reglab/statecodes huggingface dataset:
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Reporting Principles › Section 442.13 - Deductions from operating revenue

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1330 ]
(a) In many instances, the hospital receives
						less than its full established charges for the services it renders. It is
						essential that reporting information reflect both the gross revenue and revenue
						"adjustments" resulting from inability to collect established charges for
						services provided.
(b) These
						revenue adjustments are called Deductions from Revenue and are of the following
						primary categories:
(1) Provision for bad
						debts.
These deductions represent the estimated amount of
						  current revenues that will not be realized as a result of credit
						  losses.
(2) Contractual
						adjustments.
These adjustments represent the difference between full
						  established charges for individual services and the contractual rates received
						  or to be received from third-party payors for services
						  rendered.
(3) Charity
						service.
These deductions represent the difference between full
						  established charges and amounts received or to be received from indigent
						  patients, voluntary agencies or governmental units on behalf of specific
						  indigent patients.
(4)
						Policy discounts.
These deductions represent adjustments for items such
						  as courtesy allowances and employee discounts from the hospital's full
						  established charges for services.
(5) Administrative adjustments.
These adjustments represent amounts of patient service
						  revenue posted but not billed to patients because the cost of billing and
						  collection would exceed the amounts received.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Reporting Principles › Section 442.14 - Fund accounting

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1340 ]
(a)
General.
(1) Many hospitals receive, from donors and
						other third parties, income, gifts, bequests and grants that are restricted as
						to use. When funds with donor-imposed restrictions are received, they must be
						reported separately. This would not preclude the pooling of assets for
						investment purposes.
(2) For
						balance sheet reporting, donor-restricted funds must be recorded separately in
						the appropriate restricted fund classifications. For income statement purposes,
						expenses relating to donor-restricted activities must be recorded in the
						Unrestricted Fund, and the earned share relative to such current year
						donor-restricted activities must be recorded as "Other Operating Revenue"
						unless otherwise restricted by covenant agreement. Hospitals receiving no
						restricted income, gifts, bequests or grants need not use separate fund
						accounting.
(3) Restricted funds
						generally fall into three categories: Plant Replacement and Expansion Fund,
						Specific Purpose Fund, and Endowment Fund. The accounts within each restricted
						fund are self-balancing, as each fund constitutes a separate subodinate
						accounting entity. The following sections outline the conditions and events
						which require separate accountability and the required accounting treatment for
						transactions within the established funds.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Reporting Principles › Section 442.15 - Long-term security investments

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1350 ]
Long-term security investments
						  are to be valued at hospital cost if purchased or, if acquired by donation, at
						  the fair market value at the date of the gift. If there is evidence of a
						  permanent decline in value, an appropriate reduction in carrying value must be
						  made by charging the necessary expense account(s). The market value of
						  long-term security investments at year-end must be disclosed.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Reporting Principles › Section 442.16 - Pooled investments

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1360 ]
(a)
						Investments of various funds may be pooled unless prohibited by law or the
						terms of a donation or grant. Gains/losses and investment income on pooled
						investments must be distributed to participating funds on a basis utilizing
						market value.
(b) To illustrate the
						market value method of distributing gains/losses and income on pooled
						investments, assume the following facts:
(1)
						A hospital decides to create a pool of investments from funds provided from the
						following sources: 
                                       Market value at inception of pool [FN*] 
                                     Amount                     % of total pool
Unrestricted fund                              $1,000,000                   20%
Endowment Fund (single endowment)              $3,000,000                   60%
Plant Replacement and Expansion                $1,000,000                   20%
  (PR&E) Fund                                                                  
                                               $5,000,000                  100%
FN* This serves as the initial distribution
						  basis.
(2) Gains/losses on
						the Endowment Fund must be added to or deducted from the principal; however,
						the investment income is available for unrestricted purposes under the terms of
						the gift.
(3) Gains/losses and
						investment income for the Plant Replacement and Expansion Fund must be added to
						or deducted from fund balance pursuant to the wishes of the donor.
(4) There were no gains/losses on the sale of
						investments for the first year the pool was in existence. The income generated
						by the pool for that year was $400,000.
(5) Any gains on investment sales and
						investment income are not reinvested in the investment pool. The cash is
						remitted to funds that are entitled to the gains and/or income.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Reporting Principles › Section 442.17 - Inventories

