Healthcare Finance

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unit_8_part_ii.docx

Unit 8 Assignment 1

Unit 8 Assignment

Part 2

Instructor feedback and recommendations

Opportunities for Improvement: You needed at least 3 full pages of content and you only had slightly more than 2. You might have added information regarding the facilities current state of operations (this would of course be fictional) and explain how the MRI would or would not benefit the organization.

This is a statement regarding a recommendation on whether or not a new magnetic resonance imaging (MRI) machine is a reasonable investment for a healthcare facility. Within this report I will provide a detailed explanation highlighting some of the keys benefits and a cash flow analysis for the MRI machine.

This report is addressed to the physician’s network that has asked me to prepare a detailed cash flow analysis for a MRI machine before the healthcare facility makes an investment decision to buy it. In this regards I have drafted a comprehensive report recommending whether or not the new MRI machine is a possible investment.

Since the nature of this project assignment has not provided the cost of capital, it only means that we will not take into account the concept of time value of money. So, to analyze the cash flows of the project, we will use tools such as Payback Period and Accounting Rate of Return. Payback period is that period in capital budgeting that would be required to recoup the funds invested in a project (Gapenski, 2013). For this MRI investment projects, I calculated payback period as follows:

· Payback period = Cost of investment/ Net operating income per year

· Cost of investment in the MRI machine = $ 2.5M

· Net operating income per year = $ 693,500

· Payback Period = $ 2,500,000/ $ 693,500 per year = 3.6 years

This means that by the third year the facility will have recouped its cost of purchasing the MRI machine; thus, it could have broken even. After recovering its total initial cost of buying the machine, it follows that the facility will start making profits from the fourth year through the fifth year when they will have to sell off the machine according to their projection. However, we can also arrive at the estimated payback period of 3.5 years if we take into account the net cash flows of the project. The scenario is represented in the table below:

Since the details of the MRI machine project suggests that we should not take into account the concept of time value of money, we can also evaluate the feasibility of this project using the accounting rate of return (ARR) tool. The accounting rate of return is also referred to as the average rate of return which is a financial ratio that calculates the return generated from net income of proposed project (Gapenski, 2013). ARR is calculated as follows.

· ARR = Average accounting profit/Average investment

· Annual depreciation = AD = (Initial investment – salvage value)/ useful life

· AD = $(2500000 – 750000)/5 = $350000

· Average accounting income = $693500 - $350000 = $343500

· Average rate of return = 343500/2500000*100 = 13.74%

From the summary of the cash flow analysis provided above the estimated payback period of 3.6 years shows that the facility will break even on the purchase of the MRI machine by the third year and will continue producing cash flows in the next two years before it is sold off by the fifth year of its operation. Based on the payback period I conclude that the MRI machine is a feasible project.

Using the average rate of return requires that the management of the facility should have a required accounting rate with which it should compare with the calculated average rate of return. As long as the ARR is equal or higher than the expected rate of return the project will remain feasible. In conclusion I therefore recommend that management invest in the purchase of the MRI machine.

REFERENCE

Gapenski, C., L. (2013). Fundamentals of Healthcare Finance, 2nd Edition. [VitalSource Bookshelf Online]. Retrieved from https://kaplan.vitalsource.com/#/books/9781567935714/

YearNet CashflowsNet invested cash

0-2500000

1693500-1806500

2693500-1113000

3693500-419500

4693500

51443500

Sheet1

Year Net Cashflows Net invested cash
0 -2500000
1 693500 -1806500
2 693500 -1113000
3 693500 -419500
4 693500
5 1443500