The Doctor\ s Guide to Owning a Financially Healthy Practice
Language: English
Published by Trafford Publishing, 2010
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Dieser Artikel ist ein Print on Demand Artikel und wird nach Ihrer Bestellung fuer Sie gedruckt. KlappentextrnrnHealth care professionals who want to be successful don t turn over their accounting to a bookkeeper and forget about it. You must understand your finances and keep them in order to operate a profitable practice.nnJoin Dr. Sarah w.
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- Title
- The Doctor\ s Guide to Owning a Financially Healthy Practice
- Author
- Label, Wayne A.|Havins, Weldon E.
- Publisher
- Trafford Publishing
- Publication year
- 2010
- Condition
- New
- Binding
- Soft cover
- Language
- English
- ISBN 10
- 1426938756
- ISBN 13
- 9781426938757
"Synopsis" may belong to another edition of this title.
Excerpt. © Reprinted by permission. All rights reserved.
The Doctor's Guide To Owning A Financially Healthy Practice
What They Don't Teach You in Medical SchoolBy Wayne A. Label Weldon E. HavinsTrafford Publishing
Copyright © 2010 Wayne A. Label and Weldon E. HavinsAll right reserved.
ISBN: 978-1-4269-3875-7
Contents
TABLE OF CONTENTS................................................................VACKNOWLEDGMENTS..................................................................IXINTRODUCTION.....................................................................XCHAPTER 1 Introducing Accounting and Financial Statements........................11CHAPTER 2 Generally Accepted Accounting Principles...............................23CHAPTER 3 The Balance Sheet: Why Does it Have to Balance?........................41CHAPTER 4 The Income Statement...................................................64CHAPTER 5 Preparing and Using A Statement of Cash Flows..........................80CHAPTER 6 The Corporation........................................................88CHAPTER 7 Double-Entry Accounting................................................95CHAPTER 8 Using Financial Statements for Short-Term Analysis.....................123CHAPTER 9 Using Financial Statements for Long-Term Analysis......................132CHAPTER 10 Budgeting for Your Business and Personal Use..........................144CHAPTER 11 Services Your CPA Can Provide for Your Business.......................153CHAPTER 12 Fraud, Abuse and Embezzlement.........................................168APPENDIX Using Quickbooks in the Medical Field...................................177INDEX............................................................................186
Chapter One
Introducing Accounting and Financial StatementsThis chapter covers the following information:
What Is Accounting?
The purpose of accounting is to provide information that will help you make correct financial decisions. The accountant's job is to provide the information needed to run a business as efficiently as possible while maximizing profits and keeping costs low.
Quick Tip: Finding an Accountant: Hiring a professional and ethical accountant to aid in your business operations can be critical to the success of your company. Talk with your colleagues. Determine who they recommend. Ask if they are happy with their accountant. Obtain the names of several accountants who work well with health care providers. Meet with a few accountants before making a final choice so that you know your options and can select one whose experience and work style will be best suited to your needs. If you cannot obtain useful information for your colleagues, some local chapters of the American Institute of CPAs offer referral services which can help with this.
Accounting plays a role in businesses of all sizes. Your kids' lemonade stand, a one-person business, and a multinational corporation all use the same basic accounting principles. Accounting is legislated; it affects your taxes; even the president plays a role in how accounting affects you. The list goes on and on.
Accounting is the language of business. It is the process of recording, classifying and summarizing economic events through certain documents or financial statements. Like any other language, accounting has its own terms and rules. To understand how to interpret and use the information accounting provides, you must first understand this language. Understanding the basic concepts of accounting is essential to success in business.
Different types of information furnished by accountants are shown in Figure 1.1 below.
Figure 1.1
Types of Information Provided by Accountants
Information prepared exclusively by people within a firm (managers, employees, or owners) for their own use Financial information required by various government agencies such as the Internal Revenue Service (IRS), Securities and Exchange Commission (SEC), and the Federal Trade Commission (FTC) General information about companies provided to people outside the firm such as investors, creditors, and labor unions
Accounting and Bookkeeping
Bookkeeping procedures and a bookkeeper's records keep track of business transactions that are later used to generate financial statements. Most bookkeeping procedures have been systematized and in many cases can be handled by computer programs. This is particularly true in health care providers' businesses. Bookkeeping is a very important part of the accounting process, but it is just the beginning. There is currently no certification required to become a bookkeeper in the United States. Some proprietary bookkeeping software programs have their own certification programs. Some of these programs are online and available to any interested person. Anyone using a particular bookkeeping software would likely benefit from the investment in time and money to become certified.
