You are the administrator of the medical - surgical department at UMUC Health. Review the transcripts from the budget meeting and recent voicemails from your CFO and, using the available information and resources, develop an operating budget for your department.
Your budget should include a 2-4 page document with an accompanying Excel spreadsheet (available in the classroom) that:
· Provides the revenue and expenses through the current month of the current year.
· Estimates the revenue and expenses for the rest of the current fiscal year based on the assumptions provided in the transcript documents.
· Prepares a budget for the next fiscal year.
Note: See Course Announcements for specific data to complete the analysis.
Health Care Finance
March 16, 2020
Assignment 3
Assignment #2
Break-even Analysis Due Sunday, March 15th
Should MHCBS invest in a multipurpose Senior Center to expend it service offerings to appeal to the growing senior market in the area?
Details of revenue as well as direct and indirect expenses provided in Announcement; formula’s provided in PowerPoint from March 5th Zoom Meeting
To approve the expansion, the Board of MHCBS has two requirements:
Evidence that the expanded program is a benefit to the community
A break-even analysis that indicates MHCBS can recoup its investment in 5 years
Assumptions
Current fiscal year July 1, 2019 – June 30, 2020
Patient Service Revenue
Projected total hospital patient revenue to be under budget by $10 million
Of the projected $1.2 billion in patient services revenue, approximately 57% of the total projected revenue is for in-patient care; the other 43% is for outpatient revenue
The Medical Surgical Budget reflects only in-patient revenue
Yearly budgeted Medical Surgical Dept. in-patient revenue: $50,000,000
As a percent of the total in-patient revenue: 7%
In-patient revenue for the Dept. in the first 6 months is below budget by approximately $1.9 million – is this likely to increase given the information in the Budget Mtg transcript?
Next Fiscal Year July 1, 2020 – June 30, 2021
Assumptions
Projected total hospital revenue to increase by 5% due to marketing and managed care contract negotiation
When projecting revenue take into consideration that Medical-Surgical Dept. will only see increases relative to in-patient revenue
Overall hospital goal is to decrease total spending by up to 5%
Cuts in expenses may be targeted, not all expense categories need to be decreased
2019 – 2020 Medical-Surgical Budget 6 Month Revenue 2019 – 2020 Budget RevenueFY 2019 - 2020 6 Month Variance$23,123,516
$50,000,000
$(1,876,484)
6 Month Expenses 2019 - 2020 Budget Expenses FY 2019 Variance $22,433,565
$40,895,000 $1,986,065
For the first 6 months -- Revenue is below budget, expenses exceed the budget
Budget for Fiscal Year 2019 – 2020
Estimate the revenue and expenses for the Medical – Surgical Dept. through the current month of the current fiscal year – July 2019 th ...
The document discusses flexible budgets and sales budgets. A flexible budget calculates variable costs depending on actual revenue levels, allowing the budget to vary based on activity. It identifies fixed and variable costs. A sales budget forecasts sales expectations in units and dollars by product or region. It is used to inform other budgets like production and materials. An example sales budget shows ABC Company's quarterly unit sales forecast, price per unit, total gross sales, discounts, and net sales for the year.
Trevor Fetter, CEO of Tenet Healthcare, discussed the company's strong Q2 2008 results. Same-hospital admissions grew 2.2%, the best result in over 4 years. Excluding recently divested hospitals, core same-hospital admissions grew 2.2% and paying admissions grew 2.2%. Commercial managed care admissions declined 1.7% but grew 1.9% in targeted service lines. Fetter also outlined several hospital divestitures and asset sales that would generate $750-950 million in cash, most of which would be used to retire debt. This would reduce EBITDA but increase pre-tax income and free cash flow.
Stephen Newman, also of Tenet Healthcare, provided
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This paper will discuss the most effective and ineffective financial management practices in the healthcare setting. Healthcare is the most difficult industry to prepare financial operating budgets. There are many factors and variables that must be taken into consideration. These factors and variables can change yearly making the preparation of the budget even more difficult.
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The document discusses flexible budgets and sales budgets. A flexible budget calculates variable costs depending on actual revenue levels, allowing the budget to vary based on activity. It identifies fixed and variable costs. A sales budget forecasts sales expectations in units and dollars by product or region. It is used to inform other budgets like production and materials. An example sales budget shows ABC Company's quarterly unit sales forecast, price per unit, total gross sales, discounts, and net sales for the year.
Trevor Fetter, CEO of Tenet Healthcare, discussed the company's strong Q2 2008 results. Same-hospital admissions grew 2.2%, the best result in over 4 years. Excluding recently divested hospitals, core same-hospital admissions grew 2.2% and paying admissions grew 2.2%. Commercial managed care admissions declined 1.7% but grew 1.9% in targeted service lines. Fetter also outlined several hospital divestitures and asset sales that would generate $750-950 million in cash, most of which would be used to retire debt. This would reduce EBITDA but increase pre-tax income and free cash flow.
Stephen Newman, also of Tenet Healthcare, provided
This document provides an overview and guidelines for five-year forecasting for school districts in Ohio as required by law. It discusses the legal requirements for forecasts, key components of forecasts including revenues, expenditures and cash balances. It also offers best practices for developing accurate forecasts, including focusing on major revenue and expense items, being aware of property valuation cycles and student enrollment trends, and explaining significant variations in forecasted numbers. The overall purpose of five-year forecasts is to help school districts plan long-term and identify potential financial challenges.
This paper will discuss the most effective and ineffective financial management practices in the healthcare setting. Healthcare is the most difficult industry to prepare financial operating budgets. There are many factors and variables that must be taken into consideration. These factors and variables can change yearly making the preparation of the budget even more difficult.
The document discusses the importance of year-end financial processes for the UK government department Defra. It emphasizes meeting deadlines for accrual submissions, providing accurate financial information, and working collaboratively across departments. Key dates mentioned include the fiscal year ending on March 31st and the Easter holiday occurring at the end of March. Detailed guidance is provided on types of accruals like expenditures, prepayments, and income that must be captured and submitted before the year-end deadline.
The budget making process and monitoring lecture kmtcLevis Wabwire
The document discusses the budget making process in Kenya. It outlines the key steps and frameworks involved, including macroeconomic planning, strategic planning, financial planning, and budget execution. It also describes sectors that receive budget allocations like agriculture, health, and education. Monitoring the budget is important to compare actual implementation and results to original targets and identify weaknesses to address in future budgets. Regular reports are produced to analyze budget outturns, expenditures, and performance. Accuracy and timeliness of data as well as inconsistent expenditure patterns present challenges for effective monitoring.
The budget making process and monitoring lecture kmtcCoretraLimited
The document discusses the budget making process in Kenya. It outlines the key steps and phases in preparing, approving, executing and monitoring the national budget. The main phases include macroeconomic planning, strategic planning, financial planning, and budget execution. It also discusses the medium term expenditure framework, main sectors funded, and weaknesses in the current process such as the dual budget system. The goal of the budget monitoring process is to continuously assess how well budget activities and programs are being implemented compared to expected results.
The document discusses the importance of budgets for companies. It explains that companies must budget their expected income and expenses because, unlike families, companies do not have a fixed monthly income to cover regular expenses like salaries. Budgets help companies plan their financial goals and ensure they have enough income to cover costs. The document also outlines different budgeting techniques companies can use, such as zero-based, year-on-year, and trend analysis budgets. It emphasizes that budgets must be prepared in detail by individual departments and approved by management.
This slide deck outlines the models CBO uses to assess the budgetary effects of alternative economic scenarios such as those presented in CBO’s Current View of the Economy in 2023 and 2024 and the Budgetary Implications (November 2022).
The Congressional Budget Office develops long-term economic projections to underlie its 30-year budget projections. It uses a model called CBOLT that incorporates demographic projections and assumes current laws generally remain unchanged. CBOLT projects key economic inputs like productivity and labor force participation based on historical trends. It then models how the economy would respond to scheduled spending and revenue changes to produce long-term economic projections for variables like GDP, incomes and interest rates.
This document provides an overview of Week 2 topics in an accounting course, which include analyzing budgets, forecasts, and strategic plans. It defines budgets as formal expressions of management plans and objectives for a time period. The document discusses different types of budgeting software and the benefits and downsides of budgets. It also distinguishes between strategic plans, budgets, and forecasts. Finally, it provides an example of preparing a performance report using a static budget versus a flexible budget.
IntroductionThe budgeting process is an attempt to estab.docxmariuse18nolet
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The budgeting process is an attempt to establish a set of realistic standards for operating a health care organization. The budget is a set of specific objectives for the year ahead. The finance system provides the cost and revenue data and sometimes assists with other measures.
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· Revenue budgets reflect the receipt of income from services rendered. Standard gross revenue accounting reports a profit increase to the responsibility center, creating an incentive for productive activity.
