Quarterly Compliance and 45-Day Status Report. Pennsylvania Hospitals and Ambulatory Surgical Facilities

Transcription

1 Quarterly Compliance and 45-Day Status Report for Pennsylvania Hospitals and Ambulatory Surgical Facilities 2002Q4 through 2003Q3 Pennsylvania Health Care Cost Containment Council March 2004

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3 Quarterly Compliance and 45-Day Status Report Pennsylvania Health Care Cost Containment Council 225 Market Street, Suite 400 Harrisburg, PA Phone: (717) Fax: (717) Marc P. Volavka Executive Director March 2004

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5 Contents Definitions...1 No Ambulatory/Outpatient UB92 Submission (Third Quarter 2003)...2 Ambulatory/Outpatient Facilities Recognized for UB92 Submission Excellence (Third Quarter 2003)...3 No Inpatient UB92 Submission (Third Quarter 2003)...4 Inpatient Facilities Recognized for UB92 Submission Excellence (Third Quarter 2003)...5 Ambulatory/Outpatient Compliance and 45-Day Status Report (Fourth Quarter 2002 through Third Quarter 2003)...7 Change of Status Information for Ambulatory/Outpatient Facilities (Third Quarter 2003)...19 Inpatient Compliance and 45-Day Status Report (Fourth Quarter 2002 through Third Quarter 2003)...21 Change of Status Information for Inpatient Facilities (Third Quarter 2003)...32 NOTE: UB92 refers to the 1992 version of the modified Uniformed Claims and Billing Form adopted for use by the Council. This specifies data elements, definitions, and standard file format used by data sources for meeting regulatory requirements.

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7 Definitions A facility is deemed compliant when they have met the following criteria: The data submission is received on or before the original due dates as follows: Quarter Ends Submission Due Date March 31 June 30 June 30 September 30 September 30 December 31 December 31 March 31 Passed initial edit process for proper format and readability UB92 error rate is 15% or less Ninety Percent of the Atlas -derived records were received and matched by the original due date All facilities are considered compliant for each quarter denoted with a checkmark ( ). The only exceptions are for those facilities that followed the Request for Exceptions policy under the Health Care Cost Containment (Act 14 of 2003) and had the request approved by the Council. The following are definitions used in the 45-day status sections of this report. No Data: Failed: E XXX%: E NAIC: XX Days Late: I XXX%: Late: The facility did not submit UB92 discharge data to PHC4. The facility submitted UB92 data to PHC4, but for some reason the media was not properly formatted or otherwise unreadable. The facility submitted UB92 data to PHC4, but had an error rate that exceeded the allowable maximum of 15%. This rate is calculated by dividing the number of records with at least one error by the total number of records submitted. The error rate is displayed. The facility submitted UB92 data to PHC4, but had an excessive percentage of blank NAIC Codes. The facility submitted UB92 data to PHC4 after the original due date. Days late refers to the number of days between the original due date and the date of the acceptable submission. The facility did not submit or match the minimum number of Atlas -derived records by the straggler date. The straggler date, which is approximately six weeks after the original due date, is intended to give facilities an opportunity to correct and/or add records to their original submission. The match rate is displayed. The facility did not submit or match the minimum number of Atlas -derived records by the original due date. Currently, the required number of Atlas -derived records is defined as matching 90% of the UB92 data submission to the list of 35 diseases, procedures and medical conditions which can be found on the PHC4 Web site at 1

8 No Ambulatory/Outpatient UB92 Submission for Third Quarter 2003 (Status 45-Days After Due Date) Endoscopy USA York Center Lehigh Plastic Surgery Center North Shore Endoscopy Center, LLC Westfield Surgery Center Facility Type Ambi-Surg Center Ambi-Surg Center Ambi-Surg Center Ambi-Surg Center n=4 Facilities 2

9 Ambulatory/Outpatient Facilities Recognized for UB92 Submission Excellence for Third Quarter 2003 Facility Type Error Rate HEALTHSOUTH Mt Pleasant Surgery Center Ambi-Surg Center 0.00% HEALTHSOUTH Surgery Center of Lancaster Ambi-Surg Center 0.00% Jennersville Regional Hospital General Acute 0.00% Leader Surgical Center Ambi-Surg Center 0.00% Meyersdale Community Hospital General Acute 0.00% Mt Lebanon Surgical Center Ambi-Surg Center 0.00% Philipsburg Area Hospital General Acute 0.00% Progressive Surgical Institute Ambi-Surg Center 0.00% Shadyside Surgi-Center Ambi-Surg Center 0.00% Valley View Surgical Center Ambi-Surg Center 0.00% York Endoscopy Center Ambi-Surg Center 0.00% Scranton Endoscopy Center Ambi-Surg Center 0.05% Four Seasons Endoscopy Center, Inc Ambi-Surg Center 0.09% Digestive Disease Institute Ambi-Surg Center 0.10% West Shore Endoscopy Center, LLC Ambi-Surg Center 0.12% Digestive Health and Endoscopy Center, Inc Ambi-Surg Center 0.13% Exeter Surgery Center Ambi-Surg Center 0.18% Mid-Atlantic Gastrointestinal Center Ambi-Surg Center 0.18% Berkshire Eye Surgery Center Ambi-Surg Center 0.21% Southwestern Pennsylvania Eye Surgery Center Ambi-Surg Center 0.23% Laurel Laser & Surgery Center Ambi-Surg Center 0.24% Meadville Medical Center General Acute 0.26% Greene County Memorial Hospital General Acute 0.28% Three Rivers Endoscopy Center Ambi-Surg Center 0.34% Facility Type Error Rate UPMC Braddock General Acute 0.34% Waynesboro Hospital General Acute 0.34% SurgiCenter at Ligonier Ambi-Surg Center 0.36% Sally Balin Ambulatory Surgical Center Ambi-Surg Center 0.41% Guthrie Clinic, Ltd Ambi-Surg Center 0.42% Bethlehem Endoscopy Center Ambi-Surg Center 0.46% Conemaugh Valley Memorial Hospital General Acute 0.49% Tyler Memorial Hospital General Acute 0.49% Eastern Pennsylvania Endoscopy Center Ambi-Surg Center 0.54% UPMC St. Margaret General Acute 0.54% Summit Surgery Center Ambi-Surg Center 0.58% Chambersburg Hospital General Acute 0.68% Hanover Hospital, Inc General Acute 0.68% Berks Center for Digestive Health, LP Ambi-Surg Center 0.71% Gnaden Huetten Memorial Hospital General Acute 0.71% Wills Eye Hospital Specialty 0.72% UPMC Horizon General Acute 0.76% Western PA Surgery Center Ambi-Surg Center 0.81% Wills Surgery Center of Bucks County Ambi-Surg Center 0.84% Elk Regional Health Center General Acute 0.87% Lewistown Hospital General Acute 0.87% Corry Memorial Hospital General Acute 0.89% Medical Center, Beaver, PA General Acute 0.98% Endoscopic Associates, Inc Ambi-Surg Center 1.02% n=48 Facilities Facilities on this list not only met all the compliance criteria, but were also in the top 20% of the lowest initial submission error rates. Additionally, these facilities met all the original due dates without needing any type of extension. 3

