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REPORT ON THE COST REPORT REVIEW SAINT FRANCIS MEDICAL CENTER

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REPORT ON THE COST REPORT REVIEW SAINT FRANCIS MEDICAL CENTER Powered By Docstoc
					                               REPORT
                               ON THE
                         COST REPORT REVIEW

                  SAINT FRANCIS MEDICAL CENTER
                      LYNWOOD, CALIFORNIA
               PROVIDER NUMBERS: HSC/ZZT30104G AND
                            LTC55238G

              NATIONAL PROVIDER IDENTIFIER: 1487697215


                         FISCAL PERIOD ENDED
                             JUNE 30, 2008




                          Audits Section—Gardena
                           Financial Audits Branch
                          Audits and Investigations
               California Department of Health Care Services




Section Chief: Cheryl Phillips
Audit Supervisor: Maria Delgado
Auditors: Nicholas Lui and Vivian Chan
                            State of California—Health and Human Services Agency
                            Department of Health Care Services

DAVID MAXWELL-JOLLY                                                                                   ARNOLD SCHWARZENEGGER
       Director                                                                                               Governor




         April 29, 2010


        Jerry Kozai, Administrator
        Saint Francis Medical Center
        3630 East Imperial Highway
        Lynwood, CA 90262

        PROVIDER: SAINT FRANCIS MEDICAL CENTER
        PROVIDER NO.: HSC30104G
        NATIONAL PROVIDER IDENTIFIER: 1487697215
        FISCAL PERIOD ENDED: JUNE 30, 2008

        We have examined the provider's Medi-Cal Cost Report for the above-referenced fiscal
        period. Our examination was made under the authority of Section 14170 of the Welfare
        and Institutions Code and, accordingly, included such tests of the accounting records
        and such other auditing procedures as we considered necessary in the circumstances.

        In our opinion, the audited combined settlement for the fiscal period due the provider in
        the amount of $16,048 and the audited costs presented in the Summary of Findings
        represent a proper determination in accordance with the reimbursement principles of
        applicable programs.

        This audit report includes the:

        1.     Summary of Findings

        2.     Computation of Medi Cal Reimbursement Settlement (NONCONTRACT
               Schedules)

        3.     Computation of Medi Cal Contract Cost (CONTRACT Schedules)

        4.     Computation of Distinct Part Nursing Facility Per Diem (DPNF Schedules)

        5.     Audit Adjustments Schedule

        The audited settlement will be incorporated into a Statement of Account Status, which
        may reflect tentative retroactive adjustment determinations, payments from the provider,
        and other financial transactions initiated by the Department. The Statement of Account



             Financial Audits/Gardena/A & I, MS 2103, 19300 South Hamilton Avenue, Suite 280, Gardena, CA 90248
                                       Telephone: (310) 516-4757 FAX: (310) 217-6918
                                              Internet Address: www.dhcs.ca.gov
Jerry Kozai
Page 2



Status will be forwarded to the provider by the State's fiscal intermediary. Instructions
regarding payment will be included with the Statement of Account Status.

Future Distinct Part Nursing Facility prospective rates may be affected by this
examination. The extent of the rate changes will be determined by the Department's
Rate Development Branch.

Notwithstanding this audit report, overpayments to the provider are subject to recovery
pursuant to Section 51458.1, Article 6 of Division 3, Title 22, California Code of
Regulations.

If you disagree with the decision of the Department, you may appeal by writing to:

Chief
Office of Administrative Appeals and Hearings
1029 J Street, Suite 200
Sacramento, CA 95814
(916) 322-5603

The written notice of disagreement must be received by the Department within 60
calendar days from the day you receive this letter. A copy of this notice should be sent
to:

United States Postal Service (USPS)              Courier (UPS, FedEx, etc.)
Assistant Chief Counsel                          Assistant Chief Counsel
Department of Health Care Services               Department of Health Care Services
Office of Legal Services                         Office of Legal Services
MS 0010                                          MS 0010
PO Box 997413                                    1501 Capitol Avenue, Suite 71.5001
Sacramento, CA 95899-7413                        Sacramento, CA 95814-5005
                                                 (916) 440-7700

The procedures that govern an appeal are contained in Welfare and Institutions Code,
Section 14171, and California Code of Regulations, Title 22, Section 51016, et seq.
Jerry Kozai
Page 3



If you have questions regarding this report, you may call the Audits Section—Gardena
at (310) 516-4757.

Signed By:

Cheryl Phillips, Chief
Audits Section—Gardena
Financial Audits Branch

Certified


cc:    Ed Dare, Controller
       Saint Francis Medical Center
       3630 East Imperial Highway
       Lynwood, CA 90262
                                                 SUMMARY OF FINDINGS

Provider Name:                                                                          Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                    JUNE 30, 2008

                                                                           SETTLEMENT              COST
    1.     Medi-Cal Noncontract Settlement (SCHEDULE 1)
           Provider No. ZZT30104G
           Reported                                                    $                0


           Net Change                                                  $         16,048


           Audited Amount Due Provider (State)                         $         16,048
    2.     Subprovider I (SCHEDULE 1-1)
           Provider No.
           Reported                                                    $                0


           Net Change                                                  $                0


           Audited Amount Due Provider (State)                         $                0
    3.     Subprovider II (SCHEDULE 1-2)
           Provider No.
           Reported                                                    $                0


           Net Change                                                  $                0


           Audited Amount Due Provider (State)                         $                0
    4.     Medi-Cal Contract Cost (CONTRACT SCH 1)
           Provider No. HSC30104G
           Reported                                                                         $       69,854,611


           Net Change                                                                       $        7,281,932


           Audited Cost                                                                     $       77,136,543


           Audited Amount Due Provider (State)                         $                0
    5.     Distinct Part Nursing Facility (DPNF SCH 1)
           Provider No. LTC55238G
           Reported                                                                         $          448.72


           Net Change                                                                       $             (3.62)


           Audited Cost Per Day                                                             $          445.10


           Audited Amount Due Provider (State)                         $                0
    6.     Distinct Part Nursing Facility (DPNF SCH 1-1)
           Provider No.
           Reported                                                                         $             0.00


           Net Change                                                                       $             0.00

           Audited Cost Per Day                                                             $             0.00


           Audited Amount Due Provider (State)                         $                0
    7.     Adult Subacute (ADULT SUBACUTE SCH 1)
           Provider No.
           Reported                                                                         $             0.00


           Net Change                                                                       $             0.00


           Audited Cost Per Day                                                             $             0.00


           Audited Amount Due Provider (State)                         $                0

    8.     Total Medi-Cal Settlement
           Due Provider (State) - (Lines 1 through 7)                  $        16,048

    9.     Total Medi-Cal Cost                                                              $     77,136,543
                                                 SUMMARY OF FINDINGS

Provider Name:                                                                          Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                JUNE 30, 2008

                                                                           SETTLEMENT            COST
   10.     Subacute (SUBACUTE SCH 1-1)
           Provider No.
           Reported                                                                         $           0.00


           Net Change                                                                       $           0.00


           Audited Cost Per Day                                                             $           0.00


           Audited Amount Due Provider (State)                         $                0
   11.     Rural Health Clinic (RHC SCH 1)
           Provider No.
           Reported                                                    $                0


           Net Change                                                  $                0


           Audited Amount Due Provider (State)                         $                0
   12.     Rural Health Clinic (RHC 95-210 SCH 1)
           Provider No.
           Reported                                                    $                0


           Net Change                                                  $                0


           Audited Amount Due Provider (State)                         $                0
   13.     Rural Health Clinic (RHC 95-210 SCH 1-1)
           Provider No.
           Reported                                                    $                0


           Net Change                                                  $                0

           Audited Amount Due Provider (State)                         $                0
   14.     County Medical Services Program (CMSP SCH 1)
           Provider No.
           Reported                                                    $                0


           Net Change                                                  $                0


           Audited Amount Due Provider (State)                         $                0
   15.     Transitional Care (TC SCH 1)
           Provider No.
           Reported                                                                         $           0.00


           Net Change                                                                       $           0.00


           Audited Cost Per Day                                                             $           0.00

           Audited Amount Due Provider (State)                         $                0


   16.     Total Other Settlement
           Due Provider - (Lines 10 through 15)                        $                0


   17.     Total Combined Audited Settlement Due
           Provider (State/CMSP/RHC) - (Line 8 + Line 16)              $         16,048
STATE OF CALIFORNIA                                                               SCHEDULE 1
                                                                       PROGRAM: NONCONTRACT

                           COMPUTATION OF MEDI-CAL REIMBURSEMENT SETTLEMENT

Provider Name:                                                                  Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                           JUNE 30, 2008

Provider No.
ZZT30104G

                                                                    REPORTED            AUDITED

 1.   Net Cost of Covered Services Rendered to
      Medi-Cal Patients (Schedule 3)                            $              0 $          122,100

 2.   Excess Reasonable Cost Over Charges (Schedule 2)          $              0 $                0


 3.   Medi-Cal Inpatient Hospital Based Physician Services      $              0 $         N/A


 4.                                                             $              0 $                0

 5.   TOTAL COST-Reimbursable to Provider (Lines 1 through 4)   $              0 $          122,100


 6.   Interim Payments (Adj 6)                                  $                 $        (106,052)

 7.   Balance Due Provider (State)                              $              0 $           16,048

 8.   Duplicate Payments (Adj )                                 $              0 $                0

 9.                                                             $              0 $                0

10.                                                             $              0 $                0

11.   TOTAL MEDI-CAL SETTLEMENT Due Provider (State)            $             0 $             16,048
                                                                       (To Summary of Findings)
STATE OF CALIFORNIA                                                                                      SCHEDULE 2
                                                                                              PROGRAM: NONCONTRACT

                                          COMPUTATION OF LESSER OF
                              MEDI-CAL REASONABLE COST OR CUSTOMARY CHARGES

Provider Name:                                                                                        Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                 JUNE 30, 2008

Provider No.
ZZT30104G

                                                                                           REPORTED          AUDITED

REASONABLE COST OF MEDI-CAL INPATIENT SERVICES


1.   Cost of Covered Services (Schedule 3)                                         $                  0 $         122,329


CHARGES FOR MEDI-CAL INPATIENT SERVICES

2.   Inpatient Routine Service Charges (Adj 5)                                     $                  0 $         268,667


3.   Inpatient Ancillary Service Charges (Adj 5)                                   $                  0 $         201,782


4.   Total Charges - Medi-Cal Inpatient Services                                   $                  0 $         470,449


5.   Excess of Customary Charges Over Reasonable Cost
     (Line 4 minus Line 1) *                                                       $                  0 $         348,120


6.   Excess of Reasonable Cost Over Customary Charges
     (Line 1 minus Line 4)                                                         $                0 $                 0
                                                                                                (To Schedule 1)

* If charges exceed reasonable cost, no further calculation necessary for this schedule.
STATE OF CALIFORNIA                                                                      SCHEDULE 3
                                                                              PROGRAM: NONCONTRACT

                                                 COMPUTATION OF
                                     MEDI-CAL NET COSTS OF COVERED SERVICES

Provider Name:                                                                        Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                 JUNE 30, 2008

Provider No.
ZZT30104G

                                                                          REPORTED            AUDITED

 1.   Medi-Cal Inpatient Ancillary Services (Schedule 5)              $              0 $             26,936

 2.   Medi-Cal Inpatient Routine Services (Schedule 4)                $              0 $             95,393

 3.   Medi-Cal Inpatient Hospital Based Physician
      for Intern and Resident Services (Sch )                         $              0 $                  0

 4.                                                                   $              0 $                  0

 5.                                                                   $              0 $                  0

 6.   SUBTOTAL (Sum of Lines 1 through 5)                             $              0 $            122,329

 7.   Medi-Cal Inpatient Hospital Based Physician
      for Acute Care Services (Schedule 7)                            $ (See Schedule 1) $                0

 8.   SUBTOTAL                                                        $               0 $           122,329
                                                                                  (To Schedule 2)

 9.   Coinsurance (Adj )                                              $              0 $                  0

10.   Patient and Third Party Liability (Adj 6)                       $              0 $               (229)

11.   Net Cost of Covered Services Rendered to Medi-Cal
      Inpatients                                                      $               0 $           122,100
                                                                                  (To Schedule 1)
STATE OF CALIFORNIA                                                                       SCHEDULE 4
                                                                               PROGRAM: NONCONTRACT

                                               COMPUTATION OF
                                   MEDI-CAL INPATIENT ROUTINE SERVICE COST

Provider Name:                                                                          Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                   JUNE 30, 2008

Provider No.
ZZT30104G

GENERAL SERVICE UNIT NET OF SWING-BED COSTS                                REPORTED              AUDITED

INPATIENT DAYS
 1. Total Inpatient Days (include private & swing-bed) (Adj )                    79,469                79,469
 2. Inpatient Days (include private, exclude swing-bed)                          79,469                79,469
 3. Private Room Days (exclude swing-bed private room) (Adj )                         0                     0
 4. Semi-Private Room Days (exclude swing-bed) (Adj )                            79,469                79,469
 5. Medicare NF Swing-Bed Days through Dec 31 (Adj )                                  0                     0
 6. Medicare NF Swing-Bed Days after Dec 31 (Adj )                                    0                     0
 7. Medi-Cal NF Swing-Bed Days through July 31 (Adj )                                 0                     0
 8. Medi-Cal NF Swing-Bed Days after July 31 (Adj )                                   0                     0
 9. Medi-Cal Days (excluding swing-bed) (Adj )                                        0                     0

SWING-BED ADJUSTMENT
17. Medicare NF Swing-Bed Rates through Dec 31 (Adj )                  $            0.00   $            0.00
18. Medicare NF Swing-Bed Rates after Dec 31(Adj )                     $            0.00   $            0.00
19. Medi-Cal NF Swing-Bed Rates through July 31(Adj )                  $            0.00   $            0.00
20. Medi-Cal NF Swing-Bed Rates after July 31(Adj )                    $            0.00   $            0.00
21. Total Routine Serv Cost (Sch 8, Line 25, Col 27)                   $      68,840,997   $      67,314,037
22. Medicare NF Swing-Bed Cost through Dec 31 (L 5 x L 17)             $               0   $               0
23. Medicare NF Swing-Bed Cost after Dec 31 (L 6 x L 18)               $               0   $               0
24. Medi-Cal NF Swing-Bed Cost through July 31 (L 7 x L 19)            $               0   $               0
25. Medi-Cal NF Swing-Bed Cost after July 31 (L 8 x L 20)              $               0   $               0
26. Total Swing-Bed Cost (Sum of Lines 22 to 25)                       $               0   $               0
27. Inpatient Routine Cost Net of Swing-Bed (L 21 minus L 26)          $      68,840,997   $      67,314,037

PRIVATE ROOM DIFFERENTIAL ADJUSTMENT
28. Gen Inpatient Routine Serv Charges (excl swing-bed charges)        $     106,854,486   $     106,854,486
29. Private Room Charges (excluding swing-bed charges)                 $               0   $               0
30. Semi-Private Room Charges (excluding swing-bed charges)            $     106,854,486   $     106,854,486
31. Gen Inpatient Routine Service Cost/Charge Ratio (L 27 / L 28)      $       0.644250    $       0.629960
32. Average Private Room Per Diem Charge (L 29 / L 3)                  $            0.00   $            0.00
33. Average Semi-Private Room Per Diem Charge (L 30 / L 4)             $        1,344.61   $        1,344.61
34. Avg Per Diem Prvt Room Charge Differential (L 32 minus L 33)       $            0.00   $            0.00
35. Average Per Diem Private Room Cost Differential (L 31 x L 34)      $            0.00   $            0.00
36. Private Room Cost Differential Adjustment (L 35 x L 3)             $               0   $               0
37. Inpatient Rout Cost Net of Swing-Bed & Prvt Rm (L 27 minus L 36)   $      68,840,997   $      67,314,037

PROGRAM INPATIENT OPERATING COST
38. Adjusted General Inpatient Routine Cost Per Diem (L 37 / L 2)      $         866.26 $              847.05
39. Program General Inpatient Routine Service Cost (L 9 x L 38)        $              0 $                   0

40.   Cost Applicable to Medi-Cal (Sch 4A)                             $               0 $             95,393
41.   Cost Applicable to Medi-Cal (Sch 4B)                             $               0 $                  0

42.   TOTAL MEDI-CAL ROUTINE COST (Sum of Lines 39,40 & 41)            $                0 $            95,393
                                                                                   ( To Schedule 3 )
STATE OF CALIFORNIA                                                                     SCHEDULE 4A
                                                                              PROGRAM: NONCONTRACT

                                               COMPUTATION OF
                                   MEDI-CAL INPATIENT ROUTINE SERVICE COST

Provider Name:                                                                        Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                 JUNE 30, 2008

Provider No.
ZZT30104G

    SPECIAL CARE AND/OR NURSERY UNITS                                    REPORTED             AUDITED
NURSERY
 1. Total Inpatient Routine Cost (Sch 8, Line 33, Col 27)            $        4,162,455 $           4,064,108
 2. Total Inpatient Days (Adj )                                                  15,790                15,790
 3. Average Per Diem Cost                                            $           263.61 $              257.38
 4. Medi-Cal Inpatient Days (Adj )                                                    0                     0
 5. Cost Applicable to Medi-Cal                                      $                0 $                   0

INTENSIVE CARE UNIT
 6. Total Inpatient Routine Cost (Sch 8, Line 26, Col 27)            $       21,716,190 $       21,175,830
 7. Total Inpatient Days (Adj )                                                  12,355             12,355
 8. Average Per Diem Cost                                            $         1,757.68 $         1,713.95
 9. Medi-Cal Inpatient Days (Adj )                                                    0                  0
10. Cost Applicable to Medi-Cal                                      $                0 $                0

CORONARY CARE UNIT
11. Total Inpatient Routine Cost (Sch 8, Line 27, Col 27)            $               0 $                    0
12. Total Inpatient Days (Adj )                                                      0                      0
13. Average Per Diem Cost                                            $            0.00 $                 0.00
14. Medi-Cal Inpatient Days (Adj )                                                   0                      0
15. Cost Applicable to Medi-Cal                                      $               0 $                    0

NEONATAL INTENSIVE CARE UNIT
16. Total Inpatient Routine Cost (Sch 8, Line 28, Col 27)            $       11,676,685 $       11,346,075
17. Total Inpatient Days (Adj )                                                   9,473              9,473
18. Average Per Diem Cost                                            $         1,232.63 $         1,197.73
19. Medi-Cal Inpatient Days (Adj )                                                    0                  0
20. Cost Applicable to Medi-Cal                                      $                0 $                0

SURGICAL INTENSIVE CARE UNIT
21. Total Inpatient Routine Cost (Sch 8, Line 29, Col 27)            $               0 $                    0
22. Total Inpatient Days (Adj )                                                      0                      0
23. Average Per Diem Cost                                            $            0.00 $                 0.00
24. Medi-Cal Inpatient Days (Adj )                                                   0                      0
25. Cost Applicable to Medi-Cal                                      $               0 $                    0

ADMINISTRATIVE DAYS
26. Per Diem Rate (Adj 3)                                            $            0.00 $              310.68
27. Medi-Cal Inpatient Days (Adj 3)                                                  0                    51
28. Cost Applicable to Medi-Cal                                      $               0 $              15,845

ADMINISTRATIVE DAYS
29. Per Diem Rate (Adj 3)                                            $            0.00 $              318.19
30. Medi-Cal Inpatient Days (Adj 3)                                                  0                   250
31. Cost Applicable to Medi-Cal                                      $               0 $              79,548

32.   Medi-Cal Routine Cost (Sum of Lines 5,10,15,20,25,28,31)       $                0 $             95,393
                                                                                  (To Schedule 4)
STATE OF CALIFORNIA                                                                     SCHEDULE 4B
                                                                              PROGRAM: NONCONTRACT

                                                COMPUTATION OF
                                    MEDI-CAL INPATIENT ROUTINE SERVICE COST

Provider Name:                                                                       Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                JUNE 30, 2008

Provider No.
ZZT30104G

      SPECIAL CARE UNITS                                                  REPORTED          AUDITED

 1.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $             0 $                0
 2.   Total Inpatient Days (Adj )                                                   0                  0
 3.   Average Per Diem Cost                                           $          0.00 $             0.00
 4.   Medi-Cal Inpatient Days (Adj )                                                0                  0
 5.   Cost Applicable to Medi-Cal                                     $             0 $                0


 6.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $             0 $                0
 7.   Total Inpatient Days (Adj )                                                   0                  0
 8.   Average Per Diem Cost                                           $          0.00 $             0.00
 9.   Medi-Cal Inpatient Days (Adj )                                                0                  0
10.   Cost Applicable to Medi-Cal                                     $             0 $                0


11.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $             0 $                0
12.   Total Inpatient Days (Adj )                                                   0                  0
13.   Average Per Diem Cost                                           $          0.00 $             0.00
14.   Medi-Cal Inpatient Days (Adj )                                                0                  0
15.   Cost Applicable to Medi-Cal                                     $             0 $                0


16.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $             0 $                0
17.   Total Inpatient Days (Adj )                                                   0                  0
18.   Average Per Diem Cost                                           $          0.00 $             0.00
19.   Medi-Cal Inpatient Days (Adj )                                                0                  0
20.   Cost Applicable to Medi-Cal                                     $             0 $                0


21.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $             0 $                0
22.   Total Inpatient Days (Adj )                                                   0                  0
23.   Average Per Diem Cost                                           $          0.00 $             0.00
24.   Medi-Cal Inpatient Days (Adj )                                                0                  0
25.   Cost Applicable to Medi-Cal                                     $             0 $                0


26.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $             0 $                0
27.   Total Inpatient Days (Adj )                                                   0                  0
28.   Average Per Diem Cost                                           $          0.00 $             0.00
29.   Medi-Cal Inpatient Days (Adj )                                                0                  0
30.   Cost Applicable to Medi-Cal                                     $             0 $                0

31.   Medi-Cal Routine Cost (Sum of Lines 5,10,15,20,25,30)           $             0 $                0
                                                                                (To Schedule 4)
STATE OF CALIFORNIA                                                                                           SCHEDULE 5
                                                                                                    PROGRAM: NONCONTRACT

