Financial And Managerial Accounting
15th Edition
ISBN: 9781337902663
Author: WARREN, Carl S.
Publisher: Cengage Learning,
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Chapter 18, Problem 5MAD
Hospital activity-based costing analysis
Lancaster County Hospital uses activity-based costing to determine the cost of serving patients. The hospital identified common treatments and developed the activity-based cost per patient by treatment. The activities and activity rates for a patient receiving coronary bypass surgery are as follows:
Nursing care units are measures of time and effort to perform nursing duties, such as providing IV care, checking vital signs, and administering drugs. It is determined that there are an average of 10 nursing care units per patient day in the hospital for a coronary bypass. The average bypass patient is in the hospital for 6 days. The bypass procedure requires an average of 3 hours of operating room time.
- A. Determine the activity cost per patient for the coronary bypass treatment.
- B. Assume the hospital was able to make improvements such that the average length of stay in the hospital for the bypass was reduced from 6 days to 5 days. Further assume that additional improvements in medical technology reduced the operating room time for a bypass to 2½ hours. Determine the activity cost per patient for the coronary bypass treatment under these revised conditions. What is the cost improvement?
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Zamboanga Hospital plans to use the activity-based costing to assign hospital indirect costs to the care of patients. The hospital has identified the following activities and activity rates for the hospital indirect costs: (Refer to image) Determine the activity cost associated with Patient 2.
a. P1,388
b. P 908
c. P1,816
d. P4,555
Mercy Hospital staffs its medical/surgical floors with nurses depending on the number of pa-
tients assigned to the floor and the severity of their condition. The index used to capture nurse
effort is termed a relative value unit, or RVU. For example, taking vital signs for a single patient
may be equal to one RVU. RVU's are then summed to estimate the total RVU requirements for
the floor. From this, the nursing staff budget is determined.
The medical/surgical floor is scheduled to have 25 patients for each day of the coming
seven-day week. Some patients will require more nursing effort than others, depending on
the severity of their conditions or their ages. The following table summarizes the expected RVU
requirements for the patients:
Number of Patients
RVUS per Day
5
20
8
25
10
30
40
A nurse earns $180 per day and is able to perform 40 RVUS per day.
a. Determine the total number of RVUS expected per day for the coming week.
b. Determine the total weekly nurse budget for the coming…
Activity-Based Costing for a Service Company
Crosswinds Hospital plans to use activity-based costing to assign hospital indirect costs to the care of patients. The hospital has identified the following activities and activity rates for the hospital indirect costs:
Activity
Activity Rate
Room and meals
$271
per day
Radiology
$382
per image
Pharmacy
$37
per physician order
Chemistry lab
$103
per test
Operating room
$680
per operating room hour
The activity usage information associated with the two patients is as follows:
Abel Putin
Cheryl Umit
Number of days
2
days
10
days
Number of images
2
images
8
images
Number of physician orders
4
orders
6
orders
Number of tests
5
tests
8
tests
Number of operating room hours
2
hours
6.5
hours
a. Determine the activity cost associated with each patient.
Abel Putin
$fill in the blank 1
Cheryl Umit
$fill in the blank 2
Chapter 18 Solutions
Financial And Managerial Accounting
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- Activity-based costing for a service company Crosswinds Hospital plans to use activity-based costing to assign hospital indirect costs to the care of patients. The hospital has identified the following activities and activity rates for the hospital indirect costs: The activity usage information associated with the two patients is as follows: Determine the activity cost associated with each patient. Why is the total activity cost different for the two patients?arrow_forwardFormation of an Activity Dictionary A hospital is in the process of implementing an ABC system. A pilot study is being done to assess the effects of the costing changes on specific products. Of particular interest is the cost of caring for patients who receive in-patient recovery treatment for illness, surgery (noncardiac), and injury. These patients are housed on the third and fourth floors of the hospital. The floors are dedicated to patient care and have only nursing stations and patient rooms. A partial transcript of an interview with the hospitals nursing supervisor is as follows: 1. How many nurses are in the hospital? There are 101 nurses, including me. 2. Of these 100 nurses, how many are assigned to the third and fourth floors? Fifty nurses are assigned to these two floors. 3. What do these nurses do (please describe)? Provide nursing care for patients, which, as you know, means answering questions, changing bandages, administering medicine, changing clothes, etc. 4. And what do you do? I supervise and coordinate all the nursing activity in the hospital. This includes surgery, maternity, the emergency room, and the two floors you mentioned. 5. What other lodging and care activities are done for the third and fourth floors by persons other than the nurses? The patients must be fed. The hospital cafeteria delivers meals. The laundry department picks up dirty clothing and bedding once each shift. The floors also have a physical therapist assigned to provide care on a physician-directed basis. 6. Do patients use any equipment? Yes. Mostly monitoring equipment. 7. Who or what uses the activity output? Patients. But there are different kinds of patients. On these two floors, we classify patients into three categories according to severity: intensive care, intermediate care, and normal care. The more severe the illness, the more activity is used. Nurses spend much more time with intermediate care patients than with normal care. The more severe patients tend to use more of the laundry service as well. Their clothing and bedding need to be changed more frequently. On the other hand, severe patients use less food. They eat fewer meals. Typically, we measure each patient type by the number of days of hospital stay. And you have to realize that the same patient contributes to each type of product. Required: Prepare an activity dictionary with three categories: activity name, activity description, and activity driver.arrow_forwardProduct costing and decision analysis for a service company Pleasant Stay Medical Inc. wishes to determine its product costs. Pleasant Stay offers a variety of medical procedures (operations) that are considered its products. The overhead has been separated into three major activities. The annual estimated activity costs and activity bases follow: Total patient days are determined by multiplying the number of patients by the average length of stay in the hospital. A weighted care unit (wcu) is a measure of nursing effort used to care for patients. There were 192,000 weighted care units estimated for the year. In addition, Pleasant Stay estimated 6,000 patients and 27,000 patient days for the year. (The average patient is expected to have a a little more than a four-day stay in the hospital.) During a portion of the year, Pleasant Stay collected patient information for three selected procedures, as follows: Private insurance reimburses the hospital for these activities at a fixed daily rate of 406 per patient day for all three procedures. Instructions Determine the activity rates. Determine the activity cost for each procedure. Determine the excess or deficiency of reimbursements to activity cost. Interpret your results.arrow_forward
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