Using the health care budget request guide for guidance/ follow the steps on page 12-13by completing the worksheet tab titled w1a1 heath ways budget in the excel sheet?USW1_NURS_6211_

using the health care budget request guide for guidance/ follow the steps on page 12-13by completing the worksheet tab titled w1a1 heath ways budget in the excel sheet 

W1A1 HealthWaysBudget

Table 1. HealthWays Clinic, Monthly Expense Budget Report, June 2018.
Item June 2018 May 2018 2018 YTD
Budget Actual Difference Actual Budget Actual All blue shaded cells require your answers.
Physician FTE 1.0 1.0 1.0 1.0 1.0
Nurse PractitionerFTE 3.0 3.0 3.0 3.0 3.0
Encounters:
Established patients 275 291 286 1650 1671
New patients 25 18 27 150 164
Total encounters
Expenses:
Physician Salaries & Benefits $10,500 $10,502 $10,509 $63,000 $63,149
NP Salaries & Benefits $20,000 $20,992 $20,191 $120,000 $122,001
Clerical (2 FTE) Salaries & Benefits $6,667 $6,771 $6,683 $40,000 $41,978
Total personnel expense
Medical supplies $7,500 $8,136 $7,994 $45,000 $47,883
Office supplies $623 $583 $508 $3,498 $3,407
Rent $2,917 $2,917 $2,917 $17,502 $17,502
Depreciation $333 $346 $346 $1,998 $2,050
Capital Expenses $3,333 $3,480 $3,480 $19,998 $20,439
Overhead $167 $167 $167 $1,002 $1,002
Total non-personnel expense
Total health center expense
Interpretation:
I. Answer the following question related to the results of your calculations: What interpretations can you make based on the data? What is happening in regard to such measurables as:
1. The full-time equivalents (FTE) for HealthWay employees:
1. Answer:
2. The number of encounters, both new and established:
2. Answer:
3. Non-personnel expenses:
3. Answer:
4.Total expenses:
4. Answer:
II. If these trends continue, what could it mean for HealthWays? What strategies might they employ to address any issues your analysis suggests?
Answer:

W2A2 Practice Design

W2A2 Practice Design
Refer to the Healthcare Budget Guide for an example of what to include and how it should look.

W4A3 Estimated Expenses

W4A3 Estimated Expenses
Refer to the Healthcare Budget Guide for an example of what to include and how it should look.

W6A4 Budget Development

W6A4 Budget Development
Bring forward your work from W4A3 and add ratios as directed in the Healthcare Budget Guide

W8A5a Expense forecasting

W8A5 Estimated Expenses
Refer to the Healthcare Budget Guide for directions on completing this Expense Forecasting scenario
Expense Forecasting
Based on the information provided, prepare an expense forecast for 20X1 using the template below:
Spending during January- June 20X1 (6 months)
·      Fixed expense items: $210,000
·      Variable expense items: $1,200,000
·      One time expense: $50,000 of fixed expense money was spent on preparing for a Joint Commission survey
Procedures preformed during January- June 20X1 (6 months)
·      Your department has performed 20,000 procedures during the first six months
On November 1,20X1, two new procedure technicians will begin work. The salary and fringe benefit costs for each is: $ 96,000.00 yearly
Description Fixed Variable TOTAL
Year to Date Expense
Adjustments
Add back "One Time" credits
Deduct "one Time" expenses
Adjusted total for year to date expense
Annualization
Divide by months (fixed) 6
Multiple by months (fixed) 12
Divide by volume 20,000
Multiply by volume 40,000
Annualized Amounts
Adjustments
Add back "One Time" expenses
Deduct "One Time" credits
Expense two new technicians
Expense Forecast as of 12/31/X1

W8A5b Breakeven Analysis

W8A5 Breakeven Analysis
Refer to the Healthcare Budget Guide for directions on completing this Breakeven Analysis
Break-Even Analysis Scenario
You can charge $1,075 for a new service. Demand is anticipated to be 8,000 units a year. Your business is able to handle up to 16,500 units annually, so capacity should not be a problem. The average collection rate is 80%. The new service has annual fixed costs of $4,700,000. Variable cost per unit of service is $420.
Price to be Charged
Collection Rate
Average Collection per Service
Variable cost per unit of service
Fixed Operating Costs
Break-Even Point =Fixed Cost/(Net Revenue per Unit-Variable Cost per Unit)
Capacity:
Demand:
Breakeven:
Question: Use break-even analysis to determine if this new service is financially viable. If the business is not financially viable, what steps could you take to make a case to proceed with implementation? Explain your decision.

