Washington State Department of Health Accounting and Reporting Manual for HospitalsGlossaryA B C D E F G H I J K L M N O P Q R S T U V W X Y Z Show
AbandonmentThe complete retirement of a fixed asset from service, following salvage or other reclaiming of removable parts. Abortion ServicesServices relating to the premature termination of pregnancy. Accelerated DepreciationDepreciation at larger than the straight-line rate because of:
Accommodation FeeAn advance payment or transfer of a specified amount of funds or property by, or on behalf of, an aged person to a facility as full or partial payment for the promise to provide accommodations for the remainder of the person's life. AccountA formal record of a particular type of transaction expressed in money and kept in a ledger. AccountabilityThe obligation of an employee, agent, or other person to supply a satisfactory report, often periodic, of action or of failure to act following delegated authority/responsibility. AccountingThe art of recording, classifying, and summarizing in a significant manner and in terms of money, transactions and events which are, in part at least, of a financial character, and interpreting the results thereof. Accounting ControlThe administrative procedures employed in maintaining the accuracy and propriety of transactions and the bookkeeping record thereof. Accounting ManualA handbook of accounting policies, standards, and practices governing the accounts of a business enterprise or other entity; it includes the classification of accounts. Accounting PeriodThe period of time for which an operating statement is customarily prepared. Accounting PolicyThe general principles and procedures under which the accounts of an organization are maintained and reported; any one such principle or procedure. Accounting PrinciplesThe body of doctrine associated with accounting, serving as an explanation of current practices and as a guide in the selection of conventions and procedures. Accredited HospitalsHospitals whose quality of care has met standards set by the Joint Commission on Accreditation of Health Care Facilities. Accrual
Accrual AccountingThe recognizing and reporting of the effects of transactions and other events on the assets and liabilities of the hospital entity in the time period in which they relate rather than only when cash is received or paid. Accrual Basis (of Accounting)The method of accounting whereby revenues and expenses are identified with specific periods of time, such as a month or year, and are recorded as incurred, along with acquired assets, without regard to the date of receipt or payment of cash; distinguished from cash basis. AccrueTo give effect to an accrual; to record revenue or expense in the accounting period to which it relates, not withstanding that the required receipt or outlay may take place, in whole or in part, in a preceding or following period. Accrued DepreciationThe total depreciation suffered by an asset or asset group, based on customary or fairly determined rates or estimates of useful life, now generally referred to as accumulated depreciation. Accrued ExpensesSee Accrued Liability. Accrued LiabilityAn amount of interest, wages, or other expense recognized or incurred on and before a given date but not paid; sometimes referred to as accrued expense. Accrued RevenueRevenue earned, but neither received nor past due. Accumulated DepreciationThe fixed-asset valuation account resulting from depreciation provisions; also known as reserve for depreciation, accrued depreciation, and allowance(s) for depreciation. Accumulated Income (or Earnings or Profit)Net income retained and not paid out in dividends or dissipated by subsequent losses, earned surplus or retained earnings. Acid Test RatioRatio of cash, marketable securities and accounts receivable to current liabilities used to provide a more sensitive liquidity index than the current ratio, for it excludes inventories which are not relatively liquid. Active Medical StaffHospital-based and non-hospital-based physicians, other than interns and residents who are voting members of and can hold office in the medical staff organization of the hospital. Activity
Actual CostCost, as of acquisition or production, the former net of discounts and allowances but including transportation and storage, and often averaged for internal-transfer or inventory purposes. Actuarial BasisA basis compatible with principles followed by actuaries: said of computations involving compound interest, retirement and mortality estimates, and the like. Acute CareInpatient general routine care provided to patients who are in an acute phase of illness but not to the degree which requires the concentrated and continuous observation and care provided in the intensive care units of an institution. AdditionAn addition is something which does not merely replace a thing previously owned. This includes enlargements and extensions of existing facilities. Additional (Paid-In) CapitalContributions 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 therefore, or an excess from recapitalization; often displayed on the balance sheet as a separate item or in combination with par or stated value and designated paid-in capital, known also as paid- in surplus. Adjusted AdmissionHospital Admissions adjusted to account for skilled nursing, chemical dependency, and outpatient activity. Adjusted Admissions are calculated as follows:
(HAdm-SNF-CD)*(TPR/(TIP-SNF-CD)) Adjusted Case Mix Value Units (ACMVU)Hospital admissions, chemical dependency admission, and births adjusted for skilled nursing and outpatient activity and for the hospital's mix of patients. Adjusted Case Mix Value Units are calculated as follows:
(HAdm+CD+Births)*(TPR/(TIP-SNF))*CaseMix Adjusted Patient DayHospital patient days adjusted to account for skilled nursing, chemical dependency, and outpatient activity. Adjusted Patient Days are calculated as follows:
(HPD-SNF-CD)*(TPR/(TIP-SNF-CD)) Adjusted Operating ExpensesTotal operating expenses adjusted to exclude depreciation and interest on long-term debt. Adjusting (Journal) Entry
Administrative AccountingThat portion of the accounting process generally associated with management: for example, the functions of the controller, internal auditing, and decisions as to prorations, valuations, reserves, charge offs, and reporting. Administrative ExpenseA classification of expense incurred in the general directing of an enterprise as a whole, as contrasted with expense of a more specific function, such as nursing services or dietary, but not including income deductions. Items included under this heading vary with the nature of the business, but usually include salaries of top officers and other general-office expense. Administrative AdjustmentWrite-offs of debt balances on patient's accounts, courtesy and employee discounts, and refunds to patients. AdmissionThe 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. Advance
AffiliateA corporation or other organization related to another by owning or being owned, by common management or by a long-term lease of its properties or other control device. AffiliationAn affiliation exists when there is a contract or special arrangement between a healthcare facility and a teaching institution to provide a supervised clinical experience for any number or variety of health occupations students. Some affiliations are contracts between program schools and the hospital or healthcare facility that will be the clinical teaching site while other clinical teaching sites must be approved by the appropriate licensing authority. AgeThe number of years or other time periods an asset or asset group has remained in service at a given date. AICPAAmerican Institute of Certified Public Accountants. AIDS ClinicServices relating to the outpatient treatment of people affected with Acquired Immune Deficiency Syndrome. Alcoholism TreatmentSee Chemical Dependency Alcoholism clinicServices relating to the outpatient treatment of people with an alcohol dependency problem. Allergy ClinicServices relating to the outpatient treatment of people who have a hypersensitive reaction to intrinsically harmless antigens, most of which are environmental. Allocate
AllowanceThe difference between gross revenue from services rendered and amounts received (or to be received) from patients or third-party payers. Allowances are to be distinguished from uncollectible accounts resulting from credit losses. Alternative Birthing CenterA room using a licensed bed for labor and delivery that is decorated in a homelike manner and allows the mother with a normal or low risk pregnancy greater choice in the procedures to be used. Ambulatory CareHealth services rendered to persons who are not confined overnight in a health care institution. Ambulatory care services are often referred to as "outpatient" services. Ambulatory ServicesThe essential characteristic of "Ambulatory Services" is that the patients come to or are brought to a facility of the hospital for a purpose other than admission as an inpatient. Ambulatory services include emergency services, clinical services, ambulance services, and some health services but exclude ancillary services. AmortizationThe write-off over a specified period of time of intangible assets. Ancillary ServicesDiagnostic or therapeutic services performed by specific facility departments as distinguished from general or routine patient care such as room and board. ApportionmentThe distribution of a cost over several periods of time in proportion to anticipated benefits. AppreciationIncrease in value of property; the excess of the present value of property over book value. AssetAny owned physical object (tangible) or right (intangible) having economic value to its owner; an item or source of wealth expressed, for accounting purposes, in terms of its cost, depreciated cost, or, less frequently, some other value; hence, any cost benefiting a future period. AudiologyServices relating to the hearing impaired whose hearing cannot be improved by medical or surgical treatment. Audit
Available BedsHealth facility beds, cribs, and pediatric and neonatal bassinets which are maintained and staffed for the provision of patient care. Bassinets for normal newborn infants are not included in this definition. Average Daily Inpatient CensusAverage number of inpatients (based on the daily inpatient census) present each day for a given period of time. Average Length of StayThe average number of days of service rendered to each inpatient discharged during a given period. Average LifeThe estimated useful-life expectancy of a group of assets subject to depreciation. Bad DebtAccounts receivable which are not collectible due to the unwillingness of the responsible party to make payment. Balance
Balance SheetA statement of financial position of any economic unit, or component thereof, reporting for a given moment of time its assets (at cost, depreciated cost, or other indicated value), its liabilities, and its ownership equities recorded under an accounting system. Balloon PaymentThe final payment of a debt obligation which is substantially larger than the preceding payments. BassinetA bed utilized for normal newborn infants. Not included in "available beds." Bed Turnover RateThe number of times a health facility bed, on the average, changes occupants during a given period of time. Behavior Disorder CareCare for an individual who has experienced an irregularity or confusion in the conduct of the individual's total activity. BenefitThe service or satisfaction yielded by an expenditure. BettermentAn expenditure having the effect of extending the useful life on an existing fixed asset, increasing its normal rate of output, lowering its operating cost, increasing rather than merely maintaining efficiency or otherwise adding to the worth of benefits it can yield. Biofeedback TherapyA process that furnishes the patient information, usually in an auditory or visual mode, on the state of physiological variables, such as heart rate, in order for the patient to gain some control over the physiologic variable being sampled. BirthsNumber of live infants born in the hospital. Board-Designated FundsUnrestricted funds set aside by the governing board for specific purposes or projects. Board-Designated Investment FundsUnrestricted funds which, at the discretion of the governing board, have been designated for investment to produce income as if they were endowment funds. Boarder Baby
Bonds