· Income and expense budgets consist of expected net income and expenses incurred by the organization.
· Financial budgets embrace the effects of the organization’s financial decisions. These plans include a budgeted balance sheet that shows the effects of planned operations and capital investments on assets, liabilities, and equities. The plans also include a cash budget that forecasts the flow of cash and other funds in the business.
· Cash budget is for cash planning and control, presenting expected cash inflow and outflow for a designated time period. The cash budget helps management keep cash balances in a reasonable relationship to needs. You must know how much cash will flow in and out of the organization. You must also have an idea when these will take place. The cash budget is primarily used to spotlight periods of too little or too much cash rather than for continual control.
· Capital budgets are lists of proposed capital expenditures and new or significantly revised programs, with the implications for the operating and cash budgets by period and responsibility center. The capital budgets include all anticipated expenditures for facilities and equipment and for sources of funds.
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- Trevor Fetter, CEO of Tenet Healthcare, provided commentary on the company's Q3 earnings call. While same-hospital admissions grew for the 4th consecutive quarter, earnings did not meet expectations.
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- Looking ahead, Tenet expects adjusted EBITDA for 2008 to be in the range of $700-750 million, below prior guidance, due to a weaker starting point. The $1 billion EBITDA target for 2009 will be difficult to achieve given the weakening economy.
The Congressional Budget Office aims to quantify uncertainty in its budget and economic estimates. It provides some estimates as ranges rather than single values. However, there are limitations to fully quantifying uncertainty and helping legislators utilize that information. Models and data do not always facilitate estimating uncertainty. Providing ranges could complicate understanding or unclear how legislators would respond. CBO continues working to quantify more uncertainty while navigating these challenges.
This document provides a checklist of financial and tax considerations to review before 30 June, including:
1) Minimizing capital gains tax through tax loss selling if gains were realized this year.
2) Transferring assets into superannuation to take advantage of current market volatility and tax efficiencies.
3) Commencing a Transition to Retirement Income Stream if preservation age is reached.
4) Maximizing concessional superannuation contributions before 30 June.
5) Bringing forward deductible expenses like interest payments and donations.
This document provides a checklist of financial and tax considerations to review before 30 June, including:
1) Minimizing capital gains tax through tax loss selling if gains were realized this year.
2) Transferring assets into superannuation to take advantage of current market volatility and tax efficiencies.
3) Commencing a Transition to Retirement Income Stream if preservation age is reached.
4) Maximizing concessional superannuation contributions before 30 June.
5) Bringing forward deductible expenses like interest payments and donations.
Hotel's Budgeting and Variance Analysis By Dino LeonandriDINOLEONANDRI
This document discusses budgeting and variance analysis. It defines an operating budget as a business plan converted to monetary terms that forecasts revenue and expenses. Budgets help provide estimates, goals, and a basis for control by comparing actual results to plans. The document outlines different types of budgets including operations, capital, departmental, cash, and master budgets. It defines variance as the difference between budgeted and actual amounts, and can be favorable or unfavorable. Variance analysis is used to determine the causes of differences by examining factors like higher or lower than expected prices or sales quantities.
Budgeting is used for both planning and control. For planning, budgets translate organizational goals into operational terms. For control, budgets set standards and allow organizations to compare actual performance to planned performance, taking corrective actions when needed. All budgets depend on the sales budget, as other budgets are based on sales forecasts. Flexible budgets are more accurate than static budgets in changing environments, as flexible budgets adjust planned costs according to actual activity levels. Activity-based budgets differ from master budgets by first linking activities to outputs, then determining resource needs based on activities, rather than directly linking outputs to resources.
The document provides budgets and financial projections for Estate Ltd. for 2013, including a cash budget, income statement, and production budgets. It finds that the company will have a short-term cash deficit in March but an overall cash surplus of £355,760 for the year. It recommends finding financing for the March deficit, such as obtaining an overdraft, and increasing cash sales or shortening receivable periods to avoid future deficits. The budgets predict a net profit of £464,802 for the year.
In CBO’s projections, economic output is expected to grow by 2.3 percent in 2019, supporting strong labor market conditions that feature low unemployment and rising wages. After 2019, economic growth averages 1.8 percent per year, which is less than the historical average.
CBO estimates that the federal budget deficit for 2019 will be $960 billion. Under current law, budget deficits are projected to average $1.2 trillion a year between 2020 and 2029, boosting debt held by the public to 95 percent of GDP in that year—its highest level since just after World War II.
During the quarter, Quest Diagnostics delivered strong growth in revenues and earnings, making progress on their strategic plan. Revenues grew 17% to $1.8 billion and earnings per share increased 31%. They drove organic revenue growth, further aligned AmeriPath, saw double-digit growth in near-patient testing, continued reducing costs, and opened a new lab in India. Guidance for 2008 remains unchanged with expected revenue growth of 9% and earnings per share between $3.00-$3.20, excluding potential special charges.
The document discusses key aspects of budget planning and financial reporting for hospital administrators. It explains the importance of creating an operating budget, cash flow budget, and capital budget. The operating budget includes a statistical budget to estimate department activity, an expense budget, and revenue budget. Financial reports discussed include the balance sheet, which lists assets, liabilities, and fund balance; the profit and loss statement, which shows revenue and expenses; and the cash flow statement. Understanding these tools is important for evaluating financial performance and controlling costs.
This document provides a summary of a financial analysis of Pfizer conducted by Riley Bannon and Dylan Murphy. It includes an executive summary, purpose, methodology, economic analysis, industry forecast, analysis of Pfizer's competition and business, and conclusions and recommendations. The economic analysis forecasts modest GDP growth of around 2.8% annually through 2018, a declining unemployment rate, and gradual interest rate increases. The industry forecast expects continued strong demand for pharmaceuticals driven by an aging population, though tempered growth due to potential increased regulation. The document analyzes Pfizer's financials, business strategy, valuation, and competition to make an investment recommendation.
Rana alyousef Macro H.W 1 miss miryam College of .docxmakdul
Rana alyousef
Macro H.W 1 miss miryam
College of Business Administration
ECON 1311- Macroeconomics
Homework 1 (10% of total grade)
Student’s Name:
Faten alnassar
Student’s ID:
201302248
Course Section:
Mark out of
%
Letter grade
Maximum Grade
10
100
A+
Student’s Grade
INSTRUCTIONS:
Answer all the questions below. Your answers can be either handwritten or typed on a computer. Please, don’t forget to include your name, ID and course section on your homework.
Hand in your homework as a hard copy either to me in person or leave your homework in the box in front of my office F098. The deadline for submission is Thursday, October 13, 2016. Submission after the deadline is under no circumstances possible.
The homework will account for 10% of your final grade.
QUESTIONS:
1) GDP (Gross Domestic Product)
Newspaper article:
Focus Economics August 24, 2016:Europe’s largest economy lost some steam but outperformed expectations in the second quarter of this year. GDP grew 0.4% quarter-on-quarter, down from Q1’s two-year high of 0.7%. Trends within the domestic economy were divergent, with investment performing weakly and consumption remaining robust. Fixed investment deteriorated, swinging from Q1’s 1.7% increase to a sharp 1.5% drop in Q2, marking the largest fall in over four years. A temporary decline in construction investment was partly behind this fall: construction activity was exceptionally strong in Q1 as a mild winder allowed it to be front-loaded and Q2’s drop reflects normalization in construction. Conversely, household and public spending continued to support growth in Q1, though to a lesser extent than in the previous quarter. Private consumption slowed but still grew 0.2%. A strong labor market, rising wages and subdued inflation have been fueling private consumption in recent quarters and continued to do so in Q2. Government consumption decelerated but remained solid at a 0.6% growth rate in Q2.
a.) According to the above news article by how much did the German economy grew in the second quarter of 2016? (0.5 Points)
0.4%
b.) List the components of the GDP equation that are mentioned in the news article. (1 Point)
Government expenditure
Consumption (Private consumption)
Investments (fixed and construction investments)
c.) By how much did each of the components of the GDP equation grew in Q2 2016?(2 Points)
Government expenditure= 0.6%
Investments= Decreased by 0.2%
Consumption = 0.2%
2.) Calculate GDP
Item
Billions of $
Consumption expenditure
8,000
Investment
3,000
Government Expenditure
2,000
Exports
10,000
Imports
6,000
a.) Calculate the GDP of the economy in the table above.(1.5 Points)
GDP=G+I+C+NX
GDP=$2,000+$3,000+$8,000+ $(10,000-6,000)
GDP= $17,000
3.) Unemployment
The table below shows the results of a labor survey for an imaginary country. Use the numbers to answer the questions below.
Population
Working age population
Non-working age population
Labor force
employed
unemployed
Total
500, ...
