Not-for-profit acute care facility


Question 1: General Hospital, a not-for-profit acute care facility, has the following cost structure for its inpatient services:

Fixed costs    $10,000,000
Variable cost per inpatient day    $200
Charge (revenue) per inpatient day    $1,000

The hospital expects to have a patient load of 15,000 inpatient days next year.

a. Construct the hospital's base case projected P&L statement.
b. What is the hospital's breakeven point?
c. What volume is required to provide a profit of $1,000,000? A profit of $500,000?
d. Now assume that 20 percent of the hospital's inpatient days come from a managed care plan that wants a 25 percent discount from charges. Should the hospital agree to the discount proposal?

Question 2: You are considering starting a walk-in-clinic. Your financial projections for the first year of operation are as follows:

Revenues (10,000 visits)    $400,000
Wages and benefits    $220,000
Rent    $ 5,000
Depreciation    $ 30,000
Utilities    $ 2,500
Medical supplies    $ 50,000
Administrative supplies    $ 10,000

Assume that all cost fixed, except supply cost, which are variable. Furthermore, assume that the clinic must pay taxes at a 30 percent rate.

a. Construct the clinic's projected P&L statement.
b. What number of visits is required to break even?
c. What number of visits is required to provide you with an after-tax profit of $100,000?

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Finance Basics: Not-for-profit acute care facility
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