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1370 ]
(a) Inventories reflect the cost of unused
						hospital supplies. Any generally accepted cost method (
e.g.,
FIFO, LIFO, Average, etc.) may be used as long as it is consistent with that of
						the preceding accounting period. Cost of inventories based on the last invoice
						price is not an acceptable method for determining such cost.
(b) Inventory accounting record systems are
						required, consistent with the method of the inventory valuation employed.
						Perpetual inventory records are recommended but not required. Physical
						valuations must be made at least once a year and the accounting records, if
						applicable, adjusted to such valuations.
(c) Inventory usage records are required to
						be maintained for all inventories that are distributed and used by more than
						one cost center in the hospital. It is recommended that a formal requisition
						system be used for this purpose. In all cases, the cost of non-billable
						supplies used during the period must be distributed to the user cost centers,
						preferably on a monthly basis.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Reporting Principles › Section 442.18 - Accounting for property, plant and equipment

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1380 ]
(a)
Classification of fixed asset
						expenditures.
[ 1381 ] Property, Plant and Equipment and related
						  liabilities must be recorded in the Unrestricted Fund, since segregation in a
						  separate fund would imply the existence of restrictions on the use of the
						  asset. Cost of construction in progress and related liabilities must be
						  recorded in the Unrestricted Fund as incurred except for assets and liabilities
						  related to certain debt agreements.
(b)
Basis of valuation.
[ 1382 ]
(1)
						Property, Plant and Equipment must be reported on the basis of cost. Cost shall
						be defined as historical cost or fair market value at the date of gift of
						donated property.
(2) Property,
						Plant and Equipment must be reported on the basis of the historical cost
						incurred by the present owner in acquiring the asset under a bona fide sale.
						The historical cost shall not exceed the lower of current reproduction cost
						adjusted for straight-line depreciation or fair market value at the time of
						purchase. See section 104.10 of HIM-15. Cost is defined as historical cost or
						fair market value of donated property on the date of acquisition.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Reporting Principles › Section 442.19 - Timing differences

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1390 ]
(a) Timing differences result when accounting
						policies and practices used in an organization's accounting differ from those
						used for reporting operations to governmental units collecting taxes or to
						outside agencies making payments based upon the reported operations. These
						differences must be recorded on the hospital's records when they arise. The
						references relative to their acceptable accounting treatment are as follows:
-Income tax allocation-
Accounting Principles
						  Board Opinions Nos. 11, 23 and 24.
(b) The following condensed income statement
						illustrates a timing difference attributable to different methods of
						calculating depreciation expense for financial accounting versus tax or
						third-party reimbursement purposes.
(1)
						Assumptions:
(i) Depreciation for accounting
						purposes is calculated on the straight-line method and amounts to $10 for the
						current year.
(ii) Depreciation for
						tax and third-party reimbursement purposes is calculated on a declining balance
						method and amounts to $20 for the current year.
(iii) The tax rate is 40 percent.
(iv) The third-party utilization is 50
						percent.
(v) The only deduction
						from revenue is the contractual allowance.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Reporting Principles › Section 442.20 - Accounting for pledges

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1410 ]
All pledges, less a provision for
						  amounts estimated to be uncollectible, must be included in the hospitalapos;s
						  accounting records. If unrestricted, they must be recorded as nonoperating
						  revenue in the period the pledge is made. If part of the pledge is to be
						  applied during some future period, that part must be recorded in the period the
						  pledge is received as deferred revenue. If restricted, they must be recorded as
						  an addition to the appropriate restricted fund balance. See Hospital Audit
						  Guide.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Reporting Principles › Section 442.21 - Self-insurance

