case study on hospital finnacial statment analysis
Economics & Financial Management in Health Sciences
course assessment document
Assessment 4 (Financial Statement Analysis)
You are asked to analyze the following case study in your final project. Refer to the course assessment document and the handout that I attached (i.e., Guidelines for
Assessment 4) for the format of your report and page and typeface restrictions.
RIVERVIEW COMMUNITY HOSPITAL
ASSESSING HOSPITAL PERFORMANCE
Riverview Community Hospital is a 210-bed, not-for-profit, acute care hospital with a long-standing reputation for providing quality healthcare services to a growing
service area. Riverview competes with three other hospitals in its metropolitan statistical area (MSA) – two not-for-profit and one for-profit. It is the smallest of
the four but has traditionally been ranked highest in patient satisfaction polls.
Hospitals are accredited by the Joint Commission, an independent not-for-profit organization whose mission is to improve the safety and quality of healthcare provided
to the public through accreditation and related services. (For more information on the Joint Commission, visit their website at www.jointcommission.org.) Although
accreditation is optional for hospitals, it is generally required to qualify for governmental (Medicare and Medicaid) reimbursement, and hence the vast majority of
hospitals apply for accreditation. Riverview passed its latest Joint Commission accreditation with “flying colors” receiving full ac-
creditation, the highest of the accreditation categories.
In recent years, competition among the four hospitals in Riverview’s service area has been keen but friendly. However, a large for-profit chain recently purchased the
for-profit hospital, which has resulted in some anxiety among the managers of the other three hospitals because of the chain’s reputation for aggressively increasing
market share in the
markets they serve.
Relevant financial and operating data for Riverview are contained in Exhibits 1.1 through 1.4, and selected industry data are contained in Exhibits 1.5 and 1.6. (Note
that the industry data given in the case are for illustrative purposes only and do not represent actual data for the years specified. For a better idea of the type of
comparative data actually available for hospitals, see
the Ingenix website at www.hospital benchmarks.com.)
Assume that you have just joined the staff of Riverview Community Hospital as a special
assistant to the CEO. On your first day on the job, the CEO Melissa Randolph, stated that
the best way to get to know the financial condition of the hospital is to conduct a thorough financial statement analysis; thus she assigned you the task. Although you
also believe that this is a good way to get started, you wonder whether Melissa has any ulterior motives. Perhaps the hospital is having problems and she thinks that
you can spot them or perhaps she wants to test your analytical skills. Melissa is from the “ old school” of hospital management and has been looking for someone to
bring modern management methods to the hospital.
In any event, she has already scheduled a financial performance analysis presentation at the next board of trustees meeting as a way for you to meet the board members.
To help you structure your presentation, Melissa suggested that you make the following points;
1. Briefly interpret three key financial statements for Riverview Community Hospital.
2. Present an overview of the hospital’s financial position using the Du Pont equation as a guide.
3. Use ratio analysis to identify the hospital’s specific financial strengths and weaknesses. But, she warned, the board is not going to appreciate a lengthy dialogue
with too many individual ratios. Focus on key findings and one or two ratios per category—don’t put them to sleep! Also, use graphs or other techniques to summarize
4. Summarize your evaluation of the hospital’s financial condition. However, don’t just rehash the numbers; rather, present your views on the potential underlying
economic and managerial factors that might have caused any problems that surfaced in the financial and operating analysis.
5. Make any recommendations that you believe the hospital should follow to ensure future financial soundness.
please see the attached file about Guidelines for Assessment
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