10 No Inpatient UB92 Submission for Third Quarter 2003 (Status 45 Days After Due Date) This is the fourth time PHC4 has received a readable Inpatient Data Submission from every facility required to submit data. We want to congratulate every facility on a job well done and hope this continues in the future. 4

11 Inpatient Facilities Recognized for UB92 Submission Excellence for Third Quarter 2003 Facility Type Error Rate Children's Home of Pittsburgh Specialty 0.00% Miners Medical Center General Acute 0.00% Philipsburg Area Hospital General Acute 0.00% Jennersville Regional Hospital General Acute 0.11% UPMC South Side General Acute 0.14% UPMC Braddock General Acute 0.16% Greene County Memorial Hospital General Acute 0.20% UPMC St. Margaret General Acute 0.23% Washington Hospital General Acute 0.25% St. Luke's Quakertown Hospital General Acute 0.28% John Heinz Institute of Rehab Medicine Rehabilitation 0.36% Brownsville General Hospital General Acute 0.37% Meadville Medical Center General Acute 0.38% Lewistown Hospital General Acute 0.39% UPMC Rehabilitation Hospital Rehabilitation 0.41% Clearfield Hospital General Acute 0.44% UPMC McKeesport General Acute 0.46% Elk Regional Health Center General Acute 0.51% Facility Type Error Rate Muncy Valley Hospital General Acute 0.60% HEALTHSOUTH Nittany Valley Rehab Hospital Rehabilitation 0.67% Medical Center, Beaver, PA General Acute 0.67% Girard Medical Center Long Term Acute 0.69% Sewickley Valley Hospital General Acute 0.77% Tyler Memorial Hospital General Acute 0.85% Meyersdale Community Hospital General Acute 0.93% Waynesboro Hospital General Acute 0.93% Conemaugh Valley Memorial Hospital General Acute 0.95% Hanover Hospital, Inc General Acute 0.97% Mercy Fitzgerald Hospital General Acute 0.97% Gnaden Huetten Memorial Hospital General Acute 0.98% Westmoreland Regional Hospital General Acute 1.04% Kensington Hospital Specialty 1.15% Bryn Mawr Rehabilitation Hospital Rehabilitation 1.17% Divine Providence Hospital/Williamsport Specialty 1.20% UPMC Horizon General Acute 1.28% United Community Hospital General Acute 1.31% n=36 Facilities Facilities on this list not only met all the compliance criteria, but were also in the top 20% of the lowest initial submission error rates. Additionally, these facilities met all the original due dates without needing any type of extension. 5

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13 Ambulatory/Outpatient Compliance and 45-Day Status Report Fourth Quarter 2002 through Third Quarter

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15 Summary of Ambulatory/Outpatient Facility Compliance (Includes Hospital and Freestanding Facilities) Third Quarter 2003 (n=301) Second Quarter 2003 (n=300) Did Not Meet Criteria 11% Did Not Meet Criteria 10% Met UB92 Criteria 89% Met UB92 Criteria 90% First Quarter 2003 (n=295) Fourth Quarter 2002 (n=293) Did Not Meet Criteria 15% Did Not Meet Criteria 8% Met UB92 Criteria 85% Met UB92 Criteria 92% 9

16 Fourth Quarter 2002 through Third Quarter 2003 Ambulatory/Outpatient Compliance Report Facility Type UB92 Compliant 02Q4 03Q1* 03Q2* 03Q3* Abington Memorial Hospital General Acute Abington Surgical Center Ambi-Surg Center Aestique Ambulatory Surgical Center Ambi-Surg Center 2 Days Late Albert Einstein Medical Center General Acute Aliquippa Community Hospital General Acute Alle-Kiski Medical Center General Acute Allegheny General Hospital General Acute Altoona Hospital General Acute Ambulatory Surgery Center at Bucks County Ambi-Surg Center E 43% E 38% E 38% E 39% Ambulatory Surgery Center/New Kensington Ambi-Surg Center Angelina Theresa Bucci Eye Surgery Ctr, Inc Ambi-Surg Center E 15% Apple Hill Surgical Center Ambi-Surg Center Armstrong County Memorial Hospital General Acute 1 Day Late 3 Days Late Ashland Regional Medical Center General Acute 8 Days Late B Barnes Kasson County Hospital General Acute Berks Center for Digestive Health, LP Ambi-Surg Center N/R 38 Days Late Berkshire Eye Surgery Center Ambi-Surg Center N/R Berwick Hospital Center General Acute 8 Days Late Bethlehem Endoscopy Center Ambi-Surg Center N/R N/R 30 Days Late Bloomsburg Hospital General Acute E 22% 26 Days Late Bon Secours Holy Family Regional Health Sys General Acute Bradford Regional Medical Center General Acute Brandywine Hospital General Acute Brookville Hospital General Acute 16 Days Late Brownsville General Hospital General Acute E 16% 22 Days Late Bucktail Medical Center General Acute Butler Memorial Hospital General Acute C Canonsburg General Hospital General Acute Carlisle Endoscopy Center Ambi-Surg Center 21 Days Late Carlisle Regional Medical Center General Acute Carlisle Regional Surgery Center Ambi-Surg Center Center for Reproductive Surgery, LLC Ambi-Surg Center Center for Same Day Surgery Ambi-Surg Center Central Montgomery Medical Center General Acute Centre Community Hospital General Acute 10 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

