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UNIVERSITY OF MARYLAND MIDTOWN CAMPUSHEALTH SERVICES COST REVIEWCOMMISSIONRATE REVIEW SYSTEMFOR THE FISCAL YEAR ENDED JUNE 30, 2019
REPORTING SCHEDULESFOR ANNUAL REPORTOF REVENUE AND EXPENSESAND VOLUMESTABLE OF CONTENTSSCHEDULES V1A, V1B, V1C, V1D - INPATIENT AND PATIENT DAYSSCHEDULES V2A, V2B - OUTPATIENT VISITSSCHEDULES V3A, V3D - ANCILLARY SERVICE UNITSSCHEDULE V5 - EQUIVALENT INPATIENT DAYS AND ADMISSIONSSCHEDULE OADP - ALLOCATION OF DATA PROCESSING AND OVERHEADSCHEDULE UA - UNASSIGNED EXPENSESCHEDULE P1A, P1B - HOSPITAL BASED PHYSICIANS ALLOCATIONSCHEDULES P2A TO P2I - MEDICAL STAFF SERVICESSCHEDULE P3A TO P3H - PHYSICIAN SUPPORT SERVICESSCHEDULES P4A TO P4I - RESIDENTS, INTERNS SERVICES - ELIGIBLESCHEDULES P5A TO P5I - RESIDENTS, INTERNS SERVICES - INELIGIBLESCHEDULES C1 TO C14 - GENERAL SERVICE CENTERSCHEDULES D1 TO D81 - PATIENT CARE CENTERSSCHEDULES E1 TO E9 - AUXILIARY ENTERPRISESSCHEDULES F1 TO F4 - OTHER INSTITUTIONAL PROGRAMSSCHEDULE RC - RECONCILIATION OF BASE YEAR EXPENSES TO SCH. RESCHEDULE RE - STATEMENT OF REVENUE AND EXPENSESSCHEDULE RE - R RECONCILIATION OF AUDITED F/S TO SCHEDULE RESCHEDULES J1, J2 - OVERHEAD EXPENSE APPORTIONMENTSCHEDULES J3, J4 - OVERHEAD EXPENSE APPORTIONMENT (PSYCH. HOSP.)SCHEDULES JS1, JS2 - OVERHEAD STATISTICAL APPORTIONMENTSCHEDULES JS3, JS4 - OVERHEAD STATISTICAL APPORTIONMENT (PSYCH. HOSP.)SCHEDULE H1 - BUILDING FACILITY ALLOWANCESCHEDULES H2A TO H2Y - DEPARTMENTAL EQUIPMENT ALLOWANCESCHEDULES H3A, H3B - DISTRIBUTION OF CAPITAL FACILITIES ALLOWANCESCHEDULES H3C, H3D - DISTRIBUTION OF CAPITAL FACILITIES ALLOWANCE (PSYCH. HOSP.)SCHEDULE GR - CASH AND MARKETABLE ASSETSSCHEDULE G - OTHER FINANCIAL CONSIDERATIONSSCHEDULE PDA - PAYOR DIFFERENTIALSCHEDULES M, MA - PART A COST ACCUMULATINS LEVELS I - IVSCHEDULES MC, MD - PART A COST ACCUMULATINS LEVELS I - IV (PSYCH. HOSP.)SCHEDULE OES - OVERHEAD EXPENSE SUMMARY - PART BSCHEDULE UR1 TO UR9 - UNREGULATED SERVICESSCHEDULE URS - UNREGULATED SERVICES SUMMARYSCHEDULE ACS - ANNUAL COST SURVEYSCHEDULE TRE - TRANSACTIONS WITH RELATED ENTITIESSCHEDULE RAT - REPORTING OF REGULATORY ADJUSTMENTS FOR TPR HOSPITALSSCHEDULE D21A - OUTPATIENT SURGERY PROCEDURE BASEDSCHEDULE SB - SUPPLEMENTAL BIRTHSSCHEDULE AHA-R - RECONCILIATION OF FINANCIAL STATEMENTS TO AHA SUBMISSIONSCHEDULE SBCI, SBCII - STANDBY COSTS - TRAUMA PHYSICIANSSCHEDULE MTC - MIEMMS TRAUMA COSTSUBMITTING N/A XXN/AXXXXXN/AN/AXXXXXXXXXXN/AN/AN/AXXXXXXXXXXN/A I HEREBY CERTIFY THAT I HAVE REVIEWED THIS LIST OF ANNUAL REPORT SCHEDULES AND AM SUBMITTINGALL SCHEDULES APPLICABLE TO UNIVERSITY OF MARYLAND MIDTOWN XXXXXXXXN/AN/AN/AN/AN/AN/A
