Organizations should list the names and addresses of each facility that was required to be licensed, registered, or similarly recognized as a health care
facility under state law. If multiple, non-contiguous facility locations share a single license, list each of those locations. If a facility includes multiple
operations with different legal names at the same address that are each licensed, registered, or similarly recognized as a health care facility under state law,
list each named operation separately. This should include licensed facilities operated through joint ventures.
Below is a grid showing where facilities should be reported:
| Licensed Hospital Facility, same/contiguous address |
Part V (one line for all contiguous) |
| Licensed Hospital Facility, separate address |
Part V (separate line) |
| Licensed Hospital Facility, separate legal name, same address |
Part V (separate line) |
| Non-Hospital Facility, licensed/registered |
Part V (included in same line as hospital if contiguous, separate line if not) |
| Non-Hospital Facility, not licensed/registered |
Part VI (listed in count) |
Some things to note:
- If a hospital is licensed as an acute care hospital, it would be odd to not have general medical and surgical.
- Operations/Services that are listed on a hospital license should be listed in the "other" column under the facility in which they reside.
- Operations/Services on a hospital license but located in a facility other than the hospital should be listed separately under that address.
- Operations/Services that are not listed on a hospital license but rise to the level of a large division should be described on Part VI.
- If the hospital has medical residents or nursing students on premises, it is probably safe to check the box for teaching hospital.
- Some non-hospital facilities that don't have to file a Schedule H may need to be reported on Part V or Part VI.
 To view a sample hospital system response to Part V, click here.
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