Who is financially accountable for care regardless of where it is delivered?

• A. Nurse
• B. Member
• C. MTF commander
• D. Supervisor

Answer: (C)

In this setting, financial accountability for care, no matter where it’s delivered, sits with the MTF commander. The commander has overall responsibility for the facility’s resources, budget, and financial stewardship, and this duty covers care provided within the military treatment facility as well as care obtained elsewhere through authorized referrals or TRICARE arrangements. This centralized accountability ensures proper authorization, consistent payment, and appropriate use of resources across all care settings. A nurse focuses on delivering quality clinical care, the member is the patient receiving care, and a supervisor oversees operations, but none carry the enterprise-wide financial responsibility that the MTF commander holds.