The document analyzes AT&T's income statements from 2017-2020. It finds that while revenue increased year-over-year, net income declined. Gross and operating profit margins remained steady but dropped significantly from 2019-2020. Non-recurring $18.8 billion in expenses in 2020 contributed to a net loss. The analysis concludes AT&T is losing money and has financial difficulties requiring immediate action to avoid continued declines.
1. The Congressional Budget Office (CBO) prepares annual economic forecasts that underlie its federal budget projections, including key variables like output growth, unemployment, inflation, interest rates, and wages.
2. CBO evaluates the accuracy of its economic forecasts every two years. Its measures include mean error to assess bias, root mean square error to measure accuracy, and two-thirds spread to illustrate typical error ranges.
3. CBO's forecasts tend to be slightly more accurate and less biased than the Administration's, and on par with the Blue Chip consensus forecasts. Major sources of forecast errors include turning points in recessions, shifts in productivity trends, changes in oil prices, and persistent declines in interest rates.
Per the text, computers are playing an increasingly important role i.docxodiliagilby
Per the text, computers are playing an increasingly important role in the practice of law. Successful paralegals must be comfortable with using electronic databases and research tools.
Write a two to three (2-3) page paper in which you:
Discuss a paralegal’s ethical obligation to conduct competent electronic research. Provide two (2) examples of the potential consequences of inept electronic research practices.
Determine whether or not traditional reference materials (e.g., State and Federal Reporters, West’s Encyclopedia, etc.) can be as current as electronic resources. Provide two (2) advantages and two (2) disadvantages to using traditional resource materials.
Use at least two (2) quality references.
Note:
Wikipedia and other Websites do not qualify as academic resources.
THIS IS PART 1.
.
Pennsylvania was the leader in sentencing and correctional reform .docxodiliagilby
Pennsylvania was the leader in sentencing and correctional reform in the early history of the United States. Discuss what groups were associated with this reform.
Why did they want the reform?
Examine whether it was successful and if the reform brought forth further changes.
What influences does the system have on the correctional system today?
What influences have changed? Why?
Use the Internet, library, and any other resources available to research your answer. Submit a 4 page paper (double-spaced) to your instructor. Support your reasoning with outside sources. Be sure to reference all sources using APA style.
The following will be the grading criteria for this assignment:
20%:
Discuss what groups were associated with this reform.
10%:
Why did they want the reform?
20%:
Examine whether it was successful and if the reform brought forth further changes.
25%:
What direct influences do you see the Pennsylvania system in the correctional systems used today?
25%:
What influences have changed? Why?
4 pages. APA format. No plagerism. 5 sources referenced throughout the paper. Reference Page and Abstract.
.
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4) Maximizing concessional superannuation contributions before 30 June.
5) Bringing forward deductible expenses like interest payments and donations.
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2) Transferring assets into superannuation to take advantage of current market volatility and tax efficiencies.
3) Commencing a Transition to Retirement Income Stream if preservation age is reached.
4) Maximizing concessional superannuation contributions before 30 June.
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During the quarter, Quest Diagnostics delivered strong growth in revenues and earnings, making progress on their strategic plan. Revenues grew 17% to $1.8 billion and earnings per share increased 31%. They drove organic revenue growth, further aligned AmeriPath, saw double-digit growth in near-patient testing, continued reducing costs, and opened a new lab in India. Guidance for 2008 remains unchanged with expected revenue growth of 9% and earnings per share between $3.00-$3.20, excluding potential special charges.
The document discusses key aspects of budget planning and financial reporting for hospital administrators. It explains the importance of creating an operating budget, cash flow budget, and capital budget. The operating budget includes a statistical budget to estimate department activity, an expense budget, and revenue budget. Financial reports discussed include the balance sheet, which lists assets, liabilities, and fund balance; the profit and loss statement, which shows revenue and expenses; and the cash flow statement. Understanding these tools is important for evaluating financial performance and controlling costs.
This document provides a summary of a financial analysis of Pfizer conducted by Riley Bannon and Dylan Murphy. It includes an executive summary, purpose, methodology, economic analysis, industry forecast, analysis of Pfizer's competition and business, and conclusions and recommendations. The economic analysis forecasts modest GDP growth of around 2.8% annually through 2018, a declining unemployment rate, and gradual interest rate increases. The industry forecast expects continued strong demand for pharmaceuticals driven by an aging population, though tempered growth due to potential increased regulation. The document analyzes Pfizer's financials, business strategy, valuation, and competition to make an investment recommendation.
Rana alyousef Macro H.W 1 miss miryam College of .docxmakdul
Rana alyousef
Macro H.W 1 miss miryam
College of Business Administration
ECON 1311- Macroeconomics
Homework 1 (10% of total grade)
Student’s Name:
Faten alnassar
Student’s ID:
201302248
Course Section:
Mark out of
%
Letter grade
Maximum Grade
10
100
A+
Student’s Grade
INSTRUCTIONS:
Answer all the questions below. Your answers can be either handwritten or typed on a computer. Please, don’t forget to include your name, ID and course section on your homework.
Hand in your homework as a hard copy either to me in person or leave your homework in the box in front of my office F098. The deadline for submission is Thursday, October 13, 2016. Submission after the deadline is under no circumstances possible.
The homework will account for 10% of your final grade.
QUESTIONS:
1) GDP (Gross Domestic Product)
Newspaper article:
Focus Economics August 24, 2016:Europe’s largest economy lost some steam but outperformed expectations in the second quarter of this year. GDP grew 0.4% quarter-on-quarter, down from Q1’s two-year high of 0.7%. Trends within the domestic economy were divergent, with investment performing weakly and consumption remaining robust. Fixed investment deteriorated, swinging from Q1’s 1.7% increase to a sharp 1.5% drop in Q2, marking the largest fall in over four years. A temporary decline in construction investment was partly behind this fall: construction activity was exceptionally strong in Q1 as a mild winder allowed it to be front-loaded and Q2’s drop reflects normalization in construction. Conversely, household and public spending continued to support growth in Q1, though to a lesser extent than in the previous quarter. Private consumption slowed but still grew 0.2%. A strong labor market, rising wages and subdued inflation have been fueling private consumption in recent quarters and continued to do so in Q2. Government consumption decelerated but remained solid at a 0.6% growth rate in Q2.
a.) According to the above news article by how much did the German economy grew in the second quarter of 2016? (0.5 Points)
0.4%
b.) List the components of the GDP equation that are mentioned in the news article. (1 Point)
Government expenditure
Consumption (Private consumption)
Investments (fixed and construction investments)
c.) By how much did each of the components of the GDP equation grew in Q2 2016?(2 Points)
Government expenditure= 0.6%
Investments= Decreased by 0.2%
Consumption = 0.2%
2.) Calculate GDP
Item
Billions of $
Consumption expenditure
8,000
Investment
3,000
Government Expenditure
2,000
Exports
10,000
Imports
6,000
a.) Calculate the GDP of the economy in the table above.(1.5 Points)
GDP=G+I+C+NX
GDP=$2,000+$3,000+$8,000+ $(10,000-6,000)
GDP= $17,000
3.) Unemployment
The table below shows the results of a labor survey for an imaginary country. Use the numbers to answer the questions below.
Population
Working age population
Non-working age population
Labor force
employed
unemployed
Total
500, ...
The document analyzes AT&T's income statements from 2017-2020. It finds that while revenue increased year-over-year, net income declined. Gross and operating profit margins remained steady but dropped significantly from 2019-2020. Non-recurring $18.8 billion in expenses in 2020 contributed to a net loss. The analysis concludes AT&T is losing money and has financial difficulties requiring immediate action to avoid continued declines.
1. The Congressional Budget Office (CBO) prepares annual economic forecasts that underlie its federal budget projections, including key variables like output growth, unemployment, inflation, interest rates, and wages.
2. CBO evaluates the accuracy of its economic forecasts every two years. Its measures include mean error to assess bias, root mean square error to measure accuracy, and two-thirds spread to illustrate typical error ranges.
3. CBO's forecasts tend to be slightly more accurate and less biased than the Administration's, and on par with the Blue Chip consensus forecasts. Major sources of forecast errors include turning points in recessions, shifts in productivity trends, changes in oil prices, and persistent declines in interest rates.
Similar to You are the administrator of the medical - surgical department at .docx (20)
Per the text, computers are playing an increasingly important role i.docxodiliagilby
Per the text, computers are playing an increasingly important role in the practice of law. Successful paralegals must be comfortable with using electronic databases and research tools.
Write a two to three (2-3) page paper in which you:
Discuss a paralegal’s ethical obligation to conduct competent electronic research. Provide two (2) examples of the potential consequences of inept electronic research practices.
Determine whether or not traditional reference materials (e.g., State and Federal Reporters, West’s Encyclopedia, etc.) can be as current as electronic resources. Provide two (2) advantages and two (2) disadvantages to using traditional resource materials.
Use at least two (2) quality references.
Note:
Wikipedia and other Websites do not qualify as academic resources.
