Exam 13: Accounting for Health Care Organizations

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When a hospital uses funds for internal record-keeping purposes,Plant Replacement and Expansion Funds are used to report:

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The Monks Veterinary Hospital receives $1.5 million from the Clementine Foundation.Only the earnings from investing the contribution may be used by the Hospital to conduct research on feline leukemia.Assuming the Hospital uses fund accounting for internal purposes,which funds should be used to report (1)the assets and (2)any investment earnings? original investment contribution earnings a. endowment fund endowment fund b. general fund specific purpose fund c. specific purpose fund general fund d. endowment fund specific purpose fund

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D

(Accounting for donations and donor-restricted and board-designated resources) A not-for-profit hospital uses the following funds to account internally for its resources: General Fund (GF);Specific Purpose Funds (SPF);Plant Replacement and Expansion Funds (PREF);and Endowment Funds (EF).The hospital is establishing a special trauma unit for brain-related injuries,and is soliciting contributions for this purpose.It reports donations as revenues,rather than gains,because fund-raising is a significant part of its ongoing activities.Record the following transactions,stating the fund or funds used,and whether unrestricted,temporarily restricted,or permanently restricted net assets are affected. a.Hospital trustees set aside $100,000 for the purpose of training its nurses to deal with patients in the hospital's trauma unit. b.National Products donated trauma equipment having a fair value of $325,000.Also,Stay-Cool Chemical donated drugs having a fair value of $44,000. c.The hospital received cash contributions from local donors,who stipulated that the donations must be used for the following purposes involving the trauma unit: (1)$10,000,to help pay the salary of Dr.Harlan Elliot,noted brain surgeon;and (2)$200,000,to be used solely for the purpose of equipping the trauma unit. d.Dr.Cheryl Fusco was hired.His first month's salary was $25,000.The hospital used the donation received in transaction c(1)to pay part of Dr.Fusco's salary. e.The hospital purchased $80,000 of special equipment for the trauma unit.Its policy is to use donated funds to acquire equipment before it uses internally-generated funds.

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   e.  \begin{array}{lr} \text { PREF }\\\text { Temporarily restricted asset reclass. out-- }\\\text { net assets released from restriction }\\\text { used for purchase of equipment }&80,000\\\text { Cash }&&80,000\\\\\text { GF }\\\text { Equipment }&80,000\\\text { Unrestricted asset reclass. in--net }\\\text { assets released from restriction }\\\text { for purchase of equipment }&&80,000 \end{array}
e.  PREF  Temporarily restricted asset reclass. out–  net assets released from restriction  used for purchase of equipment 80,000 Cash 80,000 GF  Equipment 80,000 Unrestricted asset reclass. in–net  assets released from restriction  for purchase of equipment 80,000\begin{array}{lr}\text { PREF }\\\text { Temporarily restricted asset reclass. out-- }\\\text { net assets released from restriction }\\\text { used for purchase of equipment }&80,000\\\text { Cash }&&80,000\\\\\text { GF }\\\text { Equipment }&80,000\\\text { Unrestricted asset reclass. in--net }\\\text { assets released from restriction }\\\text { for purchase of equipment }&&80,000\end{array}

A not-for-profit hospital had gross patient billings of $43 million,contractual adjustments of $8 million,and charity care of $1,500,000.The hospital also made a provision for bad debts in the amount of $1,000,000.How much should the hospital report as net patient service revenue?

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After it prepares its financial statements,a hospital has historically received malpractice claims for events occurring before the balance sheet date.How should the hospital handle these incurred but not reported (IBNR)claims its financial statements?

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How are hospitals paid when they enter into a capitation agreement?

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A hospital invested $780,000 in equity securities in March,2012.When it prepared its financial statements at year-end,the securities had a fair value of $802,000.How should the hospital report the securities in its balance sheet at year end?

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When a not-for-profit hospital uses funds for internal record-keeping purposes,what types of resources are accounted for in the General Funds?

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A hospital had gross patient billings of $50 million,contractual adjustments of $20 million,and charity care of $5 million.How much is the hospital's net patient service revenue?

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A hospital had capitation agreements with several health maintenance organizations to provide services.The hospital received $12 million of capitation fees for the year.The hospital also calculated that: (a)its costs to provide these services were $11.8 million;and (b)the value of these services at established billing rates were $16 million.How should the hospital report this information on the face of its financial statements?

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What if Ruth Clark Hospital (Question 34)is a governmental hospital.How would the Ruth Clark Hospital report its interest in the Hospital Foundation and the contributions it received at the end of the first year?

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Which of the following statements about the form and content of a governmental hospital's statement of revenues,expenses,and changes in net position is false?

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A not-for-profit hospital will prepare a statement of operations pertaining to the hospital's unrestricted restricted net assets net assets a. yes yes b. no no c. no yes d. yes no

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When a hospital uses funds for internal record-keeping purposes,Specific Purpose Funds are those that are:

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In a governmental hospital's operating statement,which of the following is true?

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A group of retired registered nurses decide to volunteer their services to a not-for-profit hospital.They perform a variety of tasks,including: (a)filling in for regular nurses when they are out sick; (b)helping out in food preparation;and (c)selling in the hospital gift shop.For which of the three tasks must donated revenues and expenses be recognized?

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A hospital entered into a retrospective billing arrangement with a third-party payer,calling for interim billing rates,subject to final settlement after the year's end.Final settlement was to be based on the hospital's submission of costs and audit by the third-party payer.During the year,the hospital provided services to patients covered by this third party,billing for $4.8 million at the hospital's established rates.However,the hospital's services at the interim billing rates were 25 percent less than the established rates.Before issuing its financial statements for the year,the hospital analyzed its costs and estimated that the rates charged to the third-party payer were $300,000 too high.For this third party,how much was the total contractual adjustment for the year?

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(Distinguishing among the three net asset classifications) Assume that Andy Kelly Hospital (Problem 44)is a not-for-profit hospital.For each of the six transactions or events shown in that problem,state which of the three net asset classifications are affected: unrestricted;temporarily restricted;or permanently restricted.

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A governmental hospital receives notice of a $100,000 grant from the federal government to conduct breast cancer research.The grant contains an eligibility requirement;that is,the hospital must incur costs and submit quarterly reports of allowable costs incurred.The reports are subject to audit.When should the hospital recognize revenues under the grant?

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A not-for-profit hospital's trustees designate $600,000 of the hospital's unrestricted resources for the future acquisition of equipment.The trustees tell the hospital comptroller to purchase a separate certificate of deposit for it.How should the hospital record and report this investment?

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