Accounting is the process of preparing and analyzing financial statements based on the transactions recorded through the bookkeeping process. Accountants are usually professionals who have completed a bachelor's degree in accounting, and often have passed a professional examination, like the Certified Public Accountant Examination, the Certified Management Accountant Examination, or Certified Fraud Auditor Examination.
Accounting goes beyond bookkeeping and the recording of economic information to include the summarizing and reporting of this information in a way that is meant to drive decision making within a business.
Who Uses Accounting Information?
In the world of business, accounting plays an important role to aid in making critical decisions. The more complex the decision, the more detailed the information must be. Individuals and companies need different kinds of information to make their business decisions.
Let's start with you as an individual health care provider. Why would you be interested in accounting? In addition to the benefits to your business, accounting knowledge can help you with investing in the stock market, apply for a home loan, evaluating a potential job, balancing a check book, and starting a personal savings plan, among other things.
Managers within a business also use accounting information daily to make decisions although most of these managers are not accountants. Some of the decisions they might make for which they will use accounting information are illustrated in figure 1.2.
Figure 1.2
Areas in Which Managers Use Accounting Information
Marketing (Which line of services should the company emphasize?) Production (Should the company provide services in one location or open several locations?) Research and Development (How much money should be set aside for new skills development?) Sales (Should the company expand the advertising budget and take money away from some other part of the marketing budget?)
Without the proper accounting information these types of decisions would be very difficult, if not impossible, to make. Bankers continually use accounting information. They are in the business of taking care of your money and making money with your money, so they absolutely must make good decisions. Accounting is fundamental to their decision-making process. Figure 1.3 looks at some of the decisions bankers make using accounting information.
Figure 1.3
Areas in Which Bankers Use Accounting Information
Granting loans to individuals and companies Investing clients' money Setting interest rates Meeting federal regulations for protecting your money
Government agencies such as the Internal Revenue Service (IRS), the Securities and Exchange Commission (SEC), the Federal Trade Commission (FTC), the Bureau of Alcohol, Tobacco and Firearms (ATF) base their regulation enforcement and compliance on the accounting information they receive.
Accountability in Accounting
A business's financial statements can also be of great interest to other members of the local or sometimes even the national community. Labor groups might be interested in what impact management's financial decisions have on their unions and other employees. Local communities have an interest in how a business's financial decisions (for example, layoffs or facility closings) will impact their citizens.
As the economy becomes more complex, so do the transactions within a business and the process of reporting them to various users and of making them understandable become more complex as well. A solid knowledge of accounting is helpful to individuals, managers, and business owners who are making their decisions based on the information accounting documents provide.
Financial Statements
Accountants supply information to people both inside and outside the firm by issuing formal reports that are called financial statements.
The financial statements are usually issued at least once a year. In many cases they are issued quarterly or more often where necessary. A set of rules, called Generally Accepted Accounting Principles, govern the preparation of the financial statements. Generally Accepted Accounting Principles (GAAP) has been defined as a set of objectives, conventions, and principles to govern the preparation and presentation of financial statements. These rules can be found in volumes of documents issued by the American Institute of Certified Public Accountants (AICPA), the Financial Accounting Standards Board (FASB), the Internal Revenue Service (IRS), the Securities and Exchange Commission (SEC), and other regulatory bodies. In Chapter 2 we look at some of the over-riding principles of Accounting as they apply to all businesses and individuals.
The Basic Financial Statements
The basic financial statements include the Balance Sheet, the Income Statement, the Statement of Retained Earnings, and The Statement of Cash Flows. We will look at these in depth in the following Chapters and see how they all interact with each other. As we discuss these financial statements, you will see they are not as scary as you might have thought they would be. Many of the concepts will already be familiar to you.
In the Appendix, you can see examples of these financial statements from a typical medical practice.
