Current SAS Content for Hospitals (622)

OMB No. 0607-0422: Approval Expires 7/31/2015

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

SA-62000A

2013 ANNUAL SERVICES REPORT
General Medical and Surgical Hospitals, Private

FORM

(09-11-2013)

Due Date

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136

SAS_H

622119

YOUR RESPONSE IS
REQUIRED BY LAW. Title
13, United States Code,
requires businesses and other
organizations that receive
this questionnaire to answer
the questions and return the
report to the U.S. Census
Bureau. By the same law,
YOUR CENSUS REPORT IS
CONFIDENTIAL. It may be
seen only by persons sworn
to uphold the confidentiality of
Census Bureau information and
may be used only for statistical
purposes. Under the same law,
information that you report
cannot be used for taxation,
regulation, or investigation and
are exempt from release under
the Freedom of Information Act.
Further, copies of your response
retained in your files are immune
from legal process.

Return via Internet:
econhelp.census.gov/sas
Username:

Return via Mail:
U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47134-0001

To view Survey Results:
census.gov/services

62001011

Password:
GENERAL INSTRUCTIONS
• Any significant change in this firm's operations should be noted in 17 .
• For establishments sold or acquired in 2013, report data only for the period the establishments were operated by
this firm.
• Estimates are acceptable if book figures are not available.
• Enter "0" where applicable.
• Do not combine data for two or more detailed lines.
• Report data on an accrual basis, except for payroll.
Bil.
Mil.
Thou.
Dol.
• Dollars should be rounded to the nearest dollar.
1 030280456
• If a figure is $1,030,280,456 it should be reported as
Include:
• Data for all Services establishments (excluding data for Retail, Wholesale, Manufacturing, Mining, and
Construction operations) as defined by the survey coverage in 1 B.
• Data for auxiliary facilities primarily engaged in supporting services to those establishment(s) such as warehouses,
garages, central administrative offices, and repair services.
1

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62000A
1

Page 2

(09-11-2013)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?
This report covers all domestic locations operated by your company and its subsidiaries primarily engaged in
providing diagnostic and medical treatment (both surgical and nonsurgical) to inpatients with any of a wide variety
of medical conditions. These locations, known and licensed as general medical and surgical hospitals, maintain
inpatient beds and provide patients with food services that meet nutritional requirements.

Yes
0001

No - Specify this firm's business activity
0002

2

Not Applicable.

3

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2013?
Yes
0016

No - Go to

4

B. Which of the following organizational changes occurred in 2013?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

Address (Number and street, P.O. Box, etc.)

62001029

City, town, village, etc.

State

ZIP Code

-

CONTINUE ON PAGE 3

Form SA-62000A
4

Page 3

(09-11-2013)

REPORTING PERIOD
NOTE: Calendar year data is preferred. If it is not available, please report for the fiscal
year that includes at least six months of data for the 2013 calendar year.
What time period is covered by the data provided in this report?

2013
Beginning Date
Month Day
Year

Calendar year
0006

Fiscal or partial year - Report beginning and ending dates . . . . . . . . . . .

0007

Ending Date
Month

Day

Year

0008

5

TAX STATUS
A. Is this establishment operated on a not-for-profit basis?
Yes
0031

No - Go to

6

B. Was all or part of the income of this establishment or organization exempt from Federal income
taxes under section 501 of the Internal Revenue Code?
Yes
0030

62001037

No

CONTINUE ON PAGE 4

Form SA-62000A
6

Page 4

(09-11-2013)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2013?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• E-commerce revenue.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. Possessions).
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
Mark "X"
if None

62001045

1.

