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
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 9.2

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 )
12,094
291
870,672
271
292,629,267
7,761
30,458

39
41,779,821
2,818
19,579
121
22,511,543
1,020
8,766
8,339,831
5,247
603
68,674
170
98,869,613
1,792
184
125,090
21,049,131
104
1,342,237
5,220
198
15,674,904
32,337
522,478,410
17,854
1,487
229,605
36,215,032
462,202,429

100
6,440
89
31,845,109
5,855
2,163
1,181,844
17,072
51,780,517
17,098
17,098
17,098
51
81
643,684
3,869
942
20,028
4
81,800,167
1,981
6,190
49,819,261
393
216
42,725
4
4,444,067
4,005
143,191

183,972
116,313,021
166
166
166
4,705
758,349
151
140,454,524
417
22,717
1,196
3,728,114
13,187
13,187
13,187
102
884
833,837
1,850
479
72,313
3,225
3,726,970
2,080
12,646
12,646
12,646
1,902
45

3,727
6,939,317
22
38
12,841
38
315,812,474
463
43
455
2,902,036
125
35
2,425
124,968
73
2,745
538
28,290
3
1,367,847
800
40
4
642
194,947
114
665
167
4,507

14
973,406
569
2,449
304
14,840
619
2,992,983
1,750
1,405
425
17,685
1,971
1,490,379
871
3,071
726
55,271
1,145
4,436,058
2,593
1,228
291
851
334,761
196
988
109
10,316
198

2,131,706
1,246
302
143,501
607,517
355
256
35
10,999
219
903,282
528
1,065
186
30,962
181
2,272,769
1,329
605
85
9,152
37
1,876,945
1,097
16,955
8,191
564,332
12,501
260,197,483
4,160

6,136
6,136
6,136
64
4,311
10,576
1,112,518
1,040
1,364
491
2,951
200
11,030,486
978
735
167
17,944
8,716
2,814,497
1,061
129
103
779
3,601
2,239,863
6,996
471,402
56,182
78
1,948

1,923
7,217
4,033
11,361
106
531
102
9,179
2,160
82,080
507
3,256
8,135
898,425 552,228 181,817 47,010,051 37,137,832 6,415,160,451 82,160 619,924 619,924 619,924 100
21,645,230
2,853,252
27,561,033
35,723,795
13,111,951
34,980,986
5,882,189
25,808,060
18,083,972
0
738,980
24.092417
5.166801
151.586666
0.759918
0.353062

0.005453
71.594318
41.631006
29.171273
0.000000
7389.795227
This is trial version
www.adultpdf.com