Prepare an annual line-item budget for wilburtown health

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Reference no: EM131958644

QUESTION 1 - CONCEPTUAL QUESTION

Legislative bodies typically adopt one of the following types of budgeting models:

(1A) Line Item Budgeting;

(1B) Program Budgeting, and

(1C) Zero-Base Budgeting.

Using whatever sources you choose (but making sure that you cite the sources in full), describe these alternative models and their PROS and CONS in as much detail as you can.

(1A) Line Item Budgeting;

(1B) Program Budgeting

(1C) Zero-Base Budgeting.

QUESTION II - COMPUTATIONAL CONCEPTS

The following budget figures are provided by the Wilburtown Health Clinic, a unit funded through legislative appropriations from the State of New Jersey, and required to follow a line-item budgeting approach. This outpatient healthcare facility has a maximum daily capacity of 100 full-day equivalent (FDE) patients per 8-hour shift.  Assume that patients overflow from one shift to the next shift, with only the first shift available for low volumes, and extra shifts added only when necessary.

NOTE: (1) FDE = total number of patients treated equivalent to full-day  treatment, e.g., average of 800 patients treated for 1 hour each = 100 FDE patients.

(2) Total patient days per year = Average daily FDE patients (for all 3 shifts)  x Number of days clinic is open per year . 

 BUDGET INFORMATION FOR 20xx

Line Item

Cost Behavior

Budgeted Costs

Nurses

Step function

First 3 nurses can provide service for up to 6,000 patient-days per year.

Each subsequent nurse hired  can provide service for 2,000 patient-days per year. No fractional or part-time nurses are employed.

Average annual salary (per nurse) of $65,000 for first three nurses. (This includes fringe benefits).

Subsequent nurses hired will be paid annual salaries of $60,000 each (including fringe benefits).

Medical supplies

Variable cost

$5 per patient-day up to 5,000 annual patient-days; this decreases to $4 per patient-day thereafter

Staff Physicians (full-time)

Fixed

There are 3 physicians on staff for the first shift, and another three for the second shift. The third shift uses only physicians on call. 

$300,000 per year for each physician (including fringe benefits).

 

Physicians on call

Variable (used during Shift 3 for only the actual patient-days serviced)

The billing rate is $100 per patient-day during Shift 3.

Maintenance of facilities

Semi-variable

$100,000 fixed; $2,000 per day for each shift.

 

Depreciation

Fixed

$2 million per year

Other expenses

Semi-variable

$500,000 per year plus $10 per patient-day

REQUIRED:

Question II (A) -

Using the template below, prepare an annual line-item budget for Wilburtown Health Clinic. You may use the EXCEL template provided if you wish, but this is optional.

Cost

60 patients per day (average)

14,400 patient-days per year

130 patients per day (average)

?

250 patients per day (average)

?

 

Medical supplies

 

 

 

Physicians on Call

 

 

 

Maintenance of Facilities

 

 

 

Nurses

 

 

 

Other expenses

 

 

 

Staff Physicians (full-time)

 

 

 

Depreciation

 

 

 

TOTAL BUDGETED EXPENSES

 

 

 

Question II (B) - 

(i)  Using the high-low method, estimate the cost function for Wilburtown Health Clinic.  

(ii) Using the cost function you estimated in (i) above, forecast the total budgeted costs to be expected if Wilburtown Health Clinic is operating at full capacity of 72,000 patient days per year.

QUESTION III  -  OMEGA RESEARCH INSTITUTE

PART III (A)

Prepare a list of the problems associated with the Ormico project by classifying them into the following categories.

(Note that the classifications don't matter as much as correctly identifying the problems. You will not be penalized for misclassification errors).

A1. Strategy Formulation (kinds of projects suitable, time horizon, etc.)

A2. Management Control system (e.g, performance measurement systems, motivation systems, conflict management, client management, lines of responsibility, etc.)

A3. Task/Performance Control (communication procedures with client, internal communication processes, output/outcome measurement systems, etc.)

PART III (B) -

What changes should Dr. Simmons recommend to avoid similar problems in the future? Your recommendations should tie in to the problems you identified in Part III (A.)

B1. Strategy Formulation

B2.  Management Control system

B3. Task/Performance Control

Reference no: EM131958644

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