Healthcare finance glossary Flashcards

1
Q

What is an Accountable Care Organization?

A

A network of healthcare providers joined together for the purpose of increasing patient service quality and reducing costs.

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2
Q

What is accounting?

A

The field of finance that involves the measuring and recording of events, in dollar terms, the reflect and organization’s operational and financial status

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3
Q

What is accounting breakeven?

A

The volume required to produce revenues sufficient to cover all accounting costs; in other words, zero profitability.

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4
Q

What is an accounting entity?

A

The entity (business) for which a set of financial statements applies.

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5
Q

What is an accounting period?

A

The period (amount of time) covered by a set of financial statements - often year, but sometimes a quarter or another time period.

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6
Q

What is accrual accounting?

A

The recording of economic events in the periods in which the events occur, even if the associated cash receipts or payments happen in a different period.

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7
Q

What are accrued expenses?

A

A business liability that stems from the fact that some obligations, such as wages and taxes, are not paid immediately after the obligations are created.

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8
Q

What is activity-based costing (ABC)?

A

A bottom-up approach to costing that identifies the activities required to provide a particular service, estimates the cost of those activities, and then aggregates the costs.

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9
Q

What is adverse selection?

A

The problem faced by insurance companies because individuals who are more likely to have claims are also more likely to purchase insurance.

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10
Q

What is an aging schedule?

A

A table that expresses a businesses accounts receivable by how long each account has been outstanding.

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11
Q

What is an allocation rate?

A

The numerical value used to allocated overhead costs; for example, $10 of facilities costs per square foot of occupied space.

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12
Q

What is the American Institute Of Certified Public Accountants (AICPA)?

A

The professional association of public (financial) accountants.

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13
Q

What is an amortized (installment) Loan?

A

A loan that is repaid in equal periodic amounts that include both principle and interest payments.

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14
Q

What is an annual report?

A

A report issued annually by an organization to its stakeholders that contains descriptive information and financial statements for the prior year

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15
Q

What is an annuity?

A

A series of payments of a fixed amount for a specified number of periods.

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16
Q

What is an annuity due?

A

An annuity with payments occurring at the beginning of each cash period.

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17
Q

What is an asset?

A

An asset is an item that either possesses or creates economic value for an organization.

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18
Q

What are asset management ratios?

A

Asset management ratios are financial statement analysis ratios that measure how effectively firm is managing its assets.

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19
Q

What is the automated clearing house (ACH)?

A

The automatic clean house is an electronic communication network for transmitting data from one financial institution to another.

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20
Q

What is an average collection period (ACP):

A

An average collection Is the average length of time it takes a business to collect its receivables; also called days sales outstanding (DSO) or days in patient accounts receivable.

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21
Q

What is a balance sheet?

A

A balance sheet is a financial statement that lists a business’s assets, liabilities, and equity (fund capital).

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22
Q

What is benchmarking?

A

Benchmarking is the comparison if performance metrics, such as financial ratios, of one business against those of similar businesses and industry averages; also called comparative analysis.

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23
Q

What is a beta coefficient?

A

A beta coefficient is a measure of the risk of one investment relative to the risk of a collection (portfolio) of investments.

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24
Q

What is a bond?

A

A bond is a long-term debt issued by business or government unit and generally sold in $1000 or $5000 increments to a large number of investors.

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25
Q

What is book value?

A

Book value is the value of a businesses, assets, liabilities, and equity as reported on the balance sheet; in other words, the value in accordance with generally accepted accounting principles (GAAP ).

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26
Q

What is break even analysis?

A

Break even analysis is a type of analysis that estimates the amount of some variable - such as volume, cost, or variable cost rate - that is needed to break even.

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27
Q

What is a budget?

A

A budget is a detailed plan, in dollar terms, of how a business and its subunits will acquire and utilize resources during a specified period of time.

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28
Q

What is Budgeting?

A

Budgeting is it process of preparing and using a budget, which is a detailed plan (in dollar terms) that specifies how resources will be obtained and used during some future period.

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29
Q

What is a build up method?

A

A build up method is a method for estimating the cost of equity for a small business that starts with a base rate and then adds premiums to account for size, liquidity, and unique risk characteristics.

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30
Q

What is bundled (global) payment?

A

A bundle payment is the fee-for-service payment of a single amount for the complete set of services required to treat a single episode.

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31
Q

What is business risk?

A

Business risk is the risk inherent in the operations of a business, assuming it uses zero-debt financing.

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32
Q

What is Call Provision?

A

A call provision is a provision in a bond indenture (contract) that gives the issuing company the right to redeem (call) the bonds prior to maturity.

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33
Q

What is call risk premium (CRP)?

A

Call risk premium is the premium that debt investors add to the base rate to compensate for bearing call risk.

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34
Q

What is Capital?

A

Capital is the funds raised by a business that will be invested in assets, such as land, buildings, and equipment that support the organizational mission.

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35
Q

What is the Capital Asset Pricing Model (CAPM)?

A

The capital asset pricing model is an equilibrium model that specifies the relationship between a stock’s value and its market risk, as measured by beta

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36
Q

What is Capital Budgeting?

A

Capital Budgeting is the process of analyzing and choosing new long term assets such as land, buildings, and equipment.

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37
Q

What are Capital Budgeting Decisions?

A

Capital Budgeting Decisions are the process of selecting a businesses capital (long-term asset) investments; the list of investments chosen constitutes a business’s capital budget.

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38
Q

What is Capital Gain (loss)?

