-
REPORT
ON THE
HOME OFFICE AUDIT
PRIME HEALTHCARE SERVICES, INC. ONTARIO, CALIFORNIA
FISCAL PERIOD ENDED
DECEMBER 31, 2011
Audits SectionRancho Cucamonga
Financial Audits Branch
Audits and Investigations
Department of Health Care Services
Section Chief: Julio M. Cueto Audit Supervisor: Lucia Martinez Auditors: Margarita Gamboa, Teresa Zapata
-
r
Sttate of CalifoorniaHealth and Humman Servicees Agency DDepartmment of HHealth CCare Seervices
TOOBY DOUGLAS EDMUNDD G. BROWN JR. DIRECTOR GOVERNOR
April 26, 2013
Presidennt
Prime HHealthcare MManagemennt Servicess, Inc. 3300 Eaast Guasti RRoad, 3rd Flloor Ontario, CA 91761
PRIME HEALTHCAARE SERVVICES, INC.
FISCAL PERIOD EENDED DECEMBER 331, 2011
We havee examinedd the Medi-CCal Home OOffice Costt Report forr the fiscal pperiod endeed Decembber 31, 2011. Our exaamination wwas made under the auuthority of SSection 141170 of the WWelfare and Institutionss Code and, accordinggly, includedd such testss of the accounting recordss and such other auditing proceduures as we consideredd necessaryy in the circuumstances.
In our oppinion, the data presented in the Summary oof Audited Home Officce Costs to Health CCare Facilitiies represeents a propeer determinnation of home office aallowable coosts for the aabove fiscall period in aaccordancee with Medi--Cal reimbuursement principles. TThe audited home officee cost will bbe incorporaated, by seeparate adjuustment, intto each applicabble facility aaudit report..
This auddit report includes the:
1. SSummary off Audited Home Officee Costs to HHealth Caree Facilities aand Supporrting SSchedules
2. AAudit Adjusttments Schedule
If you disagree withh the decision of the DDepartment,, the resultss of the homme office auudit may onlyy be appeaaled throughh each indivvidual facili ty's audit reeport. Pleaase refer to the appeal instructions in each faccilitys auditt report.
Financial Auudits Branch/A udits Section Rancho Cucaamonga
9439 Archibald Aveenue, Suite 1077, MS 2105, Raancho Cucamoonga, CA 917300
(909) 481-34220 / (909) 481--3442 fax
Internet Address: www.dhccs.ca.gov
http:cs.ca.gov
-
President Page 2
If you have questions regarding this report, you may call the Audits SectionRancho Cucamonga at (909) 481-3420.
Original Signed By
Julio M. Cueto, Chief Audits SectionRancho Cucamonga Financial Audits Branch
Certified
cc: Michael Bogert Corporate Director of Finance
-
TABLE OF CONTENTS
SCHEDULES
1 - SUMMARY OF AUDITED HOME OFFICE CAPITAL AND NONCAPITAL RELATED COSTS TO CHAIN COMPONENTS
2 - COMPARISON OF REPORTED AND AUDITED HOME OFFICE COSTS