INPATIENTS AND PATIENT DAYSINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION PADPCDPSGPSDMed/Surg AcutePediatric AcutePsychiatric AcuteObstetrics AcuteDefinitive ObservationMed/Surg Intensive CareCoronary CareChronic CareRespiratory DependentBurn CarePsychiatric Intensive CareShock TraumaOncologySkilled Nursing CareIntermediate CareAdolescent Dual DiagnosedRehabilitationPsychiatric AdultPsychiatric Child/AdolescentPsychiatric GeriatricPediatric Step-DownSUBTOTALD14D15NURPRETOTALNewborn NurseryPremature NurseryV1FISCAL YEAR6/30/2019COL. 1COL. 2COL. 3COL. 4COL. 5COL. 6ADMISSIONSPATIENTDAYSINTRAHOSPITALTRANSFERS INLENGTH OFSTAYAVERAGELICENSEDBEDS% OCCUPANCYRECORDSRECORDSRECORDSRECORDSCOL 2 / COL 5 * 365COL 2 / (COL 1 COL 770.534
OUTPATIENT VISITSINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION 8D83CENTEREMGCLPDCSDSFSEOBVOCLCL-340TOTALEmergency ServicesClinical ServicesPsych. Day & Night CareSame Day SurgeryFree Standing EmergencyObservationOncology O/P Clinic340B Clinic ServicesV2FISCAL YEAR6/30/2019COL. 1COL. 2COL. 3COL. 4COL. 5COL. NTRVUSOUTPATIENTRVUSTOTALRVUSRECORDSRECORDSCOL 1 COL 2RECORDSRECORDSCOL 4 COL 4726,767794,081
ANCILLARY SERVICE UNITSINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION abor & Delivery ServicesOperating RoomOperating Room ClinicAnesthesiologyLaboratory ServicesElectrocardiographyInterventional Radiology / CardiovascularRadiology-DiagnosticCT ScannerRadiology-TherapeuticNuclear MedicineRespiratory TherapyPulmonary Function TestingElectroencephalographyPhysical TherapyOccupational TherapySpeech Language PathologyRecreational TherapyAudiologyOther Physical MedicineRenal DialysisOrgan AcquisitionLeukopheresisHyperbaric ChamberMagnetic Resonance ImagingLithotripsyAmbulance Services-RebundledPsychological TestingElectroconvulsive Therapy340B Radiology - Therapeutic340B OR Clinic Services340B Laboratory Services340B DrugsV3FISCAL YEAR6/30/2019COL. 1COL. 2COL. 3COL. 4UNIT ERECORDSRECORDSCOL 1 COL 2MD RVUsMinutesMinutesMinutesMD RVUs1974 California RVUsMD RVUsHSCRC RVUsHSCRC RVUsMD RVUsHSCRC RVUsMD RVUsMD RVUs1974 California RVUsMD RVUsMD RVUsMD RVUsTreatmentsMD RVUsTreatmentsTreatmentsTreatmentsJHU RVUsHours of TreatmentHSCRC RVUs# of ProceduresHSCRC RVUsHoursTreatmentsMD RVUsMinutesMD ,23648,1180002,4420011391,08000000000
