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Submitted by jacee2 on Sun, 2013-08-11 20:45
due on Thu, 2013-08-15 20:35
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Health Care Finance; Operating Bugets and Capital Expenditre Budgets

5 questions

Assignment Exercise 15–1: Budgeting

Select an organization; either Metropolis Health System from the Chapter 25 Case Study or

one of the organizations presented in the Mini-Case Studies in Chapters 26–28.


1. Using the organization selected, create a budget for the next fiscal year. Set out the

details of all assumptions you needed in order to build this budget.

2. Use the “Checklist for Building a Budget” (Exhibit 15-2) and critique your own


Assignment Exercise 15–2: Budgeting

Find an existing budget from a published source. Detail should be extensive enough to

present a challenge


Assignment Exercise 15–3: Transactions outside the Operating Budget

Review Figure 15-2 and the accompanying text.

Metropolis Health System has received a wellness grant from the charitable arm of an

area electronics company. The grant will run for twenty-four months, beginning at the first

of the next fiscal year. Two therapists and two registered nurses will each be spending half

of their time working on the wellness grant. All four individuals are full-time employees of

MHS. The electronics company has only recently begun to operate the charitable organi-

zation that awarded the grant. While they have gained all the legal approvals necessary, they

have not yet provided the manuals and instructions for grant transactions that MHS usually

receives when grants are awarded. Consequently, guidance about separate accounting is

not yet forthcoming from the grantor.


How would you handle this issue on the MHS operating budget for next year?

Assignment Exercise 15–4: Identified versus Allocated Costs in Budgeting

Review Figure 15-3 and the accompanying text.

Metropolis Health System is preparing for a significant upgrade in both hardware and

software for its information systems. As part of the project, the Chief of Information Oper-

ations (CIO) has indicated that the Information Systems (IS) department can change the

format of the MHS operating budgets and related reports before the operating budget is

constructed for the coming fiscal year. The Chief Financial Officer (CFO) has long wanted

to modify what costs are identified and what costs are allocated (along with the method of

allocation). This is a golden opportunity to do so. To gain ammunition for the change, the

CFO is preparing to conduct a survey. The survey will obtain a variety of suggestions for po-

tential changes in allocation methods for the new operating budget report formats. You

have been selected as one of the employees who will be surveyed



Assignment Exercise 16–1: Capital Expenditure Proposals

Ted Jones, the Surgery Unit Director, is about to choose his strategy for creating a capital

expenditure funding proposal for the coming year. Ted’s unit needs more room. The

Surgery Unit is running at over 90% capacity. In addition, a prominent cardiology surgeon

on staff at the hospital wants to create a new cardiac surgery program that would require

extensive funding for more space and for new state-of-the-art equipment. The surgeon has

been campaigning with the hospital board members.

What should Ted decide to ask for? How should he go about crafting a strategy to justify his

request, given the hospital’s new scoring system?

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ANSWER FOR YOU...Exercise 15-1, 15-3, 15-4 and 16-1

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xxxxxxxx 15-1

Building xxx xxxxxx for Sample Hospital’x xxxxxx Pharmacy xxxxx the xxxxxxxxxxx xx xxx xxxx xxxxx


The source of xxxxxxx is sales xx medicines xxxxxxxxxx and xxxx is dependent on the number of xxxxxxxxxxxxxx xxx study xxxxxxxxx daily xxxxxxxxxxxxx to be 225 which yield xx annual estimate xx 55,350 xxx the xxxxx xxxxx The xxxxxxx revenue xxx prescription is assumed to xx $46.75 and multiplying xxxx xx xxx xxxxx number of prescriptions xxxxx us the total revenue xx $2,587,613.


The xxxx for expenses were xxxxxxxxx from xxxxxxx 26-1 xx xxx xxxxxxxxx study.

Total variable expense xxxxxxxx to xxxxxxxxxxx xxxxxxxxxx xx xxxxx is cost of sales xxx xxxxxxx for xxxxxxxx services xxx xxxxx

xxxxx xxxxx xxxxxxx xx xxxxxxxx xxxxxx amounted to xxxxxxxxx


Volume xxxxxxx of xxxxxxxxxxxxxx xxxxxx

xxx Revenue x 46.75/prescription 2,587,613

xxxxxxxx Expense 2,062,350

Cost xx xxxxx $ xxxxxxxxxxxxxxxxxx 2,047,950

xxxxxxxx xxxxxxxx and Fees 14,400

Fixed Expense xxxxxxx

Salaries xxx Wages 192,000

Benefits 38,400

xxxxxxxxx xxx xxxxxxxx 12,000

Depreciation and Amortization 15,333

xxxxxxxxx xxx xxx xxxxx xxxxxx

xxxxx Exp.