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1420 ]
Self-insurance by a hospital for
						  potential losses due to unemployment, workers' compensation and malpractice
						  claims, asserted or otherwise, places all or part of the risk of such losses on
						  the hospital rather than insuring against all or part of such losses with an
						  independent insurer. For uniform reporting purposes for self-insurance,
						  hospitals must follow the guidelines of Statement 5 of the Financial Accounting
						  Standards Board.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Reporting Principles › Section 442.22 - Related organizations

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1430 ]
A hospital itself may be
						  subsidiary to or under the control of a larger organization such as a
						  university, governmental entity or parent corporation. It is typical in such
						  situations for hospitals to receive services from these related organizations.
						  Examples of services received are administration, purchasing, general
						  accounting and menu planning. In addition, related organizations lease
						  property, plant and equipment to hospitals as well as paying for various other
						  items such as insurance. The related organization then usually charges for the
						  service either directly or through a management fee. For uniform reporting
						  purposes, the direct charges must be reported as purchased services in the
						  appropriate functional cost centers as billed, and the management fee must be
						  reported in the functional cost centers in amounts relative to the services
						  received for which the fee is paid.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Reporting Principles › Section 442.23 - Debt financing for plant replacement and expansion purposes

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1440 ]
(a) Debt financing for plant replacement and
						expansion programs may take many forms. Under the terms of most debt financing
						agreements the debtor is required to perform or is prohibited from performing
						certain acts. In many instances, debt financing gives rise to special
						accounting treatment because of discounts and premiums on bond issues,
						financing charges, formal restrictions on debt proceeds, and sinking and other
						required funds.
(b)
Discounts
						and premiums on bond issues.
[ 1441 ] Discounts and premiums arising from the issue
						  of bonds must be amortized over the life of the related issue(s). Bond
						  discounts must be recorded as a reduction of the related debt (Bonds Payable -
						  Net of Unamortized Discount). Bond premium must be recorded as Other Deferred
						  Credits (account 2140).
(c)
Financing charges.
[ 1442 ] Costs of obtaining debt financing other than
						  discounts (
e.g.,
legal fees, underwriting fees, special
						  accounting costs) must be recorded as deferred costs and amortized over the
						  life of the related debt.
(d)
Accounting for debt
						proceeds.
[ 1443 ]
(1)
						Debt agreements for financing plant replacement and expansion programs may or
						may not require formal segregation of debt proceeds prior to their use.
						Proceeds which are not required to be formally segregated prior to their use
						must be recorded as other noncurrent assets in the Unrestricted Fund.
(2) For the purposes of this Part, all funds
						received under covenant agreement arrangements which require formal segregation
						and/or separate accountability shall be recorded in the Plant Replacement and
						Expansion Fund until such time as the project is completed. Upon completion,
						the asset and related debt must be transferred to the Unrestricted Fund.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Specialized Reporting Areas › Section 442.24 - Direct assignment of costs

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1610 ]
(a) The direct assigning of costs is the
						process of identifying and assigning costs directly to the functional cost
						center generating those costs. Only those costs which meet the definitions and
						guidelines established within this section
						444.7 of this Article will be
						directly assigned.
(b)
Buildings and fixtures
[ 1611 ] The cost of all depreciation or rent/lease of
						  buildings and fixtures is to be charged to the Depreciation and Amortization
						  Cost Center (account 8810) and to the Leases and Rental Cost Center (account
						  8815), respectively, and not reported as a direct expense of specific cost
						  centers.
(c)
Salary-
						and payroll-related employee benefits.
[ 1612 ]
(1)
						The salaries and wages cost must be assigned directly to the functional cost
						center to which the employee is assigned (see Natural Classification Accounts,
						section 444.23(b) of this
						Article). For example, for reporting purposes the salary cost of direct nursing
						services, including float nurses, must be directly assigned to the patient care
						cost centers receiving the service. This assignment may be based on each
						employee's actual nursing services, hours performed within each patient care
						cost center multiplied by that employee's hourly salary rate while performing
						the direct nursing service, or based on an analysis of salary and wage expense
						including time and cost studies.
(2) Payroll-related employee benefits must be
						reported in the cost center where the applicable employee's compensation is
						reported. This assignment can be performed on an actual basis or upon the
						following basis:
(i) FICA - actual expense by
						cost center;
(ii) pension and
						retirement and health insurance (non-union) - gross salaries of participating
						individuals by cost center;
(iii)
						union health and welfare - gross salaries of participating union members by
						cost center;
(iv) all other
						payroll-related benefits - gross salaries by cost center.
(3) Non-payroll-related employee benefits are
						to be reported in account 8830 (Employee Benefits-Non-Payroll-Related).
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Specialized Reporting Areas › Section 442.26 - In-service education - nursing

