Categories
Architecture and Design homework help

  LEARNReadings From Healthcare Finance: An Introduction to Accounting and Fin

 
LEARNReadings
From Healthcare Finance: An Introduction to Accounting and Financial Management:

Chapter 7, “Service Line Costing and Pricing.”

Chapter 7 PowerPoint [PPTX].

WEEK 5 DISCUSSION
Power of Providers to Set Prices
Click the linked activity title to access this weekly discussion. If you need help with completing discussions, please watch this video for more information.
STRATEGIC FINANCIAL ANALYSIS
Strategic Financial Analysis
Instructions
Read the following scenario, then publish a 3–4 page business memorandum to Linda Hoff, Stanford’s CFO. In your memo, codify your findings and interpretations from the horizontal and vertical analyses and the level of alignment in the company’s fiscal management and its strategic direction. Include an Excel spreadsheet as an attachment to the memo. In this memo you will:

Review the year-over-year variances contained in the audited Stanford balance sheets and income statements for fiscal years 2015–18 in the Week 5 Assignment Spreadsheet [XLSX]. You’ll be expected to pay particular attention to the negative variances (color coded in red) that you believe to be potentially the most impactful to Stanford.
Speculate as to the reasons for the negative variances.
Examine the common size balance sheets and income statements looking for abnormally low or high ratios based on what you know about the line item and what you observe in the data for the other fiscal years.
Look for patterns in the line items over the three-year period and identify any unusual findings that may need to be examined further.
Assess the alignment of the organization’s fiscal management to the strategic direction of the firm. Fiscal management is based on your horizontal and vertical analyses. The strategic direction is based on the vision, mission, and strategic priorities of Stanford.
Purpose
The purpose of this assignment is to familiarize you with financial statements, the need to align the financials and the strategic direction of the firm, and the process of performing horizontal and vertical analyses of a company’s balance sheets and income statements.
Scenario
You’re a health care administration fellow at the prestigious Stanford Healthcare. You have been rotating through the various departments over the past nine months and now you have the honor of working under the mentorship of Chief Financial Officer Linda Hoff.
Stanford Medicine includes Stanford Healthcare, Stanford Children’s Hospital, and Lucile Packard Children’s Hospital Stanford. This organization uses an integrated approach to strategic planning, which incorporates jointly agreed upon strategic priorities from its various entities. It also ensures a high degree of congruence in strategic focus by each entity. Before outlining the strategic priorities for Stanford Medicine, it is important to note that a firm’s directional strategy comprises three discrete yet interwoven components: vision, mission, and goals (or, in this case, priorities). Armed with this knowledge, you have familiarized yourself with the vision, mission, and priorities of Stanford Medicine. Below is what you found. When examining a company’s financials, it is prudent to keep the directional strategy of the company in mind. After all, in order to advance many strategic priorities, which include fulfilling the mission and positioning the organization to achieve its vision for the future, proper management of the firm’s scarce resources is vital. Failure to properly manage the financial performance of the organization can compromise the company’s ability to maintain a competitive advantage in the marketplace.
Our Vision
Precision Health: Predict. Prevent. Cure. Precisely.
We will heal humanity through science and compassion by leading the biomedical revolution in precision health.
Our Mission
Improving Human Health Through Discovery and Care.
Through innovative discovery and the translation of new knowledge, Stanford Medicine improves human health locally and globally. We serve our community by providing outstanding and compassionate care. We inspire and prepare the future leaders of science and medicine.
Strategic Priorities
A collaborative endeavor involving the entire community, the Stanford Medicine integrated strategic planning process yielded a framework that is human centered and discovery led, focused on three overarching priorities for our enterprise.
By enhancing our strengths and achieving our goals in these priority areas, we will amplify our preeminence and remain uniquely positioned to lead the biomedical revolution in precision health, ensuring our continued ability to guide health care through significant global changes.
Value Focused

