Financial Pt 1 - 17 % Flashcards

1
Q

Maximizing inventory turnover is key strategy in creating an efficient and profitable inventory system. Name four ways to increase your inventory turnover.

A

1)Product consolidation
2) Order quantities that make sense
3) Measure and increase compliance
4) Doctor and Staff product education

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2
Q

What is a “Chart of Accounts” -

A

Systematic listing of all account names and numbers used by a company. It is recommended that practices include on the Chart of Accounts only those they will use in the normal course of business.

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3
Q

What is a “Profit and Loss Statement” -

A

The Profit and Loss statement is also known as the Income Statement. The Profit and Loss Statement (P&L) is the core financial report, which covers a specific period of time and reports revenue minus expenses to show the net income during that period. (Generally no less than 1 month).

Revenue - Expenses = net income during that period.

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4
Q

What is a “Balance Sheet” -

A

The Balance Sheet is a statement of the financial condition of the practice listing its assets, liabilities, and owner’s equity. It is measured at a specific point in time only. It doesn’t forecast and it provides no historical function. It provides all of the information to create the accounting equation ……. Assets = Liabilities + Owner equity.

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5
Q

What is a “Cash Flow Statement” -

A

Shows where the cash in the practice comes from and how it is used.

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6
Q

What is “Net Income (profit) “ -

A

Is determined when the expenses are subtracted from the income , with the obvious goal of having a positive number as the result. According to the AVMA the average net income general practice produces in a given year is 10% - 12%. Managers must maximize income and minimize expenses to achieve that goal.

*Profit trumps revenue to an extent especially when you are looking at the bottom line as to how healthy your hospital is.

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7
Q

What is “Intangible property” -

A

Non-physical property that has value. Examples are copyrights, goodwill, and non-compete agreements.

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8
Q

What are “Assets” -

A

Assets are everything of value owned by the practice. Assets can be tangible such as land, equipment, inventory, lease hold improvements. Or they can be intangible such a computer software licenses, copyrights, covenants not to compete or even client or community goodwill (What do you mean to the clients and community - there is a value to that).

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9
Q

Describe current assets -

A

Current assets are items that will be consumed within a short period of time, often a year.

*Inventory is considered a current asset.

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10
Q

What are fixed or long term assets -

A

Fixed or Long Term Assets are extended longer than a year.

Ex - Your building and your land (assuming your practice isn’t leasing), your equipment, and some intangibles such as those copyrights and goodwills (those last, those aren’t quick fixes).

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11
Q

What are “Liabilities” -

A

Liabilities are practice debts or money owned to lenders or other parties. They can include short term liabilities such as accounts payable, as well as long term liabilities like a mortgage on the practice.

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12
Q

What is “Equity” —

A

Equity is assets minus liability. In theory ; it shows the net worth of the practice. Equity is sometimes referred to as a net book value.

Assets - liability = Equity.

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13
Q

Describe “Cost of Goods Sold (COGS) -

A

Cost of Goods Sold (COGS) is defined as the products used to produce a service for the client, or products sold to clients.

Cost of Goods Sold is generally considered a variable expense that follows a very serious current trend of business at your practice. *The more patients seen, diagnosed, and treated, the higher your cost of supplies.

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14
Q

What are the four major areas of a Financial Statement ?

A

1) The Theories
2) The Purpose
3) The Practicality
4) The Effect

The next, and most important step, is using the financial statements as a management tool to make sound and thoughtful business decisions.

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15
Q

1 Theories of Financial Statements - areas of a Financial Statement

What is cashed base accounting?

A

Cashed Based Accounting Recognizes revenue when cash is received and recognizes expenses when they are paid. This method allows for a more clear vision of day to day operations. It is important when running on a cash based system that the practices expenses are paid in a timely manner to avoid overstating its net income.

The majority of practices use cash-based accounting. (SINGLE OWNER PRACTICES, NOT CORPORATE)

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16
Q

1 Theories of Financial Statements -

Accrual Based Accounting (Usually used by corporate practices - very few self owned practices use this form of accounting due to its complexity). The IRS requires this method for all companies with a gross revenue of over 10 million dollars annually.

Accrual Based Accounting - recognizes revenue when it is earned and expenses when they are incurred. When goods are received, and services are performed. **As a general rule accrual based accounting is considered more accurate. **Does a poor job of tracking cash for the practice.

A

Let’s say that you purchased a large stock order of HWP for $3000.00 in June. Let’s say that you sold all of the HWP in June, July, and August for $6500.00. Under the accrual method of accounting, you would show sales of $6500.00 and expenses of $3000.00 which would result in a net profit of $3500.00 ($6500 - $3000) for the month of June. Since sales and purchased count immediately, you can record them on your books immediately and show the actual profit made for the month of June.

