Background:
NorthStar’s Chief Financial Officer has asked you to evaluate the performance of one of its business units, Alphabet Anesthesia. The business unit has two facilities: ABC Regional Hospital and XYZ Memorial Hospital. The CFO would like a pro-forma P&L and an executive summary highlighting important insights. The practice has provided financial data from the past year of operations, including all details for revenue and expenses.
Assignment:
1) Using the prior-year data provided, create a pro-forma P&L in Excel. The CFO has provided the format and Q1 data in the chart below (P&L template also included in the financial data). Assume Overhead Expense is 5% of Total Direct Expense. Complete the remaining quarters to arrive at the full year total.
2) As you review the data presented, you anticipate the CFO will have some specific questions related to performance in Q4 when compared to Q3. Prepare answers for the following questions:
a. Is the change in revenue performance being driven by volume or rate?b. What payors (“carrier type”) may be causing this change in revenue performance?c. What are other key drivers lowering EBITDA margins?d. Are there any significant differences in the performance of ABC Regional Hospital and XYZMemorial Hospital?
3) Summarize your findings from this assignment in an executive summary in Word or PowerPoint. Include the answers for questions one and two. Be sure to reference tables or graphs that you prepare to support your analysis.
P&L Template AccountsQ1Q2Q3Q4FY 2021 Net Revenue$ 5,827,312$ 5,827,312 MD Expenses$ 1,872,473$ 1,872,473 CRNA Expenses$ 2,322,791$ 2,322,791 Practice Expenses$ 64,420$ 64,420 Total Direct Expenses$ 4,259,683$ 4,259,683 Overhead Expense$ 212,984$ 212,984 Total Expense$ 4,472,667$ 4,472,667 EBITDA$ 1,354,645$ 1,354,645 EBITDA %23.2%23.2% Practice Revenue FacilityTransChgCodeDetailUIDYRMOCalculation_CategoryServDateCarrierTypeCarrierGross ChgsAdjsNet RevenueTotBilledUnitsIsCareTeamCPTCode ABC Regional Hospital2250949202101ZBA1/3/21AetnaAETNA HMO1312.00983.5328.58CRNA Only43239 ABC Regional Hospital2251236202101ZBA1/4/21AetnaAETNA HMO1148.00011487CRNA Only52005 ABC Regional Hospital2251597202101ZBA1/4/21AetnaAETNA HMO1640.001471.82168.1810CRNA Only01967 ABC Regional Hospital2255443202101ZBA1/6/21AetnaMERITAIN HEALTH2624.00816180816CRNA Only72142 ABC Regional Hospital2259276202101ZBA1/15/21AetnaAETNA HMO3613.002927.3685.722CRNA Only36224 ABC Regional Hospital2273591202101ZBA1/18/21AetnaAETNA HMO1312.00829.6482.48CRNA Only43239 ABC Regional Hospital2273973202101ZBA1/19/21AetnaAETNA HMO984.007232616CRNA Only11982 ABC Regional Hospital2275888202101ZBA1/21/21AetnaAETNA HMO495.00440.2954.713CRNA Only36620 ABC Regional Hospital2278761202101ZBA1/23/21AetnaAETNA HMO4920.003583.51336.530CRNA Only22610 ABC Regional Hospital2279448202101ZBA1/24/21AetnaAETNA HMO1312.001113.37198.638CRNA