NURS 6211: Week 5: Budgeting–Part 1

NURS 6211: Finance and Economics in Health Care Delivery | Week 5

Think back to last Week’s example of a nurse manager running a small university clinic. If you were this nurse manager, you would now have to prepare a budget for the coming year. First of all, who makes decisions about what goes in the budget? Do you get to decide as the manager of the clinic, or does your budget come from the university administration? Second, what are the critical items that must be included, and what are other items that may be less critical but still helpful to have? What if that flu epidemic hits? Will your budget be prepared for that? Could you deviate from the budget without dire consequences?

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This week, you explore different philosophies of budget development and examine issues that influence budget decisions. You also practice developing a budget for a health care organization or department.

Learning Objectives

Students will:

  • Evaluate budgeting approaches
  • Apply volume calculations to budget decisions
  • Apply staffing and supply calculations to budget decisions


Learning Resources

Note: To access this Week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Baker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and Bartlett Learning.

  • Chapter 16, “Operating Budgets” (pp. 177-187)
  • This chapter describes how to develop and use an operating budget and what types of expenses will be included in this budget. It also contrasts an operating budget with a capital expenditure budget.

Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.


  • Chapter 9, “Using Cost Information to Make Special Decisions” (pp. 372–422)Review: In this chapter, the authors delve into fixed and variable costs, which largely help determine decisions about services and how much to charge for them. The chapter also explores break-even analysis, which studies the relationship among revenues, costs, and volume. 
  • Chapter 10, “Budgeting” (pp. 423–468)This chapter highlights the reasons for budgeting in health care and discusses the different types of budgets. The chapter also includes an extended example of how to develop a budget.

Document: Week 5 Application Assignment Template (Excel spreadsheet)

Document: Budget forms Transcript (PDF)

Required Media

Laureate Education (Producer). (2012). Budget forms. Baltimore, MD: Author.

In this video, William Ward highlights the different types of budget forms available to nurse managers. He identifies the key parts of each and demonstrates how to fill out budget forms.

Laureate Education (Producer). (2015). Week 5 Application Assignment Tutorial: Cash Flow Scenario. Baltimore, MD: Author.

Laureate Education (Producer). (2015). Week 5 Application Assignment Tutorial: Fixed Variable Scenario. Baltimore, MD: Author.

Laureate Education (Producer). (2015). Week 5 Application Assignment Tutorial: Net Revenue Scenario. Baltimore, MD: Author.

Laureate Education (Producer). (2015). Week 5 Application Assignment Tutorial: Staffing and Supply Budget Scenario. Baltimore, MD: Author.

Laureate Education (Producer). (2015). Week 5 Application Assignment Tutorial: Volume Budget Scenario. Baltimore, MD: Author.


There is no graded Discussion Board assignment this week; however, a Week 5 optional discussion board is available for your voluntary participation this week.

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