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17
Q

The Purpose #2 - areas of a Financial Statement

Understanding the purpose - Financial reports enable ownership and management to properly review what has happened in the period being measured.

A

Some considerations:

  • Thorough review of the financial statements should be part of the monthly routine of the owner and manager of the practice. Key employees and department heads should also be part of the review.
  • Statements may be segmented by department, for example a separate income statement exclusively for boarding to isolate that department as a “Stand-alone” profit center.
  • One purpose of the financial statements is to understand the past performance of the practice and use past performance as a basis for future trends.
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18
Q

Understanding Financial Statements -

#3 the Practicality - areas of a Financial Statement

A

Basic financial statement review will identify trends or may recognize problems or issues that need attention.

Applying a day-to-day approach to financial statements is not only beneficial butt necessary to running a successful practice.

The practice owner should not be apprehensive about a lack of extensive accounting training or knowledge.

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19
Q

The Effect #4 - areas of a Financial Statement

Financial statements provide information about many things and enable the financial performance of the practice to be measured in historical and prospective terms.

A

One example of a possible effect of financial statement review is realizing higher than expected expenses which would warrant further investigation. Without regular financial statement review expenses could become out of control without noticing and being able to implement strategies to reverse it.

**It is insufficient to just accurately report financial performance. The next, and most important step, is using the financial statements as a management tool to make sound and thoughtful business decisions.

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20
Q

The Income Statement (profit and loss statement or P & L) - Is the most important of the financial statements.

A

Beginning with the entry of income and entry of expenses that are subtracted from the income to show a profit or loss.

It is important that the income statement (profit and loss or P&L ) sheet is detailed as possible to aid in determining where inconsistencies may lie by comparing benchmarks.

All entries must be entered consistently in the correct “category” (more about chart of accounts in section 5.08), in order to be able to compare income Vs expense for each income center to be sure they are producing an acceptable profit.

**THE LINE ITEMS OF THE INCOME STATEMENT/ PROFIT AND LOSS/ P&L ARE COMPARED BY PRESENTING BOTH PRIOR YEAR AND CURRENT YEAR UNDER REVIEW.

Stating expenses as a percentage of revenue is an extremely valuable tool to ensure accurate interpretation and comparing to historical performance. Percentages will give a more accurate picture than dollar amounts.

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21
Q

What is an expense?

A

Any outflow of money that is owed to another company to pay for a service or product.

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22
Q

________________in general they are a set cost to the hospital and do not fluctuate with how busy the practice may or may not be.

An example would be rent, most utilities, medical insurance, managers salary, a doctors salary.

A

This would be a fixed expense.

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23
Q

_____________ will change with the amount of business produced by the practice.

Example would be COGS (cost of goods sold…example the # of vaccines is variable depending on the amount of business the practice experiences), DVM wages if paid on production, Staff payroll.

A

This would be variable expense.

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24
Q

What are the three steps in analyzing P&Ls when unexpected figures are present?

A

1)Compare percentages ( if you are a whole lot busier or slower this year than you were last year you might have spent a whole lot more or a whole lot less dollars in a category, but if the percentages remain constant your looking pretty good)
2) Ask questions of the percentages (Do they look correct, did the percentages change)
3) Implement Change ( if you can based on the information from your P&L)

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25
Q

Comparing Income and Expense Center on the P&L - if a center is not managed, it cannot be improved.

Steps to take to evaluate the profitability of a service:

*Gross revenue per month (or year) of the specific service.
*Square footage used by the service
*Fixed costs per square foot for service.

A

Example:

1) Dental center produced $9889.45 and used 100sq ft of the practice.
2) Fixed cost are $1583.33 /month
3) Variable costs are $525.39 / month
4) Net income for the center is $7880.73

Equipment used for this category is in with fixed costs

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26
Q

Financial Report Construction and Details of the Balance Sheet (Also know as the Statement of Financial Condition of the Practice)

The Balance Sheet -

*Summarizes assets, liabilities, and equities of the practice at the time of the statement and offers no historical figures.

*Represents the very basic accounting equation of
Assets = Liability + Owner Equity
*Balance sheets may require the assistance of an accountant to complete.

**Although real estate may be increasing in value, this increase is generally not represented on the balance sheet **

A

Financial Report Construction and Details of the Balance Sheet (Also know as the Statement of Financial Condition of the Practice)

The Balance Sheet -

*Summarizes assets, liabilities, and equities of the practice at the time of the statement and offers no historical figures.

*Represents the very basic accounting equation of
Assets = Liability + Owner Equity
*Balance sheets may require the assistance of an accountant to complete.