Only01967 ABC Regional Hospital2266967202101ZBA1/16/21AetnaAETNA HMO2624.00194068416CRNA Only47562 ABC Regional Hospital2311575202101ZBA1/27/21AetnaAETNA HMO1148.009142347CRNA Only10060 ABC Regional Hospital2243380202101ZBA1/3/21AetnaAETNA HMO2624.000262416CRNA Only27447 ABC Regional Hospital2243411202101ZBA1/3/21AetnaAETNA HMO1148.008512977CRNA Only57522 ABC Regional Hospital2267518202101ZBA1/9/21AetnaAETNA HMO1804.001349.5454.511CRNA Only93312 ABC Regional Hospital2276693202101ZBA1/20/21AetnaAETNA HMO1804.001804011CRNA Only52352 ABC Regional Hospital2299298202101ZBA1/27/21AetnaAETNA HMO1804.001313.5490.511CRNA Only45378 ABC Regional Hospital2299384202101ZBA1/30/21AetnaAETNA HMO1148.008333157CRNA Only43239 ABC Regional Hospital2262929202101ZBA1/10/21AetnaAETNA HMO1640.00-662.972302.9710CRNA Only45378 ABC Regional Hospital2263089202101ZBA1/11/21AetnaAETNA HMO1312.00013128CRNA Only43235 ABC Regional Hospital2264839202101ZBA1/12/21AetnaAETNA HMO2624.00191371116CRNA Only47562 ABC Regional Hospital2265000202101ZBA1/12/21AetnaAETNA HMO1148.00846.5301.57CRNA Only45380 ABC Regional Hospital2265279202101ZBA1/13/21AetnaAETNA HMO1804.001322.5481.511CRNA Only27385 ABC Regional Hospital2265290202101ZBA1/13/21AetnaAETNA HMO1485.001360.34124.663CRNA Only64447 ABC Regional Hospital2265347202101ZBA1/14/21AetnaAETNA HMO330.0003302CRNA Only99231 ABC Regional Hospital2266114202101ZBA1/16/21AetnaAETNA HMO1476.001093.5382.59CRNA Only45378 ABC Regional Hospital2277426202101ZBA1/20/21AetnaAETNA HMO2460.00123233715CRNA Only29827 ABC Regional Hospital2277433202101ZBA1/20/21AetnaAETNA HMO1650.00016503CRNA Only64415 ABC Regional Hospital2277499202101ZBA1/23/21AetnaAETNA HMO6105.00560450140CRNA Only01967 ABC Regional Hospital2289075202101ZBA1/25/21AetnaAETNA HMO3772.00340336923CRNA Only01967 ABC Regional Hospital2300649202101ZBA1/27/21AetnaAETNA HMO1312.009883248CRNA Only46255 ABC Regional Hospital2300740202101ZBA1/30/21AetnaAETNA HMO1312.001188.34123.668CRNA Only64718 ABC Regional Hospital2300867202101ZBA1/30/21AetnaAETNA HMO1312.00013128CRNA Only45378 ABC Regional Hospital2300958202101ZBA1/30/21AetnaAETNA HMO1148.00996.8151.27CRNA Only43239 ABC Regional Hospital2301178202101ZBA1/31/21AetnaAETNA HMO1148.00011487CRNA Only43239 XYZ Memorial Hospital2242013202101ZBA1/2/21AetnaAETNA US HEALTHCARE2460.00660180015CRNA Only01967 XYZ Memorial Hospital2242063202101ZBA1/2/21AetnaAETNA US HEALTHCARE2788.001156163217CRNA Only01967 XYZ Memorial Hospital2245826202101ZBA1/3/21AetnaAETNA US HEALTHCARE1804.00484132011CRNA Only58662 XYZ Memorial Hospital2245862202101ZBA1/3/21AetnaAETNA US HEALTHCARE1312.009763368CRNA Only59820 XYZ Memorial Hospital2246010202101ZBA1/3/21AetnaAETNA US HEALTHCARE1312.001013.8298.28CRNA Only01967 XYZ Memorial Hospital2246154202101ZBA1/4/21AetnaAETNA US HEALTHCARE6105.005420.4684.639CRNA Only01967 XYZ Memorial Hospital2246472202101ZBA1/5/21AetnaAETNA US