Instructions: Read the case below and the appended financial statements and answer the questions that follow. CASE STUDY: COMMUNITY GENERAL HOSPITAL Dr. Noland Wright, newly appointed manager of Community General Hospital, sighed as he reviewed the hospital's financial records. He had been given the responsibility of leading the hospital's next steps, but was perplexed by the financial condition highlighted in the financial statements before him. His training was in medicine, not business, and he had recently taken early retirement. He had been talked into taking Community's reins by some old friends who lived a few miles away from the facility. Community General Hospital had initially begun in 1914 as Whittaker Memorial Hospital, a community-run hospital serving the black population of Newport News, Virginia. To meet the needs of an economic expansion of the community largely due to increased commercial activity during World War II, the hospital increased its census and gained accreditation by the American College of Surgeons. In the 1950's and 60's the hospital enjoyed a bustling business in the segregated health care industry. With the advent of the desegregation movement in the 1960's, the hospital experienced several threats as black physicians gained the ability to admit patients to the large and better equipped traditionally 'white' hospitals in the area. The civic organization that governed the hospital began to be concerned for the hospital's survival. It was experiencing a falling census, a deteriorating reputation concerning the quality of its health care, and picked up the reputation of being a public hospital (which is was not). While the City of Newport News was willing to help, it was unwilling to acquire full responsibility for the costs of a public hospital. During the 1970's, the hospital drew on an emergency fund set up by the city. Throughout the 1970's, the hospital suffered from losses and bad debts. By 1982 the civic board that guided the hospital became inactive. The following year, the last of the segregation practices ended by court order at the large surrounding hospitals. Few patients desired to be admitted to the small, modestly equipped hospital, preferring the large, modern hospitals they now had access to. The hospital ended 1983 with a $402,000 budget deficit. Suppliers began demanding cash different administrators had been in charge of the hospital. Continued losses after 1985, and continued difficulty in retaining continuous management, convinced the hospital's supporters to seek some solution to the ongoing problems. Political avenues were tried with some success, but did not last. The sale of the hospital to a doctors' investment group was considered, but the hospital's supporters ultimately rejected the deal. By 1990 the debt was in excess of $20 million. The 'board' of supporters agreed to file for bankruptcy. The Guarantor of the mortgage, the U.S. Department of Housing and Urban Development, took over the mortgage debt. The hospital continued to operate as the board sought affiliations with other area hospitals. The quality ratings for the hospital continued to suffer. In 1993 the hospital was granted its bankruptcy petition. HUD settled for $4 million, and other creditors were held at bay. Political solutions for Community General's future were sought, but ultimately, did not help the hospital's condition. Administrators were hired, but their tenures were short-lived. By mid 1996 the hospital was again running a large fund deficit and was seeking direction in what appeared to be a rather hopeless situation. The financial statements for Community General Hospital appear in Exhibits 1- 3 Required 4. Select one (or a combination) of the alternatives you propose. Illustrate the necessary steps involved with your plan's implementation, especially concerning funding sources for implementation of your recommendation(s), and concerning repayment of debt. 12 marks Exhibit 1. Income Statement for the years ending ended June 30, 1994 and June 30, 1995 1994 1995 OPERATING REVENUE Net Patient Revenue Other TOTAL OPERATING EXPENSES $8,528,383 386,285 $8.914,668 $9,858,446 253,563 $10,112,009 Payroll Taxes Physician Fees Contracted Services Medical Supplies General Supplies Utilities Insurance Legal 3,355,391 1,026,076 807,431 1,581,970 738,677 165,038 319,613 128,486 52,458 3,540,940 1,274,260 787,895 1,564,821 782,988 171,957 279,288 163,558 66,508 Contracted Services Medical Supplies General Supplies Utilities Insurance Legal 1,581,970 738,677 165,038 319,613 128,486 52,458 1,564,821 782,988 171,957 279,288 163,558 66,508 Rental Other Bad Debt 142,229 197,854 278,389 119,594 170,065 544,602 $8,793,612 $9,466,476 TOTAL OPERATING EXP. INCOME (LOSS) BEFORE INTEREST AND DEPRECIATION $121,056 $645,533 NONOPERATING LOSSES Interest Depreciation Reorganization Cost 33,554 802,490 72,458 105,325 771,492 0 $908,502 $876.817 TOTAL NONOPERATING LOSSES INCOME OR LOSS BEFORE NONRECURRING BAD-DEBT WRITEOFF -$787,446 -S231,284 NONRECURRING BAD-DEBT WRITEOFF $0 $439,720 EXPENSES AND LOSSES IN EXCESS OF REVENUES AND GAINS -$787,446 -S671,004 1995 Exhibit 2. Balance Sheet. June 30, 1994, and June 30, 1995 1994 ASSETS CURRENT ASSETS Cash $791,893 Trade Receivables 1,539,390 Other Receivables 7,847 Supplies Inventory 271,997 Prepaid Expenses 85,265 TOTAL CURRENT ASSETS $2,696,392 $577,461 2,062.142 46.449 277.191 102,066 $3,065,309 PROPERTY AND EQUIPMENT Land Buildings Equipment and Fixtures TOTAL 276,865 8,772.782 5,243.738 $14,293,385 276,865 8,772,782 5,354.421 $14.404,067 