2F - COMPARISON OF REPORTED AND AUDITED FOUNDATION COSTS
3 - SUMMARY ALLOCATION OF HOME OFFICE COSTS - CAPITAL RELATED
3F - SUMMARY ALLOCATION OF FOUNDATION COSTS - CAPITAL RELATED
3-1 - SUMMARY ALLOCATION OF HOME OFFICE COSTS - NONCAPITAL RELATED
3-1F - SUMMARY ALLOCATION OF FOUNDATION COSTS - NONCAPITAL RELATED
4 - POOLED ALLOCATION OF HOME OFFICE COSTS TO CHAIN COMPONENTS
4F - POOLED ALLOCATION TO FOUNDATION HOSPITALS
5 - FOUNDATION FUNCTIONAL ALLOCATION OF EXPENSES TO CHAIN COMPONENTS -CAPITAL RELATED
5-1 - FOUNDATION FUNCTIONAL ALLOCATION OF EXPENSES TO CHAIN COMPONENTS -NONCAPITAL RELATED
6 - FOUNDATION FUNCTIONAL ALLOCATION OF EXPENSES TO CHAIN COMPONENTS STATISTICS - CAPITAL RELATED
6-1 - FOUNDATION FUNCTIONAL ALLOCATION OF EXPENSES TO CHAIN COMPONENTS STATISTICS - NONCAPITAL RELATED
7 - DIRECT ALLOCATION OF CAPITAL COSTS TO CHAIN COMPONENTS
7-1 - DIRECT ALLOCATION OF NONCAPITAL COSTS TO CHAIN COMPONENTS
8 - TRIAL BALANCE OF EXPENSES
8F - TRIAL BALANCE OF EXPENSES - FOUNDATION
9 - REPORTED HOME OFFICE COSTS
-
STA
TE O
F C
ALI
FOR
NIA
SC
HED
ULE
1
SUM
MA
RY
OF
AU
DIT
ED H
OM
E O
FFIC
E C
API
TAL
AN
D N
ON
CA
PITA
L R
ELA
TED
CO
STS
TO C
HA
IN C
OM
PON
ENTS
HO
ME
OFF
ICE
NA
ME:
FI
SCA
L PE
RIO
D E
ND
ED:
PRIM
E H
EALT
HC
AR
E SE
RVI
CES
, IN
C.
DEC
EMB
ER 3
1, 2
011
HEA
LTH
CA
RE
FAC
ILIT
IES
PRO
VID
ER
NPI
FI
SCA
L PE
RIO
DS
END
ING
D
UR
ING
HO
ME
OFF
ICE
FISC
AL
YEA
R
CA
PITA
L R
ELA
TED
(S
CH
EDU
LE 3
, 3F)
1
NO
NC
API
TAL
REL
ATE
D
(SC
HED
ULE
3-1
, 3-1
F)
2
TOTA
L A
UD
ITED
H
.O. C
OST
S (C
OLU
MN
1 +
2)
3FR
OM
TO
1.
CE
NTI
NE
LA H
OS
PIT
AL
ME
DIC
AL
CE
NTE
R
1336
3282
44
01/0
1/11
12
/31/
11
$150
,356
$2
,811
,828
$2
,962
,184
2.
C
HIN
O V
ALL
EY
ME
DIC
AL
CE
NTE
R
1962
4074
60
01/0
1/11
12
/31/
11
52,4
16
982,
653
1,03
5,07
0 3.
D
ES
ER
T V
ALL
EY
HO
SP
ITA
L
1851
3965
76
01/0
1/11
12
/31/
11
61,8
30
1,15
4,78
1 1,
216,
611
4.
EN
CIN
O H
OS
PIT
AL
ME
DIC
AL
CE
NTE
R
1437
3223
77
01/0
1/11
12
/31/
11
69,2
18
1,09
9,73
3 1,
168,
951
5.
GA
RD
EN
GR
OV
E H
OS
PIT
AL
ME
DIC
AL
CE
NTE
R
1659
5388
58
01/0
1/11
12
/31/
11
58,1
28
1,08
9,30
2 1,
147,
430
6.
HU
NTI
NG
TON
BE
AC
H H
OS
PIT
AL
10
8362
2120
01
/01/
11
12/3
1/11
36
,038
67
3,07
7 70
9,11
5 7.
LA
PA
LMA
INTE
RC
OM
MU
NIT
Y H
OS
PIT
AL
13
8694
7836
01
/01/
11
12/3
1/11
34
,110
64
0,70
7 67
4,81
7 8.
M
ON
TCLA
IR H
OS
PIT
AL
ME
DIC
AL
CE
NTE
R
1992
7211
61
01/0
1/11
12
/31/
11
65,4
84
1,04
3,13
4 1,
108,
618
9.
PA
RA
DIS
E V
ALL
EY
HO
SP
ITA
L
1356
4103
51
01/0
1/11
12
/31/
11
84,0
10
1,56
9,02
6 1,
653,
036
10.
