Health Exercise Manager study materials
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Health Exercise Manager: Facility and Program Operations Management

Health Exercise Manager · Work through your exam, one topic at a time.

All guide sections

Facility and Program Operations Management

What this domain tests

The administrative side of the role: budgeting, staffing, scheduling, equipment lifecycle, records, marketing, retention, and quality improvement.

Core rules and concepts

  • Distinguish operating from capital budgets, and fixed from variable costs. Break-even members = fixed costs ÷ (revenue per member − variable cost per member).
  • Staffing: valid certifications, onboarding, continuing education, coverage at peak hours, and named emergency roles on every shift.
  • Scheduling: capacity utilization = used slots ÷ available slots; peak and off-peak pricing smooths demand.
  • Equipment: preventive maintenance schedule and log, warranty tracking, downtime tracking, and a replacement reserve funded from revenue or based on useful life.
  • Records: secure, retained per policy and law, backed up, and handled under applicable privacy rules.
  • Retention: the first 30–90 days determine much of long-term membership; track attendance, reach out at drop-off, use satisfaction or Net Promoter scores and exit interviews. Acquisition usually costs far more than retention.
  • Quality improvement: PDSA cycles and KPIs such as retention rate, revenue per member, utilization, incident rate, and satisfaction.
  • Marketing, pricing, program mix, and partnerships round out the operational picture.

Worked example

A club has $40,000 in monthly fixed costs, $60 revenue per member, and $15 variable cost per member. Break-even = 40,000 ÷ 45 ≈ 889 members. With 1,100 members, monthly contribution is (1,100 × 45) − 40,000 = $9,500. Cutting the price to $50 lowers contribution to $35, so break-even rises to about 1,143 members - the discount must add roughly 250 members just to hold profit.

Traps that cost marks

Confusing revenue with profit; omitting variable costs from break-even; cutting maintenance as an easy budget fix; celebrating a price cut that raises volume but lowers total contribution; chasing acquisition while ignoring onboarding and retention.