Professional Documents
Culture Documents
PHONE NO:
OWNER:
90057
GENERAL INFORMATION
TYPE OF CONTROL:
TYPE OF CARE:
Null
LICENSED BEDS*
67
ACUTE
272
LONG-TERM
27
TOTAL
OCCUPANCY RATE
Los Angeles
11
HFPA NO:
0925
EMERGENCY SERVICES
INTENSIVE
67
ACUTE
366
35.90%
243
LONG-TERM
27
ORTHOPEDIC
337
PSYCHIATRIC
39.00%
HELICOPTER
TOTAL
OCCUPANCY RATE
EMERGENCY ROOM
OTHER
OTHER
NO. BASSINETS
TOTAL
MEDICARE
TRADITIONAL
29,833
4,356
6.8
5.9
29,491
2,623
$413,257,330
$145,319,884
$474,144,018
$62,466,989
$21,966,207
$2,094
$14,340
$745
MEDICARE
MANAGED CARE
6,271
1,352
4.6
4.1
9,850
1,046
$75,128,220
$42,290,753
$99,594,489
$17,915,416
$10,084,844
$2,857
$13,251
$1,024
MEDI-CAL
TRADITIONAL
2,959
514
5.8
5.7
4,302
1,091
$50,660,098
$22,404,647
$60,180,079
$8,933,699
$3,950,967
$3,019
$17,381
$918
MEDI-CAL
MANAGED CARE
2,462
523
4.7
4.7
9,931
3,248
$46,060,852
$31,495,663
$70,211,568
$4,362,168
$2,982,779
$1,772
$8,341
$300
CO. INDIGENT
TRADITIONAL
CO. INDIGENT
MANAGED CARE
THIRD PARTY
TRADITIONAL
849
185
4.6
4.6
566
327
$5,893,413
$1,662,580
$5,932,393
$1,266,351
$357,249
$1,492
$6,845
$631
THIRD PARTY
MANAGED CARE
5,259
OTHER
INDIGENT
5
OTHER
PAYERS
304
1,250
4.2
2
2.5
63
4.8
2.5
4.8
22,258
36
1,911
47,942
8,245
5.8
5.2
78,345
11,759
$703,560,224
$337,002,302
$867,548,503
$121,760,836
$61,428,963
$2,540
$14,768
$784
70,906
$2,584
1,886
36
1,502
$112,117,974
$44,342
$397,995
$92,255,108
$155,525,091
$211,020
$255,362
$1,362,647
$1,705,503
$26,797,745
$18,468
$22,050,246
$36,671
6/24/2015
1 OF 5
07/01/2013
06/30/2014
(213)484-7111
DAUGHTERS OF CHARITY HEALTH SYSTEM
COUNTY:
HSA NO:
AVAILABLE BEDS
INTENSIVE
DATE PREPARED:
PAGE:
REPORT PERIOD:
THRU
$5,096
$61
$21,438
$293
$991
$19
FACILITY NO:106190762
ST. VINCENT MEDICAL CENTER
LIVE BIRTH SUMMARY
NATURAL BIRTHS
CESAREAN SECTIONS
TOTAL LIVE BIRTHS
$1,040,562,526
$5,530,363
$470,903,610
$98,936,943
$60,148,911
$70,178,483
$5,890,080
$153,946,285
$642,527
$1,371,301
$867,548,503
$10,175,776
$183,189,799
$3,657,799
$229,806,233
($42,958,635)
$14,404,651
$2,780,284
($31,334,268)
$64,681,581
$37,526,591
$5,955,807
$2,696,371
$42,169,027
$44,723,314
$12,400,434
$1,557,711
$3,378,550
$14,716,847
$229,806,233
$39,318,697
$9,212,616
$85,328,183
$3,900,966
$852,534
$897,434
$37,020,189
$4,598,464
$34,567,021
$14,110,129
$229,806,233
$217,169,490
$80,818,794
$742,574,242
$1,040,562,526
PERCENT OF TOTAL
20.9
7.8
71.4
100.0
3 OF 5
$107,490,077
$126,029,267
$233,519,344
EQUITY
TOTAL LIABILITIES AND EQUITY
$137,655,113
($95,864,231)
$137,655,113
FORMULAS
CURRENT RATIO
0.53% (PROVISION FOR BAD DEBTS / TOTAL GROSS PATIENT REVENUE) X 100
PROFITABILITY RATIOS
NET RETURN ON OPERATING ASSETS
( 30.69%) ((NET FROM OPERATIONS + INTEREST-WORKING CAPITAL + INTERESTOTHER) / (TOTAL CURRENT ASSETS + NET PROPERTY, PLANT AND
EQUIPMENT)) X 100
32.69% (NET INCOME / EQUITY) X 100
( 22.99%) (NET FROM OPERATIONS / TOTAL OPERATING REVENUE) X 100
1.45 TOTAL OPERATING REVENUE / (TOTAL CURRENT ASSETS + NET PROPERTY,
PLANT, AMD EQUIPMENT)
UNITS OF
SERVICE
UNIT
CODE
GROSS REV
PER UNIT
3,506
$10,497.78
$2,261.24
$4,506.89
$801.13
CORONARY CARE
BURN CARE
DEFINITIVE OBSERVATION
MEDICAL/SURGICAL ACUTE
1
1
OBSTETRICS ACUTE
1
8,288
$2,656.09
$356.94
47,942
$4,529.84
$820.13
NURSERY ACUTE
AMBULATORY SERVICES
EMERGENCY SERVICES
CLINICS
ADJ DIRECT
EXP PER UNIT
1
31,128
PEDIATRIC ACUTE
ADJ REV
PER UNIT
3
15,941
$3,159.47
$255.15
26,955
$1,129.79
$190.59
OBSERVATION CARE
ADJ TOTAL
EXP PER UNIT
PROFIT/LOSS
PER UNIT
UNITS OF
SERVICE
UNIT
CODE
795,922
55,638
364,616
11,921
46,557
2,199
9,223
55,309
49,015
162,057
7
8
9
10
11
11
11
11
14
12
11
27
GROSS REV
PER UNIT
ADJ REV
PER UNIT
$262.22
$57.87
$238.13
$5,654.59
$1,459.36
$6,979.18
$3,218.10
$1,283.09
$519.37
$15.28
$388.87
$19.16
$670.49
$141.19
$375.58
$63.41
$109.46
$47.68
$288.92
$16.29
UNITS OF
SERVICE
143,826
928,708
1,974
618,435
703,754
1,040,563
7,797
UNIT
CODE
16
17
18
19
20
21
22
ADJ DIRECT
EXP PER UNIT
$10.07
$0.52
$258.06
$5.48
$17.17
$1.10
$228.92
UNITS OF
SERVICE
937
70,906
304
7,797
3,386
1,040,563
UNIT
CODE*
23
24
25
22
26
21
20
ADJ DIRECT
EXP PER UNIT
$19,808.06
$26.24
$5,519.20
$551.29
$241.97
$1.69
DATE PREPARED:
PAGE:
REPORT PERIOD:
THRU
6/24/2015
5 OF 5
07/01/2013
06/30/2014
MANAGEMENT
AND
SUPERVISION
1.59%
6.38%
7.30%
4.59%
TECHNICAL
AND
SPECIALIST
1.79%
16.49%
47.41%
22.72%
REGISTERED
NURSES
65.02%
21.91%
20.71%
40.98%
LICENSED
VOCATIONAL
NURSES
3.77%
0.72%
0.05%
1.83%
AIDES
AND
ORDERLIES
16.64%
0.06%
3.58%
9.06%
7.20%
%
9.65%
10.01%
24.89%
22.93%
50.98%
51.10%
5.01%
32.64%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
7.83%
2.98%
25.76%
%
28.94%
%
1.29%
%
6.40%
%
$0.00
$0.00
$0.00
$0.00
$0.00
ENVIRON.
AND
FOOD SERV.
%
%
%
%
%
%
16.33%
%
%
CLERICAL
AND OTHER
EMPLOYEES
10.29%
52.82%
20.17%
19.89%
69.86%
49.02%
22.92%
84.98%
42.48%
REGISTRY
AND
TEMP HELP
0.90%
1.63%
0.78%
0.94%
%
%
0.50%
0.40%
1.35%
TOTAL
PRODUCTIVE
HOURS
543,679
154,145
499,869
1,197,693
25,697
12,545
156,600
91,438
208,198
TOTAL
PAID
HOURS
638,081
176,837
575,026
1,389,944
30,528
13,712
178,975
104,703
241,384
1.51%
%
27.38%
97.02%
0.90%
%
1,696,120
5,208
1,959,246
5,621
$0.00
$0.00
$0.00
811
6
304
5
8. Street Address:
2131 WEST THIRD STREET
9. City:
LOS ANGELES
10.Zip Code:
90057
12. City:
15. Title:
CEO
30. State :
CA
37.
Through:
06/30/2014
39.
Through:
06/30/2014
40. Was this disclosure report completed after an independent financial audit ?
__X__
Yes
____
No
41. Are audit adjustments made by the independent auditor reflected in this report ?
__X__
Yes
____
No
HOSPITAL DESCRIPTION
MISC INFORMATION
(1)
TYPE OF CONTROL
(2)
06/30/2014
TYPE OF CARE
(3)
Line
No
366
Church
Short-Term - General
10
Available Beds
337
Non-Profit Corporation
Short-Term - Childrens
10
15
192
Non-Profit Other
Short-Term - Psychiatric
15
20
HSA No
Investor - Individual
Short-Term - Specialty
20
25
Investor - Partnership
Long-Term - General
25
30
Investor - Corporation
Long-Term - Childrens
30
35
State
Long-Term - Psychiatric
35
40
County
Long-Term - Specialty
40
45
Regional
City/County
45
50
Community
City
50
55
Intermediate
District
Line
No
11
GOVERNMENT PROGRAMS
(1)
55
PREPAID PROGRAMS
(2)
No.of
Each Type
24 HR. ON PREMISES
COVERAGE
(3)
Line
No
60
Medicare
HospitalBased
Emergency Services
60
65
Medi-Cal
Psychiatric ER
65
70
State Contracts
Physician
70
75
Short-Doyle
Federal Contracts
Pharmacist
75
80
CHAMPUS
Operating Room
80
85
County Indigent
Laboratory Services
85
90
Other (Specify)
Other (Specify)
Radiology Services
90
95
Anesthesiologist
95
100
100
105
105
ACTIVE MEDICAL STAFF PROFILE - MD's, DO's, Podiatrists and Dentists (Enter No)
Line
No
CLINICAL SPECIALTY
HOSPITAL BASED
Board
Certified
(1)
Board
Eligible
(2)
NON-HOSPITAL BASED
Other
(3)
Board
Certified
(4)
Board
Eligible
(5)
Other
(6)
RESIDENTS/FELLOWS
(Enter FTEs)
Residents
(7)
115
7
120
21
125
130
135
140 Dental
140
145 Dermatology
150 Diagnostic Radiology
Fellows
(8)
110
Line
No
145
1
150
155
160 Gastroenterology
12
160
165
15
190 Neurology
170
0.75
175
180
185
190
195
200
205
210 Oncology
210
215 Ophthalmology
215
220
HOSPITAL DESCRIPTION
CLINICAL SPECIALTY
HOSPITAL BASED
Board
Certified
(1)
Board
Eligible
(2)
NON-HOSPITAL BASED
Other
(3)
Board
Certified
(4)
230 Otolaryngology
235 Pathology
Board
Eligible
(5)
Other
(6)
06/30/2014
RESIDENTS/FELLOWS
(Enter FTEs)
Residents
(7)
Fellows
(8)
0.66
4.00
Line
No
225
230
235
240 Pediatric-Allergy
240
245 Pediatric-Cardiology
245
250 Pediatric-Surgery
250
255 Pediatrics
255
260
265
270 Podiatry
275 Psychiatry
270
275
280
285
290
295
300
305 Urology
46
163
32
320 TOTAL
11
0.50
305
310
315
1.91
4.00
320
SERVICES INVENTORY
Line
No
(1)Co
de
10
Burn
15
Coronary
20
06/30/2014
(2)
Code
(3)Co
de
Microbiology
Dental
Necropsy
Dermatology
Serology
Diabetes
Medical
Surgical Pathology
Drug Abuse
25
Neonatal
Family Therapy
30
Neurosurgical
Computed Tomography
Group Therapy
35
Pediatric
Cystoscopy
Hypertension
40
Pulmonary
Metabolic
45
Surgical
Neurology
50
Ultrasonography
Neonatal
55
X-Ray - Radiology
Obesity
60
DIAGNOSTIC/THERAPEUTIC
SERVICES
Obstetrics
65
Geriatric
Audiology
Ophthalmology
70
Medical
Biofeedback Therapy
Orthopedic
75
Neonatal
Cardiac Catheterization
Otolaryngology
80
Oncology
Cobalt Therapy
Pediatric
85
Orthopedic
Diagnostic Radioisotope
Pediatric Surgery
90
Pediatric
Echocardiology
Podiatry
95
Physical Rehabilitation
Electrocardiology
Psychiatric
100
Post Partum
Electroencephalography
Renal
105
Surgical
Electromyography
Rheumatic
107
110
Endoscopy
Rural Health
Surgery
115
Gastro-Intestinal Laboratory
120
125
Lithotripsy
130
Hospice Care
Nuclear Medicine
135
Occupational Therapy
140
LONG-TERM CARE
Physical Therapy
145
150
155
Intermediate Care
Radiation Therapy
160
Residential/Self Care
Radium Therapy
165
Self Care
Radioactive Implants
Jail Care
170
Recreational Therapy
175
Sub-Acute Care
177
Sub-Acute Care-Pediatric
179
180
Speech-Language Pathology
AMBULATORY SERVICES
185
Alcohol
Spotcare Medicine
190
Drug
Stress Testing
195
Therapeutic Radioisotope
200
Alcohol
205
Drug
PSYCHIATRIC SERVICES
CODE
1- Service is available at the hospital.
SERVICES INVENTORY
Line
No
(1)Co
de
06/30/2014
(2)
Code
(3)Co
de
210
PSYCHIATRIC SERVICES
215
220
OTHER SERVICES
225
Milieu Therapy
230
Night Care
Dietetic Counseling
Psychiatric Therapy
Psychopharmacological Therapy
Family Planning
Genetic Counseling
235
240
OBSTETRIC SERVICES
245
Abortion Services
Sheltered Workshop
250
RENAL DIALYSIS
Medical Research
255
Hemodialysis
260
Infertility Services
Patient Representative
265
Peritoneal
270
SURGERY SERVICES
Self-Dialysis Training
275
Dental
Organ Acquisition
Toxicology/Antidote Information
280
General
Blood Bank
Vocational Services
285
Gynecological
290
Heart
Pharmacy
295
Kidney
300
Neurosurgical
EMERGENCY SERVICES
305
Open Heart
310
Ophthalmologic
315
Organ Transplant
320
325
Approved Fellowship
Non-Approved Residency
Orthopedic
Otolaryngologic
Heliport
330
Pediatric
Medical Transportation
335
Plastic
340
Podiatry
345
Thoracic
350
Urologic
Nurse Anesthetist
355
Anesthesia Services
Trauma Treatment E. R.
Nurse Practitioner
Nurse Midwife
Occupational Therapist
360
365
LABORATORY SERVICES
CLINIC SERVICES
370
Anatomical Pathology
AIDS
Pharmacy Intern
375
Chemistry
Alcoholism
Physician's Assistant
380
Clinical Pathology
Allergy
Physical Therapist
385
Cytogenetics
Cardiology
Registered Nurse
390
Cytology
Chest Medical
Respiratory Therapist
395
Hematology
Child Diagnosis
400
Histocompatibility
Child Treatment
405
Immunology
Communicable Disease
CODE
1- Service is available at the hospital.
06/30/2014
A. Are any costs included which are a result of transactions with a related organizations as defined in 42 CFR 413.17?
1.
Yes
B. Are any costs included which are a result of transactions with a related organization of which a hospital employee, board member or member of
the which medical staff, or relative of such person is an officer or owner ? (Ignore stock ownership less than 3%)
2.
Yes
C. Complete the following to show the relationships of the hospital with related organizations and with organizations with related personnel from
the hospital obtained services, facilities, or supplies during the reporting period.
Line
No
Code
(1)
Percent
Ownership of
Hospital (3)
Related Organizations
Name
(4)
Percent
Ownership(5)
Type of Business
(6)
3
4
5
6
7
8
9
10
11
12
Expense Included on
Line
Amount
No
(7)
(8)
Page
(9)
Column (10)
3
4
5
6
7
8
9
10
11
12
COMMENTS:
13
14
15
16
Codes
Use Codes A,B, and G to indicate the relationship of the hospital to related organizations and codes C,D,E,F and G to indicate relationship of hospital with organizations
with related personnel.
A. Corporation, partnership or other organization has ownership interest in hospital. [Complete columns (4) through (11).]
B. Hospital has ownership interest (stockholder, partner, etc.) in both related organization and hospital. [Complete columns (4) through (11).]
