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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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HSA 525 Homework week 7 Answer(NEW COURSE)A+++Tutorial Use As guide Excel File Attached

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USING xxx xxxx STUDY
Volume Rangexxxxxxxxxx 61059
Net Revenue xxxxxxxxxx xxxxxxxxxx $2,991,869
xxxxxxxx Expensesxxxxxxxxxxxxxxxx$688,130
xxxxx Expenses$1,910,000 $1,860,000.0xxxxxxxxxx
Net Income xxxxxxxx$443,882 xxxxxxxx
Volume xxxxxxxxxx63000 xxxxx
xxx xxxxxxx$3,000,000$3,150,000xxxxxxxxxx
Variable xxxxxxxx$600,000 $677,250 $759,000
xxxxx Expenses xxxxxxxxxx xxxxxxxxxxxxxxxxxxxx
Net xxxxxx $490,000$612,750 xxxxxxxx
xx order xx handle xxxx issue xx the MHS operating xxxxxx for the xxxx year, xxx xxxx that is xxxxxxxx xx xx xxxxx xx xxxxxx disclosure of xxx grant xxxxxxxxxx xx the budget.
xxxxx Resource xxxxxxxxxx Department xxxxxxxxx xxxxxx
xxxxxx xxxxxxxxxxxxx Costs Genreal & Adm. xxxxxx xxx be xxxxxxxx
Patient xxxxxxx xxxx
Supporting xxxxxxx xxxx xxxxxxxxx Expenses
xxxx xxxxxxxx Charges Training xxxxx
Capital expenditure xxxxxxxx xx xxxxx significant for the future of xxx hospital and xxxxx before taking any decision the hospital xxxxxxxxxx should xxxxxxx and evaluate xxx budget xxxxxxxxx The xxxxxxxxxx xxxxxxxx that xxxxx xxxxxx xx a xxxxxxxxx xxxxxxxxxx from xxx higher management that would xxxx after xxx project from financial stability point through xxxxxxx xxxxxxxxx xxxxxxxxxx xxxx xx xxxxxxxx xxxx of xxxxxx xxx xxx Present Value methods. xxx of

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

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xxxxxxxx xxxx

xxxxxxxx xxx Budget xxx xxxxxx Hospital’x Retail xxxxxxxx using the xxxxxxxxxxx xx xxx xxxx Study


xxx source of xxxxxxx xx xxxxx xx xxxxxxxxx prescribed xxx xxxx xx xxxxxxxxx xx the number xx xxxxxxxxxxxxxx The study xxxxxxxxx daily prescriptions to xx 225 xxxxx yield xx annual estimate of 55,350 xxx the first year. xxx xxxxxxx revenue per xxxxxxxxxxxx xx assumed xx be $46.75 and multiplying xxxx by the xxxxx xxxxxx of prescriptions xxxxx us xxx total revenue of $2,587,613.


xxx data for xxxxxxxx were extracted xxxx xxxxxxx xxxx xx xxx xxxxxxxxx study.

Total xxxxxxxx expense xxxxxxxx to xxxxxxxxxxx xxxxxxxxxx xx xxxxx xx xxxx of xxxxx xxx xxxxxxx xxx contract services and xxxxx

Total xxxxx xxxxxxx xx xxxxxxxx below, xxxxxxxx to xxxxxxxxx


Volume xxxxxxx of xxxxxxxxxxxxxx 55,350

xxx Revenue x xxxxxxxxxxxxxxxxxx 2,587,613

xxxxxxxx xxxxxxx xxxxxxxxx

Cost xx Sales $ xxxxxxxxxxxxxxxxxx xxxxxxxxx

Contract Services and Fees xxxxxx

xxxxx Expense xxxxxxx

Salaries and xxxxx 192,000

xxxxxxxx 38,400

Materials xxx xxxxxxxx xxxxxx

Depreciation xxx Amortization 15,333

Provision for xxx xxxxx 25,876

Misc. xxxx

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xxxxxx xx 15-2

The xxxxxxxxx xx x xxxx xx xxxxxxxxxx xxxx releases xxxx the xxxxxxx xx Fort xxx xxxx City.

xxxxxxxxx for x xxxxxxxxx xxxxxxxxx Budget xx x private business xxxxxx proved xx xx very xxxxxxxxx xxx my end).The most commonly published xxxx xxx on Operating xxxxxxx xxx components of the xxx xxx the xxxx xxxxxxx the xxxxx one xx x xxxx - xxxxxx xxxxxxx xxx xxxxxxxx xxxxx the latter was already actualized. xxx to xxxx constraint, xxx with hesitancy, a xxxxxxxx xx the xxxx budget xx Fort xxx John was xxxxxxxxxxx

xxxx St. John xxxx xxxxxxxxx Fisher

Scope of operating xxxxxxxx reduced xx help xxxxxxx budget

In xxxxx xx balance xxxx St. John’s 2014 Operating xxxxxxx $585,000 will xx needed xxxx xxx xxx Stabilization xxxxxxxx which is just xxxx xxxx xx xxx $1.16 xxxxxxx xxxx xxxx year. That’s down from xxx xxxxx million originally xxxxxxxxx in October.

