Traditional Accounting Systems Research Articles

IMPLEMENTASI LEAN ACCOUNTING PADA PERUSAHAAN INDUSTRI

The traditional accounting system that can no longer adjust to the industrial company system encourages the birth of lean accounting. Lean accounting is an approach created to support the development of lean manufacturing by using systems and methods created based on lean principles, namely Visual Performance Measurement, Continuous Improvement (CI), Value Stream Costing, and Target Costing. The writing of this article aims to find out how the implementation of lean accounting in industrial companies. The method used in this research is the literature study method. The results of this study state that the implementation of lean accounting in industrial companies has a positive impact on company performance so that companies can save costs, reduce waste, improve operational efficiency, and help companies make the right decisions with accurate information.Key words: Lean accounting, Visual Performance Measurement, Continuous Improvement (CI), Value Stream Costing, and Target Costing.

A system for Mobile Accounting

Effective financial management is critical in the fast-paced business environment of today. The agility of traditional accounting systems is often inadequate to match the speed of contemporary business operations. This paper suggests creating and implementing a Mobile Accounting System (MAS) as a solution to this problem. The MAS uses mobile technology to give businesses instant access to financial data so they can act quickly and decisively. The main advantages and characteristics of the MAS, such as its scalability, security, accessibility, and integration capabilities, are covered in this abstract. It also emphasizes how the MAS may boost decision-making processes, lower errors, and increase the effectiveness of financial management. Businesses can gain a competitive advantage in the current digital economy and optimize their financial operations by integrating mobile technology into their accounting practices.

Тенденции развития и применения инструментария комплексных информационных систем управления человеческим капиталом в условиях импортозамещения

Under modern conditions, successful business functioning and development are determined not only by effective management of internal business processes and creating harmonious relationships with competitive external environment, but also by re-interpreting the value of the key corporate asset, that is, human capital. For quite a long time, the HR management contour in the system of interaction between employer and employee has been considered only from the point of view of accounting and settlement operations. They were the ones that were automated in traditional HR accounting and payroll information systems. However, at the present stage, the number and content direction of HR processes have significantly expanded and talent management, training, development and motivation of personnel have become a priority. In this regard, automated accounting of only quantitative indicators is insufficient for effective human capital management. HR automation systems are gradually replaced by comprehensive HR-tex solutions that automate all HR processes and refer to all sections of the HR cycle. The purpose of the study is to consider the evolution of HRM systems and their compliance with modern HR processes, and to analyze the state of domestic software market for their automation. The analysis showed that Russian market is currently experiencing an urgent need for integrated automation tools that provide functional coverage of all human capital management processes. It is fragmented and characterized by a fairly high level of maturity of accounting and settlement contour software products along with the patchwork nature of IT solutions that automate the quality indicators of HR processes. In this regard, the conducted research on the development of HRM systems, taking into account technological trends and business needs for integrated solutions, allowed systematizing information in the form of a model of a complex, integrated system, and formulating requirements for it. It was established that integrated HRM system has a modular character and it is advisable to form a set of customized functions to manage the development of human capital potential based on the needs of a particular business. The highlighted areas of HRM systems development can be used in elaborating of import-independent software products of this class, as well as by enterprises when choosing tools for automating HR processes.

Digital transformation in accounting: elevating effectiveness across accounting, auditing, reporting and regulatory compliance

