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    INTRODUCTION TO BOOKS OF ACCOUNTS

    Every company must maintain proper books of accounts of its affairs. The

    following transactions must be entered in the books of accounts of the companywhich must be kept at its registered office :-

    a.all sums of money received and expended by the company and the matters

    in respect of which the respect of which the receipt and expendi ture took

    place;

    b.all sales and purchases of goods by the company; and

    c. the assets and l iabil i ties of the company.

    d.in the case of a company engaged in production, processing,

    manufactur ing or mining activi ties, such particulars relating to uti li sation

    of material or other items of cost as may be prescri bed relating to certain

    class of companies as the Central Government may require.

    The books of accounts must comply with the following conditions :-

    1.The books must give a true and fair view of the state of af fair s of the

    company or the branch off ice, if any, and explain its transaction.

    2.The books must be kept on accrual basis and according to double entry

    system of accounting.

    Every company must keep its books of account at its registered office. However,

    some of the books of account may be kept at such other place in India as the Board

    of Directors may decide, provided a notice in writing giving full address of thatother place alongwith requisite filing fee is filed with the Registrar of Companieswithin seven of such decision.

    If the company has a branch office, the books of account relating to transactions at

    the branch office may be kept at that branch office, but proper summarized reports

    and statements must be sent to the registered office or such other place where the

    books are kept, at intervals of not more than three months. The books of account of

    the branch must give a true and fair view of the affairs of the branch and clearlyexplain its transactions.

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    Auditors of Other Companies

    It is the duty of the auditor conduct the audit of the books of accounts of the

    company and to make his report to the members of the company on the accountsexamined by him, and on every balance sheet, every profit and loss account and on

    every other document declared by the Act to be part of or annexed to the balance-

    sheet or profit and loss account and laid before the company in general meeting

    during his tenure of office. The auditors report, besides other things necessary inany particular case, must expressly state-

    1.whether, in his opinion and to the best of his information and according to

    explanation given to him, the accounts give the information requi red by the

    Act and in the manner as required;

    2.

    whether the balance-sheet gives a true and fai r view of the company's

    affair s as at the end of the financial year and the profi t and loss account

    gives a true and fair view of the profi t or loss for the financial year;

    3.whether he has obtained all the information and explanations required by

    him for the purposes of h is audit;

    4.whether in his opinion, the profi t & loss account and balance sheet refered

    to in his report comply with the accounting standards recommended by the

    I nstitute of Chartered Accountants of I ndia;

    5.whether, in his opinion, proper books of account as required by law have

    been kept by the company, and proper retur ns for the purposes of his audit

    have been received fr om the branches not visited by him;

    In case any of the above matters is answered in the negative or with a qualification,

    the auditor's report must state the reason for the same. Where the auditor is unable

    to express any opinion in answer to a particular question, his report shall indicate

    such fact together with the reasons why it is not possible for him to give an answer

    to such question. The Central Government is empowered to issue orders requiring

    the auditor to include in his report a statement on such matters as may be specified.

    In exercise of this power the Central Government has issued an order called "TheManufacturing and other Companies (Auditor's Report) Order, 1975. It is the dutyof the auditor to comply with this order when making his report to the shareholders.

    Only the person appointed as auditor of the company or where a firm of auditors is

    so appointed, only a partner of that the firm practising in India, can sign the

    auditor's report or sign or authenticate any other document of the company requiredby law to be signed or authenticated by the auditor.

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    Appointment

    Section 252 throws light upon the appointment of an auditor:

    Appointment of First Auditor by Directors

    F ir st Audi tor

    The co-operative law authority can appoint the first auditor of a company if the

    company in the general meeting does not appoint the first auditor within 120 daysof the date of incorporation of a company.

    Casual VacancyThe board of directors is empowered to fill any casual vacancy in the office of an

    auditor except one, which is caused by prior resignation.

    Appointment By Shareholders

    In case the board of directors fails to appoint the auditor, the company can appoint

    the first auditor within 120 days of the date incorporation of the company.

