HAS Assignment 2

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1. Assignment Exercises 6-1 and 6-2

2. Assignment Exercises 7-1 and 7-2

Example 6A: Direct and Indirect Costs

Review the chapter text regarding direct and indirect costs. In particular, review the example of ambulance direct costs (Exhibit 6–1) and indirect costs (Exhibit 6–2). Remember that indirect costs are shared and are sometimes called joint costs or common costs. Because such costs are shared they must be allocated. Also, remember that one test of a direct cost is to ask: “If the operating unit (such as a department) did not exist, would this cost not be in existence?”

Exhibit 6–1 Example of Ambulance Direct Costs

Ambulance salaries & benefits $32,500

RN salaries & benefits 9,600

Vehicle expense 21,300

Supplies 5,000

Uniforms 1,200

Employee education 3,900

Purchased services 1,900

Purchased maintenance 2,600

Utilities & telephone 5,000

Vehicle depreciation 15,000

Miscellaneous expense 2,000

Total direct costs $100,000

Exhibit 6–2 Example of Ambulance Indirect Costs

Administrative costs $12,000

Facility costs 8,000

Total indirect costs $20,000

Practice Exercise 6–I: Identifying Direct and Indirect Costs

Make a worksheet with two columns: Direct Cost and Indirect Cost. Place each of the following items in the appropriate column:

· Managed care marketing expense

· Real estate taxes

· Liability insurance

· Clinic telephone expense

· Utilities (for the entire facility)

· Emergency room medical supplies

Assignment Exercise 6–1: Allocating Indirect Costs

Study Table 6–1, Table 6–2, and review the chapter text describing how the indirect cost is allocated. This assignment will change the allocation bases input for (A) Number of Visits (Volume), (B) Proportion of Direct Costs, and (C) Number of Computers in Service.

Required

1. Compute the costs allocated to cost centers “Clerical Salaries,” “Administrative Salaries,” and “Computer Services” using the new allocation bases shown below. Use worksheet #1 that replicates the set up in Table 6–2. Total the new results.

The new allocation bases are:

A = # Visits (Volume): PT = 9,600/OT = 4,000/S

T = 2,400/Total = 16,000 (16,000 × $3.50 = $56,000)

B = Proportion of Direct Costs: PT = 60%/OT = 25%/ST = 15%/Total = 100% (% × $55,000)

C = # Computers in Service: PT = 10/OT = 3/ST = 3/Total = 16 (16 × $5,000 each = $80,000).

2. Using worksheet #2 that replicates the set up in Table 6–1, enter the new direct cost and the new totals for indirect costs resulting from your work. Total the new results.

Practice Exercise 6–II: Responsibility Centers

The Metropolis Health System has one director who supervises the areas of Security, Communications, and Ambulance Services. This director also supervises the medical records relevant to Ambulance Services, the educational training for Security and Ambulance Services personnel, and the human resources for Security, Communications, and Ambulance Services personnel.

Required

Of the duties and services described, all of which are supervised by one director, which areas should be responsibility centers and which areas should be support centers? Draw them in a visual and indicate the reporting requirements.

Assignment Exercise 6–2: Responsibility Centers

Choose among the Case Study in Chapter 27, the clinic in Mini-Case Study 2, or the Metropolis Health System information as contained in its Case Study and the Appendix that contains its financial statements. Designate the responsibility centers and the support centers for the organization selected. Prepare a rationale for the structure you have designed.

Table 6–1 Examples of Rehab Cost Center Direct and Indirect Cost Totals

Rehab Cost Centers Direct Cost Indirect Cost Total

Physical Therapy (PT) $410,000 $107,500 $517,500

Occupational Therapy (OT) 190,000 44,000 234,000

Speech Therapy (ST) 120,000 33,500 153,500

Total $720,000 $185,000 $905,000

Note: Direct Cost proportions, rounded, are as follows:

PT = 57%/OT = 26%/ST = 17%/Total = 100%

Courtesy of J.J. Baker and R.W. Baker, Dallas, Texas.

Table 6–2 Example of Indirect Costs Allocated to Rehab Cost Center

Clerical Salaries Administrative Salaries Computer Services Total Indirect Cost

Allocation Basis: A B C ;

Indirect Cost to Be Allocated $60,000 $50,000 $75,000 $185,000

Allocated to: 34,000 28,5000 45,000 107,500

Physical Therapy (PT) 16,000 13,000 15,000 44,000

Occupational Therapy (OT) 10,000 8,5000 15,000 33,500

Speech Therapy (ST) $60,000 $50,000 $75,000 $185,000

Proof Total

Allocation Key:

A = # Visits (Volume): PT = 8500/OT = 4000/ST = 2500/Total = 15,000 (15,000 x $4.00 = $60,000)

B = Proportion of Direct Costs: PT = 57%/OT = 26%/ST = 17%/Total = 100% (% x $50,000)

C = # Computers in Service: PT = 9/OT = 3/ST = 3/Total = 15 (15 x $5,000 each = $75,000)

Practice Exercise 7–I: Analyzing Mixed Costs

The Metropolis Health System (MHS) has a system-wide training course for nurse aides. The course requires a packet of materials that MHS calls the training pack. Due to turnover and because the course is system-wide, there is a monthly demand for new packs. In addition, the local community college also obtains the training packs used in their credit courses from MHS.

