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For accounting purposes, health care organizations include HMOs and individual medical practitioners, as well as hospitals.

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As both the FASB and the GASB approved the AICPA Health Care Guide, its requirements constitute Category B GAAP and must be followed by all health care organizations.

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The AICPA Audit and Accounting Guide: Health Care Organizations applies to:


A) Private not-for-profit health care organizations.
B) Governmentally owned health care organizations.
C) Investor-owned health care organizations.
D) All of the above.

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Health care entities may be private, not-for-profit, governmental, or for-profit. All are subject to the AICPA Health Care Guide and FASB statements 116 and 117.

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A "performance indicator" is required in the Statement of Operations for health care entities. Which of the following must be reported below that performance indicator?


A) Other revenue, such as parking lot or cafeteria revenue.
B) Net assets released from restrictions for operating purposes.
C) Both a and b above.
D) Neither a nor b above.

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Health care organizations that are privately owned and operated to provide a return to investors follow FASB standards excluding those standards specifically for not-for-profits.

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Which of the following is not a required statement of a private not-for-profit hospital?


A) Statement of Functional Expense.
B) Statement of Financial Position.
C) Statement of Cash Flows.
D) Statement of Operations.

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The Audit and Accounting Guide identifies items that should not be included in the determination of operating income for a health care organization. Which of the following is not one of those items?


A) Receipt of unrestricted contributions
B) Transactions with the owners, other than in exchange for services.
C) Items identified by FASB standards as elements of other comprehensive income such as foreign currency translation adjustments) .
D) Receipt of temporarily or permanently restricted contributions. Page 358

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The AICPA Health Care Guide prescribes a separate Statement of Operations and Statement of Changes in Net Assets rather than a Statement of Activities.

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The cash flow statements of health care organizations, both private and government-owned, may use the direct or indirect method.

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While governmental health care organizations follow GASB standards, they typically report as special-purpose entities engaged only in business-type activities.

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Health care organizations that are privately owned and operated to provide a return to investors report the same net asset classifications as private not-for-profit health care organizations.

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According to The AICPA Health Care Guide, transfers among affiliated organizations should not be included in the determination of a performance indicator for a health care organization.

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With respect to governmental health care entities, both GASB and AICPA require presentation of a performance indicator.

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For hospitals, contractual adjustments to 3rd party payers, such as insurance companies, are recorded with a debit to Contractual Adjustment expense and a credit to Accounts Receivable.

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Health care entities may be private not-for-profit, governmental, or for-profit. All, however, are subject to the AICPA Health Care Guide, which is accepted by both FASB and GASB as being Category B GAAP.

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Which of the following is NOT TRUE with respect to governmental health care entities?


A) Governmental health care entities can report as special-purpose entities that are engaged in business-type activities or as an enterprise funds
B) Governmental health care entities reported as enterprise funds of a state or local government must use modified accrual accounting.
C) The Statement of cash flows must follow GASB standards and will have four categories.
D) A reconciliation is made between operating income and the cash flows from operating activities.

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Private health care organizations, both not-for-profit and for-profit, follow GASB standards while government healthcare organizations follow FASB.

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