PROGRAM: PSYCHIATRIC COMPUTATION OF PROFESSIONAL COMPONENT OF HOSPITAL BASED PHYSICIAN''''S REMUNERATION _part5 docx

STATE OF CALIFORNIA Provider Name: CEDARS-SINAI MEDICAL CENTER TRIAL BALANCE EXPENSES 49.00 Respiratory Therapy 50.00 Physical Therapy 51.00 Occupational Therapy 52.00 Speech Pathology 53.00 Electrocardiology 54.00 Electroencephalography 54.01 Electromyography 55.00 Medical Supplies Charged to Patients 56.00 Drugs Charged to Patients 57.00 Renal Dialysis 59.00 Gastro Intestinal Services 59.01 Eye Laboratory 59.02 Cardiac Catheterization Laboratory 59.03 Vascular Laboratory 59.04 Psychiatric/Psychological Services 59.05 Nuclear Medicine - Therapeutic 59.06 Magnetic Resonance Imaging 59.07 Pulmonary Function Testing 59.08 Recreational Therapy 60.00 Clinic 60.01 Psychiatric Clinic 60.02 Medical Oncology 60.03 Psych - Partial Hospitalization 60.04 Clinic 2 - Gen Risk Center 60.05 Clinic 3 - Neuro Surgical Institute 60.06 Clinic 4 - Prostate Cancer Program 60.07 Clinic 5 -Endocrinology Center 60.08 Clinic 6 - Spine Injury Institute 60.09 Clinic 7 - Pediatric Center 60.10 Clinic 8 - Orthopedic Center 60.11 Clinic 9 - Wound Care Program 60.12 Clinic 10 - Cardio Surgical Center 60.13 Clinic 11 - Endourology Institute 60.14 Clinic 12 - Lifeline 60.15 Clinic 13 - Urogynecology 60.16 Clinic 14 - Breast Center 60.17 Clinic 15 - Reproductive Med Center 61.00 Emergency 82.00 Lung Acquisition 83.00 Kidney Acquisition 84.00 Liver Acquisition 85.00 Heart Acquisition 85.01 Pancreas Acquisition NONREIMBURSABLE COST CENTE 96.00 Gift, Flower, Coffee Shop 97.00 Research 97.01 Research: Davis II 97.02 Research Recharge 98.01 Physician Billing 100.00 Meals-On-Wheels 100.01 Other Nonreimbursable Cost Centers 100.02 Coach Program 100.03 Outpatient Meals 100.04 Community Services TOTAL COMPUTATION OF COST ALLOCATION (W/S B) SCHEDULE 8.1 Fiscal Period Ended: JUNE 30, 2008 ADMINIS- ALLOC EMPLOYEE NON PAT DATA PURCHASING ACCUMULATED TRATIVE & MAINT & OPER LAUNDRY & COST BENEFITS PHONE PROCESSING & RECEIVING ADMITTING CASHIERING COST GENERAL REPAIRS PLANT LINEN 4.10 5.00 6.01 6.02 6.03 6.04 6.05 6.06 7.00 8.00 9.00 0 3,436,748 26,703 334,614 2,600 3,245,799 1,549,195 23,200,637 3,714,265 73,041 362,358 4,273 0 1,962,013 127,286 96,862 1,028 382,720 221,185 9,250,326 1,480,915 95,479 473,673 26,794 0 778,145 4,451 0 169 206,691 119,177 3,596,762 575,817 14,319 71,038 5,709 0 315,339 11,571 0 23 68,607 44,151 1,385,493 221,808 3,269 16,219 0 0 1,304,976 92,571 1,505,762 924 819,986 523,421 10,348,615 1,656,743 111,521 553,261 21,842 0 592,737 30,264 237,752 1,831 210,539 111,435 3,460,843 554,057 18,645 92,497 3,952 0 16,055 890 0 19 10,668 7,106 106,656 17,075 4,613 22,883 0 0 152,632 18,692 0 1,407,265 4,898,320 2,766,028 95,202,943 15,241,347 22,953 113,871 95,250 0 5,501,777 81,890 0 3,870 4,540,815 2,446,924 65,846,050 10,541,507 49,725 246,685 0 0 0 9,791 0 76 337,552 168,590 6,723,868 1,076,446 13,449 66,722 20,812 0 1,931,205 146,868 123,279 18,158 164,234 274,129 12,049,826 1,929,096 114,436 567,720 69,373 012,07400003,40871,21811,4023,93719,5300 0 1,176,744 102,362 0 2,853 686,053 433,054 7,703,523 1,233,282 103,513 513,530 32,793 0 566,479 12,462 0 36 363,314 263,746 3,474,193 556,195 16,837 83,528 45,672 0 128,937 11,571 0 530 11,013 23,527 637,166 102,006 14,539 72,128 7,054 0 1,282,599 63,198 132,084 3,140 332,055 615,767 10,938,455 1,751,173 105,912 525,432 79,633 0 1,342,366 6,231 0 2,898 522,851 743,574 11,100,934 1,777,184 215,904 1,071,107 83,563 0 108,009 7,121 0 106 8,927 19,737 674,984 108,060 18,957 94,047 0 025,0840049,4344,414115,585 18,504 0 0 0 0 472,266 127,286 0 637 2,165 19,731 3,099,435 496,199 139,062 689,889 7,439 0 519,868 97,912 149,696 314 47 36,737 2,823,882 452,084 93,637 464,536 20 0 19,082 19,582 0 559 76,087 1,671,928 82,219,917 13,162,852 614,799 3,050,039 174,839 0 133,535 30,264 0 63 44 15,364 665,755 106,583 12,765 63,327 0 0 41,597 890 0 5 0 662 240,147 38,446 14,944 74,140 0 0 806,657 119,275 0 1,490 173 7,241 3,775,868 604,491 75,305 373,590 0 0 7,784 78,330 0 167 2 1,032 246,983 39,540 21,753 107,920 0 0 157,962 39,165 0 135 15 5,153 771,791 123,558 14,201 70,452 110 0 451,704 128,176 0 1,312 97 15,845 2,787,510 446,262 105,785 524,804 0 0 379,706 12,462 0 605 42 7,890 1,948,211 311,895 67,170 333,231 0 0 668,119 97,912 0 921 125 23,485 2,988,841 478,493 11,802 58,549 1,328 0 0 0 0 0 0 0 0 0 0 0 0 0 321,688 13,352 0 369 47 1,772 1,352,747 216,566 0 0 0 0 227,355 0 0 365 88 11,285 1,254,701 200,869 32,347 160,475 0 0 63,251 6,231 0 143 0 3,216 643,185 102,970 904 4,484 0 0 52,408 0 0 202 3 4,782 416,073 66,610 10,560 52,388 1,392 0 260,817 27,593 0 504 13 12,032 1,374,011 219,970 38,844 192,705 6,108 0 131,078 0 0 279 0 9,937 790,359 126,531 15,401 76,403 1,537 0 5,648,364 187,813 0 14,263 1,292,386 1,377,499 28,116,585 4,501,275 199,067 987,580 321,437 0 24,716 