STATE OF CALIFORNIA RECONCILIATION OF THE PROVIDER''''''''S ADJUSTMENTS TO THE AUDIT REPORT part1 pot

... AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 10 RECONCILIATION OF THE PROVIDER'S ADJUSTMENTS TO THE AUDIT REPORT 23,396 (23,396) 000000000000 This ... 31, 2007 TOTAL ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ (Page 1)...

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... 2008 AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 10 11 12 13 14 RECONCILIATION OF THE PROVIDER'S ADJUSTMENTS TO THE ... 2008 AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 24 25 ADJUSTMENTS TO REPORTED...

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... AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 22 23 24 25 26 27 28 RECONCILIATION OF THE PROVIDER'S ADJUSTMENTS TO THE AUDIT REPORT 2,249 ... 31, 2007 AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 22 23...

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... Adjusted Report References Cost Report Audit Report Explanation of Audit Adjustments Adjustments GRANCELL VILLAGE SEPTEMBER 1, 2006 THROUGH AUGUST 31, 2007 ZZT05900F RECONCILIATION OF THE PROVIDER'S ... Adjusted Report References Cost Report Audit Report Explanation of Audit Adjustments Adjustments GRANCELL VILLAGE SEPTEMBER 1, 2006 THROUGH AUGUST 31, 20...

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... AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 9 RECONCILIATION OF THE PROVIDER'S ADJUSTMENTS TO THE AUDIT REPORT 26,886 (26,886) 000000000000 This ... DECEMBER 31, 2007 TOTAL ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ (...

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... Adjusted Report References Cost Report Audit Report Explanation of Audit Adjustments Adjustments SAN JOSE HEALTHCARE CENTER MARCH 6, 2007 THROUGH DECEMBER 31, 2007 ZZR06082H ADJUSTMENT TO OTHER MATTERS 25 ... Adjusted Report References Cost Report Audit Report Explanation of Audit Adjustments Adjustments SAN JOSE HEALTHCARE CENTER MARCH 6, 2007 THROUGH DECEMBER 3...

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... 2008 AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 27 ADJUSTMENTS TO REPORTED COSTS 924 This is trial version www.adultpdf.com STATE OF CALIFORNIA Provider ... 2008 AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 10...

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... Report Explanation of Audit Adjustments RECONCILIATION OF THE PROVIDER'S ADJUSTMENTS TO THE AUDIT REPORT 15 10.1(4) 165 14 8A-1 165.00 Administration * ($286) $55,635 $55,349 * Not Reported 8A-1 ... Adjusted Adjustments NEW VISTA NURSING & REHABILITATION CENTER JANUARY 1, 2008 THROUGH DECEMBER 31, 2008 ZZT06031H Report References Cost Report Audit Rep...

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... ZZR06158H Report References COST REPORT AUDIT REPORT Explanation of Audit Adjustments ADJUSTMENTS TO REPORTED COSTS 26 Not Reported 8A-2 165.11 Administration - Other - Nonlabor * $338,825 To eliminate ... REPORT Explanation of Audit Adjustments RECONCILIATION OF THE PROVIDER'S RECORDS TO THE AUDIT REPORT -Continued from previous page- 7 10.1(4) 16...

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... AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 22 23 24 25 26 27 28 RECONCILIATION OF THE PROVIDER'S ADJUSTMENTS TO THE AUDIT REPORT 2,249 ... 2007 AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 38 39 (2,960) ADJUSTMENTS TO...

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