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Principles and Practices Board

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HFMA established the Principles and Practices (P&P) Board in 1975 to reevaluate, clarify, and establish accounting principles and financial reporting practices of health service organizations.

The P&P Board consists of twelve members who have demonstrated technical competence in the industry and possess outstanding personal and professional qualities. At least six members must be employees of provider organizations; six or fewer members must work in organizations that serve the industry.

Liaison with Standards-Setting Bodies

The P&P Board works with the AICPA, the Financial Accounting Standards Board, and the Governmental Accounting Standards Board to address the unique financial reporting needs of healthcare organizations and improve consistency in accounting and financial reporting among different ownership types.

Position Statements

The first P&P Board statement of position addressing healthcare accounting principles and financial reporting practices was published in 1977. Since then, it has issued 20 statements on topics ranging from valuing accounts receivable to reporting business combinations. Prior to issuance, a proposed position statement follows an extensive "due process." An exposure draft is released for public comment for at least 60 days. These comments are analyzed and reviewed by the P&P Board. The HFMA Board approves the publication of the final position statements. P&P Board statements have been well-received by the accounting profession and regulators; the IRS has recommended adherence to P&P Board Statement No. 15 in all representations regarding charity care, and the SEC has cited P&P Board Statement No. 18 as "market practice" for disclosure for the healthcare industry.

Issue Analyses

The P&P Board also releases issue analyses, which provide short-term assistance by assembling current literature on emerging issues. An issue analysis is not sent out for public comment.

Review listing of P&P Board publications.

Current Activity


Currently, the P&P Board is performing an in-depth review of statements 16, 18, and 19. The group is also working with the healthcare accounting field to implement the significant updates made to P&P Board Statement 15, which addresses how to report charity care and bad debt. The updates will improve the measurement and reporting of these two important forms of uncompensated care.

To contact the P&P Board, or for further information, please email HFMA's Washington D.C., office at (202) 296-2920 or via e-mail.

2009-2010 P&P Board Members

Mary C. Connick, CPA, P&P Board Chair
Vice President
Catholic Healthcare West, San Francisco  CA

Vincent E. Pryor, CPA, FHFMA,  P&P Board Co-Chair
Vice President Finance & CFO
Ingalls Health System, Orland Park  IL

Pedro Antonio Alfaro, CPA
Chief Financial Officer
Miami Children's Hospital, Miami  FL

Mark D. Albrecht
Manager
Deloitte & Touche LLP, Minneapolis MN

Martin Arrick
Managing Director
Standard & Poor's, Hastings on Hudson  NY

Joe Becht, Jr., CPA, FHFMA 
Partner
Ernst & Young, Richmond  VA

Paul Briggs, CPA 
Senior Vice President, CFO
Presbyterian Healthcare Services, Albuquerque  NM

Barbara L. Potts, CPA
Director Financial Reporting
Ascension Health, Saint Louis  MO

Marc B. Scher, CPA
Partner
KPMG LLC, Saint Louis  MO

Robert M. Valletta, CPA, FHFMA
Partner
Pricewaterhousecoopers, LLP, Boston  MA

Stella M. Visaggio, CPA, FHFMA
Chief Financial Officer
Hackettstown Regional Medical Ctr, Hackettstown  NJ

Robert A. Wright, CPA
Partner
Mcgladrey & Pullen, Rockford  IL

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