Worksheet G
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FORM CMS-2552-10
INSTRUCTIONS AS PUBLISHED IN CMS PUB. 15-II, , REV 1
MEDICAL UNIVERSITY OF SOUTH CAROLINA - CHARLESTON, SC
Cost report status - As Submitted
[Record Code 741780 - 2010]
The data in this report have been replaced because you do not own it or are not logged in.
| BALANCE SHEET | Provider CCN: 420004 | PERIOD: FROM 07/01/2021 TO 06/30/2022 |
WORKSHEET G | |||
| (If you are nonproprietary and do not maintain fund-type accounting records, complete the General Fund column only) | ||||||
Assets (Omit cents) |
General Fund |
Specific Purpose Fund |
Endowment Fund |
Plant Fund |
||
| 1 | 2 | 3 | 4 | |||
| CURRENT ASSETS | ||||||
| 1 | Cash on hand and in banks | ### | 1 | |||
| 2 | Temporary investments | 2 | ||||
| 3 | Notes receivable | 3 | ||||
| 4 | Accounts receivable | ### | 4 | |||
| 5 | Other receivables | ### | 5 | |||
| 6 | Allowances for uncollectible notes and accounts receivable | ### | 6 | |||
| 7 | Inventory | ### | 7 | |||
| 8 | Prepaid expenses | ### | 8 | |||
| 9 | Other current assets | ### | 9 | |||
| 10 | Due from other funds | ### | 10 | |||
| 11 | Total current assets (sum of lines 1 through 10) | ### | 11 | |||
| FIXED ASSETS | ||||||
| 12 | Land | ### | 12 | |||
| 13 | Land improvements | ### | 13 | |||
| 14 | Accumulated depreciation | ### | 14 | |||
| 15 | Buildings | ### | 15 | |||
| 16 | Accumulated depreciation | ### | 16 | |||
| 17 | Leasehold improvements | ### | 17 | |||
| 18 | Accumulated depreciation | ### | 18 | |||
| 19 | Fixed equipment | ### | 19 | |||
| 20 | Accumulated depreciation | ### | 20 | |||
| 21 | Automobiles and trucks | ### | 21 | |||
| 22 | Accumulated depreciation | ### | 22 | |||
| 23 | Major movable equipment | ### | 23 | |||
| 24 | Accumulated depreciation | ### | 24 | |||
| 25 | Minor equipment depreciable | 25 | ||||
| 26 | Accumulated depreciation | 26 | ||||
| 27 | HIT designated Assets | 27 | ||||
| 28 | Accumulated depreciation | 28 | ||||
| 29 | Minor equipment-nondepreciable | 29 | ||||
| 30 | Total fixed assets (sum of lines 12 through 29) | ### | 30 | |||
| OTHER ASSETS | ||||||
| 31 | Investments | ### | 31 | |||
| 32 | Deposits on leases | 32 | ||||
| 33 | Due from owners/officers | 33 | ||||
| 34 | Other assets | ### | 34 | |||
| 35 | Total other assets (sum of lines 31 through 34) | ### | 35 | |||
| 36 | Total assets (sum of lines 11, 30, and 35) | ### | 36 | |||
| Liabilities and Fund Balances (Omit cents) | ||||||
| CURRENT LIABILITIES | ||||||
| 37 | Accounts payable | ### | 37 | |||
| 38 | Salaries, wages, and fees payable | ### | 38 | |||
| 39 | Payroll taxes payable | 39 | ||||
| 40 | Notes and loans payable (short term) | ### | 40 | |||
| 41 | Deferred income | ### | 41 | |||
| 42 | Accelerated payments | 42 | ||||
| 43 | Due to other funds | ### | 43 | |||
| 44 | Other current liabilities | ### | 44 | |||
| 45 | Total current liabilities (sum of lines 37 thru 44) | ### | 45 | |||
| LONG TERM LIABILITIES | ||||||
| 46 | Mortgage payable | 46 | ||||
| 47 | Notes payable | 47 | ||||
| 48 | Unsecured loans | 48 | ||||
| 49 | Other long term liabilities | ### | 49 | |||
| 50 | Total long term liabilities (sum of lines 46 thru 49) | ### | 50 | |||
| 51 | Total liabilities (sum of lines 45 and 50) | ### | 51 | |||
| CAPITAL ACCOUNTS | ||||||
| 52 | General fund balance | ### | 52 | |||
| 53 | Specific purpose fund | 53 | ||||
| 54 | Donor created - endowment fund balance - restricted | 54 | ||||
| 55 | Donor created - endowment fund balance - unrestricted | 55 | ||||
| 56 | Governing body created - endowment fund balance | 56 | ||||
| 57 | Plant fund balance - invested in plant | 57 | ||||
| 58 | Plant fund balance - reserve for plant improvement, replacement, and expansion | 58 | ||||
| 59 | Total fund balances (sum of lines 52 thru 58) | ### | 59 | |||
| 60 | Total liabilities and fund balances (sum of lines 51 and 59) | ### | 60 | |||
| FORM CMS-2552-10 (03-2023) (INSTRUCTIONS FOR THIS WORKSHEET ARE PUBLISHED IN CMS PUB. 15-II, SECTION 4040) | ||||||
| 02-24 | Rev. 22 | |||||