Black-hawk Urology Harvard Case Solution & Analysis

Black-hawk Urology Case Solution

Question 1

In order to calculate the cash flows, the income statement has been projected for a period of three years from 2015 to 2017. The sales are expected to grow by 20% (as mentionedin case) and the practice is not able to grow its sales beyond 20%, so the sales are assumed to be constant on wards. All of the expense items are taken as a percentage of sales, on the basis of percentages in the fiscal year 2014. The expenses are subtracted from revenues, which resulted in profits of $898.6 in 2015, $878.6 in 2016 and $853.6 in 2017.

The capital expenditures related to the equipment were $150,000, and the working capital is calculated by taking the average of the percentage change in working capital, in terms of sales during 2013 and 2014. The change in working capital and capital expenditures are subtracted from the profits, which has resulted in the cash flows of $511.192 in 2015, $641.176 in 2016 and $616.1557 in 2017. The doctors’ aim was to have a salary of $37500,with an inclusion of an additional salary expense of the physician assistants, i.e. $120,000. However, the cash flows are declining as the result of stagnant sales and an increasing operating costs. The doctors would not meet the objective of getting personal salaries alongside the cost of PA.

Pro-Forma Income Statement
  2015 2016 2017
Income  
total revenue 2502.0 2502.0 2502.0
Expenses  
Office: expenses 267.7 270.2 272.7
   
Medial eq supplies 165.1 170.1 175.1
Cancer meds 425.3 430.3 440.4
Rent and utilities 142.6 145.1 147.6
Staff salary 520.0 520.0 520.0
   
Physician malpractice 82.6 87.6 92.6
Total Expenses 1603.4 1623.4 1648.4
Profit 898.6 878.6 853.6

 

Projected Cash Flows
  2015 2016 2017
Profit 898.634 878.618 853.598
Less: NWC 237.442 237.442 237.4423
Less: CAPEX 150 0 0
Cash Flows 511.192 641.176 616.1557

Question 2

A scenario analysis has been performed, whereby the best and the worst scenarios are analysed. In the best scenario; the projected sales (as given in question 1) are increased by 10%, and the overall expenses are decreased by 10%. On the other side, the projected sales are decreased by 10% and the projected expenses are increased by 10% in the worst case.

Best Case

The best case shows a strong positive impact on profitability and cash flows as, the cash flows generated by the practice are quite higher as compared to cash flows in the normal case (See Question 1).

Pro-Forma Income Statement
  2015 2016 2017
Income  
total revenue 2752.2 2752.2 2752.2
Expenses  
Office: expenses 240.9 238.7 238.7
   
Medial eq supplies 148.6 153.1 157.6
Cancer meds 382.8 387.3 396.3
Rent and utilities 128.4 130.6 132.9
Staff salary 468.0 468.0 468.0
   
Physician malpractice 74.3 78.8 83.3
Total Expenses 1443.0 1456.5 1476.8
Profit 1309.2 1295.7 1275.4

 

Projected Cash Flows -Best Case
  2015 2016 2017
Profit 1309.2 1295.66 1275.394
Less: NWC 237.442 237.442 237.4423
Less: CAPEX 150 0 0
Cash Flows 921.728 1058.22 1037.951

Worst Case

The worst case scenario shows that the decrease in sales and the increase in expenses by 10% will reduce the company’s profitability.In fact, it can be seen that the company is generating very low cash flows as compared to the normal scenario in the question 1........................

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