Week 2: Case Study Assignment

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Course Learning Outcome(s) for Assignment: Effectively gather financial and market information to guide strategic decision making and improve patient outcomes. Interpret financial and market information to guide strategic decision making and improve patient outcomes. Instructions: Due Tuesday of Week 2 by 11:59 pm EST. Read Case #11 (pages 79-81) from Gapenski's Cases in Healthcare Finance - "Gulf Shores Surgery Centers". Prepare your response in memo format, suitable for presentation to a senior level executive. All Excel work should be imported into the memo in table format (in the body of the document) or enclosed as an Appendix within the same document. Utilize the case model provided by the publisher to respond to the questions below. Which bank should Gary choose for a saving account, which bank for a certificate of deposit, and which bank for a term loan? Gary will invest the donations from a wealthy investor in CDs. How much will the Center have accumulated on the day of the last donation? (Use the CD interest rate offered by the bank you selected for a CD in question 1.) If the Center takes out a 5-year term loan that would be repaid in equal annual installments, how much will it owe to BankSouth if Gary decides to pay off the loan early, at the end of the third year? (Use the term loan interest rate offered by the bank you selected for a term loan in question 1.) For some additional guidance on how to construct a professional memo, please see the link below. https://owl.purdue.edu/owl/subject_specific_writing/professional_technical_writing/memos/sample_memo.html
Due on Aug 27, 2024 11:59 PM

CASE STUDY 11: CASE GULF SHORES SURGERY CENTERS TIME VALUE ANALYSIS Gary Hudson was born and raised in Pensacola, Florida. He obtained his bachelor's degree in business from Florida State University, where he enrolled in the Naval Reserve Officers Training Corps program. After graduation, he received a commission in the US Marine Corps. Following his release from active duty, Gary used his GI Bill benefits to obtain a master's degree in health services administration from the University of Florida. His first job in healthcare was as a special projects coordinator/financial analyst at a large Miami hospital. He enjoyed his work there, but his ultimate goal was to return to Pensacola as the manager of a small healthcare business, where he would have more responsibility and authority. After five years in Miami, Gary became the chief operating and financial officer of Gulf Shores Surgery Centers, an investor-owned chain of ambulatory surgery centers with six locations in Florida's Panhandle. Immediately after assuming his new position, Gary found himself facing several decisions. First, Gary had to select a bank or banks to meet the financial needs of Gulf Shores. He has approached two local banksSun Trust and BankSouthabout the interest rates they offer on a savings account and a certificate of deposit (CD) as well as the rate charged on a term loan. Sun Trust and BankSouth offer the same interest rate on each financial product and only differ in the frequency of compounding (exhibit 11.1). Second, a wealthy patient was so impressed with the care she received at Gulf Shores that she decided to donate to the facility. She will donate $75,000 a year for the first six years (t = 1 through t = 6, where t = time) and $150,000 annually for the following six years (t = 7 through t = 12). The first deposit will be made a year from today (t = 1). In addition,

she has just written a check for $250,000, which Gary will invest immediately (t = 0). Gary will invest all of the donations in a CD as they become available. CDs are generally offered in maturities of six months to ten years, and interest can be handled in one of two ways: the investor (buyer) can receive periodic interest payments, or the interest can automatically be reinvested in the CD. In the latter case, the buyer receives no interest during the life of the CD but receives the accumulated interest plus the principal amount at maturity. Because the goal of this investment is to accumulate funds for future use, as opposed to generating current income, all interest earned on the CD would be reinvested. Third, Gulf Shores may launch substantial building renovations. In this circumstance, it would be forced to borrow $250,000 from a bank. Gary is considering two options for a term loan: 1. 2. A five-year term loan that would be repaid in equal annual installments, with the first payment due at the end of Year 1. Gary hopes to pay off the loan earlyat the end of Year 3. A seven-year loan that would be repaid in annual installments of differing amounts, with the first payment due at the end of Year 1. For the first three years of the loan, the annual installment would be projected cash surpluses ($25,000 at the end of Year 1, $50,000 at the end of Year 2, and $75,000 at the end of Year 3). For the final four years of the loan, the annual installment would be a fixed (but currently unspecified) cash flow, X, at the end of each year from Year 4 through Year 7. Finally, Gulf Shores has a board-designated building fund to pay for projected facility renovations starting in eight years and lasting for four years (at t = 8, 9, 10, and 11). Current building renovation costs are estimated to be $14,500,000 a year, but they are expected to increase at a rate of 3.5 percent a year. So far, Gulf Shores has accumulated $15,000,000 (at t = 0). Gary's long-run financial plan is to add $5,000,000 in each of the next four years (at t = 1, 2, 3, and 4). Then, he plans to make equal annual contributions in each of the following three years (t = 5, 6, and 7). All of the decisions Gary faces involve time value analysis.

Case 11: Gulf Shores Surgery Centers Nominal Bank Product Compounding Interest Rate Sun Trust BankSouth Savings account Certificate of deposit Term loan Savings account Certificate of deposit Term loan Weekly Monthly Quarterly Daily Annually Semiannually 2.0% 3.0% 4.0% 2.0% 3.0% 4.0% EXHIBIT 11.1 Interest Rates on Three Financial Product