NURS 6211 Week 10 Assignment
NURS 6211 Week 10 Assignment
Throughout this course, you’ve examined the importance of anticipating financial fluctuations that may impact your organization’s ability to provide services. While financial managers have no time machines or crystal balls, they do have expense forecasts. Expense forecasting is one of the preeminent tools that financial managers can use to prepare their organizations for future fiscal turbulence. In this Assignment, you will examine a scenario and generate a corresponding expense forecast in Excel. Nursing Finances Assignment Paper
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Before pursuing an opportunity or making a major purchase, financial decision makers must first ascertain if the expenditures are justified. Determining whether a new process, system, or purchase will yield worthwhile returns is no easy task. However, managers have a variety of tools to help them decide whether the new expenditure is warranted. Analyzing a venture’s benefit/cost ratio, marginal profit and loss statement, and break-even points enable nurse managers to make educated decisions about how they choose to commit their funds.
Note: For those Assignments in this course that require you to perform calculations you must:Use the Excel spreadsheet template for the Week 3 assignment
Show all your calculations and formulas in the spreadsheet.
Answer any questions included with the problems (as text in the Excel spreadsheet).
Expense Forecasting
In this Application Assignment you calculate scenarios focusing on benefit/cost ratio analysis, marginal profit and loss statements, and break-even analysis. For these scenarios, you will utilize the provided figures to perform calculations and then make recommendations about the viability of the investment opportunities . Nursing Finances Assignment Paper
Expense Forecasting Scenario
Your department has performed 20,000 procedures during the first six months (January–June) of 20X1. Spending during that period of time was $210,000 for fixed expense items and $1,200,000 for variable expense items. Of those amounts, $50,000 of fixed expense money was spent on preparing for a Joint Commission survey. Volume is anticipated to be 10% higher in the second half of the year. On November 1st, two new procedure technicians will begin work. The salary and fringe benefit costs for each are $96,000/year. Based on the information provided, prepare an expense forecast for 20X1.
Annualization for Fixed: (Adjusted Total for Year to Date Expense/6) * 12 =Total Annualized Amounts
Annualization for Variable (Adjusted Total for Year to Date Expense/ 20,000) * 40,000 =Total Annualized Amounts.
Financial Analysis Cycle
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 a 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.
Questions:
- Develop a marginal profit and loss statement for this business opportunity.Based on that analysis, should this opportunity be pursued?
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.
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.
Benefit/Cost Ratio Analysis Scenario
You are considering the acquisition of a new piece of equipment with a useful life of five years. This new technology will make your clinical operation more efficient and allow for a reduction of 10 FTEs. The equipment purchase price is $4,500,000 plus 10% installation fee. The purchase price includes service for the first year, an item that has an annual cost of $10,000. There is a potential for additional volume of 150,000 units in the first year, growing by 30,000 each year thereafter. The price charged per unit is $15.00 with a 50% collection rate. The staff being eliminated are paid $12.50 per hour. The fringe benefits rate is 20%. The hurdle rate is 7.5%. Nursing Finances Assignment Paper
Questions: After reviewing Dr. Ward’s Video and the calculations below, please answer the following questions:
- What is meant by benefit/cost ratio, average payback period and ROI and why are the all important to understand when purchasing new equipment?
- Based on this information, would you pursue this opportunity?
- Explain your decision in 250-500 words in the text box below.
References:
Baker, J. J., Baker, R. W., & Dworkin, N. R. (2018). Health care finance: Basic tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 14, “Trend Analysis, Common Sizing, and Forecasted Data” (pp. 149-160)
The focus of this chapter is the use of trend analysis and forecasting to develop future budgets and make financial decisions about capital purchases, programs, and personnel.
Chapter 15, “Using Comparative Data” (pp. 161-173)
In this chapter, you are introduced to the criteria for identifying other health care organizations that are comparable to your own. Data from these organizations can then be used to evaluate your own organizational performance.
Chapter 19, “Estimates, Benchmarking, and Other Measurement Tools” (pp. 223-231)
In this chapter, you continue exploring the concept of financial benchmarking. The chapter focuses on the importance of benchmarking for identifying performance gaps.
Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.
Retrieved from the Walden Library databases.
