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Noncash Expense
Noncash expenses are operating costs that are recorded in the financial statements during a particular period but do not necessarily reflect cash disbursements by the organization in that period. Some noncash expenses are discussed in the following paragraphs.
Depreciation is the periodic expensing of an asset that was capitalized when purchased. When a piece of property or equipment is purchased that meets certain material thresholds for capitalization, the cost of that asset is recognized over its useful life as periodic depreciation. For example, when a hospital purchases a piece of equipment for $2 million and that equipment is expected to have a useful service life of 10 years, the hospital does not expense the entire $2 million in the year of the acquisition. Assuming no residual value at the end of the 10-year useful life period and assuming a straight-line method of depreciation, the hospital would annually recognize $200,000 in depreciation expense related to that piece of equipment over its useful life. In those years, the hospital recognizes a $200,000 expense while expending no additional cash.
Like depreciation, amortization is the periodic recognition of the cost of a capitalized asset. However, amortization generally relates to intangible assets such as goodwill, bond issue costs, or bond discounts and premiums. Goodwill results when an organization pays more than fair market value for an asset. Historically, the excess goodwill was amortized and expensed over the expected remaining life of the underlying asset. Recent changes in accounting principles related to amortization of goodwill call for the value of the asset that created the goodwill to be evaluated periodically and the goodwill adjusted for any changes. The periodic adjustments are recognized as a noncash expense in that period.
In the health care industry, especially in the not-for-profit sector, bond-related costs are very common. Bond issue costs include underwriter fees, legal fees, and other costs associated with the issuance of debt. These costs are generally included in the financed amount of a project or netted from the proceeds of a debt issuance. Because those costs relate to the financing of a project or asset with a long service life, the costs are established in an asset account and amortized over the term of the related debt issue. Bond premiums or discounts arise when bonds are sold for more or less, respectively, than their face or par value. For example, when a hospital issues bonds above their par value, they must recognize the excess amount as a premium paid. That premium is amortized over the life of the bonds.
There are numerous other forms of noncash expenses that are more infrequent in nature. When assets are sold for less than their book value, a loss on the disposal of that asset is recorded. However, that loss does not reflect a cash outlay; the loss only reflects the reconciliation of the sales price to the carrying value of the asset. Other forms of noncash expenses include extraordinary losses on the early extinguishment of debt. When debt is retired early, and that debt has related unamortized issue costs or discounts, the remaining unamortized issue costs and discount are expensed in the period of the extinguishment, resulting in a noncash expense.
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- Accounting and Activity-Based Costing
- Accrual Based Accounting
- Accumulated Depreciation
- Activity Based Costing (ABC)
- Annual Percentage Rate
- Assets
- Average Collection Period
- Bad Debt Loss
- Balance Sheet
- Billing
- Book Value
- Breakeven Analysis
- Business Valuation
- Capital Asset Pricing Model
- Carve-outs
- Cash Basis of Accounting
- Compensating Differentials
- Compensation Systems
- Compound Growth Rate
- Contractual Adjustments
- Cost of Capital
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- Credit Rating
- Days Cash on Hand
- Debt Service Coverage
- Deductible
- Depreciation
- Discounted Cash Flows
- Dividends
- Employee Compensation
- Equity