EQUIVALENT INPATIENT DAYS AND ADMISSIONSINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038ABCDEFGHIJKLM6/30/2019EQUIVALENT INPATIENT DAYS (EIPDs)SOURCEFISCAL YEARINPATIENT DATA - BASE YEARCOL. 1COL. 2GROSS INPATIENT REVENUEINPATIENT GRANT REVENUETOTAL INPATIENT REVENUE *TOTAL INPATIENT DAYS (IPDs) (EXCLUDING NURSERY)INPATIENT UNIT REVENUEGROSS OUTPATIENT REVENUEOUTPATIENT GRANT REVENUETOTAL OUTPATIENT REVENUE *TOTAL OUTPATIENT VISITSOUTPATIENT UNIT REVENUEINPATIENT - OUTPATIENT UNIT REVENUE RATIOINPATIENT EQUIVALENT OF OUTPATIENT VISITSEQUIVALENT INPATIENT DAYS (EIPDs)EQUIVALENT INPATIENT ADMISSIONS (EIPAs)NOPQRSFISCAL YEARV5TOTAL INPATIENT ADMISSIONSINPATIENT UNIT REVENUEOUTPATIENT UNIT REVENUEINPATIENT - OUTPATIENT UNIT REVENUE RATIOINPATIENT EQUIVALENT OF OUTPATIENT VISITSEQUIVALENT INPATIENT ADMISSIONS (EIPAs)RECORDS, BUDGETRECORDS, BUDGETA BSCHD V 1 DC/DRECORDS, BUDGETRECORDS, BUDGETF GSCH V 2 BH/IE/JI/KD LSOURCESCH V 1 DC/NH/IO/PI/QN MFISCAL YEAR4,40525.080301.2146120.648854,7749,179NOPQRU
UNASSIGNED EXPENSESINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038SOURCEFISCAL YEAR DATAA BASE YEAR EXPENSESRECORDSB ALLOC. TO AUX. ENTERPRISES& UNREGULATED SERVICESRECORDSC FISCAL YEAR EXP. - ADJUSTED A BUAFISCAL YEAR6/30/2019COL. 1COL. 2COL. 3COL. 4COL. 5COL. 6COL. 7COL. 8COL. 9COL. 10MALPRACTICEINSURANCEOTHERINSURANCEMEDICAL CAREREVIEWSUB-TOTALDEPRECIATION&AMORTIZATIOLEASES &RENTALSLICENSES &TAXESINTERESTSHORT TERMINTERESTLONG 9,628.4ABC
HOSPITAL BASED PHYSICIANSINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038COST Medical Staff AdministrationMed/Surg AcutePediatric AcutePsychiatric AcuteObstetrics AcuteDefinitive ObservationMed/Surg Intensive CareCoronary CareChronic CareRespiratory DependentBurn CarePsychiatric Intensive CareShock TraumaOncologyNewborn NurseryPremature NurseryIntermediate CareEmergency ServicesClinical ServicesPsych. Day & Night CareAmbulatory Surgery (PBP)Same Day SurgeryLabor & Delivery ServicesOperating RoomOperating Room ClinicAnesthesiologyLaboratory ServicesElectrocardiographyInterventional Radiology / CardiovascularRadiology-DiagnosticCT ScannerRadiology-TherapeuticNuclear MedicineRespiratory ATRATNUCRESP1 AFISCAL YEAR6/30/2019COL 1COL 2COL 3COL 4COL 5COL 6COL 7ResearchChief ofMedical StaffMedical CareReviewAdministration &SupervisionPart 00.00.00.00.00.00.00.00.00.00.0Page 9 of 34
HOSPITAL BASED PHYSICIANSINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038COST 66A67A68A69A70A71A72A73A74BPulmonary Function TestingElectroencephalographyPhysical TherapyOccupational TherapySpeech Language PathologyRecreational TherapyAudiologyOther Physical MedicineRenal DialysisOrgan AcquisitionAmbulatory SurgeryLeukopheresisHyperbaric ChamberFree Standing EmergencyMagnetic Resonance ImagingAdolescent Dual urethal Microwave ThermotherapyOncology O/P ClinicTransurethal Needle AblationPsychiatric AdultPsychiatric Child/AdolescentPsychiatric GeriatricIndividual TherapiesGroup TherapiesFamily TherapiesPsychological TestingEducationOther TherapiesElectroconvulsive