Purpose The study aims to analyse the role of digitisation in accounting in enhancing the overall effectiveness of accounting functions. To achieve this, the study provides empirical evidence from the stakeholder’s perspective of digitisation of accounting, auditing, reporting and regulatory compliance procedures. Design/methodology/approach The study has applied a quantitative approach to identify the thoughts of auditors, accountants and academicians on the impact of digitalised accounting applications on accounting functions. The data was collected by administering an empirical study and a sample of 482 professionals from the accounting, auditing and academic sectors. To analyse and interpret data descriptive statistics, structured equation modelling and mediation analysis has been used. Findings The finding of the study signifies the relevance of digitalised accounting applications in accounting functions and reveals that there is a significant impact of digitalisation on accounting, auditing, reporting and regulatory compliance aspects of accounting functions. The outcome of the study explores that a digitalised accounting system reduces possible errors and improves the accuracy and transparency of the system. Research limitations/implications The study highlighted the importance of developing new methods and techniques that can be used in practice. This indirectly advocates the inclusion of such concepts in accounting curricula to emphasise the need to understand the challenges and opportunities created by digitisation. Furthermore, the study will become a motivation to scholars who intend to explore different areas through which new technologies can be adopted to transform traditional accounting systems. Practical implications The contributions of the current study have implications that the adoption of digitised accounting enhances economic efficiency through a reduction in accounting costs, and enhanced accuracy that leads to the elimination of penalties and litigations for non-compliance with regulatory authorities. This indirectly impacts positively on the financial health of the business organisations and economies at large. This implication becomes greater evidential support to the organisations which are yet to plan the adoption and implementation of digital tools in their organisation for accounting functions. Originality/value Digitalisation is a relevant part of the accounting function to improve efficiency and accuracy. Since accounting and auditing practitioners struggle to control the accuracy and efficiency of transactions. Furthermore, the outcome of the study assists organisations in gaining real-time access to financial data, transforms workflows and empowers management to make timely informed sound decisions, optimise resource allocation, efficient regulatory compliance and so on.

ANALISIS PERHITUNGAN UNIT COST PELAYANAN SIRKUMSISI DENGAN PENDEKATAN ABC DI KLINIK SETIA BUDI JAMBI

Circumcision costing couter and conventional methods in Setia Budi Clinic Jambi using traditional accounting systems, so the services offered to be cheaper (under costing) or more expensive (over costing) of the costs that should be consumed on these services. It would be fatal to the hospital, especially in a highly competitive market conditions. Thus researchers need to review the unit cost in the circumcision services costing more accurate in the details of the cost and accuracy of charging better, then a decision will be taken by the management would be better and appropriate. Research performed using a qualitative descriptive design. Instruments used were documentation guidelines owned by hospital and stopwatch. Cost analysis method used is based on ABC (Activity Based Costing) system. The results of this study show units of cost to perform circumcision services at Setia Budi Clinic Jambi which is calculated using the Activity Based Costing (ABC) system is Rp 240.242,59 for the M conventional services and Rp 385.200,57 for M couter services. From the calculation of unit cost pelayananan circumcision in Clinical Setia Budi Jambi is calculated using the ABC method gives results smaller M convenstional service. While in service M couter, ABC calculation gives greater results.

Toward response-able AI: A decolonial perspective to AI-enabled accounting systems in Africa

This research draws from decolonial, and feminist Science and Technologies Studies approaches to explore the power dynamics of accounting knowledge systems in African contexts. It investigates traditional African indigenous accounting systems, then focuses on the current accounting systems used on the continent and future accounting possibilities presented by AI. We argue that while current accounting systems used in Africa are dominantly Western-centric, AI may reproduce and amplify this structural and systemic power dominance, which has further socio-material consequences on the continent. In trying to mitigate these effects, we propose response-ability in the conceptualization, design, and adoption of AI accounting systems. Fundamentally, we aim to open a discussion for rethinking how these systems can address social issues in alternative worlds and consider alternative and indigenous knowledge systems in African contexts. Toward this end, we seek to open conversations on how accounting AI applications can be designed and adopted in ways that reflect and promote the fundamental principles of objectivity, transparency, accountability, and trustworthiness as embedded locally in African community life and values.

