Case 11 Student Spreadsheet (3)
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CASE 11 CENTURY OAKS HEALTH
Budgeting Concepts
Student Version
This case illustrates the use of budgeting to propose a new clinic site and help make operating de
model extends out to Column AR.
The model consists of a complete base case analysis--no changes need to be made to the existin
spreadsheet have been replaced by zeros. Students must select appropriate input values and en
the base case solution will appear.
INPUT DATA:
Operation Volume Assumptions:
MD
AP
1st 6 Months
12 Months
1st 6 Months
Clinic Days / Week
5
5
5
Clinic Hours / Day
4.5
4.5
6
Visits / Hour
2.5
3
2.5
Inpatient Consults Days / Week
5
5
Inpatient Consults Hours / Day
2.5
2.5
Inpatient Consults / Hour
2
2
Note: Diagnostic Reading is unpredictable and small percentage of effort.
Working Weeks
18
48
5.1
% New Patient Visits (NPV)
70%
70%
10%
% Return Patient Visits (RPV)
30%
30%
90%
Information to Drive Revenue Assumptions
Revenue Ass
New Patient Visits (NPV)- Clinic
CPT Code
Office Visit Description
wRVU Value Charge
Average Reve
99201 NPV, Level I
0.45 35.46 $ 106.38 99202 NPV, Level II
0.88 54.16 99203 NPV, Level III
1.34 99.30 99204 NPV, Level IV
2.30 154.63 99205 NPV, Level V
3.00 188.36 MODEL-GENERATED DATA section. However, values in the I
NPUT DATA section of the studen
them into the cells with values colored red
. After this is done, any error cells will be corrected and
Model
Page 2
Return Patient Visits (RPV)- Clinic
CPT Code
Office Visit Description
wRVU Value Charge
Average Reve
99211 RPV, Level I
0.17 3.03 $ 60.92 99212 RPV, Level II
0.45 30.45 99213 RPV, Level III
0.92 57.59 99214 RPV, Level IV
1.42 89.00 99215 RPV, Level V
2.00 124.51 Inpatient Consults (IC)
CPT Code
Office Visit Description
wRVU Value Charge
Average Reve
99251 IC, Level I
1.00 94.61 $ 152.55 99252 IC, Level II
1.50 118.57 99253 IC, Level III
2.27 135.28 99254 IC, Level IV
3.25 189.43 99255 IC, Level V
4.00 224.85 Expense Assumptions
MD
APP
Annual Provider Compensation
$ 425,000 $ 120,000 % Benefits
18%
21%
Benefit Expense
$ 76,500 $ 25,200 Total Annual Provider Expense
$ 501,500 $ 145,200 # Months Worked in 1st 6 Months
6
3
1st 6 Months Expense
$ 250,750 $ 36,300 Staffing Expenses
Annual
% FTE
12 Month Comp
Clinic Coordinator
$ 70,000 0.50 $ 35,000 CMA
$ 36,000 1.00 $ 36,000 Clinical Support Specialist
$ 40,000 1.00 $ 40,000 Total Staffing Expenses
$ 146,000 $ 111,000 IT Operations Upfront Costs:
PC & Peripheral Hardware
$ 6,865 Network Equipment
$ 27,540 Telecommunications
$ 1,296 AV
$ - Misc
$ 6,419 Facilities Upfront Costs:
Furniture
$ 3,000 Exam tables
$ 4,800 $ 800 per table
6
To complete
assumption
calculation o
location. On
amounts an
Model
Page 3
AED
$ 1,200 Misc
$ 1,000 Ongoing Operational Expenses
Annual Annual Lease
$ 60,800 $16 per sq ft
3,800
Additional Operating Expenses
Annual Monthly
IT
$ 83,748 $ 6,979 Utilities
$ 1,500 $ 125 Cleaning
$ 2,820 $ 235 Supplies
$ 600 $ 50 MODEL-GENERATED DATA:
Budget Analysis:
Revenue Calculations based upon Volume and Revenue Assumptions
Physician Volumes
