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WorksheetsChapter 3
Total questions: 135
Worksheet time: 1hrs 8mins
The staff person responsible for ensuring that the business office runs smoothly is, in the final analysis, ____.
Corporate finance director
The administrator
Business office staff
Facility treasurer
In general, the ownership patterns for U.S. nursing facilities in 2006 ____.
Were unstable
Varied widely from state to state
Were somewhat stable
Were unchanged from 89 years earlier
Generating reports on the financial standing of the nursing facility is generally assigned to ____.
The accountant
The director of finance
The administrative assistant
The chief financial officer (CFO)
Responsibility and blame for overspending in the department of nursing and in food services are typically assigned by the owners to the ____.
Director of nursing and director of food services
Director of nursing and the dietitian
Chief financial officer
Administrator
A set of records that lists each monetary transaction of the facility is normally referred to as ____.
The books
Financial statements
Monetary records
Income and revenue statement
The primary purpose of the Generally Accepted Accounting Principles is to ____.
Guarantee honesty among providers
Maximize comparability of financial statements of different organizations
Create a single view among financial managers
Protect the owners
An owner who takes unrecorded cash from the facility’s daily cash intake to purchase a tablet for his daughter to use at college has violated the ____ concept.
Consistency
Entity
Time period
Objective evidence
Instructing the financial manager to record assets at current market value and to not record patient bills expected to become uncollectible violates the ____ concept.
Entity
Good faith
Time period
Consistency
Telling the accountant not to record overtime paid from the cash box to employees working weekends is violating the ____ concept.
Ongoing concern
Entity
Full disclosure
Time period
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 ____ concept.
Ongoing concern
Time period
Conservation
Entity
Allowing the bookkeeper to destroy vouchers showing payments made for meals to employees once these are recorded may violate the ____ concept.
Objective evidence
Consistency
Time period
Entity
Pieces of paper indicating money owed to or by the facility, bank statements, and similar pieces of paper or their electronic equivalents are known as ____.
Paper trail
Source documents
Bill of lading
Records
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 ____ system of accounting.
Cash
Implied
No-fault
Accrual
It is difficult to recognize items such as depreciation and prepaid insurance in the ____ system of accounting.
Accrual
Simplified
Cash
Income and expense
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 ____ approach to accounting.
Accrual
Cash
Simplified
Advanced
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 ____ system of accounting.
Accrual
Cash
Income and loss
Advanced electronic
A summary of the nursing home’s financial well-being within a time period is normally referred to as ____.
The financial statements
Profit and loss
Notes to changes in financial condition
Statements of change
If the administrator asked the bookkeeper for a list containing every account in the facility, the bookkeeper would hand the administrator the ____.
Books
Financial report
Chart of accounts
General journal
Things owned by the facility are normally referred to as ____.
Debentures
Assets
Possessions
Tangibles
Things owed by the facility, its obligations, are normally referred to as ____.
Capital
Unpaid bills
Invoices
Liabilities
Money invested in the facility, also known as the facility’s net worth, is normally referred to as ____.
Stock
Collateral
Capital
Income stream
If the administrator asks the accountant for the journals, the administrator wants to look at ____.
The original entries
The assets
The debits
Current summaries of income and outgo
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 accounts payable journal. The administrator should _____.
Compliment the accountant
Ask for last year's books to be conformed to the new system
Begin a search for a new accountant
Ask that these purchases be transferred to the general journal
Making a debit and a credit entry for each transaction is known as the _____ system of accounting.
Single/double
Systematic
Alternate
Double-entry
Under double-entry bookkeeping, when a bill is sent to a client for 3,000forthepastmonth′scare,thebookkeeperwouldnormallyrecord 3,000 in the debit column as an increase in assets and _____.
Record $3,000 on the credit side as an increase in revenue
Record $3,000 as received
Wait for the payment before entering further data
Enter an estimate of when the bill will be paid
Using accrual accounting, purchase of a 6‑month supply of provisions would be entered into the _____.
Billings journal
Cash receipts journal
General journal
Credit side of the ledger
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 _____.
A mistake
An adjusting entry
An inappropriate entry
A good accounting judgment
When errors are discovered in other journals, they can be corrected by entries into the _____.
Support records
Ledger
Cash receipts journal
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 _____ to the administrator.
