Financial and personnel statistics.

Prepare written responses to each of the questions below. Your answer should be typed on a Microsoft Word document and must be written in passive voice (follow a third person narrative). Responses should contain a critical analysis that draws upon both theories drawn from textbooks as well as peer reviewed articles. REFERENCES AND CITATIONS are expected and required for all questions, and should be provided using the APA style guide, 6th edition.

1(B). This question requires you to explore finance, budgeting, organizational behaviors, personnel management, legal issues and strategic planning. Be sure you address each of these areas! (General and Specialization in Urban and Rural Hospitals)

You are the CEO of a large hospital in an eastern city. It is entirely nonunion and has never experienced an employee layoff since its inception. Occupancy rates in the hospital had run between 76 and 82 percent from 1990 to 2002. However, since then, occupancy has fallen to 57 percent. The decline has been experienced throughout the industry and is the result of changing reimbursement policies, emphasis on outpatient services, increasing competition, and the financial meltdown of 2008-2010. The declining occupancy rate has affected the hospital revenues to such an extent that it ran a deficit for the first time last year. The only response to these changes thus far has been a tightening of requirements for equipment or supply purchases. However, this is not enough.

The projected deficit for the coming year was $4,500,000, unless some additional revenue sources were identified or some additional savings were found. The Board of Directors recommended you consider laying off up to 15 percent of the hospital’s employees with an emphasis on those in “nonessential” area. However, the director of Human Resources has a concern that the layoffs themselves might be costly in terms of lost investment in some of the laid-off employees, higher turnover costs, lost efficiency, potential lawsuits, and lower morale.

Here are some financial and personnel statistics.

Here are some financial and personnel statistics.
Table 1. Percentage Distribution of Performance Appraisal Summary Ratings by Department at the hospital.
Department Unsatisfactory:
Needs to Improve Substantially Questionable:
Needs Some Improvement Satisfactory:
Meets Normal Expectations Outstanding:
Substantially Exceeds Norms
Nursing 6.4 6.4 54.2 33.0
Allied Health 5.7 6.2 47.8 40.3
Central Administration 2.7 3.1 67.5 26.7
Dietetics/Nutrition 2.1 6.2 68.3 23.4
Housekeeping/Maintenance 7.8 12.4 54.6 25.2
Medical Staff 1.1 6.2 63.8 28.9

Table 2. The Distribution of Employment and Payroll Expenditure at the hospital.
Department Number of Employees Payroll ($) Annual Turnover Rates (%)*
Nursing 700 $17,157,000 12.2
Allied Health 261 5,827,115 8.7
Central Administration 154 6,899,200 3.5
Dietetics/Nutrition 65 1,472,900 7.3
Housekeeping/Maintenance 36 615,600 8.4
Medical Staff 32 1,822,800 2.1
Total 1,248 $33,794,615 9.5*
*Represents weighted average turnover for all employees.

Please use given information to:
A. Identify the major problem or problems at the hospital and the cause of each.
B. What are some alternatives for dealing with these problems? For example, Given the debt level, is it possible to avoid employee layoffs through the use of attrition?
C. Given the instructions of the board, identify what areas are non-essential and why.
D. Develop a plan for implementing employee layoffs over the next year that will generate $3 million in savings. Give specific details concerning departments affected, the use of seniority versus merit, the amount of notice, and out-placement activities. What additional information will you need? Provide a rationale for each recommendation, together with reasons why other alternative approaches were not chosen.

Please pay attention to the informations highlighted.
Answer A&B
Then more detailed C&D , but I would appreciate a brief over view of the case study that would be in the introduction
In Answering C. List the areas/departments that are non-essential. In order to do this, It would be good to define all these departments as well as the specific roles or staffs in these areas so we have an idea what consists of these departments

After answering D, please give your own personal recommendation different from the board of directors instructions. Do you think cutting costs might be the solution? Like suggesting several ways that can boost back the hospital other than cost. This part is solely your thinking. Then conclude. In conclusion, include citations.