Health Care Entities, September 2017
John Wiley & Sons Inc (Hersteller)
978-1-119-48443-1 (ISBN)
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Founded in 1887, the American Institute of Certified Public Accountants (AICPA) represents the CPA and accounting profession nationally and globally regarding rule-making and standard-setting, and serves as an advocate before legislative bodies, public interest groups and other professional organizations. The AICPA develops standards for audits of private companies and other services by CPAs; provides educational guidance materials to its members; develops and grades the Uniform CPA Examination; and monitors and enforces compliance with the accounting profession's technical and ethical standards. The AICPA's founding established accountancy as a profession distinguished by rigorous educational requirements, high professional standards, a strict code of professional ethics, a licensing status and a commitment to serving the public interest.
Table of Contents xix
Chapter Paragraph
1 Overview and Unique Considerations of Health Care Entities .01-.14
Purpose .01
Applicability .02-.06
Classification of Health Care Entities .07-.08
Regulatory Environment .09-.14
Health Care Reform .12-.14
2 General Auditing Considerations .01-.116
Overview .01-.02
An Audit of Financial Statements .03-.09
Audit Risk .05-.09
Terms of Engagement .10-.14
Business Associate Agreements .14
Audit Planning .15-.18
Group Audits .19-.24
Multi-Location Audits Versus Group Audits .23
Complex Transactions .24
Materiality .25-.30
Performance Materiality .29-.30
Qualitative Aspects of Materiality .31-.32
Use of Assertions in Assessment of Risks of Material Misstatement .33-.34
Risk Assessment Procedures .35-.57
Risk Assessment Procedures and Related Activities .37-.43
The Entity and Its Environment .44-.57
Additional Audit Considerations .58-.96
Analytical Procedures .58-.59
Accounting Estimates .60-.62
Transactions Processed by Service Organizations .63-.66
Compliance With Laws and Regulations .67-.77
Going-Concern Considerations .78-.89
Written Representations .90-.96
Independent Auditor’s Reports .97-.99
Single Audit Act and Related Audit Considerations .100-.106
Statutory Reporting Considerations for Health Plans .107-.116
Risk-Based Capital Requirements .111-.112
Deficiencies in Internal Control .113
Communicating Internal Control Matters in an Audit .114
Communications With Regulators .115-.116
Chapter Paragraph
3 Unique Financial Statement Considerations for Not-for-Profit Business-Oriented Health Care Entities .01-.43
Complete Set of Financial Statements .02-.05
Balance Sheet .06-.08
Statement of Operations .09-.28
Performance Indicator .12-.17
Other Intermediate Subtotals . .18-.20
Discontinued Operations and Accounting Changes .21-.22
Revenues .23-.25
Expenses .26-.28
Statement of Changes in Net Assets (or Equity) . .29-.32
Statement of Cash Flows .33-.37
Notes to the Financial Statements .38
Subsequent Events . .39-.41
Example Financial Statements .42-.43
4 Cash, Cash Equivalents, and Investments .01-.75
Cash and Cash Equivalents .01-.11
Centralized Cash Management Arrangements .03-.06
Cash From Restricted Donations .07
Other Restricted or Designated Cash Amounts .08-.11
Investments .12-.73
Fair Value Option .17-.22
Investments in Debt Securities and Certain Equity
Securities With a Readily Determinable Fair Value
That Are Not Recorded Under the Fair Value Option . .23-.35
Investments in Certain Other Financial Instruments
Without a Readily Determinable Fair Value That
Are Not Recorded Under the Fair Value Option .36-.38
Investment Pools . .39-.47
Fair Value Measurements .48
Impairment of Investments .49-.59
Securities Lending Activities .60
Transfers of Assets to an NFP or Charitable Trust for
Investment .61-.63
Regulation .64
Other Financial Statement Presentation Matters .65-.73
Auditing .74-.75
5 Derivatives .01-.44
Introduction .01-.05
General Guidance . .06-.07
Accounting for Changes in Fair Value of Derivative
Instruments .08-.12
Fair Value Hedges .09
Cash Flow Hedges .10-.11
Derivatives Not Designated as a Hedging Instrument .12
Hedge Accounting Requirements .13-.28
Shortcut Method .20-.28
Hybrid Instruments, Host Contracts, and Embedded Derivatives .29-.37
Calls and Puts in Debt .33-.34
Derivatives Embedded in Split-Interest Agreements .35-.37
Other Matters .38-.43
Changes in Fair Value of Hedged Item .38
Termination of Cash Flow Hedge by Debt Extinguishment .39
Additional Presentation and Disclosure Requirements for
NFP Business-Oriented Health Care Entities .40-.43
Auditing .44
6 Property and Equipment and Other Assets .01-.53
Overview .01-.05
Capitalized Interest . .06-.11