A

The profit (loss) from the sale of certain investments at more (less) than their purchase price.

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39
Q

What is Capital Gains Yield?

A

The percentage capital gain (loss) over some period, defined as the price appreciation (loss), divided by the beginning-of-period price.

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40
Q

What is Capital Rationing?

A

Capital rationing is the situation that occurs when a business has more attractive capital investment opportunities than it has capital to invest.

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41
Q

What is Capital Structure?

A

Capital structure is the structure of a business’s financing mix as shown on the balance sheet, often expressed as the percentage of debt financing; for example, 35 percent debt.

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42
Q

What is Capitation?

A

Capitation is a reimbursement methodology that is based on the number of covered lives (or enrollees) as opposed to the amount of services provided.

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43
Q

What is Cash Accounting?

A

Cash accounting is the recording of economic events when cash exchange takes place.

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44
Q

What is a Cash Budget?

A

A cash budget is a schedule that lists a business’s expected cash inflows, outflows, and net cash flows for some future period.

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45
Q

What is a Chargemaster?

A

A chargemaster is a list of all items and services provided by a health services organization containing their gross (list) prices.

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46
Q

What is a Chart of Accounts?

A

A chart of accounts is a document that assigns a unique numerical identifier to every account of an organization.

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47
Q

What is a Classified Stock?

A

A classified stock is the term used to distinguish between stock classes when a business uses more than on type of common stock.

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48
Q

What is a Coefficient of Variation?

A

A coefficient of variation is a statistical measure of an investments stand-alone risk calculated by diving the sandarac deviation of returns by the expected return. The result is the amount of stand-along risk per unit of return.

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49
Q

What is Common Size Analysis?

A

Common size analysis is a technique to analyze a business’s financial statements that expresses income statement items and balance sheet accounts as percentages rather than in dollars.

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50
Q

What is Comparative Analysis?

A

Comparative analysis is the comparison of key financial and operational measures of one business with those of comparable businesses or sector averages; also called benchmarking.

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51
Q

What is a Compensating Balance?

A

A compensating balance is a minimum checking account balance that a business must maintain to compensate the bank for other services or loans.

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52
Q

What is Compounding?

A

Compounding is the process of finding the future value of a lump sum, an annuity, or a series of unequal cash flows.

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53
Q

What is a Contribution Margin?

A

A contribution margin is the difference between per unit revenue and per unit cost (variable cost rate); in other words, the dollar amount that each unit of volume contributes to covering fixed costs, and once fixed costs are covered, to profit.

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54
Q

What is Conventional Budgeting?

A

Conventional budgeting is an approach to budgeting that uses the previous budget as the starting point for creating the new budget.

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55
Q

What is a Corporate Bond?

A

A corporate bond is debt issued (sold) by for-profit businesses, as opposed to government or tax exempt (municipal) bonds.

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56
Q

What is the Corporate Cost Of Capital (CCC)?

A

The weighted average of a business’s capital (financing) costs; also, the discount rate that reflects the overall (average) risk of the entire business.

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57
Q

What is a Corporation?

A

A Corporation is a legal business entity that is separate and distinct from its owner (or community) and managers.

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58
Q

What is a Correlation?

A

A correlation is the movement relationship between two variables.

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59
Q

What is the Correlation Coefficient?

A

A standardized measure of correlation that ranges from -1 (variables move perfectly opposite of one another) to +1 (variables mover in perfect synchronization); denoted by r.

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60
Q

What is Cost?

A

A resource use associated with providing or supporting a specific service.

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61
Q

What is Cost allocation?

A

Cost allocation is the process by which overhead costs are assigned (allocated) to individual departments within an organization.

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62
Q

What is a Cost Center?

A

A cost center is a business that does not generate revenues, hence only its costs can be measured

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63
Q

What is a Cost Driver?

A

A cost driver is the basis on which a cost pool is allocated; for example, facilities costs or marketing costs.

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64
Q

What is Cost-Based Reimbursement?

A

Cost-based reimbursement is a fee-for-service reimbursement method based on the costs incurred in providing services.

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65
Q

What is a Costly Trade Credit?

A

A costly trade credit is the credit taken by a company from a vendor in excess of the free trade credit.

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66
Q

What is a Cost-To-Charge Ratio(CCR)?

A

A cost-to-charge ratio is a ratio used to estimate the overhead costs of individual services; defined as the ration of indirect (overhead) costs to charges (or alternatively, to serevice revenues).

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67
Q

What is a Coupon (Interest) Rate?

A

A coupon (interest) rate is the stated annual rate of interest on a bond, which is equal to the coupon payment divided by the par value.

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68
Q

What is a Coupon Payment?

A

A coupon payment is the dollar amount of annual interest on a bond.

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69
Q

What is a Credit Policy?

A

A credit policy is generically, a business’s rules and regulations regarding granting credit and collecting from buyers the take credit; for healthcare providers, the business’s policy regarding self-pay and indigent patients.

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70
Q

What are credit terms?

A

The statement that extends credit to a buyer.

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71
Q

What is Cross-Subsidization (Price Shifting)?

A

Cross-Subsidization is a pricing approach in which some payers are charged more than full costs to make up for other payers that are paying less than full costs

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72
Q

What is a Current Asset?

A

A Current Asset is an asset that is expected to be converted into cash within on accounting period (often a year).

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73
Q

What is Current Procedural Terminology (CPT) Codes?

A

Current Procedural Terminology Codes are codes that are applied to medical, surgical, and diagnostic procedures.

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74
Q

What is a Dashboard?

