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<!-- Website Address --> <xsd:element name="WebsiteAddress" type="LineExplanationType" minOccurs="0"> <xsd:annotation> <xsd:documentation> <Description>Primary website address of the hospital facility</Description> <LineNumber>Part V Section A</LineNumber> </xsd:documentation> </xsd:annotation> </xsd:element> |
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<!-- Facility Reporting Group --> <xsd:element name="FacilityReportingGroup" minOccurs="0"> <xsd:annotation> <xsd:documentation> <Description>Facility reporting group</Description> <LineNumber>Part V Section A</LineNumber> </xsd:documentation> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="AlphaNumericType"> <xsd:maxLength value="3" /> </xsd:restriction> </xsd:simpleType> </xsd:element> |
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<!-- Incur an Excise Tax Under Section 4959 for the Hospital Facility's Failure to Conduct a CHNA as Required by Section 501(r)(3)? --> <xsd:element name="OrganizationIncurExciseTax" type="BooleanType" minOccurs="0"> <xsd:annotation> <xsd:documentation> <Description>Incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?</Description> <LineNumber>Part V Section B Line 8a</LineNumber> </xsd:documentation> </xsd:annotation> </xsd:element> <!-- File Form 4720 to Report the Section 4959 Excise Tax? --> <xsd:element name="FileForm4720ReportExciseTax" type="BooleanType" minOccurs="0"> <xsd:annotation> <xsd:documentation> <Description>File Form 4720 to report the section 4959 excise tax?</Description> <LineNumber>Part V Section B Line 8b</LineNumber> </xsd:documentation> </xsd:annotation> </xsd:element> <!-- Total Amount of Section 4959 Excise Tax Reported on Form 4720 for All of its Hospital Facilities? --> <xsd:element name="ExciseReportForm4720ForAllAmt" type="USAmountType" minOccurs="0"> <xsd:annotation> <xsd:documentation> <Description>Total amount of section 4959 excise tax reported on Form 4720 for all of its hospital facilities?</Description> <LineNumber>Part V Section B Line 8c</LineNumber> </xsd:documentation> </xsd:annotation> </xsd:element> |
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<xsd:element name="EligibilityCriteriaExplained" type="BooleanType" minOccurs="0"> | NEW line(s): 1246
<xsd:element name="EligibilityCriteriaExplained" type="BooleanType" minOccurs="1"> |
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<LineNumber>Part V Section B Line 8</LineNumber> | NEW line(s): 1250
<LineNumber>Part V Section B Line 9</LineNumber> |
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<xsd:element name="UsesFPGFree" type="BooleanType" minOccurs="0"> | NEW line(s): 1256
<xsd:element name="UsesFPGFree" type="BooleanType" minOccurs="1"> |
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<LineNumber>Part V Section B Line 9</LineNumber> | NEW line(s): 1260
<LineNumber>Part V Section B Line 10</LineNumber> |
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<LineNumber>Part V Section B Line 9</LineNumber> | NEW line(s): 1270
<LineNumber>Part V Section B Line 10</LineNumber> |
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<xsd:element name="UsesFPGDiscounted" type="BooleanType" minOccurs="0"> | NEW line(s): 1276
<xsd:element name="UsesFPGDiscounted" type="BooleanType" minOccurs="1"> |
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<LineNumber>Part V Section B Line 10</LineNumber> | NEW line(s): 1280
<LineNumber>Part V Section B Line 11</LineNumber> |
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<LineNumber>Part V Section B Line 10</LineNumber> | NEW line(s): 1290
<LineNumber>Part V Section B Line 11</LineNumber> |
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<xsd:element name="ExplainsBasis" type="BooleanType" minOccurs="0"> | NEW line(s): 1296
<xsd:element name="ExplainsBasis" type="BooleanType" minOccurs="1"> |
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<LineNumber>Part V Section B Line 11</LineNumber> | NEW line(s): 1300
<LineNumber>Part V Section B Line 12</LineNumber> |
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<LineNumber>Part V Section B Line 11a</LineNumber> | NEW line(s): 1310
<LineNumber>Part V Section B Line 12a</LineNumber> |
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<LineNumber>Part V Section B Line 12b</LineNumber> |
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<LineNumber>Part V Section B Line 11c</LineNumber> | NEW line(s): 1330
<LineNumber>Part V Section B Line 12c</LineNumber> |
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<LineNumber>Part V Section B Line 11d</LineNumber> | NEW line(s): 1340
<LineNumber>Part V Section B Line 12d</LineNumber> |
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<LineNumber>Part V Section B Line 11e</LineNumber> | NEW line(s): 1350
<LineNumber>Part V Section B Line 12e</LineNumber> |
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<LineNumber>Part V Section B Line 11f</LineNumber> | NEW line(s): 1360
<LineNumber>Part V Section B Line 12f</LineNumber> |
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<LineNumber>Part V Section B Line 11g</LineNumber> | NEW line(s): 1370
<LineNumber>Part V Section B Line 12g</LineNumber> |
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<LineNumber>Part V Section B Line 11h</LineNumber> | NEW line(s): 1380
<LineNumber>Part V Section B Line 12h</LineNumber> |
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<xsd:element name="ExplainsApplicationMethod" type="BooleanType" minOccurs="0"> | NEW line(s): 1386
