Case 11 Student Spreadsheet (3)

.xlsx

School

Virginia Commonwealth University *

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Course

HADM-608

Subject

Finance

Date

Apr 3, 2024

Type

xlsx

Pages

18

Uploaded by PresidentDiscovery9235 on coursehero.com

Model Page 1 CASE 11 CENTURY OAKS HEALTH Budgeting Concepts Student Version This case illustrates the use of budgeting to propose a new clinic site and help make operating de model extends out to Column AR. The model consists of a complete base case analysis--no changes need to be made to the existin spreadsheet have been replaced by zeros. Students must select appropriate input values and en the base case solution will appear. INPUT DATA: Operation Volume Assumptions: MD AP 1st 6 Months 12 Months 1st 6 Months Clinic Days / Week 5 5 5 Clinic Hours / Day 4.5 4.5 6 Visits / Hour 2.5 3 2.5 Inpatient Consults Days / Week 5 5 Inpatient Consults Hours / Day 2.5 2.5 Inpatient Consults / Hour 2 2 Note: Diagnostic Reading is unpredictable and small percentage of effort. Working Weeks 18 48 5.1 % New Patient Visits (NPV) 70% 70% 10% % Return Patient Visits (RPV) 30% 30% 90% Information to Drive Revenue Assumptions Revenue Ass New Patient Visits (NPV)- Clinic CPT Code Office Visit Description wRVU Value Charge Average Reve 99201 NPV, Level I 0.45 35.46 $ 106.38 99202 NPV, Level II 0.88 54.16 99203 NPV, Level III 1.34 99.30 99204 NPV, Level IV 2.30 154.63 99205 NPV, Level V 3.00 188.36 MODEL-GENERATED DATA section. However, values in the I NPUT DATA section of the studen them into the cells with values colored red . After this is done, any error cells will be corrected and
Model Page 2 Return Patient Visits (RPV)- Clinic CPT Code Office Visit Description wRVU Value Charge Average Reve 99211 RPV, Level I 0.17 3.03 $ 60.92 99212 RPV, Level II 0.45 30.45 99213 RPV, Level III 0.92 57.59 99214 RPV, Level IV 1.42 89.00 99215 RPV, Level V 2.00 124.51 Inpatient Consults (IC) CPT Code Office Visit Description wRVU Value Charge Average Reve 99251 IC, Level I 1.00 94.61 $ 152.55 99252 IC, Level II 1.50 118.57 99253 IC, Level III 2.27 135.28 99254 IC, Level IV 3.25 189.43 99255 IC, Level V 4.00 224.85 Expense Assumptions MD APP Annual Provider Compensation $ 425,000 $ 120,000 % Benefits 18% 21% Benefit Expense $ 76,500 $ 25,200 Total Annual Provider Expense $ 501,500 $ 145,200 # Months Worked in 1st 6 Months 6 3 1st 6 Months Expense $ 250,750 $ 36,300 Staffing Expenses Annual % FTE 12 Month Comp Clinic Coordinator $ 70,000 0.50 $ 35,000 CMA $ 36,000 1.00 $ 36,000 Clinical Support Specialist $ 40,000 1.00 $ 40,000 Total Staffing Expenses $ 146,000 $ 111,000 IT Operations Upfront Costs: PC & Peripheral Hardware $ 6,865 Network Equipment $ 27,540 Telecommunications $ 1,296 AV $ - Misc $ 6,419 Facilities Upfront Costs: Furniture $ 3,000 Exam tables $ 4,800 $ 800 per table 6 To complete assumption calculation o location. On amounts an
