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- - - - - - - - - - - <br /> ' emorl I HospitalInc. and Subsidiaries <br /> Indian River M p , <br /> Notes to Consolidated Financial Statements <br /> For the Years Ended September 30 , 2002 and 20D1 <br /> rBond Issuance Costs <br /> Bond issuance costs are deferred and amortized to operations over the term of the relaxed <br /> financing agreement using the effective interest method <br /> Net Patient Service Revenue <br /> Net patient service revenue is recorded on an accrual basis of accounting which provides for <br /> recognition of revenue at established rates as service is provided. <br /> The Hospital has agreements with third party payors that provide for payments to the - -_ <br /> Hospital at amounts different from its established rates. Payment arrangements include <br /> prospectively determined rates -per discharge, reimbursed cost, discounted charges and per <br /> diem payments. Net patient service revenue is reported at the estimated net realizable <br /> amounts from patients, third-party payors and others for services rendered, including <br /> 1 estimated retroactive adjustments under reimbursement agreements with third-party payors. <br /> Retroactive adjustments are accrued on an estimated basis in the period the related services <br /> are rendered and adjusted in fixture periods as final settlements are determined. <br /> Temporarily and Permanent) Restricted Net Assets . <br /> Temp y Y <br /> Temporarily restricted net assets are those whose use by the Hospital has -been limited by - <br /> donors to a specific time period or-purpose. Permanently restricted net assets have been - <br /> restricted by donors to be maintained by the Hospital in perpetuity. _ <br /> (Deficit) Excess of Revenues Over Expenses <br /> The consolidated statements of operations includes (deficit) excess of revenues over <br /> expenses: Changes in unrestricted net assets which are excluded from (deficit) excess of - <br /> revenues over expenses, consistent with industry practice, include changes in unrealized <br /> gains and losses on other than trading securities and -net assets released from restrictions used <br /> for the purchase of property and equipment. <br /> ! Charity Care <br /> The Hospital provides care to patients who meet certain criteria under its charity care policies <br /> without charge or at amounts less than established rates . Because the Hospital does not - <br /> pursue collection of amounts determined to qualify as charity care, these amounts are not <br /> reported as revenue. <br /> Under contractual agreements, the District reimburses the Hospital for a. portion of its <br /> qualified charity care. Reimbursement is classified as other revenue in the accompanying <br /> consolidated financial statements . <br />