Blockchain technology in modern accounting: A comprehensive review and its implementation challenges

In an era where technological advancements redefine traditional paradigms, this paper delves into the transformative impact of blockchain technology on the accounting sector. The study embarks on a scholarly journey, exploring the intricate interplay between blockchain and accounting practices, with a focus on its evolution, adoption, and the challenges it presents. The aim is to unravel the potential of blockchain as a catalyst for change in accounting, examining its implications from a multi-dimensional perspective. Adopting a qualitative research methodology, the study employs an analytical framework to dissect the integration of blockchain in various accounting sectors. This approach facilitates a comprehensive exploration of the subject, ensuring a thorough understanding of blockchain's impact on accounting practices. The paper navigates through the realms of blockchain adoption, comparative analysis with traditional systems, implementation challenges, and emerging trends, culminating in a rich tapestry of insights. The findings reveal that blockchain technology is not merely an emerging trend but a paradigm shift in accounting. It offers enhanced transparency, efficiency, and security, surpassing traditional accounting systems. However, the journey towards a blockchain-dominated future is fraught with challenges, including technological integration, skill development, and regulatory compliance. Conclusively, the study posits that blockchain technology is poised to revolutionize accounting practices. It recommends a harmonious blend of technological innovation with ethical and regulatory frameworks, emphasizing the need for education and skill development in blockchain technology. The study serves as a clarion call to accounting professionals and educators to adapt to this technological evolution, envisioning a future where accounting transcends traditional boundaries and embodies trust, transparency, and transformative innovation.

Digital accounting system and its effect on corporate governance: An empirical investigation

AbstractThis empirical investigation explores the impact of the digital accounting system (DAS) on corporate governance (CG). The rapid advancement of technology has revolutionized various aspects of business operations, including accounting processes. The transition from traditional manual accounting systems to digital platforms has been accompanied by significant changes in corporate governance practices. This study aims to investigate the influence of DAS effectiveness (bookkeeping system, DAS security, IFRS adoption, and budgeting system) and the success of DAS (system quality, information quality, and service quality) on CG. The study determined the relationship by conducting a questionnaire survey of 264 senior managers, accountants, and department heads of pharmaceutical companies in Yemen. Partial Least Squares (PLS) was used for data analysis. The results supported all assumed relationships except the relationship between the budgeting system and CG. Specifically, unlike all supposed relationships, the budgeting system had no significant impact on CG. Despite the fact that prior studies have investigated these issues from different aspects in developed countries, the evidence in less developed countries is still unknown. Further, revisiting DAS and CG aspects with different new insights and measures, particularly bookkeeping system, DAS security, IFRS adoption, budgeting system, system quality, information quality, and service quality, has not been the subject of prior studies. As a result, the present study bridges a serious gap in the existing stock of knowledge in DAS and CG studies. Moreover, this piece of research has useful implications for managers, investors, practitioners, academicians, and decision‐makers.

Case study of cost efficiency in selected business entities in Poland in light of current economic conditions

Motivation: Current economic conditions, including, but not limited to, the rising inflation rate, changes in electricity prices or changes in tax law significantly affect the manner of operation of business entities in Poland. The economic impact of these changes varies greatly depending on the type of business, industry or economic sector represented. These changes are also reflected in the level and structure of the entities’ own costs — primarily in the when considering costs by type. The multitude of changes that Polish companies now face also indicates the importance and relevance of the concept of effective cost management in these difficult economic conditions. Therefore, the need to adapt the business to the peculiarities of the new economic reality created the basis for a thorough identification of cost information needs coming in from the cost accounting systems used in companies. This became one of the prerequisites for undertaking research on evaluating the usefulness of cost accounting systems used in business entities for effective management of their costs.Aim: The purpose of this article is to analyze and assessment the cost effectiveness of selected entities representing production, commercial and service activities in the context of recent changes in economic in Poland.Results: The main conclusion of the analysis is that the current economic conditions have a significant impact on the level and structure of own costs in business entities. Therefore, these entities need specialized economic tools to improve the efficiency of their cost management. It is because the traditional full-cost accounting system used by most business entities in Poland is proving to be inadequate in this regard.

