Form LIC 9268. Form 5-4: Calculation Of Net Operating Expenses - California

Form LIC 9268 is used in California by care facilities to calculate and report the net operating expenses. This form is completed on an annual basis by the facility operator or administrator.

The form consists of sections that require information about the facility, including its name, address, license number, and the reporting period. The main part of the form focuses on calculating the net operating expenses based on specific factors such as revenue, allowable deductions, and non-operating income. The form provides instructions and formulas for performing the calculation accurately. Important fields include financial data related to the facility's operations, including revenue, deductions, non-operating income, and the resulting net operating expenses.

An application example of this form would involve a care facility using Form LIC 9268 to calculate and report the net operating expenses to the California Department of Social Services. The facility operator or administrator would gather the necessary financial information, perform the calculations based on the provided instructions, and include any required supporting documentation. By completing this form accurately, care facilities ensure compliance with reporting requirements and provide transparency regarding their operational expenses.

Alternative forms: No direct alternative form is specified for Form LIC 9268, as it is specifically designated for calculating and reporting the net operating expenses. However, care facilities may need to consult other financial records and documentation related to their operations when completing this form. Additionally, a related form is Form LIC 9212, Annual Financial Report - California, which provides a comprehensive overview of the facility's financial status and includes sections for reporting revenue, expenses, assets, liabilities, and other financial information. The main difference lies in the focus of each form, with Form LIC 9268 specifically addressing the calculation of net operating expenses, while Form LIC 9212 provides a broader picture of the facility's financial position.