17 Fourth Quarter 2002 through Third Quarter 2003 Ambulatory/Outpatient Compliance Report Facility Type UB92 Compliant 02Q4 03Q1* 03Q2* 03Q3* Centre Community Surgical Center Ambi-Surg Center Chambersburg Hospital General Acute Charles Cole Memorial Hospital General Acute Chester County Hospital General Acute Chestnut Hill Hospital General Acute Children s Hosp of Philadelphia ASC at Exton Ambi-Surg Center E 43% E 42% E 44% E 41% Children s Hosp Pgh North Outpatient Surgical Ambi-Surg Center E 15% Children's Hospital of Philadelphia Specialty Acute E 49% E 43% E 41% E 44% Children's Hospital of Pittsburgh Specialty Acute E 16% E 16% CHS Ambulatory Surgery Center Ambi-Surg Center E 24% E 24% E 15% Clarion Hospital General Acute Clearfield Hospital General Acute Community Hospital of Lancaster General Acute 16 Days Late Community Medical Center/Scranton General Acute Conemaugh Valley Memorial Hospital General Acute Corry Memorial Hospital General Acute Crozer-Chester Medical Center General Acute Cumberland Surgery Center Ambi-Surg Center 29 Days Late 19 Days Late D E Delaware County Memorial Hospital General Acute Delaware Valley Laser Surgery Institute Ambi-Surg Center 16 Days Late Delaware Valley Orthopedic & Spine SurgiCtr Ambi-Surg Center N/R N/R Dermatologic Surgi Center/Drexel Hill Ambi-Surg Center Dermatologic Surgi Center/Philadelphia Ambi-Surg Center Dermatology & Cosmetic Surgery Center Ambi-Surg Center 13 Days Late Digestive Disease Institute Ambi-Surg Center Digestive Health and Endoscopy Center, Inc Ambi-Surg Center 2 Days Late Divine Providence Hospital/Williamsport Specialty Doylestown Hospital General Acute Doylestown Surgery Center Ambi-Surg Center 16 Days Late DuBois Regional Medical Center General Acute Eastern Pennsylvania Endoscopy Center Ambi-Surg Center Easton Hospital General Acute Einstein Surgery Center Ambi-Surg Center Elk Regional Health Center General Acute Elkins Park Hospital General Acute Ellwood City Hospital General Acute 11 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

18 Fourth Quarter 2002 through Third Quarter 2003 Ambulatory/Outpatient Compliance Report Facility Type UB92 Compliant 02Q4 03Q1* 03Q2* 03Q3* Endoscopic Associates, Inc Ambi-Surg Center Endoscopy Center of Pennsylvania Ambi-Surg Center E 56% Endoscopy USA York Center Ambi-Surg Center No Data No Data No Data No Data Ephrata Community Hospital General Acute 14 Days Late 10 Days Late Evangelical Ambulatory Surgery Center Ambi-Surg Center Evangelical Community Hospital General Acute 2 Days Late Exeter Surgery Center Ambi-Surg Center Eye Surgery Center Ambi-Surg Center Eye Surgery Center of Chester County, LLC Ambi-Surg Center F G Fairgrounds Surgical Center Ambi-Surg Center Forbes Regional Hospital General Acute Foundation Surgery Affiliates/Fort Washington Ambi-Surg Center No Data No Data 15 Days Late Four Seasons Endoscopy Center, Inc Ambi-Surg Center 11 Days Late Frankford Hospital General Acute Frick Hospital General Acute Fulton County Medical Center General Acute Gastrointestinal Specialists Ambi-Surg Center Geisinger Medical Center/Danville General Acute Geisinger Wyoming Valley General Acute 14 Days Late Gettysburg Hospital General Acute Gnaden Huetten Memorial Hospital General Acute Good Samaritan Hospital/Lebanon General Acute Good Samaritan Regional Medical Center General Acute Graduate Hospital General Acute Grand View Hospital General Acute Grandview Surgery & Laser Center Ambi-Surg Center 30 Days Late Grandview Surgical Center Ambi-Surg Center 30 Days Late Greene County Memorial Hospital General Acute Guthrie Clinic, Ltd Ambi-Surg Center H Hahnemann University Hospital General Acute Hamot Medical Center General Acute Hamot Surgery Center Ambi-Surg Center Hanover Hospital, Inc General Acute Hanover SurgiCenter Ambi-Surg Center Harrisburg Endoscopy & Surgery Center Ambi-Surg Center 12 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

19 Fourth Quarter 2002 through Third Quarter 2003 Ambulatory/Outpatient Compliance Report Facility Type UB92 Compliant 02Q4 03Q1* 03Q2* 03Q3* Hazleton Ambulatory Surgical Center Ambi-Surg Center 29 Days Late Failed 16 Days Late Hazleton Endoscopy Center Ambi-Surg Center Hazleton General Hospital General Acute 2 Days Late Hazleton St. Joseph Medical Center General Acute 2 Days Late HEALTHSOUTH Mt Pleasant Surgery Center Ambi-Surg Center HEALTHSOUTH Scranton Surgery & Laser Center Ambi-Surg Center HEALTHSOUTH Surgery Center of Lancaster Ambi-Surg Center Highlands Hospital General Acute Hillmont Endoscopy Center Ambi-Surg Center Holy Redeemer Health System ASC Ambi-Surg Center Holy Redeemer Hospital & Medical Center General Acute Holy Spirit Hospital General Acute Hospital of Fox Chase Cancer Center Specialty Acute Hospital of the University of Pennsylvania General Acute I L Indiana Ambulatory Surgical Associates Ambi-Surg Center Indiana Regional Medical Center General Acute J. C. Blair Memorial Hospital General Acute Jameson Memorial Hospital General Acute Jeanes Hospital General Acute Jefferson Regional Medical Center General Acute 28 Days Late 2 Days Late Jennersville Regional Hospital General Acute Jersey Shore Hospital General Acute John A. Zitelli Ambulatory Surgery Center Ambi-Surg Center 14 Days Late Kane Community Hospital General Acute Kingston Ophthalmology ASC, LLC Ambi-Surg Center Lancaster General Hospital General Acute Lancaster General Hospital/Susquehanna General Acute Closed Lancaster Regional Medical Center General Acute Latrobe Area Hospital General Acute 14 Days Late Laurel Laser & Surgery Center Ambi-Surg Center Leader Surgical Center Ambi-Surg Center Lebanon Outpatient Surgical Center, LP Ambi-Surg Center Lehigh Plastic Surgery Center Ambi-Surg Center No Data No Data No Data No Data Lehigh Valley Hospital General Acute Lehigh Valley Hospital/Muhlenberg General Acute Lewisburg Plastic Surgery and Laser Center Ambi-Surg Center N/R N/R 13 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

