Hi guys! I’m new to finance and having trouble with an assignment I have to do. I have started on the spreadsheet, but I’m not sure if it’s correct. It’s due tonight and I have fallen behind due to work obligations. Anyone willing to do this and turn it back into me by 11pm? I have attached all information that my teacher has provided. The memo only has to be a page in APA format, NOT 2-4. The budget can be negotiable as well. Thank you in advance
>Trinity Budget Execution YTD
YTD (Jul – Dec)
Budget
,0 0, 9
,0 ,349
2,49 , 7
,001, 03)
PATIENT SERVICES REVENUE
,7 5,000,000
,2 5
,000,000
4,588)
8,627
,270, 9
,881)
,000,000
,9 ,230
,785)
2,191
,320
5,254
,746)
8
,000,000
$ 18,000,000 $ – 0 $ – 0 ,244,253
$ 8,000,000 $ (3,474,134) $ 8,000,000 $ (7,474,134) $ – 0 $ – 0 $ – 0 $ (3,474,134) $ 8,000,000 $ (7,474,134) OPERATING REVENUE: ,000
$ 23,123,516 $ 50,000,000 $ (1,876,484) OPERATING EXPENSES $ 10,000,000 $ 50,000 $ 50,000 ,565
0 0 ,984
0 ,861,341
0 0 – Building Service
0 0 1,200,000 0 0 0 8,785,276 Lic.#: H-037 0 0 0 0 0 0 13 0 0 185,548 19 0 0 0 0 0 110,036 0 0 (35,147,027) 187,972,799 DOH – OHPD Hospital: St. Anthony Medical Center, Vila Health System Lic.#: H-037 0 0 9,969,048 0 39 0 DOH – OHPD 1 CURRENT ASSETS: 3 Marketable Securities 0 8 Due From Restricted Funds 0 11 Current Portion Of Funds Held In Trust 0 13 27 Leasehold Improvements 425,606 32 DOH – OHPD BALANCE SHEET – UNRESTRICTED FUND LIABILITIES AND FUND BALANCES-UNRESTRICTED Lic.#: H-037 6 Advances from Third Party Payors 0 13 19 24 Capitalized Lease Obligations 0 27 Noncurrent Liabilities 0 31 42 (or Sole Proprietorship) DOH – OHPD COMPARISON STATEMENT OF REVENUE & EXPENSE – UNRESTRICTED FUNDS Lic.#: H-037 5 13 19 35 39 41 FEDERAL INCOME TAX 0 44 EXPLANATION: – Surgical Budget
23,123,516
,000
$ 23,123,516 $ 1,876,484 $ 50,000 $ 50,000 FY 2019 – 2020 Budget FY 2019 – 2020 Variance TYD OPERATING REVENUE: OPERATING EXPENSES $ 40,895,000 OPERATING REVENUE: $ 50,000,000 OPERATING EXPENSES $ 23,000,000 $ 5,750,000 $ 400,000 $ 10,000,000 $ 50,000 $ 50,000 $ 105,000 $ 40,000 $ 1,500,000 $ 40,895,000 Transcript of the VOICEMAIL FROM George Costanza (CFO): Hi, it’s George. I hear you’re working on a budget for the Med-Surg department for FY 2019. I’d like you to come to the budget meeting this afternoon, because I’m going to be sharing some numbers that are likely to have an impact on your budget. I’ve sent you the year-to-date statements through December, the overall budget for the year, and the year-to-date budget variance for your department. Take a look at them, and bring them with you to the meeting. See you later! Transcript from BUDGET MEETING:
George C., CFO
Hi, everyone. Thanks for coming. We’ve got some important numbers to go through and a big challenge to respond to, so I think we better get started. In your proposal, think through the cuts that are being proposed. Do you simply want to take a ‘salami slice’ cut across all areas of expense? Or, are there areas where it might make more sense to protect while others are more flexible? Since this is a simulation, you won’t know everything that you normally would about the organization, the people involved, etc. However, think through what the second and third order effects are of a budget cut