Implementation of blockchain technology in the system of accounting and analytical support for the public sector

The study addressed the problem of developing a mechanism for introducing blockchain technology into the system of accounting and analytical support for public sector entities. In the course of the research, the volumes and types of financial violations by public sector entities were analyzed. Identified violations were committed by public sector entities, and their significant share fell on the system of accounting and analytical support, in particular, financial reporting, budget execution. Legal restrictions on the introduction of blockchain technology for public sector entities were outlined. The absence of a number of acts in the field of digitization, protection of state secrets, cyber security, international standards, etc. in the legal field was established. The characteristics and mechanisms of blockchain technology were described, the types of blockchains based on permission models (open, closed) were defined. The technological characteristics of the use of blockchain platforms in the system of accounting and analytical support of public sector entities have been determined. The need to use blockchain applications such as smart contracts was indicated. It is noted that the use of smart contracts can be developed on blockchain platforms such as Ethereum, NXT, and Hyperledger; their key characteristics were described. A comparative description of transactions of state funds in the traditional accounting system and with the use of blockchain systems is given. The problem of the materiality of the transaction cost when transferring large volumes of data was outlined using the Ethereum platform as an example; its shortcomings were identified. The development of a mechanism for introducing blockchain technology into the system of accounting and analytical support using the Hyperledger platform, which has an open-source community focused on the development of a set of stable frameworks, tools, and libraries for deploying enterprise-level blockchains, was described. The advantages and disadvantages of introducing blockchain technology into the system of accounting and analytical support have been determined.

Triple-Entry Accounting as a Means of Auditing Large Language Models

The usage of Large Language Models (LMMs) and their exponential progress has created a Cambrian Explosion in the development of new tools for almost every field of science and technology, but also presented significant concerns regarding the AI ethics and creation of sophisticated malware and phishing attacks. Moreover, several worries have arisen in the field of dataset collection and intellectual property in that many datasets may exist without the license of the respective owners. Triple-Entry Accounting (TEA) has been proposed by Ian Grigg to increase transparency, accountability, and security in financial transactions. This method expands upon the traditional double-entry accounting system, which records transactions as debits and credits in two separate ledgers, by incorporating a third ledger as an independent verifier via a digitally signed receipt. The utilization of a digital signature provides evidentiary power to the receipt, thus reducing the accounting problem to one of the presence or absence of the receipt. The integrity issues associated with double-entry accounting can be addressed by allowing the parties involved in the transaction to share the records with an external auditor. This manuscript proposes a novel methodology to apply triple-entry accounting records on a publicly accessed distributed ledger technology medium to control the queries of LLMs in order to discourage malicious acts and ensure intellectual property rights.

Construction of enterprise financial accounting cloud platformbased on big data

In this paper, we delve into the construction of an enterprise financial accounting cloud platform utilizing thecapabilities of Big Data. As the era of Big Data and cloud computing advances, robust, intelligent, and efficientfinancial management becomes crucial. We initially address the limitations of traditional financial accounting systems,underlining the potential of Big Data and cloud technology in overcoming these challenges. The proposed cloud-basedplatform's architecture is explored, emphasizing its essential components: data acquisition, data processing, and dataanalysis modules. The importance of data security in the cloud environment is also discussed. Lastly, the paper providesa practical implementation strategy for this platform and examines the transformative impact it can have on enterprisefinancial management

Assessment of an alternative accounting and analytical system or individual entrepreneurs

The growth of individual entrepreneurs annually creates a special layer of small businesses, however, both legally and practically, the existing accounting systems do not consider the specifics of such a business, therefore, the search for an alternative accounting system is an urgent problem. The purpose of this study is to evaluate the previously proposed alternative integrated accounting and analytical system for individual entrepreneurs by creating a test to assess the requirements for organizing accounting and analytical systems by individual entrepreneurs, assess the elements of the management system in the proposed integrated system, and assess the processing of accounting information by three types of systems: traditional, functional and integrated. The study used a systematic method, as well as methods of analysis, synthesis, comparison. Based on the results of the study, a conclusion was made about the advantage of an alternative accounting and analytical system for individual entrepreneurs in comparison with the existing traditional accounting system. The results of the study can become the basis for improving the proposed early alternative integrated accounting and analytical system for individual entrepreneurs and can be used as state recommendations for keeping records by individual entrepreneurs, as well as introducing the accounting system structure into new alternative enterprise resource planning systems.

