ISA 520 · Healthcare

Analytical Review Tool for Healthcare

Pre-configured for healthcare entities with revenue per patient metrics, government funding analysis, and medical supply cost ratio monitoring.

Configuration

Trial Balance Data

Tip: paste tab-separated data from Excel
Account NameCategoryCY BalancePY Balance

The Auditor's Guide to Analytical Procedures Under ISA 520

Complete guide: ISA 520 requirements quick reference, decision flowchart for when to use analytical procedures vs. tests of details, industry-specific ratio checklists for 12 sectors, threshold-setting guide by risk level, sample completed working paper, common quality-review findings, and documentation checklist.

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ISA 520 Analytical Review for Healthcare Entities

Healthcare entities — hospitals, clinics, pharmaceutical companies, and care providers — operate under significant public interest considerations that affect both the audit approach and the analytical review methodology. Under ISA 520, the auditor must develop expectations that reflect the unique operational characteristics of healthcare: patient volumes and case-mix complexity drive revenue, while staff costs and medical supply consumption drive expenses. For hospitals, revenue per bed per day (or per patient episode) is the primary analytical driver. The auditor should calculate expected revenue from bed capacity × occupancy rate × average daily rate, adjusted for case-mix changes. Staff costs typically represent 60-70% of total healthcare entity expenditure and should be analysed against headcount data, average salary movements, and the mix between permanent and agency staff.

Government Funding and Grant Compliance

Many healthcare entities receive significant government funding, whether through direct service contracts, research grants, or capital subsidies. The auditor must assess whether reported government revenue is consistent with contract terms, service delivery metrics, and funding schedules. Grant income recognition requires assessment of conditions versus restrictions — conditions may create clawback risk that affects revenue recognition timing. For healthcare entities receiving government funding, the analytical review should compare actual funding received to contracted amounts and assess whether any performance conditions have been met or are at risk. The deferred income balance should be consistent with unfulfilled performance conditions. Changes in government funding policy or contract terms between periods can cause significant revenue fluctuations that the auditor must investigate to determine whether accounting treatment is appropriate.

Clinical Supply Costs and Provision Analysis

Medical supply and drug costs are subject to both volume effects (patient activity) and price inflation. The auditor should analyse supply costs as a percentage of revenue and compare to prior periods and industry benchmarks. Pharmaceutical entities face particular challenges with drug development costs (capitalisation under IAS 38), clinical trial provisions, and revenue recognition for licensing arrangements. Medical malpractice provisions require actuarial estimation and can be highly volatile — a single large claim or a change in claims experience assumptions can materially affect the provision balance. The auditor should analyse provision movements, assess the adequacy of the claims history data used, and consider whether trends suggest under-provisioning or over-provisioning in prior periods.

Key Ratios to Monitor for Healthcare

  • Revenue per bed/patient
  • Staff cost ratio
  • Medical supply cost ratio
  • Government funding as % of revenue
  • Operating margin
  • Days receivables outstanding

What Drives Account Fluctuations

Patient volume and case-mix complexity changes

Government funding contract terms and compliance

Drug and medical supply cost inflation

Staffing level changes (agency vs. permanent mix)

Capital investment in medical equipment affecting depreciation

Seasonal Considerations

Healthcare entities may show seasonal patterns related to elective procedure scheduling (reduced during holiday periods) and flu season impacts on emergency admissions. Government funding may be received in installments aligned with fiscal year quarters.

Recommended Investigation Thresholds for Healthcare

Account Category Threshold %
Revenue5%
Cost of Goods Sold10%
Operating Expenses10%
Current Assets10%
Equity10%

Regulatory note: Healthcare entities are subject to sector-specific regulation varying by jurisdiction. Data protection (GDPR) compliance costs may be significant. Drug pricing regulations can affect pharmaceutical entity revenue.

Worked Example: Healthcare Analytical Review

A private hospital group with 3 facilities. Overall materiality €1,100,000, performance materiality €715,000.

Overall materiality: €1,100,000 | Performance materiality: €715,000 | Threshold: 10%

Account PY CY Change %
Patient Revenue €62,000,000 €68,000,000 €6,000,000 +9.7%
Government Grants €8,500,000 €8,500,000 €0 +0.0%
Medical Supplies & Drugs FLAG €16,000,000 €18,500,000 €2,500,000 +15.6%
Clinical Staff Costs FLAG €29,000,000 €32,000,000 €3,000,000 +10.3%
Non-Clinical Staff €7,800,000 €8,200,000 €400,000 +5.1%
Depreciation — Equipment €3,200,000 €3,800,000 €600,000 +18.8%
Medical Equipment FLAG €18,000,000 €22,000,000 €4,000,000 +22.2%
Provisions — Claims FLAG €1,500,000 €2,800,000 €1,300,000 +86.7%
Flagged Item Explanations:
Medical Supplies & Drugs: Increase of €2.5M (15.6%) — flagged. Driven by 9.7% patient revenue growth plus drug cost inflation of approximately 5%. Supply cost ratio increased from 25.8% to 27.2% — management attributes to higher case-mix complexity requiring more expensive consumables. Verified against procurement records.
Provisions — Claims: Increase of €1.3M (86.7%) — flagged. Two new medical malpractice claims lodged in the year. Verified against legal counsel estimates and insurance correspondence.

Frequently Asked Questions — Healthcare

How should I analyse revenue for a hospital group?
Disaggregate revenue by facility, department (surgical, medical, emergency, outpatient), and payer mix (private insurance, government funding, self-pay). Calculate revenue per patient episode or per bed-day and compare to prior periods. Case-mix complexity changes affect revenue per patient even without volume changes.
What staff cost ratio is normal for healthcare entities?
Staff costs typically represent 60-70% of total expenditure for hospitals and care providers. Clinical staff costs should correlate with patient activity levels. Significant increases in the agency staff proportion may indicate recruitment difficulties and often carry a cost premium of 20-40% over permanent staff.
How should medical malpractice provisions be analysed?
Review the provision movement schedule (opening balance, new claims, settled claims, closing balance). Compare the provision methodology to actual settlement outcomes. Assess whether the claims frequency and average settlement amount are consistent with historical experience. Consider whether there is a need for actuarial expert involvement.
What are the key analytical risks for pharmaceutical companies?
Revenue recognition for licensing arrangements (milestone payments, royalties) is complex under IFRS 15. R&D capitalisation under IAS 38 requires assessment of technical feasibility criteria. Clinical trial provision completeness and inventory obsolescence for drugs with limited shelf life are significant risk areas.
How do I handle government grant accounting in analytical review?
Verify grant revenue against contract terms and delivery metrics. Assess whether performance conditions have been met (IAS 20). Analyse the deferred income balance for consistency with remaining conditions. Government grants with clawback provisions create contingent liabilities that should be disclosed.