Professional Documents
Culture Documents
Table of Contents
Brief Chapter Outline ............................................................................................................................ 2
Chapter Outline and Lecture notes ..................................................................................................... 4
Key Terms ............................................................................................................................................. 14
Suggested Text Responses…………………………………………………………………………..15
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Chapter Eight: Financial Analysis
.
Describe the importance of solid financial foundation in entrepreneurial
business.
Discuss techniques for measuring performance.
Explain ratio analysis.
Explain deviation analysis.
Explain sensitivity analysis.
Describe the use of short surveys in business.
Analyze the importance of having a measurement focus.
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Chapter Eight: Financial Analysis
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Chapter Eight: Financial Analysis
2. Financial Foundation
3. Sensitivity analysis
4. Surveys
iii. Recall the study of the balance sheet and income statements to
prepare for section 8.3, the Ratio Analysis
a. Ratio analysis
i. Ratio analysis is a series of ratios along four areas of company
performance (liquidity, activity, leverage, profitability) that provides
a picture of the health of the company
ii. Tool to examine the overall health of the organization
iii. Small business owners use a combination of the ratios to evaluate
the firm
iv. Compare ratios
1. Similar organizations
2. Industry averages
3. Previous performance of the firm
a. Annual
b. Monthly
v. Four categories of ratios
1. Liquidity
2. Activity
3. Leverage
4. Profitability
b. Liquidity ratios
i. Ratios that measure the short-term ability of the firm to meet its
obligations
1. Obligations include debt or accounts payable due in the near
term
2. Financial industry standards require that ratios be within
certain ratios to be considered healthy
3. If ratio falls below the lower bounds of its liquidity level the
bank may limit the line of credit to the firm or require a higher
interest rate on the debt
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Chapter Eight: Financial Analysis
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Chapter Eight: Financial Analysis
d. Leverage ratios
i. Ratios that are used to examine the relative level of indebtedness
of the entrepreneurial business
ii. Three ratios evaluate the level of indebtedness of a business
1. Debt-to-Equity
a. Ratio provides data about the portion of the business
owned by lenders versus the portion of business
owned by the owner or founder of the business
i. Total liabilities divided by total assets minus
total liabilities
2. Debt-to-Assets
a. Measures the percentage of the assets of the firm that
are actually owned by creditors
b. Total liabilities divided by total assets
3. Times Interest Earned
a. Figure estimates the number of times that the firm
could repay the current interest owed on its debts.
b. Higher number indicates the firm is more capable of
servicing its debt load
c. Operating income divided by the interest
iii. Calculating leverage ratios
1. Refer to the balance sheet illustrated in Figure 8.1 on page
140 of the text to provide example about how to calculate the
leverage ratios
2. Refer to the income statement illustrated in Figure 8.2 on
page 141 of the text to provide example about how to
calculate the times interest earned ratio
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Chapter Eight: Financial Analysis
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Chapter Eight: Financial Analysis
a. Deviation analysis
i. Analysis of the differences between the predicted and the actual
performance.
ii. Deviation is the second method used to evaluate the firm, activities,
and performance
iii. The time period associated with deviation analysis is typically
month to month or year to year
iv. Deviation chart has two additional columns that ensure all important
metrics are maintained
1. Column to show the actual change
2. Colum to show a percentage of change
v. Ratios reveal data based on perception analysis
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Chapter Eight: Financial Analysis
1. A drop in the current ratio from one year to the next can be a
negative indicator
2. At the same time, a drop in the amount of complaints can be
a positive indicator
vi. Entrepreneurs can easily evaluate the performance of the
organization based on perception of success at the business
vii. Consider the frequency of ratio analysis when interpreting results
1. The frequency at shorter intervals can produce positive or
negative insight on the outcome of the analysis
2. Shorter intervals in evaluating a firm have a tendency to
reveal trends in the industry in regards to performance
3. Develop charts using shorter intervals so patterns and
deviations can be observed
4. Maintain the chart to complete the analysis on a monthly
basis
a. Reveal seasonal trends
i. Results of analysis enhance ordering, staffing,
and advertising at the business
b. Annual updating of the chart permits the analysis over
years as the firm reaches maturity
viii. Measuring the performance of a business goes beyond the
financial considerations of the business
ix. Maintain an analysis of how well the firm pursues its strategy over a
stated period of time
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Chapter Eight: Financial Analysis
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Chapter Eight: Financial Analysis
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authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated,
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Chapter Eight: Financial Analysis
Key Terms
Activity ratios: Ratios that measure the efficiency with which the entrepreneur is
handling the resources of the business. (LO 8.3)
Deviation analysis: An analysis of the differences between the predicted and the
actual performance. (LO 8.4)
Leverage ratios: Ratios that are used to examine the relative level of indebtedness of
the entrepreneurial business. (LO 8.3)
Liquidity ratios: Ratios that measure the short-term ability of the firm to meet its
obligations. (LO 8.3)
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Chapter Eight: Financial Analysis
Profitability ratios: Ratios that examine the performance of the firm and its ability to
make economic rents over and above its costs. (LO 8.3)
Ratio analysis: A series of ratios along four areas of company performance (liquidity,
activity, leverage, profitability) that provides a picture of the health of the company. (LO
8.3)
Sensitivity analysis: A chart utilizing current cash flow statement, income statement,
or balance sheet to create a pro forma projection based upon a dramatic increase in
sales, a dramatic decrease in sales or the complication of a major change in the
business. (LO 8.5)
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Chapter Eight: Financial Analysis
