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SAY 527 - Cost Accounting in Health Institutions

Graduate Education Institute · Health Management · Master

ECTS: 7.5 T+P+L: 3+0+0 Departmental Elective
Coordinator: Doç. Dr. Gülay EKİNCİ

Course Objective

The aim of this course is to introduce business and cost accounting practices in the healthcare sector, particularly in hospitals; to demonstrate the cost structure of healthcare services through accurate cost classification and calculation; to teach the proper preparation of the cost of sales/service provision and income statement; and to present different cost systems (job order, process, activity-based, etc.) in order to contribute to effective cost management and financial decision-making in healthcare institutions.

Course Content

In this course, within the context of the healthcare sector and particularly hospitals, the fundamental concepts of business and cost accounting will be examined in detail. This includes the classification of costs related to clinical/outpatient services, laboratories, imaging, and support service units (e.g., pharmaceuticals and supplies, personnel, medical equipment depreciation; direct–indirect, fixed–variable), the calculation of the cost of sales/service provision, the preparation of the hospital income statement in line with the Health Implementation Communiqué (SUT), as well as cost systems (job order, process, activity-based costing, etc.) and their classification and applications in healthcare institutions.

Required Resources

Sağlık İşletmelerinde Maliyet Muhasebesi ve Analizi, Doç. Dr. Enver Bozdemir, Gazi Kitabevi.

Lecture Notes by the Instructor and Articles

Recommended Resources

Recent Articles

Rules

  • Attendance Requirement: Students must attend at least 70% of the classes.

  • Punctuality: Arriving on time is essential; late arrivals should not disrupt the class.

  • Class Discipline: Mobile phones, tablets, or laptops may only be used for class-related purposes.

  • Assignments and Projects: Must be submitted by the specified deadlines; late submissions may result in grade reduction.

  • Exams: Participation in the midterm and final exams is mandatory. Make-up exams are allowed only with official documentation.

  • Participation: Active involvement in class discussions and group activities is expected.

  • Academic Integrity: Cheating, plagiarism, or other ethical violations are strictly prohibited and will result in disciplinary action.

  • Communication: Students may ask questions related to the course via email or during office hours.

Course Learning Outcomes

  1. Explain the fundamental concepts of business and cost accounting in the healthcare sector and hospitals.
  2. Classify costs related to clinical, laboratory, imaging, and support service units (direct–indirect, fixed–variable, etc.).
  3. Identify and calculate cost elements such as pharmaceuticals, supplies, personnel expenses, and medical equipment depreciation.
  4. Calculate the cost of sales/service provision in healthcare services.
  5. Prepare the hospital income statement in accordance with the Health Implementation Communiqué (SUT).
  6. Recognize different cost systems (job order, process, activity-based, etc.) and select the most appropriate one for healthcare institutions.
  7. Use cost data to contribute to effective cost management and financial decision-making in healthcare organizations.
  8. Develop recommendations to improve cost control and resource efficiency in hospitals.

Core Area Distribution

(34) Business and Administration%30 (72) Health%70

Teaching Methods

ExpressionQuestion-AnswerDiscussionExercise and PracticeGuided PracticeCase StudySelf studyProblem Solving

Assessment & Evaluation

HomeworkPerformance Assignment ( Lab / Workshop / Field Work / Seminar / Presentation / Completion Study / ThesisTesting (Essay / Tests: True-Falls, multiple-choice, short answer, matching)

ECTS / Workload

ActivityQuantityDuration (h)Total Workload
Course Duration (Including Exam Week)16348
Out of Class Study Period16464
Midterm111
Quiz000
Assignment248
Practice000
Final111

Course Schedule

WeekSubjectPreparation
1Introduction to business and cost accounting in the healthcare sector and hospitalsPreparation from the source book.
2Basic concepts: cost, expense, expenditure, revenue, and profitPreparation from the source book.
3Cost elements: direct–indirect costs, fixed–variable costsPreparation from the source book.
4Cost systems and classificationPreparation from the source book.
5Classification of hospital costs: clinical, laboratory, imaging, and support servicesPreparation from the source book.
6Cost allocation and cost center calculations in healthcare servicesPreparation from the source book.
7Calculation of cost of sales/service provision in health servicesPreparation with a resource book.
8Mid examPreparation with a resource book.
9Cost systems: job order costingPreparation with a resource book.
10Cost systems: process costingPreparation with a resource book.
11Activity-based costing and its applications in healthcare institutionsPreparation with a resource book.
12Health Implementation Communiqué (SUT)Preparation with a resource book.
13SUT-based cost calculations in health services (Polyclinic-Clinic-Operating Room etc.)Preparation with a resource book.
14Use of cost data in decision-making, efficiency, and cost control in healthPreparation with a resource book.
15General review, case studies, and final evaluationPreparation with a resource book.
16Final examinationFinal examination