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Facility Name: Facility Address: County: Administrator: General Hospital Service Area: Telephone: Email:
Adams Alcorn Amite Attala Benton Bolivar Calhoun Carroll Chickasaw Choctaw Claiborne Clarke Clay Coahoma Copiah Covington Desoto Forrest Franklin George Greene Grenada Hancock Harrison Hinds Holmes Humphreys Issaquena Itawamba Jackson Jasper Jefferson Jefferson Davis Jones Kemper Lafayette Lamar Lauderdale Lawrence Leake Lee Leflore Lincoln Lowndes Madison Marion Marshall Monroe Montgomery Neshoba Newton Noxubee Oktibbeha Panola Pearl River Perry Pike Pontotoc Prentiss Quitman Rankin Scott Sharkey Simpson Smith Stone Sunflower Tallahatchie Tate Tippah Tishomingo Tunica Union Walthall Warren Washington Wayne Webster Wilkinson Winston Yalobusha Yazoo
General Hospital Service Area
Preparer's Information
Name: Telephone: Extension: Email:
Facility Ownership Detail Information
Facility Owner: Owner's Parent Organization: Facility Operator: Operator's Parent Organization: Management Contractor: Management's Parent Organization:
Owner's Parent Organization
Operator's Parent Organization
Management's Parent Organization
Ambulatory Surgery Centers (ASC) - Outpatient Surgery Statistics
FY 2021 FY 2022 FY 2023 ASC Outpatient Operating Rooms ASC Outpatient Procedure Rooms ASC Outpatient Surgery Patients ASC Outpatient Surgeries
ASC Outpatient Operating Rooms FY 21
ASC Outpatient Procedure Rooms FY 21
ASC Outpatient Surgery Patients FY 21
ASC Outpatient Surgeries FY 21
ASC Outpatient Operating Rooms FY 22
ASC Outpatient Procedure Rooms FY 22
ASC Outpatient Surgery Patients FY 22
ASC Outpatient Surgeries FY 22
ASC Outpatient Operating Rooms FY 23
ASC Outpatient Procedure Rooms FY 23
ASC Outpatient Surgery Patients FY 23
ASC Outpatient Surgeries FY 23
Cardiac Catheterization Services
FY 2021 FY 2022 FY 2023 Adult Cardiac Cath Labs Inpatient Diagnostic Cardiac Caths (Adult) Outpatient Diagnostic Cardiac Caths (Adult) Inpatient Therapeutic Caths (Adult) Outpatient Therapeutic Caths (Adult) Pediatric Cardiac Cath Labs Inpatient Diagnostic Cardiac Caths (Pediatric) Outpatient Diagnostic Cardiac Caths (Pediatric) Inpatient Therapeutic Caths (Pediatric) Outpatient Therapeutic Caths (Pediatric) All Other Labs (EP, etc.) Inpatient Procedures Outpatient Procedures
Adult Cardiac Cath Labs FY 2021
Inpatient Diagnostic Cardiac Caths (Adult) FY 2021
Outpatient Diagnostic Cardiac Caths (Adult) FY 2021
Inpatient Therapeutic Caths (Adult) FY 2021
Outpatient Therapeutic Caths (Adult) FY 2021
Pediatric Cardiac Cath Labs FY 2021
Inpatient Diagnostic Cardiac Caths (Pediatric) FY 2021
Outpatient Diagnostic Cardiac Caths (Pediatric) FY 2021
Inpatient Therapeutic Caths (Pediatric) FY 2021
Outpatient Therapeutic Caths (Pediatric) FY 2021
All Other Labs (EP, etc.) FY 2021
Inpatient Procedures FY 2021
Outpatient Procedures FY 2021
Adult Cardiac Cath Labs FY 2022
Inpatient Diagnostic Cardiac Caths (Adult) FY 2022
Outpatient Diagnostic Cardiac Caths (Adult) FY 2022
Inpatient Therapeutic Caths (Adult) FY 2022
Outpatient Therapeutic Caths (Adult) FY 2022
Pediatric Cardiac Cath Labs FY 2022
Inpatient Diagnostic Cardiac Caths (Pediatric) FY 2022
Outpatient Diagnostic Cardiac Caths (Pediatric) FY 2022
Inpatient Therapeutic Caths (Pediatric) FY 2022
Outpatient Therapeutic Caths (Pediatric) FY 2022
All Other Labs (EP, etc.) FY 2022
Inpatient Procedures FY 2022
Outpatient Procedures FY 2022
Adult Cardiac Cath Labs FY 2023
Inpatient Diagnostic Cardiac Caths (Adult) FY 2023
