Health Care Finance; Operating Bugets and Capital Expenditre Budgets
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?
Answer rating (rated one time)
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
5. xxxxxxxxx Health
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.
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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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