<xsd:element name="ExplainsApplicationMethod" type="BooleanType" minOccurs="1"> |
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<LineNumber>Part V Section B Line 12</LineNumber> | NEW line(s): 1390
<LineNumber>Part V Section B Line 13</LineNumber> |
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<xsd:element name="IncludesPublicityMeasures" type="BooleanType" minOccurs="0"> | NEW line(s): 1396
<xsd:element name="IncludesPublicityMeasures" type="BooleanType" minOccurs="1"> |
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<LineNumber>Part V Section B Line 13</LineNumber> | NEW line(s): 1400
<LineNumber>Part V Section B Line 14</LineNumber> |
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<LineNumber>Part V Section B Line 14a</LineNumber> |
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<LineNumber>Part V Section B Line 14b</LineNumber> |
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<LineNumber>Part V Section B Line 13c</LineNumber> | NEW line(s): 1430
<LineNumber>Part V Section B Line 14c</LineNumber> |
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<LineNumber>Part V Section B Line 13d</LineNumber> | NEW line(s): 1440
<LineNumber>Part V Section B Line 14d</LineNumber> |
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<LineNumber>Part V Section B Line 13e</LineNumber> | NEW line(s): 1450
<LineNumber>Part V Section B Line 14e</LineNumber> |
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<LineNumber>Part V Section B Line 14f</LineNumber> |
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<LineNumber>Part V Section B Line 13g</LineNumber> | NEW line(s): 1470
<LineNumber>Part V Section B Line 14g</LineNumber> |
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<xsd:element name="ActionsOnNonpayment" type="BooleanType" minOccurs="0"> | NEW line(s): 1476
<xsd:element name="ActionsOnNonpayment" type="BooleanType" minOccurs="1"> |
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<LineNumber>Part V Section B Line 14</LineNumber> | NEW line(s): 1480
<LineNumber>Part V Section B Line 15</LineNumber> |
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<LineNumber>Part V Section B Line 15a</LineNumber> | NEW line(s): 1490
<LineNumber>Part V Section B Line 16a</LineNumber> |
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<LineNumber>Part V Section B Line 16b</LineNumber> |
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<LineNumber>Part V Section B Line 16d</LineNumber> |
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<LineNumber>Part V Section B Line 16e</LineNumber> |
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<xsd:element name="CollectionActivities" type="BooleanType" minOccurs="0"> | NEW line(s): 1536
<xsd:element name="CollectionActivities" type="BooleanType" minOccurs="1"> |
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<LineNumber>Part V Section B Line 16</LineNumber> | NEW line(s): 1540
<LineNumber>Part V SSection B Line 17</LineNumber> |
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<LineNumber>Part V Section B Line 16a</LineNumber> | NEW line(s): 1550
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<LineNumber>Part V Section B Line 18a</LineNumber> |
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<LineNumber>Part V Section B Line 18c</LineNumber> |
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<LineNumber>Part V Section B Line 18e</LineNumber> |
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<xsd:element name="NondiscrimEmergencyCarePolicy" type="BooleanType" minOccurs="0"> | NEW line(s): 1646
<xsd:element name="NondiscrimEmergencyCarePolicy" type="BooleanType" minOccurs="1"> |
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<LineNumber>Part V Section B Line 18</LineNumber> | NEW line(s): 1650
<LineNumber>Part V Section B Line 19</LineNumber> |
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<LineNumber>Part V Section B Line 19b</LineNumber> |
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<LineNumber>Part V Section B Line 19c</LineNumber> |
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<LineNumber>Part V Section B Line 19d</LineNumber> |
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<LineNumber>Part V Section B Line 19a</LineNumber> | NEW line(s): 1700
<LineNumber>Part V Section B Line 20a</LineNumber> |
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<LineNumber>Part V Section B Line 20b</LineNumber> |
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<LineNumber>Part V Section B Line 19c</LineNumber> | NEW line(s): 1720
<LineNumber>Part V Section B Line 20c</LineNumber> |
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<LineNumber>Part V Section B Line 19d</LineNumber> | NEW line(s): 1730
<LineNumber>Part V Section B Line 20d</LineNumber> |
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<xsd:element name="AmountsGenerallyBilled" type="BooleanType" minOccurs="0"> | NEW line(s): 1737
<xsd:element name="AmountsGenerallyBilled" type="BooleanType" minOccurs="1"> |
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<LineNumber>Part V Section B Line 20</LineNumber> | NEW line(s): 1741
<LineNumber>Part V Section B Line 21</LineNumber> |
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<xsd:element name="GrossCharges" type="BooleanType" minOccurs="0"> | NEW line(s): 1747
<xsd:element name="GrossCharges" type="BooleanType" minOccurs="1"> |
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<LineNumber>Part V Section B Line 21</LineNumber> | NEW line(s): 1751
<LineNumber>Part V Section B Line 22</LineNumber> |