OHSU

Accounting

The Hospital Accounting team oversees the Hospital and Clinics accounting services including financial close, financial reporting, fixed assets, chart of account maintenance, facility use fees, fiscal authority assignments, intra-institutional transfers and external billings.

Summary of Services

  • Generate Hospital financial statements (P&L, Balance Sheet and Cashflow)
  • Manage journal entry transactions, month-end close process
  • Oversee Hospital Capital budgeting and reporting
  • Manage Internal Arrangements (IA)
  • Submit external surveys
  • Generate Facility and Resource use fee billings (FUF/RUF)
  • Maintain miscellaneous (nonpatient revenue) contract billings
  • Fixed asset/depreciation analysis
  • Coordinate Hospital segment of the OHSU annual audit

GL Financials

Drill Down/Forecasting Report

The drill down and forecasting report is an interactive report that allows users to "drill" into the invoice and personnel level for all GL expenses associated with a specific org. In addition, users can "forecast" future month activity to predict how their department will finish financially for the year.

Adjusting/Moving Expenses

For situations that require moving expenses from one account to another, departments must submit a completed JE form to HFS with the appropriate fiscal authority and supporting documentation.

Financial Close Schedule

Capital

The HFS capital budgeting and reporting team is responsible for managing the annual budget process, reporting monthly capital expenses and tracking project ROI performance after the investment is made.

Capital Budgeting

Once a year the Hospital undergoes capital budgeting. Departments are responsible for issuing requests via department Directors and Administrators for final approval before submitting business plans to HFS.

Once a capital project is approved, the Hospital will issue a notification to the department that funds have been allocated for their acquisition. There are four types of capital funds that the Hospital allocates on an annual basis.

  • Strategic

Capital equipment or projects greater than $200k.  These projects are reviewed and approved once a year at the capital council.

  • Replacement

Replacing old equipment is an important part of maintaining OHSU's commitment to providing safe and quality patient care.  To address these needs, clinical technology services, in connection with hospital departments will identify appropriate replacement needs for the coming fiscal year.

  • Discretionary

Each Hospital Administrator is granted a discretionary capital budget for generic capital purchase throughout the year.

 

These funds are allocated and approved by individual Administrators.

  • Contingency

Contingency dollars can be used for significant capital purchases that are highly needed or are for emergencies. Contingency requests are approved through a voting process within the Hospital Administrative team.

Forms/Policies

Internal Arrangements (IA)

An Internal Operating Arrangement is an agreement documenting the transfer of funds between OHSU Hospitals/Clinics and University Schools and Departments.

The Hospital support has the following categories:

  • Medical Directorships – Funding support to a specific physician who is serving a leadership role with responsibilities and objectives.
  • Salary is based on the most recent MGMA Report median amounts plus a 3% inflation for the current year (Table 3 for Medical Directors)
    (Table 7D/7E for Division Chief/Department Chair)
  • Clinical Care – This is funding to cover under-reimbursed services provided by physicians and mid-level providers at the request of the hospital to ensure comprehensive care and coverage.
  • Billing Agreement – These are agreements whereby the hospital is acting as a billing service on behalf of the department.
  • Recruitment Support – These are specific commitments to support new faculty as they begin their employment with OHSU.
  • Mission Support  - Funds provided to departments to support the broader mission of healing, teaching and discovery.

The following documents provide supplemental information regarding terminations, renewals, flowcharts and fund transfers.

Facility and Resource Use Fee (FUF/RUF)

FUF/RUF is a term used to describe the billing of clinical staff, supplies and space to OHSU providers for their utilization of Hospital resources.  FUF/RUF is billed monthly at full cost and is prorated to account for residents and other hospital based billing services.

FUF/RUF invoice example ("Sample Invoice.pdf")

Accounting Contacts

  • Jon Loomis, Manager: 4.4767
  • Scott Harvey, Assistant Director: 4.6733
  • Capital Questions - Tammy Fortin: 4.1041
  • FUF/RUF - Jodi Hoeft: 4.8479
  • GL Financial Team - Amy Honigberg: 4.1281 or Jodi Hoeft: 4.8479
  • Internal Arrangements - Alishia Goforth: 4.6164 or Brian Steensma: 4.4759