Budgeting: Prepared By: Keizha V. Ronatay
Budgeting: Prepared By: Keizha V. Ronatay
Budgeting: Prepared By: Keizha V. Ronatay
Prepared by:
Keizha V. Ronatay
Definition
Systematic plan that is an informed best estimate by
nurse administrators of revenues and nurse expenses.
Purpose
To plan the objectives, programs, activities of nursing
services, and the fiscal resources needed to accomplish
them.
To motivate nursing workers through analysis of
actual experiences.
To serve as a standard to evaluate the performance of
nurse administrators and managers and increase
awareness of cost.
Types of Budget
Capital Budget
Accounts for the purchase of major new or replacement
equipment.
Structural Budget
Developed when renovation or new structures are
planned.
Includes labor, materials, building permit, inspection,
equipment, and so on.
Operational Budget
Accounts for the income and expenses associated with
day-to-day activity within a department or organization.
Other Types of Budget
Personnel Budget
Cost of direct labor
Includes recruitment, hiring, assigning, lay off, etc.
Fixed-ceiling Budget
Uppermost spending limit is fixed
Open-ended Budget
Single cost estimate
Flexible Budget
Budget that can be adjusted or manipulated
Sunset Budget
Self-destruct budget
Zero-based Budget
Expenses should be justified
Contingency Budget
Budget used in case of emergency
Budgeting Process
1. Budget Preparation
Demographic Information and Marketing
It identifies unique market characteristics such as age,
sex, income, and so on, that influence patient behavior.
It relates to determining what type of patients are
consumers that institution targets.
Marketing is the process of creating a product or health
care service for patients.
Competitive Analysis
It probes into how the competition is performing as
compared to other health care organizations.
It examines other hospitals or practices strengths and
weaknesses.
Regulatory Influences
Regulatory requirements and reimbursement rates have
an effect on financial performance.
Strategic Plans
Guides the staff at all levels so that the entire
organization can have a shared mission and vision with
clearly defined steps to meet the goals.
2. Scope of Service And Goals
It provides information related to the types of service
and the sites at which services are offered, including
the usual treatments and procedures, hours of
operation, and the types of patient/consumer groups.
3. Budget Development
Revenue
Is income generated through a variety of means,
including billable patient services, investments, and
donations to the organization.
Expenses
Are determined by identifying the costs associated with
the delivery of service.
Expenses
Direct Expenses
Expenses directly associated with the patient
E.g. medical and surgical supplies, drugs
Indirect Expenses
Expenses for items such as utilities that are not directly
related to patient care.
E.g. gas, electric, and phones
Fixed Cost
Expenses that are constant and are not related to
productivity or volume.
E.g. building and equipment depreciation, utilities,
fringe benefits, and administrative salaries
Variable Cost
Fluctuates depending upon the volume or census and
types of care required.
E.g. supplies, drugs, laundry, and food costs.
Labor
Is another significant expense associated with medical
and nursing care
Salaries and benefits account for 50% to 60% of
operational costs.
Analysis/calculation of labor time includes
professional, technical, and support staff.
Staffing
The amount of staff and types of staff are often
accounted for in a staffing model.
Unproductive Time
Is calculated into a budget because there has to be staff
coverage when nurses or other staff members are not
working.
E.g. sick-, vacation-, personal-, holiday-, and education
time.
4. Budget Approval and Monitoring
Budgets are submitted to administration for review
and final approval.
Senior management, representing finance and
operations, often makes the final decision regarding
acceptance of budget.
The end!