PUBM 530 Budget Preparation

#1
Patient Revenue
Patient Revenues
Private Insurance
Oncology
$14,000,000.00
Cardiac
$6,000,000.00
Rhinoplasty
$3,900,000.00

Medicare/Medicaid
$3,200,000.00
$840,000.00
$130,000.00

Self-Pay
$7,000,000.00
$3,600,000.00
$1,170,000.00

Total
$24,200,000.00
$10,440,000.00
$5,200,000.00

Revenue Budget
Revenues
Oncology
Cardiac
Rhinoplasty
Total

Private Insurance
$14,000,000.00
$6,000,000.00
$3,900,000.00
$23,900,000.00

Medicare/Medicai
d
$3,200,000.00
$840,000.00
$130,000.00
$4,170,000.00

Self-Pay
$7,000,000.00
$3,600,000.00
$1,170,000.00
$11,770,000.00

Total by
department
$24,200,000.00
$10,440,000.00
$5,200,000.00
$39,840,000.00

Gift Shop

Endowment

Total Other

Total Revenue

Other
Revenue

$200,000.00

$500,000.00

$700,000.00

$40,540,000.00

Expense Budget
Expenses
Oncology
Fixed Costs
Managers
Rent
Variable Costs
Staff
Total
Staffing
Supplies
Total

Cardiology

Rhinoplasty

Total

$300,000.00

$200,000.00

$400,000.00

$900,000.00
$300,000.00
$1,200,000.00

$4,200,000.00

$1,900,000.00

$300,000.00

$6,400,000.00

$4,500,000.00
$460,000.00

$2,100,000.00
$280,000.00

$700,000.00
$220,000.00

$7,300,000.00
$960,000.00
$14,660,000.00

$9,460,000.00

$4,480,000.00

$1,620,000.00

$15,860,000.00

#2

5% higher

Percentage change in patients

from

450

5.00%

473

Payer mix %
Private
Insurance
Oncology
Cardiac
Rhinoplasty

40%
20%
10%

Medicare/Medicai
d
50%
60%
30%

Self-Pay

Charity
5%
10%
50%

5%
10%
10%

Payer mix #
Private
Insurance
Oncology
Cardiac
Rhinoplasty

Medicare/Medicaid

84
25
14

Revenues per payer

Private
Insurance
Oncology
$70,000.00
Cardiac
$50,000.00
Rhinoplasty
$30,000.00
Other

Self-Pay

# served

105
76
41

11
13
68

Medicare/Medicaid

Self-Pay
$70,000.00
$50,000.00
$30,000.00

$40,000.00
$35,000.00
$10,000.00

210
126
137

Revenues
Oncology
Cardiac
Rhinoplasty
Total

Private
Insurance
$14,700,000.00
$6,300,000.00
$4,095,000.00
$25,095,000.00
Gift Shop

Other
Revenue

$200,000.00

Medicare/Medicaid

$3,360,000.00
$882,000.00
$136,500.00
$4,378,500.00
Endowment
$500,000.00

Self-Pay
$7,350,000.00
$3,780,000.00
$1,228,500.00
$12,358,500.00

Total by
department
$25,410,000.00
$10,962,000.00
$5,460,000.00
$41,832,000.00

Total Other

Total Revenue

$700,000.00

$42,532,000.00

Expenses
Oncology
Fixed Costs
Managers
Rent

Cardiology

Rhinoplasty

Total

$300,000.00

$200,000.00

$400,000.00

$900,000.00
$300,000.00
$1,200,000.00

Variable Costs
Staff
Total Staffing
Supplies

$4,410,000.00
$4,710,000.00
$460,000.00

$1,995,000.00
$2,195,000.00
$280,000.00

$315,000.00
$715,000.00
$220,000.00

$6,720,000.00
$7,620,000.00
$960,000.00
$15,300,000.00

Total

$9,880,000.00

$4,670,000.00

$1,650,000.00

$16,500,000.00

Percentage change in patients

from

450

10.00%

495

Payer mix %
Private
Insurance
Oncology
Cardiac
Rhinoplasty

40%
20%
10%

Medicare/Medicai
d
50%
60%
30%

Self-Pay

Charity
5%
10%
50%

5%
10%
10%

Payer mix #
Private
Insurance
Oncology
Cardiac
Rhinoplasty

Medicare/Medicaid

88
26
14

Revenues per payer

Private
Insurance
Oncology
$70,000.00
Cardiac
$50,000.00
Rhinoplasty
$30,000.00
Other

