NATCHITOCHES MENTAL HEALTH CLINIC NATCHITOCHES, … · 2014-06-20 · Mr. Thomas M. Schulze June...

NATCHITOCHES MENTAL HEALTH CLINIC

NATCHITOCHES, LOUISIANA

ORIGINAL COST STUDY

COMPUTED AS OF JUNE 30, 2013

APPRAISAL SERVICES, INC.

FINANCIAL AND VALUATION CONSULTANTS

ATLANTA • CHICAGO

REPORT LETTER

________________________________________________ ALTANTA CHICAGO

June 15, 2014 State of Louisiana Department of Health and Hospitals Office of the Secretary, Fiscal Department Bienville Building, 5th Floor, 544/Bin #23 628 North 4th Street Baton Rouge, LA 70802 Attention: Mr. Thomas M. Schulze Contract Number: PR00588-32 Gentleman: In accordance with your request, we submit this property record report covering certain assets at

Natchitoches Mental Health Clinic Natchitoches, Louisiana

This report has been prepared as of June 30, 2013 and includes the following location and asset accounts:

Location Location Description

32 Natchitoches Mental Health Clinic

Account Account Description *

450 Land

451 Land Improvements

453 Buildings

455 Building Services

456 Fixed Equipment

457 Major Movable Equipment

461 Autos and Trucks

*All accounts might not be used

in this report

Appraisal Services, Inc.

7035 N. Keeler Avenue Suite 100 Lincolnwood, Illinois 60712 Voice: 847-840-8025 Fax: 847-983-8029 [email protected] www.LTAnnum.com

Mr. Thomas M. Schulze June 15, 2014 Louisiana Department of Health and Hospitals Page 2

This report has been prepared for property record purposes and the computation of depreciation based on original cost. With respect to the property record, original cost, and the computations made, the report is based on your June 30, 2012 report and the report of changes by you to June 30, 2013. These changes were incorporated into the June 30, 2012 property record and the enclosed represents a property record as of June 30, 2013. The source codes used are as follows: Source Codes: LT10 Additions 2010 LT11 Additions 2011 LT12 Additions 2012 LT13 Additions 2013 Depreciation Calculations

Method One – June 30, 2013 Method Two – June 30, 2014 Current Year Projection This report contains all assets acquired through June 30, 2013. All calculations are based on the period beginning July 1, 2012 and ending June 30, 2013. Basis of Calculations All calculations are based on the straight-line method. L. T. Annum calculates straight-line based on unrecovered cost over remaining life. Estimated Lives The estimated lives are those presently in use by the State of Louisiana Department of Health and Hospitals. Estimated lives for the fiscal year additions are based on the estimated life in years as suggested in the American Hospital Association publication “Estimated Useful Lives of Depreciable Hospital Assets”. We have used the AHA Revised 2008 Edition for the June 30, 2013 additions. Salvage Value Salvage value has been considered. In general it has been the practice of the department to exhaust the usefulness of its assets before disposition. As a result, predictable salvage value is negligible and is generally exceeded by the cost of disposition. Occasionally an asset will be disposed of prior to the exhaustion of its usefull life. In these instances, it is anticipated that the department will make the appropriate adjustment at the time such dispositions occur.


Disposals In the section tabbed “Annual Changes”, there is a summary and a detailed listing of reported fiscal year disposals. The calculations for these items are in accord with current department practice of one – half years depreciation in the year acquired, one – half years depreciation in year of disposal. The current year’s depreciation of these disposals should be added to the current year’s depreciation of active file for reporting current expenses. The calculated accumulated depreciation can be used for profit or loss computations. Medicare Requirements In our judgment, the results in this report are determined in conformity of the Medicare regulations and requirements. The report is compiled in sections as follows: Certificate This letter outlining the services performed A reconciliation of original cost (rollforward)

A reconciliation of accumulated depreciation (rollforward) Summary

A summary of depreciation calculations by building within department within account within location, totaled account for June 30, 2013 and Projected for June 30, 2014.

