Premium Essay

Assignment: Case 3-1 Lakeside Hospital

In: Business and Management

Submitted By shawnyknoxville
Words 494
Pages 2
Name: Shawnyknoxville
Class: HADM 542 W13 MANAGERIAL ACCT/HTH CARE ORG
Date: 1/29/2013
Assignment: Case 3-1 Lakeside Hospital

For Case 3-1: answer questions 1 - 5.

1.
Breakeven Volume Analysis
Varible costs
Medical Supplies: $493,806
Purchased Laboratory Services: $24,476
Water Usage: $20,896
Total Variable Costs: $539,178
Number of treatments: 5,736 Total Variable Cost / Number of treatments
$539,178 / 5,736 = 94

Px = a + bx
$250x = $510,870 + 94x
$156x = $510,870
($156x = $510,870)/$156 = 3274.81
3274.81 treatments per year 7 nurses -1 $35,000/7 = $5,000 bi-monthly / 2 = $2,500 monthly ($2,500 monthly)12 = $30,000 per year 7 techs -1 $30,680/7 = $4382.86 bi-monthly(2 Employees)/ 2 = $4382.86 monthly ($4382.86 monthly)12 = $52,594.29 per year $30,000 per year + $52,594.29 per year = $82,594.29 per year total payroll last year = $436,800 $436,800 - $82,594.29 = $354,205,71 projected payroll with 3 less employees $354,205.71/$436,800 = 81.1% of previous years payroll expenses

Assumptions:
Medical Supplies: $493,806
Purchased Laboratory Services: $24,476
Water Usage: $20,896
Are variable expensed and Depreciation is a fixed expense

2.
Fair Share of Overhead:
@ 50% Capasity
120 Treatments per week / 2 = 60 Treatments per week
(60 Treatments per week)(52 weeks in a year) =
3120 Treatments per year @ 50% Capacity
Treatments per year @ 50% Capacity / Number of treatments last year: 5,736 = 3,120/5,736 = 54.4% Fixed Overhead; Depreciation, Operation of Plant, Housekeeping $4,778 + $4,281 + $3,411 = $12,470 Variable per treatment: Laundry and Linens, Dietary, Physician Salaries, Medical Supplies, Pharmacy, Social Services, Intern and Resident Services $1,782 + $9471 + $65,477 + $279 + $1,827 + $50,878 + $10,425 = $140,139 $140,139(.544) = $76,235.62 adjusted Variable overhead by...

Similar Documents

Premium Essay

Lakeside Hospital Case

...Lakeside Hospital A hospital just can’t afford to operate a department at 50 percent capacity. If we average 20 dialysis pa- tients, it costs us $425 per treatment, and we’re only paid $250. If a department can’t cover its costs, includ- ing a fair share of overhead, it isn’t self-sufficient and I don’t think we should carry it. Peter Lawrence, M.D., Director of Specialty Services at Lakeside Hospital, was addressing James Newell, M.D., Chief Nephrologist of Lakeside’s Renal Division, concerning a change in Medicare’s payment policies for hemodialysis treatments. Recently, Medicare had begun paying independent dialysis clinics for standard dialysis treatments, and the change in policy had caused patient volume in Lakeside’s dialysis unit to decrease to about 50 percent of capacity, producing a corresponding increase in per-treatment costs. By February of the current fiscal year, Dr. Lawrence and Lakeside’s Medical Director were considering closing the hospital’s dialysis unit. Dr. Newell, who had been Chief Nephrologist since he’d helped establish the unit, was op- posed to closing it. Although he was impressed by the quality of care that independent centers of- fered, he was convinced that Lakeside’s unit was necessary for providing back-up and emergency services for the outpatient centers, as well as for treatment for some of the hospital’s seriously ill inpatients. Furthermore, although the unit could not achieve the low costs of the independent cen- ters, he disagreed...

Words: 1241 - Pages: 5

Premium Essay

Ba8291

...assignment 1 CASE Lakeside Hospital Financial information & decision making bm01Afm 2015-2016 The abovementioned students declare that this report contains original work and all the team members equally contributed to its preparation. Question 1. To calculate the break-even volume for the dialysis unit we first assume that every patient receives three treatments a week, 156 a year. We use the numbers of last year to calculate the break-even volume as stated in exhibit 1 and 2 of the case. We assume that the allocated expenses and all other costs, except for the major equipment depreciation, stay the same. Since the 14 machines cannot be sold after four years and they are for already five years in the company, we define this as a sunk cost and the major equipment depreciation is not included in the calculation of the break-even volume. The fixed costs are the salaries and wages as stated in Exhibit 2. The supplies and purchases services are not included since they differ according to the number of treatments provided. The fixed costs are therefore 438,900 + 71,970=$510,870. However the annualized salaries have decreased by 84,000 and the fringe benefits by 8,400 and the major equipment depreciation of 26,250 is not included anymore. The fixed costs decrease to $392,220 (510,870 – 84,000 – 8,400 – 26,250 =$392,220). The allocated expenses are $277,267, which makes total fixed costs of (277,267+392,220) $669...