Bond DiscountThe excess of the face amount of a bond or class of bonds over the net amount yielded from its sale. On the books and balance sheet of the issuer, it appears as an adjustment to the face value of the bonds. Bond PremiumThe net amount yielded by the sale of a bond or class of bonds in excess of its face value. On the books and balance sheet of the issuer it appears as an adjustment to the face value of the bonds. Book Inventory
Book of Original EntryA record book, recognized by law or custom, in which transactions are successively recorded, and which is the source of postings to ledgers; a journal. Books of original entry include general and special journals, such as cashbooks and registers of sales and purchases. Book Value (or Cost)
BudgetA financial plan serving as an estimate of and control over future operations. The budget is a projected work program which involves units of service, revenue and expense (operating), cash flow, and capital expenditures. Budget Year (BY)Fiscal period, usually 12 months, for anticipated expenses and revenues. Capital AssetAn asset intended for continued use or possession. Common subclassifications being: (a) land, buildings and equipment, leaseholds, mineral deposits, timber preserves (fixed assets); (b) goodwill, patients, trademarks, franchises (intangibles); (c) investments in affiliated companies. Capital ExpenditureAn expenditure intended to benefit future periods, in contrast to a revenue expenditure, which benefits a current period; an addition to a capital asset. The term is generally restricted to expenditures that add fixed-asset units or that have the effect of increasing the capacity, efficiency, life span, or economy of operation of an existing fixed asset. Capital LeaseA lease which meets one of the following four criteria: (a) The present value of the minimum lease payments is 90 percent or more 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 lease contains a bargain (less than fair value) purchased option. (d) Ownership is transferred to the lessee by the end of the lease terms. (See FASB Statement #13 for further details.) Capitalize
Cardiac CatheterizationThe passage of a tubular flexible surgical instrument through a vein in an arm or leg or the neck and into the heart in order to secure blood samples and perform other tests. Cardiology ClinicServices relating to the outpatient treatment or study of normal functions and disorders of the heart. Case Mix IndexA measure of the relative complexity of services provided at a particular hospital. Cash BasisA basis of keeping accounts, in contrast to the accrual basis, whereby revenue and expense are recorded on the books of account when received and paid, respectively, without regard to the period to which they apply. The cash basis is a frequently unsatisfactory variation of the accrual basis, but in instances where transactions are limited to cash revenue and outgo, the two methods may virtually coincide. Certificate of Deposit
Certificate of NeedAn approach to controlling costs by inhibiting the development of unnecessary (particularly duplicative) facilities and services. The focus is on controlling entry of new facilities andexpansion of existing facilities and services. States with certificate of need laws generally require demonstration that a public need for new or expanded facilities exists. Coverage of the laws varies and may include construction of new nursing care facilities, expansion of bed capacity and physical plant, investments above a certain level in new equipment, and free- standing outpatient facilities as well as hospitals. Chain OrganizationA health care, or other organization consisting of a group of two or more facilities which are owned, leased or, through any other device, controlled by one business entity. Chart of AccountsA systematically arranged list of accounts applicable to a specific concern, giving account names and numbers. A chart of accounts, accompanied by descriptions of their use and of the general operation of the books of account, becomes a classification or manual of accounts. CharityBilled charges for hospital services provided to patients determined unable to pay for those services. Chemical Dependency - DetoxificationTreatment designed to free addicts from their drug or alcohol habit. Chemical Dependency - RehabilitationTreatment designed to restore patients to self-sufficiency or to gainful employment. Chemistry ServiceA laboratory service related to the chemical composition of living organisms and of vital processes. Chest Medical ClinicServices relating to the outpatient medical treatment of the respiration and circulation organs. Child Diagnosis ClinicServices relating to the outpatient identification of diseases or conditions in juveniles. Child Treatment ClinicServices relating to the outpatient medical treatment of diseases or conditions in juveniles. Classification of AccountsA list of accounts, systematically grouped (chart of accounts), suitable for a particular organization, with descriptions setting forth the meaning, function, and content of each account and the relation of one to another. Clearing AccountA primary account containing costs that are to be transferred to other accounts; an intermediate account to which is transferred a group of costs or revenues or a group of accounts containing costs or revenues and from which a distribution of the total is made to other accounts. Clinical Psychologist ServicesThe use of knowledge and techniques relating to the mind and mental processes for use in the treatment of persons with emotional difficulties. Cobalt TherapyThe use of cobalt, a radioactive isotope, in the treatment of malignancies. College of American Pathologists (CAP) Workload Recording MethodMethodology developed by the College of American Pathologists to provide a uniform system for calculating units of service. The workload recording method is divided into a short list which is designed to cover about 90 percent of the workload in most clinical laboratories and a long list which includes the majority of different procedures performed in any clinical laboratory. Combined Labor/Delivery Birthing RoomSite for normal delivery that has a setting that provides a homelike internal atmosphere using unlicensed beds. Communicable Disease ClinicServices relating to the outpatient medical treatment of any disease transmitted from one person or animal to another directly or indirectly. Community Care FacilityAny facility which is maintained and operated to provide nonmedical residential care, day care, or home-finding agency services for children or adults including, but not limited to, the developmentally disabled, physically handicapped, mentally disordered, or incompetent persons, and includes any residential facility, day facility and home-finding agency. Comprehensive Outpatient Rehabilitation Facility (CORF)Outpatient facility providing diagnostic, therapeutic, and restorative services to outpatient for rehabilitation of injured or disabled persons, under a physician's direction, at a single fixed location. ConsistencyContinued uniformity, during a period of or from one period to another, in methods of accounting, mainly in valuation bases and methods of accrual, as reflected in the financial statements of a business enterprise or other accounting or economic unit. Contract ServiceServices performed in whole or in part by an outside organization on a contractual basis. Contractual AdjustmentThe difference between billings at established charges and amounts received or due from third-party payers under contract agreements - similar to a trade discount. Contributed CapitalThe payments in cash or property made to a corporation by its stockholders:
Contributed ServicesSee Donated Services. ControlThe process by which the activities of an organization are conformed to a desired plan of action and the plan is conformed to the organization's activities. Control (or Controlling) AccountAn account containing primarily totals of one or more types of transactions the detail of which appears in a subsidiary ledger or its equivalent. Its balance equals the sum of the balances of the detail accounts. CostAn expenditure or outlay of cash, other property, capital stock, or services, or the incurring of a liability therefore, identified with goods or services acquired or with any loss incurred, and measured by the amount of cash paid or payable or the market value of other property, capital stock, or services given in exchange or, in other situations, any commonly accepted basis of valuation. Implicit in the concept of cost is the accrual basis of accounting. Cost AllocationThe apportionment or allocation of the costs of nonrevenue producing cost centers to each other, and to revenue producing centers on the basis of the statistical data that measure the amount of service rendered by each center to other centers. The purpose of cost allocation is to determine the total of full costs of operating each revenue producing center of a health facility. Cost-Based ReimbursementUnder this approach, the third party pays the hospital for the care received by covered patients at cost; with the expenses included and excluded from cost determined by the third party. Cost CenterAn organizational division, department, or unit performing functional activities within a facility; for each such center, cost accountability is maintained for revenues produced and for controllable expenses incurred. Cost Finding (Health Care)See cost allocation. Cost RecoveriesRevenue generated by reimbursement for activities other than patient care services which is recorded as an offset to the expense of these activities. CountyThe 39 geographical and political subdivisions of the State. Current AssetsUnrestricted cash, or other assets held for conversion within a relatively short period into cash or other readily convertible asset, or currently useful goods or services. Usually the period is one year or less, however, in some enterprises the period may be extended to the length of the operating cycle, which may be more than a year. The five customary subdivisions of current assets are cash, temporary investments, receivables, inventory, and prepaid expenses. Current LiabilityA short-term debt, regardless of its source, including any liability accrued and deferred and unearned revenue that is to be paid out of current assets or is to be transferred to income within a relatively short period, usually one year or less, or a period greater than a year but within the business cycle of an enterprise. The currently maturing position of long-term debt is thus classified unless it is to be paid from a sinking fund or other noncurrent asset source. Current RatioRatio of current assets to current liabilities. Used as the basic index of liquidity and financial position. Current Year Estimate (CYE)The current year's data includes two periods - six or more months completed to date (actual data) plus projected data for the remaining months of the present period. CytogeneticsServices relating to the study of chromosomes. CytologyMicroscopic examination of cells taken from a body surface or lesion as a means of detecting malignancy and microbiologic change. CystoscopyImaging services directed toward the examination of cells. Daily Hospital ServicesDaily hospital services are those inpatient services generally included by the hospital in a daily service charge - sometimes referred to as the "room and board" charge. Included are the room, dietary, and nursing services, minor medical and surgical supplies, and the use of certain equipment and facilities for which the hospital does not customarily make a separate charge. Daily Inpatient CensusThe number of inpatients present at the census time each day, plus any inpatients who were admitted and discharged or died after the census-taking time the previous day. Generally, the inpatient census is taken each midnight. However, a facility may designate and consistently use any other specified hour for census counting. Date of AcquisitionThe effective purchase date of an asset. Usually, this is the date title is acquired and the asset is in possession. DeductibleThat portion of covered hospital and medical charges which an insured person must pay before his policy benefits begin. Used as a mechanism to discourage over-utilization or to avoid processing small claims. Deductions from RevenueReductions in gross revenue arising from bad debts, charity care, contractual adjustments (including negotiated rates), administrative courtesy and policy discounts. Deferral (or Deferment)The accounting treatment accorded the receipt or accrual of revenue before it is earned, or the