MD Volumes- Clinic
APP Volumes
1st 6 Months 12 Months
1st 6 Months
Days/Week- Clinic
5
5
5
Ambulatory Hours/Day
4.5
4.5
6
Clinic Visits/Hour
2.5
3
2.5
Clinic Visits/Week
56 68 75 Weeks During Time Period
18
48
5.1
Clinic Visits During Time Period
1,013 3,240 383 % Visits- NPV
70%
70%
10%
% Visits- RPV
30%
30%
90%
Total Clinic Volume- NPV
709 2,268 38 Total Clinic Volume- RPV
304 972 344 Average Revenue / NPV
$ 106.38 $ 106.38 $ 106.38 Average Revenue / RVP
$ 60.92 $ 60.92 $ 60.92 Total Revenue for NPV Clinic Visits
$ 75,398 $ 241,274 $ 4,069 Total Revenue for RPV Clinic Visits
$ 18,503 $ 59,210 $ 20,970 Total Clinic Revenue
$ 93,901 $ 300,485 $ 25,039 MD Volumes- Inpatient Consults
1st 6 Months 12 Months
Days/Week- Inpatient Consults
5
5
Consult Hours/Day
2.5
2.5
Consults/Hour
2
2
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Model
Page 4
Consults/Week
25
25
Weeks During Time Period
18
48
Consult Volumes During Time Period
450
1200
Average Revenue / Consult
$ 152.55 $ 152.55 Total Consult Revenue
$ 68,647 $ 183,058 Revenue Calculation Summary
MD Revenue
APP Revenue
1st 6 Months12 Months
1st 6 Months 12 Months
Clinic Revenue
$ 93,901 $ 300,485 $ 25,039 $ 235,665 Consult Revenue
$ 68,647 $ 183,058 Total Revenue
$ 162,548 $ 483,542 $ 25,039 $ 235,665 Total Practice Site Revenue
6 Month Budget # Weeks Assumptions
Revenue
18
Weeks
Expenses
26
Weeks
Revenue
MD
$ 162,548 APP
$ 25,039 Total Revenue
$ 187,588 Expenses
Personnel MD Compensation
$ 212,500 MD Benefits
$ 38,250 MD Expense Total (Comp +Benefits)
$ 250,750 APP Compensation
$ 30,000 Clinic Coordinator
$ 17,500 CMA
$ 18,000 Clinical Support Specialist
$ 20,000 Subtotal- Staff Compensation
$ 85,500 Staffing Benefits
$ 17,955 21%
Staffing Expense Total (Comp + Benefits)
$ 103,455
Model
Page 5
Total personnel expenses with benefits
$ 354,205 PC & Peripheral Hardware
$ 6,865 Network Equipment
$ 27,540 Telecommunications
$ 1,296 AV
$ - Misc
$ 6,419 IT Go Live Expense Total
$ 42,120 Furniture
$ 3,000 Exam Tables
$ 4,800 AED
$ 1,200 Misc
$ 1,000 Facility Go Live Expense Total
$ 10,000 Lease / Rent
$ 30,400 6 months
IT
$ 41,874 Utilities
$ 750 Cleaning
$ 1,410 Supplies
$ 300 Monthly Operational Expenses Total
$ 74,734 Total Non-Staffing Expenses (Go-Live + Monthly)
$ 126,854 Total Expenses
$ 481,059 Net income
$ (293,471)
12 Month Budget # Weeks Assumptions
Revenue
36
Weeks
Expenses
52
Weeks
Revenue
MD
$ 483,542 APP
$ 235,665 Total Revenue
$ 719,208 Expenses
Personnel
Model
Page 6
MD Compensation
$ 425,000 MD Benefits
$ 76,500 MD Expense Total (Comp +Benefits)
$ 501,500 APP Compensation
$ 120,000 Clinic Coordinator
$ 35,000 CMA
$ 36,000 Clinical Support Specialist
$ 40,000 Subtotal- Staff Compensation
$ 231,000 Staffing Benefits
$ 48,510 21%
Staffing Expense Total (Comp + Benefits)
$ 279,510 Total personnel expenses with benefits
$ 781,010 Lease / Rent
$ 60,800 IT
$ 83,748 Utilities
$ 1,500 Cleaning
$ 2,820 Supplies
$ 600 Monthly Operational Expenses Total
$ 149,468 Total Expenses
$ 930,478 Net income
$ (211,270)
Copyright © 2022 Foundation of the American College of Healthcare Executives. Not for sale.
