Below is a Trial Balance of Paja Teaching Hospital (PTH) under the Ministry of Health for the year ended 31 December 2023.

Debit (GH¢000) Credit (GH¢000)
Cash and Bank – GoG 3,400
Cash and Bank – IGF 72,200
Cash and Bank – Donor Funds 210,400
Undeposited Cash – IGF 4,000
Petty Cash 100
Investments 2,000
Debtors 661,400
Other Receivables 17,700
Withholding Tax
Trust Funds
Trade Payables
GoG Subsidy – Employee Compensation
GoG Subsidy – Goods & Services
Development Partners Programmes Receipt
Other Non-Operating Income
Medicines & Pharmaceuticals 433,900
Surgical 50,800
Medical 111,400
Investigation 140,900
OPD 238,400
Obstetrics and Gynaecology 135,300
Dental 8,300
Pediatrics 40,300
Ear, Nose & Throat 5,300
Eye Care 7,300
Mortuary 30,000
Ambulance Fees 300
Ophthalmology 3,000
Physiotherapy 3,300
Examination Fees 200
Dialysis 400
Feeding 30,400
Employee Compensation – GoG 3,912,500
Goods & Services – GoG 20,800
Employee Compensation – IGF 148,000
Goods & Services – IGF 978,500
Capital Expenditure – IGF 27,500
Goods & Services – Partners Fund 472,400
Accumulated Fund
Total 6,530,900

Additional Information:

  1. The hospital previously used modified accrual accounting but switched to IPSAS accrual basis in 2023.
  2. The hospital revalued legacy assets as follows:
    • Motor Vehicles: GH¢50,250,000
    • Buildings: GH¢120,540,000
    • Medical Equipment & Other Equipment: GH¢31,500,000
    • Land: GH¢15,000,000
  3. Gavi supported the hospital with GH¢200,000,000 in 2023, but 20% was allocated for Q1 of 2024. The Global Fund committed GH¢250,000,000, but only GH¢200,000,000 was received.
  4. NHIA rejected 10% of the hospital’s total claims of GH¢100,300,000.
  5. Parliament approved a write-off of GH¢20,225,000 for unpaid hospital services.
  6. The capital expenditure consists of:
    • Medical Equipment: GH¢19,236,000
    • Furniture & Fittings: GH¢8,264,000
  7. Depreciation Policy (Straight-Line Basis):
    • Building: 5%
    • Motor Vehicle: 20%
    • Medical Equipment: 10%
    • Furniture & Fitting: 25%
  8. Year-end inventory values:
Inventory Type Cost (GH¢000) Replacement Cost (GH¢000) Net Realisable Value (GH¢000)
Medicines (for resale) 146,800 176,100 132,100
Medical Consumables (For use on clients) 29,400 33,800 30,800
Office Consumables 19,600 29,400 18,600

Required:

In compliance with IPSAS, the PFM Act, and the Government of Ghana Chart of Accounts, prepare:
a) A Statement of Financial Performance for Paja Teaching Hospital for the year ended 31 December 2023.

Paja Teaching Hospital

Statement of Financial Performance for the Year Ended 31 December 2023

Revenue GH¢000
Government Subvention 3,934,500
Internally Generated Revenue 1,230,970
Grants 571,900
Total Revenue 5,737,370
Expenditure GH¢000
Compensation of Employees 4,060,500
Goods and Services 1,290,600
Consumption of Fixed Assets 23,212
Other Expenses (Write-offs) 20,225
Total Expenditure (5,394,537)

| Net Surplus for the Year | 342,833 |

Workings:

  1. Government Subvention:
    • Employee Compensation: GH¢3,912,500
    • Goods & Services: GH¢22,000
    • Total: GH¢3,934,500
  2. Internally Generated Revenue:
    • Medicines, OPD, Surgical, etc.: GH¢1,230,970
    • Adjusted NHIA Claims: (10,030)
  3. Grants:
    • Development Partners Programmes: GH¢561,900
    • Deferred Grant (Gavi – 20% deferred): (40,000)
    • Outstanding Grant (Global Fund): GH¢50,000
  4. Compensation of Employees:
    • Government Subvention: GH¢3,912,500
    • Internally Generated Revenue: GH¢148,000
    • Total: GH¢4,060,500
  5. Goods & Services:
    • GoG & IGF: GH¢1,472,400
    • Less: Closing Inventory (181,100)
    • Total: GH¢1,290,600
  6. Consumption of Fixed Assets (Depreciation):
    • Motor Vehicles: GH¢10,050
    • Buildings: GH¢6,027
    • Medical Equipment: GH¢3,150
    • Furniture & Fittings: GH¢4,985
    • Total: GH¢23,212
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