NET REVENUE - Patient Care Revenue - Using net patient
revenues, report your sources of funding in each of the following
categories
a. Government (includes Medicare, Medicaid, Other
Government, and Worker's Compensation) - Report revenue
from worker's compensation and all government entities.
Include fee-for-service revenue from Medicare parts A, B, and D
(exclude part C); fee-for-service revenue from Medicaid (exclude
Medicaid managed care plans); funding from the State Children's
Health Insurance Prorgram (SCHIP); and all other government
entities (e.g., state and local medical assistance, Civilian Health
and Medical Programs of the Department of Veteran's Affairs
(CHAMPVA), Department of Defense, TRICARE, Substance Abuse
and Mental Health Services Administration (SAMHSA), Indian
Health Services (IHS), etc.) . . . . . . . . . . . . . . . . . . . . . . .
b. Private insurance (includes Health, Property, and Auto) Report health benefits paid for by property/casualty insurance
and auto insurance; and benefits paid for by employers and/or
individuals and financed by insurance premiums, such as group
or self-insured plans; HMO; Federal, State, and Local government
health insurance; Medicare Part C and Supplemental Insurance;
and Medicaid managed care plans . . . . . . . . . . . . . . . . . .
c. Patient out-of-pocket - Payments from patients and their
families . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Patient out-of-pocket - Patients' assigned Social Security
benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CONTINUE WITH

6

.

4100

.

4101

.

4171

.

4172

$ Bil.

Mil.

2013
Thou.

Dol.

ON PAGE 5
CONTINUE ON PAGE 5

Form SA-62000A
6

Page 5

(09-11-2013)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

1.

NET REVENUE - Patient Care Revenue - Using net patient
revenues, report your sources of funding in each of the following
categories - Continued
e. Other patient care revenue - Include all other revenue for
patient care not included in lines 1a through 1d - Specify

2.

NET REVENUE - Non-Patient Care Revenue

$ Bil.

Mil.

2013
Thou.

Dol.

$ Bil.

Mil.

2013
Thou.

Dol.

4103

a. Contributions, gifts, and grants received
. . . . . . . . . . . .
b. Investment and property income - Include interest and
dividends. Exclude gains (losses) from assets sold . . . . . . . . .
c. All other non-patient care revenue - Include other operating
and non-operating revenue (e.g., gift shop sales, cafeteria sales,
parking lot receipts, florist receipts) - Specify the primary source
of revenue below

1741

1742

4105

3.
7

TOTAL NET REVENUE
Sum of lines 1a through 2c . . . . . . . . . . . . . . . . . . . . . . . . .

1800

GROSS PATIENT REVENUE

Gross patient revenue - Include the full-established rates (charges) for all
services rendered to inpatients and outpatients . . . . . . . . . . . . . . .
8

4012

E-COMMERCE
E-commerce is the sale of goods and services where the buyer places an order, or the price and terms of the sale
are negotiated, over an Internet, mobile device (M-Commerce), extranet, EDI network, electronic mail, or other
comparable online system. Payment may or may not be made online.
A. Did this firm have any e-commerce revenue in 2013?
Yes
0011

No - Go to

14

$ Bil.

B. What was the total e-commerce revenue in 2013? . . . . . . . . . .

Mil.

2013
Thou.

Dol.

2000

62001052

9 – 13 Not Applicable.

CONTINUE ON PAGE 6

Form SA-62000A

Page 6

(09-11-2013)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2013?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans. Exclude the cost of
leased employees, employer's cost for fringe benefits, and temporary staff obtained from temporary help services. For
unincorporated businesses, exclude profit or other compensation of proprietors or partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Mark "X"
if None

62001060

1.