C. Individual has ownership interest (stockholder, partner, etc.) in both related organization and hospital. (Complete all columns.)
D. Director, officer, administrator or key person or relative of such person has ownership interest in related organization. [Complete columns(2),(4) through (11).]
E. Individual is director, officer, administrator or key person of hospital and related organization. [Complete columns(2), (4) through (11).]
F. Director, officer, administrator or key person or related organization or relative of such person has ownership interest in hospital. [Complete columns(2),(4) through (11).]
G. Other (ownership or non-financial) interest, specify on lines 13-16. (complete columns as applicable.)
NOTE: Relatives are defined as: spouse, son, daughter, grandchild, great grandchild, stepchild, brother, sister, half-brother, half-sister, stepbrother,
stepsister, parent, grandparent, great grandparent, stepmother, stepfather, niece, nephew, aunt, uncle, son-in-law, daughter-in-law,
father-in-law, mother-in-law, brother-in-law, or sister-in-law.
Line (11)
06/30/2014
Partners
Corporation Officers
prietorship
Line
No
Name
(1)
Percentage
of
Customary
Work Week
Devoted to
Business
(3)
Percent
Share of
Operation
Profit or
(Loss)
(4)
Percentage
of
Customary
Work Week
Devoted to
Business
(5)
Percent of
Provider's
Stock
Owned
(6)
Percentage
of
Customary
Work Week
Compensation
Devoted to Included in Costs
Business for the Period
(7)
(8) *
17
18
19
20
21
* Compensation as used in this schedule has the same definition as 42CFR 413.102
NOTE: Relatives are defined as: spouse, son, daughter, grandchild, great grandchild, stepchild, brother, sister, half-brother, half-sister, stepbrother,
stepsister, parent, grandparent, great grandparent, stepmother, stepfather, niece, nephew, aunt, uncle, son-in-law, daughter-in-law,
father-in-law, mother-in-law,brother-in-law, or sister-in-law.
E. Are any funds held in trust by an outside party which are not reflected on the Balance Sheet ?
22.
Yes
F. Section 1191 of the Hospital Accounting and Reporting Manual references six general types of financial arrangements which exist between
hospital and hospital-based physicians. Check the appropriate boxes below to indicate the type of financial arrangement which exists in
your hospital for the various hospital cost centers having such arrangements. If none of the six types of financial arrangements described
are appropriate, check the Other column and describe the arrangement in the comment section. For cost centers other than those listed
below, please complete the Other line
Financial Arrangement
Line
No
23
24
25
Nuclear Medicine
26
Cardiology Services
27
Emergency Services
28
Gastro-Intestinal Services
29
30
Psychiatric Therapy
31
Anesthesiology
32
Other (Specify)
COMMENTS:
33
34
35
36
Joint
(2)
Contracted
(3)
Rental
(4)
Independent
(5)
Agency
(6)
Salaried
(7)
Other
(8)
06/30/2014
Line
No
Name
Occupation
(2)
(1)
Check if
Owner
(3)
Percentage of Check if
Hospital
Board
Ownership
Member
(4)
(5)
Compensation*
(6)
37
$0
38
ROBERT ISSAI
PRESIDENT/CEO, DOCHS
$0
39
$0
40
HEALTH COUNCILOR
$0
41
$0
42
$0
43
$0
44
WILLIAM R. BARRETT, JR
$0
45
$0
46
RANDAL P. ARASE, MD
PHYSICIAN
$0
47
ARMAND BOUZAGLOU, MD
$0
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
* Compensation paid to the individual from all sources for services rendered personally to or on behalf of the hospital.
06/30/2014
To be completed by all closely held corporations. If a physician is an owner or an owner of the corporation which owns the hospital,
identify all business relationships between the physician and the hospital. This would include percentage of stock owned by the physician,
all contracts between the physician and the hospital, and all lease arrangements between the physician and the hospital. If more than ten
owners, provide data for the ten with the largest percentage of stock owned.
Line
No
(1)
Physician Name
(2)
Percent of Stock Owned
(3)
Describe Contract, Lease and Other Arrangements
70
71
72
73
74
75
76
77
78
79
J. Is this facility operated by a management firm ?
80.
Yes
84. State:
86. Amount paid to the management firm for the reporting period:
Yes
No
93
89
94
90
95
91
96
92
97
M. Are the amounts paid to the management firm functionally accounted and reported as required ?
98.
Yes
No.
Please explain why amounts paid to the management firm are not functionally accounted and reported.
99
100
101
102
BEDS
Line
No
(1)
Licensed
(End of
Period)
(2)
Available
(Average)
(3)
Staffed
(Average)
(4)
Adult
67
67
20
3,506
(5)
Pediatric
06/30/2014
DISCHARGES
(11)
Service
(12)
Total
731
Line
No
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
80
85
90
40
253
224
131
31,128
6,492
45
75
19
19
19
5,020
416
80
85
90
100
101
27
27
22
8,288
606
105
110
115
120
125
145
366
337
192
47,942
8,245
150
155
ACCOUNT DESCRIPTION
06/30/2014
(1)
Total Units of
Service [Sum of
columns (7) and
(13)]
(7)
Total Inpatient Units
of Service
(13)
Total Outpatient
Units of Service
Line
No.
15,941
4,182
11,759
160
AMBULATORY SERVICES
160 Emergency Services
Visits
Occasions of Service
Visits
175 Clinics
Visits
Visits
180
Operating Minutes
185
Visits
190
Observation Hours
195
200
205
Visits
210
Visits
215
ANCILLARY SERVICES
230 Labor and Delivery Services
Deliveries
Operating Minutes
Operating Minutes
245 Anesthesiology
165
170
26,955
26,955
175
230
795,922
503,785
292,137
235
Anesthesia Minutes
818,349
523,371
294,978
55,638
Tests
364,616
245,423
119,193
260
Tests
16,151
8,076
8,075
265
4,367
3,763
604
270
275 Echocardiology
Procedures
Procedures
11,921
4,820
7,101
280
Procedures
15,256
9,210
6,046
285
290 Electromyography
Procedures
295 Electroencephalography
Procedures
428
243
185
295
Procedures
46,557
16,363
30,194
300
Procedures
Procedures
4,531
2,362
2,169
310
Procedures
2,199
928
1,271
315
320 Ultrasonography
Procedures
6,042
2,681
3,361
320
Procedures
9,223
4,663
4,560
325
55,309
330
49,015
335
Procedures
6,133
5,142
Hours of Treatment
21,248
21,248
350 Lithotripsy
Procedures
Procedures
4,677
1,609
3,068
355
Sessions
162,057
112,601
49,456
360
Sessions
365
Sessions
370
Treatments
380
Sessions
385
Sessions
Organs acquired
240
245
250
255
275
290
305
991
340
345
350
390
41
41
395
OTHER STATISTICS
(1)
Total Units of
Service
(7)
Inpatient Units of
Service
06/30/2014
(13)
Outpatient Units of
Service
Surgeries
505
Surgeries
530
Surgeries
535
540
510
9,566
2,107
98
98
7,459
515
520
525
545
550
32,172
32,172
555
78,345
78,345
560
(1)
Total Births [Sum of
columns (7) and
(13)]
(7)
Natural Births
(13)
Cesarean Sections
600
605
610
615
620
625
06/30/2014
(1)
Medicare Traditional
(2)
Medicare Managed Care
(3)
Medi-Cal Traditional
(4)
Medi-CalManaged Care
18,846
4,954
2,914
2,421
(5)
County
Indigent
Programs Traditional
(6)
Line
County
No
Indigent
Programs Managed Care
Acute Care
10
Psychiatric Care
15
20
Rehabilitation Care
4,429
116
21
20
25
Long-Term Care
6,558
1,201
24
33
25
30
Other Care
35
Total
29,833
6,271
2,959
2,462
40
Nursery Acute
40
45
45
10
15
30
35
(7)
Other Third
Parties
Traditional
631
(8)
(9)
Other Third
Other Indigent
Parties
Managed Care
4,559
(10)
Other Payors
(11)
Total Patient
Days
304
34,634
Line
No
Acute Care
10
Psychiatric Care
15
20
Rehabilitation Care
25
Long-Term Care
30
Other Care
35
Total
40
Nursery Acute
40
45
45
10
15
210
236
5,020
20
464
8,288
25
849
5,259
30
5
304
47,942
35
DISCHARGES
TYPE OF CARE
Line
No
(12)
Medicare Traditional
(13)
Medicare Managed Care
(14)
Medi-Cal Traditional
(15)
Medi-CalManaged Care
3,569
1,210
512
518
(16)
County
Indigent
Programs Traditional
(17)
County
Line
Indigent
No
Programs Managed Care
Acute Care
10
Psychiatric Care
15
20
Rehabilitation Care
364
12
25
Long-Term Care
423
130
30
Other Care
35
Total
4,356
1,352
514
523
40
Nursery Acute
40
45
45
10
15
20
25
30
35
DISCHARGES
TYPE OF CARE
Line
No
(18)
Other Third
Parties
Traditional
170
(19)
(20)
Other Third
Other Indigent
Parties
Managed Care
1,179
(21)
Other Payors
63
(22)
Total
Discharges
Line
No
Acute Care
10
Psychiatric Care
7,223
15
20
Rehabilitation Care
14
25
416
20
25
Long-Term Care
46
606
25
30
Other Care
35
Total
185
1,250
40
Nursery Acute
40
45
45
10
15
30
2
63
8,245
35
06/30/2014
OUTPATIENT VISITS
TYPE OF OUTPATIENT VISIT
(1)
Medicare Traditional
(2)
Medicare Managed Care
(3)
Medi-Cal Traditional
(4)
Medi-CalManaged Care
(5)
County
Indigent
Programs Traditional
(6)
County
Indigent
Line
Programs No
Managed Care
Line
No
60
2,623
1,046
1,091
3,248
60
65
10,559
4,054
126
3,180
65
70
70
75
75
80
80
85
Hospice - Outpatient
90
Outpatient Surgeries
2,436
713
946
496
95
Private Referred
13,873
4,037
2,139
3,007
85
90
95
100 Other *
100
105 Total
29,491
9,850
4,302
9,931
105
OUTPATIENT VISITS
TYPE OF OUTPATIENT VISIT
(7)
Other Third
Parties Traditional
(8)
Other Third
Parties Managed Care
(9)
Other Indigent
36
(10)
Other Payors
(11)
Total
OutPatient
Visits
Line
No
1,502
11,759
60
233
26,955
65
Line
No
60
327
1,886
65
46
8,757
70
70
75
75
80
80
85
Hospice - Outpatient
90
Outpatient Surgeries
34
2,808
26
7,459
95
Private Referred
159
8,807
150
32,172
85
100 Other *
105 Total
90
95
100
566
22,258
Includes Chemical Dependency Services, Adult Day Health Care, & Renal Dialysis Visits
36
1,911
78,345
105
Line
No
ASSETS
06/30/2014
Account No
$2,822,131
$3,434,861
Line
No
CURRENT ASSETS
5
Cash
1000
10
Marketable securities
1010
15
1020
$186,022,557
$177,123,700
15
20
1040
($162,581,475)
($153,116,568)
20
25
1050
$4,631,947
$5,251,680
25
30
1060
$1,615,885
$6,647,697
30
35
1070
40
Inventory
1080
$5,469,897
$4,904,693
40
45
Intercompany receivables
1090
$13,266,103
$12,162,759
45
50
1100
$657,417
$1,452,142
50
55
$51,904,462
$57,860,964
55
$4,998,382
$4,337,679
60
10
35
1110
65
1120
70
1130
75
65
70
$4,998,382
$4,337,679
75
Land
1200
$13,856,934
$14,347,434
80
85
Land improvements
1210
$2,699,277
$2,699,277
85
90
1220
$102,043,236
$98,139,992
90
95
Leasehold improvements
1230
$66,446,596
$62,083,129
95
1240
$136,381,815
$128,385,142
100
$321,427,858
$305,654,974
105
1260
($244,362,950)
($231,998,968)
195
$77,064,908
$73,656,006
200
$2,582,507
$7,188,211
205
100 Equipment
105 TOTAL PROPERTY, PLANT AND EQUIPMENT (Sum of lines 80 through 100)
195 Less accumulated depreciation and amortization
200 NET TOTAL PROPERTY, PLANT AND EQUIPMENT (Sum of lines 105 & 195)
205 Construction in progress
1250
1310
1320
1330
1340
1350
235 TOTAL INVESTMENTS IN OTHER ASSETS (Sum of lines 210 through 230)
210
215
$1,104,854
$1,246,173
220
225
230
$1,104,854
$1,246,173
235
INTANGIBLE ASSETS
245 Goodwill
1360
245
1370
250
1380
255
1390
260
265
TOTAL
270 TOTAL ASSETS (Sum of lines 55, 75,200,205,235 , and 265)
Line
No
OTHER INFORMATION
$137,655,113
$144,289,033
270
Line
No
405 Current market value - current assets marketable securities (Line 10)
405
410
$1,104,854
$1,246,173
415
$2,582,507
$7,188,211
420
Line
No
Account No
(4)Prior Year
Line
No
$6,450,447
10
CURRENT LIABILITIES
5
2010
10
Accounts payable
2020
$9,926,526
15
2030
$8,961,439
$9,602,805
15
20
2040
$8,698,587
$12,232,231
20
25
2050
30
2060
$7,171,692
$9,163,216
35
2070
40
2080
45
Intercompany payables
2090
50
55
60
2100
25
30
35
40
$71,971,860
$47,795,761
45
$674,565
$1,044,237
50
$85,408
$57,209
55
$107,490,077
$86,345,906
60
DEFERRED CREDITS
65
2110
65
70
2120
70
75
2130
75
80
80
Mortgages payable
2210
85
90
Construction loans
2220
90
95
2230
95
2240
100
2250
2260
2270
$57,219,777
$85,873,221
105
$69,484,055
$69,627,298
115
$126,703,832
$155,500,519
120
110
($674,565)
($1,044,237)
125
$126,029,267
$154,456,282
130
$233,519,344
$240,802,188
135
($95,864,231)
($96,513,155)
140
2310
2310
145
2320
150
2330
155
2340
160
2350
165
2310
170
2320
175
2710
180
2720
185
2730
190
2740
195
2750
200
($95,864,231)
($96,513,155)
205
$137,655,113
$144,289,033
270
TOTAL
270 TOTAL LIABILITIES AND EQUITY (Sum of lines 135 and 205)
(a) Complete Report Page 5.1 to provide detailed long-term debt information.
Line
No
(6)Date Obligation
Incurred (Year Only*)
105
1995
2015
10
115
2012
06/30/2014
Line
No
$57,219,777
$69,484,055
10
15
15
20
20
25
25
30
30
35
35
40
40
45
45
50
50
55
55
60
60
65
65
70
70
75
75
80
80
85
85
90
90
95
95
100
100
105
105
110
110
115
115
120
120
125
125
130
130
135
135
140
140
145
145
150
150
155
155
160
160
165
165
170
170
175
175
180
180
185
185
190
190
195
195
200
200
205
205
210
210
215
215
220
220
225
225
230
230
235
235
240
240
245
245
250
250
(6)Date Obligation
Incurred (Year Only*)
06/30/2014
Line
No
255
255
260
260
265
265
270
270
275
275
280
280
285
285
290
290
295
295
300
300
305
305
310
310
315
315
320
320
(2)
(3)
(4)
(5)
06/30/2014
(6)
Additions
Line
Line
No
Description
Beginning
Balance(a)
Purchase
Donation
Transfers
Disposals and
Retirements
Ending
Balance (b)
No
($490,500)
$13,856,934
$2,699,277
10
Land
$14,347,434
10
Land Improvements
$2,699,277
15
$98,139,992
$3,903,244
$102,043,236
15
20
Leasehold Improvements
$62,083,129
$4,363,467
$66,446,596
20
25
Equipment
$128,385,142
$3,390,969
$136,381,815
25
30
Construction-in-progress
$2,582,507
30
35
TOTAL
$324,010,365
35
$7,188,211
$312,843,185
$4,605,704
($4,605,704)
$11,657,680
(a) Column(1), line 35 must agree with page 5, column(2), sum of lines 105 and 205.
(b) Column(6), line 35 must agree with page 5, column(1), sum of lines 105 and 205.