TherapyActivity TherapiesPediatric Step-Down340B Clinic Services340B Radiology - Therapeutic340B OR Clinic Services340B Laboratory Services340B DrugsPost Graduate Medical EdTOTALSCODEP1 BFISCAL YEAR6/30/2019COL 1COL 2COL 3COL 4COL 5COL 6COL 7ResearchChief ofMedical StaffMedical CareReviewAdminstration &SupervisionPart 72A73A74BReporting ScheduleCCost Center Schedule/////F01C 13UAPage 10 of 80D1 - D80P2A - P2GP4A - P4G/////C
/////& P5A - P5GPage 11 of 80/////
PHYSICIAN SUPPORT SERVICESP3INSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038COL. 1COL. 2FISCAL YEARCOL. 3FISCAL YEAR ALLOC. CAFÉ DONATEDEXPENSEPARK ETC. SERVICESFISCAL YEAR DATAMED/SURG ACUTEMSGPEDIATRIC ACUTEPEDPSYCHIATRIC ACUTEPSYOBSTETRICS ACUTEOBSDEFINITIVE OBSERVATIONDEFMED/SURG INTENSIVE CAREMISCORONARY CARECCUCHRONIC CARECRHRESPIRATORY DEPENDENTRDSBURN CAREBURPSYCHIATRIC INTENSIVE CAREPSISHOCK TRAUMATRMONCOLOGYONCNEWBORN NURSERYNURPREMATURE NURSERYPREINTERMEDIATE CAREICCEMERGENCY SERVICESEMGCLINICAL SERVICESCLPSYCH. DAY & NIGHT CAREPDCAMBULATORY SURGERY (PBP)AMSSAME DAY SURGERYSDSLABOR & DELIVERY SERVICESDELOPERATING ROOMOROPERATING ROOM CLINICORCANESTHESIOLOGYANSLABORATORY SERVICESLABELECTROCARDIOGRAPHYEKGINTERVENTIONAL RADIOLOGY / CARDIOVASCULARIRCRADIOLOGY-DIAGNOSTICRADCT SCANNERCATRADIOLOGY-THERAPEUTICRATNUCLEAR MEDICINENUCRESPIRATORY THERAPYRESPULMONARY FUNCTION TESTINGPULELECTROENCEPHALOGRAPHYEEGPHYSICAL THERAPYPTHOCCUPATIONAL THERAPYOTHSPEECH LANGUAGE PATHOLOGYSTHRECREATIONAL THERAPYRECAUDIOLOGYAUDOTHER PHYSICAL MEDICINEOPMRENAL DIALYSISRDLORGAN ACQUISITIONOAAMBULATORY SURGERYAORLEUKOPHERESISLEUHYPERBARIC CHAMBERHYPFREE STANDING EMERGENCYFSEMAGNETIC RESONANCE IMAGINGMRIADOLESCENT DUAL TIONOBVTRANSURETHAL MICROWAVE THERMOTHERAPY TMTONCOLOGY O/P CLINICOCLTRANSURETHAL NEEDLE ABLATIONTNAPSYCHIATRIC ADULTPADPSYCHIATRIC CHILD/ADOLESCENTPCDPSYCHIATRIC GERIATRICPSGINDIVIDUAL THERAPIESITHGROUP THERAPIESGTHFAMILY THERAPIESFTHPSYCHOLOGICAL TESTINGPSTEDUCATIONPSEOTHER THERAPIESOPTELECTROCONVULSIVE THERAPYETHACTIVITY THERAPIESATHPEDIATRIC STEP-DOWNPSD340B CLINIC SERVICESCL-340340B RADIOLOGY - THERAPEUTICRAT-340340B OR CLINIC SERVICESORC-340340B LABORATORY SERVICESLAB-340340B 26.50.00.02019COL. 4COL. 0.2
RESIDENT, INTERN SERVICESP4 AELIGIBLEINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038SOURCEABCDEFFISCAL YEAR DATAFISCAL YEAR WAGES & SALARIESFISCAL YEAR PHYSICIAN SUPERVISIONFISCAL YEAR OTHER EXPENSESTOTAL FISCAL YEAR EXPENSESALLOC. FROM CAFE, PARKING, ETC.FISCAL YEAR EXPENSES ADJUSTEDRECORDSSCH. P1ARECORDSA B CSCH. OAD EINFLATION FACTORSG INFLATION FACTOR-WAGES & SALARIESH INFLATION FACTOR - OTHERHSCRCHSCRCFTE DATAI FISCAL YEAR HOURS WORKED/2080 (A)J FISCAL YEAR HOURS WORKED/2080 (B)RECORDSRECORDSFISCAL YEARCOL. 1COL. 2COL. 3COL. 4MED/SURG 02,810.80.00.00.00.00.00.00.00.00.00.00.00.0COL. 5COL. 6COL. 7DEFINITIVEMED/SURGCORONARY CAREOBSERVATION INTENSIVE .00.00.00.00.00.0ABCDEFGH28.49.60.00.0Page 13 of 800.00.00.00.02.20.08.90.00.00.0IJ
