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Even though the board of directors uses this metric, it is defective. Explain why. HINT: FCF definition.and the revised (Q3) results, i.e., a summary table.Calculate the K-wacc for HCA using the template above. Enter the data that youhave in the case and the table above. If you need additional data, assume it usingyour good judgment from what you have learned so far in the course.In the answer box, cite your result, compare it to the K-wacc used in the Q1analysis, and explain how your revised K-wacc would change the Q1 results.If LATC was a project in a for-profit hospital like HCAabove, would the NPV be higher or lower? Explain 'analytically' by examiningall relevant inputs to NPV.above, would the IRR be higher or lower? Explain.HINT: To avoid getting trapped by this question, make sure your answer is'analytical', i.e., examine all relevant inputs and output. Operating Expenses (fixed + 7 % net rev)Management Fees (% net rev)Supplies, Drugs, Food (% net revenue)Annual IncrTotal Net RevenueLess UncollectableIndigent—bill per patientOther—bill per patientCommercial Payers—bill per dayMedicaid—bill per patientMedicare—bill per patientBillingPatient MixINSURANCE PAYER Operating Expense (% of Revenue)Annual Increase in UtilizationCalculate the metrics of capital budgeting: Net Present Value, Profitability Index, Calculate cost of capital (k-wacc) to use as the discount rateIdentify relevant incremental cash flowsYou will learn the three steps in capital budgeting:Learning Objectives Study the Wk 3 Solutions Template before proceeding into Wk 4.Wk 4 is the second of two weeks on CAPITAL BUDGETING CaseNumber of BedsYear 1 Utilization Year 2 Utilization Questions Compare the decision metrics NPV & IRR for the "no recovery of NWC" and "recovery of NWC" scenarios,stating which scenario best captures reality. Based on your answer, give the project a green or red light.Examine the decision metric 'profit margin', and explain if it leads to a green or red light for this project.Then, you will apply the metrics and information in the case study to make a recommendationInternal Rate of Return, and Payback Period. Read the case again, to grasp all the details, especially the Mulroney memo to her boss.U.S. Treasury Yields 1-year5-year10-year30-year Data source: http://federalreserve.gov/releases/h15/data.htm (accessed March 2006).Corporate Bond YieldsAAAAA A+A-BBB+BBBCan a non-profit hospital accept projects that a for-profit hospital would reject?Listen to the Intro AudioStudy the above analysis carefully, examining the inputs, outputs, and formulas used to do the calculations. Reconcile your answers to Q1b and Q1c.includes incremental investment in working capital. Discuss why she was either correct or incorrect not to Sale of Facility at Book ValueNWC RecoveryIRR (no recovery in year 10)NPV (no recovery in year 10)Free Cash FlowsLess Increase in Net Working CapitalLess Capital ExpendituresAdd DepreciationFree Cash Flows Calculation Change in NWCNet Working Capital30 days Accounts Payable60 daysInventory Supplies, Drugs, FoodAccounts Receivable Notes:Operating MarginOperating ProfitTotal ExpensesDepreciation (straight line 30yrs)Land Lease per yearFor-Profit Comparables HCA IncCommunity HealthHealth Management AssociatesRevenues (millions)Assets (millions)Total debt (millions)Stock price ($/share)Shares outstanding (millions)Market cap (millions)Bond rating ABBBBeta e ÷ d+eWeighted-Average Cost of Capital(b8*b7)+(b15*b14)(k-d x wt-d)+(k-e x wt-e)Q2aPages 83-85 show a worked-out