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9.1 OVERVIEW: THE INVENTORY CONCEPT
This overview concerns both the inventory concept and types of inventories.
Concept of Inventory in Healthcare Organizations
“Inventory” includes all the items (goods) that an organization has for sale in the normal course of
its business. Inventory is an asset, owned by the company. It appears on the balance sheet as a
current asset, because the individual items that compose the inventory are expected to be “used”
(sold) within a 12-month period.
Types of Inventory in Healthcare Organizations
Various healthcare organizations (or departments within organizations) deal with inventory and
must account for it. The hospital gift shop and the cafeteria, for example, own inventory and must
account for it. All pharmacies (hospital-based, retail brick-and-mortar, or mail order pharmacies)
own inventory in the normal course of their business.
In manufacturing companies, inventory typically consists of three parts: raw materials, work in
progress, and the finished goods that are for sale. We might think that most inventory items for sale
in a healthcare organization are not manufactured, but are finished goods instead. However,
consider this example: the hospital cafeteria purchases flour, eggs, butter, and so on (raw materials),
mixes the ingredients (work in progress), and produces a cake (finished goods) that is for sale.
(Another example might be a pharmacy that compounds drugs.)
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9.2 INVENTORY AND COST OF GOODS SOLD (“GOODS” SUCH AS
DRUGS)
The interrelationship between inventory and cost of goods sold is at the heart of the inventory
concept.
Turning Inventory into Cost of Goods (or Drugs) Sold
The completed inventory item (“finished goods”) is sold. That is how an item moves out of
inventory and is recognized as cost. When the item is recognized as cost, it becomes “cost of goods
sold.” (Also note that different terminology may be used. In some organizations cost of goods sold
is called “cost of sales.”) For a business such as a retail pharmacy, the cost of inventory sold to its
customers is the largest single expense of the business.
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Recording Inventory and Cost of Goods (or Drugs) Sold
Recording inventory and cost of goods (or drugs) sold is a sequence of events. Figure 9–1
(http://content.thuzelearning.com/books/Baker.6866.18.1/sections/ch9_sect1_2#ch9_fig1) illustrates the
sequence as follows:
Figure 9–1 Recording Inventory in the Accounting Cycle.
■ Beginning inventory (inventory at the start of the period) is recorded.
■ Purchases during the period are recorded.
■ Beginning inventory plus purchases equal “cost of goods available for sale.”
■ Ending inventory (inventory at the end of the period) is recorded.
■ Cost of goods available for sale less ending inventory equals “cost of goods sold.”
Purchases added to inventory will typically include “freight in,” or the shipping costs to deliver the
items to you. Any discounts received on the purchases should be subtracted from the purchase cost.
Thus the purchases become “net purchases”; that is, net of discounts.
Sometimes the ending inventory is estimated. An example of “Estimating the Ending Pharmacy
Inventory” is shown in the chapter about estimates and benchmarking.
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Gross Margin Computation
Gross margin equals revenue from sales less the cost of goods sold. Gross margin is often
expressed as a percentage. Thus, a pharmacy’s gross margin might appear as follows:
Sales
100%
Cost of goods (drugs) sold
65%
Gross margin
35%
An organization’s gross margin percentage can be readily compared to industry standards.
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9.3 INVENTORY METHODS
How is the inventory to be valued? The two most commonly used inventory valuation methods are
First-In, First-Out (FIFO) and Last-In, First-Out (LIFO). The method chosen will affect the
organization’s financial statements, as explained in the following sections.
First-In, First-Out (FIFO) Inventory Method
The First-In, First-Out, or FIFO inventory costing method, recognizes the first costs placed into
inventory as the first costs moved out into cost of goods sold when a sale occurs. How will this
method affect the organization’s financial statements? Under FIFO, the ending inventory figure will
be higher (because when the oldest inventory moves out first, the ending inventory will be based on
the costs of the latest purchases, which we assume will have cost more). Exhibit 9–1
(http://content.thuzelearning.com/books/Baker.6866.18.1/sections/ch9_sect1_3#ch9_exhibit1) illustrates
this effect.
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Exhibit 9–1 FIFO Inventory Effect
Assumptions
Sales (Revenue)
FIFO Inventory Effect
20 units @$25 =
$500
Cost of Sales:
Beginning Inventory
10 units @$5 =
Plus: Purchases
10 units @$10 = $100 &
10 units @$15 = $150
Subtotal
Less: Ending Inventory
$50
250
$300
10 units @$15 =
(150)
Cost of Sales
150
Gross Profit
$350
Operating Expenses
(50)
Earnings Before Tax
$300
Income Tax
(90)
Earnings After Tax
$210
Note: Ending inventory computed as number of units in the beginning inventory plus
number of units purchased less number of units sold–count oldest units sold first.
Last-In, First-Out (LIFO) Inventory Method
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The Last-In, First-Out, or LIFO inventory costing method, recognizes the latest, or last, costs
placed into inventory as the first costs moved out into cost of goods sold when a sale occurs. How
will this method affect the organization’s financial statements? Under LIFO, the ending inventory
figure will be lower (because when the latest inventory moves out first, the ending inventory will be
based on costs of the earliest purchases, which we assume will have cost less). Exhibit 9–2
(http://content.thuzelearning.com/books/Baker.6866.18.1/sections/ch9_sect1_3#ch9_exhibit2) illustrates
this effect.
