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When performing calculations, standard rounding rules apply. If the number to the right of the decimal is less than 5, round down to the nearest whole number

Submit your answers on a Word document, with the heading of Week 5 Assignment. For the questions requiring a written response, answer directly on the assignment and adhere to proper grammar and syntax, and provide references. For the questions requiring calculations, show all of your work and follow the format that has been provided for the calculations in the lesson for Week 5. In addition, further explanations and formulas on the break-even analysis are contained in the required reading resources. Key points for calculations When performing calculations, standard rounding rules apply. If the number to the right of the decimal is less than 0.5, round down to the nearest whole number, e.g., 33.4 = 33 If the number to the right of the decimal is 0.5 or greater, round up to the nearest whole number, e.g. 33.5 =34. Read the question carefully. Pay close attention to the units be asked and keep them consistent. For example, days vs months vs years; charges vs contribution margin; dollars vs percentage Provide ALL formulas with references. Designate which formula associates with which source. It is not sufficient to simply list the source at the beginning of the section. Write out the formula used BEFORE filling in the numbers. Formulas used should be taken from one of the required resources for this course.

Week 5: Break-even Analysis

Assignment Guidelineswith Scoring Rubric

Purpose

The purpose of this assignment is to:

To provide learners with the opportunity todevelop break-even-analysisskills.

Total Points Possible:  100

Requirements:

Answer the questions and complete the calculations required for the assignment.

Submit your answers on a Word document,with the heading of Week 5Assignment.  For the questions requiring a written response, please adhere to proper grammar and syntax, and provide references.  For the questions requiring calculations, show all your work and follow the format that has been provided for the calculations in the lesson for Week 5.

1. When performing calculations, standard rounding rules apply. If the number to the right of the decimal is less than 5, round down to the nearest whole number, e.g., 33.4 = 33 If the number to the right of the decimal is 5 or greater, round up to the nearest whole number, e.g. 33.5 =34.

2. Read the question carefully. Pay close attention to the units be asked and keep them consistent. For example, hours vs FTEs; days vs months vs years.

3. Provide ALL formulas with references. Designate which formula associates with which source. It is not sufficient to simply list the source at the beginning of the section. Write out the formula used BEFORE filling in the numbers.Formulas used should be taken from one of the required resources for this course.

Example: Total Contribution Margin (CM) = (CM) category 1 + CM cat 2 + CM 3

Leger, J.M. & Dunham-Taylor, J. (2018). Financial management for nurse managers: Merging the heart with the dollar, 4th Ed. Burlington, MA: Jones-Bartlett.

 

Preparing the paper

Break-Even Analysis Case Study

You and several of your colleague business partners have decided to establish an outpatient fertility clinic in your service area. All of you are very familiar with this patient population base, have completed an extensive market analysis thatdemonstrated a great need for the service, and are comfortable with setting up a business and the costs associated with this special group of patients.

As part of the business plan, you and your partners will need to convince stakeholders that this new service endeavor will be viable. They will want to know how many patients visits annually will need to occur and how long it will take for the service to be at least cost neutral or profitable. To provide them with this information you will perform a break-even analysis. Use the following data, conduct the analysis accounting for the contribution margin of each patient acuity category.

  • Fixed Costs: $9,788,000 (start-costs, specialty physicians, anesthesiologists, APNs, staff

 nurses and other staff salaries, specialty equipment, other miscellaneous)

  • Variable costs: $500/patient visit (specialty equipment, oxygen supplies, other

 miscellaneous)

