You are the administrator of the medical – surgical department at UMGC 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 single page document explaining your logic along with an accompanying Excel spreadsheet (available in the course room) that:
- 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.
- While you are developing the budget and consider the next fiscal year changes, discuss the ethical and economic considerations related to profiting from health care delivery.
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 20XX. 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 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 must 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.
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



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