Hospital Financial Disclosure Independent Gov Cost Est

igcepscdisclosure(2) 8-28-07.xls

Disclosure of Financial Relationships Report ("DFRR") - Section 5006 of the DRA

Hospital Financial Disclosure Independent Gov Cost Est

OMB: 0938-0995

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Total
Task 1
Task 2
Task 3
Task 4
Task 5
Task 6
Task 7
Task 8



FTEs Rates Database
Bi-Weekly Status Reports
Legal Analysis
Auditing/Financial Review
Preparation of Referrals
Follow-up Actions
Final Report
Administrative Action


Cost Elements

Hours Total Hours Total Hours Total Hours Total Hours Total Hours Total Hours Total Hours Total
TOTAL
Direct Labor



















Professional/Technical



















Program Director 1.00 $300.00 4 $1,200.00 4 $1,200.00 75 $22,500.00 75 $22,500.00 75 $22,500.00 20 $6,000.00 50 $15,000.00 20 $6,000.00
$96,900.00
Technical Writer 1.00 $45.00 0 $-
$-
$-
$- 100 $4,500.00 25 $1,125.00 250 $11,250.00
$-
$16,875.00
Legal Counsel 2.00 $150.00
$-
$- 4800 $720,000.00 40 $6,000.00 150 $22,500.00
$- 75 $11,250.00
$-
$759,750.00
Benefit Integrity Manager 1.00 $83.00 8 $664.00 50 $4,150.00 150 $12,450.00 250 $20,750.00 200 $16,600.00 200 $16,600.00 125 $10,375.00 20 $1,660.00
$83,249.00
Data Analyst
$35.00 2000 $70,000.00 50 $1,750.00
$-
$-
$-
$-
$-
$-
$71,750.00
IT Developer 1.00 $53.00 100 $5,300.00 50 $2,650.00
$-
$-
$-
$-
$-
$-
$7,950.00
Auditing/Finance



















Audit/Reimbursement Mgr. 15.00 $50.00
$-
$-
$- 2000 $100,000.00 250 $12,500.00 50 $2,500.00 100 $5,000.00
$-
$120,000.00
Accounting/Reimbursement Technician 15.00 $17.00
$- 200 $3,400.00
$- 1500 $25,500.00 25 $425.00 75 $1,275.00 75 $1,275.00
$-
$31,875.00
Administrative Asst 10.00 $19.00 100 $1,900.00 200 $3,800.00
$- 75 $1,425.00 75 $1,425.00 500 $9,500.00 75 $1,425.00
$-
$19,475.00





















Subtotal Direct Labor


$79,064.00
$16,950.00
$754,950.00
$176,175.00
$80,450.00
$37,000.00
$55,575.00
$7,660.00
$1,207,824.00





















Fringe Benefits
0.15
$11,859.60
$2,542.50
$113,242.50
$26,426.25
$12,067.50
$5,550.00
$8,336.25
$1,149.00
$181,173.60





















Total Direct Labor


$90,923.60
$19,492.50
$868,192.50
$202,601.25
$92,517.50
$42,550.00
$63,911.25
$8,809.00
$1,388,997.60





















Indirect G&A
10%
$9,092.36
$1,949.25
$86,819.25
$20,260.13
$9,251.75
$4,255.00
$6,391.13
$880.90
$138,899.77





















Subtotal Costs before fee


$100,015.96
$21,441.75
$955,011.75
$222,861.38
$101,769.25
$46,805.00
$70,302.38
$9,689.90
$1,527,897.37





















Fixed Fee
7%
$7,001.12
$1,500.92
$66,850.82
$15,600.30
$7,123.85
$3,276.35
$4,921.17
$678.29
$106,952.82





















TOTALS


$107,017.08
$22,942.67
$1,021,862.57
$238,461.68
$108,893.10
$50,081.35
$75,223.55
$10,368.19
$1,634,850.19
File Typeapplication/vnd.ms-excel
AuthorCMS
Last Modified ByCMS
File Modified2007-08-28
File Created2007-04-02

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