20 Fourth Quarter 2002 through Third Quarter 2003 Ambulatory/Outpatient Compliance Report Facility Type UB92 Compliant 02Q4 03Q1* 03Q2* 03Q3* Lewistown Hospital General Acute Lock Haven Hospital General Acute 2 Days Late Lowry SurgiCenter Ambi-Surg Center 20 Days Late M Magee Womens Hosp of UPMC Health System Specialty Acute Mahoning Valley Ambulatory Surgery Center Ambi-Surg Center N/R Main Line Hospital Bryn Mawr General Acute Main Line Hospital Lankenau General Acute Main Line Hospital Paoli General Acute Main Line Surgery Center, LLC Ambi-Surg Center Marian Community Hospital General Acute Meadville Medical Center General Acute Medical Center, Beaver, PA General Acute Medical College of Pennsylvania General Acute Memorial Hospital Inc/Towanda General Acute Memorial Hospital York General Acute Mercy Fitzgerald Hospital General Acute Mercy Hospital of Philadelphia General Acute Mercy Hospital of Pittsburgh General Acute Mercy Hospital/Scranton General Acute Mercy Hospital/Wilkes-Barre General Acute Mercy Jeannette Hospital General Acute Mercy Providence Hospital General Acute Mercy Suburban Hospital General Acute Methodist Hospital General Acute 7 Days Late Metro Health Center General Acute No Data Closed Closed Meyersdale Community Hospital General Acute Mid-Atlantic Gastrointestinal Center Ambi-Surg Center N/R N/R Mid-Valley Hospital General Acute Mifflin County Community Surgical Center Ambi-Surg Center Millcreek Community Hospital General Acute 7 Days Late Milton S. Hershey Medical Center General Acute 7 Days Late 13 Days Late Miners Medical Center General Acute Monongahela Valley Hospital General Acute Monsour Medical Center General Acute 43 Days Late E 21% E 23% Montgomery Hospital General Acute Montgomery Surgery Center Ambi-Surg Center Failed E 36% 14 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

21 Fourth Quarter 2002 through Third Quarter 2003 Ambulatory/Outpatient Compliance Report Facility Type UB92 Compliant 02Q4 03Q1* 03Q2* 03Q3* Montrose General Hospital General Acute Failed 4 Days Late Moses Taylor Hospital General Acute Mt Lebanon Surgical Center Ambi-Surg Center Muncy Valley Hospital General Acute N R Nason Hospital General Acute Nazareth Hospital General Acute NEI Ambulatory Surgery, Inc, PC Ambi-Surg Center North East Surgery Center Ambi-Surg Center 3 Days Late North Shore Endocopy Center LLC Ambi-Surg Center N/R N/R N/R No Data North Shore Surgi Center Ambi-Surg Center 31 Days Late Northwood Surgery Center Ambi-Surg Center No Data No Data No Data E 100% Ohio Valley General Hospital General Acute Ophthalmology Surgery Center Ambi-Surg Center Palmerton Hospital General Acute 29 Days Late Paoli Surgery Center Ambi-Surg Center Parkview Hospital General Acute Penn Surgery Institute Ambi-Surg Center Pennsylvania Eye Surgery Center Ambi-Surg Center Pennsylvania Hospital Univ PA Hlth Sys General Acute Philadelphia Surgical Center Ambi-Surg Center Philipsburg Area Hospital General Acute Phoenixville Hospital Univ PA Hlth Sys General Acute Pinnacle Health Hospitals General Acute Pocono Ambulatory Surgery Center, LP Ambi-Surg Center Pocono Medical Center General Acute 8 Days Late Pottstown Memorial Medical Center General Acute Pottsville Hospital & Warne Clinic General Acute Progressive Surgical Institute Ambi-Surg Center Punxsutawney Area Hospital, Inc General Acute Reading Hospital and Medical Center General Acute Reading Surgery Center Ambi-Surg Center Regional Ambulatory Surgery Center Ambi-Surg Center N/R N/R E 42% Riddle Memorial Hospital General Acute Riverview Ambulatory Surgical Center Ambi-Surg Center Robert Packer Hospital General Acute Roxborough Memorial Hospital General Acute 21 Days Late 15 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

22 Fourth Quarter 2002 through Third Quarter 2003 Ambulatory/Outpatient Compliance Report Facility Type UB92 Compliant 02Q4 03Q1* 03Q2* 03Q3* S Sacred Heart Hospital/Allentown General Acute Saint Francis Hospital/Cranberry General Acute Closed Closed Closed Saint Joseph's Hospital/Philadelphia General Acute Saint Vincent Health Center General Acute Saint Vincent Surgery Center of Erie Ambi-Surg Center 11 Days Late Sally Balin Ambulatory Surgical Center Ambi-Surg Center Scranton Endoscopy Center Ambi-Surg Center Sewickley Valley Hospital General Acute Sewickley Valley Hospital Surgical Center Ambi-Surg Center Shadyside Surgi-Center Ambi-Surg Center Shamokin Area Community Hospital General Acute Sharon Regional Health System General Acute Smarthealth Norwin Hills Outpatient Center Ambi-Surg Center N/R N/R Soldiers and Sailors Memorial Hospital General Acute Somerset Hospital Center for Health General Acute Southwestern Ambulatory Surgery Center Ambi-Surg Center Southwestern Pennsylvania Eye Surgery Center Ambi-Surg Center St. Agnes Medical Center General Acute St. Christopher's Hospital for Children Specialty Acute E 25% E 24% E 26% E 36% St. Clair Memorial Hospital General Acute St. Francis Hospital of New Castle General Acute Closed Closed Closed St. Joseph Medical Center/Reading General Acute St. Luke's Hospital/Bethlehem General Acute St. Luke s Miners Memorial Hospital General Acute St. Luke's Quakertown Hospital General Acute St. Mary Medical Center General Acute Suburban General Hospital/Pittsburgh General Acute Summit Surgery Center Ambi-Surg Center Sunbury Community Hospital General Acute Surgery & Laser Center Ambi-Surg Center Surgery Center of Chester County Ambi-Surg Center Surgery Center of Pennsylvania, LLC Ambi-Surg Center 17 Days Late E 23% E 19% E 22% Surgical Center of York Ambi-Surg Center Surgical Specialty Center of Northeastern PA Ambi-Surg Center SurgiCenter at Ligonier Ambi-Surg Center Susquehanna Surgery Center, Inc Ambi-Surg Center E 90% No Data 45 Days Late 16 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

