Methodist Fremont Health - Hospital Cost Report

Methodist Fremont Health located at 450 E 23rd St, Fremont, NE, 68025 with NPIs 1750320859, 1033698543, 1821037938, 1720441074.

FREMONT HEALTH MEDICAL CENTER


FREMONT HEALTH MEDICAL CENTER Days IPPS Hospital   |   Back to Top

Out-of State Medicaid eligible unpaid days
In-State Medicaid eligible unpaid days
In-State Medicaid paid days
Medicaid HMO days
Other Medicaid days

FREMONT HEALTH MEDICAL CENTER Costs Program Days   |   Back to Top

Program Days

FREMONT HEALTH MEDICAL CENTER Costs COMPUTATION OF OBSERVATION BED PASS THROUGH COST   |   Back to Top

Allied Health cost - Hospital
Capital-related cost - Hospital
Nursing School cost - Hospital
Nursing School cost - IPF
All other Medical Education - IPF
All other Medical Education - Hospital
Allied Health cost - IPF
Capital-related cost - IPF

FREMONT HEALTH MEDICAL CENTER Costs Total inpatient Cost   |   Back to Top

Total Inpatient Cost

FREMONT HEALTH MEDICAL CENTER Discharges Medicare   |   Back to Top

Discharges

FREMONT HEALTH MEDICAL CENTER Charges INPATIENT ROUTINE SERVICE COST CENTERS   |   Back to Top

Inpatient
Total

FREMONT HEALTH MEDICAL CENTER Charges OTHER REIMBURSABLE COST CENTERS   |   Back to Top

Inpatient
Total

FREMONT HEALTH MEDICAL CENTER Charges ANCILLARY SERVICE COST CENTERS   |   Back to Top

Inpatient
Total

FREMONT HEALTH MEDICAL CENTER Days Total All patients   |   Back to Top

Inpatient Days / Outpatient Visits / Trips

FREMONT HEALTH MEDICAL CENTER Charges OUTPATIENT SERVICE COST CENTERS   |   Back to Top

Inpatient
Total

FREMONT HEALTH MEDICAL CENTER Costs COMPUTATION OF INPATIENT OPERATING COST   |   Back to Top

Program routine service cost - SNF
Total observation bed days - Hospital
Total Program inpatient operating costs - SNF
Adjusted general inpatient routine service cost per diem - SNF
Total Program general inpatient routine service costs - SNF
Reasonable inpatient routine service costs - SNF
Adjusted general inpatient routine cost per diem - Hospital
Observation bed cost - Hospital
Program inpatient ancillary services - SNF
SNF / NF / ICF/IID routine service cost - SNF

FREMONT HEALTH MEDICAL CENTER Costs Swing Bed Adjustment   |   Back to Top

Total general inpatient routine service cost - Hospital
General inpatient routine service cost net of swing-bed cost - Hospital

FREMONT HEALTH MEDICAL CENTER Patient Revenues GENERAL INPATIENT ROUTINE CARE SERVICES   |   Back to Top

REVENUE-INPATIENT

FREMONT HEALTH MEDICAL CENTER Costs INPATIENT ROUTINE SERVICE COST CENTERS   |   Back to Top

Total Costs
OTHER GENERAL SERVICE
NURSING ADMINIS - TRATION
Inpatient Program Days
Total Patient Days
TOTAL
Total Cost

FREMONT HEALTH MEDICAL CENTER Costs PASS-THROUGH COST ADJUSTMENTS   |   Back to Top

Pass through costs applicable to Program inpatient routine services - Hospital
Total Program inpatient operating cost excluding capital related, nonphysician anesthetist, and medical education costs - Hospital
Pass through costs applicable to Program inpatient ancillary services - Hospital
Total Program excludable cost - IPF
Pass through costs applicable to Program inpatient routine services - IPF
Pass through costs applicable to Program inpatient ancillary services - IPF
Total Program excludable cost - Hospital
Total Program inpatient operating cost excluding capital related, nonphysician anesthetist, and medical education costs - IPF

FREMONT HEALTH MEDICAL CENTER Costs OUTPATIENT SERVICE COST CENTERS   |   Back to Top

Total Charges
Total Costs
Outpatient Program Charges
Cost to Charge Ratio
NURSING ADMINIS - TRATION
Program Cost - Cost Reimbursed Services Subject to Ded. & Coins
Inpatient Program Charges
Program Cost - PPS Services
Program Charges - PPS Reimbursed Services
TOTAL
Program Charges - Cost Reimbursed Services Subject to Ded. & Coins
Total Cost

FREMONT HEALTH MEDICAL CENTER Costs INPATIENT DAYS   |   Back to Top

Semi-private room days (excluding swing-bed and observation bed days) - Hospital
Inpatient days (including private room days, excluding swing-bed and newborn days) - IPF
Semi-private room days (excluding swing-bed and observation bed days) - SNF
Semi-private room days (excluding swing-bed and observation bed days) - IPF
Inpatient days (including private room days and swing-bed days, excluding newborn) - Hospital
Inpatient days (including private room days, excluding swing-bed and newborn days) - SNF
Inpatient days (including private room days, excluding swing-bed and newborn days) - Hospital
Inpatient days (including private room days and swing-bed days, excluding newborn) - IPF
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - Hospital
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - SNF
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - IPF
Inpatient days (including private room days and swing-bed days, excluding newborn) - SNF

FREMONT HEALTH MEDICAL CENTER Costs private room differential adjustment   |   Back to Top

General inpatient routine service cost net of swing-bed cost and private room cost differential - Hospital

FREMONT HEALTH MEDICAL CENTER Beds Hospital and Hospital Health Care Complex Statistical Data and Hospital Wage Index Information   |   Back to Top

No. of Beds

FREMONT HEALTH MEDICAL CENTER Costs PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS   |   Back to Top

Total Program inpatient costs - Hospital
Total Program inpatient costs - IPF
Program inpatient ancillary service cost - Hospital
Total Program general inpatient routine service cost - Hospital
Program general inpatient routine service cost - IPF
Program inpatient ancillary service cost - IPF
Adjusted general inpatient routine service cost per diem - IPF
Total Program general inpatient routine service cost - IPF
Program general inpatient routine service cost - Hospital
Adjusted general inpatient routine service cost per diem - Hospital

FREMONT HEALTH MEDICAL CENTER Costs Average per Diem   |   Back to Top

Average Per Diem

FREMONT HEALTH MEDICAL CENTER Days Medicaid   |   Back to Top

Inpatient Days / Outpatient Visits / Trips

FREMONT HEALTH MEDICAL CENTER Costs SPECIAL PURPOSE COST CENTERS   |   Back to Top

TOTAL
NURSING ADMINIS - TRATION
Total Cost
OTHER GENERAL SERVICE
Total Costs

FREMONT HEALTH MEDICAL CENTER Costs ANCILLARY SERVICE COST CENTERS   |   Back to Top

Total Charges
Program Cost - Cost Reimbursed Services Not Subject to Ded. & Coins
Total Costs
Outpatient Program Charges
Cost to Charge Ratio
NURSING ADMINIS - TRATION
Program Cost - Cost Reimbursed Services Subject to Ded. & Coins
Inpatient Program Charges
Program Cost - PPS Services
Program Charges - Cost Reimbursed Services Not Subject to Ded. & Coins
Program Charges - PPS Reimbursed Services
TOTAL
Program Charges - Cost Reimbursed Services Subject to Ded. & Coins
Total Cost

FREMONT HEALTH MEDICAL CENTER Costs OTHER REIMBURSABLE COST CENTERS   |   Back to Top

Total Charges
Program Cost - Cost Reimbursed Services Not Subject to Ded. & Coins
Total Costs
Outpatient Program Charges
Program Cost - Cost Reimbursed Services Subject to Ded. & Coins
Inpatient Program Charges
Program Cost - PPS Services
Program Charges - Cost Reimbursed Services Not Subject to Ded. & Coins
Program Charges - PPS Reimbursed Services
TOTAL
Program Charges - Cost Reimbursed Services Subject to Ded. & Coins
Total Cost

FREMONT HEALTH MEDICAL CENTER Charges SPECIAL PURPOSE COST CENTERS   |   Back to Top

Inpatient
Total

FREMONT HEALTH MEDICAL CENTER Discharges Total All patients   |   Back to Top

Total All Patients

FREMONT HEALTH MEDICAL CENTER Discharges Medicaid   |   Back to Top

Discharges

FREMONT HEALTH MEDICAL CENTER Costs Program Cost   |   Back to Top

Program Cost

FREMONT HEALTH MEDICAL CENTER Days Medicare   |   Back to Top

Inpatient Days / Outpatient Visits / Trips

FREMONT HEALTH MEDICAL CENTER Costs Total Inpatient Days   |   Back to Top

Total Inpatient Days

FREMONT HEALTH MEDICAL CENTER Payor Mix Medicaid   |   Back to Top

Net Revenue from Medicaid

FREMONT HEALTH MEDICAL CENTER Patient Revenues INTENSIVE CARE TYPE INPATIENT HOSPITAL SERVICES   |   Back to Top

REVENUE-INPATIENT
INPATIENT-REVENUE

FREMONT HEALTH MEDICAL CENTER Patient Revenues Total patient revenues   |   Back to Top

Net patient revenues
Less contractual allowances and discounts on patients' accounts
Less total operating expenses
Total patient revenues
Net income from service to patients

FREMONT HEALTH MEDICAL CENTER Days, IPPS Hospital, In-State Medicaid paid days    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT ROUTINE SERVICE COST CENTERS, OTHER GENERAL SERVICE    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, Average per Diem, Average Per Diem    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Inpatient days (including private room days and swing-bed days, excluding newborn) - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Charges, ANCILLARY SERVICE COST CENTERS, Inpatient    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, Outpatient Program Charges    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Days, IPPS Hospital, In-State Medicaid eligible unpaid days    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, TOTAL    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Days, IPPS Hospital, Medicaid HMO days    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF INPATIENT OPERATING COST, Reasonable inpatient routine service costs - SNF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Outpatient Program Charges    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, Program Charges - Cost Reimbursed Services Not Subject to Ded. & Coins    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, Swing Bed Adjustment, Total general inpatient routine service cost - Hospital    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Inpatient days (including private room days and swing-bed days, excluding newborn) - SNF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Charges, OTHER REIMBURSABLE COST CENTERS, Total    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, Total Costs    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Allied Health cost - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, PASS-THROUGH COST ADJUSTMENTS, Pass through costs applicable to Program inpatient ancillary services - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Total Program general inpatient routine service cost - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, PASS-THROUGH COST ADJUSTMENTS, Total Program excludable cost - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Cost to Charge Ratio    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF INPATIENT OPERATING COST, Program routine service cost - SNF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT ROUTINE SERVICE COST CENTERS, NURSING ADMINIS - TRATION    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, SPECIAL PURPOSE COST CENTERS, Total Costs    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, Program Cost - PPS Services    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, Program Cost - Cost Reimbursed Services Subject to Ded. & Coins    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Charges, SPECIAL PURPOSE COST CENTERS, Inpatient    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Charges, OUTPATIENT SERVICE COST CENTERS, Total    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Beds, Hospital and Hospital Health Care Complex Statistical Data and Hospital Wage Index Information, No. of Beds    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, NURSING ADMINIS - TRATION    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, Program Cost, Program Cost    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Charges, INPATIENT ROUTINE SERVICE COST CENTERS, Inpatient    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, Program Charges - PPS Reimbursed Services    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Discharges, Medicaid, Discharges    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Adjusted general inpatient routine service cost per diem - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - SNF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT ROUTINE SERVICE COST CENTERS, Total Cost    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, PASS-THROUGH COST ADJUSTMENTS, Pass through costs applicable to Program inpatient routine services - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, Outpatient Program Charges    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, TOTAL    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, Total Costs    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, PASS-THROUGH COST ADJUSTMENTS, Total Program inpatient operating cost excluding capital related, nonphysician anesthetist, and medical education costs - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Total Charges    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, Total Charges    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Semi-private room days (excluding swing-bed and observation bed days) - SNF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Charges, ANCILLARY SERVICE COST CENTERS, Total    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF INPATIENT OPERATING COST, Adjusted general inpatient routine service cost per diem - SNF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, SPECIAL PURPOSE COST CENTERS, TOTAL    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Days, Total All patients, Inpatient Days / Outpatient Visits / Trips    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Charges, SPECIAL PURPOSE COST CENTERS, Total    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, Program Charges - Cost Reimbursed Services Subject to Ded. & Coins    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Program general inpatient routine service cost - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, Cost to Charge Ratio    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF INPATIENT OPERATING COST, Total Program inpatient operating costs - SNF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Total Costs    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, Program Charges - Cost Reimbursed Services Subject to Ded. & Coins    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Patient Revenues, Total patient revenues, Net patient revenues    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Patient Revenues, Total patient revenues, Less total operating expenses    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF INPATIENT OPERATING COST, SNF / NF / ICF/IID routine service cost - SNF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Total Program general inpatient routine service cost - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Inpatient days (including private room days and swing-bed days, excluding newborn) - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, Program Days, Program Days    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, SPECIAL PURPOSE COST CENTERS, NURSING ADMINIS - TRATION    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Inpatient Program Charges    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Program Charges - PPS Reimbursed Services    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Days, Medicare, Inpatient Days / Outpatient Visits / Trips    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, private room differential adjustment, General inpatient routine service cost net of swing-bed cost and private room cost differential - Hospital    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Patient Revenues, GENERAL INPATIENT ROUTINE CARE SERVICES, REVENUE-INPATIENT    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, Total Cost    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, Total Inpatient Days, Total Inpatient Days    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, PASS-THROUGH COST ADJUSTMENTS, Pass through costs applicable to Program inpatient ancillary services - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Semi-private room days (excluding swing-bed and observation bed days) - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, TOTAL    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Discharges, Total All patients, Total All Patients    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Days, Medicaid, Inpatient Days / Outpatient Visits / Trips    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Program Cost - Cost Reimbursed Services Subject to Ded. & Coins    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, Program Charges - PPS Reimbursed Services    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, All other Medical Education - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT ROUTINE SERVICE COST CENTERS, Total Costs    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, PASS-THROUGH COST ADJUSTMENTS, Total Program excludable cost - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Capital-related cost - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Patient Revenues, INTENSIVE CARE TYPE INPATIENT HOSPITAL SERVICES, REVENUE-INPATIENT    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Inpatient days (including private room days, excluding swing-bed and newborn days) - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, PASS-THROUGH COST ADJUSTMENTS, Total Program inpatient operating cost excluding capital related, nonphysician anesthetist, and medical education costs - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Program inpatient ancillary service cost - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Patient Revenues, Total patient revenues, Total patient revenues    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, Inpatient Program Charges    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Nursing School cost - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Patient Revenues, Total patient revenues, Less contractual allowances and discounts on patients' accounts    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Program Cost - PPS Services    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Discharges, Medicare, Discharges    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, Inpatient Program Charges    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, PASS-THROUGH COST ADJUSTMENTS, Pass through costs applicable to Program inpatient routine services - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Charges, OTHER REIMBURSABLE COST CENTERS, Inpatient    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT ROUTINE SERVICE COST CENTERS, Inpatient Program Days    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, Program Cost - PPS Services    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, Program Cost - Cost Reimbursed Services Subject to Ded. & Coins    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Total Cost    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Inpatient days (including private room days, excluding swing-bed and newborn days) - SNF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, All other Medical Education - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, SPECIAL PURPOSE COST CENTERS, OTHER GENERAL SERVICE    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF INPATIENT OPERATING COST, Observation bed cost - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Semi-private room days (excluding swing-bed and observation bed days) - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Days, IPPS Hospital, Out-of State Medicaid eligible unpaid days    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, Swing Bed Adjustment, General inpatient routine service cost net of swing-bed cost - Hospital    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Total Program inpatient costs - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, SPECIAL PURPOSE COST CENTERS, Total Cost    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Days, IPPS Hospital, Other Medicaid days    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF INPATIENT OPERATING COST, Adjusted general inpatient routine cost per diem - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Charges, OUTPATIENT SERVICE COST CENTERS, Inpatient    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Nursing School cost - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Program inpatient ancillary service cost - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF INPATIENT OPERATING COST, Program inpatient ancillary services - SNF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, Total inpatient Cost, Total Inpatient Cost    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT ROUTINE SERVICE COST CENTERS, TOTAL    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF INPATIENT OPERATING COST, Total Program general inpatient routine service costs - SNF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Payor Mix, Medicaid, Net Revenue from Medicaid    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Allied Health cost - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Program Charges - Cost Reimbursed Services Not Subject to Ded. & Coins    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, Program Cost - Cost Reimbursed Services Not Subject to Ded. & Coins    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Total Program inpatient costs - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Charges, INPATIENT ROUTINE SERVICE COST CENTERS, Total    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Capital-related cost - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, NURSING ADMINIS - TRATION    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, OTHER REIMBURSABLE COST CENTERS, Total Charges    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Patient Revenues, INTENSIVE CARE TYPE INPATIENT HOSPITAL SERVICES, INPATIENT-REVENUE    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Program Charges - Cost Reimbursed Services Subject to Ded. & Coins    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Adjusted general inpatient routine service cost per diem - IPF    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT ROUTINE SERVICE COST CENTERS, Total Patient Days    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Program general inpatient routine service cost - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, OUTPATIENT SERVICE COST CENTERS, Total Cost    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Patient Revenues, Total patient revenues, Net income from service to patients    |   Back to Top

All Payer

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, ANCILLARY SERVICE COST CENTERS, Program Cost - Cost Reimbursed Services Not Subject to Ded. & Coins    |   Back to Top

Medicare

FREMONT HEALTH MEDICAL CENTER Costs, COMPUTATION OF INPATIENT OPERATING COST, Total observation bed days - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER Costs, INPATIENT DAYS, Inpatient days (including private room days, excluding swing-bed and newborn days) - Hospital    |   Back to Top

Medicaid

FREMONT HEALTH MEDICAL CENTER- Costs, PASS-THROUGH COST ADJUSTMENTS, Total Program inpatient operating cost excluding capital related, nonphysician anesthetist, and medical education costs - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total Program inpatient operating cost excluding capital related, nonphysician anesthetist, and medical education costs - IPF $694,820 2016 D10B181 05300 00100

FREMONT HEALTH MEDICAL CENTER- Payor Mix, Medicaid, Net Revenue from Medicaid, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Net Revenue from Medicaid $3,098,407 2015 S100000 02000 00100
Net Revenue from Medicaid $3,090,271 2013 S100000 02000 00100
Net Revenue from Medicaid $3,090,271 2014 S100000 02000 00100
Net Revenue from Medicaid $2,114,040 2016 S100000 02000 00100

FREMONT HEALTH MEDICAL CENTER- Costs, Total Inpatient Days, Total Inpatient Days, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Intensive Care Unit - Hospital $757 2014 D10A181 04300 00200
Intensive Care Unit - Hospital $690 2013 D10A181 04300 00200

