1. Do you recommend the funding of the nursing continuing education request? If so, how should the request be funded/financed? If no, then what financial information will you use to explain to the Director of Nursing for the hospital?

First Central Valley Hospital Balance Sheets (December 31, 2018 and 2019) in thousands \begin{tabular}{|c|c|c|c|} \hline & & 2018 & 2019 \\ \hline Cash and equivalents & $ & 3,095 & 2,263 \\ \hline Short-term investments & & 2,000 & 4,000 \\ \hline A/R & & 20,738 & 21,840 \\ \hline Inventories & & 2,982 & 3,177 \\ \hline Total current assets & & 28.982 & 31.280 \\ \hline Gross property and equipment & & 140,865 & 145,158 \\ \hline Less accumulated depreciation & & 21.030 & 25.160 \\ \hline Net property and equipment & & 119.835 & 119.998 \\ \hline Total assets & & 148,650 & 151,278 \\ \hline A/P & & 5,145 & 4,707 \\ \hline \end{tabular} Accrued expenses Notes navahle Total current liabilities Long-term debt Net assets (equity) Total liabilities and net assets 5,421 6.237 16.803 33.055 98.792 148.650 5,650 2.975 13.332 30.582 107.364 151.278 First Central Valley Hospital Statements of Operations (Years Ended December 31, 2018 and 2019) in thousands \begin{tabular}{|c|c|c|c|} \hline & & 2018 & 2019 \\ \hline Net patient service revenue & $ & 95,398 & 106,495 \\ \hline Premium revenue & & 4,622 & 5,232 \\ \hline Other revenue & & 6.014 & 3.644 \\ \hline Total revenues & & 106,034 & 115.371 \\ \hline \multicolumn{4}{|l|}{ Expenses: } \\ \hline Nursing services & & 56,752 & 58,285 \\ \hline Dietary services & & 4,718 & 5,424 \\ \hline General services & & 11,655 & 13,198 \\ \hline Administrative services & & 11,585 & 11,427 \\ \hline Employee health and welfare & & 10,705 & 10,250 \\ \hline Provision for bad debts & & 3,469 & 3,328 \\ \hline Insurance expense & & 1,204 & 1,320 \\ \hline Depreciation & & 4,025 & 4,130 \\ \hline Interest expense & & 1,521 & 1,542 \\ \hline Total expenses & & 105.634 & 108.904 \\ \hline Operating income & & 400 & 6,467 \\ \hline Nonoperating income & & 1.995 & 2.105 \\ \hline Net income & & 2.395 & 8.572 \\ \hline \end{tabular} Additional case details: - First Central Valley Hospital has experienced the following cash flows for the 2019 financial period (in thousands): Cash flows from operating activities: $11,196 Cash flows from investing activities: ($6,293) Cash flows from financing activities: ($5,735) - The nursing department is requesting additional funding (estimated $10,000 ) for additional, hospital-based continuing education programs. - The Women's Center expansion project is estimated to cost roughly $1,000,000, and will require 4 years for build-out. - Due to the Patient Protection and Affordable Care Act (PPACA) of 2010, Medicare recoupments due to HCAHPS survey responses have consistently resulted in a reduction of patient service revenue and are estimated to increase by 1.5% annually for the next 3 years