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1. What are the key differences between a strategic and operational plan? Explain.

2. What is the statistics budget and how does it influence other budgets?

3. What demographic factors impact volume and future revenues?

4. What is variance analysis and why is it important to the budget process in a healthcare organization?

5. Compare and contrast zero-based versus incremental budgeting?

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Trinidad Tremblay
Trinidad TremblayLv2
28 Sep 2019

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10. A good cost driver does all of the following except a. Allocates costs fairly. b. Helps in controlling costs. c. Can be traditional or activity based. d. Provides greater benefits than its cost. e. All of the above are elements of a good cost driver.

11. In allocating support services to other support service departments, which method is easiest? a. Direct method b. Reciprocal method c. Step-down method

12. In allocating support services to other support service departments, which method is most accurate? a. Direct method b. Reciprocal method c. Step-down method

13. Activity based costing is a. Generally better than traditional costing, but more expensive to implement than traditional costing. b. Is only suitable for large organizations. c. Generally not as accurate as traditional costing. d. Is generally less expensive to implement than traditional costing.

14. Which of the following is not true? a. A price setter usually has a large market share, b. Price setters must watch costs more closely than price takers, c. A health provider in a competitive market is usually a price taker, d. A health care provider can be both a price setter and a price taker, e. All of the above are true.

15. Health care providers are a. Price takers. b. Price setters. c. A price setter or price taker, depending on their costing method. d. Either a price setter or price taker, depending on the competition.

16. To allocate the cost of Financial Services in a Health Care setting a. Patient revenues is a better cost driver. b. The number of bills is a better cost driver. c. We are better to not allocate the cost of Financial Services. d. Using both the number of bills and patient revenues may be the best method.

17. Which is more likely to be used by a price taker? a. Target costing, b. Full cost pricing, c. Cross subsidization, d. Marginal cost pricing.

18. Which is more likely to be used by a price setter wanting to provide a full range of services to constituents at various wealth levels? a. Target costing b. Full cost pricing c. Cross subsidization d. Marginal cost pricing

19. Government intervention in healthcare, to insure care for the poor, will likely move healthcare providers toward a. Being price takers and using target costing b. Being price setters and using target costing c. Being price setters and using cross subsidization d. Being price takers and using cross subsidization

20. If long-run prices are set on the basis of marginal costs, the organization may a. not recover its total costs. b. not recover its direct costs. c. temporarily build market share. d. not recover its overhead fixed costs. e. all of the above.

21. To set capitation rates, which method is best? a. fee-for-service method, b. demographic approach, c. budgetary, or cost approach, d. in general, one approach is as good as another.

22. Which is least likely to change? a. Corporate goals b. Vision statement c. Values statement d. Mission statement e. Corporate objectives

23. Which is most likely the shortest? a. Vision statement b. Corporate goals c. Values statement d. Mission statement e. Corporate objectives

24. Using the bottom-up, or participatory approach a. budgets are first developed by individuals who are most knowledgeable regarding their departments’ or programs’ financial needs. b. often initially results in an organizational budget that is not financially feasible. c. requires component budgets to be sent back to the original preparers for revision. d. does not reflect top management’s perspective from the start. e. All of the above.

25. Which of the following will provide the largest differences? a. Comparing the static budget to the flexible budget, b. Comparing the static budget to the actual results, c. Comparing the actual results to the flexible budget, d. We cannot tell without the actual details.

26. During an economic downturn a. Conventional budgeting is more useful because the budget is likely to have a great deal of change. b. Zero-based budgeting is more useful because the budget is likely to have a great deal of change. c. Conventional budgeting is more useful because the previous budget provides a good starting point. d. Zero-based budgeting is more useful because the previous budget provides a good starting point.

27. A cash budget is useful a. For liquidity planning. b. To project cash inflows and outflows. c. Can show when the organization can invest excess cash. d. Can show when the organization needs to borrow cash. e. All of the above.

HOME CARE Scenario Type of care provided Scenario Question 1 Question 2 Care in this capacity can range from a short-term to long-term based upon the changing needs of the patient. Patient age can range from pediatric to elderly. Care can be provided in the patient’s private home, group home, or assisted living setting. Medical homes fall into this category and are a new focus of Accountable Care Organizations through the Affordable Care Act of 2010. Review your current budget. Taking this information into account, what are some strategies you would use to identify resources to focus on improving efficiency and meeting customer expectations during this time? What do you see as the biggest financial issues of your organization? Hint: You are a nonprofit organization—so look at your means of funding and the relationship this has on your ability to treat patients and hire new staff. How will you address this financial issue? In home care, a patient is visited at home by a nurse or nursing assistants with activities of daily living (ADL), wound care, IV therapy, etc. These organizations can be nonprofit or for-profit. A physician supervises the care with the assistance of RNs or LPNs and certified nursing assistants (CNAs). You are a new administrator for a home health agency that is a national nonprofit organization that serves the surrounding Phoenix community. The agency has been recognized for the delivery of on-time quality services for a number of years. It is known to employ only the top staff within the community, but in recent months staffing numbers have dropped dramatically and you, as the agency’s administrator, have found yourself in a position where your facility is short staffed. You are unable to admit any additional patients unless you are able to have your staff work over time. Budget Considerations Operational Budget – This budget focuses on a broader view of the total operations of the organization in which all departments are reviewed for both their income potential and the costs associated with the work activities used to generate projected revenues. Each department will have its own budget for the managers to follow and on which to base the activities of the department in order to meet its contribution to the total revenues and the associated costs of the organization. Dietary Services – This is a departmental budget focused on the costs and potential reimbursement for the organization. The operation is overseen by a dietitian or nutritionist who is responsible for supplying the nutritional needs of the patients within their care. This department may utilize the services of several consultants or contract this service to an outside organization. Medical Supplies – This budget is focused specifically on the requirement-based services being delivered by the hospital professional, which are often referred to as nondurable disposable items. This budget includes specific items for the surgeon or professional performing the services. These may include such things as oxygen supplies, diabetic supplies, ostomy supplies, bandages, and related supportive items. These items are generally manufactured for one-time use. They are not reused due the inability to sterilize them. The items that are reusable are classified under capital assets and have a use-time identified with the specific piece of equipment. Human Resources – This budget indicates the finances needed to support the organization’s objectives, from a personnel perspective. Full-time equivalent (FTE) calculations are used to project the personnel budget. These individuals could include nonskilled labors to professional licensed physicians and various job descriptions within the categories. In addition to listing the FTEs, the associated benefits of the FTEs would be projected within this department for each FTE within the organization. This will generally include line items for consultants and temporary positions based on the needs of the organization. Departmental Costs – This budget focuses on the specific department and its overall needs, costs, and potential revenue in relation to the overall goals of the organization’s strategic plan. The manager’s primary responsibility is to monitor the operational efficiency of the department, including all areas that directly impact and support the generating of revenue for the organization. Managers may be required to present an analysis of the weekly or monthly operational analysis to the Chief Financial Officer of the organization or a lead manager. Vendor/External Suppliers – Health service organizations have special needs and may require certain external items and/or services. Most organizations have projected budgets to include the purchase of supplies and services for outside contractors (vendors) who specialize in installation, monitoring, and the repair of specialized equipment or technology being utilized by the specific health care delivery system. Maintenance/Facility Operations – This departmental budget focuses on the overall upkeep of the building and the related equipment and machines to provide a safe and comfortable environment for both the patients and workers. This budget includes all FTEs and may also include line items for consultants and outside sources based on needs of the facility.