Detail

The detail listing contains the detailed active assets supporting the summary, subtotaled by building within department within account within location

Annual Changes

A summary (totaled by building within department within account within location) and a detail listing (totaled by building within department within account within location) of the fiscal additions


A summary (totaled by building within department within account within location) and a detail listing (totaled by building within department within account within location) of the fiscal disposals

A detail listing (totaled by building within department within account within location) of the fiscal adjustments

A detail listing (totaled by building within department within account within location) of the fiscal transfers

We have made no investigation of the title to the assets appraised nor have we investigated any possible existing encumbrances against the assets. A copy of this report and the data from which it was prepared will be retained in our files and are available for inspection upon request. Thank you for this opportunity to be of service. Very truly yours, L. T. ANNUM APPRAISAL SERVICES

Allen Saltzman Sr. Vice President

ORIGINAL COST ROLLFORWARD

STATE OF LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALSNATCHITOCHES MENTAL HEALTH CLINIC, NATCHITOCHES, LOUISIANA

COST ROLLFORWARD ANALYSIS REPORTAS OF JUNE 30, 2013

BEGINNING POST ENDINGACCOUNT BALANCE COST AUDIT TRANSFERS TRANSFERS BALANCENUMBER ACCOUNT NAME 6/30/2012 ADJUSTMENTS ADJUSTMENTS IN OUT DISPOSALS ADDITIONS ROUNDING 6/30/2013

450 LAND 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

451 LAND IMPROVEMENTS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

453 BUILDINGS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

4551 BUILDING SERVICES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

4552 FIXED EQUIPMENT 5,200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5,200.00

457 MAJOR MOVABLE EQUIPMENT 115,352.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 115,352.00

461 AUTOS AND TRUCKS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 120,552.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 120,552.00

L. T. Annum

DEPRECIATION ROLLFORWARD

STATE OF LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALSNATCHITOCHES MENTAL HEALTH CLINIC, NATCHITOCHES, LOUISIANA

DEPRECIATION ROLLFORWARD ANALYSIS REPORT AS OF JUNE 30, 2013

DISPOSALS ACTIVE FILE TOTALBEGINNING POST CURRENT CURRENT CURRENT ENDING NET PROJECTED

ACCOUNT BALANCE COST AUDIT TRANSFERS TRANSFERS ACCUM. YEAR YEAR YEAR BALANCE BOOK DEPRECIATION

NUMBER ACCOUNT NAME 6/30/2012 ADJUSTMENTS ADJUSTMENTS IN OUT DEPRECIATION DEPRECIATION DEPRECIATION DEPRECIATION ROUNDING 6/30/2013 VALUE 6/30/2014

450 LAND 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

451 LAND IMPROVEMENTS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

453 BUILDINGS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

4551 BUILDING SERVICES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

4552 FIXED EQUIPMENT 1,820.00 0.00 0.00 0.00 0.00 0.00 0.00 520.00 520.00 0.00 2,340.00 2,860.00 520.00

457 MAJOR MOVABLE EQUIPMENT 91,091.00 0.00 0.00 0.00 0.00 0.00 0.00 5,400.00 5,400.00 0.00 96,491.00 18,861.00 4,613.00

461 AUTOS AND TRUCKS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 92,911.00 0.00 0.00 0.00 0.00 0.00 0.00 5,920.00 5,920.00 0.00 98,831.00 21,721.00 5,133.00

L. T. Annum

SUMMARY OF DEPRECIATION BY

ACCOUNT/DEPARTMENT

TOTAL BY ACCOUNT/ DEPARTMENT/ BUILDING

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1Page

4 of

Recap of Depreciation By Acct/Dept/Bldg

01-PR00884-32 LOUISIANA-DEPT OF HEALTH & HOSPITALS BATON ROUGE , LA

07/2012 - 06/2013

06/30/2013

07/2013 - 06/2014

33

Accum.

Deprec.

Accum.

Deprec.