THIS IS PART 1.
.
Pennsylvania was the leader in sentencing and correctional reform .docxodiliagilby
Pennsylvania was the leader in sentencing and correctional reform in the early history of the United States. Discuss what groups were associated with this reform.
Why did they want the reform?
Examine whether it was successful and if the reform brought forth further changes.
What influences does the system have on the correctional system today?
What influences have changed? Why?
Use the Internet, library, and any other resources available to research your answer. Submit a 4 page paper (double-spaced) to your instructor. Support your reasoning with outside sources. Be sure to reference all sources using APA style.
The following will be the grading criteria for this assignment:
20%:
Discuss what groups were associated with this reform.
10%:
Why did they want the reform?
20%:
Examine whether it was successful and if the reform brought forth further changes.
25%:
What direct influences do you see the Pennsylvania system in the correctional systems used today?
25%:
What influences have changed? Why?
4 pages. APA format. No plagerism. 5 sources referenced throughout the paper. Reference Page and Abstract.
.
Penetration testing is a simulated cyberattack against a computer or.docxodiliagilby
Penetration testing is a simulated cyberattack against a computer or network that checks for exploitable vulnerabilities. Pen tests can involve attempting to breach application systems, APIs, servers, inputs, and code injection attacks to reveal vulnerabilities. In a well-written, highly-detailed research paper, discuss the following:
What is penetration testing
Testing Stages
Testing Methods
Testing, web applications and firewalls
Your paper should meet the following requirements:
Be approximately four to six pages in length, not including the required cover page and reference page.
Follow APA7 guidelines. Your paper should include an introduction, a body with fully developed content, and a conclusion.
Support your answers with the readings from the course and at least two scholarly journal articles to support your positions, claims, and observations, in addition to your textbook. The UC Library is a great place to find resources.
Be clearly and well-written, concise, and logical, using excellent grammar and style techniques. You are being graded in part on the quality of your writing.
.
Perform an analysis of the social demographic, technological, econ.docxodiliagilby
Perform an analysis of the social / demographic, technological, economic, environmental / geographic, and political/legal / governmental segments to understand the general environment facing Union Pacific.
Descri
be how Union Pacific will be affected by each of these external factors.
this is a strategic mangement course business 499.
.
Perform research and discuss whether text messaging is cheaper or mo.docxodiliagilby
Perform research and discuss whether text messaging is cheaper or more expensive than voice. Explain how text messaging works.
Perform research and discuss how an audio CD and an audio DVD compare. Find out why it is said that a vinyl long play record produces sounds much better. Are we going backwards with digital technology in music recording? Explain.
.
People in developed nations are fond of warning people in developing.docxodiliagilby
Developed nations warn developing nations like Indonesia to stop destroying rainforests, but this is seen as hypocritical since developed countries became wealthy by deforesting their own lands in the past. The president of Indonesia could respond that while rainforest protection is important, developing countries aim to use their resources to improve living standards, as developed countries did previously.
Pease read and incorporate the following articles from the EBSCO h.docxodiliagilby
Pease read and incorporate the following articles from the EBSCO host database into your paper:
Deakin, A. (2004, November). Finding your organization's hidden treasure.
Behavioral Health Management
, 24(6), 27-29.
Droppa, D., & Luczak, R. (2004, January). Collaboration, technology,
and outcomes—A recipe to improve service delivery.
Behavioral Health Management
, 24(1), 41-44.
To complete the research paper, you will need to include an introduction and conclusion section as well as a title page and reference section. The title of the research paper will be the
Current Issues in the Behavioral Healthcare System
.
Your final paper is due for submission. The paper should adhere to the following guidelines:
The length of the paper should be eight to ten double-spaced pages (not including the title and reference pages).
The main sections should have a:
Title page
Introduction
Body of the paper (with subheadings)
Conclusion
Reference page(s)
The paper must use the APA format for citing sources and references.
Your final paper introduction (one page) should include the following points:
An overview of the research paper
The purpose or objective of the research paper
The body of the paper (five to six pages) should address each of the following topics using information learned in the course, in combination with outside references:
Based on your previous assignments and review of the literature, what are some of the major issues faced by today’s behavioral healthcare system? How have the current and future trends that are evolving in the industry addressed some of those issues?
Do you think there is a difference between the changing trends taking place in the private sector and that of public behavioral healthcare inpatient facilities? Based on your understanding about behavioral health services and the populations being served by them, do you agree that both private and public organizations are able to provide the necessary clinical services? Provide a rationale in support of your response.
In behavioral healthcare, outcomes are the established norm for measuring the success or lack of services. What are some of the major challenges in collecting the data needed to support and report behavioral health outcomes? Provide a rationale for your response.
Quality of care and services is an important part of an outcome-based strategy. The objective behind maintaining and improving quality is to provide competent and efficient services to consumers. In your opinion, do the current regulatory and accreditation standards for the behavioral health industry help to meet that objective? How?
Your conclusion (one to two pages) should include the following points:
What conclusions can you draw from your research that would demonstrate the role played by behavioral health in the healthcare industry?
What changes would you like to bring to today's behavioral healthcare system in order to resolve the current issues identified?
Based on your literature rev.
Peer Review Journal Paper Overview of assignment due 17 April 2014 I.docxodiliagilby
Peer Review Journal Paper Overview of assignment due 17 April 2014 I want you to find a peer review article that falls into our time frame: world history from the emergence of humanity to 1500 CE. I want you to present the thesis [argument] the author is putting forward. I want you then to find two other sources on the same subject and determine if those sources agree or disagree with your original source. The theme here is peer review and the notion of historiography; whether or not how we look at an event or theme of history changes over time? The choice of topic is up to you but please let me know what you are doing by email and let me know what your peer review source is so I can be sure it is appropriate for the course. If you want some help in finding an article; please let me or a librarian know what you might be interested in. I really need to know what your article is before you start so you have something good to start with and send me a link to your article, so that I can approve it.
1. Find a peer review article on some aspect of history associated with this course.
2. Explain the thesis that author is putting forth.
3. Find two secondary sources, they need not be peer review which relate to the main article you are presenting. Do these sources compliment or contrast the thesis being put forth by the original author?
4. Leave some time & space at the end to present your perspective and opinion on the thesis as well.
5. 5-7 pages; typed doubled spaced standard borders & fonts. Please use citation; APA, MLA, Chicago are all acceptable.
The requirement of the paper starts at the middle of the 3rd page that I attached here.
We can discuss more later.
.
Perception is all EXCEPT [removed] [removed]Structuring and orga.docxodiliagilby
Perception is all EXCEPT
[removed]
[removed]Structuring and organizing incoming impulses (information)
[removed]a prognosis (guess) about what is being received
[removed]the reconstruction of reality by our brain
[removed]the transduction of incoming stimuli
[removed]a process which takes time
.
Performance Based Factors and Measures for Quality AssessmentWri.docxodiliagilby
Performance Based Factors and Measures for Quality Assessment
Write a 700- to 1,000-word paper about the Performance Based Factors and Measures for Quality Assessment. Include the following in your paper:
For any health care activity, three performance factors can be measured: structure, process, and outcome. Identify one structure measure, one process measure, and one outcome measure that could be used to evaluate the following hospital admission process:
Upon arrival, the patient reports to the hospital registration or admitting area. The patient completes paperwork and provides an insurance identification card, if insured. Often, patients register before the date of hospital admission to facilitate the registration process. An identification bracelet including the patient’s name and doctor’s name is placed around the patient’s wrist. Before any procedure is performed or any form of medical care is provided, the patient is asked to sign a consent form. If the patient is not feeling well, a family member or caregiver can help the patient complete the admission process.
Include a minimum of three peer-reviewed references, not including the textbook.
Format your paper consistent with APA 6th guidelines.
.
People. I need some help with this assignment that needs to be done .docxodiliagilby
People. I need some help with this assignment that needs to be done in Excel
Problem 1:
Oregon Surplus Inc. qualifies to use the installment-sales method for tax purposes and sold an investment on an installment basis. The total gain of $75000 was reported for financial reporting purposes in the period of sale. The installment period is 3 years; one-third of the sale price is collected in 2014 and the rest in 2015 and 2016. The tax rate was 35% in 2014, 30% in 2015, and 30% in 2016. The enacted tax rates of 2015 and 2016 are not known until 2015.
The accounting and tax data are shown below.
Financial Accounting
Tax Return
2014 (35% tax rate)
Income before temporary difference
$
175,000
$
175,000
Temporary difference
$
75,000
$
25,000
Income
$
250,000
$
200,000
2015 (30% tax rate)
Income before temporary difference
$
200,000
$
200,000
Temporary difference
$
-
$
25,000
Income
$
200,000
$
225,000
2016 (30% tax rate)
Income before temporary difference
$
180,000
$
180,000
Temporary difference
$
-
$
25,000
Income
$
180,000
$
205,000
Required:
1)
Prepare the journal entries to record the income tax expense, deferred income taxes, and the income taxes payable for 2014, 2015, and 2016. No deferred income taxes existed at the beginning of 2012.