incurrence of an expenditure before the benefits therefrom are received. Deferred ChargeAn expenditure not recognized as a cost of operations of the period in which incurred but carried forward to be written off in one or more future periods. Deferred CreditRevenue received or recorded before it is earned, i.e., before the consideration is given, in whole or in part, for which the revenue is or is to be received. DefinitionA statement that sets forth and delimits the meaning of a word, phrase, or other symbolic expression, as used in a given discourse or context. Dental ClinicServices relating to the outpatient treatment of the teeth, oral cavity, and associated structures. Dental ServicesServices which are performed on the teeth, oral cavity, and associated structures, including the diagnosis and treatment of their diseases and the restoration of defective and missing tissue. DepartmentA cost center, operating unit, or area; a function; an activity. Depreciable CostThat part of the capitalized cost of a fixed asset that is to be spread over useful life; i.e., cost less the estimated recovery from resale or salvage. DepreciationLost usefulness; expired utility; the diminution of service yield from a fixed asset or fixed-asset group that cannot or will not be restored by repairs or by replacement of parts. Depreciation FundMoney or marketable securities set aside for the purpose of replacing or providing assistance in replacing depreciable fixed assets. Dermatology ClinicServices relating to the outpatient diagnosis and treatment of skin disorders. Developmentally Disabled PatientA person with a disability attributable to mental retardation, cerebral palsy, epilepsy, or other neurologically handicapping condition found to be closely related to mental retardation or to require treatment similar to that required for mentally retarded children. Such disability originates before an individual attains age 18, continues, or can be expected to continue, indefinitely and constitutes a substantial handicap for such individual. Diabetes ClinicServices relating to the outpatient diagnosis and treatment of an individual who is afflicted with a relative or complete lack of insulin secretin by the pancreas. Diabetic Training ClassInstruction in the self-treatment of diabetes. Diagnosis-Related Grouping (DRG)A method of categorizing patients by diagnosis. Researchers at Yale University found that all patients can be categorized into one of 467 different groups. The DRGs take into account the principal diagnosis of the patient; the secondary diagnosis of the patient; the primary procedure used (if there is surgery); the age of the patient and the patient's discharge status. The prospective payment system for Medicare will be based on Diagnosis Related Groups. Diagnostic Imaging ServicesThe use of imaging equipment, e.g., MRI, CT Scanner, etc., in the determination of a diagnosis. Diagnostic RadioisotopeRadioactive isotopes are introduced into the body and a "gamma camera" is used to produce pictures which are used in diagnosing the proper or improper functioning of an organ. Dietetic CounselingCounseling services relating to the planning and preparation of foods and regulation of the diet in relation to both health and disease. Dietetic Intern ProgramAn individual in a dietetic intern program is required to successfully complete a program in Food Service Management, Nutrition, or Dietetics, approved by the American Dietetic Association (ADA) plus a post graduate degree and a 6-12 month hospital based internship under the supervision of a Registered Dietician in a hospital setting. DigitAny single symbol expressing quantity: in the decimal system, any one of the symbols 0, 1, 2, 3, 4, 5, 6, 7, 8, or 9. Direct CostThe cost of any good or service that contributes to and is readily ascribable to product or service output. Direct ExpenseSee Direct Cost. Direct Recording of CostThe process of identifying and assigning costs directly to the functional cost center generating those costs. DischargeThe termination of lodging and the formal release of an inpatient by the institution. Since deaths are a termination of lodging, they are also inpatient discharges. Discount EarnedA reduction in the purchase price of a good or service because of early payment. Discrete UnitA separately organized, staffed and equipped unit of the institution. Distinct Part (Health Care)A physically identifiable unit within a skilled nursing facility, separated from the rest of the institution and used for a specific purpose or program. Distribution
DistrictHospitals owned by a public hospital district, which is a municipal corporation under the laws of the State of Washington. Donated CommoditiesIncludes gifts of supplies or other materials such as medicines, blood, linen, and office supplies which are normally purchased by the institution. They are recorded on the books at fair market value at the time of donation regardless of when actual receipt takes place. Donated ServicesThe estimated fair monetary value, based on a facility's compensation policies, of services related to patient care or in administrative positions essential to provision of patient care performed by individuals who receive no monetary compensation or partial compensation for their services but in which there is an employer-employee relationship between the individual and the facility. The term is usually applied to services rendered by members of religious orders, societies, or similar groups to institutions operated by or affiliated with such institutions. Drug Abuse Treatment ServicesThose services for the diagnosis and treatment of drug abuse and related problems through medication and specialized therapy. These services are provided on an inpatient and outpatient basis. Drug Reaction InformationTelephone information service providing information concerning reactions and antidotes to drugs. Due From Other FundsA receivable for money loaned, stores issued, work performed, or services rendered to or for the benefit of another fund. Due to Other FundsA payable for money borrowed, stores received, work performed, or services from another fund. Duplication of ServicesThe situation in which a community has two or more pieces of equipment, facilities, services; and community demand is insufficient to support all of the pieces of equipment, facilities, or services. EarnedRealized or accrued as revenue through sales of goods, services performed, or the lapse of time. Emergency Communications SystemCommunications equipment that is used to communicate with personnel performing emergency services out in the field. Emergency Helicopter ServiceAir transportation services for persons requiring urgent medical treatment. Emergency Medical TechnicianIndividual trained and certified to provide emergency medical care, usually in concert with an emergency physician. Emergency Observation ServiceServices performed by the Emergency department in which a patient is watched carefully and a report is made on what is seen or noticed. Emergency OutpatientA patient who is admitted to the emergency, accident, or equivalent service of the hospital for diagnosis and treatment of a condition that requires immediate medical, dental, or allied services. EmpiricalDerived from experience; sometimes contrasted with rational (i.e., derived from some plan or principle). EmployeeAs distinguished from an independent contractor, a person subject to the will and control of an employer with respect to what the employee does and how he does it and is on the payroll of the institution. Employee BenefitA pension provision, retirement allowance, insurance coverage, paid vacation, sick leave, and holiday time off or other cost representing a present or future return to an employee, which is neither deducted on a payroll nor paid for by the employee. EncounterA face-to-face contact between a patient and a provider who has primary responsibility for assessing and treating the condition of the patient at a given contact and exercises independent judgement in the care of the patient. Encumbrance
EndoscopyVisual inspection of a cavity of the body by means of an endoscope. Endowment FundA fund, usually of a not-for-profit institution, arising from a bequest or gift, the income of which is devoted to a specified purpose. EnterpriseAny business undertaking; a business enterprise, without qualification, the term refers to an entire organization, rather than a subdivision thereof. Equity
Equity FundingFuture funding of a capital expenditure project or planned capital expenditure project for which the hospital has a long-range plan and financing plan. Equity Ownershipl. The interest of an owner in property or in a business or other organization, subject, in case of liquidation, to prior claim of creditors. 2. The interest (paid-in capital and retained earnings) of a stockholder or of stockholders collectively in a corporation; proprietorship. ErrorDeviation, inaccuracy, or incompleteness in the measurement or representation of fact. Estimated Useful LifeExpected operating or service life of an asset or asset group in terms of utility to the institution. ExaminationSee Audit. ExceptionA qualification by an auditor in his report, indicating a limitation as to the scope of his audit or disagreement with or doubt concerning an item of a financial statement on which he is reporting. ExhibitA financial or other statement of a formal character prepared for the information of others, as in auditor's report. Expected LifeExpected value of length of life or years of service of an asset or asset group at a particular moment of time. Expendable FundA fund the assets of which may be applied by administrative action to specific or general purposes. Expenditure
ExpenseExpired cost; any item or class of cost of carrying on an activity; a present or past experience defraying a present operating cost or representing an irrecoverable cost or loss. Expense CenterAny location within an organization at which the coincidence of organization and function has been recognized; an activity. Expired CostAn expenditure from which no further benefit is anticipated; an expense; a cost absorbed over the period during which benefits were enjoyed or a loss incurred. Extended-Care FacilityAn institution, or a distinct part of an institution, that provides skilled nursing care and rehabilitation services to patients who do not require full hospital care. External AuditAn audit by a person not an employee; an independent audit. Extra Corporeal Membrane OxygenationA type of respiratory assistance for extremely premature infants. Extra Corporeal Shock Wave LithotripsyA non-invasive technique for the treatment of patients suffering from kidney stones. This technique disintegrates kidney stones by means of shock waves introduced from outside the body. Extraordinary DepreciationDepreciation caused by unusual wear and tear, unexpected disintegration, obsolescence, or inadequacy beyond that attributable to ordinary loss of physical or service life. Extraordinary ExpenseA material expense so unusual in nature or in frequency of occurrence as to be accorded special treatment in the accounts or separate disclosure in financial statements. FacilityA coordinated group of fixed assets--land, buildings, machinery, and equipment--constituting a plant. Fair Market Value (FMV)
Family PlanningServices relating to education on the use of contraceptives and other methods to limit the number or spacing of children. Family Therapy ClinicTherapeutic counseling of any one member of a family through the meeting of the entire family in order to discover the dynamics of the situation. Fee for ServiceA method of reimbursing providers on the basis of a charge (fee) for each service rendered. FellowA graduate of a medical/osteopathic/dental school who has had an advanced period of graduate training and is in a fellowship program in a subspeciality or in a clinical research program. Fellowship ProgramA fellowship program is a sub-specialty residency training program typically added to the training and education of an M.D. who has completed some basis residency training and has enrolled in further training. Most fellowship programs follow a basic residency program. A trainee is such a program is referred to as a fellow. Fidelity BondInsurance against losses arising from dishonest acts of employees involving money, merchandise, or other property. FiduciaryAny person responsible for the custody or administration, or both, of property belonging to another; as, a trustee. Financial AccountingThe accounting for revenues, expenses, assets, and liabilities that is commonly carried on in the general offices of a business. Financial Accounting Standards Board (FASB)A quasi-independent organization established in 1973 by the AICPA-Sponsored Financial Accounting Foundation for the purpose of developing principles for financial reporting by business enterprises. Financially Indigent Patient (Indigent)A patient lacking the financial ability to reasonably be expected to pay for medical services received. Financial StatementA balance sheet, income statement, funds statement, or any supporting statement or other presentation of financial data derived from accounting records. Fiscal Year
