Worksheet B Part I

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CHRISTOPHER HOUSE
WHEAT RIDGE, CO  80033

Medicare Provider Number: 065273
Cost report status: Settled Without Audit
[Record Code 1368402 - 2010]
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COST ALLOCATION - GENERAL SERVICE COSTS Provider CCN: 065273
PERIOD:
FROM 01/01/2023
TO 01/31/2023
 WORKSHEET B PART I
Cost Center Description Net Expenses for Cost Allocation (from Wkst. A, col. 7) Cap. Rel Buildings & Fixtures Cap. Rel Movable Equipment Employee Benefits Subtotal (Sum of cols. 0 - 3) Administrative & General Plant Oper. Maintenance & Repairs Laundry & Linen Service House Keeping Dietary Nursing Administration Central Services & Supply Pharmacy Medical Records & Library Social Service Nursing & Allied Health Education Other General Service Cost Subtotal Post Step-down Adjustments Total  
0 1 2 3 3 A 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
GENERAL SERVICE COST CENTERS                                          
1 Capital-Related Costs - Buildings & Fixtures 8,080 ###                                     1
2 Capital-Related Costs - Moveable Equipment 3,923 ###                                   2
3 Employee Benefits 29,923 ### ### ###                               3
4 Administrative and General 170,517 ### ### ### ### ###                             4
5 Plant Operation, Maintenance and Repairs 23,078 ### ### ### ### ### ###                           5
6 Laundry and Linen Service 4,549 ### ### ### ### ### ### ###                         6
7 Housekeeping 16,156 ### ### ### ### ### ### ###                       7
8 Dietary 48,403 ### ### ### ### ### ### ### ###                     8
9 Nursing Administration 26,115 ### ### ### ### ### ### ### ###                   9
10 Central Services and Supply 12,128 ### ### ### ### ### ### ###                 10
11 Pharmacy               11
12 Medical Records and Library 6,165 ### ### ### ### ### ### ### ###             12
13 Social Service 22,498 ### ### ### ###           13
14 Nursing and Allied Health Education         14
15 Other General Service Cost 10,649 ### ### ### ### ### ### ### ###       15
INPATIENT ROUTINE SERVICE COST CENTERS                                          
30 Skilled Nursing Facility 296,592 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### 30
31 Nursing Facility 31
32 ICF/IID 32
33 Other Long Term Care 33
ANCILLARY SERVICE COST CENTERS                                          
40 Radiology 685 ### ### ### ### 40
41 Laboratory 643 ### ### ### ### 41
42 Intravenous Therapy 42
43 Oxygen (Inhalation) Therapy 949 ### ### ### ### 43
44 Physical Therapy 10,486 ### ### ### ### ### ### ### ### ### 44
45 Occupational Therapy 6,914 ### ### ### ### ### ### ### ### ### 45
46 Speech Pathology ### ### ### ### ### ### ### ### 46
47 Electrocardiology 47
48 Medical Supplies Charged to Patients 48
49 Drugs Charged to Patients 12,936 ### ### ### ### ### ### ### ### 49
50 Dental Care - Title XIX only 50
51 Support Surfaces 533 ### ### ### ### 51
52 Other Ancillary Service Cost 52
OUTPATIENT SERVICE COST CENTERS                                          
60 Clinic 60
61 Rural Health Clinic (RHC) 61
62 FQHC 62
63 Other Outpatient Service Cost 63
OTHER REIMBURSABLE COST CENTERS                                          
70 Home Health Agency Cost 70
71 Ambulance 71
72 Outpatient Rehabilitation (specify) 72
73 CMHC 73
74 Other Reimbursable Cost 74
SPECIAL PURPOSE COST CENTERS                                          
83 Hospice 83
84 Other Special Purpose Cost 84
89 Subtotals 711,922 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### 89
NON REIMBURSABLE COST CENTERS                                          
90 Gift, Flower, Coffee Shops and Canteen 90
91 Barber and Beauty Shop 91
92 Physicians' Private Offices 92
93 Nonpaid Workers 93
94 Patients' Laundry 94
95 Other Nonreimbursable Cost 95
98 Cross Foot Adjustments       98
99 Negative Cost Center 99
100 Total 711,922 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### 100
FORM CMS-2540-10 (05/2011) (INSTRUCTIONS FOR THIS WORKSHEET ARE PUBLISHED IN CMS PUB. 15-2, SECTION 4120)
08-16   Rev. 7