Excess and Deficit Examples

Excess Adjustment

Adjustment of excess amounts earned in a Fiscal Year (FY) beginning between March 12, 2019, and March 11, 2020, must be applied to the following FY.

Excess Example

Annual Compliance Level for FY 2021, Beginning July 1, 2019 = $738,600 

Excess Uncompensated Services Provided in FY 2020 = $1,000

CPI adjustment between 2018 and 2019 = 2.8%  

Excess + (Excess x Percent Change in CPI) = Adjusted Excess

$1,000 + ($1,000 x 2.8%) = $1,028 (Adjusted Excess)

Annual Compliance Level - Adjusted Excess = Adjusted Annual Compliance Level

$738,600 - $1,028 = $737,572 (Adjusted Annual Compliance Level)

Deficit Adjustment

Adjustment of deficits incurred in a FY beginning between March 12, 2019, and March 11, 2020, must be made up in the following FY.

Deficit Example

Annual Compliance Level for FY 2020, Beginning July 1, 2020 = $738,600

Deficit Amount from FY 2020 to be made up in FY 2021 = $1,000

CPI adjustment between 2018 and 2019 = 2.8% 

Deficit + (Deficit x Percent Change in CPI) = Adjusted Deficit

$1,000 + ($1,000 x 2.8%) = $1,028 (Adjusted Deficit)

Annual Compliance Level + Adjusted Deficit = Adjusted Compliance Level

$738,600 + $1,028 = $739,628 (Adjusted Annual Compliance Level)

Date Last Reviewed:  April 2020


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Provider's Guide to the Hill-Burton Uncompensated Services Regulations (If you use assistive technology, you may not be able to fully access information in this file. For assistance, contact HRSAAccessibility@hrsa.gov or 888-275-4772, TTY: 877-489-4772)