FREMONT HEALTH MEDICAL CENTER- Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Program inpatient ancillary service cost - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Program inpatient ancillary service cost - Hospital $9,193,457 2013 D10A181 04800 00100
Program inpatient ancillary service cost - Hospital $8,944,540 2014 D10A181 04800 00100
Program inpatient ancillary service cost - Hospital $8,567,055 2015 D10A181 04800 00100
Program inpatient ancillary service cost - Hospital $8,080,806 2016 D10A181 04800 00100

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF INPATIENT OPERATING COST, Program routine service cost - SNF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Program routine service cost - SNF $1,341,370 2016 D10E181 07200 00100
Program routine service cost - SNF $1,322,996 2013 D10E181 07200 00100
Program routine service cost - SNF $1,293,791 2015 D10E181 07200 00100
Program routine service cost - SNF $948,090 2014 D10E181 07200 00100

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Inpatient days (including private room days, excluding swing-bed and newborn days) - SNF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Inpatient days (including private room days, excluding swing-bed and newborn days) - SNF $33,209 2013 D10E181 00200 00100
Inpatient days (including private room days, excluding swing-bed and newborn days) - SNF $31,090 2014 D10E181 00200 00100
Inpatient days (including private room days, excluding swing-bed and newborn days) - SNF $29,728 2015 D10E181 00200 00100
Inpatient days (including private room days, excluding swing-bed and newborn days) - SNF $28,841 2016 D10E181 00200 00100

FREMONT HEALTH MEDICAL CENTER- Costs, Total inpatient Cost, Total Inpatient Cost, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Intensive Care Unit - Hospital $302,628 2013 D10A181 04300 00100
Intensive Care Unit - Hospital $261,473 2014 D10A181 04300 00100

FREMONT HEALTH MEDICAL CENTER- Costs, SPECIAL PURPOSE COST CENTERS, OTHER GENERAL SERVICE, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
SUBTOTALS $1,351,299 2013 B000001 11800 01800
SUBTOTALS $1,046,236 2014 B000001 11800 01800

FREMONT HEALTH MEDICAL CENTER- Days, Medicaid, Inpatient Days / Outpatient Visits / Trips, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Skilled Nursing Facility 18,718 2013 S300001 01900 00700
Skilled Nursing Facility 18,300 2014 S300001 01900 00700
Skilled Nursing Facility 16,785 2016 S300001 01900 00700
Skilled Nursing Facility 16,717 2015 S300001 01900 00700
Total 2,595 2013 S300001 01400 00700
Hospital Adults & Peds. 2,143 2013 S300001 00100 00700
Total Adults and Peds. (exclude observation beds) 2,143 2013 S300001 00700 00700
Total 1,447 2014 S300001 01400 00700
Total 1,273 2015 S300001 01400 00700
Hospital Adults & Peds. 1,037 2014 S300001 00100 00700
Total Adults and Peds. (exclude observation beds) 1,037 2014 S300001 00700 00700
Total 996 2016 S300001 01400 00700
Hospital Adults & Peds. 913 2015 S300001 00100 00700
Total Adults and Peds. (exclude observation beds) 913 2015 S300001 00700 00700
Subprovider - IPF 815 2016 S300001 01600 00700
Total Adults and Peds. (exclude observation beds) 628 2016 S300001 00700 00700
Hospital Adults & Peds. 628 2016 S300001 00100 00700
Intensive Care Unit 110 2014 S300001 00800 00700
Intensive Care Unit 73 2013 S300001 00800 00700
Labor & delivery 61 2013 S300001 03200 00700
Labor & delivery 45 2016 S300001 03200 00700
Labor & delivery 44 2014 S300001 03200 00700
Labor & delivery 39 2015 S300001 03200 00700

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Program Cost - PPS Services, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Operating Room - Hospital $2,548,813 2015 D00A185 05000 00500
Operating Room - Hospital $2,478,440 2016 D00A185 05000 00500
Radiology-Diagnostic - Hospital $2,241,266 2016 D00A185 05400 00500
Radiology-Diagnostic - Hospital $2,227,912 2014 D00A185 05400 00500
Radiology-Diagnostic - Hospital $2,196,723 2015 D00A185 05400 00500
Radiology-Diagnostic - Hospital $2,014,141 2013 D00A185 05400 00500
Operating Room - Hospital $1,983,754 2014 D00A185 05000 00500
Implantable Devices Charged to Patients - Hospital $1,830,670 2016 D00A185 07200 00500
Implantable Devices Charged to Patients - Hospital $1,664,310 2015 D00A185 07200 00500
Drugs Charged to Patients - Hospital $1,645,983 2016 D00A185 07300 00500
Respiratory Therapy - Hospital $1,517,309 2015 D00A185 06500 00500
Respiratory Therapy - Hospital $1,485,483 2016 D00A185 06500 00500
Radiology-Therapeutic - Hospital $1,401,993 2015 D00A185 05500 00500
Respiratory Therapy - Hospital $1,391,980 2014 D00A185 06500 00500
Operating Room - Hospital $1,301,403 2013 D00A185 05000 00500
Laboratory - Hospital $1,258,481 2015 D00A185 06000 00500
Respiratory Therapy - Hospital $1,246,025 2013 D00A185 06500 00500
Laboratory - Hospital $1,228,004 2016 D00A185 06000 00500
Drugs Charged to Patients - Hospital $1,212,112 2015 D00A185 07300 00500
Laboratory - Hospital $1,121,425 2014 D00A185 06000 00500
Radiology-Therapeutic - Hospital $1,100,910 2013 D00A185 05500 00500
Drugs Charged to Patients - Hospital $1,029,515 2014 D00A185 07300 00500
Radiology-Therapeutic - Hospital $960,621 2014 D00A185 05500 00500
Radiology-Therapeutic - Hospital $949,854 2016 D00A185 05500 00500
Implantable Devices Charged to Patients - Hospital $934,940 2014 D00A185 07200 00500
Drugs Charged to Patients - Hospital $851,662 2013 D00A185 07300 00500
Implantable Devices Charged to Patients - Hospital $827,136 2013 D00A185 07200 00500
Recovery Room - Hospital $675,855 2015 D00A185 05100 00500
Recovery Room - Hospital $633,176 2014 D00A185 05100 00500
Laboratory - Hospital $621,786 2013 D00A185 06000 00500
Recovery Room - Hospital $590,030 2013 D00A185 05100 00500
Recovery Room - Hospital $587,763 2016 D00A185 05100 00500
Medical Supplies Charged To Patients - Hospital $430,456 2014 D00A185 07100 00500
Medical Supplies Charged To Patients - Hospital $419,524 2016 D00A185 07100 00500
Medical Supplies Charged To Patients - Hospital $348,162 2013 D00A185 07100 00500
Medical Supplies Charged To Patients - Hospital $308,619 2015 D00A185 07100 00500
Anesthesiology - Hospital $130,105 2015 D00A185 05300 00500
Anesthesiology - Hospital $75,810 2016 D00A185 05300 00500
Anesthesiology - Hospital $56,062 2014 D00A185 05300 00500
Anesthesiology - Hospital $49,050 2013 D00A185 05300 00500
Physical Therapy - Hospital $19,026 2016 D00A185 06600 00500
Occupational Therapy - Hospital $10,955 2016 D00A185 06700 00500
Physical Therapy - Hospital $6,826 2015 D00A185 06600 00500
Occupational Therapy - Hospital $4,906 2015 D00A185 06700 00500
Labor & Delivery Room - Hospital $1,704 2013 D00A185 05200 00500
Speech Pathology - Hospital $1,294 2016 D00A185 06800 00500
Speech Pathology - Hospital $1,055 2015 D00A185 06800 00500
Labor & Delivery Room - Hospital $468 2015 D00A185 05200 00500
Speech Pathology - Hospital $283 2014 D00A185 06800 00500

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF INPATIENT OPERATING COST, SNF / NF / ICF/IID routine service cost - SNF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
SNF / NF / ICF/IID routine service cost - SNF $11,278,797 2016 D10E181 07000 00100
SNF / NF / ICF/IID routine service cost - SNF $10,728,511 2015 D10E181 07000 00100
SNF / NF / ICF/IID routine service cost - SNF $9,792,659 2014 D10E181 07000 00100
SNF / NF / ICF/IID routine service cost - SNF $9,628,693 2013 D10E181 07000 00100

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - SNF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - SNF $4,563 2013 D10E181 00900 00100
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - SNF $3,585 2015 D10E181 00900 00100
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - SNF $3,430 2016 D10E181 00900 00100
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - SNF $3,010 2014 D10E181 00900 00100

FREMONT HEALTH MEDICAL CENTER- Charges, INPATIENT ROUTINE SERVICE COST CENTERS, Inpatient, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Adults and Pediatrics $13,667,000 2015 C000001 03000 00600
Adults and Pediatrics $12,925,957 2016 C000001 03000 00600
Adults and Pediatrics $10,174,828 2013 C000001 03000 00600
Adults and Pediatrics $9,624,187 2014 C000001 03000 00600
Skilled Nursing Facility $7,015,718 2013 C000001 04400 00600
Skilled Nursing Facility $6,817,156 2015 C000001 04400 00600
Skilled Nursing Facility $6,759,642 2016 C000001 04400 00600
Skilled Nursing Facility $6,716,726 2014 C000001 04400 00600
Subprovider IPF $3,703,267 2016 C000001 04000 00600
Intensive Care Unit $2,025,478 2014 C000001 03100 00600
Intensive Care Unit $1,664,541 2013 C000001 03100 00600
Nursery $579,424 2014 C000001 04300 00600
Nursery $560,446 2013 C000001 04300 00600
Nursery $554,179 2016 C000001 04300 00600
Nursery $508,362 2015 C000001 04300 00600

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Program Cost - Cost Reimbursed Services Not Subject to Ded. & Coins, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Drugs Charged to Patients - Hospital $42,788 2016 D00A185 07300 00700
Drugs Charged to Patients - Hospital $33,650 2015 D00A185 07300 00700
Drugs Charged to Patients - SNF $7,178 2013 D00E185 07300 00700
Drugs Charged to Patients - Hospital $4,548 2013 D00A185 07300 00700
Drugs Charged to Patients - SNF $4,110 2014 D00E185 07300 00700
Drugs Charged to Patients - Hospital $3,025 2014 D00A185 07300 00700
Drugs Charged to Patients - SNF $990 2016 D00E185 07300 00700
Drugs Charged to Patients - SNF $475 2015 D00E185 07300 00700

FREMONT HEALTH MEDICAL CENTER- Patient Revenues, INTENSIVE CARE TYPE INPATIENT HOSPITAL SERVICES, REVENUE-INPATIENT, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Intensive care unit $2,693,211 2015 G200000 01100 00100
Intensive care unit $1,664,541 2013 G200000 01100 00100
Intensive care unit $1,231,125 2014 G200000 01100 00100

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - Hospital $4,868 2013 D10A181 00900 00100
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - Hospital $4,688 2016 D10A181 00900 00100
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - Hospital $4,671 2015 D10A181 00900 00100
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - Hospital $4,433 2014 D10A181 00900 00100

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, Total Cost, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Home Health Agency $2,044,430 2016 C000001 10100 00100
Home Health Agency $1,349,412 2014 C000001 10100 00100
Home Health Agency $1,332,456 2015 C000001 10100 00100
Home Health Agency $1,036,621 2013 C000001 10100 00100
Durable Medical Equipment-Rented $24,027 2014 C000001 09600 00100
Durable Medical Equipment-Rented $12,337 2013 C000001 09600 00100

FREMONT HEALTH MEDICAL CENTER- Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Total Program inpatient costs - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total Program inpatient costs - IPF $796,238 2016 D10B181 04900 00100

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, Program Charges - Cost Reimbursed Services Subject to Ded. & Coins, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Net Charges - Hospital $71,392 2015 D00A185 20200 00300
Subtotal - Hospital $71,392 2015 D00A185 20000 00300
Net Charges - Hospital $53,480 2013 D00A185 20200 00300
Subtotal - Hospital $53,480 2013 D00A185 20000 00300
Subtotal - Hospital $52,887 2016 D00A185 20000 00300
Net Charges - Hospital $52,887 2016 D00A185 20200 00300
Subtotal - Hospital $46,900 2014 D00A185 20000 00300
Net Charges - Hospital $46,900 2014 D00A185 20200 00300
Net Charges - SNF $139 2013 D00E185 20200 00300
Subtotal - SNF $139 2013 D00E185 20000 00300
Subtotal - SNF $-381 2015 D00E185 20000 00300
Net Charges - SNF $-381 2015 D00E185 20200 00300

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, Program Cost - Cost Reimbursed Services Not Subject to Ded. & Coins, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Net Charges - Hospital $42,788 2016 D00A185 20200 00700
Subtotal - Hospital $42,788 2016 D00A185 20000 00700
Net Charges - Hospital $33,650 2015 D00A185 20200 00700
Subtotal - Hospital $33,650 2015 D00A185 20000 00700
Subtotal - SNF $7,178 2013 D00E185 20000 00700
Net Charges - SNF $7,178 2013 D00E185 20200 00700
Subtotal - Hospital $4,548 2013 D00A185 20000 00700
Net Charges - Hospital $4,548 2013 D00A185 20200 00700
Subtotal - SNF $4,110 2014 D00E185 20000 00700
Net Charges - SNF $4,110 2014 D00E185 20200 00700
Subtotal - Hospital $3,025 2014 D00A185 20000 00700
Net Charges - Hospital $3,025 2014 D00A185 20200 00700
Net Charges - SNF $990 2016 D00E185 20200 00700
Subtotal - SNF $990 2016 D00E185 20000 00700
Net Charges - SNF $475 2015 D00E185 20200 00700
Subtotal - SNF $475 2015 D00E185 20000 00700

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Total Costs, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Operating Room $9,524,280 2016 C000001 05000 00500
Operating Room $9,524,280 2016 C000001 05000 00300
Operating Room $9,456,298 2015 C000001 05000 00500
Operating Room $9,456,298 2015 C000001 05000 00300
Operating Room $8,625,804 2014 C000001 05000 00500
Operating Room $8,625,804 2014 C000001 05000 00300
Operating Room $6,741,916 2013 C000001 05000 00300
Operating Room $6,741,916 2013 C000001 05000 00500
Laboratory $6,491,476 2014 C000001 06000 00300
Laboratory $6,491,476 2014 C000001 06000 00500
Laboratory $6,475,106 2013 C000001 06000 00500
Laboratory $6,475,106 2013 C000001 06000 00300
Laboratory $6,337,103 2015 C000001 06000 00500
Laboratory $6,337,103 2015 C000001 06000 00300
Drugs Charged to Patients $6,302,373 2016 C000001 07300 00500
Drugs Charged to Patients $6,302,373 2016 C000001 07300 00300
Radiology-Diagnostic $5,967,725 2014 C000001 05400 00300
Radiology-Diagnostic $5,967,725 2014 C000001 05400 00500
Radiology-Diagnostic $5,786,564 2015 C000001 05400 00500
Radiology-Diagnostic $5,786,564 2015 C000001 05400 00300
Laboratory $5,758,685 2016 C000001 06000 00300
Laboratory $5,758,685 2016 C000001 06000 00500
Radiology-Diagnostic $5,670,539 2016 C000001 05400 00300
Radiology-Diagnostic $5,670,539 2016 C000001 05400 00500
Radiology-Diagnostic $5,575,077 2013 C000001 05400 00500
Radiology-Diagnostic $5,575,077 2013 C000001 05400 00300
Respiratory Therapy $5,065,506 2015 C000001 06500 00300
Respiratory Therapy $5,065,506 2015 C000001 06500 00500
Drugs Charged to Patients $5,020,595 2015 C000001 07300 00500
Drugs Charged to Patients $5,020,595 2015 C000001 07300 00300
Respiratory Therapy $4,936,110 2016 C000001 06500 00300
Respiratory Therapy $4,936,110 2016 C000001 06500 00500
Respiratory Therapy $4,583,950 2014 C000001 06500 00300
Respiratory Therapy $4,583,950 2014 C000001 06500 00500
Respiratory Therapy $4,522,437 2013 C000001 06500 00300
Respiratory Therapy $4,522,437 2013 C000001 06500 00500
Drugs Charged to Patients $4,376,486 2014 C000001 07300 00500
Drugs Charged to Patients $4,376,486 2014 C000001 07300 00300
Implantable Devices Charged to Patients $4,364,800 2015 C000001 07200 00300
Implantable Devices Charged to Patients $4,364,800 2015 C000001 07200 00500
Drugs Charged to Patients $4,223,298 2013 C000001 07300 00300
Drugs Charged to Patients $4,223,298 2013 C000001 07300 00500
Implantable Devices Charged to Patients $3,566,474 2016 C000001 07200 00300
Implantable Devices Charged to Patients $3,566,474 2016 C000001 07200 00500
Implantable Devices Charged to Patients $3,558,331 2014 C000001 07200 00300
Implantable Devices Charged to Patients $3,558,331 2014 C000001 07200 00500
Implantable Devices Charged to Patients $3,172,228 2013 C000001 07200 00500
Implantable Devices Charged to Patients $3,172,228 2013 C000001 07200 00300
Physical Therapy $3,093,914 2014 C000001 06600 00500
Physical Therapy $3,093,914 2014 C000001 06600 00300
Physical Therapy $3,007,899 2013 C000001 06600 00500
Physical Therapy $3,007,899 2013 C000001 06600 00300
Physical Therapy $2,995,516 2015 C000001 06600 00500
Physical Therapy $2,995,516 2015 C000001 06600 00300
Physical Therapy $2,815,873 2016 C000001 06600 00500
Physical Therapy $2,815,873 2016 C000001 06600 00300
Medical Supplies Charged to Patients $2,449,414 2014 C000001 07100 00500
Medical Supplies Charged to Patients $2,449,414 2014 C000001 07100 00300
Medical Supplies Charged to Patients $2,215,754 2013 C000001 07100 00300
Medical Supplies Charged to Patients $2,215,754 2013 C000001 07100 00500
Recovery Room $2,185,287 2015 C000001 05100 00500
Recovery Room $2,185,287 2015 C000001 05100 00300
Recovery Room $2,135,640 2014 C000001 05100 00300
Recovery Room $2,135,640 2014 C000001 05100 00500
Medical Supplies Charged to Patients $2,078,386 2016 C000001 07100 00300
Medical Supplies Charged to Patients $2,078,386 2016 C000001 07100 00500
Recovery Room $2,045,201 2013 C000001 05100 00300
Recovery Room $2,045,201 2013 C000001 05100 00500
Radiology-Therapeutic $1,930,018 2016 C000001 05500 00500
Radiology-Therapeutic $1,930,018 2016 C000001 05500 00300
Recovery Room $1,880,036 2016 C000001 05100 00300
Recovery Room $1,880,036 2016 C000001 05100 00500
Radiology-Therapeutic $1,867,309 2015 C000001 05500 00500
Radiology-Therapeutic $1,867,309 2015 C000001 05500 00300
Medical Supplies Charged to Patients $1,843,012 2015 C000001 07100 00500
Medical Supplies Charged to Patients $1,843,012 2015 C000001 07100 00300
Radiology-Therapeutic $1,802,084 2014 C000001 05500 00500
Radiology-Therapeutic $1,802,084 2014 C000001 05500 00300
Radiology-Therapeutic $1,766,733 2013 C000001 05500 00500
Radiology-Therapeutic $1,766,733 2013 C000001 05500 00300
Labor Room and Delivery Room $1,721,222 2016 C000001 05200 00500
Labor Room and Delivery Room $1,721,222 2016 C000001 05200 00300
Occupational Therapy $1,610,537 2014 C000001 06700 00500
Occupational Therapy $1,610,537 2014 C000001 06700 00300
Occupational Therapy $1,566,815 2013 C000001 06700 00500
Occupational Therapy $1,566,815 2013 C000001 06700 00300
Occupational Therapy $1,553,465 2015 C000001 06700 00300
Occupational Therapy $1,553,465 2015 C000001 06700 00500
Occupational Therapy $1,297,752 2016 C000001 06700 00500
Occupational Therapy $1,297,752 2016 C000001 06700 00300
Labor Room and Delivery Room $856,705 2015 C000001 05200 00300
Labor Room and Delivery Room $856,705 2015 C000001 05200 00500
Labor Room and Delivery Room $839,376 2014 C000001 05200 00300
Labor Room and Delivery Room $839,376 2014 C000001 05200 00500
Labor Room and Delivery Room $748,603 2013 C000001 05200 00300
Labor Room and Delivery Room $748,603 2013 C000001 05200 00500
Anesthesiology $657,044 2015 C000001 05300 00300
Anesthesiology $657,044 2015 C000001 05300 00500
Anesthesiology $394,388 2016 C000001 05300 00300
Anesthesiology $394,388 2016 C000001 05300 00500
Anesthesiology $322,374 2014 C000001 05300 00500
Anesthesiology $322,374 2014 C000001 05300 00300
Anesthesiology $300,206 2013 C000001 05300 00500
Anesthesiology $300,206 2013 C000001 05300 00300
Speech Patholog $208,922 2015 C000001 06800 00300
Speech Patholog $208,922 2015 C000001 06800 00500
Speech Patholog $183,934 2013 C000001 06800 00300
Speech Patholog $183,934 2013 C000001 06800 00500
Speech Patholog $183,887 2016 C000001 06800 00300
Speech Patholog $183,887 2016 C000001 06800 00500
Speech Patholog $164,038 2014 C000001 06800 00500
Speech Patholog $164,038 2014 C000001 06800 00300

