Qualification Information

All hospitals must meet eligibility requirements, which vary by hospital type. The data fields displayed will vary accordingly as appropriate for the hospital type.

During registration, the 340B application will use the most recent data available from Closed CMS Centers for Medicare and Medicaid Services, the federal agency within Health and Human Services (HHS) that administers the Medicare and Medicaid programs, including the Medicaid drug rebate program and the Medicare Part D prescription drug benefit. data sources. The application will display the hospital’s cost reporting period from which that data originated. However, registrants will be able to make changes if the data shown is incorrect or out of date. If any of the data is changed, registrants are required to submit Medicare cost report worksheets and a working trial balance to OPA for review on the same day as the registration is submitted. Instructions and a list of specific worksheets to send to OPA are available in the Hospital Registration Instructions (https://www.hrsa.gov/sites/default/files/hrsa/opa/hospital-registration-instruction-details.pdf).

Critical Access Hospital (CAH)

Qualification Information for Critical Access Hospital
Field	Description
Entity is a Critical Access Hospital defined by section 1820(c)(2) of the Social Security Act, and this status is recognized by CMS.	Select this checkbox to confirm that the hospital meets the qualifications defined by the Social Security Act and is recognized by CMS. When selected, the required fields will be indicated. If the latest CMS documentation indicates there is more recent Medicare cost report data for the entity, the following alert will be displayed: According the latest CMS documentation it appears that you have more recent Medicare cost report data. Please revise the fields and upload your latest filed Medicare cost report to this registration before you submit it to OPA. If you fail to upload the latest filed cost report your registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration.
Cost Reporting Period	Edit the cost period begin and end dates if there is a more recent cost reporting period. If these dates are changed, the system will display the following warning: WARNING: You are required to upload documentation with your registration. You entered information that does not match the latest information we have from CMS. Failure to upload the required documentation before you submit the registration will result in rejection of the registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration.
Filing Date The date when the Cost Center report was filed (required field for all hospital registrations). This date must be (1) greater than the cost reporting period end date, (2) not older than a year, and (3) not a future date.	Enter the date when the Cost Report was filed. This date must be on or before the last day of the fifth month following the close of the cost reporting period.
Control Type per HCRIS Indicates the nature of the organization that operates a provider of services. Proprietary operations (control types 3–6) are not eligible for participation in the 340B Program.	Select the applicable control type from the drop-down list if the value shown is not correct. Undetermined Voluntary Nonprofit, Church Voluntary Nonprofit, Other Proprietary, Individual Proprietary, Corporation Proprietary, Partnership Proprietary, Other Governmental, Federal Governmental, City-County Governmental, County Governmental, State Governmental, Hospital District Governmental, City Governmental, Other ** If a for-profit entity type (3–6) is selected, the system will display the warning "CMS data indicates that the hospital may be a for-profit entity, which makes the hospital ineligible to participate in the 340B Program The federal drug discount program authorized under section 340B of the Public Health Service Act and established by Congress under the Veterans Health Care Act of 1992 (Public Law 102-585, codified at 42 USC § 256b). The 340B program requires drug manufacturers to enter into pharmaceutical pricing agreements with the HHS Secretary, under which manufacturers agree not to sell covered outpatient drugs to covered entities above 340B ceiling prices.. You must upload documents that show nonprofit status before the registration is submitted to OPA or the registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration."
Hospital Classification Eligible hospitals must be (1) owned or operated by a state or local government, (2) private, non-profit hospital with state/local government contract, or (3) public or private non-profit hospital granted governmental powers. For-profit organizations are ineligible for participation in the 340B Program.	Select the hospital classification from the drop-down list. Owned or operated by state or local government Private, non-profit hospital with state/local govt. contract Public or private non-profit hospital granted governmental powers Ineligible for-profit organization If Ineligible For-profit Organization is selected, the system will display the warning "For-profit Organizations are not eligible to participate in the 340B Program. Please terminate this entity."
Contract Date	Enter the contract begin and end dates. The contract start date must be must be later than 1/1/1950 and the contract end date must be a future date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Entity's Contract Is Valid Until Canceled	Selecting this checkbox overrides the contract end date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Contract Number or Identifier	Type the contract ID number if applicable and available. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Has the provider changed ownership during or since the end of the above cost reporting period?	If Yes, the latest filed Medicare cost report documents must be submitted. The system will prompt for the effective date of the change and display the following alert. "If the hospital has changed ownership, please upload Worksheet S-2 from your latest filed Medicare cost report. Failure to upload the required documentation before you submit the registration will result in rejection of the hospital's registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration."

