SPARCS (Statewide Planning and Research Cooperative System) data is patient-level health care data collected by New York State for the purpose of providing health care organizations with information that will enable them to efficiently and cost effectively deliver services. This data reporting system was established in 1979 and collects data on patient characteristics, diagnoses, treatments, and services for inpatient, ambulatory surgery, emergency department admission, and outpatient visits. The full data set contains personally identifiable information and as such access is carefully controlled. A subset of the inpatient discharge data is made available to the public. We will use this de-identified data for 2014 to examine the total cost associated with newborns. SPARCS provides a web interface that allows subsets of the data to be downloaded in a variety of formats. The file ADK_Newborns_2014.xlsx was downloaded directly from SPARCS and contains the information on newborns born in hospitals in the Adirondack region. A data dictionary was also downloaded from SPARCS that gives the definition of each variable. Total costs are the actual cost of the services provided; total charges are the amounts charged to insurers.