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Trang 7STATE OF CALIFORNIA SCHEDULE 10
GENERAL SERVICE COST CENTERS
1.00 Old Cap Rel Costs - Bldg and Fixtures $ $ 0 $ 0 2.00 Old Cap Rel Costs - Movable Equipment 0 0 3.00 New Cap Rel Costs - Bldg and Fixtures 5,821,852 0 5,821,852 3.01 New Cap Rel Costs - Bldg (Coastside) 223,990 0 223,990 4.00 New Cap Rel Costs - Movable Equipment 5,960,225 0 5,960,225 4.01 New Cap Rel Costs - Equip (Coastside) 235,710 0 235,710
5.00 Employee Benefits 42,277,282 119,954 42,397,236 6.01 Non-Patient Telephones 913,175 0 913,175 6.02 Data Processing 5,742,357 0 5,742,357 6.03 Purchasing/Receiving 2,202,391 0 2,202,391 6.04 Patient Admitting 1,660,196 0 1,660,196 6.05 Patient Business Office 4,878,222 0 4,878,222
6.00 Administrative and General 20,619,332 0 20,619,332 7.00 Maintenance and Repairs 3,759,864 0 3,759,864 8.00 Operation of Plant 3,780,037 0 3,780,037 9.00 Laundry and Linen Service 1,561,107 0 1,561,107 10.00 Housekeeping 3,057,978 0 3,057,978 11.00 Dietary 2,883,233 0 2,883,233 12.00 Cafeteria 1,827,951 0 1,827,951 13.00 Maintenance of Personnel 0 0 14.00 Nursing Administration 4,803,473 0 4,803,473 15.00 Central Services and Supply 1,397,214 0 1,397,214 16.00 Pharmacy 3,644,295 0 3,644,295 17.00 Medical Records and Library 2,621,955 0 2,621,955 18.00 Social Service 579,884 0 579,884
21.00 Nursing School 0 0 21.01 Clinical Pastoral Education 0 0 22.00 Intern and Res Service - Salary and Fringes 0 0 23.00 Intern and Res - Other Program 37,500 0 37,500 24.00 Paramedical Ed Program 0 0
INPATIENT ROUTINE COST CENTERS
25.00 Adults and Pediatrics (Gen Routine) 31,013,785 49,491 31,063,276 26.00 Intensive Care Unit 7,164,651 0 7,164,651 27.00 Coronary Care Unit 6,280,183 0 6,280,183 28.00 Neonatal Intensive Care Unit 0 0 29.00 Surgical Intensive Care 0 0 31.00 Subprovider 0 0 31.01 Subprovider 2 Psych 0 0
33.00 Nursery 618,890 (49,491) 569,399 34.00 Medicare Certified Nursing Facility 12,111,585 0 12,111,585 35.00 Distinct Part Nursing Facility 0 0 36.00 Other Long Term Care 6,462,288 0 6,462,288 36.01 Subacute Care Unit II 0 0 36.02 Transitional Care Unit 0 0
(From Sch 10A)
AUDITED REPORTED ADJUSTMENTS
TRIAL BALANCE OF EXPENSES
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Trang 8STATE OF CALIFORNIA SCHEDULE 10
(From Sch 10A)
AUDITED REPORTED ADJUSTMENTS
TRIAL BALANCE OF EXPENSES
ANCILLARY COST CENTERS
37.00 Operating Room $ 8,069,310 $ 0 $ 8,069,310 38.00 Recovery Room 0 0 39.00 Delivery Room and Labor Room 1,118,132 0 1,118,132 40.00 Anesthesiology 142,425 0 142,425 41.00 Radiology - Diagnostic 6,529,583 0 6,529,583 41.01 Radiology - P O B 1,164,303 0 1,164,303
42.00 Radiology - Therapeutic 2,077,814 0 2,077,814 43.00 Radioisotope 1,699,278 0 1,699,278 44.00 Laboratory 8,219,868 0 8,219,868 44.01 Pathological Lab 0 0 46.00 Whole Blood 1,652,619 0 1,652,619 47.00 Blood Storing and Processing 0 0 48.00 Intravenous Therapy 536,586 0 536,586 49.00 Respiratory Therapy 4,298,321 0 4,298,321 50.00 Physical Therapy 2,875,053 0 2,875,053 51.00 Occupational Therapy 479,862 0 479,862 52.00 Speech Pathology 205,737 0 205,737 53.00 Electrocardiology 1,371,483 0 1,371,483 54.00 Electroencephalography 68,665 0 68,665 55.00 Medical Supplies Charged to Patients 18,683,105 0 18,683,105 56.00 Drugs Charged to Patients 7,797,109 0 7,797,109 57.00 Renal Dialysis 836,705 0 836,705 58.00 ASC (Non-Distinct Part) 2,897,500 0 2,897,500 59.00 Gastro Intestinal Services 1,184,007 0 1,184,007 59.01 Cardiac Cath Lab 2,217,970 0 2,217,970 59.02 CT/MRI 162,680 0 162,680
60.01 Wound Care 1,350,693 0 1,350,693 60.02 Out-Patient Psychiatry 371,887 0 371,887 60.03 Diabetes Treatment Center 239,997 0 239,997 60.04 OB/GYN Clinic 1,540,437 0 1,540,437 61.00 Emergency 6,875,131 0 6,875,131 62.00 Observation Beds 0 0 71.00 Home Health Agency 4,860,028 0 4,860,028
SUBTOTAL $ 273,666,893 $ 119,954 $ 273,786,847
NONREIMBURSABLE COST CENTERS
96.00 Gift, Flower, Coffee Shop and Canteen 213,432 0 213,432
98.00 Physicians' Private Office 0 0 99.00 Nonpaid Workers 0 0 99.01 Satelite Clinic - Airport 0 0 99.02 HIV Serviceis 0 0 99.03 Women Service Line 0 0 99.04 Community Health Education 0 0 100.00 Marketing 781,507 0 781,507 100.01 SF Heart Institute 635,121 0 635,121 100.02 MD Office Building 2,994,547 0 2,994,547 100.04 Mission Servicies 105,880 0 105,880 100.05 Auxillary Group 91,807 0 91,807
100.99 SUBTOTAL $ 4,822,294 $ 0 $ 4,822,294
101 TOTAL $ 278,489,187 $ 119,954 $ 278,609,141
(To Schedule 8)
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