 0.00% 737,263 -
LNRASC233 MARIETTA EYE SURGERY 0.00% 5,078,133 -
LNRASC234 SPECIALTY ORTHOPAEDICS SURGERY CENTER 0.00% 2,330,224 -
LNRASC235 HUDES ENDOSCOPY CENTER, LLC 0.00% - -
LNRASC236 MEREDYTH SURGERY CENTER, P C 0.00% 1,271,134 -
LNRASC237 NORTH GEORGIA INSTITUTE FOR WOUND CARE, LLC 0.00% 527,877 -
LNRASC238 DUBLIN EYE SURGERY CENTER 0.00% 1,548,726 -
LNRASC240 UROLOGY ASSOCIATES SURGERY CENTER, LLC 0.00% 1,887,458 -
LNRASC241 ENT SURGERY CENTER OF ATLANTA, LLC 0.00% 9,153,665 -
LNRASC243 NORTHEAST ENDOSCOPY CENTER, LLC 0.00% 2,434,889 -
LNRASC244 DCA DIAGNOSTICS, LLC 0.00% 1,702,011 -
LNRASC246 SURGICAL CENTER FOR UROLOGY, LLC 0.00% 3,178,570 -
LNRASC248 GDC ENDOSCOPY CENTER, LLC 0.00% 942,921 -
LNRASC249 MIDTOWN SURGICAL CENTER, LLC 0.00% 340,415 -
LNRASC250 CENTER FOR SPINE & PAIN MEDICINE 0.00% - -
LNRASC252 PLANTATION AMBULATORY SURGERY, LTD 0.00% 92,104 -
LNRASC254 0.00%
ATHENS ORTHOPEDIC CLINIC AMBULATORY SURG CTR, LLC 4,058,206 -
LNRASC259 CARROLLTON ORTHOPAEDIC SURGERY CENTER, LLC 0.00% 158,802 -
LNRASC260 AMERICAN EYE SURGERY CENTER, INC 0.00% 1,569,982 -
LNRASC262 ATHENA UROLOGY SURGERY CENTER 0.00% 959,715 -
LNRASC264 GAINESVILLE EYE CENTER, LLC 0.00% - -
LNRASC266 ATLANTA SPORTS MEDICINE SURGERY CENTER 0.00% 1,926,439 -
LNRASC267 COASTAL PAIN CENTER, LLC 0.00% 1,245,819 -
LNRASC268 ASSOCIATES SURGERY CENTER, INC 0.00% - -
LNRASC269 LOCUST GROVE ENDO CENTER 0.00% 743,764 -
LNRASC270 DUBLIN ORTHOPAEDICS ASC, INC 0.00% 371,710 -
LNRASC271 PEACH STATE SURGICAL CENTERS, INC 0.00% 1,049,339 -
LNRASC272 FORSYTH STREET AMBULATORY SURGERY CENTER, LLC 0.00% 3,519,794 -
LNRASC273 NORTHWEST PLAZA ASC 0.00% 1,137,719 -
LNRASC276 AUGUSTA EYE SURGERY, LLC 0.00% 884,532 -
LNRASC277 0.00%
SOUTHERN ORTHOPAEDIC SURG CTR OF FAYETTEVILLE, LLC 1,083,387 -
LNRASC278 HOUSTON ORTHOPEDIC SURGERY CENTER 0.00% 3,403,741 -
LNRASC279 PAVILION SPINE SURGERY CENTER 0.00% 1,850,969 -
LNRASC281 0.00%
NEUROLOGICAL INSTITUTE AMBULATORY SURGERY CTR, LLC 3,630,938 -
LNRASC282 PREMIER ORTHOPEDIC SURGICENTER, LLC 0.00% 1,760,339 -
LNRASC284 LAURUS SURGICAL, LLC 0.00% - -
LNRASC285 SOUTHEAST TREATMENT CENTER, LLC 0.00% - -
LNRASC286 PHYSICIANS ROME SURGERY CENTER, LLC, THE 0.00% 267,482 -
LNRASC288 CPM SURGERY CENTER, P C 0.00% 1,436,322 -
LNRASC289 ATLANTA WEST ENDOSCOPY CENTER, LLC 0.00% - -
LNRASC290 COASTAL PAIN CENTER, LLC 0.00% 303,236 -
LNRASC291 EPS SURGICAL CENTER, LLC 0.00% 5,229 -
LNRASC292 0.00%
NORTHEAST GEORGIA UROLOGICAL SURGERY CENTER, LLC - -
LNRASC293 RENUE SURGERY CENTER 0.00% 37,902 -
LNRASC295 PHYSICIANS' NORTH ATLANTA SURGERY CENTER, THE0.00% 185,067 -
LNRASC296 WEST PACES AMBULATORY SURGICAL CENTER, LLC 0.00% 337,323 -
LNRASC297 0.00%
DIGESTIVE HEALTHCARE OF GA ENDO CTR MOUNTAINSIDE - -
LNRASC989 INSTITUTE FOR CORR SURG FOOT & ANKLE, INC 0.00% - -
LNRASC990 SOUTHERN BONE & JOINT, LLC 0.00% 2,256,101 -
LNRASC991 Georgia Dermasurgery Centers, Inc 0.00% 240,565 -
LNRASC992 PAIN CLINIC OF AIMR, P.C. 0.00% - -
LNRASC993 THOMASVILLE SURGERY CENTER INC 0.00% 1,860,507 -
LNRASC994 ROSWELL SURGERY CENTER, L.L.C. 0.00% - -
LNRASC996 0.00%
STATESBORO EAR, NOSE, & THROAT SURGICAL CENTER 1,056,022 -
LNRASC997 GEORGIA CTR FOR DIGESTIVE DISEASES, LLC 0.00% 1,091,607 -
LNRASC998 BI-CITY SURGICAL CENTRE, INC. 0.00% 75,630 -
LNRASC999 AUGUSTA CTR FOR FOOT & ANKLE 0.00% - -
468,618,874 -
Calculation of Estimated Change in Reimbursment
Note: Waiver Tests B1/B2 and P1/P2 were not
Percentage calculated for the ASC's as at this point the tax
Increase in Estimated appears to be broad-based (all provider's are included)
Net Medicaid Revenue Medicaid Increased and uniform (the same tax rate). Should that change,
from ASC Survey Reimbursement Reimbursement similar tests would need to be peformed for the ASC's.
484,243 0.00% -
68,191 0.00% -
38,516 0.00% -
73,760 0.00% -
- 0.00% -
100,020 0.00% -
- 0.00% -
147,915 0.00% -
- 0.00% -
- 0.00% -
2,640 0.00% -
377,548 0.00% -
593 0.00% -
- 0.00% -
186,039 0.00% -
425,714 0.00% -
10,657 0.00% -
123,691 0.00% -
8,644 0.00% -
479,656 0.00% -
43,035 0.00% -
1,730 0.00% -
231,749 0.00% -
226,184 0.00% -
- 0.00% -
43,647 0.00% -
130,125 0.00% -
- 0.00% -
63,798 0.00% -
- 0.00% -
50,931 0.00% -
34,892 0.00% -
29,676 0.00% -
11,926 0.00% -
159,849 0.00% -
62,331 0.00% -
1,469,021 0.00% -
141,020 0.00% -
- 0.00% -
14,805 0.00% -
- 0.00% -
- 0.00% -
126,852 0.00% -
20,539 0.00% -
- 0.00% -
31,185 0.00% -
512 0.00% -
29,301 0.00% -
23,247 0.00% -
- 0.00% -
17,705 0.00% -
20,944 0.00% -
- 0.00% -
44,578 0.00% -
48,000 0.00% -
5,266 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
10,000 0.00% -
- 0.00% -
17,082 0.00% -
27,275 0.00% -
11,432 0.00% -
- 0.00% -
- 0.00% -
46,693 0.00% -
- 0.00% -
- 0.00% -
33,187 0.00% -
- 0.00% -
16,460 0.00% -
- 0.00% -
1,051 0.00% -
8,975 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
6,061 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
2,748 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
5,655 0.00% -
124,780 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
717 0.00% -
- 0.00% -
- 0.00% -
4,635 0.00% -
5,392 0.00% -
55,749 0.00% -
- 0.00% -
3,989 0.00% -
- 0.00% -
- 0.00% -
545,000 0.00% -
- 0.00% -
- 0.00% -
358,229 0.00% -
- 0.00% -
465 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
65,631 0.00% -
6,538 0.00% -
- 0.00% -
631,694 0.00% -
11,307 0.00% -
440,186 0.00% -
482 0.00% -
- 0.00% -
37,224 0.00% -
- 0.00% -
- 0.00% -
50,050 0.00% -
6,163 0.00% -
1,683 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
3,342 0.00% -
4,811 0.00% -
23,609 0.00% -
67,207 0.00% -
- 0.00% -
9,750 0.00% -
- 0.00% -
- 0.00% -
223,182 0.00% -
25,033 0.00% -
- 0.00% -
620,456 0.00% -
4,949 0.00% -
- 0.00% -
- 0.00% -
42,569 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
130,702 0.00% -
- 0.00% -
52,000 0.00% -
- 0.00% -
43,756 0.00% -
- 0.00% -
- 0.00% -
22,498 0.00% -
- 0.00% -
- 0.00% -
2,431 0.00% -
- 0.00% -
19,725 0.00% -
- 0.00% -
- 0.00% -
750 0.00% -
27,538 0.00% -
- 0.00% -
51,941 0.00% -
8,400 0.00% -
11,112 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
27,954 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
3,526 0.00% -
- 0.00% -
2,067 0.00% -
- 0.00% -
2,500 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
- 0.00% -
670 0.00% -
- 0.00% -
- 0.00% -
52,374 0.00% -
3,243 0.00% -
201,372 0.00% -
44,052 0.00% -
- 0.00% -
23,441 0.00% -
11,563 0.00% -
- 0.00% -
- 0.00% -
9,915,731 -
Added Field: Date
PIN Date
Year UID Medicaid Date Submitted Keyed/Revi
Number Received
Number sed
1 2 3 4 5 6
2008 HOSP375 011111111A 11/13/2009 2009-11-13
00:00:00
2008 HOSP301 000000052A 9/29/2009 2009-09-29
00:00:00
2008 HOSP603 000000074A 9/24/2009 2009-09-24
00:00:00
2008 HOSP709 000000789A 9/30/2009 2009-09-30
00:00:00
2008 HOSP302 000000118A 9/22/2009 2009-09-22
00:00:00
2008 HOSP303 000002098A 9/15/2009 2009-09-15
00:00:00
2008 HOSP445 000000173A 8/31/2009 2009-08-31
00:00:00
2008 HOSP440 000000151A 9/30/2009 2009-09-30
00:00:00
2008 HOSP452 000000195A 9/30/2009 2009-09-30
00:00:00
2008 HOSP305 000816593A 9/28/2009 2009-09-28
00:00:00
2008 HOSP306 000000283A 9/29/2009 2009-09-29
00:00:00
2008 HOSP203 000000305A 9/24/2009 2009-09-24
00:00:00
2008 HOSP209 000000316A 9/28/2009 2009-09-28
00:00:00
2008 HOSP626 032700000A 9/29/2009 2009-09-29
00:00:00
2008 HOSP542 000001625A 9/28/2009 2009-09-28
00:00:00
2008 HOSP731 030003994A 8/31/2009 2009-08-31
00:00:00
2008 HOSP234 000000338A 9/18/2009 2009-09-18
00:00:00
2008 HOSP229 000001933A 9/30/2009 2009-09-30
00:00:00
2008 HOSP404 000081232A 9/25/2009 2009-09-25
00:00:00
2008 HOSP416 000000943A 9/30/2009 2009-09-30
00:00:00
2008 HOSP612 000679808A 10/9/2009 2009-10-09
00:00:00
2008 HOSP518 000001636A 9/30/2009 2009-09-30
00:00:00
2008 HOSP347 000000415A 9/3/2009 2009-09-03
00:00:00
2008 HOSP910 #N/A 7/28/2009 2009-07-28
00:00:00
2008 HOSP550 000000000A 7/28/2009 2009-07-28
00:00:00
2008 HOSP211 000000437A 9/30/2009 2009-09-30
00:00:00
2008 HOSP406 000000448A 9/25/2009 2009-09-25
00:00:00
2008 HOSP636 000000459A 10/7/2009 2009-10-07
00:00:00
2008 HOSP266 000295358A 10/7/2009 2009-10-07
00:00:00
2008 HOSP675 000000000A 10/7/2009 2009-10-07
00:00:00
2008 HOSP524 000002021A 9/30/2009 2009-09-30
00:00:00
2008 HOSP405 000000514A 9/30/2009 2009-09-30
00:00:00
2008 HOSP552 000000525A 9/30/2009 2009-09-30
00:00:00
2008 HOSP720 000005360A 9/30/2009 2009-09-30
00:00:00
2008 HOSP902 #N/A 9/30/2009 2009-09-30
00:00:00
2008 HOSP724 000148233A 9/23/2009 2009-09-23
00:00:00
2008 HOSP726 000000558A 9/30/2009 2009-09-30
00:00:00
2008 HOSP309 000000591A 9/28/2009 2009-09-28
00:00:00
2008 HOSP310 000206181A 8/31/2009 2009-08-31
00:00:00
2008 HOSP501 000000613A 11/23/2009 2009-11-23
00:00:00
2008 HOSP357 000000635A 9/28/2009 2009-09-28
00:00:00
2008 HOSP502 000000272A 9/28/2009 2009-09-28
00:00:00
2008 HOSP454 000000657A 9/24/2009 9/24/2009 3/9/2010
2008 HOSP407 000000668A 11/4/2009 2009-11-04
00:00:00
2008 HOSP408 000000701A 11/4/2009 2009-11-04
00:00:00
2008 HOSP534 000190088A 10/13/2009 2009-10-13
00:00:00
2008 HOSP901 #N/A 9/29/2009 2009-09-29
00:00:00
2008 HOSP706 000000712A 10/13/2009 2009-10-13
00:00:00
2008 HOSP705 000000503A 10/14/2009 2009-10-14
00:00:00
2008 HOSP641 000001702A 11/6/2009 2009-11-06
00:00:00
2008 HOSP448 000000734A 8/19/2009 2009-08-19
00:00:00
2008 HOSP510 000001141A 10/2/2009 2009-10-02
00:00:00
2008 HOSP413 000134406A 8/25/2009 2009-08-25
00:00:00
2008 HOSP329 000149487A 9/28/2009 2009-09-28
00:00:00
2008 HOSP606 000000756A 9/24/2009 2009-09-24
00:00:00
2008 HOSP998 #N/A 9/25/2009 2009-09-25
00:00:00
2008 HOSP412 000000833A 9/28/2009 2009-09-28
00:00:00
2008 HOSP351 000000844A 9/28/2009 2009-09-28
00:00:00
2008 HOSP710 000000855A 10/1/2009 2009-10-01
00:00:00
2008 HOSP366 000000294A 9/30/2009 2009-09-30
00:00:00
2008 HOSP226 000001064A 9/30/2009 2009-09-30
00:00:00
2008 HOSP414 000000877A 9/14/2009 2009-09-14
00:00:00
2008 HOSP415 000000899A 9/30/2009 2009-09-30
00:00:00
2008 HOSP245 000000921A 9/30/2009 2009-09-30
00:00:00
2008 HOSP532 000182388A 9/30/2009 2009-09-30
00:00:00
2008 HOSP304 000009548A 8/28/2009 2009-08-28
00:00:00
2008 HOSP160 000651439A 9/30/2009 2009-09-30
00:00:00
2008 HOSP439 000000976A 10/2/2009 2009-10-02
00:00:00
2008 HOSP125 000315642A 9/28/2009 2009-09-28
00:00:00
2008 HOSP623 000001075A 10/8/2009 2009-10-08
00:00:00
2008 HOSP642 000000000A 11/24/2009 2009-11-24
00:00:00
2008 HOSP314 000000987A 9/21/2009 2009-09-21
00:00:00
2008 HOSP315 000000998A 8/19/2009 2009-08-19
00:00:00
2008 HOSP442 000001009A 9/18/2009 2009-09-18
00:00:00
2008 HOSP417 000001031A 9/10/2009 2009-09-10
00:00:00
2008 HOSP319 000001042A 9/16/2009 2009-09-16
00:00:00
2008 HOSP614 000000063A 9/30/2009 2009-09-30
00:00:00
2008 HOSP544 000472513A 10/10/2009 2009-10-10
00:00:00
2008 HOSP909 #N/A 9/27/2009 2009-09-27
00:00:00
2008 HOSP241 000651593A 9/21/2009 2009-09-21
00:00:00
2008 HOSP355 000001152A 9/23/2009 2009-09-23
00:00:00
2008 HOSP529 000001163A 9/30/2009 2009-09-30
00:00:00
2008 HOSP903 #N/A 2/8/2010 2010-02-08
00:00:00
2008 HOSP321 000001185A 9/30/2009 2009-09-30
00:00:00
2008 HOSP719 000000723A 8/24/2009 2009-08-24
00:00:00
2008 HOSP443 000001086A 9/30/2009 2009-09-30
00:00:00
2008 HOSP704 000001196A 9/29/2009 2009-09-29
00:00:00
2008 HOSP712 000001207A 9/15/2009 2009-09-15
00:00:00
2008 HOSP703 000001273A 9/30/2009 2009-09-30
00:00:00
2008 HOSP317 000001251A 9/15/2009 2009-09-15
00:00:00
2008 HOSP539 000001262A 9/28/2009 2009-09-28
00:00:00
2008 HOSP348 000001317A 9/25/2009 2009-09-25
00:00:00
2008 HOSP420 000001328A 9/30/2009 2009-09-30
00:00:00
2008 HOSP421 000001339A 9/28/2009 2009-09-28
00:00:00
2008 HOSP345 000001361A 11/6/2009 2009-11-06
00:00:00
2008 HOSP352 000694229A 11/7/2009 2009-11-07
00:00:00
2008 HOSP239 000001559A 11/19/2009 2009-11-19
00:00:00
2008 HOSP320 000001383A 9/30/2009 2009-09-30
00:00:00
2008 HOSP322 000001394A 8/14/2009 2009-08-14
00:00:00
2008 HOSP327 000275976A 10/15/2009 2009-10-15 2/11/2010
00:00:00
2008 HOSP341 000002043A 9/3/2009 2009-09-03
00:00:00
2008 HOSP611 000000888A 9/30/2009 2009-09-30
00:00:00
2008 HOSP634 000001405A 9/14/2009 2009-09-14
00:00:00
2008 HOSP346 000000767A 9/14/2009 2009-09-14
00:00:00
2008 HOSP541 000001108A 9/17/2009 2009-09-17
00:00:00
2008 HOSP528 000000129A 9/17/2009 2009-09-17
00:00:00
2008 HOSP635 000001416A 9/11/2009 2009-09-11
00:00:00
2008 HOSP323 000001449A 9/28/2009 2009-09-28
00:00:00
2008 HOSP601 000000000A 11/13/2009 2009-11-13
00:00:00
2008 HOSP450 000001471A 10/2/2009 2009-10-02
00:00:00
2008 HOSP616 000110007A 10/1/2009 2009-10-01
00:00:00
2008 HOSP343 000002109A 9/30/2009 2009-09-30
00:00:00
2008 HOSP318 000755323A 9/4/2009 2009-09-04
00:00:00
2008 HOSP617 000001504A 9/29/2009 2009-09-29
00:00:00
2008 HOSP451 000001493A 10/5/2009 2009-10-05
00:00:00
2008 HOSP629 000000492A 10/5/2009 2009-10-05
00:00:00
2008 HOSP427 000001526A 9/17/2009 2009-09-17
00:00:00
2008 HOSP227 000001537A 9/18/2009 2009-09-18
00:00:00
2008 HOSP637 000001581A 9/24/2009 2009-09-24
00:00:00
2008 HOSP604 000000000A 9/29/2009 2009-09-29
00:00:00
2008 HOSP912 #N/A 1/6/2010 2010-01-06
00:00:00
2008 HOSP240 000001603A 10/2/2009 2009-10-02
00:00:00
2008 HOSP905 #N/A 10/1/2009 2009-10-01
00:00:00
2008 HOSP610 000000778A 10/1/2009 2009-10-01
00:00:00
2008 HOSP619 000001768A 8/31/2009 2009-08-31
00:00:00
2008 HOSP621 018010000A 9/29/2009 2009-09-29
00:00:00
2008 HOSP714 000001812A 9/29/2009 2009-09-29
00:00:00
2008 HOSP622 000001823A 10/1/2009 2009-10-01
00:00:00
2008 HOSP627 000001229A 9/30/2009 2009-09-30
00:00:00
2008 HOSP332 000001647A 9/9/2009 2009-09-09
00:00:00
2008 HOSP904 #N/A 8/11/2009 2009-08-11
00:00:00
2008 HOSP228 000248069A 9/30/2009 2009-09-30
00:00:00
2008 HOSP333 000001691A 8/26/2009 2009-08-26
00:00:00
2008 HOSP630 000001713A 8/31/2009 2009-08-31 11/20/2009
00:00:00
2008 HOSP618 000017240A 9/30/2009 2009-09-30
00:00:00
2008 HOSP507 000000822A 9/21/2009 2009-09-21
00:00:00
2008 HOSP441 000000811A 9/21/2009 2009-09-21
00:00:00
2008 HOSP547 000000404A 9/29/2009 2009-9-29 00:00:00
2008 HOSP426 000001427A 9/25/2009 2009-09-25
00:00:00
2008 HOSP508 000000866A 7/24/2009 2009-07-24
00:00:00
2008 HOSP235 000000000A 8/21/2009 2009-08-21
00:00:00
2008 HOSP545 000001834A 9/23/2009 2009-09-23
00:00:00
2008 HOSP602 000000019A 10/2/2009 2009-10-02
00:00:00
2008 HOSP356 000001456A 7/24/2009 2009-07-24
00:00:00
2008 HOSP244 000002032A 8/28/2009 2009-08-28
00:00:00
2008 HOSP435 000001867A 8/31/2009 2009-08-31
00:00:00
2008 HOSP519 000001548A 10/2/2009 2009-10-02
00:00:00
2008 HOSP460 000001878A 9/14/2009 2009-09-14
00:00:00
2008 HOSP521 000001922A 9/29/2009 2009-09-29
00:00:00
2008 HOSP620 000001779A 9/18/2009 2009-09-18
00:00:00
2008 HOSP568 000000000A 8/28/2009 2009-08-28
00:00:00
2008 HOSP248 000001966A 9/7/2009 2009-09-07
00:00:00
2008 HOSP716 000001977A 9/14/2009 2009-09-14
00:00:00
2008 HOSP523 000001988A 9/25/2009 2009-09-25
00:00:00
2008 HOSP340 000020677A 9/1/2009 2009-09-01
00:00:00
2008 HOSP730 000368387A 11/5/2009 2009-11-05
00:00:00
2008 HOSP349 000001284A 9/15/2009 2009-09-15
00:00:00
2008 HOSP540 000001218A 9/22/2009 2009-09-22
00:00:00
2008 HOSP538 000002054A 1/27/2010 2010-01-27
00:00:00
2008 HOSP546 000000426A 9/23/2009 2009-09-23
00:00:00
2008 HOSP312 000000624A 9/23/2009 2009-09-23
00:00:00
2008 HOSP615 000001119A 10/2/2009 2009-10-02
00:00:00
2008 HOSP151 000001438A 9/23/2009 2009-09-23
00:00:00
2008 HOSP640 000001999A 9/23/2009 2009-09-23
00:00:00
2008 HOSP288 000339831A 1/6/2010 2010-01-06
00:00:00
2008 HOSP605 000002065A 9/29/2009 2009-09-29
00:00:00
2008 HOSP342 000000000A 9/30/2009 2009-09-30
00:00:00
2008 HOSP363 000000000A 9/14/2009 2009-09-14
00:00:00
2008 HOSP526 000002087A 9/18/2009 2009-09-18
00:00:00
Policy(Faxed_maile
Notes GID Facility Name
d_emailed)
7 8 9 10
Anchor Hospital
Appling Hospital
Athens Regional Medical Center
Atlanta Medical Center
Bacon County Hospital and Health System, Inc.
Barrow Regional Medical Center
Berrien County Hospital
BJC Medical Center
Bleckley Memorial Hospital
Brooks County Hospital
Burke Medical Center
Calhoun Memorial Hospital
Candler County Hospital
Candler Hospital
Cartersville Medical Center
Central Georgia Rehabilitation Hospital
Charlton Memorial Hospital
Chatuge Regional Hospital
Chestatee Regional Hospital
Children's Healthcare of Atlanta at Egleston
Children's Healthcare of Atlanta at Hughes
Spalding
Children's Healthcare of Atlanta at Scottish Rite
Clinch Memorial Hospital
Coastal Behavioral Health
Coastal Harbor Treatment Center
Cobb Memorial Hospital
Coffee Regional Medical Center
Coliseum Medical Centers
Coliseum Northside Hospital
Coliseum Psychiatric Center
Colquitt Regional Medical Center
Crisp Regional Hospital
Decatur Hospital
DeKalb Medical Center
DeKalb Medical Center at Hillandale
Doctor's Hospital (Columbus)
Doctor's Hospital of Augusta
Dodge County Hospital
Donalsonville Hospital, Inc.
Dorminy Medical Center
Early Memorial Hospital
East Georgia Regional Medical Center
Effingham Hospital
Elbert Memorial Hospital
Emanuel Medical Center
Emory Eastside Medical Center
Emory Johns Creek Hospital
Emory University Hospital
Emory University Hosptial Midtown
Emory-Adventist Hospital
Evans Memorial Hospital
Fairview Park Hospital
Fannin Regional Hospital
Flint River Community Hospital
Floyd Medical Center
Georgia Medical Center
Gordon Hospital
Grady General Hospital
Grady Memorial Hospital
Gwinnett Medical Center
Gwinnett Medical Center - Duluth
Habersham County Medical Center
Hamilton Medical Center
Hart County Hospital
Henry Medical Center
Higgins General Hospital
Hillside Hospital
Houston Medical Center
Hughston Hospital
Hutcheson Medical Center
Inner Harbour Hospital
Irwin County Hospital
Jasper Memorial Hospital
Jeff Davis Hospital
Jefferson Hospital
Jenkins County Hospital
John D. Archbold Memorial Hospital
Kindred Hospital-Atlanta
Landmark Hospital of Athens
Laurel Heights Hospital
Liberty Regional Medical Center
Louis Smith Memorial Hospital
Macon Behavioral Health System
McDuffie Regional Medical Center
MCG Health, Inc
Meadows Regional Medical Center
Medical Center
Medical Center of Central Georgia
Memorial Health University Medical Center
Memorial Hospital of Adel
Memorial Hospital of Bainbridge
Miller County Hospital
Minnie G. Boswell Memorial Hospital
Mitchell County Hospital
Monroe County Hospital
Morgan Memorial Hospital
Mountain Lakes Medical Center
Murray Medical Center
Newton Medical Center
Revised Parts C, E, and F to North Fulton Regional Hospital
reflect corrected information
North Georgia Medical Center
Northeast Georgia Medical Center
Northside Hospital
Northside Hospital Forsyth
Northside Hospital-Cherokee
Oconee Regional Medical Center
Palmyra Medical Centers
Peach Regional Medical Center
Peachford Behavioral Health System of Atlanta
Perry Hospital
Phoebe Putney Memorial Hospital
Phoebe Worth Medical Center
Piedmont Fayette Hospital
Piedmont Hospital
Piedmont Mountainside Hospital
Piedmont Newnan Hospital
Polk Medical Center
Putnam General Hospital
Redmond Regional Medical Center
Ridgeview Institute
Riverwoods Behavioral Health System
Rockdale Hospital & Health Systems
Roosevelt Long Term Acute Care Hospital
Roosevelt Warm Springs Rehabilitation Hospital
Saint Francis Hospital
Saint Joseph's Hospital
Saint Joseph's Hospital of Atlanta
Saint Mary's Hospital
Satilla Regional Medical Center
Screven County Hospital
Select Specialty Hospital Augusta
Shepherd Center
Smith Northview Hospital
Revised to reflect correct South Fulton Medical Center
indigent and charity care data.
South Georgia Medical Center
Southeast Georgia Health System-Brunswick
Campus Georgia Health System-Camden
Southeast
Campus
Southern Regional Medical Center
Southwest Georgia Regional Medical Center
Spalding Regional Medical Center
St. Simons-by-the-Sea
Stephens County Hospital
Sumter Regional Hospital East
Sylvan Grove Hospital
Tanner Medical Center/Villa Rica
Tanner Medical Center-Carrollton
Taylor Regional Hospital
The Doctors Hospital of Tattnall
Tift Regional Medical Center
Trinity Hospital of Augusta
Turning Point Hospital
Union General Hospital
University Hospital
Upson Regional Medical Center
Walton Regional Medical Center
Walton Rehabilitation Hospital
Warm Springs Medical Center
Washington County Regional Medical Center
Wayne Memorial Hospital
WellStar Cobb Hospital
WellStar Douglas Hospital
WellStar Kennestone Hospital
WellStar Paulding Hospital
WellStar Windy Hill Hospital
Wesley Woods Geriatric Hospital
West Georgia Medical Center
Wildwood Lifestyle Center & Hospital
Willingway Hospital
Wills Memorial Hospital
Medicaid Medicare
Street Street Street Mail
County Mail City Mail Zip Provider Provider
Address City Zip Address
# #
11 12 13 14 15 16 17 18 19
Clayton 5454 College 30349- 5454 College 30349-
Yorktown Park
163 East Baxley 5317
31513- Yorktown Park
PO Box Baxley 5317
31515-
Appling
Tollison
1199 0326
30606- 2070
1199 2070
30606-
Clarke Athens Athens
Prince
303 2793
30312- Prince
303 2793
30312-
Fulton Atlanta Atlanta
Parkway
302 1212
31510- Parkway
PO 1212
31510-
Bacon Alma Alma
South
316 2922
30680- Drawer
316 0987
30680-
Barrow Winder Winder
North
1221 2150
31639- North
PO Box Nashville 2150
31639-
Berrien Nashville
East
70 Commer 2326
30529- 665
70 Commer 0665
30529-
Jackson
Medical ce
145 East Cochran 1084
31014- Medical ce
145 East Cochran 1084
31014-
Bleckley
Peacock
903 1542
31643- Peacock
PO Box Quitman 1542
31643-
Brooks Quitman
North
351 Waynesb 1315
30830- 5000
351 Waynesb 5000
30830-
Burke
Liberty J. oro 9686 Liberty oro 9686
Calhoun 55 R. E. Arlington 31713 PO Arlington 31713-
Avenue Drawer R 0496
Candler 400 Metter 30439 PO Box Metter 30439-
Cedar 597 0597
Chatham 5353 Savannah 31405 5353 Savannah 31405
Reynolds Cartersvil 30120-
960 Joe Reynolds Cartersvil
960 Joe 30120-
Bartow
Frank
3351 le 2129 Frank le 2129
Bibb Macon 31210- 3351 Macon 31210-
Northsid 2587 Northsid 2587
Charlton 2449 Folkston 31537 PO Box Folkston 31537
Third
110 East Hiawasse 30546- 188Box Hiawasse
PO 30546-
Towns
Main e
Dahloneg 3408 509 e
Dahloneg 0509
Lumpkin 227 30533- 227 30533-
Mountai a
1405 1606 Mountai a 1606
DeKalb Atlanta 30322- 1405 Atlanta 30322-
Fulton
Clifton
35 Jesse Atlanta 1101
30303 35 Jesse Atlanta 1101
Clifton
30303
Hill, Jr.,
1001 Hill, Jr.,
Fulton Atlanta 30342- 1001 Atlanta 30342-
Johnson Homervil 1605
1050 Johnson Homervil 1605
P.O. Box
Clinch 31634 31634
Valdosta le 516 le
Chatham 633 Savannah 31405 633 Savannah 31405
Stephens Stephens
Chatham 1150 Savannah 31406- 1150 Savannah 31406-
Cornell 2702 Cornell
PO Box Royston 2702
Franklin 521 Royston 30662- 30662-
Franklin
1101 3934 589Box 0589
Coffee Douglas 31533- PO Douglas 31534
Ocilla 2262 1287
Bibb 350 Macon 31217- 350 Macon 31217-
Hospital
400 3871
31210- Hospital
400 3871
Bibb Macon Macon 31210
Charter
340 4853
31217- Charter
340 31217-
Bibb Macon Macon
Hospital 8002 Hospital 8002
Colquitt 3131 Moultrie 31768- P O Box Moultrie 31776-
South
902 6925
31015- 40 Box
PO 0040
31010-
Crisp Cordele Cordele
Seventh
450 2370
30030- 5007
450 5007
30030-
DeKalb Decatur Decatur
North
2701 2626
30033- North
2701 2626
30033-
DeKalb Decatur Decatur
North
2801 5995 North
2801 5995
DeKalb Lithonia 30058 Lithonia 30058
Dekalb Columbu
Muscoge 616 31902- Dekalb Columbu
PO Box 31902-
e Nineteen s 2188 2188 s 2188
Richmond 3651 Augusta 30909- 3651 Augusta 30909-
Wheeler
901 6426
31023- Wheeler
PO Box Eastman 6426
31023-
Dodge Eastman
Griffin 2223 4309 Donalson 4309
Seminole 102 Donalson 39845 102 39845
Hospital ville Hospital ville
Ben Hill 200 Perry Fitzgeral 31750- PO Box Fitzgeral 31750-
House
11740 d 8857
39823- 1447
11740 d 1447
Early Blakely Blakely 39823
Columbia Statesbor 2574 Columbia Statesbor
Bulloch 1499 Fair 30458- PO Box 30459-
Road o 0803 1048
P O Box o 1048
Effingham 459 Springfiel 31329- Springfiel 31329-
Highway d
4 3085
30635- 386
4 d 0386
Elbert Elberton Elberton 30635-
Medical Swainsbo 1897 Medical Swainsbo 1830
Emanuel 117 Kite 30401- PO Box 30401-
Road ro 3231 879 Box ro 0879
Gwinnett 1700 Snellville 30078- PO Snellville 30078-
Medical Johns
6325 2195 587
6325 Johns 0587
Fulton 30097 30097
Hospital Creek
1364 30322- Hospital Creek
1364
DeKalb Atlanta Atlanta 30322-
Clifton
550 1061 Clifton
550 1061
Fulton Atlanta 30308 Atlanta 30308
Peachtre
3949 Peachtre
3949
Cobb Smyrna 30080 Smyrna 30080
South
200 30417- South
P O Box Claxton 30417-
Evans Claxton
North 1659 518Box 0518
Laurens 200 Dublin 31021- PO Dublin 31040-
Industrial Blue
2855 Old 2997
30513- 1408 Old Blue
2855 1408
30513-
Fannin
Highway Ridge
509 Montezu 6247
31063- Highway Ridge
P O Box Montezu 6247
31063-
Macon
Sumter ma
304 1756
30165- 770 Box ma
PO 2502
30162-
Floyd Rome Rome
Turner
Muscoge 100 Frist Columbu 5621 233 Box Columbu
P.O. 0233
31908 31908
e CourtRed s
1035 30701- 7188
P O Box s
Gordon Calhoun Calhoun 30703-
Bud Road
1155 6000
31728- 12938
PO Box 7013
31728-
Grady Cairo Cairo
Fifth
80 Jesse Atlanta 3162
30303- 360
80 Jesse Atlanta 0360
30303-
Fulton
Hill, Jr.
1000 Lawrence 3050
30045- Hill,Box Lawrence 3050
PO Jr. 30046-
Gwinnett
Medical ville 7694 348 ville
Lawrence 0348
Gwinnett 3620 Duluth 30096 3620 30096
Howell Howell ville
Habersha 541 Demores 30535 P O Box Demores 30535-
m Historic t 37 Box t 0037
Whitfield 1200 Dalton 30720- PO Dalton 30722-
Memoria
138 West 2529 1168 1168
Hart Hartwell 30643- P O Box Hartwell 30643-
Gibson
1133 Stockbrid 1847
30281- 280
1133 Stockbrid 0280
30281-
Henry
Eagle's ge 5099 Eagle's ge 5099
Haralson 200 Allen Bremen 30110- PO Box Bremen 30110-
Memoria
690 2012
30306- 655
690 0655
Fulton Atlanta Atlanta 30306
Courtena Warner 3421 Courtena Warner
Houston 1601 31093- P O Box 31099-
Muscoge Watson
100 Frist Columbu 3452
Robins 31909- 2886
100 Frist Robins
Columbu 2886
31909-
e Court
100 s
Fort 3578 Court
100 s
Fort 3578
Catoosa 30742 30742
Gross
4685 Oglethor 30135-
Douglasvi Gross
4685 Oglethor 30135-
Douglasvi
Douglas
Dorsett
710 lle 4999
31774- Dorsett
710 lle 4999
31774-
Irwin Ocilla Ocilla
North
898 Monticell 5098
31064- North
898 Monticell 5098
31064-
Jasper
College o
163 Hazlehur 1298 College
P O Box Hazlehur 1298
o
Jeff Davis 31539 31539
South
1067 st 1690 st
Jefferson Louisville 30434- P O Box Louisville 30434-
Peachtre
931 East Millen 1599
30442- 528 East
931 0528
30442-
Jenkins Millen
Winthrop Thomasvi 1839
915 31792- Winthrop Thomasvi 1839
PO Box 31799-
Thomas
Gordon lle
705 6699 1018 lle 1018
Fulton Atlanta 30365- 705 Atlanta 30365-
Juniper
775 1391 Juniper
775 1391
Clarke Athens 30606 Athens 30606
Sunset
934 Sunset
DeKalb Atlanta 30306- 934 Atlanta 30306-
462 E. G. Hinesville 2655
Briarcliff 31313- Briarcliff
PO Box Hinesville 2655
31310-
Liberty
Lanier
Miles
852 West Lakeland 400031635- 919 West
852 0919
Lakeland 31635-
Thigpen
3500 1099 Thigpen 1099
Bibb Macon 31210- 3500 Macon 31210-
521 Hill Thomson 2509
Riverside 30824- Riverside
521 Hill Thomson 2509
30824-
McDuffie
Street
1120 2922 Street 2922
Richmond Augusta 30912- 1120 Augusta 30912-
Fifteenth
1703 0006
30474- Fifteenth
PO Box Vidalia 0006
30475-
Toombs Vidalia
Muscoge Meadow Columbu 8915
710 31902- 1048
P O Box Columbu 104831902-
e Center
777 s 1527
31201- 951
777 s 0951
31201-
Bibb Macon Macon
Hemlock 2102 Hemlock 2102
Chatham 4700 Savannah 31404 P O Box Savannah 31403
Waters
706 31620- 23089
PO Box Adel 31620-
Cook Adel
North Bainbridg 2604 450 0450
Decatur 1500 39819 1500 Bainbridg 39819
East
209 e East e
Miller Colquitt 31737- PO Box 7 Colquitt 31737-
North Greensb 3515 Greensb 0007
Greene 1201 30642- 1201 30642-
Siloam oro 2811 Siloam oro 2811
Mitchell 90 East Camilla 31730- PO Box Camilla 31730-
Stephens 1899 639Box 0639
Monroe 88 Forsyth 31029- PO Forsyth 31029-
Martin 1682 1068 1068
Morgan 1077 Madison 30650- PO Box Madison 30650-
South
196 2073 860 0860
Rabun Clayton 30525- 196 Clayton 30525-
Ridgecres Chatswor 4111
707 Old 30705- Ridgecres Chatswor 4111
PO Box 30705-
Murray
Ellijay
5126 th
Covingto 2029
30014- 1406
5126 Covingto 1406
th
Newton 30014
Hospital n
3000 2567
30076- Hospital n
3000
Fulton Roswell Roswell 30076-
Hospital
1362 9930
30540- Hospital
PO Box Ellijay 9930
30540-
Gilmer Ellijay
South
743 Gainesvill 5410
30501- 2239
743 Gainesvill 0025
30501-
Hall
Spring
1000 e 3899
30342- Spring
1000 e 3899
30342-
Fulton Atlanta Atlanta
Johnson 1611 Johnson 1611
Forsyth 1200 Cumming 30041- 1200 Cumming 30041-
Northsid 7659 Northsid 7659
Cherokee 201 Canton 30114 201 Canton 30114
Hospital Milledge Hospital Milledge
Baldwin 821 31061- PO Box 31061-
Doughert North
2000 ville
Albany
2351
31701- 690Box
PO ville
Albany
0690
31702-
y Palmyra Fort
601 1589
31030- 1908
P O Box Fort 1908
31030-
Peach
Bluebrid Valley
2151 5009
30338- 1799
2151 Valley 1799
30338-
DeKalb Atlanta Atlanta
Peachfor 6534 Peachfor 6534
Houston 1120 Perry 31069- 1120 Perry 31069-
Mornings
Doughert 417 West Albany 2953
31701- Mornings
PO Box Albany 2953
31702-
y Third
807 1960
31791- 1828
PO Box Sylvester 1828
31791-
Worth Sylvester
South 7554 545 0545
Fayette 1255 Fayettevi 30214- 1255 Fayettevi 30214-
Highway lle
1968 4521
30309- Highway lle
1968 4521
30309-
Fulton Atlanta Atlanta
Peachtre 1285 Peachtre 1285
Pickens 1266 Jasper 30143- 1266 Jasper 30143-
Highway 1908 Highway 0730
Coweta 60 Newnan 30263- PO Box Newnan 30264-
Hospital Cedarto
424 1210
30125- 997
424 Cedarto 0997
30125-
Polk
North wn 2698 101 LAKE wn
North 2698
Putnam 101 Lake Eatonton 31024- Eatonton 31024-
Oconee
501 6007
30165- OCONEE
P O Box Rome 6007
30164-
Floyd Rome
Redmon
3995 1415
30080- 107001
3995 7001
30080-
Cobb Smyrna Smyrna
South 6397 South 6397
Clayton 223 Riverdale 30274 223 Riverdale 30274
Medical Medical
Rockdale 1412 Conyers 30012- 1412 Conyers 30012-
Milstead Warm
Meriweth 6135 3899 Milstead Warm
PO Box 3899
31830-
31830
er
Meriweth 6135 Springs
Roosevel
Warm 1000
P O Box Springs
Warm 0268
31830-
31830
er
Muscoge 2122 Springs 31904-
Roosevel
Columbu 1000
P O Box Springs
Columbu 0268
31908-
e Manches s 1600 7000 s 7000
Chatham 11705 Savannah 31419 11705 Savannah 31419-
Mercy
5665 Mercy 1791
Fulton Atlanta 30342- 5665 Atlanta 30342-
Peachtre
1230 1764 Peachtre 1764
Clarke Athens 30606- 1230 Athens 30606-
Baxter
410 3791 Baxter
PO Box Waycross 3791
Ware Waycross 31501- 31502-
Darling 5200 139 0139
Screven 215 Sylvania 30467- 215 Sylvania 30467-
Mims
1537 2097 Mims
1537 2097
Richmond Augusta 30904 Augusta 30904
Walton
2020 30309- Walton
2020 30309-
Fulton Atlanta Atlanta
Peachtre 1465 Peachtre 1465
Lowndes 4280 Valdosta 31602- PO Box Valdosta 31604
North
1170 East 6814
30344- 10010
1170 East 30344-
Fulton
Clevelan Point 3600 Clevelan Point 3600
Lowndes 2501 Valdosta 31602- PO Box Valdosta 31603-
North
2415 Brunswic 1785
31520- 1727
PO Box Brunswic 1727
31521-
Glynn
Parkwoo k 4722 1518 Dan k 1518
Camden 2000 Dan St. Marys 31558- 2000 Saint 31558-
Proctor 3810 Proctor Marys 3810
Clayton 11 Upper Riverdale 30274- 11 Upper Riverdale 30274-
Riverdale 2600 Riverdale 2600
Randolph 361 Cuthbert 39840- 361 Cuthbert 39840-
Randolph 6127 Randolph 6127
Spalding 601 Griffin 30224- PO Box V Griffin 30224-
South
2927 St. 4294
31522- 2927 Saint 0047
31522-
Glynn
Demere Simons 1620 Demere Simons 1620
Stephens 163 Toccoa 30577 163 Toccoa 30577
Hospital
1048 31709- Hospital
1048 31709-
Sumter Americus Americus
Forsyth
1050 3799
30233- Forsyth
1050 3799
30233-
Butts Jackson Jackson
McDono
705 1599 McDono
PO Box Villa Rica 1599
Carroll Villa Rica 30180 30180
Dallas
705 Dixie Carrollto 30117- 638 Dixie Carrollto
705 30117-
Carroll
Pulaski
Street
PO Box n Hawkinsv 3818
31036- Street
PO Box Hawkinsv 3818
n 31036-
1297 ille 7297 1297 ille 7297
Tattnall 247 Reidsville 30453 The Reidsville 30453
South
901 East Tifton 31794- Doctors
PO Box 31793-
Tift Tifton
18th 3699 747 0747
Richmond 2260 Augusta 30904- 2260 Augusta 30904-
Wrightsb 4726 Wrightsb 4726
Colquitt 3015 Moultrie 31788 3015 Moultrie 31788
Veterans
35 30512- Veterans
35
Union Blairsville Blairsville 30512-
Hospital 3102 Hospital 3102
Richmond 1350 Augusta 30901- 1350 Augusta 30901-
Walton Thomast
801 West 2629
30286- Walton Thomast 2629
PO 30286-
Upson
Gordon on 3474 Drawer on 0013
Walton 330 Monroe 30655- PO Box Monroe 30655-
Alcovy 2140 1346 1346
Richmond 1355 Augusta 30901- 1355 Augusta 30901-
Independ Warm
Meriweth 5995 1037
31830- Independ Warm 1037
31830-
PO Box 8
er
Washingt Spring
610 Springs
Sandersvi 2149
31082- Springs 0008
PO Box Sandersvi 31082-
on Sparta
865 lle 1893
31545- 636Box
PO lle 0636
Wayne Jesup Jesup 31598
South
3950 0210
30106- 410
3950 30106-
Cobb Austell Austell
Austell
8954 Douglasvi 1174
30134- Austell Douglasvi 1174
8954 30134-
Douglas
Hospital lle
677 2282 Hospital lle 2282
Cobb Marietta 30060- 677 Marietta 30060-
Church 1148 Church 1148
Paulding 600 West Dallas 30132- 600 West Dallas 30132-
Memoria 4118 Memoria 4118
Cobb 2540 Marietta 30067- 2540 Marietta 30067-
Windy
1821 8632 Windy 8632
DeKalb Atlanta 30329- 1821 Atlanta 30329-
Clifton
1514 5102 Clifton
PO Box 5102
Troup LaGrange 30240 LaGrange 30241-
Vernon
435 Wildwoo 30757 1567
P O Box Wildwoo 1567
Dade 30757
Lifestyle
311 d
Statesbor 30458- 129
311 d
Statesbor 30458-
Bulloch
Jones
120 o
Washingt 4765
30673- Jones
PO Box o
Washingt 4765
30673-
Wilkes
Gordon on 1602 370 on 0370
Cost
Cost
Fiscal Beginning Fiscal Ending Report HFS Reporting Year HFS Reporting Year
Report
Date Date Begin Begin End
End Date
Date
20 21 22 23 24 25
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Sep-07 31-Aug-08 09/01/2007 08/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Apr-07 31-Mar-08 04/01/2007 03/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jun-07 31-May-08 06/01/2007 05/31/2008
01-Apr-07 31-Mar-08 04/01/2007 03/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 10/01/2007 09/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-May-07 30-Apr-08 05/01/2007 04/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07-01-07 06-30-08
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 07/01/2007 06/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 04/01/2007 03/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Aug-07 31-Jul-08 08/01/2007 07/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 10/01/2007 09/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008/
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/07 06/30/08
01-Jan-08 31-Dec-08 09/01/2007 08/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Sep-07 31-Aug-08 09/01/2007 08/31/2008
01-Sep-07 31-Aug-08 09/01/2007 08/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-May-07 30-Apr-08 05/01/2007 04/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/07 06/30/08
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Mar-07 29-Feb-08 03/01/2007 02/29/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Dec-07 30-Nov-08 12/01/2007 11/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 09/01/2007 08/31/2008
January 1 December 31
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Dec-07 30-Nov-08 12/01/2007 11/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Apr-07 31-Mar-08 04/01/2007 03/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
08-Mar-08 31-Dec-08 03/08/2008 12/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 01-01-2008 12-31-2008
01-Jan-08 31-Dec-08 ####### ####### 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07/01/2008 06/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 05/01/2007 04/30/2008
01-Nov-07 31-Oct-08 11/01/2007 10/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Mar-07 29-Feb-08 03/01/2007 02/29/2008
01-Aug-07 31-Jul-08 08/01/2007 07/31/2008
01-Aug-07 31-Jul-08 08/01/2007 07/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 10/01/2007 09/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 07/01/2007 06/30/2008
01-Sep-07 31-Aug-08 09/01/2007 08/31/2008
15-Sep-08 31-Dec-08 09/15/2008 12/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jul-07 30-Jun-08 07-01-2007 06-30-2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 03/31/2007 04/01/2008
01-Apr-07 31-Mar-08 04/01/2007 03/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 06/30/2007 05/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Apr-07 31-Mar-08 04/01/2007 03/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-May-07 30-Apr-08 05/01/2007 04/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Jan-08 31-Jan-08 10/01/2007 09/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Sep-07 31-Aug-08 09/01/2007 08/31/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Jul-07 30-Jun-08 07/01/2007 06/30/2008
01-Sep-07 31-Aug-08 09/01/2007 08/31/2008
01-Oct-07 30-Sep-08 10/01/2007 09/30/2008
01-Jan-08 31-Dec-08 01/01/2008 12/31/2008
01-Apr-07 31-Mar-08 04/01/07 03/31/08
01-May-07 30-Apr-08 05/01/2007 04/30/2008
Cost Hospital Operation Operation
Operation Signatur Signatur signature
Report Fiscal al Entire al Full Operational Date
al Full Yr? e e2 title
Year End Year End Yr? Year?
26 27 28 29 30 31 32 33 34
FALSE Jennifer April CEO
Morgan
Dale Hughes Chief
Elaine K.
FALSE
Spell A
John William Executive
Pike
0 FALSE CEO
Drew Larry
William Lisa
FALSE CEO
Moore Napier
Cindy R. Harry Chief
0 FALSE
Turner
Blake Bennett Executive
Jared Chief
0 FALSE
Watts D
James Whipkey Executive
Stephani CEO
0 FALSE
Janek P.
James eL
John Chief
0 FALSE
Yarborou Cornell Executive
Jan Jan Administ
0 FALSE
Hamrick Hamrick rator
Michael Skip Administ
0 FALSE
Purvis
Jennifer Hightowe rator
Dianne Administ
FALSE
A. Royal
EARL S W.
DEBRA N rator
FALSE CEO
WHITELE HATHOR Chief
Danny B. Danny B.
0 FALSE
Moxley Moxley Executive
Paul P Greg
0 FALSE CEO
Hinchey Schaack
Keith Benny
0 FALSE CEO
Sandlin McDonal
Elbert T. Beverly CEO
0 FALSE
McQuee C. Owens Administ
Kenneth Kimberly
0 FALSE
Jones
R. LEWIS Savage
TIM rator
ADMINIS
0 FALSE
KELLEY
Julia HENRY
Julia TRATOR
Interim
0 FALSE
Berndt
Donna Berndt
Ruth Chief
Chief
FALSE
Hyland
Michael Fowler
Sue Executive
Grady
0 FALSE
A. Young
Donna McCarth
Ruth CEO
Chief
0 FALSE
HylandC.
Phillip Fowler C.
Sandra Executive
Administ
FALSE
Cook Hughes rator
FALSE Facility was not Ray Garry CEO
operational Heckerm
Ray Ege
Garry
FALSE CEO
Heckerm
John Ege
Kimberly Administ
0 FALSE
Herron L.
George Massey C. rator/CE
Donald President
0 FALSE
Heck III Lewis /CEO
0 FALSE Allen Roger M. Chief
Golson Simmons
Mark W. Roger M. Executive
Chief
0 FALSE
Nichols Simmons
James W. Roger M. Executive
Chief
0 FALSE
Eyler R. Simmons Executive
James W. Larry President
0 FALSE
Lowry
Skip Charlotte /Chief
Sims President
0 FALSE
Wright
Eric Vestal
Diane /CEO
0 FALSE CEO
Norwood
Eric Harden
Diane
FALSE CEO
Norwood
Eric Harden
Diane
FALSE CEO
Norwood
Kevin Harden
Roland Senior
0 FALSE
Sass
Shayne Thacker Executive
Terence CEO
0 FALSE
George
KEVIN Vanarkel CHIEF
MICHAEL
0 FALSE
BIERSCHE
Charles HESTER
James EXECUTI
Administ
0 FALSE
H. Orrick
Warren Moody
Paige P rator
FALSE CEO
M Wynn
0 FALSE Jon Dixon Skip Administ
FALSE Robert Hightowe rator
Scott Chief
Norma Whittem Executive
Bigley
FALSE Ed Brown CEO
Morgan RAY
H. TOM
0 FALSE CEO
BROWN CANN J
Brian L Rhonda CEO
0 FALSE
Riddle, Sr Durden Chief
0 FALSE Kim Ryan Thomas
John Jackson Executive
JoAnn
0 FALSE CEO
Quinlivan Manning Chief
Robert Lynn
FALSE
Bachman
Dane C. Johnson Operatin
Liz Daunt- COO
0 FALSE
Peterson
Dennis Samford
Carol
0 FALSE CEO
Kiley HAzen
Martha John
0 FALSE CEO
Tatum R. Wiggins
Dpnald Ted Short CEO
FALSE
Avery
Scott Keith
0 FALSE CEO
Smith
Laurie Newton
FALSE CEO`
Hair M. Richard President
Kurt
0 FALSE
Stuenkel T.
Mary and CEO
0 FALSE Mary B Test
Mead
Pete Cory
0 FALSE CEO
Weber
LaDon Reeves
Skip Administ
0 FALSE
0 FALSE
Toole
Michael Hightowe rator
Sue Chief
YoungR. McCarth Executive
Philip Thomas President
0 FALSE
Thomas and Chief
WolfeR. Y.
Philip President
0 FALSE
Wolfe Y. and Chief
FALSE C. James A. President
Richard
John S. Peterson /CEO
Randall F. President
0 FALSE
Bowling
Jerry R. Foster
Kim and CEO
0 FALSE CEO
Wise
Charles Drafts
CLAUDE PRESIDE
FALSE
Scott
Loy CARRUT NT AND
Lee C.
FALSE CEO
Howard
Teresa Sherseth President
Rodney
0 FALSE
Stoker W. C.
Grady Frank R. & CEO
0 FALSE CEO
III Roland Senior
Philips,R. Powell
James
0 FALSE
Wheeler, Thacker Executive
Charles L. Douglas President
FALSE
Stewart
Ron Volinski
Steve /CEO
0 FALSE CEO
Scroggy
Sue Lewis
Sharon
0 FALSE CEO
Spivey
Jan Griffin
Stuart Administ
0 FALSE
Gaston
JERRY Abney
CATHY rator
Administ
0 FALSE
SHOENDI
Heyward CASON
M. J. rator
0 FALSE CEO
Wells III
Pete Sombar
Pete
FALSE CEO
Mills, Jr.
Perry Mills, Jr.
Skip
0 FALSE President
Mustian
Jeffrey Hightowe Chief
Jonathan
0 FALSE
Fenn Presser Executive
FALSE July 15, 2008 - Tim Richard Chief
December 31, Merritt
Gloria Hogan
Tracy L Executive
0 FALSE CEO
Choo Cameron
H. Scott Sam
0 FALSE CEO
Kroell Jr. Johnson Administ
Neil Libby
0 FALSE
Nashon Flemmin rator
Ginty Joel Chief
0 FALSE
McPhers Kellam
Douglas Pat Parris Executive
0 FALSE CEO
C. Keir
FALSE Don Snell Dennis President
J Alan Roemer
John & CEO of
President
0 FALSE
Kent
Lance Cornell
Roland CFO
Executive
FALSE
Duke
A. Thacker
Rhonda Vice
President
0 FALSE
Donald
Phil S. Perry /CEO
Jeffrey
FALSE CEO
Schaengo
Bill Treasure Chief
John
0 FALSE
Hawley Jeter
James G. Billy Executive
0 FALSE CEO
Peak A Walker Chief
Robin
0 FALSE Jill Brown
Michael Michael Executive
Rau
0 FALSE President
Huff
Mark Huff
Skip Administ
0 FALSE
Kimball Hightowe rator
0 FALSE Kay Floyd Becky Chief
Firster Executive
FALSE Oliver Darlena CEO
Jackson
Kim M.
Jimmy Administ
0 FALSE
Ingram
James Norman, rator
Administ
0 FALSE
Hazel
James Troy rator
Administ
FALSE
Weadick
Debbie Brooks
Wes rator
President
0 FALSE
Keel James
Debbie and Chief
0 FALSE Jeff Dunn CEO
James Self
Anthony President
0 FALSE
Gardner
Robert Deborah & CEO
M. President
0 FALSE
Quattroc Mitcham & CEO
Robert Deborah President
0 FALSE
Quattroc Mitcham & CEO
William Steve
0 FALSE CEO
Hayes
Jean HudsonK. President
Brenda
0 FALSE
Aycock
W Mark Qualls
Karen /CEO
Chief
0 FALSE
Rader
Nancy Hayes
Lisa Executive
0 FALSE CEO
Peed
Matt Urbiston
April
0 FALSE CEO
Crouch
Grady W. Hughes
Frank R. CEO
0 FALSE
Philips, III Powell
Joel Kerry
0 FALSE CEO
Wernick Loudermi
John John
0 FALSE CFO
Graham Graham President
Darrell John
0 FALSE
0 FALSE
Cutts
Robert Miles Thomas and Chief
Chief
W.
Mike Arnold
Sheryl Executive
Chief
0 FALSE
Robertso
G. Klink
Courtney Executive
President
0 FALSE
Michael
Brenda D. Reece
Danny /CEO
Chief
0 FALSE
M. Waltz
DARRELL Smith
BRENDA Executive
ADMINIS
0 FALSE
M.
BRENDA JARRETT
DANNY TRATOR
CHIEF
0 FALSE
M.
paul SMITH
Jerry W. EXECUTI
President
0 FALSE
hackman Magniso /CEO
-1 FALSE 9/15/2008- MJ on Tricia N/A
12/31/2008 Behalf of
Sandy Nelson Chief
Sandy
0 FALSE
Albrecht Albrecht Financial
Greg David Executive
0 FALSE
Schmieg Cawthon Director
Greg David Executive
0 FALSE
Schmieg
Robert Cawthon Director
Matt
FALSE CEO
Granger
Paul P Moore
Greg
0 FALSE CEO
Hinchey Schaack President
Kirk G. Kevin D.
0 FALSE
Wilson Brenan / Chief
Don Martin CEO
0 FALSE
McKenna Hutson T. President
Robert Katrina
0 FALSE
M. Wheeler & CEO
0 FALSE GEORGE MARSHA CEO
ST
Brian CARROLL
Coleen CEO
FALSE N/A
DavisR. Zimmer President
Gary Stephen
0 FALSE
Ulicny,L
James B.
Shamb and Chief
0 FALSE CEO
Matney
James Purohit
Jacob
0 FALSE CEO
Clements
James Spruit, Jr. Chief
Greg
0 FALSE
McGahee
Gary R. Hembree Executive
Michael President
FALSE
Gary R. Michael & Chief
Colberg, R. President
FALSE
Colberg, R.
Clint John & Chief
Chief
0 FALSE
Matthew
Keith Schibler
John Executive
FALSE CEO
Petersen
John Graham
Tamara
0 FALSE CEO
Quinn
Kim Ison
Christine Chief
0 FALSE
Whiteloc
EDWARD Doughtie Executive
JEFFREY CEO /
FALSE
C. B. LAIRD ADMINIS
FALSE OUTPATIENT Keith Interim
SERVICES - ALL Petersen Tamara
John CEO
FALSE CEO
Quinn
Loy IsonC.
Lee
FALSE CEO
Howard
Loy Sherseth
Lee C.
0 FALSE CEO
Howard
Dan S. Sherseth
Sandra A. President
0 FALSE
Maddock Taylor
Karen H. Mike G. Administ
0 FALSE
William Sharpe L. rator
O'Neal Dennis Chief
FALSE
T.
JAMES Crum
MARC Executive
0 FALSE CEO
CRUICKS
Ben NAKAGA
Ed
0 FALSE CEO
Marion Bennett
Rebecca Tim
0 FALSE CEO
Dyer David
T. Larry Henry A
J.
0 FALSE CEO
Read L. Belkoski Chief
David John H.
0 FALSE
Castleber Williams Executive
Gary Bill
0 FALSE CEO
Lang B. Williams
Dennis Michael CEO
0 FALSE
Skelley A. Harrell
Harry J Karen
0 FALSE CEO
Carr J. Blanton
James Cynthia CEO
0 FALSE
Childre,P. Parker
Joseph Gregory CEO
0 FALSE
Gregory A. Jones President
Ierardi Jim
0 FALSE
L.
Gregory Budzinski
Jim and Chief
President
FALSE
L.
Gregory Budzinski
Jim and Chief
President
0 FALSE
Gregory Budzinski and Chief
L. Jim President
0 FALSE
L. Budzinski and Chief
0 FALSE Gregory Jim President
L.
Raiana Budzinski
Raiana and Chief
Financial
FALSE
Anwar
Jerry Anwar
Paul Analyst
Chief
0 FALSE
Fulks Perrotti Executive
FALSE 6/18/2008 TO VAUGHA LARRY E HOSPITA
12/31/2008 N
James W. STAPLET L
Barbara C.E.O.
0 FALSE
Mooney
T. Marvin S. Reid
Cliff
0 FALSE CEO
Goldman Cooper
signature Signature Signature2 Contact Contact Contact Contact Contact
2 title Date Date Person Title Phone Fax Email
35 36 37 38 39 40 41 42
Group 13-Nov-09 13-Nov-09 April Group 770-454- 770-454- april.hug
Financial
Chief Hughes 912-367- 5590
Financial 5590 hes@uhs
29-Sep-09 29-Sep-09 ELAINE K Chief 912-367- pikee@a
Financial
Sr VP PIKE Director, 706-475- 8203
Financial 9841 ppling-
tcox@ar
706-475-
24-Sep-09 24-Sep-09 Todd Cox
Finance / Kevin Financial 404-265- 5925
Corporat 5926 404-265- mc.org
kevin.dis
CFO 30-Sep-09 30-Sep-09
Chief Disher
Harry 912-632- 4763
Analyst 4701
Chief 912-632- her@ten
hbennett
22-Sep-09 22-Sep-09
Financial
Chief 770-307- 5000
Bennett Financial 8961
Jared Chief 770-307- @bchsi.o
jared.whi
15-Sep-09 15-Sep-09
Financial 229-543- 5221
Whipkey Financial 5211
Katrina Staff 229-543- pkey@h
katrinaa
CFO 31-Aug-09 31-Aug-09
Interim Adkins
Linda Interim 706-335- 1724
Accounta 7312 706-335- @berrien
lfausett
30-Sep-09 30-Sep-09
Chief Fausett PFS 1122 4999 @bjcmc.