**Although real estate may be increasing in value, this increase is generally not represented on the balance sheet **

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27
Q

__________________ are things of value such as cash, equipment, inventory or buildings.

A

Assets.

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28
Q

_______________ is the practice debts; money owed to the creditors.

A

Liabilities.

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29
Q

_________________ is the owners claim on the practice assets; portion of the practice assets that belongs to the owner not the creditor.

A

Owner Equity.

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30
Q

Financial Report Construction and Details of the Cash Flow Sheet - (Cash flow sheet is rarely used. Slightly more complicated to create.

**illustrates the cash that has been generated by the business minus the cash that has flowed out of the business, rendering the cash total at the end of the year.

**The Cash Flow Statement seems to be rarely used, and some reasons include that they can be slightly more complicated to create, and also because the information is not much different from the P&L….

A

Except as author Pendergast states : Managers are often under the impression that the bottom line on a Profit and Loss statement should equal the balance that is in the checking account wich is actually not true. There is a lot of reasons for that, inventory has been purchased but not sold yet. Accounts receivable hasn’t been settled yet, expenses have been paid but they haven’t cleared the checking account yet…. So on and so forth.

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31
Q

The Financial reporting process — Reports should be generated within _________ business days after the end of the month.

A

5-10 business days.

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32
Q

The financial reporting process -

A

Timeliness - reports should contain recent historical results and be created quickly at the end of the reporting period.

Accuracy - Reliable and accurate data is essential if financial statements are to be useful for decision making. **Accuracy is ensured through an independent audit

Simplicity - The typical veterinary practice should use reports that are east to interpret.

Sufficiently Detailed - maintain simplicity while being sufficiently detailed to aid decision making.

Analytical - the information should be worthy of analysis containing data from the previous year (or other comparison period) and also industry benchmarks and budgets.

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33
Q

Financial Analysis Perspectives - what are principles to consider when analyzing finances?

A

*Safeguarding assets - assets should be protected and should be accounted for.

*Pricing/Fee Structure - is it adequate? (Poorly calculated pricing can absolutely cripple your revenue).

*Cost evaluation - consider the cost of services and sales.

*Procurement of Capital (financing and/ or investors) - obtaining resources from the owners and creditors, repaying borrowed amounts, and assuring and measuring owners return on investment.

*Incremental performance - can be itemized via departments of profit centers. The key ingredients of measuring incremental performance included; change in costs, cash flow, profit, and/or investment in that category.

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34
Q

Financial Analysis Perspectives - Principles to consider when analyzing finances.

A

*Accountability via departmentalization - profit centers (such as boarding, grooming, retail sales) that have THEIR OWN STATEMENT OF PERFORMANCE may offer additional insights into the profitability of the various centers.

*Profitability analysis - there is true profitability for measuring fiscal health and then the profitability numbers used for tax purposes. When measuring true profitability take into consideration ; depreciation of assets, owner compensation, rent to owner, and any discretionary expenses.

*Return on capital analysis - (Minus) income/average total assets = returns on capital %
Typically measured before interest, taxes, depreciation, and amortization.

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35
Q

Key Performance Indicators (KPI) - basic statistics used to measure performance, compare benchmarks, and identify and explain changes. KPIs are usually entered into a spreadsheet that compares the same period from the previous year. A practice can measure /track and KPI that is helpful. **Measure what matters to you and what you can do something about.

A

The common KPIs Include:

*Total revenue and total transaction by month.
*Average transaction charge by month.
*New client and lost clients by month.
*Revenue, transactions, and average transaction charge per DVM per month.
*Accounts receivable by age classification (30, 60, 90 days)

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36
Q

Final Considerations Regarding Financial Analysis -

A

*Percentage statement analysis - all expenses should be stated as a percentage of revenue on the income statement and should be compared with benchmarks, prior periods, and budget performance.

*Variance analysis - Identifies the variance of a financial metric and may help explain why.
Example; wage expense that is significantly over budget will prompt investigation.

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37
Q

Final Considerations Regarding Financial Analysis -

*Ratios - represent financial relationships between various financial metrics.
Examples include;

A

Net Profit Margin = practice profit / practice revenue. Measures simple profit of the practice. A higher value indicates more revenue that falls to the bottom line instead of being consumed by expenses.

Gross Profit Margin = gross profit/ revenue. Measure how much profit is in a product or service.

Average Transaction Charge = practice revenue/ practice transactions. Ideally should be continually increasing.