Revenue 2011 2012 2013

Donations 50,000 55,000 75,200

Grants and Foundations 100,000 80,500 125,780

Government Grants 947,280 878,000 695,120

Interest Expense 6,050 8,000 10,000

Total 1,103,330 1,021,500 906,100

Expenses 2011 2012 2013

Health Center 2,482,845 2,558,265 2,668,951

Administrative Staff 100,000 110,000 125,000

Professional Staff 80,000 100,000 150,000

Family/Youth Services 214,888 210,987 230,985

General Management/Admin140,000 152,000 159,000

Total 3,017,733 3,131,252 3,333,936

Budget Spreadsheet

Prepare a Project Proposal that includes the nature of the project, the sources of information you plan to use, and the most important concepts and techniques to be applied.

The outline topics should include the following:

A brief summary of the company you have chosen, such as business lines, and its industry;
Information sources (e.g. industry studies, market share reports, financial statements, etc.);

The analyses you will include in your study. This will likely require a summary review of the material in later sections of the course, such as competitor analysis;

If you have access to, and permission to use, internal company documents, please discuss so in the outline.

You are required to complete a course project that reveals mastery in application of the strategic managerial accounting and performance management concepts emphasised in the course. This involves reporting on a specific organisation within an industry, analysing the firm’s competitive position (e.g., market position, cost competitiveness, market power, innovation, SWOT, etc.), its managerial accounting approach, and the non-financial performance metrics should be used in monitoring firm performance, all aligned with value creation for the chosen firm.

This project should be a formal business report that covers all elements of the strategic management process: mission statement, strategic goals, strategic objectives, actionable plans (if available, analyse the specific budget planning process used by the Firm; if not, search for relevant articles for the subject company and recommend a process that you believe is appropriate for the company), and performance monitoring processes employed by the Firm, including its board of directors. These processes and strategies are to be supported with managerial accounting and performance management concepts.

In selecting a company to analyze, first focus on information availability. If you work for the company, ensure that you can obtain the information required to do a proper job on this assignment. If you choose a company you do not work for, begin your search among larger public companies with ample information available. Company websites are often the best place to begin, in particular the investor relations site. Look for annual reports, quarterly reports, press releases, white papers, and other sources of information (e.g., public filings, such as for the U.S. Securities & Exchange Commission at http://www.sec.gov./

Your tasks are to:

· Briefly describe the business of the Firm (i.e. industry segments, geographic service area, market position, and size as measured by revenues, employees, and market capitalisation). Describe the mission statement and strategic objectives of the Firm.
· Analyse the behaviour of expenses of the business, distinguishing between variable costs and fixed costs (or estimates thereof), describe the relationships between sales volume, costs, and profit. Estimate a break-even point for the Firm and support with relevant calculations and discussion.

· Discuss the level of the Firm’s operating leverage.

· Assess the budgeting process and procedures for the Firm, bearing in mind the context of the business and its characteristics. Identify methods employed for budgeting, managerial reporting, and control, and make recommendations for improvement. Justify your recommendations.

· Summarise the Firm’s performance over the past five years in terms of sales and earnings growth, return on equity, return for shareholders, and non-financial performance measures (e.g. market share, recognition, customer satisfaction).

· Analyse the fixed capital needs (i.e. capital expenditures) of the company, and discuss significant capital projects, how they fit with the strategic goals of the Firm. Evaluate risks associated with major capital projects and suggest risk mitigation strategies. Justify your suggestions.

· Briefly profile two or three key competitors and analyse the basis for competition (e.g., is it cost? Innovation? Capital intensity? Branding?). Compare the Firm with these key competitors on key performance metrics (e.g., revenue growth, profit margins, return on equity, financial leverage, receivables turnover, payables turnover, asset turnover, operating costs, market share, market share growth, etc.). Identify areas where the Firm may outperform or underperform the peer group, and suggest improvements for weaknesses.

· Design a Balanced Scorecard for the Firm.

This project should follow a structured approach and should be prepared and presented as a professional business report.

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