General journal
General ledger
Financial statements
Debits and credits listing
At the end of a time period, when debits do not match credits exactly, the accountant can first assume that an error has been made in _____.
Recording transactions
Entering debits
Entering credits
Source documents
The Generally Accepted Accounting Principles (GAAP) do not normally require financial statements prepared for general distribution to include _____.
Income statement, or profit/loss statement
Balance sheet, or statement of financial position
Statement of changes in financial position
Chart of accounts
The income statement shows whether _____ were sufficient to cover expenses.
Charges
Revenues
Debts
Retained earnings
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 _____.
Be pleased with the decisions
Forward the report to corporate headquarters
Rewrite the report
Look for a new accountant
At the end of a time period, total expenses are subtracted from total revenues to compute the _____.
Net income, or profit or loss
Approximate income
Adjusted income margin
Operating income
The accountant, upon successfully bringing the expense and revenue accounts to zero, has successfully _____.
Calculated profit
Calculated losses
Closed the books
Completed the financial statements
When the administrator asks the chief financial officer (CFO) for a statement showing the ending balance of the revenue and expense accounts, the CFO should hand the _____ to the administrator.
Income statement
Balance sheet
General ledger
General journal
A financial statement in which the assets must equal the liability and capital accounts is known as the _____.
Ending statement
Final statement
Balance sheet
Financial statement
Any possession of the facility that will be or could be turned into cash within 12 months is a _____.
Noncurrent asset
Current asset
Benefit
Positive asset
Because 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
Current cost
Original cost
Projected value
Depreciation is an expense associated with the use of _____.
A purchase
An asset
Land
A specified purchase
Bills from suppliers of foodstuffs or office supplies or janitorial services contractors are normally classified as among the _____.
Current liabilities
Accounts due
Invoices
Bills of lading
When an administrator notes that there are $600,000 in notes payable on the financial reports, the administrator knows these must be paid within _____.
6 months
1 year
1 month
90 days
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 _____.
Net worth
Bottom line
Final value
Financial liabilities
Except for for‑profit facilities paying taxes and the not‑for‑profit facility not paying income taxes, there are _____ in accounting and financial processes.
Only a few significant differences
No real differences
No real similarities
Increasingly fewer similarities
Not having to pay taxes gives not‑for‑profit facilities a slight _____.
Disadvantage
A competitive edge
Increase in more incentives
A large investment opportunities
The certified public accountant's end‑of‑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 owners would likely be _____.
Very pleased with facility performance
Very displeased with facility performance
Generally satisfied
Neutral
When asked whether funds are readily available for a 75,000purchaseandtheaccountantrespondsthatthenetworthiswellover 800,000 and to go ahead with the purchase, the administrator should _____. (p. 231)
Ask for a statement of working capital
Make the purchase
Seek a vertical analysis
Amortize the purchase
When the amount of current assets remaining after current liabilities have been subtracted is calculated, the administrator has an idea of the _____ available to be spent. (p. 231)
Capital
Net worth
Working capital
Assets
When the CFO identifies trends in measures of financial performance of the facility by comparing the same relationships for several time periods he is doing _____. (p. 232)
Comparison analyses
Time period analyses
Ratio analyses
Trade-off comparisons
A facility has current assets of 403,898andcurrentliabilitiesof 367,000. Its current ratio is _____. (p. 232)
9
3
1.1
2.1
A 1-year-old, 120-bed for-profit facility with a 2,500,000mortgageat7.4 25,000. In today’s financial market, the owners would likely be _____. (p. 234)
Very pleased
Very displeased
Seeking to sell the facility as a result
Seeking to refinance as a result
Ratios, to be truly useful, should be _____. (p. 232)
Used to measure over time
Compared with industry averages over time
In simple mathematical terms
Compared to expected future ratios
The new administrator in a private pay for-profit facility is told by the accountant that the accounts receivable are 105,800andthenetoperatingrevenuesare 334,000. On calculating the average collection period ratio, which turns out to be _____ days, the administrator should be _____. (p. 234)
29/pleased
20/displeased
115/pleased
115/upset
A 12-year-old facility, largely out of debt, has 334,693inoperatingrevenuesand 339,078 in operating expenses, yielding a net operating margin ratio of _____. The owners of this facility would likely feel this to be _____. (p. 234)