RELATIONSHIP BETWEEN LEAN ACCOUNTING AND FINANCIAL PERFORMANCE OF COMMERCIAL BANKS IN ELDORET TOWN, KENYA

<p>Everybody working seriously to implement Lean Accounting concept in their company eventually bumps up against their accounting systems. It soon becomes clear that traditional accounting systems are actively anti-lean. Lean accounting refers to the concepts designed to better reflect the financial performance of a company that has implemented lean service processes. These may include organizing costs by value stream, changing inventory valuation techniques and modifying financial statements to include nonfinancial information (Alves, Vieira Neto, de Mattos Nascimento, de Andrade, Tortorella, & Garza-Reyes, 2022). The study sought to establish whether Lean Accounting influences the financial performance of Commercial Banks in Kenya. The study was guided by the Lean Philosophy model. The study used a cross-sectional research design and targeted employees working in all t8 commercial banks in Eldoret town, Kenya. A census of the study population was conducted. Questionnaires were used as data collection instruments. The data was analyzed using both inferential (multiple regression and correlation) and descriptive statistics (frequencies, percentages, mean and standard deviation) and was presented by the use of tables and charts. The study findings indicated that the study variables Lean Accounting β = 0.209, p < 0.05 were significant to financial performance. The results showed that Lean Accounting was a positive and significant predictor of financial performance with (t = 3.250; ρ < 0.05). The study recommended that the management of commercial banks in Kenya should strive to maintain the current lean accounting practices and further increase or improve them in order to enhance the banks’ value. They should also train staff on the use of Lean Accounting techniques in order to be able to improve their performance. </p><p><strong>JEL</strong>: G20; G21; M40</p>

La genesi della contabilità matriciale e la "ragioneria scientifica" del secolo decimonono

El artículo se propone demostrar que las raíces de la contabilidad matricial se encuentran en la tradición de la contabilidad matemática desarrollada en Italia durante la segunda mitad del siglo XIX y la primera mitad del XX. La investigación subraya y saca a la luz los factores sociales e históricos que han determinado el desarrollo de dicha contabilidad. En la segunda mitad del siglo XIX, gracias a la obra de Giovanni Rossi (1845-1921), unánimemente reconocido como el más gran discípulo de Giuseppe Cerboni, y su escuela logismográfica, tuvo lugar la sistematización de la contabilidad matricial y de sus aplicaciones a las diferentes unidades económicas, tanto empresas como entidades del sector público. En efecto, en 1889 Rossi publicó una monografía fundamental, "Lo schacchiere anglo normanno e la scrittura in partita doppia a forma di scacchiera" (El tablero anglo-normando y la escritura por partida doble en forma matricial), publicada por el Collegio dei Ragionieri in Roma. La obra -de la que queda un número muy limitado de ejemplares- representa el resultado de largos anos de investigación de Rossi en contabilidad matemática, que realizó a través del estudio de manuscritos de su archivo particular, donado luego a la Biblioteca Municipal de su ciudad, Reggio Emilia. Sin embargo, sorprendentemente, a este estudioso se le considera más por sus aportaciones a la teoría personalista de las cuentas, que por su labor como fundador de la contabilidad matricial. Los elementos fundamentales del innovador método contable de Rossi, de aplicación tanto a la contabilidad por partida doble, como a la contabilidad por "partida cuádruple", se reconocen y documentan en los estudios matemáticos de este investigador -principalmente en los llamados "determinante simbólico" y "determinante gráfico"-, así como en sus estudios históricos sobre el tablero anglo-normando, como por ejemplo el Rotulus annalis y el Memorandum, de donde se deriva el título de su monografia. La publicación del volumen suscitó gran interés, lo mismo nacional que internacional. Véanse, entre otros, los trabajos de D. Biancardi, P. D'Alvise, E. Gagliardi, F. Hügli, G. Massa, A. Sanguinetti y A. Savigny. El presente ensayo, apoyándose en soportes documentales, sostiene la tesis de la originalidad y la innovación de las herramientas contables instrumentadas por Rossi y rechaza las acusaciones de plagio formuladas por algunos en relación con trabajos previos de Fabio Besta. El artículo presenta dos aplicaciones de contabilidad matricial en empresas comerciales: la primera, en el marco de un sistema contable logismográfico y, la segunda, en un sistema contable de partida doble típicamente pacioliano.