23 Fourth Quarter 2002 through Third Quarter 2003 Ambulatory/Outpatient Compliance Report Facility Type UB92 Compliant 02Q4 03Q1* 03Q2* 03Q3* Susquehanna Valley Surgical Center Ambi-Surg Center 17 Days Late T U Temple East, Inc General Acute Temple Lower Bucks Hospital General Acute Temple University Children's Medical Center General Acute E 23% E 23% E 22% Temple University Hospital General Acute Thomas Jefferson University Hospital General Acute Three Rivers Endoscopy Center Ambi-Surg Center Titusville Area Hospital General Acute Tri County Outpatient Surgical Facility Ambi-Surg Center 3 Days Late E 20% Troy Community Hospital General Acute Twin Rivers Endoscopy Center Ambi-Surg Center Tyler Memorial Hospital General Acute Tyrone Hospital General Acute 35 Days Late 8 Days Late Uniontown Hospital General Acute 7 Days Late United Community Hospital General Acute 14 Days Late University of PA Medical Center/Presbyterian General Acute UOC Surgical Services, Ltd Ambi-Surg Center N/R E 22% UPMC Bedford General Acute E 44% UPMC Braddock General Acute UPMC Horizon General Acute UPMC Lee Regional Hospital General Acute UPMC McKeesport General Acute UPMC Monroeville Surgery Center Ambi-Surg Center 1 Day Late UPMC Northwest General Acute UPMC Passavant General Acute UPMC Passavant Cranberry General Acute N/R N/R N/R UPMC Presbyterian Shadyside General Acute UPMC Shadyside General Acute Merged Merged UPMC South Side General Acute UPMC St. Margaret General Acute V Z Valley Surgery Center, Inc Ambi-Surg Center Valley View Surgical Center Ambi-Surg Center Village SurgiCenter Ambi-Surg Center Warminster Hospital General Acute Warren General Hospital General Acute 17 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

24 Fourth Quarter 2002 through Third Quarter 2003 Ambulatory/Outpatient Compliance Report Facility Type UB92 Compliant 02Q4 03Q1* 03Q2* 03Q3* Washington Hospital General Acute Wayne Memorial Hospital General Acute 8 Days Late E 32% Waynesboro Hospital General Acute West Shore Endoscopy Center, LLC Ambi-Surg Center West Shore Surgery Center, Ltd Ambi-Surg Center 35 Days Late 2 Days Late 2 Days Late 23 Days Late Western PA Surgery Center Ambi-Surg Center Western Pennsylvania Hospital General Acute Westfield Surgery Center Ambi-Surg Center No Data No Data Westmoreland Regional Hospital General Acute Williamsport Hospital and Medical Center General Acute Wills Community Surg Serv of Center City, Inc Ambi-Surg Center N/R N/R 20 Days Late Wills Eye Hospital Specialty Wills Eye Surgery Center of Plymouth Meeting Ambi-Surg Center Wills Eye Surgery Center South Philadelphia Ambi-Surg Center E 17% 33 Days Late Wills Surgery Center of Bucks County Ambi-Surg Center Wills Surgery Center of the Northeast Ambi-Surg Center Windber Hospital General Acute 7 Days Late 19 Days Late WVHCS Hospital General Acute York Endoscopy Center Ambi-Surg Center York Hospital General Acute Zitelli South Ambulatory Surgical Center Ambi-Surg Center 10 Days Late 9 Days Late 18 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

25 Change of Status Information for Ambulatory/Outpatient Facilities Information Berks Center for Digestive Health, LP Opened on December 19, 2001 Berkshire Eye Surgery Center Opened on May 1, 2002 Bethlehem Endoscopy Center Opened August 21, 2002 Bucci Eye Surgery Center Current Name: Angelina Theresa Bucci Eye Surgery Ctr. Delaware Valley Orthopedic & Spine SurgiCtr Opened August 7, 2002 Fort Washington Surgery Center Current Name: Foundation Surgery Affiliates/Fort Washington Lancaster General Hospital/Susquehanna Closed on June 30, 2003 Lewisburg Plastic Surgery and Laser Center Opened on May 24, 2002 Mahoning Valley Ambulatory Surgery Center Opened on May 8, 2002 Methodist Hospital Merged with Thomas Jefferson University Hospital, but reports data separately Metro Health Center Closed on April 7, 2003 Mid-Atlantic Gastrointestinal Center Opened on July 3, 2002 North Shore Endoscopy Center, LLC Opened on October 29, 2001 Norwin Hills Healthcare Center Surgery Center Opened on August 1, 2002; Current Name: Smarthealth Norwin Hills Outpatient Center Regional Ambulatory Surgery Center Opened on May 28, 2002 Saint Francis Hospital/Cranberry Closed on October 31, 2002 Saint Vincent Surgery Center Current Name: Saint Vincent Surgery Center of Erie St. Francis Hospital of New Castle Closed on October 31, 2002 UOC Surgical Services, Ltd Opened on April 4, 2002 UPMC Passavant Cranberry Opened on November 1, 2002 UPMC Shadyside Merged with UPMC Presbyterian to become UPMC Presbyterian Shadyside Wills Community Surg Serv of Center City, Inc Opened on May 29, 2002 Wills Eye Hospital Facility Type changed from Specialty Acute to Specialty Hospital.19

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27 Inpatient Compliance and 45-Day Status Report Fourth Quarter 2002 through Third Quarter

28 Summary of Inpatient Acute Care Facility Compliance Third Quarter 2003 (n=181) Second Quarter 2003 (n=182) Met UB92 and Atlas Criteria 87% Neither Criteria Met 1% Met Atlas Criteria Only 7% Met UB92 Criteria Only 5% Met UB92 and Atlas Criteria 89% Neither Criteria Met 1% Met Atlas Criteria Only 6% Met UB92 Criteria Only 4% First Quarter 2003 (n=184) Fourth 2002 (n=186) Met UB92 and Atlas Criteria 85% Neither Criteria Met 2% Met Atlas Criteria Only 10% Met UB92 Criteria Only 3% Met UB92 and Atlas Criteria 92% Neither Criteria Met 1% Met Atlas Criteria Only 3% Met UB92 Criteria Only 4%.22

