Instructions by Table: Table 9E - Other Revenue

Line 1f - School Based Health Centers - has been removed. Funds previously reported on this line are now reported on line 1b - Community Health Center . Line 4 has been removed. Funds previously reported on this line are now reported on line 3 - both lines were for the same purpose.

Table 9E should be completed by all BPHC grantees covered by the UDS. It is included only in the Universal Report. This table collects information on cash receipts for the reporting period that supported activities described in the scope of project(s) covered by any of the four BPHC grant programs. Income received during the reporting period means cash receipts received during the calendar year for a Federally-approved project even if the revenue was accrued during the previous year or was received in advance and considered "unearned revenue" in the center's books on December 31.

BPHC GRANTS

Lines 1a through Line 1e - Enter draw-downs during the reporting period for all BPHC grants in the primary care cluster. These include the four primary care programs included in the UDS. Note that lines 1d and 1f no longer are reported. Amounts should be consistent with the PMS-272 report.

Total Health Center Cluster (Line 1g) - Enter the total of Lines 1a through 1e.

Integrated Services Development Initiative Grants (line 1h) - Enter the amount of the Integrated Services Development Initiative grant dollars drawn down.

Shared Integrated Management Information Systems Grants (line 1i) - Enter the amount of the Shared Integrated Management Information Systems grant dollars drawn down.

Capital Improvement Program Grants (line 1j) - Enter the amount of Capital Improvement Program grant dollars drawn down.

TOTAL BPHC GRANTS (Line 1) - Enter the total of Lines 1g (Total Health Center Cluster), 1h (Integrated Services Development Initiative Grants), 1i (Shared Integrated Management Information Systems Grants), and 1j (Capital Improvement Program Grants). Be sure that all BPHC Section 330 grant funds drawn down during the year are included on line 1. NOTE: The amounts shown on the BPHC Grant Lines should reflect direct funding only. They should not include BPHC funds passed through to you from another BPHC grantee nor should they be reduced by money that you passed through to other centers.

OTHER FEDERAL GRANTS

Ryan White Title III HIV Early Intervention (Line 2) - Enter the amount of the Ryan White Title III funds drawn down in the reporting period. (NOTE: Ryan White Title I, Impacted Area, grants come from County or City governments and are reported on Line 7 (unless they are first sent to a third party in which case the funds are reported on Line 8.) Title II grants come from the state and are reported on Line 6, unless they are first sent to a County or City government (in which case they are reported on Line 7) or to a third party (in which case the funds are reported on Line 8.) SPRANS grants are generally direct Federal grants, and are reported on line 3.

Other Federal Grants (Line 3) - Enter the amount and source of any other Federal grant revenue received during the reporting period which falls within the scope of the project(s). These grants include only those funds received directly by the center from the U.S. Treasury. Do not include Federal funds which are first received by a State or Local government or other agency and then passed on to the grantee such as WIC or Title II Ryan White funds. These are included below on Lines 6 through 8. Grantees are asked to describe the programs so the UDS editor can make sure that the classification of the program as a federal grant is appropriate.

Total Other Federal Grants (Line 5) - Enter the total of Line 2 + Line 3.

NON-FEDERAL GRANTS OR CONTRACTS

State Government Grants and Contracts (Line 6) - Enter the amount of funds received under State government grants or contracts. "Grants and Contracts" are defined as amounts received on a line item or other basis which are not tied to the delivery of services. They do NOT include funds from state/local indigent care programs. When a state or local grant or contract other than an indigent care program pays a grantee based on the amount of health care services provided or on a negotiated fee for service or fee per visit, the charges, collections and allowances are reported on Table 9D as "Other Public" services, not here on Table 9E. Grantees are asked to describe the programs so the UDS editor can make sure that the classification of the program as a state grant is appropriate.