Impact of E-Accounting on Accountants’ Performance in the Nigerian Public Sector

This study was undertaken to reveal the impact of e-accounting on the performance of accountants in the Nigerian Public Sector. The level of effectiveness and efficiency of accountants in the Nigerian Public Sector has not been encouraging in the past years due to their use of the outdated manual accounting system also known as the traditional accounting system. The e-accounting system is fast, saves time, and helps accountants to cover more work than before; thereby promoting their effectiveness. It has been fully implemented in the Office of the Accountant-General of the Federation. The questionnaire was used to collect data, and analysis was carried out through the use of simple percentages and chi-square. It was revealed that e-accounting helps to improve the performance of accountants in the Nigerian Public Sector, thereby boosting the economy of the country. It was discovered that the e-accounting system has helped to detect fraudulent activities and other financial management crimes in the Office of the Accountant-General of the Federation. Other organizations that are financially capable and that have a stable power supply have been encouraged to fully adopt the e-accounting system.

Quantifying the cost of quality in construction projects: an insight into the base of the iceberg

Construction projects are complex endeavors where achieving higher quality standards is challenging due to the intrinsic difficulties and dynamic quality management processes. Several quality management techniques exist to overcome quality concerns, such as the cost of quality (COQ). However, implementing COQ in building construction is challenging due to the absence of a comprehensive quality cost-capturing system. Several studies have tried to quantify different quality costs but are mainly focused on visible failure cost—the tip of the iceberg while the base of the iceberg has rarely been explored. This study develops and quantifies each component of the visible and hidden quality costs—the base of the iceberg. Accordingly, a modified prevention, appraisal, and failure model is developed and applied to the primary data of 25 building projects. The findings highlight the unfamiliarity and passive attitude of the involved construction firms towards quality, thus, incurring higher failure costs amounting to over 12% of the total project cost. Most of this cost remains hidden as traditional accounting systems cannot capture it. Such costs must be eliminated by implementing COQ systems as utilized in the current study. Further, a quality costing framework is established for building projects and applied to the local construction industry to reduce construction failures and improve the quality performance of building projects.

Research on the impact of artificial intelligence-based e-commerce personalization on traditional accounting methods

With the development of artificial intelligence technology in various fields, the traditional accounting method is no longer applicable to the personalized development of e-commerce industry; Therefore, it is essential to improve the accounting method and construct a personalized recommendation model for e-commerce. Based on this background, this study firstly reconstructs the steps of accounting element recognition in the traditional accounting system and constructs an automated accounting recognition mechanism using BP neural network algorithm, aiming to improve the accuracy and efficiency of accounting element recognition; Secondly, a personalized e-commerce recommendation model based on multiple intelligence is built, which uses intelligent Q-learning algorithm to optimize the recommendation module, aiming to improve the accuracy of personalized recommendation. By comparing the performance of different accounting models under different personalized e-commerce systems, the accounting model proposed in this paper can predict the accounting entries well under the three-layer BP neural network, and the error between the maximum predicted value and the actual value is 0.23%. The recommendation model proposed in the study outperforms the traditional recommendation model and the recommendation model under collaborative filtering algorithm in predicting customers' personal preferences, whose predicted value is closer to the real situation. In summary, both the accounting method and the personalized recommendation model for e-commerce proposed in this study can achieve better application results, thus providing a new idea for the development of the e-commerce industry.