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law:
1. Health insurance - Insurance premiums for hospital plans,
medical plans, and single service plans (e.g., dental, vision,
prescription drugs). Include premium equivalents for selfinsured plans and fees paid to third-party administrators
(TPAs). Exclude employee contributions . . . . . . . . . . . . .
2. Pension plans:
a. Defined benefit pension plans - Costs for both qualified
and unqualified defined pension plans. Pension plans
that specify the benefit to be paid to employees upon
retirement, generally either a specific amount or a
percentage of compensation. Employer contributions
are based on actuarial computations that include the
employee's compensation and years of service and are not
allocated to specific accounts maintained for employees . .
b. Defined contribution plans - Costs under defined
contribution plans. Pension plans that define the employer
contributions to a separate account provided for each
employee. The employee "benefit" at retirement depends
on the amount contributed and the results of the account's
activity. Examples include profit sharing plans, money
purchase (e.g., 401k, 403b) and stock bonus plans (e.g.,
ESOPs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Payroll taxes, employer paid insurance premiums
(except health), and other employer benefits - Include
legally-required fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, Medicare). Include benefits for life
insurance, "quality of life" benefits (e.g., childcare assistance,
subsidized commuting), employer contributions to pre-tax
benefit accounts (e.g., health savings accounts), education
assistance, and other benefits not specified above. Exclude
disbursements from trusts or funds to satisfy health insurance
claims . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CONTINUE WITH

14

$ Bil.

Mil.

2013
Thou.

Dol.

1821

1841

1842

1843

1844

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-62000A

Page 7

(09-11-2013)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

1.

2.

62001078

3.

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed Materials, Parts, and Supplies (not for resale)
a. Medical supplies - Materials and supplies used in providing
medical services to others. Report medical equipment in line 2b .
b. Expensed equipment - Expensed computer hardware and other
equipment (e.g., copiers, fax machines, telephones, shop and lab
equipment, CPUs, monitors). Report packaged software in line 3a.
Report leased and rented equipment in line 3i . . . . . . . . . . . .
c. Expensed purchases of other materials, parts, and
supplies - Materials and supplies used in providing services to
others; materials and parts used in repairs; office and janitorial
supplies; small tools; containers and other packaging materials;
and motor fuels
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed Purchased Services
a. Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . .
b. Data processing and other purchased computer services Include web hosting, computer facilities management services,
computer input preparation, data storage, computer time rental,
optical scanning services, and other computer-related advice
and services, including training. Exclude expensed integrated
systems, repair and maintenance of computer equipment, payroll
processing and credit card transaction fees, and expenses for
telecommunication services (e.g., Internet, connectivity, telephone)
c. Purchased communication services - Telephone, cellular, and
fax services; computer-related communications (e.g., Internet,
connectivity, online), and other wired and wireless communication
services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Purchased repairs and maintenance to machinery and
equipment - Expensed repair and maintenance services to
machinery, vehicles, equipment, and computer hardware.
Exclude materials, parts, and supplies used for repairs and
maintenance performed by this firm's employees . . . . . . . . . .
e. Purchased repairs and maintenance to buildings,
structures, and offices - Include repair and maintenance to
integral parts of buildings (e.g., elevators, heating systems).
Exclude materials, parts, and supplies used for repairs and
maintenance performed by this firm's employees. Report janitorial
and grounds maintenance services in line 4c . . . . . . . . . . . . .
f. Purchased electricity - If the cost of electricity is included in
lease or rental payments, report in line 3j . . . . . . . . . . . . . . .
g. Purchased fuels (except motor fuels) - Fuel for heating,
power, or generating electricity (e.g., natural gas, propane, oil,
coal). If the costs are included in lease or rental payments, report
in line 3j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Water, sewer, refuse removal, and other utility payments Include the cost of hazardous waste removal. If the costs of these
utilities are included in lease or rental payments, report in line 3j
i. Lease and rental payments for machinery, equipment, and
other tangible items - Include lease and rental of transportation
equipment without operators and penalties incurred for broken
leases. Exclude capital and financing lease agreements and
licensing/leasing of software . . . . . . . . . . . . . . . . . . . . . . .
j. Lease and rental payments for land, buildings, structures,
store spaces, and offices - Include penalties incurred for
broken leases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
k. Purchased advertising and promotional services - Include
marketing and public relations services . . . . . . . . . . . . . . . .
CONTINUE WITH

14

$ Bil.

Mil.

2013
Thou.

Dol.