CFO 30-Sep-09 30-Sep-09 Jan Administ 478-934- 478-934- jhamrick
Sr VP and Hamrick rator and 6211 9659 @bleckle
28-Sep-09 28-Sep-09 Skip Sr VP 229-228- 229-551- shightow
CFO Hightowe CFO 2853 8741 er@arch
CFO 29-Sep-09 29-Sep-09 Dianne CFO 706-437- 706-554- dstewart
W. 2655 4435 @burke
CFO 24-Sep-09 24-Sep-09 DEBRA CFO 229-725- 229-725- debra.ha
Chief HATHOR 2130 2199 thorn@h
28-Sep-09 28-Sep-09 Danny Chief 912-685- 912-685- dmoxley
Executive Moxley Executive 5741 3905 @pinelan
CFO 29-Sep-09 29-Sep-09 Tami Financial 912-819- 912-819- jeffersta
Jeffers Analyst 7578 8664 @sjchs.o
CFO 28-Sep-09 28-Sep-09 Christie Assistant 770-606- 770-607- christie.f
Controlle Fox Controlle 2201 1011 ox@hcah
31-Aug-09 31-Aug-09 Elbert T. CEO 478-201- 478-757- mcqueen
r
Controlle McQuee 6543 0876 .elbert@
18-Sep-09 18-Sep-09 Kevin Assistant 912-496- 912-496- kramerke
r
CHEIF Kramer Controlle 2531 7766 vinscott
30-Sep-09 30-Sep-09 RETA JO ACCOUN 706-896- 706-896- retamcki
FINANCIA
Chief MCKIN TING 7148 7872 n@union
25-Sep-09 25-Sep-09 Jesus F. Corporat 770-933- 770-933- jesus.ruiz
Financial
Senior VP Ruiz, CPA e 7048 7010 @sunlink
30-Sep-09 30-Sep-09 Art Reimburs 404-785- 404-785- Art.kutne
finance
Grady Kutner ement 7963 7954 r@choa.
09-Oct-09 09-Oct-09 Carolyn S Reimburs 404-785- 404-785- Carolyn.F
CFO VP
Senior Ford ement 7877 7954 ord2@ch
30-Sep-09 30-Sep-09 Art Reimburs 404-785- 404-785- Art.Kutne
Finance Kutner ement 7963 7954 r@choa.
CFO 03-Sep-09 03-Sep-09 Sandra C. CFO 912-487- 912-487- shughes
Hughes 5211 4334 @clinch
CFO 28-Jul-09 28-Jul-09 Garry CFO 912-354- 912-355- garry.ege
Ege 3911 1336 @uhsinc.
CFO 28-Jul-09 28-Jul-09 Garry CFO 912-354- 912-355- garry.ege
Controlle Ege Controlle 3911 1336 @uhsinc.
30-Sep-09 30-Sep-09 Kimberly 706-245- 706-245- kimberly.
r A. r
Controlle 1290 912-383- massey@
1859
VP/CFO 25-Sep-09 25-Sep-09 Barry 912-383- barry.blo
Bloom r 5621 5667 om@coff
Chief 07-Oct-09 07-Oct-09 June Assistant 478-464- 478-765- june.dick
Financial
Chief Dickerso Controlle 5443
Assistant 478-464- 4500 erson@h
07-Oct-09 07-Oct-09 June 478-765- june.dick
Financial
Chief Dickerso Controlle 5443
Assistant 478-464- 4500 erson@h
07-Oct-09 07-Oct-09 June 478-765- june.dick
Financial
Vice Dickerso Controlle 5443 4500
Director- 229-890- 229-891- erson@h
30-Sep-09 30-Sep-09 Brian bmcbride
President McBride Patient 3448 9186
Controlle 229-276- 229-276- @colquit
CFO 30-Sep-09 30-Sep-09 Jessica jcarter@
Carter r 3130 3297
Reimburs 404-501- 404-501- crispregi
CFO 30-Sep-09 30-Sep-09 John C. john.hol
Holmes ement 5035 2891 mes@de
CFO 30-Sep-09 30-Sep-09 John C. Reimburs 404-501- 404-501- john.hol
Holmes ement 5035 2891 mes@de
CFO 30-Sep-09 30-Sep-09 John C. Reimburs 404-501- 404-501- john.hol
Senior Holmes ement 5035 2891 mes@de
23-Sep-09 23-Sep-09 Charles Director, 706-571- 706-571- Charles.B
Vice Brumbel Reimburs
Controlle 1970
706-651- 1965
706-651- rumbelo
Jon.Bake
CFO 30-Sep-09 30-Sep-09 Jon Baker
CHIEF r 6012 2457 r@HCAH
28-Sep-09 28-Sep-09 Michael Chief 478-448- 478-448- mhester
FINANCIA Hester Financial 4050 4088 @dodgec
CFO 31-Aug-09 31-Aug-09 James CFO 229-524- 229-524- james.m
Moody 5217 6034 oody@d
CFO 23-Nov-09 23-Nov-09 PAIGE CHIEF 229-424- 229-424- pwynn@
Sr VP and WYNN FINANCIA 7170 7281 dorminy
28-Sep-09 28-Sep-09 Skip Sr VP and 229-228- 229-551- shightow
CFO
Chief Hightowe CFO 2853 8741 er@arch
28-Sep-09 28-Sep-09 Scott Chief 912-486- 912-871- Scott.Wh
Financial Whittem Financial 1701
912-754- 2353
912-754- ittemore
browned
CFO 09-Mar-10 09-Mar-10 Ed Brown CFO
0141 9901 @effingh
CFO 04-Nov-09 04-Nov-09 RAY CFO 706-213- 706-213- rcann@e
CANN 2529 2578 mhcare.n
CFO 04-Nov-09 04-Nov-09 Rhonda CFO 478-289- 478-289- rdurden
Chief Durden 1374 1300 @emanu
13-Oct-09 13-Oct-09 Charles Controlle 770-736- 770-736- Charles.
Financial McKinne r 2495 2395 McKinne
CFO 29-Sep-09 29-Sep-09 Chris Controlle 678-474- 678-474- Christine.
Director Williams r 7010 7011 Williams
13-Oct-09 13-Oct-09 Sherry Accounta 404-686- 404-686- Sherry.lo
of
Controlle Lockett nt, Sr. 6025 6030 ckett@e
14-Oct-09 14-Oct-09 Toni Associate 404-686- 404-686- toni.wim
r
Chief Wimby Administ 2450 2848 by@emo
06-Nov-09 06-Nov-09 Jermaine Controlle 770-436- 770-438- jermaine.
Financial BUcknor r 3162 4348 bucknor
CFO 19-Aug-09 19-Aug-09 John CFO 912-739- 912-739- jwiggins
Wiggins Chief 5139
478-274- 5739
478-272- @evans
ted.short
CFO 02-Oct-09 02-Oct-09 Ted Short
Financial 3103 0211 @hcahea
CFO 25-Aug-09 25-Aug-09 Brian J. Controlle 706-632- 706-632- brian_fis
Fisk r 4292 4287 k@chs.n
28-Sep-09 28-Sep-09 Laurie CEO 478-472- 478-472- l.hair@fli
Vice Hair 3246 2412 ntriverho
24-Sep-09 24-Sep-09 Richard Vice 706-509- 706-509- rsheerin
President T. President 6079 6070 @floyd.o
Test 25-Sep-09 25-Sep-09 Mary Administ 404-999- 404-999- mboltwo
Boltwoo Controlle 1175
rator 1175 od@gmai
CFO 28-Sep-09 28-Sep-09 C 706-602- 706-629- crodman
Sr. VP Rodman r VP and 7800 4842 @ahss.or
28-Sep-09 28-Sep-09 Skip Sr 229-228- 229-551- shightow
and CFO
Chief Hightowe CFO 2853 8741 er@arch
01-Oct-09 01-Oct-09 Esther Director 404-616- 404-616- ebailes@
Financial
Executive Bailes of Cost 0606 1999 gmh.edu
30-Sep-09 30-Sep-09 Timothy Sr. 678-312- 770-339- tgreene
Vice
Executive R. Reimburs 5622 3459 @gwinne
30-Sep-09 30-Sep-09 Timothy Sr. 678-312- 770-339- tgreene
Vice R. Reimburs 5622 3459 @gwinne
Sr. VP 14-Sep-09 14-Sep-09 James A. Sr VP of 706-754- 706-754- jpeterson
Finance
Vice Peterson Finance 706-272- 7300
2161 706-272- @hcmcm
30-Sep-09 30-Sep-09 Randall F. Vice rfoster@
President
Controlle Foster President 6124 6117
Controlle 706-856- 706-856- hhcs.org
30-Sep-09 30-Sep-09 Kim kim.draft
r
VICE Drafts r 6159 6117
Controlle 678-604- 678-604- s@tycob
30-Sep-09 30-Sep-09 Walter wevans
PRESIDE Evans r of 5363 5048 @hmc-
CFO 28-Aug-09 28-Aug-09 Carol S. VP 770-836- 770-836- ccrews@
Crews Finance 9745 9745 tanner.or
CFO 30-Sep-09 30-Sep-09 Rodney CFO 404-564- 404-875- rsouthwo
Chief C. 0678 8090 rth@hsid
02-Oct-09 02-Oct-09 Jennifer Reimburs 478-542- 478-542- jejohnso
Financial
Senior A. ement 7817 7795 n@hhc.o
28-Sep-09 28-Sep-09 Charles Director, 706-571- 706-571- Charles.B
Vice
Chief Brumbel Reimburs 1970 1965 rumbelo
08-Oct-09 08-Oct-09 Denise Controlle 706-858- 706-858- dbaker@
Financial
Director Baker r 2385 2693 hutcheso
24-Nov-09 24-Nov-09 Steve Director 770-942- 770-920- steve.lew
of Lewis of 2391 0152 is@youth
CFO 21-Sep-09 21-Sep-09 Sharon Director 229-468- 229-468- sgriffin@i
Controlle Griffin of 3862 9991 rwincnty
19-Aug-09 19-Aug-09 Stuart Controlle 706-468- 706-468- stuart@j
r
Chief Abney r 9802 9880 asperme
18-Sep-09 18-Sep-09 JERRY ADMINIS 912-375- 912-375- jerrys@jd
Financial SCHOEN TRATOR 7781 4055 hosp.org
CFO 10-Sep-09 10-Sep-09 Michael CFO 478-685- 478-625- mjsomba
J. Sombar 7000 8907 r@jeffers
CEO 16-Sep-09 16-Sep-09 Pete CEO 478-982- 478-982- ipmills@j
SVP and Mills, Jr. Sr VP and 4221 2478 chosp.or
30-Sep-09 30-Sep-09 Skip 229-228- 229-551- shightow
CFO
Chief Hightowe CFO 2853 8741 er@arch
10-Oct-09 10-Oct-09 Jonathan Chief 404-873- 404-885- Jonathan
Financial
Chief Presser 573-331- 9313
Financial 2871 _Presser
27-Sep-09 27-Sep-09 Richard Chief 573-331- rhogan@
Financial Hogan 404-888- 8489
Financial 8449 landmark
CFO 21-Sep-09 21-Sep-09 TRACY L CFO 404-872- tracy.ca
CAMERO 912-369- 5088
7787 meron@
CFO 23-Sep-09 23-Sep-09 Sam CFO 912-369- sam.john
Controlle Johnson 229-482- 9400
Controlle 9400 son@libe
30-Sep-09 30-Sep-09 Libby 229-482- libby.fle
r
Chief Flemmin Controlle 8413
r 478-314- mming@
478-477- 8542
08-Feb-10 08-Feb-10 Trey trey.allgo
Financial Allgood r 3829 1728
706-597- 706-597- od@psys
CFO 30-Sep-09 30-Sep-09 Patricia Chief pparris@
Sr. V.P. of W. Parris Director 706-721- 706-434- mrmc.or
Financial 5205 5133
24-Aug-09 24-Aug-09 Matt mdriskell
Finance/
AVP - Driskell of 6822 5056
Controlle 912-277- 912-538- @mcg.ed
30-Sep-09 30-Sep-09 Will wbennet
Finance
Senior Bennett r 2168 5351 t@mead
29-Sep-09 29-Sep-09 Charles Director 706-571- 706-571- charles.b
Vice
Vice Brumbel Reimburs 1970 1965 rumbelo
15-Sep-09 15-Sep-09 Darrell Asst. 478-633- 478-633- mcdaniel
President McDaniel Director - 1134 1861 .darrell@
CFO 30-Sep-09 30-Sep-09 George Reimburs 912-350- 912-350- harvege1
Chief Harvey ement 8918 8126 @memor
15-Sep-09 15-Sep-09 Jesus F. Director 770-933- 770-933- jesus.ruiz
Financial Ruiz, CPA of 7048 7010 @sunlink
CFO 28-Sep-09 28-Sep-09 Billy CFO 229-243- 229-246- billyw@
Chief Walker 6109
229-758- 8142
229-758- mh-
jbrown@
25-Sep-09 25-Sep-09 Jill Brown CFO
Financial 5926 6623 millercou
President 30-Sep-09 30-Sep-09 Cassie Director 706-453- 706-453- csyme@s
Sr. VP Syme of VP and 5030 2812 jha.org
28-Sep-09 28-Sep-09 Skip Sr 229-228- 229-551- shightow
and CFO
Chief Hightowe CFO 2853 478-994- er@arch
478-994- 8741
06-Nov-09 06-Nov-09 Becky Chief bfirster@
Financial Firster Financial 2521 8798 monroeh
CFO 07-Nov-09 07-Nov-09 Darlena Chief 706-752- 706-342- darlenak
Kinnett 334-386- 3419
Financial 2244 @mmh.o
CFO 19-Nov-09 19-Nov-09 Jimmy CFO 334-386- jnorman
Norman, 0343
Director, 706-517- 0382 @inmedg
30-Sep-09 30-Sep-09 Jana 706-517- jbriley@h
Assistant Briley Financial 2067 3736
Assistant 770-385- 770-385- hcs.org
14-Aug-09 14-Aug-09 Troy B. tbrooks
Administ
Chief Brooks Assistant 770-751- 770-751- @newto
Administ 4426 4269
11-Feb-10 11-Feb-10 Mike Mike.OH
Financial O'Hare Corporat 770-933- 770-933- are@Ten
Controlle 2592 2796
CFO 03-Sep-09 03-Sep-09 Jesus F. jesus.ruiz
Vice Ruiz, CPA e 7048 7010 @sunlink
30-Sep-09 30-Sep-09 Linda Controlle 770-219- 770-219- Linda.Nic
President Nicholso r 6622 6644 holson@
CFO 14-Sep-09 14-Sep-09 Shannon Director 404-303- 404-303- shannon.
Asbury of 3621 3820 asbury@
CFO 14-Sep-09 14-Sep-09 Shannon Director 404-303- 404-303- shannon.
Asbury of 3621 3820 asbury@
CFO 17-Sep-09 17-Sep-09 Steve Chief 770-720- 770-479- steve.hu
CFO/VP Hudson Financial 5105 3670 dson@no
17-Sep-09 17-Sep-09 Lisa Corporat 478-457- 478-457- ldonnelly
of
Chief Donnelly e 2076 2127 @ormcin
11-Sep-09 11-Sep-09 Karen Chief 229-434- 229-434- karen.ha
Financial Hayes Financial 2149 2563 yes@hca
CFO 28-Sep-09 28-Sep-09 Lisa CFO 478-825- 478-825- lisaurb@
Urbiston 4446 0303 peachreg
CFO 13-Nov-09 13-Nov-09 April CFO 770-454- 770-454- april.hug
Hughes Reimburs 5590 2362 hes@uhs
CFO 02-Oct-09 02-Oct-09 Jennifer 478-542- 478-542- jejohnso
A. ement 7817
229-312- 7795 n@hhc.o
CFO 01-Oct-09 01-Oct-09 Pam VP- 229-312- pdeeter
Deeter 229-777- 6749
Controlle 6752 @ppmh.
CFO 30-Sep-09 30-Sep-09 John CFO 229-776- jograham
Chief Graham 770-719- 7062
4506 @ppmh.
04-Sep-09 04-Sep-09 John Chief 770-719- john.mile
Financial
Chief Miles Financial 7073 7194 s@piedm
29-Sep-09 29-Sep-09 Linda Director, 404-605- 404-609- linda.gre
Financial
Chief Green Corp 3444 6638 en@pied
05-Oct-09 05-Oct-09 Cinnimon Controlle 706-299- 706-301- cinnimon
Financial
Vice Glozer r 5011 5493 .glozer@
05-Oct-09 05-Oct-09 Brian Controlle 678-854- 678-854- brian.te
President
Chief Templeto r 2484 2429 mpleton
17-Sep-09 17-Sep-09 Francisca Staff 706-802- 706-802- Francisca
Financial
CHIEF Thai Accounta 3236 3298 .Thai@H
18-Sep-09 18-Sep-09 Shirley Director 706-485- 706-484- slankford
FINANCIA
CHIEF Lankford of 2711 2668 @putna
24-Sep-09 24-Sep-09 FRANCIS STAFF 706-802- 706-802- FRANCIS
FINANCIA CA THAI ACCOUN 3236 3298 CA.THAI
CFO 29-Sep-09 29-Sep-09 Jerry W CFO 770-434- 770-431- jmagniso
Magniso 4568 7045 n@ridgev
CFO 06-Jan-10 06-Jan-10 Tricia CFO 770-692- 770-991- tnelson@
Chief Nelson Decision 3554 8507 acadiahe
02-Oct-09 02-Oct-09 Kelsie 770-918- 770-918- Kelsie.Br
Financial
Director Broughto 706-655- 3805
Support 3801 oughton
01-Oct-09 01-Oct-09 David Chief 706-655- david.ca
of
Director Cawthon Financial 5609
Director 706-655- 5608 wthon@
01-Oct-09 01-Oct-09 David 706-655- david.ca
of Cawthon Director 706-596- 5608
of 5609 wthon@
CFO 31-Aug-09 31-Aug-09 Eric 706-660- fullerton
Fullerton of 4077 6068 e@sfhga.
CFO 29-Sep-09 29-Sep-09 Tami Financial 912-819- 912-819- jeffersta
Chief Jeffers Analyst 7578 8664 @sjchs.o
29-Sep-09 29-Sep-09 Latonja Budget 678-843- 678-843- lstephens
Financial R. Coordina 5820 5272 on@sjha.
CFO 01-Oct-09 01-Oct-09 Hal Reimburs 706-389- 706-389- hmixon@
Mixon ement 2617 2610 stmarysa
CFO 30-Sep-09 30-Sep-09 Katrina T. CFO 912-287- 912-284- trinaw@s
Wheeler 2538 2403 atilla.org
DIRECTO 09-Sep-09 09-Sep-09 Marsha Director 912-564- 912-564- carrollma
R OF Carroll of 7426
706-731- 0010 rsha@ho
COO 11-Aug-09 11-Aug-09 Coleen COO 706-731- czimmer
Chief Zimmer 1188
Manager 404-350- 1190 man@sel
30-Sep-09 30-Sep-09 Greg 404-350- greg_clar
Financial Clark 229-671- 229-671- k@sheph
Reimburs 7329 7694
CFO 26-Aug-09 26-Aug-09 Shamb CFO cfo@smit
Purohit 2003 2010
Controlle 404-466- 404-466- hhospital
CFO 20-Nov-09 20-Nov-09 Sunny sunny.ro
Chief Roesel r 1146 1150
Budget/fi 229-259- 229-259- esel@ten
tina.kent
30-Sep-09 30-Sep-09 Tina Kent
Financial
Vice nancial 4140 4163 @sgmc.o
21-Sep-09 21-Sep-09 Lisa Director, 912-466- 912-466- lmorgan
President
Executive Morgan Finance 3395 2113 @sghs.or
21-Sep-09 21-Sep-09 Lisa Finance 912-466- 912-466- lmorgan
Vice
Chief Morgan Director 3375 2113 @sghs.or
08-Jan-10 08-Jan-10 Ken Director, 770-991- 770-991- ken.leach
Financial Leach Manage 8314 8591 @southe
CFO 25-Sep-09 25-Sep-09 Brent Controlle 229-209- 229-732- brigsby@
Rigsby r 1252 6759 ppmh.or
CFO 24-Jul-09 24-Jul-09 Robin Controlle 678-688- 770-227- robin.gilk
Chief Gilkey r 5655 1747 ey@tene
21-Aug-09 21-Aug-09 Christine Chief 912-638- 612-634- christine.
Financial
CFO / Doughtie Financial 1999 8127 doughtie
23-Sep-09 23-Sep-09 Jeffrey B. Controlle 706-282- 706-282- jlaird@st
CONTRO Laird r 4281 4328 ephensco
02-Oct-09 02-Oct-09 MICHELL DIRECTO 229-931- 229-924- MDOGGE
E R OF 1288 5033 TT@SUM
CFO 24-Jul-09 24-Jul-09 Robin Controlle 678-688- 770-229- robin.gilk
Gilkey r of 5655 6953 ey@tene
CFO 28-Aug-09 28-Aug-09 Carol S. VP 770-836- 770-836- ccrews@
Crews Finance 9745 9834 tanner.or
CFO 31-Aug-09 31-Aug-09 Carol S. VP of 770-836- 770-836- ccrews@
Crews Finance 9745 9834 tanner.or
CFO 02-Oct-09 02-Oct-09 Sandra CFO 478-783- 478-892- sandy.tay
Chief Taylor 0262 0518 lor@tayl
14-Sep-09 14-Sep-09 Karen Administ 912-557- 912-557- koneal@
Financial
VP- O'Neal rator 1202 1009 tattnallh
29-Sep-09 29-Sep-09 Tonia Controlle 229-353- 229-353- waldropt
Finance Waldrop r 3804 3807 @tiftregi
CFO 18-Sep-09 18-Sep-09 JENNIFER ASSISTAN 706-481- 706-481- JENNIFER
WEHUNT T CFO 7453 7830 _WEHUN
CFO 28-Aug-09 28-Aug-09 Ed CFO 229-985- 229-890- ed.benne
Bennett 4815 1614 tt@uhsin
CFO 07-Sep-09 07-Sep-09 Tim CFO 706-439- 706-745- timhenry
Henry Decision 6493 7677 @uniong
CFO 14-Sep-09 14-Sep-09 Phyllis 706-828- 706-828- pwright
Chief Wright Support 2445 2490 @uh.org
25-Sep-09 25-Sep-09 John Chief 706-647- 706-646- jhwilliam
Financial Williams 770-267- 3310
Financial 8111 s@urmc.
CFO 01-Sep-09 01-Sep-09 GARY CHIEF 770-267- GARY.LA
LANG Controlle 706-823- 1888
EXECUTI 1792 NG@HM
CFO 05-Nov-09 05-Nov-09 V.J. 706-823- vnaples
Naples r 8779
706-655- 8541 @wrh.or
CFO 15-Sep-09 15-Sep-09 Karen CFO 706-655- karen.bla
Director Blanton 9250
Assistant 478-240- 9340 nton@w
22-Sep-09 22-Sep-09 Ginny 478-240- gsheppar
of Fiscal Sheppard 912-530- 912-530- d@wcrm
Director 2056 2057
CFO 27-Jan-10 27-Jan-10 Greg Chief gjones@
Executive Jones 770-792- 3300
Financial 3305 770-792- wmhweb
23-Sep-09 23-Sep-09 Tim AVP tim.beatt
VP and
Executive Beatty 770-792- 5272
Reimburs 5039 770-792- y@wellst
23-Sep-09 23-Sep-09 Tim AVP tim.beatt
VP and
Executive Beatty Reimburs 5039 5272 y@wellst
02-Oct-09 02-Oct-09 Tim AVP 770-792- 770-792- tim.beatt
VP and
Executive Beatty Reimburs 5039 5272 y@wellst
23-Sep-09 23-Sep-09 Tim AVP 770-792- 770-792- tim.beatt
VP and Beatty Reimburs 5039 5272 y@wellst
Executive 23-Sep-09 23-Sep-09 Tim AVP 770-792- 770-792- tim.beatt
VP and
Financial Beatty Financial 404-686- 5272
Reimburs 5039 y@wellst
06-Jan-10 06-Jan-10 Raiana 404-686- raiana.an
Analyst
Vice Anwar Analyst 6024 6030 war@em
29-Sep-09 29-Sep-09 Gloria Manager 706-845- 706-845- thompso
President
CHIEF Thompso 706-820- 3982
3936 g@wghs.
30-Sep-09 30-Sep-09 LARRY E CHIEF 706-820- info@wil
FINANCIA
Chief STAPLET FINANCIA 1493 7459 dwoodhe
14-Sep-09 14-Sep-09 Barbara Chief 912-764- 912-764- breid@w
Operatin
Chief S. Reid Operatin 6236 7063 illingway.
18-Sep-09 18-Sep-09 Cliff Chief 706-678- 706-678- ccooper
Financial Cooper Financial 9213 1546 @willsm
Inpatient Gross Inpatient Outpatient Gross Outpatient Medicare Contractual
Patient Revenue Admissions Patient Revenue Visits Adjustments
43 44 45 46 47
39,265,217.00 3993 4,482,164.00 13037 11,076,422.00
31,129,995.00 2392 22,791,941.00 33509 15,758,894.00
530,417,006.00 21960 418,082,506.00 273775 277,594,701.00
816,979,248.00 15203 219,793,396.00 77990 230,475,099.00
21,146,851.00 1686 23,685,970.00 23018 -13,762,005.00
37,888,893.00 2304 49,968,685.00 33762 17,712,233.00
5,204,626.00 812 5,721,392.00 12281 3,476,464.00
20,134,307.00 1560 28,272,740.00 35161 11,958,765.00
3,006,546.00 529 6,182,585.00 15313 726,335.00
12,438,103.00 654 10,374,608.00 19407 8,028,042.00
10,218,907.00 2152 7,976,056.00 22121 1,927,643.00
2,469,011.00 345 6,631,323.00 11578 1,552,173.00
8,650,850.00 1207 11,830,027.00 21346 4,034,888.00
332,006,575.00 12960 295,441,367.00 201071 194,067,706.00
247,069,690.00 6440 295,604,014.00 126108 180,312,645.00
21,846,264.00 881 4,192,448.00 13639 5,877,307.00
2,633,438.00 361 13,715,533.00 19482 3,738,206.00
2,565,792.00 587 15,546,074.00 26055 5,220,774.00
30,145,441.00 2059 38,073,183.00 22571 17,652,123.00
476,824,451.00 10127 210,998,607.00 113530 3,000,809.00
9,825,783.00 1112 33,521,854.00 67087 0.00
300,301,844.00 12798 346,618,494.00 192349 227,608.00
4,150,386.00 537 7,962,475.00 12231 2,230,081.00
0 0
31,955,552.00 476 508,314.00 6663 0.00
18,173,974.00 2397 19,905,274.00 37205 9,960,803.00
68,197,956.00 5496 96,802,305.00 88837 13,841,285.00
363,304,888.00 9556 159,869,289.00 76817 201,530,906.00
109,517,753.00 3053 59,560,490.00 36204 75,184,763.00
21,626,208.00 1277 1,364,544.00 3197 9,356,148.00
59,192,361.00 4437 88,291,788.00 106978 40,524,410.00
33,910,885.00 3636 48,287,435.00 74671 19,759,855.00
22,419,846.00 245 13,504,757.00 6526 11,037,035.00
418,621,479.00 20592 260,994,607.00 191181 146,866,785.00
71,616,240.00 4933 80,056,986.00 83081 22,444,761.00
134,761,115.00 7166 129,329,428.00 51073 69,025,650.00
741,974,089.00 11401 234,471,661.00 126025 240,592,628.00
19,425,402.00 2607 31,906,290.00 47459 13,201,978.00
22,480,577.00 2307 31,770,135.00 24141 10,609,514.00
25,285,447.00 2461 27,345,804.00 34722 14,324,117.00
6,350,534.00 440 9,179,273.00 20385 3,444,760.00
185,980,100.00 7240 204,365,064.00 93760 107,040,802.00
3,065,750.00 275 21,150,142.00 32401 4,234,768.00
14,005,966.00 1492 20,825,407.00 23674 11,955,260.00
26,099,637.00 2477 27,601,944.00 26626 15,270,588.00
364,962,857.00 11691 272,777,501.00 140959 206,152,538.00
72,632,333.00 3962 61,776,346.00 39201 25,089,160.00
1,050,302,244.00 23710 241,586,055.00 77896 324,942,064.00
670,730,954.00 22577 396,026,667.00 164076 255,642,200.00
40,827,436.00 1907 93,378,852.00 42848 27,487,863.00
13,232,472.00 1732 24,580,357.00 27767 11,242,964.00
141,072,700.00 6847 117,731,769.00 73253 84,619,038.00
50,815,351.00 2404 50,390,375.00 25965 38,780,190.00
10,004,137.00 1126 15,597,000.00 21541 7,346,777.00
331,422,251.00 13994 309,547,801.00 187110 164,103,782.00
0 0
87,640,275.00 3571 96,280,586.00 83142 56,931,916.00
20,884,294.00 1618 18,796,196.00 31196 11,523,023.00
739,145,789.00 27571 422,848,265.00 665782 102,055,365.00
424,611,399.00 22512 525,108,250.00 278544 157,581,986.00
109,665,547.00 5301 187,353,243.00 96684 57,343,662.00
29,829,390.00 2495 48,859,660.00 85953 21,883,670.00
212,299,512.00 11219 212,189,625.00 107562 128,225,067.00
13,753,586.00 1305 18,895,650.00 26451 10,601,126.00
261,871,410.00 12158 182,532,308.00 125780 108,145,218.00
1,456,726.00 833 44,027,683.00 21236 18,129,575.00
8,373,538.00 138 0.00 0 0.00
187,722,041.00 11678 205,960,920.00 207876 91,823,180.00
158,749,566.00 3020 33,323,366.00 5086 63,230,353.00
126,709,469.00 6540 149,324,681.00 37601 86,815,012.00
23,769,042.00 412 2,723,237.00 8520 0.00
11,659,580.00 2064 27,455,477.00 14019 4,215,016.00
1,165,024.00 188 7,220,757.00 13723 592,354.00
10,208,876.00 1049 12,448,366.00 20610 6,432,340.00
8,611,051.00 1247 12,151,240.00 41604 5,312,127.00
2,811,931.00 585 4,013,333.00 0 1,215,016.00
228,424,944.00 10625 209,330,456.00 260143 161,870,491.00
92,702,824.00 466 0.00 0 33,889,715.00
4,911,294.00 64 0.00 0 2,173,265.00
27,201,200.00 148 2,205,080.00 11599
14,430,475.00 1953 47,223,519.00 49580 8,180,428.00
7,395,314.00 543 8,680,808.00 13391 4,435,064.00
2,733,628.00 27 0.00 0 0.00
13,171,814.00 1119 25,021,565.00 33165 8,871,804.00
538,172,451.00 19834 367,375,671.00 413661 135,602,559.00
62,495,771.00 4229 100,170,578.00 68974 44,326,352.00
290,498,624.00 13697 292,128,100.00 174833 123,475,987.00
995,907,251.00 32071 529,853,106.00 389701 384,320,994.00
797,253,704.00 26796 502,707,263.00 206676 314,890,627.00
13,597,930.00 1658 16,167,138.00 17375 7,697,245.00
29,740,449.00 3155 27,455,894.00 56340 17,019,434.00
9,998,311.00 1249 15,354,136.00 18846 6,335,296.00
2,693,910.00 318 7,627,259.00 8006 1,816,061.00
12,207,906.00 532 16,265,396.00 32961 8,600,539.00
4,233,184.00 662 12,204,506.00 21622 2,436,288.00
7,071,958.00 407 12,429,470.00 13210 5,883,658.00
3,975,262.00 0 13,473,603.00 0 5,190,925.00
21,080,903.00 1290 37,970,924.00 37335 19,013,793.00
87,665,000.00 5513 127,752,000.00 270000 47,495,000.00
462,908,783.00 8869 284,758,043.00 68660 227,491,297.00
14,288,694.00 1080 33,150,338.00 35532 15,253,021.00
752,220,598.00 23623 524,997,152.00 213083 412,432,037.00
984,855,498.00 51642 721,372,195.00 315531 199,183,697.00
219,019,861.00 7810 233,394,677.00 94237 142,977,337.00
126,498,386.00 5602 140,769,595.00 69008 70,016,171.00
85,389,443.00 4899 93,039,933.00 101989 56,417,430.00
112,467,537.00 3640 109,216,675.00 44545 84,998,314.00
5,278,516.00 678 18,576,753.00 28128 5,423,204.00
73,849,753.00 8219 7,110,194.00 14442 11,830,642.00
27,080,209.00 2145 36,771,374.00 38923 17,101,467.00
487,993,899.00 23042 473,929,848.00 183694 294,023,838.00
5,945,909.00 515 19,442,524.00 14994 2,171,294.00
188,704,155.00 9542 311,963,892.00 171381 123,835,070.00
973,259,616.00 26183 725,129,930.00 354465 440,723,127.00
41,257,687.00 2539 88,157,753.00 44337 38,945,696.00
144,713,863.00 6112 144,794,456.00 77986 80,797,374.00
5,162,486.00 493 34,742,252.00 36734 8,516,613.00
4,382,753.00 901 17,870,920.00 10765 4,159,056.00
458,533,506.00 11942 256,944,337.00 77168 307,282,328.00
31,097,388.00 4109 20,022,129.00 42716 2,804,389.00
0 0
177,765,900.00 8388 155,610,968.00 112378 78,417,047.00
7,775,841.00 214 0 1,777,289.00
12,162,335.00 514 2,178,402.00 12245 2,120,980.00
299,643,355.00 11208 199,677,028.00 121034 198,390,127.00
408,926,891.00 10355 189,855,708.00 168423 247,799,455.00
672,421,105.00 17577 340,727,533.00 184560 321,530,296.00
219,503,697.00 8854 215,535,112.00 123773 107,486,157.00
120,707,168.00 7173 120,788,526.00 118323 77,446,151.00
3,312,652.00 551 7,870,127.00 16424 2,066,000.00
71,729,973.00 881 0.00 0 27,908,686.00
105,680,426.00 735 39,129,432.00 49996 10,134,285.00
40,721,702.00 2539 62,673,721.00 34732 26,594,573.00
322,978,313.00 7448 216,430,042.00 82029 126,909,853.00
282,110,765.00 15599 210,223,505.00 110094 141,586,178.00
256,226,339.00 11571 163,439,457.00 149657 136,796,764.00
20,936,378.00 2074 49,213,623.00 62414 12,220,891.00
384,017,291.00 18122 301,531,193.00 142608 164,166,138.00
3,696,346.00 371 15,884,876.00 18006 5,074,095.00
334,215,937.00 9562 253,821,476.00 93113 180,633,854.00
30,782,551.00 2433 0.00 0 4,708,829.00
37,439,192.00 4063 56,000,203.00 43085 26,365,303.00
19,137,743.00 1284 57,298,941.00 62068 22,468,858.00
8,968,152.00 476 23,594,563.00 21582 8,121,210.00
35,482,057.00 2267 71,332,989.00 33209 25,201,041.00
170,262,441.00 8985 177,109,558.00 106191 116,994,749.00
18,831,387.00 2388 34,712,620.00 54980 11,386,372.00
10,457,029.00 663 28,866,266.00 12779 8,761,764.00
234,254,325.00 11819 272,782,912.00 162039 180,050,320.00
92,988,786.00 5001 91,280,588.00 56137 42,011,237.00
5,782,775.00 1283 10,607,609.00 35140 2,816,141.00
18,591,666.00 2798 43,522,512.00 62800 20,119,030.00
703,746,653.00 21337 356,853,543.00 184417 389,347,587.00
73,316,075.00 5210 103,359,199.00 79725 42,904,303.00
44,850,725.00 3590 58,967,476.00 37304 17,623,602.00
29,446,279.00 0 8,695,982.00 0 9,943,140.00
3,854,711.00 621 21,297,499.00 18436 4,312,178.00
20,823,343.00 2382 19,626,573.00 32185 9,617,194.00
46,468,525.00 3506 53,247,737.00 46745 26,832,292.00
479,319,577.00 27415 320,309,170.00 127296 209,508,845.00
116,360,973.00 6368 152,436,871.00 60742 77,085,614.00
927,235,151.00 39145 662,126,935.00 254074 452,524,076.00
21,822,886.00 1582 73,801,381.00 26310 24,361,591.00
44,738,835.00 316 52,146,275.00 24754 23,107,260.00
61,783,747.00 2234 11,217,602.00 12232 31,634,684.00
94,448,184.00 8899 108,033,064.00 97217 42,291,225.00
82,552.00 28 302,539.00 2071 28,568.00
10,156,988.00 372 958,424.00 2482
10,293,032.00 1137 8,446,838.00 17333 4,356,568.00
26,139,957,165.00 19,530,541,985.00 11,694,007,638.00
16,009,116,13
Hill
Other
Medicaid Contractual Burton Indigent Care Charity Care
Contractual Bad Debt
Adjustments Obligation Expenses Expenses
Adjustments
s
48 49 50 51 52 53
811,009.00 6,584,976.00 0.00 1,210,263.00 0.00 1,648,115.00
8,997,515.00 5,185,085.00 0.00 3,174,704.00 1,441,237.00 156,841.00
88,660,535.00 172,615,093.00 ######## 58,523,997.00 28,672,059.00 6,255,219.00
193,878,401.00 259,946,089.00 0.00 25,071,362.00 33,269,792.00 0.00
-4,430,545.00 -3,302,946.00 0.00 -3,398,907.00 1,698,334.00 0.00
5,245,732.00 24,840,703.00 0.00 6,209,640.00 0.00 9,217,862.00
536,305.00 1,233,889.00 0.00 1,079,948.00 351,895.00 16,673.00
6,031,460.00 7,470,521.00 0.00 5,983,027.00 1,110,947.00 131,984.00
266,547.00 899,932.00 0.00 851,435.00 126,781.00 10,744.00
2,217,180.00 961,531.00 0.00 2,226,719.00 2,406,157.00 109,995.00
2,285,329.00 1,691,133.00 0.00 1,613,357.00 184,495.00 38,484.00
663,468.00 681,850.00 0.00 1,025,525.00 642,819.00 13,425.00
450,642.00 1,998,305.00 0.00 1,503,614.00 190,908.00 79,480.00
64,642,798.00 158,978,696.00 0.00 21,197,421.00 4,358,472.00 13,165,128.00
62,578,906.00 122,202,799.00 0.00 27,286,403.00 13,500,123.00 3,362,366.00
190,268.00 5,576,827.00 0.00 67,107.00 914,504.00 40,205.00
1,223,397.00 1,283,993.00 0.00 3,586,693.00 451,086.00 60,338.00
516,364.00 2,149,011.00 0.00 1,711,586.00 74,402.00 0.00
7,466,321.00 15,503,391.00 0.00 4,766,415.00 1,449,872.00 44,320.00
113,510,804.00 184,956,894.00 0.00 2,488,695.00 30,879,977.00 1,255,119.00
20,210,319.00 -407,731.00 0.00 162,377.00 3,987,861.00 797,655.00
77,374,679.00 189,699,355.00 0.00 4,843,539.00 28,769,050.00 930,202.00
1,049,824.00 588,220.00 0.00 1,382,417.00 535,863.00 79,586.00
0.00 0.00 0.00 0.00
13,066,806.00 3,568,330.00 0.00 116,107.00 0.00 30,634.00
5,541,389.00 2,987,503.00 0.00 2,852,685.00 1,722,877.00 87,094.00
43,876,804.00 35,270,996.00 0.00 13,202,714.00 5,248,008.00 2,703,477.00
37,868,196.00 114,767,220.00 0.00 10,027,574.00 8,762,141.00 1,293,380.00
5,731,712.00 33,990,896.00 0.00 5,362,840.00 2,327,143.00 383,675.00
0.00 5,699,111.00 0.00 632,846.00 117,565.00 18,240.00
17,311,428.00 9,603,491.00 0.00 13,690,356.00 2,868,766.00 843,882.00
11,558,792.00 7,004,417.00 0.00 4,541,837.00 7,180,821.00 0.00
865,619.00 7,402,230.00 0.00 1,015,981.00 34,722.00 5,654.00
65,185,488.00 194,658,565.00 0.00 28,734,791.00 14,868,285.00 1,338,163.00
18,039,684.00 43,141,926.00 0.00 14,821,197.00 3,428,462.00 1,272,697.00
36,311,355.00 74,975,121.00 0.00 15,202,063.00 1,503,660.00 308,826.00
138,086,531.00 243,416,730.00 0.00 42,897,407.00 21,683,444.00 5,187,185.00
5,491,332.00 7,725,325.00 0.00 3,396,340.00 848,385.00 177,416.00
8,343,477.00 7,584,495.00 0.00 1,880,614.00 2,406,354.00 670,179.00
6,572,033.00 4,025,839.00 0.00 4,485,811.00 92,660.00 2,485,393.00
1,842,282.00 1,134,635.00 0.00 2,663,342.00 410,204.00 101,507.00
32,721,539.00 34,671,689.00 0.00 12,385,815.00 0.00 14,543,304.00
1,328,745.00 4,702,567.00 0.00 3,320,634.00 219,217.00 63,659.00
3,295,945.00 3,239,943.00 0.00 3,517,973.00 643,997.00 128,819.00
7,209,437.00 0.00 0.00 5,499,732.00 173,611.00 1,219,271.00
36,884,550.00 186,547,428.00 0.00 22,707,922.00 11,228,515.00 2,921,770.00
3,856,870.00 32,159,809.00 0.00 3,342,466.00 3,064,925.00 97,192.00
72,038,466.00 243,962,079.00 33,905,715.00 8,696,379.00 20,140,623.00
100,300,448.00 201,107,966.00 0.00 42,223,415.00 5,491,477.00 12,542,582.00
8,989,385.00 35,766,081.00 0.00 1,626,945.00 474,548.00 11,408,077.00
2,136,656.00 6,826,432.00 0.00 2,155,878.00 498,948.00 94,412.00
35,096,416.00 24,047,295.00 0.00 5,812,994.00 2,137,165.00 5,230,171.00
11,710,676.00 15,553,681.00 0.00 2,840,826.00 1,405,982.00 1,632,602.00
3,649,790.00 3,093,691.00 0.00 2,488,819.00 75,620.00 438,740.00
97,177,414.00 119,109,439.00 0.00 19,309,883.00 40,352,166.00 10,086,861.00
0.00 0.00 10,000.00 10,000.00
23,180,875.00 28,477,822.00 0.00 5,211,623.00 0.00 14,514,639.00
2,787,171.00 2,408,010.00 0.00 7,783,138.00 810,385.00 11,700.00
156,254,364.00 135,133,726.00 0.00 9,319,284.00 215,017,868.00 78,529,837.00
96,131,667.00 243,862,939.00 0.00 63,421,193.00 21,760,887.00 34,026,677.00
14,447,881.00 86,199,552.00 0.00 20,796,342.00 4,099,278.00 6,485,018.00
7,395,479.00 9,337,716.00 0.00 7,048,841.00 1,782,332.00 195,529.00
39,955,665.00 34,859,279.00 0.00 15,707,474.00 29,689,849.00 1,750,390.00
2,419,257.00 2,939,985.00 0.00 1,986,774.00 1,498,025.00 126,894.00
42,695,157.00 129,107,722.00 0.00 21,651,300.00 2,787,364.00 5,955,116.00
4,647,378.00 3,620,611.00 0.00 4,253,757.00 3,011,285.00 71,375.00
0.00 0.00 0.00 370,253.00 333,648.00 133,200.00
33,187,218.00 81,473,336.00 0.00 22,750,064.00 4,914,102.00 1,476,159.00
4,502,207.00 61,371,408.00 0.00 183,053.00 87,340.00 2,388.00
29,316,069.00 46,805,161.00 0.00 17,157,307.00 5,151,101.00 465,125.00
5,845,118.00 1,838,015.00 0.00 150,034.00 117,969.00 154,536.00
3,291,015.00 11,624,185.00 0.00 2,759,003.00 1,919,456.00 176,519.00
528,758.00 984,663.00 0.00 805,968.00 177,046.00 7,112.00
2,698,750.00 1,685,845.00 0.00 1,785,822.00 951,211.00 9,620.00
1,739,283.00 1,743,154.00 0.00 1,436,495.00 1,446,243.00 130,364.00
455,876.00 999,224.00 0.00 656,990.00 704,580.00 136,173.00
40,124,884.00 18,167,395.00 0.00 44,190,966.00 6,183,684.00 214,354.00
13,627,196.00 19,034,957.00 0.00 643,078.00 0.00 0.00
0.00 1,705,144.00 0.00 18,561.00 0.00 35,147.00
11,939,643.00 229,608.00 0.00 0.00 0.00 0.00
11,117,982.00 16,189,166.00 0.00 7,554,468.00 1,460,687.00 0.00
2,502,168.00 920,995.00 0.00 1,627,071.00 1,066,915.00 88,976.00
0.00 0.00 0.00 0.00 0.00 0.00
3,405,094.00 4,934,863.00 0.00 3,651,633.00 1,659,750.00 72,210.00
137,673,862.00 208,647,417.00 0.00 67,716,791.00 6,030,372.00 2,721,731.00
22,579,058.00 15,463,674.00 0.00 11,779,359.00 5,801,665.00 719,939.00
74,115,277.00 131,295,154.00 0.00 20,433,057.00 39,073,156.00 1,571,099.00
192,992,602.00 265,812,437.00 0.00 38,422,471.00 65,750,339.00 34,110,976.00
160,170,572.00 290,410,330.00 ######## 43,232,602.00 77,375,252.00 13,114,138.00
5,560,233.00 2,378,009.00 0.00 2,330,027.00 1,038,753.00 44,278.00
6,809,699.00 3,626,766.00 0.00 3,561,976.00 3,848,978.00 0.00
1,170,902.00 4,706,308.00 0.00 1,981,913.00 895,479.00 41,711.00
402,095.00 1,614,568.00 0.00 1,061,016.00 12,850.00 43,880.00
2,927,642.00 1,569,977.00 0.00 2,565,760.00 3,661,748.00 113,948.00
1,188,143.00 1,781,515.00 0.00 1,895,904.00 708,318.00 246,031.00
856,646.00 4,452,374.00 0.00 2,078,485.00 45,703.00
1,181,703.00 223,647.00 1,713,960.00 232,236.00 72,916.00
6,065,778.00 5,240,723.00 0.00 10,765,222.00 389,645.00 338,812.00
18,376,000.00 58,872,000.00 0.00 9,015,000.00 6,793,625.00 2,616,430.00
57,294,159.00 236,649,375.00 0.00 19,192,443.00 9,591,369.00 9,228,832.00
5,028,249.00 7,771,747.00 0.00 3,401,351.00 1,452,489.00 207,453.00
96,289,971.00 222,975,040.00 0.00 39,880,332.00 38,709,545.00 23,195,939.00
133,898,044.00 647,291,531.00 0.00 33,575,393.00 20,142,719.00 30,359,162.00
22,018,046.00 127,639,115.00 0.00 25,042,101.00 9,205,303.00 7,572,749.00
25,059,253.00 68,928,291.00 0.00 18,333,934.00 8,815,570.00 5,824,088.00
15,123,079.00 14,079,914.00 0.00 10,708,451.00 7,628,440.00 271,404.00
22,369,879.00 26,395,605.00 0.00 6,670,596.00 119,712.00 4,301,745.00
2,461,030.00 3,118,862.00 0.00 2,676,733.00 783,019.00 153,374.00
1,856,366.00 18,503,700.00 2,764,456.00 102,590.00
3,585,997.00 10,994,936.00 0.00 5,401,768.00 1,044,219.00 243,578.00
137,904,630.00 82,789,914.00 0.00 56,904,560.00 20,473,965.00 10,209,474.00
2,534,088.00 1,912,027.00 0.00 2,101,322.00 3,658,410.00 65,425.00
23,018,303.00 177,122,599.00 0.00 11,979,358.00 3,970,591.00 13,001,118.00
35,577,487.00 594,435,011.00 0.00 28,884,911.00 9,838,136.00 26,720,975.00
14,017,047.00 29,215,222.00 0.00 3,364,371.00 1,912,559.00 6,007,454.00
29,479,923.00 78,061,106.00 0.00 20,550,877.00 6,203,491.00 1,544,803.00
6,067,307.00 2,273,626.00 0.00 7,246,789.00 1,381,234.00 325,420.00
1,095,338.00 304,435.00 0.00 1,311,437.00 536,425.00 31,165.00
43,247,156.00 121,439,270.00 0.00 23,652,032.00 9,669,734.00 2,715,328.00
126,402.00 15,865,277.00 0.00 1,991,684.00 0.00 220,364.00
50,370,905.00 84,840,944.00 0.00 18,604,856.00 3,439,344.00 2,211,665.00
473,257.00 117,590.00 0.00 0.00 24,661.00 0.00
683,694.00 1,073,737.00 0.00 4,853.00 551,554.00 100,770.00
17,899,982.00 105,867,998.00 0.00 17,410,659.00 6,650,694.00 1,183,215.00
32,093,908.00 116,056,580.00 0.00 14,822,834.00 3,931,728.00 13,064,919.00
29,986,992.00 308,644,820.00 0.00 17,877,586.00 19,497,961.00 862,336.00
22,779,776.00 144,975,951.00 0.00 12,576,545.00 6,474,866.00 2,897,705.00
32,052,353.00 10,253,769.00 0.00 15,990,835.00 10,140,607.00 1,443,737.00
938,000.00 1,076,000.00 0.00 1,151,000.00 460,938.00 0.00
0.00 12,011,727.00 0.00 671,852.00 0.00 0.00
7,452,803.00 39,624,651.00 0.00 2,059,375.00 1,003,891.00 14,300.00
15,738,385.00 23,710,582.00 0.00 493,271.00 3,395,784.00 339,171.00
68,764,297.00 232,600,776.00 0.00 15,260,787.00 1,406,820.00 8,797,215.00
45,344,154.00 34,979,748.00 0.00 25,182,349.00 17,748,265.00 6,735,181.00
36,745,068.00 27,348,382.00 0.00 26,836,609.00 15,225,868.00 4,716,360.00
6,431,651.00 10,926,234.00 0.00 7,254,811.00 2,077,975.00 690,010.00
90,936,395.00 122,608,933.00 0.00 40,747,538.00 11,430,999.00 29,142,334.00
2,835,063.00 343,791.00 0.00 3,242,897.00 204,160.00 311,129.00
47,734,101.00 161,407,007.00 0.00 13,279,862.00 3,991,573.00 26,344,512.00
0.00 10,896,790.00 0.00 1,100,177.00 213,067.00 538,484.00
10,025,500.00 5,372,895.00 0.00 6,492,785.00 4,221,065.00 133,370.00
12,244,209.00 4,600,489.00 0.00 2,723,617.00 8,376,645.00 648,467.00
1,411,754.00 7,101,549.00 0.00 1,259,941.00 101,752.00 607,995.00
13,148,352.00 9,380,293.00 0.00 9,705,031.00 4,605,592.00 103,635.00
29,640,298.00 26,647,431.00 0.00 17,831,659.00 10,974,405.00 719,246.00
5,662,199.00 9,409,450.00 0.00 1,640,201.00 579,819.00 157,696.00
2,793,791.00 10,858,900.00 0.00 2,414,516.00 812,336.00 157,615.00
57,178,631.00 31,856,369.00 0.00 22,421,822.00 22,733,950.00 6,561,298.00
12,344,489.00 67,472,490.00 0.00 6,373,742.00 0.00 661,785.00
0.00 1,858,855.00 0.00 1,008,109.00 0.00 0.00
4,015,141.00 4,121,060.00 0.00 4,364,215.00 167,108.00 0.00
83,984,881.00 177,150,247.00 0.00 22,466,348.00 36,761,087.00 764,119.00
11,330,381.00 35,876,175.00 0.00 11,917,394.00 6,744,104.00 1,270,115.00
5,435,372.00 34,472,551.00 0.00 6,562,437.00 40,057.00 7,158,591.00
592,455.00 7,947,476.00 0.00 227,093.00 0.00 1,025,066.00
2,259,866.00 4,641,273.00 0.00 1,971,689.00 390,610.00 9,007.00
4,556,211.00 5,258,107.00 0.00 3,951,642.00 1,169,789.00 58,393.00
12,344,529.00 11,912,206.00 0.00 8,532,580.00 2,759,449.00 0.00
102,286,116.00 147,442,439.00 0.00 46,239,279.00 20,771,590.00 9,333,709.00
23,636,201.00 59,672,973.00 0.00 20,089,938.00 6,026,853.00 3,358,205.00
114,076,907.00 357,539,070.00 0.00 60,365,258.00 39,208,079.00 16,704,175.00
7,736,337.00 20,676,546.00 0.00 11,296,072.00 1,436,910.00 1,534,674.00
3,000,733.00 22,763,376.00 0.00 971,487.00 1,341,376.00 1,039,792.00
812,183.00 3,204,171.00 0.00 1,073,621.00 0.00 255,127.00
23,622,055.00 16,441,441.00 0.00 6,733,599.00 20,784,718.00 135,615.00
17,342.00 0.00 12,668.00 0.00 1,106.00
3,475,985.00 0.00 836,438.00 0.00 0.00
989,381.00 817,435.00 0.00 939,198.00 0.00 722,380.00
4,405,173,400.00 9,835,953,133.00 400,355.00 1,821,330,868.00 1,274,296,784.00 630,220,837.00
16,009,116,135.00
Indigent/
Other Free Other max Formal Received Date Effective
Total Charity
Care Revenue/Gai income Written and Policy Date of the
Expenses Care
Expenses ns level Policy Filed? Received Policy
Policies
54 55 56 57 58 59 60 61 62
681,083.00 21,247.00 n/a ########### 0 01/03/200
0
04/01/200
115,839.00 2,428,200.00 200% ########### 1 0
5
01/01/200
0.00 2,664,013.00 200% ########### 1 0
8
01/31/200
########## 3,696,370.00 300% ########### 1 0
4
04/02/199
0.00 976,076.00 200% ########### 1 0
7
02/01/200
0.00 796,056.00 ########### 1 0
7
07/01/200
0.00 162,144.00 250 7,203,034.00 1 0
7
07/01/200
342,504.00 422,633.00 235% ########### 1 0
2
12/01/199
0.00 53,558.00 6,577,599.00 1 0
8
02/01/199
0.00 36,997.00 325% 9,161,559.00 1 0
5
06/19/200
0.00 151,460.00 185% ########### 1 0
1
04/01/200
0.00 240,176.00 200% 6,081,274.00 1 0
8
03/01/200
492,767.00 379,278.00 250% ########### 1 0
1
02/14/200
0.00 2,290,798.00 500% ########### 1 0
8
04/01/200
########## 426,367.00 250% ########### 1 0
7
09/29/200
0.00 153,503.00 200% ########### 1 0
6
07/01/200
68,292.00 1,524,555.00 250% 7,796,377.00 1 0
6
11/01/199
285,950.00 248,952.00 8,941,091.00 1 0
9
07/01/200
0.00 192,475.00 200% ########### 1 0
8
01/01/200
1,084,923.00 ########### 185% ########### 1 0
2
04/01/199
0.00 5,846,968.00 200% ########### 1 0
3
01/01/200
761,837.00 ########### 185% ########### 1 0
92,681.00 1,039,000.00 200% 8,693,544.00 1 0 Y 09/03/20 2
07-01-2004
09
0.00 0.00 0.00 0
205,570.00 1,451,220.00 125% ########### 1 0 06/01/200
5
01/01/200
98,771.00 -4,820,712.00 200% ########### 1 0
6
01/01/200
0.00 5,389,488.00 200% ########### 1 0
8
5,364,692.00 802,776.00 250% ########### 1 0 Y 10/08/20 04/01/200
09 7
04/01/200
1,994,900.00 145,685.00 250% ########### 1 0
7
04/01/200
261,513.00 4,048.00 250% 8,526,927.00 1 0
7
06/18/200
0.00 50,560.00 250% ########### 1 0
1,316,717.00 3,844,676.00 ########### 1 0 Y 09/30/20 8
05-29-2007
09 07/01/200
0.00 48,415.00 200 ########### 1 0
5
07/01/200
0.00 8,593,993.00 200 ########### 1 0
5
07/01/200
0.00 183,530.00 200 ########### 1 0
5
04/01/200
5,504,104.00 547,998.00 250% ########### 1 0
7
04/01/200
########## 1,117,441.00 250% ########### 1 0
7
03/23/199
241,481.00 813,008.00 200% ########### 1 0
3
02/01/200
0.00 754,347.00 200% ########### 1 0
8
08/01/200
126,803.00 639,520.00 200% ########### 1 0
1
02/01/199
0.00 80,445.00 325% 8,311,098.00 1 0
5
02/01/200
0.00 605,474.00 ########### 0
7
07/01/200
0.00 457,191.00 253% ########### 1 0
6
07/01/200
44,530.00 246,540.00 200 ########### 1 0
7
0.00 449,740.00 200% ########### 1 0 12/01/07
########## 1,172,997.00 250% ########### 1 0 04/01/200
7
02/05/200
2,545,319.00 223,822.00 250% ########### 1 0
10/13/20 7
10/01/199
########### 200% ########### 1 0 Y
09
10/14/20 6
12/02/200
0.00 6,586,412.00 200% ########### 1 0 Y
09 7
01/01/200
1,234,588.00 2,148,238.00 400% ########### 1 0
8
06/01/200
0.00 542,368.00 200% ########### 1 0
10/01/20 1
04/01/200
########## 1,059,416.00 250% ########### 1 0 Y
09 7
01/01/200
3,264,761.00 98,422.00 150 ########### 1 0
5
03/01/200
0.00 0.00 250% ########### 1 0
0.00 9,377,656.00 325% ########### 1 0 Y 09/24/20 7
07/01/200
09 7
0.00 0.00 0.00 0
0.00 7,346,650.00 200% ########### 1 0 11/01/200
5
02/01/199
0.00 478,743.00 325% ########### 1 0
5
03/31/200
########## ########### 250% ########### 1 0
4
04/01/198
2,371,733.00 ########### 200% ########### 1 0
7
04/01/198
477,739.00 421,323.00 200% ########### 1 0
7
298,681.00 1,479,429.00 200 % ########### 1 0 07/15/199
7
04/15/200
815,422.00 1,106,806.00 250% ########### 1 0
8
01/01/200
84,579.00 320,408.00 200% ########### 1 0
6
11/29/200
########## 7,212,924.00 200% ########### 1 0
2
07/01/200
0.00 346,347.00 200% ########### 1 0
7
0.00 1,731,124.00 ########### 0
320,831.00 2,470,012.00 300% ########### 1 0 05/01/200
5
04/01/200
394,177.00 361,695.00 250% ########### 1 0
7
05/01/200
0.00 3,552,329.00 200% ########### 1 0
7
05/02/200
0.00 1,678,593.00 ########### 1 0
09/18/20 0
12/01/200
0.00 808,470.00 200% ########### 1 0 Y
09 4
10/01/200
0.00 541,004.00 185% 5,989,382.00 1 0
6
03/01/200
134,659.00 557,310.00 200% 9,190,104.00 1 0
8
02/01/200
199,525.00 558,859.00 185% 9,112,937.00 1 0
8
05/21/200
0.00 413,838.00 185% 4,362,687.00 1 0
0.00 8,877,540.00 325% ########### 1 0 Y 10/14/20 1
02/01/199
09 5
0.00 221,239.00 ########### 0
0.00 388.00 200% 3,234,948.00 1 0 11/30/200
6
01/01/200
0.00 1,421.00 185% ########### 1 0
8
12/01/200
0.00 4,058,149.00 200% ########### 1 0
7
01/01/200
34,745.00 191,174.00 200% 7,076,773.00 1 0
2
0.00 0.00 Case by 2,368,511.00 1 0 01/23/200
Case 3
10/01/199
158,405.00 1,271,657.00 200% ########### 1 0
4
07/01/200
0.00 ########### 225% ########### 1 0
1
07/01/200
0.00 1,034,927.00 200% ########### 1 0
7
05/01/200
2,009,154.00 ########### 185% ########### 1 0
1
########## ########### 200% ########### 1 0 11/28/07
7,566,653.00 0.00 250% ########### 1 0 01/01/200
7
07/01/200
0.00 72,202.00 200% 9,988,792.00 1 0
09/28/20 7
10/24/200
431,008.00 1,913,001.00 250% ########### 1 0 Y
09 6
01/01/200
0.00 1,038,389.00 200% ########### 1 0
3
02/01/200
1,422,372.00 124,836.00 125% 8,498,644.00 1 0
7
02/01/199
0.00 84,866.00 325% ########### 1 0
5
05/01/199
0.00 292,686.00 200% 9,254,094.00 1 0
8
0.00 253,347.00 125% 11,621.00 1 0 10/01/199
8
01/01/200
451,106.00 9,740,400.00 1 0
8
10/01/200
0.00 463,085.00 125% ########### 1 0
4
10/01/200
0.00 1,845,000.00 300% ########### 1 0
7
06/01/200
########## 182,215.00 200 ########### 1 0
1
07/01/200
0.00 61,660.00 200% ########### 1 0
8
01/01/200
########## ########### 400% ########### 1 0
8
12/01/200
0.00 ########### 125% ########### 1 0
2
12/01/200
0.00 2,779,206.00 125% ########### 1 0
2
12/01/200
0.00 1,699,760.00 125% ########### 1 0
2
03/01/200
263,156.00 1,127,341.00 200% ########### 1 0
7
04/01/200
9,081,432.00 298,853.00 250% ########### 1 0
7
01/01/200
85,529.00 689,190.00 200% ########### 1 0
8
08/18/200
2,200,914.00 907,755.00 125 ########### 0
0
05/01/200
31,681.00 612,430.00 300% ########### 1 0
5
08/01/200
0.00 ########### 200% ########### 1 0
0
08/01/200
0.00 643,088.00 225% ########### 1 0
8
07/01/200
0.00 3,614,727.00 250% ########### 0
7
03/01/200
0.00 5,705,999.00 250% ########### 1 0
6
07/01/200
176,772.00 320,593.00 225 ########### 1 0
4
05/01/200
180,739.00 1,022,590.00 185% ########### 1 0
1
04/01/200
2,916,255.00 64,656.00 250% ########### 1 0
7
294,447.00 1,455,929.00 200% ########### 1 0 2007
########## 786,927.00 250% ########### 1 0 04/01/200
7
01/04/200
564,397.00 566,372.00 100% ########### 1 0
8
0
22,211.00 0.00 235 ########### 1 0 06/01/200
0.00 0.00 200% 8,502,453.00 1 0 Y 10/05/20 7
01/2008
09
10/05/20 01/2008
0.00 0.00 200% ########### 1 0 Y
09 10/05/200
0.00 ########### 200% ########### 1 0
6
02/14/200
0.00 5,680,285.00 500% ########### 1 0
8
11/01/200
4,698,874.00 ########### 400% ########### 1 0
7
10/08/200
3,118,010.00 2,172,776.00 400% ########### 1 0
4
01/01/200
0.00 2,080,494.00 200% ########### 1 0
8
34,644.00 627,000.00 250% 6,698,000.00 1 0 11/01/200
6
01/01/200
0.00 71,785.00 N/A ########### 0
09/30/20 8
08/02/200
0.00 3,797,123.00 250% ########### 1 0 Y
09 8
06/01/200
0.00 242,297.00 200% ########### 1 0
6
0.00 511,125.00 200%FP ########### 1 0 02/11/200
G,300%F 5
02/01/200
3,358,802.00 6,366,480.00 200% ########### 1 0
6
10/31/200
1,187,416.00 ########### 200% ########### 1 0
5
10/31/200
173,982.00 812,160.00 200% ########### 1 0
5
########## -770,934.00 400% ########### 1 0 11/05/04
0.00 109,676.00 200% 8,637,398.00 1 0 08/01/200
5
02/11/200
########## 120,159.00 200% ########### 1 0
5
352,297.00 22,126.00 none ########### 1 0 12/31/200
specified 6
03/01/200
0.00 3,269,033.00 200% ########### 1 0
2
10/01/200
298,306.00 2,521,654.00 200 ########### 1 0
6
06/01/200
5,034,118.00 6,530.00 300 8,140,182.00 1 0
1
07/01/200
0.00 279,799.00 200% ########### 1 0
7
07/01/200
0.00 ########### 200% ########### 1 0
7
04/01/200
0.00 343,284.00 250% ########### 1 0
4
01/01/200
0.00 84,786.00 300% ########### 1 0
8
05/28/200
129,567.00 -4,496,192.00 200% ########### 1 0
7
01/01/200
0.00 0.00 195% ########### 1 0
8
0.00 95,164.00 8,502,553.00 0 n/a
116,571.00 2,335,564.00 ########### 0 01/01/200
7
01/01/200
0.00 ########### 200% ########### 1 0
8
05/01/200
321,220.00 1,416,951.00 300% ########### 1 0
5
0.00 0.00 All ########### 1 0 12/08/200
private 8
11/01/199
0.00 4,556,921.00 200% ########### 1 0
8
07/19/200
0.00 463,178.00 200% ########### 1 0
4
08/01/199
82,790.00 1,247,869.00 125% ########### 1 0
5
07/01/200
0.00 ########### 200% ########### 1 0
09/29/20 7
01/01/200
7,780,003.00 3,656,453.00 200% ########### 1 0 Y
09
10/17/20 1
01/01/200
1,751,568.00 828,840.00 200% ########### 1 0 Y
09
9/29/200 1
01/01/200
9,077,827.00 8,195,928.00 200% ########### 1 0 Y
9
09/29/20 1
01/01/200
1,141,716.00 380,555.00 200% ########### 1 0 Y
09 1
372,820.00 615,957.00 200% ########### 1 0 Y 09/29/20 01/01/200
09 1
0.00 951,002.00 200 ########### 0
0.00 2,310,428.00 375% ########### 1 0 y 09/29/20 06/01/200
09 8
0.00 1,025.00 442,324.00 0
21,000.00 295,056.00 6,948,237.00 0
140,930.00 1,975,028.00 185% ########### 1 0 04/30/200
7
Governm
HFS
Policy ent Home
Section II Inpatient Outpatient Inpatient Outpatient
Manager Funds County
Charity Indigent Care Indigent Care Charity Care Charity Care
Title Agreeme Funds
Policies?
