5 Aug 2022

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5 Biggest Healthcare Finance Problems in the U.S.

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Academic level: College

Paper type: Math Problem

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Mini Case Chapter 4 

The first step is to calculate the present value of the annuity which is $40,000 annually for two and a half decade commencing today. 

Formula: PV = PMT / i [1 - 1 / (1 + i) ^n] (1 + i) 

PMT = $40,000.00, i = 8.00%, n = Number of Years = 25 

PV = 40,000.00 / 0.0800 [1.00 – 1.00 / (1.00 + 0.0800) ^ 25.00] (1.00 + 0.0800) 

PV = $461,150.00 

Therefore, there should be $461,150.00 in the account so that yearly reimbursement of $40,000.00 can be withdrawn on yearly basis. 

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Future Value of $100,000.00 at 8.00% interest for ten Years = 100,000.00 x (1.00 + 0.0800) ^10.00 = $215,893.00 

So, additional $245,257.00 (461,150.00 - 215,893.00) is required. 

Comprehending Healthcare Financial Management 

Formula to determine annuity of future value: FV = PMT / i [(1 + i ) ^ n - 1] 

245,257.00 = PMT / 0.08 [(1.00 + 0.0800) ^10.00] 

PMT = $16,930.00 

So, $16,930.00 is required to be deposited at conclusion of each year for 10 Years. 

Mini Case Chapter 5 

A. Calculate the expected rate of return on each alternative: 
   

BC 

               

State of Economy 

Probability 

T-Bills 

Alta Inds. 

Repo Men 

American Foam 

Market Port. 

Alta & Repo 
Recession 

0.100 

8% 

-22% 

28.0% 

10.0% 

-13% 

3% 

Below Average 

0.200 

8% 

-2% 

14.700% 

-10% 

1% 

6.400% 

Average 

0.400 

8% 

20% 

0% 

7% 

15% 

10% 

Above Average 

0.200 

8% 

35% 

-10% 

45% 

29% 

12.500% 

Boom 

0.100 

8% 

50% 

-20% 

30% 

43% 

15.000% 

T-Bills ERR =Sum product((0.100+0.200+0.400+0.200+0.100), (8.00+8.00+8.00+8.00+8.00))=8% 

Alta ERR = Sum product (0.100+0.200+0.400+0.200+0.100), (-22.00%+-2.00%+20.00%+35.00%+50.00%))=17.400% 

Repo ERR =Sum product (0.100+0.200+0.400+0.200+0.100), (28.00%+14.700%+0%+-10%+-20%))=1.7% 

American ERR =Sum product (0.100+0.200+0.400+0.200+0.100), (10.00%+-10.00%+7%+45%+30%)) 

=13.800% 

Market Port ERR =sum product (0.100+0.200+0.400+0.200+0.100), (-13%+1.000%+15.000%+29.00%+43.0%)) 

=15.000% 

Alta ERR=sum product (0.100+0.200+0.400+0.200+0.100), (3.000%+6.400%+10.000%+12.500%+15.00%)) 

=9.600% 

Healthcare Financial Management 

B. Calculate the standard deviation of returns on each alternative. See below 

C. Calculate the coefficient of variation on each alternative. See Below 

D Calculate the beta on each alternative. See below 

State of the 

Probability of 

 

T-Bills 

 

Economy 

Occurrence 

Dev from E(R) 

Deviation 2 

Dev 2 * Prob. 

Very poor 

0.100 

0% 

Poor 

0.200 

0% 

Average 

0.400 

0% 

Good 

0.200 

0% 

Very good 

0.100 

0% 

 

 

Sum = Variance = 

         
         
     

Standard deviation = Square root of variance = 

0% 

OR the SQRT and SUMPRODUCT functions can be used:       

0% 

State of the 

Probability of 

 

Alta Inds. 

 

Economy 

Occurrence 

Dev from E(R) 

Deviation 2 

Dev 2 * Prob. 