Outpatient Diagnostic Cardiac Caths (Adult) FY 2023
Inpatient Therapeutic Caths (Adult) FY 2023
Outpatient Therapeutic Caths (Adult) FY 2023
Pediatric Cardiac Cath Labs FY 2023
Inpatient Diagnostic Cardiac Caths (Pediatric) FY 2023
Outpatient Diagnostic Cardiac Caths (Pediatric) FY 2023
Inpatient Therapeutic Caths (Pediatric) FY 2023
Outpatient Therapeutic Caths (Pediatric) FY 2023
All Other Labs (EP, etc.) FY 2023
Inpatient Procedures FY 2023
Outpatient Procedures FY 2023
Number of MRI Units FY 2021
1 2 3 4 5
Magnetic Resonance Imaging (MRI) Services
Unit 1 Information
FY 2021 FY 2022 FY 2023 Number of MRI Procedures Number of MRI Units Type of MRI Service Equipment:
Days of Operation per Week:
Hours of Operation per Week:
Unit 2 Information
Type of MRI Service Equipment:
Days of Operation per Week:
Hours of Operation per Week:
Unit 3 Information
Type of MRI Service Equipment:
Days of Operation per Week:
Hours of Operation per Week:
Unit 4 Information
Type of MRI Service Equipment:
Days of Operation per Week:
Hours of Operation per Week:
Unit 5 Information
Type of MRI Service Equipment:
Days of Operation per Week:
Hours of Operation per Week:
Type of MRI Service/Equipment FY21 - Unit 1
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit1 FY21
Hours of Operation per Week - Unit 1 FY21
Type of MRI Service/Equipment FY21 - Unit 2
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit2 FY21
Hours of Operation per Week - Unit 2 FY21
Type of MRI Service/Equipment FY21 - Unit 3
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit3 FY21
Hours of Operation per Week - Unit 3 FY21
Type of MRI Service/Equipment FY21 - Unit 4
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit4 FY21
Hours of Operation per Week - Unit 4 FY21
Type of MRI Service/Equipment FY21 - Unit 5
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit5 FY21
Hours of Operation per Week - Unit 5 FY21
Number of MRI Units FY 2022
1 2 3 4 5
Type of MRI Service/Equipment FY22 - Unit 1
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit1 FY22
Hours of Operation per Week - Unit 1 FY22
Type of MRI Service/Equipment FY22 - Unit 2
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit2 FY22
Hours of Operation per Week - Unit 2 FY22
Type of MRI Service/Equipment FY22 - Unit 3
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit3 FY22
Hours of Operation per Week - Unit 3 FY22
Type of MRI Service/Equipment FY22 - Unit 4
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit4 FY22
Hours of Operation per Week - Unit 4 FY22
Type of MRI Service/Equipment FY22 - Unit 5
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit5 FY22
Hours of Operation per Week - Unit 5 FY22
Number of MRI Units FY 2022
1 2 3 4 5
Type of MRI Service/Equipment FY23 - Unit 1
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit1 FY23
Hours of Operation per Week - Unit 1 FY23
Type of MRI Service/Equipment FY23 - Unit 2
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit2 FY23
Hours of Operation per Week - Unit 2 FY23
Type of MRI Service/Equipment FY23 - Unit 3
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit3 FY23
Hours of Operation per Week - Unit 3 FY23
Type of MRI Service/Equipment FY23 - Unit 4
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit4 FY23
Hours of Operation per Week - Unit 4 FY23
Type of MRI Service/Equipment FY23 - Unit 5
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit5 FY23
Hours of Operation per Week - Unit 5 FY23
Number of PET Units FY 2021
1 2
