STATE OF CALIFORNIARECONCILIATION OF THE PROVIDER'S RECORDS/ADJUSTMENTS TO THE AUDIT

Tham khảo tài liệu 'state of californiareconciliation of the provider's records/adjustments to the audit', tài chính - ngân hàng, kế toán - kiểm toán phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | STATE OF CALIFORNIA RECONCILIATION OF THE PROVIDER S RECO Provider Name Provider Number NPI HIGHLAND PARKSKILLED NURSING AND WELLNESS CENTER LTC55165J 1033191374 AUDIT ADJ AUDIT ADJ AUDIT ADJ 10 11 12 AUDIT ADJ 13 Plant Operations and Maintenance Plant Operations and Maintenance - Salaries and Wages Plant Operations and Maintenance - Fringe Benefits Plant Operations and Maintenance - Agency staff Plant Operations and Maintenance - other - Nonlabor 339 339 Housekeeping Hou keeping - Fringe Benefits keeping - Agency staff Jtary - Fringe Benefits Dietary - other - Nonlabor lent Supplies - Salaries and Wages 75. ient Supplies - Fringe Benefits 75. lent Supplies - Agency staff 75. 80. 80. 80. sical Therapy - Fringe Benefits Dietary - Agency staff ikeeping - Salaries and Wages sekeeping - other - Nonlabor . and Linen Laundry and Linen - Salaries and Wages íMúàin y and Linen - Fringe Benefits 6O. 5yK indry and Linen - Agency staff Laundry and Linen - other - Nonlabor pstient Supplies ta y - Salaries and Wages lent Supplies - other - Nonlabor sical Therapy - Salaries and Wages 1 358 1 358 1 425 1 425 Physical Therapy - Agency staff Physical Therapy - other - Nonlabor Respiratory Therapy Respiratory Therapy - Salaries and Wages Respiratory Therapy - Fringe Benefits Respiratory Therapy - Agency staff Respiratory Therapy - other - Nonlabor Occupational Therapy Occupational Therapy - Salaries and Wages Occupational Therapy - Fringe Benefits Occupational Therapy - Agency staff Occupational Therapy - other - Nonlabor Speech Pathology RDS ADJUSTMENTS TO THE AUDIT REPORT Schedule 8A-1 Page 2 OSHPD Facility Number Fiscal Period 206190604 FEBRUARY 15 2008 THROUGH DECEMBER 31 2008 AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ 14 15 STATE OF CALIFORNIA RECONCILIATION OF THE PROVIDER S R ECO

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