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Alpine Village Clinic Cash Budgeting case 8 question from 4th edition of Fundamentals of Healthcare - have completed most of the budgeting work and spreadsheet.

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Alpine Village Clinic Cash Budgeting case 8 question from 4th edition of Fundamentals of Healthcare - have completed most of the budgeting work and spreadsheet. Am looking for assistance answering the concept questions in the attached document. Hoping one of the tutors is already familiar with this case. Let me know if I need to attach the entire case problem as well.

image text in transcribed Cases in Healthcare Finance Case Questions CASE 8 QUESTIONS ALPINE VILLAGE CLINIC Cash Budgeting 1. Construct a monthly cash budget for the clinic for the period January through June 2010. What is the maximum monthly loss during the six-month planning period? What is the maximum cumulative borrowing balance? (For purposes of this question, disregard any interest payments on short-term bank loans or interest received from investing surplus funds.) 2. The monthly cash budget you have prepared assumes that all cash flows occur on the same day each month. Suppose the clinic's outflows tend to cluster at the beginning of the month, while collections tend to be heaviest toward the end of each month. a. How would this imbalance affect the validity of the monthly budget? b. What could be done to correct any inaccuracies that might occur? 3. Construct the clinic's daily cash budget for January. Does it indicate the same maximum borrowing requirement for the month as does the monthly budget? Does the end-of-January borrowing requirement in the daily budget match the end-of-January borrowing requirement in the monthly budget? If not, explain the difference. 4. Should seasonal variations be incorporated into the clinic's target cash balance? In other words, should the balance be higher during months when cash needs are greater? 5. The only receipts shown on the clinic's cash budget are collections. What other types of cash inflows could occur? 6. Consider the interest paid on short-term borrowings and earned on short-term investments. Modify the monthly portion of the model to include these cash flows. Do these flows have a significant impact on estimated borrowing requirements? 7. The clinic's cash management policy is to invest any surplus funds in marketable securities. a. Can you suggest an investment policy that would provide liquidity and safety yet offer the clinic a reasonable return on its investment? Specifically, describe the types of securities, the desired maturities, the expected returns, and the risks that would be involved. b. Would your suggestions be the same for a business whose cash balances were projected to be in the millions of dollars as opposed to thousands of dollars? 8. What would be the impact on the monthly net cash flows if actual billings from November 2009 to June 2010 were 20 percent below the forecasted amounts? What if they were 50 percent below the forecasted amounts? In your answers, assume that purchases and labor costs, as well as all other expenses, cannot be adjusted downward during this period even though realized volume was below that forecasted. 9. Suppose the clinic's third-party payers changed their payment patterns and began paying as follows: 10 percent in the month of sale, 20 percent in the following month, and 70 percent in the second month versus the old 20-20-60 pattern. How large a credit line would the clinic require? 10. On the basis of all your analyses, how large of a credit line would you recommend the clinic seek from First Bank? Health Administration Press, 2010. Reproduction without permission is prohibited

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