Positron Emission Tomography (PET) Service Overview
Unit 1 Information
FY 2021 FY 2022 FY 2023 Number of PET Units Type of PET Service Equipment:
Days of Operation per Week:
Hours of Operation per Week:
Unit 2 Information
Type of PET Service Equipment:
Days of Operation per Week:
Hours of Operation per Week:
Type of PET Service/Equipment FY21 - Unit 1
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit1 FY21
Hours of Operation per Week - Unit 1 FY21
Type of PET Service/Equipment FY21 - Unit 2
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit2 FY21
Hours of Operation per Week - Unit 2 FY21
Number of PET Units FY 2022
1 2
Type of PET Service/Equipment FY22 - Unit 1
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit1 FY22
Hours of Operation per Week - Unit 1 FY22
Type of PET Service/Equipment FY22 - Unit 2
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit2 FY22
Hours of Operation per Week - Unit 2 FY22
Number of PET Units FY 2023
1 2
Type of PET Service/Equipment FY23 - Unit 1
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit1 FY23
Hours of Operation per Week - Unit 1 FY23
Type of PET Service/Equipment FY23 - Unit 2
Fixed Mobile
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Days of Operation per Week - Unit2 FY23
Hours of Operation per Week - Unit 2 FY23
Total Oncology - Patients FY21
Total Oncology - Scans FY21
Total Oncology - Patients FY22
Total Oncology - Scans FY22
Total Oncology - Patients FY23
Total Oncology - Scans FY23
Lung and Bronchus Cancers - Patients FY21
Lung and Bronchus Cancers - Scans FY21
Lung and Bronchus Cancers - Patients FY22
Lung and Bronchus Cancers - Scans FY22
Lung and Bronchus Cancers - Patients FY23
Lung and Bronchus Cancers - Scans FY23
Colon and Rectal Cancers - Patients FY21
Colon and Rectal Cancers - Scans FY21
Colon and Rectal Cancers - Patients FY22
Colon and Rectal Cancers - Scans FY22
Colon and Rectal Cancers - Patients FY23
Colon and Rectal Cancers - Scans FY23
Colon and Rectal Cancers - Patients FY21
Colon and Rectal Cancers - Scans FY21
Colon and Rectal Cancers - Patients FY22
Colon and Rectal Cancers - Scans FY22
Colon and Rectal Cancers - Patients FY23
Colon and Rectal Cancers - Scans FY23
Melanoma Cancers - Patients FY21
Melanoma Cancers - Scans FY21
Melanoma Cancers - Patients FY22
Melanoma Cancers - Scans FY22
Melanoma Cancers - Patients FY23
Melanoma Cancers - Scans FY23
Esophageal Cancers - Patients FY21
Esophageal Cancers - Scans FY21
Esophageal Cancers - Patients FY22
Esophageal Cancers - Scans FY22
Esophageal Cancers - Patients FY23
Esophageal Cancers - Scans FY23
Head/Neck Cancers - Patients FY21
Head/Neck Cancers - Scans FY21
Head/Neck Cancers - Patients FY22
Head/Neck Cancers - Scans FY22
Head/Neck Cancers - Patients FY23
Head/Neck Cancers - Scans FY23
Breast Cancers - Patients FY21
Breast Cancers - Scans FY21
Breast Cancers - Patients FY22
Breast Cancers - Scans FY22
Breast Cancers - Patients FY23
Breast Cancers - Scans FY23
Other Cancers - Patients FY21
Other Cancers - Scans FY21
Other Cancers - Patients FY22
Other Cancers - Scans FY22
Other Cancers - Patients FY23
Other Cancers - Scans FY23
Total Cardiovascular - Patients FY21
Total Cardiovascular - Scans FY21
Total Cardiovascular - Patients FY22
Total Cardiovascular - Scans FY22
Total Cardiovascular - Patients FY23
Total Cardiovascular - Scans FY23
Total Neurology - Patients FY21
Total Neurology - Scans FY21
Total Neurology - Patients FY22
Total Neurology - Scans FY22
Total Neurology - Patients FY23
Total Neurology - Scans FY23