and provide some commentary regarding what other issues might surface and/or may need to be addressed as a result. Health Care Finance March 16, 2020 Assignment 3 Assignment #2 Break-even Analysis Due Sunday, March 15th Should MHCBS invest in a multipurpose Senior Center to expend it service offerings to appeal to the growing senior market in the area? Details of revenue as well as direct and indirect expenses provided in Announcement; formula’s provided in PowerPoint from March 5th Zoom Meeting To approve the expansion, the Board of MHCBS has two requirements: Evidence that the expanded program is a benefit to the community A break-even analysis that indicates MHCBS can recoup its investment in 5 years Assumptions 2019 – 2020 Medical-Surgical Budget 6 Month Expenses 2019 – 2020 Budget Expenses FY 2019 Variance For the first 6 months — Revenue is below budget, expenses exceed the budget Budget for Fiscal Year 2019 – 2020 2020-2021 Fiscal Year Budget Assignment Deliverables Assignment Due Dates Assignment #4 You are the administrator of the medical – surgical department at UMUC Health. Review the transcripts from the budget meeting and recent voicemails from your CFO and, using the available information and resources, develop an operating budget for your department. Your budget should include a 2-4 page document with an accompanying Excel spreadsheet (available in the classroom) that: · Provides the revenue and expenses through the current month of the current year. · Estimates the revenue and expenses for the rest of the current fiscal year based on the assumptions provided in the transcript documents. · Prepares a budget for the next fiscal year. Note: See Course Announcements for specific data to complete the analysis.
2
The UMUC Medical Center
FY 2
0
1
9
FY
20
19
FY 2019 Variance YTD
OPERATING REVENUE:
Inpatient Revenue
$
3
7
5
4
34
$ 700,000,000
$
25
40
Outpatient Revenue
$
23
8
39
$ 525,000,000
$ (
30
6
TOTAL
$ 607,5
38
46
$ 1,
22
$ (4,961,254)
DEDUCTIONS FROM REVENUE:
Contractual Adjustments
$ 476,5
43
15
$ 950,000,000
$ 1,543,
21
Charity and Uncompensated Care
$ 6,725,4
12
$
14
$ (
27
TOTAL DEDUCTIONS FROM REVENUE
$ 483,
26
$ 964,000,000
$ 1,268,627
NET PATIENT SERVICE REVENUE
$ 1
24
11
$ 261,000,000
$ (6,2
29
OTHER OPERATING REVENUE
Other Operating Revenue
$ 3,500,000
$
10
$ (1,500,000)
TOTAL OPERATING REVENUE
$ 127,770,119
$ 271,000,000
$ (7,729,881)
OPERATING EXPENSES
Salaries and Wages
$
42
32
$ 88,000,000
$ (1,067,770)
Employee Benefits
$ 12,624,012
$ 25,000,000
$ 124,012
Professional Fees
$ 4,082,215
$ 9,000,000
$ (4
17
Supplies
$ 23,883,407
$ 46,000,000
$ 883,407
Purchased Services – Utilities
$ 1,632,191
$ 3,000,000
$
13
Purchased Services – Other
$ 11,5
36
$ 22,000,000
$ 536,320
Depreciation
$ 8,
45
$ 17,000,000
$ (
44
Rentals and Leases
$ 2,252,670
$ 4,000,000
$ 252,670
Insurance
$ 2,715,
37
$ 5,000,000
$ 215,378
License and Taxes
$ 7,992,144
$
18
$ (1,007,856)
Interest
$ 8,393,790
$ (606,210)
Provision For Bad Debts
$ – 0
Other Direct Expenses
$ 4,744,642
$ 8,000,000
$ 744,642
TOTAL OPERATING EXPENSES
$ 1
31
$ 263,000,000
$ (255,747)
NET OPERATING REVENUE
$ (3,474,134)
$ (7,474,134)
NET REVENUE BEFORE ITEMS LISTED BELOW
EXTRAORDINARY ITEM
NET REVENUE OR (EXPENSE)
Med/Surg Department Budget