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1660 ]
(a)
Nursing in-service education
						activities
are defined as educational activities conducted by the
						hospital for hospital nursing personnel. The cost of time spent by nursing
						personnel as students in such classes and activities must remain in the cost
						center in which their normal salary and wage costs are charged
						(
i.e.,
the cost center in which they work). However, the cost
						(defined as salary, wages and payroll-related fringe benefits) of time spent in
						such classes and activities by those instructing and administering the programs
						must be included in the Nursing Administration cost center (account 8750). For
						those hospitals that want to account for these costs separately, an In-service
						Education - Nursing sub-account (account 8751) has been provided.
(b) If instructors do not work full-time in
						the in-service programs, the cost (as defined above) of the portion of time
						they spend working in the in-service education program must be included in the
						Nursing Administration cost center. This may be accomplished by direct
						distribution of these costs (by natural classification of expense category)
						each payroll period based upon actual hours worked.
(c) The costs of nursing in-service education
						supplies (such as cassettes, books, medical supplies, etc.) and outside
						lecturers must also be reflected in the Nursing Administration cost center.
						Nursing in-service education does not include orientation of new employees.
						Such orientation costs must be charged to the cost center in which the new
						employees are, or will be, assigned.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Specialized Reporting Areas › Section 442.27 - In-service education - nonnursing

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1670 ]
All expenses, including student
						  and instructor salaries, associated with nonnursing in-service education
						  activities must be included in the functional cost center to which the
						  participating employees' salaries and wages are assigned, as such in-service
						  educational activities will rarely apply to more than one functional
						  activity.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 442 - Reporting Principles And Concepts › Specialized Reporting Areas › Section 442.29 - Periodic interim payments

Current through Register Vol. 46, No. 28, July 10, 2024
[ 1690 ]
(a) Periodic interim payments are made
						biweekly to a hospital on the PIP program and are based on the hospital's
						estimate of applicable Medicare reimbursement for the current cost report
						period. When such payments are received, a cash account in the Unrestricted
						Fund is debited and a-PIP Clearing Account (account 1051) is credited for the
						amount of the payment. When applicable Medicare charges are billed to the
						intermediary, the PIP Clearing Account is debited and patient accounts
						receivable is credited. At year-end, adjustments must be made to eliminate any
						remaining balance in the PIP Clearing Account and to reflect the amount
						receivable from, or due to, the Medicare intermediary.
(b) To illustrate these entries, assume the
						following facts:
(1) PIP payments during the
						year totaled $100,000, and applicable Medicare charges billed during the year
						were as follows:
Total charges
$98,000
Noncovered charges
4,000
Deductibles and coinsurance
8,000
and
(2) Applicable unbilled Medicare charges and
						in-house patient balances were as follows at year-end:
Total charges
$10,000
Noncovered charges
500
Deductibles and coinsurance
1,200
and
(3) Applicable reimbursable costs per the
						Medicare cost report prepared for the year were $92,000.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 443 - Listing Of Accounts › Section 443.1 - Preface

