Budgeting Purchases, Revenues, Expenses, and Cash in a Service Organization

The Lake Lansing Medical Center is located in a summer resort community. During the summer months the center operates an outpatient clinic for the treatment of minor injuries and illnesses. The clinic is administered as a separate department within the hospital. It has its own staff and maintains its own financial records. All patients requiring extensive or intensive care are referred to other hospital departments.

An analysis of past operating data for the out-patient clinic reveals the following:

• Staff: Seven full-time employees with total monthly salaries of $42,000. On a monthly basis, one additional staff member is hired for every 500 budgeted patient visits in excess of 3,000 at a cost of $4,000 per month.

• Facilities: Monthly facility costs, including depreciation of $2,000 and a total of $8,000

• Supplies: The supplies expense averages $10 per patient visit. The center maintains an end-of-month supplies inventory equal to ten percent of the predicted needs of the following month with a minimum ending inventory of $3,000, which is also the desired inventory at the end of August.

• Additional variable patient costs, such as medications, are charged directly to the patient by the hospital pharmacy.

• Payments: All staff and maintenance expenses are paid in the month the cost is incurred. Supplies are purchased at a cost directly from the hospital with an immediate transfer of cash from the clinic cash account to the hospital cash account.

• Collections: The average bill for services rendered is $60. Of the total bills, 40 percent are paid in cash at the time the service is rendered, 10 percent are never paid, and the remaining 50 percent are covered by insurance. In the past insurance companies have disallowed 20 percent of the claims filed and paid the balance two months after services are rendered.

May 30 status: At the end of May, the clinic had $12,000 in cash and supplies costing $3,000.

Month	Patient Visits
June	2,500
July	3,500
August	4,500

Required: Excel - For the Lake Lansing Outpatient Clinic:

1. Prepare a supplies purchases budget for June, July and August with a total column

2. Prepare a revenue and expense budget for June, July and August with a total column

3. Prepare a cash budget for June, July and August with a total column.

Is there an issue with the cash budget and what would you recommend?