Answer:

W8A5c Marginal Profit and Loss

W8A5 Marginal Profit and Loss
Refer to the Healthcare Budget Guide for directions on completing this Marginal Profit and Loss scenario
Marginal Profit and Loss Statement Scenario
You are examining a proposal for a new business opportunity – a new procedure for which demand is expected to be 1,400 units the first year, growing by 600 units each year thereafter. The price charged per procedure is $1,000. The collection rate is anticipated to be 80%. Each procedure consumes $300 of supplies. Salary cost is estimated to cost $540,000 each year, fringe benefits are 25% of salaries, rent for the facility is $55,000/yr and operating cost are $120,000/yr.
Year One Year Two Year Three Year Four Year Five
Marginal Revenue:
Units of Volume
Price Procedure
Collection Rate
Marginal Net Revenue
Marginal Costs:
Variable Costs
Units of Volume
Variable Cost Supplies per Unit/procedure
Marginal Variable Cost
Fixed Costs:
Salary Costs
Fringe Benefits
Rent
Operating Cost
Marginal Fixed Costs
Total Marginal Costs
Annual Marginal Profit
Cumulative Profit Margin
Question: Below is a marginal P&L for this business opportunity. Based on that analysis, should this opportunity be pursued. Explain your decision.
Answer:

W10-11A6 HealthWays Financials

Option 1 Healthways Finacials * The cells where you complete these calculations are highlighted in blue.
You have 2 data options for completing the Week10/11A6 analysis. If you cannot obtain the finacial documents for your organization (your project) use this Healthways Financials option.
Nurse-Run Clinic Scenario
Patient Encounters FY 2018 FY 2017
Established patients 3,348 3,204
New patients 331 287
Total Encounters 3,679 3,491
Cash $5,675 $12,098
Financial Ratios:
Expense per Encounter = Total Operating Expenses / Total Encounters
Total Operating Revenue per Encounter = Total Operating Revenue / Total Encounters
Operating Margin = Net Income/Total Operating Revenue
Days Cash On Hand = (Cash + Cash Equivalents) / (Operating Expenses / Days in Time Period)
Table 2. HealthWays Clinic, Income Statement, FY 2018. Table 3. HealthWays Clinic, Balance Sheet, December 31, 2018.
FY 2018 FY 2017 Horizontal Analysis Current Assets December 31, 2018 December 31, 2017 Current Liabilities December 31, 2018 December 31, 2017
Gross Revenue (charges) $558,520 $497,221 Cash 5,032 9,877 Notes Payable 27,449 50,000
Less write-offs & adjustments 117,254 104,332 Short-term Investments 40,389 34,181 Accounts Payable 78,702 69,412
Net Patient Revenue (collected) $441,266 $392,889 Accounts Receivable 63,392 59,359 Accrued Expenses:
+Other Revenue 209,671 234,953 Supply Inventories, at Cost 16,029 14,918 Salaries & Benefits 38,265 28,274
Prepaid Expenses & Other 2,104 1,876 Taxes 1,419 1,398
Total Operating Revenue $ 650,937 $ 627,842 Total Current Assets $ 126,946 $ 120,211 Interest Payable 3,294 500
Total Current Liabilities $ 149,129 $ 149,584
Operating Expenses
Salaries & Benefits 459,171 445,396 Property, Plant & Equipment (Fixed Assets) Long-Term Liabilities $0 $0
Medical Supplies 97,627 92,418 Cost of PP&E 56,047 55,701
Office Supplies 7,471 7,302 Less Accumulated Depreciation 4,194 3,943 Net Assets
Rent & Depreciation 39,148 37,023 Net PP&E (Net Fixed Assets) $ 51,853 $ 51,758 Unrestricted 28,541 20,569
Other 43,762 47,009 Other Assets $ 1,289 1289 Restricted 2,418 3,105
Percentage change
Total Operating Expenses $ 647,179 $ 629,148 Total Assets $ 180,088 $ 173,258 Total Net Assets $ 30,959 $ 23,674
Net Income $ 3,758 ($1,307) Total Liabilities &amp

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