Supplies, Rebates, and Discounts .12-.13
Lessee Involvement in Fixed Asset Construction .14-.17
Asset Retirement and Environmental Remediation
Obligations .18-.20
Impairment or Disposal .21-.31
Discontinued Operations .28-.31
Nonreciprocal Transfers .32-.34
Other Long-Lived Assets .35-.43
Financial Statement Presentation . .44-.47
Auditing .48-.53
7 Municipal Bond Financing .01-.107
Introduction .01-.13
Conduit Bonds That Trade in Public Markets . .06-.08
Credit Enhancement .09-.11
Issuance of Municipal Bonds . .12-.13
Extinguishment and Modification Transactions . .14-.17
Calls and Mode Conversions .18-.39
Defeasance .20-.26
Modifications .27-.31
Gain or Loss on Debt Extinguishment .32-.33
Debt Issuance Costs Incurred in Connection With an
Exchange or Modification of Debt Instruments .34-.36
Puts or Tender Options .37-.39
IRS Considerations . .40-.44
Chapter Paragraph
Financial Statement Presentation and Disclosure .45-.72
Balance Sheet .45-.63
Statement of Operations .64-.65
Disclosures .66-.72
Obligated Group Reporting .73-.74
Interim Financial Reporting .75-.76
Auditing .77-.106
General .77-.85
Auditor Involvement With Municipal Securities Filings .86-.96
Letters for Underwriters .97-.103
Attestation Engagements Related to Securities Issuance . .104-.106
Appendix—Municipal Securities Regulation .107
8 Contingencies and Other Liabilities .01-.128
Contingencies and Commitments .02-.61
The Essentials of Recognition, Measurement, and
Disclosure for Contingencies .03-.09
Managing Risk of Loss .10-.12
Medical Malpractice .13-.47
Disclosures for Medical Malpractice .48-.53
Physician Guarantees and Other Agreements With
Physicians .54-.61
Other Liabilities .62-.85
Asset Retirement Obligations . .62-.64
Compensation and Related Benefits .65-.76
Joint and Several Liability Arrangements .77-.81
Agency Funds .82-.83
Fees Paid to the Federal Government by Health Insurers . .84-.85
Tax Considerations for NFP Health Care Entities .86-.100
Private Inurement and Intermediate Sanctions .93-.94
Unrelated Business Income .95
State and Local Taxes .96
Tax Positions .97-.98
Medicaid Voluntary Contribution or Taxation Programs . .99-.100
Risks and Uncertainties .101-.107
Auditing Contingencies and Other Liabilities .108-.126
Auditing Medical Malpractice Loss Contingencies .109-.112
Auditing Accounting Estimates .113-.118
Use of Actuaries and Actuarial Methods .119-.122
Evaluating Lawyers’ Responses .123-.126
Income Taxes .127
Auditing Considerations .128
Chapter Paragraph
9 Net Assets (Equity) .01-.38
Investor-Owned Health Care Entities .01
Not-for-Profit Entities . .02-.25
Net Asset Classes .05-.18
Reclassifications . .19-.25
Classification of Donor-Restricted Endowment Funds .26-.32
Disclosure .33-.37
Auditing .38
10 Health Care Service Revenue and Related Receivables .01-.60
Overview of the Health Care Environment .01-.15
Rate Setting With Third-Party Payors .05-.10
The Government Payer Environment .11-.14
Charity Care .15
Types of Health Care Revenue .16
Types of Payment Methodologies .17
Patient (or Resident) Service Revenue .18-.36
Revenue Recognition .18-.29
Accounting and Financial Reporting Requirements .30-.36
Premium and Capitation Revenues .37-.40
Patient Receivables . .41-.45
Estimated Final Settlements .46-.54
Auditing .55-.60
Accounts Receivable Confirmations .58-.60
11 Contributions Received and Made .01-.66
Distinguishing Contributions From Other Transactions .03-.08
Contributions Received .09-.32
Expiration of Donor-Imposed Restrictions .12-.14
Promises to Give in Future Periods (Pledges) . .15-.24
Contributions of Long-Lived Assets, the Use of Long-Lived
Assets, or Resources to Acquire Them .25-.27
Contributed Services .28-.32
Reporting the Cost of Special Events and Other
Fund-Raising Activities .33-.40
Naming Opportunities .36-.39
Investments Gain or Loss Related to Donor-Restricted
Contributions . .40
Transfers of Assets to an NFP or Charitable Trust That
Raises or Holds Contributions for Others .41-.48
Contributions Made . .49
Other Considerations .50-.58
Auditing .59-.65
Appendix—Q&A Section 6400, Health Care Entities .66
12 The Reporting Entity and Related Entities .01-.118
Overview .01-.02
Reporting by NFP Health Care Entities .03-.58
Relationships With Another NFP .06-.25
Relationships With a For-Profit Entity .26-.48
Special Entities .49-.58
Reporting by Investor-Owned Health Care Entities .59-.62
Presentation of Consolidated and Combined Financial
Statements .63-.73
Accounting for Transfers Between Related Entities .74-.87
Equity Transfers .75-.78
Equity Transactions .79-.82
Other Transfers .83-.87
Disclosure .88-.89
Mergers and Acquisitions .90-.116
Merger of NFPs . .96-.97
Acquisition by an NFP .98-.110
