| Medicare | |
| Routine Services | W/S S-3, part I, line 7, column 6 |
| Intensive Care Unit | W/S S-3, part I, line 8, column 6 |
| Coronary Intensive Care | W/S S-3, part I, line 9, column 6 |
| Total Acute | W/S S-3, part I, line 14, column 6 |
| Labor and Delivery | W/S S-3, part I, line 32, column 6 |
| Psychiatric DPU | W/S S-3, part I, line 16, column 6 |
| Rehabilitation DPU | W/S S-3, part I, line 17, column 6 |
| Total DPU | CALCULATED: Psychiatric + Rehabilitation |
| Total Hospital | W/S S-3, part I, lines 14-21, column 6 |
| Medicaid | |
| Routine Services | W/S S-3, part I, line 7, column 7 |
| Intensive Care Unit | W/S S-3, part I, line 8, column 7 |
| Coronary Intensive Care | W/S S-3, part I, line 9, column 7 |
| Total Acute | W/S S-3, part I, line 14, column 7 |
| Labor and Delivery | W/S S-3, part I, line 32, column 7 |
| Psychiatric DPU | W/S S-3, part I, line 16, column 7 |
| Rehabilitation DPU | W/S S-3, part I, line 17, column 7 |
| Total DPU | CALCULATED: Psychiatric + Rehabilitation |
| Total Hospital | W/S S-3, part I, lines 14-21, column 7 |
| Other | |
| Routine Services | CALCULATED: Total - Medicare - Medicaid |
| Intensive Care Unit | CALCULATED: Total - Medicare - Medicaid |
| Coronary Intensive Care | CALCULATED: Total - Medicare - Medicaid |
| Total Acute | CALCULATED: Total - Medicare - Medicaid |
| Labor and Delivery | CALCULATED: Total - Medicare - Medicaid |
| Psychiatric DPU | CALCULATED: Total - Medicare - Medicaid |
| Rehabilitation DPU | CALCULATED: Total - Medicare - Medicaid |
| Total DPU | CALCULATED: Total - Medicare - Medicaid |
| Total Hospital | CALCULATED: Total - Medicare - Medicaid |
| Total | |
| Routine Services | W/S S-3, part I, line 7, column 8 |
| Intensive Care Unit | W/S S-3, part I, line 8, column 8 |
| Coronary Intensive Care | W/S S-3, part I, line 9, column 8 |
| Total Acute | W/S S-3, part I, line 14, column 8 |
| Labor and Delivery | W/S S-3, part I, line 32, column 8 |
| Psychiatric DPU | W/S S-3, part I, line 16, column 8 |
| Rehabilitation DPU | W/S S-3, part I, line 17, column 8 |
| Total DPU | CALCULATED: Psychiatric + Rehabilitation |
| Total Hospital | W/S S-3, part I, lines 14-21, column 8 |