The education coordinator needs to know how much of the cost is fixed and how much of the cost is variable for these training packs. She decides to use the high–low method of computation.

Required

Using the monthly utilization information presented below, find the fixed and variable portion of costs through the high–low method.

Month Number of Training Packs Costs

January 1,000 $6,200

February 200 1,820

March 250 2,350

April 400 3,440

May 700 4,900

June 300 2,730

July 150 1,470

August 100 1,010

September 1,100 7,150

October 300 2,850

November 250 2,300

December 100 1,010

Assignment Exercise 7–1: Analyzing Mixed Costs

The education coordinator decides that the community college packs may be unduly influencing the high–low computation. She decides to rerun the results, omitting the community college volume.

Required

1. Using the monthly utilization information presented here, and omitting the community college training packs, find the fixed and variable portion of costs through the high–low method. Note that the college only acquires packs in three months of the year: January, May, and September. These dates coincide with the start dates of their semesters and summer school.

2. The reason the education coordinator needs to know how much of the cost is fixed is because she is supposed to collect the appropriate variable cost from the community college for their packs. For her purposes, which computation do you believe is better? Why?

Month Total Number of Total Costs Community College Community College Cost

Training Packs Number Packs

January 1,000 $6,200 200 $1,240

February 200 1,820

March 250 2,350

April 400 3,440

May 700 4,900 300 2,100

June 300 2,730

July 150 1,470

August 100 1,010

September 1,100 7,150 300 1,950

October 300 2,850

November 250 2,300

December 100 1,010

Example 7B: Contribution Margin

Computation of a contribution margin is simplified if the fixed and variable expense has already been determined. Examine Table 7–1, which contains Operating Room fixed and variable costs. We can see that the total costs are $1,217,756. Of this amount, $600,822 is designated as variable cost and $616,934 is designated as fixed ($529,556 1 $87,378 = $616,934). For purposes of our example, assume the Operating Room revenue amounts to $1,260,000. The contribution margin is computed as follows:

Amount

Revenue $1,260,000

Less Variable Cost (600,822)

Contribution Margin $659,178

Thus, $659,178 is available to contribute to fixed costs and to profit. (In this example fixed costs amount to $616,934, so there is an amount left to contribute toward profit.)

Practice Exercise 7–II: Calculating the Contribution Margin

Greenside Clinic has revenue totaling $3,500,000. The clinic has costs totaling $3,450,000. Of this amount, 40% is variable cost and 60% is fixed cost.

Required

Compute the contribution margin for Greenside Clinic.

Assignment Exercise 7–2: Calculating the Contribution Margin

The Mental Health program for the Community Center has just completed its fiscal year end. The program director determines that his program has revenue for the year of $1,210,000. He believes his variable expense amounts to $205,000 and he knows his fixed expense amounts to $1,100,000.

Required

1. Compute the contribution margin for the Community Center Mental Health Program.

2. What does the result tell you about the program?

Table 7–1 Operating Room Fixed and Variable Costs

Account Total Variable Fixed Equipment

Social Security $ 60,51 $ 60,517 $ $

Pension 20,675 20,675

Health Insurance 8,422 8,422

Child Care 4,564 4,564

Patient Accounting 155,356 155,356

Admitting 110,254 110,254

Medical Records 91,718 91,718

Dietary 27,526 27,526

Medical Waste 2,377 2,377

Sterile Procedures 78,720 78,720

Laundry 40,693 40.693

Depreciation-Equipment 87,378 87,378

Depreciation-Building 41,377 41,377

Amortization-Interest (5,819) (5,819)

Insurance 4,216 4,216

Administration 57,966 57,966

Medical Staff 1,722 1,722

Community Relations 49,813 49,813

Materials Management 64,573 64,573

Human Resources 31,066 31,066

Nursing Administration 82,471 82,47

Data Processing 17,815 17,815

Fiscal 17,700 17,700

Telephone 2,839 2,839

Utilities 26,406 26,406

Plant 77,597 57,597

Environmental Services 32,847 32,847

Safety 2,016 2,016

Quality Management 10,016 10,016

Medical Staff 9,444 9,444

Continuous Quality Improvement 4,895 4,895

EE Health 569 569

Total Allocated $1,217,756 $600,822 $529,556 $87,378