FY 2019 YTD (Jul – Dec) FY 2019 Budget
FY 2019 Variance TYD
Inpatient Revenue
$ 23,123,5
16
$ 50,000
$ (1,876,484)
TOTAL PATIENT SERVICES REVENUE
Salaries and Wages
$ 12,157,632
$ 23,000,000
$ 657,632
Employee Benefits
$ 3,040,408
$ 5,
750,000
$ 165,408
Professional Fees
$ 250,160
$ 400,000
$ 50,160
Supplies
$ 5,883,497
$ 883,497
Purchased Services – Utilities
$ 27,456
$ 2,456
Purchased Services – Other
$ 23,484
$ (1,516)
Insurance
$ 57,315
$ 105,000
$ 4,815
License and Taxes
$ 21,456
$ 40,000
$ 1,456
Other Direct Expenses
$ 972,157
$ 1,500,000
$ 222,157
TOTAL OPERATING EXPENSES
$ 22,4
33
$ 40,895,000
$ 1,986,065
NET REVENUE OR (EXPENSE)
$ 689,951
$ 9,105,000
$ (3,862,549)
2015
FS-1
BALANCE SHEET – UNRESTRICTED FUND
Hospital: St. Anthony Medical Center, Vila Health System
FYE: 12/31/2015
ASSETS
Lic.#: H-037
1
CURRENT ASSETS:
2
Cash
(2,464,387)
3
Marketable Securities
4
Accounts Receivable
39,102,464
5
Less-Estimated Uncollectable & Allowances
2,038,650
6
Receivables From Third Party Payors
(3,067,704)
7
Pledges And Other Receivables
1,770,581
8
Due From Restricted Funds
9
Inventory
7,3
28
10
Prepaid Expenses
1,230,053
11
Current Portion Of Funds Held In Trust
12
TOTAL CURRENT ASSETS
41
13
14
BOARD DESIGNATED ASSETS:
15 Cash 0
16 Marketable Securities 0
17
Other Assets
18
TOTAL BOARD DESIGNATED ASSETS:
19
20
PROPERTY, PLANT AND EQUIPMENT:
21
Land
15,239,201
22
Land Improvements
1,005,843
23
Buildings
85,916,245
24
Fixed
Equipment
28,562,665
25
Fixed Equipment – Other
9,305,052
26 Equipment
57,547,957
27
Leasehold Improvements
425,606
28
Construction In Progress
225,682
29 TOTAL
198,228,251
30
Less Accumulated Depreciation
62,102,069
31
NET PROPERTY, PLANT & EQUIPMENT
136,126,182
32
33
INVESTMENTS AND OTHER ASSETS:
34
Investments In Property, Plant & Equipment
35
Less – Accumulated Depreciation
36
Other Investments
1,200,000
37 Other Assets 0
38
TOTAL INVESTMENTS & OTHER ASSETS
39
40
INTANGIBLE ASSETS:
41
Goodwill
42
Unamortized Loan Costs
43
Preopening And Other Organization Costs
44
Other Intangible Assets
8,785,276
45
TOTAL INTANGIBLE ASSETS
46
TOTAL ASSETS
187,972,799
DOH – OHPD
BALANCE SHEET – UNRESTRICTED FUND
Hospital: St. Anthony Medical Center, Vila Health System FYE: 12/31/2015
LIABILITIES AND FUND BALANCES-UNRESTRICTED
1
CURRENT LIABILITIES
2
Notes and Loans Payable
3
Accounts Payable
15,538,863
4
Accrued Compensation and Related Liabilities
10,399,590
5
Other Accrued Expenses
2,147,237
6
Advances from Third Party Payors
7
Payables to Third Party Payors
8
Due to Restricted Funds
9
Income Taxes Payable
10
Other Current Liabilities
11
Current Maturities of Long Term Debt
110,036
12
TOTAL CURRENT LIABILITIES
28,195,726
14
DEFERRED CREDITS:
15
Deferred Income Taxes
16
Deferred Third Party Revenue
17
Other Deferred Credits
185,548
18
TOTAL DEFERRED CREDITS
20
LONG TERM DEBT
21
Mortgage Payable
22
Construction Loans-Interim Financing
23
Notes Payable
5,674,827
24
Capitalized Lease Obligations
25
Bonds Payable
26
Notes and Loans Payable to Parent
189,173,761
27
Noncurrent Liabilities
28 TOTAL
194,848,588
29
Less Current Maturities of Long Term Debt
30
TOTAL LONG TERM DEBT
194,738,552
31
32
UNRESTRICTED FUND BALANCE
33
34
EQUITY (INVESTOR OWNED)
35
Preferred Stock
36
37
Common Stock
38
39
