Question
Your team is the Executive Committee at St. Everywhere Health System. The system consists of five (5) hospitals totaling 1,775 beds, thirty (30) affiliated physician
Your team is the Executive Committee at St. Everywhere Health System. The system consists of five (5) hospitals totaling 1,775 beds, thirty (30) affiliated physician practices including 240 physicians of a variety of specialties, two (2) long-term care facilities, and ten (10) urgent care clinics.
Overall, these divisions of the health system generate the following proportions of revenues for the system:
Hospital - 50%
Physicians - 30%
Long-term care - 15%
Urgent care - 5%
You are considering adopting a unified policy on bad debts. Currently each division has its own bad debt policy where the division considers a patient account to be a bad debt and recognizes bad debt expense when an account gets to a certain age. The bad debt policies for each division are:
Hospital - 180 days
Physicians - 120 days
Long-term care - 90 days
Urgent care - 60 days
Your team is considering a change to make bad debts recognized across all divisions at 120 days. Your team must make a recommendation to the Finance Committee of the Board next week. Your assignment is to develop that recommendation and include the following items:
Arguments for and against the proposed change;
Estimated impacts to the income statement and cash flows;
Your team's recommendation with rationale.
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