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Assignment: Fixed/Variable Cost Scenario

Question 1 : You have performed a cost analysis of your health service organization and have determined the following: based on the latest three years of information, your annual cost of operations is $1,600,000 with annual volume of 10,000 procedures. You have determined that certain of your supply items are fixed in nature (those marked with an F) while others are variable (marked with a V).

Supply Items F/V   Average Annual Amount





Supply item 1 F $220,000
Supply item 2 F 180,000
Supply item 3 F 75,000
Supply item 4 F 50,000
Supply item 5 F 25,000
Supply item 6 F 50,000
Supply item 7 V 500,000
Supply item 8 V 300,000
Supply item 9 V 200,000




Annual Cost of Operations
1,600,000

Question: An insurance company that is considering directing its 1,000 units per year of procedure business to your organization has approached you. Your board has mandated that you make $5 of profit from each of the procedures. You obviously want the highest possible price, but as you enter the negotiations, what is the lowest possible price you would be willing to accept from this payer?

Hint: Calculate the variable cost.

Question 2 : Cash Flow Scenario Your new business venture will begin operation on July 1, 20X2. You will hire staff effective January 1, 20X2 with a cost of $40,000 per month. You know from experience that collections lag billing by 3 months (in other words, once you bill for a service, you must wait 90 days for the payment to be received. Your business volume is projected to be as follows:

Month Volume Billing
July, 20X2 1,000 $100,000
August 1,000 $100,000
September 1,000 $100,000
October 1,000 $100,000
November 1,000 $100,000
December 1,000 $100,000
January, 20X3 1,000 $100,000
February 1,000 $100,000
March 1,000 $100,000
April 1,000 $100,000
May 1,000 $100,000
June 1,000 $100,000

Question: If you have $380,000 of cash on hand January 1, 20X2, how much cash will you have at the end of June 20X3? Assume a 100% collection rate.

Question 3 : You manage lab services in a large hospital. You have the following data on both the hospital's budgeted patient days and visits for budget year 20XX along with the ratio of lab tests to patient days or visits.

RAW DATA 2 North Bldg 2 South Bldg ICU OPD
Patient Days/Visits Budget 19800 21900 8760 200000
Chemistry 3.6 4.3 2.9 4
Hematology 1.2 2.1 1.4 3.5
Bacteriology 3.2 5.6 3.6 5.5
Cost per test  $20.00      
Tests per FTE  200,000      

Question: Based on this raw data provided , how many lab tests would you anticipate for the coming budget year? If each test is priced at $20.00, how much gross revenue would you budget? Assuming each full-time lab technician (FTE) can perform 200,000 tests each year, how many full-time lab technicians would you plan for?

Question 4 : Staffing and Supply Budget Scenario

Calculate the supplies budget necessary to operate your unit for the fiscal year beginning January 1, 20X8. It is your expectation that you will perform 24,820 procedures in the budget year. The following spending data is available for the period January 1 to March 31, 20X7 during which time procedure volume amounted to 3,240. Items marked (F) are considered fixed, those marked (V) are considered variable. Inflation is planned at 4%.

Expense Item Amount
Billing Supplies (F) $24,400.00
IV Solutions (V) $288,108.00
Med/Surg Supplies (V) $411,480.00
Miscellaneous (F) $18,400.00
Office Supplies (F) $42,650.00
Stock Drugs (V) $570,240.00

In reviewing performance to date, you note that in January, you purchased $150,000 of D5W fluid replacement charged to IV solutions, which represents an entire year's supply. In addition, you returned $2,800 of office supplies for credit from the vendor in February. These supplies were purchased in a previous fiscal year.

Expense Account Orig. Base Period Amt Adjustments Adjusted Base Period Amt Base Period Units (Vol or Time) Amount/Unit Budget Period Units Base Amt. Budget Inflation Rate Inflation Amt Final Budget Amt
Billing Supplies (F)               4%    
IV Solutions (V)   -$      112,500.00   3240   24820   4%    
Med/Surg Supplies (V)       3240   24820   4%    
Misc. (F)       3   12   4%    
Office Supplies (F)    $            2,800.00   3   12   4%    
Stock Drugs (V)       3240   24820   4%    
Total    $     (109,700.00)                

You also need to prepare the salary budget for the same fiscal year. You have determined that staff needs are for 6.5 FTEs. The following are the current staff with FTE values and hourly rates of pay as of January 1, 20X8:

Position/Incumbent FTE Value Pay Rate
Hardy 1.0 $16.30
Rosetti 0.5 $16.80
Chang 0.5 $16.50
Martinez 1.0 $16.00
Jones 0.5 $16.75

A pay raise will be given to all staff on October 1st of each year at a rate of 8 percent. In making your calculations, always round to the nearest whole dollar for annual salary amounts, but keep pennies in the hourly pay rates. New staff begins the new fiscal year at $16.00 per hour.

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