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STATE OF CALIFORNIARECONCILIATION OF THE PROVIDER'S RECORDS/ADJUSTMENTS TO THE AUDIT

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Tham khảo tài liệu 'state of californiareconciliation of the provider's records/adjustments to the audit', tài chính - ngân hàng, kế toán - kiểm toán phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | STATE OF CALIFORNIA RECONCILIATION OF THE PROVIDER S RECO Provider Name Provider Number NPI HIGHLAND PARKSKILLED NURSING AND WELLNESS CENTER LTC55165J 1033191374 AUDIT ADJ AUDIT ADJ AUDIT ADJ 10 11 12 AUDIT ADJ 13 5.00 Plant Operations and Maintenance 5.01 Plant Operations and Maintenance - Salaries and Wages 5.02 Plant Operations and Maintenance - Fringe Benefits 5.03 Plant Operations and Maintenance - Agency staff 5.04 Plant Operations and Maintenance - other - Nonlabor 339 339 10.00 Housekeeping 10.01 Hou keeping - Fringe Benefits keeping - Agency staff Jtary - Fringe Benefits 65.04 Dietary - other - Nonlabor lent Supplies - Salaries and Wages 75. ient Supplies - Fringe Benefits 75. lent Supplies - Agency staff 75. 80. 80. 80. sical Therapy - Fringe Benefits 65.CỊ3 Dietary - Agency staff ikeeping - Salaries and Wages sekeeping - other - Nonlabor 60.Co .d.indry and Linen 60.01 Laundry and Linen - Salaries and Wages 60.C íMúàin y and Linen - Fringe Benefits 6O. 5yK indry and Linen - Agency staff 60.04 Laundry and Linen - other - Nonlabor 75.00 pstient Supplies ta y - Salaries and Wages lent Supplies - other - Nonlabor sical Therapy - Salaries and Wages 1 358 1 358 1 425 1 425 80.03 Physical Therapy - Agency staff 80.04 Physical Therapy - other - Nonlabor 81.00 Respiratory Therapy 81.01 Respiratory Therapy - Salaries and Wages 81.02 Respiratory Therapy - Fringe Benefits 81.03 Respiratory Therapy - Agency staff 81.04 Respiratory Therapy - other - Nonlabor 82.00 Occupational Therapy 82.01 Occupational Therapy - Salaries and Wages 82.02 Occupational Therapy - Fringe Benefits 82.03 Occupational Therapy - Agency staff 82.04 Occupational Therapy - other - Nonlabor 83.00 Speech Pathology RDS ADJUSTMENTS TO THE AUDIT REPORT Schedule 8A-1 Page 2 OSHPD Facility Number Fiscal Period 206190604 FEBRUARY 15 2008 THROUGH DECEMBER 31 2008 AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 14 15 STATE OF CALIFORNIA RECONCILIATION OF THE PROVIDER S R ECO