($490,500)
Line
No
ASSETS
(1)
Current Year
06/30/2014
(2)
Prior Year
Line
No
Cash
1510
10
1521
10
15
Other Investments
1529
15
20
Receivables
1530
20
25
1540
25
30
Other assets
1550
30
75
75
Cash
1410
105
110
1421
110
115
Mortgages investments
1422
115
120
1423
1424
120
125
Other Investments
1429
125
130
Receivables
1430
130
135
1440
135
140
Other assets
1450
140
170
170
ENDOWMENT FUNDS
205
Cash
1610
210
1621
210
215
Mortgages
1622
215
220
1623
1624
220
225
Other investments
1629
225
230
Receivables
1630
230
235
1640
235
240
Other assets
1650
275
Line
No
OTHER INFORMATION
$3,065,243
$4,929,813
205
240
$3,065,243
$4,929,813
275
(1)
Current Year
(2)
Prior Year
Line
No
405
Current market value - specific purpose funds marketable securities (Line 10)
405
410
Current market value - Property Replacement & Exp. funds marketable securities (line
110)
410
415
415
(3)
Current Year
06/30/2014
(4)
Prior Year
Line
No
2510
10
2520
10
15
2530
15
70
Fund balance
2570
70
75
75
2410
105
110
2420
110
115
2430
115
165
Fund balance
2470
165
170
170
ENDOWMENT FUNDS
205
Mortgages
2610
205
210
2620
210
215
2630
215
220
2640
220
225
2650
270
Fund balance
2670
275
225
$3,065,243
$4,929,813
270
$3,065,243
$4,929,813
275
06/30/2014
RESTRICTED FUNDS
Line
No
ASSETS
10
15
Restatement (describe)
(1) Funds
Unrestricted
($96,513,155)
(4) Endowment
$4,929,813
$31,983,192
Line
No
5
10
15
20
20
25
25
30
30
35
35
40
40
45
45
50
($64,529,963)
55
ADDITIONS (DEDUCTIONS):
Net Income (Loss)
($31,334,268)
60
60
65
65
70
70
75
75
80
80
85
85
90
Dividends declared
90
95
95
100
Intercompany transfers
100
105
105
110
Other (Describe)
110
115
DCHS PENSION
120
OTHER ADJUSTMENTS
$4,929,813
50
55
115
($31,334,268)
($1,864,570)
120
($1,864,570)
125
125
130
TRANSFERS:
Property and equipment additions
130
135
135
140
Other (Describe)
140
145
145
150
150
155
155
160
160
165
165
170
170
175
185
175
($95,864,231)
$3,065,243
185
Line SECTION I
No
06/30/2014
(2)
Prior Year
Line
No
OPERATING REVENUES:
Daily hospital services
$217,169,490
$236,461,501
10
Ambulatory services
$80,818,794
$88,051,124
10
15
Ancillary services
15
30
105
107
110
NET PATIENT REVENUE (Line 30 minus line 105 plus line 107)
135
140
$742,574,242
$829,482,920
$1,040,562,526
$1,153,995,545
30
$867,548,503
$963,268,362
105
$10,175,776
$8,593,085
107
$183,189,799
$199,320,268
110
$3,657,799
$1,871,745
135
$186,847,598
$201,192,013
140
146
OPERATING EXPENSES:
Daily Hospital Services
$39,318,697
$39,682,664
146
151
Ambulatory Services
$9,212,616
$9,946,157
151
156
Ancillary Services
$85,328,183
$91,017,045
156
161
Research Costs
$852,534
$1,083,383
161
166
Education Costs
$897,434
$784,567
166
171
General Services
$37,020,189
$32,003,758
171
176
Fiscal Services
$4,598,464
$4,455,579
176
181
Administrative Services
$34,567,021
$47,512,694
181
186
Unassigned Costs
$14,110,129
$13,288,239
186
190
$3,900,966
195
200
$229,806,233
$239,774,086
200
205
($42,958,635)
($38,582,073)
205
210
$11,624,367
$3,469,002
210
215
($31,334,268)
($35,113,071)
215
220
220
225
Deferred
225
230
NET INCOME BEFORE EXTRAORDINARY ITEMS: (Line 215 minus 220 and
225)
190
195
($31,334,268)
($35,113,071)
230
EXTRAORDINARY ITEMS:(Specify)
235
235
240
245
240
NET INCOME (Line 230 minus lines 235 and 240)
($31,334,268)
(a) Report Page 8, Section II must be completed to provide detailed deductions from revenue information.
(b) Report Page 8, Section II must be completed to provide detailed capitation premium revenue information.
(c) Report Page 8, Section III must be completed to provide detailed non-operating revenue and expense information.
($35,113,071)
245
Line SECTION II
No
06/30/2014
(2)
Prior Year
Line
No
300
$5,530,363
$6,049,547
300
305
$470,903,610
$574,569,811
305
310
$98,936,943
$84,273,312
310
315
$60,148,911
$59,361,556
315
320
$70,178,483
$55,456,012
320
325
Disproportionate share payments for Medi-Cal patient days (SB 855) (credit bal)
(d)
325
330
330
335
340
345
350
355
360
360
365
365
370
375
Policy discounts
$314,219
380
Administrative adjustments
$63,336
385
$993,746
$2,650,873
385
395
$867,548,503
$963,268,362
395
430
$10,175,776
$8,593,085
430
435
435
440
440
445
450
335
$5,890,080
$5,095,921
340
$153,946,285
$174,634,160
345
$642,527
$1,177,170
350
355
370
375
380
445
$10,175,776
(d) Disproportionate share funds transferred back to a related public entity must be reported on page 7, column(1), line 105.
$8,593,085
450
06/30/2014
Account
No
(1)
Current Year
(2)
Prior Year
$8,142,613
$136,465
$2,563,203
$2,767,738
Line
No
500
NON-OPERATING REVENUES:
Gains on sale of hospital property
9010
505
9030
510
Unrestricted contributions
9040
515
Donated services
9050
515
520
9060
520
525
9070
525
530
9080
530
535
9090
535
540
9100
540
545
9150
545
550
9160
550
555
9170
555
560
9180
560
565
9190
565
570
State appropriation
9200
570
575
9210
575
580
9220
580
585
9230
590
9250
$425,578
$733,871
590
595
9260
$2,581,190
$2,583,040
595
600
9270
605
9280
610
9290
$585,604
615
9400
$106,463
$420,834
615
625
$14,404,651
$6,641,948
625
640
NON-OPERATING EXPENSES:
Loses on sale of hospital property
9020
645
9030
650
9510
$659,098
$790,064
650
655
9520
$1,933,091
$2,120,328
655
660
9530
665
9540
670
9550
$145,935
675
9800
$42,160
$262,554
675
685
$2,780,284
$3,172,946
685
700
$11,624,367
$3,469,002
700
705
500
505
510
585
600
605
610
640
645
660
665
670
705
Line
No
5
15
Adjustments to reconcile net income to net cash provided by (used for) operating activities and
non-operating revenue :
Depreciation and amortization
17
20
30
Change in accounts and notes receivable, net of allowance for uncollectible receivables and
third-party contractual withholds
35
40
45
50
Change in inventory
55
57
60
06/30/2014
Line
No
($31,334,268)
($35,113,071)
$12,442,595
$9,881,657
15
17
20
$566,050
$1,905,800
30
$619,733
$2,538,030
35
$5,031,812
$3,683,039
40
($565,204)
($1,049,043)
50
($1,103,344)
($2,671,047)
55
$794,725
($335,917)
57
$3,476,079
$2,257,167
60
65
($641,366)
$914,278
65
70
($3,533,644)
($6,151,828)
70
75
80
($1,991,524)
$3,819,668
85
87
90
$24,176,099
$20,859,528
95
$28,199
($106)
45
75
80
85
87
90
95
100
102
103
$31,983,192
$9,231,895
104
$71,283,402
$44,883,121
105
115 NET CASH PROVIDED BY (USED FOR) OPERATING ACTIVITIES (Sum of lines 5 and 105)
$39,949,134
$9,770,050
115
($660,703)
$4,072,453
130
($11,657,680)
($11,574,299)
135
($78,613)
($3,030,972)
140
$490,500
$1,776,424
141
$141,319
NET CASH PROVIDED BY (USED FOR) INVESTING ACTIVITIES (Sum of lines 130 through
145 142)
142
($11,765,177)
($8,756,394)
($28,796,687)
($6,036,721)
145
160
165
170
175
180
185
190
191
($544,370)
192
($28,796,687)
($6,581,091)
195
205 NET INCREASE (DECREASE) IN CASH (Sum of lines 115, 145 and 195)
($612,730)
($5,567,435)
205
$3,434,861
$9,002,296
215
$2,822,131
$3,434,861
225
(1)Units of
Service
from Page 17,
Column (13)
(3)Allocated
Costs
Column
(4) minus (2)
(4)Total Patient
Care Costs from
Page 20, Column
(16),Lines 505 - 915
06/30/2014
(5)Average Unit
Patient Care
Costs, Column
(4) (1)
Line
No
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
40
45
Medical/Surgical Acute
45
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
75
80
80
85
85
90
90
95
Nursery Acute
95
100
101
105
110
115
120
125
145
150
AMBULATORY SERVICES:
160 Emergency Services
160
165
170
175 Clinics
175
180
185
190
195
200
205
210
215
220
225
06/30/2014
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
40
45
Medical/Surgical Acute
45
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
75
80
80
85
85
90
90
95
Nursery Acute
95
100
101
105
110
115
120
125
145
150
AMBULATORY SERVICES:
160 Emergency Services
160
165
170
175 Clinics
175
180
185
190
195
200
205
210
215
220
225
(11) Gross
Revenue from
Page 12,
Columns (21) +
(22)
06/30/2014
(15)Average Unit Line
Net Revenue
No
Column (14) (1)
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
40
45
Medical/Surgical Acute
45
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
75
80
80
85
85
90
90
95
Nursery Acute
95
100
101
105
110
115
120
125
145
150
AMBULATORY SERVICES:
160 Emergency Services
160
165
170
175 Clinics
175
180
185
190
195
200
205
210
215
220
225
(16) Net
(17) Average Line
Revenue Minus
Unit Net
No
Net Costs
Column (16)
Column (14)
(1)
minus (9)
5
10 Coronary Care
10
15
20
25
30 Burn Care
30
35
40 Definitive Observation
40
45 Medical/Surgical Acute
45
50 Pediatric Acute
50
55
60
65 Obstetrics Acute
65
70
75
80
85
90
95 Nursery Acute
95
100
101
105
110
115
120
125
145
150
AMBULATORY SERVICES:
160 Emergency Services
160
165
170
175 Clinics
175
180
185
190
195
200
205
210
215
220
225
06/30/2014
(1)Units of
Service
from Page 17,
Column (13)
(3)Allocated
Costs
Column
(4) minus (2)
06/30/2014
(4)Total Patient
Care Costs from
Page 20, Column
(16),Lines 505 - 915
(5)Average Unit
Patient Care
Costs, Column
(4) (1)
Line
No
ANCILLARY SERVICES:
230 Labor and Delivery Services
230
235
240
245 Anesthesiology
245
250
255
260
265
270
275 Echocardiology
275
280
285
290 Electromyography
290
295 Electroencephalography
295
300
305
310
315
320 Ultrasonography
320
325
330
335
340
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
06/30/2014
ANCILLARY SERVICES:
230 Labor and Delivery Services
230
235
240
245 Anesthesiology
245
250
255
260
265
270
275 Echocardiology
275
280
285
290 Electromyography
290
295 Electroencephalography
295
300
305
310
315
320 Ultrasonography
320
325
330
335
340
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
(11) Gross
Revenue from
Page 12,
Columns (21) +
(22)
06/30/2014
(15)Average Unit Line
Net Revenue
No
Column (14) (1)
ANCILLARY SERVICES:
230 Labor and Delivery Services
230
235
240
245 Anesthesiology
245
250
255
260
265
270
275 Echocardiology
275
280
285
290 Electromyography
290
295 Electroencephalography
295
300
305
310
315
320 Ultrasonography
320
325
330
335
340
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
(16) Net
(17) Average Unit Line
Revenue Minus Net Column (16) No
Net Costs
(1)
Column (14)
minus (9)
ANCILLARY SERVICES:
230 Labor and Delivery Services
230
235
240
245 Anesthesiology
245
250
255
260
265
270
275 Echocardiology
275
280
285
290 Electromyography
290
295 Electroencephalography
295
300
305
310
315
320 Ultrasonography
320
325
330
335
340
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
06/30/2014
06/30/2014
MEDICARE
Traditional
(1) Gross
Inpatient Revenue
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Managed Care
(2) Gross
Outpatient
Revenue
(3) Gross
Inpatient Revenue
(4) Gross
Outpatient
Revenue
Account
No
Revenue Subclassifications
Line
No
.04
.44
.14
.54
3010
10
Coronary Care
3030
10
15
3050
15
20
3070
20
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
45
Medical/Surgical Acute
3170
50
Pediatric Acute
3290
50
55
3340
55
60
3360
60
65
Obstetrics Acute
3380
65
70
3400
70
75
3420
80
3440
85
3470
85
90
3510
90
95
Nursery Acute
3530
95
3560
100
3570
3580
3610
3630
115
3680
120
3780
125
3900
$18,697,778
$4,548,257
40
$82,077,196
$15,342,627
45
75
$16,097,371
$491,430
80
101
$18,355,921
$2,299,857
105
110
145
$135,228,266
$22,682,171
150
AMBULATORY SERVICES:
160 Emergency Services
4010
4040
4060
175 Clinics
4070
4180
180
4200
185
4220
190
4230
195
4260
200
4290
205
4310
210
4320
215
4390
$10,677,197
$8,433,354
$2,101,786
$2,435,524
160
165
170
$400,636
$11,549,232
$135,522
$4,434,350
175
220
$11,077,833
$19,982,586
$2,237,308
$6,869,874
225
06/30/2014
MEDI-CAL
Traditional
(5) Gross
Inpatient Revenue
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Managed Care
(6) Gross
Outpatient
Revenue
(7) Gross
Inpatient Revenue
(8) Gross
Outpatient
Revenue
Account
No
Revenue Subclassifications
Line
No
.05
.45
.15
.55
3010
10
Coronary Care
3030
10
15
3050
15
20
3070
20
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
45
Medical/Surgical Acute
3170
50
Pediatric Acute
3290
50
55
3340
55
60
3360
60
65
Obstetrics Acute
3380
65
70
3400
70
75
3420
80
3440
85
3470
85
90
3510
90
95
Nursery Acute
3530
95
3560
100
3570
101
3580
105
3610
110
3630
115
3680
120
3780
125
3900
$4,311,154
$2,794,851
40
$12,555,381
$10,948,574
45
75
$75,329
80
145
$16,941,864
$13,743,425
150
AMBULATORY SERVICES:
160 Emergency Services
4010
4040
4060
175 Clinics
4070
4180
180
4200
185
4220
190
4230
195
4260
200
4290
205
4310
210
4320
215
4390
$1,912,784
$2,512,846
$2,102,803
$8,524,907
160
165
170
$179,329
$137,663
$3,477,516
175
220
$2,092,113
$2,650,509
$2,102,803
$12,002,423
225
06/30/2014
PATIENT
REVENUE PRODUCING CENTERS
Managed Care
(10) Gross
Outpatient
Revenue
(11) Gross
Inpatient Revenue
(12) Gross
Outpatient
Revenue
Account
No
Revenue Subclassifications
Line
No
.07
.47
.17
.57
3010
10
Coronary Care
3030
10
15
3050
15
20
3070
20
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
40
45
Medical/Surgical Acute
3170
45
50
Pediatric Acute
3290
50
55
3340
55
60
3360
60
65
Obstetrics Acute
3380
65
70
3400
70
75
3420
75
80
3440
80
85
3470
85
90
3510
90
95
Nursery Acute
3530
95
3560
100
3570
101
3580
105
3610
110
3630
115
3680
120
3780
125
3900
145
150
AMBULATORY SERVICES:
160 Emergency Services
4010
160
4040
165
4060
170
175 Clinics
4070
175
4180
180
4200
185
4220
190
4230
195
4260
200
4290
205
4310
210
4320
215
4390
220
225
06/30/2014
PATIENT
REVENUE PRODUCING CENTERS
Managed Care
(14) Gross
Outpatient
Revenue
(15) Gross
Inpatient Revenue
(16) Gross
Outpatient
Revenue
Account
No
Revenue Subclassifications
Line
.02, .03, .06
.12,.13,.16
No
3010
10
Coronary Care
3030
10
15
3050
15
20
3070
20
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
45
Medical/Surgical Acute
3170
50
Pediatric Acute
3290
50
55
3340
55
60
3360
60
65
Obstetrics Acute
3380
65
70
3400
70
75
3420
80
3440
85
3470
85
90
3510
90
95
Nursery Acute
3530