RESIDENT, INTERN SERVICESP4 BELIGIBLEINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038SOURCEABCDEFFISCAL YEAR DATAFISCAL YEAR WAGES & SALARIESFISCAL YEAR PHYSICIAN SUPERVISIONFISCAL YEAR OTHER EXPENSESTOTAL FISCAL YEAR EXPENSESALLOC. FROM CAFE, PARKING, ETC.FISCAL YEAR EXPENSES ADJUSTEDRECORDSSCH. P1ARECORDSA B CSCH. OAD EINFLATION FACTORSG INFLATION FACTOR-WAGES & SALARIESH INFLATION FACTOR - OTHERHSCRCHSCRCFTE DATAI FISCAL YEAR HOURS WORKED/2080 (A)J FISCAL YEAR HOURS WORKED/2080 (B)RECORDSRECORDSFISCAL YEARCOL. 1COL. 2CHRONIC CARERESPIRATORYDEPENDENTBURN CARED08CRHD09RDSD10BUR0.00.00.00.00.00.0COL. 30.00.00.00.00.00.00.00.00.00.00.00.0COL. OL. 56/30/2019COL. 6COL. 0.00.0ABCDEFGH0.00.00.00.0Page 14 of 800.00.00.00.00.00.00.00.00.00.0IJ
RESIDENT, INTERN SERVICESP4 CELIGIBLEINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038SOURCEABCDEFFISCAL YEAR DATAFISCAL YEAR WAGES & SALARIESFISCAL YEAR PHYSICIAN SUPERVISIONFISCAL YEAR OTHER EXPENSESTOTAL FISCAL YEAR EXPENSESALLOC. FROM CAFE, PARKING, ETC.FISCAL YEAR EXPENSES ADJUSTEDRECORDSSCH. P1ARECORDSA B CSCH. OAD EINFLATION FACTORSG INFLATION FACTOR-WAGES & SALARIESH INFLATION FACTOR - OTHERHSCRCHSCRCFTE DATAI FISCAL YEAR HOURS WORKED/2080 (A)J FISCAL YEAR HOURS WORKED/2080 (B)RECORDSRECORDSFISCAL YEAR6/30/2019COL. 1COL. 2COL. 3COL. 4COL. 5COL. 6COL. CLINICALSERVICESPSYCH. DAY &NIGHT CAREAMBULATORYSURGERY (PBP)SAME .00.00.00.0Page 15 of 800.01.45.61.90.00.00.00.00.00.0IJ
RESIDENT, INTERN SERVICESP4 DELIGIBLEINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038SOURCEABCDEFFISCAL YEAR DATAFISCAL YEAR WAGES & SALARIESFISCAL YEAR PHYSICIAN SUPERVISIONFISCAL YEAR OTHER EXPENSESTOTAL FISCAL YEAR EXPENSESALLOC. FROM CAFE, PARKING, ETC.FISCAL YEAR EXPENSES ADJUSTEDRECORDSSCH. P1ARECORDSA B CSCH. OAD EINFLATION FACTORSG INFLATION FACTOR-WAGES & SALARIESH INFLATION FACTOR - OTHERHSCRCHSCRCFTE DATAI FISCAL YEAR HOURS WORKED/2080 (A)J FISCAL YEAR HOURS WORKED/2080 (B)RECORDSRECORDSFISCAL YEARCOL. 1COL. 2COL. 3LABOR & DELIVERYSERVICESOPERATINGROOMOPERATINGROOM 273.0449.90.0449.9COL. 4COL. 50.00.00.00.00.00.0COL. 6ANESTHESIOLO .00.05.60.05.60.05.6COL. 7INTERVENTIONALRADIOLOGY .03.31.4Page 16 of 800.00.00.00.00.00.00.00.00.00.0IJ
