L4
Costs, Profitability and Breakeven Analysis
Sales and Cost of Goods Sold (Cholla Pharmacy 2011)
Sales:
Total Sales: (100.0%)
Cost of Goods Sold (COGS):
Total COGS: (76.7%)
Gross Margin:
Gross Margin Amount: (23.3%)
Operating Expenses
Total Operating Expenses: (21.4%)
Salaries and Benefits: (15.0%)
Rent: (0.8%)
Utilities: (0.7%)
Professional Fees: (0.6%)
Taxes and Licenses: (0.2%)
Insurance: (0.7%)
Interest: (0.7%)
Computer Expenses: (0.6%)
Depreciation: (1.3%)
Marketing: (0.1%)
Miscellaneous: (0.8%)
Net Income Before Taxes:
Net Income: (1.9%)
Tests of Profitability & Performance
Gross Margin % Calculation:
Formula: ext{GM ext{%}} = rac{ ext{Sales} - ext{COGS}}{ ext{Sales}} imes 100 ext{%}
Explanation: This measure reflects the firm’s profitability before considering expenses. High gross margins are positive but may come at the expense of potential sales.
Scenario Examples:
Scenario 1:
Cost = , Price = , Units Sold =
Gross Margin % = rac{(10 - 5) imes 10}{10 imes 10} imes 100 = 50 ext{%}
Gross Profit =
Scenario 2:
Cost = , Price = , Units Sold =
Gross Margin % = rac{(8 - 5) imes 20}{20 imes 8} imes 100 = 30 ext{%}
Gross Profit =
Importance of Good Purchasing to Profitability
Sales Analysis:
Scenario 1:
Sales: , COGS:
Gross Margin: , Expenses:
Net Income:
Scenario 2:
Sales: , COGS = , Gross Margin: ,
Net Income:
Key Insight: A decrease in COGS by 1% increased profits by 13%.
Gross Margin Overview for Pharmacies 2022
Overall Gross Margins by Company:
CVS Health: 25.9% (Prescriptions: 77%)
Rite Aid: 24.9% (Prescriptions: 70%)
Walgreens Boots Alliance: 21.7% (Prescriptions: 74%)
Independent Pharmacies: 23.3% (Prescriptions: 93%)
Source: Drug Channels Institute analysis of company reports and NCPA Digest.
Gross Profits and Margins for Independent Pharmacies (2017 to 2021)
Gross Profit per Prescription Dispensed:
2017:
2018:
2019:
2020:
2021:
Gross Margin per Prescription Dispensed:
2017: 21.0%
2018: 20.9%
2019: 21.1%
2020: 20.8%
2021: 20.7%
Source: Drug Channels Institute analysis of NCPA digest data.
Factors for Improving Gross Margin in Compounding Pharmacies
Private pay / cash
Earned discounts
Selective 3rd party accounts
Compounding and other specialized services
Low Gross Margin Issues and Considerations
Potential Reasons for Low Gross Margin (< Median):
Membership in buying groups and potential underutilization of benefits
Not taking full advantage of discounts (cash, volume, prompt payment, etc.)
Pricing might be outdated
Signing undesirable third-party contracts
Excessive shrinkage due to theft, obsolescence, breakage, etc.
Net Income and Profitability Analysis
Net Income % Calculation:
Formula: ext{Net Income ext{%}} = rac{ ext{Net Income}}{ ext{Sales}} imes 100 ext{%}
Explanation: This ratio shows net profit margin after considering all expenses. When used with GM%, it indicates how well the manager controls operating expenses.
Low Net Income Considerations:
Check Gross Margin % and operating expenses through cost-of-dispensing analysis targeting high expenses.
Cost of Dispensing Study (2018)
Survey Overview:
Total Surveys: 66,000
Response Rate: 24%
Mean Overall Cost of Dispensing per Prescription:
Mean:
Median:
Major Cost Drivers:
Payroll costs account for approximately 58% of total costs of dispensing, i.e., out of .
Return on Equity (ROE)
ROE Formula:
ext{Return on Equity ext{%}} = rac{ ext{Net Income}}{ ext{Owner's Equity}} imes 100 ext{%}
Explanation: Measures profit earned per dollar of invested capital and allows investors to compare with alternative investment returns.
Low ROE Action Points:
Review Net Income % for improvement opportunities.
Assess capital investment, possibly shifting surplus capital to higher-yield investments or reducing own capital in favor of borrowed funds.
Return on Assets (ROA)
ROA Formula:
ext{Return on Assets ext{%}} = rac{ ext{Net Income}}{ ext{Total Assets}} imes 100 ext{%}
Explanation: Evaluates the effectiveness of all available funds to generate profits, considered superior to ROE by some.
Low ROA Considerations:
Review Net Income % for possible improvement.
Analyze Current Ratio, Inventory Turnover, and Accounts Receivable Collection Period for control over assets.
Limitations of Profitability Measures
Conventional Profit Measures:
Indicate past success but are ineffective for projecting future profits.
Break-even Analysis Benefits:
Enhances decision-making by illustrating profit/cost relationships across varying sales volumes and conditions.
Classification of Costs
Fixed Costs:
Remain unchanged over significant sales ranges (e.g., salaries, utilities, insurance, depreciation).
Variable Costs:
Vary in direct proportion to sales volumes (e.g., COGS, supplies like vials and labels).
Break-even Analysis
Break-even Point (BEP):
The sales volume where total revenues equal total costs; leads to neither profit nor loss.
Calculable in dollars or units for single product firms (e.g., a pharmacy's prescription department).
Multiple product firms must calculate BEP on total revenues and costs together.
Surrywood Pharmacy Case Study: Costs and Revenues
Total Variable Costs:
Total Fixed Costs:
Total Costs:
Break-even Graphs for Surrywood Pharmacy
Break-even Graph for Surrywood Pharmacy:
Sales =
BEP =
Profit and Loss Estimation Graph:
Loss @ sales is .
Prescription Department Break-even Graph:
Orders analyzed based on prescriptions dispensed over time.
Contribution Margin
Contribution Margin Definition:
Contribution Margin = Revenue - Variable Costs
Represents revenue exceeding variable costs that contributes to fixed costs and net income.
Example Calculation:
Contribution Margin =
Net Income =
Depreciation
Depreciation Definition:
The accounting process to recognize the loss in value of a fixed asset over time.
Components for Calculation:
Acquisition Cost (C), Useful Life (N), Residual Value (R).
Straight-line Depreciation Example
Straight-Line Method Equation:
Example Calculation: For a cholesterol testing device costing with a useful life of 5 years and residual value of ,
Annual Depreciation Expense: