Precise End User Pricing  
Facility Name:   
Name F/L:   
Em/Ph:   
 
 Specifications Required - If N/A Enter 0 
Licensed Beds:   
    Acute Inpatients
Inpatient Admissions/Month  
Average Length of Stay  
Average Daily Census:   
    Behavioral Health Inpatients
Inpatient Admissions/Month  
Average Length of Stay  
Average Daily Census:   
    Outpatient Visits
ER Visits/Month  
Physician Visits/Month  
Outpatient Visits/Month  
Outpatient Surgeries/Month