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Unrecognized assets created by public-sector investments in health and social services

Deborah Milinkovic (Economics, McMaster University, Hamilton, Canada) (Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, Canada)
Jeremiah Hurley (Economics, McMaster University, Hamilton, Canada) (Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, Canada) (Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada)
Arthur Sweetman (Economics, McMaster University, Hamilton, Canada) (Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, Canada)
David Feeny (Economics, McMaster University, Hamilton, Canada) (Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, Canada)
Jean-Éric Tarride (Economics, McMaster University, Hamilton, Canada) (Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, Canada) (Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada) (Programs for Assessment of Technology in Health (PATH), The Research Institute of St. Joseph's Healthcare, Hamilton, Canada)
Christopher J. Longo (DeGroote School of Business, McMaster University, Hamilton, Canada) (Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, Canada)
Susan McCracken (DeGroote School of Business, McMaster University, Hamilton, Canada)

Journal of Public Budgeting, Accounting & Financial Management

ISSN: 1096-3367

Article publication date: 13 October 2020

Issue publication date: 19 July 2021

257

Abstract

Purpose

This paper analyzes two types of potential intangible public-sector assets for consideration by public-sector accounting boards. Government investments in health and social programs can create two potential intangible assets: the intangible infrastructure used to deliver the health or social program and the enhanced human capital embodied in the recipients of program services. Because neither of these assets is currently recognized in a government's year-end financial statements or broader general-purpose financial reports (GPFR), these reports may underrepresent the government's true fiscal and service capacity.

Design/methodology/approach

The paper uses an international accounting standards framework to analyze: whether investments in health and social programs create intangible assets that meet the definition of an asset as set out by International Public Sector Accounting Standards (IPSAS), whether they are assets of the government and whether they are recognizable for the purpose of financial reporting.

Findings

The intangible infrastructure asset created to facilitate the delivery of health and social programs would often qualify as a recognizable asset of the government. However, the enhanced recipient human capital asset created through the delivery of health and social programs would, in most instances, not qualify as a recognizable asset of the government, though there likely would be benefits from reporting on it through GPFRs or other mechanisms.

Originality/value

This paper makes two contributions. First, it identifies a previously overlooked intangible asset – the infrastructure created to facilitate the delivery of health and social programs. Second, it presents an argument regarding why, even when it fails to generate a recognizable intangible asset to government, it would be valuable for government to report such investments in supplementary statements.

Keywords

Acknowledgements

This work was funded through a joint initiative of the McConnell Foundation and the Canadian Institute of Health Research (Grant #156947). The authors would like to thank the following individuals who contributed importantly to this work: Laura Anderson, Gioia Buckley, Denis Desautels, Emmanuel Guindon, James Hughes, Mike Joyce, Michael Puskaric, and Martha Tory.

Citation

Milinkovic, D., Hurley, J., Sweetman, A., Feeny, D., Tarride, J.-É., Longo, C.J. and McCracken, S. (2021), "Unrecognized assets created by public-sector investments in health and social services", Journal of Public Budgeting, Accounting & Financial Management, Vol. 33 No. 4, pp. 409-426. https://doi.org/10.1108/JPBAFM-04-2020-0044

Publisher

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Emerald Publishing Limited

Copyright © 2020, Emerald Publishing Limited

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