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Assignment Exercise 13–3
As a follow-up to the previous Practice Exercise, new assumptions are
as follows:
1. Your unit’s gross charges for the period to date amount to $200,000.
2. The uniform gross charge for each procedure in your unit is $100.
3. The unit receives revenue from four major payers. The number of
procedures performed for the period totals 2,000. Of that total, the
number of procedures per payer (stated as a percentage) is as follows:
Payer 1 = 30% Payer 2 = 40% Payer 3 = 20% Payer 4 = 10%
4. The following contractual payment arrangements are in effect for the
current period. The percentage of the gross charge that is currently
paid by each payer is as follows: Payer 1 = 80% [Medicare] Payer 2 =
70% [Commercial managed care plans] Payer 3 = 50% [Medicaid] Payer
4 = 90% [Self-pay]
Assignment Exercise 13–4.1: Forecast Capacity Levels
Prepare another Infusion Center Capacity Level Forecast as follows:](https://image.slidesharecdn.com/hsa525-190401051407/85/Hsa-525-Massive-Success-snaptutorial-com-33-320.jpg)
Hsa 525 Massive Success / snaptutorial.com
- 1. HSA 525 Final Exam Part 1 For more classes visit www.snaptutorial.com Question 1 The committee responsible for developing and/or approving policies relating to the handling and administration of drugs Question 2This committee develops blood usage policies and procedures. It is responsible for monitoring transfusion services and reviewing indications for transfusions, blood ordering practices, each transfusion episode, and transfusion reactions. The committee reports its findings and recommendations to the medical staff executive committee. Question 3The probability of malpractice suits against physicians can be reduced by Question 4A psychiatrist owes a duty to warn of his patient’s danger to a third party if Question 5When a doctor fails to inform his patient in a timely manner of a serious condition that turns deadly, fails to refer him to a specialist, and does no further tests, he can be found negligent by reason of Question 6A nurse hired by a patient or the patient’s family to perform nursing services Question 7Nurse licensing boards have the authority to suspend or revoke the license of a nurse who is found to have
- 2. Question 8 A nurse who fails to follow the doctor’s verbal orders to watch the patient closely Question 9A nurse can be found negligent for Question 10Each state has its own nurse practice act that defines the practice of Question 11The Comprehensive Drug Abuse Prevention and Control Act of 1970 Question 12The Court of Appeals, in the text case Stepp v. Review Board of the Indiana Employment Security Division, where the laboratory technician refused to perform chemical examinations on vials with AIDS warnings, found that Question 13Practitioners with the most reports filed with the National Practitioner Data Bank, 2005 report Question 14Caregivers should be sure to Question 15Licensing boards have the authority to Question 16The advantages of computer systems include Question 17Health care organizations undergoing computerization must Question 18Falsification of medical records is grounds for Question 19Progress notes should describe the patient’s Question 20The medical record must be
- 3. Question 21 The ethical rationale underlying the doctrine of informed consent is Question 22Although hospitals are not generally responsible for informing patients as to the risks, benefits and alternatives to specific procedures, hospitals Question 23A physician is Question 24Consent that requires that a patient have a full understanding of that to which he or she has consented Question 25Defenses available to defendants who have been sued on the basis of failure to provide their patients with sufficient information to make an informed decision include: Question 26Information reported to the data bank Question 27A root cause analysis (RCA) is Question 28Elements of an effective corporate compliance program include Question 29Elder abuse is Question 30Persons in the health care setting who are required to report child abuse are ***************************************************** HSA 525 Final Exam Part 2
- 4. For more classes visit www.snaptutorial.com Question 1 Patient’s have Question 2 Mr. Jones has a right to ask a caregiver Question 3 A patient is responsible for those injuries resulting from Question 4 A patient not only has rights but Question 5 Patients have a right to Question 6 A service member who is wrongfully diagnosed with Aids Question 7 The routine testing of firefighters and paramedics for the AIDS virus Question 8 Patients who receive blood from blood donors that test positive for the HIV virus Question 9 High risk groups include Question 10 Information regarding a patient's diagnosis as being HIV positive must be Question 11 The ability to make a good decision without personal biases, fears, and undue influences from others.
