Annual Utilization Report of Specialty Clinics
Facility Name:BMA, INC D/B/A BERKELEY DIALYSIS CENTER
OSHPD ID:306014004Report Status:Submitted
License Category:DialysisReport Year:2002
Table of Contents
Click on any of the links listed below to view the corresponding section.
Section 1 - General Information
Section 2 - Facility Description
Section 3 - Patients and Encounters
Section 4 - Income Statement
Section 5 - Major Capital Expenditures
Errors and Warnings
Section 1 - General Information

1.Facility Name:BMA, INC D/B/A BERKELEY DIALYSIS CENTER
2.OSHPD ID Number:306014004
3.Street Address:2895 SEVENTH STREET
4.City:BERKELEY
5.Zip:94710
6.Facility Phone No.:(510) 843 - 0627 ext.
7.Administrator Name:Fe Guieb
8.Administrator E-mail Address:fe.guieb@fmc-na.com
9.Was this clinic in operation at any time during the year?Yes
10.Operation Open From:01/01/2002
11.Operation Open To:12/31/2002
12.Name of Parent Corporation:Fresenius Medical Care North America
13.Corporate Business Address:Two Ledgemont Center
95 Hayden Ave
14.City:Lexington
15.State:MA
16.Zip:02420 -
17.Person Completing Report:Michael Braun
18.Report Preparer's Phone No.:480-897-2987
19.Fax No.:480-897-6361
20.E-mail Address:michael.braun@fmc-na.com
30.Submitted by:306014004
31.Submitted Date and Time:10/2/2003 3:40:09 PM


Section 2 - Facility Description
LICENSE CATEGORY (TYPE)
Line
No.		(1)
1.License CategoryDialysis
LICENSEE TYPE OF CONTROL
Line
No.		(1)
5.Select the category that best describes the licensee type of control of your clinic from drop down list:Investor - Corporation


Section 3 - Patients and Encounters
PATIENTS AND ENCOUNTERS IN THE CALENDAR YEAR (ALL CLINICS)
Please report the total number of individual, unduplicated patients served and the total number of encounters for these patients. Please refer to the instructions for further details.
Line
No.		(1)
Unduplicated Patients		(2)
Encounters
1.Total, all locations under this license (Main, Mobile, Satellite, etc.)10513,774
SURGICAL CLINICS ONLY
Line
No.		(1)
Number
5.Number of surgical operating rooms on December 310
6.Total number of surgical operations performed during the calendar year0
7.If you provided abortion services directly at your clinic, provide the total number of abortions performed0
PSYCHOLOGY CLINICS ONLY
Line
No.		Service Type(1)
Encounters
11.General Medical0
12.Substance Abuse (alcohol and drug)0
13.Mental Health Counseling0
14.All Other0
15.Total0


Section 4 - Income Statement
INCOME STATEMENT
Line
No.		(1)
Total
1.Gross Patient Revenue$3,631,421
WRITE-OFFS AND ADJUSTMENTS:
2.Charity$0
3.Contractual Adjustments$73,558
4.Bad Debts$205,810
8.Other Adjustments$0
9.Total Write-Offs and Adjustments (line 2-8)$279,368
10.Net Patient Revenue (line 1 minus 9)$3,352,053
Other Operating Revenue:
11.Grants - Public$0
12.Grants - Private$0
13.Donations / Contributions$0
19.Other$0
20.Total Other Operating Revenue (sum lines 11 - 19)$0
25.Total Operating Revenue (line 10 + Line 20)$3,352,053
Operating Expenses:
30.Salaries, Wages and Employee Benefits$1,149,843
31.Contract Services - Professional$236,904
32.Supplies$1,506,703
33.Rent / Depreciation / Mortgage Interest$353,674
34.Utilities$50,824
35.Professional Liability Insurance$10,982
36.Other Insurances$0
44.All Other Expenses$571,596
45.Total Operating Expenses (sum lines 30 - 44)$3,880,526
50.Net From Operations (line 25 minus Line 45)-$528,473

The Clinic's License Fee Will Be Based Upon The Completion Of This Income Statement And Will Be Calculated Accordingly.

Section 5 - Major Capital Expenditures

Section 127285(3) of the Health and Safety Code requires each clinic to report "acquisitions of diagnostic or therapeutic equipment during the reporting period with a value in excess of five hundred thousand dollars ($500,000)."

Diagnostic and Therapeutic Equipment Acquired During The Report Period
1.Did your clinic acquire any diagnostic or therapeutic equipment that had a value of $500,000 or more? (If 'Yes', fill out lines 2 through 11 below.)No

Diagnostic and Therapeutic Equipment Detail
Line
No.		(1)
Description of Equipment		(2)
Value		(3)
Date of Aquisition
MM/DD/YYYY		(4)
Means of Acquisition
2.0
3.0
4.0
5.0
6.0
7.0
8.0
9.0
10.0
11.0

Building Projects Commenced During Report Period Costing Over $1,000,000

Section 127285(4) of the Health and Safety Code requires each clinic to report the "commencement of projects during the reporting period that require a capital expenditure for the facility or clinic in excess of one million dollars ($1,000,000)."
25.Did your clinic commence any building projects during the report period which will require an aggregate capital expenditure exceeding $1,000,000? (If 'Yes', fill out lines 26 through 30 below.)No

Detail of Capital Expenditures
Line
No.		(1)
Description of Project		(2)
Projected Total Capital Expenditure		(3)
OSHPD Project No.
(if applicable)
26.0
27.0
28.0
390
30.0

General Comments:Instructions
Glossary
Back to Top of Page
Errors and WarningsInstructions
Glossary