This thoroughly revised and updated Fifth Edition of Financial Management of Health Care Organizations offers an introduction to the tools and techniques of health care financial management. The book covers a wide range of topics, including information on the health care system and evolving reimbursement methodologies; health care accounting and financial statements; managing cash, billings, and collections; the time value of money and analyzing and financing major capital investments; determining cost and using cost information in decision-making; budgeting and performance measurement; and…mehr
This thoroughly revised and updated Fifth Edition of Financial Management of Health Care Organizations offers an introduction to the tools and techniques of health care financial management. The book covers a wide range of topics, including information on the health care system and evolving reimbursement methodologies; health care accounting and financial statements; managing cash, billings, and collections; the time value of money and analyzing and financing major capital investments; determining cost and using cost information in decision-making; budgeting and performance measurement; and pricing. The revised edition covers new accounting changes for nonprofit hospitals with respect to net asset accounts, and includes an array of new financial statement problem sets for nonprofit hospitals. These changes also required major changes to the recording of financial transactions and implementing the latest financial ratio benchmarks. With the newest payment developments in the health care landscape, this new edition updates changes to Medicare and commercial payment systems. The passage of the new tax law also impacted hospital capital markets and for-profit hospital tax rates. This latest edition explains the impact of this tax law change on tax-exempt hospital bonds purchased by banks, as well as presenting problem sets featuring the new tax law. Finally, changes in lease financing reporting are also addressed in this edition.Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
WILLIAM N. ZELMAN is a professor emeritus in the Department of Health Policy and Administration at the University of North Carolina at Chapel Hill. MICHAEL J. MCCUE is a professor in the Department of Health Administration at Virginia Commonwealth University. NOAH D. GLICK is currently an independent health care consultant in physician practice operations. MARCI S. THOMAS is a clinical associate professor in the Department of Health Policy and Administration in the School of Public Health at the University of North Carolina, Chapel Hill.
Inhaltsangabe
Preface xiii Acknowledgments xix The Authors xxi Chapter 1 The Context of Health Care Financial Management 1 Changing Methods of Health Care Financing and Delivery 3 Addressing the High Cost of Care 9 Value Based Payment Mechanisms 19 Summary 22 Key Terms 23 Review Questions 23 Notes 24 Chapter 2 Health Care Financial Statements 25 The Balance Sheet 27 The Statement of Operations 49 The Statement of Changes in Net Assets 64 The Statement of Cash Flows 66 Summary 71 Key Terms 73 Key Equations 73 Review Questions and Problems 74 Appendix A: Financial Statements for Sample Not for Profit and For Profit Hospitals, and Notes to Financial Statements 84 Note 99 Chapter 3 Principles and Practices of Health Care Accounting 101 The Books 101 An Example of the Effects of Cash Flows on Profit Reporting under Cash and Accrual Accounting 106 Recording Transactions 108 Developing the Financial Statements 118 Summary 125 Key Terms 126 Review Questions and Problems 126 Chapter 4 Financial Statement Analysis 137 Horizontal Analysis 138 Trend Analysis 144 Vertical (Common Size) Analysis 144 Ratio Analysis 146 Liquidity Ratios 152 Revenue, Expense, and Profitability Ratios 161 Activity Ratios 169 Capital Structure Ratios 175 Summary 183 Key Equations 186 Key Terms 187 Review Questions and Problems 187 Chapter 5 Working Capital Management 209 