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100 Cards in this Set
- Front
- Back
The staff person responsible for assuring that the business office runs smoothly is, in the final analysis?
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The administrator
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In general, the ownership patterns for U.S. nursing facilities in 2008 was?
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Varied widely from state to state
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Generating reports on the financial standing of the nursing facility is generally assigned to what?
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The accountant
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Responsibility and blame for overspending in the department of nursing and in food services is typically assigned by the owners to the?
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Administrator
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A set of records that lists each monetary transaction of the facility is normally referred to as?
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The books
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The primary purpose of the Generally Accepted Accounting Principles is to?
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Maximize comparability of financial statements of different organizations
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An owner who takes unrecorded cash from the facility daily cash intake to purchase a laptop for his daughter to use at college has violated the what?
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Entity
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Instructing the financial manager to record assets at current market value and to not record patient bills expected to become uncollectible violates the what?
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Consistency
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Telling the account not to record overtime paid from the cash box to employees working weekends is violating the what concept?
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Full disclosure
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Directing the accountant to move from a January 1 date to a June 30 fiscal year date in order to minimize the negative image possibly created by an anticipated loss violates the what concept?
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Time period
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Allowing the bookkeeper to destroy vouchers showing payments made from meals to employees once these are recorded may violate the what concept?
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Objective evidence
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Pieces of paper indicating money owed to or by the facility, bank statements, and similar pieces of paper or its electronic equivalent are known as?
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Source documents
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An administrator who instructs the accountant to begin reporting facility finances by recording all expenditures and all receipts as they actually occur has decided to use the what system of accounting?
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Cash
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It is difficult to recognize items such as depreciation and prepaid insurance in the what system of accounting?
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Cash
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An administrator directing the accountant to record revenues when they are earned and expenses when they are incurred, regardless of the time the cash transaction takes place, has decided to use the what approach to accounting?
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Accrual
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Allowing the facility to accurately measure revenues earned after expenses have been paid or losses incurred by matching revenues and expenses for each time period is the advantage of the what system of accounting?
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Accrual
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A summary of the nursing home's financial well-being within a time period is normally referred to as what?
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The financial statements
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If the administrator asked the bookkeeper for a list containing every account in the facility, the bookkeeper would hand the administrator the
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Chart of accounts
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Things owned by the facility are normally referred to as what?
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Assets
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Things owed by the facility, its obligations, are normally referred to as what?
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Liabilities
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Money invested in the facility, also known as the facility's net worth, is normally referred to as what?
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Capital
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If the administrator asks the accountant for the journals, the administrator wants to look at what?
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The original entries
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The new accountant informs the administrator that to simplify things, he has incorporated all purchases that will be paid for the next few years into the account payable journal. The administrator should what?
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Begin a search for a new accountant.
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making a debt and credit entry for each transaction is known as the what system of accounting?
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Double-entry
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Under double-entry bookkeeping, when a bill is sent to Ms. Jones for 3,000 dollars for the past month's care, the bookkeeper would normally record 3,000 in the debit column as an increase in assets and what?
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Record $3,000 on the credit side as an increase in revenue
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Using accrual accounting, purchase of a 6-month supply of provisions would be entered into the what?
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General journal
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Under accrual accounting, when the accountant shows the amount of medical supplies used during a month in the cash disbursements journal and the general journal the bookkeeper has made?
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An adjusting entry
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When errors are discovered in other journals, they can be corrected
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General journal
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When the administrator asks the accountant for a summary of all debits and credits contained in the journals for the time period, the accountant should hand the what to the administrator?
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General ledger
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At the end of a time period, when debits do not match credits exactly, the accountant can first assume an error has been made in what?
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Recording transactions
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The GAAPs do not normally require financial statements prepared for general distribution to include what?
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Charts of accounts
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The income statement shows whether what were sufficient to cover expenses
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Revenues
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The accountant has listed the new building annex, the new central air conditioning system, and the supplies for the next 6 months as capital expenses. The administrator should what?
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Look for a new accountant
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At the end of a time period, total expenses are subtracted from total revenues to compute the what?