    Removal of an Auditor

    According to Section 224(3)of the Companies Act, any auditor may be removed

    from the office before the expiry of his term but it can be done only by the company

    in its general meeting and with the previous approval of the control Government.

    The auditor may be removed in the following cases.

    The auditor can be removed by the members in the general meeting of the company.

    It is immaterial whether the auditor has completed his term of appointment or not.

    Another person can be appointed in place of first auditor in the general meeting.

    Notice of nomination of such other person to be appointed as auditor must be given

    at least 14 days prior to the general meeting.

    Other than the member in the general meeting of the company prior approval of the

    central Government to remove can remove the first auditor the auditor must be

    obtained in that behalf.

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    Right of Attending the Meeting

    According to Section 231 the auditor has a right to attend any general meeting and

    to be heard there at any part of the business, which concerns him as auditor,

    however, the right to attend a general meeting and to speak there at in not

    mandatory.

    Report to Member

    According to Section 227(2) the auditor has a right to make a report to the members

    on the account examined by him and to state whether the said account give the

    information required by the companies act in the manner which is required.

    Sign Audit Report

    According to Section 229, the auditor has a right to sign the auditor's report or

    authenticate any other document of the company.

    Seek Legal and Technical Advice

    The auditor has a right to seek opinions of experts in different fields whenever he

    feels it necessary as he is not expert in all the areas.

    Receive Remuneration

    According to Section 224(8) the auditor has a right to receive remuneration forauditing the accounts of the company after he has completed the work of audit even

    if he is dismissed in the middle he has a right to get full remuneration of the year.

    Speak

    The auditor has a right that he can speak in the annual general meeting for the

    explanation of some matters, which are related, with the accounts of business.

    Present in MeetingFor the safeguard of his right the auditor has a right to remain present in the

    meetings of the company. Sometimes the business accounts may not be presented

    before the shareholders for the approval. In this time the auditor can protect

    himself.

    Opinion

    The auditor has also a right to consult the experts for some matters. In order to clear

    the doubt he may get the help of the technical services. So the auditor has also aright of seek the opinion.

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    Correction

    The auditor has also a right of correction. He can make correction in the written or

    spoken matters. Even that he can make a revised statement if he founds any writtenmistake in it.

    Representation

    The auditor has also a right to defend himself if he is asked to leave the office in the

    meeting. So he can make the representation in meeting. He has a right to remain in

    business for the full tenure.

    Important NoteIt is clear that the right of an auditor cannot be limited either by the articles of

    association or by the resolution of the members.

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    AUDITING OF HOSPITALS

    To understand the concept of hospital audit in the Indian context we have to look at

    the types of audits performed in India. There are two types of audits; internal audit,which is conducted by the hospitals themselves, and external audit, which isconducted by QCI (Quality Control of India).

    An internal audit is usually conducted by an internal audit committee on the basis of

    peer review and consists of senior doctors, nurses, infection control officers and

    other medical professionals. It follows a calendar or routine and this differs from

    hospital to hospital. But in case of any complain or emergency situation, departmentwise audits are conducted.

    And as for the external audit or third party audit, it is conducted by NABH(National Accreditation Board for Hospitals and Healthcare Providers), which is a

    part of QCI. The latter is a quasi-government organisation established in 1997,

    which started its own accreditation format; NABH from 2005. Once a hospital

    applies for an NABH accreditation NABH conducts a pre-assessment. Based on the

    findings of pre-assessment, the hospital takes corrective action and applies for final

    assessment. Once the accreditation is granted, a surveillance audit is conducted

    within 18 months of accreditation. Thus, it is a continuous quality improvement tool

    rather than one time exercise. Process audits, document audits, mortality and

    morbidity audits, infection control and hand hygiene audits, medication safetyaudits, clinical audits are requirements for NABH standard implementation.

    And for few special chains of hospitals like Fortis or Apollo both the procedures arefollowed.

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    Apollo group of Hospitals

    It is often said that nothing happens, unless there is a dream first. At the genesis of

    the Apollo story there was a dream. A dream so powerful, that it helped transformthe medical landscape in India.

