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financial management

Questions and Answers of Financial Management

Nimby plc is considering two mutually exclusive projects: Delphi and Oracle. The possible NPVs for each project and their associated probabilities are as follows:Required:(a) Calculate the expected
What might managers have to do in order to meet the borrowing commitments?
What factors are likely to influence the ability of a business to repay the amount borrowed and to pay interest at due dates? Try to think of at least two.
What advantages do you see from a buyer drawing up a bill of exchange?
Trader Ltd is a wholesaler of imported washing machines. The business is partly funded by a bank overdraft and the bank is putting pressure on Trader Ltd to reduce this as soon as possible.Sales
How can the Stock Exchange help entrepreneurs to do this?
How might an investor exploit this anomaly?
What will be the effect of investors making systematic errors when buying and sellingshares?
Assume that the market price per share in Wickham plc (see Example 7.2) before thebonus issue was £2.10. What will be the market price per share following the shareissue?
What are the risks involved for the business of selling shares at a fixed price?
Assume that, instead of issuing a fixed number of shares, the directors of Celibes plc wish to maximise the amount raised from the share issue. What would bethe appropriate striking price?
Assume that:(a) Ippo Ltd provides additional ordinary share capital at the beginningof the investment period of £60 million, thereby eliminating the need for Andante Ltdto take on a bank loan(b) any
What other motive may a business angel have for becoming actively involved?
Can you think of at least two possible disadvantages of syndication for a business angel?
Can you think how the equity investment of investors may eventually be liquidated?
Why might a listed business revert to being an unlisted business?
Pizza Shack plc operates a chain of pizza restaurants. The business started operations five years ago and has enjoyed uninterrupted and rapid growth. The directors, however, believe that future
The board of directors of Wicklow plc is considering an expansion of production capacity following an increase in sales over the past two years. The most recent financial statements for the business
Calculate the pre-tax cost of loan capital for Lim Associates plc.
L.C. Conday plc has £50 million 10 per cent £1 preference shares in issue. The current market price is £0.92 and the shares are due to be redeemed in three years’ time at their nominal
In Figure 8.11 we saw the traditional view of the relationships between the cost of capital and the level of borrowing and the relationship between the value of the business and the level of
What do you think is the main implication of the above analysis for managers who are trying to decide on an appropriate capital structure?
In Chapter 6 we came across pecking order theory, which offers an alternative explanation as to how different sources of finance are included in the capital structure of a business.Can you recall
What are the main implications for the financial manager who accepts the arguments of the following approaches concerning capital structure?(a) Traditional approach.(b) MM (excluding tax effects)
Trexon plc is a major oil and gas exploration business that has most of its operations in the Middle East and South-East Asia. Recently, the business acquired rights to explore for oil and gas in the
Hatleigh plc is an engineering business. The financial statements for the year ended 30 April Year 8 are as follows:A dividend of £600,000 was proposed and paid during the year.The business made a
Why might an increase in the dividend (D1) not lead to an increase in share price (P0)?
Suppose that Merton plc replaces the £30,000 paid out as dividendsby an issue of shares to new shareholders. Show the statement of financial positionafter the new issue and calculate the value of
There is one situation where even MM would accept that ‘a bird in the hand is worth twoin the bush’ (that is, that immediate dividends are preferable). Can you think what it is?
How might the taxation rules, as described above, affect the way in which the shares ofdifferent businesses are valued?
With which theory, which we have already discussed, would this behaviour be consistent?
Is the reluctance of managers to cut dividends, found by Lintner, consistent with anotherview of dividends discussed earlier?
Can you see any similarities between this line of argument and one that we consideredearlier in the chapter?
Why should a business wish to buy back some of its shares?
Fellingham plc has 20 million ordinary £1 shares in issue. No shares have been issued during the past four years. The business’s earnings and dividends record taken from the past financial
Traminer plc provides software solutions for the airline industry. At present, shares in the business are held by the senior managers and by a venture capital business. However, Traminer plc intends
Assume the same facts as in Activity 10.4. However, we are also told that the business maintains buffer inventories of 300 units. At what level should the business reorder?
Why might this trend be a cause of concern?
The financial statements of Freezeqwik Ltd, a distributor of frozen foods, for the year ended 31 December last year are:All purchases and sales are on credit. There has been no change in the level of
Assume that Freezeqwik Ltd (Activity 10.16) wishes to reduce its OCC by 30 days.Evaluate each of the options available to this business.