                                            SCHEDULE OF MEDI-CAL ANCILLARY COSTS

Provider Name:                                                                                             Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                      JUNE 30, 2008

Provider No:
ZZT30104G

                                                   TOTAL        TOTAL ANCILLARY    RATIO        MEDI-CAL            MEDI-CAL
                                                 ANCILLARY         CHARGES        COST TO       CHARGES              COST
                                                   COST *            (Adj )       CHARGES   (From Schedule 6)
ANCILLARY COST CENTERS
  37.00 Operating Room                       $     11,953,726   $    39,501,240     0.302616 $             0 $                 0
  38.00 Recovery Room                                       0                 0     0.000000               0                   0
  39.00 Delivery Room and Labor Room               18,454,148        43,653,737     0.422739               0                   0
  40.00 Anesthesiology                                342,483         3,268,699     0.104777               0                   0
  41.00 Radiology - Diagnostic                      6,435,668        35,375,965     0.181922          11,629               2,116
  42.00 Radiology - Therapeutic                     1,890,061        12,335,372     0.153223               0                   0
  43.00 Radioisotope                                1,219,650         6,013,133     0.202831               0                   0
  43.01 Ultrasound                                  1,370,008        17,787,235     0.077022          17,657               1,360
  43.02 CAT Scan                                    2,556,541        61,407,221     0.041633               0                   0
  43.03 Magnetic Reounance Imaging (MRI)              834,913        10,430,963     0.080042               0                   0
  44.00 Laboratory                                 12,608,439       131,176,484     0.096118          66,997               6,440
  46.00 Whole Blood & packed Red Blood Cells        3,900,720         2,804,869     1.390696               0                   0
  47.00 Blood Storing and Processing                        0                 0     0.000000               0                   0
  48.00 Intravenous Therapy                                 0                 0     0.000000               0                   0
  49.00 Respiratory Therapy                         6,066,094        39,259,424     0.154513               0                   0
  50.00 Physical Therapy                            2,611,938         4,970,904     0.525445           2,550               1,340
  51.00 Occupational Therapy                                0                 0     0.000000               0                   0
  52.00 Speech Pathology                                    0                 0     0.000000               0                   0
  53.00 Electrocardiology                           1,893,995        23,506,389     0.080574               0                   0
  54.00 Electroencephalography                        223,429         1,230,713     0.181544               0                   0
  55.00 Medical Supplies Charged to Patients       13,683,794        83,879,990     0.163135               0                   0
  56.00 Drugs Charged to Patients                  16,891,595       110,902,677     0.152310         102,949              15,680
  57.00 Renal Dialysis                                      0                 0     0.000000               0                   0
  58.00 ASC (Non-Distinct Part)                             0                 0     0.000000               0                   0
  59.00 Laboratory - Pathological                     598,992         3,538,257     0.169290               0                   0
  59.01 Pulmonary Function Testing                    362,603           569,031     0.637229               0                   0
  59.02 Respiratory - Neonatal                        899,189         8,295,720     0.108392               0                   0
  59.03 Cardiac Catheterization Laboratory          2,257,866        11,418,492     0.197738               0                   0
  60.00 Psych Day Care                              1,299,212         1,423,692     0.912565               0                   0
  60.01 Satellite Clinic                            5,093,517         8,109,148     0.628120               0                   0
  60.02 Perinatal Clinic                            1,069,737         7,663,296     0.139592               0                   0
  60.03 Gestational Diabetes Clinic                   274,472         1,062,979     0.258210               0                   0
  60.04 Childrens Center                            2,536,205         2,104,746     1.204993               0                   0
  60.05 Renal Dialysis Clinic                       3,485,047        11,686,759     0.298205               0                   0
  60.06 High Risk Infant Clinic                       910,040         1,425,705     0.638309               0                   0
  60.07 Pain Clinic                                    83,638            48,508     1.724208               0                   0
  60.08 Wound Clinic                                  866,176         2,384,970     0.363181               0                   0
  61.00 Emergency                                  17,957,150       121,062,532     0.148330               0                   0




          TOTAL                             $     140,631,046   $   808,298,850              $       201,782     $         26,936
                                                                                                                (To Schedule 3)
* From Schedule 8, Column 27
STATE OF CALIFORNIA                                                               SCHEDULE 6
                                                                       PROGRAM: NONCONTRACT

                                   ADJUSTMENTS TO MEDI-CAL CHARGES

Provider Name:                                                                   Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                            JUNE 30, 2008

Provider No:
ZZT30104G

                                                     REPORTED      ADJUSTMENTS         AUDITED
          ANCILLARY CHARGES                                           (Adj 4)
  37.00   Operating Room                       $                  $                $              0
  38.00   Recovery Room                                                                           0
  39.00   Delivery Room and Labor Room                                                            0
  40.00   Anesthesiology                                                                          0
  41.00   Radiology - Diagnostic                                          11,629             11,629
  42.00   Radiology - Therapeutic                                                                 0
  43.00   Radioisotope                                                                            0
  43.01   Ultrasound                                                      17,657             17,657
  43.02   CAT Scan                                                                                0
  43.03   Magnetic Reounance Imaging (MRI)                                                        0
  44.00   Laboratory                                                      66,997             66,997
  46.00   Whole Blood & packed Red Blood Cells                                                    0
  47.00   Blood Storing and Processing                                                            0
  48.00   Intravenous Therapy                                                                     0
  49.00   Respiratory Therapy                                                                     0
  50.00   Physical Therapy                                                 2,550              2,550
  51.00   Occupational Therapy                                                                    0
  52.00   Speech Pathology                                                                        0
  53.00   Electrocardiology                                                                       0
  54.00   Electroencephalography                                                                  0
  55.00   Medical Supplies Charged to Patients                                                    0
  56.00   Drugs Charged to Patients                                      102,949            102,949
  57.00   Renal Dialysis                                                                          0
  58.00   ASC (Non-Distinct Part)                                                                 0
  59.00   Laboratory - Pathological                                                               0
  59.01   Pulmonary Function Testing                                                              0
  59.02   Respiratory - Neonatal                                                                  0
  59.03   Cardiac Catheterization Laboratory                                                      0
  60.00   Psych Day Care                                                                          0
  60.01   Satellite Clinic                                                                        0
  60.02   Perinatal Clinic                                                                        0
  60.03   Gestational Diabetes Clinic                                                             0
  60.04   Childrens Center                                                                        0
  60.05   Renal Dialysis Clinic                                                                   0
  60.06   High Risk Infant Clinic                                                                 0
  60.07   Pain Clinic                                                                             0
  60.08   Wound Clinic                                                                            0
  61.00   Emergency                                                                               0




TOTAL MEDI-CAL ANCILLARY CHARGES                 $              0 $      201,782 $         201,782
                                                                                 (To Schedule 5)
STATE OF CALIFORNIA                                                                                    SCHEDULE 7
                                                                                            PROGRAM: NONCONTRACT

                                           COMPUTATION OF PROFESSIONAL
                                           COMPONENT OF HOSPITAL BASED
                                             PHYSICIAN'S REMUNERATION

Provider Name:                                                                                     Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                              JUNE 30, 2008

Provider No:
ZZT30104G

                  PROFESSIONAL             HBP          TOTAL CHARGES     RATIO OF       MEDI-CAL       MEDI-CAL
                    SERVICE            REMUNERATION     TO ALL PATIENTS REMUNERATION     CHARGES         COST
                  COST CENTERS                                           TO CHARGES
                                           (Adj )            (Adj )                        (Adj )
  40.00   Anesthesiology           $                0   $             0       0.000000 $             $              0
  41.00   Radiology - Diagnostic                    0                 0       0.000000                              0
  43.00   Radioisotope                              0                 0       0.000000                              0
  44.00   Laboratory                                0                 0       0.000000                              0
  53.00   Electrocardiology                         0                 0       0.000000                              0
  54.00   Electroencephalography                    0                 0       0.000000                              0
  61.00   Emergency                                 0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
                                                    0                 0       0.000000                              0
               TOTAL               $                0   $             0                $          0 $               0
                                                                                                    (To Schedule 3)
STATE OF CALIFORNIA                                                                    CONTRACT SCH 1

                                   COMPUTATION OF MEDI-CAL CONTRACT COST

Provider Name:                                                                       Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                JUNE 30, 2008

Provider No:
HSC30104G

                                                                       REPORTED              AUDITED

 1.   Net Cost of Covered Services Rendered to
      Medi-Cal Patients (Contract Sch 3)                           $       69,854,611 $       77,136,543

 2.   Excess Reasonable Cost Over Charges (Contract Sch 2)         $                0 $                0


 3.   Medi-Cal Inpatient Hospital Based Physician Services         $                0 $         N/A


 4.                                                                $                0 $                0

 5.   Subtotal (Sum of Lines 1 through 4)                          $       69,854,611 $       77,136,543

 6.                                                                $                0 $                0

 7.                                                                $                0 $                0

 8.   Total Medi-Cal Cost (Sum of Lines 5 through 7)               $       69,854,611 $       77,136,543
                                                                            (To Summary of Findings)

 9.   Medi-Cal Overpayments (Adj )                                 $                0 $                0

10.   Medi-Cal Credit Balances (Adj )                              $                0 $                0

11.                                                                $                0 $                0

12.                                                                $                0 $                0

13.   TOTAL MEDI-CAL SETTLEMENT Due Provider (State)               $               0 $                 0
                                                                            (To Summary of Findings)
STATE OF CALIFORNIA                                                                                      CONTRACT SCH 2

                                          COMPUTATION OF LESSER OF
                              MEDI-CAL REASONABLE COST OR CUSTOMARY CHARGES

Provider Name:                                                                                         Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                  JUNE 30, 2008

Provider No:
HSC30104G

                                                                                           REPORTED            AUDITED

REASONABLE COST OF MEDI-CAL INPATIENT SERVICES


1.   Cost of Covered Services (Contract Sch 3)                                     $         69,854,611 $           77,927,991


CHARGES FOR MEDI-CAL INPATIENT SERVICES

2.   Inpatient Routine Service Charges (Adj 9)                                     $         52,924,544 $           87,026,174


3.   Inpatient Ancillary Service Charges (Adj 9)                                   $        126,655,576 $       190,804,729


4.   Total Charges - Medi-Cal Inpatient Services                                   $        179,580,120 $       277,830,903


5.   Excess of Customary Charges Over Reasonable Cost
     (Line 4 minus Line 1) *                                                       $        109,725,509 $       199,902,912


6.   Excess of Reasonable Cost Over Customary Charges
     (Line 1 minus Line 4)                                                         $                  0 $                   0
                                                                                              (To Contract Sch 1)

* If charges exceed reasonable cost, no further calculation necessary for this schedule.
STATE OF CALIFORNIA                                                                       CONTRACT SCH 3

                                                 COMPUTATION OF
                                      MEDI-CAL NET COST OF COVERED SERVICES

Provider Name:                                                                          Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                   JUNE 30, 2008

Provider No:
HSC30104G

                                                                           REPORTED             AUDITED

 1.   Medi-Cal Inpatient Ancillary Services (Contract Sch 5)          $       24,810,388 $        31,757,655

 2.   Medi-Cal Inpatient Routine Services (Contract Sch 4)            $       45,044,223 $        46,170,336

 3.   Medi-Cal Inpatient Hospital Based Physician
      for Intern and Resident Services (Sch )                         $                0 $                 0

 4.                                                                   $                0 $                 0

 5.                                                                   $                0 $                 0

 6.   SUBTOTAL (Sum of Lines 1 through 5)                             $       69,854,611 $        77,927,991

 7.   Medi-Cal Inpatient Hospital Based Physician                             ( See
      for Acute Care Services (Contract Sch 7)                        $   Contract Sch 1) $                0

 8.   SUBTOTAL                                                        $       69,854,611 $         77,927,991
                                                                               (To Contract Sch 2)

 9.   Coinsurance (Adj 10)                                            $                0 $          (630,408)

10.   Patient and Third Party Liability (Adj 10)                      $                0 $          (161,040)

11.   Net Cost of Covered Services Rendered to Medi-Cal
      Inpatients                                                      $       69,854,611 $         77,136,543
                                                                               (To Contract Sch 1)
STATE OF CALIFORNIA                                                                        CONTRACT SCH 4

                                               COMPUTATION OF
                                   MEDI-CAL INPATIENT ROUTINE SERVICE COST

Provider Name:                                                                          Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                   JUNE 30, 2008

Provider No:
HSC30104G

GENERAL SERVICE UNIT NET OF SWING-BEDS COSTS                                REPORTED            AUDITED

INPATIENT DAYS
 1. Total Inpatient Days (include private & swing-bed) (Adj )                     79,469              79,469
 2. Inpatient Days (include private, exclude swing-bed)                           79,469              79,469
 3. Private Room Days (exclude swing-bed private room) (Adj )                          0                   0
 4. Semi-Private Room Days (exclude swing-bed) (Adj )                             79,469              79,469
 5. Medicare NF Swing-Bed Days through Dec 31 (Adj )                                   0                   0
 6. Medicare NF Swing-Bed Days after Dec 31 (Adj )                                     0                   0
 7. Medi-Cal NF Swing-Bed Days through July 31 (Adj )                                  0                   0
 8. Medi-Cal NF Swing-Bed Days after July 31 (Adj )                                    0                   0
 9. Medi-Cal Days (excluding swing-bed) (Adj 7)                                   31,560              24,456

SWING-BED ADJUSTMENT
17. Medicare NF Swing-Bed Rates through Dec 31 (Adj )                   $           0.00   $            0.00
18. Medicare NF Swing-Bed Rates after Dec 31(Adj )                      $           0.00   $            0.00
19. Medi-Cal NF Swing-Bed Rates through July 31(Adj )                   $           0.00   $            0.00
20. Medi-Cal NF Swing-Bed Rates after July 31(Adj )                     $           0.00   $            0.00
21. Total Routine Serv Cost (Sch 8, Part I, Line 25, Col 27)            $     68,840,997   $      67,314,037
22. Medicare NF Swing-Bed Cost through Dec 31 (L 5 x L 17)              $              0   $               0
23. Medicare NF Swing-Bed Cost after Dec 31 (L 6 x L 18)                $              0   $               0
24. Medi-Cal NF Swing-Bed Cost through July 31 (L 7 x L 19)             $              0   $               0
25. Medi-Cal NF Swing-Bed Cost after July 31 (L 8 x L 20)               $              0   $               0
26. Total Swing-Bed Cost (Sum of Lines 22 to 25)                        $              0   $               0
27. Inpatient Routine Cost Net of Swing-Bed (L 21 minus L 26)           $     68,840,997   $      67,314,037

PRIVATE ROOM DIFFERENTIAL ADJUSTMENT
28. Gen Inpatient Routine Serv Charges (excl swing-bed charges)(Adj )   $    106,854,486   $     106,854,486
29. Private Room Charges (excluding swing-bed charges)(Adj )            $              0   $               0
30. Semi-Private Room Charges (excluding swing-bed charges)(Adj )       $    106,854,486   $     106,854,486
31. Gen Inpatient Routine Service Cost/Charge Ratio (L 27 / L 28)       $      0.644250    $       0.629960
32. Average Private Room Per Diem Charge (L 29 / L 3)                   $           0.00   $            0.00
33. Average Semi-Private Room Per Diem Charge (L 30 / L 4)              $       1,344.61   $        1,344.61
34. Avg Per Diem Prvt Room Charge Differential (L 32 minus L 33)        $           0.00   $            0.00
35. Average Per Diem Private Room Cost Differential (L 31 x L 34)       $           0.00   $            0.00
36. Private Room Cost Differential Adjustment (L 35 x L 3)              $              0   $               0
37. Inpatient Rout Cost Net of Swing-Bed & Prvt Rm (L 27 minus L 36)    $     68,840,997   $      67,314,037

PROGRAM INPATIENT OPERATING COST
38. Adjusted General Inpatient Routine Cost Per Diem (L 37 / L 2)       $         866.26 $            847.05
39. Program General Inpatient Routine Service Cost (L 9 x L 38)         $     27,339,166 $        20,715,455

40.   Cost Applicable to Medi-Cal (Contract Sch 4A)                     $     17,705,057 $        25,454,881
41.   Cost Applicable to Medi-Cal (Contract Sch 4B)                     $              0 $                 0

42.   TOTAL MEDI-CAL ROUTINE COST (Sum of Lines 39, 40 & 41)            $     45,044,223 $         46,170,336
                                                                               (To Contract Sch 3)
STATE OF CALIFORNIA                                                                      CONTRACT SCH 4A

                                                COMPUTATION OF
                                    MEDI-CAL INPATIENT ROUTINE SERVICE COST

Provider Name:                                                                          Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                   JUNE 30, 2008

Provider No:
HSC30104G

    SPECIAL CARE AND/OR NURSERY UNITS                                     REPORTED              AUDITED
NURSERY
 1. Total Inpatient Routine Cost (Sch 8, Line 33, Col 27)             $        4,162,455 $         4,064,108
 2. Total Inpatient Days (Adj )                                                   15,790              15,790
 3. Average Per Diem Cost                                             $           263.61 $            257.38
 4. Medi-Cal Inpatient Days (Adj 7)                                                9,097               8,925
 5. Cost Applicable to Medi-Cal                                       $        2,398,060 $         2,297,117

INTENSIVE CARE UNIT
 6. Total Inpatient Routine Cost (Sch 8, Line 26, Col 27)             $       21,716,190 $        21,175,830
 7. Total Inpatient Days (Adj )                                                   12,355              12,355
 8. Average Per Diem Cost                                             $         1,757.68 $          1,713.95
 9. Medi-Cal Inpatient Days (Adj 7)                                                3,712               8,533
10. Cost Applicable to Medi-Cal                                       $        6,524,508 $        14,625,135

CORONARY CARE UNIT
11. Total Inpatient Routine Cost (Sch 8, Line 27, Col 27)             $                0 $                 0
12. Total Inpatient Days (Adj )                                                        0                   0
13. Average Per Diem Cost                                             $             0.00 $              0.00
14. Medi-Cal Inpatient Days (Adj )                                                     0                   0
15. Cost Applicable to Medi-Cal                                       $                0 $                 0

NEONATAL INTENSIVE CARE UNIT
16. Total Inpatient Routine Cost (Sch 8, Line 28, Col 27)             $       11,676,685 $        11,346,075
17. Total Inpatient Days (Adj )                                                    9,473               9,473
18. Average Per Diem Cost                                             $         1,232.63 $          1,197.73
19. Medi-Cal Inpatient Days (Adj 7)                                                7,125               7,124
20. Cost Applicable to Medi-Cal                                       $        8,782,489 $         8,532,629

SURGICAL INTENSIVE CARE UNIT
21. Total Inpatient Routine Cost (Sch 8, Line 29, Col 27)             $                0 $                 0
22. Total Inpatient Days (Adj )                                                        0                   0
23. Average Per Diem Cost                                             $             0.00 $              0.00
24. Medi-Cal Inpatient Days (Adj )                                                     0                   0
25. Cost Applicable to Medi-Cal                                       $                0 $                 0


26.   Total Inpatient Routine Cost (Sch 8, Line__ , Col 27)           $                0 $                 0
27.   Total Inpatient Days (Adj )                                                      0                   0
28.   Average Per Diem Cost                                           $             0.00 $              0.00
29.   Medi-Cal Inpatient Days (Adj )                                                   0                   0
30.   Cost Applicable to Medi-Cal                                     $                0 $                 0

31.   Medi-Cal Routine Cost (Sum of Lines 5,10,15,20,25,30)          $        17,705,057 $         25,454,881
                                                                               (To Contract Sch 4)
STATE OF CALIFORNIA                                                                    CONTRACT SCH 4B

                                                COMPUTATION OF
                                    MEDI-CAL INPATIENT ROUTINE SERVICE COST

Provider Name:                                                                         Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                  JUNE 30, 2008

Provider No:
HSC30104G

      SPECIAL CARE UNITS                                                  REPORTED             AUDITED

 1.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $               0 $                0
 2.   Total Inpatient Days (Adj )                                                     0                  0
 3.   Average Per Diem Cost                                           $            0.00 $             0.00
 4.   Medi-Cal Inpatient Days (Adj )                                                  0                  0
 5.   Cost Applicable to Medi-Cal                                     $               0 $                0


 6.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $               0 $                0
 7.   Total Inpatient Days (Adj )                                                     0                  0
 8.   Average Per Diem Cost                                           $            0.00 $             0.00
 9.   Medi-Cal Inpatient Days (Adj )                                                  0                  0
10.   Cost Applicable to Medi-Cal                                     $               0 $                0


11.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $               0 $                0
12.   Total Inpatient Days (Adj )                                                     0                  0
13.   Average Per Diem Cost                                           $            0.00 $             0.00
14.   Medi-Cal Inpatient Days (Adj )                                                  0                  0
15.   Cost Applicable to Medi-Cal                                     $               0 $                0


16.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $               0 $                0
17.   Total Inpatient Days (Adj )                                                     0                  0
18.   Average Per Diem Cost                                           $            0.00 $             0.00
19.   Medi-Cal Inpatient Days (Adj )                                                  0                  0
20.   Cost Applicable to Medi-Cal                                     $               0 $                0


21.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $               0 $                0
22.   Total Inpatient Days (Adj )                                                     0                  0
23.   Average Per Diem Cost                                           $            0.00 $             0.00
24.   Medi-Cal Inpatient Days (Adj )                                                  0                  0
25.   Cost Applicable to Medi-Cal                                     $               0 $                0


26.   Total Inpatient Routine Cost (Sch 8, Line ___, Col 27)          $               0 $                0
27.   Total Inpatient Days (Adj )                                                     0                  0
28.   Average Per Diem Cost                                           $            0.00 $             0.00
29.   Medi-Cal Inpatient Days (Adj )                                                  0                  0
30.   Cost Applicable to Medi-Cal                                     $               0 $                0

31.   Medi-Cal Routine Cost (Sum of Lines 5,10,15,20,25,30)           $               0 $                0
                                                                              (To Contract Sch 4)
STATE OF CALIFORNIA                                                                                            CONTRACT SCH 5

