Problem 1
9/1/14 UNDERSTANDING HEALTHCARE FINANCIAL MANAGEMENT
Chapter 11 -- Capital Budgeting
PROBLEM 1
Winston Clinic is evaluating a project that costs $52,125 and has expected net cash flows of $12,000 pe
year for eight years. The first inflow occurs one year after the cost outflow, and the project has a cost of
capital of 12 percent.
a. What is the project's payback?
b. What is the project's NPV? Its IRR?
c. Is the project financially acceptable? Explain your answer.
ANSWER
Problem 2
UNDERSTANDING HEALTHCARE FINANCIAL MANAGEMENT
Chapter 8 -- Lease Financing
PROBLEM 2
Big Sky Hospital plans to obtain a new MRI that costs $1.5 million and has an estimated four-year useful
life. It can obtain a bank loan for the entire amount and buy the MRI, or it can obtain a guideline lease for
the equipment. Assume that the following facts apply to the decision:
- The MRI falls into the three-year class for tax depreciation, so the MACRS allowances are 0.33, 0.45,
0.15, and 0.07 in Years 1 through 4, respectively.
- Estimated maintenance expenses are $75,000 payable at the beginning of each year whether the MRI is
leased or purchased.
- Big Sky's marginal tax rate is 40 percent.
- The bank loan would have an interest rate of 15 percent.
- If leased, the lease payments would be $400,000 payable at the end of each of the next four years.
- The estimated residual (and salvage) value is $250,000.
a. What are the NAL and IRR of the lease? Interpret each value.
b. Assume now that the salvage value estimate is $300,000, but all other facts remain the same. What is
the new NAL? The new IRR?
ANSWER
(Hint: Use the following format as a guide.)
Year 0 Year 1 Year 2 Year 3 Year 4
Cost of owning:
Net purchase price
Maintenance cost
Maintenance tax savings
Depreciation tax savings
Residual value
Tax on residual value
Net cash flow
Cost of leasing:
Lease payment
Lease tax savings
Maintenance cost
Maintenance tax savings
Net cash flow
Net advantage to leasing:
PV cost of leasing
PV cost of owning
NAL
Problem 3
UNDERSTANDING HEALTHCARE FINANCIAL MANAGEMENT
Chapter 11 -- Capital Budgeting
PROBLEM 3
Capitol Health Plans, Inc., is evaluating two different methods for providing home health services to its
members. Both methods involve contracting out for services, and the health outcomes and revenues are
not affected by the method chosen. Therefore, the incremental cash flows for the decision are all outflows.
Here are the projected flows:
Year Method A Method B
0 -$300,000 -$120,000
1 -$66,000 -$96,000
2 -$66,000 -$96,000
3 -$66,000 -$96,000
4 -$66,000 -$96,000
5 -$66,000 -$96,000
a. What is each alternative's IRR?
b. If the cost of capital for both methods is 9 percent, which method should be chosen? Why?
ANSWER