Professional Documents
Culture Documents
What advantages or disadvantages do you see in using current costs for tax and
stockholder reporting purposes?
Q8.1
ANSWER
Theoretically, it would be preferable to use current costs for income tax calculations
and stockholder reporting. On a practical level, however, this would be nearly
impossible. Estimation of current cost, based upon current market values, would be a
difficult task with a great deal of room for subjectivity. This could result in many
arbitrary cost designations, and the "policing" of tax returns would become a much
more formidable task. On a practical basis, the use of historical costs for tax and
stockholder reporting purposes has obvious advantages over the theoretically superior
current costs.
Q8.2
Assume that two years ago, you purchased a new Jeep Wrangler SE 4WD with a soft
top for $16,500 using five-year interest-free financing. Today, the remaining loan
balance is $9,900 and your Jeep has a trade-in value of $9,500. What is your
opportunity cost of continuing to drive the Jeep? Discuss the financing risk exposure
of the lender.
Q8.2
ANSWER
The opportunity cost of continuing to drive the Jeep is $9,500. If you sell the Jeep,
$9,500 can be generated to pay down your remaining loan balance. It is the current
cost or replacement value of your current vehicle. It is the relevant economic cost of
continuing to drive the Jeep. Historical cost of $16,500 and the remaining loan
balance of $9,900 are irrelevant for decision-making purposes. With a current market
value of only $9,500 against a remaining loan balance of $9,900, the lender faces the
risk of borrower default. Aggressive interest-free financing offered by the major
automakers has the potential to create big debt collection problems in the future.
Q8.3
Southwest Airlines offers four flights per weekday from Cleveland, Ohio to Tucson,
Arizona. If adding a fifth flight per weekday would cost $15,000 per flight, or $110
per available seat, calculate the incremental costs borne by Southwest following a
decision to go ahead with a fifth flight per day for a minimal 60-flight trial period.
What is the marginal cost? In this case, is incremental cost or marginal cost relevant
for decision making purposes?
190
Q8.3
Chapter 8
ANSWER
Marginal costs are the cost effect of one-unit changes in output. Incremental cost is
the cost effect associated with a given managerial decision. Incremental costs may
also relate to output changes, but the output change involved is that of a relevant
block or increment of service. In this instance, the incremental cost associated with a
decision to go ahead with a fifth flight per day for a minimal 60-flight trial period is
$900,000 (= $15,000 60). The marginal cost per passenger is only $110. In this
case, the incremental cost of $900,000 is the relevant cost for decision making
purposes. With expected revenues in excess of $900,000, Southwest should go ahead
with the planned expansion.
Q8.4
Suppose the Big Enchilada restaurant has been offered a binding one-year lease
agreement on an attractive site for $5,200 per month. Before the lease agreement has
been signed, what is the incremental cost per month of site rental? After the lease
agreement has been signed, what is the incremental cost per month of site rental?
Explain.
Q8.4
ANSWER
Any cost that is invariant across decision alternatives is a sunk cost. Sunk costs are
irrelevant for current decision-making purposes and should not enter into decision
analysis. Before the lease agreement has been signed, all costs are variable, and the
incremental cost per month of site rental is $5,200 per month. After the lease
agreement has been signed, lease costs are sunk, and the incremental cost per month
of site rental is $0.
Q8.5
What is the relation between production functions and cost functions? Be sure to
include in your discussion the effect of competitive conditions in input factor markets.
Q8.5
ANSWER
There is a direct relation between production and cost functions. A cost function is
determined by combining a given production function with the related price functions
for the inputs actually employed in production. If inputs are purchased in competitive
markets so that their prices are constant irrespective of how many are purchased, the
relation between production and cost functions is straightforward (see Figures 8.2,
8.3, and 8.4). With imperfect competition in input markets, the relation becomes
somewhat more complex. In all cases, cost/production relations can be employed
either to minimize total costs subject to an output constraint or to maximize output
subject to a total cost or budget constraint.