Revenue per full time DVM = Practice revenue / full time DVMs

Accounts receivable Turn-over = credit sales/ average accounts receivable. A higher number is better as it indicates the accounts receivable balance is converted to cash more often (This is your goal)

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38
Q

Net Profit Margin - Measures simple profit of the practice. A higher value indicates more revenue that falls to the bottom line instead of being consumed by expenses.

What is the equation?

A

Net Profit Margin = practice profit / practice revenue.

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39
Q

Gross Profit Margin - Measure how much profit is in a product or service.

What is the equation….

A

Gross Profit Margin = gross profit/ revenue

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40
Q

Average Transaction Charge - Ideally should be continually increasing.

What is the equation….

A

Average Transaction Charge = practice revenue/ practice transactions.

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41
Q

Revenue per full time DVM.

What is the equation…

A

Revenue per full time DVM = Practice revenue / full time DVMs

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42
Q

Accounts receivable Turn-over = A higher number is better as it indicates the accounts receivable balance is converted to cash more often (This is your goal)

What is the equation…

A

Accounts receivable Turn-over = credit sales/ average accounts receivable

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43
Q

What is considered more accurate, cash based accounting or accrual based accounting?

A

Accrual based accounting is more accurate.

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44
Q

Which financial statement is considered the most important for small businesses?

A) Cash Flow Statement
B) Balance Sheet
C) Profit and Loss Statement

A

C) The Profit and Loss Statement

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45
Q

Is staff payroll considered a fixed expense or a variable expense?

A

Staff payroll is considered a variable expense.

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46
Q

There are three types of payroll methods what are they?

A

Manual payroll - involves totaling the amount of time worked; calculating gross wages; calculating and deducting all appropriate taxes, deferrals, and deduction; then writing the check. *This method is the highest risk for errors.

Automated in house processing - utilizes a payroll specific software program such as Quick pay to create paychecks. **More efficient than manual payroll. *Reliable calculations * Offers the option to schedule regular reoccurring deductions. *Automatically creates and maintains legible payroll records.

Third Party Payroll Service - Offers convenience, expertise, and savings. It is expected that these companies remain up to date with the most current regulations and tax tables that lower errors.

47
Q

Payroll Period is a length of time covered by each payroll session. A pay period can start on any day that you choose as long as there are no gaps between pay periods.

A

*Weekly payroll - issued 52 weeks a year
*Bi weekly payroll - issued 26 times a year and can reduce costs of payroll due to decreased time invested in managing it.
*Semi monthly payroll - issued 24 times a year. Typically on the 1st and 15th of each month. It divided into 6 pay periods per quarter.
*Shift differential - a wage premium used in 24 hour facilities to make the less desired shifts more rewarding.

48
Q

Federal Payroll Taxes -

A

Employers are responsible for withholding federal income tax and forwarding it to the IRS. The amount of the Federal Income Tax withheld depends on the amount of the employees salary and the number of allowances the employee has taken.

49
Q

The Federal insurance Contribution Act (FICA) -

A

A tax paid by both the employer and the employee to fund social security and Medicare.

50
Q

The Federal Unemployment Tax Act (FUTA) -

A

A tax paid by employers only, and ONLY the first $7,000 of an employees earnings is taxed for FUTA.

51
Q

Payroll deductions….

State payroll taxes - vary from state to state, but often include State Income Tax and Unemployment Tax.

A

Miscellaneous Deductions - Can vary significantly from state to state and Employer to Employer.

*Employee portion of medical/dental/ insurance premiums
*The balance on the employees account with the practice
*Some states require school district tax, state disability insurance tax, city income tax, and others.

52
Q

Requirements for wage and tax reporting …

A

*Obtain an employer identification number (EIN)
*Obtain a completed I-9 form for each employee. The I-9 verifies the identity of eligibility for employment in the US.
*Confirm each employee has completed a W-4 (indicating requested withholdings)
* Calculate and deduct employees income tax.
*Make required deposits of withheld taxes as determined by the IRS
*File form 941 (Employers quarterly Federal Tax Return) quarterly.
*File form 940 ( Employers Annual Federal Unemployment Tax Return) annually.
*Prepare and distribute W-2 (Wage and Tax Statement) to each employee by January 31st
*Prepare W-3 (Transmittal of Wage and Tax Statement) and file with the IRS along with W-2’s
*All taxes should be automatically deducted from the practice checking account to ensure all tax payments are on time. There can be significant penalties for late tax payments.

