LJ DAVID W. YOUNG

LJ DAVID W. YOUNG second edition I JOSSEY-BASS A Wiley Imprint www.josseybass.com...

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LJ

DAVID W. YOUNG second edition

I

JOSSEY-BASS A Wiley Imprint www.josseybass.com

TENT: Figures and Tables

xvii

Preface

xix

The Author ESSENTIALS OF FULL-COST ACCOUNTING Learning Objectives Organization of the Chapter Uses of Cost Information Pricing Decisions Profitability Assessments Comparative Analyses Issues to Consider in Calculating Full Costs Resource Usage: A Conceptual Framework Land Labor Capital Units of Measure Limitations Cost Drivers The Cost Accounting Methodology Decision 1: Defining the Cost Object Decision 2: Determining Mission and Support Cost Centers Decision 3: Distinguishing Between Direct and Indirect Costs Decision 4: Choosing Allocation Bases for Support Center Costs Decision 5: Selecting an Allocation Method Decision 6: Attaching Costs to Cost Objects

1 1 2 2 2 3 3 4 5 5 6 7 7 7 8 9 9 10 13 14 20 23

i

Determining the Impact on Customer Prices

25

VIII

Contents

Summary of Cost Accounting Choices To Bear in Mind Appendix 1.1: The Reciprocal Method of Cost Allocation Practice Case: Mossy Bog Laboratories Case 1.1: Harbor City Community Center Case 1.2: Carroll Hospital Case 1.3: Atherton Medical Education Programs : COST BEHAVIOR

Learning Objectives Organization of the Chapter The Nature of Costs Fixed Costs Step-function Costs Variable Costs Semi-variable Costs Separating the Fixed from the Variable Relation of Cost Behavior to Full-cost Accounting Cost Behavior in Organizations Cost-Volume-Profit Analysis Unit Contribution Margin Incorporating Other Variables into CVP Analysis Profit or Surplus Considerations Special Considerations in CVP Analysis CVP Analysis with Semi-variable Costs CVP Analysis with Step-function Costs CVP Analysis with Multiple Products or Services The Impact of Product Mix Contribution Contribution Income Statement To Bear in Mind ' Practice Case: Huntington Hospital Case 2.1: Carlsbad Home Care Case 2.2: Springfield Visiting Nurse Association Case 2.3: Abbington Health Center

26 26 27 29 30 34 45 63

63 64 64 64 64 65 66 66 67 67 70 72 72 72 73 73 73 75 76 79 79 82 82 83 85 87

Contents EE: DIFFERENTIAL COST ACCOUNTING

Learning Objectives Organization of the Chapter The Differential Cost Concept Principle 1: Full-cost Information Can Be Misleading Principle 2: Differential Costs Can Include Both Fixed and Variable Costs Principle 3: Assumptions Are Needed Principle 4: Causality Is Needed Principle 5: Sensitivity Analysis Can Be Helpful Principle 6: A Contribution Income Statement Can Be Useful Sunk Costs Sunk Costs and Intuition Sunk Costs in Organizational Settings The Strategic Perspective The Outsourcing Situation Keep or Drop a Product Line Sporadic Use of the Strategic Perspective Precision of Depreciation Relationship to Changing Strategic Scenarios Nonquantitative Considerations Allocated Overhead Misleading Allocation Bases Effects of the Step-down Sequence The Analytical Effort To Bear in Mind Practice Case: Narcolarm, Inc. Case 3.1: Lakeside Hospital Case 3.2: Boston University Medical Center Hospital Case 3.3: Huron Joint Company

IX 91

91 92 92 94 94 94 94 95 96 96 96 97 100 100 103 105 106 106 106 107 107 109 111 111 112 114 120 130

