Estimated funding assessment for hospitals functioning as enterprise
Authors: Ivchuk Volodymyr , Kulish Ganna , Lazoryshynets Vasyl , Kabakov Vadym , Nastenko Evgenii 
Published: January 2020

The purpose of the article is to identify the possibilities of medical institutions
development in the conditions of change of health care financing mechanism with
taking into account the further orientation on autonomization of medical institutions,
which received the status of enterprises.The paper implies active implementation
of new planning methods that are alternative to the traditional national approach
to expenses accounting and their analysis, which are fundamentals of planned fi-
nancial indicators calculation.The transformation of the financial mechanism in
the healthcare sector necessitates a financial provision for medical institutions,
that includes, first and foremost, a reasonable calculation of cost of medical in-
stitutions services.Methodology.The methodology of the study is to use a combina-
tion of methods: economic analysis, synthesis, comparison – to estimate the ac-
tual values of financial indicators; economic-mathematical modeling and forecast-
ing; systematic analysis, typification and comparison of observations, grouping,
generalizations – during the process of making final conclusions based on the
results of analytical studies.The scientific noveltyof the resultsobtainedconsistsnew
approach offered by authors that let medical institutionsolve existing practical and
methodological issues of correlation between current actual expenses and, forecast
financial needs of medical institution in variable functioning conditions. The au-
thors prove that the further development of medical institutions is impossible
without reasonable pricing of healthcare services. The existing «Methodology of
healthcare services cost calculation»is aimed at standardization and unification of
expenses accounting methods, but does not promote getting veracious calculable
data, which should be used in financial planning and modelling. Conclusions.The
combination of analysis methods presented in this paper enables to make a forecast
about the financial needs of the medical institution in the status of the enterprise
on the basis of scientifically-based approaches. The use of the CVP-analysis meth-
od allows to purposefully manage the main financial indicators that are taken into
account in different scenarios, and the correctness of their analytical application
at the hospital level is included in a justified approach to a higher level of gener-
alization in accordance with the theory of averages.There is a high bankruptcy risk
for a medical institution in the status of an enterprise in a case of insufficient
level of reimbursement of medical institution expenses within the limits of state
medical insurance, as well as within limited possibilities of receiving income from
paid medical services. For more effective realization of medical institutions «au-
tonomization», it is necessary to improve the legislation in terms of free choice of
the list and volume of paid medical services, economic approaches to pricing for
paid medical services and a clear policy of the state within a support of health care capital investment programs.Effective, purposeful preparatory work of reason-
able financial indicators usage, taking into account current legislation, will enable
the medical institutions to be competitive in the healthcare market.