example of a capital budgeting decision. If you work with a group, write answers on your own, independently. Group answers violate academic integrity requirements. See Q1 tab. Scroll down until you see the questions.Cohen Finance Workbook chapter 4 is a review of Time Value of Money, which you covered in a previous course.Revenue and Cost AssumptionsFree Cash Flow ProjectionsLong Term Acute Care HospitalUNIVERSITY OF VIRGINIA MEDICAL CENTER(000 omitted) IRRNPVResults-NWC RecoveryK-wacc(000 ommited)Results-No NWC RecoveryNASalary, Wage, Benefits (based on $ per employee)YearMake a quick scan through the LTAC case and the exhibits. To understand how a capital budgeting template works, follow the step-by-step procedure in the book, pages 61-70Scan pages 70-76 on weighted average cost of capital. No need to emphasize at this point because discount rates are given in the case.(some repeating from Wk3 Assignment Template)Read pages 79-84 on NPV, PI, IRR, PP.Directionsi.e., that the project is CREATES value, not DESTROYS value.that its prospective rate of return is high enough to justify the investment,The essence of the capital budgeting process is to make sure, before an investment is made,about which of the two projects to accept. Mulroney did not use working capital cash flows in her original analysis. The analysis aboveinclude them. Q1aQ1b Q1cQ2bExpect to revisit these calculations and decisions in Wk7.COMPUTE WEIGHTED AVERAGE COST OF CAPITALBASIC:FormulaEquationCOST OF DEBT: Coupon Rategiven Marginal Tax Rate Cost of Debtb5*(1-b6)k-d = I x (1- t) weight of debtd ÷ d+eCOST OF EQUITY: Risk-Free Rate Risk PremiumR-m - R-f Beta Cost of Equityb11+(b13*b12)k-e = R-f + [ß x (R-m - R-f)]BBB-BB+BB-B+B-Data source: Bloomberg, “Fair Market Curve Analysis,” 10-Year Corporate Bonds, March 2, 2006.have that context in mind before reviewing the TVM chapter 4 (only if you need to).You need to know TVM to understand the capital budgeting metrics of NPV, PI, and IRR. Make sure youNet Profit/Net RevenueNet Profit (Operating Profit - Interest)IRR with Year 10 RecoveryNPV with Year 10 Recovery weight of equity1-b8 The 1st term is income statement data; the 2nd & 3rd terms are balance sheet data.The template calculates FREE CASH FLOW=[EBIT-TAX+DEPREC]+/-CHANGE NWC+/-CAPEX.LEARN THIS FORMULA (EQUATION) COLD!from the case.Q3bQ2cQ2dSEE THE FLOW DIAGRAM - YOU ARE NOW WORKING ON THE GREEN-COLORED ANALYSIS.Case Exhibit 4See Q2 tab.See Q3 tab.Capital Budgeting TemplateK-waccSensitivity AnalysisQ3aThe analysis above is identical to the one on the Q1 tab. Do a sensitivity analysis by systematically changing certain assumptions in the spreadsheet above:change the K-wacc to 8.3%change year 2 utilization to 45%change commercial payers to 30% of patient mixUse the answer box to prepare a summary of the original (Q1) resultsRevise the decision you made in Q1 based on the above sensitivity analysis, comparing Mulroney'sassumptions and the sensitivity analysis assumptions to expectations stated in the case.Be sure to consider both 'hard quantitative data" from decision metrics and 'soft qualitative information'Q1dReview it as necessary, but defer the review until you look at the TVM applications in chapter 5 beginning on p 79.UVa Health System: The LATC Hospital ProjectVOLUMEPatient Day Capacity Utilization Patient Days UsedAverage Patient Census per DayAverage Length of Stay Number of Patients per YearFull-Time Employees/CensusFull-Time EmployeesMedicareMedicaidCommercial PayersOtherIndigentTotal RevenueEXPENSES(repeated from Wk3 Assignment Template)