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, Cost to Charge Ratio, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Clinic - SNF $1 2016 D00E185 09000 00100
Clinic - Hospital $1 2016 D00A185 09000 00100
Observation Bed - Hospital $1 2015 D00A185 09200 00100
Observation Bed - SNF $1 2015 D00E185 09200 00100
Clinic - Hospital $1 2015 D00A185 09000 00100
Clinic - SNF $1 2015 D00E185 09000 00100
Observation Bed - SNF $1 2013 D00E185 09200 00100
Observation Bed - Hospital $1 2013 D00A185 09200 00100
Observation Bed - SNF $1 2014 D00E185 09200 00100
Observation Bed - Hospital $1 2014 D00A185 09200 00100

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, Total Cost, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Clinic $21,223,829 2016 C000001 09000 00100
Clinic $9,100,536 2015 C000001 09000 00100
Emergency $4,889,812 2016 C000001 09100 00100
Emergency $3,881,481 2013 C000001 09100 00100
Emergency $3,807,755 2015 C000001 09100 00100
Emergency $3,651,502 2014 C000001 09100 00100
Clinic $3,607,905 2014 C000001 09000 00100
Clinic $3,295,314 2013 C000001 09000 00100
Observation Beds $2,237,458 2015 C000001 09200 00100
Observation Beds $1,786,821 2016 C000001 09200 00100
Observation Beds $1,564,643 2014 C000001 09200 00100
Observation Beds $1,280,375 2013 C000001 09200 00100

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Total Charges, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Radiology-Diagnostic - Hospital $50,102,641 2016 D00A184 05400 00700
Radiology-Diagnostic - IPF $50,102,641 2016 D00B184 05400 00700
Radiology-Diagnostic - SNF $50,102,641 2016 D00E184 05400 00700
Radiology-Diagnostic - SNF $46,663,923 2015 D00E184 05400 00700
Radiology-Diagnostic - Hospital $46,663,923 2015 D00A184 05400 00700
Radiology-Diagnostic - SNF $43,941,996 2014 D00E184 05400 00700
Radiology-Diagnostic - Hospital $43,941,996 2014 D00A184 05400 00700
Radiology-Diagnostic - Hospital $42,122,964 2013 D00A184 05400 00700
Radiology-Diagnostic - SNF $42,122,964 2013 D00E184 05400 00700
Drugs Charged to Patients - SNF $35,042,070 2016 D00E184 07300 00700
Drugs Charged to Patients - IPF $35,042,070 2016 D00B184 07300 00700
Drugs Charged to Patients - Hospital $35,042,070 2016 D00A184 07300 00700
Drugs Charged to Patients - SNF $34,265,163 2015 D00E184 07300 00700
Drugs Charged to Patients - Hospital $34,265,163 2015 D00A184 07300 00700
Drugs Charged to Patients - Hospital $27,722,383 2013 D00A184 07300 00700
Drugs Charged to Patients - SNF $27,722,383 2013 D00E184 07300 00700
Drugs Charged to Patients - SNF $27,631,539 2014 D00E184 07300 00700
Drugs Charged to Patients - Hospital $27,631,539 2014 D00A184 07300 00700
Respiratory Therapy - Hospital $25,960,605 2016 D00A184 06500 00700
Respiratory Therapy - IPF $25,960,605 2016 D00B184 06500 00700
Respiratory Therapy - SNF $25,960,605 2016 D00E184 06500 00700
Laboratory - Hospital $24,824,757 2016 D00A184 06000 00700
Laboratory - IPF $24,824,757 2016 D00B184 06000 00700
Laboratory - SNF $24,824,757 2016 D00E184 06000 00700
Respiratory Therapy - Hospital $23,495,443 2015 D00A184 06500 00700
Respiratory Therapy - SNF $23,495,443 2015 D00E184 06500 00700
Operating Room - Hospital $22,569,682 2016 D00A184 05000 00700
Operating Room - SNF $22,569,682 2016 D00E184 05000 00700
Operating Room - IPF $22,569,682 2016 D00B184 05000 00700
Respiratory Therapy - Hospital $21,701,177 2014 D00A184 06500 00700
Respiratory Therapy - SNF $21,701,177 2014 D00E184 06500 00700
Laboratory - Hospital $21,584,375 2015 D00A184 06000 00700
Laboratory - SNF $21,584,375 2015 D00E184 06000 00700
Operating Room - Hospital $21,183,802 2014 D00A184 05000 00700
Operating Room - SNF $21,183,802 2014 D00E184 05000 00700
Operating Room - Hospital $20,834,672 2015 D00A184 05000 00700
Operating Room - SNF $20,834,672 2015 D00E184 05000 00700
Respiratory Therapy - SNF $20,624,515 2013 D00E184 06500 00700
Respiratory Therapy - Hospital $20,624,515 2013 D00A184 06500 00700
Laboratory - Hospital $18,370,380 2014 D00A184 06000 00700
Laboratory - SNF $18,370,380 2014 D00E184 06000 00700
Laboratory - Hospital $17,750,112 2013 D00A184 06000 00700
Laboratory - SNF $17,750,112 2013 D00E184 06000 00700
Operating Room - SNF $16,437,354 2013 D00E184 05000 00700
Operating Room - Hospital $16,437,354 2013 D00A184 05000 00700
Medical Supplies Charged To Patients - Hospital $16,345,975 2015 D00A184 07100 00700
Medical Supplies Charged To Patients - SNF $16,345,975 2015 D00E184 07100 00700
Medical Supplies Charged To Patients - IPF $15,087,421 2016 D00B184 07100 00700
Medical Supplies Charged To Patients - SNF $15,087,421 2016 D00E184 07100 00700
Medical Supplies Charged To Patients - Hospital $15,087,421 2016 D00A184 07100 00700
Implantable Devices Charged to Patients - SNF $15,040,691 2016 D00E184 07200 00700
Implantable Devices Charged to Patients - Hospital $15,040,691 2016 D00A184 07200 00700
Implantable Devices Charged to Patients - IPF $15,040,691 2016 D00B184 07200 00700
Implantable Devices Charged to Patients - Hospital $14,019,427 2015 D00A184 07200 00700
Implantable Devices Charged to Patients - SNF $14,019,427 2015 D00E184 07200 00700
Medical Supplies Charged To Patients - SNF $13,856,363 2013 D00E184 07100 00700
Medical Supplies Charged To Patients - Hospital $13,856,363 2013 D00A184 07100 00700
Medical Supplies Charged To Patients - Hospital $13,718,724 2014 D00A184 07100 00700
Medical Supplies Charged To Patients - SNF $13,718,724 2014 D00E184 07100 00700
Implantable Devices Charged to Patients - SNF $11,156,341 2013 D00E184 07200 00700
Implantable Devices Charged to Patients - Hospital $11,156,341 2013 D00A184 07200 00700
Implantable Devices Charged to Patients - SNF $10,758,266 2014 D00E184 07200 00700
Implantable Devices Charged to Patients - Hospital $10,758,266 2014 D00A184 07200 00700
Physical Therapy - Hospital $7,442,391 2015 D00A184 06600 00700
Physical Therapy - SNF $7,442,391 2015 D00E184 06600 00700
Radiology-Therapeutic - Hospital $7,119,194 2015 D00A184 05500 00700
Radiology-Therapeutic - SNF $7,119,194 2015 D00E184 05500 00700
Physical Therapy - IPF $6,687,754 2016 D00B184 06600 00700
Physical Therapy - Hospital $6,687,754 2016 D00A184 06600 00700
Physical Therapy - SNF $6,687,754 2016 D00E184 06600 00700
Radiology-Therapeutic - Hospital $6,574,967 2016 D00A184 05500 00700
Radiology-Therapeutic - IPF $6,574,967 2016 D00B184 05500 00700
Radiology-Therapeutic - SNF $6,574,967 2016 D00E184 05500 00700
Physical Therapy - SNF $6,234,391 2014 D00E184 06600 00700
Physical Therapy - Hospital $6,234,391 2014 D00A184 06600 00700
Radiology-Therapeutic - SNF $6,005,139 2014 D00E184 05500 00700
Radiology-Therapeutic - Hospital $6,005,139 2014 D00A184 05500 00700
Physical Therapy - SNF $5,727,501 2013 D00E184 06600 00700
Physical Therapy - Hospital $5,727,501 2013 D00A184 06600 00700
Radiology-Therapeutic - SNF $4,698,029 2013 D00E184 05500 00700
Radiology-Therapeutic - Hospital $4,698,029 2013 D00A184 05500 00700
Occupational Therapy - SNF $4,265,899 2016 D00E184 06700 00700
Occupational Therapy - Hospital $4,265,899 2016 D00A184 06700 00700
Occupational Therapy - IPF $4,265,899 2016 D00B184 06700 00700
Occupational Therapy - SNF $4,212,673 2015 D00E184 06700 00700
Occupational Therapy - Hospital $4,212,673 2015 D00A184 06700 00700
Occupational Therapy - Hospital $3,692,153 2013 D00A184 06700 00700
Occupational Therapy - SNF $3,692,153 2013 D00E184 06700 00700
Occupational Therapy - SNF $3,605,669 2014 D00E184 06700 00700
Occupational Therapy - Hospital $3,605,669 2014 D00A184 06700 00700
Recovery Room - Hospital $3,010,166 2016 D00A184 05100 00700
Recovery Room - IPF $3,010,166 2016 D00B184 05100 00700
Recovery Room - SNF $3,010,166 2016 D00E184 05100 00700
Anesthesiology - SNF $2,984,847 2015 D00E184 05300 00700
Anesthesiology - Hospital $2,984,847 2015 D00A184 05300 00700
Anesthesiology - IPF $2,971,197 2016 D00B184 05300 00700
Anesthesiology - SNF $2,971,197 2016 D00E184 05300 00700
Anesthesiology - Hospital $2,971,197 2016 D00A184 05300 00700
Recovery Room - SNF $2,782,434 2015 D00E184 05100 00700
Recovery Room - Hospital $2,782,434 2015 D00A184 05100 00700
Anesthesiology - SNF $2,636,202 2014 D00E184 05300 00700
Anesthesiology - Hospital $2,636,202 2014 D00A184 05300 00700
Recovery Room - SNF $2,505,366 2014 D00E184 05100 00700
Recovery Room - Hospital $2,505,366 2014 D00A184 05100 00700
Anesthesiology - Hospital $2,420,782 2013 D00A184 05300 00700
Anesthesiology - SNF $2,420,782 2013 D00E184 05300 00700
Recovery Room - SNF $2,405,627 2013 D00E184 05100 00700
Recovery Room - Hospital $2,405,627 2013 D00A184 05100 00700
Labor room and Delivery Room - Hospital $851,381 2016 D00A184 05200 00700
Labor room and Delivery Room - IPF $851,381 2016 D00B184 05200 00700
Labor room and Delivery Room - SNF $851,381 2016 D00E184 05200 00700
Labor room and Delivery Room - SNF $811,314 2014 D00E184 05200 00700
Labor room and Delivery Room - Hospital $811,314 2014 D00A184 05200 00700
Labor room and Delivery Room - Hospital $759,051 2015 D00A184 05200 00700
Labor room and Delivery Room - SNF $759,051 2015 D00E184 05200 00700
Labor room and Delivery Room - Hospital $732,365 2013 D00A184 05200 00700
Labor room and Delivery Room - SNF $732,365 2013 D00E184 05200 00700
Speech Pathology - Hospital $419,906 2016 D00A184 06800 00700
Speech Pathology - IPF $419,906 2016 D00B184 06800 00700
Speech Pathology - SNF $419,906 2016 D00E184 06800 00700
Speech Pathology - Hospital $408,142 2013 D00A184 06800 00700
Speech Pathology - SNF $408,142 2013 D00E184 06800 00700
Speech Pathology - Hospital $354,482 2015 D00A184 06800 00700
Speech Pathology - SNF $354,482 2015 D00E184 06800 00700
Speech Pathology - Hospital $306,264 2014 D00A184 06800 00700
Speech Pathology - SNF $306,264 2014 D00E184 06800 00700

FREMONT HEALTH MEDICAL CENTER- Costs, SPECIAL PURPOSE COST CENTERS, TOTAL, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
SUBTOTALS $105,966,629 2016 B000001 11800 02600
SUBTOTALS $91,389,608 2015 B000001 11800 02600
SUBTOTALS $78,086,109 2014 B000001 11800 02600
SUBTOTALS $74,852,672 2013 B000001 11800 02600
Hospice $1,522,457 2015 B000001 11600 02600
Hospice $1,412,028 2016 B000001 11600 02600
Hospice $1,272,692 2014 B000001 11600 02600
Hospice $1,258,342 2013 B000001 11600 02600

FREMONT HEALTH MEDICAL CENTER- Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Program general inpatient routine service cost - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Program general inpatient routine service cost - IPF $708,849 2016 D10B181 03900 00100

FREMONT HEALTH MEDICAL CENTER- Days, IPPS Hospital, Other Medicaid days, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Other Medicaid days 22 2013 S200001 02400 00600

FREMONT HEALTH MEDICAL CENTER- Costs, PASS-THROUGH COST ADJUSTMENTS, Total Program excludable cost - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total Program excludable cost - IPF $101,418 2016 D10B181 05200 00100

FREMONT HEALTH MEDICAL CENTER- Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Program inpatient ancillary service cost - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Program inpatient ancillary service cost - IPF $87,389 2016 D10B181 04800 00100

FREMONT HEALTH MEDICAL CENTER- Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Total Program general inpatient routine service cost - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total Program general inpatient routine service cost - Hospital $7,690,334 2015 D10A181 04100 00100
Total Program general inpatient routine service cost - Hospital $6,465,629 2013 D10A181 04100 00100
Total Program general inpatient routine service cost - Hospital $5,918,144 2014 D10A181 04100 00100
Total Program general inpatient routine service cost - Hospital $5,749,223 2016 D10A181 04100 00100

