- 20 Marks
Question
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.
Answer
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:
- Grants & Donation
Donor grants: 16,000
Transferred to deferred grant (40% * 16,000): (6,400)
Total: 9,600 - 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 - Compensation for employees
Established position salaries: 62,000
Casual Labour: 5,600
Limited engagements: 200
Total: 69,200 - 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 - 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 - 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: 150,000B) Hamile Teaching Hospital
Statement of Financial Position as of 31 December 2023Note 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 ScheduleFurniture & 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.
- Inventories
Inventory of drugs: 15,000
Inventory of medical consumables: 9,000
Total: 24,000 - Receivables
Receivables – NHIS per trial balance (65,000 + 11,000): 76,000
Receivable from patients: 15,000
Total: 91,000 - Payables
Per trial balance: 26,000
Rent accrued: 300
Total: 26,300 - Statement of Changes in Net Asset and Equity
Balance per Trial Balance: 336,210
Deficit of operation: (194,140)
Total: 197,280C) Notes to the Financial Statement Accounting policies
- 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. - 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. - 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.
- 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. - Historical Cost
Property, plant and equipment is measured at historical cost, which is the original consideration offered in exchange of the assets. - Exchange rate
The foreign transactions are translated using the closing rate method.
- Compliance with IPSAS and Financial Legislations
- Inventories
- Uploader: Salamat Hamid