Use the above Excel Spreadsheet to answer the following questions. Please show all work.

1. a) Gross and Net Patient Service revenue by Financial class/Payor budget for the period of 5 years.

b) Detail Expense budget for 5 years.

c) Income statement for 5 years.

d) What is the projects payback period? What are the deficiencies of payback method when used as a project selection criterion?

e) What is the projects NPV at WACC of 12%?

Based on the prior experience and the community needs, they estimate the following volume of diagnostic exams by Financial Class/Payor in the first year of operation. CT Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care/Commercial Worker's Compensation Self-Pay Total X-ray 2,300 600 4,430 40 70 7,440 1,240 240 1,770 30 30 3,310 MRI 1,390 550 3,290 130 30 5,390 Total 4,930 1,390 9,490 200 130 16,140 Based on the current charges at their other diagnostic centers, gross charges for the new services will be as follows: X-ray $250.00 Ct Scan $650.00 MRI $1,050.00 Based on their current contracts with the different payors, they expect the net revenue per imaging will be as follows: Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care & Commercial Worker's Compensation Self-Pay S $ $ $ X-ray 58.00 $ 54.00 108.00 $ 81.00 $ 49.00 CT 166.00 S 148.00 $ 315.00 $ 238.00 $ 148.00 $ MRI 265.00 243.00 450.00 360.00 216.00 $ $ S Operating expenses are estimated as follows: Staffing: 2 Full Time Supervisors at $42.00 an hour, 9 Full Time Technicians/Technologists at $32.00 an hour, 3 Clerical staff at $22.00 an hour (1 FTE = 2,080 hours per year). Current benefits (including health insurance) are running at 30% of salaries. Other operating expenses: Supplies $8,000 per month Rent $20,000 per month Utilities $10,000 per month Other department expenses $4,000 per month Direct Overhead expenses including billing, collection, coding, registration, etc. are estimated to be at $25 per exam. Corporate office overhead allocations are estimated at 20% of the total department expenses (including direct overhead but excluding depreciation). The capital expenditure for this project are estimated as follows: item Digital X-ray Machine CT Scanner MRI Machine Construction Cost for MRI Suite Other Construction/Renovation Cost Total Initial Cost Cost $ 300,000.00 $ 1,000,000.00 $ 1,800,000.00 $ 450,000.00 $ 350,000.00 $ 3,900,000.00 Imaging machines have 5 years of useful life. St Francis uses straight-line method to depreciate all imaging machines and other capital expenses related to installation and renovation of diagnostic centers. The best estimate of the machines net salvage value after the five years of use is $500,000. St. Francis Healthcare's weighted average cost capital (WACC) is 12% and is used as their discount rate when budgeting for a new project. It is estimated that the gross charges will increase by 4% per year. It is a growing community and St Francis management expects that the volume will grow by 2% per annum. Based on their current insurance contracts, the Net Revenue is expected to increase by 3% per year. Also, expenses are expected to increase by 4% per year. Using the information given above, you are asked to develop a business plan for this Outpatient Diagnostic center. Case Study - St. Francis Healthcare - Outpatient Diagnostic Center Question. 1.a Gross and Net Patient Service Revenue by Financial class/Payor budget for the period of 5 years. Year 2-% Increase Year 3 - % Increase Year 4-% Increase Year 5 - % Increase Year 1 Year 4 Year 2 MRI Year 3 MRI Year 5 MRI X-ray MRI Total X-ray Total X-ray Total X-ray CT MRI Total X-ray CT Total Volume Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care/Commercial Worker's Compensation Self-Pay Total $ $ $ $ $ $ $ $ $ $ $ $ X-ray MRI X-ray CT MRI X-ray CT MRI X-ray MRI X-ray CT MRI $ $ $ Gross Charge per Scan/Unit Net Revenue Per Imaging Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care & Commercial Worker's Compensation Self-Pay $ $ $ $ $ $ $ - $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ X-ray MRI Total X-ray CT MRI Total X-ray CT MRI Total X-ray MRI Total X-ray CT MRI Total Gross Revenue Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care/Commercial Worker's Compensation Self-Pay Gross Revenue X-ray MRI