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Select Specialty Hospital - Wilmington Wilmington, DE 19805 CMS Certification Number: 082000 |
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Departments |
Cost Center Statistics
Inpatient Routine Service Cost Centers
| Beds | Square Feet |
Gross Salaries |
Total Costs |
IP Charges |
Ratio Cost/Chg |
Days | Cost/Day | |
|---|---|---|---|---|---|---|---|---|
| General Med/Surg | ### | ### | $### | $### | $### | ### | ### | $### |
| TOTAL | ### | ### | $### | $### | $### | ### | ### | $### |
Ancillary Service Cost Centers
| Square Feet |
Gross Salaries |
Total Costs |
IP Charges |
OP Charges |
Ratio Cost/Chg |
|
|---|---|---|---|---|---|---|
| Operating Room | ### | $### | $### | $### | $### | ### |
| Recovery Room | ### | $### | $### | $### | $### | ### |
| Delivery Room / Labor Room | ### | $### | $### | $### | $### | ### |
| Anesthesiology | ### | $### | $### | $### | $### | ### |
| Radiology - Diagnostic | ### | $### | $### | $### | $### | ### |
| Radiology - Therapeutic | ### | $### | $### | $### | $### | ### |
| Radioisotope | ### | $### | $### | $### | $### | ### |
| Laboratory | ### | $### | $### | $### | $### | ### |
| PBP Clinical Lab Services | ### | $### | $### | $### | $### | ### |
| Whole Blood / Packed RBC | ### | $### | $### | $### | $### | ### |
| Blood Stor, Process, Trans | ### | $### | $### | $### | $### | ### |
| IV Therapy | ### | $### | $### | $### | $### | ### |
| Respiratory Therapy | ### | $### | $### | $### | $### | ### |
| Physical Therapy | ### | $### | $### | $### | $### | ### |
| Occupational Therapy | ### | $### | $### | $### | $### | ### |
| Speech Pathology | ### | $### | $### | $### | $### | ### |
| Electrocardiology | ### | $### | $### | $### | $### | ### |
| Electroencephalography | ### | $### | $### | $### | $### | ### |
| Medical Supplies (charged) | ### | $### | $### | $### | $### | ### |
| Implantable Devices (charged) | ### | $### | $### | $### | $### | ### |
| Drugs (charged) | ### | $### | $### | $### | $### | ### |
| Renal Dialysis | ### | $### | $### | $### | $### | ### |
| ASC (non-distinct part) | ### | $### | $### | $### | $### | ### |
| Other | ### | $### | $### | $### | $### | ### |
| TOTAL | ### | $### | $### | $### | $### | ### |
Outpatient Service Cost Centers
| Square Feet |
Gross Salaries |
Total Costs |
IP Charges |
OP Charges |
Ratio Cost/Chg |
|
|---|---|---|---|---|---|---|
| Clinic | ### | $### | $### | $### | $### | ### |
| Emergency | ### | $### | $### | $### | $### | ### |
| Observation Beds | ### | $### | $### | $### | $### | ### |
| Other | ### | $### | $### | $### | $### | ### |
| TOTAL | ### | $### | $### | $### | $### | ### |
Other Reimbursable Cost Centers
| Square Feet |
Gross Salaries |
Total Costs |
IP Charges |
OP Charges |
Ratio Cost/Chg |
|
|---|---|---|---|---|---|---|
| Home Program Dialysis | ### | $### | $### | $### | $### | ### |
| Ambulance Services | ### | $### | $### | $### | $### | ### |
| Durable Medical Equipment - rented | ### | $### | $### | $### | $### | ### |
| Durable Medical Equipment - sold | ### | $### | $### | $### | $### | ### |
| Other Reimbursable | ### | $### | $### | $### | $### | ### |
| TOTAL | ### | $### | $### | $### | $### | ### |
Overall Cost to Charge Ratio
| Total Costs |
Total Charges |
Ratio Cost/Chg |
|
|---|---|---|---|
| Inpatient Routine Services | $### | $### | ### |
| Ancillary Services | $### | $### | ### |
| Outpatient Services | $### | $### | ### |
| Other Reimbursable Cost Centers | $### | $### | ### |
| TOTAL | $### | $### | ### |
General Service Costs
Salaries and Other Costs
| Direct Salaries |
Other Costs |
Total Costs |
Paid Hours |
Average Hourly |
|
|---|---|---|---|---|---|
| Employee Benefits | $### | $### | $### | ### | $### |
| Administrative and General | $### | $### | $### | ### | $### |
| Maintenance and Repairs | $### | $### | $### | ### | $### |
| Operation of Plant | $### | $### | $### | ### | $### |
| Laundry and Linen Service | $### | $### | $### | ### | $### |
| Housekeeping | $### | $### | $### | ### | $### |
| Dietary | $### | $### | $### | ### | $### |
| Cafeteria | $### | $### | $### | ### | $### |
| Maintenance of Personnel | $### | $### | $### | ### | $### |
| Nursing Administration | $### | $### | $### | ### | $### |
| Central Services and Supply | $### | $### | $### | ### | $### |
| Pharmacy | $### | $### | $### | ### | $### |
| Medical Records | $### | $### | $### | ### | $### |
| Social Service | $### | $### | $### | ### | $### |
| Other General Service | $### | $### | $### | ### | $### |
Staffing
- Provider of Services file for cutoff 04/01/2012 / Definitions
| Positions | FTEs |
|---|---|
| Certified Registered Nurse Anesthetists (CRNAs): | ### |
| Dieticians: | ### |
| Inhalation Therapists: | ### |
| Licensed Practical Nurses (LPNs): | ### |
| Occupational Therapists: | ### |
| Pharmacists: | ### |
| Physical Therapists: | ### |
| Physician Assistants: | ### |
| Registered Nurses (RNs): | ### |
| Speech Pathologists, Audiologists: | ### |
| Social Workers: | ### |
| Other Personnel: | ### |
