Chapter 14 - Health care providers. In this chapter, the learning objectives are: Understand different organizational forms for providing health care services, know the authoritative accounting literature that governs health care entities, understand accounting and reporting issues for healthcare providers,. | Chapter 14 Health Care Providers © 2016 John Wiley & Sons, Inc. All rights reserved. 1 Montefiore Health System Moses Campus Bronx, NY Bellevue Hospital Manhattan, NY © Montefiore Health System © Carl Mikoy (via Flickr) 1 Learning Objectives Understand different organizational forms for providing health care services. Know the authoritative accounting literature that governs health care entities. Understand accounting and reporting issues for healthcare providers Revenues and expenses Fee for service revenues Capitation revenues Bad debts and charity care Malpractice claims “Retrospective” insurance premiums Recent Policy changes and their impact © 2016 John Wiley & Sons, Inc. All rights reserved. 2 2 Health Care Organizations (HCOs) Types of Services: Clinics and individual (or group) practices Continuing care retirement communities (CCRC) Health maintenance organizations (HMOs) Home health agencies, ., hospice Hospitals Nursing homes Rehabilitation centers © 2016 John Wiley & . | Chapter 14 Health Care Providers © 2016 John Wiley & Sons, Inc. All rights reserved. 1 Montefiore Health System Moses Campus Bronx, NY Bellevue Hospital Manhattan, NY © Montefiore Health System © Carl Mikoy (via Flickr) 1 Learning Objectives Understand different organizational forms for providing health care services. Know the authoritative accounting literature that governs health care entities. Understand accounting and reporting issues for healthcare providers Revenues and expenses Fee for service revenues Capitation revenues Bad debts and charity care Malpractice claims “Retrospective” insurance premiums Recent Policy changes and their impact © 2016 John Wiley & Sons, Inc. All rights reserved. 2 2 Health Care Organizations (HCOs) Types of Services: Clinics and individual (or group) practices Continuing care retirement communities (CCRC) Health maintenance organizations (HMOs) Home health agencies, ., hospice Hospitals Nursing homes Rehabilitation centers © 2016 John Wiley & Sons, Inc. All rights reserved. 3 Health Care Organizations (. hospital) Structures © 2016 John Wiley & Sons, Inc. All rights reserved. 4 I: For-Profit: Proprietary II: Not-for-Profit: Voluntary III: Governmental: Public Examples of Health Care Organizations I) For-profit: Hospital Corporation of America, Tenet, and HealthSouth II) Not-for-Profit: Montefiore Medical Center-Moses Campus Memorial Hermann Healthcare system III) Governmental: Bellevue Hospital Center . Anderson Cancer Center © 2016 John Wiley & Sons, Inc. All rights reserved. 5 5 Accounting Issues that differ depending upon the Organizational Structure reporting entity contributions financial statement display cash flows deposits and investments (., see GASB Statement No. 31, SFAS No. 115, and SFAS No. 124) operating leases compensated absences Debt refunding; risks and uncertainties pensions and other post retirement benefits © 2016 John Wiley & Sons, Inc. All rights reserved. 6 GAAP for HCOs GOVERNMENTAL HCOs: Now