Fiscal Year EndThe closing day of the hospital's accounting period. Fixed Asset
Fixed Cost (or Expense)An operating expense, or operating expense as a class, that does not vary with business volume. Examples: interest on bonds; rent; property tax; depreciation (sometimes in part); minimal amounts of general overhead. Fixed costs are not fixed in the sense that they do not fluctuate or vary; they vary, but from causes independent of volume. Free-Standing ClinicsLicensed, organized ambulatory health care facilities providing diagnostic and treatment services to patients not requiring hospitalization which are neither part of a hospital nor a private physician's office, but which are organized and operated to provide medical care to outpatients. Fringe BenefitsSee Employee Benefit. Front FundingSee Equity Funding. Full-Time Equivalent Employees (FTE)An objective measurement of the personnel employed in an institution in term of full-time labor capability. To calculate the number of full-time equivalent employees, sum all hours for which employees were paid (whether worked or not) during the year and divide by 2080. Function
FunctionalAdapted to and capable of performance; a function or service performed by one organizational unit for another. Functional AccountingAccounting by functions and activities; activity accounting. Functional ClassificationThe grouping of expenses according to the operating purposes (e.g., patient care, education, research) for which costs are incurred. FundA self-contained accounting entity set up to account for a specific activity or project. Fund AccountAny account reflecting transactions of a fund. Fund AccountingMaintenance of separate and/or group accounts for health facility resources according to spending objectives set by donors, other outside sources, or the governing body. Fund AssetAn asset belonging to a particular fund or a group of funds. Fund BalanceThe excess of assets over liabilities (net equity). An excess of liabilities over assets is known as a deficit in fund balance. Fund Balance SheetA balance sheet divided into self-balancing sections, each of which shows the assets and liabilities of a single fund or group of related funds. Fund GroupA group of funds of similar character which are brought together for administrative and reporting purposes. Examples: current funds; loan funds; endowment funds; plant funds; agency funds. Fund LiabilityA liability of a fund which is to be met out of its existing resources. Funded DebtDebt evidenced by outstanding bonds or long-term notes. Funded DepreciationSee Depreciation Fund. Funded ReserveA pension reserve, a reserve for bonuses or for the retirement of preferred stock, or other prospective future liability against which certain assets have been accumulated and set aside or earmarked. Funds Held in Trust by OthersFunds held and administered by an outside trustee for the benefit of an institution or institutions. GAAPGenerally Accepted Accounting Principles. Gain or LossThe results of a provider's peripheral or incidental transactions. General FundThe assets and liabilities available for general purposes, as distinct from funds established for specific purposes. General JournalThe journal in which are recorded transactions not provided for in specialized journals. General LedgerA ledger containing accounts in which all the transactions of a business enterprise or other accounting unit are classified either in detail or in summary form. Generally AcceptedGiven authoritative recognition; said of accounting principles or audit standards, and the pronouncements concerning them, particularly those of the American Institute of Certified Public Accountants and the Financial Accounting Standards Board. Genetic CounselingThe process of determining the occurrence or risk of occurrence of a genetic disorder within a family, and of providing appropriate information and advice about the courses of action that are available. GeriatricTreatment of the aged. GiftAny voluntary conveyance of assets gratuitously made and not in consideration of any kind of exchange. GoodwillThe excess of the price paid for a business as a whole over the book value or over the computed or agreed value of all tangible net assets purchased. Normally, goodwill thus acquired is the only type appearing on books of account and in financial statements. Governing BoardThe policy-making board of the hospital. Some of the responsibilities usually attributed to the governing board may be assumed by appropriate committees. GrossUndiminished by related deductions, except corrections; applied to sales, revenues, income, expense, and the like. Gross Charges (Gross Revenue)The total charges at the hospital's full established rates for services rendered and goods sold (including patient related and nonpatient related). Gross Square FeetThe total floor areas of the plant, including common areas, (hallways, stairways, elevators, lobbies, closets, etc.). GroupsHospitals are place in groups with other similar hospitals based on a set of descriptive variables (group assignments may change from year to year). Group TherapyThe application of psycho therapeutic techniques within a small group of emotionally disturbed persons. Gynecological ServicesServices relating to the treatment of diseases of the genital tract in women. Health FacilityAny licensed facility, place, or building which is organized, maintained and operated for the diagnosis, care and treatment of human illness, physical or mental, including convalescence and rehabilitation and including care during and after pregnancy, or for any one or more of these purposes, for one or more persons to which such persons are admitted for a 24-hour stay or longer. Health Related CareCare, other than medical, that is performed by qualified personnel and pertains to protective, preventive, personal and social services. Heart Transplant ServicesExtremely complex services associated with heart transplantation. HeliportA ground facility for helicopters to land. HematologyServices relating to the treatment of the structure of the blood and blood forming tissues. HemodialysisThe removal of certain elements from the blood through the use of an artificial kidney (or kidney dialysis machine). HFMAHospital Financial Management Association. HistocompatibilityServices relating to the compatibility of donor organs with the donee through the study of HLA antigens. Historical CostThe amount of cash or cash equivalent given in exchange for properties or services at the time of acquisition. Home Health Aide ServicesHomemaking services for the purpose of restoring health or minimizing the effects of illness and disability. Homemaking services include personal care, housekeeping, shopping, meal preparation, and laundry services. Home Nursing CareNursing care rendered in the patient's home. Home OfficeThe office of the controlling organization. This office generally incurs costs and provides services to or on behalf of the individual health facility. Home Physical Medicine CareHome treatment using the aid of physical agents such as light, cold, water, or mechanical apparatus. Home Dialysis TrainingInstruction in the use of a dialysis machine in the home. Home Hospice CareHome care of a chronically ill person with the objective of maintaining a comfortable life style through the terminal phases of illness. Home I. V. Therapy ServicesHome services relating to the maintenance of intravenous treatment. Home Social Services CareServices of a social worker performed in the home of a patient according to a plan of care. HospitalAn establishment with an organized medical staff; with permanent facilities that include inpatient beds; and with medical services, including continuous nursing services that provide diagnosis and treatment for patients. Hospital Administrator ProgramA hospital administrator program provides a residency for individuals who have completed an approved Master's Degree program in hospital or health services administration, public health, or public health administration. A residency (preceptorship) is required for the trainees in a hospital or other health care facility approved by the college and accredited through ACEHSA or AUPHA. Trainees work for a specified time of on-the-job practical training, depending on the program requirements. Supervision must be from an experienced and qualified hospital administrator. Hospital-Based PhysicianA physician who spends the predominant part of his practice time within one or more hospitals instead of in an office setting, or providing services to one or more hospitals or their patients. Such physicians have either a special financial arrangement with the hospital (salary or percentage of fees collected) or bills patients separately for his/her services. Such physicians include directors of medical education, pathologists, anesthesiologists and radiologists, as well as physicians who staff emergency rooms and outpatient departments. Hospital BoarderAn individual who receives lodging in the hospital but who is not an inpatient. In most hospitals, a small number of persons who are not patients and who are not hospital personnel or physicians may, nevertheless, be occasionally provided with room and board, often in "areas of the hospital where patients generally stay at least overnight." Most often this is arranged so that they can be near children or other members of the family who are ill. Hospital PatientAn individual receiving, in person or otherwise (telemetry), hospital-based or coordinated medical services for which the hospital is responsible. Hyperbaric Chamber ServicesThe use of a compartment in which air pressure may be raised to more than normal atmospheric pressure. Hypertension ClinicServices relating to the outpatient medical treatment of persons afflicted with high blood pressure. ImmunologyLaboratory services relating to the response of the body or organ's response to antigenetic challenge and the chemical aspects of immune phenomena. Imprest FundA fixed cash fund or petty cash fund in the form of currency, a bank checking account, or both, maintained for expenditures that must be made in cash, and from time to time restored to its original amount by a transfer from general cash of a sum equal to the aggregate of disbursements; a form of working fund. Imprest SystemThe system under which imprest cash is disbursed and from time to time restored to its original amount through reimbursements equal to sums expended. Implicit in the concept is the review by a higher authority of the propriety of the expended amounts before reimbursement is approved. Improvement
Income RealizationThe recognition of income, the usual test being the passage of title to or delivery of goods, or the performance of services. Income StatementA summary of the revenues and expenses of an accounting unit, or group of such units, for a specified period. IncrementAn increase in value from one point of time to another, without reference to cost or book value. Unearned increment has reference to an increase in the value of land from causes to which the owner has made no contribution, as from growth of population. IndigentPatients who have exhausted any third party sources, including Medicare and Medicaid, and whose gross income is below 200 percent of the current Federal poverty guidelines, adjusted for family size. Indirect CostA functional cost not attributed to the production of a specified good or service but to an activity associated with production generally. Indirect Liability