Dementias - Patients FY21
Dementias - Patients FY22
Dementias - Patients FY23
Other Neurological Use - Patients FY21
Other Neurological Use - Scans FY21
Other Neurological Use - Patients FY22
Other Neurological Use - Scans FY22
Other Neurological Use - Patients FY23
Other Neurological Use - Scans FY23
All Other Patient Types - Patients FY21
All Other Patient Types - Scans FY21
All Other Patient Types - Patients FY22
All Other Patient Types - Scans FY22
All Other Patient Types - Patients FY23
All Other Patient Types - Scans FY23
PET Service Utilization
FY 2021 - Patients FY 2021 - Scans FY 2022 - Patients FY 2022 - Scans FY 2023 - Patients FY 2023 - Scans Total Oncology Lung and Bronchus Cancers Colon and Rectal Cancers Lymphoma Cancers Melanoma Cancers Esophageal Cancers Head and Neck Cancers Breast Cancers Other Cancers Total Cardiovascular Total Neurology Dementias Other Neurological Use All Other Patient Types
Conventional Radiation Therapy Services
Number of Mahines Number of Visits Number of Patients FY 2021 FY 2022 Fy 2023
Combined Radiation Therapy Services (Machines performing conventional, sterotactic, and stemulated raman scattering (SRS) magnetic resonance tomography (MRT) services)
Number of Mahines Number of Conventional Visits Number of Conventional Patients Number of SRS Visits Number of SRS Patients FY 2021 FY 2022 Fy 2023
SRS Number of Machines FY21
SRS Number of Machines FY22
SRS Number of Machines FY23
SRS - Number of Conventional Visits FY21
SRS - Number of Conventional Visits FY22
SRS - Number of Conventional Visits FY23
SRS - Number of Conventional Patients FY21
SRS - Number of Conventional Patients FY22
SRS - Number of Conventional Patients FY23
Number of SRS Visits FY21
Number of SRS Visits FY22
Number of SRS Visits FY23
Number of SRS Patients FY21
Number of SRS Patients FY22
Number of SRS Patients FY23
Gamma Knife Radiation Therapy Services
Number of Machines Number of Visits Number of Patients FY 2021 FY 2022 FY 2023
Gamma Knife Number of Machines FY21
Gamma Knife Number of Machines FY22
Gamma Knife Number of Machines FY23
Gamma Knife Number of Visits FY 21
Gamma Knife Number of Visits FY 22
Gamma Knife Number of Visits FY 23
Gamma Knife Number of Patients FY 21
Gamma Knife Number of Patients FY 22
Gamma Knife Number of Patients FY 23
CyberKnife Radiation Therapy Services
Number of Machines Number of Visits Number of Patients FY 2021 FY 2022 FY 2023
CyberKnife Number of Machines FY21
CyberKnife Number of Machines FY22
CyberKnife Number of Machines FY23
CyberKnife Number of Visits FY 21
CyberKnife Number of Visits FY 22
CyberKnife Number of Visits FY 23
CyberKnife Number of Patients FY 21
CyberKnife Number of Patients FY 22
CyberKnife Number of Patients FY 23
Total Radiation Therapy Treatment Visits by Type
Treatment Type FY 2021 FY 2022 FY 2023 Simple Treatment Intermediate Treatment Complex Treatment Intensity Modulated Radiation Therapy (IMRT)Intensity Modulated Radiation Therapy (IMRT) Stereotactic Radiosurgery on Machines Also Performing Radiation TherapyStereotactic Radiosurgery on Machines Also Performing Radiation Therapy
Intermediate Treatment FY21
Intensity Modulated Radiation Therapy (IMRT) FY21
Stereotactic Radiosurgery on Machines Also Performing Radiation Therapy FY21
Intermediate Treatment FY22
Intensity Modulated Radiation Therapy (IMRT) FY22
Stereotactic Radiosurgery on Machines Also Performing Radiation Therapy FY22
Intermediate Treatment FY23
Intensity Modulated Radiation Therapy (IMRT) FY23
