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BUDGETING

Raharjo Apriyatmoko
STIKES Ngudi Waluyo

Importance of Financial
Management

Effect on
peoples work

The financial management


of the organization affects
many aspects of work : the
salaries offered, the
anticipated raises, the
number of people available
to do work and the quality
and quantity of equipment

or supplies available

Componen of the operating budget :

Costs (expenses)

Payroll : salary, vacation, social security,


education

Supplies : office supplies, treatment supplies

Overhead : building maintenance, water,


electric

Other : mortgage interest, loans, insurance

Revenue (income)

Patient sources : private pay, medicaid,


medicare, other insurance

Contributions : philanthropic, grants-in-aid,


research

Others : interest, rent, sale of equipment

Examples of important organizational


decisions based primary on budgeting
factors

A hospital with limited revenues (income) has


decided to close its obtetrics unit
A home health agency has chosen to serve
only private-pay and medical client, because
medicaid doesnt pay as much as it actually
costs to make the visit
Nursing home keeps staffing levels to
minimum required by law in order to reduce
costs and increase profits

Importance of Financial
Management

Blaming the Budget

The budget itself is just a document


A collection of piece of paper with
figures distributed according to a
series of decisions made by certain
people within organization

Planning 3
4
4
Roles, responsibility and authority

Responsibility for financial


management

Chief Executive Officer


Governing Board
Chief fiscal officer
Managers
Budget committee

Types of Budgeting1

Incremental budgeting

(historical budgeting) is traditional


process in which budgets, divided into
the components of operating budget
Begins with an analysis of the income
and expenses of the previous fiscal
year

Types of Budgeting2

Zero-base Budgeting
Is designed to require even more
justification from each
departement for any funds
budgeted for the next year

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