Provide a highly personalized patient experience.
Ensure a seamless Stanford Medicine experience.
Digitally Driven
Amplify the impact of Stanford innovation globally.
Deliver human-centered, high-tech, high-touch care and revolutionize biomedical discovery.
Lead in population health and data science.
Uniquely Stanford
Accelerate discovery in and knowledge of human biology.
Discovered here, used everywhere: advance fundamental human knowledge, translational medicine, and global health.
Ensure preeminence across all of our mission areas.
Variance Analyses
Normally, managers are expected to examine positive and negative variances, and then speculate as to possible explanations for the observed variances. Following this initial assessment, managers would be expected to dig deeper into those variances of greatest concern to the organization to uncover the actual causes for the variances, and then implement necessary corrective actions. Digging into all variances would be costly and, quite frankly, a misuse of time and energy. The CFO has asked you to conduct a variance analysis of the company’s consolidated balance sheets and income statements for fiscal years 2015, 2016, 2017, and 2018, which you began. You have determined the variances for each account (line item) captured in the financials. Now that this first step has been accomplished, the CFO would like you to pay particular attention to the negative variances contained in the spreadsheet and focus on those variances you believe to be potentially the most impactful to Stanford.
Once you’ve completed your variance analysis over time, which is referred to as a horizontal analysis, you are ready to create a common size balance sheet and income statement of each of the four fiscal years (2015–18). You prepared the common sized financials, which are captured in your spreadsheet. Now it is time to perform vertical and horizontal analyses of these common size financials. The common size balance sheet allows you to see each asset relative to total assets as well as each liability and net asset (in the case of nonprofit organizations) relative to total liabilities and net assets. In a common size income statement, each line item is expressed as a percentage of total revenue or sales. Common sizing balance sheets and income statements allows firms to compare against one another even though they may be of different sizes. It also allows a firm to benchmark its financial performance against comparative groups. In this case, there isn’t any comparative data to benchmark against; however, you can examine the ratios in each fiscal year and look to see if anything looks abnormally low or high based on what you know about the line item and what you observe in the data for the other fiscal years (vertical analysis). You can also look for patterns in the line items over the four fiscal years and point out any unusual findings that may need to be examined further (horizontal analysis). In finance, sometimes the organization establishes interim goals and targets for certain line items in the financials. The firm can compare its actual performance against the established goals and targets.
Financial Management and Strategic Direction
Once you’ve completed your horizontal and vertical analyses of the financial statements, you should be able to get a sense of how well management has managed the financial resources of the company in support of its strategic direction. In business, the strategic direction should be evident in its vision and mission statements and strategic priorities. The strategic priorities should support the company’s mission, and the mission should help advance the firm’s vision for the future. Failure to effectively manage the company’s financial resources can seriously compromise the firm’s ability to fulfill its mission and subsequently the vision.
Business Memorandum to CFO
Using the analysis that you performed on Stanford Healthcare and trends that you identified, write a business memorandum to the CFO. In your memo, codify your findings and interpretations, and assess the alignment of the organization’s fiscal management to the firm’s strategic direction. Attach to the memo your analysis in an Excel spreadsheet. Your analysis and trends identified should take into account any feedback that you received from your professor and/or peers.
Helpful hints: Negative variance is not always a bad thing. For example, you might see a slight increase in the operating costs; however, if you achieved a positive variance in the total operating revenue that outpaced the increase in operating costs, that may be perceived as a positive outcome. Remember, you need to spend money to make money. We just want to make certain that operating expenses don’t outpace the growth in operating revenues. Also, keep in mind that some variances are useful in explaining other variances even if these variances are associated with different financial statements. For example, you may see an increase in operating costs, which is a negative variance, but an increase in current assets, which is a positive variance. Furthermore, you should look for patterns over time. This can reveal both positive and negative trends that may provide insight into the variances you discovered. For example, you may have noticed that a certain expense has continued growth over the past 3 years (negative variance); however, the rate of growth year-over-year has been declining. It could be that Stanford has implemented some cost-cutting measures that are showing signs of working.
This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.

Categories
Management homework help

Please respond to the following: Evaluate how the Department of Defense Mentor

Please respond to the following:
Evaluate how the Department of Defense Mentor-Protégé program is useful for a small-business owner contracting with the federal government for the first time. Select a small business in your community and describe how this program would help.
If you owned the business you selected, describe what other resources provided by the Small Business Administration (SBA) would be useful for your purposes.

Categories
Applied Sciences homework help

  Top of Form 1. Describe important features of job order production. 2. Explain

 
Top of Form
1. Describe important features of job order production.
2. Explain job cost sheets and how they are used in job order cost accounting.