                                           SCHEDULE OF MEDI-CAL ANCILLARY COSTS

Provider Name:                                                                                             Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                      JUNE 30, 2008

Provider No:
HSC30104G

                                                  TOTAL        TOTAL ANCILLARY    RATIO        MEDI-CAL            MEDI-CAL
                                                ANCILLARY         CHARGES        COST TO       CHARGES              COST
                                                  COST*             (Adj )       CHARGES    (Contract Sch 6)
ANCILLARY COST CENTERS
  37.00 Operating Room                      $     11,953,726 $      39,501,240     0.302616 $     8,442,006 $          2,554,690
  38.00 Recovery Room                                      0                 0     0.000000               0                    0
  39.00 Delivery Room and Labor Room              18,454,148        43,653,737     0.422739      10,104,336            4,271,499
 40.00 Anesthesiology                                342,483         3,268,699     0.104777         554,226               58,070
 41.00 Radiology - Diagnostic                      6,435,668        35,375,965     0.181922       5,679,289            1,033,188
 42.00 Radiology - Therapeutic                     1,890,061        12,335,372     0.153223         146,688               22,476
 43.00 Radioisotope                                1,219,650         6,013,133     0.202831       1,106,592              224,451
 43.01 Ultrasound                                  1,370,008        17,787,235     0.077022       2,960,758              228,043
 43.02 CAT Scan                                    2,556,541        61,407,221     0.041633       9,836,555              409,521
 43.03 Magnetic Reounance Imaging (MRI)              834,913        10,430,963     0.080042       1,511,152              120,955
 44.00 Laboratory                                 12,608,439       131,176,484     0.096118      41,639,857            4,002,345
 46.00 Whole Blood & packed Red Blood Cells        3,900,720         2,804,869     1.390696         970,953            1,350,300
 47.00 Blood Storing and Processing                        0                 0     0.000000               0                    0
 48.00 Intravenous Therapy                                 0                 0     0.000000               0                    0
 49.00 Respiratory Therapy                         6,066,094        39,259,424     0.154513      16,905,658            2,612,145
 50.00 Physical Therapy                            2,611,938         4,970,904     0.525445       1,028,433              540,385
 51.00 Occupational Therapy                                0                 0     0.000000               0                    0
 52.00 Speech Pathology                                    0                 0     0.000000               0                    0
 53.00 Electrocardiology                           1,893,995        23,506,389     0.080574       5,318,046              428,494
 54.00 Electroencephalography                        223,429         1,230,713     0.181544         247,676               44,964
 55.00 Medical Supplies Charged to Patients       13,683,794        83,879,990     0.163135      19,673,752            3,209,485
 56.00 Drugs Charged to Patients                  16,891,595       110,902,677     0.152310      41,534,717            6,326,156
 57.00 Renal Dialysis                                      0                 0     0.000000               0                    0
 58.00 ASC (Non-Distinct Part)                             0                 0     0.000000               0                    0
 59.00 Laboratory - Pathological                     598,992         3,538,257     0.169290               0                    0
 59.01 Pulmonary Function Testing                    362,603           569,031     0.637229         211,285              134,637
 59.02 Respiratory - Neonatal                        899,189         8,295,720     0.108392       3,080,255              333,875
 59.03 Cardiac Catheterization Laboratory          2,257,866        11,418,492     0.197738       5,498,085            1,087,178
 60.00 Psych Day Care                              1,299,212         1,423,692     0.912565               0                    0
 60.01 Satellite Clinic                            5,093,517         8,109,148     0.628120               0                    0
 60.02 Perinatal Clinic                            1,069,737         7,663,296     0.139592               0                    0
 60.03 Gestational Diabetes Clinic                   274,472         1,062,979     0.258210               0                    0
 60.04 Childrens Center                            2,536,205         2,104,746     1.204993               0                    0
 60.05 Renal Dialysis Clinic                       3,485,047        11,686,759     0.298205       4,183,280            1,247,474
 60.06 High Risk Infant Clinic                       910,040         1,425,705     0.638309               0                    0
 60.07 Pain Clinic                                    83,638            48,508     1.724208           5,486                9,459
 60.08 Wound Clinic                                  866,176         2,384,970     0.363181               0                    0
 61.00 Emergency                                  17,957,150       121,062,532     0.148330      10,165,644            1,507,865




          TOTAL                            $     140,631,046   $   808,298,850              $   190,804,729     $     31,757,655
                                                                                                               (To Contract Sch 3)

* From Schedule 8, Column 27
STATE OF CALIFORNIA                                                                  CONTRACT SCH 6

                                   ADJUSTMENTS TO MEDI-CAL CHARGES

Provider Name:                                                                  Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                           JUNE 30, 2008

Provider No:
HSC30104G

                                                     REPORTED      ADJUSTMENTS            AUDITED
          ANCILLARY CHARGES                                           (Adj 8)
  37.00   Operating Room                       $        3,355,473 $     5,086,533 $           8,442,006
  38.00   Recovery Room                                                                               0
  39.00   Delivery Room and Labor Room                 19,739,992      (9,635,656)           10,104,336
  40.00   Anesthesiology                                  284,837         269,389               554,226
  41.00   Radiology - Diagnostic                        3,422,514       2,256,775             5,679,289
  42.00   Radiology - Therapeutic                          78,281          68,407               146,688
  43.00   Radioisotope                                    866,124         240,468             1,106,592
  43.01   Ultrasound                                    2,021,336         939,422             2,960,758
  43.02   CAT Scan                                      3,517,492       6,319,063             9,836,555
  43.03   Magnetic Reounance Imaging (MRI)              1,161,036         350,116             1,511,152
  44.00   Laboratory                                   24,732,681      16,907,176            41,639,857
  46.00   Whole Blood & packed Red Blood Cells            452,504         518,449               970,953
  47.00   Blood Storing and Processing                                                                0
  48.00   Intravenous Therapy                                                                         0
  49.00   Respiratory Therapy                           7,090,760       9,814,898            16,905,658
  50.00   Physical Therapy                                356,657         671,776             1,028,433
  51.00   Occupational Therapy                                                                        0
  52.00   Speech Pathology                                                                            0
  53.00   Electrocardiology                             3,567,526       1,750,520             5,318,046
  54.00   Electroencephalography                          201,751          45,925               247,676
  55.00   Medical Supplies Charged to Patients         14,084,737       5,589,015            19,673,752
  56.00   Drugs Charged to Patients                    26,018,832      15,515,885            41,534,717
  57.00   Renal Dialysis                                                                              0
  58.00   ASC (Non-Distinct Part)                                                                     0
  59.00   Laboratory - Pathological                       746,861        (746,861)                    0
  59.01   Pulmonary Function Testing                       40,348         170,937               211,285
  59.02   Respiratory - Neonatal                        2,696,404         383,851             3,080,255
  59.03   Cardiac Catheterization Laboratory            1,079,401       4,418,684             5,498,085
  60.00   Psych Day Care                                                                              0
  60.01   Satellite Clinic                                                                            0
  60.02   Perinatal Clinic                               718,782         (718,782)                    0
  60.03   Gestational Diabetes Clinic                                                                 0
  60.04   Childrens Center                                                                            0
  60.05   Renal Dialysis Clinic                         3,295,286        887,994              4,183,280
  60.06   High Risk Infant Clinic                                                                     0
  60.07   Pain Clinic                                           0           5,486                 5,486
  60.08   Wound Clinic                                                                                0
  61.00   Emergency                                     7,125,961       3,039,683            10,165,644




TOTAL MEDI-CAL ANCILLARY CHARGES                 $    126,655,576 $    64,149,153 $         190,804,729
                                                                                     (To Contract Sch 5)
STATE OF CALIFORNIA                                                                               CONTRACT SCH 7

                                       COMPUTATION OF PROFESSIONAL
                                       COMPONENT OF HOSPITAL BASED
                                         PHYSICIAN'S REMUNERATION

Provider Name:                                                                                  Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                           JUNE 30, 2008

Provider No:
HSC30104G

                  PROFESSIONAL         HBP          TOTAL CHARGES     RATIO OF       MEDI-CAL          MEDI-CAL
                    SERVICE        REMUNERATION     TO ALL PATIENTS REMUNERATION     CHARGES              COST
                  COST CENTERS                                       TO CHARGES
                                       (Adj )            (Adj )                        (Adj )
  40.00   Anesthesiology           $            0   $             0       0.000000 $                $              0
  41.00   Radiology - Diagnostic                0                 0       0.000000                                 0
  43.00   Radioisotope                          0                 0       0.000000                                 0
  44.00   Laboratory                            0                 0       0.000000                                 0
  53.00   Electrocardiology                     0                 0       0.000000                                 0
  54.00   Electroencephalography                0                 0       0.000000                                 0
  61.00   Emergency                             0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
                                                0                 0       0.000000                                 0
               TOTAL               $            0   $             0                $             0 $               0
                                                                                             (To Contract Sch 3)
STATE OF CALIFORNIA                                                                               DPNF SCH 1

                                               COMPUTATION OF
                                    DISTINCT PART NURSING FACILITY PER DIEM

Provider Name:                                                                         Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                  JUNE 30, 2008

Provider No:
LTC55238G

                                                             REPORTED           AUDITED           DIFFERENCE
COMPUTATION OF DISTINCT PART (DP)
NURSING FACILITY PER DIEM

1.   Distinct Part Ancillary Cost (DPNF Sch 3)           $              0 $        43,366     $       43,366

2.   Distinct Part Routine Cost (DPNF Sch 2)             $     3,851,805    $    3,777,349    $       (74,456)

3.   Total Distinct Part Facility Cost (Lines 1 & 2)     $     3,851,805    $    3,820,715    $       (31,090)

4.   Total Distinct Part Patient Days (Adj )                       8,584            8,584                   0

5.   Average DP Per Diem Cost (Line 3 / Line 4)          $       448.72     $      445.10     $         (3.62)

DPNF OVERPAYMENT AND OVERBILLINGS

6.   Medi-Cal Overpayments (Adj )                        $             0    $             0   $             0

7.   Medi-Cal Credit Balances (Adj )                     $             0    $             0   $             0

8.   MEDI-CAL SETTLEMENT Due Provider (State)            $            0 $               0     $             0
                                                               (To Summary of Findings)
GENERAL INFORMATION

9.   Total Available Distinct Part Beds (C/R, W/S S-3)                30               30                   0

10. Total Licensed Capacity (All levels) (Adj )                       369             369                   0

11. Total Medi-Cal DP Patient Days (Adj 11)                        1,563            1,720                  157

CAPITAL RELATED COST

12. Direct Capital Related Cost                                 N/A         $             0          N/A

13. Indirect Capital Related Cost (DPNF Sch 5)                  N/A         $     438,989            N/A

14. Total Capital Related Cost (Lines 12 & 13)                  N/A         $     438,989            N/A

TOTAL SALARY & BENEFITS

15. Direct Salary & Benefits Expenses                           N/A         $    1,502,384           N/A

16. Allocated Salary & Benefits (DPNF Sch 5)                    N/A         $    1,075,752           N/A

17. Total Salary & Benefits Expenses (Lines 15 & 16)            N/A         $    2,578,136           N/A
STATE OF CALIFORNIA                                                                                   DPNF SCH 2

                             SUMMARY OF DISTINCT PART FACILITY EXPENSES

Provider Name:                                                                               Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                        JUNE 30, 2008

Provider No:
LTC55238G

                        COST CENTER
                                                              REPORTED *         AUDITED *          DIFFERENCE
 COL.        DIRECT AND ALLOCATED EXPENSE
   0.00   Distinct Part                                   $      1,682,744   $      1,682,744   $              0
   1.00   Old Cap Rel Costs-Bldg & Fixtures                                                 0                  0
   2.00   Old Cap Rel Costs-Movable Equipment                                               0                  0
   3.00   New Cap Rel Costs-Bldg & Fixtures                        209,799            240,156             30,357
   4.00   New Cap Rel Costs-Movable Equipment                       88,715             88,715                 (0)
   4.01                                                                                     0                  0
   4.02                                                                                     0                  0
   4.03                                                                                     0                  0
   4.04                                                                                     0                  0
   4.05                                                                                     0                  0
   4.06                                                                                     0                  0
   4.07                                                                                     0                  0
   4.08                                                                                     0                  0
   5.00   Employee Benefits                                        409,871            387,004            (22,867)
   6.01   Communications                                             6,847              6,843                 (4)
   6.02   Information Services                                      29,569             29,646                 77
   6.03   Purchasing & Stores                                        6,938              6,939                  1
   6.04   Admitting                                                 27,154             26,996               (158)
   6.05   Patient Financial Services                                37,300             37,224                (76)
   6.06   Other Admin & General                                    384,929            321,930            (62,999)
   6.07                                                                                     0                  0
   6.08                                                                                     0                  0
   6.00   Administrative and General                                                        0                  0
   7.00   Maintenance and Repairs                                   67,422             66,392             (1,030)
   8.00   Operation of Plant                                       155,621            152,820             (2,801)
   9.00   Laundry and Linen Service                                 16,990             16,870               (120)
  10.00   Housekeeping                                              45,314             44,425               (889)
  11.00   Dietary                                                  516,651            505,996            (10,655)
  12.00   Cafeteria                                                 26,179             26,244                 65
  13.00   Maintenance of Personnel                                                          0                  0
  14.00   Nursing Administration                                    67,657             66,113             (1,544)
  15.00   Central Services & Supply                                  4,641              4,568                (73)
  16.00   Pharmacy                                                   5,841              5,690               (151)
  17.00   Medical Records and Library                               40,354             39,567               (787)
  18.00   Social Service                                                                    0                  0
  19.00                                                                                     0                  0
  19.02                                                                                     0                  0
  19.03                                                                                     0                  0
  20.00                                                                                     0                  0
  21.00 Nursing School                                              21,269             20,469               (800)
  22.00 Intern & Res Service-Salary & Fringes                                               0                  0
  23.00 Intern & Res Other Program                                                          0                  0
  24.00 Paramedical Ed Program                                                              0                  0
        TOTAL DIRECT AND
 101.00 ALLOCATED EXPENSES                                $      3,851,805   $     3,777,349 $           (74,456)
                                                                             (To DPNF Sch 1)

       * From Schedule 8, Part I, line 34 plus line 35.
STATE OF CALIFORNIA                                                                                                             DPNF SCH 3

                                            SCHEDULE OF TOTAL DISTINCT PART ANCILLARY COSTS

Provider Name:                                                                                                          Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                   JUNE 30, 2008

Provider No:
LTC55238G

                                                    TOTAL               TOTAL ANCILLARY      RATIO             TOTAL            TOTAL
                                                  ANCILLARY                CHARGES          COST TO        DP ANCILLARY      ANCILLARY
                                                    COST *                                  CHARGES         CHARGES **         COST***
ANCILLARY COST CENTERS                                                                                  (From DPNF Sch 4)
  49.00 Respiratory Therapy                   $          6,066,094 $           39,259,424    0.154513    $         210,985 $        32,600
  55.00 Med Supply Charged to Patients                  13,683,794             83,879,990    0.163135               65,994          10,766
  56.00 Drugs Charged to Patients                       16,891,595            110,902,677    0.152310                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
                                                                                             0.000000                    0               0
 101.00    TOTAL                              $         36,641,483 $          234,042,091                $         276,979 $        43,366
                                                                                                                           (To DPNF Sch 1)


        * From Schedule 8, Column 27.
       ** Total Distinct Part Ancillary Charges included in the rate.
      *** Total Distinct Part Ancillary Costs included in the rate.
STATE OF CALIFORNIA                                                            DPNF SCH 4

                                  ADJUSTMENTS TO TOTAL
                            DISTINCT PART ANCILLARY CHARGES

Provider Name:                                                          Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                   JUNE 30, 2008

Provider No:
LTC55238G

                                             REPORTED      ADJUSTMENTS         AUDITED
        ANCILLARY CHARGES                                     (Adj 12)
  49.00 Respiratory Therapy              $              0 $        210,985 $      210,985
  55.00 Med Supply Charged to Patients                  0           65,994         65,994
  56.00 Drugs Charged to Patients                       0                               0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
                                                                                        0
TOTAL DP ANCILLARY CHARGES               $              0 $       276,979 $       276,979
                                                                          (To DPNF Sch 3)
STATE OF CALIFORNIA                                                                        DPNF SCH 5

                                 ALLOCATION OF INDIRECT EXPENSES
                                  DISTINCT PART NURSING FACILITY

Provider Name:                                                                      Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                               JUNE 30, 2008

Provider No:
LTC55238G

                                                                      AUDITED CAP      AUDITED SAL &
                                                                       RELATED *      EMP BENEFITS *
  COL.                   COST CENTER                                    (COL 1)           (COL 2)
   1.00   Old Cap Rel Costs-Bldg & Fixtures                       $               0   $      N/A
   2.00   Old Cap Rel Costs-Movable Equipment                                     0          N/A
   3.00   New Cap Rel Costs-Bldg & Fixtures                                 240,156          N/A
   4.00   New Cap Rel Costs-Movable Equipment                                88,715          N/A
   4.01                                                                           0          N/A
   4.02                                                                           0          N/A
   4.03                                                                           0          N/A
   4.04                                                                           0          N/A
   4.05                                                                           0          N/A
   4.06                                                                           0          N/A
   4.07                                                                           0          N/A
   4.08                                                                           0          N/A
   5.00   Employee Benefits                                                   1,426           385,578
   6.01   Communications                                                        294             2,619
   6.02   Information Services                                                  849                67
   6.03   Purchasing & Stores                                                   563             4,214
   6.04   Admitting                                                             818            19,254
   6.05   Patient Financial Services                                            786             9,316
   6.06   Other Admin & General                                               8,703           111,455
   6.07                                                                           0                 0
   6.08                                                                           0                 0
   6.00   Administrative and General                                              0                 0
   7.00   Maintenance and Repairs                                             8,198            26,861
   8.00   Operation of Plant                                                 12,575            48,590
   9.00   Laundry and Linen Service                                           3,875             9,028
  10.00   Housekeeping                                                        3,079            15,819
  11.00   Dietary                                                            47,749           318,161
  12.00   Cafeteria                                                           9,245            18,193
  13.00   Maintenance of Personnel                                                0                 0
  14.00   Nursing Administration                                              5,731            49,920
  15.00   Central Services & Supply                                             576             2,118
  16.00   Pharmacy                                                              265             4,003
  17.00   Medical Records and Library                                         3,532            19,563
  18.00   Social Service                                                          0                 0
  19.00                                                                           0                 0
  19.02                                                                           0                 0
  19.03                                                                           0                 0
  20.00                                                                           0                 0
  21.00   Nursing School                                                      1,855            30,994
  22.00   Intern & Res Service-Salary & Fringes                                   0                 0
  23.00   Intern & Res Other Program                                              0                 0
  24.00   Paramedical Ed Program                                                  0                 0




     101 TOTAL ALLOCATED INDIRECT EXPENSES                        $         438,989 $       1,075,752
* These amounts include both Skilled Nursing Facility expenses,             (To DPNF SCH 1)
  line 34 and Nursing Facility expenses, line 35.
STATE OF CALIFORNIA                                                                 COMPUTATION OF COST ALLOCATION (W/S B)                                                          SCHEDULE 8

Provider Name:                                                                                                                                                            Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                     JUNE 30, 2008

                                              NET EXP FOR OLD CAPITAL     OLD   NEW CAPITAL      NEW
                   TRIAL BALANCE              COST ALLOC     BLDG &     MOVABLE   BLDG &       MOVABLE      ALLOC       ALLOC       ALLOC       ALLOC       ALLOC       ALLOC         ALLOC
                     EXPENSES                 (From Sch 10) FIXTURES     EQUIP   FIXTURES       EQUIP       COST        COST        COST        COST        COST        COST          COST
                                                   0.00        1.00       2.00      3.00         4.00        4.01        4.02        4.03        4.04        4.05        4.06          4.07

