Health Care Finance_BEVERLY HOSPITAL_Business Plan
Running Head: Beverly Sports Medicine Center Patel 1
BEVERLY SPORTS MEDICINE CENTER
HEALTH CARE FINANCE
Beverly Sports Medicine Center 2
Health Services Offered………………………………………………………………..5-7
Sports Medicine Center………………………………………………………………..7-10
The Organizational Plan……...………………………………………………………………10-12
The Marketing Plan…………………………………………………………………………..12-14
Industry Analysis & Industry Trends……………………………………………………15
The Financial Plan
Statement of Cash Flows………………………………………………………………...19
Beverly Sports Medicine Center 3
Beverly, MA —Beverly Hospital will begin constructing a dedicated sports medicine facility as
an addition to its hospital. Construction of the 25,000-square-foot Beverly Sports Medicine
Center should be complete by late 2014.
The new building is a $10 million investment. The investment consists of the 25,000 square-foot
building and medical equipment. The building will house a state-of-the-art sports medicine
facility, which provides clinical care, rehabilitation services, and athletic performance training.
Beverly Sports Medicine Center is going to recruit a team of specialists who are the most
prominent practitioners of arthroscopic surgery and complex joint shoulder, elbow, knee and
ankle reconstructions in the US. The Beverly Sports Medicine Center will treat full spectrum of
sports-related and orthopedic conditions. Some conditions include Achilles tendon injuries,
ankle sprains, cartilage injuries in the knee, golfer's elbow, ligament injuries to the knee (ACL,
PCL, MCL & LCL injuries), osteoarthritis of the knee, shoulder or foot and ankle, etc.
The new sports medicine facility will be a one-stop-shop for all sports medicine and athletic
performance services including sports medicine, personal training, and sport specific training.
The services of the Beverly Sports Medicine Center are being targeted to, but not limited to, the
residents of the North Shore communities.
Beverly Hospital has made the decision to investment in the sports medicine and athletic
performance facility due to its confidence in its own consistently positive financial performance,
the economic strength and continued growth. The lack of competition in the Beverly and
surrounding towns has encouraged Beverly Hospital to investment in its future growth.
Beverly Hospital is recognized for the care and services it provides to residents throughout the
North Shore and is committed to ensuring that a full continuum of high quality, coordinated
health and human services are available to those who live in its primary and secondary service
areas. The Beverly Hospital, in close partnership with its affiliates, other health related service
organizations, and the community at large, strive to develop programs and services that address
community need and improve the area’s overall health status.
Beverly Sports Medicine Center 4
Beverly Hospital in Beverly, Massachusetts is the North Shore’s leading health care facility and
is dedicated to meeting the healthcare needs of those living in North Shore community. Beverly
Hospital is a full service, 221-bed, community hospital providing quality, patient-centered care
to North Shore and Cape Ann residents. Services include maternity, pediatrics, surgical,
orthopedics, cardiology, as well as several other specialties. The hospital has a medical staff of
more than 500 physicians and its service area includes some 13 communities.
The hospital is part of Lahey Health System, Inc. (LHS), a vertically and horizontally integrated
network of hospitals, long term care facilities, assisted living facilities, health and social service
agencies, and community based primary care and specialty care. LHS is recognized for the care
and services it provides to residents throughout the North Shore and Cape Ann area and is
committed to ensuring that a full continuum of high quality, coordinated health and human
services are available to those who live in its primary and secondary service areas. The
Beverly Hospital, in close partnership with its affiliates, other health related service
organizations, and the community at large, strive to develop programs and services that address
community need and improve the area’s overall health status.
Two North Shore healthcare organizations, Lahey Clinic and Northeast Health System have
affiliated, creating the new Lahey Health System. The essential branches of the Lahey Health
System are Addison Gilbert Hospital, BayRidge Hospital, Beverly Hospital, Lahey Outpatient
Center, Lahey Health Behavioral Services, and Lahey Health Senior Care. This new entity brings
to the communities North of Boston an exceptional healthcare delivery system that is
community-based and offers a full continuum of high-quality, cost-efficient services including
primary care, outpatient, acute care, home health, senior health, and behavioral health.
Addison Gilbert Hospital is a full-service, 58-bed medical/surgical acute care facility. The
hospital provides inpatient and outpatient care to residents of the Cape Ann community in
specialties such as cancer care, surgical day care, critical care and emergency medicine.