nt
63 64 65 66 67 68 69 70
Business 0 0 0.00 0.00 1,192,099.00 456,016.00 0.00
Office
Business 0 0 790,768.00 650,469.00 74,036.00 82,805.00 0.00
Office
Director, - 0 ########### 10,668,570.00 4,557,907.00 1,697,312.00 0.00
Patient
Director - 0 ########### 3,971,002.00 0.00 0.00 0.00
of
Collectio - 0 945,305.00 753,029.00 0.00 0.00 0.00
ns
Jared 0 0 0.00 0.00 3,723,488.00 5,494,374.00 0.00
Whipkey,
Business - 0 83,240.00 268,655.00 0.00 16,673.00 0.00
Office
Financial - 0 397,494.00 713,453.00 65,614.00 66,370.00 0.00
Counselo
Business - 0 0.00 126,781.00 0.00 10,744.00 0.00
Office
Chief - - 891,731.00 1,602,551.00 13,360.00 96,635.00 88,125.00
Financial
Business - 0 65,796.00 118,699.00 18,996.00 19,488.00 0.00
Office
DENISE - 0 66,361.00 576,458.00 11,321.00 2,104.00 0.00
STEWART
Chief - - 109,988.00 110,920.00 34,556.00 44,924.00 30,000.00
Executive
Director - 0 2,572,042.00 1,786,430.00 8,352,534.00 4,812,594.00 0.00
of
CFO - - 4,306,313.00 9,229,035.00 555,258.00 2,807,108.00 35,225.00
Controlle - 0 834,708.00 79,796.00 40,205.00 0.00 0.00
r
Laura - - 22,055.00 439,031.00 10,322.00 50,016.00 10,000.00
Sever
PATIENT 0 0 26,393.00 48,009.00 0.00 0.00 0.00
ACCOUN
Chief - - 645,947.00 901,485.00 4,127.00 40,193.00 97,560.00
Executive
VP - 0 ########### 11,546,385.00 598,693.00 754,990.00 0.00
Revenue
Director - - 607,019.00 5,669,911.00 433,166.00 822,351.00 0.00
of
VP - 0 ########### 12,608,671.00 623,377.00 584,515.00 0.00
Revenue
Indigent - 0 104,824.00 431,039.00 19,208.00 60,378.00 0.00
Care
0 0 0.00 0.00 0.00 0.00 0.00
Rose - 0 0.00 0.00 30,634.00 0.00 0.00
Grubbs,
Patient - 0 785,434.00 937,443.00 31,946.00 55,148.00 0.00
Administ
Director 0 0 2,203,027.00 3,044,981.00 1,513,149.00 1,190,328.00 0.00
of
Patient - 0 6,161,816.00 2,600,325.00 691,989.00 601,391.00 0.00
Access
Patient - 0 1,515,299.00 811,844.00 230,996.00 152,679.00 0.00
Access
Patient - 0 114,973.00 2,592.00 18,240.00 0.00 0.00
Access
Director - 0 798,293.00 2,070,473.00 323,314.00 520,568.00 0.00
of
CFO 0 0 2,234,544.00 4,946,277.00 0.00 0.00 0.00
Philip - 0 0.00 34,722.00 0.00 5,654.00 0.00
Hager
Philip - 0 ########### 2,785,480.00 138,674.00 1,199,489.00 0.00
Hager
Philip - 0 2,684,740.00 743,722.00 61,340.00 1,211,357.00 0.00
Hager
Brett - 0 880,516.00 623,144.00 204,385.00 104,441.00 0.00
Palmer,
Patient - 0 ########### 2,644,143.00 3,675,944.00 1,511,241.00 0.00
Access
Vickie - 0 261,931.00 586,454.00 76,528.00 100,888.00 0.00
Fordham,
CFO - 0 1,098,886.00 1,307,468.00 286,699.00 383,480.00 0.00
Robin - 0 852,621.00 1,632,772.00 24,624.00 68,036.00 0.00
Weaver
Chief - - 273,920.00 824,458.00 65,273.00 36,234.00 688,174.00
Financial
Scott 0 0 0.00 0.00 3,993,784.00 10,549,520.00 0.00
Whittem
Beverly - - 8,041.00 431,538.00 7,062.00 120,588.00 284,353.00
Kicklighte
LEANNE - 0 317,408.00 326,590.00 65,069.00 63,749.00 0.00
LAYNE,
Business - 0 61,635.00 111,976.00 553,123.00 666,148.00 0.00
Office
Patient - 0 4,991,134.00 6,237,381.00 815,265.00 2,106,505.00 0.00
Access
Chief - 0 1,368,018.00 1,302,495.00 438,400.00 53,204.00 0.00
Financial
Lynn - 0 7,739,986.00 956,393.00 21,208,443.00 443,061.00
Johnson,
Director - 0 4,091,626.00 2,331,002.00 12,153,892.00 1,388,686.00 0.00
of
Carol - 0 158,822.00 315,726.00 3,990,580.00 7,417,497.00 0.00
Hazen
Director - 0 201,072.00 297,876.00 41,793.00 52,619.00 0.00
Patient
Patient - 0 1,016,998.00 1,293,232.00 1,126,304.00 4,103,867.00 0.00
Access
Dir. of - 0 1,019,469.00 386,513.00 1,115,696.00 516,906.00 0.00
Patient
Patient - 0 65,475.00 10,145.00 404,125.00 34,615.00 0.00
Financial
Director - - ########### 25,082,108.00 3,549,552.00 6,537,309.00 200,000.00
Patient
0 0 5,000.00 5,000.00 5,000.00 5,000.00 0.00
CFO - 0 0.00 0.00 5,020,156.00 9,494,483.00 0.00
Chief - 0 282,243.00 528,142.00 8,383.00 3,317.00 0.00
Financial
Tommie - - ########### 124,967,037.00 38,569,717.00 39,960,120.00 ##########
McCom
Assistant - - ########### 11,942,511.00 19,900,485.00 14,126,192.00 500,004.00
Vice
Assistant - - 1,956,391.00 2,142,887.00 3,836,285.00 2,648,733.00 0.00
Vice
Business - - 639,838.00 1,142,494.00 57,994.00 137,535.00 0.00
Office
Director, - 0 ########### 21,856,843.00 574,172.00 1,176,218.00 0.00
Patient
Business - 0 607,485.00 890,540.00 47,863.00 79,031.00 0.00
Office
DIRECTO - - 2,042,825.00 1,813,685.00 3,105,613.00 2,849,503.00 1,069,146.00
R OF
Lee C. - 0 530,107.00 2,481,178.00 1,284.00 70,091.00 0.00
Sherseth,
0 0 333,648.00 0.00 133,200.00 0.00 0.00
Business - 0 2,219,190.00 2,694,912.00 467,088.00 1,009,071.00 0.00
Office
Brett - 0 57,707.00 29,633.00 1,888.00 500.00 0.00
Palmer,
BUSINESS - 0 2,188,535.00 2,962,566.00 208,812.00 256,313.00 0.00
OFFICE
Steve 0 0 117,835.00 134.00 151,463.00 3,073.00
Lewis
Sue - 0 626,669.00 1,292,787.00 50,624.00 125,895.00 0.00
Stricklan
Patient - 0 11,898.00 165,148.00 0.00 7,112.00 0.00
Access
ADMINIS - 0 503,296.00 447,915.00 4,066.00 5,554.00 0.00
TRATOR
M. J. - 0 476,469.00 969,774.00 75,569.00 54,795.00 0.00
Sombar
CEO - 0 206,854.00 497,726.00 32,830.00 103,343.00 0.00
Chief - 0 3,231,829.00 2,951,855.00 134,557.00 79,797.00 0.00
Financial
0 0 0.00 0.00 0.00 0.00 0.00
Richard - 0 0.00 0.00 35,147.00 0.00 0.00
Hogan
Chief - 0 0.00 0.00 0.00 0.00 0.00
Financial
Director, - 0 516,771.00 943,916.00 0.00 0.00 0.00
Patient
Director - 0 258,686.00 808,229.00 15,836.00 73,140.00 0.00
of
Chief 0 0 0.00 0.00 0.00 0.00 0.00
Financial
Patricia - 0 362,838.00 1,296,912.00 15,134.00 57,076.00 0.00
W. VP of
Sr. Parris, - 0 4,238,092.00 1,792,280.00 2,188,445.00 533,286.00 0.00
Finance
Governm - 0 1,740,608.00 4,061,057.00 319,221.00 400,718.00 0.00
ent
Director - - ########### 21,567,082.00 1,200,696.00 370,403.00 ##########
of
Sr.VP/CF - - ########### 27,162,276.00 27,081,313.00 7,958,585.00 2,475,000.00
O
Director 0 0 ########### 26,607,427.00 9,918,855.00 4,682,561.00 0.00
of
Chief - 0 546,124.00 492,629.00 32,331.00 11,947.00 0.00
Executive
Director - - 2,480,343.00 1,618,635.00 0.00 0.00 250,000.00
of
Robin - 0 438,531.00 456,948.00 22,078.00 19,633.00 0.00
Rau, CEO
Cassie - 0 12,850.00 0.00 5,584.00 38,296.00 0.00
Syme,
Chief - - 769,206.00 3,259,714.00 1,185.00 112,763.00 367,172.00
Financial
Chief - 0 200,209.00 508,109.00 51,858.00 194,173.00
Financial
Director - 0 26,202.00 19,501.00 0.00
Of
Administ - 0 46,531.00 185,705.00 8,325.00 64,591.00
rator
Business - - 333,007.00 259,272.00 119,294.00 219,518.00 0.00
Office
Director - - 2,786,717.00 7,463,724.00 1,105,039.00 2,842,410.00 4,787,835.00
of
Director - 0 8,894,849.00 696,520.00 3,896,349.00 5,332,483.00 0.00
of
Chief - 0 460,949.00 991,540.00 73,294.00 134,159.00 0.00
Executive
Director - 0 ########### 19,090,797.00 7,177,520.00 16,018,419.00 0.00
of
Director - - ########### 8,601,677.00 17,244,237.00 16,871,508.00 365,004.00
of
Director - - 4,410,860.00 4,794,443.00 3,971,654.00 3,601,095.00 0.00
of
Director - 0 5,700,681.00 3,114,889.00 3,155,885.00 2,668,203.00 0.00
of
Carole - 0 3,842,486.00 3,785,954.00 108,182.00 163,222.00 0.00
Marchma
Chief - 0 75,654.00 82,200.00 2,939,598.00 1,362,147.00 0.00
Financial
Self Pay - 0 121,103.00 661,916.00 49,668.00 103,706.00 0.00
Collector
Business - 0 0.00 97,980.00 4,610.00
Office
Business - 0 582,115.00 462,104.00 72,741.00 170,837.00 0.00
Office -
Asst VP - 0 8,002,361.00 12,471,604.00 6,360,678.00 3,848,796.00 0.00
Business
Stacey - - 474,273.00 3,184,137.00 0.00 65,425.00 0.00
Flynt
Chief - 0 1,728,563.00 2,242,028.00 3,932,389.00 9,068,729.00 0.00
Financial
Chief - 0 6,552,212.00 3,285,924.00 15,884,709.00 10,836,266.00 0.00
Financial
CFO - 0 737,259.00 1,175,300.00 1,594,633.00 4,412,821.00 0.00
Director- - 0 3,087,967.00 3,115,524.00 533,671.00 1,011,132.00 0.00
Patient
Patient - 0 47,100.00 1,334,134.00 17,576.00 307,844.00 0.00
Access
administr - 0 86,037.00 450,388.00 15,782.00 15,383.00 0.00
ator -
Patient - 0 6,319,290.00 3,350,444.00 1,304,341.00 1,410,987.00 0.00
Access
Business - 0 0.00 0.00 220,364.00 0.00 0.00
Office
0 0 0.00
Director - 0 2,046,130.00 1,393,214.00 1,641,520.00 570,145.00 0.00
of
Executive - 0 24,661.00 0.00 0.00 0.00 0.00
Director
Executive - 0 513,981.00 37,573.00 93,903.00 6,867.00 0.00
Director
Cheryl - 0 5,156,608.00 1,494,086.00 1,003,524.00 179,691.00 0.00
Tomlinso
Director - 0 3,066,232.00 865,496.00 9,406,176.00 3,658,743.00 0.00
of for
Care - 0 ########### 7,478,421.00 636,613.00 225,723.00 0.00
the Poor
Julie - 0 3,951,333.00 2,523,533.00 2,017,838.00 879,867.00 0.00
Pierce,
Collectio - 0 3,554,903.00 6,585,704.00 478,844.00 964,893.00 0.00
ns
Marsha - - 174,457.00 484,940.00 5,656.00 13,235.00 217,350.00
Carroll
N/A 0 0 0.00 0.00 0.00 0.00 0.00
CFO` - 0 1,507,301.00 474,218.00 0.00 28,227.00 0.00
CFO - 0 1,536,411.00 1,859,373.00 246,312.00 92,859.00 0.00
Director - 0 1,272,718.00 134,102.00 7,893,759.00 903,456.00 0.00
of
Director - 0 ########### 5,956,325.00 4,390,581.00 2,344,600.00 0.00
of
David - 0 7,760,864.00 7,465,004.00 2,695,224.00 2,021,136.00 0.00
Boland,
David - 0 545,193.00 1,532,782.00 220,661.00 469,349.00 0.00
Boland,
Chief - 0 5,967,729.00 5,473,009.00 22,284,569.00 6,872,838.00 0.00
Financial
Business - 0 18,599.00 185,561.00 5,904.00 305,225.00 0.00
Office
Sherri - - 1,629,277.00 2,362,296.00 9,737,721.00 17,106,791.00 0.00
Dingler,
Chief - 0 213,067.00 0.00 538,484.00 0.00 0.00
Financial
GAIL - - 2,166,040.00 2,526,378.00 46,789.00 86,581.00 471,353.00
BROWN,
DIRECTO - 0 1,908,301.00 6,468,344.00 218,398.00 430,069.00 0.00
R OF
Director - - 0.00 101,750.00 152,900.00 992,697.00 0.00
of
Lee - 0 1,381,580.00 3,224,012.00 14,541.00 89,094.00 0.00
C.Sherset
Lee C. - 0 4,167,378.00 6,807,027.00 392,948.00 326,298.00 0.00
Sherseth,
CFO - - 336,893.00 420,763.00 52,154.00 105,542.00 177,837.00
Chief - - 345,163.00 617,173.00 28,803.00 128,812.00 150,000.00
Financial
Jerry - 0 9,385,406.00 13,454,551.00 2,711,326.00 3,849,973.00 0.00
Mahrenh
Robert - 0 0.00 0.00 519,710.00 172,808.00 0.00
Boyd,
0 0 0.00 0.00 0.00 0.00 0.00
Business 0 0 120,867.00 46,241.00 0.00 0.00 0.00
Office
Direct - 0 ########### 13,998,934.00 454,711.00 309,408.00 0.00
Patient
Diane - 0 2,997,422.00 3,746,682.00 340,893.00 929,222.00 0.00
Oglesbee
CFO - 0 8,478.00 31,579.00 2,336,983.00 4,821,608.00 0.00
Michael - 0 0.00 0.00 806,476.00 218,590.00 0.00
A.
Lynn - 0 444,552.00 445,591.00 12,298.00 7,211.00 0.00
Cheramie
Billing - 0 752,355.00 417,434.00 38,484.00 19,909.00 0.00
Office
Patient - 0 0.00 0.00 1,085,726.00 1,673,723.00 0.00
Financial
Vice - 0 ########### 9,862,936.00 5,628,790.00 3,704,919.00 0.00
President-
Vice - 0 2,859,385.00 3,167,468.00 1,392,812.00 1,965,393.00 0.00
President
Vice - 0 ########### 18,596,117.00 9,357,999.00 7,346,176.00 0.00
President
Vice - 0 413,359.00 1,442,855.00 515,702.00 1,018,972.00 419,304.00
President
Vice - 0 884,708.00 456,668.00 760,822.00 278,970.00 0.00
President
0 0 0.00 0.00 252,314.00 2,813.00 0.00
Director - 0 8,718,450.00 12,066,268.00 20,349.00 188,289.00 0.00
of
0 0 0.00 0.00 353.00 753.00 0.00
0 0 0.00 0.00 0.00 0.00 0.00
Financial - 0 0.00 0.00 399,249.00 323,131.00 0.00
Counselo
837,539,399.00 622,361,766.00 351,162,550.00 291,931,952.00
1,459,901,165.00 643,094,502.00
State
Trust
Program Federal Non- all other Charitabl
Other City or Hospital Fund
s and Governm Governm non- e All Other
County Cities Authorit from sale
Other ent ent governm Contribu Funds
Flunds Funds y Funds of Public
State Funds Funds ent tions
Hospital
Funds
71 72 73 74 75 76 77 78 79 80
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 ####### ####### 0.00 0.00 0.00 #######
####### 0.00 0.00 ####### 0.00 ####### 0.00 0.00 0.00
0.00 0.00 0.00 ####### ####### 0.00 0.00 0.00 #######
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
#######
0.00 0.00 0.00 ####### 0.00 0.00 ####### 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 ####### 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
####### 0.00 0.00 ####### ####### ####### 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 ####### 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
####### 0.00 0.00 ####### 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 ####### 0.00 0.00 0.00 0.00 #######
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 ####### 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 ####### 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 ####### 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 ####### 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 ####### 0.00 0.00 0.00 0.00 0.00
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Contract
Contract Patient
ICTF Patient Bad Debt Indigent Charity Other ual
Home ual Medicaid
Participa Medicaid Medicaid Medicaid Medicaid Medicaid Medicaid
County Medicaid Out of
tion Total Total Total Total Total Out of
Total State
State
81 82 83 84 85 86 87 88 89 90
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Bad Debt Indigent Charity Other Contract
Patient Bad Debt Indigent Charity Other
Medicaid Medicaid Medicaid Medicaid ual
Peachcar Peachcar Peachcar Peachcar Peachare
Out of Out of Out of Out of Peachcar
eTotal e Total e Total e Total Total
State State State State e Total
91 92 93 94 95 96 97 98 99 100
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Patient Contract Bad Debt Indigent
Patient Contract Bad Debt Indigent Charity Other
Self-Pay ual Self- Self-Pay Self-Pay
Self-Pay ual Self- Self-Pay Self Pay Self Pay Self-Pay
Out of Pay Out Out of Out of
Total Pay Total Total Total Total Total
State of State State State
101 102 103 104 105 106 107 108 109 110
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0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Charity Other Contract Patient Contract
Patient Bad Debt Indigent Charity Other
Self-Pay Self-Pay ual Third ual Third
Medicare Medicare Medicare Medicare Medicare
Out of Out of Medicare Party Party
Total Total Total Total Total
State State Total Total Total
111 112 113 114 115 116 117 118 119 120
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Bad Debt Indigent Charity Other
GA OS Uninsure Uninsure GA OS
Third Third Third Third
Medicaid Medicaid d GA res d OS res Medicaid Medicaid
Party Party Party Party
charges charges charges charges cash rec cash rec
Total Total Total Total
121 122 123 124 125 126 127 128 129 130
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
0.00 0.00 0.00 0.00 0 0 0 0 0 0
UPL and UPL and
Indigent Indigent Indigent Indigent
Uninsure Uninsure ORA ORA Indigent Indigent
Category Category Category Category
d GA res d OS res Gross Intergov Category Category
A FY A FY B FY B FY
cash rec cash rec Payment ern A FY next B FY next
previous current previous current
s transfers
131 132 133 134 135 136 137 138 139 140
0 0 0 0
0 0 0 0 0.00 0.00 ####### 0.00 0.00 #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### #######
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 3,093.00 ####### 0.00 0.00 ####### 0.00
0 0 0 0 ####### ####### 137.00 #######
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 ####### #######
0 0 0 0 0.00 ####### 0.00 0.00 ####### 0.00
0 0 0 0
0 0 0 0 ####### #######
0 0 0 0
0 0 0 0 ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### #######
0 0 0 0
0 0 0 0
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 0.00 ####### 0.00 0.00 0.00 0.00
0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0 ####### #######
0 0 0 0
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### 8,243.00
0 0 0 0 #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 0.00 ####### ####### 0.00 ####### 7,483.00
0 0 0 0 ####### ####### ####### #######
0 0 0 0
0 0 0 0 0.00 ####### 0.00 0.00 ####### 0.00
0 0 0 0 0.00 0.00 0.00 ####### ####### #######
0 0 0 0 ####### #######
0 0 0 0 ####### 7,809.00
0 0 0 0
0 0 0 0
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0
0 0 0 0 ####### ####### ####### #######
0 0 0 0 0.00 ####### 0.00 0.00 ####### 0.00
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### ####### 3,638.00 6,766.00
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### #######
0 0 0 0 ####### #######
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0 0.00 ####### 0.00 0.00 ####### 0.00
0 0 0 0 0.00 ####### 0.00 0.00 ####### 0.00
0 0 0 0
0 0 0 0 ####### #######
0 0 0 0 5,791.00
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0 ####### ####### 4,999.00 2,113.00
0 0 0 0 ####### ####### 8,849.00 771.00
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0 0
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0
0 0 0 0 0.00 ####### ####### 0.00 8,989.00 #######
0 0 0 0 ####### #######
0 0 0 0 ####### #######
0 0 0 0 ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### #######
0 0 0 0 ####### ####### ####### ####### 0.00 0.00
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### ####### #######
0 0 0 0 ####### ####### ####### 9,671.00
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0 ####### ####### #######
0 0 0 0
0 0 0 0
0 0 0 0 0.00 ####### 0.00 0.00 ####### 0.00
0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0 0 ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 ####### ####### ####### #######
0 0 0 0 0.00 0.00 0.00 0.00 4,608.00 0.00
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0
0 0 0 0
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0
0 0 0 0
0 0 0 0 ####### #######
0 0 0 0
0 0 0 0 ####### ####### ####### #######
0 0 0 0 0.00 ####### ####### 0.00 ####### 6,212.00
0 0 0 0 0.00 ####### 0.00 0.00 ####### 0.00
0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0 0
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0
0 0 0 0 ####### #######
0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0 ####### #######
0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0 0
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 ####### ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0 ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### #######
0 0 0 0
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0 0.00 ####### ####### 0.00 ####### #######
0 0 0 0 ####### #######
0 0 0 0 0.00 ####### 0.00 0.00 ####### 0.00
0 0 0 0 0.00 ####### 0.00 0.00 ####### 0.00
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 ####### ####### 1,709.00 #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0 0 ####### ####### #######
0 0 0 0 ####### ####### ####### #######
0 0 0 0 ####### ####### ####### ####### ####### #######
0 0 0 0 ####### ####### ####### ####### ####### 0.00
0 0 0 0
0 0 0 0 ####### ####### #######
0 0 0 0 ####### ####### ####### 0.00 0.00 0.00
0 0 0 0 #######
0 0 0 0 #######
0 0 0 0 #######
0 0 0 0 #######
0 0 0 0 #######
0 0 0 0 2,125.00
0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 ####### ####### ####### #######
Indigent Indigent Patients Patients Funds for Hosp
Indigent Patients Hosp Hosp
Category Category Served Served ICTF or Owner
Category Served Owner Owner
C FY C FY FY FY UPL unit local
C FY next FY next Name? Gov Type
previous current previous current support? gov?
141 142 143 144 145 146 147 148 149 150
FALSE FALSE
0.00 0.00 0.00 0.00 0.00 745.00 FALSE FALSE
0.00 0.00 ####### 7,285.00 FALSE FALSE
####### ####### ####### 1,936.00 2,898.00 1,897.00 FALSE FALSE
431.00 468.00 505.00 FALSE FALSE
####### ####### 3,457.00 3,927.00 FALSE FALSE
355.00 122.00 FALSE FALSE
1,006.00 FALSE FALSE
383.00 317.00 515.00 FALSE FALSE
2,651.00 1,825.00 549.00 FALSE FALSE
0.00 0.00 0.00 6.00 439.00 0.00 FALSE FALSE
636.00 1,449.00 FALSE FALSE
0.00 0.00 0.00 720.00 365.00 429.00 FALSE FALSE
FALSE FALSE
0.00 0.00 0.00 0.00 5.00 0.00 FALSE FALSE
FALSE FALSE
729.00 464.00 FALSE FALSE
FALSE FALSE
####### FALSE FALSE
4,545.00 3,646.00 FALSE FALSE
8,900.00 7,381.00 FALSE FALSE
6,665.00 5,143.00 FALSE FALSE
491.00 FALSE FALSE
FALSE FALSE
FALSE FALSE
0.00 0.00 0.00 0.00 288.00 322.00 FALSE FALSE
0.00 0.00 0.00 6,430.00 6,090.00 6,929.00 FALSE FALSE
0.00 0.00 0.00 0.00 4.00 0.00 FALSE FALSE
0.00 0.00 0.00 0.00 0.00 0.00 FALSE FALSE
0.00 0.00 0.00 0.00 0.00 0.00 FALSE FALSE
0.00 0.00 0.00 0.00 2,995.00 1,303.00 FALSE FALSE
640.00 FALSE FALSE
FALSE FALSE
4,558.00 3,005.00 FALSE FALSE
2,354.00 1,969.00 FALSE FALSE
5.00 FALSE FALSE
4.00 FALSE FALSE
828.00 278.00 FALSE FALSE
0.00 0.00 0.00 597.00 829.00 875.00 FALSE FALSE
0.00 0.00 1,148.00 94.00 FALSE FALSE
147.00 953.00 270.00 FALSE FALSE
####### ####### ####### 103.00 6,972.00 6,040.00 FALSE FALSE
0.00 0.00 0.00 0.00 782.00 0.00 FALSE FALSE
1,379.00 1,199.00 619.00 FALSE FALSE
1,223.00 FALSE FALSE
3.00 FALSE FALSE
FALSE FALSE
FALSE FALSE
0.00 ####### ####### 0.00 2,617.00 681.00 FALSE FALSE
FALSE FALSE
337.00 125.00 FALSE FALSE
0.00 0.00 0.00 0.00 158.00 0.00 FALSE FALSE
####### ####### 693.00 557.00 451.00 FALSE FALSE
205.00 110.00 128.00 FALSE FALSE
8,773.00 8,691.00 FALSE FALSE
FALSE FALSE
####### ####### 2,678.00 2,127.00 FALSE FALSE
1,127.00 170.00 760.00 216.00 FALSE FALSE
####### ####### FALSE FALSE
3,638.00 FALSE FALSE
917.00 FALSE FALSE
0.00 0.00 0.00 2,508.00 2,226.00 2,515.00 FALSE FALSE
0.00 0.00 0.00 0.00 3,333.00 1,111.00 FALSE FALSE
0.00 0.00 0.00 0.00 239.00 222.00 FALSE FALSE
0.00 0.00 0.00 7,893.00 FALSE FALSE
0.00 0.00 0.00 0.00 4,673.00 0.00 FALSE FALSE
FALSE FALSE
490.00 314.00 FALSE FALSE
1.00 FALSE FALSE
1,439.00 1,565.00 2,482.00 FALSE FALSE
FALSE FALSE
0.00 0.00 0.00 0.00 729.00 493.00 FALSE FALSE
278.00 63.00 FALSE FALSE
527.00 165.00 FALSE FALSE
0.00 0.00 0.00 2,346.00 2,274.00 3,011.00 FALSE FALSE
1,056.00 3,019.00 FALSE FALSE
####### 3,582.00 4,026.00 1,244.00 FALSE FALSE
0.00 0.00 0.00 0.00 0.00 0.00 FALSE FALSE
0.00 0.00 0.00 0.00 0.00 186.00 FALSE FALSE
FALSE FALSE
####### ####### ####### FALSE FALSE
0.00 8,559.00 824.00 0.00 478.00 188.00 FALSE FALSE
FALSE FALSE
0.00 0.00 0.00 0.00 1,029.00 3,818.00 FALSE FALSE
2,230.00 FALSE FALSE
3,654.00 FALSE FALSE
####### FALSE FALSE
####### ####### ####### 3,719.00 FALSE FALSE
####### ####### 8,469.00 7,439.00 FALSE FALSE
####### FALSE FALSE
1,076.00 1,270.00 832.00 FALSE FALSE
0.00 0.00 1,191.00 440.00 FALSE FALSE
23.00 40.00 FALSE FALSE
1,638.00 2,926.00 1,152.00 FALSE FALSE
0.00 0.00 0.00 0.00 384.00 176.00 FALSE FALSE
412.00 478.00 457.00 FALSE FALSE
FALSE FALSE
FALSE FALSE
0.00 0.00 0.00 0.00 ####### 0.00 FALSE FALSE
0.00 0.00 0.00 0.00 0.00 0.00 FALSE FALSE
####### FALSE FALSE
####### ####### ####### 3,537.00 FALSE FALSE
FALSE FALSE
FALSE FALSE
FALSE FALSE
385.00 2,783.00 FALSE FALSE
0.00 0.00 0.00 0.00 2.00 0.00 FALSE FALSE
0.00 0.00 0.00 0.00 954.00 479.00 FALSE FALSE
FALSE FALSE
FALSE FALSE
####### 1,462.00 FALSE FALSE
0.00 0.00 0.00 1,257.00 1,291.00 2,420.00 FALSE FALSE
FALSE FALSE
FALSE FALSE
####### 3,937.00 FALSE FALSE
FALSE FALSE
509.00 76.00 FALSE FALSE
0.00 383.00 110.00 FALSE FALSE
0.00 0.00 0.00 0.00 223.00 0.00 FALSE FALSE
0.00 0.00 0.00 0.00 0.00 0.00 FALSE FALSE
FALSE FALSE
0.00 0.00 0.00 2,170.00 1,537.00 1,372.00 FALSE FALSE
FALSE FALSE
34.00 FALSE FALSE
0.00 0.00 0.00 FALSE FALSE
FALSE FALSE
FALSE FALSE
FALSE FALSE
0.00 0.00 0.00 0.00 5,119.00 5,885.00 FALSE FALSE
####### 511.00 FALSE FALSE
0.00 0.00 0.00 0.00 0.00 0.00 FALSE FALSE
FALSE FALSE
0.00 0.00 0.00 464.00 564.00 774.00 FALSE FALSE
####### ####### ####### 823.00 381.00 270.00 FALSE FALSE
####### ####### 3,284.00 1,580.00 FALSE FALSE
0.00 2,812.00 1,221.00 FALSE FALSE
0.00 750.00 358.00 FALSE FALSE
####### 5,647.00 FALSE FALSE
196.00 207.00 FALSE FALSE
2,581.00 FALSE FALSE
FALSE FALSE
0.00 0.00 0.00 0.00 1,909.00 660.00 FALSE FALSE
0.00 0.00 0.00 0.00 3,534.00 995.00 FALSE FALSE
253.00 FALSE FALSE
0.00 0.00 0.00 6,742.00 FALSE FALSE
0.00 0.00 0.00 0.00 9,926.00 0.00 FALSE FALSE
0.00 0.00 0.00 973.00 908.00 845.00 FALSE FALSE
22.00 188.00 FALSE FALSE
####### 8,191.00 FALSE FALSE
0.00 0.00 0.00 0.00 0.00 0.00 FALSE FALSE
0.00 0.00 0.00 0.00 0.00 0.00 FALSE FALSE
####### ####### ####### FALSE FALSE
4,100.00 4,100.00 FALSE FALSE
0.00 0.00 0.00 3,238.00 3,045.00 4,188.00 FALSE FALSE
####### ####### ####### 3,341.00 3,334.00 7,174.00 FALSE FALSE
FALSE FALSE
191.00 384.00 203.00 FALSE FALSE
0.00 0.00 0.00 622.00 804.00 759.00 FALSE FALSE
2,002.00 FALSE FALSE
2,401.00 FALSE FALSE
66.00 FALSE FALSE
184.00 FALSE FALSE
36.00 FALSE FALSE
1.00 FALSE FALSE
0.00 0.00 0.00 0.00 0.00 0.00 FALSE FALSE
586.00 FALSE FALSE
FALSE FALSE
FALSE FALSE
82.00 655.00 FALSE FALSE
Hosp
levy tax? Hosp Indigent Capital
own Hosp levy tax? Operatio Primary Special
(hosp unit local Care Improve
retain Gov Type (hosp) ns Care Projects
owner) gov? Support ments
auth?
151 152 153 154 155 156 157 158 159 160
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
FALSE FALSE FALSE FALSE
Other Other Other Other Other Other Other Other Other Other
Spec1 Spec2 Spec3 Spec4 Spec5 Spec #1 Spec #2 Spec #3 Spec #4 Spec #5
161 162 163 164 165 166 167 168 169 170
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
complete Commen Adjustm Fiscal/Co
data comments
d_ind ts ents st
171 172 173 174 175 176 177
0 0.00
0 0.00
0 0.00
0 AMC's system does not allow clear 0.00
delineation between FPG groupings. Also,
0 0.00
0 0.00
0 0.00
0 0.00
0 I am the CEO and the CFO 0.00
0 0.00
0 0.00
0 0.00
0 We do not have a Chief Financial Officer at 0.00
this time.
0 0.00
0 0.00
0 0.00
0 Survey responses are based on internal 0.00
financial data from FYE 2008, which is
0 0.00
0 0.00
0 0.00
0 0.00
0 We have a specific survey requirement for 0.00
our Hospital Based Surgery Center located
0 0.00
0 Facility was not operational during entire 0.00
2008 fiscal year. Facility opened Marchof
Coastal Harbor was awarded a Waiver
0 0.00
Indigent and Charity Care Commitments
Negative amount entered in Section C for
0 0.00
Other Revenue /Gains. This was a negative
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 CFO Signed. 0.00
0 0.00
0 Please note - We compile the data for the 0.00
Hosital Financial Survey using charges
0 0.00
0 0.00
0 0.00
0 Please note: There were two Indigent Care 0.00
Guideline policies in effect during this
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 None 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 None 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 This is the Rockdale Hospital submission of 0.00
the HFS Survey and ICTF Addendum.We
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 Shepherd Center patients who are Georgia 0.00
residents and who are considered disabled
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 Submitted 9/29/2009 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 0.00
0 Survey was originally submitted 0.00
10/16/2009. No signature was recorded.
0 0.00
0 0.00
0 0.00
0 0.00
Less: I/P Portion
Less: I/P Portion Less I/P Portion of
of Contractuals
Inpatient of Hill Burton Bad Debt Less: I/P
(Contractuals Less: I/P
Gross Patient (Calculated based (Calculated based Indigent
split based on Charity Care
Revenues on Gross Patient on Gross Patient Care
Gross Patient
Revenues) Revenues)
Revnue)
178 179 180 181 182 183
39,265,217 16,579,806 0 1,086,265 0.00 1,192,099.00
31,129,995 17,285,703 0 1,832,807 790,768.00 74,036.00
530,417,006 301,345,423 83784 32,727,611 18,003,489.00 4,557,907.00
816,979,248 539,229,663 0 19,756,291 29,298,790.00 0.00
21,146,851 (10,139,046) 0 (1,603,204) 945,305.00 0.00
37,888,893 20,613,346 0 2,677,929 0.00 3,723,488.00
5,204,626 2,499,254 0 514,435 83,240.00 0.00
20,134,307 10,590,080 0 2,488,565 397,494.00 65,614.00
3,006,546 619,300 0 278,577 0.00 0.00
12,438,103 6,110,223 0 1,214,067 891,731.00 13,360.00
10,218,907 3,315,945 0 906,116 65,796.00 18,996.00
2,469,011 786,118 0 278,235 66,361.00 11,321.00
8,650,850 2,738,686 0 635,107 109,988.00 34,556.00
332,006,575 221,015,245 0 11,216,362 2,572,042.00 8,352,534.00
247,069,690 166,220,967 0 12,423,014 4,306,313.00 555,258.00
21,846,264 9,769,557 0 56,302 834,708.00 40,205.00
2,633,438 1,006,020 0 577,733 22,055.00 10,322.00
2,565,792 1,117,180 0 242,469 26,393.00 0.00
30,145,441 17,950,569 0 2,106,253 645,947.00 4,127.00
476,824,451 208,989,149 0 1,725,256 20,727,797.00 598,693.00
9,825,783 4,488,732 0 36,807 607,019.00 433,166.00
300,301,844 124,082,010 0 2,248,381 17,433,186.00 623,377.00
4,150,386 1,325,386 0 473,675 104,824.00 19,208.00
0 - 0 - 0.00 0.00
31,955,552 16,374,666 0 114,289 0.00 30,634.00
18,173,974 8,824,524 0 1,361,493 785,434.00 31,946.00
68,197,956 38,434,276 0 5,456,950 2,203,027.00 1,513,149.00
363,304,888 245,941,718 0 6,963,392 6,161,816.00 691,989.00
109,517,753 74,429,429 0 3,473,695 1,515,299.00 230,996.00
21,626,208 14,161,701 0 595,285 114,973.00 18,240.00
59,192,361 27,066,591 0 5,494,587 798,293.00 323,314.00
33,910,885 15,810,165 0 1,873,733 2,234,544.00 0.00
22,419,846 12,047,803 0 634,054 0.00 0.00
418,621,479 250,520,693 0 17,699,700 12,082,805.00 138,674.00
71,616,240 39,486,246 0 6,998,192 2,684,740.00 61,340.00
134,761,115 92,010,349 0 7,757,366 880,516.00 204,385.00
741,974,089 472,713,441 0 32,596,552 19,039,301.00 3,675,944.00
19,425,402 9,997,578 0 1,285,274 261,931.00 76,528.00
22,480,577 10,996,685 0 779,295 1,098,886.00 286,699.00
25,285,447 11,973,184 0 2,155,102 852,621.00 24,624.00
6,350,534 2,625,987 0 1,089,108 273,920.00 65,273.00
185,980,100 83,109,159 0 5,901,226 0.00 3,993,784.00
3,065,750 1,299,693 0 420,395 8,041.00 7,062.00
14,005,966 7,435,434 0 1,414,604 317,408.00 65,069.00
26,099,637 10,925,572 0 2,672,938 61,635.00 553,123.00
364,962,857 245,840,475 0 12,995,176 4,991,134.00 815,265.00
72,632,333 33,020,633 0 1,806,216 1,368,018.00 438,400.00
1,050,302,244 521,084,881 0 27,565,269 7,739,986.00 21,208,443.00
670,730,954 350,249,281 0 26,548,253 4,091,626.00 12,153,892.00
40,827,436 21,977,434 0 494,939 158,822.00 3,990,580.00
13,232,472 7,071,040 0 754,442 201,072.00 41,793.00
141,072,700 78,364,177 0 3,168,627 1,016,998.00 1,126,304.00
50,815,351 33,160,938 0 1,426,377 1,019,469.00 1,115,696.00
10,004,137 5,506,039 0 972,554 65,475.00 404,125.00
331,422,251 196,686,132 0 9,984,437 15,470,058.00 3,549,552.00
0 - 0 - 5,000.00 5,000.00
87,640,275 51,744,599 0 2,483,395 0.00 5,020,156.00
20,884,294 8,798,981 0 4,096,354 282,243.00 8,383.00
739,145,789 250,269,846 0 5,928,008 ########### 38,569,717.00
424,611,399 222,462,169 0 28,355,064 10,318,380.00 19,900,485.00
109,665,547 58,333,615 0 7,678,444 1,956,391.00 3,836,285.00
29,829,390 14,638,854 0 2,672,070 639,838.00 57,994.00
212,299,512 101,546,286 0 7,855,770 13,974,047.00 574,172.00
13,753,586 6,723,352 0 836,934 607,485.00 47,863.00
261,871,410 164,963,523 0 12,758,346 2,042,825.00 3,105,613.00
1,456,726 845,433 0 136,235 530,107.00 1,284.00
8,373,538 - 0 370,253 333,648.00 133,200.00
187,722,041 98,458,790 0 10,848,040 2,219,190.00 467,088.00
158,749,566 106,705,295 0 151,295 57,707.00 1,888.00
126,709,469 74,793,516 0 7,875,813 2,188,535.00 208,812.00
23,769,042 6,893,356 0 134,611 117,835.00 151,463.00
11,659,580 5,702,415 0 822,415 626,669.00 50,624.00
1,165,024 292,552 0 111,972 11,898.00 0.00
10,208,876 4,873,883 0 804,654 503,296.00 4,066.00
8,611,051 3,647,499 0 595,779 476,469.00 75,569.00
2,811,931 1,100,057 0 270,672 206,854.00 32,830.00
228,424,944 114,883,034 0 23,059,268 3,231,829.00 134,557.00
92,702,824 66,551,868 0 643,078 0.00 0.00
4,911,294 3,878,409 0 18,561 0.00 35,147.00
27,201,200 11,256,719 0 - 0.00 0.00
14,430,475 8,306,073 0 1,768,167 516,771.00 0.00
7,395,314 3,614,930 0 748,483 258,686.00 15,836.00
2,733,628 - 0 - 0.00 0.00
13,171,814 5,935,849 0 1,259,345 362,838.00 15,134.00
538,172,451 286,410,105 0 40,244,478 4,238,092.00 2,188,445.00
62,495,771 31,645,878 0 4,525,583 1,740,608.00 319,221.00
290,498,624 163,983,298 0 10,187,955 28,949,534.00 1,200,696.00
995,907,251 550,332,381 0 25,079,441 40,239,480.00 27,081,313.00
797,253,704 469,456,412 153649 26,514,144 50,767,825.00 9,918,855.00
13,597,930 7,142,945 0 1,064,454 546,124.00 32,331.00
29,740,449 14,276,276 0 1,852,125 2,480,343.00 0.00
9,998,311 4,816,278 0 781,612 438,531.00 22,078.00
2,693,910 1,000,372 0 276,934 12,850.00 5,584.00
12,207,906 5,615,825 0 1,100,068 769,206.00 1,185.00
4,233,184 1,392,189 0 488,251 200,209.00 51,858.00
7,071,958 4,058,890 0 753,738 26,202.00 0.00
3,975,262 1,502,787 0 390,480 46,531.00 8,325.00
21,080,903 10,824,037 0 3,843,075 333,007.00 119,294.00
87,665,000 50,764,773 0 3,668,698 2,786,717.00 1,105,039.00
462,908,783 322,840,007 0 11,882,767 8,894,849.00 3,896,349.00
14,288,694 8,449,603 0 1,024,491 460,949.00 73,294.00
752,220,598 430,934,812 0 23,487,622 19,618,748.00 7,177,520.00
984,855,498 565,883,446 0 19,380,128 11,541,042.00 17,244,237.00
219,019,861 141,668,231 0 12,123,212 4,410,860.00 3,971,654.00
126,498,386 77,623,235 0 8,677,482 5,700,681.00 3,155,885.00
85,389,443 40,974,644 0 5,124,653 3,842,486.00 108,182.00
112,467,537 67,862,681 0 3,384,208 75,654.00 2,939,598.00
5,278,516 2,434,683 0 592,288 121,103.00 49,668.00
73,849,753 29,363,604 0 2,521,672 0.00 97,980.00
27,080,209 13,436,879 0 2,290,953 582,115.00 72,741.00
487,993,899 261,121,977 0 28,868,274 8,002,361.00 6,360,678.00
5,945,909 1,549,781 0 492,124 474,273.00 0.00
188,704,155 122,108,076 0 4,515,077 1,728,563.00 3,932,389.00
973,259,616 613,583,465 0 16,552,456 6,552,212.00 15,884,709.00
41,257,687 26,198,364 0 1,072,563 737,259.00 1,594,633.00
144,713,863 94,142,987 0 10,272,578 3,087,967.00 533,671.00
5,162,486 2,180,865 0 937,519 47,100.00 17,576.00
4,382,753 1,094,784 0 258,281 86,037.00 15,782.00
458,533,506 302,474,059 0 15,158,050 6,319,290.00 1,304,341.00
31,097,388 11,434,158 0 1,211,595 0.00 220,364.00
0 - 0 - 0.00 0.00
177,765,900 113,912,921 0 9,920,631 2,046,130.00 1,641,520.00
7,775,841 2,368,136 0 - 24,661.00 0.00
12,162,335 3,289,268 0 4,116 513,981.00 93,903.00
299,643,355 193,327,850 0 10,448,178 5,156,608.00 1,003,524.00
408,926,891 270,406,287 0 10,122,965 3,066,232.00 9,406,176.00
672,421,105 438,145,912 0 11,865,254 12,019,540.00 636,613.00
219,503,697 138,876,371 0 6,345,636 3,951,333.00 2,017,838.00
120,707,168 59,855,965 0 7,992,724 3,554,903.00 478,844.00
3,312,652 1,208,610 0 340,958 174,457.00 5,656.00
71,729,973 39,920,413 0 671,852 0.00 0.00
105,680,426 41,752,413 0 1,502,906 1,507,301.00 0.00
40,721,702 26,010,874 0 194,272 1,536,411.00 246,312.00
322,978,313 256,435,615 0 9,137,610 1,272,718.00 7,893,759.00
282,110,765 127,155,931 0 14,429,651 11,791,940.00 4,390,581.00
256,226,339 122,653,227 0 16,385,052 7,760,864.00 2,695,224.00
20,936,378 8,827,832 0 2,165,210 545,193.00 220,661.00
384,017,291 211,579,104 0 22,825,168 5,967,729.00 22,284,569.00
3,696,346 1,557,909 0 612,161 18,599.00 5,904.00
334,215,937 221,531,830 0 7,547,720 1,629,277.00 9,737,721.00
30,782,551 15,605,619 0 1,100,177 213,067.00 538,484.00
37,439,192 16,733,832 0 2,601,522 2,166,040.00 46,789.00
19,137,743 9,843,084 0 681,922 1,908,301.00 218,398.00
8,968,152 4,581,339 0 347,002 0.00 152,900.00
35,482,057 15,854,952 0 3,223,839 1,381,580.00 14,541.00
170,262,441 84,933,437 0 8,740,088 4,167,378.00 392,948.00
18,831,387 9,305,266 0 576,857 336,893.00 52,154.00
10,457,029 5,960,554 0 642,079 345,163.00 28,803.00
234,254,325 124,319,074 0 10,359,020 9,385,406.00 2,711,326.00
92,988,786 61,478,789 0 3,216,414 0.00 519,710.00
5,782,775 1,649,409 0 355,676 0.00 0.00
18,591,666 8,457,197 0 1,306,272 120,867.00 0.00
703,746,653 431,618,847 0 14,907,236 22,762,153.00 454,711.00
73,316,075 37,393,883 0 4,945,438 2,997,422.00 340,893.00
44,850,725 24,854,318 0 2,835,053 8,478.00 2,336,983.00
29,446,279 14,269,151 0 175,318 0.00 806,476.00
3,854,711 1,718,501 0 302,172 444,552.00 12,298.00
20,823,343 10,003,211 0 2,034,279 752,355.00 38,484.00
46,468,525 23,807,869 0 3,976,246 0.00 1,085,726.00
479,319,577 275,279,593 0 27,717,102 10,908,654.00 5,628,790.00
116,360,973 69,433,941 0 8,696,814 2,859,385.00 1,392,812.00
927,235,151 539,144,069 0 35,217,141 20,611,962.00 9,357,999.00
21,822,886 12,043,923 0 2,577,932 413,359.00 515,702.00
44,738,835 22,567,432 0 448,606 884,708.00 760,822.00
61,783,747 30,172,795 0 908,645 0.00 252,314.00
94,448,184 38,414,687 0 3,140,914 8,718,450.00 20,349.00
82,552 9,842 0 2,716 0.00 353.00
10,156,988 3,176,269 0 764,316 0.00 0.00
10,293,032 3,385,291 0 515,862 0.00 399,249.00
Net I/P Less: O/P Portion of
Net I/P Revenue Less: O/P Portion of
Revenue as Outpatient Hill Burton
with Indigent Contractuals
Currently Gross Patient (Calculated based on
and Charity Left (Contractuals split based
Defined in HB Revenues Gross Patient
In on Gross Patient Revnue)
307 Revenues)
184 185 186 187 188 189
20,407,047 21,599,146 4,482,164.00 1,892,601.00 0.00
11,146,681 12,011,485 22,791,941.00 12,655,791.00 0.00
173,698,792 196,260,188 418,082,506.00 237,524,906.00 66,039.00
228,694,504 257,993,294 219,793,396.00 145,069,926.00 0.00
31,943,796 32,889,101 23,685,970.00 (11,356,450.00) 0.00
10,874,130 14,597,618 49,968,685.00 27,185,322.00 0.00
2,107,697 2,190,937 5,721,392.00 2,747,404.00 0.00
6,592,554 7,055,662 28,272,740.00 14,870,666.00 0.00
2,108,669 2,108,669 6,182,585.00 1,273,514.00 0.00
4,208,722 5,113,813 10,374,608.00 5,096,530.00 0.00
5,912,054 5,996,846 7,976,056.00 2,588,160.00 0.00
1,326,976 1,404,658 6,631,323.00 2,111,373.00 0.00
5,132,513 5,277,057 11,830,027.00 3,745,149.00 0.00
88,850,392 99,774,968 295,441,367.00 196,673,955.00 0.00
63,564,138 68,425,709 295,604,014.00 198,873,383.00 0.00
11,145,492 12,020,405 4,192,448.00 1,874,845.00 0.00
1,017,308 1,049,685 13,715,533.00 5,239,576.00 0.00
1,179,750 1,206,143 15,546,074.00 6,768,969.00 0.00
9,438,545 10,088,619 38,073,183.00 22,671,266.00 0.00
244,783,556 266,110,046 210,998,607.00 92,479,358.00 0.00
4,260,059 5,300,244 33,521,854.00 15,313,856.00 0.00
155,914,890 173,971,453 346,618,494.00 143,219,632.00 0.00
2,227,293 2,351,325 7,962,475.00 2,542,739.00 0.00
- - 0.00 - 0.00
15,435,963 15,466,597 508,314.00 260,470.00 0.00
7,170,577 7,987,957 19,905,274.00 9,665,171.00 0.00
20,590,554 24,306,730 96,802,305.00 54,554,809.00 0.00
103,545,973 110,399,778 159,869,289.00 108,224,604.00 0.00
29,868,334 31,614,629 59,560,490.00 40,477,942.00 0.00
6,736,009 6,869,222 1,364,544.00 893,558.00 0.00
25,509,576 26,631,183 88,291,788.00 40,372,738.00 0.00
13,992,443 16,226,987 48,287,435.00 22,512,899.00 0.00
9,737,989 9,737,989 13,504,757.00 7,257,081.00 0.00
138,179,607 150,401,086 260,994,607.00 156,190,145.00 0.00
22,385,722 25,131,802 80,056,986.00 44,140,125.00 0.00
33,908,499 34,993,400 129,329,428.00 88,301,777.00 0.00
213,948,851 236,664,096 234,471,661.00 149,382,448.00 0.00
7,804,091 8,142,550 31,906,290.00 16,421,057.00 0.00
9,319,012 10,704,597 31,770,135.00 15,540,801.00 0.00
10,279,916 11,157,161 27,345,804.00 12,948,805.00 0.00
2,296,246 2,635,439 9,179,273.00 3,795,690.00 0.00
92,975,931 96,969,715 204,365,064.00 91,324,871.00 0.00
1,330,559 1,345,662 21,150,142.00 8,966,387.00 0.00
4,773,451 5,155,928 20,825,407.00 11,055,714.00 0.00
11,886,369 12,501,127 27,601,944.00 11,554,453.00 0.00
100,320,807 106,127,206 272,777,501.00 183,744,041.00 0.00
35,999,066 37,805,484 61,776,346.00 28,085,206.00 0.00
472,703,665 501,652,094 241,586,055.00 119,857,728.00 0.00
277,687,902 293,933,420 396,026,667.00 206,801,333.00 0.00
14,205,661 18,355,063 93,378,852.00 50,265,895.00 0.00
5,164,125 5,406,990 24,580,357.00 13,135,012.00 0.00
57,396,594 59,539,896 117,731,769.00 65,398,572.00 0.00
14,092,871 16,228,036 50,390,375.00 32,883,609.00 0.00
3,055,944 3,525,544 15,597,000.00 8,584,219.00 0.00
105,732,072 124,751,682 309,547,801.00 183,704,503.00 0.00
(10,000) - 0.00 - 0.00
28,392,125 33,412,281 96,280,586.00 56,846,014.00 0.00
7,698,333 7,988,959 18,796,196.00 7,919,223.00 0.00
203,521,312 482,947,935 422,848,265.00 143,173,609.00 0.00
143,575,301 173,794,166 525,108,250.00 275,114,423.00 0.00
37,860,812 43,653,488 187,353,243.00 99,657,480.00 0.00
11,820,634 12,518,466 48,859,660.00 23,978,011.00 0.00
88,349,237 102,897,456 212,189,625.00 101,493,725.00 0.00
5,537,952 6,193,300 18,895,650.00 9,237,016.00 0.00
79,001,103 84,149,541 182,532,308.00 114,984,574.00 0.00
(56,333) 475,058 44,027,683.00 25,552,131.00 0.00
7,536,437 8,003,285 0.00 - 0.00
75,728,933 78,415,211 205,960,920.00 108,024,944.00 0.00
51,833,381 51,892,976 33,323,366.00 22,398,673.00 0.00
41,642,793 44,040,140 149,324,681.00 88,142,726.00 0.00
16,471,777 16,741,075 2,723,237.00 789,777.00 0.00
4,457,457 5,134,750 27,455,477.00 13,427,801.00 0.00
748,602 760,500 7,220,757.00 1,813,223.00 0.00
4,022,977 4,530,339 12,448,366.00 5,943,052.00 0.00
3,815,735 4,367,773 12,151,240.00 5,147,065.00 0.00
1,201,518 1,441,202 4,013,333.00 1,570,059.00 0.00
87,116,256 90,482,642 209,330,456.00 105,279,736.00 0.00
25,507,878 25,507,878 0.00 - 0.00
979,177 1,014,324 0.00 - 0.00
15,944,481 15,944,481 2,205,080.00 912,532.00 0.00
3,839,464 4,356,235 47,223,519.00 27,181,503.00 0.00
2,757,379 3,031,901 8,680,808.00 4,243,297.00 0.00
2,733,628 2,733,628 0.00 - 0.00
5,598,648 5,976,620 25,021,565.00 11,275,912.00 0.00
205,091,331 211,517,868 367,375,671.00 195,513,733.00 0.00
24,264,481 26,324,310 100,170,578.00 50,723,206.00 0.00
86,177,141 116,327,371 292,128,100.00 164,903,120.00 0.00
353,174,636 420,495,429 529,853,106.00 292,793,652.00 0.00
240,442,819 301,129,499 502,707,263.00 296,015,117.00 96,883.00
4,812,076 5,390,531 16,167,138.00 8,492,542.00 0.00
11,131,705 13,612,048 27,455,894.00 13,179,623.00 0.00
3,939,812 4,400,421 15,354,136.00 7,396,228.00 0.00
1,398,170 1,416,604 7,627,259.00 2,832,352.00 0.00
4,721,622 5,492,013 16,265,396.00 7,482,333.00 0.00
2,100,677 2,352,744 12,204,506.00 4,013,757.00 0.00
2,233,128 2,259,330 12,429,470.00 7,133,788.00 0.00
2,027,139 2,081,995 13,473,603.00 5,093,488.00 0.00
5,961,490 6,413,791 37,970,924.00 19,496,257.00 0.00
29,339,773 33,231,529 127,752,000.00 73,978,227.00 0.00
115,394,811 128,186,009 284,758,043.00 198,594,824.00 0.00
4,280,357 4,814,600 33,150,338.00 19,603,414.00 0.00
271,001,896 297,798,164 524,997,152.00 300,762,236.00 0.00
370,806,645 399,591,924 721,372,195.00 414,489,826.00 0.00
56,845,904 65,228,418 233,394,677.00 150,966,267.00 0.00
31,341,103 40,197,669 140,769,595.00 86,380,480.00 0.00
35,339,478 39,290,146 93,039,933.00 44,645,779.00 0.00
38,205,396 41,220,648 109,216,675.00 65,901,117.00 0.00
2,080,774 2,251,545 18,576,753.00 8,568,413.00 0.00
41,866,497 41,964,477 7,110,194.00 2,827,104.00 0.00
10,697,521 11,352,377 36,771,374.00 18,245,521.00 0.00
183,640,609 198,003,648 473,929,848.00 253,596,405.00 0.00
3,429,731 3,904,004 19,442,524.00 5,067,628.00 0.00
56,420,050 62,081,002 311,963,892.00 201,867,896.00 0.00
320,686,774 343,123,695 725,129,930.00 457,152,160.00 0.00
11,654,868 13,986,760 88,157,753.00 55,979,601.00 0.00
36,676,660 40,298,298 144,794,456.00 94,195,416.00 0.00
1,979,426 2,044,102 34,742,252.00 14,676,681.00 0.00
2,927,869 3,029,688 17,870,920.00 4,464,045.00 0.00
133,277,766 140,901,397 256,944,337.00 169,494,695.00 0.00
18,231,271 18,451,635 20,022,129.00 7,361,910.00 0.00
- - 0.00 - 0.00
50,244,698 53,932,348 155,610,968.00 99,715,975.00 0.00
5,383,044 5,407,705 0.00 - 0.00
8,261,067 8,868,951 2,178,402.00 589,143.00 0.00
89,707,195 95,867,327 199,677,028.00 128,830,257.00 0.00
115,925,231 128,397,639 189,855,708.00 125,543,656.00 0.00
209,753,786 222,409,939 340,727,533.00 222,016,196.00 0.00
68,312,519 74,281,690 215,535,112.00 136,365,513.00 0.00
48,824,732 52,858,479 120,788,526.00 59,896,308.00 0.00
1,582,971 1,763,084 7,870,127.00 2,871,390.00 0.00
31,137,708 31,137,708 0.00 - 0.00
60,917,806 62,425,107 39,129,432.00 15,459,326.00 0.00
12,733,833 14,516,556 62,673,721.00 40,032,666.00 0.00
48,238,611 57,405,088 216,430,042.00 171,839,311.00 0.00
124,342,662 140,525,183 210,223,505.00 94,754,149.00 0.00
106,731,972 117,188,060 163,439,457.00 78,236,987.00 0.00
9,177,482 9,943,336 49,213,623.00 20,750,944.00 0.00
121,360,721 149,613,019 301,531,193.00 166,132,362.00 0.00
1,501,773 1,526,276 15,884,876.00 6,695,040.00 0.00
93,769,389 105,136,387 253,821,476.00 168,243,132.00 0.00
13,325,204 14,076,755 0.00 - 0.00
15,891,009 18,103,838 56,000,203.00 25,029,866.00 0.00
6,486,038 8,612,737 57,298,941.00 29,470,472.00 0.00
3,886,911 4,039,811 23,594,563.00 12,053,174.00 0.00
15,007,145 16,403,266 71,332,989.00 31,874,734.00 0.00
72,028,590 76,588,916 177,109,558.00 88,349,041.00 0.00
8,560,217 8,949,264 34,712,620.00 17,152,755.00 0.00
3,480,430 3,854,396 28,866,266.00 16,453,901.00 0.00
87,479,499 99,576,231 272,782,912.00 144,766,246.00 0.00
27,773,873 28,293,583 91,280,588.00 60,349,427.00 0.00
3,777,690 3,777,690 10,607,609.00 3,025,587.00 0.00
8,707,330 8,828,197 43,522,512.00 19,798,034.00 0.00
234,003,706 257,220,570 356,853,543.00 218,863,868.00 0.00
27,638,439 30,976,754 103,359,199.00 52,716,976.00 0.00
14,815,893 17,161,354 58,967,476.00 32,677,207.00 0.00
14,195,334 15,001,810 8,695,982.00 4,213,920.00 0.00
1,377,188 1,834,038 21,297,499.00 9,494,816.00 0.00
7,995,014 8,785,853 19,626,573.00 9,428,301.00 0.00
17,598,684 18,684,410 53,247,737.00 27,281,158.00 0.00
159,785,438 176,322,882 320,309,170.00 183,957,807.00 0.00
33,978,021 38,230,218 152,436,871.00 90,960,847.00 0.00
322,903,980 352,873,941 662,126,935.00 384,995,984.00 0.00
6,271,970 7,201,031 73,801,381.00 40,730,551.00 0.00
20,077,267 21,722,797 52,146,275.00 26,303,937.00 0.00
30,449,993 30,702,307 11,217,602.00 5,478,243.00 0.00
44,153,784 52,892,583 108,033,064.00 43,940,034.00 0.00
69,641 69,994 302,539.00 36,068.00 0.00
6,216,403 6,216,403 958,424.00 299,716.00 0.00
5,992,630 6,391,879 8,446,838.00 2,778,093.00 0.00
9,057,632,861 10,246,334,810
15,810,638,089
Less O/P Portion of
Bad Debt Net O/P Revenue as Net O/P Revenue
Less: O/P Less: O/P
(Calculated based Currently Defined in with Indigent and
Indigent Care Charity Care
on Gross Patient HB 307 Charity Left In
Revenues)
