; or (D) be used to pay or otherwise compensate any board member, executive, or administrator of the institutional provider who has any interest or relationship prohibited under section 301(b)(2) of this Act or disclosed under section 301 of this Act. (4) Operating expenses For purposes of this subsection, operating expenses of a provider include the following: (A) The cost of all items and services associated with the provision of inpatient care and outpatient care, including the following: (i) Wages and salary costs for physicians, nurses, and other health care practitioners employed by an institutional provider, including mandatory minimum safe registered nurse-to-patient staffing ratios and optimal staffing levels for physicians and other healthcare workers. (ii) Wages and salary costs for all ancillary staff and services. (iii) Costs of all pharmaceutical products administered by health care clinicians at the institutional provider’s facilities or through services provided in accordance with State licensing laws or regulations under which the institutional provider operates. (iv) Purchasing and maintenance of medical devices, supplies, and other health care technologies, including diagnostic testing equipment. (v) Costs of all incidental services necessary for safe patient care and handling. (vi) Costs of patient care, education, and prevention programs, including occupational health and safety programs, public health programs, and necessary staff to implement such programs, for the continued education and health and safety of clinicians and other individuals employed by the institutional provider. (B) Administrative costs for the institutional provider. (5) Limitation on Compensation Compensation costs for any employee or any contractor or any subcontractor employee of an institutional provider receiving global budgets under this section shall meet the compensation cap established in section 702 of the Bipartisan Budget Act of 2013 ( 41 U.S.C. 4304(a)(16) ) and implementing regulations. (6) Regional