{"schema_version":2,"canonical_url":"https://asc.understandingaccounting.org/asc/954/10/","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.","number":"954-10","topic":"954","title":"Overall","area":"Industry","paragraphs":10,"summary":"ASC 954-10 is the Overall subtopic of the Health Care Entities Topic; it lists the industry Subtopics and defines which entities the Topic covers. The Topic supplies only incremental industry-specific guidance for investor-owned health care entities and not-for-profit, business-oriented health care entities, which must otherwise follow all other applicable GAAP (including Topic 958 for NFPs).","concepts":["health care entity","investor-owned health care entity","not-for-profit business-oriented entity","incremental industry guidance","voluntary health and welfare entity","continuing care retirement community","integrated delivery system","scope"],"categories":["Industry-specific","Not-for-profit","Financial statement presentation"],"level":"introductory","topic_title":"Health Care Entities","sections":[{"number":"00","label":"00 Status","anchor":"00-status","is_sec":false,"groups":[{"block":null,"heading":null,"paragraphs":[{"citation":"954-10-00-1","para":"00-1","html":"<div class=\"asc-body\"><div class=\"norm-text\">The following table identifies the changes made to this Subtopic.</div> <div class=\"norm-text\"> <table class=\"asc-table\" id=\"SL6798518-115756\"> <tr> <td class=\"entry\"> <strong class=\"ph b\">Paragraph</strong> </td> <td class=\"entry\"> <strong class=\"ph b\">Action</strong> </td> <td class=\"entry\"> <strong class=\"ph b\">Accounting Standards Update</strong> </td> <td class=\"entry\"> <strong class=\"ph b\">Date</strong> </td> </tr> <tr> <td class=\"entry\"></td> <td class=\"entry\"></td> <td class=\"entry\"></td> <td class=\"entry\"></td> </tr> <tr> <td class=\"entry\"> <a href=\"/glossary/a/#affiliate\" class=\"term\" title=\"A party that, directly or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with an entity. See Control.\"><span>Affiliate</span></a> </td> <td class=\"entry\">Amended</td> <td class=\"entry\"> <a href=\"/asc-pdf/GUID-7EC309FA-3D05-4149-8A83-F72A48C06807.pdf\" class=\"pdf-link\" target=\"_blank\" rel=\"noopener\">Maintenance Update 2018-12 (PDF)</a> </td> <td class=\"entry\">09/10/2018</td> </tr> <tr> <td class=\"entry\"> <a href=\"/glossary/a/#affiliate\" class=\"term\" title=\"A party that, directly or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with an entity. See Control.\"><span>Affiliate</span></a> </td> <td class=\"entry\">Added</td> <td class=\"entry\"> <a href=\"/updates/asu-2013-06/\" class=\"xref\">Accounting Standards Update No. 2013-06</a> </td> <td class=\"entry\">04/19/2013</td> </tr> <tr> <td class=\"entry\"> <a href=\"/glossary/c/#conditional-contribution\" class=\"term\" title=\"A contribution that contains a donor-imposed condition.\"><span>Conditional Contribution</span></a> </td> <td class=\"entry\">Added</td> <td class=\"entry\"> <a href=\"/updates/asu-2018-08/\" class=\"xref\">Accounting Standards Update No. 2018-08</a> </td> <td class=\"entry\">06/21/2018</td> </tr> <tr> <td class=\"entry\"> <a href=\"/glossary/c/#contribution\" class=\"term\" title=\"An unconditional transfer of cash or other assets, as well as unconditional promises to give, to an entity or a reduction, settlement, or cancellation of its liabilities in a voluntary nonreciprocal transfer by another entity acting other than as an owner. Those characteristics distinguish contributions from:Exchange transactions, which are reciprocal transfers in which each party receives and sacrifices approximately commensurate valueInvestments by owners and distributions to owners, which are nonreciprocal transfers between an entity and its ownersOther nonreciprocal transfers, such as impositions of taxes or legal judgments, fines, and thefts, which are not voluntary transfers. In a contribution transaction, the resource provider often receives value indirectly by providing a societal benefit although that benefit is not considered to be of commensurate value. In an exchange transaction, the potential public benefits are secondary to the potential direct benefits to the resource provider. The term contribution revenue is used to apply to transactions that are part of the entity's ongoing major or central activities (revenues), or are peripheral or incidental to the entity (gains). See also Inherent Contribution and Conditional Contribution.