Q8.6
The definition of point output elasticity is Q = Q/Q X/X (X represents all inputs),
whereas the definition of point cost elasticity is C = C/C Q/Q. Explain why Q >
1 indicates increasing returns to scale, whereas C < 1 indicates economies of scale.
Q8.6
191
ANSWER
The definition of output elasticity is Q = Q/Q X/X (X represents all inputs),
whereas the definition of cost elasticity is C = C/C Q/Q. Therefore:
If
Then
Implies
Q > 1
C < 1
This means that Q > 1 and C < 1 are both consistent with falling average costs.
Q8.7
The president of a small firm has been complaining to the controller about rising
labor and material costs. However, the controller notes that average costs have not
increased during the past year. Is this possible?
Q8.7
ANSWER
Yes, the phenomenon of constant (or even decreasing) average costs coupled with
increasing input prices is quite feasible. It stems from an increase in input
productivity that could result from any number of causes. One obvious possibility
would be the introduction of new capital equipment, either replacement or expansion,
into the production system.
Q8.8
With traditional medical insurance plans, workers pay a premium that is taken out of
each paycheck and must meet an annual deductible of a few hundred dollars. After
that, insurance picks up most of their health-care costs. Companies complain that
this gives workers little incentive to help control medical insurance costs, and those
costs are spinning out of control. Can you suggest ways of giving workers better
incentives to control employer medical insurance costs?
Q8.8
ANSWER
In hopes of slowing the growth in medical costs, some companies are moving towards
consumer driven medical coverage that gives employees a financial stake in what
they pay for medical care. Such plans feature high deductibles of as much as $500
per year for prescriptions and $1,000 per year for all other medical costs. To help pay
these costs, some companies deposit $300 to $1,800 per year in an employee
benefits account. At some firms, like Whole Foods Market, Inc., medical claims fell
13% in the first year such a plan was adopted, and about 90% of employees had
money left over to use next year.
The Whole Foods plan, which workers themselves chose over two competing
plans after a series of votes last summer, has no premiums at all for many workers.
192
Chapter 8
But the deductible is a relatively hefty $1,500. Whole Foods each year puts money
into an account for each worker to use for health-care expenses. If employees don't
spend their money in one year, they get to carry it over to future years. After the
deductible is reached, the plan operates more like a traditional one, picking up 80%
of most medical expenses. The hope is that once the money feels as though it belongs
to them, people won't get an MRI when an X-ray (or an ice pack) might do. Already
at Whole Foods, the plan is inducing the company's butchers, bakers and baggers to
take responsibility for cutting costs by buying generic drugs, asking for fee waivers on
lab tests and other procedures, and keeping a closer eye on what doctors charge for
their services.
The plans have one big drawback: People with chronic conditions can take a big
hit, since they have little choice about how often they go to the doctor. Some critics
fear that the plans will discourage people from getting the care they need. (See: Ron
Lieber, New Way to Curb Medical Costs: Make Employees Feel the Sting, The
Wall Street Journal Online, June 23, 2004. (http://online.wsj.com)
Q8.9
Will firms in industries in which high levels of output are necessary for minimum
efficient scale tend to have substantial degrees of operating leverage?
Q8.9
ANSWER
Yes, in industries where the minimum efficient scale is large, long-run average costs
tend to decrease rapidly as output increases. Fixed costs tend to be a substantial share
of total costs. When fixed costs are large, the degree of operating leverage also tends
to be high, and firms with high levels of output necessary for minimum efficient scale
will tend to have a substantial degree of operating leverage.
Q8.10
Q8.10
ANSWER
No, operating strategies of average cost minimization and profit maximization lead to
identical rates of input combination, but do not typically lead to identical levels of
total output. Average cost minimization is an appropriate strategy when managers
wish to produce a target level of output in an optimal or least-cost fashion. On the
other hand, profit maximization implies production of an optimal level of output, as
revealed by product demand, in an optimal or least-cost fashion.
Learning Curves. Suppose Modern Merchandise, Inc., makes and markets do-ityourself hardware, housewares, and industrial products. The company's new
Aperture Miniblind is winning customers by virtue of its high quality and quick order
turnaround time. The product also benefits because its price point bridges the gap
193
Estimate total cost and average total cost for the projected first-year volume of
20,000 units.
