Assignment 05: BCG Matrix—McKinsey 7s

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Chapter11.pptx

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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

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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

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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

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