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Established in 1977, Krona Community Hospital is a 60-bed, acute care hospital located in the heart of Banconota County. With a staff of nearly 100 physicians and specialists, 400 employees, and 75 volunteers, they offer a full range of health care services. They are accredited by The Joint Commission.

Nouveau Health, a private, not-for-profit health care chain, took over the management of Krona Hospital. Last year, state officials began to discuss Nouveau’s proposal to build a new, replacement hospital in Banconota County. The new facility would have 74 acute care beds, four observation rooms, four surgical operating rooms, one c-section room, a 24-hour emergency department, a maternity center, an intensive care unit, and extensive support services, including physical therapy and cardiac rehabilitation. All patient rooms would be private.

You are a staff member in the finance department at Nouveau Health, whose sole responsibility is to advance the success of the organization through assisting in planning, forecasting, and finance management.

The chief executive officer (CEO) of Krona has asked that you complete the following:

• Prepare next year’s financial plan and operational budget.
  • Note:  The CEO has asked that you expand that budget and provide a finalized budget that will take into account the new services offered. The CEO has stated that there is $3 million that you can incorporate into the budget for additional staffing, services, maintenance, and so forth.
• Make sure the budget reflects the following:
  • Increase in revenue reimbursement
  • Allocation for the proposed improvements
  • Increase in salaries

Be sure to discuss the following areas:

• Funding sources
• Your methodology in revenue forecasting
• How the new services will impact revenue
• Fixed and variable costs
• Project inpatient and outpatient visits based on current trends