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Model
Page 7
Model
Page 8
ecisions. Note that the
ng
nter
PP
12 Months
5
6
2.5
48
10%
90%
sumptions
enue / NPV
nt
d
To complete this input, determine volume assumptions from case information. Utilize revenue information by level of care to solve for revenue assumptions. Recommend utilizing average revenue per type of visit/consult.
Model
Page 9
enue / RPV
enue / Inpatient Consult
6 Mth Comp
% Benefits
Benefits $ 12 Months
Benefits $ 6 Months
Total 12 Mont
$ 17,500 18%
$ 6,300 $ 3,150 $ 41,300 $ 18,000 18%
$ 6,480 $ 3,240 $ 42,480 $ 20,000 18%
$ 7,200 $ 3,600 $ 47,200 $ 55,500 $ 19,980 $ 9,990 $ 130,980 rooms
Each room will have 1 table
e expense input, determine expense ns from case information. Annual lease is of $/sq ft * total square feet of new clinic ngoing expenses are provided in per month nd must be annualized.
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Page 10
sq ft
s- Clinic
12 Months
5
6
2.5
75 48
3,600 10%
90%
360 3,240 $ 106.38 $ 60.92 $ 38,298 $ 197,368 $ 235,665
Model
Page 11
1st 6 Months 12 Months
$ 187,588 $ 719,208
Model
Page 12
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th Expense
Total 6 Month Expense
$ 20,650 $ 1,620 $ 1,800 $ 24,070
Model
Page 14
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END
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State Financial Corp. has three service departments (Administration, Communications, and Facilities), and two production departments
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- 1 New Exercise Bank Content Qu. 01-08 Paste Font Alignment Number Format as Cell Styles 14.28 points Skipped Click here for the Excel Data File Reconsider the example of choosing the advertising budget for the VRX2000 that is presented in Section 1.4. There it was determined that the optimal level of advertising spending was $135,392 leading to a profit of $77,425. Now suppose that the selling price, variable cost and/or fixed cost can fluctuate as stated below. D22 A Open recovered workbooks? Your recent changes were saved. D x × 15 Expected Units Sold 16 17 Total Revenue 18 Total Variable Cost 19 Fixed Cost $100,000 20 Advertising Cost 21 22 Total Profit 23 24 25 26 27 28 29 30arrow_forwardQuestion Content Area I AM NEEDING THE PICTURES ANWSERED THE PASSAGE IS JUST FOR ASSISTANCE TO ANSWER THE QUESTIONS Question Content Area LearnCo LearnCo manufactures and sells one product, an abacus for classroom use, with two models, the Basic model and the Deluxe model. The company began operations on January 1, 20Y1, and is planning for 20Y2, its second year of operations, by preparing budgets from its master budget. The company is trying to decide how many units to manufacture, how much it might spend on direct materials and direct labor, and what their factory overhead expenses might be. In addition, the company is interested in budgeting for selling and administrative costs, and in creating a budgeted income statement showing a prediction of net income for 20Y2. You have been asked to assist the controller of LearnCo in preparing the 20Y2 budgets. Sales Budget The sales budget often uses the prior year’s sales as a starting point, and then sales quantities are revised…arrow_forwardmanagerial exercize 4- Word lings Review View Help Acrobat O Tell me what ycu vant to do AaBbCcD AaBbCcDc AaBbC AaBbCc[ AaB 三 . T Normal 1 No Spac. Heading 1 Heading 2 Title Paragraph 120 Styles Custom Lock installs window coverings for both commercial and residential cus- tomers. The following information relates to its budgeted operations for the current vear. Commercial Residential $300,000 $480,000 Revenues Direct material costs Direct labor costs Overhead costs Operating income (loss) $ 30,000 100,000 85 000 $ 70.000 300,000 162,000 215,000 $ 85,000 532 000 52.000) The controller, Jane Reasoner, is concerned about the residential product line. She cannot understand why this line is not more profitable given that the installations of window cover ings are less complex to install for residentil customers. In addition, the residential client base resides in close proximity to the company offce, so travel costs are not as expensive on a per client visit for residential customers. As a…arrow_forward