- 5. Question 12 ________ implies that there is purpose and mean¬ing to life. Question 13 ________ implies that a person accepts differences in others and that one does not expect others to believe, think, speak, or act as himself or herself. Question 14 An individual’s view of what is right and wrong based on life experiences. Question 15 Standards or codes of conduct established by the membership of a specific profession. Question 16 Current eugenic sterilization statutes Question 17 The Supreme Court in H.L. v. Matheson ruled that it is not an undue burden to require that Question 18 The premature termination of pregnancy Question 19Wrongful conception refers to a claim for damages sustained by the parents of an unexpected child was based on an allegations that Question 20 A sterilization for eugenic purposes Question 21The number of people who will die this year due to the lack of organ donations is estimated to be Question 22 The legal mechanism by which a court declares a person incompetent and appoints a person to act in his/her best interests Question 23 The first state to enact the first living will legislation
- 6. Question 24 If a person is comatose and incompetent to express their right to refuse medical treatment, those appointed to render their best judgment concerning how the patient would assert that right would be using the Question 25 The removal of nasogastric feeding tubes from a mentally competent patient to legally hasten death is an example of Question 26 The basic underlying concept of insurance is Question 27 Professional liability policies vary in Question 28 Sexual assault does not constitute rendering professional services Question 29 A risk is the possibility that Question 30 A policy that covers all claims that may arise out of a policy period ***************************************************** HSA 525 Week 1 Discussion 1Financial Management For more classes visit www.snaptutorial.com Financial Management" Please respond to the following:
- 7. · Suggest one (1) key way in which the role of ethics in managerial accounting differs from the role of ethics in financial accounting. Indicate the role that you believe is the most significant within a health care organization. Provide support for your rationale. · Create an argument that explains why financial managers should be concerned with quality initiatives in the health care organization. Provide at least two (2) specific examples of quality initiatives in a health care organization with which you are familiar. ***************************************************** HSA 525 Week 1to11 All Homework, Assignment, DQ For more classes visit www.snaptutorial.com HSA 525 Week 4 Assignment 1 Financial Statement Analysis HSA 525 Week 6 Assignment 2 Using Financial Ratios to Assess Organizational Performance
- 8. HSA 525 Week 10 Assignment 3 Post-Merger Analysis HSA 525 Week 1 Discussion 1 Financial Management HSA 525 Week 2 Discussion Inflows and Revenue Management HSA 525 Week 3 Discussion 1 Cost Control HSA 525 Week 4 Discussion Inventory Analysis and Optimizing Staffing HSA 525 Week 5 Discussion Managed Care Contracting and Ratio Analysis HSA 525 Week 6 Discussion Using Ratios as Performance Indicators and Inflation and Health Care Costs HSA 525 Week 7 Discussion The Budgeting Process and Capital Investment Decisions
- 9. HSA 525 Week 8 Discussion Contract Negotiations and Risks and Operating Margins HSA 525 Week 9 Discussion Leasing Equipment HSA 525 Week 10 Discussion Strategic Planning and Business Plan HSA 525 Week 11 Discussion Future Developments and Future of Financial Management HSA 525 Week 2 Homework 1 Ex 4-1, Ex 4-2, Ex 5-1, Ex 5-2 HSA 525 Week 3 Homework 2 Ex 6-1, Ex 6-2, Ex 7-1, Ex 7-2 HSA 525 Week 4 Homework 3 Ex 8-1, Ex 8-2, Ex 8-3, Ex 8-4, Ex 9-1, Ex 9-2
- 10. HSA 525 Week 5 Homework Ex 10-1, 10-2,10-3, Ex 11-1, 11-2, 11-3, Ex 12-1, 12-2, 12-3, 12-4, 12-5 HSA 525 Week 6 Homework 5 Ex 13-3, 13-4.1, 13-4.2, Ex 14-2, 14-3 HSA 525 Week 7 Homework 6 Ex 15-1, 15-2, 15-3, and 15-4, Ex16-1 HSA 525 Week 8 Homework 7 Ex 17-1, 17-2, 17-3, Ex 18-1, 18-2, 18-3 HSA 525 Week 9 Homework 8 Ex 20-1, Ex 21-1, 21-2, 21-3 ***************************************************** HSA 525 Week 2 Discussion Inflows and Revenue Management For more classes visit www.snaptutorial.com
- 11. HSA 525 Week 2 Discussion, “Inflows and Revenue Management” Please respond to the following: Determine a key difference between a fee-for-service plan and an episode of care payment plan, and indicate the plan that you believe to be most advantageous for the majority of patients. Provide support for your rationale. * From the scenario, determine one (1) key factor that has a negative impact on revenue. Recommend a revenue strategy for the organization in the scenario to improve its revenue cycle management. Provide support for your recommendation.HSA 525 Week 6 Assignment 2 Using Financial Ratios to Assess Organizational Performance HSA 525 Week 10 Assignment 3 Post-Merger Analysis HSA 525 Week 1 Discussion 1 Financial Management HSA 525 Week 2 Discussion Inflows and Revenue Management HSA 525 Week 3 Discussion 1 Cost Control
- 12. HSA 525 Week 4 Discussion Inventory Analysis and Optimizing Staffing HSA 525 Week 5 Discussion Managed Care Contracting and Ratio Analysis HSA 525 Week 6 Discussion Using Ratios as Performance Indicators and Inflation and Health Care Costs HSA 525 Week 7 Discussion The Budgeting Process and Capital Investment Decisions HSA 525 Week 8 Discussion Contract Negotiations and Risks and Operating Margins HSA 525 Week 9 Discussion Leasing Equipment HSA 525 Week 10 Discussion Strategic Planning and Business Plan HSA 525 Week 11 Discussion Future Developments and Future of Financial Management
