Case Scenario: San Joaquin Community Hospital is a nonprofit hospital operated by the county. The hospital's administration is considering a proposal to a new outpatient clinic in the nearby city of San Marco. The administrator has made the following estimates pertinent to the proposal:
1. Construction of the clinic building will cost $780000 in two equal installments of $390000, to be paid at the end of 20x0 and 20x1. The clinic will open on January 2, 20x2. All staffing and operating costs begin in 20x2
2. Equipment for the clinic will cost $150000, to be paid in December 20x1
3. Staffing on the clinic will cost $800000 per year
4. other operating costs at the clinic will be $200000 per year
5. Opening the clinic is expected to increase charitable contributions to the hospital y $250000 per year
6. The clinic is expected to reduce costs at San Joaquin Community Hospital. Annual cost savings at the hospital are projected to be $1000000.
7. A majoro refurbishment of the clinic is expected to be necessary toward the end of 20x5. this work will cost $180000
8. Due to shifting medical needs in the county, the administrator doubts the clinic will be needed after 20x9
9. The clinic building and equipment could be sold for $290000 at the en of 20x9
10. The hospital's hurdle rate is 12 percent
Required to do:
Question 1. Compute the cash flow for each year relevant to the analysis
Question 2. Prepare a table of cash flows, by year
Question 3. Compute the net present value of the proposed outpatient clinic
Question 4. Should the administrator recommend the hospital's trustees that the clinic be built? why?
Question 5. Construct a spreadsheet and show how the solution will change if the following information changes: staffing will cost 790000 per year, and the increased charitable contributions will be $265000.