Harold Monette vacationed at Lake Tahoe last winter. Unfortunately, he broke his ankle while skiing and spent two days at the Sierra University Hospital. Monette’s insurance company received a $4,950 bill for his two-day stay. One item that caught Monette’s attention was a $10.60 charge for a roll of cotton. Monette is a salesman for Johnson & Johnson and knows that the cost to the hospital of the roll of cotton is between $2.45 and $3.25. He asked for a breakdown of the $10.60 charge. The accounting office of the hospital sent him the following information: a. Invoiced cost of cotton roll = $ 2.65 b. Cost of processing of paperwork for purchase = 0.57 c. Supplies-room management fee = 0.74 d. Operating-room and patient-room handling costs  = 1.62 e. Administrative hospital costs  = 1.06 f. University teaching-related costs = 0.61 g. Malpractice insurance costs = 1.18 h. Cost of treating uninsured patients = 1.52 i. Profit component = 0.65 Total = $10.60 Monette believes the overhead charge is outrageous. He comments, “There was nothing I could do about it. When they come in and dab your stitches, it’s not as if you can say, ‘Keep your cotton roll. I brought my own.’” Q.What criteria might Sierra use to justify allocation of the overhead items b–i in the preceding list?

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Harold Monette vacationed at Lake Tahoe last winter. Unfortunately, he broke his ankle while skiing and spent two days at the Sierra University Hospital. Monette’s insurance company received a $4,950 bill for his two-day stay. One item that caught Monette’s attention was a $10.60 charge for a roll of cotton. Monette is a salesman for Johnson & Johnson and knows that the cost to the hospital of the roll of cotton is between $2.45 and $3.25. He asked for a breakdown of the $10.60 charge. The accounting office of the hospital sent him the following information:


a. Invoiced cost of cotton roll = $ 2.65

b. Cost of processing of paperwork for purchase = 0.57

c. Supplies-room management fee = 0.74

d. Operating-room and patient-room handling costs  = 1.62

e. Administrative hospital costs  = 1.06

f. University teaching-related costs = 0.61

g. Malpractice insurance costs = 1.18

h. Cost of treating uninsured patients = 1.52

i. Profit component = 0.65

Total = $10.60


Monette believes the overhead charge is outrageous. He comments, “There was nothing I could do about it. When they come in and dab your stitches, it’s not as if you can say, ‘Keep your cotton roll. I brought my own.’”

Q.What criteria might Sierra use to justify allocation of the overhead items b–i in the preceding list?

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