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Revenue and Expense Recognition

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CASE 2-1 Revenue and Expense Recognition—Orthodontic Centers of America
CASE OBJECTIVES
The objective of this case is to evaluate the revenue and expense recognition methods used by the company.

INTRODUCTION
The following information was extracted from the 1999 and 2000 annual reports of Orthodontic Centers of America [OCA]. The company provides practice management services to orthodontic practices in the United States. OCA acquires and develops orthodontic centers and manages the business operations and marketing aspects of affiliated orthodontic practices. At December 31, 2000, there were 592 orthodontic centers, of which the company developed 306 and acquired 361 (75 were consolidated into another center). The affiliated orthodontists control the orthodontic practices, determine which personnel, including orthodontic assistants, to hire or terminate, and set their own standards of practice in order to promote quality orthodontic care. A typical patient receives an initial consultation and preliminary procedures (teeth impressions, x-rays, and the placing of spacers between the teeth for braces) in advance of the next appointment. The patient signs a contract for treatment in the event the orthodontist recommends orthodontic treatment. Generally, braces are applied two weeks later and subsequent adjustments to the braces are made every four to eight weeks. The contract specifies the terms and the length of the treatment as well as the total fees. The average contract length is 26 months. No initial down payment is required; the patient makes equal monthly payments followed by a final payment on completion of the treatment. OCA provides the following services to its affiliates: 1. Staffing 2. Supplies and inventory 3. Computer and management information services 4. Scheduling, billing, and accounting services An unrelated financial institution finances operating

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