Question
St. Johns Hospital has the following annual financial data and operational metrics: Number of beds 300 Total Inpatient Admissions 15,500 Total Outpatient Visits 95,645 Outpatient
St. Johns Hospital has the following annual financial data and operational metrics:
Number of beds | 300 |
Total Inpatient Admissions | 15,500 |
Total Outpatient Visits | 95,645 |
Outpatient Mix | 15.8% |
Medicare Payment Percentage (Revenues) | 31.0% |
Average Length of Stay (ALOS) | 4.6 days |
Net price per discharge | $11,123 |
Cost per discharge | $ 8,343 |
Total Inpatient Revenues | $120,820,070 |
Net Patient Service Revenues | $ 78,533,045 |
Targeted Capital Structure:
40% debt financing and 60% equity financing
Cost of equity estimate 18%
Cost of tax-exempt debt estimate 8%
Tax Rate 22%
Estimated Billings (assuming 360 days per year):
20% of receivables paid in 30 days
50% of receivables paid in 60 days
30% of receivables paid in 90 days
Calculate the following:
A. What is St. Johns average collection period?
B. What is the hospitals current receivables balances?
C. What is the hospitals profit per discharge?
D. Using the Outpatient Mix, what are the hospitals Total Outpatient and Total Inpatient Revenues?
E. What are the hospitals total revenues from Medicare Patients?
F. What are the total number of inpatient days?
G. What are the total number of available bed days in a year, assuming 365 days in a year?
H. What is the hospitals Occupancy Rate?
I. What is the after-tax (effective) cost of debt if the tax rate is 25%? If the tax rate is 35%? (Note: The interest rate or the before-tax cost/BT on the hospital debt is set at 12%.)
J. What is St Johns Hospitals Corporate Cost of Capital (CCC)?
Requirement:
1. Based on the financial data and operational metrics given above on St. Johns Hospital, calculated A-J above. (Note: if you show your calculations, you can possibly receive partial credit. However, if you just enter the final answer and it is incorrect then the whole problem is wrong.)
2. After completing the calculations, discuss the hospitals financial position from your viewpoint as a manager. Examples: What areas should the hospital work on or what are they doing well, etc.? What do the effective (after-tax) cost of debt and the corporate cost of capital mean to the hospital? Also, what are some suggestions for correcting any problem areas?
Requirement 2 asks that you discuss and summarize the hospital's financial position. You should use information learned from the textbook, (Reiter K. L, Song P. H. (2018). Gapenski's Fundamentals of Healthcare Finance, (3rd ed.), Chicago, IL: Health Administration Press ) CH 7&8, and research gathered online to complete your discussion.
Use relevant sources (journal articles, books, credible websites) where applicable, or note that it is based on your opinion.
References your sources.
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