Infertility ServicesServices relating to the treatment of a diminished or absent capacity to produce offspring. InpatientA person who is formally admitted and who is provided with room, board, and continuous general nursing service in an area of the hospital where patients stay overnight. Inpatient AdmissionThe formal acceptance by a health facility of a patient who is to be provided with room, board, and continuous nursing service in an area of the health facility where patients generally stay at least overnight. Inpatient Bed CountThe number of available health facility inpatient beds, both occupied and vacant, on any given day. Inpatient Bed Count DayA unit of measure denoting the presence of one inpatient bed (either occupied or vacant) set up and staffed for use in one 24- hour period. Inpatient Bed Count Days (Total)The sum of inpatient bed count days for each of the days in the period under consideration. Inpatient Bed Occupancy RatioThe proportion of inpatient beds occupied, defined as the ratio of inpatient service days to inpatient bed count days in the period under consideration. Inpatient CensusSee Daily Inpatient Census. Inpatient DaySee Patient Day. Inpatient DischargeThe termination of inpatient care through the formal release of an inpatient by a health care facility. Inpatient RevenueThe total billed charges for inpatient services rendered. InsuranceThe cost of a contract to reimburse for property or business loss caused by events over which the insured entity has little or no control. InterestThe service charge for the use of money or capital. Intangible AssetA capital asset having no physical existence, its value being limited by the rights and anticipative benefits that possession confers upon the owner. Intensive CareServices provided in a routine patient care unit to patients which require extraordinary observation and care on a concentrated exhaustive and continuous basis. Interfund TransferThe transfer of money or other asset or of a liability from one fund to another. Intermediate Care FacilityA licensed health facility which provides inpatient care to ambulatory or semi-ambulatory patients who have recurring need for skilled nursing supervision and need supportive care, but who do not require availability of continuous skilled nursing care. InternA graduate of a medical/osteopathic/dental school serving a first year period of graduate clinical training. Intern Program
Internal ControlThe general methodology by which management is carried on within an organization; also, any of the numerous devices for supervising and directing an operation or operations generally. Internal control, a management function, is a basic factor operating in one form or another in the administration of every organization, business or otherwise. Although sometimes identified with the administrative organism itself, it is often characterized as the nervous system that activates overall operating policies and keeps them within practicable performance ranges. The principal elements contributing to internal control are:
Inventory ControlThe control of merchandise, materials, goods in process, finished goods, and supplies on hand by accounting and physical methods. An accounting control is effected by means of a stock or stores ledger, mechanical storage records, or a ledger account in which the quantities and/or amounts of goods received during an accounting period are added to corresponding beginning balances and amounts of goods sold or otherwise disposed of are deducted at cost based on individual identification or are calculated by various methods of averaging. Physical controls consist of various plans of buying, storing, handling, issuing, supervising, and stock taking. Stock ledger control is made more effective by physical control in the nature of a continuous check of the goods on hand. Inventory ValuationThe determination of the cost or the portion of cost assigned to on-hand raw materials, merchandise held for resale, and supplies based on any generally accepted method consistently applied. Invested Capital
Investor-Owned (Proprietary) HospitalA hospital owned by a person, an unincorporated group of people, or a corporation. Operation of this type of hospital is usually intended to return a monetary gain to the investors; but may not include instances where individuals own and operate hospitals primarily for community benefit. InvoiceA document showing the character, quantity, price, terms, nature of delivery, and other particulars of goods sold or of services rendered. Invoice CostCost incurred by a buyer and reflected on an invoice which, unless otherwise specified, is net after deducting trade discounts. Irrevocable TrustA trust that cannot be set aside by its creator. Jail CareServices relating of the diagnosis and treatment of persons at a detention facility. Kidney Transplant ServicesExtremely complex services associated with kidney transplantation. LeaseA conveyance of land or of the use of a building or a part of a building or equipment from one person (lessor) to another (lessee) for a specified period of time, in return for rent or other compensation. LeaseholdAn interest in land, buildings, and equipment under the terms of a lease, normally classified as a (tangible) fixed asset. Ledger ControlThe control of a subsidiary record or ledger by the use of a control account. Ledger control is limited to a proof that all items were recorded in the subsidiary record or that they were accurately made, as required, to the debit and credit sides of that record. It does not furnish proof that every item was recorded in its proper account in the subsidiary record. Length of StayThe number of calendar days from admission to discharge, counting the day of admission but not the day of discharge. Liability
LicenseA permission granted by competent authority to engage in a business or corporation or any activity otherwise unlawful. Licensed BedsHealth facility beds licensed by the Department of Health under Chapter 70.41 RCW. License NumberThe number assigned by the Facilities and Services Licensing Division of the Department of Health. Limited-Life AssetAny capital asset, as a building, machine, or patent, the usefulness of which to its owner is restricted by its physical life or by the period during which it contributes to operations. Liquid AssetCash in banks and on hand, and other cash assets not set aside for specific purposes other than the payment of a current liability, or a readily marketable investment. The term is somewhat less restrictive than cash asset and much more restrictive than quick asset. LithotripsySee Extra Corporeal Shock Wave Lithotripsy. Living Trust FundsFunds 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 person, or persons, or for a specified period. Long-Term Health Care FacilityAny facility which is separately licensed as an intermediate care or skilled nursing facility. MaintenanceEffort 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 between maintenance as preventive and repairs as curative. Management
Materiality
Medicaid (Title XIX)A Federally-aided, state operated and administered program which provides medical benefits for certain indigent persons in need of health and medical care. The program is authorized by Title XIX of the Social Security Act. It does not cover all indigent persons, however. It only persons who are included in one of the categories eligible for welfare cash payment programs--the aged, the blind, the disabled, and members of families with dependent children where one parent is absent, incapacitated or unemployed. Subject to broad Federal guidelines, states determine the benefits covered, program eligibility, rates of payment for providers, and methods of administering the program. Medical RecordA record kept on patients which properly contains sufficient information to identify the patient clearly, to justify the 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 patient care; provide a means of communication among physicians and any professional contributing to the patient's care; furnish documentary evidence of the patient's course of illness and treatment; serve as a basis for review, study, and evaluation; serve in protecting the legal interest of the patient, hospital, and responsible practitioner; and provide data for use in research and education. Medical records and their contents are not usually available to the patient himself. The content of the record is usually confidential. Each provider in a community caring for a given patient usually keeps an independent record of that care. Medical Records Administrator ProgramA medical records administrator program is for individuals in the clinical phase of their training to become medical records administrators. Medical records administrators are registered by the American Health Information Management Association (AHIMA) in cooperation with the American Medical Association Committee on Allied Health Education and Accreditation to become Registered Record Administrators (RRA). A bachelors degree from an approved program is required prior to registration in addition to completion of specific courses and supervised clinical experience in an affiliated health care institution. Supervision during the clinical phase may be done by the program instructor, by an RRA, or by a designated medical records supervisor. Duration of the clinical phase depends upon program requirements, however, four (4) consecutive weeks of managements affiliation in an approved hospital are required. Medical Records Technician/Accredited Records Technician ProgramIndividuals who have successfully completed a medical records technician program are accredited by the American Health Information Management Association (AHIMA) in cooperation with the American Medical Association Committee on Allied Health Education and Accreditation. The completion of specific courses , an associate degree, and supervised clinical experience are additional requirements. Supervision during the clinical phase must be done by the program instructor, by another ART, or an RRA in an affiliated health care institution. Medical ResearchResearch activity concerned with clinical care provided, usually inpatient care. Medical ServicesThe services pertaining to medical care that are performed on behalf of patients at the direction of physicians, dentists, nurses, and other professional and technical personnel. Medical Staff ClassificationAppointments to the medical staff fall into several classes, the most common of which are:
MedicareA third-party reimbursement program administered by the Social Security 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. Mentally Disordered PatientA 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 a potential for placement in a less protected living environment. Metabolic ClinicServices relating to the outpatient diagnosis and treatment of persons afflicted with metabolism disorders. MicrobiologyLaboratory services relating to the study of micro-organisms including bacteria, fungi, and viruses. Milieu TherapyServices that incorporate a variety of health care professionals (physicians, nurses, therapists, etc.) in the treatment of menta, emotional, and behavioral disorders, usually in a group setting. ModernizationIncludes 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). NecropsyExamination of the body after death; autopsy. Neonatal ClinicOutpatient medical services given to an infant during the first 28 days after birth. NetDiminished by all relevant and commonly associated deductions. Net MarginRevenues in excess of operating expenses generated from patient service activities. Net Patient Service RevenueInpatient and outpatient revenue for all patient care services less deductions from revenue. Net Square FeetGross 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 taken from the center of walls to the center of adjoining corridors if a hallway serves more than one cost center. Exclude stairwells, elevators, and other shafts, commonly used (lobbies, etc.) and idle areas. Idle areas are those areas that are closed off or unused for a period of time. Hallways, waiting rooms, storage areas, etc., serving only one cost center should be included in that cost center. The effect of using only usable space in the allocable floor area is to allocate the non- productive space (commonly used and idle area) among the cost centers in the ratio of space used. Net WorthThe aggregate appearing on the accounting records of the equities representing proprietary interests; the excess of the going-concerns value of assets over liabilities to outsiders; of a corporation, the total of paid-in capital, retained earnings, an appropriated surplus; of a sole proprietorship, the proprietor's account; of a partnership, the sum of the partner's accounts. Neurology ClinicServices relating to the outpatient diagnosis and treatment of persons afflicted with nervous system disorders. NeurosurgicalSurgery