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SEC Form 4
10/2/2019
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549Check this box if no longer subject
to Section 16. Form 4 or Form 5
obligations may continue. See
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Read the instructions carefully
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Answer the questions with either 'yes' or 'no' based on your situation
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What is critical access hospital?
Critical access hospital is a designation given to certain rural hospitals in the United States that meet specific criteria aimed at improving access to healthcare services in rural areas.
Who is required to file critical access hospital?
Critical access hospitals are required to file for designation with the Centers for Medicare and Medicaid Services (CMS) in order to receive the associated benefits.
How to fill out critical access hospital?
Critical access hospitals can fill out the necessary paperwork for designation online through the CMS website or by submitting a paper application.
What is the purpose of critical access hospital?
The purpose of critical access hospitals is to ensure that rural communities have access to essential healthcare services close to home.
What information must be reported on critical access hospital?
Critical access hospitals must report on their patient demographics, services provided, quality of care measures, and financial information.
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