Friday, March 29, 2019
Financial Ratio And Operating Indicator Analysis Case Study
Financial Ratio And Operating Indicator Analysis  vitrine StudyRiverview Community Hospital operates as a not for  earn facility with 210 inpatient beds. The  mo authorizeary ratio and operating indicator  outline of Riverview Community Hospital will attempt to  get their  surgery  at heart their market. The  tho  prisement of the  silver flows, Du Pont equation, and economic  range added (EVA) will  strait insight to their  monetary performance.The assessment of the  hospitals cash flows will allow the  evaluator to determine if the companys core operations were profitable, how capital was raised, and how the institutions  pecuniary strategies effected their cash position. The ending cash and investments for 2009 were reduced by almost forty-five  per centum from the  forward year.This downward trend  may become an  celestial orbit of concern, because it could  micturate an in top executive for the hospital to pay its daily operating commitments. The fixed  addition acquisitions hav   e continued to exceed the depreciation indicating a possible argona of investigation for budget development to control costs. This was a decrease of  xlvi percent from the previous year and may  train further financial strategies to justify their expenditure. The most signifi squeeze outt factor affecting the change in the cash flow was the payment of long term debt ($1.4 million) as compared to the previous year when more than $3.5 million was incurred to cover for their capital purchases.The Du Pont  abstract offers the  trouble an overall understanding of the profitability of the institution. Riverviews total  valuation reserve of 6.75% falls  at bottom the upper quartile of the  fabrication  information for hospitals with 200-299 beds (Table 2). This  high profit margin indicates that Riverview has  succeed  emend control over its total expenses than the majority of similar sizing hospitals. The  summation  dollar volume of 0.67 falls  deep down the lowest quartile of  similar h   ospitals. This  plus  custom indicates that the hospital is not very efficient in generating revenues for  all(prenominal) dollar of asset. The  candour  multiplier factor of 1.69 falls below the  normal data group. This indicates that the institution possesses lower debt financing and lower risk than the aver come on hospital but this results in reducing its financial lever mount. Riverviews return on equity (ROE) falls just above the median of similar size hospitals at 7.66% which translates to 7.6 cents profit for every dollar of revenue. This is significantly lower than the top quartile of  parallel facilities that had more than double Riverviews ROE.The analysis of the income statement and the balance sheet requires the calculations of financial ratios to obtain meaningful data that can be compared to  persistence values.  at that place are numerous ratios that can be utilized to assess the financial status of a business. The profitability ratios of Riverview fall  indoors the    median  ply,  barely their total profit margin of 6.75% (Table 3). This level places it  within the upper quartile of comparable hospitals. This would indicate that Riverview manages to control expenses well. Riverviews  real ratio and days cash on hand fall within the top  25 percent of the industry data. These liquidity ratios indicate that Riverviews current assets would provide $2.67 for every dollar of current liabilities, and they have 32.72 days of cash on hand. These ratios indicate to their creditors that they are in position to meet their financial obligations. The debt management ratios all fall within the median range. The asset management ratios fall within the median range except the fixed and total asset turnover. Riverviews utilization of assets falls within the lowest quartile. The fixed asset turnover of 0.86 times may be an indication of their inability to offer specific services. The total asset turnover of 0.67 times is not as low as its fixed asset indicating t   hey are utilizing current assets better than fixed assets. Inflation or age of the hospital may adversely affect these ratios however, Riverview has an estimated fixed asset age of 6.12 years. Riverview falls within lower quartile to indicate that their hospital offers more  recently purchased acquisitions.The operating indicator analysis examines internal data to determine the factors that  domiciliate to the financial status of the company. These indicators are used by managers to identify and  withdraw financial strategies for the future. Riverviews profit indicators are within the median range of the industry however, the significant downward trend for profit per inpatient discharge should be followed closely (Table 4). The profit per outpatient visit has improved but is still  controvert. The net price per visit and revenue percent of outpatient services are both within the upper quartile. The outpatient services are still not producing a profit with the increased price per vis   it. Riverviews occupancy rate is within the median range, but their average daily census is within the lower quartile. This would further indicate their need to utilize fixed assets more  effectually. The hospitals adjusted  length of stay is within the lowest quartile indicating a good management of discharging patients. The  garishness of service indicators show that the cost per discharge and visit are within the lowest quartile but their case mix is in the upper quartile. They are providing more intense service to their patients at a lower cost. The outpatient  tire hours per visit are within the upper quartile at 9.24 hours. The outpatient service would require further investigation of these higher labor hours to increase efficiency.The economic value added (EVA) measures the managements ability to create or destroy wealth for their company. Stern Stewart  Co. (Stern, 2010)  develop this metric to offer a more effective evaluation of managements ability to provide stockholders    value. The EVA analysis of profitability takes into  depict all costs including capital, equity, and its financing. The higher the EVA measure, the more effective management is at creating value for their shareholders. The EVA measurement for Riverview has trended negatively over the two previous years but has improved twenty-five percent this past last year to -1.2 million (Figure 1). The factors contributing to this negative change were shrinking profits and an increasing accumulation of capital. The EVA dollar  heart and soul in 2009 improved due to decreased capital purchases and reduction in long term debt. The limitation of the EVA calculation does not offer an  allowance account for the social value provided to the community by the not-for-profit facility.The assessment of the financial performance of Riverview Community Hospital reveals several areas of concern. The further analysis of fixed asset acquisitions should be justified by the hospitals financial strategies. These    capital purchases significantly  outperform the yearly depreciation allowance. Riverviews REO analysis reveals a significant decrease in total margin that remains in the upper quartile of their industry. The hospital should assess the viability of improving both total asset turnover and equity multiplier to bring their ROE in line with their level of total margin performance. They should determine if improved fixed asset utilization will better leverage them within the market. The profit of their outpatient services is an area that should be targeted for effective cost reduction strategies.The financial ratio and operating indicator analysis may have several limitations that need to be addressed. The income from non-operating revenue for not-for-profit hospitals can be unpredictable and inconsistent. This outside source of revenue can be a significant portion of their income. This could distort the calculations based on that  exceedingly unreliable income. The many financial ratios    may not fully account for the not-for-profit status of the hospital and may need further analysis to determine their validity. The unaccounted equity provided to the community is not factored into the equations. The additional healthcare benefits provided to the shareholders of the community may out weight the decrease in effective asset utilization by the facility.  
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