1823

4011

1824

1825

1826

1845

1846

1848

1849

1850

1851

1852

1853

1854

1830

ON PAGE 8
CONTINUE ON PAGE 8

Form SA-62000A

Page 8

(09-11-2013)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

3.

4.

Expensed Purchased Services - Continued
l. Purchased professional and technical services - Include
management consulting, accounting, auditing, bookkeeping,
legal, actuarial, payroll processing, architectural, engineering, and
other professional services. Exclude salaries paid to your own
employees for these services . . . . . . . . . . . . . . . . . . . . . .
m. Professional liability insurance - The cost of professional
liability insurance. Include professional liability insurance
premiums and amounts set aside for self-insurance . . . . . . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Governmental taxes and license fees - Payments to
government agencies for taxes and licenses. Include business
and property taxes. Exclude income taxes and sales and excise
taxes collected from customers . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2013
Thou.

Dol.

1855

4010

1831

1832

1859

5.

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

15 INTEREST EXPENSE
What was the interest expense for this firm's establishments as defined in
basis?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Impairment.
• Bad debt.
• Income tax.

1

Mark "X"
if None

Interest expense - Interest expenses incurred in the financing of
operations and long lived assets used in continuing operations . . .

B and operated on a tax-exempt

$ Bil.

Mil.

2013
Thou.

Dol.

1856

62001086

16 Not Applicable.

CONTINUE ON PAGE 9

Form SA-62000A

Page 9

(09-11-2013)

17 REMARKS - Please use this space to explain any significant year-to-year changes, to clarify responses, or indicate where
data were estimated.

18 CONTACT INFORMATION
Name of person to contact regarding this report (Please print)

62001094

Address (Number and street)

Title

City

State

ZIP Code

Area code
Telephone
E-mail address

Number

-

Extension

Area code
Fax

Number

-

Website address

Public reporting burden for this collection of information is estimated to average 3-6 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to: Paperwork Project 0607-0422, U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138, Washington, DC 20233. You
may e-mail comments to [email protected]; use "Paperwork Project 0607-0422" as the subject. Please include form name and number
in all correspondence. Respondents are not required to respond to any information collection unless it displays a valid approval number from
the Office of Management and Budget. This 8-digit number appears in the top right corner on the front of this form.

Thank you for completing this survey.

2013 Annual Services Report
Item Specific Instructions
6

NET REVENUE - Patient Care Revenue
Line 1a - Government (includes Medicare, Medicaid, Other Government, and Worker's
Compensation)
There are two types of payments that may be received from Medicare: fee-for-service payments
under the traditional Medicare arrangement (Parts A, B, and D payments), and capitated payments
(fixed payment per member per month) under Medicare Advantage, or Medicare Managed Care, also
sometimes known as Medicare Part C.
Only include fee-for-service payments under traditional Medicare (Parts A, B, and D payments) in the
Medicare category. For a current list of intermediaries and carriers that make these payments on behalf
of Medicare, please see: cms.hhs.gov/ContractingGeneralInformation/.
Payments made to Medicare under arrangement with a private health insurance plan (for Medicare
beneficiaries in managed care plans, or HMO's) should be included with Line 1b - Private insurance.
For a current list of Medicare managed care plans, please see:
cms.hhs.gov/MCRAdvPartDEnrolData/PDMCPDO/list.asp
Medicaid
There are two types of payments received from state Medicaid programs: fee-for-service payments and
capitated payments (fixed payment per member per month) under various Medicaid Managed Care
plans.
Only include fee-for-service payments and the State Children's Health Insurance Program (SCHIP)
in the Medicaid category. SCHIP is a joint federal/state program that provides health insurance for
children in families that do not have any health insurance coverage that are not eligible for Medicaid.
Payments from Medicaid managed care plans should be included with Line 1b - Private insurance.
For a current list of SCHIP programs, please see:
aspe.hhs.gov/health/schip2/ReportSTLevel.asp?page=1
For a current list of Medicaid managed care plans, please see:
cms.hhs.gov/MedicaidDataSourcesGenInfo/06_DescStateProg.asp
Other government
This category includes all health care expenditures that are channeled through any program
established by public law other than Medicare and Medicaid. These programs can be financed either
by the federal government or state and local governments, or through a combination of both.
Other federal and state programs include, but are not limited to, the Department of Defense's TRICARE
program, Maternal and Child Health Programs, The Department of Veterans Affairs (VA) including the
Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), Vocational
Rehabilitation Programs, the Substance Abuse and Mental Health Services Administration (SAMHSA),
Indian Health Service (IHS), and state and local General Medical Assistance programs.
State and local General Medical Assistance programs vary from state to state. These programs provide
funding on behalf of needy persons who do not qualify for federally-financed programs. The programs
can be administered by a local agency under state supervision or a state Medicaid agency.

