STATE OF CALIFORNIA RECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS_part1 pptx

STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS _part1 ppt

STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS _part1 ppt

... 416 (772,791) (65,365) (22,203) (12,668) (8,420) (3,510) 93,569 (93,569) (11,945) (16,188) ADJUSTMENTS TO REPORTED COSTS This is trial version www.adultpdf.com State of California Department of Health Care Services Provider Name Fiscal Period ... 43 44-47 ADJUSTMENTS TO REPORTED COSTS 160,272 (25,903) (6,049) (11,361) 160,272 (57) (25,006) (18,948) (31,952) (1,401) (11...

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STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS _part2 pptx

STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS _part2 pptx

... Report Audit Report Explanation of Audit Adjustments Adjustments HOLLENBECK PALMS JULY 1, 2007 THROUGH JUNE 30, 2008 ZZT05115F ADJUSTMENTS TO REPORTED COSTS 37 Not Reported 8A-2 5.04 Plant Operations ... Report Explanation of Audit Adjustments Adjustments HOLLENBECK PALMS JULY 1, 2007 THROUGH JUNE 30, 2008 ZZT05115F ADJUSTMENTS TO REPORTED COSTS 10.1(4) 55 14 8A-2 55...

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STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS pdf

STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS pdf

... Report ADJUSTMENTS TO REPORTED COSTS 10.5 165 4 8A-2 165 4 Administration - Other - Nonlabor * $76,674 24 To adjust reported home office costs to agree with the Centurion, Inc. $8,982 Home Office ... and 2304 *Balance carried forward from prior /to subsequent adjustments Page This is trial version www.adultpdf.com State of California Department of Health Care Serv P...

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STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS_part2 docx

STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS_part2 docx

... Report Explanation of Audit Adjustments Adjustments VILLA GARDENS HEALTH CARE UNIT APRIL 1, 2006 THROUGH MARCH 31, 2007 LTC55429H ADJUSTMENT TO REPORTED STATISTICS 16 Not Reported 7 5.00 Plant ... 600 11.1(1 of 3) 85 2 7 N/A Total Statistics - Square Feet 18,798 (1,167) 17,631 11.1(1 of 3) 85 2 7 N/A Total Statistics - Square Feet 18,798 (3,323) 15,475 To adjust square footage...

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STATE OF CALIFORNIA RECONCILIATION OF THE PROVIDER''''S ADJUSTMENTS TO THE AUDIT REPORT_part1 pdf

STATE OF CALIFORNIA RECONCILIATION OF THE PROVIDER''''S ADJUSTMENTS TO THE AUDIT REPORT_part1 pdf

... 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) 11...

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STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS_part3 potx

STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS_part3 potx

... Audit Adjustments ADJUSTMENTS TO REPORTED COSTS 17 Not Reported 40 14 8A-2 40.00 Property Taxes $21,883 $5,883 $27,766 To reflect the proper accrual of real property taxes applicable to the audit ... and 2302.8 *Balance carried forward from prior /to subsequent adjustments Page 4 This is trial version www.adultpdf.com State of California Department of Health Care Serv...

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STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS_part4 potx

STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS_part4 potx

... Nursing - Other - Nonlabor 0 175.00 Total $74,302000(4,652) 184,449 (105,000) (495) 0 0 (To Sch 8) This is trial version www.adultpdf.com State of California Department of Health Care Services Provider ... prior /to subsequent adjustments Page 1 Adjustments VILLA SCALABRINI JANUARY 1, 2008 THROUGH DECEMBER 31, 2008 LTC90058F Report References Cost Report Audit Report Explanatio...