1,780 0 189 0 5,890 1,070,060 171,309 684 3,395 0 0 528,233 13,352 237,752 195 0 58,396 5,805,987 929,499 9,242 45,850 0 0 212,312 7,121 0 1,466 0 14,900 2,578,309 412,770 5,145 25,524 0 0 68,578 890 0 44 0 11,858 1,966,725 314,859 1,470 7,292 0 000000 0186,868 29,916 0 0 0 0 0 13,352 0 0 0 0 181,726 29,093 36,174 179,461 0 0 1,923,278 628,417 0 7,664 0 0 94,875,122 15,188,865 1,327,536 6,585,946 9,614 000000 0 000 00 0 17,852 0 0 49 0 0 276,367 44,245 43,051 213,576 0 0 1,176,714 12,462 0 1,474 0 0 5,857,467 937,741 86,684 430,044 0 000000 030,7194,9186,71633,3190 0 108,215 8,011010 03,167,483 507,093 4,815 23,889 0 0 199,892 23,143 0 560 0 0 1,405,964 225,085 90,866 450,790 0 0 0 0 0 0 0 0 530,370 84,909 0 0 0 0 142,277 8,901 0 629 0 0 170,197 27,247 2,441 12,112 0 0 218,152,314 9,861,513 86,480,071 1,784,783 53,466,306 33,962,193 1,541,501,992 212,727,760 16,258,852 62,198,203 5,212,911 This is trial version www.adultpdf.com STATE OF CALIFORNIA Provider Name: CEDARS-SINAI MEDICAL CENTER TRIAL BALANCE EXPENSES GENERAL SERVICE COST CENTER 3.00 New Cap Rel Costs - Bldg & Fixtures 4.00 New Cap Rel costs - Mvble Equipment 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 5.00 Employee Benefits 6.01 Non-Patient Telephones 6.02 Data Processing 6.03 Purchasing, Receiving & Stores 6.04 Admitting 6.05 Cashiering / Accounts Receivable 6.06 Other Administrative & General 7.00 Maintenance and Repairs 8.00 Operation of Plant 9.00 Laundry and Linen Service 10.00 Housekeeping 11.00 Dietary 12.00 Cafeteria 14.00 Nursing Administration 15.00 Central Services & Supply 16.00 Pharmacy 17.00 Medical Records and Library 18.00 Social Service 22.00 I&R Services - Salary & Fringes 23.00 I&R Services - Other Program 24.00 Paramedical Ed Program 24.01 Paramedical Ed Program-Pharmacy INPATIENT ROUTINE SERVICES CENTERS 25.00 Adults and Pediatrics 26.00 Intensive Care Unit 27.00 Coronary Care Unit 29.00 Surgical Intensive Care Unit 29.01 Surgical - ICU-7 29.02 Surgical - ICU-8 29.03 Pediatric Intensive Care Unit 30.00 Neonatal Intensive Care Unit 31.00 Subprovider I 31.01 Subprovider II 33.00 Nursery ANCILLARY COST CENTERS 37.00 Operating Room 39.00 Delivery Room and Labor Room 40.00 Anesthesiology 41.00 Radiology-Diagnostic 43.01 Ultrasound 43.02 CAT Scan 44.00 Laboratory 44.01 Laboratory-Pathological 44.02 HLA Lab 47.00 Blood Storing, Processing & Trans COMPUTATION OF COST ALLOCATION (W/S B) SCHEDULE 8.2 Fiscal Period Ended: JUNE 30, 2008 CENTRAL MEDICAL NURSING SERVICE RECORDS SOCIAL I&R SERVICE I&R SERVICE PARAMED EDPARAMED ED HOUSEKEEP DIETARY CAFETERIA ADMIN & SUPPLY PHARMACY & LIBRARY SERVICE SALARY & FRIG OTHER PRG PROGRAM PRG-PHARM 10.00 11.00 12.00 14.00 15.00 16.00 17.00 18.00 22.00 23.00 24.00 24.01 379,365 354,323 0 143,309 0 66,264 2,338,425 0 59,511 0 140,073 0 20,269 0 323,086 1,336,093 0 77,859 0 48,677 75 22,116 0 21,101 0 31,607 3,357 0 111,753 0 165,772 0 26,806 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6,17602,89900000000 3,468,097 15,386,911 691,509 12,340,064 3,124,927 19,565 4,086,213 2,762,109 9,995,396 7,003,877 0 0 577,307 594,360 65,386 1,273,631 656,202 3,156 872,477 399,496 0 0 0 0 39,187 64,182 5,601 97,925 12,703 73 85,577 148,916 0 0 0 0 225,315 456,431 47,591 971,367 291,627 1,519 642,698 148,916 93,503 65,519 0 0 000000000000 228,170 357,748 41,035 937,412 340,728 1,426 687,182 148,916 0 0 0 0 79,858 138,194 14,390 344,405 87,133 474 181,774 111,687 0 0 0 0 221,288 0 65,314 1,579,230 331,536 1,498 978,564 372,290 259,777 182,029 0 0 241,524 1,736,943 44,889 926,043 49,066 125 329,155 0 2,276,508 1,595,173 0 0 164,719 659,241 24,201 443,088 100,218 954 135,322 297,832 234,674 164,438 0 0 50,309 0 15,878 407,617 209,351 49 154,094 0 0 0 0 0 00 1,348,515 0 178,079 2,155,562 778,016 11,102 3,192,413 0 5,037,935 3,530,132 0 0 358,393 0 69,571 1,073,537 645,277 5,422 411,627 0 109,989 77,071 0 0 441,417 0 97,518 1,697,164 2,094,293 136,422 2,433,531 0 2,131,924 1,493,861 0 0 656,586 0 124,530 237,082 2,434,401 151 1,057,690 0 1,014,881 711,137 0 0 74,870 0 10,385 0 84,273 8 162,50500000 119,752 0 18,730 0 387,744 24 1,100,01500000 229,046 0 184,326 102,169 356,526 14,415 3,785,214 0 1,110,132 777,881 0 0 424,798 0 45,318 455 165,557 94 339,369 0 1,493,721 1,046,665 0 0 65,61309,383067,14620563,61300000 115,979 0 18,647 147,494 7,339,729 3,125 217,12200000 This is trial version www.adultpdf.com STATE OF CALIFORNIA Provider Name: CEDARS-SINAI MEDICAL CENTER TRIAL BALANCE EXPENSES 49.00 Respiratory Therapy 50.00 Physical Therapy 51.00 Occupational Therapy 52.00 Speech Pathology 53.00 Electrocardiology 54.00 Electroencephalography 54.01 Electromyography 55.00 Medical Supplies Charged to Patients 56.00 Drugs Charged to Patients 57.00 Renal Dialysis 59.00 Gastro Intestinal Services 59.01 Eye Laboratory 59.02 Cardiac Catheterization Laboratory 59.03 Vascular Laboratory 59.04 