BayRidge Hospital provides accessible, high-quality mental health and substance abuse
treatment. The 62-bed hospital offers a continuum of psychiatric and chemical dependency
services on an inpatient, partial hospitalization and outpatient basis. Coordination of care
between Beverly Hospital's psychiatric services, the Leland Unit, and BayRidge Hospital assures
the provision of a range of acute inpatient services to individuals suffering from psychiatric
Lahey Outpatient Center, Danvers is an outpatient facility with state-of-the-art care centers and
specialty services. The facility includes multidisciplinary centers for Breast Health,
Cardiovascular, Infectious Disease, Pain Management, and Spine care among others. The Day
Surgery Center has four operating rooms featuring the latest in minimally invasive technologies
for all types of conditions. The Lifestyle Management Institute offers several comprehensive
programs designed to address healthy options for individuals coping with chronic conditions.
Beverly Sports Medicine Center 5
Lahey Health Behavioral Services is a private, nonprofit human service agency that provides
mental health, substance use and community education and prevention services to residents in
greater Boston, the North Shore and the Merrimack Valley, Massachusetts. Services include
outpatient mental health clinics; inpatient and outpatient treatment and prevention for drug and
alcohol problems; school-based programs; and community-based education and prevention
initiatives. Our compassionate and professional staff provides integrated, high-quality care to
families, children, teens and adults.
Lahey Health Senior Care provides a complete continuum of care for seniors. The Center for
Healthy Aging offers seniors a multidisciplinary outpatient treatment center and an array of
diagnostic services. It also has assessment programs in memory loss, balance and risk of falls,
incontinence, palliative care, and driving ability. Additional senior services include skilled
nursing and short-term rehabilitation through Ledgewood and Seacoast. Assisted living is
provided through The Herrick House. Home care is coordinated through North Shore PRN and
Northeast HomeCare; adult day services for people living with Alzheimer's through the
Spectrum Adult Day Health Program, personal emergency response service through Lifeline,
community care management through NortheastLink and educational programs through Senior
Health Services Offered
Beverly Hospital is committed to provide its patients and their family members with both first-
class medical care and world-class attention. The Hospital’s wide array of healthcare services
combines the latest advances in medicine with a truly remarkable and refreshing level of warmth
and compassion. It's what sets Beverly Hospital apart . . . and whether you are seeking services
for primary or diagnostic care, emergency or surgical care, inpatient or rehabilitative care . . . the
professionals are all about taking care of the whole person.
Beverly Sports Medicine Center 6
The services offered at Beverly Hospital are:
Anticoagulation Management Service
Cardiac Diagnostics (Holter Monitor, Stress Testing, Stress Echo)
Cardiac Interventional Services (Cath Lab, Electrophysiology)
Hematology/Oncology Care Center
Inpatient Acute Care Services (General Med/Surg Units, Critical Care)
Labor and Delivery
Medical Daycare Services
Mohs Surgery Clinic
North Shore Birth Center
Parent & Childbirth Education
Psychiatric Services, Inpatient (Leland Unit) & Outpatient
Rehabilitation & Sports Medicine
Special Care Nursery
Surgical Services (Day & Inpatient Surgery, Pre-admission Testing)
Wound & Hyperbaric Medicine Center (Cummings Center in Beverly)
The services offered by the Beverly Hospital serve a wide array of community needs. After
assessing additional needs in the community and the health care market – the Board of Directors
have decided to broaden the services offered. The leaders of the medical staff worked with
trustees and management to craft the Request for Proposal document for adding a Sports
Medicine division to the Beverly Hospital. A Physician Advisory Committee was formed and
continues to work in conjunction with the Beverly Hospital leadership team on the expansion
Beverly Sports Medicine Center 7
The decision to expand the Beverly Hospital’s offerings reflect community need and long term
viability and vitality as a community health care provider in a dramatically changing health care
This was a decision made from a position of strength. As a well-managed, financially stable, and
nationally recognized leader in quality of care, the Beverly Hospital was able to be thoughtful
and deliberate. With the addition of the Sports Medicine division, Beverly Hospital is creating an
exceptional health care delivery system of high-quality, cost-efficient, community-based care for
the people of northeastern Massachusetts – one that is capable of managing patient care in
accordance with changing community needs and new payment and health care delivery systems.
This is truly a change for the better, building strength upon strength. Beverly Hospital
community members are going to continue to receive personalized and effective care.