Additional Paid In Stock
40
41
Retained Earnings (Capital Account for Partnership
(35,147,027)
42
(or Sole Proprietorship)
43
44
Less Treasury Stock
45
TOTAL EQUITY
46
TOTAL LIABILITIES AND FUND BALANCE OR EQUITY
COMPARISON STATEMENT OF REVENUE & EXPENSE – UNRESTRICTED FUNDS
FYE: 12/31/2015
1 OPERATING REVENUE:
2 Inpatient Revenue
666,080,698
3 Outpatient Revenue
464,996,793
4 TOTAL PATIENT SERVICES REVENUE
1,131,077,491
5
6 DEDUCTIONS FROM REVENUE:
7 Contractual Adjustments
855,811,021
8 Charity and Uncompensated Care
13,400,000
9
Other Adjustments and Allowances
10 TOTAL DEDUCTIONS FROM REVENUE
869,211,021
11 NET PATIENT SERVICE REVENUE
261,866,470
12
13 OTHER OPERATING REVENUE
14 Other Operating Revenue
9,969,048
15
Tax Revenues
16
TOTAL OTHER OPERATING REVENUE
17 TOTAL OPERATING REVENUE
271,835,518
18
19 OPERATING EXPENSES
20 Salaries and Wages
85,864,459
21 Employee Benefits
25,248,024
22 Professional Fees
8,144,426
23 Supplies
47,766,813
24 Purchased Services – Utilities
3,264,382
25 Purchased Services – Other
23,072,640
26 Depreciation
16,910,508
27 Rentals and Leases
4,505,340
28 Insurance
5,430,756
29 License and Taxes
15,984,288
30 Interest
16,787,580
31 Provision For Bad Debts
2,564,197
32 Other Direct Expenses
9,489,283
33 TOTAL OPERATING EXPENSES
265,032,696
34 NET OPERATING REVENUE
6,802,822
35
36
NON-OPERATING REVENUE-NET OF EXPENSES
37
38 NET REVENUE BEFORE ITEMS LISTED BELOW 6,802,822
40 EXTRAORDINARY ITEM
1,374,000
41
FEDERAL INCOME TAX
42
43 NET REVENUE OR (EXPENSE)
8,176,822
44
EXPLANATION:
45
2016
FS-1 BALANCE SHEET – UNRESTRICTED FUND
Hospital: St. Anthony Medical Center, Vila Health System
FYE: 12/31/2016
ASSETS Lic.#: H-037
2 Cash
(1,027,622)
4 Accounts Receivable
32,410,207
5 Less-Estimated Uncollectable & Allowances
3,891,982
6 Receivables From Third Party Payors
(247,989)
7 Pledges And Other Receivables
1,889,617
9 Inventory
8,014,988
10 Prepaid Expenses
1,301,476
12 TOTAL CURRENT ASSETS
38,448,695
14 BOARD DESIGNATED ASSETS:
15 Cash 0
16 Marketable Securities 0
17 Other Assets 0
18 TOTAL BOARD DESIGNATED ASSETS: 0
19
20 PROPERTY, PLANT AND EQUIPMENT:
21 Land 15,239,201 22 Land Improvements
1,009,492
23 Buildings
122,015,477
24
Fixed Equipment – Building Service
77,067,373
25 Fixed Equipment – Other 0
26 Equipment 0
28 Construction In Progress
1,089,603
29 TOTAL
216,846,752
30 Less Accumulated Depreciation
75,384,791
31 NET PROPERTY, PLANT & EQUIPMENT
141,461,961
33 INVESTMENTS AND OTHER ASSETS:
34 Investments In Property, Plant & Equipment 0
35 Less – Accumulated Depreciation 0
36 Other Investments 1,200,000
37 Other Assets 0
38 TOTAL INVESTMENTS & OTHER ASSETS 1,200,000
39
40 INTANGIBLE ASSETS:
41 Goodwill 0
42 Unamortized Loan Costs 0
43 Preopening And Other Organization Costs 0 44 Other Intangible Assets
10,135,573
45 TOTAL INTANGIBLE ASSETS 10,135,573
46 TOTAL ASSETS
191,246,229
Hospital: St. Anthony Medical Center, Vila Health System FYE: 12/31/2016
1 CURRENT LIABILITIES
2 Notes and Loans Payable 0 3 Accounts Payable
16,230,075
4 Accrued Compensation and Related Liabilities
11,777,836
5 Other Accrued Expenses
1,866,967
7 Payables to Third Party Payors 0
8 Due to Restricted Funds 0
9 Income Taxes Payable 0
10 Other Current Liabilities 0 11 Current Maturities of Long Term Debt 0