    Company Vision

    Apollo's vision for the next phase of development i s to 'Touch a Bil li on L ives' .

    M ission Statement

    " Our mission i s to bring healthcare of I nternational standards with in the reach of

    every individual . We are committed to the achievement and maintenance of

    excel lence in education, research and healthcare for the benefi t of humanity"

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    The dream nurtured and grew within Dr. Prathap C Reddy, the founder Chairman ofApollo Hospitals, until the point of inflection happened in 1983. A young man

    succumbing to an ailing heart was what it took to ignite Dr. Reddy's vision into a

    reality - a vision where quality healthcare was given, where the pursuit of clinical

    excellence was daily endeavor, India a hub in the medical tourism map and wherethe Apollo family touches and enriches lives every minute, every day.

    Today, with over 8500 beds across 54 hospitals, and a significant presence at every

    touch-point of the medical value chain, Apollo Hospitals is one of Asias largest

    healthcare groups. Commenced as a 150 bed hospital, today the group has grown

    exponentially both in India and overseas. Its growth is often said to be synonymouswith India emerging as a major hub in global healthcare.

    Apollo Hospitals is driven by a single thrust, to provide the best standards of patient

    care. It is this passion that has lead to the development of unique centers of

    excellence across medical disciplines, within the Apollo Hospitals network. Apollo

    Hospitals has JCI accreditations for 7 of its hospitals, the largest by any hospitalgroup in the region.

    True to its founding principles, the group has made quality healthcare accessible to

    the people of India, and even overseas. It has become an institution of trust, and abeacon of hope to so many searching for a cure for their ailments.

    The legacy of touching and enriching lives stems from the pillars of the Apollo

    philosophy - experience, excellence, expertise and research. We pride ourselves for

    constantly being on the cutting edge, and going the extra mile to stay relevant and

    revolutionary.

    The Apollo Hospitals Group is the pioneer of integrated healthcare delivery in

    India. This vision led the group to earmark time and resources to strengthen each

    vital cog in the process of healthcare delivery. As a result of these efforts, the group

    today is in a unique position to exponentially increase its healthcare cover. This willbe critical in order to meet future requirements.

    Apollo Hospitals Group, today, is an integrated healthcare organization with owned

    and managed hospitals, diagnostic clinics, dispensing pharmacies and consultancyservices. In addition, the groups service offerings include healthcare at the patients

    doorstep, clinical & diagnostic services, medical business process outsourcing, third

    party administration services and health insurance. To enhance performance and

    service to customers, the company also makes available the services to support

    business, telemedicine services, education, training programs & research servicesand a host of other non-profit projects.

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    VERIFICATION OF BALANCE SHEET

    SCHEDULE A- SHARE CAPITAL

    In the first year of existence of the company ,the auditor should examine the

    Memorandum and Ar ticles of the Associationof the company and the prospectus

    to ascertain the details of the capital.

    The auditor should also check the cash book, pass book and minutes book of the

    directors and find out the allotment of shares , calls made on shares.

    In subsequent years, the auditor should see that there is any fresh issue of capital

    or capital is redeemed or there is reduction in capital when the provision of

    companies act are complied with.

    SCHEDULE B- RESERVES & SURPLUS

    The auditor should see that provisions of transfer of profit to reserves are

    complied with and whether reserves are created out of the profits.

    The auditor should see that reserves are created out of profit or on revaluation of

    the assets or sale of asset or as per statutory requirements.

    The auditor should see that the reserves created are properly utilized as per law.

    SCHEDULE C AND D- SECURED AND UNSECURED LOAN

    The auditor should ensure that provisions of company Act regarding maximumamount of loan that a company can pay have been complied with in to the detail of

    security given against loan.

    Incase the loan is secured and such factor is disclosed in balance sheet, the

    auditor should obtain a confirmation letter from the party and should verify that the

    books of accounts and balance sheet agree with the statement and by the lender.

    In case of debentures, the company should comply with SEBI guidelines.