- 13. HSA 525 Week 2 Homework 1 Ex 4-1, Ex 4-2, Ex 5-1, Ex 5-2 HSA 525 Week 3 Homework 2 Ex 6-1, Ex 6-2, Ex 7-1, Ex 7-2 HSA 525 Week 4 Homework 3 Ex 8-1, Ex 8-2, Ex 8-3, Ex 8-4, Ex 9-1, Ex 9-2 HSA 525 Week 5 Homework Ex 10-1, 10-2,10-3, Ex 11-1, 11-2, 11-3, Ex 12-1, 12-2, 12-3, 12-4, 12-5 HSA 525 Week 6 Homework 5 Ex 13-3, 13-4.1, 13-4.2, Ex 14-2, 14-3 HSA 525 Week 7 Homework 6 Ex 15-1, 15-2, 15-3, and 15-4, Ex16-1 HSA 525 Week 8 Homework 7 Ex 17-1, 17-2, 17-3, Ex 18-1, 18-2, 18-3
- 14. HSA 525 Week 9 Homework 8 Ex 20-1, Ex 21-1, 21-2, 21-3 ***************************************************** HSA 525 Week 2 Homework 1 Ex 4-1, Ex 4-2, Ex 5-1, Ex 5-2 For more classes visit www.snaptutorial.com HSA 525 Week 2 Assignment Exercise 4–1: Contractual Allowances Assignment Exercise 4–1: Contractual Allowances Physician Office Revenue for Visit Code 99214 has a full established rate of $72.00. Of ten different payers, there are nine different contracted rates, as follows: Contracted Payer Rate FHP $35.70 HPHP 58.85 MC 54.90 UND 60.40 CCN 70.20 MO 70.75 CGN 10.00 PRU 54.90 PHCS 50.00 ANA 45.00 Rates for illustration only. Required 1. Set up a worksheet with four columns: Payer, Full Rate, Contracted Rate, and Contractual Allowance. 2. For each payer, enter the full rate and the contracted rate. 3. For each payer, compute the contractual allowance. The first payer has been computed below: Full Contracted Contractual Payer Rate (less) Rate = Allowance FHP $72.00 $35.70 $36.30 Assignment Exercise 4–2: Revenue Sources and Grouping Revenue The Metropolis Health System has revenue sources from operations, donations, and interest income. The revenue from operations is primarily
- 15. received for services. MHS groups its rev-enue first by cost center. Within each cost center the services revenue is then grouped by payer. Required 1. Set up a worksheet with individual columns across the top for six revenue sources (pay-ers): Medicare, Medicaid, Other Public Programs, Patients, Commercial Insurance, and Managed Care Contracts. 2. Certain situations concerning the Intensive Care Unit and the Laboratory are described below. Set up six vertical line items on your worksheet, numbered (1) through (6). Six situa-tions are described below. For each of the six situations, indicate its number (1 through 6) and enter the appropriate cost center (either Intensive Care Unit or Laboratory). Then place an X in the column(s) that represents the correct revenue source(s) for the item. The six situations are as follows: (1) ICU stay billed to employee’s insurance program. (2) Lab test paid for by an individual. (3) Pathology work performed for the state. (4) ICU stay billed to member’s health plan. (5) ICU stay billed for Medicare beneficiary. (6) Series of allergy tests run for eligible Medicaid beneficiary. Assignment Exercise 5–1: Grouping Expenses by Cost Center The Metropolis Health System’s Rehabilitation and Wellness Center offers outpatient therapy and return-to-work services plus cardiac and pulmonary rehabilitation to get people back to a normal way of living. The Rehabilitation and Wellness Center expenses include the following: • Nursing Salaries • Physical Therapist Supplies • Physical Therapist Salaries • Occupational Therapist Supplies • Occupational Therapist Salaries • Cardiac Rehab Supplies • Cardiac Rehab Salaries • Pulmonary Rehab Supplies • Pulmonary Rehab Salaries • Training Supplies • Patient Education Coordinator Salary • Clerical Office Supplies • Nursing Supplies • Employee Education Required 1. Decide how many cost centers should be used for the above expenses at the Center. 2. Set up a worksheet with individual columns across the top for the cost centers you have chosen. 3. For each of the expenses listed above, indicate to which of your cost centers it should be assigned.
- 16. Assignment Exercise 5–2 Required Find a listing of expenses by diagnosis or by procedure. The source of the list can be internal (within a health care facility of some type) or external (such as a published article, report, or survey). Comment upon whether you believe the expense grouping used is appropriate. Would you have grouped the expenses in another way? ***************************************************** HSA 525 Week 3 Discussion 1 Cost Control For more classes visit www.snaptutorial.com HSA 525 Week 2 Assignment HSA 525 Week 3 Discussion, “Cost Control” Please respond to the following: Use the Internet or Strayer Databases to research “cost escalation” within the health care segment. Next, determine one (1) key driver of health care cost escalation. Indicate one (1) strategy health care managers can implement to reduce costs in the future. Provide support for your rationale. Assume that you are a financial administrator of a hospital, and you are responsible for reducing costs (e.g., fixed, variable, semi-fixed, etc.) for the facility. Determine the most significant cost within the hospital, and recommend a strategy for reducing this cost 10% over the next year. Provide support for your strategy. *****************************************************
- 17. HSA 525 Week 3 Homework 2 Ex 6-1, Ex 6-2, Ex 7-1, Ex 7-2 For more classes visit www.snaptutorial.com Assignment Exercise 6–1: Allocating Indirect Costs 1. Compute the costs allocated to cost centers “Clerical Salaries,” “Administrative Salaries,” and “Computer Services” using the new allocation bases shown below. Use worksheet #1 that replicates the set up in Table 6–2. Total the new results. The new allocation bases are: Assignment Exercise 6–2: Responsibility Centers Choose among the Case Study in Chapter 27, the clinic in Mini-Case Study 2, or the Metropolis Health System information as contained in its Case Study and the Appendix that contains its financial statements. Designate the responsibility centers and the support centers for the organization selected. Prepare a rationale for the structure you have designed.
