Shepherd Mountain Plaza 6034 West Courtyard Drive, Suite 150 Austin, Texas 78730 Parkland Health & Hospital System Case Study Overview: The Board of Directors of one of the nation’s largest taxpayer-supported health and hospital systems required a clearer understanding of the cost structure and future operating expenses of a new billion dollar plus, state-of-the-art hospital facility. The Board and the finance and accounting departments of the hospital system believed that the new hospital would have intrinsic efficiencies that would lower the cost burden of the facility as a whole. The Board requested a 5-year in-depth analysis of the existing operating expenses of each cost center and department, the transition costs associated with moving to the new hospital, and the projected

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