Professional Documents
Culture Documents
Auditing-Non Profit Entities and Hospitals
Auditing-Non Profit Entities and Hospitals
Auditing-Non Profit Entities and Hospitals
A non-profit organiza on is an en ty that is operated for the benefit of society as a whole rather
than for the benefit of an individual proprietor or a group of partners or shareholders. A non-profit
organiza on strives only to obtain revenue sufficient to cover its expenses. Thus, the concept of income is
not meaningful. Non-profit organiza ons cons tute a significant segment of our society.
The primary purpose of financial statements is to provide relevant informa on to meet the
common interests of donors, members, creditors and others who provide resources to not-for-profit
organiza ons. Those external users of financial statements have common interests in assessing:
1. The services an organiza on provides and its ability to con nue to provide those services and
2. How managers discharge their stewardship responsibili es and other aspects of their
performance.
This statement provides relevant informa on about the liquidity, financial flexibility and
interrela onship of an organiza on’s asset and liabili es in order to let the external users of such be able
to assess the organiza on’s ability to con nue providing the services, to meet obliga ons, and needs for
external financing.
STATEMENTS OF ACTIVITIES
This statement shows the revenues, gains, expenses and losses. The primary purpose of this
statement is to provide relevant informa on about:
This statement provides relevant informa on about the cash receipts and cash payments of an
organiza on during a period.
This is also known as the general fund which includes all the assets of a non-profit organiza on
that are available for use as authorized by the governing board and are not restricted for specific
purposes. The revenue and gains of unrestricted funds are derived from a number of sources.
This is used to account for assets available for current use but expandable only as authorized by
the donor of the assets. The donor may impose either “use” restric on or “ me restric on” or both.
Assets of the restricted fund are not derived from the opera ons of the nonprofit organiza on.
a) A “permanent endowment fund” is one for which the principal must be maintained indefinitely
in revenue producing investment. Only the revenue from the investments may be expended. A
permanent endowment fund is also known as “regular endowment”. A permanent endowment
fund or “permanently restricted” but the revenue from the fund is “temporarily restricted”
b) A term “endowment fund” is one for which the principal may be expended a er the passage of
certain period or the occurrence of an event specified by the donor. The term is “temporarily
restricted”
c) A “quasi-endowment fund” is a fund established by the governing board of the nonprofit
organiza on. At the op on of the board, the principal may later be expended.
3. Agency Fund
This fund is used to account for assets held by the nonprofit organiza on as custodian.
4. Annuity Fund
Established when assets are contributed to the nonprofit organiza on with the s pula on that
the organiza on shall pay specified fixed amount to a designated beneficiary periodically during a specified
period of me. At the end of the specified period for the specified payments, the unexpended assets of
the annuity fund are transferred to the unrestricted fund, restricted fund or endowment fund as instructed
by the donor.
Used to account for s pulated payments to a named beneficiary during the beneficiary’s life me.
Only the income on the fund is paid to the beneficiary’s payment from a life income fund varies form
period to period comparing to annuity fund that is fixed.
6. Plant Fund
Established for land, building, and equipment. It may also include cash and investments earmarked
for addi ons to plant or payments of liabili es collateralized by the plant assets. Sinking fund assets set
aside for re rement of debt incurred to acquire plant assets is also included.
1. Program services – these are the organiza ons ac vi es that result in the distribu on of goods and
services to beneficiaries, customers or members that fulfill the purposes or mission of the organiza on.
2. Suppor ng Services – these are other expenses that include all ac vi es of the organiza on other than
program services, i.e. management and general expenses, fund raising and membership development
ac vi es.
All expense of a non-profit organiza on is reported as unrestricted in the statement of ac vi es. This
means that expenses are deducted only from unrestricted revenue.
AUDIT CONSIDERATIONS
INDUSTRY CHALLENGES:
High turnover healthcare workforce can have an adverse effect in the delivery of
services, where the ra o of nurses to pa ents are low such that nurses experience
“burned out”;
High cost of training, mentoring and coaching new and experienced personnel in terms
of monetary and me spent;
Crea ng work environment where employees are encouraged to pursue goals is more
important than providing compe ve pay is a challenge.
