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 444.2 - UNRESTRICTED FUND ASSETS

Universal Citation: 10 NY Comp Codes Rules and Regs ยง 444.2

Current through Register Vol. 46, No. 39, September 25, 2024

[3110]

(a) CURRENT ASSETS.

[3111]

(1) 1010 CASH...........................................................................................................................

.......................................................................................................................

1011

General Checking Accounts

...........................................................................................................

1012

Payroll Checking Accounts

..........................................................................................................

1013

Other Checking Accounts

..........................................................................................................

1014

Imprest Cash Funds

..........................................................................................................

1015

Savings Account

..........................................................................................................

1016

Certificates of Deposit

..........................................................................................................

1019

Other Cash Accounts

These cash accounts represent the amount of cash on deposit in banks and immediately available for use in financing Unrestricted Fund activities, amounts on hand for minor disbursements, and amounts invested in savings accounts and certificates of deposit.

(2) 1020

INVESTMENTS..........................................................................................................

..........................................................................................................

1021

U.S. Government Securities

..........................................................................................................

1022

Other Current Investments

..........................................................................................................

1023

Share of Pooled Investments

..........................................................................................................

1029

Other Investments

Current securities and investments, evidenced by certificates of ownership or indebtedness, must be reflected in these accounts.

(3) 1030

ACCOUNTS AND NOTES RECEIVABLES..........................................................................................................

..........................................................................................................

1031

Inpatient Receivables-Inhouse

..........................................................................................................

1032

Inpatient Receivables-Discharged and Unbilled

..........................................................................................................

1033

Inpatient Receivables-Medicare

..........................................................................................................

1034

Inpatient Receivables-Medicaid

..........................................................................................................

1035

Inpatient Receivables-Other

..........................................................................................................

1036

Outpatient Receivables-Unbilled

..........................................................................................................

1037

Outpatient Receivables-Medicare

..........................................................................................................

1038

Outpatient Receivables-Medicaid

..........................................................................................................

1039

Outpatient Receivables-Other

(i) These accounts shall reflect the amounts due from hospital patients and their third-party sponsors.

(ii) Separate accounts may be maintained for different levels of inpatient care (i.e., Acute and Intensive, Skilled Nursing, etc.) and outpatient care (i.e., Emergency Room, Clinic) and for different payors, if desired. This may be accomplished by the inclusion of digits to the right of the decimal point.

(iii) Notes receivable and accounts receivable may also be segregated, but there is usually little to be gained from this practice, as the amount of notes receivable will usually be nominal.

(iv) 1031 Inpatient Receivables-Inhouse ..........................................................................................................

This account shall reflect all charges and credits (at the hospital's full established rates) for medical services rendered to patients still in hospital.

(v) 1032 Inpatient Receivables-Discharged and Unbilled ..........................................................................................................

This account shall reflect all charges and credits (at the hospital's full established rates) for medical services rendered to patients who have been discharged but not yet billed.

(vi) 1033 Inpatient Receivables-Medicare-Discharged and Billed ..........................................................................................................

This account should be used only if the hospital is not on the Periodic Interim Payment Program. The balance in this account reflects all unpaid charges billed to the Medicare intermediary. Direct billings to the Medicare inpatient (or to Medicaid) for deductibles, coinsurance, and other patient-chargeable items would also be included in this account if such billings were not included in Inpatient Receivables-Other (or Inpatient Receivables-Medicaid).

(vii) 1034 Inpatient Receivables-Medicaid-Discharged and Billed ..........................................................................................................

The balance in this account reflects all unpaid charges billed to Medicaid. Direct billings to the Medicaid inpatient (or to the Medicare intermediary) for deductibles, coinsurance, other patient- chargeable items and items under "Part B" Medicare coverage would also be included in this account if such billings were not included in Inpatient Receivables-Other (or Inpatient Receivables-Medicare).

(viii) 1035 Inpatient Receivables-Other-Discharged and Billed ..........................................................................................................

Include in this account all unpaid billings for medical services and supplies provided to all non- Medicare, non-Medicaid inpatients. Direct billings to Medicare and Medicaid inpatients for deductibles, coinsurance, and other patient-chargeable items may also be included if they are not included elsewhere.

(ix) 1036 Outpatient Receivables-Unbilled ..........................................................................................................

This account reflects all unbilled charges and credits (at the hospital's full established rates) for medical services rendered to outpatients.

(x) 1037 Outpatient Receivables-Medicare ..........................................................................................................

The balance in this account reflects all unpaid charges billed to the Medicare intermediary. Direct billings to the Medicare outpatient (or to Medicaid) for deductibles, coinsurance, and other patient-chargeable items would also be included in this account if such billings were not included in Outpatient Receivables-Other (or Outpatient Receivables-Medicaid).

