Part 441 Definitions

(a) An amount owing by one person (a debtor) to another (a creditor), payable in money, or in goods or services: the consequence of an asset or service received or a loss incurred or accrued; particularly, any debt (1) due or past due (current liability), (2) due at a specified t…

A permission granted by competent authority to engage in a business or corporation or any activity otherwise unlawful.

A systematically arranged list of accounts applicable to a specific concern, giving names and numbers. See also chart of accounts.

A live birth is the complete expulsion or extraction from its mother in a hospital facility, of a product of conception, irrespective of the duration of pregnancy, which after such separation breathes or shows any evidence of life such as beating of the heart, pulsation of the um…

Funds acquired by an institution subject to agreement whereby resources are made available to the institution on condition that the institution pay periodically to a designated person, or persons, the income earned on the resources acquired for the lifetime of the designated pers…

Effort expended to maintain assets in fit condition to do their work—such items are ordinary and recurring and do not improve the asset or add to its life. A useful distinction can be made between maintenance as preventive and repairs as curative.

The relative importance, when measured against a standard of comparison, of all items (cumulative by cost center or account) included in or omitted from books of account or financial statements, or any procedure or change in procedure that conceivably might affect such statements…

A federally aided, State-operated and administered program which provides medical benefits for certain low-income persons in need of health and medical care. The program, authorized by title XIX of the Social Security Act, is basically for the poor. It does not cover all of the p…

The complete retirement of a fixed asset from service, following salvage or other reclaiming of removable parts.

Contributions of corporate stockholders credited to accounts other than capital stock; sources: an excess over par or stated value received from the sale or exchange of capital stock, an excess of par or stated value of capital stock reacquired over the amount paid therefor, or a…

A record kept on patients which properly contains sufficient information to identify the patient clearly, to justify his/her diagnosis and treatment, and to document the results accurately. The purposes of the record are to serve as the basis for planning and continuity of patien…

The services pertaining to medical care that are performed at the direction of a physician on behalf of patients by physicians, dentists, nurses, and other professional and technical personnel.

New applicants are generally appointed as associate staff members for a period of two to four years, after which they become members of the attending staff.

Have full admitting privileges in accordance with their abilities and qualifications, and also participate as members of the medical staff committees, serve as officers of the medical staff and serve as directors or chiefs of departments. They are required to attend meetings of t…

Physicians of recognized professional ability in their specialty, but who are not members of the attending staff.

Certain doctors are designated as courtesy members when they have retired. They have privileges consistent with their abilities and qualifications.

Licensed physicians who are employed by the hospital to provide service to all patients, according to need, and are subject to the approval of the patients' own physicians.

A third-party reimbursement program administered by the Health Care Financing Administration that underwrites the medical costs of persons 65 and over, and some qualified persons under 65. “Part A” covers hospital services and “Part B” covers physicians' services.

A person with a chronic psychiatric impairment and whose adaptive functioning is moderately impaired. This patient requires continuous supervision and can be expected to benefit from an active rehabilitation program effort designed to improve his adaptive functioning and develop …

Includes the alteration, expansion, major repair (to the extent permitted by regulations), remodeling, replacement and renovation of existing buildings (including initial equipment thereof and the replacement of obsolete equipment of existing buildings).

The formal acceptance by an institution of a patient who is to be provided with room, board, continuous nursing service, and other institutional services while lodged in the institution.

A special unit, approved by the State, set up for the treatment of infants from hour of birth through first 28 days; also of infants up to three months of age with medical and surgical problems which are best managed in a neonatal intensive care unit.

Diminished by all relevant and commonly associated deductions.

Gross square feet of a building less common areas. To determine net square feet, the number of square feet in each cost center of the hospital may be determined either by a physical measurement of the hospital or by a measurement from blueprints. Floor area measurements should be…

The aggregate presentation on the accounting records of the equities representing proprietary interests; the excess of the going concern's value of assets over liabilities to outsiders; of a corporation, the total of paid-in capital, retained earnings, and appropriated surplus; o…

(a) An inpatient newly born in the hospital and accepted for routine care and lodging in a newborn bed facility. Stillbirths are not to be considered newborn. (b) The following should not be included as newborn patient days: (1) boarder babies for nonmedical reasons; (2) prematur…

As defined in article IX-C of the Insurance Law.

The expenses of a hospital which are not directly related to patient care, related patient services, or the sale of related goods. For example, nonoperating expenses includes losses on sale of hospital property and retail operations expenses.

The revenue of a hospital which is not directly related to patient care, related patient services, or the sale of related goods. For example, nonoperating revenue includes unrestricted gifts, unrestricted income from endowment funds, gain on sale of hospital properties, and retai…

An incorporated charity, or any corporation operated under a policy by which no stockholder or trustee shares in the profits or losses, if any, of the enterprise.

These are overhead units, such as dietary and plant operations and maintenance, that provide necessary support services to revenue-producing centers.

Those beds assigned for regular use by inpatients who are 14 years of age or over, and which are maintained in areas allotted for adult or adolescent lodging, even though in some instances utilized by children.

Maintenance and repair work which is not repetitive and not performed regularly.

A corporation as defined in section 102 of the Not-for-Profit Corporation Law.

Services pertaining to the curative, rehabilitative and preventive aspects of nursing care that are planned, performed, supervised and/or directed by a registered professional nurse.

The loss in usefulness of an asset, occasioned by the approach to the stage of economic uselessness through programs of the arts; economic inutility arising from external causes; disappearing usefulness resulting from invention, change of style, legislation, or other causes havin…

(a) A specific identifiable act of service involved in the medical care of the patient which does not require the assessment of the patient's condition nor the exercising of independent judgment as to the patient's care. An example of an occasion of service is a technician admini…

Standby pay is compensation to an employee for being available to work.

Operating expenses include all necessary and proper costs which are appropriate in developing and maintaining the operation of the patient care facilities and activities. Necessary and proper costs related to patient care are those costs which are common and accepted occurrences …

The funds within the unrestricted fund which have not been designated by the governing board of the hospital for special uses.

The excess of the revenues of a business enterprise over the expenses pertaining thereto, excluding income and expense derived from sources other than its regular activities.

A lease which fails to meet all of the following four criteria: (a) The present value of the minimum lease payments is 90 percent of the fair value of the property to the lessor. (b) The lease term is 75 percent or more of the leased property's estimated economic life. (c) The le…

(a) Payment of cash or the transfer of goods for which an accounting must be rendered by the recipient at some later date. (b) A payment of a contract before its completion. (c) The payment of wages, salaries, or commissions before they have been earned. (d) Deferred income or ex…

Operating revenue includes revenue directly related to the rendering of patient care services and revenue from nonpatient care services to patients and sales and activities to persons other than patients.

Any cost incurred in establishing a corporation or other form of organization; as, incorporation, legal and accounting fees, promotional costs incident to the sale of securities, security qualification expense, and printing of stock certificates. These and similar costs constitut…

Outlay for an asset by its owner, not including any adjustments of cost arising from post-acquisition alterations, improvements or depreciation.

Other operating revenue includes revenue from nonpatient care services to patients and sales and activities to persons other than patients, and the value of donated commodities.