95
3560
100
3570
3580
3610
3630
115
3680
120
3780
125
3900
$132,992
$6,309,089
40
$631,025
$18,678,852
45
75
$555,997
$839,921
80
101
$45,621
$1,312,287
105
110
145
$1,365,635
$27,140,149
150
AMBULATORY SERVICES:
160 Emergency Services
4010
4040
4060
175 Clinics
4070
4180
180
4200
185
4220
190
4230
195
4260
200
4290
205
4310
210
4320
215
4390
$7,556
$215,198
$2,159,349
$9,067,980
160
165
170
$50,745
$257,139
$9,577,171
175
220
$7,556
$265,943
$2,416,488
$18,645,151
225
OTHER INDIGENT
(17) Gross
Inpatient Revenue
Line
No
PATIENT
REVENUE PRODUCING CENTERS
(18) Gross
Outpatient
Revenue
06/30/2014
OTHER PAYORS
(19) Gross
Inpatient Revenue
(20) Gross
Outpatient
Revenue
Account
No
Revenue Subclassifications
Line
.08
.48
.00, .09
.40, .49
No
3010
10
Coronary Care
3030
10
15
3050
15
20
3070
20
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
45
Medical/Surgical Acute
3170
50
Pediatric Acute
3290
50
55
3340
55
60
3360
60
65
Obstetrics Acute
3380
65
70
3400
70
75
3420
75
80
3440
80
85
3470
85
90
3510
90
95
Nursery Acute
3530
95
3560
100
3570
101
3580
105
3610
110
3630
115
3680
120
3780
125
3900
$10,758
$325
40
$18,355
$38,542
45
145
$29,113
$38,867
150
AMBULATORY SERVICES:
160 Emergency Services
4010
4040
4060
175 Clinics
4070
4180
180
4200
185
4220
190
4230
195
4260
200
4290
205
4310
210
4320
215
4390
$105,029
$4,021
$104,847
160
165
170
$254,310
175
220
$105,029
$4,021
$359,157
225
06/30/2014
TOTAL
(21) Gross
Inpatient Revenue
Line
No
PATIENT
REVENUE PRODUCING CENTERS
(22) Gross
Outpatient
Revenue
Account
No
Line
3010
10
Coronary Care
3030
10
15
3050
15
20
3070
20
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
45
Medical/Surgical Acute
3170
50
Pediatric Acute
3290
50
55
3340
55
60
3360
60
65
Obstetrics Acute
3380
65
70
3400
70
75
3420
80
3440
85
3470
85
90
3510
90
95
Nursery Acute
3530
95
3560
100
3570
3580
3610
3630
115
3680
120
3780
125
3900
$36,805,204
$36,805,204
40
$140,290,552
$140,290,552
45
75
$18,060,048
$18,060,048
80
101
$22,013,686
$22,013,686
105
110
145
$217,169,490
$217,169,490
150
$50,365,181
160
AMBULATORY SERVICES:
160 Emergency Services
4010
4040
4060
175 Clinics
4070
4180
180
4200
185
4220
190
4230
195
4260
200
4290
205
4310
210
4320
215
4390
$18,965,496
$31,399,685
165
170
$972,626
$29,480,987
$30,453,613
175
220
$19,938,122
$60,880,672
$80,818,794
225
06/30/2014
MEDICARE
Traditional
Line
No
PATIENT
REVENUE PRODUCING CENTERS
(1) Gross
Inpatient Revenue
(3) Gross
Inpatient Revenue
.04
.44
.14
.54
$60,121,235
$26,480,605
$11,977,284
$7,564,770
Account
No
Revenue Subclassifications
Managed Care
(2) Gross
Outpatient
Revenue
(4) Gross
Outpatient
Revenue
Line
No
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
4420
4430
245 Anesthesiology
4450
$4,289,900
$1,771,500
$1,405,880
$704,340
245
4470
$2,108,606
$91,689
$96,203
$29,428
250
4480
4500
$35,496,046
$17,696,429
$6,171,263
$1,689,880
260
4520
$1,140,184
$1,202,280
$320,951
$351,536
265
4540
$2,123,748
$347,602
$429,553
$60,378
270
275 Echocardiology
4560
4570
$11,518,376
$23,754,820
$5,590,895
$8,759,169
280
4590
$7,850,086
$2,794,601
$2,374,814
$1,449,632
285
290 Electromyography
4610
295 Electroencephalography
4620
$170,714
$117,673
$53,088
$14,286
295
4630
$19,908,812
$18,263,765
$4,912,649
$4,636,454
300
4640
4650
$2,440,586
$2,274,759
$932,269
$1,004,603
310
4660
$3,076,643
$4,054,261
$775,342
$1,771,121
315
320 Ultrasonography
4670
$3,027,301
$2,339,854
$555,229
$748,208
320
4680
$7,776,079
$7,209,533
$1,730,096
$1,922,641
325
4710
$38,051,725
$4,184,167
$5,800,376
$1,039,241
330
4720
$15,597,295
$175,017
$2,627,988
$68,925
335
4730
$1,718,400
$372,288
$533,572
$141,352
340
4740
$9,852,727
$477,723
$519,704
$34,955
345
350 Lithotripsy
4750
4760
$2,968,001
$5,566,404
$703,477
$1,153,687
355
4770
$28,900,870
$4,943,004
$2,698,108
$2,244,701
360
4780
365
4790
370
4800
375
4820
380
4830
385
4840
4860
4870
230
240
255
275
290
305
350
390
$8,813,897
$1,219,324
$266,951,231
$125,337,298
$413,257,330
$145,319,884
MEDICARE
Traditional
Inpatient
Outpatient
235
$31,572
395
400
$50,208,741
$35,420,879
405
$75,128,220
MEDICARE
Managed Care
Total
$42,290,753
415
$2,397,381
$843,027
$657,546
420
$348,392,960
$122,510,650
$98,936,943
425
426
430 Charity
430
435
440
445
450
$350,790,341
$123,353,677
$62,466,989
$21,966,207
$99,594,489
455
$10,175,776
457
$28,000,260
460
06/30/2014
MEDI-CAL
Traditional
Line
No
PATIENT
REVENUE PRODUCING CENTERS
(6) Gross
Outpatient
Revenue
(7) Gross
Inpatient Revenue
(8) Gross
Outpatient
Revenue
.05
.45
.15
.55
$4,411,327
$10,690,316
$6,593,022
$5,358,685
Account
No
Revenue Subclassifications
Managed Care
(5) Gross
Inpatient Revenue
Line
No
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
4420
4430
245 Anesthesiology
4450
$400,900
$287,700
$626,580
$388,920
245
4470
$233,592
$255,502
$87,497
$22,848
250
4480
4500
$4,925,515
$568
$4,292,284
$2,652,810
260
4520
$183,417
$1,473,097
$165,007
$265,214
265
4540
$293,895
$297,604
$283,167
$32,348
270
275 Echocardiology
4560
4570
$3,117,575
$22,877
$3,869,172
$1,801,359
280
4590
$1,338,494
$90,415
$1,286,327
$557,118
285
290 Electromyography
4610
295 Electroencephalography
4620
$2,333,090
$283,374
$14,804
$9,919
295
4630
$735,574
$2,361,641
$2,944,249
$3,523,401
300
4640
4650
$434,855
$363,069
$363,021
$150,831
310
4660
$451,281
$88,228
$513,373
$116,571
315
320 Ultrasonography
4670
$515,511
$724,436
$498,666
$409,458
320
4680
$1,336,409
$1,076,898
$1,011,675
$1,509,642
325
4710
$4,411,796
$423,495
$3,714,144
$924,776
330
4720
$3,080,192
$18,423
$1,471,937
$63,348
335
4730
$444,108
$13,569
$399,369
$12,493
340
4740
$1,515,804
$17,478
$1,261,366
$17,478
345
350 Lithotripsy
4750
4760
$602,837
$1,106,334
$335,255
$1,505,847
355
4770
$699,545
$87,990
$483,709
$53,821
360
4780
365
4790
370
4800
375
4820
380
4830
385
4840
4860
4870
230
235
240
255
275
290
305
350
390
$160,404
$71,124
$31,626,121
$19,754,138
$30,214,624
$19,493,240
405
$50,660,098
$22,404,647
$46,060,852
$31,495,663
415
$116,353
400
MEDI-CAL
Traditional
Total
MEDI-CAL
Managed Care
Total
$60,148,911
$70,178,483
$31,168
$33,085
420
395
425
426
430
435
440
445
450
$60,180,079
$70,211,568
$12,884,666
$7,344,947
455
457
460
06/30/2014
PATIENT
REVENUE PRODUCING CENTERS
Account
No
Revenue Subclassifications
Managed Care
(9) Gross
Inpatient Revenue
(10) Gross
Outpatient
Revenue
(11) Gross
Inpatient Revenue
(12) Gross
Outpatient
Revenue
.07
.47
.17
.57
Line
No
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
230
4420
235
4430
240
245 Anesthesiology
4450
245
4470
250
4480
255
4500
260
4520
265
4540
270
275 Echocardiology
4560
275
4570
280
4590
285
290 Electromyography
4610
290
295 Electroencephalography
4620
295
4630
300
4640
305
4650
310
4660
315
320 Ultrasonography
4670
320
4680
325
4710
330
4720
335
4730
340
4740
345
350 Lithotripsy
4750
350
4760
355
4770
360
4780
365
4790
370
4800
375
4820
380
4830
385
4840
390
4860
395
4870
400
405
415
COUNTY INDIGENT PROGRAMS
Traditional
Inpatient
Outpatient
CO. INDIGENT
PROGRAMS
Managed Care
Total
420
425
426
430 Charity
430
435
440
445
450
455
457
460
06/30/2014
PATIENT
REVENUE PRODUCING CENTERS
Account
No
Revenue Subclassifications
Managed Care
(13) Gross
Inpatient Revenue
(14) Gross
Outpatient
Revenue
(15) Gross
Inpatient Revenue
(16) Gross
Outpatient
Revenue
.12,.13,.16
$2,474,694
$190,711
$41,686,499
$30,652,609
Line
No
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
4420
4430
245 Anesthesiology
4450
$582,620
$207,560
$3,144,360
$1,922,200
245
4470
$40,004
$228
$203,910
$45,484
250
4480
4500
$208,903
$143,043
$6,984,585
$6,213,928
260
4520
$12,255
$3,218
$531,201
$559,179
265
4540
$35,364
$6,556
$531,347
$417,796
270
275 Echocardiology
4560
4570
$97,454
$3,697,450
$5,176,281
280
4590
$279,053
$1,753,885
$2,260,393
285
290 Electromyography
4610
295 Electroencephalography
4620
$2,961
$40,399
$41,768
295
4630
$109,189
$3,163,705
$7,060,989
300
4640
4650
$727,278
$1,366,651
310
4660
$22,920
$46,426
$1,086,459
$3,337,087
315
320 Ultrasonography
4670
$7,460
$613
$651,040
$2,672,501
320
4680
$40,191
$28,245
$2,049,210
$3,905,158
325
4710
$374,862
$35,274
$9,128,482
$2,814,921
330
4720
$29,550
$2,092,546
$222,322
335
4730
$2,029
$464,910
$167,071
340
4740
$557,599
$40,781
345
350 Lithotripsy
4750
4760
$734,999
$1,314,811
355
4770
$3,331,473
$2,676,153
360
4780
365
4790
370
4800
375
4820
380
4830
385
4840
4860
4870
230
240
255
275
$3,858
290
$250,149
305
350
$573,362
$108,107
390
$741,874
$4,520,222
$5,893,413
$1,662,580
OTHER THIRD PARTIES
Traditional
Inpatient
395
400
235
$1,396,637
Outpatient
$82,561,337
$112,117,974
OTHER THIRD
PARTIES
Managed Care
Total
$73,609,957
405
$92,255,108
415
$33,003
$9,310
$1,578,806
420
$4,594,059
$1,296,021
$153,946,285
425
426
430 Charity
430
435
440
445
450
$4,627,062
$1,305,331
$155,525,091
$1,266,351
$357,249
$48,847,991
455
457
460
OTHER INDIGENT
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
Revenue Subclassifications
06/30/2014
OTHER PAYORS
(17) Gross
Inpatient Revenue
(18) Gross
Outpatient
Revenue
(19) Gross
Inpatient Revenue
(20) Gross
Outpatient
Revenue
.08
.48
.00, .09
.40, .49
$222,207
$279,916
$17,180
$17,340
245
$16
$4,651
$166
250
$36,676
$27,562
$287,752
260
$2,533
$651
265
$1,869
$1,062
270
Line
No
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
4420
4430
245 Anesthesiology
4450
4470
4480
4500
4520
4540
275 Echocardiology
4560
4570
4590
290 Electromyography
4610
295 Electroencephalography
4620
4630
4640
4650
4660
320 Ultrasonography
4670
$6,671
$570
$266,096
320
4680
$28,003
$7,312
$49,408
325
4710
$14,381
$32,882
$15,875
330
4720
$3,141
$6,019
335
4730
340
4740
345
350 Lithotripsy
4750
4760
4770
4780
365
4790
370
4800
375
4820
380
4830
385
4840
390
4860
395
4870
230
240
255
$1,610
275
$13,619
$9,451
$2,980
280
$39
285
290
295
$7,652
$11,109
$53,977
$7,501
310
315
350
$19,731
$15,195
355
$323
360
400
$15,229
$105,991
$1,003,490
405
$44,342
$211,020
OTHER INDIGENT
$397,995
$1,362,647
OTHER PAYORS
415
Inpatient
Inpatient
Outpatient
$3,781
$7,509
Outpatient
$355,107
420
425
300
305
$6,691
235
426
$44,342
$211,020
$149,312
$173,600
430
435
440
445
$44,342
$211,020
$226,434
$1,144,867
450
$379,527
$1,325,976
455
$18,468
$36,671
457
460
06/30/2014
TOTAL
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(21) Gross
Inpatient Revenue
(22) Gross
Outpatient
Revenue
$127,486,268
$81,217,612
$208,703,880
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
4420
4430
245 Anesthesiology
4450
$10,467,420
$5,299,560
$15,766,980
245
4470
$2,774,463
$445,361
$3,219,824
250
4480
4500
$58,106,158
$28,721,086
$86,827,244
260
4520
$2,355,548
$3,855,175
$6,210,723
265
4540
$3,700,553
$1,163,346
$4,863,899
270
275 Echocardiology
4560
4570
$27,793,468
$39,614,940
$67,408,408
280
4590
$14,621,083
$7,440,702
$22,061,785
285
290 Electromyography
4610
295 Electroencephalography
4620
$2,615,056
$467,020
$3,082,076
295
4630
$31,785,287
$36,158,028
$67,943,315
300
4640
4650
$4,898,009
$5,166,604
$10,064,613
310
4660
$5,933,519
$9,413,694
$15,347,213
315
320 Ultrasonography
4670
$5,255,777
$7,167,837
$12,423,614
320
4680
$13,950,972
$15,729,528
$29,680,500
325
4710
$61,514,267
$9,452,130
$70,966,397
330
4720
$24,899,508
$557,195
$25,456,703
335
4730
$3,562,388
$706,773
$4,269,161
340
4740
$13,707,200
$588,415
$14,295,615
345
350 Lithotripsy
4750
4760
$5,344,569
$10,662,278
$16,006,847
355
4770
$36,706,798
$10,114,099
$46,820,897
360
4780
365
4790
370
4800
375
4820
380
4830
385
4840
4860
4870
230
235
240
255
275
290
305
350
390
$8,974,301
$2,180,247
$11,154,548
$466,452,612
$276,121,630
$742,574,242
405
$703,560,224
$337,002,302
$1,040,562,526
415
Total Inpatient
Total Outpatient
400
Total
$5,530,363
420
$860,004,312
425
395
426
$642,527
430
435
440
445
$1,371,301
450
$867,548,503
455
$10,175,776
457
$183,189,799
460
(1)
06/30/2014
Other Operating
Revenue
Line
No
5650
10
5660
$4,736
10
15
5670
$7,058
15
20
5680
$5,295
20
25
Other Commissions
5710
25
30
5730
30
35
Other (Specify)
35
40
40
45
45
50
50
65
5470
65
70
Donated Blood
5750
70
75
5690
75
80
Television/Radio Rentals
5720
80
85
5520
85
90
5760
90
95
Other (Specify)
100
95
GRANT REVENUE
100
105
105
110
110
115
115
120
130
5320
130
135
5340
135
140
5350
140
145
5370
150
5380
155
5390
160
Parking Revenue
5430
165
5440
170
5480
$30,801
170
175
5700
$19,273
175
180
5740
180
185
5790
185
190
5782
190
195
5770
195
196
Reinsurance Recoveries
5781
200
205
210
CASH RECLASS
$17,089
120
145
$81,721
150
155
$456,450
160
165
196
$16,592
200
$2,747,332
205
$288,541
210
215
215
220
$3,640,710
225
220
5010
225
230
5220
230
235
5230
235
240
5240
240
245
5250
245
250
5260
250
255
5270
255
260
5280
260
270
5790
270
275
TOTAL PART IV
280
275
$3,657,799
280
06/30/2014
COMPENSATION
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
(1)
Salaries
and Wages
No
.07
(2)
Employee
Benefits
.10-.19
(3)
Professional Fees
(4)
Total
Compensation
Line
No
.20
6010
10
Coronary Care
6030
10
15
6050
15
20
6070
20
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
40
45
Medical/Surgical Acute
6170
45
50
Pediatric Acute
6290
50
55
6340
55
60
6360
60
65
Obstetrics Acute
6380
65
70
6400
70
75
6420
80
6440
85
6470
85
90
6510
90
95
Nursery Acute
6530
95
6560
100
6570
6580
6610
6630
115
6680
120
6780
125
6900
$129,290
$129,290
75
$2,242,196
$2,242,196
80
101
$6,938
$6,938
105
110
145
$2,378,424
$2,378,424
150
$8,000
$8,000
160
AMBULATORY SERVICES
160 Emergency Services
7010
7040
7060
175 Clinics
7070
7180
180
7200
185
7220
190
7230
195
7260
200
7290
205
7310
210
7320
215
7390
165
170
$446,727
$446,727
175
220
$454,727
$454,727
225
06/30/2014
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(5)
Research
Supported by
Hospital
(6)
Medical