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Inpatient Program Charges, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Drugs Charged to Patients - Hospital $9,241,239 2014 D00A184 07300 01000
Drugs Charged to Patients - Hospital $9,097,641 2013 D00A184 07300 01000
Drugs Charged to Patients - Hospital $8,840,727 2015 D00A184 07300 01000
Drugs Charged to Patients - Hospital $8,289,607 2016 D00A184 07300 01000
Respiratory Therapy - Hospital $5,874,334 2014 D00A184 06500 01000
Respiratory Therapy - Hospital $5,293,607 2015 D00A184 06500 01000
Respiratory Therapy - Hospital $5,131,750 2013 D00A184 06500 01000
Respiratory Therapy - Hospital $4,877,545 2016 D00A184 06500 01000
Laboratory - Hospital $4,727,317 2016 D00A184 06000 01000
Implantable Devices Charged to Patients - Hospital $4,561,138 2013 D00A184 07200 01000
Laboratory - Hospital $4,335,074 2015 D00A184 06000 01000
Laboratory - Hospital $4,327,025 2013 D00A184 06000 01000
Medical Supplies Charged To Patients - Hospital $4,243,910 2015 D00A184 07100 01000
Medical Supplies Charged To Patients - Hospital $4,237,943 2016 D00A184 07100 01000
Medical Supplies Charged To Patients - Hospital $4,168,255 2013 D00A184 07100 01000
Radiology-Diagnostic - Hospital $4,124,728 2013 D00A184 05400 01000
Laboratory - Hospital $4,022,389 2014 D00A184 06000 01000
Implantable Devices Charged to Patients - Hospital $3,995,987 2015 D00A184 07200 01000
Medical Supplies Charged To Patients - Hospital $3,987,337 2014 D00A184 07100 01000
Radiology-Diagnostic - Hospital $3,935,441 2016 D00A184 05400 01000
Implantable Devices Charged to Patients - Hospital $3,870,803 2016 D00A184 07200 01000
Radiology-Diagnostic - Hospital $3,790,249 2014 D00A184 05400 01000
Radiology-Diagnostic - Hospital $3,722,805 2015 D00A184 05400 01000
Implantable Devices Charged to Patients - Hospital $3,451,097 2014 D00A184 07200 01000
Operating Room - Hospital $3,380,580 2013 D00A184 05000 01000
Operating Room - Hospital $3,348,937 2016 D00A184 05000 01000
Operating Room - Hospital $3,284,661 2015 D00A184 05000 01000
Operating Room - Hospital $3,178,656 2014 D00A184 05000 01000
Occupational Therapy - SNF $1,376,745 2013 D00E184 06700 01000
Physical Therapy - SNF $1,293,442 2013 D00E184 06600 01000
Occupational Therapy - SNF $1,151,220 2015 D00E184 06700 01000
Physical Therapy - SNF $1,095,547 2015 D00E184 06600 01000
Occupational Therapy - SNF $1,088,856 2016 D00E184 06700 01000
Physical Therapy - SNF $1,051,309 2016 D00E184 06600 01000
Physical Therapy - SNF $936,092 2014 D00E184 06600 01000
Occupational Therapy - SNF $930,613 2014 D00E184 06700 01000
Anesthesiology - Hospital $526,837 2013 D00A184 05300 01000
Physical Therapy - Hospital $509,597 2014 D00A184 06600 01000
Physical Therapy - Hospital $508,703 2015 D00A184 06600 01000
Anesthesiology - Hospital $503,570 2016 D00A184 05300 01000
Anesthesiology - Hospital $498,414 2015 D00A184 05300 01000
Physical Therapy - Hospital $494,049 2016 D00A184 06600 01000
Anesthesiology - Hospital $493,854 2014 D00A184 05300 01000
Physical Therapy - Hospital $453,389 2013 D00A184 06600 01000
Occupational Therapy - Hospital $393,674 2016 D00A184 06700 01000
Occupational Therapy - Hospital $307,584 2015 D00A184 06700 01000
Recovery Room - Hospital $295,746 2016 D00A184 05100 01000
Recovery Room - Hospital $295,540 2013 D00A184 05100 01000
Recovery Room - Hospital $263,966 2014 D00A184 05100 01000
Occupational Therapy - Hospital $260,705 2014 D00A184 06700 01000
Occupational Therapy - Hospital $243,071 2013 D00A184 06700 01000
Recovery Room - Hospital $242,462 2015 D00A184 05100 01000
Drugs Charged to Patients - IPF $222,011 2016 D00B184 07300 01000
Drugs Charged to Patients - SNF $196,680 2013 D00E184 07300 01000
Speech Pathology - SNF $174,312 2013 D00E184 06800 01000
Medical Supplies Charged To Patients - SNF $162,888 2013 D00E184 07100 01000
Drugs Charged to Patients - SNF $155,751 2016 D00E184 07300 01000
Drugs Charged to Patients - SNF $151,080 2015 D00E184 07300 01000
Drugs Charged to Patients - SNF $126,089 2014 D00E184 07300 01000
Speech Pathology - SNF $106,938 2016 D00E184 06800 01000
Laboratory - IPF $106,722 2016 D00B184 06000 01000
Medical Supplies Charged To Patients - SNF $106,106 2016 D00E184 07100 01000
Medical Supplies Charged To Patients - SNF $102,846 2014 D00E184 07100 01000
Medical Supplies Charged To Patients - SNF $95,550 2015 D00E184 07100 01000
Speech Pathology - Hospital $76,196 2015 D00A184 06800 01000
Speech Pathology - Hospital $75,360 2014 D00A184 06800 01000
Speech Pathology - Hospital $68,947 2016 D00A184 06800 01000
Speech Pathology - Hospital $67,279 2013 D00A184 06800 01000
Speech Pathology - SNF $66,036 2015 D00E184 06800 01000
Speech Pathology - SNF $58,178 2014 D00E184 06800 01000
Radiology-Therapeutic - Hospital $56,790 2014 D00A184 05500 01000
Medical Supplies Charged To Patients - IPF $26,948 2016 D00B184 07100 01000
Radiology-Therapeutic - Hospital $20,765 2016 D00A184 05500 01000
Respiratory Therapy - IPF $10,874 2016 D00B184 06500 01000
Radiology-Diagnostic - IPF $10,037 2016 D00B184 05400 01000
Occupational Therapy - IPF $9,786 2016 D00B184 06700 01000
Physical Therapy - IPF $7,210 2016 D00B184 06600 01000
Radiology-Therapeutic - Hospital $3,670 2013 D00A184 05500 01000
Labor room and Delivery Room - Hospital $2,896 2016 D00A184 05200 01000
Labor room and Delivery Room - Hospital $2,694 2015 D00A184 05200 01000
Labor room and Delivery Room - Hospital $2,517 2014 D00A184 05200 01000
Radiology-Therapeutic - Hospital $2,408 2015 D00A184 05500 01000
Labor room and Delivery Room - Hospital $2,112 2013 D00A184 05200 01000
Speech Pathology - IPF $1,252 2016 D00B184 06800 01000
Operating Room - IPF $1,149 2016 D00B184 05000 01000
Radiology-Diagnostic - SNF $1,107 2016 D00E184 05400 01000
Respiratory Therapy - SNF $840 2013 D00E184 06500 01000

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF INPATIENT OPERATING COST, Program inpatient ancillary services - SNF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Program inpatient ancillary services - SNF $1,398,265 2013 D10E181 08400 00100
Program inpatient ancillary services - SNF $949,721 2014 D10E181 08400 00100
Program inpatient ancillary services - SNF $937,305 2015 D10E181 08400 00100
Program inpatient ancillary services - SNF $863,484 2016 D10E181 08400 00100

FREMONT HEALTH MEDICAL CENTER- Patient Revenues, Total patient revenues, Net income from service to patients, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Net income from service to patients $671,651 2014 G300000 00500 00100
Net income from service to patients $-1,040,620 2016 G300000 00500 00100
Net income from service to patients $-3,629,889 2013 G300000 00500 00100
Net income from service to patients $-7,099,791 2015 G300000 00500 00100

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Program Charges - PPS Reimbursed Services, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Radiology-Diagnostic - Hospital $19,803,016 2016 D00A185 05400 00200
Radiology-Diagnostic - Hospital $17,714,793 2015 D00A185 05400 00200
Radiology-Diagnostic - Hospital $16,404,742 2014 D00A185 05400 00200
Radiology-Diagnostic - Hospital $15,218,064 2013 D00A185 05400 00200
Drugs Charged to Patients - Hospital $9,151,874 2016 D00A185 07300 00200
Drugs Charged to Patients - Hospital $8,272,557 2015 D00A185 07300 00200
Respiratory Therapy - Hospital $7,812,657 2016 D00A185 06500 00200
Implantable Devices Charged to Patients - Hospital $7,720,370 2016 D00A185 07200 00200
Respiratory Therapy - Hospital $7,037,776 2015 D00A185 06500 00200
Respiratory Therapy - Hospital $6,589,876 2014 D00A185 06500 00200
Drugs Charged to Patients - Hospital $6,499,999 2014 D00A185 07300 00200
Operating Room - Hospital $5,873,163 2016 D00A185 05000 00200
Respiratory Therapy - Hospital $5,682,476 2013 D00A185 06500 00200
Operating Room - Hospital $5,615,697 2015 D00A185 05000 00200
Drugs Charged to Patients - Hospital $5,590,423 2013 D00A185 07300 00200
Implantable Devices Charged to Patients - Hospital $5,345,653 2015 D00A185 07200 00200
Radiology-Therapeutic - Hospital $5,345,162 2015 D00A185 05500 00200
Laboratory - Hospital $5,293,735 2016 D00A185 06000 00200
Operating Room - Hospital $4,871,827 2014 D00A185 05000 00200
Laboratory - Hospital $4,286,424 2015 D00A185 06000 00200
Radiology-Therapeutic - Hospital $3,235,860 2016 D00A185 05500 00200
Radiology-Therapeutic - Hospital $3,201,111 2014 D00A185 05500 00200
Laboratory - Hospital $3,173,551 2014 D00A185 06000 00200
Operating Room - Hospital $3,172,932 2013 D00A185 05000 00200
Medical Supplies Charged To Patients - Hospital $3,045,416 2016 D00A185 07100 00200
Radiology-Therapeutic - Hospital $2,927,501 2013 D00A185 05500 00200
Implantable Devices Charged to Patients - Hospital $2,908,937 2013 D00A185 07200 00200
Implantable Devices Charged to Patients - Hospital $2,826,701 2014 D00A185 07200 00200
Medical Supplies Charged To Patients - Hospital $2,737,193 2015 D00A185 07100 00200
Medical Supplies Charged To Patients - Hospital $2,410,910 2014 D00A185 07100 00200
Medical Supplies Charged To Patients - Hospital $2,177,253 2013 D00A185 07100 00200
Laboratory - Hospital $1,704,494 2013 D00A185 06000 00200
Recovery Room - Hospital $941,080 2016 D00A185 05100 00200
Recovery Room - Hospital $860,538 2015 D00A185 05100 00200
Recovery Room - Hospital $742,793 2014 D00A185 05100 00200
Recovery Room - Hospital $694,011 2013 D00A185 05100 00200
Anesthesiology - Hospital $591,044 2015 D00A185 05300 00200
Anesthesiology - Hospital $571,132 2016 D00A185 05300 00200
Anesthesiology - Hospital $458,446 2014 D00A185 05300 00200
Anesthesiology - Hospital $395,528 2013 D00A185 05300 00200
Physical Therapy - Hospital $45,186 2016 D00A185 06600 00200
Occupational Therapy - Hospital $36,012 2016 D00A185 06700 00200
Physical Therapy - Hospital $16,960 2015 D00A185 06600 00200
Occupational Therapy - Hospital $13,304 2015 D00A185 06700 00200
Speech Pathology - Hospital $2,955 2016 D00A185 06800 00200
Speech Pathology - Hospital $1,790 2015 D00A185 06800 00200
Labor & Delivery Room - Hospital $1,667 2013 D00A185 05200 00200
Speech Pathology - Hospital $529 2014 D00A185 06800 00200
Labor & Delivery Room - Hospital $415 2015 D00A185 05200 00200

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, TOTAL, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Clinic $21,223,829 2016 B000001 09000 02600
Clinic $9,100,536 2015 B000001 09000 02600
Emergency $4,889,812 2016 B000001 09100 02600
Emergency $3,881,481 2013 B000001 09100 02600
Emergency $3,807,755 2015 B000001 09100 02600
Emergency $3,651,502 2014 B000001 09100 02600
Clinic $3,607,905 2014 B000001 09000 02600
Clinic $3,295,314 2013 B000001 09000 02600

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF INPATIENT OPERATING COST, Total observation bed days - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total observation bed days - Hospital $1,457 2016 D10A181 08700 00100
Total observation bed days - Hospital $1,359 2015 D10A181 08700 00100
Total observation bed days - Hospital $1,172 2014 D10A181 08700 00100
Total observation bed days - Hospital $964 2013 D10A181 08700 00100

FREMONT HEALTH MEDICAL CENTER- Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Total Program inpatient costs - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total Program inpatient costs - Hospital $16,257,389 2015 D10A181 04900 00100
Total Program inpatient costs - Hospital $15,819,171 2013 D10A181 04900 00100
Total Program inpatient costs - Hospital $15,031,935 2014 D10A181 04900 00100
Total Program inpatient costs - Hospital $13,830,029 2016 D10A181 04900 00100

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, NURSING ADMINIS - TRATION, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Operating Room $387,225 2013 B000001 05000 01300
Operating Room $349,133 2014 B000001 05000 01300
Operating Room $283,257 2015 B000001 05000 01300
Operating Room $274,225 2016 B000001 05000 01300
Recovery Room $178,629 2014 B000001 05100 01300
Recovery Room $155,529 2013 B000001 05100 01300
Recovery Room $150,431 2015 B000001 05100 01300
Labor Room and Delivery Room $91,286 2014 B000001 05200 01300
Recovery Room $90,939 2016 B000001 05100 01300
Labor Room and Delivery Room $86,745 2016 B000001 05200 01300
Labor Room and Delivery Room $64,375 2015 B000001 05200 01300
Labor Room and Delivery Room $62,371 2013 B000001 05200 01300

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, NURSING ADMINIS - TRATION, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Emergency $302,652 2014 B000001 09100 01300
Emergency $263,280 2013 B000001 09100 01300
Emergency $261,352 2015 B000001 09100 01300
Emergency $218,513 2016 B000001 09100 01300
Clinic $185,328 2014 B000001 09000 01300
Clinic $154,844 2013 B000001 09000 01300
Clinic $128,861 2015 B000001 09000 01300
Clinic $106,149 2016 B000001 09000 01300

FREMONT HEALTH MEDICAL CENTER- Costs, Swing Bed Adjustment, Total general inpatient routine service cost - Hospital, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total general inpatient routine service cost - Hospital $16,235,149 2015 D10A181 02100 00100
Total general inpatient routine service cost - Hospital $12,366,792 2013 D10A181 02100 00100
Total general inpatient routine service cost - Hospital $11,570,637 2014 D10A181 02100 00100
Total general inpatient routine service cost - Hospital $11,287,480 2016 D10A181 02100 00100

FREMONT HEALTH MEDICAL CENTER- Costs, PASS-THROUGH COST ADJUSTMENTS, Total Program excludable cost - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total Program excludable cost - Hospital $1,546,228 2016 D10A181 05200 00100
Total Program excludable cost - Hospital $1,465,922 2015 D10A181 05200 00100
Total Program excludable cost - Hospital $1,422,603 2013 D10A181 05200 00100
Total Program excludable cost - Hospital $1,236,439 2014 D10A181 05200 00100

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, Total Costs, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Home Health Agency $2,044,430 2016 C000001 10100 00500
Home Health Agency $2,044,430 2016 C000001 10100 00300
Home Health Agency $1,349,412 2014 C000001 10100 00500
Home Health Agency $1,349,412 2014 C000001 10100 00300
Home Health Agency $1,332,456 2015 C000001 10100 00300
Home Health Agency $1,332,456 2015 C000001 10100 00500
Home Health Agency $1,036,621 2013 C000001 10100 00300
Home Health Agency $1,036,621 2013 C000001 10100 00500
Durable Medical Equipment-Rented $24,027 2014 C000001 09600 00500
Durable Medical Equipment-Rented $24,027 2014 C000001 09600 00300
Durable Medical Equipment-Rented $12,337 2013 C000001 09600 00300
Durable Medical Equipment-Rented $12,337 2013 C000001 09600 00500

FREMONT HEALTH MEDICAL CENTER- Costs, Average per Diem, Average Per Diem, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Intensive Care Unit - Hospital $438 2013 D10A181 04300 00300
Intensive Care Unit - Hospital $345 2014 D10A181 04300 00300

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF INPATIENT OPERATING COST, Reasonable inpatient routine service costs - SNF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Reasonable inpatient routine service costs - SNF $1,341,370 2016 D10E181 08300 00100
Reasonable inpatient routine service costs - SNF $1,322,996 2013 D10E181 08300 00100
Reasonable inpatient routine service costs - SNF $1,293,791 2015 D10E181 08300 00100
Reasonable inpatient routine service costs - SNF $948,090 2014 D10E181 08300 00100

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Inpatient days (including private room days and swing-bed days, excluding newborn) - SNF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Inpatient days (including private room days and swing-bed days, excluding newborn) - SNF $33,209 2013 D10E181 00100 00100
Inpatient days (including private room days and swing-bed days, excluding newborn) - SNF $31,090 2014 D10E181 00100 00100
Inpatient days (including private room days and swing-bed days, excluding newborn) - SNF $29,728 2015 D10E181 00100 00100
Inpatient days (including private room days and swing-bed days, excluding newborn) - SNF $28,841 2016 D10E181 00100 00100

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT ROUTINE SERVICE COST CENTERS, Total Cost, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Adults and Pediatrics $16,235,149 2015 C000001 03000 00100
Adults and Pediatrics $12,366,792 2013 C000001 03000 00100
Adults and Pediatrics $11,570,637 2014 C000001 03000 00100
Adults and Pediatrics $11,287,480 2016 C000001 03000 00100
Skilled Nursing Facility $11,278,797 2016 C000001 04400 00100
Skilled Nursing Facility $10,728,511 2015 C000001 04400 00100
Skilled Nursing Facility $9,792,659 2014 C000001 04400 00100
Skilled Nursing Facility $9,628,693 2013 C000001 04400 00100
Subprovider IPF $4,923,080 2016 C000001 04000 00100
Nursery $847,150 2016 C000001 04300 00100
Nursery $534,653 2014 C000001 04300 00100
Nursery $525,257 2013 C000001 04300 00100
Nursery $464,618 2015 C000001 04300 00100
Intensive Care Unit $302,628 2013 C000001 03100 00100
Intensive Care Unit $261,473 2014 C000001 03100 00100

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Inpatient days (including private room days and swing-bed days, excluding newborn) - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Inpatient days (including private room days and swing-bed days, excluding newborn) - Hospital $9,861 2015 D10A181 00100 00100
Inpatient days (including private room days and swing-bed days, excluding newborn) - Hospital $9,311 2013 D10A181 00100 00100
Inpatient days (including private room days and swing-bed days, excluding newborn) - Hospital $9,204 2016 D10A181 00100 00100
Inpatient days (including private room days and swing-bed days, excluding newborn) - Hospital $8,667 2014 D10A181 00100 00100

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Program Cost - Cost Reimbursed Services Subject to Ded. & Coins, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Laboratory - Hospital $432 2013 D00A185 06000 00600
Laboratory - Hospital $288 2014 D00A185 06000 00600
Drugs Charged to Patients - Hospital $69 2016 D00A185 07300 00600
Medical Supplies Charged To Patients - Hospital $66 2016 D00A185 07100 00600
Laboratory - SNF $51 2013 D00E185 06000 00600
Medical Supplies Charged To Patients - Hospital $17 2015 D00A185 07100 00600
Drugs Charged to Patients - SNF $-56 2015 D00E185 07300 00600

