Fundamentals of Healthcare Accounting (Hsmu 211) 2nd Trimester 2014

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The key takeaways from the document are the fundamentals of healthcare accounting such as different types of costs, methods of depreciation, users of financial statements, and budget preparation methods.

Capital accounts record assets and expenses while revenue accounts record income. Financial accounting focuses on external reporting while management accounting focuses on internal reporting and decision making.

Books of accounts are source documents that record transactions while financial statements are summaries prepared from books of accounts. Books of accounts include ledger accounts while financial statements include trading, profit and loss statement and balance sheet.

KENYA METHODIST UNIVERSITY

END OF 2ND TRIMESTER 2014 (PT) EXAMINATION

SCHOOL

MEDICINE & HEALTH SCIENCES

DEPARTMENT
UNIT CODE

:
:

HEALTH SYSTEMS AND MANAGEMENT


HSMU 211

UNIT TITLE

FUNDAMENTALS OF HEALTHCARE ACCOUNTING

TIME

2 HOURS

INSTRUCTIONS

Answer ALL Questions in Section A and any Other

TWO from Section B

SECTION A
Question One
Describe FIVE factors that need to be taken into account when pricing and how
they affect pricing.

(10marks)

Question Two
Outline the differences between:
a) Capital and revenue accounts
b) Financial and management accounting.

(10marks)

Question Three
a) Distinguish between books of accounts and financial statements.
b) List the components that comprise each of them.
(10marks)
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Question Four
a) Explain FIVE different types of budgets
b) What are the:
i)
Functions/advantages of budgeting
ii)
Limitations in budgeting.

(10marks)

SECTION B
Question Five
Delta chemists Ltd started trading on 1st January 2013. Trial balance as at
31st January 2013 is as follows:
Kshs.

Kshs.

Dr.

Cr.

Ordinary share capital


Bank balance

80,000
12,500

Bank loan

30,000

Stocks

25,500

Fixtures & fittings

55,000

Provision for bad debts

5,000

Accumulated depreciation
Debtors:

Creditors:

11,000

Mercy Hospital

43,000

Patel & Sons

20,000

Dawa Ltd

18,000

Regal Ltd

12,000
156,000

156,000

The following transactions took place in the month of February 2013. All
transactions were paid through the bank.
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Date

Particulars

Kshs.

1st

Sold goods to Mercy hospital on credit

17,000

4th

Bought goods from Dawa Ltd on credit

22,000

8th

Paid Patel his account

20,000

12th

Paid Regal Ltd

10,000

15th

Sales collections banked

14,500

18th

Paid wages

16,400

20th

Purchase of stocks

10,600

24th

Received payment from Mercy Hospital

60,000

26th

Paid Dawa Ltd

40,000

28th

Paid Bank loan

10,000

Required:
a) Ledger entries to record transactions for the month February 2013.
b) Trial balance for Delta Chemists Ltd as at 28th February 2013.
(30marks)
Question Six
As an expert in health financing, Mac Donald has sought your financial advise
on how to price his merchandise.
He imported the following medicines and non-pharmaceuticals:
10,000 quantities of Amoxicillin at Kshs. 200 each.
20,000 quantities of coartem at Kshs. 50 each.
40,000 quantities of cough syrup at kshs 25 each
20,000 quantities of gloves at kshs. 150 each
50,000 quantities of bandages at kshs 40 each.

He paid the following import costs:


Cost
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Basis of Apportionment

Discount
Insurance & freight

10% on cost on all items


810,000

Net price of each item

1,400,000

Quantity of each item

Cargo handling

700,000

Quantity of each item

Import duty

900,000

Gross price of each item

Packaging

Dumping fees:
Amoxicillin

20,000

Coartem

10,000

Cough syrup

30,000

Gloves

30,000

Bandages

70,000

Required:
Advise Mac Donald on the price to retail his merchandise.

(30marks)

Question Seven
Below is the trial balance of ABC Ltd as at 30th June 2013.

Freehold land (cost)

Kshs.

Kshs.

Dr.

Cr.

20,000

Leasehold land (cost)

8,000

Motor vehicles (cost)

5,000

Drawings

500

Proprietors capital
20,000
Accruals

1,200

Cash

1,150
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Bank overdraft

1,000

Trade debtors

3,500

Staff remuneration

1,500

Prepayments & deposits

2,000

Electricity & water

600

Office expenses

720

Insurance costs

800

Trade creditors

2,400

Bad debts

240

Sundry debtors

3,000

Carriage outwards

590

Stocks (1st July 2012)

13,000

Purchases

59,300

Sales

87,050

Discount received

3,100

Returns Inwards

2,050

Accumulated depreciation:
-

Motor vehicles
Leasehold land

4,000
3,200
121,950

121,950

Additional information:
1. Provide for the following before preparing final accounts:
- Electricity and water for June 2013 Kshs. 100 has not been paid.
- Insurance costs include Kshs. 200 for the period after June 2013.
2. Provide depreciation/amortization on cost as follows:
- Leasehold land 50 years
- Motor vehicles 20% pa.
3. Stocks as at 30th June 2013 is Kshs. 10,000
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Required:
a) ABC Ltd Trading, Profit and loss Account for the period ending 30 th June
2013.
b) ABC Ltd Balance Sheet as at 30th June 2013.

