| CAPITAL COSTS |
FINANCING COSTS |
PRO-FORMA |
| Land |
Funded Depreciation |
Revenue: |
| Construction |
Interest During Construction |
Projected Utilization |
| Architect Fees |
Financing Costs |
Revenue associated with new program/service |
| Equipment |
|
Payor mix changes |
| Fees and Permits |
|
Related payor discounts |
|
|
Other income |
| OTHER COSTS |
|
Expense: |
| Rent for Temporary Quarters |
|
Additional wages and benefits |
| Impact on current revenues due to disruption |
|
Increases in operating expenses (supplies) |
| Marketing expenses |
|
Increases in plant operations (utilities) |
| Training costs |
|
Increases in annual capital budget |
| |
|
Changes in depreciation |
| |
|
  Debt service requirements |