1. There are several reasons that women are likely to become entrepreneurs.
Sometimes women in large corporations reach the “glass ceiling” and are unable to
advance further in the corporate structure. Women may also see opportunities to
provide services or products to other women. In the opening vignette
“Vavavroomonline.com”, the founder states that there was little motorcycle gear
available in women’s sizes. This provided a niche that she entered.
2. Yes.
Questions – p. 139
Exercise 1 – p. 142
Answers are found on pages 143, 144, 145 and 147 in the text.
Exercise 2 – p. 145
Exercise 3 – p. 149
Exercise 4 – p. 150
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Chapter Eight: Financial Analysis
1. These ratios seem to show that Chris is controlling expenses better in month 2.
4. Chris’s business may be impacted by the seasons or sales may be increasing during
the second month because the business has been opened longer.
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Chapter Eight: Financial Analysis
2. What do liquidity ratios seek to measure? What are the major types of liquidity
ratios? Liquidity ratios measure the short term ability of the company to meet its
obligations. The most common liquidity ratios are the current ratio and quick ratio.
3. Why are industry averages important to the interpretation of ratios? Each type
business will have different industry averages.
4. What do activity ratios seem to measure? What are the major types of activity
ratios? Activity ratios measure the efficiency in which the resources of the business are
handled. Major activity ratios are inventory turnover, accounts receivable turnover, and
total/fixed asset turnover.
5. What do leverage ratios seek to measure? What are the major types of liquidity
ratios? Leverage ratios are used to examine the relative level of indebtedness of the
business. The major liquidity ratios are debt-to-equity ratio, debt-to-asset ratio, and
times interest earned ratio.
6. What do performance ratios seek to measure? What are the major types of
performance ratios? Profitability ratios examine the performance of the firm and its
ability to make economic returns over and above its costs. The major types of
performance ratios are gross profit margin, operating profit margin, net profit margin,
return on assets and return on equity.
7. List two performance measures and explain their significance. The three most
common used are gross profit margin which is gross profit divided by net sales,
operating profit margin which is operating income divided by net sales, and net profit
margin which is net profit divided by net sales. These ratios are compared annually to
help assess the improvements in the profits of the business.
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Chapter Eight: Financial Analysis
8. How is deviation analysis used by a business? The deviation analysis shows the
difference in performance by comparing different periods of time. Differences in each
ratio need to be analyzed to determine whether they are positive or negative events.
IM 8-20
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authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated,
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Chapter Eight: Financial Analysis
1. Ask the students to discuss ratio analysis. Why are the ratios for the firm evaluated
and compared to other firms in the industry? List the four basic categories of
performance ratios. (LO 8.1, 8.2, 8.3)
2. Ask students to discuss deviation analysis. Then discuss why it is important and how
often a deviation analysis is performed. (LO 8.4)
3. Divide the students into groups. Assign each group one of the commonly used
ratios. Next, ask each group to prepare a presentation and describe how to calculate
the ratio, why it is important to calculate the ratio, and why that ratio is beneficial to a
business owner. The presentation can be presented as a power point presentation
or a presentation in front of the class. (LO 8.3)
6. In groups, ask the students to discuss the measurement techniques used to analyze
a business. How can they use those techniques to achieve a competitive advantage
in a particular industry? Next, ask the students to discuss how a firm gains a
competitive advantage by using the ratios for that industry. Discuss as a group or
present to the class on a flip chart or blackboard. (LO 8.7)
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forwarded, distributed, or posted on a website, in whole or part.