190 191 192 193 194
123,998.00 0.00 456,016.00 2,009,549.00 2,465,565.00
1,341,897.00 650,469.00 82,805.00 8,060,979.00 8,794,253.00
25,796,386.00 10,668,570.00 1,697,312.00 142,329,293.00 154,695,175.00
5,315,071.00 3,971,002.00 0.00 65,437,397.00 69,408,399.00
(1,795,703.00) 753,029.00 0.00 36,085,094.00 36,838,123.00
3,531,711.00 0.00 5,494,374.00 13,757,278.00 19,251,652.00
565,513.00 268,655.00 16,673.00 2,123,147.00 2,408,475.00
3,494,462.00 713,453.00 66,370.00 9,127,789.00 9,907,612.00
572,858.00 126,781.00 10,744.00 4,198,688.00 4,336,213.00
1,012,652.00 1,602,551.00 96,635.00 2,566,240.00 4,265,426.00
707,241.00 118,699.00 19,488.00 4,542,468.00 4,680,655.00
747,290.00 576,458.00 2,104.00 3,194,098.00 3,772,660.00
868,507.00 110,920.00 44,924.00 7,060,527.00 7,216,371.00
9,981,059.00 1,786,430.00 4,812,594.00 82,187,329.00 88,786,353.00
14,863,389.00 9,229,035.00 2,807,108.00 69,831,099.00 81,867,242.00
10,805.00 79,796.00 0.00 2,227,002.00 2,306,798.00
3,008,960.00 439,031.00 50,016.00 4,977,950.00 5,466,997.00
1,469,117.00 48,009.00 0.00 7,259,979.00 7,307,988.00
2,660,162.00 901,485.00 40,193.00 11,800,077.00 12,741,755.00
763,439.00 11,546,385.00 754,990.00 105,454,435.00 117,755,810.00
125,570.00 5,669,911.00 822,351.00 11,590,166.00 18,082,428.00
2,595,158.00 12,608,671.00 584,515.00 187,610,518.00 200,803,704.00
908,742.00 431,039.00 60,378.00 4,019,577.00 4,510,994.00
- 0.00 0.00 - -
1,818.00 0.00 0.00 246,026.00 246,026.00
1,491,192.00 937,443.00 55,148.00 7,756,320.00 8,748,911.00
7,745,764.00 3,044,981.00 1,190,328.00 30,266,423.00 34,501,732.00
3,064,182.00 2,600,325.00 601,391.00 45,378,787.00 48,580,503.00
1,889,145.00 811,844.00 152,679.00 16,228,880.00 17,193,403.00
37,561.00 2,592.00 0.00 430,833.00 433,425.00
8,195,769.00 2,070,473.00 520,568.00 37,132,240.00 39,723,281.00
2,668,104.00 4,946,277.00 0.00 18,160,155.00 23,106,432.00
381,927.00 34,722.00 5,654.00 5,825,373.00 5,865,749.00
11,035,091.00 2,785,480.00 1,199,489.00 89,784,402.00 93,769,371.00
7,823,005.00 743,722.00 1,211,357.00 26,138,777.00 28,093,856.00
7,444,697.00 623,144.00 104,441.00 32,855,369.00 33,582,954.00
10,300,855.00 2,644,143.00 1,511,241.00 70,632,974.00 74,788,358.00
2,111,066.00 586,454.00 100,888.00 12,686,825.00 13,374,167.00
1,101,319.00 1,307,468.00 383,480.00 13,437,067.00 15,128,015.00
2,330,709.00 1,632,772.00 68,036.00 10,365,482.00 12,066,290.00
1,574,234.00 824,458.00 36,234.00 2,948,657.00 3,809,349.00
6,484,589.00 0.00 10,549,520.00 96,006,084.00 106,555,604.00
2,900,239.00 431,538.00 120,588.00 8,731,390.00 9,283,516.00
2,103,369.00 326,590.00 63,749.00 7,275,985.00 7,666,324.00
2,826,794.00 111,976.00 666,148.00 12,442,573.00 13,220,697.00
9,712,746.00 6,237,381.00 2,106,505.00 70,976,828.00 79,320,714.00
1,536,250.00 1,302,495.00 53,204.00 30,799,191.00 32,154,890.00
6,340,446.00 956,393.00 443,061.00 113,988,427.00 115,387,881.00
15,675,162.00 2,331,002.00 1,388,686.00 169,830,484.00 173,550,172.00
1,132,006.00 315,726.00 7,417,497.00 34,247,728.00 41,980,951.00
1,401,436.00 297,876.00 52,619.00 9,693,414.00 10,043,909.00
2,644,367.00 1,293,232.00 4,103,867.00 44,291,731.00 49,688,830.00
1,414,449.00 386,513.00 516,906.00 15,188,898.00 16,092,317.00
1,516,265.00 10,145.00 34,615.00 5,451,756.00 5,496,516.00
9,325,446.00 25,082,108.00 6,537,309.00 84,898,435.00 116,517,852.00
- 5,000.00 5,000.00 (10,000.00) -
2,728,228.00 0.00 9,494,483.00 27,211,861.00 36,706,344.00
3,686,784.00 528,142.00 3,317.00 6,658,730.00 7,190,189.00
3,391,276.00 124,967,037.00 39,960,120.00 111,356,223.00 276,283,380.00
35,066,129.00 11,942,511.00 14,126,192.00 188,858,995.00 214,927,698.00
13,117,898.00 2,142,887.00 2,648,733.00 69,786,245.00 74,577,865.00
4,376,771.00 1,142,494.00 137,535.00 19,224,849.00 20,504,878.00
7,851,704.00 21,856,843.00 1,176,218.00 79,811,135.00 102,844,196.00
1,149,840.00 890,540.00 79,031.00 7,539,223.00 8,508,794.00
8,892,954.00 1,813,685.00 2,849,503.00 53,991,592.00 58,654,780.00
4,117,522.00 2,481,178.00 70,091.00 11,806,761.00 14,358,030.00
- 0.00 0.00 - -
11,902,024.00 2,694,912.00 1,009,071.00 82,329,969.00 86,033,952.00
31,758.00 29,633.00 500.00 10,862,802.00 10,892,935.00
9,281,494.00 2,962,566.00 256,313.00 48,681,582.00 51,900,461.00
15,423.00 134.00 3,073.00 1,914,830.00 1,918,037.00
1,936,588.00 1,292,787.00 125,895.00 10,672,406.00 12,091,088.00
693,996.00 165,148.00 7,112.00 4,541,278.00 4,713,538.00
981,168.00 447,915.00 5,554.00 5,070,677.00 5,524,146.00
840,716.00 969,774.00 54,795.00 5,138,890.00 6,163,459.00
386,318.00 497,726.00 103,343.00 1,455,887.00 2,056,956.00
21,131,698.00 2,951,855.00 79,797.00 79,887,370.00 82,919,022.00
- 0.00 0.00 - -
- 0.00 0.00 - -
- 0.00 0.00 1,292,548.00 1,292,548.00
5,786,301.00 943,916.00 0.00 13,311,799.00 14,255,715.00
878,588.00 808,229.00 73,140.00 2,677,554.00 3,558,923.00
- 0.00 0.00 - -
2,392,288.00 1,296,912.00 57,076.00 9,999,377.00 11,353,365.00
27,472,313.00 1,792,280.00 533,286.00 142,064,059.00 144,389,625.00
7,253,776.00 4,061,057.00 400,718.00 37,731,821.00 42,193,596.00
10,245,102.00 21,567,082.00 370,403.00 95,042,393.00 116,979,878.00
13,343,030.00 27,162,276.00 7,958,585.00 188,595,563.00 223,716,424.00
16,718,458.00 26,607,427.00 4,682,561.00 158,586,817.00 189,876,805.00
1,265,573.00 492,629.00 11,947.00 5,904,447.00 6,409,023.00
1,709,851.00 1,618,635.00 0.00 10,947,785.00 12,566,420.00
1,200,301.00 456,948.00 19,633.00 6,281,026.00 6,757,607.00
784,082.00 0.00 38,296.00 3,972,529.00 4,010,825.00
1,465,692.00 3,259,714.00 112,763.00 3,944,894.00 7,317,371.00
1,407,653.00 508,109.00 194,173.00 6,080,814.00 6,783,096.00
1,324,747.00 19,501.00 0.00 3,951,434.00 3,970,935.00
1,323,480.00 185,705.00 64,591.00 6,806,339.00 7,056,635.00
6,922,147.00 259,272.00 219,518.00 11,073,730.00 11,552,520.00
5,346,302.00 7,463,724.00 2,842,410.00 38,121,337.00 48,427,471.00
7,309,676.00 696,520.00 5,332,483.00 72,824,540.00 78,853,543.00
2,376,860.00 991,540.00 134,159.00 10,044,365.00 11,170,064.00
16,392,710.00 19,090,797.00 16,018,419.00 172,732,990.00 207,842,206.00
14,195,265.00 8,601,677.00 16,871,508.00 267,213,919.00 292,687,104.00
12,918,889.00 4,794,443.00 3,601,095.00 61,113,983.00 69,509,521.00
9,656,452.00 3,114,889.00 2,668,203.00 38,949,571.00 44,732,663.00
5,583,798.00 3,785,954.00 163,222.00 38,861,180.00 42,810,356.00
3,286,388.00 82,200.00 1,362,147.00 38,584,823.00 40,029,170.00
2,084,445.00 661,916.00 103,706.00 7,158,273.00 7,923,895.00
242,784.00 0.00 4,610.00 4,035,696.00 4,040,306.00
3,110,815.00 462,104.00 170,837.00 14,782,097.00 15,415,038.00
28,036,286.00 12,471,604.00 3,848,796.00 175,976,757.00 192,297,157.00
1,609,198.00 3,184,137.00 65,425.00 9,516,136.00 12,765,698.00
7,464,281.00 2,242,028.00 9,068,729.00 91,320,958.00 102,631,715.00
12,332,455.00 3,285,924.00 10,836,266.00 241,523,125.00 255,645,315.00
2,291,808.00 1,175,300.00 4,412,821.00 24,298,223.00 29,886,344.00
10,278,299.00 3,115,524.00 1,011,132.00 36,194,085.00 40,320,741.00
6,309,270.00 1,334,134.00 307,844.00 12,114,323.00 13,756,301.00
1,053,156.00 450,388.00 15,383.00 11,887,948.00 12,353,719.00
8,493,982.00 3,350,444.00 1,410,987.00 74,194,229.00 78,955,660.00
780,089.00 0.00 0.00 11,880,130.00 11,880,130.00
- 0.00 0.00 - -
8,684,225.00 1,393,214.00 570,145.00 45,247,409.00 47,210,768.00
- 0.00 0.00 - -
737.00 37,573.00 6,867.00 1,544,082.00 1,588,522.00
6,962,481.00 1,494,086.00 179,691.00 62,210,513.00 63,884,290.00
4,699,869.00 865,496.00 3,658,743.00 55,087,944.00 59,612,183.00
6,012,332.00 7,478,421.00 225,723.00 104,994,861.00 112,699,005.00
6,230,909.00 2,523,533.00 879,867.00 69,535,290.00 72,938,690.00
7,998,111.00 6,585,704.00 964,893.00 45,343,510.00 52,894,107.00
810,042.00 484,940.00 13,235.00 3,690,520.00 4,188,695.00
- 0.00 0.00 - -
556,469.00 474,218.00 28,227.00 22,611,192.00 23,113,637.00
298,999.00 1,859,373.00 92,859.00 20,389,824.00 22,342,056.00
6,123,177.00 134,102.00 903,456.00 37,429,996.00 38,467,554.00
10,752,698.00 5,956,325.00 2,344,600.00 96,415,733.00 104,716,658.00
10,451,557.00 7,465,004.00 2,021,136.00 65,264,773.00 74,750,913.00
5,089,601.00 1,532,782.00 469,349.00 21,370,947.00 23,373,078.00
17,922,370.00 5,473,009.00 6,872,838.00 105,130,614.00 117,476,461.00
2,630,736.00 185,561.00 305,225.00 6,068,314.00 6,559,100.00
5,732,142.00 2,362,296.00 17,106,791.00 60,377,115.00 79,846,202.00
- 0.00 0.00 - -
3,891,263.00 2,526,378.00 86,581.00 24,466,115.00 27,079,074.00
2,041,695.00 6,468,344.00 430,069.00 18,888,361.00 25,786,774.00
912,939.00 101,750.00 992,697.00 9,534,003.00 10,628,450.00
6,481,192.00 3,224,012.00 89,094.00 29,663,957.00 32,977,063.00
9,091,571.00 6,807,027.00 326,298.00 72,535,621.00 79,668,946.00
1,063,344.00 420,763.00 105,542.00 15,970,216.00 16,496,521.00
1,772,437.00 617,173.00 128,812.00 9,893,943.00 10,639,928.00
12,062,802.00 13,454,551.00 3,849,973.00 98,649,340.00 115,953,864.00
3,157,328.00 0.00 172,808.00 27,601,025.00 27,773,833.00
652,433.00 0.00 0.00 6,929,589.00 6,929,589.00
3,057,943.00 46,241.00 0.00 20,620,294.00 20,666,535.00
7,559,112.00 13,998,934.00 309,408.00 116,122,221.00 130,430,563.00
6,971,956.00 3,746,682.00 929,222.00 38,994,363.00 43,670,267.00
3,727,384.00 31,579.00 4,821,608.00 17,709,698.00 22,562,885.00
51,775.00 0.00 218,590.00 4,211,697.00 4,430,287.00
1,669,517.00 445,591.00 7,211.00 9,680,364.00 10,133,166.00
1,917,363.00 417,434.00 19,909.00 7,843,566.00 8,280,909.00
4,556,334.00 0.00 1,673,723.00 19,736,522.00 21,410,245.00
18,522,177.00 9,862,936.00 3,704,919.00 104,261,331.00 117,829,186.00
11,393,124.00 3,167,468.00 1,965,393.00 44,950,039.00 50,082,900.00
25,148,117.00 18,596,117.00 7,346,176.00 226,040,541.00 251,982,834.00
8,718,140.00 1,442,855.00 1,018,972.00 21,890,863.00 24,352,690.00
522,881.00 456,668.00 278,970.00 24,583,819.00 25,319,457.00
164,976.00 0.00 2,813.00 5,571,570.00 5,574,383.00
3,592,685.00 12,066,268.00 188,289.00 48,245,788.00 60,500,345.00
9,952.00 0.00 753.00 255,766.00 256,519.00
72,122.00 0.00 0.00 586,586.00 586,586.00
423,336.00 0.00 323,131.00 4,922,278.00 5,245,409.00
6,753,005,228 7,667,298,946
Total
rooms total
(previos rooms
Year UID County Notes year) 2003
1 2 3 4 5
2008 ASC001 Floyd
2008 ASC002 Hall Paid adjustment to offset shortfall of $60,220.46 on 2/8/2010.
2008 ASC003 Cherokee
2008 ASC004 Fulton
2008 ASC006 Fulton
2008 ASC007 Gwinnett
2008 ASC008 DeKalb
2008 ASC009 Clayton
2008 ASC010 Clayton
2008 ASC011 Fulton
2008 ASC013 Fulton
2008 ASC014 Fulton
2008 ASC015 DeKalb
2008 ASC016 DeKalb
2008 ASC017 DeKalb
2008 ASC018 DeKalb
2008 ASC019 Forsyth
2008 ASC020 Cobb
2008 ASC021 Cobb
2008 ASC023 Fulton
2008 ASC024 Troup
2008 ASC025 Bibb
2008 ASC026 Bibb
2008 ASC027 Columbia
2008 ASC028 Richmond
2008 ASC029 Richmond
2008 ASC030 Muscogee Approved on 1/5/2010 for shortfall payment plan to run in 24 monthly installments through D
2008 ASC032 Chatham
2008 asc033 Chatham
2008 ASC034 Muscogee
2008 ASC036 Glynn
2008 ASC037 Glynn
2008 ASC039 Fulton
2008 ASC044 Fulton
2008 ASC050 Whitfield
2008 ASC051 Chatham
2008 ASC052 Fulton
2008 ASC053 Muscogee
2008 ASC056 Bibb
2008 ASC057 Fulton Paid adjustment to offset shortfall of $33,139.14 on 7/24/2009 (Recd in DHP 8/13/2009).
2008 ASC058 Chatham
2008 ASC059 Fulton
2008 ASC060 Chatham
2008 ASC061 Catoosa
2008 ASC062 Richmond Paid adjustment to offset shortfall of $744.46 on 1/12/2010.
2008 ASC063 Columbia
2008 ASC065 Fulton
2008 ASC066 Dougherty Paid adjustment to offset shortfall of $22,637.01 on 12/29/2009.
2008 ASC067 DeKalb Paid adjustment to offset shortfall of $207,070.55 on 7/24/2009 (Recd in DHP 8/13/2009).
2008 LNRASC000 Dougherty
2008 LNRASC005 Tift
2008 LNRASC011 Clarke
2008 LNRASC012 Cobb
2008 LNRASC013 Fulton
2008 LNRASC016 Rockdale
2008 LNRASC017 Fulton
2008 LNRASC019 Fulton
2008 LNRASC020 Hall
2008 LNRASC022 Houston
2008 LNRASC024 DeKalb
2008 LNRASC026 Bartow
2008 LNRASC027 Carroll
2008 LNRASC030 Houston
2008 LNRASC032 Floyd
2008 LNRASC034 Fulton
2008 LNRASC035 Fulton
2008 LNRASC037 Toombs
2008 LNRASC040 Gwinnett
2008 LNRASC048 Cobb
2008 LNRASC049 Cobb
2008 LNRASC050 Cobb
2008 LNRASC052 DeKalb
2008 LNRASC054 DeKalb
2008 LNRASC055 Lowndes Revised Bad Debt from $6,876 to $40,671.32 on 12/30/2009. Paid adjustment to offset short
2008 LNRASC059 Lowndes
2008 LNRASC064 Fulton
2008 LNRASC066 Gwinnett
2008 LNRASC070 Fulton
2008 LNRASC075 Gwinnett
2008 LNRASC076 Lowndes
2008 LNRASC078 Fulton
2008 LNRASC079 Richmond
2008 LNRASC082 Thomas
2008 LNRASC086 DeKalb
2008 LNRASC087 DeKalb
2008 LNRASC088 Cobb
2008 LNRASC090 Hall
2008 LNRASC091 Bibb
2008 LNRASC093 Fayette
2008 LNRASC094 Dougherty
2008 LNRASC097 Bibb
2008 LNRASC100 Fulton
2008 LNRASC102 Glynn
2008 LNRASC103 Fulton
2008 LNRASC104 Fulton
2008 LNRASC106 Fulton
2008 LNRASC107 Fulton
2008 LNRASC108 Fulton
2008 LNRASC116 Clayton
2008 LNRASC119 Fulton
2008 LNRASC120 Spalding
2008 LNRASC122 Cobb
2008 LNRASC123 Gordon
2008 LNRASC127 Richmond
2008 LNRASC128 Richmond
2008 LNRASC129 Bibb
2008 LNRASC130 Tift
2008 LNRASC132 Bulloch
2008 LNRASC135 Fulton
2008 LNRASC137 Lumpkin
2008 LNRASC142 Richmond
2008 LNRASC144 Fayette
2008 LNRASC145 Carroll
2008 LNRASC146 Clayton
2008 LNRASC149 Whitfield
2008 LNRASC151 Fulton
2008 LNRASC152 Cobb
2008 LNRASC154 Colquitt
2008 LNRASC158 Richmond
2008 LNRASC159 Fulton
2008 LNRASC163 Ware
2008 LNRASC165 Thomas
2008 LNRASC166 Bibb
2008 LNRASC167 Bulloch
2008 LNRASC169 Chatham
2008 LNRASC170 Whitfield
2008 LNRASC171 Glynn
2008 LNRASC172 Cobb
2008 LNRASC176 Lowndes
2008 LNRASC178 Fulton
2008 LNRASC180 Whitfield
2008 LNRASC183 Whitfield
2008 LNRASC190 Columbia
2008 LNRASC192 Richmond
2008 LNRASC193 Lowndes
2008 LNRASC194 Hall
2008 LNRASC195 Lowndes
2008 LNRASC196 Hall
2008 LNRASC197 Cobb
2008 LNRASC198 Chatham
2008 LNRASC199 Hall
2008 LNRASC200 Lowndes
2008 LNRASC201 Clayton
2008 LNRASC202 Chatham
2008 LNRASC203 Hall
2008 LNRASC207 Richmond
2008 LNRASC209 Bibb
2008 LNRASC210 Floyd
2008 LNRASC211 Glynn
2008 LNRASC212 Columbia
2008 LNRASC213 Bulloch
2008 LNRASC214 Bibb Revised Gross Patient Revenue to reflect only the surgery center and not both surgery center a
2008 LNRASC215 Fulton
2008 LNRASC216 Coffee
2008 LNRASC217 Fulton
2008 LNRASC218 Glynn
2008 LNRASC219 Cobb
2008 LNRASC220 Bulloch
2008 LNRASC222 Clarke
2008 LNRASC224 Fulton
2008 LNRASC226 Newton
2008 LNRASC227 Fulton
2008 LNRASC228 Fulton
2008 LNRASC230 Bartow
2008 LNRASC232 Clayton
2008 LNRASC233 Cobb
2008 LNRASC234 Hall
2008 LNRASC235 Forsyth
2008 LNRASC236 Dougherty
2008 LNRASC237 Forsyth
2008 LNRASC238 Laurens
2008 LNRASC240 Cobb
2008 LNRASC241 Fulton
2008 LNRASC243 Gwinnett
2008 LNRASC244 Douglas
2008 LNRASC246 Henry
2008 LNRASC248 Gwinnett
2008 LNRASC249 Chatham
2008 LNRASC250 Whitfield
2008 LNRASC252 Grady
2008 LNRASC254 Clarke
2008 LNRASC259 Carroll
2008 LNRASC260 Clarke
2008 LNRASC262 Clarke
2008 LNRASC264 Hall
2008 LNRASC266 Fulton
2008 LNRASC267 Glynn
2008 LNRASC268 Bibb
2008 LNRASC269 Henry
2008 LNRASC270 Laurens
2008 LNRASC271 Houston
2008 LNRASC272 Bibb
2008 LNRASC273 Dougherty
2008 LNRASC276 Richmond
2008 LNRASC277 Fayette
2008 LNRASC278 Houston
2008 LNRASC279 Fulton
2008 LNRASC281 Chatham
2008 LNRASC282 Dougherty
2008 LNRASC284 Newton
2008 LNRASC285 Camden
2008 LNRASC286 Floyd
2008 LNRASC288 Cobb
2008 LNRASC289 Douglas
2008 LNRASC290 Toombs
2008 LNRASC291 DeKalb
2008 LNRASC292 Hall
2008 LNRASC293 Glynn
2008 LNRASC295 Fulton
2008 LNRASC296 Fulton
2008 LNRASC297 Pickens
2008 LNRASC989 Ware
2008 LNRASC990 Coweta
2008 LNRASC991 Laurens
2008 LNRASC992 Fulton
2008 LNRASC993 Thomas
2008 LNRASC994 Fulton
2008 LNRASC996 Bulloch
2008 LNRASC997 Chatham
2008 LNRASC998 Muscogee
2008 LNRASC999 Richmond
Mail
Facility Name Address City Zip Address
6 7 8 9 10
The Surgery Center Of Rome 16 John Maddox Drive Rome 30165 16 John Maddox Drive
Gainesville Surgery Center 1945 Beverly Road Gainesville 30501-20341945 Beverly Road
Advanced Surgery Center Of Georgia 220 Hospital Road Canton 30114-2407220 Hospital Road
Atlanta Eye Surgery Center at Omni West Atlanta 30327
Suite 240 3200 Downwood Circle (The Palisades)3200 Downwood Circle (The P
Perimeter Surgery Center of Atlanta Atlanta
1140 Hammond Drive Bldg F, Suite 610030328-5338Building F, Suite 6100 1140 H
Gwinnett Center for Outpatient Surgery 2131 Fountain Drive Snellville 30278-29202131 Fountain Drive
Feminist Women's Health Center 1924 Cliff Valley Way NE Atlanta 30329 1924 Cliff Valley Way NE
7813 Suite 100
Surgery Center at Mt. Zion d.b.a. Spivey Station Surgery Center Spivey Station Blvd.Jonesboro 30236 7813 Spivey Station Blvd. Sui
Foot and Ankle Jonesboro
Center For Reconstructive Surgery (International Center For7130 Mount Zion Boulevard Suite 14 30236-2566Suite 14 7130 Mount Zion Bou
Atlanta Women's Medical Center 235 W. Wieuca Rd. Atlanta 30342-3321235 W. Wieuca Road
North Atlanta Endoscopy Center Atlanta
5555 Peachtree-Dunwoody Rd Suite G 7030342-1748Suite G-70 5555 Peachtree-Du
Atlanta Outpatient Surgery Center Atlanta 30328-1620Suites 300 and 400 5730 Glen
5730 Glenridge Drive Suites 300 and 400
Northside/Dunwoody Surgical Center #60-C
4553 N. Shallowford Rd., Atlanta 30338 4553 N. Shallowford Road, #6
Northside Women's Clinic Atlanta
3543 Chamblee Dunwoody Road 30341 3543 Chamblee Dunwoody Ro
Emory Clinic Ambulatory Surgery Center Atlanta
1365 B Clifton Road NE Suite BT20030322-1013Suite 6400 1365 B Clifton Roa
Northlake Surgical Center Tucker
1491 Montreal Road, Suite 204 30084 1491 Montreal Road, Suite 20
Northwoods Surgery Center, LLC Cumming
1230 Bald Ridge Marina Rd. Suite S 30131-8494Suite S 1230 Bald Ridge Marin
Marietta Surgical Center M
780 Canton Road Suite 100 arietta 30060 Suite 100 780 Canton Road
East-West Surgery Center Austell
2041 Mesa Valley Way Suite 125 30106-8157Suite 125 2041 Mesa Valley W
Atlanta Outpatient Peachtree-Dunwoody Center Atlanta 30342-1705Suite 150 5505 Peachtree-Dun
5505 Peachtree-Dunwoody Road Suite 150
Southern Surgery Center, LLC L
1805 Vernon Road, Suite C aGrange 30240-40411805 Vernon Road, Suite C
Medical Eye Associates 1429 Oglethorpe Street Macon 31201 1429 Oglethorpe Street
Coliseum Same Day Surgery Center 340 Hospital Drive Macon 31217-3895PO Box 6154
Evans Surgery Center 635 Ronald Reagan Drive Evans 30809-4401635 Ronald Reagan Drive
Planned Parenthood Reproductive Health Services, Inc. 1289 Broad Street Augusta 30910 1289 Broad Street
Augusta Surgical Center 915 Russell Street Augusta 30904-4115915 Russell Street
Surgery Center, LLC, The 2548 Weems Rd. Columbus 31909-62482548 Weems Road
Savannah Medical Clinic 120 East 34th St. Savannah 31401-8102120 East 34th Street
Savannah Foot and Ankle Surgery Center, LLC Savannah 31406-2688Suite 7B 310 Eisenhower Driv
310 Eisenhower Drive Suite 7B
Columbus Women's Health Organization, Inc. 3850 Rosemont Blvd. Columbus 31904-56593850 Rosemont Drive
Premier Surgery Center 3215 Shrine Road Suite 8 Brunswick 31520-4300Suite 8 3215 Shrine Road
Brunswick Endoscopy Center 3217 Fourth Street Brunswick 31520 3217 Fourth Street
Buckhead Surgery Center Atlanta
3200 Downwood Circle NW Suite 400 30327-1624Suite 400 3200 Downwood Ci
Atlanta Center for Reconstructive Foot and Ankle Surgery 218 Sandy Springs Place Atlanta 30328-3812218 Sandy Springs Place NE
Hamilton Ambulatory Surgery Center 1250 Broadrick Drive Dalton 30720 1250 Broadrick Drive
Schulze Surgery Center, Inc. 728 E. 67th Street Savannah 31405 728 E. 67th Street
Suite
Children's Healthcare of Atlanta Surgery, Meridian Mark 5445 Meridian Mark RoadAtlanta340 30342 Suite 340 5445 Meridian Mark
Endoscopy Center of Columbus, LLC 1130 Talbotton Road Columbus 31904 1130 Talbotton Road
Surgical Centers of Georgia 3556 Riverside Drive Macon 31210 3556 Riverside Drive
Center for Pain Management (The Emory Clinic) 550 Peachtree St MOT7 Atlanta 30308 1365 Clifton Road, NE
Savannah Plastic Surgicenter, Inc. Savannah 31406-25207208 Hodgson Memorial Driv
7208 Hodgson Memorial Drive
North Atlanta Orthopaedic Surgery Center, LLC 10670 Medlock Bridge RoadDuluth 30097 10670 Medlock Bridge Road
Orthopedic Surgery Center, L.P. 210 East DeRenne Avenue Savannah 31405 210 East DeRenne Avenue
North Georgia Foot & Ankle Surgery Center 146 Smitherman Road Ringgold 30736-7372146 Smitherman Road
Summerville Surgical Center Augusta 30904
1433 Stovall Street, SUITE B 1433 Stovall Street
Surgery Center of Columbia County 4300 University Parkway Evans 30809 4300 University Parkway
Roswell Center for Foot and Ankle Surgery Roswell
1360 Upper Hembree Road Suite 200 30076 Suite 200 1360 Upper Hembre
Albany Endoscopy Center 1009 North Monroe StreetAlbany 31701 1009 North Monroe Street
Center Atlanta
Emory Orthopaedic and Spine Physiatry Outpatient Surgery 5th Floor 59 Executive Park South 30329 59 Executive Park South 5th F
ALBANY REGIONAL PLASTIC SURGERY 2101 PALMYRA ROAD ALBANY 31701 2101 PALMYRA ROAD
TIFTON ENDOSCOPY CENTER, INC. 1111 E. 20th Street TIFTON 31794 1111 E. 20th Street
GEORGIA LITHOTRIPSY AND LASER 120 Trinity Place ATHENS 30607 120 Trinity Place
PLASTIC SURG CTR OF THE SOUTH MARIETTA
120 Vann Street, Suite 150 30060 120 Vann Street, Suite 150
GASTROENTEROLOGY ENDOSCOPY CTR, INC ATLANTA30308
550 PEACHTREE STREET, NE, SUITE 1750 P.O. Box 7865
WELLBROOK ENDOSCOPY CENTER C
1269 Wellbrook Circle, NE ONYERS30012 1269 Wellbrook Circle, NE
MIDTOWN UROLOGY SURGICAL CENTER ATLANTA30308
128 NORTH AVENUE, NE, SUITE 100 128 NORTH AVENUE, NE, S
NORTH ATL PLAS & RECON SURG PC ROSWELL30076
1295 HEMBREE ROAD BLDG B SUITE 100 1295 HEMBREE ROAD BLD
NORTHEAST GEORGIA PLASTIC SURGERY CENTER1296 Sims Street, Suite B GAINESVILLE 30501 1296 Sims Street, Suite B
HOUSTON LAKE SURGERY CENTER WARNER ROBINS 136 South Houston Lake Road
136 South Houston Lake Road 31088
NORTHLAKE ENDOSCOPY CENTER TUCKER 30084
1459 Montreal Road, Suite 204 1459 Montreal Road, Suite 20
CENTER FOR ORTHOPEDIC SURGERY 15 Medical Drive 30120
CARTERSVILLE 15 Medical Drive
CARROLLTON EYE CLINIC - ASTC 158 Clinic Avenue CARROLLTON30117 158 Clinic Avenue
E.N.T. SURG CTR OF CENTRAL GA WARNER ROBINS 1719 Russell Parkway,Bldg 30
1719 Russell Parkway,Bldg 300 31088
HARBIN G I, LLC ROME
1825 Martha Berry Boulevard 30165 1825 Martha Berry Boulevard
SUMMIT MEDICAL ASSOCIATES ATLANTA30324
1874 Piedmont Rd, Suite 500-E 1874 Piedmont Rd, Suite 500-
GEORGIA SURGICAL CTR ON PEACHTREE ATLANTA30309
1938 Peachtree Road, NW, Lobby Level 1938 Peachtree Road, NW, Lo
ENDOSCOPY CTR OF SOUTHEAST GA V
200 Maple Drive (30474) IDALIA 30474 200 Maple Drive (30474)
JIMENEZ FOOT, ANKLE & LEG ASC 2175 North Road SNELLVILLE30078 2175 North Road
FOOT SURGERY CENTER, THE MARIETTA
2520 Windy Hill Road, Suite 105 30067 2520 Windy Hill Road, Suite 1
GI DIAGNOSTICS ENDOSCOPY CENTER, LLC MARIETTA
2550 Windy Hill Road, Suite 302 30067 2550 Windy Hill Road, Suite 3
NORTHWEST GA ORTHOPAEDIC SC MARIETTA
2550 Windy Hill Road, Ste 218 30067 2550 Windy Hill Road, Ste 21
ATLANTA ENDOSCOPY CENTER, LTD. DECATUR30033
2665 North Decatur Rd, Suite #545 2665 North Decatur Rd, Suite
DEKALB ENDOSCOPY CENTER ROAD, SUITE 506 2675 NORTH DECATUR RO
2675 NORTH DECATURDECATUR30033
NORTH OAK AMBULATORY SURGERY CENTER, LLC 2718 North Oak Street VALDOSTA1602 3 2718 North Oak Street
EYE ASSOCIATES SURGERY CTR 3
3024 N. Patterson Street VALDOSTA1602 3024 N. Patterson Street
DENNIS SURGERY CENTER, INC. ATLANTA30327
3193 Howell Mill Road, Suite 215 3193 Howell Mill Road, Suite
SOUTHERN ENDOSCOPY SUITE, LLC 30045
763 Old Norcross Road LAWRENCEVILLE 763 Old Norcross Road
PACES PLASTIC SURGERY CENTER ATLANTA30327
3200 Downwood Circle, Ste 640 3200 Downwood Circle, Ste 6
NORTHSIDE FOOT & ANKLE OUTPATIENT SURGICAL CENTER, INC. 3415 Holcomb Bridge Road 3
NORCROSS0092 c/o Foot & Ankle Centers 5
V.O.A. AMBULATORY SURG CTR VALDOSTA1602
3527-B North Valdosta Road 3 3527-B North Valdosta Road
CENTER FOR PLASTIC SURGERY ATLANTA30305
365 EAST PACES FERRY ROAD, NE 365 EAST PACES FERRY RO
EYE SURGERY CENTER OF AUGUSTA A
3658 J. Dewey Gray Circle UGUSTA30909 3658 J. Dewey Gray Circle
AESTHETIC LASER & SURG FACILITY 416 Gordon Avenue 31792
THOMASVILLE 416 Gordon Avenue
2685
GEORGIA UROLOGY AMBULATORY SURGERY CENTER MILSCOTT DRIVEDECATUR30033 2685 MILSCOTT DRIVE
PLASTIKOS SURGERY CENTER 4370 Georgetown Square ATLANTA30338 4370 Georgetown Square
EAST COBB PODIATRY SURGERY CTR 4439 Roswell Road MARIETTA 30062 4439 Roswell Road
NORTHSIDE FOOT & ANKLE O P SC 466 Green Street 30501
GAINESVILLE c/o Foot & Ankle Centers 57
PIEDMONT SURGERY CENTER MACON 31210
4660 Riverside Park Boulevard 4660 Riverside Park Boulevard
ADVANCED AESTHETICS SURGICENTER FAYETTEVILLE
874 WEST LANIER AVENUE, SUITE 110 30214 874 WEST LANIER AVENU
ALBANY SURGERY CENTER, LLP 531 7th Avenue ALBANY 31701 531 7th Avenue
CENTRAL GA HEAD & NECK SURG CT 540 Hemlock Street MACON 31201 540 Hemlock Street
SOUTHEASTERN SURGICAL CENTER ATLANTA30342
1150 LAKE HEARN DRIVE, SUITE 600 1150 LAKE HEARN DRIVE,
NORTHSIDE SURGERY CENTER, INC. ATLANTA30342 5505
5505 PEACHTREE-DUNWOODY RD, SUITE 415 PEACHTREE-DUNWO
SPECIALTY SURGERY CENTER, INC. ATLANTA30342
5505 PEACHTREE DUNWOODY ROAD, SUITE 645 5505 PEACHTREE DUNWO
SURGICAL SUITE, THE ATLANTA30342
5555 Peachtree-Dunwoody Rd, Suite 180 5555 Peachtree-Dunwoody Rd
PERIMETER OUTPATIENT SURG ASSOCIATES, INC 5673 PEACHTREE DUNWOODY RD, #800 ATLANTA30342 5673 PEACHTREE DUNWO
RESURGENS SURGICAL CENTER ATLANTA30342
5671 Peachtree Dunwoody Rd, Suite 800 5671 Peachtree Dunwoody Rd
PAIN SPECIALTY CENTER OF ATLANTA ATLANTA30342
5671 PEACHTREE DUNWOODY ROAD, SUITE 660 5671 PEACHTREE DUNWO
G.I. ENDOSCOPY CENTER RIVERDALE
6555 Professional Place, Ste B 30274 4865 BILL GARDNER PARK
RODERIQUE SURGI-CENTER, INC. 955 Spring Street, NW ATLANTA30309 955 Spring Street, NW
OUTPATIENT CTR FOR FOOT SURG GRIFFIN 30224
730 South 8th Street, Suite B 730 South 8th Street, Suite B
COBB FOOT AND LEG SURGICAL CENTER, LLC MARIETTA
792 Church Street, Suite 102 30060 792 Church Street, Suite 102
NORTH GEORGIA OUTPATIENT SURG 795 Red Bud Road CALHOUN30701 795 Red Bud Road
AUGUSTA PLASTIC SURGERY CENTER, INC. 1348 WALTON WAY, SUITE 6300AUGUSTA30901 1348 WALTON WAY, SUITE
AUGUSTA UROLOGY SURGICENTER, LLC 811 13th Street, Suite 17 AUGUSTA30901 811 13th Street, Suite 17
MACON OUTPATIENT SURGERY, LLC 840 PINE STREET, SUITE 840 MACON 31201 840 PINE STREET, SUITE 84
TIFTAREA ENDOSCOPY CENTER, INC 460
907 East 18th Street, SuiteTIFTON 31794 907 East 18th Street, Suite 460
STATESBORO AMBULATORY SUR CTR 95 Bel-Air Drive STATESBORO30461 P.O. Box 1106
980 ATLANTA30342 980
NORTH ATLANTA HEAD & NECK SURGERY CENTER Johnson Ferry Rd, Northside Drs Bldg, Ste 110 Johnson Ferry Rd, Northsi
64 Mountain Drive
SUMMIT SURGICAL ASC-DAHLONEGA SURGERY CENTER DAHLONEGA 30533 64 Mountain Drive
Augusta Retina-Laser Surgi Care Suite 202 3685 Wheeler RoadAugusta 30909 3685 Wheeler Road Suite 202
SUMMIT ENDOSCOPY CENTER, L L C FAYETTEVILLE
1265 Highway 54 West, Suite 401 30214 1265 Highway 54 West, Suite
PLASTIC SURGERY CTR OF WEST GA CARROLLTON
150 Henry Burson Drive, Suite 200 30117 150 Henry Burson Drive, Suite
AKSTEIN EYE CENTER, P.C. Suite 100 30274
86 Upper Riverdale Road,RIVERDALE 86 Upper Riverdale Road, Suit
DALTON PLASTIC SURGERY 1501 BROADRICK DRIVE DALTON 30720 1501 BROADRICK DRIVE
PEACHTREE ORTHO SC AT PIEDMONT 77 Collier Road, Suite 2000ATLANTA30309 77 Collier Road, Suite 2000
ATLANTA SURGERY CENTERS MARIETTA
790 Church Street, Suite 530 30060 790 Church Street, Suite 530
MOULTRIE UROLOGY ASC 2 HOSPITAL PARK MOULTRIE 31768 2 HOSPITAL PARK
AUGUSTA AESTHETIC SURGERY, LLC AUGUSTA30904
2258 WRIGHTSBORO ROAD, SUITE 180 2258 WRIGHTSBORO ROAD
WOODHAMS LASER & LENS IMPLANT ATLANTA30328
1140 HAMMOND DRIVE, BLDG E, SUITE 5100 1140 HAMMOND DRIVE, B
SOUTH GEORGIA ENDOSCOPY CENTER 1501 ALICE STREET WAYCROSS 31501 1501 ALICE STREET
UROLOGY INSTITUTE ASC, THE 817 SMITH AVENUE THOMASVILLE 31792 817 SMITH AVENUE
MACON PAIN CENTER, PC 3356 VINEVILLE AVENUE MACON 31204 3356 VINEVILLE AVENUE
WOMEN'S SURGERY CENTER, THE 1523 FAIR ROAD STATESBORO30458 P.O. BOX 1958
ENDOSCOPY CTR OF COASTAL GA 519 STEPHENSON AVENUE SAVANNAH 31405 519 STEPHENSON AVENUE
NORTHWEST GA ENT SURGERY CTR DALTON
1436 CHATTANOOGA AVENUE 30720 1436 CHATTANOOGA AVE
GOLDEN ISLES FOOT SUR CTR, INC 10 PROFESSIONAL DRIVE BRUNSWICK 31520 10 PROFESSIONAL DRIVE
GEORGIA PAIN SURG CTR, INC MARIETTA
2550 WINDY HILL ROAD, SUITE 215 30067 2550 WINDY HILL ROAD, S
VALDOSTA ENDOSCOPY CENTER, LLC 410 B CONNELL ROAD VALDOSTA1602 3 410 B CONNELL ROAD
830
ATLANTA EYE INTERNATIONAL SURGERY CENTER WEST PEACHTREEATLANTA30308 STREET, NW 830 WEST PEACHTREE STR
DALTON FOOT & ANKLE SURG CTR 1432 BROADRICK DRIVE DALTON 30720 1432 BROADRICK DRIVE
PROFESSIONAL EYE SURGERY CTR 1111 PROFESSIONAL BOULEVARDDALTON 30720 1111 PROFESSIONAL BOUL
AUGUSTA ENDOSCOPY CENTER 393 NORTH BELAIR ROAD EVANS 30809 393 NORTH BELAIR ROAD
811
ORTHOPAEDIC ASSOCIATES SURGERY CENTER, LLC 13TH STREET, SUITE 21 AUGUSTA30901 811 13TH STREET, SUITE 2
AZALEA SURGERY CENTER 2810 NORTH OAK STREET 3
VALDOSTA1602 2810 NORTH OAK STREET
GAINESVILLE UROLOGY ASC, LLC GAINESVILLE
30501
1240 JESSIE JEWEL PARKWAY, SUITE 250 1240 JESSIE JEWEL PARKW
PLASTIC SURGERY OPERATIVE SUITE, LLC 230 NORTHSIDE DRIVE 3
VALDOSTA1602 230 NORTHSIDE DRIVE
GAINESVILLE ENDOSCOPY CENTER, LLC GAINESVILLE
660 LANIER PARK DRIVE, SUITE E&F 30501 P.O. BOX 908058
WESTSIDE ENDOSCOPY CENTER, P C AUSTELL
3825 MEDICAL PARK DRIVE, SW 30106 3825 MEDICAL PARK DRIV
COASTAL EMPIRE PLASTIC SURGERY 900 MOHAWK STREET,SAVANNAH SUITE A 31419 900 MOHAWK STREET, SU
G
ADVANCED EYE SURGERY AND LASER CENTER 625 S ENOTA DRIVE, NE AINESVILLE 30501 625 S ENOTA DRIVE, NE
341
SOUTHERN OB/GYN AMBULATORY SURGERY CENTERCONNELL ROAD VALDOSTA1602 3 341 CONNELL ROAD
ORTHOPAEDIC SOUTH SURGICAL CENTER 6645 LAKE DRIVE MORROW 30260 6645 LAKE DRIVE
UROLOGY SURGERY CENTER OF SAVANNAH, LP 230 EAST DERENNE AVENUE SAVANNAH 31405 230 EAST DERENNE AVEN
1975-B
GAINESVILLE FOOT AND ANKLE SURGERY CENTER, PC BEVERLY ROAD 30501
GAINESVILLE 1975-B BEVERLY ROAD
820 AUGUSTA30901
PLASTIC & RECONSTRUCTIVE SURGERY CENTER, PC ST SEBASTIAN WAY, SUITE 1A 820 ST SEBASTIAN WAY, S
ENDOSCOPY CENTER OF MIDDLE GEORGIA, LLC 610 THIRD STREET MACON 31201 610 THIRD STREET
COOSA PROCEDURE CENTER, LLC SUITE
18 RIVERBEND DRIVE,ROME 12030161 18 RIVERBEND DRIVE, SUI
ISLAND SURGERY CENTER, INC SAINT SIMONS 1015
1015 ARTHUR J MOORE DRIVE 31522ISLAND ARTHUR J MOORE DR
ENT SURGERY CENTER OF AUGUSTA, LLC 340 N BELAIR ROAD EVANS 30809 340 N BELAIR ROAD
OUTPATIENT ORTHOPEDIC SURGERY CENTER, LLC STATESBORO
1601 FAIR ROAD, SUITE 500 30458 1601 FAIR ROAD, SUITE 50
RENAISSANCE SURGICAL CENTRE, LLC BOULEVARD
4030 RIVERSIDE PARK MACON 31210 4030 RIVERSIDE PARK BOU
(THE) ROAD, SUITE 200 993D JOHNSON FERRY RO
HAND & UPPER EXTREMITY SURG CTR OF GA, LLC993D JOHNSON FERRYATLANTA30342
300
COFFEE COUNTY CENTER FOR DIGESTIVE DISEASE SHIRLEY AVENUE DOUGLAS31533 300 SHIRLEY AVENUE
NORTH CRESCENT SURGERY CENTER ALPHARETTA
11975 MORRIS ROAD, SUITE 160 30005 11975 MORRIS ROAD, SUIT
BRUNSWICK PAIN TREATMENT CENTER, LLC BRUNSWICK31525
1111 GLYNCO PARKWAY, 3RD FLOOR 1111 GLYNCO PARKWAY,
The Center for Spine Procedures, PC MARIETTA 30060
335 ROSELANE STREET, SUITE 100 335 ROSELANE STREET, SU
BULLOCH COUNTY ENDOSCOPY CENTER, LLC 1555 BRAMPTON AVENUE 30458
STATESBORO 1555 BRAMPTON AVENUE
NORTHEAST GEORGIA PROCEDURE CENTER 1620 PRINCE AVENUE ATHENS 30606 1620 PRINCE AVENUE
ATLANTA30342
GEORGIA DERMATOLOGIC SURGERY CENTERS, PC5555 PEACHTREE-DUNWOODY ROAD, SUITE G-655555 PEACHTREE-DUNWO
WELLBROOK ENDOSCOPY CENTER (COVINGTON) 7229 WHEAT STREET COVINGTON 30014 7229 WHEAT STREET
5555 OPTIMUM SURGERY CENTER
ATLANTA30342 5555 PEACHTREE DUNWO
PEACHTREE SPINE AND PAIN PHYSICIANS ASC, LLC dba PEACHTREE DUNWOODY ROAD, SUITE G99
THOMAS EYE SURGERY CENTER ATLANTA30342 5671 PEACHTREE DUNWO
5671 PEACHTREE DUNWOODY RD, NE, SUITE 380
PAIN SOLUTIONS TREATMENT CENTERS CARTERSVILLE
15 MEDICAL DRIVE, SUITE 301 30121 15 MEDICAL DRIVE, SUITE
ATLANTA SOUTH ENDOSCOPY CENTER, LLC RIVERDALE30274
34 UPPER RIVERDALE ROAD, SUITE 201 34 UPPER RIVERDALE ROA
MARIETTA EYE SURGERY MARIETTA 30060
895 CANTON ROAD, BLDG 200, SUITE 300 895 CANTON ROAD, BLDG
SPECIALTY ORTHOPAEDICS SURGERY CENTER GAINESVILLE
30501
1240 JESSE JEWELL PARKWAY, SUITE 360 1240 JESSE JEWELL PARKW
HUDES ENDOSCOPY CENTER, LLC SUWANEE30024
4275 JOHNS CREEK PARKWAY, SUITE A 4275 JOHNS CREEK PARKW
MEREDYTH SURGERY CENTER, P C ALBANY 31707
2709 MEREDYTH DRIVE, SUITE 210 2709 MEREDYTH DRIVE, S
520 CUMMINGC
NORTH GEORGIA INSTITUTE FOR WOUND CARE, LLC PIRKLE FERRY ROAD, SUITE 30040 520 PIRKLE FERRY ROAD,
DUBLIN EYE SURGERY CENTER DUBLIN 31021 2400
2400 BELLEVUE ROAD, 17 ERIN OFFICE PARK BELLEVUE ROAD, 17
MARIETTA
UROLOGY ASSOCIATES SURGERY CENTER, LLC 300 TOWER ROAD, SUITE 150 30060 300 TOWER ROAD, SUITE 1
ENT SURGERY CENTER OF ATLANTA, LLC ATLANTA30342 5673 PEACHTREE DUNWO
5673 PEACHTREE DUNWOODY ROAD, SUITE 945
NORTHEAST ENDOSCOPY CENTER, LLC LAWRENCEVILLE 721 WELLNESS WAY, SUIT
721 WELLNESS WAY, SUITE 110 30045
DCA DIAGNOSTICS, LLC LITHIA SPRINGS
30122
880 CRESTMARK DRIVE, SUITE 102 880 CRESTMARK DRIVE, S
SURGICAL CENTER FOR UROLOGY, LLC STOCKBRIDGE
30281
290 COUNTRY CLUB DRIVE, SUITE 240 290 COUNTRY CLUB DRIV
GDC ENDOSCOPY CENTER, LLC LAWRENCEVILLE 475 PHILIP BOULEVARD, S
30046
475 PHILIP BOULEVARD, SUITE 304
MIDTOWN SURGICAL CENTER, LLC S
908 ABERCORN STREETAVANNAH 31401 908 ABERCORN STREET
CENTER FOR SPINE & PAIN MEDICINE DALTON
1413 CHATTANOOGA AVENUE 30720 1413 CHATTANOOGA AVE
PLANTATION AMBULATORY SURGERY, LTD 390 1ST AVENUE, NE CAIRO 39828 390 1ST AVENUE, NE
1765 OLD WEST BROAD ST, BLDG ONE, SUITE 300 WEST BROAD ST
ATHENS ORTHOPEDIC CLINIC AMBULATORY SURG CTR, LLC ATHENS 30606 1765 OLD
150 CARROLLTON
CARROLLTON ORTHOPAEDIC SURGERY CENTER, LLC CLINIC AVENUE, SUITE 101 30117 150 CLINIC AVENUE, SUIT
AMERICAN EYE SURGERY CENTER, INC AVENUE
651 SOUTH MILLEDGE ATHENS 30605 651 SOUTH MILLEDGE AV
ATHENA UROLOGY SURGERY CENTER ATHENS 30606
1500 OGLETHORPE AVENUE 1500 OGLETHORPE AVENU
GAINESVILLE EYE CENTER, LLC 2061 BEVERLY ROAD GAINESVILLE30501 2061 BEVERLY ROAD
ATLANTA30327
ATLANTA SPORTS MEDICINE SURGERY CENTER 3200 DOWNWOOD CIRCLE, SUITE 510 3200 DOWNWOOD CIRCLE
COASTAL PAIN CENTER, LLC 3221 GLYNN AVENUE BRUNSWICK 31520 3221 GLYNN AVENUE
ASSOCIATES SURGERY CENTER, INC 864 FIRST STREET MACON 31201 864 FIRST STREET
LOCUST GROVE ENDO CENTER LOCUST 30248
4865 BILL GARDNER PARKWAYGROVE 4865 BILL GARDNER PARK
DUBLIN ORTHOPAEDICS ASC, INC ROAD
2627 MOORE STATION DUBLIN 31021 2627 MOORE STATION ROA
PEACH STATE SURGICAL CENTERS, INC PERRY 31069
1040 MORNINGSIDE DRIVE PO BOX 6007
1610 FORSYTH STREET
FORSYTH STREET AMBULATORY SURGERY CENTER, LLC MACON 31201 1610 FORSYTH STREET
NORTHWEST PLAZA ASC ALBANY
2311 LAKE PARK DRIVE, SUITE 431707 2311 LAKE PARK DRIVE, S
AUGUSTA EYE SURGERY, LLC AUGUSTA30907
905 STEVENS CREEK ROAD 905 STEVENS CREEK ROAD
1265 HIGHWAY 54 WEST, SUITE 103
SOUTHERN ORTHOPAEDIC SURG CTR OF FAYETTEVILLE, LLC 30214
FAYETTEVILLE 1265 HIGHWAY 54 WEST, S
HOUSTON ORTHOPEDIC SURGERY CENTER WARNER ROBINS 3051 WATSON BOULEVAR
31093
3051 WATSON BOULEVARD, SUITE 800
PAVILION SPINE SURGERY CENTER ATLANTA30327
3193 HOWELL MILL ROAD, SUITE 315 3193 HOWELL MILL ROAD
1 EAST JACKSON BOULEVARD, SUITE 101 1 EAST JACKSON BOULEV
NEUROLOGICAL INSTITUTE AMBULATORY SURGERY CTR, LLC SAVANNAH 31405
PREMIER ORTHOPEDIC SURGICENTER, LLC ALBANY
2405 OSLER COURT, SUITE 100 31707 P.O. Box 72427
LAURUS SURGICAL, LLC 5305-D ADAMS STREET COVINGTON30014 5305-D ADAMS STREET
SOUTHEAST TREATMENT CENTER, LLC 88-C LINDSEY LANE KINGSLAND 31548 88-C LINDSEY LANE
SUITE
PHYSICIANS ROME SURGERY CENTER, LLC, THE 18 RIVERBEND DRIVE,ROME 15030161 18 RIVERBEND DRIVE, SUI
CPM SURGERY CENTER, P C AUSTELL 30106
3870 MEDICAL PARK DRIVE, SUITE 100 3870 MEDICAL PARK DRIV
ATLANTA WEST ENDOSCOPY CENTER, LLC DOUGLASVILLE
4904 TIMBER RIDGE DRIVE, SUITE 202B 30135 4904 TIMBER RIDGE DRIVE
COASTAL PAIN CENTER, LLC VIDALIA 30474
303 HARRIS INDUSTRIAL BLVD, SUITE B 303 HARRIS INDUSTRIAL B
EPS SURGICAL CENTER, LLC 1457 SCOTT BOULEVARD DECATUR30030 1457 SCOTT BOULEVARD
660-H LLC
NORTHEAST GEORGIA UROLOGICAL SURGERY CENTER, LANIER PARK DRIVE GAINESVILLE 30501 660-H LANIER PARK DRIVE
RENUE SURGERY CENTER BRUNSWICK
2500 STARLING STREET, SUITE 604 31520 2500 STARLING STREET, S
THE SANDY SPRINGS
PHYSICIANS' NORTH ATLANTA SURGERY CENTER,5730 GLENRIDGE DRIVE, SUITE 110 30328 5730 GLENRIDGE DRIVE, S
3161 ATLANTA30327
WEST PACES AMBULATORY SURGICAL CENTER, LLC HOWELL MILL ROAD, SUITE 310 3161 HOWELL MILL ROAD
134 MOUNTAINSIDE VILLAGE PARKWAY, BLDG 500
DIGESTIVE HEALTHCARE OF GA ENDO CTR MOUNTAINSIDE JASPER 30143 134 MOUNTAINSIDE VILLA
INSTITUTE FOR CORR SURG FOOT & ANKLE, INC 2003 ALICE STREET WAYCROSS 31501 2003 ALICE STREET
SOUTHERN BONE & JOINT, LLC 1100
1755 E. HWY 34, SUITE NEWNAN 30265 1755 E. HWY 34, SUITE 110
Georgia Dermasurgery Centers, Inc 16 Erin Office Park Dublin 31021 16 Erin Office Park
PAIN CLINIC OF AIMR, P.C. ATLANTA30305
2911 PIEDMONT ROAD, SUITE F 2911 PIEDMONT ROAD, SU
THOMASVILLE SURGERY CENTER INC THOMASVILLE
2282 East Pinetree Boulevard, Suite B31792 2282 East Pinetree Boulevard,
ROSWELL SURGERY CENTER, L.L.C. ROSWELL30076
1285 Hembree Road, Suite 200-C 1285 Hembree Road, Suite 200
106 Proctor Street
STATESBORO EAR, NOSE, & THROAT SURGICAL CENTER STATESBORO 30458 106 Proctor Street
GEORGIA CTR FOR DIGESTIVE DISEASES, LLC 501 Eisenhower Drive SAVANNAH 31406 501 Eisenhower Drive
BI-CITY SURGICAL CENTRE, INC. COLUMBUS
1900 10th Avenue, Suite 305A 31901 1900 10th Avenue, Suite 305A
AUGUSTA CTR FOR FOOT & ANKLE AUGUSTA30904
1515 Laney Walker Boulevard 1515 Laney Walker Boulevard
Explain, if
Operation operationa Signature Date of Contact Contact
Mail City Mail Zip al? l Signature Title Signature Person Title Phone
11 12 13 14 15 16 17 18 19 20
Rome 30165 FALSE ADMINISTRATOR
NEAL JOCHIMSEN Business Office Manager
6/15/2009 Debbie Rickman 706-802-3727
Gainesville 30501-2034 FALSE Sue ThompsonAdministrator6/26/2009 SUE THOMPSON 770-287-1500
ADMINISTRATOR
Canton 30114-2407 FALSE CEO, 10/12/2009 Brian J. Toporek 440-851-6821
Brian J. Toporek Northside Hospital - CherokeeSenior Planner, Northside Hospital, Inc
Atlanta 30327 FALSE Regional Vice 8/6/2009 Craig Hethcox
Phillip Craig Hethcox President 404-351-1990
Regional Vice President, NovaMed
Atlanta 30328-5338 FALSE BROWN 6/23/2009 DEBORAHADMINISTRATOR
DEBORAHADMINISTRATOR BROWN 770-551-9944
Snellville 30278-2920 FALSE LINDA COKER ADMINISTRATOR6/24/2009 LINDA COKER 770-979-8200
ADMINISTRATOR
Atlanta 30329-2421 FALSE Nancy Boothe 7/30/2009 Soknetra Gunnells of Finance
Executive Director Director 404-248-5448
Jonesboro 30236 FALSE Jim CrisseyPresident 6/23/2009 Melody Mena 770-268-6000
Administrator
Jonesboro 30236-2566 FALSE Vice-President A
Gregory Alvarez, DPM 6/22/2009 Lori Alvarez ccountant 770-487-6716
Atlanta 30342-3321 FALSE Golda MelnikAdministrator7/24/2009 Golda Melnik 404-257-0057
Administrator
Atlanta 30342-1748 FALSE Kim Byrd BOM Administrator
6/17/2009 Terri Butterworth 404-843-0500
Atlanta 30328-1620 FALSE Nancy Okula Assistant Business Office Manager
Administrator 8/5/2009 Mark Patterson 404-847-0893
Atlanta 30338 FALSE President 7/31/2009 Brian J. Toporek
Senior 404-851-6821
Robert T. Quattrocchi& CEO, Northside Hospital, Inc. Planner, Northside Hospital, Inc.
Atlanta 30341 FALSE Lorri Gay President 770-455-4210
6/18/2009 Kim Hales Asst. Administrator
Atlanta 30322-1013 FALSE Sr. Administrator, ClinicMelanie Zaboth
W. Mike Mason 404-778-5205
6/25/2009 OperationsSr Manager, Clinic Operations
Tucker 30084 FALSE Administrator6/17/2009 CHERYL SLAVIK
Michael Ferrara OFFICE MANAGER
BUSINESS770-270-1284
Cumming 30131-8494 FALSE CEO
Dolford Payne Group President
7/29/2009 Bonnie Goodwin Vice913-485-9033
Marietta 30060 FALSE Susan HaglerAdministrator6/24/2009 Susan Hagler 770-422-1579
Administrator
Austell 30106-8157 FALSE Regional
Jean Calhoun, RN Administrator Jean Calhoun, RN
7/31/2009 678-309-8100
Administrator
Atlanta 30342-1705 FALSE A Assistant Business Office Manager
Ian Mullings dministrator7/31/2009 Mark Patterson 404-303-6952
LaGrange 30240-4041 FALSE C.E.O.
James F. Bruce, M.D. 6/11/2009 Terry KirbyClinical Manager 706-812-9902
Macon 31201 FALSE Diane Vaughn 7/24/2009 Diane Vaughn
Practice Manager 478-743-7061
Practice Manager
Macon 31217-8002 FALSE Kay Meadows Administrator 7/7/2009 KAY MEADOWS 478-742-1403
ADMINISTRATOR
Evans 30809-4401 FALSE Administrator7/14/2009 Sharon Gelinas
Sharon Gelinas 706-868-3145
Administrator
Augusta 30901 FALSE Mry DriscollCOO COO
7/28/2009 Mary Driscoll 404-567-8305
Augusta 30904-4115 FALSE Anita Judy Administrator7/31/2009 Anita Judy Administrator 706-738-4925
Columbus 31909-6248 FALSE Administrator6/25/2009 Jennifer Winters
Sharon Johnson 706-323-8803
Business Office Manager
Savannah 31401-8102 FALSE Robin FennAdministrator8/27/2009 Robin FennAdministrator 912-236-1603
Savannah 31406-2688 FALSE A A 912-356-8440
Kathy Shiley dministrator8/28/2009 Kathy Shiley dministrator
Columbus 31904-5659 FALSE Susan Hill President Fianance Manager
6/19/2009 Lajuan Carpenter 800-532-5383
Brunswick 31520-4300 FALSE Administrator7/31/2009 Dee Buffington
Dee Buffington 912-264-9029
Administrator
Brunswick 31520 FALSE Managing Member Administrator
Huitt E. Mattox, III, MD 6/25/2009 Rita Y. Warren, RN 912-267-0058
Atlanta 30327-1624 FALSE Administrator7/17/2009 Donna Korff-Baker
Donna Korff-Baker 404-252-3074
Administrator
Atlanta 30328-3812 FALSE CHIEF 7/31/2009 PORTIA DIRECTOR OF SURGICAL SERVICES
STEPHEN JANIS FINANCIAL OFFICER WALKER 404-257-0611
Dalton 30720 FALSE Gary Howard 7/9/2009 Corey Roy Planning Manager
706-272-6529
Senior Vice President and Chief Financial Officer
Savannah 31405 FALSE Administrator/CEO
Rosemary Conners 9/18/2009 Administrator
RoseMary Conners 912-352-3120
Atlanta 30342 FALSE Dr. William Richard Bonner, Chairman of the Decision Support
William R. Bonner 7/24/2009 Cathy Crouch 404-785-7872
Manager, Board
Columbus 31904 FALSE CEO- Presdient
Pravinchandra H. Patel, MD CEO- President
M.D.
