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business
understanding management
Understanding Healthcare Financial Management 5th Edition Louis C. Gapenski - Solutions
Is the corporate cost of capital constant regardless of the amount of new capital required? Explain your answer.
Explain the economic interpretation of the corporate cost of capital.
Is the corporate cost of capital affected by short-term financing plans?Explain your answer.
Is the corporate cost of capital the appropriate opportunity cost for all projects that a business evaluates?
Draw a graph similar to the one shown in Figure 9.1 and explain its implications.
Are flotation costs relevant to the corporate cost of capital estimate?Explain your answer.
When is it appropriate to apply the corporate cost of capital when evaluating a new project proposal? When is it inappropriate?
What are the problems faced by small businesses when estimating the corporate cost of capital?
What are the factors that affect the corporate cost of capital estimate?
Why does the use of debt financing leverage up (increase) the return to stockholders?
What is business risk? How can it be measured?
What is financial risk? How can it be measured?
Describe some types of financial distress costs.
What are the implications of the trade-off models?
Explain the difference between permanent and temporary assets.
What are the three strategies for choosing debt maturities?
Why is project financial analysis important in not-for-profit businesses?
What are the key differences in cash flow analyses performed by investor-owned and not-for-profit organizations?
What is the difference between “regular” payback and discounted payback?
What are the differences between the certainty equivalent (CE) and risk-adjusted discount rate (RADR) methods for risk incorporation?
What is the profitability index, and why is it useful under capital rationing?
What governs financial reporting requirements in the health services industry?
What type of information is provided by each type of statement?
What are two ratios that measure market value?
How are common size statements created?
What advantage do common size statements have over regular statements when conducting a financial statement analysis?
What is percentage change analysis?
Which analytical techniques should be used in a complete financial statement analysis?
What is the difference between financial statement and operating indicator analyses?
Briefly, describe some of the problems encountered when performing financial statement and operating indicator analyses.
What is economic value added (EVA), and how is it measured?
What is a key performance indicator (KPI)? A dashboard?
What are the principal components of the financial forecast?
What is the starting point for creating forecasted financial statements?
Why is the external financing requirement so important to the planning process?
How do the following factors affect the external financing requirement?a. Revenue growth rateb. Capacity utilizationc. Capital intensityd. Profitabilitye. For investor-owned firms, dividend policyf. For not-for-profit firms, ability to attract contribution capital
Describe several conditions under which the constant growth method can give questionable results.
Do these conditions happen often in “real-world” forecasting?
Which techniques do you think would be the most accurate? The most costly?
Why are computerized forecasting models playing an increasingly important role in corporate management?
What are the basic financial control tools and how do they work?
Does the cash budget require an extensive knowledge of accounting principles?
What is float?
How do businesses use float to increase cash management efficiency?
What are some methods that businesses can use to accelerate receipts?
What are some methods that businesses can use to control disbursements?
Why are these the securities of choice?
Why do businesses, mostly not-for-profit hospitals, hold long-term investment portfolios?
Why do the securities held differ from those held in marketable securities portfolios?
Explain how a business’s receivables balance is built up over time and why there are costs associated with carrying receivables.
Briefly, discuss three means by which a firm can monitor its receivables position.
What are some of the unique problems faced by healthcare providers in managing receivables?
What is the revenue cycle and how does electronic data interchange(EDI) fit in?
What are the four credit policy variables?
Which one is most important to healthcare providers? Explain your answer.
What is a credit-scoring system?
How have hospitals reacted to criticism about their billing and collection practices for the insured?
What are some of the costs associated with inventories?
Briefly, describe the economic ordering quantity (EOQ) model and its implications for inventory management.
What is trade credit?
How should businesses make the decision as to how much trade credit to use?
What are the five major merger waves that have occurred in the United States?
What are the differences between the waves of the 1980s and the 1990s?
Are mergers in the health services industry rising or falling? Explain your answer.
Describe several situations that might produce synergistic gains within the health services industry.
Suppose your firm can purchase another firm for only half of its replacement value. Would this be sufficient justification for the acquisition?
What is the difference between a hostile and a friendly merger?
Is there a need to regulate mergers? Explain your answer.
Do the states play a role in merger regulation, or is it all done at the federal level?
What is the difference between bidding regulation and antitrust regulation?
What two federal agencies enforce antitrust laws?
Do you think that enforcement of antitrust laws should be aggressive or lenient for health services industry mergers? Support your position.
What impact does the amount of synergistic benefit have on the likelihood of a merger being consummated?
Why is due diligence analysis so important to the merger process?
What are some roles that investment bankers play in mergers?
What are some defensive tactics that firms can use to resist hostile takeover attempts?
What is the difference between pure arbitrage and risk arbitrage?
Explain how researchers can study the effects of mergers on shareholder wealth.
Do mergers create value? If so, where does this value go?
Do the research results discussed in this section seem logical? Explain your answer.
What is capitation?
What are the primary differences between a conventional payment system and capitation?
What are the differences in provider incentives under conventional reimbursement and capitation?
What are the advantages of a capitated payment system?
What does current experience under managed care tell us about the look of the future healthcare delivery system?
Briefly, describe the following reimbursement systems and, using the descriptive approach, analyze the risks to providers under each system:a. Fee-for-serviceb. Discounted fee-for-servicec. Prospective paymentd. Per dieme. Global pricingf. Capitation
What is the basic source of financial risk?
Distinguish between objective and subjective financial risk.
What lessons can be learned from the quantitative risk assessment of prospective payment and capitation contracts?
What is the purpose of a risk pool?
Describe how a typical risk pool works.
Can a delivery system with multiple providers have more than one risk pool? Explain your answer.
What is a performance-based risk pool?
Define the following terms:a. Pure risksb. Speculative risksc. Demand risksd. Input riskse. Financial risksf. Property risks g. Personnel risks h. Environmental risksi. Liability risksj. Insurable risksk. Self-insurance
Briefly, describe one common approach to risk management.
Should a business insure itself against all of the insurable risks it faces?Explain your answer.
Why is it important that capitated providers establish reserves?
What are the two primary types of reserves?
What is stop-loss insurance?
Describe how a stop-loss insurance analysis is conducted.
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