(xi) 1038 Outpatient Receivables-Medicaid..........................................................................................................

The balance in this account reflects all unpaid charges billed to Medicaid. Direct billings to the Medicaid outpatient (or to the Medicare intermediary) for deductibles, coinsurance, other patient-chargeable items, and "Part B" coverage, would also be included in this account if such billings are not included in Outpatient Receivables-Other (or Outpatient Receivables-Medicare).

(xii) 1039 Outpatient Receivables-Other ..........................................................................................................

Include in this account all unpaid billings for medical services and supplies provided to all non-Medicare, non-Medicaid outpatients. Direct billings to Medicare and Medicaid outpatients for deductibles, coinsurance, and other patient-chargeable items may also be included if they are not included elsewhere.

(4) 1040 ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES..........................................................................................................

AND THIRD-PARTY CONTRACTUALS ..........................................................................................................

..........................................................................................................

1041

Allowance for Bad Debts

..........................................................................................................

1042

Allowance for Contractual Adjustments-Medicare

..........................................................................................................

1043

Allowance for Contractual Adjustments-Medicaid

..........................................................................................................

1047

Allowance for Contractual Adjustments-Other

..........................................................................................................

1049

Allowance for Other Adjustments

These are valuation (or contra-asset) accounts whose credit balances represent the estimated amount of uncollectible receivables from patients and third-party payors. For details on the computation of the related deductions from revenue, see the account descriptions of the Deductions from Revenue accounts.

(5)
(i) 1050 RECEIVABLES FROM THIRD-PARTY PAYORS ..........................................................................................................

(i) 1051 PIP Clearing Account ..........................................................................................................

During the year, this account reflects the difference between amounts billed to the Medicare intermediary for applicable services rendered, and periodic interim payments received from the Medicare intermediary. At year-end, this account must be closed out, with the balance going to the account entitled Contractual Adjustment-Medicare.

1052 Other Receivables-Third-Party Cost Report..........................................................................................................

Settlement-Medicare

1053 Other Receivables-Third-Party Cost Report..........................................................................................................

Settlement-Medicaid

1059 Other Receivables-Third-Party Cost Report..........................................................................................................

Settlement-Other

(ii) The balance of this account reflects the amount due from third-party reimbursement programs based upon cost reports submitted and/or audited. Sub-accounts may be maintained for each year's settlement if more than one year's settlement is included in an account.

(6) 1060 PLEDGES AND OTHER RECEIVABLES..........................................................................................................

..........................................................................................................

1061

Pledges Receivable

..........................................................................................................

1062

Allowance for Uncollectible Pledges

..........................................................................................................

1063

Grants and Legacies Receivable

..........................................................................................................

1064

Interest Receivable

..........................................................................................................

1065

Accounts and Notes Receivable-Staff, Employees, etc.

..........................................................................................................

1066

Intercompany Advances, Current

..........................................................................................................

1069

Other Receivables

These accounts reflect other amounts due to the Operating Fund for other than patient services.

(7) 1070 DUE FROM OTHER FUNDS..........................................................................................................

..........................................................................................................

1072

Due from Board-Designated Assets

..........................................................................................................

1073

Due from Plant Replacement and Expansion Fund

..........................................................................................................

1074

Due from Specific Purpose Fund

..........................................................................................................

1075

Due from Endowment Fund

The balances in these accounts reflect the amounts due from designated assets or restricted funds to the Operating Fund. The balance of these accounts should not be construed as a receivable in the sense that a claim external to the hospital exists. Instead, this balance should be viewed as representing assets of the Operating Fund which are currently accounted for as restricted funds.

(8) 1080 .INVENTORY .........................................................................................................

..........................................................................................................

1081

Inventory-General Stores

..........................................................................................................

1082

Inventory-Pharmacy

..........................................................................................................

1083

Inventory-Central Services and Supplies

..........................................................................................................

1084

Inventory-Dietary

..........................................................................................................

1085

Inventory-Plant Operating and Maintenance

..........................................................................................................

1089

Inventory-Other

These balances reflect the cost of unused hospital supplies. Any generally accepted cost method (e.g., FIFO, LIFO, etc.) may be used as long as it is consistent with that of the preceding accounting period. The extent of inventory control and detailed record-keeping will depend upon the size and organizational complexity of the hospital.

(9) 1090 PREPAID EXPENSES AND OTHER CURRENT ASSETS.......................................................................................... ..........................................................................................................

1091

Prepaid Insurance

..........................................................................................................

1092

Prepaid Interest

..........................................................................................................

1093

Prepaid Rent

..........................................................................................................

1094

Prepaid Pension Plan Expense

..........................................................................................................

1095

Prepaid Taxes

..........................................................................................................

1096

Prepaid Service Contracts

..........................................................................................................

1097

Other Prepaid Expenses

..........................................................................................................