Current

Deprec.

N. B. V. Current

Deprec.

N. B. V.Original

Cost

LTAR001

Location: 32 NATCHITOCHES MENTAL HEALTH CLINIC BOOK PROJECTION

Account: 4552 FIXED EQUIPMENT

01 ADMINISTRATIONDept:

520 2,340 520 2,860 5,200

01

2,860 2,340

01 ADMINISTRATION 520 2,340 520 2,860 5,200Total Dept: 2,860 2,340

Total Account: 4552 FIXED EQUIPMENT 520 2,340 520 2,860 5,200 2,860 2,340

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07/2012 - 06/2013

06/30/2013

07/2013 - 06/2014

33

Accum.

Deprec.

Accum.

Deprec.

Current

Deprec.

N. B. V. Current

Deprec.

N. B. V.Original

Cost

LTAR001


Account: 457 MAJOR MOVEABLE EQUIPMENT

01 ADMINISTRATIONDept:

1,488 66,362 1,488 67,850 71,570

01

5,208 3,720

01 ADMINISTRATION 1,488 66,362 1,488 67,850 71,570Total Dept: 5,208 3,720

30ADept:

0 3,101 0 3,101 3,101

01

0 0

0 9,424 0 9,424 9,424

MSF

0 0

30A 0 12,525 0 12,525 12,525Total Dept: 0 0

3319174Dept:

3,912 17,604 3,125 20,729 31,257 13,653 10,528

3319174 3,912 17,604 3,125 20,729 31,257Total Dept: 13,653 10,528

Total Account: 457 MAJOR MOVEABLE EQUIPMENT 5,400 96,491 4,613 101,104 115,352 18,861 14,248

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07/2012 - 06/2013

06/30/2013

07/2013 - 06/2014

33

Accum.

Deprec.

Accum.

Deprec.

Current

Deprec.

N. B. V. Current

Deprec.

N. B. V.Original

Cost

LTAR001


Total Location: NATCHITOCHES MENTAL HEALTH CLINIC32 5,920 98,831 5,133 103,964 120,552 21,721 16,588

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07/2012 - 06/2013

06/30/2013

07/2013 - 06/2014

33

Accum.

Deprec.

Accum.

Deprec.

Current

Deprec.

N. B. V. Current

Deprec.

N. B. V.Original

Cost

LTAR001

BOOK PROJECTION

16,588 21,721Grand Total: 5,920 98,831 5,133 103,964 120,552

Breakdown by depreciation method

Straight Line:

SYD:

Declining Balance:

120,552 120,552 5,920 98,831 5,133 103,964

Original

Cost

Current

Depr.

Accum.

Depr.

Original

Cost

Current

Depr.

Accum

Depr.

Undefined:

MCRS/ACRS%:

DETAIL LISTING

05/27/2014

QtyTag # DescriptionItem # SC

DC Life St.Date Curr. Accum.


FIXED EQUIPMENTAcct:

ADMINISTRATIONDept:

12:09:56PM

EquipMfgr. BOOK

Accum. Curr. St.DateLifeDC

PROJECTION

01

4552

32

Model # Serial #

01-PR00884-32 LOUISIANA-DEPT OF HEALTH & HOSPITALS BATON ROUGE , LA 06/30/2013

07/2012 - 06/2013 07/2013 - 06/2014

33

LTAD001

Loc:

Page 1 of 7

Bldg:

Floor:

Room:

01

Acq.

Date

Original

Cost

Detail Depreciation Report (St Date)

Building: 01

Room:Floor:

2860 520 2340 520 10 520006/2009L10 1 3933 101/2009 1/2009UTILITIES UPGRADE

Total Building: 01 5200 520 2340 520 2860

Total Department: ADMINISTRATION01 5200 520 2340 520 2860

Total Account: FIXED EQUIPMENT 5200 520 2340 520 28604552

05/27/2014




MAJOR MOVEABLE EQUIPMENTAcct:

ADMINISTRATIONDept:

12:09:56PM

EquipMfgr. BOOK


PROJECTION

01

457

32

Model # Serial #


07/2012 - 06/2013 07/2013 - 06/2014

33

LTAD001

Loc:

Page 2 of 7

Bldg:

Floor:

Room:

01

Acq.