\"><span>Contribution</span></a> </td> <td class=\"entry\">Amended</td> <td class=\"entry\"> <a href=\"/updates/asu-2018-08/\" class=\"xref\">Accounting Standards Update No. 2018-08</a> </td> <td class=\"entry\">06/21/2018</td> </tr> <tr> <td class=\"entry\"> <a href=\"/glossary/c/#contribution\" class=\"term\" title=\"An unconditional transfer of cash or other assets, as well as unconditional promises to give, to an entity or a reduction, settlement, or cancellation of its liabilities in a voluntary nonreciprocal transfer by another entity acting other than as an owner. Those characteristics distinguish contributions from:Exchange transactions, which are reciprocal transfers in which each party receives and sacrifices approximately commensurate valueInvestments by owners and distributions to owners, which are nonreciprocal transfers between an entity and its ownersOther nonreciprocal transfers, such as impositions of taxes or legal judgments, fines, and thefts, which are not voluntary transfers. In a contribution transaction, the resource provider often receives value indirectly by providing a societal benefit although that benefit is not considered to be of commensurate value. In an exchange transaction, the potential public benefits are secondary to the potential direct benefits to the resource provider. The term contribution revenue is used to apply to transactions that are part of the entity's ongoing major or central activities (revenues), or are peripheral or incidental to the entity (gains). See also Inherent Contribution and Conditional Contribution.\"><span>Contribution</span></a> </td> <td class=\"entry\">Amended</td> <td class=\"entry\"> <a href=\"/updates/asu-2010-07/\" class=\"xref\">Accounting Standards Update No. 2010-07</a> </td> <td class=\"entry\">01/28/2010</td> </tr> <tr> <td class=\"entry\"> <a href=\"/glossary/d/#donor-imposed-condition\" class=\"term\" title=\"A donor stipulation (donors include other types of contributors, including makers of certain grants) that represents a barrier that must be overcome before the recipient is entitled to the assets transferred or promised. Failure to overcome the barrier gives the contributor a right of return of the assets it has transferred or gives the promisor a right of release from its obligation to transfer its assets.\"><span>Donor-Imposed Condition</span></a> </td> <td class=\"entry\">Added</td> <td class=\"entry\"> <a href=\"/updates/asu-2018-08/\" class=\"xref\">Accounting Standards Update No. 2018-08</a> </td> <td class=\"entry\">06/21/2018</td> </tr> <tr> <td class=\"entry\"> <a href=\"/glossary/n/#not-for-profit-entity\" class=\"term\" title=\"An entity that possesses the following characteristics, in varying degrees, that distinguish it from a business entity: Contributions of significant amounts of resources from resource providers who do not expect commensurate or proportionate pecuniary return Operating purposes other than to provide goods or services at a profit Absence of ownership interests like those of business entities. Entities that clearly fall outside this definition include the following: All investor-owned entities Entities that provide dividends, lower costs, or other economic benefits directly and proportionately to their owners, members, or participants, such as mutual insurance entities, credit unions, farm and rural electric cooperatives, and employee benefit plans.\"><span>Not-for-Profit Entity</span></a> </td> <td class=\"entry\">Added</td> <td class=\"entry\"> <a href=\"/updates/asu-2010-07/\" class=\"xref\">Accounting Standards Update No. 2010-07</a> </td> <td class=\"entry\">01/28/2010</td> </tr> <tr> <td class=\"entry\"> <strong class=\"ph b\">Prepaid Health Care Plan</strong> </td> <td class=\"entry\">Added</td> <td class=\"entry\"> <a href=\"/updates/asu-2014-09/\" class=\"xref\">Accounting Standards Update No. 2014-09</a> </td> <td class=\"entry\">05/28/2014</td> </tr> <tr> <td class=\"entry\"> <a href=\"/glossary/p/#promise-to-give\" class=\"term\" title=\"A written or oral agreement to contribute cash or other assets to another entity. A promise carries rights and obligations—the recipient of a promise to give has a right to expect that the promised assets will be transferred in the future, and the maker has a social and moral obligation, and generally a legal obligation, to make the promised transfer. A promise to give may be either conditional or unconditional.\"><span>Promise to Give</span></a> </td> <td class=\"entry\">Added</td> <td class=\"entry\"> <a href=\"/updates/asu-2018-08/\" class=\"xref\">Accounting Standards Update No. 2018-08</a> </td> <td class=\"entry\">06/21/2018</td> </tr> <tr> <td class=\"entry\"></td> <td class=\"entry\"></td> <td class=\"entry\"></td> <td class=\"entry\"></td> </tr> <tr> <td class=\"entry\"> <a href=\"/asc/954/10/#954-10-05-1\" class=\"xref\">954-10-05-1</a> </td> <td class=\"entry\">Amended</td> <td class=\"entry\"> <a href=\"/asc-pdf/GUID-82C10081-F060-4062-ACF7-B89420B0D27C.pdf\" class=\"pdf-link\" target=\"_blank\" rel=\"noopener\">Maintenance Update 2021-02 (PDF)</a> </td> <td class=\"entry\">01/19/2021</td> </tr> <tr> <td class=\"entry\"> <a href=\"/asc/954/10/#954-10-05-1\" class=\"xref\">954-10-05-1</a> </td> <td class=\"entry\">Amended</td> <td class=\"entry\"> <a href=\"/updates/asu-2016-01/\" class=\"xref\">Accounting Standards Update No. 2016-01</a> </td> <td class=\"entry\">01/05/2016</td> </tr> <tr> <td class=\"entry\"> <a href=\"/asc/954/10/#954-10-05-1\" class=\"xref\">954-10-05-1</a> </td> <td class=\"entry\">Amended</td> <td class=\"entry\"> <a href=\"/updates/asu-2014-09/\" class=\"xref\">Accounting Standards Update No. 2014-09</a> </td> <td class=\"entry\">05/28/2014</td> </tr> <tr> <td class=\"entry\"> <a href=\"/asc/954/10/#954-10-05-1\" class=\"xref\">954-10-05-1</a> </td> <td class=\"entry\">Amended</td> <td class=\"entry\"> <a href=\"/updates/asu-2010-07/\" class=\"xref\">Accounting Standards Update No. 2010-07</a> </td> <td