         GENERAL SERVICE COST CENTER
  1.00   Old Cap Rel Costs-Bldg & Fixtures                0
  2.00   Old Cap Rel Costs-Movable Equipmen               0        0
  3.00   New Cap Rel Costs-Bldg & Fixtures       13,125,167        0           0
  4.00   New Cap Rel Costs-Movable Equipme        5,573,647        0           0          0
  4.01                                                    0        0           0          0            0
  4.02                                                    0        0           0          0            0            0
  4.03                                                    0        0           0          0            0            0           0
  4.04                                                    0        0           0          0            0            0           0           0
  4.05                                                    0        0           0          0            0            0           0           0           0
  4.06                                                    0        0           0          0            0            0           0           0           0           0
  4.07                                                    0        0           0          0            0            0           0           0           0           0           0
  4.08                                                    0        0           0          0            0            0           0           0           0           0           0             0
  5.00   Employee Benefits                       31,463,102        0           0     85,000       31,399            0           0           0           0           0           0             0
  6.01   Communications                           1,098,521        0           0     38,957       14,391            0           0           0           0           0           0             0
  6.02   Information Services                     5,224,006        0           0    112,102       41,411            0           0           0           0           0           0             0
  6.03   Purchasing & Stores                      1,023,181        0           0     78,653       29,055            0           0           0           0           0           0             0
  6.04   Admitting                                2,129,965        0           0     55,514       20,507            0           0           0           0           0           0             0
  6.05   Patient Financial Services               3,625,721        0           0          0       66,992            0           0           0           0           0           0             0
  6.06   Other Admin & General                   25,458,541        0           0    421,004      326,101            0           0           0           0           0           0             0
  6.07                                                    0        0           0          0            0            0           0           0           0           0           0             0
  6.08                                                    0        0           0          0            0            0           0           0           0           0           0             0
  6.00   Administrative and General                       0        0           0          0            0            0           0           0           0           0           0             0
  7.00   Maintenance and Repairs                  2,280,098        0           0    291,102      107,534            0           0           0           0           0           0             0
  8.00   Operation of Plant                       5,452,415        0           0    415,832      153,610            0           0           0           0           0           0             0
  9.00   Laundry and Linen Service                  127,165        0           0     43,558       16,090            0           0           0           0           0           0             0
 10.00   Housekeeping                             1,344,614        0           0     81,776       30,208            0           0           0           0           0           0             0
 11.00   Dietary                                  3,873,993        0           0    387,689      143,214            0           0           0           0           0           0             0
 12.00   Cafeteria                                  230,701        0           0    279,550      103,267            0           0           0           0           0           0             0
 13.00   Maintenance of Personnel                         0        0           0          0            0            0           0           0           0           0           0             0
 14.00   Nursing Administration                   1,259,263        0           0    118,886       43,917            0           0           0           0           0           0             0
 15.00   Central Services & Supply                1,151,778        0           0    165,836       61,260            0           0           0           0           0           0             0
 16.00   Pharmacy                                 3,891,610        0           0    164,560       60,789            0           0           0           0           0           0             0
 17.00   Medical Records and Library              3,720,043        0           0    348,161      128,612            0           0           0           0           0           0             0
 18.00   Social Service                             459,066        0           0      4,870        1,799            0           0           0           0           0           0             0
 19.00                                                    0        0           0          0            0            0           0           0           0           0           0             0
 19.02                                                    0        0           0          0            0            0           0           0           0           0           0             0
 19.03                                                    0        0           0          0            0            0           0           0           0           0           0             0
 20.00                                                    0        0           0          0            0            0           0           0           0           0           0             0
 21.00   Nursing School                             847,701        0           0          0      157,344            0           0           0           0           0           0             0
 22.00   Intern & Res Service-Salary & Fringes            0        0           0          0            0            0           0           0           0           0           0             0
 23.00   Intern & Res Other Program                       0        0           0          0            0            0           0           0           0           0           0             0
 24.00   Paramedical Ed Program                           0        0           0          0            0            0           0           0           0           0           0             0
         INPATIENT ROUTINE COST CENTERS
 25.00   Adults & Pediatrics (Gen Routine)       33,477,938        0           0   3,543,605    1,309,021           0           0           0           0           0           0             0
 26.00   Intensive Care Unit                     12,339,611        0           0     791,363      292,333           0           0           0           0           0           0             0
 27.00   Coronary Care Unit                               0        0           0           0            0           0           0           0           0           0           0             0
 30.00   Neonatal Intensive Care Unit             7,007,244        0           0     200,125       73,927           0           0           0           0           0           0             0
 29.00   Surgical Intensive Care                          0        0           0           0            0           0           0           0           0           0           0             0
 30.00   NICU                                             0        0           0           0            0           0           0           0           0           0           0             0
 31.00   Subprovider II                                   0        0           0           0            0           0           0           0           0           0           0             0
 32.00                                                    0        0           0           0            0           0           0           0           0           0           0             0
 33.00   Nursery                                  2,329,887        0           0     195,759       72,314           0           0           0           0           0           0             0
 34.00   Skilled Nursing Facility                 1,682,744        0           0     240,156       88,715           0           0           0           0           0           0             0
 35.00   Distinct Part Nursing Facility                   0        0           0           0            0           0           0           0           0           0           0             0
 36.00   Adult Subacute Care Unit                         0        0           0           0            0           0           0           0           0           0           0             0
 36.01   Subacute Care Unit II                            0        0           0           0            0           0           0           0           0           0           0             0
 36.02   Transitional Care Unit                           0        0           0           0            0           0           0           0           0           0           0             0
STATE OF CALIFORNIA                                                              COMPUTATION OF COST ALLOCATION (W/S B)                                                           SCHEDULE 8

Provider Name:                                                                                                                                                          Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                   JUNE 30, 2008

                                           NET EXP FOR OLD CAPITAL     OLD   NEW CAPITAL       NEW
                 TRIAL BALANCE             COST ALLOC     BLDG &     MOVABLE   BLDG &        MOVABLE      ALLOC       ALLOC       ALLOC       ALLOC       ALLOC       ALLOC         ALLOC
                   EXPENSES                (From Sch 10) FIXTURES     EQUIP   FIXTURES        EQUIP       COST        COST        COST        COST        COST        COST          COST
                                                0.00        1.00       2.00      3.00          4.00        4.01        4.02        4.03        4.04        4.05        4.06          4.07

         ANCILLARY COST CENTERS
 37.00   Operating Room                           6,290,243     0           0     735,749      271,788            0           0           0           0           0           0             0
 38.00   Recovery Room                                    0     0           0           0            0            0           0           0           0           0           0             0
 39.00   Delivery Room and Labor Room            10,740,597     0           0     912,231      336,981            0           0           0           0           0           0             0
 40.00   Anesthesiology                             210,497     0           0       5,810        2,146            0           0           0           0           0           0             0
 41.00   Radiology - Diagnostic                   3,731,219     0           0     195,591      111,132            0           0           0           0           0           0             0
 42.00   Radiology - Therapeutic                    820,497     0           0     230,854       85,278            0           0           0           0           0           0             0
 43.00   Radioisotope                               612,013     0           0     118,550       43,793            0           0           0           0           0           0             0
 43.01   Ultrasound                                 715,901     0           0      46,681       17,244            0           0           0           0           0           0             0
 43.02   CAT Scan                                 1,049,003     0           0      66,865       24,700            0           0           0           0           0           0             0
 43.03   Magnetic Reounance Imaging (MRI)           324,632     0           0      87,855       32,454            0           0           0           0           0           0             0
 44.00   Laboratory                               6,956,545     0           0     343,325      126,825            0           0           0           0           0           0             0
 46.00   Whole Blood & packed Red Blood Cell      3,052,101     0           0      14,407        5,322            0           0           0           0           0           0             0
 47.00   Blood Storing and Processing                     0     0           0           0            0            0           0           0           0           0           0             0
 48.00   Intravenous Therapy                              0     0           0           0            0            0           0           0           0           0           0             0
 49.00   Respiratory Therapy                      3,673,836     0           0      69,552       25,693            0           0           0           0           0           0             0
 50.00   Physical Therapy                         1,062,118     0           0     382,215      141,192            0           0           0           0           0           0             0
 51.00   Occupational Therapy                             0     0           0           0            0            0           0           0           0           0           0             0
 52.00   Speech Pathology                                 0     0           0           0            0            0           0           0           0           0           0             0
 53.00   Electrocardiology                          991,502     0           0      35,498       13,113            0           0           0           0           0           0             0
 54.00   Electroencephalography                     136,487     0           0      18,034        6,662            0           0           0           0           0           0             0
 55.00   Medical Supplies Charged to Patients     9,763,409     0           0           0            0            0           0           0           0           0           0             0
 56.00   Drugs Charged to Patients                8,623,790     0           0           0            0            0           0           0           0           0           0             0
 57.00   Renal Dialysis                                   0     0           0           0            0            0           0           0           0           0           0             0
 58.00   ASC (Non-Distinct Part)                          0     0           0           0            0            0           0           0           0           0           0             0
 59.00   Laboratory - Pathological                  238,011     0           0      88,694       32,764            0           0           0           0           0           0             0
 59.01   Pulmonary Function Testing                 116,426     0           0      75,227       27,789            0           0           0           0           0           0             0
 59.02   Respiratory - Neonatal                     511,455     0           0      14,441        5,335            0           0           0           0           0           0             0
 59.03   Cardiac Catheterization Laboratory       1,400,402     0           0      42,886       15,842            0           0           0           0           0           0             0
 60.00   Psych Day Care                             266,597     0           0      69,753       25,767            0           0           0           0           0           0             0
 60.01   Satellite Clinic                         2,728,019     0           0     298,692      210,913            0           0           0           0           0           0             0
 60.02   Perinatal Clinic                           644,300     0           0           0       12,480            0           0           0           0           0           0             0
 60.03   Gestational Diabetes Clinic                170,290     0           0           0       12,468            0           0           0           0           0           0             0
 60.04   Childrens Center                         1,495,276     0           0      82,851      136,055            0           0           0           0           0           0             0
 60.05   Renal Dialysis Clinic                    1,852,262     0           0     447,165      165,185            0           0           0           0           0           0             0
 60.06   High Risk Infant Clinic                    526,174     0           0           0            0            0           0           0           0           0           0             0
 60.07   Pain Clinic                                 25,453     0           0           0       19,961            0           0           0           0           0           0             0
 60.08   Wound Clinic                               622,104     0           0           0       19,961            0           0           0           0           0           0             0
 61.00   Emergency                               10,062,221     0           0     601,717      222,276            0           0           0           0           0           0             0
         NONREIMBURSABLE COST CENTERS
 96.00   Gift, Flower, Coffee Shop & Canteen       494,241      0           0      49,099       18,137            0           0           0           0           0           0             0
100.00   Community Relations                       851,689      0           0       7,355        8,697            0           0           0           0           0           0             0
100.01   Foundation                                768,766      0           0      16,120       20,445            0           0           0           0           0           0             0
100.02   Fund Raising                              538,012      0           0           0            0            0           0           0           0           0           0             0
100.03   Community Service                         680,104      0           0           0            0            0           0           0           0           0           0             0
100.04   Paramedic                                 138,437      0           0       3,896        1,439            0           0           0           0           0           0             0
100.05                                                   0      0           0           0            0            0           0           0           0           0           0             0
 99.04                                                   0      0           0           0            0            0           0           0           0           0           0             0
 99.05                                                   0      0           0           0            0            0           0           0           0           0           0             0
100.00                                                   0      0           0           0            0            0           0           0           0           0           0             0
100.01                                                   0      0           0           0            0            0           0           0           0           0           0             0
100.02                                                   0      0           0           0            0            0           0           0           0           0           0             0
100.03                                                   0      0           0           0            0            0           0           0           0           0           0             0
100.04                                                   0      0           0           0            0            0           0           0           0           0           0             0

         TOTAL                                  253,082,351     0           0   13,125,167    5,573,647           0           0           0           0           0           0             0
STATE OF CALIFORNIA                                                               COMPUTATION OF COST ALLOCATION (W/S B)                                                                   SCHEDULE 8.1

Provider Name:                                                                                                                                                                    Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                             JUNE 30, 2008

                                                                                                                                                                                              ADMINIS-
                   TRIAL BALANCE                 ALLOC       EMPLOYEE     ALLOC       ALLOC        ALLOC      ALLOC        ALLOC       ALLOC       ALLOC       ALLOC       ACCUMULATE        TRATIVE &
                     EXPENSES                    COST         BENEFITS    COST        COST         COST       COST         COST        COST        COST        COST           COST            GENERAL
                                                  4.08          5.00       6.01        6.02         6.03       6.04         6.05        6.06        6.07        6.08                            6.00

         GENERAL SERVICE COST CENTER
  1.00   Old Cap Rel Costs-Bldg & Fixtures
  2.00   Old Cap Rel Costs-Movable Equipmen
  3.00   New Cap Rel Costs-Bldg & Fixtures
  4.00   New Cap Rel Costs-Movable Equipme
  4.01
  4.02
  4.03
  4.04
  4.05
  4.06
  4.07
  4.08
  5.00   Employee Benefits                               0
  6.01   Communications                                  0       98,067
  6.02   Information Services                            0            0     31,933
  6.03   Purchasing & Stores                             0      168,813          0        56,598
  6.04   Admitting                                       0      462,281     38,775       467,267     67,632
  6.05   Patient Financial Services                      0      298,929     61,584     1,899,726     10,241           0
  6.06   Other Admin & General                           0    2,025,383    169,927       402,247     97,006           0            0
  6.07                                                   0            0          0             0          0           0            0          0
  6.08                                                   0            0          0             0          0           0            0          0            0
  6.00   Administrative and General                      0            0          0             0          0           0            0          0            0           0               0
  7.00   Maintenance and Repairs                         0      247,024     20,528             0      5,567           0            0    377,419            0           0       3,329,273             0
  8.00   Operation of Plant                              0      411,815     13,685             0      8,324           0            0    828,028            0           0       7,283,709             0
  9.00   Laundry and Linen Service                       0       25,932          0             0        378           0            0     26,944            0           0         240,067             0
 10.00   Housekeeping                                    0      101,276      6,843             0    249,985           0            0    233,219            0           0       2,047,920             0
 11.00   Dietary                                         0      729,356      6,843        29,646     19,899           0            0    667,921            0           0       5,858,560             0
 12.00   Cafeteria                                       0      135,660          0             0     28,203           0            0     96,627            0           0         874,008             0
 13.00   Maintenance of Personnel                        0            0          0             0          0           0            0          0            0           0               0             0
 14.00   Nursing Administration                          0      309,017      7,983        58,956     20,034           0            0    234,611            0           0       2,052,666             0
 15.00   Central Services & Supply                       0      159,392     22,809        58,956     48,847           0            0    213,490            0           0       1,882,368             0
 16.00   Pharmacy                                        0      807,825     20,528       230,096     23,663           0            0    673,172            0           0       5,872,243             0
 17.00   Medical Records and Library                     0      543,554    110,624       316,003     74,793           0            0    673,653            0           0       5,915,444             0
 18.00   Social Service                                  0      101,442      6,843             0      1,935           0            0     74,892            0           0         650,845             0
 19.00                                                   0            0          0             0          0           0            0          0            0           0               0             0
 19.02                                                   0            0          0             0          0           0            0          0            0           0               0             0
 19.03                                                   0            0          0             0          0           0            0          0            0           0               0             0
 20.00                                                   0            0          0             0          0           0            0          0            0           0               0             0
 21.00   Nursing School                                  0      630,484     37,635             0    201,337           0            0    246,286            0           0       2,120,787             0
 22.00   Intern & Res Service-Salary & Fringes           0            0          0             0          0           0            0          0            0           0               0             0
 23.00   Intern & Res Other Program                      0            0          0             0          0           0            0          0            0           0               0             0
 24.00   Paramedical Ed Program                          0            0          0             0          0           0            0          0            0           0               0             0
         INPATIENT ROUTINE COST CENTER
 25.00   Adults & Pediatrics (Gen Routine)               0    8,012,876    137,995      442,674     123,742    459,140      633,093    6,205,380           0           0      54,345,463             0
 26.00   Intensive Care Unit                             0    2,865,453     28,511       58,956      24,728    215,736      297,472    2,188,143           0           0      19,102,306             0
 27.00   Coronary Care Unit                              0            0          0            0           0          0            0            0           0           0               0             0
 30.00   Neonatal Intensive Care Unit                    0    1,723,308          0       58,956      16,152    141,360      194,917    1,223,027           0           0      10,639,015             0
 29.00   Surgical Intensive Care                         0            0          0            0           0          0            0            0           0           0               0             0
 30.00   NICU                                            0            0          0            0           0          0            0            0           0           0               0             0
 31.00   Subprovider II                                  0            0          0            0           0          0            0            0           0           0               0             0
 32.00                                                   0            0          0            0           0          0            0            0           0           0               0             0
 33.00   Nursery                                         0      559,923     28,511       58,956       7,007      8,313       11,462      422,604           0           0       3,694,737             0
 34.00   Skilled Nursing Facility                        0      387,004      6,843       29,646       6,939     26,996       37,224      321,930           0           0       2,828,196             0
 35.00   Distinct Part Nursing Facility                  0            0          0            0           0          0            0            0           0           0               0             0
 36.00   Adult Subacute Care Unit                        0            0          0            0           0          0            0            0           0           0               0             0
 36.01   Subacute Care Unit II                           0            0          0            0           0          0            0            0           0           0               0             0
 36.02   Transitional Care Unit                          0            0          0            0           0          0            0            0           0           0               0             0
STATE OF CALIFORNIA                                                               COMPUTATION OF COST ALLOCATION (W/S B)                                                                    SCHEDULE 8.1

Provider Name:                                                                                                                                                                     Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                              JUNE 30, 2008

                                                                                                                                                                                               ADMINIS-
                 TRIAL BALANCE                  ALLOC       EMPLOYEE      ALLOC       ALLOC        ALLOC       ALLOC       ALLOC       ALLOC        ALLOC       ALLOC       ACCUMULATE        TRATIVE &
                   EXPENSES                     COST         BENEFITS     COST        COST         COST        COST        COST        COST         COST        COST           COST            GENERAL
                                                 4.08          5.00        6.01        6.02         6.03        6.04        6.05        6.06         6.07        6.08                            6.00

         ANCILLARY COST CENTERS
 37.00   Operating Room                                 0     1,313,656     59,304      177,204      39,111     104,371     234,038     1,186,590           0           0      10,412,055             0
 38.00   Recovery Room                                  0             0          0            0           0           0           0             0           0           0               0             0
 39.00   Delivery Room and Labor Room                   0     2,328,641     28,511       29,646      76,653     160,519     258,640     1,919,015           0           0      16,791,435             0
 40.00   Anesthesiology                                 0        12,107     12,545            0       3,729       9,513      19,366        35,530           0           0         311,244             0
 41.00   Radiology - Diagnostic                         0       659,048     45,618      206,514      11,195      63,783     209,596       676,109           0           0       5,909,806             0
 42.00   Radiology - Therapeutic                        0       142,208     17,107            0       5,328       1,637      73,085       174,610           0           0       1,550,603             0
 43.00   Radioisotope                                   0        71,671          0       29,646          54      17,061      35,627       118,232           0           0       1,046,647             0
 43.01   Ultrasound                                     0       136,521          0            0         404      30,848     105,386       135,983           0           0       1,188,968             0
 43.02   CAT Scan                                       0       105,372          0       29,646       1,211     111,113     363,827       225,554           0           0       1,977,290             0
 43.03   Magnetic Reounance Imaging (MRI)               0        44,432          0            0         338      27,216      61,802        73,500           0           0         652,227             0
 44.00   Laboratory                                     0       904,981     17,107      236,160      34,831     430,114     777,197     1,267,801           0           0      11,094,886             0
 46.00   Whole Blood & packed Red Blood Cell            0             0          0            0          11      11,208      16,618       399,098           0           0       3,498,766             0
 47.00   Blood Storing and Processing                   0             0          0            0           0           0           0             0           0           0               0             0
 48.00   Intravenous Therapy                            0             0          0            0           0           0           0             0           0           0               0             0
 49.00   Respiratory Therapy                            0       774,868     17,107       58,956       4,271     160,866     232,605       651,350           0           0       5,669,102             0
 50.00   Physical Therapy                               0       230,490     11,405       29,646       5,838      14,492      29,452       241,193           0           0       2,148,039             0
 51.00   Occupational Therapy                           0             0          0            0           0           0           0             0           0           0               0             0
 52.00   Speech Pathology                               0             0          0            0           0           0           0             0           0           0               0             0
 53.00   Electrocardiology                              0       199,757     11,405       29,646       4,934      75,746     139,271       194,380           0           0       1,695,251             0
 54.00   Electroencephalography                         0            24          0            0         483       4,490       7,292        22,060           0           0         195,532             0
 55.00   Medical Supplies Charged to Patients           0             0          0            0           0     334,127     496,974     1,365,238           0           0      11,959,748             0
 56.00   Drugs Charged to Patients                      0             0          0            0           0     526,315     657,078     1,264,015           0           0      11,071,198             0
 57.00   Renal Dialysis                                 0             0          0            0           0           0           0             0           0           0               0             0
 58.00   ASC (Non-Distinct Part)                        0             0          0            0           0           0           0             0           0           0               0             0
 59.00   Laboratory - Pathological                      0        25,512      4,562            0       1,602       9,604      20,964        53,091           0           0         474,803             0
 59.01   Pulmonary Function Testing                     0        18,551      2,281            0         192       1,157       3,371        30,480           0           0         275,475             0
 59.02   Respiratory - Neonatal                         0       112,251          0            0         517      35,420      49,151        94,518           0           0         823,087             0
 59.03   Cardiac Catheterization Laboratory             0       214,066     12,545       29,646       2,434      38,713      67,652       235,973           0           0       2,060,160             0
 60.00   Psych Day Care                                 0        59,425          0            0       1,329           0       8,435        54,882           0           0         486,188             0
 60.01   Satellite Clinic                               0       465,769     61,584      177,204      27,640           0      48,045       516,248           0           0       4,534,115             0
 60.02   Perinatal Clinic                               0       116,715     15,966       29,646       4,351       5,806      45,404       113,577           0           0         988,244             0
 60.03   Gestational Diabetes Clinic                    0        37,973          0            0       1,609           0       6,298        29,745           0           0         258,384             0
 60.04   Childrens Center                               0       274,914     21,669       58,956      21,529           0      12,470       271,744           0           0       2,375,464             0
 60.05   Renal Dialysis Clinic                          0             0      2,281            0         199      48,864      69,242       325,816           0           0       2,911,014             0
 60.06   High Risk Infant Clinic                        0        26,524      7,983            0       1,431           0       8,447        73,708           0           0         644,268             0
 60.07   Pain Clinic                                    0         6,149      9,124            0          17           0         287         7,905           0           0          68,896             0
 60.08   Wound Clinic                                   0        39,556          0       29,646       2,742          13      14,131        94,100           0           0         822,253             0
 61.00   Emergency                                      0     2,043,552     45,618       88,602      34,901     167,400     717,274     1,807,502           0           0      15,791,064             0
         NONREIMBURSABLE COST CENTER
 96.00   Gift, Flower, Coffee Shop & Canteen            0       45,241       5,702            0       1,254            0           0      78,603            0           0         692,278             0
100.00   Community Relations                            0      122,427      58,163            0      19,136            0           0     138,335            0           0       1,205,802             0
100.01   Foundation                                     0      113,983      11,405            0       4,581            0           0     121,097            0           0       1,056,397             0
100.02   Fund Raising                                   0       31,162           0            0           0            0           0      73,562            0           0         642,736             0
100.03   Community Service                              0       62,973      12,545            0       5,346            0           0      98,513            0           0         859,482             0
100.04   Paramedic                                      0       34,168           0            0         690            0           0      23,209            0           0         201,839             0
100.05                                                  0            0           0            0           0            0           0           0            0           0               0             0
 99.04                                                  0            0           0            0           0            0           0           0            0           0               0             0
 99.05                                                  0            0           0            0           0            0           0           0            0           0               0             0
100.00                                                  0            0           0            0           0            0           0           0            0           0               0             0
100.01                                                  0            0           0            0           0            0           0           0            0           0               0             0
100.02                                                  0            0           0            0           0            0           0           0            0           0               0             0
100.03                                                  0            0           0            0           0            0           0           0            0           0               0             0
100.04                                                  0            0           0            0           0            0           0           0            0           0               0             0

