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| Preface | |
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| Acknowledgments | |
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| Health Care Finance Overview | |
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| Background | |
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| Progress Notes | |
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| The History | |
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| The Concept | |
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| Viewpoints | |
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| Introduction to Health Care Finance | |
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| Progress Notes | |
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| Why Manage? | |
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| The Elements of Financial Management | |
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| The Organization's Structure | |
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| Two Types of Accounting | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| What Does the Health Care Manager Need To Know? | |
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| Progress Notes | |
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| How the System Works in Health Care | |
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| The Information Flow | |
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| Basic System Elements | |
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| The Annual Management Cycle | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| Managerial Accounting and Financial Analysis | |
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| Revenues (Inflow) | |
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| Progress Notes | |
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| Overview | |
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| Receiving Revenue for Services | |
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| Sources of Health Care Revenue | |
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| Grouping Revenue for Planning and Control | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| Expenses (Outflow) | |
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| Progress Notes | |
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| Overview | |
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| Disbursements for Services | |
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| Grouping Expenses for Planning and Control | |
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| Cost Reports as Influencers of Expense Formats | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| Cost Classifications | |
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| Progress Notes | |
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| Distinction between Direct and Indirect Costs | |
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| Examples of Direct Cost and Indirect Cost | |
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| Responsibility Centers | |
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| Distinction between Product and Period Costs | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| Cost Behavior and Break-Even Analysis | |
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| Progress Notes | |
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| Distinction between Fixed, Variable, and Semivariable Costs | |
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| Examples of Variable and Fixed Costs | |
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| Analyzing Mixed Costs | |
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| Contribution Margin, CVP and PV Ratios | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| Staffing: The Manager's Responsibility | |
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| Progress Notes | |
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| Staffing Requirements | |
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| FTEs for Annualizing Positions | |
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| Number of Employees Required To Fill a Position: Another Way to Calculate FTEs | |
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| Tying Cost to Staffing | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| Comparative Data and Forecasts | |
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| Progress Notes | |
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| Comparative Data | |
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| Forecasts | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| Budgeting and Variance Analysis | |
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| Progress Notes | |
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| Budgets | |
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| Variance Analysis | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| The Time Value of Money | |
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| Progress Notes | |
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| Purpose | |
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| Unadjusted Rate of Return | |
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| Present-Value Analysis | |
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| Internal Rate of Return | |
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| Payback Period | |
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| Evaluations | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| Appendix 11-A | |
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| Appendix 11-B | |
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| Financial Management Tools | |
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| Reporting | |
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| Progress Notes | |
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| Understanding the Major Reports | |
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| Balance Sheet | |
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| Statement of Revenue and Expense | |
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| Statement of Changes in Fund Balance/Net Worth | |
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| Statement of Cash Flows | |
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| Subsidiary Reports | |
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| Summary | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| Financial and Operating Ratios as Performance Measures | |
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| Progress Notes | |
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| The Importance of Ratios | |
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| Liquidity Ratios | |
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| Solvency Ratios | |
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| Profitability Ratios | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| Other Types of Performance Measures | |
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| Progress Notes | |
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| Importance of a Variety of Performance Measures | |
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| Adjusted Performance Measures over Time | |
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| Benchmarking | |
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| Economic Measures | |
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| Measurement Tools | |
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| Information Checkpoint | |
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| Key Terms | |
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| Discussion Questions | |
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| Case Study | |
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| Case Study: Metropolis Health System | |
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| Background | |
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| Meeting the Challenge of Cost Containment: A Case Study Using Variance Analysis | |
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| Mini-Case Studies | |
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| Mini-Case Study 1: Using Financial Ratios and Interpreting Credit Analysis in Hospitals and Nursing Homes | |
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| Hospital Finance | |
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| Credit Analysis of a Skilled Nursing Facility | |
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| Credit Analysis of Nonprofit Continuing Care Retirement Communities | |
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| 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 | |
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| Improving Patient Care in a Changing Environment: A Teaching Case | |
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| RBRVS--1999 Update | |
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| Mini-Case Study 3: The Economic Significance of Resource Misallocation: A Finance and Operations Problem in the Women, Infants, and Children Public Health Program | |
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| Client Flow through the Women, Infants, and Children Public Health Program | |
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| Checklists | |
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| Web-Based Learning Tools | |
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| Notes | |
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| Glossary | |
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| Examples and Exercises, Supplemental Material, and Solutions | |
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| Index | |
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| About the Authors | |