Facility Financial Statement definition

Facility Financial Statement means an unaudited financial statement for each Facility which shall include the balance sheet, statement of income, statement of cash flows, statement of shareholders’ equity, occupancy census data (including payor mix), statement of capital expenditures and a comparison of the actual financial data versus the Annual Facility Budget for the applicable period.

Facility Financial Statement means Form SDS 35, or Form SDS 35A (for hospital-based facilities), and includes an account number listing of all costs to be used by all nursing facility providers in reporting to the Division for reimbursement.

Facility Financial Statement means Form SPD 35, or Form SPD 35A (for hospital-based facilities), and includes an account number listing of all costs to be used by all nursing facility providers in reporting to the Department for reimbursement.

Examples of Facility Financial Statement in a sentence

• This process will determine net allowable costs on the Nursing Facility Financial Statement that includes a uniform chart of accounts provided by the Department.

• The per diem costs of care must be used to determine each provider's allowable per diem costs and must be effective for the same period as covered by the Nursing Facility Financial Statement.

• Revenues are to be reported in the same manner as costs on the Nursing Facility Financial Statement.

• The rates must be established using the gross allowable compensation in Account 411 (Administrator Compensation) of the Nursing Facility Financial Statement for non-owner administrators.

• Accrued compensation of an owner, if not paid within 75 days after the end of the Nursing Facility Financial Statement reporting period, may not be included as an allowable expense.

• Charges for these services are included in the Nursing Facility Financial Statement, Form SPD 35 or 35A and are considered allowable costs reimbursable through the bundled rate.

• The provider must maintain, for a period of not less than three years following the date of submission of the Nursing Facility Financial Statement, financial and statistical records that are accurate and in sufficient detail to substantiate the cost data reported.

• The Department will maintain each required Nursing Facility Financial Statement submitted by a provider for three years following the date of submission of the report.

• Costs, revenues, assets, liabilities, and owner's equity attributable from a home office or regional office to a provider under OAR 411-070-0345 will be included on the Nursing Facility Financial Statement in the Home Office column.

• The provider must file annually with the Department, Financial Audit Unit, the Nursing Facility Financial Statement (NFFS) covering actual costs based on the facility's fiscal reporting period for the period ending June 30.

More Definitions of Facility Financial Statement

Facility Financial Statement means a financial statement for the Facility which shall include the balance sheet, statement of income, statement of cash flows, statement of shareholders' equity, occupancy census data (including payor mix), statement of capital expenditures and a comparison of the actual financial data versus the Annual Facility Budget for the applicable period. "Periodic Financial Statements" means [i] for Tenant, an unaudited balance sheet and statement of income for the most recent quarter; and [ii] for the Facility, an unaudited Facility Financial Statement for the most recent month. EXHIBIT O-1: TENANT'S CERTIFICATE AND FACILITY FINANCIAL REPORTS Report Period: Commencing _______________ and ending _______________ Lease: Lease made by HCRI Cold Spring Properties, LLC ("Landlord") to Emeritus Corporation ("Tenant")

Facility Financial Statement means the financial statement for the Facility which shall include the statement of income and expense, occupancy census data (including

Facility Financial Statement means a financial statement for each Facility which shall include the balance sheet, statement of income, statement of cash flows, occupancy census data (including payor mix), statement of capital expenditures and a detailed listing of Qualified Capital Expenditures in the form attached hereto as Exhibit L. Statement of income shall be in substantially the form utilized as of the Effective Date and shall include [i] a comparison of actual and budgeted revenues and expenses for the current period, year-to-date and year over year; and [ii] a breakdown of patient and other revenues itemized by payor type.

Facility Financial Statement means a financial statement for each Facility, which shall include the statement of income, a detailed listing of Qualified Capital Expenditures, the Annual Facility Configuration Statement attached as Exhibit L, occupancy data and census data in sufficient detail to show patient or resident mix in the form of total patient days and total patient revenue, including, but not limited to, a breakdown of payment type by private pay, Medicare and Medicaid patients, and managed care and commercial insurance. The statement of income shall include [i] a comparison of actual and budgeted revenues and expenses for the current period, year-to-date and year-over-year; [ii] a breakdown of patient and other revenues itemized by payor type; and [iii] a breakdown of operating and non-operating expenses, to the extent reasonably available, including an itemization of facility rental expenses, management fees, bad debt expenses, interest expenses, depreciation expenses, amortization expenses and material non-recurring expenses.

Facility Financial Statement shall have the meaning set forth in the HC REIT Lease for so long a the HC REIT Lease is in effect or shall otherwise refer to the financial statements routinely prepared by Emeritus with respect to the operation of its assisted living facilities, including the Facilities.

Facility Financial Statement means an unaudited financial statement for each Facility which shall include the balance sheet, statement of income, statement of cash flows, a detailed listing of Qualified Improvements, the Annual Facility Configuration Statement attached as Exhibit J and census data in sufficient detail to show patient mix in the form of total patient days, including but not limited to, a breakdown of private pay, Medicare and Medicaid patients. The statement of income shall include [i] a comparison of actual and budgeted revenue and expenses for the current period, year-to-date and year-over-year; [ii] a breakdown of patient and other revenues itemized by payor type; and [iii] a breakdown of operating and non-operating expenses to the extent reasonably available, including an itemization of facility rental expenses, management fees, bad debt expenses, interest expense, depreciation expenses, amortization expenses and material non-recurring expenses.