Chapter 17:
Capital
Expenditure
Budgets
Capital Expenditure Budgets
• Because capital expenditures generally
acquire long lasting assets, capital
expenditure budgets usually involve longterm financial issues.
• Capital expenditure budgets are also
sometimes known as “capital spending
plans.”
Versus Operating Budgets
• Usually deal with short-term revenues and
expenses that are necessary to operate
the facility.
Creating the Budget
Capital expenditure budgets are often
created in two parts:
• Spending for assets already acquired
• Spending for new capital assets
Budget Construction and the
Cash Flow Analysis Concept
• A cash flow analysis illustrates how the
project’s cash is expected to move over a
period of time.
• When constructing a capital expenditure
budget, the cash flow analysis should be
cumulative.
Cash Flow Reporting Methods
Cash flow reporting for this purpose typically
uses one of four methods:
• Payback Method
• Accounting Rate of Return
• Net Present Value
• Internal Rate of Return
(All four methods are described, including an
example for each, in the Appendix to the
chapter.)
Budget Inputs
• Capital Expenditure Budget Construction
with Operating Budget Inputs
• If the operating budget proposal would
require additional capital equipment
and/or space renovations, then capital
expenditure budget inputs may have to be
included to recognize the impact of these
operations proposals.
Figure 17-1 Capital Expenditures Budget Inputs.
Budget Construction and
Startup Cost Concept
• On the other hand, if the capital
expenditures budget proposal includes
operational expenses, management often
requires that startup costs also be
considered.
Funding Request Process
• The process of funding capital
expenditure requests (also known as
proposals) varies case-by-case
depending upon the particular
organization.
Capital Expenditure Proposals
• Acquiring new equipment
• Upgrading existing equipment
• Replacing existing equipment with new
equipment
• Funding new programs
• Funding expansion of existing programs
• Acquiring capital assets for future use
Rationing Available Capital
• Only a limited amount of capital is usually
available for capital expenditures, so
rationing is necessary.
• Three factors will probably be considered:
– Necessity for the request
– Cost of capital to the organization
– Return that could be realized on alternative
investments
Evaluating Capital Expenditure
Proposals
• Because rationing is necessary,
evaluating the proposals is a method of
allocating the available capital.
• Evaluating capital expenditure proposals
may be either subjective or objective.
• Objective evaluation is the most
desirable.
(See more details in the chapter.)
Evaluating Capital Expenditure
Proposals
An objective evaluation may involve two
steps:
• Scoring all proposals received
• Ranking the higher-scoring proposals
Chapter 16:
Operating
Budgets
Budget Types
• An organization’s objectives define
– specific activities
– how they are assembled
– levels of operation
• While an organization’s performance
standards
– set out performance levels
• A budget quantifies these activities into
financial terms.
Budget Process Objectives
Objectives should provide:
• Written expression, quantified, of policies
and plans
• Basis to evaluate financial performance
according to policies and plans
• Useful tool for cost control
• Creation of cost awareness throughout
the organization
Budget Types
There are basic differences between two
budget types:
• Operating budgets
• Capital expenditure budgets
Operating Budgets
• Deal with actual short-term operating
revenues and operating expenses
• Generally cover the next year (a 12month period)
Capital Expenditure Budgets
• Deal with capital expenditures for the
organization (not operating revenues or
expenses)
• May also cover the next year, but with a
futuristic view; may cover a five- or even
ten-year period
Responsibility Centers
• Cost Centers (manager responsible for
controlling costs)
• Profit Centers (manager responsible for
both costs and revenue)
Budget Viewpoints
• Transactions outside the operating budget
may include:
– Grants received by the organization
– Foundation transactions
• So if transactions are “outside,” they
would not be part of the operating budget.
Budget Viewpoints
• Grants received by the organization may
have restricted funds that require
separate accounting.
• If so, the separate accounting
requirement generally means their
transactions will be outside the operating
budget.
Budget Viewpoints
• Foundation transactions should require
separate accounting because the
foundation will be a legally separate
organization
• The separate accounting requirement
should mean their transactions will be
outside the operating budget.
Identifiable Versus Allocated
Budget Costs
• Within a departmental budget, certain
costs will be specifically identifiable while
others will be allocated instead.
Budget Basics Review
Regarding Identifiable versus Allocated
Budget Costs:
• Mostly identifiable = Direct patient care
and supporting patient care
• Usually allocated = general and
administrative expense and patient
related expense
• Maybe not included at all in a manager’s
budget = financial related expense
Fixed Versus Variable Costs
• Variable cost rises or falls in proportion to
a rise or fall in volume. (Examples of
volume: number of procedures or number
of patient days.)
