Assignment 05: BCG Matrix—McKinsey 7s
Strategic Analysis for Healthcare
Chapter 11
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
1
Financial Statement and Ratio Analysis
The analysis of an organization’s financial ratios combines an internal analysis of the firm’s finances with an external comparison of the same factors.
The financial data you choose to look at depends on the particular organization and the specific industry.
Financial ratios can be grouped into several broad categories—
liquidity,
leverage,
activity,
profitability,
growth, and
valuation.
The analyst should include at least two or three relevant ratios for each.
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press
LIQUIDITY RATIOS
| Ratio | Formula | What it tells you | Positive trend | Comparator |
| Current ratio | Current assets Current liabilities | Ability to pay short term debts | Higher | Peer group Historical average Rule of thumb (>2) |
| Quick ratio (acid test) | Cash + Marketable Securities + Receivables Current liabilities | Financial solvency when inventory is not easily liquidated | Higher | Peer group Historical average Rule of thumb (>1) |
| CFO ratio | Cash from operations (aka operating cash flow) Current liabilities | Is the firm generating enough cash to cover current operations | Higher | Peer group Historical average Rule of thumb (>40%) |
| Days cash on hand | Cash + Marketable securities+ Long term investments (Operating expense-Depreciation & amortization)/365 | Cash available to pay x number of days average cash outflow | Higher | Peer group Historical average |
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press
LEVERAGE RATIOS
| Ratio | Formula | What it tells you | Positive trend | Comparator |
| Debt-to-total- assets ratio | Total liabilities Total assets | The percent of total assets being funded by creditors | Lower | Peer group Historical average |
| Debt-to-equity ratio | Total liabilities Total equity (or net assets for non-profits) | The percent of total assets being funded by firms owners | Lower | Peer group Historical average |
| Long-term debt-to- equity ratio | Long term liabilities Total equity (or net assets for non-profits) | The amount of long term debt a firm has compared to equity | Lower | Peer group Historical average |
| Times interest earned ratio | Earnings before interest & taxes (aka EBIT) Interest expense | How easily a firm can pay interest due on outstanding debt | Higher | Peer group Historical average |
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press
ACTIVITY RATIOS
| Ratio | Formula | What it tells you | Positive trend | Comparator |
| Total asset turnover ratio | Total Revenue (aka sales) Total assets | The amount of total revenue per dollar of total assets | Higher | Peer group Historical average |
| Fixed asset turnover | Total Revenue (aka sales) Fixed assets | A firms ability to effectively utilize fixed assets | Higher | Peer group Historical average |
| Inventory turnover | Total Revenue (aka sales) Inventory | How long sales inventory waits to be sold | Lower | Peer group Historical average |
| Average collection period | Receivables Total Revenue (aka sales)/ 365 | How long it takes to collect monies due | Lower | Peer group Historical average |
| Age-of-plant ratio | Accumulated depreciation Depreciation expense | How old the plant & equipment is. Newer is better | Lower | Peer group Historical average |
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press
PROFITABILITY RATIOS
| Ratio | Formula | What it tells you | Positive trend | Comparator |
| Revenue per adjusted discharge | Operating Revenue (Gross patient revenue/ gross inpatient revenue) x total discharges | Operating revenue generated from patient care services | Higher | Peer group Historical average |
| Operating expense per adjusted discharge | Total operating expense (Gross patient revenue/ gross inpatient revenue) x total discharges | Expense associated with patient care services | Lower | Peer group Historical average |
| Salary and benefits as a % of operating expense | Salary and benefit expense Total operating expense | Employee expenses as a percent of total expenses | Lower | Peer group Historical average |
| Return on assets (ROA) | Net income (profit) Total assets | Management’s ability to earn a return on each dollar of assets | Higher | Peer group Historical average Economic comparison (avg weighted cost of capital) |
| Return on total assets | Excess of revenues over expenses Total assets | In Nonprofit organizations; Managements ability to earn a return on each dollar of assets | Higher | Peer group Historical average Economic comparison (avg weighted cost of capital) |
| Return on equity (ROE) | Net income (profit) Shareholders’ equity | Rate of return on stockholders’ investment | Higher | Peer group Historical average |
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press
PROFITABILITY RATIOS (cont.)