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Net income, or profit loss
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The accountant, upon successfully bringing the expense and revenue accounts to zero, has successfully?
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Closed the books
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When the administrator asks the chief financial officer for a statement showing the ending balance of the revenue and expense accounts, the CFO should hand the what to the administrator?
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Income statement
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A financial statement in which the assets must equal the liability and capital accounts is known as the what?
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Balance sheet
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Any possession of the facility which will be or could be turned into cash within 12 months is a what?
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Current asset
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The concept that, since capital assets will not be liquidated any time soon, their current market value is not directly relevant, relates to the ongoing concern concept and is known as?
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Historic cost
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Depreciation is an expense associated with the use of what?
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An asset
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Bills from suppliers of foodstuffs or office supplies, or janitorial services contractions are normally classified as among the?
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Current liabilities
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When an administrator notes that there are $600,000 in notes payable on the financial reports, she knows these must be paid within?
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1 year
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Funds that have been put into the facility by owners or others , and retained earnings that have been put back into the facility are usually included when calculating the what?
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Net worth
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If the administrator asks the accountant for a statement analyzing the financial position of the facility at the beginning of the fiscal year, the best statement to hand the administrator is the?
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Balance sheet
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The certified public accountant's end of the year report for a 15-year-old, 120 bed for-profit facility with no debt shows an excess of income over expenses of $95,000. The owner would likely be what?
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Very displeased with facility performances
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When asked whether funds are readily available for a $75,000, purchase and the accountant responds that the net worth is well over $800,000 and to go ahead with the purchase, the administrator should?
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Ask for a statement of working capital
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When the amount of current assets remaining after current liabilities have been subtracted is calculated, the administrator has an idea of the what available?
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Working capital
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When the chief financial officer identifies trends in measures of the facility's financial performance by comparing the same relationships for several time periods he is doing?
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Ratio analyses
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A facility has current assets of $403,898 and current liabilities of $367,000. Its current ratio is what?
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1.1
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A 1-year-old, 120-bed for-profit facility with a 2,500,000$ mortgage at 7.4% reports a net operating margin before depreciation of 25,000$. In today's financial market, the owners would likely be what?
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Very pleased
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Ratios, to be truly useful, should be?
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Compared with industry averages over time
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The new administrator in a private pay for-profit facility is told by the accountant that the accounts receivable are 105,800$ and the net operating revenues are $334,000. Upon calculating the average collection period ratio, which turns out to be how many days, the administrator should be what?
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115 days he would be upset
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A 12-year-old facility, largely out of debt, has 334,693$ in operating revenues and 339,078$ in operating expenses, yielding a net operating margin ratio of what? The owners of this facility would likely feel this to be what?
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.013 feel unacceptable
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A facility with long-term debt of $4,000,000 and a total equity of $3,000,000 has a debt to equity ratio of what, which is what the industry average?
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1.33 ratio considerably above
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Trends and patterns in the operation of a nursing facility can best be obtained by doing what?
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Ratio and vertical analyses over time
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To safeguard the finances of a facility, procedures should be arranged to establish a system of what so that employees review each other's financial activities?
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Checks and balances
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A useful form that summarizes the facility's occupancy, listing daily admissions, discharges, and transfers is known as the?
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Dailey census form
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At the end of each year for facilities participating in Medicare, a Medicare Cost Reconciliation settlement occurs in which?
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The facility receives or pays back money
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The frozen food contractor arrives, places the order in the freezer, checks off the receiving slip, hands it to the appropriate kitchen employee who thanks the contractor, and hands the receiving slip and purchase order copy to the director of food services. The administrator, on observing this, should what?
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Should be upset
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Perhaps the only way to maintain an accurate count of supplies consumed and those remaining is to use what?
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A perpetual inventory system
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The use of LIFO (Last In First Out) to price inventory during a period of inflation will have the effect of making the value of the goods remaining in inventory?
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Lower
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The largest directly controllable cost for the average administrator is what?
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Labor
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Payroll deductions are subtracted from what to arrive at the employee's what pay?
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Gross pay to get employee's net pay
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Assets that can be capitalized or depreciated differ from the other assets of a facility in that they are used in operations for more than what and will not be converted into what within the year?