Related Stories:

xxxx takes first look at xxxx xxxxxxxxx xxxxxx

Transferring the xxxxxxxxxxxxx xxxxx is in xxxxxxxx

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xxxxxx xx xx 15-3

The wellness grant received xx xxx hospital xxxx a xxxxxxxxxx xxxxxxxxxxx is a xxxxxxxxxxx xxxxxxx of the xxxxxxxxx xxxxxxx It xxx a xxxxxxxx accounting procedure. Basically, it should xxx xxxxxx the operating xxxxxxx xx this case however, xxxx xx the hospital’x xxxxxxxxx employees xxxx assigned xx xxx xxxxxxx xxx half-day’x xxxxx The employees, being regular employees, and their xxxxx detailed to the program xx xxxxxxxx assignment, can xxx xx paid less xxxx xxxxx xxxxxxx salaries. Their xxxxxxxx and xxxxxxxx xxx xxxxx xxx are xxxxxxxxx xx the xxxxxxxx’x xxxxx xxxxxxxxx The xxxxxxxxxx has to hire xxxxxxxxx xxxxxxxxxx xxxxx xxx xxxxxxxxx equivalent to 2 xxxx to perform xxxxxx xxxx by xxx xxxxxxxxx assigned to the xxxxxx xxxx would xxxxxx xxxxxxxxxx xxxxxxx to xxx xxxxxxxx which will be reflected xx xxx Variable Expense as service xxxxxxxx xxxxxxxxxxxx will xxxxxxxx xxx hospital’s xxxxxxxxx income by x relatively small xxxxxx xxxxxxxx to xxx xxxxxxxx xxxxxxxx xxxxxx from the xxxxx xxxxxx not xxxxxxxxx xx xxx operating xxxxxxx

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x xx the head xx the xxxxxxxxx xxxxxx xxx Nursing Practice xxx xxxxxxxxxxxxxxxxx xxxxx includes six xxxxxxxxx registered nurses and xxx xxxxxxxxxxxx There must be xxx full-timers xxx two part-timers xx anyone xxxx during xxx 24 hour xxxxxxxxxx

The following xxx xxx xxxxxxxxxxxx operating expenses of xx unit:

1. xxxxxxxx and xxxxx

2. xxxxxxxx benefits

3. xxxxxxx supplies and depreciation on equipments xx the ER

4. xxxxxxxxx

xx Employee xxxxxxx

xx xxxxxxx xxxxx

Assuming that xx xxxx xx about xxx xx xxxxxxx xxxxxxx xxxxxx I xxxxx estimate our xxxxxxxxxxxx xxxx given the xxxx xxxxx to xx $502,500 x xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

The xxxx of the xxxxxxxx xxxxxx be allocated and marked x in xxx table xxxxxx xxxxx data

xxxxxxxxx xxxxxxxx xxx xxx xxxxx xxx xxx I xxxxx suggest a xxxxxxxxxxxxx amount xx xxxxxxxxx to xx unit.I xxxxx xxxx additional data(like xxxx xx xxx unit’s xxxxxxxxxxxx to total revenue,etc) xx xxxxxxxxx xxxx xxxxxxxxxxx

Metropolis xxxxxx System

xxxxxxxx of xxxxxxxxx xxxxxxxx

xxx the Year xxxxx March 31, xx

Nursing xxxxxxxx

Routine xxxxxxxxxxxxxxxx xxxxxxxxxx x

Operating xxxxxxxxxxxx I

Intensive xxxx Units 395,000 x

OB-Nursery 150,000 I

Other xxxxxxx x

Total $5,025,000

General xxxxxxxx

xxxxxxx $1,055,000 A

xxxxxxxxxxx xxxxxxxxx A

xxxxxxx 295,000 A

xxxxxxxxxxxx xxxxxxx x

xxxxxxxx xxxxxx A

xxxxxxx Records 330,000 A


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xxxxxx to xxxxxxx

It xx the xxxxxxxxxxxxxx xx the surgery unit head, Ted Jones, to weigh xxxxx xx the xxx xxxxxxx expenditure xxxxxxxxxxxxxxxxxx for xxxxxxxxxx rooms or proposal for purchase of a new state of xxx xxx xxxxxxxxx being pushed xx x prominent surgeon) xx xxxxxxx xx xxx xxxxxx

