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Managerial Decision

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Should we buy a new machine or upgrade the old one? One of the managerial decisions that our local hospital had to make was whether to transition into a digital format with our portable x-ray machines by performing transformation upgrades to both existing analog units or to trade them in and use their value to offset the total price incurred by the purchase of new units. This paper will discuss several factors that may affect the decision making process, along with a preliminary analysis of the problem through the use of marginal analysis.

Executive Summary

The decision to purchase a new system or to upgrade the existing x-ray machine, the hospital administration must consider the lowest cost for the hospital. By minimizing the cost for the x-ray machine the hospital will lower cost for the patients and the community that it serves.

Current system

The current x-ray machine flat value would be $12,000 each. Each day the hospital uses the current machines to make 8.5 x-rays per day. The average revenue for each x-ray is $65.00. The hospital calculates the revenue of the machines by multiplying the number of x-rays by the revenue ($65.00 x 8.5 = $553 per day). Looking at the total revenue for the year, $553 per day x 365, the hospital sees revenue of $201845 per year.

Cost consideration #1

The administration first looked at the cost of upgrading the existing x-ray machines. The cost to upgrade (2) GE AMX 4 Plus Portable X-ray Units is $88,000 each. The upgrade utilizes the existing units transport mechanism, battery pack and charging components, the current x-ray generator and x-ray tube. When the reconditioning is complete, each unit will perform the same task as a new digital unit manufactured by GE. However, there is no warranty on the upgraded system outside of the actual work performed. Therefore, any performance issue that was present prior to the upgrade would most likely still be present after the upgrade and would not be serviced as part of the upgrade. The analog systems in their current state are both past their predicted usable life and are no longer under any warranty or eligible for any manufacturer service contract.

The total cost and the total Return of Investment

The total cost of the upgrade would cost the hospital $176000. What is a Return on Investment? A ROI is a performance measure used to evaluate the efficiency of an investment or to compare the efficiency of a number of different investments. To calculate ROI, the benefit (return) of an investment is divided by the cost of the investment; the result is expressed as a percentage or a ratio (Investopidia, 2011).
176000 / 65 = 2727.7exams
2727.7 / 8.5 = 318.6 days

The breakeven point is the point where gains are equal to loses or the point where revenue equals expenses. 318.6 / 2 = 159.3 days/unit

Breakeven: 159.3 days

Purchase of two new demo units: Cost Consideration #2

The demo units have been used in the field by sales staff to demonstrate the units. There is no indication as to how many exposures have been made to date on the units. The units have no warranty left and will require an immediate purchase of a service contract. The price of each unit is $156000. The total cost and ROI of demo purchase (value considerations remain the same)
Purchase of 2 Units = $312000
Trade-in value of existing units = $24000
Take the total price of the units $312000 subtract the trade in value $24000 will give us the total cost of $288000 before the purchase of service contract. The immediate purchase of the service contract = $37000, add to the cost and get a total of $325000.
ROI
325000 / 65 = 5000 exams
5000 /8.5 = 588.2 days
588.2 / 2 = days/unit
Breakeven = 294.1 days

Purchase two new x-ray machines: Cost consideration #3

The new units come with one year warranty. After that, a full service maintenance contract would be required. The price of each unit is $193000. If the hospital purchases two machines the cost would be 2 Units = $386000. If the hospital Trade-ins the existing machines value of existing units = $24000. Total cost would be $362000.

The ROI:

362000 / 65 = 5569.2 exams
5569.2 / 8.5 = 655.2 days
655.2 / 2 = 327.6 days/unit

11.8 day difference in ROI
Opportunity loss cost (possible)
6 days downtime
$553/day opportunity
6 x 553 = $3318.00 (applied to demo unit only)

Decision/rationale

The possibility of the existing systems being upgraded was ruled out because of the fact that 75% of the original unit would remain in operation. The units were both in excess of 10 years old and very likely to begin displaying problematic issues in other areas of the unit such as the transport or exposure components. It was determined to be better to replace them completely and use their existing value to cover part of the overall cost of replacement.

Between the two new unit options the price disparity between them was $37000. With the downtime consideration applied to the demo unit option the disparity decreased to $33682 which calculates out to 518 additional exams or approximately 61 revenue producing days. This amount was considered appreciable and weighed against the purchase of the new units opting instead to purchase the demo units.

Reference

Thomas, C. & Maurice, S. (2011). Managerial economics: Foundations of business analysis and strategy (10th ed.). New York: McGraw-Hill

Investopidia. (2011). Return on Investment. Retrieved March 20, 2011 http://www.investopedia.com/terms/r/returnoninvestment.asp

Value based management, (2011), Breakeven point, Retrieved March 20, 2011, http://www.valuebasedmanagement.net/methods_break-even_point.html

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