STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS Page 1 _part1

Tham khảo tài liệu 'state of california adjustments to reported costs page 1 _part1', tài chính - ngân hàng, kế toán - kiểm toán phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS Schedule 8A-2 Page 1 Provider Name GRAND PARK CONVALESCENT HOSPITAL 135. ŨŨ 136. ŨŨ 4 Hospice Inpatient Care Other Routine Services Residential Care Beauty and Barber Other Nonreimbursable Social Services Social Services - Salaries and Wages Social Services - Fringe Benefits Social Services - Agency staff Social Services - other - Nonlabor Activities Activities - Salaries and Wages Activities - Fringe Benefits Activities - Agency staff Activities - Other - Nonlabor Administration Administration - Salaries and Wages Administration - Fringe Benefits Administration - Medical Records - Salaries and Wages Administration - Medical Records - Fringe Benefits Administration - Medical Records - Agency staff Administration - Medical Records - other - Nonlabor Administration - Facility License Fees Administration - Liability Insurance Administration - Caregiver Training Administration - Quality Assurance Fees Administration - other - Nonlabor Inservice Education - Nursing Inservice Education - Nursing - Salaries and Wages Inservice Education - Nursing - Fringe Benefits Inservice Education - Nursing - Agency staff Inservice Education - Nursing - other - Nonlabor Total Provider Number ZZT06244I Provider NPI 1043251622 OSHPD Facility Number 206190158 Fiscal Period JANUARY 1 2008 THROUGH DECEMBER 31 2008 TOTAL ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ Pages 1 2 3 10 11 12 13 14 15 16 17 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 119 0 201 219 16 380 0 0 0 0 36 917 36 917 113 923 122 014 0 456 610 521 737 747 310 29 265 36 917 122 014 521 737 0 0 0 0 0 370 121 0 0 0 0 0 0 0 121 233 To Sch 8 STATE OF CALIFORNIA ADJUSTMENTS TO REPORTED COSTS Provider Name GRAND PARK CONVALESCENT HOSPITAL AUDIT ADJ 19 Provider Number ZZT06244I Provider NPI 1043251622 AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 20 21 22 23 Schedule 8A-2 Page 2 OSHPD Facility .

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