Current through Register Vol. 46, No. 28, July 10, 2024
[ 2000 ]
(a) A Listing of Accounts is a listing of
					 account titles, with numerical symbols, used in the compilation of financial
					 data concerning the assets, liabilities, capital, revenues and expenses of an
					 enterprise.
(b) An outline of the
					 required Listing of Accounts for hospitals is presented in this Part along with
					 an explanation of the numerical coding system. A description of the nature and
					 content of each account required to be used and reported is included in the
					 Description of Accounts, Part 444 of this Article. It is recognized, however,
					 that it is impossible to develop a Listing of Accounts that will fulfill all
					 the requirements of all hospitals. Many hospitals will not require the detailed
					 information provided for in the Listing of Accounts; others may require even
					 more detailed classification. The Listing of Accounts is designed (at the zero
					 level, except where noted) to provide the basis for a minimum standard of
					 uniform accounting and reporting which will meet the needs of management,
					 regulators, planners and others.
(c) Hospitals are required to use for
					 reporting purposes all balance sheet accounts which have capitalized titles and
					 which have numerical codes with a fourth digit of zero when such balance sheet
					 items exist. These accounts are referred to as zero level accounts.
(d) Hospitals are required to use for
					 reporting purposes all revenue and expense accounts which have capitalized
					 titles and which have numerical codes with a fourth digit of zero when such a
					 function as defined in this manual exists even though the activity is not
					 separately organized within the hospital. The only circumstance under which the
					 hospital need not report an existing zero level account is when the patient
					 service provided in a daily hospital services cost center is not provided in a
					 discrete unit.
(e) Since the zero
					 level accounts presented in this manual are required, all zero level accounts
					 presented herein, except as noted above, must be reported by the hospital
					 wherever the related item or function exists in that hospital. A hospital will
					 not be granted an exception to the establishment of an account solely because
					 of reporting difficulty.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 443 - Listing Of Accounts › Section 443.2 - Functional and responsibility concepts

Current through Register Vol. 46, No. 28, July 10, 2024
[ 2010 ]
In developing this Listing of
						Accounts, it was necessary to choose between functional and responsibility
						concepts of reporting. Both of these concepts result in the accumulation of the
						same amount of total costs. However, because organizational structures vary
						among hospitals, responsibility reporting would not allow for comparability. On
						the other hand, functions (Housekeeping, Dietary, Intensive Care, etc.) carried
						out by any hospital would be similar, thus a functional accounting system
						allows for comparability. For this reason, this Listing of Accounts is based
						upon functional reporting concepts.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 443 - Listing Of Accounts › Section 443.3 - Numerical coding system

Current through Register Vol. 46, No. 28, July 10, 2024
[ 2100 ]
(a)
					 General.
(1) The numerical coding system in
					 the Listing of Accounts is based on the use of a six-digit numbering system.
					 Account numbers include four digits to the left of a decimal point which
					 identify primary account classifications, and two digits to the right which
					 identify secondary account classifications.
(2) The numerical coding system also
					 provides, for daily hospital and ancillary service revenue accounts only, that
					 positions seven and eight can be used for designating the program in which the
					 patient is being served as defined by the second and third digits of the daily
					 hospital and ambulatory services numbers.
(3) The first digit of an account designates
					 the financial statement classification of the account:
(1) --Assets
(2) --Liabilities, Equity, and Capital or
					 Fund Balances
(3) --Daily Hospital
					 and Ambulatory Services Revenue
(4)
					 --Ancillary Services Revenue
(5)
					 --Other Operating Revenue and Deductions from Revenue
(6) --Daily Hospital and Ambulatory Services
					 Expenses
(7) --Ancillary Services
					 Expenses
(8) --Research Expenses:
					 Education Expenses; General Services Expenses; Fiscal Service Expenses;
					 Administrative Services Expenses; Medical Care Administration Expenses; Other
					 Operating Expenses
(9)
					 --Non-Operating Revenue and Expenses
(4) The second, third and fourth digits of
					 the daily hospital services, ambulatory services and ancillary services centers
					 are the same for revenue and expense.
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New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 443 - Listing Of Accounts › Section 443.4 - Listing of accounts-balance sheet

Current through Register Vol. 46, No. 28, July 10, 2024
[2200]
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New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 443 - Listing Of Accounts › Section 443.6 - Small hospital reduced reporting requirements