Disproportionate Share Hospital (DSH)

Qualification Information for Disproportionate Share Hospital
Field	Description
Entity is a Disproportionate Share Hospital defined by section 1886(d)(1)(B) of the Social Security Act, and this status is recognized by CMS.	Select this checkbox to confirm that the hospital meets the qualifications defined by the Social Security Act and is recognized by CMS. When selected, the required fields will be indicated. If the latest CMS documentation indicates there is more recent Medicare cost report data for the entity, the following alert will be displayed: According the latest CMS documentation it appears that you have more recent Medicare cost report data. Please revise the fields and upload your latest filed Medicare cost report to this registration before you submit it to OPA. If you fail to upload the latest filed cost report your registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration.
Disproportionate Share Adjustment Percentage (DSH %)	Edit this percentage if a more recent figure is available. If the percentage entered is below the minimum DSH percentage requirement, you will not be able to proceed with the registration. If this figure or the Cost Reporting Period dates are changed, the system will display the following: WARNING : You are required to upload documentation with your registration. You entered information that does not match the latest information we have from CMS. Failure to upload the required documentation before you submit the registration will result in rejection of the registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration.
Cost Reporting Period	Edit the cost period begin and end dates if there is a more recent cost reporting period. If these dates or the DSH% are changed, the system will display the following: WARNING : You are required to upload documentation with your registration. You entered information that does not match the latest information we have from CMS. Failure to upload the required documentation before you submit the registration will result in rejection of the registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration.
Filing Date	Enter the date when the Cost Report was filed. This date must be on or before the last day of the fifth month following the close of the cost reporting period.
Control Type per HCRIS Healthcare Cost Report Information System – HCRIS contains annual reports submitted by healthcare providers to Medicare. It provides information to CMS that assists with the annual settlement summary between CMS and healthcare providers.	Select the applicable control type from the drop-down list if the value shown is not correct. Undetermined Voluntary Nonprofit, Church Voluntary Nonprofit, Other Proprietary, Individual Proprietary, Corporation Proprietary, Partnership Proprietary, Other Governmental, Federal Governmental, City-County Governmental, County Governmental, State Governmental, Hospital District Governmental, City Governmental, Other ** If a for-profit entity type (3–6) is selected, the system will display the warning "CMS data indicates that the hospital may be a for-profit entity, which makes the hospital ineligible to participate in the 340B Program. You must upload documents that show nonprofit status before the registration is submitted to OPA or the registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration."
Hospital Classification	Select the hospital classification from the drop-down list. Owned or operated by state or local government Private, non-profit hospital with state/local govt. contract Public or private non-profit hospital granted governmental powers Ineligible for-profit organization If Ineligible For-profit Organization is selected, the system will display the warning "For-profit Organizations are not eligible to participate in the 340B Program. Please terminate this entity."
Contract Date	Enter the contract begin and end dates. The contract start date must be later than 1/1/1950 and the contract end date must be a future date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Entity's Contract Is Valid Until Canceled	Selecting this checkbox overrides the contract end date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Contract Number or Identifier	Type the contract ID number if applicable and available. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Has the provider changed ownership during or since the end of the above cost reporting period?	If Yes, the latest filed Medicare cost report documents must be submitted. The system will prompt for the effective date of the change and display the following alert. "If the hospital has changed ownership, please upload Worksheet S-2 from your latest filed Medicare cost report. Failure to upload the required documentation before you submit the registration will result in rejection of the hospital's registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration."