2)
Explain how the deferred taxes will appear on the balance sheet at the end of each year. (Assume Installment Accounts Receivable is classified as a current asset.)
3)
Show the income tax expense section of the income statement for each year, beginning with “Income before income taxes.”
Problem 2:
Philadelphia Co. incurred a net operating loss of $850,000 in 2014. Combined income of 2012 and 2013 was $650,000. The tax rate for all years is 30%. Trenton elects the carry back option.
Required:
a.
Prepare the journal entries to record the benefit of loss carry back and loss carry forward option.
b.
Assuming that it is more likely than not that the entire net operating loss carry forward will not be realized in future years, prepare all the journal entries necessary at the end of 2014.
.
Perceptions and Causes of Psychopathology PaperPrepare a 1,0.docxodiliagilby
Culture determines how psychopathology is expressed. Biopsychosocial or diathesis-stress models examine causes of psychopathology from biological, psychological, and social factors. Society's perceptions of psychopathology have changed over historical time periods.
People are attracted to occupations that complement their personalit.docxodiliagilby
This document requests a 500 word essay identifying and describing the six personality types by John Holland, providing an example vocational choice for each type. It also asks the essay to analyze how dualistic and relativistic thinking contribute to vocational choices and discuss the role of commitment within relativistic thinking.
Perception of Pleasure and Pain Presentation3 slides- An explanati.docxodiliagilby
This presentation discusses the role of the somatosensory cortex in perceiving pleasure and pain through 3 slides and how damage to the cutaneous system can impact quality of life in another 3 slides. It includes one peer-reviewed source and speaker notes in APA format, needing completion by 12pm Eastern on May 4th, 2015.
Pennsylvania v. MarkMark Davis has been charged with Driving W.docxodiliagilby
Pennsylvania v. Mark
Mark Davis has been
charged
with Driving While Intoxicated (DWI) for reckless driving, speeding, four counts of felony assault, and one count of involuntary manslaughter as the result of a crash that occurred on a night out with his friends. Mark has been out on bail and pleaded not guilty when he was arraigned. The Judge set a date for Mark's trial and his defense team has been working to collect information about the technology used by the Highway Patrol to reconstruct the crash.
District Attorney O'Malley offered Mark a plea bargain, but Mark chose to take his chances at trial. Mark's attorney, Mr. Chen Long, advised Mark that accepting the plea offer was completely up to Mark, although Mr. Long advised against accepting it because the defense planned to highlight mistakes made by law enforcement during the investigation that could create reasonable doubt in the minds of the jurors.
The trial begins and during the voir dire of potential jurors, several individuals are excused because they have previous knowledge of Mark's case from the media. Two individuals stated that they could not be impartial because they had loved ones
killed
in alcohol related crashes as well. Eventually, two men and ten women were seated in Mark's trial.
District Attorney O'Malley presented the State's case clearly and concisely depicting a night on the town full of heavy drinking, which ultimately resulted in Mark's actions causing the death of one individual and injuring four others. Highway Patrolman Green explained to the jury that he immediately suspected alcohol when he arrived on scene because Mark appeared to be intoxicated when they spoke. Following the Judge ruling that it was admissible and not prejudicial, Sergeant Rodney Monroe, from the Highway Patrol Reconstruction Team presented their reconstruction complete with a high-tech computer animated reenactment of the crash. During the cross examination, Defense Attorney Long challenged the reconstruction because the Defense Crash Reconstruction Expert had discovered errors in the mathematical calculations for vehicle speed. The jury appeared to have liked the reconstruction very much regardless of the errors highlighted by the defense.
Mark was convicted of DWI, four counts of felony assault, and one count of involuntary manslaughter; however, he was acquitted of reckless driving and speeding. The Jury said they could not convict Mark of those offenses because of the mistakes made by law enforcement officers during the investigation.
Because Mark pleads not guilty, but was convicted during trial and had two prior DWI offenses, he was sentenced to ten years in the State Prison. Defense Attorney Long immediately notified the court of an impending appeal that would be filed by the defendant. In a report, using external sources to support your claims, answer the following:
Compare and contrast the roles of the Judge, Jury, District Attorney (Prosecutor), and Defense Attorney. What ar.
PBAD201-1501A-02 Public AdministrationTask NamePhase 3 Individu.docxodiliagilby
PBAD201-1501A-02 Public Administration
Task Name:
Phase 3 Individual Project
Deliverable Length:
750–1,000 words; Tabular budget
Details:
Weekly tasks or assignments (Individual or Group Projects) will be due
by
Monday and late submissions will be assigned a late penalty in accordance with the late penalty policy found in the syllabus. NOTE: All submission posting times are based on midnight Central Time.
Concern among the public sector is the demand for public organizations to be transparent about their budgets and spending habits. You have been scheduled to conduct a presentation for the State Budgeting Committee about the type of budget that the organization operates under. Identify the type of public organization for which you work, as well as what types of services, goods, or activities the organization provides to the public. Identify the size and scope of the organization.
Construct a budget using Excel that will provide a breakdown of the various budget items. Copy and paste the Excel spreadsheet of your budget into a Word document. Finally, explain how the budget is made available to the public for review. For example, is the budget made available at public meetings, on a special request, published in a newsletter, on the organization’s premises during regular business hours, via the organization’s Web site, or by some other means? If the budget is not available for the public to review, explain why. Furthermore, are there any provisions in place regarding the budget being made available for public view? Explain in detail.
Assignment Guidelines
Address the following in 750–1,000 words:
Identify the type of public organization for which you work, as well as what types of services, goods, or activities the organization provides to the public. Identify the size and scope of the organization.
Construct a budget using Excel that will provide a breakdown of the various organizational budget items.
Copy and paste the Excel spreadsheet of your budget into a Word document.
Is the budget made available to the public for review?
If yes, explain how in detail.
If no, explain in detail why it is not.
Are there any types of provisions in place regarding the budget being made available for public view? Identify and explain.
Be sure to reference all sources using APA style.
.
Part1 Q1. Classify each of the following as- (i)qual.docxodiliagilby
Part1
Q1. Classify each of the following as:-
(i)
qualitative or quantitative
(ii)
nominal, ordinal, interval or ratio scale.
a.
Times for swimmers to complete a 50meters race.
b.
Months of the year: Meskerem, Tikimit, Hidat, ---.
c.
Region numbers of Riyadh: 1, 2, 3, 4, ---.
d.
Pollen counts provided as numbers between 1 and 10 where 1 means there is almost no pollen and 10 means that it is rampant, but for which the values do not represent an actual count of grains of pollen.
e.
Packages in the city of Cleveland telephone book.
f.
Rankings of tennis players.
g.
Weights of air conditioners.
h.
Personal ID numbers
i.
Telephone numbers
j.
Temperatures inside 10 refrigerators.
k.
Salaries of the top five CEOs in the United States.
l.
Ratings of eight local plays ( poor, fair, good, excellent)
m.
Times required for mechanics to do a tune up.
n.
Ages of students in a classroom.
o.
Marital Status of patients in a physician’s office.
p.
Horsepower of tractor engines.
q.
Colors of baseball caps in a store.
r.
Classification of kids at a day care (infant, toddler, pre-school)
Q2. The following are the grades which 40 students obtained in a certain course in 1997E.C. here in Mekelle University of the Arid Campus.
75 89 66 52 90 68 83 94 77 60 38 47 87 65 97 49 65 72 73 81 63 77 31 88 74 37 85 76 74 63 69 72 91 87 76 58 63 70 72 65
a. Construct an absolute frequency distribution.
b. Convert the distribution obtained in (a) into a Relative & Percentage distribution.
c. Convert the distribution in (a) into a “Less than” &
a “More than” cumulative distribution
d. Construct a histogram, frequency polygon and ogive curve
Q3. The following distribution shows that the result obtained by 100 accounting students in the final examination of statistics in
Saudi Electronic University.
Mark of students.
0-10
10-20
20-30
30-40
40-50
No. of students
14
f1
28
f2
15
If the median mark of students is 22.5, compute:-
i.
The missing frequencies, f1 and f2.
ii.
the mode, and
iii.
the arithmetic mean
iv.
variance
Part 2
Q1.
a. (Smoking and Coffee Drinking)
Coffee
No Coffee
Total
Smoker
60
40
100
Non-Smoker
115
85
200
Total
175
125
300
What is the probability that a randomly selected person from the sample either smokes or drinks coffee.
Q1. b. What is the probability that I flip a coin and get a Head, Roll a die and get a 4 or a 6, and then pull the king of Spades and a diamond from a deck of cards.
