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When conducting a business process re-engineering study, what should you look for when trying to identify business processes for change? Why? Give a specific example.
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The corporate culture ,business and finance homework help
Need discussion reply for each LA with about a 100-120 word replyLA1You are an incumbent prime contractor on a service
co ...
The corporate culture ,business and finance homework help
Need discussion reply for each LA with about a 100-120 word replyLA1You are an incumbent prime contractor on a service
contract that you have held for many years. Consequently, you labor costs and
fringe benefits have grown “fat” and you are worried that a competitor will
come in and underbid your costs and steal the program from you. What are some
options that are available to you? Are there any defensive actions you can
take?REPLY TO THIS BELOWYou should stop paying out fringe benefits in cash. These
benefits are subject to employment taxes and cost between 17 & 25
cents per dollar. This can lower your profit margin and force you to make less
profit or increase prices.You can contribute to medical benefits or 401K plans that
would eliminate the tax burden on that money. You can try to trim down your
expenses to keep the costs of the contract as low as possible. https://contractorsplan.com/plan-advantages/decrea...LA 2You are a contractor with a contract that requires you to provide “staff augmentation” support at a local USMC base (i.e., your employee will be on base, working together with DoD civilian and military personnel). One of your best employees is obese. The local Marines, all buff and in tip-top shape, chafe at the presence of your overweight and out of shape employee and demand that you “fire them” or you they will terminate your contract. What should you do?REPLY TO THIS BELOWA discussion would be had to determine first, if there is a performance issue that would warrant firing the employee. The discussion would also include a reminder of discrimination, affirmative action and equal employment opportunity (EEO) laws and regulations that are enforced by the Office of Federal Contractor Compliance Programs (OFCCP).According to an article by HR Hero, discrimination "for the purposes of employment law, is any workplace action such as hiring, firing, demoting and promoting based on a prejudice of some kind that results in the unfair treatment of employees...". (HR Hero).resource: HR Hero. (n.d.). Workplace Discrimination Employment Laws|HR Topics for Human Resources. Retrieved December 7, 2016, from Discrimination in the Workplace: http://topics.hrhero.com/discrimination-in-the-workplace/#
11 pages
Mkt 571 Week 3 5 6
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Product life cycle comprises of four stages: introduction, growth, maturity, and decline. The four P's of marketing are product, promotion, price, and ...
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1. What is LSD? Are there advantages to this drug? How is it produced and produces it?2. What is ectasy?3. Name and give information about different hallucinogens than those above?4. Discuss the pros and cons of legalizing marijuana. Is marijuana a "gateway" drug?No words limit. Just make sure that you answer all questions and give the correct reference form. No addition materials.
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Using Excel and PowerPoint, compare 3 facilities data for acquisition. Determine the NVP and IRR for each facility and construct tables for comparison. Choose the best option for acquisition and then determine the expected NVP and IRR.
Major Organizational Decision
Many of the major decisions undertaken by healthcare organizations (HCOs) are guided b ...
Using Excel and PowerPoint, compare 3 facilities data for acquisition. Determine the NVP and IRR for each facility and construct tables for comparison. Choose the best option for acquisition and then determine the expected NVP and IRR.
Major Organizational Decision
Many of the major decisions undertaken by healthcare organizations (HCOs) are guided by managerial accounting tools and methods. Given the significant capital requirements that are often required to build a hospital, expand a service, or even purchase advanced technology, senior leaders and operational managers look to managerial accounting to make sense of available information.
It is important to understand that managerial accounting assessments are not perfect but that they provide an evidence-based approach to decision-making. Estimates about future cash flows, interest rates, and even patient demand undoubtedly contain a measure of error. Two available options for protecting the accuracy of decisions include sensitivity analysis prior to decision and variance analysis after decisions are made.
