Unit-related and batch-related costs


Problem: Activity-based costing in a health care organization. In computing the cost of patient stays, Riverside General Hospital assigns physician costs and medication costs directly to each patient. Riverside has examined its support costs for patient stays, resulting in identification of 18 account names, related account expenses, and cost drivers for support costs for the most recent fiscal year:

Account #    Account Name    Cost    Activity Cost Driver

101    Nursing services    $2,973,154.00    Nursing hours
102    Nursing administration    $1,269,762.00    Nursing hours
103    Pharmacy    $469,629.00    Number of patient days
104    Laboratory    $312,347.00    Number of tests
105    Medical supplies    $482,165.00    Number of patient days
106    Linen and laundry    $358,736.00    Pounds of laundry
107    Dietary    $813,148.00    Number of meals
108    Employee cafeterial    $167,239.00    Number of nurse days
109    Housekeeping    $706,308.00    Square feet of space
110    Medical records and library    $250,345.00    Number of patients
111    Social services    $199,026.00    Number of patients
112    Patient scheduling and administration    $60,238.00    Number of patients
113    Billing and collection    $112,280.00    Number of patients
114    Plant operations    $301,238.00    Square feet of space
115    Plant maintenance    $386,622.00    Square feet of space
116    Medical equipment operations    $496,275.00    Number of procedures
117    Insurance on hospital property    $38,350.00    Value of property
118    Hospital-related depreciation    $960,573.00    Value of property
Total operating costs $10,357,435.00

If you use 45.606 patient days as the cost driver activity level for the unit-related activity cost pool, what reimbursement from the insurance company is required to cover at least the unit-related and batch-related costs for a patient who stays in the hospital for 14 days?

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Accounting Basics: Unit-related and batch-related costs
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