The Balance Sheet is the statement that presents the assets of the company (those items owned by the company) and the liabilities (those items owed to others by the company).
The Income Statement shows all of the revenues of the company less the expenses, to arrive at the "bottom line", the net income.
The Statement of Cash Flows shows how much cash we started the period with, what additions and subtractions were made during the period, and how much cash we have left over at the end of the period. This is often the most difficult of the accounting statements for the health care provider to understand. We'll explain why and simplify reading cash flow statements.
The Statement of Retained Earnings shows how the balance in Retained Earnings has changed during the period of time (year, quarter, month) for which the financial statements are being prepared.
Normally there are only two types of events that will cause the beginning balance to change: 1) the company makes a profit, which causes an increase in Retained Earnings (or the company suffers a loss, which would cause a decrease) and 2) the owners of the company withdraw money which causes the beginning balance to decrease (or invest more money which will cause it to increase).
Alert Seeing the Bigger Picture: None of these financial statements alone can tell the whole story about a company. We need to know how to read, understand, and analyze these statements as a package in order to make any kind of decisions about the company. In addition to the financial statements, you must understand the industry in which you are operating and the general economy.
Financial statements vary in form depending upon the type of business in which they are used. In general there are three forms of business operating in the United States - proprietorships, partnerships, and corporations. These are the basic business forms for health care providers' businesses.
How Different Business Entities Present Accounting Information
Proprietorships are businesses with a single owner like you or me. These types of businesses tend to be small service business started by what can be called "entrepreneurs." The accounting for these proprietorships includes only the records of the business - not the personal financial records of the proprietor of the business.
Alert Don't Mix and Match: The financial records of an individual owner of a business should never be combined with those of the business. They are two separate entities and need to be accounted for separately. Taking money from one of these entities (the business) for the other (the owner), must be accounted for by both entities.
Partnerships are very similar to proprietorships, except that instead of one owner there are two or more owners. In general most of these businesses are small to medium-sized. However, there are some exceptions, such as large groups or even national chains that may have thousands of partners. As with the proprietorships, accounting treats these organizations' records as separate and distinct from those of the individual partners.
Finally, there are corporations. These are businesses that are owned by one or more stockholders. Any particular owner may or may not have a managerial interest in the company. Many of these stockholders are simply owners who have money invested in the company by way of stocks which they have purchased.
In a corporation, a person becomes an owner by buying shares in the company and thus becomes a stockholder. The stockholders may or may not have a vote in the company's long-term planning depending on the type of stock they have purchased. However, simply by being stockholders (owners), they do not have decision making authority in the day-to-day operations. These investors (or stockholders) are not much different than the bankers that loan money to a proprietorship or a partnership. These bankers have a financial interest in the business, but no daily managerial decision making power. As is the case with the stockholders who have invested money into the corporation, in general they have a non-managerial interest in the business. As with the other two types of business organizations discussed here, the accounting records of the corporation are maintained separately from those of the individual stockholders, or owners.
The accounting records of a proprietorship are less complex than those of a corporation in that there is a simple capital structure with only one owner. In the case of a corporation, there are stockholders, which buy a piece of the ownership of a company by buying stock. As we will discuss later, because of this stock ownership, the financial statements become more complex. Some of the basic differences between these three types of businesses are shown below in Figure 1.4.
Figure 1.4
Differences in the Three Types of Businesses
Business Type Proprietorship Partnership Corporation
Number of Owners One Two or more One or more
Maintained Maintained Maintained Accounting separately separately separately Records from owner's from owners' from owner's records records records
Owner Has Managerial Yes Usually Usually not Responsibilities
In this Chapter you have learned what accounting is, why you and other people in health care provider business need to understand accounting, what businesses use accounting for, and what the basic financial statements used in these businesses are. In Chapter 2 you will learn about the principles used by accountants in the United States as well a comparison of those used by accountants in most other countries in the world (as prescribed by the International Accounting Standards Board located in London, England).
Glossary
Accounting: The process of recording, classifying and summarizing economic events through the preparation of financial statements such as the balance sheet, the income statement and the statement of cash flows.
