CAPITAL BUDGET PROPOSAL:
JOSLIN DIABETES CENTER
Southern New Hampshire University
IHP 450
June 17, 2022
Introduction
■ World’s leading diabetes
care and research center
■ Nonprofit organization
founded in 1898 by Elliot
P. Joslin M.D.
■ One of only 16 NIH
designated diabetes
research centers in the
U.S.
Our mission is to improve the lives of people with diabetes and its
complications through innovative care, education, and research that
will lead to prevention and cure of the disease.
Our vision is a world free of diabetes and its complications.
Financial Condition
FY 2018
■
Total Revenue: 98,325,080
■
Total Expenses: 91,783,272
■
Total Assets: 129,902,651
■
Total Liabilities: 21,304, 822
■
Total Net Assets: 108,867,829
■
REVENUE LESS EXPENSES:
■
6,541,808
(Joslin.org)
FY 2019
FY 2020
80,200,703
76,953,905
94,714,085
96,451,661
116,544, 681
107,556,453
22,789,345
29,328,054
93,755, 336
78,228,399
(-14,513,382)
(-19,497,756)
Healthcare Trends
Proposal Item
Purchase a vehicle for
transportation to transport patients
for necessary appointments
Joslin Home Model
Organizational Strategic Goals
Ford Transit
Passenger Van 150
XL
2022
Dodge Grand
Caravan
Braun Ability
2022
Mobile Adventures
Base Model
MVI - SE
Proposal
Options
■
Purchasing cost of vehicle can range
between $28,000-$67,000
■
Related expenditures like hired driver, gas,
insurance and maintenance
■
Increase in patient appointment adherence
due to available transportation
■
Increase in total of patients seen in a day
Financial
Research
Includes:
-Financial Manager and a plan to purchase the transportation vehicle.
-Hire/Assign administrative staff to schedule transportation and appointments.
-Patient Care Services Department
-Licensed driver
Organizational Resources
Internal Communication - Introductory
email to all department supervisors and
managers across organization
(Up-down vertical communication)
All communication after
implementation will be via email
Purchase of two-way radio to enable
driver and PCS can easily communicate
Communication
STATEMENTS
■ $54,015 for purchase of 2022 Ford Transit Passenger Van XL (seats up to 15)
(Ford Motor Company, 2022).
$45-67,000 for Dodge Grand Caravan (www.retirementliving.com)
■ $39,800-$56,900 Mobile Adventures (www.retirementliving.com)
■ $17.73/hr for hired drivers with daily schedule 7am-3:30pm Monday through Friday
~$36,883/year (www.ziprecruiter.com)
■ $4.97/gallon for gas to run vehicle (Mass.gov, 2022).
■ $3,300/year insurance costs with $1 million liability coverage.(www.insuranks.com
■ $799.99 for Motorola XPR 7550e two-way radio. (www.amazon.com)
Expenses
Budgetary
Accounts
Ø One-time purchase of
transportation vehicle with
factory warranty.
Ø New employment opportunity
(driver) which means new salary
needed.
Ø Daily expenses for gas.
Ø Yearly excise tax and insurance.
Ø Vehicle maintenance
RATIO & RATIO
CALCULATIONS
Projected Departmental Budget
■ One-time purchase fee for passenger van = $28,000-$67,000
■ One-time purchase of two-way radio system= $800
■ Yearly automotive insurance= $3,300
■ Hired driver with salary= $36,883
■ Maintenance and gas expenses= $4,555
TOTALING APPROXIMATELY $100,000
Short-Term Impact
“Transportation is a basic but necessary step for ongoing health care and medication access,
particularly for those with chronic diseases” (Syed et al., 2013).
•
Enables more patients to be seen.
•
Costs of vehicle, driver and radio.
Long-Term
Impact
Transportation is a social determinant of
health (U.S. Department of Health and
Human Services, n.d.)
Assessment of the patient population
Produce an increase in patient volume
Yearly insurance costs
COST -
BENEFIT
Strategic Plan
■
To purchase a vehicle for transportation, a
two-way radio for communication needs,
hire a licensed driver and provide
transportation to needing patients and
vulnerable populations.
