I do not have a clue where to start, please offer guidance

Part 1 - 2010 Operating Budget

Reviewthe "2009 Budget Issues - Nurses" file in the Patton-Fuller Community Hospital Virtual Organization (accessed via the University Library).This document can be found on the Chief Financial Officer's web page under Special Projects.

Decidewhich of the two highlighted options you will implement from the Nursing Statistics memo of the "2009 Budget Issues - Nurses" document.

Discuss decision-making processes in creating a budget.

Createa new 2010 Operating Budget based on the labor decision you select from the Nursing Statistics memo.Useyour Week Five Health Care Budget assignment as the foundation to develop your new projected budget.

2010 Operating Budget Projection HCS/577 Version 4 1 University of Phoenix Material Patton-Fuller Community Hospital Statement of Revenue and Expense 2009 to 2010 Operating Budget Complete the Operating Budget. Assume the 2009 projections were realized. Use the 2009 budget and the 2010 budget assumptions to calculate expenses and income for 2010. The revenues have been completed for you. 2009 (Proj) 2010 Budgeted % Change From 2009 Projection 2010 Budget 2010 Operating Budget Assumptions Based on these 2009 assumptions: a 3% overall deflation rate for prices in 2009 due to the weak economywill continue into 2010. Revenue Net patient revenue 459,900 3% 473,697 Patient revenue will continue to increase, but at a decreased rate, with little or no increase in patient volume, due to new managed care contracts. Other revenue 3,082 15% 3,544 Marketing's plan to increase donations by 15% 462,982 3% 477,241 Total revenue 2010 Operating Budget Projection HCS/577 Version 4 2009 (Proj) 2010 Budgeted % Change From 2009 Projection 2010 Budget 2 2010 Operating Budget Assumptions Expenses Salaries and benefits 220,752 1% 222,959.52 Salaries will hold to a 1% overall increase in cost due to price deflation nationwide, with no increase in labor hours, due to no increase in patient volume. This assumption could be affected by a board decision either to raise nursing wages by $1 per hour or to increase the nursing hour ratio. Supplies 74,584 -3% 73,346.48 Supplies cost will decrease 3% due to the price deflation and our current overstock purchased last year. Physician and professional fees 110,376 3% 113687.28 Contracts for fees have a built-in 3% increase. Utilities 1,200 5% 1,260 Utilities cost will increase to the rising cost of oil partially offset by the efficiency of the hospital's new heating and cooling systems. Other 1,840 0% 1,840 No net change in the cost or volume of these items. Depreciation & amortization (noncash expenses) 36,036 0% 36,036 Some high-cost equipmentair conditioning, telephone system, all patient beds, and headwallswere replaced in 2009, and depreciation rose sharply. Depreciation will remain at this level in 2010. Interest 3,708 30% 4,820.40 The repayment plan for any monies borrowed in 2009 will come due in 2010, with a sharp increase in interest cost. Provision for doubtful accounts 13,797 10% 15,176.70 The renegotiation of managed care plans has delayed collection and made collections less certain. 462,293 1.27% 468,126.38 Total expenses will rise 1.27 %. Total expenses 2010 Operating Budget Projection HCS/577 Version 4 3 2009 (Proj) 2010 Budgeted % Change From 2009 Projection 2010 Budget 2010 Operating Budget Assumptions 689 7.6% 9,115 Operating Income will improve, with the hospital's loss reduced by 2/3. (62) 0% 62 The market is down, expected to hold steady; a zero-return is expected, with neither losses nor gains. 627 6.9% 9,177 The hospital will continue its dramatic turnaround, taking advantage of the stagnation in patient volume, price deflation, the efficiency of new equipment, and the improved arrangements with the managed care companies. Income Operating income Loss (nonoperating income) Investment income Net income