Sensitivity analysis comes in many forms but essentially seeks to determine the impact of inaccurate or even evolving decision support input variables. By providing best, likely, and worst-case input values, sensitivity analysis provides HCO managers and leaders with a risk assessment of sorts. Variance analysis to assess operational performance compared to developed budgets and managerial accounting estimates, provides an opportunity to change inputs to course correct when necessary. The initial decision must be continually evaluated to provide the desired profit margin and outcomes. Sensitivity analysis can also be associated with variance analysis to guide decisions. For example, if variance analysis shows that projected patient volume hasn’t materialized as expected in the likely scenario, costs can be adjusted downward and/or alternative patient volume or other revenue sources can be pursued as already outlined in the worst-case scenario. These techniques will increase the accuracy of decision support analyses and tools and protect margins and outcomes.
As all departments don’t produce revenue to cover their expenses, these costs must be methodically and equitably distributed to departments and services that generate profit and loss (P&L). Critical and necessary services—such as housekeeping, internal audit, and human resources—do not directly provide revenue. However, without their support, surgery, oncology, and other product lines would be unable to complete their revenue-generating work. As a result, consistently capturing all expenses and outflows, and allocating them comprehensively, is necessary to accurately assess break-even points, contribution margins, and other financial outcomes.
Finally, managerial accounting tools and techniques can help to guide financing decisions. Debt financing provides the benefit of retaining ownership and has tax advantages but has strict qualification requirements. Equity financing eliminates the burden of a loan that must be repaid and sometimes ignores creditworthiness but ownership must be shared producing a loss of some control. Managerial accounting helps to decide whether debt, equity or a combination is in the best interests of the HCO. Under each option, an analysis of the cost of capital provides an assessment of how much financing would cost the HCO. Revenues or inflows must cover these costs as well as produce any desired margin to define success for the HCO.
QVC Medical Group (QVC MG) is a profitable and very busy multi-specialty group practice. As a part of its growth strategy, QVC MG is considering purchasing one of three medical practices in the community. Each of the practices provides a unique strategic advantage that is aligned with QVC MG’s long-term plans.
Clinics to compare:
Senior Clinic is located in a community offering extensive and very popular services for older patients. Junior Clinic/Pediatric Clinic serves a growing but younger population with the largest population of children in the area. Sports Clinic provides sports medicine services and is the preferred provider for the local all-state high school teams as well as the local college sports programs.
As the vice president of operations for QVC MG, you’ve been asked to lead this effort and recommend a decision to the board. Although all three practices are very attractive and have expressed an interest in being acquired, the board will only choose one. The others may be considered at a later date.
You’ve collected the following data related to acquisition costs, cash inflows, and overhead expenses for the next 5 years. The cost of capital is determined to be 11%:
Senior Clinic will cost $20M to acquire. Additionally, there are several roofing and facility maintenance needs that will cost $200,000 in Year 1, and $150,000 in Year 2. Finally, lab services will cost $100,000 per year beginning in Year 1. Expected cash inflows from Senior Clinic are $4.5M, $8.5M, $10.265M, $11M, and $500K for Years 1 to 5.
Pediatric Clinic will cost $19M to acquire. The practice is only two years old, and the facilities are in excellent condition. However, the clinic will have debt payments of $130,000 in Years 4 and 5. Finally, Pediatric Clinic has a lab outreach program that generates $20,000 in revenue every year beginning in Year 1. Half of this revenue will flow to QVC MG. In addition to the lab revenue, expected cash inflows from Pediatric Clinic are $6M, $6.5M, $7M, $7.5M, and $8M for Years 1 to 5.
Sports Clinic will cost $21M to acquire. The clinic is in a state-of-the-art facility with owned and leased equipment. Annual lease payments are $90,000 per year and maintenance agreement costs are $50,000 per year, both beginning in Year 1. Finally, the clinic receives $75,000 per year from the local college for medical coverage beginning in Year 1, all of which will flow to QVC MG. In addition to the college revenue, expected inflows from Sports Clinic are $9M, 7.5M, $8.5M, $6M, and $3.25M for Years 1 to 5.