RESIDENT, INTERN SERVICESP4 EELIGIBLEINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038COL. 1SOURCEABCDEFFISCAL YEAR DATAFISCAL YEAR WAGES & SALARIESFISCAL YEAR PHYSICIAN SUPERVISIONFISCAL YEAR OTHER EXPENSESTOTAL FISCAL YEAR EXPENSESALLOC. FROM CAFE, PARKING, ETC.FISCAL YEAR EXPENSES ADJUSTEDRECORDSSCH. P1ARECORDSA B CSCH. OAD EINFLATION FACTORSG INFLATION FACTOR-WAGES & SALARIESH INFLATION FACTOR - OTHERHSCRCHSCRCFTE DATAI FISCAL YEAR HOURS WORKED/2080 (A)J FISCAL YEAR HOURS WORKED/2080 (B)RECORDSRECORDSFISCAL YEARCOL. 2COL. 3COL. 4COL. 5RADIOLOGYDIAGNOSTICCT 0.00.00.00.00.00.00.00.00.00.06/30/2019COL. OL. ABCDEFGH0.00.00.00.0Page 17 of 800.00.00.00.00.00.00.00.00.00.1IJ
RESIDENT, INTERN SERVICESP4 FELIGIBLEINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038COL. 1SOURCEABCDEFFISCAL YEAR DATAFISCAL YEAR WAGES & SALARIESFISCAL YEAR PHYSICIAN SUPERVISIONFISCAL YEAR OTHER EXPENSESTOTAL FISCAL YEAR EXPENSESALLOC. FROM CAFE, PARKING, ETC.FISCAL YEAR EXPENSES ADJUSTEDCOL. 2OCCUPATIONALPHYSICAL THERAPYTHERAPYD39PTHRECORDSSCH. P1ARECORDSA B CSCH. OAD EINFLATION FACTORSG INFLATION FACTOR-WAGES & SALARIESH INFLATION FACTOR - OTHERHSCRCHSCRCFTE DATAI FISCAL YEAR HOURS WORKED/2080 (A)J FISCAL YEAR HOURS WORKED/2080 (B)RECORDSRECORDSFISCAL YEARD40OTH0.00.00.00.00.00.00.00.00.00.00.00.0COL. 3COL. THREC0.00.00.00.00.00.00.00.00.00.00.00.0COL. 5AUDIOLOGYD43AUD0.00.00.00.00.00.06/30/2019COL. 6OTHERPHYSICALMEDICINED44OPMCOL. 7RENAL ABCDEFGH0.00.00.00.0Page 18 of 800.00.00.00.00.00.00.00.00.00.0IJ
RESIDENT, INTERN SERVICESP4 GELIGIBLEINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038SOURCEABCDEFFISCAL YEAR DATAFISCAL YEAR WAGES & SALARIESFISCAL YEAR PHYSICIAN SUPERVISIONFISCAL YEAR OTHER EXPENSESTOTAL FISCAL YEAR EXPENSESALLOC. FROM CAFE, PARKING, ETC.FISCAL YEAR EXPENSES ADJUSTEDRECORDSSCH. P1ARECORDSA B CSCH. OAD EINFLATION FACTORSG INFLATION FACTOR-WAGES & SALARIESH INFLATION FACTOR - OTHERHSCRCHSCRCFTE DATAI FISCAL YEAR HOURS WORKED/2080 (A)J FISCAL YEAR HOURS WORKED/2080 (B)RECORDSRECORDSFISCAL YEARCOL. 1COL. 2COL. 3COL. 0.00.00.0COL. /2019COL. 6COL. 7MAGNETICADOLESCENTRESONANCEDUAL .00.00.00.00.0ABCDEFGH0.00.00.00.0Page 19 of 800.00.00.00.00.00.00.00.00.00.0IJ
RESIDENT, INTERN SERVICESP4 HELIGIBLEINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038COL. 1SOURCEABCDEFFISCAL YEAR DATAFISCAL YEAR WAGES & SALARIESFISCAL YEAR PHYSICIAN SUPERVISIONFISCAL YEAR OTHER EXPENSESTOTAL FISCAL YEAR EXPENSESALLOC. FROM CAFE, PARKING, ETC.FISCAL YEAR EXPENSES ADJUSTEDCOL. 2LITHOTRIPSYINFLATION FACTORSG INFLATION FACTOR-WAGES & SALARIESH INFLATION FACTOR - OTHERHSCRCHSCRCFTE DATAI FISCAL YEAR HOURS WORKED/2080 (A)J FISCAL YEAR HOURS WORKED/2080 (B)RECORDSRECORDSCOL. 3REHABILITATION OBSERVATIOND53LITRECORDSSCH. P1ARECORDSA B CSCH. OAD EFISCAL .00.00.00.00.00.00.06/30/2019COL. 4COL. 5COL. 6TRANSURETHALTRANSURETHALONCOLOGY 0.00.00.00.00.0COL. .00.00.00.0Page 20 of 800.00.00.00.00.00.00.00.00.00.0IJ
