Past Questions From ACHE's Board of
Governors Exam questions and answers
2025\2026 A+ Grade
For the routine service cost center, an increase in the number of patient days over the budgeted
number of patient days will result in:
1. A higher average cost per patient day.
2. A lower average cost per patient day.
3. An increase in the budgeted fixed costs for the routine service cost center.
4.No change in the average cost per patient day.
- correct answer 2.
Which of the following balance sheet items would differ between a for-profit and a not-for-profit
healthcare organization?
1.Retained earnings.
2.Plant, property, and equipment.
3.Real estate.
4.Investments.
- correct answer 1.
Which of the following leadership actions most clearly supports organizational transformation toward
total quality management?
1.Convening and chairing the Quality Council.
2.Changing the name of the quality department from QA to CQI.
, 3.Requiring all direct reports to attend an introductory course in TQM.
4.Hiring a customer service representative.
- correct answer 1.
In the healthcare field, the accountability of management is best measured by the:
1.Balance maintained between service quality and operational efficiency.
2.Results shown on the annual expense and income statement.
3.Balance maintained between physician satisfaction and patient needs.
4.Degree to which management's needs are met
- correct answer 1.
Consumer "report card" development and distribution has become a high priority for managed care
organizations because:
1.Measurements of performance have now become well established, standardized, and accepted by all
parties.
2.Purchasers are pressuring for disclosure of meaningful performance information for use by buyers and
consumers.
3.Consumers in healthcare are now well organized, and managed care organizations feel a need to
satisfy them.
4.Physicians are increasingly encouraging their patients to evaluate managed care organizations based
on these report cards.
- correct answer 2.
Which of the following is not required for managing strategic adaptation?
1.Development of integrated continuums of care.
2.Development of successful hospital-physician partnerships.
3.Vertical and horizontal integration with out-of-area providers.
Governors Exam questions and answers
2025\2026 A+ Grade
For the routine service cost center, an increase in the number of patient days over the budgeted
number of patient days will result in:
1. A higher average cost per patient day.
2. A lower average cost per patient day.
3. An increase in the budgeted fixed costs for the routine service cost center.
4.No change in the average cost per patient day.
- correct answer 2.
Which of the following balance sheet items would differ between a for-profit and a not-for-profit
healthcare organization?
1.Retained earnings.
2.Plant, property, and equipment.
3.Real estate.
4.Investments.
- correct answer 1.
Which of the following leadership actions most clearly supports organizational transformation toward
total quality management?
1.Convening and chairing the Quality Council.
2.Changing the name of the quality department from QA to CQI.
, 3.Requiring all direct reports to attend an introductory course in TQM.
4.Hiring a customer service representative.
- correct answer 1.
In the healthcare field, the accountability of management is best measured by the:
1.Balance maintained between service quality and operational efficiency.
2.Results shown on the annual expense and income statement.
3.Balance maintained between physician satisfaction and patient needs.
4.Degree to which management's needs are met
- correct answer 1.
Consumer "report card" development and distribution has become a high priority for managed care
organizations because:
1.Measurements of performance have now become well established, standardized, and accepted by all
parties.
2.Purchasers are pressuring for disclosure of meaningful performance information for use by buyers and
consumers.
3.Consumers in healthcare are now well organized, and managed care organizations feel a need to
satisfy them.
4.Physicians are increasingly encouraging their patients to evaluate managed care organizations based
on these report cards.
- correct answer 2.
Which of the following is not required for managing strategic adaptation?
1.Development of integrated continuums of care.
2.Development of successful hospital-physician partnerships.
3.Vertical and horizontal integration with out-of-area providers.