SA
N D
IMA
S C
OM
MU
NIT
Y H
OS
PIT
AL
17
4044
7945
01
/01/
11
12/3
1/11
35
,423
66
5,25
8 70
0,68
1 11
. S
HA
STA
RE
GIO
NA
L M
ED
ICA
L C
EN
TER
12
0508
9026
01
/01/
11
12/3
1/11
86
,271
1,
611,
253
1,69
7,52
4 12
. S
HE
RM
AN
OA
KS
HO
SP
ITA
L
1750
4912
47
01/0
1/11
12
/31/
11
45,8
29
855,
932
901,
761
13.
WE
ST
AN
AH
EIM
ME
DIC
AL
CE
NTE
R
1871
5019
16
01/0
1/11
12
/31/
11
59,9
71
1,12
3,73
5 1,
183,
706
14.
ALV
AR
AD
O H
OS
PIT
AL
12
6546
8946
01
/01/
11
12/3
1/11
10
4,44
9 1,
987,
438
2,09
1,88
7 15
. 0
0 0
0 16
. 0
0 0
0 17
. 0
0 0
0 18
. 0
0 0
0 19
. 0
0 0
0
SUB
TOTA
L (L
INES
1 T
HR
OU
GH
19)
$9
43,5
3 3
$17,
307,
857
$18,
251,
390
OTH
ER C
OM
PON
ENTS
20.
Oth
er N
on-H
ospi
tal
0 $0
$0
$0
21
. P
rime
Hea
lthca
re S
ervi
ces
Los
Ang
eles
, LLC
0
17
31
1 32
8 22
. P
arad
ise
Val
ley
Med
ical
Gro
up, I
nc.
0 2,
207
41,2
11
43,4
18
23.
Des
ert V
alle
y M
edic
al G
roup
, Inc
. 0
21,0
22
426,
222
447,
244
24.
She
rman
Oak
s M
edic
al G
roup
Man
agem
ent,
Inc.
0
97
2 18
,144
19
,116
25
. B
io-M
ed S
ervi
ces,
Inc.
0
7,27
1 13
5,80
4 14
3,07
5 26
. H
ospi
tal B
usin
ess
Ser
vice
s, In
c.
0 2,
490
46,5
05
48,9
96
27.
Prim
e H
ealth
care
Man
agem
ent S
an D
imas
, Inc
. 0
4
68
72
28.
Prim
e H
ealth
care
Man
agem
ent G
arde
n G
rove
, Inc
. 0
4
68
72
29.
Prim
e H
ealth
care
Man
agem
ent S
hast
a, In
c.
0
4 68
72
30
. S
hast
a R
egio
nal M
edic
al G
roup
, Inc
. 0
72
6 13
,562
14
,288
31
. In
tern
atio
nal A
ircra
ft In
vest
men
t, LL
C
0
13,0
37
12,7
51
25,7
88
32.
Prim
e H
ealth
care
Air
Tran
spor
t, LL
C
0 1,
684
31,4
53
33,1
38
33.
Prim
e H
ealth
care
Ser
vice
s Fo
unda
tion,
Inc.
0
0 (0
) 0
35.
Prim
e H
ealth
care
Man
agem
ent-E
ncin
o, In
c.
0 1
17
18
SUB
TOTA
L (L
INES
20
THR
OU
GH
35)
$4
9,43
7 $7
26,1
8 6
$775
,623
GR
AN
D T
OTA
L $9
92,9
71
$18,
034,
043
$19,
027,
014
Not
e: T
he F
ound
atio
n (P
HS
F) C
osts
on
line
33 o
f Sch
. 2 w
ere
zero
ed to
incl
ude
the
cost
s in
the
Foun
datio
n H
ospi
tals
, E
ncin
o H
ospi
tal M
edic
al C
ente
r and
Mon
tcla
ir H
ospi
tal M
edic
al C
ente
r und
er li
nes
4 an
d 8
resp
ectiv
ely.
-
STA
TE O
F C
ALI
FOR
NIA
SC
HED
ULE
2
CO
MPA
RIS
ON
OF
REP
OR
TED
AN
D A
UD
ITED
HO
ME
OFF
ICE
CO
STS
HO
ME
OFF
ICE
NA
ME:
FI
SCA
L PE
RIO
D E
ND
ED:
PRIM
E H
EALT
HC
AR
E SE
RVI
CES
, IN
C.
