Download Files for Financial Disclosure

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Download Files for the Financial Disclosure Policy Statement 2000-1 (Effective: Beginning with the fiscal year 2000 reporting period) - to be used by all "covered facilities" and related organizations in complying with financial disclosure requirements.
Statement of charges, fees, and salaries for goods and services rendered in excess of $55,000.00
Statement of charges, fees, and other sums collected in excess of $55,000.00
55 Form Policy- Financial Disclosure Policy Statement 2000-1
55 Electronic - Policy Attachment
Form A (Excel Format) - Charges, Fees, and Salaries > $55,000.00 Paid to Employees
Form B (Excel Format) - Charges, Fees, and Salaries > $55,000.00 Paid for Executive or Management Services
Form C (Excel Format) - Charges, Fees, and Salaries > $55,000.00 Paid to Other Vendors
Form D (Excel Format) - Charges, fees, and Other Sums > $55,000.00 Collected

 

Downloadable Files for the Hospital Uniform Reporting System (Uniform Report) to be used by hospitals in complying with financial disclosure requirements.
- Memorandum of Changes in 2000 Template
- Uniform Report Instructions
- Uniform Report template revised 11/14/00
- Revenue summary by various departments
- Instructions for completing the revenue summary schedules

Financial Disclosure Power Point Presentation.