St. Matthews is a small community hospital that cares for mostly the aging population in the area and funding is currently provided by a variety of government, for-profit, not-for-profit and religious organizations, as well as individuals. A recent think-tank report shows that many elders are falling through the cracks of receiving quality care. An anonymous donor gifted the hospital with $1.5 million to aid in the care for the underserved populations. In addition, the hospital has $500,000 to use toward infrastructure and capital projects. The mission of the hospital is to provide collectively care for the community.

Supplies are limited and resources are allocated according to service needs. The hospital is looking to expand, but need some direction in what to do first. The Board of Directors is willing to make changes to meet this growing need. Currently, the hospital has 30 beds, one outpatient clinic staff with a nurse practitioner and a nursing assistant, two in-house doctors, one rotating doctor between the ER and hospital, and only one full-time emergency room doctors that are on call when not physically present in the ER. The community is rural so there is not another hospital for another 100 miles.

As the hospital administrator, how would you outline a strategy to utilize the resources available, modify the vision of the organization, request more funding, and if so how? Also, in reviewing this case, what are the present issues and concerns that need to be addressed in the hospital and community?

How do you use to allocate the funds? Keeping in mind the mission statement of the hospital? What goals and objectives would you present to the board of directors? What budgeting method would you recommend and why? Please provide a forecast of how you would utilize the funds on inpatient or outpatient. What payor mix would you target outside of the donated funds? How would you address the needs outlined in the brief case study with the funds available? You can provide a table or detailed narrative to answer the questions.