Total X-ray CT MRI Total X-ray CT MRI Total X-ray CT MRI Total X-ray CT MRI Total Net Revenue Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care/Commercial Worker's Compensation Self-Pay Total Based on the prior experience and the community needs, they estimate the following volume of diagnostic exams by Financial Class/Payor in the first year of operation. CT Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care/Commercial Worker's Compensation Self-Pay Total X-ray 2,300 600 4,430 40 70 7,440 1,240 240 1,770 30 30 3,310 MRI 1,390 550 3,290 130 30 5,390 Total 4,930 1,390 9,490 200 130 16,140 Based on the current charges at their other diagnostic centers, gross charges for the new services will be as follows: X-ray $250.00 Ct Scan $650.00 MRI $1,050.00 Based on their current contracts with the different payors, they expect the net revenue per imaging will be as follows: Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care & Commercial Worker's Compensation Self-Pay S $ $ $ X-ray 58.00 $ 54.00 108.00 $ 81.00 $ 49.00 CT 166.00 S 148.00 $ 315.00 $ 238.00 $ 148.00 $ MRI 265.00 243.00 450.00 360.00 216.00 $ $ S Operating expenses are estimated as follows: Staffing: 2 Full Time Supervisors at $42.00 an hour, 9 Full Time Technicians/Technologists at $32.00 an hour, 3 Clerical staff at $22.00 an hour (1 FTE = 2,080 hours per year). Current benefits (including health insurance) are running at 30% of salaries. Other operating expenses: Supplies $8,000 per month Rent $20,000 per month Utilities $10,000 per month Other department expenses $4,000 per month Direct Overhead expenses including billing, collection, coding, registration, etc. are estimated to be at $25 per exam. Corporate office overhead allocations are estimated at 20% of the total department expenses (including direct overhead but excluding depreciation). The capital expenditure for this project are estimated as follows: item Digital X-ray Machine CT Scanner MRI Machine Construction Cost for MRI Suite Other Construction/Renovation Cost Total Initial Cost Cost $ 300,000.00 $ 1,000,000.00 $ 1,800,000.00 $ 450,000.00 $ 350,000.00 $ 3,900,000.00 Imaging machines have 5 years of useful life. St Francis uses straight-line method to depreciate all imaging machines and other capital expenses related to installation and renovation of diagnostic centers. The best estimate of the machines net salvage value after the five years of use is $500,000. St. Francis Healthcare's weighted average cost capital (WACC) is 12% and is used as their discount rate when budgeting for a new project. It is estimated that the gross charges will increase by 4% per year. It is a growing community and St Francis management expects that the volume will grow by 2% per annum. Based on their current insurance contracts, the Net Revenue is expected to increase by 3% per year. Also, expenses are expected to increase by 4% per year. Using the information given above, you are asked to develop a business plan for this Outpatient Diagnostic center. Case Study - St. Francis Healthcare - Outpatient Diagnostic Center Question. 1.a Gross and Net Patient Service Revenue by Financial class/Payor budget for the period of 5 years. Year 2-% Increase Year 3 - % Increase Year 4-% Increase Year 5 - % Increase Year 1 Year 4 Year 2 MRI Year 3 MRI Year 5 MRI X-ray MRI Total X-ray Total X-ray Total X-ray CT MRI Total X-ray CT Total Volume Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care/Commercial Worker's Compensation Self-Pay Total $ $ $ $ $ $ $ $ $ $ $ $ X-ray MRI X-ray CT MRI X-ray CT MRI X-ray MRI X-ray CT MRI $ $ $ Gross Charge per Scan/Unit Net Revenue Per Imaging Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care & Commercial Worker's Compensation Self-Pay $ $ $ $ $ $ $ - $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ X-ray MRI Total X-ray CT MRI Total X-ray CT MRI Total X-ray MRI Total X-ray CT MRI Total Gross Revenue Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care/Commercial Worker's Compensation Self-Pay Gross Revenue X-ray MRI Total X-ray CT MRI Total X-ray CT MRI Total X-ray CT MRI Total X-ray CT MRI Total Net Revenue Financial Class/Payor Medicare & Medicare Managed Care Medicaid & Medicaid Managed Care Managed Care/Commercial Worker's Compensation Self-Pay Total