Why might a supplier prefer a customer to take a period of credit rather than pay for the goods or services on delivery?
In 2011, a surplus of registered nurses was reported in many parts of California (Bates et al., 2011). Identify possible explanations of the emergence of a surplus.What might have changed in the
Medicare rules pay NPs 85% of the fee paid to physicians for ambulatory care.NP professional organizations are lobbying for equal reimbursement. What implications would that have? How might such a
A growing share of health insurance plans have high deductibles, so that an individual must spend up to $6,450 before insurance begins to pay for services.What problem(s) are these insurance plans
The fundamental problem of health policy is presented in Figure 1.13. Countries that have single-payer or other universal health insurance systems, such as Canada and Germany, face this problem, as
List three ways the DNP provides leadership in helping a healthcare entity optimize reimbursement from insurers.
Choose two preferred financial and patient care outcomes from the following list and describe two ways to achieve each of them:a. Reduce overall hospital admissions.b. Reduce average length of
Discuss three of the CMS's major value-based programs. Define the programs and the criteria that are needed for each of these programs to be successful.
Can the kind of care proposed in an IDS be provided in a system that has a primary focus on either provider or corporate incomes and profit accumulation?
Why is it financially important for hospitals to institute effective discharge planning programs?
Partnerships between acute care and community-based settings improve continuity of care. How do these partnerships influence reimbursement for health systems?
Examine the Nurse Practice Act in your state. What opportunities exist for APRNs to expand their scope of practice? What can you do to effect legislative change?
a. What is your current contribution to the practice you are involved with?Calculate the revenue you generate and your contribution to patient health as measured by obesity, blood pressure control,
Identify sources of revenue for your practice from various forms of insurance.What opportunities exist in your practice to attract a more favorable payment mix?
Identify the ideal patient mix for all practitioners in your practice. Consider the diagnosis mix, skill sets of practitioners, and limitations to scope of practice in your state as well as payer mix
Devise a business plan to promote your organization overseas:a. What are the unique attributes that your organization can bring to an overseas market?b. How would you conduct a needs analysis of the
In your target country overseas, there is a country-wide policy of paying nurses based on their country of origin, resulting in some nurses earning more than double the salary of nurses working in
The project to bring your organization to an overseas country is gaining momentum. Pick a country not featured in this chapter, and determine whether your chosen country has healthcare disparities
Based on the healthcare landscape of Yemen provided in this chapter, what would be your leadership approach to managing the crises there? What strategies could a doctorally prepared nurse use to
Calculate the HPPDs for each of the following Telemetry unit Hours Classifications for one pay period of 14 days. The Budget Average Daily UOS is 20 and the pay period total is 280.Required data is
Calculate the Direct RN to Patient Ratio for the Neuro unit using the following information. Required data is included in the shaded boxes. Critical Thinking Exercise Table to Calculate RN to Patient
A Critical Care ICU unit with the following labor standards in HPPD and a budgeted average daily census of 20/day will need a minimum of how many FTEs in their total paid FTEs? Required data is
Please complete the calculations in the Direct Care Variable Staffing Plan table to maintain the budget direct, RN and NA HPPD and Target direct caregiver ratios for each level of census between 25
HealthFull Nurse-Run Clinic: Table 6.2 analyzes appointments that are lost (cannot be scheduled) because of limits to capacity. However, another problem at HealthFull Clinic is cancelled
Rehab Center SNF at Home Cardiac Rehabilitation Project: The proposed 2023 budget for this project is shown in Table 6.5.a. Referring to Table 6.5, what are the estimated personnel costs for this
Grant County Senior Center COVID Vaccination Projecta. In 2022, it became clear that the demand for vaccinations exceeded the 3 days per week that the program was scheduled. Would extending the
Evaluate your organization’s mission, vision, and values statements and determine how well they match the current state of affairs. How well do they describe what your organization is, does, and
Based on your organization’s stated mission devise several mission effectiveness outcomes (KPIs), and cascade these through your organization down to the individual contributors’ roles.