Words: 1012 - Pages: 5

Free Essay

Lakeside Hospital

...HBSP Product Number TCG 5 rP os t THE CRIMSON PRESS CURRICULUM CENTER THE CRIMSON GROUP, INC. Lakeside Hospital A hospital just can’t afford to operate a department at 50 percent capacity. If we average 20 dialysis patients, it costs us $425 per treatment, and we’re only paid $250. If a department can’t cover its costs, including a fair share of overhead, it isn’t self-sufficient and I don’t think we should carry it. op yo Peter Lawrence, M.D., Director of Specialty Services at Lakeside Hospital, was addressing James Newell, M.D., Chief Nephrologist of Lakeside’s Renal Division, concerning a change in Medicare’s payment policies for hemodialysis treatments. Recently, Medicare had begun paying independent dialysis clinics for standard dialysis treatments, and the change in policy had caused patient volume in Lakeside’s dialysis unit to decrease to about 50 percent of capacity, producing a corresponding increase in per-treatment costs. By February of the current fiscal year, Dr. Lawrence and Lakeside’s Medical Director were considering closing the hospital’s dialysis unit. Dr. Newell, who had been Chief Nephrologist since he’d helped establish the unit, was opposed to closing it. Although he was impressed by the quality of care that independent centers offered, he was convinced that Lakeside’s unit was necessary for providing back-up and emergency services for the outpatient centers, as well as for treatment for some of the hospital’s seriously ill inpatients. Furthermore...

Words: 2474 - Pages: 10

Premium Essay

Boulder

...HBSP Product Number TCG239 THE CRIMSON PRESS CURRICULUM CENTER THE CRIMSON GROUP, INC. Boulder Public Schools Edward Caton, a teacher in a midsize elementary school in Boulder, Colorado, hoped someday to rise through the administrative ranks to serve as a principal of his own school, but he felt that to do so, he should understand more about the position to which he aspired. This was especially important to him in terms of the control he might have over the budget, which he knew was central to real power in many organizations. In an effort to learn more about the operations of the Boulder Public Schools, he set up some informational interviews with the principals of an elementary school, a middle school, and a high school. Before making those rounds, he visited the headquarters of the Boulder School Committee to obtain background information for his interviews. BACKGROUND Mr. Caton learned that the Department of Implementation (DI) was central to the school system. It’s manager reported directly to the Superintendent of Schools. The DI was responsible for making school enrollment projections each December for the coming fiscal year (which ran from July to June). These projections were important since annual staffing needs for each school were determined by a rather complex formula that used the DI's projections as the starting point. Moreover, since personnel formed the bulk of the budget, these projections effectively determined a school's budget. Each......

Words: 24591 - Pages: 99

Free Essay

Management

...Case on: profiles of two visionaries: bill gates and Steve jobs Prepared for: Rumana Afrose Lecturer Department of Business Administration East West University Prepared by: Md. Taijul Islam ID: 2009-2-10-217 Subject Code: MGT 101Section: 09 | Date of Submission: November 04, 2013 Table of content: Introduction In this assignment contrasting leadership style of Bill Gates and Steve Jobs has been analyzed and main features of the style have been described. The impact of their leadership style individual, team and organizational performance has also been explained. Various global leaders have different leadership style depending on the size and nature of the organization. The two global leaders known for their achievements in their field are Bill Gates and Steve Jobs. Their leadership style has contrasting aspects as well as few similarities. Profile of Steve jobs: * Name: Steve Jobs * Full Name: Steven Paul Jobs * Aka: Steve Jobs * Aka: Steven Jobs * Birth date: Steven Paul Jobs was born on February 24, 1955, in San Francisco, California. * Education: Reed College, Homestead High School * Occupation: Entrepreneur, Inventor 1 Apr 1976: Apple Computer Inc. is incorporated by Steve Jobs, Steve Wozniak and Ron Apr 1989: Steve Jobs is named 'Entrepreneur of the decade' by Inc. magazine Jul 1997: Gil Amelio is ousted by the Apple Board of directors after a disastrous quarter. Steve Jobs is named interim CEO in......

