Question
How would the operating budget for the simulated medical center/ hospital look like in a table or spreadsheet based on the information in the mock
How would the operating budget for the simulated medical center/ hospital look like in a table or spreadsheet based on the information in the mock transcript and voicemail
below? I have attached a picture of the financial statement to review. Thank you.
Revenue and expenses through the current month of the current year.
Revenue and expenses for the rest of the current fiscal year based on the assumptions in information below
Budget for the next fiscal year.
VOICEMAIL FROM George C. (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!
BUDGET MEETING CALL:
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.
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.
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