Develop three people outcomes as well as related substrategies and tactics to improve your organization’s focus on alignment. Complete the tactical map template. Prepare an argument in support of
Using the data in Tables 7.4 and 7.5, calculate the total year-end bonus amount for a nurse manager who earns $100,000 annually, has a 10% bonus target, meets the individual financial contributions,
Prepare a full 3-F framework for a project of your choosing. Base your assumptions on research and trends, and use Excel for financial modeling. Prepare a presentation for the board of trustees or
The invasive radiology department has just purchased a piece of equipment that enables it to perform many procedures faster. One of the results of this improvement is that the department is able to
Using the information in the table, complete the blank columns by calculating the variance (both positive and negative) for each month’s patient days and nursing hours. Enter your answers in the
Your hospital replaced its entire inpatient bed fleet 10 years ago (120 months) and the nursing departments are stating they need to be replaced again. The beds were originally purchased for $15,000
Review the income statement provided in Table 8.2 and address the following questions:a. From your analysis, you understand that the net margin for the organization has shown strong growth over the
Using the data in Table 8.1 and the definitions given in Table 8.4, calculate the current ratio, quick ratio, and the debt ratio.a. What information do these ratios provide?b. If you were concerned
Using the data in Table 8.1 and the definitions in Table 8.4, calculate the days cash on hand.a. What information does this financial ratio provide?b. If you were concerned about the result, what
Using the information in the following table, calculate the average daily census and the bed utilization rate over the last 3 months for this 395-bed hospital. Month Days of service July 11,480
As a DNP, you know that providing care that is measurable (at a financial as well as a quality level) can give you the ability to request additional funding. Take a moment and ponder a current
If a fictional treatment costs a total of $45,000 at today’s value and increases a person’s quality of life from 0.5 to 0.6 for the remainder of their life from age 70 and onward, and the
With all the changes that are occurring in healthcare today, what are some of the challenges your environment is facing and what is your organization doing to plan for the financial consequences?
What implications do you believe exist with MACRA? Do you believe that moving to a paymentfor-quality model over quantity/volume is going to improve patient outcomes? Why?
The CNO is reviewing patient satisfaction benchmark data from their facility and four similar facilities (see table). What conclusions can they make, given the information? What are the limitations
A group of nurses wishes to explore the effectiveness of a new treatment approach for increasing activity tolerance among COVID-19 patients. As a member of your agency’s research and practice
The geriatrics inpatient unit has experienced a significant amount of nursing staff turnover. In the last 12 months, seven of the 29 permanent RN staff members have left. In addition, the number of
You complete a calculation of the Pearson product–moment correlation coefficient to determine the relationship of the number of temporary RNs on an inpatient nursing unit to the number of
Three of the nurses in the cardiac outpatient clinic are enrolled in an MPH program. They want to investigate whether a patient’s ethnicity or race influences the quality and quantity of care
Big data can play an essential role in community and population health. Using the data sets in Table 11.3, determine what relationship, if any, may exist between the unemployment rate, number of
Perhaps there is no more critical role of a nurse leader than ensuring you have the most appropriate levels of staff in the correct areas at the right times. What does the this data table tell the
Many states require hospitals and EDs to utilize a patient acuity system to provide care for patients. What impact, if any, does patient acuity have on the following metrics: unit-budgeted HPPD, the
Nurse leaders frequently seek to implement quality-improvement projects to improve outcomes and save lives. Your healthcare organization has recently hired a quality coordinator to improve patient
You are the chief nurse executive at an organization that provides clinic services to Medicare patients; seven of the clinics are located in underserved areas. While visiting one of the clinics, you
You are an NP who sees mostly posthead trauma patients and who refers many of these patients to physical and occupational services. On one routine follow-up visit, your patient claims that he has not
You are the chief nursing executive for a small rural clinic that provides contraception services to low-income individuals. An insurer, providing care under the ACA, has rejected paying the claims,
You are an NP in a small hospital and you are reviewing the chart of a patient who underwent a second abdominal surgery. Six months after his initial surgery, the patient had to return to surgery for
The scenario: You are a DNP clinical coordinator in an urban teaching hospital that includes medical school students and a physician residency program. After an unexpected interruption, a medical
Members of the team agree on the aim statement that you, as the DNP project manager, and they are ready to start developing the hospital-wide policy. Before starting the policy, you ask team members
The CNO has asked to meet with you to discuss your stakeholder analysis. Prepare a stakeholder map, power/interest grid, and stakeholder analysis in advance of the meeting. Also include a one-page
The team is halfway through the project when you receive word that the chief medical officer (CMO) plans to retire in a month. You are concerned about the project because the CMO was a strong
The procedure was presented to the full medical staff and approved after a lively discussion regarding the risks and benefits of having a hospital-wide disclosure policy. You worked with several key

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