Words: 3050 - Pages: 13

Free Essay

Development Plan

...CITY GOVERNMENT OF NAGA City Planning and Development Office Comprehensive Development Plan, 2011-20 RESOLUTION ADOPTING THE CDP Resolution No. 2011-___ “ADOPTING THE 10-YEAR COMPREHENSIVE DEVELOPMENT PLAN OF THE CITY OF NAGA” Whereas, the Comprehensive Development Plan (CDP) sets the city government’s strategic directions for the next 10 year action and details its priority sectoral and cross-sectoral programs and projects consistent with the vision for “Maogmang Naga”; Whereas, the formulation of the CDP involved the participation of various stakeholders in the community in its various stages, from visioning, situational analysis, and the development of policy responses and interventions to development challenges facing city; Whereas, the CDP represents the collective aspiration, needs and priorities of the local society and therefore enjoys broad-based support; Whereas, the CDP is the city government’s call to all its constituents, resource institutions and stakeholders, both in and out of Naga, to be its proactive partner in the city’s continuing progress and sustainable development; Now therefore, on motion duly seconded, be it Resolved, as it is hereby resolved, to adopt the Comprehensive Development Plan, 2011-20, of the City of Naga. ii FOREWORD Naga, the “Heart of Bicol” that aspires to become a happy place for its people, is at the crossroads. The fastest growing city in Bicolandia, it faces the internal challenge of maintaining high level of......

Words: 23660 - Pages: 95

Premium Essay

Software Project Management

...Project Management for Information Systems A refreshingly readable, realistic and relevant view of project management within the context of information systems. This comprehensive and practical book is an excellent starting point for any practicing project managers or students of Project Management for Information Systems, whether they are from a computing or a business background, at undergraduate or masters level. In this book, the practical perspective and industry experience of the authors complements the clear explanation of project management theory and methodologies. The authors strike a good balance covering both the mechanics of project management and the human factors involved and plentiful case studies, exercises and good and bad examples from real life help the reader to put the theory into context and into practice. This fifth edition has new material on: • development life-cycles and approaches (including agile approaches) • different types of IS projects and how to manage them • implementing change through information systems • updated coverage of leadership and management. Project Management for Information Systems is all you need to plan every aspect of an IS project and ensure that it is implemented on time, within budget and to quality standards. ‘This is an excellent starting point: a practical down-to-earth and comprehensive guide to many facets of IS project management. Cadle and Yeates draw on a wealth of experience in......

Words: 178628 - Pages: 715

Premium Essay

Accounting for Taxation

...CPA QUESTIONS CHAPTER 3 1. For “qualifying widow(er)” filing status, which of the following requirements must be met? I. The surviving spouse does not remarry before the end of the current year II. The surviving spouse was eligible to file a joint tax return in the year of the spouse’s death III. The surviving spouse maintains the cost of the principal residence for six months. A. I, II, and III B. I and II, but not III C. I and III, but not II D. I only A. Incorrect. A taxpayer may file a tax return as a qualifying widow or widower for 2 tax years after the year in which a spouse dies provided the couple qualified to file a joint return for the year of death; that the taxpayer provided over 50% of the cost of maintaining the principal residence of a dependent child or stepchild; and that the taxpayer has not remarried as of the end of the current year. Maintaining the cost of the taxpayer’s principal residence for six months is not sufficient. B. Correct! A taxpayer may file a tax return as a qualifying widow or widower for 2 tax years after the year in which a spouse dies provided the couple qualified to file a joint return for the year of death; that the taxpayer provided over 50% of the cost of maintaining the principal residence of a dependent child or stepchild; and that the taxpayer has not remarried as of the end of the current year. Maintaining the cost of the taxpayer’s principal residence for six......