UVa Health System: The Long-Term Acute Care Hospital Project

Question # 00011688 Posted By: expert-mustang Updated on: 04/07/2014 06:22 AM Due on: 04/07/2014
Subject Finance Topic Finance Tutorials:
Question
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Case UVa Health System: The Long-Term Acute Care Hospital Project

Wk 3 is the first of two consecutive weeks on CAPITAL BUDGETING.

You will learn the three steps in capital budgeting:
1 Identify relevant incremental cash flows
2 Calculate cost of capital (k-wacc) to use as the discount rate
3 Calculate the metrics of capital budgeting: Net Present Value, Profitability Index,
Internal Rate of Return, and Payback Period.
Then, you will apply the metrics and information in the case study to make a recommendation
whether to accept or reject the LTAC project.
The essence of the capital budgeting process is to make sure, BEFORE an investment is made,
that its prospective rate of return is high enough to justify the investment.

Reading Cohen Finance Workbook chapter 4 is a review of Time Value of Money, which you covered in a previous course.
Review it as necessary, but defer the review until you look at the TVM applications in chapter 5 beginning on p 79.
You need to know TVM to understand the capital budgeting metrics of NPV, PI, and IRR. Make sure you
have that context in mind before reviewing the TVM chapter 4 (only if you need to).

Give the Uva Health Care System: The Long-Term Acute Care Hospital Project Case a quick read to understand what is going on - about
calculating k-wacc and the decision metrics for the project, to give it either a green light or a red light.

Wk 3 gives you practice on the basics. You won't have a full understanding of what the LTAC Project case is about at
the end of Wk3. In Wk4, you will return to the case, analyze the project, and make a recommendation.

Look at the Wk 3 assignment questions in the Q1, Q2, Q3 tabs.

Read Cohen Finance Workbook chapter 5 selectively. Focus on:
See the FLOW DIAGRAM in GREEN depicting the CAPITAL BUDGETING template.
See the IS/BS Model in GREEN depicting the connection between PPE (BS) and operating expense (IS).
Read pps 61-65 as a general introduction to capital budgeting.
Read pps 70-76 on weighted average cost of capital to answer Q1.
Read bottom p 67 to 69 on Net Working Capital to answer Q2.
Read pps 79-85 on NPV, PI, IRR, PP to answer Q3.

Questions
See tabs for Q1, Q2, Q3
THESE QUESTIONS MUST BE ANSWERED USING EXCEL.
MAKING CALCULATIONS OUTSIDE THE SPREADSHEET AND ENTERING THE RESULTS IS NOT USING EXCEL.
YOU MUST USE EXCEL FORMULAS FOR MAKING CALCULATIONS!


Case UVa Health System: The LATC Hospital Project
Wk 4 is the second of two weeks on CAPITAL BUDGETING
Study the Wk 3 Solutions Template before proceeding into Wk 4.

Learning Objectives (repeated from Wk3 Assignment Template)
You will learn the three steps in capital budgeting: SEE THE FLOW DIAGRAM - YOU ARE NOW WORKING ON THE GREEN-COLORED ANALYSIS.
1 Identify relevant incremental cash flows
2 Calculate cost of capital (k-wacc) to use as the discount rate
3 Calculate the metrics of capital budgeting: Net Present Value, Profitability Index,
Internal Rate of Return, and Payback Period.
Then, you will apply the metrics and information in the case study to make a recommendation
about which of the two projects to accept.
The essence of the capital budgeting process is to make sure, before an investment is made,
that its prospective rate of return is high enough to justify the investment,
i.e., that the project is CREATES value, not DESTROYS value.

Directions (some repeating from Wk3 Assignment Template)
1 Make a quick scan through the LTAC case and the exhibits.
2 Listen to the Intro Audio
3 Cohen Finance Workbook chapter 4 is a review of Time Value of Money, which you covered in a previous course.
Review it as necessary, but defer the review until you look at the TVM applications in chapter 5 beginning on p 79.
You need to know TVM to understand the capital budgeting metrics of NPV, PI, and IRR. Make sure you
have that context in mind before reviewing the TVM chapter 4 (only if you need to).
4 Read the case again, to grasp all the details, especially the Mulroney memo to her boss.
5 To understand how a capital budgeting template works, follow the step-by-step procedure in the book, pages 61-70
6 Scan pages 70-76 on weighted average cost of capital. No need to emphasize at this point because discount rates are given in the case.
7 Read pages 79-84 on NPV, PI, IRR, PP.
8 Pages 83-85 show a worked-out example of a capital budgeting decision.

Questions
If you work with a group, write answers on your own, independently. Group answers violate academic integrity requirements.
1 See Q1 tab. Scroll down until you see the questions. Capital Budgeting Template The template calculates FREE CASH FLOW=[EBIT-TAX+DEPREC]+/-CHANGE NWC+/-CAPEX.
2 See Q2 tab. Scroll down until you see the questions. K-wacc The 1st term is income statement data; the 2nd & 3rd terms are balance sheet data.
3 See Q3 tab. Scroll down until you see the questions. Sensitivity Analysis LEARN THIS FORMULA (EQUATION) COLD!


Expect to revisit these calculations and decisions in Wk7.

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Tutorials for this Question
  1. Tutorial # 00011269 Posted By: expert-mustang Posted on: 04/07/2014 06:27 AM
    Puchased By: 6
    Tutorial Preview
    the impact of cost of debt in the k-WACC. Cost ...
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