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In this unit, you will complete the research paper that you started in Unit VI. Based on the healthcare facility you created in that unit, complete the following components for the research paper: In...

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In this unit, you will complete the research paper that you started in Unit VI. Based on the healthcare facility you created in that unit, complete the following components for the research paper:

  • In your introduction, give a brief description of your facility’s current financial situation. While some of the information for your description may come from your Unit VI Research Paper Topic, do not use the same verbiage. This introduction and description should cover topics from your research in this unit.
  • Create a balance sheet, income statement, and statement of cash flows for your healthcare facility. If you wish, you may present these in chart form in the paper. When creating these charts, you may use either Word or Excel, but Excel is recommended because it will handle the calculations. Based on these, discuss the performance of your facility.
  • Make capital budgeting and investment decisions based on the need for your facility to update aging equipment. The equipment is expected to cost $1.3 million, and the expected life of the equipment is 15 years. Discuss at least two financing options for the new equipment.
  • Present a long-term financial analysis for the facility. In this analysis, evaluate the financial implications of current and future healthcare trends, making sure to evaluate any legal issues in health care, and discuss the future of healthcare financial management in the United States.

Combine all of your components into one research paper. Your completed research paper must be at least three pages in length, double-spaced. You are required to use at least five outside sources. Three of these may be the ones chosen in Unit VI. At least two of these must come from the CSU Online Library. All sources used, including the textbook, must be referenced

Answered Same Day Sep 13, 2021

Solution

Ishmeet Singh answered on Sep 19 2021
164 Votes
SUMMARY
                    SUMMARY                                        LEGEND
                                                            Tab colou
                                                            Green    Optimized study from previous macro deliverables
                                                            Blue    Study submitted uptil now
                                                            Note:    Please note Revenues & Financials have been optimised
                                                            You may delete this after reading (I advise to write them again in your own language after analyzing)
                                                            Difference between earlier & these financials:
                                                            Basically in earlier state the financial showed shareholders deficit under no circumstances can you expect
                                                            an already stresses business to be running a viable project.
                                                            That is a situation where your assets value is way under the liabilities.
                                                            No one entertains a cash credit under that circumstances even if you are an SPVs status.
                                                            What changes I have done is in operations making it more organised an quantitative in nature.
                                                            Where expenses are
ought under control.
                                                            Thus even a company making 18 million of revenues can be seen easily making 13 millions in credit and making
                                                            project viable.
                                                            As far as ques is concerned:
                                                            Yes, Based on Project Dashboard and relevant graphs of Net Worth Cash Balance one should go for buying equipments
                                                            Only concern is IRR if they get a better project its fine otherwise no.
                                                            Reason being why we are advocating is because depreciation is serving a means of blanket to taxes therefore it is turning viable
                                                            Otherwise, considering last cases one could not have gone as the company didn't have any tax liability as it was in loss.
Revenues & Net Income