Words: 139931 - Pages: 560

Premium Essay

Marketing Real People, Real Choices

...c MARKETING 7E People real Choices This page intentionally left blank MARKETING 7E People real Choices Michael R. SAINT JOSEPH S SOLOMON ’ U OLLINS NIVERSITY Greg W. MARSHALL R C STUART OLLEGE Elnora W. THE UNIVERSITY OF SOUTH CAROLINA UPSTATE Prentice Hall Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam Cape Town Dubai London Madrid Milan Munich Paris Montreal Toronto Delhi Mexico City Sao Paulo Sydney Hong Kong Seoul Singapore Taipei Tokyo Editorial Director: Sally Yagan Editor in Chief: Eric Svendsen Acquisitions Editor: Melissa Sabella Director of Editorial Services: Ashley Santora Editorial Project Manager: Kierra Bloom Editorial Assistant: Elisabeth Scarpa Director of Marketing: Patrice Lumumba Jones Senior Marketing Manager: Anne Fahlgren Marketing Assistant: Melinda Jensen Senior Managing Editor: Judy Leale Project Manager: Becca Richter Senior Operations Supervisor: Arnold Vila Creative Director: Jon Christiana Senior Art Director: Blair Brown Text and Cover Designer: Blair Brown Media Project Manager, Production: Lisa Rinaldi Media Project Manager, Editorial: Denise Vaughn Full-Service Project Management: S4Carlisle Publishing Services Composition: S4Carlisle Publishing Services Printer/Bindery: Courier/Kendalville Cover Printer: Courier/Kendalville Text Font: Palatino Credits and acknowledgments borrowed from other sources and reproduced, with permission, in this......

Words: 227255 - Pages: 910

Premium Essay

Researching and Writing

.... ReseaRching and WRiting a disseRtation a guidebook foR business students Colin Fisher second edition . Researching and Writing a Dissertation: A Guidebook for Business Students . We work with leading authors to develop the strongest educational materials in management, bringing cutting-edge thinking and best learning practice to a global market. Under a range of well-known imprints, including Financial Times Prentice Hall, we craft high-quality print and electronic publications which help readers to understand and apply their content, whether studying or at work. To find out more about the complete range of our publishing, please visit us on the World Wide Web at: www.pearsoned.co.uk . Researching and Writing a Dissertation: A Guidebook for Business Students Second edition Colin Fisher with John Buglear Diannah Lowry Alistair Mutch Carole Tansley . Pearson Education Limited Edinburgh Gate Harlow Essex CM20 2JE England and Associated Companies throughout the world Visit us on the World Wide Web at: www.pearsoned.co.uk First published 2004 Second edition 2007 © Pearson Education Limited 2004 © Pearson Education Limited 2007 The right of Colin Fisher to be identified as author of this work has been asserted by him in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,......

Words: 142971 - Pages: 572

Premium Essay

Marketing

...MARKETING 7E People real Choices This page intentionally left blank MARKETING 7E People real Choices Michael R. SAINT JOSEPH S SOLOMON ’ U OLLINS NIVERSITY Greg W. MARSHALL R C OLLEGE Elnora W. THE UNIVERSITY OF SOUTH CAROLINA UPSTATE STUART Prentice Hall Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam Cape Town Dubai London Madrid Milan Munich Paris Montreal Toronto Delhi Mexico City Sao Paulo Sydney Hong Kong Seoul Singapore Taipei Tokyo Editorial Director: Sally Yagan Editor in Chief: Eric Svendsen Acquisitions Editor: Melissa Sabella Director of Editorial Services: Ashley Santora Editorial Project Manager: Kierra Bloom Editorial Assistant: Elisabeth Scarpa Director of Marketing: Patrice Lumumba Jones Senior Marketing Manager: Anne Fahlgren Marketing Assistant: Melinda Jensen Senior Managing Editor: Judy Leale Project Manager: Becca Richter Senior Operations Supervisor: Arnold Vila Creative Director: Jon Christiana Senior Art Director: Blair Brown Text and Cover Designer: Blair Brown Media Project Manager, Production: Lisa Rinaldi Media Project Manager, Editorial: Denise Vaughn Full-Service Project Management: S4Carlisle Publishing Services Composition: S4Carlisle Publishing Services Printer/Bindery: Courier/Kendalville Cover Printer: Courier/Kendalville Text Font: Palatino Credits and acknowledgments borrowed from other sources and reproduced, with permission, in this textbook appear on appropriate page within text.......