Chapter 5, “Working Capital Management” (pp. 187–231)
This chapter examines the concept of working capital. The authors explore the specifics of current assets and the management of the working capital cycle.
Chapter 11, “Responsibility Accounting” (pp. 468–497)
Review: This chapter explores the trend toward the decentralization of health care organizations and the challenges this presents. This chapter also describes responsibility centers, or organizational units intended to achieve specific tasks.
Mulva, S., & Dai, J. (2009) Health care facility benchmarking. HERD, 3(1), 28–37.
Reprinted by permission of Sage Publications via the Copyright Clearance Center.
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Expense Forecasting
| Name | Assignment | ||
| 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 | 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 | |||
| Calculations: | |||
| Annualization for Fixed: (Adjusted Total for Year to Date Expense/6) * 12 =Total Annualized Amounts | |||
| Annualization for Variable (Adjusted Total for Year to Date Expense/ 20,000) * 40,000 =Total Annualized Amounts |
Marginal Profit and Loss
| 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: |
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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: |
Benefit Cost Ratio
| Benefit/Cost Ratio Analysis Scenario | |||||||||
| You are considering the acquisition of a new piece of equipment with a useful life of five years. This new technology will make your clinical operation more efficient and allow for a reduction of 10 FTEs. The equipment purchase price is $4,500,000 plus 10% installation fee. The purchase price includes service for the first year, an item that has an annual cost of $10,000. There is a potential for additional volume of 150,000 units in the first year, growing by 30,000 each year thereafter. The price charged per unit is $15.00 with a 50% collection rate. The staff being eliminated are paid $12.50 per hour. The fringe benefits rate is 20%. The hurdle rate is 7.5%. | |||||||||
| Question: After reviewing Dr. Ward’s Video and the calculations below, please answer the following questions: 1. What is meant by benefit/cost ratio, average payback period and ROI and why are the all important to understand when purchasing new equipment? Based on this information, would you pursue this opportunity? Explain your decision in 250-500 words in the text box below. | |||||||||
| Investment Present Value | |||||||||
| Present Value Factors | |||||||||
| Total Investment | Present Value | ||||||||
| Construction | Equipment | Installation | Other | ||||||
| Year 0 | $ | 4,500,000 | $ | 450,000 | $ | 4,950,000 | 1 | $ | 4,950,000 |
| Year 1 | |||||||||
| Year 2 | |||||||||
| Year 3 | |||||||||
| Year 4 | |||||||||
| Total | $ | 4,500,000 | $ | 450,000 | $ | 4,950,000 | $ | 4,950,000 | |
| Benefit Present Value | |||||||||
| Present Value Factors | |||||||||
| Revenue Increases | Revenue Decreases | Expense Decreases | Expense Increases | Total Benefit | Present Value | ||||
| Year 1 | 1,125,000 | 312,000 | 1,437,000 | 0.93 | 1,336,744 | ||||
| Year 2 | 1,350,000 | 312,000 | 10,000 | 1,652,000 | 0.865 | 1,429,529 | |||
| Year 3 | 1,575,000 | 312,000 | 10,000 | 1,877,000 | 0.805 | 1,510,911 | |||
| Year 4 | 1,800,000 | 312,000 | 10,000 | 2,102,000 | 0.749 | 1,573,979 | |||
| Year 5 | 2,025,000 | 312,000 | 10,000 | 2,327,000 | 0.697 | 1,620,892 | |||
| Total | 7,875,000 | 1,560,000 | 40,000 | 9,395,000 | 7,472,055 | ||||
| Net Present Value | 2,522,055 | ||||||||
| Benefit/Cost Ratio | 1.51 | ||||||||
| Total Cash Inflow | 9,395,000 | ||||||||
| Average annual cash inflow | 1,879,000 | ||||||||
| Average payback period (in Years) | 2.6 | ||||||||
| Return on investment = | Average Annual Return / Average Investment | ||||||||
| = | ( Total Benefit / Total Years ) / (Investment / 2) | ||||||||
| = | ( $9,395,000 / 5 ) / ( $4,950,000 / 2 ) | ||||||||
| = | $1,879,000 / $2,470,000 | ||||||||
| = | 76% | ||||||||
| Answer: |
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