- 18. Assignment Exercise 7–1: Analyzing Mixed Costs Initial Calculations Assignment Exercise 7–2: Calculating the Contribution Margin The Mental Health program for the Community Center has just completed its fiscal year end. The program director determines that his program has revenue for the year of $1,210,000. He believes his variable expense amounts to $205,000 and he knows his fixed expense amounts to $1,100,000. Compute the contribution margin for the Community Center Mental Health Program. ***************************************************** HSA 525 Week 4 Assignment 1 Financial Statement Analysis For more classes visit www.snaptutorial.com
- 19. Assignment 1: Financial Statement Analysis Due Week 4 and worth 200 points Select one (1) of the following publically traded health care organizations: Universal Health Services (NYSE: UHS) or Health Management Associates (NYSE: HMA). Suppose you are a newly appointed CFO of your chosen health care organization. One of your first tasks is to conduct an internal financial analysis of the organization. Conduct a brief financial analysis and review of the chosen company’s financial statements for at least three (3) consecutive years. After conducting the analysis, interpret the data contained within the statements. Write a three to four (3-4) page paper in which you: Based on your review of the financial statements, suggest a key insight about the financial health of the company. Speculate on the likely reaction to the financial statements from various stakeholder groups (employee, investors, shareholders). Provide support for your rationale. Identify the current industry trend that has the most significant impact on your chosen organization’s financial performance. Indicate the trend’s impact on the financial performance of the organization. As the CFO, suggest at least one (1) way that you might minimize the impact of the trend on the organization. As the CFO, suggest one (1) key strategy that you might use in order to improve the financial performance of the organization. Recommend an approach to implement the suggested strategy. Provide support for your recommendation. Use at least four (4) quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources. Your assignment must follow these formatting requirements:
- 20. Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are: Evaluate the financial statements and the financial position of health care institutions. Analyze the role of important financial reporting statements – income statement, balance sheet, and statement of cash flows – and explain how they relate to one another and to the underlying sources of data. Use technology and information resources to research issues in health financial management. Write clearly and concisely about health financial management using proper writing mechanics. ***************************************************** HSA 525 Week 4 Discussion Inventory Analysis and Optimizing Staffin For more classes visit www.snaptutorial.com
- 21. HSA 525 Week 4 Discussion,”Inventory Analysis and Optimizing Staffing” “Inventory Analysis and Optimizing Staffing” Please respond to the following: Recommend a strategy for financial administrators to balance the tension between having inventory on hand when it is needed versus the carry cost to the organization. Provide support for your recommendation. Assume that you are a health care administrator in a hospital, and you are responsible for staffing levels. Suggest an approach to staffing for 24/7 coverage that optimizes patient care, minimizes cost, and produces the highest level of employee satisfaction. Provide support for your rationale. ***************************************************** HSA 525 Week 4 Homework 3 Ex 8-1, Ex 8-2, Ex 8-3, Ex 8-4, Ex 9-1, Ex 9-2 For more classes visit www.snaptutorial.com Assignment Exercise 8–1: FIFO and LIFO Inventory
- 22. Use the format in Exhibit 8–1 to compute the ending FIFO inventory and the cost of goods sold, assuming $90,000 in sales; beginning inventory 500 units @ $50; purchases of 400 units @ $50; 100 units @ $65; 400 units @ $85. Also compute the cost of goods sold percentage of sales. Comment on the difference in outcomes. Assignment Exercise 8–2: Inventory Turnover Use the LIFO information in the previous assignment to first compute the average inventory and then to compute the inventory turnover. Assignment Exercise 8–3: Depreciation Concept The laboratory equipment cost $300,000 and has an expected life of 5 years. The salvage value is 5% of cost. No equipment was traded in on this purchase. Compute the straight-line depreciation. Assignment Exercise 8–4: Depreciation
- 23. Set up a purchase scenario of your own and compute the depreciation with and without salvage value. The neonatal unit equipment cost $60,000, and has an expected life of 5 years, no salvage. Compute the straight line depreciation. Assignment Exercise 8–5: Depreciation Computation: Units-of-Service Using the format in Table 8–A-5, compute units of service depreciation using the following assumptions: Assignment Exercise 9–1: FTEs to Annualize Staffing The Metropolis Health System managers are also working on their budgets for next year. Each manager must annualize his or her staffing plan, and thus must convert staff net paid days worked to a factor. Each manager has the MHS worksheet, which shows 9 holidays, 7 sick days, 15 vacation days, and 3 education days, equaling 34 paid days per year not worked. Assignment Exercise 9–2: FTEs to Fill a Position Metropolis Health System (MHS) uses a basic work week of 40 hours throughout the system. Thus, one full-time employee works 40 hours per week. MHS also uses a standard 24-hour scheduling system of three 8- hour shifts. The Director of Nursing needs to compute the staffing requirements to fill the Operating Room (OR) positions. Since MHS is a
