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

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