Revenues    2018    2019    2020    2021    2022    2023    18244836.774277791    19540220.185251508    20927575.818404365    22413433.701511074    24004787.494318362    25709127.406414971    Net Income    2018    2019    2020    2021    2022    2023    13335859.575934462    14611752.861779917    15851662.879397113    17177762.996061672    18545572.201616783    19979009.807126053    Operting Cash Flows    2018    2019    2020    2021    2022    2023    14091578.470391396    15470542.236619692    16709892.966517178    18035394.086033929    19402561.765643738    20835312.29686559    
Cash Balance and Net Worth
Cash Balance    2018    2019    2020    2021    2022    2023    12832431.495078897    25727962.79169859    39784523.398215771    55547262.204249695    74949823.969893426    95785136.266759008    Net Worth    2018    2019    2020    2021    2022    2023    17575714.020621963    32187466.88240188    48039129.761798993    65216892.757860661    83762464.95947744    103741474.76660348    
Cove
            Title:        Due Diligence Financial Model Template
             Filename:        Community Health Systems Inc.xlsx
            Date created:        September 19, 2020
            Last modified:        September 19, 2020
            Sheet        Explanation        Input    Calculation    Output
            Input        Main input / assumptions driving the financial model        X
            Revenues        Revenues            X
            Manpower        Manpower - Count & Compensation
            Costs        Costs forecasts            X
            CAPEX & Dep        CAPEX and Depreciation Forecasts            X
            Working Capital        Working Capital Forecasts            X
            Financial Statements        Consolidated financial statements                X
            Charts        Chart of Revenues, Cash Flows, Net Income, Cash Balance and Net Worth                X
            Color coding
            Input
            Calculations
            Output
                                                                        2018    2019    2020    2021    2022    2023
                                                                    Revenues    18,244,837    19,540,220    20,927,576    22,413,434    24,004,787    25,709,127
                                                                    Net Income    13,335,860    14,611,753    15,851,663    17,177,763    18,545,572    19,979,010
                                                                    Operting Cash Flows    14,091,578    15,470,542    16,709,893    18,035,394    19,402,562    20,835,312
                                                                        2018    2019    2020    2021    2022    2023
                                                                    Cash Balance    12,832,431    25,727,963    39,784,523    55,547,262    74,949,824    95,785,136
                                                                    Net Worth    17,575,714    32,187,467    48,039,130    65,216,893    83,762,465    103,741,475
Manpowe
        Manpower - Count & Compensation
            A    Assumed
            P    Projected
            A    A    P    P    P    P
            2018    2019    2020    2021    2022    2023
        G & A
        Housekeeping
        Count    2    2    2    2    2    2
        Compensation    22,973    24,122    25,328    26,594    27,924    29,320
        Total Compensation    45,946    48,243    50,656    53,188    55,848    58,640
        Administrative Staff
        Count    3    3    3    3    3    3
        Compensation    91,892    96,487    101,311    106,377    111,696    117,280
        Total Compensation    275,677    289,461    303,934    319,130    335,087    351,841
        Receptionist
        Count    1    1    1    1    1    1
        Compensation    45,946    48,243    50,656    53,188    55,848    58,640
        Total Compensation    45,946    48,243    50,656    53,188    55,848    58,640
        Call Center Staff
        Count    6    6    6    6    6    6
        Compensation    45,946    48,243    50,656    53,188    55,848    58,640
        Total Compensation    275,677    289,461    303,934    319,130    335,087    351,841
        Count    12    12    12    12    12    12
        Compensation    643,246    675,408    709,179    744,638    781,869    820,963
        Headcount increase (YoY)    12    0    0    0    0    0
        Avg yearly wage    17,230    18,091    18,996    19,946    20,943    21,990
            2018    2019    2020    2021    2022    2023
        Vehicle Running & Maintenance
        Drivers
        Count    5    5    5    5    5    5
        Compensation    45,946    48,243    50,656    53,188    55,848    58,640
        Total Compensation    229,731    241,217    253,278    265,942    279,239    293,201