0.013/unacceptable
0.013/acceptable
8.013/unacceptable
8.013/acceptable
A facility with long-term debt of 4,000,000andatotalequityof 3,000,000 has a debt-to-equity ratio of _____, which is _____ the industry average. (p. 234)
1.33/considerably above
1.33/considerably below
2.33/far above
2.33/well below
Trends and patterns in the operation of a nursing facility can best be obtained by doing _____. (p. 236)
Ratio analyses
Vertical analyses
Ratio and vertical analyses over time
Ratio and vertical analyses
To safeguard the finances of a facility, procedures should be arranged to establish a system of _____ so that employees review each other’s financial activities. (p. 238)
Checks
Dual bookkeeping
Checks and balances
Antitheft devices
A useful form that summarizes the facility’s occupancy, listing daily admissions, discharges, and transfers is known as the _____. (p. 239)
Daily census form
Headcount
Weekly census report
Occupancy ratio
At the end of each year for facilities participating in Medicare, a Medicare Cost Reconciliation settlement occurs, in which _____. (p. 245)
The facility receives additional money
The facility pays out additional money
The facility receives or pays back money
A flat rate per patient per month is paid the facility
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 _____. (p. 246)
Be pleased with the smoothness of the working relationship
Compliment the contractor for an efficient delivery
Be upset
Continue to enjoy his or her cup of coffee
Perhaps the only way to maintain an accurate count of supplies consumed and those remaining is to use _____. (p. 250)
A computer program
A hand-counted inventory system
A receipt inventory system
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 _____. (p. 251)
Higher
Lower
About the same
At market value
The largest directly controllable cost for the average administrator is _____. (p. 252)
Inventory/supplies
Labor
Long-term debt financing costs
Short-term debt financing costs
Payroll deductions are subtracted from _____ to arrive at the employee’s _____ pay. (p. 252)
Net/gross
Total/net
Gross/net
Overall/take home
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 _____ and will not be converted into _____ within the year. (p. 256)
One time period/cash
Two time periods/debt
A balance sheet period/securities
Three years/cash
On 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 _____. (p. 256)
Sharp and on the ball
Not serving the facility well
Overestimating historical costs
Doing okay, all things considered
One practical reason for using straight line depreciation is that _____. (p. 257)
It brings the fastest write-off
It is the only fully acceptable method
Most third-party payers require it
It has the approval of the Internal Revenue Service (IRS)
Congress’ purpose for passing accelerated depreciation was to _____ of new facilities. (p. 257)
Discourage overbuilding
Encourage more building
Regulate construction
Deregulate construction
As a practical matter, most owners do not fund depreciation and treat it as _____. (p. 258)
Money available to the facility to spend
Money to be placed in reserve
A fiction
A useless set of required calculations
Using several differing depreciation schedules for a single piece of equipment is _____ as an accounting behavior. (p. 259)
Unacceptable
Quite acceptable
Risky
Illegal
Land _____ is a depreciable asset. (p. 229)
Never
Sometimes
For for-profit facilities
For nonprofit facilities
Medical supplies, food supplies, and postage for billing residents are ____ costs.
Fixed
Variable
Semi-variable
Break-even
The salary of the director of nursing and the administrator are examples of ____ costs.
Fixed
Variable
Semi-variable
Proportionate
In a facility having high fixed costs the pressure to keep beds filled is ____ in facilities with low fixed costs.
About the same as
Stronger than
Weaker than
More moderate than
For in-facility services such as physical therapy it is important to calculate the ____ cost in order to better analyze the cost-effectiveness of such services.
Total
Break-even
Minimum
Maximum
Nursing and physical therapy are normally thought of as ____ centers.
Cost
Loss
Revenue
Break-even
A financial analysis that yields to the administrator a representative picture of the entire expense of providing a service (for example, offering adult day care services) is known as ____.
Value analysis
Revenue analysis
Cost finding
Center analysis
Only when appropriate ____ has been achieved can an accurate job of ____ be accomplished.
Information/gathering cost setting
Cost finding/rate setting
Expense reporting/estimating income
Tax analysis/cost 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) ____ budget and a ____ budget.
Capital/cash
Expense/revenue
Expense/balanced
Cash/capital
Because income and expenses vary from time period to time period, it is desirable to project a ____ budget.
Cash
Balanced
Forecasted
Capital
Plans for expenditures for buildings, major equipment, and the like are normally part of the ____ budget.