** Much of this is completed by the outside payroll service and significantly reduces the burden on the practice. Highly recommended

53
Q

Payroll internal controls - Steps to protect your practice from payroll fraud.
Maintain a written policy that provides clarity to employees on:

A

*Definitions of full and part time
*Define how and when paid time off is accrued and if it rolls over ant year end or is paid out at termination.
*Segregate the duties for upholding personnel data from the duties of payroll accumulation, recording, and reporting.
*Require management approval to any changes made to payroll records and/or personnel information.
*Restrict access to payroll and personnel files to a “need to know” basis.
*Consider mandatory direct deposits to eliminate written payroll checks.
* Process new hires and terminated employees in a timely manner
*Personnel records should include; date of hire, PTO paid Vs used, non-paid time off vs used, tardiness.
*When using an outside company for payroll, internal records should be compared to the payroll company’s records to catch discrepancies immediately. Also periodically review all payroll transactions.
* Monitor the time clock to be sure employees not clocking in and out for each other
*Track employee payroll advances very carefully and payback should be via payroll deduction.

54
Q

Independent contractors and Payroll —

A

*Contractors are responsible for their own payroll taxes and are paid a straight fee by the practice.
*At the end of the year, any contractor who received more than $600 in wages from the practice must be issued a 1099 Form.
*Form 1099 states all monies paid to the contractor on an untaxed basis.
*The contractor submits the form with their taxes.
*If the contractor fails to file and pay their taxes, and the practice did not issue a form 1099 at the end of the year, the practice can be held responsible to pay all back taxes, interests, and penalties.

55
Q

The Federal Insurance Contribution Act or (FICA) is a payroll tax that is paid by the employer or employee?

A) Both the employer and employee.
B) Employer
C)Employer

A

A) Both the employer and employee.

56
Q

Which payroll tax is paid by employers only and only on the first $7000 of an employees earnings?

A) State Unemployment Tax Act (SUTA)
B) Federal Unemployment Tax Act (FUTA)
C) Workers Compensation Tax

A

B) Federal Unemployment Tax Act (FUTA)

57
Q

What is an Employer Identification number (EIN)

A) It is a number assigned by the Federal Trade Commission in order for the IRS to track revenue earned and taxes paid on that revenue.
B) It is a business identification number assigned by the IRS to identify tax accounts of employers.
C) It is a federally required identification number assigned by the IRS for purposes of tracking the federal taxes on business earnings.

A

B) It is a business identification number assigned by the IRS to identify tax accounts of employers.

58
Q

In regards to accounts payable (AP) - Amounts owed to you by suppliers that are payable in the future. What are the steps in order for receiving goods at the practice?

A

*All employees who unpack a shipment should initial the packing slip/invoice confirming all items on the invoice were included with the shipment.

*Prices should be compared to the current price in your practice management soft ware for updating.

*All packing slips / invoices should then be compared to the monthly statement and should reconcile exactly.

*All reviewed and confirmed supporting documentation should be passed on to the bookkeeper or manager responsible for preparing the unsigned check, that then goes to the responsible party (typically the owner) for review and a signature.

59
Q

How often should accounts payable (amounts owed to your suppliers that can be payed in the future) be monitored?

A

Accounts payable should be monitored monthly to safeguard against spending more than receiving.

60
Q

Some smaller and younger practices may experience months where they spend more than they generate. In this situation, early detection is critical to avoid financial damage to the practice.

If it is discovered that the practice is spending more than it is generating there must be a plan in place immediately to stop the financial hemorrhage. What are some ways that this can be done?

A

*Decrease spending and increase revenue
*Hold employees accountable for wasted.
*Consider reevaluating your fee structure.
*Review charges to be sure they are being captured correctly and not missed.
*If a line of credit is necessary to keep the practice viable in the short term, have a plan to pay back the loan as soon as possible.

61
Q

Accounts Receivable (AR) - is monies owed to the practice for services rendered or products sold that have not been paid for at the time of service or when the product was dispensed.

Practices should keep AR no higher than ______ % of gross revenue .

A

Practices should keep AR no higher than 1.5 % of gross revenue
*Gross revenue is the of all money generated by a business, without taking into account any part of that total that has been or will be used for expenses.

AR over 3% should get the focus of the entire team to follow the practice policy that tightly manages AR

*One compromise to enable the team the opportunity to help the occasional charity case is to institute a flex or indigent account that can be financially sustained by client contributions or fundraisers. The creation of such an account should be discussed with a CPA and state laws should be reviewed. The team can develop guidelines for what cases are eligible to potentially use the fund.

62
Q

When a check is returned for non-sufficient funds (NSF) the practices has three choices; accept the financial loss, attempt to collect, or use a third-party collection agency. If the delinquent amount is collected, a collection agency will deduct their fee from the total amount collected.

A practice can avoid NSF checks by…..

A

A practice can avoid NSF checks by using a check machine or verification service that will either verify funds in the account or transfer the funds in real-time into the practice bank account.
**The real time transfer of funds method is the most cost-effective. **

63
Q

When a practice becomes aware of a NSF check from a client, the practice should place returned check fee on the client account to recoup bank charges, lost time, and money.

