ACG204-SU15 Project.emory hospital
ACG204 – SU15 Case Study
Emory Hospital Pediatrics
The Pediatric Department of Emory Hospital operates as an individual business unit. The
department rents space and beds from Emory Hospital, and accordingly receives charges
elated to janitorial, repairs & maintenance, general & administrative, and rent as listed in the
table below. These charges are considered fixed based on the number of beds rented, which is
also called bed capacity. When Pediatrics rents a bed, it is rented for the entire year.
In addition, the Pediatric Department is charged for specific patient services based on the
number of patient days billed. These services are considered variable with respect to the
number of patient days. They include dietary, laundry, lab work, pharmacy, and billing &
collections as listed in the table below. Last year, actual costs incu
ed by the Pediatric
department are as follows:
During the year, Pediatrics charged each patient an average of $350 per patient day, had
a capacity of 60 beds, and had revenue of $7,000,000 for the 365 days.
In addition, the Pediatric Department employed and paid the following personnel directly
during the year:
Annual
Salaries
Number
Required
Total Annual
Salaries
Supervising Nurses $80,000 4 $ 320,000
Nurses $50, XXXXXXXXXX,000
Aides $20, XXXXXXXXXX,000
Total $1,220,000
Basis for Charges
Based on
Patient Days
(variable)
Based on
Bed Capacity
(beds rented)
(fixed)
Dietary $ 600,000
Janitorial $ 70,000
Laundry XXXXXXXXXX,000
Laboratory XXXXXXXXXX,000
Pharmacy XXXXXXXXXX,000
Repairs & Maintenance XXXXXXXXXX,000
General & Administrative XXXXXXXXXX,000
Rent XXXXXXXXXX,000
Billings & Collections XXXXXXXXXX,000
Totals $ 2,000,000 $1,600,000
ACG204 – SU15 Case Study
The Pediatric Department must follow minimum personnel requirements that are published by
the Federal Department of Health and are based on the number of patient days that are
available during the year. Available patient days are calculated by taking the number of beds
times 365 days per year.
These staffing levels represent full time equivalents (FTE). Pediatrics always employs the
minimum number of required FTE in order to meet the federal requirements. Salaries of
supervising nurses, nurses, and aides are therefore fixed within the range of patient days
available during the year.
CASE QUESTIONS:
a. How many patient days were billed last year? Based on the number of beds rented
last year, what was maximum number of patient days that could have been billed
during the year (Patient-day capacity)?
. Prepare a contribution margin income statement for last year. How is this format
helpful in business decision making?
c. Determine the contribution margin per patient day based on last year’s results. What
does this mean and why is it important?
d. Determine the minimum number of patient days required for Pediatrics to
eak-
even. What does this mean?
e. Last year, Pediatrics operated at 100% capacity on 180 days during. In other words,
all 60 beds were filled on those days. It is estimated that if 20 additional beds were
available on those days, patient demand would have been sufficient to fill those
eds. Emory Hospital has an additional 20 beds available for the Pediatrics
Department to rent. Such additional rental would increase Pediatrics’ fixed charges
ased on additional bed capacity. It is the policy of Emory Hospital that beds must
e rented for the entire year. In addition, staffing levels would have to be adjusted
accordingly.
Prepare an analysis of increased revenue and increased cost if Pediatrics rents the
additional 20 beds. Should Pediatrics rent the additional beds? Explain why or why
not and be sure to discuss the risks associated with your decision.
Patient Days Available
During the year
Number of
Aides
Number of
Nurses
Number of
Supervising
Nurses
Up to 21,900 days XXXXXXXXXX
21,900 to 25,915 days XXXXXXXXXX
25,916 to 30,100 days XXXXXXXXXX
f. Discuss the various cost behaviors and related implications that Pediatric
Department management has to be aware of in the planning process. Be sure to use
specific examples from the case of each cost behavior.
g. What might be an additional option (or what-if) that the Pediatrics unit might want
to analyze and consider? Prepare the numbers for your “what-if” option. Be sure
your assumptions are realistic. Explain your recommendation and the related
isk(s).
RUBRIC FOR GRADING
ITEM GRADED POINTS
Each question will be graded on both quantitative accuracy and on the
depth of qualitative discussion used to answer the question. Below is a
point distribution associated with each question.
QUESTION a 10
QUESTION b 15
QUESTION c 10
QUESTION d 10
QUESTION e 15
QUESTION f 15
QUESTION g 15
Characteristics to be evaluated:
• Is the report professionally written and easy to read? Did the team take
the time to make the report have a consistent and professional
appearance throughout?
• Does the report contain Fatal Flaws?
• Did the writer go above and beyond in answering the questions? Did the
writer make connections between answers of various questions? Would
the report be good enough to show your boss in a professional work
environment?
• Is the report neatly and professionally packaged and presented?
• Use of Technology - Are charts prepared USING Excel and/or WORD
tables. Are charts/tables integrated into the document?
TOTAL POINTS 90