Model Page 3 AED $ 1,200 Misc $ 1,000 Ongoing Operational Expenses Annual Annual Lease $ 60,800 $16 per sq ft 3,800 Additional Operating Expenses Annual Monthly IT $ 83,748 $ 6,979 Utilities $ 1,500 $ 125 Cleaning $ 2,820 $ 235 Supplies $ 600 $ 50 MODEL-GENERATED DATA: Budget Analysis: Revenue Calculations based upon Volume and Revenue Assumptions Physician Volumes MD Volumes- Clinic APP Volumes 1st 6 Months 12 Months 1st 6 Months Days/Week- Clinic 5 5 5 Ambulatory Hours/Day 4.5 4.5 6 Clinic Visits/Hour 2.5 3 2.5 Clinic Visits/Week 56 68 75 Weeks During Time Period 18 48 5.1 Clinic Visits During Time Period 1,013 3,240 383 % Visits- NPV 70% 70% 10% % Visits- RPV 30% 30% 90% Total Clinic Volume- NPV 709 2,268 38 Total Clinic Volume- RPV 304 972 344 Average Revenue / NPV $ 106.38 $ 106.38 $ 106.38 Average Revenue / RVP $ 60.92 $ 60.92 $ 60.92 Total Revenue for NPV Clinic Visits $ 75,398 $ 241,274 $ 4,069 Total Revenue for RPV Clinic Visits $ 18,503 $ 59,210 $ 20,970 Total Clinic Revenue $ 93,901 $ 300,485 $ 25,039 MD Volumes- Inpatient Consults 1st 6 Months 12 Months Days/Week- Inpatient Consults 5 5 Consult Hours/Day 2.5 2.5 Consults/Hour 2 2
Model Page 4 Consults/Week 25 25 Weeks During Time Period 18 48 Consult Volumes During Time Period 450 1200 Average Revenue / Consult $ 152.55 $ 152.55 Total Consult Revenue $ 68,647 $ 183,058 Revenue Calculation Summary MD Revenue APP Revenue 1st 6 Months12 Months 1st 6 Months 12 Months Clinic Revenue $ 93,901 $ 300,485 $ 25,039 $ 235,665 Consult Revenue $ 68,647 $ 183,058 Total Revenue $ 162,548 $ 483,542 $ 25,039 $ 235,665 Total Practice Site Revenue 6 Month Budget # Weeks Assumptions Revenue 18 Weeks Expenses 26 Weeks Revenue MD $ 162,548 APP $ 25,039 Total Revenue $ 187,588 Expenses Personnel MD Compensation $ 212,500 MD Benefits $ 38,250 MD Expense Total (Comp +Benefits) $ 250,750 APP Compensation $ 30,000 Clinic Coordinator $ 17,500 CMA $ 18,000 Clinical Support Specialist $ 20,000 Subtotal- Staff Compensation $ 85,500 Staffing Benefits $ 17,955 21% Staffing Expense Total (Comp + Benefits) $ 103,455
Model Page 5 Total personnel expenses with benefits $ 354,205 PC & Peripheral Hardware $ 6,865 Network Equipment $ 27,540 Telecommunications $ 1,296 AV $ - Misc $ 6,419 IT Go Live Expense Total $ 42,120 Furniture $ 3,000 Exam Tables $ 4,800 AED $ 1,200 Misc $ 1,000 Facility Go Live Expense Total $ 10,000 Lease / Rent $ 30,400 6 months IT $ 41,874 Utilities $ 750 Cleaning $ 1,410 Supplies $ 300 Monthly Operational Expenses Total $ 74,734 Total Non-Staffing Expenses (Go-Live + Monthly) $ 126,854 Total Expenses $ 481,059 Net income $ (293,471) 12 Month Budget # Weeks Assumptions Revenue 36 Weeks Expenses 52 Weeks Revenue MD $ 483,542 APP $ 235,665 Total Revenue $ 719,208 Expenses Personnel
Model Page 6 MD Compensation $ 425,000 MD Benefits $ 76,500 MD Expense Total (Comp +Benefits) $ 501,500 APP Compensation $ 120,000 Clinic Coordinator $ 35,000 CMA $ 36,000 Clinical Support Specialist $ 40,000 Subtotal- Staff Compensation $ 231,000 Staffing Benefits $ 48,510 21% Staffing Expense Total (Comp + Benefits) $ 279,510 Total personnel expenses with benefits $ 781,010 Lease / Rent $ 60,800 IT $ 83,748 Utilities $ 1,500 Cleaning $ 2,820 Supplies $ 600 Monthly Operational Expenses Total $ 149,468 Total Expenses $ 930,478 Net income $ (211,270) Copyright © 2022 Foundation of the American College of Healthcare Executives. Not for sale.
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