         TOTAL                                          0    31,579,501   1,249,936    5,409,452   1,356,299   3,241,941   5,963,193   28,900,210           0           0     253,082,352             0
STATE OF CALIFORNIA                                                                 COMPUTATION OF COST ALLOCATION (W/S B)                                                               SCHEDULE 8.2

Provider Name:                                                                                                                                                                  Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                           JUNE 30, 2008

                                                                                                                                                    CENTRAL                  MEDICAL
                   TRIAL BALANCE                 MAINT &      OPER           LAUNDRY &                                       MAINT OF   NURSING     SERVICE                 RECORDS         SOCIAL
                     EXPENSES                    REPAIRS      PLANT            LINEN   HOUSEKEEP     DIETARY     CAFE       PERSONNEL    ADMIN      & SUPPLY    PHARMACY    & LIBRARY       SERVICE
                                                  7.00           8.00           9.00     10.00        11.00      12.00         13.00     14.00        15.00       16.00        17.00         18.00

         GENERAL SERVICE COST CENTER
  1.00   Old Cap Rel Costs-Bldg & Fixtures
  2.00   Old Cap Rel Costs-Movable Equipmen
  3.00   New Cap Rel Costs-Bldg & Fixtures
  4.00   New Cap Rel Costs-Movable Equipme
  4.01
  4.02
  4.03
  4.04
  4.05
  4.06
  4.07
  4.08
  5.00   Employee Benefits
  6.01   Communications
  6.02   Information Services
  6.03   Purchasing & Stores
  6.04   Admitting
  6.05   Patient Financial Services
  6.06   Other Admin & General
  6.07
  6.08
  6.00   Administrative and General
  7.00   Maintenance and Repairs
  8.00   Operation of Plant                         114,958
  9.00   Laundry and Linen Service                   12,042        27,717
 10.00   Housekeeping                                22,607        52,037         5,035
 11.00   Dietary                                    107,178       246,700           808     71,715
 12.00   Cafeteria                                   77,282       177,887             0     51,712          0
 13.00   Maintenance of Personnel                         0             0             0          0          0           0
 14.00   Nursing Administration                      32,866        75,651             0     21,992          0      13,160          0
 15.00   Central Services & Supply                   45,846       105,527         1,906     30,677          0      16,367          0            0
 16.00   Pharmacy                                    45,493       104,715             0     30,441          0      31,438          0            0       2,978
 17.00   Medical Records and Library                 96,250       221,547             0     64,403          0      40,760          0            0           5         85
 18.00   Social Service                               1,346         3,099             0        901          0       5,569          0            0           0          0            0
 19.00                                                    0             0             0          0          0           0          0            0           0          0            0                 0
 19.02                                                    0             0             0          0          0           0          0            0           0          0            0                 0
 19.03                                                    0             0             0          0          0           0          0            0           0          0            0                 0
 20.00                                                    0             0             0          0          0           0          0            0           0          0            0                 0
 21.00   Nursing School                                   0             0             0          0          0      31,600          0       79,627         129          0            0                 0
 22.00   Intern & Res Service-Salary & Fringes            0             0             0          0          0           0          0            0           0          0            0                 0
 23.00   Intern & Res Other Program                       0             0             0          0          0           0          0            0           0          0            0                 0
 24.00   Paramedical Ed Program                           0             0             0          0          0           0          0            0           0          0            0                 0
         INPATIENT ROUTINE COST CENTER
 25.00   Adults & Pediatrics (Gen Routine)          979,639      2,254,919      126,701    655,502   5,137,104    354,413          0      892,740      56,081      48,144      672,938                0
 26.00   Intensive Care Unit                        218,774        503,572       21,875    146,388     369,643     89,043          0      224,267      30,727      10,815      316,194                0
 27.00   Coronary Care Unit                               0              0            0          0           0          0          0            0           0           0            0                0
 30.00   Neonatal Intensive Care Unit                55,325        127,346        7,572     37,019           0     55,345          0      139,379      16,190      18,024      207,185                0
 29.00   Surgical Intensive Care                          0              0            0          0           0          0          0            0           0           0            0                0
 30.00   NICU                                             0              0            0          0           0          0          0            0           0           0            0                0
 31.00   Subprovider II                                   0              0            0          0           0          0          0            0           0           0            0                0
 32.00                                                    0              0            0          0           0          0          0            0           0           0            0                0
 33.00   Nursery                                     54,118        124,568        8,291     36,212           0     21,357          0       53,773      11,870         769       12,184                0
 34.00   Skilled Nursing Facility                    66,392        152,820       16,870     44,425     505,996     26,244          0       66,113       4,568       5,690       39,567                0
 35.00   Distinct Part Nursing Facility                   0              0            0          0           0          0          0            0           0           0            0                0
 36.00   Adult Subacute Care Unit                         0              0            0          0           0          0          0            0           0           0            0                0
 36.01   Subacute Care Unit II                            0              0            0          0           0          0          0            0           0           0            0                0
 36.02   Transitional Care Unit                           0              0            0          0           0          0          0            0           0           0            0                0
STATE OF CALIFORNIA                                                                COMPUTATION OF COST ALLOCATION (W/S B)                                                                      SCHEDULE 8.2

Provider Name:                                                                                                                                                                        Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                                 JUNE 30, 2008

                                                                                                                                                       CENTRAL                    MEDICAL
                 TRIAL BALANCE                  MAINT &      OPER           LAUNDRY &                                         MAINT OF   NURSING       SERVICE                   RECORDS          SOCIAL
                   EXPENSES                     REPAIRS      PLANT            LINEN   HOUSEKEEP      DIETARY     CAFE        PERSONNEL    ADMIN        & SUPPLY     PHARMACY     & LIBRARY        SERVICE
                                                 7.00           8.00           9.00     10.00         11.00      12.00          13.00     14.00          15.00        16.00         17.00          18.00

         ANCILLARY COST CENTERS
 37.00   Operating Room                            203,400       468,183        12,812    136,100      112,595     52,897           0      133,227         18,384      117,579      248,767               0
 38.00   Recovery Room                                   0             0             0          0            0          0           0            0              0            0            0               0
 39.00   Delivery Room and Labor Room              252,189       580,484        30,373    168,746            0     84,684           0      213,259         11,213       13,897      274,918               0
 40.00   Anesthesiology                              1,606         3,697             0      1,075            0        853           0            0          2,970          453       20,585               0
 41.00   Radiology - Diagnostic                     54,072       124,461        10,355     36,181            0     36,470           0            0         25,620       15,916      222,787               0
 42.00   Radiology - Therapeutic                    63,820       146,900         1,575     42,704            0      5,066           0            0          1,450          258       77,685               0
 43.00   Radioisotope                               32,773        75,438           957     21,930            0      1,936           0            0            253        1,848       37,869               0
 43.01   Ultrasound                                 12,905        29,705             0      8,635            0      5,356           0            0          1,624       10,797      112,019               0
 43.02   CAT Scan                                   18,485        42,548             0     12,369            0      3,889           0            0         15,110      100,124      386,725               0
 43.03   Magnetic Reounance Imaging (MRI)           24,288        55,905             0     16,252            0      1,825           0            0            190       18,536       65,691               0
 44.00   Laboratory                                 94,913       218,470             9     63,509            0     51,617           0            0        209,571       49,353      826,111               0
 46.00   Whole Blood & packed Red Blood Cell         3,983         9,168             0      2,665            0          0           0            0        368,474            0       17,664               0
 47.00   Blood Storing and Processing                    0             0             0          0            0          0           0            0              0            0            0               0
 48.00   Intravenous Therapy                             0             0             0          0            0          0           0            0              0            0            0               0
 49.00   Respiratory Therapy                        19,228        44,258           124     12,866            0     35,626           0            0          5,054       32,593      247,244               0
 50.00   Physical Therapy                          105,664       243,217         1,237     70,703            0     11,258           0            0            491           25       31,305               0
 51.00   Occupational Therapy                            0             0             0          0            0          0           0            0              0            0            0               0
 52.00   Speech Pathology                                0             0             0          0            0          0           0            0              0            0            0               0
 53.00   Electrocardiology                           9,813        22,589           182      6,566            0      9,262           0            0            310        1,984      148,036               0
 54.00   Electroencephalography                      4,986        11,476             0      3,336            0         34           0            0            315            0        7,751               0
 55.00   Medical Supplies Charged to Patients            0             0             0          0            0          0           0            0      1,195,795            0      528,251               0
 56.00   Drugs Charged to Patients                       0             0             0          0            0          0           0            0              0    5,121,965      698,432               0
 57.00   Renal Dialysis                                  0             0             0          0            0          0           0            0              0            0            0               0
 58.00   ASC (Non-Distinct Part)                         0             0             0          0            0          0           0            0              0            0            0               0
 59.00   Laboratory - Pathological                  24,520        56,439             0     16,407            0      2,397           0            0          2,144            0       22,283               0
 59.01   Pulmonary Function Testing                 20,797        47,870            14     13,916            0        878           0            0             34           35        3,584               0
 59.02   Respiratory - Neonatal                      3,992         9,189             0      2,671            0      4,734           0            0          3,002          268       52,244               0
 59.03   Cardiac Catheterization Laboratory         11,856        27,290           760      7,933            0      5,876           0            0         12,297       59,783       71,910               0
 60.00   Psych Day Care                             19,283        44,386             0     12,903       54,998      3,045           0        7,682              0            0        8,966         661,760
 60.01   Satellite Clinic                           82,574       190,068           933     55,253            0     36,538           0       92,067          2,203       30,050       51,069               0
 60.02   Perinatal Clinic                                0             0           403          0            0      5,211           0       13,116            710            0       48,261               0
 60.03   Gestational Diabetes Clinic                     0             0             0          0            0      2,013           0        5,082              0            0        6,694               0
 60.04   Childrens Center                           22,904        52,721             0     15,326            0     16,069           0       40,461              5            0       13,255               0
 60.05   Renal Dialysis Clinic                     123,620       284,547         1,735     82,717            0          0           0            0          1,284        6,531       73,600               0
 60.06   High Risk Infant Clinic                         0             0             0          0            0      2,021           0        5,076              8      249,689        8,979               0
 60.07   Pain Clinic                                     0             0             0          0            0        375           0          942              0          859          305               0
 60.08   Wound Clinic                                    0             0            30          0            0      3,019           0        7,622         15,775        2,457       15,020               0
 61.00   Emergency                                 166,346       382,893        29,268    111,307      104,626     88,087           0      221,903         63,086      164,675      762,416               0
         NONREIMBURSABLE COST CENTER
 96.00   Gift, Flower, Coffee Shop & Canteen        13,574        31,244            0       9,082           0       4,896           0              0           0            0             0                 0
100.00   Community Relations                         2,033         4,680            0       1,361           0       6,542           0              0       2,769        4,105             0                 0
100.01   Foundation                                  4,456        10,258            0       2,982           0       3,574           0              0           0            0             0                 0
100.02   Fund Raising                                    0             0            0           0           0       3,522           0              0           0            0             0                 0
100.03   Community Service                               0             0            0           0           0       4,162           0              0           0            0             0                 0
100.04   Paramedic                                   1,077         2,479            0         721           0       1,859           0              0           0            0             0                 0
100.05                                                   0             0            0           0           0           0           0              0           0            0             0                 0
 99.04                                                   0             0            0           0           0           0           0              0           0            0             0                 0
 99.05                                                   0             0            0           0           0           0           0              0           0            0             0                 0
100.00                                                   0             0            0           0           0           0           0              0           0            0             0                 0
100.01                                                   0             0            0           0           0           0           0              0           0            0             0                 0
100.02                                                   0             0            0           0           0           0           0              0           0            0             0                 0
100.03                                                   0             0            0           0           0           0           0              0           0            0             0                 0
100.04                                                   0             0            0           0           0           0           0              0           0            0             0                 0

         TOTAL                                   3,329,273      7,398,667      279,827   2,127,599   6,284,961   1,180,889          0     2,196,336     2,082,690    6,087,307     6,338,494        661,760
STATE OF CALIFORNIA                                                      COMPUTATION OF COST ALLOCATION (W/S B)                                                                 SCHEDULE 8.3

Provider Name:                                                                                                                                                             Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                      JUNE 30, 2008
                                                                                                                                                                  POST
                                                                                       NON-                        INT & RES                                   STEP-DOWN           TOTAL
                   TRIAL BALANCE                 ALLOC       ALLOC       ALLOC       PHYSICIAN       NURSING       SALARY &    INT & RES   PARAMED   SUBTOTAL ADJUSTMENT           COST
                     EXPENSES                    COST        COST        COST         ANESTH         SCHOOL         FRINGES    PROGRAM      EDUCAT
                                                 19.00       19.02       19.03         20.00          21.00          22.00       23.00       24.00     25.00       26.00            27.00

         GENERAL SERVICE COST CENTER
  1.00   Old Cap Rel Costs-Bldg & Fixtures
  2.00   Old Cap Rel Costs-Movable Equipmen
  3.00   New Cap Rel Costs-Bldg & Fixtures
  4.00   New Cap Rel Costs-Movable Equipme
  4.01
  4.02
  4.03
  4.04
  4.05
  4.06
  4.07
  4.08
  5.00   Employee Benefits
  6.01   Communications
  6.02   Information Services
  6.03   Purchasing & Stores
  6.04   Admitting
  6.05   Patient Financial Services
  6.06   Other Admin & General
  6.07
  6.08
  6.00   Administrative and General
  7.00   Maintenance and Repairs
  8.00   Operation of Plant
  9.00   Laundry and Linen Service
 10.00   Housekeeping
 11.00   Dietary
 12.00   Cafeteria
 13.00   Maintenance of Personnel
 14.00   Nursing Administration
 15.00   Central Services & Supply
 16.00   Pharmacy
 17.00   Medical Records and Library
 18.00   Social Service
 19.00
 19.02                                                   0
 19.03                                                   0           0
 20.00                                                   0           0           0
 21.00   Nursing School                                  0           0           0               0
 22.00   Intern & Res Service-Salary & Fringes           0           0           0               0             0
 23.00   Intern & Res Other Program                      0           0           0               0             0           0
 24.00   Paramedical Ed Program                          0           0           0               0             0           0           0
         INPATIENT ROUTINE COST CENTER
 25.00   Adults & Pediatrics (Gen Routine)               0           0           0               0     1,790,392           0           0         0    67,314,037                    67,314,037
 26.00   Intensive Care Unit                             0           0           0               0       142,227           0           0         0    21,175,830                    21,175,830
 27.00   Coronary Care Unit                              0           0           0               0             0           0           0         0             0                             0
 30.00   Neonatal Intensive Care Unit                    0           0           0               0        43,675           0           0         0    11,346,075                    11,346,075
 29.00   Surgical Intensive Care                         0           0           0               0             0           0           0         0             0                             0
 30.00   NICU                                            0           0           0               0             0           0           0         0             0                             0
 31.00   Subprovider II                                  0           0           0               0             0           0           0         0             0                             0
 32.00                                                   0           0           0               0             0           0           0         0             0                             0
 33.00   Nursery                                         0           0           0               0        46,229           0           0         0     4,064,108                     4,064,108
 34.00   Skilled Nursing Facility                        0           0           0               0        20,469           0           0         0     3,777,349                     3,777,349
 35.00   Distinct Part Nursing Facility                  0           0           0               0             0           0           0         0             0                             0
 36.00   Adult Subacute Care Unit                        0           0           0               0             0           0           0         0             0                             0
 36.01   Subacute Care Unit II                           0           0           0               0             0           0           0         0             0                             0
 36.02   Transitional Care Unit                          0           0           0               0             0           0           0         0             0                             0
STATE OF CALIFORNIA                                                       COMPUTATION OF COST ALLOCATION (W/S B)                                                                          SCHEDULE 8.3

Provider Name:                                                                                                                                                                       Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                                JUNE 30, 2008
                                                                                                                                                                               POST
                                                                                       NON-                        INT & RES                                                STEP-DOWN        TOTAL
                   TRIAL BALANCE                 ALLOC       ALLOC       ALLOC       PHYSICIAN       NURSING       SALARY &    INT & RES       PARAMED       SUBTOTAL      ADJUSTMENT        COST
                     EXPENSES                    COST        COST        COST         ANESTH         SCHOOL         FRINGES    PROGRAM          EDUCAT
                                                 19.00       19.02       19.03         20.00          21.00          22.00       23.00           24.00         25.00         26.00           27.00

          ANCILLARY COST CENTERS
  37.00   Operating Room                                 0           0           0               0       37,728            0               0             0    11,953,726                      11,953,726
  38.00   Recovery Room                                  0           0           0               0            0            0               0             0             0                               0
  39.00   Delivery Room and Labor Room                   0           0           0               0       32,948            0               0             0    18,454,148                      18,454,148
  40.00   Anesthesiology                                 0           0           0               0            0            0               0             0       342,483                         342,483
  41.00   Radiology - Diagnostic                         0           0           0               0            0            0               0             0     6,435,668                       6,435,668
  42.00   Radiology - Therapeutic                        0           0           0               0            0            0               0             0     1,890,061                       1,890,061
  43.00   Radioisotope                                   0           0           0               0            0            0               0             0     1,219,650                       1,219,650
  43.01   Ultrasound                                     0           0           0               0            0            0               0             0     1,370,008                       1,370,008
  43.02   CAT Scan                                       0           0           0               0            0            0               0             0     2,556,541                       2,556,541
  43.03   Magnetic Reounance Imaging (MRI)               0           0           0               0            0            0               0             0       834,913                         834,913
  44.00   Laboratory                                     0           0           0               0            0            0               0             0    12,608,439                      12,608,439
  46.00   Whole Blood & packed Red Blood Cells           0           0           0               0            0            0               0             0     3,900,720                       3,900,720
  47.00   Blood Storing and Processing                   0           0           0               0            0            0               0             0             0                               0
  48.00   Intravenous Therapy                            0           0           0               0            0            0               0             0             0                               0
  49.00   Respiratory Therapy                            0           0           0               0            0            0               0             0     6,066,094                       6,066,094
  50.00   Physical Therapy                               0           0           0               0            0            0               0             0     2,611,938                       2,611,938
  51.00   Occupational Therapy                           0           0           0               0            0            0               0             0             0                               0
  52.00   Speech Pathology                               0           0           0               0            0            0               0             0             0                               0
  53.00   Electrocardiology                              0           0           0               0            0            0               0             0     1,893,995                       1,893,995
  54.00   Electroencephalography                         0           0           0               0            0            0               0             0       223,429                         223,429
  55.00   Medical Supplies Charged to Patients           0           0           0               0            0            0               0             0    13,683,794                      13,683,794
  56.00   Drugs Charged to Patients                      0           0           0               0            0            0               0             0    16,891,595                      16,891,595
  57.00   Renal Dialysis                                 0           0           0               0            0            0               0             0             0                               0
  58.00   ASC (Non-Distinct Part)                        0           0           0               0            0            0               0             0             0                               0
  59.00   Laboratory - Pathological                      0           0           0               0            0            0               0             0       598,992                         598,992
  59.01   Pulmonary Function Testing                     0           0           0               0            0            0               0             0       362,603                         362,603
  59.02   Respiratory - Neonatal                         0           0           0               0            0            0               0             0       899,189                         899,189
  59.03   Cardiac Catheterization Laboratory             0           0           0               0            0            0               0             0     2,257,866                       2,257,866
  60.00   Psych Day Care                                 0           0           0               0            0            0               0             0     1,299,212                       1,299,212
  60.01   Satellite Clinic                               0           0           0               0       18,645            0               0             0     5,093,517                       5,093,517
  60.02   Perinatal Clinic                               0           0           0               0       13,792            0               0             0     1,069,737                       1,069,737
  60.03   Gestational Diabetes Clinic                    0           0           0               0        2,299            0               0             0       274,472                         274,472
  60.04   Childrens Center                               0           0           0               0            0            0               0             0     2,536,205                       2,536,205
  60.05   Renal Dialysis Clinic                          0           0           0               0            0            0               0             0     3,485,047                       3,485,047
  60.06   High Risk Infant Clinic                        0           0           0               0            0            0               0             0       910,040                         910,040
  60.07   Pain Clinic                                    0           0           0               0       12,260            0               0             0        83,638                          83,638
  60.08   Wound Clinic                                   0           0           0               0            0            0               0             0       866,176                         866,176
  61.00   Emergency                                      0           0           0               0       71,478            0               0             0    17,957,150                      17,957,150
          NONREIMBURSABLE COST CENTERS
  96.00   Gift, Flower, Coffee Shop & Canteen            0           0           0               0             0           0               0             0       751,073                         751,073
 100.00   Community Relations                            0           0           0               0             0           0               0             0     1,227,291                       1,227,291
 100.01   Foundation                                     0           0           0               0             0           0               0             0     1,077,667                       1,077,667
 100.02   Fund Raising                                   0           0           0               0             0           0               0             0       646,258                         646,258
 100.03   Community Service                              0           0           0               0             0           0               0             0       863,644                         863,644
 100.04   Paramedic                                      0           0           0               0             0           0               0             0       207,974                         207,974
 100.05                                                  0           0           0               0             0           0               0             0             0                               0
  99.04                                                  0           0           0               0             0           0               0             0             0                               0
  99.05                                                  0           0           0               0             0           0               0             0             0                               0
 100.00                                                  0           0           0               0             0           0               0             0             0                               0
 100.01                                                  0           0           0               0             0           0               0             0             0                               0
 100.02                                                  0           0           0               0             0           0               0             0             0                               0
 100.03                                                  0           0           0               0             0           0               0             0             0                               0
 100.04                                                  0           0           0               0             0           0               0             0             0                               0

          TOTAL                                          0           0           0               0     2,232,143           0               0             0   253,082,352             0      253,082,352
STATE OF CALIFORNIA                                                            STATISTICS FOR COST ALLOCATION (W/S B-1)                                                 SCHEDULE 9

