Question

ABC, Resource Drivers, Service Industry

Glencoe Medical Clinic operates a cardiology care unit and a maternity care unit. Colby Hepworth, the clinic’s administrator, is investigating the charges assigned to cardiology patients. Currently, all cardiology patients are charged the same rate per patient day for daily care services. Daily care services are broadly defined as occupancy, feeding, and nursing care. A recent study, however, revealed several interesting outcomes. First, the demands patients place on daily care services vary with the severity of the case being treated. Second, the occupancy activity is a combination of two activities: lodging and use of monitoring equipment. Since some patients require more monitoring than others, these activities should be separated. Third, the daily rate should reflect the difference in demands resulting from differences in patient type. Separating the occupancy activity into two separate activities also required the determination of the cost of each activity. Determining the costs of the monitoring activity was fairly easy because its costs were directly traceable. Lodging costs, however, are shared by two activities: lodging cardiology patients and lodging maternity care patients. The total lodging costs for the two activities were $5,714,000 per year and consisted of such items as building depreciation, building maintenance, and building utilities. The cardiology floor and the maternity floor each occupy 19,900 square feet. Hepworth determined that lodging costs would be assigned to each unit based on square feet.

To compute a daily rate that reflected the difference in demands, patients were placed in three categories according to illness severity, and the following annual data were collected:

Activity	Cost of Activity	Activity Driver	Quantity
Lodging	$ 520,560	Patient days	21,690
Monitoring	2,149,200	Monitoring hours used	29,850
Feeding	498,870	Patient days	21,690
Nursing care	4,322,500	Nursing hours	227,500
Total	7,491,130

The demands associated with patient severity are also provided:

Severity	Patient Days	Monitoring Hours	Nursing Hours
High	7,220	14,940	140,000
Medium	11,070	11,820	75,500
Low	3,400	3,090	12,000

Required:

1. Suppose that the costs of daily care are assigned using only patient days as the activity driver (which is also the measure of output). Compute the daily rate using this unit-based approach of cost assignment. If required, round your answer to the nearest cent.
$ per day

2. Compute activity rates using the given activity drivers (combine activities with the same driver). If required, round your answers to the nearest cent.

Rate 1	$ per patient day
Rate 2	$ per monitoring hour
Rate 3	$ per hour of nursing care

3. Compute the charge per patient day for each patient type using the activity rates from Requirement 2 and the demands on each activity. Round your interim calculations and final answers to the nearest cent.

High severity	$ per patient day
Medium severity	$ per patient day
Low severity	$ per patient day

Answer 1

1	Unit-based approach	Estimated overhead / Patient days
		$7,491,130/21,690
		$345.37
2		Cost of Activity (a)	Activity Driver (b)	(a/b)
	Lodging and Feeding	$1,019,430	21,690	$47	per patient day	Rate 1
	Monitoring	$2,149,200	29,850	$72	per monitoring hour	Rate 2
	Nursing care	$4,322,500	227,500	$19	per hour of nursing care	Rate 3
		Patient days	Monitoring Hours	Monitoring Hours	Total	Per patient day (Total/patient days)
3	High severity	$339,340	$1,075,680	$2,660,000	$4,075,020	$564.41
	Medium severity	$520,290	$851,040	$1,434,500	$2,805,830	$253.46
	Low severity	$159,800	$222,480	$228,000	$610,280	$179.49
	Working
		(7220*$47)	(14940*$72)	(140000*$19)
		(11070*$47)	(11820*$72)	(75500*$19)
		(3400*$47)	(3090*$72)	(12000*$19)