Education
Supported by
Hospital (NonInservice)
(7)
General
Administration
and Hospital
Committees
(8)
Nursing and
Paramedical Care Line
of Hospital
No
Patients
6010
10
Coronary Care
6030
10
15
6050
15
20
6070
20
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
40
45
Medical/Surgical Acute
6170
45
50
Pediatric Acute
6290
50
55
6340
55
60
6360
60
65
Obstetrics Acute
6380
65
70
6400
70
75
6420
80
6440
85
6470
85
90
6510
90
95
Nursery Acute
6530
95
6560
100
6570
6580
6610
6630
115
6680
120
6780
125
6900
$129,290
75
$2,242,196
80
101
$6,938
105
110
145
$2,378,424
150
AMBULATORY SERVICES
160 Emergency Services
7010
160
7040
165
7060
175 Clinics
7070
7180
180
7200
185
7220
190
7230
195
7260
200
7290
205
7310
210
7320
215
7390
170
$446,727
175
220
$446,727
225
06/30/2014
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(9)
Physician and
Intern/Resident
Care of Hospital
Patients
(10)
(13)
Supervision and
Allocation of
Other Functions
Page 16, Column Line
of the Cost Center (9), to Revenue
No
Centers (See
Instructions)
6010
10
Coronary Care
6030
10
15
6050
15
20
6070
20
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
40
45
Medical/Surgical Acute
6170
45
50
Pediatric Acute
6290
50
55
6340
55
60
6360
60
65
Obstetrics Acute
6380
65
70
6400
70
75
6420
75
80
6440
80
85
6470
85
90
6510
90
95
Nursery Acute
6530
95
6560
100
6570
101
6580
105
6610
110
6630
115
6680
120
6780
125
6900
145
150
AMBULATORY SERVICES
160 Emergency Services
7010
7040
165
7060
170
175 Clinics
7070
175
7180
180
7200
185
7220
190
7230
195
7260
200
7290
205
7310
210
7320
215
7390
$8,000
160
220
$8,000
225
06/30/2014
COMPENSATION
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
(1)
Salaries
and Wages
No
.07
(2)
Employee
Benefits
.10-.19
(3)
Professional
Fees
(4)
Total
Compensation
Line
No
.20
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
7420
7430
240
245 Anesthesiology
7450
245
7470
250
7480
255
7500
7520
7540
275 Echocardiology
7560
7570
7590
285
290 Electromyography
7610
290
295 Electroencephalography
7620
7630
7640
7650
7660
315
320 Ultrasonography
7670
320
7680
325
7710
7720
7730
340
7740
345
350 Lithotripsy
7750
350
7760
355
7770
360
7780
365
7790
370
7800
375
7820
380
7830
385
7840
7860
7870
230
$1,642,041
$1,642,041
235
260
$73,603
$73,603
265
270
275
$177,743
$177,743
280
295
$318,950
$318,950
$26,950
$26,950
300
305
310
330
$13,400
$13,400
335
390
$622,133
$622,133
$2,874,820
$2,874,820
395
400
405
06/30/2014
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(5)
Research
Supported by
Hospital
(6)
Medical
Education
Supported by
Hospital (NonInservice)
(7)
General
Administration
and Hospital
Committees
(8)
Nursing and
Paramedical Care Line
of Hospital
No
Patients
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
230
7420
235
7430
240
245 Anesthesiology
7450
245
7470
250
7480
255
7500
7520
7540
275 Echocardiology
7560
7570
7590
285
290 Electromyography
7610
290
295 Electroencephalography
7620
7630
7640
7650
7660
315
320 Ultrasonography
7670
320
7680
325
7710
7720
7730
340
7740
345
350 Lithotripsy
7750
350
7760
355
7770
360
7780
365
7790
370
7800
375
7820
380
7830
385
7840
7860
7870
260
$73,603
265
270
275
$101,740
280
295
$169,841
300
305
$26,950
310
330
$13,400
335
390
$361,646
395
400
$747,180
405
06/30/2014
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(9)
Physician and
Intern/Resident
Care of Hospital
Patients
(10)
(13)
Supervision and
Allocation of
Other Functions
Page 16, Column Line
of the Cost Center (9), to Revenue
No
Centers (See
Instructions)
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
7420
7430
240
245 Anesthesiology
7450
245
7470
250
7480
255
7500
260
7520
265
7540
270
275 Echocardiology
7560
7570
7590
285
290 Electromyography
7610
290
295 Electroencephalography
7620
7630
7640
305
7650
310
7660
315
320 Ultrasonography
7670
320
7680
325
7710
330
7720
335
7730
340
7740
345
350 Lithotripsy
7750
350
7760
355
7770
360
7780
365
7790
370
7800
375
7820
380
7830
385
7840
7860
7870
230
$1,642,041
235
275
$76,003
280
295
$149,109
300
390
$260,487
395
400
$2,127,640
405
06/30/2014
COMPENSATION
Line
No
Account
No
(1)
Salaries
and Wages
(2)
Employee
Benefits
(3)
Professional
Fees
(4)
Total
Compensation
Line
No
.07,.09
.10-.19
.20
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
5
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
25
30
8240
30
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
45
50
TOTAL EDUCATION
50
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
8620
210
8630
215
8640
220
225 Personnel
8650
8660
8670
235
8680
240
8690
245
8700
8710
8720
260
8730
265
8740
8750
$15,925
$15,925
275
8760
$50,000
$50,000
280
8790
$247,836
$247,836
300
$5,955,807
$5,955,807
305
$158,841
$158,841
205
225
$70
$70
230
250
$23,000
$23,000
255
270
295
TOTAL
305 TOTAL PAGES 15 AND 16
06/30/2014
Line
No
(5)
Research
Supported by
Hospital
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(6)
Medical
Education
Supported by
Hospital (NonInservice)
(7)
General
Administration
and Hospital
Committees
(8)
Nursing and
Paramedical Care Line
of Hospital
No
Patients
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
5
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
25
30
8240
30
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
45
50
TOTAL EDUCATION
50
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
8620
210
8630
215
8640
220
225 Personnel
8650
8660
8670
235
8680
240
8690
245
8700
8710
8720
260
8730
265
8740
8750
$15,925
275
8760
$50,000
280
8790
$158,841
205
225
$70
230
250
$23,000
255
270
295
$247,836
300
TOTAL
305 TOTAL PAGES 15 AND 16
$3,820,167
TOTAL LINE 305
LINES 15-50
TOTAL LINE 305
TO PAGE 18,
PAGE 16,TO
TO PAGE 18,
COLUMN(3), LINE SAME LINES ON COLUMN(3) LINE
5
PAGE 18, COL.(3);
295
OTHERS TO
PAGE 18,
COLUMN(3), LINE
15
305
LINE ITEMS TO
PAGE 17,
COLUMN(3)
LINES AS
APPROPRIATE
(SEE
INSTRUCTIONS)
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(9)
Physician and
Intern/Resident
Care of Hospital
Patients
(10)
Supervision and
Other Functions Line
of the Cost Center No
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
5
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
25
30
8240
30
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
45
50
TOTAL EDUCATION
50
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
205
8620
210
8630
215
8640
220
225 Personnel
8650
225
8660
230
8670
235
8680
240
8690
245
8700
250
8710
255
8720
260
8730
265
8740
270
8750
275
8760
280
8790
295
300
TOTAL
305 TOTAL PAGES 15 AND 16
$2,135,640
LINE 50 TO PAGE
15, COLUMN(13)
(SEE
INSTRUCTIONS)
305
LINE ITEMS TO
PAGES 17 & 18,
COLUMN(3),
LINES AS
APPROPRIATE
(SEE
INSTRUCTIONS)
06/30/2014
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(2)
Employee
Benefits
.00-.06,.08,
.09,.91,.95
.10-.19,.92-.96
$4,610,807
$2,799,378
06/30/2014
(3)
Reclassified
Physician and
Student
Compensation
Pages 15 &16,
Cols. (8) & (10)
(4)
Professional Fees
.07,.10-.19,.20
.21-.29
Line
No
6010
10
Coronary Care
6030
10
15
6050
15
20
6070
20
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
45
Medical/Surgical Acute
6170
50
Pediatric Acute
6290
50
55
6340
55
60
6360
60
65
Obstetrics Acute
6380
65
70
6400
70
75
6420
80
6440
85
6470
85
90
6510
90
95
Nursery Acute
6530
95
6560
100
6570
6580
6610
6630
115
6680
120
6780
125
6900
$175,540
40
$14,779,833
$8,885,636
$91,322
45
75
$2,235,768
$1,135,424
$15,436
80
101
$1,806,784
$918,925
$86,820
105
110
145
$23,433,192
$13,739,363
$369,118
150
$2,229,892
$1,211,418
$195,037
160
AMBULATORY SERVICES
160 Emergency Services
7010
7040
7060
175 Clinics
7070
7180
180
7200
185
7220
190
7230
195
7260
200
7290
205
7310
210
7320
215
7390
165
170
$3,071,960
$1,598,125
$3,390
175
220
$5,301,852
$2,809,543
$198,427
225
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
.31-.50,.93,.97
(6)
Purchased
Services
.61-.69
(7)
Depreciation
.71-.74
06/30/2014
(8)
Leases
and Rentals
Line
No
.75-.76
6010
10
Coronary Care
6030
10
15
6050
15
20
6070
20
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
45
Medical/Surgical Acute
6170
50
Pediatric Acute
6290
50
55
6340
55
60
6360
60
65
Obstetrics Acute
6380
65
70
6400
70
75
6420
80
6440
85
6470
85
90
6510
90
95
Nursery Acute
6530
95
6560
100
6570
6580
6610
6630
115
6680
120
6780
125
6900
$294,552
$47,101
40
$952,657
$225,017
45
75
$107,385
80
101
$138,204
$6,791
105
110
145
$1,492,798
$278,909
150
AMBULATORY SERVICES
160 Emergency Services
7010
7040
7060
175 Clinics
7070
7180
180
7200
185
7220
190
7230
195
7260
200
7290
205
7310
210
7320
215
7390
$255,979
$174,166
160
165
170
$115,815
$215,735
$8,830
175
220
$371,794
$389,901
$8,830
225
Line
No
Account
No
Natural Classification Code
(9)
Other Direct
Expenses
PATIENT
REVENUE PRODUCING CENTERS
(10)
Total Direct
Expenses
Columns (1) thru
(9)
(11)
Adjustments of
Direct Expenses
from Page 14,
Parts I & II
06/30/2014
(12) (Optional)
Adjusted Direct
Expenses [Cols. Line
(10) minus (11)] to No
Page 20, Column
(1)
.77-.90,.94-.98
6010
10
Coronary Care
6030
10
15
6050
15
20
6070
20
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
45
Medical/Surgical Acute
6170
50
Pediatric Acute
6290
50
55
6340
55
60
6360
60
65
Obstetrics Acute
6380
65
70
6400
70
75
6420
80
6440
85
6470
85
90
6510
90
95
Nursery Acute
6530
95
6560
100
6570
6580
6610
6630
115
6680
120
6780
125
6900
$530
$7,927,908
40
$3,028
$24,937,493
45
75
$957
$3,494,970
80
101
$802
$2,958,326
105
110
145
$5,317
$39,318,697
150
$802
$4,067,294
160
AMBULATORY SERVICES
160 Emergency Services
7010
7040
7060
175 Clinics
7070
7180
180
7200
185
7220
190
7230
195
7260
200
7290
205
7310
210
7320
215
7390
165
170
$123,467
$5,137,322
175
220
$124,269
$9,204,616
225
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(13) (Optional)
Units of Service
from Page 4,
Columns (4) + (5)
or Col(1)
Line
No
6010
10
Coronary Care
6030
10
15
6050
15
20
6070
20
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
40
45
Medical/Surgical Acute
6170
45
50
Pediatric Acute
6290
50
55
6340
55
60
6360
60
65
Obstetrics Acute
6380
65
70
6400
70
75
6420
75
80
6440
80
85
6470
85
90
6510
90
95
Nursery Acute
6530
95
6560
100
6570
101
6580
105
6610
110
6630
115
6680
120
6780
125
6900
145
150
AMBULATORY SERVICES
160 Emergency Services
7010
160
7040
165
7060
170
175 Clinics
7070
175
7180
180
7200
185
7220
190
7230
195
7260
200
7290
205
7310
210
7320
215
7390
220
225
06/30/2014
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(1)
Salaries
and Wages
(2)
Employee
Benefits
.00-.06,.08,
.09,.91,.95
.10-.19,.92-.96
$5,568,881
$3,510,923
$419,163
$264,263
06/30/2014
(3)
Reclassified
Physician and
Student
Compensation
Pages 15 &16,
Cols. (8) & (10)
(4)
Professional
Fees
.07,.10-.19,.20
.21-.29
Line
No
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
7420
230
7430
245 Anesthesiology
7450
7470
7480
7500
$2,543,746
$1,394,765
260
7520
$197,051
$103,032
265
7540
275 Echocardiology
7560
7570
$1,421,610
$845,974
$24,010
280
7590
$421,640
$262,044
$1,744
285
290 Electromyography
7610
295 Electroencephalography
7620
7630
7640
$270,521
235
240
245
250
255
270
275
290
$3,450
295
300
$2,463,884
$1,404,823
$170,518
7650
$209,496
$139,171
$8,744
310
7660
$154,353
$96,665
$15,121
315
320 Ultrasonography
7670
$219,423
$101,210
$12,411
320
7680
$194,145
$76,345
7710
7720
$1,420,542
$791,274
7730
7740
$1,179,854
$671,912
350 Lithotripsy
7750
7760
$533,539
$413,296
7770
360
7780
365
7790
370
7800
375
7820
380
7830
385
7840
7860
7870
305
325
330
$9,753
335
340
345
350
355
390
$2,535,401
$1,551,062
$19,482,728
$11,626,759
395
400
$516,272
405
7900
7950
410
411
$48,217,772
$28,175,665
$1,083,817
415
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(6)
Purchased
Services
(7)
Depreciation
06/30/2014
(8)
Leases
and Rentals
.31-.50,.93,.97
.61-.69
.71-.74
.75-.76
$1,129,449
$924,456
$670,880
$11,073
$69,583
Line
No
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
7420
7430
245 Anesthesiology
7450
$85,012
7470
$21,647,687
7480
7500
$1,630,351
$1,102,728
$223,977
7520
$25,415
$250,245
$13,607
265
7540
$1,338,669
$770
$18,021
270
275 Echocardiology
7560
7570
$4,710,223
$7,400
$889,484
280
7590
$25,237
$219
$105,503
285
290 Electromyography
7610
295 Electroencephalography
7620
$2,499
7630
$1,728,480
$354,362
$303,445
7640
7650
$139,364
$19,860
$12,808
310
7660
$8,141
$371,213
$144,415
315
320 Ultrasonography
7670
$29,973
$83,401
7680
$71,266
$6,350
7710
$5,943,802
$110,218
7720
$86,920
$702
$24,772
7730
$1,906
$123
$14,829
340
7740
$77,199
$7,399
$6,955
345
350 Lithotripsy
7750
7760
$272,390
$41,713
7770
$23,062
$2,616,244
7780
365
7790
370
7800
375
7820
380
7830
385
7840
7860
7870
230
235
240
$833
245
250
255
$67,434
260
275
290
$1,897
295
$99,233
300
305
320
$92,938
325
330
$429
335
350
355
$871
360
390
$60,654
$3,341,403
$1,125
$38,765
$39,037,699
$9,308,389
$2,525,527
$217,767
395
400
405
7900
7950
$3,900,966
410
411
$40,902,291
$13,599,256
$2,813,266
$217,767
415
Line
No
Account
No
Natural Classification Code
(9)
Other Direct
Expenses
PATIENT
REVENUE PRODUCING CENTERS
(10)
Total Direct
Expenses
Columns (1) thru
(9)
(11)
Adjustments of
Direct Expenses
from Page 14,
Parts I & II
06/30/2014
(12) (Optional)
Adjusted Direct
Expenses [Cols. Line
(10) minus (11)] to No
Page 20, Column
(1)
.77-.90,.94-.98
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
7420
230
7430
245 Anesthesiology
7450
7470
7480
7500
$21,520
$6,984,521
260
7520
$650
$590,000
265
7540
$4,365
$1,361,825
270
275 Echocardiology
7560
7570
$94,249
$7,992,950
280
7590
$816,387
285
290 Electromyography
7610
295 Electroencephalography
7620
7630
7640
$73,873
$12,160,056
$5,560
$844,414
235
240
$21,647,687
245
$11,794
250
255
275
290
$7,846
295
$48,714
$6,573,459
