Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 11 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTION FACILITY AND HEALTH PROFESSIONALS WORKFORCE DATA › Article 2 - ANNUAL FINANCIAL STATEMENTS AND UNIFORM ACCOUNTING REPORTS › Section R9-11-203 - Hospital Uniform Accounting Report

Current through Register Vol. 30, No. 28, July 12, 2024
A. A hospital
				administrator or designee shall submit a uniform accounting report to the
				Department, in a format specified by the Department, no later than 150 calendar
				days after the ending date of the hospital's fiscal year.
B. A hospital administrator or designee shall
				submit a copy of the hospital's Medicare cost report, if applicable, as part of
				the uniform accounting report required in subsection (A).
C. The uniform accounting report required in
				subsection (A) shall include the following information:
1. The name, physical address, mailing
				address, county, and telephone number of the hospital;
2. The name, telephone number, and e-mail
				address of the:
a. Hospital
				administrator,
b. Hospital chief
				financial officer, and
c.
				Individual who prepared the uniform accounting report;
3. The identification number assigned to the
				hospital:
a. By the Department;
b. By AHCCCS, if applicable;
c. By Medicare, if applicable; and
d. As the hospital's national provider
				identifier;
4. The
				hospital's classification;
5.
				Whether the entity that is the owner of the hospital is:
a. Not for profit;
b. For profit; or
c. A federal, state, or local government
				agency;
6. Whether or not
				the hospital is Medicare-certified;
7. The beginning and ending dates of the
				hospital's reporting period;
8. If
				the hospital began operations during the hospital's reporting period, the date
				on which the hospital began operations;
9. The date the uniform accounting report was
				submitted to the Department;
10.
				The licensed capacity, for each type of bed, at the end of the reporting
				period;
11. The licensed capacity
				at the end of the reporting period;
12. The number of available beds, for each
				type of bed, at the end of the reporting period;
13. The number of available beds at the end
				of the reporting period;
14. The
				number of admissions, for each type of bed, during the reporting
				period;
15. The total number of
				admissions during the reporting period;
16. The total number of patient days:
a. During the reporting period, and
b. For each type of bed during the reporting
				period;
17. The average
				occupancy rate for the reporting period;
18. The number of surgeries during the
				reporting period that required a patient to receive inpatient services in the
				hospital;
19. The number of
				surgeries during the reporting period that did not require a patient to receive
				inpatient services in the hospital;
20. The number of births during the reporting
				period;
21. The number of nursery
				patient admissions during the reporting period;
22. The number of patient days for nursery
				patients during the reporting period;
23. The number of episodes of care during the
				reporting period provided by the:
a. Emergency
				department,
b. Urgent care unit,
				and
c. Trauma center;
24. The total number of episodes
				of care during the reporting period provided by the emergency department,
				urgent care unit, or trauma center;
25. The number of episodes of care in the
				emergency department, urgent care unit, or trauma center during the reporting
				period for which the patient was subsequently admitted to the
				hospital;
26. The total number of
				FTEs at the end of the reporting period;
27. The turnover rate for the reporting
				period;
28. The vacancy rate for
				the reporting period;
29. The
				number of FTEs, for each type of employee, during the reporting
				period;
30. The vacancy rate, for
				each type of employee, for the reporting period;
31. The number of medical record coder FTEs
				during the reporting period;
32.
				The vacancy rate for medical record coders for the reporting period;
33. The number of medical record
				transcriptionist FTEs during the reporting period;
34. The vacancy rate for medical record
				transcriptionists for the reporting period;
35. For individuals who worked for the
				hospital as contracted workers during the reporting period, the number of hours
				worked by registered nurses;
36.
				The amount of revenue generated, for each type of revenue, by the hospital
				during the reporting period;
37.
				The amount of allowances given, for each type of allowance, by the hospital
				during the reporting period;
38.
				The total amount of revenue generated and allowances given by the hospital
				during the reporting period;
39.
				The operating expenses incurred, for each type of operating expense, by the
				hospital during the reporting period;
40. The total operating expenses incurred by
				the hospital during the reporting period;
41. The difference between the amount
				identified in subsection (C)(38) and the amount identified in subsection
				(C)(40);
42. The income and
				expenses, other than revenue and operating expenses, for each type of income
				received and expense incurred by the hospital during the reporting
				period;
43. The amount of assets,
				for each type of asset, of the hospital at the end of the reporting
				period;
44. The total amount of
				assets of the hospital at the end of the reporting period;
45. The amount of liabilities, for each type
				of liability, of the hospital at the end of the reporting period;
46. The total amount of liabilities of the
				hospital at the end of the reporting period;
47. The amount of net assets, for each type
				of net asset, of the hospital at the end of the reporting period;
48. The total amount of net assets of the
				hospital at the end of the reporting period;
49. The difference between the amount
				identified in subsection (C)(48) and the amount identified in subsection
				(C)(46); and
50. The statement of
				cash flows required in A.R.S. §
										36-125.04(C)(3),
				unless the statement of cash flows has been submitted as part of the annual
				financial statement required in
				R9-11-202.