Self-Pay

# served

110
79
43

11
13
72

Medicare/Medicaid

Self-Pay
$70,000.00
$50,000.00
$30,000.00

$40,000.00
$35,000.00
$10,000.00

220
132
143

Revenues
Oncology
Cardiac
Rhinoplasty
Total

Private
Insurance
$15,400,000.00
$6,600,000.00
$4,290,000.00
$26,290,000.00
Gift Shop

Other
Revenue

$200,000.00

Medicare/Medicaid

$3,520,000.00
$924,000.00
$143,000.00
$4,587,000.00
Endowment
$500,000.00

Self-Pay
$7,700,000.00
$3,960,000.00
$1,287,000.00
$12,947,000.00

Total by
department
$26,620,000.00
$11,484,000.00
$5,720,000.00
$43,824,000.00

Total Other

Total Revenue

$700,000.00

$44,524,000.00

Expenses
Oncology
Fixed Costs
Managers
Rent
Variable Costs
Staff
Total Staffing
Supplies
Total

Cardiology

Rhinoplasty

Total

$300,000.00

$200,000.00

$400,000.00

$900,000.00
$300,000.00
$1,200,000.00

$4,620,000.00
$4,920,000.00
$460,000.00

$2,090,000.00
$2,290,000.00
$280,000.00

$330,000.00
$730,000.00
$220,000.00

$7,040,000.00
$7,940,000.00
$960,000.00
$15,940,000.00

$10,300,000.00

$4,860,000.00

$1,680,000.00

$17,140,000.00

Percentage change in patients

from

450

-5.00%

428

Payer mix %
Private
Insurance
Oncology
Cardiac
Rhinoplasty

40%
20%
10%

Medicare/Medicai
d
50%
60%
30%

Self-Pay

Charity
5%
10%
50%

5%
10%
10%

Payer mix #
Private
Insurance
Oncology
Cardiac
Rhinoplasty

Medicare/Medicaid

76
23
12

Revenues per payer

Private
Insurance
Oncology
$70,000.00
Cardiac
$50,000.00
Rhinoplasty
$30,000.00
Other

Self-Pay

# served

95
68
37

10
11
62

Medicare/Medicaid

Self-Pay
$70,000.00
$50,000.00
$30,000.00

$40,000.00
$35,000.00
$10,000.00

190
114
124

Revenues
Oncology
Cardiac
Rhinoplasty
Total

Private
Insurance
$13,300,000.00
$5,700,000.00
$3,705,000.00
$22,705,000.00
Gift Shop

Other
Revenue

$200,000.00

Medicare/Medicaid

$3,040,000.00
$798,000.00
$123,500.00
$3,961,500.00
Endowment
$500,000.00

Self-Pay
$6,650,000.00
$3,420,000.00
$1,111,500.00
$11,181,500.00

Total by
department
$22,990,000.00
$9,918,000.00
$4,940,000.00
$37,848,000.00

Total Other

Total Revenue

$700,000.00

$38,548,000.00

Expenses
Oncology
Fixed Costs
Managers
Rent

Cardiology

Rhinoplasty

Total

$300,000.00

$200,000.00

$400,000.00

$900,000.00
$300,000.00
$1,200,000.00

Variable Costs
Staff
Total Staffing
Supplies

$3,990,000.00
$4,290,000.00
$460,000.00

$1,805,000.00
$2,005,000.00
$280,000.00

$285,000.00
$685,000.00
$220,000.00

$6,080,000.00
$6,980,000.00
$960,000.00
$14,020,000.00

Total

$9,040,000.00

$4,290,000.00

$1,590,000.00

$15,220,000.00

Percentage change in patients

from

450

-10.00%

405

Payer mix %
Private
Insurance
Oncology
Cardiac
Rhinoplasty

40%
20%
10%

Medicare/Medicai
d
50%
60%
30%

Self-Pay

Charity
5%
10%
50%

5%
10%
10%

Payer mix #
Private
Insurance
Oncology
Cardiac
Rhinoplasty

Medicare/Medicaid

72
22
12

Revenues per payer

Private
Insurance
Oncology
$70,000.00
Cardiac
$50,000.00
Rhinoplasty
$30,000.00
Other

