Precise End User Pricing
Facility Name:
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Name F/L:
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Em/Ph:
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Facility Type
Acute / Trama
Children's Hospital
Critical Access / Trama Hospital
Short Term Hospital
Short Term Hospital - Acute and Behavioral Health
Behavioral Health / Psychiatric
Behavioral Health Facility - Adult
Behavioral Health Facility - Children
Residential and Long Term Care
Residential and Short Term Care
Government
Department of Defense Hospital
Veterans Hospital
Long Term Acute
Hospice Care
Long Term Care Hospital
Rehabilitation Hospital
Residential and Long Term Care
Residential and Short Term Care
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Specifications
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Required - If N/A Enter 0
Licensed Beds:
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Acute Inpatients
Inpatient Admissions/Month
:
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Average Length of Stay
:
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Average Daily Census:
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Behavioral Health Inpatients
Inpatient Admissions/Month
:
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Average Length of Stay
:
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Average Daily Census:
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Outpatient Visits
ER Visits/Month
:
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Physician Visits/Month
:
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Outpatient Visits/Month
:
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Outpatient Surgeries/Month
:
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