class=\"entry\">01/28/2010</td> </tr> <tr> <td class=\"entry\"> <a href=\"/asc/954/10/#954-10-05-3\" class=\"xref\">954-10-05-3</a> </td> <td class=\"entry\">Amended</td> <td class=\"entry\"> <a href=\"/updates/asu-2013-06/\" class=\"xref\">Accounting Standards Update No. 2013-06</a> </td> <td class=\"entry\">04/19/2013</td> </tr> <tr> <td class=\"entry\"> <a href=\"/asc/954/10/#954-10-05-3\" class=\"xref\">954-10-05-3</a> </td> <td class=\"entry\">Amended</td> <td class=\"entry\"> <a href=\"/updates/asu-2010-07/\" class=\"xref\">Accounting Standards Update No. 2010-07</a> </td> <td class=\"entry\">01/28/2010</td> </tr> <tr> <td class=\"entry\"> <a href=\"/asc/954/10/#954-10-15-1B\" class=\"xref\">954-10-15-1B</a> </td> <td class=\"entry\">Amended</td> <td class=\"entry\"> <a href=\"/updates/asu-2014-09/\" class=\"xref\">Accounting Standards Update No. 2014-09</a> </td> <td class=\"entry\">05/28/2014</td> </tr> </table> </div> </div>","snippet":"The following table identifies the changes made to this Subtopic.\nParagraph | Action | Accounting Standards Update | Date |\n| | | |\nAffiliate | Amended | Maintenance Update 2018-12 | 09/10/2018 |\nAffiliate | Added | Acco…","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:665e3bacde4aa8e27106de846d893f65466a831ded60355682619de58666d699","downloaded_from":"2026-09-10T02:20:57.129Z","last_downloaded_at":"2026-09-10T02:20:57.129Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481066","source_sha256":"59a9935fead0ef3a6737a0bb507141b6b6245250c1789aed6278ffbc0e51cb4e"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:9feafb8c89bd4643a9bf269e9212632df44c422e66a931cca8eff2a8737d3135","downloaded_from":"2026-09-10T02:20:57.129Z","last_downloaded_at":"2026-09-10T02:20:57.129Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481066","source_sha256":"59a9935fead0ef3a6737a0bb507141b6b6245250c1789aed6278ffbc0e51cb4e"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:d05b20c5b56675d80595e672713522113019ac76a38e142b3adaad46081e403a","downloaded_from":"2026-09-10T02:20:57.129Z","last_downloaded_at":"2026-09-10T02:20:57.129Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481066","source_sha256":"59a9935fead0ef3a6737a0bb507141b6b6245250c1789aed6278ffbc0e51cb4e"}},{"number":"05","label":"05 Overview and Background","anchor":"05-overview-and-background","is_sec":false,"groups":[{"block":null,"heading":null,"paragraphs":[{"citation":"954-10-05-1","para":"05-1","html":"<div class=\"asc-body\"><div class=\"norm-text\">The Health Care Entities Topic includes the following Subtopics relating specifically to entities in the health care industry:<ol class=\"ol-norm\"><li class=\"li-norm\"><span class=\"linum\">a</span><div class=\"p\">Overall</div></li><li class=\"li-norm\"><span class=\"linum\">b</span><div class=\"p\">Presentation of Financial Statements</div></li><li class=\"li-norm\"><span class=\"linum\">c</span><div class=\"p\">Balance Sheet</div></li><li class=\"li-norm\"><span class=\"linum\">d</span><div class=\"p\">Income Statement </div></li><li class=\"li-norm\"><span class=\"linum\">e</span><div class=\"p\">Segment Reporting</div></li><li class=\"li-norm\"><span class=\"linum\">f</span><div class=\"p\">Cash and Cash Equivalents</div></li><li class=\"li-norm\"><span class=\"linum\">g</span><div class=\"p\">Receivables</div></li><li class=\"li-norm\"><span class=\"linum\">h</span><div class=\"p\"><a href=\"/updates/asu-2016-01/\" class=\"xref\">Subparagraph superseded by Accounting Standards Update No. 2016-01</a>.</div></li><li class=\"li-norm\"><span class=\"linum\">i</span><div class=\"p\">Investments—Other </div></li><li class=\"li-norm\"><span class=\"linum\">j</span><div class=\"p\">Other Assets and Deferred Costs</div></li><li class=\"li-norm\"><span class=\"linum\">k</span><div class=\"p\">Property, Plant, and Equipment</div></li><li class=\"li-norm\"><span class=\"linum\">l</span><div class=\"p\">Liabilities</div></li><li class=\"li-norm\"><span class=\"linum\">m</span><div class=\"p\"><a href=\"/updates/asu-2014-09/\" class=\"xref\">Subparagraph superseded by Accounting Standards Update No. 2014-09</a>.</div></li><li class=\"li-norm\"><span class=\"linum\">n</span><div class=\"p\">Commitments</div></li><li class=\"li-norm\"><span class=\"linum\">o</span><div class=\"p\">Contingencies</div></li><li class=\"li-norm\"><span class=\"linum\">p</span><div class=\"p\">Guarantees</div></li><li class=\"li-norm\"><span class=\"linum\">q</span><div class=\"p\">Debt</div></li><li class=\"li-norm\"><span class=\"linum\">r</span><div class=\"p\">Revenue Recognition—Charity Care and Related Fundraising Entities</div></li><li class=\"li-norm\"><span class=\"linum\">s</span><div class=\"p\">Other Expenses</div></li><li class=\"li-norm\"><span class=\"linum\">t</span><div class=\"p\">Income Taxes</div></li><li class=\"li-norm\"><span class=\"linum\">tt</span><div class=\"p\">Business Combinations (Mergers and Acquisitions)</div></li><li class=\"li-norm\"><span class=\"linum\">u</span><div class=\"p\">Consolidation</div></li><li class=\"li-norm\"><span class=\"linum\">v</span><div class=\"p\">Derivatives and Hedging</div></li><li class=\"li-norm\"><span class=\"linum\">w</span><div class=\"p\">Financial Instruments.