*** In addition to the above information, you’ve determined that for the selected clinic, the NPV probabilities are:
* 20% for the worst-case scenario(expected cash flow will equal 90% of data from above)
* 60% for the most-likely scenario (data above)
* 20% for the best-case scenario (expected cash flow will equal 108% of data above)
Finally, the board would like your recommendation on other financing options. Ignoring the previous 11% cost of capital, you’ve discovered that:
* equity financing costs 15%
* 20% debt financing costs 10% (after tax) with equity costing 16%
* 45% debt financing costs 11% (after-tax) with equity costing 17%
Assignment
As VP-Operations for QVC MG, assess each clinic option. In your assessment, develop tables showing the NPV and IRR for each option. After selecting a clinic to recommend, determine its expected NPV and make a financing (equity and/or debt) recommendation to the board.
Provide your supporting documentation (spreadsheets or solution sheets) and develop a PowerPoint presentation to present and explain your findings to the board.
Gapenski, L., & Reiter, K. (2015). Healthcare finance: An introduction to accounting and financial management (6th ed.). Chicago, IL: Health...
Chapters 1-4, 15, and 17.
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Describe how leaders manage and balance the duties of corporate governance, compliance, and regulatory issues with the needs of their stakeholders, while also satisfying competitive demands of the marketplace. Use citations and references in APA style.In response to your classmates, comment on their description of leadership duties regarding managing and balancing governance and decision-making processes for their impact on stakeholders and corporate culture. Do you agree or disagree with their evaluation? Cite specific examples supporting why you agree or disagree.Refer to the Discussion Rubric for directions on completing these discussions.
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Most Popular Content
The corporate culture ,business and finance homework help
Need discussion reply for each LA with about a 100-120 word replyLA1You are an incumbent prime contractor on a service
co ...
The corporate culture ,business and finance homework help
Need discussion reply for each LA with about a 100-120 word replyLA1You are an incumbent prime contractor on a service
contract that you have held for many years. Consequently, you labor costs and
fringe benefits have grown “fat” and you are worried that a competitor will
come in and underbid your costs and steal the program from you. What are some
options that are available to you? Are there any defensive actions you can
take?REPLY TO THIS BELOWYou should stop paying out fringe benefits in cash. These
benefits are subject to employment taxes and cost between 17 & 25
cents per dollar. This can lower your profit margin and force you to make less
profit or increase prices.You can contribute to medical benefits or 401K plans that
would eliminate the tax burden on that money. You can try to trim down your
expenses to keep the costs of the contract as low as possible. https://contractorsplan.com/plan-advantages/decrea...LA 2You are a contractor with a contract that requires you to provide “staff augmentation” support at a local USMC base (i.e., your employee will be on base, working together with DoD civilian and military personnel). One of your best employees is obese. The local Marines, all buff and in tip-top shape, chafe at the presence of your overweight and out of shape employee and demand that you “fire them” or you they will terminate your contract. What should you do?REPLY TO THIS BELOWA discussion would be had to determine first, if there is a performance issue that would warrant firing the employee. The discussion would also include a reminder of discrimination, affirmative action and equal employment opportunity (EEO) laws and regulations that are enforced by the Office of Federal Contractor Compliance Programs (OFCCP).According to an article by HR Hero, discrimination "for the purposes of employment law, is any workplace action such as hiring, firing, demoting and promoting based on a prejudice of some kind that results in the unfair treatment of employees...". (HR Hero).resource: HR Hero. (n.d.). Workplace Discrimination Employment Laws|HR Topics for Human Resources. Retrieved December 7, 2016, from Discrimination in the Workplace: http://topics.hrhero.com/discrimination-in-the-workplace/#
11 pages
Mkt 571 Week 3 5 6
Product life cycle comprises of four stages: introduction, growth, maturity, and decline. The four P's of marketing are pr ...
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Product life cycle comprises of four stages: introduction, growth, maturity, and decline. The four P's of marketing are product, promotion, price, and ...