Current through Register Vol. 46, No. 28, July 10, 2024
[ 2380 ]
(a)
Small hospital
is
					 defined as a hospital or hospital -health service complex that has had, for the
					 three accounting periods preceding the reporting period, average annual
					 hospital admissions of less than 4,000.
(b) Such hospitals, at their option, may
					 report less detail than that required for hospitals with average annual
					 admissions of 4,000 or more. The reporting forms are the same for both small
					 and large hospitals. However, small hospitals would group cost ceners as
					 specified below:
(1) Report as Plant Operation
					 and Maintenance (account 8410) the combination of the following cost centers:
(i) Plant Maintenance (account
					 8400);
(ii) Plant Operation
					 (account 8410);
(iii) Security
					 (account 8430);
(iv) Parking
					 (account 8440).
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 443 - Listing Of Accounts › Section 443.7 - Natural classification of revenue

Current through Register Vol. 46, No. 28, July 10, 2024
[ 2400 ]
(a) The coding system for revenue provides
					 for the use of six digits; four digits to the left of the decimal point and two
					 digits to the right of the decimal point. In addition, for daily hospital
					 service, ambulatory service and ancillary service revenue accounts only,
					 positions seven and eight (third and fourth digits to the right of the decimal
					 point) may be used for designating the program in which the patient is being
					 served.
(b) Digit designations are
					 as follows:
(1) First digit-indicates the
					 primary account classification of the revenue account.
0-2 Not Used
3 Daily Hospital and Ambulatory Service Revenue
4 Ancillary Service Revenue
5 Other Operating Revenue and Deductions from
						Revenue
6-8 Not Used
9 Non-Operating Revenue
(2) Second through fourth digits
					 (010-999)-indicate the primary subclassification of accounts.
(3) Decimal Point.
(4) Fifth digit-indicates the classification
					 of service category of the patient service which the patient received.
.0 Inpatient - Acute Care
.1 Inpatient - Intensive Care
.2 Inpatient - Skilled Nursing Care
.3 Inpatient - Other
.4 Outpatient - Emergency
.5 Outpatient - Clinic
.6 Outpatient - Referred
.7 Home Health Care
.8 Day Care
.9 Non - Patient
(5) Sixth digit-indicates primary payor
					 (admission status unless changed at later date) for patient as follows:
0 - Medicare - Part A
1 - Medicare - Part B
2 - Medicaid
3 - Other Government
4 - Workers' Compensation
5 - Blue Cross
6 - Commercial Insurance
7 - Charity/Uncompensated Care
8 - Self Pay
9 - Other
(6) Seventh and eighth digits-Used to
					 designate program.
(7) Use of the
					 sixth digit is unnecessary if logs are maintained.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 443 - Listing Of Accounts › Section 443.8 - Natural classification of expense

Current through Register Vol. 46, No. 28, July 10, 2024
[ 2500 ]
(a) The coding system for expenses provides
					 for the use of six digits: four digits to the left of the decimal point and two
					 digits to the right of the decimal point. If two digits to the right of the
					 decimal point are not sufficient for the individual hospital requirements,
					 additional digits to the right of the decimal point may be added to obtain the
					 desired detail.
(b) Digit
					 designations are as follows:
(1) First
					 digit-indicates the primary account classification of the expense account.
6 Daily Hospital and Ambulatory Service Expense
7 Ancillary Service Expense
8 Other
9 Non-Operation Expense
(2) Second through fourth digits
					 (010-999)-indicate the primary subclassification of accounts.
(3) Decimal point-the two required digits
					 (fifth and sixth digits as specified below) identify secondary account
					 classifications.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 444 - Description Of Accounts › Section 444.1 - Preface

Current through Register Vol. 46, No. 28, July 10, 2024
[3000]
This Part provides a detailed
						description for each Balance Sheet and Income Statement account listed in the
						Listing of Accounts, Part 443 of this Article. A standard unit of measure and
						the data source for each standard unit of measure is provided for each cost
						center where a standard unit of measure is required. In addition, a detailed
						explanation is provided for the natural expense classification.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 444 - Description Of Accounts › Balance Sheets › Section 444.6 - FUND BALANCES

