US · guidance
CMS SOM App. A, Tag A-0073
§482.12(d) Standard: Institutional Plan and Budget
The institution must have an overall institutional plan that meets the following conditions:
(1) The plan must include an annual operating budget that is prepared according to
generally accepted accounting principles.
(2) The budget must include all anticipated income and expenses. This provision does not
require that the budget identify item by item the components of each anticipated income or
expense.
(3) The plan must provide for capital expenditures for at least a 3-year period, including
the year in which the operating budget specified in paragraph (d)(2) of this section is
applicable.
(4) The plan must include and identify in detail the objective of, and the anticipated
sources of financing for, each anticipated capital expenditure in excess of $600,000 (or a lesser
amount that is established, in accordance with section 1122(g)(1) of the Act, by the State in
which the hospital is located) that relates to any of the following:
(i) Acquisition of land;
(ii) Improvement of land, buildings, and equipment; or
(iii)The replacement, modernization, and expansion of buildings and equipment.
Survey Procedures §482.12(d)
Verify that an institutional plan and budget exist, includes items 1-4, and complies with all items in this
standard. Do not review the specifics or format in the institutional plan or the budget.
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
a024213d17627258fce41261cf78d5d4c7089917d104f5fd5488618fa5bd862f
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