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Washington State Community Hospital Year End Reports

Actual Fiscal Year End Reports by Hospital

The year end reports by year and then by hospital that can be selected below are the exact duplication of the files submitted to the Department of Health. The various forms can be viewed and printed by selecting the appropriate tab. All files are Excel files and require Excel or free Excel Viewer.

The forms provided are: 

 Data  All the current reporting year data in spreadsheet format 
 Transmittal Cover page for the paper transmittal
 Info_Pg1 Admissions, Patient Days, Births, Available Beds
 Info_Pg2 Admissions, Patient Days, Visits, and Revenue By Payor
 SS2_3_5_6 Employee Benefits, Rent Lease Expense, Insurance, License and Taxes Exp
 SS4 Depreciation Tables for Property, Plant, Equipment
 SS8 Deductions From Revenue Table
 FS Balance Sheet, Income Statement

CC's Cost Center

Unit of Measure, Fte's, Salaries, Employee Benefits, Pro Fees, Supplies, Purch. Srv., Depreciation, Lease/Rent,  Revenues, Cost Allocation Statistics
 Prior Year All the prior  reporting year data in spreadsheet format


Fiscal Year End Reports








Hospital Financial BLANK Reporting Forms

(Use for Reporting to Hospital and Patient Data Systems)

Blank forms for use in reporting hospital aggregate financial and utilization data (Excel files):

Year End Form                 Budget Form  

If you have any questions please contact Randy Huyck at (360) 236-4210.