1) Perform the horizontl analysis for following TFHS balance sheet and incomestatment for 2021-2022 ?
2) Calculate following financial ratios?
a) Total margin
b) Operating margin
c) Return on assets
d) Retuen on equity
e) current ratio
f) Days cash on hand
g) Debt ratio
h) Debt-to-capitalization ratio
i) TIE ratio
Tahoe Forest Hospital District Combined Statements of Balance Sheet
	2022	2021 (As restated)
	Tahoe Forest Hospital District	Truckee	Tahoe Forest Hospital District	Truckee
	Surgery Center,	Surgery Center,
ASSETS	LLC	LLC
Current assets
Cash and cash equivalents	$25,418,950	$233,298	$91,298,018	$26,853
Patient accounts receivable, net of allowances for doubtful accounts of $9,901,616 and $103,209 in 2022 and $7,537,588 and $93,266 in 2021	41,866,438	424,536	35,773,985	358,190
Other receivables	14,271,296	-	13,020,382	-
Assets limited as to use - required for current liabilities	10,003,370	-	9,882,909	-
Estimated amounts due from third-party payors	3,042,312	-	-	-
Inventories	4,469,265	-	4,289,922	-
Prepaid expenses and deposits	2,661,331	164,396	2,228,183	68,063
Total current assets	101,732,962	822,230	156,493,399	453,106
Assets limited as to use, net of current	128,713,679	-	71,599,135	-
Right-to-use assets, net of accumulated amortization	9,151,929	-	6,480,830	-
Capital assets
Nondepreciable	28,115,599	-	14,541,767	-
Depreciable, net of accumulated depreciation	160,424,964	833,318	161,565,109	757,440
	188,540,563	833,318	176,106,876	757,440
Other assets
Beneficial interest in trusts	1,753,645	-	1,952,812	-
Other noncurrent receivables	988,581	20,256	869,252	20,256
Total assets	430,881,359	1,675,804	413,502,304	1,230,802
DEFERRED OUTFLOWS OF RESOURCES
Deferred loss on defeasance, net	5,069,219	-	5,384,615	-
Accumulated decrease in fair value of hedging derivative	660,160	-	1,387,922	-
Total deferred outflows of resources	5,729,379	-	6,772,537	-
LIABILITIES
Current liabilities
Current maturities of long-term debt and capital lease obligations	5,974,499	-	5,618,136	-
Current maturities of lease liabilities	1,565,219	-	1,144,564	-
Accounts payable and accrued expenses	12,213,152	46,977	7,365,875	22,261
Accrued payroll and related expense	26,126,668	43,075	24,222,769	24,429
Medicare accelerated payments	5,563,499	-	19,052,194	-
Estimated claims incurred but not reported	7,253,703	-	7,288,804	-
Estimated amounts due to third-party payors	-	-	6,703,302	-
Other accrued expenses	59,388	3,416	9,358	4,908
Accrued interest	1,859,100	-	1,792,526	-
Total current liabilities	60,615,228	93,468	73,197,528	51,598
Long-term debt and capital lease obligations, net of current portion	118,299,002	-	124,461,117	-
Lease liabilities, net of current portion	7,874,186	-	5,476,519	-
Derivative instrument liability	660,160	-	1,387,922	-
Total liabilities	187,448,576	93,468	204,523,086	51,598
NET POSITION
Net investment in capital assets	74,154,611	-	55,718,273	-
Restricted - expendable	6,538,072	-	4,969,414	-
Restricted - nonexpendable	79,109	-	74,809	-
Unrestricted	168,390,370	1,582,336	154,989,259	1,179,204
Total net position	$249,162,162	$1,582,336	$215,751,755	$1,179,204
Tahoe Forest Hospital District Combined Statements of Operations
	2022	2021 (As restated)
	Tahoe Forest	Truckee	Tahoe Forest	Truckee
	Hospital	Surgery Center,	Hospital	Surgery Center,
Operating revenues	District	LLC	District	LLC
Net patient service revenue (net of provision for bad debts of $11,803,966 and $15,119 in 2022 and $21,054,750 and $11,167 in 2021)	$263,836,447	$1,790,670	$237,686,222	$1,344,346
Other operating revenue	13,979,271	-	11,751,964	-
Total operating revenues	277,815,718	1,790,670	249,438,186	1,344,346
Operating expenses
Salaries and wages	99,484,586	794,550	88,958,242	523,506
Employee benefits	48,215,159	110,427	45,691,609	75,186
Professional fees	18,847,495	8,200	16,988,355	5,585
Supplies	36,924,954	483,199	31,196,037	573,161
Purchased services	25,668,579	68,802	23,600,665	17,442
Depreciation and amortization	15,363,541	47,835	14,798,038	40,043
Insurance	2,466,951	4,944	1,960,625	9,862
Other	7,768,620	431,077	6,845,753	363,686
Total operating expenses	254,739,885	1,949,034	230,039,324	1,608,471
Income (loss) from operations	23,075,833	-158,364	19,398,862	-264,125
Nonoperating revenues (expenses)
Property tax revenue	9,150,835	-	8,432,091	-
Property tax revenue - general obligation bonds	5,568,851	-	4,900,434	-
Contributions, net	4,128,543	-	1,954,867	-
Interest income	692,919	-	713,109	-
Rental income	669,658	-	645,750	-
Gain on disposal of assets	36,801	-	-	-
Interest expense	-4,758,404	-	-4,921,529	-
Unrealized loss on investments	-3,514,449	-	-	-
Other nonoperating (loss) income	-1,078,835	151	-3,225,187	-
Total nonoperating revenues	10,895,919	151	8,499,535	-
Income (loss) before other revenue, expenses, gains, and losses	33,971,752	-158,213	27,898,397	-264,125
Capital transfers	-561,345	561,345	-496,753	496,753
Increase in net position	33,410,407	403,132	27,401,644	232,628
Net position, beginning of year	215,751,755	1,179,204	188,350,111	946,576
Net position, end of year	$249,162,162	$1,582,336	$215,751,755	$1,179,204

Answer rating: 100% (QA)

Answer Balance Sheet Category 2021 Amount 2022 Amount Percentage Change Cash and cash equivalents 91... View the full answer