Worksheet B Part I

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SILVER CREEK MANOR
SAN ANTONIO, TX  78250

Medicare Provider Number: 455652
Cost report status: Settled Without Audit
[Record Code 1122340 - 2010]
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COST ALLOCATION - GENERAL SERVICE COSTS Provider CCN: 455652
PERIOD:
FROM 10/01/2013
TO 09/30/2014
 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 981,179 ###                                     1
2 Capital-Related Costs - Moveable Equipment 94,273 ###                                   2
3 Employee Benefits 513,690 ### ### ###                               3
4 Administrative and General 808,852 ### ### ### ### ###                             4
5 Plant Operation, Maintenance and Repairs 267,724 ### ### ### ### ### ###                           5
6 Laundry and Linen Service 95,244 ### ### ### ### ### ### ###                         6
7 Housekeeping 152,130 ### ### ### ### ### ### ###                       7
8 Dietary 476,746 ### ### ### ### ### ### ### ###                     8
9 Nursing Administration 328,916 ### ### ### ### ### ### ### ###                   9
10 Central Services and Supply 147,558 ### ### ### ### ### ### ###                 10
11 Pharmacy               11
12 Medical Records and Library 46,544 ### ### ### ### ### ### ### ###             12
13 Social Service 103,960 ### ### ### ### ### ### ### ###           13
14 Nursing and Allied Health Education         14
15 Other General Service Cost 97,924 ### ### ### ### ### ### ### ###       15
INPATIENT ROUTINE SERVICE COST CENTERS                                          
30 Skilled Nursing Facility 1,782,121 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### 30
31 Nursing Facility 31
32 ICF/IID 32
33 Other Long Term Care 33
ANCILLARY SERVICE COST CENTERS                                          
40 Radiology 15,308 ### ### ### ### 40
41 Laboratory 5,095 ### ### ### ### 41
42 Intravenous Therapy 12,859 ### ### ### ### 42
43 Oxygen (Inhalation) Therapy 175 ### ### ### ### 43
44 Physical Therapy 150,033 ### ### ### ### ### ### 44
45 Occupational Therapy 126,250 ### ### ### ### ### ### 45
46 Speech Pathology 76,061 ### ### ### ### ### ### 46
47 Electrocardiology 47
48 Medical Supplies Charged to Patients 48
49 Drugs Charged to Patients 369,476 ### ### ### ### 49
50 Dental Care - Title XIX only 50
51 Support Surfaces 51
52 Other Ancillary Service Cost 27,564 ### ### ### ### 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 6,679,682 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### 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 6,679,682 ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### ### 100
FORM CMS-2540-10 (05/2011) (INSTRUCTIONS FOR THIS WORKSHEET ARE PUBLISHED IN CMS PUB. 15-2, SECTION 4120)
08-16   Rev. 7