A

A format for presenting a business’s key performance indicators that resembles the dashboard of an automobile.

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75
Q

What is a Debenture?

A

A debenture is an unsecured bond, meaning one that has no assets pledged as security.

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76
Q

What is Debt Capacity?

A

Debt Capacity is The amount of debt considered optimal for the business (the target capital structure).

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77
Q

What Are Debt Management Ratios?

A

A group of ratios that measure the extent of a business’s financial leverage (capital structure)

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78
Q

What is a Debt Ratio?

A

A debt utilization ratio that measures the proportion of debt (versus equity) financing; typically defined as total debt (liabilities) divided by total assets.

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79
Q

What is Default?

A

Default is when a borrower fails to make a promised debt payment; technical default occurs when the borrower fails to meet one of the restrictions in the loan agreement but is still making the required payments.

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80
Q

What is Default Risk Premium (DRP)?

A

Default Risk Premium is the premium that creditors demand (add to the base interest rate) for bearing the default risk. The greater the default risk, the higher the default risk premium.

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81
Q

What is Depreciation?

A

Depreciation is a non cash charge against earnings on the income statement that reflects the “wear and tear” on a business’s fixed assets (property and equipment).

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82
Q

What is a Depreciation Shield?

A

A Depreciation Shield is the dollar amount of taxes that will not have to be paid because to the business’s depreciation expense.

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83
Q

What is Depreciation Cost?

A

Depreciation Cost is a cost that is tied exclusively to a subunit of an organization, such as the salaries of a department’s employees. When a subunit is eliminated, its direct costs disappear.

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84
Q

What is a Direct Method?

A

A direct method is a cost allocation method in which all overhead costs are allocated directly from the overhead departments to the patient services departments with no recognition that overhead services are provided to other support departments.

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85
Q

What is Discounting?

A

Discounting is the process of finding the current (present) value of a lump sum, an annuity, or a series of unequal cash flows.

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86
Q

What is Diversifiable Risk?

A

Diversifiable risk is the portion of the risk of an investment that can be eliminated by holding the investment as part of a diversified portfolio.

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87
Q

What is a Dividend Reinvestment Plan (DRIP)?

A

A dividend reinvestment plan is a plan under which dividends paid to a stockholder are automatically reinvested in the company’s common stock.

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88
Q

What is a Dividend Yield?

A

A dividend yield is the annual dividend divided by the stock price.

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89
Q

What is Divisional Cost Of Capital?

A

Divisional Cost of Capital is the discount rate (hurdle rate or opportunity cost rate) that reflects the unique risk of a division within a corporation.

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90
Q

What is a Double Entry System?

A

A Double entry system is the system used to make accounting journal entries; called double entry because each transaction has to be entered in at least two different accounts.

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91
Q

What is Du Pont Analysis?

A

Du Pont Analysis is a financial statement analysis tool that decomposes return on equity into three components: profit margin, total asset turnover, and equity multiplier.

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92
Q

What is Economic Breakeven?

A

Economic Breakeven is the volume required to produce revenues sufficient to cover all accounting costs and to provide a specified profit level.

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93
Q

What is an Effective Annual Rate (EAR)?

A

An effective annual rate is the interest rate that, under annual compounding, produces the same future value as was produced by more frequent compounding.

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94
Q

What is an Efficient Markets Hypothesis?

A

The theory that stocks are always in equilibrium and it is impossible for investors to consistently earn excess returns (beat the market).

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95
Q

What is Equity?

A

Equity is assets minus liabilities; in other words, the “book value” of the ownership position of a business.

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96
Q

What is Expected Rate of Return?

A

The expected rate of return is the return expected, in a statistical sense, on an investment when the purchase is made.

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97
Q

What is an Expense Budget?

A

An expense budget is a budget that focuses on the costs of providing goods or services.

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98
Q

What are expenses?

A

Expenses are the costs of doing business ; the dollar value of resources used to provide goods or services.

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99
Q

What is Fee-For-Service?

A

Fee-for-service is a reimbursement methodology that provides payment each time a service is provided.

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100
Q

What is Financial Accounting?

A

Financial accounting is the field of accounting that focuses on the measurement and communication of the economic events and status of an entire organization.

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101
Q

What is the Financial Accounting Standards Board (FASB)?

A

A private organization who’s mission is to establish and improve the standards of financial accounting and reporting for private businesses.

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102
Q

What is a Financial Asset?

A

A financial asset is a security, such as a stock or bond, that represents a claim on a business’s cash flows. Financial assets are purchased with the expectation of receiving future payments.

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103
Q

What is Financial Leverage?

A

Financial Leverage is the use of fixed cost financing; typically debt financing for healthcare providers.

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104
Q

What is Financial Management?

A

Financial Management the field of finance that provides the theory, concepts, and tools used by healthcare managers to make financial decisions.

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105
Q

What is a Financial Plan?

A

A financial plan is the portion of the operating plan the focuses on the finance function.

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106
Q

What is Financial Ratio Analysis?

A

Financial ratio analysis is the process of creating and analyzing ratios from financial statement data to asses the business’s financial condition.

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107
Q

What is Financial Risk?

A

Financial risk in an investment context. the risk that the return on an investment will be less than expected. The greater the chance of earning a return far below that expected, the greater the risk. In a capital structure context, it is the risk added to a business (More precisely, to he business’s owners) when debt financing is used. The greater the proportion of debt financing, the greater the financial risk.

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108
Q

What is Financial Statement Analysis?

