Imagine you are a clinical manager of UMGC Health Care primary care services and in charge of developing a projected annual operating budget.

Your budgetary figures are as follows:

For fiscal year 2017 and 2018, your clinic received $3 million from the government as fee-for-services reimbursements, as well as $1.1 million from private payers. The clinic has an annual fund-raiser that historically brings in $180,000 and a grants department that brings in $1.2 million annually.

Your chief financial officer (CFO) has provided you with the following annual expenses:

UMGC Health Care Annual Expenses:
Annual salaries  – $1.5 million
Annual benefits – $ 240,000
Annual rent – $ 960,000
Annual insurance – $ 45,000
Annual depreciation – $ 780,000
Annual overhead – $ 180,000
Annual supplies – $60,000
 

Using the UMGC Health Care Operating Budget template, complete a 12-month operating budget in which you include the net profit (loss).

Write a 350- to 700-word executive summary that explains to the board of directors how you developed the budget and its importance.

Include the following in your summary:

Explain the process for creating an operating budget and its importance.

Explain how revenues and expenses are grouped for planning and control in the financial statements.

Explain the differences between cash and accrual financial systems.

Expert Solution Preview

Introduction:

Developing a projected annual operating budget is a crucial task for most healthcare organizations, including UMGC Health Care primary care services. This budget helps in planning and managing the financial resources, including revenues and expenses, required to run the clinic effectively. This answer discusses the process of creating an operating budget, the importance of this budget, how revenues and expenses are grouped for planning and control in the financial statements, and the differences between cash and accrual financial systems.

Creating an Operating Budget:

Creating an operating budget involves forecasting and estimating the revenues and expenses for a specific period, usually one year. The process starts with analyzing the past financial performance of the organization to understand the trends and factors that may affect the budget in the future. The revenue side of the budget includes all the resources that the clinic expects to generate during the period, such as fee-for-service reimbursements, donations, and grants. On the other hand, the expense side includes all the costs associated with operating the clinic, such as salaries, rent, insurance, overhead, and supplies.

Importance of an Operating Budget:

An operating budget is a critical tool for managing the financial resources of the clinic effectively. It helps to ensure that the clinic remains financially stable and that it can continue to provide high-quality care to its patients. Additionally, an operating budget helps to control expenses and identify areas where the clinic can cut costs without compromising on quality. Moreover, an operating budget serves as a basis for performance evaluation, enabling management to assess whether the clinic is achieving its financial goals.

Grouping Revenues and Expenses for Planning and Control:

In financial statements, revenues and expenses are grouped according to their nature and function to aid planning and control. The revenue section of the income statement shows all the financial resources generated during the period, such as fee-for-service reimbursements, donations, and grants. On the other hand, the expense section shows all the costs incurred during the period and groups them according to their function, such as salaries, rent, insurance, overhead, and supplies. Grouping expenses in this way helps management to track and monitor the various costs associated with running the clinic effectively.

Differences between Cash and Accrual Financial Systems:

The primary difference between cash and accrual financial systems is the timing of recognizing revenues and expenses. In a cash system, revenue and expenses are recognized only when cash changes hands, and not when services or products are delivered. In contrast, an accrual system recognizes revenues and expenses when they are earned or incurred, regardless of whether cash has changed hands. The accrual system provides a more accurate representation of the organization’s financial performance since it captures all the resources generated and used in the period.

Conclusion:

Developing an annual operating budget is a crucial responsibility for healthcare organizations such as UMGC Health Care primary care services. The process of creating a budget involves forecasting and estimating revenues and expenses for a specific period, usually one year. An operating budget is important because it helps management to control expenses, assess financial performance, and make informed decisions about resource allocation. Revenues and expenses in financial statements are grouped according to their nature and function to aid planning and control. Finally, the differences between cash and accrual financial systems lie in the timing of recognizing revenues and expenses, with the accrual system being more accurate.