        Count    5    5    5    5    5    5
        Compensation    229,731    241,217    253,278    265,942    279,239    293,201
        Headcount increase (YoY)    5    0    0    0    0    0
        Avg yearly wage    45,946    48,243    50,656    53,188    55,848    58,640
            2018    2019    2020    2021    2022    2023
        Direct Staff
        Nurses
        Count    8    8    8    8    8    8
        Compensation    76,577    80,406    84,426    88,647    93,080    97,734
        Total Compensation    612,615    643,246    675,408    709,179    744,638    781,869
        Count    8    8    8    8    8    8
        Compensation    612,615    643,246    675,408    709,179    744,638    781,869
        Headcount increase (YoY)    8    0    0    0    0    0
        Avg yearly wage    76,577    80,406    84,426    88,647    93,080    97,734
        Total Count    25    25    25    25    25    25
        Total Compensation    1,485,592    1,559,871    1,637,865    1,719,758    1,805,746    1,896,033
Count for a given position is in the input
Cost per resource is driven by total annual compensation per employee and increased annually by a specified percentage
Summing up of the different t costs by type of employee
Revenues
        Revenues
            2018    2019    2020    2021    2022    2023
        Diabetic Patients    12,682,062    13,582,488    14,546,845    15,579,671    16,685,827    17,870,521
        Physiotherapy Patients    4,954,036    5,305,773    5,682,482    6,085,939    6,518,040    6,980,821
        Rehabiliation Patients    608,739    651,959    698,249    747,824    800,920    857,785
        Total sales revenues    18,244,837    19,540,220    20,927,576    22,413,434    24,004,787    25,709,127
Input
        Input
                                    Input cell
        Start Year    2013
                                    Calculation cell
        Scenario Summary
        Revenues
        No. of Patients    2018    2019    2020    2021    2022    2023
        Diabetic Patients    6624    6757    6892    7030    7171    7314
        Physiotherapy Patients    12939    13197    13461    13731    14005    14285
        Rehabiliation Patients    1590    1622    1654    1687    1721    1755
        Cost of Services
        in dollars    2018    2019    2020    2021    2022    2023
        Diabetic Patients    1914    2010    2111    2216    2327    2443
        Physiotherapy Patients    383    402    422    443    465    489
        Rehabiliation Patients    383    402    422    443    465    489
        Raw Material
        volumes    2018    2019    2020    2021    2022    2023
        Diabetic Patients    6624    6757    6892    7030    7171    7314
        Physiotherapy Patients    12939    13197    13461    13731    14005    14285
        Rehabiliation Patients    1590    1622    1654    1687    1721    1755
        Raw Material Prices
        in dollars    2018    2019    2020    2021    2022    2023
        Diabetic Patients    64    67    70    74    78    81
        Physiotherapy Patients    64    67    70    74    78    81
        Rehabiliation Patients    64    67    70    74    78    81
        General Input
        Working capital    2018    2019    2020    2021    2022    2023
        Days payable (General & Administrative)    0    0    0    0    0    0
        Days payable (Vehicle Running & Maintenance)
        Days payable (COGS)
        Days receivable    0    0    0    0    0    0
        Days inventory    30    30    30    30    30    30
        Manpower Count    2018    2019    2020    2021    2022    2023
        General & Administrative Staff
        Housekeeping    2    2    2    2    2    2
        Administrative Staff    3    3    3    3    3    3
        Receptionist    1    1    1    1    1    1
        Call Center Staff    6    6    6    6    6    6
        Vechile Running & Maintenance Staff
        Drivers    5    5    5    5    5    5
        Assistants    0    0    0    0    0    0
        Direct Staff
        Junior Doctors    0    0    0    0    0    0
        Consultants    0    0    0    0    0    0
        Nurses    8    8    8    8    8    8
        Attendants    0    0    0    0    0    0
        Manpower Cost    Base Comp.    Benefits    Total Comp
        Yearly Comp (K SAR)
        General & Administrative Staff
        Housekeeping    18    - 0    18
        Administrative Staff    72    - 0    72
        Receptionist    36    - 0    36
        Call Center Staff    36    - 0    36
        Vechile Running & Maintenance Staff
        Drivers    36        36
        Direct Staff
        Junior Doctors            - 0
        Consultants            - 0
        Nurses    60        60
        Attendants            - 0
        Annual operating expenses assumptions (in SAR)