Provider Name:                                                                                                                                                   Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                           JUNE 30, 2008

                                                   OLD BLDG OLD MOVBLE NEW BLDG NEW MOVBLE      STAT        STAT          STAT     STAT     STAT     STAT     STAT         STAT
                                                  & FIXTURES   EQUIP   & FIXTURES  EQUIP
                                                    (SQ FT)   (SQ FT)    (SQ FT)  (SQ FT)
                                                      1.00      2.00       3.00     4.00        4.01         4.02         4.03     4.04     4.05     4.06     4.07         4.08
                                                     (Adj )    (Adj )     (Adj )   (Adj )       (Adj )       (Adj )       (Adj )   (Adj )   (Adj )   (Adj )   (Adj )       (Adj )
                                                     (Adj )    (Adj )     (Adj )   (Adj )       (Adj )       (Adj )       (Adj )   (Adj )   (Adj )   (Adj )   (Adj )       (Adj )
          GENERAL SERVICE COST CENTERS
   1.00   Old Cap Rel Costs-Bldg & Fixtures
   2.00   Old Cap Rel Costs-Movable Equipment
   3.00   New Cap Rel Costs-Bldg & Fixtures
   4.00   New Cap Rel Costs-Movable Equipment
   4.01
   4.02
   4.03
   4.04
   4.05
   4.06
   4.07
   4.08
   5.00   Employee Benefits                                                2,531       2,531
   6.01   Communications                                                   1,160       1,160
   6.02   Information Services                                             3,338       3,338
   6.03   Purchasing & Stores                                              2,342       2,342
   6.04   Admitting                                                        1,653       1,653
   6.05   Patient Financial Services                                                   5,400
   6.06   Other Admin & General                                           12,536      26,286
   6.07
   6.08
   6.00   Administrative and General
   7.00   Maintenance and Repairs                                          8,668       8,668
   8.00   Operation of Plant                                              12,382      12,382
   9.00   Laundry and Linen Service                                        1,297       1,297
  10.00   Housekeeping                                                     2,435       2,435
  11.00   Dietary                                                         11,544      11,544
  12.00   Cafeteria                                                        8,324       8,324
  13.00   Maintenance of Personnel
  14.00   Nursing Administration                                           3,540       3,540
  15.00   Central Services & Supply                                        4,938       4,938
  16.00   Pharmacy                                                         4,900       4,900
  17.00   Medical Records and Library                                     10,367      10,367
  18.00   Social Service                                                     145         145
  19.00
  19.02
  19.03
  20.00
  21.00   Nursing School                                                              12,683
  22.00   Intern & Res Service-Salary & Fringes
  23.00   Intern & Res Other Program
  24.00   Paramedical Ed Program
          INPATIENT ROUTINE COST CENTERS
  25.00   Adults & Pediatrics (Gen Routine)                              105,516     105,516
  26.00   Intensive Care Unit                                             23,564      23,564
  27.00   Coronary Care Unit
  30.00   Neonatal Intensive Care Unit                                     5,959       5,959
  29.00   Surgical Intensive Care
  30.00   NICU
  31.00   Subprovider II
  32.00
  33.00   Nursery                                                          5,829       5,829
  34.00   Skilled Nursing Facility                                         7,151       7,151
  35.00   Distinct Part Nursing Facility
  36.00   Adult Subacute Care Unit
  36.01   Subacute Care Unit II
  36.02   Transitional Care Unit
STATE OF CALIFORNIA                                                               STATISTICS FOR COST ALLOCATION (W/S B-1)                                                          SCHEDULE 9

Provider Name:                                                                                                                                                              Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                      JUNE 30, 2008

                                                  OLD BLDG OLD MOVBLE NEW BLDG NEW MOVBLE          STAT        STAT          STAT       STAT       STAT       STAT       STAT         STAT
                                                 & FIXTURES   EQUIP   & FIXTURES  EQUIP
                                                   (SQ FT)   (SQ FT)    (SQ FT)  (SQ FT)
                                                     1.00      2.00       3.00     4.00            4.01         4.02         4.03       4.04       4.05       4.06       4.07         4.08
                                                    (Adj )    (Adj )     (Adj )   (Adj )           (Adj )       (Adj )       (Adj )     (Adj )     (Adj )     (Adj )     (Adj )       (Adj )
                                                    (Adj )    (Adj )     (Adj )   (Adj )           (Adj )       (Adj )       (Adj )     (Adj )     (Adj )     (Adj )     (Adj )       (Adj )
          ANCILLARY COST CENTERS
  37.00   Operating Room                                                    21,908       21,908
  38.00   Recovery Room
  39.00   Delivery Room and Labor Room                                      27,163       27,163
  40.00   Anesthesiology                                                       173          173
  41.00   Radiology - Diagnostic                                             5,824        8,958
  42.00   Radiology - Therapeutic                                            6,874        6,874
  43.00   Radioisotope                                                       3,530        3,530
  43.01   Ultrasound                                                         1,390        1,390
  43.02   CAT Scan                                                           1,991        1,991
  43.03   Magnetic Reounance Imaging (MRI)                                   2,616        2,616
  44.00   Laboratory                                                        10,223       10,223
  46.00   Whole Blood & packed Red Blood Cells                                 429          429
  47.00   Blood Storing and Processing
  48.00   Intravenous Therapy
  49.00   Respiratory Therapy                                                2,071        2,071
  50.00   Physical Therapy                                                  11,381       11,381
  51.00   Occupational Therapy
  52.00   Speech Pathology
  53.00   Electrocardiology                                                   1,057       1,057
  54.00   Electroencephalography                                                537         537
  55.00   Medical Supplies Charged to Patients
  56.00   Drugs Charged to Patients
  57.00   Renal Dialysis
  58.00   ASC (Non-Distinct Part)
  59.00   Laboratory - Pathological                                           2,641       2,641
  59.01   Pulmonary Function Testing                                          2,240       2,240
  59.02   Respiratory - Neonatal                                                430         430
  59.03   Cardiac Catheterization Laboratory                                  1,277       1,277
  60.00   Psych Day Care                                                      2,077       2,077
  60.01   Satellite Clinic                                                    8,894      17,001
  60.02   Perinatal Clinic                                                                1,006
  60.03   Gestational Diabetes Clinic                                                     1,005
  60.04   Childrens Center                                                   2,467       10,967
  60.05   Renal Dialysis Clinic                                             13,315       13,315
  60.06   High Risk Infant Clinic
  60.07   Pain Clinic                                                                     1,609
  60.08   Wound Clinic                                                                    1,609
  61.00   Emergency                                                         17,917       17,917
          NONREIMBURSABLE COST CENTERS
  96.00   Gift, Flower, Coffee Shop & Canteen                                 1,462       1,462
 100.00   Community Relations                                                   219         701
 100.01   Foundation                                                            480       1,648
 100.02   Fund Raising
 100.03   Community Service
 100.04   Paramedic                                                            116         116
 100.05
  99.04
  99.05
 100.00
 100.01
 100.02
 100.03
 100.04

          TOTAL                                           0          0      390,821     449,274           0           0             0          0          0          0          0            0
          COST TO BE ALLOCATED                            0          0   13,125,167   5,573,647           0           0             0          0          0          0          0            0
          UNIT COST MULTIPLIER - SCH 8             0.000000   0.000000    33.583577   12.405897    0.000000    0.000000      0.000000   0.000000   0.000000   0.000000   0.000000     0.000000
STATE OF CALIFORNIA                                                                    STATISTICS FOR COST ALLOCATION (W/S B-1)                                                      SCHEDULE 9.1

Provider Name:                                                                                                                                                                  Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                          JUNE 30, 2008

                                                  EMP BENE     STAT          STAT           STAT         STAT          STAT         STAT        STAT     STAT     ADM & GEN             MAINT &
                                                   (GROSS                                                                                                          (ACCUM               REPAIRS
                                                  SALARIES)                                                                                                         COST)                (SQ FT)
                                                     5.00      6.01          6.02           6.03         6.04          6.05         6.06        6.07     6.08                             7.00
                                                     (Adj )    (Adj )        (Adj )         (Adj )       (Adj )        (Adj )       (Adj )      (Adj )   (Adj )                           (Adj )
                                                     (Adj )    (Adj )        (Adj )         (Adj )       (Adj )        (Adj )       (Adj )      (Adj )   (Adj )                           (Adj )
          GENERAL SERVICE COST CENTERS
   1.00   Old Cap Rel Costs-Bldg & Fixtures
   2.00   Old Cap Rel Costs-Movable Equipment
   3.00   New Cap Rel Costs-Bldg & Fixtures
   4.00   New Cap Rel Costs-Movable Equipment
   4.01
   4.02
   4.03
   4.04
   4.05
   4.06
   4.07
   4.08
   5.00   Employee Benefits
   6.01   Communications                             380,706
   6.02   Information Services                                          28
   6.03   Purchasing & Stores                        655,345                      168
   6.04   Admitting                                1,794,615         34         1,387        105,741
   6.05   Patient Financial Services               1,160,468         54         5,639         16,011
   6.06   Other Admin & General                    7,862,712        149         1,194        151,667
   6.07
   6.08
   6.00   Administrative and General
   7.00   Maintenance and Repairs                    958,969            18                     8,704                                2,929,666                       3,329,273
   8.00   Operation of Plant                       1,598,701            12                    13,015                                6,427,460                       7,283,709                12,382
   9.00   Laundry and Linen Service                  100,671                                     591                                  209,149                         240,067                 1,297
  10.00   Housekeeping                               393,162             6                   390,847                                1,810,329                       2,047,920                 2,435
  11.00   Dietary                                  2,831,422             6            88      31,111                                5,184,654                       5,858,560                11,544
  12.00   Cafeteria                                  526,643                                  44,095                                  750,058                         874,008                 8,324
  13.00   Maintenance of Personnel                                                                                                                                          0
  14.00   Nursing Administration                   1,199,629             7        175         31,323                                1,821,137                       2,052,666                 3,540
  15.00   Central Services & Supply                  618,772            20        175         76,371                                1,657,191                       1,882,368                 4,938
  16.00   Pharmacy                                 3,136,045            18        683         36,997                                5,225,411                       5,872,243                 4,900
  17.00   Medical Records and Library              2,110,125            97        938        116,938                                5,229,143                       5,915,444                10,367
  18.00   Social Service                             393,805             6                     3,025                                  581,337                         650,845                   145
  19.00                                                                                                                                                                     0
  19.02                                                                                                                                                                     0
  19.03                                                                                                                                                                     0
  20.00                                                                                                                                                                     0
  21.00   Nursing School                           2,447,595            33                   314,787                                1,911,764                       2,120,787
  22.00   Intern & Res Service-Salary & Fringes                                                                                                                             0
  23.00   Intern & Res Other Program                                                                                                                                        0
  24.00   Paramedical Ed Program                                                                                                                                            0
          INPATIENT ROUTINE COST CENTERS
  25.00   Adults & Pediatrics (Gen Routine)       31,106,674        121         1,314        193,469   106,854,486   106,854,486   48,168,460                      54,345,463              105,516
  26.00   Intensive Care Unit                     11,123,935         25           175         38,662    50,207,749    50,207,749   16,985,179                      19,102,306               23,564
  27.00   Coronary Care Unit                                                                                                                                                0
  30.00   Neonatal Intensive Care Unit             6,690,029                      175         25,253    32,898,450    32,898,450    9,493,589                      10,639,015                 5,959
  29.00   Surgical Intensive Care                                                                                                                                           0
  30.00   NICU                                                                                                                                                              0
  31.00   Subprovider II                                                                                                                                                    0
  32.00                                                                                                                                                                     0
  33.00   Nursery                                  2,173,671            25        175         10,956     1,934,619     1,934,619    3,280,409                       3,694,737                 5,829
  34.00   Skilled Nursing Facility                 1,502,384             6         88         10,849     6,282,687     6,282,687    2,498,937                       2,828,196                 7,151
  35.00   Distinct Part Nursing Facility                                                                                                                                    0
  36.00   Adult Subacute Care Unit                                                                                                                                          0
  36.01   Subacute Care Unit II                                                                                                                                             0
  36.02   Transitional Care Unit                                                                                                                                            0
STATE OF CALIFORNIA                                                                        STATISTICS FOR COST ALLOCATION (W/S B-1)                                                           SCHEDULE 9.1

Provider Name:                                                                                                                                                                           Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                                   JUNE 30, 2008

                                                 EMP BENE        STAT            STAT           STAT         STAT          STAT          STAT        STAT       STAT       ADM & GEN             MAINT &
                                                  (GROSS                                                                                                                    (ACCUM               REPAIRS
                                                 SALARIES)                                                                                                                   COST)                (SQ FT)
                                                    5.00         6.01            6.02           6.03         6.04          6.05          6.06        6.07       6.08                               7.00
                                                    (Adj )       (Adj )          (Adj )         (Adj )       (Adj )        (Adj )        (Adj )      (Adj )     (Adj )                             (Adj )
                                                    (Adj )       (Adj )          (Adj )         (Adj )       (Adj )        (Adj )        (Adj )      (Adj )     (Adj )                             (Adj )
          ANCILLARY COST CENTERS
  37.00   Operating Room                           5,099,727              52          526         61,150    24,290,110    39,501,240     9,210,748                          10,412,055                21,908
  38.00   Recovery Room                                                                                                                                                              0
  39.00   Delivery Room and Labor Room             9,039,986              25              88     119,845    37,357,189    43,653,737    14,896,107                          16,791,435                27,163
  40.00   Anesthesiology                              47,000              11                       5,830     2,214,016     3,268,699       275,799                             311,244                   173
  41.00   Radiology - Diagnostic                   2,558,483              40          613         17,503    14,844,125    35,375,964     5,248,209                           5,909,806                 5,824
  42.00   Radiology - Therapeutic                    552,065              15                       8,330       381,007    12,335,372     1,355,386                           1,550,603                 6,874
  43.00   Radioisotope                               278,234                              88          85     3,970,484     6,013,134       917,759                           1,046,647                 3,530
  43.01   Ultrasound                                 529,985                                         631     7,179,250    17,787,235     1,055,548                           1,188,968                 1,390
  43.02   CAT Scan                                   409,063                              88       1,893    25,858,968    61,407,221     1,750,831                           1,977,290                 1,991
  43.03   Magnetic Reounance Imaging (MRI)           172,488                                         528     6,333,899    10,430,963       570,534                             652,227                 2,616
  44.00   Laboratory                               3,513,216              15          701         54,457   100,099,256   131,176,484     9,841,138                          11,094,886                10,223
  46.00   Whole Blood & packed Red Blood Cells                                                        17     2,608,399     2,804,869     3,097,947                           3,498,766                   429
  47.00   Blood Storing and Processing                                                                                                                                               0
  48.00   Intravenous Therapy                                                                                                                                                        0
  49.00   Respiratory Therapy                      3,008,103              15          175          6,677    37,437,829    39,259,424     5,056,022                           5,669,102                 2,071
  50.00   Physical Therapy                           894,782              10           88          9,127     3,372,739     4,970,904     1,872,226                           2,148,039                11,381
  51.00   Occupational Therapy                                                                                                                                                       0
  52.00   Speech Pathology                                                                                                                                                           0
  53.00   Electrocardiology                         775,475               10              88       7,714    17,628,129    23,506,389     1,508,846                           1,695,251                 1,057
  54.00   Electroencephalography                         94                                          755     1,044,978     1,230,713       171,236                             195,532                   537
  55.00   Medical Supplies Charged to Patients                                                              77,760,442    83,879,990    10,597,486                          11,959,748
  56.00   Drugs Charged to Patients                                                                        122,487,925   110,902,677     9,811,750                          11,071,198
  57.00   Renal Dialysis                                                                                                                                                             0
  58.00   ASC (Non-Distinct Part)                                                                                                                                                    0
  59.00   Laboratory - Pathological                   99,039               4                       2,504     2,235,145     3,538,257       412,110                             474,803                 2,641
  59.01   Pulmonary Function Testing                  72,018               2                         300       269,272       569,031       236,597                             275,475                 2,240
  59.02   Respiratory - Neonatal                     435,768                                         808     8,243,270     8,295,719       733,686                             823,087                   430
  59.03   Cardiac Catheterization Laboratory         831,023              11              88       3,805     9,009,494    11,418,492     1,831,711                           2,060,160                 1,277
  60.00   Psych Day Care                             230,692                                       2,078                   1,423,692       426,017                             486,188                 2,077
  60.01   Satellite Clinic                         1,808,155              54          526         43,215                   8,109,148     4,007,308                           4,534,115                 8,894
  60.02   Perinatal Clinic                           453,097              14           88          6,802     1,351,105     7,663,297       881,623                             988,244
  60.03   Gestational Diabetes Clinic                147,415                                       2,516                   1,062,979       230,895                             258,384
  60.04   Childrens Center                         1,067,240              19          175         33,660                   2,104,746     2,109,376                           2,375,464                 2,467
  60.05   Renal Dialysis Clinic                                            2                         311    11,372,070    11,686,759     2,529,103                           2,911,014                13,315
  60.06   High Risk Infant Clinic                    102,968               7                       2,238                   1,425,705       572,149                             644,268
  60.07   Pain Clinic                                 23,872               8                          26                      48,508        61,362                              68,896
  60.08   Wound Clinic                               153,559                           88          4,287         3,063     2,384,970       730,442                             822,253
  61.00   Emergency                                7,933,246              40          263         54,567    38,958,648   121,062,531    14,030,499                          15,791,064                17,917
          NONREIMBURSABLE COST CENTERS
  96.00   Gift, Flower, Coffee Shop & Canteen       175,629                5                       1,961                                   610,145                             692,278                 1,462
 100.00   Community Relations                       475,271               51                      29,919                                 1,073,810                           1,205,802                   219
 100.01   Foundation                                442,493               10                       7,162                                   940,003                           1,056,397                   480
 100.02   Fund Raising                              120,972                                                                                571,015                             642,736
 100.03   Community Service                         244,467               11                       8,359                                   764,698                             859,482
 100.04   Paramedic                                 132,642                                        1,079                                   180,156                             201,839                  116
 100.05                                                                                                                                                                              0
  99.04                                                                                                                                                                              0
  99.05                                                                                                                                                                              0
 100.00                                                                                                                                                                              0
 100.01                                                                                                                                                                              0
 100.02                                                                                                                                                                              0
 100.03                                                                                                                                                                              0
 100.04                                                                                                                                                                              0

          TOTAL                                  122,594,345        1,096           16,057     2,120,551   754,488,803 1,006,476,840   224,334,150          0          0   253,082,352               358,593
          COST TO BE ALLOCATED                    31,579,501    1,249,936        5,409,452     1,356,299     3,241,941     5,963,193    28,900,210          0          0             0             3,329,273
          UNIT COST MULTIPLIER - SCH 8              0.257593 1140.452705       336.890549       0.639597      0.004297      0.005925      0.128827   0.000000   0.000000      0.000000              9.284267
STATE OF CALIFORNIA                                                                  STATISTICS FOR COST ALLOCATION (W/S B-1)                                                                 SCHEDULE 9.2

Provider Name:                                                                                                                                                                         Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                                 JUNE 30, 2008

                                                   OPER        LAUNDRY       HOUSE-      DIETARY     CAFETERIA      MAINT OF   NURSING      CENT SERV    PHARMACY    MED REC       SOC SERV       STAT
                                                  PLANT         & LINEN      KEEPING      (MEALS                   PERSONNEL    ADMIN       & SUPPLY      (COSTS       (TIME         (TIME
                                                  (SQ FT)     (LB LNDRY)    (HR SERV)    SERVED)                   (# HOUSED) (NURSE HR)     (CST REQ)    REQUIS)     SPENT)        SPENT)
                                                   8.00           9.00        10.00        11.00       12.00          13.00      14.00         15.00       16.00       17.00         18.00        19.00
                                                   (Adj )        (Adj )       (Adj )       (Adj )      (Adj )          (Adj )    (Adj )        (Adj )      (Adj )      (Adj )        (Adj )       (Adj )
                                                   (Adj )        (Adj )       (Adj )       (Adj )      (Adj )          (Adj )    (Adj )        (Adj )      (Adj )      (Adj )        (Adj )       (Adj )
          GENERAL SERVICE COST CENTERS
   1.00   Old Cap Rel Costs-Bldg & Fixtures
   2.00   Old Cap Rel Costs-Movable Equipment
   3.00   New Cap Rel Costs-Bldg & Fixtures
   4.00   New Cap Rel Costs-Movable Equipment
   4.01
   4.02
   4.03
   4.04
   4.05
   4.06
   4.07
   4.08
   5.00   Employee Benefits
   6.01   Communications
   6.02   Information Services
   6.03   Purchasing & Stores
   6.04   Admitting
   6.05   Patient Financial Services
   6.06   Other Admin & General
   6.07
   6.08
   6.00   Administrative and General
   7.00   Maintenance and Repairs
   8.00   Operation of Plant
   9.00   Laundry and Linen Service                   1,297
  10.00   Housekeeping                                2,435       44,532
  11.00   Dietary                                    11,544        7,149        11,544
  12.00   Cafeteria                                   8,324                      8,324
  13.00   Maintenance of Personnel
  14.00   Nursing Administration                      3,540                      3,540                     1,543
  15.00   Central Services & Supply                   4,938       16,855         4,938                     1,919
  16.00   Pharmacy                                    4,900                      4,900                     3,686                                24,317
  17.00   Medical Records and Library                10,367                     10,367                     4,779                                    42        143
  18.00   Social Service                                145                        145                       653
  19.00
  19.02
  19.03
  20.00
  21.00   Nursing School                                                                                   3,705                   77,099        1,054
  22.00   Intern & Res Service-Salary & Fringes
  23.00   Intern & Res Other Program
  24.00   Paramedical Ed Program
          INPATIENT ROUTINE COST CENTERS
  25.00   Adults & Pediatrics (Gen Routine)         105,516     1,120,656      105,516     274,614       41,554                   864,402      457,890      81,060   106,854,486
  26.00   Intensive Care Unit                        23,564       193,478       23,564      19,760       10,440                   217,148      250,878      18,209    50,207,749
  27.00   Coronary Care Unit
  30.00   Neonatal Intensive Care Unit                5,959       66,972         5,959                     6,489                  134,955      132,186      30,346    32,898,450
  29.00   Surgical Intensive Care
  30.00   NICU
  31.00   Subprovider II
  32.00
  33.00   Nursery                                     5,829       73,337         5,829                     2,504                   52,066       96,918       1,295     1,934,619
  34.00   Skilled Nursing Facility                    7,151      149,214         7,151      27,049         3,077                   64,014       37,299       9,580     6,282,687
  35.00   Distinct Part Nursing Facility
  36.00   Adult Subacute Care Unit
  36.01   Subacute Care Unit II
  36.02   Transitional Care Unit
STATE OF CALIFORNIA                                                                 STATISTICS FOR COST ALLOCATION (W/S B-1)                                                                          SCHEDULE 9.2