HEALTHCARE6105.001497460848CRNA Only01967 XYZ Memorial Hospital2246522202101ZBA1/5/21AetnaAETNA US HEALTHCARE1476.0039610809CRNA Only01967 XYZ Memorial Hospital2246595202101ZBA1/5/21AetnaAETNA US HEALTHCARE1476.0039610809CRNA Only01967 XYZ Memorial Hospital2246753202101ZBA1/5/21AetnaAETNA US HEALTHCARE6105.00532877748CRNA Only01967 XYZ Memorial Hospital2254752202101ZBA1/9/21AetnaAETNA6105.001425468039CRNA Only01967 XYZ Memorial Hospital2255709202101ZBA1/11/21AetnaAETNA US HEALTHCARE4756.004285.6470.429CRNA Only01967 XYZ Memorial Hospital2255821202101ZBA1/11/21AetnaAETNA US HEALTHCARE3116.001514160219CRNA Only01967 XYZ Memorial Hospital2256761202101ZBA1/12/21AetnaAETNA US HEALTHCARE3772.001012276023CRNA Only01967 XYZ Memorial Hospital2257142202101ZBA1/12/21AetnaAETNA US HEALTHCARE5740.002590315035CRNA Only01967 XYZ Memorial Hospital2257183202101ZBA1/12/21AetnaAETNA US HEALTHCARE6105.005273.6831.444CRNA Only01967 XYZ Memorial Hospital2258630202101ZBA1/14/21AetnaAETNA US HEALTHCARE6105.005810.4294.641CRNA Only01967 XYZ Memorial Hospital2259036202101ZBA1/13/21AetnaAETNA US HEALTHCARE2132.001752.74379.2613CRNA Only58660 XYZ Memorial Hospital2259130202101ZBA1/13/21AetnaAETNA US HEALTHCARE2624.00896172816CRNA Only01967 XYZ Memorial Hospital2259149202101ZBA1/13/21AetnaAETNA US HEALTHCARE4920.001320360030CRNA Only01967 XYZ Memorial Hospital2259162202101ZBA1/13/21AetnaAETNA US HEALTHCARE6105.001545456038CRNA Only01967 XYZ Memorial Hospital2267655202101ZBA1/17/21AetnaAETNA US HEALTHCARE2460.00660180015CRNA Only58262 XYZ Memorial Hospital2267700202101ZBA1/17/21AetnaAETNA US HEALTHCARE2460.002027.4432.615CRNA Only01967 XYZ Memorial Hospital2267814202101ZBA1/17/21AetnaAETNA US HEALTHCARE4428.001188324027CRNA Only01967 XYZ Memorial Hospital2267891202101ZBA1/17/21AetnaAETNA US HEALTHCARE3936.003406.8529.224CRNA Only01967 XYZ Memorial Hospital2268882202101ZBA1/16/21AetnaAETNA US HEALTHCARE4264.000426426CRNA Only19364 XYZ Memorial Hospital2268891202101ZBA1/16/21AetnaAETNA US HEALTHCARE2460.00660180015CRNA Only57288 XYZ Memorial Hospital2276772202101ZBA1/20/21AetnaAETNA3608.001628198022CRNA Only01967 XYZ Memorial Hospital2279092202101ZBA1/23/21AetnaAETNA US HEALTHCARE2132.00884124813CRNA Only58552 XYZ Memorial Hospital2279167202101ZBA1/23/21AetnaAETNA US HEALTHCARE6105.000610563CRNA Only01967 XYZ Memorial Hospital2279347202101ZBA1/23/21AetnaAETNA US HEALTHCARE2132.00859127313CRNA Only01967 XYZ Memorial Hospital2279546202101ZBA1/24/21AetnaAETNA US HEALTHCARE5251.002392.262858.7432CRNA Only19302 XYZ Memorial Hospital2284236202101ZBA1/26/21AetnaAETNA US HEALTHCARE3608.00968264022CRNA Only19303 XYZ Memorial Hospital2296756202101ZBA1/30/21AetnaAETNA US HEALTHCARE1804.00484132011CRNA Only58661 XYZ Memorial Hospital2296933202101ZBA1/31/21AetnaAETNA US HEALTHCARE1148.003088407CRNA Only36590 XYZ Memorial Hospital2296993202101ZBA1/31/21AetnaAETNA2624.001088153616CRNA