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STATE OF CALIFORNIA RECONCILIATION OF THE PROVIDER''''S ADJUSTMENTS TO THE AUDIT REPORT _part2 pdf

STATE OF CALIFORNIA RECONCILIATION OF THE PROVIDER''''S ADJUSTMENTS TO THE AUDIT REPORT _part2 pdf

... 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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STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS docx

STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS docx

... AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ ADJUSTMENTS TO REPORTED COSTS 0000000000000 This is trial version www.adultpdf.com State of California Department of Health Care Services Provider Name Fiscal ... HOSPITAL Adjustments Explanation of Audit Adjustments JULY 1, 2007 THROUGH JUNE 30, 2008 HSC 30056F Cost Report ADJUSTMENTS TO REPORTED MEDI-CAL SETTLEMENT DATA - N...

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STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS Page 1 _part1 potx

STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS Page 1 _part1 potx

... 0 42,0 91 42,0 91 Not Reported 8A -1 65.04 Dietary - Other - Nonlabor 0 257, 611 257, 611 5 10 .1( 4) 10 5 14 8A -1 105.00 Skilled Nursing Care $3, 619 ,594 ($3, 619 ,594) $0 Not Reported 8A -1 105. 01 Skilled ... 19 ,825 19 ,825 * 8 10 .1( 4) 16 5 14 8A -1 165.00 Administration $1, 682,4 91 ( $1, 682,4 91) $0 Not Reported 8A -1 165. 01 Administration - Salaries and W...

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STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS Page 1 _part2 pdf

STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS Page 1 _part2 pdf

... 2,0 41 2,0 41 11. 1 (1 of 3) 10 2 7 75.00 Patient Supplies 225 (19 ) 206 11 .1 (1 of 3) 35 2 7 10 0.00 Other Ancillary Services 2 31 (18 1) 50 Not Reported 7 16 0.00 Activities 0 14 0 14 0 Not Reported 7 16 5.00 ... Reported 7 17 0.00 Inservice Education - Nursing 0 395 395 11 .1 (1 of 3) 85 2 7 N/A Total Statistics - Square Feet 15 ,605 3,872 19 ,477 11 .1 (1...

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STATE OF CALIFORNIA RECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS_part1 pptx

STATE OF CALIFORNIA RECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS_part1 pptx

... 12 13 14 15 16 17 18 19 RECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS (89,119) (2,365) (8,469) (4,170) (24,313) This is trial version www.adultpdf.com STATE OF CALIFORNIA Schedule 8A-2 Page ... Occupational Therapy - Other - Nonlabor 2,989 2,989 RECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS This is trial version www.adultpdf.com STATE OF CALIFO...

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STATE OF CALIFORNIA RECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS_part2 potx

STATE OF CALIFORNIA RECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS_part2 potx

... AUDIT ADJ AUDIT ADJ 20 RECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS (3,425) (85,627) 00000000 This is trial version www.adultpdf.com State of California Department of Health Care Services Provider ... 51511.5 *Balance carried forward from prior /to subsequent adjustments Page 2 This is trial version www.adultpdf.com State of California Department of Heal...

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STATE OF CALIFORNIARECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS Page 1 Provider Number: pot

STATE OF CALIFORNIARECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS Page 1 Provider Number: pot

... provider& apos;s costs on page 10 .1, column 14 . 42 CFR 413 .20 and 413 .24 / CMS Pub. 15 -1, Sections 2300 and 2304 2 To reconcile provider& apos;s reported statistics on page 10 .7 to provider& apos;s reported ... 262 10 .7 010 1, 2 7 010 Housekeeping 06262 10 .7 060 1, 2,3 7 060 Laundry and Linen 0 480 480 10 .7 065 1, 2,3 7 065 Dietary 0 1, 963 1, 963 10 .7...

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STATE OF CARECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS Page 1Schedule 8A-2Provider doc

STATE OF CARECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS Page 1Schedule 8A-2Provider doc

... Report Explanation of Audit Adjustments Report References Audit Report ADJUSTMENTS TO REPORTED COSTS 10.5 165 4 8A-2 165 4 Administration - Other - Nonlabor * $76,674 24 To adjust reported home office costs to ... References Audit Report ADJUSTMENTS TO REPORTED COSTS 10.5 165 2 8A-2 165 2 Administration - Fringe Benefits * $71,946 16 To eliminate retirement expen...

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