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Company Name
Members of team:
Services to be Provided:
*
*
*
Volume (daily /weekly_/monthly_____)
Payor Mix (percentage)
• Private Insurance
• Medicare
• Medicaid
• Uninsured/Cash
Target Market:
Why?:
Company Name
VOLUME/REVENUE:
SERVICES Monthly VOLUME CHARGE/ SERVICE monthly revenue
- 3
Total monthly revenue $
o Charge/service will be for one hour of service
Expenses:
LIST ALL POSSIBLE EXPENSES (BRAINSTORM THE POSSIBILITIES)
LIST ALL EMPLOYEES (SALARIES & WAGES)
TITLE/JOB DESCRIPTION HOURLY
RATE HOURS WORKED/ MONTH MONTHLY COST
TOTAL SALARIES AND WAGES (LABOR COSTS) $
LIST ALL EXPENSES
EXPENSES MONTHLY EXPENSES
1
2
3
4
5
Total monthly expenses
Company Name
Payor Mix (percentage – FROM YOUR FIRST PAGE)
Private Insurance %_ x Total Revenue__ = _x Collection Rate =__
Medicare % x total revenue______ = _x Collection Rate =__
Medicaid % x total revenue = _x Collection Rate =__
Uninsured/Cash % x total revenue = x Collection Rate =_
Total Collections $ _
Total Monthly Collections/Total Revenue= _________%
Company Name
Profit/loss statement
Total MONTHLY revenue Total MONTHLY Collections TOTAL MONTHLY Expenses Net Operating Income
PROFIT/LOSS
(OUR PLAN!)
Scenario A
Scenario B
Scenario C
SCENARIO D
SCENARIO E
Sample Solution
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