1 Clinic Budget REVENUE 4 Clinic Revenue Reimbursement $50.00 $45.00 $60.00 $30.00 0.00 Revenue Medicaid % Medicare % Other % Charity Care % Visits Per Year 1560 1210 398 390 390 3948 $78,000.00 $54,450.00 $23,880.00 $11,700.00 $0.00 No Pay % 9 0 Total Visits Per Year 11Total Clinic Revenue: 12 13 $168,030.00 lab's Per Year Reimbursement Revenue $74,160.00 $74,160.00 Lab Revenue 2472 $30.00 14 15 Total Lab Fees: 16 17 Revenue Medications Per Year 2124 Reimbursement $25.00 Medication Revenue $53,100.00 $53,100.00 Total Medication Revenue: 19 20 21 Procedures Per Year Reimbursement $25.00 Revenue $35,000.00 $35,000.00 Procedure Revenue 1400 24 25 26 27 $330,290.00 Total Revenue Operating Budget 2Practice Name: Springville Family Practice Year: 2016-2017 1 Clinic Budget REVENUE 4 Clinic Revenue Reimbursement $50.00 $45.00 $60.00 $30.00 0.00 Revenue Medicaid % Medicare % Other % Charity Care % Visits Per Year 1560 1210 398 390 390 3948 $78,000.00 $54,450.00 $23,880.00 $11,700.00 $0.00 No Pay % 9 0 Total Visits Per Year 11Total Clinic Revenue: 12 13 $168,030.00 lab's Per Year Reimbursement Revenue $74,160.00 $74,160.00 Lab Revenue 2472 $30.00 14 15 Total Lab Fees: 16 17 Revenue Medications Per Year 2124 Reimbursement $25.00 Medication Revenue $53,100.00 $53,100.00 Total Medication Revenue: 19 20 21 Procedures Per Year Reimbursement $25.00 Revenue $35,000.00 $35,000.00 Procedure Revenue 1400 24 25 26 27 $330,290.00 Total Revenue Operating Budget 2Practice Name: Springville Family Practice Year: 2016-2017