SAS_SUP_A (09-25-2013)

2013 Annual Services Report
Item Specific Instructions
6

NET REVENUE - Patient Care Revenue - (Continued)
Worker's compensation
There are two types of Worker's Compensation programs; those for federal employees or their
dependents who are injured at work or acquire an occupational illness, and those for all other
employees.
For federal employees or their dependents, the Department of Labor's Office of Workers'
Compensation Programs (OWCP) administers four major disability compensation programs which
provide wage replacement, medical treatment, vocational rehabilitation, and other benefits.
1. The Energy Employees Occupational Illness Compensation Program. This program started
July 31, 2001.
2. Federal Employees' Compensation Program.
3. Longshore and Harbor Workers' Compensation Program.
4. Black Lung Benefits Program.
For non-federal employees, workers' compensation programs are available in all 50 states and in the
District of Columbia. These programs are designed and administered by the state and are financed
almost exclusively by employers.
Line 1b - Private insurance (includes Health, Property, and Auto)
Private health insurance - Included in Private Health Insurance are payments for health benefits that
are paid for by private companies, whose plans are purchased by employers and/or individuals and
financed by premiums. Examples of Private Health Insurance payments include:
• Medical service plans (Blue Cross/Blue Shield, group hospital plans, etc.).
• Third party direct contract insurers.
• Self-insured plans offered by employers and other groups who assume the major cost of health
insurance for their employees or members.
• Employee health insurance by Federal (FEHBP), state, and local governments.
• Managed care plans: HMO's, PPO's, and POS's.
• Medicaid and Medicare managed care payments.
For a current list of Medicare managed care plans, please see:
cms.hhs.gov/MCRAdvPartDEnrolData/PDMCPDO/list.asp/
For a current list of Medicaid managed care plans, please see:
cms.hhs.gov/MedicaidDataSourcesGenInfo/06_DescStateProg.asp
•

Medigap policies (Medicare Supplement insurance) that are purchased separately as a
supplement to Medicare.

Property/Casualty and auto insurance - Health portion of property and casualty insurance plans
include payments related to health care paid for by non-health insurance plans, such as homeowners
insurance or automobile insurance plans.
Lines 1c and 1d - Patient out-of-pocket
Patient, self-pay, or out-of-pocket payments consist of direct payments for health care goods and
services not covered by insurance, and can be in the form of deductibles and co-insurance. May be
transferred from Health Savings Accounts, Medical Savings Accounts, or Flexible Spending Accounts.
These payments can be from patients or their families, or they may be designated from the patient's
Social Security benefit checks or a patient's annuities.
For Medicare, Medicaid, and other public programs, patients' deductibles and co-insurance should
be included in Patient payments, as long as the payment is coming directly from the beneficiary and
not from a third-party payer. For example, if Medigap policies, or supplementary insurance policies
for Medicare beneficiaries, pay for co-insurance or deductibles on behalf of the beneficiary, these are
considered Private Health Insurance payments and not Patient payments.

SAS_SUP_A (09-25-2013)