6/1/2009 Pravinchandra H. Patel,706-641-6900
Macon 31210 FALSE CHIEF 6/26/2009 PORTIA DIRECTOR OF SURGICAL SERVICES
STEPHEN JANIS FINANCIAL OFFICER WALKER 404-257-0611
Atlanta 30322 FALSE Sr. Administrator, ClinicMelanie Zaboth
W. Mike Mason 404-778-5205
6/25/2009 OperationsSr. Mgr, Clinic Operations
Savannah 31406-2520 FALSE M.D 6/26/2009 Norma J. Kelly
S.W. Vann, Medical Director 912-351-5050
Surgical Nurse Manager ext. 104
Duluth 30097 FALSE Executive / 7/31/2009 Fred CFO
Rick K. St.Pierre, M.D.Medical Director Woestmann 770-814-0323
Savannah 31405 FALSE Kleinpeter 7/31/2009 Chief Executive Officer
Michael W.Chief Executive Officer Michael Kleinpeter 912-644-5370
Ringgold 30736-7372 FALSE Chief Financial Officer DIRECTOR OF SURGICAL SERVICES
STEPHEN JANIS, MBA7/30/2009 PORTIA WALKER 404-257-0611
Augusta 30904 William J. Welsh, M.D. 7/14/2009 JACQUELINE PARHAM
TRUE 09/24/2008-12/31/2008Medical Director 706-261-8346
ADMINISTRATOR
Evans 30809 FALSE Ann TurnerAdministrator6/25/2009 Ann TurnerAdministrator 706-854-3020
Roswell 30076 FALSE CHIEF FINANICAL OFFICER WALKER 404-257-0611
Stephen Janis 1/8/2010 PORTIA DIRECTOR OF SURGICAL SERVICES
Albany 31701 FALSE CEO
Gandhiji Yalamanchili 6/29/2009 Lucile Lott Administrator 229-438-8685
Atlanta 30329 FALSE Sr. 6/25/2009 OperationsSr. Mgr., Clinic Operations
Mike Mason Administrator, ClinicMelanie Zaboth 404-778-6234
ALBANY 31701 FALSE J. MOYE M.D./GERI Geri Moye
STANLEY ADMINSTRATOR MOYE R.N. administrator
7/20/2009 229-889-1021
TIFTON 31794 FALSE CEO
Don W. Roberts,M.D. 6/26/2009 Glenda Whittle 229-382-9338
Business Administrator
ATHENS 30607 FALSE 6/26/2009 Lynn Dills Administrator
Lynn Dills Business Manager 706-543-2718
MARIETTA 30060 FALSE O
Lori Kohlier ffice Manager O 770-421-1242
7/15/2009 Lori Kohlier ffice Manager
ATLANTA30357-0865 FALSE Leasa Burns Practice Administrator Leasa Burns
7/30/2009 404-881-8319
Practice Administrator
CONYERS30012 FALSE C
Brian Young EO A
6/22/2009 Brian Young dministrator770-922-0505
ATLANTA30308 FALSE Vice M.D. 12/21/2009 Jenelle Vice M.D. 404-881-0966
Jenelle E. Foote, President/Medical DirectorE. Foote, President
ROSWELL30076 FALSE Medical R.N. Clinical Administrator
Miles H. Graivier Director/ ownerRegina Iannamico
6/23/2009 770-751-5950
30501
GAINESVILLE FALSE Bruce Parker 7/16/2009 Bruce Parker
Practice Manager 770-534-1856
Practice Manager
31088
WARNER ROBINS FALSE Administrator6/24/2009 Kandice Lutz
Kandice L Lutz 478-953-1020
Administrator/Office Manager
TUCKER 30084 FALSE CEO
RALPH ROBERT BETON,MD OFFICE 770-939-4721
6/12/2009 ELLEN BURNEY MANAGER
30121
CARTERSVILLE FALSE Administrator7/31/2009 Cindy E. McCreary
Cindy E. McCreary 770-386-5221
Administrator
CARROLLTON30117 FALSE President
John E Godard, M.D. 6/26/2009 Angie Bradley 770-834-1008
Clinic Administrator
31088
WARNER ROBINS FALSE Medical
A. Daniel Toland Director ASC 478-923-0106 ext 130
7/31/2009 Wendy Laseter Administrator
ROME 30165 FALSE Administrator Harbin GI, LLC
Tom Diehl CFO for Harbin Clinic Janice C. Edenfield
7/30/2009 706-238-8075
ATLANTA30324 FALSE McLendon MCLENDON 607-0042
Merriam L. Administrator7/26/2009 MERRIAMADMINISTRATOR 404-
ATLANTA30309 FALSE CEO
S. Lynn Wolff CEO
6/8/2009 S. Lynn Wolff 404-352-3522
VIDALIA 30474 FALSE Physician
Ronnie R. Smith, Md Owner Administrator
7/28/2009 Dixie Calhoun 912-538-1003
SNELLVILLE30078 FALSE Physician/Owner
A. Louis Jimenez, D.P.M. 7/30/2009 BRENDA BRITT 770-979-0900
ASSISTANT ADMINISTRATOR
MARIETTA 30067 FALSE Medical Director Nurse
Alan S. Rothstein, DPM 6/9/2009 Donna L. Cowan Administrator770-952-0868
MARIETTA 30067 FALSE MEDICAL PRESIDENT
Arif Aziz, MD HR/Clinical770-226-9070
director
6/10/2009 Nikki hancock or Shannon moulton
MARIETTA 30067 FALSE Regional 11/30/2009
Jean Calhoun, RN Administrator Jean Calhoun, RN 770-953-8058
Administrator
DECATUR30033 FALSE Chief Executive Officer 404-296-1986
David B. Rausher, MD 8/6/2009 Page Ware Practice Administrator
DECATUR30033 FALSE CLINICAL RN BSN, Manager
SHARON HALL BSN, MANAGERSharon HallClinical RN 404-299-1679
7/10/2009
3
VALDOSTA1602 FALSE Pitts, DPM 7/1/2009 Avis GriffinOffice Manager
Timothy E. Medical Director 229-242-3668
3
VALDOSTA1602 FALSE ASC R.N.,
Libby Blanton Manager /31/2009 Libby Blanton ASC Manager
7 229-316-2037
ATLANTA30327 FALSE ADMINISTRATOR
Valerie Garrett Administrator
6/23/2009 Valerie Garrett 404-355-1312
30045
LAWRENCEVILLE FALSE Medical Director Mills, Director
Marcelle Owens, MD 6/30/2009 Margaret H.ClinicalRN 678-985-2000
ATLANTA30327 FALSE Hester
T. RoderickCEO Jr MD O.R.
6/25/2009 Angela Martin Director 404-351-0051
30046
Lawrenceville FALSE A Officer A 770-963-5161
Estar Acosta dministrator6/24/2009 Estar Acosta dministrative Officer
3
VALDOSTA1602 FALSE MEDICAL 6/23/2009 RN
JOHN P. KENDRICK DIRECTOR Julie Nijem,Administrator 229-253-9336
ATLANTA30305 FALSE Medical Director OR Administrator
John M. Griffin, M.D. 8/21/2009 Elizabeth McArthur 404-814-0868
AUGUSTA30909 FALSE McLeod, MD Nurse
Wallace N. President Jr., 7/31/2009 Katherine Harris Manager706-651-3937
31792
THOMASVILLE FALSE O. R. R.N. 6/25/2009 theresa houston Supervisor -228-7200
Theresa Houston, Supervisor OR 229
DECATUR30033 FALSE Georgia 9/15/2009 Gail R. Mortimer Director
Gail R.Mortimer Urology, P.A. Clinical Director Clinical 404-256-1844
ATLANTA30338 FALSE Owner
Susan E. Kolb, M.D. 6/17/2009 Karen Vaughn 770-457-4677
Administrator, RN
MARIETTA 30062 FALSE Mark Light Current owner /28/2009 Mark Light Owner
5 770-977-8221
30046
Lawrenceville FALSE A A 770-963-5161
Estar Acosta dministrative Officer Estar Acosta dministrative Officer
6/24/2009
MACON 31210 FALSE MIKELL PEED CEO 6/25/2009 MIKELL PEED CEO 478-471-6300
30214
FAYETTEVILLE FALSE President Practice 770-461-4000
Paul D. Feldman, MC 6/26/2009 Sharon McLendon Administrator
ALBANY 31701 FALSE ADMINISTRATOR
STEPHEN M. WILDER,DPM 6/22/2009 NAN HARE MANAGER
PRACTICE229-883-3535
MACON 31201 FALSE Administrator6/16/2009 Camille White
Camille White 478-743-8953
Administrator
ATLANTA30342 FALSE Executive 6/25/2009 H. Ron Davidson III Administrator
H. Ron Davidson III Director Executive 404-459-3473
ATLANTA30342 FALSE President
Heather Hall Morse DPM OR Manager/office manager
404
6/26/2009 Sylvia Adam/Janice Griffin -843- 0090
ATLANTA30342 FALSE Practice Administrator Ashley Cramton
Ashley Cramton 5/18/2009 404-256-1500
Practice Administrator
ATLANTA30342 FALSE ADMINISTRATOR
HENRY ESPOSITO SURGICAL SUITE COORDINATOR
5/22/2009 BRITTE BRIDWELL 404-256-4457
ATLANTA30342 FALSE O.R. Director O.R. Director O.R. Director
Heather Underwood, R.N.,7/2/2009 Heather Underwood 404-255-5967
ATLANTA30342 FALSE Administrator
Sonia Gibson, RN, BSN11/30/2009 Sonia Gibson 404-531-8522
Administrator
ATLANTA30342 FALSE President
J. Mac Sams, MD ASC
7/21/2009 Tamara Allen Manager 404-257-8606
30248
LOCUST GROVE FALSE Aruna Prakash ADMINISTRATOR
Administrator7/28/2009 ARUNA PRAKASH 770-692-0100
ATLANTA30309 FALSE Medical Director and President CAUDELL 404-872-4263
Jim W. Roderique, M.D. 7/28/2009 CAROL T. ADMINISTRATOR
GRIFFIN 30224 FALSE Owner
Mark J. Henson DPM 7/30/2009 Mark J Henson 770-228-6644
Administrator
MARIETTA 30060 FALSE Administrator/CEO
Glyn E Lewis, DPM Administrator
7/29/2009 Glyn E. Lewis 770-422-9856
CALHOUN30701 FALSE Surgery 6/23/2009 Jill Surgery 706-629-1852
Jill Buffington, R.N.Center Supervisor Buffington, RN Center Supervisor
AUGUSTA30901 FALSE Administrator6/17/2009 SANDY WOODWARD
Sandy Woodward 706-724-5611
ADMINISTRATOR
AUGUSTA30901 FALSE Managing Member
Michael F. Green Administrator
6/26/2009 Frances L. Blocker 706-724-4111
MACON 31201 FALSE Surgical Administrator surgical administrator
Lynn Johnson, RN, CNOR6/4/2009 Lynn Johnson,RN,CNOR 478-750-2820
TIFTON 31794 FALSE Owner, MD 7/28/2009 Denise Walters
Michael J. Dawson,President 229-391-3625
Administrator
30459
STATESBORO FALSE Owner
Robert W. Cushner, D.P.M. Operating Room Supervisor
6/16/2009 LuAnne L. Jordan 912-489-8727
ATLANTA30342 FALSE Medical Director
Pradeep K Sinha Medical Director
7/31/2009 Pradeep K Sinha MD 404-843-9171
DAHLONEGA30533 FALSE M.D. Administrator.
Patrick A. Conarro, M.D.8/11/2009 Patrick A. Conarro, M.D. 706-864-6196
Augusta 30909 FALSE MD
Dr. Harinderjit Singh RN, Nurse Manager
12/4/2009 Brenda Lawrence 706-210-0305
30214
FAYETTEVILLE FALSE Executive Director
Diane Farthing Clinical 770-461-2579
7/29/2009 Cathy Procter, RN Manager
30117
CARROLLTON FALSE Owner FACS
Stephen H. Kahler, M.D.,6/24/2009 Nancy Thompson RN Manager 770-834-6302
RIVERDALE30274 FALSE ASC RN 11/12/2009 MICHELLE BARTLETT, RN
Michelle Bartlett,Director ASC DIRECTOR770-969-4844
DALTON 30720 FALSE Sherrill, M.D.and Medical Director Director of surgery
Reginald R.Administrator6/11/2009 Melissa Hogan 706-226-3311
Dalton Plastic
ATLANTA30309 FALSE Administrator6/26/2009 Cheryl Fielder, RN CASC
Cheryl Fielder, RN, CASC 404-975-0127
Administrator
MARIETTA 30060 FALSE Administrator7/31/2009 Shannyn Serfozo
Shannyn Serfozo 770-419-9902
Administrator
MOULTRIE 31768 FALSE MEDICAL DIRECTOR KATIE JUSTICE, RN, 229-985-3066
DAVID B. BADDOUR, MD 7/30/2009 CURN
ADMINISTRATOR
AUGUSTA30904 FALSE Executive Director
Gary Benton Williamson 7/23/2009 Laura Kellynurse manager 706-737-8827
ATLANTA30328 FALSE Gary D Barnes A
Administrator 6/2/2009 Gary Barnes dministrator 770-394-4000
WAYCROSS 31501 FALSE Office
Sandy Kicklighter Administrator Sandy Kicklighter
7/30/2009 912-285-0877
Administrator
31792
THOMASVILLE FALSE CHIEH EXECUTIVE OFFICER FIELDS 229-227-0086
6/26/2009 MPH,
MARSHA D GLOVER, MD, MBA,THERESA ADMINISTRATOR
MACON 31204 FALSE Giron 10/26/2009 Mercedes Giron and Administrator
Mercedes GAdministrator,CFO CFO 478 -719-910
30459
STATESBORO FALSE Executive Director
Gary B. Sullivan 7/31/2009 Mary Collins 912-871-3000
Office administrator
SAVANNAH 31405 FALSE Medical Director 912-354-9447
Branden S. Hunter, MD 6/25/2009 Judy O'NealNurse Administrator
DALTON 30720 FALSE Medical Director ASC RN 706-226-2142
Stephen H. Ryals, MD 6/26/2009 David Trammell,Director
BRUNSWICK31520 FALSE OWNER
GARY M. GROLEMUND, DPM CINDY ARNETT
7/27/2009 OFFICE MANAGER
BUSINESS912-264-6150
MARIETTA 30067 FALSE Nurse
Cynthia Connelly Manager Nurse
6/25/2009 Cynthia Connelly Manager770-850-8464
3
VALDOSTA1602 FALSE M.D. CO OWNER
C. ALLEN WOODS, M.D. ADMINISTRATOR
7/21/2009 STEVE R KIERCE 229-244-4720
ATLANTA30308 FALSE Medical Director Administrator, Medical Director
SRWilkes,M.D.,MBA 7/31/2009 Shelby R. Wilkes, M.D.404-881-6417
DALTON 30720 FALSE Owner
Spencer C. Misner, D.P.M. 706-226-1130
6/25/2009 Jan Keith Business Manager
DALTON 30720 FALSE COO
Sandra D. Curd 6/10/2009 Sandra Curd COO 706-226-2020
EVANS 30809 FALSE 7/31/2009 Mel Jewett Administrator
Mel Jewett Administrator/CEO 706-868-0104
AUGUSTA30901 FALSE Medical Director
Kevin J. O'Shea, M.D. 6/26/2009 Betsy SharpAdministrator 706-396-3750
3
VALDOSTA1602 FALSE Nurse Administrator
Vicy Carroll, RNFA Nurse
7/31/2009 Vicy Carroll, RN Manager229-259-0019
30501
GAINESVILLE FALSE Administrator6/25/2009 Michael Riemann
Michael J. Riemann 770-287-2576
administrator
3
VALDOSTA1602 FALSE Denyse PiercePractice Administrator Denyse Pierce
6/2/2009 229-242-3002
Practice Administrator
30501
GAINESVILLE FALSE Administrator7/20/2009 Shelby D. Loggins
Shelby Loggins 678-997-2105
Administrator
AUSTELL 30106 FALSE Devon Spencer 6/24/2009 Devon Spencer
Business Manager 770-941-4810
Business Manager
SAVANNAH 31419 FALSE Administrator6/18/2009 Elizabeth Long
Elizabeth Long 912-920-5611
Administrator
30501
GAINESVILLE FALSE Practice Administrator William Morris
William Morris 6/22/2009 770-533-7363
Practice Administrator
3
VALDOSTA1602 FALSE CEO
Randy J. Johnson 6/17/2009 229-241-2800
Pamela HallSurgical Director
MORROW 30260 FALSE A
Andrea Fann dministrator A
11/30/2009 Andrea Fann dministrator678-422-4280
SAVANNAH 31405 FALSE Practice Administrator Doris Hopkins, RNNurse Manager / Billing Manager
Carlos Gonzales 5/28/2009 912-790-4000
Senior / Robin Shaw
30501
GAINESVILLE FALSE DPM, DANIEL 6/24/2009 LYNN
WESLEY LEWIS MEDICAL DIRECTOR MUTCHLER, RN ADMINISTRATOR
SURGERY 770-536-9908
AUGUSTA30901 FALSE SHEILA AUSTINADMINISTRATOR ADMINISTRATOR
6/23/2009 SHEILA AUSTIN 706-724-7288
MACON 31201 FALSE Sarah GibbertAdministrator6/24/2009 Sarah Gibbert 478-464-2600
Administrator
ROME 30161 FALSE RN-NURSING SUPERVISOR- COOSA PROCEDURE CENTER
MEDICAL 706-549-8114
DEANA HUMPHREY 6/24/2009 GRETCHEN BRYANTADMINISTRATOR
31522 FALSE
SAINT SIMONS ISLAND md
Diane G. Bowen 7/30/2009 Diane Bowen 912-634-1993
administrator
EVANS 30809 FALSE Keith A. Lynn Quality 706-364-4040
CEO/Manager /23/2009 Mimi Frazier, RN Improvement/Risk Management Coo
6
30458
STATESBORO FALSE Director
Dick Farr, OPA-C, CASC Director 912-681-6132
6/17/2009 Dick Farr, OPA-C, CASC
MACON 31210 FALSE A A
Kathy Stuart dministrator6/25/2009 Kathy Stuart dministrator478-474-2200
ATLANTA30342 FALSE Wilson
Laurel Ann Director Wilson
7/20/2009 Laurel Ann Director 404-969-1996
DOUGLAS31533 FALSE director
sudhakar jonnalagadda 6/25/2009 velma bryant 912-384-7276
Office Manager
30005
ALPHARETTA FALSE Chief Operating Officer Jo O'Neal Director Of 770-360-9916
Ross D. Rohde, MBA, CMPE 6/2/2009 Nursing
BRUNSWICK31525 FALSE Practice Administrator Kathleen Cruger
Kathleen Cruger 6/5/2009 912-262-6552
Practice Administrator
MARIETTA 30060 FALSE C
Arnold Weil EO CEO
5/16/2009 Arnold J. Weil, MD 770-420-4645
30458
STATESBORO FALSE RN, of Nursing
Rebecca Buro Director 6/25/2009 Rebecca Buro 912-681-2007
Director of Nursing
ATHENS 30606 FALSE Medical Administrator Gretchen Bryant- RN,BSN
Gretchen Bryant 6/23/2009 706-549-8114
Medical Administrator
ATLANTA30342 FALSE Clinical Manager Clinical Manager
Kellie Carroll, RN, BSN 7/14/2009 Kellie Carroll, RN, BSN 404-943-1996
COVINGTON30014 FALSE C
Brian Young EO A
6/22/2009 Brian Young dministrator 770-922-0505
ATLANTA30342 FALSE A Clinical Coordinator/Administrator
Kerry Hobbs dministrator7/31/2009 Kerry Hobbs, RN BSN 404-252-3034
ATLANTA30342 FALSE Chief Executive Officer Barbara Bowen
Walter Underwood 6/18/2009 678-781-7388
Business Office Manager
30121
CARTERSVILLE FALSE President CLINICAL DIRECTOR
Thomas E. Hurd M.D. 10/22/2009 CATHY MOORE, RN 770-590-1078
RIVERDALE30274 FALSE MEDICAL 7/31/2009
Ralph C. Lyons, MD DIRECTOR VICKIE BROWNE, RN 678-904-9710
ADMINISTRATOR
MARIETTA 30060 FALSE CEO
Mark Greenberg Director of Ambulatory Surgery
7/20/2009 Aulina Bradley 770-427-8111
30501
GAINESVILLE FALSE Administrator6/11/2009 Annette Sloan
Annette Sloan 678-450-3748
Administrator
SUWANEE30024 FALSE Managing 6/26/2009 Joan D. Kroeger
Brian K. Hudes, MD Member 678-368-6042
Endoscopy Manager
ALBANY 31707 FALSE Berg, M.D. 6/22/2009 Tina Harrison
J. Chandler Medical Director 229-878-0974
Nurse Administrator
CUMMING 30040 FALSE Owner,administrator
Reena Yonkosky MD 6/30/2009 ReenaYonkosky MD 678-965-5860
DUBLIN 31021 FALSE ASC RN ASC
Belinda L Ricks, Director6/25/2009 Belinda L Ricks Director 478-274-9600
MARIETTA 30060 FALSE CEO, Medical Director Medical Director and Chief
Ronald P. Roper, MD 6/26/2009 Ronald P. Roper, MD 678-594-0108 Executive Office
ATLANTA30342 FALSE SMITH
DEBORAHADMINISTRATOR SMITH 404-297-1334
6/23/2009 DEBORAHADMINISTRATOR
30045
LAWRENCEVILLE FALSE Medical Director
M.D. Clinical Manager/ Administrator
678-879-0999
Willaim Gordon Tanner, 7/23/2009 Rosemary Blum or Betsy Roberts
30122
LITHIA SPRINGS FALSE President
Arif Aziz, MD Clinical Director or Human Resources
770-226-9070
6/10/2009 Shannon Moulton/Nikki Hancock
30281
STOCKBRIDGE FALSE Chief 6/26/2009 Malgorzata Nurse Manager
Cheris L Craig Administrative Officer Kmieciak 678-565-1806
30046
LAWRENCEVILLE FALSE Administrator/Medical BHUVANENDRAM INDRAKRISHNAN, MD
Bhuvanendram Indrakrishnan, MD Director
7/26/2009 678-377-8252
ADMINISTRATOR & MEDICAL DIRECT
SAVANNAH 31401 FALSE Murrell, DPM
Dr. John M CEO Practice Manager
6/26/2009 Teresa Murrell 912-233-5316
DALTON 30720 FALSE Billing
Nikki Buchanan Supervisor SOHANI 706-279-2635
7/30/2009 SULEMANADMINISTRATOR
CAIRO 39828 FALSE Medical 6/15/2009 John TaylorMedical Director
John L. Taylor MD Director MD 229-225-9805
ATHENS 30606 FALSE Director 706-549-1663
Kayo ElliottChief Executive Officer Denise Kesler
6/25/2009
30117
CARROLLTON FALSE Executive Director 770-834-0873
Ralph E. Fleck, Jr. M.D. 6/22/2009 Lori Pope Director Clinical Services
ATHENS 30605 FALSE Jing Dong, MD RN RN 706-546-9290
6/25/2009 Sandra Nemetz,Administrator
ATHENS 30606 FALSE Administrator7/20/2009 Debra Strickland
Debra Strickland 706-543-6261
Administrator
30501
GAINESVILLE FALSE Clinical
Becky B Burnett Manager Clinical
6/22/2009 Becky B. Burnett Manager 770-532-4444
ATLANTA30327 FALSE President RN
Scott D. Gillogly MD 6/22/2009 Lacey Dyer Director 404-352-6445
BRUNSWICK31520 FALSE Medical Direct
Thomas E Runyan M.D. 7/31/2009 Tracy G. Kaiser 912-466-9111
Director of Nursing
MACON 31201 FALSE President Office Manager
J.Gregory Jones MD 11/20/2009 PEARL CRUMBLEY 478-741-1740
30248
LOCUST GROVE FALSE Administrator7/29/2009 ARUNA PRAKASH 770-692-0100
Aruna Prakash ADMINISTRATOR
DUBLIN 31021 FALSE Medical Director Dublin Orthopaedics ASC, MANAGER
James W. Price, M.D. 6/26/2009 SANDY MATHEWS, RNNURSE Inc. 478-272-5300
31088
WARNER ROBINS FALSE Medical DPM 7/30/2009 RHONDA BALLINGER
Sarvepalli D. Jokhai,Director ADMINISTRATOR
BUSINESS478-988-4676
MACON 31201 FALSE Administrator 8/3/2009 Pamela B. Atkins
Pamela B. Atkins 478-737-0395
Administrator
ALBANY 31707 FALSE Clinical Administrator Mandy Sheffield, RN 229-317-0742
Mandy Sheffield, RN 7/23/2009 Clinical Administrator
AUGUSTA30907 TRUE 2008 through December Director Barbara Archevald
RN, Clinical 31, 2008
January 30, Barbara Archevald 6/22/2009 706-922-6000
RN, Clinical Director
30214
FAYETTEVILLE FALSE Patti Hartsfield
Executive Director
6/12/2009 Executive Director
Patti Hartsfield 770-953-6929
31093
WARNER ROBINS FALSE BECKY MANN DIRECTOR 6/10/2009 BECKY MANN DIRECTOR 478-971-2270
ATLANTA30327 FALSE Executive 6/26/2009 Nahla Masseoud Manager
Kamal C. Kabakibou Director Office 404-603-9090
SAVANNAH 31405 TRUE ROBERT T. MATHEWS
PRACTICE ADMINISTRATOR T. MATHEWS
MARCH 18, 2008 - DECEMBER 31, 2008 ADMINISTRATOR
6/24/2009 ROBERT PRACTICE912-355-1010
ALBANY 31708 TRUE Bobby D Prince
Medical Director
February 29, 2008 - December 31, 2008 RN 229-317-2346
7/29/2009 Angie ReynoldsAdministrator
COVINGTON30014 TRUE December 2008
Business
June 2008 - Crystal Blackwell Manager Business 770-929-9033
7/31/2009 Crystal Blackwell Manager
KINGSLAND31548 TRUE June 2008- December 2008 Manager
Paula Funderburk
Office Office
7/30/2009 Paula Funderburk Manager 912-673-8171
ROME 30161 TRUE Shannyn Serfozo
Administrator7/31/2009 Shannyn Serfozo
May 2008 thru December 2008 770-419-9902
Administrator
AUSTELL 30106 TRUE MARY W. HARDWICK, RN
ADMINISTRATOR
June 17, 2008 - December 31, 2008 6/22/2009 MARY W. HARDWICK 770-948-6824
ADMINISTRATOR
30135
DOUGLASVILLE TRUE Chandrika Ruparelia 7/27/2009 Chandrika Ruparelia 770-949-6548
12/29/2008-12/29/2008Chief Administrator Administrator
VIDALIA 30474 TRUE Medical Director
august 2008Thomas E Runyan M.D. 7/31/2009 kelley Runyan 912-466-9111
administrator
DECATUR30030 TRUE 2008 through DecemberADMINISTRATOR PRACTICE404-294-3316
October 22,ANN YEARWOOD 31, 2008
PRACTICE 6/15/2009 ANN YEARWOOD ADMINISTRATOR
30501
GAINESVILLE TRUE Keith Alan Administrator 7/8/2009 Keith Alan McLeod 770-535-0000
11/04/08 - 12/31/08 McLeod Administrator
31520
BRUNSWICK TRUE Charles Executive Director
10/9/08-12/31/08 William Mitchell7/23/2009 Elizabeth Turk 912-280-9977
Administrator
ATLANTA30328 TRUE Shannyn Serfozo
Administrator7/31/2009 Shannyn Serfozo
November 2008 - December 2008 770-419-9902
Administrator
ATLANTA30327 TRUE Crystal Blackwell
Business
November 2008-December 2008 Manager Business 7709299033
7/31/2009 Crystal Blackwell Manager
JASPER 30143 TRUE not provideExecutive Director
any 7/28/2009 Diane Farthing
Executive Director
404-355-3200
Facility did Diane Farthing services until January 2009. Not operational in 2008.
WAYCROSS31501 FALSE J. KRAMER, 7/2/2009 VICCI B. NAILS
GREGORYADMINISTRATOR D.P.M. 912-283-7596
ADMINISTRATIVE ASSISTANT
NEWNAN 30265 FALSE Gruber 6/24/2009 & Joint, LLC
Dr. MichaelPresident Southern BoneCathy Powell 770-252-7510
Nurse Manager
Dublin 31021 FALSE Owner
Michael J. Sharkey 478-275-7546
7/21/2009 Amy Priest Administrator
ATLANTA30305 FALSE RN 6/19/2009 Dubin, IrinaRN
Irina Dubin,Irina Dubin, RN 678-758-9409
31792
THOMASVILLE FALSE Surgery 6/18/2009 Louise Barwick
Louise Barwick RN Director 229-226-6000
Administrator
ROSWELL30076 FALSE Jane BorozanAdministrator12/4/2009 Jane Borozan 770-772-5520
Administrator
30458
STATESBORO FALSE MD
Thomas M Crews QA 912-682-1172
7/31/2009 Sharmon Baker Coordinator
SAVANNAH31406 FALSE Center Director Center Director
Christi Crawford, RN 6/19/2009 Christi Crawford, RN 912-354-2175
COLUMBUS31901 FALSE CHIEF EXECUTIVE OFFICER
GEORGINA ASANTE 7/31/2009 DOROTHYADMINISTRATOR ASANTE 706-327-5300
AUGUSTA30904 FALSE Dan Banks Administrator7/30/2009 Dan Banks Administrator 706-724-9224
Owner Parent Operator
Owner Organizati Date of Parent Organizati Parent Operator Organizati
Fax e-mail Name on Ownership Name on Date Name on Type
21 22 23 24 25 26 27 28 29 30
Debbie.Rickman@HCAHealthcare.com
866-574-8301 For Profit 09/27/2004 Surgicare ofFor Profit 09/27/2004 Surgery Center of Rome,L.P.
Surgery Center of Rome,L.P. Rome,INC For Profit
SUE.THOMPSON@SCASURGERY.COM SURGICAL CARE AFFILIATES GAINESVILLEProfit
770-287-1589 For SURGERY CENTER
GAINESVILLEProfit 1/1/1996 For Profit 6/30/2007 For SURGERY CENTER
brian.toporek@northside.com of Georgia, LLC
404-851-6283 For Profit 03/26/02 Northside-Cherokee Surgery Centers, LLC
The Surgery Center For Profit
For Profit 09/01/07 The Surgery Center of Georgia, LLC
chethcox@novamed.com Profit 1-1-2008 LLC
404-355-8797 For For
NovaMed Management Services, NovaMed, Inc. Profit 1-1-2008 NA
DEBORAH.BROWN@SCASURGERY.COM SURGICAL CARE AFFILIATES DEBORAHNot Applicable
770-551-8826 For Profit 7-1-2007
PERIMETER SURGERY CENTER OF ATLANTA For Profit 7-1-2007 BROWN
LINDA.COKER@SCASURGERY.COMOUTPATIENT SURGERY 7-1-2007 LINDA COKER
770-979-1327 For Profit FOR For Profit
GWINNETT CENTER7-1-2007 SURGICAL CARE AFFILIATES Not Applicable
soknetra@feministcenter.org Profit
404-417-0878 Not
Not Applicable for Not 9/9/1999 Not Applicable for Profit
9/9/1999 Not Applicable for Profit Not
mmena@spiveystationsurgerycenter.com Center, LLLP Not Applicable
770-268-6001 For Profit 01/18/2000 NOT APPLICABLE
Southlake Ambulatory Surgery Not Applicable
NOT APPLICABLE
lalvarez@mindspring.com Profit 05/01/08 Ankle Surgery
770-487-1232 For NA
International Center For Foot and Not Applicable For Profit
International Center For Foot and Ankle Surge
gmelnik@atlantawomensmedicalcenter.com CENTER NA
404-257-0057 WOMENS MEDICAL
ATLANTAFor Profit 6-1-77 NA
terri.butterworth@scasurgery.com 7-1-2007 SURGICAL CARE AFFILIATES TERRI BUTTERWORTH
404-843-0675 For Profit
SURGICAL CARE AFFILIATES For Profit 7-1-2007 For Profit
mark.patterson@hcahealthcare.com1/1/2003 Atlanta Healthcare Management, LP
866-632-2144 For Center,
Atlanta SurgeryProfit LTD For Center,
For Profit 1/1/2003 Atlanta Surgery Profit LTD
brian.toporek@northside.com Profit
404-851-6283 Not for Not for Profit
11/1/1991 Northside Hospital, Profit
Northside Hospital, Inc.3/22/2004 Northside Health Services, Inc. Not for Inc.
northsidewc@bellsouth.net Profit 1/1/92
770-451-9529 For
Lorri E. Gay/Alan J. Gay Not
Not Applicable Applicable Not
Not Applicable Applicable
melanie.zaboth@emoryhealthcare.org
404-778-5186 Clinic, Profit Not for
The Emory Not for Inc 01/10/1985 Emory Healthcare Profit 03/01/1994 N/A Not Applicable
cheryl.slavik@hcahealthcare.com 1/1/2003 Atlanta Healthcare Management, L..P.
770-270-5279 For Profit
Northlake Surgical Center, L.P. For Profit
For Profit 1/1/2003 Northlake Surgical Center, L.P.
bgoodwin1@nueterra.com ProfitCenter, LLC Northwoods Ambulatory Surgery Center
913-387-0771 For
Northwoods Surgery 09/07/2005 For Profit 09/07/2005 N/A NA
susan.hagler@hcahealthcare.com 1/1/2003 Atlanta Healthcare Management , L.P.
770-428-5924 For Profit
Marietta Outpatient Surgery LTD For Profit
For Profit 1/1/2003 Marietta Outpatient Surgery LTD
jcalhoun@uspi.com Surgery Center, LP
678-309-8101 East West For Profit 12/1999 not applicable NA For Profit
12/1999 East West Surgery Center, LP
mark.patterson@hcahealthcare.com01/01/2003 Atlanta Healthcare Management, LP
866-632-2144 For Center,
Atlanta SurgeryProfit LTD For Center
For Profit 01/01/2003 Atlanta Surgery Profit
tkirby@southernsurgery.com Center, L.L.C. N/A
706-812-0802 For Profit 01/03/1997
Southern Surgery Not Applicable For Profit
Southern Surgery Center, L.L.C.
dvaughn@myeyecenter.com
478-743-6296 For Profit 05/21/1985 N/A
Eye Center of Central Georgia, P.C. N/A
Not Applicable N/A Not Applicable
kay.meadows@HCAHealthcare.com SURGERY CENTER, LP
478-742-7018 For Profit 12/6/1999 MACON HEALTHCARE, LLC COLISEUM SAME DAY SURGERY CENTE
COLISEUM SAME DAY For Profit 3/31/1999 For Profit
Sharon.Gelinas@HCAHealthcare.com
706-868-3192 For Profit 11/01/2003 Surgicare ofFor Profit 11/01/2003 Doctors Hospital Surgery Center, L. P.
Doctors Hospital Surgery Center, L. P. Evans, Inc. For Profit
mdriscoll@ppga.orgParenthoodProfit
404-688-0621 Planned 07/01/1997 Planned ParenthoodProfit
Not for of Georgia, Inc. 07/01/1997 Planned PAernthood Reproductive Health Ser
Not for of Georgia, Inc. Not for Profit
Anita.Judy@HCAHealthcare.comInc.
706-738-7224 Augusta, For Augusta,
Surgicare ofFor Profit 12/09/1996 Surgico, LLC Profit 12/09/1996 Surgicare ofFor Profit Inc.
jwinters@symbion.comFor Profit 8/2000
706-323-9101 ASC of Columbus NA
Not Applicable NA
Not Applicable
NA@NA.NAot Applicable Applicable
912-236-1620 N Not 9/9/99 For Profit 5/11/1995 Inc. Not
Savannah Womens Medical Center,Not Applicable Applicable
kshiley@savfasc.com Foot and Ankle Surgery Center,LLC NA
912-356-8439 Savannah For Profit 06/01/2008 n/a For Profit
Savannah Foot and Ankle Surgery Center, LLC
lcarpenter81@aol.com For Profit 05/06/1996 National Women's Health Organization of Columbus, Health Organization of Col
919-785-0523 For Profit 05/06/1996 National Women's
National Women's Health Organization of Columbus, For Profit
dbuffington@symbion.com Profit 1999
912-264-1085 For
ARC of GA, LLC For
Symbion, Inc. Profit 1999 Not
not applicable Applicable
rywarren@bellsouth.netNot Applicable
912-267-0061 Not Applicable Not Applicable
Donna.Korffbaker@HCAHealthcare.com
404-605-0641 For Profit 1/01/2003 Buckhead, LLC For Profit
Buckhead Surgical Services, LP Surgicare ofFor Profit 1/1/2003 Buckhead Surgical Services, LP
pwalker@acrfas.net For Profit FOR FOOT & ANKLE SURGERY, LLC
404-446-1953 ATLANTA CENTER 01/01/2007 NA NA
croy@hhcs.org
706-272-6477 Hamilton Medical Center, Inc.
Not for Profit
10/7/82 Not Care System, Inc. Hamilton Ambulatory Surgery Center, Inc.
5/13/86
Hamilton Healthfor Profit Not for Profit
penny@schulze-eye.com Profit 1/1/1996Schulze,Jr.
912-352-1405 For
Richard R. Schulze, Richard R. Not Applicable For Profit
cathy.crouch@choa.orgFor Profit 01/06/2003
404-785-7954 Children NA NA
gdicolumbus@hotmail.comInc and 10/17/2008 Gastrointestinal Profit 01/25/1996 ECC Holdings, Inc and Shankar Thiruppathi, M
706-327-0757 For For
ECC Holdings, Profit Shankar Thiruppathi, M.D. Diseases, Inc For Profit
pwalker@acrfas.net PODIATRY01/01/09 PC
404-446-1953 VILLAGE For Profit GROUP, NA NA
melanie.zaboth@emoryhealthcare.org
404-778-5186 Clinic, Profit Not for
The Emory Not for Inc. 01/10/1985 Emory Healthcare Profit03/01/1994 N/A NA
normajeank@isavannah.netProfit 6/1/1992 Pettigrew Plastic Surgicenter. Inc. Drs. Deloach, Ruf, Vann, Davies, Pettigrew
912-351-5051 For
Drs. Deloach, Ruf, Vann, Davies, Savannah For Profit 6/1/1992 For Profit
fwoestmann@comcast.netOrthopaedic Surgery OrthoPartners, LLC 01/31/1998 Not Applicable
770-814-8897 For For
North Atlanta Profit 06/03/1998 Center, LLC Profit NA
mkleinpeter@orthocentersav.com 01-01-09 d/b/a The Doctors H
912-644-5259 For Profit For Profit 01-01-00 Tattnall Hospital
For Profit
Tattnall Hospital Company, LLC Southeastern Orthopedic Center d/b/a Orthopedic CeCompany, LLC
PWALKER@ACRFAS.NET & Ankle Surgery Center, LLC
404-446-1953 For Profit 07-01-06
North Georgia Foot NA NA
JAPARHAM@COMCAST.NET M.D.
706-736-0019 Not for Profit
WILLIAM J WELSH, 09/24/2008 NOT APPLICABLE NA NA
NOT APPLICABLE
aturner@healthmarkpartners.com 11/10/2006 University Health Resources Inc. N/A
706-854-3189 For Profit
Surgery Center of Columbia County 11/10/2006
Hospital Authority Not Applicable
PWALKER@ACRFAS.NET
404-446-1953 CENTER 02012006 NA
ROSWELLFor Profit FOR FOOT & ANKLE SURGERY, LLC NA
lulott@ppmh.org
229-435-7007 NA
Not Applicable NA
Not Applicable NA
Not Applicable
melanie.zaboth@emoryhealthcare.org
404-778-5186 Clinic, Profit Not for
The Emory Not for Inc 01/10/1985 Emory Healthcare Profit 03/01/1994 N/A Not Applicable
smoye@bellsouth.net Moye M.D. F.A.C.S.
229-889-1521 Stanley J. State Not Applicable
6/1/1999 Stanley J. MoyeApplicable
Albany Regional Plastic Surgery P.C. Not M.D. F.A.C.S.
glendawhittle@yahoo.com Profit January 1996 Applicable Applicable
229-382-4282 For
Tifton Endoscopy Center, INC Not Not Not
Not Applicable Applicable
ldills@urologyclinic.com Profit 10/7/1987 0
706-353-3709 For
David C. Allen, M.D. NA For M.D.
David C. Allen, Profit
pscs1@bellsouth.net For Center of the South,n/a
770-424-6652 Plastic Surgery Profit 12-2-1998 LLC NA n/a NA
leasaburns@consultativegastro.com Luther Burse, Jr.
404-523-6791 For Profit For Profit 9/02/1997 Leasa NA
Dr Gary C. Richter, Dr.9/02/1997 Gastroenterology Endoscopy Center Inc Burns, Practice Administrator
eaga@bellsouth.net Endoscopy Center
770-922-1870 Wellbrook For Profit NA NA
doctors@midtown-urology.com
404-874-5902 NA
Not Applicable NA
Not Applicable NA
Not Applicable
iannamico@earthlink.net Plastic and Reconstructive Surgery Profit
770-751-0409 For
North Atlanta Profit 09-01-1998 For For Profit
Miles H. Graivier M.D.
bparker@negpsa.com For Profit
770-531-0355 NA NA
kandil@windstream.netFor Profit 1996
478-953-5406 William E Freeman NA NA
neatla@fdn.com
770-939-1187 For Profit 02/22/2008 N/A
RALPH ROBERT BETON NA N/A NA
mccreary5@aol.comBone & Joint Surgeons, P.C. d/b/a Center& Joint Surgeons, P.C.
770-382-8327 Georgia For Profit 04/15/1998 Georgia Bone F For Profit
For Profit 09/19/1994 Georgia Bone & Joint Surgeons, P.C.
angiebradley@carrolltoneye.com
770-834-2531 NA NA NA
wendyk526@cox.net For Center of Central Georgia, Inc Not Applicable
478-922-5211 E.N.T Surgical Profit September 1994 Not Applicable
jedenfield@harbinclinic.com
706-238-8011 Not 11/1998 Harbin Clinic, LLC
Harbin GI, LLCApplicable 11/1998
Not Applicable NA
SMAMERRIAM@AOL.COM
404-607-7086 For Profit
Summit Medical Associates, P.C. Not ApplicableNA NA
Not Applicable
slwolff@gahand.org NA
404-352-9251 NA NA
dixie.calhoun@prevention.md
912-537-9843 NA NA NA
bbritt15@bellsouth.netJIMENEZ, D.P.M.
770-979-2852 A. LOUIS For Profit 1997 NA
NOT APPLICABLE NA
NOT APPLICABLE
donnacowan@bellsouth.net
770-952-4833 NA
Not Applicable NA
Not Applicable NA
Not Applicable
smrn2550@aol.com For Profit 11/1/2007 GI Specialists of Georgia (GI Diagnostics PC) Not Applicable
770-951-9016 GI Specialists of Georgia (GI Diagnostics PC) For Profit 11/1/2007
jcalhoun@uspi.com NA
770-951-0096 NA NA
pware@acgaec.com Rausher, MD April 1994 N/A
404-296-9890 David B. For Profit and C Cliff Parrish, MD NA N/a N/A NA
hall.mobley@gmail.com Profit JUNE 1975 ASSOCIATES LLC III, DBA DE
404-508-7558 For
DEKALB GASTROENTEROLOGY NA NA
agriffin@southernpodiatry.com
229-253-0477 Pitts, DPM
Timothy E. For Profit NA
Not Applicable NA
Not Applicable
easc@completeicare.com Profit
229-316-2044 Ben H. Moye For Not
Not Applicable Applicable For
Gelaine Foster Profit
valerieg@mindspring.com Profit 1988
404-352-2798 For
Dennis Surgical Center NA NA
margaretmills@bellsouth.net
678-985-1999 NA
Not Applicable For Profit Not Applicable
Southern Gastroenterology Associates, LLC NA
angela@pacesplasticsurgery.com
404-351-0632 Not
Not Applicable Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable
eacosta@footandanklecenters.com
678-430-0018 NA NA NA
jnijem@voa-online.com Profit 1999
229-253-9345 For VALDOSTA ORTHOPEDIC ASSOCIATES Not Applicable
V.O.A. AMBULATORY SURGERY CENTER, INC. For Profit 1995 N/A
LizMca@bellsouth.net NA
404-814-0869 Not Applicable NA
Not Applicable NA
Not Applicable
kharris@augustaeye.com Profit
706-863-3102 For
Not Applicable NA
Not Applicable NA
Not Applicable
Theresa@gchouston.com Profit MD
229-228-5193 For
G. Courtney Houston, 1996 NA
Not Applicable For Profit
G. Courtney Houston, MD
gmortimer@gaurology.com Ambulatory Surgery Center, LLCProfit 06-01-2004Georgia Urology, P.A.
404-256-3499 State
Georgia Urology For
06-01-2004Georgia Urology, P.A. For Profit
kvaughn@plastikos.com M.D. 12/31/08
678-475-1441 For
Susan E. Kolb, Profit Not Applicable Not Applicable
light@eastcobbfoot.com Profit 03/03/1997 n/a
770-977-8222 For
Robert I. Heden NA For Profit
Robert I. Heden, DPM
eacosta@footandanklecenters.com
678-430-0018 NA NA NA
MCPPOSM@HOTMAIL.COM 1990
478-471-6240 For Profit
PIEDMONT SURGERY CENTERNA NA NA NA
sharon@plasticsurgerycorner.comPC
770-603-7064 For Profit
Advanced Aesthetics, NA
Not Applicable NA
Not Applicable
nharepodiatry@mchsi.com
229-883-3783 NA NA NA NA NA NA
cwhite@theentcenter.com Profit Keith D. Holmes, MD; Matthew L
478-741-9556 For
C. Warren Dunn, MD; Not
Not Applicable Applicable Not
Not Applicable Applicable
ron.davidson@rba-online.com Institute Surgical Associat Applicable
404-252-6275 For Profit
Southeastern Fertility June 12, 2001 Not Not Applicable
northsurg@bellsouth.net Applicable
404- 843- 1008 Not Not Applicable NA
acramton@oculuscosmetic.com MD
404-256-2006 For III,
Harvey P. Cole,Profit 2002 NA NA
sferg2@comcast.net For Profit 1987
404-969-0683 DERMATOLOGY ASSOCIATES OF ATLANTA, PC NA NA
hunderwood@gafootcare.com
404-847-0180 For Profit
Dr Paul V. Spiegl Not Applicable For Profit
Dr Paul V. Spiegl
sgibson@uspi.com
404-393-5966 Not
not applicable Applicable Not
not applicable Applicable NA
not applicable
tallenrn@gmail.com NA
404-303-1418 NA NA
admin@gastromds.net For Profit 1993 LLC N/A
770-692-6190 G.I.ENDOSCOPY CENTER. NA N/A NA
carolcaudell1@roderiquecentre.com
404-873-2455 Not Applicable Not Applicable
NOT APPLICABLE 11/27/89 NOT APPLICABLE 11/27/89 NOT APPLICABLE Not Applicable
jill@hensonfoot.com For Profit
770-228-5769 Mark J Henson NA
Not Applicable NA
Mark J Henson
glewis@mariettapodiatry.com
770-984-0303 Not Applicable Not Applicable Not Applicable
buffsrj@bellsouth.net Kosmahl, D.P.M.
706-629-8004 Not
Herbert E. For Profit 11/12/93 Not Applicable Applicable For Profit
Herbert E. Kosmahl, D.P.M.
administrator@augplastic.com
706-724-5435 PLASTIC 10/10/1995 Not
AUGUSTAFor Profit SURGERY CENTER, INC. Applicable Not Applicable
fblocker@augustaurology.com
706-823-0533 For Profit 04-13-1998
Augusta Urology Surgicenter, L.L.C. NA NA
ljohnson@orthoga.org For Profit 2/11/1999
478-745-6192 Macon Orthopaedic and Hand Center, PA NA NA
denise@ddlctifton.comDawson
229-391-3639 04-29-1998Not Applicable
Michael J. Not Applicable NA NA
Not Applicable
luannejordan@hotmail.comProfit 7-1-1994 Not Applicable
912-764-7882 For
Robert W. Cushner, D.P.M. NA NA
Not Applicable
drsinha@drsinha.com For Profit 2004 Surgery Center, LLCApplicable
404-257-7009 North Atlanta Head and Neck Not Not Applicable
patrickconarro@windstream.net Not applicable Center/Dahloneg
706-867-0729 For Profit not Not
Summit Surgical Ambulatory Surgery applicable Applicable For Profit
Summit Surgical ASC-Dahlonega Surgery Cen
brenda@southeastretina.com
706-210-0306 For Laser 1999 NA
Augusta Retina Profit Surgicare not applicable NA
not applicable
cathy.procter@piedmont.org
678-817-6502 Not Applicable Not Applicable Not Applicable
nancy@georgiacosmetic.com
770-834-7660 NA NA NA
MICHELLEBARTLETT_AEC@YMAIL.COM
770-969-1040 For CENTER
AKSTEIN EYEProfit JUNE,2000 NA B AKSTEIN, MD
RICARDO For Profit
melissadpsc@hotmail.com Applicable
706-275-8723 Not
Reginald Robert Sherrill MD
10-2000 Not Applicable Applicable
Not N/A Sherrill MD
Reginald R.Not Applicable
cfielder@pocatlanta.com Profit Surgery Center, LLC Not Applicable
404-367-8259 For
Peachtree Orthopaedic Not Applicable
sserfozo@thephysicians.com & Rehabilitation Specialists o Profit 01-01-2001not applicable Profit
770-792-0381 For Profit
The Physicians Pain 01-01-2001not applicable For For
katiejustice@windstream.net
229-890-2092 NA NA NA
garywilliamsonmd.com For Profit 9/01
706-737-8916 Gary Benton Williamson Not Applicable Not Applicable
gary@woodhamseye.com Profit Lens ImplantNot applicable
770-913-o841 Laser
Woodhams For and Center NA NA
Not applicable
eom@wayxcable.com For Profit
912-287-0387 NA NA
tfields@rose.net
229-227-5929 For Profit 12/08
FRANK E GLOVER, JR NA
NOT APPLICABLE For Profit
FRANK E GLOVER, JR
cgiron@bellsouth.netGiron,MD
478 476-9976 Carlos J. For Profit Center,PC
Macon PainFor Profit NA
Not Applicable
mary@thewomenssurgerycenter.com
912-871-3100 NA For Profit 2002
Statesboro OB/GYN Specialists, PC NA
joneal@gastrosav.com NA
912-356-0420 NA NA
david@daltonent.com NA
706-272-3997 Not applicable NA
Not applicable NA
Not applicable
DR206@BELLSOUTH.NET
912-264-5712 Not Applicable
GARY M. GROLEMUND DPM APRIL 2003 Not Applicable Not Applicable
c.connelly@gapainphysicians.com 4/2002
770-850-9727 For Profit
Georgia Surgical Centers, Inc NA
Not Applicable NA
sgmask@bellsouth.net For Profit 06/18/2002 NOT LLC Not Applicable
229-247-1084 VALDOSTA ENDOSCOPY CENTER, APPLICABLE Not Applicable
NOT APPLICABLE
srwilkes@aol.com EyeFor Profit June 2002 Center,as in A above
404-876-7565 Atlanta International Surgery Same Inc. NA NA
Same as in A above
jankeith@optilink.usC. Misner, D.P.M.
706-272-6730 Spencer For Profit 8/23/2002 N/A NA N/A For Profit
Spencer C. Misner, D. P.M.
scurd@professionaleye.com Associates
706-217-2876 For Profit 2002
Professional Eye N/A N/A
Not Applicable N/A Not Applicable
meljewett@augustaendoscopy.com
706-650-7825 For Profit
Augusta Endoscopy Center, LLC Not Applicable NA NA
Not Applicable
bsharp@oasc-llc.com NA
706-396-3759 Not Applicable NA
Not Applicable NA
Not Applicable
vcarroll08@bellsouth.net Profit 5/2003
229-259-0209 For
Bridgett Moore, MD For Center,
Azalea Surgery Profit LLC Not MD
Bridgett Moore,Applicable
mjriemann@cimplify.net Profit 04/02/2002 not applicableLLC
770-532-5955 Urology Ambulatory Surgery Center
Gainesville For NA NA
same as item A
dpierce@sonyamerrimanmd.com MD 2003 Not Applicable
229-242-0644 Merriman,
Sonya June For Profit June NA Merriman,
Sonya June For Profit MD
sloggins@gastrogainesville.com 12/1/2008 Not Applicable
770-536-3203 NA NA NA
Shelby D. Loggins, MBA, FACMPE, CPC
westmed1@bellsouth.net Profit 6/2003
770-948-9149 For
Jasmine Jeffers, M.D. NA For M.D.
Jasmine Jeffers,Profit
elong@ceplastic-surg.com Profit Surgery
912-920-4114 For For Surgery Center For Plastic
Coastal Empire Plastic 08/2003 Shanklin PlasticProfit 08/2003 Coastal Empire Profit Surgery
bill.morris@aec2020.net Profit LLC (dba Advanced Eye Surge
770-533-7377 For
Lanier Eye Associates, 10-1-2003 NA NA
phall@southernobgyn.net Profit 01/01/2002 Southern OB/GYN Associates, P.C.
229-242-2402 For For Profit 01/04/1972
Southern OB/GYN Ambulatory Surgery Center, Inc. Not Applicable
afann@uspi.com
678-422-4287 For Profit 10/01/2003
Orthopaedic South Surgical Partners, LLC For Profit 10/01/2003 For Profit
dhopkins@urologysavannah.com / rshaw@uro N/A
912-354-3346 N/A NA NA N/A NA
SLMUTCHLER@YAHOO.COM 05/09/01 GAINESVILLEProfit 05/09/01 WESLEY LEWIS DANIEL
770-532-7102 For Profit
WESLEY LEWIS DANIEL For FOOT AND ANKLE SURGERY Profit For CENTER, PC
drsdrew@bellsouth.net For Profit 07/20/1990
706-724-7394 G. STEPHENSON DREW, MD NA NA
sgibbert@bellsouth.net NA
478-464-2604 NA NA
gretchenb@tameyourpain.com
706-549-7558 Not Applicable
DAWNETTA JANENE HOLLADAY N/A NA N/A NA
admin@drdianebowen.com Profit
912-634-1166 For
Diane G. Bowen n/a NA n/a NA
mfrazier29@gmail.comFor Profitof July 2004 NA
706-922-4384 ENT Surgery Center Augusta Not Applicable NA Not Applicable
oosc@hotmail.com Orthopedic Surgery Center, PC
912-871-3098 Outpatient For Profit 02/20/2004 Not ApplicableNA NA
Not Applicable
kstuart@rpsmd.com For Profit Centre, LLC
478-314-0740 Renaissance Surgical 7/12/2004 NA NA
laurelannwilson@aol.com Upper Extremity Surgery Center, LLC
404-969-1999 For
The Hand and Profit NA NA
sghconsultant@windstream.net
912-384-4353 For Profit 09-08-2004N/A
Sudhakar Jonnalagadda, MD NA For Profit
Sudhakar Jonnalagadda, MD
onealj@awhg1.com For Surgery10-2004 LLC
770-360-9937 North Crescent Profit Center, For Profit 07-1999 North Crescent Surgery Center, LLC
Atlanta Women's Health Group, P.C. For Profit
kathleenc@spinecenterga.com
912-262-6599 Not Applicable Not Applicable Not Applicable
nonsurgicalmd@lowbackpain.com 1/1/2005 PC
770-234-5526 for Profit
The Center For Spine Procedures, N/A NA N/A NA
rburo@statesborogi-bcec.com
912-681-1489 Not
Not Applicable Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable
gretchenb@tameyourpain.com M.D.
706-549-0151 For Profit
D. Janene Holladay, Not Applicable Not Applicable
nursing@georgiadermsurgery.com 03-10-2005Georgia Dermatologic Surgery Centers, PC Not Applicable
404-943-9464 For Dermatologic Surgery Centers, LLC
ASC of GeorgiaProfit For Profit 03-10-2005
eaga@bellsouth.net Endoscopy Center (Covington)
770-922-1314 Wellbrook For Profit 03/01/2005 NA NA
khobbs@peachtreespine.com
404-574-5944 NA NA NA
bbowen@thomaseye.com ProfitCenter
678-781-7324 For
Thomas Eye Surgery 1/1/2005 Thomas Eye Group For Profit
For Profit 7/1/2000 Thomas Eye Group
cmoore@painstc.com For Profit
678-738-1980 PAIN SPINE CENTER
GEORGIA For Profit 08/04/2005 LLC NA
BROWNEVH@AOL.COMProfitENDOSCOPY CENTER,NA
678-904-9712 ATLANTAFor SOUTH LLC NA
abradley@mariettaeye.com Profit 07/01/2005 Marietta Eye Clinic, PC05/28/1971
678-784-0256 For For Profit
Marietta Eye Clinic, PC (DBA Marietta Eye Surgery) Not Applicable
annette@specialtyclinicsofga.com Surgery Center Applicable Applicable
678-450-3775 For Profit
Specialty Orthopaedics Not Not For Profit
Specialty Orthopaedics Surgery Center
endomanager@advgastro.com
678-368-6067 For Profit
Dr. Brian K. Hudes N/A NA N/A NA
tharrison@bergeye.comFor Profit M.D.
229-878-0974 Not Not Not Not
Joseph Chandler Berg, 09-14-2005Not Applicable Applicable Applicable Applicable Applicable
ryonkosky@georgiawoundinstitute.com
678-965-5861 For Profit 5/1/2005 NA
Reena Yonkosky NA NA NA
dublineye1@bellsouth.net Applicable
478-274-0936 n/a Not n/a Not Applicable n/a Not Applicable
ronropermd@aol.com For Profit 9/20/2005 not applicable
678-594-0075 Urology Enterprises NA NA
not applicable
DSMITH@ENTOFGA.COMCENTER OF ATLANTA , LLC Profit 01/01/2008 NOT APPLICABLE
404-943-9691 ENT SURGERY AND
For Profit 01/01/2008 EAR NOSEFor THROAT OF ATLANTA, LLC NA
rblum10@yahoo.com Endoscopy Center, LLC N/A
678-879-0109 Northeast For Profit NA N/A NA
nikkigide@yahoo.com For Profit 11/1/2007 GI Specialists of Georgia (formerly Digestive Care Applicable
770-951-9016 For
GI specialists of Georgia (formerly Digestive Care Profit 11/1/2007 Not
cheriscraig@yahoo.com Profit 01/30/2006 Not Applicable
678-565-1904 For
Surgical Center for Urology, LLC NA NA
Not Applicable
indran6@aol.com
770-963-0122 For Profit 03-26-2006N/A
BHUVANENDRAM INDRAKRISHNAN, MD NA For Profit
BHUVANENDRAM INDRAKRISHNAN, M
info@midtownfootclinic.ent
912-233-3859 Murrell For Murrell
Dr. John M For Profit 10/05/2007 not applicable Profit 10/23/2007 Dr. John M For Profit
ssohani@cspmpain.com Profit
706-279-2679 SADIQ SOHANIFor NA NA
jboy46@gmail.com Taylor, Profit 2007
229-225-9915 John L. For Rayner Thompson Taylor Not Applicable For Profit
John L. Taylor MD
dkesler@athensorthopedicclinic.com
706-353-8198 NA NA NA
lori.pope@carrolltonortho.com
770-834-6118 For Profit Carrollton For Profit
Carrollton Orthopaedic Surgery Center LLC Orthopaedic Clinic, P.C. NA
nemetz34@att.net
706-546-4938 For
Jing Dong, MD Profit 11/7/2005 NA NA NA NA
debra_s@bellsouth.net NA
706-543-7060 NA NA NA NA
becky.brntt@gmail.com
770-535-1852 NA NA NA
ldyer@asmsurgerycenter.comMD 02/17/2007
404-693-9005 For Profit
Scott D. Gillogly Not Applicable For
Lacey T Dyer Profit
tracykaiser@bellsouth.net Profit D.
912-466-0366 For
Thomas E. Runyan M. 03/07 NA NA NA Not Applicable
assocfoph@bellsouth.net Profit 2007
478-745-2886 For
J.Gregory Jones MD NA
Not Applicable NA
Not Applicable
admin@gastromds.netGROVE ENDO CENTER,2007
770-692-6190 LOCUST For Profit MARCH 21, LLC N/A NA N/A NA
sandy@dublinortho.net For Profit 05-07-07 DUBLIN ORTHOPAEDICS ASC, NOT APPLICABLE
478-272-5335 DUBLIN ORTHOPAEDICS ASC, INC. For Profit 05-07-07 INC NA
RBALLINGER@MBSGA.COM DPM
478-9877907 For Profit
Sarvepalli D. Jokhai, NA NA
pam@fs-ortho.com
478-841-3150 NA
Not applicable NA
Not applicable NA
Not applicable
msheffield@msa-regionalhealth.com
229-434-9827 For
Phillip D. HajekProfit 11/02/2006 N/A Not Applicable N/A Not Applicable
barb@augustaeyemd.com Profit 1/30/2008 Not Applicable
706-722-7994 For
Stuart David Marks NA NA
Not Applicable
plhartsfield@sos-atlanta.com
770-953-6972 NA
Not applicable NA
Not applicable NA
Not applicable
bmann@mgo.md
478-971-2284 ORTHOPEDIC SURGERY CENTER, LLC
HOUSTONFor Profit 04/26/2006 NOT APPLICABLE NA NA
NOT APPLICABLE
nahlamasseoud@atlantacenterforpain.com
404-603-9634 Not Applicable
Kamal C. Kabakibou 11/07 Not Applicable Not Applicable
Kamal C. Kabakibou
bcriswell@neurosav.com Applicable
912-351-0589 N/A Not N/A Not Applicable N/A Not Applicable
reynolds1200@bellsouth.net SurgiCenter, LLC Applicable
229-317-2364 For Profit December 7, 2006
Premier Orthopedic Not NA NA
Not Applicable
cblackwell@spinepains.com
770-929-9092 NA NA NA
pfunderburk@getridofpainnow.com
912-729-3455 For
Diwakar NagulaProfit 6/2008 NA For Profit
Southeast Treatment Center
sserfozo@thephysicians.com & Rehabilitation Specialists o
770-419-7457 For Profit
The Physicians Pain 1/1/2008 not applicable NA 1/1/2008 not applicableNA
mhardwick@paincenterpc.com P.C.