B.
ST8.1
SOLUTION
A.
The total variable cost function for the first year is:
TVC = AVC Q
= ($0.5 + $0.0025Q)Q
= $0.5Q + $0.0025Q2
At a volume of 20,000 units, estimated total cost is:
TC
= TFC + TVC
= $50,000 + $0.5Q + $0.0025Q2
= $50,000 + $0.5(20,000) + $0.0025(20,0002)
= $1,060,000
194
Chapter 8
= $53 per case
B.
If actual total costs were $848,000 at a volume of 20,000 units, actual average total
costs were:
AC = TC/Q
= $848,000/20,000
= $42.40 per case
Therefore, greater experience or learning has resulted in an average cost saving of
$10.60 per case since:
Learning effect = Actual AC - Estimated AC
= $42.40 - $53
= -$10.60 per case
Alternatively,
Learning rate
AC2
100
= 1 AC1
$42.40
100
= 1 $53
= 20%
ST8.2
195
B.
In light of current PABX demand of 30 million units per year, how would you
evaluate the future potential for competition in the industry?
ST8.2
SOLUTION
A.
Minimum efficient scale is reached when average costs are first minimized. This
occurs at the point where MC = AC.
Average Costs = AC = TC/Q
= ($3,000 + $1,000Q + $0.003Q2)/Q
=
$3,000
+ $1,000 + $0.003Q
Q
Therefore,
MC = AC
$1,000 + $0.006Q =
0.003Q =
3,000
2
Q
$3,000
+ $1,000 + $0.003Q
Q
3,000
Q
= 0.003
Q2 = 1,000,000
Q = 1,000(000) or 1 million
[Note: AC is rising for Q > 1,000(000)].
Alternatively, MES can be calculated using the point cost elasticity formula, since
MES is reached when C = 1.
196
Chapter 8
C =
($1,000 + $0.006 Q) Q
($3,000 + $1,000 Q + $0.003 Q2)
1,000Q + 0.006Q2
0.003Q2
Q2
QMES
B.
TC Q
Q TC
= 1
= 3,000 + 1,000Q + 0.003Q2
= 3,000
= 1,000,000
= 1,000(000) or 1 million
With a minimum efficient scale of 1 million units and total industry sales of 30
million units, up to 30 efficiently sized competitors are possible in Kanata's market.
Potential Number of Efficient Competitors
Market Size
MES Size
30,000,000
=
1,000,000
=
= 30
Thus, there is the potential for n = 30 efficiently sized competitors and, therefore,
vigorous competition in Kanata's industry.
PROBLEMS AND SOLUTIONS
P8.1
Cost Relations. Determine whether each of the following is true or false. Explain
why.
A.
Average cost equals marginal cost at the minimum efficient scale of plant.
B.
When total fixed cost and price are held constant, an increase in average
variable cost will typically cause a reduction in the breakeven activity level.
C.
D.
When long-run average cost is decreasing, it can pay to operate larger plants
with some excess capacity rather than smaller plants at their peak efficiency.
197
P8.1
SOLUTION
A.
True. The point of minimum average cost identifies the minimum efficient scale of
plant. By definition, average and marginal costs are equal at this point.
B.
C.
True. When C > 1, the percentage change in cost exceeds a given percentage change
in output. This describes a situation of increasing average costs and diseconomies of
scale.
D.
True. When long-run average costs are declining, it can pay to operate larger plants
with some excess capacity rather than smaller plants at their peak efficiency.
E.
False. The degree of operating leverage is defined DOL = Q(P - AVC)/(Q(P - AVC) TFC). Therefore, when total fixed costs are zero, DOL is a constant and an increase
in average variable cost will have no effect on DOL.
P8.2
B.
A decline in output.
C.
D.
E.
P8.2
SOLUTION
A.
A rise in wage rates will cause an upward shift in the LRAC curve and increase
LRAC.
B.
198
Chapter 8
C.
Energy-saving technical change will cause a downward shift in the LRAC curve and
decrease LRAC.
