The Doctor's Guide to Owning a Financially Healthy Practice: What They Don't Teach You in Medical School
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The Doctor's Guide to Owning a Financially Healthy Practice: What They Don't Teach You in Medical School
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Product Details
| ISBN-13: | 9781426938757 |
|---|---|
| Publisher: | Trafford Publishing |
| Publication date: | 07/24/2010 |
| Pages: | 192 |
| Product dimensions: | 6.00(w) x 9.00(h) x 0.41(d) |
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The Doctor's Guide To Owning A Financially Healthy Practice
What They Don't Teach You in Medical SchoolBy Wayne A. Label Weldon E. Havins
Trafford Publishing
Copyright © 2010 Wayne A. Label and Weldon E. HavinsAll right reserved.
ISBN: 978-1-4269-3875-7
Chapter One
Introducing Accounting and Financial Statements
This 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 Practice by Wayne A. Label Weldon E. Havins Copyright © 2010 by Wayne A. Label and Weldon E. Havins. Excerpted by permission.
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Table of Contents
Contents
TABLE OF CONTENTS....................VACKNOWLEDGMENTS....................IX INTRODUCTION....................X
CHAPTER 1 Introducing Accounting and Financial Statements....................11
CHAPTER 2 Generally Accepted Accounting Principles....................23
CHAPTER 3 The Balance Sheet: Why Does it Have to Balance?....................41
CHAPTER 4 The Income Statement....................64
CHAPTER 5 Preparing and Using A Statement of Cash Flows....................80
CHAPTER 6 The Corporation....................88
CHAPTER 7 Double-Entry Accounting....................95
CHAPTER 8 Using Financial Statements for Short-Term Analysis....................123
CHAPTER 9 Using Financial Statements for Long-Term Analysis....................132
CHAPTER 10 Budgeting for Your Business and Personal Use....................144
CHAPTER 11 Services Your CPA Can Provide for Your Business....................153
CHAPTER 12 Fraud, Abuse and Embezzlement....................168
APPENDIX Using Quickbooks in the Medical Field....................177
INDEX....................186