Words: 160652 - Pages: 643

Premium Essay

Marketing

...MARKETING 7E People real Choices This page intentionally left blank MARKETING 7E People real Choices Michael R. SAINT JOSEPH S SOLOMON ’ U OLLINS NIVERSITY Greg W. MARSHALL R C OLLEGE Elnora W. THE UNIVERSITY OF SOUTH CAROLINA UPSTATE STUART Prentice Hall Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam Cape Town Dubai London Madrid Milan Munich Paris Montreal Toronto Delhi Mexico City Sao Paulo Sydney Hong Kong Seoul Singapore Taipei Tokyo Editorial Director: Sally Yagan Editor in Chief: Eric Svendsen Acquisitions Editor: Melissa Sabella Director of Editorial Services: Ashley Santora Editorial Project Manager: Kierra Bloom Editorial Assistant: Elisabeth Scarpa Director of Marketing: Patrice Lumumba Jones Senior Marketing Manager: Anne Fahlgren Marketing Assistant: Melinda Jensen Senior Managing Editor: Judy Leale Project Manager: Becca Richter Senior Operations Supervisor: Arnold Vila Creative Director: Jon Christiana Senior Art Director: Blair Brown Text and Cover Designer: Blair Brown Media Project Manager, Production: Lisa Rinaldi Media Project Manager, Editorial: Denise Vaughn Full-Service Project Management: S4Carlisle Publishing Services Composition: S4Carlisle Publishing Services Printer/Bindery: Courier/Kendalville Cover Printer: Courier/Kendalville Text Font: Palatino Credits and acknowledgments borrowed from other sources and reproduced, with permission, in this textbook appear on appropriate page within text.......

Words: 160652 - Pages: 643

Premium Essay

Reflection Paper on Interview Questions

...part of Cengage Learning 20 Channel Center Street Boston, MA 02210 USA © 2009 Course Technology, a part of Cengage Learning. ALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced, transmitted, stored, or used in any form or by any means graphic, electronic, or mechanical, including but not limited to photocopying, recording, scanning, digitizing, taping, Web distribution, information networks, or information storage and retrieval systems, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without the prior written permission of the publisher. For product information and technology assistance, contact us at Cengage Learning Customer & Sales Support, 1-800-354-9706 For permission to use material from this...

Words: 52390 - Pages: 210

Free Essay

Bush

...FAMILY OF SECRETS The Bush Dynasty, America’s Invisible Government, and the Hidden History of the Last Fifty Years RUSS BAKER Contents Foreword by James Moore 1. How Did Bush Happen? 2. Poppy’s Secret 3. Viva Zapata 4. Where Was Poppy? 5. Oswald’s Friend 6. The Hit 7. After Camelot 8. Wings for W. 9. The Nixonian Bushes 10. Downing Nixon, Part I: The Setup 11. Downing Nixon, Part II: The Execution 12. In from the Cold 13. Poppy’s Proxy and the Saudis 14. Poppy’s Web 15. The Handoff 16. The Quacking Duck 17. Playing Hardball 18. Meet the Help 19. The Conversion 20. The Skeleton in W.’s Closet 21. Shock and . . . Oil? 22. Deflection for Reelection 23. Domestic Disturbance 24. Conclusion Afterword Author’s Note Acknowledgments Notes Foreword When a governor or any state official seeks elective national office, his (or her) reputation and what the country knows about the candidate’s background is initially determined by the work of local and regional media. Generally, those journalists do a competent job of reporting on the prospect’s record. In the case of Governor George W. Bush, Texas reporters had written numerous stories about his failed businesses in the oil patch, the dubious land grab and questionable funding behind a new stadium for Bush’s baseball team, the Texas Rangers, and his various political contradictions and hypocrisies while serving in Austin. I was one of those Texas journalists. I spent about a......

Words: 249168 - Pages: 997

Free Essay

Living History

...___________________________ LIVING HISTORY Hillary Rodham Clinton Simon & Schuster New York • London • Toronto • Sydney • Singapore To my parents, my husband, my daughter and all the good souls around the world whose inspiration, prayers, support and love blessed my heart and sustained me in the years of living history. AUTHOR’S NOTE In 1959, I wrote my autobiography for an assignment in sixth grade. In twenty-nine pages, most half-filled with earnest scrawl, I described my parents, brothers, pets, house, hobbies, school, sports and plans for the future. Forty-two years later, I began writing another memoir, this one about the eight years I spent in the White House living history with Bill Clinton. I quickly realized that I couldn’t explain my life as First Lady without going back to the beginning―how I became the woman I was that first day I walked into the White House on January 20, 1993, to take on a new role and experiences that would test and transform me in unexpected ways. By the time I crossed the threshold of the White House, I had been shaped by my family upbringing, education, religious faith and all that I had learned before―as the daughter of a staunch conservative father and a more liberal mother, a student activist, an advocate for children, a lawyer, Bill’s wife and Chelsea’s mom. For each chapter, there were more ideas I wanted to discuss than space allowed; more people to include than could be named; more places visited than could be......

Words: 217937 - Pages: 872