A

Financial Statement Analysis is the process of using data contained in financial statements to make judgements about a businesses financial condition.

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109
Q

What are Financial Statements?

A

Statements prepared by accountants that convey the financial status of an organization. The four primary statements are the income statement, balance sheet, statement of changes in equity, and statement of cash flows.

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110
Q

What is a Fiscal Year?

A

A fiscal year is the year covered by an organization’s financial statements; it usually, but not necessarily, coincides with the calendar year.

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111
Q

What are Fixed Assets?

A

Fixed assets are a business’s long-tdermassets, such as land, buildings, and equipment; usually labeled net property and equipment on the balance sheet.

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112
Q

What is Fixed Cost?

A

Fixed cost is a cost that is not related to the volume of services delivered; for example, facilities costs. Total fixed costs fo not change if volume remains within the relevant range.

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113
Q

What is a Flexible Budget?

A

A flexible budget is a budget based on the static budget assumptions but adjusted to reflect realized volume.

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114
Q

What is the Float?

A

The float is the difference between the balance shown on a business’s (or individual’s) checkbook and the balance shown on the bank’s books.

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115
Q

What is a Form 990?

A

A form 990 is a form filed by not-for-profit organizations with the Internal Revenue Service that reports on governance and charitable activities.

116
Q

What are the Four C’s?

A

Four C’s is a mnemonic for the basic finance activities: costs, cash, capital, and control.

117
Q

What is a Free Trade Credit?

A

A free trade credit is the amount of credit received from a supplier that has no explicit cost attached; in other words, credit received during the discount period.

118
Q

What is Full Cost Pricing?

A

Full cost pricing is the process of setting prices to cover all costs plus a profit component.

119
Q

What is Fund Accounting?

A

Fund accounting is a system for recording financial statement data that categorized accounts who’s use has been limited.

120
Q

What is Fund Capital?

A
121
Q

What is general ledger?

A

General ledger is the master listing of an organizations primary accounts, which record the transactions that I used to create a businesses financial statements.

122
Q

What are generally excepted accounting principles? (GAAP):

A

The set of guidelines that has evolved to foster the consistent preparation and presentation of financial statements.

123
Q

What is a Healthcare Common Procedure Coding System (HCPCS)

A

HCPCS is a medical coding system that expand CPT codes to include nonphysician services and durable medical equipment.

124
Q

What is health insurance exchange (HIE)?

A

HIE is an online marketplace created primarily by the states or the federal government that insures use to post plan detail and consumers use to purchase health insurance.

125
Q

What is Historical Cost?

A

Historical cost in accounting is the purchase price of an asset.

126
Q

What is a Hurdle Rate?

A

A hurdle rate is the minimum required rate of return on an investment; also called opportunity cost rate or discount rate.

127
Q

What is an income statement?

A

An income statement is a financial statement, prepared in accordance with generally accepted accounting principles (GAAP), that summarizes the business’s revenues, expenses, and profitability.

128
Q

What is Incremental Cash Flow?

A

A cash flow that arises solely from a project that is been evaluated and hence should be included in the project analysis.

129
Q

What is and Indenture

A

An Indenture is a legal document that spells out the rights and obligation of both bondholders and the issuing corporation; in other words, the loan agreement for a bond.

130
Q

What is an Indirect (Overhead) Cost

A

An indirect (overhead) cost is a cost that is tied to shared resources rather than to an individual subunit of an organization; for example, facilities costs.

131
Q

What is an Inflation Premium?

A

An inflation premium is the premium that debt investors add to the real risk-free (base) interest rate to compensate for inflation.

132
Q

What is an inpatient prospective payment system (IPPS)?

A

An (IPPS) is the method based on diagnosis, that Medicare uses to reimburse providers for inpatient services.

133
Q

What is Interest (Current) Yield?

A

Interest (current) yield is the annual interest return on a bond, defined as the interest payment divided by the beginning-of-year price.

134
Q

What is Interest Rate Risk?

A

The risk to current debt holders that stems from interest rate changes. Interest rate risk has two components: price risk and reinvestment rate risk.

135
Q

What is Internal Rate Of Return (IRR)?

A

Internal Rate Of Return is a return-on-investment (ROI) metric that measures expected rate of (percentage) return.

136
Q

What is International Classification of Diseses (ICD) codes:

A

(ICD) codes are numerical codes for designating diseases plus a variety of signs, symptoms and external causes of injury.

137
Q

What is an Investment-grade bond?

A

An investment grade bond is a bond with a BBB or higher rating.

138
Q

What is an Investor Owned (for-profit) Corporation?

A

An investor owned corporation is a corporation that is owned by shareholders who furnish capital and expect to earn a return on their investment.

139
Q

What is a Junk-Bond?

A

A bond wit a BB or lower rating.

140
Q

What is the Just-In-Time (JIT) approach?

A

The JIT approach is a supply chain management technique that requires suppliers to to deliver inventory items in relatively small quantities as they are needed, which reduces the amount of inventory stock held; there are several variations of JIT systems.

141
Q

What is a Key Performance Indicator (KPI)?

A

A financial statement ratio or operating indicator that is considered by management to be critical to mission success.

142
Q

What is a Liability?

A

A liability is a fixed financial obligation of an organization.

143
Q

What is a Limited Liability Partnership?

A

A limited Liability partnership is a partnership form of organization thatLimits the professional (Malpractice) Liability of its partners.

144
Q

What is a Line of Credit?

A

A line of credit is a loan arrangement was a bank agrees to lend some maximum amount to a business over some designated period.