            Fixed Annual Exp    Variable Annual Exp    Sources
        G&A
        Office Rent    50,000    0
        Expenses on Office Utilities    24,000    0    Electricity, Water, Telephone, Insurance etc
        Staff Accommodation Rent    35,000    0
        Staff Accommodation Utilities    12,000    0%
        Vehicle Running & Maintenance
        Car Petrol Expenses    48,000    0
        Car Repairs & Maintenance    60,000    0
        Other Operating Expenses
        CAPEX
        Capital Expenditures ( SAR)    2018    2019    2020    2021    2022    2023
        Furniture:
        1 Director Office    37,000
        3 Administrator Desks    39,000
        1 Receptionist Desk    83,000
        4 Nurse Desks and Chairs    166,000
        Call Center for 6 Staff    12,000
        Total    337,000
        Computer (20 No.)    1,000,000
        Medical Equipment    10,000,000
        Car    553,000
        Communication Phone    1,110,000
        Total Capex     13,000,000    0    0    0    0    0
        INITIAL PROJECT EXPENSES
        Initial Project Expenses (SAR)    2018
        License fees    15,000
        Singboard and Printing    10,000
        Marketing Expenses    15,000
        Recuritment Cost    80,000
        Total Initial Project Expenses    120,000
        CASH FOR 3 MONTHS OPERATION
            Total Amount    No.of Months    Expenses per month
        Office Rent    12,500    3    4,167
        Expenses on office utilities    6,000    3    2,000
        Staff Accommodation Rent    8,750    3    2,917
        Staff Accommodation Utilities    3,000    3    1,000
        Car Petrol Expenses    12,000    3    4,000
        Equip Instalment    691,207    3    230,402
        Car Repair & Maintenance    15,000    3    5,000
        Salaries    371,398    3    123,799
        Total    1,119,854
        Total Project Cost    14,239,854
        Financing
        Financing    2018    2019    2020    2021    2022    2023
        Entrepreneur Contribution    4,239,854
        Equip financing    10,000,000
        Others
        Other Assumptions
        Annual Increase in Salaries & Benefits    5%
        Depreciation Period (Years)    15
        Interest Rate on Loan    3.00%
        Repayment term in years    3.83
        Management fees (per annum)    180,000
        Zakat    2.5%
        Inflation    5.0%
        Number of days in a year    365
        Scenario assumptions
        Cost of Service (in SAR)    2018    Y to Y
        Diabetic Patients    1,500    5.00%
        Physiotherapy Patients    300    5.00%
        Rehabiliation Patients (per visit fees)    300    5.00%
        Number of Patients    2018    Y to Y
        Diabetic Patients    6,000    2.00%
        Physiotherapy Patients    11,719    2.00%
        Rehabilitation Patients (No. of visits)    1,440    2.00%
        Raw Material Prices (in SAR)    2018    Y to Y
        Diabetic Patients    50    5.00%
        Physiotherapy Patients    50    5.00%
        Rehabilitation Patients    50    5.00%
        Raw Material (in units)    2018    Y to Y
        Diabetic Patients    6,000    2.00%
        Physiotherapy Patients    11,719    2.00%
        Rehabilitation Patients    1,440    2.00%
input the capital expenditure per year.
the headline can be adapted based on the venture
Costs
        Opex
            A    A    P    P    P    P
            2018    2019    2020    2021    2022    2023
        General & Administrative Expenses
        G&A Salaries    643,246    675,408    709,179    744,638    781,869    820,963
        Office Rent    63,814    67,005    70,355    73,873    77,566    81,445
        Expenses on office utilities    30,631    32,162    33,770    35,459    37,232    39,093
        Staff Accommodation Rent    44,670    46,903    49,249    51,711    54,296    57,011
        Staff Accommodation Utilities    15,315    16,081    16,885    17,729    18,616    19,547
        Total G&A    797,676    837,560    879,438    923,410    969,580    1,018,059
        Vehicle Running & Maintenance
        Vechile Running Staff Salaries    229,731    241,217    253,278    265,942    279,239    293,201
        Car Petrol Expenses    61,262    64,325    67,541    70,918    74,464    78,187
        Car Repairs & Maintenance    76,577    80,406    84,426    88,647    93,080    97,734
        Total S&M    367,569    385,948    405,245    425,507    446,783    469,122
        Cost of material & medicines
        Raw Material    1,349,865    1,445,705    1,548,350    1,658,283    1,776,021    1,902,118
        Direct Staff Salaries    612,615    643,246    675,408    709,179    744,638    781,869
        Total COGS    1,962,480    2,088,951    2,223,758    2,367,461    2,520,658    2,683,988
        Total OPEX    3,127,725    3,312,458    3,508,441    3,716,378    3,937,021    4,171,169
Capex & Dep
