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Ruth was the chief nursing officer of a midsized hospital in a southwestern community. The hospital had experienced a number of very difficult years and

Ruth was the chief nursing officer of a midsized hospital in a southwestern community. The hospital had experienced a number of very difficult years and had gradually lost market share to some of the newest market entrants. In its latest strategic plan, achieving competitive efficiencies had become a key priority. To accomplish this aim, the hospital would need to cut 10 percent of its costs. Because she managed the largest portion of hospital personnel, she was asked to defend the recent actual results against the budget, specifically for salary and related costs. She received the following data:

Actual Adjusted Patient Days Net Revenues Salary Costs Other Total Costs Contribution Margin Budgeted 210,000 $52,000,0oo $22,000,ooo $ 2,350,0oo $24,350,0oo $27,650,0oo 178,000 $51,285,0oo $19,435,00o $ 1,650,0o0 $21,085,00o $30,200,0oo

Analyze the data using volume, price, and efficiency variance.

Questions

Did Ruth's hospital achieve its 10 percent reduction in salary costs?

What effects did volume, price, and efficiency have on the outcomes?

What would you present to justify the financial results?

Adjusted Patient Days Net Revenues Salary Costs Other Total Costs Contribution Margin Budgeted 210,000 $52,000,000 $22,000,000 $ 2,350,000 $24,350,000 $27,650,000 Actual 178,000 $51,285,000 $19,435,000 $1,650,000 $21,085,000 $30,200,000

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