Title: Section 444.2 - Unrestricted Fund assets
444.2 UNRESTRICTED FUND ASSETS. (3110)
(a) CURRENT ASSETS. (3111)
(1) 1010 CASH
1011 General Checking Accounts
1012 Payroll Checking Accounts
1013 Other Checking Accounts
1014 Imprest Cash Funds
1015 Savings Account
1016 Certificates of Deposit
1019 Other Cash Accounts
These cash accounts represent the amount of cash on deposit in banks and immediately available for use in financing Unrestricted Fund activities, amounts on hand for minor disbursements, and amounts invested in savings accounts and certificates of deposit.
(2) 1020 INVESTMENTS
1021 U.S. Government Securities
1022 Other Current Investments
1023 Share of Pooled Investments
1029 Other Investments
Current securities and investments, evidenced by certificates of ownership or indebtedness, must be reflected in these accounts.
(3) 1030 ACCOUNTS AND NOTES RECEIVABLES
1031 Inpatient Receivables--Inhouse
1032 Inpatient Receivables--Discharged and Unbilled
1033 Inpatient Receivables--Medicare
1034 Inpatient Receivables--Medicaid
1035 Inpatient Receivables--Other
1036 Outpatient Receivables--Unbilled
1037 Outpatient Receivables--Medicare
1038 Outpatient Receivables--Medicaid
1039 Outpatient Receivables--Other
(i) These accounts shall reflect the amounts due from hospital patients and their third-party sponsors.
(ii) Separate accounts may be maintained for different levels of inpatient care (i.e., Acute and Intensive, Skilled Nursing, etc.) and outpatient care (i.e., Emergency Room, Clinic) and for different payors, if desired. This may be accomplished by the inclusion of digits to the right of the decimal point.
(iii) Notes receivable and accounts receivable may also be segregated, but there is usually little to be gained from this practice, as the amount of notes receivable will usually be nominal.
(iv) 1031 Inpatient Receivables--Inhouse
This account shall reflect all charges and credits (at the hospital's full established rates) for medical services rendered to patients still in hospital.
(v) 1032 Inpatient Receivables--Discharged and Unbilled
This account shall reflect all charges and credits (at the hospital's full established rates) for medical services rendered to patients who have been discharged but not yet billed.
(vi) 1033 Inpatient Receivables--Medicare--Discharged and Billed
This account should be used only if the hospital is not on the Periodic Interim Payment Program. The balance in this account reflects all unpaid charges billed to the Medicare intermediary. Direct billings to the Medicare inpatient (or to Medicaid) for deductibles, coinsurance, and other patient-chargeable items would also be included in this account if such billings were not included in Inpatient Receivables--Other (or Inpatient Receivables--Medicaid).
(vii) 1034 Inpatient Receivables--Medicaid--Discharged and Billed
The balance in this account reflects all unpaid charges billed to Medicaid. Direct billings to the Medicaid inpatient (or to the Medicare intermediary) for deductibles, coinsurance, other patient-chargeable items and items under "Part B" Medicare coverage would also be included in this account if such billings were not included in Inpatient Receivables--Other (or Inpatient Receivables--Medicare).
(viii) 1035 Inpatient Receivables--Other--Discharged and Billed
Include in this account all unpaid billings for medical services and supplies provided to all non-Medicare, non-Medicaid inpatients. Direct billings to Medicare and Medicaid inpatients for deductibles, coinsurance, and other patient-chargeable items may also be included if they are not included elsewhere.
(ix) 1036 Outpatient Receivables--Unbilled
This account reflects all unbilled charges and credits (at the hospital's full established rates) for medical services rendered to outpatients.
(x) 1037 Outpatient Receivables--Medicare
The balance in this account reflects all unpaid charges billed to the Medicare intermediary. Direct billings to the Medicare outpatient (or to Medicaid) for deductibles, coinsurance, and other patient-chargeable items would also be included in this account if such billings were not included in Outpatient Receivables--Other (or Outpatient Receivables--Medicaid).
(xi) 1038 Outpatient Receivables--Medicaid
The balance in this account reflects all unpaid charges billed to Medicaid. Direct billings to the Medicaid outpatient (or to the Medicare intermediary) for deductibles, coinsurance, other patient-chargeable items, and "Part B" coverage, would also be included in this account if such billings are not included in Outpatient Receivables--Other (or Outpatient Receivables--Medicare). (xii) 1039 Outpatient Receivables--Other
Include in this account all unpaid billings for medical services and supplies provided to all non-Medicare, non-Medicaid outpatients. Direct billings to Medicare and Medicaid outpatients for deductibles, coinsurance, and other patient-chargeable items may also be included if they are not included elsewhere.
(4) 1040 ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES AND THIRD-PARTY CONTRACTUALS
1041 Allowance for Bad Debts
1042 Allowance for Contractual Adjustments--Medicare
1043 Allowance for Contractual Adjustments--Medicaid
1047 Allowance for Contractual Adjustments--Other
1049 Allowance for Other Adjustments
These are valuation (or contra-asset) accounts whose credit balances represent the estimated amount of uncollectible receivables from patients and third-party payors. For details on the computation of the related deductions from revenue, see the account descriptions of the Deductions from Revenue accounts.