</div></li></ol></div></div>","snippet":"The Health Care Entities Topic includes the following Subtopics relating specifically to entities in the health care industry:\n(a) Overall\n(b) Presentation of Financial Statements\n(c) Balance Sheet\n(d) Income Statement\n(…","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:a11d11a84bd366c9d3986ab0d09ca2d3f0a8203cdd2d17135bfc4c40af4f2b04","downloaded_from":"2026-09-10T02:20:59.408Z","last_downloaded_at":"2026-09-10T02:20:59.408Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481036","source_sha256":"d29ee681306c29eddd89499254d4a58c6c9a9f2980bbf8c8e61c7e601bda110a"}},{"citation":"954-10-05-2","para":"05-2","html":"<div class=\"asc-body\"><div class=\"norm-text\"><span class=\"sfragment\" id=\"sfr_1FE3A77D-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Within the Health Care Entities Topic, health care entities usually can be classified into the following categories on the basis of their operating characteristics: </span></span><ol class=\"ol-norm\"><li class=\"li-norm\"><span class=\"linum\">a</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3A8B8-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Investor-owned health care entities. These are owned by investors or others with a private equity interest and provide goods or services with the objective of making a profit. </span></span></div></li><li class=\"li-norm\"><span class=\"linum\">b</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3A9D4-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Not-for-profit, business-oriented entities. These are characterized by no ownership interests and essentially are self-sustaining from fees charged for goods and services. The fees charged by such entities generally are intended to help the entity maintain its self-sustaining status rather than to maximize profits for the owner's benefit. Such entities often are exempt from federal income taxes and may receive <a href=\"/glossary/c/#contribution\" class=\"term\" title=\"An unconditional transfer of cash or other assets, as well as unconditional promises to give, to an entity or a reduction, settlement, or cancellation of its liabilities in a voluntary nonreciprocal transfer by another entity acting other than as an owner. Those characteristics distinguish contributions from:Exchange transactions, which are reciprocal transfers in which each party receives and sacrifices approximately commensurate valueInvestments by owners and distributions to owners, which are nonreciprocal transfers between an entity and its ownersOther nonreciprocal transfers, such as impositions of taxes or legal judgments, fines, and thefts, which are not voluntary transfers. In a contribution transaction, the resource provider often receives value indirectly by providing a societal benefit although that benefit is not considered to be of commensurate value. In an exchange transaction, the potential public benefits are secondary to the potential direct benefits to the resource provider. The term contribution revenue is used to apply to transactions that are part of the entity's ongoing major or central activities (revenues), or are peripheral or incidental to the entity (gains). See also Inherent Contribution and Conditional Contribution.\"><span>contributions</span></a> of relatively small amounts from resource providers that do not expect commensurate or proportionate pecuniary return. </span></span></div></li></ol></div></div>","snippet":"Within the Health Care Entities Topic, health care entities usually can be classified into the following categories on the basis of their operating characteristics:\n(a) Investor-owned health care entities. These are owne…","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:f54c1e839307f9e17ca3d7c075c12049779978eaab7ffd0afbf0f4768494a317","downloaded_from":"2026-09-10T02:20:59.408Z","last_downloaded_at":"2026-09-10T02:20:59.408Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481036","source_sha256":"d29ee681306c29eddd89499254d4a58c6c9a9f2980bbf8c8e61c7e601bda110a"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:d1c4f51321506e2d3c10708846413d726025a3f9bed4f131791e80e99db29a40","downloaded_from":"2026-09-10T02:20:59.408Z","last_downloaded_at":"2026-09-10T02:20:59.408Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481036","source_sha256":"d29ee681306c29eddd89499254d4a58c6c9a9f2980bbf8c8e61c7e601bda110a"}},{"block":null,"heading":"Not-for-Profit, Business-Oriented Health Care Entities","paragraphs":[{"citation":"954-10-05-3","para":"05-3","html":"<div class=\"asc-body\"><div class=\"norm-text\"><span class=\"sfragment\" id=\"sfr_1FE3AAD1-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">This Topic provides specific incremental reporting guidance for not-for-profit, business-oriented health care entities. </span></span><span class=\"sfragment\" id=\"sfr_1FE3ABB9-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">The guidance in Topic <a altsource=\"GUID-7D6E748A-8E8A-4AF3-A450-7776B7B60801.ditamap\" class=\"ditamap\">958</a> applies to all <a href=\"/glossary/n/#not-for-profit-entity\" class=\"term\" title=\"An entity that possesses the following characteristics, in varying degrees, that distinguish it from a business entity: Contributions of significant amounts of resources from resource providers who do not expect commensurate or proportionate pecuniary return Operating purposes other than to provide goods or services at a profit Absence of ownership interests like those of business entities. Entities that clearly fall outside this definition include the following: All investor-owned entities Entities that provide dividends, lower costs, or other economic benefits directly and proportionately to their owners, members, or participants, such as mutual insurance entities, credit unions, farm and rural electric cooperatives, and employee benefit plans.