{"schema_version":2,"canonical_url":"https://asc.understandingaccounting.org/asc/310/954/#05-overview-and-background","source":"FASB Accounting Standards Codification, Basic View","usage":"Study and research edition. Verify current requirements with the official source. Summaries, enrichment, and tags are machine-generated study aids. Paragraph html preserves source markup; snippet is abbreviated. Pending content is not necessarily effective.","topic":"310","topic_title":"Receivables","subtopic":"310-954","subtopic_title":"Health Care Entities","section":{"number":"05","label":"05 Overview and Background","anchor":"05-overview-and-background","is_sec":false,"groups":[{"block":null,"heading":null,"paragraphs":[{"citation":"310-954-05-1","para":"05-1","html":"<div class=\"asc-body\"><div class=\"norm-text\">This Subtopic provides guidance on receivables for health care entities within the scope of this Topic.</div></div>","snippet":"This Subtopic provides guidance on receivables for health care entities within the scope of this Topic.","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:383ee1e689c2a4458afe19a10c1e15f7b208efd100567fc8b8b6d470eb8e8c0e","downloaded_from":"2026-09-09T23:31:31.153Z","last_downloaded_at":"2026-09-09T23:31:31.153Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147478483","source_sha256":"cf3a08825a0eadcbcf1197c48fcd821e7b1d62b18d37cab4c7ac3630fbba36f5"}},{"citation":"310-954-05-2","para":"05-2","html":"<div class=\"asc-body\"><div class=\"norm-text\"><span class=\"sfragment\" id=\"sfr_22D8B6C6-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Amounts due from third-party payors for health care services are usually less than the provider's full established rates for those services. </span></span><span class=\"sfragment\" id=\"sfr_22D8B7D7-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">The receivable amounts may be determined by any of the following: </span></span><ol class=\"ol-norm\"><li class=\"li-norm\"><span class=\"linum\">a</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_22D8B96E-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Contractual agreement with others (such as Blue Cross plans, Medicare, Medicaid, or <a href=\"/glossary/h/#health-maintenance-organization\" class=\"term\" title=\"A generic group of medical care entities organized to provide defined health care services to members in return for fixed, periodic premiums (usually paid monthly) that are paid in advance.\"><span>health maintenance organizations</span></a>) </span></span></div></li><li class=\"li-norm\"><span class=\"linum\">b</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_22D8BA5A-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Legislation or regulation (such as workers' compensation or no-fault insurance) </span></span></div></li><li class=\"li-norm\"><span class=\"linum\">c</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_22D8BB31-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Provider policy or practice (such as courtesy discounts to medical staff members and employees or other administrative adjustments). </span></span></div></li></ol></div></div>","snippet":"Amounts due from third-party payors for health care services are usually less than the provider's full established rates for those services. The receivable amounts may be determined by any of the following:\n(a) Contractu…","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:b18c37fd0d940e11fa5e09acf4812e860569fcf811dc776611bf41242089c782","downloaded_from":"2026-09-09T23:31:31.153Z","last_downloaded_at":"2026-09-09T23:31:31.153Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147478483","source_sha256":"cf3a08825a0eadcbcf1197c48fcd821e7b1d62b18d37cab4c7ac3630fbba36f5"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:e6e6d7c1ebbc93acb18b463400059e9b857d8b237aa8887f5c57f5317ddaa86d","downloaded_from":"2026-09-09T23:31:31.153Z","last_downloaded_at":"2026-09-09T23:31:31.153Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147478483","source_sha256":"cf3a08825a0eadcbcf1197c48fcd821e7b1d62b18d37cab4c7ac3630fbba36f5"}},{"block":null,"heading":"Third-Party Settlements","paragraphs":[{"citation":"310-954-05-3","para":"05-3","html":"<div class=\"asc-body\"><div class=\"norm-text\"><span class=\"sfragment\" id=\"sfr_22D8BC0F-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Some third-party payors retrospectively determine final amounts reimbursable for services rendered to their beneficiaries based on allowable costs. These payors reimburse the health care entity on the basis of interim payment rates until the retrospective determination of allowable costs can be made. In most instances, the accumulation and allocation of allowable