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Outpatient Program Charges, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Radiology-Diagnostic - Hospital $19,803,016 2016 D00A184 05400 01200
Radiology-Diagnostic - Hospital $17,714,793 2015 D00A184 05400 01200
Radiology-Diagnostic - Hospital $16,404,742 2014 D00A184 05400 01200
Radiology-Diagnostic - Hospital $15,218,064 2013 D00A184 05400 01200
Drugs Charged to Patients - Hospital $9,151,874 2016 D00A184 07300 01200
Drugs Charged to Patients - Hospital $8,272,557 2015 D00A184 07300 01200
Respiratory Therapy - Hospital $7,812,657 2016 D00A184 06500 01200
Implantable Devices Charged to Patients - Hospital $7,720,370 2016 D00A184 07200 01200
Respiratory Therapy - Hospital $7,037,776 2015 D00A184 06500 01200
Respiratory Therapy - Hospital $6,589,876 2014 D00A184 06500 01200
Drugs Charged to Patients - Hospital $6,499,999 2014 D00A184 07300 01200
Operating Room - Hospital $5,873,163 2016 D00A184 05000 01200
Respiratory Therapy - Hospital $5,682,476 2013 D00A184 06500 01200
Operating Room - Hospital $5,615,697 2015 D00A184 05000 01200
Drugs Charged to Patients - Hospital $5,590,423 2013 D00A184 07300 01200
Implantable Devices Charged to Patients - Hospital $5,345,653 2015 D00A184 07200 01200
Radiology-Therapeutic - Hospital $5,345,162 2015 D00A184 05500 01200
Laboratory - Hospital $5,293,735 2016 D00A184 06000 01200
Operating Room - Hospital $4,871,827 2014 D00A184 05000 01200
Laboratory - Hospital $4,286,424 2015 D00A184 06000 01200
Radiology-Therapeutic - Hospital $3,235,860 2016 D00A184 05500 01200
Radiology-Therapeutic - Hospital $3,201,111 2014 D00A184 05500 01200
Laboratory - Hospital $3,173,551 2014 D00A184 06000 01200
Operating Room - Hospital $3,172,932 2013 D00A184 05000 01200
Medical Supplies Charged To Patients - Hospital $3,045,416 2016 D00A184 07100 01200
Radiology-Therapeutic - Hospital $2,927,501 2013 D00A184 05500 01200
Implantable Devices Charged to Patients - Hospital $2,908,937 2013 D00A184 07200 01200
Implantable Devices Charged to Patients - Hospital $2,826,701 2014 D00A184 07200 01200
Medical Supplies Charged To Patients - Hospital $2,737,193 2015 D00A184 07100 01200
Medical Supplies Charged To Patients - Hospital $2,410,910 2014 D00A184 07100 01200
Medical Supplies Charged To Patients - Hospital $2,177,253 2013 D00A184 07100 01200
Laboratory - Hospital $1,704,494 2013 D00A184 06000 01200
Recovery Room - Hospital $941,080 2016 D00A184 05100 01200
Recovery Room - Hospital $860,538 2015 D00A184 05100 01200
Recovery Room - Hospital $742,793 2014 D00A184 05100 01200
Recovery Room - Hospital $694,011 2013 D00A184 05100 01200
Anesthesiology - Hospital $591,044 2015 D00A184 05300 01200
Anesthesiology - Hospital $571,132 2016 D00A184 05300 01200
Anesthesiology - Hospital $458,446 2014 D00A184 05300 01200
Anesthesiology - Hospital $395,528 2013 D00A184 05300 01200
Physical Therapy - Hospital $45,186 2016 D00A184 06600 01200
Occupational Therapy - Hospital $36,012 2016 D00A184 06700 01200
Physical Therapy - Hospital $16,960 2015 D00A184 06600 01200
Occupational Therapy - Hospital $13,304 2015 D00A184 06700 01200
Speech Pathology - Hospital $2,955 2016 D00A184 06800 01200
Speech Pathology - Hospital $1,790 2015 D00A184 06800 01200
Labor room and Delivery Room - Hospital $1,667 2013 D00A184 05200 01200
Speech Pathology - Hospital $529 2014 D00A184 06800 01200
Labor room and Delivery Room - Hospital $415 2015 D00A184 05200 01200

FREMONT HEALTH MEDICAL CENTER- Charges, OTHER REIMBURSABLE COST CENTERS, Total, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Home Health Agency $1,818,715 2016 C000001 10100 00800
Home Health Agency $1,452,674 2013 C000001 10100 00800
Home Health Agency $1,409,800 2015 C000001 10100 00800
Home Health Agency $1,353,744 2014 C000001 10100 00800
Durable Medical Equipment-Rented $93,001 2013 C000001 09600 00800
Durable Medical Equipment-Rented $59,348 2014 C000001 09600 00800

FREMONT HEALTH MEDICAL CENTER- Discharges, Total All patients, Total All Patients, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Hospital Adults & Peds. 2,675 2015 S300001 00100 01500
Hospital Adults & Peds. 2,668 2013 S300001 00100 01500
Hospital Adults & Peds. 2,377 2014 S300001 00100 01500
Hospital Adults & Peds. 2,274 2016 S300001 00100 01500

FREMONT HEALTH MEDICAL CENTER- Costs, PASS-THROUGH COST ADJUSTMENTS, Pass through costs applicable to Program inpatient routine services - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Pass through costs applicable to Program inpatient routine services - Hospital $750,443 2015 D10A181 05000 00100
Pass through costs applicable to Program inpatient routine services - Hospital $722,186 2016 D10A181 05000 00100
Pass through costs applicable to Program inpatient routine services - Hospital $594,328 2013 D10A181 05000 00100
Pass through costs applicable to Program inpatient routine services - Hospital $458,790 2014 D10A181 05000 00100

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Inpatient days (including private room days, excluding swing-bed and newborn days) - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Inpatient days (including private room days, excluding swing-bed and newborn days) - Hospital $9,861 2015 D10A181 00200 00100
Inpatient days (including private room days, excluding swing-bed and newborn days) - Hospital $9,311 2013 D10A181 00200 00100
Inpatient days (including private room days, excluding swing-bed and newborn days) - Hospital $9,204 2016 D10A181 00200 00100
Inpatient days (including private room days, excluding swing-bed and newborn days) - Hospital $8,667 2014 D10A181 00200 00100

FREMONT HEALTH MEDICAL CENTER- Charges, ANCILLARY SERVICE COST CENTERS, Total, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Radiology-Diagnostic $50,102,641 2016 C000001 05400 00800
Radiology-Diagnostic $46,663,923 2015 C000001 05400 00800
Radiology-Diagnostic $43,941,996 2014 C000001 05400 00800
Radiology-Diagnostic $42,122,964 2013 C000001 05400 00800
Drugs Charged to Patients $35,042,070 2016 C000001 07300 00800
Drugs Charged to Patients $34,265,163 2015 C000001 07300 00800
Drugs Charged to Patients $27,722,383 2013 C000001 07300 00800
Drugs Charged to Patients $27,631,539 2014 C000001 07300 00800
Respiratory Therapy $25,960,605 2016 C000001 06500 00800
Laboratory $24,824,757 2016 C000001 06000 00800
Respiratory Therapy $23,495,443 2015 C000001 06500 00800
Operating Room $22,569,682 2016 C000001 05000 00800
Respiratory Therapy $21,701,177 2014 C000001 06500 00800
Laboratory $21,584,375 2015 C000001 06000 00800
Operating Room $21,183,802 2014 C000001 05000 00800
Operating Room $20,834,672 2015 C000001 05000 00800
Respiratory Therapy $20,624,515 2013 C000001 06500 00800
Laboratory $18,370,380 2014 C000001 06000 00800
Laboratory $17,750,112 2013 C000001 06000 00800
Operating Room $16,437,354 2013 C000001 05000 00800
Medical Supplies Charged to Patients $16,345,975 2015 C000001 07100 00800
Medical Supplies Charged to Patients $15,087,421 2016 C000001 07100 00800
Implantable Devices Charged to Patients $15,040,691 2016 C000001 07200 00800
Implantable Devices Charged to Patients $14,019,427 2015 C000001 07200 00800
Medical Supplies Charged to Patients $13,856,363 2013 C000001 07100 00800
Medical Supplies Charged to Patients $13,718,724 2014 C000001 07100 00800
Implantable Devices Charged to Patients $11,156,341 2013 C000001 07200 00800
Implantable Devices Charged to Patients $10,758,266 2014 C000001 07200 00800
Physical Therapy $7,442,391 2015 C000001 06600 00800
Radiology-Therapeutic $7,119,194 2015 C000001 05500 00800
Physical Therapy $6,687,754 2016 C000001 06600 00800
Radiology-Therapeutic $6,574,967 2016 C000001 05500 00800
Physical Therapy $6,234,391 2014 C000001 06600 00800
Radiology-Therapeutic $6,005,139 2014 C000001 05500 00800
Physical Therapy $5,727,501 2013 C000001 06600 00800
Radiology-Therapeutic $4,698,029 2013 C000001 05500 00800
Occupational Therapy $4,265,899 2016 C000001 06700 00800
Occupational Therapy $4,212,673 2015 C000001 06700 00800
Occupational Therapy $3,692,153 2013 C000001 06700 00800
Occupational Therapy $3,605,669 2014 C000001 06700 00800
Recovery Room $3,010,166 2016 C000001 05100 00800
Anesthesiology $2,984,847 2015 C000001 05300 00800
Anesthesiology $2,971,197 2016 C000001 05300 00800
Recovery Room $2,782,434 2015 C000001 05100 00800
Anesthesiology $2,636,202 2014 C000001 05300 00800
Recovery Room $2,505,366 2014 C000001 05100 00800
Anesthesiology $2,420,782 2013 C000001 05300 00800
Recovery Room $2,405,627 2013 C000001 05100 00800
Labor Room and Delivery Room $851,381 2016 C000001 05200 00800
Labor Room and Delivery Room $811,314 2014 C000001 05200 00800
Labor Room and Delivery Room $759,051 2015 C000001 05200 00800
Labor Room and Delivery Room $732,365 2013 C000001 05200 00800
Speech Patholog $419,906 2016 C000001 06800 00800
Speech Patholog $408,142 2013 C000001 06800 00800
Speech Patholog $354,482 2015 C000001 06800 00800
Speech Patholog $306,264 2014 C000001 06800 00800

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT ROUTINE SERVICE COST CENTERS, OTHER GENERAL SERVICE, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Adults and Pediatrics $1,048,671 2013 B000001 03000 01800
Adults and Pediatrics $784,763 2014 B000001 03000 01800
Intensive Care Unit $302,628 2013 B000001 03100 01800
Intensive Care Unit $261,473 2014 B000001 03100 01800

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Inpatient days (including private room days and swing-bed days, excluding newborn) - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Inpatient days (including private room days and swing-bed days, excluding newborn) - IPF $2,660 2016 D10B181 00100 00100

FREMONT HEALTH MEDICAL CENTER- Days, Medicare, Inpatient Days / Outpatient Visits / Trips, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total 5,233 2013 S300001 01400 00600
Total 4,923 2014 S300001 01400 00600
Hospital Adults & Peds. 4,868 2013 S300001 00100 00600
Total Adults and Peds. (exclude observation beds) 4,868 2013 S300001 00700 00600
Hospital Adults & Peds. 4,688 2016 S300001 00100 00600
Total 4,688 2016 S300001 01400 00600
Total Adults and Peds. (exclude observation beds) 4,688 2016 S300001 00700 00600
Total 4,671 2015 S300001 01400 00600
Total Adults and Peds. (exclude observation beds) 4,671 2015 S300001 00700 00600
Hospital Adults & Peds. 4,671 2015 S300001 00100 00600
Skilled Nursing Facility 4,563 2013 S300001 01900 00600
Total Adults and Peds. (exclude observation beds) 4,433 2014 S300001 00700 00600
Hospital Adults & Peds. 4,433 2014 S300001 00100 00600
Skilled Nursing Facility 3,585 2015 S300001 01900 00600
Skilled Nursing Facility 3,430 2016 S300001 01900 00600
Skilled Nursing Facility 3,010 2014 S300001 01900 00600
Intensive Care Unit 490 2014 S300001 00800 00600
Subprovider - IPF 383 2016 S300001 01600 00600
Intensive Care Unit 365 2013 S300001 00800 00600

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Capital-related cost - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Capital-related cost - IPF $4,923,080 2016 D10B181 09000 00200
Capital-related cost - IPF $652,042 2016 D10B181 09000 00100

FREMONT HEALTH MEDICAL CENTER- Patient Revenues, GENERAL INPATIENT ROUTINE CARE SERVICES, REVENUE-INPATIENT, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total general inpatient care services $27,749,871 2016 G200000 01000 00100
Total general inpatient care services $21,057,311 2015 G200000 01000 00100
Total general inpatient care services $19,410,407 2013 G200000 01000 00100
Total general inpatient care services $17,783,369 2014 G200000 01000 00100
Hospital $14,240,155 2015 G200000 00100 00100
Hospital $12,394,689 2013 G200000 00100 00100
Skilled nursing facility $12,136,360 2016 G200000 00700 00100
Hospital $11,910,244 2016 G200000 00100 00100
Hospital $11,066,642 2014 G200000 00100 00100
Skilled nursing facility $7,015,718 2013 G200000 00700 00100
Skilled nursing facility $6,817,156 2015 G200000 00700 00100
Skilled nursing facility $6,716,727 2014 G200000 00700 00100
Subprovider IPF $3,703,267 2016 G200000 00200 00100

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF INPATIENT OPERATING COST, Total Program inpatient operating costs - SNF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total Program inpatient operating costs - SNF $2,721,261 2013 D10E181 08600 00100
Total Program inpatient operating costs - SNF $2,231,096 2015 D10E181 08600 00100
Total Program inpatient operating costs - SNF $2,204,854 2016 D10E181 08600 00100
Total Program inpatient operating costs - SNF $1,897,811 2014 D10E181 08600 00100

FREMONT HEALTH MEDICAL CENTER- Costs, SPECIAL PURPOSE COST CENTERS, Total Costs, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Subtotal $107,753,450 2016 C000001 20000 00300
Subtotal $107,753,450 2016 C000001 20000 00500
Total $105,966,629 2016 C000001 20200 00500
Total $105,966,629 2016 C000001 20200 00300
Subtotal $93,627,066 2015 C000001 20000 00300
Subtotal $93,627,066 2015 C000001 20000 00500
Total $91,389,608 2015 C000001 20200 00300
Total $91,389,608 2015 C000001 20200 00500
Subtotal $79,650,752 2014 C000001 20000 00300
Subtotal $79,650,752 2014 C000001 20000 00500
Total $78,086,109 2014 C000001 20200 00500
Total $78,086,109 2014 C000001 20200 00300
Subtotal $76,133,047 2013 C000001 20000 00500
Subtotal $76,133,047 2013 C000001 20000 00300
Total $74,852,672 2013 C000001 20200 00500
Total $74,852,672 2013 C000001 20200 00300
Less Observation Beds $2,237,458 2015 C000001 20100 00500
Less Observation Beds $2,237,458 2015 C000001 20100 00300
Less Observation Beds $1,786,821 2016 C000001 20100 00300
Less Observation Beds $1,786,821 2016 C000001 20100 00500
Less Observation Beds $1,564,643 2014 C000001 20100 00300
Less Observation Beds $1,564,643 2014 C000001 20100 00500
Hospice $1,522,457 2015 C000001 11600 00300
Hospice $1,522,457 2015 C000001 11600 00500
Hospice $1,412,028 2016 C000001 11600 00500
Hospice $1,412,028 2016 C000001 11600 00300
Less Observation Beds $1,280,375 2013 C000001 20100 00300
Less Observation Beds $1,280,375 2013 C000001 20100 00500
Hospice $1,272,692 2014 C000001 11600 00500
Hospice $1,272,692 2014 C000001 11600 00300
Hospice $1,258,342 2013 C000001 11600 00300
Hospice $1,258,342 2013 C000001 11600 00500

FREMONT HEALTH MEDICAL CENTER- Discharges, Medicaid, Discharges, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Hospital Adults & Peds. 615 2014 S300001 00100 01400
Hospital Adults & Peds. 530 2013 S300001 00100 01400
Hospital Adults & Peds. 467 2015 S300001 00100 01400
Hospital Adults & Peds. 204 2016 S300001 00100 01400

FREMONT HEALTH MEDICAL CENTER- Charges, OUTPATIENT SERVICE COST CENTERS, Inpatient, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Emergency $2,024,981 2016 C000001 09100 00600
Emergency $1,829,376 2015 C000001 09100 00600
Emergency $1,739,663 2013 C000001 09100 00600
Emergency $1,623,225 2014 C000001 09100 00600
Clinic $363,154 2016 C000001 09000 00600
Clinic $277,936 2015 C000001 09000 00600
Clinic $256,737 2013 C000001 09000 00600
Clinic $217,186 2014 C000001 09000 00600
Observation Beds $120,000 2016 C000001 09200 00600
Observation Beds $85,000 2014 C000001 09200 00600
Observation Beds $84,000 2015 C000001 09200 00600
Observation Beds $65,000 2013 C000001 09200 00600

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF INPATIENT OPERATING COST, Total Program general inpatient routine service costs - SNF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total Program general inpatient routine service costs - SNF $1,341,370 2016 D10E181 07400 00100
Total Program general inpatient routine service costs - SNF $1,322,996 2013 D10E181 07400 00100
Total Program general inpatient routine service costs - SNF $1,293,791 2015 D10E181 07400 00100
Total Program general inpatient routine service costs - SNF $948,090 2014 D10E181 07400 00100

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, Program Charges - PPS Reimbursed Services, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Clinic - Hospital $6,639,160 2015 D00A185 09000 00200
Clinic - Hospital $3,934,460 2014 D00A185 09000 00200
Clinic - Hospital $3,388,263 2013 D00A185 09000 00200
Emergency - Hospital $3,203,249 2016 D00A185 09100 00200
Emergency - Hospital $2,848,365 2015 D00A185 09100 00200
Emergency - Hospital $2,581,373 2014 D00A185 09100 00200
Emergency - Hospital $2,110,909 2013 D00A185 09100 00200
Clinic - Hospital $2,082,085 2016 D00A185 09000 00200
Observation Bed - Hospital $848,230 2016 D00A185 09200 00200
Observation Bed - Hospital $720,280 2015 D00A185 09200 00200
Observation Bed - Hospital $618,661 2014 D00A185 09200 00200
Observation Bed - Hospital $457,455 2013 D00A185 09200 00200

FREMONT HEALTH MEDICAL CENTER- Charges, OUTPATIENT SERVICE COST CENTERS, Total, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Emergency $13,864,594 2016 C000001 09100 00800
Emergency $13,199,075 2015 C000001 09100 00800
Clinic $12,139,487 2016 C000001 09000 00800
Emergency $11,047,215 2014 C000001 09100 00800
Emergency $10,253,662 2013 C000001 09100 00800
Clinic $7,069,092 2015 C000001 09000 00800
Clinic $6,110,104 2014 C000001 09000 00800
Clinic $5,603,036 2013 C000001 09000 00800
Observation Beds $2,109,474 2016 C000001 09200 00800
Observation Beds $1,536,994 2015 C000001 09200 00800
Observation Beds $1,411,161 2014 C000001 09200 00800
Observation Beds $1,109,504 2013 C000001 09200 00800

