Financial Management

in Healthcare
Basic Tool For non financial manager
Heru Adi Prasetya, SE., Ak.,MM,.CA.
 Hospitals are registered with the American
Hospital Association as one
of the following:

Type Description
1. General : Provide patient services, diagnostic and therapeutic,
for a variety of medical conditions
2. Specialty : Provide diagnostic and treatment services for patients
who have specified medical conditions, both surgical and
nonsurgical
3. Rehabilitation and Chronic Diseases :Provide diagnostic and
treatment services to disabled individuals requiring restorative
and adjustive services
4. Psychiatric : Provide diagnostic and therapeutic services for
patients who require psychiatric-related services

Hospitals are organized as public (nonfederal and federal),

investorowned, and not-for-profit entities.
 Management in Organizations

Planning
and decision Organizing
making
Inputs from the environment
Human resources Goals attained
Financial resources Efficiently
Physical resources Effectively
Information resources

Controlling Leading

Copyright by Houghton
Mifflin Company. All rights 13
Figure 1.1
reserved.
 Manfaat dasar Management
EFFICIENTLY
Using resources wisely and
in a cost-effective way
And

EFFECTIVELY
Making the right decisions and
successfully implementing them

Copyright by Houghton
Mifflin Company. All rights 14
reserved.
 Efektivitas
Kemampuan (seorang manajer) utk
memilih/menggunakan cara, metode, peralatan yang
tepat, guna mencapai tujuan tertentu
Efisiensi
Kemampuan utk menyelesaikan suatu pekerjaan dengan
benar
Seorang manajer yang efisien ialah :
Manajer yang mampu mencapai hasil (output) lebih
tinggi dibanding masukan (input) yang digunakan
Dengan sumber daya (input) sekecil-kecilnya bisa
memperoleh hasil (output) tertentu atau dengan sumber
daya (input) tertentu memberikan hasil (output) sebesar-
besarnya.
Copyright by Houghton
Mifflin Company. All rights 16
reserved.
 Managerial Skills (R Katz)
.
Top Middle Lower

Conseptual

Human relations

Teknical

Robert L Katz

7
Elements of Financial Management

Planning

Decision -
Making EFM Controlling

Organizing
and
Directing
 Managers Viewpoint

Financial

Process Clinical
 Four segment that make a
financial management
system Work

1. Original Record
2. Information System
3. The Accounting System
4. The Reporting System
 Four Pillars of Financial Practice
1. Cash Flow
2. Financial Risk
3. Time Value of Money
4. Control of Opportunity Cost
Cash Flow
Risiko keuangan (financial risk)
1. Risiko kredit dapat diatasi dengan cara
- Melakukan analisis kredit secara baik dan
benar;
- Dokumentasi kredit
- Pengendalian dan pengawasan kredit
- Penilaian terhadap resiko khusus
2. Risiko Likuiditas dapat diatasi dengan cara:
- Membuat perencanaan likuiditas
- Membuat rencana kontingensi
- Analisis biaya dan penentuan bunga kredit
- Pengembangan sumber pendanaan
3. Risiko Suku bunga dapat diatasi dengan cara:
- Membuat analisis kepekaan bunga terhadap
aktiva
- Membuat analisis durasi, penilaian bunga antar
waktu

4. Risiko leverage dapat diatasi dengan cara:

- Membuat perencanaan modal
- Analisis pertumbuhan usaha berkelanjutan
- Memantapkan kebijakan dividen
- Melakukan penyesuaian resiko terhadap
kecukupan modal
5. Risiko kurs mata uang asing, dapat diatasi dengan cara:
- Antisipasi pergerakan kurs
- Pengukuran risiko kurs valuta asing yang dihadapi
perusahaan
- Perancangan strategi perlindungan yang memadai
- Pembuatan pengendalian manajemen risiko internal
- Peramalan atas Perubahan Kurs

6. Risiko Biaya operasional dan Produksi, dapat diatasi

dengan mengkoordinasi penggunaan bahan baku dan
upah kerja.
- Pengendalian Bahan Baku;
- Pengendalian Upah Kerja:
7. Resiko Perpajakan dapat diatasi dengan:
Pengendalian Pajak (tax control).
Memastikan bahwa peraturan perpajakan
telah dilaksanakan. yang terpenting adalah
pengecekan pembayaran pajak.
Cara untuk mencapai tujuan manajemen
pajak, Memahami ketentuan peraturan
perpajakan. Dengan mempelajari undang-
undang, keputusan dan edaran, kita dapat
melihat celah-celah yang menguntungkan
untuk melakukan penghematan pajak.
BEP
NPV
 The Annual Management Cycle
Daily and Weekly Report : Cash flow, Out
Patients, In Patient, etc
Quarterly Report and Statistics : Financial ,
Operational (Quality and safety)
Annual Year and Report : Financial report,
Quality and Safety
 Hospital Revenues

Typically, hospitals get their revenue in a variety

of ways:
1. By providing medical services
2. By providing nonmedical services
3. Through donations and grants from
individuals, foundations, or the government
 Hospital Expenses:
How Hospitals Spend Money

Hospitals must spend money to function and

provide patient care. The main categories of
expenses include
1. Salaries, employ benefit
2. Supplies and other
3. Depreciation and amortization,
4. interest, and
5. bad debt expenses.
 Sources of Hospital Financial
Information

There are three major financial

statements:
1. The income statement
2. The balance sheet
3. The cash flow statement
The income statement
 There are several major elements on a
balance sheet.
1. Assets are economic resources that are expected to
provide future benefits by helping to increase cash inflows
or reduce cash outflows. Property, plant, and equipment
(PPE) are considere assets.
2. Liabilities are economic obligations of the organization to
outsiders, or claims against its assets by outsiders.
Accounts payable is as example of a hospital liability.
3. Net assets, fund balance, or owners equity are all
different names for the same thing: they all refer to the
residual interest in, or remaining claims against, the
organizations assets after all liabilities have been
deducted. This may be expressed as: assets liabilities =
net assets.
 STATEMENT OF CASH FLOWS

CASH FROM OPERATING ACTIVITIES

Net Income $10,645
Noncash Expenses (Depreciation & Amortization) 13,152
Working Capital Changes:
Increase Accounts Receivable 6,480
Increase Accounts Payable 4,295
Total Cash from Operating Activities $25,982
CASH USED FOR INVESTING ACTIVITIES
Property, Plant, and Equipment Purchases 7,854
Increases or Decreases in Marketable Securities 2,702
CASH FROM FINANCING ACTIVITIES
Issuance or Repayment of Long-Term Debt 7,087
Transfers to and from Affiliates 4,300
NET CHANGE IN CASH $9,443
 Rasio Penting
Profitability Ratio
Liquidity Ratios
Indikator Kesehatan keuangan
rumah sakit