costs and other factors result in final settlements different from the interim payment rates. Final settlements are determined after the close of the fiscal periods to which they apply and may affect materially the health care entity's financial position and results of operations. </span></span></div></div>","snippet":"Some third-party payors retrospectively determine final amounts reimbursable for services rendered to their beneficiaries based on allowable costs. These payors reimburse the health care entity on the basis of interim pa…","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:6eae2a108add11e2f2abac8ad2a0d95323c63d90ffb92e8614191aad6f84f545","downloaded_from":"2026-09-09T23:31:31.153Z","last_downloaded_at":"2026-09-09T23:31:31.153Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147478483","source_sha256":"cf3a08825a0eadcbcf1197c48fcd821e7b1d62b18d37cab4c7ac3630fbba36f5"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:f696fc9043e5f690f5000623b5629c1e3f9f26d47b7f72637d960e44e8d2c990","downloaded_from":"2026-09-09T23:31:31.153Z","last_downloaded_at":"2026-09-09T23:31:31.153Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147478483","source_sha256":"cf3a08825a0eadcbcf1197c48fcd821e7b1d62b18d37cab4c7ac3630fbba36f5"}},{"block":null,"heading":"Stop-Loss Insurance Receivables","paragraphs":[{"citation":"310-954-05-4","para":"05-4","html":"<div class=\"asc-body\"><div class=\"norm-text\"><span class=\"sfragment\" id=\"sfr_22D8BD12-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Some health care entities, for example, <a href=\"/glossary/p/#prepaid-health-care-services-providers\" class=\"term\" title=\"Entities that provide or arrange for the delivery of health care services in accordance with the terms and provisions of a prepaid health care plan. Providers assume the financial risk of the cost of delivering health care services in excess of preestablished fixed premiums. However, some or all of the financial risk may be contractually transferred to other providers (affiliated entities) or by purchasing stop-loss insurance. Other providers of prepaid health care services may include comprehensive medical plans, physicians groups (for example, independent practice associations), and hospitals.\"><span>providers of prepaid health care services</span></a>, contract to provide comprehensive health care services for a fixed period in return for fixed periodic premiums. </span></span><span class=\"sfragment\" id=\"sfr_22D8BDFC-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Many of those entities may transfer a portion of their financial risks under the contract to another entity by purchasing <a href=\"/glossary/s/#stop-loss-insurance\" class=\"term\" title=\"A contract in which an entity agrees to indemnify providers for certain health care costs incurred by members.\"><span>stop-loss insurance</span></a>. Receivables of those entities may include uncollected premiums and amounts recoverable from stop-loss insurers, reduced by appropriate valuation allowances. </span></span></div></div>","snippet":"Some health care entities, for example, providers of prepaid health care services, contract to provide comprehensive health care services for a fixed period in return for fixed periodic premiums. Many of those entities m…","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:2bc5b0390b1c6f33362a00aba0a6003643d13504c3b9b7c17f39bd80ce75a1e2","downloaded_from":"2026-09-09T23:31:31.153Z","last_downloaded_at":"2026-09-09T23:31:31.153Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147478483","source_sha256":"cf3a08825a0eadcbcf1197c48fcd821e7b1d62b18d37cab4c7ac3630fbba36f5"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:3dd5f14957cf7b878dbb977bd5af59751aa28200d6c4f97db9b6248aa2dda042","downloaded_from":"2026-09-09T23:31:31.153Z","last_downloaded_at":"2026-09-09T23:31:31.153Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147478483","source_sha256":"cf3a08825a0eadcbcf1197c48fcd821e7b1d62b18d37cab4c7ac3630fbba36f5"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:bde92ebb7784d22ac8bfa60f970bd96eb36c21d3c5e014256551d5c488c5c2eb","downloaded_from":"2026-09-09T23:31:31.153Z","last_downloaded_at":"2026-09-09T23:31:31.153Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147478483","source_sha256":"cf3a08825a0eadcbcf1197c48fcd821e7b1d62b18d37cab4c7ac3630fbba36f5"}},"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:bde92ebb7784d22ac8bfa60f970bd96eb36c21d3c5e014256551d5c488c5c2eb","downloaded_from":"2026-09-09T23:31:31.153Z","last_downloaded_at":"2026-09-09T23:31:31.153Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147478483","source_sha256":"cf3a08825a0eadcbcf1197c48fcd821e7b1d62b18d37cab4c7ac3630fbba36f5"}}