Acquisition by an Investor-Owned Entity, Including a
For-Profit Subsidiary of an NFP Health Care Entity .111-.114
Disclosures .115
Acquired Entities . .116
Auditing .117
Appendix—Flowcharts .118
13 Financial Accounting and Reporting for Managed Care Services .01-.30
Overview .01-.02
Recognition and Classification of Revenue .03-.12
Capitation Arrangements .07
Accounting for Health Care Costs .08-.12
Accounting for Loss Contracts .13-.17
Consideration of Anticipated Investment Income .17
Accounting for Stop-Loss Insurance .18-.19
General and Administrative Expenses .20
Acquisition Costs .21-.22
Financial Statement Display Considerations .23-.29
Balance Sheet .23-.24
Income and Cash Flow Statement .25-.29
Disclosures .30
14 Financial Accounting and Reporting by Continuing Care
Retirement Communities .01-.49
Overview .01-.05
Types of Contracts . .06-.10
Advance Fees .08
Chapter Paragraph
Periodic Fees .09
Use Fees .10
Types of Living Accommodations .11-.12
Fees and Payment Methods .13-.15
Accounting for Refundable Advance Fees .16-.20
Accounting for Fees Refundable to Residents Only From
Reoccupancy Proceeds of a Contract Holder’s Unit .21-.23
Accounting for Nonrefundable Advance Fees . .24-.25
Classification of Refundable Advance Fees .26-.30
Accounting for the Obligation to Provide Future Services
and the Use of Facilities to Current Residents .31-.35
Accounting for the Costs of Acquiring Initial
Continuing-Care Contracts .36
Financial Statements .37-.43
Auditing .44-.49
15 Unique Considerations of State and Local Government Health Care Entities .01-.206
Introduction .01-.02
Applicability of This Chapter .03-.04
GAAP Hierarchy for Governmental Health Care Entities .05-.11
Applicability of FASB and AICPA Pronouncements .09-.11
Basic Financial Statements .12-.33
Statement of Net Position .13-.18
Statement of Revenues, Expenses, and Changes in Net Position .19-.26
Statement of Cash Flows .27
Segment Reporting .28-.29
RSI, Including MD&A .30-.33
Measurement Attributes .34-.35
Cash, Cash Equivalents, and Investments .36-.58
Cash and Cash Equivalents .36-.38
Investments and Certain Equity Interests .39-.58
Derivatives .59-.65
Property and Equipment and Other Assets .66-.85
Capital Assets—General .67-.70
Capital Asset Impairment .71-.73
Intangible Assets . .74-.76
Excess Consideration Provided in a Governmental Acquisition (Known as Goodwill in Nongovernmental Entities) .77-.79
Leased Assets .80
Service Concession Arrangements .81-.84
Chapter Paragraph
Disclosures .85
Municipal Bond Financing and Other Long-Term Debt .86-.94
Debt Defeasance and Extinguishment .89-.92
Debt Issuance Costs .93
Disclosures .94
Contingencies and Other Liabilities .95-.122
Insurance-Related Contingencies .95-.101
Nonexchange Financial Guarantees .102-.104
Asset Retirement and Pollution Remediation Obligations .105-.106
Other Contingencies .107
Compensation and Related Benefits .108-.118
Tax Considerations .119-.120
Disclosures .121-.122
Net Position .123-.132
Financial Reporting of Net Position .131-.132
Health Care Service Revenue and Receivables .133-.136
Contributions and Other Nonexchange Transactions .137-.147
The Reporting Entity and Related Entities .148-.190
Identifying Component Units . .150-.154
Presentation of Component Units .155-.162
Equity Interests .163-.169
Institutionally-Related Foundations .170-.175
Government Combinations .176-.190
General Auditing Considerations for Governmental Health Care Entities .191-.204
Independent Auditor’s Reports .197-.198
Supplementary Information and Supporting Information, Including RSI . .199-.206
Supplement A—Statement of Position 00-1, Auditing Health Care Third-Party Revenues and Related Receivables
Appendix
A Overview of Statements on Quality Control Standards
B References to AICPA Technical Questions and Answers
C The New Revenue Recognition Standard: FASB ASC 606
D Accounting for Financial Instruments
E Information Sources
F Category B Guidance
G The New Leases Standard: FASB ASU No. 2016-02
H The New Not-for-Profit Financial Reporting Model Standards: FASB ASU No. 2016-14
I Schedule of Changes Made to the Text From the Previous Edition
Glossary
Index of Pronouncements anOther Technical Guidance
Subject Index
| Erscheint lt. Verlag | 10.11.2017 |
|---|---|
| Reihe/Serie | AICPA Audit and Accounting Guide |
| Verlagsort | New York |
| Sprache | englisch |
| Themenwelt | Wirtschaft ► Betriebswirtschaft / Management ► Rechnungswesen / Bilanzen |
| ISBN-10 | 1-119-48443-X / 111948443X |
| ISBN-13 | 978-1-119-48443-1 / 9781119484431 |
| Zustand | Neuware |
| Informationen gemäß Produktsicherheitsverordnung (GPSR) | |
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