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    SCHEDULE H - CURRENT ASSETS, LOANS AND ADVANCES

    DEBTORS

    Confirmation of balances to clients should be sent within 15 to 20 days of the

    year ending day. After reply is received the same should be tallied with balance

    shown in debtors ledger and difference if any should be reconciled.

    Scrutiny of debtors individual account and test check technique can be applied.

    CASH AND BANK BALANCES

    According to the guidance note on audit of cash and bank balance issued by ICAI,

    the auditor must follow the following procedures :-

    1. Physically verify the cash on the date of balance sheet.

    2. Obtain Information from the bankers, regarding the bank account.

    3. Examine the Bank Reconciliation Statement.

    LOAN & ADVANCES

    It is very Important as an auditor to verify the amount of Loan & Advances given

    To the Customers. This can be verified from the receipt given to the customers, and

    Apollo Hospitals account in their book. The Auditor can also check the liability

    side of the customers and verify the amount.

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    VERIFICATION PROFIT & LOSS ACCOUNT

    SCHEDULE 1

    Schedule 1 includes all I ncomes like interest earned, dividend from current and

    long term investments, income from treasury operations, profit on sale of

    investments and others. The verification of the same can be done by checking the

    bill book, bank statement and invoices.

    SCHEDULE 2

    This schedule includes Operating Expenseslike power and fuel, house keeping

    expenses and water charges.

    The Operating Expenses have to be checked by the Auditor from cash book, and for

    each item or expenditure incurred, he should check the receipts and voucher related

    to that Expenses.

    SCHEDULE 3

    This Schedule includes Payments to and Provisions for Employeeslike :-

    a.

    Salaries and Wages

    b.

    Contribution to Provident Fund

    c.

    Employee State Insurance

    d.

    Employee Benefits

    e.

    Staff Welfare Expensesf.

    Staff Education and Training

    g.

    Bonus

    These items have to be checked by the Auditor from cash book, and for each

    item or expenditure incurred, he should check the receipts and voucher related to

    that Expenses.

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    SCHEDULE 4

    This Schedule includes Administrative and Other Expenseslike :-

    a.

    Rentb. Rates

    c. Printing and Stationery

    d. Postage and Telegram

    e. Insurance

    f. Directors Sitting Fees

    g. Advertisement, Publicity and Marketing

    h. Travelling and Conveyance

    i.

    Subscriptionsj. Security Charges

    k. Legal and Professional Fees

    l. Continuing Medical Expenses and Hospitality Expenses

    m.Hiring Charges

    n. Seminar Charges

    o. Telephone Expenses

    p. Books and Periodicals

    q.

    Miscellaneous Expensesr. Provision for Bad Debts

    s. Repairs and Maintainance of Equipment, Building and Vehicles

    t. Outsourcing Expenses

    These Expenses have to be checked by the Auditor from cash book, and for each

    item or expenditure incurred, he should check the receipts and voucher related to

    that Expenses.

    SCHEDULE 5

    This Schedule includes F inancial Expenseslike Interest on Loans and

    Debentures, Bank Charges amd Brokerage and Commission.

    The Financial Expenses have to be checked by the Auditor from cash book, and

    for each item or expenditure incurred, he should check the receipts and voucher

    related to that Expenses.

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    AUDITORS REPORT

    1. We have audited the attached Balance Sheet of APOLLO HOSPITALSENTERPRISE LIM ITEDas at 31st March 2011, the related Profit and LossAccount and the Cash Flow statement for the year ended on that date annexed

    thereto. These financial statements are the responsibility of the Companys

    management. Our responsibility is to express an opinion on these financial

    statements based on our audit.

    2. We conducted our audit in accordance with the auditing standards generally

    accepted in India. Those standards require that we plan and perform the audit to

    obtain reasonable assurance about whether the financial statements are free of

    material misstatement(s). An audit includes examining, on a test basis, evidence

    supporting the amounts and disclosures in the financial statements. An audit also

    includes assessing the accounting principles used and significant estimates made by

    management, as well as evaluating the overall financial statement presentation. Webelieve that our audit provides a reasonable basis for our opinion.

