Understanding an income statement

Please follow the directions below. The Dehew Health System is attached below.

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Instructions

Assessment #1: Understanding an Income Statement

You are an intern in a health care organization business office. The calculations can be done for FY 2018 or 2019. Make sure to identify the year you used. Use the Dehew Health System income statement in the attachment, please develop a 4-6 page paper responding to the following questions regarding the income statement:

1. What is an income statement used for?

2. What are the key components of an income statement?

3. On your example of an income statement, is the organization making a profit or loss? How much is that profit or loss? Show the calculations. (Total Revenues – Total Expenses = Net Profit/Loss)

4. On your example of an income statement, what is the “total contribution margin”? Show the calculations. (Net Sales – Total Variable Costs=Total Contribution Margin).

5. What three financial indicators does a contribution margin help determine? How?

6. What is a break-even analysis? What is the break-even point for this organization? List expenses assigned as variable and fixed. Show the calculations. (Total revenues – Total VC – Total FC= Profit)

7. How does a break-even analysis vary between fee-for-service and capitated payments? Explain it using the income statement you chose. What are the similarities and differences applicable to the Income statements in fee-for-service and capitated payment options?

The paper should not be more than 6 pages and should follow APA format, spelling and grammar. Include a cover page and reference page (not included in the page count). Make sure to properly cite and reference all the used sources. The calculations need to be shown as formulas using figures. Follow the mathematical rules while calculating numbers.

Acknowledgment: The Income Statement for the Dehew Health System was developed and contributed to HMGT 322 by Professor Rob Parker.

Note:

Total Contribution Margin= Net Sales-Total Variable CostNet Sales in our case= Net PT Revenue + Premium Revenue (recognized insurance revenue) Then Total Variable Cost is comprised of Supply expenses, postage/courier services, repair/maintenance, travel/seminars, equipment rentals (not lease), and ed. supplies TCM is straightforward. Break-even point: Total Revenue-Total Variable Cost -Total Fixed Cost (the rest of expenses+ deductions from revenue) Technically, the break-even point will be Total Revenue-(Total Operating Expenses + Deductions from Gross PT Revenue)Total Revenue =Gross PT Revenue+ Premium Revenue+ Other Revenue The statement has Units of Service listed on the bottom. However, it is not possible to calculate Total Revenue by a regular formula of Units*Unit Price as the price is PT specific.

Attachments

FY19 FY18
INCOME
Gross Patient Revenue $30,981,629 $23,072,676
Deductions from Revenue

Contractual Allowances $14,995,326 $11,000,000
Charity Care $1,735,909 $1,560,000
Provision for Bad Debt $641,786 $575,000
Total Deductions from Patient Revenue $17,373,021 $13,135,000

Net Patient Revenue $13,608,608 $9,937,676
Premium Revenue $65,882 $56,000
Other Revenue $289,856 $150,000
Total Net Revenue $13,964,346 $10,143,676

EXPENSES:
SALARIES AND WAGES $8,925,000 $8,000,000

S&W – REGULAR (Line Staff) $3,470,400 $3,000,000
S&W – REGULAR Executive/Management/Providers) $5,204,600 $4,800,000
PHYSICIAN DIRECTOR FEES $250,000 $200,000

EMPLOYEE BENEFITS EXPENSES $290,000 $304,427
SUPPLIES EXPENSE $81,930 $52,906

MEDICAL SURGICAL SUPPLIES $50,555 $35,000
DRUGS $7,010 $4,843
GENERAL SUPPLIES $21,033 $9,884
WEARING APPAREL EXPENSE $1,657 $1,354
CLEANING COMPOUNDS $1,674 $1,825

PURCHASED SERVICES $21,163 $21,189
OFFSITE RECORD STORAGE $3,566 $1,752
ANSWERING SERVICES $12,811 $11,723
GARBAGE AND REFUSE REMOVAL $2,325 $1,150
POSTAGE/COURIER SERVICE $2,462 $6,565

PURCHASED OUTSIDE SERVICES $15,598 $27,459
SECURITY SERVICE $1,528 $838
CLEANING SERVICE $14,070 $26,621

FACILITIES EXPENSE $462,882 $423,538
RENT – EXPENSE $459,844 $408,552
REPAIRS & MAINTENANCE (T&M) $1,865 $10,250
ELECTRICITY $1,172 $4,736

OTHER OPERATING EXPENSES $324,448 $255,271
LICENSURE FEES $962 $100
INSURANCE – PROF. LIABILITY $238,093 $200,000
TRAVEL/SEMINARS/MEETINGS $38,209 $14,999
EQUIPMENT RENTALS $5,957 $7,111
ED.SUPPLIES/MEMBERSHIP FEES $41,227 $33,061

INTRASYSTEM ALLOCATION $750,000 $700,985
Total Operating Expenses $10,871,020 $9,785,775
Net Income/Loss $3,093,326 $357,901

Units of Service 40,800 35,000

Dehew Healthcare System
(Sample Organization)