Sports Medicine Center
The Lahey Health System will benefit from the Beverly Sports Medicine Center, provided at the
Beverly Hospital. The Beverly Sports Medicine Center will provide medical care to athletes and
non-athletes of all ages, victims of work-related accidents and senior citizens.
The medical professionals, including doctors and rehabilitation therapists, hired for the Sports
Medicine division will be experts in managing athletic injuries and treating injuries of the
shoulder, elbow, hip, knee, ankle and foot. The goal of the Beverly Hospital’s expansion into
Sports Medicine is to help people remain healthy and active in their entire lives.
Beverly Hospital is going to recruit a team of specialists who are the most prominent
practitioners of arthroscopic surgery and complex joint shoulder, elbow, knee and ankle
reconstructions in the US. The Beverly Sports Medicine Center will treat full spectrum of sports-
related and orthopedic conditions. Some conditions include Achilles tendon injuries, ankle
sprains, cartilage injuries in the knee, golfer's elbow, ligament injuries to the knee (ACL, PCL,
MCL & LCL injuries), osteoarthritis of the knee, shoulder or foot and ankle, peroneal tendon
injuries, rotator cuff tears, shoulder instability, shoulder tendonitis and bursitis, tennis elbow,
throwing injuries of the shoulder and elbow, torn ligaments, and turf toe.
Table 1.1 – Conditions and Procedures
Arthritis Arthritis and other rheumatic diseases are characterized by pain,
swelling, and limited movement in joints and connective tissues in the
Avascular necrosis is a disease that may cause bone or joint collapse
as a result of loss of blood supply to the bone due to injury or other
causes (such as long-term use of certain medications).
Beverly Sports Medicine Center 8
Back and Neck Pain
Low back pain can range from mild, dull, annoying pain, to persistent,
severe, disabling pain in the lower back that restrict mobility. Neck
pain is pain that occurs in the area of the seven cervical vertebrae in
the neck area.
Elbow Pain and
Common elbow problems include the following: arthritis - common
forms of arthritis, bursitis, fractures, and injury.
A fracture is a partial or complete bone break. When a fracture occurs,
it is classified as either open or closed.
Knee Pain and
Many knee problems are a result of the aging process and continual
wear and stress on the knee joint (i.e., arthritis). Other knee problems
are a result of an injury or a sudden movement that strains the knee.
Lateral epicondylitis, also known as tennis elbow, is characterized by
pain in the back side of the elbow and forearm, along the thumb side
when the arm is alongside the body with the thumb turned away. The
pain is caused by damage to the tendons that bend the wrist backward
away from the palm.
Ligament Injuries to
Ligament injuries to the knee include injuries to one of the four knee
ligaments (elastic bands of tissue that connect bones to each other).
Lumbar Disc Disease
Lumbar disc disease occurs in the lumbar area of the spine. As discs
degenerate, fragments of the disc material can press on the nerve roots
located just behind the disc space, causing pain, numbness or changes
A lumbar strain is an injury to the lower back, which results in
damaged tendons and muscles that spasm and feel sore.
Beverly Sports Medicine Center 9
(Golfers and Baseball
Medial epicondylitis, also known as golfer's elbow, baseball elbow,
suitcase elbow, or forehand tennis elbow, is characterized by pain
from the elbow to the wrist on the palm side of the forearm.
The neck is located between the head and the shoulders. Because of its
location and range of motion, it is often left unprotected and subject to
Osteoarthritis is a chronic, degenerative, joint disease characterized by
the breakdown of joint cartilage and adjacent bone in the neck, lower
back, knees, hips and/or fingers.
Patellar tendonitis, also known as jumper’s knee, is a condition caused
by inflammation of the tendon connecting the kneecap to the shin
bone, often caused by overuse of the knee joint.
Patellofemoral stress syndrome is a condition common among runners
involving knee pain caused by irritation of the cartilage of the
Rotator Cuff Injury
An injury to the rotator cuff, such as a tear, may happen suddenly
when falling on an outstretched hand or develop over time due to
Shoulder Dislocation Dislocation of the shoulder means the displacement of the upper arm
bone (humerus) out of the shoulder joint.
Many activities can lead to soft-tissue damage of muscles, ligaments,
Beverly Sports Medicine Center 10
Sprains and Strains
The majority of sports injuries are caused by minor trauma involving
muscles, ligaments, and/or tendons, including contusions (bruises),
sprains and strains.
Meniscus tears can occur during a rotating movement while bearing
weight, such as when twisting the upper leg while the foot stays in one
place during sports and other activities.