American Institute of Certified Public Accountants (AICPA): The professional organization of CPAs in the United States. The AICPA is charged with preparation of the CPA Examination, the establishment and enforcement of the code of professional ethics, and working with the Financial Accounting Standards Board in the proclamation of accounting standards.
Corporations: Corporations are businesses that are given the right to exist by an individual state in the United States. With this right to exist, the corporation is then allowed to issue stock. Those buying this stock become owners of the corporation. Corporations can be set up as for profit or not for profit, and make that decision when applying for their charter with the state.
Financial Accounting Standards Board (FASB): The FASB sets the accounting standards to be followed for the preparation of financial statements. All rulings from the FASB are considered to be GAAP.
(Continues...)
Excerpted from The Doctor's Guide To Owning A Financially Healthy Practiceby Wayne A. Label Weldon E. Havins Copyright © 2010 by Wayne A. Label and Weldon E. Havins. Excerpted by permission.
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Revocation right for consumers
(A ‘consumer’ is any natural person who concludes a legal transaction which, to an overwhelming extent, cannot be attributed to either his commercial or independent professional activities.)
Instructions for revocation
Revocation right
You have the right to revoke this contract within one month without specifying any reasons.
The revocation period is one month with effect from the day,
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In order to safeguard the revocation period, it is sufficient that you send the notification about the exercise of the revocation right before the expiry of the revocation period.
Consequences of the revocation
If you revoke this contract, we shall repay all the payments, which we received from you, including the delivery costs (with the exception of additional costs, which arise from that fact that you selected a form of delivery other than the most reasonable standard delivery offered by us), immediately and at the latest within 14 days from the day on which we received the notification about the revocation of this contract from you. We use the same means of payment, which you had originally used during the original transaction, for this repayment unless expressly agreed otherwise with you; you will not be charged any fees owing to this repayment.
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Specimen - revocation form
(If you wish to revoke the contract, please fill up this form and send it back to us.)
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To Moluna GmbH, Münsterstr. 105, 48268 Greven, Fax number: 02571/5 69 89 30, Email address: abe@moluna.de :
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§ 1 Basic provisions
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§ 2 Conclusion of the contract
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(2) The goods remain our property until the purchase price is paid in full.
(3) If you are a businessman, the following conditions also apply:
a) We retain ownership of the goods until all the claims arising from the ongoing business relationship have been settled in full. The goods subject to retention of title may not be pledged or transferred by way of security before ownership of the said goods changes hands.
b) You can re-sell the goods within the framework of an orderly transaction. In this regard, you hereby cede all the claims amounting to the magnitude of the billing amount that accrue to you as a result of the re-selling operation to us, and we accept the cession. Furthermore, you are authorised to collect the claim in question. However, insofar as you do not discharge your payment obligations in an orderly fashion, we reserve the right to collect the claim ourselves.
c) In a situation involving the combination and amalgamation of the goods subject to retention of title, we acquire co-ownership of the newly-formed item. This co-ownership corresponds to the ratio that exists between the invoice value of the goods subject to retention of title and the other processed items at the time of processing.
d) If you make a request of this nature, we shall be obligated to release the securities that are due to us, to the extent that the realisable value of our securities exceeds the claim to be secured by more than 10%. We are responsible for selecting the securities to be released.
§ 4 Warranty
(1) The statutory warranty rights are applicable.
(2) As a consumer, you are requested to promptly check the product for completeness, visible defects and transport damage as soon as it is delivered, and promptly disclose your complaints to us and the shipping company in writing. Even if you do not comply with this request, it shall have no effect on your legal warranty claims.
(3) If a characteristic of the goods deviates from the objective requirements, the deviation shall only be deemed to be agreed if you were informed of the same by us before submitting the contractual declaration and the deviation was expressly and separately agreed between the contracting parties.