Current through Register Vol. 46, No. 28, July 10, 2024
[ 3150 ]
(a)
NON-PROFIT
[ 3151 ]
(1)
						UNRESTRICTED FUND BALANCE
(i) 2290
..........................................................................................................
FUND BALANCE
2292
..........................................................................................................
Depreciation Funds
2294
Transfers from Restricted Funds for Capital Outlay
2296
..........................................................................................................
Value of Donated Property, Plant and Equipment
..........................................................................................................
(ii) Unrestricted Fund
						balances represent the difference between the total of Unrestricted Fund Assets
						and Unrestricted Fund Liabilities,
i.e.,
the net assets of the
						Unrestricted Fund.
(iii) Separate
						sub-accounts may be maintained for the above when applicable.
(iv) The Transfers from Restricted Funds for
						Capital Outlay account should be credited for the cost of capital items
						purchased directly by the Unrestricted Fund with funds from the Plant
						Replacement and Expansion Fund. The fair market value of donated property,
						plant and equipment (at the date of donation) should be credited to the Donated
						Property, Plant and Equipment account. At the end of the year these accounts
						should be closed out to the Fund Balance account.
(v) Depreciation Funds (account 2292)
						represents amounts restricted by third-party payors for replacement of
						specified assets.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 444 - Description Of Accounts › Income Statements › Section 444.7 - General

Current through Register Vol. 46, No. 28, July 10, 2024
[ 3200 ]
(a) An Income Statement is an accounting
						statement which reflects the financial results of a hospital during a reporting
						period.
(b) Hospitals are required
						to report all revenue and expense accounts in this section when such a function
						as defined in this manual exists, even though the activity is not separately
						organized within the hospital. The only circumstances under which the hospital
						need not report a revenue or expense account is when the patient services
						provided in a daily hospital services cost center is not provided in a discrete
						unit. For example, if pediatric patients receive care in the Medical/Surgical
						acute cost center, no reclassification of expense from the Medical/Surgical
						cost center to the Pediatric Acute cost center is required. No functional
						reporting of revenue and expense is required for daily hospital service cost
						centers.
(c) Where a function
						required by the reporting system is not separately organized within the
						hospital, but combined with one or more functions required by the reporting
						system, an analysis will be required to determine the gross revenue and direct
						expenses applicable to each required function. For instance, some hospitals may
						be combining the function of Electrocardiography (accounts 4290/7290) and
						Neurology-Diagnostic (accounts 4460/7460). In such cases, it is necessary to
						determine the total direct revenue and direct expenses relative to the two
						different types of services rendered, and if significant, as defined below,
						reclassification is required.
(d)
						The gross revenue reported in each required revenue account must be the actual
						gross revenue attributable to such identified functions. The expenses reported
						in each required expense account must represent the direct expenses related to
						each identified function. The direct expenses related to such functions may be
						determined based upon analysis.
(e)
						It should be noted that reclassification must be made for significant amounts
						of misplaced costs or revenue.
Significant
is defined, for the
						purposes of this Article, as an amount equivalent to an aggregate amount of
						misplaced costs or revenue in excess of the lesser of:
(1) three percent of the direct costs of the
						functional center transferred to or from; or
(2) one quarter of one percent of the total
						annual operating expenses.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 444 - Description Of Accounts › Income Statements › Section 444.8 - Operating revenue accounts-general

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(a) Hospital revenue consists mainly of the
						value, at the hospital's full established rates, of all hospital services
						rendered to patients, regardless of amounts actually paid to the hospital by or
						on behalf of patients. The objective of patient service revenue reporting is to
						compile complete and accurate information, on the accrual basis, of gross
						revenue, by revenue centers and by inpatient and outpatient classification, and
						a record of revenue deductions, classified by type.
(b) Patient service revenues must be reported
						in such a manner as to clearly identify these revenues with the functional
						ambulatory and ancillary services cost centers and the discrete daily hospital
						services cost centers of the hospital. Revenues of revenue producing cost
						centers are needed for comparison with the expenses of the center, so that
						operating performances can be evaluated.
(c) In addition to patient service revenue,
						hospitals obtain revenue from sources and activities only indirectly related to
						patient care. These "other" operating revenues typically consist of tuition
						revenue, parking lot revenue, nonpatient food sales, etc.
(d) Regardless of the source of hospital
						revenue, it is important that it be reported for on the accrual basis. This
						basis of reporting requires that revenue be recognized and reported in the time
						period it is earned, irrespective of the timing of the cash flow between the
						hospital and other parties. No other basis provides the necessary qualities of
						completeness, accuracy, and usefulness of financial data and/or the proper
						basis for matching revenues with expenses. The requirement for accrual
						reporting is only that the reports be prepared on the accrual basis and not
						that the books be maintained on that basis throughout the reporting period.
						Hospitals will be permitted two reporting periods in which to meet the accrual
						reporting requirements. The Health Care Financial Administration (HCFA) will
						consider requests for waivers where a State law requires other than full
						accrual accounting.
(e) The
						operating revenue accounts in the Listing of Accounts are classified into five
						categories.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 444 - Description Of Accounts › Income Statements › Section 444.10 - Operating revenue-ambulatory services