Q2: The random variable X has the following probability distribution:
X
0
1
2
3
Total
P(x)
0.22
0.38
0.1
0.3
1
Find the expected value (E(x)) & the Variance.
Q3: A radar unit is used to measure speeds of cars on a highway. The speeds are
normally
distributed with a mean of 90 km/hr and a standard deviation of 10 km/hr. What is the probability that a car picked at random is travelling at:
a-
More than 100 km/hr?
b-
Less than 85 Km/hr?
c-
Between them?
Part 3
Q-1..
Paul’s Letter to the EphesiansThe First Letter of PeterThe Fir.docxodiliagilby
Paul’s Letter to the Ephesians
The First Letter of Peter
The First Letter to Timothy
For each document above; Identify specific content, features, or themes which permit classifying each text early Catholic in character.
At least one credible source
one and half pages
.
Past and FuturePlease respond to the followingImagine back .docxodiliagilby
"Past and Future"
Please respond to the following:
Imagine back in time to pre-Internet days. Describe how you would have established communications for international trade in these time periods: 1935 and 1977.
Imagine it is now 2050. Predict the ease and speed of international trade communications and how it will occur.
2-
"Backtracking from Globalization"
Please respond to the following:
From the e-Activity, illustrate with two examples how the U.S. has restrained trade over the past 60 years and state why you think that happened.
Some believe these restraints have been deleterious to national economic prosperity. In your estimation, speculate as to how these restraints have affected national economic prosperity.
.
Partisan considerations have increasingly influenced the selection.docxodiliagilby
Partisan considerations have increasingly influenced the selection of federal judges. Interest groups on the right and the left have insisted on the appointment of judges who hold compatible views. Presidents and members of Congress have also increasingly sought appointees who will decide issues in ways they prefer. What is your view? Should politics play such a large role in judicial appointments? Or should merit be given greater weight?
Does a merit based system favor ONLY those with money and the connections? needs to be at least 200 words APA
.
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
Physiology and chemistry of skin and pigmentation, hairs, scalp, lips and nail, Cleansing cream, Lotions, Face powders, Face packs, Lipsticks, Bath products, soaps and baby product,
Preparation and standardization of the following : Tonic, Bleaches, Dentifrices and Mouth washes & Tooth Pastes, Cosmetics for Nails.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Thinking of getting a dog? Be aware that breeds like Pit Bulls, Rottweilers, and German Shepherds can be loyal and dangerous. Proper training and socialization are crucial to preventing aggressive behaviors. Ensure safety by understanding their needs and always supervising interactions. Stay safe, and enjoy your furry friends!
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
How to Build a Module in Odoo 17 Using the Scaffold MethodCeline George
Odoo provides an option for creating a module by using a single line command. By using this command the user can make a whole structure of a module. It is very easy for a beginner to make a module. There is no need to make each file manually. This slide will show how to create a module using the scaffold method.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
You are the administrator of the medical - surgical department at .docx
1. You are the administrator of the medical - surgical department
at UMUC Health. Review the transcripts from the budget
meeting and recent voicemails from your CFO and, using the
available information and resources, develop an operating
budget for your department.
Your budget should include a 2-4 page document with an
accompanying Excel spreadsheet (available in the classroom)
that:
· Provides the revenue and expenses through the current month
of the current year.
· Estimates the revenue and expenses for the rest of the current
fiscal year based on the assumptions provided in the transcript
documents.
· Prepares a budget for the next fiscal year.
Note: See Course Announcements for specific data to complete
the analysis.
Health Care Finance
March 16, 2020
Assignment 3
Assignment #2
Break-even Analysis Due Sunday, March 15th
Should MHCBS invest in a multipurpose Senior Center to
expend it service offerings to appeal to the growing senior
market in the area?
Details of revenue as well as direct and indirect expenses
provided in Announcement; formula’s provided in PowerPoint
from March 5th Zoom Meeting
2. To approve the expansion, the Board of MHCBS has two
requirements:
Evidence that the expanded program is a benefit to the
community
A break-even analysis that indicates MHCBS can recoup its
investment in 5 years
Assumptions
Current fiscal year July 1, 2019 – June 30, 2020
Patient Service Revenue
Projected total hospital patient revenue to be under budget by
$10 million
Of the projected $1.2 billion in patient services revenue,
approximately 57% of the total projected revenue is for in-
patient care; the other 43% is for outpatient revenue
The Medical Surgical Budget reflects only in-patient revenue
Yearly budgeted Medical Surgical Dept. in-patient revenue:
$50,000,000
As a percent of the total in-patient revenue: 7%
In-patient revenue for the Dept. in the first 6 months is below
budget by approximately $1.9 million – is this likely to increase
given the information in the Budget Mtg transcript?
Next Fiscal Year July 1, 2020 – June 30, 2021
Assumptions
Projected total hospital revenue to increase by 5% due to
marketing and managed care contract negotiation
When projecting revenue take into consideration that Medical-
Surgical Dept. will only see increases relative to in-patient
revenue
Overall hospital goal is to decrease total spending by up to 5%
Cuts in expenses may be targeted, not all expense categories
need to be decreased
3. 2019 – 2020 Medical-Surgical Budget 6 Month Revenue 2019 –
2020 Budget RevenueFY 2019 - 2020 6 Month
Variance$23,123,516
$50,000,000
$(1,876,484)
6 Month Expenses 2019 - 2020 Budget Expenses FY 2019
Variance $22,433,565
$40,895,000 $1,986,065
For the first 6 months -- Revenue is below budget, expenses
exceed the budget
Budget for Fiscal Year 2019 – 2020
Estimate the revenue and expenses for the Medical – Surgical
Dept. through the current month of the current fiscal year – July
2019 thru February 2020 (8 Month Budget projections)
Estimate the revenue and expenses for the Medical-Surgical
Dept. for the rest of the 2019-2020 fiscal year based on the
assumptions provided in the transcript documents (12 Month
Budget Projections)
Detailed Excel Spreadsheet with the 2019-2020 yearly budget
and explanation of projections in budget Memo
Total in-patient revenue (take into consideration the percent
difference between budgeted vs. actual revenue and make
adjustments to account for the projected shortfall in revenue)
Total expenses (Highlight specific categories that are projected
to be significantly over budget and make any recommended cuts
in specific categories of expenses)
In the Memo, discuss changes in projected revenue, and
highlight the rationale for any proposed cuts in select expenses
Your projections will vary from the projected 2019 -2020
budget provided to reflect any changes you may make to
revenue and expenses based on the information contained in the
Budget Meeting Transcript
4. 2020-2021 Fiscal Year Budget
Prepare a Medical Surgical budget for the next fiscal year –
July 1, 2020– June 30, 2021
Detailed Excel spreadsheet providing revenue and expenses by
category and discuss revenue and expense projections in budget
Memo
Total in-patient revenue (Take into consideration the total
projected revenue increases due to contracting and marketing
that are projected to benefit the whole hospital – remember the
Medical-Surgical budget only includes in-patient revenue)
Detailed Expenses by category
Highlight any percent expense increases and reductions based
on the 2019 – 2020 projected yearly budget by category and
explain rationale in budget Memo
Assignment Deliverables
Excel Spreadsheets
Projected budget for Fiscal Year 2019 through February 2020
(8 Month Budget)
Projected remaining Fiscal Year 2019-2020 Budget (12 Month
Budget)
Revenue and Expenses
Note: Your projections for the yearly budget will differ if you
make any changes to the revenue and expenses given the Budget
Meeting Transcript
Projected Fiscal Year 2020-2021 Budget
Revenue and Expenses (12 Month Budget)
Budget Memo
Explain rationale for any increases or shortfalls in revenue and
the rationale behind any cuts in specific expense categories
5. Reminder – the fiscal year for this hospital is July 1st thru June
30th
Assignment Due Dates
The due date for submission of Assignment 3 is March 22nd
The due date for submission of Assignment 4 is March 29th
Assignment #4
Using the OIG website (https://oig.hhs.gov/) or another of your
choosing, select a real-time healthcare fraud news report from
your local area to feature within your paper to educate the
organization on the various case(s), the importance of
healthcare finance compliance practices and the potential
criminal and monetary fines that can be imposed on the
individual and/or organization from the case.
Develop a 3-5 page white paper that provides a succinct
overview of the specific healthcare finance fraud committed
including the details specified at the end of the course syllabus.
Due Sunday, March 29th
Transcript of the VOICEMAIL FROM George Costanza (CFO):
Hi, it's George. I hear you're working on a budget for the Med-
Surg department for FY 2019. I'd like you to come to the budget
meeting this afternoon, because I'm going to be sharing some
numbers that are likely to have an impact on your budget. I've
sent you the year-to-date statements through December, the
overall budget for the year, and the year-to-date budget variance
for your department. Take a look at them, and bring them with
6. you to the meeting. See you later!