145
Q

What is a Liquid Asset?

A

A liquid acid is an acid that can be quickly converted to cash at its fair market value.

146
Q

What is Liquidity Premium (LP)?

A

Liquidity premium is the premium debt that investors add to the base interest rate to compensate for the lack of liquidity?

147
Q

What are Liquidity Ratios?

A

Liquidity ratios are ratios that measure the ability of a business to meet it’s cash obligations as they come due.

148
Q

What is a Lock Box?

A

A post office box used by a business to receive checks at a locations other than the corporate headquarters.

149
Q

What is a Managed are Plan?

A

A managed care plan is a combined effort by an insurer and a group of providers that aims both to increase quality of care and to decrease costs.

150
Q

What is Managerial (Management) Accounting?

A

Managerial accounting is the field of accounting that focuses on all levels of an organization and is used internally for managerial decision making.

151
Q

What is Marginal Cost?

A

Marginal cost is the cost of one additional unit of volume; for example one more inpatient day or patient visit.

152
Q

What is Marginal Cost Pricing?

A

Marginal cost pricing is the process of setting prices to cover only marginal costs.

153
Q

What is a Market Portfolio?

A

A Market portfolio is a portfolio that contains all publicly traded stocks; often proxied by some market index, such as the S&P 500.

154
Q

What is a Market Risk?

A

A market risk is the risk of an individual investment when it is held as a part of a diversified portfolio as opposed to held in isolation.

155
Q

What are marketable securities?

A

Marketable securities our security is that I heldIn Lieu of cash, Typically safe, short term securities such as treasury bills; called cash equivalents or short-term investments when listed on the balance sheet.

156
Q

What is a Maturity Date?

A

A maturity date is the date on which the principle amount of a loan must be repaid.

157
Q

What is Medicaid?

A

Medicaid is a federal and state movement health insurance program that provides benefits to low-income individuals.

158
Q

What us Medical Coding?

A

Medical Coding is The process of transforming medical diagnosis and procedures into universally recognized numerical codes.

159
Q

What is a Medical Home?

A

A medical home is a team based model of care led by a professional personal physician who provides continuous and coordinated care throughout a patient’s lifetime with a goal of maximizing health outcomes; also called patient center medical home.

160
Q

What is Medicare?

A

A federal government health insurance program that primarily provides benefits to individuals aged 65 and over.

161
Q

What is a Modified Internal Rate Of Return (MIRR)?

A

A MIRR is a project return-on-investment measure similar to internal rate of return but using the assumption of reinvestment at the cost of capital.

162
Q

What is a Monte Carlo Simulation?

A

A Monte Carlo Simulation is a computerized risk analysis technique that uses continuous distributions to represent the uncertain input variables.

163
Q

What is a Moral Hazard?

A

A Moral Hazard is the problem faced by insurance companies because individuals are more likely to use unneeded health services when they are not paying the full cost of those services.

164
Q

What is Mortgage Bond?

A

A Mortgage Bond is a bond issued by a business that pledges real property (land and buildings) as collateral.

165
Q

What is a Municipal (Muni) Bond?

A

A municipal bond is a tax-exempt bond issued by a government entity such as a state, city, or healthcare financing authority.

166
Q

What are Net Assets?

A

Net assets are the dollar value, according to GAAP, of a business’s assets after subtracting the business’s liabilities. In not-for-profit businesses, the term often is used on the balance sheet in place of equity.

167
Q

What is Net Income?

A

Net income is the total amount of earnings of a business, including both operating and non-operating income.

168
Q

What is Net Patient Accounts Receivable (Receivables)?

A

Net patient account receivables are the amount of money billed for services provided but not yet collected.

169
Q

What is the Net Present Social Value (NPSV)?

A

(NPSV) is the present value of a projcet’s social value; added to the financial net present value (NPV) to obtain a project’s total value.

170
Q

What is the Net Present Value (NPV)?

A

(NPV) is a project return-on-investment (ROI) metric that measures the time value-adjusted expected dollar return.

171
Q

What is Net Working Capital?

A

Networking capital is a liquidity measure equal to current assets minus current liabilities.

172
Q

What is Nominal (Stated) Interest Rate?

A

Nominal (Stated) Interest rate is the interest rate stated in a debt contract; it does not reflect the effect of any compounding that occurs more frequently than annually.

173
Q

What is Non-Incremental Cash Flow?

A

Non-incremental cash flow is a cash flow that does not stem solely from a project that is being evaluated; non-incremental cash flows are not included in a project analysis.

174
Q

What is Non-Operating Income?

A

Non-Operating Income are the earnings of a business that are unrelated to core activities; for a healthcare provide, the most common sources are contributions and investment income.

175
Q

What is an Operating Budget?

A

A single budget that combines both revenue and expense budgets.

176
Q

What is Operating Income?

A

Operating Income is the earnings of a business directly related to core activities; for a healthcare provider, earnings are related to patient services.

177
Q

What is an Operating Indicator?

A

An Operating Indicator Is a ratio that focuses on operating data rather than financial data.

178
Q

What is Operating Indicator Analysis?

A

Operating Indicator Analysis is the process of using operating indicators to help explain a business’s financial condition.

179
Q

What is an Operating Margin?

A

An Operating Margin is operating income divided by net operating revenues; it measures that amount of operating profit per dollar of operating revenues and focuses on the core activities of a business.

180
Q

What is an Operating Plan?

A

An operating plan ia an organizational road map for the fuse, often spanning five years, but with most detail for the first year. Operating plans must be based on and consistent with the guidance provided in the organization’s strategic plan.