Cash
Revenue
Expense
Capital
A method of measuring the potential profitability of an investment, calculated by dividing the net income by the investment, is the ____.
Activity-based costing
ARR (accounting rate of return)
Profit ratio
Profit assurance calculation
A revision of an accounting forecast or assumption about the facility’s expected or experienced performance is a(an) ____.
Change in accounting estimate
Change in performance
Review
Accountant’s revision
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 ____.
Intangible asset
Sign
Brand mark
Original art
The administrator decides to offer newer forms of physical therapy that reduce use of currently used physical therapy methods. The administrator has ____ the current methods.
Reduced the competitive advantage of
Cannibalized
Reduced
Usurped
A market that is so competitive that all its participants have virtually no control over price is known as ____.
Niche marketing
No holds barred competition
Perfect competition
Imperfect markets
The administrator asks the business manager to divide the net income after any taxes by the noncurrent liabilities plus owners’ equity. The administrator wants the ____.
Best income estimate
Return on invested capital estimate
Probability estimate
Best productivity achievable
A method of determining the optimum amount of materials that needs to be ordered on a regular basis is known as the ____.
Best ordering method
Ordering queue
Economic order quantity
Inventory control procedure
When governments use their powers to keep the price either above or below the equilibrium point it is known as ____.
Market interference
Government control
Price controls
Government rule
Short-term securities (2 days to 270 days) issued by corporations, banks, and other borrowing institutions to raise short-term working capital is known as ____.
Securities fraud
Commercial paper
Short-term bonds
Notes payable
The administrator asks the bank for an instrument stating that the bank that has granted the holder the amount of credit equal to the face amount wants a ____.
Short-term loan
Long-term loan
Letter of credit
Letter of assurance
The facility has issued a debt obligation to pay a specific amount on a stated date. The facility has issued ____.
Letters of credit
Notes
Bonds
Financial instruments
When the financial manager classifies an expense as an asset because it benefits the facility for more than 1 year, the financial manager has ____ that expense.
Adjusted
Reduced
Spread
Capitalized
The administrator wishes to lease a building and acquire substantial property rights in the process. The administrator seeks ____.
A leasehold
A long-term lease
A capital lease
Refinancing
The administrator has borrowed cash for an agreed upon purpose between a lender and borrower. The administrator now has a ____.
Legal obligation
Bond
Note
Capital asset
The chain issues stocks and bonds that can be converted into capital stock at some future date. It has issued ____.
Convertible bonds
Convertible securities
Quasi-bonds
Quasi-bonds and quasi-stocks
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) ____.
Reverse split
Buy-back
Buy-down
Illegal move
The administrator seeks to be licensed without having to meet all the conditions new entrants would have to meet. The administrator seeks to be ____.
Grandfathered
Granted concessions
Avoiding current requirements
Advancing him- or herself
The administrator holds a number of assets, such as bonds or easily sold stock, as investments. The administrator has substantial ____.
Sources of income
Riches
Good investments
Cash equivalents
The instrument that creates a corporation under the laws of a state is known as the ____.
Registration
Certificate
Statement of incorporation
Articles of incorporation
The three owners hold all the shares in the facility. They have a ____.