12 TOTAL CURRENT LIABILITIES
29,874,878
14 DEFERRED CREDITS:
15 Deferred Income Taxes 0
16 Deferred Third Party Revenue 0 17 Other Deferred Credits 0
18 TOTAL DEFERRED CREDITS 0
20 LONG TERM DEBT
21 Mortgage Payable 0
22 Construction Loans-Interim Financing 0 23 Notes Payable
5,296,930
25 Bonds Payable 0 26 Notes and Loans Payable to Parent
196,170,117
28 TOTAL
201,467,047
29 Less Current Maturities of Long Term Debt 0
30 TOTAL LONG TERM DEBT 201,467,047
32 UNRESTRICTED FUND BALANCE 0
33
34 EQUITY (INVESTOR OWNED)
35 Preferred Stock
36
37 Common Stock
38
39 Additional Paid In Stock 0
40 41 Retained Earnings (Capital Account for Partnership
(40,095,696)
43
44 Less Treasury Stock 45 TOTAL EQUITY (40,095,696)
46 TOTAL LIABILITIES AND FUND BALANCE OR EQUITY 191,246,229
Hospital: St. Anthony Medical Center, Vila Health System FYE: 12/31/2016
1 OPERATING REVENUE: 2 Inpatient Revenue
752,813,180
3 Outpatient Revenue
529,706,918
4 TOTAL PATIENT SERVICES REVENUE
1,282,520,098
6 DEDUCTIONS FROM REVENUE: 7 Provision For Bad Debts
5,083,718
8 Contractual Adjustments
1,010,760,525
9 Charity and Uncompensated Care
2,400,000
10 Other Adjustments and Allowances 0
11 TOTAL DEDUCTIONS FROM REVENUE
1,018,244,243
12 NET PATIENT SERVICE REVENUE
264,275,855
14 OTHER OPERATING REVENUE
15 Other Operating Revenue
10,171,428
16 Tax Revenues 0
17 TOTAL OTHER OPERATING REVENUE 10,171,428
18 TOTAL OPERATING REVENUE
274,447,283
20 OPERATING EXPENSES
21 Salaries and Wages
88,523,453
22 Employee Benefits
25,937,607
23 Professional Fees
9,613,656
24 Supplies
46,386,989
25 Purchased Services – Utilities
3,043,368
26 Purchased Services – Other
22,184,388
27 Depreciation
17,408,824
28 Rentals and Leases
4,866,384
29 Insurance
5,740,788
30 License and Taxes
18,828,504
31 Interest
18,671,136
32 Other Direct Expenses
8,522,136
33 TOTAL OPERATING EXPENSES
269,727,233
34 NET OPERATING REVENUE
4,720,050
36 NON-OPERATING REVENUE-NET OF EXPENSES 0
37 38 NET REVENUE BEFORE ITEMS LISTED BELOW 4,720,050
40 EXTRAORDINARY ITEM 750,000
42 43 NET REVENUE OR (EXPENSE)
5,470,050
45
DOH – OHPD
Sheet1
Medical
Med Surg 8 Month Budget
FY 2019 – 2020 YTD (Jul – Feb)*
FY 2019 – 2020 Budget
FY 2019 – 2020 Variance TYD
OPERATING REVENUE:
Inpatient Revenue
$
$ 50,000
$ 1,876,484
TOTAL PATIENT SERVICES REVENUE
$ 50,000,000
OPERATING EXPENSES
Salaries and Wages
$ 12,157,632
$ 23,000,000
$ 657,632
Employee Benefits
$ 3,040,408
$ 5,750,000
$ 165,408
Professional Fees
$ 250,160
$ 400,000
$ 50,160
Supplies
$ 5,883,497
$ 10,000,000
$ 883,497
Purchased Services – Utilities
$ 27,456
$ 2,456
Purchased Services – Other
$ 23,484
$ 1,516
Insurance
$ 57,315
$ 105,000
$ 4,815
License and Taxes
$ 21,456
$ 40,000
$ 1,456
Other Direct Expenses
$ 972,157
$ 1,500,000
$ 222,157
TOTAL OPERATING EXPENSES
$ 22,433,565
$ 40,895,000
$ 1,986,065
NET REVENUE OR (EXPENSE)
$ 689,951
$ 9,105,000
$ 3,862,549
* Your budget may vary from the FY 2029-2020 budget given changes you are projecting based on the hospitals experience ov er the last 8 months
Med Surge 12 month Budget 2019-2020
FY 2019 – 2020 Year**
Inpatient Revenue $ 50,000,000
TOTAL PATIENT SERVICES REVENUE $ 50,000,000
Salaries and Wages $ 23,000,000
Employee Benefits $ 5,750,000
Professional Fees $ 400,000
Supplies $ 10,000,000