770-948-6804 For Profit
CPM Surgery Center, 06/17/2008 na NA na NA
chandrika.ruparelia@gmail.com 12/29/2008 N/A
770-949-9561 For Profit
Navinchandra M. Ruparelia NA Not Applicable
Chandrika Ruparelia
krunyan@bellsouth.net For Profit august 2008
912-466-0366 Thomas E Runyan NA NA
a.yearwood@eyephysicians-surgeons.com
404-294-9361 For Profit 02/21/2008
EPS SURGICAL CENTER, LLC NOT APPLICABLE NA For Profit
EPS SURGICAL CENTER, LLC
keith.mcleod@ngurology.com Urological Surgery Center, LLC
678-450-6827 For Profit
Northeast Georgia NA For Profit
Northeast Georgia Urological Surgery Center,
liz@renuemd.com Plastic Surgery, LLC
912-280-9995 Renue NA
For Profit 05/06/2006 Not Applicable NA
Not Applicable
sserfozo@thephysicians.com and Rehabilitationapplicable Applicable
770-792-0381 For Profit
The Physicians Pain 01/01/2008 not SpecialistsNot Not
01/01/2008 not applicable Applicable
6787500766 West Paces For Profit NovemberCenter, LLC For Profit 1/27/2007 Interventional Spine and Pain Management Ce
Ambulatory Surgical 1, 2008
cblackwell@spinepains.com For P
Interventional Spine and Pain Management Center, Profit
diane.farthing@piedmont.org
404-355-9819 For Profit Not Applicable
NA
Digestive Healthcare of Georgia Endoscopy Center M NA
Not Applicable
VBNAILS@YAHOO.COM
912-283-1618 NA
NOT APPLICABLE NA
NOT APPLICABLE NA
NOT APPLICABLE
cpowell@pyramidmgt.com & Joint,2/20/2001Summit Orthopaedic
770-252-7511 For
Southern Bone Profit LLC dba N/A NA N/A NA
amypriest@hotmail.com Sharkey, MD
478-274-8418 Not
Michael John Applicable2000 na Not Applicable na Not Applicable
dubinirina@gmail.com Not Applicable
404-365-0751 Not Applicable Not
not applicable Applicable Not
Not Applicable Applicable
LBarwick@Thomasvilleeye.com Center, Inc. Thomasville Surgery Center, Inc. N/A
229-226-5859 For Profit
Thomasville Surgery January 2001 For Profit 2001 NA
jborozan@uspi.com Surgery Center, LLC
678-827-0917 Roswell For Profit 1/31/2001 NA NA
sharmonbaker@hotmail.com MD10-86
912-489-2954 Crews
Thomas M. For Profit For Nose 4-00 Thomas M. ForCrews
Statesboro Ear, Profit and Throat Surgical Center Profit
ccrawfrord@georgiagi.com Profit 10/05/1999 N/ALLC NA
912-354-9915 For
Georgia Center for Digestive Diseases, For for Digestive Diseases, LLC
Georgia Center Profit
bicitysc@msn.com
706-317-4203 NA NA NA
danbanks@gabn.net Center Profit 1/25/2000 Surgery
706-724-4468 Augusta For for Foot & Ankle SAA For Profit 1/25/2000 SAA For Profit
Operators Operators Operators Managem Managem Managem Managem
Operator Parent Parent Org Parent Managem ent Org Manange ent Parent ent Parent ent Parent
Date Name Type Date ent Name Type ment Date Name Org Type Date
31 32 33 34 35 36 37 38 39 40
Rome,INC Not
9/27/2004 Surgicare ofFor Profit 09/27/2004 Not Applicable Applicable Not
9/9/1999 Not Applicable Applicable 9/9/1999
For Profit 6/30/2007 For SURGERY CENTER
1/1/1996 SURGICAL CARE AFFILIATES GAINESVILLEProfit 1/1/1996 SURGICAL CARE AFFILIATES For Profit 6/30/2007
For Profit 09/01/07 Northside Not for Inc 09/01/07 Northside Health Services, Inc
09/01/07 Northside-Cherokee Surgery Centers, LLC Hospital, Profit 11/01/91
Not for Profit
NA NA NA
For Profit 7-1-2007 For Profit 7-1-07
4-1-2006 SURGICAL CARE AFFILIATES SURGICAL CARE AFFILIATES SURGICAL CARE AFFILIATES For Profit 7-1-2007
1-1-06 For Profit 7-1-2007 For Profit 7-1-2007
SURGICAL CARE AFFILITATESSURGICAL CARE AFFILITATESSURGICAL CARE AFFILIATES For Profit 7-1-2007
Not
9/9/1999 Not Applicable for Profit Not
9/9/1999 Not Applicable for Profit Not
9/9/1999 Not Appliacablefor Profit 9/9/1999
Not Applicable Not Applicable
NOT APPLICABLE Not for Profit
01/18/2000 Southern Not for Profit 01/18/2000
Southern Regional Ambulatory Surgery, Inc. Regional Health System
5/01/08 NA
Not Applicable For Profit
Med Management LLC 7/01/08 NA
Not Apllicable
NA NA For
HUMEDCO Profit 1970
1986 For Profit 7-1-2007 For Profit 7-1-2007
SURGICAL CARE AFFILIATES SURGICAL CARE AFFILIATES SURGICAL CARE AFFILIATES For Profit 7-1-2007
For Profit 1/1/2003 N/A
1/1/2003 Atlanta Healthcare Management, LP Not Applicable N/A Not Applicable
Not for Profit
11/1/1991 Not applicable Applicable
3/22/2004 Northside Health Services, Inc. Not Not
Not applicable Applicable
Not Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable
Not Applicable N/A Not Applicable N/A Not Applicable N/A Not Applicable
For Profit 1/1/2003 N/A
1/1/2003 Atlanta Healthcare Management, L..P. 9/9/1999 N/A
Not Applicable 9/9/1999
Not Applicable
N/A NA NA For Profit
Nueterra Healthcare 09/07/2005
For Profit 1/1/2003 Not Not
1/1/2003 Atlanta Healthcare Management, L.P. Applicable Applicable Not
Not Applicable Applicable
For For Profit 12/1999 United Surgical Profit 02/12/2001
12/1999 not applicable Profit 12/1999 Ortholink ASC Corporation For Partners International
For Profit 01/01/2003 N/A
01/01/2003 Atlanta Healthcare Management, LP NA N/A State
01/03/1997 N/A Not Applicable Not Applicable Not Applicable
N/A N/A N/A
Not Applicable N/A Not Applicable
N/A N/A N/A
Not Applicable
For Profit 3/31/1999N/A
12/6/1999 MACON HEALTHCARE, LLC N/A 9/9/1999 N/A
Not Applicable 9/9/1999
Not Applicable
Evans, Inc. Not 9/9/1999 not applicable Applicable
11/01/2003 Surgicare ofFor Profit 11/01/2003 not applicable Applicable Not 9/9/1999
Not for of Georgia, Inc.
01/01/1997 Planned ParenthoodProfit Not for of Georgia, Inc.
01/01/1997 Planned ParenthoodProfit
01/01/1997 Planned ParenthoodProfit 01/01/1997
Not for of Georgia, Inc.
For
12/09/1996 Surgico, LLC Profit 12/09/1996 n/a 09/19/1999 n/a
Not Applicable 09/09/1999
Not Applicable
NA
Not Applicable For
Symbion, Inc. Profit 12/2003 Not Applicable NA
Not Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable
06/01/2008 n/a NA n/a NA n/a NA
For Profit 05/06/1996 National Women's
For Profit 05/06/1996 National Women's
For Profit 05/06/1996
05/06/1996 National Women's Health Organization of Columbus, Health Organization of Columbus, Health Organization of Columbus,
Not Applicable Not
not applicable Applicable Not
not applicable Applicable Not
not applicable Applicable
Not Applicable Not Applicable Not Applicable Not Applicable
Buckhead, LLC
1/1/2003 Surgicare ofFor Profit 1/1/2003 n/a 9/9/1999 n/a
Not Applicable 9/9/1999
Not Applicable
NA NA NA
9/26/01 Not for Profit
10/7/82
Hamilton Medical Center, Inc. For Profit 11/5/01 Not Applicable Applicable
Hamilton Surgeons Management Company Not
Not Applicable Not Applicable Not Applicable
NA Children Not for Profit01/06/2003 NA
For Diseases, Inc
10/17/2008 Gastrointestinal Profit 01/25/1996 NA NA
NA NA NA
N/A Not Applicable N/A Not Applicable N/A Not Applicable
6/1/1992 N/A NA N/A NA N/A NA
NA
Not Applicable NA
Not Applicable NA
Not Applicable
Center, PC
01-01-09 Orthopedic For Profit 01-01-00 Not Applicable NA NA
Not Applicable
NA NA NA
NA
NOT APPLICABLE NA
NOT APPLICABLE NA
NOT APPLICABLE
Not Applicable N/A Not Applicable Partners, 4/10/2008 N/A
HealthMarkFor Profit Inc Not Applicable
NA NA NA
NA
Not Applicable NA
Not Applicable NA
Not Applicable
Not Applicable N/A Not Applicable N/A Not Applicable N/A Not Applicable
Not Applicable Not Applicable
6/1/1999 not NA
Albany Regional Plastic Surgery, P.C. applicable NA
not applicable
Not Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable
10/7/1987 N/A NA N/A NA N/A NA
n/a NA n/a NA n/a NA
NA
NOT APPLICABLE NA
NOT APPLICABLE NA
NOT APPLICABLE
NA NA NA
NA
Not Applicable NA
Not Applicable NA
Not Applicable
09-01-1998 NA NA NA
NA NA NA
NA NA NA
N/A NA N/A NA N/A NA
09/19/1994 Not Applicable Not Applicable Not Applicable
NA NA NA
Not Applicable Not Applicable Not Applicable Not Applicable
NA NA NA
NA
Not Applicable For Profit
AZTEC MANAGEMENT For Company
Picasso HoldingProfit
NA NA NA
NA NA NA
NA
NOT APPLICABLE NA
NOT APPLICABLE NA
NOT APPLICABLE
NA
Not Applicable NA
Not Applicable NA
Not Applicable
Not Applicable Not Applicable Not Applicable Not Applicable
NA NA NA
N/A N/A NA N/A N/A NA N/A N/A NA N/A
NA NA NA
NA
Not Applicable NA
Not Applicable NA
Not Applicable
Not
Not Applicable Applicable For
Libby Blanton Profit 4/1/08 Not
Not Applicable Applicable
NA NA NA
NA
Not Applicable NA
Not Applicable NA
Not Applicable
Not Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable
NA NA NA
N/A N/A N/A
Not Applicable N/A Not Applicable
N/A N/A N/A
Not Applicable
NA
Not Applicable NA
Not Applicable NA
Not Applicable
NA
Not Applicable NA
Not Applicable NA
Not Applicable
1996 NA
Not Applicable NA
Not Applicable NA
Not Applicable
06-01-2004N/A NA 06-01-2004N/A NA 06-01-2004N/A NA 06-01-2004
Not Applicable Not Applicable Not Applicable Not Applicable
03/03/1997 NA NA NA
NA NA NA
NA NA NA NA NA NA
NA
Not Applicable NA
Not Applicable NA
Not Applicable
NA NA NA NA NA NA
Not Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable
Not Applicable Not Applicable Not Applicable Not Applicable
Not Applicable Not Applicable Not Applicable
NA NA NA
NA NA NA
Not Applicable Not Applicable Not Applicable
NA
not applicable NA
not applicable NA
not applicable
NA NA NA
N/A NA N/A NA N/A NA
Not Applicable Not Applicable
11/27/89 NOT APPLICABLE 11/27/89 NOT APPLICABLE 11/27/89 NOT APPLICABLE 11/27/89 Not Applicable
NA
Not Applicable NA
Not Applicable NA
Not Applicable
Not Applicable Not Applicable Not Applicable Not Applicable
Not
11/12/93 Not Applicable Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable
Not Applicable Not Applicable Not Applicable Not Applicable
NA NA NA
NA NA NA
NA
Not Applicable NA
Not Applicable NA
Not Applicable
NA
Not applicable NA
Not applicable NA
Not applicable
Not Applicable Not Applicable Not Applicable Not Applicable
Not
12/1999 not applicable Applicable Not
not applicable Applicable Not
not applicable Applicable
NA
not applicable NA NA
not applicable
Not Applicable Not Applicable Not Applicable Not Applicable
NA NA NA
JUNE,2000 NA NA NA
Not
10-2000 Not Applicable Applicable N/A Not Applicable Applicable
Not N/A Not N/A
Not Applicable Applicable
Not Applicable Not Applicable Not Applicable Not Applicable
For For For
01-01-2001not applicable Profit 01-01-2001not applicable Profit 01-01-2001not applicable Profit 01-01-2001
NA NA NA
Not Applicable Not Applicable Not Applicable Not Applicable
NA
Not applicable NA
Not Applicable NA
Not Applicable
NA NA NA
12/08 NA
NOT APPLICABLE NA
NOT APPLICABLE NA
NOT APPLICABLE
NA
Not Applicable NA
Not Applicable NA
Not Applicable
NA NA NA
NA NA NA
NA
Not applicable NA
Not applicable NA
Not applicable
Not Applicable Not for Profit Not Applicable Not Applicable
NA NA NA
Not Applicable Not Applicable
NOT APPLICABLE Not Applicable
NOT APPLICABLE Not Applicable
NOT APPLICABLE
NA
Same as in A above NA
Not applicable NA
Not applicable
08/23/2002 N/A NA N/A N/A NA N/A N/A NA N/A
N/A N/A N/A
Not Applicable N/A Not Applicable
N/A N/A N/A
Not Applicable
NA
Not Applicable NA
Not Applicable NA
Not Applicable
NA
Not Applicable NA
Not Applicable NA
Not Applicable
Not Applicable NA NA NA
NA
not applicable NA
not applicable NA
not applicable
NA
June 2003 Not Applicable NA
Not Applicable NA
Not Applicable
NA
1/14/2008 Not Applicable NA
Not Applicable NA
Not Applicable
6/2003 NA NA NA
For Surgery Center
08/2003 Shanklin PlasticProfit 08/2003 N/A NA N/A NA
NA NA NA
Not Applicable Not Applicable Not Applicable Not Applicable
NA
10/01/2003 Not Applicable For Profit 10/01/2003 For Profit 10/01/2003
N/A NA N/A NA N/A NA
For FOOT 12/23/02 NOT APPLICABLE
NA
05/09/01 ASSOCIATED Profit SPECIALISTS OF NORTH GEORGIA, LLC NOT APPLICABLE NA
NA NA NA
NA NA NA
N/A NA N/A NA N/A NA
n/a NA n/a NA n/a NA
Not Applicable NA Not Applicable NA Not Applicable NA Not Applicable
NA
Not Applicable NA
Not Applicable NA
Not Applicable
NA NA NA
NA NA NA
N/A NA N/A NA N/A NA
For Profit 07-1999 N/A
10-2004 Atlanta Women's Health Group, P.C. NA N/A NA
Not Applicable Not Applicable Not Applicable Not Applicable
N/A NA N/A NA N/A NA
Not Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable
Not Applicable Not Applicable Not Applicable Not Applicable
Not Applicable Not Applicable Not Applicable Not Applicable
NA NA NA
NA NA NA
For Profit 7/1/2000 Thomas Eye Group
7/1/2000 Thomas Eye Group For Profit 7/1//2000
For Profit 7/1/2000 Thomas Eye Group
NA NA NA
NA NA NA
Not Applicable Not Applicable Not Applicable Not Applicable
Not
Not Applicable Applicable Not
Not Applicable Applicable Not
Not Applicable Applicable
N/A NA N/A NA N/A NA
Not Not Not Not
Not Applicable Applicable Applicable Applicable Applicable Applicable Applicable Applicable Applicable Applicable
Not Not Not Not Not
NA NA NA NA NA NA
Not Applicable n/a Not Applicable n/a Not Applicable n/a Not Applicable
NA
not applicable NA
not applicable NA
not applicable
NA NA
01/01/2008 NOT APPLICABLE 01/01/2008 NOT APPLICABLE 01/01/2008 NOT APPLICABLE 01/01/2008 NA
N/A NA N/A NA N/A NA
Not Applicable Not Applicable Not Applicable Not Applicable
NA
Not Applicable NA
Not Applicable NA
Not Applicable
03-26-2006N/A NA N/A NA N/A NA
NA
10/05/2007 not applicable NA
not applicable NA
not applicable
NA NA NA
2007 Not Applicable Not Applicable Not Applicable
NA NA NA
NA NA NA
NA NA NA NA NA NA
NA NA NA NA NA NA
NA NA NA
02-17-2007 Not Applicable For Care For Care
Acumen Health Profit 02-17-2007Acumen Health Profit 02-17-2007
Not Applicable NA NA NA NA NA NA
NA
Not Applicable NA
Not Applicable NA
Not Applicable
N/A NA N/A NA N/A NA
NA
NOT APPLICABLE NA
NOT APPLICABLE NA
NOT APPLICABLE
NA NA Not Applicable
NA
Not applicable NA
Not applicable NA
Not applicable
Not Applicable N/A Not Applicable N/A Not Applicable N/A Not Applicable
NA
Not Applicable NA
Not Applicable NA
Not Applicable
NA
Not applicable Group LLC
IntraHealth For Profit 10/2/06 NA
Not Applicable
NA
NOT APPLICABLE For Profit 11/01/2007 NOT APPLICABLE
ACUMEN HEALTHCARE NA
11/07 Not Applicable Not Applicable Not Applicable
Not Applicable N/A Not Applicable N/A Not Applicable N/A Not Applicable
NA
Not Applicable NA
Not Applicable NA
Not Applicable
NA For Profit 6/1/2008
Interventional Management Services, LLC NA
6/2008 NA NA NA
1/1/2008 not applicableNA NA
1/1/2008 not applicable 1/1/2008 not applicableNA 1/1/2008
na NA na NA na NA
12/29/2008 N/A NA N/A NA N/A NA
NA NA NA
NA
02/21/2008 NOT APPLICABLE NA
NOT APPLICABLE NA
NOT APPLICABLE
NA For Profit NA
Northeast Georgia Urological Surgery Center, LLC
NA
Not Applicable For Profit 05/26/2006 Not Applicable
Renue Plastic Surgery, LLC NA
Not 01/01/08 not applicable Applicable
01/01/2008 not applicable Applicable Not Not
01/01/08 not applicable Applicable01/01/08
For Profit 1/27/2007 Interventional Management Services, LLC
For P
1/27/2007 Interventional Spine and Pain Management Center, Profit 1-1-2008 NA
NA
Not Applicable NA
Not Applicable NA
Not Applicable
NA
NOT APPLICABLE NA
NOT APPLICABLE NA
NOT APPLICABLE
N/A NA N/A NA N/A NA
Not Applicable na Not Applicable na Not Applicable na Not Applicable
Not Applicable Not
not applicable Applicable Not
not applicable Applicable Not
not applicable Applicable
N/A NA N/A NA N/A NA
NA NA NA
10-86 NA NA NA NA NA NA
10/05/1999 N/A NA For Profit
Georgia Gastroenterology Group, PCN/A NA
NA NA NA
1/25/2000 SAA For Profit SAA SAA For Profit SAA SAA For Profit SAA
.or .other .other .endo .endo
.ors procedures .or patients .other rms procedures patients .endo procedures patients .minor
41 42 43 44 45 46 47 48 49 50
4 5372 5372 0 0 1
4 4058 1939 2 181 178
3 1226 705 0 0 0 1 855 679 1
2 3548 2087 1 230 179
6 5701 5701
3 2471 2471
2 3085 3085 0 0 0 0 0 0 0
3 1983 1983 1
2 2197 1552 0
2 4772 4772
3 3474 3096 3 3474 3096
7 5318 5318 3
3 854 326 0 0 0 0 0 0 0
3 4626 4626 0 0 0 0 0 0 0
6 6417 5786 7 7659 7267
3 2147 2147 0 0 0 1 1303 1303 1
3 5679 3302 1 95 95
6 6153 6153 2 2405 2405 2 2561 2561 4
3 7661 3425
5 4052 4052 2 6078 6078
5 2961 2593 0 0 0 0 0 0 0
2 1500 1372 1 321 321 0 0 0 0
3 3161 3161 1 1202 1202 0 0 0 1
4 5165 5165 0 0 0 0 0 0 0
2 1389 1322 1 437 420
4 4876 4876 0 0 0 1 1345 1345 0
4 6765 6022
1 2384 2384 0 0 0 0 0 0 0
1 1210 505 0 0 0 0 0 0 0
2 1531 1531 1 391 391
3 5028 4634
2 3670 3222 0 0 0 0 0 0 0
4 1468 1468 0 0 1
2 3239 1745
4 2038 1966 0 0 0 0 0 0 0
2 1723 1312 1 299 198
6 18065 10584 0 0 0 0 0 0 0
2 3834 3778
2 347 245
2 1032 1020
2 1016 811 0 0 0 0 0 0 0
3 808 808 1
2 2549 2549 1
2 779 328
2 169 79 0 0 0 0 0 0 0
4 5013 2458 2
2 1219 759
2 4899 4767 0 0 0 0 0 0 0
4 2207 2002 2
1 152 115 0 0 0
1 1551 1474 0 0 0 0 0 0 0
2 2987 1952
2 510 510 1
0 0 0 0 0 0 2 1889 1992 0
2 3586 3236
1 1
1 240 240 0 0 0 0 0 0 1
2 819 552 0 0 1
1 250 250
1 1407 986 0 0 0 1 1407 986 1
1 734 449 1 300 300 0 0
2 898 690 0 0 0 0 0 0 0
1 2027 852
2 5677 4490 0 0 0
1 4558 4558 2
1 1063 1061 0 0 0
1 2679 1733
1 97 69
1 233 88 0 0 0
3 9227 8670 0 0 0 0 0 0
3 12392 5377
2 1838 1838
3 4631 3872
1 206 97
1 414 414 1 310 310
1 324 75 0 0 0 0 0 0 0
2 4701 3631 0 0 0
3 1536 1210
1 414 301
2 812 812 0 0 0 0 0 0 0
2 2274 680 0 0 0
3 3384 3309 1 1396 1393 0 0 0 0
1 0 0 0
2 1620 1620 1
4 221 208
1 137 96
1 152 112
1 1016 935
2 452 452 0 0 0
2 1020 481 1
1 2734 1631
2 1507 1507
1 176 130 0 0 0 0 0 0 0
1 1100
3 473 473
2 1671 518 0 0 0
5 11857 4412 0 0 0 0 0 0 0
1 1279 1265 0 0 0 0 0 0 0
2 2872 2872 0 0 0
2 419 419 0 0 0 0 0 0 0
1 286 174 0 0 0 0 0 0 0
2 937 595 1
1 289 142 0 0 0 0 0 0 0
2 1575 1327 0 0 0 0 0 0 0
2 2062 1745 1
2 3645 2442
1 1857 1605 0 0 0 0 0 0 0
1 305 163 0 0 0 0 0 0 0
2 600 265 0 0 0
1 610 577 0 0 0 1 610 577 0
1 1
3 9404 8363 0 0 0
1 305 170
1 398 250 1 87 60
1 349 171 0 0 0 0 0 0 0
3 5003 3024 0 0 0 0 0 0 0
1 1305 1305 0 0 0 0 0 0 0
1 1119 808 0 0 0
1 259 223 1
1 740 564
2 2602 2602
2 457 390 0 0 0
1 975 975 0 0 0
1 565 550
2 6228 4652
1 1441 893
1 82 47
1 1 0 0 0
1 1619 1549
2 54 40 1 228 125
1 55 32 0 0 0 0 0 0 0
2 1340 1211 1 244 212 0 0 0 0
2 3861 3276
2 1723 1178
1 279 173 0 0 0 0 0 0 0
2 4269 1981 0 0 0
1 291 173 0 0 0 0 0 0 0
0 3 4721 4381
6 1360 930 2 1360 930 1
2 578 423 1
2 1803 1716 2 1284 1278
1 595 514 0 0 0
10/01/2003 0 0 0
3 2987 2603
1 195 99 1 195 99 0 0 0 0
1 80 74 0 0 0 0 0 0 0
3 9013 8284
2 751 751
1 68 46 0 0 0 0 0 0 0
2 2429 2429 0 0 0 0 0 0 0
1 656 390 0 0 0 0 0 0 0
2 1237 680
2 4351 1138
1 1160 1160
2 2343 2343 0 0 0
1 1715 639 0 0 0 0 0 0 0
1 1000 1000
2 594 477 0 0 0 0 0 0 0
2 2179 2179
1 1097 946 0 0 0 0 0 0 0
2 3685 3352 0
2 7178 3252
2 4303 3772 1 668 668 0 0 0 0
2
0 0 2 0
3 4237 3407 0 0 0 0 0 0 1
2 925 860 0 0 0 0 0 0 0
2 1935 1935 0 0 0 0 0 0 0
2 1042 1042 1 409 388
1 1886 1886 1
1 2017 828 1 314 314 0 0 0 0
5 5699 5143 0 0 0
2 3102 1025 0 0 0 0 0 0 0
3 4803 4803
2 3625 3241
2 2290 2261 1 470 383 0 0 0 0
2 2371 1920 0 0 0
1 819 232
1 1278 1278 0 0 0 0 0 0 0
1 30 29
2 1451 1451 0 0 0 0 0 0 0
1 234 189 0 0 0
2 2076 2072 0 0 0 0 0 0 0
2 543 0 0 0 0 0 0 0
2 1505 923 1 38 38
3 1076 474
1 1250 637
2 393 393 0 0 0 0 0 0 0
2 1643 1643
1 473 391 0 0 0 0 0 0 0
1 516 270
2 989 815 1
2 1274 1271 0 0 0 0 0 0 0
1 674 455 1 239 181
1 405 405
2 987 820 0 0 0 0 0 0 0
1 3003 1861
2 710 536 0 0 0 0 0 0 0
2 507 454
2 115 79
1 150 0 0 0
1 330 330
1 806 634 0 0 0
1 9 9 0 0 0
1 164 128
2 150 79 1 74 74
2 8 8
1 59 35 3
1 93 93 0 0 0 0 0 0 0
2 326 84
2 0 0
2 904 343 0 0 0
2 1912 1703 0 0 0 0 0 0 0
1 941 685 0 0 0
1 1 1
2 2131 2131 0 0 0 0 0 0 0
4 20 14
1 1105 790
1 2231 2006 0 1 2231 2006 0
1 75 38 0 0 0 0 0 0 0
1 184 120 1 0 0
Rms tot
.minor diff
procedure .minor Rms tot explanatio AIAN
s patients .other .admitted same n Pats Asian Pats BAA Pats H/L Pats
51 52 53 54 55 56 57 58 59 60
934 934 0 4 FALSE 5 8 369 125
0 9 FALSE 6 61 62
0 0 0 5 FALSE 0 2 2 16
0 2 FALSE 2 136 804 204
0 1 FALSE 19 152 1792 112
0 1 FALSE 4 35 321 140
0 0 0 2 FALSE 4 89 1594 306
2273 2273 0 2 FALSE 0 19 746 75
0 0 FALSE 8 14 631 14
0 1 FALSE 194 2413 387
0 0 FALSE 7 21 160 12
3590 3590 0 5 FALSE 18 70 951 177
0 0 0 0 FALSE 1 10 22 20
0 0 0 0 FALSE 5 346 2153 643
0 49 FALSE 0 25 1528 70
1417 1417 0 5 FALSE 1 95 836 164
0 6 FALSE 0 0
0 0 0 13 FALSE 1 29 598 238
0 3 FALSE 2 4 372 59
0 15 FALSE 18 138 817 191
0 0 0 10 FALSE 1 5 395 16
0 0 0 0 FALSE 3 10 221 7
75 75 0 15 FALSE 0 11 1078 4
0 0 0 3 FALSE 0 0 1394 101
0 0 FALSE 0 19 849 49
0 0 0 4 FALSE 29 645 32
0 0 FALSE 4 9 1177 19
0 0 0 1 FALSE 15 52 1188 198
0 0 0 0 FALSE 0 0 176 26
0 0 FALSE 1217 86
0 2 FALSE 1 8 583 47
0 0 0 8 FALSE 0 8 848 12
446 446 0 1 FALSE 1 5 400 24
0 0 FALSE 2 11 523 37
0 0 0 19 FALSE 2 4 55 249
0 0 FALSE 0 20 598 122
0 0 0 25 FALSE 15 253 1951 851
0 0 FALSE 0 76 1625 113
0 0 FALSE 77 3
0 0 FALSE 0 0 449 16
0 0 0 0 FALSE 0 6 37 5
241 241 0 0 FALSE
4388 4388 0 7 FALSE 22 33 502 77
0 1 FALSE 30 11
0 0 0 0 FALSE 0 0 3 1
481 464 0 3 FALSE 0 62 863 101
0 0 FALSE 6 75 14
0 0 0 3 FALSE 1 41 1668 47
4854 4794 0 4 FALSE 0 6 508 15
0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 14 FALSE 0 0 0 0
239 0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 0 FALSE 0 48 937 103
0 2 FALSE 0 0 0 0
304 304 0 3 FALSE 0 0 3 4
316 207 0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
3 2 0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 1 FALSE 0 0 0 0
0 3 FALSE 1 0 289 30
0 5 FALSE 0 0 0 0
0 1 FALSE 0 0 450 161
0 1 FALSE 0 0 0 0
0 0 FALSE 0 0 12 3
0 0 FALSE 0 0 12 2
0 0 0 13 FALSE 0 0 0 0
0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 3 FALSE 4 133 344 22
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 0 FALSE 0 0 10 6
0 4 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 3 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 0 FALSE 0 2 10 2
610 610 0 6 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 4 FALSE 0 2 270 4
0 1 FALSE 0 7 58 6
47 39 0 FALSE 1 0 210 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 0 FALSE 0 0 27 0
0 0 FALSE 0 75 250 250
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 0 FALSE 0 0 0 0
0 0 0 1 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 7 175 112
0 0 0 0 FALSE 0 0 0 0
3 3 0 0 FALSE 0 8 66 28
0 0 0 0 FALSE 0 0 0 0
0 0 0 3 FALSE 0 0 0 0
2669 2022 0 2 FALSE 3 19 726 29
0 2 FALSE 0 0 0 0
0 0 0 9 FALSE 0 1 346 14
0 0 0 0 FALSE 0 0 42 0
0 1 FALSE 0 15 45 5
0 0 0 0 FALSE 0 1 0 0
0 0 FALSE 0 0 0 0
0 5 FALSE 0 0 0 0
0 0 FALSE 0 0 9 2
0 0 FALSE 3 50 110 90
0 0 0 1 FALSE 0 6 1 0
0 0 0 7 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 1 FALSE 0 0 0 0
244 244 0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 450 8
0 2 FALSE 0 0 0 0
0 2 FALSE 0 0 0 0
0 1 FALSE 0 0 0 0
0 0 FALSE 0 0 36 1
0 0 FALSE 0 0 0 0
0 1 FALSE 0 0 0 0
0 0 FALSE 0 0 124 0
0 0 0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 4 3 166 9
0 0 0 0 FALSE 0 0 0 0
0 4 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 0 600 FALSE 0 0 0 0
1852 911 0 3 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 4 125 13
0 0 0 FALSE 0 0 0 0
0 1 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 0 0 1 FALSE 0 3 8 1
0 0 FALSE 0 828 2072 414
0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 2
0 0 0 4 FALSE 0 0 0 0
0 0 0 1 FALSE 0 2 59 7
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 3 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 2 FALSE 0 0 450 50
0 0 0 0 FALSE 0 8 59 6
0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 0 FALSE 0 57 952 156
0 0 FALSE 0 0 0 0
0 0 0 4 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
484 394 0 1 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 0 0 2 FALSE 15 187 78 59
0 0 FALSE 3 0 199 5
35 35 0 0 FALSE 0 0 1 1
0 0 0 0 FALSE 0 3 186 6
0 0 FALSE 0 0 0 0
0 0 0 1 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 5 FALSE 0 0 0 0
0 0 0 11 FALSE 0 0 0 0
0 FALSE 0 98 474 207
0 0 FALSE 0 2 177 2
0 0 0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 4 1
0 0 0 3 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 38 337 8
0 0 0 0 FALSE 0 0 51 4
0 1 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 2 77 6
0 0 FALSE 0 0 0 0
165 130 0 1 FALSE 0 0 0 0
0 0 0 0 FALSE 1 3 254 1
0 0 FALSE 0 0 0 0
0 1 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 1 FALSE 0 0 0 0
0 0 0 1 FALSE 0 0 0 0
0 1 FALSE 0 0 168 6
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 7 99 10
0 0 FALSE 0 0 2 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 2 0
348 185 0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 0 0 0 0
0 2 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 FALSE 0 0 0 0
0 0 0 3 FALSE 0 0 0 0
0 0 FALSE 2 0 2 0
0 0 FALSE 0 0 0 0
0 0 0 0 FALSE 1 2 432 39
0 0 FALSE 0 0 0 0
0 2 FALSE 4 2 176 88
0 1 FALSE 0 1 117 0
0 0 0 0 FALSE 0 0 0 0
0 FALSE 0 0 0 0
AIAN Asian BAA H/L HPI Unknown
White Unknown Procedure Procedure Procedure Procedure Procedure Procedure
HPI Pats PAts Pats MR Pats s s s s s s
61 62 63 64 65 66 67 68 69 70
6 4787 72 5 8 369 125 6
1961 27 12 124 126
0 679 6 0 0 4 4 30 0 8
4 1110 0 6 3 231 1367 352 7 0
3626 19 152 1792 112
1971 4 35 321 140
60 817 71 144 4 89 1594 306 60 71
3 1060 80 0 19 746 75 3 80
0 882 1 2 10 21 957 19 0 2
1403 375 194 2413 387
2896 11 26 190 14
0 4006 67 29 18 70 951 177 0 67
0 254 0 19 2 25 47 53 0 0
3 1287 33 156 5 346 2153 643 3 33
0 3552 611 0 29 1771 85 0 666
0 989 58 4 1 95 836 164 0 58
0 3302 0 0 0 5679
2 5278 0 7 1 29 598 238 2 0
1860 1128 3 9 848 127 2128
0 2833 55 18 138 817 191 0 55
0 2067 109 1 6 485 18 0 109
0 1131 0 5 15 248 9 0
0 2040 28 0 11 1078 4 0 28
0 3615 55 0 0 0 1394 101 0 55
1 375 29 0 19 900 52 2
3424 746 29 645 32 746
0 4813 0 0 5 13 1345 23 0 0
11 837 0 83 15 52 1188 198 11 0
0 303 0 0 423 61 0
152 76 1217 86
0 3995 0 0 1 8 649 52 0 0
0 2354 0 0 0 8 966 12 0 0
0 750 287 1 1 5 400 24 0 287
1130 42 4 17 1062 61 104
0 1649 7 0 2 4 59 258 0 8
10 749 11 0 29 701 167 12
0 7332 0 182 26 432 3330 1453 0 0
1 1587 376 0 82 1645 118 2 381
165 110 3
0 541 0 14 0 0 454 16 0 0
1 762 0 0 0 8 50 6 1 0
808 808
10 1860 10 35 22 33 502 77 10 10
1 268 18 72 22 2 42
0 75 0 0 0 3 1 0
0 1896 0 157 1113 313 0
660 4 7 117 26 6
0 2908 102 0 1 41 1715 47 0 107
0 1448 15 10 0 7 559 17 0 17
0 0 0 0 0 0 0 0 0 0
0 0 1474 0 0 0 0 0 0 1551
0 0 2070 0 0 0 0 0 0 2181
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2148 0 0 0 60 1015 128 0 0
0 0 0 0 0 0 0 0 0 0
0 223 10 0 0 0 3 4 0 10
0 0 0 0 0 0 0 0 0 0
0 250 0 0 0 0 0 0 0 0
0 0 986 0 0 0 0 0 0 1407
0 0 0 0 0 0 0 0 0 0
0 0 690 0 0 0 0 0 0 898
0 0 0 0 0 0 0 0 0 0
0 3944 0 0 1 0 362 35 0 0
0 0 0 0 0 0 0 0 0 0
0 450 0 0 0 0 450 161 0 0
0 0 0 0 0 0 0 0 0 0
0 54 0 0 0 0 21 4 0 0
0 70 4 0 0 0 28 3 0 27
0 0 8670 0 0 0 0 0 0 9227
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 3352 0 1 4 172 423 24 1 0
0 0 97 0 0 0 0 0 0 206
0 0 0 0 0 0 0 0 0 0
0 59 0 0 0 0 18 16 0 0
0 0 3631 0 0 0 0 0 0 4701
0 0 1210 0 0 0 0 0 0 1536
0 0 301 0 0 0 0 0 0 414
0 0 812 0 0 0 0 0 0 812
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 20 511 21 0 0
1 227 0 0 0 2 10 2 1 0
0 0 0 0 0 0 0 0 0 0
0 0 208 0 0 0 0 0 0 221
0 0 96 0 0 0 0 0 0 137
0 0 112 0 0 0 0 0 0 152
0 659 0 0 0 0 0 0 0 0
0 381 0 0 0 7 58 6 0 0
0 309 0 0 2 0 456 0 0 0
0 0 1631 0 0 0 0 0 0 2734
0 0 0 0 0 0 0 0 0 0
0 103 0 0 0 0 35 0 0 0
0 500 0 25 0 75 250 250 0 0
0 0 473 0 0 0 0 0 0 473
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 122 0 2 0 7 175 112 1 0
0 0 0 0 0 0 0 0 0 0
0 493 0 0 0 10 198 56 0 0
0 0 142 0 0 0 0 0 0 289
0 0 1327 0 0 0 0 0 0 1575
0 2988 0 2 3 23 1089 38 0 0
0 0 2442 0 0 0 0 0 0 3645
0 1244 0 0 0 1 367 16 0 0
0 121 0 0 0 0 79 0 0 0
0 190 0 5 0 0 0 0 0 0
0 576 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 159 0 0 0 0 16 2 0 0
3 0 0 54 0 0 0 0 0 0
0 164 0 0 0 7 3 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 564 0 0 0 0 0 0 740
0 0 0 0 0 0 0 0 0 0
0 0 302 0 0 0 0 0 0 457
0 525 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 893 0 0 0 0 0 0 1441
0 10 0 0 0 0 23 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 227 0 0 0
0 0 32 0 0 0 0 0 0 65
0 0 1211 0 0 0 0 0 0 1340
0 0 0 0 0 0 0 0 0 0
0 979 16 1 6 3 236 14 0 21
0 0 0 0 0 0 0 0 0 0
0 0 1981 0 0 0 0 0 0 4269
0 0 173 0 0 0 0 0 0 291
0 0 0 0 0 0 0 0 0 0
0 0 930 0 0 0 0 0 0 1360
0 0 524 0 0 0 0 0 0 578
0 0 2994 0 0 0 0 0 0 3087
0 366 6 0 0 4 138 18 0 6
0 0 0 0 0 0 0 0 0 0
0 0 2603 0 0 0 0 0 0 2987
0 0 0 0 0 0 0 0 0 0
0 62 0 0 0 3 8 1 0 0
0 4970 0 0 0 0 0 0 0 0
0 0 751 0 0 0 0 0 0 751
0 44 0 0 0 0 0 3 0 0
0 0 2429 0 0 0 0 0 0 2429
0 322 0 0 0 3 99 12 0 0
0 0 680 0 0 0 0 0 0 1237
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 2343 0 0 0 0 0 0 2343
0 0 639 0 0 0 0 0 0 639
0 500 0 0 0 80 800 120 0 0
0 385 19 0 0 13 76 7 0 21
0 0 2179 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2187 0 0 0 69 1057 163 0 0
0 0 0 0 0 0 0 0 0 0
0 0 3772 0 0 0 0 0 0 4303
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 860 0 0 0 0 0 0 925
10 1558 0 28 15 187 78 59 10 0
0 1223 0 0 3 0 199 5 0 0
0 1881 3 0 0 0 1 1 0 3
0 897 50 0 0 9 373 16 0 92
0 0 0 0 0 0 0 0 0 0
0 0 1025 0 0 0 0 0 0 3102
0 0 0 0 0 0 0 0 0 0
0 0 3241 0 0 0 0 0 0 3625
0 0 2644 0 0 0 0 0 0 2760
0 770 0 276 0 126 578 248 0 0
0 51 0 0 0 8 668 4 0 0
0 0 0 0 0 0 0 0 0 0
0 24 0 0 0 0 4 1 0 0
0 0 1451 0 0 0 0 0 0 1451
0 0 189 0 0 0 0 0 0 234
0 1689 0 0 0 38 339 8 0 0
0 433 0 0 0 0 51 4 0 0
0 0 961 0 0 0 0 0 0 1543
0 0 474 0 0 0 0 0 0 1076
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 306 0 0 0 2 87 8 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 979 0 33 1 3 254 1 0 0
0 0 630 0 0 0 0 0 0 913
0 0 405 0 0 0 0 0 0 405
0 0 820 0 0 0 0 0 0 987
0 0 1861 0 0 0 0 0 0 3003
0 0 536 0 0 0 0 0 0 710
0 279 0 1 0 0 185 6 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 518 0 0 0 8 127 12 0 0
0 7 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 79 0 0 0 0 0 0 150
0 6 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 343 0 0 0 0 0 0 904
0 0 0 0 0 0 0 0 0 0
0 681 0 0 11 0 14 0 0 0
0 0 876 0 0 0 0 0 0 7954
0 1657 0 0 1 2 432 39 0 0
0 0 0 0 0 0 0 0 0 0
0 495 0 25 5 2 234 127 0 0
0 367 1521 0 0 1 130 0 0 1678
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
White MR Male Female
Procedure Procedure Procedure Procedure
s s Male . Female . s s Mcrepats Mcreproc Mcregpr
71 72 73 74 75 76 77 78 79
4787 72 1852 3520 1852 3520 2530 2530 9,856,785.00
3923 54 933 1184 1866 2373 583 1053 1,758,697.00
1180 0 224 481 482 744 514 786 2,419,396.00
1808 10 875 1391 1561 2217 1418 2336 6,146,538.00
3626 2144 3557 2144 3557 487 487 2,464,150.00
1971 1042 1429 1042 1429 943 943 3,918,543.00
817 144 0 3085 0 3085
1060 980 1003 980 1003 1029 1029 1,967,672.00
1185 3 351 1201 466 1731 165 247 209,636.00
1403 375 0 4772 0 4772
3233 899 2197 982 2492 547 626 830,693.00
4006 29 2409 2909 2409 2909 1064 1064 3,685,760.00
683 44 59 267 147 707 12 32 113,204.00
1287 156 0 4626 0 4626 0 0 0.00
3866 2502 3284 2775 3642 2330 2584 10,046,278.00
989 4 1008 1139 1008 1139 1285 1285 4,983,451.00
0 0 1877 1425 3232 2447 888 1789 5,492,228.00
5278 7 2360 3793 2360 3793 2605 2605 10,916,520.00
4546 1506 1919 3099 4562 1099 1952 4,498,286.00
2833 1796 2256 1796 2256 1465 1465 6,773,606.00
2342 1118 1475 1302 1659 952 1088 2,430,208.00
1223 0 555 817 597 903 1068 1124 5,291,250.00
2040 1122 2039 1122 2039 2025 2025 9,104,152.00
3615 0 2174 2991 2174 2991 966 966 4,884,438.00
387 29 6 1316 6 1383
3424 1925 2951 1925 2951 2552 2552 7,095,062.00
5379 0 2369 3653 2834 3931 3173 3566 13,298,292.00
837 83 0 2384 0 2384 0 0 0.00
726 132 373 396 814 109 294 645,215.00
152 76 0 1531 0 1531 0 0 0.00
4318 0 1899 2735 2011 3017 2493 9,636,693.00
2684 0 1418 1804 1652 2018 1299 1408 1,823,695.00
750 1 803 665 803 665 297 297 1,922,618.00
1991 358 1387 600 2639 184 377 1,039,014.00
1707 0 685 1281 709 1329 379 390 1,637,094.00
1099 14 803 707 1046 976 1244 1678 1,389,300.00
12513 311 6305 4279 10762 7303 0 0 0.00
1606 1490 2288 1512 2322 1424 1445 1,667,896.00
234 67 178 84 263 61 90 420,074.00
548 14 322 698 326 706 445 448 704,369.00
951 0 228 583 154 862 198 204 192,403.00
428 380 428 380 104 104 635,882.00
1860 35 1424 1125 1424 1125 2123 2123 5,123,654.00
641 75 253 182 597 91 208 513,034.00
165 0 20 59 46 123 19 44 16,063.00
3911 1074 1848 2125 3369 953 1804 3,440,248.00
1063 189 570 275 944 100 179 539,651.00
2988 0 2050 2717 2107 2792 1792 1843 2,560,019.00
1595 12 1034 968 1140 1067 182 197 596,183.00
0 15 100 17 135 0
0 0 560 914 637 914 618 672 790,812.00
0 1239 831 1392 789 612 888 1,224,095.00
0 51 459 0 0
0 0 0 0 0 397 397 552,855.00
2383 0 1802 1434 1928 1658 998 1076 691,000.00
0 0 0 0 0 195 379 1,297,296.00
223 0 18 222 18 222 0 0 0.00
0 116 436 141 678
250 0 167 83 167 83 204 204 377,591.00
0 394 592 592 815 381 642 285,750.00
0 385 364 577 458 106 110
0 289 401 374 524 498 668 1,087,050.00
0 430 422 1087 940 86 206 437,718.00
4973 0 1850 2640 2390 3287 1723 2306 1,086,625.00
0 0 0 4558 0 4558 0
450 0 537 524 537 524 168 168 468,654.00
0 734 999 1126 1553 686 1235 1,216,936.00
72 0 15 54 15 82 24 38
175 0 20 68 47 186 4 10 9,400.00
0 0 3988 4682 4255 4972 2253 2399 4,095,800.00
0
0 804 1034 804 1034 458 460 416,215.00
3983 1 1648 2224 1938 2693 1471 1859 1,449,087.00
0 16 81 30 176 17 42 176,068.00
0 0 0 252 472 513 686 681,085.00
290 0 35 40 125 199 0 0 0.00
0 1364 2267 1732 2969 768 1010 880,404.00
0 119 1091 189 1347 17 19 33,898.00
0 61 240 72 342 13 16 8,349.00
0 400 412 400 412 175 175 627,428.00
0 34 646 114 2160 5 11 21,080.00
3073 0 794 1310 1753 2949 1175 3401 8,128,667.00
227 0 12 230 12 230 5 5 2,480.00
0 0 0 0 0 660 2567 1,883,537.00
0 0 64 144 72 149 0 0 0.00
0 8 88 14 123 19 26 24,322.00
0 18 94 36 116 10 10 6,249.00
0 427 508 456 560 268 268 524,754.00
381 0 27 425 27 425 0 0 0.00
609 0 125 395 243 824 112 224 920,903.00
0 803 828 1382 1352 61 120 277,500.00
0 214 1293 214 1293 0
141 0 24 106 33 143 29 20,528.00
500 25 550 550 550 550 500 500 100,000.00
0 212 261 212 261 55 55 0.00
0 0 0 0 0
0
0 458 807 465 814 457 291,800.00
0 453 501 600,675.00
122 2 305 114 305 114 0 0 0.00
0 52 122 86 200 57 100 144,847.00
673 0 172 423 270 667 126 143 86,692.00
0 0 52 90 93 196 49 108 25,999.00
0 477 850 567 1008 309 367 734,193.00
3576 2 2540 1227 2674 2057 1871 2703 2,219,649.00
0 1050 1392 1645 2000 582 871 676,993.00
1473 0 519 1086 603 1254 451 517 524,519.00
226 0 40 123 64 241 60 101 160,154.00
0 89 176 190 410 47,440.00
609 0 263 314 282 328 291 316 109,613.00
0 0 0 0 0 64 16 255,000.00
0 3496 4867 3931 5473 2313 2601 2,747,845.00
287 0 7 163 13 292 0 0 0.00
0 186 124 291 194 174 256 462,191.00
339 0 8 163 14 335 0 0 0.00
0 1390 1348 0 0 173 306 1,250,607.00
0 487 818 487 818 645 645 1,628,659.00
0 502 306 695 424 661 183,903.00
0 89 378 112 380 76 76 29,701.00
0 0 265 299 357 383 26 43 51,600.00
0 1101 1501 1101 1501 921 1406 2,256,100.00
0 228 162 273 184 110 138 72,440.00
0 420 555 0 0 328 328
0 0 0 0 565 25 25 36,954.00
0 1860 2792 2678 3550 1864 2616 2,706,121.00
0 472 421 804 637 26 38 81,683.00
58 0 16 31 25 57 21 39 20,608.00
0 0 0 0 0 133
0 589 960 616 1003 666 666 939,925.00
4 0 14 26 0 0 52 102 158,310.00
0 0 6 26 12 53 10 20 14,500.00
0 484 727 536 804 762 541,944.00
0 1418 1858 1632 2229 742 873 877,725.00
1441 2 468 710 676 1047 342 469 1,874,497.00
0 15 158 15 264
0 0 1045 614 1045 6140 1272 1964 4,494,949.00
0 4 169 5 286 3 3 5,042.00
0 0 0 0 0 1258 1268 1,895,400.00
0 0 279 651 404 956 220 241 445,000.00
0 131 393 146 432 326 1527 475,291.00
0 1201 1793 1235 1852 1988 2036 4,702,912.00
429 0 0 514 0 595 7 9 44,200.00
0
0 1872 731 2128 859 584 1161 2,236,174.00
0 18 81 30 165 18 58 187,440.00
68 0 9 65 10 70
0 0 0 0 0 3052 6,943,120.00
0 211 540 211 540 151 308 704,135.00
65 0 3 43 5 63 7 15 10.00
0 1206 1223 1206 1223 86 86 651,392.00
542 0 198 192 333 323 98 119 995,913.00
0 50 630 37 1200 13 24 50,075.00
0 0 0 141 490 535,503.00
0 444 716 444 716 531 531
0 0 2343 0 2343
0 296 343 296 343 171 451 3,164,500.00
1000 0 500 500 1000 1000 100 500 150,000.00
477 0 237 240 291 303 25 25 100,000.00
0 802 1377 802 1377 535 1030 2,177,850.00
0 491 455 583 514 366 452 112,153.00
2396 0 1860 1492 1955 1730 1006 1105 719,100.00
0 1549 1703 3528 3650 621 1322 1,125,170.00
0 1522 2250 1723 2580 2525 2630 9,134,458.00
0 296 479 732 1237 358 960 2,917,210.00
0 1211 705 1211 705 359 435 447,429.00
0 0 0 0 0 1377 2543 7,377,986.00
0 425 435 464 461 110 117 657,147.00
1558 28 840 1095 840 1095 231 231 0.00
1223 0 514 916 514 916 1040 1748 1,505,169.00
1881 0 661 1225 661 1225 129 1542 1,002,300.00
1841 0 497 645 1026 1305 788 1171 4,045,955.00
0 3471 1675 3844 1855 0 2081 1,464,936.00
0 0 469 556 1001 2101 17 43 177,558.00
0 2114 2689 2114 2689 815 1198 1,053,489.00
0 1458 1783 1631 1994 951 1158 1,611,700.00
0 1772 872 1849 911 768 2,942,194.00
934 369 1056 864 1304 1067 348 427 1,659,925.00
139 0 75 157 225 594 116 352 795,295.00
0 398 880 398 880 529 576 2,987,858.00
25 0 0 29 0 30 13 15 31,271.00
0 702 749 702 749 222 222 319,618.00
0 80 109 99 135 107 107 215,974.00
1691 0 843 1229 844 1232 1161 1163 1,948,433.00
488 0 311 177 311 177 268 301 976,060.00
0 442 519 716 827 851 1386 1,458,160.00
0 273 201 592 484 19 119,283.00
0 240 397 483 767 266 511 1,103,200.00
0 162 231 162 231 509 509 1,348,967.00
0 453 410 497,150.00
376 0 149 242 173 300 92 92 361,096.00
0 84 186 178 338 44 141 373,347.00
0 0 399 546 487 667 299 325 1,573,595.00
982 33 394 877 395 879 381 381 227,701.00
0 343 570 343 570 609 609 1,371,641.00
0 196 209 196 209 92 92 886,291.00
0 387 433 461 526 124 128 1,261,778.00
0 879 982 1153 1850 264 531 1,086,920.00
0 270 266 356 354 122 201 1,148,591.00
315 1 226 228 245 262 105 116 1,008,751.00
0 29 50 43 72 16 18 115,545.00
0 0 0 0 0
0 61 69 189 141 183 183 396,800.00
659 0 200 434 254 552 106 135 2,411,719.00
7 0 4 5 4 5 4 4 0.00
0 35 83 50 114 61 86 198,600.00
0 37 42 37 42 153 224 321,892.00
6 0 4 4 4 4 4 4 0.00
0 90 130 167 240 0 0 0.00
0 59 34 59 34 0 0 0.00
0 37 47 143 183 8 35 83,228.00
0 0 0 0 0
0 102 241 244 660 153
0 830 873 830 873 276 322 831,493.00
916 0 448 237 655 286 486 698 184,829.00
0 549 327 0 0 802 7288
1657 0 862 1269 862 1269 1837 1837 4,259,348.00
0 2028 2022 4171 3964 779 1411 4,861,293.00
704 33 386 404 551 554 13 20 10,288.00
422 0 898 1108 1017 1214 504 578 553,397.00
0 0 7 31 18 57 13 5 3,114.00
0 22 98 40 144 27 71 35,514.00
Oth 3rd party Oth 3rd party
Mcrenpr Mcaidpats Mcaidproc Mcaidgpr Mcaidnpr pats proc Oth 3rd party gpr
80 81 82 83 84 85 86 87
1,924,511.00 715 715 4,726,523.00 484,243.00 2699 2699 17,520,589.00
535,658.00 26 57 192,930.00 68,191.00
64,759.00 87 113 322,581.00 38,516.00 710 1072 4,172,102.00
2,346,022.00 34 58 149,937.00 73,760.00 723 1229 3,031,554.00
354,575.00 4325 4325 26,976,177.00
896,129.00 129 129 549,796.00 100,020.00 1107 1107 4,777,954.00
396 396 2,159,791.00
320,388.00 234 234 832,499.00 147,915.00 0 0 0.00
112,158.00 0.00 0.00 0.00
767,477.00
249,854.00 2 2 2,640.00 2,640.00 4 4 5,339.00
640,795.00 497 497 2,538,397.00 377,548.00 5679 5679 31,218,739.00
6,843.00 1 3 10,734.00 593.00 38 105 556,665.00
0.00 0 0 0.00 0.00 1137 1137 2,038,277.00
2,004,126.00 279 310 1,307,268.00 186,039.00 2822 3130 13,071,280.00
701,514.00 490 490 2,235,259.00 425,714.00 2416 2416 12,725,861.00
748,744.00 32 36 141,867.00 10,657.00 0 0 0.00
1,744,925.00 96 96 533,421.00 123,691.00 7347 7347 37,678,096.00
510,807.00 17 31 113,285.00 8,644.00 3433 5463 20,286,699.00
1,228,130.00 541 541 3,421,115.00 479,656.00 7920 7920 48,947,586.00
385,723.00 85 88 314,480.00 43,035.00 1325 1541 3,792,184.00
866,841.00 2 2 6,747.00 1,730.00 282 344 1,910,390.00
1,536,439.00 352 352 1,716,440.00 231,749.00 1761 1761 212,457.00
658,147.00 341 341 1,697,992.00 226,184.00 3337 3337 21,930,162.00
45 46 29,800.00
1,371,675.00 63 63 256,271.00 43,647.00 3434 3434 9,428,367.00
4,034,042.00 246 260 786,130.00 130,125.00 2495 2824 7,354,245.00
0.00 0 0 0.00 0.00 0 0 0.00
162,843.00 15 39 101,325.00 63,798.00 368 854 2,150,632.00
0.00 0 0 0.00 0.00
2,433,989.00 92 349,847.00 50,931.00 1748 11,446,986.00
498,884.00 71 80 94,860.00 34,892.00 1776 2088 2,098,058.00
249,252.00 35 35 102,190.00 29,676.00 1319 1319 15,654,339.00
163,252.00 13 26 67,622.00 11,926.00 1476 2707 8,200,953.00
315,327.00 204 217 836,129.00 159,849.00 1254 1291 7,050,302.00
776,196.00 149 207 114,150.00 62,331.00 79 91 297,149.00
0.00 2066 3527 7,335,097.00 1,469,021.00 7550 12886 28,566,678.00
574,011.00 355 355 409,759.00 141,020.00 1911 1946 2,246,171.00
45,797.00 0 0 34 43 199,226.00
163,042.00 52 52 67,200.00 14,805.00 385 392 699,900.00
95,280.00 0 0 0.00 0.00 296 362 563,058.00
99,802.00 0 0 0.00 0.00 904 904 6,951,891.00
1,426,124.00 211 211 605,215.00 126,852.00 4235 4235 20,598,913.00
96,613.00 24 58 122,440.00 20,539.00 152 372 875,377.00
1,556.00 0 0 0.00 0.00 27 65 56,348.00
403,921.00 88 103 288,548.00 31,185.00 1729 3175 7,207,666.00
84,998.00 1 2 5,265.00 512.00 611 957 3,275,290.00
729,044.00 448 454 34,201.00 29,301.00 2858 2935 4,182,875.00
128,388.00 52 56 171,593.00 23,247.00 1668 1834 6,777,106.00
0
198,044.00 40 48 55,239.00 17,705.00 780 795 904,325.00
388,646.00 46 67 115,750.00 20,944.00 622 1001 2,048,110.00
186,596.00 79 79 122,980.00 44,578.00 0 0 0.00
382,200.00 65 69 86,000.00 48,000.00 2138 2402 1,328,400.00
409,345.00 10 37 40,403.00 5,266.00 1055 1878 1,996,940.00
0.00 0 0 0.00 0.00 35 35
315 416 1,480,492.00
189,283.00 46 46 125,864.00
124,400.00 30 55 22,500.00 10,000.00
0 0 1 1
554,317.00 14 23 36,225.00 17,082.00 159 180 310,550.00
15,922.00 27 102 336,311.00 27,275.00 829 1649 4,553,185.00
489,682.00 35 39 24,935.00 11,432.00 1 1 4,100.00
0 561 561 366,749.00
79,653.00 0 0 0.00 0.00 560 560 1,125,736.00
311,877.00 49 88 86,600.00 46,693.00 761 1325 1,722,499.00
0 0 44 58
3,855.00 0 0 0.00 1 1 4,600.00
874,444.00 346 369 108,100.00 33,187.00 5811 6183 10,764,290.00
359,132.00 83 83 74,303.00 16,460.00 1262 1268 1,119,109.00
687,254.00 0 0 0.00 0.00 0 0 0.00
5,051.00 0 0 0.00 1,051.00 79 163 571,827.00
249,629.00 13 22 21,090.00 8,975.00 195 259 248,370.00
0.00 0 0 0.00 0.00 54 283 497,001.00
326,751.00 0 0 0.00 0.00 0 0 0.00
5,460.00 0 0 0.00 0.00 0 0 0.00
6,014.00 0 0 0.00 0.00 287 397 1,483,569.00
70,733.00 15 15 44,679.00 6,061.00 96 96 650,205.00
0.00 0 0 0.00 0.00 91 369 973,629.00
19 48 154,230.00 870 1169 3,062,949.00
1,580.00 0 0 0.00 0.00 33 33 328,747.00
800,637.00 3 3 4,090.00 2,748.00 1347 1628 3,070,239.00
0.00 0 0 0.00 0.00 60 72 1,074,652.00
15,484.00
5,047.00 0 0 0.00 0.00 102 142 461,641.00
82,293.00
0.00 0 0 0.00 0.00 1 1 8,225.00
77,574.00 12 23 67,392.00 5,655.00 383 820 3,250,600.00
51,373.00 84 228 580,800.00 124,780.00 962 1680 3,311,022.00
0 952 952 2,206,495.00
20,528.00 158,199.00
100,000.00 0 0 0.00 0.00 500 500 100,000.00
0.00 0 0 0.00 0.00 308 308 369,000.00
149,801.00 2 650.00 0.00 722 453,300.00
186,797.00 0 0 0.00 0.00
0.00 0 0 0.00 0.00 390 390 1,974,633.00
28,910.00 1 1 717.00 717.00 116 185 695,397.00
49,842.00 0 0 0.00 0.00 0 0 0.00
25,999.00 0 0 0.00 0.00 90 176 228,160.00
125,048.00 25 29 38,377.00 4,635.00 705 837 1,294,424.00
647,634.00 13 18 21,438.00 5,392.00 1835 1951 2,930,825.00
528,526.00 67 100 324,541.00 55,749.00 1649 2564 9,304,788.00
130,103.00 0 0 0.00 0.00 0 0 0.00
44,305.00 5 6 15,259.00 3,989.00 92 186 428,010.00
3,706.00 0.00 0.00 0.00
109,613.00 0 0 0.00 0.00 282 290 122,543.00
255,000.00 76 10 545,000.00 545,000.00
1,140,096.00 0 0 0.00 0.00 6031 6781 7,643,627.00
0.00 0 0 0.00 0.00 3 4 3,969.00
462,191.00 113 113 358,229.00 358,229.00 412 682 1,285,136.00
0.00 0 0 0.00 0.00 8 14 80,000.00
141,461.00 8 9 6,580.00 465.00 1 4 26,996.00
177 177 396,197.00
19 6,962.00 439 918,971.00
18,002.00 0 0 0.00 0.00 236 236 3,972,140.00
45,752.00 102 184 257,600.00
490,838.00 122 166 265,600.00 65,631.00 1016
60,367.00 20 20 7,846.00 6,538.00 147 274 1,086,865.00
116,768.00 1 1 0.00 271 271
12,521.00 136 142 1,864,407.00 631,694.00 374 383 5,117,153.00
839,272.00 27 27 27,929.00 11,307.00 2759 3583 3,722,935.00
8,713.00 606 960 1,765,543.00 440,186.00 221 379 868,108.00
15,727.00 1 1 582.00 482.00 24 41 71,837.00
304,563.00 56 56 96,700.00 37,224.00 511 574 602,453.00
19,959.00 8 13 0.00 0.00 32 81 117,755.00
8,403.00 22 38 112,900.00
721,445.00 347 381,560.00 50,050.00 45 320,926.00
390,338.00 12 13 13,500.00 6,163.00 2476 2922 2,822,625.00
196,381.00 4 5 18,500.00 1,683.00 759 1149 4,502,600.00
14 14
756,566.00 13 16 2,103.00 0.00 1097 2229 5,212,544.00
0.00 0 0 0.00 0.00 1 1 3,028.00
756,765.00 0.00 0.00 3100 3430 5,267,550.00
92,000.00 30 32 15,400.00 3,342.00 0 0 0.00
251,226.00 19 70 31,526.00 4,811.00 8 15 10,491.00
1,387,716.00 37 37 100,765.00 23,609.00
5,741.00 142 146 569,661.00 67,207.00 363 438 1,977,678.00
0 0 0.00 0.00
450,598.00 22 28 51,455.00 9,750.00 1175 1403 2,787,694.00
26,883.00 0 0 0.00 0.00 80 136 541,635.00
30 33 90,700.00
5,671,365.00 458 278,886.00 223,182.00 6244 12,818,907.00
217,115.00 27 43 109,000.00 25,033.00 110 196 705,485.00
10.00 0 0 0.00 0.00 28 38 64,000.00
90,242.00 363 363 4,134,921.00 620,456.00 1446 1446 7,337,809.00
54,997.00 10 14 100,470.00 4,949.00 217 435 3,065,884.00
7,584.00
997 3861 4,529,814.00
174,567.00 42 42 42,569.00 574 574
2319 2319 9,606,050.00
225,353.00 0 0 0.00 0.00 441 1174 8,646,933.00
25,000.00 0 0 0.00 0.00 0 0 0.00
55,248.00 0 0 0.00 0.00 440 556 2,090,000.00
864,127.00 71 132 469,200.00 130,702.00 371 662 2,066,340.00
112,153.00 0 0 0.00 0.00 550 614 386,055.00
399,316.00 70 74 94,000.00 52,000.00 2224 2452 1,716,400.00
316,351.00 0 0 0.00 0.00 1729 3740 3,288,108.00
2,300,387.00 191 216 199,882.00 43,756.00 0 0 0.00
978,780.00 417 1009 2,524,880.00
145,220.00 0 0 0.00 0.00 0 0 0.00
2,629,190.00 8 10 32,182.00 22,498.00 793 1205 3,838,266.00
24,307.00 0 0 0.00 0.00 578 636 5,488,309.00
0.00 0 0 0.00 0.00 1692 1692 0.00
789,702.00 3 3 5,425.00 2,431.00 312 465 399,160.00
353,805.00 0 0 0.00 0.00 90 209 135,850.00
943,924.00 22 32 92,700.00 19,725.00 323 1100 1,077,350.00
559,935.00 0 3 2,475.00 0.00 0 3541 3,001,329.00
177,558.00 0 0 0.00 0.00 0 0 0.00
441,270.00 1 1 750.00 750.00 3358 4499 4,085,573.00
427,987.00 63 72 102,800.00 27,538.00 2545 2943 4,074,450.00
619,790.00 0 0 0.00 0.00 1987 9,104,981.00
206,870.00 66 81 388,600.00 51,941.00 1274 1573
55,456.00 36 78 80,000.00 8,400.00
670,230.00 29 14 34,000.00 11,112.00 726 604 2,888,772.00
3,223.00 0 17 45 273,210.00
158,884.00 0 0 0.00 0.00 0 0 0.00
51,816.00 0 0 0.00 0.00 0 0 0.00
1,086,488.00 132 132 64,650.00 27,954.00 28 28 29,067.00
135,880.00 0 0 0.00 0.00 215 236 1,221,735.00
1,090,319.00 0 0 0.00 0.00 74 121 171,520.00
14,817.00
0 0 0.00 0.00 361 705 1,429,950.00
0 0 0.00 0.00 66 66 623,053.00
152,830.00 0 0
39,225.00 6 6 7,057.00 0.00 172 254 583,929.00
28,008.00 0 226 512 2,096,436.00
1,393,420.00 0 0 0.00 0.00 601 652 4,293,252.00
227,701.00 0 0 0.00 0.00 813 816 897,518.00
433,217.00 0 0 0.00 0.00 277 277 689,826.00
91,779.00 0 0 0.00 0.00 310 310 3,318,571.00
120,014.00 8 9 69,476.00 3,526.00 530 638 8,225,412.00
109,242.00 0 0.00 0.00 441 634 1,397,931.00
513,809.00 1 4 93,827.00 2,067.00 393 471 8,590,970.00
705,147.00 0 0 0.00 0.00 344 385 3,232,782.00
23,109.00 2 2 13,165.00 2,500.00 61 95 409,745.00
0 0
0.00 65 65 109,200.00
60,943.00 0 0 0.00 0.00 0 0 0.00
0.00 0 0 0.00 0.00
0 0 0.00 57 78 139,000.00
5,229.00
0.00 1 1 0.00 0.00 3 3 0.00
0.00 0 0 0.00 0.00 210 389 135,411.00
0.00 0 0 0.00 0.00 33 33 76,850.00
18,000.00 1 4 6,732.00 670.00 47 192 378,207.00
6 176
190,868.00 100 112 255,787.00 52,374.00 1279 1426 5,316,858.00
163,431.00 7 10 5,649.00 3,243.00 0 0 0.00
3,424,960.00 60 600 201,372.00 14 66
1,427,800.00 53 53 130,695.00 44,052.00 453 453 1,087,729.00
0 0 0.00 4174 6581 35,221,558.00
5,717.00 59 88 41,250.00 23,441.00 7 10 4,303.00
218,271.00 15 15 23,453.00 11,563.00 1251 1395 1,200,769.00
3,114.00 0 0 0.00 0.00 24 67 55,476.00
0 0
9,915,731.00
Oth 3rd Self Pay Self Pay Other Pay Other Pay Other Pay
partynpr pats proc Self Pay gpr Self Pay npr pats proc Other Pay gpr npr
88 89 90 91 92 93 94 95 96
5,012,820.00 150 150 550,268.00 71,673.00 212 212 1,041,276.00 563,482.00
16 32 51,239.00 50,851.00 1492 3097 5,388,175.00 2,017,015.00
1,440,911.00 22 37 147,933.00 33,756.00 51 73 301,179.00 109,860.00
1,431,717.00 76 129 279,462.00 173,803.00 15 26 99,126.00 53,313.00
6,338,307.00 681 681 1,124,262.00 1,124,261.00 208 208 851,872.00 419,224.00
1,893,441.00 128 128 29,767.00 29,767.00 164 164 1,057,614.00 435,257.00
616,453.00 2689 2689 2,793,871.00 1,101,487.00 0 0 0.00 0.00
0.00 7 7 70,118.00 19,679.00 2986 2986 11,539,514.00 4,447,721.00
0.00 62 93 116,978.00 107,749.00 10,270,936.00 4,133,476.00
764,777.00 2,404,359.00 2,391,952.00 235,684.00 235,684.00
1,903.00 15 21 21,599.00 10,805.00 2528 2821 3,717,652.00 1,312,221.00
7,497,225.00 528 528 3,208,797.00 714,219.00 130 130 4,752,732.00 2,058,330.00
195,588.00 273 705 3,765,707.00 327,074.00 2 9 17,155.00 13,447.00
658,502.00 3489 3489 6,247,403.00 2,026,544.00
8,524,359.00 242 268 816,661.00 787,941.00 113 125 440,099.00 175,502.00
2,395,771.00 171 171 924,990.00 681,224.00 508 508 1,902,921.00 928,438.00
0.00 103 119 91,340.00 50,848.00 2374 3830 14,986,480.00 2,556,291.00
9,389,117.00 515 515 1,841,804.00 408,664.00 557 557 1,510,891.00 765,646.00
3,376,083.00 122 164 731,752.00 0.00 40 51 239,554.00 8,366.00
8,672,630.00 119 119 245,951.00 187,032.00 85 85 215,646.00 98,428.00
1,730,639.00 145 151 332,685.00 388,744.00 85 92 445,527.00 281,526.00
837,479.00 13 18 140,124.00 25,901.00
158,047.00 56 56 355,762.00 161,744.00 244 244 10,304,859.00 5,776,523.00
8,942,007.00 171 171 878,339.00 156,558.00 350 350 1,662,287.00 1,093,643.00
9,012.00 1217 1283 653,000.00 574,514.00 60 60 87,600.00 64,800.00
4,763,743.00 87 87 456,011.00 165,096.00 85 85 122,298.00 52,938.00
2,251,454.00 108 115 362,728.00 44,193.00
0.00 2384 2384 1,125,522.00 1,125,522.00 0 0 0.00 0.00
1,216,803.00 6 9 7,674.00 7,674.00 7 14 65,639.00 65,639.00
1531 1531 931,956.00 931,956.00
3,889,727.00 301 1,173,272.00 191,928.00 0 0.00 0.00
1,334,584.00 76 94 99,145.00 9,651.00 0 0 0.00 0.00
3,093,769.00 39 39 333,106.00 118,774.00 224 224 1,744,783.00 796,770.00
1,575,076.00 38 59 171,377.00 30,536.00 29 57 178,340.00 45,243.00
5,109,948.00 128 134 691,898.00 460,846.00 0 5 24,026.00 24,026.00
273,859.00 38 46 72,000.00 72,000.00
20,042,631.00 94 160 1,190,558.00 41,916.00 160 273 694,167.00 227,302.00
773,029.00 12 12 13,851.00 4,767.00 76 76 87,723.00 30,190.00
31,087.00 8 8 46,889.00 5,127.00 206 143 2,912,278.00 2,151,632.00
461,147.00 5 5 7,950.00 7,950.00 133 135 248,922.00 130,405.00
137,706.00 317 450 840,306.00 840,306.00 0 0 0.00 0.00
2,869,373.00 7 7 40,852.00 18,774.00 34 34 178,576.00 53,308.00
10,071,042.00 350 350 989,546.00 40,125.00 18 18 75,325.00 50,365.00
321,907.00 4 6 8,673.00 2,311.00 57 135 362,735.00 221,049.00
7,372.00 32 59 22,075.00 22,075.00 1 1 650.00 0.00
