HLTH 4220 Final

Basic forms of capital

Debt and Equity

Debt

Financing supplied by lenders

Equity

Financing supplied by owners

How is capital allocated in a free market economy?

By price

How is the cost of debt capital measured?

By interest

Interest rate

Price paid by borrowers to obtain debt capital; price charged by lenders to provide debt financing

Short term debt

Less than 1 year, temporary cash needs

Long term debt

Greater than 1 year, permanent increases in needs such as inv., equipment, receivables, land, buildings

Trade-off Theory

Theory proposing that a business's optimal capital structure balances the costs and benefits associated with debt financing

Optimal Capital Structure

Balances the costs and benefits associated with debt financing; it is the mix of debt and equity financing that produces the lowest cost of capital for the business

Debt ratings

Interest rates should decline with higher investment grade; lower rating equals higher risk

CCC

the weighted average of the capital component costs, that is, the costs of debt and equity; provides a benchmark

Capital Investment Decisions

business decisions involving which long term assets to buy; also called capital budgeting decisions

Project Classifications

Projects are classified by purpose and size

Capital Investment Analysis

cash flow estimation, project risk assessment, cost of capital estimation, financial impact assessment

Payback Period

The number of years it takes to recover the cost of an investment

Major Deficiencies of Payback

Ignores all cash flows that occur after the payback period and ignores the time value of money

Opportunity Cost Rate

Applied to investment cash flows is the rate that could be earned on alternative investments with similar risk

How is ROI Measured?

Can be measured either in dollars (NPV) or a percentage (IRR)

NPV

Measures the dollar value of an investment on the basis of its opportunity cost of capital

IRR

Measures the expected rate (%) of a return on an investment. Discount rate that forces NPV to equal zero

Project Scoring

technique for incorporating both financial and non financial factors in capital investment decisions

Cash Flow Estimation

Most difficult yet most important step in evaluating capital investment proposals

Meaning of a NPV of 0

Project cash flows will be sufficient to recover the project cost and earn a return equal to the project's opportunity cost

Incremental Cash Flows

the firms cash flows in each period if the project is undertaken minus the firm's cash flows if the project is not undertaken

Financial Risk

Capital investments are risky because a project's cash flows are not known with certainty when the project is being analyzed

Sensitivity Analysis

The process of assessing how changes in one variable affect another variable; use in risk assessment is limited, still a valuable tool for identifying a project's critical component cash flows

Scenario Analysis

Risk assessment technique that overcomes the problems associated with sensitivity analysis; typically defines a projects best, worst and most likely scenario's

Project Cost of Capital

Discount rate that reflects the unique riskiness of the project being analyzed; typically found by adding or subtracting a specified number of percentage points from the CCC

Capital Budget

List of all projects expected to be undertaken during the next planning period

The predominant users of financial statements

stakeholders

Financial Accounting

Involves identifying, measuring, recording, and communicating the economic events and status of an organization

GAAP

The set of guidelines, which have evolved over time, that prescribes the content and format of financial statements

Cash Accounting

Economic events are defined by the transfer of cash; simpler method and closely mimics the data needed for income tax filing

Accrual Accounting

Economic events are defined by the creation of payment obligations; creates statements that better represent the financial status of the business; required by GAAP

Income Statements

reports the results from operations of a business over some period of time, often 1 year; revenues, expenses and profitability

Depreciation Expense

Amortizes the cost of a long lived asset over many years

Operating Income

Measures the profitability of a healthcare organization's core activities; the provision of patient services and those activities that are directly related

Imply that GAAP is not static

Subject to compromise, negotiation, and interpretations

Reporting Revenue

Discounts (not reported on inc. statement), charity care (not reported), Bad debt (reported but stripped)

Why is NI called the "bottom line

Because of its importance and its location on the income statement; measures profitability

NI vs Cash Flow

Businesses can go bankrupt even though its net income has been historically been positive

Balance Sheet

Reports the financial position of a business at a single point in time

Accounting Equation

Assets = Liabilities + OE

Balance Sheet order

Listed by liquidity

How much current assets should a business have?

Enough to cover for the business if it goes bankrupt

What is the first priority of a business if they go bankrupt?

To pay back their liabilities (workers, employees and most of all creditors*)

Accrued Expenses

Monies owed to various parties, such as to employees for services rendered; also includes interest owed to lenders and tax obligations (salaries, taxes, interest, debt, supplies)

Net Assets

term used to designate the equity on a NFP organization's balance sheet

Statement of Cash Flows

Reports where a business gets its cash and what it does with that cash

3 Major sections of cash flows

Operating activities, investing activities, financing activities

Financial Statement Analysis

Involves using financial statement data to make judgements about a business's financial condition; uses both historical and forecasted data

Cash Flow Op. Analysis

Are the businesses core operations profitable?

Cash Flow Inv. Analysis

How much capital did the business raise? How was it used?

Cash flow Financing analysis

What impact did op. and financing decisions have on the business's cash position?

Ratio Analysis

Technique that helps interpret the data contained in a business's financial statements as well as in other contexts

Ratio Basics

Know ratio basics

Du Pont Analysis

Provides an overview of a business's financial condition and helps managers and investors understand the relationships among several ratios

3 Advantages of ST Debt

Issuance cost, restrictive covenants, and generally have a lower IR

Stockholders Rights and Privilages

Claim to residual earnings, some percentage may be paid out as dividends, control of the firm (proxy), Preemptive right to purchase new shares of stock when they are issued

Financial Leverage

Comes with uncertainty; use of debt financing increases owner's risk, the greater the leverage the greater the risk

Permanent Assets

Buildings and equipment

Temporary Assets

Flu shots

Hurdle Rate

The minimum rate of return by an administrator for any project

Key to an effective project analysis

Correctly forecasting cash flows

Technique's Used for Ratio Analysis

Trend and Comparative