Self-Pay

# served

90
65
35

9
11
59

Medicare/Medicaid

Self-Pay
$70,000.00
$50,000.00
$30,000.00

$40,000.00
$35,000.00
$10,000.00

180
108
117

Revenues
Oncology
Cardiac
Rhinoplasty
Total

Private
Insurance
$12,600,000.00
$5,400,000.00
$3,510,000.00
$21,510,000.00
Gift Shop

Other
Revenue

$200,000.00

Medicare/Medicaid

$2,880,000.00
$756,000.00
$117,000.00
$3,753,000.00
Endowment
$500,000.00

Self-Pay
$6,300,000.00
$3,240,000.00
$1,053,000.00
$10,593,000.00

Total by
department
$21,780,000.00
$9,396,000.00
$4,680,000.00
$35,856,000.00

Total Other

Total Revenue

$700,000.00

$36,556,000.00

Expenses
Oncology
Fixed Costs
Managers
Rent

Cardiology

Rhinoplasty

Total

$300,000.00

$200,000.00

$400,000.00

$900,000.00
$300,000.00
$1,200,000.00

Variable Costs
Staff
Total Staffing
Supplies

$3,780,000.00
$4,080,000.00
$460,000.00

$1,710,000.00
$1,910,000.00
$280,000.00

$270,000.00
$670,000.00
$220,000.00

$5,760,000.00
$6,660,000.00
$960,000.00
$13,380,000.00

Total

$8,620,000.00

$4,100,000.00

$1,560,000.00

$14,580,000.00

#3

Quarterly Cash
Flow
Quarter 1
Cash on Hand
(beginning of quarter)
Cash Available (on hand +
receipts, before cash out)
Cash Position (end of
quarter)

Quarter 2

Quarter 3

Quarter 4

$500,000

-$2,808,001

$1,282,497

$550,000

$757,249

$6,120,122

-$2,808,001

$1,282,497

$8,285,744

$8,285,744
$12,132,86
9
$12,939,99
0

$2,157,000
$2,073,000
$975,000

$1,797,500
$1,727,500
$812,500

$1,438,000
$1,382,000
$650,000

$1,797,500
$1,727,500
$812,500

$0
$0
$0
$50,000

$2,157,000
$1,036,500
$321,750
$50,000

$1,438,000
$1,554,750
$804,375
$50,000

$50,000

$3,565,250

$1,797,500
$1,900,250
$589,875
$50,000
$500,000
$4,837,625

$900,000
$300,000

$900,000
$300,000

$900,000
$300,000

$900,000
$300,000

$1,920,001
$3,120,001
$288,000
$3,408,001

$1,600,002
$2,800,002
$240,000
$3,040,002

$1,280,003
$2,480,003
$192,000
$2,672,003

$1,600,004
$2,800,004
$240,000
$3,040,004

-$3,358,001

$525,248

$2,165,622

$807,121

1
$1,260,000
$570,000
$90,000
$1,920,001

2
$1,050,000
$475,000
$75,000
$1,600,002

3
$840,000
$380,000
$60,000
$1,280,003

4
$1,050,000
$475,000
$75,000
$1,600,004

Revenue
Private Insurance
Medicare/Medicaid
Self-Pay
Cash Collections
Private Insurance
Medicare/Medicaid
Self-Pay
Gift Shop
Endowment
Total Cash Receipts

$3,847,125

Expenses - Cash Paid Out

Fixed Costs
Managers
Rent
Variable Costs
Staff
Total Staffing
Supplies
Total Expenses

Profit/Loss
Cash
Quarter

total staffing for quarter