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Established in 1977, Krona Community Hospital is a 60-bed, acute care hospital located in the heart of Banconota County.
Established in 1977, Krona Community Hospital is a 60-bed, acute care hospital located in the heart of Banconota County. With a staff of nearly 100 physicians and specialists, 400 employees, and 75 volunteers, they offer a full range of health care services. They are accredited by The Joint Commission.
Nouveau Health, a private, not-for-profit health care chain, took over the management of Krona Hospital. Last year, state officials began to discuss Nouveau’s proposal to build a new, replacement hospital in Banconota County. The new facility would have 74 acute care beds, four observation rooms, four surgical operating rooms, one C-section room, a 24-hour emergency department, a maternity center, an intensive care unit, and extensive support services, including physical therapy and cardiac rehabilitation. All patient rooms would be private.
You are a staff member in the finance department at Nouveau Health, whose sole responsibility is to advance the success of the organization through assisting in planning, forecasting, and finance management.
Your Key Assignment Draft is designed to help you prepare for the presentation in Phase 5. The chief executive officer (CEO) of Krona has asked that you complete the following:
- Prepare next year’s financial plan and operational budget.
- Note: Keep in mind that the budget you created for your Phase 2 Individual Project did not take into account the growth of the new facility. The CEO has asked that you expand that budget and provide a finalized budget that will take into account the new services offered. The CEO has stated that there is $3 million that you can incorporate into the budget for additional staffing, services, maintenance, and so forth.
- Make sure the budget reflects the following:
- Increase in revenue reimbursement
- Allocation for the proposed improvements
- Increase in salaries
Be sure to discuss the following areas:
- Funding sources
- Your methodology in revenue forecasting
- How will the new services impact its revenue
- Fixed and variable costs
- Project inpatient and outpatient visits based on current trends
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***** ***** is again * ********* ***** A snapshot ** *** actual ********** *** ********* ***** ** ***** ******** * – Snapshot ** ****** ********** ******************** ******** Gross ******************** Patient ***** Out ******* Revenues40000000NAIn ******* ***** *** ******* ******** ** * ** ***** ******************** ********************** Costs43900000NADepreciation1500000NAInterest ***************************************** Profits11650000NANet Profits11350000NAProfit ******************* MarginNA2190%Operating Profits ***************** *** following ******** *** ******* assumptions ***** *** rationale for the ********** ******** to ******* core ***** ** the financials ** **** as budget **** ** ******** in ****** *** final forecasted financial *** ********* **** based ** *** *********** *** *** ******* ******** ***** be ************* ******* of ******* *** outset the ******* generates sufficient ********* ******* *** ****** ***** *** ******** and is sufficient ** **** its ********* ******** *** **** shall **** **** *** *** forecasting **** as **** ******* *** *** investment **** ** *** ****** ******* ****** *** ***** ********* ******** ***** ** ********* *** ******** funds that are ****** *** ***** ********* ** *** operations In this ****** *** ********** *** decided to ******** *** * ******* for *** ******** ** *** ********* ***** and *** ******* ********** ***** *** ******** ********** *** organization the ******** ** ***** can ** either ******** ******* that ** *********** ******** ****** etc ** the various external sources like ****** ***** ******* ********** **** ***** *** financial ************ bond ******** *** ** the **** widely **** mode ** *** combination of **** ******** and ******** funding sources(Brealey et al ***** ***** the ******* ******* **** *** **** **** ******* nature ** the funding needs *** need for ***** ****** *** *********** ******** the ***** ******** nature ** the ******* *** given **** *** ******* ******* *** ****** ************ it ** proposed **** *** ******* of ***** ***** be * combination of ********* equity from Nouveau ****** *** partly **** ***** * ********* institutions in ***** of * year long **** credit ******************* ** al ********** debt ****** ***** **** be maintained ** 2 : * *** *** new borrowing(Brealey ** ** ***** **** ************ ***** ******** ** *** * ******* *** the **** **** bank ********* ******** ** USD * *********** Replacement ******** *** the *********** ** ForecastingAs described earlier the ********** **** of the ****** ******* ******* ****** **** **** *** ** *** ********* element ** *** *********** ******** as **** **** shall have an ********** *** *********** ******* ****** patient ****** ******* generation variable * ***** ***** *********** overall ************* etc ** per *** ********* this *** capacity *********** through ********** shall ****** ** *** ********* ******** ******* ***** *** ************ ** *** various *********** and basis ** ************* Increase ** **** in-patient and out-patient ****** ** ** ****** ***** ******* ** revenue ************ Increase in ******* ********** from ***** sources **** ********* ******** ******** ***** * new ******* plan **** *** * Million infusion **** the promoters *** * ********* of *** 2 Million **** ******* Increase ** *** ***** variable *** ***** asset building expenses ** ********* **** *** investment plan of the ************ ********** of the ********** ***** Out-patient ******** *** **** ********* *** the process of financial *********** *** ****** revenues ** in-patient *** *********** services *** available for ***** ********* ******** In **** regard *** *** ******** of forecasting and annual ********* ******** *** latest ********* national ******* ** ***** ** *** ******* ******* on ** ****** ***** ** **** ** the growth **** *** *** **** is ******* in ***** ** ******* *** ****** ** **** ********** *** *********** during *** ****** year * ********* ******* ** *** **** ** ******* ** *** ***** ***** II Table ** *** Projection ** ********** & *********** Visits *********************** MNIn ******* Revenues *** ************* ******** *** ***************** Person ****** ******** ******************* ******** for Krona *** ********** * **** ******* Revenues – ActualsActual ******** for Krona15000000CPer ****** Annual ******** Average^1245DAverage ******** *** ***** *** ********** / ** Source: ******* Care **** **** ********* Revenue ForecastingIn *** ******* ** ******* availability of *** **** ******** to *** business *** ***** ********** aspects ** Krona’s **** financials the approach used *** *********** ******** **** ** that of estimation of ********* ***** ** *** ******* ******** available ****** **** ********* ** actual **** ********** ***** ** *** ******** *** a ************ ******** ** growth **** ********* ******** ** al ************ ** *** same while the ****** ***** on per ******* ******** ******** ** ********* ***** ** market ****** *** increase ** ******* visits *** **** *********** *** out-patients ** ****** at *** ************** ***** ** *** proposed ********* ** ********** ** ***** ********* ********* *** ***** ******** * ***** ******** ** *** is ********** ******** ********** ** revenues ** provided in *** Table III below Table *** *** ******* Forecast – ***** & *********** ************** ******* ******* ******** – *********************** ******** *** Krona **** year25961NAAPer ****** ****** ******** ******************** ** ***************** * * * (1 * ********** ** Per Person ****** National Average^ ******* * * * ** * ************ Revenue30187500 *** * **** ******* Revenues – Projection Average Patients *** ***** **** *************** ****** ****** ******** ********************* ** ***************** * * * ** * 15%)Growth ** Per Person ****** National Average^13075%H * * * ** * 5%)Projected *************** *** * ****** ******** *** ************************ ******* 20050000 IProjected ******* ************ * ** * ***** ******* (Health **** **** **** ********* ***** * ******** ********** Other ************ ** the *********** ********** *** ******* *********** *** ******** of costs ***** ** ***** onfinancial ** ****** year ********** plan of *** ******** *** * ************ ******** ** ****** rate forecasts(Brealey ** ** ***** ** *** *** 3 Million ********* by *** ******** *** * ******* ***** ** proportionately ********* ******* ***** ***** *** ******** ***** *** *** 1 ******* ***** be **** *** ******** building **** ************* etc All ***** costs ****** ******** rates ***** ** ********** ***** on * ************ ******** ** ***** * ***** ******** ** *** ****** **** Interest **** ******** ***** ** ***** ** *** new ********** of USD * ********** detailed ********** ** ******** ** ******** in *** ***** IV belowTable IV *** ******* ******** *** ***** ***** **************************************** ************* **** * ******** ***** ******************* **** * ****** 3000000CVariable Cost - Actual ************** Cost * ******** ******** * ((C/(C+D))*B)Variable **** * ******** ********* + ((D/(C+D))*B) Other ***** - ****** ************** Costs * Forecast ******** * ** ************** ********** ***************** **************** ******** **** 4400000F * ** ******* ***** ** *** * **** ********* **** ***** *** A rating ****** ******* ******* ********* Plan & Operational Budget *** SnapshotBased ** *** basis *** *** ******* assumptions *** ***** ***** on *** ********* data business **** ** *** ********** *** *** ********* the ********* ** the ****** *** *** ******* ***** ******** trends and **** *** ******** ****** ********* *** ****** **** ** provided ** the Table * below Further * ******** workings ** the ********* ********** is provided ** *** ***** ******** ******** * *** Annual ********* **** *** Operational ****** * ************* ********* ******** OPERATING ****** *** ************* Budget **** ********************* ****** ******************** ************************* Table *************** ************************* Table III Emergency **** ************************* Table *************** *********************** Table ************* *********************** Table ********* ****** *** ******* 1500000$165000010%Refer Table ************** Services ********************** Table ************** ***** ********************* Table ********** 850000$93500010%Refer ***** *********** **************************** ******* **** ************************* ***** ***** Revenues ********************************************* (including ******* ********* ************************ Table ************ ********************** Table ************ Labor 100000$1069937%Refer Table ************* ********************* Table *********** ******** ******** security **** ********************** ***** IV Constructions ************** ***** **************** *********************** ***** IV Interest ******* 300000$33000010%Refer ***** IV Professional Services 10000000$106993017%Refer ***** IVTotal ********* ******** ******************************* Income$11350000$1664500047% ReferencesBrealey * * Myers S C Allen * ************ P ****** ********** ** ********* ******* **** Edition **** McGraw Health Care Cost **** ****** ******* Care **** *** *********** Report: ***** ********* ******************************************************************** ******* ****** "Composite Bond Rates" ********* ****************************************************** (Accessed ** 18th ***** **** **** ** ****