Chapter Eight: Financial Analysis
1. Which of the four classic techniques used to measure a firm is the most important
to a business owner? Discuss why. (LO 8.1, 8.2, 8.3, 8.4, 8.5, 8.6)
2. What is ratio analysis? How does this analysis benefit a business? (LO 8.3)
3. What does a survey reveal about competitors? What does it reveal about a
competitive advantage? (LO 8.6)
4. What are the three activity ratios? How are they calculated? What do they
measure? (LO 8.3)
6. Why do small business owners compare their ratios to other firms in the same
industry? (LO 8.3)
7. What are the four classic techniques used to measure a business? Explain how
each method is an effective tool to measure the business. (LO 8.1, 8.2, 8.3, 8.4,
8.5, 8.6, 8.7)
8. How does sensitivity analysis benefit a business owner? What do the results of
sensitivity analysis reveal? (LO 8.5)
9. What are the differences associated with leverage ratios and profitability ratios?
Explain how they benefit a business owner. What do they reveal? (LO 8.3)
10. What are the two liquidity ratios? How are they calculated? What do they reveal?
(LO 8.3)
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authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated,
forwarded, distributed, or posted on a website, in whole or part.
Chapter Eight: Financial Analysis
1. Which of the four classic techniques used to measure a firm is the most
important to a business owner? Discuss why. (LO 8.1, 8.2, 8.3, 8.4, 8.5, 8.6)
Liquidity ratios are probably the most important since financing institutions require
them to be within certain ranges.
2. What is ratio analysis? How does this analysis benefit a business? (LO 8.3)
Ratio analysis is a tool for the entrepreneur to use to examine the overall health of
an organization.
3. What does a survey reveal about competitors? What does it reveal about a
competitive advantage? (LO 8.6) A survey should show how the entrepreneurial
business compares to the competitors and which aspect of the business is most
appreciated by the customers.
4. What are the three activity ratios? How are they calculated? What do they
measure? (LO 8.3) The three activity ratios are inventory turnover (which
measures the efficiency of handling inventory), accounts receivable turnover
(which measures how fast the company turns credit sales into cash), and the
total/fixed asset turnover (which measures how efficiently the fixed assets are
being used in the business).
6. Why do small business owners compare their ratios to other firms in the
same industry? (LO 8.3) Different industries have variances in expected
margins and fixed assets requirements. To try to use one standard ratio would be
like comparing apples to oranges and would not be useful to the business.
7. What are the four classic techniques used to measure a business? Explain
how each method is an effective tool to measure the business. (LO 8.1, 8.2,
8.3, 8.4, 8.5, 8.6, 8.7) The four classic techniques are ratio analysis, deviation
analysis, sensitivity analysis and short surveys.
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Chapter Eight: Financial Analysis
9. What are the differences associated with leverage ratios and profitability
ratios? Explain how they benefit a business owner. What do they reveal?
(LO 8.3) Leverage ratios are concerned with debt and its relationship to equity,
assets and interest. Profitability ratios measure the performance of the firm by
calculating the revenues less all expenses.
10. What are the two liquidity ratios? How are they calculated? What do they
reveal? (LO 8.3) The two liquidity ratios are current ratio which is current assets
divided by current liabilities and the quick ratio which is current assets less
inventory divided by current liabilities. Both ratios are indicators of the company’s
ability to pay its current debts.
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Chapter Eight: Financial Analysis
Lecture Links
Lecture Link 8-1: Entrepreneurs Create Surveys at the New Small Business
(LO 8.6)
The authors revealed that a survey is a nonfinancial method which is used to analyze a
business. The results of survey reveal pertinent data that is beneficial to a business
owner. SurveyMonkey.com is an online resource that a new small business owner can
utilize to conduct a survey. Visit the website at http://www.surveymonkey.com/i (Survey
Monkey) and consider the process required to implement a survey for the target
customers in the industry where you will compete in your new small business.
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Chapter Eight: Financial Analysis
The authors in the text revealed that an entrepreneurial business owner analyze the
business to reveal data about the firm. Do you keep good financial records? Visit the
website at http://wwwbloomberg.com/research/stocks/financials/ratios.asp?ticker=AXP.