Transcript from BUDGET MEETING:
George C., CFO
Hi, everyone. Thanks for coming. We've got some important
numbers to go through and a big challenge to respond to, so I
think we better get started.
Jerry, Vice President of Operations
That sounds ominous.
Newman, Vice President of Medical Support
Well, can we at least get an idea of how we're doing year-to-
date before you go to the 40,000-foot level?
George
I think you might need to hear this first. Here's the situation:
The hospital has to cut operating expenses by 5 percent for next
fiscal year.
Kramer, Director of Clinical Operations
I'm sorry, did you say 5 percent? Operating expenses?
George
That's right.
Jerry
That's a big ask. We're already operating awfully lean.
George
Agreed. But it's the situation we're in. I'll get to the reasons, but
based on what I'm going to go over, I just want everyone to
keep in mind that we can't make assumptions we were making
before. So let me give you an overview of the budget and the
year-to-date numbers, and I think you'll see why we're going to
have to make those cuts.
7. Now, last year, for the entire hospital, we assumed that we
would see $1.2 billion in total patient revenue. But as you can
see, for half the year, we've only hit just over $607 million. By
this point in the year, we should be over $612 million. So
already in terms of total patient revenue, we've got a deficit of
nearly $5 million that we didn't expect. The problem is made
worse when we see that other operating revenue is also under
budget by $1.5 million.
I believe that recent efforts in the billing department coupled
with some of the solid work by the c-suite team on physician
engagement and external marketing are going to have an impact
on the revenue side of things. We’re also currently negotiating
with a couple of our primary commercial payers, but those
negotiations remain uncertain. All things considered, I’m
hoping for about a 5% bump on the revenue side for FY 19. Our
operating expenses are fairly close to target so far this year, but
given the situation with uncertain revenue, we will need to try
to find some additional cost savings opportunities. I want to be
reasonably conservative in case market conditions change or
negotiations with our payers don’t go as expected.
Newman
Wow. Well, okay, so that's the reality. What's the timeline?
How long do we have to make these cuts?
George
Well, implementation is obviously by June 30 since the next
fiscal year starts July 1. The board will approve the new budget
probably by mid-June, but all the negotiation at the unit and
department level will be going on this month. Our first official
budget committee meeting is in early May. So I'd suggest
getting your ducks in a row within the next week or so.
In your proposal, think through the cuts that are being proposed.
Do you simply want to take a ‘salami slice’ cut across all areas
of expense? Or, are there areas where it might make more sense
8. to protect while others are more flexible? Since this is a
simulation, you won’t know everything that you normally would
about the organization, the people involved, etc. However, think
through what the second and third order effects are of a budget
cut and provide some commentary regarding what other issues
might surface and/or may need to be addressed as a result.
Sheet1Medical - Surgical Budget Med Surg 8 Month Budget FY
2019 - 2020 YTD (Jul - Feb)* FY 2019 - 2020 Budget FY 2019
- 2020 Variance TYDOPERATING REVENUE:Inpatient
Revenue$ 23,123,516$ 50,000,000$ 1,876,484TOTAL
PATIENT SERVICES REVENUE$ 23,123,516$ 50,000,000$
1,876,484OPERATING EXPENSESSalaries and Wages$
12,157,632$ 23,000,000$ 657,632Employee Benefits$
3,040,408$ 5,750,000$ 165,408Professional Fees$ 250,160$
400,000$ 50,160Supplies$ 5,883,497$ 10,000,000$
883,497Purchased Services - Utilities$ 27,456$ 50,000$
2,456Purchased Services - Other$ 23,484$ 50,000$
1,516Insurance$ 57,315$ 105,000$ 4,815License and
Taxes$ 21,456$ 40,000$ 1,456Other Direct Expenses$
972,157$ 1,500,000$ 222,157TOTAL OPERATING
EXPENSES$ 22,433,565$ 40,895,000$ 1,986,065NET
REVENUE OR (EXPENSE)$ 689,951$ 9,105,000$
3,862,549* Your budget may vary from the FY 2029-2020
budget given changes you are projecting based on the hospitals
experience ov er the last 8 months Med Surge 12 month Budget
2019-2020FY 2019 - 2020 Year** FY 2019 - 2020 Budget FY
2019 - 2020 Variance TYDOPERATING REVENUE:Inpatient
Revenue$ 50,000,000TOTAL PATIENT SERVICES
REVENUE$ 50,000,000OPERATING EXPENSESSalaries and
Wages$ 23,000,000Employee Benefits$
5,750,000Professional Fees$ 400,000Supplies$
10,000,000Purchased Services - Utilities$ 50,000Purchased
Services - Other$ 50,000Insurance$ 105,000License and
Taxes$ 40,000Other Direct Expenses$ 1,500,000TOTAL
9. OPERATING EXPENSES$ - 0$ 40,895,000NET REVENUE
OR (EXPENSE)$ 9,105,000** Your budget may vary from the
FY 2029-2020 budget given changes you are projecting based
on the hopsitals experience over the last 12 months Provide
the rationale for your projections in the Memo Med-Surg
Budget Fiscal Year 2020-2021 FY 2020 - 2021 FY 2019 -
2020 Budget Variance (% increase or Decrease)***
OPERATING REVENUE:Inpatient Revenue$ 46,247,032$
50,000,000TOTAL PATIENT SERVICES
REVENUEOPERATING EXPENSESSalaries and Wages$
24,315,262$ 23,000,000Employee Benefits$ 6,080,816$
5,750,000Professional Fees$ 500,320$ 400,000Supplies$
11,766,994$ 10,000,000Purchased Services - Utilities$
55,092$ 50,000Purchased Services - Other$ 46,968$
50,000Insurance$ 114,630$ 105,000License and Taxes$
42,912$ 40,000Other Direct Expenses$ 1,944,314$
1,500,000TOTAL OPERATING EXPENSES$ 44,867,310$
40,895,000NET REVENUE OR (EXPENSE)$ 50,000,000***
For your project 2020-2021 budget highlight the percent
changes from the previous FY, provide a rationale for your
decisions in the Memo
Trinity Budget Execution YTDThe UMUC Medical CenterFY
2019 YTD (Jul - Dec) FY 2019 Budget FY 2019 Variance
YTDOPERATING REVENUE:Inpatient Revenue$
375,040,349$ 700,000,000$ 25,040,349Outpatient Revenue$
232,498,397$ 525,000,000$ (30,001,603)TOTAL PATIENT
SERVICES REVENUE$ 607,538,746$ 1,225,000,000$
(4,961,254)DEDUCTIONS FROM REVENUE:Contractual
Adjustments$ 476,543,215$ 950,000,000$ 1,543,215Charity
and Uncompensated Care$ 6,725,412$ 14,000,000$
(274,588)TOTAL DEDUCTIONS FROM REVENUE$
483,268,627$ 964,000,000$ 1,268,627NET PATIENT
SERVICE REVENUE$ 124,270,119$ 261,000,000$
(6,229,881)OTHER OPERATING REVENUEOther Operating
Revenue$ 3,500,000$ 10,000,000$ (1,500,000)TOTAL
11. 2015FS-1 BALANCE SHEET - UNRESTRICTED
FUNDHospital: St. Anthony Medical Center, Vila Health
System FYE: 12/31/2015ASSETSLic.#: H-0371CURRENT
ASSETS:2Cash(2,464,387)3Marketable Securities04Accounts
Receivable39,102,4645Less-Estimated Uncollectable &
Allowances2,038,6506Receivables From Third Party
Payors(3,067,704)7Pledges And Other
Receivables1,770,5818Due From Restricted
Funds09Inventory7,328,98410Prepaid
Expenses1,230,05311Current Portion Of Funds Held In
Trust012TOTAL CURRENT ASSETS41,861,3411314BOARD
DESIGNATED ASSETS:15Cash016Marketable
Securities017Other Assets018TOTAL BOARD DESIGNATED
ASSETS:01920PROPERTY, PLANT AND
EQUIPMENT:21Land15,239,20122Land
Improvements1,005,84323Buildings85,916,24524Fixed