Only58552 XYZ Memorial Hospital2296997202101ZBA1/31/21AetnaAETNA US HEALTHCARE2132.00884124813CRNA Only58552 XYZ Memorial Hospital2243314202101ZBA1/5/21AetnaAETNA US HEALTHCARE2296.001542.5753.514CRNA Only49587 XYZ Memorial Hospital2243718202101ZBA1/5/21AetnaAETNA US HEALTHCARE1312.001018.2293.88CRNA Only43239 XYZ Memorial Hospital2247010202101ZBA1/9/21AetnaAETNA US HEALTHCARE1312.00485.64826.368CRNA Only45346 XYZ Memorial Hospital2247306202101ZBA1/6/21AetnaAETNA US HEALTHCARE2624.00704192016CRNA Only38525 XYZ Memorial Hospital2247520202101ZBA1/6/21AetnaAETNA US HEALTHCARE1312.00131208CRNA Only43239 XYZ Memorial Hospital2247553202101ZBA1/6/21AetnaAETNA US HEALTHCARE1312.001053.28258.728CRNA Only43235 XYZ Memorial Hospital2250768202101ZBA1/10/21AetnaAETNA US HEALTHCARE1148.008542947CRNA Only52281 XYZ Memorial Hospital2251739202101ZBA1/11/21AetnaAETNA US HEALTHCARE1148.003088407CRNA Only43239 XYZ Memorial Hospital2252512202101ZBA1/12/21AetnaAETNA US HEALTHCARE1640.0068096010CRNA Only36561 XYZ Memorial Hospital2252810202101ZBA1/12/21AetnaAETNA US HEALTHCARE4105.001043.353061.6525CRNA Only44150 XYZ Memorial Hospital2252845202101ZBA1/12/21AetnaAETNA US HEALTHCARE660.00586.3773.634CRNA Only36556 XYZ Memorial Hospital2252991202101ZBA1/12/21AetnaAETNA US HEALTHCARE1476.0039610809CRNA Only43239 XYZ Memorial Hospital2258134202101ZBA1/13/21AetnaAETNA US HEALTHCARE1476.006668109CRNA Only43235 XYZ Memorial Hospital2259536202101ZBA1/16/21AetnaAETNA US HEALTHCARE1640.00600104010CRNA Only31540 XYZ Memorial Hospital2259596202101ZBA1/16/21AetnaAETNA US HEALTHCARE1476.001327.8148.29CRNA Only43249 XYZ Memorial Hospital2259960202101ZBA1/17/21AetnaAETNA US HEALTHCARE1804.000180411CRNA Only38525 XYZ Memorial Hospital2272844202101ZBA1/19/21AetnaAETNA US HEALTHCARE495.00429.265.83CRNA Only36620 XYZ Memorial Hospital2277809202101ZBA1/24/21AetnaAETNA US HEALTHCARE1476.001203.84272.169CRNA Only10060 XYZ Memorial Hospital2278004202101ZBA1/24/21AetnaAETNA US HEALTHCARE1804.00484132011CRNA Only43239 XYZ Memorial Hospital2279755202101ZBA1/25/21AetnaAETNA US HEALTHCARE4428.001188324027CRNA Only21195 XYZ Memorial Hospital2280322202101ZBA1/25/21AetnaAETNA US HEALTHCARE1476.0039610809CRNA Only43244 XYZ Memorial Hospital2286765202101ZBA1/25/21AetnaAETNA US HEALTHCARE2805.002805017CRNA Only36620 XYZ Memorial Hospital2287672202101ZBA1/27/21AetnaAETNA US HEALTHCARE1312.009973158CRNA Only43249 XYZ Memorial Hospital2291343202101ZBA1/30/21AetnaAETNA US HEALTHCARE1312.001150.75161.258CRNA Only43235 XYZ Memorial Hospital2293852202101ZBA1/31/21AetnaAETNA US HEALTHCARE1148.00114807CRNA Only19125 XYZ Memorial Hospital2293911202101ZBA1/31/21AetnaAETNA US HEALTHCARE1640.001327.52312.4810CRNA Only38500 XYZ Memorial Hospital2293944202101ZBA1/31/21AetnaAETNA US HEALTHCARE1148.00011487CRNA Only43249 XYZ Memorial Hospital2294114202101ZBA1/31/21AetnaAETNA US HEALTHCARE1312.001056.64255.368CRNA