Revenue collection method in most government establishment has over the years been the bane of the old Anambra State government in achieving optimum internally generated revenue for both recurrent and capital development. This forced the government to dissolve most of her boards and commissions in 1981 as well as set Revenue Commission and of investigation and recovery of government funs and property in 1984. Even this system were also upheld by present Military Government in the effort to increase the revenue base of the government.
Sequel tot he economic hardship affecting the budget speech emphasized that each sate government should diversify its revenue sourange.
Hence, new revenue source were identified such as introducing new products in the catering department, contractors fees, suppliers non-refundable fees, while old revenue sources was increased to meet up with the economic trend. The hospital hopes to collect millions of naira annually from the collection of hospital fees and others from patients.
The survey area was University of Nigeria Teaching Hospital, where 150 questionnaires were administered to the revenue clerks and accounting officers in the hospital. The questionnaire collected information in personal data, maturational devices method of revenue collection.
This study therefore was an attempt to find out how far the university of Nigeria Teaching Hospital, Enugu method of revenue collection achieved the objectives of the hospital. The study sought answers to questions on the methods of collections.
Based on the findings, the following recommendations were made amongst others:
1. Employment of enough qualitative accounting and revenue clerks
2. Improvement of the accounting system
3. Provision of security escort during lodgments
4. The system of supervisory checks and the role of the internal audit in issuing receipts should be continued.
PAGE
Title page i
Dedication iii
Acknowledgement iv
Abstract v
List of tables
Table of contents
11 Background of the study
12 statement of problem
13 Objective of study
14 Scope of study
15 Research questions
16 significance of the study
17 Definition f terms
11 Introduction
22 Hospital Accounting system
23 Operation f the system
24 Revenue assessment and collection methods in the University of Nigeria Teaching Hospital (UNTH)
25 Registrations and out-patients procedures
26 In-patients assessment and collection methods
27 Assessment and collection methods with respect to patient s who died in the Hospital
28 Revenue collection methods for staff and other special cases
12 Ministerial accounting system
13 Accounting records kept by UNTH in relations to revenue collections
14 Strategies to ensure effective revenue collections
15 The role of Internal Audit in enhancing revenue collections
31 Research design
31 Instrument for data collections
32 Validity and reliability of measuring instruments
33 Population of study
34 Sample and campling procedures
35 Method of analysis of data
51 Summary of findings,
52 Recommendation
53 conclusion
REFERENCES:
QUESTIONNAIRE:
LIST OF TABLES
1 DIAGRAM OF DAILY REVENUE CASH BOOK
2 DISTRIBUTION ON EDUCATIONAL QUALIFICATION
3 DISTRIBUTION OF SALARY GRADE LEVEL
4 DISTRIBUTION ON DESIGNATION OR RANK
5 DISTRIBUTION ON RISKINESS OF CARRYING CACH
6 DISTRIBUTION ON THE MEDIUM OF PAYMENT
7 DISTRIBUTION ON PAYMET INTO THE BANK
8 DISTRIBUTION ON ACCOUNTING TO THE MAIN CAHIER
9 DISTRIBUTION ON JOB SATISFACTION
10 DISTRIBUTION ON ACCOUNTING EXPERIENCE
11 DISTRIBUTION ON TRAINING PROGRAMME AND FACILITIES
12 DISTRIBUTION ON THE EFFECTIVENESS OF THE COLLECTION SYSTEM
13 DISTRIBUTION ON SECURITY ESCORT
14 DISTRIBUTION ON ACCOUNTING RECORDS
15 DISTRIBUTION ON SUPERVISORY CHECKING
16 DISTRIBUTION ON FINANCIAL MALPRACTIES
CHAPTER ONE
10 INTRODUCTION
1 1 BACKGROUND OF THE STUDY
There is no doubt that Nigeria is blessed with abundant human and material resources, but the problem with the country is the fact, that is various government since its independence in 1960, some 44 years ago have either inadvertently or otherwise refused to utilize these resources to its benefit
Unfortunately, the abundance human and material resources of the country was mismanaged and the country thrown into foreign debts today Since 1984 emphasis has shifted from external borrowing to local or internal sourcing of the country's revenue for both capital and recurrent expenditure of the government; Federal, States and Local governments
Also Achebe, Chunua (1985:10) maintained that the dwindling receipt from Federal account owing to sharp drop in the price of crude oil, as a result of global oil glut Fall in total export earnings from about N41 billion in 1980 to N105 billion in dwindling export earnings and foreign exchange disbursement on imports escalated
This resulted in a decrease in the federal government revenue allocation in the states and local governments In te old Anambra State in particular, the inheritance of a huge debt of about N183 billion from he civilian administration made local sourcing of revenue temperature The situation compelled the military governor of Anambra state group captain Alison Madueke (1984) to suggest the acquisition of revenue locally as the only means of raising enough fund for capital development As a result of that the government then commissioned on the 20thJanuary, 1984, the Anambra state final and revenue commission which assessed the effectiveness of the existing systems of internal revenue collection and recommended improvements
Revenue collection in the University of Nigeria Teaching Hospital is the responsibility of the accounting department of the hospital They are responsible for the recording in financial terms, day to day transactions of the hospital These transactions and records mainly relates to the receipts and payments, income and expenditure and assets and liabilities of the hospital and usually cover transactions within a particular financial year or other periods such as months or quarters within a financial year as may be required
The financial year of the hospital follows the government fiscal year which is from 1st January to 31st December of each year This study is therefore carried out to assess the revenue generation machinery of government establishment UNTH Enugu
12 STATEMENT OF PROBLEM
Specifically, the research intends to provide answers to the following questions;
i Are accounting records adequately and properly kept in conformity in with the objectives of government and accounting standards?