State/Local Indigent Care Programs (Line 6a) - Enter the amount of funds received from state/local indigent care programs that subsidize services rendered to the uninsured (examples include Massachusetts Free Care Pool, New Jersey Uncompensated Care Program, NY Public Goods Pool Funding, California Expanded Access to Primary Care Program, Tobacco Tax programs in Arizona and New Mexico, and the Colorado Indigent Care Program). Grantees are asked to describe the programs so the UDS editor can make sure that the classification of the program as a state/local indigent care program is appropriate.

NOTE : Payments received from state or local indigent care programs subsidizing services rendered to the uninsured should be reported on Line 6a of this table whether on not the actual payment to the grantee is made on a per encounter or visit basis or as a lump sum for services rendered. Patients covered by these programs are reported as uninsured on Table 4 and all of their charges, sliding discounts, and bad debt write-offs are reported on the self-pay line (line 13) on Table 9D. Monies collected from the patients covered by indigent programs should be reported on 9D. However, none of the funds reported on Line 6a of Table 9E are to be reported on Table 9D.

Local Government Grants and Contracts (Line 7) - Report the amount received from local governments during the reporting period that covers costs included in the scope of the grantee's project(s). Grantees are asked to describe the programs so the UDS editor can make sure that the classification of the program as a local grant is appropriate.

Foundation / private Grants and Contracts (Line 8) - Report the amount received during the reporting period that covers costs included within the scope of the project(s). Funds which are transferred from another grantee or another community service provider are considered "private grants and contracts" and included on this line. Grantees are asked to describe the programs so the UDS editor can make sure that the classification of the program as a foundation/private grant is appropriate.

Total Non-Federal Grants and Contracts (Line 9) - Enter the total of Lines 6, 6a, 7, and 8.

Other Revenue (Line 10) - Other Revenue refers to other receipts included in the federally approved scope of project that are not related to charge-based services. This may include fund-raising, interest income, rent from tenants, etc. Grantees are asked to describe these sources so the UDS editor can make sure that the classification of the program as "other revenue" is appropriate. Do NOT enter the value of in-kind or other donations made to the grantee - these are shown only on Table 8A, line 18. Also, DO NOT show the proceeds of any loan received, either for operations or in the form of a mortgage.

Total Revenue (Line 11) - Enter the total of Lines 1, 5, 9, and 10 for total other revenues / income.

Note : Grant funds should always be reported based on the entity that awards them, regardless of their origin. For example, funds awarded by the State for maternal and child health services usually include a mixture of Federal funds such as Title V and State funds. These should be reported as State grants because they are awarded by the State. WIC funds are totally provided by the Federal Department of Agriculture, but are always passed through the state and are reported on Line 6 as state funds.

Questions and Answers for Table 9E

•  Are there any changes to this table?

No. However, in 2006 Line 1f - School Based Health Centers - was removed. Funds previously reported on this line are now reported on line 1b - Community Health Center . Similarly, Line 4 was removed. Funds previously reported on this line are now reported on line 3 - both lines were for the same purpose.

•  Are there any important issues to keep in mind for this table?

This Table collects information on cash receipts for the reporting period that supported activities described in the scope of project covered by any of the four BPHC grant programs. Only cash receipts received during the calendar year should be reported. In the case of a grant, this amount equals the cash amount received during the year not the full award amount unless the full award was paid during the year.

•  How should indigent care funds be reported on the UDS?

Payments received from state or local indigent care programs subsidizing services rendered to the uninsured should be reported on Line 6a of Table 9E whether on not the actual payment to the grantee is made on a per encounter or visit basis or as a lump sum for services rendered. Patients covered by these programs are reported as uninsured on Table 4 and all of their charges, sliding discounts, and bad debt write-offs are reported on the self-pay line (line 13) on Table 9D. Monies collected from the patients covered by indigent programs should be reported on 9D. However, none of the funds reported on Line 6a of Table 9E are to be reported on Table 9D.

TABLE 9E - OTHER REVENUES