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Insofar as you are an entrepreneur, the following shall apply in deviation from the above warranty provisions:
a) Only our own specifications and the manufacturer's product description shall be deemed agreed as the quality of the goods, but not other advertising, public promotions and statements by the manufacturer.
b) In the event of defects, we shall, at our discretion, provide warranty by rectification of the defect or subsequent delivery. If the rectification of defects fails, you may, at your option, demand a reduction in price or withdraw from the contract. The rectification of defects shall be deemed to have failed after a second unsuccessful attempt, unless the nature of the goods or the defect or other circumstances indicate otherwise. In the event of rectification of defects, we shall not be obliged to bear the increased costs arising from the transport of the goods to a place other than the place of performance, unless such transport is in accordance with the intended use of the goods.
c) The warranty period shall be one year from delivery of the goods. The shortening of the period shall not apply
- for culpable damage attributable to us arising from injury to life, limb or health and for other damage caused intentionally or by gross negligence;
- insofar as we have fraudulently concealed the defect or have assumed a guarantee for the quality of the item;
- in the case of items which have been used for a building in accordance with their customary use and have caused its defectiveness;
- in the case of statutory rights of recourse that you may assert against us in connection with rights arising from defects.
§ 5 Choice of law, place of fulfilment, jurisdiction
(1) German law shall apply. This choice of law only applies to customers if it does not result in the revocation of the protection guaranteed by the mandatory provisions of the law of the country in which the respective customer’s usual place of residence is located (benefit-of-the-doubt principle).
(2) If you are not a consumer, but a businessman, a legal entity under public law or an institutional fund governed by public law, our place of business is the place of jurisdiction as well as the place of fulfilment for all services that follow from the business relationships that exist with us. The same condition applies to situations in which you are not associated with a general place of jurisdiction in Germany or the EU, as well as situations in which the place of residence or the usual place of residence is not known at the time of commencement of proceedings. This has no bearing on the capacity to call upon the court associated with another place of jurisdiction.
(3) The provisions of the UN Convention on Contracts for the International Sale of Goods are explicitly inapplicable.
II. Customer information
- Identity of the seller
Moluna GmbH
Engberdingdamm 27
48268 Greven
Germany
Telephone: 02571/5698933
E-Mail: abe@moluna.de
- Information regarding the conclusion of the contract
The technical steps associated with the conclusion of the contract, the contract conclusion itself and the correction options are executed in accordance to the regulations "conclusion of the contract" in our standard business terms (part I.).
- Contractual language, saving the text of the contract
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3.2 The complete text of the contract is not saved with us. Before the order is sent, the contract data can be printed out or electronically saved using the browser’s print function. After the order is received by us, the order data, the legally-mandated details related to distance selling contracts and the standard business terms are re-sent to you via e-mail.
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The key features of the goods and/or services can be found in the respective quote.
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5.4 Unless otherwise specified for the respective payment methods, the payment claims arising from the contract that has been concluded become payable immediately.
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Unless a different period is specified in the item description or our delivery conditions, the goods are delivered within 3-5 days after the conclusion of the contract (in case an advance payment has been agreed upon, after the payment authorisation).
6.2 If you are a consumer, the following is statutorily regulated: The risk of the sold item accidentally being destroyed or degraded during shipping only passes over to you when the item in question is delivered, regardless of whether or not the shipping operation is insured. This condition does not apply if you have independently commissioned a transport company that has not been specified by us or a person who has otherwise been appointed to execute the shipping operation.
If you are a businessman, the delivery and shipping operations take place at your own risk.
- Statutory warranty right
Liability for defects is governed by the “Warranty” provisions in our General Terms and Conditions of Business (Part I).
last update: 01.01.2022
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Unless stated otherwise below, the provision of your personal data is neither legally nor contractually obligatory, nor required for conclusion of a contract. You are not obliged to provide your data. Not providing it will have no consequences. This only applies as long as the processing procedures below do not state otherwise.
“Personal data” is any information relating to an identified or identifiable natural person.
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Contact us at any time. The contact details of the person responsible for data processing can be found in our legal notice.
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When you submit an order we only collect and use your personal data insofar as this is necessary for the fulfilment and handling of your order as well as processing of your queries. The provision of data is necessary for conclusion of a contract. Failure to provide it will prevent the conclusion of any contract. The processing will occur on the basis of Article 6(1) b) GDPR and is required for the fulfilment of a contract with you.
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If the data processing outlined here is based on our legitimate interests in accordance with Article 6(1)f) GDPR, you have the right for reasons arising from your particular situation to object at any time to the processing of your data with future effect.
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last update: 10.01.2022