1,775,480.00 18 23 80,798.00 27,389.00 87 294 632,333.00 104,234.00
640,337.00 24 39 58,605.00 53,420.00 23 42 138,395.00 63,556.00
3,102,997.00 122 122 148,830.00 11,247.00 177 182 253,170.00 76,148.00
4,450,070.00 15 17 34,645.00 34,645.00 85 103 349,284.00 179,240.00
448,435.00 36 36 16,034.00 123,478.00 0 0 0.00 0.00
1,099,203.00 3 10 10,630.00 2,369.00 0 0 0.00
429,850.00 429,850.00 160,549.00 160,549.00
0.00 27 27 28,320.00 14,310.00 1297 1297 1,310,475.00 455,541.00
830,650.00 35 39 27,300.00 15,150.00
1,244,524.00 7 7 48,383.00 22,126.00 0 0 0.00 0.00
205 205 0 0 0.00 0.00
587,656.00 237 403 284,400.00 284,400.00
63,094.00
575 710 423,850.00 247,500.00
21 25 621 899
168,686.00 13 17 31,550.00 73,460.00 6 10 18,050.00 5,850.00
870,551.00 16 21 33,500.00 33,500.00 0 0 0.00 0.00
3,895.00 81 90 54,550.00 22,333.00 2672 3241 3,042,895.00 1,901,830.00
338,241.00 3997 3997 2,614,953.00 2,411,686.00 0 0 0.00
397,811.00 18 18 65,950.00 95,411.00 315 317 1,847,101.00 1,314,286.00
594,313.00 22 31 30,644.00 228,162.00 0 0 0.00 0.00
1 1
4,600.00 2 12 8,500.00 8,500.00 508,495.00 367,175.00
2,597,887.00 260 276 127,121.00 783,861.00 0 0 0.00 0.00
380,658.00 27 27 13,500.00 10,255.00 0 0 0.00 0.00
0.00 45 47 37,120.00 16,014.00 2356 2725 2,678,389.00 1,173,907.00
383,684.00 0 0 23,024.00 23,024.00
150,407.00 59 70 44,162.00 72,863.00
19 39 18,812.00 15,000.00 2 2 0.00
0.00 66 78 77,358.00 22,538.00 2797 3613 3,633,232.00 1,233,586.00
0.00 1149 1470 2,321,500.00 2,321,500.00 44 47 31,874.00 10,514.00
621,832.00 1 1 2,750.00 2,750.00
455,064.00 2 2 21,237.00 15,177.00 492 492 2,613,871.00 719,182.00
486,880.00 563 1852 489,792.00 489,792.00
40 84 165,092.00 0 0
135,970.00 199 199 375,740.00 375,740.00 0.00 0.00
1,332,502.00 42 58 173,417.00 353,021.00 0 0 0.00 0.00
642,321.00 148 149 889,603.00 675,502.00 0 0 0.00 0.00
77 111 268,842.00 128,634.00
240,900.00 14,229.00 14,229.00
13 13 63,029.00 92,225.00 654 735 2,602,941.00 1,506,010.00
3,820.00 451 451 1,400,600.00 1,400,600.00 0 0 0.00 0.00
1,935,993.00 0 0 0.00 82,285.00 0 0 0.00 0.00
1,427,070.00 4 10 4,225.00 3,725.00 0 0 0.00 0.00
1,059,698.00 555 555 1,104,135.00 648,134.00
158,199.00 22,792.00 22,792.00
100,000.00 50 50 25,000.00 25,000.00 50 50 25,000.00 25,000.00
228,250.00 107 107 57,750.00 57,750.00 0 0 0.00 0.00
249,862.00 0 34 11,350.00 3,148.00 60 41,600.00 21,975.00
6 7 8,950.00 3,510.00 1795 2146 2,865,985.00 884,111.00
1,651,457.00 12 12 22,622.00 21,224.00 28 28 112,829.00 0.00
365,626.00 0 0 0.00 0.00 0 0 0.00 0.00
0.00 1 5 3,612.00 2,702.00 468 937 446,877.00 339,687.00
228,160.00 2 3 1,939.00 1,939.00 1 2 6,815.00 6,815.00
626,486.00 288 342 733,669.00 690,607.00
1,687,242.00 30 38 42,545.00 30,937.00 18 21 18,800.00 11,156.00
4,003,576.00 144 110 348,929.00 126,286.00
0.00 17 19 20,811.00 10,405.00 1137 1321 1,425,830.00 666,224.00
272,438.00 6 8 19,949.00 15,586.00 0 0 0.00 0.00
0.00 107,255.00 107,255.00 1,909,272.00 1,305,173.00
122,543.00 4 4 1,732.00 1,732.00 23,621.00 21,302.00
3,241,454.00 19 22 23,400.00 12,441.00 0 0 0.00 0.00
3,969.00 167 301 365,585.00 365,585.00 0 0 0.00 0.00
1,285,136.00 12 17 29,455.00 29,455.00 0 0 0.00 0.00
70,000.00 163 335 1,020,800.00 1,006,800.00 0 0 0.00 0.00
12,148.00 4 6 18,967.00 11,472.00 2838 4678 22,037,911.00 9,363,259.00
11 11 26,600.00 472 472 970,615.00
1,515,012.00 154 154 532,702.00 532,702.00 1 1 4,830.00 2,419.00
206,080.00 228 337 450,800.00 405,720.00
905,721.00 25 25 152,958.00 13,800.00
176,520.00 13 5,200.00 4 4 3,200.00
1,733,782.00 15 15 227,530.00 77,090.00 0 0 0.00 0.00
1,961,401.00 2 2 2,109.00 2,109.00 0 0 0.00 0.00
699,576.00 10 21 32,245.00 32,245.00 25 37 71,522.00 43,098.00
18,817.00 1 1 385.00 385.00
379
356,782.00 155 162 80,000.00 39,643.00 161 161 238,350.00 92,384.00
42,540.00 4 9 7,280.00 4,011.00 0 0 0.00
65,999.00
362,785.00 27 208,393.00 34,355.00 159 1,207,293.00
1,628,081.00 33 38 35,550.00 22,939.00
2,307,952.00 0 0 0.00 0.00 73 127 457,978.00 310,183.00
159 265
1,545,292.00 14 20 12,240.00 9,121.00 28 40 25,274.00 3,406.00
400.00 169 287 434,718.00 434,718.00 0 0 0.00 0.00
2,884,157.00 23 23 20,700.00 10,481.00 0.00 0.00
0.00 9 9 12,800.00 0.00 745 798 1,340,770.00 421,000.00
3,926.00 158 649 505,450.00 958 4648 4,288,870.00 1,018,284.00
32 42 81,475.00 9,745.00 937 972 2,321,628.00 800,152.00
669,592.00 2 2 850.00 850.00 0 0 158,684.00 158,684.00
0 0 0.00 0.00
851,134.00 15 15 32,135.00 10,176.00 0 0 0.00 0.00
238,297.00 1 1 750.00 750.00 0 0 0.00 0.00
31,591.00 44 47 68,645.00 68,645.00 0 0 0.00 0.00
10,019,645.00 1 4,303.00 3,782.00 11 27,421.00 27,421.00
306,518.00 0 0 0.00 0.00 32 65 376,820.00 156,727.00
62,000.00 11 15 12,000.00 10,500.00
2,550,372.00 25 25 133,475.00 18,750.00 506 506 2,701,534.00 421,896.00
1,199,359.00 6 7 62,238.00 10,347.00 59 81 515,897.00 304,451.00
651 1192 3,760,265.00 3,007,750.00 16 21 678,353.00 424,867.00
275,000.00 11 11 14,750.00 6 6
3,026,539.00 24 24 90,996.00 90,996.00
2,504,656.00 0 0 0.00 0.00 27 90 710,225.00 96,565.00
0.00 20 20 5,000.00 1,000.00 380 1500 600,000.00 200,000.00
810,810.00 12 13 17,206.00 11,080.00 0 0 0.00 0.00
671,072.00 0 0 0.00 0.00 78 165 821,545.00 351,663.00
253,223.00 0 0 0.00 0.00 30 31 64,513.00 64,513.00
858,526.00 52 54 37,800.00 20,240.00
2,944,767.00 47 120 76,699.00 51,046.00 852 1987 1,994,101.00 1,060,087.00
0.00 62 85 145,856.00 51,782.00 994 1372 5,486,813.00 1,710,507.00
470,455.00
0.00 18 18 7,490.00 7,490.00 1629 1566 894,279.00 682,344.00
1,982,816.00 254 302 498,873.00 314,356.00 4 7 14,019.00 8,046.00
1,232,984.00 3 3 13,948.00 8,400.00 169 169 1,397,950.00 1,064,533.00
0.00 12 12 0.00 0.00 0 0 0.00 0.00
196,627.00 28 39 67,950.00 27,295.00 4 4 7,000.00 6,057.00
105,680.00 0 0 0.00 0.00 4 131 85,150.00 68,392.00
513,959.00 9 28 77,360.00 20,689.00
1,309,579.00 0 74 55,757.00 138,624.00
0.00 41 130 153,870.00 153,870.00 967 2821 8,857,745.00 8,822,237.00
1,732,602.00 476 690 584,420.00 216,640.00 36 54 46,221.00 10,608.00
1,242,043.00 14 15 21,450.00 4,443.00
2,229,402.00 5 5 4,266.00 329,378.00 0 0 0.00 0.00
0 0 0.00 0.00 232 290
80 389 1,066,690.00 253,673.00
1,796,829.00 34 24,406.00 24,406.00
88,881.00
0.00 19 19 60,610.00 240,343.00 1210 1210 6,922,794.00 3,658,979.00
0.00 6 6 9,970.00 3,910.00 76 121 253,968.00 103,076.00
18,117.00 23 23 845,973.00 405,888.00 728 730 2,886,123.00 1,577,676.00
518,106.00 5 6 22,500.00 3,100.00 0 0 0.00 0.00
20,541.00 36 36 37,585.00 24,163.00 0 0 0.00 0.00
12 86,178.00 17,236.00 443 3,495,643.00 1,894,386.00
10 34 62,600.00 0.00 0 0 0.00 0.00
190 190 61,500.00 9 9 15,544.00
2 2 1,200.00 1,000.00 1094 1231 1,785,130.00 524,252.00
530,000.00 4 4 20,071.00 3,103.00 117 117 204,001.00 380,090.00
1,393,075.00
1,217,392.00 0 0 0.00 0.00 45 53 326,583.00 71,560.00
897,518.00 64 64 7,445.00 7,445.00 13 13 35,031.00 35,031.00
203,903.00 3 3 25.00 25.00 0 0 0.00 0.00
977,414.00 3 3 14,194.00 14,194.00
3,060,696.00 5 9 100,531.00 50,009.00 153 155 1,592,223.00 169,496.00
367,717.00 10 30 81,520.00 4,763.00 1146 1808 4,094,188.00 1,369,247.00
3,120,809.00 20 34 226,215.00 3,749.00
1,042,563.00 5 6 12,629.00 12,629.00 0 0 0.00 0.00
245,847.00 0 0 0.00 0.00 0 0 0.00 0.00
0 0
82 82 167,350.00
0.00 0 0 0.00 0.00 528 671 4,674,385.00 1,381,570.00
5 5 0.00 0.00
0 0 0.00
0.00
43,403.00 10 18 25,793.00 5,200.00 0 0 0.00 0.00
2 2 3,400.00 58 58 133,355.00
226,924.00 28 90 216,728.00 108,364.00 0 0 0.00 0.00
8 1
1,908,089.00 37 40 81,959.00 12,408.00 11 12 34,508.00 11,949.00
0.00 0 0 0.00 0.00 192 233 129,377.00 81,891.00
14,186.00
343,008.00 75,577.00 45,322.00 0 0 0.00 0.00
50 70 398,385.00 43 73 361,577.00
4,303.00 4 7 12,000.00 12,000.00 233 368 1,943,180.00 998,715.00
644,416.00 236 243 193,905.00 193,905.00 0 9,057.00 9,057.00
55,476.00 0 0 0.00 0.00 1 3 17,040.00 17,040.00
1 2 850.00 0
formal Date
Indigent Indigent Charity Charity written Effective PersonRes Charity IC Policy Policy
pats procs pats procs policy date ponsible Provision? Received Received
97 98 99 100 101 102 103 104 105 106
0 0 473 473 TRUE 7/1/2005 TRUE FALSE
Debbie Rickman,Business Office Manager
50 89 0 0 TRUE 1/1/2007 Sue Thompson TRUE FALSE
53 76 25 33 TRUE TRUE FALSE
Marguerite Cammarata, OR Manager
830 365 0 0 TRUE 1/1/2001 FALSE FALSE
Elaine Griffin, Facility Director
0 0 0 0 FALSE FALSE FALSE
0 0 9 9 TRUE 6/1/1986 LINDA COKER FALSE FALSE
1835 1835 854 854 TRUE 1/1/2008 TRUE FALSE
Erin Mabile, Clinic Director
62 62 1 1 TRUE 1/1/2005 Melody MenaTRUE FALSE
0 0 550 825 TRUE 1/1/1994 TRUE
Yvonne Guettler, RN FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
48 48 TRUE 1/24/2008 TRUE Business
Mark Patterson, AssistantFALSE Office Manager
0 0 0 0 TRUE 5/1/1995 Vicki OConnor TRUE FALSE
0 0 0 0 TRUE 1/1/2005 FALSE FALSE
Kim Hales, Assistant Administrator
88 96 52 58 TRUE 1/1/2008 TRUE FALSE
Taylor Williams, Patient Financial Services
0 0 183 183 TRUE 1/24/2007 TRUE FALSE
Michael Ferrara, Administrator
34 38 TRUE 12/5/2005 T
Lynda Rexroat RUE FALSE
0 0 366 366 TRUE 4/1/2005 TRUE FALSE
Carey Burke, Business Office Manager
104 145 TRUE 1/1/2004 RN
Jean Calhoun,TRUE FALSE
0 0 10 10 TRUE 1/24/2008 TRUE Business
Mark Patterson, AssistantFALSE Office Manager
62 73 39 57 TRUE 1/12/1996 TRUE FALSE
J. Keener Lynn, Administrator
0 0 0 0 FALSE FALSE FALSE
0 0 180 180 TRUE 4/1/2001 TRUE FALSE
CAROL WHARTON, BUSINESS OFFICE MANAGER
0 0 258 258 TRUE 1/24/2006 Business FALSE
Dede Fowler, TRUE Office Manager
60 60 0 0 FALSE FALSE FALSE
0 0 23 23 TRUE 1/24/2007 TRUE FALSE
Robin Fearneyhough, Business Office Manager
51 51 77 77 TRUE 12/1/2003 TRUE FALSE
Jennifer Winters, Business Office Manager
0 0 0 0 FALSE FALSE FALSE
0 0 1 1 TRUE 11/1/1998 Administrator
Kathy Shiley, TRUE FALSE
0 0 0 0 FALSE FALSE
Dianne Bennett, RN FALSE
2 4 0 0 TRUE FALSE FALSE
Misty Kelly, Business Office Manager
17 21 116 144 TRUE 2/3/1998 TRUE FALSE
Rita Y. Warren, RN, Administrator
0 0 1 1 TRUE 1/24/2007 Assistant FALSE
Dede Fowler, TRUE CBO Director
40 67 54 84 TRUE 1/1/2007 Portia WalkerTRUE FALSE
0 0 19 19 TRUE 6/1/2002 TRUE
Kristi House, Director FALSE
10 15 11 11 TRUE 11/1/1996 TRUE
Richard R. Schulze, Jr., MDFALSE
183 312 109 186 TRUE 1/1/2003 Lyn Zahnow TRUE FALSE
33 33 48 48 TRUE 1/25/1996 H. Patel, MD
PravinchandraTRUE FALSE
7 8 4 7 TRUE 10/4/2002 TRUE FALSE
2 2 0 0 TRUE 1/1/2007 TRUE FALSE
Taylor Williams, Patient Financial Services
0 0 17 17 FALSE Norma J. KellyFALSE FALSE
10 10 31 31 TRUE 4/21/2004 TRUE
Fred Woestmann, CFO FALSE
411 411 139 139 TRUE 8/20/2004 TRUE FALSE
Angela Myers, Director of Reimbursement
11 20 9 14 TRUE 7/1/2006 Portia WalkerTRUE FALSE
1 1 0 0 TRUE 9/24/2008 FALSE
JACQUELINE PARHAM FALSE
47 53 0 0 TRUE ######## FALSE
Ann Turner Administrator FALSE
39 43 26 30 TRUE 2/1/2006 PORTIA WALKER TRUE FALSE
111 111 0 0 TRUE 3/1/2008 TRUE FALSE
Dr. Gandhiji Yalamanchili, CEO
4 5 0 0 TRUE 1/1/2007 TRUE FALSE
Taylor Williams, Patient Financial Services
0 0 0 0 TRUE 1/11/2000 Geri Moye R.N.TRUE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 TRUE TRUE FALSE
Practice Administrator/Medical Directors
8 8 8 8 TRUE 6/30/1996 Brian Young FALSE FALSE
8 10 143 143 FALSE FALSE FALSE
0 0 0 0 FALSE na FALSE FALSE
3 3 4 5 FALSE Bruce Parker FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
2 2 0 0 TRUE 8/1/1991 ELLEN BURNEY FALSE FALSE
15 16 6 9 TRUE 4/15/1998 TRUE FALSE
Cindy McCreary, Administrator
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE
Janice Edenfield FALSE
0 0 0 0 FALSE FALSE FALSE
Merriam McLendon - Administrator
1 1 1 1 FALSE TRUE FALSE
0 0 75 233 TRUE 9/1/1992 FALSE
Ronniw R. Smith, MD FALSE
2 2 1 1 FALSE FALSE
A. LOUIS JIMENEZ, DPM FALSE
0 0 0 0 TRUE 4/1/1992 FALSE
Dr. Alan Rothstein FALSE
0 0 0 0 FALSE FALSE director
Shannon moulton-clinicalFALSE
0 0 FALSE TRUE FALSE
55 55 9 9 FALSE FALSE FALSE
0 0 21 21 FALSE FALSE FALSE
SHARON HALL BSN, RN, CLINICAL MANAGER
1 1 3 4 TRUE 8/1/1991 TRUE FALSE
Avis Griffin Office Manager
0 0 0 0 FALSE FALSE FALSE
2 2 0 0 TRUE FALSE FALSE
VALERIE GARRETT/ADMIN BETH LUTOSTANSKI/SURGICAL
0 0 0 0 FALSE FALSE FALSE
Margaret H. Mills, RN Clinical Director
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE Administrative Officer
Estar Acosta, FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 21 42 TRUE 1/1/1997 R.N.
Liz McArthur,TRUE FALSE
3 6 6 10 FALSE FALSE Office
Bobbie Spence, Business FALSEManager
0 0 12 12 FALSE FALSE FALSE
theresa houston, rn or supervisor
32 42 2 2 TRUE 1/1/2005 FALSE
Gail Mortimer RN FALSE
0 0 0 0 FALSE No Policy FALSE FALSE
0 0 0 0 TRUE 2/10/1997 Susan Gray TRUE FALSE
0 0 0 0 FALSE Administrative Officer
Estar Acosta, FALSE FALSE
5 5 0 0 TRUE TRUE FALSE
ELLA CHAMBLESS, OR SUPERVISOR, RN
0 0 0 0 TRUE 7/1/1994 TRUE FALSE
Sharon McLendon, Administrator
2 4 11 22 TRUE 9/7/1993 STEPHEN M.TRUE ADMINISTRATOR
WILDER,FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE 4/12/1999 TRUE
Dr. Heather Morse FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 3 3 TRUE 6/1/1989 TRUE FALSE
HENRY ESPOSITO, ADMINISTRATOR
0 0 0 0 FALSE FALSE FALSE
Heather Underwood R.N., O.R. Director
FALSE FALSE FALSE
0 0 2 3 FALSE Governing BodyFALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 17 17 TRUE 1/22/1993 TRUE FALSE
JIM W. RODERIQUE, M.D., MEDICAL DIRECTOR & CEO
0 0 3 3 TRUE 7/1/2000 T
Mark J Henson RUE FALSE
0 0 2 3 TRUE 1/1/2008 TRUE FALSE
Morgana Falconer, surgical coordinator
0 0 0 0 TRUE 8/31/1995 OR SUPERVISOR TRUE FALSE
0 0 0 0 FALSE FALSE FALSE
1 3 1 3 TRUE 12/1/2003 FALSE FALSE
Frances L. Blocker - Administrator
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE Denise WaltersFALSE FALSE
0 0 0 0 TRUE 7/1/1994 FALSE
Robert W. Cushner, D.P.M.FALSE
0 0 0 0 FALSE FALSE FALSE
4 4 0 0 TRUE ######## TRUE FALSE
Patrick A. Conarro, M.D.- Administrator
0 0 3 4 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
Nancy Thompson, RN, Manager
0 0 0 0 FALSE FALSE
Ricardo B Akstein, M.D. FALSE
0 0 0 0 FALSE FALSE FALSE
1 2 0 0 TRUE 6/1/2004 FALSE FALSE
Cheryl Fielder, RN, CASC, Administrator
2 2 0 0 TRUE 2/1/2001 Shannyn SerfozoTRUE FALSE
0 0 21 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 12 20 FALSE FALSE
J. Trevor Woodhams FALSE
0 0 0 0 FALSE FALSE FALSE
25 25 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 TRUE Mary Collins TRUE FALSE
0 0 0 0 FALSE FALSE FALSE
Judy O'Neal, Nurse Administrator
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE
DEBORAH L. GROLEMUND FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE & ERIC
C ALLEN WOODS, MDFALSE M WARD, M.D. CO-OWNER
0 0 0 0 FALSE FALSE FALSE
Shelby R. Wilkes, M.D., M.B.A
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE
Jackie Rhinehart FALSE
0 0 13 15 FALSE FALSE
Mel Jewett, AdministratorFALSE
0 0 0 0 TRUE 2/24/2003 FALSE FALSE
Betsy Sharp, Administrator
0 0 0 0 FALSE RNFA FALSE
Vicy Carroll, FALSENurse Administrator
48 48 14 14 TRUE 3/1/2002 RN, ASC Director
Melanie Cain,TRUE FALSE
0 0 0 0 FALSE RN
Pam Chaney, FALSE FALSE
0 0 0 0 FALSE BSN, RN FALSE
Vickie Eaton,FALSE
9 9 4 4 FALSE FALSE RN
Jennifer Bell -Harwood , FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 19 29 TRUE 3/1/2006 TRUE Administrator
William Morris, Practice FALSE
0 0 0 0 FALSE FALSE FALSE
86 124 0 0 FALSE FALSE FALSE
0 0 10 10 FALSE FALSE FALSE
Robin Shaw, Billing Manager
0 0 0 0 FALSE N/A FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
11 11 1 1 FALSE FALSE FALSE
0 0 0 0 FALSE BRYAN, FALSE
GRETCHEN FALSE RN-BSN MEDICAL ADMINISTRATOR
0 0 0 0 FALSE FALSE FALSE
Diane G. Bowen Administrator
0 0 0 0 FALSE FALSE FALSE
R. Jeffrey Adkins, MD, Medical Director
0 0 1 1 FALSE FALSE
Dick Farr/Director FALSE
8 48 1 1 TRUE 7/12/2004 Kathy Stuart TRUE FALSE
0 0 2 6 FALSE FALSE FALSE
6 6 0 0 FALSE Velma BryantFALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE
Kathleen Cruger FALSE
0 0 0 0 TRUE 1/1/2008 Linda DangarFALSE FALSE
0 0 0 0 FALSE FALSE FALSE
Rebecca Buro, RN. Director of Nursing
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
5 5 5 5 TRUE 3/1/2005 Brian Young FALSE FALSE
3 10 0 0 TRUE RN BSN FALSE
2/1/2005 Kerry Hobbs,FALSE Clinical Care Coordinator
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE
CATHY MOORE, RN FALSE
0 0 0 0 FALSE FALSE FALSE
4 4 13 21 TRUE TRUE of Surgical Services
5/1/2007 Aulina Bradley, Director FALSE
0 0 0 0 FALSE FALSE FALSE
Annette Sloan, Administrator
0 0 12 12 FALSE FALSE FALSE
1 1 6 6 TRUE 1/1/2005 Tina Fowler FALSE FALSE
0 0 0 0 FALSE FALSE
Reena Yonkosky MD FALSE
0 0 2 2 FALSE FALSE
Belinda L Ricks FALSE
0 0 0 0 FALSE FALSE FALSE
Ronald P. Roper MD - Medical Director
0 0 0 0 FALSE FALSE FALSE
DEBORAH SMITH, ADMINISTRATOR
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
Shannon moulton, clinical director
0 0 0 0 FALSE FALSE
Malgorzata Kmieciak, RN FALSE
8 13 6 8 TRUE TRUE FALSE
3/26/2006 BHUVANENDRAM INDRAKRISHNAN MD, ADMINISTRATOR
0 0 0 0 FALSE FALSE
Dr. John M. Murrell FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 14 FALSE FALSE FALSE
Betty Drewery Administrator
4 5 1 1 TRUE TRUE
######## Debra Strickland FALSE
0 0 0 0 FALSE FALSE FALSE
Donna Chadwick, Administrator
0 0 0 0 FALSE Director FALSE
Lacey T DyerFALSE
0 0 0 0 FALSE Nurse Administrator
Tracy Kaiser FALSE FALSE
7 56318 2 5182 FALSE FALSE FALSE
Cathy McClinton Adminstrator Assistant
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
5 12 25 49 TRUE TRUE
6/1/2006 Sarvepalli D. Jokhai, DPMFALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
Mandy Sheffield, RN, Clinical Administrator
0 0 1 2 TRUE FALSE FALSE
1/28/2008 Michelle Rogers, Administrator
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
Nahla Masseoud, Administrator
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
Angie Reynolds, RN Administrator
2 2 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE
Denise Clements, R.N. FALSE
0 0 0 0 TRUE TRUE FALSE
5/1/2008 Shannyn Serfozo, administrator
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 TRUE TRUE FALSE
######## Chandrika Ruparelia.Anministator
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
CHARLES MCDOWELL JR, MD, MEDICAL DIRECTOR
0 0 0 0 TRUE TRUE FALSE
9/1/2008 Keith Alan Mcleod, Administrator
2 5 3 7 TRUE TRUE FALSE
9/23/2008 Lisa Jackson, Billing Team Leader
0 0 0 0 TRUE TRUE
11/1/2008 Shannyn Serfozo FALSE
32 94 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
JANET COLLINS, ASSISTANT ADMINISTRATOR
0 0 0 0 FALSE FALSE FALSE
10 12 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 FALSE FALSE FALSE
14 20 10 20 TRUE R.N., FALSE
5/11/2006 Jane Borozan,TRUE Administrator
0 0 0 0 TRUE TRUE
4/10/2000 Sharmon Baker RN FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
DOROTHY ASANTE ADMINISTRATOR
0 0 0 0 FALSE FALSE
Dan Banks, Administrator FALSE
Gross Charity
GPR CAmcre CAmcaid CAother Baddebt Gross Ind Care Care Tot Ind Comp
107 108 109 110 111 112 113 114
33695441 7915374 4098537 12705109 61659 0 858033 0
7391041 1257140 124739 3156302 62980 118165 0 0
7363191 2354637 284065 2823726 64043 78036 70882 0
9706617 3359199 76177 1751311 130973 404961 0 216650
31416461 2109575 0 20857688 212831 0 0 0
10333674 3022414 449776 3403611 94672 0 8587 0
4953662 0 0 1545061 29794 2793871 16889 1247857
14409803 1647284 684584 6530099 210589 397982 2850 0
10597550 80311 0 3847158 0 0 1798460 0
3407520 0 0 15107 0 0 0 0
4577923 580839 0 2391024 28637 0 0 0
45404425 3041492 2093543 26341154 83738 0 66133 0
4463465 106361 10141 3773161 30257 0 0 0
8285680 0 0 792944 0 0 0 0
25681586 7942152 1021229 3920518 230168 593579 295973 0
22772482 4265127 1591107 11167633 58851 0 557103 0
20711915 4743484 131210 11573674 113057 0 783950 0
52480732 9147933 287117 28904830 100052 0 1557232 0
25869576 3987479 104641 17017483 107597 0 748476 0
59603904 5524443 2934217 40256057 155736 0 30001 0
7317940 2155251 252949 1595329 73932 187207 156655 0
7416723 4424408 55733 1162118 1150 0 0 0
21693670 7493802 1312730 4273600 206674 0 542362 0
31053218 4211277 1451377 13210486 271462 0 832077 0
770400 0 0 20788 4545 22800 0 0
17358009 5694826 211737 4629080 129895 0 41630 0
21801395 9264250 656005 5038429 149590 185100 48207 0
1125522 0 0 0 0 0 0 0
2970485 479309 40364 924518 0 0 11160 0
931956 0 0 0 0 0 0 0
22606798 7202704 298916 8432435 101643 4525 0 0
4115758 1309969 59084 732022 410 19210 66028 0
19757036 1664878 71772 13408331 107226 0 26310 0
9687774 875763 83959 6576105 59474 165201 107767 3845
10242942 1321767 679288 1701687 231052 0 238667 0
1872599 523209 51819 23290 45659 25218 19018 0
40547806 0 8168453 8430549 533799 699879 419470 0
4425400 1189671 253752 1309397 56986 42225 50352 0
3578467 374276 0 788881 73131 82565 25971 0
1728341 521327 31376 366089 31000 1200 0 0
1595767 97123 0 425352 0 0 0 0
7807201 536080 0 3915654 22666 68058 293193 11710
27392653 3697530 478363 10142082 154623 949421 256126 0
1882259 416421 101901 614929 26754 22130 37705 0
95136 10804 0 14829 37850 650 0 0
11649593 3036327 257363 5883685 0 130009 0 0
4017206 553260 4753 2499636 8518 69550 42828 650
7179095 1830975 4900 1071665 108294 134532 0 0
7928811 467795 148345 2457043 28586 11452 0 0
0 0 0 0 0 0 0
1766410 592920 36017 343395 28987 0 0 0
3398585 772024 61682 943444 0 0 0 0
0 0 0 0 0 0 0 0
2004950 366259 78402 859264 0 0 0 0
2303000 319300 24110 989664 10800 5600 5600 0
3383022 1007207 37617 711787 15438 40493 488149 20683
0 0 0 0 0 0 0 0
872056 0 0 539376 0 11211 24100 0
5034550 1882480 0 627690 0 0 0 0
732100 120400 12800 205000 11000 1000 0 0
7353076 446275 0 3488180 523237 295548 136352 0
1426275 494243 19139 139384 36195 0 0 0
5493947 421796 434235 3682634 0 0 0 0
4213105 541458 8419 1079331 154724 0 0 0
2981703 0 0 109763 122012 0 0 0
3507441 354356 0 1260444 0 1000 3980 500
3056679 834356 53043 991439 0 0 111502 0
614131 173910 0 538702 216679 49655 0 4500
530995 3310 0 143555 0 0 0 0
15095311 2835815 67502 7891197 11418 0 0 0
0 0 0 0 0 0 0 0
1623128 57083 57843 741697 0 24640 4032 0
4164596 787529 4346 1463213 25015 14610 0 0
774619 49000 7669 286409 40671 3800 16400 1935
994707 359245 6716 87267 17284 0 0 0
515813 0 0 82146 40917 9460 0 0
4636294 681204 0 0 73165 0 0 0
2387272 17965 0 761 0 0 0 0
1494668 832 0 602718 6838 0 0 0
4058866 533041 122264 2067292 758 0 0 0
1484500 0 0 486749 2738 0 23100 0
0 0 0 0 0 0 0 0
706967 20 0 82270 0 0 30000 0
51663770 16705440 16254 3301040 83100 670 0 183
1964255 0 0 646432 0 0 0 0
293164 8838 0 140093 115 0 0 0
482119 1151 0 165468 0 0 0 0
3190725 448645 0 827843 122140 11450 43101 0
1408825 0 0 4405 0 0 0 0
4238895 1000613 82701 478065 471704 16694 87611 0
5884049 224573 1799064 1866638 25341 0 0 0
3310630 0 0 1602798 0 0 0 0
201520 45268 0 153053 6742 0 0 0
250000 0 0 0 0 0 0 0
426750 0 0 110000 29750 0 1000 0
3023631 637711 0 1167808 0 0 0 0
0 0 0 0 0 0 0 0
798700 174874 13 223830 9719 1950 0
3480510 403439 0 1886340 3659 0 0 0
2110084 0 0 316695 7879 0 80541 0
840961 135224 0 227721 28000 0 54763 0
392281 13908 10250 157741 0 0 2594 0
31090 36266 1265 133317 0 0 0 0
2800663 650276 33366 655055 15190 0 0 0
5221382 1361988 30083 791524 70882 0 0 0
10655251 148467 268792 5504998 18857 0 0 0
1064216 336169 0 549720 0 0 0 0
623372 115849 11270 159935 0 0 0 0
0 0 0 0 0 0 0 0
255915 139052 0 99629 2653 3100 0 1732
0 0 0 0 0 0 0 0
10414872 1347073 0 4576742 97066 0 0 0
369554 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1100800 0 0 24000 0 0 0 0
252783 1028046 151 13882775 27568 6580 0 0
3022074 1298719 2027 676016 2669 1300 0 0
1109835 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
760000 66665 0 0 28927 0 6856 0
0 0 0 0 0 0 0 0
1220109 12073 1308 181144 122000 52958 0 3800
0 0 0 0 0 0 0 0
7246044 24433 1232713 3533811 0 0 0 0
6459094 1598809 17280 2492937 16909 0 0 0
2831301 53588 1719001 245190 0 0 0 0
93412 2527 100 54131 0 0 0 0
0 0 0 0 0 0 0 0
1957428 615094 46590 471237 16997 0 0 0
375295 175147 0 16732 0 0 0 0
127400 4643 0 29548 0 0 0 0
2660116 1119996 59224 312261 0 0 0 0
3749400 487387 7337 1234927 75010 0 13500 0
6853575 1718798 8109 1569366 13166 0 0 0
0 0 0 0 0 0 0 0
9747110 3738383 2103 3611227 59081 15256 10081 3406
442788 5042 0 2628 0 0 0 0
7183650 973770 0 2040027 518450 0 0 0
470461 0 0 0 0 0 0 0
5311628 224065 26715 3683402 99199 0 0 0
7206780 3315196 77156 1521476 107400 0 53700 0
2751073 43419 490905 1261942 25180 0 0 0
0 0 0 0 0 0 0 0
5170468 1767420 95737 1955081 1594 0 20030 0
729825 160557 0 303338 545 0 0 0
159345 0 0 59109 384 0 0 0
20072637 5714633 223182 9967998 34606 136714 0 0
1895440 413311 77873 542875 0 0 0 0
76010 0 0 3500 0 0 0 0
14975148 561150 3528351 7181800 0 0 0 0
4740402 941247 103041 2009748 1406 0 14894 0
1022053 17101 0 0 0 71257 2400 0
5065317 443365 0 2011061 0 0 8567 0
506886 869804 96000 870275 10000 11250 0 0
9697046 0 0 6579511 0 0 0 0
12521658 3152687 0 6542397 0 0 0 0
755000 0 0 479000 50000 0 0 0
2207206 640305 0 560468 129296 0 0 0
5534935 1124884 327031 1599253 4950 0 0 0
562722 0 0 132832 0 0 0 0
2397000 319300 24200 989664 12577 3500 2100 0
6487902 778123 0 2944767 0 3825 0 0
14967009 6834069 156127 3855947 14434 0 0 0
5442090 1938430 0 2054425 0 0 0 0
1641407 305314 62016 514144 22670 0 0 0
11761326 4748795 9685 1861422 12787 3829 65355 0
7557354 360258 0 4861715 5157 0 0 0
0 0 0 0 0 0 0 0
1984704 597531 2087 104690 2790 1802 4670 0
1223300 651495 0 35685 8243 0 0 0
5293365 3019095 114562 602882 0 0 8100 0
4529497 905001 24750 1511879 167986 29948 2475 0
9189173 0 0 35508 0 0 0 0
5770453 612218 0 2352972 370374 0 0 0
5810400 1178125 75262 2812538 42464 0 0 0
12051441 2006465 0 6700878 165528 0 0 0
7491427 1440731 327950 4426117 292808 37700 23200 0
1441985 96770 14800 450000 540000 0 0 0
0 2317628 22888 1091943 0 0 0 0
304481 30920 0 137961 43496 0 0 0
7303022 103884 1293 3139639 0 0 0 0
479912 164158 0 140752 16200 0 0 0
2886123 783806 36696 472321 12376 17950 0 7008
2220295 735930 0 505250 0 14000 8500 100
0 0 0 0 0 0 0 0
3701104 102297 0 1656833 15535 0 0 0
2595750 830035 0 519896 0 0 0 0
580607 1097868 11062 55097 0 44170 61500 0
2283480 337073 0 1202643 0 0 0 0
1176154 204364 7057 580708 12315 0 0 0
2469783 345339 0 792000 134554 0 148551 0
6193431 1393420 0 1223905 56312 0 0 0
4189155 2049774 0 971686 29976 0 0 0
2061467 960710 3934 202291 4200 0 5800 0
4219056 794512 0 2341157 0 0 0 0
11249420 1141764 65951 6572480 65484 0 0 0
6660559 629359 0 4180031 200 0 0 0
10059603 513809 2067 5903294 9495 0 0 0
4254162 303604 0 2190219 0 0 0 0
3373 92436 10665 163898 10769 13165 0 0
0 0 0 0 0 0 0 0
673350 314561 2861 88446 0 0 0 0
7086104 2350776 0 3292815 16961 0 0 0
0 0 0 0 0 0 0 0
337600 20562 0 13802 0 0 0 0
321892 160946 0 88425 67292 0 0 0
0 0 0 0 0 0 0 0
161204 0 0 112602 0 2550 8150 0
213605 0 0 28538 0 0 0 0
685371 65228 6100 151283 13707 111730 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
6520605 640216 196874 3244294 183120 0 0 0
319855 21398 2406 47486 0 8000 0 0
0 0 0 0 0 0 0 0
5553349 3023117 103236 560430 6059
0 0 0 0 0 0 0 0
2460056 4571 224428 1061630 113405 0 0 0
1980581 335126 11890 538912 3046 0 0 0
75630 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
Total Char ACC- ACC- Acc- Who -
Comp OthFreeCare OthRev TotExp AAAC AAAPSC Other? other? Comments
115 116 117 118 119 120 121 122 123
0 0 0 5694294 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 2266062 FALSE FALSE FALSE
0 122031 0 3134425 FALSE FALSE TRUE None other than licensure
0 0 72453 4010973 FALSE FALSE FALSE
0 0 26174 2844270 FALSE FALSE FALSE
5584 103548 511445 2915187 TRUE TRUE TRUE DHR
712 0 0 4035915 FALSE FALSE FALSE
518238 0 9324 1609535 FALSE FALSE TRUE Accreditation Association For Podiatric Surgi
0 0 0 0 FALSE FALSE TRUE NAF
0 0 9766 857524 FALSE FALSE FALSE
0 2490248 6633 10788245 FALSE FALSE FALSE
0 0 0 619962 TRUE FALSE FALSE
0 4807690 0 1970502 FALSE FALSE FALSE
0 0 0 10275534 FALSE FALSE FALSE
0 0 4468 0 FALSE FALSE FALSE N/A
0 0 0 0 FALSE FALSE FALSE
0 51525 5195 9789788 FALSE FALSE FALSE
0 0 0 3948606 FALSE FALSE FALSE
0 37574 4612 8688715 FALSE FALSE FALSE
20239 46225 40831 2849735 FALSE FALSE FALSE
0 23867 0 1382133 FALSE FALSE TRUE Medicare and the Georgia Department of Com
0 0 2757 4808187 FALSE FALSE FALSE
0 0 3310 5859223 FALSE FALSE FALSE
0 73941 310420 951461 FALSE FALSE TRUE Planned Parenthood Federation of America
0 253742 610 4151143 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 994712 TRUE TRUE FALSE
1623 0 0 803960 FALSE FALSE TRUE Accreditation Association for Podiatric Surge
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 51024 0 925060 FALSE FALSE FALSE
0 190278 1935 4523460 FALSE FALSE FALSE
4889 0 0 0 FALSE FALSE TRUE Accreditation Association for Podiatric Surgic
0 0 287080 5390909 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 55857 63556 12812393 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 580577 FALSE FALSE FALSE
0 0 0 0 FALSE TRUE TRUE State of Georgia
57997 0 0 2951789 FALSE FALSE FALSE
0 0 0 6126756 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE TRUE ACCREDITATION ASSOCIATION FOR PO
0 0 0 28254 FALSE FALSE FALSE
0 0 3062 2503941 FALSE FALSE TRUE CMS
3512 0 0 0 FALSE FALSE TRUE ACCREDITATION ASSOCIATION FOR PO
0 79992 4041 1412835 FALSE FALSE FALSE
0 0 0 4043693 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE AAAASF
0 3777 8390 751117 FALSE FALSE FALSE Department of Human Resources-State and Fe
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 679089 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
228097 0 20803 1355908 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 736018 FALSE FALSE FALSE
0 0 0 152530 FALSE FALSE FALSE
0 0 0 320000 FALSE FALSE FALSE
7200 11582 0 2182371 FALSE FALSE TRUE Medicare
0 0 0 639223 FALSE FALSE FALSE
0 0 6235 930765 FALSE FALSE FALSE
0 0 737 2149575 FALSE FALSE TRUE Medicare
0 0 668700 3542489 FALSE FALSE TRUE National Abortion Federation
0 0 0 0 FALSE FALSE FALSE
34002 0 0 0 FALSE FALSE FALSE
0 0 0 132370 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE TRUE Accreditation Association for Podiatric Surgic
0 0 302411 2461729 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
3024 0 0 237010 FALSE FALSE FALSE
0 4733 603 1929439 FALSE FALSE FALSE
13763 7353 0 265291 FALSE FALSE FALSE
0 14202 0 500110 FALSE FALSE FALSE
0 0 0 126973 FALSE FALSE TRUE IN PROCESS OF OBTAINING AAAHA
0 0 0 635396 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 260522 0 262357 FALSE FALSE TRUE AAAHC Survey pending for July 22-23, 2009
0 0 0 1128621 FALSE FALSE FALSE
0 0 0 964800 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 450092 FALSE FALSE FALSE
0 0 62350 2330241 FALSE FALSE FALSE
0 0 0 1087982 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 55323 0 131179 FALSE FALSE TRUE AAAHC Survey pending for July 22-23, 2009
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE the print copy does not reflect our accreditatio
0 0 0 367650 FALSE FALSE TRUE ACCREDITATION ASSOCIATION FOR PO
0 0 0 2976506 FALSE FALSE TRUE Medicare and DHR-State of Georgia
0 0 0 1284632 FALSE FALSE FALSE
0 0 0 FALSE FALSE TRUE Accreditation Association for Podiatric Surgic
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 1168950 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 65650 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 32288 2231 952015 FALSE FALSE FALSE
0 0 0 603004 FALSE FALSE TRUE Accreditation Association for Podiatric Surgic
0 0 0 0 FALSE FALSE TRUE AAPSF (Accreditation Association for Podiat
0 58676 0 0 FALSE FALSE FALSE
0 0 0 1019899 FALSE FALSE FALSE
0 247137 0 1836356 FALSE FALSE FALSE
0 0 0 2909026 FALSE FALSE FALSE
0 0 0 1950349 FALSE FALSE FALSE Medicare
0 0 0 312543 FALSE FALSE TRUE Accreditation Association for Podiatric Surgic
0 0 1308879 0 FALSE FALSE FALSE Centers for Medicare and Medicaid Services
0 0 0 100970 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 369554 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE TRUE State of Georgia Dept. Human Resources
0 0 9344189 5667686 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 26856 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 754381 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 15939 1840733 FALSE FALSE FALSE
0 0 5259 711414 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE TRUE Georgia Department of Human Resources, Di
0 18144 0 543246 FALSE FALSE FALSE
0 19370 0 127981 FALSE FALSE FALSE
0 0 0 84500 FALSE FALSE TRUE Accreditation for Podiatric Surgical Facilities
0 0 0 757871 FALSE FALSE TRUE Medicare
0 0 0 797054 FALSE FALSE FALSE
0 0 8964 2192080 FALSE FALSE FALSE
0 0 373725 373725 FALSE FALSE FALSE
0 0 0 465525 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 1247348 FALSE FALSE TRUE MEDICARE
0 0 0 369943 FALSE FALSE FALSE
0 0 0 947814 FALSE FALSE FALSE
0 18030 351 1006716 FALSE FALSE FALSE
0 27553 0 754154 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 204719 FALSE FALSE TRUE ACCREDITATION ASSOCIATION FOR PO
0 0 0 0 FALSE FALSE FALSE
0 3457 0 0 FALSE FALSE TRUE Medicare Certified
0 0 0 0 FALSE FALSE FALSE
0 0 0 70800 FALSE FALSE FALSE
0 0 0 2108271 FALSE FALSE FALSE
3000 92963 4138 522407 FALSE FALSE FALSE
0 0 0 986930 FALSE FALSE TRUE Medicare and State of Georgia
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE TRUE Medicare
0 0 0 730767 FALSE FALSE TRUE Medicare
0 0 0 0 FALSE FALSE FALSE
0 0 0 15052 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 3481786 FALSE FALSE FALSE
0 0 0 1140725 FALSE FALSE FALSE
0 0 97791 726015 FALSE FALSE FALSE
18680 0 370 3251343 FALSE FALSE FALSE
0 0 766 1627764 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 828 0 980222 FALSE FALSE FALSE
0 0 0 0 TRUE FALSE FALSE
0 0 0 1660929 FALSE FALSE FALSE
0 0 151942 1404709 FALSE FALSE TRUE Medicare through State of Georgia
0 0 0 0 FALSE FALSE FALSE
0 33019 0 1085105 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 2416715 FALSE FALSE TRUE State of Georgia, Medicare
0 0 0 440414 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE TRUE The academy of Ambulatory foot and ankle an
0 0 0 0 FALSE FALSE TRUE Medicare
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE TRUE State & Medicare
0 0 0 0 FALSE FALSE FALSE
0 0 0 1036237 FALSE FALSE FALSE
3000 302629 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 318580 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
10363 51820 423540 0 FALSE FALSE TRUE Georgia Office of Regulatory Services (ORS)
0 0 0 0 FALSE FALSE FALSE
0 0 0 884534 FALSE FALSE FALSE
0 0 0 595000 FALSE FALSE FALSE
0 8733 0 2204824 FALSE FALSE TRUE Applying for AAAHC certification
0 0 0 878485 FALSE FALSE FALSE
0 0 0 841173 FALSE FALSE FALSE
0 0 0 1249361 FALSE FALSE FALSE
0 0 0 2386059 FALSE FALSE FALSE
0 0 0 705000 FALSE FALSE TRUE Medicare - Georgia Department of Human Re
0 0 0 1698094 FALSE FALSE FALSE
0 0 0 1236785 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 TRUE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
10770 0 0 270392 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 497040 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 25227 222323 FALSE FALSE TRUE Georgia Department of Community Health
0 0 0 0 FALSE FALSE FALSE
325 0 1302858 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE FALSE
0 0 0 748702 FALSE FALSE FALSE
0 19394 0 0 FALSE FALSE FALSE
0 0 0 0 FALSE FALSE TRUE DHR "DEEMED" STATUS
0 0 0 0 FALSE FALSE TRUE Accreditation Association for Podiatric Surgic
Date Contract/Tem Budget Contract/Tem
Data Adjustmen Date Keyed/Re Budget Budget p Budget Budget Therapists p Budget
Comments ts Received vised Aides Aides Vac Aides Therapists Vac Therapists
124 125 126 127 128 129 130 131 132 133
7.00 0.00 0 0 0 0
As stated in the last two years, the following continues to apply to reporting as requested by the ASC Survey. As a general rule, surgery cent
0.00 6/15/2009
60,220.46 6/26/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 10/12/2009 6.00 0.00 0.00 0.00 0.00 0.00
r than licensure 0.00 8/6/2009 2 1 0 0 0 0
0.00 6/23/2009 8.5 0 0 0 0 0
0.00 6/24/2009 0 0 0 0 0 0
0.00 7/30/2009 8 8 4 0 0 0
7.00 0.00
Unable to pull data by CON room for gender, nationality and zip code. 0.00
0.00 6/23/2009 0.00 0.00 0.00
Estimated numbers are % representatives of total volume for 2008. U
0.00 Facilities
tion Association For Podiatric Surgical 6/22/2009 3.00 0.00 0.00 0.00 0.00
0.00 7/24/2009
0.00 6/17/2009 1 0 0 0 0 0
As stated in the last two years, the following continues to apply to reporting as requested by the ASC Survey. As a general rule, surgery cent
0.00 8/5/2009 4.00 0.00 0.00 0.00 0.00 0.00
Procedures: NDSC 0.00 0.00 0.00 the 0.00 0.00
Part E.1. - Top 10 0.00 7/31/2009 cannot track the average charge per procedure as0.00 overwhelming majority of patients in this facility
0.00 6/18/2009 1.50 0.00 0.00 0.00 0.00 0.00
0.00 6/25/2009 9.00 9.00 0.00
8.00 0.00 0.00 0.00 0.00 0.00
As stated in the last two years, the following continues to apply to reporting as requested by the ASC Survey. As a general rule, surgery cent
0.00 6/17/2009
0.00 7/29/2009 5.00 0.00 0.00 1.00 0.00 1.00
0.00 0.00 0.00 0.00 0.00 0.00
As stated in the last two years, the following continues to apply to reporting as requested by the ASC Survey. As a general rule, surgery cent
0.00 6/24/2009
0.00 7/31/2009 0.00 0.00 0.00 5.00 0.00 0.00
5.00 0.00 0.00 0.00 0.00 0.00
As stated in the last two years, the following continues to apply to reporting as requested by the ASC Survey. As a general rule, surgery cent
0.00 7/31/2009
0.00 6/11/2009 3.00 0.00 0.00 0.00 0.00 0.00
and the Georgia Department of Community Health
0.00 7/24/2009 2 0 0 0 0 0
As stated in the last two years, the following continues to apply to reporting as requested by the ASC Survey. As a general rule, surgery cent
0.00 7/7/2009 5.00 0.00 0.00 0.00 0.00 0.00
1.00 0.00 0.00 5.00 0.00 0.00
As stated in the last two years, the following continues to apply to reporting as requested by the ASC Survey. As a general rule, surgery cent
0.00 7/14/2009
arenthood Federation of America 0.00 7/28/2009 5.00 0.00 0.00
2.00 0.00 0.00 6.00 0.00 0.00
As stated in the last two years, the following continues to apply to reporting as requested by the ASC Survey. As a general rule, surgery cent
0.00 7/31/2009
######## 6/25/2009 1.00 1.00 0.00 0.00 0.00 0.00
0.00 on 8/27/2009
Keyed in by Matt Jarrard 8/27/2009 3 0 0 0 0 0
tion Association for Podiatric Surgery Facilities
0.00 8/28/2009 1.00 0 1.00 0 0 0
0.00 6/19/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 7/31/2009 1 0 0 0 0 0
0.00 6/25/2009 2.0 0 0 0 0 0
0.00 0.00 0.00 0.00 0.00 0.00
As stated in the last two years, the following continues to apply to reporting as requested by the ASC survey. As a general rule, surgery cente
0.00 7/17/2009
tion Association for Podiatric Surgical Facilities
0.00 7/31/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 7/9/2009 6.00 0.00 0.00 0.00 0.00 0.00
0.00 9/18/2009 5.00 1.00 2.00 0.00 0.00 0.00
0.00 7/24/2009 1.00 0.00 0.00 12.50 0.00 0.00
0.00 6/1/2009 5 0 0 0 0 0
0.00 6/26/2009 0 0 0 0 0 0
33,139.14 6/25/2009 8/13/2009 1.00 0.00 0.00 0.00 0.00 0.00
0.00 6/26/2009 0.00 0.00 0.00 0.00 0.00 0.00
3.00 0.00 0.00 I:(1). information0.00
Our facility does not register or record the information requested for Part D:(3) and Part0.00 The 0.00
0.00 7/31/2009 entered on both items was do
0.00 7/31/2009 2 0 0 0 0 0
ITATION ASSOCIATION FOR PODIATRIC SURGICAL FACILITIES
0.00 7/30/2009 1.00
744.46 7/14/2009 1.00 0.00 3.00 0.00 0.00 0.00
0.00 6/25/2009 4.00 1.50 0.00 0.00 0.00 0.00
ITATION ASSOCIATION FOR PODIATRIC SURGICAL FACILITIES0.00
0.00 1/8/2010 0.00 0.00 0.00 0.00 0.00
22,637.01 6/29/2009 2.00 1.00 0.00 0.00 0.00 0.00
######## 6/25/2009 8/13/2009 6.00 0.00 0.00 0.00 0.00 0.00
information for the 1.00
We are collecting 0.00 7/20/2009 next survey. Some of 0.00 0.00 0.00 0.00 0.00
the requested information was not available at this time. Please call me with any
nt of Human Resources-State and Federal
0.00 6/26/2009 2 0 0 0 0 0
0.00 6/26/2009 0.00 0.00 0.00 0.00 0.00 0.00
the 7/15/2009 1 0 0 0 0 0
I have complete to0.00 best of my knowledge. Our system does not track and break-down the procedures by patient orgin,counties, and other
4.00 0.00 complete this survey was based on datathat I could not personallt ve
Signed in the absence of the Medical Directors.Information compiled to1.00
0.00 7/30/2009 0.00 0.00 0.00
0.00 6/22/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 12/21/2009 1 0 0 0 0 0
0
This survery was completed to the best of my ability. Please0
0.00 6/23/2009 1 0 0
Note: North Atlanta Plastic0and Reconstructive Surgery Does Not have a CON w
0.00 7/16/2009 2.00 0.00 0.00 0.00 0.00 0.00
0.00 6/24/2009 2 0 0 0 0 0
0.00 6/12/2009 1.00 0.00 0.00 0.00 0.00 0.00
0.00 7/31/2009 0 0 0 0 0 0
1.50 0.00 0.00 0.50 0.00 0.00
Please note the following:Race and Ethnicity were listed unknown as the clinic was not tracking that information in 2008.Indigent and Charit
0.00 6/26/2009
0.00 7/31/2009 5.00 0.00 0.00 0.00 0.00 0.00
0.00 my office 3 0 is
If you have any questions7/30/2009 number is 706-238-8075 or my cell 0 706-506-1975. 0 0 0
Abortion Federation 0.00 7/26/2009 4.00 2.00
0.00 6/8/2009 1 0 0 0 0 0
0.00 7/28/2009 0 0 0 0 0 0
0.00 7/30/2009 1.00 0.00 0.00 0.00 0.00 0.00
tion Association for Podiatric Surgical Facilities
0.00 6/9/2009 0.00 0.00 0.00 0.00 0.00 0.00
11.00 1.00 0.00 0.00 0.00 0.00
THERE IS $11,418 REPORTED AS BAD DEBT BUT I took it out of the self pay revenue in section F for it to balance in section G. The ba
0.00 6/10/2009
0.00 11/30/2009 7.00 0.00 0.00 0.00 0.00 0.00
0.00 8/6/2009 2 0 0 0 0 0
0.00 7/10/2009 4 0.00 0.00 0.00 0.00 0.00
15,816.37 7/1/2009 ########
0.00 7/31/2009 0.85 0.00 0.00 0.00 0.00 0.00
ESS OF OBTAINING AAAHA0.00 6/23/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 6/30/2009 3.00 0.00 0.00 0.00 0.00 0.00
0.00 6/25/2009 3.00 0.00 0.00 0.00 0.00 0.00
Survey pending for July 22-23, 2009 6/24/2009
0.00 0.50 0.00 0.00 0.00 0.00 0.00
0.00 6/23/2009 1.00 0.00 0.00 0.00 0.00 0.00
0.00 8/21/2009 0.00 0.00 0.00 0.00 0.00 0.00
5.50 0.00 GSASC. Owner0.00 financial information is being omitted as directe
This information has been provided in accordance with guidelines from 0.00
0.00 7/31/2009 and 0.00 0.00
0.00 6/25/2009 2.00 0.0 0.0 0.00 0.0 0.0
0.00 9/15/2009 2.00 0.00 0.00
0.00 6/17/2009 1.00 1.00 0.00 0.00 0.00 0.00
0.00 5/28/2009 2.00 0.00 0.00 0.00 0.00 0.00
Survey pending for July 22-23, 2009 6/24/2009
0.00 .5 0 0 0 0 0
0.00 6/25/2009 3.00 0.00 0.00 0.00 0.00 0.00
a programming print error in Part H. We 0
Your program has 0.00 6/26/2009 .75 0 for 0 0
have correctly marked "E" 0 American Association for Accreditation of Ambu
ITATION ASSOCIATION FOR PODIATRIC SURGICAL FACILITIES0.00
0.00 6/22/2009 2.00 0.00 0.00 0.00 0.00
and DHR-State of Georgia 0.00 6/16/2009 2.00 0.00 0.00 0.00 0.00 0.00
0.00 '08, but will 2.00 0.00 2.00 0.00 0.00 0.00
1) No ethnicity tracked in6/25/2009 in '09.2) No country of origin tracked in '08, but will in '09.3) No "formal" indigent/charity care report
tion Association for Podiatric Surgical Facilities
0.00 6/26/2009 0 0 0 0 0 0
0.00 5/18/2009 2 0 0 0 0 0
0.00 5/22/2009 13 0 0 0 0 0
** In Section 6 we noticed some errors, Our expense number is adding0.00 revenue instead of subtracting from it. In addition, we have a
0.00 7/2/2009 1.00 0.00 to the 0.00 0.00 0.00
0.00 11/30/2009 8.00 0.00 0.00 0.00 0.00 0.00
0.00 7/21/2009 1.00 0.00 0.00 0.00 0.00 0.00
0.00 compile the the 0 0 0
We do not have access to7/28/2009 answer to 1 questions on Race/Ethnicity, Gender and county. 0 0
0.00 7/28/2009 1.00 0.00 0.00 0.00 0.00 0.00
tion Association for Podiatric Surgical Facilities
0.00 7/30/2009 0.25 0.00 0.00 0.00 0.00 0.00
0.00 Surgical Facilities)
Accreditation Association for Podiatric 7/29/2009 0.00 0.00 0.00 1.00 0.00 0.00
0.00 6/23/2009 1.00 0.00 0.00 0.00 0.00 0.00
0.00 6/17/2009 1 0 .90 0 0 0
0.00 not correct. 1.50 0.00 0.00 0.00 0.00 0.00
Adjusted gross revenue is6/26/2009 It does not take into account "Other Contractual Adjustments". It should either be the same as "Total
0.00 6/4/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 7/28/2009 1.00 0.00 0.00 0.00 0.00 0.00
tion Association for Podiatric Surgical Facilities
0.00 6/16/2009 3.0 0 0 0 0 0
0.00 0.00 0.00 0.00 0.00 0.00
Much of the data in the form is not data we collect, specifically, county of origin, etc. We have provided the data that we have available at th
0.00 7/31/2009
0.00 8/11/2009 0.10 0.00 0.00 0.00 0.00 0.00
0.00 12/4/2009
0.00 7/29/2009 4.00 0.00 0.00 0.00 0.00 0.00
0.00 6/24/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 11/12/2009 2.00 0.00 0.00 0.00 0.00 0.00
eorgia Dept. Human Resources0.00 6/11/2009 0.25 0.00 0.00 0.00 0.00 0.00
0.00 6/26/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 7/31/2009 .5 0 0 0 0 0
0.00 7/30/2009 0.00 0.00
0.00 7/23/2009 1.00 0.00 2.00 0.00 0.00 0.00
0.00 6/2/2009 0 0 0 0 0 0
0.00 please feel 3 0 0
If you have any questions7/30/2009 free to contact me at 912-287-0387. Thanks 0 0 0
0.00 6/26/2009 1.00 0.00 0.00 0.00 0.00 0.00
0.00 10/26/2009 0.00 0 0 0.00 0 0
0.00 7/31/2009 1.00 0.00 0.00 0.00 0.00 0.00
Race/Ethnicity Information not availablePatient 4
0.00 6/25/2009 0 0
Origin - missing information x33 0 0 0
0.00 6/26/2009 0 0 0 1 0 .5
0.00 7/27/2009 0 0 2.00 0 0 0
Department of Human Resources, Division of Public Health 0
0.00 6/25/2009 0 0 0 0 0
0.00 7/21/2009 3.00 0.00 0.00 0.00 0.00 0.00
5.00
The accountant for AEISC,Inc. has not completely formally 0
0.00 7/31/2009 1.00 0 0 0
audited all of the financial data presented in this survey. Thank you in advance f
tion for Podiatric Surgical Facilities 6/25/2009
0.00 0 0 0 0 0 0
0.00 6/10/2009 2.00 0.00 0.00 0.50 0.00 0.00
0.00 because it 2.00 0.00 0.00
Some data was estimated 7/31/2009 had not been collected in the form requested
0.00 6/26/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 7/31/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 6/25/2009 2.00 0.00 0.00 0.00 0.00 0.00
0.00 6/2/2009 1.00 0.00 0.00 0.00 0.00 0.00
0.00 7/20/2009 2 0 0 0 0 0
0.00 6/24/2009 3 0 0
0.00 6/18/2009 0.00 0.00 0.00 0.00 0.00 0.00
4 0
In calendar year 2008, we did not track Race/Ethnicity on our patients. 2
0.00 6/22/2009 0 0 0
However, we have revised our procedures and have begun tracking t
0.00 6/17/2009 1.85 0.00 0.00 0.00 0.00 0.00
0.00 11/30/2009 5.00 0.00 0.00 0.00 0.00 0.00
0.00 5/28/2009 2.00 0.00 0.00 0.00 0.00 0.00
ITATION ASSOCIATION FOR PODIATRIC SURGICAL FACILITIES0.00
0.00 6/24/2009 0.45 0.00 0.00 0.00 0.00
0.00 6/23/2009 0 0 0 0 0 0
0.00 6/24/2009 9.00 0.00 0.00 0.00 0.00 0.00
1.00 I didn't 0.00 0.00 0.00 0.00
I listed the counties that we have the most patients from but 0.00 have a number of patients b/c I didn't have enough time to go through all
0.00 6/24/2009
0.00 7/30/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 6/23/2009 8.00 0.00 0.00 0.00 0.00 0.00
0.00 6/17/2009 0 0 0 0 0 0
and State of Georgia 0.00 6/25/2009 7/30/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 7/20/2009 1.00 0.00 1 0.00 0.00 0
0.00 6/25/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 6/2/2009 4.00 0.00 1.00 0.00 0.00 0.00
0.00 6/5/2009 1.00 0.00 0.00 0.00 0.00 0.00
0.00 5/16/2009 1 0 0 0 0 0
0.00 6/25/2009 1.50 0.00 0.00 0.00 0.00 0.00
0.00 6/23/2009 2.00 0.00 0.00 0.00 0.00 0.00
0.00 7/14/2009 6 0 0 0 0 0
0.00 6/22/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 7/31/2009 2.00 1.00 0.00 2.00 0.00 0.00
0.00 6/18/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 10/22/2009 1.00 0 0 0 0 0
0.00 7/31/2009 2.00 0.00 0.00 0.00 0.00 0.00
0.00 7/20/2009 3.00 0.00 2.00 0.00 0.00 0.00
0.00 6/11/2009 2.00 0.00 0.50 0.00 0.00 0.00
1.00 up financial data requested. Going forward, we will endeavor to collec
Very difficult for an outpatient facility to retroactively come0.00with the1.00
0.00 6/26/2009 0.00 0.00 0.00
0.00 6/22/2009 0 0 0 1 0 0
0.00 6/30/2009 1.00 0.00 0.00 0.00 0.00 0.00
0.00 6/25/2009 0.00 0.00 0.00 0.00 0.00 0.00
through State of Georgia 0.00 6/26/2009 3.00 0.00 0.00 0.00 0.00 0.00
0.00 6/23/2009 1.00 0.00 0.00 0.00 0.00 0.00
0.00 7/23/2009 4.00 0.00 0.00 0.00 0.00 0.00
0.00 6/10/2009 4.00 0 0
eorgia, Medicare 0.00 6/26/2009 1.00 0.00 0.00 3.00 0.00 0.00
4.00
GDC Endoscopy Center does not discriminiate any patients 0.00
0.00 7/26/2009 0.00 0.00 0.00 0.00
by race, gender, ethnicity, color, religious beliefs or sexual orientation. As such w
my of Ambulatory foot and ankle and Medicare
0.00 6/26/2009 0 0 0 0 0 0
Due to upgrading in our software we are unable 1.00
0.00 7/30/2009 0.00 Some 0.00 0.00 office
to provide exact totals. 0.00 of the patients that we see in our 0.00 are from Tennessee an
0.00 6/15/2009 3 0 0 0 0 0
0.00 6/25/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 6/22/2009 0.00 0.00 0.15 0.00 0.00 0.00
0.00 6/25/2009 8.00 0.00 0.00 0.00 0.00 0.00
0.00 7/20/2009 1.00 0.00 0.00 0.00 0.00 0.00
0.00 6/22/2009 0 0 0 0 0 0
0.00 6/22/2009 2.00 0.00 1.00 0.00 0.00 0.00
0.00 7/31/2009
Office of Regulatory Services (ORS) 11/20/2009
0.00 2.00 0.00 2.00 0.00 0.00 0.00
0.00 compile the the 0 0 0 0 0
We do not have access to7/29/2009 answer to 1.00questions on question#3 Race/Ethnicity, #4 patients by gender, and patients report teh co
0.00 6/26/2009 1.00 0.00 0.00 1.00 0.00 0.00
0.00 7/30/2009 2 0 0 0 0 0
for AAAHC certification 0.00 8/3/2009 5.50 0 0 0 0 0
0.00 7/23/2009 1.00 0.00 0.00 0.00 0.00 0.00
if you 6/22/2009 0.00 0.00
Please contact me 0.00 need additional information.Sincerely,Barbara 4.00 Archevald 0.00 0.00 0.00
0.00 6/12/2009 1.60 0.00 0.00 0.00 0.00 0.00
0.00 6/10/2009 3 0 0 0 0 0
0.00 0.00 report 1.00 Codes 0.00
Patient race was not filled out because our system lacks the capability to0.00 this info.Patient Zip 0.00 - Other - out of state is actually fo
0.00 6/26/2009
0.00 6/24/2009 0.00 0.00 0.00 0.00 0.00 0.00
0.00 7/29/2009 0.00 0.00 0.00 1.00 0.00 0.00
0.00 7/31/2009 0.00 0.00 1.00 0.00 0.00 0.00
0.00 7/30/2009 1 0 0 0 0
0.00 7/31/2009 1.0 0 0 0 0 0
0.00 6/22/2009 4.00 0 0 0.00 0 0
0.00 7/27/2009 2 0 0 0 0 0
0.00 7/31/2009 1 0 0 0 0 0
0.00 6/15/2009 4.00 1.00 0.00 0.00 0.00 0.00
0.00 7/8/2009 1.00 0.00 1.00 0.00 0.00 0.00
0.00 7/23/2009 1.8 0.00 0.00 0.00 0.00 0.00
0.00 7/31/2009 .8 0 0 0 0 0
0.00 7/31/2009 2.00 0.00 2.00 0.00 0.00 0.00
1.00 0.00 October, 2008, 0.00was not0.00
This center received its LNR in April 2008, Certificate of Occupancy in0.00
0.00 7/28/2009 but until
operational0.00 January, 2009.