■
Targets vulnerable populations.
■
Increase in patient volume = increase in
revenue
Conflicts
Administrative staff
adjustments Availability of each member
of the multidisciplinary team Unknown vehicle expenses
REFERENCES
■ About. Joslin Diabetes Center. (n.d.). https://www.joslin.org/about#.
■ Best, M. J., McFarland, E. G., Anderson, G. F., & Srikumaran, U. (2020). The likely economic impact of
fewer elective surgical procedures on US hospitals during the COVID-19 pandemic. Surgery, 168(5), 962–
967. https://doi.org/10.1016/j.surg.2020.07.014
■ Al-Badri, M., & Hamdy, O. (2021, March 23). Diabetes clinic reinvented: Will technology change the
future of diabetes care? SAGE Journals.
https://journals.sagepub.com/doi/full/10.1177/2042018821995368
■ Hamdy, O., Mitri, J., Barrett, A., & Gabbay, R. (2020, June 1). 18-OR: Joslin home: An innovative
integrated digital-health model of diabetes care in the technology era. Diabetes.
https://diabetes.diabetesjournals.org/content/69/Supplement_1/18-OR.abstract
■ 2022 ford® Transit passenger VAN WAGON: COMFORTABLE ACCOMMODATIONS. Ford Motor
Company. (2021). https://www.ford.com/trucks/transit-passenger-van-wagon/?intcmp=hp-bb-
rv&:hptdi=fy-2814-hp-return-visitfix%3Abillboard%3Aslide0%3Ana%3Aford+transit+vanwagon.
REFERENCES
■ Syed, S. T., Gerber, B. S., & Sharp, L. K. (2013). Traveling towards disease: transportation barriers to
healthcare access. Journal of community health, 38(5), 976–993.
https://doi.org/10.1007/s10900-013-9681-1
■ U.S. Department of Health and Human Services. (n.d.). Social determinants of health. Social
Determinants of Health - Healthy People 2030. https://health.gov/healthypeople/objectives-and-
data/social-determinants-
■ Carroll, A. (2021). Missed medical appointment: how much providers are really losing? WELL
Health intelligent communications
www.wellapp.com
■ Gonzalez, A. (2012) Vulnerable population and diabetes. Diabetes spectrum.
https://Spectrum.diabetesjournals.org/content/25/1/6.full
REFERENCES
● Nowicki, M. (2018). Introduction to the financial management of healthcare organizations (7th
ed.) Health Administration Press
● U.S. Department of Health and Human Service. (n.d.) Social determinants of health. Healthy
People 2030.
https://health.gov/healthypeople/objectives-and-data/social-determinants-health
● Joslin Diabetes Center. (2021). Working at Joslin. Joslin Diabetes Center.
https://www.joslin.org/about/careers/working-joslin.
● Mehrota, A (2017) American support price shopping for healthcare but few actually seek out price
information. Health Affairs Vol 36 (8)
REFERENCES
● Gier, J. (2017) Missed appointments cost the U.S. healthcare system $150B each year. Health
Innovations. accessed 6/4/22.
https://www.hcinnovationgroup.com/clinical-it/article/13008175/missed-appointments-c
● Hamdy, O., Mitri, J., Barrett, A., & Gabbay, R. (2020, June 1). 18-OR: Joslin home: An innovative
integrated digital-health model of diabetes care in the technology era. Diabetes.
https://diabetes.diabetesjournals.org/content/69/Supplement_1/18-OR.abstract
● Massachusetts auto fuel prices. Mass.gov. (2021). https://www.mass.gov/info-details/massachusetts-
auto-fuel-prices.
● Massachusetts Commercial Auto Insurance. Trusted Choice. www.trustedchoice.com. accessed 6/4/22.
● How much does a Cargo Van Drive Make? ZipRecruiter® www.ziprecruiter.com accessed 6/4/22.
● Best wheelchair vans. (2021) RetirementLiving accessed 6/19/22.
www.retirementliving.com/wheelchair-vans#summary-conclusion