- 24. trauma center, the OR is staffed 24 hours a day, 7 days a week. At present, staffing is identical for all 7 days of the week, although the Director of Nursing is questioning the efficiency of this method. ***************************************************** HSA 525 Week 5 Discussion Managed Care Contracting and Ratio Analysis For more classes visit www.snaptutorial.com HSA 525 Week 5 Discussion, “Managed Care Contracting and Ratio Analysis” Please respond to the following: From the scenario, interpret the operating indicators used to analyze the financial performance of the organization. Indicate specific ways in which this information will help management improve the performance of the organization. Provide support for your rationale. Assume that you are a hospital administrator, and one of your responsibilities is selecting financial ratios to be included on your management dashboard. Determine the two (2) most critical financial ratios for you to monitor at your facility, and indicate how each of these ratios would help you assess the current performance of your facility. Provide support for your rationale. *****************************************************
- 25. HSA 525 Week 5 Homework Ex 10-1, 10-2,10-3, Ex 11-1, 11-2, 11-3, Ex 12-1, 12-2, 12-3, 12-4, 12-5 For more classes visit www.snaptutorial.com Assignment Exercise 10–1: Components of Balance Sheet and Statement of Net Income Identify the following MHS balance sheet components. List the name of each component and its amount(s) from the appropriate MHS financial statement. Current Liabilities Total Assets Income from Operations Accumulated Depreciation Total Operating Revenue
- 26. Current Portion of Long-Term Debt Interest Income Inventories Assignment Exercise 10–2: Components of Balance Sheet and Income Statement Refer to the Metropolis Health System (MHS) balance sheet and statement of revenue and expense in Chapter 28’s MHS Case Study. Patient accounts receivable of $7,400,000 is shown as net of $1,300,000 allowance for bad debts (8,700,000 − 1,300,000 = 7,400,000). What percentage of gross accounts receivable is the allowance for bad debts? Assignment Exercise 10–3: Components of Balance Sheet and Income Statement Refer to the Metropolis Health System (MHS) balance sheet and statement of revenue and expense in Chapter 28’s MHS Case Study. Property, plant, and equipment of $19,300,000 is shown as “net,” meaning net of the reserve for depreciation. If the $19,300,000 is reduced by $200,000 (meaning the reserve for depreciation has risen), what happens on the income statement?
- 27. If the reserve for depreciation has risen, that is the $19,300,000 is reduced by $200,000, it would mean that the net income would be lower. A higher depreciation lowers operating income and this would be reflected on the income statement. Assignment Exercise 11–1: Liquidity Ratios Refer to the Metropolis Health System (MHS) case study in Chapter 28. Set up a worksheet for the liquidity ratios. The liquidity ratios are 2. Compute the four liquidity ratios using the Chapter 28 MHS financial statement Assignment Exercise 11–2: Solvency Ratios Refer to the Metropolis Health System (MHS) case study in Chapter 28. Set up a worksheet for the solvency ratios. 2. Compute the solvency ratios using the Chapter 28 MHS financial statements Assignment Exercise 11–3: Profitability Ratios
- 28. Refer to the Metropolis Health System (MHS) case study in Chapter 28. Set up a worksheet for the profitability ratios. The profitability ratios are: - Compute the profitability ratios using the Chapter 28 MHS financial statements Assignment Exercise 12–1: Unadjusted Rate of Return Metropolis Health Systems’ Laboratory Director expects to purchase a new piece of equipment. The assumptions for the transaction are as follows: Compute the unadjusted rate of return using the original investment amount. Compute the unadjusted rate of return using the average investment method. Assignment Exercise 12–2: Finding the Future Value (with a Compound Interest Table) Compute how much money will be in the account at the end of four more years. (Use the compound interest table found in Appendix 12-B.) Assignment Exercise 12–3: Finding the Present Value (with a Present- Value Table) Part 1—Dr. John Whitten is still figuring out his equipment fund. According to his calculations he needs $250,000 to be accumulated six
- 29. years from now. John is now trying to find the present value of the $250,000. He continues to assume an interest rate of 5%. Compute the present value of $250,000 accumulated fifteen years from now. Assume an interest rate of 5%. (Use the Present-Value Table found in Appendix 12-A at the back of this chapter.) Part 2—John doesn’t like the answer he gets. What if he can raise the interest rate to 7%? How much difference would that make? Compute the present value of $250,000 accumulated fifteen years from now assuming an interest rate of 7%. Compare the difference between this amount and the present value at 5%. Assignment Exercise 12–4: Computing an Internal Rate of Return Dr. Whitten has decided to purchase equipment that has a cost of $60,000 and will produce a pretax net cash inflow of $30,000 per year over its estimated useful life of six years. The equipment will have no salvage value and will be depreciated by the straight-line method. The tax rate is 50%. Determine Dr. Whitten’s approximate after-tax internal rate of return.
- 30. Assignment Exercise 12–5: Payback Period Based on the calculations, he should purchase Machine B. It would take approximately two and a half years (2.4 years) for the investment made in Machine B to be equal to the amount of cash originally spent buying the machine. It would take Machine A 3 years to pay back the money spent to purchase it. ***************************************************** HSA 525 Week 6 Assignment 2 Using Financial Ratios to Assess Organizational Performance For more classes visit www.snaptutorial.com Assignment 2: Using Financial Ratios to Assess Organizational Performance Due Week 6 and worth 240 points Using the financial statements from your selected health care organization in Assignment 1, develop a financial plan for the next three (3) years. Write a four to five (4-5) page paper in which you: 1. Suggest the financial ratio that most financial analysts would use to evaluate the financial condition of the company. Provide support for your rationale.
