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REPORT ON THE COST REPORT REVIEW SETON MEDICAL CENTER DALY CITY, CALIFORNIA PROVIDER _part5

CHUNG CHI PHÍ TRUNG TÂM DỊCH VỤ 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 STATISTICS FOR COST ALLOCATION W S B-1 SCHEDULE 9.1 Provider Name SETON MEDICAL CENTER Fiscal Period Ended JUNE 30 2008 EMP BENE NONPATIENT DATA PURCHASING ADMITTING CASHIERING STAT STAT STAT ADM GEN MAINT GROSS TELEPHONES PROCESSING RECEIVING GROSS ACCOUNTS ACCUM REPAIRS SALARIES OF PHONES DP TIME SUPPLY COST REVENUE GROSS REV COST SQ FT 5.00 6.01 6.02 6.03 6.04 6.05 6.06 6.07 6.08 7.00 Adj 3 23.00 24.00 GENERAL SERVICE COST CENTERS Old Cap Rel Costs - Bldg and Fixtures Old Cap Rel Costs - Movable Equipment New Cap Rel Costs - Bldg and Fixtures New Cap Rel Costs - Bldg Coastside New Cap Rel Costs - Movable Equipment New Cap Rel Costs - Equip Coastside Employee Benefits Non-Patient Telephones Data Processing Purchasing Receiving Patient Admitting Patient Business Office Administrative and General Maintenance and Repairs Operation of Plant Laundry and Linen Service Housekeeping Dietary Cafeteria Maintenance of Personnel Nursing Administration Central Services and Supply Pharmacy Medical Records and Library Social Service 376 503 1 372 878 1 431 609 5 198 704 2 129 985 216 673 2 414 892 1 875 596 1 673 609 4 148 442 140 520 3 033 057 1 487 897 573 301 30 11 2 306 23 393 157 839 713 98 600 432 089 37 600 5 520 1 23 120 4 95 396 11 321 501 24 1 542 421 9 1 376 067 20 201 934 11 90 174 26 7 865 722 44 209 452 5 1 102 25.00 26.00 27.00 28.00 29.00 31.00 31.01 32.00 33.00 34.00 35.00 36.00 36.01 36.02 Nursing School Clinical Pastoral Education Intern and Res Service - Salary and Fringes Intern and Res - other Program Paramedical Ed Program INPATIENT ROUTINE COST CENTERS Adults and Pediatrics Gen Routine Intensive Care Unit Coronary Care Unit Neonatal Intensive Care Unit Surgical Intensive Care Subprovider Subprovider 2 Psych Nursery Medicare Certified Nursing Facility Distinct Part Nursing Facility Other Long Term Care Subacute Care Unit II Transitional Care Unit 28 117 790 6 152 260 5 741 984 599 609 11 027 194 5 545 755 96 12 12 1 429 951 312 320 276