Helping Hospital operates a general hospital but rents space to separately owned entities rendering specialized services such as pediatrics and psychiatry.

Helping Hospital charges each separate entity for patients services (Meals and laundry) and for administrative services (billings and collections). Space and bed rentals are fixed charges for the year, based on bed capacity rented to each entity.

Helping Hospital charged the following costs to Pediatrics for the year ended June 30, 2018.

Patient Services

Bed Capacity

(Variable cost)

(Fixed Cost)

Dietary

$600,000

Janitorial

$70,000

Laundry

300,000

Laboratory

410,000

Pharmacy

300,000

Repairs and maintenance

30,000

General and administrative

1,300,000

Rent

1,500,000

Billings and collections

250,000

Total

$1,860,000

$2,900,000

In addition to these charges from Helping Hospital, Pediatrics incurred the following personnel costs.

Annual Salariesthese salaries are fixed

Supervising nurses

$100,000

Nurses

320,000

Assistants

180,000

Total

$600,000

During the year ended June 30, 2018, Pediatrics charged the following and had the following relevant days:

$500

daily charge to patient for services

$6,200,000

Total Revenues

35

Relevant Range of daily beds

Required:

6. If demand for patient days are projected to increase from the 2018 current patient demand in 2019 by 6%

Calculate the increase in income using the operating leverage.

7. Prepare a contribution income statement showing the projected 2019 revenue and costs if the demand for patient days increases in 2019 to the projected increase stated in #6.

8. Using the profit for end of year June 30, 2018 and June 30, 2019, prove that the change in income between the two years equals the percentage change in #6.

9. Recommend to Pediatrics what they should do as the operations grow and have the ability to exceed the current capacity limits that Helping Hospital has put on Pediatrics.

Include in your response on average how many beds Pediatrics is currently using and how much will this increase based on #6 projected increase in 2019.

Explain why the relevant range is important to know and understand and how it impacts your recommendation. Assume a 365 day year.