Psychiatric/Psychological Services 59.05 Nuclear Medicine - Therapeutic 59.06 Magnetic Resonance Imaging 59.07 Pulmonary Function Testing 59.08 Recreational Therapy 60.00 Clinic 60.01 Psychiatric Clinic 60.02 Medical Oncology 60.03 Psych - Partial Hospitalization 60.04 Clinic 2 - Gen Risk Center 60.05 Clinic 3 - Neuro Surgical Institute 60.06 Clinic 4 - Prostate Cancer Program 60.07 Clinic 5 -Endocrinology Center 60.08 Clinic 6 - Spine Injury Institute 60.09 Clinic 7 - Pediatric Center 60.10 Clinic 8 - Orthopedic Center 60.11 Clinic 9 - Wound Care Program 60.12 Clinic 10 - Cardio Surgical Center 60.13 Clinic 11 - Endourology Institute 60.14 Clinic 12 - Lifeline 60.15 Clinic 13 - Urogynecology 60.16 Clinic 14 - Breast Center 60.17 Clinic 15 - Reproductive Med Center 61.00 Emergency 82.00 Lung Acquisition 83.00 Kidney Acquisition 84.00 Liver Acquisition 85.00 Heart Acquisition 85.01 Pancreas Acquisition NONREIMBURSABLE COST CENTERS 96.00 Gift, Flower, Coffee Shop 97.00 Research 97.01 Research: Davis II 97.02 Research Recharge 98.01 Physician Billing 100.00 Meals-On-Wheels 100.01 Other Nonreimbursable Cost Centers 100.02 Coach Program 100.03 Outpatient Meals 100.04 Community Services TOTAL COMPUTATION OF COST ALLOCATION (W/S B) SCHEDULE 8.2 Fiscal Period Ended: JUNE 30, 2008 CENTRAL MEDICAL NURSING SERVICE RECORDS SOCIAL I&R SERVICE I&R SERVICE PARAMED ED PARAMED ED HOUSEKEEP DIETARY CAFETERIA ADMIN & SUPPLY PHARMACY & LIBRARY SERVICE SALARY & FRIG OTHER PRG PROGRAM PRG-PHARM 10.00 11.00 12.00 14.00 15.00 16.00 17.00 18.00 22.00 23.00 24.00 24.01 122,182 0 62,487 44,112 661,640 96 1,595,66700000 159,716 0 40,100 0 23,146 14 227,82000000 23,953 0 14,560 0 14,878 43 122,75200000 5,46905,27006,661045,47600000 186,552 0 27,110 91,407 52,187 60 539,12200000 31,189 0 9,259 27,892 95,058 0 114,77800000 7,71605370007,31900000 38,396 0 26,971 30,014 11,911,645 11,417 2,849,00300000 83,179 0 92,248 225,409 174,481 12,786,146 2,520,3260000738,980 22,4980004,89431173,64700000 191,428 0 30,252 327,882 898,105 6,027 282,352 0 711,807 498,770 0 0 6,585026400293,51000000 173,155 0 19,990 142,795 15,220 1 446,04500000 28,164 0 10,235 0 4,704 0 271,65800000 24,32102,03132,74332,468124,23300000 177,169 0 20,693 0 108,813 64,953 634,239 0 6,911 4,842 0 0 361,163 0 24,310 0 576,283 53 765,87900000 31,711 0 2,155 0 17,263 422 20,329 0 548,988 384,682 0 0 00527067204,54700000 232,621 0 9,559 72,610 54,952 1,139 20,323 148,916 526,466 368,900 0 0 156,635 0 9,827 6,821 2,832 0 37,83900000 1,028,433 0 114 5,760 9,758 13 1,722,08200000 21,35302,3926,518346015,82400000 24,99906465,3061,84306815,2260000 125,970 0 14,183 81,554 21,498 1 7,459 57,2750000 36,389020760648801,0638,1620000 23,75503,43625,3153,42555,30840,7370000 176,957 0 12,653 46,082 11,277 219 16,320 125,2900000 112,361 0 7,259 64,424 13,439 696 8,127 62,3590000 19,742 0 15,867 110,052 42,001 404 24,189 185,6440000 000000000000 006,34544,11264701,82514,0320000 54,11005,10516,5237,8397011,62489,2070000 1,512 0 1,560 0 109,049 0 3,313 25,4160000 17,66501,3235,3068,358774,92537,8020000 64,97705,50328,19523,5296412,39395,1490000 25,76203,12612,8856,9551310,23578,5390000 332,999 0 87,603 1,241,646 428,846 4,414 1,418,821 297,832 255,448 178,995 0 0 1,145033103,2763,7346,06674,4580000 15,46007,04874,4292,2437160,14870,0190000 8,60603,79825,31513,6363,07715,34775,9620000 2,459066715,6135921,27112,21400000 000000000000 60,51200000000000 2,220,694 0 36,147 0 358,227 19,836000000 000000000000 72,015040301,480679000000 145,005 0 37,289 0 3,0650000000 11,235 273,7140000000000 8,0550548000000000 152,000 0 2,744 15,462 6,975 763000000 0 1,977,5060000000000 4,08402,62002,4742,872000000 0 20,794,434 21,645,230 2,853,252 27,561,033 35,723,795 13,111,951 34,980,985 5,882,189 25,808,060 18,083,972 0 738,980 This is trial version www.adultpdf.com STATE OF CALIFORNIA Provider Name: CEDARS-SINAI MEDICAL CENTER TRIAL BALANCE EXPENSES GENERAL SERVICE COST CENTER 3.00 New Cap Rel Costs - Bldg & Fixtures 4.00 New Cap Rel costs - Mvble Equipment 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 5.00 Employee Benefits 6.01 Non-Patient Telephones 6.02 Data Processing 6.03 Purchasing, Receiving & Stores 6.04 Admitting 6.05 Cashiering / Accounts Receivable 6.06 Other Administrative & General 7.00 Maintenance and Repairs 8.00 Operation of Plant 9.00 Laundry and Linen Service 10.00 Housekeeping 11.00 Dietary 12.00 Cafeteria 14.00 Nursing Administration 15.00 Central Services & Supply 16.00 Pharmacy 17.00 Medical Records and Library 18.00 Social Service 22.00 I&R Services - Salary & Fringes 23.00 I&R Services - Other Program 24.00 Paramedical Ed Program 24.01 Paramedical Ed Program-Pharmacy INPATIENT ROUTINE SERVICES CENTERS 25.00 Adults and Pediatrics 26.00 Intensive Care Unit 27.00 Coronary Care Unit 29.00 Surgical Intensive Care Unit 29.01 Surgical - ICU-7 29.02 Surgical - ICU-8 29.03 Pediatric