- Executive Compensation
- Factoring of Accounts Receivable
- Financial Performance Indicators (FPIs)
- Financial Statement
- Fixed Costs
- Fund Balance
- Generally Accepted Accounting Procedures
- Goodwill
- Income Statement
- Liability
- Line of Credit
- Net Present Value
- Net Working Capital
- Noncash Expense
- Operating Cash Flow
- Per Diem Payments
- Profits
- Ratio Analysis
- Return on Assets (ROA)
- Return on Owner's Equity
- Statement of Changes in Net Assets
- Throughput Accounting (TA)
- Time Value of Money
- Worker's Compensation Insurance
- Economics
- Aging Society
- Capacity and Capacity Utilization
- Comparative Statics
- Competitive Bidding
- Competitive Equilibrium
- Consumer Price Index (CPI)
- Cost Shifting
- Cost-Benefit Analysis (CBA)
- Demand
- Diffusion of Innovation
- Economic Order Quantity (EOQ)
- Economies of Scale
- Elasticity of Demand
- Full Price of Medical Care
- Gross Domestic Product
- Health Care
- Health Care as Luxury Goods
- Health Insurance
- Health Production Functions
- Labor Markets
- Monopoly
- Monopsony
- National Health Expenditures (NHEs)
- Opportunity Cost
- Phillips Curve
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- Price Sensitivity in Health Care Insurance
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- Production Possibilities Curve
- Productivity
- Public Goods
- Public Sector
- Rationing
- Self-Insurance
- Spending on Health Care
- Technology Assessment
- Technology Change
- Finance
- Activity-Based Costing (ABC)
- Annual Percentage Rate
- Asset
- Average Collection Period
- Bad Debt Loss
- Balance Sheet
- Balanced Scorecard
- Book Value
- Business Valuation
- Capital Asset Pricing Model
- Cash Basis of Accounting
- Compensation Systems
- Compound Growth Rate
- Consumer Price Index (CPI)
- Contractual Adjustment
- Cost of Capital
- Cost-Based Reimbursement
- Cost-Benefit Analysis (CBA)
- Credit Rating
- Days Cash on Hand
- Debt Service Coverage
- Deductible
- Depreciation
- Discounted Cash Flows
- Dividends
- Employee Compensation
- Equity
- Executive Compensation
- Expected Rate of Return
- Factoring of Accounts Receivable
- Fee-for-Service (FFS) Payment
- Financial Performance Indicators (FPIs)
- Financial Statement
- Fixed Costs
- Full Price of Medical Care
- Fund Balance
- Generally Accepted Accounting Procedures
- Goodwill
- Healthcare Financial Management Association (HFMA)
- Income Statement
- Initial Public Offering (IPO)
- Internal Rate of Return
- Investments
- Liability
- Line of Credit
- Long-Term Investments
- Net Present Value
- Net Working Capital
- Noncash Expense
- Operating Cash Flow
- Opportunity Cost
- Per Member Per Month (PMPM)
- Philanthropy in Health Care
- Profit Sharing
- Profits
- Prospective Payment System (PPS)
- Rate of Return
- Ratio Analysis
- Return on Assets
- Return on Owner's Equity
- Risk Adjustment
- Risk Selection
- Statement of Changes in Net Assets
- Time Value of Money
- Venture Capital Investment
- Workers' Compensation Insurance
- Health Policy
- Access
- Autonomous Health Care Plan/Structure
- Bed Occupancy
- Bioterrorism
- Case Mix
- Case Rate Reimbursement
- Chronic Disease
- Clinical Practice Guidelines/Pathways
- Community Health
- Community Health Status Indicators
- Competitive Bidding
- Continuity of Care
- Disenrollment
- Electrocardiogram (EKG or ECG)
- Emergency Room
- Enrollee
- Enrollment
- Entitlement Programs
- Environmental Health Science
- Episodes of Care and Disease
- Evidence-Based Medicine (EBM)
- Family-Oriented Care
- Feasibility Study
- Genomics
- Global Blood Safety Project
- Graduate Medical Education (GME)
- Health
- Health Care
- Health Care as Luxury Goods
- Health Care Provider
- Health Care Reform
- Health Care Services
- Health Care Utilization
- Health Insurance
- Health Officer and Health Commissioner
- Health Policy
- Health Status Indicators
- Healthy People 2010
- Hippocratic Oath
- Home Health Care
- Home Health Care Agencies
- Hospice
- Indigent Health Care
- Infant Mortality
- Inpatient Services
- Long-Term Care
- Mandated Coverage
- Maternal and Child Health (MCH)
- Medicaid
- Medical Appropriateness of Care
