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Answer:

The subsequent two spreadsheets provide workload (expressed as relative weighted products (RWPs) for inpatient care),
revenue, and expense data for Schupert !edical "enter covering their fiscal #ears $%&% and $%&&' The data includes ()&%
actual workload, revenues, and expenses* ()&& forecasted workload, revenues, and expenses* and ()&& #ear+to+date
workload, revenues, and expenses' The ,npatient Product -ines worksheet provides further details on the t#pes of services
provided within each a.or service line' /sing the available data, perfor a variance anal#sis on Schupert !edical "enter
and answer the following questions0
1. What was the hospital1s original profit forecast (assue awa# an# issues with depreciation, taxes, etc')2 3alfwa# through the
fiscal #ear, what is the hospital1s revised pro.ection for ()&& profits2
2. Which inpatient service lines are overbudget2 Which product lines are overbudget after accounting for workload increases2
3. What actions would #ou take at the id+#ear point if #ou were a fee+for+service hospital2 ,n other words, where are the
proble areas on which #ou would focus #our attention, and who ight provide ideas for 4best practices4 based on their
perforance2
4. What actions would #ou take at the id+#ear point if #ou were a capitated hospital2 ,n this case, the revenue spreadsheet
would be replaced with an overall budget of 56% illion with which to operate (rather than being able to bill for each episode of
patient care)' (ederal, state, count#, and cit# hospitals norall# operate under a capped budget' 7dditionall#, an# 3!8s also
operate under a fixed Per !eber, Per !onth (P!P!) capitated process'
Schumpert Medical Center
Revenues Worksheet Mid!"ear Review
#npatient
,npatient Product -ine Price9RWP
",R" 5 :,%&%':6 ;$< 5 <,=6&,;&& <$& 5 $,6=%,:;:
>,?@ST 5 :,%$&':6 &,&:& 5 :,ABB,&$6 :=: 5 =,B=%,<%$
@CT 5 :,%%&':6 &=% 5 ;B%,$&6 ;$ 5 <==,A<B
?)C 5 :,%&=':6 $&A 5 &,=&=,AB= &&: 5 :A;,&$B
!@CT7- 3@7-T3 5 6%$'AA &,=6& 5 :;A,6=A ;=: 5 =:A,A<A
C@RD8/S 5 :,&%=':6 $$B 5 &,=A&,:=$ &&$ 5 :B$,;<<
C@WE8RC 5 ;,%&<';& ;== 5 6,&<&,;B$ <== 5 =,%==,A%%
8E 5 6,;&=':6 &,6%& 5 B,6;:,&BA B:B 5 <,A:%,:$$
8RT38 5 :,%B<'&B :=& 5 =,B=A,&&B $;< 5 &,::<,:6B
8T3@R 5 :,%&B'&< $,&6$ 5 &$,A6&,%=; B%% 5 <,B&=,A:&
R@SP 5 :,&&B';= :;; 5 <,&<$,=B% &A; 5 &,$%$,A:%
$otal #npatient %arnin&s '()* + ()1((,1) 4**4 + 2422)'4'
(orecasted RWPs
(or ()&&
Pro.ected ,P Revenue
(or ()&&
7ctual RWPs
(()&& )T>)
7ctual ,P Revenue
(()&& )T>)
Schumpert Medical Center
%-penses Worksheet Mid!"ear Review
#npatient
,npatient Product -ine
",R" 5 6,<;6'B& :A% 5 =,;;B,=%A ;$< 5 <,$%$,=6: <$& 5 $,<;$,B$$
>,?@ST 5 6,<;:'B& &,&%6 5 :,%6&,B;6 &,&:& 5 :,;=;,&BB :=: 5 <,=6:,&;=
@CT 5 6,<;;'B& &$< 5 :;A,$<B &=% 5 ;6<,B<$ ;$ 5 <:$,B$$
?)C 5 6,<;B'B& $%B 5 &,&=A,6A$ $&A 5 &,$:B,A<; &&: 5 ;;;,=$$
!@CT7- 3@7-T3 5 <AB';B &,$B; 5 :<&,A=% &,=6& 5 ;&<,$B= ;=: 5 <%%,;=%
C@RD8/S 5 6,<;B'B& $&; 5 &,&BB,A%$ $$B 5 &,=$<,&&A &&$ 5 :;6,&;=
C@WE8RC 5 6,<;B'B& :AB 5 =,B$<,$%A ;== 5 <,$6:,A$: <== 5 $,A;&,%$%
8E 5 6,<;B'B& &,<=% 5 ;,B=<,:AB &,6%& 5 B,;&;,&&6 B:B 5 6,<;$,BA$
8RT38 5 6,<;B'B& :%& 5 =,$A$,;:6 :=& 5 =,::<,66; $;< 5 &,;;&,%:=
8T3@R 5 6,<;B'B& $,%6% 5 &&,$=&,6:& $,&6$ 5 &$,<A;,B$= B%% 5 <,::$,$;;
R@SP 5 6,<;B'B& :<6 5 =,6==,B=$ :;; 5 =,A=&,;%< &A; 5 &,$==,;;&
$otal #npatient %-penses 5 <=,&A:,A$$ '()* + 4.)*'.*) 4**4 + 2(2(*)*2
Eudget9RWP
(()&%)
7ctual RWPs
(()&%)
,P @xpenses
(()&%)
(orecasted RWPs
(()&&)
()&& Eudget
(()&%F:G ,nflation)
7ctual RWPs
(()&& )T>)
7ctual ,P @xpenses
(()&& )T>)
Product -ine !>" >escription
",R" >iseases and >isorders of the "irculator# S#ste
>,?@ST >iseases and >isorders of the >igestive S#ste
@CT >iseases and >isorders of the @ar, Cose, !outh, and Throat
?)C >iseases and >isorders of the (eale Reproductive S#ste
!3 !ental >iseases and >isorders
!3 7lcohol9>rug /se and 7lcohol9>rug ,nduced 8rganic !ental >isorders
C@RD8/S >iseases and >isorders of the Cervous S#ste
C@WE8RC Cewborns and 8ther Ceonates with "onditions 8riginating in Perinatal Period
8E Pregnanc#, "hildbirth, and the Puerperiu
8RT38 >iseases and >isorders of the !usculoskeletal S#ste and "onnective Tissue
8T3@R /nknown
8T3@R >iseases and >isorders of the @#e
8T3@R >iseases and >isorders of the 3epatobiliar# S#ste and Pancreas
8T3@R >iseases and >isorders of the Skin, Subcutaneous Tissue and Ereast
8T3@R @ndocrine, Cutritional and !etabolic >iseases and >isorders
8T3@R >iseases and >isorders of the Hidne# and /rinar# Tract
8T3@R >iseases and >isorders of the !ale Reproductive S#ste
8T3@R >iseases and >isorders of the Elood, Elood (oring 8rgans, ,unological >is
8T3@R !#eloproliferative >iseases and >isorders, Poorl# >ifferentiated Ceoplas
8T3@R ,nfectious and Parasitic >iseases, S#steic or /nspecified Sites
8T3@R ,n.uries, Poisonings and Toxic @ffects of >rugs
8T3@R Eurns
8T3@R (actors ,nfluencing 3ealth Status and 8ther "ontacts with 3ealth Services
8T3@R !ultiple Significant Traua
8T3@R 3uan ,unodeficienc# Dirus ,nfections
R@SP >iseases and >isorders of the Respirator# S#ste

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