Post Office Square
Internal Medicine Operating Budget [Growth]
                                               Year 1          Year 2          Year 3            Year 4            Year 5
   Projected Visit Growth                       2200            6600           11000             15400             19800

Revenue
  Fee for Service Revenue                  $    242,000    $    726,000    $    1,210,000    $    1,694,000    $     2,178,000
  Capitated Revenue                        $    198,000    $    594,000    $      990,000    $    1,386,000    $     1,782,000
  Revenue Adjustments                      $   (154,000)   $   (462,000)   $     (770,000)   $   (1,078,000)   $    (1,386,000)
  TOTAL Revenue                            $    286,000    $    858,000    $    1,430,000    $    2,002,000    $     2,574,000

Expenses
  Physician Salary                         $    175,000    $    350,000    $      525,000    $      700,000    $      875,000
  Physician Fringe (23.5%)                 $     41,125    $     82,250    $      123,375    $      164,500    $      205,625
  Physician Assistant Salary               $     29,700    $     59,400    $       89,100    $      118,800    $      148,500
  Physician Assistant Fringe (27.5%)       $      8,168    $     16,335    $       24,503    $       32,670    $       40,838
  Registered Nurse Salary                  $     15,000    $     30,000    $       45,000    $       60,000    $       75,000
  Registered Nurse Fringe (27.5%)          $      4,125    $      8,250    $       12,375    $       16,500    $       20,625
  Clinical Support Salary                  $     38,000    $     76,000    $      114,000    $      152,000    $      190,000
  Clinical Support Fringe (27.5%)          $     10,450    $     20,900    $       31,350    $       41,800    $       52,250
  Business Support Salary                  $        -      $     40,000    $       40,000    $       80,000    $       80,000
  Business Support Fringe (27.5%)          $        -      $     11,000    $       11,000    $       22,000    $       22,000
               Sub Total Salary Expense    $    321,568    $    694,135    $    1,015,703    $    1,388,270    $    1,709,838

   Medical Supplies                        $       4,080   $      8,160    $       12,240    $       16,320    $       20,400
   Office Supplies                         $       1,200   $      2,400    $        3,600    $        4,800    $        6,000
   Parking [MDs]                           $       8,400   $     16,800    $       25,200    $       33,600    $       42,000
               Sub Total Other Expenses    $      13,680   $     27,360    $       41,040    $       54,720    $       68,400

   TOTAL Expenses                          $    335,248    $    721,495    $    1,056,743    $    1,442,990    $    1,778,238

NET GAIN/(LOSS)                            $     (49,248) $     136,505    $      373,258    $      559,010    $      795,763

Notes/Assumptions:
Revenue Adjustments include capitation and contractual adjustments, credentialing denial, free care, credit card expense, etc.
Use existing clinical space at no additional build-out cost.
Overhead costs covered in existing P&L.
POS patient has an average of 2 visits/year.
Medical & Office Supplies increase incrementally based on additional FTEs.
FTE Additions [per year]
  1.00 MD
  0.33 Physician Assistant
  0.25 Registered Nurse
  1.00 Clinical Support Assistant
  1.00 Business Support Assistant [year 2 and 4].


Post Office Square
Internal Medicine CAPITAL Budget
                                               Year 1          Year 2          Year 3            Year 4            Year 5             Total
Clinical Equipment
    Exam Table                             $       1,700   $       1,700   $        1,700    $        1,700    $        1,700     $       8,500
    Scale                                  $         800   $         800   $          800    $          800    $          800     $       4,000
    Light Source                           $       1,420   $       1,420   $        1,420    $        1,420    $        1,420     $       7,100
    Exam Room Wall Light                   $         400   $         400   $          400    $          400    $          400     $       2,000
    Stool                                  $         380   $         380   $          380    $          380    $          380     $       1,900
    Chair                                  $         440   $         440   $          440    $          440    $          440     $       2,200
    Blood Pressure Wall Unit               $         200   $         200   $          200    $          200    $          200     $       1,000
    Needle Box Wall Unit                   $         240   $         240   $          240    $          240    $          240     $       1,200
    Otoscope and holder                    $         700   $         700   $          700    $          700    $          700     $       3,500
IT Equipment                               $         -     $         -     $          -      $          -      $          -       $         -
    Ergotron Set-up                        $         800   $         800   $          800    $          800    $          800     $       4,000
    Flat Panel Monitor                     $         360   $         360   $          360    $          360    $          360     $       1,800
    PC                                     $       2,000   $       2,000   $        2,000    $        2,000    $        2,000     $      10,000
Inflation                                  $         -     $         283   $          292    $          300    $          309     $       1,185
TOTAL COST                                 $       9,440   $       9,723   $       10,015    $       10,315    $       10,625     $      48,385

* Assumes two exam rooms per MD and 3% inflation.

