Please Help. I have this Case Study: Hays County Intergrated Delivery System. Could anyone help me with questions 2-16!
CASE STUDY HAYS COUNTY INTEGRATED DELIVERY SYSTEM YOUR INTEGRATED DELIVERY SYSTEM Imagine that it is December 2017, and you have just accepted the chief financial officer (CFO) position at Hays County Integrated Delivery System (IDS), hereinafter referred to as County. You will be reporting to Mr. Salter, County's chief executive officer, a retirecd schoolteacher who was hired last year. Also reporting to Mr. Salter are Dr. Spok, Countys medical director; Mr. Wannabe, County's chief operating officer; Ms. Pincher, County's controller and Ms.Care, Countys diector of nusing When announcing your appointment, Mr. Salter stated that your primary objective in the coming year (2018) would be to reverse the ominous financial trend that began in 2016 with an operating loss and continued in 2017. Previous operating losses were funded with investment income (investment income was $200,000 in 2017); however, your board recently passed a resolution discontinuing that practice and restricting investment income to capital expenditures in 2017 County is a not-for-profit county-owned urban hospital and includes a 130-bed acute care hospital, a 35-bed skilled nursing facility (SNF), a 15-bed rehab facility, a homoe health care agency, and an outpatient clinic. It has a 40-member medical staff that bills independently. The hospital, Hays County Hospital (HCH), is one of two hospitals in the county (population is 175,000) and the only hospital in San Marcos, Texas, with a popu- lation of 50,000. St. Teresa's, a not-for-profit Catholic-owned hospital, is the only other hospital in Hays County. St. Teresas is about 25 miles from Hays County IDS. To acquire background information, you decide to meet first with each member of the executive team and then with selected members of senior management. 395 CASE STUDY HAYS COUNTY INTEGRATED DELIVERY SYSTEM YOUR INTEGRATED DELIVERY SYSTEM Imagine that it is December 2017, and you have just accepted the chief financial officer (CFO) position at Hays County Integrated Delivery System (IDS), hereinafter referred to as County. You will be reporting to Mr. Salter, County's chief executive officer, a retirecd schoolteacher who was hired last year. Also reporting to Mr. Salter are Dr. Spok, Countys medical director; Mr. Wannabe, County's chief operating officer; Ms. Pincher, County's controller and Ms.Care, Countys diector of nusing When announcing your appointment, Mr. Salter stated that your primary objective in the coming year (2018) would be to reverse the ominous financial trend that began in 2016 with an operating loss and continued in 2017. Previous operating losses were funded with investment income (investment income was $200,000 in 2017); however, your board recently passed a resolution discontinuing that practice and restricting investment income to capital expenditures in 2017 County is a not-for-profit county-owned urban hospital and includes a 130-bed acute care hospital, a 35-bed skilled nursing facility (SNF), a 15-bed rehab facility, a homoe health care agency, and an outpatient clinic. It has a 40-member medical staff that bills independently. The hospital, Hays County Hospital (HCH), is one of two hospitals in the county (population is 175,000) and the only hospital in San Marcos, Texas, with a popu- lation of 50,000. St. Teresa's, a not-for-profit Catholic-owned hospital, is the only other hospital in Hays County. St. Teresas is about 25 miles from Hays County IDS. To acquire background information, you decide to meet first with each member of the executive team and then with selected members of senior management. 395
