Introduction
XYZ Health Care System is an organization involved in service delivery (medical treatment) to more than 500,000 homeless million people. With its capital Oklahoma, it serves 4 other neighboring states namely New York, Boston, and Philadelphia. Since its inception in 1995 it has managed to cater to a wide range of the medical needs of its clients.
One of the goals set by the organization in the year 2000 (to double its current number of health facilities by opening new branches in Virginia, Dallas, Oklahoma and Texas) is in the drawing board and the funds have been proposed as follows below.
Justification
The growing number of homeless people in the 4 new states calls for immediate action in terms of giving them medical cares since other hospitals require a medical scheme from any person seeking treatment. The homeless people do not have any medical cover (Wildavsky, Baskin, 1982, P.60).
Secondly, facilities for medical care need to be set up in the following chosen 4 states: Virginia, Oklahoma, Dallas and Chicago.
Thirdly, the above medical facilities will require medical attendants in the form of doctors, nurses and other hospital staff.
Lastly, tax requirements by the laws of the 4 different states will call for funding.
Demographics
An estimated 50,000 homeless people in the 4 states is homeless and has no medical cover. This project aims to serve at least 95% of them in at least 4 states.
NB:
- Total Number of Doctors (in one facility) X 4 Medical facilities = $9,436,800 $ (2,359,200)
- Variances on tax estimated at a total of $30 M. annually for the 4 new facilities.
- The salaries of the staff are for the first 6 year before the health facilities start generating income to pay their staff.
- Grand Total Expenditure = $ 4,067,405,800
Payback Period
The project will cost a total of $ 5 billion and will thus take 6 years to pay back costs due to factors like tax, the current and foreseeable inflation rate (Dayananda D., Irons R., Harrison S., Herbohn J., Rowland P. (2002).
Revenue Generation
Though not a profit generating scheme, these health facilities will need to generate income so as to be self sustaining. Thus, aside from reliance on the states’ funding and NGOs, the facilities will have pharmacies that will be accessible not only to the homeless at reduced prices but to the rest of the public at normal prices (Moraglio J., Kerrigan H, 1986 P.17).
References
Penner R.(1981). The Congressional Budget Process after Five Years. Washington , DC : American Enterprise Institute.
Lynch T (1991). Federal Budget and Financial Management Reform. New York: Quorum
Dayananda D., Irons R., Harrison S., Herbert J., Rowland P (2002). Budgeting: Financial Projects. Cambridge, English: Cambridge University Press.
Wildavsky A., Baskin M. (1982). The Federal Budget: Economics and Politics. San Francisco: Institute for Contemporary Studies.
Moraglio J., Kerrigan H(1986). The Federal Budget and Financial System: A Management Perspective. New York: Quorum Books.