FOPS; ABSORPTION COSTING

135

Learning Objectives Organization of the Chapter Health Care's Stage 2 Dilemma

135 136 136

X

Contents

The Ratio of Costs to Charges Solving the Problem A Functional Classification of Manufacturing Costs Direct Manufacturing Costs Indirect Manufacturing Costs Applicability to Health Care Some Terminology Cautions Computing Full Cost Process System Job Order System Unit Costs The Overhead Rate The Basis The Computation Predetermined Overhead Rates Overhead Variances Flexible Overhead Budgets Calculation Steps Terminology Issues Accounting Implications of an Overhead Variance Managerial Uses of Overhead Variances To Bear in Mind Practice Case: Crimson Chair Company Case 4.1: Owen Hospital (A) Case 4.2: Neighborhood Servings (A) Case 4.3 South Bristol Hospital FiWE: ACTIVITY-BASED COSTING

Learning Objectives Organization of the Chapter Activity-based Costing Conditions for ABC Establishing Multiple Second-stage Cost Drivers A General Approach

138 140 140 140 140 142 143 143 143 143 145 145 145 146 146 149 149 154 158 159 160 160 161 164 166 168 177

177 178 178 180 180 184

Contents

Cost Drivers in Other Health Care Settings To Bear in Mind Practice Case: Lincoln Dietary Department Case 5.1: Owen Hospital (B) Case 5.2: Neighborhood Servings (B) Case 5.3: Cortland Manufacturing, Inc. Case 5.4: Massachusetts Eye and Ear Infirmary C: RESPONSIBILITY ACCOUNTING: AN OVERVIEW

Learning Objectives Organization of the Chapter Cost Accounting and Responsibility Accounting Responsibility Accounting Systems Defined The Responsibility Accounting Structure Types of Responsibility Centers Role of Senior Management The Design Process Aligning Responsibility and Control: The Fairness Criterion A Working Example The Responsibility Accounting Framework Strategic Planning Task Control Management Control Formal Management Control Activities Programming Budgeting Operating and Measuring Reporting To Bear in Mind Practice Case: Akron Public Health Department Case 6.1: LaSalle Hospital Case 6.2: Franklin Health Associates (A) Case 6.3: Southern Seattle University Health System (A)

XI

187 189 190 192 196 201 203 219

219 220 220 221 223 224 226 227 228 229 232 232 232 233 233 234 235 237 239 240 241 244 252 262

XII

Contents

SEVEW; DESIGNING THE RESPONSIBILITY ACCOUNTING STRUCTURE 273

Learning Objectives Organization of the Chapter Making Profit Centers Work Issue #1: The Fairness Criterion Issue #2: The Goal Congruence Criterion Issue #3: The Transfer Pricing System Issue #4: The Cross-subsidization Policy Design Complications Matrix Organizations Responsibility Centers and Motivation The Role of Contingent Compensation Overarching Themes Link to the Responsibility Accounting System Transfer Pricing Problems Issues to Consider in Setting Transfer Prices Relation to Informal Authority and Influence To Bear in Mind Practice Case: Valley Hospital Case 7.1: White Hills Medical Center Case 7.2: Converse Health System Case 7.3: Apogee Health Care

273 274 274 274 275 275 276 277 277 280 281 281 282 282 284 286 287 289 291 293 303

EIGHT; PROGRAMMING Learning Objectives Organization of the Chapter Programming: An Overview Capital Budgeting Techniques Capital Investment Decision Making Effect of Taxes Effect of Accelerated Depreciation Choosing the Discount Rate Weighted Cost of Capital Current versus Projected Weighted Cost of Capital Incorporating Risk into the Analysis

317 317 318 318 319 319 323 325 327 327 328 328

Contents

XIII

Nonquantitative Considerations Link to Strategy Link to Culture Link to Conflict Management To Bear in Mind Appendix 8.1: The Concept of Present Value Appendix 8.2: Special Programming Issues in Governmental Organizations Practice Case: Erie Hospital Case 8.1: Yoland Research Institute Case 8.2: Green Valley Medical Center Case 8.3: Disease Control Programs