Intensive Care Unit 30.00 Neonatal Intensive Care Unit 31.00 Subprovider I 31.01 Subprovider II 33.00 Nursery ANCILLARY COST CENTERS 37.00 Operating Room 39.00 Delivery Room and Labor Room 40.00 Anesthesiology 41.00 Radiology-Diagnostic 43.01 Ultrasound 43.02 CAT Scan 44.00 Laboratory 44.01 Laboratory-Pathological 44.02 HLA Lab 47.00 Blood Storing, Processing & Trans COMPUTATION OF COST ALLOCATION (W/S B) SCHEDULE 8.3 Fiscal Period Ended: JUNE 30, 2008 POST STEP-DOWN TOTAL ALLOC ALLOC ALLOC ALLOC ALLOC ALLOC ALLOC ALLOC SUBTOTAL ADJUSTMENT COST COST COST COST COST COST COST COST COST (Adjs 2, 3) 24.02 24.03 24.04 24.05 24.06 24.07 24.08 24.09 25.00 26.00 27.00 00000000302,684,729 32,601,611 335,286,340 0 0 0 0 0 0 0 0 34,664,771 34,664,771 0 0 0 0 0 0 0 0 2,780,568 2,780,568 0 0 0 0 0 0 0 0 23,895,548 0 23,895,548 00000000 0 0 0 0 0 0 0 0 0 0 22,082,681 22,082,681 0 0 0 0 0 0 0 0 7,410,989 7,410,989 0000000032,319,475 0 32,319,475 0000000021,705,848 (21,705,848) (0) 0000000010,895,763 (10,895,763) 0 0 0 0 0 0 0 0 0 7,910,329 7,910,329 0000000095,710,199 0 95,710,199 0000000029,518,483 0 29,518,483 0 0 0 0 0 0 0 0 55,602,856 0 55,602,856 0 0 0 0 0 0 0 0 49,746,582 0 49,746,582 000000004,215,379 4,215,379 0000000012,997,062 12,997,062 0000000081,858,827 0 81,858,827 0000000025,512,941 0 25,512,941 000000004,969,551 4,969,551 0000000025,970,759 25,970,759 This is trial version www.adultpdf.com STATE OF CALIFORNIA Provider Name: CEDARS-SINAI MEDICAL CENTER TRIAL BALANCE EXPENSES 49.00 Respiratory Therapy 50.00 Physical Therapy 51.00 Occupational Therapy 52.00 Speech Pathology 53.00 Electrocardiology 54.00 Electroencephalography 54.01 Electromyography 55.00 Medical Supplies Charged to Patients 56.00 Drugs Charged to Patients 57.00 Renal Dialysis 59.00 Gastro Intestinal Services 59.01 Eye Laboratory 59.02 Cardiac Catheterization Laboratory 59.03 Vascular Laboratory 59.04 Psychiatric/Psychological Services 59.05 Nuclear Medicine - Therapeutic 59.06 Magnetic Resonance Imaging 59.07 Pulmonary Function Testing 59.08 Recreational Therapy 60.00 Clinic 60.01 Psychiatric Clinic 60.02 Medical Oncology 60.03 Psych - Partial Hospitalization 60.04 Clinic 2 - Gen Risk Center 60.05 Clinic 3 - Neuro Surgical Institute 60.06 Clinic 4 - Prostate Cancer Program 60.07 Clinic 5 -Endocrinology Center 60.08 Clinic 6 - Spine Injury Institute 60.09 Clinic 7 - Pediatric Center 60.10 Clinic 8 - Orthopedic Center 60.11 Clinic 9 - Wound Care Program 60.12 Clinic 10 - Cardio Surgical Center 60.13 Clinic 11 - Endourology Institute 60.14 Clinic 12 - Lifeline 60.15 Clinic 13 - Urogynecology 60.16 Clinic 14 - Breast Center 60.17 Clinic 15 - Reproductive Med Center 61.00 Emergency 82.00 Lung Acquisition 83.00 Kidney Acquisition 84.00 Liver Acquisition 85.00 Heart Acquisition 85.01 Pancreas Acquisition NONREIMBURSABLE COST CENTERS 96.00 Gift, Flower, Coffee Shop 97.00 Research 97.01 Research: Davis II 97.02 Research Recharge 98.01 Physician Billing 100.00 Meals-On-Wheels 100.01 Other Nonreimbursable Cost Centers 100.02 Coach Program 100.03 Outpatient Meals 100.04 Community Services TOTAL COMPUTATION OF COST ALLOCATION (W/S B) SCHEDULE 8.3 Fiscal Period Ended: JUNE 30, 2008 POST STEP-DOWN TOTAL ALLOC ALLOC ALLOC ALLOC ALLOC ALLOC ALLOC ALLOC SUBTOTAL ADJUSTMENT COST COST COST COST COST COST COST COST COST (Adjs 2, 3) 24.02 24.03 24.04 24.05 24.06 24.07 24.08 24.09 25.00 26.00 27.00 0000000029,840,758 29,840,758 0000000011,777,981 11,777,981 000000004,439,833 4,439,833 000000001,689,666 1,689,666 0000000013,588,420 13,588,420 000000004,408,169 4,408,169 00000000166,799 166,799 00000000125,543,810 125,543,810 0000000093,304,736 93,304,736 000000008,102,366 8,102,366 0000000017,677,073 0 17,677,073 00000000116,474 116,474 0000000010,383,847 10,383,847 000000004,491,186 4,491,186 00000000948,688 948,688 0000000014,418,226 0 14,418,226 0000000015,976,382 15,976,382 000000001,901,599 0 1,901,599 00000000139,834 139,834 000000005,867,508 0 5,867,508 000000004,048,115 4,048,115 00000000101,988,606 101,988,606 00000000894,863 894,863 00000000406,378 406,378 000000005,137,193 5,137,193 00000000463,111 463,111 000000001,082,093 1,082,093 000000004,253,159 4,253,159 000000002,929,172 2,929,172 000000003,936,913 3,936,913 00000000 0 0 000000001,636,274 1,636,274 000000001,832,870 1,832,870 00000000892,394 892,394 00000000622,479 622,479 000000002,061,447 2,061,447 000000001,147,744 1,147,744 0000000038,372,548 0 38,372,548 000000001,334,458 1,334,458 000000007,019,996 7,019,996 000000003,167,488 3,167,488 000000002,323,162 2,323,162 00000000 216,784 216,784 00000000486,966 486,966 00000000120,621,985 120,621,985 00000000 0 0 00000000651,816 651,816 000000007,497,295 7,497,295 00000000360,620 360,620 000000003,711,883 3,711,883 000000002,350,648 2,350,648 000000002,592,784 2,592,784 00000000224,048 224,048 0 0 0 0 0 0 0 0 1,541,501,990 0 1,541,501,990 