DEC
EMB
ER 3
1, 2
011
HEA
LTH
CA
RE
FAC
ILIT
IES
PRO
VID
ER
NPI
FI
SCA
L PE
RIO
DS
END
ING
D
UR
ING
HO
ME
OFF
ICE
FISC
AL
YEA
R
REP
OR
TED
H
OM
E O
FFIC
E C
OST
S (S
CH
. 9)
1
AU
DIT
ED
H.O
. CO
STS
(SC
H. 3
,3F,
3-1,
3-1F
) 2
VAR
IAN
CE
(CO
LUM
N 2
-1)
3FR
OM
TO
1.
CE
NTI
NE
LA H
OS
PIT
AL
ME
DIC
AL
CE
NTE
R
1336
3282
44
01/0
1/11
12
/31/
11
$5,7
99,8
91
$2,9
62,1
84
($2,
837,
707)
2.
C
HIN
O V
ALL
EY
ME
DIC
AL
CE
NTE
R
1962
4074
60
01/0
1/11
12
/31/
11
2,02
1,93
9 1,
035,
070
(986
,869
) 3.
D
ES
ER
T V
ALL
EY
HO
SP
ITA
L
1851
3965
76
01/0
1/11
12
/31/
11
2,38
5,06
8 1,
216,
611
(1,1
68,4
57)
4.
EN
CIN
O H
OS
PIT
AL
ME
DIC
AL
CE
NTE
R
1437
3223
77
01/0
1/11
12
/31/
11
1,80
2,65
4 1,
168,
951
(633
,703
) 5.
G
AR
DE
N G
RO
VE
HO
SP
ITA
L M
ED
ICA
L C
EN
TER
16
5953
8858
01
/01/
11
12/3
1/11
2,
242,
270
1,14
7,43
0 (1
,094
,840
) 6.
H
UN
TIN
GTO
N B
EA
CH
HO
SP
ITA
L
1083
6221
20
01/0
1/11
12
/31/
11
1,39
0,16
5 70
9,11
5 (6
81,0
50)
7.
LA P
ALM
A IN
TER
CO
MM
UN
ITY
HO
SP
ITA
L
1386
9478
36
01/0
1/11
12
/31/
11
1,31
5,76
7 67
4,81
7 (6
40,9
50)
8.
MO
NTC
LAIR
HO
SP
ITA
L M
ED
ICA
L C
EN
TER
19
9272
1161
01
/01/
11
12/3
1/11
1,
704,
386
1,10
8,61
8 (5
95,7
68)
9.
PA
RA
DIS
E V
ALL
EY
HO
SP
ITA
L
1356
4103
51
01/0
1/11
12
/31/
11
3,24
0,64
4 1,
653,
036
(1,5
87,6
08)
10.
SA
N D
IMA
S C
OM
MU
NIT
Y H
OS
PIT
AL
17
4044
7945
01
/01/
11
12/3
1/11
1,
366,
425
700,
681
(665
,744
) 11
. S
HA
STA
RE
GIO
NA
L M
ED
ICA
L C
EN
TER
12
0508
9026
01
/01/
11
12/3
1/11
3,
327,
862
1,69
7,52
4 (1
,630
,338
) 12
. S
HE
RM
AN
OA
KS
HO
SP
ITA
L
1750
4912
47
01/0
1/11
12
/31/
11
1,76
7,83
1 90
1,76
1 (8
66,0
70)
13.
WE
ST
AN
AH
EIM
ME
DIC
AL
CE
NTE
R
1871
5019
16
01/0
1/11
12
/31/
11
2,31
3,35
1 1,
183,
706
(1,1
29,6
46)
14.
ALV
AR
AD
O H
OS
PIT
AL
12
6546
8946
01
/01/
11
12/3
1/11
4,
029,
068
2,09
1,88
7 (1
,937
,181
) 15
. 0
0 0
0 16
. 0
0 0
0 17
. 0
0 0
0 18
. 0
0 0
0 19
. 0
0 0
0
SUB
TOTA
L (L
INES
1 T
HR
OU
GH
19)
$3
4,70
7,32
1 $1
8,25
1,39
0 ($
16,4
55,9
31)
OTH
ER C
OM
PON
ENTS
20.