Very poor 

0.100 

-39.00% 

1552.00 

155.00 

Poor 

0.200 

-19.00% 

376.00 

75.00 

Average 

0.400 

3.00% 

7.00 

3.00 

Good 

0.200 

18.00% 

310.00 

62.00 

Very good 

0.100 

33.00% 

1063.00 

106.00 

 

 

Sum = Variance = 

401.00 

         
         
     

Standard deviation = Square root of variance = 

20.0400% 

OR the SQRT and SUMPRODUCT functions can be used:       

20.040 

Healthcare Financial Management 

State of the 

Probability of 

 

Repo Men 

 

Economy 

Occurrence 

Dev from E(R) 

Deviation 2 

Dev 2 * Prob. 

Very poor 

0.100 

26.00% 

690 

69.00 

Poor 

0.200 

13.00% 

168 

34.00 

Average 

0.400 

-2.00% 

1.00 

Good 

0.200 

-12.00% 

138 

28.00 

Very good 

0.100 

-22.00% 

473 

47.00 

 

 

Sum = Variance = 

179.00 

         
         
     

Standard deviation = Square root of variance = 

13.3600% 

OR the SQRT and SUMPRODUCT functions can be used:       

13.3600 

State of the 

Probability of 

 

Am Foam 

 

Economy 

Occurrence 

Dev from E(R) 

Deviation 2 

Dev 2 * Prob. 

Very poor 

0.100 

-4.00% 

14 

1.00 

Poor 

0.200 

-24.00% 

566 

113.00 

Average 

0.400 

-7.00% 

46 

18.00 

Good 

0.200 

31.00% 

973 

195.00 

Very good 

0.100 

16.00% 

262 

26.00 

 

 

Sum = Variance = 

354.00 

         
         
     

Standard deviation = Square root of variance = 

18.8200% 

OR the SQRT and SUMPRODUCT functions can be used:       

18.8200 

Healthcare Financial Management 

State of the 

Probability of 

 

Market Port 

 

Economy 

Occurrence 

Dev from E(R) 

Deviation 2 

Dev 2 * Prob. 

Very poor 

0.100 

-2800% 

784.00 

78.00 

Poor 

0.200 

-14.00% 

196.00 

39.00 

Average 

0.400 

0% 

0.00 

0.00 

Good 

0.200 

14.00% 

196.00 

39.00 

Very good 

0.100 

28.00% 

784.00 

78.00 

 

 

Sum = Variance = 

235.00 

         
         
     

Standard deviation = Square root of variance = 

15.3400% 

OR the SQRT and SUMPRODUCT functions can be used:       

15.3400 

State of the 

Probability of 

 

BC 

 

Economy 

Occurrence 

Dev from E(R) 

Deviation 2 

Dev 2 * Prob. 

Very poor 

0.100 

-7.00% 

43.00 

4.00 

Poor 

0.200 

-3.00% 

10.00 

2.00 

Average 

0.400 

0.00% 

0.00 

0.00 

Good 

0.200 

3.00% 

9.00 

2.00 

Very good 

0.100 

5.00% 

29.00 

3.00 

 

 

Sum = Variance = 

11.00 

         
         
     

Standard deviation = Square root of variance = 

3.3400% 

OR the SQRT and SUMPRODUCT functions can be used:       

3.3400 

Healthcare Financial Management 

e. Do the SD, CV, and beta produce the same risk ranking? Why or why not? 

 

Std. Dev. In % 

E(R) in % 

CV 

T-Bills 

0.00 

800 

0.00 

Alta Inds. 

20.00 

17.400 

1.20 

Repo Men 

13.400 

1.700 

7.70 

Am Foam 

18.800 

13.800 

1.40 

Market Port. 

15.300 

15.00 

1.000 

Alta & Repo 

3.300 

9.600 

0.300 

 

Market 

T-Bills 

Alta Inds. 