D.
A fall in interest rates gives rise to a downward shift in the LRAC curve and a
decrease in LRAC.
E.
Learning, like any beneficial technical change or innovation, will cause a downward
shift in the LRAC curve and decrease LRAC.
P8.3
Incremental Cost. South Park Software, Inc. produces innovative interior decorating
software that it sells to design studios, home furnishing stores, and so on. The yearly
volume of output is 15,000 units. Selling price and costs per unit are as follows:
Selling Price
$250
Costs:
Direct material
$40
Direct labor
60
Variable overhead
30
25
20
-$175
$ 75
Management is evaluating the possibility of using the Internet to sell its software
directly to consumers at a price of $300 per unit. Although no added capital
investment is required, additional shipping and handling costs are estimated as
follows:
Direct labor
Variable overhead
$5 per unit
$2 per unit
Calculate the incremental profit that South Park would earn by customizing its
instruments and marketing them directly to end users.
P8.3
SOLUTION
199
This problem should be answered by using incremental profit analysis. The analysis
deals only with the incremental revenues and costs associated with the decision to
engage in further processing.
Incremental revenue per unit ($300 - $250)
Incremental variable cost per unit ($30 + $5 + $2)
Incremental profit contribution per unit
$50
-$37
$13
15,000
$195,000
-$20,000
$175,000
Since the incremental profit is positive, the decision to engage in further processing
would be more profitable than continuing the present operating policy.
P8.4
Accounting and Economic Costs. Three graduate business students are considering
operating a fruit smoothie stand in the Harbor Springs, Michigan, resort area during
their summer break. This is an alternative to summer employment with a local firm,
where they would each earn $6,000 over the three-month summer period. A fully
equipped facility can be leased at a cost of $8,000 for the summer. Additional
projected costs are $1,000 for insurance and $3.20 per unit for materials and
supplies. Their fruit smoothies would be priced at $5 per unit.
A.
B.
C.
What is the economic breakeven number of units for this operation? (Assume a
$5 price and ignore interest costs associated with the timing of lease payments.)
P8.4
SOLUTION
A.
200
B.
Chapter 8
The economic cost function is:
Total Economic = Summer employment +
TC A
Cost
opportunit y cost
= 3($6,000) + $9,000 + $3.2 Q
= $27,000 + $3.2 Q
C.
TFC
P - AVC
$27,000
$5 - $3.20
= 15,000 units
P8.5
If average variable costs are 2 per copy, calculate Quick Copy's projected
increase in volume.
B.
What is Pickles' estimate of the arc price elasticity of demand for copies?
P8.5
SOLUTION
A.
The initial, or before-price reduction, copy volume can be calculated using the profit
contribution formula.
Profit contribution
$600
= (P - AVC)Q1
= ($0.05 - $0.02)Q1
Q = 20,000
After the price reduction, a profit contribution of $800 (=1.33 600) requires an
output level of 40,000 units since:
Profit Contribution = (P - AVC)Q2
$800 = ($0.04 - $0.02)Q2
EP =
=
Cost Analysis and Estimation
Q2 - Q1 P 2 + P1
P 2 - P1 Q2 + Q1
40,000 - 20,000
$0.04 + $0.05
$0.04 - $0.05
40,000 + 20,000
= - 3 (Elastic)
201
Q2 = 40,000
Therefore, Pickles' projected increase in volume is:
Projected increase = Q2 - Q1
= 40,000 - 20,000
= 20,000 copies per week
B.
Given the large magnitude of this price reduction, use of the arc price elasticity
formula is appropriate.
P8.6
Dollar Amount
$15,750
32,750
51,500
$100,000
$22.50
25.00
8.25
10.00
26.25
$92.00
$100.00
Fixed costs of $100,000 can be estimated quite accurately. Variable costs are linear
and set by contract. List prices are variable, but competition keeps prices within a
narrow range. Variable costs for the proposed book are $92 a copy, and the expected
202
Chapter 8
wholesale price is $100. This means that each copy sold provides the publisher with
an $8 profit contribution.
A.
B.
C.
