Patton-Fuller Community Hospital Operation Budget Research Paper

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Patton-Fuller Community Hospital Operation Budget Analysis

Caterina Hossack, the Chief Nursing Officer is proposing for the PFCH ? ("Patton-Fuller Community Hospital") (Patton-Fuller Community Hospital, 2010 p 1) ? To hire additional nursing staff because she believes that the policy will enhance quality of services. Presently, the Patron-Fuller hospital is maintaining

nursing ratio, which is 5 patients for every nurse. The argument of Caterina is that nurses have been overworked, and the issue is having negative effects on patient's care. By consequence, some nurses have left the PFCH for other hospitals. Based on the memo sent by Caterina to the President/CEO, the President has asked the Chief Financial Officer to prepare the financial data to compare whether giving nurses more raise vs. hiring additional nurses can solve the problems.

Objective of this paper is to prepare 2010 Operating Budget based on the labor decision selected from the Nursing Statistics memo?.

PART 1

The report chooses the policy decision to raise wage of nurses by $1 per hour. A raise will reduce the costs of operations compared to hiring additional nurses, which will skyrocket the costs of operations.

The table 1 reveals the costs of raising the nurse's wages vs. hiring additional nursing staff. The stimulation in the table 1 reveals that the PFCH will benefit from raising the wages of nurses rather than hiring additional nursing staff or reducing nursing- patient ratio from 1-to-5 to 1-to-4.

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Table 1: "Simulation Effect of a $1 per hour raise for all nurses"

Jan

Feb

Mar

Apr

May

Jun

Total

"Number of Patients ?per- day"?

"Cost -of -nurse per hour w/benefits" $31.00

$31.00

$31.00

$31.00

$31.00

$31.00

Cost- of- nurse per 24 hour day?

$744.00

$744.00

$744.00

$744.00

$744.00

$744.00

"?Number of nurses per patient "5 to 1" nursing ratio ?"

0.2

Number of nurses -per -day

85.6

85.6

79.3

67.8

58.7

48.4

Nursing- cost per -day

$63,703

$63,680

$58,973

$50,448

$43,641

$36,001

Nursing -cost per- month

$1,974,781

$1,783,050

$1,828,163

$1,513,444

$1,352,862

$1,080,034

"Increase in cost per month based on $1 raise per nursing- hour?"

$63,702.62

$57,517.73

$58,973.00

$48,820.77

$43,640.71

$34,839.80

$307,494.63

"Increase in cost per month by changing nursing ratio from 5- to- 1 to 4 ?to- 1?"

$477,770

$431,383

$442,297

$366,156

$327,305

$261,299

$2,306,210

The table 2 presents the new 2010 operating budget for the Patton-Fuller.

Table2: New 2010 Operating Budget

2009 (Proj)

2010 Budgeted from % Change based on 2009 Projection

2010 Budget

Revenue

Net patient revenue

459,900

3%

473,697

Other revenue

3,082

15%

3,544

Total revenue

462,982

3%

477,241

Expenses

Salaries & benefits

220,752

1%

220,752

Supplies

74,584

-3%

72,198

Physician & professional fees

110,376

3%

113,687

Utilities

1,200

5%

1,260

Other

1,840

0%

1,840

Amortization & Depreciation (non-cash expenses)

36,036

0%

36,036

Interest

3,708

30%

4,820

Provision -- for-.....

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