Health Care Finance: Basic Tools for Nonfinancial Managers,9780763733490

Health Care Finance: Basic Tools for Nonfinancial Managers

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Edition: 1st
ISBN13: 9780763733490
ISBN10: 0763733490
Format: Paperback
Pub. Date: 2000-01-01
Publisher(s): Jones & Bartlett
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List Price: $142.75

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Summary

A practical financial management text for those who need basic financial management knowledge and better understanding of health care finance, this book uses actual examples from hospitals, long-term

Author Biography

Judith J. Baker, PhD, CPA, is Executive Director, Resource Group, Ltd., a Dallas based health care consulting firm. She is author of Activity-Based Costing and Activity-Based Management for Health Care Providers, a consulting editor for Aspen publications, and co-editor of Aspen's quarterly Journal of Health Care Finance. R. W. Baker, JD, is Managing Partner, Resource Group, Ltd. He is a health care consultant who focuses on health care management, training, and regulatory issues. He designs, directs, and administers long-term care Minimum Data Set (MDS) data collection and financial analysis. He is also a consulting editor for Aspen publications.

Table of Contents

Preface xi
Acknowledgments xiii
PART I-HEALTH CARE FINANCE OVERVIEW 1(20)
Chapter 1- Background
3(3)
Progress Notes
3(1)
The History
3(1)
The Concept
4(1)
Viewpoints
4(2)
Chapter 2- Introduction to Health Care Finance
6(5)
Progress Notes
6(1)
Why Manage?
6(1)
The Elements of Financial Management
6(1)
The Organization's Structure
7(1)
Two Types of Accounting
8(2)
Information Checkpoint
10(1)
Key Terms
10(1)
Discussion Questions
10(1)
Chapter 3- What Does the Health Care Manager Need To Know?
11(10)
Progress Notes
11(1)
How the System Works in Health Care
11(1)
The Information Flow
11(2)
Basic System Elements
13(5)
The Annual Management Cycle
18(2)
Information Checkpoint
20(1)
Key Terms
20(1)
Discussion Questions
20(1)
PART II-MANAGERIAL ACCOUNTING AND FINANCIAL ANALYSIS 21(80)
Chapter 4- Revenues (Inflow)
23(9)
Progress Notes
23(1)
Overview
23(1)
Receiving Revenue for Services
23(2)
Sources of Health Care Revenue
25(2)
Grouping Revenue for Planning and Control
27(3)
Information Checkpoint
30(1)
Key Terms
30(1)
Discussion Questions
31(1)
Chapter 5- Expenses (Outflow)
32(8)
Progress Notes
32(1)
Overview
32(1)
Disbursements for Services
33(1)
Grouping Expenses for Planning and Control
33(4)
Cost Reports as Influencers of Expense Formats
37(1)
Information Checkpoint
38(1)
Key Terms
39(1)
Discussion Questions
39(1)
Chapter 6- Cost Classifications
40(8)
Progress Notes
40(1)
Distinction between Direct and Indirect Costs
40(1)
Examples of Direct Cost and Indirect Cost
41(2)
Responsibility Centers
43(3)
Distinction between Product and Period Costs
46(1)
Information Checkpoint
47(1)
Key Terms
47(1)
Discussion Questions
47(1)
Chapter 7- Cost Behavior and Break-Even Analysis
48(15)
Progress Notes
48(1)
Distinction between Fixed, Variable, and Semivariable Costs
48(2)
Examples of Variable and Fixed Costs
50(4)
Analyzing Mixed Costs
54(2)
Contribution Margin, CVP and PV Ratios
56(5)
Information Checkpoint
61(1)
Key Terms
61(1)
Discussion Questions
62(1)
Chapter 8- Staffing: The Manager's Responsibility
63(10)
Progress Notes
63(1)
Staffing Requirements
63(1)
FTEs for Annualizing Positions
63(3)
Number of Employees Required To Fill a Position: Another Way to Calculate FTEs
66(3)
Tying Cost to Staffing
69(2)
Information Checkpoint
71(1)
Key Terms
71(1)
Discussion Questions
72(1)
Chapter 9- Comparative Data and Forecasts
73(7)
Progress Notes
73(1)
Comparative Data
73(4)
Forecasts
77(2)
Information Checkpoint
79(1)
Key Terms
79(1)
Discussion Questions
79(1)
Chapter 10- Budgeting and Variance Analysis
80(9)
Progress Notes
80(1)
Budgets
80(3)
Variance Analysis
83(5)
Information Checkpoint
88(1)
Key Terms
88(1)
Discussion Questions
88(1)
Chapter 11- The Time Value of Money
89(12)
Progress Notes
89(1)
Purpose
89(1)
Unadjusted Rate of Return
89(1)
Present-Value Analysis
89(1)
Internal Rate of Return
90(1)
Payback Period
91(1)
Evaluations
92(1)
Information Checkpoint
92(1)
Key Terms
93(1)
Discussion Questions
93(1)
Appendix 11-A
94(4)
Appendix 11-B
98(3)
PART III-FINANCIAL MANAGEMENT TOOLS 101(20)
Chapter 12- Reporting
103(8)
Progress Notes
103(1)
Understanding the Major Reports
103(1)
Balance Sheet
103(2)
Statement of Revenue and Expense
105(1)
Statement of Changes in Fund Balance/Net Worth
105(1)
Statement of Cash Flows
106(1)
Subsidiary Reports
107(1)
Summary
107(2)
Information Checkpoint
109(1)
Key Terms
110(1)
Discussion Questions
110(1)
Chapter 13-Financial and Operating Ratios as Performance Measures
111(7)
Progress Notes
111(1)
The Importance of Ratios
111(1)
Liquidity Ratios
111(2)
Solvency Ratios
113(2)
Profitability Ratios
115(2)
Information Checkpoint
117(1)
Key Terms
117(1)
Discussion Questions
117(1)
Chapter 14- Other Types of Performance Measures
118(3)
Progress Notes
118(1)
Importance of a Variety of Performance Measures
118(1)
Adjusted Performance Measures over Time
118(1)
Benchmarking
118(4)
Economic Measures
122(1)
Measurement Tools
122(2)
Information Checkpoint
124(1)
Key Terms
124(1)
Discussion Questions
125
PART IV-CASE STUDY 121(30)
Chapter 15- Case Study: Metropolis Health System
129(22)
Background
129(11)
Meeting the Challenge of Cost Containment: A Case Study Using Variance Analysis
140(11)
PART V-MINI-CASE STUDIES 151(40)
Chapter 16-Mini-Case Study 1: Using Financial Ratios and Interpreting Credit Analysis in Hospitals and Nursing Homes
153(18)
Hospital Finance
154(4)
Credit Analysis of a Skilled Nursing Facility
158(4)
Credit Analysis of Nonprofit Continuing Care Retirement Communities
162(9)
Chapter 17- Mini-Case Study 2: Changing Economic Realities in the Health Care Setting: A Physician's Office Teaching Case That Includes Specifics on Changing Payment Levels
171(13)
Improving Patient Care in a Changing Environment: A Teaching Case
172
RBRVS-1999 Update
119(65)
Chapter 18- Mini-Case Study 3: The Economic Significance of Resource Misallocation: A Finance and Operations Problem in the Women, Infants, and Children Public Health Program
184(7)
Client Flow through the Women, Infants, and Children Public Health Program
185(6)
Appendix A: Checklists 191(3)
Appendix B: Web-Based Learning Tools 194(1)
Notes 195(2)
Glossary 197(6)
Examples and Exercises, Supplemental Material, and Solutions 203(52)
Index 255(8)
About the Authors 263

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