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Under the current cost report instructions (Transmittal 18) on Form CMS-2552-10, Worksheet E, Part A line 20, regarding the determination the prior year IRB ratio, states: Line 20 In general, enter from the prior year cost report the intern and resident to bed ratio by dividing line 12 by line 4 (divide line 3.14 by line 3 if the prior year cost report was the Form CMS-2552-96)