Categories
Precalculus homework help

  Hi Everyone For any given vertical (or horizontal) stretch or shrink, is  ther

 
Hi Everyone
For any given vertical (or horizontal) stretch or shrink, is  there a corresponding horizontal (or vertical) stretch or shrink which  gives rise to the identical graph transformations? Explain your  reasoning.  There will always be a corresponding horizontal or  vertical stretch or shrink because you will either add or subtract  horizontal or vertical which will move the curve right or left depending  on what function your using. 
Describe a process (step-by-step) in your daily life in which  the order of events is important. What would happen if you switched the  order? I am used to a routine. Reveille (wake-up call) is  usually at 0600. To prepare for the day I rise early at 0430. I get PT  (physical training or a workout), showered and about 3 cups of coffee in  before 0600. Hence my day starts. Coffee is the most important part of  that routine. No coffee equates to a borderline zombie. I am not the  friendliest leader or willing to hear any problems until I have had  coffee. My day is out of whack without PT and coffee. I seem to get  everything under control about 9 or 10ish with them in the mornings.
Describe a process (step-by-step) in your field of study in  which the order of events is important. What would happen if you  switched the order?    Working in the engineering filed there  are steps to follow when trouble shooting a piece of equipment from  cradle to grave. If for instance the engine will not start, you would  not simply add fuel as your first step.  You would check your  permissive’ s first. (Logics that are put into place to prevent the  equipment from starting). Once you have checked these and nothing has  been flagged you would move on to the next step of troubleshooting.  Going out of order could cause equipment failure and harm to personnel. 