29 Summary of Inpatient Non-Acute Care Facility Compliance Third Quarter 2003 (n=64) Second Quarter 2003 (n=61) Did Not Meet Criteria 18% Did Not Meet Criteria 26% Met UB92 Criteria 82% Met UB92 Criteria 74% First Quarter 2003 (n=60) Fourth Quarter 2002 (n=59) Did Not Meet Criteria 30% Did Not Meet Criteria 27% Met UB92 Criteria 70% Met UB92 Criteria 73%.23

30 Fourth Quarter 2002 through Third Quarter 2003 Inpatient Compliance Report Facility Type UB92 Compliant Atlas Compliant 02Q4 03Q1* 03Q2* 03Q3* 02Q4 03Q1 03Q2 03Q3 Abington Memorial Hospital General Acute Albert Einstein Medical Center General Acute Aliquippa Community Hospital General Acute Late Late Alle-Kiski Medical Center General Acute Allegheny General Hospital General Acute Allied Services Institute of Rehabilitation Rehabilitation N/R N/R N/R N/R Altoona Hospital General Acute Armstrong County Memorial Hospital General Acute 9 Days Late 3 Days Late I 57% Ashland Regional Medical Center General Acute Late I 80% B Bariatric Care Centers of Pennsylvania Specialty Acute N/R N/R N/R 21 Days Late N/R N/R N/R N/R Barnes Kasson County Hospital General Acute Late Belmont Center for Comprehensive Treatment Psychiatric N/R N/R N/R N/R Berwick Hospital Center General Acute 8 Days Late Bloomsburg Hospital General Acute 16 Days Late 16 Days Late Bon Secours Holy Family Regional Health Sys General Acute Bradford Regional Medical Center General Acute Brandywine Hospital General Acute Brookville Hospital General Acute Brownsville General Hospital General Acute Bryn Mawr Rehabilitation Hospital Rehabilitation N/R N/R N/R N/R Bucktail Medical Center General Acute E 20% Butler Memorial Hospital General Acute Late C Canonsburg General Hospital General Acute Carlisle Regional Medical Center General Acute Central Montgomery Medical Center General Acute 21 Days Late Centre Community Hospital General Acute Chambersburg Hospital General Acute Charles Cole Memorial Hospital General Acute Late Chester County Hospital General Acute Chestnut Hill Hospital General Acute Chestnut Hill Rehabilitation Hospital Rehabilitation N/R N/R N/R N/R Children's Home of Pittsburgh Specialty N/R N/R N/R N/R Children's Hospital of Philadelphia Specialty Acute E 39% E 37% E 37% E 39% Children's Hospital of Pittsburgh Specialty Acute E 19% E 19% Children's Institute of Pittsburgh Rehabilitation 10 Days Late 30 Days Late N/R N/R N/R N/R 24 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

31 Fourth Quarter 2002 through Third Quarter 2003 Inpatient Compliance Report Facility Type UB92 Compliant Atlas Compliant 02Q4 03Q1* 03Q2* 03Q3* 02Q4 03Q1 03Q2 03Q3 Children's Seashore House of the CHOP Rehabilitation E 100% E 52% E 67% E 67% N/R N/R N/R N/R Clarion Hospital General Acute Clarion Psychiatric Center Psychiatric 13 Days Late N/R N/R N/R N/R Clearfield Hospital General Acute Community Hospital of Lancaster General Acute E 28% E 24% 30 Days Late Community Medical Center/Scranton General Acute Conemaugh Valley Memorial Hospital General Acute Corry Memorial Hospital General Acute Crozer-Chester Medical Center General Acute I 77% D - E Delaware County Memorial Hospital General Acute 36 Days Late 21 Days Late I 84% Divine Providence Hospital/Williamsport Specialty N/R N/R N/R N/R Doylestown Hospital General Acute I 87% DuBois Regional Medical Center General Acute Eagleville Hospital Specialty N/R N/R N/R N/R Easton Hospital General Acute Elk Regional Health Center General Acute Elkins Park Hospital General Acute Ellwood City Hospital General Acute Ephrata Community Hospital General Acute 14 Days Late 10 Days Late Eugenia Hospital Psychiatric N/R N/R N/R N/R Evangelical Community Hospital General Acute F G Fairmount Behavioral Health Systems Psychiatric E 51% E 43% E 45% E 38% N/R N/R N/R N/R First Hospital of Wyoming Valley Psychiatric N/R N/R N/R N/R Forbes Regional Hospital General Acute Foundations Behavioral Health Psychiatric N/R N/R N/R N/R Frankford Hospital General Acute Frick Hospital General Acute Friends Hospital Psychiatric E 78% E 20% E 31% E 23% N/R N/R N/R N/R Fulton County Medical Center General Acute Geisinger HEALTHSOUTH Rehabilitation Hospital Rehabilitation N/R N/R N/R N/R Geisinger Medical Center/Danville General Acute Geisinger Wyoming Valley General Acute 14 Days Late Gettysburg Hospital General Acute Girard Medical Center Long Term Acute N/R N/R N/R N/R Gnaden Huetten Memorial Hospital General Acute 25 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

