SCHEDULE 5 PROGRAM: NON CONTRACT SCHEDULE OF MEDICAL ANCILLARY COSTS_part5

TRUNG TÂM CHI PHÍ phụ trợ hoạt động phòng phục hồi Phòng Giao hàng tận nơi trong phòng và phòng X Quang Lao động - Gây mê - Chẩn đoán X Quang - đồng vị phóng xạ Phòng thí nghiệm điều trị Bệnh Lý Phòng thí nghiệm toàn bộ máu Blood Lưu trữ và chế biến tĩnh mạch trị liệu hô hấp trị liệu vật lý trị liệu | STATE OF CALIFORNIA COMPUTATION OF COST ALLOCATION W S B SCHEDULE Provider Name ALHAMBRA HOSPITAL MEDICAL CENTER NON- TRIAL BALANCE ALLOC ALLOC ALLOC PHYSICIAN EXPENSES COST COST COST ANESTH Fiscal Period Ended JUNE 30 2007 POST INT RES STEP-DOWN TOTAL NURSING SALARY INT RES PARAMED SUBTOTAL ADJUSTMENT COST SCHOOL FRINGES PROGRAM EDUCAT Adj. 4 12 ANCILLARY COST CENTERS Operating Room Recovery Room Delivery Room and Labor Room Anesthesiology Radiology - Diagnostic Radiology - Therapeutic Radioisotope Laboratory Pathological Lab Whole Blood Blood Storing and Processing Intravenous Therapy Respiratory Therapy Physical Therapy Occupational Therapy Speech Pathology Electrocardiology Electroencephalography Medical Supplies Charged to Patients Drugs Charged to Patients Renal Dialysis ASC Non-Distinct Part Clinic Other Clinic Services Emergency Observation Beds 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NONREIMBURSABLE COST CENTERÍ Gift Flower Coffee Shop Canteen Research Physicians Private Office Nonpaid Workers Marketing Outpatient Dailysis Whittier - NRCC El Monte - NRCC Garfield - NRCC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 0 0 0 0 0 0 0 3 167 973 3 167 973 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 434 853 2 434 853 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 431 248 431 248 0 0 0 3 175 765 3 175 765 0 0 0 0 0 0 0 0 873 403 873 403 0 0 0 0 0 0 0 0 0 0 0 0 0 2 532 287 2 532 287 0 0 0 699 685 699 685 0 0 0 0 0 0 0 0 77 916 77 916 0 0 0 735 125 735 125 0 0 0 75 .