Introduction to Health Care Accounting

[Pages:47]Introduction to Health Care Accounting

Matthew J. Claeys, CPA

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Agenda

? Basics of a health care financial statement

? Common and important ratios you should understand

? Revenue recognition and allowances

? Transactions that can significantly impact financial statements

? Recent accounting and audit pronouncements affecting health care organizations

? Audit / Finance committee responsibilities

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Contents of a Financial Statement

? Statements and footnotes

? Balance Sheet

Financial Position at a "point" in time

? Statement of Operations

Result of operations for a "period" of time

? Statement of Changes in Net Assets

Result is "assets less liabilities"

? Statement of Cash Flows

Basically reconciles the operating cash, indicating the "sources" of cash and "uses" of cash

? Footnotes to the financial statements

Defines and describes important matters and discloses significant issues of the statements

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Balance Sheet - Comparative

Assets Current Assets

Cash Current Portion of Trustee Investments Patient Accounts Receivable, Net Other Receivables Inventory Prepaid Expenses and Other

Total Current Assets

Trustee Investments (Net of Current Portion)

Property and Equipment Property and Equipment Less: Accumulated Depreciation Property and Equipment, Net

Other Assets Investment in Joint Venture Fair Value of SWAP agreement Deferred Debt Acquisition Costs Total Other Assets

Total Assets

2007

2006

$

5,000

150,000

37,000,000

2,460,000

1,886,000

2,644,000

44,145,000

6,000,000

74,084,000 (34,426,000) 39,658,000

8,408,000 1,600,000 1,666,000 11,674,000

$ 101,477,000

$

2,000

177,000

28,000,000

1,460,000

1,874,000

2,084,000

33,597,000

6,000,000

65,552,000 (30,025,000) 35,527,000

7,907,000 1,300,000 1,774,000 10,981,000

$ 86,105,000

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Balance Sheet - Comparative

Liabilities and Shareholder's Equity Current Liabilities

Current Maturities of Long-Term Debt Accounts Payable Accounts Salary Accrued Benefits Other Payables Third Party Payor Settlements Payable Accrued Malpractice

Total Current Liabilities Long-Term Debt (Net of Current Maturities)

Total Liabilities

Net Assets

2007

2006

$ 2,975,000 9,034,000 6,999,000 3,000,000 138,000 2,778,000 729,000

25,653,000

33,455,000

59,108,000

$ 2,576,000 7,137,000 3,902,000 1,900,000 142,852 4,500,000 897,000

21,054,000

39,006,000

60,060,000

Total Net Assets Total Liabilities and Net Assets

42,369,000 $ 101,477,000

26,045,000 $ 86,105,000

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Statements of Operations - Comparative

Revenue Net Patient Services Revenue Rental Income Other Total Revenue

Expenses

Salaries and Benefits Supplies and Other Professional Fees Interest and Financing Costs Depreciation and Amortization Provision for Bad Debts

Total Expenses

Operating Income

Investment Income and Including Joint Ventures And Swap Change Total Income

2007

$ 231,058,000 795,000

1,217,000 233,070,000

2006

$ 179,670,000 783,000

1,086,000 181,539,000

95,142,000 49,173,000 57,419,000

4,031,000 4,981,000 8,200,000 218,946,000

$ 14,124,000

1,200,000

$ 15,324,000

85,339,000 32,407,000 36,876,000

3,848,000 4,760,000 7,846,000 171,079,000

$ 10,463,000

750,000

$ 11,213,000

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Statement of Changes in Net Assets

Unrestricted Net Assets

Balance at December 31, 2005

Operating Income Investment Income, Including Joint Ventures and Swap Change Released from Restrictions for Fixed Assets

$ 74,392,000

10,463,000 750,000 500,000

Balance at December 31, 2006

Operating Income Investment Income, Including Joint Ventures and Swap Change Released from Restrictions for Fixed Assets

$ 86,105,000

14,124,000 1,200,000 1,000,000

Balance at December 31, 2007

$101,477,000

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Statement of Changes in Cash Flows

Increase in Net Assets for 2007 Net Cash provided by Operating Activities Cash Flow Used by Investing Activities Cash Flow from Financing Activities Net Increase in Cash and Cash Equivalents Beginning Cash Ending Cash

$ 16,324,000

14,000,000

(27,745,000)

(2,576,000)

3,000

2,000

$

5,000

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