Finances Assignment (Healthcare)
Order Description
In this assignment, you will incorporate what you learned in your accounting and finance classes to estimate your required start-up funding and financial projections. Download the Excel budget template (file attached) and create a sample budget for one year that you will take to a commercial lender when applying for a start-up loan for your business. You may request a start-up loan in the amount of $0 to $500,000, but the loan can be for no more than $500,000.

** This assignment is based on the creation of a Pain Management facility that offers interventional procedures like: Epidurals, Nerve Blocks, Intrathecal Pain Pump Implants and Spinal Cord Stimulators, etc **
(Please research this type of business)

Excel (budget) portion of assignment:

Download the Budget Template that has been provided to you. You will notice that the 12 months of the calendar year have been inserted for you, as have the categories of Revenue and Operating Expenses. Prepare a 12-month annual budget by doing the following:

1. Under the Revenue section, list the payers from whom you will receive revenue. For ease of developing this budget, list no more than five payers. For example, this may include sources such as Medicare, Medicaid, and other—from which other payer groups will you receive reimbursement? PAYERS: Medicare, Tricare, Sharp Rees-Stealy, Sharp Community Medical Group, Scripps Coastal Clinic

2. Under the Operating Expenses section, review the list of expenses that has been provided to you. Delete any expenses that will not affect your business and add any additional expenses line items that you believe are needed in your type of business.

3. Be sure to NOT delete the Loan Payment line item, as this is the amount of money that you will pay back towards your loan each month. Assume that the loan is received on January 1st and the first loan payment is also due in January.

4. Insert numbers for each month for all line items. How much revenue do you expect will come in from each payer source each month and what will be the total revenue for the month? How much money do you believe will flow out of the business in the form of expenses each month and what will be the total of all expenses? Be sure to use Excel to total all rows and columns. Be realistic here! Conduct external research, as needed, to determine what figures should be inserted for each line item. For example, if you start a two physician medical practice that also employs one nurse, one medical assistant and an office manager, what would be the total salaries for all of these individuals? The annual salary figure for each individual must then be divided by 12 (for 12 months in a year) to determine your monthly total salary expense. PRACTICE WILL START WITH: 1 Physician, 2 Physician Assistants, 1 Procedure Technician, 2 Medical Assistants, Office Manager, 1 Billing, 1 Back Office Assistant, 1 New Patient Coordinator, 1 Procedure Scheduler, 1 Front Desk Receptionist.

5. Using the Excel features, build a formula for the Net Income/Net Loss row to see if you will be earning a profit or a loss for each month of the first year.

Narrative portion of assignment:

Prepare a two-page paper summarizing your financial needs and discussing any assumptions or limitations of your budget. Be sure to also address any unexpected things that might occur (downturn in the economy, policy or legislative changes to insurance, etc.). This written narrative will be given to the commercial lender in support of your application for the loan, along with your pro forma Excel budget.

LEVEL 2
Points Possible: 35
15 for complete Excel start-up budget showing revenue, expenses and net income or net loss
20 for written narrative to accompany budget when applying for start-up loan