LSD, ecstasy and hallucinogens
1. What is LSD? Are there advantages to this drug? How is it produced and produces it?2. What is ectasy?3. Name and give i ...
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1. What is LSD? Are there advantages to this drug? How is it produced and produces it?2. What is ectasy?3. Name and give information about different hallucinogens than those above?4. Discuss the pros and cons of legalizing marijuana. Is marijuana a "gateway" drug?No words limit. Just make sure that you answer all questions and give the correct reference form. No addition materials.
Describe the three types of franchising and provide an example of each.
Describe the three types of franchising and provide an example of each.business format franchises, product franchises, and ...
Describe the three types of franchising and provide an example of each.
Describe the three types of franchising and provide an example of each.business format franchises, product franchises, and manufacturing franchiseJUST need a good example of each franchise
Using Excel and PowerPoint, compare 3 facilities data for acquisition. Determine the NVP and IRR for each facility and construct tables for comparison. Choose the best option for acquisition and then determine the expected NVP and IRR.
Major Organizational Decision
Many of the major decisions undertaken by healthcare organizations (HCOs) are guided b ...
Using Excel and PowerPoint, compare 3 facilities data for acquisition. Determine the NVP and IRR for each facility and construct tables for comparison. Choose the best option for acquisition and then determine the expected NVP and IRR.
Major Organizational Decision
Many of the major decisions undertaken by healthcare organizations (HCOs) are guided by managerial accounting tools and methods. Given the significant capital requirements that are often required to build a hospital, expand a service, or even purchase advanced technology, senior leaders and operational managers look to managerial accounting to make sense of available information.
It is important to understand that managerial accounting assessments are not perfect but that they provide an evidence-based approach to decision-making. Estimates about future cash flows, interest rates, and even patient demand undoubtedly contain a measure of error. Two available options for protecting the accuracy of decisions include sensitivity analysis prior to decision and variance analysis after decisions are made.
Sensitivity analysis comes in many forms but essentially seeks to determine the impact of inaccurate or even evolving decision support input variables. By providing best, likely, and worst-case input values, sensitivity analysis provides HCO managers and leaders with a risk assessment of sorts. Variance analysis to assess operational performance compared to developed budgets and managerial accounting estimates, provides an opportunity to change inputs to course correct when necessary. The initial decision must be continually evaluated to provide the desired profit margin and outcomes. Sensitivity analysis can also be associated with variance analysis to guide decisions. For example, if variance analysis shows that projected patient volume hasn’t materialized as expected in the likely scenario, costs can be adjusted downward and/or alternative patient volume or other revenue sources can be pursued as already outlined in the worst-case scenario. These techniques will increase the accuracy of decision support analyses and tools and protect margins and outcomes.
As all departments don’t produce revenue to cover their expenses, these costs must be methodically and equitably distributed to departments and services that generate profit and loss (P&L). Critical and necessary services—such as housekeeping, internal audit, and human resources—do not directly provide revenue. However, without their support, surgery, oncology, and other product lines would be unable to complete their revenue-generating work. As a result, consistently capturing all expenses and outflows, and allocating them comprehensively, is necessary to accurately assess break-even points, contribution margins, and other financial outcomes.
Finally, managerial accounting tools and techniques can help to guide financing decisions. Debt financing provides the benefit of retaining ownership and has tax advantages but has strict qualification requirements. Equity financing eliminates the burden of a loan that must be repaid and sometimes ignores creditworthiness but ownership must be shared producing a loss of some control. Managerial accounting helps to decide whether debt, equity or a combination is in the best interests of the HCO. Under each option, an analysis of the cost of capital provides an assessment of how much financing would cost the HCO. Revenues or inflows must cover these costs as well as produce any desired margin to define success for the HCO.
QVC Medical Group (QVC MG) is a profitable and very busy multi-specialty group practice. As a part of its growth strategy, QVC MG is considering purchasing one of three medical practices in the community. Each of the practices provides a unique strategic advantage that is aligned with QVC MG’s long-term plans.
