The Trial Balance below relates to Hamile Teaching Hospital, a public hospital.

Trial Balance for the year ended 31 December 2023
Debit Credit
GHc’000 GHc’000
Government subvention 100,750
Out-patient services fees 35,000
In-patient services fees 40,000
Development Partner grants (ii) 16,000
Established position salaries 62,000
Casual Labour 5,600
Contract appointment (local and foreign) 1,400
Limited engagements 200
Rent (iii) 500 150
Insurance 340
Consultancy services 120
Conferences, workshops and training 4,500
Purchase of drugs 60,000
Purchase of medical consumables 80,000
Office expenses 20,000
Repairs and maintenance 6,000
Interest on loan 10,000
Pharmacy sales 180,000
Diagnostic 85,000
Mortuary Services 9,400
Cafeteria and Canteen 4,650
Extension services 14,500
Furniture and office equipment (iv) 200,000 40,000
Medical equipment & accessories (iv & v) 420,000 120,000
Motor vehicles (iv) 120,000 20,000
Land and buildings (iv) 300,000 70,000
Bank and Cash 30,000
Receivable from National Health Insurance Scheme (vi) 65,000
Receivable from patients 15,000
Payables 26,000
Loan from foreign Institution (2028) (vii) 350,000
Inventory of drugs 22,000
Inventory of medical consumables 12,000
Accumulated Fund 336,210
Other expenses 13,000
1,447,660 1,447,660

Additional Information:
i) The hospital prepares its financial statements in accordance with the International Public Sector Accounting Standards (IPSAS), the Public Financial Management Act 2016, (Act 921), the Public Financial Management Regulation 2019, L.I 2378, and the current Chart of Accounts of the Government of Ghana.
ii) The Development Partner grants received from the Health Care Fund, an international organization that provides free medical care to the rural poor and vulnerable individuals, are typically unconditional. However, 40% of this year’s grant is subject to certain conditions, which had not been met as of December 31, 2023.
iii) Rent received in advance during the year amounted to GH¢20,000 while rent owed by the hospital for the year amounts to GH¢300,000.
iv) The hospital charges consumption of fixed assets on straight line basis as follows

Non-current Assets Estimated Useful Life
Furniture and office equipment 5 years
Medical equipment and accessories 4 years
Motor vehicles 5 years
Buildings 10 years

Land constitutes 30% of the amount of land and building shown in the trial balance.
v) A medical equipment valued at GH¢20,000,000 which is included in the medical equipment and accessories listed on the trial balance, was completely damaged due to consistent power fluctuations. The value of this equipment should be written off.
vi) The hospital submitted a claim of GH¢11,000,000 to the National Health Insurance Scheme for services provided to patients in the last quarter of 2023, but the payment has not yet been received. This transaction has not yet been reflected in the trial balance.
vii) The hospital took a loan of $100,000,000 from Health World Bank on January 1, 2023, when the exchange rate was $1 to GH¢3.50. The exchange rate on 31 December 2023 is $1 to GH¢5.
viii) The inventories on 31 December 2023 were as follows:

Inventory type Cost Net Realizable Value Current Replacement
GHc’000 GHc’000 GHc’000
Drugs 15,000 16,000 14,000
Medical consumables 10,000 11,000 9,000

Required:
Prepare for Hamile Teaching Hospital:
a) Statement of Financial Performance for the year ended 31 December 2023.

b) Statement of Financial Position as of 31 December 2023.

c) Disclosure notes to the financial statements.

A) Hamile Teaching Hospital
Statement of Financial Performance for the year ended 31 December 2023

Notes GHc’000 GHc’000
Revenues
Government Subvention 100,750
Grants and donation 1 9,600
Internally Generated Revenues 2 378,660
488,010
Expenses
Compensation for employees 3 69,200
Use of goods and Services 4 234,950
Consumption of fixed assets 5 205,000
Finance cost 10,000
Foreign Exchange difference 6 150,000
Other expenses 13,000
682,150
Deficit of operation (194,140)

Notes to the Statement of Financial Performance:

  1. Grants & Donation
    Donor grants: 16,000
    Transferred to deferred grant (40% * 16,000): (6,400)
    Total: 9,600
  2. Internally Generated Revenues
    Out-patient services fees: 35,000
    In-patient services fees: 40,000
    Rent (150 – 20): 130
    Pharmacy sales: 180,000
    Diagnostic: 85,000
    Mortuary Services: 9,400
    Cafeteria and Canteen: 4,650
    Extension services: 14,500
    Revenue receivable (NHIS): 11,000
    Total: 378,660
  3. Compensation for employees
    Established position salaries: 62,000
    Casual Labour: 5,600
    Limited engagements: 200
    Total: 69,200
  4. Use of Goods and Services
    Contract appointment (local and foreign): 1,400
    Rent (500 + 300): 800
    Insurance: 340
    Consultancy services: 120
    Conferences, workshops and training: 4,500
    Office expenses: 20,000
    Repairs and maintenance: 6,000
    Purchase of drugs (60,000 + 22,000 – 15,000): 67,000
    Purchase of medical consumable (80,000 + 12,000 – 9,000): 83,000
    Total: 234,950
  5. Consumption of fixed assets
    Furniture & Office Equipment: 40,000
    Medical equipment & accessories (100,000 + 20,000 write-off): 120,000
    Motor vehicles: 24,000
    Buildings: 21,000
    Total: 205,000
  6. Foreign Exchange difference
    Debt at 1/1/2023 ($1 = GH¢3.5 of $100,000): 350,000
    Debt at 31/12/2023 ($1 = GH¢5 of $100,000): 500,000
    Exchange difference: 150,000

    B) Hamile Teaching Hospital
    Statement of Financial Position as of 31 December 2023

    Note GHc’000 GHc’000
    Non-Current Assets
    Property, Plant and Equipment 5 585,000
    Current Assets
    Inventory 7 24,000
    Receivables 8 91,000
    Cash and cash equivalent 30,000
    145,000
    Total Assets 730,000
    Current Liabilities
    Payables 9 26,300
    Deposits (rent) 20
    Deferred grant 6,400
    32,720
    Non-current liabilities
    Loans 500,000
    Total Liabilities 532,720
    Funds
    Accumulated Fund 10 197,280
    Total Funds and Liabilities 730,000

    Notes to the Statement of Financial Position:
    5. Non-current Asset Schedule

    Furniture & Office Equip Medical Equip Motor Vehicles Land & Buildings Total
    GHc’000 GHc’000 GHc’000 GHc’000 GHc’000
    Cost 200,000 420,000 120,000 300,000 1,040,000
    Less: Acc Dep/impairment
    Balance b/f 40,000 120,000 20,000 70,000 250,000
    Write off (impairment) 20,000 20,000
    Charge for the year 40,000 100,000 24,000 21,000 185,000
    80,000 220,000 44,000 91,000 435,000
    Carrying amount 120,000 180,000 76,000 209,000 585,000

    NB: It has been assumed that the medical equipment that has been destroyed was acquired during the year and therefore there is no accumulated depreciation prior to the damage. However, all other assumptions such as pro-rated approach are equally correct since the question was silent on the true situation of the asset.

    1. Inventories
      Inventory of drugs: 15,000
      Inventory of medical consumables: 9,000
      Total: 24,000
    2. Receivables
      Receivables – NHIS per trial balance (65,000 + 11,000): 76,000
      Receivable from patients: 15,000
      Total: 91,000
    3. Payables
      Per trial balance: 26,000
      Rent accrued: 300
      Total: 26,300
    4. Statement of Changes in Net Asset and Equity
      Balance per Trial Balance: 336,210
      Deficit of operation: (194,140)
      Total: 197,280

      C) Notes to the Financial Statement Accounting policies

      1. Compliance with IPSAS and Financial Legislations
        The financial statements are prepared and presented in compliance with the International Public Sector Accounting Standards (IPSAS), the Public Financial Management Act 2016, Act 921 and the Public Financial Management Regulations 2019, L.I 2378.
      2. Accrual Basis of Accounting
        The Assembly, consistent with the IPSAS and the financial legislation, applies accrual basis of accounting to the preparation of the financial statements.
      3. Consumption of Fixed Assets
        The non-current assets are depreciated on straight-line basis as follows:

      Noncurrent assets Estimated Useful Life
      Furniture and office equipment 5 years
      Medical equipment and accessories 4 years
      Motor vehicles 5 years
      Land & Buildings (land constitutes 30%) 10 years

      During the year, a medical equipment worth GH¢20,000,000 was impaired and written off due to abrupt electricity fluctuations which damaged the equipment.

      1. Inventory valuation
        Two categories of inventory are included in the financial statement. Inventory of drugs is valued at lower of cost and net realizable value and inventory of medical consumable is valued at lower of cost and current replacement cost.
      2. Historical Cost
        Property, plant and equipment is measured at historical cost, which is the original consideration offered in exchange of the assets.
      3. Exchange rate
        The foreign transactions are translated using the closing rate method.