    3. We have also considered the independent audit observations of the divisional

    auditors for the Pharmacy Division, Projects Division, Hyderabad Division,

    Bilaspur Division, Mysore Division, Vizag Division, Pune Division, Karim Nagar

    Division and Mandya Division for forming an opinion on the accounts for therespective Divisions.

    4. As required by the Companies (Auditors Report) Order 2003, as amended by the

    Companies (Auditors Report) (Amendment) Order 2004, issued by the Central

    Government of India, in terms of sub-section (4A) of Section 227 of the CompaniesAct, 1956, and on the basis of such checks of the books and records of the Company

    as we considered appropriate and according to the information and explanations

    given to us, we set out in the Annexure a statement on the matters specified in

    paragraphs 4 and 5 of the said Order.

    5. In the absence of any notification from the Central Government with respect to

    the Cess payable under Section 441A of the Companies Act, 1956, no quantification

    is made. Hence, no opinion is given on Cess unpaid or paid, as per the provisions of

    Section 227(3) (g) of the Companies Act, 1956.

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    6. Further to our comments in the Annexure referred to in paragraph 4 above, we

    report that:

    (i) We have obtained all the information and explanations which to the best of our

    knowledge and belief were necessary for the purpose of our audit;

    (ii) In our opinion, proper books of account as required by law have been kept by

    the company so far as appears from our examination of those books;

    (iii) The Balance Sheet, the Profit and Loss Account and the Cash Flow Statement

    dealt with by this report are in agreement with the books of account;

    (iv) In our opinion, the Balance Sheet, the Profit and Loss Account and the Cash

    Flow Statement dealt with by this report comply with the Accounting Standards

    specified by the Institute of Chartered Accountants of India, referred to insubsection (3C) of Section 211 of the Companies Act, 1956;

    (v) On the basis of written representations received from the directors, as on 31st

    March 2011 and taken on record by the Board of Directors, we report that none of

    the directors is disqualified as on 31st March 2011 from being appointed as a

    director in terms of clause (g) of sub-section (1) of Section 274 of the Companies

    Act, 1956, and

    (vi) In our opinion and to the best of our information and according to theexplanations given to us, the said financial statements together with the notes

    thereon and attached thereto , give the information required by the Companies Act,

    1956, in the prescribed manner and also give a true and fair view in conformity with

    the accounting principles generally accepted in India:

    (a) in the case of the Balance Sheet, of the state of affairs of the Company as at 31st

    March 2011;

    (b) in the case of the Profit and Loss Account, of the PROFIT of the Company forthe year ended on that date and

    (c) in the case of the Cash Flow Statement, of the cash flows of the Company for

    the year ended on that date.

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    CONCLUSION

    The process of Hospital Audit is not completely flawless; it has certain areas that

    need to be worked upon.

    Some of the major loopholes are on the part of commitment, participation andseriousness for the audits. Audits in Indian scenario are still more or less

    considered as an obligation and are done only to fulfill the requirement of various

    accreditation or other external agencies rather than for the improvement of hospital

    processes and quality in actual. Low number of auditors is also a concern forhospital audit in this country.

    Hospital audits if utilised efficiently and rigorously help the hospital to perform

    better both for itself and its patients, but until now they have never been

    meticulously implemented in India. But the scene is changing with changing

    attitude of both doctors and patients. It has just begun to gain momentum in Indiaand needs acceptability by the hospital systems and medical fraternity as an

    improvement initiative rather than a fault finding mechanism.

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    BIBLIOGRAPHY

    AUDI TING & I TS PROCEDURE

    -ICAI

    AUDITING

    TY.BCOMTAXMAN

    BASIC CONCEPT OF AUDI TING

    -R.N.SHETTY

    WEBLIOGRAPHY

    WWW.GOOGLE.COM

    WWW.ICAI.ORG

    WWW.APOLLOHOSPITALS.COM

    http://www.google.com/http://www.icai.org/http://www.apollohospitals.com/http://www.apollohospitals.com/http://www.icai.org/http://www.google.com/