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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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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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xxxxxxxx Making: Metropolis xxxxxx xxxxxx Case Study
Metropolis xxxxxx xxxxxx (MHS) is x xxxxxxx taxing xxxxxxxx hospital which is located xx the xxxx xx xxxxxxxxxxx xxxxx has a xxxxxxxxxx xx xxxxxx (Baker & Baker, xxxxxx   MHS xxxxxx xxxxxxxxxxxxx healthcare xxxxxxxx and has taken xxxxxxxxxxx xxxxx xx xxxxxx xxxxxxxx xxxxx xxxxxxxxx xxxxxxxx a comprehensive array of services that xxx xxxxxxxxxxx xxxxxxxxxxxxxxx and responsive to xxx community’s needs (Baker & xxxxxx 2011).   xxxxx xxxxxxxx xxxxxxxx   x xxxxxxxxxxxxxx and xxxxxxxx xxxxxxx xxxx Health xxxxxxxxx xxxx xxx xxxxxxx (SDS), Skilled Nursing Facility, xxxxxxxxx xxxxxx xxx Wellness, Occupational Health Services, and Recovery xxxxxxxxx   Each of xxxxx xxxxx areas of service is “geared xx provide the quality, xxxxxxxxxxxx xxxxxxxxxxxxxx xxx xxxxxxxx xxxx that xxxx suit xxx xxxxxx xxxxx xx xxx xxxxxx whom xxx serves” (Baker & xxxxxx 2011, xxx xxxxx   xxx xxxxxxxxx xxxxxxxxxxxxxx xxxxx will xxxxx xx the xxxxxxxxxxxxxx xxx

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