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Case Study 2: Financial Statements Income Statement - End of Year Operating Revenue Net Patient Service Revenue $ 1,265,000 Other Revenue 275,700 Total Operating Revenue

Case Study 2: Financial Statements

Income Statement - End of Year

Operating Revenue Net Patient Service Revenue $ 1,265,000

Other Revenue 275,700

Total Operating Revenue 1,540,700

Operating Expenses

Salary, Wages, & Fringe Benefits 1,550,400

Provision for Bad Debts 65,000

Depreciation 8,000

Other Expenses 60,000

Total Operating Expenses 1,683,400

Income (loss) from operation $ (142,700)

Non-Operating Gains (losses)

Total Non-operating Gains (losses) 35,000

Net Income / (Loss) $ (107,700)

Balance Sheet - End of Year

Assets:

Cash and cash equivalents $ 450,000

Patient Accounts Receivable 210,800

Prepaid Expenses 5,000

Total Current Assets 665,800

Property, Plant & Equipment 32,000

Total Non- Current Assets 32,000

Total Assets $ 697,800

Liabilities and Equity:

Accounts Payable and accrued expenses 42,800

Total Current Liabilities 42,800

Long-term Debt 90,000

Total Non-Current Liabilities 90,000

Unrestricted net assets 565,000

Total Equity 565,000

Total Liabilities and Equity $ 697,800

Financial Indicators:

Working Capital $ 623,000

Current Ratio 15.6

Days in Patient A/R 60.8

Days Cash on Hand 98.0

Other Metrics:

Unbilled A/R $ 31,600

% in A/R more than 90 days 23%

For case study number 2, a non-profit community health center's balance sheet is shown above. The

board has to make some strategic decisions related to recruiting an additional physician. It is

estimated that the cost would be $300,000 for salary (benefits and two new medical assistants to

support the doctor) and generally the A/R for the new physician would take about 6 months due to

getting the new provider credentialed (e.g., Medicare Provider number, added to managed care

contracts, etc.). The revenue associated with the new provider is estimated to be $200,000 (net) in

months 7-12; after that, the net revenue should be about $450,000 (net) per year.

Questions

Summarize CS #2

Are there items treated as expenses in the income statement but do not require any

expenditure of cash in the present period?

What could the practice do with the extra cash?

What are the implications in relation to that decision?

If you were the administrator of the practice, do you have any recommendations or do you

feel financial management is going well?

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