Archived Hospital Cost Reports
2026
Hospitals - NCDHB E-5
- Acute Supplemental E-5 Instructions and Schedule FYE 2021
- CAH Supplemental E-5 Instructions and Schedule FYE 2021
Hospital Information
- Hospital Cost Report Information Sheet - April 24, 2020
- Rate Adjustment Eligibility Worksheet - Due Oct. 1, 2025
- Hospital Schedules A&C for DSH - Due Oct. 1, 2025
- Hospital Schedule B for DSH
- Hospital Change Form
2025
Hospital Information
Notice to Non-public Hospitals that are eligible to receive Medicaid Enhanced Payments - May 17, 2021
2024
Hospital Information
- Rate Adjustment Eligibility Worksheet - Due Oct. 1, 2024
- Hospital Schedules A&C for DSH - Due Oct. 1, 2024
- Hospital Schedule B for DSH
2023
Hospital Information
- Hospital Schedules A&C for DSH - Due Oct. 12, 2023
2020
Hospitals - NCDHB E-5
- Acute Supplemental E-5 Instructions and Schedule FYE 2020
- CAH Supplemental E-5 Instructions and Schedule FYE 2020
2018
Hospitals – NCDHB E-5
2017
Hospitals – NCDHB E-5
- Supplemental E-5 Instructions and Schedule FYE 2017
- CAH E-5 Instructions and Schedule FYE 2017
- Treatment of Hospital Provider Assessment (Provider Tax) in Medicaid Cost Reports
2016
Hospitals – NCDHB E-5
2015
Hospitals - NCDMA E-5
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This page was last modified on 09/14/2026