Instructions: Read the case below and the appended financial statements and answer the questions that follow. CASE STUDY: COMMUNITY GENERAL HOSPITAL Dr. Noland Wright, newly appointed manager of Community General Hospital, sighed as he reviewed the hospital's financial records. He had been given the responsibility of leading the hospital's next steps, but was perplexed by the financial condition highlighted in the financial statements before him. His training was in medicine, not business, and he had recently taken early retirement. He had been talked into taking Community's reins by some old friends who lived a few miles away from the facility. Community General Hospital had initially begun in 1914 as Whittaker Memorial Hospital, a community-run hospital serving the black population of Newport News, Virginia. To meet the needs of an economic expansion of the community largely due to increased commercial activity during World War II, the hospital increased its census and gained accreditation by the American College of Surgeons. In the 1950's and 60's the hospital enjoyed a bustling business in the segregated health care industry. With the advent of the desegregation movement in the 1960's, the hospital experienced several threats as black physicians gained the ability to admit patients to the large and better equipped traditionally 'white' hospitals in the area. The civic organization that governed the hospital began to be concerned for the hospital's survival. It was experiencing a falling census, a deteriorating reputation concerning the quality of its health care, and picked up the reputation of being a public hospital (which is was not). While the City of Newport News was willing to help, it was unwilling to acquire full responsibility for the costs of a public hospital. During the 1970's, the hospital drew on an emergency fund set up by the city. Throughout the 1970's, the hospital suffered from losses and bad debts. By 1982 the civic board that guided the hospital became inactive. The following year, the last of the segregation practices ended by court order at the large surrounding hospitals. Few patients desired to be admitted to the small, modestly equipped hospital, preferring the large, modern hospitals they now had access to. The hospital ended 1983 with a $402,000 budget deficit. Suppliers began demanding cash different administrators had been in charge of the hospital. Continued losses after 1985, and continued difficulty in retaining continuous management, convinced the hospital's supporters to seek some solution to the ongoing problems. Political avenues were tried with some success, but did not last. The sale of the hospital to a doctors' investment group was considered, but the hospital's supporters ultimately rejected the deal. By 1990 the debt was in excess of $20 million. The 'board' of supporters agreed to file for bankruptcy. The Guarantor of the mortgage, the U.S. Department of Housing and Urban Development, took over the mortgage debt. The hospital continued to operate as the board sought affiliations with other area hospitals. The quality ratings for the hospital continued to suffer. In 1993 the hospital was granted its bankruptcy petition. HUD settled for $4 million, and other creditors were held at bay. Political solutions for Community General's future were sought, but ultimately, did not help the hospital's condition. Administrators were hired, but their tenures were short-lived. By mid 1996 the hospital was again running a large fund deficit and was seeking direction in what appeared to be a rather hopeless situation. The financial statements for Community General Hospital appear in Exhibits 1- 3 Required 4. Select one (or a combination) of the alternatives you propose. Illustrate the necessary steps involved with your plan's implementation, especially concerning funding sources for implementation of your recommendation(s), and concerning repayment of debt. 12 marks Exhibit 1. Income Statement for the years ending ended June 30, 1994 and June 30, 1995 1994 1995 OPERATING REVENUE Net Patient Revenue Other TOTAL OPERATING EXPENSES $8,528,383 386,285 $8.914,668 $9,858,446 253,563 $10,112,009 Payroll Taxes Physician Fees Contracted Services Medical Supplies General Supplies Utilities Insurance Legal 3,355,391 1,026,076 807,431 1,581,970 738,677 165,038 319,613 128,486 52,458 3,540,940 1,274,260 787,895 1,564,821 782,988 171,957 279,288 163,558 66,508 Contracted Services Medical Supplies General Supplies Utilities Insurance Legal 1,581,970 738,677 165,038 319,613 128,486 52,458 1,564,821 782,988 171,957 279,288 163,558 66,508 Rental Other Bad Debt 142,229 197,854 278,389 119,594 170,065 544,602 $8,793,612 $9,466,476 TOTAL OPERATING EXP. INCOME (LOSS) BEFORE INTEREST AND DEPRECIATION $121,056 $645,533 NONOPERATING LOSSES Interest Depreciation Reorganization Cost 33,554 802,490 72,458 105,325 771,492 0 $908,502 $876.817 TOTAL NONOPERATING LOSSES INCOME OR LOSS BEFORE NONRECURRING BAD-DEBT WRITEOFF -$787,446 -S231,284 NONRECURRING BAD-DEBT WRITEOFF $0 $439,720 EXPENSES AND LOSSES IN EXCESS OF REVENUES AND GAINS -$787,446 -S671,004 1995 Exhibit 2. Balance Sheet. June 30, 1994, and June 30, 1995 1994 ASSETS CURRENT ASSETS Cash $791,893 Trade Receivables 1,539,390 Other Receivables 7,847 Supplies Inventory 271,997 Prepaid Expenses 85,265 TOTAL CURRENT ASSETS $2,696,392 $577,461 2,062.142 46.449 277.191 102,066 $3,065,309 PROPERTY AND EQUIPMENT Land Buildings Equipment and Fixtures TOTAL 276,865 8,772.782 5,243.738 $14,293,385 276,865 8,772,782 5,354.421 $14.404,067