Provider Name:                                                                                                                                                                                Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                                        JUNE 30, 2008

                                                  OPER         LAUNDRY       HOUSE-      DIETARY     CAFETERIA      MAINT OF   NURSING      CENT SERV     PHARMACY       MED REC        SOC SERV          STAT
                                                 PLANT          & LINEN      KEEPING      (MEALS                   PERSONNEL    ADMIN       & SUPPLY       (COSTS          (TIME          (TIME
                                                 (SQ FT)      (LB LNDRY)    (HR SERV)    SERVED)                   (# HOUSED) (NURSE HR)     (CST REQ)     REQUIS)        SPENT)         SPENT)
                                                  8.00            9.00        10.00        11.00       12.00          13.00      14.00         15.00        16.00          17.00          18.00           19.00
                                                  (Adj )         (Adj )       (Adj )       (Adj )      (Adj )          (Adj )    (Adj )        (Adj )       (Adj )         (Adj )         (Adj )          (Adj )
                                                  (Adj )         (Adj )       (Adj )       (Adj )      (Adj )          (Adj )    (Adj )        (Adj )       (Adj )         (Adj )         (Adj )          (Adj )
          ANCILLARY COST CENTERS
  37.00   Operating Room                            21,908       113,323        21,908       6,019         6,202                  128,998      150,102       197,966      39,501,240
  38.00   Recovery Room
  39.00   Delivery Room and Labor Room              27,163       268,649        27,163                     9,929                  206,490        91,554       23,399      43,653,737
  40.00   Anesthesiology                               173                         173                       100                                 24,252          762       3,268,699
  41.00   Radiology - Diagnostic                     5,824        91,592         5,824                     4,276                                209,178       26,798      35,375,964
  42.00   Radiology - Therapeutic                    6,874        13,931         6,874                       594                                 11,839          435      12,335,372
  43.00   Radioisotope                               3,530         8,462         3,530                       227                                  2,068        3,111       6,013,134
  43.01   Ultrasound                                 1,390                       1,390                       628                                 13,257       18,178      17,787,235
  43.02   CAT Scan                                   1,991                       1,991                       456                                123,374      168,578      61,407,221
  43.03   Magnetic Reounance Imaging (MRI)           2,616                       2,616                       214                                  1,550       31,208      10,430,963
  44.00   Laboratory                                10,223            84        10,223                     6,052                              1,711,102       83,095     131,176,484
  46.00   Whole Blood & packed Red Blood Cells         429                         429                                                        3,008,512                    2,804,869
  47.00   Blood Storing and Processing
  48.00   Intravenous Therapy
  49.00   Respiratory Therapy                        2,071         1,098         2,071                     4,177                                41,261        54,876      39,259,424
  50.00   Physical Therapy                          11,381        10,939        11,381                     1,320                                 4,005            42       4,970,904
  51.00   Occupational Therapy
  52.00   Speech Pathology
  53.00   Electrocardiology                          1,057         1,614         1,057                     1,086                                  2,531         3,341     23,506,389
  54.00   Electroencephalography                       537                         537                         4                                  2,568                    1,230,713
  55.00   Medical Supplies Charged to Patients                                                                                                9,763,408                   83,879,990
  56.00   Drugs Charged to Patients                                                                                                                         8,623,790    110,902,677
  57.00   Renal Dialysis
  58.00   ASC (Non-Distinct Part)
  59.00   Laboratory - Pathological                  2,641                       2,641                       281                                17,506                     3,538,257
  59.01   Pulmonary Function Testing                 2,240           128         2,240                       103                                   281            59         569,031
  59.02   Respiratory - Neonatal                       430                         430                       555                                24,513           452       8,295,719
  59.03   Cardiac Catheterization Laboratory         1,277         6,724         1,277                       689                               100,399       100,656      11,418,492
  60.00   Psych Day Care                             2,077                       2,077       2,940           357                    7,438                                  1,423,692           100
  60.01   Satellite Clinic                           8,894         8,256         8,894                     4,284                   89,145       17,989        50,595       8,109,148
  60.02   Perinatal Clinic                                         3,561                                     611                   12,700        5,793                     7,663,297
  60.03   Gestational Diabetes Clinic                                                                        236                    4,921                                  1,062,979
  60.04   Childrens Center                           2,467                       2,467                     1,884                   39,177           43                     2,104,746
  60.05   Renal Dialysis Clinic                     13,315        15,343        13,315                                                          10,484        10,996      11,686,759
  60.06   High Risk Infant Clinic                                                                           237                     4,915           64       420,398       1,425,705
  60.07   Pain Clinic                                                                                        44                       912                      1,447          48,508
  60.08   Wound Clinic                                               261                                    354                     7,380      128,800         4,137       2,384,970
  61.00   Emergency                                 17,917       258,871        17,917       5,593       10,328                   214,859      515,087       277,262     121,062,531
          NONREIMBURSABLE COST CENTERS
  96.00   Gift, Flower, Coffee Shop & Canteen        1,462                       1,462                      574
 100.00   Community Relations                          219                         219                      767                                 22,611          6,911
 100.01   Foundation                                   480                         480                      419
 100.02   Fund Raising                                                                                      413
 100.03   Community Service                                                                                 488
 100.04   Paramedic                                    116                        116                       218
 100.05
  99.04
  99.05
 100.00
 100.01
 100.02
 100.03
 100.04

          TOTAL                                     346,211     2,475,029      342,479     335,975      138,456             0   2,126,619    17,004,715    10,249,125   1,006,476,840           100              0
          COST TO BE ALLOCATED                    7,398,667       279,827    2,127,599   6,284,961    1,180,889             0   2,196,336     2,082,690     6,087,307       6,338,494       661,760              0
          UNIT COST MULTIPLIER - SCH 8           21.370399       0.113060     6.212349   18.706634     8.528982      0.000000   1.032783       0.122477      0.593934        0.006298   6617.603854       0.000000
STATE OF CALIFORNIA                                                          STATISTICS FOR COST ALLOCATION (W/S B-1)                     SCHEDULE 9.3

Provider Name:                                                                                                                       Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                               JUNE 30, 2008

                                                  STAT     STAT      NONPHY        NURSE        I&R-SAL     I&R-PRG      PARAMED
                                                                      ANESTH      SCHOOL      & FRINGES       COST        EDUCAT
                                                                    (ASG TIME)   (ASG TIME)   (ASG TIME)   (ASG TIME)   (ASG TIME)
                                                  19.02    19.03       20.00        21.00        22.00        23.00        24.00
                                                  (Adj )   (Adj )      (Adj )       (Adj )        (Adj )      (Adj )       (Adj )
                                                  (Adj )   (Adj )      (Adj )       (Adj )        (Adj )      (Adj )       (Adj )
          GENERAL SERVICE COST CENTERS
   1.00   Old Cap Rel Costs-Bldg & Fixtures
   2.00   Old Cap Rel Costs-Movable Equipment
   3.00   New Cap Rel Costs-Bldg & Fixtures
   4.00   New Cap Rel Costs-Movable Equipment
   4.01
   4.02
   4.03
   4.04
   4.05
   4.06
   4.07
   4.08
   5.00   Employee Benefits
   6.01   Communications
   6.02   Information Services
   6.03   Purchasing & Stores
   6.04   Admitting
   6.05   Patient Financial Services
   6.06   Other Admin & General
   6.07
   6.08
   6.00   Administrative and General
   7.00   Maintenance and Repairs
   8.00   Operation of Plant
   9.00   Laundry and Linen Service
  10.00   Housekeeping
  11.00   Dietary
  12.00   Cafeteria
  13.00   Maintenance of Personnel
  14.00   Nursing Administration
  15.00   Central Services & Supply
  16.00   Pharmacy
  17.00   Medical Records and Library
  18.00   Social Service
  19.00
  19.02
  19.03
  20.00
  21.00   Nursing School
  22.00   Intern & Res Service-Salary & Fringes
  23.00   Intern & Res Other Program
  24.00   Paramedical Ed Program
          INPATIENT ROUTINE COST CENTERS
  25.00   Adults & Pediatrics (Gen Routine)                                          49,069
  26.00   Intensive Care Unit                                                         3,898
  27.00   Coronary Care Unit
  30.00   Neonatal Intensive Care Unit                                                1,197
  29.00   Surgical Intensive Care
  30.00   NICU
  31.00   Subprovider II
  32.00
  33.00   Nursery                                                                     1,267
  34.00   Skilled Nursing Facility                                                      561
  35.00   Distinct Part Nursing Facility
  36.00   Adult Subacute Care Unit
  36.01   Subacute Care Unit II
  36.02   Transitional Care Unit
STATE OF CALIFORNIA                                                             STATISTICS FOR COST ALLOCATION (W/S B-1)                     SCHEDULE 9.3

Provider Name:                                                                                                                          Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                  JUNE 30, 2008

                                                 STAT       STAT        NONPHY        NURSE        I&R-SAL     I&R-PRG      PARAMED
                                                                         ANESTH      SCHOOL      & FRINGES       COST        EDUCAT
                                                                       (ASG TIME)   (ASG TIME)   (ASG TIME)   (ASG TIME)   (ASG TIME)
                                                 19.02      19.03         20.00        21.00        22.00        23.00        24.00
                                                 (Adj )     (Adj )        (Adj )       (Adj )        (Adj )      (Adj )       (Adj )
                                                 (Adj )     (Adj )        (Adj )       (Adj )        (Adj )      (Adj )       (Adj )
          ANCILLARY COST CENTERS
  37.00   Operating Room                                                                 1,034
  38.00   Recovery Room
  39.00   Delivery Room and Labor Room                                                     903
  40.00   Anesthesiology
  41.00   Radiology - Diagnostic
  42.00   Radiology - Therapeutic
  43.00   Radioisotope
  43.01   Ultrasound
  43.02   CAT Scan
  43.03   Magnetic Reounance Imaging (MRI)
  44.00   Laboratory
  46.00   Whole Blood & packed Red Blood Cells
  47.00   Blood Storing and Processing
  48.00   Intravenous Therapy
  49.00   Respiratory Therapy
  50.00   Physical Therapy
  51.00   Occupational Therapy
  52.00   Speech Pathology
  53.00   Electrocardiology
  54.00   Electroencephalography
  55.00   Medical Supplies Charged to Patients
  56.00   Drugs Charged to Patients
  57.00   Renal Dialysis
  58.00   ASC (Non-Distinct Part)
  59.00   Laboratory - Pathological
  59.01   Pulmonary Function Testing
  59.02   Respiratory - Neonatal
  59.03   Cardiac Catheterization Laboratory
  60.00   Psych Day Care
  60.01   Satellite Clinic                                                                 511
  60.02   Perinatal Clinic                                                                 378
  60.03   Gestational Diabetes Clinic                                                       63
  60.04   Childrens Center
  60.05   Renal Dialysis Clinic
  60.06   High Risk Infant Clinic
  60.07   Pain Clinic                                                                      336
  60.08   Wound Clinic
  61.00   Emergency                                                                      1,959
          NONREIMBURSABLE COST CENTERS
  96.00   Gift, Flower, Coffee Shop & Canteen
 100.00   Community Relations
 100.01   Foundation
 100.02   Fund Raising
 100.03   Community Service
 100.04   Paramedic
 100.05
  99.04
  99.05
 100.00
 100.01
 100.02
 100.03
 100.04

          TOTAL                                         0          0            0       61,176            0            0            0
          COST TO BE ALLOCATED                          0          0            0    2,232,143            0            0            0
          UNIT COST MULTIPLIER - SCH 8           0.000000   0.000000     0.000000    36.487232     0.000000     0.000000     0.000000
STATE OF CALIFORNIA                                                                              SCHEDULE 10

                                            TRIAL BALANCE OF EXPENSES

Provider Name:                                                                              Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                       JUNE 30, 2008

                                                           REPORTED        ADJUSTMENTS           AUDITED
                                                                           (From Sch 10A)
           GENERAL SERVICE COST CENTERS
    1.00   Old Cap Rel Costs-Bldg & Fixtures           $                   $             0 $                  0
    2.00   Old Cap Rel Costs-Movable Equipment                                           0                    0
    3.00   New Cap Rel Costs-Bldg & Fixtures                  11,466,056         1,659,111           13,125,167
    4.00   New Cap Rel Costs-Movable Equipment                 5,573,647                 0            5,573,647
    4.01                                                                                 0                    0
    4.02                                                                                 0                    0
    4.03                                                                                 0                    0
    4.04                                                                                 0                    0
    4.05                                                                                 0                    0
    4.06                                                                                 0                    0
    4.07                                                                                 0                    0
    4.08                                                                                 0                    0
    5.00   Employee Benefits                                  33,339,741        (1,876,639)          31,463,102
    6.01   Communications                                      1,098,521                 0            1,098,521
    6.02   Information Services                                5,224,006                 0            5,224,006
    6.03   Purchasing & Stores                                 1,023,181                 0            1,023,181
    6.04   Admitting                                           2,129,965                 0            2,129,965
    6.05   Patient Financial Services                          3,625,721                 0            3,625,721
    6.06   Other Admin & General                              31,048,563        (5,590,022)          25,458,541
    6.07                                                                                 0                    0
    6.08                                                                                 0                    0
    6.00   Administrative and General                                                    0                    0
    7.00   Maintenance and Repairs                             2,280,098                 0            2,280,098
    8.00   Operation of Plant                                  5,452,415                 0            5,452,415
    9.00   Laundry and Linen Service                             127,165                 0              127,165
   10.00   Housekeeping                                        1,344,614                 0            1,344,614
   11.00   Dietary                                             3,873,993                 0            3,873,993
   12.00   Cafeteria                                             230,701                 0              230,701
   13.00   Maintenance of Personnel                                                      0                    0
   14.00   Nursing Administration                              1,259,263                 0            1,259,263
   15.00   Central Services & Supply                           1,151,778                 0            1,151,778
   16.00   Pharmacy                                            3,891,610                 0            3,891,610
   17.00   Medical Records and Library                         3,720,043                 0            3,720,043
   18.00   Social Service                                        459,066                 0              459,066
   19.00                                                                                 0                    0
   19.02                                                                                 0                    0
   19.03                                                                                 0                    0
   20.00                                                                                 0                    0
   21.00   Nursing School                                       847,701                  0              847,701
   22.00   Intern & Res Service-Salary & Fringes                                         0                    0
   23.00   Intern & Res Other Program                                                    0                    0
   24.00   Paramedical Ed Program                                                        0                    0
           INPATIENT ROUTINE COST CENTERS
   25.00   Adults & Pediatrics (Gen Routine)                  33,477,938                0            33,477,938
   26.00   Intensive Care Unit                                12,339,611                0            12,339,611
   27.00   Coronary Care Unit                                                           0                     0
   30.00   Neonatal Intensive Care Unit                        7,007,244                0             7,007,244
   29.00   Surgical Intensive Care                                                      0                     0
   30.00   NICU                                                                         0                     0
   31.00   Subprovider II                                                               0                     0
   32.00                                                                                0                     0
   33.00   Nursery                                             2,329,887                0             2,329,887
   34.00   Skilled Nursing Facility                            1,682,744                0             1,682,744
   35.00   Distinct Part Nursing Facility                                               0                     0
   36.00   Adult Subacute Care Unit                                                     0                     0
   36.01   Subacute Care Unit II                                                        0                     0
   36.02   Transitional Care Unit                                                       0                     0
STATE OF CALIFORNIA                                                                           SCHEDULE 10

                                         TRIAL BALANCE OF EXPENSES

Provider Name:                                                                           Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                    JUNE 30, 2008

                                                        REPORTED        ADJUSTMENTS           AUDITED
                                                                        (From Sch 10A)
           ANCILLARY COST CENTERS
   37.00   Operating Room                           $       6,290,243 $               0 $         6,290,243
   38.00   Recovery Room                                                              0                   0
   39.00   Delivery Room and Labor Room                    10,740,597                 0          10,740,597
   40.00   Anesthesiology                                     210,497                 0             210,497
   41.00   Radiology - Diagnostic                           3,731,219                 0           3,731,219
   42.00   Radiology - Therapeutic                            820,497                 0             820,497
   43.00   Radioisotope                                       612,013                 0             612,013
   43.01   Ultrasound                                         715,901                 0             715,901
   43.02   CAT Scan                                         1,049,003                 0           1,049,003
   43.03   Magnetic Reounance Imaging (MRI)                   324,632                 0             324,632
   44.00   Laboratory                                       6,956,545                 0           6,956,545
   46.00   Whole Blood & packed Red Blood Cells             3,052,101                 0           3,052,101
   47.00   Blood Storing and Processing                                               0                   0
   48.00   Intravenous Therapy                                                        0                   0
   49.00   Respiratory Therapy                              3,673,836                 0           3,673,836
   50.00   Physical Therapy                                 1,062,118                 0           1,062,118
   51.00   Occupational Therapy                                                       0                   0
   52.00   Speech Pathology                                                           0                   0
   53.00   Electrocardiology                                  991,502                 0             991,502
   54.00   Electroencephalography                             136,487                 0             136,487
   55.00   Medical Supplies Charged to Patients             9,763,409                 0           9,763,409
   56.00   Drugs Charged to Patients                        8,623,790                 0           8,623,790
   57.00   Renal Dialysis                                                             0                   0
   58.00   ASC (Non-Distinct Part)                                                    0                   0
   59.00   Laboratory - Pathological                          238,011                 0             238,011
   59.01   Pulmonary Function Testing                         116,426                 0             116,426
   59.02   Respiratory - Neonatal                             511,455                 0             511,455
   59.03   Cardiac Catheterization Laboratory               1,400,402                 0           1,400,402
   60.00   Psych Day Care                                     266,597                 0             266,597
   60.01   Satellite Clinic                                 2,728,019                 0           2,728,019
   60.02   Perinatal Clinic                                   644,300                 0             644,300
   60.03   Gestational Diabetes Clinic                        170,290                 0             170,290
   60.04   Childrens Center                                 1,495,276                 0           1,495,276
   60.05   Renal Dialysis Clinic                            1,852,262                 0           1,852,262
   60.06   High Risk Infant Clinic                            526,174                 0             526,174
   60.07   Pain Clinic                                         25,453                 0              25,453
   60.08   Wound Clinic                                       622,104                 0             622,104
   61.00   Emergency                                       10,062,221                 0          10,062,221
           SUBTOTAL                                 $     255,418,652 $      (5,807,550) $      249,611,102
           NONREIMBURSABLE COST CENTERS
   96.00   Gift, Flower, Coffee Shop & Canteen               494,241                  0             494,241
  100.00   Community Relations                               851,689                  0             851,689
  100.01   Foundation                                        768,766                  0             768,766
  100.02   Fund Raising                                      538,012                  0             538,012
  100.03   Community Service                                 680,104                  0             680,104
  100.04   Paramedic                                         138,437                  0             138,437
  100.05                                                                              0                   0
   99.04                                                                              0                   0
   99.05                                                                              0                   0
  100.00                                                                              0                   0
  100.01                                                                              0                   0
  100.02                                                                              0                   0
  100.03                                                                              0                   0
  100.04                                                                              0                   0
  100.99 SUBTOTAL                                   $       3,471,249 $               0 $         3,471,249
  101    TOTAL                                      $     258,889,901 $      (5,807,550) $      253,082,351
                                                                                         (To Schedule 8)
STATE OF CALIFORNIA                                                                      ADJUSTMENTS TO REPORTED COSTS                                                      SCHEDULE 10A
                                                                                                                                                                                      Page 1
Provider Name:                                                                                                                                                          Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                   JUNE 30, 2008

                                                   TOTAL ADJ      AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ
                                                   (Page 1 & 2)      1

           GENERAL SERVICE COST CENTER
    1.00   Old Cap Rel Costs-Bldg & Fixtures                $0
    2.00   Old Cap Rel Costs-Movable Equipment               0
    3.00   New Cap Rel Costs-Bldg & Fixtures         1,659,111    1,659,111
    4.00   New Cap Rel Costs-Movable Equipment               0
    4.01                                                     0
    4.02                                                     0
    4.03                                                     0
    4.04                                                     0
    4.05                                                     0
    4.06                                                     0
    4.07                                                     0
    4.08                                                     0
    5.00   Employee Benefits                        (1,876,639)   (1,876,639)
    6.01   Communications                                    0
    6.02   Information Services                              0
    6.03   Purchasing & Stores                               0
    6.04   Admitting                                         0
    6.05   Patient Financial Services                        0
    6.06   Other Admin & General                    (5,590,022)   (5,590,022)
    6.07                                                     0
    6.08                                                     0
    6.00   Administrative and General                        0
    7.00   Maintenance and Repairs                           0
    8.00   Operation of Plant                                0
    9.00   Laundry and Linen Service                         0
   10.00   Housekeeping                                      0
   11.00   Dietary                                           0
   12.00   Cafeteria                                         0
   13.00   Maintenance of Personnel                          0
   14.00   Nursing Administration                            0
   15.00   Central Services & Supply                         0
   16.00   Pharmacy                                          0
   17.00   Medical Records and Library                       0
   18.00   Social Service                                    0
   19.00                                                     0
   19.02                                                     0
   19.03                                                     0
   20.00                                                     0
   21.00   Nursing School                                    0
   22.00   Intern & Res Service-Salary & Fringes             0
   23.00   Intern & Res Other Program                        0
   24.00   Paramedical Ed Program                            0
           INPATIENT ROUTINE COST CENTERS
   25.00   Adults & Pediatrics (Gen Routine)                 0
   26.00   Intensive Care Unit                               0
   27.00   Coronary Care Unit                                0
   30.00   Neonatal Intensive Care Unit                      0
   29.00   Surgical Intensive Care                           0
   30.00   NICU                                              0
   31.00   Subprovider II                                    0
   32.00                                                     0
   33.00   Nursery                                           0
   34.00   Skilled Nursing Facility                          0
   35.00   Distinct Part Nursing Facility                    0
   36.00   Adult Subacute Care Unit                          0
   36.01   Subacute Care Unit II                             0
   36.02   Transitional Care Unit                            0
STATE OF CALIFORNIA                                                                       ADJUSTMENTS TO REPORTED COSTS                                                      SCHEDULE 10A
                                                                                                                                                                                       Page 1
Provider Name:                                                                                                                                                           Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                    JUNE 30, 2008