Purchased Services – Utilities $ 50,000
Purchased Services – Other $ 50,000
Insurance $ 105,000
License and Taxes $ 40,000
Other Direct Expenses $ 1,500,000
TOTAL OPERATING EXPENSES
$ – 0
NET REVENUE OR (EXPENSE) $ 9,105,000
** Your budget may vary from the FY 2029-2020 budget given changes you are projecting based on the hopsitals experience over the last 12 months
Provide the rationale for your projections in the Memo
Med-Surg Budget Fiscal Year 2020-2021
FY 2020 – 2021
FY 2019 – 2020 Budget
Variance (% increase or Decrease)***
Inpatient Revenue
$ 46,247,032
TOTAL PATIENT SERVICES REVENUE
Salaries and Wages
$ 24,315,262
Employee Benefits
$ 6,080,816
Professional Fees
$ 500,320
Supplies
$ 11,766,994
Purchased Services – Utilities
$ 55,092
Purchased Services – Other
$ 46,968
Insurance
$ 114,630
License and Taxes
$ 42,912
Other Direct Expenses
$ 1,944,314
TOTAL OPERATING EXPENSES
$ 44,867,310
NET REVENUE OR (EXPENSE) $ 50,000,000
*** For your project 2020-2021 budget highlight the percent changes from the previous FY, provide a rationale for your decisions in the Memo
Jerry, Vice President of Operations
That sounds ominous.
Newman, Vice President of Medical Support
Well, can we at least get an idea of how we’re doing year-to-date before you go to the 40,000-foot level?
George
I think you might need to hear this first. Here’s the situation: The hospital has to cut operating expenses by 5 percent for next fiscal year.
Kramer, Director of Clinical Operations
I’m sorry, did you say 5 percent? Operating expenses?
George
That’s right.
Jerry
That’s a big ask. We’re already operating awfully lean.
George
Agreed. But it’s the situation we’re in. I’ll get to the reasons, but based on what I’m going to go over, I just want everyone to keep in mind that we can’t make assumptions we were making before. So let me give you an overview of the budget and the year-to-date numbers, and I think you’ll see why we’re going to have to make those cuts.
Now, last year, for the entire hospital, we assumed that we would see $1.2 billion in total patient revenue. But as you can see, for half the year, we’ve only hit just over $607 million. By this point in the year, we should be over $612 million. So already in terms of total patient revenue, we’ve got a deficit of nearly $5 million that we didn’t expect. The problem is made worse when we see that other operating revenue is also under budget by $1.5 million.
I believe that recent efforts in the billing department coupled with some of the solid work by the c-suite team on physician engagement and external marketing are going to have an impact on the revenue side of things. We’re also currently negotiating with a couple of our primary commercial payers, but those negotiations remain uncertain. All things considered, I’m hoping for about a 5% bump on the revenue side for FY 19. Our operating expenses are fairly close to target so far this year, but given the situation with uncertain revenue, we will need to try to find some additional cost savings opportunities. I want to be reasonably conservative in case market conditions change or negotiations with our payers don’t go as expected.
Newman
Wow. Well, okay, so that’s the reality. What’s the timeline? How long do we have to make these cuts?