ii Who are the accounting staff of the Hospital and how were they recruited or appointed?
iii What are the accountability methods or who is accountable for what?
iv What are the financial implications of the findings and how on its knowledge help to the University of Nigeria Teaching Hospital, Enugu?
The study will examine the hospital as an enterprise and a very big one in this state for that matter The head of the accounts department is the assistant director, finance who has the overall responsibility for the effective running of the department He reports tot he Chief Executive of the hospital, the Chief Medical Director
13 OBJECTIVE OF THE STUDY
In the study, we intend to trace the extent of contribution of the University of Nigeria Teaching Hospital in the internally generated revenue of the Federal Ministry of Health The study will equally provide answers tot he underlisted problem of the teaching hospitals as it concerns revenue collection method and investigating why there;
i Is decreasing revenue collection in government owned establishment?
ii Is poor quality of accounting and revenue staff in those establishment,
iii Are inadequate accounting system in those government parastatals?
14 SCOPE OF THE STUDY
The researcher earlier had the intention of covering all the government owned establishment in Enugu state of Nigeria, however, time and financial constraints have hindered this intention The study is limited to University of Nigeria Teaching Hospital, Enugu it is believed by the researcher that the method used by the hospital closely approximate the general practices
For the purpose of this study, the researcher will make a brief mention of revenue allocation in Nigeria, the role of internal audit in relation to revenue and then pay special attention to internally generated revenue
15 RESEARCH QUESTIONS
The following are the research questions to be used in the study
i What are the methods of revenue collection being applied by the government owned establishment?
ii How effective are these methods being used?
iii What are the main obstacles militating against its effective application?
16 SIGNIFICANCE OF STUDY
It is hoped that the study will be valuable to the hospital management and in fact any other government establishment for that matter, to appreciate the deficiency inherent in the present method of revenue collection in our teaching hospitals The government following the recommendation will modify same to achieve better results
This will ensure a better results This will in turn save the government huge financial losses There fairness will be ignored by the actors in the accountability process
It is also believed that if the method are effective in controlling fraud, every naira collected by the government will be adequately accounted for Thus, the government objective of health for all by the year 2000 might be a reality
For the citizens, who pays the hospital bills, the study will lead, it is believed to the justification of the revenue being collected which they pay as they will not go into the hands of wrong persons
Finally, this research report will enable students of management especially the accountancy students to have an indebted knowledge of the methods of collecting revenue available to non- profit making organization especially those funded and controlled by the government It will help them to understand the audit of government organization when the government relinquishes such audits over to certified public accountants
17 DEFINITION OF TERMS
For the purpose of this work, an accounting staff or officer is used here to mean any person employed by the hospital to perform the duties of a finance officer In the hospital irrespective of the person's rank or designation A revenue clerk is used here to mean any person delegated to collect hospital bills and other fees whether the person is an accounting officer or not
Revenue here means total annual income of the hospital generated from hospital bills and charged
A self-guaranteed patient is one who is accepted as a reputable and will known in the community and on balance of reasoning is allowed on personal recognition to guarantee himself
A staff-guaranteed patient arises where a number of the staff of the hospital agree to be responsible for the payment of the patients bills in case the patient fails to pay
MAC means Medical Advisory Committee Pauper means a very wretched patient