RESIDENT, INTERN SERVICESP4 IELIGIBLEINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038SOURCEABCDEFFISCAL YEAR DATAFISCAL YEAR WAGES & SALARIESFISCAL YEAR PHYSICIAN SUPERVISIONFISCAL YEAR OTHER EXPENSESTOTAL FISCAL YEAR EXPENSESALLOC. FROM CAFE, PARKING, ETC.FISCAL YEAR EXPENSES ADJUSTEDRECORDSSCH. P1ARECORDSA B CSCH. OAD EINFLATION FACTORSG INFLATION FACTOR-WAGES & SALARIESH INFLATION FACTOR - OTHERHSCRCHSCRCFTE DATAI FISCAL YEAR HOURS WORKED/2080 (A)J FISCAL YEAR HOURS WORKED/2080 (B)RECORDSRECORDSCOL. .0FISCAL YEAR6/30/2019COL. 2COL. 3COL. 4COL. 5COL. 6COL. 0.00.00.00.0Page 21 of 800.00.00.00.00.00.00.00.00.00.0IJ
RESIDENT, INTERN SERVICESP4 JELIGIBLEINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038COL. 1SOURCEABCDEFFISCAL YEAR DATAFISCAL YEAR WAGES & SALARIESFISCAL YEAR PHYSICIAN SUPERVISIONFISCAL YEAR OTHER EXPENSESTOTAL FISCAL YEAR EXPENSESALLOC. FROM CAFE, PARKING, ETC.FISCAL YEAR EXPENSES ADJUSTEDCOL. 2INFLATION FACTORSG INFLATION FACTOR-WAGES & SALARIESH INFLATION FACTOR - OTHERHSCRCHSCRCFTE DATAI FISCAL YEAR HOURS WORKED/2080 (A)J FISCAL YEAR HOURS WORKED/2080 (B)RECORDSRECORDSCOL. 3ELECTROCONVUOTHER THERAPIESLSIVE THERAPYD79OPTRECORDSSCH. P1ARECORDSA B CSCH. OAD EFISCAL YEARD80ETH0.00.00.00.00.00.0COL. 4ACTIVITYTHERAPIESD81ATH0.00.00.00.00.00.0COL. 5PEDIATRIC STEP- 340B 00.00.00.00.00.00.00.00.00.00.00.00.06/30/2019COL. 6COL. 7340B RADIOLOGY- THERAPEUTIC340B OR .00.00.00.00.00.00.0ABCDEFGH0.00.00.00.0Page 22 of 800.00.00.00.00.00.00.00.00.00.0IJ
RESIDENT, INTERN SERVICESP4 KELIGIBLEINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038COL. 1SOURCEABCDEFFISCAL YEAR DATAFISCAL YEAR WAGES & SALARIESFISCAL YEAR PHYSICIAN SUPERVISIONFISCAL YEAR OTHER EXPENSESTOTAL FISCAL YEAR EXPENSESALLOC. FROM CAFE, PARKING, ETC.FISCAL YEAR EXPENSES ADJUSTEDRECORDSSCH. P1ARECORDSA B CSCH. OAD EINFLATION FACTORSG INFLATION FACTOR-WAGES & SALARIESH INFLATION FACTOR - OTHERHSCRCHSCRCFTE DATAI FISCAL YEAR HOURS WORKED/2080 (A)J FISCAL YEAR HOURS WORKED/2080 (B)RECORDSRECORDSFISCAL YEARCOL. 2COL. 3340B LABORATORYSERVICES340B .00.00.00.0COL. 4COL. 56/30/2019COL. 6COL. ABCDEFGH0.00.00.00.0Page 23 of 8048.414.4IJ
