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FinancialManagement
inHealthcare
BasicToolFornonfinancialmanager
Heru Adi Praset a SE. MM. Ak.
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HospitalsareregisteredwiththeAmerican
HospitalAssociationasone
o
t e
o ow ng:
TypeDescription
1. General:Providepatientservices,diagnosticandtherapeutic,for
avariety
of
medical
conditions
2. Specialty:Providediagnosticandtreatmentservicesforpatients
,nonsurgical
3. Rehabilitationand
Chronic
Diseases
:Provide
diagnostic
and
treatment services to disabled individuals re uirin restorativeandadjustive services
4. Psychiatric:Providediagnosticandtherapeuticservicesforpatientswhorequirepsychiatricrelatedservices
Hospitalsareorganizedaspublic(nonfederalandfederal),investorowned,andnotforprofitentities.
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Elementsof
Financial
Mana ement
Planning
DecisionMaking
Organizingand
Directing
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Financial
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ManagersViewpointManagersViewpoint
TheFinancial
Views
1. Workwithfinanceonadailybasic
.
functions
3. Usuallyalsodostrategicplanning
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ManagersViewpoint
TheClinical
Views
. sua ywor w n erac rec yw
patient2. Responsibleforservicedelivery
3. Alsoresponsibleforclinicaloutcomes
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ManagersViewpoint
ProcessViews
1. Workwiththesystemofthe
2. Responsiblefordataaccumulation
3. Oftenaffiliation withthe
n orma onsys em eper men
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Foursegmentthatmakea
systemWork
.
2. InformationSystem
3. TheAccountingSystem
. e
epor ng
ys em
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.
2. RiskAversion
3. Time
Value
of
Money
4. Control ofOpportunityCost
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,
EquityandRevenue
Debit CreditIncrease
Credit
DebitDecrease
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generalledger
Reviewsadjust
balance
through
to
trial
a ance
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,
Patients,In
Patient,
etc
,
Operational(Qualityandsafety)
Annua Yearan Report:F nanc a report,
QualityandSafety
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differencesinitChartofAccountsthatexpressestheunique
erences n sownor anizationstructure
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HospitalRevenues
Typically,hospitalsgettheirrevenueinavariety
ofways:
1. Byprovidingmedicalservices
2. B
rovidin
nonmedicalservices
3. Throughdonationsandgrantsfrom
,
,
4. Throughinvestments
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Hospitalsgroupthewaytheymakemoneyinto
t ree
erentcategor es
GainsandLosses
NonOperatingRevenue
Revenue
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HospitalExpenses:
providepatient
care.
The
main
categories
of
1. Salaries,
employ
benefit
2. Suppliesandother
3. Depreciationandamortization,
4. interest,and
5. baddebtex enses.
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SourcesofHospitalFinancial
ere
are
t ree
ma or
nanc a
statements:
1. The
income
statement2. Thebalancesheet
.
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Thereareseveralmajorelementsona
1. Assetsareeconomicresourcesthatareexpectedtoprovidefuturebenefitsbyhelpingtoincreasecashinflows
orreduce
cash
outflows.
Property,
plant,
and
equipment
(PPE)areconsidere assets.
2. Liabilitiesareeconomicobligationsoftheorganizationtooutsiders,orclaimsagainstitsassetsbyoutsiders.
Accountspayable
is
as
example
of
ahospital
liability.
3. Netassets,fundbalance,orownersequityarealldifferentnamesforthesamething:theyallrefertotheresidualinterestin,orremainingclaimsagainst,the
organ za on s
asse s
a er
a
a es
ave
een
deducted.Thismaybeexpressedas:assets liabilities=netassets.
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STATEMENTOFCASHFLOWS
CASHFROMOPERATINGACTIVITIES
NetIncome 10,645
NoncashExpenses
(Depreciation
&
Amortization)
13,152
WorkingCapitalChanges:
,
IncreaseAccountsPayable4,295
TotalCashfromOperatingActivities$25,982
Property,Plant,andEquipmentPurchases7,854
IncreasesorDecreasesinMarketableSecurities2,702
CASHFROMFINANCINGACTIVITIES
Issuanceor
Repayment
of
Long
Term
Debt
7,087
TransferstoandfromAffiliates4,300
NETCHANGEINCASH$9,443
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