32 Fourth Quarter 2002 through Third Quarter 2003 Inpatient Compliance Report Facility Type UB92 Compliant Atlas Compliant 02Q4 03Q1* 03Q2* 03Q3* 02Q4 03Q1 03Q2 03Q3 Good Samaritan Hospital/Lebanon General Acute Good Samaritan Regional Medical Center General Acute Good Shepherd Rehabilitation Hosp/Bethlehem Rehabilitation N/R N/R N/R 29 Days Late N/R N/R N/R N/R Good Shepherd Rehabilitation Hospital Rehabilitation N/R N/R N/R N/R Good Shepherd Specialty Hospital/Allentown Long Term Acute N/R N/R N/R N/R Graduate Hospital General Acute Grand View Hospital General Acute Greene County Memorial Hospital General Acute H Hahnemann University Hospital General Acute Hamot Medical Center General Acute Hanover Hospital, Inc General Acute Hazleton General Hospital General Acute Hazleton St. Joseph Medical Center General Acute HEALTHSOUTH Harmarville Rehabilitation Rehabilitation 14 Days Late N/R N/R N/R N/R HEALTHSOUTH Nittany Valley Rehab Hospital Rehabilitation N/R N/R N/R N/R HEALTHSOUTH Reading Rehabilitation Hospital Rehabilitation N/R N/R N/R N/R HEALTHSOUTH Rehab Hospital of Greater Pgh Long Term Acute N/R N/R N/R N/R HEALTHSOUTH Rehab Hospital of Sewickley Rehabilitation N/R N/R N/R N/R HEALTHSOUTH Rehabilitation Hosp Mechanicsburg Rehabilitation N/R N/R N/R N/R HEALTHSOUTH Rehabilitation Hosp of Altoona Rehabilitation N/R N/R N/R N/R HEALTHSOUTH Rehab Hospital Special Services Long Term Acute N/R N/R N/R N/R HEALTHSOUTH Rehabilitation Hospital of Erie Rehabilitation N/R N/R N/R N/R HEALTHSOUTH Rehabilitation Hospital of York Rehabilitation E 100% N/R N/R N/R N/R Highlands Hospital General Acute Holy Redeemer Health System General Acute Holy Spirit Hospital General Acute Horsham Clinic Psychiatric N/R N/R N/R N/R Hospital of Fox Chase Cancer Center Specialty Acute Hospital of the University of Pennsylvania General Acute I - L Indiana Regional Medical Center General Acute Late J. C. Blair Memorial Hospital General Acute Jameson Memorial Hospital General Acute Jeanes Hospital General Acute Jefferson Regional Medical Center General Acute 28 Days Late I 75% I 77% I 86% Jennersville Regional Hospital General Acute 26 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

33 Fourth Quarter 2002 through Third Quarter 2003 Inpatient Compliance Report Facility Type UB92 Compliant Atlas Compliant 02Q4 03Q1* 03Q2* 03Q3* 02Q4 03Q1 03Q2 03Q3 Jersey Shore Hospital General Acute John Heinz Institute of Rehab Medicine Rehabilitation N/R N/R N/R N/R Kane Community Hospital General Acute Kensington Hospital Specialty 3 Days Late 28 Days Late N/R N/R N/R N/R Kindred Hospital/Delaware County Long Term Acute Failed Failed N/R N/R N/R N/R Kindred Hospital/Philadelphia Long Term Acute Failed Failed E 18% N/R N/R N/R N/R Kindred Hospital/Pittsburgh Long Term Acute E 33% E 24% E 19% N/R N/R N/R N/R Kindred Hospital/Wyoming Valley Long Term Acute N/R N/R No Data 11 Days Late N/R N/R N/R N/R Kirkbride Center Psychiatric E NAIC 3 N/R N/R N/R N/R Lancaster General Hospital General Acute Lancaster General Hospital/Susquehanna General Acute Closed I 86% Closed Lancaster Regional Medical Center General Acute Latrobe Area Hospital General Acute 14 Days Late 21 Days Late Lehigh Valley Hospital General Acute Lehigh Valley Hospital/Muhlenberg General Acute Lewistown Hospital General Acute LifeCare Hospitals of Pittsburgh, Inc Long Term Acute N/R N/R N/R N/R Lock Haven Hospital General Acute E 33% Late M Magee Rehabilitation Hospital Rehabilitation N/R N/R N/R N/R Magee-Womens Hosp of UPMC Health System Specialty Acute Main Line Hospital Bryn Mawr General Acute Main Line Hospital Lankenau General Acute 17 Days Late Main Line Hospital Paoli General Acute Malvern Institute Specialty 17 Days Late E 100% E 23% 29 Days Late N/R N/R N/R N/R Marian Community Hospital General Acute Meadows Psychiatric Center Psychiatric 30 Days Late E 73% N/R N/R N/R N/R Meadville Medical Center General Acute Medical Center, Beaver, PA General Acute Medical College of Pennsylvania General Acute Late Memorial Hospital Inc/Towanda General Acute Memorial Hospital York General Acute Mercy Fitzgerald Hospital General Acute Mercy Hospital of Philadelphia General Acute Mercy Hospital of Pittsburgh General Acute Mercy Hospital/Scranton General Acute Mercy Hospital/Wilkes-Barre General Acute 27 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

34 Fourth Quarter 2002 through Third Quarter 2003 Inpatient Compliance Report Facility Type UB92 Compliant Atlas Compliant 02Q4 03Q1* 03Q2* 03Q3* 02Q4 03Q1 03Q2 03Q3 Mercy Jeannette Hospital General Acute Mercy Providence Hospital General Acute Mercy Special Care Hospital Long Term Acute N/R N/R N/R N/R Mercy Suburban Hospital General Acute Methodist Hospital General Acute 7 Days Late Metro Health Center General Acute No Data Closed Closed I 65% I 0% Closed Closed Meyersdale Community Hospital General Acute Late Mid-Valley Hospital General Acute Millcreek Community Hospital General Acute 7 Days Late Late I 34% I 35% Milton S. Hershey Medical Center General Acute 7 Days Late 13 Days Late Miners Medical Center General Acute Monongahela Valley Hospital General Acute Monsour Medical Center General Acute E 27% E 26% E 25% E 19% Late Late Late Montgomery County MH/MR Emergency Service Psychiatric N/R N/R N/R N/R Montgomery Hospital General Acute I 87% I 54% I 57% Montrose General Hospital General Acute Failed 22 Days Late Moses Taylor Hospital General Acute Moss Rehabilitation Hospital Rehabilitation N/R N/R N/R N/R Muncy Valley Hospital General Acute N R Nason Hospital General Acute National Hospital for Kids in Crisis Psychiatric N/R N/R N/R N/R Nazareth Hospital General Acute Northwestern Institute of Psychiatry Psychiatric N/R N/R N/R N/R Ohio Valley General Hospital General Acute Palmerton Hospital General Acute 28 Days Late I 30% Parkview Hospital General Acute E NAIC Pennsylvania Hospital Univ PA Hlth Sys General Acute 37 Days Late Philhaven Hospital Psychiatric N/R N/R N/R N/R Philipsburg Area Hospital General Acute I 80% I 88% Late Phoenixville Hospital Univ PA Hlth Sys General Acute Pinnacle Health Hospitals General Acute Pocono Medical Center General Acute 8 Days Late Pottstown Memorial Medical Center General Acute Pottsville Hospital & Warne Clinic General Acute Punxsutawney Area Hospital, Inc General Acute Reading Hospital and Medical Center General Acute 28 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

