2026D03

Whether National Government Service, Inc. (the "Medicare Contractor") properly calculated the volume decrease adjustment ("VDA") payment owed to The Aroostook Medical Center, now know as Northern Light A.R. Gould Hospital ("Aroostook" or the "Provider") for the significant decrease in inpatient discharges that occurred in its cost reporting period ending September 27, 2014 ("FY 2014").