Cash cow
Profitable operation
Semipublic corporation
Privately held company
Statutes are laws _____. (p. 274)
Known as common law
Made by judges
Passed by cities
Passed by legislatures
Normally, courts of appeal do not have _____. (p. 276)
Criminal jurisdiction
Original jurisdiction
Criminal law enforcement authority
Authority to hear misdemeanors
Statutes and subsequent regulations are collected in _____. (p. 275)
The Code
Constitutional amendments
The federal requirements
Law books
Generally, the lowest level of the court system is the _____ court. (p. 275)
Circuit
Criminal
Civil
Magistrate's
To set a person or corporation free of accusations is to _____. (p. 276)
Enjoin
Acquit
Consent
Motion
A statement in writing given under oath before a notary public is an _____. (p. 276)
Affidavit
Affirmation
Appeal
Appearance
The coming into court of a person being summoned to do so is a(an) _____. (p. 277)
Appeal
Discovery
Appearance
Injunction
An impartial person chosen by the parties to an argument who agree to abide by that person’s decision is a(an) _____. (p. 277)
Arbitrator
Adjudicator
Civil judge
Attorney at law
A Latin phrase meaning to stand by earlier court decisions is _____. (p. 279)
Stare decisis
Res judicata
Res ipsa loquitur
Respondeat superior
A verdict given by a jury at the direction of a judge is a(an) _____. (p. 278)
Directed verdict
Dismissal
Indictment
Injunction
An application to the court asking for an action favorable to one’s side is _____. (p. 279)
A witnessing
A motion
An application to the court
A plea bargain
When the employee is acting within the control or scope of the employer, the employer is responsible for the acts of the employee under the concept of _____. (p. 282)
Contractor–employee relations
Strict liability
A subcontractor relationship
Borrowed servant
A written publication that exposes someone to public scorn, hatred, contempt, or ridicule is _____. (p. 278)
Libel
Slander
An aggrieved party
An assault
An early step in a criminal procedure during which the defendant is formally charged with an offense is a(an) _____. (p. 277)
Discovery
Arraignment
Adjudication
Action
Conduct giving rise to a cause for legal action is _____. (p. 276)
Actionable
An adjudication
An appeal
An indictment
When parties to a lawsuit who are dissatisfied with the court’s decision ask a higher court to review the decision, it is known as a(an) _____. (p. 276)
Appeal
Arbitration
Respondeat superior
Stare decisis
A district attorney may bring assault charges for the purpose of _____. (p. 280)
Revenge
Punishment
Monetary award
Defamation
Damages for proven losses are known as _____ damages. (p. 277)
Actual
Exemplary
Incidental
Punitive
A fee paid in advance to an attorney for services on a case is known as a _____. (p. 280)
Lien
Prepayment
Retainer
Reward
A concept in torts used as a defense by the defendant against the plaintiff is an assumption of _____. (p. 278)
The risk
Innocence
Guilt
Fraud
Consent given after full information regarding the matter has been provided is known as _____ consent. (p. 277)
Informed
Individual
Intended
Personal
Spoken statements leading to actual damages implying crime, or unchastity, or relating to a person’s profession or business are known as _____. (p. 278)
Libel
Slander
Exemplary damages
Consequential damages
A reckless disregard for human life, a state of mind that accompanies a wrongful act in which the resulting harm was intended, is known as _____. (p. 278)
Malice
Comparative negligence
A heinous act
Contempt
A public official, either elected or appointed, who conducts cases against persons accused of crimes is known as a _____. (p. 279)
Lawyer
Prosecutor
Judge
Bailiff
A written order from a judge permitting certain law enforcement officers to look for certain things or persons is a _____. (p. 280)
Retainer
Search certificate
Search and rescue
Search warrant
A person who gives evidence before a court and swears that testimony is true is a _____. (p. 281)
Clerk of court
Bailiff
Sheriff
Witness
A _____ exists when a legal duty is owed another, that duty is breached, and harm results. (p. 280)
Tort
Lien
Deposition
Warrant
A written order from a judge having authority in that jurisdiction for the arrest of a person is known as a _____. (p. 281)
Tort
Summons
Warrant
Directed verdict
The concept, in both civil and criminal law, that the employer is responsible without the employee having to show employer fault, and that normally applies to an ultra-hazardous situation is _____. (p. 282)
Scope of employment
Respondeat superior
Contractor
Strict liability
The range of employee activities held by the courts to be the legal responsibility of the employer, essentially any act performed in the process of carrying out one's duties, is known as _____. (p. 282)
Scope of employment
Range of job activities
Employee job assignments
Zone of employment
Laws that generally establish employer responsibility without regard to fault or negligence for employees' illnesses or injuries that arise out of performance of the job are known as _____. (p. 282)
Worker's Compensation Act
Employer's Liability Act
Worker Insurance Program
Worker Protection Act
Statutes in various states setting forth the extent to which employers are liable in regard to their employees are _____. (p. 282)
Employer's Liability Acts
Borrowed Servant Acts
Contractor Acts
Employee's Rights Laws
Under the concept of respondeat superior, the administration of the facility is as _____ responsible for the acts of contracted services as for acts of full-time employees. (p. 282)
Partially
Legally
All too often
Too infrequently
It normally falls to the _____ to ensure that contracted services are coordinated and supervised on an ongoing basis. (p. 295)
Business office
Corporate office
Regional administrator
Administrator