The Organizational Plan
Beverly Hospital's leadership team is guided by the hospital's mission to deliver innovated, high
quality family-centered care for the North Shore community. Our leaders are dedicated to
making decisions to further our hospital's reach into our diverse population and to assist each
community member in achieving the highest level of health regardless of race, color, creed,
national origin, disability, age, or ability to pay.
Chief Executive Officer, Northeast Health System
Steven Defossez, M.D.
President, Medical Staff
Chief Operating Officer, Northeast Hospital Corporation
Peter H. Short, M.D.
Chief Medical Officer, Northeast Hospital Corporation
Kim Perryman, MMHC, RN, NE-BC
Chief Nursing Officer
Cynthia Cafasso Donaldson
Vice-President, Addison Gilbert Hospital
Vice-President, Human Resources and Development
Vice-President, Program Development, Office of Business Development
Beverly Sports Medicine Center 11
Vice-President, Information Systems
Vice-President, Supply Chain
Chief Executive Officer, Lahey Health Behavioral Services
Interim Senior Vice President & Chief Operating Officer, Lahey Health Senior Care
Board of Trustees
Northeast Hospital Corporation
Nancy Palmer, Chair
Steven Defossez, MD
David DiChiara, MD
Alexander Doumas, MD
Hugh Matthew O'Flynn, MD
Jagruti Patel, MD
Howard R. Grant, JD, MD
Hugh Taylor, MD
Beverly Sports Medicine Center 12
Northeast Hospital Corporation Officers
Howard R. Grant, JD, MD
David Spackman, JD
Beverly Hospital – Sports Medicine Center is dedicated to providing comprehensive
multidisciplinary care to athletes of all ages and abilities, from professional athletes to eager
novices. The Sports Medicine Center team of professionals will provide innovative care by
leading ground-breaking research in the lab and clinic, and by delivering the best care for each
athlete's unique needs.
The Marketing Plan
To quickly achieve measurable market penetration.
Create the brand image within the operating area of Beverly, Massachusetts
A double-digit growth rate for the first three years.
Increase the revenues by 3% a quarter.
The initial target markets are communities North of Boston. The focus of the market is Beverly,
Massachusetts and towns with in a 25 mile radius.
Beverly Sports Medicine Center 13
Sports Medicine Center has a clearly defined and identifiable market niche that enables highly
targeted and efficient marketing of its services.
The Beverly Sports Medicine Center will be centralized at the Beverly Hospital in Beverly,
Massachusetts. Beverly Sports Medicine Center will have both a quality and cost advantage
relative to its less flexible competitors. Beverly Sports Medicine Center will leverage its
Unmatched Customer Attention: beyond the fact that the entire organization adopts a customer-
centric approach to business, all of Beverly Hospital service offerings concentrate on providing
the customer with the exact type of plan to meet their particular needs.
Costs Advantages: A key advantage of setting up Beverly Sports Medicine Center as an
extension of the Beverly Hospital’s existing practice is a reduction in overhead per hour.
Beverly Sports Medicine Center is able to offer top-quality services at a reasonable price by
negotiating with existing vendor of the Beverly Hospital. The new division staff can utilize the
existing relationships that the Hospital has with its current vendors.
The single objective that Beverly Sports Medicine Center faces is to position itself as the premier
sports medicinal care provider, gaining significant market share within five years. The marketing
strategy will seek to first create customer awareness regarding Beverly Sports Medicine Center’s
offered services and develop the customer base.
The message that Beverly Sports Medicine Center will generate is that it offers the highest
quality/cost ratio for sports medicine services in the North Shore Communities. This message
will be communicated through a variety of methods. The first will be an advertising campaign.
This campaign will primarily use the Boston Globe and Boston Harold, but other media sources
will be employed.
The method of communication will be a direct mailing campaign. The mailings will target
residents of Beverly, Lynn, Peabody, and Danvers. The surrounding three towns are within a 12
mile radius to Beverly Hospital. Existing patients at the Beverly Hospitals will be contacted via
telephone to update them on the changes coming to the Beverly Hospital.
Beverly Sports Medicine Center 14
Beverly Sports Medicine Center’s marketing mix is comprised of the following approaches to
pricing, distribution, advertising and promotion, and customer service.
The pricing for a specific procedure will be based on the allocation of professional staff
members’ time. Competitive pricing will be offered to patients that utilize the Lahey Health
System hospitals for their primary care. Pricing of services will be minimal, the first three years,
in order to attract patients to seek care at Beverly Sports Medicine Center. Pricing strategy is key
to developing a loyal, customer base.