Categories
Computer Science homework help

instructions attached  below  #include #include using names

instructions attached  below 
#include
#include
using namespace std;
const int ROWS = 8;
const int COLS = 9;
//P(sense obstacle | obstacle) = 0.8
float probSenseObstacle = 0.8;
//P(senses no obstacle | obstacle) = 1 – 0.8 = 0.2
float probFalseNoObstacle = 0.2;
//P(sense obstacle | no obstacle) = 0.15
float probFalseObstacle = 0.15;
//P(senses no obstacle | no obstacle) = 1 – 0.15 = 0.85
float probSenseNoObstacle = 0.85;
//Puzzle including a border around the edge
int maze[ROWS][COLS] =
{ {1,1,1,1,1,1,1,1,1},
{1,0,0,0,0,0,0,0,1},
{1,0,1,0,0,1,0,0,1},
{1,0,0,0,0,0,0,0,1},
{1,0,1,0,0,1,0,0,1},
{1,0,0,0,0,0,0,0,1},
{1,0,0,0,0,0,0,0,1},
{1,1,1,1,1,1,1,1,1},
};
//Matrix of probabilities
float probs[ROWS][COLS];
//Temporary matrix
float motionPuzzle[ROWS][COLS];
float sensingCalculation(int evidence[4], int row, int col)
{
float result = 1.0;
//If obstacle sensed to the west
if (evidence[0] == 1)
{
//If obstacle to the west in maze
if (maze[row][col – 1] == 1)
result *= probSenseObstacle;
//If no obstacle to the west in maze
else
result *= probFalseObstacle;
}
//If no obstacle sensed to the west
else
{
//If obstacle to the west in maze
if (maze[row][col – 1] == 1)
{
result *= probFalseNoObstacle;
}
//If no obstacle to the west in maze
else
{
result *= probSenseNoObstacle;
}
}
//If obstacle sensed to the north
if (evidence[1] == 1)
{
//If obstacle to the north in maze
if (maze[row – 1][col] == 1)
result *= probSenseObstacle;
//If no obstacle to the north in maze
else
result *= probFalseObstacle;
}
//If no obstacle sensed to the north
else
{
//If obstacle to the north in maze
if (maze[row – 1][col] == 1)
{
result *= probFalseNoObstacle;
}
//If no obstacle to the north in maze
else
{
result *= probSenseNoObstacle;
}
}
//If obstacle sensed to the east
if (evidence[2] == 1)
{
//If obstacle to the east in maze
if (maze[row][col + 1] == 1)
result *= probSenseObstacle;
//If no obstacle to the east in maze
else
result *= probFalseObstacle;
}
//If no obstacle sensed to the east
else
{
//If obstacle to the east in maze
if (maze[row][col + 1] == 1)
{
result *= probFalseNoObstacle;
}
//If no obstacle to the east in maze
else
{
result *= probSenseNoObstacle;
}
}
//If obstacle sensed to the south
if (evidence[3] == 1)
{
//If obstacle to the south in maze
if (maze[row + 1][col] == 1)
result *= probSenseObstacle;
//If no obstacle to the south in maze
else
result *= probFalseObstacle;
}
//If no obstacle sensed to the south
else
{
//If obstacle to the south in maze
if (maze[row + 1][col] == 1)
{
result *= probFalseNoObstacle;
}
//If no obstacle to the south in maze
else
{
result *= probSenseNoObstacle;
}
}
return result;
}
//Use evidence conditional probability P(Zt|St)
void sensing(int evidence[4])
{
float denominator = 0;
//Calculates denominator
for (int r = 0; r < ROWS; r++)
{
for (int c = 0; c < COLS; c++)
{
if (maze[r][c] != 1)
{
denominator += sensingCalculation(evidence, r, c) * probs[r][c];
}
}
}
for (int row = 0; row < ROWS; row++)
{
for (int col = 0; col < COLS; col++)
{
//If the current space isn't an obstacle
if (maze[row][col] != 1)
{
float currentProbabilty = probs[row][col];
float numerator = sensingCalculation(evidence, row, col) * currentProbabilty;
float result = numerator / denominator;
probs[row][col] = result;
}
}
}
}
//Use transition probability P(St|St-1)
void motion(int direction)
{
for (int row = 0; row < ROWS; row++)
{
for (int col = 0; col < COLS; col++)
{
if (maze[row][col] != 1)
{
float total = 0.0;
//north
if (direction == 1)
{
//checking west
if (maze[row][col – 1] != 1)
{
total += probs[row][col – 1] * 0.1;
}
else
{
total += probs[row][col] * 0.1;
}
//checking north
if (maze[row – 1][col] != 1)
{
total += probs[row – 1][col] * 0;
}
else
{
total += probs[row][col] * 0.8;
}
//checking east
if (maze[row][col + 1] != 1)
{
total += probs[row][col + 1] * 0.1;
}
else
{
total += probs[row][col] * 0.1;
}
//checking south
if (maze[row + 1][col] != 1)
{
total += probs[row + 1][col] * 0.8;
}
else
{
total += probs[row][col] * 0;
}
}
//west
else if (direction == 0)
{
//checking west
if (maze[row][col – 1] != 1)
{
total += probs[row][col – 1] * 0;
}
else
{
total += probs[row][col] * 0.8;
}
//checking north
if (maze[row – 1][col] != 1)
{
total += probs[row – 1][col] * 0.1;
}
else
{
total += probs[row][col] * 0.1;
}
//checking east
if (maze[row][col + 1] != 1)
{
total += probs[row][col + 1] * 0.8;
}
else
{
total += probs[row][col] * 0;
}
//checking south
if (maze[row + 1][col] != 1)
{
total += probs[row + 1][col] * 0.1;
}
else
{
total += probs[row][col] * 0.1;
}
}
motionPuzzle[row][col] = total;
}
else
{
motionPuzzle[row][col] = -1;
}
}
}
for (int r = 0; r < ROWS; r++)
{
for (int c = 0; c < COLS; c++)
{
probs[r][c] = motionPuzzle[r][c];
}
}
}
void printPuzzle(float puzzle[ROWS][COLS])
{
for (int row = 0; row < ROWS; row++)
{
for (int col = 0; col < COLS; col++)
{
if (puzzle[row][col] == -1)
cout << "##### ";
else
cout << setprecision(2) << fixed << puzzle[row][col] * 100.0 << "  ";
}
cout << endl;
}
}
int main()
{
//Initial probability matrix
for (int row = 0; row < ROWS; row++)
{
for (int col = 0; col < COLS; col++)
{
if (maze[row][col] == 0)
{
probs[row][col] = (1.0 / 38);
}
else
{
probs[row][col] = -1;
}
}
}
printPuzzle(probs);
cout << endl;
int s1[4] = { 0, 0, 0, 0 };
sensing(s1);
printPuzzle(probs);
cout << endl;
//1 = north
motion(1);
printPuzzle(probs);
cout << endl;
int s2[4] = { 1,0,0,0 };
sensing(s2);
printPuzzle(probs);
cout << endl;
//1 = north
motion(1);
printPuzzle(probs);
cout << endl;
int s3[4] = { 0,0,0,0 };
sensing(s3);
printPuzzle(probs);
cout << endl;
//0 = west
motion(0);
printPuzzle(probs);
cout << endl;
int s4[4] = { 0,1,0,1 };
sensing(s4);
printPuzzle(probs);
cout << endl;
//0 = west
motion(0);
printPuzzle(probs);
cout << endl;
int s5[4] = { 1,0,0,0 };
sensing(s5);
printPuzzle(probs);
cout << endl;
return 0;
}