329 330 330 330 331 332 336 343 345 348 357

; OPERATIONAL BUDGETING

Learning Objectives Organization of the Chapter The Context for Operational Budgeting Organizational Context Budgeting Context Formulating the Budget: Behavioral Aspects Formulating the Budget: Mechanical Aspects Budgeting Misfits 1. Between the Cost Structure and the Budget Structure 2. Between the Cost Structure and Budget Monitoring Reports 3. Between Strategic Success Factors and the Budgeting Phase 4. Between the Organizational Structure and the Budget 5. Between Strategic Objectives and the Budget Process 6. Between Motivation Systems and the Responsibility Accounting System 7. Between the Budget Formulating and Budget Monitoring Phases Toward More Effective Budgeting To Bear in Mind ' Practice Case: Los Reyes Hospital (A) Case 9.1: Bandon Medical Associates (A) Case 9.2: Sonsonala (A)

367

367 368 368 369 371 373 374 378 378 378 378 379 379 380 381 381 382 382 385 388

XIV

Contents

Case 9.3: North Lake Medical Center Case 9.4: Southern Seattle University Health System (B) Case 9.5: Rush-Presbyterian-St Luke's Medical Center TEN: CASH BUDGETING

Learning Objectives Organization of the Chapter Link to the Dual-aspect Concept Cash-Related Cycles The Operating Cycle The Financing Cycle Financial Accounting versus Financial Management Key Cash Management Concepts Debt Structure Leverage The Role of Profit Making the Forecasts Business Growth Product Line Changes The Statement of Cash Flows Operating Activities Investing Activities Financing Activities To Bear in Mind Practice Case: Gotham Meals on Wheels Case 10.1: Sonsonala (B) Case 10.2: Brookstone Ob-Gyn Associates Case 10.3: Menotomy Home Health Services Case 10.4: Boise Park Health Care Foundation ELEVEN; MEASURING AND REPORTING Learning Objectives Organization of the Chapter The Measuring Phase

390 403 407 425

425 426 426 427 427 429 431 431 431 434 436 439 439 439 440 440 440 442 444 445 447 449 458 464 471 471 472 472

Contents

XV

Aligning Responsibility with Control

472

Measuring and Reporting Techniques

472

Flexible Budgeting

473

Variance Analysis

474

A Graphic Illustration

475

Calculating Variances

477

Managerial Uses of Variances

483

Limitations of Variance Analysis

483

The Reporting Process

484

Timeliness

484

Hierarchy of Information

484

Relevance and Accuracy

487

Behavioral Factors

489

Measuring and Reporting Nonfinancial Information

489

Criteria for Good Nonfinancial Reports

493

Linking Nonfinancial to Financial Performance

494

To Bear in Mind

495

Practice Case: Oak Street Nursing Home

496

Case 11.1: Bandon Medical Associates (B)

496

Case 11.2: Los Reyes Hospital (B)

503

Case 11.3: Spruce Street Shelter

508

Case 11.4: Franklin Health Associates (B)

510

Case 11.5: Union Medical Center

514

IIWE: IMPLEMENTING A NEW RESPONSIBILITY ACCOUNTING SYSTEM

523

Learning Objectives

523

Organization of the Chapter

524

Criteria for a Good Responsibility Accounting System

524

Structural Criteria j

524

?

524

Process Criteria Behavioral Criteria

525

Key Characteristics of a Good Responsibility Accounting System

525

The Responsibility Accounting Context

526

XVI

Contents

Managing the Change Effort Resistance to the Change Effort Dealing with Resistance Short-term Wins Consolidating and Moving Forward To Bear in Mind Case 12.1: The Robert Wood Johnson Medical School Case 12.2: Hillside Hospital Case 12.3: Omega Research Institute Case 12.4: Fletcher Allen Health Care

528 531 532 533 533 535 535 554 564 576

iix: Solyfions to Practice Cases Glossary off Selected Terms and Concepts

635 641