\"><span>not-for-profit entities</span></a> (NFPs), regardless of whether the entity is essentially self-sustaining from fees charged for goods and services. The following Subtopics, among others in that Topic, provide guidance that is applicable to not-for-profit, business-oriented health care entities: </span></span><ol class=\"ol-norm\"><li class=\"li-norm\"><span class=\"linum\">a</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3ACAA-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Contributions (see the Contributions Received Subsections of Subtopic <a altsource=\"GUID-321821C4-A902-48C5-813E-F1139B6F5740.ditamap\" class=\"ditamap\">958-605</a>), which include all of the following: </span></span></div><ol class=\"ol-norm\"><li class=\"li-norm\"><span class=\"linum\">1</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3AD87-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Permanent endowments </span></span></div></li><li class=\"li-norm\"><span class=\"linum\">2</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3AE55-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Gifts in kind </span></span></div></li><li class=\"li-norm\"><span class=\"linum\">3</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3AF64-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Contributed utilities, facilities, or use of long-lived assets. </span></span></div></li></ol></li><li class=\"li-norm\"><span class=\"linum\">b</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3B047-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Transfers to an NFP or charitable trust that raises or holds contributions for others (see the Transfers of Assets Subsections of Subtopic <a altsource=\"GUID-321821C4-A902-48C5-813E-F1139B6F5740.ditamap\" class=\"ditamap\">958-605</a>) </span></span></div></li><li class=\"li-norm\"><span class=\"linum\">c</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3B125-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Contributions received by agents, trustees, and intermediaries (see the Transfers of Assets Subsections of Subtopic <a altsource=\"GUID-321821C4-A902-48C5-813E-F1139B6F5740.ditamap\" class=\"ditamap\">958-605</a>) </span></span></div></li><li class=\"li-norm\"><span class=\"linum\">d</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3B1FC-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Split-interest agreements (see Subtopic <a altsource=\"GUID-11540C97-3998-4F5D-9C36-5ECA126B8E36.ditamap\" class=\"ditamap\">958-30</a>) </span></span></div></li><li class=\"li-norm\"><span class=\"linum\">e</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3B2E1-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Financial statements of NFPs (see Topic <a altsource=\"GUID-7D6E748A-8E8A-4AF3-A450-7776B7B60801.ditamap\" class=\"ditamap\">958</a>), which include all of the following: </span></span></div><ol class=\"ol-norm\"><li class=\"li-norm\"><span class=\"linum\">1</span><div class=\"p\">Presentation in financial statements (see Subtopic <a altsource=\"GUID-70EE2817-7F41-4AB0-A11A-524F5D63DED7.ditamap\" class=\"ditamap\">958-205</a>)</div></li><li class=\"li-norm\"><span class=\"linum\">2</span><div class=\"p\">Statement of financial position (see Subtopic <a altsource=\"GUID-F98F0D4B-B145-4322-ADE6-63E2A250C4E6.ditamap\" class=\"ditamap\">958-210</a>)</div></li><li class=\"li-norm\"><span class=\"linum\">3</span><div class=\"p\">Statement(s) of operations and changes in net assets (see Subtopic <a altsource=\"GUID-0496EC9F-F6FF-4FC3-B047-4946F4F05AB4.ditamap\" class=\"ditamap\">958-220</a>)</div></li><li class=\"li-norm\"><span class=\"linum\">4</span><div class=\"p\">Statement of cash flows (see Subtopic <a altsource=\"GUID-116D8800-6F44-4EC8-8FF1-F237D0A9DC9D.ditamap\" class=\"ditamap\">958-230</a>).</div></li></ol></li><li class=\"li-norm\"><span class=\"linum\">f</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3B3CB-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Promises to give (see Subtopic <a altsource=\"GUID-05271DAA-6887-49C5-BEAB-66FE2523EC12.ditamap\" class=\"ditamap\">958-310</a>)</span></span></div></li><li class=\"li-norm\"><span class=\"linum\">ff</span><div class=\"p\">Business combinations (see Subtopic <a altsource=\"GUID-8F421D1C-F467-4235-96C7-D5FDABFEFC13.ditamap\" class=\"ditamap\">958-805</a>), which include all of the following:</div><ol class=\"ol-norm\"><li class=\"li-norm\"><span class=\"linum\">1</span><div class=\"p\">Mergers of not-for-profit entities </div></li><li class=\"li-norm\"><span class=\"linum\">2</span><div class=\"p\">Acquisitions by not-for-profit entities</div></li></ol></li><li class=\"li-norm\"><span class=\"linum\">g</span><div class=\"p\">Consolidation (see Subtopic <a altsource=\"GUID-8C9AC891-494F-4CFB-A809-44DB140CC1D5.ditamap\" class=\"ditamap\">958-810</a>) </div></li><li class=\"li-norm\"><span class=\"linum\">h</span><div class=\"p\"><span class=\"sfragment\" id=\"sfr_1FE3B4A0-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Services received from personnel of an <a href=\"/glossary/a/#affiliate\" class=\"term\" title=\"A party that, directly or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with an entity. See Control.