181
Q

What is Opportunity Cost?

A

Opportunity cost is the const associated with alternative uses of the same funds. For example, if money is used for one investment, it is no longer available for other uses, creating and opportunity cost.

182
Q

What is an Opportunity Cost Rate?

A

An opportunity cost rate is the rate of return expected on alternative investments similar in risk to the investment being evaluated; also called hurdle rate.

183
Q

What is Optimal Capital Structure?

A

Optimal capital structure is the mix of debt and equity financing that that mangers believe is most appropriate for the business; generally based on quantitative and qualitative factors.

184
Q

What is Ordinary (Regular) Annuity?

A

An ordinary annuity is an annuity with payments occurring at the end of each period.

185
Q

What is a Partnership?

A

A partnership is a non incorporated business entity that is created by two or more individuals.

186
Q

What is Par Value?

A

The stated (face) value of a bond; generally, the principle amount that must be paid to the issuer.

187
Q

What is Patient Service
Revenue?

A

Patient service revenue is revenue that stems solely form the provision of patient services; in some situations, it may only reflect revenue from fee-for-service patients.

188
Q

What is a Pay-Back-Period?

A

A pay-back period is the number of years it takes for a business to recover its investment in a project without considering the time value of money.

189
Q

What is a Payment?

A

A payment is, in time value analysis, the dollar amount of an annuity cash flow.

190
Q

What is a Per Diem Payment?

A

Aper diem payment is a fee-for-service reimbursement method that pays a set amount for each inpatient day.

191
Q

What is Percentage Change Analysis?

A

Percentage change analysis is a technique to analyze a business’s financial statements that expresses the year to year changes in income statement items and balance sheet accounts as percentages.

192
Q

What is a Periodic Interest Rate?

A

A periodic interest rate in time value of money analysis, the interest rate per period; for example, 2 percent quarterly interest, which equals an 8 percent stated (annual) rate.

193
Q

What is Perpetuity?

A

Perpetuity is an annuity that lasts forever (has not maturity date).

194
Q

What is a Poison Pill?

A

A poison pill is a provision in a company’s charter that makes it an unattractive hostile takeover target.

195
Q

What is Population Health Management?

A

Population health management is the concept that the health of all individuals is improved when that health of the entire population is improved.

196
Q

What is a Portfolio?

A

A portfolio is a number of individual investments held collectively.

197
Q

What is a Portfolio Risk?

A

A portfolio risk is the riskiness of an individual investment when it is held as a part of a diversified portfolio (collection of investments) as opposed to held in isolation.

198
Q

What is Post-Audit?

A

A post-audit is the feedback process in which the performance of projects previously accepted is reviewed and actions are taken if performance is below expectations.

199
Q

What is a Preemptive Right?

A

A preemptive right is the right that gives current shareholders the opportunity to purchase any newly issued shares (in proportion to their current holdings) before they are offered to the general public.

200
Q

What is Premium Revenue?

A

Premium revenue is patient service revenue that stems from capitated patients as opposed to fee-for-service patients.

201
Q

What is Present Value?

A

Present Value is the beginning amount (current worth) of an investment of a lump sum, and annuity, or a series of unequal cash flows.

202
Q

What is Price Risk?

A

Price risk is the risk that rising interest rates will lower the values of outstanding debt.

203
Q

What is Price Risk Premium (PRP)?

A

There premium that debt investors add to the base rate to compensate for bearing the price risk.

204
Q

What is a Price Setter?

A

A price setter is a business that has the power to set the market prices for its goods or services.

205
Q

What is a Price Taker?

A

A price taker is a business that has no power to influence the prices set by the marketplace.

206
Q

What is Private Placement?

A

Private placement is the sale of newly issues securities to a single investor or a small group of investors.

207
Q

What is Probability Distribution?

A

Probably distribution is all possible outcomes of a random event along with their probabilities of occurrence; for example, the probability distribution of rates of return on opposed investment.

208
Q

What is Profit Analysis?

A

Profit analysis is a technique applied to an organization’s cost and revenue structure that analyzes the effect of volume changes on costs and profits; also called CVP (cost-volume-profit) analysis.

209
Q

What is a Profit and Loss Statement?

A

A profit and loss statement is a statement that summarizes the revenues, Expenses, and profitability of either the entire organization or a subunit of it; can be formatted in different ways for different purposes and does not conform to generally excepted accounting principles (GAAP).

210
Q

What is a Profit Center?

A

A profit center is a business unit (in our examples, typically a department) that generates revenues as well as costs, hence its profitability can be measured.

211
Q

What is a Profitability Index (PI)?

A

A profitability index is a project return-on-investment measure defined as the present value of cash inflows divided by the present value of outflow. It measures the number of dollars of inflow per dollar of outflow (on a present value bases), pr the “bang for the buck”.

212
Q

What are Profitability Ratios?

A

Profitability Ratios are a group of ratios that measure different dimensions of a business’s profitability.

213
Q

What is the Project Cost Of Capital?

A

The project cost of capital is the discount rate (hurdle rate or opportunity cost rate) that reflects the unique risk of a project.

214
Q

What is Project Scoring?

A

Project scoring is an approach to project assessment that considers both financial and non-financial factors.

215
Q

What is a Promissory Note?

A

A promissory not is a document that specifies the terms and conditions of a loan; also called loan agreement or, in the case of bonds, indenture.

216
Q

What is a Proprietorship?

A

A proprietorship is a simple form of business owned by a single individual; also called a sole proprietorship.

