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I'm struggling with question 3 in this case study Hays county integrated delivery system from the Introduction to the Financial Management of Healthcare Organizations book.

I'm struggling with question 3 in this case study "Hays county integrated delivery system" from the Introduction to the Financial Management of Healthcare Organizations book. Primarily I am unsure about the finding the revenue for the statement of operations. .

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3. irect reports to you. lute, 25-slide PowerPoint staff regarding the role of the CFO and the roles Develop a statement of operations for 2017 using Tables II, IV-A, IV-B, and IV-C (at the end of this case study) and a balance sheet for 2017 (you can assume the format and numbers are correct on the 2016 balance sheet in Table you can further assume that all balances on the 2016 balance sheet carry forward to the 2017 balance sheet with the exception of accounting for the profit or loss from the 2017 statement of operations). Analyze the financial statements I, and using ratio analysis with benchmarks found in Table III and identify strengths and weaknesses and then make recommendations for improvement in 2018. The Treasury Department has issued final regulations on the ACA (Affordable Case Study: Hays County Integrated Delivery System TABLE // Hays County IDS Actual Expenses ($) through December 31, 2017 Wages, Taxes, Benefits (90% variable, 10% fixed) Professional Fees and Commissions (fixed) $ 76,725,792 7,000,000 Drugs (variable) 8,000,000 8,500,000 7,500,000 6,500,000 Medical and Other Supplies (variable) Food (variable) Purchased Services (variable) Repairs and Maintenance (fixed) Utilities (fixed) Interest (fixed) Depreciation (fixed) TOTAL EXPENSES 8,000,000 9,000,000 8,021,440 3,000,000 $142,247,232 tegrated Delivery System 405 TABLE IV-A Hays County IDS Discharges 2013 2014 2015 2016 6,777 6,354 2017 5,931 5,931 5,931 Service (LOS) Acute (4) SNF (30) Rehab (20) Home Health 239 243 247 251 255 155 162 159 4,866 7,298 3,650 157 6,082 30,062 18,355 Emergency Outpatient 34,354 164 3,650 36,500 26,000 27,915 16,826 32,207 19,884 22,942 LOS = length of stay; SNF = skilled nursing facility TABLE IV-B Percentage of Discharges by Payer 2013 2014 2015 2016 2017 Medicare 24 25 26 28 27 22 24 26 Medicaid 28 30 1 2 5 4 3 39 39 32 39 33 Commercial Managed Care-discount Managed Care - capitation Bad Debt o 0 5. o 5 2 2 2 3 2 2 2 2 2 Charity TABLE IV-C 2017 Charges per Discharge/Visit ($) St. Teresa HCH 40,000 38,200 28,000 Acute 30,000 SNF 38,000 40,000 Rehab 300 Home Health 400 1,600 1,500 500 600 Emergency Outpatient SNF = skilled nursing facility

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