- Medical Savings Accounts (MSAs)
- Mobile Health Units
- Morbidity
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- Outcomes Research
- Philanthropy in Health Care
- Price Control in Pharmaceutical Industry
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- Primary Care
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- Employee Health
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- Employee Turnover
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- Equal Pay Act
- Flextime
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- Group Norms
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- Organizational Behavior Management
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- Performance Appraisal
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- Power
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- Progressive Discipline System
- Psychological Contracts
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- Task Forces
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- Telecommuting
- U. S. Department of Labor (DOL)
- Information Technology
- Database
- E-Health
- Electronic Claims
- Electronic Commerce
- Electronic Data Interchange (EDI)
- Electronic Medical Record
- Encryption
- Hacker
- Health Information Portability & Accountability Act (HIPAA)
- Health Information Systems
- Health Plan and Employer Data and Info Set (HEDIS)
- Information Technology
- Networks
- Positron Emission Tomography (PET)
- Strategic Issue Diagnosis (SID)
- Telecommuting
- Telemedicine
- Virtual Private Network (VPN)
- Institutions and Organizations
- Academic Medical Center
- Administrative Service Only (ASO)
- American Board of Medical Specialties
- American Board of Preventive Medicine
- American College of Healthcare Execs (ACHE)
- American Dental Association (ADA)
- American Hospital Association (AHA)
- American Medical Association (AMA)
- American Nurses Association (ANA)
- American Public Health Association (APHA)
- American Red Cross (ARC)
- Birthing Centers
- Blue Cross and Blue Shield (BCBS)
- Boards of Directors
- Boards of Health
- Bureau of Labor Statistics (BLS)
- Center For Medicare & Medicaid Srvices (CMS)
- Chief Medical Officer/Medical Director
- Community Health
- Community-Based Hospital
- Contract Research Organization (CRO)
- Disproportionate Share Hospital (DSH)
- Equal Employment Opportunity Commission (EEOC)
- Exclusive Provider Organization (EPO)
- Food and Drug Administration (FDA)
- Genomics
- Health Insurance Purchasing Cooperative (HIPC)
- Health Maintenance Organizations (HMOs)
- Healthcare Financial Management Association (HFMA)
- Hospitals
- Institute of Medicine (IOM)
- Institutional Review Board (IRB)
- Integrated Delivery System
- Integrated Service Network (ISN)
- Intermediate Care Facility (ICF)
- Learning Organizations
- Limited Liability Company (LLC)
- Local Public Health Agencies (LPHAS)
- Managed Care Organizations (MCO)
- March of Dimes
- Medical Supply Organization (MSO)
- National Institutes of Health (NIH)
- National Labor Relations Board (NLRB)
- Not-for-Profit Organization
- Office For Human Research Protections (OHRP)
- Peer Review Organizations (PROs)
- Physician-Hospital Organizations (PHOs)
- Point-Of-Service Systems (POS)
- Preferred Provider Organizations (PPO)
- Professional Standards Review Orgs (PSRO)
- Provider
- Provider-Sponsored Organizations (PSO)
- Psychiatric Centers
- Public Hospital
- Residency Review Committee (RRC)
- Single-Specialty Group Practice
- Solo Practice
- Step-Down Facility
- Third-Party Administrators (TPA)
- U. S. Department of Health and Human Services (DHHS)
- U. S. Department of Labor (DOL)
- U.S. Agency for International Development (USAID)
- Visiting Nurses Association (VNA)
- World Health Organization (WHO)
- International Health Care Issues
- Legal and Regulatory Issues
- Qui Tam Actions
- Advance Health Care Directives
- Age Discrimination in Employment
- Aid To Families with Dependent Children (AFDC)
- Americans with Disabilities Act of 1990
- Assurance of Compliance (Federal Wide Assurance, FWA)
- Balanced Budget Act of 1997 (BBA)