• Fixed cost does not change even though
volume rises or falls within a wide range.
Building an Operating Budget:
Construction Phases
•
•
•
•
•
•
•
•
Plan
Gather information
Prepare input
Construct/submit draft version of budget
Make required revisions to draft
Present preliminary budget
Make required revisions to preliminary
Submit final budget
Building an Operating Budget:
Construction Elements
•
•
•
•
•
Format to be used
Budget scope
Available resources
Levels of review
Time frame
Building an Operating Budget:
Information Sources
• For the Operating Expenditures Plan:
– Operating Revenue Forecast
– Staffing Plan or Forecast
– Other Operating Expenses
• For the Preliminary Operating Budget:
– Capacity Level Checkpoints
(See Figure 16-5.)
Building an Operating Budget:
Assumptions
• A series of assumptions are made during
construction; many key assumptions are
within forecasts used for the budget
construction process.
• Sufficient information at the proper level
of detail is essential.
Building an Operating Budget:
Assumptions: Questions to Ask
• Are special projects going to use
resources during the new budget period?
• Are operations going to be placed under
unusual or inconvenient circumstances
during the new budget period?
(Renovation is an example.)
Building an Operating Budget:
Computations
• Supported by their assumptions
• Capable of being replicated or reproduced
by another qualified individual
• Comparable (as discussed in the text)
• Budget assumptions and computations
are intertwined in the construction
process.
Static Budgets
• Are essentially based on a single level of
operations. That level of operations—or
volume—is never adjusted during the
budget period.
(See example in Table 16-4.)
• It doesn’t move—therefore it is “static.”
Flexible Budgets
• Are based on a level of operation that will
change. In other words, the level of
operations, or volume, is adjusted to show
change during the budget period.
(See example in Table 16-5.)
• It is adjusted, or flexed—therefore it is
“flexible.”
Budget Review
To review a budget, the manager needs to
know
• How the budget report format is
constructed
• How to annualize partial year expenses
(More details are in the chapter.)
Building Budgets
• The budget process should begin with a
review of the strategy and objectives.
• Remember: Building a budget means
making a series of assumptions.
Building Budgets
To build a budget, a manager must consider
• The workload forecast (it must tie into the
forecasted volume)
• Whether budget projects will use resources
during the budget period
• Whether budget operations will be placed
under unusual or inconvenient
circumstances during the budget period
(remodeling, for example)
Budget: Example 16-A
Step 1.
Revenue
Expenses
Excess of Expenses over Revenue
Step 2.
Revenue
Expenses
Excess of Revenue over Expenses
Step 3.
Revenue
Expenses
Excess of Expenses over Revenue
Actual
$21,600,000
22,000,000
$ (400,000)
Budgeted
$24,000,000
22,400,000
$ 1,600,000
Actual
Budgeted
$21,600,000
22,000,000
$ (400,000)
$24,000,000
22,400,000
$ 1,600,000
Static Budget
Variance
$(2,400,000)
(400,000)
$(2,000,000)
Budget Practice Exercise 16-1
Step 1.
Revenue – Inpatient
Revenue – Outpatient
Subtotal
Expenses – Inpatient
Expenses – Outpatient
Subtotal
Excess of Expenses over Revenue
Step 3.
Revenue – Inpatient
Revenue – Outpatient
Subtotal
Expenses – Inpatient
Expenses – Outpatient
Subtotal
Excess of Expenses over Revenue
Actual
$17,550,000
4,400,000
$21,950,000
$16,100,000
4,000,000
$20,000,000
$ 1,850,000
Step 2.
Budgeted
Revenue – Inpatient
Revenue – Outpatient
Subtotal
Expenses – Inpatient
Expenses – Outpatient
Subtotal
Excess of Expenses over Revenue
Actual
$17,550,000
4,400,000
$21,950,000
$16,100,000
4,000,000
$20,000,000
$ 1,850,000
Budgeted
$19,500,000
4,000,000
$23,500,000
$18,000,000
3,800,000
$21,800,000
$ 1,700,000
$19,500,000
4,000,000
$23,500,000
$18,000,000
3,800,000
$21,800,000
$ 1,700,000
Static Budget
Variance
$(1,950,000)
400,000
$(1,550,000)
$(1,900,000)
200,000
$(1,700,000)
$ 150,000
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