Working Capital Cycle 209 Working Capital Management Strategies 211 Cash Management 215 Sources of Temporary Cash 216 Revenue Cycle Management 221 Collecting Cash Payments 225 Investing Cash on a Short Term Basis 228 Forecasting Cash Surpluses and Deficits: The Cash Budget 230 Accounts Receivable Management 233 Methods to Monitor Revenue Cycle Performance 237 Fraud and Abuse 239 Summary 243 Key Terms 246 Key Equations 246 Review Questions and Problems 246 Notes 257 Chapter 6 The Time Value of Money 259 Future Value of a Dollar Invested Today 260 Present Value of an Amount to Be Received in the Future 267 Future and Present Values of Annuities 270 Future and Present Value Calculations and Excel Functions for Special Situations 276 Summary 284 Key Terms 285 Key Equations 286 Review Questions and Problems 287 Appendix B: Future and Present Value Tables 292 Note 301 Chapter 7 The Investment Decision 303 Objectives of Capital Investment Analysis 304 Analytical Methods 307 Using an NPV Analysis for a Replacement Decision 321 Summary 326 Key Terms 328 Key Equation 328 Review Questions and Problems 328 Appendix C: Technical Concerns in Calculating Net Present Value 336 Appendix D: Adjustments for Net Working Capital 342 Appendix E: Tax Implications for For Profit Entities in a Capital Budgeting Decision and the Adjustment for Interest Expense 345 Appendix F: Comprehensive Capital Budgeting Replacement Cost Example 349 Chapter 8 Capital Financing for Health Care Providers 361 Equity Financing 364 Debt Financing 365 Bond Issuance Process 377 Lease Financing 389 Summary 396 Key Terms 397 Key Equations 398 Review Questions and Problems 398 Appendix G: Bond Valuation, Loan Amortization, and Debt Borrowing Capacity 402 Notes 411 Chapter 9 Using Cost Information to Make Special Decisions 413 Break Even Analysis 414 Product Margin 437 Applying the Product Margin Paradigm to Making Special Decisions 441 Summary 448 Key Terms 449 Key Equations 450 Review Questions and Problems 450 Appendix H: Break Even Analysis for Practice Acquisition 461 Chapter 10 Budgeting 467 The Planning and Control Cycle 467 Organizational Approaches to Budgeting 472 Types of Budgets 483 Monitoring Variances to Budget 490 Group Purchasing Organizations 492 Summary 494 Key Terms 496 Key Equation 497 Review Questions and Problems 497 Appendix I: An Extended Example of How to Develop a Budget 499 Chapter 11 Responsibility Accounting 523 Decentralization 523 Types of Responsibility Centers 526 Measuring the Performance of Responsibility Centers 531 Budget Variances 533 Summary 545 Key Terms 547 Key Equations 548 Review Questions and Problems 548 Chapter 12 Provider Cost Finding Methods 553 Cost töCharge Ratio 553 Step Down Method 554 Activity Based Costing 561 Summary 573 Key Terms 573 Review Questions and Problems 574 Chapter 13 Provider Payment Systems 579 Evolution of the Payment System 583 Risk Sharing and the Principles of Insurance 607 Evolving Issues 612 Technology 614 Summary 616 Key Terms 616 Review Questions and Problems 617 Appendix J: Cost Based Payment Systems 619 Notes 624 Glossary 627 Useful Websites 653 Index 657
Preface xiii Acknowledgments xix The Authors xxi Chapter 1 The Context of Health Care Financial Management 1 Changing Methods of Health Care Financing and Delivery 3 Addressing the High Cost of Care 9 Value Based Payment Mechanisms 19 Summary 22 Key Terms 23 Review Questions 23 Notes 24 Chapter 2 Health Care Financial Statements 25 The Balance Sheet 27 The Statement of Operations 49 The Statement of Changes in Net Assets 64 The Statement of Cash Flows 66 Summary 71 Key Terms 73 Key Equations 73 Review Questions and Problems 74 Appendix A: Financial Statements for Sample Not for Profit and For Profit Hospitals, and Notes to Financial Statements 84 Note 99 Chapter 3 Principles and Practices of Health Care Accounting 101 The Books 101 An Example of the Effects of Cash Flows on Profit Reporting under Cash and Accrual Accounting 106 Recording Transactions 108 