  • Clinic days: Monday-Saturday- 312 days/year
  • Projected patient visits per year: 7488
  • Patient charges by patient acuity category:
    • Simple (15%)————$2000/visit
    • Moderate (60%)——–$6500/visit
    • Complex (25%)———$10,000/visit
Break-even Analysis Data Table
Acuity CategoryPercentage %Charge per VisitVisits per YearCharges per YearVisits per DayCharges per DayContribution Margin
Simple15%$2000     
Moderate60%$6500     
Complex25%$10,000     
Expected Total Daily Charges  
ExpectedTotal Daily Revenue 
Break Even point in days 
Break Even point in visits 
  1. Describe your approach to this case study. In addition to the numbers given, what do you need to know before you can calculate the break-even analysis?
  • Perform the calculations needed for the break-even analysis. Show your work, formulas used, and reference the formula. When calculating the patient visits per day, round to the nearest whole. After you’ve completed the calculations, record your results in the appropriate place in the table.
  • How many patient visits are expected per day?
  • What is the contribution margin of each category of patient?
CategoryPoints%Description
Approach to Break-Even Analysis55%Approach to Break-even analysis is clearly articulated and contains elements needed to address the scenario
Calculate the number of patients/category served per year and day.1515%Number of patients served by the fertility clinic is correctly calculated per year and day for each type/category. Formulas are correctly shown, used, and referenced. Calculations are shown
Calculate the contribution margin for each patient category3030%For each of the three patient/categories the contribution margin is correctly calculated. Formulas are correctly shown, used, and referenced. Calculations are shown.
Calculate the number of days to break-even.1010%Time to break-even in days is correctly calculated. Formulas are correctly shown, used, and referenced. Calculations are shown
Calculate the break-even quantity (number of visits).1515%The break-even quantity (number of visits) is correctly calculated. Formulas are correctly shown, used, and referenced. Calculations are shown.
Analysis of break-even analysis2020%Break-even analysis is clearly articulated. Includes elements potential for viability and profitability of service, recommendation for continuing the business. Specific data from the analysis is used to support your interpretation.
Writing conventions, format, and reference citations55%Writing is clear concise without grammatical and spelling errors. All references are correctly cited (if applicable) and written.
  100100A quality assignment will meet or exceed all of the above requirements.

Grading Rubric

Assignment Criteria  Outstanding or highest level of performance  Very good or high level of performance  Competent or satisfactory level of performancePoor or failing level of performance  Unsatisfactory level of performance
Content Possible Points = 100 Points           
Approach to Break-Even Analysis5 Points 0 Points
  
Calculate the number of patients per category served at the fertility clinic per year and per day.15 Points105 0 Points
Number of patients served per year and per day is correctly calculated for each patient category served at the fertility clinic.2/3 categories correctly calculated1/3 of categories correctly calculatedAll categories incorrectly calculated
Calculate the contribution margin for each type of patient served at the fertility clinic.30 Points2010 0 Points
Contribution margin for all category types are correctly calculatedContribution margin for 2/3 category types are correctly calculatedContribution margin for 1/3 category types are correctly calculatedContribution margins for all category types are incorrectly  calculated
Calculate the number of days to break-even point.15 Points 0 Points
Number of days to break-even is correct.Number of days to break even is incorrect
Calculate the break-even quantity (number of visits)10 Points 0 Points
Number of visits to break even is correctNumber of visits to break even is incorrect.
Analysis of break-even analysis20 Points15 Points10 Points5 Points0 Points
Break-even analysis is clearly articulated. Includes elements potential for viability and profitability of service, recommendation for continuing the business. Specific data from the analysis is used to support your interpretation.3/4 of all elements of break-even analysis are present and correct.1/2 of all elements of break-even analysis are present and correct.1/4 of all elements of break-even analysis is present and correct.All elements of break-even analysis are missing or incorrect.
Writing conventions, format, references5 Points3 points1 point 0 points
Writing is clear and concise, contains no grammatical and spelling errors. All references are correctly cited (if applicable) and written.2/3 of elements are present and correct1/3 of elements is present and correctAll elements of writing conventions  are missing or incorrect.
Content Subtotal  of 100 points
Total Points  _____of  points
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Writers Solution

The USPAP provides 10 standards to meet when performing valuation or appraisal of a business.

the reply must be at least 250 words. Do not just say “good job” or “I learned something from your post.” Replies are not a cheering exercise. Instead, your replies must be substantial, reflecting what you learned from reading the post, offering an extension, or correcting a mistake. Use what you learned in researching for your post (or knowledge gained from other classes or personal experience) to either supplement or critique the post you are writing about. 