Children's Hospital (PED)

Qualification Information for Children's Hospital
Field	Description
Entity is a Children's Hospital defined by section 1886(d)(1)(B)(iii) of the Social Security Act, and this status is recognized by CMS.	Select this checkbox to confirm that the hospital meets the qualifications defined by the Social Security Act and is recognized by CMS. When selected, the required fields will be indicated. If the latest CMS documentation indicates there is more recent Medicare cost report data for the entity, the following alert will be displayed: According the latest CMS documentation it appears that you have more recent Medicare cost report data. Please revise the fields and upload your latest filed Medicare cost report to this registration before you submit it to OPA. If you fail to upload the latest filed cost report your registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration.
Disproportionate Share Adjustment Percentage (DSH %)	Edit this percentage if a more recent figure is available. If the percentage entered is below the minimum DSH percentage requirement, you will not be able to proceed with the registration. If this figure or the Cost Reporting Period dates are changed, the system will display the following: WARNING : You are required to upload documentation with your registration. You entered information that does not match the latest information we have from CMS. Failure to upload the required documentation before you submit the registration will result in rejection of the registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration. For Children's Hospitals only, the system will also display the following message: Children's hospitals must upload worksheet S-3 from their most recently filed Medicare cost report in order for OPA to verify the disproportionate share adjustment percentage. If the hospital does not file a cost report, the hospital must obtain an independent audit indicating an appropriate disproportionate share adjustment percentage. For more information, refer to Section D (Process for Admission of Children's Hospitals to the 340B Program) of the 340B program guidance (https://www.gpo.gov/fdsys/pkg/FR-2009-09-01/pdf/E9-21109.pdf).
Cost Reporting Period	Edit the cost period begin and end dates if there is a more recent cost reporting period. If these dates or the DSH% are changed, the system will display the following: WARNING : You are required to upload documentation with your registration. You entered information that does not match the latest information we have from CMS. Failure to upload the required documentation before you submit the registration will result in rejection of the registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration.
Filing Date/Calculation Date	Enter the date when the Cost Report was filed. This date must be on or before the last day of the fifth month following the close of the cost reporting period.
Calculation Based On	Select one of the following criteria for the DSH percentage calculation from the drop-down list if the value shown is not correct: Official Determination from HHS Contractor Medicare Cost Report Data Independent Auditor Other
Control Type per HCRIS	Select the applicable control type from the drop-down list if the value shown is not correct. Undetermined Voluntary Nonprofit, Church Voluntary Nonprofit, Other Proprietary, Individual Proprietary, Corporation Proprietary, Partnership Proprietary, Other Governmental, Federal Governmental, City-County Governmental, County Governmental, State Governmental, Hospital District Governmental, City Governmental, Other ** If a for-profit entity type (3–6) is selected, the system will display the warning "CMS data indicates that the hospital may be a for-profit entity, which makes the hospital ineligible to participate in the 340B Program. You must upload documents that show nonprofit status before the registration is submitted to OPA or the registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration."
Hospital Classification	Select the hospital classification from the drop-down list. Owned or operated by state or local government Private, non-profit hospital with state/local govt. contract Public or private non-profit hospital granted governmental powers Ineligible for-profit organization If Ineligible For-profit Organization is selected, the system will display the warning "For-profit Organizations are not eligible to participate in the 340B Program. Please terminate this entity."
Contract Date	Enter the contract begin and end dates. The contract start date must be later than 1/1/1950 and the contract end date must be a future date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Entity's Contract Is Valid Until Canceled	Selecting this checkbox overrides the contract end date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Contract Number or Identifier	Type the contract ID number if applicable and available. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Has the provider changed ownership during or since the end of the above cost reporting period?	If Yes, the latest filed Medicare cost report documents must be submitted. The system will prompt for the effective date of the change and display the following alert. "If the hospital has changed ownership, please upload Worksheet S-2 from your latest filed Medicare cost report. Failure to upload the required documentation before you submit the registration will result in rejection of the hospital's registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration."