- 31. 2. Speculate on the organization's ability to meet its financial obligations as they come due. Provide support for your rationale. 3. Based on your ratio analysis, determine whether the profitability trends are favorable or unfavorable and explain your rationale. 4. Using financial ratio analysis, predict whether or not the company will be viable in five (5) years based on its performance over the past three (3) years. Provide support for your prediction. 5. Use at least two (2) quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources. Your assignment must follow these formatting requirements: • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are: • Evaluate the financial statements and the financial position of health care institutions. • Describe the overall planning process and the key components of the financial plan. • Use technology and information resources to research issues in health financial management. ***************************************************** HSA 525 Week 6 Discussion Using Ratios as Performance Indicators and Inflation and Health Care Costs
- 32. For more classes visit www.snaptutorial.com HSA 525 Week 6 Discussion, “Using Ratios as Performance Indicators and Inflation and Health Care Costs” Please respond to the following: Suggest one (1) key financial ratio that a health care administrator should create a trend analysis for. Suggest one (1) key insight that may be gained by the administrator in regard to the performance of the organization. Provide support for your rationale. Use the Internet or Strayer databases to research the current and projected inflation rates and the related impact expected on health care costs. Next, assess the level of importance of one (1) key driver of the inflation of health care costs. Indicate how this inflation can be managed strategically in the future to minimize the financial impact. Provide support for your rationale. ***************************************************** HSA 525 Week 6 Homework 5 Ex 13-3, 13-4.1, 13-4.2, Ex 14-2, 14-3 For more classes visit
- 33. www.snaptutorial.com Assignment Exercise 13–3 As a follow-up to the previous Practice Exercise, new assumptions are as follows: 1. Your unit’s gross charges for the period to date amount to $200,000. 2. The uniform gross charge for each procedure in your unit is $100. 3. The unit receives revenue from four major payers. The number of procedures performed for the period totals 2,000. Of that total, the number of procedures per payer (stated as a percentage) is as follows: Payer 1 = 30% Payer 2 = 40% Payer 3 = 20% Payer 4 = 10% 4. The following contractual payment arrangements are in effect for the current period. The percentage of the gross charge that is currently paid by each payer is as follows: Payer 1 = 80% [Medicare] Payer 2 = 70% [Commercial managed care plans] Payer 3 = 50% [Medicaid] Payer 4 = 90% [Self-pay] Assignment Exercise 13–4.1: Forecast Capacity Levels Prepare another Infusion Center Capacity Level Forecast as follows:
- 34. Assume the same three infusion chairs, but add another nurse for either four or six hours per day. How would this change the daily capacity level for number of patients infused per day? Assignment Exercise 13–4.2 Prepare another Infusion Center Capacity Level Forecast as follows: Increase the number of infusion chairs to four, and add another nurse for either four or six hours per day. How would this change the daily capacity level for number of patients infused per day? Assignment Exercise 14–2: Cumulative Inflation Factor for Comparable Data Revise Hospital 2’s projections by applying a cumulative inflation factor of 5% per year. Assignment Exercise 14–3 The head of your department is a prominent researcher. A health research foundation has asked him travel to London to give an important speech at a conference. He will then travel to Paris to tour a research facility before returning home. Although his travel expenses are being funded by the foundation, he will still need to take along some personal money. Consequently, he asks you to figure the exchange rates for $500 and for $1,000 in both pounds and euros. He explains that he is trying to judge the spending power of U.S. dollars
- 35. when converted to the other currencies so he can decide how much personal money to take on the trip. Assignment Exercise 14–4: The Discovery The Chief Financial Officer at Sample General Hospital has just discovered that the hospital’s Chief of the Medical Staff’s son Jason, a student at the local community college, is paid $100 per week year- round for grounds maintenance at the hospital’s Outpatient Center. ***************************************************** HSA 525 Week 7 Discussion The Budgeting Process and Capital Investment Decisions For more classes visit www.snaptutorial.com HSA 525 Week 7 Discussion, The Budgeting Process and Capital Investment Decisions” Please respond to the following: Use the Internet or Strayer databases to research information related to the budgeting processes within the various types of health care organizations. Next, determine the most-effective budgeting approach
- 36. for a hospital, indicating how this approach can lead to effective financial management of the facility. Provide support for your rationale. Assume that you are an administrator for a hospital, and you need to acquire a new technology system so that you may comply with regulatory requirements. Create an argument to be presented to the leadership team in which you justify the need for your facility to invest in this new technology. Then indicate the value to the organization and provide support for your argument. ***************************************************** HSA 525 Week 7 Homework 6 Ex 15-1, 15-2, 15- 3, and 15-4, Ex16-1 For more classes visit www.snaptutorial.com Assignment Exercise 15–1: Budgeting Select an organization: either from the Case Studies in Chapters 27–28 or from one of the Mini-Case Studies in Chapters 29–31. Required
- 37. Using the organization selected, create a budget for the next fiscal year. Set out the details of all assumptions you needed in order to build this budget. Use the “Checklist for Building a Budget” (Exhibit 15–2) and critique your own budget. Assignment Exercise 15–2: Budgeting Find an existing budget from a published source. Detail should be extensive enough to present a challenge. Using the existing budget, create a new budget for the next fiscal year. Set out the details of all the assumptions you needed in order to build this budget. Use the “Checklist for Building a Budget” (Exhibit 15–2) and critique your own effort. Use the “Checklist for Reviewing a Budget” (Exhibit 15–3) and critique the existing budget. Assignment Exercise 15–3: Transactions Outside the Operating Budget Review Figure 15–2 and the accompanying text. Metropolis Health System (MHS) has received a wellness grant from the charitable arm of an area electronics company. The grant will run for 24 months, beginning at the first of the next fiscal year. Two therapists and two registered nurses will each be spending half of their time working on the wellness grant. All four individuals are full-time employees of MHS. The electronics company has only recently begun to operate the charitable organization that awarded the grant. While they have gained all the legal approvals necessary, they have not yet provided the