of the nervous system that is designed to restore normal conductivity in malfunctional nerve fibers, improve blood flow in nerve tissue, or alleviate mental illness. Nominal AccountAny of the accounts the balances of which are transferred to retained earnings at the close of each fiscal year: so called because such accounts reflect completed transactions or expired costs. Nonexpendable FundSee Endowment Fund, which is the preferred term. Nonoperating LossThe expenses of a hospital which are not directly related to patient care, related patient services, or the sale of related goods. For example, nonoperating loss includes losses on sale of hospital property and retail operation expenses. Nonoperating GainThe revenue of a hospital which is not directly related to patient care, related patient services, or the sale of related goods. For example, nonoperating gain includes unrestricted gifts, unrestricted income from endowment funds, gain on sale of hospital properties, and retail operation revenue. Not-for-Profit CorporationAn 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. Nonrevenue-Producing Cost CentersThese are overhead units, such as dietary and plant operations and maintenance, that provide necessary support services to revenue- producing cost centers. Nonroutine Maintenance and RepairsMaintenance and repair work which is not repetitive and not performed regularly. Nursing ServicesServices pertaining to the curative, rehabilitative, and preventive aspects of nursing care that are planned, performed, supervised, and/or directed by a registered professional nurse. Nurse Anesthetist Training ProgramA nurse anesthetist training program is for registered nurses with a least one year of experience in acute care, with a baccalaureate degree, who are completing a 24-36 month training program approved by the Council of Accreditation of Anesthesia Educational Programs. Theory and clinical experience are concurrent. Supervision during the clinical phase is by the program instructor or a certified nurse anesthetist or anesthesiologist preceptor in an affiliated hospital. Nurse Midwife ProgramA nurse midwife program is for registered nurses who seek certification as a nurse midwife. The nurse must meet the criteria of one approved certification method to become certified. The most common methods are:
Nurse Practitioner ProgramA nurse practitioner program is for registered nurses who must complete approximately 576 hours of graduate level training and supervised clinical experience in a program approved by the Board of Registered Nursing to be designated as nurse practitioners. Supervision in the clinical setting is done by program instructors or approved nurse practitioner preceptors. The clinical setting may or may not be in a hospital. Obesity ClinicServices relating to outpatient treatment of abnormal amounts of body fat. Object ClassificationA method of classifying expenditures according to their natural classification such as salaries and wages, employee benefits, supplies, purchased services, etc. ObsolescenceThe loss in usefulness of an asset, occasioned by the approach to the stage of economic uselessness through progress of the arts; loss of economic utility arising from external causes; disappearing usefulness resulting from invention, change of style, legislation, or other causes having no physical relation to the object affected. It is distinguished from exhaustion, wear and tear, and deterioration in that these terms refer to a functional loss arising out of a change in physical condition. Obstetrics ClinicServices relating to outpatient care of the mother and fetus throughout pregnancy, childbirth, and the immediate postpartum period. Occasion of ServiceA specific identifiable instance of an act of service involved in the medical care of health facility patients. Occupational Therapist ProgramAn individual in an occupational therapist program must complete four years in an approved Occupational Therapy program accredited by the American Medical Association or the American Occupational Therapy Association prior to certification. Six to nine months of that time must be in a supervised clinical experience under the direction of a certified occupational therapist. No additional internship is required. Occupancy ExpenseExpense relating to the use of property. Examples: rent, heat, light, depreciation, upkeep, and general care of premises. Occupancy RateThe occupancy rate compares actual inpatient utilization to the maximum possible utilization if every bed was full every day. It can be calculated on licensed beds or on available set-up beds. On Call Pay (Standby)Standby pay is compensation to an employee for being available to work. OncologyThe study and analysis of the causes, development, characteristics, and treatment of tumors; particularly malignant tumors. Open Heart SurgeryServices associated with complex open heart surgery in which the heart beat is temporarily stopped and its functions taken over by a mechanical pump. Operating BudgetA budget covering recurrent revenue and expense. Operating Cost (or Expense)An expense incurred in conducting the ordinary major activities of an enterprise, usually excluding "nonoperating" expense or income deductions. Operating FundThe funds within the Unrestricted Fund which have not been designated by the governing board of the hospital for special uses. Operating Income (or Profit)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. Also reference as operating margin. Operating Lease
Operating RevenueOperating Revenue includes revenue directly related to the rendering of patient care services. Ophthalmological ServicesServices dealing with the eye, it's anatomy, physiology, and pathology. Ophthalmology ClinicServices relating to outpatient diagnosis and treatment of eye disorders. Organization Cost (or Expense)Any cost incurred in establishing a corporation or other form of organization; such 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 constitute, theoretically, an intangible asset of value which continues throughout the life of the corporation and hence do not constitute a deferred charge. The organization costs must be amortized over a period of time not less than 60 months. Organ TransplantAn organ taken from the body of an individual for grafting into another individual. Organizational UnitAny administrative subdivision of an enterprise, especially one charged with carrying on one or more functions or activities. Original CostOutlay for an asset by its owner, not including any adjustments of cost arising from post-acquisition alterations, improvements, or depreciation. OrthopedicThe correction or treatment of deformities of the musculoskeletal system. Orthopedic Emergency ServicesEmergency treatment relating to the correction of treatment of deformities of the musculoskeletal system. Orthopedic ClinicServices relating to outpatient correction or treatment of deformities of the musculoskeletal system. Other Operating RevenueOther 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. Otolaryngolic ServicesServices relating to the medical and surgical treatment of the head and neck, including the ears, nose, and throat (ENT). Otolaryngology ClinicServices relating to outpatient diagnosis and treatment of the head and neck, including the ears, nose, and throat (ENT). OutlierPatients having unusually long lengths of stay or unusually high costs. This normally results in additional reimbursement in addition to the amount normally payable for a particular DRG. OutpatientA person who receives health care services in a health facility without being admitted as a bed patient (See Ambulatory Care.) Outpatient VisitsVisits to the hospital by patients who are not lodged in the hospital while receiving medical, dental, or other services. Multiple services provided during a single encounter are recorded as one outpatient visit. Outstanding
Overhead
Owner's EquityNet worth. OwnershipThe right to and enjoyment of services or benefits flowing from an asset, usually evidenced by the possession of legal title or by a beneficial interest in the title. Paid-In CapitalThe total amount of cash, property, and services contributed to a corporation by its stockholders and constituting a major balance sheet item. It may be reflected in a single account or divided between Capital Stock and additional Paid-In Capital accounts. Paid StaffSee Medical Staff Classification. Parent CompanyA controlling company having subsidiaries. Without a trade or business of its own, a parent company may also be termed a holding company. Parent Training ClassInstruction for parents and future parents on childbirth and childrearing. Part A and Part B ServicesMedicare benefits are payable from two funds. Part A services, which, in general, are those rendered by institutions, are reimbursed from funds derived from payroll tax. Part B services, generally medical and surgical physicians' services, and outpatient treatment and diagnosis are reimbursed from the fund created by voluntary premium payments and general federal revenues. Patient Care Services RevenueThe hospital's full established charges for services rendered to patients regardless of amounts actually paid to the hospital by or in behalf of patients. Patient DayA unit of measure denoting lodging facilities provided and services rendered to one inpatient between the census taking hour on two successive days. Synonymous terms: inpatient day, inpatient service day, census day, bed occupancy day. Patient RepresentativeHospital employee paid to assist and advocate for patients who encounter problems with their care. Patient Services RevenueThe hospital's full established charges for services rendered to patients, regardless of amounts actually paid to the hospital by or on behalf of patients. Also referred to as Gross Revenue. Pathology, AnatomicalThe study of the structure or functional changes in tissues and organs of the body which cause or are caused by disease. Pathology, ClinicalPathology applied to the use of clinical problems through the use of laboratory methods in clinical diagnosis. Pathology, SurgicalPathology of disease processes which are surgically accessible for diagnosis or treatment. PayerA person or organization which pays the hospital for services rendered to patients. This can be the patient and/or third parties such as Medicare, Blue Cross, or other private insurance plans. Payroll Distribution
Payroll RecordsThe records relating to the authorization, computation, distribution, and payment of wages and salaries. They include payrolls, time slips, time-clock cards, withholding authorizations, cancelled payroll checks or receipts for wages paid, wage and salary authorizations and individual earnings records. Pediatric PatientChildren less than 14 years and including boarder patients. Pediatric ClinicServices relating to outpatient diagnosis, care, and treatment of children. Pediatric SurgeryServices relating to outpatient surgical procedures for injuries, deformities, or disease of children. Percent OccupancySee Occupancy Rate. Periodic Interim Payment (PIP)A plan under which the hospital receives cash payments from third-party payers in constant amounts each period. The total of these payments received over a year is the estimated cost of providing services to patients covered by the plan. Permanent FundsSee Endowment Fund, which is the preferred term. Perpetual InventoryA book inventory kept in continuous agreement with stock on hand by means of a detailed record that may also serve as a subsidiary ledger where dollar amounts as well as physical quantities are maintained. Sections of the stockroom are inventoried at short intervals and the quantities or amounts or both are adjusted, where necessary, to the physical count. Personal PropertyProperty or assets of a temporary and movable character as contrasted with real property. Petty Cash FundSee Imprest Fund. Physical InventoryAn inventory determined by observation and evidenced by a listing of the actual count, weight, or measure. Physical LifeTotal potential operating life, as of a machine, as contrasted with useful or economic life, which may be much less because of obsolescence or inadequacy, or both. PhysicianA doctor of medicine or of osteopathy who is fully licensed to practice medicine. Physician, AttendingThe physician who has legal responsibility for the care of a patient in a hospital. Physician, TeachingPhysicians who have primary responsibility for teaching activities related to graduate physicians in training or medical/osteopathic/dental