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Florida Administrative Code (Last Updated: April 18, 2024) |
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59. Agency for Health Care Administration |
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59E. Hospital and Nursing Home Reporting Systems and Other Provisions Relating to Hospitals |
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59E-5. Hospital Uniform Reporting System And Other Provisions Relating To Hospitals |
1(1) Each hospital shall submit to the Agency, not more than 120 days subsequent to the end of its fiscal year, its prior year report for the fiscal year then ended.
32(2) Separate reports are required for each licensed hospital, regardless of ownership or operation. Hospitals that have multiple premises on a single license may file a single report for all premises on that license.
66(3) The prior year report shall consist of the following:
76(a) 77FHURS Online report. T81he prior year actual report shall be submitted to the Agency using 93FHURS Online, AHCA Form 3120-0001OL, March 2018, which is hereby incorporated by reference. This form is only accepted electronically and can 114be accessed through the Agency’s Single Sign On Portal located at https://apps.ahca.myflorida.com/SingleSignOnPortal. 126A copy of the form can also be found at 136http://www.flrules.org/Gateway/reference.asp?No=Ref-09510138. FHURS Online 141has been developed by the Agency for the purpose of electronically filing the prior year actual report. 158FHURS Online is a web-based application 164that reproduces the FHURS worksheets pursuant to rules 17259E-5.102 173and 17459E-5.205, 175F.A.C., of this chapter.
179(b) The 181FHURS report 183shall be sent to the Agency on or before the due date of the report 198in accordance with the FHURS Online AHCA Portal Registration Guide and the FHURS Online User Manual 214and shall contain the following information:
2201. FHURS “Worksheet A” that contains the appropriate signatures by the Chief Executive Officer and Chief Financial Officer of the hospital.
2412. A signed copy of the audited financial statements.
250(4) The actual report shall be prepared for each hospital from the audited financial statements. Whenever an actual report is not in agreement with the corresponding audited financial statements, the hospital shall provide a reconciliation of the amounts presented in the audited financial statements to amounts reported in the actual report.
301(5) In the event a hospital’s audited actual data is restated in accordance with generally accepted accounting principles, the hospital shall report the restatement to the Agency within 30 days of the issuance of the restatement.
337(6) The hospital can request and shall be granted a one time 30 day extension of time for compliance with the filing requirements found in chapter 59E-5, F.A.C. if:
366a. The extension request is made in writing no later than 30 calendar days prior to the due date and is received at the following location:
392Financial Analysis Unit
395Agency for Health Care Administration
4002727 Mahan Drive Mail Stop# 60
406Tallahassee, Florida 32308-5403
409b. The request for an extension includes the following information:
419(I) The hospital name.
423(II) The Hospital File Number – for example, 10-0000 or 2396-0000.
434(III) A description, including the fiscal period, of the report or document for which an extension of time is requested for compliance with the filing requirements in section 408.072, F.S., or chapter 59E-5, F.A.C. – for example, “prior year report for the period 1/1/2015 to 12/31/2015.”
480(IV) Authorization of the designated representative of the hospital.
489Rulemaking Authority 491408.061(2), 492408.15(8) FS. 494Law Implemented 496408.061 FS. 498History–New 6-11-92, Formerly 10N-5.201, Amended 3-28-99, 9-12-05, 3-28-10, 6-28-18507.