\"><span>affiliate</span></a> (see Subtopic <a altsource=\"GUID-73859800-7B42-45D6-BEC5-F059E1219E9C.ditamap\" class=\"ditamap\">958-720</a>).</span></span></div></li></ol></div></div>","snippet":"This Topic provides specific incremental reporting guidance for not-for-profit, business-oriented health care entities. The guidance in Topic 958 applies to all not-for-profit entities (NFPs), regardless of whether the e…","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:eadcf3d300483fa86028a9d27660f79593c22788fe17b26f9ce8e7407a87e802","downloaded_from":"2026-09-10T02:20:59.408Z","last_downloaded_at":"2026-09-10T02:20:59.408Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481036","source_sha256":"d29ee681306c29eddd89499254d4a58c6c9a9f2980bbf8c8e61c7e601bda110a"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:c8abd2a23f30cfccdd511523d5923386c504fb680701a018fbc8b5bcb6579c2c","downloaded_from":"2026-09-10T02:20:59.408Z","last_downloaded_at":"2026-09-10T02:20:59.408Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481036","source_sha256":"d29ee681306c29eddd89499254d4a58c6c9a9f2980bbf8c8e61c7e601bda110a"}},{"block":null,"heading":"Investor-Owned Health Care Entities","paragraphs":[{"citation":"954-10-05-4","para":"05-4","html":"<div class=\"asc-body\"><div class=\"norm-text\">The guidance in this Topic also provides incremental guidance for investor-owned health care entities.</div></div>","snippet":"The guidance in this Topic also provides incremental guidance for investor-owned health care entities.","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:b6d53ff30e0f31e3f591638d40212f9ca3efda88719ac018a7edc014360b99a6","downloaded_from":"2026-09-10T02:20:59.408Z","last_downloaded_at":"2026-09-10T02:20:59.408Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481036","source_sha256":"d29ee681306c29eddd89499254d4a58c6c9a9f2980bbf8c8e61c7e601bda110a"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:b08b0b4334359a4b651fd55b4d31b1e3f8a4f22fcfd628a7e19ded72ec0a5497","downloaded_from":"2026-09-10T02:20:59.408Z","last_downloaded_at":"2026-09-10T02:20:59.408Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481036","source_sha256":"d29ee681306c29eddd89499254d4a58c6c9a9f2980bbf8c8e61c7e601bda110a"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:24ee34ce0dd7ae5dff91160ea394a891303fedfe7d978af72fac81d505bb5de1","downloaded_from":"2026-09-10T02:20:59.408Z","last_downloaded_at":"2026-09-10T02:20:59.408Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481036","source_sha256":"d29ee681306c29eddd89499254d4a58c6c9a9f2980bbf8c8e61c7e601bda110a"}},{"number":"15","label":"15 Scope and Scope Exceptions","anchor":"15-scope-and-scope-exceptions","is_sec":false,"groups":[{"block":null,"heading":"Overall Guidance","paragraphs":[{"citation":"954-10-15-1","para":"15-1","html":"<div class=\"asc-body\"><div class=\"norm-text\">The Subtopics within the Health Care Entities Topic only provide incremental industry-specific guidance for the entities defined in the Scope Section or as further defined in the individual Health Care Entities Subtopics. Entities within the scope of this Topic shall also comply with the applicable guidance not included in this Topic.</div> </div>","snippet":"The Subtopics within the Health Care Entities Topic only provide incremental industry-specific guidance for the entities defined in the Scope Section or as further defined in the individual Health Care Entities Subtopics…","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:30399ec797e4f133098231674cb739fde7d14932d05ba6bb4ba7142d93f3a7a2","downloaded_from":"2026-09-10T02:21:02.824Z","last_downloaded_at":"2026-09-10T02:21:02.824Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481006","source_sha256":"d764f7f9aaad4f0a390652afd942f8166390c8c65901409bf9a8aa08866d8fbe"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:e65a2bdf40f7cef93a5e913699ea57db25e1da7996a1c48a58a31407c3ca8196","downloaded_from":"2026-09-10T02:21:02.824Z","last_downloaded_at":"2026-09-10T02:21:02.824Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481006","source_sha256":"d764f7f9aaad4f0a390652afd942f8166390c8c65901409bf9a8aa08866d8fbe"}},{"block":null,"heading":"Entities","paragraphs":[{"citation":"954-10-15-1A","para":"15-1A","html":"<div class=\"asc-body\"><div class=\"norm-text\"> <span class=\"sfragment\" id=\"sfr_200AB58E-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">The Health Care Entities Topic applies to health care entities, which are the following types of entities: </span></span> <ol class=\"ol-norm\"> <li class=\"li-norm\"><span