217
Q

What is a Prospective Payment?

A

A prospective payment is a fee-for-serevice reimbursement method in which the payment amount is established beforehand by the third-party payer and , in theory, is not directly related to costs or charges.

218
Q

What is a Provider?

A

A provider is an organization that provides healthcare services (treats patients).

219
Q

What is a Proxy Fight?

A

A proxy fight is an attempt to take control of a corporation by soliciting the votes (proxies) of current shareholders.

220
Q

What is a Public Offering?

A

A public offering is the sale of newly issued securities to the general public through and investment banker.

221
Q

What is a Pure Play Approach?

A

A pure play approach is a method for estimating the base cost of equity for a small business whereby the cost of equity of a similar large, publicly traded business is used as a proxy value

222
Q

What is a Real Asset?

A

A real asset is a physical asset, such as a medical practice or a piece of diagnostic equipment, that has the potential to generate future cash inflows.

223
Q

What is Real Risk Free-Rate?

A

A real risk free-rate is the rate of interest on a diskless investment in the absence of inflation.

224
Q

What is a Realized Rate of Return?

A

A realized rate of return is the return achieved on an investment when it is terminated.

225
Q

What is a Reciprocal Method?

A

A Reciprocal method is a cost allocation method that recognizes all of the overhead services provided by on support department to another.

226
Q

What is Reinvestment Rate Risk?

A

Reinvestment rate risk is the risk that falling interest rates will lower the returns on cash flows from bond investments that are reinvested during the life of the bond.

227
Q

What is a Relative Value Unit (RVU)?

A

A relative value unit is a measure of the amount of resources consumed to provide a particular service. When applied to physicians, a measure of the amount of work, practice expenses, and liability costs associated with a particular service.

228
Q

What is a Relative Value Unit (RVU) Method?

A

A RVU method is a method for estimating the overhead costs of individual service based on the intensity of the service provided, as measured by RVU’s

229
Q

What is a Relevant Range?

A

A relevant range is the range of volume expected over some planning period. Alternatively, the range over which fixed costs remain constant—-if volume falls outside the relevant range, the fixed cost estimate may be invalid.

230
Q

What is Reserve Borrowing Capacity?

A

Reserve Borrowing Capacity is the practice of businesses to use less than the theoretical optimal amount of debt to ensure easy access to new debt at reasonable interest rates regardless of circumstances.

231
Q

What is a Restrictive Covenant?

A

A Restrictive Covenant is a provision in a bond indenture or loan agreement that protects the interests of lenders by restricting the actions of management.

232
Q

What is a Return On Equity (ROE)?

A

A return on equity is the net income divided by the book value of equity; measures the dollars of earnings per dollar of equity investment.

233
Q

What is Return On Investment? (ROI)

A

A return on investment is the estimated financial return on an investment. In capital budgeting analysis, ROI can be measured either in dollars or percentage (rate of) return.

234
Q

What is a Revenue Budget?

A

A revenue Budget is a budget that focuses on the revenues of an organization or its subunits.

235
Q

What is a Revenue Cycle?

A

A revenue Cycle is the set of recurring activities and related information processing required to provide patient services and collect for those services.

236
Q

What is the Revenue Recognition Principle?

A

The revenue recognition principle is the concept that revenues must be recognized in the accounting period in which they are realizable and earned.

237
Q

What are Revenues?

A

Revenues are inflows of assets resulting from the exchange of goods or services with customers.

238
Q

What is Rights Offering?

A

Rights offering is the mechanism by which new common stock is offered to existing shareholders; each stockholder receives and option (right) to buy a specific number of new shares at a given price.

239
Q

What is Risk Aversion?

A

Risk aversion is the risk of individuals and businesses to dislike risk. The implication of risk aversion is that riskier investments must offer higher expected rates of return to be acceptable.

240
Q

What is a Risk-Adjusted Discount Rate (RADR)

A

An RADR is a discount rate that accounts for the specific riskiness of the investment being analyzed.

241
Q

What is a Risk-Free rate (FR)

A

A risk-free rate is the rate of interest on a risk-less investment when inflation effects are considered.

242
Q

What is the Salvage Value?

A

The salvage value is the expected market value of an asset (project) to the end of its useful life.

243
Q

What is Scenario Analysis?

A

Scenario Analysis is a project risk analysis technique that examines alternative outcomes, generally three, as opposed to only the most likely outcome.

244
Q

What is a Schedule H?

A

A Schedule H is an attachment to form 990 filed by not-for-profit hospitals that gives additional information on charitable activities.

245
Q

What is the Securities and Exchange Commission (SEC)

A

The SEC is the federal government agency that regulates the sale of securities and the operations of securities exchanges. This agency also has overall responsibility for the format and content of financial statements.

246
Q

What is a Security Market Line (SML)?

A

A security Market line is the portion of the capital asset pricing model (CAPM) that specifies the relationship between market risk and required rate of return.

247
Q

What is Sensitivity Analysis?

A

Sensitivity analysis is a project analysis technique that assesses how changes in a single input variable, such as utilization, affect profitability.

248
Q

What are The Social Determinants of Health?

A

The social determinants of health are social, economic and environmental conditions in the places where people are born, live, grow, learn, work, and play that affect health.

249
Q

What is a Stakeholder?

A

A stakeholder is a party that has an interest, often financial, in a business. Stakeholders can be affected by the businesses actions, objectives, or policies.

250
Q

What is a Stand-Alone Risk?