Distribution will occur through the use of Beverly Hospital’s direct marketing program.
Exclusive distribution will be utilized by the Center. Exclusive distribution limits distribution of
sports medicine and related services to only Beverly Hospital. This type of distribution was
chosen in order to sustain the quality of the services being provided by the Beverly Sports
Medicine Center and to centralize the disbursement of services to Beverly Hospital.
Beverly Sports Medicine Center will be using a multi-pronged marketing strategy to develop
brand awareness and achieve market penetration.
Media relations. Design a comprehensive plan for contacting and maintaining
relationships with select members of the media including newspaper, magazine and TV
Print advertising in medical journals and newspapers.
Other advertising such as billboards and broadcast advertising on radio, TV, and cable
Public speaking and conferences – Beverly Sports Medicine Center’s medical staff will
participate in panels at professional association meetings, conferences, and other events
to make the public aware of the services that the Beverly Hospital has to offer.
Marketing collateral such as newsletters, brochures, and fliers will be distributed
throughout the Beverly Hospital and to other Lahey Health Clinic hospitals.
The entirety of Beverly Hospital operates on a customer-centric business model, ensuring
exceptional customer attention. With its longstanding culture of specialized teams directly
available to individual patients, and a work ethic that combines the highest competence with the
utmost compassion, Beverly Hospital is unique among medical centers because the Beverly
Hospital team does more than care for the patient. They treat the patient right.
Industry Analysis & Industry Trends
Beverly Sports Medicine Center 15
Perceived as a luxury service for elite athletes in the past, sports medicine has gained wide public
acceptance and has become more accessible to most Americans in recent years. Sports medicine
focuses on the diagnosis, treatment and prevention of injuries and illnesses resulting from sports,
exercise or recreational activities. The Sports Medicine Practitioners industry has been relatively
resilient even during the recession. Annual revenue for the Sports Medicine Practitioners
industry is $21 Billion with 21,301 businesses practicing the medicine. Nearly 140,932
Americans are employed by the Sports Medicine Practitioners industry. Rising sports
participation will further boost industry performance contributing to an annual growth rate of
Barriers to entry into the Sports Medicine Practitioners industry are medium. The most notable
entry barriers include educational and training requirements, residency review committees and
regulation. In addition, operators must develop a critical mass of patients to be viable
competitors. Depending on the specialty and location, it can be difficult or take considerable time
for new entrants to establish a referral base and other relationships with other physicians,
hospitals and the local community.
Although several barriers exist to new entrants, the large number of small establishments in the
industry indicates that barriers are not extreme. This may be due to low levels of fixed capital
costs in the industry and the high demand for sports medicine services. Beverly Hospital’s
venture into the Sport Medicine industry will be advantageous and profitable. First, the industry
trends depict the positive growth annually for the coming decade. Second, the benefits of the
Beverly Sports Medicine Center outweigh the costs. Beverly Sports Medicine Center will
develop a customer base far quicker than the industry average; the Center will immediately
generate revenue from the current patients of Beverly Hospital.
Beverly Sports Medicine Center 16
Sports Medicine is a growing industry
Beverly Hospital has a loyal customer
Increase revenue for the Beverly
Low start-up costs
Location – Beverly, MA makes it
convenient to serve the North Shore
Beverly Hospital has the capital to
invest in a Sports Medicine Center
Philanthropic donations to Beverly
Affiliation with the Lahey Health
New venture for the Beverly Hospital
For the first three years Beverly
Hospital will spending portions of its
revenues to make the Center
Management may be ill prepared for
Hiring qualified medical
Sports Medicine industry is growing
rapidly at 2.8% annually
Sports Medicine industry is a $21 B
Sports participation is on the rise
Lahey Health System has other
hospitals with Sports Medicine Centers
Beverly Hospital has the capital for
Lahey Health Systems has a loyal
Beverly Hospitals is within 12 miles of
Danvers, Salem, Peabody, Marblehead,