- Civil Rights Acts of 1964 and 1991
- Claim
- Claims Management
- Code of Ethics
- Collective Bargaining
- Compliance
- Credentialing
- Durable Power of Attorney For Health Care (DPAHC)
- Employee Retirement Income Security Act (ERISA)
- Employee Rights
- Employee Selection and Hiring
- Employment Discrimination
- Employment Law
- Employment Testing and Evaluation
- Equal Pay Act
- Ethical Issues Faced by Managers
- Ethics Officer
- Excess Liability Coverage
- Executive Order 11246 on Affirmative Action
- Exposure
- Fair Employment and Public Policy
- Family and Medical Leave Act (FMLA)
- Federal Regulating Agencies
- Health Information Portability and Accountability Act (HIPAA)
- Immigration Reform and Control Act of 1986
- Incident
- Indemnification
- Individuals With Disabilities Education Act (IDEA)
- Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
- Judgment
- Kickbacks
- Limited Liability Corporation (LLC)
- Limited Liability Partnership (LLP)
- Living Wills
- Malpractice
- Medical Savings Accounts (MSAs)
- Medicare Risk Contract
- National Committee on Quality Assurance (NCQA)
- Negligence
- Noncompete Agreements
- Occupational Safety and Health Act (OSHA)
- Occurrence Coverage
- Occurrence Screening
- Premium
- Privacy Issues
- Professional Corporation
- Professional Standards Review Organizations
- Referral
- Rehabilitation Act of 1973
- Scope of Practice
- Self-Referral
- Sentinel Event
- Settlement
- Standard of Care
- Stark Law
- Statute of Limitations
- Structured Settlement
- Summons
- Tail Coverage
- Title VII of the Civil Rights Act of 1964
- Unanticipated Outcome Disclosure
- Vicarious Liability
- Women, Infants, and Children (WIC) Program
- Managed Care
- Ambulatory Care
- Carve-Out
- Compensating Differentials
- Enrollee
- Enrollment
- Evidence-Based Medicine
- Fee-for-Service
- Health Care Reform
- Health Maintenance Organizations (HMOs)
- Length of Stay
- Managed Care
- Managed Care Plans
- Mandated Coverage
- Medical Care
- Out-Of-Network Services
- Patterns of Care
- Per Diem Payments
- Per Member Per Month (PMPM)
- Prospective Payment System (PPS)
- Marketing and Customer Value
- Adopter Categories
- Advertising
- Ambulatory Care
- Comparative Advertising
- Complementary Products
- Customer
- Customer Relationship Management (CRM)
- Customer Satisfaction Research
- Customer Value
- Database Marketing
- Direct Marketing
- Environmental Scanning/Analysis
- Exclusive Distribution
- Expansion Strategies
- First-Mover Advantage
- Franchising
- Goods-Services Continuum
- Hypercompetition
- Integrated Marketing Communications
- Intensive Distribution
- Licensing
- Loyalty in Health Care Consumer
- Maintenance of Scope
- Market Entry Strategies
- Market Opportunity Analysis
- Market Segmentation
- Marketing Concept
- Marketing Mix
- Marketing Plan
- Marketing Research
- Marketing Value
- Mass Customization
- Mystery Shoppers
- Non Price Competition in Hospitals
- One-to-One Marketing
- Patient Expectations
- Perceptual Gaps in Services Quality
- Physician-Patient Relationship
- Press Releases
- Product
- Product Classes
- Product Life Cycle (PLC) Analysis
- Product Line Extensions
- Product Mix
- Public Relations
- Sales Forecasting
- Selective Distribution
- Service Area Competitor Analysis
- Service Quality
- Services
- Social Marketing
- Substitute Product
- Wellness
- Women as Major Health Care Consumers
- Operations and Decision Making
- Capacity and Capacity Utilization
- Clinical Decision Making
- Decentralization of Decision Making
- Decision
- Decision Support Systems
- Economic Order Quantity (EOQ)
- Empowerment (Delegation of Authority)
- Enterprise Resource Planning
- Excess Capacity
- Facilities Management
- Future Search
- Geographic Information System
- Health Care Service Operation
- Health Production Functions
- Just In Time and Health Care Management
- Mass Customization
- Nominal Group Technique (NGT)
- Operations Management
- Outsourcing
- Production Possibilities Curve
- Queuing
- Root Cause Analysis
- Sales Forecasting
- Service Operation
- Statement of Operations
- Supply Chain Management
- Technology Assessment
- Technology Change