undergraduate students in an identified clinical service. PlantPhysical properties used for institutional purposes; i.e., land, building, improvements, equipment, and so forth. The term does not include real estate or properties of restricted or unrestricted funds not used for health facility operations. Plant Replacement and Expansion FundsFunds restricted by donor or granted for renewal, expansion, or replacement of plant. Plastic ServicesSurgical treatment relating to the building up of tissues or the restoration of a lost part. Podiatry ClinicServices relating to outpatient medical and surgical treatment of the feet. Pooled InvestmentsAssets of two or more funds consolidated for investment purposes. Positive Emission Tomography (PET)Imaging services where a substance with radioactive isotopes is introduced into the brain or organs and serial cross section photos of the positrons emitted by the brain or organs are taken. Post PartumThe care of the mother after childbirth. Pre-Hospital / Emergency Medical TechnicianSee Emergency Medical Technician. Premature InfantAn infant born before the 37th week of gestation (259 days). Prepaid ExpensesAn expenditure, often recurrent, for future benefits; a type of deferred charge. Examples: prepaid operating expenses, prepaid rent, taxes, royalties, commissions; unexpired insurance premiums: stationery and office supplies. Expenditures are classified as current assets and constitute a part of working capital; they are charged to future operations on the basis of measurable benefits or on a time or period-charge basis. PrepayTo pay for a service before its receipt or enjoyment; such prepayment, as for insurance or rent, reflecting long-established commercial practices, contrasts with accrual (or the recognition of the receipt or enjoyment of other types of services paid for after their receipt or enjoyment). Present ValueThe price a buyer is willing to pay for one or a series of futurebenefits. The term generally being associated with a formal computation of the estimated worth in the future of such benefits from which a discount or compensation for waiting is deducted. PrincipalA sum on which interest accrues; capital, as distinguished from income. Prior-Period AdjustmentA correction of an error in earlier financial statements or an adjustment that results from realization of income tax benefits or preacquisition loss carry forwards of purchased subsidiaries. All other items of profit or loss recognized in a fiscal year are required to be included in the determination of net income in the year recognized (see FASB Statement Number 16). Prior-Year Actual (PYA)Fiscal period which corresponds with the most recent year-end report of actual operations. Private PayAll revenue not billed to Medicare or Medicaid or other governmental payers. ProcedureA unit of activity in an ancillary cost center. For example, a procedure in a radiology cost center may be a series of pictures which constitute an exam. Professional ComponentThe professional services provided to patients by hospital- based physicians, as opposed to the education, research, and administrative duties performed by the hospital-based physicians. Professional FeesCharges for professional services rendered by persons who are no employees of the hospital or a related organization. ProgramDaily hospital or ambulatory service category of the patient. ProprietaryA business organization formed with the expectation of generating a profit for the owners. Proprietary Accounts
ProrateTo assign or redistribute a portion of a cost, such as a joint cost, to a department, operation, activity, or product according to some formula or other agreed-to, often arbitrary, procedure. ProviderAn individual or institution which gives medical care. Institutional providers include a hospital, skilled nursing facility and intermediate care facility. Individual providers include individuals (physicians, dentists, etc.) who practice independently of institutional providers and who primary activity is the provision of health care to individuals. Psychopharmacological TherapyThe use of drugs in the modification of psychological functions and mental states. Psychiatric ClinicServices relating to outpatient treatment and prevention of mental, emotional, and behavioral disorders. Psychiatric Foster Home CareHome services relating to the treatment and prevention of mental, emotional, and behavioral disorders of children who are wards of the State and are placed in foster homes. Pulmonary Intensive CareIntensive care of patients with lung related and pulmonary artery disorders. Purchased ServicesCharges for contractual services provided by outside contractors. Quick AssetA current asset normally convertible into cash within a relatively short period, such as a month. Examples: cash, call loan, marketable security, customer's account, a commodity immediately salable at quoted prices on the open market. Radiation TherapyMedical treatment of cancer using different types of rays such as alpha, beta gamma, x-ray, and implants of radium. This is also referred to as radiation oncology. Radium TherapyThe use of radium, a radioactive substance, in the treatment of malignancies. Radioactive ImplantsThe insertion of radioactive material into the tissue to treat malignant tumors. Radioisotope Decontamination RoomServices relating to the immediate decontamination of persons exposed to harmful levels of radiation. Real Estate (or Property)Land and land improvements, including buildings and additions. Reclassification (Cost Finding)The apportionment or allocation of the cost of the nonrevenue producing cost centers to each other and to the other revenue producing cost centers on the basis of the statistical data that measures the amount of service rendered by each cost center to other cost centers. The purpose of the cost finding process is to determine the total or full costs of operating the revenue departments of the hospital in order to establish the prospective rates for services rendered. RecordA book or document containing or evidencing some or all of the activities of a hospital or containing or supporting a transaction, entry or account. Examples: a book of account, subsidiary ledger, invoice, voucher, contract, correspondence, internal report, minute book. Recreational TherapyA type of therapy designed to restore and maintain function utilizing recreational activities. Referred OutpatientAn outpatient who is referred by his private physician to the institution for diagnosis or treatment on an ambulatory basis. The responsibility for medical care remains with the referring physician. RefundAn amount paid back or a credit allowed on account of an overcollection; rebate. RegistrationThe process of formally entering a patient's name on the institution's records for service in a routine outpatient care service area. Relative Value Units (RVU)Index number assigned to various procedures based upon the relative amount of labor, supplies, and capital needed to perform the procedure. The unit value represents the cost of performing a service relative to some other service which is used as a base; i.e., has a unit value of one. RemunerationCompensation for value of service rendered or expense incurred. Renal ClinicServices relating to outpatient diagnosis and treatment of persons afflicted with kidney disorders. Rental and LeasePayment for the use of land, buildings, equipment, or other personal property. Repair
ReplacementThe substitution of one fixed asset for another particularly of a new asset for an old, or of a new part for an old part. On the books of account, the recognition of the cost of the new asset requires the elimination of the cost of the asset it replaces. Replacement Cost
Reporting ManualA handbook of accounting policies, principles, and concepts including a chart of accounts with definitions and standard units of measure to establish a foundation for uniform reporting. Reporting PeriodThe period of time for which an operating statement is prepared. This period shall consist of the 12 consecutive calendar months or 13 four-week periods that begin on the first day of a month with an additional day (two in a leap year) added to the last period to make it coincide with the end of the month. Reporting PrinciplesThe body of doctrine associated with accounting, serving as an explanation of current practices and as a guide in the selection of conventions and procedures. ReserveA segregation of retained earnings evidenced by the creation of a subordinate account. The segregation may be temporary or permanent, the purpose being to indicate to stockholders and creditors that a portion of retained earnings is recognized as unavailable for dividends. Examples: reserve for contingencies, reserve for improvements, sinking fund reserve. ResidentA graduate of a medical/osteopathic/dental school serving an advanced period of graduate training. This may represent the first year of graduate training or any year thereafter. Resident Program or Residency ProgramA residency program is for a graduate student or post graduate student who lives and/or works in a health care facility to gain experience and to pursue further studies, or an M.D. serving in a residency in preparation for licensing and general practice or for board credentialing and practice in that specialty. Trainees in all ACGME accredited programs and some non-accredited programs are referred to as residents. Residential FacilityAny family home, group home, social rehabilitation facility or similar facility for 24-hour nonmedical care to persons in need of personal services, protection, supervision, assistance, guidance or training essential for sustaining the activities of daily living or for the protection of the individual. Respiratory Therapist ProgramAn individual is a respiratory therapist program must complete a traditional or non-traditional program (12 months to 4 years) approved by the Joint Committee for Respiratory Therapy Education prior to being certified by the National Board of Respiratory Therapy (NBRC). Program theory and supervised clinical experience are concurrent. Clinical experience is supervised by a program instructor. Supervised clinical experience is most frequently done in a hospital setting. No internship is required. ResponsibilityThe obligation to prudently exercise assigned or imputed authority attached to the assigned or imputed role of an individual or group participating in organizational activities or decisions. Responsibility AccountingThe classification, management, maintenance, review, and appraisal of accounts serving the purpose of providing information on the quality, quantity, and standards of performance attained by persons to whom authority has been assigned. Restricted FundsFunds restricted by donors for specific purposes. The term refers to plant replacement and expansion, specific purpose, and endowment funds. Retained Earnings (or Income)Accumulated net income, less distributions to stockholders and transfers to paid-in capital accounts. RetirementThe removal of a fixed asset from service, following its sale or the end of its productive life, accompanied by the necessary adjustment of fixed asset and depreciation-reserve accounts. Retirement of Indebtedness FundsFunds required by external sources to be used to meet debt service charges and the retirement of indebtedness on plant assets. The term "sinking funds" is sometimes used to describe these funds. Revenue
Revenue CenterAn account for accumulating revenue consistent with the functional definition of the matching cost center. Revenue-Producing Cost CentersHealth facility departments providing direct services to patients and thereby generating revenue. Revolving FundA fund from which moneys are continuously expended, replenished, and again expended. Examples: imprest cash, working fund, assets available for loans the repayments of which are available for other loans. Rheumatic ClinicServices relating to outpatient diagnosis and treatment of inflammatory conditions of the bursae, joints, ligaments, or muscles. Round OffTo simplify the presentation of a quantity by omitting its terminal digits, with the express purpose of displaying only significant figures. RoutineRegular, customary, ordinary, repetitive, everyday. Rural Health ClinicAn outpatient clinic that provides primary care that is located in a rural area. Salaries and WagesRemuneration for services performed by employees. Salvage ValueThe price at which an asset of any kind can be sold less whatever cost is yet to be incurred. ScheduleA supporting, explanatory, or supplementary analysis accompanying a balance sheet, income statement, or other statement prepared from the books of account. Self-Dialysis TrainingTraining for renal dialysis patients to actively participate in their dialysis care at the facility. Self-Responsible (Self-Pay) PatientA patient who pays either all or part of his hospital bill from his own funds as opposed to third-party funds. Self-InsuranceThe assumption by a hospital of a risk arising out of the ownership of property or from other cause. SerologySee Immunology. Service Cost