Only43249 XYZ Memorial Hospital2272266202101ZBA1/19/21AetnaAETNA US HEALTHCARE3116.003116019CRNA Only93656 XYZ Memorial Hospital2279983202101ZBA1/25/21AetnaAETNA US HEALTHCARE1968.00528144012CRNA Only93312 XYZ Memorial Hospital2285916202101ZBA1/26/21AetnaAETNA US HEALTHCARE495.00229.68265.323CRNA Only36620 ABC Regional Hospital2251113202101ZBA1/4/21AetnaAETNA HMO1155.00011557MD CRNA43235 ABC Regional Hospital2251300202101ZBA1/3/21AetnaAETNA HMO1485.009265599MD CRNA52356 ABC Regional Hospital2251546202101ZBA1/4/21AetnaAETNA HMO6105.005677.25427.7567MD CRNA01967 ABC Regional Hospital2255100202101ZBA1/9/21AetnaAETNA HMO3465.00796.952668.0521MD CRNA43775 ABC Regional Hospital2255219202101ZBA1/9/21AetnaAETNA HMO3300.00759254120MD CRNA43775 ABC Regional Hospital2255304202101ZBA1/9/21AetnaAETNA HMO6105.004458164737MD CRNA43644 ABC Regional Hospital2255551202101ZBA1/6/21AetnaMERITAIN HEALTH2145.00676146913MD CRNA01961 ABC Regional Hospital2256513202101ZBA1/2/21AetnaAETNA HMO2145.002145013MD CRNA01961 ABC Regional Hospital2257336202101ZBA1/11/21AetnaAETNA HMO3630.00601.873028.1312MD CRNA28485 ABC Regional Hospital2257930202101ZBA1/11/21AetnaAETNA HMO3960.00910.83049.224MD CRNA50543 ABC Regional Hospital2270977202101ZBA1/13/21AetnaAETNA HMO1320.009963248MD CRNA43235 ABC Regional Hospital2272891202101ZBA1/16/21AetnaAETNA HMO1320.00303.61016.48MD CRNA52332 ABC Regional Hospital2272967202101ZBA1/18/21AetnaAETNA HMO2303.00023037MD CRNA58563 ABC Regional Hospital2273121202101ZBA1/18/21AetnaAETNA HMO1155.00115507MD CRNA58558 ABC Regional Hospital2273205202101ZBA1/16/21AetnaAETNA HMO2475.002475015MD CRNA24340 ABC Regional Hospital2273284202101ZBA1/16/21AetnaAETNA HMO4455.001024.653430.3527MD CRNA27138 ABC Regional Hospital2274075202101ZBA1/19/21AetnaAETNA HMO825.006092165MD CRNA52332 ABC Regional 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Hospital2284202202101ZBA1/26/21AetnaAETNA US HEALTHCARE4277.003768.8508.213MD CRNA01961 XYZ Memorial Hospital2290468202101ZBA1/27/21AetnaAETNA US HEALTHCARE4935.002502.042432.9615MD CRNA58262 XYZ Memorial Hospital2296942202101ZBA1/31/21AetnaAETNA US HEALTHCARE9870.008070180030MD CRNA38525 XYZ Memorial Hospital2239362202101ZBA1/3/21AetnaAETNA US HEALTHCARE3619.003619011MD CRNA31237 XYZ Memorial Hospital2239637202101ZBA1/3/21AetnaAETNA US HEALTHCARE6580.004180240020MD CRNA43653 XYZ Memorial Hospital2241237202101ZBA1/2/21AetnaAETNA US HEALTHCARE2633.00263309MD CRNA43247 XYZ Memorial Hospital2242542202101ZBA1/4/21AetnaAETNA US HEALTHCARE3619.002299132011MD CRNA31237 XYZ Memorial Hospital2242583202101ZBA1/4/21AetnaAETNA US HEALTHCARE3126.001881124510MD CRNA43270 XYZ Memorial Hospital2243732202101ZBA1/5/21AetnaAETNA US HEALTHCARE2961.00188110809MD CRNA43244 XYZ Memorial Hospital2247027202101ZBA1/6/21AetnaAETNA US HEALTHCARE6909.006284.63624.3721MD CRNA58571 XYZ Memorial 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