George
Well, implementation is obviously by June 30 since the next fiscal year starts July 1. The board will approve the new budget probably by mid-June, but all the negotiation at the unit and department level will be going on this month. Our first official budget committee meeting is in early May. So I’d suggest getting your ducks in a row within the next week or so.
Current fiscal year July 1, 2019 – June 30, 2020
Patient Service Revenue
Projected total hospital patient revenue to be under budget by $10 million
Of the projected $1.2 billion in patient services revenue, approximately 57% of the total projected revenue is for in-patient care; the other 43% is for outpatient revenue
The Medical Surgical Budget reflects only in-patient revenue
Yearly budgeted Medical Surgical Dept. in-patient revenue: $50,000,000
As a percent of the total in-patient revenue: 7%
In-patient revenue for the Dept. in the first 6 months is below budget by approximately $1.9 million – is this likely to increase given the information in the Budget Mtg transcript?
Next Fiscal Year July 1, 2020 – June 30, 2021
Assumptions
Projected total hospital revenue to increase by 5% due to marketing and managed care contract negotiation
When projecting revenue take into consideration that Medical-Surgical Dept. will only see increases relative to in-patient revenue
Overall hospital goal is to decrease total spending by up to 5%
Cuts in expenses may be targeted, not all expense categories need to be decreased
6 Month Revenue 2019 – 2020 Budget Revenue FY 2019 – 2020 6 Month Variance
$23,123,516
$50,000,000
$(1,876,484)
$22,433,565
$40,895,000 $1,986,065
Estimate the revenue and expenses for the Medical – Surgical Dept. through the current month of the current fiscal year – July 2019 thru February 2020 (8 Month Budget projections)
Estimate the revenue and expenses for the Medical-Surgical Dept. for the rest of the 2019-2020 fiscal year based on the assumptions provided in the transcript documents (12 Month Budget Projections)
Detailed Excel Spreadsheet with the 2019-2020 yearly budget and explanation of projections in budget Memo
Total in-patient revenue (take into consideration the percent difference between budgeted vs. actual revenue and make adjustments to account for the projected shortfall in revenue)
Total expenses (Highlight specific categories that are projected to be significantly over budget and make any recommended cuts in specific categories of expenses)
In the Memo, discuss changes in projected revenue, and highlight the rationale for any proposed cuts in select expenses
Your projections will vary from the projected 2019 -2020 budget provided to reflect any changes you may make to revenue and expenses based on the information contained in the Budget Meeting Transcript
Prepare a Medical Surgical budget for the next fiscal year – July 1, 2020– June 30, 2021
Detailed Excel spreadsheet providing revenue and expenses by category and discuss revenue and expense projections in budget Memo
Total in-patient revenue (Take into consideration the total projected revenue increases due to contracting and marketing that are projected to benefit the whole hospital – remember the Medical-Surgical budget only includes in-patient revenue)
Detailed Expenses by category
Highlight any percent expense increases and reductions based on the 2019 – 2020 projected yearly budget by category and explain rationale in budget Memo
Excel Spreadsheets
Projected budget for Fiscal Year 2019 through February 2020 (8 Month Budget)
Projected remaining Fiscal Year 2019-2020 Budget (12 Month Budget)
Revenue and Expenses
Note: Your projections for the yearly budget will differ if you make any changes to the revenue and expenses given the Budget Meeting Transcript
Projected Fiscal Year 2020-2021 Budget
Revenue and Expenses (12 Month Budget)
Budget Memo
Explain rationale for any increases or shortfalls in revenue and the rationale behind any cuts in specific expense categories
Reminder – the fiscal year for this hospital is July 1st thru June 30th
The due date for submission of Assignment 3 is March 22nd
The due date for submission of Assignment 4 is March 29th
Using the OIG website (https://oig.hhs.gov/) or another of your choosing, select a real-time healthcare fraud news report from your local area to feature within your paper to educate the organization on the various case(s), the importance of healthcare finance compliance practices and the potential criminal and monetary fines that can be imposed on the individual and/or organization from the case.
Develop a 3-5 page white paper that provides a succinct overview of the specific healthcare finance fraud committed including the details specified at the end of the course syllabus.
Due Sunday, March 29th
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