Current through Register Vol. 46, No. 39, September 25, 2024
[ 1380 ]
(a)
Classification of fixed asset
expenditures.
[ 1381 ] Property, Plant and Equipment and related
liabilities must be recorded in the Unrestricted Fund, since segregation in a
separate fund would imply the existence of restrictions on the use of the
asset. Cost of construction in progress and related liabilities must be
recorded in the Unrestricted Fund as incurred except for assets and liabilities
related to certain debt agreements.
(b)
Basis of valuation.
[ 1382 ]
(1)
Property, Plant and Equipment must be reported on the basis of cost. Cost shall
be defined as historical cost or fair market value at the date of gift of
donated property.
(2) Property,
Plant and Equipment must be reported on the basis of the historical cost
incurred by the present owner in acquiring the asset under a bona fide sale.
The historical cost shall not exceed the lower of current reproduction cost
adjusted for straight-line depreciation or fair market value at the time of
purchase. See section 104.10 of HIM-15. Cost is defined as historical cost or
fair market value of donated property on the date of acquisition.
(c)
Accounting
control.
[ 1383 ]
(1) To
maintain accounting control over capital assets of the hospital, a plant asset
ledger should be maintained as part of the general accounting records. Some
items of equipment should be treated as individual units within the plant
ledger when their individuality and unit cost justify such treatment. Other
items of equipment, if they are similar and are used in a single cost center,
may be grouped together and treated as a single unit within the
ledger.
(2) All equipment purchased
on or after the first day of a hospital's first accounting period beginning
after the effective date of this manual, and all equipment purchased prior to
such date where the necessary records have been maintained, must be segregated
in the plant ledger record by cost center so that the cost of equipment and the
related depreciation for each cost center is available.
(d)
Capitalization policy.
[ 1384 ]
(1) If
a depreciable asset has at the time of its acquisition an estimated useful life
of three or more years and an historical cost of at least $300, its cost must
be capitalized, and written off ratably over the estimated useful life of the
asset.
(2) If a depreciable asset
has an historical cost of less than $300, or if the asset has a useful life of
less than three years, its costs are recorded in the year it is acquired,
subject to the provisions of writing off the cost of minor movable equipment.
The hospital may, if it desires, establish a capitalization policy with lower
minimum criteria but under no circumstances may the above criteria be exceeded.
Alterations and improvements in excess of $300 which extend the life a minimum
of three years or increase the productivity or efficiency of an asset, as
opposed to repairs and maintenance which either restore the asset to or
maintain it at its normal or expected service life, must be capitalized and
depreciated over their expected useful lives, not to exceed the lives of the
asset to which they are fixed. Normal repair and maintenance costs are to be
reported as expense in the current accounting period.
(3) For cost reporting periods beginning
January 1, 1981 and thereafter, the historical cost limits will be adjusted to
"an historical cost of at least $500 or, if it is acquired in quantity, the
cost of the quantity is at least $1,000". The new $500 limit will also apply to
alterations and improvements. All other principles cited above will continue in
force.
(e)
Minor
equipment.
[ 1385 ]
(1)
Minor equipment includes such items as wastebaskets, bedpans,
silverware, mops, buckets, etc. The general characteristics of this equipment
are:
(i) in general, no fixed location, and
subject to use by various cost centers within a hospital;
(ii) comparatively small in size and unit
cost;
(iii) subject to inventory
control;
(iv) fairly large quantity
in use; and
(v) generally, a useful
life of less than three years.
(2) There are two ways in which the cost of
minor equipment may be reported:
(i) The
original cost of this equipment may be capitalized and not depreciated. Any
replacements to this base stock would be reported as operating expenses. The
amount of the base stock would be adjusted only if there were a significant
change in the size of the base stock.
(ii) All purchases of minor equipment may be
capitalized and depreciated over their estimated useful lives.
(3) Once a hospital has applied
one of the methods, that method must be used consistently thereafter.
(f)
Interest
expense during period of construction.
[ 1386 ] Frequently hospitals borrow funds to construct
new facilities or modernize and expand existing facilities. Interest costs
incurred during the period of construction must be capitalized as a part of the
cost of the construction. The period of construction is considered to extend to
the date the constructed asset is ready for use. When proceeds from a
construction loan are invested and income is derived from such investments
during the construction period, the amount of interest expense to be
capitalized must be reduced by the amount of such income.
(g)
Depreciation policies.
[ 1387 ]
(1)
Depreciation on plant assets used in the hospital's operations must be reported
as an operating expense in the Unrestricted Fund. The straight line method of
depreciation must be used for all assets acquired after July 1970. The
estimated useful life of a depreciable asset is its normal operating or service
life in terms of utility to the hospital. Some factors to be considered in
determining useful life include normal wear and tear, obsolescence due to
normal economic and technological advances, climatic or local conditions and
the hospital's policy for repair and replacement.
(2) In selecting a proper useful life for
computing depreciation, hospitals must utilize the most recent useful life
guidelines published by the Secretary of the Department of Health and Human
Services or, if none exist, the most recent guidelines published by the
Internal Revenue Service or the 1973 guidelines published by the American
Hospital Association. However, with the rapidly changing technology in
hospitals, these recommendations may not be all-inclusive; in which case, the
expertise of the manufacturer, or other reliable sources, may be considered.
Any changes in estimated useful lives must be properly documented by the
hospital and approved by the hospital's Medicare intermediary.
(3) For reporting purposes each hospital must
establish, and follow consistently from year to year, a policy relative to the
amount of depreciation to be taken in the year of acquisition and disposal of
depreciable assets. Examples of acceptable policies are:
(i) Computing first year depreciation based
upon the portion of time the asset was in use during the year. That is, if a
depreciable asset was received and in use in the hospital for eight months in
the year of acquisition, two thirds of a full year's depreciation expense would
be recognized in that first year.
(ii) Recording one half of the yearly
depreciation expense in the years of acquisition and disposal, regardless of
the date of acquisition or disposal.
(4) Depreciation expense reported on
buildings, purchased or constructed, in the year of acquisition or disposal
must be based on the actual time during which the building was in use for
hospital operations.