     The USPAP provides 10 standards to meet when performing valuation or appraisal of a business. Each of these standards encompass a different type of business. Real estate valuation is covered in standards 1-6, personal property in 3, 6, 7, and 8, and businesses and intangible assets in 3, 9, and 10. This thread will be discussing standard 9, which discusses the development stages of a business appraisal. This standard is broken up into 5 rules. Rule 1 discusses how the appraiser should be knowledgeable in various methods, practices, and procedures, and to ensure he or she has not made any substantial errors. Rule 2 offers definitions to various items that the appraiser is required to identify such as different assumptions, conditions, and basic definitions of the client, product, and purpose. Rule three simply encourages the appraiser to compare the liquidation value against the going concern value, specifically to identify if the liquidation value happens to be greater than the going concern value. Rule 4 seems to add further into rule 1, encouraging the appraiser to use multiple approaches and to ensure that all variables and information is accounted for. Finally, Rule 5 requires the appraiser to be able to ethically reconcile his appraisal, by explaining the relevance and accuracy of each approach, method, procedure, and calculation.

            This standard applies to businesses and intangible assets. An example in which this standard might be applicable, is to essentially all businesses. This standard requires appraisers to utilize each approach, income, market, and asset, in their final valuation. This exists to provide the most complete and accurate valuation, and compares the businesses income value to their competitors, and their assets. Being heavily invested in the stock market, this is a very valuable principle to work from. A business might be performing poorly through their income approach, however, their assets might be exponentially more valuable than the actual revenue that the business brings in. This comparison reminds me of a story told by Peter Lynch, a former fidelity mutual fund manager, in his book One Up on Wall Street. 21st Century Fox had recently purchased the Pebble Beach Golf course at fair market value. This fair market value was actually understated an incredible amount, as the assets that Pebble Beach had owned were much more valuable than the business itself. 21st Century Fox ended up selling an unused section of land on the Pebble Beach property for tens of millions of dollars (Lynch, 2000). The stock proceeded to rise exponentially, to which Peter Lynch earned an enormous gain in the stock market. This is a perfect example of ensuring the appraiser explores all sources of revenue and assets to derive an accurate appraisal as stated in Standard 10 of the USPAP.

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performing valuation or appraisal of a business

 250 words. Do not just say “good job” or “I learned something from your post.” Replies are not a cheering exercise. Instead, your replies must be substantial, reflecting what you learned from reading the post, offering an extension, or correcting a mistake. Use what you learned in researching for your post (or knowledge gained from other classes or personal experience) to either supplement or critique the post you are writing about. 

     The USPAP provides 10 standards to meet when performing valuation or appraisal of a business. Each of these standards encompass a different type of business. Real estate valuation is covered in standards 1-6, personal property in 3, 6, 7, and 8, and businesses and intangible assets in 3, 9, and 10. This thread will be discussing standard 9, which discusses the development stages of a business appraisal. This standard is broken up into 5 rules. Rule 1 discusses how the appraiser should be knowledgeable in various methods, practices, and procedures, and to ensure he or she has not made any substantial errors. Rule 2 offers definitions to various items that the appraiser is required to identify such as different assumptions, conditions, and basic definitions of the client, product, and purpose. Rule three simply encourages the appraiser to compare the liquidation value against the going concern value, specifically to identify if the liquidation value happens to be greater than the going concern value. Rule 4 seems to add further into rule 1, encouraging the appraiser to use multiple approaches and to ensure that all variables and information is accounted for. Finally, Rule 5 requires the appraiser to be able to ethically reconcile his appraisal, by explaining the relevance and accuracy of each approach, method, procedure, and calculation.

