title: Break-even analysis revisited: the need to adjust for profitability, the collection rate and autonomous income.
abstract: This paper modifies traditional break-even analysis and develops a model that reflects the influence of variation in payer mix, the collection rate, profitability and autonomous income on the desired volume alternative. The augmented model indicates that a failure to adjust for uncollectibles and the net surplus results in a systematic understatement of the desired volume alternative. Conversely, a failure to adjust for autonomous income derived from the operation of cafeterias, gift shops or an organization's investment in marketable securities produces an overstatement of the desired volume. In addition, this paper uses Microsoft Excel to develop a spreadsheet that constructs a pro forma income statement, expressed in terms of the contribution margin. The spreadsheet also relies on the percentage of sales or revenue approach to prepare a balance sheet from which indicators of fiscal performance are calculated. Hence, the analysis enables the organization to perform a sensitivity analysis of potential changes in the desired volume, the operating margin, the current ratio, the debt: equity ratio and the amount of cash derived from operations that are associated with expected variation in payer mix, the collection rate, grouped by payer, the net surplus and autonomous income.
authors.affiliation: Department of Health Administration, University of Oklahoma Health Sciences Center, Oklahoma 73190, USA.
authors.forename: R W
authors.initials: RW
authors.lastname: Broyles
authors.forename: L
authors.initials: L
authors.lastname: Narine
authors.forename: A
authors.initials: A
authors.lastname: Khaliq
mesh_terms: D000067:Accounts Payable and Receivable; D003361:Cost Allocation / Q000379:methods*; D003627:Data Interpretation, Statistical; D005376:Financial Management / Q000379:methods* / Q000706:statistics & numerical data; D017059:Models, Econometric; D014481:United States