Practice Management

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  • 1.  Cash Flows - Need to Model Volume Loss Impact

    Posted 03-23-2020 10:34
    Hello all,
    One of our primary responsibilities as a Business Manager is to monitor and report on the financial health of our organizations.  Given that many of our facilities are ceasing to perform screening and other non-urgent imaging a group's cash flows could be seriously eroded.  Some practices are reporting a 30% to 40% loss of volume. 
    Business managers should be modeling the near and mid-term impact these volume decreases have on cash flows at least through the end of the year.  My guess is that most community-based groups and physician owned imaging centers likely don't retain a high level of cash reserves, which means they are exposed to sudden cash flow interruptions (most pay out quarterly dividends and retain only a small amount of cash).  Depending upon how long this goes on, groups and imaging centers could find themselves in a position where revenues no longer support their historical expenses (i.e., drop into a negative cash flow situation).  This may be unavoidable, but by understanding the impact it gives you the opportunity to take proactive steps to mitigate the problem (e.g., retaining available cash instead of paying out quarterly dividends or developing a line of credit at the bank).

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    Michael Bohl FRBMA
    Strategic Advisor
    Radiology Group, PC, SC
    Bettendorf IA
    (563) 484-0488
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  • 2.  RE: Cash Flows - Need to Model Volume Loss Impact

    Posted 03-23-2020 14:05
      |   view attached
    I created a Cash Reserves Modeling template and attached it to this message.  I also uploaded it to the Library.  The template allows users to estimate the impact of anticipated revenue losses may have on group practices' and imaging centers' cash reserves.  Instructions are included.  Users need to have historical revenues for both screening services and non-screening and historical expenses, and their current cash balance.  The model allows users to enter different initial loss percentages for Screening (often 100% for now) and non-screening imaging (some are reporting 30% to 40% drop).  The model allows users to create 5 different recovery Scenarios by entering the the "Recovery Rates" per month for the different scenarios.  Default recovery rates are provided.  This allows one to show the impact from an best case through worst case scenario.  Have fun and good luck!  MB



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    Michael Bohl FRBMA
    Strategic Advisor
    Radiology Group, PC, SC
    Bettendorf IA
    (563) 484-0488
    ------------------------------

    Attachment(s)



  • 3.  RE: Cash Flows - Need to Model Volume Loss Impact

    Posted 03-23-2020 14:11

    Nicely done, Michel.

     

     

    Tim Barrett, CPA

    Chief Executive Officer

    8230 Summa Ave.,| Suite C | Baton Rouge, LA  70809-3421

    office  (225) 757-0552 | fax  (225) 763-9997

    tbarrett@lakeradiology.com

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