This is the website for American Express. Which ratios does Bloomberg feature for this
company?
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Chapter Eight: Financial Analysis
Can management complete this type of transaction? What would an auditor say about
this transaction? These are only some of the questions a new small business owner
might have about a transaction or process as it relates to the finances of the small
business. The Accounting and Auditing Policy Committee (AAPC) works in conjunction
with the Federal government to implement processes and resolve ongoing accounting
issues (FASB Accounting and Auditing Policy Committee)ii. Visit the Accounting and
Auditing Policy Committee website at http://www.fasab.gov/about/aapc and discuss
how this agency could assist a new small business owner with any accounting and
finance questions.
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Chapter Eight: Financial Analysis
This committee helps the government improve financial reporting through discussions
and recommendation of solutions to accounting problems. The project tab lists the
current projects that are being discussed.
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Chapter Eight: Financial Analysis
It is interesting to note that there are various factors during a year that impact the sales
made by a business. Visit the website
http://www.fastlinksolutions.co.uk/calculat.htm#howto (Fast Link Solutions)iii and scroll
down to the factors that the influence sales section. Next, choose three items and
discuss how they might impact the sales at your new small business.
1. Which three factors did you choose that impact the sales made by a business?
2. How do these factors impact the sales made by the new small business? Be
specific.
3. What strategies can a business owner create to enhance the sales made by the
business? Be specific.
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Chapter Eight: Financial Analysis
When a business owner evaluates the ratios for the business the owner must evaluate
those ratios compared to the industry standards in a particular industry. Visit the website
at http://smbtn.com/bizrations/ and scroll down to the “Sources for Industry Operating
Ratios (Small Business Ratios)iv” and discuss the following questions.
What resources did you utilize to obtain the industry data for your new small business?
How will these industry standards assist you with a ratio analysis at your new small
business?
What other data did you discover that might assist a new small business owner?
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Chapter Eight: Financial Analysis
Business owners utilize all of the available resources to assist them with their goals and
objectives. A business owner can analyze the profit ratios of other firms in the same
industry. Visit the website http://www.bankrate.com/brm/news/biz/green/19990712i.asp
(Financial planning: Profit industry comparisons, 2009)v and review the resources that
are available to assist a business owner.
1. What were the seven resources provided to obtain the published profit ratios?
2. What were the three electronic resources provided to obtain statistical data about
the other businesses?
3. What were the other resources that you found beneficial to assist the business
owner? How would you intend to use those resources?
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authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated,
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Chapter Eight: Financial Analysis
1. What were the seven resources provided to obtain published profit ratios?
“Industry Norms and Key Business Ratios”, “Analyst’s Handbook”, “Almanac of
Business and Industrial Ratios”, “Annual Statement Studies”, “Dunn’s Business
Rankings”, Standard and Poor’s Industry Surveys” and “US Industry and Trade
Outlook”.
2. What were the three electronic resources provided to obtain statistical data
about other businesses? The electronic resources are. “Savvy.com”, “Bureau
of Labor Statistics” and “US Census Bureau”.
3. What were the other resources that you found beneficial to assist the
business owner? How do you intend to use those resources? Answers will
vary.
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Chapter Eight: Financial Analysis
Sales fluctuate in a new small business. They affect the financial performance and the
cash flow of the business. The authors in the text revealed that sensitivity analysis
involves taking the current cash flow statement, the income statement, or the balance
sheet and making projections based upon a dramatic increase in sales, a dramatic
decrease in sales, or the businesses efforts to make a major change in the business
(text page 253). Sensitivity analysis can measure the cash flow impact of changes on
historical statements and existing statements.
2. What does a rapid increase in sales indicate about the business? Be specific.
3. What does a rapid decrease in sales indicate about the business? Be specific.
4. How does a business owner know if additional funding is needed for the
business?
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Chapter Eight: Financial Analysis
The answers in this lesson might vary depending upon the student research.
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Chapter Eight: Financial Analysis
The small business owner initiates surveys to evaluate the performance of the business.
Recall that if there are many customers served by the organization the small business
owner may want to complete a random sample of customers. In the text, the authors
discussed what questions on the survey should be designed to answer questions
directly related to the mission and strategy of the business (text page 256).
For the purpose of this exercise, you are the owner of a restaurant that serves upper
class Italian food in the community. You have approximately 1,500 customers on your
mailing list.
a. Create five survey questions for your customers to complete in your survey.
b. Will you send your survey out to all of your customers? Why or why not?
c. How will you evaluate the completed data compiled from the survey?
d. What is the expected outcome of the survey data that reveals a decline in
customer service? Will you hire a new staff?