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xxxxxx xx xxxx

The following is a copy xx downloaded xxxx releases xxxx xxx website xx xxxx St. xxxx xxxxx

Searching xxx a xxxxxxxxx xxxxxxxxx Budget of x xxxxxxx xxxxxxxx xxxxxx proved xx xx very difficult xxx xx end).The most xxxxxxxx xxxxxxxxx xxxx xxx xx Operating Income. The components xx the xxx xxx the same xxxxxxx the xxxxx one is x plan - xxxxxx xxxxxxx xxx xxxxxxxx xxxxx the xxxxxx was already xxxxxxxxxxx xxx xx time xxxxxxxxxxx and xxxx hesitancy, x critique xx xxx xxxx budget of xxxx xxx xxxx was xxxxxxxxxxx

xxxx xxx John City HallErica xxxxxx

Scope xx xxxxxxxxx projects reduced to xxxx balance xxxxxx

xx order xx xxxxxxx Fort xxx John’x 2014 xxxxxxxxx Budget, $585,000 xxxx xx needed from the Tax Stabilization xxxxxxxx xxxxx is xxxx xxxx xxxx of xxx $1.16 xxxxxxx xxxx xxxx xxxxx xxxx’x down from the xxxxx xxxxxxx xxxxxxxxxx presented xx xxxxxxxx

xxxxxxx xxxxxxxx

City xxxxx xxxxx xxxx at xxxx Operating Budget

Transferring xxx stabilization xxxxx xx in xxxxxxxx

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Answer to HW 15-3

xxx wellness grant received xx the xxxxxxxx from a xxxxxxxxxx xxxxxxxxxxx xx a xxxxxxxxxxx xxxxxxx xx xxx xxxxxxxxx budget. It has x separate xxxxxxxxxx procedure. Basically, it xxxxxx xxx affect the operating xxxxxxx xx xxxx xxxx however, xxxx xx the xxxxxxxx’s full-time xxxxxxxxx were assigned xx xxx xxxxxxx for half-day’x xxxxx The employees, being xxxxxxx employees, and their xxxxx detailed xx the xxxxxxx an xxxxxxxx xxxxxxxxxxx can not be xxxx xxxx xxxx xxxxx regular xxxxxxxxx Their xxxxxxxx xxx xxxxxxxx are fixed and xxx xxxxxxxxx xx the hospital’x xxxxx xxxxxxxxx The management has to xxxx xxxxxxxxx registered xxxxx and therapist equivalent xx 2 xxxx xx perform duties xxxx xx xxx employees assigned to xxx grant. This xxxxx entail additional xxxxxxx to xxx hospital which xxxx be xxxxxxxxx xx xxx Variable Expense as xxxxxxx contract expense.This xxxx diminish xxx xxxxxxxx’s xxxxxxxxx income by a xxxxxxxxxx small xxxxxx xxxxxxxx xx xxx over-all xxxxxxxx gained xxxx xxx grant xxxxxx xxx xxxxxxxxx xx xxx operating xxxxxxx

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x am the xxxx xx the xxxxxxxxx xxxxxx xxx xxxxxxx Practice and Administration.My staff xxxxxxxx six full-time xxxxxxxxxx nurses xxx six xxxxxxxxxxxx xxxxx must xx xxx full-timers and two part-timers xx anyone xxxx during the xx hour xxxxxxxxxx

xxx following xxx xxx xxxxxxxxxxxx operating expenses xx my unit:

1. xxxxxxxx xxx wages

2. xxxxxxxx xxxxxxxx

xx medical xxxxxxxx and xxxxxxxxxxxx on equipments xx the ER

4. xxxxxxxxx

xx Employee Welfare

6. xxxxxxx xxxxx

xxxxxxxx xxxx my unit xx about xxx xx xxxxxxx xxxxxxx xxxxxx I xxxxx xxxxxxxx our xxxxxxxxxxxx cost given xxx data xxxxx to be $502,500 x xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

The rest of the expenses xxxxxx xx allocated and xxxxxx A xx the table below. Those data

represent expenses xxx xxx whole xxx xxx I xxxxx xxxxxxx x proportionate xxxxxx xx allocated xx xx unit.I would xxxx additional data(like xxxx of xxx unit’x xxxxxxxxxxxx xx total revenue,etc) xx xxxxxxxxx this proportion.

Metropolis Health xxxxxx

Schedule of xxxxxxxxx Expenses

for the xxxx xxxxx March xxx 2_

Nursing Services

xxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxx x

Operating xxxxxxxxxxxx x

xxxxxxxxx care Units xxxxxxx x

xxxxxxxxxx 150,000 I

xxxxx 300,000 I

Total $5,025,000

xxxxxxx Services

Dietary $1,055,000 A

xxxxxxxxxxx 1,000,000 x

xxxxxxx xxxxxxx x

Housekeeping 470,000 A

Security 50,000 x

Medical Records 330,000 A


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Answer xx Ex.16-1

It xx the xxxxxxxxxxxxxx xx the surgery xxxx xxxxx xxx Jones, xx weigh xxxxx xx xxx two capital xxxxxxxxxxx proposals(proposal xxx additional rooms xx proposal for xxxxxxxx of a xxx state xx the xxx equipment being xxxxxx xx a xxxxxxxxx surgeon) to present xx xxx xxxxxx

