Conduct a financial analysis using the three scenarios provided in the Excel Assignment Workbook. These are not based on your project but will help you learn the process. Complete th
Conduct a financial analysis using the three scenarios provided in the Excel Assignment Workbook. These are not based on your project but will help you learn the process.
Complete the following:
Ratio Analyses Worksheets:
Open your Excel Assignment Workbook. This assignment will be completed on 3 separate tabs named:
- W8A5a Expense Forecasting
- W8A5b Breakeven Analysis
- W8A5c Marginal Profit and Loss
Using the Healthcare Budget Request Guide for guidance, complete the three scenarios: expense forecasting, break-even, marginal profit and loss for the scenarios provided.
W1A1 HealthWaysBudget
| Table 1. HealthWays Clinic, Monthly Expense Budget Report, June 2018. |
| Item |
June 2018 |
|
|
May 2018 |
2018 YTD |
| |
Budget |
Actual |
Difference |
Actual |
Budget |
Actual |
|
|
All blue shaded cells require your answers. |
| Physician FTE |
1.0 |
1.0 |
|
1.0 |
1.0 |
1.0 |
| Nurse PractitionerFTE |
3.0 |
3.0 |
|
3.0 |
3.0 |
3.0 |
| Encounters: |
| Established patients |
275 |
291 |
|
286 |
1650 |
1671 |
| New patients |
25 |
18 |
|
27 |
150 |
164 |
| Total encounters |
| Expenses: |
| Physician Salaries & Benefits |
$10,500 |
$10,502 |
|
$10,509 |
$63,000 |
$63,149 |
| NP Salaries & Benefits |
$20,000 |
$20,992 |
|
$20,191 |
$120,000 |
$122,001 |
| Clerical (2 FTE) Salaries & Benefits |
$6,667 |
$6,771 |
|
$6,683 |
$40,000 |
$41,978 |
| Total personnel expense |
| Medical supplies |
$7,500 |
$8,136 |
|
$7,994 |
$45,000 |
$47,883 |
| Office supplies |
$623 |
$583 |
|
$508 |
$3,498 |
$3,407 |
| Rent |
$2,917 |
$2,917 |
|
$2,917 |
$17,502 |
$17,502 |
| Depreciation |
$333 |
$346 |
|
$346 |
$1,998 |
$2,050 |
| Capital Expenses |
$3,333 |
$3,480 |
|
$3,480 |
$19,998 |
$20,439 |
| Overhead |
$167 |
$167 |
|
$167 |
$1,002 |
$1,002 |
| Total non-personnel expense |
| Total health center expense |
| Interpretation: |
| I. Answer the following question related to the results of your calculations: What interpretations can you make based on the data? What is happening in regard to such measurables as: |
| 1. The full-time equivalents (FTE) for HealthWay employees: |
| 1. Answer: |
| 2. The number of encounters, both new and established: |
| 2. Answer: |
| 3. Non-personnel expenses: |
| 3. Answer: |
| 4.Total expenses: |
| 4. Answer: |
| II. If these trends continue, what could it mean for HealthWays? What strategies might they employ to address any issues your analysis suggests? |
| Answer: |
W2A2 Practice Design
| W2A2 Practice Design |
| Refer to the Healthcare Budget Guide for an example of what to include and how it should look. |
W4A3 Estimated Expenses
| W4A3 Estimated Expenses |
| Refer to the Healthcare Budget Guide for an example of what to include and how it should look. |
W6A4 Budget Development
| W6A4 Budget Development |
| Bring forward your work from W4A3 and add ratios as directed in the Healthcare Budget Guide |
W8A5a Expense forecasting
| W8A5 Estimated Expenses |
| Refer to the Healthcare Budget Guide for directions on completing this Expense Forecasting scenario |
| Expense Forecasting |
| Based on the information provided, prepare an expense forecast for 20X1 using the template below: |
| Spending during January- June 20X1 (6 months) |
| · Fixed expense items: $210,000 |
| · Variable expense items: $1,200,000 |
| · One time expense: $50,000 of fixed expense money was spent on preparing for a Joint Commission survey |
| Procedures preformed during January- June 20X1 (6 months) |
| · Your department has performed 20,000 procedures during the first six months |
| On November 1,20X1, two new procedure technicians will begin work. The salary and fringe benefit costs for each is: |
|
|
|
$ 96,000.00 |
yearly |
| Description |
Fixed |
Variable |
TOTAL |
| Year to Date Expense |
| Adjustments |
| Add back "One Time" credits |
| Deduct "one Time" expenses |
| Adjusted total for year to date expense |
| Annualization |
| Divide by months (fixed) |
6 |
| Multiple by months (fixed) |
12 |
| Divide by volume |
|
20,000 |
| Multiply by volume |
|
40,000 |
| Annualized Amounts |
| Adjustments |
| Add back "One Time" expenses |
| Deduct "One Time" credits |
| Expense two new technicians |
| Expense Forecast as of 12/31/X1 |
W8A5b Breakeven Analysis
| W8A5 Breakeven Analysis |
| Refer to the Healthcare Budget Guide for directions on completing this Breakeven Analysis |
| Break-Even Analysis Scenario |
| You can charge $1,075 for a new service. Demand is anticipated to be 8,000 units a year. Your business is able to handle up to 16,500 units annually, so capacity should not be a problem. The average collection rate is 80%. The new service has annual fixed costs of $4,700,000. Variable cost per unit of service is $420. |