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Exhibit 9–2 LIFO Inventory Effect
Assumptions
Sales (Revenue)
LIFO Inventory Effect
20 units @$25 =
$500
Cost of Sales:
Beginning Inventory
10 units @$5 =
Plus: Purchases
10 units @$10 = $100 &
10 units @$15 = $150
Subtotal
Less: Ending Inventory
$50
250
$300
10 units @$5 =
(50)
Cost of Sales
250
Gross Profit
$250
Operating Expenses
(50)
Earnings Before Tax
$200
Income Tax
(60)
Earnings After Tax
$140
Note: Ending inventory computed as number of units purchased plus number of units in the
beginning inventory less number of units sold–count newest units sold first.
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Other Inventory Treatments
Two other inventory treatments deserve mention, as follows.
Weighted Average Inventory Method
This inventory costing method is based on the weighted average cost of inventory during the
period. (The weighted average inventory method is also called the “average cost method.”) The
weighted average inventory cost is determined as follows: divide the cost of goods available for
sale by the number of units available for sale.
No Method: Inventory Never Recognized
This inventory costing method is no method at all. That is, inventory is never recognized. For
example, a physician’s office may expense all drug purchases as supplies at the time of purchase
and never count such drugs as inventory. This treatment might be justified when such supplies were
only a small part of the practice expenses. However, if the physician is purchasing very expensive
drugs and administering them in the office (infusing expensive drugs is a good example), then not
recognizing any such drugs being held as inventory on the financial statements is misleading.
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9.4 INVENTORY TRACKING
The two most typical inventory-tracking systems are described as follows.
Perpetual Inventory System
With a perpetual inventory system, the healthcare organization keeps a continuous, or perpetual,
record for every individual inventory item. Thus the amount of inventory on hand can be
determined at any time. (A real-time system is a variation of the perpetual inventory system,
whereby transactions are entered simultaneously.)
A perpetual inventory system requires, of course, a specific identification method for each
inventory item. Bar coding is often used for this purpose. You are most likely to find a perpetual
inventory system in the pharmacy department of a hospital.
Periodic Inventory System
With a periodic inventory system, the healthcare organization does not keep a continuous record
that identifies every individual inventory item on hand. Instead, at the end of the period the
organization physically counts the inventory items on hand. Then costs per item are attached to the
inventory counts in order to arrive at the cost of the inventory at the end of the period (the ending
inventory).
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Necessary Adjustments
Certain inventory adjustments will commonly become necessary, as discussed here.
Shortages
When the periodic inventory results are compared to the inventory balance on the financial
statements, it is not uncommon to find that the actual physical inventory amount is less than the
amount recorded on the books. This difference, or shortage, is commonly termed “shrinkage.” The
inventory amount on the books must be reduced to the actual amount per the periodic inventory,
and the resulting shrinkage cost must be recorded as an expense.
Obsolete Items
Most inventories will inevitably come to contain certain obsolete items. For example, the pharmacy
inventory will contain drugs that have “sell by” or “use by” expiration dates. Obsolete inventory
items should be discarded. Their cost must be removed from the cost of inventory on hand, and the
resulting obsolescence cost must be recorded as an expense.
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9.7 OVERVIEW: THE DEPRECIATION CONCEPT
Depreciation expense spreads, or allocates, the cost of a fixed asset over the useful life of that asset,
as discussed here.
Fixed Assets and Depreciation Expense
Fixed assets, also known as long-term assets, are classified as long term and placed on the balance
sheet as such because they will not be converted into cash in the coming 12 months. The purchase
of a fixed asset is a capital expenditure. (Capital expenditures involve the acquisition of assets that
are long lasting, such as buildings and equipment.) “Capitalizing” means recording these assets as
long-term assets on the balance sheet.
We recognize the cost of owning buildings and equipment through depreciation expense. When the
cost is spread, or allocated, over a period of years, each year’s financial statements (for that period
of years) recognize some portion of the cost, expressed as depreciation expense.
Useful Life of the Asset
The useful life determines the period over which the fixed asset’s cost will be spread. For example,
a piece of laboratory equipment is purchased for $20,000. It has a useful life of five years. So
depreciation expense is recognized in each of the five years until the $20,000 is used up.
Salvage Value
Before depreciation expense can be calculated, we need to know whether the fixed asset will have
salvage value at the end of the depreciated period. Salvage value, also known as residual value or
scrap value, represents any expected cash value of the asset at the end of its useful life. If the
laboratory equipment is expected to have a salvage value of $1,000 at the end of its five-year useful
life, then $19,000 will be spread over the five-year life as depreciation expense, and the $1,000 will
remain undepreciated at the end of that time.
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9.6 CALCULATING INVENTORY TURNOVER
Inventory turnover is a ratio that shows how fast inventory is sold, or “turns over.” The
computation is in two steps as follows. Figure 9–2
(http://content.thuzelearning.com/books/Baker.6866.18.1/sections/ch9_sect1_6#ch9_fig2) illustrates the
sequence.
Figure 9–2 Calculating Inventory Turnover.
Step 1. First compute “Average Inventory”:
Beginning Inventory plus Ending Inventory divided by two equals Average Inventory
Step 2. Next compute “Inventory Turnover”:
Cost of Goods Sold (or Cost of Sales) divided by Average Inventory equals Inventory Turnover
For example,
Step 1. $100,000 (beginning inventory) plus $150,000 (ending inventory) divided by 2 equals
$125,000 (average inventory).
Step 2. $500,000 (cost of goods sold, or cost of sales) divided by $125,000 (average inventory)
equals 4.0 (inventory turnover).
An organization’s inventory turnover ratio can be readily compared to industry standards.
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