*What should be documented from every client who writes a check to increase the chances of successful collection in the event a check is returned for NSF?

A

A drivers license number!

In the case of stollen checks, the district attorney may require a drivers license number for prosecution. Lastly, a drivers license number is part of a best practice plan to help prevent fraud.

64
Q

In regards to accepting payments on Accounts Receivable (AR) - there are two basic ways of accepting payment on an account with an outstanding balance, what are they?

A

*Manually - Must be managed carefully to prevent internal embezzlement. All charges, statements, interest, account aging and payments are recorded separately and typically on an individual ledger.
When a payment is received, a receipt should be provided to the client and forwarded to the accounts receivable manager, who will update the ledger manually. The aged accounts can be flagged with different colors, and then appropriate notices sent to client.

*Computerized accounts receivable management - A significant advantage over the manual method. All calculations, interests, and statement fees are automatically calculated and added to the clients account. This eliminates errors and can decrease employee embezzlement.

65
Q

No charge Policies - practice managers are responsible for creating and enforcing client credit policies.

*Posting a sign stating that all accounts must be paid in full at time of service is not considered adequate

What steps must be taken?

A

Estimates must be given to all clients whose pet will receive services, and a client signature is critical for legal documentation that the client authorized the services.

A deposit of at least 50 % of the expected total of the service must be collected.
*All team members need to understand and accept this!!

66
Q

Holding checks for delayed payment (not recommended for multiple reasons) - is defined as accepting a check dated with the date it was accepted by holding the check for deposit on a later date.

A

not recommended for multiple reasons…..

It can add another level of difficulty for the receptionist in storing, tracking payment date and depositing that check on the correct date.

There is no guarantee that the funds will be available when the check is deposited.

If the team member accidentally deposits the check on the incorrect date the client will likely be alienated from the practice and will often ask to be reimbursed for returned check fees due to the practices negligence.

Accepting post dated checks (dated PAST the date that the check is accepted) is illegal in some states.

67
Q

Collection procedure for Accounts Receivable —

Accounts should be paid within 30 days of charging, however some clients may have higher balances that require longer collection times.

Practice software should age accounts at 0-30, 31-60, 61-90 days and over 90days.
(This offers the practice manager a more accurate review of accounts receivable)

Clients should be sent a statement immediately after services are preformed. The likelihood of collection increases when the service is still fresh in the clients mind.

A

*Clients with no payment in over 60 days should be notified of the overdue account.

**A hand written note on the statement

**An overdue sticker (usually bright colored) place on the statement. Be advised; according to the Fair Debt Collection Practices Act stickers cannot be placed on the outside of the envelope.

68
Q

Collection procedure for Accounts Receivable — accounts past due beyond 90 days can be very difficult to collect. Some strategies include :

A

*Clients should be notified that the account will turned over to a collection agency if payment is not made.
*Have a team member call the client to discuss the account status and attempt to collect a payment or make payment arrangements.
*Once all attempts have been exhausted, turn the account over to collections. If the agency is unable to collect the amount will be reported to a credit bureau or consumer reporting agency and the clients credit will be affected for 7 years.
*Small claims court is also an option for collection, be sure to weigh the amount owed against the time and filing fees you will invest in trying to collect. It is sometimes more practical to write the amount off as bad debt.
*A delinquent account should always be flagged in the practice management system to avoid providing future services.

69
Q

Fair Debt Collections Act - regulates collection procedures of past due accounts.

A

The Act was passed to protect the public from unethical collection procedures and mainly applies to collection agencies, but these same regulations must be considered as the veterinary team attempts to collect outstanding accounts.

Debtors cannot be subject to harassment, oppressive tactics, or abusive treatment.

Prohibits collectors from making false statements to the client such as claiming to be an lawyer.

Clients may not be called at work if the employer or client objects, and clients cannot be called at inconvenient times or places including before 8 am or after 9 pm.

Account details can only be discussed with the client themselves.

70
Q

Employee accounts receivable - all practices should have a written policy.
*Best practice says that employees should not be allowed to charge.
—Practices may not be able to collect on an account when/if an employee leaves.

A

Since many practices offer generous employee discounts, the practice can actually lose money allowing employees to carry a large balance.

*If the practices does allow an employee to carry a balance, it should not exceed $100
* If a balance does exist on an employee account, mandatory monthly payments should be expected.
*Practices that deduct money from the employee’s paycheck must check state laws.
*Managers must have documentation that the employee authorizes any payroll deduction.
*Federal laws prohibit money from being withheld that would take the wages realized lower than minimum wage.