Free Standing Cancer Hospital (CAN)

Qualification Information for Free Standing Cancer Hospital
Field	Description
Entity is a Free Standing Cancer Hospital defined by section 1886(d)(1)(B)(v) of the Social Security Act, and this status is recognized by CMS.	Select this check box to confirm that the hospital meets the qualifications defined by the Social Security Act and is recognized by CMS. When selected, the required fields will be indicated. If the latest CMS documentation indicates there is more recent Medicare cost report data for the entity, the following alert will be displayed: According the latest CMS documentation it appears that you have more recent Medicare cost report data. Please revise the fields and upload your latest filed Medicare cost report to this registration before you submit it to OPA. If you fail to upload the latest filed cost report your registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration.
Disproportionate Share Adjustment Percentage (DSH %)	Edit this percentage if a more recent figure is available. If the percentage entered is below the minimum DSH percentage requirement, you will not be able to proceed with the registration. If this figure or the Cost Reporting Period dates are changed, the system will display the following: WARNING : You are required to upload documentation with your registration. You entered information that does not match the latest information we have from CMS. Failure to upload the required documentation before you submit the registration will result in rejection of the registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration.
Cost Reporting Period	Edit the cost period begin and end dates if there is a more recent cost reporting period. If these dates or the DSH% are changed, the system will display the following: WARNING : You are required to upload documentation with your registration. You entered information that does not match the latest information we have from CMS. Failure to upload the required documentation before you submit the registration will result in rejection of the registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration.
Filing Date/Calculation Date	Enter the date when the Cost Report was filed. This date must be on or before the last day of the fifth month following the close of the cost reporting period.
Calculation Based On	Select one of the following criteria for the DSH percentage calculation from the drop-down list if the value shown is not correct: Official Determination from HHS Contractor Medicare Cost Report Data Independent Auditor Other
Control Type per HCRIS	Select the applicable control type from the drop-down list if the value shown is not correct. Undetermined Voluntary Nonprofit, Church Voluntary Nonprofit, Other Proprietary, Individual Proprietary, Corporation Proprietary, Partnership Proprietary, Other Governmental, Federal Governmental, City-County Governmental, County Governmental, State Governmental, Hospital District Governmental, City Governmental, Other ** If a for-profit entity type (3–6) is selected, the system will display the warning "CMS data indicates that the hospital may be a for-profit entity, which makes the hospital ineligible to participate in the 340B Program. You must upload documents that show nonprofit status before the registration is submitted to OPA or the registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration."
Hospital Classification	Select the hospital classification from the drop-down list. Owned or operated by state or local government Private, non-profit hospital with state/local govt. contract Public or private non-profit hospital granted governmental powers Ineligible for-profit organization If Ineligible For-profit Organization is selected, the system will display the warning "For-profit Organizations are not eligible to participate in the 340B Program. Please terminate this entity."
Contract Date	Enter the contract begin and end dates. The contract start date must be later than 1/1/1950 and the contract end date must be a future date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Entity's Contract Is Valid Until Canceled	Selecting this checkbox overrides the contract end date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Contract Number or Identifier	Type the contract ID number if applicable and available. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Has the provider changed ownership during or since the end of the above cost reporting period?	If Yes, the latest filed Medicare cost report documents must be submitted. The system will prompt for the effective date of the change and display the following alert. "If the hospital has changed ownership, please upload Worksheet S-2 from your latest filed Medicare cost report. Failure to upload the required documentation before you submit the registration will result in rejection of the hospital's registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration."

Rural Referral Hospital (RRC)

If you are registering as a Rural Referral Center, the hospital must have an RRC designation from CMS at time of registration.