GENERAL SERVICE CENTERSINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:210038FISCAL YEARCOL 1CENTERUNIT CMGTMRDMSANADOAODietary ServicesLaundry & LinenSocial ServicesPurchasing & StoresPlant OperationsHousekeepingCentral Services & SupplyPharmacyGeneral AccountingPatient AccountsHospital AdministrationMedical RecordsMedical Staff AdministrationNursing AdministrationOrgan Acquisition OverheadCPatient MealsPoundsAdmissionsEIPDGross Sq FeetHours AssignedEIPAEIPAEIPD# Pt. Days & OP VisitsEIPDDischarge & 1/8 OP VisitsEIPDHours of Personnel# of 9,17971,939133,09871,93916,72771,93909,179COL 2COL 3WAGESSALARY &OTHERBENEFITS EXPENSESCOL 4COL 5COL 6TOTALEXPENSESALLOCATION TOAUX ENTS, OIPS &UR'sALLOCATEDEXPENSESRECORDSSCH OADPRECORDSRECORDS COL 2 COL 3 ,242.11,103.62,345.42,187.6-265.7 2,687.82,721.5- OL 76/30/2019COL 8COL 9ADJUSTEDTOTALEXPENSESCOL 4 COL 5 COL 6EXPENSEPER UNITFTEsCOL 7 / COL 1RECORDS .821.2-
PATIENT CARE CENTERSINSTITUTION NAME:University of Maryland Midtown CampusINSTITUTION NUMBER:FISCAL -3406/30/2019210038UNIT urg AcutePediatric AcutePsychiatric AcuteObstetrics AcuteDefinitive ObservationMed/Surg Intensive CareCoronary CareChronic CareRespiratory DependentBurn CarePsychiatric Intensive CareShock TraumaOncologyNewborn NurseryPremature NurserySkilled Nursing CareIntermediate CareEmergency ServicesClinical ServicesPsych. Day & Night CareAmbulatory Surgery (PBP)Same Day SurgeryLabor & Delivery ServicesOperating RoomOperating Room ClinicAnesthesiologyMed/Surg SuppliesDrugs SoldLaboratory ServicesElectrocardiographyInterventional Radiology / CardiovascularRadiology-DiagnosticCT ScannerRadiology-TherapeuticNuclear MedicineRespiratory TherapyPulmonary Function TestingElectroencephalographyPhysical TherapyOccupational TherapySpeech Language PathologyRecreational TherapyAudiologyOther Physical MedicineRenal DialysisOrgan AcquisitionAmbulatory SurgeryLeukopheresisHyperbaric ChamberFree Standing EmergencyMagnetic Resonance ImagingAdolescent Dual ance Services-RebundledTransurethal Microwave ThermotherapyOncology O/P ClinicTransurethal Needle AblationPsychiatric AdultPsychiatric Child/AdolescentPsychiatric GeriatricIndividual TherapiesGroup TherapiesFamily TherapiesPsychological TestingEducationOther TherapiesElectroconvulsive TherapyActivity TherapiesPediatric Step-Down340B Clinic Services340B Radiology - Therapeutic340B OR Clinic Services340B Laboratory Services340B DrugsPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysPatient DaysHSCRC RVUsHSCRC RVUsVisitsRVUsPatientsMD RVUsMinutesMinutesMinutesEIPAEIPAMD RVUs1974 California RVUsMD RVUsHSCRC RVUsHSCRC RVUsMD RVUsHSCRC RVUsMD RVUsMD RVUs1974 California RVUsMD RVUsMD RVUsMD RVUsTreatmentsMD RVUsTreatmentsTreatmentsTre
INSTITUTION NAME: University of Maryland Midtown Campus FISCAL YEAR 6/30/2019 INSTITUTION NUMBER: 210038 COL 1 COL 2 COL 3 COL 4 COL 5 COL 6 COL 7 Chief of Medical Care Administration & Part B COST CENTER CODE Research Medical Staff Review Supervision Services EDUCATION TOTAL 0 A3 Pediatric Acute PED 0.0 0.0 0.0 0.0 0.0 0.0 0.0 A3