| Price to be Charged |
| Collection Rate |
| Average Collection per Service |
| Variable cost per unit of service |
| Fixed Operating Costs |
| Break-Even Point =Fixed Cost/(Net Revenue per Unit-Variable Cost per Unit) |
| |
| Capacity: |
| Demand: |
| Breakeven: |
| Question: Use break-even analysis to determine if this new service is financially viable. If the business is not financially viable, what steps could you take to make a case to proceed with implementation? Explain your decision. |
Answer:
W8A5c Marginal Profit and Loss
| W8A5 Marginal Profit and Loss |
| Refer to the Healthcare Budget Guide for directions on completing this Marginal Profit and Loss scenario |
| Marginal Profit and Loss Statement Scenario |
| You are examining a proposal for a new business opportunity – a new procedure for which demand is expected to be 1,400 units the first year, growing by 600 units each year thereafter. The price charged per procedure is $1,000. The collection rate is anticipated to be 80%. Each procedure consumes $300 of supplies. Salary cost is estimated to cost $540,000 each year, fringe benefits are 25% of salaries, rent for the facility is $55,000/yr and operating cost are $120,000/yr. |
| |
Year One |
Year Two |
Year Three |
Year Four |
Year Five |
| Marginal Revenue: |
| Units of Volume |
| Price Procedure |
| Collection Rate |
| Marginal Net Revenue |
| Marginal Costs: |
| Variable Costs |
| Units of Volume |
| Variable Cost Supplies per Unit/procedure |
| Marginal Variable Cost |
| Fixed Costs: |
| Salary Costs |
| Fringe Benefits |
| Rent |
| Operating Cost |
| Marginal Fixed Costs |
| Total Marginal Costs |
| Annual Marginal Profit |
| Cumulative Profit Margin |
| Question: Below is a marginal P&L for this business opportunity. Based on that analysis, should this opportunity be pursued. Explain your decision. |
| Answer: |
W10-11A6 HealthWays Financials
| Option 1 Healthways Finacials |
|
|
* The cells where you complete these calculations are highlighted in blue. |
| You have 2 data options for completing the Week10/11A6 analysis. If you cannot obtain the finacial documents for your organization (your project) use this Healthways Financials option. |
| Nurse-Run Clinic Scenario |
| Patient Encounters |
FY 2018 |
FY 2017 |
| Established patients |
3,348 |
3,204 |
| New patients |
331 |
287 |
| Total Encounters |
3,679 |
3,491 |
| Cash |
$5,675 |
$12,098 |
| Financial Ratios: |
| Expense per Encounter = Total Operating Expenses / Total Encounters |
| Total Operating Revenue per Encounter = Total Operating Revenue / Total Encounters |
| Operating Margin = Net Income/Total Operating Revenue |
| Days Cash On Hand = (Cash + Cash Equivalents) / (Operating Expenses / Days in Time Period) |
| Table 2. HealthWays Clinic, Income Statement, FY 2018. |
|
|
|
|
Table 3. HealthWays Clinic, Balance Sheet, December 31, 2018. |
| |
FY 2018 |
FY 2017 |
Horizontal Analysis |
|
Current Assets |
December 31, 2018 |
December 31, 2017 |
|
Current Liabilities |
December 31, 2018 |
December 31, 2017 |
| Gross Revenue (charges) |
$558,520 |
$497,221 |
|
|
Cash |
5,032 |
9,877 |
|
Notes Payable |
27,449 |
50,000 |
| Less write-offs & adjustments |
117,254 |
104,332 |
|
|
Short-term Investments |
40,389 |
34,181 |
|
Accounts Payable |
78,702 |
69,412 |
| Net Patient Revenue (collected) |
$441,266 |
$392,889 |
|
|
Accounts Receivable |
63,392 |
59,359 |
|
Accrued Expenses: |
| +Other Revenue |
209,671 |
234,953 |
|
|
Supply Inventories, at Cost |
16,029 |
14,918 |
|
Salaries & Benefits |
38,265 |
28,274 |
| |
|
|
|
|
Prepaid Expenses & Other |
2,104 |
1,876 |
|
Taxes |
1,419 |
1,398 |
| Total Operating Revenue |
$ 650,937 |
$ 627,842 |
|
|
Total Current Assets |
$ 126,946 |
$ 120,211 |
|
Interest Payable |
3,294 |
500 |
| |
|
|
|
|
|
|
|
|
Total Current Liabilities |
$ 149,129 |
$ 149,584 |
| Operating Expenses |
| Salaries & Benefits |
459,171 |
445,396 |
|
|
Property, Plant & Equipment (Fixed Assets) |
|
|
|
Long-Term Liabilities |
$0 |
$0 |
| Medical Supplies |
97,627 |
92,418 |
|
|
Cost of PP&E |
56,047 |
55,701 |
| Office Supplies |
7,471 |
7,302 |
|
|
Less Accumulated Depreciation |
4,194 |
3,943 |
|
Net Assets |
| Rent & Depreciation |
39,148 |
37,023 |
|
|
Net PP&E (Net Fixed Assets) |
$ 51,853 |
$ 51,758 |
|
Unrestricted |
28,541 |
20,569 |
| Other |
43,762 |
47,009 |
|
|
Other Assets |
$ 1,289 |
1289 |
|
Restricted |
2,418 |
3,105 |
| |
|
|
|
Percentage change |
| Total Operating Expenses |
$ 647,179 |
$ 629,148 |
|
|
Total Assets |
$ 180,088 |
$ 173,258 |
|
Total Net Assets |
$ 30,959 |
$ 23,674 |
| Net Income |
$ 3,758 |
($1,307) |
|
|
|
|
|
|
Total Liabilities &
|