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* Includes expenditures for residential care facilities (NAICS 623210 and 623220), ambulance providers (NAICS 621910), medical care delivered in non-traditional settings (such as community centers, senior citizens centers, schools, and military field stations), and expenditures for Home and Community Based Waiver programs under Medicaid. 

** Includes freestanding facilities only. Additional services of this type provided in hospital-based facilities are counted as hospital care. 

*** Includes care provided in nursing care facilities (NAICS 6231), continuing care retirement communities (623311), state and local government nursing facilities, and nursing facilities operated by the Department of Veterans Affairs. 
Includes freestanding facilities only. Additional services of this type provided in hospital-based facilities are counted as hospital care. 

****Non-Medical Insurance Expenditures is calculated as the difference between CY incurred premiums earned and benefits paid for private health insurance.  This includes administrative costs, and in some cases, additions to reserves, rate credits and dividends, premium taxes, and plan profits or losses. Also included in this category is the difference between premiums earned and benefits paid for the private health insurance companies that insure the enrollees of the following programs: Medicare, Medicaid, Children's Health Insurance Program, and workers' compensation (health portion only).