Categories
Architecture and Design homework help

  law Guilty But Insane For this week’s assignment, you will evaluate criminal j

 
law
Guilty But Insane
For this week’s assignment, you will evaluate criminal justice in selected countries. Since mens rea refers to criminal intent, the concept of guilty but insane sounds like an oxymoron to most people. Chapters 1 and 3 in the course text discuss international perspectives on criminal law. Find additional credible sources to research criminal intent in Great Britain and Norway. The Daniel McNaughton and Anders Breivik cases might be helpful. These cases are notorious for the guilty but insane defense in Great Britain and Norway.
For your assignment
Assess how criminal intent in these two countries differs from the United States when it comes to an insanity defense.
Describe at least one case in each country (Great Britain, Norway, and the United States) where this defense has been used successfully.
Must be at least three double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Writing Center (Links to an external site.).
Must include a separate title page with the following:

Title
Student’s name
Course name and number
Instructor’s name
Date submitted

Must use at least three credible sources in addition to the course text

Categories
Social Work

Describe the extent to which the client is able to mobilize the solutions for change.

-Application of Attachment Theory (IM USING)
-Review the problem-solving model, focusing on the five steps of the problem-solving model
-Identify the theoretical orientation you have selected to use.
-Describe how you would assess the problem orientation of the client in your selected case study (i.e., how the client perceives the problem). Remember to keep the theoretical orientation in mind in this assessment stage.
-Discuss the problem definition and formulation based on the theoretical orientation you have selected.
-Identify and describe two solutions from all the solutions possible. Remember, some of these solutions should stem from the theoretical orientation you are utilizing.
-Describe how you would implement the solution. Remember to keep the theoretical orientation in mind.
-Describe the extent to which the client is able to mobilize the solutions for change.
-Discuss how you would evaluate whether the outcome is achieved or not. Remember to keep the theoretical orientation in mind.
-Explain how well the problem-solving model can be used for short-term treatment of this client.
-Describe one merit and one limitation of using the problem-solving model for this case.
Please do the worksheet as well and answer questions

Categories
Social Work

What are three (3) defining moments of your adolescent development?

You will be required to complete a 2 – 3 page paper discussing in detail your personal adolescence and how it has impacted or influenced your development as an adult today. This should include specific examples and be based on theories or concepts identified in this course.
This is NOT a research paper. It is a reflection on your own adolescent history.
Answer the following questions:
• What are three (3) defining moments of your adolescent development?
• Describe your feelings, thoughts, and/or behaviors during these moments?
• What would you tell your adolescent self about choices and the outcomes of those choices?
• Any tips, advice, or specific solutions you would give yourself to help you through any of those three defining moments?
1. I am the youngest of 9 children.
2. Adolescent years I was a quiet child unless provoked my mother was a stay at home Mother. I grew up sheltered over protecting mother who allowed us to have limited friends in which she had to approve. I sneaked to see the friends she did not approve.
3. I attempted to smoke marijuana at 18 years old and had a bad experience never tried again.
4. Mother instilled independent values in her children.

Categories
Management homework help

  For this assignment you will develop a business plan outline and a written exe

 
For this assignment you will develop a business plan outline and a written executive summary of the key concepts of the business plan.  Your target for this assignment is the Company you identified in the Business Plan Development assignment.  You are not actually creating the video submission in this assignment, but you are creating the content you will present in your final presentation video.
Listed below are the typical elements that are found in most simple business plans.  Each section expresses details that are important to the plan  and its goals and objectives as they relate to the overall growth of the organization.  Some business plans focus on niche opportunities or special projects.  Some are for the firm as a whole.  In most cases the Executive Summary is developed after the full plan is completed and is used to bring all areas of the organization on board with the plan and how it will be achieved.
Your objective is to create a niche element for the  company you have identified and develop a simple business plan using these headings. 
For example:  Southwest Airlines is a key employer based in Dallas.  They fly to Hawaii and an interesting niche business plan might be to develop more of a first class approach for flyers on this route.  Listed below are some of the elements that would be important to developing this business plan.  From them you can develop a 3 to 5 minute presentation of an Executive Summary of the plan.  Your objective is to do the same for the company you have selected, and the business plan idea you have created.

Categories
Nursing homework help

  students will be able to identify symptom cluster consistent with borderline

 
students will be able to identify symptom cluster consistent with borderline personality disorder.