Date

Original

Cost


Building: 01

Room:Floor:

3720 1488 2232 1488 5 744004/2012L12 1 000570 3941 51/2012 1/2012PTC SERVER

SN-6W29Z91

Room:01Floor:

510 510 10 51006/1965FD 1 000011 2946 101/1965 1/1965TW 16IN IBM 4520961

620 620 5 62001/1985FDIBM 185000001 2947 51/1985 1/1985TW WHEELWRITER

MD-6746/001 SN-0021997

620 620 5 62001/1985FDIBM 185000002 2948 51/1985 1/1985TW WHEELWRITER

MD-6746/001 SN-0058679

1525 1525 5 152501/1991FDPANASONIC 191000001 2950 51/1991 1/1991FAX MACHINE

MD-UF-260 SN-UNLISTED

6389 6389 15 638901/1995INDIANA 1095000001 2951 151/1995 1/1995EXECUTIVE DESKS

MD-4514-30

780 780 12 78001/1995FDCHROMCRAFT 195000002 2952 121/1995 1/1995SOFA MODEL L563-503-00

700 700 15 70001/1995INDIANA 195000003 2953 151/1995 1/1995DESK MODEL 4514-72-TWW

1090 1090 15 109001/1995INDIANA 295000004 2954 151/1995 1/1995CONFERENCE TABLES

MD-11-9642T

2300 2300 15 230001/1995INDIANA 495000005 2955 151/1995 1/1995CREDENZAS MODEL 45-252-66TWW

1524 1524 5 152401/1995FD 195000006 2956 51/1995 1/1995DICTAPHONE W/TERMINAL

MD-3926 SN-177680

1524 1524 5 152401/1995FD 195000007 2957 51/1995 1/1995DICTAPHONE W/TERMINAL

MD-3920 SN-177681

681 681 10 68101/1995FDKENMORE 195000008 2958 101/1995 1/1995REFRIGERATOR

MD-63161

3949 3949 5 394901/1995FDCPM 195000009 2959 51/1995 1/1995COPIER W/ACCESSORIES

MD-SF2022N SN-46208782

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ADMINISTRATIONDept:

12:09:56PM

EquipMfgr. BOOK


PROJECTION

01

457

32

Model # Serial #


07/2012 - 06/2013 07/2013 - 06/2014

33

LTAD001

Loc:

Page 3 of 7

Bldg:

Floor:

Room:

01

01

Acq.

Date

Original

Cost


1292 1292 5 129201/1995FDHEWLETT-PACKAR

D

195000010 2960 51/1995 1/1995LASERJET PRINTER

MD-LJ4 SN-USTB061937


D


MD-LJ4 SN-JPBD020487


D


MD-LJ4 SN-JPBD015749


D


MD-LJ4 SN-JPBK132891


D


MD-LJ4 SN-JPBG127604

5731 5731 5 573101/1995FDBOBCAT 195000015 2965 51/1995 1/1995COMPUTER W/UPGRADES

MD-486DX266

1614 1614 5 161401/1995FDBOBCAT 195000016 2966 51/1995 1/1995COMPUTER W/UPGRADES

MD-486SX/33

9684 9684 5 968401/1995FDBOBCAT 695000017 2967 51/1995 1/1995COMPUTERS W/UPGRADES S/NS

1200433-1200438

MD-486SX/33

3228 3228 5 322801/1995FDBOBCAT 295000018 2968 51/1995 1/1995COMPUTERS W/UPGRADES S/N

1200439-1200440

MD-486SX/33

1138 1138 10 113801/1995FDCORSLEY 295000019 2969 101/1995 1/1995REFRIGERATORS W/ICE MAKERS

MD-CT21X7

555 555 3 55501/1995FDPANASONIC 195000020 2970 31/1995 1/1995FAX MACHINE

MD-UF-128M SN-J310118500

1755 1755 3 175501/1995FDCANON 195000021 2971 31/1995 1/1995FAX MACHINE

MD-L5000 SN-UBV12432

564 564 5 56401/1995FDIBM 195000022 2972 51/1995 1/1995TOKEN RING

MD-74F9410

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ADMINISTRATIONDept:

12:09:56PM

EquipMfgr. BOOK


PROJECTION

01

457

32

Model # Serial #


07/2012 - 06/2013 07/2013 - 06/2014

33

LTAD001

Loc:

Page 4 of 7

Bldg:

Floor:

Room:

01

01

Acq.

Date

Original

Cost


3911 3911 5 391101/1996FDCOMPUADD 396000001 2973 51/1996 1/1996COMPUTERS

MD-80486DX2

997 997 3 99701/1998FD 198000001 2977 31/1998 1/1998SHREDDER BRUTE

MD-400 SN-960980

3140 3140 5 314001/1998FDDELL 198000002 2978 51/1998 1/1998COMPUTER W/ACC

MD-P6300 SN-EJKK3

3141 3141 5 314101/1998FDDELL 198000003 2979 51/1998 1/1998COMPUTER W/ACC

MD-P6300 SN-EJKK7

Total Building: 01 71570 1488 66362 1488 67850

Total Department: ADMINISTRATION01 71570 1488 66362 1488 67850

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Dept:

12:09:56PM

EquipMfgr. BOOK


PROJECTION

30A

457

32

Model # Serial #


07/2012 - 06/2013 07/2013 - 06/2014

33

LTAD001

Loc:

Page 5 of 7

Bldg:

Floor:

Room:

01

01

Acq.

Date

Original

Cost


Building: 01

Room:01Floor:

3101 3101 5 310101/1988FDPANASONIC 188000001 2949 51/1988 1/1988COPIER W/AUTO DEC FEEDER

MD-P1520A SN-D25311160

Total Building: 01 3101 3101 3101

Building: MSF

Room:01Floor:

5554 5554 5 555401/1996FDHP 296000002 2974 51/1996 1/1996LASERJET PRINTERS

MD-C316AAB SN-USBC021285

3870 3870 5 387001/1996FDSHARP 196000004 2976 51/1996 1/1996COMPUTER W/ACCESSORIES

MD-SF2022N

Total Building: MSF 9424 9424 9424

Total Department: 30A 12525 12525 12525

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Dept:

12:09:56PM

EquipMfgr. BOOK


PROJECTION

3319174

457

32

Model # Serial #


07/2012 - 06/2013 07/2013 - 06/2014

33

LTAD001

Loc:

Page 6 of 7

Bldg:

Floor:

Room:

Acq.

Date

Original

Cost


Building:

Room:Floor:

12869 2339 10530 2340 10 2339707/2008BLACKBOX 120903931 3931 101/2009 1/2009TELEPHONE SYSTEM

7860 786 7074 1572 5 786005/2009POLYCOM 120903932 3932 51/2009 1/2009VIDEO SYSTEM

MD-HDX

Total Building: 31257 3912 17604 3125 20729

Total Department: 3319174 31257 3912 17604 3125 20729

Total Account: MAJOR MOVEABLE EQUIPMENT 115352 5400 96491 4613 101104457

Total Location: NATCHITOCHES MENTAL HEALTH CLINIC 120552 5920 98831 5133 10396432

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12:09:56PM

EquipMfgr. BOOK


PROJECTION

Model # Serial #


07/2012 - 06/2013 07/2013 - 06/2014

33

LTAD001

Page 7 of 7

Acq.

Date

Original

Cost


Grand Total: 120552 5920 98831 5133 103964

NATCHITOCHES MENTAL HEALTH CLINIC NATCHITOCHES, … · 2014-06-20 · Mr. Thomas M. Schulze June...

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