(a)
Depreciation on capital assets used to provide compensable services to Medical
Assistance recipients, including assets for normal, standby, or emergency use,
is an allowable cost.
(b) Except as
specified in subsections (c) and (d), a facility will be reimbursed for
allowable depreciation costs only if the facility is the recorded holder of
legal title.
(c) Facilities which
participated in the Medical Assistance Program prior to July 1, 1983 which are
not part of a related organization and which are not the recorded holder of
legal title to the facility, are considered to meet the recorded holder of
legal title requirement, and, therefore, will be reimbursed for allowable
depreciation on a particular project, if, at the time services were rendered,
the following existed:
(1) The particular
project was wholly funded through an Industrial Development Authority bond
issue.
(2) The facility provided
the Department with all documents relating to ownership and financial
obligations relating to the facility.
(3) The facility met the standards of HIM-15,
Section 110-B, with respect to virtual purchases.
(d) Facilities which participated in the
Medical Assistance Program prior to July 1, 1983, which are part of a related
organization and which are not the recorded holder of legal title to the
facility, are considered to meet the recorded holder of legal title
requirement, and, therefore, will be reimbursed for allowable depreciation on a
particular project, if, at the time services were rendered, the following
existed:
(1) The particular project was wholly
funded through an Industrial Development Authority bond issue.
(2) The facility was a related organization
to a corporation, person, or company which, if it operated the facility, could
qualify for reimbursement for allowable depreciation costs under subsection
(c).
(3) All of the documentation
necessary to substantiate that the facility meets the requirements of
subsection (c) and documentation and statement of the fact that the two
entities are related organizations were supplied to the Department.
(4) The related organization agreed in
writing as required by the Department that it and its successors will be
responsible for any overpayment which the Department is unable to collect
directly from the facility.
(e) The straight-line method of depreciation
shall be used. Accelerated methods of depreciation shall not be acceptable. The
amount of annual depreciation shall be determined by first reducing the cost of
the asset by any salvage value and then dividing by the number of years of
useful life of the asset. The useful life may be shorter than the physical life
depending upon the usefulness of the particular asset to the provider. A useful
life may not be less than the relevant useful life published by the Internal
Revenue Service or the Uniform Chart of Accounts and Definitions for Hospitals
published by the American Hospital Association for the particular asset on
which the depreciation is claimed. However, the accelerated cost recovery
system under
168(c) of the Internal
Revenue Code (26 U.S.C.A. §
168(c)) and any other
accelerated lifing systems shall not be permitted.
(f) Depreciation expense for the year of
acquisition and the year of disposal can be computed by using either the
half-year or actual time method of accounting. In no instance may the number of
months of depreciation expense exceed the number of months that the asset was
in service. If the first year of operation is less than 12 months, depreciation
is allowed only for the actual number of months in the first year of
operation.
(g) The method and
procedure, including the assigned useful lives, for computing depreciation
shall be applied from year-to-year on a consistent basis from the date of the
facility's first filed cost report after July 1, 1975, and may not be changed,
even if the facility is purchased as an ongoing operation.
(h) All assets shall be recorded at cost.
Donated assets shall be recorded at the current appraisal value or the lower of
the following if available: the construction cost, the original purchase price
or the donor's original purchase price. Costs incurred during the construction
of an asset, such as architectural, consulting and legal fees, interest, and
fund raising, shall be capitalized as a part of the cost of the asset. When an
asset is acquired by a trade-in, the cost of the new asset is the sum of the
book value of the old asset and any cash or issuance of debt as consideration
paid.
(i) Facilities that previously
did not maintain fixed asset records and did not record depreciation in prior
years shall be entitled to any straight-line depreciation of the remaining
useful life of the asset. The depreciation shall be based on the cost of the
asset at the time of original purchase or construction. No depreciation may be
taken on an asset that would have been fully depreciated if it had been
properly recorded at the time of acquisition.
(j) Depreciation on facilities that have no
fixed asset records and are sold will be recognized to the extent to which the
prior owner would have been entitled to depreciation.
(k) Leasehold improvements shall be
depreciated over the useful life of the asset.
(l) Gains on the sale of fixed or movable
assets are considered to be equal to the salvage value which must be
established prior to the sale of the item. All gains on the sale of fixed and
movable assets will offset the facility's total depreciation expense in the
year that the asset was either sold or retired from service. Losses incurred on
the sale or disposal of fixed or movable assets will not be reimbursed under
the Program.
(m) The cost basis for
depreciable assets is determined as follows:
(1) Except as provided otherwise in this
section, the cost basis of the depreciable assets of a facility that are
acquired as used, shall be computed by the following method:
(i) The lower of the purchase price or the
fair market value shall be established at the time of sale based on the lowest
of two or more bona fide appraisals at the time of sale.
(ii) All depreciation that was taken or could
have been taken by all prior owners shall be subtracted.
(iii) Subsections (r) and (s) establish the
Department's extent of participation in the payment of allowable
depreciation.
