The Optimal Capital Structure In Healthcare Organizations

The intention of this research paper is to further understand the financial statement of four distinct hospitals located in the San Diego, California County. An analysis of the financial report for Sharp HealthCare, Scripps Health, Tri-City HealthCare, and Palomar Health will be briefly discussed individually on each important financial outcome’s Such as: assets, liabilities, revenue, expenses, hospital debt, and investments. To analyze further, a break down between the hospitals assets, liabilities, and revenue will be compared in the paper.

c) Optimization of the capital structure is also consistent with the growth of the company. The optimal capital structure

The finance department has reported that Elijah Health Center is facing a potential working capital shortfall which means the hospital may not have enough cash to sustain itself. The reasons for this shortfall is due to huge discounts given to managed care companies, higher wages given to contract nurses, low Medicare reimbursement levels, growth in current liabilities, and unused equipment. I will provide the best strategy in order to sustain the cash flow problem that Elijah Heart Center is facing. My strategy will consist of three phases. These phases include: capital shortage, funding options for equipment acquisition and funding options for

The course project involved developing a great depth of knowledge in analyzing capital structure, theories behind it, and its risks and issues. Before I began this assignment, I knew nothing but a few things about capital structure from previous unit weeks; however, it was not until this course’s final project that came along with opening

A firm can choose a mix of three modes of financing i.e. issuing shares, borrowing from the market and use of retained earnings. The ratio of this mix of funds purely depends on the firm and known as optimal capital structure of the firm. This leads to the different capital structure theories. These theories explain their

In the health care world finances play a significant role in the quality of care rendered to the consumer. There is no health care facility that is the same when it comes to their financial management because it is needed both internally and externally to ensure that it runs properly. Today’s health care field consist of either not-for-profit organizations, for-profit organizations and governmental, (Gapenski, 2008).

Professionally, we acknowledge that hospitals have a general mission to provide a level of service for patients, but we also understand that they also require capital for a wide-range of business operations. (research, expansion of services, equipment modernization, new

Nevertheless, the use of the Optimal Capital Structure (OCS) is the right techniques to be used in order to acquire the right combination of debt and equity that can maximize the

Finding the perfect capital structure in terms of risk and reward can ensure a company meets shareholder expectations and protects a firm in times of recession. Capital structure refers to how a business puts its money to “work”. The two forms of capital structure are equity capital and debt capital. Both have their benefits and limitations. Striking that perfect balance between the two can mean the difference between thriving versus trying to survive.

In the United States, health care is delivered by a complex mixture of government, not-for-profit, and for-profit financial structures. These three financial structures coexist and compete with one another. The financial environment of an organization consists of three major components the financial managers, investors and financial markets. Health care services are provided in a regulatory environment that is both different and more comprehensive than that affecting almost any other industry. In order to fully utilize all financial resources it is important that managers understand the organizations financial structure. During this

The primary objective of accounting is to provide information useful for decision-making (McNair, Olds & Milam, 2013). Financial stability, financial health, and financial performance were, is and will always be a primary focus in healthcare for years to come. In fact, understanding financial performance in any business requires some global or summary measure of economic success (Cleverley, Song and Cleverley, 2010). Therefore, a financially “healthy” organization is one that is producing an operating margin sufficient to finance the current and future capital for its business (Harrison & Montalvo, 2002). Although operating margin is critically important, a healthcare organization should not rely solely on this measure. Therefore, according to Cleverley et al. (2010), a financially successful organization is capable of generating the resources needed to meet its mission. However, in planning for financial stability and health, health care administrators and financial managers need to strategically plan how to address the needs of their organization. The level of resources required by a healthcare organization depends primarily on the range and quantity of health services envisioned in the mission statement (Cleverley et al., 2010). Therefore, financially successful organizations must be capable of generating the amount of funds needed for debt and/or equity to finance the required level of

The main goal of a private healthcare practice is to generate profits from services rendered. Private health care practice’s sole purpose just like a business is to generate revenue while maintaining financial viability. Financial viability is determined after reviewing all pertinent financial documents. Financial viability and status is determined by reviewing the organization’s Balance Sheets, Statements of Operations, Statement of Changes in Net Assets, and Statements of Cash Flows. A private healthcare practice financial balance sheet records the organization’s present assets, liabilities, and net assets at the time of review. Revenue statements or statements of operations give a snapshot of the healthcare’s revenue and expenses during the reviewed financial period. Once the revenue statement documents are reviewed, changes in asset and use of equity can be determined by reviewing statements of changes in assets documents. Statements of changes in net assets, list the change in equity during a specific operational time or period of the healthcare organization (“Statements of Change in Net Assets,” cassfraser.ca, gabs.org, May 2007). Fund generation and fund use are shown in the statements of the healthcare organization’s cash flow statements. Document review of an organization’s balance sheet, statements of operations, statement of changes in net assets, and statements of cash flows, will provide a view into a health care firm’s financial standing, financial

Capital planning plays a crucial role in the management and operation of a healthcare organization. According to Vockley (2016), the changing scene of healthcare services is a major reason why few hospitals and providers are "becoming more deliberate about capital planning" (p. 230). Capital planning which has become more centralized and in some cases strategic has continued to evolve in many healthcare organizations and across the system.

Generally, firms can choose among various capital structures in order to maximize overall market value of the company. It is proposed however, that

Capital structure is defined as the mix of the long-term sources of funds that a firm use. It is composed of equity, debt securities and affect long-term financing of the entity. It is made up by shareholder’s funds, long-term debt and preference share capital. The capital structure mostly focus on the proportions of debt and equity displayed in the company financial statements, especially in the balance sheet (Myers, 2001). The value of a firm can be calculated by the sum of the value of its firm’s debt and equity.