0.00 7/2/2009 2.00 0.00 0.00 3.00 0.00 0.00
0.00 6/24/2009 2.00 0.00 0.00 0.00 0.00 0.00
Department of Community Health 0.00 7/21/2009 2.00 0.00 0.00 0.00 0.00 0.00
1.00 0.00 0.00 0.00 0.00 0.00
We are unable to do calculation in some of the part secondary to our billing system. I spoke with Matthew Jarard regarding this issue and he
0.00 6/19/2009
0.00 6/18/2009 1.00 0.00 1.00 0.00 0.00 0.00
0.00 policy of 7.00 0.00 pay 0.00 0.00 0.00
We have had an informal 12/4/2009treating patients who were unable to 0.00 for their care and whose surgery was medically necessary since o
0.00 7/31/2009 1 0 0 0 0 0
0.00 6/19/2009 2.00 0.00 0.00 0.00
EMED" STATUS 0.00 7/31/2009 0 0 2 0 0 0
tion Association for Podiatric Surgical Facilities
0.00 7/30/2009 8.00 0 8.00 0.00 0 0.00
Contract/T Contract/T
emp emp
Time to Fill Time to Fill Budget Budget Budget Budget Budget Budget Time to Time to
Aides Therapists RNs RNs Vac RNs LPNs LPNs Vac LPNs Fill RN Fill LPN
134 135 136 137 138 139 140 141 142 143
N
30 Days or Less ot Applicable27.00 0.00 0 0 0 0 Not
30 Days or LessApplicable
Not ApplicableNot Applicable218.00 0.00 0.00 0.00 0.00 0.00 31-60 DaysNot Applicable
N
30 Days or Less ot Applicable6.80 1.00 0.00 1.00 0.00 0.00 30 Days or Less
30 Days or Less
N
30 Days or Less ot Applicable5 1 0 0 0 0 31-60 DaysNot Applicable
NA NA 12 0 0 1 0 0 NA
Not Applicable
Not ApplicableNot Applicable8 0 0 0 0 0 Not
30 Days or LessApplicable
N
30 Days or Less ot Applicable3 3 1 1 1 1 31-60 Days31-60 Days
N
30 Days or Less ot Applicable10.00 0.00 0.00 0.00 0.00 0.00 31-60 DaysNot Applicable
Not ApplicableNot Applicable3.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
NA NA 2.00 0.00 0.00 5.00 0.00 0.00 NA NA
Not ApplicableNot Applicable3 0 0 1 0 0 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable25.00 2.00 0.50 1.00 0.00 0.00 61-90 Days30 Days or Less
Not ApplicableNot Applicable2.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
31-60 Days Not Applicable3.00 1.00 0.00 0.00 0.00 0.00 61-90 DaysNot Applicable
N
30 Days or Less A 29.20 2.00 2.00 0.00 0.00 0.00 NA
More than 90 Days
Not ApplicableNot Applicable10.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable22.00 0.00 2.00 2.00 0.00 0.00 30 Days or Less
30 Days or Less
Not ApplicableNot Applicable45.00 0.00 0.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
1
Not Applicable30 Days or Less 0.00 0.00 0.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
N
30 Days or Less ot Applicable38.00 1.00 0.00 2.00 0.00 0.00 31-60 Days30 Days or Less
Not ApplicableNot Applicable8.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable1 0 0 2 0 0 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable14.00 0.00 0.00 0.00 0.00 0.00 30 Days or Less
30 Days or Less
Not ApplicableNot Applicable13.00 0.00 0.00 0.00 0.00 0.00 31-60 DaysNot Applicable
N
30 Days or Less ot Applicable0.80 0.00 0.00 0.60 0.00 0.00 31-60 Days31-60 Days
Not ApplicableNot Applicable24.00 0.00 0.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
31-60 Days Not Applicable10.00 0.00 0.00 1.00 0.00 0.00 31-60 Days31-60 Days
3
30 Days or Less0 Days or Less2 0 0 1 0 0 30 Days or Less
30 Days or Less
3 2
30 Days or Less0 Days or Less .00 0 1.00 0 0 1.00 30 Days or Less
30 Days or Less
Not ApplicableNot Applicable4.00 4.00 0.00 3.00 3.00 0.00 Not Applicable
More than 90 Days
Not ApplicableNot Applicable8 1 0 0 0 0 61-90 DaysNot Applicable
Not ApplicableNot Applicable4.8 0 0 1.0 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable5.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable4.00 0.00 4.00 0.00 0.00 0.00 31-60 DaysNot Applicable
Not ApplicableNot Applicable10.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
3 3
30 Days or Less0 Days or Less .00 0.00 4.00 1.00 0.00 2.00 30 Days or Less
30 Days or Less
Not ApplicableNot Applicable30.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
31-60 Days Not Applicable4 0 0 0 0 0 31-60 Days31-60 Days
NA NA 4 0 2 0 0 0 61-90 DaysNA
N
30 Days or Less A 3.00 0.00 0.00 0.00 0.00 0.00 31-60 DaysNA
Not ApplicableNot Applicable4.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable6.00 2.00 0.00 0.00 0.00 0.00 31-60 DaysNot Applicable
N
30 Days or Less ot Applicable10 0 0 1 0 0 30 Days or Less
30 Days or Less
N
30 Days or Less A 2.00 1.00 1.00 0.00 0.00 0.00 NA
30 Days or Less
N
30 Days or Less ot Applicable1.00 0.00 3.00 0.00 0.00 0.00 31-60 DaysNot Applicable
N
30 Days or Less ot Applicable12.00 4.00 0.00 2.00 1.50 0.00 31-60 Days61-90 Days
NA NA 2.00 1.00 2.00 0.00 0.00 0.00 61-90 DaysNA
N
30 Days or Less ot Applicable6.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
N
30 Days or Less A 6.50 0.00 0.00 0.00 0.00 0.00 31-60 DaysNA
N
30 Days or Less ot Applicable1.50 0.00 3.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
Not ApplicableNot Applicable1 0 0 1 0 0 30
Not ApplicableDays or Less
More 2.00
More than 90 Days than 90 Days 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not
More than 90 Days Applicable4 0 0 0 0 0 Not
Not Applicable Applicable
N
30 Days or Less A 1.00 0.00 2.00 1.00 0.00 1.00 61-90 Days31-60 Days
Not ApplicableNot Applicable4.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
N
30 Days or Less A 1 0 0 0 0 0 NA
30 Days or Less
Not ApplicableNot Applicable1 0 10 0 0 0 Not
Not Applicable Applicable
NA NA 2.00 0.00 0.00 1.00 0.00 0.00 NA 31-60 Days
Not ApplicableNot Applicable1 0 0 0 0 0 Not
Not Applicable Applicable
N
30 Days or Less A 1.00 0.00 0.00 0.00 0.00 0.00 NA
30 Days or Less
Not ApplicableNot Applicable5 1 0 2 0 0 61-90 Days31-60 Days
Not ApplicableNot Applicable3.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable2.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
61-90 Days Not Applicable5 1 0 4 0 0 61-90 Days61-90 Days
N
30 Days or Less ot Applicable3.00 0.00 0.00 1.50 0.00 0.00 30 Days or Less
30 Days or Less
31-60 Days Not Applicable2 0 0 0 0 0 31-60 DaysNot Applicable
Not ApplicableNot Applicable2.5 0 0 5 0 0 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable1.00 0.00 0.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
Not ApplicableNot Applicable0.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
31-60 Days Not Applicable4.00 0.00 0.00 4.00 0.00 0.00 31-60 Days31-60 Days
NA NA 14.00 0.00 0.00 0.00 0.00 0.00 NA NA
Not ApplicableNot Applicable1 0 0 0 0 0 31-60 DaysNot Applicable
N
30 Days or Less ot Applicable3.00 0.00 3.00 1.00 0.00 1.00 31-60 Days30 Days or Less
Not ApplicableNot Applicable2.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable2.00 0.00 2.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable3.00 1.00 0.20 1.00 0.00 0.00 Not
30 Days or LessApplicable
Not ApplicableNot Applicable5.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
31-60 Days Not Applicable0.25 0.00 0.00 0.00 0.00 0.00 31-60 DaysNot Applicable
Not ApplicableNot Applicable4.00 1.00 0.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
Not ApplicableNot Applicable2.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable8.25 0.00 0.00 2.25 0.00 0.00 61-90 DaysNot Applicable
N
30 Days or Less ot Applicable3.00 0.0 0.0 0.00 0.0 0.0 Not
30 Days or LessApplicable
N
30 Days or Less ot Applicable5.00 0.00 0.00 1.00 0.00 0.00 Not
30 Days or LessApplicable
Not
More than 90 Days Applicable2.50 1.50 0.00 0.00 0.00 0.00 Not Applicable
More than 90 Days
Not ApplicableNot Applicable1.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
31-60 Days Not Applicable.25 0 0 0 0 0 61-90 DaysNot Applicable
61-90 Days Not Applicable3.00 0.00 2.00 0.00 0.00 0.00 61-90 Days61-90 Days
Not ApplicableNot Applicable2.5 00 0 0 0 0 Not
Not Applicable Applicable
NA NA 1.00 0.00 0.00 1.00 0.00 0.00 NA NA
N
30 Days or Less ot Applicable5.00 0.00 0.00 0.60 0.00 0.00 31-60 Days30 Days or Less
Not ApplicableNot Applicable5.00 0.00 9.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable0 0 0 0 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable2 0 0 0 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable2 0 0 1 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable2.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable16.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable2 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable3 0 0 2 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable1.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable1.00 0.00 0.00 0.50 0.00 0.00 Not
30 Days or LessApplicable
1
Not Applicable30 Days or Less .00 0.00 1.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
31-60 Days Not Applicable1.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable2 0 2 0 0 .25 30 Days or Less
30 Days or Less
Not ApplicableNot Applicable9.00 0.00 0.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
NA NA 8.00 1.00 0.00 0.00 0.00 0.00 NA
30 Days or Less
N
30 Days or Less ot Applicable1.00 0.00 0.00 1.00 0.00 0.00 30 Days or Less
30 Days or Less
N
30 Days or Less ot Applicable.6 0 0 0 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable1.50 0.50 0.00 0.00 0.00 0.00 61-90 DaysNot Applicable
Not ApplicableNot Applicable0.50 0.00 0.00 0.10 0.00 0.00 Not
Not Applicable Applicable
NA NA 1.00 0.00 0.00 1.00 0.00 0.00 30 Days or Less
30 Days or Less
Not ApplicableNot Applicable9.00 0.00 0.00 2.00 0.00 0.00 30 Days or Less
30 Days or Less
Not ApplicableNot Applicable5.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable2.00 0.00 0.00 0.00 0.00 0.00 Not Applicable
More than 90 Days
Not ApplicableNot Applicable1.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable14.50 0.00 0.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
N
30 Days or Less ot Applicable2.2 0 0 0 0 0 Not
30 Days or LessApplicable
NA NA 2.00 0.00 2.00 1.00 0.00 1.00 NA NA
N
30 Days or Less A 2.00 0.00 2.00 0.00 0.00 1.00 30 Days or Less
30 Days or Less
NA NA 2 0 0 0 0 0 NA NA
Not ApplicableNot Applicable3 0 0 3 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable2.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable2.00 0 0 2.00 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable2.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable4.5 0 0 3 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable3 0 1.5 0 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable0 0 2.00 0 0 1.00 Not
Not Applicable Applicable
NA NA 2 0 0 1 0 0 NA NA
N
30 Days or Less ot Applicable2.00 0.00 1.00 2.00 0.00 0.00 30 Days or Less
30 Days or Less
NA NA 0 0 1.00 0 0 0 NA
30 Days or Less
Not ApplicableNot Applicable0 0 1 1 0 0 Not
Not Applicable Applicable
3 2
30 Days or Less0 Days or Less .50 0.00 0.00 2.00 0.00 0.00 30 Days or Less
30 Days or Less
NA NA 2.00 0.00 0.50 0.00 0.00 0.00 NA
30 Days or Less
Not ApplicableNot Applicable5.00 1.00 0.00 0.00 0.00 0.00 31-60 DaysNot Applicable
Not ApplicableNot Applicable3.00 0.00 0.00 1.00 0.00 0.00 31-60 Days31-60 Days
31-60 Days Not Applicable3.00 0.00 0.00 0.00 0.00 0.00 31-60 DaysNot Applicable
Not ApplicableNot Applicable2.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable2 0 2 3 0 0 Not
Not Applicable Applicable
3
30 Days or Less1-60 Days 1 0 1 0 0 1 31-60 Days31-60 Days
Not ApplicableNot Applicable4.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
31-60 Days Not Applicable7 0 5 0 0 0 31-60 DaysNot Applicable
Not ApplicableNot Applicable2.56 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable14.00 0.00 0.00 0.00 0.00 0.00 31-60 Days30 Days or Less
Not ApplicableNot Applicable1.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
N
30 Days or Less A 0.55 0.00 0.00 0.10 0.00 0.00 30 Days or Less
30 Days or Less
Not ApplicableNot Applicable0 0 0 0 0 0 Not
Not Applicable Applicable
3 1
30 Days or Less0 Days or Less 3.00 0.00 1.00 0.00 0.00 0.00 30 Days or Less
30 Days or Less
N
30 Days or Less ot Applicable1.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable1.00 1.00 0.00 1.00 1.00 0.00 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable7.00 0.00 2.00 2.00 0.00 0.30 Not
30 Days or LessApplicable
Not ApplicableNot Applicable.6 0 0 .2 0 0 30 Days or Less
30 Days or Less
Not ApplicableNot Applicable4.50 0.00 0.00 2.00 0.00 0.00 Not
Not Applicable Applicable
NA NA 3.00 1.00 1.00 0.00 0.00 0 NA NA
Not
More than 90 Days Applicable2.00 0.00 0.00 2.00 0.00 0.00 NA
Not Applicable
31-60 Days Not Applicable5.00 0.00 3.00 1.00 0.00 0.00 31-60 DaysNot Applicable
3.00
Not ApplicableMore than 90 Days 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
N
30 Days or Less A 1 0 0 1 0 0 61-90 Days30 Days or Less
Not ApplicableNot Applicable1.50 0.00 0.00 0.50 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable1.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable1 0 0 0 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable3.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
3 4
30 Days or Less0 Days or Less .00 1.00 0.00 1.00 1.00 0.00 31-60 Days30 Days or Less
N
30 Days or Less A 5.00 0.00 0.00 3.00 0.00 0.00 30 Days or Less
30 Days or Less
31-60 Days Not Applicable2.00 0 0 0.50 0 0 61-90 Days61-90 Days
Not ApplicableNot Applicable4.75 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable6.50 0.00 3.00 1.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable5.00 0.00 1.00 0.00 0.00 0.00 31-60 DaysNot Applicable
N
30 Days or Less ot Applicable1.00 0.00 4.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
Not Applicable30 Days or Less3 0 0 0 0 0 Not
30 Days or LessApplicable
31-60 Days Not Applicable1.00 0.00 0.00 0.00 0.00 0.00 31-60 DaysNot Applicable
Not ApplicableNot Applicable2.0 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
31-60 Days Not Applicable2.00 1.00 0.00 0.00 0.00 0.00 61-90 DaysNot Applicable
Not ApplicableNot Applicable8.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable4.00 0.00 0.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
N
30 Days or Less A 4.00 0 0 1.00 0 0 31-60 Days31-60 Days
Not ApplicableNot Applicable5.00 0.60 0.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
N
30 Days or Less ot Applicable2.00 0.00 0.00 1.00 0.00 0.00 30 Days or Less
30 Days or Less
NA NA 1 0 0 0 0 0 NA
30 Days or Less
Not ApplicableNot Applicable1.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable1 0 1 0 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable6.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable0.00 0.00 0.35 0.00 0.00 0.02 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable3.00 0.00 1.00 0.00 0.00 0.00 31-60 DaysNot Applicable
NA NA 1.25 0.00 0.00 0.00 0.00 0.00 NA NA
NA NA 1.00 0 0 0 0 0 31-60 DaysNA
Not ApplicableNot Applicable3.00 0.00 4.00 0.00 0.00 0.00 31-60 DaysNot Applicable
Not ApplicableNot Applicable2.00 0.00 0.00 1 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable1.00 0.00 3.00 0.00 0.00 0.00 Not
Not Applicable Applicable
NA NA 2.00 0 0 2.00 0 0 NA NA
Not ApplicableNot Applicable3.25 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable0 0 2 0 0 1 Not
Not Applicable Applicable
Not ApplicableNot Applicable8 0 0 .50 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable2.00 0.00 3.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
Not ApplicableNot Applicable1.00 1.00 9.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
N
30 Days or Less ot Applicable3.60 0.00 2.00 0.00 0.00 0.00 31-60 DaysNot Applicable
Not ApplicableNot Applicable5 0 0 0 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable2.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
NA NA 5.00 0.00 0.00 0.00 0.00 0.00 NA NA
Not Applicable31-60 Days 4.00 0.00 0.00 0.00 0.00 0.00 31-60 DaysNot Applicable
NA NA 0.00 0.00 2.00 0.00 0.00 2.00 NA NA
N
30 Days or Less A 2 0 0 0 0 0 NA
30 Days or Less
Not ApplicableNot Applicable1.4 0 .4 0 0 0 Not
30 Days or LessApplicable
Not ApplicableNot Applicable2.00 0 0 0.00 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable1 0 0 0 0 0 Not
Not Applicable Applicable
Not ApplicableNot Applicable1 0 0 1 0 0 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable6.00 0.00 1.00 0.00 0.00 0.00 31-60 DaysNot Applicable
N
30 Days or Less ot Applicable5.00 0.00 5.00 0.00 0.00 0.00 30 Days or Less
30 Days or Less
31-60 Days Not Applicable3.5 0.00 0.00 .5 0.00 0.00 61-90 DaysNot Applicable
N
30 Days or Less ot Applicable1.8 0 0 0 0 0 Not
30 Days or LessApplicable
N
30 Days or Less ot Applicable1.00 0.00 1.00 1.00 0.00 1.00 30 Days or Less
30 Days or Less
N
30 Days or Less ot Applicable2.00 1.00 0.00 2.00 0.00 0.00 30 Days or Less
30 Days or Less
Not ApplicableNot Applicable1.00 0.00 1.00 1.00 0.00 0.00 Not
Not Applicable Applicable
61-90 Days NA 6.00 1.00 0.00 1.00 0.00 0.00 NA
More than 90 Days
Not ApplicableNot Applicable2.00 0.00 0.00 1.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable1.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable1.00 0.00 3.00 0.00 0.00 0.00 Not
30 Days or LessApplicable
Not ApplicableNot Applicable13.00 0.00 0.00 0.00 0.00 0.00 Not
Not Applicable Applicable
Not ApplicableNot Applicable0 0 3 1 0 0 Not
Not Applicable Applicable
N
30 Days or Less A 2.00 1.00 1.00 1.00 1.00 1.00 31-60 Days30 Days or Less
Not ApplicableNot Applicable0 0 1 0 0 0 Not
Not Applicable Applicable
N
30 Days or Less ot Applicable3.00 0 3.00 0.00 0 0.00 Not
Not Applicable Applicable
Date PeachPay PeachPay PeachPayg PeachPayn
Submitted pats proc pr pr Specialties Services AAAHC ASF JCAHO
144 145 146 147 148 149 150 151 152 153
Not Applicable Ambulatory1Surgical Treatment 0
0
Foot,General,OB/GYN,Ophthalmology,Oral,Orthopedic,Otolaryngology,Plastic,U
Not Applicable 0 0 1
30 Days or Less 0 0 0 CardiovascularGeneral 0
General SurgeryGYNEndoscopy/ManometryOral SurgeryOrthopedics
0 1
SurgeryNeurologicalOB/GYNOphthalmologyOral Surger
Not Applicable 0 0 0 0 Ophthalmology
Cataract, cornea, tissue 0
0 and
graft, laser, 0 revision eye surgery.
OUTPATIENT
MULTI SPECIALITY 0 SURGERY 0 1
Not Applicable GYNECOLOGY, ORTHOPEDICS, ENT, GENERAL, OPTHALMO
0
MULTISPECIALTY OUTPATIENT SURGERY 0 1
31-60 Days 0 0 0
Not Applicable 0 0 0 GENERAL OUTPATIENT MINOR PROCEDURES AND AMBULATORY SU
SURGERY, PODIATRY, ORTHOPEDICS, OTOLARYNGOLOGY
0 0 1
Not Applicable 0 0 0 1
Podiatry Surgery of the foot, ankle and leg.Diabetic limb salvage.
0 0 0
Not Applicable ENDOSCOPIES, COLONOSCOPIES
0
ENDOSCOPIES, COLONOSCOPIES 0 1
30 Days or Less 0 0 0 0 AmbulatoryGENERAL 1
Surgical Services. 0 0
SURGERY, GASTROENTEROLOGY, GYNECOLOGY
Not Applicable 0 0 0 0 Plastic SurgeryReconstructive SurgeryGeneral SurgeryOral SurgeryOtolaryngolog
Plastic SurgeryReconstructive SurgeryOtolaryngology (ENT Surgery)
0 0 0
Not Applicable 0 0 0 GynecologyFirst and SecondFirst and Second Trimester Abortions; Minor Gyneco
which includes Term AbortionsMinor Gynecology Procedures
1 0 0
Surgical OncologyENTOphthalmologyUrologyGeneral Surgery Plasti
Multispecialty 0 0 1
Not Applicable 0 0 0 GASTROENTEROLOGY, GENERAL SURGERY, GYNECOLOGY, OPTHAL
AMBULATORY SURGICAL SERVICES
1 0 0
30 Days or Less 0 0 0 Multispecialty ASC
ENT, ORTHO, Optho, Plastic, GI, 1
0 0 General, Urology, Pain Manageme
Not Applicable 0 0 0 Ambulatory Endoscopy,(including Advanced Laparoscopy and Arthro
0
Anesthesiology, Dental,1Surgical Services 0
Not Applicable Ambulatory1Surgical Treatment Center
0 0
Gastroenterology, General, Gynecology, Oral Surgery, Orthpaedics, Otolaryngolo
30 Days or Less 0 0 0 Ambulatory1Surgical Services 0
General Surgery, Gastroenterology,0Gynecology, Opthalmology, Orthopedics, Or
Not Applicable 1 1 486 Orthopedic,Orthopedic 0
Dental, Gastroenterology, Plastics,1 Gastroenterology Procedures, Pl
0
Surgery, Dental Surgery, Pain Management, Epidural Stero
Not Applicable 7 12 17496 Ambulatorysurgical procedures not0requiring overnight hospitalizatio
Out-Patient Ophthalmic1Eye Surgery 0
30 Days or Less 0 0 0 PODIATRY, ENT, OPHTHALMOLOGY, OB/GYN, UROLOGY, ORAL, ORT
AMBULATORY SURGERY SERVICES
1 0 0
Not Applicable Ambulatory1Surgery Services
0 0
Dentistry, ENT, Gatroenterology, General, Neurosurgery, OB/GYN, Opthalmolog
31-60 Days Women's Health Care,Contraception,Pregnancy Sterlization; 1st and
0 0 0
Contraception; Counseling and Education; Male and FemaleTesting & Counseling
Not Applicable Outpatient Surgical Services Services
AmbulatoryAmbulatory1Outpatient 0 Surgical 0
31-60 Days 1 0 0
Dermatology, Gastroenterology, General Surgery, Gynecology, Neurosurgery, Op
30 Days or Less 0 0 0 Abortion Legal Abortion 0 0 0
30 Days or Less 0 0 0 Service: Foot & Ankle 0
0
Specialty: Foot & Ankle Surgery Surgery 0
Not Applicable 0 0 0 Abortions and Female Women's Health Organization (CWHO) is a State-licensed
Columbus Reproductive Health care
0 0 0
Not Applicable 0 0 0 Ophthalmology, Plastic, Podiatry, Gynecology,0
Ophthalmology, Plastic, Podiatry, Gynecology, Neurosurgery, Anesth
1 0 Neurosurgery, Anesthesia, Urolog
Not Applicable 0 0 0 Esophagoscopy, Esophagogastroduodenoscopy, Colonoscopy, Flexible Sigmoido
Esophagoscopy, Esophagogastroduodenoscopy, Colonoscopy, Flexibl
1 0 0
Not Applicable Surgery Services
1 0 0
AmbulatoryGastroenterology, General, Gynecology, Ophthalmology, Oral/Dental
Not Applicable 5 13 30468 2206 ASC - SURGICAL PODIATRY 0
ASC - PODITARY 0 0
Not Applicable 1 1 485 Surgical Treatment Center Gynecology, Urology, Pain Management, Opthamolog
Foot, General,
0 0 0
30 Days or Less 0 0 0 Surgery
OphthalmicOphthalmic1 0
Ambulatory Surgeries 0
Not Applicable 714 1219 458929 0 0 1
Pediatric Services of: General Surgery, Plastics, Urology, Hand, Ortho
31-60 Days 0 0 0 Endoscopy 1
Gastrointestinal 0 0
0 0 PODIATRY - 1
PODIATRY - SURGERY SURGERY 0 0
0 0 0 Anesthesia Pain
Anesthesia Pain 0 0 1
Not Applicable 0 0 0 0 0 0
Not Applicable 0 0 0 0 Orthopaedic Procedures outpatient 0
Orthopaedic 1 0
surgical & pain management procedures
30 Days or Less 0 0 0 Services Surgery and0Procedures0
Orthopedic Orthopedic 1
Foot & Ankle Surgery 0
0
Foot & Ankle / Podiatry - / Podiatry - Surgery 0
Not Applicable 0 0 0 PLASTIC AND RECONSTRUCTIVE SURGERY SURGERY,
PLASTIC AND RECONSTRUCTIVE
0 0 0
61-90 Days 0 0 0 Gastroenterology, General Surgery,1Pain Management, Otolaryngolog
0
Gastroenterology, General Surgery,0Pain Management, Neurosurgery, Orthopedic
SURGERY 0 PODIATRY
PODIATRY - ASC - 0 0
Not Applicable 0 0 0 AmbulatoryGI Endoscopic Procedures
Surgical Treatment Center
1 0 0
0 0 0 OrthopedicsPhysiatryNeurosurgery 1
Multispecialty 0 0
Not Applicable 0 plastic surgery, cosmetic and reconstructive
plastic surgery 0 1 0
30 Days or Less 0 0 0 0 GI EndoscopyEndoscopic 1 0 0
Procedures(Colonoscopy,Esophagogastroduodenoscopy,F
Not Applicable 0 0 0 440 urology include including lithotripsy
1 0
Urology services to serviceslaser lithotripsy 0
Not Applicable All cosmetic Surgery 1
0 0
Plastic & Reconstructive and reconstructive procedures
31-60 Days 0 0 0 0 DEPARTMENT OF HUMAN RESOURCESAMBULATORY SURGICAL CEN
EGDs, COLONOSCOPY, FLEX SIGMOIDOSCOPY
1 0 0
Not Applicable Colonoscopies, EGDs 0
Gastroenterology 0 1
0 0 0 0 0 0 1
Urology Vasectomy Circumcision Hydrocelectomy Scrotal surgery Radioactiv
Not Applicable 0 0 0 0 Plastic Surgery
0
Plastic and Reconstructive Surgery 1 0
31-60 Days Plastic Surgery
Plastic Surgery 0 1 0
Not Applicable S 1 0 0
Dermatologykin grafts and flapsBenign and skin cancer surgeryliposuction
ENDOSCOPY 1 0 0
GASTROENTEROLOGY INCLUDING ESOPHAGOGASTRODUODENSOCO
31-60 Days 0 0 Surgery 0 0 0
Orthopedic All outpatient orthopedic procedures including orthopedic spine.
Not Applicable 0 0 0 0 AmbulatorySurgical 0
OphthalmicOphthalmic0 Surgery Procedures 1
Not Applicable 19 49 133233 8034 Otorhinolaryngology; Head and Neck Surgery; 0 insertion Tube/Foreign Body Re
MyringotomyMyringotomy with tube
1 0 Facial Plastic and Reconstructive
61-90 Days ColonoscopiesUpper Endoscopies 0
Endoscopy Center 1 0
30 Days or Less 0 Elective/therapeutic abortions, gynecological services (pap smears, std
0
Obstetrical/Gynecological Serices -0 0
Abortions to 26 weeks
Not Applicable 0 0 0 0 Hand & Upper Extremity
Surgical services to the 0
1 0
Hand & Upper Extremity
Not Applicable 0 0 0 0 Upper and Lower Gastrointestinal 0
1 0
Upper and Lower Gastrointestinal Endoscopy Endoscopy
Not Applicable 0 0 PODIATRY 0 0
PODIATRIC FOOT AND ANKLE0SURGERY
Not Applicable 0 0 0 0
Podiatry Podiatric care of the feet 0 0
31-60 Days 0 0 0 0 GI Endoscopy 1 0
Upper and lower GI Endoscopy 0
0 0 0
Not Applicable 0 0 0 0 AmbulatoryGastrointestinal Diagnostic Procedures
Surgical Treatment CenterGastrointestinal Diagnostice Procedures
1 0 0
30 Days or Less 0 0 0 0 1 0 0
Not Applicable 0 0 0 0 Services to 1 0 0
OPHTHALMOLOGY treat most diseases of the eye are offered, however CE/IOL
Not Applicable 0 0 0 0 OTOLARYNOLOGY HEAD AND NECK SURGERY AND FACIAL PLASTIC
SURGERIES 0 0 0
Not Applicable 0 0 0 0 Gastroenterology
ENDOSCOPIC SERVIES as follows: Esophagogastroduodenoscopy
1 0 0
Not Applicable 0 0 0 0 Ambulatory0surgery center providing operating room, staffing for ope
Plastic Surgery 1 0
Not Applicable 0 0 0 0 Podiatry Surgery (Minor)0 0 0
Not Applicable 32 32 101446 14632 OrthopedicsOrthopedic 1 0 0
surgeries and epidural steroid injections
Not Applicable 0 0 0 0 Plastic and Reconstructive
0
Plastic and Reconstructive Surgery 1 Surgery 0
Not Applicable 0 0 Services include cataract surgery, glaucoma surgery, corneal transplan
Ophthalmology 1 0 0
Not Applicable 0 0 0 0 Surgical 0
Plastic and Reconstructive Surgery 1 0
Not Applicable 0 0 0 0 1 0
Urology Urologic out-patient surgical procedures0
Not Applicable 0 0 0 0 Plastic and Reconstructive Surgery 1
Plastic Surgery 0 0
Not Applicable 0
Podiatry Surgery of the foot and 0 ankle. 0
Not Applicable 0 0 0 0 Podiatry Surgery (Minor)0 0 0
61-90 Days ORTHOPAEDIC 1
ORTHOPAEDIC SURGERY SURGERY 0 0
Not Applicable 0 0 0 0 Plastic and Reconstructive Surgery 0
Plastic Surgery 0 1
0 0 0 0 SURGERY 0SURGERIES 0
LEG, FOOT & ANKLEOF THE FOOT AND ANKLE 0
30 Days or Less 520 696 1710502 361485 Otorhinolaryngology 0
Otorhinolaryngology 1 0
Not Applicable 0 Oocyte retrieval, laparoscopy, hysteroscopy, D&C, embryo transfer un
1 0
Gynecological and Reproductive Endocrinology 0
Not Applicable 0 0 0
podiatry surgical correction of many varied toe and foot conditions.
Not Applicable 0 0 0 0 Plastics 0 0 1
Oculofacial Functional and cosmetic surgical procedures for the face and neck.
Not Applicable 0 0 0 0 DERMATOLOGICAL 0
1
MINOR DERMATOLOGICAL SURGERY 0 SURGERY
Not Applicable To surgery, orthopedic 0surgery. 0
Foot and ankle maintain1and operate an Ambulatory Surgerical Treatment Center.
Not Applicable 0 0 0
Not Applicable 0 0 0 0 Pain Management Procedures Procedures
Pain Management
1 0 0
Not Applicable 0 0 0 0 GASTROENTEROLOGY
EGD, EGD 1 WITH BX, 0 0
COLONOSCOPY, COLONOSCOPY WITH
Not Applicable 0 0 0 0 ORTHOPAEDIC SURGERY SURGERY OF THE HAND AND UPPER EXTRE
ORTHOPAEDIC 0 0 0
Not Applicable 0 0 0 0 Surgical Treatment 0
0
AmbulatoryPodiatric Surgery Center 0
Not Applicable 0 0 0 0 0 0
Podiatry Podiatric surgical procedures of the0foot, ankle and lower leg.
Not Applicable 0 0 0 0 Surgeries 0
Podiatric Procedures of0the foot and ankle. 0
30 Days or Less 0 0 0 0 LESION AND
PLASTIC SURGERY 0 CYST REMOVAL 0 1 WITH SIMPLE, INTERMEDIAT
Not Applicable 0 0 0 0 1 0 0
Urology AnesthesiaSurgical ServicesDiagnostic ImagingRadiology
Orthopaedic microvascular surgery 0
1 0
Orthopaedics, Hand and and Hand SurgeryMicrovascular Surgery for handsBack
30 Days or Less 0 0 0 0 Gastroenterology
colonoscopies and EGD's
1 0 0
Not Applicable 0 0 0 0 0 0 0
Podiatry Surgical services for podiatric medicine.
Not Applicable 0 0 Ambulatory1 Neck and Surgery 0 Surgery
Otolaryngology, Head &Outpatient 0 Facial Plastic
Not Applicable 0 0 0 0 Endoscopy services
Endoscopy services
1 0 0
30 Days or Less 1 0 0
30 Days or Less 0 0 0 0 Gastroenterology
Colonoscopy and Upper Endoscopy
1 0 0
Not Applicable 0 0 0 0 Plastic Surgery Augmentation, Mastopexy, Facial Rejuvenation including Face
Breast 1 0 0
Not Applicable 0 0 0 0 OPHTHMAOLOGY 1 0 0
Not Applicable 0 0 0 0 AugmentationsRhytidectomyAbdominoplasty (extended, Standard, M
0
Plastic & Reconstructive Surgery 0 0
Not Applicable 0 0 0 0 Orthopaedics 1
Orthopaedic Surgery 0 0
Not Applicable pain management
pain management 1 0 0
1
UROLOGYUrological Procedures 0 0
30 Days or Less 0 0 0 0 plastic surgery
cosmetic and reconstructive surgery
0 1 0
Eye
Ophthalmology surgery1 0 1
Not Applicable 0 0 0 0 Gastroenterology
Colonoscopies and Egd's
0 0 1
Not Applicable 0 0 0 0 UROLOGYUROLOGICAL 1 0 1
Not Applicable 0 0 0 Interventional procedures
0 0
Interventional Pain Management 0 for chronic back pain patients. Steroid injec
Not Applicable 0 0 0 0 0
GynecologyGynecological procedures 0 0
Not Applicable 0 0 0 0 Gastroenterology
Diagnostic and Therapeutic Endoscopy Procedures
1 0 0
Not Applicable 5 6 12200 3450 Surgery of 1 0 0
Otorhinolaryngology the ears including tympanostomy with tubes, tympanoplast
Not Applicable PODIATRY 0 0 0
PODIATRIC SURGERY SOFT TISSUE AND BONE SURGERY
Pain Management 0 0 0
30 Days or Less 0 0 0 0 GASTROENTEROLOGY
GASTROENTEROLOGY
1 0 0
0 0 0 0 Ambulatory1ophthalmological surgical services
Ophthalmology 0 0
Not Applicable Podiatry Ambulatory0Foot Surgery 0 0
30 Days or Less 0 0 0 Ophthalmology
Outpatient Ophthalmic surgical procedures including lasers.
0 0 0
Surgical Treatment 0
1
AmbulatoryGastroenterology Center 0
Not Applicable 0 0 0 0 Orthopaedic 1
Orthopaedic Surgery 0 0
31-60 Days Plastic and reconstructive surgery; facial rejuvination procedures.
Plastic Surgery 1 0 0
Not Applicable 0 0 0 0 1
Urology Urology outpatient surgery 0 0
Not Applicable 0 0 0 0 Cosmetic SurgeryReconstructive Surgery
1
Plastic and Reconstructive Surgery 0 0
Not Applicable 0 0 COLONOSCOPY, EGD, FLEX SIG
GASTROENTEROLOGY 1 0 0
31-60 Days 0 0 0 0 Gastroenterology
GI Endoscopies
1 0 0
Not Applicable Breast, body contouring,
0 1
Plastic and Reconstructive Surgery 0 face lifts, liposuction, tummy tucks, other fac
Not Applicable Outpatient Ophthalmology Surgery 0
Ophthalmology Surgery 1 0 Services
Not Applicable 0 0 0 0 1
OB/GYN OB/GYN ambulatory surgery 0 0
30 Days or Less 0 0 0 0 Orthopaedic 1
Orthopaedic outpatient 0surgery 0
Not Applicable 41 32 63010 8948 Urology Urology 1 0 0
30 Days or Less 0 0 0 0 PODIATRY 0
FOOT & ANKLE SURGERY 0 0
Not Applicable 0 0 0 0 ABDOMINOPLASTY,0BIOPSY OF SKIN LESION, UPPER/LOWE
1
PLASTIC AND RECONSTRUCTIVE SURGERY 0
30 Days or Less 0 ENDOSCOPIES AND 0
ENDOSCOPIES AND 1 COLONOSCOPIES
COLONOSCOPIES 0
Not Applicable 0 0 0 0 Pain Management
Injections for lumbar, thoracic, cervical or radicular pain, we also do t
1 0 0
Not Applicable 0 0 0 0 Plastic Surgery
Plastic Surgery
0 1 0
Not Applicable 3 3 16017 2131 Otolaryngology
Bilateral Myringotomy 0
1 0
Tubes, Tonsillectomy and Adenoidectomy, Se
30 Days or Less 0 0 0 0 Orthopedic Orthopedic 1
Surgery Surgery 0 0
Not Applicable Breast Reconstruction, 0
1 0
Plastic and Reconstructive Surgery Breast Reduction, botox, Breast Augmentation
Orthopedic Orthopedic 1 Surgery 0 0
0 1 0 0
Endoscopy Colonoscopy, EGD, Flexible SigmoidoscopyAll include screening, di
Not Applicable LEEP
Dx Gynecological
Obstetrical and Lap
1 Endometrial Ablation
0 0 D&C Non OB
Laparoscopic Surg
Not Applicable 0 0 0 0 Pain Management
Pain Management Abulatory Surgical Center
0 0 0
30 Days or Less 0 0 0 0 Pain management - spine injections0
Pain Management 1 0
Not Applicable 0 0 0 0 Gastroenterology
Colonoscopy with/without biopsy/polypectomy, Esophagogastroduod
1 0 0
Not Applicable 0 0 0 0 PAIN MANAGEMENT- lumbar, thoracic, cervical or radicular pain. We also do
Injections for
1 0 0
Not Applicable 0 0 0 0 Services are1 0 0
dermatologic proceduresprovided for persons requiring surgical intervention for tr
Not Applicable colonoscopies, EGDs 0
Gastroenterology 0 1
30 Days or Less 0 0 0 0 Epidural 1 0 0
Pain Management injections, Facet injections, SI Joint Injections, Medial Branc
30 Days or Less 0 0 0 0 Ophthalmic1
Ophthalmology Surgery 0 0
61-90 Days OUTPATIENT
PAIN MANAGEMENT SURGERY 1 0 0
Not Applicable 0 0 0 0 ENDOSCOPY 1 0
GASTROENTEROLGY - COLONOSCOPY0AND ESOPHAGOGASTRODUO
Not Applicable 0 0 0 0 Ophthalmology 1 0 0
Not Applicable 0 0 0 0 Amputation1 0 0
Orthopaedic Procedures Surgery, digit, for completion of partial amputationArthro
Not Applicable 0 0 0 0 GASTROENTEROLOGIST
ColonoscopyColonoscopy with hemorrhoid bandingEGDEGD with ba
1 0 0
Not Applicable 0 0 0 0 Ophthalmology Outpatient Surgery 0
Ophthalmology 1 0
Not Applicable 0 0 0 0 complex wound
0
Certified Wound Specialist care 0 0
Not Applicable 0 0 0 0 OPHTHALMIC SURGERY
OPHTHALMOLOGY 1 0 0
Not Applicable 0 0 0 0 Urology Ambulatory0Surgery Center 0 0
Not Applicable 0 0 0 0 OTORHINOLARYNGOLOGY PROCEDURES IN AN AMBULAT
OTORHINOLARYNGOLOGY 0 1 0
Not Applicable 0 0 0 0 Gastroenterology
EsophagogastroduodenoscopyEsophagogastroduodenoscopy w/Biops
1 0 0
31-60 Days 0 upper 1 0
Endoscopy center and lower GI endoscopy 0
Not Applicable 0 0 0 0 Urology CPT Codes 1 0
Provided in0200855700558755059052353522045227652
30 Days or Less 0 0 0 0 GASTROENTEROLOGY SERVICES
ENDOSCOPY 1 0 0
Podiatry Podiatry 0 0 0
Not Applicable 0 0 A VARIETY 0 0 0
PAIN MANAGEMENT OF SURGICAL PROCEDURES FOR PAIN RELIEF
Not Applicable 0 0 0
GynecologyUrodynamicsCystourethroscopyCystoscopy with calibrationEndometr
Not Applicable 0 0 0 0 1 0 0
Not Applicable 0 0 0 0 Orthopaedic 1 0 0
MUSCLE/TENDONS/LIGAMENTSPrimary repair lacerations/tendo
Not Applicable 0 0 0 0 Surgery for 1
Ophthalmology the
disease's of 0 eye. 0
0 0 0 0 1 0
Urology Outpatient Urological Services only 0
0 0 0 0 Single speciality,CodeDescription15820Revision, lower eyelid15822Revision, up
CPT physician owned, 0
1 office based ambulatory surgery center (Ophth
0
Not Applicable Orthopaedic Orthopaedic 1 0 0
Not Applicable pain
Pain Medicine medicine 1 0 0
Not Applicable 0 0 0 Outpatient ophthalmology surgery. 0
Ophthalmology 1 0
0 0 EGD, EGD 1
GASTROENTEROLOGY WITH BX, 0 0
COLONOSCOPY, COLONOSCOPY WITH
Not Applicable 0 0 0 0 ORTHOPAEDIC SURGERY
To provide outpatient orthopaedic surgical services to patients ages 5
1 0 0
Not Applicable 0 Foot & Ankle1
PODIATRY SURGERY Surgery 0 0
Not Applicable 0 0 0 0 OrthopedicsOrthopedic 0 0 0
SurgeryInjections (Epidural & Facet Injections)
Not Applicable 0 0 0 0 ORTHOPEDICS 1 0 0
Administration and/or Supervision of IV Conscious SedationAdminis
Not Applicable 0 0 0 0 Pre-Operative/Intra-operative/Postoperative CareLaser Capsulotomy a
OPHTHALMOLOGY 1 0 0
Not Applicable 0 0 0 0 Orthopaedic 1 0 0
Surgical interventions to correct congenital and joint deformities as w
Not Applicable 0 0 0 0 ORTHOPEDICS 1
ORTHOPEDIC SURGERY 0 0
Not Applicable 0 0 0 Pain Management
1. Epidural Steroid Injections2. Radiofrequency3. Facet Block4. Disc
0 0 0
0 0 0 0 SPINE SURGERY, PERIPHERAL0NERVE SURGERY, SPINE INJE
NEUROSURGERY 1 0
Not Applicable 0 0 0 0 Surgical Treatment Center
AmbulatoryOrthopedics1 0 0
0 0 0 0 Orthopedic General Orthopedic surgery excluding total hips and knees
Surgery 0 0 1
0 Injections 1
Interventional Pain Medicine 0 0
Not Applicable pain management
pain management 1 0 0
Not Applicable 0 0 0 0 Surgical Treatment 0
0
AmbulatoryPain Management Center 0
Not Applicable colonoscopies 0
Gastroenterology ASC 1 and Upper Endiscopies 0
Not Applicable 0 0 0 PAIN MEDICINEMEDICINE
PAIN 1 0 0
Not Applicable OPHTHALMOLOGY SURGICAL0SERVICES
OPHTHALMOLOGY 1 0
30 Days or Less Urology 1 0 0
Not Applicable 0 0 0 0 Plastic Surgery
AbdominoplastyAdjacent Tissue TransferBirth Defect Reconstruction
1 0 0
Not Applicable 0 0 0 0 pain management
pain management
1 0 0
30 Days or Less 0 0 0 0 Pain Management
Interventional Pain Management Services including transforaminal ep
0 0 1
30 Days or Less Upper 1 0
Gastroenterology Endoscopy and Colonoscopy 0
Not Applicable 0 FOOT & ANKLE1
FOOT & ANKLE SURGERY SURGERY 0 0
0 0 0 0 Ambulatory 0
Orthopaedic Surgery 1Surgical Treatment Center 0
Not Applicable 0 0 0 0 S
Dermatologykin Cancer0Surgery 0 0
Not Applicable pain managemant
pain management 1 0 0
Not Applicable 0 0 0 0 Ophthalmology services
Ophthalmology Single0speciality 0 1
Not Applicable 0 0 0 Outpatient 1
Orthopaedic Surgery orthopaedic 0 0
surgical patient care
Not Applicable 474 612 449035 250987 Otolaryngology
Surgery of the ears, nose and throat0 approved by governing body.
1 0 as
30 Days or Less 0 ColonoscopyUpper EndoscopyFlexible SigmoidoscopyEndoscopic U
Gastroenterology 0 1 0
Not Applicable 0 0 0 0 FOOT AND ANKLE SURGERY 0
0
AMBULATORY SURGICAL TREATMENT CENTER0
Not Applicable 0 Outpatient Podiatry Procedures
Podiatric Surgery 0 0 0
Unknown Unknown Less:
Gender Gender ASC Gross Contractual Less: Bad Less: Net
Pats Proc Patient Revenue Adjustments Debt Indigent Care
154 155 156 157 158 159 160 161 162
33,695,441 24,719,020 61,659 -
7,391,041 4,538,181 62,980 118,165
7,363,191 5,462,428 64,043 78,036
9,706,617 5,186,687 130,973 188,311
31,416,461 22,967,263 212,831 -
10,333,674 6,875,801 94,672 -
4,953,662 1,545,061 29,794 1,546,014
14,409,803 8,861,967 210,589 397,982
10,597,550 3,927,469 - -
3,407,520 15,107 - -
4,577,923 2,971,863 28,637 -
45,404,425 31,476,189 83,738 -
4,463,465 3,889,663 30,257 -
8,285,680 792,944 - -
25,681,586 12,883,899 230,168 593,579
22,772,482 17,023,867 58,851 -
20,711,915 16,448,368 113,057 -
52,480,732 38,339,880 100,052 -
25,869,576 21,109,603 107,597 -
59,603,904 48,714,717 155,736 -
7,317,940 4,003,529 73,932 187,207
7,416,723 5,642,259 1,150 -
21,693,670 13,080,132 206,674 -
31,053,218 18,873,140 271,462 -
770,400 20,788 4,545 22,800
17,358,009 10,535,643 129,895 -
21,801,395 14,958,684 149,590 185,100
1,125,522 - - -
2,970,485 1,444,191 - -
931,956 - - -
22,606,798 15,934,055 101,643 4,525
4,115,758 2,101,075 410 19,210
19,757,036 15,144,981 107,226 -
9,687,774 7,535,827 59,474 161,356
10,242,942 3,702,742 231,052 -
1,872,599 598,318 45,659 25,218
40,547,806 16,599,002 533,799 699,879
4,425,400 2,752,820 56,986 42,225
3,578,467 1,163,157 73,131 82,565
1,728,341 918,792 31,000 1,200
1,595,767 522,475 - -
7,807,201 4,451,734 22,666 56,348
27,392,653 14,317,975 154,623 949,421
1,882,259 1,133,251 26,754 22,130
95,136 25,633 37,850 650
11,649,593 9,177,375 - 130,009
4,017,206 3,057,649 8,518 68,900
7,179,095 2,907,540 108,294 134,532
7,928,811 3,073,183 28,586 11,452
0 0 - - - -
0 0 1,766,410 972,332 28,987 -
0 0 3,398,585 1,777,150 - -
0 0 - - - -
0 0 2,004,950 1,303,925 - -
0 0 2,303,000 1,333,074 10,800 5,600
0 0 3,383,022 1,756,611 15,438 19,810
0 0 - - - -
0 0 872,056 539,376 - 11,211
0 0 5,034,550 2,510,170 - -
0 0 732,100 338,200 11,000 1,000
0 0 7,353,076 3,934,455 523,237 295,548
0 0 1,426,275 652,766 36,195 -
0 0 5,493,947 4,538,665 - -
0 0 4,213,105 1,629,208 154,724 -
0 0 2,981,703 109,763 122,012 -
0 0 3,507,441 1,614,800 - 500
0 0 3,056,679 1,878,838 - -
0 0 614,131 712,612 216,679 45,155
0 0 530,995 146,865 - -
0 0 15,095,311 10,794,514 11,418 -
0 0 - - - -
0 0 1,623,128 856,623 - 24,640
0 0 4,164,596 2,255,088 25,015 14,610
0 0 774,619 343,078 40,671 1,865
0 0 994,707 453,228 17,284 -
0 0 515,813 82,146 40,917 9,460
0 0 4,636,294 681,204 73,165 -
0 0 2,387,272 18,726 - -
0 0 1,494,668 603,550 6,838 -
0 0 4,058,866 2,722,597 758 -
0 0 1,484,500 486,749 2,738 -
0 0 - - - -
0 0 706,967 82,290 - -
0 0 51,663,770 20,022,734 83,100 487
0 0 1,964,255 646,432 - -
0 0 293,164 148,931 115 -
0 0 482,119 166,619 - -
0 0 3,190,725 1,276,488 122,140 11,450
0 0 1,408,825 4,405 - -
0 0 4,238,895 1,561,379 471,704 16,694
0 0 5,884,049 3,890,275 25,341 -
0 0 3,310,630 1,602,798 - -
0 0 201,520 198,321 6,742 -
0 0 250,000 - - -
0 0 426,750 110,000 29,750 -
0 0 3,023,631 1,805,519 - -
0 0 - - - -
0 0 798,700 398,717 9,719 -
0 0 3,480,510 2,289,779 3,659 -
0 0 2,110,084 316,695 7,879 -
0 0 840,961 362,945 28,000 -
0 0 392,281 181,899 - -
0 0 31,090 170,848 - -
0 0 2,800,663 1,338,697 15,190 -
0 0 5,221,382 2,183,595 70,882 -
0 0 10,655,251 5,922,257 18,857 -
0 0 1,064,216 885,889 - -
0 0 623,372 287,054 - -
0 0 - - - -
0 0 255,915 238,681 2,653 1,368
0 0 - - - -
0 0 10,414,872 5,923,815 97,066 -
0 0 369,554 - - -
0 0 - - - -
0 0 1,100,800 24,000 - -
0 0 252,783 14,910,972 27,568 6,580
0 0 3,022,074 1,976,762 2,669 1,300
0 0 1,109,835 - - -
0 0 - - - -
0 0 760,000 66,665 28,927 -
0 0 - - - -
0 0 1,220,109 194,525 122,000 49,158
0 0 - - - -
0 0 7,246,044 4,790,957 - -
0 0 6,459,094 4,109,026 16,909 -
0 0 2,831,301 2,017,779 - -
0 0 93,412 56,758 - -
0 0 - - - -
0 0 1,957,428 1,132,921 16,997 -
0 0 375,295 191,879 - -
0 0 127,400 34,191 - -
0 0 2,660,116 1,491,481 - -
0 0 3,749,400 1,729,651 75,010 -
0 0 6,853,575 3,296,273 13,166 -
0 0 - - - -
0 0 9,747,110 7,351,713 59,081 11,850
0 0 442,788 7,670 - -
0 0 7,183,650 3,013,797 518,450 -
0 0 470,461 - - -
0 0 5,311,628 3,934,182 99,199 -
0 0 7,206,780 4,913,828 107,400 -
0 0 2,751,073 1,796,266 25,180 -
0 0 - - - -
0 0 5,170,468 3,818,238 1,594 -
0 0 729,825 463,895 545 -
0 0 159,345 59,109 384 -
0 0 20,072,637 15,905,813 34,606 136,714
0 0 1,895,440 1,034,059 - -
0 0 76,010 3,500 - -
0 0 14,975,148 11,271,301 - -
0 0 4,740,402 3,054,036 1,406 -
0 0 1,022,053 17,101 - 71,257
0 0 5,065,317 2,454,426 - -
0 0 506,886 1,836,079 10,000 11,250
0 0 9,697,046 6,579,511 - -
0 0 12,521,658 9,695,084 - -
0 0 755,000 479,000 50,000 -
0 0 2,207,206 1,200,773 129,296 -
0 0 5,534,935 3,051,168 4,950 -
0 0 562,722 132,832 - -
0 0 2,397,000 1,333,164 12,577 3,500
0 0 6,487,902 3,722,890 - 3,825
0 0 14,967,009 10,846,143 14,434 -