3. On health insurances: Corrup on allega ons on the Philippine Health Insurance Corpora on, which has
been helping finance COVID-19 tes ng and treatment in the country, has been rocked with allega ons of
fund mismanagement and overpricing.
1. Healthcare Financing-
a) Secure/determine/inquire about the "rate structure of fees" and expenses, plus its sharing
scheme with Medical Professionals, resident or consultant (non-resident), including specialists.
b) Ascertain/inquire about the "discount policy" for in-house/out-pa ents and how it affects the
billing and se lement.
c) Review concessionaire agreements and sharing schemes.
d) Procedures for SSS/Phil health claims/deduc ons, applica on of credit card payments and
u liza on of medical insurance/HMOs.
3. Informa on and Research - Determine sources of funds for the purpose assessing the efficacy of a
par cular medica on.
4. Leadership and Governance - secure Minutes or excerpts on financial transac ons rela ng to PPE,
Investments, and financial powers (signing authority and limits).
5. Service Delivery
a) VAT & EWT impact on medical professionals concerning professional fees, room rentals (for clinics)
and segrega on / set-up entries in billings and se lements, sale of medicines both to in-pa ents’
administra on and out-pa ent purchases.
b) For proper orienta on, visit the hospital client and observe how each sec on operates. Observe
procedures.
c) There is always a document-trigger point before the procedure is performed.
6. Opera onal audits, safety & compliance audits, and other considera ons.
Overview:
Educa onal Services is widely considered a counter-cyclical industry. Typically, when the economy
is doing poorly and unemployment is rising, more working adults, as their career prospects start to dim,
decide to upgrade their educa on. This, in turn, leads to higher enrollment and increased profit at the
schools.
The Educa onal Services sector comprises establishments that provide instruc on and training in
a wide variety of subjects. This instruc on and training are provided by specialized establishments, such
as schools, colleges, universi es, and training centers. These establishments may be privately owned and
operated for profit or not for profit, or they may be publicly owned and operated. They may also offer
food and/or accommoda on services to their students.
1. Schools/ Service Providers: Providing Elementary and Secondary Educa on, Alterna ve/Special
Educa on Services, Educa on Management Organiza ons, Charter Schools, Virtual Schools, and
Proprietary Schools.
2. Supplemental Educa on Service Providers: Providing Higher Educa on, Voca onal Educa on,
Learning Centers, Tutoring Services and Assessment Services.
3. Educa onal Products & Services Sector: Produc on and supply of educa onal material and
products including Educa onal Products, Publishing, and Supplemental Products.
4. Educa on Support Services Sector: Providing support and ancillary services to the educa on
industry including Educa on Consultants, Educa on Informa on and Research, Educa on
Investment Services, Educa on Policy Specialists, and Technology Services.
AUDIT CONSIDERATIONS
The industry’s primary sources of income are – Fees, Subscrip ons, Dona ons, Grants, etc. A
group of persons known as ‘Trustee’ or ‘Governing Body’ or ‘Execu ve Commi ee’ or ‘Board of
Management’ organize and manage it. Day-to-day rou ne ac vi es are entrusted to a person who is
known as Secretary. Since there are many chances of fraud and embezzlement of the fund of the
Ins tu ons, it becomes essen al that the accounts of Ins tu ons should be drawn properly. Generally,
Collec on of tui on fees, admission fees, fines, session charges and special fees — laboratory fees,
library fees, sports fees etc. — should be separately recorded in Collec on Register.
Students’ Ledger must be maintained where all these collec ons should be credited to the
respec ve students. Students’ Ledger should also include free studentship, concessions and wri ng-off
irrecoverable fees which are to be sanc oned by higher authority or Managing Commi ee etc.
Periodical reconcilia on should also be made between the fees collected, fees outstanding at the
beginning and at the end of the period, fees wri en-off with fees that should have been collected
according to the number of students in different classes having regard to the number of students enjoying
free studentship, concessions etc.