- Theory of Constraints
- Utilization Review
- Value Chain for Health Care
- Waiting Time
- Pharmaceuticals and Clinical Trials
- Adverse Drug Reaction (ADR)
- Adverse Event (AE)
- Adverse Selection and Impact
- Alternative Medicine (Complementary Medicine, Integrative Medicine, Unconventional Medicine)
- Assurance
- Belmont Report
- Biotechnology
- Blinding
- Case Report Form (CRF)
- Clinical Research
- Clinical Trials
- Contract Research Organization (CRO)
- Control Group
- Critical Paths
- Data Management
- Declaration of Helsinki Laws
- Demographics
- Drug Coverage
- Effective Dose
- Efficacy
- Exclusion Criteria
- Food and Drug Administration (FDA)
- Formularies
- Generic Drug
- Good Clinical Practices (GCPs)
- In Vitro Testing
- In Vivo Testing
- Inclusion Criteria
- Informed Consent
- Investigational New Drug Application (IND)
- Investigator (Principal Investigator)
- Kefauver-Harris Amendments
- Longitudinal Study
- Medical Genetics
- MedWatch Program
- National Institutes of Health (NIH)
- New Drug Application (NDA)
- Off Label
- Open-Ended Study
- Open-Label Study
- Orphan Drug
- Out-of-Network Services
- Over-the-Counter (OTC)
- Phase I Study (Phase I Clinical Trial)
- Phase II Study
- Phase III Study
- Phase IV Study
- Pivotal Studies
- Placebo
- Preclinical Testing
- Premedicate (Premedication)
- Prescription
- Price Control in the Pharmaceutical Industry
- Protocol (Involving Human Subjects)
- Quality Assurance
- Randomization
- Recruitment
- Standard Operating Procedures (SOPs)
- Standard Treatment
- Study Arms
- Subinvestigator
- Subject, Human Research
- Vital Signs
- Vulnerable Research Subject Population
- Quality
- Academic Degrees
- Care Management
- Case Management
- Clinical Practice Guidelines/Pathways
- Common Cause Variation
- Continuous Quality Improvement (CQI)
- Control Chart
- Disease Management
- Electrocardigram (EKG or ECG)
- Flowchart
- Global Blood Safety Projects
- Health Status Indicators
- Hippocratic Oath
- Length of Stay
- Maternal and Child Health
- Medical Care
- Medical Errors
- Morbidity
- Mortality
- National Committee on Quality Assurance (NCQA)
- Outcomes Research
- Pareto Chart
- Patterns of Care
- Plan-Do-Study-Act Cycle
- Quality Assurance
- Quality Improvement Cycle
- Quality Management
- Root Cause Analysis
- Run Chart
- Service Quality
- Six-Sigma Program
- Special Cause Variation
- Statistical Process Control (SPC)
- Statistical Thinking
- Supply Chain Management (SCM)
- Utilization Review
- Wellness
- Zero Defects
- Statistics and Data Mining
- Strategy
- Alliances
- Authority
- Balanced Scorecard
- BCG Portfolio Analysis
- Boards of Directors
- Breakeven Analysis
- Business Plan
- Co-opetition
- Coalitions
- Collaborative Partnership
- Competitive Advantage
- Competitive Strategy and Groups
- Contraction Strategy
- Cooperation Strategies
- Critical Success Factors
- Culture and Culture Change
- Culture and Strategy
- Diversification Strategies
- Divestiture Strategies
- Emergent Strategy
- Environmental Analysis
- Expansion Strategies
- Generic Strategies
- Harvesting Strategies
- Horizontal Integration
- Industry Analysis
- Internal Environmental Analysis
- Long-Range Planning
- Managed Competition
- Managing Organizational Change
- Market Entry Strategies
- Merger and Acquisition
- Mission
- Networks
- Niche Strategies
- Nonprice Competition in Hospitals
- Objectives
- Organizational Change
- Organizational Design and Discontinuous Change
- Product Life Cycle Analysis
- Service Area Competitor Analysis
- Strategic Alternatives
- Strategic Assumptions
- Strategic Business Units (SBU)
- Strategic Change
- Strategic Control
- Strategic Decision
- Strategic Fit
- Strategic Group
- Strategic Issue Diagnosis (SID)
- Strategic Leadership
- Strategic Management
- Strategic Management Process
- Strategic Service Unit (SSU)
- Strategic Thinking
- Strategy
- Structure
- Subsidiary Corporations
- SWOT (Strength-Weakness-Opportunity-Threat) Analysis
- Synergy
- Value Chain for Health Care
- Values (Guiding Principles)
- Vertical Integration
- Vision
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