... ReferencesCost Report Audit Report Explanation of Audit Adjustments AdjustmentsSAN JOSE HEALTHCARE CENTER MARCH 6, 2007 THROUGH DECEMBER 31 , 2007 ZZR06082H ADJUSTMENTS TO REPORTED COSTS 23 10.1(4) ... Fees $0 $33 ,658 $33 ,658Not Reported 8A-2 165.11 Administration - Other - Nonlabor * 1,177,501 (33 ,658) 1,1 43, 8 43 * To reclassify DHS licensing fees for proper cost determination.42 CFR 4 13. 20 and ... Nonlabor * 1,1 43, 8 43 (407, 033 ) 736 ,810 * To reclassify Quality Assurance Fees for proper cost determination.42 CFR 4 13. 20 and 4 13. 24 / CMS Pub. 15-1, Sections 230 0 and 230 4 13 Not Reported 8A-2...