Preview

American Hospital Corporation

Powerful Essays
Open Document
Open Document
3331 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
American Hospital Corporation
Introduction
Hospital Corporation of America (HCA) is a proprietary hospital management company. The company has been following an acquisitive strategy by taking over hospital companies and not-for-profit hospitals. The firm is also considering expanding into new health service areas like home health care and outpatient surgery.
The company is at a crossroads with regard to its financial goals; HCA currently faces the likelihood of adverse changes to the Medicare/Medicaid policy which could strain the company’s profitability along with a substantial increase in financial leverage risks coupled with an increase in required expenditure to reap the effect of prospective operating synergies like economies of scale and scope from the acquisitions.
Discussion
Hospital Corporation of America’s performance
This section uses DuPont Analysis (Appendix 4) to breakdown and to explain the key issues impacting on HCA’s return on equity.
Profitability
HCA’s net profit margin has noticeably declined in stark contrast with that of its competitors. This is because HCA has focused on an acquisitory strategy especially by taking over not-for-profit hospitals in the short term to increase its market share in the long term instead of maximizing profits in the short term and losing out in the long run. Other competitors have focused on maximizing their bottom-lines and have not focused on acquiring not-for profit hospitals. HCA on the other hand has softened its image with lower profit margins to convince the altruistic owners of not-for-profit hospitals to sell to HCA.

Asset Efficiency
HCA’s asset turnover has declined due to its current product-market strategy as of 1981; its assets have increased at a rate faster than its revenue. HCA has acquired several old, out-dated assets which have not been able to generate revenue efficiently. Also unsophisticated and inefficient management systems resulting in the number of doubtful accounts ballooning due to the not-for profit

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Why is the senior management of HCA pursuing an LBO of the firm? Prior to the LBO offer, HCA was suffering from poor market performance. The firm’s bad-debt expense was growing at a rate faster than anticipated. In 2005, uninsured emergency visits and uninsured admissions increased by 9.9% and 8.9% respectively, and it is estimated nationally that 85% of uninsured do not pay their medical bills. Moreover, the uninsured population was growing at a faster pace in the states HCA operated in than nationally. The bad-debt expense trend was a major factor that forced HCA to persistently underperform market expectations; HCA reduced the EBITDA projections down by 7.9% in April of 2006 relative to January, and then again by 3.2% in May of 2006. The firm has already missed market expectation in 8 of the past 13 quarters, and was en-route to disappoint again. The pressure to meet analyst expectations was counter-productive to the company revitalization effort. Given this, senior management decided it would be a good idea to take the company away from the public spot light via an LBO so that the company can focus on solving its operational issues without the scrutiny from the market.…

    • 446 Words
    • 2 Pages
    Satisfactory Essays
  • Best Essays

    Gapenski, L.C. (2012). Healthcare finance: an introduction to accounting and financial management (5th ed.). Chicago, IL: Health Administration Press.…

    • 2042 Words
    • 9 Pages
    Best Essays
  • Better Essays

    Haefren Baum

    • 1101 Words
    • 5 Pages

    Operations Analysis: When it comes to the operations of Haefren Baum, the company has not been successful. Not only has the indirect statement of cash flows indicated a negative operating cash flow for 1993-1994 and 1994-1995, but also it is evident through the decline in net sales. The decline in net sales was not handled correctly between the 1994 and 1995 period when net sales were equal to $13,397 and $13,231 respectively, yet there was an increase in Cost of Goods Sold from $8,189 to $8,237. Why is the company increasing Cost of Goods Sold when sales of the company are clearly on the decline? Although the company does not appear to be asset intensive, mismanagement within the company is reflected in the total asset turnover ratio. Between the three-year time period, total asset turnover decreased from 2.096 to 1.496. This decline in asset…

    • 1101 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    The cost of health care in the United States remains an important concern for American consumers. The challenges for controlling costs and providing a better health care system are various and complex. These challenges, in many cases, are in the realm of the Department of Health and Human Services (HHS) or other federal or state agencies (Department of Justice, 2012). Hospitals continue to team up with other facilities, insurers and for-profit companies, although the cause of the bump in M&A activity varies. While some hospitals cite financial problems, others join forces because of collaboration mandated under the Affordable Care Act and changing reimbursement models, according to Minnesota Public Radio (Caramenico, 2012).…

    • 1722 Words
    • 7 Pages
    Powerful Essays
  • Powerful Essays

    HSA 505 Assignment 1

    • 1447 Words
    • 5 Pages

    Introduction Over the past four decades, spending on healthcare in the United States grew more rapidly than the economy (Baker, Birnbaum, Geppert, Mishol, Moyneur, 2008, p. 541). Healthcare has nearly tripled its share of national income during this time (p. 543). All aspects of the nation's health system have been affected by this ongoing spending growth. Strategically marketing the development of products and services during this intense competition and uncertainty is vital for any healthcare organization to stay profitable and to ensure continued growth.…

    • 1447 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    Financial Data Analysis

    • 838 Words
    • 4 Pages

    Unfortunately, in 2009, due to declines in stock and real estate markets, Patton- Fuller Community Hospital began to see significant changes in the overall financial decision making of the organization. Financial statements and balance sheets from 2008 and 2009 were drawn to examine the comparable changes that resulted in reassessing company investments. Favorable decisions made by the Board and the CFO, which despite the uneven economy provided this organization the confident to be successful in the future years to come.…