This is trial version www.adultpdf.com STATISTICS FOR COST ALLOCATION (W/S B-1) Fiscal Period Ended: JUNE 30, 2008 SCHEDULE 9 Provider Name: CEDARS-SINAI MEDICAL CENTER NEW BLDG NEW MOVBLE STAT STAT STAT STAT STAT STAT STAT STAT STAT STAT & FIXTURES EQUIP (SQ FT) ($ Value) 3.00 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) GENERAL SERVICE COST CENTERS 3.00 New Cap Rel Costs - Bldg & Fixtures 4.00 New Cap Rel costs - Mvble Equipment 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 5.00 Employee Benefits 17,747 41,266 6.01 Non-Patient Telephones 28,720 1,517,852 6.02 Data Processing 58,766 15,667,339 6.03 Purchasing, Receiving & Stores 6,988 5,898 6.04 Admitting 18,794 79,788 6.05 Cashiering / Accounts Receivable 45,984 63,937 6.06 Other Administrative & General 200,542 3,823,249 7.00 Maintenance and Repairs 111,509 491,208 8.00 Operation of Plant 440,521 171,449 9.00 Laundry and Linen Service 2,640 119 10.00 Housekeeping 9,954 23,171 11.00 Dietary 26,845 100,677 12.00 Cafeteria 25,073 14.00 Nursing Administration 10,141 415,824 15.00 Central Services & Supply 165,474 780,975 16.00 Pharmacy 9,912 229,851 17.00 Medical Records and Library 94,546 89,960 18.00 Social Service 1,565 3,154 22.00 I&R Services - Salary & Fringes 7,908 3,576 23.00 I&R Services - Other Program 24.00 Paramedical Ed Program 24.01 Paramedical Ed Program-Pharmacy 437 INPATIENT ROUTINE SERVICES CENTERS 25.00 Adults and Pediatrics 245,413 734,211 26.00 Intensive Care Unit 40,852 9,844 27.00 Coronary Care Unit 2,773 29,049 29.00 Surgical Intensive Care Unit 15,944 20,797 29.01 Surgical - ICU-7 29.02 Surgical - ICU-8 16,146 51,724 29.03 Pediatric Intensive Care Unit 5,651 23,671 30.00 Neonatal Intensive Care Unit 15,659 44,803 31.00 Subprovider I 17,091 5,651 31.01 Subprovider II 11,656 6,900 33.00 Nursery 3,560 6,551 ANCILLARY COST CENTERS 37.00 Operating Room 95,425 1,942,490 39.00 Delivery Room and Labor Room 25,361 368,721 40.00 Anesthesiology 31,236 1,081,688 41.00 Radiology-Diagnostic 46,462 572,151 43.01 Ultrasound 5,298 19,858 43.02 CAT Scan 8,474 286,418 44.00 Laboratory 16,208 365,055 44.01 Laboratory-Pathological 30,060 610,747 44.02 HLA Lab 4,643 173,492 47.00 Blood Storing, Processing & Trans 8,207 7,940 This is trial version www.adultpdf.com STATISTICS FOR COST ALLOCATION (W/S B-1) Fiscal Period Ended: JUNE 30, 2008 SCHEDULE 9 Provider Name: CEDARS-SINAI MEDICAL CENTER NEW BLDG NEW MOVBLE STAT STAT STAT STAT STAT STAT STAT STAT STAT STAT & FIXTURES EQUIP (SQ FT) ($ Value) 3.00 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) GENERAL SERVICE COST CENTERS 49.00 Respiratory Therapy 8,646 303,470 50.00 Physical Therapy 11,302 26,947 51.00 Occupational Therapy 1,695 8,256 52.00 Speech Pathology 387 1,859 53.00 Electrocardiology 13,201 701,913 54.00 Electroencephalography 2,207 135,815 54.01 Electromyography 546 1,783 55.00 Medical Supplies Charged to Patients 2,717 706,907 56.00 Drugs Charged to Patients 5,886 10,833 57.00 Renal Dialysis 1,592 59.00 Gastro Intestinal Services 13,546 714,701 59.01 Eye Laboratory 466 57 59.02 Cardiac Catheterization Laboratory 12,253 352,133 59.03 Vascular Laboratory 1,993 8,130 59.04 Psychiatric/Psychological Services 1,721 937 59.05 Nuclear Medicine - Therapeutic 12,537 101,260 59.06 Magnetic Resonance Imaging 25,557 739,623 59.07 Pulmonary Function Testing 2,244 72,134 59.08 Recreational Therapy 246 60.00 Clinic 16,461 28,878 60.01 Psychiatric Clinic 11,084 927 60.02 Medical Oncology 72,775 13,990 60.03 Psych - Partial Hospitalization 1,511 388 60.04 Clinic 2 - Gen Risk Center 1,769 60.05 Clinic 3 - Neuro Surgical Institute 8,914 37,535 60.06 Clinic 4 - Prostate Cancer Program 2,575 320 60.07 Clinic 5 -Endocrinology Center 1,681 416 60.08 Clinic 6 - Spine Injury Institute 12,522 56,716 60.09 Clinic 7 - Pediatric Center 7,951 35,010 60.10 Clinic 8 - Orthopedic Center 1,397 23,509 60.11 Clinic 9 - Wound Care Program 60.12 Clinic 10 - Cardio Surgical Center 110 60.13 Clinic 11 - Endourology Institute 3,829 41,525 60.14 Clinic 12 - Lifeline 107 2,460 60.15 Clinic 13 - Urogynecology 1,250 4,077 60.16 Clinic 14 - Breast Center 4,598 3,907 60.17 Clinic 15 - Reproductive Med Center 1,823 61.00 Emergency 23,564 296,957 82.00 Lung Acquisition 81 3,949 83.00 Kidney Acquisition 1,094 5,474 84.00 Liver Acquisition 609 26,692 85.00 Heart Acquisition 174 683 85.01 Pancreas Acquisition NONREIMBURSABLE COST CENTERS 96.00 Gift, Flower, Coffee Shop 4,282 97.00 Research 157,143 5,028,439 97.01 Research: Davis II 97.02 Research Recharge 5,096 2,719 98.01 Physician Billing 10,261 46,126 100.00 Meals-On-Wheels 795 100.01 Other Nonreimbursable Cost Centers 570 3,892 100.02 Coach Program 10,756 328 100.03 Outpatient Meals 100.04 Community Services 289 5,361 TOTAL 2,413,642 39,428,4460000000000 COST TO BE ALLOCATED 93,263,076 53,121,584 0 0 0 0 0 0 0 0 0 0 UNIT COST MULTIPLIER - SCH 8 38.639979 