• you would like to start a program to target your "frequent fliers" in order to reduce unnecessary EMS calls.
• Program start-up costs in year-0 are $200,000 (the program will not start until year-1).
• In year-1, you enroll 25 patients and expect to avoid 5 calls per patient over the course of the year (each averted call saves $900).
• Costs in year-1 are $80,000
• In year-2, you expect to enroll an additional 15 patients with similar results.
• Costs in year-2 increase to $125,000.
• Costs and savings are predicted to remain constant through year-5.

1. At the end of year-5, what is the sum net benefit with a 5% discount rate?