    • 838 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Health Care Organization

    • 438 Words
    • 2 Pages

    | |(IT) and management systems for the | |entertainment, information and | | |betterment of healthcare. | |other services such as electronic|…

    • 438 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    United Health Care

    • 800 Words
    • 4 Pages

    UnitedHealthcare is a division of the UnitedHealth Group. The organization is the largest health carrier in America; they are top contenders in leading the industry in the insurance business, customer service, community involvement, and philanthropy contribution. The company originated in 1977and continues to grow, improve, and evolve the health industry standards among it competitors. The ability to stay ahead of the curve in the technological advances has become a leveraging tool attracting their services to the medical professionals..…

    • 800 Words
    • 4 Pages
    Good Essays
  • Better Essays

    The Hospital Alliance Association (HospAA), (2010, April 5) Joint Commission on Accreditation of Healthcare Organization. Retrieved from http://hospaa.org/?p=347…

    • 2102 Words
    • 9 Pages
    Better Essays
  • Better Essays

    Palkon, D. (2008). Book review. Harvard business review on managing health care. Hospital Topic, 86(2), 38-39. United Health Care (2012)…

    • 1247 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Case Name: Community Health Systems I. Mission The Health Care System of Opportunity: Community Health’s System is committed to “building a network of thriving hospitals vital to the residents and economic development of the communities served.” They go on to say that they have assisted community hospitals with problems and challenges they typically face such as a lack of capital, difficulty hiring physicians, and retaining management with a high amount of experience and expertise. In addition, they have a slogan that further enforces their mission: “Promises made. Promises Kept.”…

    • 784 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Shouldice Hospital Limited

    • 3555 Words
    • 15 Pages

    1. Executive Summary Shouldice hospital is a specialized hospital in the repair of external abdominal hernias in Canada. The hospital was established by Dr. Shouldice the founder of a new and superior surgical technique, now known as the Shouldice method, for repairing hernias which yields better medical results as well as a significantly shorter recovery time.…

    • 3555 Words
    • 15 Pages
    Powerful Essays
  • Powerful Essays

    TABLE OF CONTENTS I.Introduction1 II.Key Issues2 III.Recommendations6 IV.References7 I.Introduction Hospital Corporation of America (HCA) is propriety, hospital management company founded in Nashville, Tennessee in 1968 with only one, 150-bed hospital and then grew to become the nation's largest hospital management company. As of 1981, HCA owned or managed 349 hospitals in the United States and overseas.…

    • 1692 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    HMA Ethics

    • 1141 Words
    • 5 Pages

    Vash Lee Professor ----- ------- 11 February 2014 Health Management Associates Health Management Associates is a Naples-based for-profit hospital chain that owns 71 hospitals, 23 of which are in Florida (newspress). There have been many whistleblowers within the company that have brought allegations against HMA for focusing on the profits of the company over the proper medical attention of patients. In August 2013, the major shareholder of HMA, Glenview Capital Management LLC, with about 9.6% of stocks lead to the complete removal of the board of directors. There is currently a merger occurring in which HMA will go under another for-profit hospital chain company called Community Health Systems which will form the second largest for-profit hospital chain by revenue (nytimes). Glenview also pushed for this (fierce). The Department of Justice is backing many of those who have reported claims through qui tam cases. The CEO, Gary D. Newsome, left the company a few months ago to lead a mission trip, but is currently part of the cases as well. Several of the lawsuits point to Newsome as the inventor of the strategy used to raise admissions to emergency rooms (nytimes). The idea here is that the company gives incentives to the doctors to admit more patients to the emergency room to meet a quota. There are reports of the company using a software called Pro Med to keep scorecards for the doctors. The goal is to admit at least half of the patients over 65 that visit, the scorecards have the doctors highlighted in different colors: green for on target, yellow for those who were close, and red for doctors that were failing. Jacqueline Myers, a worker for the company that hires the doctors used by HMA, reported that she received the order to fire the doctors and red, but said no followed by being fired (nytimes). A CFO in a Georgia branch of HMA did a separate investigation of the admission rates and found them to be higher compared to other hospitals.…

    • 1141 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Analysis Of Aon Hewitt

    • 1336 Words
    • 6 Pages

    Each strength seems strategic; the acquisition of Hewitt Associates by Aon merged two large global organizations. AH has financial backing to enter new markets. Since the merger, AH began offering retiree health care exchange services, purchased OmniPoint Consulting, which is a leading SaaS implementation, company, and currently featuring scores of new technology services to better support clients. Having the financial support to introduce new platforms and services has reaffirmed Hewitt’s long-standing reputation as a pioneering company. Hewitt Associates rose to prominence when it managed the U.S. government’s “pay-as-you-go” income taxes in 1943, now in 2014 AH is at the forefront of the retiree healthcare exchange movement which is an overlooked by-product of health care reform. AH’s large arsenal of support services would be useless without a large client base. AH’s has the ability to service clients anywhere in the world. Their clients represent almost every industry, which essentially creates contingency for any economic scenario because, typically, financial crisis do not normally affect all industries simultaneously. Although AH is not concerned about a one-dimensional client portfolio, there are weaknesses that must be…

    • 1336 Words
    • 6 Pages
    Good Essays