A xxxxxxxx analysis of the xxx xxxxxxxx is vital, xx xxxxxxxx regarding capital expenditures xx xxx xx the major and sensitive management xxxxxxxxx that xxxx affect the profitability xx x xxxxxxxxx This xx xx because xx xxxxxxxx x relatively xxxxx xxxxxx of xxxxx being committed xx x project xxx x long xxxxxx xx time. It xx the time xxxxxx that adds xxxx to xxxxxxx xxxxxxxxxxx xx xxxxx is xxxxxxxxxxx xxxx xx be xxxxxxxxxxx xxxxxxxxx certain assumptions regarding time value xx money xxx xxxxxxxxx be xxxxxx Another xxxxxx is liquidity problem- capital xxxxxxxxxx is not easily xxxxxxxxxx xx cash. xx for xxxxxxx after x xxxxx one realizes xx was a wrong decision, xx xxx not xxxxxx cut

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Metropolis Health System - Case Study Ex 15-1, 15-3, 15-4 and 16-1

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Exercise 15 – 1:


xxxxxxxxxxx x xx increase/decrease in xxxxx

MHS xxxxxxxxx raising xxxxxxxx without xxxxx

xxxxxxxxxx xx Metropolis xxxxxxx xx 50,000

xxxxx is no increase in xxx xxxxxxxxxx and xxxxxx xxx xxxx xx xxxx year

Outpatients have increased xx 50,000 over previous xxxx

Board xx Trustees are xxxxx volunteers and no compensation xx xxxx to them

xxx number xx xxxxxxxxxxxxxx xxxxxxx xxxxxx at xx

The employee head count xxxxxxx xx 500

xxx members of xxx xxx foundation xxx volunteers xxx no xxxxxxxxxxxx is xxxx xx xxxx

xxx xxxxxxxxx xxxxxxxxx - xxxxxxxxxxxx xx MHS xx xx $50000 (based on xxx xxxxxxxxxx xxxx xxxxxx was xxxxxxxxxxxx contributed xxxx the last xxxx xxxxxx

New plans: - xxxxxxxxxx costs

Five new areas xxxx x five xxxx period:

xx Ambulatory services

xx Physical Medicine and rehabilitative services

3. Cardiovascular xxxxxxxx

xx Oncology

5. xxxxxxxxx Health

Other xxxxxxxxxxxx

xxxxxxxxxxxx costs and revenue move xx xxx xxxx xxxxxxxxx

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Exercise 15 – 3

Any xxxxx xxxxx has xxxx received xxx x xxxxxxxx reason xx a restricted xxxxx xxxx xxxxx xxxxxx xx xxxx freely xxx xxxxxx xxxxxxxxx Hence, xxxx xxxxx are xxx xx xx mingled xxxx common xxxxxx Each specific grant xxxxx xx xx xxxxxxxxx and xxxxxxxx separately xxxxxxx of the xxxx that xx xxxxxxxx xxxxxxxxxxxx xxxx xxxx given xx the xxxxxx

Exercise xx – 4

The xxxxxxxx chosen is “xxxxx’s health” xxxx Figure 25-1.

Organization xxxxx

xxxx xxxxx

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Exercise 16 xxx

The xxxxx important xxxxxxx xxxxx will xx xxxxxxxxxx xxxxx xxxxxx a xxxxxxx xxxxxxxxxx decision at the xxxx xx rationed xxxxxxx are:

xxxxxx xxx the request

Cost of xxxxxxx

xxxxxx xx xx xxxxxxxx on the xxxxxxxxxx

xxx Jones should justify xxx case xx xxxxxxxxxx xxx xxxx xxxx xx xxxxxxx xxx following points xx xxxxx

The xxxxxxx of the request xx to xxx xxx more xxxxxxxxxxxxxxxx xxxxxxxxxx

More xxxxx xx xxxxxx to build xxx xxxxxxx activities especially xxxxxxxxxxx

x detailed drawing xx xxx xxxxx should be xxxxxxxxxx

A xxxxx of the existing vendors to xx xxxxxxxxx and xxxx xxxxxx xx be chosen xxx xxx xxx xxxxx xx the art xxxxxxxxxx xxxxxxxx xxxx outflow should be xxxxxxxxxx

x xxxxx xx the construction and xxxxxxxxxxx work to xx xxxx and cash xxxxxxxx to xx xxxxxxxxxx

Approximate cash xxxxxxx xxxx xxx extra space/additional xxxxxxxxx xx be xxxxxxxxxx for the next xxxx years.

Any additional capital outflow required xxxx the xxxx xxxx xxxxx to be determined.

xxx net cash

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