FREMONT HEALTH MEDICAL CENTER- Charges, ANCILLARY SERVICE COST CENTERS, Inpatient, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Drugs Charged to Patients $16,486,743 2013 C000001 07300 00600
Drugs Charged to Patients $16,275,796 2015 C000001 07300 00600
Drugs Charged to Patients $16,259,064 2016 C000001 07300 00600
Drugs Charged to Patients $15,178,384 2014 C000001 07300 00600
Medical Supplies Charged to Patients $9,694,718 2015 C000001 07100 00600
Medical Supplies Charged to Patients $9,247,574 2013 C000001 07100 00600
Operating Room $9,170,063 2013 C000001 05000 00600
Respiratory Therapy $8,983,958 2016 C000001 06500 00600
Implantable Devices Charged to Patients $8,832,838 2015 C000001 07200 00600
Respiratory Therapy $8,744,554 2015 C000001 06500 00600
Respiratory Therapy $8,598,332 2013 C000001 06500 00600
Medical Supplies Charged to Patients $8,421,808 2014 C000001 07100 00600
Respiratory Therapy $8,035,917 2014 C000001 06500 00600
Operating Room $8,006,328 2014 C000001 05000 00600
Laboratory $7,964,450 2016 C000001 06000 00600
Operating Room $7,636,298 2015 C000001 05000 00600
Implantable Devices Charged to Patients $7,590,994 2014 C000001 07200 00600
Implantable Devices Charged to Patients $7,341,540 2013 C000001 07200 00600
Laboratory $7,228,589 2015 C000001 06000 00600
Medical Supplies Charged to Patients $7,007,740 2016 C000001 07100 00600
Operating Room $6,916,135 2016 C000001 05000 00600
Laboratory $6,884,966 2013 C000001 06000 00600
Implantable Devices Charged to Patients $6,268,924 2016 C000001 07200 00600
Laboratory $6,166,705 2014 C000001 06000 00600
Radiology-Diagnostic $5,846,116 2013 C000001 05400 00600
Radiology-Diagnostic $5,565,050 2016 C000001 05400 00600
Radiology-Diagnostic $5,236,990 2015 C000001 05400 00600
Radiology-Diagnostic $5,098,194 2014 C000001 05400 00600
Physical Therapy $2,957,836 2016 C000001 06600 00600
Occupational Therapy $2,790,780 2016 C000001 06700 00600
Physical Therapy $2,242,195 2015 C000001 06600 00600
Physical Therapy $2,109,164 2013 C000001 06600 00600
Occupational Therapy $2,060,703 2015 C000001 06700 00600
Physical Therapy $1,959,405 2014 C000001 06600 00600
Occupational Therapy $1,935,303 2013 C000001 06700 00600
Occupational Therapy $1,660,738 2014 C000001 06700 00600
Anesthesiology $1,267,836 2013 C000001 05300 00600
Anesthesiology $1,163,548 2015 C000001 05300 00600
Anesthesiology $1,156,992 2016 C000001 05300 00600
Anesthesiology $1,133,706 2014 C000001 05300 00600
Labor Room and Delivery Room $811,314 2014 C000001 05200 00600
Labor Room and Delivery Room $760,005 2016 C000001 05200 00600
Labor Room and Delivery Room $758,631 2015 C000001 05200 00600
Recovery Room $739,714 2013 C000001 05100 00600
Labor Room and Delivery Room $725,968 2013 C000001 05200 00600
Recovery Room $655,752 2016 C000001 05100 00600
Recovery Room $622,536 2014 C000001 05100 00600
Recovery Room $601,314 2015 C000001 05100 00600
Speech Patholog $319,200 2016 C000001 06800 00600
Speech Patholog $261,943 2013 C000001 06800 00600
Speech Patholog $189,035 2015 C000001 06800 00600
Speech Patholog $174,371 2014 C000001 06800 00600
Radiology-Therapeutic $64,264 2014 C000001 05500 00600
Radiology-Therapeutic $41,813 2016 C000001 05500 00600
Radiology-Therapeutic $13,517 2013 C000001 05500 00600
Radiology-Therapeutic $8,744 2015 C000001 05500 00600

FREMONT HEALTH MEDICAL CENTER- Days, IPPS Hospital, In-State Medicaid eligible unpaid days, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
In-State Medicaid eligible unpaid days 749 2013 S200001 02400 00200
In-State Medicaid eligible unpaid days 103 2015 S200001 02400 00200

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Inpatient days (including private room days, excluding swing-bed and newborn days) - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Inpatient days (including private room days, excluding swing-bed and newborn days) - IPF $2,660 2016 D10B181 00200 00100

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Nursing School cost - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Nursing School cost - IPF $4,923,080 2016 D10B181 09100 00200

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF INPATIENT OPERATING COST, Adjusted general inpatient routine service cost per diem - SNF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Adjusted general inpatient routine service cost per diem - SNF $391 2016 D10E181 07100 00100
Adjusted general inpatient routine service cost per diem - SNF $360 2015 D10E181 07100 00100
Adjusted general inpatient routine service cost per diem - SNF $314 2014 D10E181 07100 00100
Adjusted general inpatient routine service cost per diem - SNF $289 2013 D10E181 07100 00100

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Total Cost, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Operating Room $9,524,280 2016 C000001 05000 00100
Operating Room $9,456,298 2015 C000001 05000 00100
Operating Room $8,625,804 2014 C000001 05000 00100
Operating Room $6,741,916 2013 C000001 05000 00100
Laboratory $6,491,476 2014 C000001 06000 00100
Laboratory $6,475,106 2013 C000001 06000 00100
Laboratory $6,337,103 2015 C000001 06000 00100
Drugs Charged to Patients $6,302,373 2016 C000001 07300 00100
Radiology-Diagnostic $5,967,725 2014 C000001 05400 00100
Radiology-Diagnostic $5,786,564 2015 C000001 05400 00100
Laboratory $5,758,685 2016 C000001 06000 00100
Radiology-Diagnostic $5,670,539 2016 C000001 05400 00100
Radiology-Diagnostic $5,575,077 2013 C000001 05400 00100
Respiratory Therapy $5,065,506 2015 C000001 06500 00100
Drugs Charged to Patients $5,020,595 2015 C000001 07300 00100
Respiratory Therapy $4,936,110 2016 C000001 06500 00100
Respiratory Therapy $4,583,950 2014 C000001 06500 00100
Respiratory Therapy $4,522,437 2013 C000001 06500 00100
Drugs Charged to Patients $4,376,486 2014 C000001 07300 00100
Implantable Devices Charged to Patients $4,364,800 2015 C000001 07200 00100
Drugs Charged to Patients $4,223,298 2013 C000001 07300 00100
Implantable Devices Charged to Patients $3,566,474 2016 C000001 07200 00100
Implantable Devices Charged to Patients $3,558,331 2014 C000001 07200 00100
Implantable Devices Charged to Patients $3,172,228 2013 C000001 07200 00100
Physical Therapy $3,093,914 2014 C000001 06600 00100
Physical Therapy $3,007,899 2013 C000001 06600 00100
Physical Therapy $2,995,516 2015 C000001 06600 00100
Physical Therapy $2,815,873 2016 C000001 06600 00100
Medical Supplies Charged to Patients $2,449,414 2014 C000001 07100 00100
Medical Supplies Charged to Patients $2,215,754 2013 C000001 07100 00100
Recovery Room $2,185,287 2015 C000001 05100 00100
Recovery Room $2,135,640 2014 C000001 05100 00100
Medical Supplies Charged to Patients $2,078,386 2016 C000001 07100 00100
Recovery Room $2,045,201 2013 C000001 05100 00100
Radiology-Therapeutic $1,930,018 2016 C000001 05500 00100
Recovery Room $1,880,036 2016 C000001 05100 00100
Radiology-Therapeutic $1,867,309 2015 C000001 05500 00100
Medical Supplies Charged to Patients $1,843,012 2015 C000001 07100 00100
Radiology-Therapeutic $1,802,084 2014 C000001 05500 00100
Radiology-Therapeutic $1,766,733 2013 C000001 05500 00100
Labor Room and Delivery Room $1,721,222 2016 C000001 05200 00100
Occupational Therapy $1,610,537 2014 C000001 06700 00100
Occupational Therapy $1,566,815 2013 C000001 06700 00100
Occupational Therapy $1,553,465 2015 C000001 06700 00100
Occupational Therapy $1,297,752 2016 C000001 06700 00100
Labor Room and Delivery Room $856,705 2015 C000001 05200 00100
Labor Room and Delivery Room $839,376 2014 C000001 05200 00100
Labor Room and Delivery Room $748,603 2013 C000001 05200 00100
Anesthesiology $657,044 2015 C000001 05300 00100
Anesthesiology $394,388 2016 C000001 05300 00100
Anesthesiology $322,374 2014 C000001 05300 00100
Anesthesiology $300,206 2013 C000001 05300 00100
Speech Patholog $208,922 2015 C000001 06800 00100
Speech Patholog $183,934 2013 C000001 06800 00100
Speech Patholog $183,887 2016 C000001 06800 00100
Speech Patholog $164,038 2014 C000001 06800 00100

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT ROUTINE SERVICE COST CENTERS, Inpatient Program Days, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total - Hospital $9,796 2013 D00A183 20000 00800
Total - Hospital $8,501 2016 D00A183 20000 00800
Total - Hospital $8,256 2015 D00A183 20000 00800
Total - Hospital $7,933 2014 D00A183 20000 00800
Adults & Pediatrics - Hospital $4,868 2013 D00A183 03000 00800
Adults & Pediatrics - Hospital $4,688 2016 D00A183 03000 00800
Adults & Pediatrics - Hospital $4,671 2015 D00A183 03000 00800
Skilled Nursing Facility - Hospital $4,563 2013 D00A183 04400 00800
Adults & Pediatrics - Hospital $4,433 2014 D00A183 03000 00800
Skilled Nursing Facility - Hospital $3,585 2015 D00A183 04400 00800
Skilled Nursing Facility - Hospital $3,430 2016 D00A183 04400 00800
Skilled Nursing Facility - Hospital $3,010 2014 D00A183 04400 00800
Intensive Care Unit - Hospital $490 2014 D00A183 03100 00800
Subprovider IPF - Hospital $383 2016 D00A183 04000 00800
Intensive Care Unit - Hospital $365 2013 D00A183 03100 00800

FREMONT HEALTH MEDICAL CENTER- Costs, SPECIAL PURPOSE COST CENTERS, Total Cost, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Subtotal $107,753,450 2016 C000001 20000 00100
Total $105,966,629 2016 C000001 20200 00100
Subtotal $93,627,066 2015 C000001 20000 00100
Total $91,389,608 2015 C000001 20200 00100
Subtotal $79,650,752 2014 C000001 20000 00100
Total $78,086,109 2014 C000001 20200 00100
Subtotal $76,133,047 2013 C000001 20000 00100
Total $74,852,672 2013 C000001 20200 00100
Less Observation Beds $2,237,458 2015 C000001 20100 00100
Less Observation Beds $1,786,821 2016 C000001 20100 00100
Less Observation Beds $1,564,643 2014 C000001 20100 00100
Hospice $1,522,457 2015 C000001 11600 00100
Hospice $1,412,028 2016 C000001 11600 00100
Less Observation Beds $1,280,375 2013 C000001 20100 00100
Hospice $1,272,692 2014 C000001 11600 00100
Hospice $1,258,342 2013 C000001 11600 00100

FREMONT HEALTH MEDICAL CENTER- Patient Revenues, Total patient revenues, Total patient revenues, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total patient revenues $296,208,472 2016 G300000 00100 00100
Total patient revenues $279,904,760 2015 G300000 00100 00100
Total patient revenues $245,702,021 2014 G300000 00100 00100
Total patient revenues $231,534,432 2013 G300000 00100 00100

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Program Charges - Cost Reimbursed Services Subject to Ded. & Coins, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Laboratory - Hospital $1,184 2013 D00A185 06000 00300
Laboratory - Hospital $815 2014 D00A185 06000 00300
Medical Supplies Charged To Patients - Hospital $478 2016 D00A185 07100 00300
Drugs Charged to Patients - Hospital $381 2016 D00A185 07300 00300
Medical Supplies Charged To Patients - Hospital $152 2015 D00A185 07100 00300
Laboratory - SNF $139 2013 D00E185 06000 00300
Drugs Charged to Patients - SNF $-381 2015 D00E185 07300 00300

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Program Charges - Cost Reimbursed Services Not Subject to Ded. & Coins, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Drugs Charged to Patients - Hospital $237,906 2016 D00A185 07300 00400
Drugs Charged to Patients - Hospital $229,659 2015 D00A185 07300 00400
Drugs Charged to Patients - SNF $47,116 2013 D00E185 07300 00400
Drugs Charged to Patients - Hospital $29,851 2013 D00A185 07300 00400
Drugs Charged to Patients - SNF $25,952 2014 D00E185 07300 00400
Drugs Charged to Patients - Hospital $19,100 2014 D00A185 07300 00400
Drugs Charged to Patients - SNF $5,504 2016 D00E185 07300 00400
Drugs Charged to Patients - SNF $3,239 2015 D00E185 07300 00400

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT ROUTINE SERVICE COST CENTERS, Total Patient Days, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total - Hospital $44,047 2013 D00A183 20000 00600
Total - Hospital $41,393 2016 D00A183 20000 00600
Total - Hospital $41,320 2014 D00A183 20000 00600
Total - Hospital $40,271 2015 D00A183 20000 00600
Skilled Nursing Facility - Hospital $33,209 2013 D00A183 04400 00600
Skilled Nursing Facility - Hospital $31,090 2014 D00A183 04400 00600
Skilled Nursing Facility - Hospital $29,728 2015 D00A183 04400 00600
Skilled Nursing Facility - Hospital $28,841 2016 D00A183 04400 00600
Adults & Pediatrics - Hospital $9,861 2015 D00A183 03000 00600
Adults & Pediatrics - Hospital $9,311 2013 D00A183 03000 00600
Adults & Pediatrics - Hospital $9,204 2016 D00A183 03000 00600
Adults & Pediatrics - Hospital $8,667 2014 D00A183 03000 00600
Subprovider IPF - Hospital $2,660 2016 D00A183 04000 00600
Nursery - Hospital $837 2013 D00A183 04300 00600
Nursery - Hospital $806 2014 D00A183 04300 00600
Intensive Care Unit - Hospital $757 2014 D00A183 03100 00600
Intensive Care Unit - Hospital $690 2013 D00A183 03100 00600
Nursery - Hospital $688 2016 D00A183 04300 00600
Nursery - Hospital $682 2015 D00A183 04300 00600

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, Total Charges, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Emergency - Hospital $13,864,594 2016 D00A184 09100 00700
Emergency - SNF $13,864,594 2016 D00E184 09100 00700
Emergency - IPF $13,864,594 2016 D00B184 09100 00700
Emergency - Hospital $13,199,075 2015 D00A184 09100 00700
Emergency - SNF $13,199,075 2015 D00E184 09100 00700
Clinic - Hospital $12,139,487 2016 D00A184 09000 00700
Clinic - IPF $12,139,487 2016 D00B184 09000 00700
Clinic - SNF $12,139,487 2016 D00E184 09000 00700
Emergency - SNF $11,047,215 2014 D00E184 09100 00700
Emergency - Hospital $11,047,215 2014 D00A184 09100 00700
Emergency - Hospital $10,253,662 2013 D00A184 09100 00700
Emergency - SNF $10,253,662 2013 D00E184 09100 00700
Clinic - SNF $7,069,092 2015 D00E184 09000 00700
Clinic - Hospital $7,069,092 2015 D00A184 09000 00700
Clinic - SNF $6,110,104 2014 D00E184 09000 00700
Clinic - Hospital $6,110,104 2014 D00A184 09000 00700
Clinic - Hospital $5,603,036 2013 D00A184 09000 00700
Clinic - SNF $5,603,036 2013 D00E184 09000 00700
Observation Beds - IPF $2,109,474 2016 D00B184 09200 00700
Observation Beds - SNF $2,109,474 2016 D00E184 09200 00700
Observation Beds - Hospital $2,109,474 2016 D00A184 09200 00700
Observation Beds - Hospital $1,536,994 2015 D00A184 09200 00700
Observation Beds - SNF $1,536,994 2015 D00E184 09200 00700
Observation Beds - Hospital $1,411,161 2014 D00A184 09200 00700
Observation Beds - SNF $1,411,161 2014 D00E184 09200 00700
Observation Beds - SNF $1,109,504 2013 D00E184 09200 00700
Observation Beds - Hospital $1,109,504 2013 D00A184 09200 00700

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, Program Charges - Cost Reimbursed Services Not Subject to Ded. & Coins, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Subtotal - Hospital $237,906 2016 D00A185 20000 00400
Net Charges - Hospital $237,906 2016 D00A185 20200 00400
Net Charges - Hospital $229,659 2015 D00A185 20200 00400
Subtotal - Hospital $229,659 2015 D00A185 20000 00400
Net Charges - SNF $47,116 2013 D00E185 20200 00400
Subtotal - SNF $47,116 2013 D00E185 20000 00400
Subtotal - Hospital $29,851 2013 D00A185 20000 00400
Net Charges - Hospital $29,851 2013 D00A185 20200 00400
Net Charges - SNF $25,952 2014 D00E185 20200 00400
Subtotal - SNF $25,952 2014 D00E185 20000 00400
Subtotal - Hospital $19,100 2014 D00A185 20000 00400
Net Charges - Hospital $19,100 2014 D00A185 20200 00400
Subtotal - SNF $5,504 2016 D00E185 20000 00400
Net Charges - SNF $5,504 2016 D00E185 20200 00400
Subtotal - SNF $3,239 2015 D00E185 20000 00400
Net Charges - SNF $3,239 2015 D00E185 20200 00400

FREMONT HEALTH MEDICAL CENTER- Costs, Swing Bed Adjustment, General inpatient routine service cost net of swing-bed cost - Hospital, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
General inpatient routine service cost net of swing-bed cost - Hospital $16,235,149 2015 D10A181 02700 00100
General inpatient routine service cost net of swing-bed cost - Hospital $12,366,792 2013 D10A181 02700 00100
General inpatient routine service cost net of swing-bed cost - Hospital $11,570,637 2014 D10A181 02700 00100
General inpatient routine service cost net of swing-bed cost - Hospital $11,287,480 2016 D10A181 02700 00100

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Capital-related cost - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Capital-related cost - Hospital $16,235,149 2015 D10A181 09000 00200
Capital-related cost - Hospital $12,366,792 2013 D10A181 09000 00200
Capital-related cost - Hospital $11,570,637 2014 D10A181 09000 00200
Capital-related cost - Hospital $11,287,480 2016 D10A181 09000 00200
Capital-related cost - Hospital $2,237,458 2015 D10A181 09000 00400
Capital-related cost - Hospital $1,786,821 2016 D10A181 09000 00400
Capital-related cost - Hospital $1,584,299 2015 D10A181 09000 00100
Capital-related cost - Hospital $1,564,643 2014 D10A181 09000 00400
Capital-related cost - Hospital $1,417,838 2016 D10A181 09000 00100
Capital-related cost - Hospital $1,280,375 2013 D10A181 09000 00400
Capital-related cost - Hospital $1,106,285 2013 D10A181 09000 00100
Capital-related cost - Hospital $848,635 2014 D10A181 09000 00100
Capital-related cost - Hospital $224,446 2016 D10A181 09000 00500
Capital-related cost - Hospital $218,342 2015 D10A181 09000 00500
Capital-related cost - Hospital $114,757 2014 D10A181 09000 00500
Capital-related cost - Hospital $114,537 2013 D10A181 09000 00500

FREMONT HEALTH MEDICAL CENTER- Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Adjusted general inpatient routine service cost per diem - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Adjusted general inpatient routine service cost per diem - IPF $1,850 2016 D10B181 03800 00100