A

A stand-alone risk is the riskiness of and investment that is held in isolation as opposed to health as a part of a portfolio (Collection of Investments).

251
Q

What is a Standard Deviation?

A

A standard deviation is a statistical measure of variability. (dispersion) of a probability distribution about the mean (expected value).

252
Q

What is a Statement Of Cash Flows?

A

A statement of cash flows is a financial statement that focuses on the cash flows that go in and come out of a business.

253
Q

What is a Statement of Changes in Equity?

A

A statement of changes in equity is a financial statement that reports how much of a business’s income statement earnings flows to the balance sheet equity account.

254
Q

What is a Static Budget?

A

A static budget is a budget that is prepared at the beginning of a planning period.

255
Q

What is a Statistics Budget?

A

A statistics budget is a budget that contains the patient volume and resource need assumptions used all other budgets.

256
Q

What is a Step-Down Method?

A

A step-down method is a cost allocation method that recognizes some of the overhead services provided by one support department to another.

257
Q

What is a Strategic Plan?

A

A strategic plan is a document that defines a business’s long term direction along with the resources needed to get there.

258
Q

What is a Strategic Value?

A

A strategic value is the value of future investment opportunities that can be undertaken only if the project currently under consideration is accepted.

259
Q

What is a Sunk Cost?

A

A sunk cost is a cost that has already occurred or is irreversibly committed; sunk costs are non incremental to project analyses and hence should not be included.

260
Q

What is Supply Chain Management?

A

Supply chain management is the management of the procurement, storage, and utilization of supplies; also called inventory management.

261
Q

What is Target Capital Structure?

A

Target Capital Structure is the capital structure (mix of debt and equity) that a business strives to achieve and maintain over time; generally the same as (or very close to) the optimal capital structure.

262
Q

What is Target Costing?

A

Target costing is for price takers, the process of reducing costs (if necessary) to the point at which a profit is earned on the market -determined price.

263
Q

What is a Tax-Exempt (Not-For-Profit) Corporation ?

A

A tax exempt corporation is a corporation that has a charitable purpose, is tax exempt, and has no owners; also called nonprofit corporation.

264
Q

What is s Term Loan?

A

A term loan is long-term debt financing obtained directly from a financial institution, often a commercial bank.

265
Q

What is Terminal Value?

A

A terminal value is an estimate of the value of the cash flows beyond the truncation point when a project’s cash flows are arbitrarily truncated.

266
Q

What is a Third-Party Payer?

A

A third-party payer is a generic term for any outside party, typically an insurance company or government program, that pays for part or all of a patient’s healthcare services.

267
Q

What is a Time Line?

A

A time line is a graphical representation of time and cash flows; may be an actual line or cells on a spreadsheet.

268
Q

What is Time Value Analysis?

A

Time value analysis is the use of time value of money techniques to value future cash flows; sometimes called discounted cash flow analysis.

269
Q

What is Time-Driven Activity-Based Costing (TDABC)

A

TDABC is an approach to costing that focuses on the entire cost of a patient’s cycle of care rater that the cost of individual services.

270
Q

What is Total (Profit) Margin?

A

Total Margin is the net income divided by total revenues; it measures the amount of total profit per dollar of total revenues.

271
Q

What is a Trade Credit?

A

A trade credit is the credit offered to businesses by suppliers (vendors) when credit terms are offered.

272
Q

What is a Trade-Off Model?

A

A trade-off model is a capital structure model that hypothesizes that a business’s optimal capital structure balances the costs and benefits associated with debt financing.

273
Q

What is Traditional Costing?

A

Traditional costing is the top-down approach to costing that first identifies costs at the department level and then (potentially) assigns those costs to individual services.

274
Q

What is is Trend Analysis?

A

Trend analysis is a ratio analysis technique that examines the value of a ratio over time to see whether it is improving or deteriorating.

275
Q

What is a Trustee?

A

A trustee is an individual or institution, typically a commercial bank, that represents the interests of bondholders.

276
Q

What is an Underlying Cost structure?

A

An Underlying cost structure is the relationship between an organizations’s fixed costs, variable costs, and total costs; also called cost structure.

277
Q

What is Value-Based Purchasing (VBP)?

A

Value-Based Purchasing is an approach to provider reimbursement that rewards quality and efficiency of care rather than quantity of care.

278
Q

What is Variable Cost?

A

Variable cost is a cost that is directly related to the volume of services delivered and changes in the total with changes in volume; for example, the cost of clinical supplies.

279
Q

What is Variable Cost Rate?

A

Variable cost rate is the variable cost of one unit per output.

280
Q

What is Variance?

A

Variance is the difference between what actually happened and what was expected to happen.

281
Q

What is Yield To Call (TYC)?

A

Yield to call is the expected rate of return on a debt security assuming it is held until it is called.

282
Q

What is Yield To Maturity (YTM)?

A

Yield to maturity is the expected rate of return on a debt security assuming it is held until maturity.

283
Q

What is a Zero-Balance Account?

A

A zero-balance account is a bank account having a zero balance that is established by a business to handle disbursements of a particular type. Funds are transferred to ZBAs from a master account as needed to covert checks written.

284
Q

What is Zero-Based Budgeting?

A

Zero-based budgeting is an approach to budgeting that starts with a “clean slate” and requires complete justification of all budget items.

285
Q

What is a Zero-Coupon Bond?

A

A zero-coupon bond is a bond that pays no interest. It is bought at a discount from par value, so its return comes solely from price appreciation (selling at a price greater than the purchase price or receiving the face value at maturity).