Business Plan

I. Executive Summary

II. Program Overview

Location

Services

Other Professional Offerings

Staffing Needs

Operating Model

III. Market Profile

Market Overview

Demand Forecasting

IV. Financial Analysis

Capital Requirements

Reimbursement Model

Cost Per Patient Visit

V. Pro Forma

Patient Revenue

Operating Expenses

Income from Operations

Total expenses

Net Cash Flow

Pro-Forma Income Statement for DTC

2

Year 1Year 2Year 3Year 4Year 5

Visits4,8825,1265,3825,6525,934

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

Pro Forma Income Statement