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT ROUTINE SERVICE COST CENTERS, NURSING ADMINIS - TRATION, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Adults and Pediatrics $1,175,488 2015 B000001 03000 01300
Adults and Pediatrics $1,019,868 2014 B000001 03000 01300
Adults and Pediatrics $929,847 2013 B000001 03000 01300
Adults and Pediatrics $879,792 2016 B000001 03000 01300
Subprovider IPF $177,511 2016 B000001 04000 01300
Nursery $65,167 2014 B000001 04300 01300
Nursery $57,260 2016 B000001 04300 01300
Nursery $48,133 2013 B000001 04300 01300
Nursery $43,119 2015 B000001 04300 01300

FREMONT HEALTH MEDICAL CENTER- Days, Total All patients, Inpatient Days / Outpatient Visits / Trips, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Skilled Nursing Facility 33,209 2013 S300001 01900 00800
Skilled Nursing Facility 31,090 2014 S300001 01900 00800
Skilled Nursing Facility 29,728 2015 S300001 01900 00800
Skilled Nursing Facility 28,841 2016 S300001 01900 00800
Total 9,874 2013 S300001 01400 00800
Total 9,184 2015 S300001 01400 00800
Total 9,058 2014 S300001 01400 00800
Hospital Adults & Peds 8,502 2015 S300001 00100 00800
Total Adults and Peds 8,502 2015 S300001 00700 00800
Total 8,435 2016 S300001 01400 00800
Hospital Adults & Peds 8,347 2013 S300001 00100 00800
Total Adults and Peds 8,347 2013 S300001 00700 00800
Total Adults and Peds 7,747 2016 S300001 00700 00800
Hospital Adults & Peds 7,747 2016 S300001 00100 00800
Hospital Adults & Peds 7,495 2014 S300001 00100 00800
Total Adults and Peds 7,495 2014 S300001 00700 00800
Subprovider - IPF 2,660 2016 S300001 01600 00800
Intensive Care Unit 757 2014 S300001 00800 00800
Intensive Care Unit 690 2013 S300001 00800 00800
Labor & delivery 105 2016 S300001 03200 00800
Labor & delivery 97 2015 S300001 03200 00800
Labor & delivery 94 2013 S300001 03200 00800
Labor & delivery 89 2014 S300001 03200 00800

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total inpatient days including private room days applicable to the Program (excluding swing-bed and newborn days) - IPF $383 2016 D10B181 00900 00100

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, Cost to Charge Ratio, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Labor & Delivery Room - Hospital $2 2016 D00A185 05200 00100
Labor & Delivery Room - SNF $2 2016 D00E185 05200 00100
Labor & Delivery Room - Hospital $1 2015 D00A185 05200 00100
Labor & Delivery Room - SNF $1 2015 D00E185 05200 00100
Labor & Delivery Room - Hospital $1 2014 D00A185 05200 00100
Labor & Delivery Room - SNF $1 2014 D00E185 05200 00100
Labor & Delivery Room - Hospital $1 2013 D00A185 05200 00100
Labor & Delivery Room - SNF $1 2013 D00E185 05200 00100

FREMONT HEALTH MEDICAL CENTER- Days, IPPS Hospital, In-State Medicaid paid days, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
In-State Medicaid paid days 1,251 2013 S200001 02400 00100
In-State Medicaid paid days 557 2014 S200001 02400 00100
In-State Medicaid paid days 448 2015 S200001 02400 00100

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT ROUTINE SERVICE COST CENTERS, Total Costs, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Adults and Pediatrics $16,235,149 2015 C000001 03000 00500
Adults and Pediatrics $16,235,149 2015 C000001 03000 00300
Adults and Pediatrics $12,366,792 2013 C000001 03000 00500
Adults and Pediatrics $12,366,792 2013 C000001 03000 00300
Adults and Pediatrics $11,570,637 2014 C000001 03000 00300
Adults and Pediatrics $11,570,637 2014 C000001 03000 00500
Adults and Pediatrics $11,287,480 2016 C000001 03000 00500
Adults and Pediatrics $11,287,480 2016 C000001 03000 00300
Skilled Nursing Facility $11,278,797 2016 C000001 04400 00500
Skilled Nursing Facility $11,278,797 2016 C000001 04400 00300
Skilled Nursing Facility $10,728,511 2015 C000001 04400 00300
Skilled Nursing Facility $10,728,511 2015 C000001 04400 00500
Skilled Nursing Facility $9,792,659 2014 C000001 04400 00300
Skilled Nursing Facility $9,792,659 2014 C000001 04400 00500
Skilled Nursing Facility $9,628,693 2013 C000001 04400 00300
Skilled Nursing Facility $9,628,693 2013 C000001 04400 00500
Subprovider IPF $4,923,080 2016 C000001 04000 00500
Subprovider IPF $4,923,080 2016 C000001 04000 00300
Nursery $847,150 2016 C000001 04300 00300
Nursery $847,150 2016 C000001 04300 00500
Nursery $534,653 2014 C000001 04300 00500
Nursery $534,653 2014 C000001 04300 00300
Nursery $525,257 2013 C000001 04300 00300
Nursery $525,257 2013 C000001 04300 00500
Nursery $464,618 2015 C000001 04300 00300
Nursery $464,618 2015 C000001 04300 00500
Intensive Care Unit $302,628 2013 C000001 03100 00300
Intensive Care Unit $302,628 2013 C000001 03100 00500
Intensive Care Unit $261,473 2014 C000001 03100 00500
Intensive Care Unit $261,473 2014 C000001 03100 00300

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, Outpatient Program Charges, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Clinic - Hospital $6,639,160 2015 D00A184 09000 01200
Clinic - Hospital $3,934,460 2014 D00A184 09000 01200
Clinic - Hospital $3,388,263 2013 D00A184 09000 01200
Emergency - Hospital $3,203,249 2016 D00A184 09100 01200
Emergency - Hospital $2,848,365 2015 D00A184 09100 01200
Emergency - Hospital $2,581,373 2014 D00A184 09100 01200
Emergency - Hospital $2,110,909 2013 D00A184 09100 01200
Clinic - Hospital $2,082,085 2016 D00A184 09000 01200
Observation Beds - Hospital $848,230 2016 D00A184 09200 01200
Observation Beds - Hospital $720,280 2015 D00A184 09200 01200
Observation Beds - Hospital $618,661 2014 D00A184 09200 01200
Observation Beds - Hospital $457,455 2013 D00A184 09200 01200

FREMONT HEALTH MEDICAL CENTER- Charges, SPECIAL PURPOSE COST CENTERS, Inpatient, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Subtotal $94,098,879 2016 C000001 20000 00600
Total $94,098,879 2016 C000001 20200 00600
Total $93,857,783 2015 C000001 20200 00600
Subtotal $93,857,783 2015 C000001 20000 00600
Total $92,198,713 2013 C000001 20200 00600
Subtotal $92,198,713 2013 C000001 20000 00600
Total $85,855,238 2014 C000001 20200 00600
Subtotal $85,855,238 2014 C000001 20000 00600

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, All other Medical Education - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
All other Medical Education - IPF $4,923,080 2016 D10B181 09300 00200

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, Program Cost - Cost Reimbursed Services Subject to Ded. & Coins, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Observation Bed - Hospital $95,217 2015 D00A185 09200 00600
Clinic - Hospital $90,962 2016 D00A185 09000 00600
Clinic - Hospital $30,757 2013 D00A185 09000 00600
Clinic - Hospital $27,212 2014 D00A185 09000 00600
Clinic - Hospital $7,508 2015 D00A185 09000 00600

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Allied Health cost - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Allied Health cost - IPF $4,923,080 2016 D10B181 09200 00200

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, All other Medical Education - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
All other Medical Education - Hospital $16,235,149 2015 D10A181 09300 00200
All other Medical Education - Hospital $12,366,792 2013 D10A181 09300 00200
All other Medical Education - Hospital $11,570,637 2014 D10A181 09300 00200
All other Medical Education - Hospital $11,287,480 2016 D10A181 09300 00200
All other Medical Education - Hospital $2,237,458 2015 D10A181 09300 00400
All other Medical Education - Hospital $1,786,821 2016 D10A181 09300 00400
All other Medical Education - Hospital $1,564,643 2014 D10A181 09300 00400
All other Medical Education - Hospital $1,280,375 2013 D10A181 09300 00400

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, Program Charges - PPS Reimbursed Services, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Subtotal - Hospital $69,666,020 2016 D00A185 20000 00200
Net Charges - Hospital $69,666,020 2016 D00A185 20200 00200
Net Charges - Hospital $68,047,111 2015 D00A185 20200 00200
Subtotal - Hospital $68,047,111 2015 D00A185 20000 00200
Net Charges - Hospital $54,314,979 2014 D00A185 20200 00200
Subtotal - Hospital $54,314,979 2014 D00A185 20000 00200
Subtotal - Hospital $46,429,913 2013 D00A185 20000 00200
Net Charges - Hospital $46,429,913 2013 D00A185 20200 00200

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, Inpatient Program Charges, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Emergency - Hospital $1,284,698 2016 D00A184 09100 01000
Emergency - Hospital $1,174,440 2015 D00A184 09100 01000
Emergency - Hospital $1,138,130 2013 D00A184 09100 01000
Emergency - Hospital $1,052,394 2014 D00A184 09100 01000
Observation Beds - Hospital $105,434 2016 D00A184 09200 01000
Observation Beds - Hospital $83,323 2015 D00A184 09200 01000
Observation Beds - Hospital $74,425 2014 D00A184 09200 01000
Observation Beds - Hospital $61,885 2013 D00A184 09200 01000
Clinic - Hospital $43,171 2015 D00A184 09000 01000
Clinic - Hospital $23,862 2016 D00A184 09000 01000
Clinic - Hospital $23,549 2013 D00A184 09000 01000
Clinic - Hospital $18,730 2014 D00A184 09000 01000
Emergency - IPF $18,664 2016 D00B184 09100 01000
Observation Beds - IPF $1,540 2016 D00B184 09200 01000
Clinic - IPF $489 2016 D00B184 09000 01000

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, Program Cost - Cost Reimbursed Services Subject to Ded. & Coins, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Net Charges - Hospital $102,742 2015 D00A185 20200 00600
Subtotal - Hospital $102,742 2015 D00A185 20000 00600
Net Charges - Hospital $91,097 2016 D00A185 20200 00600
Subtotal - Hospital $91,097 2016 D00A185 20000 00600
Subtotal - Hospital $31,189 2013 D00A185 20000 00600
Net Charges - Hospital $31,189 2013 D00A185 20200 00600
Net Charges - Hospital $27,500 2014 D00A185 20200 00600
Subtotal - Hospital $27,500 2014 D00A185 20000 00600
Net Charges - SNF $51 2013 D00E185 20200 00600
Subtotal - SNF $51 2013 D00E185 20000 00600
Subtotal - SNF $-56 2015 D00E185 20000 00600
Net Charges - SNF $-56 2015 D00E185 20200 00600

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, Total Charges, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total - IPF $241,522,692 2016 D00B184 20000 00700
Total - SNF $241,522,692 2016 D00E184 20000 00700
Total - Hospital $241,522,692 2016 D00A184 20000 00700
Total - Hospital $224,669,211 2015 D00A184 20000 00700
Total - SNF $224,669,211 2015 D00E184 20000 00700
Total - Hospital $198,038,057 2014 D00A184 20000 00700
Total - SNF $198,038,057 2014 D00E184 20000 00700
Total - Hospital $186,813,834 2013 D00A184 20000 00700
Total - SNF $186,813,834 2013 D00E184 20000 00700
Durable Medical Equipment-Rented - Hospital $93,001 2013 D00A184 09600 00700
Durable Medical Equipment-Rented - SNF $93,001 2013 D00E184 09600 00700
Durable Medical Equipment-Rented - Hospital $59,348 2014 D00A184 09600 00700
Durable Medical Equipment-Rented - SNF $59,348 2014 D00E184 09600 00700

FREMONT HEALTH MEDICAL CENTER- Costs, private room differential adjustment, General inpatient routine service cost net of swing-bed cost and private room cost differential - Hospital, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
General inpatient routine service cost net of swing-bed cost and private room cost differential - Hospital $16,235,149 2015 D10A181 03700 00100
General inpatient routine service cost net of swing-bed cost and private room cost differential - Hospital $12,366,792 2013 D10A181 03700 00100
General inpatient routine service cost net of swing-bed cost and private room cost differential - Hospital $11,570,637 2014 D10A181 03700 00100
General inpatient routine service cost net of swing-bed cost and private room cost differential - Hospital $11,287,480 2016 D10A181 03700 00100

FREMONT HEALTH MEDICAL CENTER- Charges, OTHER REIMBURSABLE COST CENTERS, Inpatient, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Durable Medical Equipment-Rented $93,001 2013 C000001 09600 00600
Durable Medical Equipment-Rented $59,348 2014 C000001 09600 00600

FREMONT HEALTH MEDICAL CENTER- Beds, Hospital and Hospital Health Care Complex Statistical Data and Hospital Wage Index Information, No. of Beds, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Grand Total 202 2013 S300001 02700 00200
Grand Total 202 2014 S300001 02700 00200
Grand Total 193 2015 S300001 02700 00200
Grand Total 176 2016 S300001 02700 00200
Skilled Nursing Facility 112 2013 S300001 01900 00200
Skilled Nursing Facility 112 2014 S300001 01900 00200
Skilled Nursing Facility 112 2015 S300001 01900 00200
Skilled Nursing Facility 106 2016 S300001 01900 00200
Total 90 2013 S300001 01400 00200
Total 90 2014 S300001 01400 00200
Total Adults and Peds (Exclude observation beds) 84 2013 S300001 00700 00200
Hospital Adults & Peds. 84 2013 S300001 00100 00200
Total Adults and Peds (Exclude observation beds) 84 2014 S300001 00700 00200
Hospital Adults & Peds. 84 2014 S300001 00100 00200
Total Adults and Peds (Exclude observation beds) 81 2015 S300001 00700 00200
Total 81 2015 S300001 01400 00200
Hospital Adults & Peds. 81 2015 S300001 00100 00200
Total Adults and Peds (Exclude observation beds) 50 2016 S300001 00700 00200
Hospital Adults & Peds. 50 2016 S300001 00100 00200
Total 50 2016 S300001 01400 00200
Subprovider - IPF 20 2016 S300001 01600 00200
Intensive Care Unit 6 2013 S300001 00800 00200
Intensive Care Unit 6 2014 S300001 00800 00200

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, Program Charges - Cost Reimbursed Services Subject to Ded. & Coins, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Observation Bed - Hospital $65,408 2015 D00A185 09200 00300
Clinic - Hospital $52,296 2013 D00A185 09000 00300
Clinic - Hospital $52,028 2016 D00A185 09000 00300
Clinic - Hospital $46,085 2014 D00A185 09000 00300
Clinic - Hospital $5,832 2015 D00A185 09000 00300

FREMONT HEALTH MEDICAL CENTER- Costs, PASS-THROUGH COST ADJUSTMENTS, Pass through costs applicable to Program inpatient routine services - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Pass through costs applicable to Program inpatient routine services - IPF $93,885 2016 D10B181 05000 00100

FREMONT HEALTH MEDICAL CENTER- Patient Revenues, Total patient revenues, Less total operating expenses, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Less total operating expenses $131,187,362 2016 G300000 00400 00100
Less total operating expenses $117,228,844 2015 G300000 00400 00100
Less total operating expenses $108,007,398 2014 G300000 00400 00100
Less total operating expenses $100,410,451 2013 G300000 00400 00100

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, Program Cost - PPS Services, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Net Charges - Hospital $23,344,884 2015 D00A185 20200 00500
Subtotal - Hospital $23,344,884 2015 D00A185 20000 00500
Net Charges - Hospital $18,462,465 2016 D00A185 20200 00500
Subtotal - Hospital $18,462,465 2016 D00A185 20000 00500
Subtotal - Hospital $14,632,537 2014 D00A185 20000 00500
Net Charges - Hospital $14,632,537 2014 D00A185 20200 00500
Net Charges - Hospital $12,271,730 2013 D00A185 20200 00500
Subtotal - Hospital $12,271,730 2013 D00A185 20000 00500

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, Program Cost - PPS Services, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Clinic - Hospital $8,547,055 2015 D00A185 09000 00500
Clinic - Hospital $3,640,172 2016 D00A185 09000 00500
Clinic - Hospital $2,323,228 2014 D00A185 09000 00500
Clinic - Hospital $1,992,739 2013 D00A185 09000 00500
Emergency - Hospital $1,129,731 2016 D00A185 09100 00500
Observation Bed - Hospital $1,048,538 2015 D00A185 09200 00500
Emergency - Hospital $853,237 2014 D00A185 09100 00500
Emergency - Hospital $821,716 2015 D00A185 09100 00500
Emergency - Hospital $799,076 2013 D00A185 09100 00500
Observation Bed - Hospital $718,490 2016 D00A185 09200 00500
Observation Bed - Hospital $685,948 2014 D00A185 09200 00500
Observation Bed - Hospital $527,906 2013 D00A185 09200 00500

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, Outpatient Program Charges, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total - Hospital $69,666,020 2016 D00A184 20000 01200
Total - Hospital $68,047,111 2015 D00A184 20000 01200
Total - Hospital $54,314,979 2014 D00A184 20000 01200
Total - Hospital $46,429,913 2013 D00A184 20000 01200

FREMONT HEALTH MEDICAL CENTER- Costs, OUTPATIENT SERVICE COST CENTERS, Total Costs, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Clinic $21,223,829 2016 C000001 09000 00500
Clinic $21,223,829 2016 C000001 09000 00300
Clinic $9,100,536 2015 C000001 09000 00500
Clinic $9,100,536 2015 C000001 09000 00300
Emergency $4,889,812 2016 C000001 09100 00500
Emergency $4,889,812 2016 C000001 09100 00300
Emergency $3,881,481 2013 C000001 09100 00300
Emergency $3,881,481 2013 C000001 09100 00500
Emergency $3,807,755 2015 C000001 09100 00500
Emergency $3,807,755 2015 C000001 09100 00300
Emergency $3,651,502 2014 C000001 09100 00300
Emergency $3,651,502 2014 C000001 09100 00500
Clinic $3,607,905 2014 C000001 09000 00300
Clinic $3,607,905 2014 C000001 09000 00500
Clinic $3,295,314 2013 C000001 09000 00500
Clinic $3,295,314 2013 C000001 09000 00300
Observation Beds $2,237,458 2015 C000001 09200 00500
Observation Beds $2,237,458 2015 C000001 09200 00300
Observation Beds $1,786,821 2016 C000001 09200 00300
Observation Beds $1,786,821 2016 C000001 09200 00500
Observation Beds $1,564,643 2014 C000001 09200 00300
Observation Beds $1,564,643 2014 C000001 09200 00500
Observation Beds $1,280,375 2013 C000001 09200 00300
Observation Beds $1,280,375 2013 C000001 09200 00500