        Capex & Depreciation
        Life of Assets    15
            1    2    3    4    5    6    7    8    9    10    11    12    13    14    15
            2018    2019    2020    2021    2022    2023    2024    2025    2026    2027    2028    2029    2030    2031    2032
        Assets
        Net addition to gross assets    13,000,000    0    0    0    0    0    0    0    0    0    0    0    0    0    0
        Gross Assets    13000000    13000000    13000000    13000000    13000000    13000000    13000000    13000000    13000000    13000000    13000000    13000000    13000000    13000000    13000000
        Beginning of Yr Undepreciated Assets    13,000,000    12,133,333    11,266,667    10,400,000    9,533,333    8,666,667    7,800,000    6,933,333    6,066,667    5,200,000    4,333,333    3,466,667    2,600,000    1,733,333    866,667
            1,300,000    1,300,000    1,300,000    1,300,000    1,300,000    1,300,000
        Total Depreciation    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667
        Asset purchased in year 1    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667    866,667
        Asset purchased in year 2        0    0    0    0    0    0    0    0    0    0    0    0    0    0
        Asset purchased in year 3            0    0    0    0    0    0    0    0    0    0    0    0    0
        Asset purchased in year 4                0    0    0    0    0    0    0    0    0    0    0    0
        Asset purchased in year 5                    0    0    0    0    0    0    0    0    0    0    0
        Asset purchased in year 6                        0    0    0    0    0    0    0    0    0    0
        End of Yr Undepreciated Assets    12,133,333    11,266,667    10,400,000    9,533,333    8,666,667    7,800,000    6,933,333    6,066,667    5,200,000    4,333,333    3,466,667    2,600,000    1,733,333    866,667    0
Financial Statements
        Financial Statements
        Income Statement (SAR)
            2018    2019    2020    2021    2022    2023
        Sales revenues
        Sales revenues    18,244,837    19,540,220    20,927,576    22,413,434    24,004,787    25,709,127
        Net sales revenues    18,244,837    19,540,220    20,927,576    22,413,434    24,004,787    25,709,127
        COGS    1,962,480    2,088,951    2,223,758    2,367,461    2,520,658    2,683,988
        Gross Profit    16,282,357    17,451,269    18,703,818    20,045,972    21,484,129    23,025,140
        Gross margin    89%    89%    89%    89%    89%    90%
        G&A & Vechile Expenses
        G&A Expenses    797,676    837,560    879,438    923,410    969,580    1,018,059
        Vehicle Running & Maintenance Expenses    367,569    385,948    405,245    425,507    446,783    469,122
        Management fee    180,000    180,000    180,000    180,000    180,000    180,000
        EBITDA    14,937,112    16,047,762    17,239,135    18,517,055    19,887,766    21,357,959
        EBITDA margin    82%    82%    82%    83%    83%    83%
        Depreciation
        Fixed assets depreciation    866,667    866,667    866,667    866,667    866,667    866,667
        Total depreciation expenses    866,667    866,667    866,667    866,667    866,667    866,667
        Initial Project Expenses:
        License Fees    15,000
        Signboard and Printing    10,000
        Marketing Expenses    15,000
        Recruitment Cost    80,000
        EBIT    13,950,445    15,181,095    16,372,468    17,650,389    19,021,100    20,491,292
        EBIT margin    76%    78%    78%    79%    79%    80%
        Interest on car financing    265,825    189,815    111,494    31,366    0    0
        Zakah    348,761    379,527    409,312    441,260    475,527    512,282
        Dividends    0    0    0    0    0    0
        Net income    13,335,860    14,611,753    15,851,663    17,177,763    18,545,572    19,979,010
        Net margin    73%    75%    76%    77%    77%    78%
        Cash flow statement (SAR)    2/19/18    2/19/19    2/19/20    2/19/21    2/19/22    2/19/23
            2018    2019    2020    2021    2022    2023
        Cash Flow from operations
        Net income    13,335,860    14,611,753    15,851,663    17,177,763    18,545,572    19,979,010
        Depreciation    866,667    866,667    866,667    866,667    866,667    866,667
        Change in Net Working Capital    110,948    7,877    8,437    9,036    9,677    10,364
        Total cash flow from operations    14,091,578    15,470,542    16,709,893    18,035,394    19,402,562    20,835,312
        Cash Flow from investing
        Capex/maintenance capex    13,000,000    0    0    0    0    0
        Total cash flow from investment    -13,000,000    0    0    0    0    0
        Total cash from from financing
        Entrepreneur...
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