Worksheet A-7
- Return to Cost Report Summary
- Form A700
- INSTRUCTIONS AS PUBLISHED IN CMS PUB. 15-II, , REV
THE JEFFERSON
ARLINGTON, VA 22203-
ARLINGTON, VA 22203-
Medicare Provider Number: 495269
Cost report status: Settled Without Audit
[Record Code 169121 - 1996]
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ANALYSIS OF CHANGES DURING COST REPORTING PERIOD IN CAPITAL ASSET BALANCES |
PROVIDER NO: 495269 |
PERIOD: FROM 01/01/2002 TO 12/31/2002 |
WORKSHEET A-7 | |||||
Description | Beginning Balances |
Purchases | Acquisitions Donation |
Total | Disposals and Retirements |
Ending Balance |
||
1 | 2 | 3 | 4 | 5 | 6 | |||
1 | Land | ### | ### | ### | 1 | |||
2 | Land Improvements | ### | ### | ### | 2 | |||
3 | Buildings and Fixtures | 3 | ||||||
4 | Building Improvements | ### | ### | ### | ### | 4 | ||
5 | Fixed Equipment | ### | ### | ### | ### | 5 | ||
6 | Movable Equipment | ### | ### | ### | 6 | |||
7 | TOTAL | ### | ### | ### | ### | ### | 7 | |