Managerial Accounting Final Budget Analysis P2

  • 1.
    Post Office Square InternalMedicine Operating Budget [Growth] Year 1 Year 2 Year 3 Year 4 Year 5 Projected Visit Growth 2200 6600 11000 15400 19800 Revenue Fee for Service Revenue $ 242,000 $ 726,000 $ 1,210,000 $ 1,694,000 $ 2,178,000 Capitated Revenue $ 198,000 $ 594,000 $ 990,000 $ 1,386,000 $ 1,782,000 Revenue Adjustments $ (154,000) $ (462,000) $ (770,000) $ (1,078,000) $ (1,386,000) TOTAL Revenue $ 286,000 $ 858,000 $ 1,430,000 $ 2,002,000 $ 2,574,000 Expenses Physician Salary $ 175,000 $ 350,000 $ 525,000 $ 700,000 $ 875,000 Physician Fringe (23.5%) $ 41,125 $ 82,250 $ 123,375 $ 164,500 $ 205,625 Physician Assistant Salary $ 29,700 $ 59,400 $ 89,100 $ 118,800 $ 148,500 Physician Assistant Fringe (27.5%) $ 8,168 $ 16,335 $ 24,503 $ 32,670 $ 40,838 Registered Nurse Salary $ 15,000 $ 30,000 $ 45,000 $ 60,000 $ 75,000 Registered Nurse Fringe (27.5%) $ 4,125 $ 8,250 $ 12,375 $ 16,500 $ 20,625 Clinical Support Salary $ 38,000 $ 76,000 $ 114,000 $ 152,000 $ 190,000 Clinical Support Fringe (27.5%) $ 10,450 $ 20,900 $ 31,350 $ 41,800 $ 52,250 Business Support Salary $ - $ 40,000 $ 40,000 $ 80,000 $ 80,000 Business Support Fringe (27.5%) $ - $ 11,000 $ 11,000 $ 22,000 $ 22,000 Sub Total Salary Expense $ 321,568 $ 694,135 $ 1,015,703 $ 1,388,270 $ 1,709,838 Medical Supplies $ 4,080 $ 8,160 $ 12,240 $ 16,320 $ 20,400 Office Supplies $ 1,200 $ 2,400 $ 3,600 $ 4,800 $ 6,000 Parking [MDs] $ 8,400 $ 16,800 $ 25,200 $ 33,600 $ 42,000 Sub Total Other Expenses $ 13,680 $ 27,360 $ 41,040 $ 54,720 $ 68,400 TOTAL Expenses $ 335,248 $ 721,495 $ 1,056,743 $ 1,442,990 $ 1,778,238 NET GAIN/(LOSS) $ (49,248) $ 136,505 $ 373,258 $ 559,010 $ 795,763 Notes/Assumptions: Revenue Adjustments include capitation and contractual adjustments, credentialing denial, free care, credit card expense, etc. Use existing clinical space at no additional build-out cost. Overhead costs covered in existing P&L. POS patient has an average of 2 visits/year. Medical & Office Supplies increase incrementally based on additional FTEs. FTE Additions [per year] 1.00 MD 0.33 Physician Assistant 0.25 Registered Nurse 1.00 Clinical Support Assistant 1.00 Business Support Assistant [year 2 and 4]. Post Office Square Internal Medicine CAPITAL Budget Year 1 Year 2 Year 3 Year 4 Year 5 Total Clinical Equipment Exam Table $ 1,700 $ 1,700 $ 1,700 $ 1,700 $ 1,700 $ 8,500 Scale $ 800 $ 800 $ 800 $ 800 $ 800 $ 4,000 Light Source $ 1,420 $ 1,420 $ 1,420 $ 1,420 $ 1,420 $ 7,100 Exam Room Wall Light $ 400 $ 400 $ 400 $ 400 $ 400 $ 2,000 Stool $ 380 $ 380 $ 380 $ 380 $ 380 $ 1,900 Chair $ 440 $ 440 $ 440 $ 440 $ 440 $ 2,200 Blood Pressure Wall Unit $ 200 $ 200 $ 200 $ 200 $ 200 $ 1,000 Needle Box Wall Unit $ 240 $ 240 $ 240 $ 240 $ 240 $ 1,200 Otoscope and holder $ 700 $ 700 $ 700 $ 700 $ 700 $ 3,500 IT Equipment $ - $ - $ - $ - $ - $ - Ergotron Set-up $ 800 $ 800 $ 800 $ 800 $ 800 $ 4,000 Flat Panel Monitor $ 360 $ 360 $ 360 $ 360 $ 360 $ 1,800 PC $ 2,000 $ 2,000 $ 2,000 $ 2,000 $ 2,000 $ 10,000 Inflation $ - $ 283 $ 292 $ 300 $ 309 $ 1,185 TOTAL COST $ 9,440 $ 9,723 $ 10,015 $ 10,315 $ 10,625 $ 48,385 * Assumes two exam rooms per MD and 3% inflation.