1098

Deposits

..........................................................................................................

1099

Other Current Assets

These prepaid asset and other current asset accounts represent costs incurred which are properly chargeable to a future accounting period. Other current assets not included elsewhere are also contained in these accounts.

(b) BOARD DESIGNATED ASSETS.

[ 3112 ]

(1) 1110 CASH ..........................................................................................................

..........................................................................................................

1111

General Checking Accounts

..........................................................................................................

1113

Other Checking Accounts

..........................................................................................................

1115

Savings Accounts

..........................................................................................................

1116

Certificates of Deposit

..........................................................................................................

1119

Other Cash Accounts

(2) 1120 INVESTMENTS..........................................................................................................

..........................................................................................................

1121

U.S. Government Securities

..........................................................................................................

1122

Other Current Investments

..........................................................................................................

1123

Share of Pooled Investments

..........................................................................................................

1129

Other Investments

(3) 1160 PLEDGES AND OTHER RECEIVABLES ..........................................................................................................

..........................................................................................................

1161

Pledges Receivable

..........................................................................................................

1162

Allowance for Uncollectible Pledges

..........................................................................................................

1163

Grants and Legacies Receivable

..........................................................................................................

1169

Other Receivables

(4) 1170 DUE FROM OTHER FUNDS ..........................................................................................................

..........................................................................................................

1173

Due from Plant Replacement and Expansion Fund

..........................................................................................................

1174

Due from Specific Purpose Fund

..........................................................................................................

1175

Due from Endowment Fund

(5) 1190 PREPAID EXPENSES AND OTHER CURRENT ASSETS ..........................................................................................................

..........................................................................................................

1199

Other Current Assets

(6) Included in these accounts are assets which have been designated (or appropriated) by the governing board for special use.

(c) PROPERTY, PLANT AND EQUIPMENT.

[ 3113 ]

(1) 1200 LAND ..........................................................................................................

The balance of this account reflects the cost of land used in hospital operations. Included here is the cost of offsite sewer and water lines, public utility charges for servicing the land, governmental assessments for street paving and sewers, the cost of permanent roadways and of grading of a nondepreciable nature, the cost of curbs and of sidewalks whose replacement is not the responsibility of the hospital, as well as other land expenditures of a nondepreciable nature. Unlike buildings and equipment, land does not deteriorate with use or with the passage of time; therefore, no depreciation is accumulated.

(2) 1210 LAND IMPROVEMENTS ..........................................................................................................

..........................................................................................................

1211

Parking Lots

..........................................................................................................

1219

Other Land Improvements

All land expenditures of a depreciable nature that are used in hospital operations are charged to this account. This would include the cost of onsite sewer and water lines; paving of roadways, parking lots, curbs and sidewalks (if replacement is the responsibility of the hospital), as well as the cost of shrubbery, fences and walls.

(3) 1220 BUILDINGS ..........................................................................................................

..........................................................................................................

1221

Hospital

..........................................................................................................

1224

Clinic

..........................................................................................................

1225

Student Housing Facility

..........................................................................................................

1226

Employee Housing Facility

..........................................................................................................

1227

Non-Paid Workers Housing Facility

..........................................................................................................

1228

Skilled Nursing Facility

..........................................................................................................

1229

Parking Structure

The cost of all buildings and subsequent additions used in hospital operations shall be charged to this account. Included are all architectural, consulting and legal fees related to the acquisition or construction of buildings. Interest paid during construction financing is a cost of the building and is included in this account.

(4) 1230 FIXED EQUIPMENT ..........................................................................................................

..........................................................................................................

1231

Hospital

..........................................................................................................

1234

Clinic

1

..........................................................................................................235

Student Housing Facility

..........................................................................................................

1236

Employee Housing Facility

..........................................................................................................

1237

Non-Paid Workers Housing Facility

..........................................................................................................

1238

Skilled Nursing Facility

..........................................................................................................

1239

Parking Structure

(i) The cost of all fixed equipment used in hospital operations shall be charged to this account. Fixed equipment has the following general characteristics:

Affixed to the building, not subject to transfer or removal.

A life of two or more years, but less than that of the building to which it is affixed.

Used in hospital operations.

(ii) Fixed equipment includes such items as boilers, generators, elevators, engines, pumps and refrigeration machinery, including the plumbing, wiring, etc. necessary for equipment operations.

(5) 1240 LEASEHOLD IMPROVEMENTS ..........................................................................................................

All expenditures for the improvement of a leasehold used in hospital operations shall be charged to this account.

(6) 1250 EQUIPMENT..........................................................................................................
(i) 1251 Major Movable Equipment ..........................................................................................................

Equipment to be charged to this account has the following general characteristics:

Ability to be moved, as distinguished from fixed equipment.