Qualification Information for Rural Referral Center
Field	Description
Entity is a Rural Referral Center defined by section 1886(d)(5)(C)(i) of the Social Security Act, and this status is recognized by CMS.	Select this checkbox to confirm that the hospital meets the qualifications defined by the Social Security Act and is recognized by CMS. When selected, the required fields will be indicated. If the latest CMS documentation indicates there is more recent Medicare cost report data for the entity, the following alert will be displayed: According the latest CMS documentation it appears that you have more recent Medicare cost report data. Please revise the fields and upload your latest filed Medicare cost report to this registration before you submit it to OPA. If you fail to upload the latest filed cost report your registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration.
Disproportionate Share Adjustment Percentage (DSH %)	Edit this percentage if a more recent figure is available. If the percentage entered is below the minimum DSH percentage requirement, you will not be able to proceed with the registration. If this figure or the Cost Reporting Period dates are changed, the system will display the following: WARNING : You are required to upload documentation with your registration. You entered information that does not match the latest information we have from CMS. Failure to upload the required documentation before you submit the registration will result in rejection of the registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration.
Cost Reporting Period	Edit the cost period begin and end dates if there is a more recent cost reporting period. If these dates or the DSH% are changed, the system will display the following: WARNING : You are required to upload documentation with your registration. You entered information that does not match the latest information we have from CMS. Failure to upload the required documentation before you submit the registration will result in rejection of the registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration.
Filing Date	Enter the date when the Cost Report was filed. This date must be on or before the last day of the fifth month following the close of the cost reporting period.
Control Type per HCRIS	Select the applicable control type from the drop-down list if the value shown is not correct. Undetermined Voluntary Nonprofit, Church Voluntary Nonprofit, Other Proprietary, Individual Proprietary, Corporation Proprietary, Partnership Proprietary, Other Governmental, Federal Governmental, City-County Governmental, County Governmental, State Governmental, Hospital District Governmental, City Governmental, Other ** If a for-profit entity type (3–6) is selected, the system will display the warning "CMS data indicates that the hospital may be a for-profit entity, which makes the hospital ineligible to participate in the 340B Program. You must upload documents that show nonprofit status before the registration is submitted to OPA or the registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration."
Hospital Classification	Select the hospital classification from the drop-down list. Owned or operated by state or local government Private, non-profit hospital with state/local govt. contract Public or private non-profit hospital granted governmental powers Ineligible for-profit organization If Ineligible For-profit Organization is selected, the system will display the warning "For-profit Organizations are not eligible to participate in the 340B Program. Please terminate this entity."
Contract Date	Enter the contract begin and end dates. The contract start date must be later than 1/1/1950 and the contract end date must be a future date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Entity's Contract Is Valid Until Canceled	Selecting this checkbox overrides the contract end date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Contract Number or Identifier	Type the contract ID number if applicable and available. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Is this facility classified as a referral center? (Worksheet S-2, Line 116)	Select Yes or No. If No is selected, then attach CMS Rural Referral Center (RRC) One of the categories of hospital covered entities that are eligible to participate in the 340B Program. Rural Referral Centers are high-volume acute-care rural hospitals that treat a large number of complicated cases. Hospitals classified as Rural Referral Centers may be eligible to participate in the 340B Drug Pricing Program if they have a disproportionate share adjustment percentage equal to or greater than 8 percent for the most recently filed Medicare cost report and meet the requirements of section 340B(a)(4)(L)(i) of the Public Health Service Act. designation letter.
Has the provider changed ownership during or since the end of the above cost reporting period?	If Yes, the latest filed Medicare cost report documents must be submitted. The system will prompt for the effective date of the change and display the following alert. "If the hospital has changed ownership, please upload Worksheet S-2 from your latest filed Medicare cost report. Failure to upload the required documentation before you submit the registration will result in rejection of the hospital's registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration."

