17 - 1 Financial Statement Application: Analyzing Financial Performance Purpose of performance analysis Types of analysis Financial statement analysis Operating analysis MVA and EVA analysis Problems with performance analysis Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 2 Overview One of the most important characteristics of a business is its financial performance. Financial performance analysis assesses a business’ financial condition: Does it have the financial capacity to meet its mission. Results sometimes focus on financial strengths and weaknesses. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 3 Overview (Cont.) Several techniques are used: Financial statement analysis focuses on the information in a business’ financial statements with the goal of assessing financial condition. Operating analysis focuses on operating data with the goal of explaining financial performance. MVA and EVA analysis focuses on assessing managerial performance. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 4 Ratio Analysis Ratio analysis is a technique used in financial statement analysis (and in other analyses). It combines values from the financial statements to create single numbers that: Have easily interpretable economic significance. Facilitate comparisons. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 5 Interpreting Ratios A single ratio value has little meaning. For example, a total margin of 7.3%. Therefore, two techniques are used to help interpret “the numbers”: Trend (time series) analysis Comparative (cross-sectional) analysis Both techniques will be illustrated in the in the examples to follow. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 6 Ratio Analysis Categories Profitability: Is the business generating sufficient profits? Liquidity: Can the business meet its cash obligations? Debt management: Right mix of debt and equity? Asset management: Right amount of assets for its utilization level? Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 7 Profitability Ratios What do they measure? Total margin - net income/revenue divided by total revenue Operating margin - net income/revenue less non-operating sources of revenue divided total operating revenue Return on assets (ROA) - net income or revenue divided by total assets. Return on equity (ROE) - net income divided by total equity Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 8 Profitability Ratios (continued) Version of net income/revenues to use? (FP vs. NFP) Interpretation of ratios? ROA vs. ROE as a measure of org. profitability? Relationship between ROA and ROE: DuPont analysis Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 9 DuPont Analysis Allows for more specific determination of profitability ROE as a function of ROA and the equity multiplier Interpretation of DuPont results identification of highly leveraged organizations Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 10 Liquidity Ratios What do they measure? Current ratio (CR): current assets divided by current liabilities Quick ratio (Acid test): current assets less inventory and prepaids divided by current liabilities Days of cash on hand: cash plus securities - average expenses/day Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 11 Liquidity Ratios (continued) Need for analysis of cash flow statements to identify source(s) of liquidity/lack thereof. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 12 Debt Management Ratios What do they measure? Use of debt in FP/NFP organizations Is there such a thing as too much leverage? Leverage and the risk of default Capitalization ratios Coverage ratios Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 13 Debt Management Ratios (continued) Capitalization ratios Total debt to total assets (FP/NFP) Total debt to total equity (FP) Coverage ratios Times interest earned (TIE) ratio - net income/revenue divided by total interest expense Cash flow coverage (CFC) ratio - net income/revenue (cash) divided by debt service expenses (pre-tax) Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 14 Asset Management Ratios What do they measure? Fixed asset turnover ratio - total revenue divided by NET fixed assets Total asset turnover ratio - total revenue divided by total assets Current asset turnover ratio - total revenue divided by current assets Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 15 Asset Management Ratios (continued) Net days in accounts receivable (NDAR) - net A/R divided by average net daily patient service revenue Other analytical methods Common size analysis - rationale Trend analysis - rationale % change analysis - rationale MVA and EVA analysis Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 16 MVA/EVA Analysis Rationale for use Market value added (MVA) analysis What does it measure? Difference between market value and book value of shareholder equity stake How to estimate? Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 17 MVA/EVA Analysis (continued) Economic value added (EVA) analysis What does it measure? Difference between net income/revenue less interest expense (why?) and total organizational cost of capital How to estimate? Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 18 Operating Analysis Rationale for use - adjunct to financial statement analysis (root cause analysis) Examples of operational indicators Net price per discharge Payer/service discharge % Occupancy rate Average length of stay (ALOS) Cost per discharge Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 19 How about an example?? Refer to Gapenski (Ch.17) Income statement (p.510) Balance sheet (p. 511) Cash flow statement (p.512) Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 20 Statement of Cash Flows Analysis Operations provided $11.2 million in net cash flow in 1998. Riverside invested $4.3 million in new fixed assets. Riverside paid off $5.6 million in debt and invested $2.0 million in marketable securities. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 21 Profitability Ratios (1998) Net income Total margin = Total revenue $8,572 = = 0.073 = 7.3%. $117,476 Net income ROA = Total assets $8,572 = = 0.057 = 5.7%. $151,278 Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 22 Net income ROE = Total equity $8,572 = = 0.080 = 8.0%. $107,364 TM ROA ROE 1998 7.3% 5.7% 8.0% 1997 Ind. 2.2% 5.0% 1.6% 4.8% 2.4% 8.4% Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 23 Liquidity Ratios (1998) $31,280 CA CR = CL = $13,332 = 2.3 times. Cash + Marketable securities DCOH = Cash expenses / 365 $4,263 + $2,000 = = 22.5 days. $277.93 Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 24 1998 1997 Ind. CR 2.3x 1.7x 2.0x DCOH 22.5 18.9 30.6 Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 25 Debt Management Ratios (1998) Total debt Debt ratio = Total assets $43,814 = = 0.290 = 29.0%. $151,278 EBIT TIE ratio = Interest expense $10,114 = = 6.6 times. $1,542 Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 26 1998 1997 Ind. DR 29.0% 33.5% 43.3% TIE 6.6x 2.6x 4.0x Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 27 Asset Management Ratios (1998) Total revenue FA turnover = Net fixed assets $117,476 = = 0.98 times. $119,998 Total revenue TA turnover = Total assets $117,476 = = 0.78 times. $151,278 Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 28 Net patient accounts rec. ACP = Net patient service rev. / 365 $21,840 = = 73.4 days. $108,600 / 365 FATO TATO ACP 1998 0.98 0.78 73.4 1997 0.90 0.73 77.7 Ind. 2.2 0.97 64.0 Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 29 Total TA Equity margin x turnover x multiplier = ROE NI Rev x Rev TA x TA TE = ROE . 1997: 2.22% x 0.73 x 1.50 = 2.43%. 1998: 7.30% x 0.78 x 1.41 = 7.98%. Ind: 5.00% x 0.97 x 1.73 = 8.39%. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 30 Market Value Added (MVA) MVA = MV of equity - BV of equity. Assume on November 1, 1998 that Columbia/ HCA had an equity book value of $7.5 billion, that its stock price was $25, and that it had 643 million shares outstanding. MVA = ($25 x 643 million) - $7.5 billion = $16.1 - $7.5 = $8.6 billion. What does this MVA value mean? Does the MVA concept apply to NFP firms? Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 31 Economic Value Added (EVA) Funds available EVA = to investors Dollar cost of capital employed = AT op. income - Dollar capital costs = (EBIT x [1 - T]) - (Total assets x CCC). Here, CCC = corporate cost of capital. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 32 EVA Example ($000s) Here is Riverside’s 1998 EVA: AT operating income = ($8,572 + $1,542) x (1 - 0.0) = $10,114. Dollar capital costs = $151,278 x 0.10 = $15,128. EVA = $10,114 - $15,128 = -$5,014. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 33 Benchmarking The process of comparing a business’ ratios to selected standards is called benchmarking. Here are Riverside’s total margin benchmarks: 1998 National/GFB Ind. top quartile St. Anthony's Riverside Industry median Pennant Healthcare Ind. lower quartile Woodbridge Memorial 1997 9.8% 8.4 8.0 7.3 5.0 4.8 1.8 0.5 National/GFB 9.6% Ind. top quartile 8.0 St. Anthony’s 7.9 Pennant Healthcare 5.0 Industry median 4.7 Riverside 2.2 Ind. lower quartile 2.1 Woodbridge Memorial (1.3) Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 34 Net Price Per Discharge (1998) Net inpatient revenue NPPD = Total discharges $93,740,000 = = $5,128. 18,281 Industry average = $5,510. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 35 Occupancy Percentage (Rate) (1998) Inpatient days OR = Number of staffed beds x 365 95,061 = = 0.579 = 57.9%. 450 x 365 Industry average = 44.9%. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 36 Limitations of Financial Performance Analysis? Comparison with industry averages is difficult if the business operates many different divisions. “Average” performance not necessarily good performance. Seasonal factors can distort ratios. Inflation effects can distort financial statement data. Copyright © 1999 by the Foundation of the American College of Healthcare Executives 17 - 37 Limitations (Cont.) Different operating and accounting practices can distort comparisons. Sometimes, it is hard to tell if a ratio is “good” or “bad.” It is often difficult to tell whether company is, on balance, in a strong or weak position: Multiple discriminant analysis Financial flexibility index Copyright © 1999 by the Foundation of the American College of Healthcare Executives