Swampscott, Lynn, Middleton,
Ipswich, Lynnfield, Saugus, North
Reading, Wakefield, Reading, Melrose,
Sports Medicine North is a
longstanding competitor – locations
in Peabody, Newburyport,
Middleton, Manchester, and
Limited space availability in Beverly
Hospital for the Sports Medicine
Risky venture – using the Beverly
Hospital revenue for the first three
year to sustain the Center
Beverly Sports Medicine Center 17
The Financial Plan
Cash and cash equivalents 1,500,000$ 1,000,000$
Short term investments 300,000$ 250,000$
Patient accounts receivable, net of allowance for doubtful accounts 154,500$ 150,000$
Other receivables 25,000$ 25,000$
Prepaid expenses 350,000$ 500,000$
Total Current Assets 2,329,500$ 1,925,000$
Investments 45,000$ 65,000$
Assets limited as to use, held by trustee, net of current portion 1,060,000$ 1,200,000$
Property and equipment, net 2,500,000$ 1,750,000$
Other assets 25,500$ 15,000$
Total Assets 5,960,000$ 4,955,000$
Liabilities & Net Assets
Accounts payable & accurued liabilites 375,000$ 450,000$
Accurued salaries and related benefits 400,000$ 350,000$
Third-party payor settlements 55,000$ 75,000$
Self-insurance reserves 175,000$ 150,000$
Total Current Liabilities 1,005,000$ 1,025,000$
Notes Payable 2,500,000$ 2,600,000$
Self-insurance reserves, net of current portion 300,000$ 250,000$
Long-term debt, net of current portion 100,000$ 125,000$
Total Long-Term Liabilities 2,900,000$ 2,975,000$
Total Liabilities 3,905,000$ 4,000,000$
Unrestricted 1,750,000$ 750,000$
Temporary restricted 250,000$ 150,000$
Permanently restricted 55,000$ 55,000$
Total Net Assets 2,055,000$ 955,000$
Total Liabilities & Net Assets 5,960,000$ 4,955,000$
Beverly Sports Medicine Center 18
Net patient service revenue 2,500,000$
Provision for doubtful accounts (55,000)$
Net patient service revenue less provision for doubtful accounts 2,445,000$
Premium revenue 90,000$
Other revenue 35,000$
Net assets released from restrictions used for operations 2,500$
Total operating revenues 2,572,500$
Salaries and benefits 1,500,000$
Professional services 70,000$
Purchased services 20,000$
Depreciation and amortization 5,000$
Expense recoveries from related parties (25,000)$
Total operating expenses 1,720,000$
Income from operations 350,000$
Interest and investment income 50,000$
Excess of revenues over expenses 400,000$
Other changes in unrestricted net assets:
Net assets released from restrictions used for:
Purchase of property and equipment 10,000$
Noncontrolling capital distribution, net (5,000)$
Increase in unrestricted net assets 5,000$
Changes in temporarily restricted net assets:
Contributions and other 25,000$
Investment income 1,500$
Net assets released from restrictions for:
Purchase of property and equipment (7,000)$
Increase in temporarily restricted net assets 15,000$
Changes in permanently restricted net assets:
Increase in permanently restricted net assets 100,000$
Increase in net assets 1,000,000$
Net assets, beginning of the year 955,000$
Net assets, end of the year 2,055,000$
Beverly Sports Medicine Center 19
Statement of Cash Flows
Cash flows from operating activities:
Increase in net assets 1,100,000$
Adjustment to reconcile increase in net assets to -
net cash provided by operating activities (6,500)$
Depreciation and amortization 5,000$
Provision for doubtful accounts 55,000$
Change in fair value of interest rate (60,000)$
Unrealized (gains) losses in investments (101,000)$
Realized gains on investments (500)$
Contribution received for long lived assets or endownment and net equity (75,000)$
Changes in operating assets and liablities:
Patient accounts receivable (200,000)$
Due to related parties 25,000$
Other receivables, inventory, other assets -
prepaid expenses 20,000$
Accounts payable, accrued liabilities and pension liablities (65,000)$
Accrued salaries and related benefits 50,000$
Third-party payor settlements (20,000)$
Self-insurance reserves (25,000)$
Cash provided by operating activities 702,000$
Cash flows from investing activities:
Purchases of investments (75,000)$
Sales of investments 55,000$
Increase in assets limited as to use (4,000)$
Purchases of property and equipment (200,000)$
Cash used in investing activities (224,000)$
Cash flows from financing activities:
Payment of long-term debt and capital lease obligations (40,000)$
Contributions received for long lived asstes or endowment -
and net equity transfers to/from related parties 62,000$
Cash provided by financing activities 22,000$
Net (decrease) increase in cash and cash eqivalents 500,000$
Cash and cash equivalents, beginning of year 1,000,000$
Cash and cash equivalents, end of year 1,500,000$
Beverly Sports Medicine Center 20
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