| EIN | Employer Identification Number | Employer identification number of Hospital (Page 1, Line D) | |
| FisYr | Fiscal year | Fiscal year (ending year) | |
| NAME | Hospital name | Name of Organization filing Form 990 (Form 990, Page 1, Line C) | |
| STATE | State | Two-letter state abbreviation of Organization filing Form 990 (Form 990, Page 1, Line C(3)) | |
| zip5 | Zip code, 5 digits | First 5 digits of zip code of Organization filing Form 990 (Form 990, Page 1, Line C(4)) | |
| SUBSECCD | Subsection code | Hospital IRS subsection code, e.g. 03=501(c)(3), etc. (Page 1, Line I) | |
| hospfclt_cnt | Number of facilities | Number of hospital facilities (number of rows in Sch H - Part V sub-table) | |
| hrow | Row number | Row Identification Number | |
| fclt_num | Line Number of Hospital Facility | Line Number of Hospital Facility (from Sched H, Part V, Section A) | |
| fclty_name | Facility name | Name of facility | |
| fclty_zip | Facility zip | Zip code of facility | |
| type_of_fclty | Facility type | Type of facility | |
| chna_cndct | Conduct a needs assessment? | Conduct a needs assessment? (Sch H, Part V, Line 1) | |
| chna_descr | What the needs assessment describes | What the needs assessment describes (Sch H, Part V, Line 1a-1j) | |
| nds_assmnt_cndct | Year needs assessment conducted | Year needs assessment conducted (Sch H, Part V, Line 2) | |
| tk_into_acct | Take into account input from community? | Take into account input from community? (Sch H, Part V, Line 3) | |
| oth_fclt | Conducted with other facilities? | Conducted with other facilities? (Sch H, Part V, Line 4) | |
| chna_wdly_avlbl | Needs assessment widely available to public? | Needs assessment widely available to public? (Sch H, Part V, Line 5) | |
| chna_public | How needs assessment was made available to public | How needs assessment was made available to public (Sch H, Part V, Line 5a-5c) | |
| nds_addrssd | Which needs raised by assessment were addressed? | Which needs raised by assessment were addressed? (Sch H, Part V, Line 6a-6i) | |
| all_nds_addrssd | All needs addressed? | All needs addressed? (Sch H, Part V, Line 7) | |
| org_incr_exc_tx | Incur 4959 excise tax? | Incur 4959 excise tax for failure to conduct 501(r)(3) CHNA? (Sch H, Part V, Line 8a) | |
| fil_4720_rprt_exc_tx | File 4720 for excise tax? | If Yes to line 8a, File 4720 for excise tax? (Sch H, Part V, Line 8b) | |
| exc_rprt_4720_all_amt | Amount of excise tax | If Yes to line 8b, Amount of excise tax (Sch H, Part V, Line 8c) | |
| elgbl_crtr_explnd | Explain eligibility crieria for assistance? | Explain eligibility crieria for assistance? (Sch H, Part V, Line 9) | |
| uss_fpg_fr | Used FPG for free care? | Used FPG for free care? (Sch H, Part V, Line 10) | |
| fpg_fr_pct | FPG fmaily income limit for free care | FPG fmaily income limit for free care (Sch H, Part V, Line 10(yes)) | |
| uss_fpg_dscntd | Used FPG for discounted care? | Used FPG for discounted care? (Sch H, Part V, Line 11) | |
| fpg_dscnt_pct | FPG fmaily income limit for discounted care | FPG fmaily income limit for discounted care (Sch H, Part V, Line 11(yes)) | |
| explns_bss | Explain basis for calculating charges? | Explain basis for calculating charges? (Sch H, Part V, Line 12) | |
| bss_for_amts | Factors used to calculate charges | Factors used to calculate charges (Sch H, Part V, Line 12a-12h) | |
| explns_applctn_mthd | Explain method for applying for assistance? | Explain method for applying for assistance? (Sch H, Part V, Line 13) | |
| inclds_pblcty_msrs | Include measures to publicize assistance policy | Include measures to publicize assistance policy (Sch H, Part V, Line 14) | |
| how_msrs_pblczd | How assistance policy was publicized | How assistance policy was publicized (Sch H, Part V, Line 14a-14g) | |
| actns_nnpymnt | Written policy regarding non-payment? | Written policy regarding non-payment? (Sch H, Part V, Line 15) | |
| nnpymnt_actn_mthds | Nonpayment policy actions | Nonpayment policy actions (Sch H, Part V, Line 16a-16e) | |
| coll_acty | Actions related to collection? | Actions related to collection? (Sch H, Part V, Line 17) | |
| coll_acty_mthds | Which collection activities | Which collection activities (Sch H, Part V, Line 17a-17e) | |
| pre_coll_acty | Efforts before collection activities | Efforts before collection activities (Sch H, Part V, Line 18a-18e) | |
| nndscrm_emrgncy_cr_plcy | Non-discriminatory emergency room policy? | Non-discriminatory emergency room policy? (Sch H, Part V, Line 19) | |
| rsn_no_nndscrm_plcy | Why no non-discriminatory ER policy | Why no non-discriminatory ER policy (Sch H, Part V, Line 19a-19d) | |
| max_amt_dtrmnd | How maximum charge amounts determined | How maximum charge amounts determined (Sch H, Part V, Line 20a-20d) | |
| amt_gnrlly_blld | Did hospital charge more than amounts billed? | Did hospital charge more than amounts billed? (Sch H, Part V, Line 21) | |
| gr_chrg | Charge amounts equal to gross chrage? | Charge amounts equal to gross chrage? (Sch H, Part V, Line 22) | |
| SCPL | S.C./Cycle/Page/L.C. | Service Center Cycle Page Line (unique identifier assigned by the IRS - used to match primary SOI record with related sub-table records) | |