P8.6
SOLUTION
A.
Applying the breakeven formula, the breakeven sales volume is 12,500 units,
calculated as
Q=
$100,000
$8
= 12,500 units .
B.
To find the number of copies one must sell to earn a $20,000 profit, simply add the
$20,000 profit requirement to the book's fixed costs, and then divide this total amount
by the profit contribution per unit. The sales volume required in this case is 15,000
books, found as:
Fixed Costs + Profit Requiremen t
Profit Contributi on
$100,000 + $20,000
=
$8
= 15,000 units .
Q=
C.
Because fixed costs do not vary with respect to changes in the number of books sold,
they should be ignored. Variable costs per copy are $92, but note that $25 of this cost
represents bookstore discounts. Because the 3,000 copies are being sold directly to
the club, this cost will not be incurred. Hence, the relevant variable cost is only $67
(= $92 - $25). Profit contribution per book sold to the book club is $10 (= $77 - $67),
and $10 times the 3,000 copies sold indicates that the order will result in a total profit
contribution of $30,000. Assuming that these 3,000 copies would not have been sold
through normal sales channels, the $30,000 profit contribution indicates the increase
in profits to the publisher from accepting this order.
203
Estimate the trade volume necessary for PBI to reach a target return of $7,500
per month for a typical office.
B.
Estimate and interpret the elasticity of cost with respect to output at the trade
volume found in part A.
P8.7
SOLUTION
A.
To earn a target return of $7,500 per month, Power Brokers must generate sufficient
revenues to cover both fixed costs and the target return, or $4,500 + $7,500 = $12,000
per month. The trade volume necessary to reach a target return of $7,500 per month
can be calculated as:
Total fixed costs + Target return
P - AVC
$4,500 + $7,500
Q=
(1 - 0.35)($100 ) - $59 + $0.006 Q
12,000
Q=
6 + 0.006 Q
Q=
0.006Q2 + 6Q - 12,000 = 0
which can be solved using the quadratic formula where a = 0.006, b = 6 and c =
-12,000,
204
Chapter 8
Q=
=
- b b 2 - 4 ac
2a
- 6 62 - 4(0.006)(- 12,000)
2(0.006)
- 6 324
0.012
- 6 18
=
0.012
= 1,000 or - 2,000 trades per month .
=
Since -2,000 is an infeasible negative output, an activity level of 1,000 trades per
month would allow Power Brokers to meet its target return.
B.
By definition,
c =
TC/TC TC Q
=
Q/Q
Q TC
where
TC = Fixed Costs + Variable Costs
= $4,500 + ($59 - $0.006Q)Q
= $4,500 + $59Q - $0.006Q2
At Q = 1,000,
TC = $4,500 + $59(1,000) - $0.006(1,0002)
= $4,500 + $59,000 - $6,000
= $57,500
Therefore, at Q = 1,000
c =
TC Q
Q TC
205
= $59(1,000) - $0.012(1,0002)/57,500
= 0.82
Since C = 0.82 < 1, economies of scale are suggested. A 1% increase in output leads
to a 0.82% increase in costs, and average costs will fall as output expands.
P8.8
Multiplant Operation.
Appalachia Beverage Company, Inc. is considering
alternative proposals for expansion into the Midwest. Alternative 1: Construct a
single plant in Indianapolis, Indiana, with a monthly production capacity of 300,000
cases, a monthly fixed cost of $262,500, and a variable cost of $3.25 per case.
Alternative 2: Construct three plants, one each in Muncie, Indiana; Normal, Illinois;
and Dayton, Ohio, with capacities of 120,000, 100,000, and 80,000, respectively, and
monthly fixed costs of $120,000, $110,000, and $95,000 each. Variable costs would
be only $3 per case because of lower distribution costs. To achieve these cost
savings, sales from each smaller plant would be limited to demand within its home
state. The total estimated monthly sales volume of 200,000 cases in these three
Midwestern states is distributed as follows: 80,000 cases in Indiana, 70,000 cases in
Illinois, and 50,000 cases in Ohio.
A.
B.
