The California Balance Sheet form, also known as LIC 403, is a financial document required by the California Department of Social Services for entities operating community care facilities. It provides a snapshot of an entity's financial position by detailing its assets, liabilities, and equity. This form must be completed alongside the LIC 403a, which serves as a supplemental schedule for compiling detailed financial information.
Every applicant or licensee operating a community care facility must complete the California Balance Sheet form. This includes sole proprietorships, partnerships, and corporations. Each entity must report all assets and liabilities, not just those related to the facility's operations. Additionally, general partners must submit personal balance sheets to reflect their individual financial positions.
To properly complete the form, you must include the following information:
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Current date for the Balance Sheet
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Entity name (the name of the sole proprietorship, partnership, or corporation)
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Facility name
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Application or license number
This information helps identify the financial report and ensures it is accurately associated with the correct entity.
What types of assets should be reported?
Assets are divided into current and long-term categories. Current assets include:
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Cash on hand
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Cash in financial institutions
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Certificates of deposit and similar accounts
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Short-term receivables
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Stocks and bonds
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Other current assets
Long-term assets encompass real property, land, improvements, equipment, and furniture. You should carefully document all assets to provide a complete financial picture.
What are liabilities, and what should be included?
Liabilities represent the financial obligations of the entity. The form requires reporting various types of liabilities, including:
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Credit accounts
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Salaries and wages payable
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Taxes payable
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Mortgages and loans
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Other payables
Accurate reporting of liabilities is crucial, as it helps in calculating the entity's equity and overall financial health.
How is equity calculated on the Balance Sheet?
Equity is determined by subtracting total liabilities from total assets. Specifically, you take the total assets (line 18) and subtract the total liabilities (line 27). The resulting figure represents the equity of the entity, which is a key indicator of financial stability.
Failure to sign, date, and attest to the accuracy of the information on the Balance Sheet constitutes non-compliance. This may result in the rejection of the report, which can have serious implications for the licensing status of the facility. It is essential to ensure that all sections of the form are completed accurately and that the necessary signatures are provided.
Is additional documentation required?
Yes, the information reported on the Balance Sheet and the supplemental schedule is subject to verification. The California Department of Social Services may request additional documentation to support any amounts reported. Being prepared with comprehensive records can facilitate a smoother review process.