71
Q

Collection Agencies - The longer an account is delinquent, the less likely it is that you will collect on it, regardless of the method used.

A

*Agencies will typically charge between 40% - 60% of the balance being collected. Some only charge the practice if they are able to collect.

72
Q

Accounts receivable calculations - accounts receivable should be analyzed to provide insight on how well the practice is performing. Using the accounts receivable turnover and the days in accounts receivable ratios are the two most common ways of analyzing AR status. These calculations can help determine liquidity, solvency, and profitability.

A

*Average accounts receivable -

Beginning AR + Ending AR / 2 = Average Accounts Receivable.

*Accounts receivable turnover - how many times the accounts receivable balance is converted into cash.

Credit sales / Average accounts receivable = Accounts receivable turnover.

~Credit sales should only include credit sales, not cash sales or cash revenue.
~The credit sales and average accounts should be from the same time period.
~ A higher value for the accounts receivable turnover ratio is better because it indicates the AR balance is turned into cash more often.
**If the number is low, the practice should analyze its collection efforts and consider changes.

73
Q

Days in Accounts Receivable - indicates how many days a clients account sits in AR before being collected.

Number of Days in Period/ AR Turnover = Days in AR

A

Example:

AR Turnover equals 12 for the year.

So, divide 365 (days in a year) by 12 to get 30.42

This means AR turns over every 30 days.

*If the number is consistent, it means the practice would need 30 days of working capital to maintain the practices cash flow needs.

74
Q

AR that are over _______ % need to get the entire team to follow an AR policy.

A) 2%
B) 3%
C) 4%
D) 5%

A

B) 3%

75
Q

Which Act prohibits placing “delinquent account” stickers on the outside of an envelope when mailing statement to clients?

A) The Fair Debt Collections Practices Act
B) The Consumer Protection Act
C) The Consumer Confidentiality Act

A

A) The Fair Debt Collections Practices Act

76
Q

What does the accounts receivable turnover calculation tell us (Multiple choices)?

A) The fiscal health of the practice as it relates to accounts receivable as a percentage of gross revenue.
B) How many times the accounts receivable balance is converted into cash.
C) The ratio shows how efficient a company is at collecting its credit sales from customers.

A

B) How many times the accounts receivable balance is converted into cash.
C) The ratio shows how efficient a company is at collecting its credit sales from customers.

77
Q

What three financial responsibilities are typically out sourced in most practices?

A

1) Primary tax preparation and advice.
2) Valuation of the practice
3) Large Financial Issues

78
Q

Are wages for doctors who are paid on a salary basis considered a fixed or variable expense?

A

Fixed.

79
Q

Define Cost Of Goods Sold (COGS)

A

The products used to produce a service for the client, or products sold to clients.

80
Q

Offer 5 examples of products that would be included in COGS (Cost of Goods Sold)

A

The cost of goods sold (COGS) is the sum of all directs costs associated with making a product. It appears on an income statement and typically includes money mainly spent on raw materials and labour. It does not include costs associated with marketing, sales, or distribution.

81
Q

This type of accounting recognizes revenue when it is earned and expenses when they are incurred . When goods are received and services are performed. Is this Cash-based or Accrual-based?

A

This is Accrual - Based accounting.

82
Q

Which type of accounting is typically considered more accurate?

A

Accrual

83
Q

What is another name for the profit and loss statement?

A

The income statement

84
Q

When comparing expenses on the Profit and Loss Statement it is important to express expenses in the dollar amounts but also as ____________________.

A

A percentage of gross

85
Q

The basic accounting equation is Assets = _____________ + ___________

A

Assets = Liability + Owner Equity

86
Q

Regarding payroll deductions; what does FICA stand for, what does it fund, and is it paid by the employee, employer or both?

A

FICA stands for the Federal Insurance Contribution Act - a tax paid by the employer and the employee to fund Social Security and Medicare.

87
Q

At the end of the year, any independent contractor who received more than $___________in wages from the practice must be issued a 1099 form.

A

$600

88
Q

If the contractor fails to file and pay their taxes, and the practice did not issue a form 1099 at the end of the year, what risks is the practice subject to?

A

The practice can be held responsible to pay all back taxes, interests, and penalties.

89
Q

If the practice found to be spending more than it is generating, what steps can be taken to gain control?

A

1)Decrease spending and increase revenue.
2) Hold employees accountable for waste.
3) Consider reevaluating your fee structure.
4) Review charges to be sure they are being captured correctly and not missed.
5) If a line of credit is necessary to keep the practice viable in the short term, have a plan to pay back the loan as soon as possible.