At a wholesale price of $5 per case in all states, and assuming sales at the
projected levels, which alternative expansion scheme provides Appalachia with
the highest profit per month?
C.
P8.8
SOLUTION
A.
The breakeven output quantity for the single plant alternative is:
Q =
TFC
P - AVC
$262,500
$5 - $3.25
206
Chapter 8
QMuncie =
$120,000
$5 - $3
$110,000
$5 - $3
$95,000
$5 - $3
207
= TR - TC
= P Q - TFC - AVC Q
= $5(200,000) - $262,500 - $3.25(200,000)
= $87,500
208
P8.9
Chapter 8
Learning Curves. The St. Thomas Winery plans to open a new production facility in
the Napa Valley of California. Based on information provided by the accounting
department, the company estimates fixed costs of $250,000 per year and average
variable costs of
AVC = $10 + $0.01Q
where AVC is average variable cost (in dollars) and Q is output measured in cases of
output per year.
A.
Estimate total cost and average total cost for the coming year at a projected
volume of 4,000 cases.
B.
P8.9
SOLUTION
A.
The total variable cost function for the coming year is:
TVC
= AVC Q
= ($10 + $0.01Q)Q
= $10Q + $0.01Q2
= TC/Q
= $450,000/4,000
= $112.50 per case
B.
209
Without learning, estimated total cost and average total cost at a volume of 5,000
cases are:
TC = $250,000 + $10(5,000) + $0.01(5,0002)
= $550,000
AC
= TC/Q
= $550,000/5,000
= $110 per case
Since estimated average cost without learning falls between 4,000 and 5,000 units
(see part A), the company is operating in a range of economies of scale.
If actual total costs were $522,500 at a volume of 5,000 cases, actual average
total costs were:
AC = TC/Q
= $522,500/5,000
= $104.50 per case
Therefore, greater experience or learning has resulted in an average cost saving of
$5.50 per case since:
Learning Effect
= Actual AC - Estimated AC
= $104.50 - $110
= ($5.50) per case
Alternatively,
Learning Rate
AC2
100
= 1 AC1
$104.50
100
= 1 $110.00
= 5%
210
P8.10
Chapter 8
Degree of Operating Leverage. Untouchable Package Service (UPS) offers
overnight package delivery to Canadian business customers. UPS has recently
decided to expand its facilities to better satisfy current and projected demand.
Current volume totals two million packages per week at a price of $12 each, and
average variable costs are constant at all output levels. Fixed costs are $3 million
per week, and profit contribution averages one-third of revenues on each delivery.
After completion of the expansion project, fixed costs will double, but variable costs
will decline by 25%.
A.
Calculate the change in UPS's weekly breakeven output level that is due to
expansion.
B.
Assuming that volume remains at two million packages per week, calculate the
change in the degree of operating leverage that is due to expansion.
C.
Again assuming that volume remains at two million packages per week, what is
the effect of expansion on weekly profit?
P8.10
SOLUTION
A.
= 1/3P
AVC
= 2/3($12)
AVC
= $8
Therefore, the breakeven levels of output before and after expansion are:
Before Expansion:
TFC
P - AVC
$3,000,000
=
$12 - $8
= 750,000 packages
QB =
After Expansion:
211
TFC
P - AVC
$6,000,000
=
$12 - $6
= 1,000,000 packages
QA =
The change in the weekly breakeven output level due to expansion is:
Change in
= QA - QB
Breakeven
= 1,000,000 - 750,000
= 250,000 packages per month
B.
DOL B =
After Expansion:
Q(P - AVC)
Q(P - AVC) - TFC
2,000,000( $12 - $6)
=
2,000,000( $12 - $6) - $6,000,000
=2
The change in degree of operating leverage due to expansion is:
DOL A =
C.