Stereotactic Radiosurgery on Machines Also Performing Radiation Therapy FY23
FY 2021 FY 2022 FY 2023 Type of ESRD Facility (Satellite or Host) Number of ESRD Stations Number of ESRD Training Stations Number of Dialysis Patients Number of Dialysis Procedures
Type of ESRD Facility (Satellite or Host) FY21
Satellite Host
Type of ESRD Facility (Satellite or Host) FY22
Satellite Host
Type of ESRD Facility (Satellite or Host) FY23
Satellite Host
Number of ESRD Stations FY21
Number of ESRD Training Stations FY21
Number of Dialysis Patients FY21
Number of Dialysis Procedures FY21
Number of ESRD Stations FY22
Number of ESRD Training Stations FY22
Number of Dialysis Patients FY22
Number of Dialysis Procedures FY22
Number of ESRD Stations FY23
Number of ESRD Training Stations FY23
Number of Dialysis Patients FY23
Number of Dialysis Procedures FY23
Mobile Equipment Provider or Vendor: Type of Service/Equipment (MRI or PET): Address: County(ies) Served: Administrator: Telephone: Email:
Mobile Equipment Provider or Vendor
Type of Service/Equipment (MRI or PET)
MRI PET
Mobile Vendor Administrator
Preparer's Information
Name: Telephone: Extension: Email:
Federal Fiscal Year 2021 (10/01/2020 - 09/30/2021) Unit Information
Unit 1 Information
Unit 1 Name
Type of Equip County of Facility/Location(s) Served City of Facility/Location(s) Served Days of Operation Hrs/Wk of Operation Facility(ies) Served:
Facility(ies) Served:
Facility(ies) Served:
Unit 2 Information
Unit 2 Name
Type of Equip County of Facility/Location(s) Served City of Facility/Location(s) Served Days of Operation Hrs/Wk of Operation Facility(ies) Served:
Facility(ies) Served:
Facility(ies) Served:
Unit 3 Information
Unit 3 Name
Type of Equip County of Facility/Location(s) Served City of Facility/Location(s) Served Days of Operation Hrs/Wk of Operation Facility(ies) Served:
Facility(ies) Served:
Facility(ies) Served:
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Federal Fiscal Year 2022 (10/01/2021 - 09/30/2022) Unit Information
Unit 1 Information
Unit 1 Name
Type of Equip County of Facility/Location(s) Served City of Facility/Location(s) Served Days of Operation Hrs/Wk of Operation Facility(ies) Served:
Facility(ies) Served:
Facility(ies) Served:
Unit 2 Information
Unit 2 Name
Type of Equip County of Facility/Location(s) Served City of Facility/Location(s) Served Days of Operation Hrs/Wk of Operation Facility(ies) Served:
Facility(ies) Served:
Facility(ies) Served:
Unit 3 Information
Unit 3 Name
Type of Equip County of Facility/Location(s) Served City of Facility/Location(s) Served Days of Operation Hrs/Wk of Operation Facility(ies) Served:
Facility(ies) Served:
Facility(ies) Served:
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Federal Fiscal Year 2023 (10/01/2022 - 09/30/2023) Unit Information
Unit 1 Information
Unit 1 Name
Type of Equip County of Facility/Location(s) Served City of Facility/Location(s) Served Days of Operation Hrs/Wk of Operation Facility(ies) Served:
Facility(ies) Served:
Facility(ies) Served:
Unit 2 Information
Unit 2 Name
Type of Equip County of Facility/Location(s) Served City of Facility/Location(s) Served Days of Operation Hrs/Wk of Operation Facility(ies) Served:
Facility(ies) Served:
Facility(ies) Served:
Unit 3 Information
Unit 3 Name
Type of Equip County of Facility/Location(s) Served City of Facility/Location(s) Served Days of Operation Hrs/Wk of Operation Facility(ies) Served:
Facility(ies) Served:
Facility(ies) Served:
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile
Fixed Mobile