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Chapter Eight: Financial Analysis
For the purpose of this exercise, you are the owner of a restaurant that serves the upper
class Italian food in the community. You have approximately 1,500 customers on your
mailing list.
b. Will you send your survey out to all of your customers? Why or why not?
The answers to these questions will vary based on the student perception. A
complete survey could be sent to all consumers or the student might elect to
send out a random selection of questions to survey a portion of their customers.
d. What is the expected outcome of the survey data that reveals a decline in
customer service? Will you hire a new staff?
The student answers here will vary based on the student perception of the
questions.
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Chapter Eight: Financial Analysis
In the text, the authors revealed four classic techniques used to measure the firm.
Discuss the four techniques and provide an example when each is an effective method
to measure the firm. Be specific and provide examples.
1.
2.
3.
4.
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authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated,
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Chapter Eight: Financial Analysis
In the text, the authors revealed four classic techniques used to measure the firm.
Discuss the four techniques and provide an example when each is an effective method
to measure the firm. Be specific and provide examples.
1. Ratio analysis
2. Deviation analysis
3. Sensitivity analysis
4. Short surveys
The examples that the students provide are expected to be based on their
perception of the analysis.
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Chapter Eight: Financial Analysis
Bonus Cases
Bonus Case 8-1: Deviation Analysis and the Entrepreneurial Business
(LO 8.4)
A small business owner establishes the business and manages the operations of the
new business. The owner examines the firm, its activities and its performance using a
deviation analysis. Consider the deviation analysis and answer the following questions:
2. What does each of the columns represent? What changes are revealed in the
chart?
3. Why do the results of a deviation analysis vary based on the perception of the
business owner? What does this reveal?
4. How often should a small business owner perform a deviation analysis? Why?
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Chapter Eight: Financial Analysis
1. Describe how to prepare a deviation chart for the business. A deviation chart
should include a column identifying the item being compared, a column for the
result from one year, another column for the result from another year, a column
showing the difference between the two, and a final column showing the
percentage of difference.
2. What does each of the columns represent? What changes are revealed in
the chart? See above for the columns. The percentage difference column is the
one that should be analyzed. This should disclose both the successes and
problems in the business.
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Chapter Eight: Financial Analysis
The results of liquidity ratios measure the short term ability of the firm to pay its debt. In
the text, the authors revealed that lending institutions require liquidity ratios be kept
within certain ranges. Typically, a bank will monitor the ratios of the business when the
business has a loan or a line of credit that is being financed by the bank. In addition, a
bank will analyze these ratios of a business that seeks to acquire a loan.
A business should use extreme caution and do everything in its power to keep the firm
liquid. The bank could view the business as a high risk if these ratios fall below the
standard industry ratio. A business owner strives to remain solvent and “the more self-
sufficiency a company demonstrates, the less risky it appears (Pattison, 2009)vi” A
business does not want to project itself as a business risk to the lending institution.
Discussion Questions:
1. Do you believe that a company that has poor liquidity can obtain a loan from a
bank or other lending institution? Why or why not?
2. What percentage should a current ratio be in order to reveal that the company
has enough money to meet its short-term obligations? What if the ratio falls
below that requirement?
3. What can a business owner do to assure that the business maintains adequate
liquidity and that there is a positive cash flow?
IM 8-41
© 2016 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not
authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated,
forwarded, distributed, or posted on a website, in whole or part.
Chapter Eight: Financial Analysis
1. Do you believe that a company that has poor liquidity can obtain a loan
from a bank or other lending institution? Why or why not?
A company is expected to have a difficult time to get a loan approved because
the company is unable to show the bank that it has adequate cash to repay a
loan or line of credit.
2. What percentage should a current ratio be in order to reveal that the
company has enough money to meet its short-term obligations? What if it
falls below this requirement?
The current ratio should be over 1.0 in order to show that the company can pay
its short-term obligations in a timely manner.
IM 8-42
© 2016 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not
authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated,
forwarded, distributed, or posted on a website, in whole or part.
Chapter Eight: Financial Analysis
The accurate reporting of the accounting and finance functions of the new business is
an important consideration to the new small business owner. The reports compiled for
the business are used for an industry comparative analysis, calculate financial ratios,
and to project the future earnings of a business. What happens if there is an error or
incorrect reporting in those statements?
