Essentials of Health Care Organization Finance

Dennis D. Pointer is Austin Ross Professor at the University of Washington, School of Public Health and Community Medicine. He is one of the country’s most highly regarded governance consultants. Two of his previous books, Really Governing and Board Work have won the James Hamilton Book of the Year Award from the American College of Healthcare Executives. Dennis M. Stillman is associate director, Program in Health Services at the University of Washington where he teaches graduate-level courses in accounting and finance. For twelve years, he was chief financial officer at the University of Washington Medical Center.

• List of Exhibits. Foreword.Preface.About the Authors.1. Governing.Obligations.Responsibilities.Roles.Governance Work.Governance “Enablers”.In the Boardroom.2. Financial Responsibilities.Objectives.Plans.Monitoring and Assessing.Controls and the Audit.Organization.In the Boardroom.3. Health Care Industry Financial Structure and Dynamics.The Big Picture.Health Insurance.Voluntary Health Insurance.Social Insurance (Medicare).Welfare Insurance (Medicaid).Health Maintenance Organizations.4. Accounting Basics.Accounting Principles.Accounting Entity.Accounting Period.Monetary Unit.Objectivity.Accrual Accounting.Materiality.Full Disclosure and Transparency.Conservatism, Consistency, and Comparability.Accounting Value.Accounting Equation.Revenues.Expenses.Summary.5. Reading Financial Statements.Revenue/Expense Summary.Balance Sheet.Statement of Cash Flows.In the Boardroom.6. Analyzing Financial Statements and Overseeing Financial Performance.Horizontal and Vertical Analyses.Ratio Analysis.Financial Oversight.In the Boardroom.7. Looking Forward: Vision, Strategies, Financial Plans, and Budgets.The Vision and Strategic Planning.Financial Planning.Budgeting.In the Boardroom.8. Source of Funds: Financing.Capital Structure.Creditworthiness.Long-Term Debt Financing.In the Boardroom.9. Use of Funds: Capital Investment.Approaches.Types of Capital Investment.Financial Analysis of Capital Projects.In the Boardroom.10. Financial Integrity and Credibility.Audit Committee.The Audit.Internal Controls.Emerging Expectations and Standards.In the Boardroom.11. The Finale.Admonitions.Checklist.Resources.Appendix A: E. Polley Francis Hospital, Traditionally Configured Financial Statements.Appendix B: Executive Summary of Sarbanes-Oxley Act Provisions and NYSE Governance Rules.Appendix C: E. Polley Francis Hospital, Illustrative Code-of-Conduct Provisions.Index.