- 38. manuals and instructions for grant transactions that MHS usually receives when grants are awarded. Consequently, guidance about separate accounting is not yet forthcoming from the grantor. Assignment Exercise 15–4: Identified Versus Allocated Costs in Budgeting The function I chose from the organizational chart is Finance. Make up your own organization chart for other employee levels within the function you have chosen. Now make up another chart that indicates the operating budget costs you think would be mostly identifiable for the department or unit or division you have chosen and what other operating budget costs you think would be mostly allocated to it. Assignment Exercise 16–1: Capital Expenditure Proposals Ted Jones, the Surgery Unit Director, is about to choose his strategy for creating a capital expenditure funding proposal for the coming year. Ted’s unit needs more room. The Surgery Unit is running at over 90% capacity. In addition, a prominent cardiology surgeon on staff at the hospital wants to create a new cardiac surgery program that would
- 39. require extensive funding for more space and for new state-of-the-art equipment. The surgeon has been campaigning with the hospital board members. ***************************************************** HSA 525 Week 8 Discussion Contract Negotiations and Risks and Operating Margins For more classes visit www.snaptutorial.com HSA 525 Week 8 Discussion, “Contract Negotiations and Risks and Operating Margins” Please respond to the following: In the scenario, the contract negotiations between North Creek Healthcare and the community hospital concluded with an agreement on non-financial (legal) terms. Suggest the most critical element of the contract and the impact to the short-term and long-term operational strategy of a community hospital. Indicate the potential implications to the hospital’s financial targets. Imagine you work for a hospital where the operating margins have been consistently below national norms for the past three (3) years. Discuss one (1) key driver of the below average performance. Suggest one (1) strategy to improve the future management of the driver that you’ve discussed. *****************************************************
- 40. HSA 525 Week 8 Homework 7 Ex 17-1, 17-2, 17- 3, Ex 18-1, 18-2, 18-3 For more classes visit www.snaptutorial.com Assignment Exercise 17–1: Variance Analysis Greenview Hospital operated at 120% of normal capacity in two of its departments during the year. It operated 120% times 20,000 normal capacity direct labor nursing hours in routine services and it operated 120% times 20,000 normal capacity equipment hours in the laboratory. The lab allocates overhead Set up a worksheet for applied overhead costs and volume variance with a column for Routine Services Nursing and a second column for Laboratory. Set up a worksheet for actual overhead costs and budget variance with a column for Routine Services Nursing and a second column for Laboratory Set up a worksheet for volume variance and budget variance totaling net variance with a column for Routine Services Nursing and a second column for Laboratory.
- 41. Assignment Exercise 17–2: Three-Level Revenue Forecast Assumptions: for the base level (most likely) revenue forecast, assume $200 per procedure times 4 procedures per day times 5 days’ equals 20 procedures per week times 50 weeks per year equals 1,000 potential procedures per year. For the best case revenue forecast, assume an increase in volume of one procedure per day average, for an annual increase of 250 procedures (5 days per week times 50 weeks equals 250). (The best case is if the practice gains a particular managed care contract.) For the worst case revenue forecast, assume a decrease in volume of 2 procedures per day average, for an annual decrease of 500 procedures. (The worst case is if the practice loses a major payer.) Audiologists were designated as “eligible for physician and other prescriber incentives” as discussed elsewhere. Thus the new service line was a logical move. Assignment Exercise 17–3: Target Operating Income Acme Medical Supply Company desires a target operating income amount of $100,000, with assumption inputs as follows: • Desired (target) operating income amount = $100,000 • Unit price for sales = $80 • Variable cost per unit = $60 • Total fixed cost = $60,000
- 42. Compute the required revenue to achieve the target operating income and compute a contribution income statement to prove the totals. Assignment Exercise 18–1: Estimate of Loss You are the practice manager for a four-physician office. You arrive on Monday morning to find the entire office suite flooded from overhead sprinklers that malfunctioned over the weekend. Water stands ankle- deep everywhere. The computers are fried and the contents of all the filing cabinets are soaked. Your own office, where most of the records were stored, has the worst damage. Assignment Exercise 18–2: Estimate of Replacement Cost The landlord carries contents insurance that should cover the damage to the furnishings, equipment, and to the computers, and the insurance company adjuster will come tomorrow to assess the furnishings and equipment damage. However, your boss is sure that the insurance settlement will not cover replacement costs. Consequently, you have been instructed to prepare an estimate of what has been lost and/or damaged plus an estimate of what the replacement cost might be. How would you go about it? What would your summary of these losses look like? Assignment Exercise 18–3: Benchmarking
- 43. Review the chapter text about benchmarking. Required Select an organization: either from the Case Studies in Chapters 27–28 or from one of the Mini-Case Studies in Chapters 29–31. Prepare a list of measures that could be benchmarked for this organization. Comment on why these items are important for benchmarking purposes. ***************************************************** HSA 525 Week 9 Discussion Leasing Equipment For more classes visit www.snaptutorial.com HSA 525 Week 9 Discussion, “Leasing Equipment” Please respond to the following: Suggest one (1) key economic factor that motivates leasing as an option in acquiring an asset. Explain the potential asymmetries that may exist where leasing may be beneficial to both the lessors and the lessee.