- Home Insert Draw Page Layout Formulas Data Review View Automate Developer Calibri (Body) 12 ✓ Α Αν Conditional Formatting ✓ ☑Insert v Σ Custom Paste B I U ✓ ✓ $ ✓ %9 0 .00 →0 Format as Table ✓ Cell Styles ▾ Delete ✓ Format ✓ C26 fx A B D E F G 1 Instruction: 2 1. Please complete the following budget plan using appropriate cell references format (the cells highlighted in grey) 3 2. Please use fill handler to complete the table. E.g. in cell C16, build one formula and generate other formulas to D16 and E16 with fill handler. 4 3. For "Cost of Goods Sold" section (before "COGS Subtotal"), build one formula in cell C19, and generate formulas until E21. Overhead (B21) is 20% (B10) of the labor cost (B20). 5 4. For "COGS Subtotal", build one formula in C22, and generate the formulas to E22. 6 5. Similar requirements for "Selling Expenses" and "Projected Earnings" section. 7 6. Please be noted, for all items under "Cost of Goods Sold", and "Selling Expenses" the cost is per ONE shoe, not per…arrow_forwardАклобане 202420 BAC104 Assignment Template... Search File Home Insert Draw Page Layout Formulas Data Review View Automate Developer Help Clipboard V13 Aptos Narrow 11 AA == BI-A- Font Direct Materials Budget for July to September 2024 Production Units required Desired ending materials General 18 $ % 9 Conditional formatting Format as Table Insert Σ - Delete E * £8 Number Cell Styles Format Styles Cells Cash Budget for July to September 2024 Expected Beginning cash at bank balance Budget cash collection Total cash available Excepted g Accents payable 1 July Purchases required-kilograms Cost per kilogram Cost of purchases Budgeted Income Statement for July to September Sales Cost of sales Gross Profit 20:24 Purchases September quarter Variable Fixed Administration expenses Factory overhead Direct labour Total payments Expected cash at bank balance as at 30 September 2024 Expenses Selling Administrative Profit Req (d) Req (e) Req (1) Select destination and press ENTER or choose Q Search •…arrow_forwardMilestone #1 – Research Project Overview (Week Two) Introduction: Provide a brief overview of the research healthcare. Describe the topic you are focusing on and establish the rationale behind your choice. Use the model for introduction on page 111 in Creswell & Creswell. Purpose: Describe the main topics that you will examine in the context of the survey. You do not need to discuss the specific survey questions here. Rather, focus on the broader topics and themes that you will address in the questionnaire. Creswell & Creswell (2023) discuss this in Chapter 6.arrow_forward
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- Hello tutor please provide correct answer accounting question not use ai..arrow_forwardabout:blank Blackboard Learn sc.edu/webapps/assessment/take/launch isp?course assessment_id=_114 Remaining Time: 1 hour, 23 minutes, 35 seconds. Question Completion Status: A Moving to the next question prevents changes to this answer. Question 1 What is the Payback Period for the following investment? Year 1 2 3 4 5 O a. 3.77 Ob. 3.73 Oc. 3.89 Od. 3.96 Cash Out $ (1,600,000) (710,000) Cash In 550,000 580,000 610,000 640,000 670,000 A Moving to the next question prevents changes to this answer. 000 900 F2 F3 F4 MacBookarrow_forwardPlease avoid solution image based thnxarrow_forward
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