35 Fourth Quarter 2002 through Third Quarter 2003 Inpatient Compliance Report Facility Type UB92 Compliant Atlas Compliant 02Q4 03Q1* 03Q2* 03Q3* 02Q4 03Q1 03Q2 03Q3 Riddle Memorial Hospital General Acute Robert Packer Hospital General Acute Roxborough Memorial Hospital General Acute 21 Days Late S Sacred Heart Hospital/Allentown General Acute Saint Francis Hospital/Cranberry General Acute Closed Closed Closed Closed Closed Closed Saint Joseph's Hospital/Philadelphia General Acute Saint Vincent Health Center General Acute SCCI Hospital/Easton Long Term Acute N/R N/R N/R N/R SCCI Hospital/Harrisburg Long Term Acute N/R N/R N/R N/R Select Specialty Hosp/Central PA/Camp Hill Long Term Acute E 29% 37 Days Late E 31% N/R N/R N/R N/R Select Specialty Hosp/Central PA (York) Long Term Acute N/R N/R N/R N/R N/R N/R Select Specialty Hospital/Erie Long Term Acute E 24% 32 Days Late E 37% N/R N/R N/R N/R Select Specialty Hospital/Greensburg Long Term Acute E 55% 42 Days Late E 71% N/R N/R N/R N/R Select Specialty Hospital/Johnstown Long Term Acute E 26% 44 Days Late N/R N/R N/R N/R Select Specialty Hospital/Philadelphia AEMC Long Term Acute E 79% 42 Days Late E 15% N/R N/R N/R N/R Select Specialty Hospital/Pittsburgh Long Term Acute E 26% 32 Days Late E 35% N/R N/R N/R N/R SemperCare Hospital of Lancaster Long Term Acute E 100% E 23% E 22% E 19% N/R N/R N/R N/R Sewickley Valley Hospital General Acute Shamokin Area Community Hospital General Acute Sharon Regional Health System General Acute Soldiers and Sailors Memorial Hospital General Acute Somerset Hospital Center for Health General Acute Southwood Psychiatric Hospital Psychiatric N/R N/R N/R N/R St. Agnes Medical Center General Acute St. Christopher's Hospital for Children Specialty Acute E 22% E 22% E 32% St. Clair Memorial Hospital General Acute St. Francis Hospital of New Castle General Acute Closed Closed Closed Closed Closed Closed St. Joseph Medical Center/Reading General Acute St. Luke's Hospital/Bethlehem General Acute St. Luke s Miners Memorial Hospital General Acute St. Luke's Quakertown Hospital General Acute St. Mary Medical Center General Acute Suburban General Hospital/Pittsburgh General Acute Sunbury Community Hospital General Acute T U Temple East, Inc General Acute 29 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

36 Fourth Quarter 2002 through Third Quarter 2003 Inpatient Compliance Report Facility Type UB92 Compliant Atlas Compliant 02Q4 03Q1* 03Q2* 03Q3* 02Q4 03Q1 03Q2 03Q3 Temple Lower Bucks Hospital General Acute Temple University Children's Medical Center Specialty Acute E 25% E 25% E 31% E 28% Temple University Hospital General Acute Thomas Jefferson University Hospital General Acute Titusville Area Hospital General Acute Troy Community Hospital General Acute Tyler Memorial Hospital General Acute Tyrone Hospital General Acute 1 Day Late 8 Days Late Uniontown Hospital General Acute 7 Days Late United Community Hospital General Acute 14 Days Late University of PA Medical Center/Presbyterian General Acute UPMC Bedford General Acute E 43% UPMC Braddock General Acute UPMC Horizon General Acute UPMC Lee Regional Hospital General Acute UPMC McKeesport General Acute UPMC Northwest General Acute UPMC Passavant General Acute UPMC Passavant Cranberry General Acute N/R N/R N/R N/R N/R N/R UPMC Presbyterian Shadyside General Acute Late UPMC Rehabilitation Hospital Rehabilitation 3 Days Late N/R N/R N/R N/R UPMC Shadyside General Acute 3 Days Late Merged Merged Merged Merged UPMC South Side General Acute UPMC St. Margaret General Acute V Z Valley Forge Medical Center & Hospital Specialty N/R N/R N/R N/R Warminster Hospital General Acute Warren General Hospital General Acute Late I 75% Washington Hospital General Acute Wayne Memorial Hospital General Acute E 30% Waynesboro Hospital General Acute Western Pennsylvania Hospital General Acute Western Psychiatric Institute & Clinic Psychiatric E NAIC E NAIC N/R N/R N/R N/R Westmoreland Regional Hospital General Acute Williamsport Hospital and Medical Center General Acute Wills Eye Hospital Specialty N/R Windber Hospital General Acute 7 Days Late 19 Days Late 30 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

37 Fourth Quarter 2002 through Third Quarter 2003 Inpatient Compliance Report Facility Type UB92 Compliant Atlas Compliant 02Q4 03Q1* 03Q2* 03Q3* 02Q4 03Q1 03Q2 03Q3 WVHCS Hospital General Acute York Hospital General Acute 31 * Beginning with First Quarter 2003 the maximum allowable UB92 error rate decreased from 20% to 15%. N/R: Not Required

38 Change of Status Information for Inpatient Facilities Information Bariatric Care Centers of Pennsylvania Opened on September 19, 2002 Good Shepherd Rehabilitation Hosp/Bethlehem Opened on September 13, 2002 Kindred Hospital/Wyoming Valley Opened on August 7, 2002 Lancaster General Hospital/Susquehanna Closed on June 30, 2003 Methodist Hospital Merged with Thomas Jefferson University Hospital, but reports data separately Metro Health Center Closed on April 7, 2003 Moss Rehabilitation Hospital Merged with Albert Einstein Medical Center, but reports data separately Saint Francis Hospital/Cranberry Closed on October 31, 2002 Select Specialty Hospital/Central PA (York) Opened June 6, 2002 St. Francis Hospital of New Castle Closed on October 31, 2002 UPMC Passavant Cranberry Opened on November 1, 2002 UPMC Shadyside Merged with UPMC Presbyterian to become UPMC Presbyterian Shadyside Western Psychiatric Institute & Clinic Merged with UPMC Presbyterian, but reports data separately Wills Eye Hospital Facility Type changed from Specialty Acute to Specialty Hospital 32