Sole Community Hospital (SCH)

Qualification Information for Sole Community Hospital
Field	Description
Entity is a Sole Community Hospital defined by section 1886(d)(5)(C)(iii) of the Social Security Act, and this status is recognized by CMS.	Select this checkbox to confirm that the hospital meets the qualifications defined by the Social Security Act and is recognized by CMS. When selected, the required fields will be indicated. If the latest CMS documentation indicates there is more recent Medicare cost report data for the entity, the following alert will be displayed: According the latest CMS documentation it appears that you have more recent Medicare cost report data. Please revise the fields and upload your latest filed Medicare cost report to this registration before you submit it to OPA. If you fail to upload the latest filed cost report your registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration.
Disproportionate Share Adjustment Percentage (DSH %)	Edit this percentage if a more recent figure is available. If the percentage entered is below the minimum DSH percentage requirement, you will not be able to proceed with the registration. If this figure or the Cost Reporting Period dates are changed, the system will display the following: WARNING : You are required to upload documentation with your registration. You entered information that does not match the latest information we have from CMS. Failure to upload the required documentation before you submit the registration will result in rejection of the registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration.
Cost Reporting Period	Edit the cost period begin and end dates if there is a more recent cost reporting period. If these dates or the DSH% are changed, the system will display the following: WARNING : You are required to upload documentation with your registration. You entered information that does not match the latest information we have from CMS. Failure to upload the required documentation before you submit the registration will result in rejection of the registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration.
Filing Date	Enter the date when the Cost Report was filed. This date must be on or before the last day of the fifth month following the close of the cost reporting period.
Control Type per HCRIS	Select the applicable control type from the drop-down list if the value shown is not correct. Undetermined Voluntary Nonprofit, Church Voluntary Nonprofit, Other Proprietary, Individual Proprietary, Corporation Proprietary, Partnership Proprietary, Other Governmental, Federal Governmental, City-County Governmental, County Governmental, State Governmental, Hospital District Governmental, City Governmental, Other ** If a for-profit entity type (3–6) is selected, the system will display the warning "CMS data indicates that the hospital may be a for-profit entity, which makes the hospital ineligible to participate in the 340B Program. You must upload documents that show nonprofit status before the registration is submitted to OPA or the registration will be rejected. Please follow the upload instructions during the "Attachments" section of the registration."
Hospital Classification	Select the hospital classification from the drop-down list. Owned or operated by state or local government Private, non-profit hospital with state/local govt. contract Public or private non-profit hospital granted governmental powers Ineligible for-profit organization If Ineligible For-profit Organization is selected, the system will display the warning "For-profit Organizations are not eligible to participate in the 340B Program. Please terminate this entity."
Contract Date	Enter the contract begin and end dates. The contract start date must be later than 1/1/1950 and the contract end date must be a future date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Entity's Contract Is Valid Until Canceled	Selecting this checkbox overrides the contract end date. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
Contract Number or Identifier	Type the contract ID number if applicable and available. Only applicable if the hospital classification is "Private, Non-Profit Hospital with State/Local Govt contract."
If this is a sole community hospital (SCH), enter a number of periods SCH status in effect in the cost reporting period (Worksheet S-2, Line 35).	Select a value between [0-4]. If 0 is selected, then attach CMS Sole Community Hospital (SCH) One of the categories of hospital covered entities that are eligible to participate in the 340B Program. Sole Community Hospitals are designated by the Centers for Medicare and Medicaid Services. To be eligible to participate in the 340B Drug Pricing Program, Sole Community Hospitals must also have a disproportionate share adjustment percentage equal to or greater than 8 percent for the most-recently filed Medicare Cost Report and meet the requirements of Section 340B(a)(4)(L)(i) of the Public Health Service Act. designation letter.
Has the provider changed ownership during or since the end of the above cost reporting period?	If Yes, the latest filed Medicare cost report documents must be submitted. The system will prompt for the effective date of the change and display the following alert. "If the hospital has changed ownership, please upload Worksheet S-2 from your latest filed Medicare cost report. Failure to upload the required documentation before you submit the registration will result in rejection of the hospital's registration for this quarter. Please follow the upload instructions during the "Attachments" section of the registration."