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One time period converted into cash within the year
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Upon discovering that the new accountant had set the actual purchase price paid (e.g., no tax, delivery, or similar costs) for the assets to be depreciated, the facility administrator would normally feel the accountant was what?
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Not serving the facility well
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One practical reason for using straight line depreciation is that what?
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Most third-party payers require it
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Congress' purpose for passing accelerated depreciation was to what of new facilities?
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Encourage more building
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As a practical matter, most owners do not fund depreciation and treat it as?
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Money available to the facility to spend
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Using several differing depreciation schedules for a single piece of equipment is what as an accounting behavior?
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Quite acceptable
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Land what is a depreciable asset?
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Never
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Medical supplies, food supplies, and postage for billing resident's are what costs?
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Variable
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The salary of the director of nurses and the administrator are examples of what costs?
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Fixed cost
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In a facility having high fixed costs, the pressure to keep beds filled is what in facilities with low fixed costs?
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Stronger than
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For in-facility services such as physical therapy, it is important to calculate the what cost in order to better analyze the cost effectiveness of such services?
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Break even
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Nursing and physical therapy are normally thought of as what centers?
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Revenue
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A financial analysis that yields to the administrator a representative picture of the entire expense of providing a service (e.g., offering adult day care services is known as what?)
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Cost ending
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Only when appropriate what has been achieved can an accurate job of what is accomplished?
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Cost finding then rate setting
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In order to develop a reasonable estimate of income and expenses for a coming time period, it is important to do both a/an what budget and a what budget?
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Expense budget and a revenue budget
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Because income and expenses vary from time period to time period it is desirable to project a what?
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Cash budget
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Plans for expenditures for buildings, major equipment, and the like are normally part of the what budget?
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Capital budget
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A method of measuring the potential profitability of an investment, calculated by dividing the net income by the investment is the what?
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ARR (accounting rate of return)
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A revision of an accounting forecast or assumption about the facility's expected or experienced performance is a/an what?
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Change in accounting estimate
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The portion of a brand in the form of a symbol, design, or distinctive coloring or lettering, also called a logo, is an organization's what?
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Brand mark
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The administrator decides to offer newer forms of physical therapy that reduce use of currently used physical therapy methods. She has what the current methods?
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Cannibalized
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A market that is so competitive that all its participants have virtually no control over price is known as what?
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Perfect competition
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The administrator asks the business manager to divide the net income after any taxes by the noncurrent liabilities + owner's equity. He wants the what?
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Return on invested capital estimate
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A method of determining the optimum amount of materials that needs to be ordered on a regular basis is known as the what?
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Economic order quantity
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When governments use their powers to keep the price either above or below the equilibrium point it is known as what?
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Price controls
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Short-term securities (2 to 270 days) issued by corporations, banks, and other borrowing institutions to raise short-term working capital is known as what?
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Commercial paper
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The administrator asks the bank for an instrument stating that that bank that has granted the holder the amount of credit equal to the face amount wants a what?
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Letter of credit
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The facility has issued a debt obligation to pay a specific amount on a stated date. the facility has issued what?
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Bonds
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When the financial manager classifies an expense as an asset because it benefits the facility for more than 1 year he has what that expense?
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Capitalized
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The administrator wishes to lease a building and acquire substantial property rights in the process. She seeks what?
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A capital lease
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The administrator has borrowed cash for an agreed upon purpose between a lender and borrower. He now has a what?
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Note
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The chain issues stocks and bonds that can be converted into capital stock at some future date. They have issued what?
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Convertible securities
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The chain "buys back" a portion of its outstanding stock by giving one new share in place of each four previously held shares. The chain has accomplished a/an what?
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Reverse split
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The administrator seeks to be licensed without having to meet all the conditions new entrants would have to meet. She seeks to be what?
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Grandfathered
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The administrator holds a number of assets, such as bonds or easily sold stock, as investments. He has substantial what?
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Cash equivalents
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The instrument that creates a corporation under the laws of a state is known as the what?
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Articles of incorporation
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The three owners hold all the shares in the facility. They have a what?
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Privately held company
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