300
7650
$15,295
$544,738
310
7660
$35,982
$825,890
315
320 Ultrasonography
7670
$446,418
320
7680
$584,807
325
7710
$6,054,020
330
7720
$2,336,830
335
7730
$16,858
340
7740
$1,943,319
345
350 Lithotripsy
7750
7760
7770
7780
365
7790
370
7800
375
7820
380
7830
385
7840
7860
7870
305
$143,763
$2,438
350
$3,454
$1,264,392
355
$2,640,177
360
390
$35,539
$7,563,949
$485,402
$83,200,543
395
400
$11,794
405
7900
7950
$3,900,966
410
411
$614,988
$135,624,822
$11,794
415
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(13) (Optional)
Units of Service
from Page 4,
Columns (4) + (5)
or Col(1)
Line
No
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
230
7420
235
7430
240
245 Anesthesiology
7450
245
7470
250
7480
255
7500
260
7520
265
7540
270
275 Echocardiology
7560
275
7570
280
7590
285
290 Electromyography
7610
290
295 Electroencephalography
7620
295
7630
300
7640
305
7650
310
7660
315
320 Ultrasonography
7670
320
7680
325
7710
330
7720
335
7730
340
7740
345
350 Lithotripsy
7750
350
7760
355
7770
360
7780
365
7790
370
7800
375
7820
380
7830
385
7840
390
7860
395
7870
400
405
7900
7950
410
411
415
06/30/2014
NON-REVENUE
PRODUCING CENTERS
Line
No
Account
No
(1)
Salaries
and Wages
(2)
Employee
Benefits
06/30/2014
(3)
Reclassified
Physician and
Student
Compensation
Pages 15 &16,
Cols. (5),(6),(7),
(8)& (10)
(4)
Professional
Fees
.07,.10-.19,.20
.21-.29
Line
No
.00-.06,.08,
.09,.91,.95
.10-.19,.92-.96
$434,887
$250,944
$434,887
$250,944
10
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
30
8240
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
50
TOTAL EDUCATION
25
$496,899
$246,766
30
45
$496,899
$246,766
50
GENERAL SERVICES
55
8310
55
60
Kitchen
8320
60
65
8330
65
70
Dietary
8340
70
75
8350
80
8360
85
Central Transportation
8370
90
95
Pharmacy
75
$284,491
$153,476
8380
$643,620
$336,281
8390
$2,092,155
$1,416,603
$61,733
80
85
90
$16,468
95
8400
105 Grounds
8410
110 Security
8420
115 Parking
8430
115
120 Housekeeping
8440
120
8450
125
8460
135 Communications
8470
$333,167
$186,290
135
8480
$637,840
$419,010
140
8490
$4,559,218
$2,790,331
$81,225
150
100
105
$567,945
$278,671
$3,024
110
130
145
FISCAL SERVICES
155 General Accounting
8510
$315,952
$227,008
$94,244
155
8530
$686,482
$388,402
$25,988
160
8550
170 Admitting
8560
$1,162,766
$576,204
8570
8590
165
170
175
195
$2,165,200
$1,191,614
$120,232
200
NON-REVENUE
PRODUCING CENTERS
Line
No
Account
No
(6)
Purchased
Services
(7)
Depreciation
06/30/2014
(8)
Leases and
Rentals
Line
No
.31-.50,.93,.97
.61-.69
.71-.74
.75-.76
$17,170
$85,588
$23,531
$574
$17,170
$85,588
$23,531
$574
10
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
30
8240
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
50
TOTAL EDUCATION
25
$15,916
$122,373
30
45
$15,916
$122,373
50
GENERAL SERVICES
55
8310
60
Kitchen
8320
55
65
8330
$22,382
$1,516,074
$13,018
65
70
Dietary
8340
$20,661
$1,399,453
$28,742
70
75
8350
$33,897
$451,074
$2,325
75
80
8360
$2,324
$3,491
$3,199
80
85
Central Transportation
8370
90
8380
$494,132
$821,389
$71,479
$479,512
95
Pharmacy
8390
$285,334
$45,866
$413,036
60
85
8400
105 Grounds
8410
110 Security
8420
115 Parking
8430
120 Housekeeping
8440
8450
$7,259,441
$12,325
8460
$32,462
$92,481
$109,137
135 Communications
8470
$5,651
$77,805
$98,158
8480
$130,100
$6,674,010
$363,362
$412,835
8490
$1,070,098
$21,667,455
$766,683
$1,336,538
90
95
100
105
$15,080
$17,999
$14,257
110
$28,075
$3,354,238
$4,815
120
115
125
$31,155
130
135
140
145
150
FISCAL SERVICES
155 General Accounting
8510
$2,005
$10,808
$33,208
155
8530
$10,614
$21,980
$8,878
160
8550
170 Admitting
8560
8570
8590
$833,535
$30,496
$11,394
165
$2,225
170
175
195
$43,115
$877,717
$44,311
200
Line
No
Account
No
Natural Classification Code
(9)
Other Direct
Expenses
NON REVENUE
PRODUCING CENTERS
(10)
Total Direct
Expenses
Columns (1) thru
(9)
(11)
Adjustments of
Direct Expenses
from Page 14,
Parts I & II
06/30/2014
(12) (Optional)
Adjusted Direct
Expenses [Cols. Line
(10) minus (11)] to No
Page 20, Column
(1)
.77-.90,.94-.98
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
$39,840
$852,534
$39,840
$852,534
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
30
8240
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
50
TOTAL EDUCATION
25
$15,480
$897,434
30
45
$15,480
$897,434
50
GENERAL SERVICES
55
8310
60
Kitchen
8320
65
8330
$1,551,474
65
70
Dietary
8340
$1,448,856
70
75
8350
$487,296
75
80
8360
$696
$509,410
80
85
Central Transportation
8370
90
8380
$130,942
$2,977,355
95
Pharmacy
8390
8400
105 Grounds
8410
110 Security
8420
115 Parking
8430
120 Housekeeping
8440
8450
8460
135 Communications
8470
8480
8490
55
60
85
$4,269,462
90
95
100
105
$3,603
$900,579
110
$1,400
$3,388,528
120
$7,271,766
125
$4,812,519
130
$701,071
135
$64,716
$8,701,873
140
$4,748,641
$37,020,189
150
115
$4,547,284
145
FISCAL SERVICES
155 General Accounting
8510
$837,704
155
8530
$1,142,344
160
8550
$833,535
165
170 Admitting
8560
$1,784,881
170
8570
8590
$154,479
$1,796
175
195
$156,275
$4,598,464
200
NON REVENUE
PRODUCING CENTERS
Line
No
(13)
Units of Service
Account
No
(14)(Optional)
Adjusted Direct
Expenses Per
Unit Column (12)
(13)
Line
No
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
1,040,563
5
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
30
8240
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
45
50
TOTAL EDUCATION
25
6
30
50
GENERAL SERVICES
55
8310
60
Kitchen
8320
65
8330
155,812
65
70
Dietary
8340
143,826
70
75
8350
928,708
75
80
8360
1,974
80
85
Central Transportation
8370
90
8380
55,638
95
Pharmacy
8390
55,309
8400
105 Grounds
8410
110 Security
8420
115 Parking
8430
120 Housekeeping
55
60
85
90
95
100
105
937
110
8440
618,435
120
8450
703,754
125
8460
703,754
130
135 Communications
8470
937
135
8480
1,040,563
140
8490
115
145
150
FISCAL SERVICES
155 General Accounting
8510
937
155
8530
1,040,563
160
8550
1,040,563
165
170 Admitting
8560
7,797
170
8570
175
8590
195
200
06/30/2014
NON REVENUE
PRODUCING CENTERS
Line
No
Account
No
(1)
Salaries
and Wages
(2)
Employee
Benefits
06/30/2014
(3)
Reclassified
Physician and
Student
Compensation
Pages 15 & 16,
Cols. (5),(6),(7),(8)
& (10)
(4)
Professional
Fees
.07,.10-.19,.20
.21-.29
Line
No
.00-.06,.08,
.09,.91,.95
.10-.19,.92-.96
$2,141,699
$1,284,263
$660,900
$511,872
$283,068
$47,450
$379,043
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
8620
8630
8640
225 Personnel
8650
$481,259
$264,133
8660
$209,430
$93,394
8670
8680
$163,564
$95,339
8690
$68,482
$36,501
8700
$819,321
$458,028
8710
$250,859
$129,175
255
8720
$1,039,352
$603,757
260
8730
8740
8750
$2,638,828
$1,383,331
$237,034
275
8770
$482,939
$240,282
$3,000
280
8790
205
210
215
220
225
230
$1,740
235
240
245
$81,930
250
265
270
$3,820,167
$8,807,605
$4,871,271
$3,820,167
295
$1,411,097
300
UNASSIGNED COSTS
305 Depreciation and Amortization
8810
305
8820
310
8830
315
8840
320
8850
325
8860
330
8870
345
8880
350
8890
355
360
TOTAL
365 TOTAL OPERATING COSTS (17 & 18)
370 Non-Operating Cost Centers
375 TOTAL COSTS
$64,681,581
$37,526,591
$80,348
$17,564
$64,761,929
$37,544,155
$3,820,167
$2,696,371
$3,820,167
$2,696,371
365
370
375
NON REVENUE
PRODUCING CENTERS
Line
No
Account
No
(6)
Purchased
Services
(7)
Depreciation
06/30/2014
(8)
Leases and
Rentals
.31-.50,.93,.97
.61-.69
.71-.74
.75-.76
$15,412
$7,773,630
$94,280
$2,832
$14,764
$72,187
Line
No
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
8620
8630
8640
225 Personnel
8650
$8,410
$21,066
$2,936
225
8660
$1,459
$3,116
$3,814
230
8670
$158
$2,277
$182
235
8680
$2,518
$1,273
240
8690
$542
$14,061
$747
245
8700
$32,140
$409,719
$54,273
250
8710
$5,288
$18,418
$1,504
255
8720
$11,444
$3,504
$18,686
260
8730
8740
8750
$9,921
$9,173
8770
$18,381
$43,774
8790
$120,437
$8,370,925
205
210
215
220
265
270
$6,746
275
280
295
$184,441
$2,832
300
UNASSIGNED COSTS
305 Depreciation and Amortization
8810
8820
$8,568,202
305
310
8830
315
8840
320
8850
325
8860
330
8870
345
8880
350
8890
355
$8,568,202
360
TOTAL
365 TOTAL OPERATING COSTS (17 & 18)
370 Non-Operating Cost Centers
375 TOTAL COSTS
$42,169,027
$44,723,314
$12,400,434
$197,790
$1,457,050
$42,161
$42,366,817
$46,180,364
$12,442,595
$1,557,711
365
370
$1,557,711
375
Line
No
(10)
Total Direct
Expenses
Columns (1) thru
(9)
(11)
Adjustments of
Direct Expenses
from Page 14,
Parts I & II
$6,592,432
$18,565,448
$5,295
$277,529
$1,206,870
Account
No
Natural Classification Code
(9)
Other Direct
Expenses
NON REVENUE
PRODUCING CENTERS
06/30/2014
(12) (Optional)
Adjusted Direct
Expenses [Cols. Line
(10) minus (11)] to No
Page 20, Column
(1)
.77-.90,.94-.98
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
8620
8630
8640
225 Personnel
8650
8660
205
210
215
220
$1,156,847
225
$12,225
$323,438
230
8670
$498
$4,855
235
8680
$1,494
$264,188
240
8690
$41,831
$162,164
245
8700
$5,234
$1,860,645
250
8710
$1,611
$406,855
255
8720
$1,094
$1,677,837
260
8730
8740
8750
$13,380
$4,298,413
275
8770
$30,918
$819,294
280
8790
265
270
$3,820,167
$6,978,246
$34,567,021
295
$5,295
300
UNASSIGNED COSTS
305 Depreciation and Amortization
8810
8820
8830
$1,763,651
$1,763,651
315
8840
$231,883
$231,883
320
8850
$167,843
$167,843
325
8860
$3,378,550
$3,378,550
330
8870
345
8880
350
8890
$8,568,202
305
310
355
$5,541,927
$14,110,129
$18,095,397
$227,670,593
$985,371
$2,780,284
$19,080,768
$230,450,877
360
TOTAL
365 TOTAL OPERATING COSTS (17 & 18)
370 Non-Operating Cost Centers
375 TOTAL COSTS
$17,089
365
370
$17,089
375
NON REVENUE
PRODUCING CENTERS
Line
No
(13)
Units of Service
Account
No
(14)(Optional)
Adjusted Direct
Expenses Per
Unit Column (12)
(13)
Line
No
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
8620
937
205
8630
8640
225 Personnel
8650
937
225
8660
937
230
8670
267
235
8680
47,942
240
8690
211
245
8700
70,906
250
8710
211
255
8720
304
260
8730
8740
8750
7,797
275
8770
3,386
280
8790
210
1,044,220
215
220
265
270
295
300
UNASSIGNED COSTS
305 Depreciation and Amortization
8810
8820
8830
1,040,563
315
8840
703,754
320
8850
703,754
325
8860
1,040,563
330
8870
345
8880
350
8890
355
703,754
305
310
360
TOTAL
365 TOTAL OPERATING COSTS (17 & 18)
365
370
375
06/30/2014
(5) Hospital
FTE's
Line
No
LINES BEING ALLOCATED
5-25
30-80
85-100
(7) Square
Feet Serviced
105
110
Line
No
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
35
Hospital Administration
40
40
45
Public Relations
45
50
Management Engineering
50
55
60
7,596
60
65
General Accounting
1,605
65
70
Communications
1,294
70
75
80
85
Personnel
1,127
85
90
18,644
90
95
100
30
26,154
35
55
75
80
95
105
2,774
110
115 Grounds
120 Security
115
581
581
49,851
49,851
130
33,360
33,360
135
145 Dietary
5,974
5,974
145
3,178
3,178
150
2,462
2,462
155
1,652
1,652
160
5,182
5,182
170
4,015
4,015
175
1,419
1,419
180
4,424
4,424
185
2,221
2,221
190
747
747
195
1,143
1,143
200
5,541
5,541
125 Parking
125
140
165
205
210
215
120
220
2,368
2,368
7,779
7,779
235
240 Pharmacy
4,994
4,994
240
2,225
2,225
245
225
230
250
255
260
265
270
275
280
145
150
155-215
Line
No
220
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
16,281
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
(13)Nursing
FTE's
(14) Central
Service and
Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
225-230
235
240
Line
No
250-255
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
(19) Nursing
Student
Departmental
Assignment
260-265
(21) Medical
PostGraduate
Departmental
Assignment
Line
No
280
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
(5) Hospital
FTE's
Line
No
LINES BEING ALLOCATED
DAILY HOSPITAL SERVICES
505 Medical/Surgical Intensive Care
5-25
16,874
30-80
85-100
(7) Square
Feet Serviced
105
110
Line
No
16,874
505
510
515
520
525
530
535
540
59,355
59,355
545
550
555
560
565
570
575
9,823
9,823
580
585
590
595
600
601
8,970
8,970
605
610
615
620
625
645
AMBULATORY SERVICES
660 Emergency Services
3,365
3,365
665
660
670
11,641
11,641
675
680
685
690
695
700
705
710
715
720
ANCILLARY SERVICES
730 Labor and Delivery Services
735 Surgery and Recovery Services
730
39,628
39,628
735
740
745 Anesthesiology
745
750
755
6,132
6,132
760
3,997
3,997
765
1,617
1,617
770
8,655
8,655
775 Echocardiology
780 Cardiac Catheterization Services
775
780
145
150
10,518
72,454
155-215
Line
No
220
505
510
515
520
525
530
535
540
93,384
433,053
545
550
555
560
565
570
575
15,060
580
585
590
595
600
601
24,864
605
610
615
620
625
645
AMBULATORY SERVICES
660 Emergency Services
43,666
665
660
670
10,698
675
680
685
690
695
700
705
710
715
720
ANCILLARY SERVICES
730 Labor and Delivery Services
735 Surgery and Recovery Services
730
257,501
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
780 Cardiac Catheterization Services
775
14,574
780
(13)Nursing
FTE's
(14) Central
Service and
Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
225-230
235
240
Line
No
250-255
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
AMBULATORY SERVICES
660 Emergency Services
660
665
670
675 Clinics
675
680
685
690
695
700
705
710
715
720
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
750 Medical Supplies Sold to Patients
745
$21,647,687
750
755
760
765
770
775 Echocardiology
775
780
(19) Nursing
Student
Departmental
Assignment
260-265
(21) Medical
PostGraduate
Departmental
Assignment
Line
No
280
505
510
515
520
525
530
535
540
5.91
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
AMBULATORY SERVICES
660 Emergency Services
660
665
670
675 Clinics
675
680
685
690
695
700
705
710
715
720
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
(5) Hospital
FTE's
Line
No
LINES BEING ALLOCATED
5-25
30-80
85-100
(7) Square
Feet Serviced
105
110
Line
No
3,954
3,954
135
135
795
16,676
16,676
800
1,407
1,407
810
1,938
