Alpine Village Clinic Case 8 (Healthcare Finance): What would be the impact on the monthly net cash flows if actual billings from November 2009 to June 2010 were 20 percent below the forecasted amounts? What if they were 50 percent below the forecasted amounts? In your answers, assume that purchases and labor costs, as well as other expenses, cannot be adjusted downward during this period even though realized volume was below that forecasted.