Obviously, the business owner should investigate the issue to discover if there was an
error, transposition, or another form of human oversight. In certain cases, innocent
errors are made in the reporting process and the responsible employee apologizes to
the boss for the oversight that resulted in the error. However, in other cases, there are
dishonest individuals working for the business who cause the firm to report incorrect
data as a result of embezzlement, employee theft, or an additional dishonest
circumstance.
In “2009,” the “FBI investigated 490 fraud cases resulting in 171 indictments and 124
convictions of corporate criminals (Federal bureau of investigation - 2006 financial crime
report)vii” related to workplace crimes. The results found in this report indicate that there
are many dishonest employees who steal from their employers. The business owner
needs to create a keen sense of awareness in reference to employee theft and other
dishonest practices associated with the financial reporting process.
Discussion Questions
1. What would you do if you were a small business owner and you discovered that
your accountant was embezzling funds from the business as shown by your
analysis of liquidity ratios?
2. As a business owner, what are some of the precautions that you could take to
assure accurate reporting in your financial records?
3. Would you report such theft to the authorities? Why of why not?
IM 8-43
© 2016 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not
authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated,
forwarded, distributed, or posted on a website, in whole or part.
Chapter Eight: Financial Analysis
Endnotes
http://www.nytimes.com/2009/10/29/business/smallbusiness/29angels.html?scp=15&sq=hu
man%20resources%20and%20the%20new%20small%20business&st=cse. Retrieved on October
31, 2009.
viiFederal Bureau of Investigation – 2006 Financial Crime Report. Federal Bureau of Investigations.
http://www.fbi.gov/publications/financial/fcs_report2006/financial_crime_2006.htm. Retrieved on
October 31, 2009.
IM 8-44
© 2016 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not
authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated,
forwarded, distributed, or posted on a website, in whole or part.
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decentration of the eye as if a prism were prescribed, nature
supplying its own decentration.
Exophoria
An Assumed Case
We will assume a case where 42 degrees is required to enable
the patient to first see the red streak as produced by the Maddox rod
to the extreme left. Through a continued gradual reduction of 4
degrees (or to 38 degrees), we next learn that the streak was carried
over until it bisected the white spot of light, giving single binocular
vision and producing a position of rest.
Fig. 28—Simplified chart showing the
prism action employed in developing a
weak ocular muscle through alternating
prism exercise. Either side of 38° in
excess of 4° causing diplopia.
The patient has now established the limitation of the exercise,
which is four degrees, this limitation being determined by the
difference between the point where the streak was first seen to the
extreme side and where it bisected the spot. The same amount of
four degrees should then be used for the opposite side, thus
reducing the prism strength to 34 degrees.
This again produces diplopia, because of the lesser amount of
prism power employed to give single binocular vision. The
refractionist should then return to 38 degrees, where single binocular
vision had originally been determined (Fig. 28), alternating back to
42, returning to 38, over to 34, back to 38, and so on. This procedure
should be employed once a day just after meals for about five
minutes, and repeated ten times, constantly striving for a slight
reduction of prism power from day to day.
1st—6D of Exophoria.
2nd—18° adduction (which must be developed to 24°).
3rd—Patient has a left weak internus.
11. Employ First Method—Optical Correction—to effect
treatment.
12. Assuming a case of a child with 6° of esophoria—8° of right
abduction and 2° left abduction indicating a left weak externus,
prescribe a quarter diopter increased plus spherical power for each
degree of imbalance, thus adding +1.50D spherical to optical
correction. This is the first method of treatment. This requires a
thorough reading of Chapter IX on Treatment for Correcting
Esophoria in Children and a careful study of the formula. For
synopsis see Page 74.
Prisms
1st. Where a case cannot be reduced through use of first two
methods, as for example in a case of 6° of exophoria, prescribe ¼ of
amount of imbalance (¼ × 6 = 1½°) for each eye—base in—or
esophoria base out, hyperphoria base up on eye affected.
2nd. Advise patient to call every three months and make duction
test (Fig. 24). If no improvement in condition, after wearing prisms
six months, operative means is suggested.
Assume a case is benefited, reduce prism power according to
rule; ¼D prism for each degree of imbalance.
Cyclophoria
This work being of a technical nature, it is deemed best for the
reader to study Chapter XIII and XIV.
Chapter XIII
CYCLOPHORIA