FREMONT HEALTH MEDICAL CENTER- Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Adjusted general inpatient routine service cost per diem - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Adjusted general inpatient routine service cost per diem - Hospital $1,646 2015 D10A181 03800 00100
Adjusted general inpatient routine service cost per diem - Hospital $1,335 2014 D10A181 03800 00100
Adjusted general inpatient routine service cost per diem - Hospital $1,328 2013 D10A181 03800 00100
Adjusted general inpatient routine service cost per diem - Hospital $1,226 2016 D10A181 03800 00100

FREMONT HEALTH MEDICAL CENTER- Costs, ANCILLARY SERVICE COST CENTERS, TOTAL, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Operating Room $9,524,280 2016 B000001 05000 02600
Operating Room $9,456,298 2015 B000001 05000 02600
Operating Room $8,625,804 2014 B000001 05000 02600
Operating Room $6,741,916 2013 B000001 05000 02600
Laboratory $6,491,476 2014 B000001 06000 02600
Laboratory $6,475,106 2013 B000001 06000 02600
Laboratory $6,337,103 2015 B000001 06000 02600
Drugs Charged to Patients $6,302,373 2016 B000001 07300 02600
Radiology-Diagnostic $5,967,725 2014 B000001 05400 02600
Radiology-Diagnostic $5,786,564 2015 B000001 05400 02600
Laboratory $5,758,685 2016 B000001 06000 02600
Radiology-Diagnostic $5,670,539 2016 B000001 05400 02600
Radiology-Diagnostic $5,575,077 2013 B000001 05400 02600
Respiratory Therapy $5,065,506 2015 B000001 06500 02600
Drugs Charged to Patients $5,020,595 2015 B000001 07300 02600
Respiratory Therapy $4,936,110 2016 B000001 06500 02600
Respiratory Therapy $4,583,950 2014 B000001 06500 02600
Respiratory Therapy $4,522,437 2013 B000001 06500 02600
Drugs Charged to Patients $4,376,486 2014 B000001 07300 02600
Implantable Devices Charged to Patients $4,364,800 2015 B000001 07200 02600
Drugs Charged to Patients $4,223,298 2013 B000001 07300 02600
Implantable Devices Charged to Patients $3,566,474 2016 B000001 07200 02600
Implantable Devices Charged to Patients $3,558,331 2014 B000001 07200 02600
Implantable Devices Charged to Patients $3,172,228 2013 B000001 07200 02600
Physical Therapy $3,093,914 2014 B000001 06600 02600
Physical Therapy $3,007,899 2013 B000001 06600 02600
Physical Therapy $2,995,516 2015 B000001 06600 02600
Physical Therapy $2,815,873 2016 B000001 06600 02600
Medical Supplies Charged to Patients $2,449,414 2014 B000001 07100 02600
Medical Supplies Charged to Patients $2,215,754 2013 B000001 07100 02600
Recovery Room $2,185,287 2015 B000001 05100 02600
Recovery Room $2,135,640 2014 B000001 05100 02600
Medical Supplies Charged to Patients $2,078,386 2016 B000001 07100 02600
Recovery Room $2,045,201 2013 B000001 05100 02600
Radiology-Therapeutic $1,930,018 2016 B000001 05500 02600
Recovery Room $1,880,036 2016 B000001 05100 02600
Radiology-Therapeutic $1,867,309 2015 B000001 05500 02600
Medical Supplies Charged to Patients $1,843,012 2015 B000001 07100 02600
Radiology-Therapeutic $1,802,084 2014 B000001 05500 02600
Radiology-Therapeutic $1,766,733 2013 B000001 05500 02600
Labor Room and Delivery Room $1,721,222 2016 B000001 05200 02600
Occupational Therapy $1,610,537 2014 B000001 06700 02600
Occupational Therapy $1,566,815 2013 B000001 06700 02600
Occupational Therapy $1,553,465 2015 B000001 06700 02600
Occupational Therapy $1,297,752 2016 B000001 06700 02600
Labor Room and Delivery Room $856,705 2015 B000001 05200 02600
Labor Room and Delivery Room $839,376 2014 B000001 05200 02600
Labor Room and Delivery Room $748,603 2013 B000001 05200 02600
Anesthesiology $657,044 2015 B000001 05300 02600
Anesthesiology $394,388 2016 B000001 05300 02600
Anesthesiology $322,374 2014 B000001 05300 02600
Anesthesiology $300,206 2013 B000001 05300 02600
Speech Pathology $208,922 2015 B000001 06800 02600
Speech Pathology $183,934 2013 B000001 06800 02600
Speech Pathology $183,887 2016 B000001 06800 02600
Speech Pathology $164,038 2014 B000001 06800 02600

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Allied Health cost - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Allied Health cost - Hospital $16,235,149 2015 D10A181 09200 00200
Allied Health cost - Hospital $12,366,792 2013 D10A181 09200 00200
Allied Health cost - Hospital $11,570,637 2014 D10A181 09200 00200
Allied Health cost - Hospital $11,287,480 2016 D10A181 09200 00200
Allied Health cost - Hospital $2,237,458 2015 D10A181 09200 00400
Allied Health cost - Hospital $1,786,821 2016 D10A181 09200 00400
Allied Health cost - Hospital $1,564,643 2014 D10A181 09200 00400
Allied Health cost - Hospital $1,280,375 2013 D10A181 09200 00400

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Semi-private room days (excluding swing-bed and observation bed days) - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Semi-private room days (excluding swing-bed and observation bed days) - IPF $2,660 2016 D10B181 00400 00100

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, TOTAL, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Home Health Agency $2,044,430 2016 B000001 10100 02600
Home Health Agency $1,349,412 2014 B000001 10100 02600
Home Health Agency $1,332,456 2015 B000001 10100 02600
Home Health Agency $1,036,621 2013 B000001 10100 02600
Durable Medical Equipment-Rented $24,027 2014 B000001 09600 02600
Durable Medical Equipment-Rented $12,337 2013 B000001 09600 02600

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT ROUTINE SERVICE COST CENTERS, TOTAL, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Adults and Pediatrics $16,235,149 2015 B000001 03000 02600
Adults and Pediatrics $12,366,792 2013 B000001 03000 02600
Adults and Pediatrics $11,570,637 2014 B000001 03000 02600
Adults and Pediatrics $11,287,480 2016 B000001 03000 02600
Skilled Nursing Facility $11,278,797 2016 B000001 04400 02600
Skilled Nursing Facility $10,728,511 2015 B000001 04400 02600
Skilled Nursing Facility $9,792,659 2014 B000001 04400 02600
Skilled Nursing Facility $9,628,693 2013 B000001 04400 02600
Subprovider IPF $4,923,080 2016 B000001 04000 02600
Nursery $847,150 2016 B000001 04300 02600
Nursery $534,653 2014 B000001 04300 02600
Nursery $525,257 2013 B000001 04300 02600
Nursery $464,618 2015 B000001 04300 02600
Intensive Care Unit $302,628 2013 B000001 03100 02600
Intensive Care Unit $261,473 2014 B000001 03100 02600

FREMONT HEALTH MEDICAL CENTER- Costs, PASS-THROUGH COST ADJUSTMENTS, Total Program inpatient operating cost excluding capital related, nonphysician anesthetist, and medical education costs - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total Program inpatient operating cost excluding capital related, nonphysician anesthetist, and medical education costs - Hospital $14,791,467 2015 D10A181 05300 00100
Total Program inpatient operating cost excluding capital related, nonphysician anesthetist, and medical education costs - Hospital $14,396,568 2013 D10A181 05300 00100
Total Program inpatient operating cost excluding capital related, nonphysician anesthetist, and medical education costs - Hospital $13,795,496 2014 D10A181 05300 00100
Total Program inpatient operating cost excluding capital related, nonphysician anesthetist, and medical education costs - Hospital $12,283,801 2016 D10A181 05300 00100

FREMONT HEALTH MEDICAL CENTER- Discharges, Medicare, Discharges, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Hospital Adults & Peds. 1,358 2013 S300001 00100 01300
Hospital Adults & Peds. 1,229 2014 S300001 00100 01300
Hospital Adults & Peds. 1,225 2016 S300001 00100 01300
Hospital Adults & Peds. 1,190 2015 S300001 00100 01300

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF OBSERVATION BED PASS THROUGH COST, Nursing School cost - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Nursing School cost - Hospital $16,235,149 2015 D10A181 09100 00200
Nursing School cost - Hospital $12,366,792 2013 D10A181 09100 00200
Nursing School cost - Hospital $11,570,637 2014 D10A181 09100 00200
Nursing School cost - Hospital $11,287,480 2016 D10A181 09100 00200
Nursing School cost - Hospital $2,237,458 2015 D10A181 09100 00400
Nursing School cost - Hospital $1,786,821 2016 D10A181 09100 00400
Nursing School cost - Hospital $1,564,643 2014 D10A181 09100 00400
Nursing School cost - Hospital $1,280,375 2013 D10A181 09100 00400

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Semi-private room days (excluding swing-bed and observation bed days) - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Semi-private room days (excluding swing-bed and observation bed days) - Hospital $8,502 2015 D10A181 00400 00100
Semi-private room days (excluding swing-bed and observation bed days) - Hospital $8,347 2013 D10A181 00400 00100
Semi-private room days (excluding swing-bed and observation bed days) - Hospital $7,747 2016 D10A181 00400 00100
Semi-private room days (excluding swing-bed and observation bed days) - Hospital $7,495 2014 D10A181 00400 00100

FREMONT HEALTH MEDICAL CENTER- Charges, SPECIAL PURPOSE COST CENTERS, Total, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total $268,974,380 2016 C000001 20200 00800
Subtotal $268,974,380 2016 C000001 20000 00800
Total $249,129,873 2015 C000001 20200 00800
Subtotal $249,129,873 2015 C000001 20000 00800
Subtotal $220,085,041 2014 C000001 20000 00800
Total $220,085,041 2014 C000001 20200 00800
Subtotal $209,266,088 2013 C000001 20000 00800
Total $209,266,088 2013 C000001 20200 00800
Hospice $2,058,344 2015 C000001 11600 00800
Hospice $1,747,425 2014 C000001 11600 00800
Hospice $1,689,928 2016 C000001 11600 00800
Hospice $1,584,047 2013 C000001 11600 00800

FREMONT HEALTH MEDICAL CENTER- Costs, PASS-THROUGH COST ADJUSTMENTS, Pass through costs applicable to Program inpatient ancillary services - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Pass through costs applicable to Program inpatient ancillary services - Hospital $828,275 2013 D10A181 05100 00100
Pass through costs applicable to Program inpatient ancillary services - Hospital $824,042 2016 D10A181 05100 00100
Pass through costs applicable to Program inpatient ancillary services - Hospital $777,649 2014 D10A181 05100 00100
Pass through costs applicable to Program inpatient ancillary services - Hospital $715,479 2015 D10A181 05100 00100

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF INPATIENT OPERATING COST, Observation bed cost - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Observation bed cost - Hospital $2,237,458 2015 D10A181 08900 00100
Observation bed cost - Hospital $1,786,821 2016 D10A181 08900 00100
Observation bed cost - Hospital $1,564,643 2014 D10A181 08900 00100
Observation bed cost - Hospital $1,280,375 2013 D10A181 08900 00100

FREMONT HEALTH MEDICAL CENTER- Patient Revenues, INTENSIVE CARE TYPE INPATIENT HOSPITAL SERVICES, INPATIENT-REVENUE, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total patient revenues $96,348,518 2016 G200000 02800 00100
Total patient revenues $89,201,727 2015 G200000 02800 00100
Total patient revenues $88,196,386 2013 G200000 02800 00100
Total patient revenues $79,820,417 2014 G200000 02800 00100
Ancillary services $68,598,647 2016 G200000 01800 00100
Ancillary services $67,121,438 2013 G200000 01800 00100
Ancillary services $65,451,205 2015 G200000 01800 00100
Ancillary services $60,805,923 2014 G200000 01800 00100
Total inpatient routine care services $27,749,871 2016 G200000 01700 00100
Total inpatient routine care services $23,750,522 2015 G200000 01700 00100
Total inpatient routine care services $21,074,948 2013 G200000 01700 00100
Total inpatient routine care services $19,014,494 2014 G200000 01700 00100
Total intensive care type inpatient hospital services $2,693,211 2015 G200000 01600 00100
Total intensive care type inpatient hospital services $1,664,541 2013 G200000 01600 00100
Total intensive care type inpatient hospital services $1,231,125 2014 G200000 01600 00100

FREMONT HEALTH MEDICAL CENTER- Charges, INPATIENT ROUTINE SERVICE COST CENTERS, Total, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Adults and Pediatrics $13,667,000 2015 C000001 03000 00800
Adults and Pediatrics $12,925,957 2016 C000001 03000 00800
Adults and Pediatrics $10,174,828 2013 C000001 03000 00800
Adults and Pediatrics $9,624,187 2014 C000001 03000 00800
Skilled Nursing Facility $7,015,718 2013 C000001 04400 00800
Skilled Nursing Facility $6,817,156 2015 C000001 04400 00800
Skilled Nursing Facility $6,759,642 2016 C000001 04400 00800
Skilled Nursing Facility $6,716,726 2014 C000001 04400 00800
Subprovider IPF $3,703,267 2016 C000001 04000 00800
Intensive Care Unit $2,025,478 2014 C000001 03100 00800
Intensive Care Unit $1,664,541 2013 C000001 03100 00800
Nursery $579,424 2014 C000001 04300 00800
Nursery $560,446 2013 C000001 04300 00800
Nursery $554,179 2016 C000001 04300 00800
Nursery $508,362 2015 C000001 04300 00800

FREMONT HEALTH MEDICAL CENTER- Patient Revenues, Total patient revenues, Less contractual allowances and discounts on patients' accounts, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Less contractual allowances and discounts on patients' accounts $169,775,707 2015 G300000 00200 00100
Less contractual allowances and discounts on patients' accounts $166,061,730 2016 G300000 00200 00100
Less contractual allowances and discounts on patients' accounts $137,022,972 2014 G300000 00200 00100
Less contractual allowances and discounts on patients' accounts $134,753,870 2013 G300000 00200 00100

FREMONT HEALTH MEDICAL CENTER- Costs, Program Cost, Program Cost, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Intensive Care Unit - Hospital $169,251 2014 D10A181 04300 00500
Intensive Care Unit - Hospital $160,085 2013 D10A181 04300 00500

FREMONT HEALTH MEDICAL CENTER- Costs, OTHER REIMBURSABLE COST CENTERS, Inpatient Program Charges, Medicare    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total - Hospital $37,606,579 2013 D00A184 20000 01000
Total - Hospital $36,656,166 2015 D00A184 20000 01000
Total - Hospital $36,481,234 2016 D00A184 20000 01000
Total - Hospital $36,353,639 2014 D00A184 20000 01000
Total - SNF $3,204,907 2013 D00E184 20000 01000
Total - SNF $2,559,433 2015 D00E184 20000 01000
Total - SNF $2,510,067 2016 D00E184 20000 01000
Total - SNF $2,153,818 2014 D00E184 20000 01000
Total - IPF $416,682 2016 D00B184 20000 01000

FREMONT HEALTH MEDICAL CENTER- Costs, Program Days, Program Days, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Intensive Care Unit - Hospital $490 2014 D10A181 04300 00400
Intensive Care Unit - Hospital $365 2013 D10A181 04300 00400

FREMONT HEALTH MEDICAL CENTER- Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Program general inpatient routine service cost - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Program general inpatient routine service cost - Hospital $7,690,334 2015 D10A181 03900 00100
Program general inpatient routine service cost - Hospital $6,465,629 2013 D10A181 03900 00100
Program general inpatient routine service cost - Hospital $5,918,144 2014 D10A181 03900 00100
Program general inpatient routine service cost - Hospital $5,749,223 2016 D10A181 03900 00100

FREMONT HEALTH MEDICAL CENTER- Costs, PASS-THROUGH COST ADJUSTMENTS, Pass through costs applicable to Program inpatient ancillary services - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Pass through costs applicable to Program inpatient ancillary services - IPF $7,533 2016 D10B181 05100 00100

FREMONT HEALTH MEDICAL CENTER- Costs, INPATIENT DAYS, Semi-private room days (excluding swing-bed and observation bed days) - SNF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Semi-private room days (excluding swing-bed and observation bed days) - SNF $33,209 2013 D10E181 00400 00100
Semi-private room days (excluding swing-bed and observation bed days) - SNF $31,090 2014 D10E181 00400 00100
Semi-private room days (excluding swing-bed and observation bed days) - SNF $29,728 2015 D10E181 00400 00100
Semi-private room days (excluding swing-bed and observation bed days) - SNF $28,841 2016 D10E181 00400 00100

FREMONT HEALTH MEDICAL CENTER- Costs, COMPUTATION OF INPATIENT OPERATING COST, Adjusted general inpatient routine cost per diem - Hospital, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Adjusted general inpatient routine cost per diem - Hospital $1,646 2015 D10A181 08800 00100
Adjusted general inpatient routine cost per diem - Hospital $1,335 2014 D10A181 08800 00100
Adjusted general inpatient routine cost per diem - Hospital $1,328 2013 D10A181 08800 00100
Adjusted general inpatient routine cost per diem - Hospital $1,226 2016 D10A181 08800 00100

FREMONT HEALTH MEDICAL CENTER- Costs, PROGRAM INPATIENT OPERATING COST BEFORE PASS-THROUGH COST ADJUSTMENTS, Total Program general inpatient routine service cost - IPF, Medicaid    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Total Program general inpatient routine service cost - IPF $708,849 2016 D10B181 04100 00100

FREMONT HEALTH MEDICAL CENTER- Costs, SPECIAL PURPOSE COST CENTERS, NURSING ADMINIS - TRATION, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
SUBTOTALS $2,252,569 2014 B000001 11800 01300
SUBTOTALS $2,106,883 2015 B000001 11800 01300
SUBTOTALS $2,088,651 2013 B000001 11800 01300
SUBTOTALS $1,891,134 2016 B000001 11800 01300

FREMONT HEALTH MEDICAL CENTER- Days, IPPS Hospital, Out-of State Medicaid eligible unpaid days, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Out-of State Medicaid eligible unpaid days 43 2015 S200001 02400 00400

FREMONT HEALTH MEDICAL CENTER- Patient Revenues, Total patient revenues, Net patient revenues, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Net patient revenues $130,146,742 2016 G300000 00300 00100
Net patient revenues $110,129,053 2015 G300000 00300 00100
Net patient revenues $108,679,049 2014 G300000 00300 00100
Net patient revenues $96,780,562 2013 G300000 00300 00100

FREMONT HEALTH MEDICAL CENTER- Days, IPPS Hospital, Medicaid HMO days, All Payer    |   Back to Top

Line Item Line Item Value Time Period Worksheet Line No Column No
Medicaid HMO days 925 2014 S200001 02400 00500
Medicaid HMO days 718 2015 S200001 02400 00500
Medicaid HMO days 632 2013 S200001 02400 00500
Medicaid HMO days 620 2016 S200001 02400 00500