A more or less fixed location in the building.

A unit cost large enough to justify the expense incident to control by means of an equipment ledger.

Sufficient individuality and size to make control feasible by means of identification tags.

A minimum useful life at time of acquisition of three years or more.

Used in hospital operations.

Major movable equipment includes such items as automobiles and trucks, desks, beds, chairs, accounting machines, sterilizers, operating tables, oxygen tents and X-ray apparatus.

(ii) 1259 Minor Movable Equipment ..........................................................................................................

Equipment to be charged to this account has the following general characteristics:

Location generally not fixed; subject to requisition or use by various cost centers of the hospital.

Relatively small in size and unit cost.

Subject to storeroom control.

Fairly large number in use.

A useful life of less than three years.

Used in hospital operations.

Minor equipment includes such items as wastebaskets, bedpans, basins, glassware, silverware, pots and pans, sheets, blankets, ladders, and surgical instruments.

(7) 1260 CONSTRUCTION-IN-PROGRESS ..........................................................................................................

..........................................................................................................

1261

Buildings

..........................................................................................................

1262

Fixed Equipment

..........................................................................................................

1263

Major Movable Equipment

..........................................................................................................

1264

Fees

..........................................................................................................

1265

Insurance

..........................................................................................................

1266

Interest

Cost of construction that will be in progress for more than one month and will be used for hospital operations should be charged to these accounts. Upon completion of the construction program, these accounts should be credited and the appropriate asset account(s) debited.

(8) 1270 ACCUMULATED DEPRECIATION - ..........................................................................................................

LAND IMPROVEMENTS..........................................................................................................

..........................................................................................................

1271

Parking Lots

..........................................................................................................

1279

Other Land Improvements

(9) 1280

ACCUMULATED DEPRECIATION - BUILDINGS..........................................................................................................

..........................................................................................................

1281

Hospital

..........................................................................................................

1284

Clinic

..........................................................................................................

1285

Student Housing Facility

..........................................................................................................

1286

Employee Housing Facility

..........................................................................................................

1287

Non-Paid Workers Housing Facility

..........................................................................................................

1288

Skilled Nursing Facility

..........................................................................................................

1289

Parking Structure

(10) 1290

ACCUMULATED DEPRECIATION - FIXED..........................................................................................................

EQUIPMENT..........................................................................................................

..........................................................................................................

1291

Hospital

..........................................................................................................

1294

Clinic

..........................................................................................................

1295

Student Housing Facility

..........................................................................................................

1296

Employee Housing Facility

..........................................................................................................

1297

Non-Paid Workers Housing Facility

..........................................................................................................

1298

Skilled Nursing Facility

..........................................................................................................

1299

Parking Structure

(11) 1310 ACCUMULATED DEPRECIATION - LEASEHOLD IMPROVEMENTS..........................................................................................................

(12) 1320

ACCUMULATED DEPRECIATION - EQUIPMENT..........................................................................................................

..........................................................................................................

1321

Major Movable Equipment

..........................................................................................................

1329

Minor Movable Equipment

(13) The balances in accounts 1270 through 1329 reflect the depreciation accumulated on the above-mentioned assets used in hospital operations.

(d) OTHER TANGIBLE ASSETS.

[ 3114 ]

(1) 1330

INVESTMENT IN NON-OPERATING PROPERTY, PLANT AND EQUIPMENT..........................................................................................................

(2) 1340

ACCUMULATED DEPRECIATION - INVESTMENTS IN NONOPERATING PROPERTY, PLANT AND EQUIPMENT

(3) 1350 OTHER TANGIBLE ASSETS ..........................................................................................................

1351 Intercompany Advances, Non-Current..........................................................................................................

(4) Accounts 1330 and 1340 include the cost (or fair market value at date of donation) of property, plant and equipment not used in hospital operations and accumulated depreciation thereon. Other tangible assets not included elsewhere are contained in account 1350.

(e) INTANGIBLE ASSETS.

[ 3115 ]

(1) 1360 GOODWILL..........................................................................................................

(2) 1370 UNAMORTIZED BORROWING COSTS..........................................................................................................

(3) 1380 PREOPENING AND OTHER ORGANIZATIONAL COSTS ..........................................................................................................

1381 Preopening Costs..........................................................................................................

1389 Other Organization Costs..........................................................................................................

(4) 1390 OTHER INTANGIBLE ASSETS..........................................................................................................

(5) Accounts 1360-1390 are used to record intangible assets. If such intangibles are being amortized, the amortization may be directly credited to the asset account, or accumulated in a subaccount. Account 1360, Goodwill, contains the excess of the price paid for a business as a whole over the book value, or over the computer or agreed value of all tangible net assets purchased. Account 1370, Unamortized Borrowing Costs, includes such items as legal fees, underwriting fees, etc.

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