Current through Register Vol. 54, No. 50, December 14, 2024
Section 1181.252 - Volunteer and donated services of individuals(a) The actual costs that are necessary for a facility to utilize the services of members of volunteer or religious organizations who donate their services on a regularly scheduled basis to serve in positions customarily held by full-time employes to provide normal patient care or to assist with the operation of the facility will be allowable costs. The following conditions and limitations apply: (1) The costs shall be limited to the fair market value of comparable salaries of full-time personnel who perform similar services.(2) The costs shall be based on regular working hours, excluding overtime.(3) The actual costs for these services shall be supported by documentation substantiating all expenditures.(4) The costs will be reimbursed as part of the net operating costs.(b) The recognition as allowable costs for workers who are members of an organization of nonpaid workers is subject to the following conditions:(1) Nonpaid workers shall be members of an organization of nonpaid workers that has arrangements with the provider for the performance of services by nonpaid workers.(2) Membership in the organization shall be substantiated by adequate documentation in the files of the organization of nonpaid workers.(3) A legally enforceable agreement between the provider and the organization of nonpaid workers shall exist and shall establish the provider's obligation to remunerate the organization for services rendered. A legally enforceable agreement will not be considered to exist if the provider's legal obligation to pay the organization of nonpaid workers is nullified by an offsetting legal obligation by the organization of nonpaid workers to pay or make a contribution to the provider of all or part of the salary liability. The part of the provider's obligation required to be paid by the organization of nonpaid workers will not be allowed.(4) A payment made by the organization of nonpaid workers to the provider for the nonpaid workers' maintenance, prerequisite or fringe benefits shall be used as an offset to the total of the cost actually incurred by the providers.(c) Staff services relating to the use of volunteer workers will be an includable cost.The provisions of this § 1181.252 adopted August 5, 1983, effective 7/1/1983, 13 Pa.B. 2402. This section cited in 55 Pa. Code § 1181.271 (relating to excluded expenses and revenues).