1.347291 0.000000 0.000000 0.000000 0.000000 0.000000 0.000000 0.000000 0.000000 0.000000 0.000000 This is trial version www.adultpdf.com Provider Name: CEDARS-SINAI MEDICAL CENTER GENERAL SERVICE COST CENTERS 3.00 New Cap Rel Costs - Bldg & Fixtures 4.00 New Cap Rel costs - Mvble Equipment 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 5.00 Employee Benefits 6.01 Non-Patient Telephones 6.02 Data Processing 6.03 Purchasing, Receiving & Stores 6.04 Admitting 6.05 Cashiering / Accounts Receivable 6.06 Other Administrative & General 7.00 Maintenance and Repairs 8.00 Operation of Plant 9.00 Laundry and Linen Service 10.00 Housekeeping 11.00 Dietary 12.00 Cafeteria 14.00 Nursing Administration 15.00 Central Services & Supply 16.00 Pharmacy 17.00 Medical Records and Library 18.00 Social Service 22.00 I&R Services - Salary & Fringes 23.00 I&R Services - Other Program 24.00 Paramedical Ed Program 24.01 Paramedical Ed Program-Pharmacy INPATIENT ROUTINE SERVICES CENTERS 25.00 Adults and Pediatrics 26.00 Intensive Care Unit 27.00 Coronary Care Unit 29.00 Surgical Intensive Care Unit 29.01 Surgical - ICU-7 29.02 Surgical - ICU-8 29.03 Pediatric Intensive Care Unit 30.00 Neonatal Intensive Care Unit 31.00 Subprovider I 31.01 Subprovider II 33.00 Nursery ANCILLARY COST CENTERS 37.00 Operating Room 39.00 Delivery Room and Labor Room 40.00 Anesthesiology 41.00 Radiology-Diagnostic 43.01 Ultrasound 43.02 CAT Scan 44.00 Laboratory 44.01 Laboratory-Pathological 44.02 HLA Lab 47.00 Blood Storing, Processing & Trans STATISTICS FOR COST ALLOCATION (W/S B-1) Fiscal Period Ended: JUNE 30, 2008 SCHEDULE 9.1 EMP BENE NON PAT DATA PURCHASING ADMITTING CASHIERING ADMIN & GEN MAINT & OPER LAUNDRY HOUSE- (GROSS PHONE PROCESS (COST OF (GROSS INP (GROSS (ACCUM REPAIRS PLANT & LINEN KEEPING SALARIES) (# INSTRUMT) (MACH TIME) SUPPLIES) REVENUE) REVENUE) COST) (SQ FT) (SQ FT) (LB LNDRY) (SQ FT) 5.00 6.01 6.02 6.03 6.04 6.05 6.06 7.00 8.00 9.00 10.00 (Adj ) (Adj ) (Adj ) (Adj ) (Adj 4) (Adj 5) (Adj ) (Adj ) (Adj ) (Adj ) 2,788,199 17,268,353 426 1,079,290 29 7,974,845 195 4,334 394,214 13,257,537 40 188,677 68,855,317 4,210 3,599 2,969,010 5,899,405 198 77,313 14,015,126 9,616,200 97 223,945 50,406,901 440,521 4 6,252 4,378,928 2,640 2,640 9,136,168 31 25,444 17,492,702 9,954 9,954 8,934,113 134 61,586 17,150,185 26,845 26,845 22,241 26,845 11 1,065,682 25,073 25,073 25,073 13,231,057 347 396 178,171 23,136,739 10,141 10,141 10,141 7,541,949 91 240,151 21,530,691 165,474 165,474 18,636 165,474 4,597,934 67 417 731,892 10,455,513 9,912 9,912 9,912 8,582,153 149 17 681,242 24,788,603 94,546 94,546 94,546 3,145,416 61 16,805 4,935,119 1,565 1,565 1,565 15,755,043 20 34,166 21,640,928 7,908 7,908 7,908 8,342,175 15,588,379 0 424,522 610,209 437 437 437 134,252,467 232 1,483,229 749,371,765 749,370,332 197,435,679 245,413 245,413 2,940,804 245,413 12,854,009 296,320 160,003,531 160,003,531 24,112,407 40,852 40,852 235,975 40,852 1,123,679 8 3,907 15,693,924 15,693,924 1,813,791 2,773 2,773 101,051 2,773 10,091,208 4 134,245 117,864,309 117,864,309 17,306,930 15,944 15,944 86,248 15,944 0 8,977,881 1 178,565 126,022,343 126,022,343 15,866,414 16,146 16,146 147,374 16,146 3,457,645 35,408 33,335,612 33,335,612 5,299,973 5,651 5,651 24,512 5,651 15,237,296 21 170,608 179,458,866 179,458,866 23,688,550 15,659 15,659 71,523 15,659 8,284,696 4 29,502 60,363,671 60,363,671 11,699,687 17,091 17,091 89,336 17,091 4,690,698 9 36,831 24,816,770 24,816,770 6,854,910 11,656 11,656 161,208 11,656 4,018,713 13 81,714 28,259,303 28,259,303 5,864,861 3,560 3,560 110,077 3,560 29,754,066 617 2,543,161 444,909,239 585,456,449 63,966,636 95,425 95,425 569,803 95,425 13,054,695 107 522,780 61,175,887 75,488,257 21,807,473 25,361 25,361 234,606 25,361 18,153,675 40 1,175,729 276,451,803 446,285,096 37,473,870 31,236 31,236 37,371 31,236 14,901,254 370 417 1,411,454 94,369,730 193,969,630 35,320,343 46,462 46,462 239,162 46,462 1,666,346 4 80,519 9,347,127 29,801,839 3,117,455 5,298 5,298 5,298 2,995,510 344 86,960 108,267,164 201,731,626 9,433,776 8,474 8,474 8,474 25,499,843 265 155 338,665 568,827,307 694,170,211 64,204,242 16,208 16,208 16,208 6,507,495 139 155 98,292 26,178,916 62,236,846 17,646,612 30,060 30,060 14,038 30,060 1,565,586 36,327 1,093,778 11,666,069 3,904,666 4,643 4,643 4,643 2,882,594 41 514,130 32,000,109 39,817,972 15,252,813 8,207 8,207 25,310 8,207 This is trial version www.adultpdf.com Provider Name: CEDARS-SINAI MEDICAL CENTER GENERAL SERVICE COST CENTERS 49.00 Respiratory Therapy 50.00 Physical Therapy 51.00 Occupational Therapy 52.00 Speech Pathology 53.00 Electrocardiology 54.00 Electroencephalography 54.01 Electromyography 55.00 Medical Supplies Charged to Patients 56.00 Drugs Charged to Patients 57.00 Renal Dialysis 59.00 Gastro Intestinal Services 59.01 Eye Laboratory 59.02 Cardiac Catheterization Laboratory 59.03 