| QSS - Questionnaire Matrix |
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| Form Type |
NAICS |
Type of respondent |
Tax Status |
Content |
| QSS‑0(A) |
72111, 72112 |
Company respondents |
Taxable |
Revenue, source of revenue |
| QSS‑0(E) |
72111, 72112 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue, source of revenue |
| QSS‑1(A) |
51, 54, 5611, 5612, 56131, 56132, 5614, 5615, 5616, 5617, 5619, 562 |
Company respondents |
Taxable |
Revenue, source of revenue |
| QSS‑1(E) |
51, 54, 5611, 5612, 56131, 56132, 5614, 5615, 5616, 5617, 5619, 562 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue, source of revenue |
| QSS‑2(A) |
622 |
Company respondents |
Taxable and Tax-Exempt |
Revenue, expenses, inpatient and discharge days |
| QSS‑2(E) |
622 |
Employer Identification Number (EIN) respondents |
Taxable and Tax-Exempt |
Revenue, expenses, inpatient and discharge days |
| QSS‑3(A) |
61, 621, 623, 624 |
Company respondents |
Taxable and Tax-Exempt |
Revenue, expenses |
| QSS‑3(A) |
7111, 7113, 712, 7139, 813 |
Company respondents |
Tax-Exempt |
Revenue, expenses |
| QSS‑3(E) |
61, 621, 623, 624 |
Employer Identification Number (EIN) respondents |
Taxable and Tax-Exempt |
Revenue, expenses |
| QSS‑3(E) |
7111, 7113, 712, 7139, 813 |
Employer Identification Number (EIN) respondents |
Tax-Exempt |
Revenue, expenses |
| QSS‑4(A) |
22, 48, 49, 53, 7113, 7114, 7115, 712, 7132, 7139, 811, 812 |
Company respondents |
Taxable |
Revenue |
| QSS‑4(E) |
22, 48, 49, 53, 7113, 7114, 7115, 712, 7132, 7139, 811, 812 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue |
| QSS4F(A) |
521, 5232, 524 |
Company respondents |
Taxable |
Revenue |
| QSS4F(E) |
521, 5232, 524 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue |
| QSS‑5(A) |
7111, 7112, 7131 |
Company respondents |
Taxable |
Revenue, source of revenue |
| QSS‑5(E) |
7111, 7112, 7131 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue, source of revenue |
| QSS‑6(A) |
522 |
Company respondents |
Taxable |
Revenue, source of revenue |
| QSS‑6(E) |
522 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue, source of revenue |
| QSS‑7(A) |
5231 |
Company respondents |
Taxable |
Revenue, source of revenue |
| QSS‑7(E) |
5231 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue, source of revenue |
| QSS‑8(A) |
5239 |
Company respondents |
Taxable |
Revenue, source of revenue |
| QSS‑8(E) |
5239 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue, source of revenue |
| QSS‑9(A) |
72119, 7212, 7213 |
Company respondents |
Taxable |
Revenue |
| QSS‑9(E) |
72119, 7212, 7213 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue |
| QSS1P(A) |
56133 |
Company respondents |
Taxable |
Revenue, source of revenue |
| QSS1P(E) |
56133 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue, source of revenue |