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1 . Calculate the Unit and Package Contribution Margin. Prepare in Excel with proper headings, titles and formulas. Sabrina: All this sounds reasonable, but why
Calculate the Unit and Package Contribution Margin. Prepare in Excel with proper headings, titles and formulas. Sabrina: "All this sounds reasonable, but why is reimbursement such an important
factor?
Peter: "Well, if you admit Medicaid patients, the state will reimburse at most $ per
year. Private insurance policies will pay roughly $ per year. We can charge up
to about $ for private patients, but this type of care is so expensive that many
of these patients exhaust their funds and go on Medicaid. The nice aspect of
Medicaid is that we can be virtually assured that we will operate at capacity."
Sabrina: "Can we cross that bridge when we come to it
Peter: No not really. Once the patient is a resident of our facility, it is hard to evict him
or her. Also, while it is legal to force patients out before they go on Medicaid and to
refuse to accept Medicaid patients, once we do accept Medicaid patients, we are
prevented by law from evicting themno matter how high our costs go
Sabrina: OK it looks as if we have some hard work ahead of us to decide whether or
not to get into this line of business."
What is the markup percent of cost of services charged on the assistedliving expenses? What would the price per month for a Basic Care patient be if the same markup were used? For a Lifestyle Care patient? Assume in both cases that occupancy is at percent of capacity.
What is the payback period for the new addition?
Sabrina: "I see your point. Bernadette, what will these two plans cost? I'll tell you right now that I like the Lifestyle Care option better. It fits with our history of doing whatever we can to make life better for our residents."
Bernadette: "I've checked into the costs of putting on a new wing and operating both alternatives. Here's a listing."
tableBasic Care,Lifestyle CareConstruction$Construction,$Annual operating expenses:,,Annual operating expenses:,Staff:Staff:,RNs times $RNs times $LPNs times $LPNs times $Aides times $Aides times $Cooks times $tablePhysical and recreationaltherapists times $Janitors times $Cooks times $Other variableJanitors times $Debt service,Other variableDepreciation over yearsDebt service,Depreciation over years
Other includes supplies, utilities, food, and so on
In both cases, total administrative costs for Golden Care would increase by $ per year. This seems high, but the increased legal and insurance requirements will add signif
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