(2) The
cost basis for depreciable assets of a facility transferred between related
parties shall be the net book value of the seller at the date of the transfer
as recognized under this subchapter.
(3) The cost basis for depreciable assets of
a facility acquired through stock purchase will remain unchanged from the cost
basis of the previous owner.
(4)
The cost basis for depreciable assets of a facility purchased in types of
transactions other than those specified in paragraphs (1), (2), (3) and (5),
may not exceed the seller's basis under this subchapter, less depreciation that
was taken or could have been taken by all prior owners.
(5) The cost basis for depreciation on an
asset the ownership of which changes on or after July 18, 1984, shall be the
lesser of the remaining allowable cost basis of the asset to the owner of
record on or after July 18, 1984, or, in the case of an asset not in existence
as of that date, the first owner of record of the asset after that date, or the
allowable cost basis to the new owner. The cost basis shall exclude costs,
including legal fees, accounting and administrative costs, travel costs, or the
cost of feasibility studies, attributable to the negotiation or settlement of
the sale or purchase-by acquisition or merger-for which a payment was
previously made under Title XVIII of the Social Security Act (42 U.S.C.A. §§
1395-
1395xx), except as specified in §
1181.65(c)
(relating to cost-finding).
(n) The reasonable cost of depreciation will
be recognized for the construction and renovation of buildings to meet Federal,
State or local laws and building codes for skilled nursing and intermediate
care facilities serving Medical Assistance recipients. These costs will be
recognized as allowable if the facility has either a Certificate of Need or a
letter of nonreviewability for the project from the Department of Health in
accordance with subsection (r)(1) and (2). In accordance with Federal and State
regulations, the facility shall submit to the Department, the Certificate of
Need or letter of nonreviewability, as appropriate, or the provider will not
receive reimbursement for interest on capital indebtedness, depreciation, and
operating expenses.
(o) If the
purchases of a facility or improvements to the facility are financed by tax
exempt bonds, the acquired property, plant or equipment shall be capitalized
and depreciated over the life of the assets. The acquired property, plant or
equipment are the only items that may be capitalized. If the principal amount
of the bond issue was expended in whole or in part on capital assets which fail
to meet the requirements of the subsections (m) and (n) regarding eligibility
for depreciation, the includable depreciation will be proportionately
reduced.
(p) The fixed asset records
shall include:
(1) The depreciation method
used.
(2) A description of the
asset.
(3) The date the asset was
acquired.
(4) The cost of the
asset.
(5) The salvage value of the
asset.
(6) The depreciable
cost.
(7) The estimated useful life
of the asset.
(8) The depreciation
for the year.
(9) The accumulated
depreciation.
(q)
Effective July 1, 1983, for SNF and ICF providers, the funding of depreciation
is recommended so that funds may be available for the acquisition and future
replacement of assets by the facility. To qualify for treatment as a funded
depreciation account, the funds shall be clearly designated in the provider's
records as funded depreciation accounts and shall be maintained in accordance
with the provisions of HIM-15.
(r)
The Department will recognize depreciation as an allowable cost subject to the
following conditions:
(1) Depreciation on new
or additional beds is an allowable cost only if:
(i) The facility was issued either a Section
1122 approval or letter of nonreviewability in accordance with 28 Pa. Code
Chapter 301 (relating to limitation on Federal participation for capital
expenditures) or a Certificate of Need or letter of nonreviewability in
accordance with 28 Pa. Code Chapter 401 (relating to Certificate of Need
Program) for the project by the Department of Health no later than August 31,
1982.
(ii) The facility was issued
a Certificate of Need or letter of nonreviewability under 28 Pa. Code Chapter
401 for the construction of a nursing facility and there was no nursing
facility, including county, private or hospital-based, located within the
county.
(2) The
Department will not recognize depreciation as an allowable cost if the facility
does not substantially implement the project as defined at 28 Pa. Code
§
401.5(m)(3) (relating to Certificate of Need) within the effective period of
the original Section 1122 approval or the original Certificate of
Need.
(3) Depreciation on
replacement beds is an allowable cost only if the facility was issued a
Certificate of Need or a letter of nonreviewability for the project by the
Department of Health.
(s)
After July 1, 1977, allowable depreciation costs for existing, new, renovated
or purchased facilities shall be limited to a maximum construction cost per bed
of $22,000. The actual cost per bed will be based on the total project cost
which includes the cost of land (no depreciation is recognized on land), site
surveys, architectural and engineering fees, supervision, inspection and
overhead, site preparation, construction, fixed equipment, contingencies,
interest during construction and other related costs such as attorney's fees,
recording costs, transfer taxes, mortgage insurance and service charges
including finder's and placement fees. If an existing facility constructs
additional beds or renovates portions of the facility which include supportive
services, such as a dining room, physical therapy room, occupational therapy
room, or maintenance area, the cost of construction of these supportive
services is prorated among both existing and new beds of the facility. A
separate $22,000 per bed limit applies to each construction or renovation
project. The cost of movable equipment is not included in the $22,000 per bed
limit.