(5) 1050 RECEIVABLES FROM THIRD-PARTY PAYORS
(i) 1051 PIP Clearing Account
During the year, this account reflects the difference between amounts billed to the Medicare intermediary for applicable services rendered, and periodic interim payments received from the Medicare intermediary. At year-end, this account must be closed out, with the balance going to the account entitled Contractual Adjustment--Medicare.
1052 Other Receivables--Third-Party Cost Report
1053 Other Receivables--Third-Party Cost Report
1059 Other Receivables--Third-Party Cost Report
(ii) The balance of this account reflects the amount due from third-party reimbursement programs based upon cost reports submitted and/or audited. Subaccounts may be maintained for each year's settlement if more than one year's settlement is included in an account.
(6) 1060 PLEDGES AND OTHER RECEIVABLES
1061 Pledges Receivable
1062 Allowance for Uncollectible Pledges
1063 Grants and Legacies Receivable
1064 Interest Receivable
1065 Accounts and Notes Receivable--Staff, Employees, etc.
1066 Intercompany Advances, Current
1069 Other Receivables
These accounts reflect other amounts due to the Operating Fund for other than patient services.
(7) 1070 DUE FROM OTHER FUNDS
1072 Due from Board-Designated Assets
1073 Due from Plant Replacement and Expansion Fund
1074 Due from Specific Purpose Fund
1075 Due from Endowment Fund
The balances in these accounts reflect the amounts due from designated assets or restricted funds to the Operating Fund. The balance of these accounts should not be construed as a receivable in the sense that a claim external to the hospital exists. Instead, this balance should be viewed as representing assets of the Operating Fund which are currently accounted for as restricted funds.
(8) 1080 INVENTORY
1081 Inventory--General Stores
1083 Inventory--Central Services and Supplies
1085 Inventory--Plant Operating and Maintenance
These balances reflect the cost of unused hospital supplies. Any generally accepted cost method (e.g., FIFO, LIFO, etc.) may be used as long as it is consistent with that of the preceding accounting period. The extent of inventory control and detailed recordkeeping will depend upon the size and organizational complexity of the hospital.
(9) 1090 PREPAID EXPENSES AND OTHER CURRENT ASSETS
1091 Prepaid Insurance
1092 Prepaid Interest
1093 Prepaid Rent
1094 Prepaid Pension Plan Expense
1095 Prepaid Taxes
1096 Prepaid Service Contracts
1097 Other Prepaid Expenses
1099 Other Current Assets
These prepaid asset and other current asset accounts represent costs incurred which are properly chargeable to a future accounting period. Other current assets not included elsewhere are also contained in these accounts.
(b) BOARD DESIGNATED ASSETS. (3112)
(1) 1110 CASH
1111 General Checking Accounts
1113 Other Checking Accounts
1115 Savings Accounts
1116 Certificates of Deposit
1119 Other Cash Accounts
(2) 1120 INVESTMENTS
1121 U.S. Government Securities
1122 Other Current Investments
1123 Share of Pooled Investments
1129 Other Investments
(3) 1160 PLEDGES AND OTHER RECEIVABLES
1161 Pledges Receivable
1162 Allowance for Uncollectible Pledges
1163 Grants and Legacies Receivable
1169 Other Receivables
(4) 1170 DUE FROM OTHER FUNDS
1173 Due from Plant Replacement and Expansion Fund
1174 Due from Specific Purpose Fund 1175 Due from Endowment Fund
(5) 1190 PREPAID EXPENSES AND OTHER CURRENT ASSETS
1199 Other Current Assets
(6) Included in these accounts are assets which have been designated (or appropriated) by the governing board for special use.
(c) PROPERTY, PLANT AND EQUIPMENT. (3113)
(1) 1200 LAND
The balance of this account reflects the cost of land used in hospital operations. Included here is the cost of offsite sewer and water lines, public utility charges for servicing the land, governmental assessments for street paving and sewers, the cost of permanent roadways and of grading of a nondepreciable nature, the cost of curbs and of sidewalks whose replacement is not the responsibility of the hospital, as well as other land expenditures of a nondepreciable nature. Unlike buildings and equipment, land does not deteriorate with use or with the passage of time; therefore, no depreciation is accumulated.
(2) 1210 LAND IMPROVEMENTS
1211 Parking Lots
1219 Other Land Improvements
All land expenditures of a depreciable nature that are used in hospital operations are charged to this account. This would include the cost of onsite sewer and water lines; paving of roadways, parking lots, curbs and sidewalks (if replacement is the responsibility of the hospital), as well as the cost of shrubbery, fences and walls.
