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Of Reporting Forms 4010 Instructions for Completing Forms 4020 General Page 10.2 4020.1 Adjustments to Trial Balance Expenses for Other Revenue Offset 4020.2 Pages 10.3 & 10.4 Adjustments to Trial Balance Expenses (Medi-Cal Providers) 4020.3 Page 10.1 Expense Trial Balance Worksheet 4020.4 Page 4.1 Facility Patient Days by Payer 4020.5 Page 4.2 Facility Revenue Information 4020.6 Page 4.3 Other Census and Revenue Information 4020.7 Page 11 Allocation of Indirect Costs to D.

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