Equipment - Building Service28,562,66525Fixed Equipment -
Other9,305,05226Equipment57,547,95727Leasehold
Improvements425,60628Construction In
Progress225,68229TOTAL198,228,25130Less Accumulated
Depreciation62,102,06931NET PROPERTY, PLANT &
EQUIPMENT136,126,1823233INVESTMENTS AND OTHER
ASSETS:34Investments In Property, Plant & Equipment035Less
- Accumulated Depreciation036Other
Investments1,200,00037Other Assets038TOTAL
INVESTMENTS & OTHER
ASSETS1,200,0003940INTANGIBLE
ASSETS:41Goodwill042Unamortized Loan Costs043Preopening
And Other Organization Costs044Other Intangible
Assets8,785,27645TOTAL INTANGIBLE
ASSETS8,785,27646TOTAL ASSETS187,972,799DOH -
OHPDBALANCE SHEET - UNRESTRICTED FUNDHospital:
St. Anthony Medical Center, Vila Health SystemFYE:
12/31/2015LIABILITIES AND FUND BALANCES-
UNRESTRICTEDLic.#: H-0371CURRENT
LIABILITIES2Notes and Loans Payable03Accounts Payable
12. 15,538,8634Accrued Compensation and Related
Liabilities10,399,5905Other Accrued
Expenses2,147,2376Advances from Third Party
Payors07Payables to Third Party Payors08Due to Restricted
Funds09Income Taxes Payable010Other Current
Liabilities011Current Maturities of Long Term
Debt110,03612TOTAL CURRENT
LIABILITIES28,195,7261314DEFERRED
CREDITS:15Deferred Income Taxes016Deferred Third Party
Revenue017Other Deferred Credits185,54818TOTAL
DEFERRED CREDITS185,5481920LONG TERM
DEBT21Mortgage Payable022Construction Loans-Interim
Financing023Notes Payable5,674,82724Capitalized Lease
Obligations025Bonds Payable026Notes and Loans Payable to
Parent189,173,76127Noncurrent
Liabilities028TOTAL194,848,58829Less Current Maturities of
Long Term Debt110,03630TOTAL LONG TERM
DEBT194,738,5523132UNRESTRICTED FUND
BALANCE03334EQUITY (INVESTOR OWNED)35Preferred
Stock3637Common Stock3839Additional Paid In
Stock04041Retained Earnings (Capital Account for
Partnership(35,147,027)42 (or Sole
Proprietorship)4344Less Treasury Stock45TOTAL
EQUITY(35,147,027)46TOTAL LIABILITIES AND FUND
BALANCE OR EQUITY187,972,799DOH -
OHPDCOMPARISON STATEMENT OF REVENUE &
EXPENSE - UNRESTRICTED FUNDSHospital: St. Anthony
Medical Center, Vila Health System FYE: 12/31/2015Lic.#: H-
0371OPERATING REVENUE:2Inpatient
Revenue666,080,6983Outpatient Revenue464,996,7934TOTAL
PATIENT SERVICES
REVENUE1,131,077,49156DEDUCTIONS FROM
REVENUE:7Contractual Adjustments855,811,0218Charity and
Uncompensated Care13,400,0009Other Adjustments and
Allowances010TOTAL DEDUCTIONS FROM
REVENUE869,211,02111NET PATIENT SERVICE
13. REVENUE261,866,4701213OTHER OPERATING
REVENUE14Other Operating Revenue9,969,04815Tax
Revenues016TOTAL OTHER OPERATING
REVENUE9,969,04817TOTAL OPERATING
REVENUE271,835,5181819OPERATING EXPENSES20Salaries
and Wages85,864,45921Employee
Benefits25,248,02422Professional
Fees8,144,42623Supplies47,766,81324Purchased Services -
Utilities3,264,38225Purchased Services -
Other23,072,64026Depreciation16,910,50827Rentals and
Leases4,505,34028Insurance5,430,75629License and
Taxes15,984,28830Interest16,787,58031Provision For Bad
Debts2,564,19732Other Direct Expenses9,489,28333TOTAL
OPERATING EXPENSES265,032,69634NET OPERATING
REVENUE6,802,8223536NON-OPERATING REVENUE-NET
OF EXPENSES03738NET REVENUE BEFORE ITEMS LISTED
BELOW6,802,8223940EXTRAORDINARY
ITEM1,374,00041FEDERAL INCOME TAX04243NET
REVENUE OR
(EXPENSE)8,176,82244EXPLANATION:45DOH - OHPD
2016FS-1 BALANCE SHEET - UNRESTRICTED
FUNDHospital: St. Anthony Medical Center, Vila Health
System FYE: 12/31/2016ASSETSLic.#: H-0371CURRENT
ASSETS:2Cash(1,027,622)3Marketable Securities04Accounts
Receivable32,410,2075Less-Estimated Uncollectable &
Allowances3,891,9826Receivables From Third Party
Payors(247,989)7Pledges And Other Receivables1,889,6178Due
From Restricted Funds09Inventory8,014,98810Prepaid
Expenses1,301,47611Current Portion Of Funds Held In
Trust012TOTAL CURRENT ASSETS38,448,6951314BOARD
DESIGNATED ASSETS:15Cash016Marketable
Securities017Other Assets018TOTAL BOARD DESIGNATED
ASSETS:01920PROPERTY, PLANT AND
EQUIPMENT:21Land15,239,20122Land
Improvements1,009,49223Buildings122,015,47724Fixed
Equipment - Building Service77,067,37325Fixed Equipment -
14. Other026Equipment027Leasehold
Improvements425,60628Construction In
Progress1,089,60329TOTAL216,846,75230Less Accumulated
Depreciation75,384,79131NET PROPERTY, PLANT &
EQUIPMENT141,461,9613233INVESTMENTS AND OTHER
ASSETS:34Investments In Property, Plant & Equipment035Less
- Accumulated Depreciation036Other
Investments1,200,00037Other Assets038TOTAL
INVESTMENTS & OTHER
ASSETS1,200,0003940INTANGIBLE
ASSETS:41Goodwill042Unamortized Loan Costs043Preopening
And Other Organization Costs044Other Intangible
Assets10,135,57345TOTAL INTANGIBLE
ASSETS10,135,57346TOTAL ASSETS191,246,229DOH -
OHPDBALANCE SHEET - UNRESTRICTED FUNDHospital:
St. Anthony Medical Center, Vila Health SystemFYE:
12/31/2016LIABILITIES AND FUND BALANCES-
UNRESTRICTEDLic.#: H-0371CURRENT
LIABILITIES2Notes and Loans Payable03Accounts Payable
16,230,0754Accrued Compensation and Related
Liabilities11,777,8365Other Accrued
Expenses1,866,9676Advances from Third Party
Payors07Payables to Third Party Payors08Due to Restricted
Funds09Income Taxes Payable010Other Current
Liabilities011Current Maturities of Long Term Debt012TOTAL
CURRENT LIABILITIES29,874,8781314DEFERRED
CREDITS:15Deferred Income Taxes016Deferred Third Party
Revenue017Other Deferred Credits018TOTAL DEFERRED
CREDITS01920LONG TERM DEBT21Mortgage
Payable022Construction Loans-Interim Financing023Notes
Payable5,296,93024Capitalized Lease Obligations025Bonds
Payable026Notes and Loans Payable to
Parent196,170,11727Noncurrent
Liabilities028TOTAL201,467,04729Less Current Maturities of
Long Term Debt030TOTAL LONG TERM
DEBT201,467,0473132UNRESTRICTED FUND
15. BALANCE03334EQUITY (INVESTOR OWNED)35Preferred
Stock3637Common Stock3839Additional Paid In
Stock04041Retained Earnings (Capital Account for
Partnership(40,095,696)42 (or Sole
Proprietorship)4344Less Treasury Stock45TOTAL
EQUITY(40,095,696)46TOTAL LIABILITIES AND FUND
BALANCE OR EQUITY191,246,229DOH -
OHPDCOMPARISON STATEMENT OF REVENUE &
EXPENSE - UNRESTRICTED FUNDSHospital: St. Anthony
Medical Center, Vila Health System FYE: 12/31/2016Lic.#: H-
0371OPERATING REVENUE:2Inpatient
Revenue752,813,1803Outpatient Revenue529,706,9184TOTAL
PATIENT SERVICES
REVENUE1,282,520,09856DEDUCTIONS FROM
REVENUE:7Provision For Bad Debts5,083,7188Contractual
Adjustments1,010,760,5259Charity and Uncompensated
Care2,400,00010Other Adjustments and Allowances011TOTAL
DEDUCTIONS FROM REVENUE1,018,244,24312NET
PATIENT SERVICE REVENUE264,275,8551314OTHER
OPERATING REVENUE15Other Operating
Revenue10,171,42816Tax Revenues017TOTAL OTHER
OPERATING REVENUE10,171,42818TOTAL OPERATING
REVENUE274,447,2831920OPERATING EXPENSES21Salaries
and Wages88,523,45322Employee
Benefits25,937,60723Professional
Fees9,613,65624Supplies46,386,98925Purchased Services -
Utilities3,043,36826Purchased Services -
Other22,184,38827Depreciation17,408,82428Rentals and
Leases4,866,38429Insurance5,740,78830License and
Taxes18,828,50431Interest18,671,13632Other Direct
Expenses8,522,13633TOTAL OPERATING
EXPENSES269,727,23334NET OPERATING
REVENUE4,720,0503536NON-OPERATING REVENUE-NET
OF EXPENSES03738NET REVENUE BEFORE ITEMS LISTED
BELOW4,720,0503940EXTRAORDINARY
ITEM750,00041FEDERAL INCOME TAX04243NET