Clinics to compare:
Senior Clinic is located in a community offering extensive and very popular services for older patients. Junior Clinic/Pediatric Clinic serves a growing but younger population with the largest population of children in the area. Sports Clinic provides sports medicine services and is the preferred provider for the local all-state high school teams as well as the local college sports programs.
As the vice president of operations for QVC MG, you’ve been asked to lead this effort and recommend a decision to the board. Although all three practices are very attractive and have expressed an interest in being acquired, the board will only choose one. The others may be considered at a later date.
You’ve collected the following data related to acquisition costs, cash inflows, and overhead expenses for the next 5 years. The cost of capital is determined to be 11%:
Senior Clinic will cost $20M to acquire. Additionally, there are several roofing and facility maintenance needs that will cost $200,000 in Year 1, and $150,000 in Year 2. Finally, lab services will cost $100,000 per year beginning in Year 1. Expected cash inflows from Senior Clinic are $4.5M, $8.5M, $10.265M, $11M, and $500K for Years 1 to 5.
Pediatric Clinic will cost $19M to acquire. The practice is only two years old, and the facilities are in excellent condition. However, the clinic will have debt payments of $130,000 in Years 4 and 5. Finally, Pediatric Clinic has a lab outreach program that generates $20,000 in revenue every year beginning in Year 1. Half of this revenue will flow to QVC MG. In addition to the lab revenue, expected cash inflows from Pediatric Clinic are $6M, $6.5M, $7M, $7.5M, and $8M for Years 1 to 5.
Sports Clinic will cost $21M to acquire. The clinic is in a state-of-the-art facility with owned and leased equipment. Annual lease payments are $90,000 per year and maintenance agreement costs are $50,000 per year, both beginning in Year 1. Finally, the clinic receives $75,000 per year from the local college for medical coverage beginning in Year 1, all of which will flow to QVC MG. In addition to the college revenue, expected inflows from Sports Clinic are $9M, 7.5M, $8.5M, $6M, and $3.25M for Years 1 to 5.
*** In addition to the above information, you’ve determined that for the selected clinic, the NPV probabilities are:
* 20% for the worst-case scenario(expected cash flow will equal 90% of data from above)
* 60% for the most-likely scenario (data above)
* 20% for the best-case scenario (expected cash flow will equal 108% of data above)
Finally, the board would like your recommendation on other financing options. Ignoring the previous 11% cost of capital, you’ve discovered that:
* equity financing costs 15%
* 20% debt financing costs 10% (after tax) with equity costing 16%
* 45% debt financing costs 11% (after-tax) with equity costing 17%
Assignment
As VP-Operations for QVC MG, assess each clinic option. In your assessment, develop tables showing the NPV and IRR for each option. After selecting a clinic to recommend, determine its expected NPV and make a financing (equity and/or debt) recommendation to the board.
Provide your supporting documentation (spreadsheets or solution sheets) and develop a PowerPoint presentation to present and explain your findings to the board.
Gapenski, L., & Reiter, K. (2015). Healthcare finance: An introduction to accounting and financial management (6th ed.). Chicago, IL: Health...
Chapters 1-4, 15, and 17.
4-1 Discussion: Managing and Balancing Governance
Describe how leaders manage and balance the duties of corporate governance, compliance, and regulatory issues with the nee ...
4-1 Discussion: Managing and Balancing Governance
Describe how leaders manage and balance the duties of corporate governance, compliance, and regulatory issues with the needs of their stakeholders, while also satisfying competitive demands of the marketplace. Use citations and references in APA style.In response to your classmates, comment on their description of leadership duties regarding managing and balancing governance and decision-making processes for their impact on stakeholders and corporate culture. Do you agree or disagree with their evaluation? Cite specific examples supporting why you agree or disagree.Refer to the Discussion Rubric for directions on completing these discussions.
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