| Ratio | Formula | What it tells you | Positive trend | Comparator |
| Return on net assets | Excess of revenues over expenses Net assets | In Nonprofit organizations; rate of return in net assets | Higher | Peer group Historical average |
| Gross profit margin | Net sales- cost of goods sold Net sales | Gross profit margin | Higher | Peer group Historical average |
| Net profit margin | Net income (profit) Sales revenue | The amount of net profit as a percent of sales | Higher | Peer group Historical average |
| Operating margin | Earnings before interest and taxes (ie, from operations) Net sales | Operating profit margin | Higher | Peer group Historical average |
| Cash flow margin | Income before depreciation, interest, taxes | Income including non-operation sources | Higher | Peer group Historical average |
| Return on capital employed | Earnings Before Interest and Tax (EBIT) Total assets – current liabilities | The efficiency with which its capital is employed | Higher | Peer group Historical average |
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press
GROWTH RATIOS
| Ratio | Formula | What it tells you | Positive trend | Comparator |
| Revenue increase | This year’s revenue Last year’s revenue | Percent increase in revenue year over year | Higher | Peer group Historical average |
| Earnings per share (EPS) * | Net income-preferred stock dividends Average outstanding shares | The amount of profit per share of stock | Higher | Peer group Historical average |
| Dividends payout ratio * | Dividends per common share of stock Earnings per share | The portion of a company's profit paid relative to each common share of stock | Varies | Peer group Historical average |
* For public companies
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press
VALUATION RATIOS (for publicly traded companies)
| Ratio | Formula | What it tells you | Positive trend | Comparator |
| P/E Ratio | Price per share Earnings per share | How much investors are willing to pay per dollar of earnings. | Higher | Peer group Historical average |
| Dividend yield | Dividends per share Price per share | Dividend payout as a percent of stock price | Varies | Peer group Historical average |
| Dividend payout | Annual dividends per share After tax earnings per share | Dividend payout as a percent of profit | Varies | Peer group Historical average |
| Cash flow per share | After tax profits + Depreciation Number of common shares outstanding | Amount of cash per share of stock | Higher | Peer group Historical average |
| Price-to-book ratio | Price per share Total assets-(intangible assets & liabilities) | Compares a firm's market value to its book value | Higher | Peer group Historical average |
| PEG ratio | P/E ratio Annual earnings per share growth | A stock's value while taking the company's earnings growth into consideration | Higher | Peer group Historical average |
| Return on net worth | Net Income Net worth | Profit as related to the firm's net worth | Higher | Peer group Historical average |
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press
Financial Ratio Analysis
The internal financial ratio analysis is concerned with both the current state of the organization and the trend.
Knowing that the organization is at “point X” is important to the strategist; even more important, however, is observing a trend and predicting where that trend will lead without intervention.
To carry out this kind of observation, the analyst needs to assemble three to five consecutive years of data.
The relevant ratios can be selected from the list in the previous slides or from Exhibit 11.1 in your book.
Once the data has been recorded and reviewed, the analyst should create a list of implications for strategy.
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press
Financial Ratio Analysis
Simply looking at the organization’s financial ratios, however, does not tell an analyst all there is to know.
The data needs to be compared to some reference point.
Though standards exist for every financial ratio, in competitive analysis and strategy development, the relevant comparison is to the firm’s competitors, then to the industry within which the firm competes.
This is because each industry has its own norms.
As an example, it may be self-evident to an analyst that a firm has an extremely high debt-to-equity ratio simply by looking at the numbers.
On the other hand, in addition to knowing that, the strategist would also like to know how highly leveraged the firm’s competitors are and what the norm is for the particular industry.
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press
Financial Ratio Analysis
An even more powerful tool is looking at competitors using five years of financial data.
This allows the analyst to identify trends for the competitors.
The strategist would like to identify deteriorating or improving competitor conditions.
Emerging competitor weaknesses can be exploited, and emerging competitor strengths need to be defended against.
Improving or degrading competitor trends can also be a warning sign for a firm’s own vulnerability.
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press
Exercise
Divide into groups.
Select which ratios are most relevant for the organization you are studying and explain why.
If time permits, research the numbers for your firm and its competitors.
Use the space provided on page 79 of your book.
What implications for strategy emerge?
Copyright © 2016 Foundation of the American College of Healthcare Executives. Not for sale.
Health Administration Press
Health Administration Press