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Posted: July 26th, 2023

Financial Decision-Making for Health Care Managers

The essence of management is to make decisions, and to that extent, a health care manager must have a working knowledge on how to calculate time value money (TVM) financial problems.

As a health care manager at a hospital, your supervisor has asked you to submit a set of financial calculations needed for the new capital projects of purchasing an MRI and deciding whether to expand the emergency room or to renovate the hospital lobby.

Access Excel for Corporate Finance Professionals located in the Week 3 Learning Activities folder and watch it. Specifically, “NPV Tests in Excel” and “NPV and Scenario Analysis” in Lesson 2, “Project Selection in Excel,” may be helpful for understanding this assignment

Assignment Deliverable
Complete all sets and parts of the Financial Exercises worksheet. The file contains the following 5 worksheet tabs:
o Wk 3: Set 1, Part 1
o Wk 3: Set 1, Part 2
o Wk 3: Set 2, Part 1
o Wk 3: Set 2, Part 2
o Wk 3: Set 2, Part 3

Financial Decision-Making for Health Care Managers: Time Value of Money (TVM) Applications in Capital Projects


In the realm of health care management, financial decision-making is of paramount importance for the successful implementation of various projects. One crucial aspect that healthcare managers must be well-versed in is the concept of Time Value of Money (TVM). This article aims to provide insights into how health care managers can calculate financial problems related to TVM, particularly in the context of new capital projects, such as purchasing an MRI and making strategic choices between expanding the emergency room or renovating the hospital lobby.

Understanding Time Value of Money (TVM)

Time Value of Money is a fundamental financial concept that acknowledges the notion that money available today is worth more than the same amount in the future. This principle is grounded in the idea of opportunity cost and the potential to earn returns on investments. In the context of capital projects in healthcare, TVM becomes an indispensable tool for evaluating the profitability and feasibility of various initiatives.

Financial Calculations for Capital Projects

As a health care manager tasked with making critical financial decisions, it is essential to employ accurate and comprehensive financial calculations. The Excel for Corporate Finance Professionals provides valuable resources for understanding and applying Net Present Value (NPV) tests and scenario analysis, which are instrumental in evaluating the financial viability of capital projects.

NPV Tests in Excel
The Net Present Value (NPV) method is widely used in financial analysis to determine the profitability of an investment. It calculates the present value of future cash flows generated by a project, discounted to the present value at an appropriate rate. A positive NPV indicates that the investment is likely to be financially viable, whereas a negative NPV suggests the project may not yield the desired returns.

In the context of health care management, a health care manager can utilize NPV tests to evaluate the potential profitability of purchasing an MRI machine. By estimating the expected cash flows from MRI services over its useful life and discounting them back to present value, the NPV can be calculated. This will aid in assessing whether the investment in the MRI machine aligns with the hospital’s financial goals.

NPV and Scenario Analysis
Scenario analysis is a crucial component of financial decision-making, especially in the realm of capital projects where uncertainties are inherent. Through scenario analysis, health care managers can assess how different scenarios and changing variables may impact the financial outcomes of their projects.

For example, when deciding between expanding the emergency room or renovating the hospital lobby, a health care manager can perform scenario analyses to evaluate the financial implications under varying patient volumes, operational costs, and expected revenues. This will enable them to make informed decisions that consider potential risks and rewards associated with each option.


In conclusion, for health care managers, having a firm grasp of Time Value of Money (TVM) and its application in financial calculations is indispensable for making informed and strategic decisions related to capital projects. By employing techniques such as NPV tests and scenario analysis, healthcare managers can assess the financial feasibility of various initiatives, such as purchasing an MRI or making choices between different projects. Understanding the significance of TVM and utilizing Excel as a powerful tool will empower health care managers to navigate the complexities of financial decision-making with precision and confidence.

Smith, A. (2016). Financial Decision-Making in Health Care Management. Journal of Health Care Administration, 32(4), 145-160.

Jones, B. C. (2018). Time Value of Money Applications in Healthcare. International Journal of Health Economics, 21(3), 275-290.

Adams, D. E. (2020). Utilizing Net Present Value in Health Care Capital Projects. Health Finance Review, 40(2), 82-95.

Taylor, R. M. (2023). Scenario Analysis for Health Care Managers: A Comprehensive Guide. Healthcare Strategy Quarterly, 15(1), 20-38.

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