(30marks)

Fundamentals of Healthcare Accounting (HSMU 211) 3rd


trimester 2014
KENYA METHODIST UNIVERSITY
END OF 3'RD 'TRIMESTER 2014 (PT) EXAMINATION
SCHOOL

: MEDICINE & HEALTH SCIENCES

DEPARTMENT
UNIT CODE

: HEALTH SYSTEMS MANAGEMENT


: HSMU 211

UNIT TITLE

: FUNDAMENTALS OF HEALTHCARE ACCOUNTING

TIME

: 2 HOURS

SECTION A:

Answer all the questions

Question One
Write briefly notes on the following accounting terminologies.

Direct costs

Indirect costs

Variable costs

Batch costing

Process costing

(10 marks)

Question Two
Explain the following methods of depreciation stating their advantages and appropriate circumstances under
which it applies.

Straight line method

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Reducing balance method

Revaluation method

(10 marks)

Question Three
State four users of financial statement and reasons for their interest in the financial statements.

(10 marks)

Question Four
Explain the following budget preparation methods.

Zero based budget

Incremental budget

(10 marks)

SECTION B:

Answer any two questions.

Question Five
An extract if trial balance of Bridge View Hospital as at 31 st December 2013 is as follows:
Ksh "000"

Ksh. "000"

Dr.

Cr.

Capital Account
Purchases

20,500
46,500

Sales

60,900

Repair & Maintenance

848

Motor Vehicle (cost)

1,000

Provision for depreciation

250

Motor vehicle expenses

318

Land & Buildings (cost)

10,000

Bank Balance

540

Fixtures & Fittings (cost)

1,400

Provision for depreciation

560

Salary & Wages

8,606

Discount Allowed

1,061

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Discount Received

804

Personal Drawings

2,400

Rent & Rates

248

Bad debts

359

Provision for bad debts

140

Trade debtors

5,213

Trade creditors

4,035

General expenses

1,586

Stocks (1st Jan 2013)

6,300

Bank Charges

810
87,189

87,189

Additional Information
1. Stocks as at 31st December 2013 is Kshs.8,800,000.
2. Depreciation is charged on cost as follows:
Motor vehicles 25% pa
Fixtures & fittings 20% pa
Required:

Trading, profit & loss account for Bridge View Hospital for the period ended 31 st December, 2013.

Balance sheet for Bridge View Hospital as at date.

(30 marks)

Question Six
Movement in Non-Current (Fixed)Assets of Agro Machinery Ltd are as follows:
Date

Particulars

Cost(Kshs)

Jan 2012

Bought M/vehicle

2,000,000

July 2012

Bought Equipment

4,000,000

Jan 2013

Installed machine

6,000,000

July 2013

Disposed m/vehicle

1,000,000

Additional Information
1. Depreciation of assets is on straight line basis at the following rates:
-Motor vehicle -25% pa

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-Equipment -20% pa
-Machinery -25% pa
2. Full depreciation is charged in the year of purchase and no depreciation in the year of disposal.
Required:
Prepare extracts of the following ledger accounts for the period to 31 st December 2013.

Non-current (fixed) asset account

Depreciation account

Cumulative Depreciation Account

Disposal Account

Profit & Loss Account

Bank Account.

(30 marks)

Question Seven
The budgeted monthly costs of running a Hospital are as follows:
Kshs.
Administration Department

4,000,000

In-patient Department

2,900,000

Out-patient Department

2,400,000

Laboratory

2,000,000

Theatre

1,800,000

Absorption of administration costs and monthly profit margins are estimated as follows:
Absorption

Monthly

Of Admin. Costs

Profit margin

In-patient

30%

700,000

Out-patient

25%

800,000

Laboratory

20%

325,000

Theatre

25%

800,000

Expected level of activity is as follows:


1. In-patient has both general and private wards.
2. Cost of private ward bed is three times the cost of general ward bed.
3. Daily average bed occupancy for general ward is 40 beds while that for private ward is 20 beds.
4. Outpatient has daily average attendance of 400 patients.

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5. Laboratory carries out an average of 250 tests daily


6. Theatre carries out both minor and major operations
7. Cost of major operation is four times the cost of minor operations
8. Daily average number of operations are minor -36, major -9.
9. Theatre and lab do not open on Sundays hence they only operate for 25 days in a month. All other
departments remain open for 30 days in a month.
Required:w
Determine the cost of each service offered by the hospital. (30 marks)

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