Vascular Laboratory 59.04 Psychiatric/Psychological Services 59.05 Nuclear Medicine - Therapeutic 59.06 Magnetic Resonance Imaging 59.07 Pulmonary Function Testing 59.08 Recreational Therapy 60.00 Clinic 60.01 Psychiatric Clinic 60.02 Medical Oncology 60.03 Psych - Partial Hospitalization 60.04 Clinic 2 - Gen Risk Center 60.05 Clinic 3 - Neuro Surgical Institute 60.06 Clinic 4 - Prostate Cancer Program 60.07 Clinic 5 -Endocrinology Center 60.08 Clinic 6 - Spine Injury Institute 60.09 Clinic 7 - Pediatric Center 60.10 Clinic 8 - Orthopedic Center 60.11 Clinic 9 - Wound Care Program 60.12 Clinic 10 - Cardio Surgical Center 60.13 Clinic 11 - Endourology Institute 60.14 Clinic 12 - Lifeline 60.15 Clinic 13 - Urogynecology 60.16 Clinic 14 - Breast Center 60.17 Clinic 15 - Reproductive Med Center 61.00 Emergency 82.00 Lung Acquisition 83.00 Kidney Acquisition 84.00 Liver Acquisition 85.00 Heart Acquisition 85.01 Pancreas Acquisition NONREIMBURSABLE COST CENTERS 96.00 Gift, Flower, Coffee Shop 97.00 Research 97.01 Research: Davis II 97.02 Research Recharge 98.01 Physician Billing 100.00 Meals-On-Wheels 100.01 Other Nonreimbursable Cost Centers 100.02 Coach Program 100.03 Outpatient Meals 100.04 Community Services TOTAL COST TO BE ALLOCATED UNIT COST MULTIPLIER - SCH 8 STATISTICS FOR COST ALLOCATION (W/S B-1) Fiscal Period Ended: JUNE 30, 2008 SCHEDULE 9.1 EMP BENE NON PAT DATA PURCHASING ADMITTING CASHIERING ADMIN & GEN MAINT & OPER LAUNDRY HOUSE- (GROSS PHONE PROCESS (COST OF (GROSS INP (GROSS (ACCUM REPAIRS PLANT & LINEN KEEPING SALARIES) (# INSTRUMT) (MACH TIME) SUPPLIES) REVENUE) REVENUE) COST) (SQ FT) (SQ FT) (LB LNDRY) (SQ FT) 5.00 6.01 6.02 6.03 6.04 6.05 6.06 7.00 8.00 9.00 10.00 (Adj ) (Adj ) (Adj ) (Adj ) (Adj 4) (Adj 5) (Adj ) (Adj ) (Adj ) (Adj ) 9,899,153 30 38 128,757 286,879,524 292,629,267 23,200,637 8,646 8,646 5,228 8,646 5,651,351 143 11 50,900 33,826,644 41,779,821 9,250,326 11,302 11,302 32,782 11,302 2,241,355 5 8,352 18,268,342 22,511,543 3,596,762 1,695 1,695 6,985 1,695 908,297 13 1,160 6,063,853 8,339,831 1,385,493 387 387 387 3,758,833 104 171 45,757 72,474,387 98,869,613 10,348,615 13,201 13,201 26,723 13,201 1,707,309 34 27 90,694 18,608,475 21,049,131 3,460,843 2,207 2,207 4,835 2,207 46,246 1 930 942,870 1,342,237 106,656 546 546 546 439,638 21 69,692,003 432,937,404 522,478,410 95,202,943 2,717 2,717 116,537 2,717 15,847,229 92 191,673 401,339,399 462,202,429 65,846,050 5,886 5,886 5,886 11 3,774 29,834,486 31,845,109 6,723,868 1,592 1,592 25,463 1,592 5,562,612 165 14 899,223 14,515,764 51,780,517 12,049,826 13,546 13,546 84,876 13,546 34,777 643,684 71,218 466 466 466 3,389,475 115 141,283 60,636,722 81,800,167 7,703,523 12,253 12,253 40,122 12,253 1,631,677 14 1,800 32,111,440 49,819,261 3,474,193 1,993 1,993 55,879 1,993 371,389 13 26,224 973,424 4,444,067 637,166 1,721 1,721 8,630 1,721 3,694,377 71 15 155,505 29,348,651 116,313,021 10,938,455 12,537 12,537 97,429 12,537 3,866,529 7 143,506 46,212,154 140,454,524 11,100,934 25,557 25,557 102,238 25,557 311,106 8 5,240 788,979 3,728,114 674,984 2,244 2,244 2,244 72,251 188 833,837 833,837 115,585 1,360,308 143 31,540 191,357 3,726,970 3,099,435 16,461 16,461 9,101 16,461 1,497,420 110 17 15,556 4,161 6,939,317 2,823,882 11,084 11,084 25 11,084 54,964 22 27,668 6,724,948 315,812,474 82,219,917 72,775 72,775 213,912 72,775 384,633 34 3,129 3,852 2,902,036 665,755 1,511 1,511 1,511 119,815 1 255 124,968 240,147 1,769 1,769 1,769 2,323,482 134 73,805 15,277 1,367,847 3,775,868 8,914 8,914 8,914 22,421 88 8,265 204 194,947 246,983 2,575 2,575 2,575 454,991 44 6,664 1,313 973,406 771,791 1,681 1,681 135 1,681 1,301,080 144 64,966 8,599 2,992,983 2,787,510 12,522 12,522 12,522 1,093,698 14 29,938 3,729 1,490,379 1,948,211 7,951 7,951 7,951 1,924,440 110 45,609 11,091 4,436,058 2,988,841 1,397 1,397 1,625 1,397 0 926,585 15 18,277 4,180 334,761 1,352,747 654,870 18,074 7,749 2,131,706 1,254,701 3,829 3,829 3,829 182,187 7 7,063 607,517 643,185 107 107 107 150,955 10,002 277 903,282 416,073 1,250 1,250 1,703 1,250 751,254 31 24,957 1,143 2,272,769 1,374,011 4,598 4,598 7,473 4,598 377,556 13,813 1,876,945 790,359 1,823 1,823 1,880 1,823 16,269,455 211 706,339 114,227,383 260,197,483 28,116,585 23,564 23,564 393,271 23,564 71,193 2 9,363 1,112,518 1,070,060 81 81 81 1,521,515 15 27 9,670 11,030,486 5,805,987 1,094 1,094 1,094 611,541 8 72,616 2,814,497 2,578,309 609 609 609 197,531 1 2,190 2,239,863 1,966,725 174 174 174 186,868 15 181,726 4,282 4,282 4,282 5,539,780 706 379,568 94,875,122 157,143 157,143 11,762 157,143 0 51,422 2,434 276,367 5,096 5,096 5,096 3,389,387 14 72,988 5,857,467 10,261 10,261 10,261 30,719 795 795 795 311,700 9 47 3,167,483 570 570 570 575,767 26 27,730 1,405,964 10,756 10,756 10,756 530,370 409,813 10 31,136 170,197 289 289 289 628,362,399 11,079 9,821 88,387,845 4,725,612,772 6,415,160,451 