(3) 1220 BUILDINGS
1225 Student Housing Facility
1226 Employee Housing Faculty
1227 Non-Paid Workers Housing Facility
1228 Skilled Nursing Facility
1229 Parking Structure
The cost of all buildings and subsequent additions used in hospital operations shall be charged to this account. Included are all architectural, consulting and legal fees related to the acquisition or construction of buildings. Interest paid during construction financing is a cost of the building and is included in this account.
(4) 1230 FIXED EQUIPMENT
1235 Student Housing Facility
1236 Employee Housing Facility
1237 Non-Paid Workers Housing Facility
1238 Skilled Nursing Facility
1239 Parking Structure
(i) The cost of all fixed equipment used in hospital operations shall be charged to this account. Fixed equipment has the following general characteristics:
Affixed to the building, not subject to transfer or removal.
A life of two or more years, but less than that of the building to which it is affixed.
Used in hospital operations.
(ii) Fixed equipment includes such items as boilers, generators, elevators, engines, pumps and refrigeration machinery, including the plumbing, wiring, etc. necessary for equipment operations.
(5) 1240 LEASEHOLD IMPROVEMENTS
All expenditures for the improvement of a leasehold used in hospital operations shall be charged to this account.
(6) 1250 EQUIPMENT
(i) 1251 Major Movable Equipment
Equipment to be charged to this account has the following general characteristics:
Ability to be moved, as distinguished from fixed equipment.
A more or less fixed location in the building.
A unit cost large enough to justify the expense incident to control by means of an equipment ledger.
Sufficient individuality and size to make control feasible by means of identification tags.
A minimum useful life at time of acquisition of three years or more.
Used in hospital operations.
Major movable equipment includes such items as automobiles and trucks, desks, beds, chairs, accounting machines, sterilizers, operating tables, oxygen tents and X-ray apparatus.
(ii) 1259 Minor Movable Equipment
Equipment to be charged to this account has the following general characteristics:
Location generally not fixed; subject to requisition or use by various cost centers of the hospital.
Relatively small in size and unit cost.
Subject to storeroom control.
Fairly large number in use.
A useful life of less than three years.
Used in hospital operations.
Minor equipment includes such items as wastebaskets, bedpans, basins, glassware, silverware, pots and pans, sheets, blankets, ladders, and surgical instruments.
(7) 1260 CONSTRUCTION-IN-PROGRESS
1262 Fixed Equipment
1263 Major Movable Equipment
Cost of construction that will be in progress for more than one month and will be used for hospital operations should be charged to these accounts. Upon completion of the construction program, these accounts should be credited and the appropriate asset account(s) debited.
(8) 1270 ACCUMULATED DEPRECIATION--LAND IMPROVEMENTS
1271 Parking Lots 1279 Other Land Improvement s
(9) 1280 ACCUMULATED DEPRECIATION--BUILDINGS
1285 Student Housing Facility
1286 Employee Housing Facility
1287 Non-Paid Workers Housing Facility
1288 Skilled Nursing Facility
1289 Parking Structure
(10) 1290 ACCUMULATED DEPRECIATION--FIXED EQUIPMENT
1295 Student Housing Facility
1296 Employee Housing Facility
1297 Non-Paid Workers Housing Facility
1298 Skilled Nursing Facility
1299 Parking Structure
(11) 1310 ACCUMULATED DEPRECIATION--LEASEHOLD IMPROVEMENTS
(12) 1320 ACCUMULATED DEPRECIATION--EQUIPMENT
1321 Major Movable Equipment
1329 Minor Movable Equipment
(13) The balances in accounts 1270 through 1329 reflect the depreciation accumulated on the above-mentioned assets used in hospital operations.
(d) OTHER TANGIBLE ASSETS. (3114)
(1) 1330 INVESTMENT IN NON-OPERATING PROPERTY,
PLANT AND EQUIPMENT
(2) 1340 ACCUMULATED DEPRECIATION--INVESTMENTS IN
NONOPERATING PROPERTY, PLANT AND EQUIPMENT
(3) 1350 OTHER TANGIBLE ASSETS
1351 Intercompany Advances, Non-Current
(4) Accounts 1330 and 1340 include the cost (or fair market value at date of donation) of property, plant and equipment not used in hospital operations and accumulated depreciation thereon. Other tangible assets not included elsewhere are contained in account 1350.
(e) INTANGIBLE ASSETS. (3115)
(1) 1360 GOODWILL
(2) 1370 UNAMORTIZED BORROWING COSTS
(3) 1380 PREOPENING AND OTHER ORGANIZATIONAL COSTS
1381 Preopening Costs
1389 Other Organization Costs
(4) 1390 OTHER INTANGIBLE ASSETS
(5) Accounts 1360-1390 are used to record intangible assets. If such intangibles are being amortized, the amortization may be directly credited to the asset account, or accumulated in a subaccount. Account 1360, Goodwill, contains the excess of the price paid for a business as a whole over the book value, or over the computer or agreed value of all tangible net assets purchased. Account 1370, Unamortized Borrowing Costs, includes such items as legal fees, underwriting fees, etc.
VOLUME C (Title 10)