            This standard applies to businesses and intangible assets. An example in which this standard might be applicable, is to essentially all businesses. This standard requires appraisers to utilize each approach, income, market, and asset, in their final valuation. This exists to provide the most complete and accurate valuation, and compares the businesses income value to their competitors, and their assets. Being heavily invested in the stock market, this is a very valuable principle to work from. A business might be performing poorly through their income approach, however, their assets might be exponentially more valuable than the actual revenue that the business brings in. This comparison reminds me of a story told by Peter Lynch, a former fidelity mutual fund manager, in his book One Up on Wall Street. 21st Century Fox had recently purchased the Pebble Beach Golf course at fair market value. This fair market value was actually understated an incredible amount, as the assets that Pebble Beach had owned were much more valuable than the business itself. 21st Century Fox ended up selling an unused section of land on the Pebble Beach property for tens of millions of dollars (Lynch, 2000). The stock proceeded to rise exponentially, to which Peter Lynch earned an enormous gain in the stock market. This is a perfect example of ensuring the appraiser explores all sources of revenue and assets to derive an accurate appraisal as stated in Standard 10 of the USPAP

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performing heel raises with your knees straight versus your knees bent.

Heel raise exercises are typically performed standing and going up on your toes. There are multiple ways to vary this exercise. 

Using approximately 400-500 words, describe the difference between performing heel raises with your knees straight versus your knees bent. What muscles are being activated with each activity? With this knowledge, how would it change the way these muscles get stretched? Include at least two scholarly references (using APA formatting and style) to guide your answers.
Cite all sources used in APA format. Sources should be evidence-based research from medical journals. WebMD, Wikipedia, etc. ARE NOT VALID SOURCES. Paper must be typed,

Times New Roman, 

12pt font, 

doubled spaced, 

1 inch margins. 

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  • Customer satisfaction- Customer satisfaction. We have an outstanding customer care team that is always ready and willing to listen to you, collect your instructions and make sure that your custom writing needs are satisfied
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Financial challenges – Not all sites are performing as well as expectedFinancial challenges – Not all sites are performing as well as expected

Note: This is part of a project for 11 weeks please see the overview of it to get a good idea about the assignment. Also, please see the rubric and lesson content for additional information to complete the assignment.

As part of your work as Project Manager on the strategic analysis for the potential business operation standardization project, you will be developing a way to assess the various organizations and benchmark their performance in the areas that were highlighted as part of the current issues facing the organization.

Write a 1-2 page paper analyzing how you will structure and conduct the organizational assessments so that you can benchmark the performance between sites in at least two of the areas where there are issues currently impacting the organization (see list below). Provide examples of what the goals of the organizational assessment analysis would be and what benchmarking process you will recommend implementing. Provide examples to support your findings.

Issues impacting the organization:

  • Financial challenges – Not all sites are performing as well as expected
  • Patient safety and quality – Sites have different operating procedures
  • Healthcare reform implementation – Sites are in different phases of this process depending on when they started and available resources
  • Governmental mandates – Sites are interpreting mandates differently and responding based on their interpretations
  • Care for the uninsured – Several sites are struggling financially providing care for large populations of uninsured patients
  • Patient satisfaction – There is no standard way to measure and track patient satisfaction across all sites
  • Physician-hospital relations – Sites vary in the effectiveness of these relationships
  • Technology – Sites run different technology systems which are not integrated and some sites are much more technologically advanced than others
  • Population health management – Each site is conducting this differently and there is no way to easily evaluate data across the system.
  • Personnel shortages – There is no easy way to share resources between sites to address personnel shortages and make sure there are adequate numbers of cross trained employees.
  • Creating an accountable care organization – Sites vary in their willingness and bandwidth to make this transition.

You must reference at least two research sources (Wikipedia is not an acceptable research source) in your paper, and include appropriate APA citations for those sources. 

Save your assignment as a Microsoft Word document.

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