New Jersey Administrative Code › Title 8 - HEALTH › Chapter 97 - NURSING HOME FINANCIAL TRANSPARENCY AND NATIONAL HEALTH CARE SAFETY NETWORK PARTICIPATION › Subchapter 1 - GENERAL PROVISIONS › Section 8:97-1.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, as used in this chapter, apply to
				  both for-profit and nonprofit nursing homes and have the following meanings, unless
				  the context clearly indicates otherwise. Financial terms should be interpreted
				  consistently with Generally Accepted Accounting Principles (GAAP).
"Audited" means the same as described in the instructions to
				  Internal Revenue Services (IRS) Form 990, as amended and supplemented. Consistent
				  with the instructions to IRS Form 990, the term means a formal examination of an
				  organization's financial records and practices by an independent, certified public
				  accountant with the objective of issuing a report on the organization's financial
				  statements as to whether those statements are fairly stated in all material respects
				  according to generally accepted accounting principles (or other recognized
				  comprehensive basis of accounting).
"Centers for Medicare and Medicaid Services" or "CMS" means the
				  Federal agency within the United States Department of Health and Human Services
				  (HHS) that administers the Medicare program and, among other responsibilities, also
				  oversees quality standards in nursing homes.
"Cost report" means the most recent annual report that a nursing
				  home files pursuant to 42 CFR
				  413.20(b), as a condition of
				  being a Medicare-certified provider or facility, files with CMS to provide, using
				  the applicable Federal form, information regarding, among other things, the nursing
				  home's characteristics, utilization data, costs and charges by cost center, Medicare
				  settlement data, and financial data (42 U.S.C. §
										1395g (section 1815(a)
				  of the Social Security Act)).
"Data dashboard" means the website that the Department maintains
				  at
http://www.nj.gov/health/ltc/nursing-homes
pursuant to N.J.S.A. 26:2H-46.3, which provides a
				  separate page or listing for each nursing home and links to the sites at which
				  information and data relevant to each nursing home may be found, and a description
				  of the data and information that is accessible through each link.
"Department" means the New Jersey Department of Health.
"Generally accepted accounting principles" or "GAAP" means the
				  accounting principles that a reporting entity determines to be applicable, and that
				  are generally accepted in the United States as authoritative by:
1. The Financial Accounting Standards Board (FASB)
				with respect to nongovernmental entities, as articulated in the
Financial
				Accounting Standards Board Accounting Standards Codification
(R) (2009),
				incorporated herein by reference, as amended and supplemented, available at
www.fasb.org
, and from the FASB at 401 Merritt 7,
				PO Box 5116, Norwalk, CT 06856; or
2.
				The Governmental Accounting Standards Board (GASB) with respect to State and local
				governmental entities, as articulated in the GASB
Codification of
				Governmental Accounting and Financial Reporting Standards
(2021),
				incorporated herein by reference, as amended and supplemented, available at
www.gasb.org
, and from the GASB at 401 Merritt 7,
				PO Box 5116, Norwalk, CT 06856.
"Generally accepted auditing standards" or "GAAS" means the
				  auditing standards that are generally accepted in the United States as
				  authoritative, as specified in the AICPA
Professional Standards
(2021), incorporated herein by reference, as amended and supplemented.
"Health care organization" means any organization or entity
				  engaged in providing, financing, improving, supervising, evaluating, or other
				  activity related to health care. Examples include, but are not limited to, physician
				  practices, hospitals, and skilled nursing facilities.
"Health care system" means any combination of a nursing home with
				  one or more other health care organizations or related parties that share any amount
				  of common ownership or control with an entity responsible for providing centralized
				  management and administrative services to the entities pursuant to its common
				  ownership or control.
"IRS Form 990" means Internal Revenue Service Form 990 and
				  relevant related schedules, instructions, and glossary thereto, contained in the
				  information collection of the Internal Revenue Service of the United States
				  Department of the Treasury, bearing Office of Management and Budget Control Number
				  OMB No. 1545-0047 (last Information Collection Review concluded January 23, 2023),
				  incorporated herein by reference, as amended and supplemented, available at:
http://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202212-1545-014
,
				  and includes the instructions and glossary thereto.
"Medicare-certified" means, that a facility has been approved or
				  certified by Medicare and has met all necessary Federal requirements (including
				  certain specific Federal health and safety requirements, among other things) to
				  receive Medicare payments.
"Nursing home" means a nursing home as defined at
				  N.J.S.A.
				  26:2H-29, which includes:
1. Both freestanding and "hospital-based"
				facilities; and
2. Hospital-based
				subacute care units, commonly referred to as "transitional care units" or "TCUs," as
				defined at N.J.A.C. 8:39-47.2.
"Reven"Owner" means any person, partnership, corporation, company,
				  trust, or any other organization that owns, directly or indirectly (including
				  ownership by any family members), more than five percent of the voting rights,
				  profit or beneficial interest in an organization, regardless of whether that
				  interest is evidenced by shares, certificates, stocks, contract, agreement or any
				  other form used to represent a voting, profit or beneficial interest, including any
				  person whose combined ownership, individually and/or through a controlling interest
				  in any other organizations, and owns more than five percent voting, profit, or
				  beneficial interest in the organization.
"Owner-certified financial statement" means a financial statement
				  that is prepared using the accrual basis and includes, at a minimum, a balance
				  sheet, statement of operations or income, statement of changes in net assets, and
				  statement of cash flows, and is prepared in accordance with GAAP, and is then
				  subsequently audited by an independent certified public accountant in accordance
				  with GAAS.
ue center" means a distinct operating unit within a health care
				  organization that generates revenue.
"System nursing home" means a nursing home that is part of a
				  network or system of nursing homes or other health care facilities that are commonly
				  referred to as a "health care system."