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Using the list provided create two statements: 1. Statement of Operations 2. Balance Sheet Section headings are in Mixed Case Italics Bold , totals are

Using the list provided create two statements:

1. Statement of Operations

2. Balance Sheet

Section headings are in Mixed Case Italics Bold, totals are in UPPERCASE BOLD.

Contractual Adjustment

Gross Patient Services Revenue

Admin Salaries Expense

Admin Benefits Expense

NET PROPERTY PLANT & EQUIPMENT

Long Term Investment

TOTAL LONGTERM ASSETS

Charity Care Adjustment

Bad Debt Adjustment

TOTAL OPERATING EXPENSES

General & Administrative Expense

Other Accounts Payable

Salaries Payable

Interest Expense

Property Plant & Equipment

Less: Accumulated Depreciation

TOTAL OPERATING INCOME

EXCESS OF REVENUES OVER EXPENSES

NET PATIENT REVENUE

Other Revenue

TOTAL CURRENT LIABILITIES

Long Term Liabilities

Clinical Benefits Expense

Revenues

Allocated Overhead Salaries And Benefits Expense

TOTAL PERSONNEL EXPENSE

TOTAL LIABILITIES

Net Assets

Drugs & Supply Expense

TOTAL ASSETS

TOTAL CURRENT ASSETS

Current Liabilities

TOTAL OPERATING REVENUES

TOTAL LIABILITIES AND NET ASSETS

Clinical Salaries Expense

Expenses

Facilities & Equipment Expense

Net Patient Accounts Receivable

Inventory

Depreciation Expense

Current Assets

Cash

Short Term Investments

Non Operating Income

Long Term Assets

Accrued Expenses Payable

Long Term Loans Payable

TOTAL LONG TERM LIABILITIES

Allocated Overhead Other Expenses

Balance sheet- ASC Proforma, 2015-18

Statement of Operations- ASC Proforma, 2015-18

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