UNCOMPENSATED COST REPORT
HOSPITAL:		Mountain's Edge Hospital		12 month Period Ending:	12/31/2018
Line		PART I -   Calculate Ratio of Cost to Charges (RCC)
1		Total Operating Expenses (A)			$        22,988,055
2		Non - Operating Expense (A)			$                       -
3		Total Hospital Expenses  (sum of oper & non-oper exp)			$        22,988,055
		Less Cost Directly Assigned to Uninsured Patients
4		Graduate Medical Education Cost (B)			$                       -
5		Emergency Room Physician Professional Fees (C)			$                       -
		Other Directly Assigned Cost (list)  - (D)
6		1)			$                       -
7		2)			$                       -
8		3)			$                       -
9		4)			$                       -
10		5)			$                       -
		Less Cost Prohibited by CMS for DSH Purposes
11		Offsite Clinic Cost (E)			$                       -
		Other Excluded Cost (list)  - (F)
12		1)			$                       -
13		2)			$                       -
14		Total Expenses Excluded from Cost Pool			$                       -
15		Adjusted Cost Pool (Total expenses less excluded items)			$        22,988,055
16		Billed Charges (G)			$      115,560,214
17		Average Ratio of Cost to Charges ( adj cost / charges)			19.9%
	(A)	From the Nevada Hospital Quarterly Reports found at:
		http://www.nhqrnv.com
	(B)	Resident /Faculty Salaries and other costs in support of GME from hospital records.
		Exclude Allied Health education programs.
	(C)	ER / Trauma /Anesthesiology on-call coverage and compensation to physicians for indigent patient care.
		From hospital records.   Exclude directorship fees and other services not directly related to patient care.
	(D)	Any identifiable cost solely related to uninsured patients from hospital records.
		Examples include payments to nursing homes for placement of patients without pay source,
		and eligibility workers in excess of standard social services staff.
	(E)	All costs associated with operating clinics not on hospital campus from hospital records.
	(F)	Any other cost category specifically prohibited for DSH by regulation or policy
	(G)	From NHQR for your hospital for the reporting period.
	Note: Cost reported as AB342 community benefits are included either in pool or directly assigned.