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REPORT ON THE COST REPORT REVIEW SETON MEDICAL CENTER DALY CITY, CALIFORNIA PROVIDER _part4

CHI PHÍ GIAO Old Cap Rel Chi phí - Bldg và Lịch thi đấu Old Cap Rel Chi phí di chuyển thiết bị mới Cap Rel Chi phí - Bldg và Lịch thi đấu mới Cap Rel Chi phí - Bldg (Coastside) Cap Rel Chi phí di chuyển thiết bị mới Cap Rel Chi phí - Thiết Bị (Coastside) | STATE OF CALIFORNIA ADULT SUBACUTE SCH 5 ALLOCATION OF INDIRECT EXPENSES ADULT SUBACUTE Provider Name SETON MEDICAL CENTER Fiscal Period Ended JUNE 30 2008 Provider No LTC70037G COL. COST CENTER ALLOCATED EXPENSES AUDITED CAP RELATED COL 1 AUDITED SAL EMP BENEFITS COL 2 1.00 Old Cap Rel Costs - Bldg and Fixtures 0 N A 2.00 Old Cap Rel Costs - Movable Equipment 0 N A 3.00 New Cap Rel Costs - Bldg and Fixtures 245 950 N A 3.01 New Cap Rel Costs - Bldg Coastside 0 N A 4.00 New Cap Rel Costs - Movable Equipment 220 674 N A 4.01 New Cap Rel Costs - Equip Coastside 0 N A 4.03 0 N A 4.04 0 N A 4.05 0 N A 4.06 0 N A 4.07 0 N A 4.08 0 N A 5.00 Employee Benefits 8 732 1 791 244 6.01 Non-Patient Telephones 198 7 973 6.02 Data Processing 0 0 6.03 Purchasing Receiving 12 947 24 320 6.04 Patient Admitting 7 441 75 568 6.05 Patient Business Office 462 77 6.06 0 0 6.07 0 0 6.08 0 0 6.00 Administrative and General 24 978 249 438 7.00 Maintenance and Repairs 9 520 112 802 8.00 Operation of Plant 12 042 7 100 9.00 Laundry and Linen Service 9 200 23 298 10.00 Housekeeping 4 013 136 906 11.00 Dietary 51 332 374 586 12.00 Cafeteria 20 230 149 517 13.00 Maintenance of Personnel 0 0 14.00 Nursing Administration 15 811 580 760 15.00 Central Services and Supply 187 566 51 350 16.00 Pharmacy 3 449 16 895 17.00 Medical Records and Library 15 815 88 551 18.00 Social Service 2 423 100 615 19.00 0 0 19.02 0 0 19.03 0 0 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 0 0 24.00 Paramedical Ed Program 0 0 101.00 TOTAL allocated indirect ExPenIes c ĩ rvr852 781 3 790 999 A W.1U1 V OlV ToAAdult Subacute Sch 1 www.adultpdf.com STATE OF CALIFORNIA COMPUTATION OF COST ALLOCATION W S B SCHEDULE 8 Provider Name SETON MEDICAL CENTER Fiscal Period Ended JUNE 30 2008 NET EXP FOR OLD CAPITAL OLD NEW CAPITAL NEW CAP NEW CAP NEW CAP TRIAL BALANCE COST ALLOC BLDG MOVABLE BLDG REL COSTS REL COSTS REL COSTS .