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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?
The administrator
In general, the ownership patterns for U.S. nursing facilities in 2008 was?
Varied widely from state to state
Generating reports on the financial standing of the nursing facility is generally assigned to what?
The accountant
Responsibility and blame for overspending in the department of nursing and in food services is typically assigned by the owners to the?
Administrator
A set of records that lists each monetary transaction of the facility is normally referred to as?
The books
The primary purpose of the Generally Accepted Accounting Principles is to?
Maximize comparability of financial statements of different organizations
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?
Entity
Instructing the financial manager to record assets at current market value and to not record patient bills expected to become uncollectible violates the what?
Consistency
Telling the account not to record overtime paid from the cash box to employees working weekends is violating the what concept?
Full disclosure
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?
Time period
Allowing the bookkeeper to destroy vouchers showing payments made from meals to employees once these are recorded may violate the what concept?
Objective evidence
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?
Source documents
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?
Cash
It is difficult to recognize items such as depreciation and prepaid insurance in the what system of accounting?
Cash
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?
Accrual
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?
Accrual
A summary of the nursing home's financial well-being within a time period is normally referred to as what?
The financial statements
If the administrator asked the bookkeeper for a list containing every account in the facility, the bookkeeper would hand the administrator the
Chart of accounts
Things owned by the facility are normally referred to as what?
Assets
Things owed by the facility, its obligations, are normally referred to as what?
Liabilities
Money invested in the facility, also known as the facility's net worth, is normally referred to as what?
Capital
If the administrator asks the accountant for the journals, the administrator wants to look at what?
The original entries
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?
Begin a search for a new accountant.
making a debt and credit entry for each transaction is known as the what system of accounting?
Double-entry
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?
Record $3,000 on the credit side as an increase in revenue
Using accrual accounting, purchase of a 6-month supply of provisions would be entered into the what?
General journal
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?
An adjusting entry
When errors are discovered in other journals, they can be corrected
General journal
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?
General ledger
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?
Recording transactions
The GAAPs do not normally require financial statements prepared for general distribution to include what?
Charts of accounts
The income statement shows whether what were sufficient to cover expenses
Revenues
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?
Look for a new accountant
At the end of a time period, total expenses are subtracted from total revenues to compute the what?
Net income, or profit loss
The accountant, upon successfully bringing the expense and revenue accounts to zero, has successfully?
Closed the books
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?
Income statement
A financial statement in which the assets must equal the liability and capital accounts is known as the what?
Balance sheet
Any possession of the facility which will be or could be turned into cash within 12 months is a what?
Current asset
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?
Historic cost
Depreciation is an expense associated with the use of what?
An asset
Bills from suppliers of foodstuffs or office supplies, or janitorial services contractions are normally classified as among the?
Current liabilities
When an administrator notes that there are $600,000 in notes payable on the financial reports, she knows these must be paid within?
1 year
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?
Net worth
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?
Balance sheet
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?
Very displeased with facility performances
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?
Ask for a statement of working capital
When the amount of current assets remaining after current liabilities have been subtracted is calculated, the administrator has an idea of the what available?
Working capital
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?
Ratio analyses
A facility has current assets of $403,898 and current liabilities of $367,000. Its current ratio is what?
1.1
A 1-year-old, 120-bed for-profit facility with a 2,500,000$ mortgage at 7.4% reports a net operating margin before depreciation of 25,000$. In today's financial market, the owners would likely be what?
Very pleased
Ratios, to be truly useful, should be?
Compared with industry averages over time
The new administrator in a private pay for-profit facility is told by the accountant that the accounts receivable are 105,800$ and the net operating revenues are $334,000. Upon calculating the average collection period ratio, which turns out to be how many days, the administrator should be what?
115 days he would be upset
A 12-year-old facility, largely out of debt, has 334,693$ 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?
.013 feel unacceptable
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?
1.33 ratio considerably above
Trends and patterns in the operation of a nursing facility can best be obtained by doing what?
Ratio and vertical analyses over time
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?
Checks and balances
A useful form that summarizes the facility's occupancy, listing daily admissions, discharges, and transfers is known as the?
Dailey census form
At the end of each year for facilities participating in Medicare, a Medicare Cost Reconciliation settlement occurs in which?
The facility receives or pays back money
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?
Should be upset
Perhaps the only way to maintain an accurate count of supplies consumed and those remaining is to use what?
A perpetual inventory system
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?
Lower
The largest directly controllable cost for the average administrator is what?
Labor
Payroll deductions are subtracted from what to arrive at the employee's what pay?
Gross pay to get employee's net pay
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?
One time period converted into cash within the year
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?
Not serving the facility well
One practical reason for using straight line depreciation is that what?
Most third-party payers require it
Congress' purpose for passing accelerated depreciation was to what of new facilities?
Encourage more building
As a practical matter, most owners do not fund depreciation and treat it as?
Money available to the facility to spend
Using several differing depreciation schedules for a single piece of equipment is what as an accounting behavior?
Quite acceptable
Land what is a depreciable asset?
Never
Medical supplies, food supplies, and postage for billing resident's are what costs?
Variable
The salary of the director of nurses and the administrator are examples of what costs?
Fixed cost
In a facility having high fixed costs, the pressure to keep beds filled is what in facilities with low fixed costs?
Stronger than
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?
Break even
Nursing and physical therapy are normally thought of as what centers?
Revenue
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?)
Cost ending
Only when appropriate what has been achieved can an accurate job of what is accomplished?
Cost finding then rate setting
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?
Expense budget and a revenue budget
Because income and expenses vary from time period to time period it is desirable to project a what?
Cash budget
Plans for expenditures for buildings, major equipment, and the like are normally part of the what budget?
Capital budget
A method of measuring the potential profitability of an investment, calculated by dividing the net income by the investment is the what?
ARR (accounting rate of return)
A revision of an accounting forecast or assumption about the facility's expected or experienced performance is a/an what?
Change in accounting estimate
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?
Brand mark
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?
Cannibalized
A market that is so competitive that all its participants have virtually no control over price is known as what?
Perfect competition
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?
Return on invested capital estimate
A method of determining the optimum amount of materials that needs to be ordered on a regular basis is known as the what?
Economic order quantity
When governments use their powers to keep the price either above or below the equilibrium point it is known as what?
Price controls
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?
Commercial paper
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?
Letter of credit
The facility has issued a debt obligation to pay a specific amount on a stated date. the facility has issued what?
Bonds
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?
Capitalized
The administrator wishes to lease a building and acquire substantial property rights in the process. She seeks what?
A capital lease
The administrator has borrowed cash for an agreed upon purpose between a lender and borrower. He now has a what?
Note
The chain issues stocks and bonds that can be converted into capital stock at some future date. They have issued what?
Convertible securities
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?
Reverse split
The administrator seeks to be licensed without having to meet all the conditions new entrants would have to meet. She seeks to be what?
Grandfathered
The administrator holds a number of assets, such as bonds or easily sold stock, as investments. He has substantial what?
Cash equivalents
The instrument that creates a corporation under the laws of a state is known as the what?
Articles of incorporation
The three owners hold all the shares in the facility. They have a what?
Privately held company