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how to spend the 30 million available for the project capital based on these five options . Supply inflation is estimated at 2% over the

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how to spend the 30 million available for the project capital based on these five options

. Supply inflation is estimated at 2% over the next year with rate increases for Medicare and Medicaid at the same. Managed care rate increases are challenging with early estimates at 3% but could go to 5% with better negotiations. Personnel cost increases for salaries and wages are estimated to increase 4% next year with more competition for labor resources. Capital requests include $18 million of routine replacement with $30 million available in project capital for the following key projects: Trauma center: $25 million plus $10 million in operational expenses each year with $4 million in revenues for year 1 Skilled nursing facility: $30 million plus $5 million in operational expenses each year with $3 million in revenues for year 1 Ambulatory surgery center: $12 million plus $8 million in operational expenses and $12 million in revenues for year 1 Wellness center with rehab services: $8 million plus $3 million in operational expenses and $2 million in revenues for year 1 Open heart program: $12 million plus $5 million in operational expenses and $4 million in revenues for year 1 . . . Assumptions . Supply inflation is estimated at 2% over the next year with rate increases for Medicare and Medicaid at the same. Managed care rate increases are challenging with early estimates at 3% but could go to 5% with better negotiations. Personnel cost increases for salaries and wages are estimated to increase 4% next year with more competition for labor resources. Capital requests include $18 million of routine replacement with $30 million available in project capital for the following key projects: Trauma center: $25 million plus $10 million in operational expenses each year with $4 million in revenues for year 1 Skilled nursing facility: $30 million plus $5 million in operational expenses each year with $3 million in revenues for year 1 Ambulatory surgery center: $12 million plus $8 million in operational expenses and $12 million in revenues for year 1 Wellness center with rehab services: $8 million plus $3 million in operational expenses and $2 million in revenues for year 1 Open heart program: $12 million plus $5 million in operational expenses and $4 million in revenues for year 1 . . . Assumptions

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