Repo Men 

Am Foam 

Alta & Repo 
 

-13.0% 

8.00% 

-22.0% 

28.0% 

10.0% 

3.0% 

 

1.0% 

8.00% 

-2.0% 

14.7% 

-10.0% 

6.4% 

 

15.0% 

8.00% 

20.0% 

0.0% 

7.0% 

10.0% 

 

29.0% 

8.00% 

35.0% 

-10.0% 

45.0% 

12.5% 

 

43.0% 

8.00% 

50.0% 

-20.0% 

30.0% 

15.0% 

f. Suppose you create a two-stock portfolio by investing $50,000 in Alta Industries and $50,000 

In Repo Men. Calculate the expected return, standard deviation, the coefficient of variation, and 

The beta for this portfolio. How does the risk of this two-stock portfolio compare with the risk of the individual stocks if they were held in isolation? 

Alta Inds. Has a higher standard deviation when making an individual comparison of risk Repo Men and Alta Inds. But the expected return rate should quiet be high. And portfolio is equally weighted, but the Repo Men have returns which are low with a higher risk due to the large deviation. When these portfolios are together joined with low rate returns and risk lessons which are calculated Repo Men individually. 

Mini Case Chapter 6 

A. What is the value of a ten-year, $1,000 par value bond with a 10 percent annual coupon if its required rate of return is 10%? 

Annual Coupon (PMT) @ 10.00% of 100 

Face Value $1,000.00 

Current price of bond - ($1,000)The required rate of return 10.00% 

Maturity of bonds 10.00 

PV (10%, 10, 100, 1000.00) 

B. What would be the value of the bond described in question a? If, just after it had been issued, the expected inflation rate rose by three percentage points, causing investors to require a 13 percent return? Would we now have a discount or a premium bond? 

Maturity of bonds 10.00 

Annual Coupon(PMT) @ 10.00% of 100.00 

Face Value $1,000.00 

Healthcare Financial Management 

Required rate of return 13.00% 

Current price of bond -($837.2100) 

PV(13%,10,100,1000.00) 

C. What would be the value of the bond described in question a? If, just after it had been issued, the expected inflation rate fell by three percentage points, causing investors to require a 7 percent return? Would we now have a discount or a premium bond? 

Annual Coupon(PMT) @ 10.00% of 100 

Face Value $1,000.00 

Required rate of return 7.00% 

Maturity of bonds 10.00 

Current price of bond -($1,210.7100) 

PV(7%,10,100,1000.00) 

D. What would happen to the value of the ten-year bond over time if the required rate of return remained at 13 percent, remained at 7 percent, or remained at 10 percent? Graph your results using the table below: 

Healthcare Financial Management 

$1,000.00 

A B C D 

  Value of bond  In given year   
7.00%  10.00%  13.00% 
$1,211.00  1,000.00  837.00 
$1,195.00  1,000.00  846.00 
$1,179.00  1,000.00  856.00 
$1,162.00  1,000.00  867.00 
$1,143.00  1,000.00  880.00 
$1,123.00  1,000.00  894.00 
$1,102.00  1,000.00  911.00 
$1,079.00  1,000.00  929.00 
$1,054.00  1,000.00  950.00 
$1,028.00  1,000.00  973.00 
10  $1,000.00  1,000.00  1,000.00 

$1,211.00 = Equations: =PV ($B$100, 10-0,-100,-1000) and so on. 

e. What is the yield to maturity on a ten-year, 9 percent annual coupon, $1,000 par value bond that sells for $887.00? 

Yield to maturity 

Market price $887.00 

Face value $1000.00 

Healthcare Financial Management 

YTM 10.9100% 

Periods 10.00 

Coupon rate-annually 9.00% 

Rate (10.91,-887, and 1000) 

f. What are the total return, the current yield, and the capital gains yield for the bond in question e.? (Assume the bond is held to maturit, and the company does not default on the bond.) 

Total Return (YTM) = capital gain yield + Current yield, 

Capital gain yield = 10.91-10.15 = 0.7600% 

Current yield = 90/887 = 10.1500% 

References 

Petratos, P. (2018). Why the economic calculation debate matters: the case for decentralisation in healthcare. In  Marketisation, Ethics, and Healthcare  (pp. 13-31). Routledge. 

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