Developing the Financial Statements 118 Summary 125 Key Terms 126 Review Questions and Problems 126 Chapter 4 Financial Statement Analysis 137 Horizontal Analysis 138 Trend Analysis 144 Vertical (Common Size) Analysis 144 Ratio Analysis 146 Liquidity Ratios 152 Revenue, Expense, and Profitability Ratios 161 Activity Ratios 169 Capital Structure Ratios 175 Summary 183 Key Equations 186 Key Terms 187 Review Questions and Problems 187 Chapter 5 Working Capital Management 209 Working Capital Cycle 209 Working Capital Management Strategies 211 Cash Management 215 Sources of Temporary Cash 216 Revenue Cycle Management 221 Collecting Cash Payments 225 Investing Cash on a Short Term Basis 228 Forecasting Cash Surpluses and Deficits: The Cash Budget 230 Accounts Receivable Management 233 Methods to Monitor Revenue Cycle Performance 237 Fraud and Abuse 239 Summary 243 Key Terms 246 Key Equations 246 Review Questions and Problems 246 Notes 257 Chapter 6 The Time Value of Money 259 Future Value of a Dollar Invested Today 260 Present Value of an Amount to Be Received in the Future 267 Future and Present Values of Annuities 270 Future and Present Value Calculations and Excel Functions for Special Situations 276 Summary 284 Key Terms 285 Key Equations 286 Review Questions and Problems 287 Appendix B: Future and Present Value Tables 292 Note 301 Chapter 7 The Investment Decision 303 Objectives of Capital Investment Analysis 304 Analytical Methods 307 Using an NPV Analysis for a Replacement Decision 321 Summary 326 Key Terms 328 Key Equation 328 Review Questions and Problems 328 Appendix C: Technical Concerns in Calculating Net Present Value 336 Appendix D: Adjustments for Net Working Capital 342 Appendix E: Tax Implications for For Profit Entities in a Capital Budgeting Decision and the Adjustment for Interest Expense 345 Appendix F: Comprehensive Capital Budgeting Replacement Cost Example 349 Chapter 8 Capital Financing for Health Care Providers 361 Equity Financing 364 Debt Financing 365 Bond Issuance Process 377 Lease Financing 389 Summary 396 Key Terms 397 Key Equations 398 Review Questions and Problems 398 Appendix G: Bond Valuation, Loan Amortization, and Debt Borrowing Capacity 402 Notes 411 Chapter 9 Using Cost Information to Make Special Decisions 413 Break Even Analysis 414 Product Margin 437 Applying the Product Margin Paradigm to Making Special Decisions 441 Summary 448 Key Terms 449 Key Equations 450 Review Questions and Problems 450 Appendix H: Break Even Analysis for Practice Acquisition 461 Chapter 10 Budgeting 467 The Planning and Control Cycle 467 Organizational Approaches to Budgeting 472 Types of Budgets 483 Monitoring Variances to Budget 490 Group Purchasing Organizations 492 Summary 494 Key Terms 496 Key Equation 497 Review Questions and Problems 497 Appendix I: An Extended Example of How to Develop a Budget 499 Chapter 11 Responsibility Accounting 523 Decentralization 523 Types of Responsibility Centers 526 Measuring the Performance of Responsibility Centers 531 Budget Variances 533 Summary 545 Key Terms 547 Key Equations 548 Review Questions and Problems 548 Chapter 12 Provider Cost Finding Methods 553 Cost töCharge Ratio 553 Step Down Method 554 Activity Based Costing 561 Summary 573 Key Terms 573 Review Questions and Problems 574 Chapter 13 Provider Payment Systems 579 Evolution of the Payment System 583 Risk Sharing and the Principles of Insurance 607 Evolving Issues 612 Technology 614 Summary 616 Key Terms 616 Review Questions and Problems 617 Appendix J: Cost Based Payment Systems 619 Notes 624 Glossary 627 Useful Websites 653 Index 657
Es gelten unsere Allgemeinen Geschäftsbedingungen: www.buecher.de/agb
Impressum
www.buecher.de ist ein Internetauftritt der buecher.de internetstores GmbH
Geschäftsführung: Monica Sawhney | Roland Kölbl | Günter Hilger
Sitz der Gesellschaft: Batheyer Straße 115 - 117, 58099 Hagen
Postanschrift: Bürgermeister-Wegele-Str. 12, 86167 Augsburg
Amtsgericht Hagen HRB 13257
Steuernummer: 321/5800/1497