class=\"linum\">a</span> <div class=\"p\"> <span class=\"sfragment\" id=\"sfr_200AB73D-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Entities whose principal operations consist of providing or agreeing to provide health care services and that derive all or almost all of their revenues from the sale of goods or services </span></span> </div> </li> <li class=\"li-norm\"><span class=\"linum\">b</span> <div class=\"p\"> <span class=\"sfragment\" id=\"sfr_200AB8F3-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Entities whose primary activities are the planning, organization, and oversight of such entities, such as parent or holding companies of health care providers. </span></span> </div> </li> </ol> </div> </div>","snippet":"The Health Care Entities Topic applies to health care entities, which are the following types of entities:\n(a) Entities whose principal operations consist of providing or agreeing to provide health care services and that…","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:3594b94ec899696b56f5868e3c497f72272034ae62f89ec058b999b9e27ebca5","downloaded_from":"2026-09-10T02:21:02.824Z","last_downloaded_at":"2026-09-10T02:21:02.824Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481006","source_sha256":"d764f7f9aaad4f0a390652afd942f8166390c8c65901409bf9a8aa08866d8fbe"}},{"citation":"954-10-15-1B","para":"15-1B","html":"<div class=\"asc-body\"><div class=\"norm-text\"> <span class=\"sfragment\" id=\"sfr_200ABA77-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">The Health Care Entities Topic applies to the following types of health care entities: </span></span> <ol class=\"ol-norm\"> <li class=\"li-norm\"><span class=\"linum\">a</span> <div class=\"p\"> <span class=\"sfragment\" id=\"sfr_200ABBE9-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Clinics, medical group practices, individual practice associations, individual practitioners, emergency care facilities, laboratories, surgery centers, and other ambulatory care entities</span></span> </div> </li> <li class=\"li-norm\"><span class=\"linum\">b</span> <div class=\"p\"> <span class=\"sfragment\" id=\"sfr_200ABD54-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Continuing care retirement communities</span></span> </div> </li> <li class=\"li-norm\"><span class=\"linum\">c</span> <div class=\"p\"> <span class=\"sfragment\" id=\"sfr_200ABECC-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Health maintenance organizations and similar prepaid health care plans </span></span> </div> </li> <li class=\"li-norm\"><span class=\"linum\">d</span> <div class=\"p\"> <span class=\"sfragment\" id=\"sfr_200AC066-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Home health agencies </span></span> </div> </li> <li class=\"li-norm\"><span class=\"linum\">e</span> <div class=\"p\"> <span class=\"sfragment\" id=\"sfr_200AC1E4-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Hospitals</span></span> </div> </li> <li class=\"li-norm\"><span class=\"linum\">f</span> <div class=\"p\"> <span class=\"sfragment\" id=\"sfr_200AC365-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Nursing homes that provide skilled, intermediate, and less intensive levels of health care </span></span> </div> </li> <li class=\"li-norm\"><span class=\"linum\">g</span> <div class=\"p\"> <span class=\"sfragment\" id=\"sfr_200AC4CD-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Drug and alcohol rehabilitation centers and other rehabilitation facilities </span></span> </div> </li> <li class=\"li-norm\"><span class=\"linum\">h</span> <div class=\"p\"> <span class=\"sfragment\" id=\"sfr_200AC61B-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Integrated delivery systems that include one or more of the above types of entities. </span></span> </div> </li> </ol> </div> </div>","snippet":"The Health Care Entities Topic applies to the following types of health care entities:\n(a) Clinics, medical group practices, individual practice associations, individual practitioners, emergency care facilities, laborato…","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:530b6f13c5e095d5890cb7154f3582b9d8591b7de7609952f314840b4595fbca","downloaded_from":"2026-09-10T02:21:02.824Z","last_downloaded_at":"2026-09-10T02:21:02.824Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481006","source_sha256":"d764f7f9aaad4f0a390652afd942f8166390c8c65901409bf9a8aa08866d8fbe"}},{"citation":"954-10-15-2","para":"15-2","html":"<div class=\"asc-body\"><div class=\"norm-text\">The Health Care Entities Topic provides guidance for entities described in the previous paragraph if they are either:<ol class=\"ol-norm\"><li class=\"li-norm\"><span class=\"linum\">a</span><div class=\"p\">Investor-owned health care entities</div></li><li class=\"li-norm\"><span class=\"linum\">b</span><div class=\"p\">Not-for-profit, business-oriented entities.</div></li></ol>See Section <a altsource=\"GUID-168B17B7-1552-446C-B055-39809B8A60E7.ditamap\" class=\"ditamap\">954-10-05</a> for a description of these entities.</div> </div>","snippet":"The Health Care Entities Topic provides guidance for entities described in the previous paragraph if they are either:\n(a) Investor-owned health care entities\n(b) Not-for-profit, business-oriented entities.