90
Q

AR should be no higher than _______ % of gross revenue

A

AR should be no higher than 1.5 % of gross revenue.

91
Q

When a non sufficient funds check is has been written to the practice, the practice has three choices of action, what are they?

A

*Accept the financial loss
*Attempt to collect
* Use a third party collection agency.

92
Q

Which Act regulates collection procedures of past due accounts?

A

The Fair Debt Collection Practices Act

93
Q

Accounts receivable turnover - how many times the accounts receivable balance is converted into cash. What is the formula for AR Turnover?

A

Credit sales/ Average Accounts Receivable = Accounts Receivable Turnover.

94
Q

Regarding the value of the accounts receivable turn-over, is it better to have a higher or lower number.

A

A higher value for the accounts receivable turnover ratio is better because it indicates the AR balance is turned into cash more often.

95
Q

How can you calculate the average age of the accounts receivable entries?

A

Beginning AR + Ending AR / Average Accounts Receivable

96
Q

Define benchmarking, and describe the difference between internal and external benchmarks.

A

Benchmarking is the process of comparing a practice to others on a local, state, region, or national level. Internal benchmarks look at the practice’s historical figures; external benchmarks are the average numbers or percentages across the industry.

97
Q

What is the difference between CPA and a bookkeeper?

A

A CPA has a degree in accounting and has sat for numerous exams. CPAs must also attend continuing education each year to maintain their professional status. A bookkeeper generally learns by trade.

98
Q

Why should a budget be created?

A

A budget should be created to prevent overspending and shortfalls when paying bills. A practice must budget for taxes and expenses and be able to reinvest money back into the practice in order to purchase equipment.

99
Q

Define some areas that could have a cash flow crunch.

A

A cash flow deficit could be caused by improper inventory management, fraud or embezzlement, excessive payroll, or higher than profit distributions paid to the owner(s)

100
Q

How can a manager increase the value of a hospital?

A

A manager can increase the value of a hospital by ensuring medical records are complete, recommendations are made to clients, and that clients accept the recommendations being made. Increased client compliance and retention drive value, along with low turnover of team members. Building maintenance, modern equipment, and good financial records will also help.

101
Q

Define the red flags rule, and discuss why it should be implemented by the veterinary practice.

A

The Red Flags Rule has been established by the Federal Trade Commission to try and decrease fraud, embezzlement, and identify theft in businesses. All three of these factors occur in veterinary medicine, and it is up to every practice to protect the clients and team members.

102
Q

What is the Fair Debt Collection Practices Act, and why was it established?

A

The Fair Debt Collection Practices Act was established to protect the consumer and set guidelines for credit collectors to abide by. Practices must abide by the guidelines set forth when attempting to collect accounts. Guidelines include only speaking with the client that owes money, not calling before or after specified hours, and not placing debt collection notices on the outside of statement envelopes.

103
Q

What characteristics should be considered when choosing a collection agent?

A

Professional, ethical, reliable.

104
Q

What is an insufficient funds charge?

A

A check that is returned to a depositor because of lack of funds in the payee account.

105
Q

What is a held check?

A

A check that is given to a practice, the the date of acceptance written on the check, and asked to be deposited at a later date.

106
Q

If a practice reports services when they are invoiced, they are reporting by which standard?

A) Cash basis
B) Accrual basis

A

B) Accrual basis

107
Q

Staff payroll is considered a ___________expense for benchmarking purposes.

A) Fixed
B) Variable

A

B) Variable

108
Q

Accounts receivable should not exceed ________ %

A) 1.5 % of gross revenue
B) $2.00
C) 5% of gross revenue
D) 10% of gross revenue

A

A) 1.5 % of gross revenue.

109
Q

Holding checks for clients is recommended when they cannot pay for services the same day.

A

False - It is never a good idea to hold checks.

110
Q

Which of the following is mandated by the Fair Debt Collection Act

A) Notification stickers can be placed on the outside of the envelope.
B) Conversations to collect outstanding AR can be held with any of the family members residing in the home.
C) Collection calls can only be made between 8 am and 9 pm
D) Clients can be threatened withholding veterinary services.

A

C) Collection calls can only be made between 8 am and 9 pm.

111
Q

Withdrawing employee accounts receivable from the employee paycheck is an acceptable form of payment?

A) True
B) False

A

A) False

112
Q

Third party payment plans include:

A) Care Credit
B) Veterinary Pet insurance
C) PaymentBanc
D) All of the above

A

A) Care Credit

113
Q

Pet health insurance:

A) Improves Patient Care
B) Increases Patient Examinations
C) Decreased stop treatment threshold
D) A and B

A

D) A and B

A) Improves Patient Care
B) Increases Patient Examinations