                                                  TOTAL ADJ        AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ AUDIT ADJ
                                                  (Page 1 & 2)        1

           ANCILLARY COST CENTERS
   37.00   Operating Room                                    0
   38.00   Recovery Room                                     0
   39.00   Delivery Room and Labor Room                      0
   40.00   Anesthesiology                                    0
   41.00   Radiology - Diagnostic                            0
   42.00   Radiology - Therapeutic                           0
   43.00   Radioisotope                                      0
   43.01   Ultrasound                                        0
   43.02   CAT Scan                                          0
   43.03   Magnetic Reounance Imaging (MRI)                  0
   44.00   Laboratory                                        0
   46.00   Whole Blood & packed Red Blood Cells              0
   47.00   Blood Storing and Processing                      0
   48.00   Intravenous Therapy                               0
   49.00   Respiratory Therapy                               0
   50.00   Physical Therapy                                  0
   51.00   Occupational Therapy                              0
   52.00   Speech Pathology                                  0
   53.00   Electrocardiology                                 0
   54.00   Electroencephalography                            0
   55.00   Medical Supplies Charged to Patients              0
   56.00   Drugs Charged to Patients                         0
   57.00   Renal Dialysis                                    0
   58.00   ASC (Non-Distinct Part)                           0
   59.00   Laboratory - Pathological                         0
   59.01   Pulmonary Function Testing                        0
   59.02   Respiratory - Neonatal                            0
   59.03   Cardiac Catheterization Laboratory                0
   60.00   Psych Day Care                                    0
   60.01   Satellite Clinic                                  0
   60.02   Perinatal Clinic                                  0
   60.03   Gestational Diabetes Clinic                       0
   60.04   Childrens Center                                  0
   60.05   Renal Dialysis Clinic                             0
   60.06   High Risk Infant Clinic                           0
   60.07   Pain Clinic                                       0
   60.08   Wound Clinic                                      0
   61.00   Emergency                                         0
           NONREIMBURSABLE COST CENTERS
   96.00   Gift, Flower, Coffee Shop & Canteen               0
  100.00   Community Relations                               0
  100.01   Foundation                                        0
  100.02   Fund Raising                                      0
  100.03   Community Service                                 0
  100.04   Paramedic                                         0
  100.05                                                     0
   99.04                                                     0
   99.05                                                     0
  100.00                                                     0
  100.01                                                     0
  100.02                                                     0
  100.03                                                     0
  100.04                                                     0

  101.00 TOTAL                                    ($5,807,550)     (5,807,550)     0          0        0         0         0         0         0         0          0         0            0
                                                     (To Sch 10)
STATE OF CALIFORNIA                                                                        ADJUSTMENTS TO REPORTED COSTS                                                                      SCHEDULE 10A
                                                                                                                                                                                                        Page 2
Provider Name:                                                                                                                                                                            Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                                     JUNE 30, 2008

                                                   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ


           GENERAL SERVICE COST CENTER
    1.00   Old Cap Rel Costs-Bldg & Fixtures
    2.00   Old Cap Rel Costs-Movable Equipment
    3.00   New Cap Rel Costs-Bldg & Fixtures
    4.00   New Cap Rel Costs-Movable Equipment
    4.01
    4.02
    4.03
    4.04
    4.05
    4.06
    4.07
    4.08
    5.00   Employee Benefits
    6.01   Communications
    6.02   Information Services
    6.03   Purchasing & Stores
    6.04   Admitting
    6.05   Patient Financial Services
    6.06   Other Admin & General
    6.07
    6.08
    6.00   Administrative and General
    7.00   Maintenance and Repairs
    8.00   Operation of Plant
    9.00   Laundry and Linen Service
   10.00   Housekeeping
   11.00   Dietary
   12.00   Cafeteria
   13.00   Maintenance of Personnel
   14.00   Nursing Administration
   15.00   Central Services & Supply
   16.00   Pharmacy
   17.00   Medical Records and Library
   18.00   Social Service
   19.00
   19.02
   19.03
   20.00
   21.00   Nursing School
   22.00   Intern & Res Service-Salary & Fringes
   23.00   Intern & Res Other Program
   24.00   Paramedical Ed Program
           INPATIENT ROUTINE COST CENTERS
   25.00   Adults & Pediatrics (Gen Routine)
   26.00   Intensive Care Unit
   27.00   Coronary Care Unit
   30.00   Neonatal Intensive Care Unit
   29.00   Surgical Intensive Care
   30.00   NICU
   31.00   Subprovider II
   32.00
   33.00   Nursery
   34.00   Skilled Nursing Facility
   35.00   Distinct Part Nursing Facility
   36.00   Adult Subacute Care Unit
   36.01   Subacute Care Unit II
   36.02   Transitional Care Unit
STATE OF CALIFORNIA                                                                       ADJUSTMENTS TO REPORTED COSTS                                                                      SCHEDULE 10A
                                                                                                                                                                                                       Page 2
Provider Name:                                                                                                                                                                           Fiscal Period Ended:
SAINT FRANCIS MEDICAL CENTER                                                                                                                                                                    JUNE 30, 2008

                                                  AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ   AUDIT ADJ


           ANCILLARY COST CENTERS
   37.00   Operating Room
   38.00   Recovery Room
   39.00   Delivery Room and Labor Room
   40.00   Anesthesiology
   41.00   Radiology - Diagnostic
   42.00   Radiology - Therapeutic
   43.00   Radioisotope
   43.01   Ultrasound
   43.02   CAT Scan
   43.03   Magnetic Reounance Imaging (MRI)
   44.00   Laboratory
   46.00   Whole Blood & packed Red Blood Cells
   47.00   Blood Storing and Processing
   48.00   Intravenous Therapy
   49.00   Respiratory Therapy
   50.00   Physical Therapy
   51.00   Occupational Therapy
   52.00   Speech Pathology
   53.00   Electrocardiology
   54.00   Electroencephalography
   55.00   Medical Supplies Charged to Patients
   56.00   Drugs Charged to Patients
   57.00   Renal Dialysis
   58.00   ASC (Non-Distinct Part)
   59.00   Laboratory - Pathological
   59.01   Pulmonary Function Testing
   59.02   Respiratory - Neonatal
   59.03   Cardiac Catheterization Laboratory
   60.00   Psych Day Care
   60.01   Satellite Clinic
   60.02   Perinatal Clinic
   60.03   Gestational Diabetes Clinic
   60.04   Childrens Center
   60.05   Renal Dialysis Clinic
   60.06   High Risk Infant Clinic
   60.07   Pain Clinic
   60.08   Wound Clinic
   61.00   Emergency
           NONREIMBURSABLE COST CENTERS
   96.00   Gift, Flower, Coffee Shop & Canteen
  100.00   Community Relations
  100.01   Foundation
  100.02   Fund Raising
  100.03   Community Service
  100.04   Paramedic
  100.05
   99.04
   99.05
  100.00
  100.01
  100.02
  100.03
  100.04

  101.00 TOTAL                                           0           0           0           0           0           0           0           0           0           0           0            0            0
State of California                                                                                                                            Department of Health Care Services

Provider Name                                                   Fiscal Period                                                                Provider Number          Adjustments
SAINT FRANCIS MEDICAL CENTER                                    JULY 1, 2007 THROUGH JUNE 30, 2008                                           HSC30104G                      12
                      Report References

                                  Cost Report
Adj.    Audit          Work                                                                                                                     As        Increase         As
No.     Report         Sheet      Part    Title   Line   Col.                      Explanation of Audit Adjustments                           Reported   (Decrease)     Adjusted
                                                                                   MEMORANDUM ADJUSTMENT

 1                                                              Psychiatric Day Care cost was reported in line 61.01 in the cost report.
                                                                In order to accommodate this cost center in the Audit Report, line 60 will
                                                                be used to reflect Psychiatric Day Care costs, charges and statistics.
                                                                Line 60 was used since the provider did not report any costs on that line.




                                                                                                                                                                           Page    1
State of California                                                                                                                    Department of Health Care Services

Provider Name                                                    Fiscal Period                                                       Provider Number             Adjustments
SAINT FRANCIS MEDICAL CENTER                                     JULY 1, 2007 THROUGH JUNE 30, 2008                                  HSC30104G                          12
                      Report References

                                  Cost Report
Adj.    Audit          Work                                                                                                              As          Increase         As
No.     Report         Sheet      Part    Title   Line    Col.                  Explanation of Audit Adjustments                       Reported     (Decrease)     Adjusted
                                                                              ADJUSTMENT TO REPORTED COSTS

 2       10A             A                         3.00    7     New Cap Rel Costs-Bldg & Fixtures                                    $11,466,056   $1,659,111 $13,125,167
         10A             A                         5.00    7     Employee Benefits                                                     33,339,741   (1,876,639) 31,463,102
         10A             A                         6.00    7     Administrative and General                                            31,048,563   (5,590,022) 25,458,541
                                                                   To adjust home office costs to agree with the filed Home Office
                                                                   Cost Report.
                                                                   42 CFR 413.17 and 413.24
                                                                   CMS Pub. 15-1, Sections 2150.2 and 2304




                                                                                                                                                                      Page    2
State of California                                                                                                                             Department of Health Care Services

Provider Name                                                   Fiscal Period                                                                 Provider Number            Adjustments
SAINT FRANCIS MEDICAL CENTER                                    JULY 1, 2007 THROUGH JUNE 30, 2008                                            HSC30104G                         12
                      Report References

                                  Cost Report
Adj.    Audit          Work                                                                                                                       As         Increase         As
No.     Report         Sheet      Part    Title   Line   Col.        Explanation of Audit Adjustments     Reported                                          (Decrease)     Adjusted
                                                  ADJUSTMENTS TO REPORTED MEDI-CAL SETTLEMENT DATA - NONCONTRACT

 3       4A      Not Reported                                   Medi-Cal Days Administrative Days (July 1, 2007 through July 31, 2007)                 0            51          51
         4A      Not Reported                                   Medi-Cal Days Administrative Days Rate (July 1, 2007 through July 31, 2007)        $0.00       $310.68     $310.68
         4A      Not Reported                                   Medi-Cal Days Administrative Days (August 1, 2007 through June 30, 2008)               0           250         250
         4A      Not Reported                                   Medi-Cal Days Administrative Days Rate                                             $0.00       $318.19     $318.19
                                                                (August 1, 2007 through June 30, 2008)

 4        6      Not Reported                                   Medi-Cal Ancillary Charges - Radiology - Diagnostic                                    $0      $11,629     $11,629
          6      Not Reported                                   Medi-Cal Ancillary Charges - Ultrasound                                                 0       17,657      17,657
          6      Not Reported                                   Medi-Cal Ancillary Charges - Laboratory                                                 0       66,997      66,997
          6      Not Reported                                   Medi-Cal Ancillary Charges - Physical Therapy                                           0        2,550       2,550
          6      Not Reported                                   Medi-Cal Ancillary Charges - Drugs Charged to Patients                                  0      102,949     102,949
          6      Not Reported                                   Medi-Cal Ancillary Charges - Total                                                      0      201,782     201,782

 5        2      Not Reported                                   Medi-Cal Routine Service Charges                                                       $0     $268,667    $268,667
          2      Not Reported                                   Medi-Cal Ancillary Service Charges                                                      0      201,782     201,782

 6        3      Not Reported                                   Medi-Cal Deductibles                                                                   $0         $229        $229
          1      Not Reported                                   Medi-Cal Interim Payments                                                               0      106,052     106,052

                                                                   To adjust Medi-Cal Settlement Data to agree with the following
                                                                   EDS Paid Claims Summary:
                                                                   EDS Report Date: January 19, 2010
                                                                   Payment Period: July 1, 2007 through November 30, 2009
                                                                   Service Period: July 1, 2007 through June 30, 2008
                                                                   42 CFR 413.20, 413.24, 413.50, 413.53, 413.60,
                                                                   413.64, and 433.139
                                                                   CMS Pub. 15-1, Sections 2304, 2404, and 2408
                                                                   CCR, Title 22, Section 51541




                                                                                                                                                                              Page    3
State of California                                                                                                                       Department of Health Care Services

Provider Name                                                     Fiscal Period                                                         Provider Number               Adjustments
SAINT FRANCIS MEDICAL CENTER                                      JULY 1, 2007 THROUGH JUNE 30, 2008                                    HSC30104G                            12
                      Report References

                                  Cost Report
Adj.     Audit         Work                                                                                                                 As          Increase           As
No.      Report        Sheet      Part    Title   Line     Col.       Explanation of Audit Adjustments      Reported                                   (Decrease)       Adjusted
                                                     ADJUSTMENTS TO REPORTED MEDI-CAL SETTLEMENT DATA - CONTRACT

 7     Contract 4       D-1        I      XIX       9.00    1     Medi-Cal Days - Adults and Pediatrics                                      31,560         (7,104)      24,456
       Contract 4A      D-1        II     XIX      42.00    4     Medi-Cal Days - Nursery                                                     9,097           (172)       8,925
       Contract 4A      D-1        II     XIX      43.00    4     Medi-Cal Days - Intensive Care Unit                                         3,712          4,821        8,533
       Contract 4A      D-1        II     XIX      47.00    4     Medi-Cal Days - Neonatal Intensive Care Unit                                7,125             (1)       7,124

 8     Contract 6       D-4               XIX      37.00    2     Medi-Cal Ancillary Charges - Operating Room                             $3,355,473   $5,086,533 $8,442,006
       Contract 6       D-4               XIX      39.00    2     Medi-Cal Ancillary Charges - Delivery Room and Labor Room               19,739,992   (9,635,656) 10,104,336
       Contract 6       D-4               XIX      40.00    2     Medi-Cal Ancillary Charges - Anesthesiology                                284,837      269,389     554,226
       Contract 6       D-4               XIX      41.00    2     Medi-Cal Ancillary Charges - Radiology - Diagnostic                      3,422,514    2,256,775   5,679,289
       Contract 6       D-4               XIX      42.00    2     Medi-Cal Ancillary Charges - Radiology - Therapeutic                        78,281       68,407     146,688
       Contract 6       D-4               XIX      43.00    2     Medi-Cal Ancillary Charges - Radioisotope                                  866,124      240,468   1,106,592
       Contract 6       D-4               XIX      43.01    2     Medi-Cal Ancillary Charges - Ultrasound                                  2,021,336      939,422   2,960,758
       Contract 6       D-4               XIX      43.02    2     Medi-Cal Ancillary Charges - CAT Scan                                    3,517,492    6,319,063   9,836,555
       Contract 6       D-4               XIX      43.03    2     Medi-Cal Ancillary Charges - MRI                                         1,161,036      350,116   1,511,152
       Contract 6       D-4               XIX      44.00    2     Medi-Cal Ancillary Charges - Laboratory                                 24,732,681   16,907,176 41,639,857
       Contract 6       D-4               XIX      46.00    2     Medi-Cal Ancillary Charges - Whole Blood and Packed Red Blood Cells        452,504      518,449     970,953
       Contract 6       D-4               XIX      49.00    2     Medi-Cal Ancillary Charges - Respiratory Therapy                         7,090,760    9,814,898 16,905,658
       Contract 6       D-4               XIX      50.00    2     Medi-Cal Ancillary Charges - Physical Therapy                              356,657      671,776   1,028,433
       Contract 6       D-4               XIX      53.00    2     Medi-Cal Ancillary Charges - Electrocardiology                           3,567,526    1,750,520   5,318,046
       Contract 6       D-4               XIX      54.00    2     Medi-Cal Ancillary Charges - Electroencephalography                        201,751       45,925     247,676
       Contract 6       D-4               XIX      55.00    2     Medi-Cal Ancillary Charges - Medical Supplies Charged to Patients       14,084,737    5,589,015 19,673,752
       Contract 6       D-4               XIX      56.00    2     Medi-Cal Ancillary Charges - Drugs Charged to Patients                  26,018,832   15,515,885 41,534,717
       Contract 6       D-4               XIX      59.00    2     Medi-Cal Ancillary Charges - Laboratory - Pathological                     746,861     (746,861)          0
       Contract 6       D-4               XIX      59.01    2     Medi-Cal Ancillary Charges - Pulmonary Functional Testing                   40,348      170,937     211,285
       Contract 6       D-4               XIX      59.02    2     Medi-Cal Ancillary Charges - Respiratory - Neonatal                      2,696,404      383,851   3,080,255
       Contract 6       D-4               XIX      59.03    2     Medi-Cal Ancillary Charges - Cardiac Cath Laboratory                     1,079,401    4,418,684   5,498,085
       Contract 6       D-4               XIX      60.02    2     Medi-Cal Ancillary Charges - Perinatal Clinic                              718,782     (718,782)          0
       Contract 6       D-4               XIX      60.05    2     Medi-Cal Ancillary Charges - Renal Dialysis Clinic                       3,295,286      887,994   4,183,280
       Contract 6       D-4               XIX      60.07    2     Medi-Cal Ancillary Charges - Pain Clinic                                         0        5,486       5,486
       Contract 6       D-4               XIX      61.00    2     Medi-Cal Ancillary Charges - Emergency                                   7,125,961    3,039,683 10,165,644
       Contract 6       D-4               XIX     101.00    2     Medi-Cal Ancillary Charges - Total                                     126,655,576   64,149,153 190,804,729

                                                                                            -Continued on next page-


                                                                                                                                                                           Page    4
State of California                                                                                                                     Department of Health Care Services

Provider Name                                                     Fiscal Period                                                       Provider Number             Adjustments
SAINT FRANCIS MEDICAL CENTER                                      JULY 1, 2007 THROUGH JUNE 30, 2008                                  HSC30104G                           12
                       Report References

                                   Cost Report
 Adj.     Audit         Work                                                                                                              As          Increase          As
 No.      Report        Sheet      Part    Title   Line    Col.        Explanation of Audit Adjustments      Reported                                (Decrease)      Adjusted
                                                      ADJUSTMENTS TO REPORTED MEDI-CAL SETTLEMENT DATA - CONTRACT
-Continued from previous page-
  9     Contract 2        E-3       III    XIX     10.00    1     Medi-Cal Routine Service Charges                                     $52,924,544   $34,101,630 $87,026,174
        Contract 2        E-3       III    XIX     11.00    1     Medi-Cal Ancillary Service Charges                                   126,655,576    64,149,153 190,804,729

 10     Contract 3       E-3        III    XIX     33.00    1     Medi-Cal Deductibles                                                         $0      $161,040     $161,040
        Contract 3       E-3        III    XIX     36.00    1     Medi-Cal Coinsurance                                                          0       630,408      630,408

                                                                     To adjust Medi-Cal Settlement Data to agree with the following
                                                                     EDS Paid Claims Summary:
                                                                       EDS Report Date: January 19, 2010
                                                                       Payment Period: July 1, 2007 through November 30, 2009
                                                                       Service Period: July 1, 2007 through June 30, 2008
                                                                     42 CFR 413.20, 413.24, 413.50, 413.53, 413.60,
                                                                     413.64, and 433.139
                                                                     CMS Pub. 15-1, Sections 2304, 2404, and 2408
                                                                     CCR, Title 22, Section 51541




                                                                                                                                                                        Page    5
State of California                                                                                                                      Department of Health Care Services

Provider Name                                                    Fiscal Period                                                         Provider Number            Adjustments
SAINT FRANCIS MEDICAL CENTER                                     JULY 1, 2007 THROUGH JUNE 30, 2008                                    HSC30104G                         12
                      Report References

                                  Cost Report
Adj.    Audit          Work                                                                                                                As         Increase         As
No.     Report         Sheet      Part    Title   Line    Col.           Explanation of Audit Adjustments      Reported                              (Decrease)     Adjusted
                                                          ADJUSTMENTS TO REPORTED MEDI-CAL SETTLEMENT DATA - DPNF

 11    DPNF 1           S-3         I     XIX     15.00    5     Medi-Cal Days - Skilled Nursing Facility                                   1,563           157       1,720
                                                                   To adjust Medi-Cal Settlement Data to agree with the following
                                                                   EDS Paid Claims Summary:
                                                                      Report Date: December 15, 2009
                                                                      Payment Period: July 1, 2007 through November 30, 2009
                                                                      Service Period: July 1, 2007 through June 30, 2008
                                                                   42 CFR 413.20, 413.24, 413.50, 413.53, 413.60,
                                                                   413.64, and 433.139
                                                                   CMS Pub. 15-1, Sections 2304, 2404, and 2408
                                                                   CCR, Title 22, Section 51541

 12    DPNF 4    Not Reported                                    Total Ancillary Charges - Respiratory Therapy                                  $0     $210,985    $210,985
       DPNF 4    Not Reported                                    Total Ancillary Charges - Medical Supplies Charged to Patients                  0       65,994      65,994
       DPNF 4    Not Reported                                    Total Ancillary Charges                                                         0      276,979     276,979
                                                                    To include DPNF ancillary charges for proper cost determination.
                                                                    CCR, Title 22, Section 51511(c) / CMS Pub. 15-1, Section 2304




                                                                                                                                                                       Page    6

				
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