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Complete the following problems from Chapters 4 and 5 in your textbook, Understanding Healthcare Financial Management. Be sure you are completing the “Problems” and not the “Mini-cases.”

Chapter 4: Problems 1-9

Chapter 5: Problems 1 & 5

Access the problems at https://www.ache.org/pubs/hap_companion/book.cfm?pc=2283 or from the attached transcript..

Show your calculations used to derive your answers. If the problems require narrative answers as well as calculations, you must format those answers using APA style, as per APA format.

HCM565

Module 2 CT

Chapter 4 Problem 1

Find the following values for a lump sum:

– The future value of $500 invested at 8 percent for one year

– The future value of $500 invested at 8 percent for five years

– The present value of $500 to be received in one year when the opportunity cost rate is 8 percent

– The present value of $500 to be received in five years when the opportunity cost rate is 8 percent assuming:

a. Annual compounding

b. Semiannual compounding

c. Quarterly compounding

Chapter 4 Problem 2

What is the effective annual rate (EAR) if the stated rate is 8 percent and compounding occurs semiannually? Quarterly?

Chapter 4 Problem 3

Find the following values assuming a regular, or ordinary, annuity:

– The present value of $400 per year for ten years at 10 percent

– The future value of $400 per year for ten years at 10 percent

– The present value of $200 per year for five years at 5 percent

– The future value of $200 per year for five years at 5 percent assuming:

a. A regular or ordinary annuity

b. An annuity due

Chapter 4 Problem 4

Consider the following uneven cash flow stream:

Year

Cash Flow

0

$0

1

$250

2

$400

3

$500

4

$600

5

$600

a. What is the present (Year 0) value if the opportunity cost (discount) rate is 10 percent?

b. Add an outflow (or cost) of $1,000 at Year 0. What is the present value (or net present value) of the stream?

Chapter 4 Problem 5

Consider another uneven cash flow stream:

Year

Cash Flow

0

$2,000

1

$2,000

2

$0

3

$1,500

4

$2,500

5

$4,000

a. What is the present (Year 0) value of the cash flow stream if the opportunity cost rate is 10 percent?

b. What is the value of the cash flow stream at the end of Year 5 if the cash flows are invested in an account that pays 10 percent annually?

c. What cash flow today (Year 0), in lieu of the $2,000 cash flow, would be needed to accumulate $20,000 at the end of Year 5? (Assume that the cash flows for Years 1 through 5 remain the same.)

d. Time value analysis involves either discounting or compounding cash flows. Many healthcare financial management decisions—such as bond refunding, capital investment, and lease versus buy—involve discounting projected future cash flows. What factors must executives consider when choosing a discount rate to apply to forecasted cash flows?

Chapter 4 Problem 6

What is the present value of a perpetuity of $100 per year if the appropriate discount rate is 7 percent? Suppose that interest rates doubled in the economy and the appropriate discount rate is now 14 percent. What would happen to the present value of the perpetuity?

Chapter 4 Problem 7

An investment that you are considering promises to pay $2,000 semiannually for the next two years, beginning six months from now. You have determined that the appropriate opportunity cost (discount) rate is 8 percent, compounded quarterly. What is the present value of this investment?

Chapter 4 Problem 8

Consider the following investment cash flows:

Year

Cash Flow

0

-$1,000

1

$250

2

$400

3

$500

4

$600

5

$600

a. What is the return expected on this investment measured in dollar terms if the opportunity cost rate is 10 percent?

b. Provide an explanation, in economic terms, of your answer.

c. What is the return on this investment measured in percentage terms?

d. Should this investment be made? Explain your answer.

Chapter 4 Problem 9

Epitome Healthcare has just borrowed $1,000,000 on a five-year, annual payment term loan at a 15 percent rate. The first payment is due one year from now. Construct the amortization schedule for this loan.

Chapter 5 Problem 1

HMA, Universal, and the market have had the following returns over the past four years:

Year

Market

HMA

Universal

1

11%

10%

12%

2

7%

4%

-3%

3

17%

12%

21%

4

-3%

-2%

-5%

The risk-free rate is 7 percent. The market risk premium is 5 percent. The expected rate of return on both stocks is 12 percent. Which stock would you purchase?

Chapter 5 Problem 5

A few years ago, the Value Line Investment Survey reported the following market betas for the stocks of selected healthcare providers:

Company

Beta

Quorum Health Group

0.90

Beverly Enterprises

1.20

HEALTHSOUTH Corporation

1.45

United Healthcare

1.70

At the time these betas were developed, reasonable estimates for the risk-free rate, RF, and the required rate of return on the market, R(Rm), were 6.5 percent and 13.5 percent, respectively.

a. What are the required rates of return on the four stocks?

b. Why do their required rates of return differ?

c. Suppose that a person is planning to invest in only one stock rather than hold a well-diversified stock portfolio. Are the required rates of return calculated above applicable to the investment? Explain your answer.