Conceptual approach to the development of accounting and information support for managing the sustainable development of economic entities in the agro-industrial complex based on the ESG strategy

Managing the sustainable development of economic entities of the agro-industrial complex on the basis of an ESG strategy, which provides for transparency in management, concern for the environment and people, necessitates the development of its accounting and information support, which is problematic due to the narrowness of the methodological, subject-object and instrumental basis of the traditional accounting system. The purpose and result of the study was the development of a new conceptual vision of a management accounting and information system, based on advanced management technologies, solving the problems of the content of ESG reporting and the quality of accounting and information support.

Cost Efficiency of Ankle Fracture ORIF at an Ambulatory Surgical Center vs Hospital

Category: Ankle; Trauma Introduction/Purpose: Ankle fracture open reduction and internal fixation (ORIF) is one of the most commonly performed orthopaedic surgeries, which can be performed at a variety of surgical locations. However, there is very little data exploring the cost and efficiency of ankle fracture ORIF in different operative settings. Time-Driven Activity Based Costing (TDABC) is a novel accounting method used to accurately assign costs for various procedures by creating a process map of all personnel interactions as a patient moves through a care event. Further, it has been shown to more accurately allocate costs, as compared to traditional accounting systems. Our purpose is to evaluate cost and efficiency differences in ankle fracture ORIF at an outpatient ambulatory surgery center (ASC) versus a hospital setting. Methods: A prospective cohort study was performed at a single academic medical center involving four orthopaedic surgeons. Patients were enrolled with uni-, bi-, or tri-malleolar displaced ankle fractures undergoing ORIF. According to TD-ABC methodology, a process map was created for each peri-operative platform and hand-timed data was collected at each location (ASC=5, hospital=5) by a single observer. In addition, retrospective cost data was obtained from 181 surgical cases using our institution's existing cost accounting system (ASC=34, hospital=147). Average event times and care costs were calculated for both locations, and a process map outlining the steps of care was created for each surgical site, according to TDABC methodology. Data were analyzed to investigate the effects of surgical site on labor cost, efficiency, and provider time. Results: Overall, total direct cost was similar between locations (ASC=$10,837.43, hospital=$9,377.80; p=.114), although there were significantly higher direct costs in the hospital: perioperative/anesthesia (ASC=$2,532.61, hospital=$4,594.20; p<.001), pharmacy (ASC=$112.18, hospital=$349.74; p<.001), radiology (ASC=$17.67, hospital=$227.98; p<.001), and therapy (ASC=$28.23, hospital=$130.91; p<.001). However, medical supply costs, including implant costs, were significantly higher at the ASC (ASC=$7,835.14, hospital=$2,459.60; p<.001). Preoperatively, nurse assessment of the patient was significantly quicker in the hospital (ASC=14.65 min, hospital=5.10 min; p=.030), while patient transport to the operating room was significantly quicker in the ASC (ASC=1.20 min, hospital=2.60 min; p=.014). Case duration was significantly longer in the ASC (ASC=138.60 min, hospital=56.60 min; p=.005), which may have been influenced by case complexity, as there were more tri-malleolar fractures (n=2) and concomitate ankle arthroscopies (n=3) in that cohort. Conclusion: Overall, direct costs appear to be lower at the ASC than the main hospital, although efficiency of care delivery seems similar. Generally, there were small differences in the care continuum between the main hospital and ASC, though areas where improvement could be obtained include preoperative nurse assessment of the patient and efficacy of regional nerve block administration. Going forward, larger studies will be needed to further investigate these results.