Current through Register Vol. 46, No. 28, July 10, 2024
[3212]
This group of accounts (3710 -
						  3990) is used to report the gross revenue, measured in terms of the hospital's
						  full established rates, earned from ambulatory services. The essential
						  characteristic distinguishing ambulatory services is that patients arrive at a
						  facility of the hospital for a purpose other than admission as an inpatient.
						  For reporting purposes, ambulatory services also include ambulance,
						  free-standing clinic, and home health services.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 444 - Description Of Accounts › Income Statements › Section 444.11 - Operating revenue-ancillary services

Current through Register Vol. 46, No. 28, July 10, 2024
[3213]
The group of accounts (4010 - 4990)
						  is used to report the gross revenues, measured in terms of the hospital's full
						  established rates, earned from ancillary services. Ancillary services generally
						  are those special services for which charges are customarily made in addition
						  to daily hospital services charges, and include such services as laboratory,
						  diagnostic radiology, surgery services, etc. Ancillary services are usually
						  billed as separate items when the patient receives these services.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 444 - Description Of Accounts › Income Statements › Section 444.12 - Operating revenue-other operating revenue

Current through Register Vol. 46, No. 28, July 10, 2024
[3214]
This group of accounts (5010 -
						  5890) is used to report all operating revenues other than those that are
						  directly associated with patient care.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 444 - Description Of Accounts › Income Statements › Section 444.13 - Operating revenue-deductions from revenue

Current through Register Vol. 46, No. 28, July 10, 2024
[3215]
This group of accounts (5900 -
						  5990) is used to report reductions in gross revenue arising from bad debts,
						  contractual adjustments, uncompensated care, administrative, courtesy, policy
						  discounts, and adjustments and other revenue deductions.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 8 - New York State Annual Hospital Report › Part 444 - Description Of Accounts › Income Statements › Section 444.16 - Deductions from revenue account descriptions

Current through Register Vol. 46, No. 28, July 10, 2024
[ 3223 ]
(a) In many instances, the hospital receives
						less than its full established charges for the services it renders. It is
						essential that reporting information reflect both the gross revenue and revenue
						adjustments resulting from inability to collect established charges for
						services provided. These revenue adjustments are called Deductions from Revenue
						and are of the following primary categories:
(1) Provisions for bad debts.
These deductions represent the estimated amount of
						  current revenue that will not be realized as a result of credit
						  losses.
(2) Contractual
						adjustments.
These adjustments represent the difference between full
						  established charges for individual services and the contractual rates received
						  or to be received from third-party payors for services
						  rendered.
(3) Charity
						service.
These deductions represent the difference between full
						  established charges and amounts received or to be received from indigent
						  patients, voluntary agencies or governmental units on behalf of specific
						  indigent patients.
(4) These
						deductions are reported under two accounts. One account is used to report those
						charges pertaining to compliance with the Hill-Burton Hospital and Medical
						Facilities Construction Plan, and another one for all other uncompensated
						charity care charges.
(5) Policy
						discounts.
These deductions represent adjustments for items such
						  as courtesy allowances and employee discounts from the hospital's full
						  established charges for services.
(6) Administrative adjustments.
These adjustments represent amounts of patient service
						  revenue posted but not billed to patients because the cost of billing and
						  collection would exceed the amounts received.