Oth
er N
on-H
ospi
tal
0 $1
,338
,909
$0
($
1,33
8,90
9)
21.
Prim
e H
ealth
care
Ser
vice
s Lo
s A
ngel
es, L
LC
0
0 32
8 32
8 22
. P
arad
ise
Val
ley
Med
ical
Gro
up, I
nc.
0
0 43
,418
43
,418
23
. D
eser
t Val
ley
Med
ical
Gro
up, I
nc.
0
0 44
7,24
4 44
7,24
4 24
. S
herm
an O
aks
Med
ical
Gro
up M
anag
emen
t, In
c.
0
0 19
,115
19
,116
25
. B
io-M
ed S
ervi
ces,
Inc.
0
0 14
3,07
5 14
3,07
5 26
. H
ospi
tal B
usin
ess
Ser
vice
s, In
c.
0 0
48,9
95
48,9
96
27.
Prim
e H
ealth
care
Man
agem
ent S
an D
imas
, Inc
. 0
0
72
72
28.
Prim
e H
ealth
care
Man
agem
ent G
arde
n G
rove
, Inc
. 0
0
72
72
29.
Prim
e H
ealth
care
Man
agem
ent S
hast
a, In
c.
0
0 72
72
30
. S
hast
a R
egio
nal M
edic
al G
roup
, Inc
. 0
0
14,2
88
14,2
88
31.
Inte
rnat
iona
l Airc
raft
Inve
stm
ent,
LLC
0
0
25,7
88
25,7
88
32.
Prim
e H
ealth
care
Air
Tran
spor
t, LL
C
0
0 33
,138
33
,138
33
. P
rime
Hea
lthca
re S
ervi
ces
Foun
datio
n, In
c.
0
0 0
0 35
. P
rime
Hea
lthca
re M
anag
emen
t-Enc
ino,
Inc.
0
0 18
18
SUB
TOTA
L (L
INES
20
THR
OU
GH
35)
$1
,338
,90 9
$7
75,6
24
($56
3,28
6)
GR
AN
D T
OTA
L $3
6,04
6,23
0 $1
9,02
7,01
4 ($
17,0
19,2
17)
Not
e 1:
The
Fou
ndat
ion
(PH
SF)
Cos
ts o
n lin
e 33
of S
ch. 2
wer
e ze
roed
to in
clud
e th
e co
sts
in th
e Fo
unda
tion
Hos
pita
ls,
Enc
ino
Hos
pita
l Med
ical
Cen
ter a
nd M
ontc
lair
Hos
pita
l Med
ical
Cen
ter u
nder
line
s 4
and
8 re
spec
tivel
y.
Not
e 2:
Tot
al re
porte
d co
sts
of $
36,0
46,2
30 w
as o
vers
tate
d by
the
prov
ider
by
$15,
710.
The
ove
rsta
ted
amou
nt w
as c
apita
l fou
ndat
ion
cost
s.
-
STA
TE O
F C
ALI
FOR
NIA
SC
HED
ULE
2F
CO
MPA
RIS
ON
OF
REP
OR
TED
AN
D A
UD
ITED
FO
UN
DA
TIO
N C
OST
S
HO
ME
OFF
ICE
NA
ME:
FI
SCA
L PE
RIO
D E
ND
ED:
PRIM
E H
EALT
HC
AR
E SE
RVI
CES
, IN
C.
DEC
EMB
ER 3
1, 2
011
HEA
LTH
CA
RE
FAC
ILIT
IES
PRO
VID
ER
NPI
FI
SCA
L PE
RIO
DS
END
ING
D
UR
ING
HO
ME
OFF
ICE
FISC
AL
YEA
R
REP
OR
TED
FO
UN
DA
TIO
N
CO
STS
1
AU
DIT
ED
FOU
ND
ATI
ON
CO
STS
(SC
H. 3
F &
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cos
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0 0
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24.
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ent,
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0
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25.
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s, In
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0 0
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0 26
. H
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. P
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