1,328,774,232 1,924,592 1,484,071 6,377,889 1,471,477 218,152,314 9,861,513 86,480,071 1,784,783 53,466,307 33,962,194 212,727,760 16,258,852 62,198,203 5,212,911 20,794,434 0.347176 890.108577 8805.627881 0.020193 0.011314 0.005294 0.160093 8.447948 41.910530 0.817341 14.131674 This is trial version www.adultpdf.com Provider Name: CEDARS-SINAI MEDICAL CENTER GENERAL SERVICE COST CENTERS 3.00 New Cap Rel Costs - Bldg & Fixtures 4.00 New Cap Rel costs - Mvble Equipment 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 5.00 Employee Benefits 6.01 Non-Patient Telephones 6.02 Data Processing 6.03 Purchasing, Receiving & Stores 6.04 Admitting 6.05 Cashiering / Accounts Receivable 6.06 Other Administrative & General 7.00 Maintenance and Repairs 8.00 Operation of Plant 9.00 Laundry and Linen Service 10.00 Housekeeping 11.00 Dietary 12.00 Cafeteria 14.00 Nursing Administration 15.00 Central Services & Supply 16.00 Pharmacy 17.00 Medical Records and Library 18.00 Social Service 22.00 I&R Services - Salary & Fringes 23.00 I&R Services - Other Program 24.00 Paramedical Ed Program 24.01 Paramedical Ed Program-Pharmacy INPATIENT ROUTINE SERVICES CENTERS 25.00 Adults and Pediatrics 26.00 Intensive Care Unit 27.00 Coronary Care Unit 29.00 Surgical Intensive Care Unit 29.01 Surgical - ICU-7 29.02 Surgical - ICU-8 29.03 Pediatric Intensive Care Unit 30.00 Neonatal Intensive Care Unit 31.00 Subprovider I 31.01 Subprovider II 33.00 Nursery ANCILLARY COST CENTERS 37.00 Operating Room 39.00 Delivery Room and Labor Room 40.00 Anesthesiology 41.00 Radiology-Diagnostic 43.01 Ultrasound 43.02 CAT Scan 44.00 Laboratory 44.01 Laboratory-Pathological 44.02 HLA Lab 47.00 Blood Storing, Processing & Trans STATISTICS FOR COST ALLOCATION (W/S/ B-1) Fiscal Period Ended: JUNE 30, 2008 SCHEDULE 9.2 DIETARY CAFETERIA NURSING CENT SERV PHARMACY MED REC SOC SERV I&R SERVICE I&R SERVICE PARAMED ED PARAMED ED (MEALS ADMIN & SUPPLY (COSTED (GROSS (TIME SALARY & FRI OTHER PRG PROGRAM PRG-PHARM SERVED) (FTE) (NURSE FTE) (CST REQ) REQUIS) REVENUE) SPENT) (ASSIGN TIME) (ASSIGN TIME) (ASSIGN TIME) (ASSIGN TIME) 11.00 12.00 14.00 15.00 16.00 17.00 18.00 22.00 23.00 24.00 24.01 (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) (Adj 5) (Adj ) (Adj ) (Adj ) (Adj ) (Adj ) 12,825 11,518 3,923 425,159 15,069 64,055 212 4,084 41,592 9,507 32,084 35,275 561 638,662 133,837 81,406 4,112,189 55,416 749,370,332 38,580 240,095 240,095 240,095 24,670 12,655 8,402 863,516 8,938 160,003,531 5,580 2,664 1,084 646 16,716 206 15,693,924 2,080 18,945 9,211 6,408 383,761 4,301 117,864,309 2,080 2,246 2,246 2,246 14,849 7,942 6,184 448,375 4,039 126,022,343 2,080 5,736 2,785 2,272 114,661 1,343 33,335,612 1,560 12,641 10,418 436,279 4,243 179,458,866 5,200 6,240 6,240 6,240 72,095 8,688 6,109 64,567 353 60,363,671 54,683 54,683 54,683 27,363 4,684 2,923 131,880 2,703 24,816,770 4,160 5,637 5,637 5,637 3,073 2,689 275,491 140 28,259,303 34,466 14,220 1,023,816 31,446 585,456,449 121,014 121,014 121,014 13,465 7,082 849,140 15,357 75,488,257 2,642 2,642 2,642 18,874 11,196 2,755,945 386,398 446,285,096 51,210 51,210 51,210 24,102 1,564 3,203,504 429 193,969,630 24,378 24,378 24,378 2,010 110,898 22 29,801,839 3,625 510,244 69 201,731,626 35,675 674 469,163 40,829 694,170,211 26,666 26,666 26,666 8,771 3 217,861 267 62,236,846 35,880 35,880 35,880 1,816 88,359 580 11,666,069 3,609 973 9,658,577 8,851 39,817,972 This is trial version www.adultpdf.com [...]... Dialysis Gastro Intestinal Services Eye Laboratory Cardiac Catheterization Laboratory Vascular Laboratory Psychiatric/ Psychological Services Nuclear Medicine - Therapeutic Magnetic Resonance Imaging Pulmonary Function Testing Recreational Therapy Clinic Psychiatric Clinic Medical Oncology Psych - Partial Hospitalization Clinic 2 - Gen Risk Center Clinic 3 - Neuro Surgical Institute Clinic 4 - Prostate Cancer... 14 - Breast Center Clinic 15 - Reproductive Med Center Emergency Lung Acquisition Kidney Acquisition Liver Acquisition Heart Acquisition Pancreas Acquisition NONREIMBURSABLE COST CENTERS Gift, Flower, Coffee Shop Research Research: Davis II Research Recharge Physician Billing Meals-On-Wheels Other Nonreimbursable Cost Centers Coach Program Outpatient Meals Community Services CEDARS-SINAI MEDICAL CENTER . Laboratory 59.04 Psychiatric/ Psychological Services 59.05 Nuclear Medicine - Therapeutic 59.06 Magnetic Resonance Imaging 59.07 Pulmonary Function Testing 59.08 Recreational Therapy 60.00 Clinic 60.01 Psychiatric. Cost Centers 100.02 Coach Program 100.03 Outpatient Meals 100.04 Community Services TOTAL COMPUTATION OF COST ALLOCATION (W/S B) SCHEDULE 8.1 Fiscal Period Ended: JUNE 30, 2008 ADMINIS- ALLOC. Laboratory 44.01 Laboratory-Pathological 44.02 HLA Lab 47.00 Blood Storing, Processing & Trans COMPUTATION OF COST ALLOCATION (W/S B) SCHEDULE 8.2 Fiscal Period Ended: JUNE 30, 2008 CENTRAL MEDICAL