Share of Pooled InvestmentsThe proportion of pooled investments, including accumulated gains or losses, owned by a particular fund, usually expressed by a number (units) indicating the fractional ownership of total shares in the pool or by a percentage expressing the portion of the total pool owned by the particular fund. Sheltered WorkshopA facility for physically and mentally handicapped persons which provides training nd support for activities of daily living and simple vocational tasks. Sinking FundRetirement of indebtedness funds. Skilled Nursing FacilityA licensed health facility or a distinct part of a hospital which provides skilled nursing care and supportive care to patients whose primary need is for availability of skilled nursing care on an extended basis. It provides 24-hour inpatient care and, as a minimum, includes medical, nursing, dietary, pharmaceutical services and an activity program. Social Worker ProgramA social worker program is for individuals in the latter stages of their training to be social workers. Social workers are required to successfully complete a 4 year program in social work or an additional two year master's program with specified practical work experience. Clinical experiences may be in a hospital, health agency, state health program,a or county health program. Social Work ServicesServices providing assistance and counseling to patients and their families by social workers in dealing with social emotional, and environmental problems associated with illness or disabilities, often in the context of discharge planning coordinator. Special Purpose FundSpecific purpose fund. Specific Purpose FundsFunds restricted for a specific purpose of project. Board- designated funds do not constitute specific purpose funds. Speech-Language PathologyThe evaluation and rehabilitation of speech, language, and voice disorders unamenable by medical or surgical treatment. Sportscare MedicineServices relating to the prevention , diagnosis, and treatment of injuries sustained in athletic endeavors. Staffed BedsThe daily average complement of beds (excluding bassinets) fully staffed during the reporting period. Staffed beds are those beds set up, staffed, equipped, and in all respects ready for use by patients remaining in the hospital overnight. Hospitals typically staff those beds currently occupied by inpatients, plus an increment for unanticipated admissions. Standard Unit of MeasureThe standard unit of measure is used to provide a uniform statistic for measuring and comparing hospital costs and productivity output, not activity. Standby Pay (On-Call)Compensation paid to an employee for being available to work. Statement of Sources and Application of FundsAn identification of the areas in which the hospital proposes to expend funds (application) and the areas from which these funds will come (sources). The difference is that part of the need which must be included in rate setting revenue. Stepdown MethodThe allocation of the accumulated costs of the nonrevenue producing centers to those other nonrevenue producing centers which utilize their services, as well as to the revenue producing centers to which they render service. Once the costs of a nonrevenue producing center have been allocated that center is considered closed. Straight-Line Method of DepreciationThis method of allocating depreciation is a function of the passage of time and recognizes equal periodic charges over the useful life of the asset. The depreciation charge calculated by the straight-line method is not affected by asset productivity, efficiency, or degree of use. The periodic charge is computed by relating the cost of the asset, less any salvage, to the useful life of the asset. Sub-Acute Care ServicesServices provided to patients who require a level of nursing care less than acute, including residential care. Subsidiary LedgerA supporting ledger consisting of a group of accounts the total of which is in agreement with a control account. Surgery ClinicServices relating to outpatient surgical procedures. Supervised Clinical ExperienceA supervised clinical experience means the practical experience and/or application of the new competencies in a patient care setting with direct and/or general supervision as indicated. This may or may not be in a hospital setting. Other health facilities and health agencies may meet the requirements of providing a supervised clinical experience. Supply ExpenseExpenditures for materials and provisions necessary to operate the facility. Swing BedA licensed bed which may be used for either hospital patients or skilled nursing patients, depending on the demand. Tangible AssetsA capital asset having physical existence. Teaching Program (Approved)A medical internship or residency training approved by the Council on Medical Education of the American Medical Association or, in the case of an osteopathic hospital, approved by the Committee on Hospitals of the Bureau of Professional Education of the American Osteopathic Association. Intern or residency programs in the field of dentistry must have the approval of the Council on Dental Education of the American Dental Association. Teaching Program (Nonapproved)To be a nonapproved Teaching Program means that a medical internship or residency training program is not approved by the Council of Medical Education of the American Medical Association or, in the case of an osteopathic hospital, is not approved by the committee on Hospitals of the Bureau of Professional Education of the American Osteopathic Association. An intern or residency program in the field of dentistry is not approved unless approval has been received by the Council of Dental Education of the American Dental Association. Temporary FundsSee Specific Purpose Funds. Term Endowment FundsDonated funds which by the terms of the agreement become available either for any legitimate purpose designated by the board or for a specific purpose designated by the donor upon the happening of an event or upon the passage of a stated period of time. Therapeutic RadioisotopeThe use of radioactive isotopes for the treatment of tumors. Third-Party PayerAn agency such as Blue Cross or the Medicare Program which contracts with hospitals and patients to pay for the care of covered patients. Thoracic ServicesMedical or surgical treatment relating to the chest. Total Inpatient Service DaysThe sum of all inpatient service days for each of the days in the period under consideration. Total Length of Stay (For all Inpatients)The sum of the days stay of any group of inpatients discharged during a specified period of time. Total MarginThe excess of revenue over expense and gains over losses generated from all sources. Total Paid HoursComparative tool for measuring productivity; number of full- time equivalent (FTEs) multiplied by 2080 hours (173.33 hours/month x 12 months). Toxicology / Antidote ServiceTelephone information service providing information concerning reactions and antidotes to toxic substances. Trade DiscountThe discount allowed to a class of customers on a list price before consideration of credit terms. As a rule, invoice prices are recorded in the books of account net after the deduction of trade and quantity discounts. TransactionAn event or condition, the recognition of which, gives rise to an entry in accounting records. Trauma Treatment Emergency RoomAn Emergency Room staffed and equipped at the highest level to treat any and all severe trauma cases. Treasury StockFull-paid capital reacquired by the issuing company through gift, purchase, or otherwise and available for resale or cancellation. Treasury stock is not a part of capital stock outstanding; and the term does not apply to unissued capital stock or to shares forfeited for nonpayment of subscriptions. TriageThe process of screening patients to determine the severity of the medical emergency and type of care necessary. Trial BalanceA list or abstract of the balances or of total debits and total credits of the accounts in a ledger. The purpose is to determine the quality of posted debits and credits and to establish a basic summary for financial statements. The term is also applied to a list of account balances (and their total) abstracted from a customer's ledger or other subsidiary ledger for the purpose of testing their totals with the related control account. TrustA right, enforceable in courts of equity, to the beneficial enjoyment of property, the legal title to which is in another. Trust FundA fund held by one person (trustee) for the benefit of another pursuant to the provisions of a formal trust agreement. Unit of ServiceA unit of measure often commonly accepted for determining average cost, time, or efficiency, thus making possible:
Unrealized RevenueRevenue attributable to a completed business transaction but accompanied by the receipt of an asset other than cash or other form of current asset; as an installment sale (gross revenue) or the prospective profit from such a sale (net revenue). Unrestricted FundsFunds which bear no external restrictions as to use or purpose; i.e., funds which can be used for any legitimate purpose designated by the governing board as distinguished from funds restricted externally for specific operating purposes, for plant replacement and expansion, and for endowment. Urologic ServicesMedical or surgical treatment relating to the urinary tract in both male and female, and with the genital organs in the male. Useful LifeNormal operating life in terms of utility to the owner: said of a fixed asset or a fixed-asset group; the period may be more or less than physical life or any commonly recognized economic life; service life. UtilitiesExpenditures for fuel, light, water, communications, disposal, and similar products or services. Valuation Account (or Reserve)An account which related to and partly or wholly offsets one or more other accounts; as accumulated depreciation or allowance for bad debts; unamortized debt discount. Vested InterestAn interest (as a title to an estate) carrying a legal right to present or future enjoyment and of present alienation. Vocational ServicesCounseling for patients and their families concerning the vocational alternatives appropriate to the individual patient. Weighted AverageA simple average of items reduced to a common basis. For example, purchases of certain raw material are made during a given month as follows:
The simple average of prices paid is $5.52/4, or $1.38, but the weighted average would be the total cost divided by the number of units purchased: $620.50/440, or $1.41. WingA distinct part of a building consisting of an architecturally subordinate extension of a building with a corridor connecting the main building and the extension. A wing could also be represented by the addition of one or more floors to an existing building. X-Ray TherapyThe use of x-rays for the treatment of various pathological conditions. Zero Level AccountsAccounts which have an account number with a fourth digit of zero. What project management tool focuses on the percentage completion of a task but does not show a link between one or more tasks?Differences Between PERT Charts and Gantt Charts. What is the plan that outlines the outcomes and goals for a company?strategy plan of a healthcare organization is a map to the future state of the company. The plan outlines the outcomes and goals for the long range.
Which of the following is a written statement that sets forth the core purpose and philosophies of an organization?Mission statements help your entire organization clearly understand its core purpose and why you do what you do.
What is the senior management of a healthcare organization that people who oversee a broad functional area of a group of departments or services quizlet?What is the senior management of a healthcare organization, the people who oversee a broad functional area or group of departments or services? Rationale: Executive level is the senior management level.
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