\nSee Section 95…","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:0a39ac8bc616a5cbbee345c9ecdcbed1fe5cfd841e0e1efd92f8d3824c9af978","downloaded_from":"2026-09-10T02:21:02.824Z","last_downloaded_at":"2026-09-10T02:21:02.824Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481006","source_sha256":"d764f7f9aaad4f0a390652afd942f8166390c8c65901409bf9a8aa08866d8fbe"}},{"citation":"954-10-15-3","para":"15-3","html":"<div class=\"asc-body\"><div class=\"norm-text\"> <span class=\"sfragment\" id=\"sfr_200AC77D-6E93-1014-A13F-6E4B94C84136\"><span class=\"sfragment-source\">Not-for-profit, non-business-oriented entities are voluntary health and welfare entities as defined in Topic <a altsource=\"GUID-7D6E748A-8E8A-4AF3-A450-7776B7B60801.ditamap\" class=\"ditamap\">958</a>. Such entities are within the scope of that Topic rather than this Topic. </span></span> </div> </div>","snippet":"Not-for-profit, non-business-oriented entities are voluntary health and welfare entities as defined in Topic 958. Such entities are within the scope of that Topic rather than this Topic.","pending":false,"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:c952092b4b7ec35b8961ff5135b3b4414d81270b8b65d4a60f4ed9b3152cf968","downloaded_from":"2026-09-10T02:21:02.824Z","last_downloaded_at":"2026-09-10T02:21:02.824Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481006","source_sha256":"d764f7f9aaad4f0a390652afd942f8166390c8c65901409bf9a8aa08866d8fbe"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:4b7706a5bd35ca1ed1f114c7437263ef6868c76dd0ed9d0076f7d1a4a55f3390","downloaded_from":"2026-09-10T02:21:02.824Z","last_downloaded_at":"2026-09-10T02:21:02.824Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481006","source_sha256":"d764f7f9aaad4f0a390652afd942f8166390c8c65901409bf9a8aa08866d8fbe"}}],"provenance":{"source_url":"https://asc.fasb.org/","snapshot_version":"sha256:15aea8165dff9f5ae47d9484f8470588b13b307f56e1d50801bf4d85ec190e3f","record_version":"sha256:65d13c5adc6e7fb4127486595643513c25e4906daf030f2a2ca50c688b2f72f5","downloaded_from":"2026-09-10T02:21:02.824Z","last_downloaded_at":"2026-09-10T02:21:02.824Z","date_scope":"source_page","effective_as_of":null,"effective_as_of_status":"Not established by retrieval timestamps","source_key":"1943274/2147481006","source_sha256":"d764f7f9aaad4f0a390652afd942f8166390c8c65901409bf9a8aa08866d8fbe"}}],"enrichment":{"summary":"ASC 954-10 is the Overall subtopic of the Health Care Entities Topic; it lists the industry Subtopics and defines which entities the Topic covers. The Topic supplies only incremental industry-specific guidance for investor-owned health care entities and not-for-profit, business-oriented health care entities, which must otherwise follow all other applicable GAAP (including Topic 958 for NFPs).","key_points":["Health care entities are those whose principal operations consist of providing (or agreeing to provide) health care services and that derive all or almost all revenues from the sale of goods or services, plus parent/holding companies whose primary activities are planning, organization, and oversight of such entities (954-10-15-1A).","The Topic lists covered entity types including clinics, medical group practices, continuing care retirement communities, HMOs and similar prepaid plans, home health agencies, hospitals, nursing homes, rehabilitation facilities, and integrated delivery systems (954-10-15-1B).","Guidance applies only if the entity is investor-owned (private equity interest, profit objective) or a not-for-profit, business-oriented entity (no ownership interests, essentially self-sustaining from fees charged for goods and services) (954-10-05-2; 954-10-15-2).","Not-for-profit, non-business-oriented entities are voluntary health and welfare entities and fall within Topic 958 rather than this Topic (954-10-15-3).","The Subtopics in Topic 954 provide only incremental industry-specific guidance; entities in scope must also comply with applicable guidance outside the Topic (954-10-15-1).","Not-for-profit, business-oriented health care entities also apply Topic 958 guidance on contributions, transfers of assets and agency transactions, split-interest agreements, NFP financial statements, promises to give, NFP mergers and acquisitions, consolidation, and services received from personnel of an affiliate (954-10-05-3).","Topic 954 also provides incremental guidance for investor-owned health care entities (954-10-05-4)."],"categories":["Industry-specific","Not-for-profit","Financial statement presentation"],"audience_level":"introductory","student_note":"This is a scoping subtopic: the exam trap is assuming Topic 954 replaces general GAAP, when it only adds incremental guidance, and assuming all NFP health care entities are here — non-business-oriented (voluntary health and welfare) entities go to Topic 958.","related_topics":["958","958-605","958-205","958-805","958-810","954-605"],"key_concepts":["health care entity","investor-owned health care entity","not-for-profit business-oriented entity","incremental industry guidance","voluntary health and welfare entity","continuing care retirement community","integrated delivery 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