1,938
815
3,738
3,738
2,277
2,277
835
753
753
840
7,050
7,050
845
8,615
8,615
855
4,028
4,028
860
790 Electromyography
795 Electroencephalography
800 Radiology - Diagnostic
790
805
820 Ultrasonography
825 Computed Tomographic Scanner
820
785
825
830
850 Lithotripsy
850
865
870
875
880
885
890
4,483
4,483
895
900
910
911
160,411
160,411
915
594,758
524,638
920
925
930
935
940
145
150
155-215
Line
No
220
2,516
790 Electromyography
785
790
795 Electroencephalography
795
26,573
800
805
5,854
810
6,365
815
820 Ultrasonography
820
15,900
825
830
835
840
845
850 Lithotripsy
850
8,838
855
14,435
860
865
870
875
880
885
890
895
900
910
911
915
143,826
928,708
920
925
930
935
940
(13)Nursing
FTE's
(14) Central
Service and
Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
225-230
235
240
Line
No
250-255
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
$6,054,020
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
910
911
915
$21,647,687
$6,054,020
920
925
930
935
940
(19) Nursing
Student
Departmental
Assignment
260-265
(21) Medical
PostGraduate
Departmental
Assignment
Line
No
280
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
910
911
915
5.91
920
925
930
935
940
COST ALLOCATION
(2)Square Feet
06/30/2014
(3)Subtotal
Line
No
5-25
Interest - Other
8870
10
Insurance - Other
8840
10
15
8850
15
20
8810
20
25
8820
25
30
8860
30
35
Hospital Administration
8610
35
40
8620
40
45
Public Relations
8630
45
50
Management Engineering
8640
50
55
8770
55
60
8790
60
65
General Accounting
8510
65
70
Communications
8470
70
75
8590
75
80
8310
80
85
Personnel
8650
85
90
8660
90
95
8880
95
8330
100
8400
105
110 Housekeeping
8440
110
115 Grounds
8410
115
120 Security
8420
120
125 Parking
8430
125
8450
130
8460
135
8490
140
145 Dietary
8340
145
8350
150
8530
155
8480
160
8550
165
8670
170
8680
175
8690
180
8700
185
8710
190
8360
195
8750
200
8830
205
210 Admitting
8560
210
8890
215
8570
220
8720
225
8740
230
8380
235
240 Pharmacy
8390
240
8010
245
8210
250
8260
255
8230
260
8220
265
8250
270
8290
275
8260
280
285
COST ALLOCATION
(4)Accumulated
Costs
30-80
105
06/30/2014
(7)Square Feet
Serviced
Line
No
110
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
COST ALLOCATION
(8)Square Feet
from Column (2)
(9)Meals Served
(10)Dry Pounds
Processed
115-140
145
150
06/30/2014
(11)Gross Patient
Line
Revenue from Page No
12, Column 23
155-215
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
COST ALLOCATION
06/30/2014
(12)Gross
Outpatient Revenue
from Page
12,Column 22
(13)Nursing
FTE's
(14)Central Service
and Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
Line
No
220
225-230
235
240
No
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
COST ALLOCATION
06/30/2014
(17)Gross Patient
Revenue from
Column (11)
(18) Students in
All Approved
Programs
(19)Nursing Student
Departmental
Assignment
245
250-255
260-265
Line
No
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
285
COST ALLOCATION
(20)Paramedic Student
Departmental
Assignment
(21)Medical
Postgraduate
Departmental
Assignment
270-275
280
06/30/2014
(22)Transfers
for Operating
Costs
(23)Total
Line
No
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
COST ALLOCATION
(2)Square Feet
06/30/2014
(3)Subtotal
Line
No
5-25
5320
350
5340
355
5350
360
5370
365
5380
370
5390
375
5430
380
5440
385
5480
390
5700
395
5740
400
5782
405
5770
410
5781
411
5790
415
5780
420
5780
425
5780
430
5780
435
440
445
6010
505
6030
510
6050
515
6070
520
6090
525
6110
530
6130
535
6150
540
6170
545
6290
550
6340
555
6360
560
6380
565
6400
570
6420
575
6440
580
6470
585
6510
590
6530
595
6560
600
6570
601
6580
605
6610
610
6630
615
6680
620
6780
625
6900
645
650
AMBULATORY SERVICES
660 Emergency Services
7010
660
7040
665
7060
670
COST ALLOCATION
(4)Accumulated
Costs
30-80
105
06/30/2014
(7)Square Feet
Serviced
Line
No
110
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
440
445
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
650
AMBULATORY SERVICES
660 Emergency Services
660
665
670
COST ALLOCATION
(8)Square Feet
from Column (2)
(9)Meals Served
(10)Dry Pounds
Processed
115-140
145
150
06/30/2014
(11)Gross Patient
Line
Revenue from Page No
12, Column 23
155-215
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
440
445
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
650
AMBULATORY SERVICES
660 Emergency Services
660
665
670
COST ALLOCATION
06/30/2014
(12)Gross
Outpatient Revenue
from Page
12,Column 22
(13)Nursing
FTE's
(14)Central Service
and Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
Line
No
220
225-230
235
240
No
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
440
445
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
650
AMBULATORY SERVICES
660 Emergency Services
660
665
670
COST ALLOCATION
06/30/2014
(17)Gross Patient
Revenue from
Column (11)
(18) Students in
All Approved
Programs
(19)Nursing Student
Departmental
Assignment
245
250-255
260-265
Line
No
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
440
445
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
650
AMBULATORY SERVICES
660 Emergency Services
660
665
670
COST ALLOCATION
(20)Paramedic Student
Departmental
Assignment
(21)Medical
Postgraduate
Departmental
Assignment
270-275
280
06/30/2014
(22)Transfers
for Operating
Costs
(23)Total
Line
No
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
440
445
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
650
AMBULATORY SERVICES
660 Emergency Services
660
665
670
COST ALLOCATION
(2)Square Feet
06/30/2014
(3)Subtotal
Line
No
5-25
675 Clinics
7070
675
7180
680
7200
685
7220
690
7230
695
7260
700
7290
705
7310
710
7320
715
7390
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
7400
7420
735
7430
740
745 Anesthesiology
7450
745
7470
750
7480
755
7500
760
7520
765
7540
770
775 Echocardiology
7560
775
7570
780
7590
785
790 Electromyography
7610
790
795 Electroencephalography
7620
795
7630
800
7640
805
7650
810
7660
815
820 Ultrasonography
7670
820
7680
825
7710
830
7720
835
7730
840
7740
845
850 Lithotripsy
7750
850
7760
855
7770
860
7780
865
7790
870
7800
875
7820
880
7830
885
7840
890
7860
895
7870
900
730
905
7900
7950
910
911
915
-0-
920
COST ALLOCATION
(4)Accumulated
Costs
30-80
105
06/30/2014
(7)Square Feet
Serviced
Line
No
110
675 Clinics
675
680
685
690
695
700
705
710
715
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
905
910
911
915
920 TOTAL
-0-
-0-
-0-
-0-
920
COST ALLOCATION
(8)Square Feet
from Column (2)
(9)Meals Served
(10)Dry Pounds
Processed
115-140
145
150
06/30/2014
(11)Gross Patient
Line
Revenue from Page No
12, Column 23
155-215
675 Clinics
675
680
685
690
695
700
705
710
715
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
905
910
911
915
920 TOTAL
-0-
-0-
-0-
-0-
920
COST ALLOCATION
06/30/2014
(12)Gross Patient
Revenue from Page
12,Column 22
(13)Nursing
FTE's
(14)Central Service
and Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
220
225-230
235
240
Line
No
No
675 Clinics
675
680
685
690
695
700
705
710
715
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
905
910
911
915
920 TOTAL
-0-
-0-
-0-
-0-
920
COST ALLOCATION
06/30/2014
(17)Gross Patient
Revenue from
Column (11)
(18) Students in
All Approved
Programs
(19)Nursing Student
Departmental
Assignment
245
250-255
260-265
Line
No
675 Clinics
675
680
685
690
695
700
705
710
715
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
905
910
911
915
920 TOTAL
-0-
-0-
-0-
920
COST ALLOCATION
(20)Paramedic Student
Departmental
Assignment
(21)Medical
Postgraduate
Departmental
Assignment
270-275
280
06/30/2014
(22)Transfers
for Operating
Costs
(23)Total
Line
No
675 Clinics
675
680
685
690
695
700
705
710
715
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
905
910
911
915
920 TOTAL
-0-
-0-
-0-
920
06/30/2014
(2)Other Operating
Revenue Page
14,Col(1), Line 200
($16,592)
($2,747,332)
(4)Other Operating
Revenue Page 14, Col Line
(1),Line 210
No
Cost Recovery
Interest - Other
($288,541)
1
5
10
Insurance - Other
10
15
15
20
20
25
25
30
35
Hospital Administration
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
30
$16,592
$2,747,332
$288,541
35
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
Line
No
06/30/2014
(4)Other Operating
Revenue Page 14, Col Line
(1),Line 210
No
255
260
265
270
275
280
-0-
-0-
-0-
-0-
285
Cost Recovery
Interest - Other
1
5
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
06/30/2014
Line
No
255
260
265
270
275
280
-0-
-0-
285
06/30/2014
Account No
6010
505
6030
510
6050
515
6070
520
6090
525
6110
530
6130
535
6150
540
6170
545
6290
550
6340
555
6360
560
6380
565
6400
570
6420
575
6440
580
6470
585
6510
590
6530
595
6560
600
6570
601
6580
605
6610
610
6630
615
6680
620
6780
625
6900
645
650
AMBULATORY SERVICES
660 Emergency Services
7010
660
7040
665
7060
670
675 Clinics
7070
675
7180
680
7200
685
7220
690
7230
695
7260
700
7290
705
7310
710
7320
715
7390
720
725
06/30/2014
Account No
Line
No
ANCILLARY SERVICES
730 Labor and Delivery Services
7400
730
7420
735
7430
740
745 Anesthesiology
7450
745
7470
750
7480
755
7500
760
7520
765
7540
770
775 Echocardiology
7560
775
7570
780
7590
785
790 Electromyography
7610
790
795 Electroencephalography
7620
795
7630
800
7640
805
7650
810
7660
815
820 Ultrasonography
7670
820
7680
825
7710
830
7720
835
7730
840
7740
845
850 Lithotripsy
7750
850
7760
855
7770
860
7780
865
7790
870
7800
875
7820
880
7830
885
7840
890
7860
895
7870
900
905
-0-
920
06/30/2014
CLASSIFICATION DESCRIPTION
Line
No
Management and
Supervision
(3)
(4)
Technical and
Specialist
.00
06/30/2014
(5)
(6)
Registered
Nurses
.01
.02
Line
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
$71.33
1,088
$51.53
218
$62.63
71,050
No
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
80
85
85
90
90
95
Nursery Acute
40
$74.85
5,660
$21.43
6,392
$54.66
231,213
45
75
$77.08
1,874
$17.76
29
$55.36
32,384
80
95
100
101
$45.96
3,070
$54.90
18,866
105
110
115
120
125
145
8,622
9,709
353,513
150
32,096
160
AMBULATORY SERVICES
160 Emergency Services
$75.53
1,375
$21.00
4,995
$56.07
165
170
$40.33
8,455
$52.34
20,422
$39.76
1,684
175
180
185
190
195
200
205
210
215
220
9,830
25,417
33,780
225
CLASSIFICATION DESCRIPTION
Line
No
Licensed
Vocational Nurses
(9)
(10)
Aides and
Orderlies
.03
06/30/2014
(11)
(12)
.04
.05
Line
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
$25.21
24
$18.48
120
$18.88
3,665
No
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
80
85
85
90
90
95
Nursery Acute
40
$26.90
3,546
$15.67
61,951
$17.80
28,924
45
75
$24.99
4,737
$15.21
8,828
$18.34
2,476
80
95
100
101
$24.77
12,214
$16.05
19,596
$23.37
318
105
110
115
120
125
145
20,521
90,495
35,383
150
10,602
160
AMBULATORY SERVICES
160 Emergency Services
$15.36
91
$20.76
165
170
$19.39
1,104
$18.53
64,162
175
180
185
190
195
200
205
210
215
220
1,104
91
74,764
225
CLASSIFICATION DESCRIPTION
Line
No
Environmental and
Food Service
(15)
(16)
Productive
Hours
(17)
(18)
Physicians
(Salaried)
Non-Physicians Medical
Practitioners
.07
.08
.06
Average
Hourly Rate
06/30/2014
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Line
Productive
Hours
No
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
40
45
Medical/Surgical Acute
45
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
75
80
80
85
85
90
90
95
Nursery Acute
95
100
101
105
110
115
120
125
145
150
AMBULATORY SERVICES
160 Emergency Services
160
165
170
$80.32
4,793
175
180
185
190
195
200
205
210
215
220
4,793
225
Line
No
(19)
CLASSIFICATION DESCRIPTION
(20)
Other Salaries
and Wages
(21)
Cost Center
Average Hourly
Rate
.09
Line
Average Hourly
Rate
Productive
Hours
$54.07
3,569
No
10
Coronary Care
$59.83
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
80
85
85
90
90
95
Nursery Acute
95
100
Sub-Acute Care
100
101
105
110
115
Intermediate Care
115
120
Residential Care
120
125
125
145
150
40
$45.38
14,710
$43.59
45
75
$45.30
1,145
$44.36
80
101
$39.61
1,127
$33.47
105
110
145
20,551
150
AMBULATORY SERVICES
160
Emergency Services
165
$49.62
1,437
$46.40
160
170
175
Clinics
180
Satellite Clinics
180
185
185
190
190
195
Observation Care
195
200
200
205
205
210
210
215
215
220
225
165
170
$48.11
421
$30.74
175
220
1,858
225
06/30/2014
21
Facility D.B.A. Name :
(24)
HOURS SUMMARY
Productive
Hours
NonProductive
Hours
Total Paid
Hours
79,734
17,592
97,326
06/30/2014
(25)
(Optional)
Full
Time
Equivalent
Employees
Line
No
Line
No
Column (22)
2080
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
80
85
85
90
90
95
Nursery Acute
40
352,396
61,707
414,103
45
75
51,473
6,380
57,853
80
95
100
101
55,191
8,723
63,914
105
110
115
120
125
145
538,794
94,402
633,196
150
50,596
9,366
59,962
160
AMBULATORY SERVICES
160 Emergency Services
165 Medical Transportation Services
165
170
101,041
13,326
114,367
175
180
185
190
195
200
205
210
215
220
151,637
22,692
174,329
225
CLASSIFICATION DESCRIPTION
Line
No
Management and
Supervision
(3)
(4)
Technical and
Specialist
.00
06/30/2014
(5)
(6)
Registered
Nurses
.01
.02
Line
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
$67.43
7,216
$20.79
22,117
$58.52
62,626
$48.00
8,733
No
ANCILLARY SERVICES
230 Labor and Delivery Services
235 Surgery and Recovery Services
230
240
245 Anesthesiology
245
250
255
$59.67
10,039
$34.04
55,537
260
$31.82
3,632
265
270
275 Echocardiology
275
$63.65
2,003
$43.65
8,419
$33.67
24
$28.47
14,179
$61.44
13,554
280
285
290 Electromyography
290
295 Electroencephalography
300 Radiology - Diagnostic
235
295
$57.27
8,392
$35.82
39,856
$62.66
3,692
$48.27
4,340
310
$40.96
3,763
315
320 Ultrasonography
$40.08
5,474
320
$33.10
5,464
325
305
330
$66.12
1,417
$34.86
38,066
335
$63.30
1,772
$26.86
$65.72
16,244
$25.50
1,056
$64.15
7,392
300
340
350 Lithotripsy