A xxxxxxxx analysis of the xxx projects is xxxxxx as decision regarding xxxxxxx xxxxxxxxxxxx is xxx of the major xxx sensitive xxxxxxxxxx xxxxxxxxx that xxxx affect xxx xxxxxxxxxxxxx of x business. This is xx xxxxxxx it involves x relatively xxxxx amount xx money being xxxxxxxxx to x xxxxxxx xxx a xxxx period xx time. It xx xxx time xxxxxx xxxx xxxx xxxx xx xxxxxxx investment, xx there xx opportunity cost to xx considered. xxxxxxxxx xxxxxxx xxxxxxxxxxx xxxxxxxxx xxxx value of money may sometimes be wrong. Another factor is xxxxxxxxx xxxxxxxx xxxxxxx investment xx xxx easily xxxxxxxxxx to cash. If xxx xxxxxxx xxxxx a year, one realizes it was a xxxxx xxxxxxxxx he xxx not easily xxx

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

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xxxxxxxx 15 – xx


Assumptions x no xxxxxxxxxxxxxxxxx in xxxxx

xxx continues xxxxxxx xxxxxxxx without taxes

xxxxxxxxxx xx xxxxxxxxxx xxxxxxx xx 50,000

xxxxx xx xx increase xx the xxxxxxxxxx xxx xxxxxx xxx same xx xxxx year

Outpatients xxxx increased xx 50,000 over xxxxxxxx xxxx

Board of xxxxxxxx are xxxxx xxxxxxxxxx and xx xxxxxxxxxxxx xx paid to them

xxx xxxxxx xx responsibility xxxxxxx xxxxxx at 23

xxx xxxxxxxx xxxx count xxxxxxx at 500

xxx members xx the MHS foundation are volunteers and no compensation xx xxxx to them

xxx xxxxxxxxx auxiliary x xxxxxxxxxxxx xx MHS xx xx xxxxxx xxxxxx xx the assumption that $50000 xxx xxxxxxxxxxxx contributed xxxx the xxxx five years)

New plans: x xxxxxxxxxx xxxxx

xxxx new xxxxx xxxx x five year xxxxxxx

xx xxxxxxxxxx services

xx xxxxxxxx xxxxxxxx and xxxxxxxxxxxxxx services

xx xxxxxxxxxxxxxx xxxxxxxx

xx xxxxxxxx

5. xxxxxxxxx xxxxxx

Other xxxxxxxxxxxx

xxxxxxxxxxxx costs and xxxxxxx move in the xxxx direction

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xxxxxxxx 15 – 3

xxx xxxxx xxxxx has xxxx received xxx x specific xxxxxx is x restricted fund. Such funds xxxxxx be xxxx xxxxxx for xxxxxx xxxxxxxxx xxxxxx such xxxxx xxx not xx xx mingled xxxx xxxxxx funds. xxxx specific xxxxx xxxxx to xx accounted and reported xxxxxxxxxx inspite xx xxx fact xxxx xx specific instructions xxxx xxxx given xx the xxxxxx

Exercise xx – x

xxx xxxxxxxx chosen xx “Women’x health” xxxx xxxxxx 25-1.

Organization xxxxx

xxxx xxxxx

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Exercise 16 xxx

The three important xxxxxxx xxxxx will be xxxxxxxxxx xxxxx xxxxxx x xxxxxxx xxxxxxxxxx decision at the xxxx of rationed xxxxxxx xxxx

Reason for xxx request

Cost xx capital

Return xx be xxxxxxxx xx xxx investment

Ted xxxxx xxxxxx justify xxx case of xxxxxxxxxx xxx more room by keeping xxx following xxxxxx in xxxxx

The purpose of the xxxxxxx xx xx xxx xxx more xxxxxxxxxxxxxxxx xxxxxxxxxx

More xxxxx xx xxxxxx to build the surgeon xxxxxxxxxx especially xxxxxxxxxxx

A detailed drawing xx the xxxxx should be xxxxxxxxxx

A study of the xxxxxxxx xxxxxxx xx xx xxxxxxxxx xxx best vendor to be chosen xxx the xxx xxxxx of xxx xxx equipment. xxxxxxxx xxxx outflow should xx estimated.

A xxxxx xx xxx xxxxxxxxxxxx xxx redesigning xxxx xx be xxxx and xxxx xxxxxxxx xx xx estimated.

Approximate cash xxxxxxx from the xxxxx space/additional xxxxxxxxx to xx determined for the next xxxx xxxxxx

xxx additional xxxxxxx xxxxxxx xxxxxxxx over the next xxxx xxxxx xx xx determined.

The xxx xxxx

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