May 2016 Q5 c.
Okunka hospital is located in a country where healthcare is free, as the taxpayers funds are used to finance state owned hospitals. Two years ago, management reviewed all aspects of the hospital’s operations and instigated a number of measures aimed at improving overall ‘value for money’ for the local community. Management have asked you, an audit manager in the hospital’s internal audit department, to perform a review over the measures which have been implemented.
Okunka has one centralized procurement department through which all purchase requisition forms are forwarded to. Upon receipt, the procurement team embarks on market research for the lowest price from suppliers after which a purchase order is raised. The purchased order is then submitted to the procurement director, who authorises all orders. The small procurement team receive in excess of 200 forms a day.The human resource department has had difficulties with recruiting suitably trained staff. Overtime rates have been increased to incentivise permanent staff to fill staffing gaps, this has been popular, and reliance on expensive temporary staff has been reduced. Monitoring of staff hours had been difficult but the hospital has implemented time card clocking in and out procedures and these hours are used for overtime payments as well.
The hospital has invested heavily in new surgical equipment, which although very expensive, has meant that more operations could be performed to ensure faster patient recovery. However, there is shortage of well-trained medical staff. A capital expenditure committee has been established, made up of senior managers, and they plan and authorise any significant capital expenditure items.
Describe TWO substantive procedures the external auditor of Okunka should adopt to verify EACH of the following assertion in relation to an entity’s property, plant and equipment:
(Note: Assume that the hospital adopts International Financial Reporting Standards). (6marks)
i) Valuation
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- Review depreciation rates applied in relation to asset lives, past experience of profits and losses on disposals, and consistency with prior years and disclosed accounting policies.
- If assets have been revalued, consider:
o Experience and independence of valuer
o Scope of the valuer’s work
o Methods and assumptions used
o Whether valuation bases are in line with IFRSs
ii) Completeness; and
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- Compare non-current assets in the general ledger with the non-current assets register and obtain explanations for differences.
- For a sample of assets which physically exist agree that they are recorded in the non-current asset register.
iii) Rights and obligations.
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- Verily title to land and buildings by inspection of:
o Title deeds
o Land registry certificates
o Leases - Examine documents of title for other assets (including purchase invoices, contracts, hire purchase or lease agreements).