Question
Central City Clinic is an outpatient clinic that provides visiting nurses for elderly patients in their homes. A homemaker who cleans and performs other household
Central City Clinic is an outpatient clinic that provides visiting nurses for elderly patients in their homes. A homemaker who cleans and performs other household tasks accompanies each nurse. When the nurses are not visiting clients, they work at the office, preparing for visits. When the homemakers complete their visits, they go home.
Each year, the clinic receives a budget allotment from Central City. The city does not allow the clinic to spend more than this allotment. The clinic, in turn, allocates its budget among its various programs. The visiting nurse program was authorized (and spent) $251,596 in 2015 and $280,676 in 2016, as follows:
2015 | 2016 | |||
---|---|---|---|---|
Nurses | $135,578 | $145,219 | ||
Homemakers | 60,246 | 71,700 | ||
Medical supplies | 18,397 | 21,602 | ||
Cleaning supplies | 7,094 | 9,416 | ||
Transportation | 9,268 | 11,344 | ||
Clinic general overhead | 21,013 | 21,395 | ||
Total expenditures | $251,596 | $280,676 | ||
Home visits | 4,512 | 5,301 | ||
Average cost per home visit | $55.76 | $52.95 |
The nursing staff received a 5% increase in salary one-third of the way through 2014. The homemakers did not receive an increase in wages in 2015 or in 2016. The prices of medical supplies increased about 2% during 2016 compared to 2015. The prices of cleaning supplies were relatively constant across the two years.
Transportation is provided by the nurses, who are reimbursed $0.4 per kilometre. The clinics general overhead is allocated to programs on the basis of budgeted program salaries.
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