Question: Pro Forma Income Statement Year 1 Year 2 Year 3 Year 4 Year 5 Visits 4,882 5,126 5,382 5,652 5,934 Revenue Per Visit $450 $450
| Pro Forma Income Statement | |||||||
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | |||
| Visits | 4,882 | 5,126 | 5,382 | 5,652 | 5,934 | ||
| Revenue Per Visit | $450 | $450 | $450 | $450 | $450 | ||
| Gross Revenue | |||||||
| Patient Reveue | |||||||
| Gross Patient Revenue | |||||||
| Deductions from Patient Revenue | |||||||
| Contractual | |||||||
| Total Deductions from Revenue | |||||||
| Net Patient Revenue | $0 | $0 | $0 | $0 | $0 | ||
| Operating Expenses | |||||||
| Salaries and Wages | |||||||
| Employee Benefits | |||||||
| Utilities | |||||||
| Repair/Maintenance | |||||||
| Housekeeping | |||||||
| Telephone Service | |||||||
| Depreciation | |||||||
| Malpractice | |||||||
| Miscellaneous/Other | |||||||
| Variable Medical Supply Costs | |||||||
| Other Non-Personnel Costs | |||||||
| Total Operating Expenses | |||||||
| Excess of Rev over Exp. From Operations | $0 | $0 | $0 | $0 | $0 | ||
| Cummulative Income | $0 | $0 | $0 | $0 | $0 | ||
| Net Cash from Excess Rev (excl Depreciation) | $0 | $0 | $0 | $0 | $0 | ||
| Cummulative Income Net Cash | $0 | $0 | $0 | $0 | $0 | ||
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