HCA301 Healthcare Finance
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Creating operating and capital expenditures budgets is a major task for financial managers considering the amount of requests for money as well as the documentation requirements that accompany such requests.
Worthwhile Hospital has a total capital expenditure budget for next year of $5,000,000. Of this amount, $3,000,000 is already committed as spending for capital assets that have already been acquired and are in place. The remaining $2,000,000 is available for new assets and for new projects or programs.
Worthwhile Hospital typically divides the available capital expenditure funds into monies available for inpatient purposes and monies available for outpatient purposes. This year the split is proposed to be 50-50.
The hospital’s CFO is also proposing that a scoring system be used to evaluate this year’s proposals. She has set up a scoring system that allows a maximum of five points. Thus the low is a score of one point and the high is a score of five points.
In addition to the points earned by a funding proposal, the CFO will allow one “bonus point” for upgrading existing equipment and one “bonus point” for funding expansion of existing programs.
Ted Jones, the Surgery unit Director, is about to choose his strategy for creating a capital expenditure funding proposal for the coming year. Ted’s unit needs more room. The Surgery unit is running at over 90% capacity. In addition, a prominent cardiology surgeon on staff at the hospital wants to create a new cardiac surgery program that would require extensive funding for more space and for new state-of-the-art equipment. The surgeon has been campaigning with the hospital board members.
What should Ted decide to ask for? How should he go about crafting a strategy to justify his request, given the hospital’s new scoring system? In your response discuss the role of the concept of the time value of money and how it will factor into Ted’s proposal and the analysis for Ted’s proposal by the financial manager.
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