345
350
355
360
365
370
375
380
385
390
$64.17
5,628
$49.58
26,338
395
400
36,491
236,981
103,508
405
CLASSIFICATION DESCRIPTION
Line
No
Licensed
Vocational Nurses
(9)
(10)
Aides and
Orderlies
.03
Average
Hourly Rate
06/30/2014
(11)
.04
Productive
Hours
(12)
.05
Line
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
$14.04
14,788
$20.22
14,215
No
ANCILLARY SERVICES
230 Labor and Delivery Services
230
235
240
245 Anesthesiology
245
250
255
$17.53
3,088
260
$26.20
3,110
265
270
275 Echocardiology
280 Cardiac Catheterization Services
275
$28.45
244
$19.85
1,796
$23.12
2,219
280
$19.50
$21.09
804
285
290 Electromyography
290
295 Electroencephalography
295
$17.52
18,495
300
305
310
$14.00
16
$15.59
851
320 Ultrasonography
315
320
325
330
335
340
345
350 Lithotripsy
350
$13.87
1,316
$17.57
806
355
360
365
370
375
380
385
390
$19.29
35,221
395
400
244
17,908
78,825
405
CLASSIFICATION DESCRIPTION
Line
No
Environmental and
Food Service
(15)
(16)
Productive
Hours
(17)
(18)
Physicians
(Salaried)
Non-Physicians Medical
Practitioners
.07
.08
.06
Average
Hourly Rate
06/30/2014
Average
Hourly Rate
Productive
Hours
Line
Average
Hourly Rate
Productive
Hours
$94.89
4,567
No
ANCILLARY SERVICES
230 Labor and Delivery Services
235 Surgery and Recovery Services
230
235
240
245 Anesthesiology
245
250
255
260
265
270
275 Echocardiology
275
280
285
290 Electromyography
290
295 Electroencephalography
295
300
305
310
315
320 Ultrasonography
320
325
330
335
340
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
$71.57
2,636
395
400
7,203
405
Line
No
(19)
CLASSIFICATION DESCRIPTION
(20)
Other Salaries
and Wages
(21)
Cost Center
Average Hourly
Rate
.09
Line
Average Hourly
Rate
Productive
Hours
$43.34
9,402
No
ANCILLARY SERVICES
230
235
230
240
245
Anesthesiology
250
255
260
$46.79
1,904
$37.30
260
265
$41.83
23
$29.55
265
270
Blood Bank
275
Echocardiology
280
$51.17
446
$54.66
280
285
Cardiology Services
$16.98
124
$29.51
285
290
Electromyography
295
Electroencephalography
300
Radiology - Diagnostic
305
Radiology - Therapeutic
310
$46.15
235
240
$47.95
245
250
255
270
275
290
295
$41.79
1,008
$37.48
300
Nuclear Medicine
$42.20
20
$52.36
310
315
$39.87
23
$44.64
315
320
Ultrasonography
$40.99
320
325
$31.48
325
330
335
Respiratory Therapy
340
345
Renal Dialysis
350
Lithotripsy
355
Gastro-Intestinal Services
360
Physical Therapy
360
365
Speech-Language Pathology
365
370
Occupational Therapy
370
375
375
380
Electroconvulsive Therapy
380
385
Psychiatric/Psychological Testing
385
390
395
Organ Acquisition
400
405
305
330
$44.08
211
$35.91
$56.42
546
$65.04
$33.50
673
$56.12
335
340
345
350
355
390
$45.87
423
$38.92
395
400
14,803
405
06/30/2014
(24)
HOURS SUMMARY
Productive
Hours
NonProductive
Hours
Total Paid
Hours
134,931
23,624
158,555
8,733
10
8,743
06/30/2014
(25)
(Optional)
Full
Time
Equivalent
Employees
Line
No
Line
No
Column (22)
2080
ANCILLARY SERVICES
230 Labor and Delivery Services
235 Surgery and Recovery Services
230
235
240
245
250
255
70,568
9,055
79,623
260
6,765
864
7,629
265
270
275 Echocardiology
275
28,681
3,571
32,252
280
15,139
2,543
17,682
285
290 Electromyography
290
295 Electroencephalography
300 Radiology - Diagnostic
295
71,443
10,746
82,189
4,360
779
5,139
310
3,802
779
4,581
315
320 Ultrasonography
5,474
724
6,198
320
6,315
343
6,658
325
39,694
7,016
46,710
18,569
2,998
21,567
11,243
1,958
13,201
305
330
335
340
350 Lithotripsy
355 Gastro-Intestinal Services
300
345
350
355
360
365
370
375
380
385
390
70,246
10,147
80,393
495,963
75,157
571,120
395
400
405
(1)
(2)
(3)
06/30/2014
(4)
CLASSIFICATION DESCRIPTION
Registry Nursing
Personnel
Other Contracted
Services
.25
.21, .26
(5)
Total Contracted
Hours
Line
No
Line
REVENUE PRODUCING CENTERS
Average Hourly
Rate
Productive Hours
$109.58
1,602
Average Hourly
Rate
Productive Hours
No
10
Coronary Care
1,602
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
80
85
85
90
90
95
Nursery Acute
40
$64.09
1,425
1,425
45
75
$49.95
309
309
80
95
100
101
$56.05
1,549
1,549
105
110
115
120
125
145
4,885
4,885
150
2,504
2,504
160
AMBULATORY SERVICES
160 Emergency Services
$77.89
165
170
175 Clinics
$50.00
175
180
185
190
195
200
205
210
215
220
2,504
2,508
225
(1)
(2)
(3)
06/30/2014
(4)
CLASSIFICATION DESCRIPTION
Registry Nursing
Personnel
Other Contracted
Services
.25
.21, .26
(5)
Total Contracted
Hours
Line
No
Line
REVENUE PRODUCING CENTERS
Average Hourly
Rate
Productive Hours
$88.16
2,213
Average Hourly
Rate
Productive Hours
No
ANCILLARY SERVICES
230 Labor and Delivery Services
235 Surgery and Recovery Services
230
2,213
235
240
245 Anesthesiology
245
250
255
260
265
270
275 Echocardiology
275
$102.61
234
234
285
290 Electromyography
290
295 Electroencephalography
300 Radiology - Diagnostic
280
$118.28
827
$71.88
48
48
295
$89.90
192
1,019
300
305
310
$85.71
156
156
315
320 Ultrasonography
$81.65
152
152
320
325
330
$116.11
84
84
335
340
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
395
400
3,040
866
3,906
405
CLASSIFICATION DESCRIPTION
Line
No
Management and
Supervision
(3)
(4)
Technical and
Specialist
.00
06/30/2014
(5)
(6)
Registered
Nurses
.01
.02
Average
Hourly Rate
Line
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
Productive
Hours
No
$36.48
1,851
$26.32
5,893
5,893
10
RESEARCH COSTS
5
10
TOTAL RESEARCH
1,851
EDUCATION COSTS
15
15
20
School of Nursing
20
25
30
35
Paramedical Education
35
40
Student Housing
40
45
50
TOTAL EDUCATION
25
$50.03
6,395
30
45
6,395
50
GENERAL SERVICES
55
55
60
Kitchen
60
65
65
70
Dietary
70
75
80
85
Central Transportation
90
95
75
$48.28
1,844
$35.05
5,577
$49.79
1,795
$18.61
18,431
Pharmacy
$84.68
3,095
$41.04
43,551
85
90
95
100
105 Grounds
110 Security
80
105
$22.60
6,434
110
115 Parking
115
120 Housekeeping
120
125
130
135 Communications
$42.27
1,932
$29.36
1,965
135
$64.29
$59.50
10,491
140
145
15,107
80,015
150
3,497
155
FISCAL SERVICES
155 General Accounting
$65.51
2,115
$39.63
1,727
$44.65
5,311
$34.84
160
165
$23.69
1,081
175
170
195
9,153
4,578
200
CLASSIFICATION DESCRIPTION
Line
No
Management and
Supervision
(3)
(4)
Technical and
Specialist
.00
06/30/2014
(5)
(6)
Registered
Nurses
.01
.02
Average
Hourly Rate
Line
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
Productive
Hours
No
$156.13
8,994
$41.26
7,080
$47.91
7,765
$36.34
3,034
225 Personnel
$90.14
3,550
$35.56
2,231
225
$55.43
1,863
$48.07
1,212
230
$39.08
798
$26.61
4,974
240
$37.61
1,821
245
$33.34
9,144
250
$53.22
3,183
ADMINISTRATIVE SERVICES
205 Hospital Administration
210 Governing Board Expense
215 Public Relations
210
215
220
205
235
$61.01
2,480
$57.33
1,772
$66.05
9,693
255
260
265
270
$69.57
9,458
$52.31
33,016
275
$24.62
5,446
$19.70
2,251
280
295
51,819
67,946
300
350
$14.37
155
370
CLASSIFICATION DESCRIPTION
Line
No
Licensed
Vocational Nurses
(9)
(10)
Aides and
Orderlies
.03
Average
Hourly Rate
06/30/2014
(11)
.04
Productive
Hours
Average
Hourly Rate
(12)
.05
Productive
Hours
Line
Average
Hourly Rate
Productive
Hours
No
$14.02
12,194
12,194
10
RESEARCH COSTS
5
10
TOTAL RESEARCH
EDUCATION COSTS
15
15
20
School of Nursing
20
25
30
35
Paramedical Education
35
40
Student Housing
40
45
50
TOTAL EDUCATION
25
$29.78
1,916
30
45
1,916
50
GENERAL SERVICES
55
55
60
Kitchen
60
65
65
70
Dietary
70
75
75
80
80
85
Central Transportation
90
$16.15
13,072
95
Pharmacy
$17.60
2,417
85
90
95
100
105 Grounds
105
110 Security
110
115 Parking
115
120 Housekeeping
120
125
130
$16.36
11,844
135
140
145
27,333
150
FISCAL SERVICES
155 General Accounting
$30.81
1,803
155
$22.06
28,018
160
$18.85
47,737
165
175
170
195
77,558
200
CLASSIFICATION DESCRIPTION
Line
No
Licensed
Vocational Nurses
(9)
(10)
Productive
Hours
(11)
(12)
Aides and
Orderlies
.04
.05
.03
Average
Hourly Rate
06/30/2014
Average
Hourly Rate
Productive
Hours
Line
Average
Hourly Rate
Productive
Hours
No
$30.77
14,473
205
$14.80
1,980
225 Personnel
$22.45
3,650
225
$16.77
255
230
ADMINISTRATIVE SERVICES
205 Hospital Administration
210 Governing Board Expense
215 Public Relations
210
215
220
235
240
245
$19.23
18,880
250
$27.91
5,348
255
$23.51
9,740
260
265
270
$22.20
11,377
275
$16.91
18,008
280
295
83,711
300
350
$15.50
5,040
370
(15)
(16)
06/30/2014
(17)
(18)
CLASSIFICATION DESCRIPTION
Environmental and
Food Service
Physicians
(Salaried)
Non-Physician Medical
Practitioners
Line
.06
.07
.08
No
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Line
Productive
Hours
No
RESEARCH COSTS
5
10
TOTAL RESEARCH
10
EDUCATION COSTS
15
15
20
School of Nursing
20
25
25
30
30
35
Paramedical Education
35
40
Student Housing
40
45
45
50
TOTAL EDUCATION
50
GENERAL SERVICES
55
55
60
Kitchen
60
65
65
70
Dietary
70
75
75
80
80
85
Central Transportation
85
90
90
95
Pharmacy
95
100
105 Grounds
110 Security
105
$16.52
25,579
110
115 Parking
115
120 Housekeeping
120
125
130
135 Communications
135
140
145
25,579
150
FISCAL SERVICES
155 General Accounting
155
160
165
170 Admitting
170
175
195
200
CLASSIFICATION DESCRIPTION
Line
No
Environmental and
Food Service
(15)
(16)
Physicians
(Salaried)
.06
Average
Hourly Rate
06/30/2014
(17)
.07
Productive
Hours
Average
Hourly Rate
(18)
Non-Physician Medical
Practitioners
.08
Productive
Hours
Average
Hourly Rate
Line
Productive
Hours
No
ADMINISTRATIVE SERVICES
205 Hospital Administration
205
210
215
220
225 Personnel
225
230
235
240
245
250
255
260
265
270
275
280
295
300
350
370
Line
No
(19)
CLASSIFICATION DESCRIPTION
(20)
Other Salaries
and Wages
(21)
Cost Center
Average Hourly
Rate
.09
Line
Average Hourly
Rate
Productive
Hours
$11.22
5,759
No
RESEARCH COSTS
5
10
TOTAL RESEARCH
$17.00
5,759
5
10
EDUCATION COSTS
15
15
20
School of Nursing
20
25
30
35
Paramedical Education
35
40
Student Housing
40
45
50
TOTAL EDUCATION
25
$28.93
4,234
$40.35
30
45
4,234
50
GENERAL SERVICES
55
55
60
Kitchen
60
65
65
70
Dietary
70
75
80
85
Central Transportation
90
75
$42.31
186
$43.32
80
$45.60
45
$19.36
95
Pharmacy
$43.61
6,023
$43.48
100
105
Grounds
110
Security
115
Parking
115
120
Housekeeping
120
125
Plant Operations
125
130
Plant Maintenance
135
Communications
$14.65
26
$20.87
135
140
Data Processing
$48.02
2,144
$56.83
140
145
150
85
90
95
100
105
$19.57
142
$17.76
110
130
145
8,566
150
FISCAL SERVICES
155
General Accounting
$73.06
16
$44.65
155
160
Patient Accounting
$21.50
16
$24.19
160
165
170
Admitting
$22.92
117
$21.36
175
Outpatient Registration
195
200
165
170
175
195
149
200
06/30/2014
(19)
(20)
CLASSIFICATION DESCRIPTION
Other Salaries
and Wages
Line
.09
No
(21)
Cost Center
Average Hourly
Rate
Line
Average Hourly
Rate
Productive
Hours
No
$86.61
228
$69.42
$17.09
170
$39.85
ADMINISTRATIVE SERVICES
205
Hospital Administration
210
205
215
Public Relations
220
Management Engineering
225
Personnel
$34.69
16
$53.37
225
230
$19.70
2,276
$37.82
230
235
Auxiliary Groups
240
Chaplaincy Services
$26.68
31
$28.44
240
245
Medical Library
$37.50
$37.71
245
250
Medical Records
$34.81
273
$27.61
250
255
$43.78
32
$35.53
255
260
Nursing Administration
$46.67
1,201
$45.22
260
265
270
275
Utilization Management
$55.11
383
$52.06
275
280
$15.68
104
$18.88
280
295
300
350
370
210
215
220
235
265
270
295
4,722
300
350
$14.31
13
$16.27
370
06/30/2014
(24)
HOURS SUMMARY
Productive
Hours
NonProductive
Hours
Total Paid
Hours
06/30/2014
(25)
(Optional)
Full
Time
Equivalent
Employees
Line
No
Line
No
Column (22)
2080
RESEARCH COSTS
5
25,697
4,831
30,528
10
TOTAL RESEARCH
25,697
4,831
30,528
10
EDUCATION COSTS
15
15
20
School of Nursing
20
25
30
35
Paramedical Education
35
40
Student Housing
40
45
50
TOTAL EDUCATION
25
12,545
1,167
13,712
30
45
12,545
1,167
13,712
50
GENERAL SERVICES
55
55
60
Kitchen
60
65
65
70
Dietary
70
75
80
85
Central Transportation
90
95
75
7,607
1,447
9,054
33,343
4,662
38,005
Pharmacy
55,086
7,137
62,223
85
90
95
100
105 Grounds
110 Security
80
105
32,155
3,680
35,835
110
115 Parking
115
120 Housekeeping
120
125
130
135 Communications
15,767
3,041
18,808
135
12,642
1,629
14,271
140
156,600
21,596
178,196
150
7,431
1,194
8,625
155
29,761
4,643
34,404
160
54,246
7,062
61,308
145
FISCAL SERVICES
165
175
170
195
91,438
12,899
104,337
200
(24)
HOURS SUMMARY
06/30/2014
(25)
(Optional)
Full
Time
Equivalent
Employees
Line
No
Line
No
Productive
Hours
NonProductive
Hours
Total Paid
Hours
Column (22)
2080
30,775
5,978
36,753
12,949
2,130
15,079
225 Personnel
9,447
1,521
10,968
225
5,606
468
6,074
230
5,803
713
6,516
240
1,829
270
2,099
245
30,777
5,244
36,021
250
7,152
883
8,035
255
23,817
3,372
27,189
260
ADMINISTRATIVE SERVICES
205 Hospital Administration
210 Governing Board Expense
215 Public Relations
205
210
215
220
235
265
270
54,234
6,916
61,150
275
25,809
2,887
28,696
280
208,198
30,382
238,580
5,208
413
5,621
295
300
350
370
CLASSIFICATION DESCRIPTION
Line
No
Other Contracted
Services
.26
Average
Hourly Rate
Line
Productive
Hours
No
RESEARCH COSTS
5
10
TOTAL RESEARCH
10
EDUCATION COSTS
15
15
20
School of Nursing
20
25
25
30
30
35
Paramedical Education
35
40
Student Housing
40
45
45
50
TOTAL EDUCATION
50
GENERAL SERVICES
55
55
60
Kitchen
60
65
65
70
Dietary
70
75
80
85
Central Transportation
85
90
90
95
Pharmacy
75
$82.42
749
80
95
100
105 Grounds
110 Security
105
$100.80
30
110
115 Parking
115
120 Housekeeping
120
125
130
135 Communications
135
140
145
779
150
FISCAL SERVICES
155 General Accounting
160 Patient Accounting
155
$71.01
366
160
165
170 Admitting
170
175
195
366
200
06/30/2014
CLASSIFICATION DESCRIPTION
Line
No
Other Contracted
Services
.26
Line
Average
Hourly Rate
Productive
Hours
No
$73.52
694
205
ADMINISTRATIVE SERVICES
205 Hospital Administration
210 Governing Board Expense
210
215
220
$63.16
228
225
230
235
240
245
$118.31
241
250
255
260
265
270
$107.88
1,641
275
280
295
2,804
300
350
370
06/30/2014