Change in
= DOL A - DOL B
DOL
= 2 - 1.6
= 0.4
Profits before and after expansion are:
212
Chapter 8
Before Expansion:
B = (P - AVC)Q - TFC
= ($12 - $8)2,000,000 - $3,000,000
= $5 million
After Expansion:
A = (P - AVC)Q - TFC
= ($12 - $6)2,000,000 - $6,000,000
= $6 million
The change in profits due to expansion is:
Change in = A - B
= $6,000,000 - $5,000,000
= $1 million per week
213
214
Chapter 8
dramatically according to type of facility, then the type of facility would have to be explicitly
accounted for in the regression model analyzed. Similarly, if patient mix or service-provider
efficiency is expected to depend, at least in part, on the for-profit or not-for-profit organization
status of the care facility, the regression model must also recognize this factor. These factors
plus price-level adjustments for inflation would be accounted for in a time-series approach to
nursing cost estimation.
To illustrate a regression-based approach to nursing cost estimation, consider a hypothetical
analysis of variable nursing costs conducted by the Southeast Association of Hospital
Administrators (SAHA). Using confidential data provided by 40 regional hospitals, SAHA studied
the relation between nursing costs per patient day and four typical categories of nursing services.
These annual data appear in Table 8.2. The four categories of nursing services studied include
shots, intravenous (IV) therapy, pulse taking and monitoring, and wound dressing. Each service
is measured in terms of frequency per patient day. An output of 1.50 in the shots service category
means that, on average, patients received one and one-half shots per day. Similarly, a value of
0.75 in the IV service category means that on average, patients received 0.75 units of IV therapy
per day, and so on. In addition to four categories of nursing services, the not-for-profit or
for-profit status of each hospital is also indicated. Using a "dummy" (or binary) variable
approach, the profit status variable equals 1 for the 8 for-profit hospitals included in the study
and zero for the remaining 32 not-for-profit h
Cost estimation results for nursing costs per patient day derived using a regression-based
approach are shown in Table 8.3.
A.
Interpret the coefficient of determination (R2) estimated for the nursing cost function.
B.
Describe the economic and statistical significance of each estimated coefficient in the
nursing cost function.
C.
Average nursing costs for the eight for-profit hospitals in the sample are only
$318.52 per patient day, or $33.07 per patient day less than the $351.59 average cost
experienced by the 32 not-for-profit hospitals. How can this fact be reconciled with
the estimated coefficient of -39.156 for the for-profit status variable?
D.
Would such an approach for nursing cost estimation have practical relevance for
publicly-funded nursing cost reimbursement systems?
Cost estimation results provided indicate that R2 = 76.81%, meaning that 76.81
percent of the total variation in nursing costs per patient day can be explained by the
five factors studied. For cross-sectional analysis, such a level of cost explanation is
often quite adequate for gaining useful insight concerning cost characteristics.
B.
215
variable indicates an average nursing labor cost of roughly $72.76 per shot.
Similarly, IV therapy results in $215.68 in nursing costs per patient day, pulse taking
and monitoring costs $36.24, and wound dressing costs $156.04 per unit. Each of
these four services appears to have a clear impact on nursing costs per patient day.
Interestingly, a coefficient of -39.156 for the profit-status variable indicates that, on
average, nursing costs per patient day are roughly $39.16 lower in for-profit than in
not-for-profit hospitals after accounting for differences in patient mix as captured by
the four service categories. This suggests that the greater efficiency or operating
philosophy of for-profit hospitals may be responsible for a substantial portion of the
lower nursing costs these hospitals enjoy.
C.
By considering differences in the nursing services provided, along with the for-profit
or not-for-profit status of each hospital, it is possible to learn whether average cost
differences are related to differences in patient mix or, perhaps, to other factors, such
as efficiency or operating philosophy. After accounting for the influences associated
with variation in assorted output categories, the organization design variable appears
relevant. Before accounting for output differences, for-profit organizations appear to
have nursing costs per patient day that are roughly $33.07 less than the average
reported by not-for-profit hospitals. After accounting for differences in patient mix as
captured by the four service categories, for-profit organizations appear to have
nursing costs per patient day that are roughly $39.16 less than the average reported by
not-for-profit hospitals. This is an interesting finding, but additional analysis would
be necessary to determine if this effect is due to operating advantages of for-profit
hospitals or instead due to subtle differences in geographic location, patient mix, and
so on.
D.