- 44. Determine one (1) significant benefit to an organization that decides to lease an asset that conventional lease analysis evaluation reveals has a negative Net Advantage to Leasing (NAL). Provide a real-life scenario that supports your answer. ***************************************************** HSA 525 Week 9 Homework 8 Ex 20-1, Ex 21-1, 21-2, 21- For more classes visit www.snaptutorial.com Assignment Exercise 20–1: Financial Statement Capital Structures Required Find three different financial statements that have varying capital structures. Write a paragraph about each that explains the debt-equity relationship and that computes the percentage of debt and the percentage of equity represented.
- 45. Also note whether the percentage of annual interest on debt is revealed in the notes to the financial statements. If so, do you believe the interest rate is fair and equitable? Why Assignment Exercise 21–1: Cost of Owning and Cost of Leasing Using the appropriate table from the Chapter 12 Appendices, record the present-value factor at 10% for each year and compute the present- value cost of owning and the present value of leasing. Which alternative is more desirable at this interest rate? Assignment Exercise 21–2 Summarize the costs to the practice of owning a system (per Doctor Smith) versus leasing (per Doctor Brown). Include a computation of comparative present value. (Refer to Assignment 21-1 for setting up a comparative present-value table.) Cost of Owning: Per Dr. Smith at $35,000 with average maintenance of $4500 (4,000 + 5,000)/2 — Comparative Present Value Assignment Exercise 21–3
- 46. How much more information should Rob have before he begins to make any calculations? Make a list. Which alternative do you believe would be best? Give your reasons. ***************************************************** HSA 525 Week 10 Assignment 3 Post-Merger Analysis For more classes visit www.snaptutorial.com Assignment 3: Post-Merger Analysis Due Week 10 and worth 280 points In today’s uncertain economic and regulatory environment for the health services industry, many organizations may be presented with merger and acquisition opportunities to gain market share and drive financial and operational efficiencies. Given the current state of this market segment: Write a five to six (5-6) page paper in which you: 1. Suggest the key financial drivers that most likely will cause health care organizations to merge. Provide support for your rationale. 2. Assuming that two (2) health care organizations have merged. Determine the evaluation criteria that a financial analyst would use to evaluate the financial performance of the organization post-merger, and identify the determinants that the analyst would use to decide whether or not the merger generated favorable financial results for the organization. Provide support for your evaluation. 3. Determine the key factors that will drive the financial planning process for most organizations in the post-merger phase, and examine
- 47. the related impact to the organization process. Provide support for your rationale. 4. Create an argument to assert that the financial planning process is of high value to a health care organization. Provide support for your argument. 5. Predict the financial stability of the health care industry over the next five (5) years. Provide support for your prediction. 6. Use at least three (3) quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources. Your assignment must follow these formatting requirements: • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are: • Evaluate the financial statements and the financial position of health care institutions. • Describe the overall planning process and the key components of the financial plan. • Use technology and information resources to research issues in health financial management. ***************************************************** HSA 525 Week 10 DiscussionStrategic Planning and Business Plan For more classes visit
- 48. www.snaptutorial.com HSA 525 Week 10 Discussion, Strategic Planning and Business Plan” Please respond to the following: Ascertain the importance of strategic planning for an organization. Next, suggest one (1) strategy you may use to structure the strategic planning session for a not-for-profit mid-sized health organization that is competing with several for-profit facilities in the area. Then determine your approach to communicate the mission, vision, and value statements for the strategic planning. Provide a rationale for your response. Use the Internet or Strayer databases to research articles on business plan creation within health organizations. Next, based on your research and analysis, recommend three (3) best practices of business plan creation and support your response.• Evaluate the financial statements and the financial position of health care institutions. • Describe the overall planning process and the key components of the financial plan. • Use technology and information resources to research issues in health financial management. ***************************************************** HSA 525 Week 11 Discussion Future Developments and Future of Financial Management For more classes visit
- 49. www.snaptutorial.com HSA 525 Week 11 Discussion, “Future Developments and Future of Financial Management” Please respond to the following: Reflecting on the various topics discussed throughout the course, describe one (1) concept that will be affected most by the latest developments in health reform. Examine at least two (2) specific changes that you anticipate in the role of the health care financial manager over the next decad *****************************************************